EPISCOPAL HEALTH SERVICES INC. "CHARGE LISTING - SJEH as of March 18, 2024" "SJEH= St. John's Episcopal Hospital Located at: 327 Beach 19th St, Far Rockaway, NY 11691-4423" "NOTES: 1. Pharmacy Pricing set to $0.00 due to Pharmacy feeds pricing to Charge Master and can vary monthly. 2. Payments reported by line items may varied at time that payor processes the hospital claim (i.e.: not paid separately from the main hospital service, or reduced payment when billed in conjunction with other services). 3. Some of the reported payments for Evaluation and Management Codes (E&M), for Medicaid Managed Care plans, are reporting the based rate of payment, however, carrier will reference the weight of the primary diagnosis to determine final payment to the facility." "For Any Questions and/or Pharmacy item pricing contact Bertrand Batista, VP Revenue Cycle Management, at 718-869-8578." Billing Code Rev Code CPT Code Modifier(s) Service CPT Description HCPCS Alternate Code Medicare Alternate Code SJEH Facility Charge SJEH Facility Discounted Cash Price Maximum Negotiated Charge/Rate Minimum Negotiated Charge/Rate Aetna "Aetna Medicare" "Affinity (SOMOS) Essential Plans 1&2" "Affinity (SOMOS) Essential Plans 3&4" "Affinity (SOMOS) Exchange" "Affinity (SOMOS) Medicaid" Agewell Centerlight Cigna "Emblem GHI Commercial" "Emblem HIP Medicaid" "Emblem HIP Medicare" "Emblem HIP Essential Plans 1&2" "Emblem HIP Essential Plans 3&4" "Emblem HIP Exchange" "Emblem HIP HMO/Commercial" "Empire Blue Access & Small Group" "Empire EPO / HMO / Indemnity / PPO" "Fidelis Essential Plans 1&2" "Fidelis Essential Plans 3&4" "Fidelis Exchange" "Fidelis Medicaid" "Fidelis Medicare" Hamaspik "Healthfirst Essential Plans 1&2" "Healthfirst Essential Plans 3&4" "Healthfirst Exchange" "Healthfirst Medicaid" "Healthfirst Medicare" "Healthplus BC/BS Essential Plans 1&2" "Healthplus BC/BS Essential Plans 3&4" "Healthplus BC/BS Exchange" "Healthplus BC/BS Medicaid" "Healthplus BC/BS Medicare" Humana "Integra Medicare" "Local 1199" MagnaCare "MetroPlus CHP" "MetroPlus Essential Plan 1&2" "MetroPlus Essential Plan 3&4" "MetroPlus Exchange" "MetroPlus Gold" "MetroPlus Gold Care" "MetroPlus Medicaid" "MetroPlus Medicare" "MetroPlus SNP" Multiplan "Senior Whole Care" "United Healthcare Essential Plans 1&2" "United Healthcare Essential Plans 3&4" "United Healthcare Exchange" "United Healthcare Medicaid" "United Healthcare Medicare" "United Healthcare PPO" "Village Care Medicare" "VNSNY Medicare" "VSNY SNP" "Wellcare Essential Plans 1&2" "Wellcare Essential Plans 3&4" "Wellcare Exchange" "Wellcare Medicaid" "Wellcare Medicare" 362600519 510 0591T HLTH&WB COACHNG INDV 1ST ASSMT 159.00 159.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 0.00 0.00 0.00 0.00 0.00 111.30 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600520 510 0592T HLTH&WB COACHNG INDV FL-UP 121.90 121.90 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 0.00 0.00 0.00 0.00 0.00 85.33 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600521 510 0593T HLTH&WB COACHNG GROUP 106.00 106.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 0.00 0.00 74.20 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 352705009 361 10005 FNA BX W/US GDN 1ST LES 2438.00 2438.00 2831.00 71.73 2515.00 case rate 813.62 1308.23 581.44 1308.23 581.44 813.62 813.62 2810.00 per visit 813.62 581.44 813.62 1308.23 581.44 1308.23 813.62 1635.00 2044.00 1308.23 581.44 1308.23 581.44 813.62 813.62 1216.20 71.73 540.54 71.73 75.72 1308.23 581.44 1308.23 581.44 813.62 813.62 813.62 148.00 2831.00 per case 581.44 1308.23 581.44 813.62 581.44 581.44 581.44 813.62 581.44 1706.60 813.62 1308.23 581.44 2300.00 per case 581.44 813.62 2300.00 per case 813.62 813.62 581.44 1308.23 581.44 1308.23 581.44 649.50 352705010 361 10006 FNA BX W/US GDN EA ADDL 1908.00 1908.00 2831.00 0.00 2515.00 case rate 0.00 1308.23 581.44 1308.23 581.44 0.00 0.00 2810.00 per visit 0.00 581.44 0.00 1308.23 581.44 1308.23 0.00 1635.00 2044.00 1308.23 581.44 1308.23 581.44 0.00 0.00 1216.20 49.08 540.54 49.08 51.80 1308.23 581.44 1308.23 581.44 0.00 0.00 0.00 70.00 2831.00 per case 581.44 1308.23 581.44 0.00 581.44 581.44 581.44 0.00 581.44 1335.60 0.00 1308.23 581.44 2300.00 per case 581.44 0.00 2300.00 per case 0.00 0.00 581.44 1308.23 581.44 1308.23 581.44 0.00 352505079 361 10007 FNA BX W/FLUOR GDN 1ST LES 2650.00 2650.00 2831.00 88.12 2515.00 case rate 813.62 1308.23 581.44 1308.23 581.44 813.62 813.62 2810.00 per visit 813.62 581.44 813.62 1308.23 581.44 1308.23 813.62 1635.00 2044.00 1308.23 581.44 1308.23 581.44 813.62 813.62 1216.20 88.12 540.54 88.12 93.01 1308.23 581.44 1308.23 581.44 813.62 813.62 813.62 339.00 2831.00 per case 581.44 1308.23 581.44 813.62 581.44 581.44 581.44 813.62 581.44 1855.00 813.62 1308.23 581.44 2300.00 per case 581.44 813.62 2300.00 per case 813.62 813.62 581.44 1308.23 581.44 1308.23 581.44 412.56 352505080 361 10008 FNA BX W/FLUOR GDN EA ADDL 2120.00 2120.00 2831.00 0.00 2515.00 case rate 0.00 1308.23 581.44 1308.23 581.44 0.00 0.00 2810.00 per visit 0.00 581.44 0.00 1308.23 581.44 1308.23 0.00 1635.00 2044.00 1308.23 581.44 1308.23 581.44 0.00 0.00 1216.20 50.19 540.54 50.19 52.98 1308.23 581.44 1308.23 581.44 0.00 0.00 0.00 190.00 2831.00 per case 581.44 1308.23 581.44 0.00 581.44 581.44 581.44 0.00 581.44 1484.00 0.00 1308.23 581.44 2300.00 per case 581.44 0.00 2300.00 per case 0.00 0.00 581.44 1308.23 581.44 1308.23 581.44 0.00 352805009 361 10009 FNA BX W/CT GDN 1ST LES 2862.00 2862.00 2831.00 105.77 2515.00 case rate 813.62 1308.23 581.44 1308.23 581.44 813.62 813.62 2810.00 per visit 813.62 581.44 813.62 1308.23 581.44 1308.23 813.62 1635.00 2044.00 1308.23 581.44 1308.23 581.44 813.62 813.62 1216.20 105.77 540.54 105.77 111.64 1308.23 581.44 1308.23 581.44 813.62 813.62 813.62 556.00 2831.00 per case 581.44 1308.23 581.44 813.62 581.44 581.44 581.44 813.62 581.44 2003.40 813.62 1308.23 581.44 2300.00 per case 581.44 813.62 2300.00 per case 813.62 813.62 581.44 1308.23 581.44 1308.23 581.44 649.50 352805010 361 10010 FNA BX W/CT GDN EA ADDL 2332.00 2332.00 2831.00 0.00 2515.00 case rate 0.00 1308.23 581.44 1308.23 581.44 0.00 0.00 2810.00 per visit 0.00 581.44 0.00 1308.23 581.44 1308.23 0.00 1635.00 2044.00 1308.23 581.44 1308.23 581.44 0.00 0.00 1216.20 70.34 540.54 70.34 74.25 1308.23 581.44 1308.23 581.44 0.00 0.00 0.00 334.00 2831.00 per case 581.44 1308.23 581.44 0.00 581.44 581.44 581.44 0.00 581.44 1632.40 0.00 1308.23 581.44 2300.00 per case 581.44 0.00 2300.00 per case 0.00 0.00 581.44 1308.23 581.44 1308.23 581.44 0.00 450000169 450 10060 ER DRAINAGE OF SKIN ABSCESS 674.16 674.16 1441.00 80.00 625.00 case rate 231.51 839.07 372.92 839.07 372.92 231.51 231.51 471.91 231.51 372.92 231.51 839.07 372.92 839.07 231.51 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 231.51 231.51 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 231.51 231.51 231.51 80.00 1085.00 per visit 372.92 839.07 372.92 231.51 372.92 372.92 372.92 231.51 372.92 471.91 231.51 839.07 372.92 775.00 per case 372.92 231.51 775.00 per case 231.51 231.51 372.92 839.07 372.92 839.07 372.92 144.52 761000007 361 10060 I&D ABCOSS SIMPLE 674.16 674.16 2831.00 80.00 2515.00 case rate 231.51 831.48 369.55 831.48 369.55 231.51 231.51 2810.00 per visit 231.51 369.55 231.51 831.48 369.55 831.48 231.51 1635.00 2044.00 831.48 369.55 831.48 369.55 231.51 231.51 772.99 343.55 343.55 343.55 115.84 831.48 369.55 831.48 369.55 231.51 231.51 231.51 80.00 2831.00 per case 369.55 831.48 369.55 231.51 369.55 369.55 369.55 231.51 369.55 471.91 231.51 831.48 369.55 2300.00 per case 369.55 231.51 2300.00 per case 231.51 231.51 369.55 831.48 369.55 831.48 369.55 144.52 450000170 450 10061 ER DRAINAGE OF SKIN ABSCESS 10 1199.92 1199.92 1441.00 167.00 625.00 case rate 461.11 839.07 372.92 839.07 372.92 461.11 461.11 839.94 461.11 372.92 461.11 839.07 372.92 839.07 461.11 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 461.11 461.11 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 461.11 461.11 461.11 167.00 1085.00 per visit 372.92 839.07 372.92 461.11 372.92 372.92 372.92 461.11 372.92 839.94 461.11 839.07 372.92 775.00 per case 372.92 461.11 775.00 per case 461.11 461.11 372.92 839.07 372.92 839.07 372.92 215.60 761000008 361 10061 I&D ABCOSS COMPLEX 1199.92 1199.92 2831.00 167.00 2515.00 case rate 461.11 831.48 369.55 831.48 369.55 461.11 461.11 2810.00 per visit 461.11 369.55 461.11 831.48 369.55 831.48 461.11 1635.00 2044.00 831.48 369.55 831.48 369.55 461.11 461.11 772.99 343.55 343.55 343.55 199.43 831.48 369.55 831.48 369.55 461.11 461.11 461.11 167.00 2831.00 per case 369.55 831.48 369.55 461.11 369.55 369.55 369.55 461.11 369.55 839.94 461.11 831.48 369.55 2300.00 per case 369.55 461.11 2300.00 per case 461.11 461.11 369.55 831.48 369.55 831.48 369.55 215.60 450000171 450 10080 ER DRAINAGE OF PILONIDAL CYST 2215.40 2215.40 1550.78 84.00 625.00 case rate 813.62 839.07 372.92 839.07 372.92 813.62 813.62 1550.78 813.62 372.92 813.62 839.07 372.92 839.07 813.62 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 813.62 813.62 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 813.62 813.62 813.62 84.00 1085.00 per visit 372.92 839.07 372.92 813.62 372.92 372.92 372.92 813.62 372.92 1550.78 813.62 839.07 372.92 775.00 per case 372.92 813.62 775.00 per case 813.62 813.62 372.92 839.07 372.92 839.07 372.92 356.61 450000289 450 10080 INC & DRAIN PILONIDAL CYST 2215.40 2215.40 1550.78 84.00 625.00 case rate 813.62 839.07 372.92 839.07 372.92 813.62 813.62 1550.78 813.62 372.92 813.62 839.07 372.92 839.07 813.62 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 813.62 813.62 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 813.62 813.62 813.62 84.00 1085.00 per visit 372.92 839.07 372.92 813.62 372.92 372.92 372.92 813.62 372.92 1550.78 813.62 839.07 372.92 775.00 per case 372.92 813.62 775.00 per case 813.62 813.62 372.92 839.07 372.92 839.07 372.92 356.61 450000589 450 10120 INC & REM FB SQ;SM PL 1199.92 1199.92 1441.00 69.00 625.00 case rate 461.11 839.07 372.92 839.07 372.92 461.11 461.11 839.94 461.11 372.92 461.11 839.07 372.92 839.07 461.11 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 461.11 461.11 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 461.11 461.11 461.11 69.00 1085.00 per visit 372.92 839.07 372.92 461.11 372.92 372.92 372.92 461.11 372.92 839.94 461.11 839.07 372.92 775.00 per case 372.92 461.11 775.00 per case 461.11 461.11 372.92 839.07 372.92 839.07 372.92 187.64 761000018 361 10120 INC & REM FB SQ; SMPL 1199.92 1199.92 2831.00 69.00 2515.00 case rate 461.11 831.48 369.55 831.48 369.55 461.11 461.11 2810.00 per visit 461.11 369.55 461.11 831.48 369.55 831.48 461.11 1635.00 2044.00 831.48 369.55 831.48 369.55 461.11 461.11 772.99 343.55 343.55 343.55 114.89 831.48 369.55 831.48 369.55 461.11 461.11 461.11 69.00 2831.00 per case 369.55 831.48 369.55 461.11 369.55 369.55 369.55 461.11 369.55 839.94 461.11 831.48 369.55 2300.00 per case 369.55 461.11 2300.00 per case 461.11 461.11 369.55 831.48 369.55 831.48 369.55 187.64 450000172 450 10140 ER DRAINAGE OF HEMATOMA/FLUID 5257.60 5257.60 3680.32 107.00 625.00 case rate 1874.86 1588.11 705.83 1588.11 705.83 1874.86 1874.86 3680.32 1874.86 705.83 1874.86 1588.11 705.83 1588.11 1874.86 1153.00 case rate 1441.00 case rate 1588.11 705.83 1588.11 705.83 1874.86 1874.86 1476.43 165.00 per visit 656.19 165.00 per visit 225.00 per visit 1588.11 705.83 1588.11 705.83 1874.86 1874.86 1874.86 107.00 1085.00 per visit 705.83 1588.11 705.83 1874.86 705.83 705.83 705.83 1874.86 705.83 3680.32 1874.86 1588.11 705.83 775.00 per case 705.83 1874.86 775.00 per case 1874.86 1874.86 705.83 1588.11 705.83 1588.11 705.83 194.05 761000019 361 10140 I&D HEMATOMA/FLUID 5257.60 5257.60 2831.00 107.00 2515.00 case rate 1874.86 1573.75 699.44 1573.75 699.44 1874.86 1874.86 2810.00 per visit 1874.86 699.44 1874.86 1573.75 699.44 1573.75 1874.86 1635.00 2044.00 1573.75 699.44 1573.75 699.44 1874.86 1874.86 1463.04 650.24 650.24 650.24 128.06 1573.75 699.44 1573.75 699.44 1874.86 1874.86 1874.86 107.00 2831.00 per case 699.44 1573.75 699.44 1874.86 699.44 699.44 699.44 1874.86 699.44 3680.32 1874.86 1573.75 699.44 2300.00 per case 699.44 1874.86 2300.00 per case 1874.86 1874.86 699.44 1573.75 699.44 1573.75 699.44 194.05 450000173 450 10160 ER PUNCTURE DRAINAGE OF LESION 1199.92 1199.92 1441.00 71.00 625.00 case rate 461.11 839.07 372.92 839.07 372.92 461.11 461.11 839.94 461.11 372.92 461.11 839.07 372.92 839.07 461.11 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 461.11 461.11 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 461.11 461.11 461.11 71.00 1085.00 per visit 372.92 839.07 372.92 461.11 372.92 372.92 372.92 461.11 372.92 839.94 461.11 839.07 372.92 775.00 per case 372.92 461.11 775.00 per case 461.11 461.11 372.92 839.07 372.92 839.07 372.92 145.68 761000020 361 10160 PUNCT ASP - ABSC HEMAT CYST 1199.92 1199.92 2831.00 71.00 2515.00 case rate 461.11 831.48 369.55 831.48 369.55 461.11 461.11 2810.00 per visit 461.11 369.55 461.11 831.48 369.55 831.48 461.11 1635.00 2044.00 831.48 369.55 831.48 369.55 461.11 461.11 772.99 343.55 343.55 343.55 104.44 831.48 369.55 831.48 369.55 461.11 461.11 461.11 71.00 2831.00 per case 369.55 831.48 369.55 461.11 369.55 369.55 369.55 461.11 369.55 839.94 461.11 831.48 369.55 2300.00 per case 369.55 461.11 2300.00 per case 461.11 461.11 369.55 831.48 369.55 831.48 369.55 145.68 361500041 361 10180 I&D CPLX POSTOP WND INF 9084.20 9084.20 6358.94 159.00 2515.00 case rate 3285.91 3587.21 1594.31 3587.21 1594.31 3285.91 3285.91 2810.00 per visit 3285.91 "1,594.31" 3285.91 3587.21 1594.31 3587.21 3285.91 1635.00 2044.00 3587.21 1594.31 3587.21 1594.31 3285.91 3285.91 3334.86 1482.16 1482.16 1482.16 195.30 3587.21 1594.31 3587.21 1594.31 3285.91 3285.91 3285.91 159.00 2831.00 per case 1594.31 3587.21 1594.31 3285.91 1594.31 1594.31 1594.31 3285.91 1594.31 6358.94 3285.91 3587.21 1594.31 2300.00 per case 1594.31 3285.91 2300.00 per case 3285.91 3285.91 1594.31 3587.21 1594.31 3587.21 1594.31 "2,059.25" 450000174 450 10180 ER COMPLEX DRAINAGE- WOUND 9084.20 9084.20 6358.94 159.00 625.00 case rate 3285.91 3619.94 1608.86 3619.94 1608.86 3285.91 3285.91 6358.94 3285.91 "1,608.86" 3285.91 3619.94 1608.86 3619.94 3285.91 1153.00 case rate 1441.00 case rate 3619.94 1608.86 3619.94 1608.86 3285.91 3285.91 3365.38 165.00 per visit 1495.73 165.00 per visit 225.00 per visit 3619.94 1608.86 3619.94 1608.86 3285.91 3285.91 3285.91 159.00 1085.00 per visit 1608.86 3619.94 1608.86 3285.91 1608.86 1608.86 1608.86 3285.91 1608.86 6358.94 3285.91 3619.94 1608.86 775.00 per case 1608.86 3285.91 775.00 per case 3285.91 3285.91 1608.86 3619.94 1608.86 3619.94 1608.86 "2,059.25" 450000242 450 11010 ER DEBRIDE REMOVAL FOREIGN MAT 2215.40 2215.40 1817.93 277.00 625.00 case rate 813.62 1817.93 807.97 1817.93 807.97 813.62 813.62 1550.78 813.62 807.97 813.62 1817.93 807.97 1817.93 813.62 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 813.62 813.62 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 813.62 813.62 813.62 277.00 1085.00 per visit 807.97 1817.93 807.97 813.62 807.97 807.97 807.97 813.62 807.97 1550.78 813.62 1817.93 807.97 775.00 per case 807.97 813.62 775.00 per case 813.62 813.62 807.97 1817.93 807.97 1817.93 807.97 649.50 450000239 450 11042 ER DEBRIDE SKIN/TISSUE 1199.92 1199.92 1817.93 70.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 839.94 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 70.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 839.94 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 761000004 361 11042 DEB SUBQ TISSUE 20 SQ CM/ 1199.92 1199.92 2831.00 64.28 2515.00 case rate 461.11 1801.49 800.66 1801.49 800.66 461.11 461.11 2810.00 per visit 461.11 800.66 461.11 1801.49 800.66 1801.49 461.11 1635.00 2044.00 1801.49 800.66 1801.49 800.66 461.11 461.11 1674.76 744.34 744.34 744.34 64.28 1801.49 800.66 1801.49 800.66 461.11 461.11 461.11 70.00 2831.00 per case 800.66 1801.49 800.66 461.11 800.66 800.66 800.66 461.11 800.66 839.94 461.11 1801.49 800.66 2300.00 per case 800.66 461.11 2300.00 per case 461.11 461.11 800.66 1801.49 800.66 1801.49 800.66 368.09 450000240 450 11043 ER DEBRIDE TISSUE/MUSCLE 1866.66 1866.66 1817.93 227.00 625.00 case rate 726.28 1817.93 807.97 1817.93 807.97 726.28 726.28 1306.66 726.28 807.97 726.28 1817.93 807.97 1817.93 726.28 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 726.28 726.28 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 726.28 726.28 726.28 227.00 1085.00 per visit 807.97 1817.93 807.97 726.28 807.97 807.97 807.97 726.28 807.97 1306.66 726.28 1817.93 807.97 775.00 per case 807.97 726.28 775.00 per case 726.28 726.28 807.97 1817.93 807.97 1817.93 807.97 579.78 761000005 361 11043 DEB MUSC/FASCIA 20 SQ CM/ 1866.66 1866.66 2831.00 162.66 2515.00 case rate 726.28 1801.49 800.66 1801.49 800.66 726.28 726.28 2810.00 per visit 726.28 800.66 726.28 1801.49 800.66 1801.49 726.28 1635.00 2044.00 1801.49 800.66 1801.49 800.66 726.28 726.28 1674.76 744.34 744.34 744.34 162.66 1801.49 800.66 1801.49 800.66 726.28 726.28 726.28 227.00 2831.00 per case 800.66 1801.49 800.66 726.28 800.66 800.66 800.66 726.28 800.66 1306.66 726.28 1801.49 800.66 2300.00 per case 800.66 726.28 2300.00 per case 726.28 726.28 800.66 1801.49 800.66 1801.49 800.66 579.78 450000241 450 11044 ER DEBRIDE TISSUE/MUSCLE/BONE 5257.60 5257.60 3680.32 318.00 625.00 case rate 1874.86 3619.94 1608.86 3619.94 1608.86 1874.86 1874.86 3680.32 1874.86 "1,608.86" 1874.86 3619.94 1608.86 3619.94 1874.86 1153.00 case rate 1441.00 case rate 3619.94 1608.86 3619.94 1608.86 1874.86 1874.86 3365.38 165.00 per visit 1495.73 165.00 per visit 225.00 per visit 3619.94 1608.86 3619.94 1608.86 1874.86 1874.86 1874.86 318.00 1085.00 per visit 1608.86 3619.94 1608.86 1874.86 1608.86 1608.86 1608.86 1874.86 1608.86 3680.32 1874.86 3619.94 1608.86 775.00 per case 1608.86 1874.86 775.00 per case 1874.86 1874.86 1608.86 3619.94 1608.86 3619.94 1608.86 "1,215.29" 761000006 361 11044 DEB BONE 20 SQ CM/ 5257.60 5257.60 3680.32 238.71 2515.00 case rate 1874.86 3587.21 1594.31 3587.21 1594.31 1874.86 1874.86 2810.00 per visit 1874.86 "1,594.31" 1874.86 3587.21 1594.31 3587.21 1874.86 1635.00 2044.00 3587.21 1594.31 3587.21 1594.31 1874.86 1874.86 3334.86 1482.16 1482.16 1482.16 238.71 3587.21 1594.31 3587.21 1594.31 1874.86 1874.86 1874.86 318.00 2831.00 per case 1594.31 3587.21 1594.31 1874.86 1594.31 1594.31 1594.31 1874.86 1594.31 3680.32 1874.86 3587.21 1594.31 2300.00 per case 1594.31 1874.86 2300.00 per case 1874.86 1874.86 1594.31 3587.21 1594.31 3587.21 1594.31 "1,215.29" 361500010 361 11045 DEBR SKN SQ TISE EA ADD 20SQCM 2056.40 2056.40 3587.21 0.00 2515.00 case rate 0.00 3587.21 1594.31 3587.21 1594.31 0.00 0.00 2810.00 per visit 0.00 "1,594.31" 0.00 3587.21 1594.31 3587.21 0.00 1635.00 2044.00 3587.21 1594.31 3587.21 1594.31 0.00 0.00 3334.86 1482.16 1482.16 1482.16 26.52 3587.21 1594.31 3587.21 1594.31 0.00 0.00 0.00 37.00 2831.00 per case 1594.31 3587.21 1594.31 0.00 1594.31 1594.31 1594.31 0.00 1594.31 1439.48 0.00 3587.21 1594.31 2300.00 per case 1594.31 0.00 2300.00 per case 0.00 0.00 1594.31 3587.21 1594.31 3587.21 1594.31 0.00 510000375 361 11046 DEB MUSC/FASCIA ADD =<20 SQ CM 545.90 545.90 3587.21 0.00 2515.00 case rate 0.00 3587.21 1594.31 3587.21 1594.31 0.00 0.00 2810.00 per visit 0.00 "1,594.31" 0.00 3587.21 1594.31 3587.21 0.00 1635.00 2044.00 3587.21 1594.31 3587.21 1594.31 0.00 0.00 3334.86 1482.16 1482.16 1482.16 58.01 3587.21 1594.31 3587.21 1594.31 0.00 0.00 0.00 63.00 2831.00 per case 1594.31 3587.21 1594.31 0.00 1594.31 1594.31 1594.31 0.00 1594.31 382.13 0.00 3587.21 1594.31 2300.00 per case 1594.31 0.00 2300.00 per case 0.00 0.00 1594.31 3587.21 1594.31 3587.21 1594.31 0.00 361500011 361 11047 "DEBR SKNTIS,MS,BON,EA AD20SQCM" 1590.00 1590.00 3587.21 0.00 2515.00 case rate 0.00 3587.21 1594.31 3587.21 1594.31 0.00 0.00 2810.00 per visit 0.00 "1,594.31" 0.00 3587.21 1594.31 3587.21 0.00 1635.00 2044.00 3587.21 1594.31 3587.21 1594.31 0.00 0.00 3334.86 1482.16 1482.16 1482.16 102.69 3587.21 1594.31 3587.21 1594.31 0.00 0.00 0.00 102.00 2831.00 per case 1594.31 3587.21 1594.31 0.00 1594.31 1594.31 1594.31 0.00 1594.31 1113.00 0.00 3587.21 1594.31 2300.00 per case 1594.31 0.00 2300.00 per case 0.00 0.00 1594.31 3587.21 1594.31 3587.21 1594.31 0.00 761000021 361 11055 PARE BENIGN LES; SGL 674.16 674.16 2831.00 0.00 2515.00 case rate 231.51 831.48 369.55 831.48 369.55 231.51 231.51 2810.00 per visit 231.51 369.55 231.51 831.48 369.55 831.48 231.51 1635.00 2044.00 831.48 369.55 831.48 369.55 231.51 231.51 772.99 343.55 343.55 343.55 15.93 831.48 369.55 831.48 369.55 231.51 231.51 231.51 26.00 2831.00 per case 369.55 831.48 369.55 231.51 369.55 369.55 369.55 231.51 369.55 471.91 231.51 831.48 369.55 2300.00 per case 369.55 231.51 2300.00 per case 231.51 231.51 369.55 831.48 369.55 831.48 369.55 0.00 761000022 361 11056 TRIM SKIN LESIONS 2 TO 4 795.00 795.00 2831.00 0.00 2515.00 case rate 231.51 831.48 369.55 831.48 369.55 231.51 231.51 2810.00 per visit 231.51 369.55 231.51 831.48 369.55 831.48 231.51 1635.00 2044.00 831.48 369.55 831.48 369.55 231.51 231.51 772.99 343.55 343.55 343.55 22.48 831.48 369.55 831.48 369.55 231.51 231.51 231.51 37.00 2831.00 per case 369.55 831.48 369.55 231.51 369.55 369.55 369.55 231.51 369.55 556.50 231.51 831.48 369.55 2300.00 per case 369.55 231.51 2300.00 per case 231.51 231.51 369.55 831.48 369.55 831.48 369.55 0.00 360000123 761 11057 PARE/CUT BENIGN LESION:4ORMORE 848.00 848.00 2810.00 0.00 18.53 231.51 839.07 372.92 839.07 372.92 231.51 231.51 2810.00 per visit 231.51 372.92 231.51 839.07 372.92 839.07 231.51 37.14 46.43 839.07 372.92 839.07 372.92 231.51 231.51 780.07 346.70 346.70 346.70 29.38 839.07 372.92 839.07 372.92 231.51 231.51 231.51 48.00 720.80 372.92 839.07 372.92 231.51 372.92 372.92 372.92 231.51 372.92 593.60 231.51 839.07 372.92 0.00 372.92 231.51 0.00 231.51 231.51 372.92 839.07 372.92 839.07 372.92 117.13 761000023 361 11057 TRIM SKIN LESIONS OVER 4 954.00 954.00 2831.00 29.38 2515.00 case rate 231.51 831.48 369.55 831.48 369.55 231.51 231.51 2810.00 per visit 231.51 369.55 231.51 831.48 369.55 831.48 231.51 1635.00 2044.00 831.48 369.55 831.48 369.55 231.51 231.51 772.99 343.55 343.55 343.55 29.38 831.48 369.55 831.48 369.55 231.51 231.51 231.51 48.00 2831.00 per case 369.55 831.48 369.55 231.51 369.55 369.55 369.55 231.51 369.55 667.80 231.51 831.48 369.55 2300.00 per case 369.55 231.51 2300.00 per case 231.51 231.51 369.55 831.48 369.55 831.48 369.55 117.13 360005017 761 11102 TANGNTL BX SKIN SINGLE LES 694.30 694.30 2810.00 0.00 24.94 231.51 1641.41 729.52 1641.41 729.52 231.51 231.51 2810.00 per visit 231.51 729.52 231.51 1641.41 729.52 1641.41 231.51 49.99 62.49 1641.41 729.52 1641.41 729.52 231.51 231.51 1525.98 678.21 678.21 678.21 39.55 1641.41 729.52 1641.41 729.52 231.51 231.51 231.51 117.00 590.16 729.52 1641.41 729.52 231.51 729.52 729.52 729.52 231.51 729.52 486.01 231.51 1641.41 729.52 0.00 729.52 231.51 0.00 231.51 231.51 729.52 1641.41 729.52 1641.41 729.52 133.43 360000100 761 11200 REMOVAL SKIN TAGS UP TO 15 LES 674.16 674.16 2810.00 0.00 52.53 231.51 839.07 372.92 839.07 372.92 231.51 231.51 2810.00 per visit 231.51 372.92 231.51 839.07 372.92 839.07 231.51 105.30 131.62 839.07 372.92 839.07 372.92 231.51 231.51 780.07 346.70 346.70 346.70 83.31 839.07 372.92 839.07 372.92 231.51 231.51 231.51 88.93 573.04 372.92 839.07 372.92 231.51 372.92 372.92 372.92 231.51 372.92 471.91 231.51 839.07 372.92 0.00 372.92 231.51 0.00 231.51 231.51 372.92 839.07 372.92 839.07 372.92 0.00 360000101 761 11201 REMOVAL SKIN TAGS ADDON 10 LES 318.00 318.00 2810.00 0.00 10.67 0.00 839.07 372.92 839.07 372.92 0.00 0.00 2810.00 per visit 0.00 372.92 0.00 839.07 372.92 839.07 0.00 21.39 26.73 839.07 372.92 839.07 372.92 0.00 0.00 780.07 346.70 346.70 346.70 16.92 839.07 372.92 839.07 372.92 0.00 0.00 0.00 19.77 270.30 372.92 839.07 372.92 0.00 372.92 372.92 372.92 0.00 372.92 222.60 0.00 839.07 372.92 0.00 372.92 0.00 0.00 0.00 0.00 372.92 839.07 372.92 839.07 372.92 0.00 450000597 450 11400 EXC TR-EXT B9+MARG 0.5CM< 2215.40 2215.40 1641.41 80.00 625.00 case rate 813.62 1641.41 729.52 1641.41 729.52 813.62 813.62 1550.78 813.62 729.52 813.62 1641.41 729.52 1641.41 813.62 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 813.62 813.62 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 813.62 813.62 813.62 80.00 1085.00 per visit 729.52 1641.41 729.52 813.62 729.52 729.52 729.52 813.62 729.52 1550.78 813.62 1641.41 729.52 775.00 per case 729.52 813.62 775.00 per case 813.62 813.62 729.52 1641.41 729.52 1641.41 729.52 166.07 450000572 450 11420 EXC H-F-NK-SP B9+MARG 0.5< 5152.66 5152.66 3606.86 88.00 625.00 case rate 1874.86 3223.30 1432.58 3223.30 1432.58 1874.86 1874.86 3606.86 1874.86 "1,432.58" 1874.86 3223.30 1432.58 3223.30 1874.86 1153.00 case rate 1441.00 case rate 3223.30 1432.58 3223.30 1432.58 1874.86 1874.86 2996.63 165.00 per visit 1331.84 165.00 per visit 225.00 per visit 3223.30 1432.58 3223.30 1432.58 1874.86 1874.86 1874.86 88.00 1085.00 per visit 1432.58 3223.30 1432.58 1874.86 1432.58 1432.58 1432.58 1874.86 1432.58 3606.86 1874.86 3223.30 1432.58 775.00 per case 1432.58 1874.86 775.00 per case 1874.86 1874.86 1432.58 3223.30 1432.58 3223.30 1432.58 156.75 450000033 450 11719 TRIM NAIL 214.12 214.12 1441.00 0.00 625.00 case rate 70.73 239.26 106.34 239.26 106.34 70.73 70.73 149.88 70.73 106.34 70.73 239.26 106.34 239.26 70.73 1153.00 case rate 1441.00 case rate 239.26 106.34 239.26 106.34 70.73 70.73 222.44 165.00 per visit 98.86 165.00 per visit 225.00 per visit 239.26 106.34 239.26 106.34 70.73 70.73 70.73 10.00 1085.00 per visit 106.34 239.26 106.34 70.73 106.34 106.34 106.34 70.73 106.34 149.88 70.73 239.26 106.34 775.00 per case 106.34 70.73 775.00 per case 70.73 70.73 106.34 239.26 106.34 239.26 106.34 0.00 450000034 450 11720 ER DEBRIDE NAIL- 1-5 265.00 265.00 1441.00 0.00 625.00 case rate 70.73 239.26 106.34 239.26 106.34 70.73 70.73 185.50 70.73 106.34 70.73 239.26 106.34 239.26 70.73 1153.00 case rate 1441.00 case rate 239.26 106.34 239.26 106.34 70.73 70.73 222.44 165.00 per visit 98.86 165.00 per visit 225.00 per visit 239.26 106.34 239.26 106.34 70.73 70.73 70.73 19.00 1085.00 per visit 106.34 239.26 106.34 70.73 106.34 106.34 106.34 70.73 106.34 185.50 70.73 239.26 106.34 775.00 per case 106.34 70.73 775.00 per case 70.73 70.73 106.34 239.26 106.34 239.26 106.34 0.00 450000035 450 11721 ER DEBRIDE NAIL- 6 OR MORE 371.00 371.00 1441.00 0.00 625.00 case rate 70.73 239.26 106.34 239.26 106.34 70.73 70.73 259.70 70.73 106.34 70.73 239.26 106.34 239.26 70.73 1153.00 case rate 1441.00 case rate 239.26 106.34 239.26 106.34 70.73 70.73 222.44 165.00 per visit 98.86 165.00 per visit 225.00 per visit 239.26 106.34 239.26 106.34 70.73 70.73 70.73 33.00 1085.00 per visit 106.34 239.26 106.34 70.73 106.34 106.34 106.34 70.73 106.34 259.70 70.73 239.26 106.34 775.00 per case 106.34 70.73 775.00 per case 70.73 70.73 106.34 239.26 106.34 239.26 106.34 0.00 450000036 450 11730 ER REMOVAL OF NAIL PLATE 674.16 674.16 1441.00 0.00 625.00 case rate 231.51 239.26 106.34 239.26 106.34 231.51 231.51 471.91 231.51 106.34 231.51 239.26 106.34 239.26 231.51 1153.00 case rate 1441.00 case rate 239.26 106.34 239.26 106.34 231.51 231.51 222.44 165.00 per visit 98.86 165.00 per visit 225.00 per visit 239.26 106.34 239.26 106.34 231.51 231.51 231.51 69.00 1085.00 per visit 106.34 239.26 106.34 231.51 106.34 106.34 106.34 231.51 106.34 471.91 231.51 239.26 106.34 775.00 per case 106.34 231.51 775.00 per case 231.51 231.51 106.34 239.26 106.34 239.26 106.34 0.00 450000577 450 11740 EVACUATION SUBUNFUNGAL HEMATOM 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 239.26 106.34 239.26 106.34 147.72 147.72 285.67 147.72 106.34 147.72 239.26 106.34 239.26 147.72 1153.00 case rate 1441.00 case rate 239.26 106.34 239.26 106.34 147.72 147.72 222.44 165.00 per visit 98.86 165.00 per visit 225.00 per visit 239.26 106.34 239.26 106.34 147.72 147.72 147.72 22.00 1085.00 per visit 106.34 239.26 106.34 147.72 106.34 106.34 106.34 147.72 106.34 285.67 147.72 239.26 106.34 775.00 per case 106.34 147.72 775.00 per case 147.72 147.72 106.34 239.26 106.34 239.26 106.34 0.00 450000600 510 11740 EVAC SU HEMATOMA 408.10 408.10 346.89 0.00 0.00 147.72 222.48 98.88 222.48 98.88 147.72 147.72 0.00 147.72 98.88 147.72 222.48 98.88 222.48 147.72 226.00 283.00 222.48 98.88 222.48 98.88 147.72 147.72 206.83 91.92 91.92 91.92 34.81 222.48 98.88 222.48 98.88 147.72 147.72 147.72 22.00 346.89 98.88 222.48 98.88 147.72 98.88 98.88 98.88 147.72 98.88 285.67 147.72 222.48 98.88 142.00 per visit 98.88 147.72 142.00 per visit 147.72 147.72 98.88 222.48 98.88 222.48 98.88 0.00 450000037 450 11750 ER REMOVAL OF NAIL BED 1199.92 1199.92 1641.41 116.00 625.00 case rate 461.11 1641.41 729.52 1641.41 729.52 461.11 461.11 839.94 461.11 729.52 461.11 1641.41 729.52 1641.41 461.11 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 461.11 461.11 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 461.11 461.11 461.11 116.00 1085.00 per visit 729.52 1641.41 729.52 461.11 729.52 729.52 729.52 461.11 729.52 839.94 461.11 1641.41 729.52 775.00 per case 729.52 461.11 775.00 per case 461.11 461.11 729.52 1641.41 729.52 1641.41 729.52 182.39 450000038 450 11760 ER REPAIR OF NAIL BED 1867.72 1867.72 1441.00 98.86 625.00 case rate 726.28 239.26 106.34 239.26 106.34 726.28 726.28 1307.40 726.28 106.34 726.28 239.26 106.34 239.26 726.28 1153.00 case rate 1441.00 case rate 239.26 106.34 239.26 106.34 726.28 726.28 222.44 165.00 per visit 98.86 165.00 per visit 225.00 per visit 239.26 106.34 239.26 106.34 726.28 726.28 726.28 128.00 1085.00 per visit 106.34 239.26 106.34 726.28 106.34 106.34 106.34 726.28 106.34 1307.40 726.28 239.26 106.34 775.00 per case 106.34 726.28 775.00 per case 726.28 726.28 106.34 239.26 106.34 239.26 106.34 217.93 450000040 761 11762 ER RECOSRUCTION NAIL BED WITH 5995.36 5995.36 5096.06 0.00 125.72 2108.84 3223.30 1432.58 3223.30 1432.58 2108.84 2108.84 2810.00 per visit 2108.84 "1,432.58" 2108.84 3223.30 1432.58 3223.30 2108.84 252.04 315.04 3223.30 1432.58 3223.30 1432.58 2108.84 2108.84 2996.63 1172.97 1331.84 1172.97 198.92 3223.30 1432.58 3223.30 1432.58 2108.84 2108.84 2108.84 216.00 5096.06 1432.58 3223.30 1432.58 2108.84 1432.58 1432.58 1432.58 2108.84 1432.58 4196.75 2108.84 3223.30 1432.58 0.00 1432.58 2108.84 0.00 2108.84 2108.84 1432.58 3223.30 1432.58 3223.30 1432.58 314.08 450000039 450 11765 ER EXCISION OF NAIL FOLD- TOE 1199.92 1199.92 1441.00 0.00 625.00 case rate 461.11 239.26 106.34 239.26 106.34 461.11 461.11 839.94 461.11 106.34 461.11 239.26 106.34 239.26 461.11 1153.00 case rate 1441.00 case rate 239.26 106.34 239.26 106.34 461.11 461.11 222.44 165.00 per visit 98.86 165.00 per visit 225.00 per visit 239.26 106.34 239.26 106.34 461.11 461.11 461.11 52.00 1085.00 per visit 106.34 239.26 106.34 461.11 106.34 106.34 106.34 461.11 106.34 839.94 461.11 239.26 106.34 775.00 per case 106.34 461.11 775.00 per case 461.11 461.11 106.34 239.26 106.34 239.26 106.34 0.00 450000178 450 12001 ER REPAIR SUPERFICIAL WOUND(S) 674.16 674.16 1441.00 0.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 471.91 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 92.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 471.91 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 0.00 450000179 450 12002 ER REPAIR SUPERFICIAL WOUND(S) 689.00 689.00 1441.00 0.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 482.30 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 122.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 482.30 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 0.00 450000180 450 12004 ER REPAIR SUPERFICIAL WOUND(S) 779.10 779.10 1441.00 0.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 545.37 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 143.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 545.37 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 0.00 450000181 450 12005 ER REPAIR SUPERFICIAL WOUND(S) 1199.92 1199.92 1441.00 179.00 625.00 case rate 461.11 1194.00 530.67 1194.00 530.67 461.11 461.11 839.94 461.11 530.67 461.11 1194.00 530.67 1194.00 461.11 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 461.11 461.11 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 461.11 461.11 461.11 179.00 1085.00 per visit 530.67 1194.00 530.67 461.11 530.67 530.67 530.67 461.11 530.67 839.94 461.11 1194.00 530.67 775.00 per case 530.67 461.11 775.00 per case 461.11 461.11 530.67 1194.00 530.67 1194.00 530.67 368.09 450000182 450 12006 ER REPAIR SUPERFICIAL WOUND(S) 1346.20 1346.20 1441.00 228.00 625.00 case rate 461.11 1194.00 530.67 1194.00 530.67 461.11 461.11 942.34 461.11 530.67 461.11 1194.00 530.67 1194.00 461.11 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 461.11 461.11 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 461.11 461.11 461.11 228.00 1085.00 per visit 530.67 1194.00 530.67 461.11 530.67 530.67 530.67 461.11 530.67 942.34 461.11 1194.00 530.67 775.00 per case 530.67 461.11 775.00 per case 461.11 461.11 530.67 1194.00 530.67 1194.00 530.67 368.09 450000183 450 12007 ER REPAIR SUPERFICIAL WOUND(S) 1452.20 1452.20 1441.00 184.81 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 1016.54 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 263.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 1016.54 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 184.81 450000184 450 12011 ER REPAIR SUPERIFICIAL WOUND(S 674.16 674.16 1441.00 0.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 471.91 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 95.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 471.91 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 0.00 450000185 450 12013 ER REPAIR SUPERFICIAL WOUND(S) 720.80 720.80 1441.00 0.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 504.56 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 129.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 504.56 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 0.00 450000186 450 12014 ER REPAIR SUPERFICIAL WOUND(S) 805.60 805.60 1441.00 0.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 563.92 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 154.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 563.92 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 0.00 450000187 450 12015 ER REPAIR SUPERFICIAL WOUND(S) 932.80 932.80 1441.00 184.81 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 652.96 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 194.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 652.96 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 184.81 450000188 450 12016 ER REPAIR SUPERFICIAL WOUND(S) 1199.92 1199.92 1441.00 240.00 625.00 case rate 461.11 1194.00 530.67 1194.00 530.67 461.11 461.11 839.94 461.11 530.67 461.11 1194.00 530.67 1194.00 461.11 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 461.11 461.11 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 461.11 461.11 461.11 240.00 1085.00 per visit 530.67 1194.00 530.67 461.11 530.67 530.67 530.67 461.11 530.67 839.94 461.11 1194.00 530.67 775.00 per case 530.67 461.11 775.00 per case 461.11 461.11 530.67 1194.00 530.67 1194.00 530.67 368.09 450000189 450 12017 ER REPAIR SUPERFICIAL WOUND(S) 1346.20 1346.20 1441.00 290.00 625.00 case rate 461.11 1194.00 530.67 1194.00 530.67 461.11 461.11 942.34 461.11 530.67 461.11 1194.00 530.67 1194.00 461.11 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 461.11 461.11 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 461.11 461.11 461.11 290.00 1085.00 per visit 530.67 1194.00 530.67 461.11 530.67 530.67 530.67 461.11 530.67 942.34 461.11 1194.00 530.67 775.00 per case 530.67 461.11 775.00 per case 461.11 461.11 530.67 1194.00 530.67 1194.00 530.67 368.09 450000190 450 12018 ER REPAIR SUPERFICIAL WOUND(S) 1452.20 1452.20 1441.00 184.81 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 1016.54 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 342.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 1016.54 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 184.81 450000191 450 12031 ER LAYER CLOSURE OF WOUND(S) 1378.00 1378.00 1817.93 126.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 964.60 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 126.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 964.60 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 329.81 450000192 450 12032 ER LAYER CLOSURE OF WOUND(S) 1 1537.00 1537.00 1817.93 162.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1075.90 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 162.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1075.90 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000193 450 12034 ER LAYER CLOSURE OF WOUND(S) 1 1696.00 1696.00 1817.93 190.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1187.20 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 190.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1187.20 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000194 450 12035 ER LAYER CLOSURE OF WOUND(S) 1 1961.00 1961.00 1817.93 225.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1372.70 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 225.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1372.70 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000290 450 12036 LAY CLOSE WND SCALP 20.1-30.0C 1961.00 1961.00 1817.93 292.00 625.00 case rate 726.28 1817.93 807.97 1817.93 807.97 726.28 726.28 1372.70 726.28 807.97 726.28 1817.93 807.97 1817.93 726.28 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 726.28 726.28 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 726.28 726.28 726.28 292.00 1085.00 per visit 807.97 1817.93 807.97 726.28 807.97 807.97 807.97 726.28 807.97 1372.70 726.28 1817.93 807.97 775.00 per case 807.97 726.28 775.00 per case 726.28 726.28 807.97 1817.93 807.97 1817.93 807.97 579.78 450000291 450 12037 LAY CLOSE WND SCALP OVER 30.0C 5995.36 5995.36 4196.75 336.00 625.00 case rate 2108.84 1817.93 807.97 1817.93 807.97 2108.84 2108.84 4196.75 2108.84 807.97 2108.84 1817.93 807.97 1817.93 2108.84 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 2108.84 2108.84 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 2108.84 2108.84 2108.84 336.00 1085.00 per visit 807.97 1817.93 807.97 2108.84 807.97 807.97 807.97 2108.84 807.97 4196.75 2108.84 1817.93 807.97 775.00 per case 807.97 2108.84 775.00 per case 2108.84 2108.84 807.97 1817.93 807.97 1817.93 807.97 "1,683.45" 450000195 450 12041 ER LAYER CLOSURE OF WOUND(S) 1 1378.00 1378.00 1817.93 138.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 964.60 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 138.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 964.60 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 324.58 450000196 450 12042 ER LAYER CLOSURE OF WOUND(S) 1 1537.00 1537.00 1817.93 179.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1075.90 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 179.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1075.90 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 361.86 450000197 450 12044 ER LAYER CLOSURE OF WOUND(S) 1 1866.66 1866.66 1817.93 207.00 625.00 case rate 726.28 1817.93 807.97 1817.93 807.97 726.28 726.28 1306.66 726.28 807.97 726.28 1817.93 807.97 1817.93 726.28 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 726.28 726.28 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 726.28 726.28 726.28 207.00 1085.00 per visit 807.97 1817.93 807.97 726.28 807.97 807.97 807.97 726.28 807.97 1306.66 726.28 1817.93 807.97 775.00 per case 807.97 726.28 775.00 per case 726.28 726.28 807.97 1817.93 807.97 1817.93 807.97 579.78 450000198 450 12045 ER LAYER CLOSURE OF WOUND(S) 1 2003.40 2003.40 1817.93 245.00 625.00 case rate 726.28 1817.93 807.97 1817.93 807.97 726.28 726.28 1402.38 726.28 807.97 726.28 1817.93 807.97 1817.93 726.28 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 726.28 726.28 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 726.28 726.28 726.28 245.00 1085.00 per visit 807.97 1817.93 807.97 726.28 807.97 807.97 807.97 726.28 807.97 1402.38 726.28 1817.93 807.97 775.00 per case 807.97 726.28 775.00 per case 726.28 726.28 807.97 1817.93 807.97 1817.93 807.97 579.78 450000292 450 12046 LAY CLOSE WND NECK 20.1-30.0CM 1961.00 1961.00 1817.93 303.00 625.00 case rate 726.28 1817.93 807.97 1817.93 807.97 726.28 726.28 1372.70 726.28 807.97 726.28 1817.93 807.97 1817.93 726.28 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 726.28 726.28 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 726.28 726.28 726.28 303.00 1085.00 per visit 807.97 1817.93 807.97 726.28 807.97 807.97 807.97 726.28 807.97 1372.70 726.28 1817.93 807.97 775.00 per case 807.97 726.28 775.00 per case 726.28 726.28 807.97 1817.93 807.97 1817.93 807.97 579.78 450000293 450 12047 LAY CLOSE WND NECK OVER 30.0CM 5995.36 5995.36 4196.75 335.00 625.00 case rate 2108.84 1817.93 807.97 1817.93 807.97 2108.84 2108.84 4196.75 2108.84 807.97 2108.84 1817.93 807.97 1817.93 2108.84 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 2108.84 2108.84 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 2108.84 2108.84 2108.84 335.00 1085.00 per visit 807.97 1817.93 807.97 2108.84 807.97 807.97 807.97 2108.84 807.97 4196.75 2108.84 1817.93 807.97 775.00 per case 807.97 2108.84 775.00 per case 2108.84 2108.84 807.97 1817.93 807.97 1817.93 807.97 "1,683.45" 450000199 450 12051 ER LAYER CLOSURE OF WOUND(S) 1 1378.00 1378.00 1817.93 169.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 964.60 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 169.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 964.60 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 343.21 450000200 450 12052 ER LAYER CLOSURE OF WOUND(S) 1 1537.00 1537.00 1817.93 179.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1075.90 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 179.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1075.90 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 365.37 450000201 450 12053 ER LAYER CLOSURE OF WOUND(S) 1 1696.00 1696.00 1817.93 202.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1187.20 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 202.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1187.20 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000202 450 12054 ER LAYER CLOSURE OF WOUND(S) 1 1961.00 1961.00 1817.93 222.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1372.70 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 222.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1372.70 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000203 450 12055 ER LAYER CLOSURE OF WOUND(S) 1 2120.00 2120.00 1817.93 290.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1484.00 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 290.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1484.00 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000294 450 12055 LAY CLOSE WND FACE 12.6-20.0CM 2120.00 2120.00 1817.93 290.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1484.00 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 290.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1484.00 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000295 450 12056 LAY CLOSE WND FACE 20.1-30.0CM 2279.00 2279.00 1817.93 366.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1595.30 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 366.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1595.30 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000296 450 12057 LAY CLOSE WND FACE OVER 30.0CM 2438.00 2438.00 1817.93 368.09 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 1706.60 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 429.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 1706.60 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 450000297 450 13100 REP COMPLEX TRUNK 1.1-2.5 CM 3074.00 3074.00 2151.80 216.00 625.00 case rate 726.28 1641.41 729.52 1641.41 729.52 726.28 726.28 2151.80 726.28 729.52 726.28 1641.41 729.52 1641.41 726.28 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 726.28 726.28 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 726.28 726.28 726.28 216.00 1085.00 per visit 729.52 1641.41 729.52 726.28 729.52 729.52 729.52 726.28 729.52 2151.80 726.28 1641.41 729.52 775.00 per case 729.52 726.28 775.00 per case 726.28 726.28 729.52 1641.41 729.52 1641.41 729.52 579.78 450000298 450 13101 REP COMPLEX TRUNK 2.6-7.5CM 3233.00 3233.00 2263.10 268.00 625.00 case rate 726.28 1641.41 729.52 1641.41 729.52 726.28 726.28 2263.10 726.28 729.52 726.28 1641.41 729.52 1641.41 726.28 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 726.28 726.28 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 726.28 726.28 726.28 268.00 1085.00 per visit 729.52 1641.41 729.52 726.28 729.52 729.52 729.52 726.28 729.52 2263.10 726.28 1641.41 729.52 775.00 per case 729.52 726.28 775.00 per case 726.28 726.28 729.52 1641.41 729.52 1641.41 729.52 579.78 450000299 450 13102 LAY CLOSE TRUNK EA AD 5CM/LESS 159.00 159.00 1641.41 0.00 625.00 case rate 0.00 1641.41 729.52 1641.41 729.52 0.00 0.00 111.30 0.00 729.52 0.00 1641.41 729.52 1641.41 0.00 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 0.00 0.00 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 0.00 0.00 0.00 80.00 1085.00 per visit 729.52 1641.41 729.52 0.00 729.52 729.52 729.52 0.00 729.52 111.30 0.00 1641.41 729.52 775.00 per case 729.52 0.00 775.00 per case 0.00 0.00 729.52 1641.41 729.52 1641.41 729.52 0.00 450000300 450 13120 REP COMPLEX SCALP 1.1-2.5CM 1866.66 1866.66 1641.41 226.00 625.00 case rate 726.28 1641.41 729.52 1641.41 729.52 726.28 726.28 1306.66 726.28 729.52 726.28 1641.41 729.52 1641.41 726.28 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 726.28 726.28 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 726.28 726.28 726.28 226.00 1085.00 per visit 729.52 1641.41 729.52 726.28 729.52 729.52 729.52 726.28 729.52 1306.66 726.28 1641.41 729.52 775.00 per case 729.52 726.28 775.00 per case 726.28 726.28 729.52 1641.41 729.52 1641.41 729.52 579.78 450000301 450 13121 REP COMPLEX SCALP 2.6-7.5CM 2003.40 2003.40 1641.41 290.00 625.00 case rate 726.28 1641.41 729.52 1641.41 729.52 726.28 726.28 1402.38 726.28 729.52 726.28 1641.41 729.52 1641.41 726.28 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 726.28 726.28 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 726.28 726.28 726.28 290.00 1085.00 per visit 729.52 1641.41 729.52 726.28 729.52 729.52 729.52 726.28 729.52 1402.38 726.28 1641.41 729.52 775.00 per case 729.52 726.28 775.00 per case 726.28 726.28 729.52 1641.41 729.52 1641.41 729.52 579.78 450000302 450 13122 REP COMP SCALP EA ADD 5CM/LESS 159.00 159.00 1641.41 0.00 625.00 case rate 0.00 1641.41 729.52 1641.41 729.52 0.00 0.00 111.30 0.00 729.52 0.00 1641.41 729.52 1641.41 0.00 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 0.00 0.00 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 0.00 0.00 0.00 92.00 1085.00 per visit 729.52 1641.41 729.52 0.00 729.52 729.52 729.52 0.00 729.52 111.30 0.00 1641.41 729.52 775.00 per case 729.52 0.00 775.00 per case 0.00 0.00 729.52 1641.41 729.52 1641.41 729.52 0.00 450000303 450 13131 REP COMPLEX FOREHEAD 1.1-2.5CM 1199.92 1199.92 1641.41 339.00 625.00 case rate 461.11 1641.41 729.52 1641.41 729.52 461.11 461.11 839.94 461.11 729.52 461.11 1641.41 729.52 1641.41 461.11 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 461.11 461.11 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 461.11 461.11 461.11 339.00 1085.00 per visit 729.52 1641.41 729.52 461.11 729.52 729.52 729.52 461.11 729.52 839.94 461.11 1641.41 729.52 775.00 per case 729.52 461.11 775.00 per case 461.11 461.11 729.52 1641.41 729.52 1641.41 729.52 368.09 450000304 450 13132 REP COMPLEX FOREHEAD 2.6-7.5CM 1866.66 1866.66 1641.41 396.00 625.00 case rate 726.28 1641.41 729.52 1641.41 729.52 726.28 726.28 1306.66 726.28 729.52 726.28 1641.41 729.52 1641.41 726.28 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 726.28 726.28 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 726.28 726.28 726.28 396.00 1085.00 per visit 729.52 1641.41 729.52 726.28 729.52 729.52 729.52 726.28 729.52 1306.66 726.28 1641.41 729.52 775.00 per case 729.52 726.28 775.00 per case 726.28 726.28 729.52 1641.41 729.52 1641.41 729.52 579.78 450000305 450 13133 REP COMP FOREH EA AD 5CM/LESS 159.00 159.00 1641.41 0.00 625.00 case rate 0.00 1641.41 729.52 1641.41 729.52 0.00 0.00 111.30 0.00 729.52 0.00 1641.41 729.52 1641.41 0.00 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 0.00 0.00 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 0.00 0.00 0.00 142.00 1085.00 per visit 729.52 1641.41 729.52 0.00 729.52 729.52 729.52 0.00 729.52 111.30 0.00 1641.41 729.52 775.00 per case 729.52 0.00 775.00 per case 0.00 0.00 729.52 1641.41 729.52 1641.41 729.52 0.00 450000307 450 13151 REP COMPLEX EYELIDS 1.1-2.5CM 1866.66 1866.66 1641.41 431.00 625.00 case rate 726.28 1641.41 729.52 1641.41 729.52 726.28 726.28 1306.66 726.28 729.52 726.28 1641.41 729.52 1641.41 726.28 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 726.28 726.28 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 726.28 726.28 726.28 431.00 1085.00 per visit 729.52 1641.41 729.52 726.28 729.52 729.52 729.52 726.28 729.52 1306.66 726.28 1641.41 729.52 775.00 per case 729.52 726.28 775.00 per case 726.28 726.28 729.52 1641.41 729.52 1641.41 729.52 579.78 450000308 450 13152 REP COMPLEX EYELIDS 2.6-7.5CM 2003.40 2003.40 1641.41 447.00 625.00 case rate 726.28 1641.41 729.52 1641.41 729.52 726.28 726.28 1402.38 726.28 729.52 726.28 1641.41 729.52 1641.41 726.28 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 726.28 726.28 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 726.28 726.28 726.28 447.00 1085.00 per visit 729.52 1641.41 729.52 726.28 729.52 729.52 729.52 726.28 729.52 1402.38 726.28 1641.41 729.52 775.00 per case 729.52 726.28 775.00 per case 726.28 726.28 729.52 1641.41 729.52 1641.41 729.52 579.78 450000309 450 13153 REP COMP EYELID EA ADD 5CM/LES 159.00 159.00 3223.30 0.00 625.00 case rate 0.00 3223.30 1432.58 3223.30 1432.58 0.00 0.00 111.30 0.00 "1,432.58" 0.00 3223.30 1432.58 3223.30 0.00 1153.00 case rate 1441.00 case rate 3223.30 1432.58 3223.30 1432.58 0.00 0.00 2996.63 165.00 per visit 1331.84 165.00 per visit 225.00 per visit 3223.30 1432.58 3223.30 1432.58 0.00 0.00 0.00 155.00 1085.00 per visit 1432.58 3223.30 1432.58 0.00 1432.58 1432.58 1432.58 0.00 1432.58 111.30 0.00 3223.30 1432.58 775.00 per case 1432.58 0.00 775.00 per case 0.00 0.00 1432.58 3223.30 1432.58 3223.30 1432.58 0.00 450000310 450 13160 SECOND CLOSE SURG WND EXTENSIV 5995.36 5995.36 4196.75 761.00 625.00 case rate 2108.84 3619.94 1608.86 3619.94 1608.86 2108.84 2108.84 4196.75 2108.84 "1,608.86" 2108.84 3619.94 1608.86 3619.94 2108.84 1153.00 case rate 1441.00 case rate 3619.94 1608.86 3619.94 1608.86 2108.84 2108.84 3365.38 165.00 per visit 1495.73 165.00 per visit 225.00 per visit 3619.94 1608.86 3619.94 1608.86 2108.84 2108.84 2108.84 761.00 1085.00 per visit 1608.86 3619.94 1608.86 2108.84 1608.86 1608.86 1608.86 2108.84 1608.86 4196.75 2108.84 3619.94 1608.86 775.00 per case 1608.86 2108.84 775.00 per case 2108.84 2108.84 1608.86 3619.94 1608.86 3619.94 1608.86 "1,683.45" 450000311 450 14040 ADJACENT TISSUE TRANSFER 10 CM 5995.36 5995.36 4196.75 659.00 625.00 case rate 2108.84 3779.06 1679.58 3779.06 1679.58 2108.84 2108.84 4196.75 2108.84 "1,679.58" 2108.84 3779.06 1679.58 3779.06 2108.84 1153.00 case rate 1441.00 case rate 3779.06 1679.58 3779.06 1679.58 2108.84 2108.84 3513.31 165.00 per visit 1561.47 165.00 per visit 225.00 per visit 3779.06 1679.58 3779.06 1679.58 2108.84 2108.84 2108.84 659.00 1085.00 per visit 1679.58 3779.06 1679.58 2108.84 1679.58 1679.58 1679.58 2108.84 1679.58 4196.75 2108.84 3779.06 1679.58 775.00 per case 1679.58 2108.84 775.00 per case 2108.84 2108.84 1679.58 3779.06 1679.58 3779.06 1679.58 "1,683.45" 360000122 450 14060 ATT E/N/E/L D 10SQCM 5995.36 5995.36 4196.75 722.00 625.00 case rate 2108.84 3779.06 1679.58 3779.06 1679.58 2108.84 2108.84 4196.75 2108.84 "1,679.58" 2108.84 3779.06 1679.58 3779.06 2108.84 1153.00 case rate 1441.00 case rate 3779.06 1679.58 3779.06 1679.58 2108.84 2108.84 3513.31 165.00 per visit 1561.47 165.00 per visit 225.00 per visit 3779.06 1679.58 3779.06 1679.58 2108.84 2108.84 2108.84 722.00 1085.00 per visit 1679.58 3779.06 1679.58 2108.84 1679.58 1679.58 1679.58 2108.84 1679.58 4196.75 2108.84 3779.06 1679.58 775.00 per case 1679.58 2108.84 775.00 per case 2108.84 2108.84 1679.58 3779.06 1679.58 3779.06 1679.58 "1,683.45" 510000376 361 15271 SKIN SUB GRAFT TRNK/ARM/LEG 5995.36 5995.36 4196.75 88.69 2515.00 case rate 2108.84 3744.89 1664.40 3744.89 1664.40 2108.84 2108.84 2810.00 per visit 2108.84 "1,664.40" 2108.84 3744.89 1664.40 3744.89 2108.84 1635.00 2044.00 3744.89 1664.40 3744.89 1664.40 2108.84 2108.84 3481.45 1547.31 1547.31 1547.31 88.69 3744.89 1664.40 3744.89 1664.40 2108.84 2108.84 2108.84 164.00 2831.00 per case 1664.40 3744.89 1664.40 2108.84 1664.40 1664.40 1664.40 2108.84 1664.40 4196.75 2108.84 3744.89 1664.40 2300.00 per case 1664.40 2108.84 2300.00 per case 2108.84 2108.84 1664.40 3744.89 1664.40 3744.89 1664.40 "1,683.45" 510000377 361 15272 SKIN SUB GRAFT T/A/L ADD 238.50 238.50 3744.89 0.00 2515.00 case rate 0.00 3744.89 1664.40 3744.89 1664.40 0.00 0.00 2810.00 per visit 0.00 "1,664.40" 0.00 3744.89 1664.40 3744.89 0.00 1635.00 2044.00 3744.89 1664.40 3744.89 1664.40 0.00 0.00 3481.45 1547.31 1547.31 1547.31 17.67 3744.89 1664.40 3744.89 1664.40 0.00 0.00 0.00 31.00 2831.00 per case 1664.40 3744.89 1664.40 0.00 1664.40 1664.40 1664.40 0.00 1664.40 166.95 0.00 3744.89 1664.40 2300.00 per case 1664.40 0.00 2300.00 per case 0.00 0.00 1664.40 3744.89 1664.40 3744.89 1664.40 0.00 510000398 510 15275 SKN GRFT FACE/NK/HG/G 5995.36 5995.36 5096.06 0.00 0.00 2108.84 3514.03 1561.79 3514.03 1561.79 2108.84 2108.84 0.00 2108.84 "1,561.79" 2108.84 3514.03 1561.79 3514.03 2108.84 226.00 283.00 3514.03 1561.79 3514.03 1561.79 2108.84 2108.84 3266.79 1451.91 1451.91 1451.91 97.15 3514.03 1561.79 3514.03 1561.79 2108.84 2108.84 2108.84 175.00 5096.06 1561.79 3514.03 1561.79 2108.84 1561.79 1561.79 1561.79 2108.84 1561.79 4196.75 2108.84 3514.03 1561.79 142.00 per visit 1561.79 2108.84 142.00 per visit 2108.84 2108.84 1561.79 3514.03 1561.79 3514.03 1561.79 160.25 510000399 510 15276 SKN GRFT FACE/NK/HG/G AD 238.50 238.50 3514.03 0.00 0.00 0.00 3514.03 1561.79 3514.03 1561.79 0.00 0.00 0.00 0.00 "1,561.79" 0.00 3514.03 1561.79 3514.03 0.00 226.00 283.00 3514.03 1561.79 3514.03 1561.79 0.00 0.00 3266.79 1451.91 1451.91 1451.91 26.07 3514.03 1561.79 3514.03 1561.79 0.00 0.00 0.00 38.00 202.73 1561.79 3514.03 1561.79 0.00 1561.79 1561.79 1561.79 0.00 1561.79 166.95 0.00 3514.03 1561.79 142.00 per visit 1561.79 0.00 142.00 per visit 0.00 0.00 1561.79 3514.03 1561.79 3514.03 1561.79 0.00 450000312 450 16000 INITIAL TXT 1ST DEGREE BURN 674.16 674.16 1441.00 0.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 471.91 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 50.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 471.91 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 0.00 450000313 450 16020 INIT TXT 1ST DEG BURN W/O ANES 795.00 795.00 1441.00 0.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 556.50 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 46.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 556.50 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 0.00 761000027 761 16020 BURN DRSNG/DEBRIDE SM 795.00 795.00 2810.00 0.00 38.19 231.51 1110.27 493.45 1110.27 493.45 231.51 231.51 2810.00 per visit 231.51 493.45 231.51 1110.27 493.45 1110.27 231.51 76.56 95.70 1110.27 493.45 1110.27 493.45 231.51 231.51 1032.15 458.73 458.73 458.73 60.57 1110.27 493.45 1110.27 493.45 231.51 231.51 231.51 46.00 675.75 493.45 1110.27 493.45 231.51 493.45 493.45 493.45 231.51 493.45 556.50 231.51 1110.27 493.45 0.00 493.45 231.51 0.00 231.51 231.51 493.45 1110.27 493.45 1110.27 493.45 0.00 450000314 450 16025 DRSG/DEBR W/O ANES MED FACE/EX 954.00 954.00 1441.00 111.00 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 667.80 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 111.00 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 667.80 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 184.81 761000028 761 16025 BURN DRSNG/DEBRIDE MED 954.00 954.00 2810.00 0.00 75.37 231.51 1110.27 493.45 1110.27 493.45 231.51 231.51 2810.00 per visit 231.51 493.45 231.51 1110.27 493.45 1110.27 231.51 151.08 188.86 1110.27 493.45 1110.27 493.45 231.51 231.51 1032.15 458.73 458.73 458.73 119.53 1110.27 493.45 1110.27 493.45 231.51 231.51 231.51 111.00 810.90 493.45 1110.27 493.45 231.51 493.45 493.45 493.45 231.51 493.45 667.80 231.51 1110.27 493.45 0.00 493.45 231.51 0.00 231.51 231.51 493.45 1110.27 493.45 1110.27 493.45 184.81 450000585 450 16030 DRESS/DEBRID P-THICK BURN L 1199.92 1199.92 1817.93 132.00 625.00 case rate 461.11 1817.93 807.97 1817.93 807.97 461.11 461.11 839.94 461.11 807.97 461.11 1817.93 807.97 1817.93 461.11 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 461.11 461.11 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 461.11 461.11 461.11 132.00 1085.00 per visit 807.97 1817.93 807.97 461.11 807.97 807.97 807.97 461.11 807.97 839.94 461.11 1817.93 807.97 775.00 per case 807.97 461.11 775.00 per case 461.11 461.11 807.97 1817.93 807.97 1817.93 807.97 368.09 761000029 761 16030 BURN DRSNG/DEBRIDE LRG 1199.92 1199.92 2810.00 0.00 89.48 461.11 1690.43 751.30 1690.43 751.30 461.11 461.11 2810.00 per visit 461.11 751.30 461.11 1690.43 751.30 1690.43 461.11 179.38 224.22 1690.43 751.30 1690.43 751.30 461.11 461.11 1571.49 698.44 698.44 698.44 141.91 1690.43 751.30 1690.43 751.30 461.11 461.11 461.11 132.00 1019.93 751.30 1690.43 751.30 461.11 751.30 751.30 751.30 461.11 751.30 839.94 461.11 1690.43 751.30 0.00 751.30 461.11 0.00 461.11 461.11 751.30 1690.43 751.30 1690.43 751.30 368.09 450000131 450 17250 ER CHEMICAL CAUTERY- TISSUE 674.16 674.16 1441.00 0.00 625.00 case rate 231.51 839.07 372.92 839.07 372.92 231.51 231.51 471.91 231.51 372.92 231.51 839.07 372.92 839.07 231.51 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 231.51 231.51 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 231.51 231.51 231.51 37.00 1085.00 per visit 372.92 839.07 372.92 231.51 372.92 372.92 372.92 231.51 372.92 471.91 231.51 839.07 372.92 775.00 per case 372.92 231.51 775.00 per case 231.51 231.51 372.92 839.07 372.92 839.07 372.92 0.00 761000009 510 17250 WOUND CAUTERY CHEMICAL 674.16 674.16 780.22 0.00 0.00 231.51 780.22 346.77 780.22 346.77 231.51 231.51 0.00 231.51 346.77 231.51 780.22 346.77 780.22 231.51 226.00 283.00 780.22 346.77 780.22 346.77 231.51 231.51 725.33 322.37 322.37 322.37 40.65 780.22 346.77 780.22 346.77 231.51 231.51 231.51 37.00 573.04 346.77 780.22 346.77 231.51 346.77 346.77 346.77 231.51 346.77 471.91 231.51 780.22 346.77 142.00 per visit 346.77 231.51 142.00 per visit 231.51 231.51 346.77 780.22 346.77 780.22 346.77 0.00 360000125 450 17999 UNLISTD PROC SKIN SUBCUTANEOUS TS 674.16 674.16 1441.00 231.51 625.00 case rate 231.51 839.07 372.92 839.07 372.92 231.51 231.51 471.91 231.51 372.92 231.51 839.07 372.92 839.07 231.51 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 231.51 231.51 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 231.51 231.51 231.51 471.91 1085.00 per visit 372.92 839.07 372.92 231.51 372.92 372.92 372.92 231.51 372.92 471.91 231.51 839.07 372.92 775.00 per case 372.92 231.51 775.00 per case 231.51 231.51 372.92 839.07 372.92 839.07 372.92 347.27 361000018 361 19000 PUNCT ASP CYCST BRST 2215.40 2215.40 2831.00 41.67 2515.00 case rate 813.62 1308.23 581.44 1308.23 581.44 813.62 813.62 2810.00 per visit 813.62 581.44 813.62 1308.23 581.44 1308.23 813.62 1635.00 2044.00 1308.23 581.44 1308.23 581.44 813.62 813.62 1216.20 41.67 540.54 41.67 43.99 1308.23 581.44 1308.23 581.44 813.62 813.62 813.62 49.00 2831.00 per case 581.44 1308.23 581.44 813.62 581.44 581.44 581.44 813.62 581.44 1550.78 813.62 1308.23 581.44 2300.00 per case 581.44 813.62 2300.00 per case 813.62 813.62 581.44 1308.23 581.44 1308.23 581.44 120.03 361000036 361 19000 PUNCT ASP CYCST BRST 2215.40 2215.40 2831.00 41.67 2515.00 case rate 813.62 1308.23 581.44 1308.23 581.44 813.62 813.62 2810.00 per visit 813.62 581.44 813.62 1308.23 581.44 1308.23 813.62 1635.00 2044.00 1308.23 581.44 1308.23 581.44 813.62 813.62 1216.20 41.67 540.54 41.67 43.99 1308.23 581.44 1308.23 581.44 813.62 813.62 813.62 49.00 2831.00 per case 581.44 1308.23 581.44 813.62 581.44 581.44 581.44 813.62 581.44 1550.78 813.62 1308.23 581.44 2300.00 per case 581.44 813.62 2300.00 per case 813.62 813.62 581.44 1308.23 581.44 1308.23 581.44 120.03 361000019 361 19001 PUNCT ASP CYCST BRST EA ADDL 530.00 530.00 2831.00 0.00 2515.00 case rate 0.00 1308.23 581.44 1308.23 581.44 0.00 0.00 2810.00 per visit 0.00 581.44 0.00 1308.23 581.44 1308.23 0.00 1635.00 2044.00 1308.23 581.44 1308.23 581.44 0.00 0.00 1216.20 20.62 540.54 20.62 21.76 1308.23 581.44 1308.23 581.44 0.00 0.00 0.00 24.00 2831.00 per case 581.44 1308.23 581.44 0.00 581.44 581.44 581.44 0.00 581.44 371.00 0.00 1308.23 581.44 2300.00 per case 581.44 0.00 2300.00 per case 0.00 0.00 581.44 1308.23 581.44 1308.23 581.44 0.00 450000568 361 19020 MASTOTOMY W/EXPL/DRAINAGE ABSC 5257.60 5257.60 4057.85 314.00 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 901.25 1676.62 901.25 769.68 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 314.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 3680.32 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 "1,215.29" 352505005 361 19081 50 BX BREAST 1ST LESION STRTCT BL 6360.00 6360.00 6086.77 238.02 2515.00 case rate 2812.29 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2810.00 per visit 2812.29 "2,705.23" 2812.29 6086.77 2705.23 6086.77 2812.29 1635.00 2044.00 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 3772.40 238.02 1676.62 238.02 251.24 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2812.29 1582.00 2831.00 per case 2705.23 6086.77 2705.23 2812.29 2705.23 2705.23 2705.23 2812.29 2705.23 4452.00 2812.29 6086.77 2705.23 2300.00 per case 2705.23 2812.29 2300.00 per case 2812.29 2812.29 2705.23 6086.77 2705.23 6086.77 2705.23 "2,734.40" 352505003 361 19081 LT BX BREAST 1ST LESION STRTCT LT 5257.60 5257.60 4057.85 158.68 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 158.68 1676.62 158.68 167.49 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 791.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 3680.32 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 "1,215.29" 352505004 361 19081 RT BX BREAST 1ST LESION STRTCT RT 5257.60 5257.60 4057.85 158.68 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 158.68 1676.62 158.68 167.49 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 791.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 3680.32 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 "1,215.29" 352505006 361 19082 LT BX BREAST ADD LESION STRTCT LT 4134.00 4134.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 79.53 1676.62 79.53 83.95 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 639.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 2893.80 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505007 361 19082 RT BX BREAST ADD LESION STRTCT RT 4134.00 4134.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 79.53 1676.62 79.53 83.95 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 639.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 2893.80 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352705004 361 19083 50 BX BREAST 1ST LESION US IMG BL 6890.00 6890.00 6086.77 225.37 2515.00 case rate 2812.29 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2810.00 per visit 2812.29 "2,705.23" 2812.29 6086.77 2705.23 6086.77 2812.29 1635.00 2044.00 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 3772.40 225.37 1676.62 225.37 237.89 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2812.29 1572.00 2831.00 per case 2705.23 6086.77 2705.23 2812.29 2705.23 2705.23 2705.23 2812.29 2705.23 4823.00 2812.29 6086.77 2705.23 2300.00 per case 2705.23 2812.29 2300.00 per case 2812.29 2812.29 2705.23 6086.77 2705.23 6086.77 2705.23 "2,734.40" 352705001 361 19083 LT BX BREAST 1ST LESION US IMG LT 5618.00 5618.00 4057.85 150.25 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 150.25 1676.62 150.25 158.59 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 786.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 3932.60 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 "1,215.29" 352705003 361 19083 RT BX BREAST 1ST LESION US IMG RT 5618.00 5618.00 4057.85 150.25 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 150.25 1676.62 150.25 158.59 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 786.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 3932.60 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 "1,215.29" 352705002 361 19084 LT BX BREAST ADD LESION US IMG LT 4558.00 4558.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 74.91 1676.62 74.91 79.07 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 630.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 3190.60 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352705005 361 19084 RT BX BREAST ADD LESION US IMG RT 4558.00 4558.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 74.91 1676.62 74.91 79.07 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 630.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 3190.60 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352905004 361 19085 50 BX BREAST 1ST LESION MR IMG BL 7314.00 7314.00 6086.77 260.83 2515.00 case rate 2812.29 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2810.00 per visit 2812.29 "2,705.23" 2812.29 6086.77 2705.23 6086.77 2812.29 1635.00 2044.00 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 3772.40 260.83 1676.62 260.83 275.32 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2812.29 380.00 2831.00 per case 2705.23 6086.77 2705.23 2812.29 2705.23 2705.23 2705.23 2812.29 2705.23 5119.80 2812.29 6086.77 2705.23 2300.00 per case 2705.23 2812.29 2300.00 per case 2812.29 2812.29 2705.23 6086.77 2705.23 6086.77 2705.23 "2,734.40" 352905001 361 19085 LT BX BREAST 1ST LESION MR IMG LT 6042.00 6042.00 4229.40 173.89 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 173.89 1676.62 173.89 183.55 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 1190.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 4229.40 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 "1,215.29" 352905003 361 19085 RT BX BREAST 1ST LESION MR IMG RT 6042.00 6042.00 4229.40 173.89 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 173.89 1676.62 173.89 183.55 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 1190.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 4229.40 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 "1,215.29" 352905002 361 19086 LT BX BREAST ADD LESION MR IMG LT 4982.00 4982.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 86.55 1676.62 86.55 91.36 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 946.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 3487.40 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352905005 361 19086 RT BX BREAST ADD LESION MR IMG RT 4982.00 4982.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 86.55 1676.62 86.55 91.36 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 946.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 3487.40 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505011 361 19281 50 PERQ DEVICE BREAST 1ST IMG BL 2745.40 2745.40 6086.77 0.00 2515.00 case rate 2812.29 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2810.00 per visit 2812.29 "2,705.23" 2812.29 6086.77 2705.23 6086.77 2812.29 1635.00 2044.00 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 3772.40 143.29 1676.62 143.29 151.25 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2812.29 562.00 2831.00 per case 2705.23 6086.77 2705.23 2812.29 2705.23 2705.23 2705.23 2812.29 2705.23 1921.78 2812.29 6086.77 2705.23 2300.00 per case 2705.23 2812.29 2300.00 per case 2812.29 2812.29 2705.23 6086.77 2705.23 6086.77 2705.23 0.00 352505063 361 19281 50 SVSCT PRQ DEV BRST 1ST IMG BL 2745.40 2745.40 6086.77 0.00 2515.00 case rate 2812.29 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2810.00 per visit 2812.29 "2,705.23" 2812.29 6086.77 2705.23 6086.77 2812.29 1635.00 2044.00 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 3772.40 143.29 1676.62 143.29 151.25 6086.77 2705.23 6086.77 2705.23 2812.29 2812.29 2812.29 562.00 2831.00 per case 2705.23 6086.77 2705.23 2812.29 2705.23 2705.23 2705.23 2812.29 2705.23 1921.78 2812.29 6086.77 2705.23 2300.00 per case 2705.23 2812.29 2300.00 per case 2812.29 2812.29 2705.23 6086.77 2705.23 6086.77 2705.23 0.00 352505009 361 19281 LT PERQ DEVICE BREAST 1ST IMG LT 2215.40 2215.40 4057.85 0.00 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 95.53 1676.62 95.53 100.83 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 281.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 1550.78 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505064 361 19281 LT SVSCT PRQ DEV BRST 1ST IMG LT 2215.40 2215.40 4057.85 0.00 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 95.53 1676.62 95.53 100.83 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 281.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 1550.78 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505010 361 19281 RT PERQ DEVICE BREAST 1ST IMG RT 2215.40 2215.40 4057.85 0.00 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 95.53 1676.62 95.53 100.83 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 281.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 1550.78 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505065 361 19281 RT SVSCT PRQ DEV BRST 1ST IMG RT 2215.40 2215.40 4057.85 0.00 2515.00 case rate 1874.86 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 2810.00 per visit 1874.86 "1,803.49" 1874.86 4057.85 1803.49 4057.85 1874.86 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 3772.40 95.53 1676.62 95.53 100.83 4057.85 1803.49 4057.85 1803.49 1874.86 1874.86 1874.86 281.00 2831.00 per case 1803.49 4057.85 1803.49 1874.86 1803.49 1803.49 1803.49 1874.86 1803.49 1550.78 1874.86 4057.85 1803.49 2300.00 per case 1803.49 1874.86 2300.00 per case 1874.86 1874.86 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505001 361 19282 LT PERQ DEVICE BREAST EA IMG LT 1897.40 1897.40 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 47.94 1676.62 47.94 50.61 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 195.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1328.18 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505066 361 19282 LT SVSCT PRQ DEV BRST EA IMG LT 1897.40 1897.40 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 47.94 1676.62 47.94 50.61 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 195.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1328.18 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505012 361 19282 RT PERQ DEVICE BREAST EA IMG RT 1897.40 1897.40 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 47.94 1676.62 47.94 50.61 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 195.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1328.18 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505067 361 19282 RT SVSCT PRQ DEV BRST EA IMG RT 1897.40 1897.40 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 47.94 1676.62 47.94 50.61 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 195.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1328.18 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505016 361 19283 50 PERQ DEV BREAST 1ST STRTCT BL 3074.00 3074.00 6086.77 0.00 2515.00 case rate 1220.42 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 2810.00 per visit 1220.42 "2,705.23" 1220.42 6086.77 2705.23 6086.77 1220.42 1635.00 2044.00 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 3772.40 145.23 1676.62 145.23 153.30 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 1220.42 640.00 2831.00 per case 2705.23 6086.77 2705.23 1220.42 2705.23 2705.23 2705.23 1220.42 2705.23 2151.80 1220.42 6086.77 2705.23 2300.00 per case 2705.23 1220.42 2300.00 per case 1220.42 1220.42 2705.23 6086.77 2705.23 6086.77 2705.23 0.00 352505068 361 19283 50 SVSCT PRQ DEV BRST 1ST STRT BL 3074.00 3074.00 6086.77 0.00 2515.00 case rate 1220.42 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 2810.00 per visit 1220.42 "2,705.23" 1220.42 6086.77 2705.23 6086.77 1220.42 1635.00 2044.00 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 3772.40 145.23 1676.62 145.23 153.30 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 1220.42 640.00 2831.00 per case 2705.23 6086.77 2705.23 1220.42 2705.23 2705.23 2705.23 1220.42 2705.23 2151.80 1220.42 6086.77 2705.23 2300.00 per case 2705.23 1220.42 2300.00 per case 1220.42 1220.42 2705.23 6086.77 2705.23 6086.77 2705.23 0.00 352505014 361 19283 LT PERQ DEV BREAST 1ST STRTCT LT 2650.00 2650.00 4057.85 0.00 2515.00 case rate 813.62 4057.85 1803.49 4057.85 1803.49 813.62 813.62 2810.00 per visit 813.62 "1,803.49" 813.62 4057.85 1803.49 4057.85 813.62 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 813.62 813.62 3772.40 96.82 1676.62 96.82 102.20 4057.85 1803.49 4057.85 1803.49 813.62 813.62 813.62 320.00 2831.00 per case 1803.49 4057.85 1803.49 813.62 1803.49 1803.49 1803.49 813.62 1803.49 1855.00 813.62 4057.85 1803.49 2300.00 per case 1803.49 813.62 2300.00 per case 813.62 813.62 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505069 361 19283 LT SVSCT PRQ DEV BRST 1ST STRT LT 2650.00 2650.00 4057.85 0.00 2515.00 case rate 813.62 4057.85 1803.49 4057.85 1803.49 813.62 813.62 2810.00 per visit 813.62 "1,803.49" 813.62 4057.85 1803.49 4057.85 813.62 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 813.62 813.62 3772.40 96.82 1676.62 96.82 102.20 4057.85 1803.49 4057.85 1803.49 813.62 813.62 813.62 320.00 2831.00 per case 1803.49 4057.85 1803.49 813.62 1803.49 1803.49 1803.49 813.62 1803.49 1855.00 813.62 4057.85 1803.49 2300.00 per case 1803.49 813.62 2300.00 per case 813.62 813.62 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505015 361 19283 RT PERQ DEV BREAST 1ST STRTCT RT 2650.00 2650.00 4057.85 0.00 2515.00 case rate 813.62 4057.85 1803.49 4057.85 1803.49 813.62 813.62 2810.00 per visit 813.62 "1,803.49" 813.62 4057.85 1803.49 4057.85 813.62 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 813.62 813.62 3772.40 96.82 1676.62 96.82 102.20 4057.85 1803.49 4057.85 1803.49 813.62 813.62 813.62 320.00 2831.00 per case 1803.49 4057.85 1803.49 813.62 1803.49 1803.49 1803.49 813.62 1803.49 1855.00 813.62 4057.85 1803.49 2300.00 per case 1803.49 813.62 2300.00 per case 813.62 813.62 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505070 361 19283 RT SVSCT PRQ DEV BRST 1ST STRT RT 2650.00 2650.00 4057.85 0.00 2515.00 case rate 813.62 4057.85 1803.49 4057.85 1803.49 813.62 813.62 2810.00 per visit 813.62 "1,803.49" 813.62 4057.85 1803.49 4057.85 813.62 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 813.62 813.62 3772.40 96.82 1676.62 96.82 102.20 4057.85 1803.49 4057.85 1803.49 813.62 813.62 813.62 320.00 2831.00 per case 1803.49 4057.85 1803.49 813.62 1803.49 1803.49 1803.49 813.62 1803.49 1855.00 813.62 4057.85 1803.49 2300.00 per case 1803.49 813.62 2300.00 per case 813.62 813.62 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505002 361 19284 LT PERQ DEVICE BREAST ADD STRT LT 2332.00 2332.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 48.45 1676.62 48.45 51.14 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 235.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1632.40 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505071 361 19284 LT SVSCT PRQ DEV BRST EA STRT LT 2332.00 2332.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 48.45 1676.62 48.45 51.14 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 235.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1632.40 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505017 361 19284 RT PERQ DEVICE BREAST ADD STRT RT 2332.00 2332.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 48.45 1676.62 48.45 51.14 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 235.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1632.40 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505072 361 19284 RT SVSCT PRQ DEV BRST EA STRT RT 2332.00 2332.00 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 48.45 1676.62 48.45 51.14 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 235.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1632.40 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505073 361 19285 50 SVSCT PRQ DEV BRST 1ST US BL 3402.60 3402.60 6086.77 0.00 2515.00 case rate 1220.42 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 2810.00 per visit 1220.42 "2,705.23" 1220.42 6086.77 2705.23 6086.77 1220.42 1635.00 2044.00 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 3772.40 122.72 1676.62 122.72 129.53 6086.77 2705.23 6086.77 2705.23 1220.42 1220.42 1220.42 1090.00 2831.00 per case 2705.23 6086.77 2705.23 1220.42 2705.23 2705.23 2705.23 1220.42 2705.23 2381.82 1220.42 6086.77 2705.23 2300.00 per case 2705.23 1220.42 2300.00 per case 1220.42 1220.42 2705.23 6086.77 2705.23 6086.77 2705.23 0.00 352505074 361 19285 LT SVSCT PRQ DEV BRST 1ST US LT 3084.60 3084.60 4057.85 0.00 2515.00 case rate 813.62 4057.85 1803.49 4057.85 1803.49 813.62 813.62 2810.00 per visit 813.62 "1,803.49" 813.62 4057.85 1803.49 4057.85 813.62 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 813.62 813.62 3772.40 81.81 1676.62 81.81 86.36 4057.85 1803.49 4057.85 1803.49 813.62 813.62 813.62 545.00 2831.00 per case 1803.49 4057.85 1803.49 813.62 1803.49 1803.49 1803.49 813.62 1803.49 2159.22 813.62 4057.85 1803.49 2300.00 per case 1803.49 813.62 2300.00 per case 813.62 813.62 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505075 361 19285 RT SVSCT PRQ DEV BRST 1ST US RT 3084.60 3084.60 4057.85 0.00 2515.00 case rate 813.62 4057.85 1803.49 4057.85 1803.49 813.62 813.62 2810.00 per visit 813.62 "1,803.49" 813.62 4057.85 1803.49 4057.85 813.62 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 813.62 813.62 3772.40 81.81 1676.62 81.81 86.36 4057.85 1803.49 4057.85 1803.49 813.62 813.62 813.62 545.00 2831.00 per case 1803.49 4057.85 1803.49 813.62 1803.49 1803.49 1803.49 813.62 1803.49 2159.22 813.62 4057.85 1803.49 2300.00 per case 1803.49 813.62 2300.00 per case 813.62 813.62 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505076 361 19286 LT SVSCT PRQ DEV BRST EA US LT 2766.60 2766.60 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 41.12 1676.62 41.12 43.41 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 458.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1936.62 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 352505077 361 19286 LT SVSCT PRQ DEV BRST EA US RT 2766.60 2766.60 4057.85 0.00 2515.00 case rate 0.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 2810.00 per visit 0.00 "1,803.49" 0.00 4057.85 1803.49 4057.85 0.00 1635.00 2044.00 4057.85 1803.49 4057.85 1803.49 0.00 0.00 3772.40 41.12 1676.62 41.12 43.41 4057.85 1803.49 4057.85 1803.49 0.00 0.00 0.00 458.00 2831.00 per case 1803.49 4057.85 1803.49 0.00 1803.49 1803.49 1803.49 0.00 1803.49 1936.62 0.00 4057.85 1803.49 2300.00 per case 1803.49 0.00 2300.00 per case 0.00 0.00 1803.49 4057.85 1803.49 4057.85 1803.49 0.00 450000315 450 20103 EXPLORE PENETRATING WND EXTREM 2215.40 2215.40 1874.86 375.00 625.00 case rate 1874.86 1817.93 807.97 1817.93 807.97 1874.86 1874.86 1550.78 1874.86 807.97 1874.86 1817.93 807.97 1817.93 1874.86 1153.00 case rate 1441.00 case rate 1817.93 807.97 1817.93 807.97 1874.86 1874.86 1690.09 165.00 per visit 751.15 165.00 per visit 225.00 per visit 1817.93 807.97 1817.93 807.97 1874.86 1874.86 1874.86 375.00 1085.00 per visit 807.97 1817.93 807.97 1874.86 807.97 807.97 807.97 1874.86 807.97 1550.78 1874.86 1817.93 807.97 775.00 per case 807.97 1874.86 775.00 per case 1874.86 1874.86 807.97 1817.93 807.97 1817.93 807.97 "1,215.29" 761000030 361 20220 "BONE BIOPSY, SIMPLE" 5257.60 5257.60 3680.32 188.00 2515.00 case rate 1874.86 1308.23 581.44 1308.23 581.44 1874.86 1874.86 2810.00 per visit 1874.86 581.44 1874.86 1308.23 581.44 1308.23 1874.86 1635.00 2044.00 1308.23 581.44 1308.23 581.44 1874.86 1874.86 1216.20 984.17 540.54 984.17 769.68 1308.23 581.44 1308.23 581.44 1874.86 1874.86 1874.86 188.00 2831.00 per case 581.44 1308.23 581.44 1874.86 581.44 581.44 581.44 1874.86 581.44 3680.32 1874.86 1308.23 581.44 2300.00 per case 581.44 1874.86 2300.00 per case 1874.86 1874.86 581.44 1308.23 581.44 1308.23 581.44 "1,215.29" 761000031 361 20225 "BONE BIOPSY, DEEP" 6360.00 6360.00 4452.00 218.00 2515.00 case rate 1874.86 2773.23 1232.55 2773.23 1232.55 1874.86 1874.86 2810.00 per visit 1874.86 "1,232.55" 1874.86 2773.23 1232.55 2773.23 1874.86 1635.00 2044.00 2773.23 1232.55 2773.23 1232.55 1874.86 1874.86 2578.15 984.17 1145.84 984.17 769.68 2773.23 1232.55 2773.23 1232.55 1874.86 1874.86 1874.86 218.00 2831.00 per case 1232.55 2773.23 1232.55 1874.86 1232.55 1232.55 1232.55 1874.86 1232.55 4452.00 1874.86 2773.23 1232.55 2300.00 per case 1232.55 1874.86 2300.00 per case 1874.86 1874.86 1232.55 2773.23 1232.55 2773.23 1232.55 "1,215.29" 450000316 450 20520 REM FB MUSCLE/TENDON SH SIMPLE 5257.60 5257.60 3680.32 248.00 625.00 case rate 1874.86 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 3680.32 1874.86 "1,243.80" 1874.86 2798.54 1243.80 2798.54 1874.86 1153.00 case rate 1441.00 case rate 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 2601.74 165.00 per visit 1156.33 165.00 per visit 225.00 per visit 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 1874.86 248.00 1085.00 per visit 1243.80 2798.54 1243.80 1874.86 1243.80 1243.80 1243.80 1874.86 1243.80 3680.32 1874.86 2798.54 1243.80 775.00 per case 1243.80 1874.86 775.00 per case 1874.86 1874.86 1243.80 2798.54 1243.80 2798.54 1243.80 255.82 450000252 450 20550 50 ER INJ TENDON SHEATH/LIG BILAT 1590.00 1590.00 1669.50 86.00 625.00 case rate 513.76 1146.16 509.40 1146.16 509.40 513.76 513.76 1669.50 513.76 509.40 513.76 1146.16 509.40 1146.16 513.76 1153.00 case rate 1441.00 case rate 1146.16 509.40 1146.16 509.40 513.76 513.76 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 1146.16 509.40 1146.16 509.40 513.76 513.76 513.76 86.00 1085.00 per visit 509.40 1146.16 509.40 513.76 509.40 509.40 509.40 513.76 509.40 1113.00 513.76 1146.16 509.40 775.00 per case 509.40 513.76 775.00 per case 513.76 513.76 509.40 1146.16 509.40 1146.16 509.40 116.68 450000251 450 20550 LT ER INJ TENDON SHEATH/LIG LT 948.70 948.70 1441.00 43.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 43.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 51.86 450000116 450 20550 RT ER INJ TENDON SHEATH/LIGAMENT 948.70 948.70 1441.00 43.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 43.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 51.86 450000254 450 20600 50 ER DRAIN/ASP/INJ SM JNT BILAT 1590.00 1590.00 1669.50 90.00 625.00 case rate 513.76 1146.16 509.40 1146.16 509.40 513.76 513.76 1669.50 513.76 509.40 513.76 1146.16 509.40 1146.16 513.76 1153.00 case rate 1441.00 case rate 1146.16 509.40 1146.16 509.40 513.76 513.76 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 1146.16 509.40 1146.16 509.40 513.76 513.76 513.76 90.00 1085.00 per visit 509.40 1146.16 509.40 513.76 509.40 509.40 509.40 513.76 509.40 1113.00 513.76 1146.16 509.40 775.00 per case 509.40 513.76 775.00 per case 513.76 513.76 509.40 1146.16 509.40 1146.16 509.40 114.08 450000253 450 20600 LT ER DRAIN/ASP/INJ SM JNT LT 948.70 948.70 1441.00 45.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 45.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 50.70 450000117 450 20600 RT ER DRAIN/INJECT- JOINT/BURSA 948.70 948.70 1441.00 45.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 45.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 50.70 450000256 450 20605 50 ER DRAIN/ASP/INJ INTMED JNT BI 1590.00 1590.00 1669.50 92.00 625.00 case rate 513.76 1146.16 509.40 1146.16 509.40 513.76 513.76 1669.50 513.76 509.40 513.76 1146.16 509.40 1146.16 513.76 1153.00 case rate 1441.00 case rate 1146.16 509.40 1146.16 509.40 513.76 513.76 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 1146.16 509.40 1146.16 509.40 513.76 513.76 513.76 92.00 1085.00 per visit 509.40 1146.16 509.40 513.76 509.40 509.40 509.40 513.76 509.40 1113.00 513.76 1146.16 509.40 775.00 per case 509.40 513.76 775.00 per case 513.76 513.76 509.40 1146.16 509.40 1146.16 509.40 116.68 450000255 450 20605 LT ER DRAIN/ASP/INJ INTMED JNT LT 948.70 948.70 1441.00 46.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 46.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 51.86 450000118 450 20605 RT ER DRAIN/INJECT- JOINT/BURSA 2 948.70 948.70 1441.00 46.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 46.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 51.86 360000121 450 20610 DRAIN INJ MAJOR JOINT/BRUSA 948.70 948.70 1441.00 54.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 54.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 60.60 450000258 450 20610 50 ER DRAIN/ASP/INJ MAJ JNT BILAT 1590.00 1590.00 1669.50 108.00 625.00 case rate 513.76 1146.16 509.40 1146.16 509.40 513.76 513.76 1669.50 513.76 509.40 513.76 1146.16 509.40 1146.16 513.76 1153.00 case rate 1441.00 case rate 1146.16 509.40 1146.16 509.40 513.76 513.76 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 1146.16 509.40 1146.16 509.40 513.76 513.76 513.76 108.00 1085.00 per visit 509.40 1146.16 509.40 513.76 509.40 509.40 509.40 513.76 509.40 1113.00 513.76 1146.16 509.40 775.00 per case 509.40 513.76 775.00 per case 513.76 513.76 509.40 1146.16 509.40 1146.16 509.40 136.34 510000276 761 20610 50 DRAIN/INJ-MAJOR JNT/BURSA RT 1590.00 1590.00 2810.00 0.00 45.81 513.76 1065.77 473.68 1065.77 473.68 513.76 513.76 2810.00 per visit 513.76 473.68 513.76 1065.77 473.68 1065.77 513.76 183.69 229.61 1065.77 473.68 1065.77 473.68 513.76 513.76 660.53 293.57 293.57 293.57 72.66 1065.77 473.68 1065.77 473.68 513.76 513.76 513.76 108.00 1351.50 473.68 1065.77 473.68 513.76 473.68 473.68 473.68 513.76 473.68 1113.00 513.76 1065.77 473.68 0.00 473.68 513.76 0.00 513.76 513.76 473.68 1065.77 473.68 1065.77 473.68 136.34 450000257 450 20610 LT ER DRAIN/ASP/INJ MAJ JNT LT 948.70 948.70 1441.00 54.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 54.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 60.60 450000119 450 20610 RT ER DRAIN/INJECT- JOINT/BURSA 2 948.70 948.70 1441.00 54.00 625.00 case rate 342.51 764.10 339.60 764.10 339.60 342.51 342.51 664.09 342.51 339.60 342.51 764.10 339.60 764.10 342.51 1153.00 case rate 1441.00 case rate 764.10 339.60 764.10 339.60 342.51 342.51 710.37 165.00 per visit 315.72 165.00 per visit 225.00 per visit 764.10 339.60 764.10 339.60 342.51 342.51 342.51 54.00 1085.00 per visit 339.60 764.10 339.60 342.51 339.60 339.60 339.60 342.51 339.60 664.09 342.51 764.10 339.60 775.00 per case 339.60 342.51 775.00 per case 342.51 342.51 339.60 764.10 339.60 764.10 339.60 60.60 360000106 450 20615 ASPIRATION/INJ BONE CYST 2215.40 2215.40 1550.78 223.00 625.00 case rate 813.62 1386.66 616.29 1386.66 616.29 813.62 813.62 1550.78 813.62 616.29 813.62 1386.66 616.29 1386.66 813.62 1153.00 case rate 1441.00 case rate 1386.66 616.29 1386.66 616.29 813.62 813.62 1289.15 165.00 per visit 572.95 165.00 per visit 225.00 per visit 1386.66 616.29 1386.66 616.29 813.62 813.62 813.62 223.00 1085.00 per visit 616.29 1386.66 616.29 813.62 616.29 616.29 616.29 813.62 616.29 1550.78 813.62 1386.66 616.29 775.00 per case 616.29 813.62 775.00 per case 813.62 813.62 616.29 1386.66 616.29 1386.66 616.29 292.53 450000317 450 21315 CLSD TXT NASAL BONE FX W/O STA 4886.60 4886.60 3420.62 123.00 625.00 case rate 1763.57 1310.50 582.44 1310.50 582.44 1763.57 1763.57 3420.62 1763.57 582.44 1763.57 1310.50 582.44 1310.50 1763.57 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1763.57 1763.57 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1763.57 1763.57 1763.57 123.00 1085.00 per visit 582.44 1310.50 582.44 1763.57 582.44 582.44 582.44 1763.57 582.44 3420.62 1763.57 1310.50 582.44 775.00 per case 582.44 1763.57 775.00 per case 1763.57 1763.57 582.44 1310.50 582.44 1310.50 582.44 "1,186.69" 450000320 450 21480 50 CLSD TXT TMJ DISLOCATION BILAT 1378.00 1378.00 1446.90 68.00 625.00 case rate 409.06 523.65 232.73 523.65 232.73 409.06 409.06 1446.90 409.06 232.73 409.06 523.65 232.73 523.65 409.06 1153.00 case rate 1441.00 case rate 523.65 232.73 523.65 232.73 409.06 409.06 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 523.65 232.73 523.65 232.73 409.06 409.06 409.06 68.00 1085.00 per visit 232.73 523.65 232.73 409.06 232.73 232.73 232.73 409.06 232.73 964.60 409.06 523.65 232.73 775.00 per case 232.73 409.06 775.00 per case 409.06 409.06 232.73 523.65 232.73 523.65 232.73 489.82 450000319 450 21480 LT CLSD TXT TMJ DISLOCATION LT 863.90 863.90 1441.00 34.00 625.00 case rate 272.71 349.10 155.16 349.10 155.16 272.71 272.71 604.73 272.71 155.16 272.71 349.10 155.16 349.10 272.71 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 272.71 272.71 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 272.71 272.71 272.71 34.00 1085.00 per visit 155.16 349.10 155.16 272.71 155.16 155.16 155.16 272.71 155.16 604.73 272.71 349.10 155.16 775.00 per case 155.16 272.71 775.00 per case 272.71 272.71 155.16 349.10 155.16 349.10 155.16 217.70 450000318 450 21480 RT CLSD TXT TMJ DISLOCATION RT 863.90 863.90 1441.00 34.00 625.00 case rate 272.71 349.10 155.16 349.10 155.16 272.71 272.71 604.73 272.71 155.16 272.71 349.10 155.16 349.10 272.71 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 272.71 272.71 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 272.71 272.71 272.71 34.00 1085.00 per visit 155.16 349.10 155.16 272.71 155.16 155.16 155.16 272.71 155.16 604.73 272.71 349.10 155.16 775.00 per case 155.16 272.71 775.00 per case 272.71 272.71 155.16 349.10 155.16 349.10 155.16 217.70 450000324 450 23500 50 CLS TX CLAV FX WO MANIP BILAT 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 430.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000323 450 23500 LT CLS TX CLAV FX WO MANIP LT 969.90 969.90 1441.00 215.00 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 215.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000322 450 23500 RT CLS TX CLAV FX WO MANIP RT 969.90 969.90 1441.00 215.00 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 215.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000327 450 23505 50 CLS TX CLAV FX W MANIP BILAT 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 722.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000326 450 23505 LT CLS TX CLAV FX W MANIP LT 5088.00 5088.00 3561.60 361.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 361.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000325 450 23505 RT CLS TX CLAV FX W MANIP RT 5088.00 5088.00 3561.60 361.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 361.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000330 450 23540 50 CLS TX CLAV DISLOC WO MANI RT 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 436.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000329 450 23540 LT CLS TX CLAV DISLOC WO MANI BIL 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 218.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000328 450 23540 RT CLS TX CLAV DISLOC WO MANI LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 218.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000333 450 23545 50 CLS TX CLAV DISLOC W MAN BILAT 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 636.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000332 450 23545 LT CLS TX CLAV DISLOC W MAN LT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 318.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000331 450 23545 RT CLS TX CLAV DISLOC W MAN RT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 318.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000336 450 23570 50 CLS TX SCAP FX WO MAN BILAT 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 462.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000335 450 23570 LT CLS TX SCAP FX WO MAN LT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 231.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000334 450 23570 RT CLS TX SCAP FX WO MAN RT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 231.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000339 450 23575 50 CLS TX SCAP FX W MAN BILAT 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 776.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000338 450 23575 LT CLS TX SCAP FX W MAN LT 5088.00 5088.00 3561.60 388.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 388.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000337 450 23575 RT CLS TX SCAP FX W MAN RT 5088.00 5088.00 3561.60 388.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 388.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000342 450 23650 50 CLS TX SHOULD DISLOC W MAN BIL 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 626.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000341 450 23650 LT CLS TX SHOULD DISLOC W MAN LT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 313.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000340 450 23650 RT CLS TX SHOULD DISLOC W MAN RT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 313.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000345 450 23655 50 CLSD TXT SHOULDISLOC W/ANE BIL 1590.00 1590.00 3622.56 816.00 625.00 case rate 2787.86 3622.56 1610.03 3622.56 1610.03 2787.86 2787.86 1669.50 2787.86 "1,610.03" 2787.86 3622.56 1610.03 3622.56 2787.86 1153.00 case rate 1441.00 case rate 3622.56 1610.03 3622.56 1610.03 2787.86 2787.86 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 3622.56 1610.03 3622.56 1610.03 2787.86 2787.86 2787.86 816.00 1085.00 per visit 1610.03 3622.56 1610.03 2787.86 1610.03 1610.03 1610.03 2787.86 1610.03 1113.00 2787.86 3622.56 1610.03 775.00 per case 1610.03 2787.86 775.00 per case 2787.86 2787.86 1610.03 3622.56 1610.03 3622.56 1610.03 "3,279.48" 450000344 450 23655 LT CLSD TXT SHOULDISLOC W/ANE LT 1075.90 1075.90 2415.04 408.00 625.00 case rate 1858.58 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 753.13 1858.58 "1,073.35" 1858.58 2415.04 1073.35 2415.04 1858.58 1153.00 case rate 1441.00 case rate 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 1858.58 408.00 1085.00 per visit 1073.35 2415.04 1073.35 1858.58 1073.35 1073.35 1073.35 1858.58 1073.35 753.13 1858.58 2415.04 1073.35 775.00 per case 1073.35 1858.58 775.00 per case 1858.58 1858.58 1073.35 2415.04 1073.35 2415.04 1073.35 "1,457.55" 450000343 450 23655 RT CLSD TXT SHOULDISLOC W/ANE RT 1075.90 1075.90 2415.04 408.00 625.00 case rate 1858.58 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 753.13 1858.58 "1,073.35" 1858.58 2415.04 1073.35 2415.04 1858.58 1153.00 case rate 1441.00 case rate 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 1858.58 408.00 1085.00 per visit 1073.35 2415.04 1073.35 1858.58 1073.35 1073.35 1073.35 1858.58 1073.35 753.13 1858.58 2415.04 1073.35 775.00 per case 1073.35 1858.58 775.00 per case 1858.58 1858.58 1073.35 2415.04 1073.35 2415.04 1073.35 "1,457.55" 450000348 450 23931 50 I&D UP ARM/ELBOW BURSA BILAT 6360.00 6360.00 6678.00 522.00 625.00 case rate 2812.29 4197.81 1865.70 4197.81 1865.70 2812.29 2812.29 6678.00 2812.29 "1,865.70" 2812.29 4197.81 1865.70 4197.81 2812.29 1153.00 case rate 1441.00 case rate 4197.81 1865.70 4197.81 1865.70 2812.29 2812.29 2601.74 165.00 per visit 1156.33 165.00 per visit 225.00 per visit 4197.81 1865.70 4197.81 1865.70 2812.29 2812.29 2812.29 522.00 1085.00 per visit 1865.70 4197.81 1865.70 2812.29 1865.70 1865.70 1865.70 2812.29 1865.70 4452.00 2812.29 4197.81 1865.70 775.00 per case 1865.70 2812.29 775.00 per case 2812.29 2812.29 1865.70 4197.81 1865.70 4197.81 1865.70 "2,734.40" 450000347 450 23931 LT I&D UP ARM/ELBOW BURSA LT 5257.60 5257.60 3680.32 261.00 625.00 case rate 1874.86 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 3680.32 1874.86 "1,243.80" 1874.86 2798.54 1243.80 2798.54 1874.86 1153.00 case rate 1441.00 case rate 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 2601.74 165.00 per visit 1156.33 165.00 per visit 225.00 per visit 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 1874.86 261.00 1085.00 per visit 1243.80 2798.54 1243.80 1874.86 1243.80 1243.80 1243.80 1874.86 1243.80 3680.32 1874.86 2798.54 1243.80 775.00 per case 1243.80 1874.86 775.00 per case 1874.86 1874.86 1243.80 2798.54 1243.80 2798.54 1243.80 "1,215.29" 450000346 450 23931 RT I&D UP ARM/ELBOW BURSA RT 5257.60 5257.60 3680.32 261.00 625.00 case rate 1874.86 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 3680.32 1874.86 "1,243.80" 1874.86 2798.54 1243.80 2798.54 1874.86 1153.00 case rate 1441.00 case rate 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 2601.74 165.00 per visit 1156.33 165.00 per visit 225.00 per visit 2798.54 1243.80 2798.54 1243.80 1874.86 1874.86 1874.86 261.00 1085.00 per visit 1243.80 2798.54 1243.80 1874.86 1243.80 1243.80 1243.80 1874.86 1243.80 3680.32 1874.86 2798.54 1243.80 775.00 per case 1243.80 1874.86 775.00 per case 1874.86 1874.86 1243.80 2798.54 1243.80 2798.54 1243.80 "1,215.29" 450000351 450 24500 50 CLS TX HUM SHAFT FX WO MAN BIL 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 606.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000350 450 24500 LT CLS TX HUM SHAFT FX WO MAN LT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 303.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000349 450 24500 RT CLS TX HUM SHAFT FX WO MAN RT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 303.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000354 450 24505 50 CLS TX HUM SHAFT FX W MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1138.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000353 450 24505 LT CLS TX HUM SHAFT FX W MAN LT 5088.00 5088.00 3561.60 541.48 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 569.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000352 450 24505 RT CLS TX HUM SHAFT FX W MAN RT 5088.00 5088.00 3561.60 541.48 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 569.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000357 450 24600 50 CLS TX ELBOW DISLOC BILAT 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 854.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000356 450 24600 LT CLS TX ELBOW DISLOC LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 427.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000355 450 24600 RT CLS TX ELBOW DISLOC RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 427.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000360 450 24605 50 TXT CL ELBOW DISLOC W ANES BIL 1590.00 1590.00 3622.56 970.00 625.00 case rate 2787.86 3622.56 1610.03 3622.56 1610.03 2787.86 2787.86 1669.50 2787.86 "1,610.03" 2787.86 3622.56 1610.03 3622.56 2787.86 1153.00 case rate 1441.00 case rate 3622.56 1610.03 3622.56 1610.03 2787.86 2787.86 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 3622.56 1610.03 3622.56 1610.03 2787.86 2787.86 2787.86 970.00 1085.00 per visit 1610.03 3622.56 1610.03 2787.86 1610.03 1610.03 1610.03 2787.86 1610.03 1113.00 2787.86 3622.56 1610.03 775.00 per case 1610.03 2787.86 775.00 per case 2787.86 2787.86 1610.03 3622.56 1610.03 3622.56 1610.03 "3,279.48" 450000359 450 24605 LT TXT CL ELBOW DISLOC W ANES LT 1075.90 1075.90 2415.04 485.00 625.00 case rate 1858.58 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 753.13 1858.58 "1,073.35" 1858.58 2415.04 1073.35 2415.04 1858.58 1153.00 case rate 1441.00 case rate 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 1858.58 485.00 1085.00 per visit 1073.35 2415.04 1073.35 1858.58 1073.35 1073.35 1073.35 1858.58 1073.35 753.13 1858.58 2415.04 1073.35 775.00 per case 1073.35 1858.58 775.00 per case 1858.58 1858.58 1073.35 2415.04 1073.35 2415.04 1073.35 "1,457.55" 450000358 450 24605 RT TXT CL ELBOW DISLOC W ANES RT 1075.90 1075.90 2415.04 485.00 625.00 case rate 1858.58 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 753.13 1858.58 "1,073.35" 1858.58 2415.04 1073.35 2415.04 1858.58 1153.00 case rate 1441.00 case rate 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 1858.58 485.00 1085.00 per visit 1073.35 2415.04 1073.35 1858.58 1073.35 1073.35 1073.35 1858.58 1073.35 753.13 1858.58 2415.04 1073.35 775.00 per case 1073.35 1858.58 775.00 per case 1858.58 1858.58 1073.35 2415.04 1073.35 2415.04 1073.35 "1,457.55" 450000363 450 24620 50 CLS TX ELBOW FX/DISLOC W MAN 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1260.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000362 450 24620 LT CLS TX ELBOW FX/DISLOC W MAN 5088.00 5088.00 3561.60 541.48 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 630.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000361 450 24620 RT CLS TX ELBOW FX/DISLOC W MAN 5088.00 5088.00 3561.60 541.48 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 630.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000366 450 24640 50 CLS TX RAD HEAD SUBLUX CHIL BI 1484.00 1484.00 1965.75 238.60 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 276.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 238.60 450000365 450 24640 LT CLS TX RAD HEAD SUBLUX CHIL LT 969.90 969.90 1441.00 106.05 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 138.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 106.05 450000364 450 24640 RT CLS TX RAD HEAD SUBLUX CHIL RT 969.90 969.90 1441.00 106.05 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 138.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 106.05 450000369 450 24650 50 CLS TX RAD HD/NCK FX WO MAN BI 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 468.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000368 450 24650 LT CLS TX RAD HD/NCK FX WO MAN LT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 234.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000367 450 24650 RT CLS TX RAD HD/NCK FX WO MAN RT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 234.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000372 450 24655 50 CLS TX RAD HD/NCK FX W MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 906.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000371 450 24655 LT CLS TX RAD HD/NCK FX W MAN LT 5088.00 5088.00 3561.60 453.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 453.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000370 450 24655 RT CLS TX RAD HD/NCK FX W MAN RT 5088.00 5088.00 3561.60 453.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 453.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000375 450 24670 50 CLS TX ULNAR FX PROXI WO MAN B 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 522.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000374 450 24670 LT CLS TX ULNAR FX PROXI WO MAN L 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 261.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000373 450 24670 RT CLS TX ULNAR FX PROXI WO MAN R 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 261.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000378 450 24675 50 CLS TX ULNAR FX PROX W MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 964.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000377 450 24675 LT CLS TX ULNAR FX PROX W MAN LT 5088.00 5088.00 3561.60 482.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 482.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000376 450 24675 RT CLS TX ULNAR FX PROX W MAN RT 5088.00 5088.00 3561.60 482.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 482.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 361000055 761 25075 LT EXC FOREARM LES < 3 CM LT 5257.60 5257.60 4816.05 0.00 220.22 1874.86 4816.05 2140.47 4816.05 2140.47 1874.86 1874.86 2810.00 per visit 1874.86 "2,140.47" 1874.86 4816.05 2140.47 4816.05 1874.86 441.47 551.84 4816.05 2140.47 4816.05 2140.47 1874.86 1874.86 4477.21 894.32 1989.87 894.32 769.68 4816.05 2140.47 4816.05 2140.47 1874.86 1874.86 1874.86 510.00 4468.96 2140.47 4816.05 2140.47 1874.86 2140.47 2140.47 2140.47 1874.86 2140.47 3680.32 1874.86 4816.05 2140.47 0.00 2140.47 1874.86 0.00 1874.86 1874.86 2140.47 4816.05 2140.47 4816.05 2140.47 "1,215.29" 361000056 761 25075 RT EXC FOREARM LES SC < 3 CM RT 5257.60 5257.60 4816.05 0.00 220.22 1874.86 4816.05 2140.47 4816.05 2140.47 1874.86 1874.86 2810.00 per visit 1874.86 "2,140.47" 1874.86 4816.05 2140.47 4816.05 1874.86 441.47 551.84 4816.05 2140.47 4816.05 2140.47 1874.86 1874.86 4477.21 894.32 1989.87 894.32 769.68 4816.05 2140.47 4816.05 2140.47 1874.86 1874.86 1874.86 510.00 4468.96 2140.47 4816.05 2140.47 1874.86 2140.47 2140.47 2140.47 1874.86 2140.47 3680.32 1874.86 4816.05 2140.47 0.00 2140.47 1874.86 0.00 1874.86 1874.86 2140.47 4816.05 2140.47 4816.05 2140.47 "1,215.29" 450000381 450 25248 50 EXP W/REM DEEP FB FORAR/WRIS B 7208.00 7208.00 7768.94 1408.00 625.00 case rate 2787.86 7768.94 3452.86 7768.94 3452.86 2787.86 2787.86 7568.40 2787.86 "3,452.86" 2787.86 7768.94 3452.86 7768.94 2787.86 1153.00 case rate 1441.00 case rate 7768.94 3452.86 7768.94 3452.86 2787.86 2787.86 4815.08 165.00 per visit 2140.03 165.00 per visit 225.00 per visit 7768.94 3452.86 7768.94 3452.86 2787.86 2787.86 2787.86 1408.00 1085.00 per visit 3452.86 7768.94 3452.86 2787.86 3452.86 3452.86 3452.86 2787.86 3452.86 5045.60 2787.86 7768.94 3452.86 775.00 per case 3452.86 2787.86 775.00 per case 2787.86 2787.86 3452.86 7768.94 3452.86 7768.94 3452.86 "3,279.48" 450000380 450 25248 LT EXP W/REM DEEP FB FORAR/WRIS L 5088.00 5088.00 5179.29 704.00 625.00 case rate 1858.58 5179.29 2301.91 5179.29 2301.91 1858.58 1858.58 3561.60 1858.58 "2,301.91" 1858.58 5179.29 2301.91 5179.29 1858.58 1153.00 case rate 1441.00 case rate 5179.29 2301.91 5179.29 2301.91 1858.58 1858.58 4815.08 165.00 per visit 2140.03 165.00 per visit 225.00 per visit 5179.29 2301.91 5179.29 2301.91 1858.58 1858.58 1858.58 704.00 1085.00 per visit 2301.91 5179.29 2301.91 1858.58 2301.91 2301.91 2301.91 1858.58 2301.91 3561.60 1858.58 5179.29 2301.91 775.00 per case 2301.91 1858.58 775.00 per case 1858.58 1858.58 2301.91 5179.29 2301.91 5179.29 2301.91 "1,457.55" 450000379 450 25248 RT EXP W/REM DEEP FB FORAR/WRIS R 5088.00 5088.00 5179.29 704.00 625.00 case rate 1858.58 5179.29 2301.91 5179.29 2301.91 1858.58 1858.58 3561.60 1858.58 "2,301.91" 1858.58 5179.29 2301.91 5179.29 1858.58 1153.00 case rate 1441.00 case rate 5179.29 2301.91 5179.29 2301.91 1858.58 1858.58 4815.08 165.00 per visit 2140.03 165.00 per visit 225.00 per visit 5179.29 2301.91 5179.29 2301.91 1858.58 1858.58 1858.58 704.00 1085.00 per visit 2301.91 5179.29 2301.91 1858.58 2301.91 2301.91 2301.91 1858.58 2301.91 3561.60 1858.58 5179.29 2301.91 775.00 per case 2301.91 1858.58 775.00 per case 1858.58 1858.58 2301.91 5179.29 2301.91 5179.29 2301.91 "1,457.55" 450000382 450 25260 REPAIR TENDON/MUSCLE FOREARM 10111.34 10111.34 7077.94 1151.00 625.00 case rate 3743.09 5179.29 2301.91 5179.29 2301.91 3743.09 3743.09 7077.94 3743.09 "2,301.91" 3743.09 5179.29 2301.91 5179.29 3743.09 1153.00 case rate 1441.00 case rate 5179.29 2301.91 5179.29 2301.91 3743.09 3743.09 4815.08 165.00 per visit 2140.03 165.00 per visit 225.00 per visit 5179.29 2301.91 5179.29 2301.91 3743.09 3743.09 3743.09 1151.00 1085.00 per visit 2301.91 5179.29 2301.91 3743.09 2301.91 2301.91 2301.91 3743.09 2301.91 7077.94 3743.09 5179.29 2301.91 775.00 per case 2301.91 3743.09 775.00 per case 3743.09 3743.09 2301.91 5179.29 2301.91 5179.29 2301.91 "2,703.07" 450000383 450 25270 REP TENDON/MUSCLE FOREARM-WRIS 10111.34 10111.34 7077.94 1027.00 625.00 case rate 3743.09 5179.29 2301.91 5179.29 2301.91 3743.09 3743.09 7077.94 3743.09 "2,301.91" 3743.09 5179.29 2301.91 5179.29 3743.09 1153.00 case rate 1441.00 case rate 5179.29 2301.91 5179.29 2301.91 3743.09 3743.09 4815.08 165.00 per visit 2140.03 165.00 per visit 225.00 per visit 5179.29 2301.91 5179.29 2301.91 3743.09 3743.09 3743.09 1027.00 1085.00 per visit 2301.91 5179.29 2301.91 3743.09 2301.91 2301.91 2301.91 3743.09 2301.91 7077.94 3743.09 5179.29 2301.91 775.00 per case 2301.91 3743.09 775.00 per case 3743.09 3743.09 2301.91 5179.29 2301.91 5179.29 2301.91 "2,703.07" 450000386 450 25500 50 CLS TX RAD SHAFT FX W/O MAN BI 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 492.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000385 450 25500 LT CLS TX RAD SHAFT FX W/O MAN LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 246.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000384 450 25500 RT CLS TX RAD SHAFT FX W/O MAN RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 246.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000389 450 25505 50 CLS TX RAD SHAFT FX W MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1018.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000388 450 25505 LT CLS TX RAD SHAFT FX W MAN LT 5088.00 5088.00 3561.60 509.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 509.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000387 450 25505 RT CLS TX RAD SHAFT FX W MAN RT 5088.00 5088.00 3561.60 509.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 509.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000393 450 25530 50 CLS TX ULN SHAFT FX WO MAN BIL 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 462.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000391 450 25530 LT CLS TX ULN SHAFT FX WO MAN LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 231.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000390 450 25530 RT CLS TX ULN SHAFT FX WO MAN RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 231.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000396 450 25535 50 CLS TX ULN SHAFT FX W MAN BIL 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 1016.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000395 450 25535 LT CLS TX ULN SHAFT FX W MAN LT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 508.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000394 450 25535 RT CLS TX ULN SHAFT FX W MAN RT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 508.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000399 450 25560 50 CLS TX RAD & ULN FX WO MAN BIL 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 486.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000398 450 25560 LT CLS TX RAD & ULN FX WO MAN LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 243.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000397 450 25560 RT CLS TX RAD & ULN FX WO MAN RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 243.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000402 450 25565 50 CLS TX RAD & ULN FX W MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1076.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000401 450 25565 LT CLS TX RAD & ULN FX W MAN LT 5088.00 5088.00 3561.60 538.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 538.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000400 450 25565 RT CLS TX RAD & ULN FX W MAN RT 5088.00 5088.00 3561.60 538.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 538.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000405 450 25600 50 CLS TX DIST RAD FX W/O MAN BIL 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 528.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000404 450 25600 LT CLS TX DIST RAD FX W/O MAN LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 264.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000403 450 25600 RT CLS TX DIST RAD FX W/O MAN RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 264.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000408 450 25605 50 CLS TX DIST RAD FX W MAN BILA 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1120.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000407 450 25605 LT CLS TX DIST RAD FX W MAN LT 5088.00 5088.00 3561.60 541.48 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 560.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000406 450 25605 RT CLS TX DIST RAD FX W MAN RT 5088.00 5088.00 3561.60 541.48 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 560.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000411 450 25622 50 CLS TX NAVIC FX WO MAN BIL 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 524.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000410 450 25622 LT CLS TX NAVIC FX WO MAN LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 262.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000409 450 25622 RT CLS TX NAVIC FX WO MAN RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 262.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000414 450 25624 50 CLS TX NAVIC FX W MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 926.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000413 450 25624 LT CLS TX NAVIC FX W MAN LT 5088.00 5088.00 3561.60 463.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 463.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000412 450 25624 RT CLS TX NAVIC FX W MAN RT 5088.00 5088.00 3561.60 463.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 463.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000417 450 25630 50 CLS TX CARPL BONE FX WO MAN BI 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 554.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000416 450 25630 LT CLS TX CARPL BONE FX WO MAN LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 277.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000415 450 25630 RT CLS TX CARPL BONE FX WO MAN RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 277.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000420 450 25635 50 CLS TX CARPL BONE FX W MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 822.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000419 450 25635 LT CLS TX CARPL BONE FX W MAN LT 5088.00 5088.00 3561.60 411.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 411.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000418 450 25635 RT CLS TX CARPL BONE FX W MAN RT 5088.00 5088.00 3561.60 411.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 411.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000423 450 25660 50 CLS TX RAD/CARP OR INT/CARP BI 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 942.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000422 450 25660 LT CLS TX RAD/CARP OR INT/CARP LT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 471.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000421 450 25660 RT CLS TX RAD/CARP OR INT/CARP RT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 471.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000426 450 25675 50 CLS TX DIST RAD/ULNA DIS W/M B 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 926.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000425 450 25675 LT CLS TX DIST RAD/ULNA DIS W/M L 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 463.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000424 450 25675 RT CLS TX DIST RAD/ULNA DIS W/M R 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 463.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000429 450 25690 50 CLS TX LUNATE DIS CARPL BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1180.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000428 450 25690 LT CLS TX LUNATE DIS CARPL LT 5088.00 5088.00 3561.60 541.48 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 590.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000427 450 25690 RT CLS TX LUNATE DIS CARPL RT 5088.00 5088.00 3561.60 541.48 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 590.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000430 450 26010 DRAIN FINGER ABSCESS SIMPLE 674.16 674.16 1441.00 150.00 625.00 case rate 231.51 839.07 372.92 839.07 372.92 231.51 231.51 471.91 231.51 372.92 231.51 839.07 372.92 839.07 231.51 1153.00 case rate 1441.00 case rate 839.07 372.92 839.07 372.92 231.51 231.51 780.07 165.00 per visit 346.70 165.00 per visit 225.00 per visit 839.07 372.92 839.07 372.92 231.51 231.51 231.51 150.00 1085.00 per visit 372.92 839.07 372.92 231.51 372.92 372.92 372.92 231.51 372.92 471.91 231.51 839.07 372.92 775.00 per case 372.92 231.51 775.00 per case 231.51 231.51 372.92 839.07 372.92 839.07 372.92 184.81 450000431 450 26011 DRAIN FINGER ABSCESS COMPLICAT 5257.60 5257.60 3680.32 213.00 625.00 case rate 1874.86 1588.11 705.83 1588.11 705.83 1874.86 1874.86 3680.32 1874.86 705.83 1874.86 1588.11 705.83 1588.11 1874.86 1153.00 case rate 1441.00 case rate 1588.11 705.83 1588.11 705.83 1874.86 1874.86 1476.43 165.00 per visit 656.19 165.00 per visit 225.00 per visit 1588.11 705.83 1588.11 705.83 1874.86 1874.86 1874.86 213.00 1085.00 per visit 705.83 1588.11 705.83 1874.86 705.83 705.83 705.83 1874.86 705.83 3680.32 1874.86 1588.11 705.83 775.00 per case 705.83 1874.86 775.00 per case 1874.86 1874.86 705.83 1588.11 705.83 1588.11 705.83 "1,215.29" 450000432 450 26418 REP EXTENS TENDON FINGER- EACH 5161.14 5161.14 3612.80 944.00 625.00 case rate 1858.58 3298.84 1466.15 3298.84 1466.15 1858.58 1858.58 3612.80 1858.58 "1,466.15" 1858.58 3298.84 1466.15 3298.84 1858.58 1153.00 case rate 1441.00 case rate 3298.84 1466.15 3298.84 1466.15 1858.58 1858.58 3066.86 165.00 per visit 1363.05 165.00 per visit 225.00 per visit 3298.84 1466.15 3298.84 1466.15 1858.58 1858.58 1858.58 944.00 1085.00 per visit 1466.15 3298.84 1466.15 1858.58 1466.15 1466.15 1466.15 1858.58 1466.15 3612.80 1858.58 3298.84 1466.15 775.00 per case 1466.15 1858.58 775.00 per case 1858.58 1858.58 1466.15 3298.84 1466.15 3298.84 1466.15 "1,457.55" 450000433 450 26600 CLS TX METACARP FX SING WO MAN 821.50 821.50 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 575.05 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 221.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 575.05 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000434 450 26605 CLS TX METACARP FX SING W MANI 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 338.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000435 450 26641 CLS TX THUMB DISLOC W MANIP 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 400.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000436 450 26670 CLS TX CARPOMETACARP DISLOC 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 382.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000437 450 26700 CLSD TXT METACAR DISLOC W/MAN 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 298.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000438 450 26720 CLS TX PHALANG SHAFT FX WO MAN 863.90 863.90 1441.00 153.00 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 153.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000439 450 26725 CLS TX PHALANG SHAFT FX W MANI 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 304.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000440 450 26740 CLS TX ARTICUL FX JOINT WO MAN 863.90 863.90 1441.00 212.00 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 212.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000441 450 26742 CLS TX ARTICUL FX JOINT W MANI 5160.08 5160.08 3612.06 421.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3612.06 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 421.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3612.06 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000442 450 26750 CLS TX DIST PHALANG FX W/O MAN 863.90 863.90 1441.00 188.00 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 188.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000443 450 26755 CLS TX DIST PHALANG FX W MANIP 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 284.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000444 450 26770 CLS TX INTERPHALANG DISLOCATIO 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 257.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000587 450 26775 CLTX IPHAL JT DISL1W/MNPJ/ANES 4028.00 4028.00 2819.60 247.92 625.00 case rate 310.56 2415.04 1073.35 2415.04 1073.35 310.56 310.56 2819.60 310.56 "1,073.35" 310.56 2415.04 1073.35 2415.04 310.56 1153.00 case rate 1441.00 case rate 2415.04 1073.35 2415.04 1073.35 310.56 310.56 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 2415.04 1073.35 2415.04 1073.35 310.56 310.56 310.56 355.00 1085.00 per visit 1073.35 2415.04 1073.35 310.56 1073.35 1073.35 1073.35 310.56 1073.35 2819.60 310.56 2415.04 1073.35 775.00 per case 1073.35 310.56 775.00 per case 310.56 310.56 1073.35 2415.04 1073.35 2415.04 1073.35 247.92 450000588 450 26775 CL TX IP JT D W MAN;W ANESTH 4028.00 4028.00 2819.60 247.92 625.00 case rate 310.56 2415.04 1073.35 2415.04 1073.35 310.56 310.56 2819.60 310.56 "1,073.35" 310.56 2415.04 1073.35 2415.04 310.56 1153.00 case rate 1441.00 case rate 2415.04 1073.35 2415.04 1073.35 310.56 310.56 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 2415.04 1073.35 2415.04 1073.35 310.56 310.56 310.56 355.00 1085.00 per visit 1073.35 2415.04 1073.35 310.56 1073.35 1073.35 1073.35 310.56 1073.35 2819.60 310.56 2415.04 1073.35 775.00 per case 1073.35 310.56 775.00 per case 310.56 310.56 1073.35 2415.04 1073.35 2415.04 1073.35 247.92 450000445 450 26951 AMPUT FINGER/THUMB DIR CL 10111.34 10111.34 7077.94 816.00 625.00 case rate 3743.09 3298.84 1466.15 3298.84 1466.15 3743.09 3743.09 7077.94 3743.09 "1,466.15" 3743.09 3298.84 1466.15 3298.84 3743.09 1153.00 case rate 1441.00 case rate 3298.84 1466.15 3298.84 1466.15 3743.09 3743.09 3066.86 165.00 per visit 1363.05 165.00 per visit 225.00 per visit 3298.84 1466.15 3298.84 1466.15 3743.09 3743.09 3743.09 816.00 1085.00 per visit 1466.15 3298.84 1466.15 3743.09 1466.15 1466.15 1466.15 3743.09 1466.15 7077.94 3743.09 3298.84 1466.15 775.00 per case 1466.15 3743.09 775.00 per case 3743.09 3743.09 1466.15 3298.84 1466.15 3298.84 1466.15 "2,703.07" 450000450 450 27250 50 CLS TX HIP DISLOCATION BILAT 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 1212.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000449 450 27250 LT CLS TX HIP DISLOCATION LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 606.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000448 450 27250 RT CLS TX HIP DISLOCATION RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 606.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000581 450 27257 TX SPONTAN HIP DISLOC W ANESTH 5160.08 5160.08 3612.06 453.00 625.00 case rate 1858.58 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 3612.06 1858.58 "1,073.35" 1858.58 2415.04 1073.35 2415.04 1858.58 1153.00 case rate 1441.00 case rate 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 2245.21 165.00 per visit 997.87 165.00 per visit 225.00 per visit 2415.04 1073.35 2415.04 1073.35 1858.58 1858.58 1858.58 453.00 1085.00 per visit 1073.35 2415.04 1073.35 1858.58 1073.35 1073.35 1073.35 1858.58 1073.35 3612.06 1858.58 2415.04 1073.35 775.00 per case 1073.35 1858.58 775.00 per case 1858.58 1858.58 1073.35 2415.04 1073.35 2415.04 1073.35 "1,457.55" 360005028 450 27265 TREAT HIP DISLOCATION W/O ANES 810.90 810.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 567.63 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 521.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 567.63 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000453 450 27550 50 CLS TX KNEE DISLOCATION BILAT 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 1060.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000452 450 27550 LT CLS TX KNEE DISLOCATION LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 530.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000451 450 27550 RT CLS TX KNEE DISLOCATION RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 530.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000456 450 27560 50 CLS TX PATELLA DISLOCATION BIL 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 708.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000455 450 27560 LT CLS TX PATELLA DISLOCATION LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 354.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000454 450 27560 RT CLS TX PATELLA DISLOCATION RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 354.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000459 450 27762 50 CLSD TXT MED MALL FX MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1028.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000458 450 27762 LT CLSD TXT MED MALL FX MAN LT 5088.00 5088.00 3561.60 514.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 514.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000457 450 27762 RT CLSD TXT MED MALL FX MAN RT 5088.00 5088.00 3561.60 514.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 514.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000462 450 27788 50 CLSD TXT DIST FIB FX W MAN BIL 1484.00 1484.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1558.20 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 852.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 1038.80 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000461 450 27788 LT CLSD TXT DIST FIB FX W MAN LT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 426.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000460 450 27788 RT CLSD TXT DIST FIB FX W MAN RT 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 426.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000465 450 27810 50 CLS TX BIMALL ANKL FX W MAN BI 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1020.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000464 450 27810 LT CLS TX BIMALL ANKL FX W MAN LT 5088.00 5088.00 3561.60 510.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 510.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000463 450 27810 RT CLS TX BIMALL ANKL FX W MAN RT 5088.00 5088.00 3561.60 510.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 510.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000468 450 27818 50 CLS TX TRIMAL ANK FX W/MAN BIL 7208.00 7208.00 7568.40 541.48 625.00 case rate 2787.86 1965.75 873.66 1965.75 873.66 2787.86 2787.86 7568.40 2787.86 873.66 2787.86 1965.75 873.66 1965.75 2787.86 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 2787.86 2787.86 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 2787.86 2787.86 2787.86 1064.00 1085.00 per visit 873.66 1965.75 873.66 2787.86 873.66 873.66 873.66 2787.86 873.66 5045.60 2787.86 1965.75 873.66 775.00 per case 873.66 2787.86 775.00 per case 2787.86 2787.86 873.66 1965.75 873.66 1965.75 873.66 "3,279.48" 450000467 450 27818 LT CLS TX TRIMAL ANK FX W/MAN LT 5088.00 5088.00 3561.60 532.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 532.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000466 450 27818 RT CLS TX TRIMAL ANK FX W/MAN RT 5088.00 5088.00 3561.60 532.00 625.00 case rate 1858.58 1310.50 582.44 1310.50 582.44 1858.58 1858.58 3561.60 1858.58 582.44 1858.58 1310.50 582.44 1310.50 1858.58 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 1858.58 1858.58 1858.58 532.00 1085.00 per visit 582.44 1310.50 582.44 1858.58 582.44 582.44 582.44 1858.58 582.44 3561.60 1858.58 1310.50 582.44 775.00 per case 582.44 1858.58 775.00 per case 1858.58 1858.58 582.44 1310.50 582.44 1310.50 582.44 "1,457.55" 450000480 450 27840 50 CLS TX ANKLE DISLOCATION BIL 1378.00 1378.00 1965.75 409.06 625.00 case rate 409.06 1965.75 873.66 1965.75 873.66 409.06 409.06 1446.90 409.06 873.66 409.06 1965.75 873.66 1965.75 409.06 1153.00 case rate 1441.00 case rate 1965.75 873.66 1965.75 873.66 409.06 409.06 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1965.75 873.66 1965.75 873.66 409.06 409.06 409.06 972.00 1085.00 per visit 873.66 1965.75 873.66 409.06 873.66 873.66 873.66 409.06 873.66 964.60 409.06 1965.75 873.66 775.00 per case 873.66 409.06 775.00 per case 409.06 409.06 873.66 1965.75 873.66 1965.75 873.66 489.82 450000470 450 27840 LT CLS TX ANKLE DISLOCATION LT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 486.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000469 450 27840 RT CLS TX ANKLE DISLOCATION RT 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 486.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 490000006 490 28110 PART REMOVAL OF METATARSAL 10111.34 10111.34 7077.94 514.00 2515.00 case rate 3743.09 5388.11 2394.71 5388.11 2394.71 3743.09 3743.09 2810.00 per visit 3743.09 "2,394.71" 3743.09 5388.11 2394.71 5388.11 3743.09 3038.00 3797.00 5388.11 2394.71 5388.11 2394.71 3743.09 3743.09 5009.08 1307.82 2226.26 1307.82 1711.94 5388.11 2394.71 5388.11 2394.71 3743.09 3743.09 3743.09 514.00 6572.37 2394.71 5388.11 2394.71 3743.09 2394.71 2394.71 2394.71 3743.09 2394.71 7077.94 3743.09 5388.11 2394.71 2300.00 per case 2394.71 3743.09 2300.00 per case 3743.09 3743.09 2394.71 5388.11 2394.71 5388.11 2394.71 "2,703.07" 450000483 450 28190 50 REMOVAL FB FOOT SUBQ BIL 3286.00 3286.00 3450.30 486.00 625.00 case rate 1220.42 2462.11 1094.27 2462.11 1094.27 1220.42 1220.42 3450.30 1220.42 "1,094.27" 1220.42 2462.11 1094.27 2462.11 1220.42 1153.00 case rate 1441.00 case rate 2462.11 1094.27 2462.11 1094.27 1220.42 1220.42 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 2462.11 1094.27 2462.11 1094.27 1220.42 1220.42 1220.42 486.00 1085.00 per visit 1094.27 2462.11 1094.27 1220.42 1094.27 1094.27 1094.27 1220.42 1094.27 2300.20 1220.42 2462.11 1094.27 775.00 per case 1094.27 1220.42 775.00 per case 1220.42 1220.42 1094.27 2462.11 1094.27 2462.11 1094.27 656.87 450000482 450 28190 LT REMOVAL FB FOOT SUBQ LT 2215.40 2215.40 1641.41 243.00 625.00 case rate 813.62 1641.41 729.52 1641.41 729.52 813.62 813.62 1550.78 813.62 729.52 813.62 1641.41 729.52 1641.41 813.62 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 813.62 813.62 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 813.62 813.62 813.62 243.00 1085.00 per visit 729.52 1641.41 729.52 813.62 729.52 729.52 729.52 813.62 729.52 1550.78 813.62 1641.41 729.52 775.00 per case 729.52 813.62 775.00 per case 813.62 813.62 729.52 1641.41 729.52 1641.41 729.52 291.94 450000481 450 28190 RT REMOVAL FB FOOT SUBQ RT 2215.40 2215.40 1641.41 243.00 625.00 case rate 813.62 1641.41 729.52 1641.41 729.52 813.62 813.62 1550.78 813.62 729.52 813.62 1641.41 729.52 1641.41 813.62 1153.00 case rate 1441.00 case rate 1641.41 729.52 1641.41 729.52 813.62 813.62 1525.98 165.00 per visit 678.21 165.00 per visit 225.00 per visit 1641.41 729.52 1641.41 729.52 813.62 813.62 813.62 243.00 1085.00 per visit 729.52 1641.41 729.52 813.62 729.52 729.52 729.52 813.62 729.52 1550.78 813.62 1641.41 729.52 775.00 per case 729.52 813.62 775.00 per case 813.62 813.62 729.52 1641.41 729.52 1641.41 729.52 291.94 490000005 490 28232 TX OPN TDN FLXR TOE 1 TDN SPX 5160.08 5160.08 4210.95 276.42 2515.00 case rate 1858.58 4210.95 1871.53 4210.95 1871.53 1858.58 1858.58 2810.00 per visit 1858.58 "1,871.53" 1858.58 4210.95 1871.53 4210.95 1858.58 1752.00 1752.00 4210.95 1871.53 4210.95 1871.53 1858.58 1858.58 3914.73 894.32 1739.88 894.32 276.42 4210.95 1871.53 4210.95 1871.53 1858.58 1858.58 1858.58 473.00 3354.05 1871.53 4210.95 1871.53 1858.58 1871.53 1871.53 1871.53 1858.58 1871.53 3612.06 1858.58 4210.95 1871.53 2300.00 per case 1871.53 1858.58 2300.00 per case 1858.58 1858.58 1871.53 4210.95 1871.53 4210.95 1871.53 436.45 450000484 450 28470 CLSD TXT METATAR FX W/O MAN EA 863.90 863.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 251.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 360000104 450 28475 CLSD TRATMNT METARSAL FX W MAN 969.90 969.90 1441.00 217.70 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 351.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 217.70 450000485 450 28490 CLS TX GREAT TOE FX W/O MANI 863.90 863.90 1441.00 151.00 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 151.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 178.89 450000486 450 28495 CLS TX GREAT TOE FX W MANIP 969.90 969.90 1441.00 179.00 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 179.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 215.03 450000487 450 28510 CLS TX PHALANX FX W/O MANIP 863.90 863.90 1441.00 142.76 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 150.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 142.76 450000488 450 28515 CLS TX PHALANX FX W MANIP EA 969.90 969.90 1441.00 171.00 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 678.93 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 171.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 678.93 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 196.38 450000489 450 28660 CLS TX INTERP JNT DISL W/O ANE 863.90 863.90 1441.00 136.35 625.00 case rate 272.71 1310.50 582.44 1310.50 582.44 272.71 272.71 604.73 272.71 582.44 272.71 1310.50 582.44 1310.50 272.71 1153.00 case rate 1441.00 case rate 1310.50 582.44 1310.50 582.44 272.71 272.71 1218.34 165.00 per visit 541.48 165.00 per visit 225.00 per visit 1310.50 582.44 1310.50 582.44 272.71 272.71 272.71 168.00 1085.00 per visit 582.44 1310.50 582.44 272.71 582.44 582.44 582.44 272.71 582.44 604.73 272.71 1310.50 582.44 775.00 per case 582.44 272.71 775.00 per case 272.71 272.71 582.44 1310.50 582.44 1310.50 582.44 136.35 361000057 361 28675 T1 REPAIR OF TOE DISLOCATION 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000058 361 28675 T2 REPAIR OF TOE DISLOCATION L 3 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000059 361 28675 T3 REPAIR OF TOE DISLOCATION L 4 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000060 361 28675 T4 REPAIR OF TOE DISLOCATION L 5 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000061 361 28675 T5 REPAIR OF TOE DISLOCATION R G 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000062 361 28675 T6 REPAIR OF TOE DISLOCATION R 2 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000063 361 28675 T8 REPAIR OF TOE DISLOCATION R 3 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000064 361 28675 T8 REPAIR OF TOE DISLOCATION R 4 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000065 361 28675 T9 REPAIR OF TOE DISLOCATION R 5 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 361000066 361 28675 TA REPAIR OF TOE DISLOCATION L G 10017.00 10017.00 7658.23 374.00 2515.00 case rate 3743.09 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 2810.00 per visit 3743.09 "3,403.66" 3743.09 7658.23 3403.66 7658.23 3743.09 1635.00 2044.00 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 7119.51 3164.23 3164.23 3164.23 451.51 7658.23 3403.66 7658.23 3403.66 3743.09 3743.09 3743.09 374.00 2831.00 per case 3403.66 7658.23 3403.66 3743.09 3403.66 3403.66 3403.66 3743.09 3403.66 7011.90 3743.09 7658.23 3403.66 2300.00 per case 3403.66 3743.09 2300.00 per case 3743.09 3743.09 3403.66 7658.23 3403.66 7658.23 3403.66 "2,703.07" 450000494 450 29065 50 APPLY CAST LONG ARM BIL 1272.00 1272.00 1441.00 146.00 625.00 case rate 465.84 1133.22 503.65 1133.22 503.65 465.84 465.84 1335.60 465.84 503.65 465.84 1133.22 503.65 1133.22 465.84 1153.00 case rate 1441.00 case rate 1133.22 503.65 1133.22 503.65 465.84 465.84 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 1133.22 503.65 1133.22 503.65 465.84 465.84 465.84 146.00 1085.00 per visit 503.65 1133.22 503.65 465.84 503.65 503.65 503.65 465.84 503.65 890.40 465.84 1133.22 503.65 775.00 per case 503.65 465.84 775.00 per case 465.84 465.84 503.65 1133.22 503.65 1133.22 503.65 254.34 450000493 450 29065 LT APPLY CAST LONG ARM LT 901.00 901.00 1441.00 73.00 625.00 case rate 310.56 755.48 335.77 755.48 335.77 310.56 310.56 630.70 310.56 335.77 310.56 755.48 335.77 755.48 310.56 1153.00 case rate 1441.00 case rate 755.48 335.77 755.48 335.77 310.56 310.56 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 755.48 335.77 755.48 335.77 310.56 310.56 310.56 73.00 1085.00 per visit 335.77 755.48 335.77 310.56 335.77 335.77 335.77 310.56 335.77 630.70 310.56 755.48 335.77 775.00 per case 335.77 310.56 775.00 per case 310.56 310.56 335.77 755.48 335.77 755.48 335.77 113.04 450000492 450 29065 RT APPLY CAST LONG ARM RT 901.00 901.00 1441.00 73.00 625.00 case rate 310.56 755.48 335.77 755.48 335.77 310.56 310.56 630.70 310.56 335.77 310.56 755.48 335.77 755.48 310.56 1153.00 case rate 1441.00 case rate 755.48 335.77 755.48 335.77 310.56 310.56 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 755.48 335.77 755.48 335.77 310.56 310.56 310.56 73.00 1085.00 per visit 335.77 755.48 335.77 310.56 335.77 335.77 335.77 310.56 335.77 630.70 310.56 755.48 335.77 775.00 per case 335.77 310.56 775.00 per case 310.56 310.56 335.77 755.48 335.77 755.48 335.77 113.04 450000497 450 29075 50 APPLY CAST SHORT ARM BIL 1272.00 1272.00 1441.00 130.00 625.00 case rate 465.84 1133.22 503.65 1133.22 503.65 465.84 465.84 1335.60 465.84 503.65 465.84 1133.22 503.65 1133.22 465.84 1153.00 case rate 1441.00 case rate 1133.22 503.65 1133.22 503.65 465.84 465.84 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 1133.22 503.65 1133.22 503.65 465.84 465.84 465.84 130.00 1085.00 per visit 503.65 1133.22 503.65 465.84 503.65 503.65 503.65 465.84 503.65 890.40 465.84 1133.22 503.65 775.00 per case 503.65 465.84 775.00 per case 465.84 465.84 503.65 1133.22 503.65 1133.22 503.65 232.08 450000496 450 29075 LT APPLY CAST SHORT ARM LT 901.00 901.00 1441.00 65.00 625.00 case rate 310.56 755.48 335.77 755.48 335.77 310.56 310.56 630.70 310.56 335.77 310.56 755.48 335.77 755.48 310.56 1153.00 case rate 1441.00 case rate 755.48 335.77 755.48 335.77 310.56 310.56 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 755.48 335.77 755.48 335.77 310.56 310.56 310.56 65.00 1085.00 per visit 335.77 755.48 335.77 310.56 335.77 335.77 335.77 310.56 335.77 630.70 310.56 755.48 335.77 775.00 per case 335.77 310.56 775.00 per case 310.56 310.56 335.77 755.48 335.77 755.48 335.77 103.15 450000495 450 29075 RT APPLY CAST SHORT ARM RT 901.00 901.00 1441.00 65.00 625.00 case rate 310.56 755.48 335.77 755.48 335.77 310.56 310.56 630.70 310.56 335.77 310.56 755.48 335.77 755.48 310.56 1153.00 case rate 1441.00 case rate 755.48 335.77 755.48 335.77 310.56 310.56 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 755.48 335.77 755.48 335.77 310.56 310.56 310.56 65.00 1085.00 per visit 335.77 755.48 335.77 310.56 335.77 335.77 335.77 310.56 335.77 630.70 310.56 755.48 335.77 775.00 per case 335.77 310.56 775.00 per case 310.56 310.56 335.77 755.48 335.77 755.48 335.77 103.15 450000260 450 29105 50 ER APPLY LONG ARM SPLINT 50 742.00 742.00 1441.00 126.00 625.00 case rate 273.32 829.17 368.52 829.17 368.52 273.32 273.32 779.10 273.32 368.52 273.32 829.17 368.52 829.17 273.32 1153.00 case rate 1441.00 case rate 829.17 368.52 829.17 368.52 273.32 273.32 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 829.17 368.52 829.17 368.52 273.32 273.32 273.32 126.00 1085.00 per visit 368.52 829.17 368.52 273.32 368.52 368.52 368.52 273.32 368.52 519.40 273.32 829.17 368.52 775.00 per case 368.52 273.32 775.00 per case 273.32 273.32 368.52 829.17 368.52 829.17 368.52 207.17 510000278 510 29105 50 APPLY LONGARM SPLIT BILAT 742.00 742.00 771.01 0.00 0.00 273.32 771.01 342.67 771.01 342.67 273.32 273.32 0.00 273.32 342.67 273.32 771.01 342.67 771.01 273.32 226.00 283.00 771.01 342.67 771.01 342.67 273.32 273.32 477.85 212.38 212.38 212.38 66.85 771.01 342.67 771.01 342.67 273.32 273.32 273.32 126.00 630.70 342.67 771.01 342.67 273.32 342.67 342.67 342.67 273.32 342.67 519.40 273.32 771.01 342.67 142.00 per visit 342.67 273.32 142.00 per visit 273.32 273.32 342.67 771.01 342.67 771.01 342.67 207.17 450000259 450 29105 LT ER APPLY LONG ARM SPLINT LT 514.10 514.10 1441.00 63.00 625.00 case rate 182.21 552.78 245.68 552.78 245.68 182.21 182.21 359.87 182.21 245.68 182.21 552.78 245.68 552.78 182.21 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 182.21 182.21 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 182.21 182.21 182.21 63.00 1085.00 per visit 245.68 552.78 245.68 182.21 245.68 245.68 245.68 182.21 245.68 359.87 182.21 552.78 245.68 775.00 per case 245.68 182.21 775.00 per case 182.21 182.21 245.68 552.78 245.68 552.78 245.68 92.08 450000204 450 29105 RT ER APPLY LONG ARM SPLINT 514.10 514.10 1441.00 63.00 625.00 case rate 182.21 552.78 245.68 552.78 245.68 182.21 182.21 359.87 182.21 245.68 182.21 552.78 245.68 552.78 182.21 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 182.21 182.21 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 182.21 182.21 182.21 63.00 1085.00 per visit 245.68 552.78 245.68 182.21 245.68 245.68 245.68 182.21 245.68 359.87 182.21 552.78 245.68 775.00 per case 245.68 182.21 775.00 per case 182.21 182.21 245.68 552.78 245.68 552.78 245.68 92.08 450000262 450 29125 50 ER APPLY FOREARM SPLINT BILAT 636.00 636.00 1441.00 0.00 625.00 case rate 221.58 829.17 368.52 829.17 368.52 221.58 221.58 667.80 221.58 368.52 221.58 829.17 368.52 829.17 221.58 1153.00 case rate 1441.00 case rate 829.17 368.52 829.17 368.52 221.58 221.58 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 829.17 368.52 829.17 368.52 221.58 221.58 221.58 88.00 1085.00 per visit 368.52 829.17 368.52 221.58 368.52 368.52 368.52 221.58 368.52 445.20 221.58 829.17 368.52 775.00 per case 368.52 221.58 775.00 per case 221.58 221.58 368.52 829.17 368.52 829.17 368.52 0.00 450000261 450 29125 LT ER APPLY FOREARM SPLINT LT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 552.78 245.68 552.78 245.68 147.72 147.72 285.67 147.72 245.68 147.72 552.78 245.68 552.78 147.72 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 147.72 147.72 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 147.72 147.72 147.72 44.00 1085.00 per visit 245.68 552.78 245.68 147.72 245.68 245.68 245.68 147.72 245.68 285.67 147.72 552.78 245.68 775.00 per case 245.68 147.72 775.00 per case 147.72 147.72 245.68 552.78 245.68 552.78 245.68 0.00 450000205 450 29125 RT ER APPLY FOREARM SPLINT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 552.78 245.68 552.78 245.68 147.72 147.72 285.67 147.72 245.68 147.72 552.78 245.68 552.78 147.72 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 147.72 147.72 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 147.72 147.72 147.72 44.00 1085.00 per visit 245.68 552.78 245.68 147.72 245.68 245.68 245.68 147.72 245.68 285.67 147.72 552.78 245.68 775.00 per case 245.68 147.72 775.00 per case 147.72 147.72 245.68 552.78 245.68 552.78 245.68 0.00 450000264 450 29130 50 ER APPLY OF FINGER SPLINT BILA 318.00 318.00 1441.00 0.00 625.00 case rate 221.58 829.17 368.52 829.17 368.52 221.58 221.58 333.90 221.58 368.52 221.58 829.17 368.52 829.17 221.58 1153.00 case rate 1441.00 case rate 829.17 368.52 829.17 368.52 221.58 221.58 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 829.17 368.52 829.17 368.52 221.58 221.58 221.58 60.00 1085.00 per visit 368.52 829.17 368.52 221.58 368.52 368.52 368.52 221.58 368.52 222.60 221.58 829.17 368.52 775.00 per case 368.52 221.58 775.00 per case 221.58 221.58 368.52 829.17 368.52 829.17 368.52 0.00 450000263 450 29130 LT ER APPLY OF FINGER SPLINT LT 212.00 212.00 1441.00 0.00 625.00 case rate 147.72 552.78 245.68 552.78 245.68 147.72 147.72 148.40 147.72 245.68 147.72 552.78 245.68 552.78 147.72 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 147.72 147.72 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 147.72 147.72 147.72 30.00 1085.00 per visit 245.68 552.78 245.68 147.72 245.68 245.68 245.68 147.72 245.68 148.40 147.72 552.78 245.68 775.00 per case 245.68 147.72 775.00 per case 147.72 147.72 245.68 552.78 245.68 552.78 245.68 0.00 450000206 450 29130 RT ER APPLICATION OF FINGER SPLIN 212.00 212.00 1441.00 0.00 625.00 case rate 147.72 552.78 245.68 552.78 245.68 147.72 147.72 148.40 147.72 245.68 147.72 552.78 245.68 552.78 147.72 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 147.72 147.72 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 147.72 147.72 147.72 30.00 1085.00 per visit 245.68 552.78 245.68 147.72 245.68 245.68 245.68 147.72 245.68 148.40 147.72 552.78 245.68 775.00 per case 245.68 147.72 775.00 per case 147.72 147.72 245.68 552.78 245.68 552.78 245.68 0.00 450000498 450 29240 STRAPPING- SHOULDER 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 552.78 245.68 552.78 245.68 147.72 147.72 285.67 147.72 245.68 147.72 552.78 245.68 552.78 147.72 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 147.72 147.72 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 147.72 147.72 147.72 48.00 1085.00 per visit 245.68 552.78 245.68 147.72 245.68 245.68 245.68 147.72 245.68 285.67 147.72 552.78 245.68 775.00 per case 245.68 147.72 775.00 per case 147.72 147.72 245.68 552.78 245.68 552.78 245.68 0.00 450000266 450 29260 50 ER STRAPPING ELBOW /WRIST BIL 302.10 302.10 1441.00 0.00 625.00 case rate 106.10 829.17 368.52 829.17 368.52 106.10 106.10 317.21 106.10 368.52 106.10 829.17 368.52 829.17 106.10 1153.00 case rate 1441.00 case rate 829.17 368.52 829.17 368.52 106.10 106.10 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 829.17 368.52 829.17 368.52 106.10 106.10 106.10 78.00 1085.00 per visit 368.52 829.17 368.52 106.10 368.52 368.52 368.52 106.10 368.52 211.47 106.10 829.17 368.52 775.00 per case 368.52 106.10 775.00 per case 106.10 106.10 368.52 829.17 368.52 829.17 368.52 0.00 450000265 450 29260 LT ER STRAPPING ELBOW /WRIST LT 212.00 212.00 1441.00 0.00 625.00 case rate 70.73 552.78 245.68 552.78 245.68 70.73 70.73 148.40 70.73 245.68 70.73 552.78 245.68 552.78 70.73 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 70.73 70.73 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 70.73 70.73 70.73 39.00 1085.00 per visit 245.68 552.78 245.68 70.73 245.68 245.68 245.68 70.73 245.68 148.40 70.73 552.78 245.68 775.00 per case 245.68 70.73 775.00 per case 70.73 70.73 245.68 552.78 245.68 552.78 245.68 0.00 450000209 450 29260 RT ER STRAPPING OF ELBOW OR WRIST 212.00 212.00 1441.00 0.00 625.00 case rate 70.73 552.78 245.68 552.78 245.68 70.73 70.73 148.40 70.73 245.68 70.73 552.78 245.68 552.78 70.73 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 70.73 70.73 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 70.73 70.73 70.73 39.00 1085.00 per visit 245.68 552.78 245.68 70.73 245.68 245.68 245.68 70.73 245.68 148.40 70.73 552.78 245.68 775.00 per case 245.68 70.73 775.00 per case 70.73 70.73 245.68 552.78 245.68 552.78 245.68 0.00 450000268 450 29280 50 ER STRAPPING HAND/FINGER BILA 302.10 302.10 1441.00 0.00 625.00 case rate 106.10 829.17 368.52 829.17 368.52 106.10 106.10 317.21 106.10 368.52 106.10 829.17 368.52 829.17 106.10 1153.00 case rate 1441.00 case rate 829.17 368.52 829.17 368.52 106.10 106.10 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 829.17 368.52 829.17 368.52 106.10 106.10 106.10 74.00 1085.00 per visit 368.52 829.17 368.52 106.10 368.52 368.52 368.52 106.10 368.52 211.47 106.10 829.17 368.52 775.00 per case 368.52 106.10 775.00 per case 106.10 106.10 368.52 829.17 368.52 829.17 368.52 0.00 450000267 450 29280 LT ER STRAPPING HAND/FINGER LT 212.00 212.00 1441.00 0.00 625.00 case rate 70.73 552.78 245.68 552.78 245.68 70.73 70.73 148.40 70.73 245.68 70.73 552.78 245.68 552.78 70.73 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 70.73 70.73 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 70.73 70.73 70.73 37.00 1085.00 per visit 245.68 552.78 245.68 70.73 245.68 245.68 245.68 70.73 245.68 148.40 70.73 552.78 245.68 775.00 per case 245.68 70.73 775.00 per case 70.73 70.73 245.68 552.78 245.68 552.78 245.68 0.00 450000210 450 29280 RT ER STRAPPING OF HAND OR FINGER 212.00 212.00 1441.00 0.00 625.00 case rate 70.73 552.78 245.68 552.78 245.68 70.73 70.73 148.40 70.73 245.68 70.73 552.78 245.68 552.78 70.73 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 70.73 70.73 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 70.73 70.73 70.73 37.00 1085.00 per visit 245.68 552.78 245.68 70.73 245.68 245.68 245.68 70.73 245.68 148.40 70.73 552.78 245.68 775.00 per case 245.68 70.73 775.00 per case 70.73 70.73 245.68 552.78 245.68 552.78 245.68 0.00 450000501 450 29345 50 APPLY CAST LONG LEG BIL 1431.00 1431.00 1502.55 224.00 625.00 case rate 465.84 1133.22 503.65 1133.22 503.65 465.84 465.84 1502.55 465.84 503.65 465.84 1133.22 503.65 1133.22 465.84 1153.00 case rate 1441.00 case rate 1133.22 503.65 1133.22 503.65 465.84 465.84 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 1133.22 503.65 1133.22 503.65 465.84 465.84 465.84 224.00 1085.00 per visit 503.65 1133.22 503.65 465.84 503.65 503.65 503.65 465.84 503.65 1001.70 465.84 1133.22 503.65 775.00 per case 503.65 465.84 775.00 per case 465.84 465.84 503.65 1133.22 503.65 1133.22 503.65 323.85 450000500 450 29345 LT APPLY CAST LONG LEG LT 901.00 901.00 1441.00 112.00 625.00 case rate 310.56 755.48 335.77 755.48 335.77 310.56 310.56 630.70 310.56 335.77 310.56 755.48 335.77 755.48 310.56 1153.00 case rate 1441.00 case rate 755.48 335.77 755.48 335.77 310.56 310.56 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 755.48 335.77 755.48 335.77 310.56 310.56 310.56 112.00 1085.00 per visit 335.77 755.48 335.77 310.56 335.77 335.77 335.77 310.56 335.77 630.70 310.56 755.48 335.77 775.00 per case 335.77 310.56 775.00 per case 310.56 310.56 335.77 755.48 335.77 755.48 335.77 143.93 450000499 450 29345 RT APPLY CAST LONG LEG RT 901.00 901.00 1441.00 112.00 625.00 case rate 310.56 755.48 335.77 755.48 335.77 310.56 310.56 630.70 310.56 335.77 310.56 755.48 335.77 755.48 310.56 1153.00 case rate 1441.00 case rate 755.48 335.77 755.48 335.77 310.56 310.56 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 755.48 335.77 755.48 335.77 310.56 310.56 310.56 112.00 1085.00 per visit 335.77 755.48 335.77 310.56 335.77 335.77 335.77 310.56 335.77 630.70 310.56 755.48 335.77 775.00 per case 335.77 310.56 775.00 per case 310.56 310.56 335.77 755.48 335.77 755.48 335.77 143.93 450000504 450 29405 50 APPLY CAST BELOW KNEE BIL 1431.00 1431.00 1502.55 142.00 625.00 case rate 465.84 1133.22 503.65 1133.22 503.65 465.84 465.84 1502.55 465.84 503.65 465.84 1133.22 503.65 1133.22 465.84 1153.00 case rate 1441.00 case rate 1133.22 503.65 1133.22 503.65 465.84 465.84 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 1133.22 503.65 1133.22 503.65 465.84 465.84 465.84 142.00 1085.00 per visit 503.65 1133.22 503.65 465.84 503.65 503.65 503.65 465.84 503.65 1001.70 465.84 1133.22 503.65 775.00 per case 503.65 465.84 775.00 per case 465.84 465.84 503.65 1133.22 503.65 1133.22 503.65 200.61 450000503 450 29405 LT APPLY CAST BELOW KNEE LT 901.00 901.00 1441.00 71.00 625.00 case rate 310.56 755.48 335.77 755.48 335.77 310.56 310.56 630.70 310.56 335.77 310.56 755.48 335.77 755.48 310.56 1153.00 case rate 1441.00 case rate 755.48 335.77 755.48 335.77 310.56 310.56 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 755.48 335.77 755.48 335.77 310.56 310.56 310.56 71.00 1085.00 per visit 335.77 755.48 335.77 310.56 335.77 335.77 335.77 310.56 335.77 630.70 310.56 755.48 335.77 775.00 per case 335.77 310.56 775.00 per case 310.56 310.56 335.77 755.48 335.77 755.48 335.77 89.16 450000502 450 29405 RT APPLY CAST BELOW KNEE RT 901.00 901.00 1441.00 71.00 625.00 case rate 310.56 755.48 335.77 755.48 335.77 310.56 310.56 630.70 310.56 335.77 310.56 755.48 335.77 755.48 310.56 1153.00 case rate 1441.00 case rate 755.48 335.77 755.48 335.77 310.56 310.56 702.35 165.00 per visit 312.16 165.00 per visit 225.00 per visit 755.48 335.77 755.48 335.77 310.56 310.56 310.56 71.00 1085.00 per visit 335.77 755.48 335.77 310.56 335.77 335.77 335.77 310.56 335.77 630.70 310.56 755.48 335.77 775.00 per case 335.77 310.56 775.00 per case 310.56 310.56 335.77 755.48 335.77 755.48 335.77 89.16 761000026 761 29445 TOTAL CONTACT LEG CAST 907.36 907.36 2810.00 0.00 65.65 310.56 702.50 312.22 702.50 312.22 310.56 310.56 2810.00 per visit 310.56 312.22 310.56 702.50 312.22 702.50 310.56 131.61 164.51 702.50 312.22 702.50 312.22 310.56 310.56 653.07 290.25 290.25 290.25 104.12 702.50 312.22 702.50 312.22 310.56 310.56 310.56 126.00 771.26 312.22 702.50 312.22 310.56 312.22 312.22 312.22 310.56 312.22 635.15 310.56 702.50 312.22 0.00 312.22 310.56 0.00 310.56 310.56 312.22 702.50 312.22 702.50 312.22 110.71 450000270 450 29505 50 ER APPLY LONG LEG SPLINT BILAT 742.00 742.00 1441.00 104.00 625.00 case rate 273.32 829.17 368.52 829.17 368.52 273.32 273.32 779.10 273.32 368.52 273.32 829.17 368.52 829.17 273.32 1153.00 case rate 1441.00 case rate 829.17 368.52 829.17 368.52 273.32 273.32 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 829.17 368.52 829.17 368.52 273.32 273.32 273.32 104.00 1085.00 per visit 368.52 829.17 368.52 273.32 368.52 368.52 368.52 273.32 368.52 519.40 273.32 829.17 368.52 775.00 per case 368.52 273.32 775.00 per case 273.32 273.32 368.52 829.17 368.52 829.17 368.52 254.34 450000269 450 29505 LT ER APPLY LONG LEG SPLINT LT 514.10 514.10 1441.00 52.00 625.00 case rate 182.21 552.78 245.68 552.78 245.68 182.21 182.21 359.87 182.21 245.68 182.21 552.78 245.68 552.78 182.21 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 182.21 182.21 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 182.21 182.21 182.21 52.00 1085.00 per visit 245.68 552.78 245.68 182.21 245.68 245.68 245.68 182.21 245.68 359.87 182.21 552.78 245.68 775.00 per case 245.68 182.21 775.00 per case 182.21 182.21 245.68 552.78 245.68 552.78 245.68 113.04 450000207 450 29505 RT ER APPLICATION- LONG LEG SPLIN 514.10 514.10 1441.00 52.00 625.00 case rate 182.21 552.78 245.68 552.78 245.68 182.21 182.21 359.87 182.21 245.68 182.21 552.78 245.68 552.78 182.21 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 182.21 182.21 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 182.21 182.21 182.21 52.00 1085.00 per visit 245.68 552.78 245.68 182.21 245.68 245.68 245.68 182.21 245.68 359.87 182.21 552.78 245.68 775.00 per case 245.68 182.21 775.00 per case 182.21 182.21 245.68 552.78 245.68 552.78 245.68 113.04 450000272 450 29515 50 ER APPLY LOW LEG SPLINT BILAT 742.00 742.00 1441.00 108.00 625.00 case rate 273.32 829.17 368.52 829.17 368.52 273.32 273.32 779.10 273.32 368.52 273.32 829.17 368.52 829.17 273.32 1153.00 case rate 1441.00 case rate 829.17 368.52 829.17 368.52 273.32 273.32 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 829.17 368.52 829.17 368.52 273.32 273.32 273.32 108.00 1085.00 per visit 368.52 829.17 368.52 273.32 368.52 368.52 368.52 273.32 368.52 519.40 273.32 829.17 368.52 775.00 per case 368.52 273.32 775.00 per case 273.32 273.32 368.52 829.17 368.52 829.17 368.52 179.62 450000271 450 29515 LT ER APPLY LOW LEG SPLINT LT 514.10 514.10 1441.00 54.00 625.00 case rate 182.21 552.78 245.68 552.78 245.68 182.21 182.21 359.87 182.21 245.68 182.21 552.78 245.68 552.78 182.21 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 182.21 182.21 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 182.21 182.21 182.21 54.00 1085.00 per visit 245.68 552.78 245.68 182.21 245.68 245.68 245.68 182.21 245.68 359.87 182.21 552.78 245.68 775.00 per case 245.68 182.21 775.00 per case 182.21 182.21 245.68 552.78 245.68 552.78 245.68 79.83 450000208 450 29515 RT ER APPLICATION LOWER LEG SPLIN 514.10 514.10 1441.00 54.00 625.00 case rate 182.21 552.78 245.68 552.78 245.68 182.21 182.21 359.87 182.21 245.68 182.21 552.78 245.68 552.78 182.21 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 182.21 182.21 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 182.21 182.21 182.21 54.00 1085.00 per visit 245.68 552.78 245.68 182.21 245.68 245.68 245.68 182.21 245.68 359.87 182.21 552.78 245.68 775.00 per case 245.68 182.21 775.00 per case 182.21 182.21 245.68 552.78 245.68 552.78 245.68 79.83 450000505 450 29530 APPLICATION STRAPPING KNEE 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 552.78 245.68 552.78 245.68 147.72 147.72 285.67 147.72 245.68 147.72 552.78 245.68 552.78 147.72 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 147.72 147.72 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 147.72 147.72 147.72 40.00 1085.00 per visit 245.68 552.78 245.68 147.72 245.68 245.68 245.68 147.72 245.68 285.67 147.72 552.78 245.68 775.00 per case 245.68 147.72 775.00 per case 147.72 147.72 245.68 552.78 245.68 552.78 245.68 0.00 450000211 450 29540 ER STRAPPING OF ANKLE AND/OR F 518.34 518.34 1441.00 24.47 625.00 case rate 182.21 552.78 245.68 552.78 245.68 182.21 182.21 362.84 182.21 245.68 182.21 552.78 245.68 552.78 182.21 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 182.21 182.21 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 182.21 182.21 182.21 37.00 1085.00 per visit 245.68 552.78 245.68 182.21 245.68 245.68 245.68 182.21 245.68 362.84 182.21 552.78 245.68 775.00 per case 245.68 182.21 775.00 per case 182.21 182.21 245.68 552.78 245.68 552.78 245.68 24.47 450000212 450 29550 ER STRAPPING OF TOES 286.20 286.20 1441.00 0.00 625.00 case rate 70.73 552.78 245.68 552.78 245.68 70.73 70.73 200.34 70.73 245.68 70.73 552.78 245.68 552.78 70.73 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 70.73 70.73 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 70.73 70.73 70.73 33.00 1085.00 per visit 245.68 552.78 245.68 70.73 245.68 245.68 245.68 70.73 245.68 200.34 70.73 552.78 245.68 775.00 per case 245.68 70.73 775.00 per case 70.73 70.73 245.68 552.78 245.68 552.78 245.68 0.00 761000012 510 29580 50 UNNA BOOT STRAPPING BILAT 742.00 742.00 1053.74 0.00 0.00 273.32 1053.74 468.33 1053.74 468.33 273.32 273.32 0.00 273.32 468.33 273.32 1053.74 468.33 1053.74 273.32 226.00 283.00 1053.74 468.33 1053.74 468.33 273.32 273.32 653.07 290.25 290.25 290.25 41.03 1053.74 468.33 1053.74 468.33 273.32 273.32 273.32 82.00 630.70 468.33 1053.74 468.33 273.32 468.33 468.33 468.33 273.32 468.33 519.40 273.32 1053.74 468.33 142.00 per visit 468.33 273.32 142.00 per visit 273.32 273.32 468.33 1053.74 468.33 1053.74 468.33 170.45 761000011 510 29580 LT UNNA BOOT STRAPPING LT 514.10 514.10 702.50 0.00 0.00 182.21 702.50 312.22 702.50 312.22 182.21 182.21 0.00 182.21 312.22 182.21 702.50 312.22 702.50 182.21 226.00 283.00 702.50 312.22 702.50 312.22 182.21 182.21 653.07 290.25 290.25 290.25 27.35 702.50 312.22 702.50 312.22 182.21 182.21 182.21 41.00 436.99 312.22 702.50 312.22 182.21 312.22 312.22 312.22 182.21 312.22 359.87 182.21 702.50 312.22 142.00 per visit 312.22 182.21 142.00 per visit 182.21 182.21 312.22 702.50 312.22 702.50 312.22 75.76 270000001 510 29580 RT UNNA BOOT STRAPPING RT 514.10 514.10 702.50 0.00 0.00 182.21 702.50 312.22 702.50 312.22 182.21 182.21 0.00 182.21 312.22 182.21 702.50 312.22 702.50 182.21 226.00 283.00 702.50 312.22 702.50 312.22 182.21 182.21 653.07 290.25 290.25 290.25 27.35 702.50 312.22 702.50 312.22 182.21 182.21 182.21 41.00 436.99 312.22 702.50 312.22 182.21 312.22 312.22 312.22 182.21 312.22 359.87 182.21 702.50 312.22 142.00 per visit 312.22 182.21 142.00 per visit 182.21 182.21 312.22 702.50 312.22 702.50 312.22 75.76 361500051 510 29581 50 MULTLAY C0MPRS WRAP BIL LWR EX 742.00 742.00 1341.48 0.00 0.00 273.32 1053.74 468.33 1053.74 468.33 273.32 273.32 0.00 273.32 468.33 273.32 1053.74 468.33 1053.74 273.32 226.00 283.00 1053.74 468.33 1053.74 468.33 273.32 273.32 653.07 1341.48 290.25 1341.48 112.38 1053.74 468.33 1053.74 468.33 273.32 273.32 273.32 142.00 630.70 468.33 1053.74 468.33 273.32 468.33 468.33 468.33 273.32 468.33 519.40 273.32 1053.74 468.33 142.00 per visit 468.33 273.32 142.00 per visit 273.32 273.32 468.33 1053.74 468.33 1053.74 468.33 266.15 361500049 510 29581 LT MULTLAY C0MPRS WRAP LT LWR EX 514.10 514.10 894.32 0.00 0.00 182.21 702.50 312.22 702.50 312.22 182.21 182.21 0.00 182.21 312.22 182.21 702.50 312.22 702.50 182.21 226.00 283.00 702.50 312.22 702.50 312.22 182.21 182.21 653.07 894.32 290.25 894.32 74.92 702.50 312.22 702.50 312.22 182.21 182.21 182.21 71.00 436.99 312.22 702.50 312.22 182.21 312.22 312.22 312.22 182.21 312.22 359.87 182.21 702.50 312.22 142.00 per visit 312.22 182.21 142.00 per visit 182.21 182.21 312.22 702.50 312.22 702.50 312.22 118.29 361500050 510 29581 RT MULTLAY C0MPRS WRAP RT LWR EX 514.10 514.10 894.32 0.00 0.00 182.21 702.50 312.22 702.50 312.22 182.21 182.21 0.00 182.21 312.22 182.21 702.50 312.22 702.50 182.21 226.00 283.00 702.50 312.22 702.50 312.22 182.21 182.21 653.07 894.32 290.25 894.32 74.92 702.50 312.22 702.50 312.22 182.21 182.21 182.21 71.00 436.99 312.22 702.50 312.22 182.21 312.22 312.22 312.22 182.21 312.22 359.87 182.21 702.50 312.22 142.00 per visit 312.22 182.21 142.00 per visit 182.21 182.21 312.22 702.50 312.22 702.50 312.22 118.29 450000215 450 29799 ER CASTING AND STRAPPING PROCE 518.34 518.34 1441.00 182.21 625.00 case rate 182.21 552.78 245.68 552.78 245.68 182.21 182.21 362.84 182.21 245.68 182.21 552.78 245.68 552.78 182.21 1153.00 case rate 1441.00 case rate 552.78 245.68 552.78 245.68 182.21 182.21 513.91 165.00 per visit 228.40 165.00 per visit 225.00 per visit 552.78 245.68 552.78 245.68 182.21 182.21 182.21 362.84 1085.00 per visit 245.68 552.78 245.68 182.21 245.68 245.68 245.68 182.21 245.68 362.84 182.21 552.78 245.68 775.00 per case 245.68 182.21 775.00 per case 182.21 182.21 245.68 552.78 245.68 552.78 245.68 273.32 450000122 450 30300 ER REMOVE NASAL FORESIGN BODY 742.00 742.00 1441.00 0.00 625.00 case rate 147.72 349.10 155.16 349.10 155.16 147.72 147.72 519.40 147.72 155.16 147.72 349.10 155.16 349.10 147.72 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 147.72 147.72 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 147.72 147.72 147.72 61.00 1085.00 per visit 155.16 349.10 155.16 147.72 155.16 155.16 155.16 147.72 155.16 519.40 147.72 349.10 155.16 775.00 per case 155.16 147.72 775.00 per case 147.72 147.72 155.16 349.10 155.16 349.10 155.16 0.00 450000275 450 30901 50 CNTRL NASAL HEM ANT SMPL BIL 636.00 636.00 1441.00 0.00 625.00 case rate 221.58 523.65 232.73 523.65 232.73 221.58 221.58 667.80 221.58 232.73 221.58 523.65 232.73 523.65 221.58 1153.00 case rate 1441.00 case rate 523.65 232.73 523.65 232.73 221.58 221.58 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 523.65 232.73 523.65 232.73 221.58 221.58 221.58 132.00 1085.00 per visit 232.73 523.65 232.73 221.58 232.73 232.73 232.73 221.58 232.73 445.20 221.58 523.65 232.73 775.00 per case 232.73 221.58 775.00 per case 221.58 221.58 232.73 523.65 232.73 523.65 232.73 0.00 450000274 450 30901 LT CNTRL NASAL HEM ANT SMPL LT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 349.10 155.16 349.10 155.16 147.72 147.72 285.67 147.72 155.16 147.72 349.10 155.16 349.10 147.72 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 147.72 147.72 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 147.72 147.72 147.72 66.00 1085.00 per visit 155.16 349.10 155.16 147.72 155.16 155.16 155.16 147.72 155.16 285.67 147.72 349.10 155.16 775.00 per case 155.16 147.72 775.00 per case 147.72 147.72 155.16 349.10 155.16 349.10 155.16 0.00 450000273 450 30901 RT CNTRL NASAL HEM ANT SMPL RT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 349.10 155.16 349.10 155.16 147.72 147.72 285.67 147.72 155.16 147.72 349.10 155.16 349.10 147.72 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 147.72 147.72 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 147.72 147.72 147.72 66.00 1085.00 per visit 155.16 349.10 155.16 147.72 155.16 155.16 155.16 147.72 155.16 285.67 147.72 349.10 155.16 775.00 per case 155.16 147.72 775.00 per case 147.72 147.72 155.16 349.10 155.16 349.10 155.16 0.00 450000281 450 30905 CNTRL NASAL HEM POST INIT 408.10 408.10 1441.00 117.92 625.00 case rate 147.72 349.10 155.16 349.10 155.16 147.72 147.72 285.67 147.72 155.16 147.72 349.10 155.16 349.10 147.72 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 147.72 147.72 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 147.72 147.72 147.72 120.00 1085.00 per visit 155.16 349.10 155.16 147.72 155.16 155.16 155.16 147.72 155.16 285.67 147.72 349.10 155.16 775.00 per case 155.16 147.72 775.00 per case 147.72 147.72 155.16 349.10 155.16 349.10 155.16 117.92 450000284 450 30906 CNTRL NASAL HEM POST SUB 784.40 784.40 1441.00 144.25 625.00 case rate 282.46 349.10 155.16 349.10 155.16 282.46 282.46 549.08 282.46 155.16 282.46 349.10 155.16 349.10 282.46 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 282.46 282.46 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 282.46 282.46 282.46 160.00 1085.00 per visit 155.16 349.10 155.16 282.46 155.16 155.16 155.16 282.46 155.16 549.08 282.46 349.10 155.16 775.00 per case 155.16 282.46 775.00 per case 282.46 282.46 155.16 349.10 155.16 349.10 155.16 225.49 450000559 450 30999 UNLISTED PROCEDURE NOSE 784.40 784.40 3246.56 282.46 625.00 case rate 282.46 3246.56 1442.91 3246.56 1442.91 282.46 282.46 549.08 282.46 "1,442.91" 282.46 3246.56 1442.91 3246.56 282.46 1153.00 case rate 1441.00 case rate 3246.56 1442.91 3246.56 1442.91 282.46 282.46 3018.25 165.00 per visit 1341.45 165.00 per visit 225.00 per visit 3246.56 1442.91 3246.56 1442.91 282.46 282.46 282.46 549.08 1085.00 per visit 1442.91 3246.56 1442.91 282.46 1442.91 1442.91 1442.91 282.46 1442.91 549.08 282.46 3246.56 1442.91 775.00 per case 1442.91 282.46 775.00 per case 282.46 282.46 1442.91 3246.56 1442.91 3246.56 1442.91 423.70 410000007 410 31500 INTUBAT-ENDOTRACH-EMERGENCY 784.40 784.40 1389.68 128.00 198.87 282.46 1389.68 617.64 1389.68 617.64 282.46 282.46 131.00 per visit 282.46 617.64 282.46 1389.68 617.64 1389.68 282.46 185.12 231.39 1389.68 617.64 1389.68 617.64 282.46 282.46 1291.91 574.18 574.18 574.18 146.45 1389.68 617.64 1389.68 617.64 282.46 282.46 282.46 128.00 509.86 617.64 1389.68 617.64 282.46 617.64 617.64 617.64 282.46 617.64 549.08 282.46 1389.68 617.64 147 per visit 617.64 282.46 147 per visit 282.46 282.46 617.64 1389.68 617.64 1389.68 617.64 225.49 450000220 450 31500 ER INSERT EMERGENCY AIRWAY 784.40 784.40 1494.50 128.00 625.00 case rate 282.46 1494.50 664.22 1494.50 664.22 282.46 282.46 549.08 282.46 664.22 282.46 1494.50 664.22 1494.50 282.46 1153.00 case rate 1441.00 case rate 1494.50 664.22 1494.50 664.22 282.46 282.46 1389.40 165.00 per visit 617.51 165.00 per visit 225.00 per visit 1494.50 664.22 1494.50 664.22 282.46 282.46 282.46 128.00 1085.00 per visit 664.22 1494.50 664.22 282.46 664.22 664.22 664.22 282.46 664.22 549.08 282.46 1494.50 664.22 775.00 per case 664.22 282.46 775.00 per case 282.46 282.46 664.22 1494.50 664.22 1494.50 664.22 225.49 450000221 450 31502 ER TRACHEOTOMY TUBE CHANGEPRIO 784.40 784.40 1441.00 39.00 625.00 case rate 282.46 349.10 155.16 349.10 155.16 282.46 282.46 549.08 282.46 155.16 282.46 349.10 155.16 349.10 282.46 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 282.46 282.46 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 282.46 282.46 282.46 39.00 1085.00 per visit 155.16 349.10 155.16 282.46 155.16 155.16 155.16 282.46 155.16 549.08 282.46 349.10 155.16 775.00 per case 155.16 282.46 775.00 per case 282.46 282.46 155.16 349.10 155.16 349.10 155.16 225.49 450000506 450 31505 LAYRNGOSCOPY INDIRECT 625.40 625.40 1441.00 36.00 625.00 case rate 229.06 349.10 155.16 349.10 155.16 229.06 229.06 437.78 229.06 155.16 229.06 349.10 155.16 349.10 229.06 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 229.06 229.06 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 229.06 229.06 229.06 36.00 1085.00 per visit 155.16 349.10 155.16 229.06 155.16 155.16 155.16 229.06 155.16 437.78 229.06 349.10 155.16 775.00 per case 155.16 229.06 775.00 per case 229.06 229.06 155.16 349.10 155.16 349.10 155.16 117.13 360000124 450 31530 LARYNGOSCOPY DIRECT W FB REMOV 5194.00 5194.00 3635.80 224.00 625.00 case rate 1962.72 994.69 442.09 994.69 442.09 1962.72 1962.72 3635.80 1962.72 442.09 1962.72 994.69 442.09 994.69 1962.72 1153.00 case rate 1441.00 case rate 994.69 442.09 994.69 442.09 1962.72 1962.72 924.74 165.00 per visit 411.00 165.00 per visit 225.00 per visit 994.69 442.09 994.69 442.09 1962.72 1962.72 1962.72 224.00 1085.00 per visit 442.09 994.69 442.09 1962.72 442.09 442.09 442.09 1962.72 442.09 3635.80 1962.72 994.69 442.09 775.00 per case 442.09 1962.72 775.00 per case 1962.72 1962.72 442.09 994.69 442.09 994.69 442.09 "1,347.39" 362401131 510 31575 ENT LARYNGOSCOPY FLEX DIAG 625.40 625.40 531.59 0.00 0.00 229.06 324.62 144.27 324.62 144.27 229.06 229.06 0.00 229.06 144.27 229.06 324.62 144.27 324.62 229.06 226.00 283.00 324.62 144.27 324.62 144.27 229.06 229.06 301.78 134.12 134.12 134.12 73.94 324.62 144.27 324.62 144.27 229.06 229.06 229.06 73.00 531.59 144.27 324.62 144.27 229.06 144.27 144.27 144.27 229.06 144.27 437.78 229.06 324.62 144.27 142.00 per visit 144.27 229.06 142.00 per visit 229.06 229.06 144.27 324.62 144.27 324.62 144.27 163.15 450000507 450 31605 TRACH EMER PX CRICOTHYROID MEM 1758.54 1758.54 5201.60 211.00 625.00 case rate 282.46 5201.60 2311.82 5201.60 2311.82 282.46 282.46 1230.98 282.46 "2,311.82" 282.46 5201.60 2311.82 5201.60 282.46 1153.00 case rate 1441.00 case rate 5201.60 2311.82 5201.60 2311.82 282.46 282.46 4835.81 165.00 per visit 2149.25 165.00 per visit 225.00 per visit 5201.60 2311.82 5201.60 2311.82 282.46 282.46 282.46 211.00 1085.00 per visit 2311.82 5201.60 2311.82 282.46 2311.82 2311.82 2311.82 282.46 2311.82 1230.98 282.46 5201.60 2311.82 775.00 per case 2311.82 282.46 775.00 per case 282.46 282.46 2311.82 5201.60 2311.82 5201.60 2311.82 225.49 361000010 361 32400 BX NDL PLEURA 5257.60 5257.60 3680.32 81.31 2515.00 case rate 1874.86 1557.36 692.16 1557.36 692.16 1874.86 1874.86 2810.00 per visit 1874.86 692.16 1874.86 1557.36 692.16 1557.36 1874.86 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1447.81 81.31 643.47 81.31 85.82 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1874.86 97.00 2831.00 per case 692.16 1557.36 692.16 1874.86 692.16 692.16 692.16 1874.86 692.16 3680.32 1874.86 1557.36 692.16 2300.00 per case 692.16 1874.86 2300.00 per case 1874.86 1874.86 692.16 1557.36 692.16 1557.36 692.16 "1,215.29" 361000027 361 32400 BX NDL PLEURA 5257.60 5257.60 3680.32 81.31 2515.00 case rate 1874.86 1557.36 692.16 1557.36 692.16 1874.86 1874.86 2810.00 per visit 1874.86 692.16 1874.86 1557.36 692.16 1557.36 1874.86 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1447.81 81.31 643.47 81.31 85.82 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1874.86 97.00 2831.00 per case 692.16 1557.36 692.16 1874.86 692.16 692.16 692.16 1874.86 692.16 3680.32 1874.86 1557.36 692.16 2300.00 per case 692.16 1874.86 2300.00 per case 1874.86 1874.86 692.16 1557.36 692.16 1557.36 692.16 "1,215.29" 361000045 361 32400 BX NDL PLEURA 5257.60 5257.60 3680.32 81.31 2515.00 case rate 1874.86 1557.36 692.16 1557.36 692.16 1874.86 1874.86 2810.00 per visit 1874.86 692.16 1874.86 1557.36 692.16 1557.36 1874.86 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1447.81 81.31 643.47 81.31 85.82 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1874.86 97.00 2831.00 per case 692.16 1557.36 692.16 1874.86 692.16 692.16 692.16 1874.86 692.16 3680.32 1874.86 1557.36 692.16 2300.00 per case 692.16 1874.86 2300.00 per case 1874.86 1874.86 692.16 1557.36 692.16 1557.36 692.16 "1,215.29" 361000054 361 32551 TUBE THORACOST INC WATER SEAL 4176.40 4176.40 2923.48 162.74 2515.00 case rate 1852.02 1557.36 692.16 1557.36 692.16 1852.02 1852.02 2810.00 per visit 1852.02 692.16 1852.02 1557.36 692.16 1557.36 1852.02 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1852.02 1852.02 1447.81 643.47 643.47 643.47 162.74 1557.36 692.16 1557.36 692.16 1852.02 1852.02 1852.02 174.00 2831.00 per case 692.16 1557.36 692.16 1852.02 692.16 692.16 692.16 1852.02 692.16 2923.48 1852.02 1557.36 692.16 2300.00 per case 692.16 1852.02 2300.00 per case 1852.02 1852.02 692.16 1557.36 692.16 1557.36 692.16 256.95 352500100 361 32555 THORACENTESIS PLEURAL W IMAG 2369.10 2369.10 2831.00 105.72 2515.00 case rate 726.46 1557.36 692.16 1557.36 692.16 726.46 726.46 2810.00 per visit 726.46 692.16 726.46 1557.36 692.16 1557.36 726.46 1635.00 2044.00 1557.36 692.16 1557.36 692.16 726.46 726.46 1447.81 105.72 643.47 105.72 111.60 1557.36 692.16 1557.36 692.16 726.46 726.46 726.46 752.00 2831.00 per case 692.16 1557.36 692.16 726.46 692.16 692.16 692.16 726.46 692.16 1658.37 726.46 1557.36 692.16 2300.00 per case 692.16 726.46 2300.00 per case 726.46 726.46 692.16 1557.36 692.16 1557.36 692.16 579.92 360005026 761 32556 INSERT CATH PLEURA W/O IMAGE 11032.48 11032.48 9377.61 0.00 81.35 2200.43 1571.58 698.48 1571.58 698.48 2200.43 2200.43 2810.00 per visit 2200.43 698.48 2200.43 1571.58 698.48 1571.58 2200.43 163.08 203.85 1571.58 698.48 1571.58 698.48 2200.43 2200.43 1461.06 649.36 649.36 649.36 129.02 1571.58 698.48 1571.58 698.48 2200.43 2200.43 2200.43 686.00 9377.61 698.48 1571.58 698.48 2200.43 698.48 698.48 698.48 2200.43 698.48 7722.74 2200.43 1571.58 698.48 0.00 698.48 2200.43 0.00 2200.43 2200.43 698.48 1571.58 698.48 1571.58 698.48 "1,480.31" 352500101 361 32557 CATH INSERT PLEURAL W IMAG 4176.40 4176.40 2923.48 144.38 2515.00 case rate 1852.02 1557.36 692.16 1557.36 692.16 1852.02 1852.02 2810.00 per visit 1852.02 692.16 1852.02 1557.36 692.16 1557.36 1852.02 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1852.02 1852.02 1447.81 144.38 643.47 144.38 152.40 1557.36 692.16 1557.36 692.16 1852.02 1852.02 1852.02 1118.00 2831.00 per case 692.16 1557.36 692.16 1852.02 692.16 692.16 692.16 1852.02 692.16 2923.48 1852.02 1557.36 692.16 2300.00 per case 692.16 1852.02 2300.00 per case 1852.02 1852.02 692.16 1557.36 692.16 1557.36 692.16 "1,101.89" 450000515 450 35207 REP BLOOD VESSEL DIRECT- HAND 10085.90 10085.90 7060.13 907.00 625.00 case rate 3686.02 6662.78 2961.24 6662.78 2961.24 3686.02 3686.02 7060.13 3686.02 "2,961.24" 3686.02 6662.78 2961.24 6662.78 3686.02 1153.00 case rate 1441.00 case rate 6662.78 2961.24 6662.78 2961.24 3686.02 3686.02 6194.24 165.00 per visit 2753.00 165.00 per visit 225.00 per visit 6662.78 2961.24 6662.78 2961.24 3686.02 3686.02 3686.02 907.00 1085.00 per visit 2961.24 6662.78 2961.24 3686.02 2961.24 2961.24 2961.24 3686.02 2961.24 7060.13 3686.02 6662.78 2961.24 775.00 per case 2961.24 3686.02 775.00 per case 3686.02 3686.02 2961.24 6662.78 2961.24 6662.78 2961.24 "2,754.82" 450000516 450 35226 REP BLD VESSEL DIRECT LOW EXTR 2215.40 2215.40 6662.78 813.62 625.00 case rate 813.62 6662.78 2961.24 6662.78 2961.24 813.62 813.62 1550.78 813.62 "2,961.24" 813.62 6662.78 2961.24 6662.78 813.62 1153.00 case rate 1441.00 case rate 6662.78 2961.24 6662.78 2961.24 813.62 813.62 6194.24 165.00 per visit 2753.00 165.00 per visit 225.00 per visit 6662.78 2961.24 6662.78 2961.24 813.62 813.62 813.62 1015.00 1085.00 per visit 2961.24 6662.78 2961.24 813.62 2961.24 2961.24 2961.24 813.62 2961.24 1550.78 813.62 6662.78 2961.24 775.00 per case 2961.24 813.62 775.00 per case 813.62 813.62 2961.24 6662.78 2961.24 6662.78 2961.24 "1,380.29" 450000575 450 36000 INTRO NDL/INTRACATH VEIN 96.46 96.46 1441.00 0.00 625.00 case rate 0.00 83.31 37.03 83.31 37.03 0.00 0.00 67.52 0.00 37.03 0.00 83.31 37.03 83.31 0.00 1153.00 case rate 1441.00 case rate 83.31 37.03 83.31 37.03 0.00 0.00 77.45 165.00 per visit 34.42 165.00 per visit 225.00 per visit 83.31 37.03 83.31 37.03 0.00 0.00 0.00 10.00 1085.00 per visit 37.03 83.31 37.03 0.00 37.03 37.03 37.03 0.00 37.03 67.52 0.00 83.31 37.03 775.00 per case 37.03 0.00 775.00 per case 0.00 0.00 37.03 83.31 37.03 83.31 37.03 0.00 360000509 459 36410 NON-ROUTINE BL DRAW 3/> YRS 47.70 47.70 1441.00 0.00 625.00 case rate 0.00 83.31 37.03 83.31 37.03 0.00 0.00 13.95 0.00 37.03 0.00 83.31 37.03 83.31 0.00 1153.00 case rate 1441.00 case rate 83.31 37.03 83.31 37.03 0.00 0.00 77.45 165.00 per visit 34.42 165.00 per visit 225.00 per visit 83.31 37.03 83.31 37.03 0.00 0.00 0.00 10.00 0.00 37.03 83.31 37.03 0.00 37.03 37.03 37.03 0.00 37.03 33.39 0.00 83.31 37.03 775.00 per case 37.03 0.00 775.00 per case 0.00 0.00 37.03 83.31 37.03 83.31 37.03 0.00 362002064 519 36410 NON-ROUTINE BL DRAW 3/> YRS 47.70 47.70 283.00 0.00 0.00 0.00 77.47 34.43 77.47 34.43 0.00 0.00 13.95 0.00 34.43 0.00 77.47 34.43 77.47 0.00 226.00 283.00 77.47 34.43 77.47 34.43 0.00 0.00 72.02 32.01 32.01 32.01 9.47 77.47 34.43 77.47 34.43 0.00 0.00 0.00 10.00 40.55 34.43 77.47 34.43 0.00 34.43 34.43 34.43 0.00 34.43 33.39 0.00 77.47 34.43 142.00 per visit 34.43 0.00 142.00 per visit 0.00 0.00 34.43 77.47 34.43 77.47 34.43 0.00 300000021 300 36415 ROUTINE VENIPINCTURE 47.70 47.70 103.76 2.00 10.07 8.83 103.76 46.11 103.76 46.11 8.83 8.83 7.16 8.83 46.11 8.83 103.76 46.11 103.76 8.83 10.60 13.25 103.76 46.11 103.76 46.11 8.83 8.83 96.46 42.87 42.87 42.87 8.39 103.76 46.11 103.76 46.11 8.83 8.83 8.83 2.00 31.01 46.11 103.76 46.11 8.83 46.11 46.11 46.11 8.83 46.11 33.39 8.83 103.76 46.11 46.11 46.11 8.83 103.76 8.83 8.83 46.11 103.76 46.11 103.76 46.11 13.25 337000031 300 36415 VENIPUNCTURE 47.70 47.70 103.76 2.00 10.07 8.83 103.76 46.11 103.76 46.11 8.83 8.83 7.16 8.83 46.11 8.83 103.76 46.11 103.76 8.83 10.60 13.25 103.76 46.11 103.76 46.11 8.83 8.83 96.46 42.87 42.87 42.87 8.39 103.76 46.11 103.76 46.11 8.83 8.83 8.83 2.00 31.01 46.11 103.76 46.11 8.83 46.11 46.11 46.11 8.83 46.11 33.39 8.83 103.76 46.11 46.11 46.11 8.83 103.76 8.83 8.83 46.11 103.76 46.11 103.76 46.11 13.25 362000200 300 36415 ENDOCRN VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362000400 300 36415 ONC VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362000600 300 36415 INFECTIOUS DIS VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362000800 300 36415 GASTRO VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362001000 300 36415 RHEUM ROUNTINE VENIPUNCTUR 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362001200 300 36415 NEPHRO VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362001400 300 36415 NEURO VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362001800 300 36415 HEMO VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362002000 300 36415 IM VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362002200 300 36415 PULM VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362002400 300 36415 FP VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362002800 300 36415 CARD VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362400100 300 36415 PODIATRY VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362400326 300 36415 GEN SURG VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362400700 300 36415 BREAST VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362400900 300 36415 UROLOGY VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362401100 300 36415 ENT VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362401300 300 36415 ORTHO VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362401500 300 36415 VASCULAR VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362500100 300 36415 OB/GYN VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362600100 300 36415 PEDS NEURO VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362600200 300 36415 PEDS VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 362600300 300 36415 PEDS CARD VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 450000046 300 36415 ER ROUTINE VENIPUNCTURE 47.70 47.70 103.76 2.00 10.07 8.83 103.76 46.11 103.76 46.11 8.83 8.83 7.16 8.83 46.11 8.83 103.76 46.11 103.76 8.83 10.60 13.25 103.76 46.11 103.76 46.11 8.83 8.83 96.46 42.87 42.87 42.87 8.39 103.76 46.11 103.76 46.11 8.83 8.83 8.83 2.00 31.01 46.11 103.76 46.11 8.83 46.11 46.11 46.11 8.83 46.11 33.39 8.83 103.76 46.11 46.11 46.11 8.83 103.76 8.83 8.83 46.11 103.76 46.11 103.76 46.11 13.25 510000242 300 36415 ROUTINE VENIPUNCTURE 47.70 47.70 96.48 2.00 10.07 8.83 96.48 42.88 96.48 42.88 8.83 8.83 7.16 8.83 42.88 8.83 96.48 42.88 96.48 8.83 10.60 13.25 96.48 42.88 96.48 42.88 8.83 8.83 89.69 39.86 39.86 39.86 8.39 96.48 42.88 96.48 42.88 8.83 8.83 8.83 2.00 31.01 42.88 96.48 42.88 8.83 42.88 42.88 42.88 8.83 42.88 33.39 8.83 96.48 42.88 42.88 42.88 8.83 96.48 8.83 8.83 42.88 96.48 42.88 96.48 42.88 13.25 450000557 300 36416 COLLECT CAPPILLARY BLOOD SPECI 58.30 58.30 103.76 0.00 34.92 0.00 103.76 46.11 103.76 46.11 0.00 0.00 7.16 0.00 46.11 0.00 103.76 46.11 103.76 0.00 0.00 0.00 103.76 46.11 103.76 46.11 0.00 0.00 96.46 42.87 42.87 42.87 0.00 103.76 46.11 103.76 46.11 0.00 0.00 0.00 0.01 37.90 46.11 103.76 46.11 0.00 46.11 46.11 46.11 0.00 46.11 40.81 0.00 103.76 46.11 46.11 46.11 0.00 103.76 0.00 0.00 46.11 103.76 46.11 103.76 46.11 0.00 391000001 391 36430 TRANSFUSE BLOOD/PRODUCTS 4273.92 4273.92 3632.83 29.93 29.93 502.00 1401.09 622.71 1401.09 622.71 502.00 502.00 2991.74 502.00 622.71 502.00 1401.09 622.71 1401.09 502.00 2778.05 2778.05 1401.09 622.71 1401.09 622.71 502.00 502.00 1302.53 578.90 578.90 578.90 47.46 1401.09 622.71 1401.09 622.71 502.00 502.00 502.00 50.00 3632.83 622.71 1401.09 622.71 502.00 622.71 622.71 622.71 502.00 622.71 2991.74 502.00 1401.09 622.71 0.00 per visit 622.71 502.00 0.00 per visit 502.00 502.00 622.71 1401.09 622.71 1401.09 622.71 72.25 450000574 450 36430 BLOOD TRANSFUSION SERVICE 4273.92 4273.92 2991.74 50.00 625.00 case rate 502.00 1413.88 628.39 1413.88 628.39 502.00 502.00 2991.74 502.00 628.39 502.00 1413.88 628.39 1413.88 502.00 1153.00 case rate 1441.00 case rate 1413.88 628.39 1413.88 628.39 502.00 502.00 1314.45 165.00 per visit 584.20 165.00 per visit 225.00 per visit 1413.88 628.39 1413.88 628.39 502.00 502.00 502.00 50.00 1085.00 per visit 628.39 1413.88 628.39 502.00 628.39 628.39 628.39 502.00 628.39 2991.74 502.00 1413.88 628.39 775.00 per case 628.39 502.00 775.00 per case 502.00 502.00 628.39 1413.88 628.39 1413.88 628.39 72.25 300000020 761 36514 THERAPEUTIC APHERESIS 4770.00 4770.00 4954.56 0.00 60.62 1774.30 4954.56 2202.03 4954.56 2202.03 1774.30 1774.30 2810.00 per visit 1774.30 "2,202.03" 1774.30 4954.56 2202.03 4954.56 1774.30 121.53 151.92 4954.56 2202.03 4954.56 2202.03 1774.30 1774.30 4605.97 2047.10 2047.10 2047.10 96.15 4954.56 2202.03 4954.56 2202.03 1774.30 1774.30 1774.30 102.00 4054.50 2202.03 4954.56 2202.03 1774.30 2202.03 2202.03 2202.03 1774.30 2202.03 3339.00 1774.30 4954.56 2202.03 0.00 2202.03 1774.30 0.00 1774.30 1774.30 2202.03 4954.56 2202.03 4954.56 2202.03 "1,416.40" 450000602 450 36556 INS NON TUNNEL CV CATH 5YRS> 4176.40 4176.40 3686.02 145.00 625.00 case rate 3686.02 607.68 270.08 607.68 270.08 3686.02 3686.02 2923.48 3686.02 270.08 3686.02 607.68 270.08 607.68 3686.02 1153.00 case rate 1441.00 case rate 607.68 270.08 607.68 270.08 3686.02 3686.02 564.95 165.00 per visit 251.09 165.00 per visit 225.00 per visit 607.68 270.08 607.68 270.08 3686.02 3686.02 3686.02 145.00 1085.00 per visit 270.08 607.68 270.08 3686.02 270.08 270.08 270.08 3686.02 270.08 2923.48 3686.02 607.68 270.08 775.00 per case 270.08 3686.02 775.00 per case 3686.02 3686.02 270.08 607.68 270.08 607.68 270.08 "2,754.82" 450000605 450 36557 INS TUNLED CV CATH < THEN 5YRS 16716.20 16716.20 11701.34 373.00 625.00 case rate 6354.84 3615.68 1606.97 3615.68 1606.97 6354.84 6354.84 11701.34 6354.84 "1,606.97" 6354.84 3615.68 1606.97 3615.68 6354.84 1153.00 case rate 1441.00 case rate 3615.68 1606.97 3615.68 1606.97 6354.84 6354.84 3361.42 165.00 per visit 1493.96 165.00 per visit 225.00 per visit 3615.68 1606.97 3615.68 1606.97 6354.84 6354.84 6354.84 373.00 1085.00 per visit 1606.97 3615.68 1606.97 6354.84 1606.97 1606.97 1606.97 6354.84 1606.97 11701.34 6354.84 3615.68 1606.97 775.00 per case 1606.97 6354.84 775.00 per case 6354.84 6354.84 1606.97 3615.68 1606.97 3615.68 1606.97 "5,166.36" 450000606 450 36558 INS TUNLED CV CATH > THEN 5YRS 10085.90 10085.90 7060.13 355.00 625.00 case rate 3686.02 3615.68 1606.97 3615.68 1606.97 3686.02 3686.02 7060.13 3686.02 "1,606.97" 3686.02 3615.68 1606.97 3615.68 3686.02 1153.00 case rate 1441.00 case rate 3615.68 1606.97 3615.68 1606.97 3686.02 3686.02 3361.42 165.00 per visit 1493.96 165.00 per visit 225.00 per visit 3615.68 1606.97 3615.68 1606.97 3686.02 3686.02 3686.02 355.00 1085.00 per visit 1606.97 3615.68 1606.97 3686.02 1606.97 1606.97 1606.97 3686.02 1606.97 7060.13 3686.02 3615.68 1606.97 775.00 per case 1606.97 3686.02 775.00 per case 3686.02 3686.02 1606.97 3615.68 1606.97 3615.68 1606.97 "2,754.82" 450000604 450 36569 INS PICC AGE 5 YRS /> 4176.40 4176.40 2923.48 112.00 625.00 case rate 1852.02 607.68 270.08 607.68 270.08 1852.02 1852.02 2923.48 1852.02 270.08 1852.02 607.68 270.08 607.68 1852.02 1153.00 case rate 1441.00 case rate 607.68 270.08 607.68 270.08 1852.02 1852.02 564.95 165.00 per visit 251.09 165.00 per visit 225.00 per visit 607.68 270.08 607.68 270.08 1852.02 1852.02 1852.02 112.00 1085.00 per visit 270.08 607.68 270.08 1852.02 270.08 270.08 270.08 1852.02 270.08 2923.48 1852.02 607.68 270.08 775.00 per case 270.08 1852.02 775.00 per case 1852.02 1852.02 270.08 607.68 270.08 607.68 270.08 "1,101.89" 360005013 450 36580 REPLACE NON-TUNNELED CV CATH 5417.66 5417.66 3792.36 83.67 625.00 case rate 1852.02 607.68 270.08 607.68 270.08 1852.02 1852.02 3792.36 1852.02 270.08 1852.02 607.68 270.08 607.68 1852.02 1153.00 case rate 1441.00 case rate 607.68 270.08 607.68 270.08 1852.02 1852.02 564.95 165.00 per visit 251.09 165.00 per visit 225.00 per visit 607.68 270.08 607.68 270.08 1852.02 1852.02 1852.02 83.67 1085.00 per visit 270.08 607.68 270.08 1852.02 270.08 270.08 270.08 1852.02 270.08 3792.36 1852.02 607.68 270.08 775.00 per case 270.08 1852.02 775.00 per case 1852.02 1852.02 270.08 607.68 270.08 607.68 270.08 "1,101.89" 360005019 761 36584 COMPL RPLCMT PICC RS&I 5421.90 5421.90 4608.62 0.00 37.65 1852.02 607.68 270.08 607.68 270.08 1852.02 1852.02 2810.00 per visit 1852.02 270.08 1852.02 607.68 270.08 607.68 1852.02 75.47 94.34 607.68 270.08 607.68 270.08 1852.02 1852.02 564.95 251.09 251.09 251.09 59.71 607.68 270.08 607.68 270.08 1852.02 1852.02 1852.02 85.73 4608.62 270.08 607.68 270.08 1852.02 270.08 270.08 270.08 1852.02 270.08 3795.33 1852.02 607.68 270.08 0.00 270.08 1852.02 0.00 1852.02 1852.02 270.08 607.68 270.08 607.68 270.08 "1,101.89" 450000603 450 36589 REMOVAL TNL CV CATH 2369.10 2369.10 2140.61 178.00 625.00 case rate 726.46 2140.61 951.38 2140.61 951.38 726.46 726.46 1658.37 726.46 951.38 726.46 2140.61 951.38 2140.61 726.46 1153.00 case rate 1441.00 case rate 2140.61 951.38 2140.61 951.38 726.46 726.46 1990.08 165.00 per visit 884.48 165.00 per visit 225.00 per visit 2140.61 951.38 2140.61 951.38 726.46 726.46 726.46 178.00 1085.00 per visit 951.38 2140.61 951.38 726.46 951.38 951.38 951.38 726.46 951.38 1658.37 726.46 2140.61 951.38 775.00 per case 951.38 726.46 775.00 per case 726.46 726.46 951.38 2140.61 951.38 2140.61 951.38 579.92 360000119 450 36590 REM TUNLED CVAD W PORT/PUMP 3593.40 3593.40 2515.38 241.80 625.00 case rate 1852.02 2140.61 951.38 2140.61 951.38 1852.02 1852.02 2515.38 1852.02 951.38 1852.02 2140.61 951.38 2140.61 1852.02 1153.00 case rate 1441.00 case rate 2140.61 951.38 2140.61 951.38 1852.02 1852.02 1990.08 165.00 per visit 884.48 165.00 per visit 225.00 per visit 2140.61 951.38 2140.61 951.38 1852.02 1852.02 1852.02 241.80 1085.00 per visit 951.38 2140.61 951.38 1852.02 951.38 951.38 951.38 1852.02 951.38 2515.38 1852.02 2140.61 951.38 775.00 per case 951.38 1852.02 775.00 per case 1852.02 1852.02 951.38 2140.61 951.38 2140.61 951.38 "1,101.89" 360005003 450 36593 DECLOTTING VAD WITH TPA 1138.44 1138.44 1441.00 40.00 625.00 case rate 391.64 698.60 310.49 698.60 310.49 391.64 391.64 796.91 391.64 310.49 391.64 698.60 310.49 698.60 391.64 1153.00 case rate 1441.00 case rate 698.60 310.49 698.60 310.49 391.64 391.64 649.47 165.00 per visit 288.66 165.00 per visit 225.00 per visit 698.60 310.49 698.60 310.49 391.64 391.64 391.64 40.00 1085.00 per visit 310.49 698.60 310.49 391.64 310.49 310.49 310.49 391.64 310.49 796.91 391.64 698.60 310.49 775.00 per case 310.49 391.64 775.00 per case 391.64 391.64 310.49 698.60 310.49 698.60 310.49 59.44 450000601 450 36600 ARTERIAL PUNCTURE BLOOD DX 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 83.31 37.03 83.31 37.03 147.72 147.72 285.67 147.72 37.03 147.72 83.31 37.03 83.31 147.72 1153.00 case rate 1441.00 case rate 83.31 37.03 83.31 37.03 147.72 147.72 77.45 165.00 per visit 34.42 165.00 per visit 225.00 per visit 83.31 37.03 83.31 37.03 147.72 147.72 147.72 17.00 1085.00 per visit 37.03 83.31 37.03 147.72 37.03 37.03 37.03 147.72 37.03 285.67 147.72 83.31 37.03 775.00 per case 37.03 147.72 775.00 per case 147.72 147.72 37.03 83.31 37.03 83.31 37.03 0.00 450000518 450 36620 ARTERIAL CATH/CANNULATION 227.90 227.90 1441.00 0.00 625.00 case rate 0.00 496.00 220.45 496.00 220.45 0.00 0.00 159.53 0.00 220.45 0.00 496.00 220.45 496.00 0.00 1153.00 case rate 1441.00 case rate 496.00 220.45 496.00 220.45 0.00 0.00 461.12 165.00 per visit 204.94 165.00 per visit 225.00 per visit 496.00 220.45 496.00 220.45 0.00 0.00 0.00 58.00 1085.00 per visit 220.45 496.00 220.45 0.00 220.45 220.45 220.45 0.00 220.45 159.53 0.00 496.00 220.45 775.00 per case 220.45 0.00 775.00 per case 0.00 0.00 220.45 496.00 220.45 496.00 220.45 0.00 352500102 361 37197 REMOVAL INTVAS FOREIGN BDY 10085.90 10085.90 7060.13 293.30 2515.00 case rate 3686.02 5717.88 2541.28 5717.88 2541.28 3686.02 3686.02 2810.00 per visit 3686.02 "2,541.28" 3686.02 5717.88 2541.28 5717.88 3686.02 1635.00 2044.00 5717.88 2541.28 5717.88 2541.28 3686.02 3686.02 5315.65 293.30 2362.51 293.30 309.60 5717.88 2541.28 5717.88 2541.28 3686.02 3686.02 3686.02 1822.00 2831.00 per case 2541.28 5717.88 2541.28 3686.02 2541.28 2541.28 2541.28 3686.02 2541.28 7060.13 3686.02 5717.88 2541.28 2300.00 per case 2541.28 3686.02 2300.00 per case 3686.02 3686.02 2541.28 5717.88 2541.28 5717.88 2541.28 "3,531.21" 360005020 761 37799 UNLISTED VASCULAR PROCEDURE 2088.20 2088.20 6662.78 0.00 1250.83 726.46 6662.78 2961.24 6662.78 2961.24 726.46 726.46 2810.00 per visit 726.46 "2,961.24" 726.46 6662.78 2961.24 6662.78 726.46 872.33 1090.42 6662.78 2961.24 6662.78 2961.24 726.46 726.46 6194.24 2753.00 2753.00 2753.00 690.14 6662.78 2961.24 6662.78 2961.24 726.46 726.46 726.46 1461.74 1774.97 2961.24 6662.78 2961.24 726.46 2961.24 2961.24 2961.24 726.46 2961.24 1461.74 726.46 6662.78 2961.24 0.00 2961.24 726.46 0.00 726.46 726.46 2961.24 6662.78 2961.24 6662.78 2961.24 "1,089.69" 352600011 361 38792 RA TRACER ID OF SENTINL NODE 1476.58 1476.58 2831.00 0.00 2515.00 case rate 476.95 882.74 392.33 882.74 392.33 476.95 476.95 2810.00 per visit 476.95 392.33 476.95 882.74 392.33 882.74 476.95 1635.00 2044.00 882.74 392.33 882.74 392.33 476.95 476.95 820.65 31.60 364.73 31.60 33.35 882.74 392.33 882.74 392.33 476.95 476.95 476.95 30.00 2831.00 per case 392.33 882.74 392.33 476.95 392.33 392.33 392.33 476.95 392.33 1033.61 476.95 882.74 392.33 2300.00 per case 392.33 476.95 2300.00 per case 476.95 476.95 392.33 882.74 392.33 882.74 392.33 0.00 450000519 450 40650 REPAIR LIP- FULL THICK VERMILL 1860.30 1860.30 1441.00 144.25 625.00 case rate 636.26 349.10 155.16 349.10 155.16 636.26 636.26 1302.21 636.26 155.16 636.26 349.10 155.16 349.10 636.26 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 636.26 636.26 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 636.26 636.26 636.26 380.00 1085.00 per visit 155.16 349.10 155.16 636.26 155.16 155.16 155.16 636.26 155.16 1302.21 636.26 349.10 155.16 775.00 per case 155.16 636.26 775.00 per case 636.26 636.26 155.16 349.10 155.16 349.10 155.16 507.92 360000115 450 40800 "DRAIN ABC,CYST,HEM MOUTH SIM" 2215.40 2215.40 1550.78 90.00 625.00 case rate 813.62 357.86 159.05 357.86 159.05 813.62 813.62 1550.78 813.62 159.05 813.62 357.86 159.05 357.86 813.62 1153.00 case rate 1441.00 case rate 357.86 159.05 357.86 159.05 813.62 813.62 332.69 165.00 per visit 147.86 165.00 per visit 225.00 per visit 357.86 159.05 357.86 159.05 813.62 813.62 813.62 90.00 1085.00 per visit 159.05 357.86 159.05 813.62 159.05 159.05 159.05 813.62 159.05 1550.78 813.62 357.86 159.05 775.00 per case 159.05 813.62 775.00 per case 813.62 813.62 159.05 357.86 159.05 357.86 159.05 275.04 450000520 450 40804 REM FOREIGN BODY MOUTH SIMPLE 2909.70 2909.70 2036.79 0.00 625.00 case rate 1048.26 357.86 159.05 357.86 159.05 1048.26 1048.26 2036.79 1048.26 159.05 1048.26 357.86 159.05 357.86 1048.26 1153.00 case rate 1441.00 case rate 357.86 159.05 357.86 159.05 1048.26 1048.26 332.69 165.00 per visit 147.86 165.00 per visit 225.00 per visit 357.86 159.05 357.86 159.05 1048.26 1048.26 1048.26 100.00 1085.00 per visit 159.05 357.86 159.05 1048.26 159.05 159.05 159.05 1048.26 159.05 2036.79 1048.26 357.86 159.05 775.00 per case 159.05 1048.26 775.00 per case 1048.26 1048.26 159.05 357.86 159.05 357.86 159.05 0.00 450000521 450 41250 REP LAC MOUTH/TONG TO 2.5 CM 408.10 408.10 1441.00 0.00 625.00 case rate 460.76 349.10 155.16 349.10 155.16 460.76 460.76 285.67 460.76 155.16 460.76 349.10 155.16 349.10 460.76 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 460.76 460.76 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 460.76 460.76 460.76 161.00 1085.00 per visit 155.16 349.10 155.16 460.76 155.16 155.16 155.16 460.76 155.16 285.67 460.76 349.10 155.16 775.00 per case 155.16 460.76 775.00 per case 460.76 460.76 155.16 349.10 155.16 349.10 155.16 0.00 450000522 450 41252 REP TONGUE- MOUTH OVER 2.6CM 1758.54 1758.54 1441.00 144.25 625.00 case rate 282.46 349.10 155.16 349.10 155.16 282.46 282.46 1230.98 282.46 155.16 282.46 349.10 155.16 349.10 282.46 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 282.46 282.46 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 282.46 282.46 282.46 235.00 1085.00 per visit 155.16 349.10 155.16 282.46 155.16 155.16 155.16 282.46 155.16 1230.98 282.46 349.10 155.16 775.00 per case 155.16 282.46 775.00 per case 282.46 282.46 155.16 349.10 155.16 349.10 155.16 225.49 450000523 450 41800 DRAIN ABSCESS CYST- HEMA DENTO 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 349.10 155.16 349.10 155.16 147.72 147.72 285.67 147.72 155.16 147.72 349.10 155.16 349.10 147.72 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 147.72 147.72 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 147.72 147.72 147.72 113.00 1085.00 per visit 155.16 349.10 155.16 147.72 155.16 155.16 155.16 147.72 155.16 285.67 147.72 349.10 155.16 775.00 per case 155.16 147.72 775.00 per case 147.72 147.72 155.16 349.10 155.16 349.10 155.16 0.00 360000117 450 42000 "DRAINAG ABCES OF PALATE,UVULA" 683.70 683.70 1441.00 124.00 625.00 case rate 282.46 349.10 155.16 349.10 155.16 282.46 282.46 478.59 282.46 155.16 282.46 349.10 155.16 349.10 282.46 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 282.46 282.46 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 282.46 282.46 282.46 124.00 1085.00 per visit 155.16 349.10 155.16 282.46 155.16 155.16 155.16 282.46 155.16 478.59 282.46 349.10 155.16 775.00 per case 155.16 282.46 775.00 per case 282.46 282.46 155.16 349.10 155.16 349.10 155.16 225.49 360005015 761 42320 DRAINAGE OF SALIVARY GLAND 1744.76 1744.76 2810.00 0.00 122.99 636.26 357.86 159.05 357.86 159.05 636.26 636.26 2810.00 per visit 636.26 159.05 636.26 357.86 159.05 357.86 636.26 246.55 308.19 357.86 159.05 357.86 159.05 636.26 636.26 332.69 147.86 147.86 147.86 195.05 357.86 159.05 357.86 159.05 636.26 636.26 636.26 198.00 1483.05 159.05 357.86 159.05 636.26 159.05 159.05 159.05 636.26 159.05 1221.33 636.26 357.86 159.05 0.00 159.05 636.26 0.00 636.26 636.26 159.05 357.86 159.05 357.86 159.05 507.92 450000524 450 42700 I&D ABSCESS PERITONSILLAR 683.70 683.70 1441.00 144.25 625.00 case rate 282.46 349.10 155.16 349.10 155.16 282.46 282.46 478.59 282.46 155.16 282.46 349.10 155.16 349.10 282.46 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 282.46 282.46 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 282.46 282.46 282.46 156.00 1085.00 per visit 155.16 349.10 155.16 282.46 155.16 155.16 155.16 282.46 155.16 478.59 282.46 349.10 155.16 775.00 per case 155.16 282.46 775.00 per case 282.46 282.46 155.16 349.10 155.16 349.10 155.16 225.49 450000525 450 42809 REMOVAL FOREIGN BODY PHARYNX 1272.00 1272.00 1441.00 0.00 625.00 case rate 460.76 349.10 155.16 349.10 155.16 460.76 460.76 890.40 460.76 155.16 460.76 349.10 155.16 349.10 460.76 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 460.76 460.76 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 460.76 460.76 460.76 157.00 1085.00 per visit 155.16 349.10 155.16 460.76 155.16 155.16 155.16 460.76 155.16 890.40 460.76 349.10 155.16 775.00 per case 155.16 460.76 775.00 per case 460.76 460.76 155.16 349.10 155.16 349.10 155.16 0.00 450000591 450 43752 NG TUBE PLC W FLUORO 1272.00 1272.00 1441.00 42.00 625.00 case rate 460.76 1308.82 581.70 1308.82 581.70 460.76 460.76 890.40 460.76 581.70 460.76 1308.82 581.70 1308.82 460.76 1153.00 case rate 1441.00 case rate 1308.82 581.70 1308.82 581.70 460.76 460.76 1216.78 165.00 per visit 540.79 165.00 per visit 225.00 per visit 1308.82 581.70 1308.82 581.70 460.76 460.76 460.76 42.00 1085.00 per visit 581.70 1308.82 581.70 460.76 581.70 581.70 581.70 460.76 581.70 890.40 460.76 1308.82 581.70 775.00 per case 581.70 460.76 775.00 per case 460.76 460.76 581.70 1308.82 581.70 1308.82 581.70 367.83 450000527 450 43761 REPO GASTRIC FEED TUBE ANY MET 1892.10 1892.10 1441.00 119.00 625.00 case rate 285.80 1308.82 581.70 1308.82 581.70 285.80 285.80 1324.47 285.80 581.70 285.80 1308.82 581.70 1308.82 285.80 1153.00 case rate 1441.00 case rate 1308.82 581.70 1308.82 581.70 285.80 285.80 1216.78 165.00 per visit 540.79 165.00 per visit 225.00 per visit 1308.82 581.70 1308.82 581.70 285.80 285.80 285.80 119.00 1085.00 per visit 581.70 1308.82 581.70 285.80 581.70 581.70 581.70 285.80 581.70 1324.47 285.80 1308.82 581.70 775.00 per case 581.70 285.80 775.00 per case 285.80 285.80 581.70 1308.82 581.70 1308.82 581.70 228.14 360005005 450 43762 RPLC GTUBE NO REVJ TRC 1892.10 1892.10 1441.00 228.14 625.00 case rate 285.80 1308.82 581.70 1308.82 581.70 285.80 285.80 1324.47 285.80 581.70 285.80 1308.82 581.70 1308.82 285.80 1153.00 case rate 1441.00 case rate 1308.82 581.70 1308.82 581.70 285.80 285.80 1216.78 165.00 per visit 540.79 165.00 per visit 225.00 per visit 1308.82 581.70 1308.82 581.70 285.80 285.80 285.80 267.00 1085.00 per visit 581.70 1308.82 581.70 285.80 581.70 581.70 581.70 285.80 581.70 1324.47 285.80 1308.82 581.70 775.00 per case 581.70 285.80 775.00 per case 285.80 285.80 581.70 1308.82 581.70 1308.82 581.70 228.14 360005006 450 43763 RPLC GTUBE REVJ GSTRST TRC 1892.10 1892.10 1441.00 228.14 625.00 case rate 285.80 1308.82 581.70 1308.82 581.70 285.80 285.80 1324.47 285.80 581.70 285.80 1308.82 581.70 1308.82 285.80 1153.00 case rate 1441.00 case rate 1308.82 581.70 1308.82 581.70 285.80 285.80 1216.78 165.00 per visit 540.79 165.00 per visit 225.00 per visit 1308.82 581.70 1308.82 581.70 285.80 285.80 285.80 395.00 1085.00 per visit 581.70 1308.82 581.70 285.80 581.70 581.70 581.70 285.80 581.70 1324.47 285.80 1308.82 581.70 775.00 per case 581.70 285.80 775.00 per case 285.80 285.80 581.70 1308.82 581.70 1308.82 581.70 228.14 360000105 450 45005 "I+D SUBMUCOSAL ABSCESS,RECTUM" 4006.80 4006.80 2841.36 159.00 625.00 case rate 1364.64 2841.36 1262.83 2841.36 1262.83 1364.64 1364.64 2804.76 1364.64 "1,262.83" 1364.64 2841.36 1262.83 2841.36 1364.64 1153.00 case rate 1441.00 case rate 2841.36 1262.83 2841.36 1262.83 1364.64 1364.64 2641.55 165.00 per visit 1174.02 165.00 per visit 225.00 per visit 2841.36 1262.83 2841.36 1262.83 1364.64 1364.64 1364.64 159.00 1085.00 per visit 1262.83 2841.36 1262.83 1364.64 1262.83 1262.83 1262.83 1364.64 1262.83 2804.76 1364.64 2841.36 1262.83 775.00 per case 1262.83 1364.64 775.00 per case 1364.64 1364.64 1262.83 2841.36 1262.83 2841.36 1262.83 "1,089.36" 450000528 450 46040 I&D ISCHIORECTAL/PERIRECTAL AB 4240.00 4240.00 2968.00 358.00 625.00 case rate 1364.64 2841.36 1262.83 2841.36 1262.83 1364.64 1364.64 2968.00 1364.64 "1,262.83" 1364.64 2841.36 1262.83 2841.36 1364.64 1153.00 case rate 1441.00 case rate 2841.36 1262.83 2841.36 1262.83 1364.64 1364.64 2641.55 165.00 per visit 1174.02 165.00 per visit 225.00 per visit 2841.36 1262.83 2841.36 1262.83 1364.64 1364.64 1364.64 358.00 1085.00 per visit 1262.83 2841.36 1262.83 1364.64 1262.83 1262.83 1262.83 1364.64 1262.83 2968.00 1364.64 2841.36 1262.83 775.00 per case 1262.83 1364.64 775.00 per case 1364.64 1364.64 1262.83 2841.36 1262.83 2841.36 1262.83 "1,089.36" 450000529 450 46050 I&D PERIANAL ABSCESS SUPERFIC 2756.00 2756.00 2841.36 113.00 625.00 case rate 1056.90 2841.36 1262.83 2841.36 1262.83 1056.90 1056.90 1929.20 1056.90 "1,262.83" 1056.90 2841.36 1262.83 2841.36 1056.90 1153.00 case rate 1441.00 case rate 2841.36 1262.83 2841.36 1262.83 1056.90 1056.90 2641.55 165.00 per visit 1174.02 165.00 per visit 225.00 per visit 2841.36 1262.83 2841.36 1262.83 1056.90 1056.90 1056.90 113.00 1085.00 per visit 1262.83 2841.36 1262.83 1056.90 1262.83 1262.83 1262.83 1056.90 1262.83 1929.20 1056.90 2841.36 1262.83 775.00 per case 1262.83 1056.90 775.00 per case 1056.90 1056.90 1262.83 2841.36 1262.83 2841.36 1262.83 843.71 450000530 450 46083 EXC THROMBOSED HEMORRHOID EXT 879.80 879.80 2841.36 131.00 625.00 case rate 285.80 2841.36 1262.83 2841.36 1262.83 285.80 285.80 615.86 285.80 "1,262.83" 285.80 2841.36 1262.83 2841.36 285.80 1153.00 case rate 1441.00 case rate 2841.36 1262.83 2841.36 1262.83 285.80 285.80 2641.55 165.00 per visit 1174.02 165.00 per visit 225.00 per visit 2841.36 1262.83 2841.36 1262.83 285.80 285.80 285.80 131.00 1085.00 per visit 1262.83 2841.36 1262.83 285.80 1262.83 1262.83 1262.83 285.80 1262.83 615.86 285.80 2841.36 1262.83 775.00 per case 1262.83 285.80 775.00 per case 285.80 285.80 1262.83 2841.36 1262.83 2841.36 1262.83 228.14 361000012 361 47000 BX NDL LIVER 5152.66 5152.66 3606.86 85.88 2515.00 case rate 1874.86 1557.36 692.16 1557.36 692.16 1874.86 1874.86 2810.00 per visit 1874.86 692.16 1874.86 1557.36 692.16 1557.36 1874.86 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1447.81 85.88 643.47 85.88 90.65 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1874.86 107.00 2831.00 per case 692.16 1557.36 692.16 1874.86 692.16 692.16 692.16 1874.86 692.16 3606.86 1874.86 1557.36 692.16 2300.00 per case 692.16 1874.86 2300.00 per case 1874.86 1874.86 692.16 1557.36 692.16 1557.36 692.16 "1,215.29" 361000029 361 47000 BX NDL LIVER 5152.66 5152.66 3606.86 85.88 2515.00 case rate 1874.86 1557.36 692.16 1557.36 692.16 1874.86 1874.86 2810.00 per visit 1874.86 692.16 1874.86 1557.36 692.16 1557.36 1874.86 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1447.81 85.88 643.47 85.88 90.65 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1874.86 107.00 2831.00 per case 692.16 1557.36 692.16 1874.86 692.16 692.16 692.16 1874.86 692.16 3606.86 1874.86 1557.36 692.16 2300.00 per case 692.16 1874.86 2300.00 per case 1874.86 1874.86 692.16 1557.36 692.16 1557.36 692.16 "1,215.29" 361000048 361 47000 BX NDL LIVER 5152.66 5152.66 3606.86 85.88 2515.00 case rate 1874.86 1557.36 692.16 1557.36 692.16 1874.86 1874.86 2810.00 per visit 1874.86 692.16 1874.86 1557.36 692.16 1557.36 1874.86 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1447.81 85.88 643.47 85.88 90.65 1557.36 692.16 1557.36 692.16 1874.86 1874.86 1874.86 107.00 2831.00 per case 692.16 1557.36 692.16 1874.86 692.16 692.16 692.16 1874.86 692.16 3606.86 1874.86 1557.36 692.16 2300.00 per case 692.16 1874.86 2300.00 per case 1874.86 1874.86 692.16 1557.36 692.16 1557.36 692.16 "1,215.29" 352505087 361 47531 INJ FOR CHOLNGGRM EXSTNG ACCSS 12458.18 12458.18 8720.73 0.00 2515.00 case rate 4000.77 915.80 407.02 915.80 407.02 4000.77 4000.77 2810.00 per visit 4000.77 407.02 4000.77 915.80 407.02 915.80 4000.77 1635.00 2044.00 915.80 407.02 915.80 407.02 4000.77 4000.77 851.37 68.59 378.39 68.59 72.40 915.80 407.02 915.80 407.02 4000.77 4000.77 4000.77 439.00 2831.00 per case 407.02 915.80 407.02 4000.77 407.02 407.02 407.02 4000.77 407.02 8720.73 4000.77 915.80 407.02 2300.00 per case 407.02 4000.77 2300.00 per case 4000.77 4000.77 407.02 915.80 407.02 915.80 407.02 0.00 352505088 361 47532 INJ FOR CHOLNGGRM NEW ACCSS 12458.18 12458.18 8720.73 0.00 2515.00 case rate 4000.77 915.80 407.02 915.80 407.02 4000.77 4000.77 2810.00 per visit 4000.77 407.02 4000.77 915.80 407.02 915.80 4000.77 1635.00 2044.00 915.80 407.02 915.80 407.02 4000.77 4000.77 851.37 203.64 378.39 203.64 214.96 915.80 407.02 915.80 407.02 4000.77 4000.77 4000.77 967.00 2831.00 per case 407.02 915.80 407.02 4000.77 407.02 407.02 407.02 4000.77 407.02 8720.73 4000.77 915.80 407.02 2300.00 per case 407.02 4000.77 2300.00 per case 4000.77 4000.77 407.02 915.80 407.02 915.80 407.02 0.00 352505085 361 49082 ABD PARACENTESIS W/O IMAGING 3169.40 3169.40 2831.00 73.51 2515.00 case rate 1048.26 1557.36 692.16 1557.36 692.16 1048.26 1048.26 2810.00 per visit 1048.26 692.16 1048.26 1557.36 692.16 1557.36 1048.26 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1048.26 1048.26 1447.81 73.51 643.47 73.51 77.60 1557.36 692.16 1557.36 692.16 1048.26 1048.26 1048.26 187.00 2831.00 per case 692.16 1557.36 692.16 1048.26 692.16 692.16 692.16 1048.26 692.16 2218.58 1048.26 1557.36 692.16 2300.00 per case 692.16 1048.26 2300.00 per case 1048.26 1048.26 692.16 1557.36 692.16 1557.36 692.16 836.82 360000116 450 49082 ABD PARACENTESIS W/O GUIDANCE 2842.92 2842.92 1990.04 187.00 625.00 case rate 1048.26 1571.58 698.48 1571.58 698.48 1048.26 1048.26 1990.04 1048.26 698.48 1048.26 1571.58 698.48 1571.58 1048.26 1153.00 case rate 1441.00 case rate 1571.58 698.48 1571.58 698.48 1048.26 1048.26 1461.06 165.00 per visit 649.36 165.00 per visit 225.00 per visit 1571.58 698.48 1571.58 698.48 1048.26 1048.26 1048.26 187.00 1085.00 per visit 698.48 1571.58 698.48 1048.26 698.48 698.48 698.48 1048.26 698.48 1990.04 1048.26 1571.58 698.48 775.00 per case 698.48 1048.26 775.00 per case 1048.26 1048.26 698.48 1571.58 698.48 1571.58 698.48 836.82 352505084 361 49083 ABD PARACENTESIS W/IMAGING 3169.40 3169.40 2831.00 103.79 2515.00 case rate 1048.26 1557.36 692.16 1557.36 692.16 1048.26 1048.26 2810.00 per visit 1048.26 692.16 1048.26 1557.36 692.16 1557.36 1048.26 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1048.26 1048.26 1447.81 103.79 643.47 103.79 109.55 1557.36 692.16 1557.36 692.16 1048.26 1048.26 1048.26 353.00 2831.00 per case 692.16 1557.36 692.16 1048.26 692.16 692.16 692.16 1048.26 692.16 2218.58 1048.26 1557.36 692.16 2300.00 per case 692.16 1048.26 2300.00 per case 1048.26 1048.26 692.16 1557.36 692.16 1557.36 692.16 836.82 352505086 361 49084 PERITONEAL LAVAGE W/WO IMAGING 3169.40 3169.40 2831.00 107.51 2515.00 case rate 1048.26 1557.36 692.16 1557.36 692.16 1048.26 1048.26 2810.00 per visit 1048.26 692.16 1048.26 1557.36 692.16 1557.36 1048.26 1635.00 2044.00 1557.36 692.16 1557.36 692.16 1048.26 1048.26 1447.81 107.51 643.47 107.51 113.49 1557.36 692.16 1557.36 692.16 1048.26 1048.26 1048.26 108.00 2831.00 per case 692.16 1557.36 692.16 1048.26 692.16 692.16 692.16 1048.26 692.16 2218.58 1048.26 1557.36 692.16 2300.00 per case 692.16 1048.26 2300.00 per case 1048.26 1048.26 692.16 1557.36 692.16 1557.36 692.16 836.82 450000599 450 49451 REPLACE DUOD/JEJ TUBE PERCUTAN 2842.92 2842.92 1990.04 91.00 625.00 case rate 1048.26 1308.82 581.70 1308.82 581.70 1048.26 1048.26 1990.04 1048.26 581.70 1048.26 1308.82 581.70 1308.82 1048.26 1153.00 case rate 1441.00 case rate 1308.82 581.70 1308.82 581.70 1048.26 1048.26 1216.78 165.00 per visit 540.79 165.00 per visit 225.00 per visit 1308.82 581.70 1308.82 581.70 1048.26 1048.26 1048.26 91.00 1085.00 per visit 581.70 1308.82 581.70 1048.26 581.70 581.70 581.70 1048.26 581.70 1990.04 1048.26 1308.82 581.70 775.00 per case 581.70 1048.26 775.00 per case 1048.26 1048.26 581.70 1308.82 581.70 1308.82 581.70 836.82 361000013 361 50200 BX NDL RENAL RT 5152.66 5152.66 3606.86 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 3606.86 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 361000014 361 50200 BX NDL RENAL LT 5152.66 5152.66 3606.86 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 3606.86 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 361000015 361 50200 BX NDL RENAL BILAT 7208.00 7208.00 5045.60 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 5045.60 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 361000030 361 50200 BX NDL RENAL RT 5152.66 5152.66 3606.86 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 3606.86 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 361000031 361 50200 BX NDL RENAL LT 5152.66 5152.66 3606.86 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 3606.86 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 361000032 361 50200 BX NDL RENAL BILAT 7208.00 7208.00 5045.60 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 5045.60 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 361000049 361 50200 BX NDL RENAL RT 5152.66 5152.66 3606.86 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 3606.86 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 361000050 361 50200 BX NDL RENAL LT 5152.66 5152.66 3606.86 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 3606.86 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 361000051 361 50200 BX NDL RENAL BILAT 7208.00 7208.00 5045.60 123.78 2515.00 case rate 1874.86 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2810.00 per visit 1874.86 "1,259.08" 1874.86 2832.93 1259.08 2832.93 1874.86 1635.00 2044.00 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 2633.64 123.78 1170.51 123.78 769.68 2832.93 1259.08 2832.93 1259.08 1874.86 1874.86 1874.86 150.00 2831.00 per case 1259.08 2832.93 1259.08 1874.86 1259.08 1259.08 1259.08 1874.86 1259.08 5045.60 1874.86 2832.93 1259.08 2300.00 per case 1259.08 1874.86 2300.00 per case 1874.86 1874.86 1259.08 2832.93 1259.08 2832.93 1259.08 "1,215.29" 450000590 450 50435 CNG NEPHROSTOMY/PYELOSTOMY TB 6481.90 6481.90 4537.33 557.00 625.00 case rate 2355.38 2858.78 1270.57 2858.78 1270.57 2355.38 2355.38 4537.33 2355.38 "1,270.57" 2355.38 2858.78 1270.57 2858.78 2355.38 1153.00 case rate 1441.00 case rate 2858.78 1270.57 2858.78 1270.57 2355.38 2355.38 2657.75 165.00 per visit 1181.22 165.00 per visit 225.00 per visit 2858.78 1270.57 2858.78 1270.57 2355.38 2355.38 2355.38 557.00 1085.00 per visit 1270.57 2858.78 1270.57 2355.38 1270.57 1270.57 1270.57 2355.38 1270.57 4537.33 2355.38 2858.78 1270.57 775.00 per case 1270.57 2355.38 775.00 per case 2355.38 2355.38 1270.57 2858.78 1270.57 2858.78 1270.57 "1,654.80" 352000101 361 51600 INJ FOR CYSTOGRAM 169.60 169.60 2810.00 0.00 2515.00 case rate 0.00 1197.65 532.29 1197.65 532.29 0.00 0.00 2810.00 per visit 0.00 532.29 0.00 1197.65 532.29 1197.65 0.00 1635.00 2044.00 1197.65 532.29 1197.65 532.29 0.00 0.00 1113.40 42.42 494.84 42.42 0.00 1197.65 532.29 1197.65 532.29 0.00 0.00 0.00 50.00 2831.00 per case 532.29 1197.65 532.29 0.00 532.29 532.29 532.29 0.00 532.29 118.72 0.00 1197.65 532.29 2300.00 per case 532.29 0.00 2300.00 per case 0.00 0.00 532.29 1197.65 532.29 1197.65 532.29 0.00 450000532 450 51700 BLADDER IRRIGATION SIMPLE 879.80 879.80 1441.00 50.00 625.00 case rate 285.80 1020.31 453.47 1020.31 453.47 285.80 285.80 615.86 285.80 453.47 285.80 1020.31 453.47 1020.31 285.80 1153.00 case rate 1441.00 case rate 1020.31 453.47 1020.31 453.47 285.80 285.80 948.56 165.00 per visit 421.58 165.00 per visit 225.00 per visit 1020.31 453.47 1020.31 453.47 285.80 285.80 285.80 50.00 1085.00 per visit 453.47 1020.31 453.47 285.80 453.47 453.47 453.47 285.80 453.47 615.86 285.80 1020.31 453.47 775.00 per case 453.47 285.80 775.00 per case 285.80 285.80 453.47 1020.31 453.47 1020.31 453.47 94.41 337000044 514 51701 INSERTION OF CATH IN OUT 402.80 402.80 948.76 0.00 0.00 147.72 948.76 421.67 948.76 421.67 147.72 147.72 0.00 147.72 421.67 147.72 948.76 421.67 948.76 147.72 226.00 283.00 948.76 421.67 948.76 421.67 147.72 147.72 882.00 392.00 392.00 392.00 26.81 948.76 421.67 948.76 421.67 147.72 147.72 147.72 30.00 342.38 421.67 948.76 421.67 147.72 421.67 421.67 421.67 147.72 421.67 281.96 147.72 948.76 421.67 142.00 per visit 421.67 147.72 142.00 per visit 147.72 147.72 421.67 948.76 421.67 948.76 421.67 0.00 450000533 450 51701 INSERT NON-INDWELL BLADDE CATH 402.80 402.80 1441.00 0.00 625.00 case rate 147.72 1020.31 453.47 1020.31 453.47 147.72 147.72 281.96 147.72 453.47 147.72 1020.31 453.47 1020.31 147.72 1153.00 case rate 1441.00 case rate 1020.31 453.47 1020.31 453.47 147.72 147.72 948.56 165.00 per visit 421.58 165.00 per visit 225.00 per visit 1020.31 453.47 1020.31 453.47 147.72 147.72 147.72 30.00 1085.00 per visit 453.47 1020.31 453.47 147.72 453.47 453.47 453.47 147.72 453.47 281.96 147.72 1020.31 453.47 775.00 per case 453.47 147.72 775.00 per case 147.72 147.72 453.47 1020.31 453.47 1020.31 453.47 0.00 337000045 514 51702 INSERTION OF FOLEY CATH IN 402.80 402.80 948.76 0.00 0.00 147.72 948.76 421.67 948.76 421.67 147.72 147.72 0.00 147.72 421.67 147.72 948.76 421.67 948.76 147.72 226.00 283.00 948.76 421.67 948.76 421.67 147.72 147.72 882.00 392.00 392.00 392.00 26.35 948.76 421.67 948.76 421.67 147.72 147.72 147.72 33.00 342.38 421.67 948.76 421.67 147.72 421.67 421.67 421.67 147.72 421.67 281.96 147.72 948.76 421.67 142.00 per visit 421.67 147.72 142.00 per visit 147.72 147.72 421.67 948.76 421.67 948.76 421.67 0.00 450000222 450 51702 ER INSERT TEMP BLADDER CATH 402.80 402.80 1441.00 0.00 625.00 case rate 147.72 1020.31 453.47 1020.31 453.47 147.72 147.72 281.96 147.72 453.47 147.72 1020.31 453.47 1020.31 147.72 1153.00 case rate 1441.00 case rate 1020.31 453.47 1020.31 453.47 147.72 147.72 948.56 165.00 per visit 421.58 165.00 per visit 225.00 per visit 1020.31 453.47 1020.31 453.47 147.72 147.72 147.72 33.00 1085.00 per visit 453.47 1020.31 453.47 147.72 453.47 453.47 453.47 147.72 453.47 281.96 147.72 1020.31 453.47 775.00 per case 453.47 147.72 775.00 per case 147.72 147.72 453.47 1020.31 453.47 1020.31 453.47 0.00 450000534 450 51703 INSERT TEMP INDW BLAD CATH COM 593.60 593.60 1441.00 88.00 625.00 case rate 180.63 1020.31 453.47 1020.31 453.47 180.63 180.63 415.52 180.63 453.47 180.63 1020.31 453.47 1020.31 180.63 1153.00 case rate 1441.00 case rate 1020.31 453.47 1020.31 453.47 180.63 180.63 948.56 165.00 per visit 421.58 165.00 per visit 225.00 per visit 1020.31 453.47 1020.31 453.47 180.63 180.63 180.63 88.00 1085.00 per visit 453.47 1020.31 453.47 180.63 453.47 453.47 453.47 180.63 453.47 415.52 180.63 1020.31 453.47 775.00 per case 453.47 180.63 775.00 per case 180.63 180.63 453.47 1020.31 453.47 1020.31 453.47 144.20 450000216 450 51705 ER CHANGE OF BLADDER TUBE 879.80 879.80 1441.00 67.00 625.00 case rate 285.80 1020.31 453.47 1020.31 453.47 285.80 285.80 615.86 285.80 453.47 285.80 1020.31 453.47 1020.31 285.80 1153.00 case rate 1441.00 case rate 1020.31 453.47 1020.31 453.47 285.80 285.80 948.56 165.00 per visit 421.58 165.00 per visit 225.00 per visit 1020.31 453.47 1020.31 453.47 285.80 285.80 285.80 67.00 1085.00 per visit 453.47 1020.31 453.47 285.80 453.47 453.47 453.47 285.80 453.47 615.86 285.80 1020.31 453.47 775.00 per case 453.47 285.80 775.00 per case 285.80 285.80 453.47 1020.31 453.47 1020.31 453.47 111.88 450000217 450 51710 ER CHANGE OF BLADDER TUBE COMP 2162.40 2162.40 1513.68 122.00 625.00 case rate 789.95 1108.22 492.54 1108.22 492.54 789.95 789.95 1513.68 789.95 492.54 789.95 1108.22 492.54 1108.22 789.95 1153.00 case rate 1441.00 case rate 1108.22 492.54 1108.22 492.54 789.95 789.95 1030.29 165.00 per visit 457.91 165.00 per visit 225.00 per visit 1108.22 492.54 1108.22 492.54 789.95 789.95 789.95 122.00 1085.00 per visit 492.54 1108.22 492.54 789.95 492.54 492.54 492.54 789.95 492.54 1513.68 789.95 1108.22 492.54 775.00 per case 492.54 789.95 775.00 per case 789.95 789.95 492.54 1108.22 492.54 1108.22 492.54 557.41 335000006 761 51720 BLADDER INSTILLATION AND RETEN 879.80 879.80 2810.00 0.00 28.60 789.95 1030.50 458.00 1030.50 458.00 789.95 789.95 2810.00 per visit 789.95 458.00 789.95 1030.50 458.00 1030.50 789.95 57.33 71.66 1030.50 458.00 1030.50 458.00 789.95 789.95 958.00 425.78 425.78 425.78 45.35 1030.50 458.00 1030.50 458.00 789.95 789.95 789.95 115.00 747.83 458.00 1030.50 458.00 789.95 458.00 458.00 458.00 789.95 458.00 615.86 789.95 1030.50 458.00 0.00 458.00 789.95 0.00 789.95 789.95 458.00 1030.50 458.00 1030.50 458.00 97.90 490000003 490 51797 INTRAABDOMINAL PRESSURE TEST 508.80 508.80 2810.00 0.00 2515.00 case rate 0.00 1011.09 449.37 1011.09 449.37 0.00 0.00 2810.00 per visit 0.00 449.37 0.00 1011.09 449.37 1011.09 0.00 1635.00 1635.00 1011.09 449.37 1011.09 449.37 0.00 0.00 939.96 417.76 417.76 417.76 208.20 1011.09 449.37 1011.09 449.37 0.00 0.00 0.00 26.00 330.72 449.37 1011.09 449.37 0.00 449.37 449.37 449.37 0.00 449.37 356.16 0.00 1011.09 449.37 2300.00 per case 449.37 0.00 2300.00 per case 0.00 0.00 449.37 1011.09 449.37 1011.09 449.37 0.00 490000007 490 52285 CYSTOSCOPY AND TREATMENT 6481.90 6481.90 4537.33 204.94 2515.00 case rate 789.95 2592.26 1152.12 2592.26 1152.12 789.95 789.95 2810.00 per visit 789.95 "1,152.12" 789.95 2592.26 1152.12 2592.26 789.95 1635.00 1635.00 2592.26 1152.12 2592.26 1152.12 789.95 789.95 2409.91 1071.07 1071.07 1071.07 204.94 2592.26 1152.12 2592.26 1152.12 789.95 789.95 789.95 213.00 4213.24 1152.12 2592.26 1152.12 789.95 1152.12 1152.12 1152.12 789.95 1152.12 4537.33 789.95 2592.26 1152.12 2300.00 per case 1152.12 789.95 2300.00 per case 789.95 789.95 1152.12 2592.26 1152.12 2592.26 1152.12 557.41 360005008 761 53260 EXC OR FULGURATE-URETHRL POLYP 6644.08 6644.08 5647.47 0.00 122.16 4031.40 2615.92 1162.63 2615.92 1162.63 4031.40 4031.40 2810.00 per visit 4031.40 "1,162.63" 4031.40 2615.92 1162.63 2615.92 4031.40 244.89 306.11 2615.92 1162.63 2615.92 1162.63 4031.40 4031.40 2431.96 593.14 1080.87 593.14 1832.76 2615.92 1162.63 2615.92 1162.63 4031.40 4031.40 4031.40 231.00 5647.47 1162.63 2615.92 1162.63 4031.40 1162.63 1162.63 1162.63 4031.40 1162.63 4650.86 4031.40 2615.92 1162.63 0.00 1162.63 4031.40 0.00 4031.40 4031.40 1162.63 2615.92 1162.63 2615.92 1162.63 "2,893.83" 723000001 723 54150 NR CIRCUMCISION - NEWBORN 6481.90 6481.90 5509.62 0.00 2515.00 case rate 2355.38 2443.45 1085.98 2443.45 1085.98 2355.38 2355.38 4537.33 2355.38 "1,085.98" 2355.38 2443.45 1085.98 2443.45 2355.38 126.72 158.40 2443.45 1085.98 2443.45 1085.98 2355.38 2355.38 2271.56 1009.58 1009.58 1009.58 100.25 2443.45 1085.98 2443.45 1085.98 2355.38 2355.38 2355.38 166.00 5509.62 1085.98 2443.45 1085.98 2355.38 1085.98 1085.98 1085.98 2355.38 1085.98 4537.33 2355.38 2443.45 1085.98 0.00 1085.98 2355.38 0.00 2355.38 2355.38 1085.98 2443.45 1085.98 2443.45 1085.98 "1,654.80" 360005007 450 54220 IRRIG CORP CVRNSA FOR PRIAPISM 885.10 885.10 1441.00 148.00 625.00 case rate 285.80 1020.31 453.47 1020.31 453.47 285.80 285.80 619.57 285.80 453.47 285.80 1020.31 453.47 1020.31 285.80 1153.00 case rate 1441.00 case rate 1020.31 453.47 1020.31 453.47 285.80 285.80 948.56 165.00 per visit 421.58 165.00 per visit 225.00 per visit 1020.31 453.47 1020.31 453.47 285.80 285.80 285.80 148.00 1085.00 per visit 453.47 1020.31 453.47 285.80 453.47 453.47 453.47 285.80 453.47 619.57 285.80 1020.31 453.47 775.00 per case 453.47 285.80 775.00 per case 285.80 285.80 453.47 1020.31 453.47 1020.31 453.47 228.14 450000567 761 54235 NJX C/P/A CAVERNOSA W/PHARM AG 879.80 879.80 2810.00 0.00 49.55 285.80 1020.31 453.47 1020.31 453.47 285.80 285.80 2810.00 per visit 285.80 453.47 285.80 1020.31 453.47 1020.31 285.80 99.33 124.16 1020.31 453.47 1020.31 453.47 285.80 285.80 948.56 421.58 421.58 421.58 78.58 1020.31 453.47 1020.31 453.47 285.80 285.80 285.80 68.00 747.83 453.47 1020.31 453.47 285.80 453.47 453.47 453.47 285.80 453.47 615.86 285.80 1020.31 453.47 0.00 453.47 285.80 0.00 285.80 285.80 453.47 1020.31 453.47 1020.31 453.47 80.42 360005027 450 54450 PREPUTIAL STRETCHING 1044.10 1044.10 1441.00 69.00 625.00 case rate 285.80 1108.22 492.54 1108.22 492.54 285.80 285.80 730.87 285.80 492.54 285.80 1108.22 492.54 1108.22 285.80 1153.00 case rate 1441.00 case rate 1108.22 492.54 1108.22 492.54 285.80 285.80 1030.29 165.00 per visit 457.91 165.00 per visit 225.00 per visit 1108.22 492.54 1108.22 492.54 285.80 285.80 285.80 69.00 1085.00 per visit 492.54 1108.22 492.54 285.80 492.54 492.54 492.54 285.80 492.54 730.87 285.80 1108.22 492.54 775.00 per case 492.54 285.80 775.00 per case 285.80 285.80 492.54 1108.22 492.54 1108.22 492.54 228.14 360000103 450 54700 "INCISION AND DRAINAGE,TESTIS" 6481.90 6481.90 4537.33 286.00 625.00 case rate 2355.38 3389.68 1506.52 3389.68 1506.52 2355.38 2355.38 4537.33 2355.38 "1,506.52" 2355.38 3389.68 1506.52 3389.68 2355.38 1153.00 case rate 1441.00 case rate 3389.68 1506.52 3389.68 1506.52 2355.38 2355.38 3151.31 165.00 per visit 1400.58 165.00 per visit 225.00 per visit 3389.68 1506.52 3389.68 1506.52 2355.38 2355.38 2355.38 286.00 1085.00 per visit 1506.52 3389.68 1506.52 2355.38 1506.52 1506.52 1506.52 2355.38 1506.52 4537.33 2355.38 3389.68 1506.52 775.00 per case 1506.52 2355.38 775.00 per case 2355.38 2355.38 1506.52 3389.68 1506.52 3389.68 1506.52 "1,654.80" 360000114 450 55100 DRAINAGE OF SCROTAL WALL ABCES 5152.66 5152.66 3606.86 240.00 625.00 case rate 1874.86 3389.68 1506.52 3389.68 1506.52 1874.86 1874.86 3606.86 1874.86 "1,506.52" 1874.86 3389.68 1506.52 3389.68 1874.86 1153.00 case rate 1441.00 case rate 3389.68 1506.52 3389.68 1506.52 1874.86 1874.86 3151.31 165.00 per visit 1400.58 165.00 per visit 225.00 per visit 3389.68 1506.52 3389.68 1506.52 1874.86 1874.86 1874.86 240.00 1085.00 per visit 1506.52 3389.68 1506.52 1874.86 1506.52 1506.52 1506.52 1874.86 1506.52 3606.86 1874.86 3389.68 1506.52 775.00 per case 1506.52 1874.86 775.00 per case 1874.86 1874.86 1506.52 3389.68 1506.52 3389.68 1506.52 "1,215.29" 361000016 361 55700 BX NDL PROSTATE 6481.90 6481.90 5144.00 99.00 2515.00 case rate 2355.38 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 2810.00 per visit 2355.38 "2,286.22" 2355.38 5144.00 2286.22 5144.00 2355.38 1635.00 2044.00 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 4782.15 128.80 2125.40 128.80 1048.04 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 2355.38 99.00 2831.00 per case 2286.22 5144.00 2286.22 2355.38 2286.22 2286.22 2286.22 2355.38 2286.22 4537.33 2355.38 5144.00 2286.22 2300.00 per case 2286.22 2355.38 2300.00 per case 2355.38 2355.38 2286.22 5144.00 2286.22 5144.00 2286.22 "1,654.80" 361000033 361 55700 BX NDL PROSTATE 6481.90 6481.90 5144.00 99.00 2515.00 case rate 2355.38 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 2810.00 per visit 2355.38 "2,286.22" 2355.38 5144.00 2286.22 5144.00 2355.38 1635.00 2044.00 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 4782.15 128.80 2125.40 128.80 1048.04 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 2355.38 99.00 2831.00 per case 2286.22 5144.00 2286.22 2355.38 2286.22 2286.22 2286.22 2355.38 2286.22 4537.33 2355.38 5144.00 2286.22 2300.00 per case 2286.22 2355.38 2300.00 per case 2355.38 2355.38 2286.22 5144.00 2286.22 5144.00 2286.22 "1,654.80" 361000052 361 55700 BX NDL PROSTATE 6481.90 6481.90 5144.00 99.00 2515.00 case rate 2355.38 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 2810.00 per visit 2355.38 "2,286.22" 2355.38 5144.00 2286.22 5144.00 2355.38 1635.00 2044.00 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 4782.15 128.80 2125.40 128.80 1048.04 5144.00 2286.22 5144.00 2286.22 2355.38 2355.38 2355.38 99.00 2831.00 per case 2286.22 5144.00 2286.22 2355.38 2286.22 2286.22 2286.22 2355.38 2286.22 4537.33 2355.38 5144.00 2286.22 2300.00 per case 2286.22 2355.38 2300.00 per case 2355.38 2355.38 2286.22 5144.00 2286.22 5144.00 2286.22 "1,654.80" 450000535 450 56405 I&D VULVA/PERINEAL ABCESS 1028.20 1028.20 1441.00 120.00 625.00 case rate 370.98 384.10 170.71 384.10 170.71 370.98 370.98 719.74 370.98 170.71 370.98 384.10 170.71 384.10 370.98 1153.00 case rate 1441.00 case rate 384.10 170.71 384.10 170.71 370.98 370.98 357.09 165.00 per visit 158.71 165.00 per visit 225.00 per visit 384.10 170.71 384.10 170.71 370.98 370.98 370.98 120.00 1085.00 per visit 170.71 384.10 170.71 370.98 170.71 170.71 170.71 370.98 170.71 719.74 370.98 384.10 170.71 775.00 per case 170.71 370.98 775.00 per case 370.98 370.98 170.71 384.10 170.71 384.10 170.71 157.33 450000536 450 56420 INC & DRAIN BARTHOLINS GLAND A 614.80 614.80 1441.00 118.00 625.00 case rate 230.43 384.10 170.71 384.10 170.71 230.43 230.43 430.36 230.43 170.71 230.43 384.10 170.71 384.10 230.43 1153.00 case rate 1441.00 case rate 384.10 170.71 384.10 170.71 230.43 230.43 357.09 165.00 per visit 158.71 165.00 per visit 225.00 per visit 384.10 170.71 384.10 170.71 230.43 230.43 230.43 118.00 1085.00 per visit 170.71 384.10 170.71 230.43 170.71 170.71 170.71 230.43 170.71 430.36 230.43 384.10 170.71 775.00 per case 170.71 230.43 775.00 per case 230.43 230.43 170.71 384.10 170.71 384.10 170.71 183.96 720000013 360 57022 I D VAGINAL HEMOTOMA PP 5152.66 5152.66 3606.86 196.40 2515.00 case rate 3285.91 2662.46 1183.32 2662.46 1183.32 3285.91 3285.91 2810.00 per visit 3285.91 "1,183.32" 3285.91 2662.46 1183.32 2662.46 3285.91 2746.00 2746.00 2662.46 1183.32 2662.46 1183.32 3285.91 3285.91 2475.17 1100.08 1100.08 1100.08 196.40 2662.46 1183.32 2662.46 1183.32 3285.91 3285.91 3285.91 206.00 2831.00 per case 1183.32 2662.46 1183.32 3285.91 1183.32 1183.32 1183.32 3285.91 1183.32 3606.86 3285.91 2662.46 1183.32 2300.00 per case 1183.32 3285.91 2300.00 per case 3285.91 3285.91 1183.32 2662.46 1183.32 2662.46 1183.32 "2,059.25" 362500130 510 57100 BX VAGINAL MUCOSA SIMPLE 2215.40 2215.40 1883.09 0.00 0.00 929.65 1366.65 607.40 1366.65 607.40 929.65 929.65 0.00 929.65 607.40 929.65 1366.65 607.40 1366.65 929.65 226.00 283.00 1366.65 607.40 1366.65 607.40 929.65 929.65 1270.50 564.67 564.67 564.67 69.66 1366.65 607.40 1366.65 607.40 929.65 929.65 929.65 75.00 1883.09 607.40 1366.65 607.40 929.65 607.40 607.40 607.40 929.65 607.40 1550.78 929.65 1366.65 607.40 142.00 per visit 607.40 929.65 142.00 per visit 929.65 929.65 607.40 1366.65 607.40 1366.65 607.40 100.81 337000026 761 57410 PELVIC UNDER ANESTHESIA 8692.00 8692.00 7388.20 0.00 71.83 3615.33 380.63 169.17 380.63 169.17 3615.33 3615.33 2810.00 per visit 3615.33 169.17 3615.33 380.63 169.17 380.63 3615.33 143.99 179.98 380.63 169.17 380.63 169.17 3615.33 3615.33 353.85 157.27 157.27 157.27 113.91 380.63 169.17 380.63 169.17 3615.33 3615.33 3615.33 122.00 7388.20 169.17 380.63 169.17 3615.33 169.17 169.17 169.17 3615.33 169.17 6084.40 3615.33 380.63 169.17 0.00 169.17 3615.33 0.00 3615.33 3615.33 169.17 380.63 169.17 380.63 169.17 "2,822.89" 490000001 490 57410 PELVIC UNDER ANESTHESIA 8692.00 8692.00 6084.40 113.91 2515.00 case rate 3615.33 380.63 169.17 380.63 169.17 3615.33 3615.33 2810.00 per visit 3615.33 169.17 3615.33 380.63 169.17 380.63 3615.33 3038.00 3038.00 380.63 169.17 380.63 169.17 3615.33 3615.33 353.85 157.27 157.27 157.27 113.91 380.63 169.17 380.63 169.17 3615.33 3615.33 3615.33 122.00 5649.80 169.17 380.63 169.17 3615.33 169.17 169.17 169.17 3615.33 169.17 6084.40 3615.33 380.63 169.17 2300.00 per case 169.17 3615.33 2300.00 per case 3615.33 3615.33 169.17 380.63 169.17 380.63 169.17 "2,822.89" 510000310 761 57421 EXAM/BIOPSY OF VAG W/SCOPE 2215.40 2215.40 2810.00 0.00 81.93 929.65 1366.65 607.40 1366.65 607.40 929.65 929.65 2810.00 per visit 929.65 607.40 929.65 1366.65 607.40 1366.65 929.65 164.25 205.31 1366.65 607.40 1366.65 607.40 929.65 929.65 1270.50 564.67 564.67 564.67 129.94 1366.65 607.40 1366.65 607.40 929.65 929.65 929.65 137.00 1883.09 607.40 1366.65 607.40 929.65 607.40 607.40 607.40 929.65 607.40 1550.78 929.65 1366.65 607.40 0.00 607.40 929.65 0.00 929.65 929.65 607.40 1366.65 607.40 1366.65 607.40 163.15 510000033 510 58300 INSERT INTRAUTERINE DEVICE 694.30 694.30 590.16 0.00 0.00 0.00 357.16 158.74 357.16 158.74 0.00 0.00 0.00 0.00 158.74 0.00 357.16 158.74 357.16 0.00 226.00 283.00 357.16 158.74 357.16 158.74 0.00 0.00 332.03 147.57 147.57 147.57 0.00 357.16 158.74 357.16 158.74 0.00 0.00 0.00 62.00 590.16 158.74 357.16 158.74 0.00 158.74 158.74 158.74 0.00 158.74 486.01 0.00 357.16 158.74 142.00 per visit 158.74 0.00 142.00 per visit 0.00 0.00 158.74 357.16 158.74 357.16 158.74 0.00 450000049 450 58301 ER REMOVE INTRAUTERINE DEVICE 614.80 614.80 1441.00 79.00 625.00 case rate 370.98 384.10 170.71 384.10 170.71 370.98 370.98 430.36 370.98 170.71 370.98 384.10 170.71 384.10 370.98 1153.00 case rate 1441.00 case rate 384.10 170.71 384.10 170.71 370.98 370.98 357.09 165.00 per visit 158.71 165.00 per visit 225.00 per visit 384.10 170.71 384.10 170.71 370.98 370.98 370.98 79.00 1085.00 per visit 170.71 384.10 170.71 370.98 170.71 170.71 170.71 370.98 170.71 430.36 370.98 384.10 170.71 775.00 per case 170.71 370.98 775.00 per case 370.98 370.98 170.71 384.10 170.71 384.10 170.71 107.81 402000028 361 58340 CATHETER FOR HYSTEROGRAPHY 318.00 318.00 2831.00 0.00 2515.00 case rate 0.00 1197.65 532.29 1197.65 532.29 0.00 0.00 2810.00 per visit 0.00 532.29 0.00 1197.65 532.29 1197.65 0.00 1635.00 2044.00 1197.65 532.29 1197.65 532.29 0.00 0.00 1113.40 58.65 494.84 58.65 61.91 1197.65 532.29 1197.65 532.29 0.00 0.00 0.00 64.00 2831.00 per case 532.29 1197.65 532.29 0.00 532.29 532.29 532.29 0.00 532.29 222.60 0.00 1197.65 532.29 2300.00 per case 532.29 0.00 2300.00 per case 0.00 0.00 532.29 1197.65 532.29 1197.65 532.29 0.00 720000009 360 58605 DR TUBAL LIGATION POSTPARTUM-S 3270.10 3270.10 2831.00 0.00 2515.00 case rate 0.00 2662.46 1183.32 2662.46 1183.32 0.00 0.00 2810.00 per visit 0.00 "1,183.32" 0.00 2662.46 1183.32 2662.46 0.00 1635.00 1635.00 2662.46 1183.32 2662.46 1183.32 0.00 0.00 2475.17 1100.08 1100.08 1100.08 365.66 2662.46 1183.32 2662.46 1183.32 0.00 0.00 0.00 354.00 2831.00 per case 1183.32 2662.46 1183.32 0.00 1183.32 1183.32 1183.32 0.00 1183.32 2289.07 0.00 2662.46 1183.32 2300.00 per case 1183.32 0.00 2300.00 per case 0.00 0.00 1183.32 2662.46 1183.32 2662.46 1183.32 577.35 720000010 360 58611 DR TUBAL LIGATION AFTER C/S 498.20 498.20 2831.00 0.00 2515.00 case rate 0.00 2662.46 1183.32 2662.46 1183.32 0.00 0.00 2810.00 per visit 0.00 "1,183.32" 0.00 2662.46 1183.32 2662.46 0.00 1635.00 1635.00 2662.46 1183.32 2662.46 1183.32 0.00 0.00 2475.17 1100.08 1100.08 1100.08 79.77 2662.46 1183.32 2662.46 1183.32 0.00 0.00 0.00 86.00 2831.00 per case 1183.32 2662.46 1183.32 0.00 1183.32 1183.32 1183.32 0.00 1183.32 348.74 0.00 2662.46 1183.32 2300.00 per case 1183.32 0.00 2300.00 per case 0.00 0.00 1183.32 2662.46 1183.32 2662.46 1183.32 125.96 337001000 490 59000 AMNIOCENTESIS 2215.40 2215.40 2515.00 88.40 2515.00 case rate 929.65 1959.59 870.93 1959.59 870.93 929.65 929.65 1550.78 929.65 870.93 929.65 1959.59 870.93 1959.59 929.65 1635.00 1635.00 1959.59 870.93 1959.59 870.93 929.65 929.65 1821.74 809.66 809.66 809.66 88.40 1959.59 870.93 1959.59 870.93 929.65 929.65 929.65 96.00 1440.01 870.93 1959.59 870.93 929.65 870.93 870.93 870.93 929.65 870.93 1550.78 929.65 1959.59 870.93 2300.00 per case 870.93 929.65 2300.00 per case 929.65 929.65 870.93 1959.59 870.93 1959.59 870.93 108.96 490000002 490 59000 AMNIOCENTESIS DIAGNOSTIC 2215.40 2215.40 2515.00 88.40 2515.00 case rate 929.65 1959.59 870.93 1959.59 870.93 929.65 929.65 1550.78 929.65 870.93 929.65 1959.59 870.93 1959.59 929.65 1635.00 1635.00 1959.59 870.93 1959.59 870.93 929.65 929.65 1821.74 809.66 809.66 809.66 88.40 1959.59 870.93 1959.59 870.93 929.65 929.65 929.65 96.00 1440.01 870.93 1959.59 870.93 929.65 870.93 870.93 870.93 929.65 870.93 1550.78 929.65 1959.59 870.93 2300.00 per case 870.93 929.65 2300.00 per case 929.65 929.65 870.93 1959.59 870.93 1959.59 870.93 108.96 337000024 720 59001 AMNIOCENTESIS PROCEDURE 1181.90 1181.90 1959.59 122.56 122.56 370.98 1959.59 870.93 1959.59 870.93 370.98 370.98 827.33 370.98 870.93 370.98 1959.59 870.93 1959.59 370.98 245.70 307.12 1959.59 870.93 1959.59 870.93 370.98 370.98 1821.74 809.66 809.66 809.66 194.38 1959.59 870.93 1959.59 870.93 370.98 370.98 370.98 190.00 1004.62 870.93 1959.59 870.93 370.98 870.93 870.93 870.93 370.98 870.93 827.33 370.98 1959.59 870.93 295.00 per visit 870.93 370.98 295.00 per visit 370.98 370.98 870.93 1959.59 870.93 1959.59 870.93 296.14 720000014 720 59001 AMNIOCENTESIS THERAPEUTIC 1181.90 1181.90 1959.59 122.56 122.56 370.98 1959.59 870.93 1959.59 870.93 370.98 370.98 827.33 370.98 870.93 370.98 1959.59 870.93 1959.59 370.98 245.70 307.12 1959.59 870.93 1959.59 870.93 370.98 370.98 1821.74 809.66 809.66 809.66 194.38 1959.59 870.93 1959.59 870.93 370.98 370.98 370.98 190.00 1004.62 870.93 1959.59 870.93 370.98 870.93 870.93 870.93 370.98 870.93 827.33 370.98 1959.59 870.93 295.00 per visit 870.93 370.98 295.00 per visit 370.98 370.98 870.93 1959.59 870.93 1959.59 870.93 296.14 720000001 720 59020 DR FETAL CONTRACTION STRESS TE 614.80 614.80 619.52 24.66 24.66 230.43 619.52 275.34 619.52 275.34 230.43 230.43 430.36 230.43 275.34 230.43 619.52 275.34 619.52 230.43 49.44 61.80 619.52 275.34 619.52 275.34 230.43 230.43 575.95 255.98 255.98 255.98 39.11 619.52 275.34 619.52 275.34 230.43 230.43 230.43 29.00 522.58 275.34 619.52 275.34 230.43 275.34 275.34 275.34 230.43 275.34 430.36 230.43 619.52 275.34 295.00 per visit 275.34 230.43 295.00 per visit 230.43 230.43 275.34 619.52 275.34 619.52 275.34 75.76 920000001 920 59020 FETAL CONT S/T 614.80 614.80 619.52 29.00 368.27 230.43 619.52 275.34 619.52 275.34 230.43 230.43 430.36 230.43 275.34 230.43 619.52 275.34 619.52 230.43 49.44 61.80 619.52 275.34 619.52 275.34 230.43 230.43 575.95 255.98 255.98 255.98 39.11 619.52 275.34 619.52 275.34 230.43 230.43 230.43 29.00 522.58 275.34 619.52 275.34 230.43 275.34 275.34 275.34 230.43 275.34 430.36 230.43 619.52 275.34 96.00 per visit 275.34 230.43 96.00 per visit 230.43 230.43 275.34 619.52 275.34 619.52 275.34 75.76 337000025 920 59025 NON STRESS TEST 614.80 614.80 619.52 12.00 368.27 230.43 619.52 275.34 619.52 275.34 230.43 230.43 430.36 230.43 275.34 230.43 619.52 275.34 619.52 230.43 28.77 35.96 619.52 275.34 619.52 275.34 230.43 230.43 575.95 255.98 255.98 255.98 22.76 619.52 275.34 619.52 275.34 230.43 230.43 230.43 12.00 522.58 275.34 619.52 275.34 230.43 275.34 275.34 275.34 230.43 275.34 430.36 230.43 619.52 275.34 96.00 per visit 275.34 230.43 96.00 per visit 230.43 230.43 275.34 619.52 275.34 619.52 275.34 47.19 450000582 920 59025 FETAL NON STRESS TEST 614.80 614.80 619.52 12.00 368.27 230.43 619.52 275.34 619.52 275.34 230.43 230.43 430.36 230.43 275.34 230.43 619.52 275.34 619.52 230.43 28.77 35.96 619.52 275.34 619.52 275.34 230.43 230.43 575.95 255.98 255.98 255.98 22.76 619.52 275.34 619.52 275.34 230.43 230.43 230.43 12.00 522.58 275.34 619.52 275.34 230.43 275.34 275.34 275.34 230.43 275.34 430.36 230.43 619.52 275.34 96.00 per visit 275.34 230.43 96.00 per visit 230.43 230.43 275.34 619.52 275.34 619.52 275.34 47.19 720000002 920 59025 DR FETAL NON-STRESS TEST 614.80 614.80 619.52 12.00 368.27 230.43 619.52 275.34 619.52 275.34 230.43 230.43 430.36 230.43 275.34 230.43 619.52 275.34 619.52 230.43 28.77 35.96 619.52 275.34 619.52 275.34 230.43 230.43 575.95 255.98 255.98 255.98 22.76 619.52 275.34 619.52 275.34 230.43 230.43 230.43 12.00 522.58 275.34 619.52 275.34 230.43 275.34 275.34 275.34 230.43 275.34 430.36 230.43 619.52 275.34 96.00 per visit 275.34 230.43 96.00 per visit 230.43 230.43 275.34 619.52 275.34 619.52 275.34 47.19 720000016 720 59320 CERCLAGE CERVIX VAG 8692.00 8692.00 7388.20 104.48 104.48 3615.33 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 6084.40 3615.33 "1,183.32" 3615.33 2662.46 1183.32 2662.46 3615.33 209.46 261.82 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 2475.17 1100.08 1100.08 1100.08 165.71 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 3615.33 180.00 7388.20 1183.32 2662.46 1183.32 3615.33 1183.32 1183.32 1183.32 3615.33 1183.32 6084.40 3615.33 2662.46 1183.32 295.00 per visit 1183.32 3615.33 295.00 per visit 3615.33 3615.33 1183.32 2662.46 1183.32 2662.46 1183.32 "2,822.89" 720000004 720 59409 DR VAGINAL DELIVERY ONLY 8692.00 8692.00 7388.20 546.59 546.59 3615.33 5164.12 2295.17 5164.12 2295.17 3615.33 3615.33 6084.40 3615.33 "2,295.17" 3615.33 5164.12 2295.17 5164.12 3615.33 1095.74 1369.68 5164.12 2295.17 5164.12 2295.17 3615.33 3615.33 4800.85 2133.71 2133.71 2133.71 866.88 5164.12 2295.17 5164.12 2295.17 3615.33 3615.33 3615.33 905.00 7388.20 2295.17 5164.12 2295.17 3615.33 2295.17 2295.17 2295.17 3615.33 2295.17 6084.40 3615.33 5164.12 2295.17 295.00 per visit 2295.17 3615.33 295.00 per visit 3615.33 3615.33 2295.17 5164.12 2295.17 5164.12 2295.17 "1,368.77" 337000043 720 59414 DELIVERY OF PLACENTA ONLY 8692.00 8692.00 7388.20 62.21 62.21 3615.33 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 6084.40 3615.33 "1,183.32" 3615.33 2662.46 1183.32 2662.46 3615.33 124.72 155.89 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 2475.17 1100.08 1100.08 1100.08 98.67 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 3615.33 108.00 7388.20 1183.32 2662.46 1183.32 3615.33 1183.32 1183.32 1183.32 3615.33 1183.32 6084.40 3615.33 2662.46 1183.32 295.00 per visit 1183.32 3615.33 295.00 per visit 3615.33 3615.33 1183.32 2662.46 1183.32 2662.46 1183.32 "2,822.89" 720000005 720 59414 DR DELIVERY OF PLACENTA 8692.00 8692.00 7388.20 62.21 62.21 3615.33 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 6084.40 3615.33 "1,183.32" 3615.33 2662.46 1183.32 2662.46 3615.33 124.72 155.89 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 2475.17 1100.08 1100.08 1100.08 98.67 2662.46 1183.32 2662.46 1183.32 3615.33 3615.33 3615.33 108.00 7388.20 1183.32 2662.46 1183.32 3615.33 1183.32 1183.32 1183.32 3615.33 1183.32 6084.40 3615.33 2662.46 1183.32 295.00 per visit 1183.32 3615.33 295.00 per visit 3615.33 3615.33 1183.32 2662.46 1183.32 2662.46 1183.32 "2,822.89" 362002290 510 59430 POSTPARTUM CARE ONLY 503.50 503.50 427.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 352.45 0.00 0.00 0.00 0.00 0.00 352.45 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 194.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167.03 427.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 352.45 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.61 720000003 360 59510 DR CESAREAN DELIVERY ONLY 6969.50 6969.50 4878.65 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 4878.65 0.00 0.00 0.00 0.00 0.00 4878.65 2746.00 2746.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2955.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3000.00 2831.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4878.65 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 "4,665.87" 720000006 360 59525 DR HYSTERECTOMY AFTER C SECTIO 1473.40 1473.40 3101.05 0.00 2515.00 case rate 0.00 3101.05 1378.24 3101.05 1378.24 0.00 0.00 2810.00 per visit 0.00 "1,378.24" 0.00 3101.05 1378.24 3101.05 0.00 1635.00 1635.00 3101.05 1378.24 3101.05 1378.24 0.00 0.00 2882.90 1281.29 1281.29 1281.29 524.04 3101.05 1378.24 3101.05 1378.24 0.00 0.00 0.00 570.00 2831.00 per case 1378.24 3101.05 1378.24 0.00 1378.24 1378.24 1378.24 0.00 1378.24 1031.38 0.00 3101.05 1378.24 2300.00 per case 1378.24 0.00 2300.00 per case 0.00 0.00 1378.24 3101.05 1378.24 3101.05 1378.24 827.43 720000007 360 59612 DR VAGINAL DEL AFTER PRIOR C S 8692.00 8692.00 6084.40 987.27 2515.00 case rate 3615.33 5164.12 2295.17 5164.12 2295.17 3615.33 3615.33 2810.00 per visit 3615.33 "2,295.17" 3615.33 5164.12 2295.17 5164.12 3615.33 3038.00 3038.00 5164.12 2295.17 5164.12 2295.17 3615.33 3615.33 4800.85 2133.71 2133.71 2133.71 987.27 5164.12 2295.17 5164.12 2295.17 3615.33 3615.33 3615.33 1016.00 2831.00 per case 2295.17 5164.12 2295.17 3615.33 2295.17 2295.17 2295.17 3615.33 2295.17 6084.40 3615.33 5164.12 2295.17 2300.00 per case 2295.17 3615.33 2300.00 per case 3615.33 3615.33 2295.17 5164.12 2295.17 5164.12 2295.17 "1,558.85" 720000008 360 59620 DR C SECTION AFTER ATT VAG AFT 2888.50 2888.50 2831.00 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1635.00 1635.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1022.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1169.00 2831.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2021.95 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 "1,615.22" 360005016 761 59812 TX INCMPLT AB ANY TRMSTR SURG 10176.00 10176.00 8649.60 0.00 214.90 3615.33 1981.31 880.58 1981.31 880.58 3615.33 3615.33 2810.00 per visit 3615.33 880.58 3615.33 1981.31 880.58 1981.31 3615.33 430.80 538.50 1981.31 880.58 1981.31 880.58 3615.33 3615.33 1841.98 611.17 818.66 611.17 1787.83 1981.31 880.58 1981.31 880.58 3615.33 3615.33 3615.33 303.00 8649.60 880.58 1981.31 880.58 3615.33 880.58 880.58 880.58 3615.33 880.58 7123.20 3615.33 1981.31 880.58 0.00 880.58 3615.33 0.00 3615.33 3615.33 880.58 1981.31 880.58 1981.31 880.58 "2,822.89" 720000011 360 59850 DR INDUCED AB BY INTRA-AMNIO I 2846.10 2846.10 2831.00 0.00 2515.00 case rate 0.00 1963.39 872.62 1963.39 872.62 0.00 0.00 2810.00 per visit 0.00 872.62 0.00 1963.39 872.62 1963.39 0.00 1635.00 1635.00 1963.39 872.62 1963.39 872.62 0.00 0.00 1825.28 811.23 811.23 811.23 433.45 1963.39 872.62 1963.39 872.62 0.00 0.00 0.00 412.00 2831.00 per case 872.62 1963.39 872.62 0.00 872.62 872.62 872.62 0.00 872.62 1992.27 0.00 1963.39 872.62 2300.00 per case 872.62 0.00 2300.00 per case 0.00 0.00 872.62 1963.39 872.62 1963.39 872.62 684.39 720000012 360 59855 DR IND AB VAG SUPP W OR W/O DI 3354.90 3354.90 2831.00 0.00 2515.00 case rate 0.00 1963.39 872.62 1963.39 872.62 0.00 0.00 2810.00 per visit 0.00 872.62 0.00 1963.39 872.62 1963.39 0.00 1635.00 1635.00 1963.39 872.62 1963.39 872.62 0.00 0.00 1825.28 811.23 811.23 811.23 470.72 1963.39 872.62 1963.39 872.62 0.00 0.00 0.00 446.00 2831.00 per case 872.62 1963.39 872.62 0.00 872.62 872.62 872.62 0.00 872.62 2348.43 0.00 1963.39 872.62 2300.00 per case 872.62 0.00 2300.00 per case 0.00 0.00 872.62 1963.39 872.62 1963.39 872.62 743.24 361000017 361 60100 BX NDL THYROID 2199.50 2199.50 2831.00 74.95 2515.00 case rate 813.62 1308.23 581.44 1308.23 581.44 813.62 813.62 2810.00 per visit 813.62 581.44 813.62 1308.23 581.44 1308.23 813.62 1635.00 2044.00 1308.23 581.44 1308.23 581.44 813.62 813.62 1216.20 74.95 540.54 74.95 79.12 1308.23 581.44 1308.23 581.44 813.62 813.62 813.62 88.00 2831.00 per case 581.44 1308.23 581.44 813.62 581.44 581.44 581.44 813.62 581.44 1539.65 813.62 1308.23 581.44 2300.00 per case 581.44 813.62 2300.00 per case 813.62 813.62 581.44 1308.23 581.44 1308.23 581.44 90.90 361000034 361 60100 BX NDL THYROID 2199.50 2199.50 2831.00 74.95 2515.00 case rate 813.62 1308.23 581.44 1308.23 581.44 813.62 813.62 2810.00 per visit 813.62 581.44 813.62 1308.23 581.44 1308.23 813.62 1635.00 2044.00 1308.23 581.44 1308.23 581.44 813.62 813.62 1216.20 74.95 540.54 74.95 79.12 1308.23 581.44 1308.23 581.44 813.62 813.62 813.62 88.00 2831.00 per case 581.44 1308.23 581.44 813.62 581.44 581.44 581.44 813.62 581.44 1539.65 813.62 1308.23 581.44 2300.00 per case 581.44 813.62 2300.00 per case 813.62 813.62 581.44 1308.23 581.44 1308.23 581.44 90.90 361000053 361 60100 BX NDL THYROID 2199.50 2199.50 2831.00 74.95 2515.00 case rate 813.62 1308.23 581.44 1308.23 581.44 813.62 813.62 2810.00 per visit 813.62 581.44 813.62 1308.23 581.44 1308.23 813.62 1635.00 2044.00 1308.23 581.44 1308.23 581.44 813.62 813.62 1216.20 74.95 540.54 74.95 79.12 1308.23 581.44 1308.23 581.44 813.62 813.62 813.62 88.00 2831.00 per case 581.44 1308.23 581.44 813.62 581.44 581.44 581.44 813.62 581.44 1539.65 813.62 1308.23 581.44 2300.00 per case 581.44 813.62 2300.00 per case 813.62 813.62 581.44 1308.23 581.44 1308.23 581.44 90.90 171000001 761 62270 NR LUMBAR PUNCTURE 2077.60 2077.60 2810.00 0.00 42.83 799.71 1431.64 636.28 1431.64 636.28 799.71 799.71 2810.00 per visit 799.71 636.28 799.71 1431.64 636.28 1431.64 799.71 85.87 107.34 1431.64 636.28 1431.64 636.28 799.71 799.71 1330.93 1003.41 591.52 1003.41 404.32 1431.64 636.28 1431.64 636.28 799.71 799.71 799.71 70.00 1765.96 636.28 1431.64 636.28 799.71 636.28 636.28 636.28 799.71 636.28 1454.32 799.71 1431.64 636.28 0.00 636.28 799.71 0.00 799.71 799.71 636.28 1431.64 636.28 1431.64 636.28 638.40 450000537 450 62270 SPINAL PROC- LUMBAR PUNCT DX 2077.60 2077.60 1454.32 70.00 625.00 case rate 799.71 1444.70 642.09 1444.70 642.09 799.71 799.71 1454.32 799.71 642.09 799.71 1444.70 642.09 1444.70 799.71 1153.00 case rate 1441.00 case rate 1444.70 642.09 1444.70 642.09 799.71 799.71 1343.11 165.00 per visit 596.94 165.00 per visit 225.00 per visit 1444.70 642.09 1444.70 642.09 799.71 799.71 799.71 70.00 1085.00 per visit 642.09 1444.70 642.09 799.71 642.09 642.09 642.09 799.71 642.09 1454.32 799.71 1444.70 642.09 775.00 per case 642.09 799.71 775.00 per case 799.71 799.71 642.09 1444.70 642.09 1444.70 642.09 638.40 337000027 361 62324 EPIDURAL 2570.50 2570.50 2831.00 91.82 2515.00 case rate 1054.04 1431.64 636.28 1431.64 636.28 1054.04 1054.04 2810.00 per visit 1054.04 636.28 1054.04 1431.64 636.28 1431.64 1054.04 1635.00 2044.00 1431.64 636.28 1431.64 636.28 1054.04 1054.04 1330.93 591.52 591.52 591.52 91.82 1431.64 636.28 1431.64 636.28 1054.04 1054.04 1054.04 171.00 2831.00 per case 636.28 1431.64 636.28 1054.04 636.28 636.28 636.28 1054.04 636.28 1799.35 1054.04 1431.64 636.28 2300.00 per case 636.28 1054.04 2300.00 per case 1054.04 1054.04 636.28 1431.64 636.28 1431.64 636.28 841.41 450000571 450 64450 NJX ANES OTH PRPH NRV/BRANCH 2077.60 2077.60 1454.32 72.00 625.00 case rate 799.71 1207.28 536.57 1207.28 536.57 799.71 799.71 1454.32 799.71 536.57 799.71 1207.28 536.57 1207.28 799.71 1153.00 case rate 1441.00 case rate 1207.28 536.57 1207.28 536.57 799.71 799.71 1122.38 165.00 per visit 498.84 165.00 per visit 225.00 per visit 1207.28 536.57 1207.28 536.57 799.71 799.71 799.71 72.00 1085.00 per visit 536.57 1207.28 536.57 799.71 536.57 536.57 536.57 799.71 536.57 1454.32 799.71 1207.28 536.57 775.00 per case 536.57 799.71 775.00 per case 799.71 799.71 536.57 1207.28 536.57 1207.28 536.57 82.75 450000286 450 65205 50 ER REMOVE FB EYE BILAT 530.00 530.00 1441.00 0.00 625.00 case rate 221.58 354.84 157.71 354.84 157.71 221.58 221.58 556.50 221.58 157.71 221.58 354.84 157.71 354.84 221.58 1153.00 case rate 1441.00 case rate 354.84 157.71 354.84 157.71 221.58 221.58 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 354.84 157.71 354.84 157.71 221.58 221.58 221.58 74.00 1085.00 per visit 157.71 354.84 157.71 221.58 157.71 157.71 157.71 221.58 157.71 371.00 221.58 354.84 157.71 775.00 per case 157.71 221.58 775.00 per case 221.58 221.58 157.71 354.84 157.71 354.84 157.71 0.00 450000540 450 65205 50 REM FB EX EYE SUPERF BIL 530.00 530.00 1441.00 0.00 625.00 case rate 221.58 354.84 157.71 354.84 157.71 221.58 221.58 556.50 221.58 157.71 221.58 354.84 157.71 354.84 221.58 1153.00 case rate 1441.00 case rate 354.84 157.71 354.84 157.71 221.58 221.58 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 354.84 157.71 354.84 157.71 221.58 221.58 221.58 74.00 1085.00 per visit 157.71 354.84 157.71 221.58 157.71 157.71 157.71 221.58 157.71 371.00 221.58 354.84 157.71 775.00 per case 157.71 221.58 775.00 per case 221.58 221.58 157.71 354.84 157.71 354.84 157.71 0.00 450000285 450 65205 LT ER REMOVE FB EYE LT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 236.56 105.14 236.56 105.14 147.72 147.72 285.67 147.72 105.14 147.72 236.56 105.14 236.56 147.72 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 147.72 147.72 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 147.72 147.72 147.72 37.00 1085.00 per visit 105.14 236.56 105.14 147.72 105.14 105.14 105.14 147.72 105.14 285.67 147.72 236.56 105.14 775.00 per case 105.14 147.72 775.00 per case 147.72 147.72 105.14 236.56 105.14 236.56 105.14 0.00 450000539 450 65205 LT REM FB EX EYE SUPERF LT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 236.56 105.14 236.56 105.14 147.72 147.72 285.67 147.72 105.14 147.72 236.56 105.14 236.56 147.72 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 147.72 147.72 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 147.72 147.72 147.72 37.00 1085.00 per visit 105.14 236.56 105.14 147.72 105.14 105.14 105.14 147.72 105.14 285.67 147.72 236.56 105.14 775.00 per case 105.14 147.72 775.00 per case 147.72 147.72 105.14 236.56 105.14 236.56 105.14 0.00 450000123 450 65205 RT ER REMOVE FOREIGN BODY FROM EY 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 236.56 105.14 236.56 105.14 147.72 147.72 285.67 147.72 105.14 147.72 236.56 105.14 236.56 147.72 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 147.72 147.72 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 147.72 147.72 147.72 37.00 1085.00 per visit 105.14 236.56 105.14 147.72 105.14 105.14 105.14 147.72 105.14 285.67 147.72 236.56 105.14 775.00 per case 105.14 147.72 775.00 per case 147.72 147.72 105.14 236.56 105.14 236.56 105.14 0.00 450000538 450 65205 RT REM FB EX EYE SUPERF RT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 236.56 105.14 236.56 105.14 147.72 147.72 285.67 147.72 105.14 147.72 236.56 105.14 236.56 147.72 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 147.72 147.72 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 147.72 147.72 147.72 37.00 1085.00 per visit 105.14 236.56 105.14 147.72 105.14 105.14 105.14 147.72 105.14 285.67 147.72 236.56 105.14 775.00 per case 105.14 147.72 775.00 per case 147.72 147.72 105.14 236.56 105.14 236.56 105.14 0.00 450000543 450 65210 50 REB FB EXT EYE CONJ EMBED BIL 1908.00 1908.00 2003.40 0.00 625.00 case rate 691.14 354.84 157.71 354.84 157.71 691.14 691.14 2003.40 691.14 157.71 691.14 354.84 157.71 354.84 691.14 1153.00 case rate 1441.00 case rate 354.84 157.71 354.84 157.71 691.14 691.14 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 354.84 157.71 354.84 157.71 691.14 691.14 691.14 96.00 1085.00 per visit 157.71 354.84 157.71 691.14 157.71 157.71 157.71 691.14 157.71 1335.60 691.14 354.84 157.71 775.00 per case 157.71 691.14 775.00 per case 691.14 691.14 157.71 354.84 157.71 354.84 157.71 0.00 450000542 450 65210 LT REB FB EXT EYE CONJ EMBED LT 1330.30 1330.30 1441.00 0.00 625.00 case rate 460.76 236.56 105.14 236.56 105.14 460.76 460.76 931.21 460.76 105.14 460.76 236.56 105.14 236.56 460.76 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 460.76 460.76 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 460.76 460.76 460.76 48.00 1085.00 per visit 105.14 236.56 105.14 460.76 105.14 105.14 105.14 460.76 105.14 931.21 460.76 236.56 105.14 775.00 per case 105.14 460.76 775.00 per case 460.76 460.76 105.14 236.56 105.14 236.56 105.14 0.00 450000541 450 65210 RT REB FB EXT EYE CONJ EMBED RT 1330.30 1330.30 1441.00 0.00 625.00 case rate 460.76 236.56 105.14 236.56 105.14 460.76 460.76 931.21 460.76 105.14 460.76 236.56 105.14 236.56 460.76 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 460.76 460.76 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 460.76 460.76 460.76 48.00 1085.00 per visit 105.14 236.56 105.14 460.76 105.14 105.14 105.14 460.76 105.14 931.21 460.76 236.56 105.14 775.00 per case 105.14 460.76 775.00 per case 460.76 460.76 105.14 236.56 105.14 236.56 105.14 0.00 450000546 450 65220 50 REM FB CORN W/O SLIT LMP BIL 1908.00 1908.00 2003.40 0.00 625.00 case rate 691.14 354.84 157.71 354.84 157.71 691.14 691.14 2003.40 691.14 157.71 691.14 354.84 157.71 354.84 691.14 1153.00 case rate 1441.00 case rate 354.84 157.71 354.84 157.71 691.14 691.14 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 354.84 157.71 354.84 157.71 691.14 691.14 691.14 76.00 1085.00 per visit 157.71 354.84 157.71 691.14 157.71 157.71 157.71 691.14 157.71 1335.60 691.14 354.84 157.71 775.00 per case 157.71 691.14 775.00 per case 691.14 691.14 157.71 354.84 157.71 354.84 157.71 0.00 450000545 450 65220 LT REM FB CORN W/O SLIT LMP LT 1330.30 1330.30 1441.00 0.00 625.00 case rate 460.76 236.56 105.14 236.56 105.14 460.76 460.76 931.21 460.76 105.14 460.76 236.56 105.14 236.56 460.76 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 460.76 460.76 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 460.76 460.76 460.76 38.00 1085.00 per visit 105.14 236.56 105.14 460.76 105.14 105.14 105.14 460.76 105.14 931.21 460.76 236.56 105.14 775.00 per case 105.14 460.76 775.00 per case 460.76 460.76 105.14 236.56 105.14 236.56 105.14 0.00 450000544 450 65220 RT REM FB CORN W/O SLIT LMP RT 1330.30 1330.30 1441.00 0.00 625.00 case rate 460.76 236.56 105.14 236.56 105.14 460.76 460.76 931.21 460.76 105.14 460.76 236.56 105.14 236.56 460.76 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 460.76 460.76 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 460.76 460.76 460.76 38.00 1085.00 per visit 105.14 236.56 105.14 460.76 105.14 105.14 105.14 460.76 105.14 931.21 460.76 236.56 105.14 775.00 per case 105.14 460.76 775.00 per case 460.76 460.76 105.14 236.56 105.14 236.56 105.14 0.00 450000549 450 65222 50 REM FB CORN W/SLIT LAM BIL 530.00 530.00 1441.00 0.00 625.00 case rate 221.58 354.84 157.71 354.84 157.71 221.58 221.58 556.50 221.58 157.71 221.58 354.84 157.71 354.84 221.58 1153.00 case rate 1441.00 case rate 354.84 157.71 354.84 157.71 221.58 221.58 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 354.84 157.71 354.84 157.71 221.58 221.58 221.58 102.00 1085.00 per visit 157.71 354.84 157.71 221.58 157.71 157.71 157.71 221.58 157.71 371.00 221.58 354.84 157.71 775.00 per case 157.71 221.58 775.00 per case 221.58 221.58 157.71 354.84 157.71 354.84 157.71 0.00 450000548 450 65222 LT REM FB CORN W/SLIT LAM LT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 236.56 105.14 236.56 105.14 147.72 147.72 285.67 147.72 105.14 147.72 236.56 105.14 236.56 147.72 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 147.72 147.72 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 147.72 147.72 147.72 51.00 1085.00 per visit 105.14 236.56 105.14 147.72 105.14 105.14 105.14 147.72 105.14 285.67 147.72 236.56 105.14 775.00 per case 105.14 147.72 775.00 per case 147.72 147.72 105.14 236.56 105.14 236.56 105.14 0.00 450000547 450 65222 RT REM FB CORN W/SLIT LAM RT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 236.56 105.14 236.56 105.14 147.72 147.72 285.67 147.72 105.14 147.72 236.56 105.14 236.56 147.72 1153.00 case rate 1441.00 case rate 236.56 105.14 236.56 105.14 147.72 147.72 219.93 165.00 per visit 97.75 165.00 per visit 225.00 per visit 236.56 105.14 236.56 105.14 147.72 147.72 147.72 51.00 1085.00 per visit 105.14 236.56 105.14 147.72 105.14 105.14 105.14 147.72 105.14 285.67 147.72 236.56 105.14 775.00 per case 105.14 147.72 775.00 per case 147.72 147.72 105.14 236.56 105.14 236.56 105.14 0.00 450000552 450 67700 50 BLEPHA-DRAIN ABSC EYELID RT 1590.00 1590.00 1669.50 164.00 625.00 case rate 505.31 767.10 340.93 767.10 340.93 505.31 505.31 1669.50 505.31 340.93 505.31 767.10 340.93 767.10 505.31 1153.00 case rate 1441.00 case rate 767.10 340.93 767.10 340.93 505.31 505.31 475.44 165.00 per visit 211.31 165.00 per visit 225.00 per visit 767.10 340.93 767.10 340.93 505.31 505.31 505.31 164.00 1085.00 per visit 340.93 767.10 340.93 505.31 340.93 340.93 340.93 505.31 340.93 1113.00 505.31 767.10 340.93 775.00 per case 340.93 505.31 775.00 per case 505.31 505.31 340.93 767.10 340.93 767.10 340.93 605.06 450000551 450 67700 LT BLEPHA-DRAIN ABSC EYELID LT 1081.20 1081.20 1441.00 82.00 625.00 case rate 336.87 511.40 227.29 511.40 227.29 336.87 336.87 756.84 336.87 227.29 336.87 511.40 227.29 511.40 336.87 1153.00 case rate 1441.00 case rate 511.40 227.29 511.40 227.29 336.87 336.87 475.44 165.00 per visit 211.31 165.00 per visit 225.00 per visit 511.40 227.29 511.40 227.29 336.87 336.87 336.87 82.00 1085.00 per visit 227.29 511.40 227.29 336.87 227.29 227.29 227.29 336.87 227.29 756.84 336.87 511.40 227.29 775.00 per case 227.29 336.87 775.00 per case 336.87 336.87 227.29 511.40 227.29 511.40 227.29 268.92 450000550 450 67700 RT BLEPHA-DRAIN ABSC EYELID RT 1081.20 1081.20 1441.00 82.00 625.00 case rate 336.87 511.40 227.29 511.40 227.29 336.87 336.87 756.84 336.87 227.29 336.87 511.40 227.29 511.40 336.87 1153.00 case rate 1441.00 case rate 511.40 227.29 511.40 227.29 336.87 336.87 475.44 165.00 per visit 211.31 165.00 per visit 225.00 per visit 511.40 227.29 511.40 227.29 336.87 336.87 336.87 82.00 1085.00 per visit 227.29 511.40 227.29 336.87 227.29 227.29 227.29 336.87 227.29 756.84 336.87 511.40 227.29 775.00 per case 227.29 336.87 775.00 per case 336.87 336.87 227.29 511.40 227.29 511.40 227.29 268.92 450000553 450 69000 DRAIN EXTERN EAR ABSCESS SIMPL 2215.40 2215.40 1550.78 86.00 625.00 case rate 813.62 349.10 155.16 349.10 155.16 813.62 813.62 1550.78 813.62 155.16 813.62 349.10 155.16 349.10 813.62 1153.00 case rate 1441.00 case rate 349.10 155.16 349.10 155.16 813.62 813.62 324.55 165.00 per visit 144.25 165.00 per visit 225.00 per visit 349.10 155.16 349.10 155.16 813.62 813.62 813.62 86.00 1085.00 per visit 155.16 349.10 155.16 813.62 155.16 155.16 155.16 813.62 155.16 1550.78 813.62 349.10 155.16 775.00 per case 155.16 813.62 775.00 per case 813.62 813.62 155.16 349.10 155.16 349.10 155.16 226.67 450000288 450 69200 50 ER REMOVE FB EAR BILAT 530.00 530.00 1441.00 0.00 625.00 case rate 221.58 0.00 0.00 0.00 0.00 221.58 221.58 556.50 221.58 0.00 221.58 0.00 0.00 0.00 221.58 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 221.58 221.58 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 221.58 221.58 221.58 136.00 1085.00 per visit 0.00 0.00 0.00 221.58 0.00 0.00 0.00 221.58 0.00 371.00 221.58 0.00 0.00 775.00 per case 0.00 221.58 775.00 per case 221.58 221.58 0.00 0.00 0.00 0.00 0.00 0.00 450000287 450 69200 LT ER REMOVE FB EAR LT 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 0.00 0.00 0.00 0.00 147.72 147.72 285.67 147.72 0.00 147.72 0.00 0.00 0.00 147.72 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 147.72 147.72 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 147.72 147.72 147.72 68.00 1085.00 per visit 0.00 0.00 0.00 147.72 0.00 0.00 0.00 147.72 0.00 285.67 147.72 0.00 0.00 775.00 per case 0.00 147.72 775.00 per case 147.72 147.72 0.00 0.00 0.00 0.00 0.00 0.00 450000124 450 69200 RT ER CLEAR OUTER EAR CANAL 408.10 408.10 1441.00 0.00 625.00 case rate 147.72 0.00 0.00 0.00 0.00 147.72 147.72 285.67 147.72 0.00 147.72 0.00 0.00 0.00 147.72 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 147.72 147.72 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 147.72 147.72 147.72 68.00 1085.00 per visit 0.00 0.00 0.00 147.72 0.00 0.00 0.00 147.72 0.00 285.67 147.72 0.00 0.00 775.00 per case 0.00 147.72 775.00 per case 147.72 147.72 0.00 0.00 0.00 0.00 0.00 0.00 360005011 450 69209 50 REMOVE IMPACTED EAR WAX BILAT 371.00 371.00 1441.00 0.00 625.00 case rate 106.10 0.00 0.00 0.00 0.00 106.10 106.10 389.55 106.10 0.00 106.10 0.00 0.00 0.00 106.10 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 106.10 106.10 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 106.10 106.10 106.10 30.00 1085.00 per visit 0.00 0.00 0.00 106.10 0.00 0.00 0.00 106.10 0.00 259.70 106.10 0.00 0.00 775.00 per case 0.00 106.10 775.00 per case 106.10 106.10 0.00 0.00 0.00 0.00 0.00 0.00 360005009 450 69209 LT REMOVE IMPACTED EAR WAX UNI LT 212.00 212.00 1441.00 0.00 625.00 case rate 70.73 0.00 0.00 0.00 0.00 70.73 70.73 148.40 70.73 0.00 70.73 0.00 0.00 0.00 70.73 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 70.73 70.73 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 70.73 70.73 70.73 15.00 1085.00 per visit 0.00 0.00 0.00 70.73 0.00 0.00 0.00 70.73 0.00 148.40 70.73 0.00 0.00 775.00 per case 0.00 70.73 775.00 per case 70.73 70.73 0.00 0.00 0.00 0.00 0.00 0.00 360005010 450 69209 RT REMOVE IMPACTED EAR WAX UNI RT 212.00 212.00 1441.00 0.00 625.00 case rate 70.73 0.00 0.00 0.00 0.00 70.73 70.73 148.40 70.73 0.00 70.73 0.00 0.00 0.00 70.73 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 70.73 70.73 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 70.73 70.73 70.73 15.00 1085.00 per visit 0.00 0.00 0.00 70.73 0.00 0.00 0.00 70.73 0.00 148.40 70.73 0.00 0.00 775.00 per case 0.00 70.73 775.00 per case 70.73 70.73 0.00 0.00 0.00 0.00 0.00 0.00 450000125 450 69210 ER REMOVE IMPACTED EAR WAX 214.12 214.12 1441.00 0.00 625.00 case rate 70.73 0.00 0.00 0.00 0.00 70.73 70.73 149.88 70.73 0.00 70.73 0.00 0.00 0.00 70.73 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 70.73 70.73 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 70.73 70.73 70.73 37.00 1085.00 per visit 0.00 0.00 0.00 70.73 0.00 0.00 0.00 70.73 0.00 149.88 70.73 0.00 0.00 775.00 per case 0.00 70.73 775.00 per case 70.73 70.73 0.00 0.00 0.00 0.00 0.00 0.00 320000140 320 70030 50TC XR EYE FOREIGN BODY BILAT 397.50 397.50 278.25 34.81 48.99 157.62 81.81 36.36 81.81 36.36 157.62 157.62 63.03 157.62 36.36 157.62 81.81 36.36 81.81 157.62 103.21 129.01 81.81 36.36 81.81 36.36 157.62 157.62 78.31 38.68 34.81 38.68 40.83 81.81 36.36 81.81 36.36 157.62 157.62 157.62 44.00 258.38 36.36 81.81 36.36 157.62 36.36 36.36 36.36 157.62 36.36 278.25 157.62 81.81 36.36 102.00 per visit 36.36 157.62 102.00 per visit 157.62 157.62 36.36 81.81 36.36 81.81 36.36 58.02 320000139 320 70030 LTTC XR EYE FOREIGN BODY LT 238.50 238.50 166.95 22.00 32.66 105.08 54.54 24.24 54.54 24.24 105.08 105.08 42.02 105.08 24.24 105.08 54.54 24.24 54.54 105.08 34.40 43.00 54.54 24.24 54.54 24.24 105.08 105.08 78.31 25.79 34.81 25.79 27.22 54.54 24.24 54.54 24.24 105.08 105.08 105.08 22.00 155.03 24.24 54.54 24.24 105.08 24.24 24.24 24.24 105.08 24.24 166.95 105.08 54.54 24.24 102.00 per visit 24.24 105.08 102.00 per visit 105.08 105.08 24.24 54.54 24.24 54.54 24.24 25.79 320000001 320 70030 TC XR EYE FOREIGN BODY 238.50 238.50 166.95 22.00 32.66 105.08 54.54 24.24 54.54 24.24 105.08 105.08 42.02 105.08 24.24 105.08 54.54 24.24 54.54 105.08 34.40 43.00 54.54 24.24 54.54 24.24 105.08 105.08 78.31 25.79 34.81 25.79 27.22 54.54 24.24 54.54 24.24 105.08 105.08 105.08 22.00 155.03 24.24 54.54 24.24 105.08 24.24 24.24 24.24 105.08 24.24 166.95 105.08 54.54 24.24 102.00 per visit 24.24 105.08 102.00 per visit 105.08 105.08 24.24 54.54 24.24 54.54 24.24 25.79 320000158 320 70100 TC XR MANDIBLE PARTIAL < 4 VIEWS 238.50 238.50 166.95 9.09 40.70 105.08 20.45 9.09 20.45 9.09 105.08 105.08 49.72 105.08 9.09 105.08 20.45 9.09 20.45 105.08 42.87 53.59 20.45 9.09 20.45 9.09 105.08 105.08 78.31 32.13 34.81 32.13 33.92 20.45 9.09 20.45 9.09 105.08 105.08 105.08 27.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 32.13 320000002 320 70110 TC XR MANDIBLE MIN OF 4 VIEWS 439.90 439.90 307.93 15.15 42.92 127.14 34.09 15.15 34.09 15.15 127.14 127.14 56.72 127.14 15.15 127.14 34.09 15.15 34.09 127.14 45.21 56.51 34.09 15.15 34.09 15.15 127.14 127.14 78.31 33.89 34.81 33.89 35.77 34.09 15.15 34.09 15.15 127.14 127.14 127.14 32.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 102.00 per visit 15.15 127.14 102.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 33.89 320000142 320 70120 50TC XR MASTOIDS 1-2 VIEWS BILAT 583.00 583.00 408.10 13.64 59.70 190.70 30.68 13.64 30.68 13.64 190.70 190.70 80.89 190.70 13.64 190.70 30.68 13.64 30.68 190.70 125.76 157.20 30.68 13.64 30.68 13.64 190.70 190.70 78.31 47.13 34.81 47.13 49.75 30.68 13.64 30.68 13.64 190.70 190.70 190.70 128.00 378.95 13.64 30.68 13.64 190.70 13.64 13.64 13.64 190.70 13.64 408.10 190.70 30.68 13.64 102.00 per visit 13.64 190.70 102.00 per visit 190.70 190.70 13.64 30.68 13.64 30.68 13.64 70.69 320000141 320 70120 LTTC XR MASTOIDS 1-2 VIEWS LT 439.90 439.90 307.93 9.09 39.80 127.14 20.45 9.09 20.45 9.09 127.14 127.14 53.92 127.14 9.09 127.14 20.45 9.09 20.45 127.14 41.92 52.40 20.45 9.09 20.45 9.09 127.14 127.14 78.31 31.42 34.81 31.42 33.16 20.45 9.09 20.45 9.09 127.14 127.14 127.14 32.00 285.94 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 307.93 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 31.42 320000003 320 70120 RTTC XR MASTOIDS 1-2 VIEWS RT 439.90 439.90 307.93 9.09 39.80 127.14 20.45 9.09 20.45 9.09 127.14 127.14 53.92 127.14 9.09 127.14 20.45 9.09 20.45 127.14 41.92 52.40 20.45 9.09 20.45 9.09 127.14 127.14 78.31 31.42 34.81 31.42 33.16 20.45 9.09 20.45 9.09 127.14 127.14 127.14 32.00 285.94 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 307.93 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 31.42 320000004 320 70134 TC XR INNER EAR 895.70 895.70 637.96 15.15 60.32 637.96 34.09 15.15 34.09 15.15 637.96 637.96 61.62 637.96 15.15 637.96 34.09 15.15 34.09 637.96 63.53 79.42 34.09 15.15 34.09 15.15 637.96 637.96 78.31 47.62 34.81 47.62 50.26 34.09 15.15 34.09 15.15 637.96 637.96 637.96 38.00 582.21 15.15 34.09 15.15 637.96 15.15 15.15 15.15 637.96 15.15 626.99 637.96 34.09 15.15 102.00 per visit 15.15 637.96 102.00 per visit 637.96 637.96 15.15 34.09 15.15 34.09 15.15 47.62 320000005 320 70140 TC XR ZYGOMATIC ARCH 238.50 238.50 166.95 9.09 30.44 105.08 20.45 9.09 20.45 9.09 105.08 105.08 42.72 105.08 9.09 105.08 20.45 9.09 20.45 105.08 32.06 40.08 20.45 9.09 20.45 9.09 105.08 105.08 78.31 24.03 34.81 24.03 25.37 20.45 9.09 20.45 9.09 105.08 105.08 105.08 32.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 24.03 320000006 320 70150 TC XR FACIAL BONES MIN OF 3 VIEWS 439.90 439.90 307.93 15.15 46.93 127.14 34.09 15.15 34.09 15.15 127.14 127.14 62.32 127.14 15.15 127.14 34.09 15.15 34.09 127.14 49.44 61.80 34.09 15.15 34.09 15.15 127.14 127.14 78.31 37.05 34.81 37.05 39.11 34.09 15.15 34.09 15.15 127.14 127.14 127.14 41.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 102.00 per visit 15.15 127.14 102.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 37.05 320000007 320 70160 TC XR NASAL BONES 238.50 238.50 166.95 9.09 39.80 105.08 20.45 9.09 20.45 9.09 105.08 105.08 51.13 105.08 9.09 105.08 20.45 9.09 20.45 105.08 41.92 52.40 20.45 9.09 20.45 9.09 105.08 105.08 78.31 31.42 34.81 31.42 33.16 20.45 9.09 20.45 9.09 105.08 105.08 105.08 27.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 31.42 320000008 320 70200 TC XR ORBITS MIN OF 4 VIEWS 439.90 439.90 307.93 15.15 46.49 127.14 34.09 15.15 34.09 15.15 127.14 127.14 63.01 127.14 15.15 127.14 34.09 15.15 34.09 127.14 48.97 61.21 34.09 15.15 34.09 15.15 127.14 127.14 78.31 36.70 34.81 36.70 38.74 34.09 15.15 34.09 15.15 127.14 127.14 127.14 41.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 102.00 per visit 15.15 127.14 102.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 36.70 320000009 320 70220 TC XR SINUS MIN OF 3 VIEWS 238.50 238.50 166.95 12.12 36.67 105.08 27.27 12.12 27.27 12.12 105.08 105.08 55.32 105.08 12.12 105.08 27.27 12.12 27.27 105.08 38.63 48.29 27.27 12.12 27.27 12.12 105.08 105.08 78.31 28.95 34.81 28.95 30.56 27.27 12.12 27.27 12.12 105.08 105.08 105.08 41.00 155.03 12.12 27.27 12.12 105.08 12.12 12.12 12.12 105.08 12.12 166.95 105.08 27.27 12.12 102.00 per visit 12.12 105.08 102.00 per visit 105.08 105.08 12.12 27.27 12.12 27.27 12.12 28.95 320000159 320 70250 TC XR SKULL < 4 VIEWS 439.90 439.90 307.93 9.09 36.67 127.14 20.45 9.09 20.45 9.09 127.14 127.14 51.82 127.14 9.09 127.14 20.45 9.09 20.45 127.14 38.63 48.29 20.45 9.09 20.45 9.09 127.14 127.14 78.31 28.95 34.81 28.95 30.56 20.45 9.09 20.45 9.09 127.14 127.14 127.14 32.00 285.94 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 307.93 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 28.95 320000010 320 70260 TC XR SKULL (MINIMUM 4 VIEWS) 439.90 439.90 307.93 15.15 42.03 127.14 34.09 15.15 34.09 15.15 127.14 127.14 63.72 127.14 15.15 127.14 34.09 15.15 34.09 127.14 44.27 55.34 34.09 15.15 34.09 15.15 127.14 127.14 78.31 33.18 34.81 33.18 35.03 34.09 15.15 34.09 15.15 127.14 127.14 127.14 46.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 102.00 per visit 15.15 127.14 102.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 33.18 320000012 320 70328 TC XR TMJ OPEN/CLOSED UNILATERAL 238.50 238.50 166.95 7.58 34.90 105.08 17.04 7.58 17.04 7.58 105.08 105.08 45.52 105.08 7.58 105.08 17.04 7.58 17.04 105.08 36.76 45.95 17.04 7.58 17.04 7.58 105.08 105.08 78.31 27.55 34.81 27.55 29.08 17.04 7.58 17.04 7.58 105.08 105.08 105.08 26.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 27.55 320000013 320 70330 TC XR TMJ OPEN/CLOSED BILATERAL 344.50 344.50 241.15 12.12 55.86 105.08 27.27 12.12 27.27 12.12 105.08 105.08 74.92 105.08 12.12 105.08 27.27 12.12 27.27 105.08 58.84 73.55 27.27 12.12 27.27 12.12 105.08 105.08 78.31 44.10 34.81 44.10 46.55 27.27 12.12 27.27 12.12 105.08 105.08 105.08 43.00 223.93 12.12 27.27 12.12 105.08 12.12 12.12 12.12 105.08 12.12 241.15 105.08 27.27 12.12 102.00 per visit 12.12 105.08 102.00 per visit 105.08 105.08 12.12 27.27 12.12 27.27 12.12 44.10 320000015 320 70360 TC XR SOFT TISSUE NECK 238.50 238.50 166.95 6.06 30.44 105.08 13.64 6.06 13.64 6.06 105.08 105.08 39.92 105.08 6.06 105.08 13.64 6.06 13.64 105.08 32.06 40.08 13.64 6.06 13.64 6.06 105.08 105.08 78.31 24.03 34.81 24.03 25.37 13.64 6.06 13.64 6.06 105.08 105.08 105.08 22.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 24.03 320000016 320 70371 TC XR ESOPHOGRAM/SPEECH (VIDEO CI 890.40 890.40 623.28 21.21 91.54 283.36 47.72 21.21 47.72 21.21 283.36 283.36 110.61 283.36 21.21 283.36 47.72 21.21 47.72 283.36 96.42 120.53 47.72 21.21 47.72 21.21 283.36 283.36 575.23 72.27 255.66 72.27 76.29 47.72 21.21 47.72 21.21 283.36 283.36 283.36 108.00 578.76 21.21 47.72 21.21 283.36 21.21 21.21 21.21 283.36 21.21 623.28 283.36 47.72 21.21 102.00 per visit 21.21 283.36 102.00 per visit 283.36 283.36 21.21 47.72 21.21 47.72 21.21 72.27 320000017 320 70390 TC XR SIALOGRAM 890.40 890.40 623.28 12.12 131.25 283.36 27.27 12.12 27.27 12.12 283.36 283.36 170.80 283.36 12.12 283.36 27.27 12.12 27.27 283.36 138.25 172.81 27.27 12.12 27.27 12.12 283.36 283.36 575.23 103.62 255.66 103.62 109.37 27.27 12.12 27.27 12.12 283.36 283.36 283.36 92.00 578.76 12.12 27.27 12.12 283.36 12.12 12.12 12.12 283.36 12.12 623.28 283.36 27.27 12.12 102.00 per visit 12.12 283.36 102.00 per visit 283.36 283.36 12.12 27.27 12.12 27.27 12.12 103.62 351000001 351 70450 TC CT BRAIN WITHOUT CONTRAST 1404.50 1404.50 983.15 72.72 92.44 127.14 163.62 72.72 163.62 72.72 127.14 127.14 697.00 per visit 127.14 72.72 127.14 163.62 72.72 163.62 127.14 97.37 121.72 163.62 72.72 163.62 72.72 127.14 127.14 803.14 72.98 356.95 72.98 77.04 163.62 72.72 163.62 72.72 127.14 127.14 127.14 241.00 912.93 72.72 163.62 72.72 127.14 72.72 72.72 72.72 127.14 72.72 983.15 127.14 163.62 72.72 499.00 per visit 72.72 127.14 499.00 per visit 127.14 127.14 72.72 163.62 72.72 163.62 72.72 72.98 351000002 351 70460 TC CT BRAIN WITH CONTRAST 1706.60 1706.60 1194.62 87.87 132.58 212.47 197.71 87.87 197.71 87.87 212.47 212.47 697.00 per visit 212.47 87.87 212.47 197.71 87.87 197.71 212.47 139.65 174.57 197.71 87.87 197.71 87.87 212.47 212.47 803.14 104.67 356.95 104.67 110.49 197.71 87.87 197.71 87.87 212.47 212.47 212.47 289.00 1109.29 87.87 197.71 87.87 212.47 87.87 87.87 87.87 212.47 87.87 1194.62 212.47 197.71 87.87 499.00 per visit 87.87 212.47 499.00 per visit 212.47 212.47 87.87 197.71 87.87 197.71 87.87 104.67 351000022 351 70470 TC CT BRAIN WITH W/O CONTRAST 2650.00 2650.00 1855.00 125.17 158.55 212.47 295.88 131.50 295.88 131.50 212.47 212.47 697.00 per visit 212.47 131.50 212.47 295.88 131.50 295.88 212.47 167.01 208.76 295.88 131.50 295.88 131.50 212.47 212.47 803.14 125.17 356.95 125.17 132.13 295.88 131.50 295.88 131.50 212.47 212.47 212.47 361.00 1722.50 131.50 295.88 131.50 212.47 131.50 131.50 131.50 212.47 131.50 1855.00 212.47 295.88 131.50 499.00 per visit 131.50 212.47 499.00 per visit 212.47 212.47 131.50 295.88 131.50 295.88 131.50 125.17 351000003 351 70480 TC CT ORBITS / IAC W/O CONTRAST 1531.70 1531.70 1072.19 72.72 137.59 127.14 163.62 72.72 163.62 72.72 127.14 127.14 697.00 per visit 127.14 72.72 127.14 163.62 72.72 163.62 127.14 144.92 181.16 163.62 72.72 163.62 72.72 127.14 127.14 672.02 108.62 298.68 108.62 114.66 163.62 72.72 163.62 72.72 127.14 127.14 127.14 241.00 995.61 72.72 163.62 72.72 127.14 72.72 72.72 72.72 127.14 72.72 1072.19 127.14 163.62 72.72 499.00 per visit 72.72 127.14 499.00 per visit 127.14 127.14 72.72 163.62 72.72 163.62 72.72 108.62 351000027 351 70480 TC CT POSTERIOR FOSSA W/O CONTRST 1531.70 1531.70 1072.19 72.72 137.59 127.14 163.62 72.72 163.62 72.72 127.14 127.14 697.00 per visit 127.14 72.72 127.14 163.62 72.72 163.62 127.14 144.92 181.16 163.62 72.72 163.62 72.72 127.14 127.14 672.02 108.62 298.68 108.62 114.66 163.62 72.72 163.62 72.72 127.14 127.14 127.14 241.00 995.61 72.72 163.62 72.72 127.14 72.72 72.72 72.72 127.14 72.72 1072.19 127.14 163.62 72.72 499.00 per visit 72.72 127.14 499.00 per visit 127.14 127.14 72.72 163.62 72.72 163.62 72.72 108.62 351000006 351 70481 TC CT ORBITS / IAC W/ CONTRAST 1786.10 1786.10 1250.27 87.87 177.29 212.47 197.71 87.87 197.71 87.87 212.47 212.47 697.00 per visit 212.47 87.87 212.47 197.71 87.87 197.71 212.47 186.75 233.44 197.71 87.87 197.71 87.87 212.47 212.47 803.14 139.97 356.95 139.97 147.74 197.71 87.87 197.71 87.87 212.47 212.47 212.47 289.00 1160.97 87.87 197.71 87.87 212.47 87.87 87.87 87.87 212.47 87.87 1250.27 212.47 197.71 87.87 499.00 per visit 87.87 212.47 499.00 per visit 212.47 212.47 87.87 197.71 87.87 197.71 87.87 139.97 351000010 351 70481 TC CT POSTERIOR FOSSA W/ CONTRAST 1786.10 1786.10 1250.27 87.87 177.29 212.47 197.71 87.87 197.71 87.87 212.47 212.47 697.00 per visit 212.47 87.87 212.47 197.71 87.87 197.71 212.47 186.75 233.44 197.71 87.87 197.71 87.87 212.47 212.47 803.14 139.97 356.95 139.97 147.74 197.71 87.87 197.71 87.87 212.47 212.47 212.47 289.00 1160.97 87.87 197.71 87.87 212.47 87.87 87.87 87.87 212.47 87.87 1250.27 212.47 197.71 87.87 499.00 per visit 87.87 212.47 499.00 per visit 212.47 212.47 87.87 197.71 87.87 197.71 87.87 139.97 351000004 351 70482 TC CT ORBITS / IAC W W/O CONTRAST 2308.68 2308.68 1616.08 131.50 210.30 212.47 295.88 131.50 295.88 131.50 212.47 212.47 697.00 per visit 212.47 131.50 212.47 295.88 131.50 295.88 212.47 221.51 276.89 295.88 131.50 295.88 131.50 212.47 212.47 803.14 166.02 356.95 166.02 175.25 295.88 131.50 295.88 131.50 212.47 212.47 212.47 361.00 1500.64 131.50 295.88 131.50 212.47 131.50 131.50 131.50 212.47 131.50 1616.08 212.47 295.88 131.50 499.00 per visit 131.50 212.47 499.00 per visit 212.47 212.47 131.50 295.88 131.50 295.88 131.50 166.02 351000028 351 70482 TC CT POSTERIOR FOSSA W W/O CONTR 2308.68 2308.68 1616.08 131.50 210.30 212.47 295.88 131.50 295.88 131.50 212.47 212.47 697.00 per visit 212.47 131.50 212.47 295.88 131.50 295.88 212.47 221.51 276.89 295.88 131.50 295.88 131.50 212.47 212.47 803.14 166.02 356.95 166.02 175.25 295.88 131.50 295.88 131.50 212.47 212.47 212.47 361.00 1500.64 131.50 295.88 131.50 212.47 131.50 131.50 131.50 212.47 131.50 1616.08 212.47 295.88 131.50 499.00 per visit 131.50 212.47 499.00 per visit 212.47 212.47 131.50 295.88 131.50 295.88 131.50 166.02 351000012 351 70486 TC CT FACIAL BONES WITHOUT CONTRA 1484.00 1484.00 1038.80 72.72 122.32 127.14 163.62 72.72 163.62 72.72 127.14 127.14 697.00 per visit 127.14 72.72 127.14 163.62 72.72 163.62 127.14 128.85 161.06 163.62 72.72 163.62 72.72 127.14 127.14 672.02 96.57 298.68 96.57 101.94 163.62 72.72 163.62 72.72 127.14 127.14 127.14 241.00 964.60 72.72 163.62 72.72 127.14 72.72 72.72 72.72 127.14 72.72 1038.80 127.14 163.62 72.72 499.00 per visit 72.72 127.14 499.00 per visit 127.14 127.14 72.72 163.62 72.72 163.62 72.72 96.57 351000017 351 70486 TC CT SINUS WITHOUT CONTRAST 1484.00 1484.00 1038.80 72.72 122.32 127.14 163.62 72.72 163.62 72.72 127.14 127.14 697.00 per visit 127.14 72.72 127.14 163.62 72.72 163.62 127.14 128.85 161.06 163.62 72.72 163.62 72.72 127.14 127.14 672.02 96.57 298.68 96.57 101.94 163.62 72.72 163.62 72.72 127.14 127.14 127.14 241.00 964.60 72.72 163.62 72.72 127.14 72.72 72.72 72.72 127.14 72.72 1038.80 127.14 163.62 72.72 499.00 per visit 72.72 127.14 499.00 per visit 127.14 127.14 72.72 163.62 72.72 163.62 72.72 96.57 351000013 351 70487 TC CT FACIAL BONES WITH CONTRAST 1759.60 1759.60 1231.72 87.87 138.49 212.47 197.71 87.87 197.71 87.87 212.47 212.47 697.00 per visit 212.47 87.87 212.47 197.71 87.87 197.71 212.47 145.87 182.34 197.71 87.87 197.71 87.87 212.47 212.47 803.14 109.33 356.95 109.33 115.41 197.71 87.87 197.71 87.87 212.47 212.47 212.47 289.00 1143.74 87.87 197.71 87.87 212.47 87.87 87.87 87.87 212.47 87.87 1231.72 212.47 197.71 87.87 499.00 per visit 87.87 212.47 499.00 per visit 212.47 212.47 87.87 197.71 87.87 197.71 87.87 109.33 351000014 351 70488 TC CT FACIAL BONES W/ & W/O CONTR 2146.50 2146.50 1502.55 131.50 173.72 212.47 295.88 131.50 295.88 131.50 212.47 212.47 697.00 per visit 212.47 131.50 212.47 295.88 131.50 295.88 212.47 182.99 228.74 295.88 131.50 295.88 131.50 212.47 212.47 803.14 137.15 356.95 137.15 144.77 295.88 131.50 295.88 131.50 212.47 212.47 212.47 361.00 1395.23 131.50 295.88 131.50 212.47 131.50 131.50 131.50 212.47 131.50 1502.55 212.47 295.88 131.50 499.00 per visit 131.50 212.47 499.00 per visit 212.47 212.47 131.50 295.88 131.50 295.88 131.50 137.15 351000019 351 70490 TC CT NECK WITHOUT CONTRAST 1531.70 1531.70 1072.19 84.84 125.45 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 132.14 165.17 190.89 84.84 190.89 84.84 127.14 127.14 672.02 99.04 298.68 99.04 104.54 190.89 84.84 190.89 84.84 127.14 127.14 127.14 241.00 995.61 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 1072.19 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 99.04 351000020 351 70491 TC CT NECK WITH CONTRAST 1786.10 1786.10 1250.27 103.02 166.59 212.47 231.80 103.02 231.80 103.02 212.47 212.47 697.00 per visit 212.47 103.02 212.47 231.80 103.02 231.80 212.47 175.47 219.34 231.80 103.02 231.80 103.02 212.47 212.47 803.14 131.52 356.95 131.52 138.82 231.80 103.02 231.80 103.02 212.47 212.47 212.47 289.00 1160.97 103.02 231.80 103.02 212.47 103.02 103.02 103.02 212.47 103.02 1250.27 212.47 231.80 103.02 499.00 per visit 103.02 212.47 499.00 per visit 212.47 212.47 103.02 231.80 103.02 231.80 103.02 131.52 351000026 351 70492 TC CT NECK WITH W/O CONTRAST 2146.50 2146.50 1502.55 153.92 202.71 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 213.53 266.91 346.33 153.92 346.33 153.92 212.47 212.47 803.14 160.04 356.95 160.04 168.93 346.33 153.92 346.33 153.92 212.47 212.47 212.47 361.00 1395.23 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1502.55 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 160.04 351000021 351 70496 TC CT ANGIOGRAPHY HEAD W W/O CONT 2332.00 2332.00 1632.40 131.50 269.72 212.47 295.88 131.50 295.88 131.50 212.47 212.47 697.00 per visit 212.47 131.50 212.47 295.88 131.50 295.88 212.47 284.11 355.14 295.88 131.50 295.88 131.50 212.47 212.47 852.15 212.94 378.73 212.94 224.77 295.88 131.50 295.88 131.50 212.47 212.47 212.47 393.00 1515.80 131.50 295.88 131.50 212.47 131.50 131.50 131.50 212.47 131.50 1632.40 212.47 295.88 131.50 499.00 per visit 131.50 212.47 499.00 per visit 212.47 212.47 131.50 295.88 131.50 295.88 131.50 212.94 352805006 350 70498 TC CT ANGIOGRAPHY NECK W W/O CONT 2014.00 2014.00 1409.80 153.92 269.28 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 283.64 354.55 346.33 153.92 346.33 153.92 212.47 212.47 852.15 212.59 378.73 212.59 224.40 346.33 153.92 346.33 153.92 212.47 212.47 212.47 393.00 1309.10 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1409.80 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 212.59 610000001 611 70540 TC MR ORBIT- NECK & FACE 3142.90 3142.90 2200.03 179.41 227.25 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 239.37 299.21 681.75 303.00 681.75 303.00 283.36 283.36 983.50 179.41 437.11 179.41 189.37 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 2042.89 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2200.03 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 179.41 610000014 611 70542 TC MR ORBIT- NECK & FACE W/CONT 1743.70 1743.70 1483.34 211.89 268.39 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 282.70 353.38 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 211.89 659.26 211.89 223.66 681.75 303.00 681.75 303.00 444.72 444.72 444.72 715.00 1133.41 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1220.59 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 211.89 610000007 611 70543 TC MRI ORBIT-FACE-NECK W/O & W/ C 3084.60 3084.60 2159.22 262.24 332.17 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 349.89 437.36 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 262.24 659.26 262.24 276.81 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1323.00 2004.99 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2159.22 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 262.24 618000005 615 70544 TC MRA HEAD WITHOUT CONTRAST 3148.20 3148.20 2203.74 175.26 221.99 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 233.83 292.29 681.75 303.00 681.75 303.00 283.36 283.36 1259.44 175.26 559.75 175.26 184.99 681.75 303.00 681.75 303.00 283.36 283.36 283.36 607.00 2046.33 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2203.74 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 175.26 618000006 615 70545 TC MRA HEAD WITH CONTRAST 3853.10 3853.10 2697.17 187.94 238.05 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 250.75 313.44 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 187.94 559.75 187.94 198.38 681.75 303.00 681.75 303.00 444.72 444.72 444.72 607.00 2504.52 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2697.17 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 187.94 610000015 610 70546 TC MRA HEAD W/W/O CONTRAST 4319.50 4319.50 3023.65 285.57 361.72 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 381.01 476.27 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 285.57 559.75 285.57 301.44 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1182.00 2807.68 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 3023.65 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 285.57 618000007 615 70547 TC MRA NECK WITHOUT CONTRAST 3148.20 3148.20 2203.74 175.62 222.45 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 234.31 292.89 681.75 303.00 681.75 303.00 283.36 283.36 1259.44 175.62 559.75 175.62 185.37 681.75 303.00 681.75 303.00 283.36 283.36 283.36 607.00 2046.33 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2203.74 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 175.62 618000008 615 70548 TC MRA NECK WITH CONTRAST 3853.10 3853.10 2697.17 193.22 244.75 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 257.80 322.25 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 193.22 559.75 193.22 203.96 681.75 303.00 681.75 303.00 444.72 444.72 444.72 607.00 2504.52 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2697.17 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 193.22 618000009 615 70549 TC MRA NECK W/O & W/ CONTRAST 4319.50 4319.50 3023.65 286.97 363.50 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 382.89 478.61 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 286.97 559.75 286.97 302.92 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1182.00 2807.68 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 3023.65 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 286.97 352905014 611 70551 TC MRI BRAIN WAKE UP STROKE PRTCL 3142.90 3142.90 2200.03 139.97 177.29 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 186.75 233.44 681.75 303.00 681.75 303.00 283.36 283.36 983.50 139.97 437.11 139.97 147.74 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 2042.89 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2200.03 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 139.97 611000001 611 70551 TC MR BRAIN (W/ STEM) W/O CONTRAS 3142.90 3142.90 2200.03 139.97 177.29 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 186.75 233.44 681.75 303.00 681.75 303.00 283.36 283.36 983.50 139.97 437.11 139.97 147.74 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 2042.89 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2200.03 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 139.97 611000002 611 70552 TC MR BRAIN (W/ STEM) W/ CONTRAST 3773.60 3773.60 2641.52 205.90 260.81 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 274.72 343.40 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 205.90 659.26 205.90 217.34 681.75 303.00 681.75 303.00 444.72 444.72 444.72 685.00 2452.84 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2641.52 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 205.90 611000003 611 70553 TC MR BRAIN (W/ STEM) W/ & W/O CO 6699.20 6699.20 4689.44 233.02 295.16 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 310.90 388.62 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 233.02 659.26 233.02 245.96 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1268.00 4354.48 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 4689.44 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 233.02 324000001 324 71045 TC XR CHEST 1 VIEW 243.80 243.80 170.66 6.06 23.29 105.08 13.64 6.06 13.64 6.06 105.08 105.08 170.66 105.08 6.06 105.08 13.64 6.06 13.64 105.08 24.53 30.67 13.64 6.06 13.64 6.06 105.08 105.08 78.31 18.39 34.81 18.39 19.41 13.64 6.06 13.64 6.06 105.08 105.08 105.08 13.00 158.47 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 170.66 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 18.39 324000003 324 71046 TC XR CHEST 2 VIEWS 265.00 265.00 185.50 9.09 31.33 105.08 20.45 9.09 20.45 9.09 105.08 105.08 185.50 105.08 9.09 105.08 20.45 9.09 20.45 105.08 33.00 41.25 20.45 9.09 20.45 9.09 105.08 105.08 78.31 24.73 34.81 24.73 26.11 20.45 9.09 20.45 9.09 105.08 105.08 105.08 24.00 172.25 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 185.50 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 24.73 324000004 324 71047 TC XR CHEST WITH APICAL LORDOTIC 254.40 254.40 178.08 9.09 39.35 105.08 20.45 9.09 20.45 9.09 105.08 105.08 178.08 105.08 9.09 105.08 20.45 9.09 20.45 105.08 41.45 51.81 20.45 9.09 20.45 9.09 105.08 105.08 78.31 31.07 34.81 31.07 32.79 20.45 9.09 20.45 9.09 105.08 105.08 105.08 30.00 165.36 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 178.08 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 31.07 324000005 324 71048 TC XR CHEST MIN 4 VIEWS 450.50 450.50 315.35 12.12 42.03 127.14 27.27 12.12 27.27 12.12 127.14 127.14 315.35 127.14 12.12 127.14 27.27 12.12 27.27 127.14 44.27 55.34 27.27 12.12 27.27 12.12 127.14 127.14 78.31 33.18 34.81 33.18 35.03 27.27 12.12 27.27 12.12 127.14 127.14 127.14 31.00 292.83 12.12 27.27 12.12 127.14 12.12 12.12 12.12 127.14 12.12 315.35 127.14 27.27 12.12 102.00 per visit 12.12 127.14 102.00 per visit 127.14 127.14 12.12 27.27 12.12 27.27 12.12 33.18 320000018 320 71100 TC XR RIBS 2 VIEWS UNILATERAL 243.80 243.80 170.66 9.09 35.34 105.08 20.45 9.09 20.45 9.09 105.08 105.08 44.82 105.08 9.09 105.08 20.45 9.09 20.45 105.08 37.22 46.53 20.45 9.09 20.45 9.09 105.08 105.08 78.31 27.90 34.81 27.90 29.45 20.45 9.09 20.45 9.09 105.08 105.08 105.08 30.00 158.47 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 170.66 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 27.90 320000019 320 71101 TC XR RIBS UNI W/CHEST MIN 3 VIEW 302.10 302.10 211.47 10.61 39.80 127.14 23.86 10.61 23.86 10.61 127.14 127.14 54.62 127.14 10.61 127.14 23.86 10.61 23.86 127.14 41.92 52.40 23.86 10.61 23.86 10.61 127.14 127.14 78.31 31.42 34.81 31.42 33.16 23.86 10.61 23.86 10.61 127.14 127.14 127.14 35.00 196.37 10.61 23.86 10.61 127.14 10.61 10.61 10.61 127.14 10.61 211.47 127.14 23.86 10.61 102.00 per visit 10.61 127.14 102.00 per visit 127.14 127.14 10.61 23.86 10.61 23.86 10.61 31.42 320000020 320 71110 TC XR RIBS 3 VIEWS BILATERAL 424.00 424.00 296.80 15.15 40.70 127.14 34.09 15.15 34.09 15.15 127.14 127.14 57.42 127.14 15.15 127.14 34.09 15.15 34.09 127.14 42.87 53.59 34.09 15.15 34.09 15.15 127.14 127.14 78.31 32.13 34.81 32.13 33.92 34.09 15.15 34.09 15.15 127.14 127.14 127.14 41.00 275.60 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 296.80 127.14 34.09 15.15 102.00 per visit 15.15 127.14 102.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 32.13 320000021 320 71111 TC XR RIBS BILAT W/CHEST MIN 4 VI 530.00 530.00 371.00 16.67 50.06 127.14 37.50 16.67 37.50 16.67 127.14 127.14 77.02 127.14 16.67 127.14 37.50 16.67 37.50 127.14 52.73 65.91 37.50 16.67 37.50 16.67 127.14 127.14 78.31 39.52 34.81 39.52 41.71 37.50 16.67 37.50 16.67 127.14 127.14 127.14 46.00 344.50 16.67 37.50 16.67 127.14 16.67 16.67 16.67 127.14 16.67 371.00 127.14 37.50 16.67 102.00 per visit 16.67 127.14 102.00 per visit 127.14 127.14 16.67 37.50 16.67 37.50 16.67 39.52 320000022 320 71120 TC XR STERNUM MIN 2 VIEWS 238.50 238.50 166.95 9.09 32.66 105.08 20.45 9.09 20.45 9.09 105.08 105.08 46.23 105.08 9.09 105.08 20.45 9.09 20.45 105.08 34.40 43.00 20.45 9.09 20.45 9.09 105.08 105.08 78.31 25.79 34.81 25.79 27.22 20.45 9.09 20.45 9.09 105.08 105.08 105.08 34.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 25.79 352000001 352 71250 TC CT CHEST/MEDIASTINUM W/O CONTR 1775.50 1775.50 1242.85 84.84 114.74 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 120.86 151.08 190.89 84.84 190.89 84.84 127.14 127.14 672.02 90.59 298.68 90.59 95.62 190.89 84.84 190.89 84.84 127.14 127.14 127.14 302.00 1154.08 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 1242.85 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 90.59 352000002 352 71260 TC CT CHEST/MEDIASTINUM W/ CONTRA 2082.90 2082.90 1458.03 103.02 156.33 212.47 231.80 103.02 231.80 103.02 212.47 212.47 697.00 per visit 212.47 103.02 212.47 231.80 103.02 231.80 212.47 164.67 205.83 231.80 103.02 231.80 103.02 212.47 212.47 803.14 123.42 356.95 123.42 130.27 231.80 103.02 231.80 103.02 212.47 212.47 212.47 361.00 1353.89 103.02 231.80 103.02 212.47 103.02 103.02 103.02 212.47 103.02 1458.03 212.47 231.80 103.02 499.00 per visit 103.02 212.47 499.00 per visit 212.47 212.47 103.02 231.80 103.02 231.80 103.02 123.42 352000003 352 71270 TC CT CHEST/MEDIAS W/ & W/O CONTR 2544.00 2544.00 1780.80 151.24 191.57 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 201.78 252.23 346.33 153.92 346.33 153.92 212.47 212.47 803.14 151.24 356.95 151.24 159.64 346.33 153.92 346.33 153.92 212.47 212.47 212.47 450.00 1653.60 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1780.80 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 151.24 352805008 350 71271 TC LDCT FOR LUNG CA SCREEN 424.00 424.00 697.00 21.11 121.09 127.14 47.49 21.11 47.49 21.11 127.14 127.14 697.00 per visit 127.14 21.11 127.14 47.49 21.11 47.49 127.14 127.55 159.44 47.49 21.11 47.49 21.11 127.14 127.14 672.02 95.60 298.68 95.60 100.91 47.49 21.11 47.49 21.11 127.14 127.14 127.14 112.00 275.60 21.11 47.49 21.11 127.14 21.11 21.11 21.11 127.14 21.11 296.80 127.14 47.49 21.11 499.00 per visit 21.11 127.14 499.00 per visit 127.14 127.14 21.11 47.49 21.11 47.49 21.11 95.60 352000043 352 71275 TC CTA CHEST W/WO (PE STUDY) 2544.00 2544.00 1780.80 84.84 272.85 212.47 190.89 84.84 190.89 84.84 212.47 212.47 697.00 per visit 212.47 84.84 212.47 190.89 84.84 190.89 212.47 287.40 359.25 190.89 84.84 190.89 84.84 212.47 212.47 852.15 215.41 378.73 215.41 227.37 190.89 84.84 190.89 84.84 212.47 212.47 212.47 475.00 1653.60 84.84 190.89 84.84 212.47 84.84 84.84 84.84 212.47 84.84 1780.80 212.47 190.89 84.84 499.00 per visit 84.84 212.47 499.00 per visit 212.47 212.47 84.84 190.89 84.84 190.89 84.84 215.41 610000002 610 71550 TC MR CHEST W/O CONTRAST 3180.00 3180.00 2226.00 283.36 374.11 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 394.07 492.58 681.75 303.00 681.75 303.00 283.36 283.36 983.50 295.35 437.11 295.35 311.76 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 2067.00 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2226.00 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 295.35 610000016 610 71551 TC MRI CHEST W/CONTRAST 3683.50 3683.50 2578.45 303.00 406.23 925.91 681.75 303.00 681.75 303.00 925.91 925.91 1200.00 per visit 925.91 303.00 925.91 681.75 303.00 681.75 925.91 427.89 534.87 681.75 303.00 681.75 303.00 925.91 925.91 1483.34 320.71 659.26 320.71 338.52 681.75 303.00 681.75 303.00 925.91 925.91 925.91 718.00 2394.28 303.00 681.75 303.00 925.91 303.00 303.00 303.00 925.91 303.00 2578.45 925.91 681.75 303.00 716.00 per visit 303.00 925.91 716.00 per visit 925.91 925.91 303.00 681.75 303.00 681.75 303.00 320.71 610000008 610 71552 TC MRI CHEST W/O & W/CONTRAST 6534.90 6534.90 4574.43 303.00 508.03 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 535.12 668.91 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 401.08 659.26 401.08 423.36 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1314.00 4247.69 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 4574.43 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 401.08 618000011 618 71555 TC MRA CHEST W/ CONTRAST C8909TC 1796.70 1796.70 1259.44 274.65 347.89 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 366.45 458.06 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 274.65 559.75 274.65 289.91 681.75 303.00 681.75 303.00 444.72 444.72 444.72 360.00 1167.86 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1257.69 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 274.65 618000001 618 71555 TC MRA CHEST W W/O CONTRAST C8911TC C8911 3238.30 3238.30 2266.81 274.65 347.89 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 366.45 458.06 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 274.65 559.75 274.65 289.91 681.75 303.00 681.75 303.00 444.72 444.72 444.72 360.00 2104.90 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2266.81 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 274.65 352500001 320 72040 TC NECK/SPINE XRAY 2-3 VIEWS 238.50 238.50 166.95 9.09 38.91 105.08 20.45 9.09 20.45 9.09 105.08 105.08 56.72 105.08 9.09 105.08 20.45 9.09 20.45 105.08 40.98 51.23 20.45 9.09 20.45 9.09 105.08 105.08 78.31 30.72 34.81 30.72 32.42 20.45 9.09 20.45 9.09 105.08 105.08 105.08 31.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 30.72 320000023 320 72050 TC XR CERVICAL SP W/OBLIQ MIN 4 V 439.90 439.90 307.93 12.12 54.97 127.14 27.27 12.12 27.27 12.12 127.14 127.14 77.02 127.14 12.12 127.14 27.27 12.12 27.27 127.14 57.90 72.38 27.27 12.12 27.27 12.12 127.14 127.14 78.31 43.40 34.81 43.40 45.81 27.27 12.12 27.27 12.12 127.14 127.14 127.14 46.00 285.94 12.12 27.27 12.12 127.14 12.12 12.12 12.12 127.14 12.12 307.93 127.14 27.27 12.12 102.00 per visit 12.12 127.14 102.00 per visit 127.14 127.14 12.12 27.27 12.12 27.27 12.12 43.40 320000024 320 72070 TC XR THORACIC SPINE AP & LAT. 408.10 408.10 285.67 9.09 31.33 127.14 20.45 9.09 20.45 9.09 127.14 127.14 47.62 127.14 9.09 127.14 20.45 9.09 20.45 127.14 33.00 41.25 20.45 9.09 20.45 9.09 127.14 127.14 78.31 24.73 34.81 24.73 26.11 20.45 9.09 20.45 9.09 127.14 127.14 127.14 34.00 265.27 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 285.67 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 24.73 320000025 320 72072 TC XR THORACIC SPINE AP/LAT- SWIM 424.00 424.00 296.80 18.18 38.91 127.14 40.91 18.18 40.91 18.18 127.14 127.14 56.03 127.14 18.18 127.14 40.91 18.18 40.91 127.14 40.98 51.23 40.91 18.18 40.91 18.18 127.14 127.14 78.31 30.72 34.81 30.72 32.42 40.91 18.18 40.91 18.18 127.14 127.14 127.14 38.00 275.60 18.18 40.91 18.18 127.14 18.18 18.18 18.18 127.14 18.18 296.80 127.14 40.91 18.18 102.00 per visit 18.18 127.14 102.00 per visit 127.14 127.14 18.18 40.91 18.18 40.91 18.18 30.72 352505041 320 72080 TC X-RAY SPINE/THORACOLMB 2/> VW 254.40 254.40 178.08 9.09 33.11 105.08 20.45 9.09 20.45 9.09 105.08 105.08 51.82 105.08 9.09 105.08 20.45 9.09 20.45 105.08 34.87 43.59 20.45 9.09 20.45 9.09 105.08 105.08 78.31 26.14 34.81 26.14 27.59 20.45 9.09 20.45 9.09 105.08 105.08 105.08 35.00 165.36 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 178.08 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 26.14 352505019 320 72081 TC X-RAY EXAM ENTIRE SPI 1 VW 254.40 254.40 178.08 7.10 40.70 105.08 15.98 7.10 15.98 7.10 105.08 105.08 178.08 105.08 7.10 105.08 15.98 7.10 15.98 105.08 42.87 53.59 15.98 7.10 15.98 7.10 105.08 105.08 78.31 32.13 34.81 32.13 33.92 15.98 7.10 15.98 7.10 105.08 105.08 105.08 30.00 165.36 7.10 15.98 7.10 105.08 7.10 7.10 7.10 105.08 7.10 178.08 105.08 15.98 7.10 102.00 per visit 7.10 105.08 102.00 per visit 105.08 105.08 7.10 15.98 7.10 15.98 7.10 32.13 352505020 320 72082 TC X-RAY EXAM ENTIRE SPI 2/3 VW 439.90 439.90 307.93 11.40 74.15 127.14 25.65 11.40 25.65 11.40 127.14 127.14 307.93 127.14 11.40 127.14 25.65 11.40 25.65 127.14 78.10 97.63 25.65 11.40 25.65 11.40 127.14 127.14 78.31 58.54 34.81 58.54 61.79 25.65 11.40 25.65 11.40 127.14 127.14 127.14 54.00 285.94 11.40 25.65 11.40 127.14 11.40 11.40 11.40 127.14 11.40 307.93 127.14 25.65 11.40 102.00 per visit 11.40 127.14 102.00 per visit 127.14 127.14 11.40 25.65 11.40 25.65 11.40 58.54 352505021 320 72083 TC X-RAY EXAM ENTIRE SPI 4/5 VW 795.00 795.00 556.50 12.38 83.52 127.14 27.86 12.38 27.86 12.38 127.14 127.14 556.50 127.14 12.38 127.14 27.86 12.38 27.86 127.14 87.97 109.96 27.86 12.38 27.86 12.38 127.14 127.14 78.31 65.93 34.81 65.93 69.60 27.86 12.38 27.86 12.38 127.14 127.14 127.14 59.00 516.75 12.38 27.86 12.38 127.14 12.38 12.38 12.38 127.14 12.38 556.50 127.14 27.86 12.38 102.00 per visit 12.38 127.14 102.00 per visit 127.14 127.14 12.38 27.86 12.38 27.86 12.38 65.93 352505022 320 72084 TC X-RAY EXAM ENTIRE SPI 6/> VW 821.50 821.50 575.05 14.73 105.92 127.14 33.13 14.73 33.13 14.73 127.14 127.14 575.05 127.14 14.73 127.14 33.13 14.73 33.13 127.14 111.57 139.46 33.13 14.73 33.13 14.73 127.14 127.14 78.31 83.62 34.81 83.62 88.26 33.13 14.73 33.13 14.73 127.14 127.14 127.14 71.00 533.98 14.73 33.13 14.73 127.14 14.73 14.73 14.73 127.14 14.73 575.05 127.14 33.13 14.73 102.00 per visit 14.73 127.14 102.00 per visit 127.14 127.14 14.73 33.13 14.73 33.13 14.73 83.62 320000027 320 72100 TC XR LUMBAR SPINE AP & LAT.ONLY 439.90 439.90 307.93 9.09 39.35 127.14 20.45 9.09 20.45 9.09 127.14 127.14 60.22 127.14 9.09 127.14 20.45 9.09 20.45 127.14 41.45 51.81 20.45 9.09 20.45 9.09 127.14 127.14 78.31 31.07 34.81 31.07 32.79 20.45 9.09 20.45 9.09 127.14 127.14 127.14 35.00 285.94 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 307.93 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 31.07 320000028 320 72110 TC XR LUMBOSACRAL SP COMP W/OBLIQ 492.90 492.90 345.03 18.18 53.18 127.14 40.91 18.18 40.91 18.18 127.14 127.14 82.61 127.14 18.18 127.14 40.91 18.18 40.91 127.14 56.02 70.02 40.91 18.18 40.91 18.18 127.14 127.14 78.31 41.99 34.81 41.99 44.32 40.91 18.18 40.91 18.18 127.14 127.14 127.14 47.00 320.39 18.18 40.91 18.18 127.14 18.18 18.18 18.18 127.14 18.18 345.03 127.14 40.91 18.18 102.00 per visit 18.18 127.14 102.00 per visit 127.14 127.14 18.18 40.91 18.18 40.91 18.18 41.99 352000004 352 72125 TC CT CERVICAL SPINE W/O CONTRAST 1775.50 1775.50 1242.85 84.84 116.07 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 122.27 152.83 190.89 84.84 190.89 84.84 127.14 127.14 672.02 91.64 298.68 91.64 96.73 190.89 84.84 190.89 84.84 127.14 127.14 127.14 302.00 1154.08 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 1242.85 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 91.64 352000005 352 72126 TC CT CERVICAL SPINE WITH CONTRAS 2072.30 2072.30 1450.61 103.02 155.43 444.72 231.80 103.02 231.80 103.02 444.72 444.72 697.00 per visit 444.72 103.02 444.72 231.80 103.02 231.80 444.72 163.72 204.65 231.80 103.02 231.80 103.02 444.72 444.72 803.14 122.71 356.95 122.71 129.52 231.80 103.02 231.80 103.02 444.72 444.72 444.72 361.00 1347.00 103.02 231.80 103.02 444.72 103.02 103.02 103.02 444.72 103.02 1450.61 444.72 231.80 103.02 499.00 per visit 103.02 444.72 499.00 per visit 444.72 444.72 103.02 231.80 103.02 231.80 103.02 122.71 352000044 352 72127 TC CT CERVICAL SPINE W/WO CONTRAS 2480.40 2480.40 1736.28 151.59 192.01 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 202.25 252.81 346.33 153.92 346.33 153.92 212.47 212.47 803.14 151.59 356.95 151.59 160.01 346.33 153.92 346.33 153.92 212.47 212.47 212.47 450.00 1612.26 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1736.28 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 151.59 352000006 352 72128 TC CT THORACIC SPINE W/O CONTRAST 1775.50 1775.50 1242.85 84.84 115.63 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 121.80 152.25 190.89 84.84 190.89 84.84 127.14 127.14 672.02 91.29 298.68 91.29 96.36 190.89 84.84 190.89 84.84 127.14 127.14 127.14 302.00 1154.08 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 1242.85 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 91.29 352000007 352 72129 TC CT THORACIC SPINE WITH CONTRAS 2072.30 2072.30 1450.61 103.02 156.77 212.47 231.80 103.02 231.80 103.02 212.47 212.47 697.00 per visit 212.47 103.02 212.47 231.80 103.02 231.80 212.47 165.13 206.42 231.80 103.02 231.80 103.02 212.47 212.47 803.14 123.77 356.95 123.77 130.64 231.80 103.02 231.80 103.02 212.47 212.47 212.47 361.00 1347.00 103.02 231.80 103.02 212.47 103.02 103.02 103.02 212.47 103.02 1450.61 212.47 231.80 103.02 499.00 per visit 103.02 212.47 499.00 per visit 212.47 212.47 103.02 231.80 103.02 231.80 103.02 123.77 352000025 352 72130 TC CT THORACIC SPINE W/W/O CONT 2480.40 2480.40 1736.28 152.64 193.34 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 203.66 254.57 346.33 153.92 346.33 153.92 212.47 212.47 803.14 152.64 356.95 152.64 161.12 346.33 153.92 346.33 153.92 212.47 212.47 212.47 450.00 1612.26 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1736.28 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 152.64 352000008 352 72131 TC CT LUMBOSACRAL SPINE W/O CONTR 1775.50 1775.50 1242.85 84.84 114.74 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 120.86 151.08 190.89 84.84 190.89 84.84 127.14 127.14 672.02 90.59 298.68 90.59 95.62 190.89 84.84 190.89 84.84 127.14 127.14 127.14 302.00 1154.08 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 1242.85 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 90.59 352000009 352 72132 TC CT LUMBOSACRAL SPINE W/ CONTRA 2072.30 2072.30 1450.61 103.02 155.88 444.72 231.80 103.02 231.80 103.02 444.72 444.72 697.00 per visit 444.72 103.02 444.72 231.80 103.02 231.80 444.72 164.20 205.25 231.80 103.02 231.80 103.02 444.72 444.72 803.14 123.07 356.95 123.07 129.90 231.80 103.02 231.80 103.02 444.72 444.72 444.72 361.00 1347.00 103.02 231.80 103.02 444.72 103.02 103.02 103.02 444.72 103.02 1450.61 444.72 231.80 103.02 499.00 per visit 103.02 444.72 499.00 per visit 444.72 444.72 103.02 231.80 103.02 231.80 103.02 123.07 352000026 352 72133 TC CT LUMBOSACRAL SPINE W/W/O CON 2480.40 2480.40 1736.28 151.94 192.45 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 202.72 253.40 346.33 153.92 346.33 153.92 212.47 212.47 803.14 151.94 356.95 151.94 160.38 346.33 153.92 346.33 153.92 212.47 212.47 212.47 450.00 1612.26 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1736.28 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 151.94 612000001 612 72141 TC MR CERVICAL SPINE W/O CONTRAST 3180.00 3180.00 2226.00 133.98 169.71 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 178.76 223.45 681.75 303.00 681.75 303.00 283.36 283.36 983.50 133.98 437.11 133.98 141.43 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 2067.00 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2226.00 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 133.98 612000008 612 72142 TC MR CERVICAL SPINE W/CONTRAST 1743.70 1743.70 1483.34 210.83 267.06 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 281.30 351.62 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 210.83 659.26 210.83 222.55 681.75 303.00 681.75 303.00 444.72 444.72 444.72 685.00 1133.41 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1220.59 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 210.83 612000002 612 72146 TC MR THORACIC SPINE W/O CONTRAST 3476.80 3476.80 2433.76 133.62 169.26 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 178.28 222.85 681.75 303.00 681.75 303.00 283.36 283.36 983.50 133.62 437.11 133.62 141.05 681.75 303.00 681.75 303.00 283.36 283.36 283.36 634.00 2259.92 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2433.76 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 133.62 612000003 612 72147 TC MR THORACIC SPINE W/ CONTRAST 3816.00 3816.00 2671.20 208.72 264.38 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 278.48 348.10 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 208.72 659.26 208.72 220.31 681.75 303.00 681.75 303.00 444.72 444.72 444.72 685.00 2480.40 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2671.20 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 208.72 612000004 612 72148 TC MR LUMBAR SPINE W/O CONTRAST 3439.70 3439.70 2407.79 134.33 170.16 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 179.23 224.04 681.75 303.00 681.75 303.00 283.36 283.36 983.50 134.33 437.11 134.33 141.80 681.75 303.00 681.75 303.00 283.36 283.36 283.36 634.00 2235.81 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2407.79 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 134.33 612000009 612 72149 TC MR LUMBAR SPINE W/CONTRAST 1743.70 1743.70 1483.34 205.90 260.81 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 274.72 343.40 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 205.90 659.26 205.90 217.34 681.75 303.00 681.75 303.00 444.72 444.72 444.72 685.00 1133.41 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1220.59 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 205.90 612000005 612 72156 TC MR CERVICAL SPINE W/ & W/O CON 6762.80 6762.80 4733.96 234.42 296.94 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 312.77 390.97 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 234.42 659.26 234.42 247.45 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1268.00 4395.82 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 4733.96 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 234.42 612000006 612 72157 TC MR THORACIC SPINE W/& W/O CONT 6762.80 6762.80 4733.96 235.13 297.83 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 313.71 392.14 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 235.13 659.26 235.13 248.19 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1268.00 4395.82 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 4733.96 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 235.13 612000007 612 72158 TC MR LUMBAR SPINE W/ & W/O CONTR 6699.20 6699.20 4689.44 233.72 296.05 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 311.84 389.79 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 233.72 659.26 233.72 246.71 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1268.00 4354.48 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 4689.44 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 233.72 610000054 610 72159 TC MRA SPINAL CANAL W/ CONTRAST C8931TC 3074.00 3074.00 2151.80 286.62 363.06 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 382.42 478.02 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 286.62 559.75 286.62 302.55 681.75 303.00 681.75 303.00 444.72 444.72 444.72 663.00 1998.10 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2151.80 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 286.62 610000049 610 72159 TC MRA SPINAL CANAL W W/O CONTRST C8933TC 5300.00 5300.00 3710.00 286.62 363.06 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 382.42 478.02 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 286.62 559.75 286.62 302.55 681.75 303.00 681.75 303.00 444.72 444.72 444.72 663.00 3445.00 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 3710.00 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 286.62 320000029 320 72170 TC XR PELVIS AP 1-2 VIEW 439.90 439.90 307.93 7.58 26.41 127.14 17.04 7.58 17.04 7.58 127.14 127.14 37.12 127.14 7.58 127.14 17.04 7.58 17.04 127.14 27.82 34.78 17.04 7.58 17.04 7.58 127.14 127.14 78.31 20.85 34.81 20.85 22.01 17.04 7.58 17.04 7.58 127.14 127.14 127.14 27.00 285.94 7.58 17.04 7.58 127.14 7.58 7.58 7.58 127.14 7.58 307.93 127.14 17.04 7.58 102.00 per visit 7.58 127.14 102.00 per visit 127.14 127.14 7.58 17.04 7.58 17.04 7.58 20.85 320000160 320 72190 TC XR PELVIS AP CAMP MIN 3 VIEW 455.80 455.80 319.06 12.12 40.70 127.14 27.27 12.12 27.27 12.12 127.14 127.14 63.72 127.14 12.12 127.14 27.27 12.12 27.27 127.14 42.87 53.59 27.27 12.12 27.27 12.12 127.14 127.14 78.31 32.13 34.81 32.13 33.92 27.27 12.12 27.27 12.12 127.14 127.14 127.14 35.00 296.27 12.12 27.27 12.12 127.14 12.12 12.12 12.12 127.14 12.12 319.06 127.14 27.27 12.12 102.00 per visit 12.12 127.14 102.00 per visit 127.14 127.14 12.12 27.27 12.12 27.27 12.12 32.13 352000045 352 72191 TC CTA PELVIS W/WO CONTRAST 2480.40 2480.40 1736.28 153.92 306.31 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 322.64 403.30 346.33 153.92 346.33 153.92 212.47 212.47 852.15 241.82 378.73 241.82 255.26 346.33 153.92 346.33 153.92 212.47 212.47 212.47 315.00 1612.26 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1736.28 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 241.82 352000011 352 72192 TC CT PELVIS WITHOUT CONTRAST 1754.30 1754.30 1228.01 84.84 114.30 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 120.39 150.49 190.89 84.84 190.89 84.84 127.14 127.14 672.02 90.23 298.68 90.23 95.25 190.89 84.84 190.89 84.84 127.14 127.14 127.14 302.00 1140.30 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 1228.01 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 90.23 352000012 352 72193 TC CT PELVIS WITH CONTRAST 1998.10 1998.10 1398.67 103.02 241.98 212.47 231.80 103.02 231.80 103.02 212.47 212.47 697.00 per visit 212.47 103.02 212.47 231.80 103.02 231.80 212.47 254.88 318.60 231.80 103.02 231.80 103.02 212.47 212.47 803.14 191.03 356.95 191.03 201.65 231.80 103.02 231.80 103.02 212.47 212.47 212.47 349.00 1298.77 103.02 231.80 103.02 212.47 103.02 103.02 103.02 212.47 103.02 1398.67 212.47 231.80 103.02 499.00 per visit 103.02 212.47 499.00 per visit 212.47 212.47 103.02 231.80 103.02 231.80 103.02 191.03 352000013 352 72194 TC CT PELVIS WITH & WITHOUT CONTR 2400.90 2400.90 1680.63 153.92 271.41 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 285.89 357.36 346.33 153.92 346.33 153.92 212.47 212.47 803.14 214.27 356.95 214.27 226.18 346.33 153.92 346.33 153.92 212.47 212.47 212.47 432.00 1560.59 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1680.63 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 214.27 610000009 610 72195 TC MRI PELVIS WITHOUT CONTRAST 3180.00 3180.00 2226.00 176.59 223.68 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 235.61 294.51 681.75 303.00 681.75 303.00 283.36 283.36 983.50 176.59 437.11 176.59 186.40 681.75 303.00 681.75 303.00 283.36 283.36 283.36 599.00 2067.00 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2226.00 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 176.59 610000017 610 72196 TC MRI PELVIS WITH CONTRAST 3604.00 3604.00 2522.80 206.60 261.70 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 275.66 344.57 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 206.60 659.26 206.60 218.08 681.75 303.00 681.75 303.00 444.72 444.72 444.72 695.00 2342.60 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2522.80 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 206.60 610000010 610 72197 TC MRI PELVIS W/O & W/ CONTRAST 6227.50 6227.50 4359.25 257.67 326.38 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 343.79 429.74 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 257.67 659.26 257.67 271.99 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1327.00 4047.88 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 4359.25 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 257.67 618000014 618 72198 TC MRA PELVIS W/ CONTRAST C8918TC 2310.80 2310.80 1617.56 279.59 354.14 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 373.03 466.29 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 279.59 559.75 279.59 295.12 681.75 303.00 681.75 303.00 444.72 444.72 444.72 500.00 1502.02 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1617.56 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 279.59 618000013 618 72198 TC MRA PELVIS W/O CONTRAST C8919TC 1923.90 1923.90 1346.73 279.59 354.14 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 373.03 466.29 681.75 303.00 681.75 303.00 283.36 283.36 1259.44 279.59 559.75 279.59 295.12 681.75 303.00 681.75 303.00 283.36 283.36 283.36 500.00 1250.54 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1346.73 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 279.59 618000002 618 72198 TC MRA PELVIS W W/O CONTRAST C8920TC C8920 3238.30 3238.30 2266.81 279.59 354.14 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 373.03 466.29 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 279.59 559.75 279.59 295.12 681.75 303.00 681.75 303.00 444.72 444.72 444.72 500.00 2104.90 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2266.81 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 279.59 320000030 320 72200 TC XR SACROILIAC JOINTS 1-2 VIEWS 439.90 439.90 307.93 7.58 34.01 127.14 17.04 7.58 17.04 7.58 127.14 127.14 44.12 127.14 7.58 127.14 17.04 7.58 17.04 127.14 35.82 44.77 17.04 7.58 17.04 7.58 127.14 127.14 78.31 26.85 34.81 26.85 28.34 17.04 7.58 17.04 7.58 127.14 127.14 127.14 27.00 285.94 7.58 17.04 7.58 127.14 7.58 7.58 7.58 127.14 7.58 307.93 127.14 17.04 7.58 102.00 per visit 7.58 127.14 102.00 per visit 127.14 127.14 7.58 17.04 7.58 17.04 7.58 26.85 320000031 320 72202 TC XR SACROILIAC JOINTS MIN 3 VIE 530.00 530.00 371.00 12.12 38.46 127.14 27.27 12.12 27.27 12.12 127.14 127.14 52.52 127.14 12.12 127.14 27.27 12.12 27.27 127.14 40.51 50.64 27.27 12.12 27.27 12.12 127.14 127.14 78.31 30.37 34.81 30.37 32.05 27.27 12.12 27.27 12.12 127.14 127.14 127.14 32.00 344.50 12.12 27.27 12.12 127.14 12.12 12.12 12.12 127.14 12.12 371.00 127.14 27.27 12.12 102.00 per visit 12.12 127.14 102.00 per visit 127.14 127.14 12.12 27.27 12.12 27.27 12.12 30.37 320000032 320 72220 TC XR COCCYX/SACRUM MIN 2 VIEWS 238.50 238.50 166.95 9.09 32.66 105.08 20.45 9.09 20.45 9.09 105.08 105.08 43.43 105.08 9.09 105.08 20.45 9.09 20.45 105.08 34.40 43.00 20.45 9.09 20.45 9.09 105.08 105.08 78.31 25.79 34.81 25.79 27.22 20.45 9.09 20.45 9.09 105.08 105.08 105.08 30.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 25.79 320000035 320 73000 50TC XR CLAVICLES BILATERAL 344.50 344.50 241.15 9.09 49.66 157.62 20.45 9.09 20.45 9.09 157.62 157.62 64.08 157.62 9.09 157.62 20.45 9.09 20.45 157.62 104.61 130.77 20.45 9.09 20.45 9.09 157.62 157.62 78.31 39.20 34.81 39.20 41.38 20.45 9.09 20.45 9.09 157.62 157.62 157.62 54.00 223.93 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 241.15 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 58.81 320000033 320 73000 LTTC XR CLAVICLE LEFT 238.50 238.50 166.95 6.06 33.11 105.08 13.64 6.06 13.64 6.06 105.08 105.08 42.72 105.08 6.06 105.08 13.64 6.06 13.64 105.08 34.87 43.59 13.64 6.06 13.64 6.06 105.08 105.08 78.31 26.14 34.81 26.14 27.59 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 26.14 320000034 320 73000 RTTC XR CLAVICLE RIGHT 238.50 238.50 166.95 6.06 33.11 105.08 13.64 6.06 13.64 6.06 105.08 105.08 42.72 105.08 6.06 105.08 13.64 6.06 13.64 105.08 34.87 43.59 13.64 6.06 13.64 6.06 105.08 105.08 78.31 26.14 34.81 26.14 27.59 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 26.14 320000143 320 73010 50TC XR SCAPULA BILAT 545.90 545.90 382.13 13.64 30.93 190.70 30.68 13.64 30.68 13.64 190.70 190.70 66.19 190.70 13.64 190.70 30.68 13.64 30.68 190.70 65.17 81.46 30.68 13.64 30.68 13.64 190.70 190.70 78.31 24.42 34.81 24.42 25.78 30.68 13.64 30.68 13.64 190.70 190.70 190.70 54.00 354.84 13.64 30.68 13.64 190.70 13.64 13.64 13.64 190.70 13.64 382.13 190.70 30.68 13.64 102.00 per visit 13.64 190.70 102.00 per visit 190.70 190.70 13.64 30.68 13.64 30.68 13.64 36.63 320000036 320 73010 LTTC XR SCAPULA LEFT 439.90 439.90 307.93 9.09 20.62 127.14 20.45 9.09 20.45 9.09 127.14 127.14 44.12 127.14 9.09 127.14 20.45 9.09 20.45 127.14 21.72 27.15 20.45 9.09 20.45 9.09 127.14 127.14 78.31 16.28 34.81 16.28 17.19 20.45 9.09 20.45 9.09 127.14 127.14 127.14 27.00 285.94 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 307.93 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 16.28 320000037 320 73010 RTTC XR SCAPULA RIGHT 439.90 439.90 307.93 9.09 20.62 127.14 20.45 9.09 20.45 9.09 127.14 127.14 44.12 127.14 9.09 127.14 20.45 9.09 20.45 127.14 21.72 27.15 20.45 9.09 20.45 9.09 127.14 127.14 78.31 16.28 34.81 16.28 17.19 20.45 9.09 20.45 9.09 127.14 127.14 127.14 27.00 285.94 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 307.93 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 16.28 320000040 320 73030 50TC XR SHOULDERS BILATERAL COMPLET 365.70 365.70 255.99 13.64 52.34 157.62 30.68 13.64 30.68 13.64 157.62 157.62 65.14 157.62 13.64 157.62 30.68 13.64 30.68 157.62 110.27 137.84 30.68 13.64 30.68 13.64 157.62 157.62 78.31 41.32 34.81 41.32 43.62 30.68 13.64 30.68 13.64 157.62 157.62 157.62 60.00 237.71 13.64 30.68 13.64 157.62 13.64 13.64 13.64 157.62 13.64 255.99 157.62 30.68 13.64 102.00 per visit 13.64 157.62 102.00 per visit 157.62 157.62 13.64 30.68 13.64 30.68 13.64 61.99 320000038 320 73030 LTTC XR SHOULDER LEFT COMPLETE 238.50 238.50 166.95 9.09 34.90 105.08 20.45 9.09 20.45 9.09 105.08 105.08 43.43 105.08 9.09 105.08 20.45 9.09 20.45 105.08 36.76 45.95 20.45 9.09 20.45 9.09 105.08 105.08 78.31 27.55 34.81 27.55 29.08 20.45 9.09 20.45 9.09 105.08 105.08 105.08 30.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 27.55 320000039 320 73030 RTTC XR SHOULDER RIGHT COMPLETE 238.50 238.50 166.95 9.09 34.90 105.08 20.45 9.09 20.45 9.09 105.08 105.08 43.43 105.08 9.09 105.08 20.45 9.09 20.45 105.08 36.76 45.95 20.45 9.09 20.45 9.09 105.08 105.08 78.31 27.55 34.81 27.55 29.08 20.45 9.09 20.45 9.09 105.08 105.08 105.08 30.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 27.55 320000041 320 73050 TC XR AC JOINTS BILAT W/ OR W/O W 402.80 402.80 281.96 10.61 26.87 105.08 23.86 10.61 23.86 10.61 105.08 105.08 56.72 105.08 10.61 105.08 23.86 10.61 23.86 105.08 28.30 35.38 23.86 10.61 23.86 10.61 105.08 105.08 78.31 21.21 34.81 21.21 22.39 23.86 10.61 23.86 10.61 105.08 105.08 105.08 35.00 261.82 10.61 23.86 10.61 105.08 10.61 10.61 10.61 105.08 10.61 281.96 105.08 23.86 10.61 102.00 per visit 10.61 105.08 102.00 per visit 105.08 105.08 10.61 23.86 10.61 23.86 10.61 21.21 320000044 320 73060 50TC XR HUMERUS BILATERAL 365.70 365.70 255.99 9.09 48.99 157.62 20.45 9.09 20.45 9.09 157.62 157.62 64.08 157.62 9.09 157.62 20.45 9.09 20.45 157.62 103.21 129.01 20.45 9.09 20.45 9.09 157.62 157.62 78.31 38.68 34.81 38.68 40.83 20.45 9.09 20.45 9.09 157.62 157.62 157.62 60.00 237.71 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 255.99 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 58.02 320000042 320 73060 LTTC XR HUMERUS LEFT 238.50 238.50 166.95 6.06 32.66 105.08 13.64 6.06 13.64 6.06 105.08 105.08 42.72 105.08 6.06 105.08 13.64 6.06 13.64 105.08 34.40 43.00 13.64 6.06 13.64 6.06 105.08 105.08 78.31 25.79 34.81 25.79 27.22 13.64 6.06 13.64 6.06 105.08 105.08 105.08 30.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 25.79 320000043 320 73060 RTTC XR HUMERUS RIGHT 238.50 238.50 166.95 6.06 32.66 105.08 13.64 6.06 13.64 6.06 105.08 105.08 42.72 105.08 6.06 105.08 13.64 6.06 13.64 105.08 34.40 43.00 13.64 6.06 13.64 6.06 105.08 105.08 78.31 25.79 34.81 25.79 27.22 13.64 6.06 13.64 6.06 105.08 105.08 105.08 30.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 25.79 320000045 320 73070 50TC XR ELBOWS 2 VIEWS BILATERAL 365.70 365.70 255.99 9.09 42.97 157.62 20.45 9.09 20.45 9.09 157.62 157.62 64.08 157.62 9.09 157.62 20.45 9.09 20.45 157.62 90.53 113.16 20.45 9.09 20.45 9.09 157.62 157.62 78.31 33.93 34.81 33.93 35.81 20.45 9.09 20.45 9.09 157.62 157.62 157.62 54.00 237.71 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 255.99 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 50.89 320000144 320 73070 LTTC XR ELBOWS 2 VIEWS LT 238.50 238.50 166.95 6.06 28.65 105.08 13.64 6.06 13.64 6.06 105.08 105.08 42.72 105.08 6.06 105.08 13.64 6.06 13.64 105.08 30.18 37.72 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.62 34.81 22.62 23.87 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.62 320000145 320 73070 RTTC XR ELBOWS 2 VIEWS RT 238.50 238.50 166.95 6.06 28.65 105.08 13.64 6.06 13.64 6.06 105.08 105.08 42.72 105.08 6.06 105.08 13.64 6.06 13.64 105.08 30.18 37.72 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.62 34.81 22.62 23.87 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.62 320000048 320 73080 50TC XR ELBOWS BILATERAL MIN 3 VIEW 365.70 365.70 255.99 11.36 49.66 157.62 25.57 11.36 25.57 11.36 157.62 157.62 79.82 157.62 11.36 157.62 25.57 11.36 25.57 157.62 104.61 130.77 25.57 11.36 25.57 11.36 157.62 157.62 78.31 39.20 34.81 39.20 41.38 25.57 11.36 25.57 11.36 157.62 157.62 157.62 60.00 237.71 11.36 25.57 11.36 157.62 11.36 11.36 11.36 157.62 11.36 255.99 157.62 25.57 11.36 102.00 per visit 11.36 157.62 102.00 per visit 157.62 157.62 11.36 25.57 11.36 25.57 11.36 58.81 320000046 320 73080 LTTC XR ELBOW LEFT MIN 3 VIEWS 238.50 238.50 166.95 7.58 33.11 105.08 17.04 7.58 17.04 7.58 105.08 105.08 53.21 105.08 7.58 105.08 17.04 7.58 17.04 105.08 34.87 43.59 17.04 7.58 17.04 7.58 105.08 105.08 78.31 26.14 34.81 26.14 27.59 17.04 7.58 17.04 7.58 105.08 105.08 105.08 30.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 26.14 320000047 320 73080 RTTC XR ELBOW RIGHT MIN 3 VIEWS 238.50 238.50 166.95 7.58 33.11 105.08 17.04 7.58 17.04 7.58 105.08 105.08 53.21 105.08 7.58 105.08 17.04 7.58 17.04 105.08 34.87 43.59 17.04 7.58 17.04 7.58 105.08 105.08 78.31 26.14 34.81 26.14 27.59 17.04 7.58 17.04 7.58 105.08 105.08 105.08 30.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 26.14 320000051 320 73090 50TC XR FOREARMS BILATERAL 2V 365.70 365.70 255.99 9.09 43.64 157.62 20.45 9.09 20.45 9.09 157.62 157.62 61.99 157.62 9.09 157.62 20.45 9.09 20.45 157.62 91.93 114.92 20.45 9.09 20.45 9.09 157.62 157.62 78.31 34.45 34.81 34.45 36.37 20.45 9.09 20.45 9.09 157.62 157.62 157.62 54.00 237.71 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 255.99 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 51.68 320000049 320 73090 LTTC XR FOREARM LEFT 2 VIEW 238.50 238.50 166.95 6.06 29.09 105.08 13.64 6.06 13.64 6.06 105.08 105.08 41.33 105.08 6.06 105.08 13.64 6.06 13.64 105.08 30.64 38.31 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.97 34.81 22.97 24.24 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.97 320000050 320 73090 RTTC XR FOREARM RIGHT 2 VIEWS 238.50 238.50 166.95 6.06 29.09 105.08 13.64 6.06 13.64 6.06 105.08 105.08 41.33 105.08 6.06 105.08 13.64 6.06 13.64 105.08 30.64 38.31 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.97 34.81 22.97 24.24 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.97 320000163 320 73092 50TC XR INFANT UE MIN BILAT 2 V 545.90 545.90 382.13 9.09 48.32 190.70 20.45 9.09 20.45 9.09 190.70 190.70 70.38 190.70 9.09 190.70 20.45 9.09 20.45 190.70 101.80 127.25 20.45 9.09 20.45 9.09 190.70 190.70 78.31 38.15 34.81 38.15 40.27 20.45 9.09 20.45 9.09 190.70 190.70 190.70 52.00 354.84 9.09 20.45 9.09 190.70 9.09 9.09 9.09 190.70 9.09 382.13 190.70 20.45 9.09 102.00 per visit 9.09 190.70 102.00 per visit 190.70 190.70 9.09 20.45 9.09 20.45 9.09 57.23 320000161 320 73092 LTTC XR INFANT UE MIN LEFT 2V 439.90 439.90 307.93 6.06 32.22 127.14 13.64 6.06 13.64 6.06 127.14 127.14 46.92 127.14 6.06 127.14 13.64 6.06 13.64 127.14 33.93 42.42 13.64 6.06 13.64 6.06 127.14 127.14 78.31 25.43 34.81 25.43 26.85 13.64 6.06 13.64 6.06 127.14 127.14 127.14 26.00 285.94 6.06 13.64 6.06 127.14 6.06 6.06 6.06 127.14 6.06 307.93 127.14 13.64 6.06 102.00 per visit 6.06 127.14 102.00 per visit 127.14 127.14 6.06 13.64 6.06 13.64 6.06 25.43 320000162 320 73092 RTTC XR INFANT UE MIN RIGHT 2 V 439.90 439.90 307.93 6.06 32.22 127.14 13.64 6.06 13.64 6.06 127.14 127.14 46.92 127.14 6.06 127.14 13.64 6.06 13.64 127.14 33.93 42.42 13.64 6.06 13.64 6.06 127.14 127.14 78.31 25.43 34.81 25.43 26.85 13.64 6.06 13.64 6.06 127.14 127.14 127.14 26.00 285.94 6.06 13.64 6.06 127.14 6.06 6.06 6.06 127.14 6.06 307.93 127.14 13.64 6.06 102.00 per visit 6.06 127.14 102.00 per visit 127.14 127.14 6.06 13.64 6.06 13.64 6.06 25.43 320000058 320 73100 50TC XR WRISTS BILATERAL AP & LAT E 365.70 365.70 255.99 9.09 52.34 157.62 20.45 9.09 20.45 9.09 157.62 157.62 68.27 157.62 9.09 157.62 20.45 9.09 20.45 157.62 110.27 137.84 20.45 9.09 20.45 9.09 157.62 157.62 78.31 41.32 34.81 41.32 43.62 20.45 9.09 20.45 9.09 157.62 157.62 157.62 56.00 237.71 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 255.99 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 61.99 320000052 320 73100 LTTC XR WRIST LEFT AP & LAT 238.50 238.50 166.95 6.06 34.90 105.08 13.64 6.06 13.64 6.06 105.08 105.08 45.52 105.08 6.06 105.08 13.64 6.06 13.64 105.08 36.76 45.95 13.64 6.06 13.64 6.06 105.08 105.08 78.31 27.55 34.81 27.55 29.08 13.64 6.06 13.64 6.06 105.08 105.08 105.08 26.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 27.55 320000055 320 73100 RTTC XR WRIST RIGHT AP & LAT 238.50 238.50 166.95 6.06 34.90 105.08 13.64 6.06 13.64 6.06 105.08 105.08 45.52 105.08 6.06 105.08 13.64 6.06 13.64 105.08 36.76 45.95 13.64 6.06 13.64 6.06 105.08 105.08 78.31 27.55 34.81 27.55 29.08 13.64 6.06 13.64 6.06 105.08 105.08 105.08 26.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 27.55 320000059 320 73110 50TC XR WRISTS BILAT MIN 3 VIEWS EA 365.70 365.70 255.99 11.36 66.40 157.62 25.57 11.36 25.57 11.36 157.62 157.62 86.13 157.62 11.36 157.62 25.57 11.36 25.57 157.62 139.88 174.85 25.57 11.36 25.57 11.36 157.62 157.62 78.31 52.42 34.81 52.42 55.33 25.57 11.36 25.57 11.36 157.62 157.62 157.62 52.00 237.71 11.36 25.57 11.36 157.62 11.36 11.36 11.36 157.62 11.36 255.99 157.62 25.57 11.36 102.00 per visit 11.36 157.62 102.00 per visit 157.62 157.62 11.36 25.57 11.36 25.57 11.36 78.63 320000053 320 73110 LTTC XR WRIST LEFT MIN 3 VIEWS 238.50 238.50 166.95 7.58 44.27 105.08 17.04 7.58 17.04 7.58 105.08 105.08 57.42 105.08 7.58 105.08 17.04 7.58 17.04 105.08 46.63 58.28 17.04 7.58 17.04 7.58 105.08 105.08 78.31 34.95 34.81 34.95 36.89 17.04 7.58 17.04 7.58 105.08 105.08 105.08 28.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 34.95 320000056 320 73110 RTTC XR WRIST RIGHT MIN 3 VIEWS 238.50 238.50 166.95 7.58 44.27 105.08 17.04 7.58 17.04 7.58 105.08 105.08 57.42 105.08 7.58 105.08 17.04 7.58 17.04 105.08 46.63 58.28 17.04 7.58 17.04 7.58 105.08 105.08 78.31 34.95 34.81 34.95 36.89 17.04 7.58 17.04 7.58 105.08 105.08 105.08 28.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 34.95 320000062 320 73120 50TC XR HANDS BILATERAL 2 VIEWS 545.90 545.90 382.13 9.09 47.66 190.70 20.45 9.09 20.45 9.09 190.70 190.70 60.92 190.70 9.09 190.70 20.45 9.09 20.45 190.70 100.40 125.50 20.45 9.09 20.45 9.09 190.70 190.70 78.31 37.62 34.81 37.62 39.71 20.45 9.09 20.45 9.09 190.70 190.70 190.70 56.00 354.84 9.09 20.45 9.09 190.70 9.09 9.09 9.09 190.70 9.09 382.13 190.70 20.45 9.09 102.00 per visit 9.09 190.70 102.00 per visit 190.70 190.70 9.09 20.45 9.09 20.45 9.09 56.44 320000060 320 73120 LTTC XR HAND LEFT 2 VIEWS 439.90 439.90 307.93 6.06 31.77 127.14 13.64 6.06 13.64 6.06 127.14 127.14 40.62 127.14 6.06 127.14 13.64 6.06 13.64 127.14 33.47 41.83 13.64 6.06 13.64 6.06 127.14 127.14 78.31 25.08 34.81 25.08 26.48 13.64 6.06 13.64 6.06 127.14 127.14 127.14 26.00 285.94 6.06 13.64 6.06 127.14 6.06 6.06 6.06 127.14 6.06 307.93 127.14 13.64 6.06 102.00 per visit 6.06 127.14 102.00 per visit 127.14 127.14 6.06 13.64 6.06 13.64 6.06 25.08 320000061 320 73120 RTTC XR HAND RIGHT 2 VIEWS 439.90 439.90 307.93 6.06 31.77 127.14 13.64 6.06 13.64 6.06 127.14 127.14 40.62 127.14 6.06 127.14 13.64 6.06 13.64 127.14 33.47 41.83 13.64 6.06 13.64 6.06 127.14 127.14 78.31 25.08 34.81 25.08 26.48 13.64 6.06 13.64 6.06 127.14 127.14 127.14 26.00 285.94 6.06 13.64 6.06 127.14 6.06 6.06 6.06 127.14 6.06 307.93 127.14 13.64 6.06 102.00 per visit 6.06 127.14 102.00 per visit 127.14 127.14 6.06 13.64 6.06 13.64 6.06 25.08 320000065 320 73130 50TC XR HANDS BILATERAL MIN 3 VIEWS 365.70 365.70 255.99 11.36 58.36 157.62 25.57 11.36 25.57 11.36 157.62 157.62 73.54 157.62 11.36 157.62 25.57 11.36 25.57 157.62 122.95 153.69 25.57 11.36 25.57 11.36 157.62 157.62 78.31 46.08 34.81 46.08 48.64 25.57 11.36 25.57 11.36 157.62 157.62 157.62 56.00 237.71 11.36 25.57 11.36 157.62 11.36 11.36 11.36 157.62 11.36 255.99 157.62 25.57 11.36 102.00 per visit 11.36 157.62 102.00 per visit 157.62 157.62 11.36 25.57 11.36 25.57 11.36 69.11 320000063 320 73130 LTTC XR HAND LEFT MIN 3 VIEWS 238.50 238.50 166.95 7.58 38.91 105.08 17.04 7.58 17.04 7.58 105.08 105.08 49.02 105.08 7.58 105.08 17.04 7.58 17.04 105.08 40.98 51.23 17.04 7.58 17.04 7.58 105.08 105.08 78.31 30.72 34.81 30.72 32.42 17.04 7.58 17.04 7.58 105.08 105.08 105.08 28.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 30.72 320000064 320 73130 RTTC XR HAND RIGHT MIN 3 VIEWS 238.50 238.50 166.95 7.58 38.91 105.08 17.04 7.58 17.04 7.58 105.08 105.08 49.02 105.08 7.58 105.08 17.04 7.58 17.04 105.08 40.98 51.23 17.04 7.58 17.04 7.58 105.08 105.08 78.31 30.72 34.81 30.72 32.42 17.04 7.58 17.04 7.58 105.08 105.08 105.08 28.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 30.72 320000151 320 73140 50TC XR FINGER(S) BILAT 365.70 365.70 255.99 6.82 63.71 157.62 15.34 6.82 15.34 6.82 157.62 157.62 76.69 157.62 6.82 157.62 15.34 6.82 15.34 157.62 134.23 167.78 15.34 6.82 15.34 6.82 157.62 157.62 78.31 50.30 34.81 50.30 53.10 15.34 6.82 15.34 6.82 157.62 157.62 157.62 44.00 237.71 6.82 15.34 6.82 157.62 6.82 6.82 6.82 157.62 6.82 255.99 157.62 15.34 6.82 102.00 per visit 6.82 157.62 102.00 per visit 157.62 157.62 6.82 15.34 6.82 15.34 6.82 75.45 320000066 320 73140 LTTC XR FINGER LEFT 238.50 238.50 166.95 4.55 42.48 105.08 10.23 4.55 10.23 4.55 105.08 105.08 51.13 105.08 4.55 105.08 10.23 4.55 10.23 105.08 44.74 55.93 10.23 4.55 10.23 4.55 105.08 105.08 78.31 33.53 34.81 33.53 35.40 10.23 4.55 10.23 4.55 105.08 105.08 105.08 22.00 155.03 4.55 10.23 4.55 105.08 4.55 4.55 4.55 105.08 4.55 166.95 105.08 10.23 4.55 102.00 per visit 4.55 105.08 102.00 per visit 105.08 105.08 4.55 10.23 4.55 10.23 4.55 33.53 320000067 320 73140 RTTC XR FINGER RIGHT 238.50 238.50 166.95 4.55 42.48 105.08 10.23 4.55 10.23 4.55 105.08 105.08 51.13 105.08 4.55 105.08 10.23 4.55 10.23 105.08 44.74 55.93 10.23 4.55 10.23 4.55 105.08 105.08 78.31 33.53 34.81 33.53 35.40 10.23 4.55 10.23 4.55 105.08 105.08 105.08 22.00 155.03 4.55 10.23 4.55 105.08 4.55 4.55 4.55 105.08 4.55 166.95 105.08 10.23 4.55 102.00 per visit 4.55 105.08 102.00 per visit 105.08 105.08 4.55 10.23 4.55 10.23 4.55 33.53 352000028 352 73200 50TC CT EXT UP W/O CONTRAST BILAT 1452.20 1452.20 1016.54 127.26 238.36 190.70 286.34 127.26 286.34 127.26 190.70 190.70 697.00 per visit 190.70 127.26 190.70 286.34 127.26 286.34 190.70 502.14 627.67 286.34 127.26 286.34 127.26 190.70 190.70 672.02 188.18 298.68 188.18 198.63 286.34 127.26 286.34 127.26 190.70 190.70 190.70 506.00 943.93 127.26 286.34 127.26 190.70 127.26 127.26 127.26 190.70 127.26 1016.54 190.70 286.34 127.26 499.00 per visit 127.26 190.70 499.00 per visit 190.70 190.70 127.26 286.34 127.26 286.34 127.26 282.26 352000014 352 73200 LTTC CT EXT UP W/O CONTAST LT 858.60 858.60 697.00 84.84 158.90 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 167.38 209.22 190.89 84.84 190.89 84.84 127.14 127.14 672.02 125.45 298.68 125.45 132.42 190.89 84.84 190.89 84.84 127.14 127.14 127.14 253.00 558.09 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 601.02 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 125.45 352000027 352 73200 RTTC CT EXT UP W/O CONTRAST RT 858.60 858.60 697.00 84.84 158.90 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 167.38 209.22 190.89 84.84 190.89 84.84 127.14 127.14 672.02 125.45 298.68 125.45 132.42 190.89 84.84 190.89 84.84 127.14 127.14 127.14 253.00 558.09 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 601.02 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 125.45 352000030 352 73201 50TC CT EXT UP W/CONTRAST BILAT 1733.10 1733.10 1213.17 154.53 304.74 667.09 347.69 154.53 347.69 154.53 667.09 667.09 697.00 per visit 667.09 154.53 667.09 347.69 154.53 347.69 667.09 641.98 802.48 347.69 154.53 347.69 154.53 667.09 667.09 803.14 240.58 356.95 240.58 253.95 347.69 154.53 347.69 154.53 667.09 667.09 667.09 604.00 1126.52 154.53 347.69 154.53 667.09 154.53 154.53 154.53 667.09 154.53 1213.17 667.09 347.69 154.53 499.00 per visit 154.53 667.09 499.00 per visit 667.09 667.09 154.53 347.69 154.53 347.69 154.53 360.88 352000015 352 73201 LTTC CT EXTREMITY UPPER WITH CONTRA 964.60 964.60 803.14 103.02 203.16 444.72 231.80 103.02 231.80 103.02 444.72 444.72 697.00 per visit 444.72 103.02 444.72 231.80 103.02 231.80 444.72 213.99 267.49 231.80 103.02 231.80 103.02 444.72 444.72 803.14 160.39 356.95 160.39 169.30 231.80 103.02 231.80 103.02 444.72 444.72 444.72 302.00 626.99 103.02 231.80 103.02 444.72 103.02 103.02 103.02 444.72 103.02 675.22 444.72 231.80 103.02 499.00 per visit 103.02 444.72 499.00 per visit 444.72 444.72 103.02 231.80 103.02 231.80 103.02 160.39 352000029 352 73201 RTTC CT EXT UP W/CONTRAST RT 964.60 964.60 803.14 103.02 203.16 444.72 231.80 103.02 231.80 103.02 444.72 444.72 697.00 per visit 444.72 103.02 444.72 231.80 103.02 231.80 444.72 213.99 267.49 231.80 103.02 231.80 103.02 444.72 444.72 803.14 160.39 356.95 160.39 169.30 231.80 103.02 231.80 103.02 444.72 444.72 444.72 302.00 626.99 103.02 231.80 103.02 444.72 103.02 103.02 103.02 444.72 103.02 675.22 444.72 231.80 103.02 499.00 per visit 103.02 444.72 499.00 per visit 444.72 444.72 103.02 231.80 103.02 231.80 103.02 160.39 352000033 352 73202 50TC CT EXT UP W/W/O CONTRAST BILAT 1711.90 1711.90 1198.33 230.89 399.10 318.71 519.49 230.89 519.49 230.89 318.71 318.71 697.00 per visit 318.71 230.89 318.71 519.49 230.89 519.49 318.71 840.76 1050.96 519.49 230.89 519.49 230.89 318.71 318.71 803.14 315.08 356.95 315.08 332.58 519.49 230.89 519.49 230.89 318.71 318.71 318.71 758.00 1112.74 230.89 519.49 230.89 318.71 230.89 230.89 230.89 318.71 230.89 1198.33 318.71 519.49 230.89 499.00 per visit 230.89 318.71 499.00 per visit 318.71 318.71 230.89 519.49 230.89 519.49 230.89 472.61 352000031 352 73202 LTTC CT EXT UP W/W/O CONTRAST LT 1081.20 1081.20 803.14 153.92 266.06 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 280.25 350.32 346.33 153.92 346.33 153.92 212.47 212.47 803.14 210.05 356.95 210.05 221.72 346.33 153.92 346.33 153.92 212.47 212.47 212.47 379.00 702.78 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 756.84 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 210.05 352000032 352 73202 RTTC CT EXT UP W/W/O CONTRAST RT 1081.20 1081.20 803.14 153.92 266.06 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 280.25 350.32 346.33 153.92 346.33 153.92 212.47 212.47 803.14 210.05 356.95 210.05 221.72 346.33 153.92 346.33 153.92 212.47 212.47 212.47 379.00 702.78 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 756.84 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 210.05 352000024 352 73206 TC CTA UPPER EXTREMITY W/WO CONTR 1197.80 1197.80 852.15 153.92 296.05 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 311.84 389.79 346.33 153.92 346.33 153.92 212.47 212.47 852.15 233.72 378.73 233.72 246.71 346.33 153.92 346.33 153.92 212.47 212.47 212.47 401.00 778.57 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 838.46 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 233.72 610000019 610 73218 50TC MRI UP EXT NOT JNT W/O BILAT 3127.00 3127.00 2188.90 394.43 499.61 425.04 1022.63 454.50 1022.63 454.50 425.04 425.04 1200.00 per visit 425.04 454.50 425.04 1022.63 454.50 1022.63 425.04 1052.51 1315.64 1022.63 454.50 1022.63 454.50 425.04 425.04 983.50 394.43 437.11 394.43 416.34 1022.63 454.50 1022.63 454.50 425.04 425.04 425.04 1192.00 2032.55 454.50 1022.63 454.50 425.04 454.50 454.50 454.50 425.04 454.50 2188.90 425.04 1022.63 454.50 716.00 per visit 454.50 425.04 716.00 per visit 425.04 425.04 454.50 1022.63 454.50 1022.63 454.50 591.64 610000011 610 73218 LTTC MRI UPR EXT NOT JNT W/CO LT 1876.20 1876.20 1313.34 262.95 333.07 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 350.84 438.55 681.75 303.00 681.75 303.00 283.36 283.36 983.50 262.95 437.11 262.95 277.56 681.75 303.00 681.75 303.00 283.36 283.36 283.36 596.00 1219.53 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1313.34 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 262.95 610000018 610 73218 RTTC MRI UP EXT NOT JNT W/O RT 1876.20 1876.20 1313.34 262.95 333.07 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 350.84 438.55 681.75 303.00 681.75 303.00 283.36 283.36 983.50 262.95 437.11 262.95 277.56 681.75 303.00 681.75 303.00 283.36 283.36 283.36 596.00 1219.53 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1313.34 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 262.95 610000022 610 73219 50TC MRI UP EXT NOT JNT W/CON BILAT 3392.00 3392.00 2374.40 420.31 532.39 667.09 1022.63 454.50 1022.63 454.50 667.09 667.09 1200.00 per visit 667.09 454.50 667.09 1022.63 454.50 1022.63 667.09 1121.57 1401.96 1022.63 454.50 1022.63 454.50 667.09 667.09 1483.34 420.31 659.26 420.31 443.66 1022.63 454.50 1022.63 454.50 667.09 667.09 667.09 1430.00 2204.80 454.50 1022.63 454.50 667.09 454.50 454.50 454.50 667.09 454.50 2374.40 667.09 1022.63 454.50 716.00 per visit 454.50 667.09 716.00 per visit 667.09 667.09 454.50 1022.63 454.50 1022.63 454.50 630.46 610000020 610 73219 LTTC MRI UP EXT NOT JNT W/CON LT 2098.80 2098.80 1483.34 280.21 354.93 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 373.86 467.32 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 280.21 659.26 280.21 295.77 681.75 303.00 681.75 303.00 444.72 444.72 444.72 715.00 1364.22 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1469.16 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 280.21 610000021 610 73219 RTTC MRI UP EXT NOT JNT W/CON RT 2098.80 2098.80 1483.34 280.21 354.93 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 373.86 467.32 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 280.21 659.26 280.21 295.77 681.75 303.00 681.75 303.00 444.72 444.72 444.72 715.00 1364.22 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1469.16 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 280.21 610000052 610 73220 50TC MR UP EXT NOT JNT W/WO CON BI 3890.20 3890.20 2723.14 454.50 644.81 667.09 1022.63 454.50 1022.63 454.50 667.09 667.09 1200.00 per visit 667.09 454.50 667.09 1022.63 454.50 1022.63 667.09 1358.39 1697.99 1022.63 454.50 1022.63 454.50 667.09 667.09 1483.34 509.06 659.26 509.06 537.34 1022.63 454.50 1022.63 454.50 667.09 667.09 667.09 2306.00 2528.63 454.50 1022.63 454.50 667.09 454.50 454.50 454.50 667.09 454.50 2723.14 667.09 1022.63 454.50 716.00 per visit 454.50 667.09 716.00 per visit 667.09 667.09 454.50 1022.63 454.50 1022.63 454.50 763.59 610000050 610 73220 LTTC MR UP EXTR NOT JNT W/WO LT 2724.20 2724.20 1906.94 303.00 429.87 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 452.80 566.00 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 339.37 659.26 339.37 358.23 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1153.00 1770.73 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1906.94 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 339.37 610000051 610 73220 RTTC MR UP EXT NOT JNT W/WO CON RT 2724.20 2724.20 1906.94 303.00 429.87 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 452.80 566.00 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 339.37 659.26 339.37 358.23 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1153.00 1770.73 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1906.94 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 339.37 610000024 610 73221 50TC MR UP EXT JNT W/O CONT BILAT 2814.30 2814.30 1970.01 230.03 291.37 425.04 1022.63 454.50 1022.63 454.50 425.04 425.04 1200.00 per visit 425.04 454.50 425.04 1022.63 454.50 1022.63 425.04 613.81 767.27 1022.63 454.50 1022.63 454.50 425.04 425.04 983.50 230.03 437.11 230.03 242.81 1022.63 454.50 1022.63 454.50 425.04 425.04 425.04 1142.00 1829.30 454.50 1022.63 454.50 425.04 454.50 454.50 454.50 425.04 454.50 1970.01 425.04 1022.63 454.50 716.00 per visit 454.50 425.04 716.00 per visit 425.04 425.04 454.50 1022.63 454.50 1022.63 454.50 345.04 610000003 610 73221 LTTC MR UP EXT JOINT LT 1823.20 1823.20 1276.24 153.35 194.24 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 204.60 255.76 681.75 303.00 681.75 303.00 283.36 283.36 983.50 153.35 437.11 153.35 161.87 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 1185.08 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1276.24 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 153.35 610000023 610 73221 RTTC MR UP EXT JNT W/O CONT RT 1823.20 1823.20 1276.24 153.35 194.24 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 204.60 255.76 681.75 303.00 681.75 303.00 283.36 283.36 983.50 153.35 437.11 153.35 161.87 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 1185.08 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1276.24 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 153.35 610000027 610 73222 50TC MR UP EXT JNT W/CONT BILAT 4664.00 4664.00 3264.80 390.20 494.26 1388.86 1022.63 454.50 1022.63 454.50 1388.86 1388.86 1200.00 per visit 1388.86 454.50 1388.86 1022.63 454.50 1022.63 1388.86 1041.24 1301.55 1022.63 454.50 1022.63 454.50 1388.86 1388.86 1483.34 390.20 659.26 390.20 411.88 1022.63 454.50 1022.63 454.50 1388.86 1388.86 1388.86 1430.00 3031.60 454.50 1022.63 454.50 1388.86 454.50 454.50 454.50 1388.86 454.50 3264.80 1388.86 1022.63 454.50 716.00 per visit 454.50 1388.86 716.00 per visit 1388.86 1388.86 454.50 1022.63 454.50 1022.63 454.50 585.31 610000025 610 73222 LTTC MR UP EXT JNT W/CONT LT 2597.00 2597.00 1817.90 260.14 329.51 925.91 681.75 303.00 681.75 303.00 925.91 925.91 1200.00 per visit 925.91 303.00 925.91 681.75 303.00 681.75 925.91 347.08 433.85 681.75 303.00 681.75 303.00 925.91 925.91 1483.34 260.14 659.26 260.14 274.59 681.75 303.00 681.75 303.00 925.91 925.91 925.91 715.00 1688.05 303.00 681.75 303.00 925.91 303.00 303.00 303.00 925.91 303.00 1817.90 925.91 681.75 303.00 716.00 per visit 303.00 925.91 716.00 per visit 925.91 925.91 303.00 681.75 303.00 681.75 303.00 260.14 610000026 610 73222 RTTC MR UP EXT JNT W/CONT RT 2597.00 2597.00 1817.90 260.14 329.51 925.91 681.75 303.00 681.75 303.00 925.91 925.91 1200.00 per visit 925.91 303.00 925.91 681.75 303.00 681.75 925.91 347.08 433.85 681.75 303.00 681.75 303.00 925.91 925.91 1483.34 260.14 659.26 260.14 274.59 681.75 303.00 681.75 303.00 925.91 925.91 925.91 715.00 1688.05 303.00 681.75 303.00 925.91 303.00 303.00 303.00 925.91 303.00 1817.90 925.91 681.75 303.00 716.00 per visit 303.00 925.91 716.00 per visit 925.91 925.91 303.00 681.75 303.00 681.75 303.00 260.14 610000046 610 73223 50TC MR UP EXT JNT W/WO CON BI 3349.60 3349.60 2646.00 454.50 597.30 667.09 1022.63 454.50 1022.63 454.50 667.09 667.09 1200.00 per visit 667.09 454.50 667.09 1022.63 454.50 1022.63 667.09 1258.32 1572.90 1022.63 454.50 1022.63 454.50 667.09 667.09 1483.34 471.56 659.26 471.56 497.75 1022.63 454.50 1022.63 454.50 667.09 667.09 667.09 2646.00 2177.24 454.50 1022.63 454.50 667.09 454.50 454.50 454.50 667.09 454.50 2344.72 667.09 1022.63 454.50 716.00 per visit 454.50 667.09 716.00 per visit 667.09 667.09 454.50 1022.63 454.50 1022.63 454.50 707.33 610000028 610 73223 LTTC MR UP EXT JNT W/W/O CONT LT 2363.80 2363.80 1654.66 303.00 398.20 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 419.44 524.30 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 314.37 659.26 314.37 331.84 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1323.00 1536.47 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1654.66 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 314.37 610000029 610 73223 RTTC MR UP EXT JNT W/W/O CONT RT 2363.80 2363.80 1654.66 303.00 398.20 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 419.44 524.30 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 314.37 659.26 314.37 331.84 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1323.00 1536.47 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1654.66 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 314.37 610000059 610 73225 LTTC MRA UPPER EXT W/ CONTRAST LT C8934LTTC 2628.80 2628.80 1840.16 286.62 363.06 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 382.42 478.02 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 286.62 559.75 286.62 302.55 681.75 303.00 681.75 303.00 444.72 444.72 444.72 500.00 1708.72 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1840.16 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 286.62 610000047 610 73225 LTTC MRA UPPER EXT W W/O CONTRST LT C8936LTTC 3158.80 3158.80 2211.16 286.62 363.06 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 382.42 478.02 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 286.62 559.75 286.62 302.55 681.75 303.00 681.75 303.00 444.72 444.72 444.72 500.00 2053.22 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2211.16 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 286.62 610000060 610 73225 RTTC MRA UPPER EXT W/ CONTRAST RT C8934RTTC 2628.80 2628.80 1840.16 286.62 363.06 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 382.42 478.02 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 286.62 559.75 286.62 302.55 681.75 303.00 681.75 303.00 444.72 444.72 444.72 500.00 1708.72 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1840.16 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 286.62 618000003 610 73225 RTTC MRA UPPER EXT W W/O CONTRST RT C8936RTTC C8936 3158.80 3158.80 2211.16 286.62 363.06 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 382.42 478.02 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 286.62 559.75 286.62 302.55 681.75 303.00 681.75 303.00 444.72 444.72 444.72 500.00 2053.22 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2211.16 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 286.62 352505025 320 73501 50TC X-RAY HIP/PELVIS UNI 1 VIEW BL 365.70 365.70 383.99 8.21 48.32 157.62 18.47 8.21 18.47 8.21 157.62 157.62 383.99 157.62 8.21 157.62 18.47 8.21 18.47 157.62 101.80 127.25 18.47 8.21 18.47 8.21 157.62 157.62 78.31 38.15 34.81 38.15 40.27 18.47 8.21 18.47 8.21 157.62 157.62 157.62 48.00 237.71 8.21 18.47 8.21 157.62 8.21 8.21 8.21 157.62 8.21 255.99 157.62 18.47 8.21 102.00 per visit 8.21 157.62 102.00 per visit 157.62 157.62 8.21 18.47 8.21 18.47 8.21 57.23 352505023 320 73501 LTTC X-RAY HIP/PELVIS UNI 1 VIEW LT 249.10 249.10 174.37 5.47 32.22 105.08 12.31 5.47 12.31 5.47 105.08 105.08 174.37 105.08 5.47 105.08 12.31 5.47 12.31 105.08 33.93 42.42 12.31 5.47 12.31 5.47 105.08 105.08 78.31 25.43 34.81 25.43 26.85 12.31 5.47 12.31 5.47 105.08 105.08 105.08 24.00 161.92 5.47 12.31 5.47 105.08 5.47 5.47 5.47 105.08 5.47 174.37 105.08 12.31 5.47 102.00 per visit 5.47 105.08 102.00 per visit 105.08 105.08 5.47 12.31 5.47 12.31 5.47 25.43 352505024 320 73501 RTTC X-RAY HIP/PELVIS UNI 1 VIEW RT 249.10 249.10 174.37 5.47 32.22 105.08 12.31 5.47 12.31 5.47 105.08 105.08 174.37 105.08 5.47 105.08 12.31 5.47 12.31 105.08 33.93 42.42 12.31 5.47 12.31 5.47 105.08 105.08 78.31 25.43 34.81 25.43 26.85 12.31 5.47 12.31 5.47 105.08 105.08 105.08 24.00 161.92 5.47 12.31 5.47 105.08 5.47 5.47 5.47 105.08 5.47 174.37 105.08 12.31 5.47 102.00 per visit 5.47 105.08 102.00 per visit 105.08 105.08 5.47 12.31 5.47 12.31 5.47 25.43 352505028 320 73502 50TC X-RAY HIP/PELVIS UNI 2-3 VW BL 365.70 365.70 383.99 11.34 74.42 157.62 25.50 11.34 25.50 11.34 157.62 157.62 383.99 157.62 11.34 157.62 25.50 11.34 25.50 157.62 156.78 195.97 25.50 11.34 25.50 11.34 157.62 157.62 78.31 58.75 34.81 58.75 62.02 25.50 11.34 25.50 11.34 157.62 157.62 157.62 70.00 237.71 11.34 25.50 11.34 157.62 11.34 11.34 11.34 157.62 11.34 255.99 157.62 25.50 11.34 102.00 per visit 11.34 157.62 102.00 per visit 157.62 157.62 11.34 25.50 11.34 25.50 11.34 88.13 352505026 320 73502 LTTC X-RAY HIP/PELVIS UNI 2-3 VW LT 249.10 249.10 174.37 7.56 49.61 105.08 17.00 7.56 17.00 7.56 105.08 105.08 174.37 105.08 7.56 105.08 17.00 7.56 17.00 105.08 52.26 65.32 17.00 7.56 17.00 7.56 105.08 105.08 78.31 39.17 34.81 39.17 41.34 17.00 7.56 17.00 7.56 105.08 105.08 105.08 35.00 161.92 7.56 17.00 7.56 105.08 7.56 7.56 7.56 105.08 7.56 174.37 105.08 17.00 7.56 102.00 per visit 7.56 105.08 102.00 per visit 105.08 105.08 7.56 17.00 7.56 17.00 7.56 39.17 352505027 320 73502 RTTC X-RAY HIP/PELVIS UNI 2-3 VW RT 249.10 249.10 174.37 7.56 49.61 105.08 17.00 7.56 17.00 7.56 105.08 105.08 174.37 105.08 7.56 105.08 17.00 7.56 17.00 105.08 52.26 65.32 17.00 7.56 17.00 7.56 105.08 105.08 78.31 39.17 34.81 39.17 41.34 17.00 7.56 17.00 7.56 105.08 105.08 105.08 35.00 161.92 7.56 17.00 7.56 105.08 7.56 7.56 7.56 105.08 7.56 174.37 105.08 17.00 7.56 102.00 per visit 7.56 105.08 102.00 per visit 105.08 105.08 7.56 17.00 7.56 17.00 7.56 39.17 352505031 320 73503 50TC X-RAY HIP/PELVIS UNI 4/> VW BL 545.90 545.90 573.20 14.17 94.49 190.70 31.89 14.17 31.89 14.17 190.70 190.70 573.20 190.70 14.17 190.70 31.89 14.17 31.89 190.70 199.07 248.84 31.89 14.17 31.89 14.17 190.70 190.70 78.31 74.60 34.81 74.60 78.75 31.89 14.17 31.89 14.17 190.70 190.70 190.70 88.00 354.84 14.17 31.89 14.17 190.70 14.17 14.17 14.17 190.70 14.17 382.13 190.70 31.89 14.17 102.00 per visit 14.17 190.70 102.00 per visit 190.70 190.70 14.17 31.89 14.17 31.89 14.17 111.90 352505029 320 73503 LTTC X-RAY HIP/PELVIS UNI 4/> VW LT 439.90 439.90 307.93 9.45 63.00 127.14 21.26 9.45 21.26 9.45 127.14 127.14 307.93 127.14 9.45 127.14 21.26 9.45 21.26 127.14 66.36 82.95 21.26 9.45 21.26 9.45 127.14 127.14 78.31 49.73 34.81 49.73 52.50 21.26 9.45 21.26 9.45 127.14 127.14 127.14 44.00 285.94 9.45 21.26 9.45 127.14 9.45 9.45 9.45 127.14 9.45 307.93 127.14 21.26 9.45 102.00 per visit 9.45 127.14 102.00 per visit 127.14 127.14 9.45 21.26 9.45 21.26 9.45 49.73 352505030 320 73503 RTTC X-RAY HIP/PELVIS UNI 4/> VW RT 439.90 439.90 307.93 9.45 63.00 127.14 21.26 9.45 21.26 9.45 127.14 127.14 307.93 127.14 9.45 127.14 21.26 9.45 21.26 127.14 66.36 82.95 21.26 9.45 21.26 9.45 127.14 127.14 78.31 49.73 34.81 49.73 52.50 21.26 9.45 21.26 9.45 127.14 127.14 127.14 44.00 285.94 9.45 21.26 9.45 127.14 9.45 9.45 9.45 127.14 9.45 307.93 127.14 21.26 9.45 102.00 per visit 9.45 127.14 102.00 per visit 127.14 127.14 9.45 21.26 9.45 21.26 9.45 49.73 352505032 320 73521 TC X-RAY HIP/PELVIS BL 2 VIEWS 439.90 439.90 307.93 7.30 41.14 127.14 16.42 7.30 16.42 7.30 127.14 127.14 307.93 127.14 7.30 127.14 16.42 7.30 16.42 127.14 43.34 54.17 16.42 7.30 16.42 7.30 127.14 127.14 78.31 32.48 34.81 32.48 34.29 16.42 7.30 16.42 7.30 127.14 127.14 127.14 33.00 285.94 7.30 16.42 7.30 127.14 7.30 7.30 7.30 127.14 7.30 307.93 127.14 16.42 7.30 102.00 per visit 7.30 127.14 102.00 per visit 127.14 127.14 7.30 16.42 7.30 16.42 7.30 32.48 352505033 320 73522 TC X-RAY HIP/PELVIS BL 3-4 VIEWS 466.40 466.40 326.48 8.93 53.63 127.14 20.08 8.93 20.08 8.93 127.14 127.14 326.48 127.14 8.93 127.14 20.08 8.93 20.08 127.14 56.49 70.61 20.08 8.93 20.08 8.93 127.14 127.14 78.31 42.34 34.81 42.34 44.69 20.08 8.93 20.08 8.93 127.14 127.14 127.14 40.00 303.16 8.93 20.08 8.93 127.14 8.93 8.93 8.93 127.14 8.93 326.48 127.14 20.08 8.93 102.00 per visit 8.93 127.14 102.00 per visit 127.14 127.14 8.93 20.08 8.93 20.08 8.93 42.34 352505034 320 73523 TC X-RAY HIP/PELVIS BL 5/> VIEWS 492.90 492.90 345.03 10.36 63.00 127.14 23.30 10.36 23.30 10.36 127.14 127.14 345.03 127.14 10.36 127.14 23.30 10.36 23.30 127.14 66.36 82.95 23.30 10.36 23.30 10.36 127.14 127.14 78.31 49.73 34.81 49.73 52.50 23.30 10.36 23.30 10.36 127.14 127.14 127.14 47.00 320.39 10.36 23.30 10.36 127.14 10.36 10.36 10.36 127.14 10.36 345.03 127.14 23.30 10.36 102.00 per visit 10.36 127.14 102.00 per visit 127.14 127.14 10.36 23.30 10.36 23.30 10.36 49.73 352505037 320 73551 50TC X-RAY EXAM OF FEMUR 1 VIEW BL 365.70 365.70 383.99 7.63 42.97 157.62 17.16 7.63 17.16 7.63 157.62 157.62 383.99 157.62 7.63 157.62 17.16 7.63 17.16 157.62 90.53 113.16 17.16 7.63 17.16 7.63 157.62 157.62 78.31 33.93 34.81 33.93 35.81 17.16 7.63 17.16 7.63 157.62 157.62 157.62 46.00 237.71 7.63 17.16 7.63 157.62 7.63 7.63 7.63 157.62 7.63 255.99 157.62 17.16 7.63 102.00 per visit 7.63 157.62 102.00 per visit 157.62 157.62 7.63 17.16 7.63 17.16 7.63 50.89 352505035 320 73551 LTTC X-RAY EXAM OF FEMUR 1 VIEW LT 249.10 249.10 174.37 5.08 28.65 105.08 11.44 5.08 11.44 5.08 105.08 105.08 174.37 105.08 5.08 105.08 11.44 5.08 11.44 105.08 30.18 37.72 11.44 5.08 11.44 5.08 105.08 105.08 78.31 22.62 34.81 22.62 23.87 11.44 5.08 11.44 5.08 105.08 105.08 105.08 23.00 161.92 5.08 11.44 5.08 105.08 5.08 5.08 5.08 105.08 5.08 174.37 105.08 11.44 5.08 102.00 per visit 5.08 105.08 102.00 per visit 105.08 105.08 5.08 11.44 5.08 11.44 5.08 22.62 352505036 320 73551 RTTC X-RAY EXAM OF FEMUR 1 VIEW RT 249.10 249.10 174.37 5.08 28.65 105.08 11.44 5.08 11.44 5.08 105.08 105.08 174.37 105.08 5.08 105.08 11.44 5.08 11.44 105.08 30.18 37.72 11.44 5.08 11.44 5.08 105.08 105.08 78.31 22.62 34.81 22.62 23.87 11.44 5.08 11.44 5.08 105.08 105.08 105.08 23.00 161.92 5.08 11.44 5.08 105.08 5.08 5.08 5.08 105.08 5.08 174.37 105.08 11.44 5.08 102.00 per visit 5.08 105.08 102.00 per visit 105.08 105.08 5.08 11.44 5.08 11.44 5.08 22.62 352505040 320 73552 50TC X-RAY EXAM OF FEMUR 2/> BL 365.70 365.70 383.99 8.89 54.34 157.62 20.00 8.89 20.00 8.89 157.62 157.62 383.99 157.62 8.89 157.62 20.00 8.89 20.00 157.62 114.48 143.11 20.00 8.89 20.00 8.89 157.62 157.62 78.31 42.90 34.81 42.90 45.29 20.00 8.89 20.00 8.89 157.62 157.62 157.62 54.00 237.71 8.89 20.00 8.89 157.62 8.89 8.89 8.89 157.62 8.89 255.99 157.62 20.00 8.89 102.00 per visit 8.89 157.62 102.00 per visit 157.62 157.62 8.89 20.00 8.89 20.00 8.89 64.35 352505038 320 73552 LTTC X-RAY EXAM OF FEMUR 2/> LT 249.10 249.10 174.37 5.93 36.23 105.08 13.34 5.93 13.34 5.93 105.08 105.08 174.37 105.08 5.93 105.08 13.34 5.93 13.34 105.08 38.16 47.70 13.34 5.93 13.34 5.93 105.08 105.08 78.31 28.60 34.81 28.60 30.19 13.34 5.93 13.34 5.93 105.08 105.08 105.08 27.00 161.92 5.93 13.34 5.93 105.08 5.93 5.93 5.93 105.08 5.93 174.37 105.08 13.34 5.93 102.00 per visit 5.93 105.08 102.00 per visit 105.08 105.08 5.93 13.34 5.93 13.34 5.93 28.60 352505039 320 73552 RTTC X-RAY EXAM OF FEMUR 2/> RT 249.10 249.10 174.37 5.93 36.23 105.08 13.34 5.93 13.34 5.93 105.08 105.08 174.37 105.08 5.93 105.08 13.34 5.93 13.34 105.08 38.16 47.70 13.34 5.93 13.34 5.93 105.08 105.08 78.31 28.60 34.81 28.60 30.19 13.34 5.93 13.34 5.93 105.08 105.08 105.08 27.00 161.92 5.93 13.34 5.93 105.08 5.93 5.93 5.93 105.08 5.93 174.37 105.08 13.34 5.93 102.00 per visit 5.93 105.08 102.00 per visit 105.08 105.08 5.93 13.34 5.93 13.34 5.93 28.60 320000175 320 73560 TC XR EXAM OF KNEE 1 OR 2 238.50 238.50 166.95 6.06 35.34 105.08 13.64 6.06 13.64 6.06 105.08 105.08 44.12 105.08 6.06 105.08 13.64 6.06 13.64 105.08 37.22 46.53 13.64 6.06 13.64 6.06 105.08 105.08 78.31 27.90 34.81 27.90 29.45 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 27.90 320000079 320 73562 50TC XR KNEES BILAT AP-LAT-OBLIQUE 434.60 434.60 304.22 13.64 64.38 157.62 30.68 13.64 30.68 13.64 157.62 157.62 82.97 157.62 13.64 157.62 30.68 13.64 30.68 157.62 135.63 169.54 30.68 13.64 30.68 13.64 157.62 157.62 78.31 50.83 34.81 50.83 53.65 30.68 13.64 30.68 13.64 157.62 157.62 157.62 60.00 282.49 13.64 30.68 13.64 157.62 13.64 13.64 13.64 157.62 13.64 304.22 157.62 30.68 13.64 102.00 per visit 13.64 157.62 102.00 per visit 157.62 157.62 13.64 30.68 13.64 30.68 13.64 76.24 320000077 320 73562 LTTC XR KNEE LEFT AP- LAT- OBLIQUE 238.50 238.50 166.95 9.09 42.92 105.08 20.45 9.09 20.45 9.09 105.08 105.08 55.32 105.08 9.09 105.08 20.45 9.09 20.45 105.08 45.21 56.51 20.45 9.09 20.45 9.09 105.08 105.08 78.31 33.89 34.81 33.89 35.77 20.45 9.09 20.45 9.09 105.08 105.08 105.08 30.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 33.89 320000078 320 73562 RTTC XR KNEE RT AP- LAT- OBLIQUE(S) 238.50 238.50 166.95 9.09 42.92 105.08 20.45 9.09 20.45 9.09 105.08 105.08 55.32 105.08 9.09 105.08 20.45 9.09 20.45 105.08 45.21 56.51 20.45 9.09 20.45 9.09 105.08 105.08 78.31 33.89 34.81 33.89 35.77 20.45 9.09 20.45 9.09 105.08 105.08 105.08 30.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 33.89 320000154 320 73564 50TC XR KNEE 4 OR MORE VIEWS BILAT 736.70 736.70 515.69 18.18 73.09 190.70 40.91 18.18 40.91 18.18 190.70 190.70 94.52 190.70 18.18 190.70 40.91 18.18 40.91 190.70 153.97 192.46 40.91 18.18 40.91 18.18 190.70 190.70 78.31 57.70 34.81 57.70 60.90 40.91 18.18 40.91 18.18 190.70 190.70 190.70 64.00 478.86 18.18 40.91 18.18 190.70 18.18 18.18 18.18 190.70 18.18 515.69 190.70 40.91 18.18 102.00 per visit 18.18 190.70 102.00 per visit 190.70 190.70 18.18 40.91 18.18 40.91 18.18 86.55 320000081 320 73564 LTTC XR KNEE 4 OR MORE VIEWS LT 439.90 439.90 307.93 12.12 48.72 127.14 27.27 12.12 27.27 12.12 127.14 127.14 63.01 127.14 12.12 127.14 27.27 12.12 27.27 127.14 51.32 64.15 27.27 12.12 27.27 12.12 127.14 127.14 78.31 38.47 34.81 38.47 40.60 27.27 12.12 27.27 12.12 127.14 127.14 127.14 32.00 285.94 12.12 27.27 12.12 127.14 12.12 12.12 12.12 127.14 12.12 307.93 127.14 27.27 12.12 102.00 per visit 12.12 127.14 102.00 per visit 127.14 127.14 12.12 27.27 12.12 27.27 12.12 38.47 320000165 320 73564 RTTC XR KNEE 4 OR MORE VIEWS RT 439.90 439.90 307.93 12.12 48.72 127.14 27.27 12.12 27.27 12.12 127.14 127.14 63.01 127.14 12.12 127.14 27.27 12.12 27.27 127.14 51.32 64.15 27.27 12.12 27.27 12.12 127.14 127.14 78.31 38.47 34.81 38.47 40.60 27.27 12.12 27.27 12.12 127.14 127.14 127.14 32.00 285.94 12.12 27.27 12.12 127.14 12.12 12.12 12.12 127.14 12.12 307.93 127.14 27.27 12.12 102.00 per visit 12.12 127.14 102.00 per visit 127.14 127.14 12.12 27.27 12.12 27.27 12.12 38.47 320000086 320 73590 50TC XR TIBIA - FIBULA BILATERAL 365.70 365.70 255.99 9.09 48.32 157.62 20.45 9.09 20.45 9.09 157.62 157.62 59.88 157.62 9.09 157.62 20.45 9.09 20.45 157.62 101.80 127.25 20.45 9.09 20.45 9.09 157.62 157.62 78.31 38.15 34.81 38.15 40.27 20.45 9.09 20.45 9.09 157.62 157.62 157.62 54.00 237.71 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 255.99 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 57.23 320000084 320 73590 LTTC XR TIBIA - FIBULA LEFT 238.50 238.50 166.95 6.06 32.22 105.08 13.64 6.06 13.64 6.06 105.08 105.08 39.92 105.08 6.06 105.08 13.64 6.06 13.64 105.08 33.93 42.42 13.64 6.06 13.64 6.06 105.08 105.08 78.31 25.43 34.81 25.43 26.85 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 25.43 320000085 320 73590 RTTC XR TIBIA - FIBULA RIGHT 238.50 238.50 166.95 6.06 32.22 105.08 13.64 6.06 13.64 6.06 105.08 105.08 39.92 105.08 6.06 105.08 13.64 6.06 13.64 105.08 33.93 42.42 13.64 6.06 13.64 6.06 105.08 105.08 78.31 25.43 34.81 25.43 26.85 13.64 6.06 13.64 6.06 105.08 105.08 105.08 27.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 25.43 320000168 320 73592 50TC XR INFANT LWR EXT MIN 2 V BILA 365.70 365.70 255.99 13.64 48.32 157.62 30.68 13.64 30.68 13.64 157.62 157.62 71.43 157.62 13.64 157.62 30.68 13.64 30.68 157.62 101.80 127.25 30.68 13.64 30.68 13.64 157.62 157.62 78.31 38.15 34.81 38.15 40.27 30.68 13.64 30.68 13.64 157.62 157.62 157.62 52.00 237.71 13.64 30.68 13.64 157.62 13.64 13.64 13.64 157.62 13.64 255.99 157.62 30.68 13.64 102.00 per visit 13.64 157.62 102.00 per visit 157.62 157.62 13.64 30.68 13.64 30.68 13.64 57.23 320000166 320 73592 LTTC XR INFANT LWR EXT MIN 2V LT 238.50 238.50 166.95 9.09 32.22 105.08 20.45 9.09 20.45 9.09 105.08 105.08 47.62 105.08 9.09 105.08 20.45 9.09 20.45 105.08 33.93 42.42 20.45 9.09 20.45 9.09 105.08 105.08 78.31 25.43 34.81 25.43 26.85 20.45 9.09 20.45 9.09 105.08 105.08 105.08 26.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 25.43 320000167 320 73592 RTTC XR INFANT LWR EXT MIN 2 V RT 238.50 238.50 166.95 9.09 32.22 105.08 20.45 9.09 20.45 9.09 105.08 105.08 47.62 105.08 9.09 105.08 20.45 9.09 20.45 105.08 33.93 42.42 20.45 9.09 20.45 9.09 105.08 105.08 78.31 25.43 34.81 25.43 26.85 20.45 9.09 20.45 9.09 105.08 105.08 105.08 26.00 155.03 9.09 20.45 9.09 105.08 9.09 9.09 9.09 105.08 9.09 166.95 105.08 20.45 9.09 102.00 per visit 9.09 105.08 102.00 per visit 105.08 105.08 9.09 20.45 9.09 20.45 9.09 25.43 320000087 320 73600 50TC XR ANKLES BILATERAL AP & LAT 365.70 365.70 255.99 9.09 49.66 157.62 20.45 9.09 20.45 9.09 157.62 157.62 63.03 157.62 9.09 157.62 20.45 9.09 20.45 157.62 104.61 130.77 20.45 9.09 20.45 9.09 157.62 157.62 78.31 39.20 34.81 39.20 41.38 20.45 9.09 20.45 9.09 157.62 157.62 157.62 52.00 237.71 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 255.99 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 58.81 320000155 320 73600 LTTC XR ANKLES AP & LAT LT 238.50 238.50 166.95 6.06 33.11 105.08 13.64 6.06 13.64 6.06 105.08 105.08 42.02 105.08 6.06 105.08 13.64 6.06 13.64 105.08 34.87 43.59 13.64 6.06 13.64 6.06 105.08 105.08 78.31 26.14 34.81 26.14 27.59 13.64 6.06 13.64 6.06 105.08 105.08 105.08 26.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 26.14 320000156 320 73600 RTTC XR ANKLES AP & LAT RT 238.50 238.50 166.95 6.06 33.11 105.08 13.64 6.06 13.64 6.06 105.08 105.08 42.02 105.08 6.06 105.08 13.64 6.06 13.64 105.08 34.87 43.59 13.64 6.06 13.64 6.06 105.08 105.08 78.31 26.14 34.81 26.14 27.59 13.64 6.06 13.64 6.06 105.08 105.08 105.08 26.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 26.14 320000090 320 73610 50TC XR ANKLES BILATERAL MIN 3 VIEW 365.70 365.70 255.99 11.36 57.03 157.62 25.57 11.36 25.57 11.36 157.62 157.62 74.58 157.62 11.36 157.62 25.57 11.36 25.57 157.62 120.14 150.18 25.57 11.36 25.57 11.36 157.62 157.62 78.31 45.02 34.81 45.02 47.52 25.57 11.36 25.57 11.36 157.62 157.62 157.62 56.00 237.71 11.36 25.57 11.36 157.62 11.36 11.36 11.36 157.62 11.36 255.99 157.62 25.57 11.36 102.00 per visit 11.36 157.62 102.00 per visit 157.62 157.62 11.36 25.57 11.36 25.57 11.36 67.53 320000088 320 73610 LTTC XR ANKLE LEFT MIN 3 VIEWS 238.50 238.50 166.95 7.58 38.02 105.08 17.04 7.58 17.04 7.58 105.08 105.08 49.72 105.08 7.58 105.08 17.04 7.58 17.04 105.08 40.05 50.06 17.04 7.58 17.04 7.58 105.08 105.08 78.31 30.02 34.81 30.02 31.68 17.04 7.58 17.04 7.58 105.08 105.08 105.08 28.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 30.02 320000089 320 73610 RTTC XR ANKLE RIGHT MIN 3 VIEWS 238.50 238.50 166.95 7.58 38.02 105.08 17.04 7.58 17.04 7.58 105.08 105.08 49.72 105.08 7.58 105.08 17.04 7.58 17.04 105.08 40.05 50.06 17.04 7.58 17.04 7.58 105.08 105.08 78.31 30.02 34.81 30.02 31.68 17.04 7.58 17.04 7.58 105.08 105.08 105.08 28.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 30.02 320000093 320 73620 50TC XR FEET BILATERAL AP & LAT 365.70 365.70 255.99 9.09 42.97 157.62 20.45 9.09 20.45 9.09 157.62 157.62 60.92 157.62 9.09 157.62 20.45 9.09 20.45 157.62 90.53 113.16 20.45 9.09 20.45 9.09 157.62 157.62 78.31 33.93 34.81 33.93 35.81 20.45 9.09 20.45 9.09 157.62 157.62 157.62 52.00 237.71 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 255.99 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 50.89 320000091 320 73620 LTTC XR FOOT LEFT AP & LAT 238.50 238.50 166.95 6.06 28.65 105.08 13.64 6.06 13.64 6.06 105.08 105.08 40.62 105.08 6.06 105.08 13.64 6.06 13.64 105.08 30.18 37.72 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.62 34.81 22.62 23.87 13.64 6.06 13.64 6.06 105.08 105.08 105.08 26.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.62 320000092 320 73620 RTTC XR FOOT RIGHT AP & LAT 238.50 238.50 166.95 6.06 28.65 105.08 13.64 6.06 13.64 6.06 105.08 105.08 40.62 105.08 6.06 105.08 13.64 6.06 13.64 105.08 30.18 37.72 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.62 34.81 22.62 23.87 13.64 6.06 13.64 6.06 105.08 105.08 105.08 26.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.62 320000096 320 73630 50TC XR FEET BILATERAL MIN 3 VIEWS 365.70 365.70 255.99 11.36 53.01 157.62 25.57 11.36 25.57 11.36 157.62 157.62 72.49 157.62 11.36 157.62 25.57 11.36 25.57 157.62 111.67 139.59 25.57 11.36 25.57 11.36 157.62 157.62 78.31 41.85 34.81 41.85 44.18 25.57 11.36 25.57 11.36 157.62 157.62 157.62 56.00 237.71 11.36 25.57 11.36 157.62 11.36 11.36 11.36 157.62 11.36 255.99 157.62 25.57 11.36 102.00 per visit 11.36 157.62 102.00 per visit 157.62 157.62 11.36 25.57 11.36 25.57 11.36 62.78 320000094 320 73630 LTTC XR FOOT LEFT MIN 3 VIEWS 238.50 238.50 166.95 7.58 35.34 105.08 17.04 7.58 17.04 7.58 105.08 105.08 48.33 105.08 7.58 105.08 17.04 7.58 17.04 105.08 37.22 46.53 17.04 7.58 17.04 7.58 105.08 105.08 78.31 27.90 34.81 27.90 29.45 17.04 7.58 17.04 7.58 105.08 105.08 105.08 28.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 27.90 320000095 320 73630 RTTC XR FOOT RIGHT MIN 3 VIEWS 238.50 238.50 166.95 7.58 35.34 105.08 17.04 7.58 17.04 7.58 105.08 105.08 48.33 105.08 7.58 105.08 17.04 7.58 17.04 105.08 37.22 46.53 17.04 7.58 17.04 7.58 105.08 105.08 78.31 27.90 34.81 27.90 29.45 17.04 7.58 17.04 7.58 105.08 105.08 105.08 28.00 155.03 7.58 17.04 7.58 105.08 7.58 7.58 7.58 105.08 7.58 166.95 105.08 17.04 7.58 102.00 per visit 7.58 105.08 102.00 per visit 105.08 105.08 7.58 17.04 7.58 17.04 7.58 27.90 320000099 320 73650 50TC XR CALCANEOUS BILATERAL 365.70 365.70 255.99 9.09 42.31 157.62 20.45 9.09 20.45 9.09 157.62 157.62 61.99 157.62 9.09 157.62 20.45 9.09 20.45 157.62 89.12 111.40 20.45 9.09 20.45 9.09 157.62 157.62 78.31 33.40 34.81 33.40 35.25 20.45 9.09 20.45 9.09 157.62 157.62 157.62 50.00 237.71 9.09 20.45 9.09 157.62 9.09 9.09 9.09 157.62 9.09 255.99 157.62 20.45 9.09 102.00 per visit 9.09 157.62 102.00 per visit 157.62 157.62 9.09 20.45 9.09 20.45 9.09 50.10 320000097 320 73650 LTTC XR CALCANEOUS LEFT 238.50 238.50 166.95 6.06 28.20 105.08 13.64 6.06 13.64 6.06 105.08 105.08 41.33 105.08 6.06 105.08 13.64 6.06 13.64 105.08 29.71 37.13 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.27 34.81 22.27 23.50 13.64 6.06 13.64 6.06 105.08 105.08 105.08 25.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.27 320000098 320 73650 RTTC XR CALCANEOUS RIGHT 238.50 238.50 166.95 6.06 28.20 105.08 13.64 6.06 13.64 6.06 105.08 105.08 41.33 105.08 6.06 105.08 13.64 6.06 13.64 105.08 29.71 37.13 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.27 34.81 22.27 23.50 13.64 6.06 13.64 6.06 105.08 105.08 105.08 25.00 155.03 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 166.95 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.27 320000100 320 73660 LTTC XR TOE(S) LEFT 238.50 238.50 166.95 4.55 30.88 105.08 10.23 4.55 10.23 4.55 105.08 105.08 47.62 105.08 4.55 105.08 10.23 4.55 10.23 105.08 32.53 40.66 10.23 4.55 10.23 4.55 105.08 105.08 78.31 24.38 34.81 24.38 25.74 10.23 4.55 10.23 4.55 105.08 105.08 105.08 22.00 155.03 4.55 10.23 4.55 105.08 4.55 4.55 4.55 105.08 4.55 166.95 105.08 10.23 4.55 102.00 per visit 4.55 105.08 102.00 per visit 105.08 105.08 4.55 10.23 4.55 10.23 4.55 24.38 320000101 320 73660 RTTC XR TOE(S) RIGHT 238.50 238.50 166.95 4.55 30.88 105.08 10.23 4.55 10.23 4.55 105.08 105.08 47.62 105.08 4.55 105.08 10.23 4.55 10.23 105.08 32.53 40.66 10.23 4.55 10.23 4.55 105.08 105.08 78.31 24.38 34.81 24.38 25.74 10.23 4.55 10.23 4.55 105.08 105.08 105.08 22.00 155.03 4.55 10.23 4.55 105.08 4.55 4.55 4.55 105.08 4.55 166.95 105.08 10.23 4.55 102.00 per visit 4.55 105.08 102.00 per visit 105.08 105.08 4.55 10.23 4.55 10.23 4.55 24.38 352000035 352 73700 50TC CT EXT LOW W/O CONT BILAT 1489.30 1489.30 1042.51 127.26 172.78 190.70 286.34 127.26 286.34 127.26 190.70 190.70 697.00 per visit 190.70 127.26 190.70 286.34 127.26 286.34 190.70 363.99 454.98 286.34 127.26 286.34 127.26 190.70 190.70 672.02 136.40 298.68 136.40 143.98 286.34 127.26 286.34 127.26 190.70 190.70 190.70 506.00 968.05 127.26 286.34 127.26 190.70 127.26 127.26 127.26 190.70 127.26 1042.51 190.70 286.34 127.26 499.00 per visit 127.26 190.70 499.00 per visit 190.70 190.70 127.26 286.34 127.26 286.34 127.26 204.61 352000016 352 73700 LTTC CT EXTREMITY LOWER W/O CONTRAS 848.00 848.00 697.00 84.84 115.19 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 121.33 151.66 190.89 84.84 190.89 84.84 127.14 127.14 672.02 90.94 298.68 90.94 95.99 190.89 84.84 190.89 84.84 127.14 127.14 127.14 253.00 551.20 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 593.60 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 90.94 352000034 352 73700 RTTC CT EXT LOW W/O CONT RT 848.00 848.00 697.00 84.84 115.19 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 121.33 151.66 190.89 84.84 190.89 84.84 127.14 127.14 672.02 90.94 298.68 90.94 95.99 190.89 84.84 190.89 84.84 127.14 127.14 127.14 253.00 551.20 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 593.60 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 90.94 352000037 352 73701 50TC CT EXT LOW W/ CONT BILAT 1733.10 1733.10 1213.17 154.53 234.49 318.71 347.69 154.53 347.69 154.53 318.71 318.71 697.00 per visit 318.71 154.53 318.71 347.69 154.53 347.69 318.71 494.00 617.50 347.69 154.53 347.69 154.53 318.71 318.71 803.14 185.13 356.95 185.13 195.41 347.69 154.53 347.69 154.53 318.71 318.71 318.71 604.00 1126.52 154.53 347.69 154.53 318.71 154.53 154.53 154.53 318.71 154.53 1213.17 318.71 347.69 154.53 499.00 per visit 154.53 318.71 499.00 per visit 318.71 318.71 154.53 347.69 154.53 347.69 154.53 277.69 352000017 352 73701 LTTC CT EXTREMITY LOWER W/ CONTRAST 964.60 964.60 803.14 103.02 156.33 212.47 231.80 103.02 231.80 103.02 212.47 212.47 697.00 per visit 212.47 103.02 212.47 231.80 103.02 231.80 212.47 164.67 205.83 231.80 103.02 231.80 103.02 212.47 212.47 803.14 123.42 356.95 123.42 130.27 231.80 103.02 231.80 103.02 212.47 212.47 212.47 302.00 626.99 103.02 231.80 103.02 212.47 103.02 103.02 103.02 212.47 103.02 675.22 212.47 231.80 103.02 499.00 per visit 103.02 212.47 499.00 per visit 212.47 212.47 103.02 231.80 103.02 231.80 103.02 123.42 352000036 352 73701 RTTC CT EXT LOW W/ CONT RT 964.60 964.60 803.14 103.02 156.33 212.47 231.80 103.02 231.80 103.02 212.47 212.47 697.00 per visit 212.47 103.02 212.47 231.80 103.02 231.80 212.47 164.67 205.83 231.80 103.02 231.80 103.02 212.47 212.47 803.14 123.42 356.95 123.42 130.27 231.80 103.02 231.80 103.02 212.47 212.47 212.47 302.00 626.99 103.02 231.80 103.02 212.47 103.02 103.02 103.02 212.47 103.02 675.22 212.47 231.80 103.02 499.00 per visit 103.02 212.47 499.00 per visit 212.47 212.47 103.02 231.80 103.02 231.80 103.02 123.42 352000039 352 73702 50TC CT EXT LWR W/& W/O CONT BILAT 1711.90 1711.90 1198.33 227.91 288.68 318.71 519.49 230.89 519.49 230.89 318.71 318.71 697.00 per visit 318.71 230.89 318.71 519.49 230.89 519.49 318.71 608.16 760.20 519.49 230.89 519.49 230.89 318.71 318.71 803.14 227.91 356.95 227.91 240.57 519.49 230.89 519.49 230.89 318.71 318.71 318.71 758.00 1112.74 230.89 519.49 230.89 318.71 230.89 230.89 230.89 318.71 230.89 1198.33 318.71 519.49 230.89 499.00 per visit 230.89 318.71 499.00 per visit 318.71 318.71 230.89 519.49 230.89 519.49 230.89 341.86 352000018 352 73702 LTTC CT EXTREMITY LWR W/& W/O CONTR 1081.20 1081.20 803.14 151.94 192.45 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 202.72 253.40 346.33 153.92 346.33 153.92 212.47 212.47 803.14 151.94 356.95 151.94 160.38 346.33 153.92 346.33 153.92 212.47 212.47 212.47 379.00 702.78 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 756.84 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 151.94 352000038 352 73702 RTTC CT EXT LWR W/& W/O CONT RT 1081.20 1081.20 803.14 151.94 192.45 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 202.72 253.40 346.33 153.92 346.33 153.92 212.47 212.47 803.14 151.94 356.95 151.94 160.38 346.33 153.92 346.33 153.92 212.47 212.47 212.47 379.00 702.78 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 756.84 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 151.94 352000048 352 73706 50TC CTA EXT LWR W/WO CONTRAST BILA 1711.90 1711.90 1287.81 230.89 489.04 318.71 519.49 230.89 519.49 230.89 318.71 318.71 697.00 per visit 318.71 230.89 318.71 519.49 230.89 519.49 318.71 1030.25 1287.81 519.49 230.89 519.49 230.89 318.71 318.71 852.15 386.09 378.73 386.09 407.54 519.49 230.89 519.49 230.89 318.71 318.71 318.71 960.00 1112.74 230.89 519.49 230.89 318.71 230.89 230.89 230.89 318.71 230.89 1198.33 318.71 519.49 230.89 499.00 per visit 230.89 318.71 499.00 per visit 318.71 318.71 230.89 519.49 230.89 519.49 230.89 579.13 352000047 352 73706 LTTC CTA EXT LWR WO CONTRAST LT 1081.20 1081.20 852.15 153.92 326.03 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 343.42 429.27 346.33 153.92 346.33 153.92 212.47 212.47 852.15 257.39 378.73 257.39 271.69 346.33 153.92 346.33 153.92 212.47 212.47 212.47 480.00 702.78 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 756.84 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 257.39 352000046 352 73706 RTTC CTA EXT LWR W/WO CONTRAST RT 1081.20 1081.20 852.15 153.92 326.03 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 343.42 429.27 346.33 153.92 346.33 153.92 212.47 212.47 852.15 257.39 378.73 257.39 271.69 346.33 153.92 346.33 153.92 212.47 212.47 212.47 480.00 702.78 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 756.84 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 257.39 610000031 610 73718 50TC MRI LOW EXT W/O CONTRAST BILAT 3127.00 3127.00 2188.90 264.36 334.85 425.04 1022.63 454.50 1022.63 454.50 425.04 425.04 1200.00 per visit 425.04 454.50 425.04 1022.63 454.50 1022.63 425.04 705.42 881.78 1022.63 454.50 1022.63 454.50 425.04 425.04 983.50 264.36 437.11 264.36 279.04 1022.63 454.50 1022.63 454.50 425.04 425.04 425.04 1192.00 2032.55 454.50 1022.63 454.50 425.04 454.50 454.50 454.50 425.04 454.50 2188.90 425.04 1022.63 454.50 716.00 per visit 454.50 425.04 716.00 per visit 425.04 425.04 454.50 1022.63 454.50 1022.63 454.50 396.54 610000012 610 73718 LTTC MRI LOWER EXTREMITY WITHOUT CO 1802.00 1802.00 1261.40 176.24 223.23 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 235.14 293.93 681.75 303.00 681.75 303.00 283.36 283.36 983.50 176.24 437.11 176.24 186.03 681.75 303.00 681.75 303.00 283.36 283.36 283.36 596.00 1171.30 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1261.40 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 176.24 610000030 610 73718 RTTC MRI LOW EXT W/O CONTRAST RT 1802.00 1802.00 1261.40 176.24 223.23 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 235.14 293.93 681.75 303.00 681.75 303.00 283.36 283.36 983.50 176.24 437.11 176.24 186.03 681.75 303.00 681.75 303.00 283.36 283.36 283.36 596.00 1171.30 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1261.40 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 176.24 610000034 610 73719 50TC MRI LOW EXT W/CONTRAST BILAT 3127.00 3127.00 2188.90 309.38 391.88 667.09 1022.63 454.50 1022.63 454.50 667.09 667.09 1200.00 per visit 667.09 454.50 667.09 1022.63 454.50 1022.63 667.09 825.56 1031.95 1022.63 454.50 1022.63 454.50 667.09 667.09 1483.34 309.38 659.26 309.38 326.57 1022.63 454.50 1022.63 454.50 667.09 667.09 667.09 1430.00 2032.55 454.50 1022.63 454.50 667.09 454.50 454.50 454.50 667.09 454.50 2188.90 667.09 1022.63 454.50 716.00 per visit 454.50 667.09 716.00 per visit 667.09 667.09 454.50 1022.63 454.50 1022.63 454.50 464.07 610000032 610 73719 LTTC MRI LOW EXT W/CONTRAST LT 1802.00 1802.00 1483.34 206.25 261.25 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 275.19 343.98 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 206.25 659.26 206.25 217.71 681.75 303.00 681.75 303.00 444.72 444.72 444.72 715.00 1171.30 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1261.40 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 206.25 610000033 610 73719 RTTC MRI LOW EXT W/CONTRAST RT 1802.00 1802.00 1483.34 206.25 261.25 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 275.19 343.98 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 206.25 659.26 206.25 217.71 681.75 303.00 681.75 303.00 444.72 444.72 444.72 715.00 1171.30 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1261.40 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 206.25 610000036 610 73720 50TC MRI LOEXT NOT JNT W/WO BIAL 3063.40 3063.40 2306.00 390.73 494.93 667.09 1022.63 454.50 1022.63 454.50 667.09 667.09 1200.00 per visit 667.09 454.50 667.09 1022.63 454.50 1022.63 667.09 1042.64 1303.30 1022.63 454.50 1022.63 454.50 667.09 667.09 1483.34 390.73 659.26 390.73 412.44 1022.63 454.50 1022.63 454.50 667.09 667.09 667.09 2306.00 1991.21 454.50 1022.63 454.50 667.09 454.50 454.50 454.50 667.09 454.50 2144.38 667.09 1022.63 454.50 716.00 per visit 454.50 667.09 716.00 per visit 667.09 667.09 454.50 1022.63 454.50 1022.63 454.50 586.10 610000004 610 73720 LTTC MR LOW EXT NOT JNTW/WO CON LT 2210.10 2210.10 1547.07 260.49 329.95 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 347.55 434.43 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 260.49 659.26 260.49 274.96 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1153.00 1436.57 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1547.07 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 260.49 610000035 610 73720 RTTC MRI LOEXT NOT JNT W/WO CONT RT 2210.10 2210.10 1547.07 260.49 329.95 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 347.55 434.43 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 260.49 659.26 260.49 274.96 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1153.00 1436.57 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1547.07 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 260.49 610000038 610 73721 50TC MRI LOW EXT JNT W/O CONT BILAT 2999.80 2999.80 2099.86 229.50 290.70 425.04 1022.63 454.50 1022.63 454.50 425.04 425.04 1200.00 per visit 425.04 454.50 425.04 1022.63 454.50 1022.63 425.04 612.41 765.51 1022.63 454.50 1022.63 454.50 425.04 425.04 983.50 229.50 437.11 229.50 242.25 1022.63 454.50 1022.63 454.50 425.04 425.04 425.04 1142.00 1949.87 454.50 1022.63 454.50 425.04 454.50 454.50 454.50 425.04 454.50 2099.86 425.04 1022.63 454.50 716.00 per visit 454.50 425.04 716.00 per visit 425.04 425.04 454.50 1022.63 454.50 1022.63 454.50 344.25 610000005 610 73721 LTTC MR LOW EXT JNT W/WO CONT LT 2999.80 2999.80 2099.86 153.00 193.80 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 204.14 255.17 681.75 303.00 681.75 303.00 283.36 283.36 983.50 153.00 437.11 153.00 161.50 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 1949.87 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2099.86 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 153.00 610000037 610 73721 RTTC MRI LOW EXT JNT W/O CONT RT 1802.00 1802.00 1261.40 153.00 193.80 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 204.14 255.17 681.75 303.00 681.75 303.00 283.36 283.36 983.50 153.00 437.11 153.00 161.50 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 1171.30 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1261.40 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 153.00 610000041 610 73722 50TC MRI LOW EXT JNT W/CONT BILAT 2999.80 2999.80 2099.86 391.26 495.59 1388.86 1022.63 454.50 1022.63 454.50 1388.86 1388.86 1200.00 per visit 1388.86 454.50 1388.86 1022.63 454.50 1022.63 1388.86 1044.05 1305.06 1022.63 454.50 1022.63 454.50 1388.86 1388.86 1483.34 391.26 659.26 391.26 412.99 1022.63 454.50 1022.63 454.50 1388.86 1388.86 1388.86 1430.00 1949.87 454.50 1022.63 454.50 1388.86 454.50 454.50 454.50 1388.86 454.50 2099.86 1388.86 1022.63 454.50 716.00 per visit 454.50 1388.86 716.00 per visit 1388.86 1388.86 454.50 1022.63 454.50 1022.63 454.50 586.89 610000039 610 73722 LTTC MRI LOW EXT JNT W/CONT LT 1802.00 1802.00 1483.34 260.84 330.39 925.91 681.75 303.00 681.75 303.00 925.91 925.91 1200.00 per visit 925.91 303.00 925.91 681.75 303.00 681.75 925.91 348.02 435.02 681.75 303.00 681.75 303.00 925.91 925.91 1483.34 260.84 659.26 260.84 275.33 681.75 303.00 681.75 303.00 925.91 925.91 925.91 715.00 1171.30 303.00 681.75 303.00 925.91 303.00 303.00 303.00 925.91 303.00 1261.40 925.91 681.75 303.00 716.00 per visit 303.00 925.91 716.00 per visit 925.91 925.91 303.00 681.75 303.00 681.75 303.00 260.84 610000040 610 73722 RTTC MRI LOW EXT JNT W CONT RT 1802.00 1802.00 1483.34 260.84 330.39 925.91 681.75 303.00 681.75 303.00 925.91 925.91 1200.00 per visit 925.91 303.00 925.91 681.75 303.00 681.75 925.91 348.02 435.02 681.75 303.00 681.75 303.00 925.91 925.91 1483.34 260.84 659.26 260.84 275.33 681.75 303.00 681.75 303.00 925.91 925.91 925.91 715.00 1171.30 303.00 681.75 303.00 925.91 303.00 303.00 303.00 925.91 303.00 1261.40 925.91 681.75 303.00 716.00 per visit 303.00 925.91 716.00 per visit 925.91 925.91 303.00 681.75 303.00 681.75 303.00 260.84 610000044 610 73723 50TC MRI LOW EXT JNT W/W/O CONT BIL 3063.40 3063.40 2646.00 454.50 594.62 667.09 1022.63 454.50 1022.63 454.50 667.09 667.09 1200.00 per visit 667.09 454.50 667.09 1022.63 454.50 1022.63 667.09 1252.66 1565.83 1022.63 454.50 1022.63 454.50 667.09 667.09 1483.34 469.44 659.26 469.44 495.52 1022.63 454.50 1022.63 454.50 667.09 667.09 667.09 2646.00 1991.21 454.50 1022.63 454.50 667.09 454.50 454.50 454.50 667.09 454.50 2144.38 667.09 1022.63 454.50 716.00 per visit 454.50 667.09 716.00 per visit 667.09 667.09 454.50 1022.63 454.50 1022.63 454.50 704.15 610000042 610 73723 LTTC MRI LOW EXT JNT W/W/O CONT LT 1902.70 1902.70 1483.34 303.00 396.41 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 417.55 521.94 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 312.96 659.26 312.96 330.34 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1323.00 1236.76 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1331.89 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 312.96 610000043 610 73723 RTTC MRI LOW EXT JNT W/W/O CONT RT 1902.70 1902.70 1483.34 303.00 396.41 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 417.55 521.94 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 312.96 659.26 312.96 330.34 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1323.00 1236.76 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1331.89 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 312.96 616000003 616 73725 50TC MRA LOWER EXT W W/O CONTRST BL C8914 3752.40 3752.40 2626.68 414.61 525.18 667.09 1022.63 454.50 1022.63 454.50 667.09 667.09 1200.00 per visit 667.09 454.50 667.09 1022.63 454.50 1022.63 667.09 1106.37 1382.96 1022.63 454.50 1022.63 454.50 667.09 667.09 1259.44 414.61 559.75 414.61 437.65 1022.63 454.50 1022.63 454.50 667.09 667.09 667.09 1142.00 2439.06 454.50 1022.63 454.50 667.09 454.50 454.50 454.50 667.09 454.50 2626.68 667.09 1022.63 454.50 716.00 per visit 454.50 667.09 716.00 per visit 667.09 667.09 454.50 1022.63 454.50 1022.63 454.50 621.92 616000006 616 73725 50TC MRA LOWER EXT W/CONTRAST BILAT C8912 3079.30 3079.30 2155.51 414.61 525.18 667.09 1022.63 454.50 1022.63 454.50 667.09 667.09 1200.00 per visit 667.09 454.50 667.09 1022.63 454.50 1022.63 667.09 1106.37 1382.96 1022.63 454.50 1022.63 454.50 667.09 667.09 1259.44 414.61 559.75 414.61 437.65 1022.63 454.50 1022.63 454.50 667.09 667.09 667.09 1142.00 2001.55 454.50 1022.63 454.50 667.09 454.50 454.50 454.50 667.09 454.50 2155.51 667.09 1022.63 454.50 716.00 per visit 454.50 667.09 716.00 per visit 667.09 667.09 454.50 1022.63 454.50 1022.63 454.50 621.92 616000009 616 73725 50TC MRA LOWER EXT W/O CONTRAST BL C8913 2692.40 2692.40 1884.68 414.61 525.18 425.04 1022.63 454.50 1022.63 454.50 425.04 425.04 1200.00 per visit 425.04 454.50 425.04 1022.63 454.50 1022.63 425.04 1106.37 1382.96 1022.63 454.50 1022.63 454.50 425.04 425.04 1259.44 414.61 559.75 414.61 437.65 1022.63 454.50 1022.63 454.50 425.04 425.04 425.04 1142.00 1750.06 454.50 1022.63 454.50 425.04 454.50 454.50 454.50 425.04 454.50 1884.68 425.04 1022.63 454.50 716.00 per visit 454.50 425.04 716.00 per visit 425.04 425.04 454.50 1022.63 454.50 1022.63 454.50 621.92 616000001 616 73725 LTTC MRA LOWER EXT W W/O CONTRST LT C8914 3254.20 3254.20 2277.94 276.41 350.12 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 368.79 460.99 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 276.41 559.75 276.41 291.76 681.75 303.00 681.75 303.00 444.72 444.72 444.72 571.00 2115.23 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2277.94 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 276.41 616000004 616 73725 LTTC MRA LOWER EXT W/CONTRAST LT C8912 2305.50 2305.50 1613.85 276.41 350.12 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 368.79 460.99 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 276.41 559.75 276.41 291.76 681.75 303.00 681.75 303.00 444.72 444.72 444.72 571.00 1498.58 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1613.85 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 276.41 616000007 616 73725 LTTC MRA LOWER EXT W/O CONTRAST LT C8913 1923.90 1923.90 1346.73 276.41 350.12 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 368.79 460.99 681.75 303.00 681.75 303.00 283.36 283.36 1259.44 276.41 559.75 276.41 291.76 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 1250.54 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1346.73 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 276.41 616000002 616 73725 RTTC MRA LOWER EXT W W/O CONTRST RT C8914 3254.20 3254.20 2277.94 276.41 350.12 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 368.79 460.99 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 276.41 559.75 276.41 291.76 681.75 303.00 681.75 303.00 444.72 444.72 444.72 571.00 2115.23 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2277.94 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 276.41 616000005 616 73725 RTTC MRA LOWER EXT W/CONTRAST RT C8912 2305.50 2305.50 1613.85 276.41 350.12 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 368.79 460.99 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 276.41 559.75 276.41 291.76 681.75 303.00 681.75 303.00 444.72 444.72 444.72 571.00 1498.58 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1613.85 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 276.41 616000008 616 73725 RTTC MRA LOWER EXT W/O CONTRAST RT C8913 1923.90 1923.90 1346.73 276.41 350.12 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 368.79 460.99 681.75 303.00 681.75 303.00 283.36 283.36 1259.44 276.41 559.75 276.41 291.76 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 1250.54 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 1346.73 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 276.41 320000103 320 74018 TC XR ABDOMEN 1 VIEW 243.80 243.80 170.66 6.06 29.09 105.08 13.64 6.06 13.64 6.06 105.08 105.08 170.66 105.08 6.06 105.08 13.64 6.06 13.64 105.08 30.64 38.31 13.64 6.06 13.64 6.06 105.08 105.08 78.31 22.97 34.81 22.97 24.24 13.64 6.06 13.64 6.06 105.08 105.08 105.08 22.00 158.47 6.06 13.64 6.06 105.08 6.06 6.06 6.06 105.08 6.06 170.66 105.08 13.64 6.06 102.00 per visit 6.06 105.08 102.00 per visit 105.08 105.08 6.06 13.64 6.06 13.64 6.06 22.97 320000104 320 74019 TC XR ABD FLAT & UPRIGHT 2 VIEWS 439.90 439.90 307.93 9.09 34.90 127.14 20.45 9.09 20.45 9.09 127.14 127.14 307.93 127.14 9.09 127.14 20.45 9.09 20.45 127.14 36.76 45.95 20.45 9.09 20.45 9.09 127.14 127.14 78.31 27.55 34.81 27.55 29.08 20.45 9.09 20.45 9.09 127.14 127.14 127.14 26.00 285.94 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 307.93 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 27.55 320000105 320 74021 TC XR ABD MULTIPLE 3 OR MORE VWS 482.30 482.30 337.61 12.12 40.70 127.14 27.27 12.12 27.27 12.12 127.14 127.14 337.61 127.14 12.12 127.14 27.27 12.12 27.27 127.14 42.87 53.59 27.27 12.12 27.27 12.12 127.14 127.14 78.31 32.13 34.81 32.13 33.92 27.27 12.12 27.27 12.12 127.14 127.14 127.14 30.00 313.50 12.12 27.27 12.12 127.14 12.12 12.12 12.12 127.14 12.12 337.61 127.14 27.27 12.12 102.00 per visit 12.12 127.14 102.00 per visit 127.14 127.14 12.12 27.27 12.12 27.27 12.12 32.13 320000106 320 74022 TC XR ABD MULT W/FLAT/UP/DECUB-CX 524.70 524.70 367.29 15.76 46.93 127.14 35.45 15.76 35.45 15.76 127.14 127.14 67.91 127.14 15.76 127.14 35.45 15.76 35.45 127.14 49.44 61.80 35.45 15.76 35.45 15.76 127.14 127.14 78.31 37.05 34.81 37.05 39.11 35.45 15.76 35.45 15.76 127.14 127.14 127.14 38.00 341.06 15.76 35.45 15.76 127.14 15.76 15.76 15.76 127.14 15.76 367.29 127.14 35.45 15.76 102.00 per visit 15.76 127.14 102.00 per visit 127.14 127.14 15.76 35.45 15.76 35.45 15.76 37.05 352000019 352 74150 TC CT ABDOMEN WITHOUT CONTRAST 1722.50 1722.50 1205.75 84.84 112.95 127.14 190.89 84.84 190.89 84.84 127.14 127.14 697.00 per visit 127.14 84.84 127.14 190.89 84.84 190.89 127.14 118.98 148.72 190.89 84.84 190.89 84.84 127.14 127.14 672.02 89.17 298.68 89.17 94.13 190.89 84.84 190.89 84.84 127.14 127.14 127.14 289.00 1119.63 84.84 190.89 84.84 127.14 84.84 84.84 84.84 127.14 84.84 1205.75 127.14 190.89 84.84 499.00 per visit 84.84 127.14 499.00 per visit 127.14 127.14 84.84 190.89 84.84 190.89 84.84 89.17 352000020 352 74160 TC CT ABDOMEN WITH CONTRAST 2035.20 2035.20 1424.64 103.02 240.63 212.47 231.80 103.02 231.80 103.02 212.47 212.47 697.00 per visit 212.47 103.02 212.47 231.80 103.02 231.80 212.47 253.46 316.83 231.80 103.02 231.80 103.02 212.47 212.47 803.14 189.97 356.95 189.97 200.53 231.80 103.02 231.80 103.02 212.47 212.47 212.47 349.00 1322.88 103.02 231.80 103.02 212.47 103.02 103.02 103.02 212.47 103.02 1424.64 212.47 231.80 103.02 499.00 per visit 103.02 212.47 499.00 per visit 212.47 212.47 103.02 231.80 103.02 231.80 103.02 189.97 352000021 352 74170 TC CT ABDOMEN WITH & W/O CONTRAST 2464.50 2464.50 1725.15 153.92 272.75 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 287.29 359.11 346.33 153.92 346.33 153.92 212.47 212.47 803.14 215.33 356.95 215.33 227.29 346.33 153.92 346.33 153.92 212.47 212.47 212.47 432.00 1601.93 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1725.15 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 215.33 352805007 352 74174 TC CT ANGIO ABD & PELV W W/O CONT 2650.00 2650.00 1855.00 107.55 385.81 444.72 241.99 107.55 241.99 107.55 444.72 444.72 697.00 per visit 444.72 107.55 444.72 241.99 107.55 241.99 444.72 406.39 507.98 241.99 107.55 241.99 107.55 444.72 444.72 852.15 304.59 378.73 304.59 321.51 241.99 107.55 241.99 107.55 444.72 444.72 444.72 531.00 1722.50 107.55 241.99 107.55 444.72 107.55 107.55 107.55 444.72 107.55 1855.00 444.72 241.99 107.55 499.00 per visit 107.55 444.72 499.00 per visit 444.72 444.72 107.55 241.99 107.55 241.99 107.55 304.59 352000049 352 74175 TC CTA ABDOMEN W/WO CONTRAST 2464.50 2464.50 1725.15 153.92 306.75 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 323.11 403.89 346.33 153.92 346.33 153.92 212.47 212.47 852.15 242.17 378.73 242.17 255.63 346.33 153.92 346.33 153.92 212.47 212.47 212.47 457.00 1601.93 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1725.15 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 242.17 352000040 352 74176 TC CT ABD/PELVIS W/O CONTRAST 1282.60 1282.60 897.82 41.63 142.50 283.36 93.66 41.63 93.66 41.63 283.36 283.36 697.00 per visit 283.36 41.63 283.36 93.66 41.63 93.66 283.36 150.10 187.63 93.66 41.63 93.66 41.63 283.36 283.36 803.14 112.50 356.95 112.50 118.75 93.66 41.63 93.66 41.63 283.36 283.36 283.36 166.00 833.69 41.63 93.66 41.63 283.36 41.63 41.63 41.63 283.36 41.63 897.82 283.36 93.66 41.63 499.00 per visit 41.63 283.36 499.00 per visit 283.36 283.36 41.63 93.66 41.63 93.66 41.63 112.50 352000041 352 74177 TC CT ABD/PELVIS W/CONTRAST 2141.20 2141.20 1498.84 65.41 303.08 444.72 147.16 65.41 147.16 65.41 444.72 444.72 697.00 per visit 444.72 65.41 444.72 147.16 65.41 147.16 444.72 319.24 399.06 147.16 65.41 147.16 65.41 444.72 444.72 803.14 239.27 356.95 239.27 252.57 147.16 65.41 147.16 65.41 444.72 444.72 444.72 318.00 1391.78 65.41 147.16 65.41 444.72 65.41 65.41 65.41 444.72 65.41 1498.84 444.72 147.16 65.41 499.00 per visit 65.41 444.72 499.00 per visit 444.72 444.72 65.41 147.16 65.41 147.16 65.41 239.27 352000042 352 74178 TC CT ABD/PELVIS W & W/O CONTRAST 2756.00 2756.00 1929.20 82.86 342.43 444.72 186.44 82.86 186.44 82.86 444.72 444.72 697.00 per visit 444.72 82.86 444.72 186.44 82.86 186.44 444.72 360.70 450.87 186.44 82.86 186.44 82.86 444.72 444.72 803.14 270.34 356.95 270.34 285.36 186.44 82.86 186.44 82.86 444.72 444.72 444.72 420.00 1791.40 82.86 186.44 82.86 444.72 82.86 82.86 82.86 444.72 82.86 1929.20 444.72 186.44 82.86 499.00 per visit 82.86 444.72 499.00 per visit 444.72 444.72 82.86 186.44 82.86 186.44 82.86 270.34 610000006 610 74181 TC MR ABDOMEN W/WO CONTRAST 3180.00 3180.00 2226.00 140.67 178.18 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 187.69 234.61 681.75 303.00 681.75 303.00 283.36 283.36 983.50 140.67 437.11 140.67 148.49 681.75 303.00 681.75 303.00 283.36 283.36 283.36 571.00 2067.00 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2226.00 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 140.67 610000045 610 74182 TC MRI ABDOMEN W/CONTRAST 3354.90 3354.90 2348.43 243.59 308.54 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 325.00 406.25 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 243.59 659.26 243.59 257.12 681.75 303.00 681.75 303.00 444.72 444.72 444.72 718.00 2180.69 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2348.43 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 243.59 610000013 610 74183 TC MRI ABDOMEN W/O & W/ CONTRAST 3540.40 3540.40 2478.28 259.07 328.16 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 345.66 432.08 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 259.07 659.26 259.07 273.47 681.75 303.00 681.75 303.00 444.72 444.72 444.72 1327.00 2301.26 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2478.28 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 259.07 618000004 618 74185 TC MRA ABDOMEN W W/O CONTR C8902 3238.30 3238.30 2266.81 278.17 352.35 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 371.14 463.93 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 278.17 559.75 278.17 293.63 681.75 303.00 681.75 303.00 444.72 444.72 444.72 575.00 2104.90 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2266.81 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 278.17 618000015 618 74185 TC MRA ABDOMEN W/O CONTRAST C8901 1303.80 1303.80 1259.44 278.17 352.35 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 371.14 463.93 681.75 303.00 681.75 303.00 283.36 283.36 1259.44 278.17 559.75 278.17 293.63 681.75 303.00 681.75 303.00 283.36 283.36 283.36 575.00 847.47 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 912.66 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 278.17 618000016 618 74185 TC MRA ABDOMEN W/CONTRAST C8900 1796.70 1796.70 1259.44 278.17 352.35 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 371.14 463.93 681.75 303.00 681.75 303.00 444.72 444.72 1259.44 278.17 559.75 278.17 293.63 681.75 303.00 681.75 303.00 444.72 444.72 444.72 575.00 1167.86 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 1257.69 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 278.17 320000118 320 74220 TC XR ESOPHAGUS 964.60 964.60 675.22 12.12 92.89 212.47 27.27 12.12 27.27 12.12 212.47 212.47 139.31 212.47 12.12 212.47 27.27 12.12 27.27 212.47 97.84 122.30 27.27 12.12 27.27 12.12 212.47 212.47 78.31 73.33 34.81 73.33 77.41 27.27 12.12 27.27 12.12 212.47 212.47 212.47 61.00 626.99 12.12 27.27 12.12 212.47 12.12 12.12 12.12 212.47 12.12 675.22 212.47 27.27 12.12 102.00 per visit 12.12 212.47 102.00 per visit 212.47 212.47 12.12 27.27 12.12 27.27 12.12 73.33 320000107 320 74230 TC XR ESOPH BA SWALLOW W/CINE/VID 482.30 482.30 575.23 12.12 133.47 212.47 27.27 12.12 27.27 12.12 212.47 212.47 135.11 212.47 12.12 212.47 27.27 12.12 27.27 212.47 140.59 175.74 27.27 12.12 27.27 12.12 212.47 212.47 575.23 105.37 255.66 105.37 111.23 27.27 12.12 27.27 12.12 212.47 212.47 212.47 67.00 313.50 12.12 27.27 12.12 212.47 12.12 12.12 12.12 212.47 12.12 337.61 212.47 27.27 12.12 102.00 per visit 12.12 212.47 102.00 per visit 212.47 212.47 12.12 27.27 12.12 27.27 12.12 105.37 320000108 320 74235 TC XR ESOPH REMOVE FB W/BALLOON C 996.40 996.40 798.87 0.00 596.84 0.00 81.81 36.36 81.81 36.36 0.00 0.00 697.48 0.00 36.36 0.00 81.81 36.36 81.81 0.00 0.00 0.00 81.81 36.36 81.81 36.36 0.00 0.00 798.87 355.05 355.05 355.05 0.00 81.81 36.36 81.81 36.36 0.00 0.00 0.00 135.00 647.66 36.36 81.81 36.36 0.00 36.36 36.36 36.36 0.00 36.36 697.48 0.00 81.81 36.36 102.00 per visit 36.36 0.00 102.00 per visit 0.00 0.00 36.36 81.81 36.36 81.81 36.36 0.00 352505045 320 74240 TC X-RAY XM UPR GI TRC 1CNTRST 583.00 583.00 575.23 18.18 113.85 212.47 40.91 18.18 40.91 18.18 212.47 212.47 160.30 212.47 18.18 212.47 40.91 18.18 40.91 212.47 119.92 149.90 40.91 18.18 40.91 18.18 212.47 212.47 575.23 89.88 255.66 89.88 94.88 40.91 18.18 40.91 18.18 212.47 212.47 212.47 75.00 378.95 18.18 40.91 18.18 212.47 18.18 18.18 18.18 212.47 18.18 408.10 212.47 40.91 18.18 102.00 per visit 18.18 212.47 102.00 per visit 212.47 212.47 18.18 40.91 18.18 40.91 18.18 89.88 352505046 320 74246 TC X-RAY XM UPR GI TRC 2CNTRST 704.90 704.90 575.23 30.30 129.90 212.47 68.18 30.30 68.18 30.30 212.47 212.47 191.79 212.47 30.30 212.47 68.18 30.30 68.18 212.47 136.83 171.04 68.18 30.30 68.18 30.30 212.47 212.47 575.23 102.56 255.66 102.56 108.25 68.18 30.30 68.18 30.30 212.47 212.47 212.47 84.00 458.19 30.30 68.18 30.30 212.47 30.30 30.30 30.30 212.47 30.30 493.43 212.47 68.18 30.30 102.00 per visit 30.30 212.47 102.00 per visit 212.47 212.47 30.30 68.18 30.30 68.18 30.30 102.56 352505047 320 74248 TC X-RAY SM INT FOLLOW-THRU STDY 583.00 583.00 575.23 0.00 66.56 0.00 23.30 10.36 23.30 10.36 0.00 0.00 408.10 0.00 10.36 0.00 23.30 10.36 23.30 0.00 70.11 87.64 23.30 10.36 23.30 10.36 0.00 0.00 575.23 52.55 255.66 52.55 55.47 23.30 10.36 23.30 10.36 0.00 0.00 0.00 57.00 378.95 10.36 23.30 10.36 0.00 10.36 10.36 10.36 0.00 10.36 408.10 0.00 23.30 10.36 102.00 per visit 10.36 0.00 102.00 per visit 0.00 0.00 10.36 23.30 10.36 23.30 10.36 52.55 320000112 320 74250 TC XR SMALL BOWEL SERIES 460.04 460.04 575.23 18.18 112.51 212.47 40.91 18.18 40.91 18.18 212.47 212.47 172.20 212.47 18.18 212.47 40.91 18.18 40.91 212.47 118.51 148.13 40.91 18.18 40.91 18.18 212.47 212.47 575.23 88.82 255.66 88.82 93.76 40.91 18.18 40.91 18.18 212.47 212.47 212.47 67.00 299.03 18.18 40.91 18.18 212.47 18.18 18.18 18.18 212.47 18.18 322.03 212.47 40.91 18.18 102.00 per visit 18.18 212.47 102.00 per visit 212.47 212.47 18.18 40.91 18.18 40.91 18.18 88.82 320000113 320 74270 TC XR BARIUM ENEMA SINGLE CONTRAS 628.58 628.58 575.23 15.15 140.61 212.47 34.09 15.15 34.09 15.15 212.47 212.47 245.69 212.47 15.15 212.47 34.09 15.15 34.09 212.47 148.11 185.13 34.09 15.15 34.09 15.15 212.47 212.47 575.23 111.01 255.66 111.01 117.17 34.09 15.15 34.09 15.15 212.47 212.47 212.47 88.00 408.58 15.15 34.09 15.15 212.47 15.15 15.15 15.15 212.47 15.15 440.01 212.47 34.09 15.15 102.00 per visit 15.15 212.47 102.00 per visit 212.47 212.47 15.15 34.09 15.15 34.09 15.15 111.01 320000171 320 74270 TC XR THER ENEMA REDUC INTUS/OBST 1063.18 1063.18 744.23 15.15 140.61 212.47 34.09 15.15 34.09 15.15 212.47 212.47 245.69 212.47 15.15 212.47 34.09 15.15 34.09 212.47 148.11 185.13 34.09 15.15 34.09 15.15 212.47 212.47 575.23 111.01 255.66 111.01 117.17 34.09 15.15 34.09 15.15 212.47 212.47 212.47 88.00 691.07 15.15 34.09 15.15 212.47 15.15 15.15 15.15 212.47 15.15 744.23 212.47 34.09 15.15 102.00 per visit 15.15 212.47 102.00 per visit 212.47 212.47 15.15 34.09 15.15 34.09 15.15 111.01 320000114 320 74280 TC XR BARIUM ENEMA DOUBLE CONTRAS 1221.12 1221.12 854.78 24.24 215.21 212.47 54.54 24.24 54.54 24.24 212.47 212.47 338.06 212.47 24.24 212.47 54.54 24.24 54.54 212.47 226.69 283.36 54.54 24.24 54.54 24.24 212.47 212.47 575.23 169.90 255.66 169.90 179.34 54.54 24.24 54.54 24.24 212.47 212.47 212.47 115.00 793.73 24.24 54.54 24.24 212.47 24.24 24.24 24.24 212.47 24.24 854.78 212.47 54.54 24.24 102.00 per visit 24.24 212.47 102.00 per visit 212.47 212.47 24.24 54.54 24.24 54.54 24.24 169.90 352500002 320 74300 TC CHOLANGIOGRAM INTRAOP 873.44 873.44 859.33 0.00 523.19 0.00 859.33 381.92 859.33 381.92 0.00 0.00 611.41 0.00 381.92 0.00 859.33 381.92 859.33 0.00 0.00 0.00 859.33 381.92 859.33 381.92 0.00 0.00 798.87 355.05 355.05 355.05 0.00 859.33 381.92 859.33 381.92 0.00 0.00 0.00 55.00 567.74 381.92 859.33 381.92 0.00 381.92 381.92 381.92 0.00 381.92 611.41 0.00 859.33 381.92 102.00 per visit 381.92 0.00 102.00 per visit 0.00 0.00 381.92 859.33 381.92 859.33 381.92 0.00 352500003 320 74301 TC CHOLANGIOGRAM ADDTL INTRAOP 655.08 655.08 859.33 0.00 392.39 0.00 859.33 381.92 859.33 381.92 0.00 0.00 458.56 0.00 381.92 0.00 859.33 381.92 859.33 0.00 0.00 0.00 859.33 381.92 859.33 381.92 0.00 0.00 798.87 355.05 355.05 355.05 0.00 859.33 381.92 859.33 381.92 0.00 0.00 0.00 30.00 425.80 381.92 859.33 381.92 0.00 381.92 381.92 381.92 0.00 381.92 458.56 0.00 859.33 381.92 102.00 per visit 381.92 0.00 102.00 per visit 0.00 0.00 381.92 859.33 381.92 859.33 381.92 0.00 320000117 320 74330 TC XR ERCP 1010.18 1010.18 798.87 0.00 605.10 0.00 49.09 21.82 49.09 21.82 0.00 0.00 707.13 0.00 21.82 0.00 49.09 21.82 49.09 0.00 0.00 0.00 49.09 21.82 49.09 21.82 0.00 0.00 798.87 355.05 355.05 355.05 0.00 49.09 21.82 49.09 21.82 0.00 0.00 0.00 161.00 656.62 21.82 49.09 21.82 0.00 21.82 21.82 21.82 0.00 21.82 707.13 0.00 49.09 21.82 102.00 per visit 21.82 0.00 102.00 per visit 0.00 0.00 21.82 49.09 21.82 49.09 21.82 0.00 352505043 320 74340 TC X-RAY GUIDE FOR GI TUBE 104.94 104.94 798.87 0.00 62.86 0.00 27.27 12.12 27.27 12.12 0.00 0.00 73.46 0.00 12.12 0.00 27.27 12.12 27.27 0.00 0.00 0.00 27.27 12.12 27.27 12.12 0.00 0.00 798.87 355.05 355.05 355.05 0.00 27.27 12.12 27.27 12.12 0.00 0.00 0.00 135.00 68.21 12.12 27.27 12.12 0.00 12.12 12.12 12.12 0.00 12.12 73.46 0.00 27.27 12.12 102.00 per visit 12.12 0.00 102.00 per visit 0.00 0.00 12.12 27.27 12.12 27.27 12.12 0.00 320000119 320 74420 TC XR RETROGRADE PYELOGRAM 1743.70 1743.70 1220.59 15.15 72.37 444.72 34.09 15.15 34.09 15.15 444.72 444.72 214.62 444.72 15.15 444.72 34.09 15.15 34.09 444.72 76.23 95.28 34.09 15.15 34.09 15.15 444.72 444.72 575.23 57.13 255.66 57.13 60.31 34.09 15.15 34.09 15.15 444.72 444.72 444.72 135.00 1133.41 15.15 34.09 15.15 444.72 15.15 15.15 15.15 444.72 15.15 1220.59 444.72 34.09 15.15 102.00 per visit 15.15 444.72 102.00 per visit 444.72 444.72 15.15 34.09 15.15 34.09 15.15 57.13 320000120 320 74425 TC XR NEPHROSTO-LOOPO- PYELOSTOGR 1743.70 1743.70 1220.59 12.12 150.42 444.72 27.27 12.12 27.27 12.12 444.72 444.72 102.39 444.72 12.12 444.72 27.27 12.12 27.27 444.72 158.45 198.06 27.27 12.12 27.27 12.12 444.72 444.72 575.23 118.76 255.66 118.76 125.35 27.27 12.12 27.27 12.12 444.72 444.72 444.72 67.00 1133.41 12.12 27.27 12.12 444.72 12.12 12.12 12.12 444.72 12.12 1220.59 444.72 27.27 12.12 102.00 per visit 12.12 444.72 102.00 per visit 444.72 444.72 12.12 27.27 12.12 27.27 12.12 118.76 320000121 320 74430 TC XR CYSTOGRAM 964.60 964.60 675.22 12.12 35.34 444.72 27.27 12.12 27.27 12.12 444.72 444.72 93.82 444.72 12.12 444.72 27.27 12.12 27.27 444.72 37.22 46.53 27.27 12.12 27.27 12.12 444.72 444.72 575.23 27.90 255.66 27.90 29.45 27.27 12.12 27.27 12.12 444.72 444.72 444.72 54.00 626.99 12.12 27.27 12.12 444.72 12.12 12.12 12.12 444.72 12.12 675.22 444.72 27.27 12.12 102.00 per visit 12.12 444.72 102.00 per visit 444.72 444.72 12.12 27.27 12.12 27.27 12.12 27.90 320000122 320 74455 TC XR VOIDING CYSTOURETHROGRAM 888.28 888.28 621.80 21.21 118.75 283.36 47.72 21.21 47.72 21.21 283.36 283.36 151.91 283.36 21.21 283.36 47.72 21.21 47.72 283.36 125.09 156.36 47.72 21.21 47.72 21.21 283.36 283.36 575.23 93.75 255.66 93.75 98.96 47.72 21.21 47.72 21.21 283.36 283.36 283.36 81.00 577.38 21.21 47.72 21.21 283.36 21.21 21.21 21.21 283.36 21.21 621.80 283.36 47.72 21.21 102.00 per visit 21.21 283.36 102.00 per visit 283.36 283.36 21.21 47.72 21.21 47.72 21.21 93.75 320000125 320 74740 TC XR HYSTEROSALPINGOGRAM 948.70 948.70 664.09 15.15 101.36 283.36 34.09 15.15 34.09 15.15 283.36 283.36 125.31 283.36 15.15 283.36 34.09 15.15 34.09 283.36 106.76 133.45 34.09 15.15 34.09 15.15 283.36 283.36 575.23 80.02 255.66 80.02 84.46 34.09 15.15 34.09 15.15 283.36 283.36 283.36 67.00 616.66 15.15 34.09 15.15 283.36 15.15 15.15 15.15 283.36 15.15 664.09 283.36 34.09 15.15 102.00 per visit 15.15 283.36 102.00 per visit 283.36 283.36 15.15 34.09 15.15 34.09 15.15 80.02 352805001 350 75571 TC CT HRT W/O DYE W/CA TEST 2014.00 2014.00 1409.80 58.00 101.02 105.08 722.88 321.28 722.88 321.28 105.08 105.08 697.00 per visit 105.08 321.28 105.08 722.88 321.28 722.88 105.08 106.40 133.00 722.88 321.28 722.88 321.28 105.08 105.08 672.02 79.75 298.68 79.75 84.18 722.88 321.28 722.88 321.28 105.08 105.08 105.08 58.00 1309.10 321.28 722.88 321.28 105.08 321.28 321.28 321.28 105.08 321.28 1409.80 105.08 722.88 321.28 499.00 per visit 321.28 105.08 499.00 per visit 105.08 105.08 321.28 722.88 321.28 722.88 321.28 79.75 352805002 350 75572 TC CT HRT W/3D IMAGE 2226.00 2226.00 1558.20 161.17 204.15 212.47 863.93 383.97 863.93 383.97 212.47 212.47 697.00 per visit 212.47 383.97 212.47 863.93 383.97 863.93 212.47 215.04 268.80 863.93 383.97 863.93 383.97 212.47 212.47 803.14 161.17 356.95 161.17 170.13 863.93 383.97 863.93 383.97 212.47 212.47 212.47 231.00 1446.90 383.97 863.93 383.97 212.47 383.97 383.97 383.97 212.47 383.97 1558.20 212.47 863.93 383.97 499.00 per visit 383.97 212.47 499.00 per visit 212.47 212.47 383.97 863.93 383.97 863.93 383.97 161.17 352805003 350 75573 TC CT HRT W/3D IMAGE CONGEN 2438.00 2438.00 1706.60 204.22 258.68 212.47 863.93 383.97 863.93 383.97 212.47 212.47 697.00 per visit 212.47 383.97 212.47 863.93 383.97 863.93 212.47 272.47 340.59 863.93 383.97 863.93 383.97 212.47 212.47 803.14 204.22 356.95 204.22 215.56 863.93 383.97 863.93 383.97 212.47 212.47 212.47 327.00 1584.70 383.97 863.93 383.97 212.47 383.97 383.97 383.97 212.47 383.97 1706.60 212.47 863.93 383.97 499.00 per visit 383.97 212.47 499.00 per visit 212.47 212.47 383.97 863.93 383.97 863.93 383.97 204.22 352805004 350 75574 TC CT ANGIO HRT W/3D IMAGE 2650.00 2650.00 1855.00 76.54 293.03 212.47 172.22 76.54 172.22 76.54 212.47 212.47 697.00 per visit 212.47 76.54 212.47 172.22 76.54 172.22 212.47 308.65 385.82 172.22 76.54 172.22 76.54 212.47 212.47 852.15 231.34 378.73 231.34 244.19 172.22 76.54 172.22 76.54 212.47 212.47 212.47 349.00 1722.50 76.54 172.22 76.54 212.47 76.54 76.54 76.54 212.47 76.54 1855.00 212.47 172.22 76.54 499.00 per visit 76.54 212.47 499.00 per visit 212.47 212.47 76.54 172.22 76.54 172.22 76.54 231.34 352805005 352 75635 TC CT ABD AO ILIOFM LWR EXW/RUNOF 1965.24 1965.24 1375.67 153.92 416.24 212.47 346.33 153.92 346.33 153.92 212.47 212.47 697.00 per visit 212.47 153.92 212.47 346.33 153.92 346.33 212.47 438.44 548.05 346.33 153.92 346.33 153.92 212.47 212.47 852.15 328.61 378.73 328.61 346.86 346.33 153.92 346.33 153.92 212.47 212.47 212.47 456.00 1277.41 153.92 346.33 153.92 212.47 153.92 153.92 153.92 212.47 153.92 1375.67 212.47 346.33 153.92 499.00 per visit 153.92 212.47 499.00 per visit 212.47 212.47 153.92 346.33 153.92 346.33 153.92 328.61 350000002 350 75989 TC CT PERC DRAIN/SPECIMEN/PLACE C 1119.36 1119.36 798.87 0.00 76.38 0.00 54.54 24.24 54.54 24.24 0.00 0.00 697.00 per visit 0.00 24.24 0.00 54.54 24.24 54.54 0.00 80.45 100.57 54.54 24.24 54.54 24.24 0.00 0.00 798.87 60.30 355.05 60.30 63.65 54.54 24.24 54.54 24.24 0.00 0.00 0.00 161.00 727.58 24.24 54.54 24.24 0.00 24.24 24.24 24.24 0.00 24.24 783.55 0.00 54.54 24.24 499.00 per visit 24.24 0.00 499.00 per visit 0.00 0.00 24.24 54.54 24.24 54.54 24.24 60.30 352505000 320 75989 TC DRAIN/SPECIMEN CATH 609.50 609.50 798.87 0.00 76.38 0.00 54.54 24.24 54.54 24.24 0.00 0.00 426.65 0.00 24.24 0.00 54.54 24.24 54.54 0.00 80.45 100.57 54.54 24.24 54.54 24.24 0.00 0.00 798.87 60.30 355.05 60.30 63.65 54.54 24.24 54.54 24.24 0.00 0.00 0.00 161.00 396.18 24.24 54.54 24.24 0.00 24.24 24.24 24.24 0.00 24.24 426.65 0.00 54.54 24.24 102.00 per visit 24.24 0.00 102.00 per visit 0.00 0.00 24.24 54.54 24.24 54.54 24.24 60.30 320000132 320 76000 TC FLUOROSCOPY <1 HR PHYS/QHP 914.78 914.78 640.35 6.06 37.57 283.36 13.64 6.06 13.64 6.06 283.36 283.36 142.80 283.36 6.06 283.36 13.64 6.06 13.64 283.36 39.58 49.47 13.64 6.06 13.64 6.06 283.36 283.36 575.23 29.66 255.66 29.66 31.31 13.64 6.06 13.64 6.06 283.36 283.36 283.36 74.77 594.61 6.06 13.64 6.06 283.36 6.06 6.06 6.06 283.36 6.06 640.35 283.36 13.64 6.06 102.00 per visit 6.06 283.36 102.00 per visit 283.36 283.36 6.06 13.64 6.06 13.64 6.06 29.66 320000131 320 76098 TC XR MAMMO BREAST SURGRY SPECIME 1860.30 1860.30 1302.21 22.00 37.12 637.96 618.76 275.01 618.76 275.01 637.96 637.96 23.13 637.96 275.01 637.96 618.76 275.01 618.76 637.96 39.10 48.87 618.76 275.01 618.76 275.01 637.96 637.96 575.23 29.30 255.66 29.30 30.93 618.76 275.01 618.76 275.01 637.96 637.96 637.96 22.00 1209.20 275.01 618.76 275.01 637.96 275.01 275.01 275.01 637.96 275.01 1302.21 637.96 618.76 275.01 102.00 per visit 275.01 637.96 102.00 per visit 637.96 637.96 275.01 618.76 275.01 618.76 275.01 29.30 350000003 350 76376 TC CT 3D RECONSTRUCTION 896.76 896.76 697.00 0.00 21.07 0.00 136.35 60.60 136.35 60.60 0.00 0.00 697.00 per visit 0.00 60.60 0.00 136.35 60.60 136.35 0.00 22.19 27.74 136.35 60.60 136.35 60.60 0.00 0.00 0.00 16.63 0.00 16.63 17.56 136.35 60.60 136.35 60.60 0.00 0.00 0.00 157.00 582.89 60.60 136.35 60.60 0.00 60.60 60.60 60.60 0.00 60.60 627.73 0.00 136.35 60.60 499.00 per visit 60.60 0.00 499.00 per visit 0.00 0.00 60.60 136.35 60.60 136.35 60.60 16.63 402000001 402 76506 TC US HEAD INFANT 887.22 887.22 621.05 18.18 110.28 127.14 40.91 18.18 40.91 18.18 127.14 127.14 184.80 127.14 18.18 127.14 40.91 18.18 40.91 127.14 116.17 145.21 40.91 18.18 40.91 18.18 127.14 127.14 332.42 87.07 147.74 87.07 91.90 40.91 18.18 40.91 18.18 127.14 127.14 127.14 73.00 576.69 18.18 40.91 18.18 127.14 18.18 18.18 18.18 127.14 18.18 621.05 127.14 40.91 18.18 163.00 per visit 18.18 127.14 163.00 per visit 127.14 127.14 18.18 40.91 18.18 40.91 18.18 87.07 352705008 402 76536 TC US SOFT TISSUE HEAD AND NECK 519.40 519.40 363.58 18.18 112.51 127.14 40.91 18.18 40.91 18.18 127.14 127.14 187.60 127.14 18.18 127.14 40.91 18.18 40.91 127.14 118.51 148.13 40.91 18.18 40.91 18.18 127.14 127.14 332.42 88.82 147.74 88.82 93.76 40.91 18.18 40.91 18.18 127.14 127.14 127.14 73.00 337.61 18.18 40.91 18.18 127.14 18.18 18.18 18.18 127.14 18.18 363.58 127.14 40.91 18.18 163.00 per visit 18.18 127.14 163.00 per visit 127.14 127.14 18.18 40.91 18.18 40.91 18.18 88.82 402000002 402 76536 TC US THYROID 519.40 519.40 363.58 18.18 112.51 127.14 40.91 18.18 40.91 18.18 127.14 127.14 187.60 127.14 18.18 127.14 40.91 18.18 40.91 127.14 118.51 148.13 40.91 18.18 40.91 18.18 127.14 127.14 332.42 88.82 147.74 88.82 93.76 40.91 18.18 40.91 18.18 127.14 127.14 127.14 73.00 337.61 18.18 40.91 18.18 127.14 18.18 18.18 18.18 127.14 18.18 363.58 127.14 40.91 18.18 163.00 per visit 18.18 127.14 163.00 per visit 127.14 127.14 18.18 40.91 18.18 40.91 18.18 88.82 402000003 402 76604 TC US CHEST (FOR EFFUSION) 489.72 489.72 342.80 15.15 40.70 127.14 34.09 15.15 34.09 15.15 127.14 127.14 126.00 127.14 15.15 127.14 34.09 15.15 34.09 127.14 42.87 53.59 34.09 15.15 34.09 15.15 127.14 127.14 332.42 32.13 147.74 32.13 33.92 34.09 15.15 34.09 15.15 127.14 127.14 127.14 67.00 318.32 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 342.80 127.14 34.09 15.15 163.00 per visit 15.15 127.14 163.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 32.13 352700016 402 76641 50TC US BREAST BILATERAL COMPLETE 651.90 651.90 684.50 29.52 137.31 190.70 66.41 29.52 66.41 29.52 190.70 190.70 684.50 190.70 29.52 190.70 66.41 29.52 66.41 190.70 289.27 361.59 66.41 29.52 66.41 29.52 190.70 190.70 332.42 108.41 147.74 108.41 114.43 66.41 29.52 66.41 29.52 190.70 190.70 190.70 168.00 423.74 29.52 66.41 29.52 190.70 29.52 29.52 29.52 190.70 29.52 456.33 190.70 66.41 29.52 163.00 per visit 29.52 190.70 163.00 per visit 190.70 190.70 29.52 66.41 29.52 66.41 29.52 162.61 352700018 402 76641 TC US BREAST UNILATERAL COMPLETE 439.90 439.90 332.42 19.68 91.54 127.14 44.27 19.68 44.27 19.68 127.14 127.14 307.93 127.14 19.68 127.14 44.27 19.68 44.27 127.14 96.42 120.53 44.27 19.68 44.27 19.68 127.14 127.14 332.42 72.27 147.74 72.27 76.29 44.27 19.68 44.27 19.68 127.14 127.14 127.14 84.00 285.94 19.68 44.27 19.68 127.14 19.68 19.68 19.68 127.14 19.68 307.93 127.14 44.27 19.68 163.00 per visit 19.68 127.14 163.00 per visit 127.14 127.14 19.68 44.27 19.68 44.27 19.68 72.27 352700017 402 76642 50TC US BREAST BILATERAL LIMITED 344.50 344.50 361.73 24.23 106.53 157.62 54.53 24.23 54.53 24.23 157.62 157.62 361.73 157.62 24.23 157.62 54.53 24.23 54.53 157.62 224.43 280.54 54.53 24.23 54.53 24.23 157.62 157.62 332.42 84.11 147.74 84.11 88.78 54.53 24.23 54.53 24.23 157.62 157.62 157.62 130.00 223.93 24.23 54.53 24.23 157.62 24.23 24.23 24.23 157.62 24.23 241.15 157.62 54.53 24.23 163.00 per visit 24.23 157.62 163.00 per visit 157.62 157.62 24.23 54.53 24.23 54.53 24.23 126.16 352700019 402 76642 TC US BREAST UNILATERAL LIMITED 238.50 238.50 332.42 16.16 71.02 105.08 36.35 16.16 36.35 16.16 105.08 105.08 166.95 105.08 16.16 105.08 36.35 16.16 36.35 105.08 74.81 93.51 36.35 16.16 36.35 16.16 105.08 105.08 332.42 56.07 147.74 56.07 59.19 36.35 16.16 36.35 16.16 105.08 105.08 105.08 65.00 155.03 16.16 36.35 16.16 105.08 16.16 16.16 16.16 105.08 16.16 166.95 105.08 36.35 16.16 163.00 per visit 16.16 105.08 163.00 per visit 105.08 105.08 16.16 36.35 16.16 36.35 16.16 56.07 402000006 402 76700 TC US ABDOMEN COMPLETE 1126.78 1126.78 1441.93 36.36 105.47 127.14 81.81 36.36 81.81 36.36 127.14 127.14 208.59 127.14 36.36 127.14 81.81 36.36 81.81 127.14 111.10 138.87 81.81 36.36 81.81 36.36 127.14 127.14 1441.93 83.27 640.86 83.27 87.89 81.81 36.36 81.81 36.36 127.14 127.14 127.14 101.00 732.41 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 788.75 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 83.27 402000007 402 76705 TC US ABDOMEN LIMITED 525.76 525.76 368.03 24.24 79.95 127.14 54.54 24.24 54.54 24.24 127.14 127.14 161.00 127.14 24.24 127.14 54.54 24.24 54.54 127.14 84.21 105.27 54.54 24.24 54.54 24.24 127.14 127.14 332.42 63.12 147.74 63.12 66.62 54.54 24.24 54.54 24.24 127.14 127.14 127.14 73.00 341.74 24.24 54.54 24.24 127.14 24.24 24.24 24.24 127.14 24.24 368.03 127.14 54.54 24.24 163.00 per visit 24.24 127.14 163.00 per visit 127.14 127.14 24.24 54.54 24.24 54.54 24.24 63.12 402000009 402 76770 TC US RETROPERITONEAL COMPLETE 1063.18 1063.18 1441.93 36.36 98.68 127.14 81.81 36.36 81.81 36.36 127.14 127.14 200.89 127.14 36.36 127.14 81.81 36.36 81.81 127.14 103.94 129.93 81.81 36.36 81.81 36.36 127.14 127.14 1441.93 77.90 640.86 77.90 82.23 81.81 36.36 81.81 36.36 127.14 127.14 127.14 101.00 691.07 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 744.23 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 77.90 402000010 402 76775 TC US RETROPERITONEAL LIMITED 745.18 745.18 521.63 34.59 43.81 127.14 81.81 36.36 81.81 36.36 127.14 127.14 170.80 127.14 36.36 127.14 81.81 36.36 81.81 127.14 46.15 57.68 81.81 36.36 81.81 36.36 127.14 127.14 332.42 34.59 147.74 34.59 36.51 81.81 36.36 81.81 36.36 127.14 127.14 127.14 73.00 484.37 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 521.63 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 34.59 402000032 402 76800 TC US SPINAL CANAL & CONTENTS 514.10 514.10 359.87 36.36 149.53 127.14 81.81 36.36 81.81 36.36 127.14 127.14 162.40 127.14 36.36 127.14 81.81 36.36 81.81 127.14 157.51 196.89 81.81 36.36 81.81 36.36 127.14 127.14 332.42 118.05 147.74 118.05 124.61 81.81 36.36 81.81 36.36 127.14 127.14 127.14 73.00 334.17 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 359.87 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 118.05 352700001 402 76801 TC US OB <14WKD SINGLE FETUS 439.90 439.90 307.93 33.33 95.11 127.14 74.99 33.33 74.99 33.33 127.14 127.14 168.69 127.14 33.33 127.14 74.99 33.33 74.99 127.14 100.18 125.23 74.99 33.33 74.99 33.33 127.14 127.14 287.26 75.09 127.67 75.09 79.26 74.99 33.33 74.99 33.33 127.14 127.14 127.14 54.00 285.94 33.33 74.99 33.33 127.14 33.33 33.33 33.33 127.14 33.33 307.93 127.14 74.99 33.33 163.00 per visit 33.33 127.14 163.00 per visit 127.14 127.14 33.33 74.99 33.33 74.99 33.33 75.09 362020008 402 76801 TC OB US <14 WKS SINGLE FETUS 439.90 439.90 307.93 33.33 95.11 127.14 74.99 33.33 74.99 33.33 127.14 127.14 168.69 127.14 33.33 127.14 74.99 33.33 74.99 127.14 100.18 125.23 74.99 33.33 74.99 33.33 127.14 127.14 287.26 127.67 127.67 127.67 79.26 74.99 33.33 74.99 33.33 127.14 127.14 127.14 54.00 285.94 33.33 74.99 33.33 127.14 33.33 33.33 33.33 127.14 33.33 307.93 127.14 74.99 33.33 163.00 per visit 33.33 127.14 163.00 per visit 127.14 127.14 33.33 74.99 33.33 74.99 33.33 75.09 402000040 402 76801 TC US OB <14WKS SINGLE FETUS 439.90 439.90 307.93 33.33 95.11 127.14 74.99 33.33 74.99 33.33 127.14 127.14 168.69 127.14 33.33 127.14 74.99 33.33 74.99 127.14 100.18 125.23 74.99 33.33 74.99 33.33 127.14 127.14 287.26 75.09 127.67 75.09 79.26 74.99 33.33 74.99 33.33 127.14 127.14 127.14 54.00 285.94 33.33 74.99 33.33 127.14 33.33 33.33 33.33 127.14 33.33 307.93 127.14 74.99 33.33 163.00 per visit 33.33 127.14 163.00 per visit 127.14 127.14 33.33 74.99 33.33 74.99 33.33 75.09 352700011 402 76802 TC US OB <14WKD ADDL FETUS 212.00 212.00 287.26 0.00 28.10 0.00 55.90 24.85 55.90 24.85 0.00 0.00 60.22 0.00 24.85 0.00 55.90 24.85 55.90 0.00 29.60 37.00 55.90 24.85 55.90 24.85 0.00 0.00 287.26 22.19 127.67 22.19 23.42 55.90 24.85 55.90 24.85 0.00 0.00 0.00 39.00 137.80 24.85 55.90 24.85 0.00 24.85 24.85 24.85 0.00 24.85 148.40 0.00 55.90 24.85 163.00 per visit 24.85 0.00 163.00 per visit 0.00 0.00 24.85 55.90 24.85 55.90 24.85 22.19 362600468 402 76802 TC OB US < 14 WKS ADDL FETUS 212.00 212.00 287.26 0.00 28.10 0.00 55.90 24.85 55.90 24.85 0.00 0.00 60.22 0.00 24.85 0.00 55.90 24.85 55.90 0.00 29.60 37.00 55.90 24.85 55.90 24.85 0.00 0.00 287.26 127.67 127.67 127.67 23.42 55.90 24.85 55.90 24.85 0.00 0.00 0.00 39.00 137.80 24.85 55.90 24.85 0.00 24.85 24.85 24.85 0.00 24.85 148.40 0.00 55.90 24.85 163.00 per visit 24.85 0.00 163.00 per visit 0.00 0.00 24.85 55.90 24.85 55.90 24.85 22.19 402000041 402 76802 TC US OB <14 WKS ADDL FETUS 212.00 212.00 287.26 0.00 28.10 0.00 55.90 24.85 55.90 24.85 0.00 0.00 60.22 0.00 24.85 0.00 55.90 24.85 55.90 0.00 29.60 37.00 55.90 24.85 55.90 24.85 0.00 0.00 287.26 22.19 127.67 22.19 23.42 55.90 24.85 55.90 24.85 0.00 0.00 0.00 39.00 137.80 24.85 55.90 24.85 0.00 24.85 24.85 24.85 0.00 24.85 148.40 0.00 55.90 24.85 163.00 per visit 24.85 0.00 163.00 per visit 0.00 0.00 24.85 55.90 24.85 55.90 24.85 22.19 352700002 402 76805 TC US PREGNANCY COMPLETE 439.90 439.90 307.93 33.33 119.30 127.14 74.99 33.33 74.99 33.33 127.14 127.14 207.89 127.14 33.33 127.14 74.99 33.33 74.99 127.14 125.66 157.08 74.99 33.33 74.99 33.33 127.14 127.14 287.26 94.19 127.67 94.19 99.42 74.99 33.33 74.99 33.33 127.14 127.14 127.14 108.00 285.94 33.33 74.99 33.33 127.14 33.33 33.33 33.33 127.14 33.33 307.93 127.14 74.99 33.33 163.00 per visit 33.33 127.14 163.00 per visit 127.14 127.14 33.33 74.99 33.33 74.99 33.33 94.19 362600478 402 76805 TC OB US >= 14 WKS SNGL FETUS 439.90 439.90 307.93 33.33 119.30 127.14 74.99 33.33 74.99 33.33 127.14 127.14 207.89 127.14 33.33 127.14 74.99 33.33 74.99 127.14 125.66 157.08 74.99 33.33 74.99 33.33 127.14 127.14 287.26 127.67 127.67 127.67 99.42 74.99 33.33 74.99 33.33 127.14 127.14 127.14 108.00 285.94 33.33 74.99 33.33 127.14 33.33 33.33 33.33 127.14 33.33 307.93 127.14 74.99 33.33 163.00 per visit 33.33 127.14 163.00 per visit 127.14 127.14 33.33 74.99 33.33 74.99 33.33 94.19 352700012 402 76810 TC US OB <=14WKD ADDL FETUS 292.56 292.56 287.26 0.00 55.42 0.00 55.90 24.85 55.90 24.85 0.00 0.00 102.91 0.00 24.85 0.00 55.90 24.85 55.90 0.00 58.37 72.96 55.90 24.85 55.90 24.85 0.00 0.00 287.26 43.75 127.67 43.75 46.18 55.90 24.85 55.90 24.85 0.00 0.00 0.00 214.00 190.16 24.85 55.90 24.85 0.00 24.85 24.85 24.85 0.00 24.85 204.79 0.00 55.90 24.85 163.00 per visit 24.85 0.00 163.00 per visit 0.00 0.00 24.85 55.90 24.85 55.90 24.85 43.75 402000033 402 76810 TC US PREG F&M >TRIMST ADDL GEST 745.18 745.18 521.63 0.00 55.42 0.00 55.90 24.85 55.90 24.85 0.00 0.00 102.91 0.00 24.85 0.00 55.90 24.85 55.90 0.00 58.37 72.96 55.90 24.85 55.90 24.85 0.00 0.00 287.26 43.75 127.67 43.75 46.18 55.90 24.85 55.90 24.85 0.00 0.00 0.00 214.00 484.37 24.85 55.90 24.85 0.00 24.85 24.85 24.85 0.00 24.85 521.63 0.00 55.90 24.85 163.00 per visit 24.85 0.00 163.00 per visit 0.00 0.00 24.85 55.90 24.85 55.90 24.85 43.75 352700005 402 76811 TC US PREG F&M DETAIL ANATOMY SGL 537.42 537.42 376.19 43.63 118.50 283.36 98.17 43.63 98.17 43.63 283.36 283.36 206.49 283.36 43.63 283.36 98.17 43.63 98.17 283.36 124.82 156.03 98.17 43.63 98.17 43.63 283.36 283.36 287.26 93.56 127.67 93.56 98.75 98.17 43.63 98.17 43.63 283.36 283.36 283.36 185.00 349.32 43.63 98.17 43.63 283.36 43.63 43.63 43.63 283.36 43.63 376.19 283.36 98.17 43.63 163.00 per visit 43.63 283.36 163.00 per visit 283.36 283.36 43.63 98.17 43.63 98.17 43.63 93.56 362600479 402 76811 TC OB US DETAILED SNGL FETUS 537.42 537.42 376.19 43.63 118.50 283.36 98.17 43.63 98.17 43.63 283.36 283.36 206.49 283.36 43.63 283.36 98.17 43.63 98.17 283.36 124.82 156.03 98.17 43.63 98.17 43.63 283.36 283.36 287.26 127.67 127.67 127.67 98.75 98.17 43.63 98.17 43.63 283.36 283.36 283.36 185.00 349.32 43.63 98.17 43.63 283.36 43.63 43.63 43.63 283.36 43.63 376.19 283.36 98.17 43.63 163.00 per visit 43.63 283.36 163.00 per visit 283.36 283.36 43.63 98.17 43.63 98.17 43.63 93.56 402000034 402 76811 TC US PREG F&M DETAIL ANATOMY SGL 537.42 537.42 376.19 43.63 118.50 283.36 98.17 43.63 98.17 43.63 283.36 283.36 206.49 283.36 43.63 283.36 98.17 43.63 98.17 283.36 124.82 156.03 98.17 43.63 98.17 43.63 283.36 283.36 287.26 93.56 127.67 93.56 98.75 98.17 43.63 98.17 43.63 283.36 283.36 283.36 185.00 349.32 43.63 98.17 43.63 283.36 43.63 43.63 43.63 283.36 43.63 376.19 283.36 98.17 43.63 163.00 per visit 43.63 283.36 163.00 per visit 283.36 283.36 43.63 98.17 43.63 98.17 43.63 93.56 352700013 402 76812 TC US OB DETAILED ADDL FETUS 585.12 585.12 409.58 0.00 144.72 0.00 49.09 21.82 49.09 21.82 0.00 0.00 242.89 0.00 21.82 0.00 49.09 21.82 49.09 0.00 152.44 190.55 49.09 21.82 49.09 21.82 0.00 0.00 287.26 114.26 127.67 114.26 120.60 49.09 21.82 49.09 21.82 0.00 0.00 0.00 68.00 380.33 21.82 49.09 21.82 0.00 21.82 21.82 21.82 0.00 21.82 409.58 0.00 49.09 21.82 163.00 per visit 21.82 0.00 163.00 per visit 0.00 0.00 21.82 49.09 21.82 49.09 21.82 114.26 362600469 402 76812 TC OB US DETAILED ADDL FETUS 585.12 585.12 409.58 0.00 144.72 0.00 49.09 21.82 49.09 21.82 0.00 0.00 242.89 0.00 21.82 0.00 49.09 21.82 49.09 0.00 152.44 190.55 49.09 21.82 49.09 21.82 0.00 0.00 287.26 127.67 127.67 127.67 120.60 49.09 21.82 49.09 21.82 0.00 0.00 0.00 68.00 380.33 21.82 49.09 21.82 0.00 21.82 21.82 21.82 0.00 21.82 409.58 0.00 49.09 21.82 163.00 per visit 21.82 0.00 163.00 per visit 0.00 0.00 21.82 49.09 21.82 49.09 21.82 114.26 402000035 402 76812 TC US PREG F&M EVAL ANATOMY EA AD 795.00 795.00 556.50 0.00 144.72 0.00 49.09 21.82 49.09 21.82 0.00 0.00 242.89 0.00 21.82 0.00 49.09 21.82 49.09 0.00 152.44 190.55 49.09 21.82 49.09 21.82 0.00 0.00 287.26 114.26 127.67 114.26 120.60 49.09 21.82 49.09 21.82 0.00 0.00 0.00 68.00 516.75 21.82 49.09 21.82 0.00 21.82 21.82 21.82 0.00 21.82 556.50 0.00 49.09 21.82 163.00 per visit 21.82 0.00 163.00 per visit 0.00 0.00 21.82 49.09 21.82 49.09 21.82 114.26 352700007 402 76813 TC US OB NUCHAL MEAS 1 GEAST 439.90 439.90 307.93 23.63 80.84 127.14 53.18 23.63 53.18 23.63 127.14 127.14 142.80 127.14 23.63 127.14 53.18 23.63 53.18 127.14 85.15 106.44 53.18 23.63 53.18 23.63 127.14 127.14 287.26 63.82 127.67 63.82 67.36 53.18 23.63 53.18 23.63 127.14 127.14 127.14 88.00 285.94 23.63 53.18 23.63 127.14 23.63 23.63 23.63 127.14 23.63 307.93 127.14 53.18 23.63 163.00 per visit 23.63 127.14 163.00 per visit 127.14 127.14 23.63 53.18 23.63 53.18 23.63 63.82 362600470 402 76813 TC OB US NUCHAL MEAS 1 GEST 439.90 439.90 307.93 23.63 80.84 127.14 53.18 23.63 53.18 23.63 127.14 127.14 142.80 127.14 23.63 127.14 53.18 23.63 53.18 127.14 85.15 106.44 53.18 23.63 53.18 23.63 127.14 127.14 287.26 127.67 127.67 127.67 67.36 53.18 23.63 53.18 23.63 127.14 127.14 127.14 88.00 285.94 23.63 53.18 23.63 127.14 23.63 23.63 23.63 127.14 23.63 307.93 127.14 53.18 23.63 163.00 per visit 23.63 127.14 163.00 per visit 127.14 127.14 23.63 53.18 23.63 53.18 23.63 63.82 402000430 402 76813 TC US OB NUCHAL MEAS 1 GEAST 439.90 439.90 307.93 23.63 80.84 127.14 53.18 23.63 53.18 23.63 127.14 127.14 142.80 127.14 23.63 127.14 53.18 23.63 53.18 127.14 85.15 106.44 53.18 23.63 53.18 23.63 127.14 127.14 287.26 63.82 127.67 63.82 67.36 53.18 23.63 53.18 23.63 127.14 127.14 127.14 88.00 285.94 23.63 53.18 23.63 127.14 23.63 23.63 23.63 127.14 23.63 307.93 127.14 53.18 23.63 163.00 per visit 23.63 127.14 163.00 per visit 127.14 127.14 23.63 53.18 23.63 53.18 23.63 63.82 362600471 402 76814 TC OB US NUCHAL MEAS ADD-ON 511.98 511.98 358.39 0.00 37.57 0.00 34.09 15.15 34.09 15.15 0.00 0.00 67.22 0.00 15.15 0.00 34.09 15.15 34.09 0.00 39.58 49.47 34.09 15.15 34.09 15.15 0.00 0.00 287.26 127.67 127.67 127.67 31.31 34.09 15.15 34.09 15.15 0.00 0.00 0.00 46.00 332.79 15.15 34.09 15.15 0.00 15.15 15.15 15.15 0.00 15.15 358.39 0.00 34.09 15.15 163.00 per visit 15.15 0.00 163.00 per visit 0.00 0.00 15.15 34.09 15.15 34.09 15.15 29.66 402000036 402 76814 TC US PREG 1/TRI NUCHAL MEASR EA 511.98 511.98 358.39 0.00 37.57 0.00 34.09 15.15 34.09 15.15 0.00 0.00 67.22 0.00 15.15 0.00 34.09 15.15 34.09 0.00 39.58 49.47 34.09 15.15 34.09 15.15 0.00 0.00 287.26 29.66 127.67 29.66 31.31 34.09 15.15 34.09 15.15 0.00 0.00 0.00 46.00 332.79 15.15 34.09 15.15 0.00 15.15 15.15 15.15 0.00 15.15 358.39 0.00 34.09 15.15 163.00 per visit 15.15 0.00 163.00 per visit 0.00 0.00 15.15 34.09 15.15 34.09 15.15 29.66 352700003 402 76815 TC US PREGNANCY LIMITED 439.90 439.90 307.93 15.15 67.90 127.14 34.09 15.15 34.09 15.15 127.14 127.14 123.90 127.14 15.15 127.14 34.09 15.15 34.09 127.14 71.52 89.40 34.09 15.15 34.09 15.15 127.14 127.14 287.26 53.60 127.67 53.60 56.58 34.09 15.15 34.09 15.15 127.14 127.14 127.14 73.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 163.00 per visit 15.15 127.14 163.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 53.60 362600480 402 76815 TC OB US LIMITED FETUS(S) 439.90 439.90 307.93 15.15 67.90 127.14 34.09 15.15 34.09 15.15 127.14 127.14 123.90 127.14 15.15 127.14 34.09 15.15 34.09 127.14 71.52 89.40 34.09 15.15 34.09 15.15 127.14 127.14 287.26 127.67 127.67 127.67 56.58 34.09 15.15 34.09 15.15 127.14 127.14 127.14 73.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 163.00 per visit 15.15 127.14 163.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 53.60 402000012 402 76815 TC US PREGNANCY LIMITED 439.90 439.90 307.93 15.15 67.90 127.14 34.09 15.15 34.09 15.15 127.14 127.14 123.90 127.14 15.15 127.14 34.09 15.15 34.09 127.14 71.52 89.40 34.09 15.15 34.09 15.15 127.14 127.14 287.26 53.60 127.67 53.60 56.58 34.09 15.15 34.09 15.15 127.14 127.14 127.14 73.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 163.00 per visit 15.15 127.14 163.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 53.60 352700004 402 76816 TC US PREGNANCY FOLLOW-UP OR REPE 439.90 439.90 307.93 15.15 93.78 127.14 34.09 15.15 34.09 15.15 127.14 127.14 155.40 127.14 15.15 127.14 34.09 15.15 34.09 127.14 98.78 123.47 34.09 15.15 34.09 15.15 127.14 127.14 287.26 74.03 127.67 74.03 78.15 34.09 15.15 34.09 15.15 127.14 127.14 127.14 57.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 163.00 per visit 15.15 127.14 163.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 74.03 362600472 402 76816 TC OB US FOLLOW-UP PER FETUS 439.90 439.90 307.93 15.15 93.78 127.14 34.09 15.15 34.09 15.15 127.14 127.14 155.40 127.14 15.15 127.14 34.09 15.15 34.09 127.14 98.78 123.47 34.09 15.15 34.09 15.15 127.14 127.14 287.26 127.67 127.67 127.67 78.15 34.09 15.15 34.09 15.15 127.14 127.14 127.14 57.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 163.00 per visit 15.15 127.14 163.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 74.03 402000013 402 76816 TC US PREGNANCY FOLLOW-UP OR REPE 439.90 439.90 307.93 15.15 93.78 127.14 34.09 15.15 34.09 15.15 127.14 127.14 155.40 127.14 15.15 127.14 34.09 15.15 34.09 127.14 98.78 123.47 34.09 15.15 34.09 15.15 127.14 127.14 287.26 74.03 127.67 74.03 78.15 34.09 15.15 34.09 15.15 127.14 127.14 127.14 57.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 163.00 per visit 15.15 127.14 163.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 74.03 352700006 402 76817 TC US PREGANANCY TRANSVAGINAL 439.90 439.90 307.93 36.36 76.82 127.14 81.81 36.36 81.81 36.36 127.14 127.14 137.90 127.14 36.36 127.14 81.81 36.36 81.81 127.14 80.92 101.15 81.81 36.36 81.81 36.36 127.14 127.14 287.26 60.65 127.67 60.65 64.02 81.81 36.36 81.81 36.36 127.14 127.14 127.14 73.00 285.94 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 307.93 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 60.65 362600481 402 76817 TC TRANSVAGINAL US OBSTETRIC 439.90 439.90 307.93 36.36 76.82 127.14 81.81 36.36 81.81 36.36 127.14 127.14 137.90 127.14 36.36 127.14 81.81 36.36 81.81 127.14 80.92 101.15 81.81 36.36 81.81 36.36 127.14 127.14 287.26 127.67 127.67 127.67 64.02 81.81 36.36 81.81 36.36 127.14 127.14 127.14 73.00 285.94 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 307.93 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 60.65 402000431 402 76817 TC US PREGANANCY TRANSVAGINAL 439.90 439.90 307.93 36.36 76.82 127.14 81.81 36.36 81.81 36.36 127.14 127.14 137.90 127.14 36.36 127.14 81.81 36.36 81.81 127.14 80.92 101.15 81.81 36.36 81.81 36.36 127.14 127.14 287.26 60.65 127.67 60.65 64.02 81.81 36.36 81.81 36.36 127.14 127.14 127.14 73.00 285.94 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 307.93 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 60.65 402000014 402 76818 TC US BIOPHYSICAL PROFILE FETAL 628.58 628.58 440.01 21.21 93.08 127.14 47.72 21.21 47.72 21.21 127.14 127.14 146.30 127.14 21.21 127.14 47.72 21.21 47.72 127.14 98.05 122.56 47.72 21.21 47.72 21.21 127.14 127.14 287.26 73.49 127.67 73.49 77.57 47.72 21.21 47.72 21.21 127.14 127.14 127.14 83.00 408.58 21.21 47.72 21.21 127.14 21.21 21.21 21.21 127.14 21.21 440.01 127.14 47.72 21.21 163.00 per visit 21.21 127.14 163.00 per visit 127.14 127.14 21.21 47.72 21.21 47.72 21.21 73.49 402000026 402 76818 TC FBP W NON STRESS TEST 628.58 628.58 440.01 21.21 93.08 127.14 47.72 21.21 47.72 21.21 127.14 127.14 146.30 127.14 21.21 127.14 47.72 21.21 47.72 127.14 98.05 122.56 47.72 21.21 47.72 21.21 127.14 127.14 308.94 137.31 137.31 137.31 77.57 47.72 21.21 47.72 21.21 127.14 127.14 127.14 83.00 408.58 21.21 47.72 21.21 127.14 21.21 21.21 21.21 127.14 21.21 440.01 127.14 47.72 21.21 163.00 per visit 21.21 127.14 163.00 per visit 127.14 127.14 21.21 47.72 21.21 47.72 21.21 73.49 352700009 402 76819 TC US PROFILE FETAL W/O NONSTRESS 628.58 628.58 440.01 21.21 66.67 127.14 47.72 21.21 47.72 21.21 127.14 127.14 111.30 127.14 21.21 127.14 47.72 21.21 47.72 127.14 70.22 87.78 47.72 21.21 47.72 21.21 127.14 127.14 287.26 52.63 127.67 52.63 55.56 47.72 21.21 47.72 21.21 127.14 127.14 127.14 88.00 408.58 21.21 47.72 21.21 127.14 21.21 21.21 21.21 127.14 21.21 440.01 127.14 47.72 21.21 163.00 per visit 21.21 127.14 163.00 per visit 127.14 127.14 21.21 47.72 21.21 47.72 21.21 52.63 362600473 402 76819 TC FETAL BIOPHYS PROFIL W/O NST 628.58 628.58 440.01 21.21 66.67 127.14 47.72 21.21 47.72 21.21 127.14 127.14 111.30 127.14 21.21 127.14 47.72 21.21 47.72 127.14 70.22 87.78 47.72 21.21 47.72 21.21 127.14 127.14 287.26 127.67 127.67 127.67 55.56 47.72 21.21 47.72 21.21 127.14 127.14 127.14 88.00 408.58 21.21 47.72 21.21 127.14 21.21 21.21 21.21 127.14 21.21 440.01 127.14 47.72 21.21 163.00 per visit 21.21 127.14 163.00 per visit 127.14 127.14 21.21 47.72 21.21 47.72 21.21 52.63 402000037 402 76819 TC US PROFILE FETAL W/O NONSTRESS 628.58 628.58 440.01 21.21 66.67 127.14 47.72 21.21 47.72 21.21 127.14 127.14 111.30 127.14 21.21 127.14 47.72 21.21 47.72 127.14 70.22 87.78 47.72 21.21 47.72 21.21 127.14 127.14 287.26 52.63 127.67 52.63 55.56 47.72 21.21 47.72 21.21 127.14 127.14 127.14 88.00 408.58 21.21 47.72 21.21 127.14 21.21 21.21 21.21 127.14 21.21 440.01 127.14 47.72 21.21 163.00 per visit 21.21 127.14 163.00 per visit 127.14 127.14 21.21 47.72 21.21 47.72 21.21 52.63 352700010 402 76820 TC UMBILICAL ARTERY ECHO 439.90 439.90 307.93 7.75 28.65 127.14 17.44 7.75 17.44 7.75 127.14 127.14 46.23 127.14 7.75 127.14 17.44 7.75 17.44 127.14 30.18 37.72 17.44 7.75 17.44 7.75 127.14 127.14 287.26 22.62 127.67 22.62 23.87 17.44 7.75 17.44 7.75 127.14 127.14 127.14 90.00 285.94 7.75 17.44 7.75 127.14 7.75 7.75 7.75 127.14 7.75 307.93 127.14 17.44 7.75 163.00 per visit 7.75 127.14 163.00 per visit 127.14 127.14 7.75 17.44 7.75 17.44 7.75 22.62 362600474 402 76820 TC UMBILICAL ARTERY ECHO 439.90 439.90 307.93 7.75 28.65 127.14 17.44 7.75 17.44 7.75 127.14 127.14 46.23 127.14 7.75 127.14 17.44 7.75 17.44 127.14 30.18 37.72 17.44 7.75 17.44 7.75 127.14 127.14 287.26 127.67 127.67 127.67 23.87 17.44 7.75 17.44 7.75 127.14 127.14 127.14 90.00 285.94 7.75 17.44 7.75 127.14 7.75 7.75 7.75 127.14 7.75 307.93 127.14 17.44 7.75 163.00 per visit 7.75 127.14 163.00 per visit 127.14 127.14 7.75 17.44 7.75 17.44 7.75 22.62 402000038 402 76820 TC US DOPPLER VELOC FETL UMB ARTE 439.90 439.90 307.93 7.75 28.65 127.14 17.44 7.75 17.44 7.75 127.14 127.14 46.23 127.14 7.75 127.14 17.44 7.75 17.44 127.14 30.18 37.72 17.44 7.75 17.44 7.75 127.14 127.14 287.26 22.62 127.67 22.62 23.87 17.44 7.75 17.44 7.75 127.14 127.14 127.14 90.00 285.94 7.75 17.44 7.75 127.14 7.75 7.75 7.75 127.14 7.75 307.93 127.14 17.44 7.75 163.00 per visit 7.75 127.14 163.00 per visit 127.14 127.14 7.75 17.44 7.75 17.44 7.75 22.62 352700015 402 76821 TC FETAL CEREBRAL ART ECHO 439.90 439.90 307.93 18.05 75.03 127.14 40.61 18.05 40.61 18.05 127.14 127.14 129.51 127.14 18.05 127.14 40.61 18.05 40.61 127.14 79.04 98.80 40.61 18.05 40.61 18.05 127.14 127.14 287.26 59.24 127.67 59.24 62.53 40.61 18.05 40.61 18.05 127.14 127.14 127.14 87.00 285.94 18.05 40.61 18.05 127.14 18.05 18.05 18.05 127.14 18.05 307.93 127.14 40.61 18.05 163.00 per visit 18.05 127.14 163.00 per visit 127.14 127.14 18.05 40.61 18.05 40.61 18.05 59.24 362600475 402 76821 TC MIDDLE CEREBRAL ARTERY ECHO 439.90 439.90 307.93 18.05 75.03 127.14 40.61 18.05 40.61 18.05 127.14 127.14 129.51 127.14 18.05 127.14 40.61 18.05 40.61 127.14 79.04 98.80 40.61 18.05 40.61 18.05 127.14 127.14 287.26 127.67 127.67 127.67 62.53 40.61 18.05 40.61 18.05 127.14 127.14 127.14 87.00 285.94 18.05 40.61 18.05 127.14 18.05 18.05 18.05 127.14 18.05 307.93 127.14 40.61 18.05 163.00 per visit 18.05 127.14 163.00 per visit 127.14 127.14 18.05 40.61 18.05 40.61 18.05 59.24 362600476 402 76827 TC ECHO EXAM OF FETAL HEART 628.58 628.58 440.01 15.15 57.19 127.14 34.09 15.15 34.09 15.15 127.14 127.14 79.12 127.14 15.15 127.14 34.09 15.15 34.09 127.14 60.24 75.31 34.09 15.15 34.09 15.15 127.14 127.14 287.26 127.67 127.67 127.67 47.66 34.09 15.15 34.09 15.15 127.14 127.14 127.14 90.00 408.58 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 440.01 127.14 34.09 15.15 163.00 per visit 15.15 127.14 163.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 45.15 362020009 402 76830 TC NON-OB TRANSVAG US 570.28 570.28 399.20 36.36 116.62 127.14 81.81 36.36 81.81 36.36 127.14 127.14 188.29 127.14 36.36 127.14 81.81 36.36 81.81 127.14 122.84 153.55 81.81 36.36 81.81 36.36 127.14 127.14 332.42 147.74 147.74 147.74 97.19 81.81 36.36 81.81 36.36 127.14 127.14 127.14 78.00 370.68 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 399.20 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 92.07 402000024 402 76830 TC US TRANSVAGINAL ECHOGRAPHY 570.28 570.28 399.20 36.36 116.62 127.14 81.81 36.36 81.81 36.36 127.14 127.14 188.29 127.14 36.36 127.14 81.81 36.36 81.81 127.14 122.84 153.55 81.81 36.36 81.81 36.36 127.14 127.14 332.42 92.07 147.74 92.07 97.19 81.81 36.36 81.81 36.36 127.14 127.14 127.14 78.00 370.68 36.36 81.81 36.36 127.14 36.36 36.36 36.36 127.14 36.36 399.20 127.14 81.81 36.36 163.00 per visit 36.36 127.14 163.00 per visit 127.14 127.14 36.36 81.81 36.36 81.81 36.36 92.07 352705007 402 76831 TC SALINE INFUSED SONOHYSTEROGRAM 914.78 914.78 1441.93 16.97 110.28 283.36 38.18 16.97 38.18 16.97 283.36 283.36 186.19 283.36 16.97 283.36 38.18 16.97 38.18 283.36 116.17 145.21 38.18 16.97 38.18 16.97 283.36 283.36 1441.93 87.07 640.86 87.07 91.90 38.18 16.97 38.18 16.97 283.36 283.36 283.36 78.00 594.61 16.97 38.18 16.97 283.36 16.97 16.97 16.97 283.36 16.97 640.35 283.36 38.18 16.97 163.00 per visit 16.97 283.36 163.00 per visit 283.36 283.36 16.97 38.18 16.97 38.18 16.97 87.07 362020007 402 76856 TC US EXAM PELVIC COMPLETE 570.28 570.28 1441.93 33.33 98.23 127.14 74.99 33.33 74.99 33.33 127.14 127.14 187.60 127.14 33.33 127.14 74.99 33.33 74.99 127.14 103.47 129.34 74.99 33.33 74.99 33.33 127.14 127.14 1441.93 640.86 640.86 640.86 81.86 74.99 33.33 74.99 33.33 127.14 127.14 127.14 78.00 370.68 33.33 74.99 33.33 127.14 33.33 33.33 33.33 127.14 33.33 399.20 127.14 74.99 33.33 163.00 per visit 33.33 127.14 163.00 per visit 127.14 127.14 33.33 74.99 33.33 74.99 33.33 77.55 402000015 402 76856 TC US PELVIS 570.28 570.28 1441.93 33.33 98.23 127.14 74.99 33.33 74.99 33.33 127.14 127.14 187.60 127.14 33.33 127.14 74.99 33.33 74.99 127.14 103.47 129.34 74.99 33.33 74.99 33.33 127.14 127.14 1441.93 77.55 640.86 77.55 81.86 74.99 33.33 74.99 33.33 127.14 127.14 127.14 78.00 370.68 33.33 74.99 33.33 127.14 33.33 33.33 33.33 127.14 33.33 399.20 127.14 74.99 33.33 163.00 per visit 33.33 127.14 163.00 per visit 127.14 127.14 33.33 74.99 33.33 74.99 33.33 77.55 402000016 402 76857 TC US BLADDER 439.90 439.90 332.42 24.24 35.34 127.14 54.54 24.24 54.54 24.24 127.14 127.14 169.40 127.14 24.24 127.14 54.54 24.24 54.54 127.14 37.22 46.53 54.54 24.24 54.54 24.24 127.14 127.14 332.42 27.90 147.74 27.90 29.45 54.54 24.24 54.54 24.24 127.14 127.14 127.14 54.00 285.94 24.24 54.54 24.24 127.14 24.24 24.24 24.24 127.14 24.24 307.93 127.14 54.54 24.24 163.00 per visit 24.24 127.14 163.00 per visit 127.14 127.14 24.24 54.54 24.24 54.54 24.24 27.90 402000017 402 76870 TC US SCROTUM 564.98 564.98 395.49 18.18 94.22 127.14 40.91 18.18 40.91 18.18 127.14 127.14 190.40 127.14 18.18 127.14 40.91 18.18 40.91 127.14 99.25 124.06 40.91 18.18 40.91 18.18 127.14 127.14 332.42 74.39 147.74 74.39 78.52 40.91 18.18 40.91 18.18 127.14 127.14 127.14 78.00 367.24 18.18 40.91 18.18 127.14 18.18 18.18 18.18 127.14 18.18 395.49 127.14 40.91 18.18 163.00 per visit 18.18 127.14 163.00 per visit 127.14 127.14 18.18 40.91 18.18 40.91 18.18 74.39 402000030 402 76881 LTTC US COMPL JOINT R-T W/IMG LT 450.50 450.50 332.42 11.70 14.82 127.14 49.84 22.15 49.84 22.15 127.14 127.14 177.80 127.14 22.15 127.14 49.84 22.15 49.84 127.14 15.61 19.51 49.84 22.15 49.84 22.15 127.14 127.14 332.42 11.70 147.74 11.70 12.35 49.84 22.15 49.84 22.15 127.14 127.14 127.14 109.00 292.83 22.15 49.84 22.15 127.14 22.15 22.15 22.15 127.14 22.15 315.35 127.14 49.84 22.15 163.00 per visit 22.15 127.14 163.00 per visit 127.14 127.14 22.15 49.84 22.15 49.84 22.15 11.70 402000029 402 76881 RTTC US COMPL JOINT R-T W/IMG RT 450.50 450.50 332.42 11.70 14.82 127.14 49.84 22.15 49.84 22.15 127.14 127.14 177.80 127.14 22.15 127.14 49.84 22.15 49.84 127.14 15.61 19.51 49.84 22.15 49.84 22.15 127.14 127.14 332.42 11.70 147.74 11.70 12.35 49.84 22.15 49.84 22.15 127.14 127.14 127.14 109.00 292.83 22.15 49.84 22.15 127.14 22.15 22.15 22.15 127.14 22.15 315.35 127.14 49.84 22.15 163.00 per visit 22.15 127.14 163.00 per visit 127.14 127.14 22.15 49.84 22.15 49.84 22.15 11.70 402000042 402 76882 RTTC US LMTD JT/NONVASC XTR STRX RT 420.82 420.82 332.42 5.98 41.59 127.14 13.46 5.98 13.46 5.98 127.14 127.14 21.03 127.14 5.98 127.14 13.46 5.98 13.46 127.14 43.81 54.76 13.46 5.98 13.46 5.98 127.14 127.14 332.42 32.83 147.74 32.83 34.66 13.46 5.98 13.46 5.98 127.14 127.14 127.14 13.00 273.53 5.98 13.46 5.98 127.14 5.98 5.98 5.98 127.14 5.98 294.57 127.14 13.46 5.98 163.00 per visit 5.98 127.14 163.00 per visit 127.14 127.14 5.98 13.46 5.98 13.46 5.98 32.83 402000043 402 76882 RTTC US LMTD JT/NONVASC XTR STRX LT 420.82 420.82 332.42 5.98 41.59 127.14 13.46 5.98 13.46 5.98 127.14 127.14 21.03 127.14 5.98 127.14 13.46 5.98 13.46 127.14 43.81 54.76 13.46 5.98 13.46 5.98 127.14 127.14 332.42 32.83 147.74 32.83 34.66 13.46 5.98 13.46 5.98 127.14 127.14 127.14 13.00 273.53 5.98 13.46 5.98 127.14 5.98 5.98 5.98 127.14 5.98 294.57 127.14 13.46 5.98 163.00 per visit 5.98 127.14 163.00 per visit 127.14 127.14 5.98 13.46 5.98 13.46 5.98 32.83 402000019 402 76885 TC US INFANT HIPS 607.38 607.38 425.17 18.18 135.36 105.08 40.91 18.18 40.91 18.18 105.08 105.08 224.68 105.08 18.18 105.08 40.91 18.18 40.91 105.08 142.58 178.23 40.91 18.18 40.91 18.18 105.08 105.08 332.42 106.87 147.74 106.87 112.80 40.91 18.18 40.91 18.18 105.08 105.08 105.08 78.00 394.80 18.18 40.91 18.18 105.08 18.18 18.18 18.18 105.08 18.18 425.17 105.08 40.91 18.18 163.00 per visit 18.18 105.08 163.00 per visit 105.08 105.08 18.18 40.91 18.18 40.91 18.18 106.87 350002009 402 76937 TC US GUIDE VASCULAR ACCESS 67.23 67.23 508.49 0.00 33.11 0.00 74.99 33.33 74.99 33.33 0.00 0.00 47.06 0.00 33.33 0.00 74.99 33.33 74.99 0.00 34.87 43.59 74.99 33.33 74.99 33.33 0.00 0.00 508.49 226.00 226.00 226.00 27.59 74.99 33.33 74.99 33.33 0.00 0.00 0.00 24.59 43.70 33.33 74.99 33.33 0.00 33.33 33.33 33.33 0.00 33.33 47.06 0.00 74.99 33.33 163.00 per visit 33.33 0.00 163.00 per visit 0.00 0.00 33.33 74.99 33.33 74.99 33.33 26.14 402000020 402 76942 TC US THORACENTESIS 580.88 580.88 477.14 0.00 38.02 0.00 74.99 33.33 74.99 33.33 0.00 0.00 406.62 0.00 33.33 0.00 74.99 33.33 74.99 0.00 40.05 50.06 74.99 33.33 74.99 33.33 0.00 0.00 477.14 30.02 212.06 30.02 31.68 74.99 33.33 74.99 33.33 0.00 0.00 0.00 78.00 377.57 33.33 74.99 33.33 0.00 33.33 33.33 33.33 0.00 33.33 406.62 0.00 74.99 33.33 163.00 per visit 33.33 0.00 163.00 per visit 0.00 0.00 33.33 74.99 33.33 74.99 33.33 30.02 402000021 402 76942 TC US BREAST ASPIRATION OF CYST 580.88 580.88 477.14 0.00 38.02 0.00 74.99 33.33 74.99 33.33 0.00 0.00 406.62 0.00 33.33 0.00 74.99 33.33 74.99 0.00 40.05 50.06 74.99 33.33 74.99 33.33 0.00 0.00 477.14 30.02 212.06 30.02 31.68 74.99 33.33 74.99 33.33 0.00 0.00 0.00 78.00 377.57 33.33 74.99 33.33 0.00 33.33 33.33 33.33 0.00 33.33 406.62 0.00 74.99 33.33 163.00 per visit 33.33 0.00 163.00 per visit 0.00 0.00 33.33 74.99 33.33 74.99 33.33 30.02 402000023 402 76942 TC US GUIDE NEEDLE BIOPSY 580.88 580.88 477.14 0.00 38.02 0.00 74.99 33.33 74.99 33.33 0.00 0.00 406.62 0.00 33.33 0.00 74.99 33.33 74.99 0.00 40.05 50.06 74.99 33.33 74.99 33.33 0.00 0.00 477.14 30.02 212.06 30.02 31.68 74.99 33.33 74.99 33.33 0.00 0.00 0.00 78.00 377.57 33.33 74.99 33.33 0.00 33.33 33.33 33.33 0.00 33.33 406.62 0.00 74.99 33.33 163.00 per visit 33.33 0.00 163.00 per visit 0.00 0.00 33.33 74.99 33.33 74.99 33.33 30.02 352700008 402 76946 TC US GUIDED AMNIOCENTESIS 241.68 241.68 477.14 0.00 20.62 0.00 27.27 12.12 27.27 12.12 0.00 0.00 169.18 0.00 12.12 0.00 27.27 12.12 27.27 0.00 21.72 27.15 27.27 12.12 27.27 12.12 0.00 0.00 477.14 16.28 212.06 16.28 17.19 27.27 12.12 27.27 12.12 0.00 0.00 0.00 78.00 157.09 12.12 27.27 12.12 0.00 12.12 12.12 12.12 0.00 12.12 169.18 0.00 27.27 12.12 163.00 per visit 12.12 0.00 163.00 per visit 0.00 0.00 12.12 27.27 12.12 27.27 12.12 16.28 320000157 320 77001 TC FLOURO CVP PLACEMENT 248.04 248.04 798.87 0.00 108.49 0.00 28.63 12.73 28.63 12.73 0.00 0.00 173.63 0.00 12.73 0.00 28.63 12.73 28.63 0.00 114.28 142.85 28.63 12.73 28.63 12.73 0.00 0.00 798.87 85.65 355.05 85.65 90.41 28.63 12.73 28.63 12.73 0.00 0.00 0.00 80.00 161.23 12.73 28.63 12.73 0.00 12.73 12.73 12.73 0.00 12.73 173.63 0.00 28.63 12.73 102.00 per visit 12.73 0.00 102.00 per visit 0.00 0.00 12.73 28.63 12.73 28.63 12.73 85.65 320000133 320 77002 TC XR FLUORO LOC NDL BX/FINE NDL 845.88 845.88 798.87 0.00 120.10 0.00 34.09 15.15 34.09 15.15 0.00 0.00 592.12 0.00 15.15 0.00 34.09 15.15 34.09 0.00 126.50 158.13 34.09 15.15 34.09 15.15 0.00 0.00 798.87 94.82 355.05 94.82 100.08 34.09 15.15 34.09 15.15 0.00 0.00 0.00 61.00 549.82 15.15 34.09 15.15 0.00 15.15 15.15 15.15 0.00 15.15 592.12 0.00 34.09 15.15 102.00 per visit 15.15 0.00 102.00 per visit 0.00 0.00 15.15 34.09 15.15 34.09 15.15 94.82 350000001 350 77012 TC CT GUIDANCE NEEDLE BIOPSY 2332.00 2332.00 1632.40 0.00 94.67 0.00 122.72 54.54 122.72 54.54 0.00 0.00 697.00 per visit 0.00 54.54 0.00 122.72 54.54 122.72 0.00 99.71 124.64 122.72 54.54 122.72 54.54 0.00 0.00 439.42 74.74 195.30 74.74 78.89 122.72 54.54 122.72 54.54 0.00 0.00 0.00 333.00 1515.80 54.54 122.72 54.54 0.00 54.54 54.54 54.54 0.00 54.54 1632.40 0.00 122.72 54.54 499.00 per visit 54.54 0.00 499.00 per visit 0.00 0.00 54.54 122.72 54.54 122.72 54.54 74.74 352905007 619 77046 LTTC MRI BREAST UNILAT W/O CONT LT 3121.70 3121.70 2185.19 159.69 202.27 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 213.06 266.32 681.75 303.00 681.75 303.00 283.36 283.36 983.50 159.69 437.11 159.69 168.56 681.75 303.00 681.75 303.00 283.36 283.36 283.36 211.00 2029.11 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2185.19 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 159.69 352905008 619 77046 RTTC MRI BREAST UNILAT W/O CONT RT 3121.70 3121.70 2185.19 159.69 202.27 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 213.06 266.32 681.75 303.00 681.75 303.00 283.36 283.36 983.50 159.69 437.11 159.69 168.56 681.75 303.00 681.75 303.00 283.36 283.36 283.36 211.00 2029.11 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2185.19 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 159.69 352905011 619 77047 TC MRI BREAST W/O CONT BILATERAL 3559.48 3559.48 2491.64 158.99 201.38 283.36 681.75 303.00 681.75 303.00 283.36 283.36 1200.00 per visit 283.36 303.00 283.36 681.75 303.00 681.75 283.36 212.12 265.15 681.75 303.00 681.75 303.00 283.36 283.36 983.50 158.99 437.11 158.99 167.82 681.75 303.00 681.75 303.00 283.36 283.36 283.36 210.00 2313.66 303.00 681.75 303.00 283.36 303.00 303.00 303.00 283.36 303.00 2491.64 283.36 681.75 303.00 716.00 per visit 303.00 283.36 716.00 per visit 283.36 283.36 303.00 681.75 303.00 681.75 303.00 158.99 352905009 619 77048 LTTC MRI BREAST W W/O CONT W/CAD LT C8905 4149.90 4149.90 2904.93 261.19 330.84 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 348.48 435.61 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 261.19 659.26 261.19 275.70 681.75 303.00 681.75 303.00 444.72 444.72 444.72 348.00 2697.44 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2904.93 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 261.19 352905010 619 77048 RTTC MRI BREAST W W/O CONT W/CAD RT C8905 4149.90 4149.90 2904.93 261.19 330.84 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 348.48 435.61 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 261.19 659.26 261.19 275.70 681.75 303.00 681.75 303.00 444.72 444.72 444.72 348.00 2697.44 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 2904.93 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 261.19 352905012 619 77049 TC MRI BREAST W W/O CONT BILAT C8908 5300.00 5300.00 3710.00 258.72 327.72 444.72 681.75 303.00 681.75 303.00 444.72 444.72 1200.00 per visit 444.72 303.00 444.72 681.75 303.00 681.75 444.72 345.19 431.49 681.75 303.00 681.75 303.00 444.72 444.72 1483.34 258.72 659.26 258.72 273.10 681.75 303.00 681.75 303.00 444.72 444.72 444.72 346.00 3445.00 303.00 681.75 303.00 444.72 303.00 303.00 303.00 444.72 303.00 3710.00 444.72 681.75 303.00 716.00 per visit 303.00 444.72 716.00 per visit 444.72 444.72 303.00 681.75 303.00 681.75 303.00 258.72 320000126 320 77053 TC XR MAMM DUCT/GALACTOGRAM SINGL 895.70 895.70 626.99 18.18 49.61 283.36 40.91 18.18 40.91 18.18 283.36 283.36 103.60 283.36 18.18 283.36 40.91 18.18 40.91 283.36 52.26 65.32 40.91 18.18 40.91 18.18 283.36 283.36 575.23 39.17 255.66 39.17 41.34 40.91 18.18 40.91 18.18 283.36 283.36 283.36 105.00 582.21 18.18 40.91 18.18 283.36 18.18 18.18 18.18 283.36 18.18 626.99 283.36 40.91 18.18 102.00 per visit 18.18 283.36 102.00 per visit 283.36 283.36 18.18 40.91 18.18 40.91 18.18 39.17 320000127 320 77054 TC XR MAMM DUCT/GALACTOGRAM MULT 1017.60 1017.60 712.32 24.24 64.77 283.36 54.54 24.24 54.54 24.24 283.36 283.36 142.80 283.36 24.24 283.36 54.54 24.24 54.54 283.36 68.23 85.29 54.54 24.24 54.54 24.24 283.36 283.36 575.23 51.14 255.66 51.14 53.98 54.54 24.24 54.54 24.24 283.36 283.36 283.36 155.00 661.44 24.24 54.54 24.24 283.36 24.24 24.24 24.24 283.36 24.24 712.32 283.36 54.54 24.24 102.00 per visit 24.24 283.36 102.00 per visit 283.36 283.36 24.24 54.54 24.24 54.54 24.24 51.14 352505056 401 77061 LTTC "DX TOMOSYNTHESIS, MAMMO LT" G0279 107.06 107.06 297.07 47.94 60.73 53.27 297.07 132.03 297.07 132.03 53.27 53.27 74.94 53.27 132.03 53.27 297.07 132.03 297.07 53.27 63.97 79.96 297.07 132.03 297.07 132.03 53.27 53.27 276.17 47.94 122.74 47.94 50.61 297.07 132.03 297.07 132.03 53.27 53.27 53.27 64.56 69.59 132.03 297.07 132.03 53.27 132.03 132.03 132.03 53.27 132.03 74.94 53.27 297.07 132.03 123.00 per visit 132.03 53.27 123.00 per visit 53.27 53.27 132.03 297.07 132.03 297.07 132.03 47.94 352505057 401 77061 RTTC "DX TOMOSYNTHESIS, MAMMO RT" G0279 107.06 107.06 297.07 47.94 60.73 53.27 297.07 132.03 297.07 132.03 53.27 53.27 74.94 53.27 132.03 53.27 297.07 132.03 297.07 53.27 63.97 79.96 297.07 132.03 297.07 132.03 53.27 53.27 276.17 47.94 122.74 47.94 50.61 297.07 132.03 297.07 132.03 53.27 53.27 53.27 64.56 69.59 132.03 297.07 132.03 53.27 132.03 132.03 132.03 53.27 132.03 74.94 53.27 297.07 132.03 123.00 per visit 132.03 53.27 123.00 per visit 53.27 53.27 132.03 297.07 132.03 297.07 132.03 47.94 352505058 401 77062 TC "DX TOMOSYNTHESIS, MAMMO BIL" G0279 107.06 107.06 297.07 47.94 60.73 53.27 297.07 132.03 297.07 132.03 53.27 53.27 74.94 53.27 132.03 53.27 297.07 132.03 297.07 53.27 63.97 79.96 297.07 132.03 297.07 132.03 53.27 53.27 276.17 47.94 122.74 47.94 50.61 297.07 132.03 297.07 132.03 53.27 53.27 53.27 64.56 69.59 132.03 297.07 132.03 53.27 132.03 132.03 132.03 53.27 132.03 74.94 53.27 297.07 132.03 123.00 per visit 132.03 53.27 123.00 per visit 53.27 53.27 132.03 297.07 132.03 297.07 132.03 47.94 352505061 403 77063 52TC SCREENING TOMOSYNTHESIS LT 106.00 106.00 276.17 6.13 32.11 28.17 13.78 6.13 13.78 6.13 28.17 28.17 74.20 28.17 6.13 28.17 13.78 6.13 13.78 28.17 33.83 42.28 13.78 6.13 13.78 6.13 28.17 28.17 276.17 25.35 122.74 25.35 26.76 13.78 6.13 13.78 6.13 28.17 28.17 28.17 30.28 68.90 6.13 13.78 6.13 28.17 6.13 6.13 6.13 28.17 6.13 74.20 28.17 13.78 6.13 123.00 per visit 6.13 28.17 123.00 per visit 28.17 28.17 6.13 13.78 6.13 13.78 6.13 25.35 352505062 403 77063 52TC SCREENING TOMOSYNTHESIS RT 106.00 106.00 276.17 6.13 32.11 28.17 13.78 6.13 13.78 6.13 28.17 28.17 74.20 28.17 6.13 28.17 13.78 6.13 13.78 28.17 33.83 42.28 13.78 6.13 13.78 6.13 28.17 28.17 276.17 25.35 122.74 25.35 26.76 13.78 6.13 13.78 6.13 28.17 28.17 28.17 30.28 68.90 6.13 13.78 6.13 28.17 6.13 6.13 6.13 28.17 6.13 74.20 28.17 13.78 6.13 123.00 per visit 6.13 28.17 123.00 per visit 28.17 28.17 6.13 13.78 6.13 13.78 6.13 25.35 352505052 403 77063 TC SCREENING TOMOSYNTHESIS BILAT 106.00 106.00 276.17 6.13 32.11 28.17 13.78 6.13 13.78 6.13 28.17 28.17 74.20 28.17 6.13 28.17 13.78 6.13 13.78 28.17 33.83 42.28 13.78 6.13 13.78 6.13 28.17 28.17 276.17 25.35 122.74 25.35 26.76 13.78 6.13 13.78 6.13 28.17 28.17 28.17 30.28 68.90 6.13 13.78 6.13 28.17 6.13 6.13 6.13 28.17 6.13 74.20 28.17 13.78 6.13 123.00 per visit 6.13 28.17 123.00 per visit 28.17 28.17 6.13 13.78 6.13 13.78 6.13 25.35 352505053 401 77065 LTTC XR DX MAMMO LT INCL CAD 396.44 396.44 277.51 58.78 116.98 102.61 132.26 58.78 132.26 58.78 102.61 102.61 277.51 102.61 58.78 102.61 132.26 58.78 132.26 102.61 123.21 154.02 132.26 58.78 132.26 58.78 102.61 102.61 276.17 92.35 122.74 92.35 97.48 132.26 58.78 132.26 58.78 102.61 102.61 102.61 112.00 257.69 58.78 132.26 58.78 102.61 58.78 58.78 58.78 102.61 58.78 277.51 102.61 132.26 58.78 123.00 per visit 58.78 102.61 123.00 per visit 102.61 102.61 58.78 132.26 58.78 132.26 58.78 92.35 352505054 401 77065 RTTC XR DX MAMMO RT INCL CAD 396.44 396.44 277.51 58.78 116.98 102.61 132.26 58.78 132.26 58.78 102.61 102.61 277.51 102.61 58.78 102.61 132.26 58.78 132.26 102.61 123.21 154.02 132.26 58.78 132.26 58.78 102.61 102.61 276.17 92.35 122.74 92.35 97.48 132.26 58.78 132.26 58.78 102.61 102.61 102.61 112.00 257.69 58.78 132.26 58.78 102.61 58.78 58.78 58.78 102.61 58.78 277.51 102.61 132.26 58.78 123.00 per visit 58.78 102.61 123.00 per visit 102.61 102.61 58.78 132.26 58.78 132.26 58.78 92.35 352505055 401 77066 TC XR DX MAMMO BIL INCL CAD 487.60 487.60 341.32 58.78 150.08 131.65 132.26 58.78 132.26 58.78 131.65 131.65 341.32 131.65 58.78 131.65 132.26 58.78 132.26 131.65 158.09 197.61 132.26 58.78 132.26 58.78 131.65 131.65 276.17 118.49 122.74 118.49 125.07 132.26 58.78 132.26 58.78 131.65 131.65 131.65 143.00 316.94 58.78 132.26 58.78 131.65 58.78 58.78 58.78 131.65 58.78 341.32 131.65 132.26 58.78 123.00 per visit 58.78 131.65 123.00 per visit 131.65 131.65 58.78 132.26 58.78 132.26 58.78 118.49 352505059 403 77067 52TC XR MAMMO SCREENING LT INC CAD 228.96 228.96 276.17 58.78 123.67 108.48 132.26 58.78 132.26 58.78 108.48 108.48 160.27 108.48 58.78 108.48 132.26 58.78 132.26 108.48 130.26 162.83 132.26 58.78 132.26 58.78 108.48 108.48 276.17 97.63 122.74 97.63 103.06 132.26 58.78 132.26 58.78 108.48 108.48 108.48 118.00 148.82 58.78 132.26 58.78 108.48 58.78 58.78 58.78 108.48 58.78 160.27 108.48 132.26 58.78 123.00 per visit 58.78 108.48 123.00 per visit 108.48 108.48 58.78 132.26 58.78 132.26 58.78 97.63 352505060 403 77067 52TC XR MAMMO SCREENING RT INC CAD 228.96 228.96 276.17 58.78 123.67 108.48 132.26 58.78 132.26 58.78 108.48 108.48 160.27 108.48 58.78 108.48 132.26 58.78 132.26 108.48 130.26 162.83 132.26 58.78 132.26 58.78 108.48 108.48 276.17 97.63 122.74 97.63 103.06 132.26 58.78 132.26 58.78 108.48 108.48 108.48 118.00 148.82 58.78 132.26 58.78 108.48 58.78 58.78 58.78 108.48 58.78 160.27 108.48 132.26 58.78 123.00 per visit 58.78 108.48 123.00 per visit 108.48 108.48 58.78 132.26 58.78 132.26 58.78 97.63 403000001 403 77067 TC XR MAMMO SCREENING BIL INC CAD 228.96 228.96 276.17 58.78 123.67 108.48 132.26 58.78 132.26 58.78 108.48 108.48 160.27 108.48 58.78 108.48 132.26 58.78 132.26 108.48 130.26 162.83 132.26 58.78 132.26 58.78 108.48 108.48 276.17 97.63 122.74 97.63 103.06 132.26 58.78 132.26 58.78 108.48 108.48 108.48 118.00 148.82 58.78 132.26 58.78 108.48 58.78 58.78 58.78 108.48 58.78 160.27 108.48 132.26 58.78 123.00 per visit 58.78 108.48 123.00 per visit 108.48 108.48 58.78 132.26 58.78 132.26 58.78 97.63 320000172 320 77071 TC XR MAN APPL STRESS BY MD JOINT 238.50 238.50 166.95 0.00 72.31 105.08 0.00 0.00 0.00 0.00 105.08 105.08 91.66 105.08 0.00 105.08 0.00 0.00 0.00 105.08 76.17 95.21 0.00 0.00 0.00 0.00 105.08 105.08 0.00 57.09 0.00 57.09 60.26 0.00 0.00 0.00 0.00 105.08 105.08 105.08 33.00 155.03 0.00 0.00 0.00 105.08 0.00 0.00 0.00 105.08 0.00 166.95 105.08 0.00 0.00 102.00 per visit 0.00 105.08 102.00 per visit 105.08 105.08 0.00 0.00 0.00 0.00 0.00 57.09 320000134 320 77072 TC XR BONE AGE STUDIES 439.90 439.90 307.93 9.09 22.85 127.14 20.45 9.09 20.45 9.09 127.14 127.14 29.42 127.14 9.09 127.14 20.45 9.09 20.45 127.14 24.06 30.08 20.45 9.09 20.45 9.09 127.14 127.14 78.31 18.04 34.81 18.04 19.04 20.45 9.09 20.45 9.09 127.14 127.14 127.14 16.00 285.94 9.09 20.45 9.09 127.14 9.09 9.09 9.09 127.14 9.09 307.93 127.14 20.45 9.09 102.00 per visit 9.09 127.14 102.00 per visit 127.14 127.14 9.09 20.45 9.09 20.45 9.09 18.04 320000173 320 77073 TC XR BONE LENGTH STUDIES 439.90 439.90 307.93 15.15 43.37 127.14 34.09 15.15 34.09 15.15 127.14 127.14 50.42 127.14 15.15 127.14 34.09 15.15 34.09 127.14 45.68 57.10 34.09 15.15 34.09 15.15 127.14 127.14 78.31 34.24 34.81 34.24 36.14 34.09 15.15 34.09 15.15 127.14 127.14 127.14 36.00 285.94 15.15 34.09 15.15 127.14 15.15 15.15 15.15 127.14 15.15 307.93 127.14 34.09 15.15 102.00 per visit 15.15 127.14 102.00 per visit 127.14 127.14 15.15 34.09 15.15 34.09 15.15 34.24 320000174 320 77074 TC XR OSSESOUS SURVEY LMT 439.90 439.90 307.93 21.21 59.87 127.14 47.72 21.21 47.72 21.21 127.14 127.14 98.01 127.14 21.21 127.14 47.72 21.21 47.72 127.14 63.07 78.83 47.72 21.21 47.72 21.21 127.14 127.14 78.31 47.27 34.81 47.27 49.89 47.72 21.21 47.72 21.21 127.14 127.14 127.14 52.00 285.94 21.21 47.72 21.21 127.14 21.21 21.21 21.21 127.14 21.21 307.93 127.14 47.72 21.21 102.00 per visit 21.21 127.14 102.00 per visit 127.14 127.14 21.21 47.72 21.21 47.72 21.21 47.27 320000135 320 77075 TC XR BONE SURVEY COMP FOR MYELOM 636.00 636.00 575.23 30.30 98.78 127.14 68.18 30.30 68.18 30.30 127.14 127.14 157.50 127.14 30.30 127.14 68.18 30.30 68.18 127.14 104.05 130.06 68.18 30.30 68.18 30.30 127.14 127.14 575.23 77.99 255.66 77.99 82.32 68.18 30.30 68.18 30.30 127.14 127.14 127.14 78.00 413.40 30.30 68.18 30.30 127.14 30.30 30.30 30.30 127.14 30.30 445.20 127.14 68.18 30.30 102.00 per visit 30.30 127.14 102.00 per visit 127.14 127.14 30.30 68.18 30.30 68.18 30.30 77.99 320000136 320 77076 TC XR OSSEOUS SURVEY INFANT-SYPHI 439.90 439.90 307.93 21.21 99.67 127.14 47.72 21.21 47.72 21.21 127.14 127.14 137.21 127.14 21.21 127.14 47.72 21.21 47.72 127.14 104.99 131.23 47.72 21.21 47.72 21.21 127.14 127.14 78.31 78.69 34.81 78.69 83.06 47.72 21.21 47.72 21.21 127.14 127.14 127.14 48.00 285.94 21.21 47.72 21.21 127.14 21.21 21.21 21.21 127.14 21.21 307.93 127.14 47.72 21.21 102.00 per visit 21.21 127.14 102.00 per visit 127.14 127.14 21.21 47.72 21.21 47.72 21.21 78.69 320000137 320 77080 TC XR BONE DENSITOMETRY AXIAL 835.28 835.28 584.70 31.42 39.80 127.14 136.35 60.60 136.35 60.60 127.14 127.14 178.87 127.14 60.60 127.14 136.35 60.60 136.35 127.14 41.92 52.40 136.35 60.60 136.35 60.60 127.14 127.14 371.07 31.42 164.92 31.42 33.16 136.35 60.60 136.35 60.60 127.14 127.14 127.14 126.00 542.93 60.60 136.35 60.60 127.14 60.60 60.60 60.60 127.14 60.60 584.70 127.14 136.35 60.60 102.00 per visit 60.60 127.14 102.00 per visit 127.14 127.14 60.60 136.35 60.60 136.35 60.60 31.42 352600001 341 78012 TC THYRIOD UPTAKE MEASRMT 1335.60 1335.60 1135.26 15.96 97.09 476.95 35.91 15.96 35.91 15.96 476.95 476.95 934.92 476.95 15.96 476.95 35.91 15.96 35.91 476.95 102.27 127.84 35.91 15.96 35.91 15.96 476.95 476.95 770.04 76.65 342.24 76.65 80.91 35.91 15.96 35.91 15.96 476.95 476.95 476.95 86.00 1135.26 15.96 35.91 15.96 476.95 15.96 15.96 15.96 476.95 15.96 934.92 476.95 35.91 15.96 509.00 per visit 15.96 476.95 509.00 per visit 476.95 476.95 15.96 35.91 15.96 35.91 15.96 76.65 341000002 341 78013 TC NM THYROID IMAGING 1335.60 1335.60 1135.26 40.32 206.93 476.95 90.73 40.32 90.73 40.32 476.95 476.95 934.92 476.95 40.32 476.95 90.73 40.32 90.73 476.95 217.97 272.46 90.73 40.32 90.73 40.32 476.95 476.95 770.04 163.37 342.24 163.37 172.44 90.73 40.32 90.73 40.32 476.95 476.95 476.95 174.00 1135.26 40.32 90.73 40.32 476.95 40.32 40.32 40.32 476.95 40.32 934.92 476.95 90.73 40.32 509.00 per visit 40.32 476.95 509.00 per visit 476.95 476.95 40.32 90.73 40.32 90.73 40.32 163.37 352600002 341 78013 TC THYRD IMAG W BLOOD FLOW 1335.60 1335.60 1135.26 40.32 206.93 476.95 90.73 40.32 90.73 40.32 476.95 476.95 934.92 476.95 40.32 476.95 90.73 40.32 90.73 476.95 217.97 272.46 90.73 40.32 90.73 40.32 476.95 476.95 770.04 163.37 342.24 163.37 172.44 90.73 40.32 90.73 40.32 476.95 476.95 476.95 174.00 1135.26 40.32 90.73 40.32 476.95 40.32 40.32 40.32 476.95 40.32 934.92 476.95 90.73 40.32 509.00 per visit 40.32 476.95 509.00 per visit 476.95 476.95 40.32 90.73 40.32 90.73 40.32 163.37 341000001 341 78014 TC NM THY IMAG W/UP DAY 1-I123/I1 1378.00 1378.00 1171.30 50.16 261.36 476.95 112.87 50.16 112.87 50.16 476.95 476.95 964.60 476.95 50.16 476.95 112.87 50.16 112.87 476.95 275.30 344.12 112.87 50.16 112.87 50.16 476.95 476.95 770.04 206.33 342.24 206.33 217.80 112.87 50.16 112.87 50.16 476.95 476.95 476.95 254.00 1171.30 50.16 112.87 50.16 476.95 50.16 50.16 50.16 476.95 50.16 964.60 476.95 112.87 50.16 509.00 per visit 50.16 476.95 509.00 per visit 476.95 476.95 50.16 112.87 50.16 112.87 50.16 206.33 352600003 341 78014 TC THYRD IMAG W BLOOD FLOW MULP U 1378.00 1378.00 1171.30 50.16 261.36 476.95 112.87 50.16 112.87 50.16 476.95 476.95 964.60 476.95 50.16 476.95 112.87 50.16 112.87 476.95 275.30 344.12 112.87 50.16 112.87 50.16 476.95 476.95 770.04 206.33 342.24 206.33 217.80 112.87 50.16 112.87 50.16 476.95 476.95 476.95 254.00 1171.30 50.16 112.87 50.16 476.95 50.16 50.16 50.16 476.95 50.16 964.60 476.95 112.87 50.16 509.00 per visit 50.16 476.95 509.00 per visit 476.95 476.95 50.16 112.87 50.16 112.87 50.16 206.33 341000027 341 78070 TC NM PARATHYROID IMAGING 1378.00 1378.00 1680.54 36.36 311.41 476.95 81.81 36.36 81.81 36.36 476.95 476.95 258.35 476.95 36.36 476.95 81.81 36.36 81.81 476.95 328.02 410.03 81.81 36.36 81.81 36.36 476.95 476.95 1680.54 245.85 746.90 245.85 259.51 81.81 36.36 81.81 36.36 476.95 476.95 476.95 93.00 1171.30 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 964.60 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 245.85 352600004 341 78071 TC PARATHYRD PLANAR W WO SUBTR 2082.90 2082.90 1770.47 69.57 355.58 476.95 156.54 69.57 156.54 69.57 476.95 476.95 1458.03 476.95 69.57 476.95 156.54 69.57 156.54 476.95 374.54 468.18 156.54 69.57 156.54 69.57 476.95 476.95 770.04 280.72 342.24 280.72 296.31 156.54 69.57 156.54 69.57 476.95 476.95 476.95 355.00 1770.47 69.57 156.54 69.57 476.95 69.57 69.57 69.57 476.95 69.57 1458.03 476.95 156.54 69.57 509.00 per visit 69.57 476.95 509.00 per visit 476.95 476.95 69.57 156.54 69.57 156.54 69.57 280.72 352600005 341 78072 TC PARATHYRD PLANAR W SPECT & CT 2226.00 2226.00 1892.10 86.00 435.97 625.04 828.32 368.14 828.32 368.14 625.04 625.04 1558.20 625.04 368.14 625.04 828.32 368.14 828.32 625.04 459.22 574.03 828.32 368.14 828.32 368.14 625.04 625.04 770.04 344.19 342.24 344.19 363.31 828.32 368.14 828.32 368.14 625.04 625.04 625.04 86.00 1892.10 368.14 828.32 368.14 625.04 368.14 368.14 368.14 625.04 368.14 1558.20 625.04 828.32 368.14 509.00 per visit 368.14 625.04 509.00 per visit 625.04 625.04 368.14 828.32 368.14 828.32 368.14 344.19 352600009 341 78195 TC LYMPH OR LN NUCLEAR MED SCAN 2014.00 2014.00 1711.90 24.24 360.58 625.04 54.54 24.24 54.54 24.24 625.04 625.04 604.08 625.04 24.24 625.04 54.54 24.24 54.54 625.04 379.81 474.77 54.54 24.24 54.54 24.24 625.04 625.04 1680.54 284.67 746.90 284.67 300.49 54.54 24.24 54.54 24.24 625.04 625.04 625.04 208.00 1711.90 24.24 54.54 24.24 625.04 24.24 24.24 24.24 625.04 24.24 1409.80 625.04 54.54 24.24 509.00 per visit 24.24 625.04 509.00 per visit 625.04 625.04 24.24 54.54 24.24 54.54 24.24 284.67 341000068 341 78201 TC NM LIVER IMAG STATIC 4595.10 4595.10 3905.84 24.24 210.50 625.04 54.54 24.24 54.54 24.24 625.04 625.04 338.12 625.04 24.24 625.04 54.54 24.24 54.54 625.04 221.73 277.16 54.54 24.24 54.54 24.24 625.04 625.04 1680.54 166.19 746.90 166.19 175.42 54.54 24.24 54.54 24.24 625.04 625.04 625.04 121.00 3905.84 24.24 54.54 24.24 625.04 24.24 24.24 24.24 625.04 24.24 3216.57 625.04 54.54 24.24 509.00 per visit 24.24 625.04 509.00 per visit 625.04 625.04 24.24 54.54 24.24 54.54 24.24 166.19 341000005 341 78215 TC NM LIVER & SPLEEN IMAGING STAT 1558.20 1558.20 1680.54 36.36 214.07 476.95 81.81 36.36 81.81 36.36 476.95 476.95 345.82 476.95 36.36 476.95 81.81 36.36 81.81 476.95 225.49 281.86 81.81 36.36 81.81 36.36 476.95 476.95 1680.54 169.00 746.90 169.00 178.39 81.81 36.36 81.81 36.36 476.95 476.95 476.95 150.00 1324.47 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 1090.74 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 169.00 341000062 341 78226 TC HEPATOBILIARY SYSTEM IMAGING 1335.60 1335.60 1135.26 62.87 351.55 476.95 141.45 62.87 141.45 62.87 476.95 476.95 934.92 476.95 62.87 476.95 141.45 62.87 141.45 476.95 370.30 462.88 141.45 62.87 141.45 62.87 476.95 476.95 770.04 277.54 342.24 277.54 241.14 141.45 62.87 141.45 62.87 476.95 476.95 476.95 341.00 1135.26 62.87 141.45 62.87 476.95 62.87 62.87 62.87 476.95 62.87 934.92 476.95 141.45 62.87 509.00 per visit 62.87 476.95 509.00 per visit 476.95 476.95 62.87 141.45 62.87 141.45 62.87 277.54 341000063 341 78227 TC HEPATOBIL SYS IMG W/PHARM INTV 1729.92 1729.92 1470.43 86.06 478.00 625.04 193.63 86.06 193.63 86.06 625.04 625.04 1210.94 625.04 86.06 625.04 193.63 86.06 193.63 625.04 503.50 629.37 193.63 86.06 193.63 86.06 625.04 625.04 770.04 377.37 342.24 377.37 398.34 193.63 86.06 193.63 86.06 625.04 625.04 625.04 341.00 1470.43 86.06 193.63 86.06 625.04 86.06 86.06 86.06 625.04 86.06 1210.94 625.04 193.63 86.06 509.00 per visit 86.06 625.04 509.00 per visit 625.04 625.04 86.06 193.63 86.06 193.63 86.06 377.37 341000007 341 78264 TC NM GASTRIC EMPTYING 1335.60 1335.60 1135.26 24.24 356.12 476.95 54.54 24.24 54.54 24.24 476.95 476.95 509.59 476.95 24.24 476.95 54.54 24.24 54.54 476.95 375.12 468.90 54.54 24.24 54.54 24.24 476.95 476.95 770.04 281.15 342.24 281.15 296.77 54.54 24.24 54.54 24.24 476.95 476.95 476.95 211.00 1135.26 24.24 54.54 24.24 476.95 24.24 24.24 24.24 476.95 24.24 934.92 476.95 54.54 24.24 509.00 per visit 24.24 476.95 509.00 per visit 476.95 476.95 24.24 54.54 24.24 54.54 24.24 281.15 341000008 341 78278 TC NM GI BLEEDING 1634.52 1634.52 1680.54 24.24 365.93 476.95 54.54 24.24 54.54 24.24 476.95 476.95 611.07 476.95 24.24 476.95 54.54 24.24 54.54 476.95 385.44 481.81 54.54 24.24 54.54 24.24 476.95 476.95 1680.54 288.89 746.90 288.89 304.94 54.54 24.24 54.54 24.24 476.95 476.95 476.95 249.00 1389.34 24.24 54.54 24.24 476.95 24.24 24.24 24.24 476.95 24.24 1144.16 476.95 54.54 24.24 509.00 per visit 24.24 476.95 509.00 per visit 476.95 476.95 24.24 54.54 24.24 54.54 24.24 288.89 341000030 341 78290 TC MECKEL DIVERT EXAM 1335.60 1335.60 1135.26 24.24 361.03 476.95 54.54 24.24 54.54 24.24 476.95 476.95 592.18 476.95 24.24 476.95 54.54 24.24 54.54 476.95 380.28 475.35 54.54 24.24 54.54 24.24 476.95 476.95 770.04 285.02 342.24 285.02 300.86 54.54 24.24 54.54 24.24 476.95 476.95 476.95 155.00 1135.26 24.24 54.54 24.24 476.95 24.24 24.24 24.24 476.95 24.24 934.92 476.95 54.54 24.24 509.00 per visit 24.24 476.95 509.00 per visit 476.95 476.95 24.24 54.54 24.24 54.54 24.24 285.02 341000022 341 78300 TC NM BONE AND JOINT SCAN LIMITED 1441.60 1441.60 1225.36 36.36 238.50 476.95 81.81 36.36 81.81 36.36 476.95 476.95 299.63 476.95 36.36 476.95 81.81 36.36 81.81 476.95 251.22 314.02 81.81 36.36 81.81 36.36 476.95 476.95 770.04 188.29 342.24 188.29 198.75 81.81 36.36 81.81 36.36 476.95 476.95 476.95 128.00 1225.36 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 1009.12 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 188.29 341000073 341 78305 TC NM BONE JOINT SCAN MULT AREAS 1590.00 1590.00 1351.50 36.36 283.21 476.95 81.81 36.36 81.81 36.36 476.95 476.95 395.52 476.95 36.36 476.95 81.81 36.36 81.81 476.95 298.31 372.89 81.81 36.36 81.81 36.36 476.95 476.95 770.04 223.59 342.24 223.59 236.01 81.81 36.36 81.81 36.36 476.95 476.95 476.95 187.00 1351.50 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 1113.00 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 223.59 341000023 341 78306 TC NM BONE SCAN TOATAL BODY 2332.00 2332.00 1982.20 36.36 308.19 476.95 81.81 36.36 81.81 36.36 476.95 476.95 434.70 476.95 36.36 476.95 81.81 36.36 81.81 476.95 324.62 405.78 81.81 36.36 81.81 36.36 476.95 476.95 770.04 243.31 342.24 243.31 256.82 81.81 36.36 81.81 36.36 476.95 476.95 476.95 218.00 1982.20 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 1632.40 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 243.31 341000024 341 78315 TC NM BONE SCAN 3 PHASE 2650.00 2650.00 2252.50 48.48 361.47 476.95 109.08 48.48 109.08 48.48 476.95 476.95 607.57 476.95 48.48 476.95 109.08 48.48 109.08 476.95 380.75 475.94 109.08 48.48 109.08 48.48 476.95 476.95 770.04 285.37 342.24 285.37 301.23 109.08 48.48 109.08 48.48 476.95 476.95 476.95 244.00 2252.50 48.48 109.08 48.48 476.95 48.48 48.48 48.48 476.95 48.48 1855.00 476.95 109.08 48.48 509.00 per visit 48.48 476.95 509.00 per visit 476.95 476.95 48.48 109.08 48.48 109.08 48.48 285.37 431000001 341 78451 TC NM MYOCARD PERF SPECT- SNGL ST 4595.10 4595.10 3905.84 84.31 335.06 1642.05 189.70 84.31 189.70 84.31 1642.05 1642.05 566.98 1642.05 84.31 1642.05 189.70 84.31 189.70 1642.05 352.93 441.16 189.70 84.31 189.70 84.31 1642.05 1642.05 1680.54 264.52 746.90 264.52 279.21 189.70 84.31 189.70 84.31 1642.05 1642.05 1642.05 202.00 3905.84 84.31 189.70 84.31 1642.05 84.31 84.31 84.31 1642.05 84.31 3216.57 1642.05 189.70 84.31 509.00 per visit 84.31 1642.05 509.00 per visit 1642.05 1642.05 84.31 189.70 84.31 189.70 84.31 264.52 341000009 341 78452 TC NM MYOCARD PERFUSION SPECT- MU 4717.00 4717.00 4009.45 144.68 480.77 1642.05 325.52 144.68 325.52 144.68 1642.05 1642.05 823.86 1642.05 144.68 1642.05 325.52 144.68 325.52 1642.05 506.41 633.02 325.52 144.68 325.52 144.68 1642.05 1642.05 1680.54 379.56 746.90 379.56 400.64 325.52 144.68 325.52 144.68 1642.05 1642.05 1642.05 390.00 4009.45 144.68 325.52 144.68 1642.05 144.68 144.68 144.68 1642.05 144.68 3301.90 1642.05 325.52 144.68 509.00 per visit 144.68 1642.05 509.00 per visit 1642.05 1642.05 144.68 325.52 144.68 325.52 144.68 379.56 431000002 341 78453 TC NM MYOCARD PERF PLANAR SNGL ST 4595.10 4595.10 3905.84 73.54 297.14 1642.05 165.47 73.54 165.47 73.54 1642.05 1642.05 504.69 1642.05 73.54 1642.05 165.47 73.54 165.47 1642.05 312.99 391.24 165.47 73.54 165.47 73.54 1642.05 1642.05 1680.54 234.59 746.90 234.59 247.62 165.47 73.54 165.47 73.54 1642.05 1642.05 1642.05 188.00 3905.84 73.54 165.47 73.54 1642.05 73.54 73.54 73.54 1642.05 73.54 3216.57 1642.05 165.47 73.54 509.00 per visit 73.54 1642.05 509.00 per visit 1642.05 1642.05 73.54 165.47 73.54 165.47 73.54 234.59 431000003 341 78454 TC NM MYOCARD PERF PLANAR MULT ST 4717.00 4717.00 4009.45 70.45 449.89 1642.05 158.52 70.45 158.52 70.45 1642.05 1642.05 739.88 1642.05 70.45 1642.05 158.52 70.45 158.52 1642.05 473.88 592.35 158.52 70.45 158.52 70.45 1642.05 1642.05 1680.54 355.18 746.90 355.18 374.91 158.52 70.45 158.52 70.45 1642.05 1642.05 1642.05 158.00 4009.45 70.45 158.52 70.45 1642.05 70.45 70.45 70.45 1642.05 70.45 3301.90 1642.05 158.52 70.45 509.00 per visit 70.45 1642.05 509.00 per visit 1642.05 1642.05 70.45 158.52 70.45 158.52 70.45 355.18 341000074 341 78466 TC NM MYOCARD INFARCT AVID PLANR 1335.60 1335.60 1135.26 36.36 181.50 476.95 81.81 36.36 81.81 36.36 476.95 476.95 300.33 476.95 36.36 476.95 81.81 36.36 81.81 476.95 191.18 238.97 81.81 36.36 81.81 36.36 476.95 476.95 770.04 143.29 342.24 143.29 151.25 81.81 36.36 81.81 36.36 476.95 476.95 476.95 135.00 1135.26 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 934.92 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 143.29 341000010 341 78472 TC NM GATED BL POOL-SINGLE-EJECT 1634.52 1634.52 1389.34 90.90 221.65 476.95 204.53 90.90 204.53 90.90 476.95 476.95 417.91 476.95 90.90 476.95 204.53 90.90 204.53 476.95 233.47 291.84 204.53 90.90 204.53 90.90 476.95 476.95 770.04 174.99 342.24 174.99 184.71 204.53 90.90 204.53 90.90 476.95 476.95 476.95 282.00 1389.34 90.90 204.53 90.90 476.95 90.90 90.90 90.90 476.95 90.90 1144.16 476.95 204.53 90.90 509.00 per visit 90.90 476.95 509.00 per visit 476.95 476.95 90.90 204.53 90.90 204.53 90.90 174.99 341000011 341 78473 TC NM GATED BLOOD POOL (MUGA) 2429.52 2429.52 2065.09 90.90 269.48 476.95 204.53 90.90 204.53 90.90 476.95 476.95 532.68 476.95 90.90 476.95 204.53 90.90 204.53 476.95 283.86 354.82 204.53 90.90 204.53 90.90 476.95 476.95 770.04 212.75 342.24 212.75 224.57 204.53 90.90 204.53 90.90 476.95 476.95 476.95 421.00 2065.09 90.90 204.53 90.90 476.95 90.90 90.90 90.90 476.95 90.90 1700.66 476.95 204.53 90.90 509.00 per visit 90.90 476.95 509.00 per visit 476.95 476.95 90.90 204.53 90.90 204.53 90.90 212.75 341000064 341 78579 TC LUNG VENTILATION IMAGING 1335.60 1335.60 1680.54 33.42 201.03 476.95 75.20 33.42 75.20 33.42 476.95 476.95 934.92 476.95 33.42 476.95 75.20 33.42 75.20 476.95 211.75 264.69 75.20 33.42 75.20 33.42 476.95 476.95 1680.54 158.71 746.90 158.71 241.14 75.20 33.42 75.20 33.42 476.95 476.95 476.95 176.00 1135.26 33.42 75.20 33.42 476.95 33.42 33.42 33.42 476.95 33.42 934.92 476.95 75.20 33.42 509.00 per visit 33.42 476.95 509.00 per visit 476.95 476.95 33.42 75.20 33.42 75.20 33.42 158.71 341000012 341 78580 TC NM LUNG PERFUSION IMAGING 1505.20 1505.20 1680.54 36.36 244.85 476.95 81.81 36.36 81.81 36.36 476.95 476.95 363.32 476.95 36.36 476.95 81.81 36.36 81.81 476.95 257.91 322.38 81.81 36.36 81.81 36.36 476.95 476.95 1680.54 193.30 746.90 193.30 204.04 81.81 36.36 81.81 36.36 476.95 476.95 476.95 175.00 1279.42 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 1053.64 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 193.30 341000065 341 78582 TC LUNG VENTILAT & PERFUS IMAGING 1729.92 1729.92 1680.54 61.56 340.85 625.04 138.52 61.56 138.52 61.56 625.04 625.04 1210.94 625.04 61.56 625.04 138.52 61.56 138.52 625.04 359.03 448.78 138.52 61.56 138.52 61.56 625.04 625.04 1680.54 269.09 746.90 269.09 316.01 138.52 61.56 138.52 61.56 625.04 625.04 625.04 98.00 1470.43 61.56 138.52 61.56 625.04 61.56 61.56 61.56 625.04 61.56 1210.94 625.04 138.52 61.56 509.00 per visit 61.56 625.04 509.00 per visit 625.04 625.04 61.56 138.52 61.56 138.52 61.56 269.09 341000066 341 78597 TC LUNG PERFUSION DIFFERENTIAL 1335.60 1335.60 1680.54 37.66 201.93 476.95 84.73 37.66 84.73 37.66 476.95 476.95 934.92 476.95 37.66 476.95 84.73 37.66 84.73 476.95 212.70 265.87 84.73 37.66 84.73 37.66 476.95 476.95 1680.54 159.42 746.90 159.42 241.14 84.73 37.66 84.73 37.66 476.95 476.95 476.95 189.00 1135.26 37.66 84.73 37.66 476.95 37.66 37.66 37.66 476.95 37.66 934.92 476.95 84.73 37.66 509.00 per visit 37.66 476.95 509.00 per visit 476.95 476.95 37.66 84.73 37.66 84.73 37.66 159.42 341000067 341 78598 TC LUNG PERF & VENTTILAT DIFFEREN 1729.92 1729.92 1680.54 57.85 318.11 625.04 130.16 57.85 130.16 57.85 625.04 625.04 1210.94 625.04 57.85 625.04 130.16 57.85 130.16 625.04 335.07 418.84 130.16 57.85 130.16 57.85 625.04 625.04 1680.54 251.14 746.90 251.14 316.01 130.16 57.85 130.16 57.85 625.04 625.04 625.04 306.00 1470.43 57.85 130.16 57.85 625.04 57.85 57.85 57.85 625.04 57.85 1210.94 625.04 130.16 57.85 509.00 per visit 57.85 625.04 509.00 per visit 625.04 625.04 57.85 130.16 57.85 130.16 57.85 251.14 341000014 341 78606 TC NM BRAIN IMAG W/VASCULAR FLOW 2167.70 2167.70 1842.55 42.42 364.59 625.04 95.45 42.42 95.45 42.42 625.04 625.04 603.37 625.04 42.42 625.04 95.45 42.42 95.45 625.04 384.04 480.05 95.45 42.42 95.45 42.42 625.04 625.04 770.04 287.84 342.24 287.84 303.83 95.45 42.42 95.45 42.42 625.04 625.04 625.04 198.00 1842.55 42.42 95.45 42.42 625.04 42.42 42.42 42.42 625.04 42.42 1517.39 625.04 95.45 42.42 509.00 per visit 42.42 625.04 509.00 per visit 625.04 625.04 42.42 95.45 42.42 95.45 42.42 287.84 341000015 341 78707 TC NM RENAL SCAN - FLOW & FUNCTIO 1729.92 1729.92 1470.43 57.57 230.13 625.04 129.53 57.57 129.53 57.57 625.04 625.04 393.41 625.04 57.57 625.04 129.53 57.57 129.53 625.04 242.41 303.01 129.53 57.57 129.53 57.57 625.04 625.04 770.04 181.68 342.24 181.68 191.78 129.53 57.57 129.53 57.57 625.04 625.04 625.04 228.00 1470.43 57.57 129.53 57.57 625.04 57.57 57.57 57.57 625.04 57.57 1210.94 625.04 129.53 57.57 509.00 per visit 57.57 625.04 509.00 per visit 625.04 625.04 57.57 129.53 57.57 129.53 57.57 181.68 341000016 341 78709 TC NM RENAL SCAN WITH LASIX 1941.92 1941.92 1650.63 63.02 366.83 625.04 141.80 63.02 141.80 63.02 625.04 625.04 612.47 625.04 63.02 625.04 141.80 63.02 141.80 625.04 386.39 482.99 141.80 63.02 141.80 63.02 625.04 625.04 770.04 289.60 342.24 289.60 305.69 141.80 63.02 141.80 63.02 625.04 625.04 625.04 228.00 1650.63 63.02 141.80 63.02 625.04 63.02 63.02 63.02 625.04 63.02 1359.34 625.04 141.80 63.02 509.00 per visit 63.02 625.04 509.00 per visit 625.04 625.04 63.02 141.80 63.02 141.80 63.02 289.60 341000075 341 78800 TC NM TUMORE LOCAL LIMITED AREAS 1335.60 1335.60 1680.54 36.36 270.72 476.95 81.81 36.36 81.81 36.36 476.95 476.95 318.52 476.95 36.36 476.95 81.81 36.36 81.81 476.95 285.15 356.44 81.81 36.36 81.81 36.36 476.95 476.95 1680.54 213.72 746.90 213.72 225.60 81.81 36.36 81.81 36.36 476.95 476.95 476.95 173.00 1135.26 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 934.92 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 213.72 341000076 341 78801 TC NM TUMORE LOCAL MULTIPLE AREAS 1484.00 1484.00 1680.54 36.36 289.01 476.95 81.81 36.36 81.81 36.36 476.95 476.95 440.31 476.95 36.36 476.95 81.81 36.36 81.81 476.95 304.43 380.53 81.81 36.36 81.81 36.36 476.95 476.95 1680.54 228.17 746.90 228.17 240.84 81.81 36.36 81.81 36.36 476.95 476.95 476.95 216.00 1261.40 36.36 81.81 36.36 476.95 36.36 36.36 36.36 476.95 36.36 1038.80 476.95 81.81 36.36 509.00 per visit 36.36 476.95 509.00 per visit 476.95 476.95 36.36 81.81 36.36 81.81 36.36 228.17 341000017 341 78802 TC NM GALLIUM SCAN WHOLE BODY 4595.10 4595.10 3905.84 36.36 328.26 1642.05 81.81 36.36 81.81 36.36 1642.05 1642.05 586.58 1642.05 36.36 1642.05 81.81 36.36 81.81 1642.05 345.77 432.21 81.81 36.36 81.81 36.36 1642.05 1642.05 1680.54 259.16 746.90 259.16 273.55 81.81 36.36 81.81 36.36 1642.05 1642.05 1642.05 283.00 3905.84 36.36 81.81 36.36 1642.05 36.36 36.36 36.36 1642.05 36.36 3216.57 1642.05 81.81 36.36 509.00 per visit 36.36 1642.05 509.00 per visit 1642.05 1642.05 36.36 81.81 36.36 81.81 36.36 259.16 341000018 341 78803 TC NM TUMOR LOCALIZATION SPECT 2167.70 2167.70 1842.55 69.69 399.29 1642.05 156.80 69.69 156.80 69.69 1642.05 1642.05 614.58 1642.05 69.69 1642.05 156.80 69.69 156.80 1642.05 420.58 525.73 156.80 69.69 156.80 69.69 1642.05 1642.05 1680.54 315.23 746.90 315.23 332.74 156.80 69.69 156.80 69.69 1642.05 1642.05 1642.05 334.00 1842.55 69.69 156.80 69.69 1642.05 69.69 69.69 69.69 1642.05 69.69 1517.39 1642.05 156.80 69.69 509.00 per visit 69.69 1642.05 509.00 per visit 1642.05 1642.05 69.69 156.80 69.69 156.80 69.69 315.23 341000077 341 78804 TC NM TUMORE LOCAL > 2 DAYS IMAGI 4595.10 4595.10 3905.84 36.36 723.54 1642.05 81.81 36.36 81.81 36.36 1642.05 1642.05 1088.44 1642.05 36.36 1642.05 81.81 36.36 81.81 1642.05 762.12 952.65 81.81 36.36 81.81 36.36 1642.05 1642.05 1680.54 571.21 746.90 571.21 602.95 81.81 36.36 81.81 36.36 1642.05 1642.05 1642.05 234.16 3905.84 36.36 81.81 36.36 1642.05 36.36 36.36 36.36 1642.05 36.36 3216.57 1642.05 81.81 36.36 509.00 per visit 36.36 1642.05 509.00 per visit 1642.05 1642.05 36.36 81.81 36.36 81.81 36.36 571.21 352600010 341 78831 TC RP LOCLZJ TUM SPECT 2 AREAS 5035.00 5035.00 4279.75 119.61 760.12 1642.05 269.11 119.61 269.11 119.61 1642.05 1642.05 3524.50 1642.05 119.61 1642.05 269.11 119.61 269.11 1642.05 800.66 1000.82 269.11 119.61 269.11 119.61 1642.05 1642.05 1680.54 600.09 746.90 600.09 633.43 269.11 119.61 269.11 119.61 1642.05 1642.05 1642.05 770.00 4279.75 119.61 269.11 119.61 1642.05 119.61 119.61 119.61 1642.05 119.61 3524.50 1642.05 269.11 119.61 509.00 per visit 119.61 1642.05 509.00 per visit 1642.05 1642.05 119.61 269.11 119.61 269.11 119.61 600.09 341000029 340 79005 TC RP THERAPY ORAL ADMN 911.60 911.60 876.65 18.18 68.89 287.70 40.91 18.18 40.91 18.18 287.70 287.70 112.71 287.70 18.18 287.70 40.91 18.18 40.91 287.70 273.48 273.48 40.91 18.18 40.91 18.18 287.70 287.70 876.65 54.39 389.62 54.39 57.41 40.91 18.18 40.91 18.18 287.70 287.70 287.70 139.00 774.86 18.18 40.91 18.18 287.70 18.18 18.18 18.18 287.70 18.18 638.12 287.70 40.91 18.18 509.00 per visit 18.18 287.70 509.00 per visit 287.70 287.70 18.18 40.91 18.18 40.91 18.18 54.39 352600008 342 79101 TC RADIOPH RX BY IV ADMIN 1060.00 1060.00 901.00 18.18 72.01 287.70 40.91 18.18 40.91 18.18 287.70 287.70 122.51 287.70 18.18 287.70 40.91 18.18 40.91 287.70 75.85 94.82 40.91 18.18 40.91 18.18 287.70 287.70 876.65 56.85 389.62 56.85 60.01 40.91 18.18 40.91 18.18 287.70 287.70 287.70 139.00 901.00 18.18 40.91 18.18 287.70 18.18 18.18 18.18 287.70 18.18 742.00 287.70 40.91 18.18 509.00 per visit 18.18 287.70 509.00 per visit 287.70 287.70 18.18 40.91 18.18 40.91 18.18 56.85 301000200 301 80048 BASIC METABOLIC PANEL 58.30 58.30 66.65 7.32 9.64 8.46 16.48 7.32 16.48 7.32 8.46 8.46 19.60 8.46 7.32 8.46 16.48 7.32 16.48 8.46 10.16 12.70 16.48 7.32 16.48 7.32 8.46 8.46 66.65 29.62 29.62 29.62 8.04 16.48 7.32 16.48 7.32 8.46 8.46 8.46 9.00 9.31 7.32 16.48 7.32 8.46 7.32 7.32 7.32 8.46 7.32 40.81 8.46 16.48 7.32 7.32 7.32 8.46 16.48 8.46 8.46 7.32 16.48 7.32 16.48 7.32 7.61 301000201 301 80051 ELECTROLYTE PANEL 57.24 57.24 66.65 6.10 7.99 7.01 13.73 6.10 13.73 6.10 7.01 7.01 16.23 7.01 6.10 7.01 13.73 6.10 13.73 7.01 8.42 10.52 13.73 6.10 13.73 6.10 7.01 7.01 66.65 29.62 29.62 29.62 6.66 13.73 6.10 13.73 6.10 7.01 7.01 7.01 8.00 7.71 6.10 13.73 6.10 7.01 6.10 6.10 6.10 7.01 6.10 40.07 7.01 13.73 6.10 6.10 6.10 7.01 13.73 7.01 7.01 6.10 13.73 6.10 13.73 6.10 6.31 301000202 301 80053 COMPREHENSIVE METABOLIC PANEL 80.56 80.56 66.65 9.50 12.04 10.56 22.73 10.10 22.73 10.10 10.56 10.56 24.64 10.56 10.10 10.56 22.73 10.10 22.73 10.56 12.68 15.85 22.73 10.10 22.73 10.10 10.56 10.56 66.65 29.62 29.62 29.62 10.03 22.73 10.10 22.73 10.10 10.56 10.56 10.56 12.00 11.62 10.10 22.73 10.10 10.56 10.10 10.10 10.10 10.56 10.10 56.39 10.56 22.73 10.10 10.10 10.10 10.56 22.73 10.56 10.56 10.10 22.73 10.10 22.73 10.10 9.50 301000205 301 80061 LIPID PANEL 187.62 187.62 131.33 6.10 15.26 13.39 13.73 6.10 13.73 6.10 13.39 13.39 38.63 13.39 6.10 13.39 13.73 6.10 13.73 13.39 16.08 20.10 13.73 6.10 13.73 6.10 13.39 13.39 66.65 29.62 29.62 29.62 12.72 13.73 6.10 13.73 6.10 13.39 13.39 13.39 19.00 14.73 6.10 13.73 6.10 13.39 6.10 6.10 6.10 13.39 6.10 131.33 13.39 13.73 6.10 6.10 6.10 13.39 13.73 13.39 13.39 6.10 13.73 6.10 13.73 6.10 12.05 301000204 301 80074 HEPATITIS PANEL 500.32 500.32 350.22 29.62 54.30 47.63 71.69 31.86 71.69 31.86 47.63 47.63 109.17 47.63 31.86 47.63 71.69 31.86 71.69 47.63 57.19 71.49 71.69 31.86 71.69 31.86 47.63 47.63 66.65 29.62 29.62 29.62 45.25 71.69 31.86 71.69 31.86 47.63 47.63 47.63 83.00 52.39 31.86 71.69 31.86 47.63 31.86 31.86 31.86 47.63 31.86 350.22 47.63 71.69 31.86 31.86 31.86 47.63 71.69 47.63 47.63 31.86 71.69 31.86 71.69 31.86 42.87 301000203 301 80076 LIVER PANEL 65.72 65.72 66.65 7.32 9.31 8.17 16.48 7.32 16.48 7.32 8.17 8.17 19.03 8.17 7.32 8.17 16.48 7.32 16.48 8.17 9.81 12.26 16.48 7.32 16.48 7.32 8.17 8.17 66.65 29.62 29.62 29.62 7.76 16.48 7.32 16.48 7.32 8.17 8.17 8.17 11.00 8.99 7.32 16.48 7.32 8.17 7.32 7.32 7.32 8.17 7.32 46.00 8.17 16.48 7.32 7.32 7.32 8.17 16.48 8.17 8.17 7.32 16.48 7.32 16.48 7.32 7.35 301000207 301 80150 AMIKACIN 165.36 165.36 115.75 10.61 17.19 15.08 23.86 10.61 23.86 10.61 15.08 15.08 34.71 15.08 10.61 15.08 23.86 10.61 23.86 15.08 18.11 22.64 23.86 10.61 23.86 10.61 15.08 15.08 43.76 19.45 19.45 19.45 14.33 23.86 10.61 23.86 10.61 15.08 15.08 15.08 21.00 16.59 10.61 23.86 10.61 15.08 10.61 10.61 10.61 15.08 10.61 115.75 15.08 23.86 10.61 10.61 10.61 15.08 23.86 15.08 15.08 10.61 23.86 10.61 23.86 10.61 13.57 301000209 301 80156 CARBAMAZEPINE (TEGRETOL) 122.96 122.96 86.07 10.61 16.61 14.57 23.86 10.61 23.86 10.61 14.57 14.57 33.59 14.57 10.61 14.57 23.86 10.61 23.86 14.57 17.50 21.87 23.86 10.61 23.86 10.61 14.57 14.57 43.76 19.45 19.45 19.45 13.84 23.86 10.61 23.86 10.61 14.57 14.57 14.57 17.00 16.03 10.61 23.86 10.61 14.57 10.61 10.61 10.61 14.57 10.61 86.07 14.57 23.86 10.61 10.61 10.61 14.57 23.86 14.57 14.57 10.61 23.86 10.61 23.86 10.61 13.11 301000323 301 80158 "CYCLOSPORINE LC/MS/MS,BLD" 163.24 163.24 114.27 10.61 20.58 18.05 23.86 10.61 23.86 10.61 18.05 18.05 42.00 18.05 10.61 18.05 23.86 10.61 23.86 18.05 21.67 27.09 23.86 10.61 23.86 10.61 18.05 18.05 43.76 19.45 19.45 19.45 17.15 23.86 10.61 23.86 10.61 18.05 18.05 18.05 25.00 19.86 10.61 23.86 10.61 18.05 10.61 10.61 10.61 18.05 10.61 114.27 18.05 23.86 10.61 10.61 10.61 18.05 23.86 18.05 18.05 10.61 23.86 10.61 23.86 10.61 16.25 301000210 301 80162 DIGOXIN TOTAL 169.60 169.60 118.72 10.61 15.14 13.28 23.86 10.61 23.86 10.61 13.28 13.28 30.79 13.28 10.61 13.28 23.86 10.61 23.86 13.28 15.95 19.93 23.86 10.61 23.86 10.61 13.28 13.28 43.76 19.45 19.45 19.45 12.62 23.86 10.61 23.86 10.61 13.28 13.28 13.28 19.00 14.61 10.61 23.86 10.61 13.28 10.61 10.61 10.61 13.28 10.61 118.72 13.28 23.86 10.61 10.61 10.61 13.28 23.86 13.28 13.28 10.61 23.86 10.61 23.86 10.61 11.95 353000047 301 80163 ASSAY OF DIGOXIN FREE 41.34 41.34 43.76 10.61 15.14 13.28 23.86 10.61 23.86 10.61 13.28 13.28 28.94 13.28 10.61 13.28 23.86 10.61 23.86 13.28 15.95 19.93 23.86 10.61 23.86 10.61 13.28 13.28 43.76 19.45 19.45 19.45 12.62 23.86 10.61 23.86 10.61 13.28 13.28 13.28 18.07 14.61 10.61 23.86 10.61 13.28 10.61 10.61 10.61 13.28 10.61 28.94 13.28 23.86 10.61 10.61 10.61 13.28 23.86 13.28 13.28 10.61 23.86 10.61 23.86 10.61 11.95 301000212 301 80164 DIPROPYLACETIC ACID (VALP) TOTAL 120.84 120.84 84.59 10.61 15.44 13.54 23.86 10.61 23.86 10.61 13.54 13.54 31.36 13.54 10.61 13.54 23.86 10.61 23.86 13.54 16.26 20.32 23.86 10.61 23.86 10.61 13.54 13.54 43.76 19.45 19.45 19.45 12.86 23.86 10.61 23.86 10.61 13.54 13.54 13.54 19.00 14.89 10.61 23.86 10.61 13.54 10.61 10.61 10.61 13.54 10.61 84.59 13.54 23.86 10.61 10.61 10.61 13.54 23.86 13.54 13.54 10.61 23.86 10.61 23.86 10.61 12.19 353000048 301 80165 DIPROPYLACETIC ACID (VALP) FREE 42.40 42.40 43.76 10.61 15.44 13.54 23.86 10.61 23.86 10.61 13.54 13.54 29.68 13.54 10.61 13.54 23.86 10.61 23.86 13.54 16.26 20.32 23.86 10.61 23.86 10.61 13.54 13.54 43.76 19.45 19.45 19.45 12.86 23.86 10.61 23.86 10.61 13.54 13.54 13.54 18.44 14.89 10.61 23.86 10.61 13.54 10.61 10.61 10.61 13.54 10.61 29.68 13.54 23.86 10.61 10.61 10.61 13.54 23.86 13.54 13.54 10.61 23.86 10.61 23.86 10.61 12.19 301000213 301 80168 ETHOSUXIMIDE (ZARONTIN) 133.56 133.56 93.49 10.61 18.63 16.34 23.86 10.61 23.86 10.61 16.34 16.34 38.08 16.34 10.61 16.34 23.86 10.61 23.86 16.34 19.62 24.53 23.86 10.61 23.86 10.61 16.34 16.34 43.76 19.45 19.45 19.45 15.52 23.86 10.61 23.86 10.61 16.34 16.34 16.34 23.00 17.97 10.61 23.86 10.61 16.34 10.61 10.61 10.61 16.34 10.61 93.49 16.34 23.86 10.61 10.61 10.61 16.34 23.86 16.34 16.34 10.61 23.86 10.61 23.86 10.61 14.71 301000214 301 80170 GENTAMICIN 145.22 145.22 101.65 10.61 18.67 16.38 23.86 10.61 23.86 10.61 16.38 16.38 38.08 16.38 10.61 16.38 23.86 10.61 23.86 16.38 19.67 24.59 23.86 10.61 23.86 10.61 16.38 16.38 43.76 19.45 19.45 19.45 15.56 23.86 10.61 23.86 10.61 16.38 16.38 16.38 23.00 18.02 10.61 23.86 10.61 16.38 10.61 10.61 10.61 16.38 10.61 101.65 16.38 23.86 10.61 10.61 10.61 16.38 23.86 16.38 16.38 10.61 23.86 10.61 23.86 10.61 14.74 301000228 301 80173 HALOPERIDOL SERUM (HALDOL) 206.70 206.70 144.69 10.61 17.99 15.78 23.86 10.61 23.86 10.61 15.78 15.78 33.59 15.78 10.61 15.78 23.86 10.61 23.86 15.78 18.95 23.69 23.86 10.61 23.86 10.61 15.78 15.78 43.76 19.45 19.45 19.45 14.99 23.86 10.61 23.86 10.61 15.78 15.78 15.78 24.00 17.36 10.61 23.86 10.61 15.78 10.61 10.61 10.61 15.78 10.61 144.69 15.78 23.86 10.61 10.61 10.61 15.78 23.86 15.78 15.78 10.61 23.86 10.61 23.86 10.61 14.20 301000215 301 80178 LITHIUM 74.20 74.20 51.94 5.95 7.54 6.61 14.87 6.61 14.87 6.61 6.61 6.61 15.11 6.61 6.61 6.61 14.87 6.61 14.87 6.61 7.94 9.92 14.87 6.61 14.87 6.61 6.61 6.61 43.76 19.45 19.45 19.45 6.28 14.87 6.61 14.87 6.61 6.61 6.61 6.61 10.00 7.27 6.61 14.87 6.61 6.61 6.61 6.61 6.61 6.61 6.61 51.94 6.61 14.87 6.61 6.61 6.61 6.61 14.87 6.61 6.61 6.61 14.87 6.61 14.87 6.61 5.95 301000216 301 80184 PHENOBARBITAL 117.66 117.66 82.36 10.61 17.44 15.30 23.86 10.61 23.86 10.61 15.30 15.30 26.32 15.30 10.61 15.30 23.86 10.61 23.86 15.30 18.37 22.97 23.86 10.61 23.86 10.61 15.30 15.30 43.76 19.45 19.45 19.45 14.54 23.86 10.61 23.86 10.61 15.30 15.30 15.30 16.00 16.83 10.61 23.86 10.61 15.30 10.61 10.61 10.61 15.30 10.61 82.36 15.30 23.86 10.61 10.61 10.61 15.30 23.86 15.30 15.30 10.61 23.86 10.61 23.86 10.61 13.77 301000217 301 80185 PHENYTOIN (DILANTIN)- TOTAL 91.16 91.16 63.81 10.61 15.11 13.25 23.86 10.61 23.86 10.61 13.25 13.25 30.79 13.25 10.61 13.25 23.86 10.61 23.86 13.25 15.91 19.89 23.86 10.61 23.86 10.61 13.25 13.25 43.76 19.45 19.45 19.45 12.59 23.86 10.61 23.86 10.61 13.25 13.25 13.25 19.00 14.58 10.61 23.86 10.61 13.25 10.61 10.61 10.61 13.25 10.61 63.81 13.25 23.86 10.61 10.61 10.61 13.25 23.86 13.25 13.25 10.61 23.86 10.61 23.86 10.61 11.93 301000218 301 80188 PRIMIDONE (MYSOLINE) 146.28 146.28 102.40 10.61 18.91 16.59 23.86 10.61 23.86 10.61 16.59 16.59 38.63 16.59 10.61 16.59 23.86 10.61 23.86 16.59 19.92 24.90 23.86 10.61 23.86 10.61 16.59 16.59 43.76 19.45 19.45 19.45 15.76 23.86 10.61 23.86 10.61 16.59 16.59 16.59 23.00 18.25 10.61 23.86 10.61 16.59 10.61 10.61 10.61 16.59 10.61 102.40 16.59 23.86 10.61 10.61 10.61 16.59 23.86 16.59 16.59 10.61 23.86 10.61 23.86 10.61 14.93 301000283 301 80188 PRIMIDONE PHENOBARBITAL PROF 146.28 146.28 102.40 10.61 18.91 16.59 23.86 10.61 23.86 10.61 16.59 16.59 38.63 16.59 10.61 16.59 23.86 10.61 23.86 16.59 19.92 24.90 23.86 10.61 23.86 10.61 16.59 16.59 43.76 19.45 19.45 19.45 15.76 23.86 10.61 23.86 10.61 16.59 16.59 16.59 23.00 18.25 10.61 23.86 10.61 16.59 10.61 10.61 10.61 16.59 10.61 102.40 16.59 23.86 10.61 10.61 10.61 16.59 23.86 16.59 16.59 10.61 23.86 10.61 23.86 10.61 14.93 301000281 301 80192 PROCAINAMIDE PROFILE 83.74 83.74 58.62 15.08 19.10 16.75 47.07 20.92 47.07 20.92 16.75 16.75 38.63 16.75 20.92 16.75 47.07 20.92 47.07 16.75 20.11 25.14 47.07 20.92 47.07 20.92 16.75 16.75 43.76 19.45 19.45 19.45 15.91 47.07 20.92 47.07 20.92 16.75 16.75 16.75 24.00 18.43 20.92 47.07 20.92 16.75 20.92 20.92 20.92 16.75 20.92 58.62 16.75 47.07 20.92 20.92 20.92 16.75 47.07 16.75 16.75 20.92 47.07 20.92 47.07 20.92 15.08 353005152 301 80192 PROCAINAMIDE 83.74 83.74 58.62 15.08 19.10 16.75 47.07 20.92 47.07 20.92 16.75 16.75 38.63 16.75 20.92 16.75 47.07 20.92 47.07 16.75 20.11 25.14 47.07 20.92 47.07 20.92 16.75 16.75 43.76 19.45 19.45 19.45 15.91 47.07 20.92 47.07 20.92 16.75 16.75 16.75 24.00 18.43 20.92 47.07 20.92 16.75 20.92 20.92 20.92 16.75 20.92 58.62 16.75 47.07 20.92 20.92 20.92 16.75 47.07 16.75 16.75 20.92 47.07 20.92 47.07 20.92 15.08 353005153 301 80192 N-ACETYLPROCAINAMIDE 83.74 83.74 58.62 15.08 19.10 16.75 47.07 20.92 47.07 20.92 16.75 16.75 38.63 16.75 20.92 16.75 47.07 20.92 47.07 16.75 20.11 25.14 47.07 20.92 47.07 20.92 16.75 16.75 43.76 19.45 19.45 19.45 15.91 47.07 20.92 47.07 20.92 16.75 16.75 16.75 24.00 18.43 20.92 47.07 20.92 16.75 20.92 20.92 20.92 16.75 20.92 58.62 16.75 47.07 20.92 20.92 20.92 16.75 47.07 16.75 16.75 20.92 47.07 20.92 47.07 20.92 15.08 301000219 301 80194 QUINIDINE 110.24 110.24 77.17 10.61 16.64 14.60 23.86 10.61 23.86 10.61 14.60 14.60 33.59 14.60 10.61 14.60 23.86 10.61 23.86 14.60 17.53 21.91 23.86 10.61 23.86 10.61 14.60 14.60 43.76 19.45 19.45 19.45 13.87 23.86 10.61 23.86 10.61 14.60 14.60 14.60 21.00 16.06 10.61 23.86 10.61 14.60 10.61 10.61 10.61 14.60 10.61 77.17 14.60 23.86 10.61 10.61 10.61 14.60 23.86 14.60 14.60 10.61 23.86 10.61 23.86 10.61 13.14 301000221 301 80197 TACROLIMUS 313.76 313.76 219.63 10.61 15.65 13.73 23.86 10.61 23.86 10.61 13.73 13.73 31.91 13.73 10.61 13.73 23.86 10.61 23.86 13.73 16.49 20.61 23.86 10.61 23.86 10.61 13.73 13.73 43.76 19.45 19.45 19.45 13.04 23.86 10.61 23.86 10.61 13.73 13.73 13.73 19.00 15.10 10.61 23.86 10.61 13.73 10.61 10.61 10.61 13.73 10.61 219.63 13.73 23.86 10.61 10.61 10.61 13.73 23.86 13.73 13.73 10.61 23.86 10.61 23.86 10.61 12.36 301000222 301 80198 THEOPHYLLINE 153.70 153.70 107.59 8.08 16.12 14.14 18.18 8.08 18.18 8.08 14.14 14.14 33.03 14.14 8.08 14.14 18.18 8.08 18.18 14.14 16.98 21.22 18.18 8.08 18.18 8.08 14.14 14.14 43.76 19.45 19.45 19.45 13.43 18.18 8.08 18.18 8.08 14.14 14.14 14.14 20.00 15.55 8.08 18.18 8.08 14.14 8.08 8.08 8.08 14.14 8.08 107.59 14.14 18.18 8.08 8.08 8.08 14.14 18.18 14.14 14.14 8.08 18.18 8.08 18.18 8.08 12.73 301000223 301 80200 TOBRAMYCIN 148.40 148.40 103.88 10.61 18.39 16.13 23.86 10.61 23.86 10.61 16.13 16.13 37.51 16.13 10.61 16.13 23.86 10.61 23.86 16.13 19.37 24.21 23.86 10.61 23.86 10.61 16.13 16.13 43.76 19.45 19.45 19.45 15.32 23.86 10.61 23.86 10.61 16.13 16.13 16.13 23.00 17.74 10.61 23.86 10.61 16.13 10.61 10.61 10.61 16.13 10.61 103.88 16.13 23.86 10.61 10.61 10.61 16.13 23.86 16.13 16.13 10.61 23.86 10.61 23.86 10.61 14.52 301000244 301 80201 TOPIRAMATE (TOPAMAX) 130.38 130.38 91.27 10.73 13.59 11.92 47.07 20.92 47.07 20.92 11.92 11.92 27.44 11.92 20.92 11.92 47.07 20.92 47.07 11.92 14.31 17.89 47.07 20.92 47.07 20.92 11.92 11.92 43.76 19.45 19.45 19.45 11.32 47.07 20.92 47.07 20.92 11.92 11.92 11.92 20.00 13.11 20.92 47.07 20.92 11.92 20.92 20.92 20.92 11.92 20.92 91.27 11.92 47.07 20.92 20.92 20.92 11.92 47.07 11.92 11.92 20.92 47.07 20.92 47.07 20.92 10.73 301000224 301 80202 VANCOMYCIN 165.36 165.36 115.75 10.61 15.44 13.54 23.86 10.61 23.86 10.61 13.54 13.54 31.36 13.54 10.61 13.54 23.86 10.61 23.86 13.54 16.26 20.32 23.86 10.61 23.86 10.61 13.54 13.54 43.76 19.45 19.45 19.45 12.86 23.86 10.61 23.86 10.61 13.54 13.54 13.54 19.00 14.89 10.61 23.86 10.61 13.54 10.61 10.61 10.61 13.54 10.61 115.75 13.54 23.86 10.61 10.61 10.61 13.54 23.86 13.54 13.54 10.61 23.86 10.61 23.86 10.61 12.19 301000211 301 80299 DIGITOXIN 83.74 83.74 58.62 0.00 21.25 18.64 0.00 0.00 0.00 0.00 18.64 18.64 31.91 18.64 0.00 18.64 0.00 0.00 0.00 18.64 22.38 27.98 0.00 0.00 0.00 0.00 18.64 18.64 43.76 19.45 19.45 19.45 17.71 0.00 0.00 0.00 0.00 18.64 18.64 18.64 19.00 20.50 0.00 0.00 0.00 18.64 0.00 0.00 0.00 18.64 0.00 58.62 18.64 0.00 0.00 0.00 0.00 18.64 0.00 18.64 18.64 0.00 0.00 0.00 0.00 0.00 16.78 301000225 301 80299 QUANT DRUG NOT ELSEWHERE SPECI 225.78 225.78 158.05 0.00 21.25 18.64 0.00 0.00 0.00 0.00 18.64 18.64 31.91 18.64 0.00 18.64 0.00 0.00 0.00 18.64 22.38 27.98 0.00 0.00 0.00 0.00 18.64 18.64 43.76 19.45 19.45 19.45 17.71 0.00 0.00 0.00 0.00 18.64 18.64 18.64 19.00 20.50 0.00 0.00 0.00 18.64 0.00 0.00 0.00 18.64 0.00 158.05 18.64 0.00 0.00 0.00 0.00 18.64 0.00 18.64 18.64 0.00 0.00 0.00 0.00 0.00 16.78 301000226 301 80299 LOMOTRIGINE (LAMICTOL) QUANT 225.78 225.78 158.05 0.00 21.25 18.64 0.00 0.00 0.00 0.00 18.64 18.64 31.91 18.64 0.00 18.64 0.00 0.00 0.00 18.64 22.38 27.98 0.00 0.00 0.00 0.00 18.64 18.64 43.76 19.45 19.45 19.45 17.71 0.00 0.00 0.00 0.00 18.64 18.64 18.64 19.00 20.50 0.00 0.00 0.00 18.64 0.00 0.00 0.00 18.64 0.00 158.05 18.64 0.00 0.00 0.00 0.00 18.64 0.00 18.64 18.64 0.00 0.00 0.00 0.00 0.00 16.78 301000246 301 80299 CLOZARIL 225.78 225.78 158.05 0.00 21.25 18.64 0.00 0.00 0.00 0.00 18.64 18.64 31.91 18.64 0.00 18.64 0.00 0.00 0.00 18.64 22.38 27.98 0.00 0.00 0.00 0.00 18.64 18.64 43.76 19.45 19.45 19.45 17.71 0.00 0.00 0.00 0.00 18.64 18.64 18.64 19.00 20.50 0.00 0.00 0.00 18.64 0.00 0.00 0.00 18.64 0.00 158.05 18.64 0.00 0.00 0.00 0.00 18.64 0.00 18.64 18.64 0.00 0.00 0.00 0.00 0.00 16.78 301000277 301 80299 TRILEPTOL LEVEL QUANTITATIVE 225.78 225.78 158.05 0.00 21.25 18.64 0.00 0.00 0.00 0.00 18.64 18.64 31.91 18.64 0.00 18.64 0.00 0.00 0.00 18.64 22.38 27.98 0.00 0.00 0.00 0.00 18.64 18.64 43.76 19.45 19.45 19.45 17.71 0.00 0.00 0.00 0.00 18.64 18.64 18.64 19.00 20.50 0.00 0.00 0.00 18.64 0.00 0.00 0.00 18.64 0.00 158.05 18.64 0.00 0.00 0.00 0.00 18.64 0.00 18.64 18.64 0.00 0.00 0.00 0.00 0.00 16.78 301000357 301 80307 DRUG SCREENING PANEL PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 301000349 301 80307 91 DS BENZODIAZEPINE PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 301000350 301 80307 91 DS CANNABINOID PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 301000351 301 80307 91 DS BARBITURATE PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 301000352 301 80307 91 DS COCAINE PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 301000353 301 80307 91 DS OPIATE PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 301000354 301 80307 91 DS METHADONE PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 301000355 301 80307 91 DS PHENCYCLIDINE PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 301000356 301 80307 91 DS AMPHETAMINE PRESUMPTIVE 269.24 269.24 188.47 0.00 70.84 62.14 17.04 7.58 17.04 7.58 62.14 62.14 188.47 62.14 7.58 62.14 17.04 7.58 17.04 62.14 74.62 93.27 17.04 7.58 17.04 7.58 62.14 62.14 0.00 0.00 0.00 0.00 59.03 17.04 7.58 17.04 7.58 62.14 62.14 62.14 79.81 68.35 7.58 17.04 7.58 62.14 7.58 7.58 7.58 62.14 7.58 188.47 62.14 17.04 7.58 7.58 7.58 62.14 17.04 62.14 62.14 7.58 17.04 7.58 17.04 7.58 55.93 353000049 301 80320 DRUG SCREEN QUANTALCOHOLS G0480 365.70 365.70 255.99 0.00 130.45 114.43 11.36 5.05 11.36 5.05 114.43 114.43 255.99 114.43 5.05 114.43 11.36 5.05 11.36 114.43 137.41 171.76 11.36 5.05 11.36 5.05 114.43 114.43 0.00 0.00 0.00 0.00 108.71 11.36 5.05 11.36 5.05 114.43 114.43 114.43 79.94 125.87 5.05 11.36 5.05 114.43 5.05 5.05 5.05 114.43 5.05 255.99 114.43 11.36 5.05 5.05 5.05 114.43 11.36 114.43 114.43 5.05 11.36 5.05 11.36 5.05 102.99 353000055 301 80324 DRUG SCREEN AMPHETAMINES 1/2 48.87 48.87 41.54 0.00 29.27 0.00 11.36 5.05 11.36 5.05 0.00 0.00 34.21 34.21 5.05 0.00 11.36 5.05 11.36 34.21 0.00 0.00 11.36 5.05 11.36 5.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.36 5.05 11.36 5.05 0.00 0.00 0.00 34.21 41.54 5.05 11.36 5.05 0.00 5.05 5.05 5.05 0.00 5.05 34.21 0.00 11.36 5.05 5.05 5.05 0.00 11.36 0.00 0.00 5.05 11.36 5.05 11.36 5.05 0.00 353000056 301 80325 AMPHETAMINES 3 OR 4 97.73 97.73 83.07 0.00 58.54 0.00 11.36 5.05 11.36 5.05 0.00 0.00 68.41 68.41 5.05 0.00 11.36 5.05 11.36 68.41 0.00 0.00 11.36 5.05 11.36 5.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.36 5.05 11.36 5.05 0.00 0.00 0.00 68.41 83.07 5.05 11.36 5.05 0.00 5.05 5.05 5.05 0.00 5.05 68.41 0.00 11.36 5.05 5.05 5.05 0.00 11.36 0.00 0.00 5.05 11.36 5.05 11.36 5.05 0.00 353000057 301 80326 AMPHETAMINES 5 OR MORE 146.60 146.60 124.61 0.00 87.81 0.00 11.36 5.05 11.36 5.05 0.00 0.00 102.62 102.62 5.05 0.00 11.36 5.05 11.36 102.62 0.00 0.00 11.36 5.05 11.36 5.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.36 5.05 11.36 5.05 0.00 0.00 0.00 102.62 124.61 5.05 11.36 5.05 0.00 5.05 5.05 5.05 0.00 5.05 102.62 0.00 11.36 5.05 5.05 5.05 0.00 11.36 0.00 0.00 5.05 11.36 5.05 11.36 5.05 0.00 301000005 301 80329 ACETAMINOPHEN (TYLENOL) G0480 365.70 365.70 255.99 0.00 130.45 114.43 34.09 15.15 34.09 15.15 114.43 114.43 255.99 114.43 15.15 114.43 34.09 15.15 34.09 114.43 137.41 171.76 34.09 15.15 34.09 15.15 114.43 114.43 0.00 0.00 0.00 0.00 108.71 34.09 15.15 34.09 15.15 114.43 114.43 114.43 79.94 125.87 15.15 34.09 15.15 114.43 15.15 15.15 15.15 114.43 15.15 255.99 114.43 34.09 15.15 15.15 15.15 114.43 34.09 114.43 114.43 15.15 34.09 15.15 34.09 15.15 102.99 301000220 301 80329 SALICYLATE QUANTITATIVE G0480 365.70 365.70 255.99 0.00 130.45 114.43 34.09 15.15 34.09 15.15 114.43 114.43 255.99 114.43 15.15 114.43 34.09 15.15 34.09 114.43 137.41 171.76 34.09 15.15 34.09 15.15 114.43 114.43 0.00 0.00 0.00 0.00 108.71 34.09 15.15 34.09 15.15 114.43 114.43 114.43 79.94 125.87 15.15 34.09 15.15 114.43 15.15 15.15 15.15 114.43 15.15 255.99 114.43 34.09 15.15 15.15 15.15 114.43 34.09 114.43 114.43 15.15 34.09 15.15 34.09 15.15 102.99 353000052 301 80329 ANALGESICS NON-OPIOID 1 OR 2 G0480 365.70 365.70 255.99 0.00 130.45 114.43 34.09 15.15 34.09 15.15 114.43 114.43 255.99 114.43 15.15 114.43 34.09 15.15 34.09 114.43 137.41 171.76 34.09 15.15 34.09 15.15 114.43 114.43 0.00 0.00 0.00 0.00 108.71 34.09 15.15 34.09 15.15 114.43 114.43 114.43 79.94 125.87 15.15 34.09 15.15 114.43 15.15 15.15 15.15 114.43 15.15 255.99 114.43 34.09 15.15 15.15 15.15 114.43 34.09 114.43 114.43 15.15 34.09 15.15 34.09 15.15 102.99 353000053 301 80330 ANALGESICS NON-OPIOID 3-5 G0480 365.70 365.70 255.99 0.00 130.45 114.43 34.09 15.15 34.09 15.15 114.43 114.43 255.99 114.43 15.15 114.43 34.09 15.15 34.09 114.43 137.41 171.76 34.09 15.15 34.09 15.15 114.43 114.43 0.00 0.00 0.00 0.00 108.71 34.09 15.15 34.09 15.15 114.43 114.43 114.43 79.94 125.87 15.15 34.09 15.15 114.43 15.15 15.15 15.15 114.43 15.15 255.99 114.43 34.09 15.15 15.15 15.15 114.43 34.09 114.43 114.43 15.15 34.09 15.15 34.09 15.15 102.99 353000054 301 80331 ANALGESICS NON-OPIOID 6/MORE G0481 498.20 498.20 348.74 0.00 178.51 156.59 0.00 0.00 0.00 0.00 156.59 156.59 348.74 156.59 0.00 156.59 0.00 0.00 0.00 156.59 188.03 235.04 0.00 0.00 0.00 0.00 156.59 156.59 0.00 0.00 0.00 0.00 148.76 0.00 0.00 0.00 0.00 156.59 156.59 156.59 122.99 172.25 0.00 0.00 0.00 156.59 0.00 0.00 0.00 156.59 0.00 348.74 156.59 0.00 0.00 0.00 0.00 156.59 0.00 156.59 156.59 0.00 0.00 0.00 0.00 0.00 140.93 353000026 307 81001 URINE W/ MICROSCOPIC 22.26 22.26 27.20 2.85 3.61 3.17 7.13 3.17 7.13 3.17 3.17 3.17 7.27 3.17 3.17 3.17 7.13 3.17 7.13 3.17 3.81 4.76 7.13 3.17 7.13 3.17 3.17 3.17 27.20 12.09 12.09 12.09 3.01 7.13 3.17 7.13 3.17 3.17 3.17 3.17 5.00 3.49 3.17 7.13 3.17 3.17 3.17 3.17 3.17 3.17 3.17 15.58 3.17 7.13 3.17 3.17 3.17 3.17 7.13 3.17 3.17 3.17 7.13 3.17 7.13 3.17 2.85 307000001 307 81003 URINE - REFLEX MICRO 36.04 36.04 27.20 2.02 2.57 2.25 4.55 2.02 4.55 2.02 2.25 2.25 5.04 2.25 2.02 2.25 4.55 2.02 4.55 2.25 2.70 3.38 4.55 2.02 4.55 2.02 2.25 2.25 27.20 12.09 12.09 12.09 2.14 4.55 2.02 4.55 2.02 2.25 2.25 2.25 4.00 2.48 2.02 4.55 2.02 2.25 2.02 2.02 2.02 2.25 2.02 25.23 2.25 4.55 2.02 2.02 2.02 2.25 4.55 2.25 2.25 2.02 4.55 2.02 4.55 2.02 2.03 353000027 307 81003 URINE W/O MICROSCOPIC 36.04 36.04 27.20 2.02 2.57 2.25 4.55 2.02 4.55 2.02 2.25 2.25 5.04 2.25 2.02 2.25 4.55 2.02 4.55 2.25 2.70 3.38 4.55 2.02 4.55 2.02 2.25 2.25 27.20 12.09 12.09 12.09 2.14 4.55 2.02 4.55 2.02 2.25 2.25 2.25 4.00 2.48 2.02 4.55 2.02 2.25 2.02 2.02 2.02 2.25 2.02 25.23 2.25 4.55 2.02 2.02 2.02 2.25 4.55 2.25 2.25 2.02 4.55 2.02 4.55 2.02 2.03 306000059 307 81015 URINE EOSINOPHIL COUNT 48.76 48.76 34.13 2.02 3.48 3.05 4.55 2.02 4.55 2.02 3.05 3.05 7.27 3.05 2.02 3.05 4.55 2.02 4.55 3.05 3.66 4.58 4.55 2.02 4.55 2.02 3.05 3.05 27.20 12.09 12.09 12.09 2.90 4.55 2.02 4.55 2.02 3.05 3.05 3.05 5.00 3.36 2.02 4.55 2.02 3.05 2.02 2.02 2.02 3.05 2.02 34.13 3.05 4.55 2.02 2.02 2.02 3.05 4.55 3.05 3.05 2.02 4.55 2.02 4.55 2.02 2.75 301000193 301 81025 PREGNANCY- HCG URINE 150.52 150.52 105.36 2.02 9.82 8.61 4.55 2.02 4.55 2.02 8.61 8.61 14.56 8.61 2.02 8.61 4.55 2.02 4.55 8.61 10.34 12.92 4.55 2.02 4.55 2.02 8.61 8.61 27.20 12.09 12.09 12.09 8.18 4.55 2.02 4.55 2.02 8.61 8.61 8.61 9.00 9.47 2.02 4.55 2.02 8.61 2.02 2.02 2.02 8.61 2.02 105.36 8.61 4.55 2.02 2.02 2.02 8.61 4.55 8.61 8.61 2.02 4.55 2.02 4.55 2.02 7.75 307000002 307 81050 URINE- VOLUME FOR TIMED COLLEC 22.26 22.26 29.25 3.28 4.15 3.64 29.25 13.00 29.25 13.00 3.64 3.64 6.72 3.64 13.00 3.64 29.25 13.00 29.25 3.64 4.37 5.46 29.25 13.00 29.25 13.00 3.64 3.64 27.20 12.09 12.09 12.09 3.46 29.25 13.00 29.25 13.00 3.64 3.64 3.64 5.00 4.00 13.00 29.25 13.00 3.64 13.00 13.00 13.00 3.64 13.00 15.58 3.64 29.25 13.00 13.00 13.00 3.64 29.25 3.64 3.64 13.00 29.25 13.00 29.25 13.00 3.28 353005376 301 81050 CITRATE URINE VOLUME 22.26 22.26 29.25 3.28 4.15 3.64 29.25 13.00 29.25 13.00 3.64 3.64 6.72 3.64 13.00 3.64 29.25 13.00 29.25 3.64 4.37 5.46 29.25 13.00 29.25 13.00 3.64 3.64 27.20 12.09 12.09 12.09 3.46 29.25 13.00 29.25 13.00 3.64 3.64 3.64 5.00 4.00 13.00 29.25 13.00 3.64 13.00 13.00 13.00 3.64 13.00 15.58 3.64 29.25 13.00 13.00 13.00 3.64 29.25 3.64 3.64 13.00 29.25 13.00 29.25 13.00 3.28 301000268 300 81220 JAK2 MUTATION- LEUMETA 1770.20 1770.20 1239.14 0.00 634.52 556.60 738.56 328.25 738.56 328.25 556.60 556.60 1239.14 556.60 328.25 556.60 738.56 328.25 738.56 556.60 668.37 835.46 738.56 328.25 738.56 328.25 556.60 556.60 0.00 0.00 0.00 0.00 528.77 738.56 328.25 738.56 328.25 556.60 556.60 556.60 556.60 612.26 328.25 738.56 328.25 556.60 328.25 328.25 328.25 556.60 328.25 1239.14 556.60 738.56 328.25 328.25 328.25 556.60 738.56 556.60 556.60 328.25 738.56 328.25 738.56 328.25 500.94 301000330 300 81220 "BCR/ABL,QN PCR,LEUMETA" 1770.20 1770.20 1239.14 0.00 634.52 556.60 738.56 328.25 738.56 328.25 556.60 556.60 1239.14 556.60 328.25 556.60 738.56 328.25 738.56 556.60 668.37 835.46 738.56 328.25 738.56 328.25 556.60 556.60 0.00 0.00 0.00 0.00 528.77 738.56 328.25 738.56 328.25 556.60 556.60 556.60 556.60 612.26 328.25 738.56 328.25 556.60 328.25 328.25 328.25 556.60 328.25 1239.14 556.60 738.56 328.25 328.25 328.25 556.60 738.56 556.60 556.60 328.25 738.56 328.25 738.56 328.25 500.94 301000343 300 81220 HLA-B5701 TYPING 1770.20 1770.20 1239.14 0.00 634.52 556.60 738.56 328.25 738.56 328.25 556.60 556.60 1239.14 556.60 328.25 556.60 738.56 328.25 738.56 556.60 668.37 835.46 738.56 328.25 738.56 328.25 556.60 556.60 0.00 0.00 0.00 0.00 528.77 738.56 328.25 738.56 328.25 556.60 556.60 556.60 556.60 612.26 328.25 738.56 328.25 556.60 328.25 328.25 328.25 556.60 328.25 1239.14 556.60 738.56 328.25 328.25 328.25 556.60 738.56 556.60 556.60 328.25 738.56 328.25 738.56 328.25 500.94 302000108 300 81220 HBVG (HBV GENOTYPE) 1770.20 1770.20 1239.14 0.00 634.52 556.60 738.56 328.25 738.56 328.25 556.60 556.60 1239.14 556.60 328.25 556.60 738.56 328.25 738.56 556.60 668.37 835.46 738.56 328.25 738.56 328.25 556.60 556.60 0.00 0.00 0.00 0.00 528.77 738.56 328.25 738.56 328.25 556.60 556.60 556.60 556.60 612.26 328.25 738.56 328.25 556.60 328.25 328.25 328.25 556.60 328.25 1239.14 556.60 738.56 328.25 328.25 328.25 556.60 738.56 556.60 556.60 328.25 738.56 328.25 738.56 328.25 500.94 305000034 300 81220 FRAGLX 1770.20 1770.20 1239.14 0.00 634.52 556.60 738.56 328.25 738.56 328.25 556.60 556.60 1239.14 556.60 328.25 556.60 738.56 328.25 738.56 556.60 668.37 835.46 738.56 328.25 738.56 328.25 556.60 556.60 0.00 0.00 0.00 0.00 528.77 738.56 328.25 738.56 328.25 556.60 556.60 556.60 556.60 612.26 328.25 738.56 328.25 556.60 328.25 328.25 328.25 556.60 328.25 1239.14 556.60 738.56 328.25 328.25 328.25 556.60 738.56 556.60 556.60 328.25 738.56 328.25 738.56 328.25 500.94 305000035 300 81220 CYSTIC FIBROSIS SCREEN 1770.20 1770.20 1239.14 0.00 634.52 556.60 738.56 328.25 738.56 328.25 556.60 556.60 1239.14 556.60 328.25 556.60 738.56 328.25 738.56 556.60 668.37 835.46 738.56 328.25 738.56 328.25 556.60 556.60 0.00 0.00 0.00 0.00 528.77 738.56 328.25 738.56 328.25 556.60 556.60 556.60 556.60 612.26 328.25 738.56 328.25 556.60 328.25 328.25 328.25 556.60 328.25 1239.14 556.60 738.56 328.25 328.25 328.25 556.60 738.56 556.60 556.60 328.25 738.56 328.25 738.56 328.25 500.94 305000042 300 81220 FACTOR V LEIDEN MUTATION (F5LM 1770.20 1770.20 1239.14 0.00 634.52 556.60 738.56 328.25 738.56 328.25 556.60 556.60 1239.14 556.60 328.25 556.60 738.56 328.25 738.56 556.60 668.37 835.46 738.56 328.25 738.56 328.25 556.60 556.60 0.00 0.00 0.00 0.00 528.77 738.56 328.25 738.56 328.25 556.60 556.60 556.60 556.60 612.26 328.25 738.56 328.25 556.60 328.25 328.25 328.25 556.60 328.25 1239.14 556.60 738.56 328.25 328.25 328.25 556.60 738.56 556.60 556.60 328.25 738.56 328.25 738.56 328.25 500.94 301000252 300 81240 PROTHROMBIN GENE ANALYSIS 667.80 667.80 467.46 0.00 74.89 65.69 147.80 65.69 147.80 65.69 65.69 65.69 467.46 65.69 65.69 65.69 147.80 65.69 147.80 65.69 78.88 98.60 147.80 65.69 147.80 65.69 65.69 65.69 0.00 0.00 0.00 0.00 62.41 147.80 65.69 147.80 65.69 65.69 65.69 65.69 65.69 72.26 65.69 147.80 65.69 65.69 65.69 65.69 65.69 65.69 65.69 467.46 65.69 147.80 65.69 65.69 65.69 65.69 147.80 65.69 65.69 65.69 147.80 65.69 147.80 65.69 59.12 353005321 300 81256 HEMOCHROMATOSIS DNA TEST 231.08 231.08 161.76 0.00 74.51 65.36 0.00 0.00 0.00 0.00 65.36 65.36 161.76 65.36 0.00 65.36 0.00 0.00 0.00 65.36 78.48 98.11 0.00 0.00 0.00 0.00 65.36 65.36 0.00 0.00 0.00 0.00 62.09 0.00 0.00 0.00 0.00 65.36 65.36 65.36 65.36 71.90 0.00 0.00 0.00 65.36 0.00 0.00 0.00 65.36 0.00 161.76 65.36 0.00 0.00 0.00 0.00 65.36 0.00 65.36 65.36 0.00 0.00 0.00 0.00 0.00 58.82 353005322 300 81291 "MTHFR,DNA MUTATION, NY" 207.76 207.76 145.43 0.00 74.49 65.34 0.00 0.00 0.00 0.00 65.34 65.34 145.43 65.34 0.00 65.34 0.00 0.00 0.00 65.34 78.46 98.08 0.00 0.00 0.00 0.00 65.34 65.34 0.00 0.00 0.00 0.00 62.07 0.00 0.00 0.00 0.00 65.34 65.34 65.34 65.34 71.87 0.00 0.00 0.00 65.34 0.00 0.00 0.00 65.34 0.00 145.43 65.34 0.00 0.00 0.00 0.00 65.34 0.00 65.34 65.34 0.00 0.00 0.00 0.00 0.00 58.81 353005323 300 81401 SMA CARRIER TEST 607.38 607.38 425.17 0.00 156.18 137.00 0.00 0.00 0.00 0.00 137.00 137.00 425.17 137.00 0.00 137.00 0.00 0.00 0.00 137.00 164.51 205.64 0.00 0.00 0.00 0.00 137.00 137.00 0.00 0.00 0.00 0.00 130.15 0.00 0.00 0.00 0.00 137.00 137.00 137.00 137.00 150.70 0.00 0.00 0.00 137.00 0.00 0.00 0.00 137.00 0.00 425.17 137.00 0.00 0.00 0.00 0.00 137.00 0.00 137.00 137.00 0.00 0.00 0.00 0.00 0.00 123.30 353005324 300 81403 JAK2 EXONS 12-13 589.36 589.36 412.55 0.00 211.13 185.20 0.00 0.00 0.00 0.00 185.20 185.20 412.55 185.20 0.00 185.20 0.00 0.00 0.00 185.20 222.39 277.99 0.00 0.00 0.00 0.00 185.20 185.20 0.00 0.00 0.00 0.00 175.94 0.00 0.00 0.00 0.00 185.20 185.20 185.20 185.20 203.72 0.00 0.00 0.00 185.20 0.00 0.00 0.00 185.20 0.00 412.55 185.20 0.00 0.00 0.00 0.00 185.20 0.00 185.20 185.20 0.00 0.00 0.00 0.00 0.00 166.68 353005412 310 81507 PRELUDE (TM) PRENATAL SCREEN 2528.10 2528.10 1769.67 0.00 906.30 795.00 0.00 0.00 0.00 0.00 795.00 795.00 1769.67 795.00 0.00 795.00 0.00 0.00 0.00 795.00 954.64 1193.30 0.00 0.00 0.00 0.00 795.00 795.00 0.00 0.00 0.00 0.00 755.25 0.00 0.00 0.00 0.00 795.00 795.00 795.00 795.00 874.50 0.00 0.00 0.00 795.00 0.00 0.00 0.00 795.00 0.00 1769.67 795.00 0.00 0.00 0.00 0.00 795.00 0.00 795.00 795.00 0.00 0.00 0.00 0.00 0.00 715.50 301000006 301 82009 ACETONE/KETONE BOD QUAL SER 56.18 56.18 39.33 0.51 5.15 4.52 1.14 0.51 1.14 0.51 4.52 4.52 10.64 4.52 0.51 4.52 1.14 0.51 1.14 4.52 5.43 6.78 1.14 0.51 1.14 0.51 4.52 4.52 17.24 7.66 7.66 7.66 4.29 1.14 0.51 1.14 0.51 4.52 4.52 4.52 7.00 4.97 0.51 1.14 0.51 4.52 0.51 0.51 0.51 4.52 0.51 39.33 4.52 1.14 0.51 0.51 0.51 4.52 1.14 4.52 4.52 0.51 1.14 0.51 1.14 0.51 4.07 301000007 301 82013 ACETYLCHOLINESTERASE (AXETYCHO 83.74 83.74 58.62 11.06 14.01 12.29 27.65 12.29 27.65 12.29 12.29 12.29 25.75 12.29 12.29 12.29 27.65 12.29 27.65 12.29 14.76 18.45 27.65 12.29 27.65 12.29 12.29 12.29 27.74 12.33 12.33 12.33 11.68 27.65 12.29 27.65 12.29 12.29 12.29 12.29 16.00 13.52 12.29 27.65 12.29 12.29 12.29 12.29 12.29 12.29 12.29 58.62 12.29 27.65 12.29 12.29 12.29 12.29 27.65 12.29 12.29 12.29 27.65 12.29 27.65 12.29 11.06 301000008 301 82024 ADRENOCORTICOTROPIC HORMONE (A 408.10 408.10 285.67 34.76 44.03 38.62 86.90 38.62 86.90 38.62 38.62 38.62 89.58 38.62 38.62 38.62 86.90 38.62 86.90 38.62 46.37 57.97 86.90 38.62 86.90 38.62 38.62 38.62 91.70 40.76 40.76 40.76 36.69 86.90 38.62 86.90 38.62 38.62 38.62 38.62 54.00 42.48 38.62 86.90 38.62 38.62 38.62 38.62 38.62 38.62 38.62 285.67 38.62 86.90 38.62 38.62 38.62 38.62 86.90 38.62 38.62 38.62 86.90 38.62 86.90 38.62 34.76 301000009 301 82040 ALBUMIN SERUM 43.46 43.46 30.42 4.46 5.64 4.95 11.14 4.95 11.14 4.95 4.95 4.95 11.19 4.95 4.95 4.95 11.14 4.95 11.14 4.95 5.94 7.43 11.14 4.95 11.14 4.95 4.95 4.95 17.24 7.66 7.66 7.66 4.70 11.14 4.95 11.14 4.95 4.95 4.95 4.95 7.00 5.45 4.95 11.14 4.95 4.95 4.95 4.95 4.95 4.95 4.95 30.42 4.95 11.14 4.95 4.95 4.95 4.95 11.14 4.95 4.95 4.95 11.14 4.95 11.14 4.95 4.46 301000286 301 82042 ALBUMIN PLEURAL FLUID 16.96 16.96 17.24 4.00 8.87 7.78 11.43 5.08 11.43 5.08 7.78 7.78 11.76 7.78 5.08 7.78 11.43 5.08 11.43 7.78 9.34 11.68 11.43 5.08 11.43 5.08 7.78 7.78 17.24 7.66 7.66 7.66 7.39 11.43 5.08 11.43 5.08 7.78 7.78 7.78 4.00 8.56 5.08 11.43 5.08 7.78 5.08 5.08 5.08 7.78 5.08 11.87 7.78 11.43 5.08 5.08 5.08 7.78 11.43 7.78 7.78 5.08 11.43 5.08 11.43 5.08 7.00 301000294 301 82042 IGG INDEX + SYNTHESIS RATE 26.50 26.50 18.55 4.00 8.87 7.78 11.43 5.08 11.43 5.08 7.78 7.78 11.76 7.78 5.08 7.78 11.43 5.08 11.43 7.78 9.34 11.68 11.43 5.08 11.43 5.08 7.78 7.78 17.24 7.66 7.66 7.66 7.39 11.43 5.08 11.43 5.08 7.78 7.78 7.78 4.00 8.56 5.08 11.43 5.08 7.78 5.08 5.08 5.08 7.78 5.08 18.55 7.78 11.43 5.08 5.08 5.08 7.78 11.43 7.78 7.78 5.08 11.43 5.08 11.43 5.08 7.00 353005004 301 82042 "ALBUMIN, PERITONEAL FLUID" 26.50 26.50 18.55 4.00 8.87 7.78 11.43 5.08 11.43 5.08 7.78 7.78 11.76 7.78 5.08 7.78 11.43 5.08 11.43 7.78 9.34 11.68 11.43 5.08 11.43 5.08 7.78 7.78 17.24 7.66 7.66 7.66 7.39 11.43 5.08 11.43 5.08 7.78 7.78 7.78 4.00 8.56 5.08 11.43 5.08 7.78 5.08 5.08 5.08 7.78 5.08 18.55 7.78 11.43 5.08 5.08 5.08 7.78 11.43 7.78 7.78 5.08 11.43 5.08 11.43 5.08 7.00 353005005 301 82042 "ALBUMIN, PERI FLD" 26.50 26.50 18.55 4.00 8.87 7.78 11.43 5.08 11.43 5.08 7.78 7.78 11.76 7.78 5.08 7.78 11.43 5.08 11.43 7.78 9.34 11.68 11.43 5.08 11.43 5.08 7.78 7.78 17.24 7.66 7.66 7.66 7.39 11.43 5.08 11.43 5.08 7.78 7.78 7.78 4.00 8.56 5.08 11.43 5.08 7.78 5.08 5.08 5.08 7.78 5.08 18.55 7.78 11.43 5.08 5.08 5.08 7.78 11.43 7.78 7.78 5.08 11.43 5.08 11.43 5.08 7.00 353005082 301 82042 "ALBUMIN, PLEURAL FLD" 26.50 26.50 18.55 4.00 8.87 7.78 11.43 5.08 11.43 5.08 7.78 7.78 11.76 7.78 5.08 7.78 11.43 5.08 11.43 7.78 9.34 11.68 11.43 5.08 11.43 5.08 7.78 7.78 17.24 7.66 7.66 7.66 7.39 11.43 5.08 11.43 5.08 7.78 7.78 7.78 4.00 8.56 5.08 11.43 5.08 7.78 5.08 5.08 5.08 7.78 5.08 18.55 7.78 11.43 5.08 5.08 5.08 7.78 11.43 7.78 7.78 5.08 11.43 5.08 11.43 5.08 7.00 353005184 301 82042 ALBUMIN CSF 26.50 26.50 18.55 4.00 8.87 7.78 11.43 5.08 11.43 5.08 7.78 7.78 11.76 7.78 5.08 7.78 11.43 5.08 11.43 7.78 9.34 11.68 11.43 5.08 11.43 5.08 7.78 7.78 17.24 7.66 7.66 7.66 7.39 11.43 5.08 11.43 5.08 7.78 7.78 7.78 4.00 8.56 5.08 11.43 5.08 7.78 5.08 5.08 5.08 7.78 5.08 18.55 7.78 11.43 5.08 5.08 5.08 7.78 11.43 7.78 7.78 5.08 11.43 5.08 11.43 5.08 7.00 301000010 301 82043 ALBUMIN URINE- MICROALBUMIN- Q 160.06 160.06 112.04 5.08 6.59 5.78 11.43 5.08 11.43 5.08 5.78 5.78 13.44 5.78 5.08 5.78 11.43 5.08 11.43 5.78 6.94 8.68 11.43 5.08 11.43 5.08 5.78 5.78 27.20 12.09 12.09 12.09 5.49 11.43 5.08 11.43 5.08 5.78 5.78 5.78 8.00 6.36 5.08 11.43 5.08 5.78 5.08 5.08 5.08 5.78 5.08 112.04 5.78 11.43 5.08 5.08 5.08 5.78 11.43 5.78 5.78 5.08 11.43 5.08 11.43 5.08 5.20 301000012 301 82085 ALDOLASE 122.96 122.96 86.07 7.66 11.07 9.71 18.54 8.24 18.54 8.24 9.71 9.71 22.40 9.71 8.24 9.71 18.54 8.24 18.54 9.71 11.66 14.57 18.54 8.24 18.54 8.24 9.71 9.71 17.24 7.66 7.66 7.66 9.22 18.54 8.24 18.54 8.24 9.71 9.71 9.71 14.00 10.68 8.24 18.54 8.24 9.71 8.24 8.24 8.24 9.71 8.24 86.07 9.71 18.54 8.24 8.24 8.24 9.71 18.54 9.71 9.71 8.24 18.54 8.24 18.54 8.24 8.74 301000013 301 82088 ALDOSTERONE BLOOD 367.82 367.82 257.47 36.68 46.46 40.75 91.69 40.75 91.69 40.75 40.75 40.75 94.62 40.75 40.75 40.75 91.69 40.75 91.69 40.75 48.93 61.17 91.69 40.75 91.69 40.75 40.75 40.75 91.70 40.76 40.76 40.76 38.71 91.69 40.75 91.69 40.75 40.75 40.75 40.75 57.00 44.83 40.75 91.69 40.75 40.75 40.75 40.75 40.75 40.75 40.75 257.47 40.75 91.69 40.75 40.75 40.75 40.75 91.69 40.75 40.75 40.75 91.69 40.75 91.69 40.75 36.68 301000014 301 82088 ALDOSTERONE- URINE 367.82 367.82 257.47 36.68 46.46 40.75 91.69 40.75 91.69 40.75 40.75 40.75 94.62 40.75 40.75 40.75 91.69 40.75 91.69 40.75 48.93 61.17 91.69 40.75 91.69 40.75 40.75 40.75 91.70 40.76 40.76 40.76 38.71 91.69 40.75 91.69 40.75 40.75 40.75 40.75 57.00 44.83 40.75 91.69 40.75 40.75 40.75 40.75 40.75 40.75 40.75 257.47 40.75 91.69 40.75 40.75 40.75 40.75 91.69 40.75 40.75 40.75 91.69 40.75 91.69 40.75 36.68 353005114 301 82088 "ALDOSTERONE, 24 HOUR URINE" 367.82 367.82 257.47 36.68 46.46 40.75 91.69 40.75 91.69 40.75 40.75 40.75 94.62 40.75 40.75 40.75 91.69 40.75 91.69 40.75 48.93 61.17 91.69 40.75 91.69 40.75 40.75 40.75 91.70 40.76 40.76 40.76 38.71 91.69 40.75 91.69 40.75 40.75 40.75 40.75 57.00 44.83 40.75 91.69 40.75 40.75 40.75 40.75 40.75 40.75 40.75 257.47 40.75 91.69 40.75 40.75 40.75 40.75 91.69 40.75 40.75 40.75 91.69 40.75 91.69 40.75 36.68 301000015 301 82103 ALPHA-1-ANTITRYPSIN TOTAL 472.76 472.76 330.93 12.10 15.32 13.44 28.41 12.63 28.41 12.63 13.44 13.44 31.36 13.44 12.63 13.44 28.41 12.63 28.41 13.44 16.14 20.17 28.41 12.63 28.41 12.63 13.44 13.44 27.74 12.33 12.33 12.33 12.77 28.41 12.63 28.41 12.63 13.44 13.44 13.44 19.00 14.78 12.63 28.41 12.63 13.44 12.63 12.63 12.63 13.44 12.63 330.93 13.44 28.41 12.63 12.63 12.63 13.44 28.41 13.44 13.44 12.63 28.41 12.63 28.41 12.63 12.10 301000335 301 82103 ALPHAI ANTITRYP QN/MUT NY 472.76 472.76 330.93 12.10 15.32 13.44 28.41 12.63 28.41 12.63 13.44 13.44 31.36 13.44 12.63 13.44 28.41 12.63 28.41 13.44 16.14 20.17 28.41 12.63 28.41 12.63 13.44 13.44 27.74 12.33 12.33 12.33 12.77 28.41 12.63 28.41 12.63 13.44 13.44 13.44 19.00 14.78 12.63 28.41 12.63 13.44 12.63 12.63 12.63 13.44 12.63 330.93 13.44 28.41 12.63 12.63 12.63 13.44 28.41 13.44 13.44 12.63 28.41 12.63 28.41 12.63 12.10 301000325 301 82104 ALPHA-1- ANTITRYPSIN PHENO 287.26 287.26 201.08 12.33 16.48 14.46 31.18 13.86 31.18 13.86 14.46 14.46 33.59 14.46 13.86 14.46 31.18 13.86 31.18 14.46 17.36 21.70 31.18 13.86 31.18 13.86 14.46 14.46 27.74 12.33 12.33 12.33 13.74 31.18 13.86 31.18 13.86 14.46 14.46 14.46 20.00 15.91 13.86 31.18 13.86 14.46 13.86 13.86 13.86 14.46 13.86 201.08 14.46 31.18 13.86 13.86 13.86 14.46 31.18 14.46 14.46 13.86 31.18 13.86 31.18 13.86 13.01 301000016 301 82105 ALPHA-FETOPROTEIN SERUM 148.40 148.40 103.88 6.57 19.12 16.77 14.77 6.57 14.77 6.57 16.77 16.77 38.63 16.77 6.57 16.77 14.77 6.57 14.77 16.77 20.14 25.17 14.77 6.57 14.77 6.57 16.77 16.77 27.74 12.33 12.33 12.33 15.93 14.77 6.57 14.77 6.57 16.77 16.77 16.77 24.00 18.45 6.57 14.77 6.57 16.77 6.57 6.57 6.57 16.77 6.57 103.88 16.77 14.77 6.57 6.57 6.57 16.77 14.77 16.77 16.77 6.57 14.77 6.57 14.77 6.57 15.09 353005115 301 82105 AFP 148.40 148.40 103.88 6.57 19.12 16.77 14.77 6.57 14.77 6.57 16.77 16.77 38.63 16.77 6.57 16.77 14.77 6.57 14.77 16.77 20.14 25.17 14.77 6.57 14.77 6.57 16.77 16.77 27.74 12.33 12.33 12.33 15.93 14.77 6.57 14.77 6.57 16.77 16.77 16.77 24.00 18.45 6.57 14.77 6.57 16.77 6.57 6.57 6.57 16.77 6.57 103.88 16.77 14.77 6.57 6.57 6.57 16.77 14.77 16.77 16.77 6.57 14.77 6.57 14.77 6.57 15.09 301000018 301 82108 ALUMINUM 359.34 359.34 251.54 21.69 29.05 25.48 57.33 25.48 57.33 25.48 25.48 25.48 59.35 25.48 25.48 25.48 57.33 25.48 57.33 25.48 30.60 38.25 57.33 25.48 57.33 25.48 25.48 25.48 48.80 21.69 21.69 21.69 24.21 57.33 25.48 57.33 25.48 25.48 25.48 25.48 36.00 28.03 25.48 57.33 25.48 25.48 25.48 25.48 25.48 25.48 25.48 251.54 25.48 57.33 25.48 25.48 25.48 25.48 57.33 25.48 25.48 25.48 57.33 25.48 57.33 25.48 22.93 309000006 309 82131 HOMOCYSTINE- UR QUANT 169.60 169.60 118.72 12.33 26.20 22.98 31.82 14.14 31.82 14.14 22.98 22.98 39.20 22.98 14.14 22.98 31.82 14.14 31.82 22.98 27.59 34.49 31.82 14.14 31.82 14.14 22.98 22.98 27.74 12.33 12.33 12.33 21.83 31.82 14.14 31.82 14.14 22.98 22.98 22.98 20.00 25.28 14.14 31.82 14.14 22.98 14.14 14.14 14.14 22.98 14.14 118.72 22.98 31.82 14.14 14.14 14.14 22.98 31.82 22.98 22.98 14.14 31.82 14.14 31.82 14.14 20.68 301000021 301 82140 AMMONIA 103.88 103.88 72.72 12.33 16.61 14.57 32.78 14.57 32.78 14.57 14.57 14.57 33.59 14.57 14.57 14.57 32.78 14.57 32.78 14.57 17.50 21.87 32.78 14.57 32.78 14.57 14.57 14.57 27.74 12.33 12.33 12.33 13.84 32.78 14.57 32.78 14.57 14.57 14.57 14.57 21.00 16.03 14.57 32.78 14.57 14.57 14.57 14.57 14.57 14.57 14.57 72.72 14.57 32.78 14.57 14.57 14.57 14.57 32.78 14.57 14.57 14.57 32.78 14.57 32.78 14.57 13.11 301000023 301 82150 AMYLASE 127.20 127.20 89.04 5.08 7.39 6.48 11.43 5.08 11.43 5.08 6.48 6.48 15.11 6.48 5.08 6.48 11.43 5.08 11.43 6.48 7.78 9.73 11.43 5.08 11.43 5.08 6.48 6.48 17.24 7.66 7.66 7.66 6.16 11.43 5.08 11.43 5.08 6.48 6.48 6.48 9.00 7.13 5.08 11.43 5.08 6.48 5.08 5.08 5.08 6.48 5.08 89.04 6.48 11.43 5.08 5.08 5.08 6.48 11.43 6.48 6.48 5.08 11.43 5.08 11.43 5.08 5.83 301000024 301 82150 AMYLASE- FLUID 127.20 127.20 89.04 5.08 7.39 6.48 11.43 5.08 11.43 5.08 6.48 6.48 15.11 6.48 5.08 6.48 11.43 5.08 11.43 6.48 7.78 9.73 11.43 5.08 11.43 5.08 6.48 6.48 17.24 7.66 7.66 7.66 6.16 11.43 5.08 11.43 5.08 6.48 6.48 6.48 9.00 7.13 5.08 11.43 5.08 6.48 5.08 5.08 5.08 6.48 5.08 89.04 6.48 11.43 5.08 5.08 5.08 6.48 11.43 6.48 6.48 5.08 11.43 5.08 11.43 5.08 5.83 301000025 301 82150 AMYLASE UR RAN 127.20 127.20 89.04 5.08 7.39 6.48 11.43 5.08 11.43 5.08 6.48 6.48 15.11 6.48 5.08 6.48 11.43 5.08 11.43 6.48 7.78 9.73 11.43 5.08 11.43 5.08 6.48 6.48 17.24 7.66 7.66 7.66 6.16 11.43 5.08 11.43 5.08 6.48 6.48 6.48 9.00 7.13 5.08 11.43 5.08 6.48 5.08 5.08 5.08 6.48 5.08 89.04 6.48 11.43 5.08 5.08 5.08 6.48 11.43 6.48 6.48 5.08 11.43 5.08 11.43 5.08 5.83 301000318 301 82150 "AMYLASE ISOENZYMES,SERUM" 127.20 127.20 89.04 5.08 7.39 6.48 11.43 5.08 11.43 5.08 6.48 6.48 15.11 6.48 5.08 6.48 11.43 5.08 11.43 6.48 7.78 9.73 11.43 5.08 11.43 5.08 6.48 6.48 17.24 7.66 7.66 7.66 6.16 11.43 5.08 11.43 5.08 6.48 6.48 6.48 9.00 7.13 5.08 11.43 5.08 6.48 5.08 5.08 5.08 6.48 5.08 89.04 6.48 11.43 5.08 5.08 5.08 6.48 11.43 6.48 6.48 5.08 11.43 5.08 11.43 5.08 5.83 301000026 301 82157 ANDROSTENEDIONE 408.10 408.10 285.67 26.35 33.38 29.28 65.88 29.28 65.88 29.28 29.28 29.28 67.75 29.28 29.28 29.28 65.88 29.28 65.88 29.28 35.16 43.95 65.88 29.28 65.88 29.28 29.28 29.28 65.12 28.94 28.94 28.94 27.82 65.88 29.28 65.88 29.28 29.28 29.28 29.28 41.00 32.21 29.28 65.88 29.28 29.28 29.28 29.28 29.28 29.28 29.28 285.67 29.28 65.88 29.28 29.28 29.28 29.28 65.88 29.28 29.28 29.28 65.88 29.28 65.88 29.28 26.35 301000027 301 82164 ANGIOTENSIN I - CONVERTING ENZ 138.86 138.86 97.20 12.33 16.64 14.60 29.84 13.26 29.84 13.26 14.60 14.60 33.59 14.60 13.26 14.60 29.84 13.26 29.84 14.60 17.53 21.91 29.84 13.26 29.84 13.26 14.60 14.60 27.74 12.33 12.33 12.33 13.87 29.84 13.26 29.84 13.26 14.60 14.60 14.60 21.00 16.06 13.26 29.84 13.26 14.60 13.26 13.26 13.26 14.60 13.26 97.20 14.60 29.84 13.26 13.26 13.26 14.60 29.84 14.60 14.60 13.26 29.84 13.26 29.84 13.26 13.14 301000321 301 82164 ANGIOTENSIN CONV ENZY CSF 138.86 138.86 97.20 12.33 16.64 14.60 29.84 13.26 29.84 13.26 14.60 14.60 33.59 14.60 13.26 14.60 29.84 13.26 29.84 14.60 17.53 21.91 29.84 13.26 29.84 13.26 14.60 14.60 27.74 12.33 12.33 12.33 13.87 29.84 13.26 29.84 13.26 14.60 14.60 14.60 21.00 16.06 13.26 29.84 13.26 14.60 13.26 13.26 13.26 14.60 13.26 97.20 14.60 29.84 13.26 13.26 13.26 14.60 29.84 14.60 14.60 13.26 29.84 13.26 29.84 13.26 13.14 301000028 301 82172 APOLIPOPROTEIN- EACH 184.44 184.44 129.11 12.33 24.04 21.09 36.20 16.09 36.20 16.09 21.09 21.09 35.83 21.09 16.09 21.09 36.20 16.09 36.20 21.09 25.32 31.66 36.20 16.09 36.20 16.09 21.09 21.09 27.74 12.33 12.33 12.33 20.04 36.20 16.09 36.20 16.09 21.09 21.09 21.09 22.00 23.20 16.09 36.20 16.09 21.09 16.09 16.09 16.09 21.09 16.09 129.11 21.09 36.20 16.09 16.09 16.09 21.09 36.20 21.09 21.09 16.09 36.20 16.09 36.20 16.09 18.98 301000029 301 82175 ARSENIC 230.02 230.02 161.01 17.07 21.63 18.97 42.68 18.97 42.68 18.97 18.97 18.97 44.23 18.97 18.97 18.97 42.68 18.97 42.68 18.97 22.78 28.47 42.68 18.97 42.68 18.97 18.97 18.97 48.80 21.69 21.69 21.69 18.02 42.68 18.97 42.68 18.97 18.97 18.97 18.97 27.00 20.87 18.97 42.68 18.97 18.97 18.97 18.97 18.97 18.97 18.97 161.01 18.97 42.68 18.97 18.97 18.97 18.97 42.68 18.97 18.97 18.97 42.68 18.97 42.68 18.97 17.07 301000327 301 82180 VITAMIN C 31.80 31.80 22.95 7.66 11.27 9.89 22.25 9.89 22.25 9.89 9.89 9.89 22.95 9.89 9.89 9.89 22.25 9.89 22.25 9.89 11.88 14.84 22.25 9.89 22.25 9.89 9.89 9.89 17.24 7.66 7.66 7.66 9.40 22.25 9.89 22.25 9.89 9.89 9.89 9.89 13.00 10.88 9.89 22.25 9.89 9.89 9.89 9.89 9.89 9.89 9.89 22.26 9.89 22.25 9.89 9.89 9.89 9.89 22.25 9.89 9.89 9.89 22.25 9.89 22.25 9.89 8.90 301000030 301 82232 BETA-2 MICROGLOBULIN 214.12 214.12 149.88 12.63 18.45 16.18 28.41 12.63 28.41 12.63 16.18 16.18 37.51 16.18 12.63 16.18 28.41 12.63 28.41 16.18 19.43 24.29 28.41 12.63 28.41 12.63 16.18 16.18 65.12 28.94 28.94 28.94 15.37 28.41 12.63 28.41 12.63 16.18 16.18 16.18 23.00 17.80 12.63 28.41 12.63 16.18 12.63 12.63 12.63 16.18 12.63 149.88 16.18 28.41 12.63 12.63 12.63 16.18 28.41 16.18 16.18 12.63 28.41 12.63 28.41 12.63 14.56 353005351 301 82239 BILE ACIDS TOTAL 57.24 57.24 40.07 12.33 19.52 17.12 29.66 13.18 29.66 13.18 17.12 17.12 39.75 17.12 13.18 17.12 29.66 13.18 29.66 17.12 20.56 25.70 29.66 13.18 29.66 13.18 17.12 17.12 27.74 12.33 12.33 12.33 16.26 29.66 13.18 29.66 13.18 17.12 17.12 17.12 20.00 18.83 13.18 29.66 13.18 17.12 13.18 13.18 13.18 17.12 13.18 40.07 17.12 29.66 13.18 13.18 13.18 17.12 29.66 17.12 17.12 13.18 29.66 13.18 29.66 13.18 15.41 301000032 301 82247 BILIRUBIN TOTAL 37.10 37.10 25.97 3.00 5.72 5.02 11.30 5.02 11.30 5.02 5.02 5.02 11.76 5.02 5.02 5.02 11.30 5.02 11.30 5.02 6.03 7.54 11.30 5.02 11.30 5.02 5.02 5.02 17.24 7.66 7.66 7.66 4.77 11.30 5.02 11.30 5.02 5.02 5.02 5.02 3.00 5.52 5.02 11.30 5.02 5.02 5.02 5.02 5.02 5.02 5.02 25.97 5.02 11.30 5.02 5.02 5.02 5.02 11.30 5.02 5.02 5.02 11.30 5.02 11.30 5.02 4.52 353000036 301 82247 WHL BLD BILIRUBIN TOT 37.10 37.10 25.97 3.00 5.72 5.02 11.30 5.02 11.30 5.02 5.02 5.02 11.76 5.02 5.02 5.02 11.30 5.02 11.30 5.02 6.03 7.54 11.30 5.02 11.30 5.02 5.02 5.02 17.24 7.66 7.66 7.66 4.77 11.30 5.02 11.30 5.02 5.02 5.02 5.02 3.00 5.52 5.02 11.30 5.02 5.02 5.02 5.02 5.02 5.02 5.02 25.97 5.02 11.30 5.02 5.02 5.02 5.02 11.30 5.02 5.02 5.02 11.30 5.02 11.30 5.02 4.52 301000033 301 82248 BILIRUBIN DIRECT 37.10 37.10 25.97 4.52 5.72 5.02 11.30 5.02 11.30 5.02 5.02 5.02 11.76 5.02 5.02 5.02 11.30 5.02 11.30 5.02 6.03 7.54 11.30 5.02 11.30 5.02 5.02 5.02 17.24 7.66 7.66 7.66 4.77 11.30 5.02 11.30 5.02 5.02 5.02 5.02 11.00 5.52 5.02 11.30 5.02 5.02 5.02 5.02 5.02 5.02 5.02 25.97 5.02 11.30 5.02 5.02 5.02 5.02 11.30 5.02 5.02 5.02 11.30 5.02 11.30 5.02 4.52 301000034 301 82270 BLOOD- OCCULT FECES- 1-3 SIMU 46.64 46.64 32.65 3.43 4.99 4.38 7.73 3.43 7.73 3.43 4.38 4.38 7.27 4.38 3.43 4.38 7.73 3.43 7.73 4.38 5.26 6.57 7.73 3.43 7.73 3.43 4.38 4.38 17.24 7.66 7.66 7.66 4.16 7.73 3.43 7.73 3.43 4.38 4.38 4.38 4.00 4.82 3.43 7.73 3.43 4.38 3.43 3.43 3.43 4.38 3.43 32.65 4.38 7.73 3.43 3.43 3.43 4.38 7.73 4.38 4.38 3.43 7.73 3.43 7.73 3.43 3.94 301000348 301 82274 OCCULT BLD FHG QUAL 1-3 77.38 77.38 54.17 3.43 18.15 15.92 7.73 3.43 7.73 3.43 15.92 15.92 36.95 15.92 3.43 15.92 7.73 3.43 7.73 15.92 19.12 23.90 7.73 3.43 7.73 3.43 15.92 15.92 27.74 12.33 12.33 12.33 15.12 7.73 3.43 7.73 3.43 15.92 15.92 15.92 28.00 17.51 3.43 7.73 3.43 15.92 3.43 3.43 3.43 15.92 3.43 54.17 15.92 7.73 3.43 3.43 3.43 15.92 7.73 15.92 15.92 3.43 7.73 3.43 7.73 3.43 14.33 301000035 301 82306 CALCIFEDIOL (25-OH VITAMIN D-3 458.98 458.98 321.29 26.64 33.74 29.60 66.60 29.60 66.60 29.60 29.60 29.60 68.87 29.60 29.60 29.60 66.60 29.60 66.60 29.60 35.54 44.43 66.60 29.60 66.60 29.60 29.60 29.60 86.61 38.49 38.49 38.49 28.12 66.60 29.60 66.60 29.60 29.60 29.60 29.60 41.00 32.56 29.60 66.60 29.60 29.60 29.60 29.60 29.60 29.60 29.60 321.29 29.60 66.60 29.60 29.60 29.60 29.60 66.60 29.60 29.60 29.60 66.60 29.60 66.60 29.60 26.64 353005048 301 82306 "VITAMIN D, 25-OH, TOTAL" 458.98 458.98 321.29 26.64 33.74 29.60 66.60 29.60 66.60 29.60 29.60 29.60 68.87 29.60 29.60 29.60 66.60 29.60 66.60 29.60 35.54 44.43 66.60 29.60 66.60 29.60 29.60 29.60 86.61 38.49 38.49 38.49 28.12 66.60 29.60 66.60 29.60 29.60 29.60 29.60 41.00 32.56 29.60 66.60 29.60 29.60 29.60 29.60 29.60 29.60 29.60 321.29 29.60 66.60 29.60 29.60 29.60 29.60 66.60 29.60 29.60 29.60 66.60 29.60 66.60 29.60 26.64 353005049 301 82306 "VITAMIN D, 25-OH, D3" 458.98 458.98 321.29 26.64 33.74 29.60 66.60 29.60 66.60 29.60 29.60 29.60 68.87 29.60 29.60 29.60 66.60 29.60 66.60 29.60 35.54 44.43 66.60 29.60 66.60 29.60 29.60 29.60 86.61 38.49 38.49 38.49 28.12 66.60 29.60 66.60 29.60 29.60 29.60 29.60 41.00 32.56 29.60 66.60 29.60 29.60 29.60 29.60 29.60 29.60 29.60 321.29 29.60 66.60 29.60 29.60 29.60 29.60 66.60 29.60 29.60 29.60 66.60 29.60 66.60 29.60 26.64 353005050 301 82306 "VITAMIN D, 25-OH, D2" 458.98 458.98 321.29 26.64 33.74 29.60 66.60 29.60 66.60 29.60 29.60 29.60 68.87 29.60 29.60 29.60 66.60 29.60 66.60 29.60 35.54 44.43 66.60 29.60 66.60 29.60 29.60 29.60 86.61 38.49 38.49 38.49 28.12 66.60 29.60 66.60 29.60 29.60 29.60 29.60 41.00 32.56 29.60 66.60 29.60 29.60 29.60 29.60 29.60 29.60 29.60 321.29 29.60 66.60 29.60 29.60 29.60 29.60 66.60 29.60 29.60 29.60 66.60 29.60 66.60 29.60 26.64 301000310 301 82308 CALCITONIN 209.88 209.88 146.92 24.11 30.54 26.79 60.28 26.79 60.28 26.79 26.79 26.79 62.15 26.79 26.79 26.79 60.28 26.79 60.28 26.79 32.17 40.21 60.28 26.79 60.28 26.79 26.79 26.79 65.12 28.94 28.94 28.94 25.45 60.28 26.79 60.28 26.79 26.79 26.79 26.79 38.00 29.47 26.79 60.28 26.79 26.79 26.79 26.79 26.79 26.79 26.79 146.92 26.79 60.28 26.79 26.79 26.79 26.79 60.28 26.79 26.79 26.79 60.28 26.79 60.28 26.79 24.11 353005205 301 82308 CALCITONIN 209.88 209.88 146.92 24.11 30.54 26.79 60.28 26.79 60.28 26.79 26.79 26.79 62.15 26.79 26.79 26.79 60.28 26.79 60.28 26.79 32.17 40.21 60.28 26.79 60.28 26.79 26.79 26.79 65.12 28.94 28.94 28.94 25.45 60.28 26.79 60.28 26.79 26.79 26.79 26.79 38.00 29.47 26.79 60.28 26.79 26.79 26.79 26.79 26.79 26.79 26.79 146.92 26.79 60.28 26.79 26.79 26.79 26.79 60.28 26.79 26.79 26.79 60.28 26.79 60.28 26.79 24.11 301000037 301 82310 CALCIUM TOTAL 103.88 103.88 72.72 4.64 5.88 5.16 11.43 5.08 11.43 5.08 5.16 5.16 11.76 5.16 5.08 5.16 11.43 5.08 11.43 5.16 6.20 7.75 11.43 5.08 11.43 5.08 5.16 5.16 17.24 7.66 7.66 7.66 4.90 11.43 5.08 11.43 5.08 5.16 5.16 5.16 8.00 5.68 5.08 11.43 5.08 5.16 5.08 5.08 5.08 5.16 5.08 72.72 5.16 11.43 5.08 5.08 5.08 5.16 11.43 5.16 5.16 5.08 11.43 5.08 11.43 5.08 4.64 353000037 301 82310 WHL BLD CALCIUM 103.88 103.88 72.72 4.64 5.88 5.16 11.43 5.08 11.43 5.08 5.16 5.16 11.76 5.16 5.08 5.16 11.43 5.08 11.43 5.16 6.20 7.75 11.43 5.08 11.43 5.08 5.16 5.16 17.24 7.66 7.66 7.66 4.90 11.43 5.08 11.43 5.08 5.16 5.16 5.16 8.00 5.68 5.08 11.43 5.08 5.16 5.08 5.08 5.08 5.16 5.08 72.72 5.16 11.43 5.08 5.08 5.08 5.16 11.43 5.16 5.16 5.08 11.43 5.08 11.43 5.08 4.64 301000038 301 82330 CALCIUM IONIZED 138.86 138.86 97.20 5.08 15.60 13.68 11.43 5.08 11.43 5.08 13.68 13.68 31.91 13.68 5.08 13.68 11.43 5.08 11.43 13.68 16.43 20.53 11.43 5.08 11.43 5.08 13.68 13.68 27.74 12.33 12.33 12.33 13.00 11.43 5.08 11.43 5.08 13.68 13.68 13.68 10.00 15.05 5.08 11.43 5.08 13.68 5.08 5.08 5.08 13.68 5.08 97.20 13.68 11.43 5.08 5.08 5.08 13.68 11.43 13.68 13.68 5.08 11.43 5.08 11.43 5.08 12.31 353000043 301 82330 WHL BLD IONIZED CALCIUM 138.86 138.86 97.20 5.08 15.60 13.68 11.43 5.08 11.43 5.08 13.68 13.68 31.91 13.68 5.08 13.68 11.43 5.08 11.43 13.68 16.43 20.53 11.43 5.08 11.43 5.08 13.68 13.68 27.74 12.33 12.33 12.33 13.00 11.43 5.08 11.43 5.08 13.68 13.68 13.68 10.00 15.05 5.08 11.43 5.08 13.68 5.08 5.08 5.08 13.68 5.08 97.20 13.68 11.43 5.08 5.08 5.08 13.68 11.43 13.68 13.68 5.08 11.43 5.08 11.43 5.08 12.31 301000039 301 82340 CALCIUM RANDOM UR 48.76 48.76 34.13 5.43 6.87 6.03 13.57 6.03 13.57 6.03 6.03 6.03 14.00 6.03 6.03 6.03 13.57 6.03 13.57 6.03 7.24 9.05 13.57 6.03 13.57 6.03 6.03 6.03 17.24 7.66 7.66 7.66 5.73 13.57 6.03 13.57 6.03 6.03 6.03 6.03 9.00 6.63 6.03 13.57 6.03 6.03 6.03 6.03 6.03 6.03 6.03 34.13 6.03 13.57 6.03 6.03 6.03 6.03 13.57 6.03 6.03 6.03 13.57 6.03 13.57 6.03 5.43 301000040 301 82340 CALCIUM URINE 24 HR 48.76 48.76 34.13 5.43 6.87 6.03 13.57 6.03 13.57 6.03 6.03 6.03 14.00 6.03 6.03 6.03 13.57 6.03 13.57 6.03 7.24 9.05 13.57 6.03 13.57 6.03 6.03 6.03 17.24 7.66 7.66 7.66 5.73 13.57 6.03 13.57 6.03 6.03 6.03 6.03 9.00 6.63 6.03 13.57 6.03 6.03 6.03 6.03 6.03 6.03 6.03 34.13 6.03 13.57 6.03 6.03 6.03 6.03 13.57 6.03 6.03 6.03 13.57 6.03 13.57 6.03 5.43 301000041 301 82355 CALCULUS (STON) QUALITATIVE A 91.16 91.16 63.81 10.42 13.20 11.58 26.06 11.58 26.06 11.58 11.58 11.58 26.87 11.58 11.58 11.58 26.06 11.58 26.06 11.58 13.91 17.38 26.06 11.58 26.06 11.58 11.58 11.58 27.74 12.33 12.33 12.33 11.00 26.06 11.58 26.06 11.58 11.58 11.58 11.58 16.00 12.74 11.58 26.06 11.58 11.58 11.58 11.58 11.58 11.58 11.58 63.81 11.58 26.06 11.58 11.58 11.58 11.58 26.06 11.58 11.58 11.58 26.06 11.58 26.06 11.58 10.42 301000042 301 82374 CARBON DIOXIDE (BICARBONATE) 43.46 43.46 30.42 4.39 5.56 4.88 10.98 4.88 10.98 4.88 4.88 4.88 11.19 4.88 4.88 4.88 10.98 4.88 10.98 4.88 5.86 7.32 10.98 4.88 10.98 4.88 4.88 4.88 17.24 7.66 7.66 7.66 4.64 10.98 4.88 10.98 4.88 4.88 4.88 4.88 7.00 5.37 4.88 10.98 4.88 4.88 4.88 4.88 4.88 4.88 4.88 30.42 4.88 10.98 4.88 4.88 4.88 4.88 10.98 4.88 4.88 4.88 10.98 4.88 10.98 4.88 4.39 353000038 301 82374 WHL BLD CARBON DIOXIDE 43.46 43.46 30.42 4.39 5.56 4.88 10.98 4.88 10.98 4.88 4.88 4.88 11.19 4.88 4.88 4.88 10.98 4.88 10.98 4.88 5.86 7.32 10.98 4.88 10.98 4.88 4.88 4.88 17.24 7.66 7.66 7.66 4.64 10.98 4.88 10.98 4.88 4.88 4.88 4.88 7.00 5.37 4.88 10.98 4.88 4.88 4.88 4.88 4.88 4.88 4.88 30.42 4.88 10.98 4.88 4.88 4.88 4.88 10.98 4.88 4.88 4.88 10.98 4.88 10.98 4.88 4.39 301000043 301 82375 CARBON MONOXIDE- (CARBOXYHEMOG 110.24 110.24 77.17 11.09 14.04 12.32 25.00 11.11 25.00 11.11 12.32 12.32 28.56 12.32 11.11 12.32 25.00 11.11 25.00 12.32 14.79 18.49 25.00 11.11 25.00 11.11 12.32 12.32 27.74 12.33 12.33 12.33 11.70 25.00 11.11 25.00 11.11 12.32 12.32 12.32 18.00 13.55 11.11 25.00 11.11 12.32 11.11 11.11 11.11 12.32 11.11 77.17 12.32 25.00 11.11 11.11 11.11 12.32 25.00 12.32 12.32 11.11 25.00 11.11 25.00 11.11 11.09 353000040 301 82375 WHL BLD COOXIMETRY 110.24 110.24 77.17 11.09 14.04 12.32 25.00 11.11 25.00 11.11 12.32 12.32 28.56 12.32 11.11 12.32 25.00 11.11 25.00 12.32 14.79 18.49 25.00 11.11 25.00 11.11 12.32 12.32 27.74 12.33 12.33 12.33 11.70 25.00 11.11 25.00 11.11 12.32 12.32 12.32 18.00 13.55 11.11 25.00 11.11 12.32 11.11 11.11 11.11 12.32 11.11 77.17 12.32 25.00 11.11 11.11 11.11 12.32 25.00 12.32 12.32 11.11 25.00 11.11 25.00 11.11 11.09 301000044 301 82378 CARCINOEMBRYONIC ANTIGEN (CEA 133.56 133.56 93.49 12.33 21.61 18.96 42.66 18.96 42.66 18.96 18.96 18.96 44.23 18.96 18.96 18.96 42.66 18.96 42.66 18.96 22.77 28.46 42.66 18.96 42.66 18.96 18.96 18.96 27.74 12.33 12.33 12.33 18.01 42.66 18.96 42.66 18.96 18.96 18.96 18.96 27.00 20.86 18.96 42.66 18.96 18.96 18.96 18.96 18.96 18.96 18.96 93.49 18.96 42.66 18.96 18.96 18.96 18.96 42.66 18.96 18.96 18.96 42.66 18.96 42.66 18.96 17.06 301000073 301 82379 CARNITINE 299.98 299.98 209.99 10.61 19.23 16.87 23.86 10.61 23.86 10.61 16.87 16.87 39.20 16.87 10.61 16.87 23.86 10.61 23.86 16.87 20.26 25.32 23.86 10.61 23.86 10.61 16.87 16.87 27.74 12.33 12.33 12.33 16.03 23.86 10.61 23.86 10.61 16.87 16.87 16.87 28.00 18.56 10.61 23.86 10.61 16.87 10.61 10.61 10.61 16.87 10.61 209.99 16.87 23.86 10.61 10.61 10.61 16.87 23.86 16.87 16.87 10.61 23.86 10.61 23.86 10.61 15.18 353005113 301 82379 "CARNITINE, TOTAL" 299.98 299.98 209.99 10.61 19.23 16.87 23.86 10.61 23.86 10.61 16.87 16.87 39.20 16.87 10.61 16.87 23.86 10.61 23.86 16.87 20.26 25.32 23.86 10.61 23.86 10.61 16.87 16.87 27.74 12.33 12.33 12.33 16.03 23.86 10.61 23.86 10.61 16.87 16.87 16.87 28.00 18.56 10.61 23.86 10.61 16.87 10.61 10.61 10.61 16.87 10.61 209.99 16.87 23.86 10.61 10.61 10.61 16.87 23.86 16.87 16.87 10.61 23.86 10.61 23.86 10.61 15.18 301000045 301 82380 CAROTENE 110.24 110.24 77.17 7.66 10.51 9.22 18.54 8.24 18.54 8.24 9.22 9.22 21.28 9.22 8.24 9.22 18.54 8.24 18.54 9.22 11.07 13.84 18.54 8.24 18.54 8.24 9.22 9.22 17.24 7.66 7.66 7.66 8.76 18.54 8.24 18.54 8.24 9.22 9.22 9.22 13.00 10.14 8.24 18.54 8.24 9.22 8.24 8.24 8.24 9.22 8.24 77.17 9.22 18.54 8.24 8.24 8.24 9.22 18.54 9.22 9.22 8.24 18.54 8.24 18.54 8.24 8.30 301000047 301 82384 CATECHOLAMINES FRACT BLD 279.84 279.84 195.89 18.58 28.79 25.25 41.81 18.58 41.81 18.58 25.25 25.25 58.78 25.25 18.58 25.25 41.81 18.58 41.81 25.25 30.32 37.90 41.81 18.58 41.81 18.58 25.25 25.25 65.12 28.94 28.94 28.94 23.99 41.81 18.58 41.81 18.58 25.25 25.25 25.25 24.00 27.78 18.58 41.81 18.58 25.25 18.58 18.58 18.58 25.25 18.58 195.89 25.25 41.81 18.58 18.58 18.58 25.25 41.81 25.25 25.25 18.58 41.81 18.58 41.81 18.58 22.73 301000048 301 82384 CATECHOLAMINES FRACT UR 279.84 279.84 195.89 18.58 28.79 25.25 41.81 18.58 41.81 18.58 25.25 25.25 58.78 25.25 18.58 25.25 41.81 18.58 41.81 25.25 30.32 37.90 41.81 18.58 41.81 18.58 25.25 25.25 65.12 28.94 28.94 28.94 23.99 41.81 18.58 41.81 18.58 25.25 25.25 25.25 24.00 27.78 18.58 41.81 18.58 25.25 18.58 18.58 18.58 25.25 18.58 195.89 25.25 41.81 18.58 18.58 18.58 25.25 41.81 25.25 25.25 18.58 41.81 18.58 41.81 18.58 22.73 353005036 301 82384 "CATECHOLAMINES, TOTAL" 279.84 279.84 195.89 18.58 28.79 25.25 41.81 18.58 41.81 18.58 25.25 25.25 58.78 25.25 18.58 25.25 41.81 18.58 41.81 25.25 30.32 37.90 41.81 18.58 41.81 18.58 25.25 25.25 65.12 28.94 28.94 28.94 23.99 41.81 18.58 41.81 18.58 25.25 25.25 25.25 24.00 27.78 18.58 41.81 18.58 25.25 18.58 18.58 18.58 25.25 18.58 195.89 25.25 41.81 18.58 18.58 18.58 25.25 41.81 25.25 25.25 18.58 41.81 18.58 41.81 18.58 22.73 301000049 301 82390 CERULOPLASMIN 104.94 104.94 73.46 7.66 12.24 10.74 18.41 8.18 18.41 8.18 10.74 10.74 25.20 10.74 8.18 10.74 18.41 8.18 18.41 10.74 12.90 16.12 18.41 8.18 18.41 8.18 10.74 10.74 17.24 7.66 7.66 7.66 10.20 18.41 8.18 18.41 8.18 10.74 10.74 10.74 11.00 11.81 8.18 18.41 8.18 10.74 8.18 8.18 8.18 10.74 8.18 73.46 10.74 18.41 8.18 8.18 8.18 10.74 18.41 10.74 10.74 8.18 18.41 8.18 18.41 8.18 9.67 301000347 301 82397 TSH RECEPTOR ANTIBODY 339.20 339.20 237.44 12.33 16.10 14.12 29.84 13.26 29.84 13.26 14.12 14.12 33.03 14.12 13.26 14.12 29.84 13.26 29.84 14.12 16.96 21.19 29.84 13.26 29.84 13.26 14.12 14.12 27.74 12.33 12.33 12.33 13.41 29.84 13.26 29.84 13.26 14.12 14.12 14.12 15.00 15.53 13.26 29.84 13.26 14.12 13.26 13.26 13.26 14.12 13.26 237.44 14.12 29.84 13.26 13.26 13.26 14.12 29.84 14.12 14.12 13.26 29.84 13.26 29.84 13.26 12.71 301000050 301 82435 CHLORIDE BLOOD 44.52 44.52 31.16 4.14 5.24 4.60 10.35 4.60 10.35 4.60 4.60 4.60 10.64 4.60 4.60 4.60 10.35 4.60 10.35 4.60 5.52 6.90 10.35 4.60 10.35 4.60 4.60 4.60 17.24 7.66 7.66 7.66 4.37 10.35 4.60 10.35 4.60 4.60 4.60 4.60 7.00 5.06 4.60 10.35 4.60 4.60 4.60 4.60 4.60 4.60 4.60 31.16 4.60 10.35 4.60 4.60 4.60 4.60 10.35 4.60 4.60 4.60 10.35 4.60 10.35 4.60 4.14 353000039 301 82435 WHL BLD CHLORIDE 44.52 44.52 31.16 4.14 5.24 4.60 10.35 4.60 10.35 4.60 4.60 4.60 10.64 4.60 4.60 4.60 10.35 4.60 10.35 4.60 5.52 6.90 10.35 4.60 10.35 4.60 4.60 4.60 17.24 7.66 7.66 7.66 4.37 10.35 4.60 10.35 4.60 4.60 4.60 4.60 7.00 5.06 4.60 10.35 4.60 4.60 4.60 4.60 4.60 4.60 4.60 31.16 4.60 10.35 4.60 4.60 4.60 4.60 10.35 4.60 4.60 4.60 10.35 4.60 10.35 4.60 4.14 301000051 301 82436 CHLORIDE 24 HR URINE 46.64 46.64 32.65 4.00 6.56 5.75 11.43 5.08 11.43 5.08 5.75 5.75 11.76 5.75 5.08 5.75 11.43 5.08 11.43 5.75 6.90 8.63 11.43 5.08 11.43 5.08 5.75 5.75 17.24 7.66 7.66 7.66 5.46 11.43 5.08 11.43 5.08 5.75 5.75 5.75 4.00 6.33 5.08 11.43 5.08 5.75 5.08 5.08 5.08 5.75 5.08 32.65 5.75 11.43 5.08 5.08 5.08 5.75 11.43 5.75 5.75 5.08 11.43 5.08 11.43 5.08 5.18 301000052 301 82436 CHLORIDES UR RANDOM 46.64 46.64 32.65 4.00 6.56 5.75 11.43 5.08 11.43 5.08 5.75 5.75 11.76 5.75 5.08 5.75 11.43 5.08 11.43 5.75 6.90 8.63 11.43 5.08 11.43 5.08 5.75 5.75 17.24 7.66 7.66 7.66 5.46 11.43 5.08 11.43 5.08 5.75 5.75 5.75 4.00 6.33 5.08 11.43 5.08 5.75 5.08 5.08 5.08 5.75 5.08 32.65 5.75 11.43 5.08 5.08 5.08 5.75 11.43 5.75 5.75 5.08 11.43 5.08 11.43 5.08 5.18 301000053 301 82465 CHOLESTEROL- SERUM TOTAL 38.16 38.16 26.71 3.92 4.96 4.35 9.79 4.35 9.79 4.35 4.35 4.35 10.08 4.35 4.35 4.35 9.79 4.35 9.79 4.35 5.22 6.53 9.79 4.35 9.79 4.35 4.35 4.35 17.24 7.66 7.66 7.66 4.13 9.79 4.35 9.79 4.35 4.35 4.35 4.35 7.00 4.79 4.35 9.79 4.35 4.35 4.35 4.35 4.35 4.35 4.35 26.71 4.35 9.79 4.35 4.35 4.35 4.35 9.79 4.35 4.35 4.35 9.79 4.35 9.79 4.35 3.92 301000056 301 82507 CITRATE 341.32 341.32 238.92 25.02 31.69 27.80 57.49 25.55 57.49 25.55 27.80 27.80 64.39 27.80 25.55 27.80 57.49 25.55 57.49 27.80 33.38 41.73 57.49 25.55 57.49 25.55 27.80 27.80 86.61 38.49 38.49 38.49 26.41 57.49 25.55 57.49 25.55 27.80 27.80 27.80 39.00 30.58 25.55 57.49 25.55 27.80 25.55 25.55 25.55 27.80 25.55 238.92 27.80 57.49 25.55 25.55 25.55 27.80 57.49 27.80 27.80 25.55 57.49 25.55 57.49 25.55 25.02 301000057 301 82507 CITRATE- SC-2 341.32 341.32 238.92 25.02 31.69 27.80 57.49 25.55 57.49 25.55 27.80 27.80 64.39 27.80 25.55 27.80 57.49 25.55 57.49 27.80 33.38 41.73 57.49 25.55 57.49 25.55 27.80 27.80 86.61 38.49 38.49 38.49 26.41 57.49 25.55 57.49 25.55 27.80 27.80 27.80 39.00 30.58 25.55 57.49 25.55 27.80 25.55 25.55 25.55 27.80 25.55 238.92 27.80 57.49 25.55 25.55 25.55 27.80 57.49 27.80 27.80 25.55 57.49 25.55 57.49 25.55 25.02 301000308 301 82523 "COLLAGEN CROSS-LINKED,UR" 169.60 169.60 118.72 12.33 21.30 18.68 42.03 18.68 42.03 18.68 18.68 18.68 43.11 18.68 18.68 18.68 42.03 18.68 42.03 18.68 22.43 28.04 42.03 18.68 42.03 18.68 18.68 18.68 27.74 12.33 12.33 12.33 17.75 42.03 18.68 42.03 18.68 18.68 18.68 18.68 26.00 20.55 18.68 42.03 18.68 18.68 18.68 18.68 18.68 18.68 18.68 118.72 18.68 42.03 18.68 18.68 18.68 18.68 42.03 18.68 18.68 18.68 42.03 18.68 42.03 18.68 16.81 301000058 301 82525 COPPER 146.28 146.28 102.40 11.17 14.15 12.41 27.92 12.41 27.92 12.41 12.41 12.41 28.56 12.41 12.41 12.41 27.92 12.41 27.92 12.41 14.90 18.63 27.92 12.41 27.92 12.41 12.41 12.41 48.80 21.69 21.69 21.69 11.79 27.92 12.41 27.92 12.41 12.41 12.41 12.41 18.00 13.65 12.41 27.92 12.41 12.41 12.41 12.41 12.41 12.41 12.41 102.40 12.41 27.92 12.41 12.41 12.41 12.41 27.92 12.41 12.41 12.41 27.92 12.41 27.92 12.41 11.17 301000060 301 82530 CORTISOL FREE- URINE 153.70 153.70 107.59 12.33 19.05 16.71 37.60 16.71 37.60 16.71 16.71 16.71 38.63 16.71 16.71 16.71 37.60 16.71 37.60 16.71 20.07 25.08 37.60 16.71 37.60 16.71 16.71 16.71 27.74 12.33 12.33 12.33 15.87 37.60 16.71 37.60 16.71 16.71 16.71 16.71 24.00 18.38 16.71 37.60 16.71 16.71 16.71 16.71 16.71 16.71 16.71 107.59 16.71 37.60 16.71 16.71 16.71 16.71 37.60 16.71 16.71 16.71 37.60 16.71 37.60 16.71 15.04 301000061 301 82533 CORTISOL TOTAL 135.68 135.68 94.98 14.67 18.58 16.30 36.68 16.30 36.68 16.30 16.30 16.30 38.08 16.30 16.30 16.30 36.68 16.30 36.68 16.30 19.57 24.47 36.68 16.30 36.68 16.30 16.30 16.30 65.12 28.94 28.94 28.94 15.49 36.68 16.30 36.68 16.30 16.30 16.30 16.30 23.00 17.93 16.30 36.68 16.30 16.30 16.30 16.30 16.30 16.30 16.30 94.98 16.30 36.68 16.30 16.30 16.30 16.30 36.68 16.30 16.30 16.30 36.68 16.30 36.68 16.30 14.67 353005046 301 82533 "CORTISOL, FREE, URINE" 135.68 135.68 94.98 14.67 18.58 16.30 36.68 16.30 36.68 16.30 16.30 16.30 38.08 16.30 16.30 16.30 36.68 16.30 36.68 16.30 19.57 24.47 36.68 16.30 36.68 16.30 16.30 16.30 65.12 28.94 28.94 28.94 15.49 36.68 16.30 36.68 16.30 16.30 16.30 16.30 23.00 17.93 16.30 36.68 16.30 16.30 16.30 16.30 16.30 16.30 16.30 94.98 16.30 36.68 16.30 16.30 16.30 16.30 36.68 16.30 16.30 16.30 36.68 16.30 36.68 16.30 14.67 301000065 301 82540 CREATINE 130.38 130.38 91.27 4.18 5.29 4.64 18.54 8.24 18.54 8.24 4.64 4.64 10.64 4.64 8.24 4.64 18.54 8.24 18.54 4.64 5.57 6.96 18.54 8.24 18.54 8.24 4.64 4.64 17.24 7.66 7.66 7.66 4.41 18.54 8.24 18.54 8.24 4.64 4.64 4.64 7.00 5.10 8.24 18.54 8.24 4.64 8.24 8.24 8.24 4.64 8.24 91.27 4.64 18.54 8.24 8.24 8.24 4.64 18.54 4.64 4.64 8.24 18.54 8.24 18.54 8.24 4.18 353000010 301 82540 CREATINE 130.38 130.38 91.27 4.18 5.29 4.64 18.54 8.24 18.54 8.24 4.64 4.64 10.64 4.64 8.24 4.64 18.54 8.24 18.54 4.64 5.57 6.96 18.54 8.24 18.54 8.24 4.64 4.64 17.24 7.66 7.66 7.66 4.41 18.54 8.24 18.54 8.24 4.64 4.64 4.64 7.00 5.10 8.24 18.54 8.24 4.64 8.24 8.24 8.24 4.64 8.24 91.27 4.64 18.54 8.24 8.24 8.24 4.64 18.54 4.64 4.64 8.24 18.54 8.24 18.54 8.24 4.18 301000046 301 82542 NOREPINEPHRINE 347.68 347.68 243.38 12.33 27.46 24.09 29.84 13.26 29.84 13.26 24.09 24.09 42.00 24.09 13.26 24.09 29.84 13.26 29.84 24.09 28.93 36.16 29.84 13.26 29.84 13.26 24.09 24.09 27.74 12.33 12.33 12.33 22.89 29.84 13.26 29.84 13.26 24.09 24.09 24.09 30.00 26.50 13.26 29.84 13.26 24.09 13.26 13.26 13.26 24.09 13.26 243.38 24.09 29.84 13.26 13.26 13.26 24.09 29.84 24.09 24.09 13.26 29.84 13.26 29.84 13.26 21.68 301000289 301 82542 AMIODARONE METABOLITE 347.68 347.68 243.38 12.33 27.46 24.09 29.84 13.26 29.84 13.26 24.09 24.09 42.00 24.09 13.26 24.09 29.84 13.26 29.84 24.09 28.93 36.16 29.84 13.26 29.84 13.26 24.09 24.09 27.74 12.33 12.33 12.33 22.89 29.84 13.26 29.84 13.26 24.09 24.09 24.09 30.00 26.50 13.26 29.84 13.26 24.09 13.26 13.26 13.26 24.09 13.26 243.38 24.09 29.84 13.26 13.26 13.26 24.09 29.84 24.09 24.09 13.26 29.84 13.26 29.84 13.26 21.68 301000311 301 82542 COENZYME Q10 347.68 347.68 243.38 12.33 27.46 24.09 29.84 13.26 29.84 13.26 24.09 24.09 42.00 24.09 13.26 24.09 29.84 13.26 29.84 24.09 28.93 36.16 29.84 13.26 29.84 13.26 24.09 24.09 27.74 12.33 12.33 12.33 22.89 29.84 13.26 29.84 13.26 24.09 24.09 24.09 30.00 26.50 13.26 29.84 13.26 24.09 13.26 13.26 13.26 24.09 13.26 243.38 24.09 29.84 13.26 13.26 13.26 24.09 29.84 24.09 24.09 13.26 29.84 13.26 29.84 13.26 21.68 353005167 301 82542 COENZYME Q10 347.68 347.68 243.38 12.33 27.46 24.09 29.84 13.26 29.84 13.26 24.09 24.09 42.00 24.09 13.26 24.09 29.84 13.26 29.84 24.09 28.93 36.16 29.84 13.26 29.84 13.26 24.09 24.09 27.74 12.33 12.33 12.33 22.89 29.84 13.26 29.84 13.26 24.09 24.09 24.09 30.00 26.50 13.26 29.84 13.26 24.09 13.26 13.26 13.26 24.09 13.26 243.38 24.09 29.84 13.26 13.26 13.26 24.09 29.84 24.09 24.09 13.26 29.84 13.26 29.84 13.26 21.68 353005409 301 82542 DS CANNABINOID QUANTITATV-K2SP 347.68 347.68 243.38 12.33 27.46 24.09 29.84 13.26 29.84 13.26 24.09 24.09 42.00 24.09 13.26 24.09 29.84 13.26 29.84 24.09 28.93 36.16 29.84 13.26 29.84 13.26 24.09 24.09 27.74 12.33 12.33 12.33 22.89 29.84 13.26 29.84 13.26 24.09 24.09 24.09 30.00 26.50 13.26 29.84 13.26 24.09 13.26 13.26 13.26 24.09 13.26 243.38 24.09 29.84 13.26 13.26 13.26 24.09 29.84 24.09 24.09 13.26 29.84 13.26 29.84 13.26 21.68 301000062 301 82550 CREATINE KINASE (CK)- (CPK) TO 36.04 36.04 25.23 5.08 7.42 6.51 11.43 5.08 11.43 5.08 6.51 6.51 15.11 6.51 5.08 6.51 11.43 5.08 11.43 6.51 7.82 9.77 11.43 5.08 11.43 5.08 6.51 6.51 17.24 7.66 7.66 7.66 6.18 11.43 5.08 11.43 5.08 6.51 6.51 6.51 10.00 7.16 5.08 11.43 5.08 6.51 5.08 5.08 5.08 6.51 5.08 25.23 6.51 11.43 5.08 5.08 5.08 6.51 11.43 6.51 6.51 5.08 11.43 5.08 11.43 5.08 5.86 301000063 301 82553 MB FRACTION ONLY (CKMB) 43.46 43.46 30.42 8.13 13.17 11.55 18.29 8.13 18.29 8.13 11.55 11.55 26.87 11.55 8.13 11.55 18.29 8.13 18.29 11.55 13.87 17.34 18.29 8.13 18.29 8.13 11.55 11.55 27.74 12.33 12.33 12.33 10.97 18.29 8.13 18.29 8.13 11.55 11.55 11.55 9.00 12.71 8.13 18.29 8.13 11.55 8.13 8.13 8.13 11.55 8.13 30.42 11.55 18.29 8.13 8.13 8.13 11.55 18.29 11.55 11.55 8.13 18.29 8.13 18.29 8.13 10.40 301000064 301 82565 CREATININE BLOOD 57.24 57.24 40.07 4.61 5.84 5.12 11.43 5.08 11.43 5.08 5.12 5.12 11.76 5.12 5.08 5.12 11.43 5.08 11.43 5.12 6.15 7.69 11.43 5.08 11.43 5.08 5.12 5.12 17.24 7.66 7.66 7.66 4.86 11.43 5.08 11.43 5.08 5.12 5.12 5.12 8.00 5.63 5.08 11.43 5.08 5.12 5.08 5.08 5.08 5.12 5.08 40.07 5.12 11.43 5.08 5.08 5.08 5.12 11.43 5.12 5.12 5.08 11.43 5.08 11.43 5.08 4.61 353000041 301 82565 WHL BLD CREATININE 57.24 57.24 40.07 4.61 5.84 5.12 11.43 5.08 11.43 5.08 5.12 5.12 11.76 5.12 5.08 5.12 11.43 5.08 11.43 5.12 6.15 7.69 11.43 5.08 11.43 5.08 5.12 5.12 17.24 7.66 7.66 7.66 4.86 11.43 5.08 11.43 5.08 5.12 5.12 5.12 8.00 5.63 5.08 11.43 5.08 5.12 5.08 5.08 5.08 5.12 5.08 40.07 5.12 11.43 5.08 5.08 5.08 5.12 11.43 5.12 5.12 5.08 11.43 5.08 11.43 5.08 4.61 301000066 301 82570 CREATININE OTHER SOURCE 96.46 96.46 67.52 4.66 5.91 5.18 11.43 5.08 11.43 5.08 5.18 5.18 11.76 5.18 5.08 5.18 11.43 5.08 11.43 5.18 6.22 7.78 11.43 5.08 11.43 5.08 5.18 5.18 17.24 7.66 7.66 7.66 4.92 11.43 5.08 11.43 5.08 5.18 5.18 5.18 8.00 5.70 5.08 11.43 5.08 5.18 5.08 5.08 5.08 5.18 5.08 67.52 5.18 11.43 5.08 5.08 5.08 5.18 11.43 5.18 5.18 5.08 11.43 5.08 11.43 5.08 4.66 301000067 301 82570 CREATININE URINE- 24 UR 96.46 96.46 67.52 4.66 5.91 5.18 11.43 5.08 11.43 5.08 5.18 5.18 11.76 5.18 5.08 5.18 11.43 5.08 11.43 5.18 6.22 7.78 11.43 5.08 11.43 5.08 5.18 5.18 17.24 7.66 7.66 7.66 4.92 11.43 5.08 11.43 5.08 5.18 5.18 5.18 8.00 5.70 5.08 11.43 5.08 5.18 5.08 5.08 5.08 5.18 5.08 67.52 5.18 11.43 5.08 5.08 5.08 5.18 11.43 5.18 5.18 5.08 11.43 5.08 11.43 5.08 4.66 301000068 301 82570 CREATININE- URINE- SC-1 96.46 96.46 67.52 4.66 5.91 5.18 11.43 5.08 11.43 5.08 5.18 5.18 11.76 5.18 5.08 5.18 11.43 5.08 11.43 5.18 6.22 7.78 11.43 5.08 11.43 5.08 5.18 5.18 17.24 7.66 7.66 7.66 4.92 11.43 5.08 11.43 5.08 5.18 5.18 5.18 8.00 5.70 5.08 11.43 5.08 5.18 5.08 5.08 5.08 5.18 5.08 67.52 5.18 11.43 5.08 5.08 5.08 5.18 11.43 5.18 5.18 5.08 11.43 5.08 11.43 5.08 4.66 301000069 301 82575 CREATININE CLEARANCE 103.88 103.88 72.72 5.89 10.78 9.46 13.25 5.89 13.25 5.89 9.46 9.46 21.83 9.46 5.89 9.46 13.25 5.89 13.25 9.46 11.36 14.20 13.25 5.89 13.25 5.89 9.46 9.46 17.24 7.66 7.66 7.66 8.99 13.25 5.89 13.25 5.89 9.46 9.46 9.46 14.00 10.41 5.89 13.25 5.89 9.46 5.89 5.89 5.89 9.46 5.89 72.72 9.46 13.25 5.89 5.89 5.89 9.46 13.25 9.46 9.46 5.89 13.25 5.89 13.25 5.89 8.51 301000070 301 82595 CRYOGLOBULIN 56.18 56.18 39.33 5.53 7.38 6.47 12.45 5.53 12.45 5.53 6.47 6.47 15.11 6.47 5.53 6.47 12.45 5.53 12.45 6.47 7.77 9.71 12.45 5.53 12.45 5.53 6.47 6.47 17.24 7.66 7.66 7.66 6.15 12.45 5.53 12.45 5.53 6.47 6.47 6.47 9.00 7.12 5.53 12.45 5.53 6.47 5.53 5.53 5.53 6.47 5.53 39.33 6.47 12.45 5.53 5.53 5.53 6.47 12.45 6.47 6.47 5.53 12.45 5.53 12.45 5.53 5.82 301000071 301 82607 CYANOCOBALAMIN (VITAMIN B-12) 151.58 151.58 106.11 12.63 17.19 15.08 28.41 12.63 28.41 12.63 15.08 15.08 34.71 15.08 12.63 15.08 28.41 12.63 28.41 15.08 18.11 22.64 28.41 12.63 28.41 12.63 15.08 15.08 65.12 28.94 28.94 28.94 14.33 28.41 12.63 28.41 12.63 15.08 15.08 15.08 21.00 16.59 12.63 28.41 12.63 15.08 12.63 12.63 12.63 15.08 12.63 106.11 15.08 28.41 12.63 12.63 12.63 15.08 28.41 15.08 15.08 12.63 28.41 12.63 28.41 12.63 13.57 301000072 301 82607 VIT B12 BINDING CAP U SAT 151.58 151.58 106.11 12.63 17.19 15.08 28.41 12.63 28.41 12.63 15.08 15.08 34.71 15.08 12.63 15.08 28.41 12.63 28.41 15.08 18.11 22.64 28.41 12.63 28.41 12.63 15.08 15.08 65.12 28.94 28.94 28.94 14.33 28.41 12.63 28.41 12.63 15.08 15.08 15.08 21.00 16.59 12.63 28.41 12.63 15.08 12.63 12.63 12.63 15.08 12.63 106.11 15.08 28.41 12.63 12.63 12.63 15.08 28.41 15.08 15.08 12.63 28.41 12.63 28.41 12.63 13.57 301000074 301 82626 DEHYDROEPIANDROSTERONE (DHEA) 377.36 377.36 264.15 12.33 28.81 25.27 54.13 24.06 54.13 24.06 25.27 25.27 58.78 25.27 24.06 25.27 54.13 24.06 54.13 25.27 30.34 37.93 54.13 24.06 54.13 24.06 25.27 25.27 27.74 12.33 12.33 12.33 24.01 54.13 24.06 54.13 24.06 25.27 25.27 25.27 35.00 27.80 24.06 54.13 24.06 25.27 24.06 24.06 24.06 25.27 24.06 264.15 25.27 54.13 24.06 24.06 24.06 25.27 54.13 25.27 25.27 24.06 54.13 24.06 54.13 24.06 22.74 301000075 301 82627 SULFATE (DHEA-S) 230.02 230.02 161.01 20.01 25.34 22.23 50.02 22.23 50.02 22.23 22.23 22.23 51.51 22.23 22.23 22.23 50.02 22.23 50.02 22.23 26.69 33.37 50.02 22.23 50.02 22.23 22.23 22.23 65.12 28.94 28.94 28.94 21.12 50.02 22.23 50.02 22.23 22.23 22.23 22.23 31.00 24.45 22.23 50.02 22.23 22.23 22.23 22.23 22.23 22.23 22.23 161.01 22.23 50.02 22.23 22.23 22.23 22.23 50.02 22.23 22.23 22.23 50.02 22.23 50.02 22.23 20.01 301000076 301 82652 DIHYDROXYVITAMIN D- 1-25- 372.06 372.06 260.44 34.65 43.89 38.50 93.16 41.41 93.16 41.41 38.50 38.50 89.02 38.50 41.41 38.50 93.16 41.41 93.16 38.50 46.23 57.79 93.16 41.41 93.16 41.41 38.50 38.50 86.61 38.49 38.49 38.49 36.58 93.16 41.41 93.16 41.41 38.50 38.50 38.50 54.00 42.35 41.41 93.16 41.41 38.50 41.41 41.41 41.41 38.50 41.41 260.44 38.50 93.16 41.41 41.41 41.41 38.50 93.16 38.50 38.50 41.41 93.16 41.41 93.16 41.41 34.65 301000077 301 82668 ERYTHROPOIETIN (EPOGEN) 664.62 664.62 465.23 12.33 21.42 18.79 38.77 17.23 38.77 17.23 18.79 18.79 43.67 18.79 17.23 18.79 38.77 17.23 38.77 18.79 22.56 28.20 38.77 17.23 38.77 17.23 18.79 18.79 27.74 12.33 12.33 12.33 17.85 38.77 17.23 38.77 17.23 18.79 18.79 18.79 26.00 20.67 17.23 38.77 17.23 18.79 17.23 17.23 17.23 18.79 17.23 465.23 18.79 38.77 17.23 17.23 17.23 18.79 38.77 18.79 18.79 17.23 38.77 17.23 38.77 17.23 16.91 353005088 301 82668 ERYTHROPOIETIN T 664.62 664.62 465.23 12.33 21.42 18.79 38.77 17.23 38.77 17.23 18.79 18.79 43.67 18.79 17.23 18.79 38.77 17.23 38.77 18.79 22.56 28.20 38.77 17.23 38.77 17.23 18.79 18.79 27.74 12.33 12.33 12.33 17.85 38.77 17.23 38.77 17.23 18.79 18.79 18.79 26.00 20.67 17.23 38.77 17.23 18.79 17.23 17.23 17.23 18.79 17.23 465.23 18.79 38.77 17.23 17.23 17.23 18.79 38.77 18.79 18.79 17.23 38.77 17.23 38.77 17.23 16.91 301000078 301 82670 ESTRADIOL 243.80 243.80 170.66 25.15 31.85 27.94 62.87 27.94 62.87 27.94 27.94 27.94 64.95 27.94 27.94 27.94 62.87 27.94 62.87 27.94 33.55 41.94 62.87 27.94 62.87 27.94 27.94 27.94 65.12 28.94 28.94 28.94 26.54 62.87 27.94 62.87 27.94 27.94 27.94 27.94 39.00 30.73 27.94 62.87 27.94 27.94 27.94 27.94 27.94 27.94 27.94 170.66 27.94 62.87 27.94 27.94 27.94 27.94 62.87 27.94 27.94 27.94 62.87 27.94 62.87 27.94 25.15 301000334 301 82671 ESTROGENS FRACT LC/MS/MS 256.52 256.52 179.56 29.07 36.82 32.30 98.64 43.84 98.64 43.84 32.30 32.30 75.03 32.30 43.84 32.30 98.64 43.84 98.64 32.30 38.79 48.48 98.64 43.84 98.64 43.84 32.30 32.30 91.70 40.76 40.76 40.76 30.69 98.64 43.84 98.64 43.84 32.30 32.30 32.30 45.00 35.53 43.84 98.64 43.84 32.30 43.84 43.84 43.84 32.30 43.84 179.56 32.30 98.64 43.84 43.84 43.84 32.30 98.64 32.30 32.30 43.84 98.64 43.84 98.64 43.84 29.07 301000292 301 82672 ESTROGEN 237.44 237.44 166.21 19.53 24.74 21.70 48.83 21.70 48.83 21.70 21.70 21.70 50.39 21.70 21.70 21.70 48.83 21.70 48.83 21.70 26.06 32.57 48.83 21.70 48.83 21.70 21.70 21.70 65.12 28.94 28.94 28.94 20.62 48.83 21.70 48.83 21.70 21.70 21.70 21.70 30.00 23.87 21.70 48.83 21.70 21.70 21.70 21.70 21.70 21.70 21.70 166.21 21.70 48.83 21.70 21.70 21.70 21.70 48.83 21.70 21.70 21.70 48.83 21.70 48.83 21.70 19.53 301000079 301 82677 ESTRIOL 146.28 146.28 102.40 17.68 27.57 24.18 39.77 17.68 39.77 17.68 24.18 24.18 55.99 24.18 17.68 24.18 39.77 17.68 39.77 24.18 29.04 36.29 39.77 17.68 39.77 17.68 24.18 24.18 65.12 28.94 28.94 28.94 22.97 39.77 17.68 39.77 17.68 24.18 24.18 24.18 34.00 26.60 17.68 39.77 17.68 24.18 17.68 17.68 17.68 24.18 17.68 102.40 24.18 39.77 17.68 17.68 17.68 24.18 39.77 24.18 24.18 17.68 39.77 17.68 39.77 17.68 21.76 301000333 301 82693 ETHYLENE GLYCOL 140.98 140.98 98.69 13.41 16.99 14.90 52.50 23.33 52.50 23.33 14.90 14.90 34.71 14.90 23.33 14.90 52.50 23.33 52.50 14.90 17.89 22.36 52.50 23.33 52.50 23.33 14.90 14.90 48.80 21.69 21.69 21.69 14.16 52.50 23.33 52.50 23.33 14.90 14.90 14.90 21.00 16.39 23.33 52.50 23.33 14.90 23.33 23.33 23.33 14.90 23.33 98.69 14.90 52.50 23.33 23.33 23.33 14.90 52.50 14.90 14.90 23.33 52.50 23.33 52.50 23.33 13.41 353005015 301 82693 ETHYLENE GLYCOL 140.98 140.98 98.69 13.41 16.99 14.90 52.50 23.33 52.50 23.33 14.90 14.90 34.71 14.90 23.33 14.90 52.50 23.33 52.50 14.90 17.89 22.36 52.50 23.33 52.50 23.33 14.90 14.90 48.80 21.69 21.69 21.69 14.16 52.50 23.33 52.50 23.33 14.90 14.90 14.90 21.00 16.39 23.33 52.50 23.33 14.90 23.33 23.33 23.33 14.90 23.33 98.69 14.90 52.50 23.33 23.33 23.33 14.90 52.50 14.90 14.90 23.33 52.50 23.33 52.50 23.33 13.41 301000285 301 82705 FECAL FAT QL 25.44 25.44 17.81 4.59 5.81 5.10 11.48 5.10 11.48 5.10 5.10 5.10 11.76 5.10 5.10 5.10 11.48 5.10 11.48 5.10 6.12 7.66 11.48 5.10 11.48 5.10 5.10 5.10 17.24 7.66 7.66 7.66 4.85 11.48 5.10 11.48 5.10 5.10 5.10 5.10 8.00 5.61 5.10 11.48 5.10 5.10 5.10 5.10 5.10 5.10 5.10 17.81 5.10 11.48 5.10 5.10 5.10 5.10 11.48 5.10 5.10 5.10 11.48 5.10 11.48 5.10 4.59 353005089 301 82705 "FECAL FAT, QL TEST" 25.44 25.44 17.81 4.59 5.81 5.10 11.48 5.10 11.48 5.10 5.10 5.10 11.76 5.10 5.10 5.10 11.48 5.10 11.48 5.10 6.12 7.66 11.48 5.10 11.48 5.10 5.10 5.10 17.24 7.66 7.66 7.66 4.85 11.48 5.10 11.48 5.10 5.10 5.10 5.10 8.00 5.61 5.10 11.48 5.10 5.10 5.10 5.10 5.10 5.10 5.10 17.81 5.10 11.48 5.10 5.10 5.10 5.10 11.48 5.10 5.10 5.10 11.48 5.10 11.48 5.10 4.59 301000080 301 82710 FECAL FAT- 24 HOURS 692.18 692.18 484.53 12.33 19.15 16.80 37.80 16.80 37.80 16.80 16.80 16.80 39.20 16.80 16.80 16.80 37.80 16.80 37.80 16.80 20.17 25.22 37.80 16.80 37.80 16.80 16.80 16.80 27.74 12.33 12.33 12.33 15.96 37.80 16.80 37.80 16.80 16.80 16.80 16.80 24.00 18.48 16.80 37.80 16.80 16.80 16.80 16.80 16.80 16.80 16.80 484.53 16.80 37.80 16.80 16.80 16.80 16.80 37.80 16.80 16.80 16.80 37.80 16.80 37.80 16.80 15.12 301000081 301 82725 FATTY ACIDS- NONESTERIFIED 136.74 136.74 95.72 12.33 21.40 18.77 29.84 13.26 29.84 13.26 18.77 18.77 30.79 18.77 13.26 18.77 29.84 13.26 29.84 18.77 22.54 28.17 29.84 13.26 29.84 13.26 18.77 18.77 27.74 12.33 12.33 12.33 17.83 29.84 13.26 29.84 13.26 18.77 18.77 18.77 19.00 20.65 13.26 29.84 13.26 18.77 13.26 13.26 13.26 18.77 13.26 95.72 18.77 29.84 13.26 13.26 13.26 18.77 29.84 18.77 18.77 13.26 29.84 13.26 29.84 13.26 16.89 301000082 301 82728 FERRITIN 111.30 111.30 77.91 12.27 15.54 13.63 30.67 13.63 30.67 13.63 13.63 13.63 31.36 13.63 13.63 13.63 30.67 13.63 30.67 13.63 16.37 20.46 30.67 13.63 30.67 13.63 13.63 13.63 27.74 12.33 12.33 12.33 12.95 30.67 13.63 30.67 13.63 13.63 13.63 13.63 19.00 14.99 13.63 30.67 13.63 13.63 13.63 13.63 13.63 13.63 13.63 77.91 13.63 30.67 13.63 13.63 13.63 13.63 30.67 13.63 13.63 13.63 30.67 13.63 30.67 13.63 12.27 301000250 301 82731 FETAL FIBRONECTIN ASSAY 481.24 481.24 336.87 53.88 73.43 64.41 144.92 64.41 144.92 64.41 64.41 64.41 149.50 64.41 64.41 64.41 144.92 64.41 144.92 64.41 77.34 96.68 144.92 64.41 144.92 64.41 64.41 64.41 121.24 53.88 53.88 53.88 61.19 144.92 64.41 144.92 64.41 64.41 64.41 64.41 212.00 70.85 64.41 144.92 64.41 64.41 64.41 64.41 64.41 64.41 64.41 336.87 64.41 144.92 64.41 64.41 64.41 64.41 144.92 64.41 64.41 64.41 144.92 64.41 144.92 64.41 57.97 301000083 301 82746 FOLIC ACID SERUM 145.22 145.22 101.65 12.33 16.76 14.70 28.41 12.63 28.41 12.63 14.70 14.70 34.16 14.70 12.63 14.70 28.41 12.63 28.41 14.70 17.65 22.06 28.41 12.63 28.41 12.63 14.70 14.70 27.74 12.33 12.33 12.33 13.97 28.41 12.63 28.41 12.63 14.70 14.70 14.70 21.00 16.17 12.63 28.41 12.63 14.70 12.63 12.63 12.63 14.70 12.63 101.65 14.70 28.41 12.63 12.63 12.63 14.70 28.41 14.70 14.70 12.63 28.41 12.63 28.41 12.63 13.23 301000084 301 82747 FOLIC ACID RBC 256.52 256.52 179.56 12.33 20.12 17.65 28.41 12.63 28.41 12.63 17.65 17.65 40.31 17.65 12.63 17.65 28.41 12.63 28.41 17.65 21.19 26.49 28.41 12.63 28.41 12.63 17.65 17.65 27.74 12.33 12.33 12.33 16.77 28.41 12.63 28.41 12.63 17.65 17.65 17.65 17.00 19.42 12.63 28.41 12.63 17.65 12.63 12.63 12.63 17.65 12.63 179.56 17.65 28.41 12.63 12.63 12.63 17.65 28.41 17.65 17.65 12.63 28.41 12.63 28.41 12.63 15.89 301000085 301 82784 GAMMAGLOBULIN IGA- IGD- IGG- 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 301000086 301 82784 IMMUNO IGA SERUM 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 301000087 301 82784 IMMUNO IGG CSF 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 301000089 301 82784 IMMUNO IGG SERUM 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 301000091 301 82784 IMMUNO IGM SERUM 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 301000322 301 82784 IMMUNO IGD SERUM 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 301000358 301 82784 ASSAY IGA/IGD/IGG/IGM 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005120 301 82784 IGG 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005121 301 82784 IGM 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005122 301 82784 IGA 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005123 301 82784 IGD 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005124 301 82784 IGE 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005125 301 82784 IGG (CYTO) 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005126 301 82784 IGM (CYTO) 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005127 301 82784 CYTO IGA 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005128 301 82784 IGD (CYTO) 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005129 301 82784 IGE (CYTO) 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005132 301 82784 "IMMUNOFIXATION, SERUM" 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005133 301 82784 "IMM IGG, SERUM" 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005134 301 82784 "IMM IGA, SERUM" 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005135 301 82784 "IMM IGM, SERUM" 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005170 301 82784 "IGA, SERUM" 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005223 301 82784 "IGA, SERUM" 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 353005342 301 82784 IMMUNOGLOBINS PANEL 137.80 137.80 96.46 7.66 10.60 9.30 20.93 9.30 20.93 9.30 9.30 9.30 21.83 9.30 9.30 9.30 20.93 9.30 20.93 9.30 11.17 13.96 20.93 9.30 20.93 9.30 9.30 9.30 17.24 7.66 7.66 7.66 8.84 20.93 9.30 20.93 9.30 9.30 9.30 9.30 13.00 10.23 9.30 20.93 9.30 9.30 9.30 9.30 9.30 9.30 9.30 96.46 9.30 20.93 9.30 9.30 9.30 9.30 20.93 9.30 9.30 9.30 20.93 9.30 20.93 9.30 8.37 301000092 301 82785 GAMMAGLOBULIN IGE 128.26 128.26 89.78 12.33 18.76 16.46 28.41 12.63 28.41 12.63 16.46 16.46 38.08 16.46 12.63 16.46 28.41 12.63 28.41 16.46 19.77 24.71 28.41 12.63 28.41 12.63 16.46 16.46 27.74 12.33 12.33 12.33 15.64 28.41 12.63 28.41 12.63 16.46 16.46 16.46 23.00 18.11 12.63 28.41 12.63 16.46 12.63 12.63 12.63 16.46 12.63 89.78 16.46 28.41 12.63 12.63 12.63 16.46 28.41 16.46 16.46 12.63 28.41 12.63 28.41 12.63 14.81 301000094 301 82803 GAS- BLD- ANY CMB W/CAL 02 260.76 260.76 182.53 16.36 29.72 26.07 36.81 16.36 36.81 16.36 26.07 26.07 44.79 26.07 16.36 26.07 36.81 16.36 36.81 26.07 31.30 39.13 36.81 16.36 36.81 16.36 26.07 26.07 86.61 38.49 38.49 38.49 24.77 36.81 16.36 36.81 16.36 26.07 26.07 26.07 27.00 28.68 16.36 36.81 16.36 26.07 16.36 16.36 16.36 26.07 16.36 182.53 26.07 36.81 16.36 16.36 16.36 26.07 36.81 26.07 26.07 16.36 36.81 16.36 36.81 16.36 23.46 301000095 301 82941 GASTRIN 57.24 57.24 65.12 15.87 20.10 17.63 39.67 17.63 39.67 17.63 17.63 17.63 40.87 17.63 17.63 17.63 39.67 17.63 39.67 17.63 21.17 26.46 39.67 17.63 39.67 17.63 17.63 17.63 65.12 28.94 28.94 28.94 16.75 39.67 17.63 39.67 17.63 17.63 17.63 17.63 25.00 19.39 17.63 39.67 17.63 17.63 17.63 17.63 17.63 17.63 17.63 40.07 17.63 39.67 17.63 17.63 17.63 17.63 39.67 17.63 17.63 17.63 39.67 17.63 39.67 17.63 15.87 301000096 301 82943 GLUCAGON 83.74 83.74 65.12 12.86 16.29 14.29 32.15 14.29 32.15 14.29 14.29 14.29 33.03 14.29 14.29 14.29 32.15 14.29 32.15 14.29 17.16 21.45 32.15 14.29 32.15 14.29 14.29 14.29 65.12 28.94 28.94 28.94 13.58 32.15 14.29 32.15 14.29 14.29 14.29 14.29 20.00 15.72 14.29 32.15 14.29 14.29 14.29 14.29 14.29 14.29 14.29 58.62 14.29 32.15 14.29 14.29 14.29 14.29 32.15 14.29 14.29 14.29 32.15 14.29 32.15 14.29 12.86 301000099 301 82945 BODY FLUID GLUCOSE 44.52 44.52 31.16 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 23.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 31.16 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 301000101 301 82945 GLUCOSE- UR QUANT 44.52 44.52 31.16 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 23.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 31.16 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 301000102 301 82945 GLUCOSE UR RAN 44.52 44.52 31.16 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 23.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 31.16 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 353005283 301 82945 "GLUCOSE, PERITONEAL" 44.52 44.52 31.16 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 23.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 31.16 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 353005284 301 82945 "GLUCOSE, PLEURAL FL" 44.52 44.52 31.16 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 23.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 31.16 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 301000097 301 82947 GLUCOSE QUANTITATIVE 104.94 104.94 73.46 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 6.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 73.46 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 301000098 301 82947 LACTOSE CHALLENGE 104.94 104.94 73.46 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 6.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 73.46 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 301000100 301 82947 GLUCOSE CSF 104.94 104.94 73.46 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 6.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 73.46 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 353000042 301 82947 WHL BLD GLUCOSE 104.94 104.94 73.46 3.54 4.48 3.93 8.84 3.93 8.84 3.93 3.93 3.93 8.96 3.93 3.93 3.93 8.84 3.93 8.84 3.93 4.72 5.90 8.84 3.93 8.84 3.93 3.93 3.93 17.24 7.66 7.66 7.66 3.73 8.84 3.93 8.84 3.93 3.93 3.93 3.93 6.00 4.32 3.93 8.84 3.93 3.93 3.93 3.93 3.93 3.93 3.93 73.46 3.93 8.84 3.93 3.93 3.93 3.93 8.84 3.93 3.93 3.93 8.84 3.93 8.84 3.93 3.54 301000103 301 82948 GLUCOSE BLOOD- REAGENT STRIP 53.00 53.00 37.10 2.02 5.75 5.04 4.55 2.02 4.55 2.02 5.04 5.04 7.27 5.04 2.02 5.04 4.55 2.02 4.55 5.04 6.05 7.57 4.55 2.02 4.55 2.02 5.04 5.04 17.24 7.66 7.66 7.66 4.79 4.55 2.02 4.55 2.02 5.04 5.04 5.04 5.00 5.54 2.02 4.55 2.02 5.04 2.02 2.02 2.02 5.04 2.02 37.10 5.04 4.55 2.02 2.02 2.02 5.04 4.55 5.04 5.04 2.02 4.55 2.02 4.55 2.02 4.54 301000104 301 82951 GLU TOL 2 HOUR 146.28 146.28 102.40 6.91 14.67 12.87 15.54 6.91 15.54 6.91 12.87 12.87 29.67 12.87 6.91 12.87 15.54 6.91 15.54 12.87 15.45 19.32 15.54 6.91 15.54 6.91 12.87 12.87 27.74 12.33 12.33 12.33 12.23 15.54 6.91 15.54 6.91 12.87 12.87 12.87 18.00 14.16 6.91 15.54 6.91 12.87 6.91 6.91 6.91 12.87 6.91 102.40 12.87 15.54 6.91 6.91 6.91 12.87 15.54 12.87 12.87 6.91 15.54 6.91 15.54 6.91 11.58 301000105 301 82951 GLU TOL 3 HOUR 146.28 146.28 102.40 6.91 14.67 12.87 15.54 6.91 15.54 6.91 12.87 12.87 29.67 12.87 6.91 12.87 15.54 6.91 15.54 12.87 15.45 19.32 15.54 6.91 15.54 6.91 12.87 12.87 27.74 12.33 12.33 12.33 12.23 15.54 6.91 15.54 6.91 12.87 12.87 12.87 18.00 14.16 6.91 15.54 6.91 12.87 6.91 6.91 6.91 12.87 6.91 102.40 12.87 15.54 6.91 6.91 6.91 12.87 15.54 12.87 12.87 6.91 15.54 6.91 15.54 6.91 11.58 353000014 301 82951 GLU TOL 1 HOUR 146.28 146.28 102.40 6.91 14.67 12.87 15.54 6.91 15.54 6.91 12.87 12.87 29.67 12.87 6.91 12.87 15.54 6.91 15.54 12.87 15.45 19.32 15.54 6.91 15.54 6.91 12.87 12.87 27.74 12.33 12.33 12.33 12.23 15.54 6.91 15.54 6.91 12.87 12.87 12.87 18.00 14.16 6.91 15.54 6.91 12.87 6.91 6.91 6.91 12.87 6.91 102.40 12.87 15.54 6.91 6.91 6.91 12.87 15.54 12.87 12.87 6.91 15.54 6.91 15.54 6.91 11.58 353000015 301 82951 GLU TOL 4 HOUR 146.28 146.28 102.40 6.91 14.67 12.87 15.54 6.91 15.54 6.91 12.87 12.87 29.67 12.87 6.91 12.87 15.54 6.91 15.54 12.87 15.45 19.32 15.54 6.91 15.54 6.91 12.87 12.87 27.74 12.33 12.33 12.33 12.23 15.54 6.91 15.54 6.91 12.87 12.87 12.87 18.00 14.16 6.91 15.54 6.91 12.87 6.91 6.91 6.91 12.87 6.91 102.40 12.87 15.54 6.91 6.91 6.91 12.87 15.54 12.87 12.87 6.91 15.54 6.91 15.54 6.91 11.58 353000016 301 82952 GLU TOL ADD SPECIMEN 12.72 12.72 17.24 1.41 4.47 3.92 3.18 1.41 3.18 1.41 3.92 3.92 8.96 3.92 1.41 3.92 3.18 1.41 3.18 3.92 4.71 5.88 3.18 1.41 3.18 1.41 3.92 3.92 17.24 7.66 7.66 7.66 3.72 3.18 1.41 3.18 1.41 3.92 3.92 3.92 4.00 4.31 1.41 3.18 1.41 3.92 1.41 1.41 1.41 3.92 1.41 8.90 3.92 3.18 1.41 1.41 1.41 3.92 3.18 3.92 3.92 1.41 3.18 1.41 3.18 1.41 3.53 301000106 301 82955 GLUCOSE-6-PHOSPHATE DEHYDOGENA 129.32 129.32 90.52 7.66 11.06 9.70 21.83 9.70 21.83 9.70 9.70 9.70 22.40 9.70 9.70 9.70 21.83 9.70 21.83 9.70 11.65 14.56 21.83 9.70 21.83 9.70 9.70 9.70 17.24 7.66 7.66 7.66 9.22 21.83 9.70 21.83 9.70 9.70 9.70 9.70 14.00 10.67 9.70 21.83 9.70 9.70 9.70 9.70 9.70 9.70 9.70 90.52 9.70 21.83 9.70 9.70 9.70 9.70 21.83 9.70 9.70 9.70 21.83 9.70 21.83 9.70 8.73 301000269 301 82962 MGLU-GLUCOSE POCT 12.72 12.72 18.54 2.95 3.74 3.28 18.54 8.24 18.54 8.24 3.28 3.28 5.60 3.28 8.24 3.28 18.54 8.24 18.54 3.28 3.94 4.92 18.54 8.24 18.54 8.24 3.28 3.28 17.24 7.66 7.66 7.66 3.12 18.54 8.24 18.54 8.24 3.28 3.28 3.28 5.00 3.61 8.24 18.54 8.24 3.28 8.24 8.24 8.24 3.28 8.24 8.90 3.28 18.54 8.24 8.24 8.24 3.28 18.54 3.28 3.28 8.24 18.54 8.24 18.54 8.24 2.95 301000107 301 82977 GLUTAMYLTRANSFERASE- GAMMA (G 53.00 53.00 37.10 5.08 8.21 7.20 11.43 5.08 11.43 5.08 7.20 7.20 16.80 7.20 5.08 7.20 11.43 5.08 11.43 7.20 8.65 10.81 11.43 5.08 11.43 5.08 7.20 7.20 17.24 7.66 7.66 7.66 6.84 11.43 5.08 11.43 5.08 7.20 7.20 7.20 10.00 7.92 5.08 11.43 5.08 7.20 5.08 5.08 5.08 7.20 5.08 37.10 7.20 11.43 5.08 5.08 5.08 7.20 11.43 7.20 7.20 5.08 11.43 5.08 11.43 5.08 6.48 301000163 301 82985 FRUCTOSAMINE 138.86 138.86 97.20 10.75 19.11 16.76 24.18 10.75 24.18 10.75 16.76 16.76 34.71 16.76 10.75 16.76 24.18 10.75 24.18 16.76 20.13 25.16 24.18 10.75 24.18 10.75 16.76 16.76 27.74 12.33 12.33 12.33 15.92 24.18 10.75 24.18 10.75 16.76 16.76 16.76 21.00 18.44 10.75 24.18 10.75 16.76 10.75 10.75 10.75 16.76 10.75 97.20 16.76 24.18 10.75 10.75 10.75 16.76 24.18 16.76 16.76 10.75 24.18 10.75 24.18 10.75 15.08 301000108 301 83001 FSH-FOLLICULAR STIM HORMONE 135.68 135.68 94.98 16.72 21.18 18.58 41.81 18.58 41.81 18.58 18.58 18.58 43.11 18.58 18.58 18.58 41.81 18.58 41.81 18.58 22.31 27.89 41.81 18.58 41.81 18.58 18.58 18.58 65.12 28.94 28.94 28.94 17.65 41.81 18.58 41.81 18.58 18.58 18.58 18.58 26.00 20.44 18.58 41.81 18.58 18.58 18.58 18.58 18.58 18.58 18.58 94.98 18.58 41.81 18.58 18.58 18.58 18.58 41.81 18.58 18.58 18.58 41.81 18.58 41.81 18.58 16.72 301000109 301 83002 LUTEINIZING HORMONE (LH) 120.84 120.84 84.59 16.67 21.11 18.52 41.67 18.52 41.67 18.52 18.52 18.52 43.11 18.52 18.52 18.52 41.67 18.52 41.67 18.52 22.24 27.80 41.67 18.52 41.67 18.52 18.52 18.52 65.12 28.94 28.94 28.94 17.59 41.67 18.52 41.67 18.52 18.52 18.52 18.52 26.00 20.37 18.52 41.67 18.52 18.52 18.52 18.52 18.52 18.52 18.52 84.59 18.52 41.67 18.52 18.52 18.52 18.52 41.67 18.52 18.52 18.52 41.67 18.52 41.67 18.52 16.67 301000110 301 83003 GROWTH HORMONE- HUMAN HGH 185.50 185.50 129.85 15.00 19.00 16.67 37.51 16.67 37.51 16.67 16.67 16.67 38.63 16.67 16.67 16.67 37.51 16.67 37.51 16.67 20.02 25.02 37.51 16.67 37.51 16.67 16.67 16.67 65.12 28.94 28.94 28.94 15.84 37.51 16.67 37.51 16.67 16.67 16.67 16.67 24.00 18.34 16.67 37.51 16.67 16.67 16.67 16.67 16.67 16.67 16.67 129.85 16.67 37.51 16.67 16.67 16.67 16.67 37.51 16.67 16.67 16.67 37.51 16.67 37.51 16.67 15.00 301000111 301 83010 HAPTOGLOBIN QUANTITATIVE 195.04 195.04 136.53 11.32 14.34 12.58 28.31 12.58 28.31 12.58 12.58 12.58 29.12 12.58 12.58 12.58 28.31 12.58 28.31 12.58 15.11 18.88 28.31 12.58 28.31 12.58 12.58 12.58 27.74 12.33 12.33 12.33 11.95 28.31 12.58 28.31 12.58 12.58 12.58 12.58 18.00 13.84 12.58 28.31 12.58 12.58 12.58 12.58 12.58 12.58 12.58 136.53 12.58 28.31 12.58 12.58 12.58 12.58 28.31 12.58 12.58 12.58 28.31 12.58 28.31 12.58 11.32 301000059 301 83020 HEMOGLOBIN ELECTROPHORESIS 128.26 128.26 89.78 11.58 14.67 12.87 28.96 12.87 28.96 12.87 12.87 12.87 29.67 12.87 12.87 12.87 28.96 12.87 28.96 12.87 15.45 19.32 28.96 12.87 28.96 12.87 12.87 12.87 27.74 12.33 12.33 12.33 12.23 28.96 12.87 28.96 12.87 12.87 12.87 12.87 18.00 14.16 12.87 28.96 12.87 12.87 12.87 12.87 12.87 12.87 12.87 89.78 12.87 28.96 12.87 12.87 12.87 12.87 28.96 12.87 12.87 12.87 28.96 12.87 28.96 12.87 11.58 301000232 301 83036 GLYCOSATED HEMOGLOBIN 56.18 56.18 39.33 7.66 11.07 9.71 21.85 9.71 21.85 9.71 9.71 9.71 22.40 9.71 9.71 9.71 21.85 9.71 21.85 9.71 11.66 14.57 21.85 9.71 21.85 9.71 9.71 9.71 17.24 7.66 7.66 7.66 9.22 21.85 9.71 21.85 9.71 9.71 9.71 9.71 14.00 10.68 9.71 21.85 9.71 9.71 9.71 9.71 9.71 9.71 9.71 39.33 9.71 21.85 9.71 9.71 9.71 9.71 21.85 9.71 9.71 9.71 21.85 9.71 21.85 9.71 8.74 301000233 301 83050 METHEGLOBIN- QUANTITATIVE 96.46 96.46 67.52 3.79 9.35 8.20 8.52 3.79 8.52 3.79 8.20 8.20 16.80 8.20 3.79 8.20 8.52 3.79 8.52 8.20 9.85 12.31 8.52 3.79 8.52 3.79 8.20 8.20 17.24 7.66 7.66 7.66 7.79 8.52 3.79 8.52 3.79 8.20 8.20 8.20 5.00 9.02 3.79 8.52 3.79 8.20 3.79 3.79 3.79 8.20 3.79 67.52 8.20 8.52 3.79 3.79 3.79 8.20 8.52 8.20 8.20 3.79 8.52 3.79 8.52 3.79 7.38 301000234 301 83070 HEMOSIDERIN QUALITATIVE 56.18 56.18 39.33 4.28 5.42 4.75 18.54 8.24 18.54 8.24 4.75 4.75 11.19 4.75 8.24 4.75 18.54 8.24 18.54 4.75 5.70 7.13 18.54 8.24 18.54 8.24 4.75 4.75 17.24 7.66 7.66 7.66 4.51 18.54 8.24 18.54 8.24 4.75 4.75 4.75 7.00 5.23 8.24 18.54 8.24 4.75 8.24 8.24 8.24 4.75 8.24 39.33 4.75 18.54 8.24 8.24 8.24 4.75 18.54 4.75 4.75 8.24 18.54 8.24 18.54 8.24 4.28 353005325 301 83090 HOMOCYSTEINE 56.18 56.18 65.12 11.00 20.43 17.92 40.32 17.92 40.32 17.92 17.92 17.92 39.20 17.92 17.92 17.92 40.32 17.92 40.32 17.92 21.52 26.90 40.32 17.92 40.32 17.92 17.92 17.92 65.12 28.94 28.94 28.94 17.02 40.32 17.92 40.32 17.92 17.92 17.92 17.92 11.00 19.71 17.92 40.32 17.92 17.92 17.92 17.92 17.92 17.92 17.92 39.33 17.92 40.32 17.92 17.92 17.92 17.92 40.32 17.92 17.92 17.92 40.32 17.92 40.32 17.92 16.13 301000345 301 83150 HVA RANDOM URINE 205.64 205.64 143.95 6.31 25.55 22.41 14.20 6.31 14.20 6.31 22.41 22.41 44.79 22.41 6.31 22.41 14.20 6.31 14.20 22.41 26.91 33.64 14.20 6.31 14.20 6.31 22.41 22.41 65.12 28.94 28.94 28.94 21.29 14.20 6.31 14.20 6.31 22.41 22.41 22.41 25.00 24.65 6.31 14.20 6.31 22.41 6.31 6.31 6.31 22.41 6.31 143.95 22.41 14.20 6.31 6.31 6.31 22.41 14.20 22.41 22.41 6.31 14.20 6.31 14.20 6.31 20.17 301000199 301 83497 HYDROXYINDOLACETIC ACID- 5-(HI 122.96 122.96 86.07 11.61 14.71 12.90 29.03 12.90 29.03 12.90 12.90 12.90 29.67 12.90 12.90 12.90 29.03 12.90 29.03 12.90 15.49 19.36 29.03 12.90 29.03 12.90 12.90 12.90 65.12 28.94 28.94 28.94 12.26 29.03 12.90 29.03 12.90 12.90 12.90 12.90 18.00 14.19 12.90 29.03 12.90 12.90 12.90 12.90 12.90 12.90 12.90 86.07 12.90 29.03 12.90 12.90 12.90 12.90 29.03 12.90 12.90 12.90 29.03 12.90 29.03 12.90 11.61 301000003 301 83498 HYDROXYPROGESTERONE- 17-D 182.32 182.32 127.62 24.45 30.97 27.17 61.13 27.17 61.13 27.17 27.17 27.17 63.27 27.17 27.17 27.17 61.13 27.17 61.13 27.17 32.63 40.78 61.13 27.17 61.13 27.17 27.17 27.17 65.12 28.94 28.94 28.94 25.81 61.13 27.17 61.13 27.17 27.17 27.17 27.17 38.00 29.89 27.17 61.13 27.17 27.17 27.17 27.17 27.17 27.17 27.17 127.62 27.17 61.13 27.17 27.17 27.17 27.17 61.13 27.17 27.17 27.17 61.13 27.17 61.13 27.17 24.45 301000288 301 83516 TISSUE TRANSGLUTAM AB IGG 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 301000293 301 83516 CELIAC DISEASE COMP PANEL 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 301000359 301 83516 IMMUNOASSAY NONANTIBODY 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 302000041 301 83516 GLIADIN AB 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 353005016 301 83516 TISSUE TRANSGLUTAM AB IGA 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 353005220 301 83516 TISSUE TRANSGLUTAM AB IGA 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 353005224 301 83516 TISS 3 TRANSGLUTAM AB IGG 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 353005343 301 83516 GLIADIN DEAMIDATED AB IGG IGA 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 353005360 301 83516 TOXOPLASMA IGM SCREEN 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 353005367 301 83516 HISTONE ANTIBODY 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 353005381 301 83516 PHOSPHATIDYLGLCEROL(PG) 182.32 182.32 127.62 10.38 13.14 11.53 29.84 13.26 29.84 13.26 11.53 11.53 26.87 11.53 13.26 11.53 29.84 13.26 29.84 11.53 13.85 17.31 29.84 13.26 29.84 13.26 11.53 11.53 27.74 12.33 12.33 12.33 10.95 29.84 13.26 29.84 13.26 11.53 11.53 11.53 13.00 12.68 13.26 29.84 13.26 11.53 13.26 13.26 13.26 11.53 13.26 127.62 11.53 29.84 13.26 13.26 13.26 11.53 29.84 11.53 11.53 13.26 29.84 13.26 29.84 13.26 10.38 301000235 301 83519 GAD-65 PROFILE 418.70 418.70 293.09 12.33 20.98 18.40 29.84 13.26 29.84 13.26 18.40 18.40 31.36 18.40 13.26 18.40 29.84 13.26 29.84 18.40 22.09 27.62 29.84 13.26 29.84 13.26 18.40 18.40 27.74 12.33 12.33 12.33 17.48 29.84 13.26 29.84 13.26 18.40 18.40 18.40 19.00 20.24 13.26 29.84 13.26 18.40 13.26 13.26 13.26 18.40 13.26 293.09 18.40 29.84 13.26 13.26 13.26 18.40 29.84 18.40 18.40 13.26 29.84 13.26 29.84 13.26 16.56 309000004 309 83519 LEMS AUTOANTIBODY 418.70 418.70 293.09 12.33 20.98 18.40 29.84 13.26 29.84 13.26 18.40 18.40 31.36 18.40 13.26 18.40 29.84 13.26 29.84 18.40 22.09 27.62 29.84 13.26 29.84 13.26 18.40 18.40 27.74 12.33 12.33 12.33 17.48 29.84 13.26 29.84 13.26 18.40 18.40 18.40 19.00 20.24 13.26 29.84 13.26 18.40 13.26 13.26 13.26 18.40 13.26 293.09 18.40 29.84 13.26 13.26 13.26 18.40 29.84 18.40 18.40 13.26 29.84 13.26 29.84 13.26 16.56 353005064 301 83519 GAD-65 ANTIBODY 418.70 418.70 293.09 12.33 20.98 18.40 29.84 13.26 29.84 13.26 18.40 18.40 31.36 18.40 13.26 18.40 29.84 13.26 29.84 18.40 22.09 27.62 29.84 13.26 29.84 13.26 18.40 18.40 27.74 12.33 12.33 12.33 17.48 29.84 13.26 29.84 13.26 18.40 18.40 18.40 19.00 20.24 13.26 29.84 13.26 18.40 13.26 13.26 13.26 18.40 13.26 293.09 18.40 29.84 13.26 13.26 13.26 18.40 29.84 18.40 18.40 13.26 29.84 13.26 29.84 13.26 16.56 301000260 301 83520 TRYPTASE 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 301000326 301 83520 INTERLEUKIN 2(IL-2) 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 301000337 301 83520 ASIALO-GM1 AB (IGM) 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 301000338 301 83520 "GD1A AB,TITER (IGG)" 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 301000339 301 83520 GANGLIOSIDE GQ1B AB (IGG) 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 301000340 301 83520 GD1A AB TITER (IGM) 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 301000341 301 83520 GD1B AB (IGM) 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 301000342 301 83520 "GM1 AB (IGG, M)" 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 309000002 309 83520 B2GPI IGM 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 353005344 301 83520 GANGLIOSIDE ANTIBODIES 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 353005355 301 83520 ANI-GLOMERULAR BASEMENT MMBRAN 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 353005366 301 83520 ANTI-GLOMERULAR BASEMENT MEMBR 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 353005368 301 83520 RIBOSOMAL P ANTIBODY 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 353005379 301 83520 INFLAMMATORY BOWL DISEASE PANE 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 353005406 301 83520 "C1 ESTERASE INHIBITOR AG, SERUM" 227.90 227.90 159.53 12.33 19.69 17.27 29.84 13.26 29.84 13.26 17.27 17.27 30.24 17.27 13.26 17.27 29.84 13.26 29.84 17.27 20.74 25.92 29.84 13.26 29.84 13.26 17.27 17.27 27.74 12.33 12.33 12.33 16.41 29.84 13.26 29.84 13.26 17.27 17.27 17.27 18.00 19.00 13.26 29.84 13.26 17.27 13.26 13.26 13.26 17.27 13.26 159.53 17.27 29.84 13.26 13.26 13.26 17.27 29.84 17.27 17.27 13.26 29.84 13.26 29.84 13.26 15.54 301000004 301 83527 INSULIN FREE 95.40 95.40 66.78 11.66 14.76 12.95 28.41 12.63 28.41 12.63 12.95 12.95 30.24 12.95 12.63 12.95 28.41 12.63 28.41 12.95 15.55 19.44 28.41 12.63 28.41 12.63 12.95 12.95 65.12 28.94 28.94 28.94 12.30 28.41 12.63 28.41 12.63 12.95 12.95 12.95 18.00 14.25 12.63 28.41 12.63 12.95 12.63 12.63 12.63 12.95 12.63 66.78 12.95 28.41 12.63 12.63 12.63 12.95 28.41 12.95 12.95 12.63 28.41 12.63 28.41 12.63 11.66 301000236 301 83540 IRON 56.18 56.18 39.33 5.08 7.38 6.47 11.43 5.08 11.43 5.08 6.47 6.47 15.11 6.47 5.08 6.47 11.43 5.08 11.43 6.47 7.77 9.71 11.43 5.08 11.43 5.08 6.47 6.47 17.24 7.66 7.66 7.66 6.15 11.43 5.08 11.43 5.08 6.47 6.47 6.47 9.00 7.12 5.08 11.43 5.08 6.47 5.08 5.08 5.08 6.47 5.08 39.33 6.47 11.43 5.08 5.08 5.08 6.47 11.43 6.47 6.47 5.08 11.43 5.08 11.43 5.08 5.82 301000237 301 83550 IRON BINDING CAPACITY 56.18 56.18 39.33 5.08 9.96 8.74 11.43 5.08 11.43 5.08 8.74 8.74 20.15 8.74 5.08 8.74 11.43 5.08 11.43 8.74 10.49 13.12 11.43 5.08 11.43 5.08 8.74 8.74 17.24 7.66 7.66 7.66 8.30 11.43 5.08 11.43 5.08 8.74 8.74 8.74 13.00 9.61 5.08 11.43 5.08 8.74 5.08 5.08 5.08 8.74 5.08 39.33 8.74 11.43 5.08 5.08 5.08 8.74 11.43 8.74 8.74 5.08 11.43 5.08 11.43 5.08 7.87 301000238 301 83582 KETOGENIC STEROIDS- FRACT 135.68 135.68 94.98 13.92 17.64 15.47 70.05 31.13 70.05 31.13 15.47 15.47 33.03 15.47 31.13 15.47 70.05 31.13 70.05 15.47 18.58 23.22 70.05 31.13 70.05 31.13 15.47 15.47 65.12 28.94 28.94 28.94 14.70 70.05 31.13 70.05 31.13 15.47 15.47 15.47 20.00 17.02 31.13 70.05 31.13 15.47 31.13 31.13 31.13 15.47 31.13 94.98 15.47 70.05 31.13 31.13 31.13 15.47 70.05 15.47 15.47 31.13 70.05 31.13 70.05 31.13 13.92 301000239 301 83605 LACTIC ACID 103.88 103.88 72.72 9.39 13.19 11.57 21.13 9.39 21.13 9.39 11.57 11.57 24.64 11.57 9.39 11.57 21.13 9.39 21.13 11.57 13.89 17.37 21.13 9.39 21.13 9.39 11.57 11.57 27.74 12.33 12.33 12.33 10.99 21.13 9.39 21.13 9.39 11.57 11.57 11.57 12.00 12.73 9.39 21.13 9.39 11.57 9.39 9.39 9.39 11.57 9.39 72.72 11.57 21.13 9.39 9.39 9.39 11.57 21.13 11.57 11.57 9.39 21.13 9.39 21.13 9.39 10.41 353000044 301 83605 WHL BLD LACTIC ACID 103.88 103.88 72.72 9.39 13.19 11.57 21.13 9.39 21.13 9.39 11.57 11.57 24.64 11.57 9.39 11.57 21.13 9.39 21.13 11.57 13.89 17.37 21.13 9.39 21.13 9.39 11.57 11.57 27.74 12.33 12.33 12.33 10.99 21.13 9.39 21.13 9.39 11.57 11.57 11.57 12.00 12.73 9.39 21.13 9.39 11.57 9.39 9.39 9.39 11.57 9.39 72.72 11.57 21.13 9.39 9.39 9.39 11.57 21.13 11.57 11.57 9.39 21.13 9.39 21.13 9.39 10.41 301000240 301 83615 LDH BODY FLUID 92.22 92.22 64.55 5.08 6.89 6.04 11.43 5.08 11.43 5.08 6.04 6.04 14.00 6.04 5.08 6.04 11.43 5.08 11.43 6.04 7.25 9.07 11.43 5.08 11.43 5.08 6.04 6.04 17.24 7.66 7.66 7.66 5.74 11.43 5.08 11.43 5.08 6.04 6.04 6.04 9.00 6.64 5.08 11.43 5.08 6.04 5.08 5.08 5.08 6.04 5.08 64.55 6.04 11.43 5.08 5.08 5.08 6.04 11.43 6.04 6.04 5.08 11.43 5.08 11.43 5.08 5.44 301000241 301 83615 LACTATE DEHYDROGENASE (LDH) 92.22 92.22 64.55 5.08 6.89 6.04 11.43 5.08 11.43 5.08 6.04 6.04 14.00 6.04 5.08 6.04 11.43 5.08 11.43 6.04 7.25 9.07 11.43 5.08 11.43 5.08 6.04 6.04 17.24 7.66 7.66 7.66 5.74 11.43 5.08 11.43 5.08 6.04 6.04 6.04 9.00 6.64 5.08 11.43 5.08 6.04 5.08 5.08 5.08 6.04 5.08 64.55 6.04 11.43 5.08 5.08 5.08 6.04 11.43 6.04 6.04 5.08 11.43 5.08 11.43 5.08 5.44 353005286 301 83615 "LD, PERITONEAL FLUID" 92.22 92.22 64.55 5.08 6.89 6.04 11.43 5.08 11.43 5.08 6.04 6.04 14.00 6.04 5.08 6.04 11.43 5.08 11.43 6.04 7.25 9.07 11.43 5.08 11.43 5.08 6.04 6.04 17.24 7.66 7.66 7.66 5.74 11.43 5.08 11.43 5.08 6.04 6.04 6.04 9.00 6.64 5.08 11.43 5.08 6.04 5.08 5.08 5.08 6.04 5.08 64.55 6.04 11.43 5.08 5.08 5.08 6.04 11.43 6.04 6.04 5.08 11.43 5.08 11.43 5.08 5.44 353005287 301 83615 "LD, PLEURAL FL" 92.22 92.22 64.55 5.08 6.89 6.04 11.43 5.08 11.43 5.08 6.04 6.04 14.00 6.04 5.08 6.04 11.43 5.08 11.43 6.04 7.25 9.07 11.43 5.08 11.43 5.08 6.04 6.04 17.24 7.66 7.66 7.66 5.74 11.43 5.08 11.43 5.08 6.04 6.04 6.04 9.00 6.64 5.08 11.43 5.08 6.04 5.08 5.08 5.08 6.04 5.08 64.55 6.04 11.43 5.08 5.08 5.08 6.04 11.43 6.04 6.04 5.08 11.43 5.08 11.43 5.08 5.44 301000242 301 83625 ISOENZYMES- SEPARATION AND QUA 692.18 692.18 484.53 9.49 14.58 12.79 21.36 9.49 21.36 9.49 12.79 12.79 29.67 12.79 9.49 12.79 21.36 9.49 21.36 12.79 15.36 19.20 21.36 9.49 21.36 9.49 12.79 12.79 27.74 12.33 12.33 12.33 12.15 21.36 9.49 21.36 9.49 12.79 12.79 12.79 13.00 14.07 9.49 21.36 9.49 12.79 9.49 9.49 9.49 12.79 9.49 484.53 12.79 21.36 9.49 9.49 9.49 12.79 21.36 12.79 12.79 9.49 21.36 9.49 21.36 9.49 11.51 353005362 301 83630 "LACTOFERRIN, STOOL" 65.72 65.72 46.00 5.25 22.46 19.70 11.82 5.25 11.82 5.25 19.70 19.70 45.35 19.70 5.25 19.70 11.82 5.25 11.82 19.70 23.66 29.57 11.82 5.25 11.82 5.25 19.70 19.70 27.74 12.33 12.33 12.33 18.72 11.82 5.25 11.82 5.25 19.70 19.70 19.70 11.00 21.67 5.25 11.82 5.25 19.70 5.25 5.25 5.25 19.70 5.25 46.00 19.70 11.82 5.25 5.25 5.25 19.70 11.82 19.70 19.70 5.25 11.82 5.25 11.82 5.25 17.73 301000295 301 83631 "LACTOFERRIN,QN,STOOL" 361.46 361.46 253.02 11.39 22.38 19.63 25.63 11.39 25.63 11.39 19.63 19.63 45.35 19.63 11.39 19.63 25.63 11.39 25.63 19.63 23.57 29.46 25.63 11.39 25.63 11.39 19.63 19.63 27.74 12.33 12.33 12.33 18.65 25.63 11.39 25.63 11.39 19.63 19.63 19.63 13.00 21.59 11.39 25.63 11.39 19.63 11.39 11.39 11.39 19.63 11.39 253.02 19.63 25.63 11.39 11.39 11.39 19.63 25.63 19.63 19.63 11.39 25.63 11.39 25.63 11.39 17.67 301000243 301 83655 LEAD 111.30 111.30 77.91 10.90 13.81 12.11 27.25 12.11 27.25 12.11 12.11 12.11 27.99 12.11 12.11 12.11 27.25 12.11 27.25 12.11 14.54 18.18 27.25 12.11 27.25 12.11 12.11 12.11 48.80 21.69 21.69 21.69 11.50 27.25 12.11 27.25 12.11 12.11 12.11 12.11 17.00 13.32 12.11 27.25 12.11 12.11 12.11 12.11 12.11 12.11 12.11 77.91 12.11 27.25 12.11 12.11 12.11 12.11 27.25 12.11 12.11 12.11 27.25 12.11 27.25 12.11 10.90 301000112 301 83661 LS PG 153.70 153.70 107.59 12.33 25.07 21.99 49.48 21.99 49.48 21.99 21.99 21.99 50.94 21.99 21.99 21.99 49.48 21.99 49.48 21.99 26.41 33.01 49.48 21.99 49.48 21.99 21.99 21.99 27.74 12.33 12.33 12.33 20.89 49.48 21.99 49.48 21.99 21.99 21.99 21.99 31.00 24.19 21.99 49.48 21.99 21.99 21.99 21.99 21.99 21.99 21.99 107.59 21.99 49.48 21.99 21.99 21.99 21.99 49.48 21.99 21.99 21.99 49.48 21.99 49.48 21.99 19.79 301000114 301 83690 LIPASE- BODY FLUID 90.10 90.10 63.07 5.81 7.85 6.89 13.07 5.81 13.07 5.81 6.89 6.89 16.23 6.89 5.81 6.89 13.07 5.81 13.07 6.89 8.27 10.34 13.07 5.81 13.07 5.81 6.89 6.89 17.24 7.66 7.66 7.66 6.55 13.07 5.81 13.07 5.81 6.89 6.89 6.89 9.00 7.58 5.81 13.07 5.81 6.89 5.81 5.81 5.81 6.89 5.81 63.07 6.89 13.07 5.81 5.81 5.81 6.89 13.07 6.89 6.89 5.81 13.07 5.81 13.07 5.81 6.20 353005281 301 83690 "LIPASE, PERITONEAL" 90.10 90.10 63.07 5.81 7.85 6.89 13.07 5.81 13.07 5.81 6.89 6.89 16.23 6.89 5.81 6.89 13.07 5.81 13.07 6.89 8.27 10.34 13.07 5.81 13.07 5.81 6.89 6.89 17.24 7.66 7.66 7.66 6.55 13.07 5.81 13.07 5.81 6.89 6.89 6.89 9.00 7.58 5.81 13.07 5.81 6.89 5.81 5.81 5.81 6.89 5.81 63.07 6.89 13.07 5.81 5.81 5.81 6.89 13.07 6.89 6.89 5.81 13.07 5.81 13.07 5.81 6.20 353005282 301 83690 "LIPASE, PLEURAL FL" 90.10 90.10 63.07 5.81 7.85 6.89 13.07 5.81 13.07 5.81 6.89 6.89 16.23 6.89 5.81 6.89 13.07 5.81 13.07 6.89 8.27 10.34 13.07 5.81 13.07 5.81 6.89 6.89 17.24 7.66 7.66 7.66 6.55 13.07 5.81 13.07 5.81 6.89 6.89 6.89 9.00 7.58 5.81 13.07 5.81 6.89 5.81 5.81 5.81 6.89 5.81 63.07 6.89 13.07 5.81 5.81 5.81 6.89 13.07 6.89 6.89 5.81 13.07 5.81 13.07 5.81 6.20 301000280 301 83701 VAP (TM)CHOLESTEROL TEST 80.56 80.56 93.16 30.47 38.60 33.86 93.16 41.41 93.16 41.41 33.86 33.86 57.66 33.86 41.41 33.86 93.16 41.41 93.16 33.86 40.66 50.82 93.16 41.41 93.16 41.41 33.86 33.86 86.61 38.49 38.49 38.49 32.17 93.16 41.41 93.16 41.41 33.86 33.86 33.86 42.00 37.25 41.41 93.16 41.41 33.86 41.41 41.41 41.41 33.86 41.41 56.39 33.86 93.16 41.41 41.41 41.41 33.86 93.16 33.86 33.86 41.41 93.16 41.41 93.16 41.41 30.47 301000115 301 83718 HDL DIRECT MEASUREMENT 53.00 53.00 37.10 5.08 9.34 8.19 11.43 5.08 11.43 5.08 8.19 8.19 19.03 8.19 5.08 8.19 11.43 5.08 11.43 8.19 9.83 12.29 11.43 5.08 11.43 5.08 8.19 8.19 17.24 7.66 7.66 7.66 7.78 11.43 5.08 11.43 5.08 8.19 8.19 8.19 12.00 9.01 5.08 11.43 5.08 8.19 5.08 5.08 5.08 8.19 5.08 37.10 8.19 11.43 5.08 5.08 5.08 8.19 11.43 8.19 8.19 5.08 11.43 5.08 11.43 5.08 7.37 353005158 301 83718 "HDL-2 (LARGE, BUOYANT)" 53.00 53.00 37.10 5.08 9.34 8.19 11.43 5.08 11.43 5.08 8.19 8.19 19.03 8.19 5.08 8.19 11.43 5.08 11.43 8.19 9.83 12.29 11.43 5.08 11.43 5.08 8.19 8.19 17.24 7.66 7.66 7.66 7.78 11.43 5.08 11.43 5.08 8.19 8.19 8.19 12.00 9.01 5.08 11.43 5.08 8.19 5.08 5.08 5.08 8.19 5.08 37.10 8.19 11.43 5.08 5.08 5.08 8.19 11.43 8.19 8.19 5.08 11.43 5.08 11.43 5.08 7.37 353005159 301 83718 "HDL-3 (SMALL, DENSE)" 53.00 53.00 37.10 5.08 9.34 8.19 11.43 5.08 11.43 5.08 8.19 8.19 19.03 8.19 5.08 8.19 11.43 5.08 11.43 8.19 9.83 12.29 11.43 5.08 11.43 5.08 8.19 8.19 17.24 7.66 7.66 7.66 7.78 11.43 5.08 11.43 5.08 8.19 8.19 8.19 12.00 9.01 5.08 11.43 5.08 8.19 5.08 5.08 5.08 8.19 5.08 37.10 8.19 11.43 5.08 5.08 5.08 8.19 11.43 8.19 8.19 5.08 11.43 5.08 11.43 5.08 7.37 353000011 301 83721 DIRECT LDL 47.70 47.70 33.39 7.66 11.97 10.50 18.54 8.24 18.54 8.24 10.50 10.50 21.83 10.50 8.24 10.50 18.54 8.24 18.54 10.50 12.61 15.76 18.54 8.24 18.54 8.24 10.50 10.50 17.24 7.66 7.66 7.66 9.98 18.54 8.24 18.54 8.24 10.50 10.50 10.50 14.00 11.55 8.24 18.54 8.24 10.50 8.24 8.24 8.24 10.50 8.24 33.39 10.50 18.54 8.24 8.24 8.24 10.50 18.54 10.50 10.50 8.24 18.54 8.24 18.54 8.24 9.45 353005295 301 83721 DIRECT LDL 47.70 47.70 33.39 7.66 11.97 10.50 18.54 8.24 18.54 8.24 10.50 10.50 21.83 10.50 8.24 10.50 18.54 8.24 18.54 10.50 12.61 15.76 18.54 8.24 18.54 8.24 10.50 10.50 17.24 7.66 7.66 7.66 9.98 18.54 8.24 18.54 8.24 10.50 10.50 10.50 14.00 11.55 8.24 18.54 8.24 10.50 8.24 8.24 8.24 10.50 8.24 33.39 10.50 18.54 8.24 8.24 8.24 10.50 18.54 10.50 10.50 8.24 18.54 8.24 18.54 8.24 9.45 353005316 301 83721 DIRECT HDL 47.70 47.70 33.39 7.66 11.97 10.50 18.54 8.24 18.54 8.24 10.50 10.50 21.83 10.50 8.24 10.50 18.54 8.24 18.54 10.50 12.61 15.76 18.54 8.24 18.54 8.24 10.50 10.50 17.24 7.66 7.66 7.66 9.98 18.54 8.24 18.54 8.24 10.50 10.50 10.50 14.00 11.55 8.24 18.54 8.24 10.50 8.24 8.24 8.24 10.50 8.24 33.39 10.50 18.54 8.24 8.24 8.24 10.50 18.54 10.50 10.50 8.24 18.54 8.24 18.54 8.24 9.45 301000116 301 83735 MAGNESIUM 57.24 57.24 40.07 5.08 7.64 6.70 11.43 5.08 11.43 5.08 6.70 6.70 15.68 6.70 5.08 6.70 11.43 5.08 11.43 6.70 8.05 10.06 11.43 5.08 11.43 5.08 6.70 6.70 17.24 7.66 7.66 7.66 6.37 11.43 5.08 11.43 5.08 6.70 6.70 6.70 10.00 7.37 5.08 11.43 5.08 6.70 5.08 5.08 5.08 6.70 5.08 40.07 6.70 11.43 5.08 5.08 5.08 6.70 11.43 6.70 6.70 5.08 11.43 5.08 11.43 5.08 6.03 301000117 301 83735 MAGNESIUM- URINE 57.24 57.24 40.07 5.08 7.64 6.70 11.43 5.08 11.43 5.08 6.70 6.70 15.68 6.70 5.08 6.70 11.43 5.08 11.43 6.70 8.05 10.06 11.43 5.08 11.43 5.08 6.70 6.70 17.24 7.66 7.66 7.66 6.37 11.43 5.08 11.43 5.08 6.70 6.70 6.70 10.00 7.37 5.08 11.43 5.08 6.70 5.08 5.08 5.08 6.70 5.08 40.07 6.70 11.43 5.08 5.08 5.08 6.70 11.43 6.70 6.70 5.08 11.43 5.08 11.43 5.08 6.03 301000324 301 83735 MAGNESIUM RBC 57.24 57.24 40.07 5.08 7.64 6.70 11.43 5.08 11.43 5.08 6.70 6.70 15.68 6.70 5.08 6.70 11.43 5.08 11.43 6.70 8.05 10.06 11.43 5.08 11.43 5.08 6.70 6.70 17.24 7.66 7.66 7.66 6.37 11.43 5.08 11.43 5.08 6.70 6.70 6.70 10.00 7.37 5.08 11.43 5.08 6.70 5.08 5.08 5.08 6.70 5.08 40.07 6.70 11.43 5.08 5.08 5.08 6.70 11.43 6.70 6.70 5.08 11.43 5.08 11.43 5.08 6.03 301000284 301 83789 BILE ACIDS FRACTIONATED 192.92 192.92 135.04 12.33 27.49 24.11 29.84 13.26 29.84 13.26 24.11 24.11 42.00 24.11 13.26 24.11 29.84 13.26 29.84 24.11 28.95 36.19 29.84 13.26 29.84 13.26 24.11 24.11 27.74 12.33 12.33 12.33 22.90 29.84 13.26 29.84 13.26 24.11 24.11 24.11 30.00 26.52 13.26 29.84 13.26 24.11 13.26 13.26 13.26 24.11 13.26 135.04 24.11 29.84 13.26 13.26 13.26 24.11 29.84 24.11 24.11 13.26 29.84 13.26 29.84 13.26 21.70 301000118 301 83825 MERCURY- QUANTITATIVE 245.92 245.92 172.14 14.63 18.54 16.26 36.59 16.26 36.59 16.26 16.26 16.26 37.51 16.26 16.26 16.26 36.59 16.26 36.59 16.26 19.53 24.41 36.59 16.26 36.59 16.26 16.26 16.26 48.80 21.69 21.69 21.69 15.45 36.59 16.26 36.59 16.26 16.26 16.26 16.26 23.00 17.89 16.26 36.59 16.26 16.26 16.26 16.26 16.26 16.26 16.26 172.14 16.26 36.59 16.26 16.26 16.26 16.26 36.59 16.26 16.26 16.26 36.59 16.26 36.59 16.26 14.63 353005109 301 83825 "MERCURY, BLD" 245.92 245.92 172.14 14.63 18.54 16.26 36.59 16.26 36.59 16.26 16.26 16.26 37.51 16.26 16.26 16.26 36.59 16.26 36.59 16.26 19.53 24.41 36.59 16.26 36.59 16.26 16.26 16.26 48.80 21.69 21.69 21.69 15.45 36.59 16.26 36.59 16.26 16.26 16.26 16.26 23.00 17.89 16.26 36.59 16.26 16.26 16.26 16.26 16.26 16.26 16.26 172.14 16.26 36.59 16.26 16.26 16.26 16.26 36.59 16.26 16.26 16.26 36.59 16.26 36.59 16.26 14.63 301000119 301 83835 METANEPHRINE FRAC UR 394.32 394.32 276.02 15.25 19.31 16.94 38.12 16.94 38.12 16.94 16.94 16.94 39.20 16.94 16.94 16.94 38.12 16.94 38.12 16.94 20.34 25.43 38.12 16.94 38.12 16.94 16.94 16.94 65.12 28.94 28.94 28.94 16.09 38.12 16.94 38.12 16.94 16.94 16.94 16.94 24.00 18.63 16.94 38.12 16.94 16.94 16.94 16.94 16.94 16.94 16.94 276.02 16.94 38.12 16.94 16.94 16.94 16.94 38.12 16.94 16.94 16.94 38.12 16.94 38.12 16.94 15.25 301000272 301 83835 METANEPHRIN-FRAC-LC/MS/MS 394.32 394.32 276.02 15.25 19.31 16.94 38.12 16.94 38.12 16.94 16.94 16.94 39.20 16.94 16.94 16.94 38.12 16.94 38.12 16.94 20.34 25.43 38.12 16.94 38.12 16.94 16.94 16.94 65.12 28.94 28.94 28.94 16.09 38.12 16.94 38.12 16.94 16.94 16.94 16.94 24.00 18.63 16.94 38.12 16.94 16.94 16.94 16.94 16.94 16.94 16.94 276.02 16.94 38.12 16.94 16.94 16.94 16.94 38.12 16.94 16.94 16.94 38.12 16.94 38.12 16.94 15.25 301000120 301 83873 MYELIN BASIC PROTEIN- CSF 195.04 195.04 136.53 12.33 19.61 17.20 29.84 13.26 29.84 13.26 17.20 17.20 39.75 17.20 13.26 17.20 29.84 13.26 29.84 17.20 20.65 25.82 29.84 13.26 29.84 13.26 17.20 17.20 27.74 12.33 12.33 12.33 16.34 29.84 13.26 29.84 13.26 17.20 17.20 17.20 24.00 18.92 13.26 29.84 13.26 17.20 13.26 13.26 13.26 17.20 13.26 136.53 17.20 29.84 13.26 13.26 13.26 17.20 29.84 17.20 17.20 13.26 29.84 13.26 29.84 13.26 15.48 353005403 301 83873 MYELIN BASIC PROTEIN AB SPINAL FLD 195.04 195.04 136.53 12.33 19.61 17.20 29.84 13.26 29.84 13.26 17.20 17.20 39.75 17.20 13.26 17.20 29.84 13.26 29.84 17.20 20.65 25.82 29.84 13.26 29.84 13.26 17.20 17.20 27.74 12.33 12.33 12.33 16.34 29.84 13.26 29.84 13.26 17.20 17.20 17.20 24.00 18.92 13.26 29.84 13.26 17.20 13.26 13.26 13.26 17.20 13.26 136.53 17.20 29.84 13.26 13.26 13.26 17.20 29.84 17.20 17.20 13.26 29.84 13.26 29.84 13.26 15.48 301000121 301 83874 MYOGLOBIN 146.28 146.28 102.40 11.63 14.73 12.92 29.84 13.26 29.84 13.26 12.92 12.92 29.67 12.92 13.26 12.92 29.84 13.26 29.84 12.92 15.51 19.39 29.84 13.26 29.84 13.26 12.92 12.92 27.74 12.33 12.33 12.33 12.27 29.84 13.26 29.84 13.26 12.92 12.92 12.92 17.00 14.21 13.26 29.84 13.26 12.92 13.26 13.26 13.26 12.92 13.26 102.40 12.92 29.84 13.26 13.26 13.26 12.92 29.84 12.92 12.92 13.26 29.84 13.26 29.84 13.26 11.63 301000122 301 83874 MYOGLOBIN- QUAL URINE 146.28 146.28 102.40 11.63 14.73 12.92 29.84 13.26 29.84 13.26 12.92 12.92 29.67 12.92 13.26 12.92 29.84 13.26 29.84 12.92 15.51 19.39 29.84 13.26 29.84 13.26 12.92 12.92 27.74 12.33 12.33 12.33 12.27 29.84 13.26 29.84 13.26 12.92 12.92 12.92 17.00 14.21 13.26 29.84 13.26 12.92 13.26 13.26 13.26 12.92 13.26 102.40 12.92 29.84 13.26 13.26 13.26 12.92 29.84 12.92 12.92 13.26 29.84 13.26 29.84 13.26 11.63 353005013 301 83874 "MYOGLOBIN, URINE" 146.28 146.28 102.40 11.63 14.73 12.92 29.84 13.26 29.84 13.26 12.92 12.92 29.67 12.92 13.26 12.92 29.84 13.26 29.84 12.92 15.51 19.39 29.84 13.26 29.84 13.26 12.92 12.92 27.74 12.33 12.33 12.33 12.27 29.84 13.26 29.84 13.26 12.92 12.92 12.92 17.00 14.21 13.26 29.84 13.26 12.92 13.26 13.26 13.26 12.92 13.26 102.40 12.92 29.84 13.26 13.26 13.26 12.92 29.84 12.92 12.92 13.26 29.84 13.26 29.84 13.26 11.63 301000249 301 83880 B-TYPE NATRIURETIC 315.88 315.88 221.12 26.00 44.76 39.26 77.42 34.41 77.42 34.41 39.26 39.26 78.94 39.26 34.41 39.26 77.42 34.41 77.42 39.26 47.14 58.93 77.42 34.41 77.42 34.41 39.26 39.26 86.61 38.49 38.49 38.49 37.30 77.42 34.41 77.42 34.41 39.26 39.26 39.26 26.00 43.19 34.41 77.42 34.41 39.26 34.41 34.41 34.41 39.26 34.41 221.12 39.26 77.42 34.41 34.41 34.41 39.26 77.42 39.26 39.26 34.41 77.42 34.41 77.42 34.41 35.33 353005345 301 83883 FREE KAPPA/LAMVDA URINE 46.64 46.64 32.65 11.99 15.50 13.60 29.03 12.90 29.03 12.90 13.60 13.60 31.36 13.60 12.90 13.60 29.03 12.90 29.03 13.60 16.33 20.41 29.03 12.90 29.03 12.90 13.60 13.60 26.99 11.99 11.99 11.99 12.92 29.03 12.90 29.03 12.90 13.60 13.60 13.60 16.00 14.96 12.90 29.03 12.90 13.60 12.90 12.90 12.90 13.60 12.90 32.65 13.60 29.03 12.90 12.90 12.90 13.60 29.03 13.60 13.60 12.90 29.03 12.90 29.03 12.90 12.24 301000125 301 83916 OLIGOCLONAL IMMUNOGLOBULIN 145.22 145.22 101.65 24.65 31.22 27.39 93.16 41.41 93.16 41.41 27.39 27.39 46.47 27.39 41.41 27.39 93.16 41.41 93.16 27.39 32.89 41.11 93.16 41.41 93.16 41.41 27.39 27.39 86.61 38.49 38.49 38.49 26.02 93.16 41.41 93.16 41.41 27.39 27.39 27.39 28.00 30.13 41.41 93.16 41.41 27.39 41.41 41.41 41.41 27.39 41.41 101.65 27.39 93.16 41.41 41.41 41.41 27.39 93.16 27.39 27.39 41.41 93.16 41.41 93.16 41.41 24.65 353005402 301 83916 "OLIGOCLIONAL BANDING, SERUM" 145.22 145.22 101.65 24.65 31.22 27.39 93.16 41.41 93.16 41.41 27.39 27.39 46.47 27.39 41.41 27.39 93.16 41.41 93.16 27.39 32.89 41.11 93.16 41.41 93.16 41.41 27.39 27.39 86.61 38.49 38.49 38.49 26.02 93.16 41.41 93.16 41.41 27.39 27.39 27.39 28.00 30.13 41.41 93.16 41.41 27.39 41.41 41.41 41.41 27.39 41.41 101.65 27.39 93.16 41.41 41.41 41.41 27.39 93.16 27.39 27.39 41.41 93.16 41.41 93.16 41.41 24.65 301000126 301 83918 ORGANIC ACIDS QUANTITATIVE 311.64 311.64 218.15 21.24 26.90 23.60 51.70 22.98 51.70 22.98 23.60 23.60 38.08 23.60 22.98 23.60 51.70 22.98 51.70 23.60 28.34 35.42 51.70 22.98 51.70 22.98 23.60 23.60 48.80 21.69 21.69 21.69 22.42 51.70 22.98 51.70 22.98 23.60 23.60 23.60 23.00 25.96 22.98 51.70 22.98 23.60 22.98 22.98 22.98 23.60 22.98 218.15 23.60 51.70 22.98 22.98 22.98 23.60 51.70 23.60 23.60 22.98 51.70 22.98 51.70 22.98 21.24 301000245 301 83921 METHYLMALONIC ACID- SERUM 377.36 377.36 264.15 12.33 24.18 21.21 47.72 21.21 47.72 21.21 21.21 21.21 38.08 21.21 21.21 21.21 47.72 21.21 47.72 21.21 25.47 31.84 47.72 21.21 47.72 21.21 21.21 21.21 27.74 12.33 12.33 12.33 20.15 47.72 21.21 47.72 21.21 21.21 21.21 21.21 27.00 23.33 21.21 47.72 21.21 21.21 21.21 21.21 21.21 21.21 21.21 264.15 21.21 47.72 21.21 21.21 21.21 21.21 47.72 21.21 21.21 21.21 47.72 21.21 47.72 21.21 19.09 353005008 301 83921 "METHYLMALONIC ACID, SERUM" 377.36 377.36 264.15 12.33 24.18 21.21 47.72 21.21 47.72 21.21 21.21 21.21 38.08 21.21 21.21 21.21 47.72 21.21 47.72 21.21 25.47 31.84 47.72 21.21 47.72 21.21 21.21 21.21 27.74 12.33 12.33 12.33 20.15 47.72 21.21 47.72 21.21 21.21 21.21 21.21 27.00 23.33 21.21 47.72 21.21 21.21 21.21 21.21 21.21 21.21 21.21 264.15 21.21 47.72 21.21 21.21 21.21 21.21 47.72 21.21 21.21 21.21 47.72 21.21 47.72 21.21 19.09 301000127 301 83930 OSMOLALITY BLOOD 117.66 117.66 82.36 5.95 7.54 6.61 13.73 6.10 13.73 6.10 6.61 6.61 15.11 6.61 6.10 6.61 13.73 6.10 13.73 6.61 7.94 9.92 13.73 6.10 13.73 6.10 6.61 6.61 17.24 7.66 7.66 7.66 6.28 13.73 6.10 13.73 6.10 6.61 6.61 6.61 10.00 7.27 6.10 13.73 6.10 6.61 6.10 6.10 6.10 6.61 6.10 82.36 6.61 13.73 6.10 6.10 6.10 6.61 13.73 6.61 6.61 6.10 13.73 6.10 13.73 6.10 5.95 301000128 301 83935 OSMOLALITY URINE 66.78 66.78 46.75 6.10 7.77 6.82 13.73 6.10 13.73 6.10 6.82 6.82 15.68 6.82 6.10 6.82 13.73 6.10 13.73 6.82 8.19 10.24 13.73 6.10 13.73 6.10 6.82 6.82 17.24 7.66 7.66 7.66 6.48 13.73 6.10 13.73 6.10 6.82 6.82 6.82 10.00 7.50 6.10 13.73 6.10 6.82 6.10 6.10 6.10 6.82 6.10 46.75 6.82 13.73 6.10 6.10 6.10 6.82 13.73 6.82 6.82 6.10 13.73 6.10 13.73 6.10 6.14 301000129 301 83945 OXALATE QUANT URINE 120.84 120.84 84.59 12.02 16.47 14.45 27.04 12.02 27.04 12.02 14.45 14.45 29.67 14.45 12.02 14.45 27.04 12.02 27.04 14.45 17.35 21.69 27.04 12.02 27.04 12.02 14.45 14.45 27.74 12.33 12.33 12.33 13.73 27.04 12.02 27.04 12.02 14.45 14.45 14.45 16.00 15.90 12.02 27.04 12.02 14.45 12.02 12.02 12.02 14.45 12.02 84.59 14.45 27.04 12.02 12.02 12.02 14.45 27.04 14.45 14.45 12.02 27.04 12.02 27.04 12.02 13.01 301000131 301 83970 PTH INTACT 395.38 395.38 276.77 37.15 47.06 41.28 92.88 41.28 92.88 41.28 41.28 41.28 95.74 41.28 41.28 41.28 92.88 41.28 92.88 41.28 49.57 61.96 92.88 41.28 92.88 41.28 41.28 41.28 91.70 40.76 40.76 40.76 39.22 92.88 41.28 92.88 41.28 41.28 41.28 41.28 58.00 45.41 41.28 92.88 41.28 41.28 41.28 41.28 41.28 41.28 41.28 276.77 41.28 92.88 41.28 41.28 41.28 41.28 92.88 41.28 41.28 41.28 92.88 41.28 92.88 41.28 37.15 301000132 301 83986 PH- BODY FLUID- EXCEPT BLOOD 46.64 46.64 32.65 3.22 4.08 3.58 18.54 8.24 18.54 8.24 3.58 3.58 8.39 3.58 8.24 3.58 18.54 8.24 18.54 3.58 4.30 5.37 18.54 8.24 18.54 8.24 3.58 3.58 17.24 7.66 7.66 7.66 3.40 18.54 8.24 18.54 8.24 3.58 3.58 3.58 5.00 3.94 8.24 18.54 8.24 3.58 8.24 8.24 8.24 3.58 8.24 32.65 3.58 18.54 8.24 8.24 8.24 3.58 18.54 3.58 3.58 8.24 18.54 8.24 18.54 8.24 3.22 301000133 301 83986 FECAL PH 46.64 46.64 32.65 3.22 4.08 3.58 18.54 8.24 18.54 8.24 3.58 3.58 8.39 3.58 8.24 3.58 18.54 8.24 18.54 3.58 4.30 5.37 18.54 8.24 18.54 8.24 3.58 3.58 17.24 7.66 7.66 7.66 3.40 18.54 8.24 18.54 8.24 3.58 3.58 3.58 5.00 3.94 8.24 18.54 8.24 3.58 8.24 8.24 8.24 3.58 8.24 32.65 3.58 18.54 8.24 8.24 8.24 3.58 18.54 3.58 3.58 8.24 18.54 8.24 18.54 8.24 3.22 301000296 301 83993 "CALPROTECTIN,STOOL" 297.86 297.86 208.50 11.39 22.38 19.63 25.63 11.39 25.63 11.39 19.63 19.63 45.35 19.63 11.39 19.63 25.63 11.39 25.63 19.63 23.57 29.46 25.63 11.39 25.63 11.39 19.63 19.63 27.74 12.33 12.33 12.33 18.65 25.63 11.39 25.63 11.39 19.63 19.63 19.63 26.91 21.59 11.39 25.63 11.39 19.63 11.39 11.39 11.39 19.63 11.39 208.50 19.63 25.63 11.39 11.39 11.39 19.63 25.63 19.63 19.63 11.39 25.63 11.39 25.63 11.39 17.67 301000135 301 84075 PHOSPHATASE- ALKALINE 43.46 43.46 30.42 4.66 5.91 5.18 11.43 5.08 11.43 5.08 5.18 5.18 11.76 5.18 5.08 5.18 11.43 5.08 11.43 5.18 6.22 7.78 11.43 5.08 11.43 5.08 5.18 5.18 17.24 7.66 7.66 7.66 4.92 11.43 5.08 11.43 5.08 5.18 5.18 5.18 8.00 5.70 5.08 11.43 5.08 5.18 5.08 5.08 5.08 5.18 5.08 30.42 5.18 11.43 5.08 5.08 5.08 5.18 11.43 5.18 5.18 5.08 11.43 5.08 11.43 5.08 4.66 301000136 301 84078 HEAT STBLE- TOTAL NOT INCL 145.22 145.22 101.65 5.08 9.42 8.26 11.43 5.08 11.43 5.08 8.26 8.26 16.80 8.26 5.08 8.26 11.43 5.08 11.43 8.26 9.92 12.40 11.43 5.08 11.43 5.08 8.26 8.26 17.24 7.66 7.66 7.66 7.85 11.43 5.08 11.43 5.08 8.26 8.26 8.26 11.00 9.09 5.08 11.43 5.08 8.26 5.08 5.08 5.08 8.26 5.08 101.65 8.26 11.43 5.08 5.08 5.08 8.26 11.43 8.26 8.26 5.08 11.43 5.08 11.43 5.08 7.43 301000137 301 84080 ALK PHOS ISOENZYMES 110.24 110.24 77.17 10.01 16.85 14.78 22.52 10.01 22.52 10.01 14.78 14.78 34.16 14.78 10.01 14.78 22.52 10.01 22.52 14.78 17.75 22.18 22.52 10.01 22.52 10.01 14.78 14.78 27.74 12.33 12.33 12.33 14.04 22.52 10.01 22.52 10.01 14.78 14.78 14.78 13.00 16.26 10.01 22.52 10.01 14.78 10.01 10.01 10.01 14.78 10.01 77.17 14.78 22.52 10.01 10.01 10.01 14.78 22.52 14.78 14.78 10.01 22.52 10.01 22.52 10.01 13.30 301000113 301 84081 PHOSPHATIDYL GLYCER 114.48 114.48 80.14 8.05 18.83 16.52 18.11 8.05 18.11 8.05 16.52 16.52 38.08 16.52 8.05 16.52 18.11 8.05 18.11 16.52 19.84 24.80 18.11 8.05 18.11 8.05 16.52 16.52 27.74 12.33 12.33 12.33 15.69 18.11 8.05 18.11 8.05 16.52 16.52 16.52 23.00 18.17 8.05 18.11 8.05 16.52 8.05 8.05 8.05 16.52 8.05 80.14 16.52 18.11 8.05 8.05 8.05 16.52 18.11 16.52 16.52 8.05 18.11 8.05 18.11 8.05 14.87 301000138 301 84100 PHOSPHORUS INORGANIC (PHOSPHAT 38.16 38.16 26.71 4.27 5.40 4.74 10.67 4.74 10.67 4.74 4.74 4.74 11.19 4.74 4.74 4.74 10.67 4.74 10.67 4.74 5.69 7.11 10.67 4.74 10.67 4.74 4.74 4.74 17.24 7.66 7.66 7.66 4.50 10.67 4.74 10.67 4.74 4.74 4.74 4.74 7.00 5.21 4.74 10.67 4.74 4.74 4.74 4.74 4.74 4.74 4.74 26.71 4.74 10.67 4.74 4.74 4.74 4.74 10.67 4.74 4.74 4.74 10.67 4.74 10.67 4.74 4.27 301000139 301 84105 PHOSPHORUS INORG - URINE- 24HR 90.10 90.10 63.07 5.08 6.59 5.78 11.43 5.08 11.43 5.08 5.78 5.78 11.76 5.78 5.08 5.78 11.43 5.08 11.43 5.78 6.94 8.68 11.43 5.08 11.43 5.08 5.78 5.78 17.24 7.66 7.66 7.66 5.49 11.43 5.08 11.43 5.08 5.78 5.78 5.78 8.00 6.36 5.08 11.43 5.08 5.78 5.08 5.08 5.08 5.78 5.08 63.07 5.78 11.43 5.08 5.08 5.08 5.78 11.43 5.78 5.78 5.08 11.43 5.08 11.43 5.08 5.20 301000140 301 84120 PORPHYRINS URINE QUANT 230.02 230.02 161.01 12.33 16.77 14.71 33.10 14.71 33.10 14.71 14.71 14.71 34.16 14.71 14.71 14.71 33.10 14.71 33.10 14.71 17.66 22.08 33.10 14.71 33.10 14.71 14.71 14.71 27.74 12.33 12.33 12.33 13.97 33.10 14.71 33.10 14.71 14.71 14.71 14.71 18.00 16.18 14.71 33.10 14.71 14.71 14.71 14.71 14.71 14.71 14.71 161.01 14.71 33.10 14.71 14.71 14.71 14.71 33.10 14.71 14.71 14.71 33.10 14.71 33.10 14.71 13.24 301000141 301 84132 POTASSIUM SERUM 44.52 44.52 31.16 4.28 5.43 4.76 10.71 4.76 10.71 4.76 4.76 4.76 10.64 4.76 4.76 4.76 10.71 4.76 10.71 4.76 5.72 7.14 10.71 4.76 10.71 4.76 4.76 4.76 17.24 7.66 7.66 7.66 4.52 10.71 4.76 10.71 4.76 4.76 4.76 4.76 7.00 5.24 4.76 10.71 4.76 4.76 4.76 4.76 4.76 4.76 4.76 31.16 4.76 10.71 4.76 4.76 4.76 4.76 10.71 4.76 4.76 4.76 10.71 4.76 10.71 4.76 4.28 353000045 301 84132 WHL BLD POTASSIUM 44.52 44.52 31.16 4.28 5.43 4.76 10.71 4.76 10.71 4.76 4.76 4.76 10.64 4.76 4.76 4.76 10.71 4.76 10.71 4.76 5.72 7.14 10.71 4.76 10.71 4.76 4.76 4.76 17.24 7.66 7.66 7.66 4.52 10.71 4.76 10.71 4.76 4.76 4.76 4.76 7.00 5.24 4.76 10.71 4.76 4.76 4.76 4.76 4.76 4.76 4.76 31.16 4.76 10.71 4.76 4.76 4.76 4.76 10.71 4.76 4.76 4.76 10.71 4.76 10.71 4.76 4.28 301000142 301 84133 POTASSIUM- 24 HR URINE 64.66 64.66 45.26 4.26 5.39 4.73 10.64 4.73 10.64 4.73 4.73 4.73 10.08 4.73 4.73 4.73 10.64 4.73 10.64 4.73 5.68 7.10 10.64 4.73 10.64 4.73 4.73 4.73 17.24 7.66 7.66 7.66 4.49 10.64 4.73 10.64 4.73 4.73 4.73 4.73 6.00 5.20 4.73 10.64 4.73 4.73 4.73 4.73 4.73 4.73 4.73 45.26 4.73 10.64 4.73 4.73 4.73 4.73 10.64 4.73 4.73 4.73 10.64 4.73 10.64 4.73 4.26 301000143 301 84133 POTASSIUM UR RANDOM 64.66 64.66 45.26 4.26 5.39 4.73 10.64 4.73 10.64 4.73 4.73 4.73 10.08 4.73 4.73 4.73 10.64 4.73 10.64 4.73 5.68 7.10 10.64 4.73 10.64 4.73 4.73 4.73 17.24 7.66 7.66 7.66 4.49 10.64 4.73 10.64 4.73 4.73 4.73 4.73 6.00 5.20 4.73 10.64 4.73 4.73 4.73 4.73 4.73 4.73 4.73 45.26 4.73 10.64 4.73 4.73 4.73 4.73 10.64 4.73 4.73 4.73 10.64 4.73 10.64 4.73 4.26 300000002 300 84134 HYDROXYPREGNENOLONE 267.12 267.12 186.98 7.39 16.63 14.59 16.63 7.39 16.63 7.39 14.59 14.59 33.59 14.59 7.39 14.59 16.63 7.39 16.63 14.59 17.52 21.90 16.63 7.39 16.63 7.39 14.59 14.59 27.74 12.33 12.33 12.33 13.86 16.63 7.39 16.63 7.39 14.59 14.59 14.59 8.00 16.05 7.39 16.63 7.39 14.59 7.39 7.39 7.39 14.59 7.39 186.98 14.59 16.63 7.39 7.39 7.39 14.59 16.63 14.59 14.59 7.39 16.63 7.39 16.63 7.39 13.13 301000144 301 84134 PREALBUMIN 267.12 267.12 186.98 7.39 16.63 14.59 16.63 7.39 16.63 7.39 14.59 14.59 33.59 14.59 7.39 14.59 16.63 7.39 16.63 14.59 17.52 21.90 16.63 7.39 16.63 7.39 14.59 14.59 27.74 12.33 12.33 12.33 13.86 16.63 7.39 16.63 7.39 14.59 14.59 14.59 8.00 16.05 7.39 16.63 7.39 14.59 7.39 7.39 7.39 14.59 7.39 186.98 14.59 16.63 7.39 7.39 7.39 14.59 16.63 14.59 14.59 7.39 16.63 7.39 16.63 7.39 13.13 301000145 301 84144 PROGESTERONE 117.66 117.66 82.36 18.77 23.78 20.86 46.94 20.86 46.94 20.86 20.86 20.86 48.15 20.86 20.86 20.86 46.94 20.86 46.94 20.86 25.05 31.31 46.94 20.86 46.94 20.86 20.86 20.86 65.12 28.94 28.94 28.94 19.82 46.94 20.86 46.94 20.86 20.86 20.86 20.86 29.00 22.95 20.86 46.94 20.86 20.86 20.86 20.86 20.86 20.86 20.86 82.36 20.86 46.94 20.86 20.86 20.86 20.86 46.94 20.86 20.86 20.86 46.94 20.86 46.94 20.86 18.77 301000146 301 84146 PROLACTIN 120.84 120.84 84.59 17.44 22.09 19.38 43.61 19.38 43.61 19.38 19.38 19.38 44.79 19.38 19.38 19.38 43.61 19.38 43.61 19.38 23.27 29.09 43.61 19.38 43.61 19.38 19.38 19.38 65.12 28.94 28.94 28.94 18.41 43.61 19.38 43.61 19.38 19.38 19.38 19.38 27.00 21.32 19.38 43.61 19.38 19.38 19.38 19.38 19.38 19.38 19.38 84.59 19.38 43.61 19.38 19.38 19.38 19.38 43.61 19.38 19.38 19.38 43.61 19.38 43.61 19.38 17.44 301000147 301 84153 PROSTATE SPECIFIC ANTIGEN (PSA 197.16 197.16 138.01 12.33 20.96 18.39 41.38 18.39 41.38 18.39 18.39 18.39 42.55 18.39 18.39 18.39 41.38 18.39 41.38 18.39 22.08 27.60 41.38 18.39 41.38 18.39 18.39 18.39 27.74 12.33 12.33 12.33 17.47 41.38 18.39 41.38 18.39 18.39 18.39 18.39 26.00 20.23 18.39 41.38 18.39 18.39 18.39 18.39 18.39 18.39 18.39 138.01 18.39 41.38 18.39 18.39 18.39 18.39 41.38 18.39 18.39 18.39 41.38 18.39 41.38 18.39 16.55 301000307 301 84153 "PSA,FREE AND TOTAL" 197.16 197.16 138.01 12.33 20.96 18.39 41.38 18.39 41.38 18.39 18.39 18.39 42.55 18.39 18.39 18.39 41.38 18.39 41.38 18.39 22.08 27.60 41.38 18.39 41.38 18.39 18.39 18.39 27.74 12.33 12.33 12.33 17.47 41.38 18.39 41.38 18.39 18.39 18.39 18.39 26.00 20.23 18.39 41.38 18.39 18.39 18.39 18.39 18.39 18.39 18.39 138.01 18.39 41.38 18.39 18.39 18.39 18.39 41.38 18.39 18.39 18.39 41.38 18.39 41.38 18.39 16.55 353005211 301 84153 "PSA, FREE" 197.16 197.16 138.01 12.33 20.96 18.39 41.38 18.39 41.38 18.39 18.39 18.39 42.55 18.39 18.39 18.39 41.38 18.39 41.38 18.39 22.08 27.60 41.38 18.39 41.38 18.39 18.39 18.39 27.74 12.33 12.33 12.33 17.47 41.38 18.39 41.38 18.39 18.39 18.39 18.39 26.00 20.23 18.39 41.38 18.39 18.39 18.39 18.39 18.39 18.39 18.39 138.01 18.39 41.38 18.39 18.39 18.39 18.39 41.38 18.39 18.39 18.39 41.38 18.39 41.38 18.39 16.55 301000148 301 84155 PROTEIN TOTAL- BLOOD 48.76 48.76 34.13 3.30 4.18 3.67 8.26 3.67 8.26 3.67 3.67 3.67 8.39 3.67 3.67 3.67 8.26 3.67 8.26 3.67 4.41 5.51 8.26 3.67 8.26 3.67 3.67 3.67 17.24 7.66 7.66 7.66 3.49 8.26 3.67 8.26 3.67 3.67 3.67 3.67 6.00 4.04 3.67 8.26 3.67 3.67 3.67 3.67 3.67 3.67 3.67 34.13 3.67 8.26 3.67 3.67 3.67 3.67 8.26 3.67 3.67 3.67 8.26 3.67 8.26 3.67 3.30 301000151 301 84155 PROTEIN TOTAL RAN UR 48.76 48.76 34.13 3.30 4.18 3.67 8.26 3.67 8.26 3.67 3.67 3.67 8.39 3.67 3.67 3.67 8.26 3.67 8.26 3.67 4.41 5.51 8.26 3.67 8.26 3.67 3.67 3.67 17.24 7.66 7.66 7.66 3.49 8.26 3.67 8.26 3.67 3.67 3.67 3.67 6.00 4.04 3.67 8.26 3.67 3.67 3.67 3.67 3.67 3.67 3.67 34.13 3.67 8.26 3.67 3.67 3.67 3.67 8.26 3.67 3.67 3.67 8.26 3.67 8.26 3.67 3.30 353005044 301 84155 "PROTEIN FRACTIONS, URINE" 48.76 48.76 34.13 3.30 4.18 3.67 8.26 3.67 8.26 3.67 3.67 3.67 8.39 3.67 3.67 3.67 8.26 3.67 8.26 3.67 4.41 5.51 8.26 3.67 8.26 3.67 3.67 3.67 17.24 7.66 7.66 7.66 3.49 8.26 3.67 8.26 3.67 3.67 3.67 3.67 6.00 4.04 3.67 8.26 3.67 3.67 3.67 3.67 3.67 3.67 3.67 34.13 3.67 8.26 3.67 3.67 3.67 3.67 8.26 3.67 3.67 3.67 8.26 3.67 8.26 3.67 3.30 353005045 301 84155 URINE TOTAL PROTEIN 48.76 48.76 34.13 3.30 4.18 3.67 8.26 3.67 8.26 3.67 3.67 3.67 8.39 3.67 3.67 3.67 8.26 3.67 8.26 3.67 4.41 5.51 8.26 3.67 8.26 3.67 3.67 3.67 17.24 7.66 7.66 7.66 3.49 8.26 3.67 8.26 3.67 3.67 3.67 3.67 6.00 4.04 3.67 8.26 3.67 3.67 3.67 3.67 3.67 3.67 3.67 34.13 3.67 8.26 3.67 3.67 3.67 3.67 8.26 3.67 3.67 3.67 8.26 3.67 8.26 3.67 3.30 301000150 301 84156 PROTEIN- URINE 24 HR 37.10 37.10 25.97 3.30 4.18 3.67 8.26 3.67 8.26 3.67 3.67 3.67 8.39 3.67 3.67 3.67 8.26 3.67 8.26 3.67 4.41 5.51 8.26 3.67 8.26 3.67 3.67 3.67 17.24 7.66 7.66 7.66 3.49 8.26 3.67 8.26 3.67 3.67 3.67 3.67 5.00 4.04 3.67 8.26 3.67 3.67 3.67 3.67 3.67 3.67 3.67 25.97 3.67 8.26 3.67 3.67 3.67 3.67 8.26 3.67 3.67 3.67 8.26 3.67 8.26 3.67 3.30 301000149 301 84157 PROTEIN CSF 132.50 132.50 92.75 3.60 4.56 4.00 9.00 4.00 9.00 4.00 4.00 4.00 8.39 4.00 4.00 4.00 9.00 4.00 9.00 4.00 4.80 6.00 9.00 4.00 9.00 4.00 4.00 4.00 17.24 7.66 7.66 7.66 3.80 9.00 4.00 9.00 4.00 4.00 4.00 4.00 5.12 4.40 4.00 9.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00 92.75 4.00 9.00 4.00 4.00 4.00 4.00 9.00 4.00 4.00 4.00 9.00 4.00 9.00 4.00 3.60 301000152 301 84157 PROTEIN- BODY FLUID 132.50 132.50 92.75 3.60 4.56 4.00 9.00 4.00 9.00 4.00 4.00 4.00 8.39 4.00 4.00 4.00 9.00 4.00 9.00 4.00 4.80 6.00 9.00 4.00 9.00 4.00 4.00 4.00 17.24 7.66 7.66 7.66 3.80 9.00 4.00 9.00 4.00 4.00 4.00 4.00 5.12 4.40 4.00 9.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00 92.75 4.00 9.00 4.00 4.00 4.00 4.00 9.00 4.00 4.00 4.00 9.00 4.00 9.00 4.00 3.60 353005285 301 84157 "TOTAL PROTEIN, PERITONEAL" 132.50 132.50 92.75 3.60 4.56 4.00 9.00 4.00 9.00 4.00 4.00 4.00 8.39 4.00 4.00 4.00 9.00 4.00 9.00 4.00 4.80 6.00 9.00 4.00 9.00 4.00 4.00 4.00 17.24 7.66 7.66 7.66 3.80 9.00 4.00 9.00 4.00 4.00 4.00 4.00 5.12 4.40 4.00 9.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00 92.75 4.00 9.00 4.00 4.00 4.00 4.00 9.00 4.00 4.00 4.00 9.00 4.00 9.00 4.00 3.60 353005294 301 84157 "TOTAL PROTEIN, PLEURAL FL" 132.50 132.50 92.75 3.60 4.56 4.00 9.00 4.00 9.00 4.00 4.00 4.00 8.39 4.00 4.00 4.00 9.00 4.00 9.00 4.00 4.80 6.00 9.00 4.00 9.00 4.00 4.00 4.00 17.24 7.66 7.66 7.66 3.80 9.00 4.00 9.00 4.00 4.00 4.00 4.00 5.12 4.40 4.00 9.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00 92.75 4.00 9.00 4.00 4.00 4.00 4.00 9.00 4.00 4.00 4.00 9.00 4.00 9.00 4.00 3.60 301000287 301 84163 MATERNAL 1ST TRI SCR H-HCG 75.26 75.26 52.68 12.33 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 27.74 12.33 12.33 12.33 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 25.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 52.68 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 353005076 301 84163 PAPP-A 75.26 75.26 52.68 12.33 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 27.74 12.33 12.33 12.33 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 25.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 52.68 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 353005077 301 84163 PAPP-A MOM 75.26 75.26 52.68 12.33 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 27.74 12.33 12.33 12.33 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 25.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 52.68 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 353005080 301 84163 NT MOM 75.26 75.26 52.68 12.33 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 27.74 12.33 12.33 12.33 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 25.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 52.68 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 353005291 301 84163 PREGNANCY ASSO PLASMA PROT-A 75.26 75.26 52.68 12.33 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 27.74 12.33 12.33 12.33 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 25.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 52.68 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 353005292 301 84163 PREG ASSO PLASMA PROT-A MOM 75.26 75.26 52.68 12.33 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 27.74 12.33 12.33 12.33 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 25.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 52.68 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 353005293 301 84163 PREG ASS PLASM PR-A PERCENTILE 75.26 75.26 52.68 12.33 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 27.74 12.33 12.33 12.33 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 25.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 52.68 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 301000153 301 84165 PROTEIN ELECTROPHORETIC FRACT 98.58 98.58 69.01 7.66 12.24 10.74 18.18 8.08 18.18 8.08 10.74 10.74 25.20 10.74 8.08 10.74 18.18 8.08 18.18 10.74 12.90 16.12 18.18 8.08 18.18 8.08 10.74 10.74 17.24 7.66 7.66 7.66 10.20 18.18 8.08 18.18 8.08 10.74 10.74 10.74 15.00 11.81 8.08 18.18 8.08 10.74 8.08 8.08 8.08 10.74 8.08 69.01 10.74 18.18 8.08 8.08 8.08 10.74 18.18 10.74 10.74 8.08 18.18 8.08 18.18 8.08 9.67 353005151 301 84165 PROT.ELECTROPHORESIS.SERUM 98.58 98.58 69.01 7.66 12.24 10.74 18.18 8.08 18.18 8.08 10.74 10.74 25.20 10.74 8.08 10.74 18.18 8.08 18.18 10.74 12.90 16.12 18.18 8.08 18.18 8.08 10.74 10.74 17.24 7.66 7.66 7.66 10.20 18.18 8.08 18.18 8.08 10.74 10.74 10.74 15.00 11.81 8.08 18.18 8.08 10.74 8.08 8.08 8.08 10.74 8.08 69.01 10.74 18.18 8.08 8.08 8.08 10.74 18.18 10.74 10.74 8.08 18.18 8.08 18.18 8.08 9.67 301000154 301 84166 PROTEINELECTROPHORESIS-UR 128.26 128.26 89.78 11.36 20.33 17.83 25.57 11.36 25.57 11.36 17.83 17.83 41.43 17.83 11.36 17.83 25.57 11.36 25.57 17.83 21.41 26.76 25.57 11.36 25.57 11.36 17.83 17.83 27.74 12.33 12.33 12.33 16.94 25.57 11.36 25.57 11.36 17.83 17.83 17.83 24.00 19.61 11.36 25.57 11.36 17.83 11.36 11.36 11.36 17.83 11.36 89.78 17.83 25.57 11.36 11.36 11.36 17.83 25.57 17.83 17.83 11.36 25.57 11.36 25.57 11.36 16.05 301000198 301 84206 PROINSULIN 481.24 481.24 336.87 24.02 30.43 26.69 70.05 31.13 70.05 31.13 26.69 26.69 41.43 26.69 31.13 26.69 70.05 31.13 70.05 26.69 32.05 40.06 70.05 31.13 70.05 31.13 26.69 26.69 65.12 28.94 28.94 28.94 25.36 70.05 31.13 70.05 31.13 26.69 26.69 26.69 25.00 29.36 31.13 70.05 31.13 26.69 31.13 31.13 31.13 26.69 31.13 336.87 26.69 70.05 31.13 31.13 31.13 26.69 70.05 26.69 26.69 31.13 70.05 31.13 70.05 31.13 24.02 301000275 301 84206 PRINIS (PROINSULUN) 481.24 481.24 336.87 24.02 30.43 26.69 70.05 31.13 70.05 31.13 26.69 26.69 41.43 26.69 31.13 26.69 70.05 31.13 70.05 26.69 32.05 40.06 70.05 31.13 70.05 31.13 26.69 26.69 65.12 28.94 28.94 28.94 25.36 70.05 31.13 70.05 31.13 26.69 26.69 26.69 25.00 29.36 31.13 70.05 31.13 26.69 31.13 31.13 31.13 26.69 31.13 336.87 26.69 70.05 31.13 31.13 31.13 26.69 70.05 26.69 26.69 31.13 70.05 31.13 70.05 31.13 24.02 301000319 301 84207 VITAMIN B6 PLASMA 276.66 276.66 193.66 25.29 32.03 28.10 63.23 28.10 63.23 28.10 28.10 28.10 64.95 28.10 28.10 28.10 63.23 28.10 63.23 28.10 33.74 42.18 63.23 28.10 63.23 28.10 28.10 28.10 86.61 38.49 38.49 38.49 26.70 63.23 28.10 63.23 28.10 28.10 28.10 28.10 39.00 30.91 28.10 63.23 28.10 28.10 28.10 28.10 28.10 28.10 28.10 193.66 28.10 63.23 28.10 28.10 28.10 28.10 63.23 28.10 28.10 28.10 63.23 28.10 63.23 28.10 25.29 353005233 301 84207 VITAMIN B6 276.66 276.66 193.66 25.29 32.03 28.10 63.23 28.10 63.23 28.10 28.10 28.10 64.95 28.10 28.10 28.10 63.23 28.10 63.23 28.10 33.74 42.18 63.23 28.10 63.23 28.10 28.10 28.10 86.61 38.49 38.49 38.49 26.70 63.23 28.10 63.23 28.10 28.10 28.10 28.10 39.00 30.91 28.10 63.23 28.10 28.10 28.10 28.10 28.10 28.10 28.10 193.66 28.10 63.23 28.10 28.10 28.10 28.10 63.23 28.10 28.10 28.10 63.23 28.10 63.23 28.10 25.29 301000156 301 84210 PYRUVATE 92.22 92.22 64.55 12.33 16.51 14.48 29.84 13.26 29.84 13.26 14.48 14.48 25.20 14.48 13.26 14.48 29.84 13.26 29.84 14.48 17.39 21.73 29.84 13.26 29.84 13.26 14.48 14.48 27.74 12.33 12.33 12.33 13.76 29.84 13.26 29.84 13.26 14.48 14.48 14.48 16.00 15.93 13.26 29.84 13.26 14.48 13.26 13.26 13.26 14.48 13.26 64.55 14.48 29.84 13.26 13.26 13.26 14.48 29.84 14.48 14.48 13.26 29.84 13.26 29.84 13.26 13.03 301000197 301 84235 TSH RECEPTOR ANTIBODIES 256.52 256.52 179.56 40.76 81.20 71.23 98.64 43.84 98.64 43.84 71.23 71.23 121.50 71.23 43.84 71.23 98.64 43.84 98.64 71.23 85.53 106.92 98.64 43.84 98.64 43.84 71.23 71.23 91.70 40.76 40.76 40.76 67.67 98.64 43.84 98.64 43.84 71.23 71.23 71.23 73.00 78.35 43.84 98.64 43.84 71.23 43.84 43.84 43.84 71.23 43.84 179.56 71.23 98.64 43.84 43.84 43.84 71.23 98.64 71.23 71.23 43.84 98.64 43.84 98.64 43.84 64.11 301000253 301 84238 SOLUBLE TRANSFERRIN RECEPTOR 426.12 426.12 298.28 32.91 41.69 36.57 93.16 41.41 93.16 41.41 36.57 36.57 84.55 36.57 41.41 36.57 93.16 41.41 93.16 36.57 43.91 54.89 93.16 41.41 93.16 41.41 36.57 36.57 86.61 38.49 38.49 38.49 34.74 93.16 41.41 93.16 41.41 36.57 36.57 36.57 51.00 40.23 41.41 93.16 41.41 36.57 41.41 41.41 41.41 36.57 41.41 298.28 36.57 93.16 41.41 41.41 41.41 36.57 93.16 36.57 36.57 41.41 93.16 41.41 93.16 41.41 32.91 309000014 309 84238 INTERLEUKIN 2R 426.12 426.12 298.28 32.91 41.69 36.57 93.16 41.41 93.16 41.41 36.57 36.57 84.55 36.57 41.41 36.57 93.16 41.41 93.16 36.57 43.91 54.89 93.16 41.41 93.16 41.41 36.57 36.57 86.61 38.49 38.49 38.49 34.74 93.16 41.41 93.16 41.41 36.57 36.57 36.57 51.00 40.23 41.41 93.16 41.41 36.57 41.41 41.41 41.41 36.57 41.41 298.28 36.57 93.16 41.41 41.41 41.41 36.57 93.16 36.57 36.57 41.41 93.16 41.41 93.16 41.41 32.91 301000157 301 84244 RENIN 324.36 324.36 227.05 19.79 25.07 21.99 70.05 31.13 70.05 31.13 21.99 21.99 50.94 21.99 31.13 21.99 70.05 31.13 70.05 21.99 26.41 33.01 70.05 31.13 70.05 31.13 21.99 21.99 65.12 28.94 28.94 28.94 20.89 70.05 31.13 70.05 31.13 21.99 21.99 21.99 31.00 24.19 31.13 70.05 31.13 21.99 31.13 31.13 31.13 21.99 31.13 227.05 21.99 70.05 31.13 31.13 31.13 21.99 70.05 21.99 21.99 31.13 70.05 31.13 70.05 31.13 19.79 301000158 301 84260 SEROTONIN 481.24 481.24 336.87 24.00 35.32 30.98 98.64 43.84 98.64 43.84 30.98 30.98 71.67 30.98 43.84 30.98 98.64 43.84 98.64 30.98 37.20 46.50 98.64 43.84 98.64 43.84 30.98 30.98 91.70 40.76 40.76 40.76 29.43 98.64 43.84 98.64 43.84 30.98 30.98 30.98 24.00 34.08 43.84 98.64 43.84 30.98 43.84 43.84 43.84 30.98 43.84 336.87 30.98 98.64 43.84 43.84 43.84 30.98 98.64 30.98 30.98 43.84 98.64 43.84 98.64 43.84 27.88 301000254 301 84270 SEX HORMONE BINDING GLOBULIN 219.42 219.42 153.59 12.33 24.77 21.73 29.84 13.26 29.84 13.26 21.73 21.73 50.39 21.73 13.26 21.73 29.84 13.26 29.84 21.73 26.09 32.62 29.84 13.26 29.84 13.26 21.73 21.73 27.74 12.33 12.33 12.33 20.64 29.84 13.26 29.84 13.26 21.73 21.73 21.73 31.00 23.90 13.26 29.84 13.26 21.73 13.26 13.26 13.26 21.73 13.26 153.59 21.73 29.84 13.26 13.26 13.26 21.73 29.84 21.73 21.73 13.26 29.84 13.26 29.84 13.26 19.56 301000159 301 84295 SODIUM SERUM 44.52 44.52 31.16 4.33 5.48 4.81 10.82 4.81 10.82 4.81 4.81 4.81 11.19 4.81 4.81 4.81 10.82 4.81 10.82 4.81 5.78 7.22 10.82 4.81 10.82 4.81 4.81 4.81 17.24 7.66 7.66 7.66 4.57 10.82 4.81 10.82 4.81 4.81 4.81 4.81 7.00 5.29 4.81 10.82 4.81 4.81 4.81 4.81 4.81 4.81 4.81 31.16 4.81 10.82 4.81 4.81 4.81 4.81 10.82 4.81 4.81 4.81 10.82 4.81 10.82 4.81 4.33 353000046 301 84295 WHL BLD SODIUM 44.52 44.52 31.16 4.33 5.48 4.81 10.82 4.81 10.82 4.81 4.81 4.81 11.19 4.81 4.81 4.81 10.82 4.81 10.82 4.81 5.78 7.22 10.82 4.81 10.82 4.81 4.81 4.81 17.24 7.66 7.66 7.66 4.57 10.82 4.81 10.82 4.81 4.81 4.81 4.81 7.00 5.29 4.81 10.82 4.81 4.81 4.81 4.81 4.81 4.81 4.81 31.16 4.81 10.82 4.81 4.81 4.81 4.81 10.82 4.81 4.81 4.81 10.82 4.81 10.82 4.81 4.33 301000160 301 84300 SODIUM URINE- 24 HR 59.36 59.36 41.55 4.55 5.77 5.06 11.32 5.03 11.32 5.03 5.06 5.06 11.19 5.06 5.03 5.06 11.32 5.03 11.32 5.06 6.08 7.60 11.32 5.03 11.32 5.03 5.06 5.06 17.24 7.66 7.66 7.66 4.81 11.32 5.03 11.32 5.03 5.06 5.06 5.06 7.00 5.57 5.03 11.32 5.03 5.06 5.03 5.03 5.03 5.06 5.03 41.55 5.06 11.32 5.03 5.03 5.03 5.06 11.32 5.06 5.06 5.03 11.32 5.03 11.32 5.03 4.55 301000161 301 84300 SODIUM UR RANDOM 59.36 59.36 41.55 4.55 5.77 5.06 11.32 5.03 11.32 5.03 5.06 5.06 11.19 5.06 5.03 5.06 11.32 5.03 11.32 5.06 6.08 7.60 11.32 5.03 11.32 5.03 5.06 5.06 17.24 7.66 7.66 7.66 4.81 11.32 5.03 11.32 5.03 5.06 5.06 5.06 7.00 5.57 5.03 11.32 5.03 5.06 5.03 5.03 5.03 5.06 5.03 41.55 5.06 11.32 5.03 5.03 5.03 5.06 11.32 5.06 5.06 5.03 11.32 5.03 11.32 5.03 4.55 301000162 301 84305 SOMATOMEDIN 422.94 422.94 296.06 19.13 24.24 21.26 46.59 20.71 46.59 20.71 21.26 21.26 49.27 21.26 20.71 21.26 46.59 20.71 46.59 21.26 25.53 31.91 46.59 20.71 46.59 20.71 21.26 21.26 65.12 28.94 28.94 28.94 20.20 46.59 20.71 46.59 20.71 21.26 21.26 21.26 30.00 23.39 20.71 46.59 20.71 21.26 20.71 20.71 20.71 21.26 20.71 296.06 21.26 46.59 20.71 20.71 20.71 21.26 46.59 21.26 21.26 20.71 46.59 20.71 46.59 20.71 19.13 301000300 301 84305 IGF-I 422.94 422.94 296.06 19.13 24.24 21.26 46.59 20.71 46.59 20.71 21.26 21.26 49.27 21.26 20.71 21.26 46.59 20.71 46.59 21.26 25.53 31.91 46.59 20.71 46.59 20.71 21.26 21.26 65.12 28.94 28.94 28.94 20.20 46.59 20.71 46.59 20.71 21.26 21.26 21.26 30.00 23.39 20.71 46.59 20.71 21.26 20.71 20.71 20.71 21.26 20.71 296.06 21.26 46.59 20.71 20.71 20.71 21.26 46.59 21.26 21.26 20.71 46.59 20.71 46.59 20.71 19.13 353005189 301 84305 "IGF-I,LC/MS" 422.94 422.94 296.06 19.13 24.24 21.26 46.59 20.71 46.59 20.71 21.26 21.26 49.27 21.26 20.71 21.26 46.59 20.71 46.59 21.26 25.53 31.91 46.59 20.71 46.59 20.71 21.26 21.26 65.12 28.94 28.94 28.94 20.20 46.59 20.71 46.59 20.71 21.26 21.26 21.26 30.00 23.39 20.71 46.59 20.71 21.26 20.71 20.71 20.71 21.26 20.71 296.06 21.26 46.59 20.71 20.71 20.71 21.26 46.59 21.26 21.26 20.71 46.59 20.71 46.59 20.71 19.13 301000297 301 84311 "ADENOSINE DEAMIN, PERITON FLD" 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 301000298 301 84311 "ADENOSINE DEAMIN, PLEURAL FLD" 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 301000299 301 84311 "ADENOSINE DEAMIN, CSF FLD" 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 301000305 301 84311 "ADENOSINE DEAMIN, PLEURAL FLD" 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 301000312 301 84311 CHOLESTERAL PERITONEAL 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 301000313 301 84311 CHOLESTEROL PLEURAL FLUID 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 353005171 301 84311 "ADENOSINE DEAMIN,PERITONEAL" 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 353005172 301 84311 "ADENOSINE DEAMIN, PLEURAL" 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 353005173 301 84311 "ADENONSINE DEAMINASE, CSF" 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 353005228 301 84311 "CHOLESTEROL, PLEURAL FLUID" 323.30 323.30 226.31 7.29 9.23 8.10 18.54 8.24 18.54 8.24 8.10 8.10 16.23 8.10 8.24 8.10 18.54 8.24 18.54 8.10 9.73 12.16 18.54 8.24 18.54 8.24 8.10 8.10 17.24 7.66 7.66 7.66 7.70 18.54 8.24 18.54 8.24 8.10 8.10 8.10 10.00 8.91 8.24 18.54 8.24 8.10 8.24 8.24 8.24 8.10 8.24 226.31 8.10 18.54 8.24 8.24 8.24 8.10 18.54 8.10 8.10 8.24 18.54 8.24 18.54 8.24 7.29 306000019 301 84377 REDUCING SUBSTANCES- STOOL 104.94 104.94 73.46 4.95 6.27 5.50 12.38 5.50 12.38 5.50 5.50 5.50 12.88 5.50 5.50 5.50 12.38 5.50 12.38 5.50 6.60 8.26 12.38 5.50 12.38 5.50 5.50 5.50 17.24 7.66 7.66 7.66 5.23 12.38 5.50 12.38 5.50 5.50 5.50 5.50 10.00 6.05 5.50 12.38 5.50 5.50 5.50 5.50 5.50 5.50 5.50 73.46 5.50 12.38 5.50 5.50 5.50 5.50 12.38 5.50 5.50 5.50 12.38 5.50 12.38 5.50 4.95 301000291 301 84378 GLYCOMARK 60.42 60.42 42.29 10.38 13.14 11.53 25.94 11.53 25.94 11.53 11.53 11.53 26.87 11.53 11.53 11.53 25.94 11.53 25.94 11.53 13.85 17.31 25.94 11.53 25.94 11.53 11.53 11.53 27.74 12.33 12.33 12.33 10.95 25.94 11.53 25.94 11.53 11.53 11.53 11.53 20.00 12.68 11.53 25.94 11.53 11.53 11.53 11.53 11.53 11.53 11.53 42.29 11.53 25.94 11.53 11.53 11.53 11.53 25.94 11.53 11.53 11.53 25.94 11.53 25.94 11.53 10.38 301000304 301 84402 TESTOSTERONE FT/TOT LCMSMS 360.40 360.40 252.28 22.92 29.04 25.47 57.31 25.47 57.31 25.47 25.47 25.47 58.78 25.47 25.47 25.47 57.31 25.47 57.31 25.47 30.58 38.23 57.31 25.47 57.31 25.47 25.47 25.47 65.12 28.94 28.94 28.94 24.20 57.31 25.47 57.31 25.47 25.47 25.47 25.47 36.00 28.02 25.47 57.31 25.47 25.47 25.47 25.47 25.47 25.47 25.47 252.28 25.47 57.31 25.47 25.47 25.47 25.47 57.31 25.47 25.47 25.47 57.31 25.47 57.31 25.47 22.92 353005186 301 84402 "TESTOTERONE, TOT, LC/MS/MS" 360.40 360.40 252.28 22.92 29.04 25.47 57.31 25.47 57.31 25.47 25.47 25.47 58.78 25.47 25.47 25.47 57.31 25.47 57.31 25.47 30.58 38.23 57.31 25.47 57.31 25.47 25.47 25.47 65.12 28.94 28.94 28.94 24.20 57.31 25.47 57.31 25.47 25.47 25.47 25.47 36.00 28.02 25.47 57.31 25.47 25.47 25.47 25.47 25.47 25.47 25.47 252.28 25.47 57.31 25.47 25.47 25.47 25.47 57.31 25.47 25.47 25.47 57.31 25.47 57.31 25.47 22.92 301000164 301 84403 TESTOSTERN TOTAL ADLT ML 391.14 391.14 273.80 23.23 29.42 25.81 58.07 25.81 58.07 25.81 25.81 25.81 59.91 25.81 25.81 25.81 58.07 25.81 58.07 25.81 30.99 38.74 58.07 25.81 58.07 25.81 25.81 25.81 65.12 28.94 28.94 28.94 24.52 58.07 25.81 58.07 25.81 25.81 25.81 25.81 36.00 28.39 25.81 58.07 25.81 25.81 25.81 25.81 25.81 25.81 25.81 273.80 25.81 58.07 25.81 25.81 25.81 25.81 58.07 25.81 25.81 25.81 58.07 25.81 58.07 25.81 23.23 301000303 301 84403 TESTOSTERONE TOT PREPUB 391.14 391.14 273.80 23.23 29.42 25.81 58.07 25.81 58.07 25.81 25.81 25.81 59.91 25.81 25.81 25.81 58.07 25.81 58.07 25.81 30.99 38.74 58.07 25.81 58.07 25.81 25.81 25.81 65.12 28.94 28.94 28.94 24.52 58.07 25.81 58.07 25.81 25.81 25.81 25.81 36.00 28.39 25.81 58.07 25.81 25.81 25.81 25.81 25.81 25.81 25.81 273.80 25.81 58.07 25.81 25.81 25.81 25.81 58.07 25.81 25.81 25.81 58.07 25.81 58.07 25.81 23.23 353005187 301 84403 "TESTOSTERONE, TOTAL" 391.14 391.14 273.80 23.23 29.42 25.81 58.07 25.81 58.07 25.81 25.81 25.81 59.91 25.81 25.81 25.81 58.07 25.81 58.07 25.81 30.99 38.74 58.07 25.81 58.07 25.81 25.81 25.81 65.12 28.94 28.94 28.94 24.52 58.07 25.81 58.07 25.81 25.81 25.81 25.81 36.00 28.39 25.81 58.07 25.81 25.81 25.81 25.81 25.81 25.81 25.81 273.80 25.81 58.07 25.81 25.81 25.81 25.81 58.07 25.81 25.81 25.81 58.07 25.81 58.07 25.81 23.23 353005188 301 84403 "TESTOTERONE, FREE" 391.14 391.14 273.80 23.23 29.42 25.81 58.07 25.81 58.07 25.81 25.81 25.81 59.91 25.81 25.81 25.81 58.07 25.81 58.07 25.81 30.99 38.74 58.07 25.81 58.07 25.81 25.81 25.81 65.12 28.94 28.94 28.94 24.52 58.07 25.81 58.07 25.81 25.81 25.81 25.81 36.00 28.39 25.81 58.07 25.81 25.81 25.81 25.81 25.81 25.81 25.81 273.80 25.81 58.07 25.81 25.81 25.81 25.81 58.07 25.81 25.81 25.81 58.07 25.81 58.07 25.81 23.23 301000165 301 84425 THIAMINE (VITAMIN B-1) 279.84 279.84 195.89 12.33 24.20 21.23 34.09 15.15 34.09 15.15 21.23 21.23 49.27 21.23 15.15 21.23 34.09 15.15 34.09 21.23 25.49 31.87 34.09 15.15 34.09 15.15 21.23 21.23 27.74 12.33 12.33 12.33 20.17 34.09 15.15 34.09 15.15 21.23 21.23 21.23 30.00 23.35 15.15 34.09 15.15 21.23 15.15 15.15 15.15 21.23 15.15 195.89 21.23 34.09 15.15 15.15 15.15 21.23 34.09 21.23 21.23 15.15 34.09 15.15 34.09 15.15 19.11 301000320 301 84425 VITAMIN B1 PLASMA 279.84 279.84 195.89 12.33 24.20 21.23 34.09 15.15 34.09 15.15 21.23 21.23 49.27 21.23 15.15 21.23 34.09 15.15 34.09 21.23 25.49 31.87 34.09 15.15 34.09 15.15 21.23 21.23 27.74 12.33 12.33 12.33 20.17 34.09 15.15 34.09 15.15 21.23 21.23 21.23 30.00 23.35 15.15 34.09 15.15 21.23 15.15 15.15 15.15 21.23 15.15 195.89 21.23 34.09 15.15 15.15 15.15 21.23 34.09 21.23 21.23 15.15 34.09 15.15 34.09 15.15 19.11 353005234 301 84425 VITAMIN B1 279.84 279.84 195.89 12.33 24.20 21.23 34.09 15.15 34.09 15.15 21.23 21.23 49.27 21.23 15.15 21.23 34.09 15.15 34.09 21.23 25.49 31.87 34.09 15.15 34.09 15.15 21.23 21.23 27.74 12.33 12.33 12.33 20.17 34.09 15.15 34.09 15.15 21.23 21.23 21.23 30.00 23.35 15.15 34.09 15.15 21.23 15.15 15.15 15.15 21.23 15.15 195.89 21.23 34.09 15.15 15.15 15.15 21.23 34.09 21.23 21.23 15.15 34.09 15.15 34.09 15.15 19.11 301000167 301 84436 THYROXINE TOTAL- T4 56.18 56.18 65.12 5.76 7.83 6.87 12.95 5.76 12.95 5.76 6.87 6.87 15.68 6.87 5.76 6.87 12.95 5.76 12.95 6.87 8.25 10.31 12.95 5.76 12.95 5.76 6.87 6.87 65.12 28.94 28.94 28.94 6.53 12.95 5.76 12.95 5.76 6.87 6.87 6.87 10.00 7.56 5.76 12.95 5.76 6.87 5.76 5.76 5.76 6.87 5.76 39.33 6.87 12.95 5.76 5.76 5.76 6.87 12.95 6.87 6.87 5.76 12.95 5.76 12.95 5.76 6.18 301000168 301 84436 T-3 UPTAKE 56.18 56.18 65.12 5.76 7.83 6.87 12.95 5.76 12.95 5.76 6.87 6.87 15.68 6.87 5.76 6.87 12.95 5.76 12.95 6.87 8.25 10.31 12.95 5.76 12.95 5.76 6.87 6.87 65.12 28.94 28.94 28.94 6.53 12.95 5.76 12.95 5.76 6.87 6.87 6.87 10.00 7.56 5.76 12.95 5.76 6.87 5.76 5.76 5.76 6.87 5.76 39.33 6.87 12.95 5.76 5.76 5.76 6.87 12.95 6.87 6.87 5.76 12.95 5.76 12.95 5.76 6.18 301000169 301 84439 THYROXINE FREE 159.00 159.00 111.30 8.12 10.28 9.02 20.25 9.00 20.25 9.00 9.02 9.02 20.72 9.02 9.00 9.02 20.25 9.00 20.25 9.02 10.83 13.54 20.25 9.00 20.25 9.00 9.02 9.02 65.12 28.94 28.94 28.94 8.57 20.25 9.00 20.25 9.00 9.02 9.02 9.02 13.00 9.92 9.00 20.25 9.00 9.02 9.00 9.00 9.00 9.02 9.00 111.30 9.02 20.25 9.00 9.00 9.00 9.02 20.25 9.02 9.02 9.00 20.25 9.00 20.25 9.00 8.12 301000170 301 84442 THYROXINE BINDING GLOBULIN-TBG 257.58 257.58 180.31 9.09 16.85 14.78 20.45 9.09 20.45 9.09 14.78 14.78 34.16 14.78 9.09 14.78 20.45 9.09 20.45 14.78 17.75 22.18 20.45 9.09 20.45 9.09 14.78 14.78 65.12 28.94 28.94 28.94 14.04 20.45 9.09 20.45 9.09 14.78 14.78 14.78 21.00 16.26 9.09 20.45 9.09 14.78 9.09 9.09 9.09 14.78 9.09 180.31 14.78 20.45 9.09 9.09 9.09 14.78 20.45 14.78 14.78 9.09 20.45 9.09 20.45 9.09 13.30 301000171 301 84443 THYROID STIMULATING HORMONE ( 98.58 98.58 69.01 9.09 19.15 16.80 20.45 9.09 20.45 9.09 16.80 16.80 39.20 16.80 9.09 16.80 20.45 9.09 20.45 16.80 20.17 25.22 20.45 9.09 20.45 9.09 16.80 16.80 65.12 28.94 28.94 28.94 15.96 20.45 9.09 20.45 9.09 16.80 16.80 16.80 24.00 18.48 9.09 20.45 9.09 16.80 9.09 9.09 9.09 16.80 9.09 69.01 16.80 20.45 9.09 9.09 9.09 16.80 20.45 16.80 16.80 9.09 20.45 9.09 20.45 9.09 15.12 301000172 301 84445 THYROID STIMULATING IMMUNOGLOB 361.46 361.46 253.02 40.76 57.98 50.86 98.64 43.84 98.64 43.84 50.86 50.86 118.14 50.86 43.84 50.86 98.64 43.84 98.64 50.86 61.07 76.34 98.64 43.84 98.64 43.84 50.86 50.86 91.70 40.76 40.76 40.76 48.32 98.64 43.84 98.64 43.84 50.86 50.86 50.86 71.00 55.95 43.84 98.64 43.84 50.86 43.84 43.84 43.84 50.86 43.84 253.02 50.86 98.64 43.84 43.84 43.84 50.86 98.64 50.86 50.86 43.84 98.64 43.84 98.64 43.84 45.77 301000174 301 84450 ASPARTATE AMINO (ALT/SGTP) 120.84 120.84 84.59 4.66 5.91 5.18 11.43 5.08 11.43 5.08 5.18 5.18 11.76 5.18 5.08 5.18 11.43 5.08 11.43 5.18 6.22 7.78 11.43 5.08 11.43 5.08 5.18 5.18 17.24 7.66 7.66 7.66 4.92 11.43 5.08 11.43 5.08 5.18 5.18 5.18 8.00 5.70 5.08 11.43 5.08 5.18 5.08 5.08 5.08 5.18 5.08 84.59 5.18 11.43 5.08 5.08 5.08 5.18 11.43 5.18 5.18 5.08 11.43 5.08 11.43 5.08 4.66 301000175 301 84460 ALANINE AMINO (ALT) (SGTP) 43.46 43.46 30.42 4.77 6.04 5.30 11.43 5.08 11.43 5.08 5.30 5.30 12.31 5.30 5.08 5.30 11.43 5.08 11.43 5.30 6.36 7.96 11.43 5.08 11.43 5.08 5.30 5.30 17.24 7.66 7.66 7.66 5.04 11.43 5.08 11.43 5.08 5.30 5.30 5.30 8.00 5.83 5.08 11.43 5.08 5.30 5.08 5.08 5.08 5.30 5.08 30.42 5.30 11.43 5.08 5.08 5.08 5.30 11.43 5.30 5.30 5.08 11.43 5.08 11.43 5.08 4.77 301000176 301 84466 TRANSFERRIN 41.34 41.34 29.67 11.48 14.55 12.76 28.41 12.63 28.41 12.63 12.76 12.76 29.67 12.76 12.63 12.76 28.41 12.63 28.41 12.76 15.32 19.15 28.41 12.63 28.41 12.63 12.76 12.76 27.74 12.33 12.33 12.33 12.12 28.41 12.63 28.41 12.63 12.76 12.76 12.76 18.00 14.04 12.63 28.41 12.63 12.76 12.63 12.63 12.63 12.76 12.63 28.94 12.76 28.41 12.63 12.63 12.63 12.76 28.41 12.76 12.76 12.63 28.41 12.63 28.41 12.63 11.48 301000177 301 84478 TRYGLYCERIDES 46.64 46.64 32.65 5.08 6.54 5.74 11.43 5.08 11.43 5.08 5.74 5.74 13.44 5.74 5.08 5.74 11.43 5.08 11.43 5.74 6.89 8.62 11.43 5.08 11.43 5.08 5.74 5.74 17.24 7.66 7.66 7.66 5.45 11.43 5.08 11.43 5.08 5.74 5.74 5.74 8.00 6.31 5.08 11.43 5.08 5.74 5.08 5.08 5.08 5.74 5.08 32.65 5.74 11.43 5.08 5.08 5.08 5.74 11.43 5.74 5.74 5.08 11.43 5.08 11.43 5.08 5.17 301000314 301 84478 TRIGLYCERIDES PERITONEAL 46.64 46.64 32.65 5.08 6.54 5.74 11.43 5.08 11.43 5.08 5.74 5.74 13.44 5.74 5.08 5.74 11.43 5.08 11.43 5.74 6.89 8.62 11.43 5.08 11.43 5.08 5.74 5.74 17.24 7.66 7.66 7.66 5.45 11.43 5.08 11.43 5.08 5.74 5.74 5.74 8.00 6.31 5.08 11.43 5.08 5.74 5.08 5.08 5.08 5.74 5.08 32.65 5.74 11.43 5.08 5.08 5.08 5.74 11.43 5.74 5.74 5.08 11.43 5.08 11.43 5.08 5.17 301000315 301 84478 TRIGLYCERIDES PLEURAL FLD 46.64 46.64 32.65 5.08 6.54 5.74 11.43 5.08 11.43 5.08 5.74 5.74 13.44 5.74 5.08 5.74 11.43 5.08 11.43 5.74 6.89 8.62 11.43 5.08 11.43 5.08 5.74 5.74 17.24 7.66 7.66 7.66 5.45 11.43 5.08 11.43 5.08 5.74 5.74 5.74 8.00 6.31 5.08 11.43 5.08 5.74 5.08 5.08 5.08 5.74 5.08 32.65 5.74 11.43 5.08 5.08 5.08 5.74 11.43 5.74 5.74 5.08 11.43 5.08 11.43 5.08 5.17 353005229 301 84478 "TRIGLYCERIDES, PERITONEAL" 46.64 46.64 32.65 5.08 6.54 5.74 11.43 5.08 11.43 5.08 5.74 5.74 13.44 5.74 5.08 5.74 11.43 5.08 11.43 5.74 6.89 8.62 11.43 5.08 11.43 5.08 5.74 5.74 17.24 7.66 7.66 7.66 5.45 11.43 5.08 11.43 5.08 5.74 5.74 5.74 8.00 6.31 5.08 11.43 5.08 5.74 5.08 5.08 5.08 5.74 5.08 32.65 5.74 11.43 5.08 5.08 5.08 5.74 11.43 5.74 5.74 5.08 11.43 5.08 11.43 5.08 5.17 353005230 301 84478 "TRIGLYCERIDES, PLEURAL FLUID" 46.64 46.64 32.65 5.08 6.54 5.74 11.43 5.08 11.43 5.08 5.74 5.74 13.44 5.74 5.08 5.74 11.43 5.08 11.43 5.74 6.89 8.62 11.43 5.08 11.43 5.08 5.74 5.74 17.24 7.66 7.66 7.66 5.45 11.43 5.08 11.43 5.08 5.74 5.74 5.74 8.00 6.31 5.08 11.43 5.08 5.74 5.08 5.08 5.08 5.74 5.08 32.65 5.74 11.43 5.08 5.08 5.08 5.74 11.43 5.74 5.74 5.08 11.43 5.08 11.43 5.08 5.17 301000178 301 84480 TRIIODOTHYRONINE T3 TOTAL-TT- 190.80 190.80 133.56 5.76 16.17 14.18 12.95 5.76 12.95 5.76 14.18 14.18 33.03 14.18 5.76 14.18 12.95 5.76 12.95 14.18 17.03 21.28 12.95 5.76 12.95 5.76 14.18 14.18 65.12 28.94 28.94 28.94 13.47 12.95 5.76 12.95 5.76 14.18 14.18 14.18 20.00 15.60 5.76 12.95 5.76 14.18 5.76 5.76 5.76 14.18 5.76 133.56 14.18 12.95 5.76 5.76 5.76 14.18 12.95 14.18 14.18 5.76 12.95 5.76 12.95 5.76 12.76 301000179 301 84481 TRIIODOTHYRONINE T3 FREE 435.66 435.66 304.96 9.09 19.31 16.94 20.45 9.09 20.45 9.09 16.94 16.94 39.20 16.94 9.09 16.94 20.45 9.09 20.45 16.94 20.34 25.43 20.45 9.09 20.45 9.09 16.94 16.94 65.12 28.94 28.94 28.94 16.09 20.45 9.09 20.45 9.09 16.94 16.94 16.94 24.00 18.63 9.09 20.45 9.09 16.94 9.09 9.09 9.09 16.94 9.09 304.96 16.94 20.45 9.09 9.09 9.09 16.94 20.45 16.94 16.94 9.09 20.45 9.09 20.45 9.09 15.25 301000180 301 84484 TROPONIN- QUANTITATIVE 358.28 358.28 250.80 8.13 14.22 12.47 18.29 8.13 18.29 8.13 12.47 12.47 22.95 12.47 8.13 12.47 18.29 8.13 18.29 12.47 14.97 18.72 18.29 8.13 18.29 8.13 12.47 12.47 27.74 12.33 12.33 12.33 11.85 18.29 8.13 18.29 8.13 12.47 12.47 12.47 9.00 13.72 8.13 18.29 8.13 12.47 8.13 8.13 8.13 12.47 8.13 250.80 12.47 18.29 8.13 8.13 8.13 12.47 18.29 12.47 12.47 8.13 18.29 8.13 18.29 8.13 11.22 301000181 301 84520 UREA NITROGEN QUANTITAIVE 48.76 48.76 34.13 3.56 4.50 3.95 8.89 3.95 8.89 3.95 3.95 3.95 8.96 3.95 3.95 3.95 8.89 3.95 8.89 3.95 4.74 5.93 8.89 3.95 8.89 3.95 3.95 3.95 17.24 7.66 7.66 7.66 3.75 8.89 3.95 8.89 3.95 3.95 3.95 3.95 12.75 4.35 3.95 8.89 3.95 3.95 3.95 3.95 3.95 3.95 3.95 34.13 3.95 8.89 3.95 3.95 3.95 3.95 8.89 3.95 3.95 3.95 8.89 3.95 8.89 3.95 3.56 301000182 301 84540 UREA NITROGEN URINE 46.64 46.64 32.65 5.00 6.34 5.56 11.43 5.08 11.43 5.08 5.56 5.56 11.19 5.56 5.08 5.56 11.43 5.08 11.43 5.56 6.68 8.35 11.43 5.08 11.43 5.08 5.56 5.56 17.24 7.66 7.66 7.66 5.28 11.43 5.08 11.43 5.08 5.56 5.56 5.56 7.00 6.12 5.08 11.43 5.08 5.56 5.08 5.08 5.08 5.56 5.08 32.65 5.56 11.43 5.08 5.08 5.08 5.56 11.43 5.56 5.56 5.08 11.43 5.08 11.43 5.08 5.00 301000183 301 84550 URIC ACID BLOOD 43.46 43.46 30.42 4.07 5.15 4.52 10.17 4.52 10.17 4.52 4.52 4.52 10.64 4.52 4.52 4.52 10.17 4.52 10.17 4.52 5.43 6.78 10.17 4.52 10.17 4.52 4.52 4.52 17.24 7.66 7.66 7.66 4.29 10.17 4.52 10.17 4.52 4.52 4.52 4.52 7.00 4.97 4.52 10.17 4.52 4.52 4.52 4.52 4.52 4.52 4.52 30.42 4.52 10.17 4.52 4.52 4.52 4.52 10.17 4.52 4.52 4.52 10.17 4.52 10.17 4.52 4.07 301000184 301 84560 URIC ACID 24 HR URINE 59.36 59.36 41.55 4.57 5.79 5.08 11.43 5.08 11.43 5.08 5.08 5.08 11.19 5.08 5.08 5.08 11.43 5.08 11.43 5.08 6.10 7.63 11.43 5.08 11.43 5.08 5.08 5.08 17.24 7.66 7.66 7.66 4.83 11.43 5.08 11.43 5.08 5.08 5.08 5.08 7.00 5.59 5.08 11.43 5.08 5.08 5.08 5.08 5.08 5.08 5.08 41.55 5.08 11.43 5.08 5.08 5.08 5.08 11.43 5.08 5.08 5.08 11.43 5.08 11.43 5.08 4.57 301000185 301 84585 VANILLYMANDELIC ACID (VMA)- UR 136.74 136.74 95.72 13.95 17.67 15.50 34.88 15.50 34.88 15.50 15.50 15.50 35.83 15.50 15.50 15.50 34.88 15.50 34.88 15.50 18.61 23.27 34.88 15.50 34.88 15.50 15.50 15.50 65.12 28.94 28.94 28.94 14.73 34.88 15.50 34.88 15.50 15.50 15.50 15.50 22.00 17.05 15.50 34.88 15.50 15.50 15.50 15.50 15.50 15.50 15.50 95.72 15.50 34.88 15.50 15.50 15.50 15.50 34.88 15.50 15.50 15.50 34.88 15.50 34.88 15.50 13.95 301000344 301 84585 VMA RANDOM URINE 136.74 136.74 95.72 13.95 17.67 15.50 34.88 15.50 34.88 15.50 15.50 15.50 35.83 15.50 15.50 15.50 34.88 15.50 34.88 15.50 18.61 23.27 34.88 15.50 34.88 15.50 15.50 15.50 65.12 28.94 28.94 28.94 14.73 34.88 15.50 34.88 15.50 15.50 15.50 15.50 22.00 17.05 15.50 34.88 15.50 15.50 15.50 15.50 15.50 15.50 15.50 95.72 15.50 34.88 15.50 15.50 15.50 15.50 34.88 15.50 15.50 15.50 34.88 15.50 34.88 15.50 13.95 353005042 301 84585 "VMA, URINE" 136.74 136.74 95.72 13.95 17.67 15.50 34.88 15.50 34.88 15.50 15.50 15.50 35.83 15.50 15.50 15.50 34.88 15.50 34.88 15.50 18.61 23.27 34.88 15.50 34.88 15.50 15.50 15.50 65.12 28.94 28.94 28.94 14.73 34.88 15.50 34.88 15.50 15.50 15.50 15.50 22.00 17.05 15.50 34.88 15.50 15.50 15.50 15.50 15.50 15.50 15.50 95.72 15.50 34.88 15.50 15.50 15.50 15.50 34.88 15.50 15.50 15.50 34.88 15.50 34.88 15.50 13.95 353005043 301 84585 "VMA, 24 HR UR" 136.74 136.74 95.72 13.95 17.67 15.50 34.88 15.50 34.88 15.50 15.50 15.50 35.83 15.50 15.50 15.50 34.88 15.50 34.88 15.50 18.61 23.27 34.88 15.50 34.88 15.50 15.50 15.50 65.12 28.94 28.94 28.94 14.73 34.88 15.50 34.88 15.50 15.50 15.50 15.50 22.00 17.05 15.50 34.88 15.50 15.50 15.50 15.50 15.50 15.50 15.50 95.72 15.50 34.88 15.50 15.50 15.50 15.50 34.88 15.50 15.50 15.50 34.88 15.50 34.88 15.50 13.95 301000020 301 84586 VASOACTIVE INTEST POLYPEPTIDE 367.82 367.82 257.47 31.80 40.28 35.33 98.64 43.84 98.64 43.84 35.33 35.33 81.75 35.33 43.84 35.33 98.64 43.84 98.64 35.33 42.42 53.03 98.64 43.84 98.64 43.84 35.33 35.33 91.70 40.76 40.76 40.76 33.56 98.64 43.84 98.64 43.84 35.33 35.33 35.33 49.00 38.86 43.84 98.64 43.84 35.33 43.84 43.84 43.84 35.33 43.84 257.47 35.33 98.64 43.84 43.84 43.84 35.33 98.64 35.33 35.33 43.84 98.64 43.84 98.64 43.84 31.80 301000186 301 84588 VASOPRESSIN(ANTIDIURETIC HORMO 367.82 367.82 257.47 30.55 38.69 33.94 76.37 33.94 76.37 33.94 33.94 33.94 78.94 33.94 33.94 33.94 76.37 33.94 76.37 33.94 40.76 50.94 76.37 33.94 76.37 33.94 33.94 33.94 91.70 40.76 40.76 40.76 32.24 76.37 33.94 76.37 33.94 33.94 33.94 33.94 47.00 37.33 33.94 76.37 33.94 33.94 33.94 33.94 33.94 33.94 33.94 257.47 33.94 76.37 33.94 33.94 33.94 33.94 76.37 33.94 33.94 33.94 76.37 33.94 76.37 33.94 30.55 301000187 301 84590 VITAMIN A 177.02 177.02 123.91 10.45 13.24 11.61 26.12 11.61 26.12 11.61 11.61 11.61 26.87 11.61 11.61 11.61 26.12 11.61 26.12 11.61 13.94 17.43 26.12 11.61 26.12 11.61 11.61 11.61 27.74 12.33 12.33 12.33 11.03 26.12 11.61 26.12 11.61 11.61 11.61 11.61 17.00 12.77 11.61 26.12 11.61 11.61 11.61 11.61 11.61 11.61 11.61 123.91 11.61 26.12 11.61 11.61 11.61 11.61 26.12 11.61 11.61 11.61 26.12 11.61 26.12 11.61 10.45 301000188 301 84597 VITAMIN K 98.58 98.58 69.01 12.33 15.64 13.72 30.87 13.72 30.87 13.72 13.72 13.72 31.91 13.72 13.72 13.72 30.87 13.72 30.87 13.72 16.47 20.59 30.87 13.72 30.87 13.72 13.72 13.72 27.74 12.33 12.33 12.33 13.03 30.87 13.72 30.87 13.72 13.72 13.72 13.72 19.00 15.09 13.72 30.87 13.72 13.72 13.72 13.72 13.72 13.72 13.72 69.01 13.72 30.87 13.72 13.72 13.72 13.72 30.87 13.72 13.72 13.72 30.87 13.72 30.87 13.72 12.35 301000190 301 84630 ZINC 86.92 86.92 60.84 7.98 12.98 11.39 17.95 7.98 17.95 7.98 11.39 11.39 26.32 11.39 7.98 11.39 17.95 7.98 17.95 11.39 13.68 17.10 17.95 7.98 17.95 7.98 11.39 11.39 48.80 21.69 21.69 21.69 10.82 17.95 7.98 17.95 7.98 11.39 11.39 11.39 11.00 12.53 7.98 17.95 7.98 11.39 7.98 7.98 7.98 11.39 7.98 60.84 11.39 17.95 7.98 7.98 7.98 11.39 17.95 11.39 11.39 7.98 17.95 7.98 17.95 7.98 10.25 301000191 301 84681 C-PEPTIDE 213.06 213.06 149.14 12.33 23.72 20.81 46.82 20.81 46.82 20.81 20.81 20.81 48.15 20.81 20.81 20.81 46.82 20.81 46.82 20.81 24.99 31.24 46.82 20.81 46.82 20.81 20.81 20.81 27.74 12.33 12.33 12.33 19.77 46.82 20.81 46.82 20.81 20.81 20.81 20.81 29.00 22.89 20.81 46.82 20.81 20.81 20.81 20.81 20.81 20.81 20.81 149.14 20.81 46.82 20.81 20.81 20.81 20.81 46.82 20.81 20.81 20.81 46.82 20.81 46.82 20.81 18.73 301000192 301 84702 HCG QUANT-BLOOD 150.52 150.52 105.36 12.49 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 65.12 28.94 28.94 28.94 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 21.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 105.36 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 301000194 301 84702 H CHOR GONA INTACT 150.52 150.52 105.36 12.49 17.16 15.05 28.11 12.49 28.11 12.49 15.05 15.05 34.71 15.05 12.49 15.05 28.11 12.49 28.11 15.05 18.07 22.59 28.11 12.49 28.11 12.49 15.05 15.05 65.12 28.94 28.94 28.94 14.30 28.11 12.49 28.11 12.49 15.05 15.05 15.05 21.00 16.56 12.49 28.11 12.49 15.05 12.49 12.49 12.49 15.05 12.49 105.36 15.05 28.11 12.49 12.49 12.49 15.05 28.11 15.05 15.05 12.49 28.11 12.49 28.11 12.49 13.55 301000195 301 84703 HCG SCREEN-BLOOD 54.06 54.06 37.84 2.02 8.57 7.52 4.55 2.02 4.55 2.02 7.52 7.52 17.36 7.52 2.02 7.52 4.55 2.02 4.55 7.52 9.03 11.29 4.55 2.02 4.55 2.02 7.52 7.52 17.24 7.66 7.66 7.66 7.14 4.55 2.02 4.55 2.02 7.52 7.52 7.52 11.00 8.27 2.02 4.55 2.02 7.52 2.02 2.02 2.02 7.52 2.02 37.84 7.52 4.55 2.02 2.02 2.02 7.52 4.55 7.52 7.52 2.02 4.55 2.02 4.55 2.02 6.77 353005079 301 84703 H-HCG MOM 54.06 54.06 37.84 2.02 8.57 7.52 4.55 2.02 4.55 2.02 7.52 7.52 17.36 7.52 2.02 7.52 4.55 2.02 4.55 7.52 9.03 11.29 4.55 2.02 4.55 2.02 7.52 7.52 17.24 7.66 7.66 7.66 7.14 4.55 2.02 4.55 2.02 7.52 7.52 7.52 11.00 8.27 2.02 4.55 2.02 7.52 2.02 2.02 2.02 7.52 2.02 37.84 7.52 4.55 2.02 2.02 2.02 7.52 4.55 7.52 7.52 2.02 4.55 2.02 4.55 2.02 6.77 353005313 301 84703 H-HCG 54.06 54.06 37.84 2.02 8.57 7.52 4.55 2.02 4.55 2.02 7.52 7.52 17.36 7.52 2.02 7.52 4.55 2.02 4.55 7.52 9.03 11.29 4.55 2.02 4.55 2.02 7.52 7.52 17.24 7.66 7.66 7.66 7.14 4.55 2.02 4.55 2.02 7.52 7.52 7.52 11.00 8.27 2.02 4.55 2.02 7.52 2.02 2.02 2.02 7.52 2.02 37.84 7.52 4.55 2.02 2.02 2.02 7.52 4.55 7.52 7.52 2.02 4.55 2.02 4.55 2.02 6.77 353005288 301 84704 FREE BETA HCG 75.26 75.26 52.68 12.33 17.43 15.29 28.11 12.49 28.11 12.49 15.29 15.29 34.71 15.29 12.49 15.29 28.11 12.49 28.11 15.29 18.36 22.95 28.11 12.49 28.11 12.49 15.29 15.29 27.74 12.33 12.33 12.33 14.53 28.11 12.49 28.11 12.49 15.29 15.29 15.29 21.03 16.82 12.49 28.11 12.49 15.29 12.49 12.49 12.49 15.29 12.49 52.68 15.29 28.11 12.49 12.49 12.49 15.29 28.11 15.29 15.29 12.49 28.11 12.49 28.11 12.49 13.76 353005289 301 84704 FREE BETA HCG MOM 75.26 75.26 52.68 12.33 17.43 15.29 28.11 12.49 28.11 12.49 15.29 15.29 34.71 15.29 12.49 15.29 28.11 12.49 28.11 15.29 18.36 22.95 28.11 12.49 28.11 12.49 15.29 15.29 27.74 12.33 12.33 12.33 14.53 28.11 12.49 28.11 12.49 15.29 15.29 15.29 21.03 16.82 12.49 28.11 12.49 15.29 12.49 12.49 12.49 15.29 12.49 52.68 15.29 28.11 12.49 12.49 12.49 15.29 28.11 15.29 15.29 12.49 28.11 12.49 28.11 12.49 13.76 353005290 301 84704 FREE BETA HCG PERCENTILE 75.26 75.26 52.68 12.33 17.43 15.29 28.11 12.49 28.11 12.49 15.29 15.29 34.71 15.29 12.49 15.29 28.11 12.49 28.11 15.29 18.36 22.95 28.11 12.49 28.11 12.49 15.29 15.29 27.74 12.33 12.33 12.33 14.53 28.11 12.49 28.11 12.49 15.29 15.29 15.29 21.03 16.82 12.49 28.11 12.49 15.29 12.49 12.49 12.49 15.29 12.49 52.68 15.29 28.11 12.49 12.49 12.49 15.29 28.11 15.29 15.29 12.49 28.11 12.49 28.11 12.49 13.76 353000031 305 85004 WBC DIFFERENTIAL AUTO 42.40 42.40 29.68 3.20 7.38 6.47 7.20 3.20 7.20 3.20 6.47 6.47 15.11 6.47 3.20 6.47 7.20 3.20 7.20 6.47 7.77 9.71 7.20 3.20 7.20 3.20 6.47 6.47 28.54 12.69 12.69 12.69 6.15 7.20 3.20 7.20 3.20 6.47 6.47 6.47 5.00 7.12 3.20 7.20 3.20 6.47 3.20 3.20 3.20 6.47 3.20 29.68 6.47 7.20 3.20 3.20 3.20 6.47 7.20 6.47 6.47 3.20 7.20 3.20 7.20 3.20 5.82 305000003 305 85007 BLOOD COUNT MANUAL DIFF 26.50 26.50 28.54 1.44 4.33 3.80 3.25 1.44 3.25 1.44 3.80 3.80 7.84 3.80 1.44 3.80 3.25 1.44 3.25 3.80 4.56 5.70 3.25 1.44 3.25 1.44 3.80 3.80 28.54 12.69 12.69 12.69 3.61 3.25 1.44 3.25 1.44 3.80 3.80 3.80 5.00 4.18 1.44 3.25 1.44 3.80 1.44 1.44 1.44 3.80 1.44 18.55 3.80 3.25 1.44 1.44 1.44 3.80 3.25 3.80 3.80 1.44 3.25 1.44 3.25 1.44 3.42 305000004 305 85014 HCT OTHER THAN SPUN 18.02 18.02 28.54 2.02 2.70 2.37 4.55 2.02 4.55 2.02 2.37 2.37 5.60 2.37 2.02 2.37 4.55 2.02 4.55 2.37 2.85 3.56 4.55 2.02 4.55 2.02 2.37 2.37 28.54 12.69 12.69 12.69 2.25 4.55 2.02 4.55 2.02 2.37 2.37 2.37 4.00 2.61 2.02 4.55 2.02 2.37 2.02 2.02 2.02 2.37 2.02 12.61 2.37 4.55 2.02 2.02 2.02 2.37 4.55 2.37 2.37 2.02 4.55 2.02 4.55 2.02 2.13 305000045 305 85018 BLOOD COUNT HGB 15.90 15.90 28.54 2.02 2.70 2.37 4.55 2.02 4.55 2.02 2.37 2.37 5.60 2.37 2.02 2.37 4.55 2.02 4.55 2.37 2.85 3.56 4.55 2.02 4.55 2.02 2.37 2.37 28.54 12.69 12.69 12.69 2.25 4.55 2.02 4.55 2.02 2.37 2.37 2.37 4.00 2.61 2.02 4.55 2.02 2.37 2.02 2.02 2.02 2.37 2.02 11.13 2.37 4.55 2.02 2.02 2.02 2.37 4.55 2.37 2.37 2.02 4.55 2.02 4.55 2.02 2.13 305000005 305 85025 CBC INCLUDING DIFF AUTO 59.36 59.36 41.55 3.20 8.86 7.77 7.20 3.20 7.20 3.20 7.77 7.77 17.91 7.77 3.20 7.77 7.20 3.20 7.20 7.77 9.33 11.66 7.20 3.20 7.20 3.20 7.77 7.77 28.54 12.69 12.69 12.69 7.38 7.20 3.20 7.20 3.20 7.77 7.77 7.77 11.00 8.55 3.20 7.20 3.20 7.77 3.20 3.20 3.20 7.77 3.20 41.55 7.77 7.20 3.20 3.20 3.20 7.77 7.20 7.77 7.77 3.20 7.20 3.20 7.20 3.20 6.99 353000009 305 85027 CBC WITHOUT DIFF 23.32 23.32 28.54 3.20 7.38 6.47 7.20 3.20 7.20 3.20 6.47 6.47 15.11 6.47 3.20 6.47 7.20 3.20 7.20 6.47 7.77 9.71 7.20 3.20 7.20 3.20 6.47 6.47 28.54 12.69 12.69 12.69 6.15 7.20 3.20 7.20 3.20 6.47 6.47 6.47 9.00 7.12 3.20 7.20 3.20 6.47 3.20 3.20 3.20 6.47 3.20 16.32 6.47 7.20 3.20 3.20 3.20 6.47 7.20 6.47 6.47 3.20 7.20 3.20 7.20 3.20 5.82 353000022 305 85041 RBC COUNT AUTO 12.72 12.72 28.54 2.72 3.44 3.02 6.80 3.02 6.80 3.02 3.02 3.02 6.72 3.02 3.02 3.02 6.80 3.02 6.80 3.02 3.63 4.53 6.80 3.02 6.80 3.02 3.02 3.02 28.54 12.69 12.69 12.69 2.87 6.80 3.02 6.80 3.02 3.02 3.02 3.02 5.00 3.32 3.02 6.80 3.02 3.02 3.02 3.02 3.02 3.02 3.02 8.90 3.02 6.80 3.02 3.02 3.02 3.02 6.80 3.02 3.02 3.02 6.80 3.02 6.80 3.02 2.72 305000032 305 85045 RETICULOCYTE COUNT-FLOW CYTOME 59.36 59.36 41.55 3.20 4.55 3.99 7.20 3.20 7.20 3.20 3.99 3.99 9.52 3.99 3.20 3.99 7.20 3.20 7.20 3.99 4.79 5.99 7.20 3.20 7.20 3.20 3.99 3.99 28.54 12.69 12.69 12.69 3.79 7.20 3.20 7.20 3.20 3.99 3.99 3.99 6.00 4.39 3.20 7.20 3.20 3.99 3.20 3.20 3.20 3.99 3.20 41.55 3.99 7.20 3.20 3.20 3.20 3.99 7.20 3.99 3.99 3.20 7.20 3.20 7.20 3.20 3.59 353000030 305 85048 WBC COUNT AUTO 22.26 22.26 28.54 2.29 2.90 2.54 5.72 2.54 5.72 2.54 2.54 2.54 6.16 2.54 2.54 2.54 5.72 2.54 5.72 2.54 3.05 3.81 5.72 2.54 5.72 2.54 2.54 2.54 28.54 12.69 12.69 12.69 2.41 5.72 2.54 5.72 2.54 2.54 2.54 2.54 4.00 2.79 2.54 5.72 2.54 2.54 2.54 2.54 2.54 2.54 2.54 15.58 2.54 5.72 2.54 2.54 2.54 2.54 5.72 2.54 2.54 2.54 5.72 2.54 5.72 2.54 2.29 305000050 305 85210 FACTOR II ACTIVITY 293.62 293.62 205.53 11.68 14.80 12.98 29.21 12.98 29.21 12.98 12.98 12.98 30.24 12.98 12.98 12.98 29.21 12.98 29.21 12.98 15.59 19.48 29.21 12.98 29.21 12.98 12.98 12.98 34.32 15.25 15.25 15.25 12.33 29.21 12.98 29.21 12.98 12.98 12.98 12.98 18.00 14.28 12.98 29.21 12.98 12.98 12.98 12.98 12.98 12.98 12.98 205.53 12.98 29.21 12.98 12.98 12.98 12.98 29.21 12.98 12.98 12.98 29.21 12.98 29.21 12.98 11.68 353005206 305 85210 FACTOR II ACTIVITY 293.62 293.62 205.53 11.68 14.80 12.98 29.21 12.98 29.21 12.98 12.98 12.98 30.24 12.98 12.98 12.98 29.21 12.98 29.21 12.98 15.59 19.48 29.21 12.98 29.21 12.98 12.98 12.98 34.32 15.25 15.25 15.25 12.33 29.21 12.98 29.21 12.98 12.98 12.98 12.98 18.00 14.28 12.98 29.21 12.98 12.98 12.98 12.98 12.98 12.98 12.98 205.53 12.98 29.21 12.98 12.98 12.98 12.98 29.21 12.98 12.98 12.98 29.21 12.98 29.21 12.98 11.68 305000007 305 85220 FACTOR V ASSAY 469.58 469.58 328.71 15.25 20.12 17.65 39.71 17.65 39.71 17.65 17.65 17.65 40.87 17.65 17.65 17.65 39.71 17.65 39.71 17.65 21.19 26.49 39.71 17.65 39.71 17.65 17.65 17.65 34.32 15.25 15.25 15.25 16.77 39.71 17.65 39.71 17.65 17.65 17.65 17.65 25.00 19.42 17.65 39.71 17.65 17.65 17.65 17.65 17.65 17.65 17.65 328.71 17.65 39.71 17.65 17.65 17.65 17.65 39.71 17.65 17.65 17.65 39.71 17.65 39.71 17.65 15.89 353005326 305 85244 VON WILLEBRAND ANTIGEN 68.90 68.90 102.88 9.49 23.28 20.42 21.36 9.49 21.36 9.49 20.42 20.42 47.59 20.42 9.49 20.42 21.36 9.49 21.36 20.42 24.52 30.65 21.36 9.49 21.36 9.49 20.42 20.42 102.88 45.73 45.73 45.73 19.40 21.36 9.49 21.36 9.49 20.42 20.42 20.42 13.00 22.46 9.49 21.36 9.49 20.42 9.49 9.49 9.49 20.42 9.49 48.23 20.42 21.36 9.49 9.49 9.49 20.42 21.36 20.42 20.42 9.49 21.36 9.49 21.36 9.49 18.38 305000010 305 85245 FACTOR VIII RISTOCETIN COFACT 81.62 81.62 102.88 9.49 26.15 22.94 21.36 9.49 21.36 9.49 22.94 22.94 53.19 22.94 9.49 22.94 21.36 9.49 21.36 22.94 27.55 34.43 21.36 9.49 21.36 9.49 22.94 22.94 102.88 45.73 45.73 45.73 21.79 21.36 9.49 21.36 9.49 22.94 22.94 22.94 13.00 25.23 9.49 21.36 9.49 22.94 9.49 9.49 9.49 22.94 9.49 57.13 22.94 21.36 9.49 9.49 9.49 22.94 21.36 22.94 22.94 9.49 21.36 9.49 21.36 9.49 20.65 305000009 305 85246 FACTOR VIII ANTIGEN 140.98 140.98 102.88 9.49 26.15 22.94 21.36 9.49 21.36 9.49 22.94 22.94 53.19 22.94 9.49 22.94 21.36 9.49 21.36 22.94 27.55 34.43 21.36 9.49 21.36 9.49 22.94 22.94 102.88 45.73 45.73 45.73 21.79 21.36 9.49 21.36 9.49 22.94 22.94 22.94 13.00 25.23 9.49 21.36 9.49 22.94 9.49 9.49 9.49 22.94 9.49 98.69 22.94 21.36 9.49 9.49 9.49 22.94 21.36 22.94 22.94 9.49 21.36 9.49 21.36 9.49 20.65 353005203 305 85246 FACTOR XIII ACTIVITY 140.98 140.98 102.88 9.49 26.15 22.94 21.36 9.49 21.36 9.49 22.94 22.94 53.19 22.94 9.49 22.94 21.36 9.49 21.36 22.94 27.55 34.43 21.36 9.49 21.36 9.49 22.94 22.94 102.88 45.73 45.73 45.73 21.79 21.36 9.49 21.36 9.49 22.94 22.94 22.94 13.00 25.23 9.49 21.36 9.49 22.94 9.49 9.49 9.49 22.94 9.49 98.69 22.94 21.36 9.49 9.49 9.49 22.94 21.36 22.94 22.94 9.49 21.36 9.49 21.36 9.49 20.65 353005204 305 85246 FACTOR XII ACTIVITY 140.98 140.98 102.88 9.49 26.15 22.94 21.36 9.49 21.36 9.49 22.94 22.94 53.19 22.94 9.49 22.94 21.36 9.49 21.36 22.94 27.55 34.43 21.36 9.49 21.36 9.49 22.94 22.94 102.88 45.73 45.73 45.73 21.79 21.36 9.49 21.36 9.49 22.94 22.94 22.94 13.00 25.23 9.49 21.36 9.49 22.94 9.49 9.49 9.49 22.94 9.49 98.69 22.94 21.36 9.49 9.49 9.49 22.94 21.36 22.94 22.94 9.49 21.36 9.49 21.36 9.49 20.65 305000011 305 85247 FCTR VIII MULTI METRC ANAYLS 115.54 115.54 102.88 11.89 26.15 22.94 26.75 11.89 26.75 11.89 22.94 22.94 53.19 22.94 11.89 22.94 26.75 11.89 26.75 22.94 27.55 34.43 26.75 11.89 26.75 11.89 22.94 22.94 102.88 45.73 45.73 45.73 21.79 26.75 11.89 26.75 11.89 22.94 22.94 22.94 13.00 25.23 11.89 26.75 11.89 22.94 11.89 11.89 11.89 22.94 11.89 80.88 22.94 26.75 11.89 11.89 11.89 22.94 26.75 22.94 22.94 11.89 26.75 11.89 26.75 11.89 20.65 353005017 305 85247 VON WILLEBRAND COMP PANEL 115.54 115.54 102.88 11.89 26.15 22.94 26.75 11.89 26.75 11.89 22.94 22.94 53.19 22.94 11.89 22.94 26.75 11.89 26.75 22.94 27.55 34.43 26.75 11.89 26.75 11.89 22.94 22.94 102.88 45.73 45.73 45.73 21.79 26.75 11.89 26.75 11.89 22.94 22.94 22.94 13.00 25.23 11.89 26.75 11.89 22.94 11.89 11.89 11.89 22.94 11.89 80.88 22.94 26.75 11.89 11.89 11.89 22.94 26.75 22.94 22.94 11.89 26.75 11.89 26.75 11.89 20.65 353005022 305 85247 VON WILLERBRAND FACTOR AG 115.54 115.54 102.88 11.89 26.15 22.94 26.75 11.89 26.75 11.89 22.94 22.94 53.19 22.94 11.89 22.94 26.75 11.89 26.75 22.94 27.55 34.43 26.75 11.89 26.75 11.89 22.94 22.94 102.88 45.73 45.73 45.73 21.79 26.75 11.89 26.75 11.89 22.94 22.94 22.94 13.00 25.23 11.89 26.75 11.89 22.94 11.89 11.89 11.89 22.94 11.89 80.88 22.94 26.75 11.89 11.89 11.89 22.94 26.75 22.94 22.94 11.89 26.75 11.89 26.75 11.89 20.65 353005024 305 85247 "VWF, RISTOCETIN CO-FACTOR" 115.54 115.54 102.88 11.89 26.15 22.94 26.75 11.89 26.75 11.89 22.94 22.94 53.19 22.94 11.89 22.94 26.75 11.89 26.75 22.94 27.55 34.43 26.75 11.89 26.75 11.89 22.94 22.94 102.88 45.73 45.73 45.73 21.79 26.75 11.89 26.75 11.89 22.94 22.94 22.94 13.00 25.23 11.89 26.75 11.89 22.94 11.89 11.89 11.89 22.94 11.89 80.88 22.94 26.75 11.89 11.89 11.89 22.94 26.75 22.94 22.94 11.89 26.75 11.89 26.75 11.89 20.65 305000012 305 85250 FACTOR IX ASSAY 130.38 130.38 102.88 17.14 21.71 19.04 42.84 19.04 42.84 19.04 19.04 19.04 44.23 19.04 19.04 19.04 42.84 19.04 42.84 19.04 22.86 28.58 42.84 19.04 42.84 19.04 19.04 19.04 102.88 45.73 45.73 45.73 18.09 42.84 19.04 42.84 19.04 19.04 19.04 19.04 26.00 20.94 19.04 42.84 19.04 19.04 19.04 19.04 19.04 19.04 19.04 91.27 19.04 42.84 19.04 19.04 19.04 19.04 42.84 19.04 19.04 19.04 42.84 19.04 42.84 19.04 17.14 305000013 305 85260 FACTOR X ASSAY 127.20 127.20 89.04 15.25 20.41 17.90 40.28 17.90 40.28 17.90 17.90 17.90 41.43 17.90 17.90 17.90 40.28 17.90 40.28 17.90 21.49 26.87 40.28 17.90 40.28 17.90 17.90 17.90 34.32 15.25 15.25 15.25 17.01 40.28 17.90 40.28 17.90 17.90 17.90 17.90 25.00 19.69 17.90 40.28 17.90 17.90 17.90 17.90 17.90 17.90 17.90 89.04 17.90 40.28 17.90 17.90 17.90 17.90 40.28 17.90 17.90 17.90 40.28 17.90 40.28 17.90 16.11 353005327 305 85260 "FACTOR XII, FUNCTIONAL" 127.20 127.20 89.04 15.25 20.41 17.90 40.28 17.90 40.28 17.90 17.90 17.90 41.43 17.90 17.90 17.90 40.28 17.90 40.28 17.90 21.49 26.87 40.28 17.90 40.28 17.90 17.90 17.90 34.32 15.25 15.25 15.25 17.01 40.28 17.90 40.28 17.90 17.90 17.90 17.90 25.00 19.69 17.90 40.28 17.90 17.90 17.90 17.90 17.90 17.90 17.90 89.04 17.90 40.28 17.90 17.90 17.90 17.90 40.28 17.90 17.90 17.90 40.28 17.90 40.28 17.90 16.11 305000014 305 85270 FACTOR XI ( PTA ) 127.20 127.20 89.04 15.25 20.41 17.90 40.28 17.90 40.28 17.90 17.90 17.90 41.43 17.90 17.90 17.90 40.28 17.90 40.28 17.90 21.49 26.87 40.28 17.90 40.28 17.90 17.90 17.90 34.32 15.25 15.25 15.25 17.01 40.28 17.90 40.28 17.90 17.90 17.90 17.90 25.00 19.69 17.90 40.28 17.90 17.90 17.90 17.90 17.90 17.90 17.90 89.04 17.90 40.28 17.90 17.90 17.90 17.90 40.28 17.90 17.90 17.90 40.28 17.90 40.28 17.90 16.11 353005026 305 85270 "VWF AG, MULTIMERIC" 127.20 127.20 89.04 15.25 20.41 17.90 40.28 17.90 40.28 17.90 17.90 17.90 41.43 17.90 17.90 17.90 40.28 17.90 40.28 17.90 21.49 26.87 40.28 17.90 40.28 17.90 17.90 17.90 34.32 15.25 15.25 15.25 17.01 40.28 17.90 40.28 17.90 17.90 17.90 17.90 25.00 19.69 17.90 40.28 17.90 17.90 17.90 17.90 17.90 17.90 17.90 89.04 17.90 40.28 17.90 17.90 17.90 17.90 40.28 17.90 17.90 17.90 40.28 17.90 40.28 17.90 16.11 353005028 305 85270 VWF PROTEASE ACTIVITY 127.20 127.20 89.04 15.25 20.41 17.90 40.28 17.90 40.28 17.90 17.90 17.90 41.43 17.90 17.90 17.90 40.28 17.90 40.28 17.90 21.49 26.87 40.28 17.90 40.28 17.90 17.90 17.90 34.32 15.25 15.25 15.25 17.01 40.28 17.90 40.28 17.90 17.90 17.90 17.90 25.00 19.69 17.90 40.28 17.90 17.90 17.90 17.90 17.90 17.90 17.90 89.04 17.90 40.28 17.90 17.90 17.90 17.90 40.28 17.90 17.90 17.90 40.28 17.90 40.28 17.90 16.11 353005030 305 85270 VWF PROTEASE INHIBITOR 127.20 127.20 89.04 15.25 20.41 17.90 40.28 17.90 40.28 17.90 17.90 17.90 41.43 17.90 17.90 17.90 40.28 17.90 40.28 17.90 21.49 26.87 40.28 17.90 40.28 17.90 17.90 17.90 34.32 15.25 15.25 15.25 17.01 40.28 17.90 40.28 17.90 17.90 17.90 17.90 25.00 19.69 17.90 40.28 17.90 17.90 17.90 17.90 17.90 17.90 17.90 89.04 17.90 40.28 17.90 17.90 17.90 17.90 40.28 17.90 17.90 17.90 40.28 17.90 40.28 17.90 16.11 305000048 305 85280 FACTOR XII ACTIVITY 293.62 293.62 205.53 17.42 22.06 19.35 43.54 19.35 43.54 19.35 19.35 19.35 44.79 19.35 19.35 19.35 43.54 19.35 43.54 19.35 23.24 29.04 43.54 19.35 43.54 19.35 19.35 19.35 102.88 45.73 45.73 45.73 18.38 43.54 19.35 43.54 19.35 19.35 19.35 19.35 26.00 21.29 19.35 43.54 19.35 19.35 19.35 19.35 19.35 19.35 19.35 205.53 19.35 43.54 19.35 19.35 19.35 19.35 43.54 19.35 19.35 19.35 43.54 19.35 43.54 19.35 17.42 305000047 305 85290 FACTOR XIII FUNCTIONAL 206.70 206.70 144.69 8.01 18.63 16.34 18.02 8.01 18.02 8.01 16.34 16.34 38.08 16.34 8.01 16.34 18.02 8.01 18.02 16.34 19.62 24.53 18.02 8.01 18.02 8.01 16.34 16.34 34.32 15.25 15.25 15.25 15.52 18.02 8.01 18.02 8.01 16.34 16.34 16.34 11.00 17.97 8.01 18.02 8.01 16.34 8.01 8.01 8.01 16.34 8.01 144.69 16.34 18.02 8.01 8.01 8.01 16.34 18.02 16.34 16.34 8.01 18.02 8.01 18.02 8.01 14.71 353005020 305 85290 FACTOR VIII ACTIVITY 206.70 206.70 144.69 8.01 18.63 16.34 18.02 8.01 18.02 8.01 16.34 16.34 38.08 16.34 8.01 16.34 18.02 8.01 18.02 16.34 19.62 24.53 18.02 8.01 18.02 8.01 16.34 16.34 34.32 15.25 15.25 15.25 15.52 18.02 8.01 18.02 8.01 16.34 16.34 16.34 11.00 17.97 8.01 18.02 8.01 16.34 8.01 8.01 8.01 16.34 8.01 144.69 16.34 18.02 8.01 8.01 8.01 16.34 18.02 16.34 16.34 8.01 18.02 8.01 18.02 8.01 14.71 353005408 305 85293 HWK HIGH MOLECULAR WT KININOGENS 63.60 63.60 44.52 15.25 21.58 18.93 42.59 18.93 42.59 18.93 18.93 18.93 43.67 18.93 18.93 18.93 42.59 18.93 42.59 18.93 22.73 28.41 42.59 18.93 42.59 18.93 18.93 18.93 34.32 15.25 15.25 15.25 17.98 42.59 18.93 42.59 18.93 18.93 18.93 18.93 27.00 20.82 18.93 42.59 18.93 18.93 18.93 18.93 18.93 18.93 18.93 44.52 18.93 42.59 18.93 18.93 18.93 18.93 42.59 18.93 18.93 18.93 42.59 18.93 42.59 18.93 17.04 305000017 305 85300 LUPUS ANTICOAGULANT 252.28 252.28 176.60 9.52 13.51 11.85 21.43 9.52 21.43 9.52 11.85 11.85 27.44 11.85 9.52 11.85 21.43 9.52 21.43 11.85 14.23 17.79 21.43 9.52 21.43 9.52 11.85 11.85 34.32 15.25 15.25 15.25 11.26 21.43 9.52 21.43 9.52 11.85 11.85 11.85 13.00 13.04 9.52 21.43 9.52 11.85 9.52 9.52 9.52 11.85 9.52 176.60 11.85 21.43 9.52 9.52 9.52 11.85 21.43 11.85 11.85 9.52 21.43 9.52 21.43 9.52 10.67 305000018 305 85300 ANTITHROMBIN III- ANTIGEN ASSA 252.28 252.28 176.60 9.52 13.51 11.85 21.43 9.52 21.43 9.52 11.85 11.85 27.44 11.85 9.52 11.85 21.43 9.52 21.43 11.85 14.23 17.79 21.43 9.52 21.43 9.52 11.85 11.85 34.32 15.25 15.25 15.25 11.26 21.43 9.52 21.43 9.52 11.85 11.85 11.85 13.00 13.04 9.52 21.43 9.52 11.85 9.52 9.52 9.52 11.85 9.52 176.60 11.85 21.43 9.52 9.52 9.52 11.85 21.43 11.85 11.85 9.52 21.43 9.52 21.43 9.52 10.67 353005160 305 85300 LUPUS ANTICOAGULANT 252.28 252.28 176.60 9.52 13.51 11.85 21.43 9.52 21.43 9.52 11.85 11.85 27.44 11.85 9.52 11.85 21.43 9.52 21.43 11.85 14.23 17.79 21.43 9.52 21.43 9.52 11.85 11.85 34.32 15.25 15.25 15.25 11.26 21.43 9.52 21.43 9.52 11.85 11.85 11.85 13.00 13.04 9.52 21.43 9.52 11.85 9.52 9.52 9.52 11.85 9.52 176.60 11.85 21.43 9.52 9.52 9.52 11.85 21.43 11.85 11.85 9.52 21.43 9.52 21.43 9.52 10.67 301000274 305 85302 PROTC (PROTEIN C ANTIGEN) 315.88 315.88 221.12 10.81 13.69 12.01 27.02 12.01 27.02 12.01 12.01 12.01 27.99 12.01 12.01 12.01 27.02 12.01 27.02 12.01 14.42 18.03 27.02 12.01 27.02 12.01 12.01 12.01 34.32 15.25 15.25 15.25 11.41 27.02 12.01 27.02 12.01 12.01 12.01 12.01 17.00 13.21 12.01 27.02 12.01 12.01 12.01 12.01 12.01 12.01 12.01 221.12 12.01 27.02 12.01 12.01 12.01 12.01 27.02 12.01 12.01 12.01 27.02 12.01 27.02 12.01 10.81 305000019 305 85303 PROTEIN C- ACTIVITY 323.30 323.30 226.31 12.46 15.78 13.84 31.14 13.84 31.14 13.84 13.84 13.84 31.91 13.84 13.84 13.84 31.14 13.84 31.14 13.84 16.62 20.77 31.14 13.84 31.14 13.84 13.84 13.84 34.32 15.25 15.25 15.25 13.15 31.14 13.84 31.14 13.84 13.84 13.84 13.84 20.00 15.22 13.84 31.14 13.84 13.84 13.84 13.84 13.84 13.84 13.84 226.31 13.84 31.14 13.84 13.84 13.84 13.84 31.14 13.84 13.84 13.84 31.14 13.84 31.14 13.84 12.46 301000273 305 85305 PROTS (PROTEIN S ANTIGEN) 361.46 361.46 253.02 10.45 13.24 11.61 26.12 11.61 26.12 11.61 11.61 11.61 26.87 11.61 11.61 11.61 26.12 11.61 26.12 11.61 13.94 17.43 26.12 11.61 26.12 11.61 11.61 11.61 34.32 15.25 15.25 15.25 11.03 26.12 11.61 26.12 11.61 11.61 11.61 11.61 17.00 12.77 11.61 26.12 11.61 11.61 11.61 11.61 11.61 11.61 11.61 253.02 11.61 26.12 11.61 11.61 11.61 11.61 26.12 11.61 11.61 11.61 26.12 11.61 26.12 11.61 10.45 305000020 305 85305 PROTEIN S- TOTAL 361.46 361.46 253.02 10.45 13.24 11.61 26.12 11.61 26.12 11.61 11.61 11.61 26.87 11.61 11.61 11.61 26.12 11.61 26.12 11.61 13.94 17.43 26.12 11.61 26.12 11.61 11.61 11.61 34.32 15.25 15.25 15.25 11.03 26.12 11.61 26.12 11.61 11.61 11.61 11.61 17.00 12.77 11.61 26.12 11.61 11.61 11.61 11.61 11.61 11.61 11.61 253.02 11.61 26.12 11.61 11.61 11.61 11.61 26.12 11.61 11.61 11.61 26.12 11.61 26.12 11.61 10.45 353005007 305 85305 "PROTEIN S, ACTIVITY" 361.46 361.46 253.02 10.45 13.24 11.61 26.12 11.61 26.12 11.61 11.61 11.61 26.87 11.61 11.61 11.61 26.12 11.61 26.12 11.61 13.94 17.43 26.12 11.61 26.12 11.61 11.61 11.61 34.32 15.25 15.25 15.25 11.03 26.12 11.61 26.12 11.61 11.61 11.61 11.61 17.00 12.77 11.61 26.12 11.61 11.61 11.61 11.61 11.61 11.61 11.61 253.02 11.61 26.12 11.61 11.61 11.61 11.61 26.12 11.61 11.61 11.61 26.12 11.61 26.12 11.61 10.45 350002836 305 85347 i-STAT COAGULATION TIME ACTVTD 15.90 15.90 36.58 3.85 4.88 4.28 9.63 4.28 9.63 4.28 4.28 4.28 10.08 4.28 4.28 4.28 9.63 4.28 9.63 4.28 5.14 6.42 9.63 4.28 9.63 4.28 4.28 4.28 36.58 16.26 16.26 16.26 4.07 9.63 4.28 9.63 4.28 4.28 4.28 4.28 6.00 10.34 4.28 9.63 4.28 4.28 4.28 4.28 4.28 4.28 4.28 11.13 4.28 9.63 4.28 4.28 4.28 4.28 9.63 4.28 4.28 4.28 9.63 4.28 9.63 4.28 3.85 305000051 305 85360 EUGLOBULIN LYSIS TIME 104.94 104.94 73.46 6.67 9.59 8.41 15.00 6.67 15.00 6.67 8.41 8.41 19.60 8.41 6.67 8.41 15.00 6.67 15.00 8.41 10.10 12.62 15.00 6.67 15.00 6.67 8.41 8.41 28.54 12.69 12.69 12.69 7.99 15.00 6.67 15.00 6.67 8.41 8.41 8.41 9.00 9.25 6.67 15.00 6.67 8.41 6.67 6.67 6.67 8.41 6.67 73.46 8.41 15.00 6.67 6.67 6.67 8.41 15.00 8.41 8.41 6.67 15.00 6.67 15.00 6.67 7.57 305000021 305 85362 FIBRIN DEGRAD (SPLIT) PRODUCTS 66.78 66.78 46.75 6.20 7.85 6.89 15.50 6.89 15.50 6.89 6.89 6.89 16.23 6.89 6.89 6.89 15.50 6.89 15.50 6.89 8.27 10.34 15.50 6.89 15.50 6.89 6.89 6.89 34.32 15.25 15.25 15.25 6.55 15.50 6.89 15.50 6.89 6.89 6.89 6.89 10.00 7.58 6.89 15.50 6.89 6.89 6.89 6.89 6.89 6.89 6.89 46.75 6.89 15.50 6.89 6.89 6.89 6.89 15.50 6.89 6.89 6.89 15.50 6.89 15.50 6.89 6.20 305000022 305 85362 FIBRINOGEN 66.78 66.78 46.75 6.20 7.85 6.89 15.50 6.89 15.50 6.89 6.89 6.89 16.23 6.89 6.89 6.89 15.50 6.89 15.50 6.89 8.27 10.34 15.50 6.89 15.50 6.89 6.89 6.89 34.32 15.25 15.25 15.25 6.55 15.50 6.89 15.50 6.89 6.89 6.89 6.89 10.00 7.58 6.89 15.50 6.89 6.89 6.89 6.89 6.89 6.89 6.89 46.75 6.89 15.50 6.89 6.89 6.89 6.89 15.50 6.89 6.89 6.89 15.50 6.89 15.50 6.89 6.20 305000023 305 85378 FIBRIN DEGRAD D-DIMER SEMI 49.82 49.82 34.87 8.75 11.08 9.72 21.87 9.72 21.87 9.72 9.72 9.72 16.80 9.72 9.72 9.72 21.87 9.72 21.87 9.72 11.67 14.59 21.87 9.72 21.87 9.72 9.72 9.72 34.32 15.25 15.25 15.25 9.23 21.87 9.72 21.87 9.72 9.72 9.72 9.72 10.00 10.69 9.72 21.87 9.72 9.72 9.72 9.72 9.72 9.72 9.72 34.87 9.72 21.87 9.72 9.72 9.72 9.72 21.87 9.72 9.72 9.72 21.87 9.72 21.87 9.72 8.75 353005352 305 85397 ADAMTS13 ASSAY 77.38 77.38 102.88 9.49 35.18 30.86 21.36 9.49 21.36 9.49 30.86 30.86 53.19 30.86 9.49 30.86 21.36 9.49 21.36 30.86 37.06 46.32 21.36 9.49 21.36 9.49 30.86 30.86 102.88 45.73 45.73 45.73 29.32 21.36 9.49 21.36 9.49 30.86 30.86 30.86 33.51 33.95 9.49 21.36 9.49 30.86 9.49 9.49 9.49 30.86 9.49 54.17 30.86 21.36 9.49 9.49 9.49 30.86 21.36 30.86 30.86 9.49 21.36 9.49 21.36 9.49 27.77 305000046 305 85410 ALPHA 2 ANTIPLASMIN 172.78 172.78 120.95 6.94 8.79 7.71 36.92 16.41 36.92 16.41 7.71 7.71 17.91 7.71 16.41 7.71 36.92 16.41 36.92 7.71 9.26 11.57 36.92 16.41 36.92 16.41 7.71 7.71 34.32 15.25 15.25 15.25 7.32 36.92 16.41 36.92 16.41 7.71 7.71 7.71 11.00 8.48 16.41 36.92 16.41 7.71 16.41 16.41 16.41 7.71 16.41 120.95 7.71 36.92 16.41 16.41 16.41 7.71 36.92 7.71 7.71 16.41 36.92 16.41 36.92 16.41 6.94 353005195 305 85410 ALPHA-2-ANTIPLASMIN 172.78 172.78 120.95 6.94 8.79 7.71 36.92 16.41 36.92 16.41 7.71 7.71 17.91 7.71 16.41 7.71 36.92 16.41 36.92 7.71 9.26 11.57 36.92 16.41 36.92 16.41 7.71 7.71 34.32 15.25 15.25 15.25 7.32 36.92 16.41 36.92 16.41 7.71 7.71 7.71 11.00 8.48 16.41 36.92 16.41 7.71 16.41 16.41 16.41 7.71 16.41 120.95 7.71 36.92 16.41 16.41 16.41 7.71 36.92 7.71 7.71 16.41 36.92 16.41 36.92 16.41 6.94 305000024 305 85460 KLEINHAUER BETHE 54.06 54.06 37.84 6.96 8.81 7.73 17.39 7.73 17.39 7.73 7.73 7.73 17.91 7.73 7.73 7.73 17.39 7.73 17.39 7.73 9.28 11.60 17.39 7.73 17.39 7.73 7.73 7.73 28.54 12.69 12.69 12.69 7.34 17.39 7.73 17.39 7.73 7.73 7.73 7.73 11.00 8.50 7.73 17.39 7.73 7.73 7.73 7.73 7.73 7.73 7.73 37.84 7.73 17.39 7.73 7.73 7.73 7.73 17.39 7.73 7.73 7.73 17.39 7.73 17.39 7.73 6.96 353005098 305 85460 FETAL ERYTHRO 54.06 54.06 37.84 6.96 8.81 7.73 17.39 7.73 17.39 7.73 7.73 7.73 17.91 7.73 7.73 7.73 17.39 7.73 17.39 7.73 9.28 11.60 17.39 7.73 17.39 7.73 7.73 7.73 28.54 12.69 12.69 12.69 7.34 17.39 7.73 17.39 7.73 7.73 7.73 7.73 11.00 8.50 7.73 17.39 7.73 7.73 7.73 7.73 7.73 7.73 7.73 37.84 7.73 17.39 7.73 7.73 7.73 7.73 17.39 7.73 7.73 7.73 17.39 7.73 17.39 7.73 6.96 300000015 300 85461 FETAL BLOOD SCREEN 48.76 48.76 34.13 8.42 10.67 9.36 21.06 9.36 21.06 9.36 9.36 9.36 15.11 9.36 9.36 9.36 21.06 9.36 21.06 9.36 11.24 14.05 21.06 9.36 21.06 9.36 9.36 9.36 28.54 12.69 12.69 12.69 8.89 21.06 9.36 21.06 9.36 9.36 9.36 9.36 10.00 10.30 9.36 21.06 9.36 9.36 9.36 9.36 9.36 9.36 9.36 34.13 9.36 21.06 9.36 9.36 9.36 9.36 21.06 9.36 9.36 9.36 21.06 9.36 21.06 9.36 8.42 309000008 309 85520 HEPARIN- LOW MOLECULAR WT (HEP 276.66 276.66 193.66 11.78 14.92 13.09 29.45 13.09 29.45 13.09 13.09 13.09 30.24 13.09 13.09 13.09 29.45 13.09 29.45 13.09 15.72 19.65 29.45 13.09 29.45 13.09 13.09 13.09 34.32 15.25 15.25 15.25 12.44 29.45 13.09 29.45 13.09 13.09 13.09 13.09 19.00 14.40 13.09 29.45 13.09 13.09 13.09 13.09 13.09 13.09 13.09 193.66 13.09 29.45 13.09 13.09 13.09 13.09 29.45 13.09 13.09 13.09 29.45 13.09 29.45 13.09 11.78 305000025 305 85540 LEUKOCYTE ALKALINE PHOS 59.36 59.36 41.55 7.74 9.80 8.60 19.35 8.60 19.35 8.60 8.60 8.60 20.15 8.60 8.60 8.60 19.35 8.60 19.35 8.60 10.33 12.91 19.35 8.60 19.35 8.60 8.60 8.60 28.54 12.69 12.69 12.69 8.17 19.35 8.60 19.35 8.60 8.60 8.60 8.60 12.00 9.46 8.60 19.35 8.60 8.60 8.60 8.60 8.60 8.60 8.60 41.55 8.60 19.35 8.60 8.60 8.60 8.60 19.35 8.60 8.60 8.60 19.35 8.60 19.35 8.60 7.74 353005099 305 85540 LEUKOCYTE ALK PHOS 59.36 59.36 41.55 7.74 9.80 8.60 19.35 8.60 19.35 8.60 8.60 8.60 20.15 8.60 8.60 8.60 19.35 8.60 19.35 8.60 10.33 12.91 19.35 8.60 19.35 8.60 8.60 8.60 28.54 12.69 12.69 12.69 8.17 19.35 8.60 19.35 8.60 8.60 8.60 8.60 12.00 9.46 8.60 19.35 8.60 8.60 8.60 8.60 8.60 8.60 8.60 41.55 8.60 19.35 8.60 8.60 8.60 8.60 19.35 8.60 8.60 8.60 19.35 8.60 19.35 8.60 7.74 305000026 305 85549 LYSOZYME 130.38 130.38 91.27 12.69 21.38 18.75 42.19 18.75 42.19 18.75 18.75 18.75 43.67 18.75 18.75 18.75 42.19 18.75 42.19 18.75 22.52 28.14 42.19 18.75 42.19 18.75 18.75 18.75 28.54 12.69 12.69 12.69 17.81 42.19 18.75 42.19 18.75 18.75 18.75 18.75 26.00 20.63 18.75 42.19 18.75 18.75 18.75 18.75 18.75 18.75 18.75 91.27 18.75 42.19 18.75 18.75 18.75 18.75 42.19 18.75 18.75 18.75 42.19 18.75 42.19 18.75 16.88 353005328 305 85597 HEXAGONAL PHASE LUPUS ASSAY 60.42 60.42 42.29 15.25 20.50 17.98 36.92 16.41 36.92 16.41 17.98 17.98 41.43 17.98 16.41 17.98 36.92 16.41 36.92 17.98 21.59 26.99 36.92 16.41 36.92 16.41 17.98 17.98 34.32 15.25 15.25 15.25 17.08 36.92 16.41 36.92 16.41 17.98 17.98 17.98 19.00 19.78 16.41 36.92 16.41 17.98 16.41 16.41 16.41 17.98 16.41 42.29 17.98 36.92 16.41 16.41 16.41 17.98 36.92 17.98 17.98 16.41 36.92 16.41 36.92 16.41 16.18 305000027 305 85610 PROTHROMBIN TIME 49.82 49.82 34.87 3.86 4.89 4.29 8.89 3.95 8.89 3.95 4.29 4.29 8.96 4.29 3.95 4.29 8.89 3.95 8.89 4.29 5.15 6.44 8.89 3.95 8.89 3.95 4.29 4.29 34.32 15.25 15.25 15.25 4.08 8.89 3.95 8.89 3.95 4.29 4.29 4.29 6.00 4.72 3.95 8.89 3.95 4.29 3.95 3.95 3.95 4.29 3.95 34.87 4.29 8.89 3.95 3.95 3.95 4.29 8.89 4.29 4.29 3.95 8.89 3.95 8.89 3.95 3.86 353005378 305 85613 DILUTE RUSSELL'S VIPER VENUM T 31.80 31.80 34.32 7.90 10.92 9.58 17.77 7.90 17.77 7.90 9.58 9.58 22.40 9.58 7.90 9.58 17.77 7.90 17.77 9.58 11.50 14.38 17.77 7.90 17.77 7.90 9.58 9.58 34.32 15.25 15.25 15.25 9.10 17.77 7.90 17.77 7.90 9.58 9.58 9.58 9.00 10.54 7.90 17.77 7.90 9.58 7.90 7.90 7.90 9.58 7.90 22.26 9.58 17.77 7.90 7.90 7.90 9.58 17.77 9.58 9.58 7.90 17.77 7.90 17.77 7.90 8.62 305000028 305 85651 ESR NON AUTOMATED 26.50 26.50 28.54 2.02 4.87 4.27 4.55 2.02 4.55 2.02 4.27 4.27 8.39 4.27 2.02 4.27 4.55 2.02 4.55 4.27 5.13 6.41 4.55 2.02 4.55 2.02 4.27 4.27 28.54 12.69 12.69 12.69 4.06 4.55 2.02 4.55 2.02 4.27 4.27 4.27 5.00 4.70 2.02 4.55 2.02 4.27 2.02 2.02 2.02 4.27 2.02 18.55 4.27 4.55 2.02 2.02 2.02 4.27 4.55 4.27 4.27 2.02 4.55 2.02 4.55 2.02 3.84 305000029 305 85660 SICKLE CELL SCREEN 29.68 29.68 30.70 4.96 6.28 5.51 30.70 13.65 30.70 13.65 5.51 5.51 12.88 5.51 13.65 5.51 30.70 13.65 30.70 5.51 6.62 8.27 30.70 13.65 30.70 13.65 5.51 5.51 28.54 12.69 12.69 12.69 5.23 30.70 13.65 30.70 13.65 5.51 5.51 5.51 6.00 6.06 13.65 30.70 13.65 5.51 13.65 13.65 13.65 5.51 13.65 20.78 5.51 30.70 13.65 13.65 13.65 5.51 30.70 5.51 5.51 13.65 30.70 13.65 30.70 13.65 4.96 353005095 305 85660 "SICKLE CELL ANEMIA,FET, NY TES" 29.68 29.68 30.70 4.96 6.28 5.51 30.70 13.65 30.70 13.65 5.51 5.51 12.88 5.51 13.65 5.51 30.70 13.65 30.70 5.51 6.62 8.27 30.70 13.65 30.70 13.65 5.51 5.51 28.54 12.69 12.69 12.69 5.23 30.70 13.65 30.70 13.65 5.51 5.51 5.51 6.00 6.06 13.65 30.70 13.65 5.51 13.65 13.65 13.65 5.51 13.65 20.78 5.51 30.70 13.65 13.65 13.65 5.51 30.70 5.51 5.51 13.65 30.70 13.65 30.70 13.65 4.96 305000049 305 85670 THROMBIN CLOTTING TIME 109.18 109.18 76.43 5.19 6.58 5.77 12.04 5.35 12.04 5.35 5.77 5.77 13.44 5.77 5.35 5.77 12.04 5.35 12.04 5.77 6.93 8.66 12.04 5.35 12.04 5.35 5.77 5.77 34.32 15.25 15.25 15.25 5.48 12.04 5.35 12.04 5.35 5.77 5.77 5.77 8.00 6.35 5.35 12.04 5.35 5.77 5.35 5.35 5.35 5.77 5.35 76.43 5.77 12.04 5.35 5.35 5.35 5.77 12.04 5.77 5.77 5.35 12.04 5.35 12.04 5.35 5.19 305000030 305 85730 THROMBOPLASTIN TIME - PARTIAL 48.76 48.76 34.32 5.41 6.85 6.01 13.52 6.01 13.52 6.01 6.01 6.01 14.00 6.01 6.01 6.01 13.52 6.01 13.52 6.01 7.22 9.02 13.52 6.01 13.52 6.01 6.01 6.01 34.32 15.25 15.25 15.25 5.71 13.52 6.01 13.52 6.01 6.01 6.01 6.01 9.00 6.61 6.01 13.52 6.01 6.01 6.01 6.01 6.01 6.01 6.01 34.13 6.01 13.52 6.01 6.01 6.01 6.01 13.52 6.01 6.01 6.01 13.52 6.01 13.52 6.01 5.41 353005018 305 85730 "PTT, ACTIVATED" 48.76 48.76 34.32 5.41 6.85 6.01 13.52 6.01 13.52 6.01 6.01 6.01 14.00 6.01 6.01 6.01 13.52 6.01 13.52 6.01 7.22 9.02 13.52 6.01 13.52 6.01 6.01 6.01 34.32 15.25 15.25 15.25 5.71 13.52 6.01 13.52 6.01 6.01 6.01 6.01 9.00 6.61 6.01 13.52 6.01 6.01 6.01 6.01 6.01 6.01 6.01 34.13 6.01 13.52 6.01 6.01 6.01 6.01 13.52 6.01 6.01 6.01 13.52 6.01 13.52 6.01 5.41 353005161 305 85730 PTT (LAC) SCREEN 48.76 48.76 34.32 5.41 6.85 6.01 13.52 6.01 13.52 6.01 6.01 6.01 14.00 6.01 6.01 6.01 13.52 6.01 13.52 6.01 7.22 9.02 13.52 6.01 13.52 6.01 6.01 6.01 34.32 15.25 15.25 15.25 5.71 13.52 6.01 13.52 6.01 6.01 6.01 6.01 9.00 6.61 6.01 13.52 6.01 6.01 6.01 6.01 6.01 6.01 6.01 34.13 6.01 13.52 6.01 6.01 6.01 6.01 13.52 6.01 6.01 6.01 13.52 6.01 13.52 6.01 5.41 305000031 305 85810 VISCOSITY BLD 83.74 83.74 58.62 10.50 13.30 11.67 26.26 11.67 26.26 11.67 11.67 11.67 26.87 11.67 11.67 11.67 26.26 11.67 26.26 11.67 14.01 17.52 26.26 11.67 26.26 11.67 11.67 11.67 28.54 12.69 12.69 12.69 11.09 26.26 11.67 26.26 11.67 11.67 11.67 11.67 17.00 12.84 11.67 26.26 11.67 11.67 11.67 11.67 11.67 11.67 11.67 58.62 11.67 26.26 11.67 11.67 11.67 11.67 26.26 11.67 11.67 11.67 26.26 11.67 26.26 11.67 10.50 302000004 302 86003 ALLERGEN SPECIFIC IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000140 302 86003 CHICKEN MEAT IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000141 302 86003 MAIZE/CORN IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000142 302 86003 EGG WHITE IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000143 302 86003 GARLIC IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000144 302 86003 POTATO IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000145 302 86003 TUNA IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000146 302 86003 TURKEY IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000147 302 86003 SUNFLOWER IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000149 302 86003 CHICKEN MEAT IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000150 302 86003 MAIZE CORN IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000151 302 86003 EGG WHITE IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000152 302 86003 GARLIC IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000153 302 86003 POTATO IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000154 302 86003 TUNA IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000155 302 86003 TURKEY IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000156 302 86003 SUNFLOWER IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000158 302 86003 ONION IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000159 302 86003 APPLE IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000160 302 86003 ASPARAGUS IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000161 302 86003 AVOCADO IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000162 302 86003 BANANA IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000163 302 86003 BARLEY IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000164 302 86003 GREEN BEAN IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000165 302 86003 RED KINDEY IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000166 302 86003 BRAZIL NUT IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000167 302 86003 CHOCOLATE IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000168 302 86003 PISTACHIO IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000169 302 86003 PUMPKIN IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000170 302 86003 LENTILS IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000171 302 86003 WHITE BEAN (F15) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000172 302 86003 D. FARINAE (D2) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000173 302 86003 TEA (F222) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000174 302 86003 SESAME SEED (FI0) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000175 302 86003 CLAM (F207) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000176 302 86003 D. PTERONYSSINUS (D1) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000177 302 86003 COCKROACH (I6) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000178 302 86003 MOSQUITO (I71) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000179 302 86003 HONEY BEE (I1) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000180 302 86003 WATERMELON (RF329) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000181 302 86003 G. DOMESTICUS (D73) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000182 302 86003 L. DESTRUCTOR (D71) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000183 302 86003 HOUSE DUST GREER (H1) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000184 302 86003 HOUSE DUST HS (H2) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000185 302 86003 APRICOT (F237) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000189 302 86003 FOOD ALLERGY PROFILE 384.78 384.78 269.35 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 269.35 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000190 302 86003 ALLERGEN A. ALTERNATA 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000191 302 86003 CHILDHOOD ALLERGY PROFILE 571.34 571.34 399.94 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 399.94 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 306000048 302 86003 EG YOLK F75 IGE (EGGYOK) 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 306000049 302 86003 LOBSTER F80 IgE (LOBSTER) 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 306000050 302 86003 MILK F2 IgE (MILK1) 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 306000051 302 86003 SHRIMP F24 IgE (SHRIMP) 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 306000052 302 86003 SOYBEAN F14 IgE (SOYBEAN) 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005174 302 86003 BRAZIL NUT (F18) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005177 302 86003 SCALLOP 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005178 302 86003 CARROT (F31) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005179 302 86003 SESAME SEED (F10) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005180 302 86003 PEANUT (F13) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005181 302 86003 ALMOND (F20) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005182 302 86003 COCONUT (F36) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005183 302 86003 PEACAN NUT (F201) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005235 302 86003 CHICKEN MEAT (F83) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005236 302 86003 MAIZE/CORN (F8) 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005237 302 86003 EGG WHITE (F1) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005238 302 86003 GARLIC (F47) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005239 302 86003 POTATO (F35) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005240 302 86003 TUNA (F40) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005241 302 86003 TURKEY MEAT (F284) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005242 302 86003 SUNFLOWER SEED (K84) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005243 302 86003 ONION (F48) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005244 302 86003 APPLE (F49) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005245 302 86003 ASPARAGUS (RF261) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005246 302 86003 AVOCADO (F96) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005247 302 86003 BANANA (F92) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005248 302 86003 BARLEY (F96) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005249 302 86003 GREEN BEAN (F315) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005250 302 86003 RED KIDNEY BEAN (F287) IGE KU/ 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005251 302 86003 LENTILS (F235) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005252 302 86003 CHOCOLATE (F93) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005253 302 86003 PISTACHIO (F203) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005254 302 86003 PUMPKIN (F225) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005255 302 86003 WHITE BEAN (F15) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005256 302 86003 CLAM (F207) IGEKU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005257 302 86003 SESAME SEED (F10) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005258 302 86003 D.FARINAE (D2) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005259 302 86003 C.HERBARUM (M2) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005260 302 86003 P.NOTATUM (M1) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005261 302 86003 A. FUMIGATUS (M3) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005262 302 86003 A. TENUIS (M6) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005263 302 86003 BERMUDA GRASS (G2) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005264 302 86003 PERENNIAL RYE (G5) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005265 302 86003 JUNE GRASS (K BLUE) (G8) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005266 302 86003 TIMOTHY GRASS (G6) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005267 302 86003 JOHNSON GRASS (G10) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005268 302 86003 TEA (F222) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005269 302 86003 D.PTERONYSSINUS (D1) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005270 302 86003 COCKROACH (I6) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005271 302 86003 MOSQUITO (I71) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005272 302 86003 HONEY BEE (I1) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005273 302 86003 WATERMELON (RF239) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005274 302 86003 G. DOMESTICUS (D73) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005275 302 86003 L. DESTRUCTOR (D71) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005276 302 86003 APRICOT (F237) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005277 302 86003 RYE (F5) IGE KU/L 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005278 302 86003 A. ALTERNATA (M6) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005297 302 86003 LOBSTER (F80) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005298 302 86003 PEANUT (F13) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005299 302 86003 PINE NUT (RF253) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005300 302 86003 P. NOTATUM (M1) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005301 302 86003 A. FUMIGATUS (M3) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005302 302 86003 A. TENUIS (M6) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005303 302 86003 BERMUDA GRASS (G2) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005304 302 86003 PERENNIAL RYE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005305 302 86003 "JUNE GRASS, IGE" 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005306 302 86003 TIMOTHY GRASS (G6) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005307 302 86003 JOHNSON GRASS (G10) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005308 302 86003 "NOROVIRUS, EIA, STOOL" 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005309 302 86003 RYE (F5) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005319 302 86003 OAT (F7) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005329 302 86003 ORANGE (F33) IGE 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005354 302 86003 TOMATO ALLERGY 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005356 302 86003 LATEX ALLERGEN 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005357 302 86003 LIME ALLERGEN 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005377 302 86003 PORK ALLERGY 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 353005401 302 86003 ALLERGEN BANANA F92 53.00 53.00 37.10 3.69 5.95 5.22 8.29 3.69 8.29 3.69 5.22 5.22 12.31 5.22 3.69 5.22 8.29 3.69 8.29 5.22 6.27 7.84 8.29 3.69 8.29 3.69 5.22 5.22 26.99 11.99 11.99 11.99 4.96 8.29 3.69 8.29 3.69 5.22 5.22 5.22 7.00 5.74 3.69 8.29 3.69 5.22 3.69 3.69 3.69 5.22 3.69 37.10 5.22 8.29 3.69 3.69 3.69 5.22 8.29 5.22 5.22 3.69 8.29 3.69 8.29 3.69 4.70 302000132 302 86021 "ANCA SCR W/MPO/PRE,W/REFL" 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 302000138 302 86021 PROTEINASE-3 AB (P-ANCA) 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 302000139 302 86021 MYELOPEROXIDASE AB (C-ANCA) 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353000005 302 86021 ATYPICAL P-ANCA TITER 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353000007 302 86021 C-ANCA TITER 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353000019 302 86021 P-ANCA TITER 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353005040 302 86021 PROTEINASE-3 AB 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353005041 302 86021 MYELOPEROXIDASE AB 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353005216 302 86021 MYELOPEROXIDASE AB 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353005225 302 86021 ATYPICAL P-ANCA TITER 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353005226 302 86021 MYELOPEROXIDASE AB 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353005227 302 86021 PROTEINASE-3 AB 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353005231 302 86021 PROTEINASE-3 AB U/ml 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 353005232 302 86021 MYELOPEROXIDASE AB U/ML 234.26 234.26 163.98 11.99 17.16 15.05 29.03 12.90 29.03 12.90 15.05 15.05 34.71 15.05 12.90 15.05 29.03 12.90 29.03 15.05 18.07 22.59 29.03 12.90 29.03 12.90 15.05 15.05 26.99 11.99 11.99 11.99 14.30 29.03 12.90 29.03 12.90 15.05 15.05 15.05 21.00 16.56 12.90 29.03 12.90 15.05 12.90 12.90 12.90 15.05 12.90 163.98 15.05 29.03 12.90 12.90 12.90 15.05 29.03 15.05 15.05 12.90 29.03 12.90 29.03 12.90 13.55 302000005 302 86022 PLATELET ANTIBODIES 518.34 518.34 362.84 11.99 20.94 18.37 29.03 12.90 29.03 12.90 18.37 18.37 42.55 18.37 12.90 18.37 29.03 12.90 29.03 18.37 22.06 27.57 29.03 12.90 29.03 12.90 18.37 18.37 26.99 11.99 11.99 11.99 17.45 29.03 12.90 29.03 12.90 18.37 18.37 18.37 26.00 20.21 12.90 29.03 12.90 18.37 12.90 12.90 12.90 18.37 12.90 362.84 18.37 29.03 12.90 12.90 12.90 18.37 29.03 18.37 18.37 12.90 29.03 12.90 29.03 12.90 16.53 302000198 302 86022 HEPARIN INDUCE THROMBOCYTE 518.34 518.34 362.84 11.99 20.94 18.37 29.03 12.90 29.03 12.90 18.37 18.37 42.55 18.37 12.90 18.37 29.03 12.90 29.03 18.37 22.06 27.57 29.03 12.90 29.03 12.90 18.37 18.37 26.99 11.99 11.99 11.99 17.45 29.03 12.90 29.03 12.90 18.37 18.37 18.37 26.00 20.21 12.90 29.03 12.90 18.37 12.90 12.90 12.90 18.37 12.90 362.84 18.37 29.03 12.90 12.90 12.90 18.37 29.03 18.37 18.37 12.90 29.03 12.90 29.03 12.90 16.53 305000033 302 86022 SERRA (SEROTININ RELEASE ASSAY 518.34 518.34 362.84 11.99 20.94 18.37 29.03 12.90 29.03 12.90 18.37 18.37 42.55 18.37 12.90 18.37 29.03 12.90 29.03 18.37 22.06 27.57 29.03 12.90 29.03 12.90 18.37 18.37 26.99 11.99 11.99 11.99 17.45 29.03 12.90 29.03 12.90 18.37 18.37 18.37 26.00 20.21 12.90 29.03 12.90 18.37 12.90 12.90 12.90 18.37 12.90 362.84 18.37 29.03 12.90 12.90 12.90 18.37 29.03 18.37 18.37 12.90 29.03 12.90 29.03 12.90 16.53 353005105 302 86022 "PLATELET AB, HEP IND" 518.34 518.34 362.84 11.99 20.94 18.37 29.03 12.90 29.03 12.90 18.37 18.37 42.55 18.37 12.90 18.37 29.03 12.90 29.03 18.37 22.06 27.57 29.03 12.90 29.03 12.90 18.37 18.37 26.99 11.99 11.99 11.99 17.45 29.03 12.90 29.03 12.90 18.37 18.37 18.37 26.00 20.21 12.90 29.03 12.90 18.37 12.90 12.90 12.90 18.37 12.90 362.84 18.37 29.03 12.90 12.90 12.90 18.37 29.03 18.37 18.37 12.90 29.03 12.90 29.03 12.90 16.53 302000006 302 86023 PLATELET IMMUNO ASSAY 90.10 90.10 63.07 11.21 14.20 12.46 29.03 12.90 29.03 12.90 12.46 12.46 29.12 12.46 12.90 12.46 29.03 12.90 29.03 12.46 14.96 18.70 29.03 12.90 29.03 12.90 12.46 12.46 26.99 11.99 11.99 11.99 11.84 29.03 12.90 29.03 12.90 12.46 12.46 12.46 18.00 13.71 12.90 29.03 12.90 12.46 12.90 12.90 12.90 12.46 12.90 63.07 12.46 29.03 12.90 12.90 12.90 12.46 29.03 12.46 12.46 12.90 29.03 12.90 29.03 12.90 11.21 302000025 302 86038 FANA 84.80 84.80 59.36 5.25 13.78 12.09 11.82 5.25 11.82 5.25 12.09 12.09 27.99 12.09 5.25 12.09 11.82 5.25 11.82 12.09 14.52 18.15 11.82 5.25 11.82 5.25 12.09 12.09 26.99 11.99 11.99 11.99 11.49 11.82 5.25 11.82 5.25 12.09 12.09 12.09 17.00 13.30 5.25 11.82 5.25 12.09 5.25 5.25 5.25 12.09 5.25 59.36 12.09 11.82 5.25 5.25 5.25 12.09 11.82 12.09 12.09 5.25 11.82 5.25 11.82 5.25 10.88 302000111 302 86038 "ANA SCREEN,IFA" 84.80 84.80 59.36 5.25 13.78 12.09 11.82 5.25 11.82 5.25 12.09 12.09 27.99 12.09 5.25 12.09 11.82 5.25 11.82 12.09 14.52 18.15 11.82 5.25 11.82 5.25 12.09 12.09 26.99 11.99 11.99 11.99 11.49 11.82 5.25 11.82 5.25 12.09 12.09 12.09 17.00 13.30 5.25 11.82 5.25 12.09 5.25 5.25 5.25 12.09 5.25 59.36 12.09 11.82 5.25 5.25 5.25 12.09 11.82 12.09 12.09 5.25 11.82 5.25 11.82 5.25 10.88 353005154 302 86038 ANTI-NUCLEAR ANTIBODY TITER 84.80 84.80 59.36 5.25 13.78 12.09 11.82 5.25 11.82 5.25 12.09 12.09 27.99 12.09 5.25 12.09 11.82 5.25 11.82 12.09 14.52 18.15 11.82 5.25 11.82 5.25 12.09 12.09 26.99 11.99 11.99 11.99 11.49 11.82 5.25 11.82 5.25 12.09 12.09 12.09 17.00 13.30 5.25 11.82 5.25 12.09 5.25 5.25 5.25 12.09 5.25 59.36 12.09 11.82 5.25 5.25 5.25 12.09 11.82 12.09 12.09 5.25 11.82 5.25 11.82 5.25 10.88 302000110 302 86039 ANTI NUCLEAR ANTIBODY TITER 33.92 33.92 26.99 5.25 12.72 11.16 11.82 5.25 11.82 5.25 11.16 11.16 25.75 11.16 5.25 11.16 11.82 5.25 11.82 11.16 13.40 16.75 11.82 5.25 11.82 5.25 11.16 11.16 26.99 11.99 11.99 11.99 10.60 11.82 5.25 11.82 5.25 11.16 11.16 11.16 16.00 12.28 5.25 11.82 5.25 11.16 5.25 5.25 5.25 11.16 5.25 23.74 11.16 11.82 5.25 5.25 5.25 11.16 11.82 11.16 11.16 5.25 11.82 5.25 11.82 5.25 10.04 302000007 302 86060 ANTISTREPTOLYSIN O TITER 53.00 53.00 37.10 5.25 8.32 7.30 11.82 5.25 11.82 5.25 7.30 7.30 16.80 7.30 5.25 7.30 11.82 5.25 11.82 7.30 8.77 10.96 11.82 5.25 11.82 5.25 7.30 7.30 26.99 11.99 11.99 11.99 6.94 11.82 5.25 11.82 5.25 7.30 7.30 7.30 11.00 8.03 5.25 11.82 5.25 7.30 5.25 5.25 5.25 7.30 5.25 37.10 7.30 11.82 5.25 5.25 5.25 7.30 11.82 7.30 7.30 5.25 11.82 5.25 11.82 5.25 6.57 353005296 302 86063 ANTI-STREPTOLYSIN O SCREEN 28.62 28.62 26.99 3.79 6.58 5.77 8.52 3.79 8.52 3.79 5.77 5.77 13.44 5.77 3.79 5.77 8.52 3.79 8.52 5.77 6.93 8.66 8.52 3.79 8.52 3.79 5.77 5.77 26.99 11.99 11.99 11.99 5.48 8.52 3.79 8.52 3.79 5.77 5.77 5.77 8.00 6.35 3.79 8.52 3.79 5.77 3.79 3.79 3.79 5.77 3.79 20.03 5.77 8.52 3.79 3.79 3.79 5.77 8.52 5.77 5.77 3.79 8.52 3.79 8.52 3.79 5.19 302000008 302 86140 C-REACTIVE PROTEIN 44.52 44.52 31.16 4.14 5.91 5.18 9.32 4.14 9.32 4.14 5.18 5.18 11.76 5.18 4.14 5.18 9.32 4.14 9.32 5.18 6.22 7.78 9.32 4.14 9.32 4.14 5.18 5.18 26.99 11.99 11.99 11.99 4.92 9.32 4.14 9.32 4.14 5.18 5.18 5.18 8.00 5.70 4.14 9.32 4.14 5.18 4.14 4.14 4.14 5.18 4.14 31.16 5.18 9.32 4.14 4.14 4.14 5.18 9.32 5.18 5.18 4.14 9.32 4.14 9.32 4.14 4.66 302000105 302 86141 CARDIO CRP 106.00 106.00 74.20 10.35 14.76 12.95 23.29 10.35 23.29 10.35 12.95 12.95 30.24 12.95 10.35 12.95 23.29 10.35 23.29 12.95 15.55 19.44 23.29 10.35 23.29 10.35 12.95 12.95 26.99 11.99 11.99 11.99 12.30 23.29 10.35 23.29 10.35 12.95 12.95 12.95 12.00 14.25 10.35 23.29 10.35 12.95 10.35 10.35 10.35 12.95 10.35 74.20 12.95 23.29 10.35 10.35 10.35 12.95 23.29 12.95 12.95 10.35 23.29 10.35 23.29 10.35 11.66 353005346 302 86141 CRP CARDIAC 106.00 106.00 74.20 10.35 14.76 12.95 23.29 10.35 23.29 10.35 12.95 12.95 30.24 12.95 10.35 12.95 23.29 10.35 23.29 12.95 15.55 19.44 23.29 10.35 23.29 10.35 12.95 12.95 26.99 11.99 11.99 11.99 12.30 23.29 10.35 23.29 10.35 12.95 12.95 12.95 12.00 14.25 10.35 23.29 10.35 12.95 10.35 10.35 10.35 12.95 10.35 74.20 12.95 23.29 10.35 10.35 10.35 12.95 23.29 12.95 12.95 10.35 23.29 10.35 23.29 10.35 11.66 309000001 309 86146 B2GPI IGG 133.56 133.56 93.49 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 12.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 93.49 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 309000003 309 86146 B2GPI IGA 133.56 133.56 93.49 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 12.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 93.49 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353005072 302 86146 B2-GLYCOPROTEIN I IGA 133.56 133.56 93.49 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 12.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 93.49 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353005073 302 86146 B2-GLYCOPROTEIN I IGM 133.56 133.56 93.49 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 12.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 93.49 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353005074 302 86146 B2-GLYCOPROTEIN I IGG 133.56 133.56 93.49 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 12.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 93.49 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 302000009 302 86147 PHOSPHOLIPID ANTIBODY 128.26 128.26 89.78 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 89.78 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 305000037 302 86147 ANTI-PHOSPHOLIPID ANTIBODY PAN 1556.08 1556.08 1089.26 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 1089.26 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 305000040 302 86147 CARDIOLIPIN AB W REFLEX 128.26 128.26 89.78 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 89.78 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353000008 302 86147 "CARDIOLIPIN IGA,IGG, IGM" 128.26 128.26 89.78 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 89.78 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353005069 302 86147 CARDIOLIPIN AB IGG 128.26 128.26 89.78 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 89.78 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353005070 302 86147 CARDIOLIPIN AB IGA 128.26 128.26 89.78 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 89.78 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353005071 302 86147 CARDIOLIPIN AB IGM 128.26 128.26 89.78 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 89.78 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353005130 302 86147 CARDIOLIPIN ANTIBODY (IGM) 128.26 128.26 89.78 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 89.78 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353005131 302 86147 CARDIOLIPIN ANTIBODY (IGG) 128.26 128.26 89.78 7.90 29.01 25.45 17.77 7.90 17.77 7.90 25.45 25.45 58.78 25.45 7.90 25.45 17.77 7.90 17.77 25.45 30.56 38.20 17.77 7.90 17.77 7.90 25.45 25.45 26.99 11.99 11.99 11.99 24.18 17.77 7.90 17.77 7.90 25.45 25.45 25.45 9.00 28.00 7.90 17.77 7.90 25.45 7.90 7.90 7.90 25.45 7.90 89.78 25.45 17.77 7.90 7.90 7.90 25.45 17.77 25.45 25.45 7.90 17.77 7.90 17.77 7.90 22.91 353000020 302 86148 PHOSPHATIDYLSERINE AB 56.18 56.18 39.33 7.90 18.32 16.07 17.77 7.90 17.77 7.90 16.07 16.07 37.51 16.07 7.90 16.07 17.77 7.90 17.77 16.07 19.30 24.12 17.77 7.90 17.77 7.90 16.07 16.07 26.99 11.99 11.99 11.99 15.27 17.77 7.90 17.77 7.90 16.07 16.07 16.07 22.00 17.68 7.90 17.77 7.90 16.07 7.90 7.90 7.90 16.07 7.90 39.33 16.07 17.77 7.90 7.90 7.90 16.07 17.77 16.07 16.07 7.90 17.77 7.90 17.77 7.90 14.46 302000010 302 86156 IMM COLD AGGLUTINS 56.18 56.18 39.33 7.26 9.20 8.07 29.03 12.90 29.03 12.90 8.07 8.07 15.68 8.07 12.90 8.07 29.03 12.90 29.03 8.07 9.69 12.11 29.03 12.90 29.03 12.90 8.07 8.07 26.99 11.99 11.99 11.99 7.67 29.03 12.90 29.03 12.90 8.07 8.07 8.07 9.00 8.88 12.90 29.03 12.90 8.07 12.90 12.90 12.90 8.07 12.90 39.33 8.07 29.03 12.90 12.90 12.90 8.07 29.03 8.07 8.07 12.90 29.03 12.90 29.03 12.90 7.26 353005371 302 86156 COLD HEMAGGLUTININS BLOOD 56.18 56.18 39.33 7.26 9.20 8.07 29.03 12.90 29.03 12.90 8.07 8.07 15.68 8.07 12.90 8.07 29.03 12.90 29.03 8.07 9.69 12.11 29.03 12.90 29.03 12.90 8.07 8.07 26.99 11.99 11.99 11.99 7.67 29.03 12.90 29.03 12.90 8.07 8.07 8.07 9.00 8.88 12.90 29.03 12.90 8.07 12.90 12.90 12.90 8.07 12.90 39.33 8.07 29.03 12.90 12.90 12.90 8.07 29.03 8.07 8.07 12.90 29.03 12.90 29.03 12.90 7.26 301000271 302 86160 C1 INHIBITOR- PROTEIN 195.04 195.04 136.53 10.61 13.68 12.00 23.86 10.61 23.86 10.61 12.00 12.00 27.99 12.00 10.61 12.00 23.86 10.61 23.86 12.00 14.41 18.01 23.86 10.61 23.86 10.61 12.00 12.00 26.99 11.99 11.99 11.99 11.40 23.86 10.61 23.86 10.61 12.00 12.00 12.00 17.00 13.20 10.61 23.86 10.61 12.00 10.61 10.61 10.61 12.00 10.61 136.53 12.00 23.86 10.61 10.61 10.61 12.00 23.86 12.00 12.00 10.61 23.86 10.61 23.86 10.61 10.80 302000011 302 86160 COMPLEMENT C3- ANTIGEN 195.04 195.04 136.53 10.61 13.68 12.00 23.86 10.61 23.86 10.61 12.00 12.00 27.99 12.00 10.61 12.00 23.86 10.61 23.86 12.00 14.41 18.01 23.86 10.61 23.86 10.61 12.00 12.00 26.99 11.99 11.99 11.99 11.40 23.86 10.61 23.86 10.61 12.00 12.00 12.00 17.00 13.20 10.61 23.86 10.61 12.00 10.61 10.61 10.61 12.00 10.61 136.53 12.00 23.86 10.61 10.61 10.61 12.00 23.86 12.00 12.00 10.61 23.86 10.61 23.86 10.61 10.80 302000012 302 86160 COMPLEMENT C5 195.04 195.04 136.53 10.61 13.68 12.00 23.86 10.61 23.86 10.61 12.00 12.00 27.99 12.00 10.61 12.00 23.86 10.61 23.86 12.00 14.41 18.01 23.86 10.61 23.86 10.61 12.00 12.00 26.99 11.99 11.99 11.99 11.40 23.86 10.61 23.86 10.61 12.00 12.00 12.00 17.00 13.20 10.61 23.86 10.61 12.00 10.61 10.61 10.61 12.00 10.61 136.53 12.00 23.86 10.61 10.61 10.61 12.00 23.86 12.00 12.00 10.61 23.86 10.61 23.86 10.61 10.80 302000013 302 86160 COMPLEMENT C4 ANTIGEN 195.04 195.04 136.53 10.61 13.68 12.00 23.86 10.61 23.86 10.61 12.00 12.00 27.99 12.00 10.61 12.00 23.86 10.61 23.86 12.00 14.41 18.01 23.86 10.61 23.86 10.61 12.00 12.00 26.99 11.99 11.99 11.99 11.40 23.86 10.61 23.86 10.61 12.00 12.00 12.00 17.00 13.20 10.61 23.86 10.61 12.00 10.61 10.61 10.61 12.00 10.61 136.53 12.00 23.86 10.61 10.61 10.61 12.00 23.86 12.00 12.00 10.61 23.86 10.61 23.86 10.61 10.80 301000255 302 86161 C1 ESTERASE INHIBITOR 84.80 84.80 59.36 10.80 13.68 12.00 27.00 12.00 27.00 12.00 12.00 12.00 27.99 12.00 12.00 12.00 27.00 12.00 27.00 12.00 14.41 18.01 27.00 12.00 27.00 12.00 12.00 12.00 26.99 11.99 11.99 11.99 11.40 27.00 12.00 27.00 12.00 12.00 12.00 12.00 17.00 13.20 12.00 27.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 59.36 12.00 27.00 12.00 12.00 12.00 12.00 27.00 12.00 12.00 12.00 27.00 12.00 27.00 12.00 10.80 302000014 302 86161 C1 BINDING 84.80 84.80 59.36 10.80 13.68 12.00 27.00 12.00 27.00 12.00 12.00 12.00 27.99 12.00 12.00 12.00 27.00 12.00 27.00 12.00 14.41 18.01 27.00 12.00 27.00 12.00 12.00 12.00 26.99 11.99 11.99 11.99 11.40 27.00 12.00 27.00 12.00 12.00 12.00 12.00 17.00 13.20 12.00 27.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 59.36 12.00 27.00 12.00 12.00 12.00 12.00 27.00 12.00 12.00 12.00 27.00 12.00 27.00 12.00 10.80 353005333 302 86161 C5 COMPLEMENT 84.80 84.80 59.36 10.80 13.68 12.00 27.00 12.00 27.00 12.00 12.00 12.00 27.99 12.00 12.00 12.00 27.00 12.00 27.00 12.00 14.41 18.01 27.00 12.00 27.00 12.00 12.00 12.00 26.99 11.99 11.99 11.99 11.40 27.00 12.00 27.00 12.00 12.00 12.00 12.00 17.00 13.20 12.00 27.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 59.36 12.00 27.00 12.00 12.00 12.00 12.00 27.00 12.00 12.00 12.00 27.00 12.00 27.00 12.00 10.80 353005334 302 86161 C1 COMPLEMENT 84.80 84.80 59.36 10.80 13.68 12.00 27.00 12.00 27.00 12.00 12.00 12.00 27.99 12.00 12.00 12.00 27.00 12.00 27.00 12.00 14.41 18.01 27.00 12.00 27.00 12.00 12.00 12.00 26.99 11.99 11.99 11.99 11.40 27.00 12.00 27.00 12.00 12.00 12.00 12.00 17.00 13.20 12.00 27.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 59.36 12.00 27.00 12.00 12.00 12.00 12.00 27.00 12.00 12.00 12.00 27.00 12.00 27.00 12.00 10.80 353005407 302 86161 "C1 COMPLIMENT,FUNTIONAL SERUM" 84.80 84.80 59.36 10.80 13.68 12.00 27.00 12.00 27.00 12.00 12.00 12.00 27.99 12.00 12.00 12.00 27.00 12.00 27.00 12.00 14.41 18.01 27.00 12.00 27.00 12.00 12.00 12.00 26.99 11.99 11.99 11.99 11.40 27.00 12.00 27.00 12.00 12.00 12.00 12.00 17.00 13.20 12.00 27.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 59.36 12.00 27.00 12.00 12.00 12.00 12.00 27.00 12.00 12.00 12.00 27.00 12.00 27.00 12.00 10.80 302000015 302 86162 COMPLEMENT TOTAL HEMOLYTIC 230.02 230.02 161.01 11.99 23.16 20.32 44.06 19.58 44.06 19.58 20.32 20.32 47.03 20.32 19.58 20.32 44.06 19.58 44.06 20.32 24.40 30.50 44.06 19.58 44.06 19.58 20.32 20.32 26.99 11.99 11.99 11.99 19.30 44.06 19.58 44.06 19.58 20.32 20.32 20.32 29.00 22.35 19.58 44.06 19.58 20.32 19.58 19.58 19.58 20.32 19.58 161.01 20.32 44.06 19.58 19.58 19.58 20.32 44.06 20.32 20.32 19.58 44.06 19.58 44.06 19.58 18.29 301000266 302 86200 CYCLIC CITRULLINE PEP IGG 428.24 428.24 299.77 11.66 14.76 12.95 29.03 12.90 29.03 12.90 12.95 12.95 30.24 12.95 12.90 12.95 29.03 12.90 29.03 12.95 15.55 19.44 29.03 12.90 29.03 12.90 12.95 12.95 26.99 11.99 11.99 11.99 12.30 29.03 12.90 29.03 12.90 12.95 12.95 12.95 18.00 14.25 12.90 29.03 12.90 12.95 12.90 12.90 12.90 12.95 12.90 299.77 12.95 29.03 12.90 12.90 12.90 12.95 29.03 12.95 12.95 12.90 29.03 12.90 29.03 12.90 11.66 302000018 302 86225 DNA NATIVE/DOUBLE STRANDED 99.64 99.64 69.75 5.25 15.66 13.74 11.82 5.25 11.82 5.25 13.74 13.74 31.91 13.74 5.25 13.74 11.82 5.25 11.82 13.74 16.50 20.62 11.82 5.25 11.82 5.25 13.74 13.74 26.99 11.99 11.99 11.99 13.05 11.82 5.25 11.82 5.25 13.74 13.74 13.74 19.00 15.11 5.25 11.82 5.25 13.74 5.25 5.25 5.25 13.74 5.25 69.75 13.74 11.82 5.25 5.25 5.25 13.74 11.82 13.74 13.74 5.25 11.82 5.25 11.82 5.25 12.37 302000020 302 86235 EXTRACTABLE NUCLEAR ANTIGEN 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 302000125 302 86235 SCL 70 AB EIA 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 302000126 302 86235 JO 1 AB 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 302000129 302 86235 SRP AUTO ANTIBODIES 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 353005010 302 86235 SMOOTH MUSCLE AB 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 353005057 302 86235 JO-1 AB 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 353005058 302 86235 "SCL-70 AB, EIA" 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 353005116 302 86235 INHIBIN A 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 353005136 302 86235 "SM AB, EIA" 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 353005137 302 86235 SM/RNP AB 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 353005194 302 86235 SRP AUTO AB. 184.44 184.44 129.11 5.25 20.44 17.93 11.82 5.25 11.82 5.25 17.93 17.93 41.43 17.93 5.25 17.93 11.82 5.25 11.82 17.93 21.53 26.91 11.82 5.25 11.82 5.25 17.93 17.93 26.99 11.99 11.99 11.99 17.03 11.82 5.25 11.82 5.25 17.93 17.93 17.93 25.00 19.72 5.25 11.82 5.25 17.93 5.25 5.25 5.25 17.93 5.25 129.11 17.93 11.82 5.25 5.25 5.25 17.93 11.82 17.93 17.93 5.25 11.82 5.25 11.82 5.25 16.14 302000022 302 86255 NEUTROPHILE CYTO ABS 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 302000023 302 86255 ANTI-HISTONE ABS 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 302000024 302 86255 LAB-ANTIADRENAL ANTIBODIES 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 302000026 302 86255 ANTI-CENTROMERE ABS 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 302000127 302 86255 ADRENAL AB W/RFX 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 305000043 302 86255 ENDOMYSIAL SCR (IgA)W/Rfl (EMA 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005003 302 86255 ENDOMYSIAL AB TITER 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005047 302 86255 "CENTROMERE B, AB" 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005056 302 86255 ADRENAL AB TITER 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005169 302 86255 ENDOMYSIAL AB TITER 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005212 302 86255 ANCA SCREEN 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005213 302 86255 P-ANCA TITER 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005214 302 86255 C-ANCA TITER 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005215 302 86255 ATYPICAL P-ANCA TITER 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005219 302 86255 ANCA SCREEN 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005221 302 86255 ENDOMYSIAL AB IGA 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005222 302 86255 ENDOMYSIAL AB TITER 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 353005315 302 86255 ENDOMYSIAL AB IGA 170.66 170.66 119.46 5.25 13.74 12.05 11.82 5.25 11.82 5.25 12.05 12.05 27.99 12.05 5.25 12.05 11.82 5.25 11.82 12.05 14.47 18.09 11.82 5.25 11.82 5.25 12.05 12.05 26.99 11.99 11.99 11.99 11.45 11.82 5.25 11.82 5.25 12.05 12.05 12.05 17.00 13.26 5.25 11.82 5.25 12.05 5.25 5.25 5.25 12.05 5.25 119.46 12.05 11.82 5.25 5.25 5.25 12.05 11.82 12.05 12.05 5.25 11.82 5.25 11.82 5.25 10.85 302000027 302 86256 ANTI-SMOOTH MUSCLE AB 165.36 165.36 115.75 0.00 13.74 12.05 0.00 0.00 0.00 0.00 12.05 12.05 27.99 12.05 0.00 12.05 0.00 0.00 0.00 12.05 14.47 18.09 0.00 0.00 0.00 0.00 12.05 12.05 26.99 11.99 11.99 11.99 11.45 0.00 0.00 0.00 0.00 12.05 12.05 12.05 17.00 13.26 0.00 0.00 0.00 12.05 0.00 0.00 0.00 12.05 0.00 115.75 12.05 0.00 0.00 0.00 0.00 12.05 0.00 12.05 12.05 0.00 0.00 0.00 0.00 0.00 10.85 302000028 302 86256 ANTI-THYROID MICROSOMAL AB 165.36 165.36 115.75 0.00 13.74 12.05 0.00 0.00 0.00 0.00 12.05 12.05 27.99 12.05 0.00 12.05 0.00 0.00 0.00 12.05 14.47 18.09 0.00 0.00 0.00 0.00 12.05 12.05 26.99 11.99 11.99 11.99 11.45 0.00 0.00 0.00 0.00 12.05 12.05 12.05 17.00 13.26 0.00 0.00 0.00 12.05 0.00 0.00 0.00 12.05 0.00 115.75 12.05 0.00 0.00 0.00 0.00 12.05 0.00 12.05 12.05 0.00 0.00 0.00 0.00 0.00 10.85 302000029 302 86256 ANTI-MITROCHONDIAL AB 165.36 165.36 115.75 0.00 13.74 12.05 0.00 0.00 0.00 0.00 12.05 12.05 27.99 12.05 0.00 12.05 0.00 0.00 0.00 12.05 14.47 18.09 0.00 0.00 0.00 0.00 12.05 12.05 26.99 11.99 11.99 11.99 11.45 0.00 0.00 0.00 0.00 12.05 12.05 12.05 17.00 13.26 0.00 0.00 0.00 12.05 0.00 0.00 0.00 12.05 0.00 115.75 12.05 0.00 0.00 0.00 0.00 12.05 0.00 12.05 12.05 0.00 0.00 0.00 0.00 0.00 10.85 302000030 302 86256 ANTI-BASEMENT MEMBRANE GL 165.36 165.36 115.75 0.00 13.74 12.05 0.00 0.00 0.00 0.00 12.05 12.05 27.99 12.05 0.00 12.05 0.00 0.00 0.00 12.05 14.47 18.09 0.00 0.00 0.00 0.00 12.05 12.05 26.99 11.99 11.99 11.99 11.45 0.00 0.00 0.00 0.00 12.05 12.05 12.05 17.00 13.26 0.00 0.00 0.00 12.05 0.00 0.00 0.00 12.05 0.00 115.75 12.05 0.00 0.00 0.00 0.00 12.05 0.00 12.05 12.05 0.00 0.00 0.00 0.00 0.00 10.85 302000033 302 86256 ANTI-PARIETAL CELL AB 165.36 165.36 115.75 0.00 13.74 12.05 0.00 0.00 0.00 0.00 12.05 12.05 27.99 12.05 0.00 12.05 0.00 0.00 0.00 12.05 14.47 18.09 0.00 0.00 0.00 0.00 12.05 12.05 26.99 11.99 11.99 11.99 11.45 0.00 0.00 0.00 0.00 12.05 12.05 12.05 17.00 13.26 0.00 0.00 0.00 12.05 0.00 0.00 0.00 12.05 0.00 115.75 12.05 0.00 0.00 0.00 0.00 12.05 0.00 12.05 12.05 0.00 0.00 0.00 0.00 0.00 10.85 353005011 302 86256 PARIETAL CELL AB TITER 165.36 165.36 115.75 0.00 13.74 12.05 0.00 0.00 0.00 0.00 12.05 12.05 27.99 12.05 0.00 12.05 0.00 0.00 0.00 12.05 14.47 18.09 0.00 0.00 0.00 0.00 12.05 12.05 26.99 11.99 11.99 11.99 11.45 0.00 0.00 0.00 0.00 12.05 12.05 12.05 17.00 13.26 0.00 0.00 0.00 12.05 0.00 0.00 0.00 12.05 0.00 115.75 12.05 0.00 0.00 0.00 0.00 12.05 0.00 12.05 12.05 0.00 0.00 0.00 0.00 0.00 10.85 353005012 302 86256 MITOCHONDRIAL AB 165.36 165.36 115.75 0.00 13.74 12.05 0.00 0.00 0.00 0.00 12.05 12.05 27.99 12.05 0.00 12.05 0.00 0.00 0.00 12.05 14.47 18.09 0.00 0.00 0.00 0.00 12.05 12.05 26.99 11.99 11.99 11.99 11.45 0.00 0.00 0.00 0.00 12.05 12.05 12.05 17.00 13.26 0.00 0.00 0.00 12.05 0.00 0.00 0.00 12.05 0.00 115.75 12.05 0.00 0.00 0.00 0.00 12.05 0.00 12.05 12.05 0.00 0.00 0.00 0.00 0.00 10.85 301000256 302 86300 CANCER ANTIGEN 15-3 242.74 242.74 169.92 11.00 23.72 20.81 46.82 20.81 46.82 20.81 20.81 20.81 48.15 20.81 20.81 20.81 46.82 20.81 46.82 20.81 24.99 31.24 46.82 20.81 46.82 20.81 20.81 20.81 26.99 11.99 11.99 11.99 19.77 46.82 20.81 46.82 20.81 20.81 20.81 20.81 11.00 22.89 20.81 46.82 20.81 20.81 20.81 20.81 20.81 20.81 20.81 169.92 20.81 46.82 20.81 20.81 20.81 20.81 46.82 20.81 20.81 20.81 46.82 20.81 46.82 20.81 18.73 305000044 302 86300 CANCER ANTIGEN 27.29 242.74 242.74 169.92 11.00 23.72 20.81 46.82 20.81 46.82 20.81 20.81 20.81 48.15 20.81 20.81 20.81 46.82 20.81 46.82 20.81 24.99 31.24 46.82 20.81 46.82 20.81 20.81 20.81 26.99 11.99 11.99 11.99 19.77 46.82 20.81 46.82 20.81 20.81 20.81 20.81 11.00 22.89 20.81 46.82 20.81 20.81 20.81 20.81 20.81 20.81 20.81 169.92 20.81 46.82 20.81 20.81 20.81 20.81 46.82 20.81 20.81 20.81 46.82 20.81 46.82 20.81 18.73 301000196 302 86301 CARBOHYDRATE AG 19.9 203.52 203.52 142.46 11.99 23.72 20.81 46.82 20.81 46.82 20.81 20.81 20.81 48.15 20.81 20.81 20.81 46.82 20.81 46.82 20.81 24.99 31.24 46.82 20.81 46.82 20.81 20.81 20.81 26.99 11.99 11.99 11.99 19.77 46.82 20.81 46.82 20.81 20.81 20.81 20.81 29.00 22.89 20.81 46.82 20.81 20.81 20.81 20.81 20.81 20.81 20.81 142.46 20.81 46.82 20.81 20.81 20.81 20.81 46.82 20.81 20.81 20.81 46.82 20.81 46.82 20.81 18.73 353005119 302 86301 CA19 203.52 203.52 142.46 11.99 23.72 20.81 46.82 20.81 46.82 20.81 20.81 20.81 48.15 20.81 20.81 20.81 46.82 20.81 46.82 20.81 24.99 31.24 46.82 20.81 46.82 20.81 20.81 20.81 26.99 11.99 11.99 11.99 19.77 46.82 20.81 46.82 20.81 20.81 20.81 20.81 29.00 22.89 20.81 46.82 20.81 20.81 20.81 20.81 20.81 20.81 20.81 142.46 20.81 46.82 20.81 20.81 20.81 20.81 46.82 20.81 20.81 20.81 46.82 20.81 46.82 20.81 18.73 301000258 302 86304 CA 125 214.12 214.12 149.88 11.99 23.72 20.81 46.82 20.81 46.82 20.81 20.81 20.81 48.15 20.81 20.81 20.81 46.82 20.81 46.82 20.81 24.99 31.24 46.82 20.81 46.82 20.81 20.81 20.81 26.99 11.99 11.99 11.99 19.77 46.82 20.81 46.82 20.81 20.81 20.81 20.81 30.00 22.89 20.81 46.82 20.81 20.81 20.81 20.81 20.81 20.81 20.81 149.88 20.81 46.82 20.81 20.81 20.81 20.81 46.82 20.81 20.81 20.81 46.82 20.81 46.82 20.81 18.73 302000037 302 86308 INFECT MONO HETERPHL SCRN 36.04 36.04 26.99 4.66 5.91 5.18 10.75 4.78 10.75 4.78 5.18 5.18 11.76 5.18 4.78 5.18 10.75 4.78 10.75 5.18 6.22 7.78 10.75 4.78 10.75 4.78 5.18 5.18 26.99 11.99 11.99 11.99 4.92 10.75 4.78 10.75 4.78 5.18 5.18 5.18 8.00 5.70 4.78 10.75 4.78 5.18 4.78 4.78 4.78 5.18 4.78 25.23 5.18 10.75 4.78 4.78 4.78 5.18 10.75 5.18 5.18 4.78 10.75 4.78 10.75 4.78 4.66 353005335 302 86317 LYME C6 IGG/IGM ABS 50.88 50.88 35.62 11.99 17.09 14.99 29.03 12.90 29.03 12.90 14.99 14.99 34.71 14.99 12.90 14.99 29.03 12.90 29.03 14.99 18.00 22.50 29.03 12.90 29.03 12.90 14.99 14.99 26.99 11.99 11.99 11.99 14.24 29.03 12.90 29.03 12.90 14.99 14.99 14.99 21.00 16.49 12.90 29.03 12.90 14.99 12.90 12.90 12.90 14.99 12.90 35.62 14.99 29.03 12.90 12.90 12.90 14.99 29.03 14.99 14.99 12.90 29.03 12.90 29.03 12.90 13.49 353005363 302 86317 DIPTHERIA ANTIOBODIES 50.88 50.88 35.62 11.99 17.09 14.99 29.03 12.90 29.03 12.90 14.99 14.99 34.71 14.99 12.90 14.99 29.03 12.90 29.03 14.99 18.00 22.50 29.03 12.90 29.03 12.90 14.99 14.99 26.99 11.99 11.99 11.99 14.24 29.03 12.90 29.03 12.90 14.99 14.99 14.99 21.00 16.49 12.90 29.03 12.90 14.99 12.90 12.90 12.90 14.99 12.90 35.62 14.99 29.03 12.90 12.90 12.90 14.99 29.03 14.99 14.99 12.90 29.03 12.90 29.03 12.90 13.49 353005364 302 86317 TETNUS ANTIOBODIES 50.88 50.88 35.62 11.99 17.09 14.99 29.03 12.90 29.03 12.90 14.99 14.99 34.71 14.99 12.90 14.99 29.03 12.90 29.03 14.99 18.00 22.50 29.03 12.90 29.03 12.90 14.99 14.99 26.99 11.99 11.99 11.99 14.24 29.03 12.90 29.03 12.90 14.99 14.99 14.99 21.00 16.49 12.90 29.03 12.90 14.99 12.90 12.90 12.90 14.99 12.90 35.62 14.99 29.03 12.90 12.90 12.90 14.99 29.03 14.99 14.99 12.90 29.03 12.90 29.03 12.90 13.49 302000045 302 86320 SJORGREN'S PREC 157.94 157.94 110.56 26.93 34.11 29.92 62.31 27.69 62.31 27.69 29.92 29.92 52.07 29.92 27.69 29.92 62.31 27.69 62.31 29.92 35.93 44.91 62.31 27.69 62.31 27.69 29.92 29.92 96.55 42.91 42.91 42.91 28.42 62.31 27.69 62.31 27.69 29.92 29.92 29.92 31.00 32.91 27.69 62.31 27.69 29.92 27.69 27.69 27.69 29.92 27.69 110.56 29.92 62.31 27.69 27.69 27.69 29.92 62.31 29.92 29.92 27.69 62.31 27.69 62.31 27.69 26.93 353005118 302 86320 SJOGREN'S AB (SS-B) 157.94 157.94 110.56 26.93 34.11 29.92 62.31 27.69 62.31 27.69 29.92 29.92 52.07 29.92 27.69 29.92 62.31 27.69 62.31 29.92 35.93 44.91 62.31 27.69 62.31 27.69 29.92 29.92 96.55 42.91 42.91 42.91 28.42 62.31 27.69 62.31 27.69 29.92 29.92 29.92 31.00 32.91 27.69 62.31 27.69 29.92 27.69 27.69 27.69 29.92 27.69 110.56 29.92 62.31 27.69 27.69 27.69 29.92 62.31 29.92 29.92 27.69 62.31 27.69 62.31 27.69 26.93 353005361 302 86329 "TEICHOIC ACID ANTIBODIES,SERUM" 46.64 46.64 32.65 11.99 16.02 14.05 28.41 12.63 28.41 12.63 14.05 14.05 32.47 14.05 12.63 14.05 28.41 12.63 28.41 14.05 16.87 21.09 28.41 12.63 28.41 12.63 14.05 14.05 26.99 11.99 11.99 11.99 13.35 28.41 12.63 28.41 12.63 14.05 14.05 14.05 20.00 15.46 12.63 28.41 12.63 14.05 12.63 12.63 12.63 14.05 12.63 32.65 14.05 28.41 12.63 12.63 12.63 14.05 28.41 14.05 14.05 12.63 28.41 12.63 28.41 12.63 12.65 353005336 302 86334 IMMUNOFIXATION URINE 72.08 72.08 52.07 11.99 25.47 22.34 50.27 22.34 50.27 22.34 22.34 22.34 52.07 22.34 22.34 22.34 50.27 22.34 50.27 22.34 26.83 33.53 50.27 22.34 50.27 22.34 22.34 22.34 26.99 11.99 11.99 11.99 21.22 50.27 22.34 50.27 22.34 22.34 22.34 22.34 31.00 24.57 22.34 50.27 22.34 22.34 22.34 22.34 22.34 22.34 22.34 50.46 22.34 50.27 22.34 22.34 22.34 22.34 50.27 22.34 22.34 22.34 50.27 22.34 50.27 22.34 20.11 302000097 302 86335 URINE IMMUNOFIXATION 24HR 182.32 182.32 127.62 26.42 33.46 29.35 66.04 29.35 66.04 29.35 29.35 29.35 68.30 29.35 29.35 29.35 66.04 29.35 66.04 29.35 35.24 44.05 66.04 29.35 66.04 29.35 29.35 29.35 96.55 42.91 42.91 42.91 27.88 66.04 29.35 66.04 29.35 29.35 29.35 29.35 32.00 32.29 29.35 66.04 29.35 29.35 29.35 29.35 29.35 29.35 29.35 127.62 29.35 66.04 29.35 29.35 29.35 29.35 66.04 29.35 29.35 29.35 66.04 29.35 66.04 29.35 26.42 301000276 302 86336 INHBA (INHIBIN A) 342.38 342.38 239.67 6.57 17.77 15.59 14.77 6.57 14.77 6.57 15.59 15.59 36.39 15.59 6.57 15.59 14.77 6.57 14.77 15.59 18.72 23.40 14.77 6.57 14.77 6.57 15.59 15.59 26.99 11.99 11.99 11.99 14.81 14.77 6.57 14.77 6.57 15.59 15.59 15.59 12.00 17.15 6.57 14.77 6.57 15.59 6.57 6.57 6.57 15.59 6.57 239.67 15.59 14.77 6.57 6.57 6.57 15.59 14.77 15.59 15.59 6.57 14.77 6.57 14.77 6.57 14.03 353005051 302 86336 INHIBIN A 342.38 342.38 239.67 6.57 17.77 15.59 14.77 6.57 14.77 6.57 15.59 15.59 36.39 15.59 6.57 15.59 14.77 6.57 14.77 15.59 18.72 23.40 14.77 6.57 14.77 6.57 15.59 15.59 26.99 11.99 11.99 11.99 14.81 14.77 6.57 14.77 6.57 15.59 15.59 15.59 12.00 17.15 6.57 14.77 6.57 15.59 6.57 6.57 6.57 15.59 6.57 239.67 15.59 14.77 6.57 6.57 6.57 15.59 14.77 15.59 15.59 6.57 14.77 6.57 14.77 6.57 14.03 302000047 302 86337 INSULIN ANTIBODIES 150.52 150.52 105.36 11.99 24.41 21.41 28.41 12.63 28.41 12.63 21.41 21.41 49.84 21.41 12.63 21.41 28.41 12.63 28.41 21.41 25.71 32.14 28.41 12.63 28.41 12.63 21.41 21.41 26.99 11.99 11.99 11.99 20.34 28.41 12.63 28.41 12.63 21.41 21.41 21.41 30.00 23.55 12.63 28.41 12.63 21.41 12.63 12.63 12.63 21.41 12.63 105.36 21.41 28.41 12.63 12.63 12.63 21.41 28.41 21.41 21.41 12.63 28.41 12.63 28.41 12.63 19.27 353005094 302 86337 INSULIN AUTOANTIBODY T 150.52 150.52 105.36 11.99 24.41 21.41 28.41 12.63 28.41 12.63 21.41 21.41 49.84 21.41 12.63 21.41 28.41 12.63 28.41 21.41 25.71 32.14 28.41 12.63 28.41 12.63 21.41 21.41 26.99 11.99 11.99 11.99 20.34 28.41 12.63 28.41 12.63 21.41 21.41 21.41 30.00 23.55 12.63 28.41 12.63 21.41 12.63 12.63 12.63 21.41 12.63 105.36 21.41 28.41 12.63 12.63 12.63 21.41 28.41 21.41 21.41 12.63 28.41 12.63 28.41 12.63 19.27 302000048 302 86340 INTRINSIC FACTOR AB 108.12 108.12 75.68 11.47 17.19 15.08 25.82 11.47 25.82 11.47 15.08 15.08 34.71 15.08 11.47 15.08 25.82 11.47 25.82 15.08 18.11 22.64 25.82 11.47 25.82 11.47 15.08 15.08 26.99 11.99 11.99 11.99 14.33 25.82 11.47 25.82 11.47 15.08 15.08 15.08 21.00 16.59 11.47 25.82 11.47 15.08 11.47 11.47 11.47 15.08 11.47 75.68 15.08 25.82 11.47 11.47 11.47 15.08 25.82 15.08 15.08 11.47 25.82 11.47 25.82 11.47 13.57 302000049 302 86341 ISLET CELL AB 138.86 138.86 97.20 11.99 26.87 23.57 28.41 12.63 28.41 12.63 23.57 23.57 45.92 23.57 12.63 23.57 28.41 12.63 28.41 23.57 28.30 35.38 28.41 12.63 28.41 12.63 23.57 23.57 26.99 11.99 11.99 11.99 22.39 28.41 12.63 28.41 12.63 23.57 23.57 23.57 28.00 25.93 12.63 28.41 12.63 23.57 12.63 12.63 12.63 23.57 12.63 97.20 23.57 28.41 12.63 12.63 12.63 23.57 28.41 23.57 23.57 12.63 28.41 12.63 28.41 12.63 21.21 353005096 302 86341 ISLET CELL AB 138.86 138.86 97.20 11.99 26.87 23.57 28.41 12.63 28.41 12.63 23.57 23.57 45.92 23.57 12.63 23.57 28.41 12.63 28.41 23.57 28.30 35.38 28.41 12.63 28.41 12.63 23.57 23.57 26.99 11.99 11.99 11.99 22.39 28.41 12.63 28.41 12.63 23.57 23.57 23.57 28.00 25.93 12.63 28.41 12.63 23.57 12.63 12.63 12.63 23.57 12.63 97.20 23.57 28.41 12.63 12.63 12.63 23.57 28.41 23.57 23.57 12.63 28.41 12.63 28.41 12.63 21.21 353005097 302 86341 ISLET CELL AB TITER 138.86 138.86 97.20 11.99 26.87 23.57 28.41 12.63 28.41 12.63 23.57 23.57 45.92 23.57 12.63 23.57 28.41 12.63 28.41 23.57 28.30 35.38 28.41 12.63 28.41 12.63 23.57 23.57 26.99 11.99 11.99 11.99 22.39 28.41 12.63 28.41 12.63 23.57 23.57 23.57 28.00 25.93 12.63 28.41 12.63 23.57 12.63 12.63 12.63 23.57 12.63 97.20 23.57 28.41 12.63 12.63 12.63 23.57 28.41 23.57 23.57 12.63 28.41 12.63 28.41 12.63 21.21 310000011 302 86356 "PHN, CD59,FC,NY" 279.84 279.84 195.89 24.10 30.53 26.78 103.85 46.16 103.85 46.16 26.78 26.78 62.15 26.78 46.16 26.78 103.85 46.16 103.85 26.78 32.16 40.20 103.85 46.16 103.85 46.16 26.78 26.78 96.55 42.91 42.91 42.91 25.44 103.85 46.16 103.85 46.16 26.78 26.78 26.78 37.41 29.46 46.16 103.85 46.16 26.78 46.16 46.16 46.16 26.78 46.16 195.89 26.78 103.85 46.16 46.16 46.16 26.78 103.85 26.78 26.78 46.16 103.85 46.16 103.85 46.16 24.10 302000050 302 86359 T CELLS TOTAL CT 267.12 267.12 186.98 23.40 43.01 37.73 52.65 23.40 52.65 23.40 37.73 37.73 87.35 37.73 23.40 37.73 52.65 23.40 52.65 37.73 45.31 56.63 52.65 23.40 52.65 23.40 37.73 37.73 96.55 42.91 42.91 42.91 35.84 52.65 23.40 52.65 23.40 37.73 37.73 37.73 53.00 41.50 23.40 52.65 23.40 37.73 23.40 23.40 23.40 37.73 23.40 186.98 37.73 52.65 23.40 23.40 23.40 37.73 52.65 37.73 37.73 23.40 52.65 23.40 52.65 23.40 33.96 302000051 302 86360 T CELLS CD4 & CD8 CT 330.72 330.72 231.50 42.28 53.56 46.98 105.71 46.98 105.71 46.98 46.98 46.98 109.17 46.98 46.98 46.98 105.71 46.98 105.71 46.98 56.41 70.52 105.71 46.98 105.71 46.98 46.98 46.98 96.55 42.91 42.91 42.91 44.63 105.71 46.98 105.71 46.98 46.98 46.98 46.98 65.00 51.68 46.98 105.71 46.98 46.98 46.98 46.98 46.98 46.98 46.98 231.50 46.98 105.71 46.98 46.98 46.98 46.98 105.71 46.98 46.98 46.98 105.71 46.98 105.71 46.98 42.28 353005162 302 86360 ABSOLUTE CD4 CELLS 330.72 330.72 231.50 42.28 53.56 46.98 105.71 46.98 105.71 46.98 46.98 46.98 109.17 46.98 46.98 46.98 105.71 46.98 105.71 46.98 56.41 70.52 105.71 46.98 105.71 46.98 46.98 46.98 96.55 42.91 42.91 42.91 44.63 105.71 46.98 105.71 46.98 46.98 46.98 46.98 65.00 51.68 46.98 105.71 46.98 46.98 46.98 46.98 46.98 46.98 46.98 231.50 46.98 105.71 46.98 46.98 46.98 46.98 105.71 46.98 46.98 46.98 105.71 46.98 105.71 46.98 42.28 353005163 302 86360 ABSOLUTE CD8 CELLS 330.72 330.72 231.50 42.28 53.56 46.98 105.71 46.98 105.71 46.98 46.98 46.98 109.17 46.98 46.98 46.98 105.71 46.98 105.71 46.98 56.41 70.52 105.71 46.98 105.71 46.98 46.98 46.98 96.55 42.91 42.91 42.91 44.63 105.71 46.98 105.71 46.98 46.98 46.98 46.98 65.00 51.68 46.98 105.71 46.98 46.98 46.98 46.98 46.98 46.98 46.98 231.50 46.98 105.71 46.98 46.98 46.98 46.98 105.71 46.98 46.98 46.98 105.71 46.98 105.71 46.98 42.28 353005164 302 86360 ABSOLUTE LYMPHOCYTE CT 330.72 330.72 231.50 42.28 53.56 46.98 105.71 46.98 105.71 46.98 46.98 46.98 109.17 46.98 46.98 46.98 105.71 46.98 105.71 46.98 56.41 70.52 105.71 46.98 105.71 46.98 46.98 46.98 96.55 42.91 42.91 42.91 44.63 105.71 46.98 105.71 46.98 46.98 46.98 46.98 65.00 51.68 46.98 105.71 46.98 46.98 46.98 46.98 46.98 46.98 46.98 231.50 46.98 105.71 46.98 46.98 46.98 46.98 105.71 46.98 46.98 46.98 105.71 46.98 105.71 46.98 42.28 302000109 302 86361 T CELLS TOTAL CT ABS CD4 86.92 86.92 96.55 23.40 30.53 26.78 52.65 23.40 52.65 23.40 26.78 26.78 62.15 26.78 23.40 26.78 52.65 23.40 52.65 26.78 32.16 40.20 52.65 23.40 52.65 23.40 26.78 26.78 96.55 42.91 42.91 42.91 25.44 52.65 23.40 52.65 23.40 26.78 26.78 26.78 45.00 29.46 23.40 52.65 23.40 26.78 23.40 23.40 23.40 26.78 23.40 60.84 26.78 52.65 23.40 23.40 23.40 26.78 52.65 26.78 26.78 23.40 52.65 23.40 52.65 23.40 24.10 302000122 302 86361 LYMPHOCYTE SUBSET PANELS 5 86.92 86.92 96.55 23.40 30.53 26.78 52.65 23.40 52.65 23.40 26.78 26.78 62.15 26.78 23.40 26.78 52.65 23.40 52.65 26.78 32.16 40.20 52.65 23.40 52.65 23.40 26.78 26.78 96.55 42.91 42.91 42.91 25.44 52.65 23.40 52.65 23.40 26.78 26.78 26.78 45.00 29.46 23.40 52.65 23.40 26.78 23.40 23.40 23.40 26.78 23.40 60.84 26.78 52.65 23.40 23.40 23.40 26.78 52.65 26.78 26.78 23.40 52.65 23.40 52.65 23.40 24.10 302000052 302 86376 LIVER/KIDNEY MICRO AB 103.88 103.88 72.72 11.99 16.59 14.55 32.74 14.55 32.74 14.55 14.55 14.55 33.59 14.55 14.55 14.55 32.74 14.55 32.74 14.55 17.47 21.84 32.74 14.55 32.74 14.55 14.55 14.55 26.99 11.99 11.99 11.99 13.82 32.74 14.55 32.74 14.55 14.55 14.55 14.55 21.00 16.01 14.55 32.74 14.55 14.55 14.55 14.55 14.55 14.55 14.55 72.72 14.55 32.74 14.55 14.55 14.55 14.55 32.74 14.55 14.55 14.55 32.74 14.55 32.74 14.55 13.10 302000124 302 86382 POLIOVIRUS NEUTRAL AB 84.80 84.80 59.36 5.05 19.28 16.91 11.36 5.05 11.36 5.05 16.91 16.91 39.20 16.91 5.05 16.91 11.36 5.05 11.36 16.91 20.31 25.38 11.36 5.05 11.36 5.05 16.91 16.91 26.99 11.99 11.99 11.99 16.06 11.36 5.05 11.36 5.05 16.91 16.91 16.91 24.00 18.60 5.05 11.36 5.05 16.91 5.05 5.05 5.05 16.91 5.05 59.36 16.91 11.36 5.05 5.05 5.05 16.91 11.36 16.91 16.91 5.05 11.36 5.05 11.36 5.05 15.22 353005311 302 86382 POLIO 1 TITER 84.80 84.80 59.36 5.05 19.28 16.91 11.36 5.05 11.36 5.05 16.91 16.91 39.20 16.91 5.05 16.91 11.36 5.05 11.36 16.91 20.31 25.38 11.36 5.05 11.36 5.05 16.91 16.91 26.99 11.99 11.99 11.99 16.06 11.36 5.05 11.36 5.05 16.91 16.91 16.91 24.00 18.60 5.05 11.36 5.05 16.91 5.05 5.05 5.05 16.91 5.05 59.36 16.91 11.36 5.05 5.05 5.05 16.91 11.36 16.91 16.91 5.05 11.36 5.05 11.36 5.05 15.22 353005372 302 86382 RABIES ANTIBODY ENDPOINT 84.80 84.80 59.36 5.05 19.28 16.91 11.36 5.05 11.36 5.05 16.91 16.91 39.20 16.91 5.05 16.91 11.36 5.05 11.36 16.91 20.31 25.38 11.36 5.05 11.36 5.05 16.91 16.91 26.99 11.99 11.99 11.99 16.06 11.36 5.05 11.36 5.05 16.91 16.91 16.91 24.00 18.60 5.05 11.36 5.05 16.91 5.05 5.05 5.05 16.91 5.05 59.36 16.91 11.36 5.05 5.05 5.05 16.91 11.36 16.91 16.91 5.05 11.36 5.05 11.36 5.05 15.22 302000148 302 86403 "S. PNEUMONIAE AG,LA" 144.16 144.16 100.91 3.79 13.16 11.54 8.52 3.79 8.52 3.79 11.54 11.54 23.52 11.54 3.79 11.54 8.52 3.79 8.52 11.54 13.86 17.32 8.52 3.79 8.52 3.79 11.54 11.54 26.99 11.99 11.99 11.99 10.96 8.52 3.79 8.52 3.79 11.54 11.54 11.54 15.00 12.69 3.79 8.52 3.79 11.54 3.79 3.79 3.79 11.54 3.79 100.91 11.54 8.52 3.79 3.79 3.79 11.54 8.52 11.54 11.54 3.79 8.52 3.79 8.52 3.79 10.39 302000053 302 86430 RHEUMATOID FACTOR QUAL 38.16 38.16 26.99 4.93 7.00 6.14 11.09 4.93 11.09 4.93 6.14 6.14 12.88 6.14 4.93 6.14 11.09 4.93 11.09 6.14 7.37 9.22 11.09 4.93 11.09 4.93 6.14 6.14 26.99 11.99 11.99 11.99 5.83 11.09 4.93 11.09 4.93 6.14 6.14 6.14 8.00 6.75 4.93 11.09 4.93 6.14 4.93 4.93 4.93 6.14 4.93 26.71 6.14 11.09 4.93 4.93 4.93 6.14 11.09 6.14 6.14 4.93 11.09 4.93 11.09 4.93 5.53 302000054 302 86431 RHEUMATOID FACTOR QUAN 38.16 38.16 26.99 5.10 6.46 5.67 11.82 5.25 11.82 5.25 5.67 5.67 12.88 5.67 5.25 5.67 11.82 5.25 11.82 5.67 6.81 8.51 11.82 5.25 11.82 5.25 5.67 5.67 26.99 11.99 11.99 11.99 5.39 11.82 5.25 11.82 5.25 5.67 5.67 5.67 8.00 6.24 5.25 11.82 5.25 5.67 5.25 5.25 5.25 5.67 5.25 26.71 5.67 11.82 5.25 5.25 5.25 5.67 11.82 5.67 5.67 5.25 11.82 5.25 11.82 5.25 5.10 302000197 302 86480 QUANTIFERON (R) TB GOLD 228.96 228.96 160.27 42.91 70.66 61.98 113.63 50.50 113.63 50.50 61.98 61.98 143.89 61.98 50.50 61.98 113.63 50.50 113.63 61.98 74.43 93.03 113.63 50.50 113.63 50.50 61.98 61.98 96.55 42.91 42.91 42.91 58.88 113.63 50.50 113.63 50.50 61.98 61.98 61.98 86.59 68.18 50.50 113.63 50.50 61.98 50.50 50.50 50.50 61.98 50.50 160.27 61.98 113.63 50.50 50.50 50.50 61.98 113.63 61.98 61.98 50.50 113.63 50.50 113.63 50.50 55.78 362002001 300 86580 IM PPD - TB SKIN TEST 66.78 66.78 46.75 3.03 13.93 34.43 6.82 3.03 6.82 3.03 34.43 34.43 12.34 34.43 3.03 34.43 6.82 3.03 6.82 34.43 14.67 18.34 6.82 3.03 6.82 3.03 34.43 34.43 26.99 11.99 11.99 11.99 11.61 6.82 3.03 6.82 3.03 34.43 34.43 34.43 14.00 43.41 3.03 6.82 3.03 34.43 3.03 3.03 3.03 34.43 3.03 46.75 34.43 6.82 3.03 3.03 3.03 34.43 6.82 34.43 34.43 3.03 6.82 3.03 6.82 3.03 11.00 362002401 300 86580 FP PPD - TB SKIN TEST 66.78 66.78 46.75 3.03 13.93 34.43 6.82 3.03 6.82 3.03 34.43 34.43 12.34 34.43 3.03 34.43 6.82 3.03 6.82 34.43 14.67 18.34 6.82 3.03 6.82 3.03 34.43 34.43 26.99 11.99 11.99 11.99 11.61 6.82 3.03 6.82 3.03 34.43 34.43 34.43 14.00 43.41 3.03 6.82 3.03 34.43 3.03 3.03 3.03 34.43 3.03 46.75 34.43 6.82 3.03 3.03 3.03 34.43 6.82 34.43 34.43 3.03 6.82 3.03 6.82 3.03 11.00 362500101 300 86580 OB/GYN PPD - TB SKIN TEST 66.78 66.78 46.75 3.03 13.93 34.43 6.82 3.03 6.82 3.03 34.43 34.43 12.34 34.43 3.03 34.43 6.82 3.03 6.82 34.43 14.67 18.34 6.82 3.03 6.82 3.03 34.43 34.43 26.99 11.99 11.99 11.99 11.61 6.82 3.03 6.82 3.03 34.43 34.43 34.43 14.00 43.41 3.03 6.82 3.03 34.43 3.03 3.03 3.03 34.43 3.03 46.75 34.43 6.82 3.03 3.03 3.03 34.43 6.82 34.43 34.43 3.03 6.82 3.03 6.82 3.03 11.00 362600201 300 86580 PEDS PPD - TB SKIN TEST 66.78 66.78 46.75 3.03 13.93 34.43 6.82 3.03 6.82 3.03 34.43 34.43 12.34 34.43 3.03 34.43 6.82 3.03 6.82 34.43 14.67 18.34 6.82 3.03 6.82 3.03 34.43 34.43 26.99 11.99 11.99 11.99 11.61 6.82 3.03 6.82 3.03 34.43 34.43 34.43 14.00 43.41 3.03 6.82 3.03 34.43 3.03 3.03 3.03 34.43 3.03 46.75 34.43 6.82 3.03 3.03 3.03 34.43 6.82 34.43 34.43 3.03 6.82 3.03 6.82 3.03 11.00 302000055 302 86592 VDRL 34.98 34.98 26.99 3.30 4.87 4.27 7.43 3.30 7.43 3.30 4.27 4.27 10.08 4.27 3.30 4.27 7.43 3.30 7.43 4.27 5.13 6.41 7.43 3.30 7.43 3.30 4.27 4.27 26.99 11.99 11.99 11.99 4.06 7.43 3.30 7.43 3.30 4.27 4.27 4.27 6.00 4.70 3.30 7.43 3.30 4.27 3.30 3.30 3.30 4.27 3.30 24.49 4.27 7.43 3.30 3.30 3.30 4.27 7.43 4.27 4.27 3.30 7.43 3.30 7.43 3.30 3.84 302000057 302 86592 SYPHILIS TEST 34.98 34.98 26.99 3.30 4.87 4.27 7.43 3.30 7.43 3.30 4.27 4.27 10.08 4.27 3.30 4.27 7.43 3.30 7.43 4.27 5.13 6.41 7.43 3.30 7.43 3.30 4.27 4.27 26.99 11.99 11.99 11.99 4.06 7.43 3.30 7.43 3.30 4.27 4.27 4.27 6.00 4.70 3.30 7.43 3.30 4.27 3.30 3.30 3.30 4.27 3.30 24.49 4.27 7.43 3.30 3.30 3.30 4.27 7.43 4.27 4.27 3.30 7.43 3.30 7.43 3.30 3.84 302000056 302 86593 SYPHILIS TEST QUANT 30.74 30.74 26.99 3.74 5.02 4.40 8.41 3.74 8.41 3.74 4.40 4.40 10.08 4.40 3.74 4.40 8.41 3.74 8.41 4.40 5.28 6.60 8.41 3.74 8.41 3.74 4.40 4.40 26.99 11.99 11.99 11.99 4.18 8.41 3.74 8.41 3.74 4.40 4.40 4.40 7.00 4.84 3.74 8.41 3.74 4.40 3.74 3.74 3.74 4.40 3.74 21.52 4.40 8.41 3.74 3.74 3.74 4.40 8.41 4.40 4.40 3.74 8.41 3.74 8.41 3.74 3.96 302000058 302 86603 AB ADENOVIRUS 38.16 38.16 29.67 8.11 14.67 12.87 18.25 8.11 18.25 8.11 12.87 12.87 29.67 12.87 8.11 12.87 18.25 8.11 18.25 12.87 15.45 19.32 18.25 8.11 18.25 8.11 12.87 12.87 26.99 11.99 11.99 11.99 12.23 18.25 8.11 18.25 8.11 12.87 12.87 12.87 9.00 14.16 8.11 18.25 8.11 12.87 8.11 8.11 8.11 12.87 8.11 26.71 12.87 18.25 8.11 8.11 8.11 12.87 18.25 12.87 12.87 8.11 18.25 8.11 18.25 8.11 11.58 302000059 302 86606 AB ASPERGILLUS 75.26 75.26 52.68 8.11 17.16 15.05 18.25 8.11 18.25 8.11 15.05 15.05 34.71 15.05 8.11 15.05 18.25 8.11 18.25 15.05 18.07 22.59 18.25 8.11 18.25 8.11 15.05 15.05 26.99 11.99 11.99 11.99 14.30 18.25 8.11 18.25 8.11 15.05 15.05 15.05 9.00 16.56 8.11 18.25 8.11 15.05 8.11 8.11 8.11 15.05 8.11 52.68 15.05 18.25 8.11 8.11 8.11 15.05 18.25 15.05 15.05 8.11 18.25 8.11 18.25 8.11 13.55 353005155 302 86606 ASP FLAVUS AB 75.26 75.26 52.68 8.11 17.16 15.05 18.25 8.11 18.25 8.11 15.05 15.05 34.71 15.05 8.11 15.05 18.25 8.11 18.25 15.05 18.07 22.59 18.25 8.11 18.25 8.11 15.05 15.05 26.99 11.99 11.99 11.99 14.30 18.25 8.11 18.25 8.11 15.05 15.05 15.05 9.00 16.56 8.11 18.25 8.11 15.05 8.11 8.11 8.11 15.05 8.11 52.68 15.05 18.25 8.11 8.11 8.11 15.05 18.25 15.05 15.05 8.11 18.25 8.11 18.25 8.11 13.55 353005156 302 86606 ASPERGILLUS NIGER AB 75.26 75.26 52.68 8.11 17.16 15.05 18.25 8.11 18.25 8.11 15.05 15.05 34.71 15.05 8.11 15.05 18.25 8.11 18.25 15.05 18.07 22.59 18.25 8.11 18.25 8.11 15.05 15.05 26.99 11.99 11.99 11.99 14.30 18.25 8.11 18.25 8.11 15.05 15.05 15.05 9.00 16.56 8.11 18.25 8.11 15.05 8.11 8.11 8.11 15.05 8.11 52.68 15.05 18.25 8.11 8.11 8.11 15.05 18.25 15.05 15.05 8.11 18.25 8.11 18.25 8.11 13.55 353005157 302 86606 ASPERGILLUS FUMIGATUS AB 75.26 75.26 52.68 8.11 17.16 15.05 18.25 8.11 18.25 8.11 15.05 15.05 34.71 15.05 8.11 15.05 18.25 8.11 18.25 15.05 18.07 22.59 18.25 8.11 18.25 8.11 15.05 15.05 26.99 11.99 11.99 11.99 14.30 18.25 8.11 18.25 8.11 15.05 15.05 15.05 9.00 16.56 8.11 18.25 8.11 15.05 8.11 8.11 8.11 15.05 8.11 52.68 15.05 18.25 8.11 8.11 8.11 15.05 18.25 15.05 15.05 8.11 18.25 8.11 18.25 8.11 13.55 300000022 300 86611 "BARTONELLA, AB (IGG,IGM W/RFL" 291.50 291.50 204.05 8.11 11.61 10.18 18.25 8.11 18.25 8.11 10.18 10.18 23.52 10.18 8.11 10.18 18.25 8.11 18.25 10.18 12.22 15.28 18.25 8.11 18.25 8.11 10.18 10.18 26.99 11.99 11.99 11.99 9.67 18.25 8.11 18.25 8.11 10.18 10.18 10.18 20.00 11.20 8.11 18.25 8.11 10.18 8.11 8.11 8.11 10.18 8.11 204.05 10.18 18.25 8.11 8.11 8.11 10.18 18.25 10.18 10.18 8.11 18.25 8.11 18.25 8.11 9.16 302000117 302 86617 LYME DISEASE AB IGG M WB 45.58 45.58 35.83 11.99 17.66 15.49 34.85 15.49 34.85 15.49 15.49 15.49 35.83 15.49 15.49 15.49 34.85 15.49 34.85 15.49 18.60 23.25 34.85 15.49 34.85 15.49 15.49 15.49 26.99 11.99 11.99 11.99 14.72 34.85 15.49 34.85 15.49 15.49 15.49 15.49 22.00 17.04 15.49 34.85 15.49 15.49 15.49 15.49 15.49 15.49 15.49 31.91 15.49 34.85 15.49 15.49 15.49 15.49 34.85 15.49 15.49 15.49 34.85 15.49 34.85 15.49 13.94 302000034 302 86618 LYME DIS ABS CSF 119.78 119.78 83.85 11.99 19.41 17.03 38.32 17.03 38.32 17.03 17.03 17.03 39.75 17.03 17.03 17.03 38.32 17.03 38.32 17.03 20.45 25.56 38.32 17.03 38.32 17.03 17.03 17.03 26.99 11.99 11.99 11.99 16.18 38.32 17.03 38.32 17.03 17.03 17.03 17.03 24.00 18.73 17.03 38.32 17.03 17.03 17.03 17.03 17.03 17.03 17.03 83.85 17.03 38.32 17.03 17.03 17.03 17.03 38.32 17.03 17.03 17.03 38.32 17.03 38.32 17.03 15.33 302000060 302 86618 BORRELIA BURG (LYME) 119.78 119.78 83.85 11.99 19.41 17.03 38.32 17.03 38.32 17.03 17.03 17.03 39.75 17.03 17.03 17.03 38.32 17.03 38.32 17.03 20.45 25.56 38.32 17.03 38.32 17.03 17.03 17.03 26.99 11.99 11.99 11.99 16.18 38.32 17.03 38.32 17.03 17.03 17.03 17.03 24.00 18.73 17.03 38.32 17.03 17.03 17.03 17.03 17.03 17.03 17.03 83.85 17.03 38.32 17.03 17.03 17.03 17.03 38.32 17.03 17.03 17.03 38.32 17.03 38.32 17.03 15.33 302000061 302 86622 BRUCELLA 43.46 43.46 30.42 8.04 10.18 8.93 18.25 8.11 18.25 8.11 8.93 8.93 20.72 8.93 8.11 8.93 18.25 8.11 18.25 8.93 10.72 13.40 18.25 8.11 18.25 8.11 8.93 8.93 26.99 11.99 11.99 11.99 8.48 18.25 8.11 18.25 8.11 8.93 8.93 8.93 9.00 9.82 8.11 18.25 8.11 8.93 8.11 8.11 8.11 8.93 8.11 30.42 8.93 18.25 8.11 8.11 8.11 8.93 18.25 8.93 8.93 8.11 18.25 8.11 18.25 8.11 8.04 302000062 302 86628 CANDIDA AB 43.46 43.46 30.42 9.00 13.69 12.01 29.03 12.90 29.03 12.90 12.01 12.01 27.99 12.01 12.90 12.01 29.03 12.90 29.03 12.01 14.42 18.03 29.03 12.90 29.03 12.90 12.01 12.01 26.99 11.99 11.99 11.99 11.41 29.03 12.90 29.03 12.90 12.01 12.01 12.01 9.00 13.21 12.90 29.03 12.90 12.01 12.90 12.90 12.90 12.01 12.90 30.42 12.01 29.03 12.90 12.90 12.90 12.01 29.03 12.01 12.01 12.90 29.03 12.90 29.03 12.90 10.81 302000063 302 86631 CHLAMYDIA AB 59.36 59.36 41.55 8.11 13.47 11.82 18.25 8.11 18.25 8.11 11.82 11.82 27.44 11.82 8.11 11.82 18.25 8.11 18.25 11.82 14.19 17.74 18.25 8.11 18.25 8.11 11.82 11.82 26.99 11.99 11.99 11.99 11.23 18.25 8.11 18.25 8.11 11.82 11.82 11.82 9.00 13.00 8.11 18.25 8.11 11.82 8.11 8.11 8.11 11.82 8.11 41.55 11.82 18.25 8.11 8.11 8.11 11.82 18.25 11.82 11.82 8.11 18.25 8.11 18.25 8.11 10.64 302000199 302 86631 CHLAMYDIA/CHLAMYDO P1 IGG 59.36 59.36 41.55 8.11 13.47 11.82 18.25 8.11 18.25 8.11 11.82 11.82 27.44 11.82 8.11 11.82 18.25 8.11 18.25 11.82 14.19 17.74 18.25 8.11 18.25 8.11 11.82 11.82 26.99 11.99 11.99 11.99 11.23 18.25 8.11 18.25 8.11 11.82 11.82 11.82 9.00 13.00 8.11 18.25 8.11 11.82 8.11 8.11 8.11 11.82 8.11 41.55 11.82 18.25 8.11 8.11 8.11 11.82 18.25 11.82 11.82 8.11 18.25 8.11 18.25 8.11 10.64 353005053 302 86631 CHLAMYDIA PNEUMONIAE IgM 59.36 59.36 41.55 8.11 13.47 11.82 18.25 8.11 18.25 8.11 11.82 11.82 27.44 11.82 8.11 11.82 18.25 8.11 18.25 11.82 14.19 17.74 18.25 8.11 18.25 8.11 11.82 11.82 26.99 11.99 11.99 11.99 11.23 18.25 8.11 18.25 8.11 11.82 11.82 11.82 9.00 13.00 8.11 18.25 8.11 11.82 8.11 8.11 8.11 11.82 8.11 41.55 11.82 18.25 8.11 8.11 8.11 11.82 18.25 11.82 11.82 8.11 18.25 8.11 18.25 8.11 10.64 353005054 302 86631 CHLAMYDIA PNEUMONIAE IgG 59.36 59.36 41.55 8.11 13.47 11.82 18.25 8.11 18.25 8.11 11.82 11.82 27.44 11.82 8.11 11.82 18.25 8.11 18.25 11.82 14.19 17.74 18.25 8.11 18.25 8.11 11.82 11.82 26.99 11.99 11.99 11.99 11.23 18.25 8.11 18.25 8.11 11.82 11.82 11.82 9.00 13.00 8.11 18.25 8.11 11.82 8.11 8.11 8.11 11.82 8.11 41.55 11.82 18.25 8.11 8.11 8.11 11.82 18.25 11.82 11.82 8.11 18.25 8.11 18.25 8.11 10.64 353005055 302 86631 CHLAMYDIA PNEUMONIAE IgA 59.36 59.36 41.55 8.11 13.47 11.82 18.25 8.11 18.25 8.11 11.82 11.82 27.44 11.82 8.11 11.82 18.25 8.11 18.25 11.82 14.19 17.74 18.25 8.11 18.25 8.11 11.82 11.82 26.99 11.99 11.99 11.99 11.23 18.25 8.11 18.25 8.11 11.82 11.82 11.82 9.00 13.00 8.11 18.25 8.11 11.82 8.11 8.11 8.11 11.82 8.11 41.55 11.82 18.25 8.11 8.11 8.11 11.82 18.25 11.82 11.82 8.11 18.25 8.11 18.25 8.11 10.64 302000064 302 86638 COXIELLA BRUNETII (Q FEVER) 43.46 43.46 30.42 8.11 13.82 12.12 18.25 8.11 18.25 8.11 12.12 12.12 27.99 12.12 8.11 12.12 18.25 8.11 18.25 12.12 14.55 18.19 18.25 8.11 18.25 8.11 12.12 12.12 26.99 11.99 11.99 11.99 11.51 18.25 8.11 18.25 8.11 12.12 12.12 12.12 9.00 13.33 8.11 18.25 8.11 12.12 8.11 8.11 8.11 12.12 8.11 30.42 12.12 18.25 8.11 8.11 8.11 12.12 18.25 12.12 12.12 8.11 18.25 8.11 18.25 8.11 10.91 302000044 302 86641 CRYTOCOCCAL AG BL 91.16 91.16 63.81 8.11 16.43 14.41 18.25 8.11 18.25 8.11 14.41 14.41 33.59 14.41 8.11 14.41 18.25 8.11 18.25 14.41 17.30 21.63 18.25 8.11 18.25 8.11 14.41 14.41 26.99 11.99 11.99 11.99 13.69 18.25 8.11 18.25 8.11 14.41 14.41 14.41 9.00 15.85 8.11 18.25 8.11 14.41 8.11 8.11 8.11 14.41 8.11 63.81 14.41 18.25 8.11 8.11 8.11 14.41 18.25 14.41 14.41 8.11 18.25 8.11 18.25 8.11 12.97 302000065 302 86641 CRYTOCOCCAL AG CSF 91.16 91.16 63.81 8.11 16.43 14.41 18.25 8.11 18.25 8.11 14.41 14.41 33.59 14.41 8.11 14.41 18.25 8.11 18.25 14.41 17.30 21.63 18.25 8.11 18.25 8.11 14.41 14.41 26.99 11.99 11.99 11.99 13.69 18.25 8.11 18.25 8.11 14.41 14.41 14.41 9.00 15.85 8.11 18.25 8.11 14.41 8.11 8.11 8.11 14.41 8.11 63.81 14.41 18.25 8.11 8.11 8.11 14.41 18.25 14.41 14.41 8.11 18.25 8.11 18.25 8.11 12.97 302000066 302 86644 CMV IGG ABS SERUM 99.64 99.64 69.75 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 69.75 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 302000067 302 86645 CMV IGM 157.94 157.94 110.56 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 39.20 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 110.56 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 302000113 302 86645 TORCH CMV AB IGM 157.94 157.94 110.56 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 39.20 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 110.56 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 302000068 302 86648 DIPHTHERIA 133.56 133.56 93.49 9.00 17.34 15.21 29.03 12.90 29.03 12.90 15.21 15.21 35.28 15.21 12.90 15.21 29.03 12.90 29.03 15.21 18.26 22.83 29.03 12.90 29.03 12.90 15.21 15.21 26.99 11.99 11.99 11.99 14.45 29.03 12.90 29.03 12.90 15.21 15.21 15.21 9.00 16.73 12.90 29.03 12.90 15.21 12.90 12.90 12.90 15.21 12.90 93.49 15.21 29.03 12.90 12.90 12.90 15.21 29.03 15.21 15.21 12.90 29.03 12.90 29.03 12.90 13.69 302000112 302 86658 COXSACKIE A AB SERUM 98.58 98.58 69.01 8.11 14.85 13.03 18.25 8.11 18.25 8.11 13.03 13.03 30.24 13.03 8.11 13.03 18.25 8.11 18.25 13.03 15.65 19.56 18.25 8.11 18.25 8.11 13.03 13.03 26.99 11.99 11.99 11.99 12.38 18.25 8.11 18.25 8.11 13.03 13.03 13.03 9.00 14.33 8.11 18.25 8.11 13.03 8.11 8.11 8.11 13.03 8.11 69.01 13.03 18.25 8.11 8.11 8.11 13.03 18.25 13.03 13.03 8.11 18.25 8.11 18.25 8.11 11.73 353005145 302 86658 COXSACKIE A2 AB 98.58 98.58 69.01 8.11 14.85 13.03 18.25 8.11 18.25 8.11 13.03 13.03 30.24 13.03 8.11 13.03 18.25 8.11 18.25 13.03 15.65 19.56 18.25 8.11 18.25 8.11 13.03 13.03 26.99 11.99 11.99 11.99 12.38 18.25 8.11 18.25 8.11 13.03 13.03 13.03 9.00 14.33 8.11 18.25 8.11 13.03 8.11 8.11 8.11 13.03 8.11 69.01 13.03 18.25 8.11 8.11 8.11 13.03 18.25 13.03 13.03 8.11 18.25 8.11 18.25 8.11 11.73 353005146 302 86658 COXSACKIE A4 AB 98.58 98.58 69.01 8.11 14.85 13.03 18.25 8.11 18.25 8.11 13.03 13.03 30.24 13.03 8.11 13.03 18.25 8.11 18.25 13.03 15.65 19.56 18.25 8.11 18.25 8.11 13.03 13.03 26.99 11.99 11.99 11.99 12.38 18.25 8.11 18.25 8.11 13.03 13.03 13.03 9.00 14.33 8.11 18.25 8.11 13.03 8.11 8.11 8.11 13.03 8.11 69.01 13.03 18.25 8.11 8.11 8.11 13.03 18.25 13.03 13.03 8.11 18.25 8.11 18.25 8.11 11.73 353005147 302 86658 COXSACKIE A7 AB 98.58 98.58 69.01 8.11 14.85 13.03 18.25 8.11 18.25 8.11 13.03 13.03 30.24 13.03 8.11 13.03 18.25 8.11 18.25 13.03 15.65 19.56 18.25 8.11 18.25 8.11 13.03 13.03 26.99 11.99 11.99 11.99 12.38 18.25 8.11 18.25 8.11 13.03 13.03 13.03 9.00 14.33 8.11 18.25 8.11 13.03 8.11 8.11 8.11 13.03 8.11 69.01 13.03 18.25 8.11 8.11 8.11 13.03 18.25 13.03 13.03 8.11 18.25 8.11 18.25 8.11 11.73 353005148 302 86658 COXSACKIE A9 AB 98.58 98.58 69.01 8.11 14.85 13.03 18.25 8.11 18.25 8.11 13.03 13.03 30.24 13.03 8.11 13.03 18.25 8.11 18.25 13.03 15.65 19.56 18.25 8.11 18.25 8.11 13.03 13.03 26.99 11.99 11.99 11.99 12.38 18.25 8.11 18.25 8.11 13.03 13.03 13.03 9.00 14.33 8.11 18.25 8.11 13.03 8.11 8.11 8.11 13.03 8.11 69.01 13.03 18.25 8.11 8.11 8.11 13.03 18.25 13.03 13.03 8.11 18.25 8.11 18.25 8.11 11.73 353005149 302 86658 COXSACKIE A10 AB 98.58 98.58 69.01 8.11 14.85 13.03 18.25 8.11 18.25 8.11 13.03 13.03 30.24 13.03 8.11 13.03 18.25 8.11 18.25 13.03 15.65 19.56 18.25 8.11 18.25 8.11 13.03 13.03 26.99 11.99 11.99 11.99 12.38 18.25 8.11 18.25 8.11 13.03 13.03 13.03 9.00 14.33 8.11 18.25 8.11 13.03 8.11 8.11 8.11 13.03 8.11 69.01 13.03 18.25 8.11 8.11 8.11 13.03 18.25 13.03 13.03 8.11 18.25 8.11 18.25 8.11 11.73 353005150 302 86658 COXSACKIE A16 AB 98.58 98.58 69.01 8.11 14.85 13.03 18.25 8.11 18.25 8.11 13.03 13.03 30.24 13.03 8.11 13.03 18.25 8.11 18.25 13.03 15.65 19.56 18.25 8.11 18.25 8.11 13.03 13.03 26.99 11.99 11.99 11.99 12.38 18.25 8.11 18.25 8.11 13.03 13.03 13.03 9.00 14.33 8.11 18.25 8.11 13.03 8.11 8.11 8.11 13.03 8.11 69.01 13.03 18.25 8.11 8.11 8.11 13.03 18.25 13.03 13.03 8.11 18.25 8.11 18.25 8.11 11.73 353005353 302 86658 COXSACKIE B ANTIBODIES 98.58 98.58 69.01 8.11 14.85 13.03 18.25 8.11 18.25 8.11 13.03 13.03 30.24 13.03 8.11 13.03 18.25 8.11 18.25 13.03 15.65 19.56 18.25 8.11 18.25 8.11 13.03 13.03 26.99 11.99 11.99 11.99 12.38 18.25 8.11 18.25 8.11 13.03 13.03 13.03 9.00 14.33 8.11 18.25 8.11 13.03 8.11 8.11 8.11 13.03 8.11 69.01 13.03 18.25 8.11 8.11 8.11 13.03 18.25 13.03 13.03 8.11 18.25 8.11 18.25 8.11 11.73 302000031 302 86663 EPSTEIN BARR ABS 224.72 224.72 157.30 11.81 14.96 13.12 29.52 13.12 29.52 13.12 13.12 13.12 30.24 13.12 13.12 13.12 29.52 13.12 29.52 13.12 15.75 19.69 29.52 13.12 29.52 13.12 13.12 13.12 26.99 11.99 11.99 11.99 12.46 29.52 13.12 29.52 13.12 13.12 13.12 13.12 19.00 14.43 13.12 29.52 13.12 13.12 13.12 13.12 13.12 13.12 13.12 157.30 13.12 29.52 13.12 13.12 13.12 13.12 29.52 13.12 13.12 13.12 29.52 13.12 29.52 13.12 11.81 302000135 302 86664 EBV NUCLEAR AG(EBNA)(IGG) 126.14 126.14 88.30 11.99 17.43 15.29 34.40 15.29 34.40 15.29 15.29 15.29 35.28 15.29 15.29 15.29 34.40 15.29 34.40 15.29 18.36 22.95 34.40 15.29 34.40 15.29 15.29 15.29 26.99 11.99 11.99 11.99 14.53 34.40 15.29 34.40 15.29 15.29 15.29 15.29 22.00 16.82 15.29 34.40 15.29 15.29 15.29 15.29 15.29 15.29 15.29 88.30 15.29 34.40 15.29 15.29 15.29 15.29 34.40 15.29 15.29 15.29 34.40 15.29 34.40 15.29 13.76 302000118 302 86665 EPSTEIN BARR VIRUS AB PNL 241.68 241.68 169.18 11.99 20.68 18.14 40.82 18.14 40.82 18.14 18.14 18.14 42.00 18.14 18.14 18.14 40.82 18.14 40.82 18.14 21.78 27.23 40.82 18.14 40.82 18.14 18.14 18.14 26.99 11.99 11.99 11.99 17.23 40.82 18.14 40.82 18.14 18.14 18.14 18.14 26.00 19.95 18.14 40.82 18.14 18.14 18.14 18.14 18.14 18.14 18.14 169.18 18.14 40.82 18.14 18.14 18.14 18.14 40.82 18.14 18.14 18.14 40.82 18.14 40.82 18.14 16.33 302000136 302 86665 EPSTEIN BARR VCA AB IGM 241.68 241.68 169.18 11.99 20.68 18.14 40.82 18.14 40.82 18.14 18.14 18.14 42.00 18.14 18.14 18.14 40.82 18.14 40.82 18.14 21.78 27.23 40.82 18.14 40.82 18.14 18.14 18.14 26.99 11.99 11.99 11.99 17.23 40.82 18.14 40.82 18.14 18.14 18.14 18.14 26.00 19.95 18.14 40.82 18.14 18.14 18.14 18.14 18.14 18.14 18.14 169.18 18.14 40.82 18.14 18.14 18.14 18.14 40.82 18.14 18.14 18.14 40.82 18.14 40.82 18.14 16.33 302000137 302 86665 EPSTEIN - BARR VCA AB IGG 241.68 241.68 169.18 11.99 20.68 18.14 40.82 18.14 40.82 18.14 18.14 18.14 42.00 18.14 18.14 18.14 40.82 18.14 40.82 18.14 21.78 27.23 40.82 18.14 40.82 18.14 18.14 18.14 26.99 11.99 11.99 11.99 17.23 40.82 18.14 40.82 18.14 18.14 18.14 18.14 26.00 19.95 18.14 40.82 18.14 18.14 18.14 18.14 18.14 18.14 18.14 169.18 18.14 40.82 18.14 18.14 18.14 18.14 40.82 18.14 18.14 18.14 40.82 18.14 40.82 18.14 16.33 302000106 302 86671 S.CEREVISIAE AB ASCA LGG 243.80 243.80 170.66 0.00 13.97 12.25 0.00 0.00 0.00 0.00 12.25 12.25 28.56 12.25 0.00 12.25 0.00 0.00 0.00 12.25 14.71 18.39 0.00 0.00 0.00 0.00 12.25 12.25 26.99 11.99 11.99 11.99 11.64 0.00 0.00 0.00 0.00 12.25 12.25 12.25 8.00 13.48 0.00 0.00 0.00 12.25 0.00 0.00 0.00 12.25 0.00 170.66 12.25 0.00 0.00 0.00 0.00 12.25 0.00 12.25 12.25 0.00 0.00 0.00 0.00 0.00 11.03 302000133 302 86671 IBD DIFFERENTIATION PANEL 1128.90 1128.90 790.23 0.00 13.97 12.25 0.00 0.00 0.00 0.00 12.25 12.25 28.56 12.25 0.00 12.25 0.00 0.00 0.00 12.25 14.71 18.39 0.00 0.00 0.00 0.00 12.25 12.25 26.99 11.99 11.99 11.99 11.64 0.00 0.00 0.00 0.00 12.25 12.25 12.25 8.00 13.48 0.00 0.00 0.00 12.25 0.00 0.00 0.00 12.25 0.00 790.23 12.25 0.00 0.00 0.00 0.00 12.25 0.00 12.25 12.25 0.00 0.00 0.00 0.00 0.00 11.03 353005217 302 86671 ASCA IGG 243.80 243.80 170.66 0.00 13.97 12.25 0.00 0.00 0.00 0.00 12.25 12.25 28.56 12.25 0.00 12.25 0.00 0.00 0.00 12.25 14.71 18.39 0.00 0.00 0.00 0.00 12.25 12.25 26.99 11.99 11.99 11.99 11.64 0.00 0.00 0.00 0.00 12.25 12.25 12.25 8.00 13.48 0.00 0.00 0.00 12.25 0.00 0.00 0.00 12.25 0.00 170.66 12.25 0.00 0.00 0.00 0.00 12.25 0.00 12.25 12.25 0.00 0.00 0.00 0.00 0.00 11.03 353005218 302 86671 ASCA IGA 243.80 243.80 170.66 0.00 13.97 12.25 0.00 0.00 0.00 0.00 12.25 12.25 28.56 12.25 0.00 12.25 0.00 0.00 0.00 12.25 14.71 18.39 0.00 0.00 0.00 0.00 12.25 12.25 26.99 11.99 11.99 11.99 11.64 0.00 0.00 0.00 0.00 12.25 12.25 12.25 8.00 13.48 0.00 0.00 0.00 12.25 0.00 0.00 0.00 12.25 0.00 170.66 12.25 0.00 0.00 0.00 0.00 12.25 0.00 12.25 12.25 0.00 0.00 0.00 0.00 0.00 11.03 302000100 302 86677 HELICOBACTER PYLORI IGG AB 159.00 159.00 111.30 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 33.59 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 111.30 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 302000123 302 86677 H PYLORI AB IGM 159.00 159.00 111.30 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 33.59 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 111.30 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 302000186 302 86677 "H PYLORI AB (IGG,A)" 159.00 159.00 111.30 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 33.59 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 111.30 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 302000187 302 86677 H. PYLORI AB (IGA) 159.00 159.00 111.30 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 33.59 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 111.30 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 353005083 302 86677 "H.PYLORI AG DET,EIA,STL" 159.00 159.00 111.30 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 33.59 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 111.30 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 353005091 302 86677 H.PYLORI AB (IGM) TEST 159.00 159.00 111.30 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 33.59 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 111.30 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 353005208 302 86677 H. PYLORI AB (IGA) 159.00 159.00 111.30 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 33.59 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 9.00 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 111.30 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 302000042 302 86682 CYSTICEROSIS 305.28 305.28 213.70 0.00 14.83 13.01 0.00 0.00 0.00 0.00 13.01 13.01 30.24 13.01 0.00 13.01 0.00 0.00 0.00 13.01 15.62 19.53 0.00 0.00 0.00 0.00 13.01 13.01 26.99 11.99 11.99 11.99 12.36 0.00 0.00 0.00 0.00 13.01 13.01 13.01 9.00 14.31 0.00 0.00 0.00 13.01 0.00 0.00 0.00 13.01 0.00 213.70 13.01 0.00 0.00 0.00 0.00 13.01 0.00 13.01 13.01 0.00 0.00 0.00 0.00 0.00 11.71 302000107 302 86682 CYSTICERUS IGG AB-WESTERN BLOT 305.28 305.28 213.70 0.00 14.83 13.01 0.00 0.00 0.00 0.00 13.01 13.01 30.24 13.01 0.00 13.01 0.00 0.00 0.00 13.01 15.62 19.53 0.00 0.00 0.00 0.00 13.01 13.01 26.99 11.99 11.99 11.99 12.36 0.00 0.00 0.00 0.00 13.01 13.01 13.01 9.00 14.31 0.00 0.00 0.00 13.01 0.00 0.00 0.00 13.01 0.00 213.70 13.01 0.00 0.00 0.00 0.00 13.01 0.00 13.01 13.01 0.00 0.00 0.00 0.00 0.00 11.71 353005009 302 86682 "CYSTICERCUS AB, (CSF)" 305.28 305.28 213.70 0.00 14.83 13.01 0.00 0.00 0.00 0.00 13.01 13.01 30.24 13.01 0.00 13.01 0.00 0.00 0.00 13.01 15.62 19.53 0.00 0.00 0.00 0.00 13.01 13.01 26.99 11.99 11.99 11.99 12.36 0.00 0.00 0.00 0.00 13.01 13.01 13.01 9.00 14.31 0.00 0.00 0.00 13.01 0.00 0.00 0.00 13.01 0.00 213.70 13.01 0.00 0.00 0.00 0.00 13.01 0.00 13.01 13.01 0.00 0.00 0.00 0.00 0.00 11.71 353005052 302 86682 "CYSTICERCUS IGG AB, WB" 305.28 305.28 213.70 0.00 14.83 13.01 0.00 0.00 0.00 0.00 13.01 13.01 30.24 13.01 0.00 13.01 0.00 0.00 0.00 13.01 15.62 19.53 0.00 0.00 0.00 0.00 13.01 13.01 26.99 11.99 11.99 11.99 12.36 0.00 0.00 0.00 0.00 13.01 13.01 13.01 9.00 14.31 0.00 0.00 0.00 13.01 0.00 0.00 0.00 13.01 0.00 213.70 13.01 0.00 0.00 0.00 0.00 13.01 0.00 13.01 13.01 0.00 0.00 0.00 0.00 0.00 11.71 353005166 302 86682 STRONGLYLOIDES AB (IGG) 305.28 305.28 213.70 0.00 14.83 13.01 0.00 0.00 0.00 0.00 13.01 13.01 30.24 13.01 0.00 13.01 0.00 0.00 0.00 13.01 15.62 19.53 0.00 0.00 0.00 0.00 13.01 13.01 26.99 11.99 11.99 11.99 12.36 0.00 0.00 0.00 0.00 13.01 13.01 13.01 9.00 14.31 0.00 0.00 0.00 13.01 0.00 0.00 0.00 13.01 0.00 213.70 13.01 0.00 0.00 0.00 0.00 13.01 0.00 13.01 13.01 0.00 0.00 0.00 0.00 0.00 11.71 302000069 302 86689 VIRAL AB BY WBA 135.68 135.68 94.98 11.99 22.06 19.35 43.54 19.35 43.54 19.35 19.35 19.35 44.79 19.35 19.35 19.35 43.54 19.35 43.54 19.35 23.24 29.04 43.54 19.35 43.54 19.35 19.35 19.35 26.99 11.99 11.99 11.99 18.38 43.54 19.35 43.54 19.35 19.35 19.35 19.35 27.00 21.29 19.35 43.54 19.35 19.35 19.35 19.35 19.35 19.35 19.35 94.98 19.35 43.54 19.35 19.35 19.35 19.35 43.54 19.35 19.35 19.35 43.54 19.35 43.54 19.35 17.42 353005373 302 86689 HIV-1 WESTERN BLOT CONFIRMATIO 135.68 135.68 94.98 11.99 22.06 19.35 43.54 19.35 43.54 19.35 19.35 19.35 44.79 19.35 19.35 19.35 43.54 19.35 43.54 19.35 23.24 29.04 43.54 19.35 43.54 19.35 19.35 19.35 26.99 11.99 11.99 11.99 18.38 43.54 19.35 43.54 19.35 19.35 19.35 19.35 27.00 21.29 19.35 43.54 19.35 19.35 19.35 19.35 19.35 19.35 19.35 94.98 19.35 43.54 19.35 19.35 19.35 19.35 43.54 19.35 19.35 19.35 43.54 19.35 43.54 19.35 17.42 353005337 302 86692 HEPATITIS DELTA ANTIBODIES 61.48 61.48 43.04 11.99 19.56 17.16 38.61 17.16 38.61 17.16 17.16 17.16 39.75 17.16 17.16 17.16 38.61 17.16 38.61 17.16 20.61 25.76 38.61 17.16 38.61 17.16 17.16 17.16 26.99 11.99 11.99 11.99 16.30 38.61 17.16 38.61 17.16 17.16 17.16 17.16 24.00 18.88 17.16 38.61 17.16 17.16 17.16 17.16 17.16 17.16 17.16 43.04 17.16 38.61 17.16 17.16 17.16 17.16 38.61 17.16 17.16 17.16 38.61 17.16 38.61 17.16 15.44 302000038 302 86694 HERPES SIMPLEX ABS 104.94 104.94 73.46 11.99 16.40 14.39 29.03 12.90 29.03 12.90 14.39 14.39 33.59 14.39 12.90 14.39 29.03 12.90 29.03 14.39 17.28 21.60 29.03 12.90 29.03 12.90 14.39 14.39 26.99 11.99 11.99 11.99 13.67 29.03 12.90 29.03 12.90 14.39 14.39 14.39 20.00 15.83 12.90 29.03 12.90 14.39 12.90 12.90 12.90 14.39 12.90 73.46 14.39 29.03 12.90 12.90 12.90 14.39 29.03 14.39 14.39 12.90 29.03 12.90 29.03 12.90 12.95 302000115 302 86694 TORCH HSV IGM AB SCREEN 104.94 104.94 73.46 11.99 16.40 14.39 29.03 12.90 29.03 12.90 14.39 14.39 33.59 14.39 12.90 14.39 29.03 12.90 29.03 14.39 17.28 21.60 29.03 12.90 29.03 12.90 14.39 14.39 26.99 11.99 11.99 11.99 13.67 29.03 12.90 29.03 12.90 14.39 14.39 14.39 20.00 15.83 12.90 29.03 12.90 14.39 12.90 12.90 12.90 14.39 12.90 73.46 14.39 29.03 12.90 12.90 12.90 14.39 29.03 14.39 14.39 12.90 29.03 12.90 29.03 12.90 12.95 353005014 302 86694 HSV IGM TITER 104.94 104.94 73.46 11.99 16.40 14.39 29.03 12.90 29.03 12.90 14.39 14.39 33.59 14.39 12.90 14.39 29.03 12.90 29.03 14.39 17.28 21.60 29.03 12.90 29.03 12.90 14.39 14.39 26.99 11.99 11.99 11.99 13.67 29.03 12.90 29.03 12.90 14.39 14.39 14.39 20.00 15.83 12.90 29.03 12.90 14.39 12.90 12.90 12.90 14.39 12.90 73.46 14.39 29.03 12.90 12.90 12.90 14.39 29.03 14.39 14.39 12.90 29.03 12.90 29.03 12.90 12.95 353005112 302 86694 HSV 2 IGG HERPESELECT AB TEST 104.94 104.94 73.46 11.99 16.40 14.39 29.03 12.90 29.03 12.90 14.39 14.39 33.59 14.39 12.90 14.39 29.03 12.90 29.03 14.39 17.28 21.60 29.03 12.90 29.03 12.90 14.39 14.39 26.99 11.99 11.99 11.99 13.67 29.03 12.90 29.03 12.90 14.39 14.39 14.39 20.00 15.83 12.90 29.03 12.90 14.39 12.90 12.90 12.90 14.39 12.90 73.46 14.39 29.03 12.90 12.90 12.90 14.39 29.03 14.39 14.39 12.90 29.03 12.90 29.03 12.90 12.95 302000070 302 86695 HERPES SIMPLEX- TYPE I 92.22 92.22 64.55 11.87 15.04 13.19 29.03 12.90 29.03 12.90 13.19 13.19 30.79 13.19 12.90 13.19 29.03 12.90 29.03 13.19 15.84 19.80 29.03 12.90 29.03 12.90 13.19 13.19 26.99 11.99 11.99 11.99 12.53 29.03 12.90 29.03 12.90 13.19 13.19 13.19 19.00 14.51 12.90 29.03 12.90 13.19 12.90 12.90 12.90 13.19 12.90 64.55 13.19 29.03 12.90 12.90 12.90 13.19 29.03 13.19 13.19 12.90 29.03 12.90 29.03 12.90 11.87 302000119 302 86695 HSV 1/2 IGG HERPESELECT PR 92.22 92.22 64.55 11.87 15.04 13.19 29.03 12.90 29.03 12.90 13.19 13.19 30.79 13.19 12.90 13.19 29.03 12.90 29.03 13.19 15.84 19.80 29.03 12.90 29.03 12.90 13.19 13.19 26.99 11.99 11.99 11.99 12.53 29.03 12.90 29.03 12.90 13.19 13.19 13.19 19.00 14.51 12.90 29.03 12.90 13.19 12.90 12.90 12.90 13.19 12.90 64.55 13.19 29.03 12.90 12.90 12.90 13.19 29.03 13.19 13.19 12.90 29.03 12.90 29.03 12.90 11.87 353000017 302 86695 HSV 1 IGG 92.22 92.22 64.55 11.87 15.04 13.19 29.03 12.90 29.03 12.90 13.19 13.19 30.79 13.19 12.90 13.19 29.03 12.90 29.03 13.19 15.84 19.80 29.03 12.90 29.03 12.90 13.19 13.19 26.99 11.99 11.99 11.99 12.53 29.03 12.90 29.03 12.90 13.19 13.19 13.19 19.00 14.51 12.90 29.03 12.90 13.19 12.90 12.90 12.90 13.19 12.90 64.55 13.19 29.03 12.90 12.90 12.90 13.19 29.03 13.19 13.19 12.90 29.03 12.90 29.03 12.90 11.87 353005090 302 86695 "CULTURE, HSV,RAP" 92.22 92.22 64.55 11.87 15.04 13.19 29.03 12.90 29.03 12.90 13.19 13.19 30.79 13.19 12.90 13.19 29.03 12.90 29.03 13.19 15.84 19.80 29.03 12.90 29.03 12.90 13.19 13.19 26.99 11.99 11.99 11.99 12.53 29.03 12.90 29.03 12.90 13.19 13.19 13.19 19.00 14.51 12.90 29.03 12.90 13.19 12.90 12.90 12.90 13.19 12.90 64.55 13.19 29.03 12.90 12.90 12.90 13.19 29.03 13.19 13.19 12.90 29.03 12.90 29.03 12.90 11.87 353005092 302 86695 HSV 1 DNA 92.22 92.22 64.55 11.87 15.04 13.19 29.03 12.90 29.03 12.90 13.19 13.19 30.79 13.19 12.90 13.19 29.03 12.90 29.03 13.19 15.84 19.80 29.03 12.90 29.03 12.90 13.19 13.19 26.99 11.99 11.99 11.99 12.53 29.03 12.90 29.03 12.90 13.19 13.19 13.19 19.00 14.51 12.90 29.03 12.90 13.19 12.90 12.90 12.90 13.19 12.90 64.55 13.19 29.03 12.90 12.90 12.90 13.19 29.03 13.19 13.19 12.90 29.03 12.90 29.03 12.90 11.87 353005093 302 86695 HSV 2 DNA 92.22 92.22 64.55 11.87 15.04 13.19 29.03 12.90 29.03 12.90 13.19 13.19 30.79 13.19 12.90 13.19 29.03 12.90 29.03 13.19 15.84 19.80 29.03 12.90 29.03 12.90 13.19 13.19 26.99 11.99 11.99 11.99 12.53 29.03 12.90 29.03 12.90 13.19 13.19 13.19 19.00 14.51 12.90 29.03 12.90 13.19 12.90 12.90 12.90 13.19 12.90 64.55 13.19 29.03 12.90 12.90 12.90 13.19 29.03 13.19 13.19 12.90 29.03 12.90 29.03 12.90 11.87 353005111 302 86695 HSV 1 IGG HERPESELECT AB TEST 92.22 92.22 64.55 11.87 15.04 13.19 29.03 12.90 29.03 12.90 13.19 13.19 30.79 13.19 12.90 13.19 29.03 12.90 29.03 13.19 15.84 19.80 29.03 12.90 29.03 12.90 13.19 13.19 26.99 11.99 11.99 11.99 12.53 29.03 12.90 29.03 12.90 13.19 13.19 13.19 19.00 14.51 12.90 29.03 12.90 13.19 12.90 12.90 12.90 13.19 12.90 64.55 13.19 29.03 12.90 12.90 12.90 13.19 29.03 13.19 13.19 12.90 29.03 12.90 29.03 12.90 11.87 353000018 302 86696 HSV 2 IGG 69.96 69.96 48.97 11.99 22.06 19.35 32.95 14.65 32.95 14.65 19.35 19.35 44.79 19.35 14.65 19.35 32.95 14.65 32.95 19.35 23.24 29.04 32.95 14.65 32.95 14.65 19.35 19.35 26.99 11.99 11.99 11.99 18.38 32.95 14.65 32.95 14.65 19.35 19.35 19.35 19.00 21.29 14.65 32.95 14.65 19.35 14.65 14.65 14.65 19.35 14.65 48.97 19.35 32.95 14.65 14.65 14.65 19.35 32.95 19.35 19.35 14.65 32.95 14.65 32.95 14.65 17.42 353005338 302 86701 HIV-1 GENOTYPE 30.74 30.74 26.99 8.00 10.13 8.89 20.00 8.89 20.00 8.89 8.89 8.89 20.72 8.89 8.89 8.89 20.00 8.89 20.00 8.89 10.68 13.34 20.00 8.89 20.00 8.89 8.89 8.89 26.99 11.99 11.99 11.99 8.45 20.00 8.89 20.00 8.89 8.89 8.89 8.89 13.00 9.78 8.89 20.00 8.89 8.89 8.89 8.89 8.89 8.89 8.89 21.52 8.89 20.00 8.89 8.89 8.89 8.89 20.00 8.89 8.89 8.89 20.00 8.89 20.00 8.89 8.00 302000128 302 86703 HIV 1/2 SCREENING G0435 122.96 122.96 86.07 11.38 15.63 11.98 30.85 13.71 30.85 13.71 11.98 11.98 31.91 11.98 13.71 11.98 30.85 13.71 30.85 11.98 16.46 20.58 30.85 13.71 30.85 13.71 11.98 11.98 26.99 11.99 11.99 11.99 11.38 30.85 13.71 30.85 13.71 11.98 11.98 11.98 19.00 15.08 13.71 30.85 13.71 11.98 13.71 13.71 13.71 11.98 13.71 86.07 11.98 30.85 13.71 13.71 13.71 11.98 30.85 11.98 11.98 13.71 30.85 13.71 30.85 13.71 12.34 302000202 302 86703 PLACENTA HIV ANTBDY SCRN 1RSLT 122.96 122.96 86.07 11.99 15.63 13.71 30.85 13.71 30.85 13.71 13.71 13.71 31.91 13.71 13.71 13.71 30.85 13.71 30.85 13.71 16.46 20.58 30.85 13.71 30.85 13.71 13.71 13.71 26.99 11.99 11.99 11.99 13.02 30.85 13.71 30.85 13.71 13.71 13.71 13.71 19.00 15.08 13.71 30.85 13.71 13.71 13.71 13.71 13.71 13.71 13.71 86.07 13.71 30.85 13.71 13.71 13.71 13.71 30.85 13.71 13.71 13.71 30.85 13.71 30.85 13.71 12.34 353005142 302 86703 HIV 1-2 EIA 122.96 122.96 86.07 11.99 15.63 13.71 30.85 13.71 30.85 13.71 13.71 13.71 31.91 13.71 13.71 13.71 30.85 13.71 30.85 13.71 16.46 20.58 30.85 13.71 30.85 13.71 13.71 13.71 26.99 11.99 11.99 11.99 13.02 30.85 13.71 30.85 13.71 13.71 13.71 13.71 19.00 15.08 13.71 30.85 13.71 13.71 13.71 13.71 13.71 13.71 13.71 86.07 13.71 30.85 13.71 13.71 13.71 13.71 30.85 13.71 13.71 13.71 30.85 13.71 30.85 13.71 12.34 353005144 302 86703 "HIV-2 AB, EIA" 122.96 122.96 86.07 11.99 15.63 13.71 30.85 13.71 30.85 13.71 13.71 13.71 31.91 13.71 13.71 13.71 30.85 13.71 30.85 13.71 16.46 20.58 30.85 13.71 30.85 13.71 13.71 13.71 26.99 11.99 11.99 11.99 13.02 30.85 13.71 30.85 13.71 13.71 13.71 13.71 19.00 15.08 13.71 30.85 13.71 13.71 13.71 13.71 13.71 13.71 13.71 86.07 13.71 30.85 13.71 13.71 13.71 13.71 30.85 13.71 13.71 13.71 30.85 13.71 30.85 13.71 12.34 302000071 302 86704 HEP B CORE TOTAL 84.80 84.80 59.36 10.20 13.74 12.05 22.95 10.20 22.95 10.20 12.05 12.05 27.99 12.05 10.20 12.05 22.95 10.20 22.95 12.05 14.47 18.09 22.95 10.20 22.95 10.20 12.05 12.05 26.99 11.99 11.99 11.99 11.45 22.95 10.20 22.95 10.20 12.05 12.05 12.05 17.00 13.26 10.20 22.95 10.20 12.05 10.20 10.20 10.20 12.05 10.20 59.36 12.05 22.95 10.20 10.20 10.20 12.05 22.95 12.05 12.05 10.20 22.95 10.20 22.95 10.20 10.85 302000200 302 86704 PLACENTA HEP B CORE ANTBDY TTL 84.80 84.80 59.36 10.20 13.74 12.05 22.95 10.20 22.95 10.20 12.05 12.05 27.99 12.05 10.20 12.05 22.95 10.20 22.95 12.05 14.47 18.09 22.95 10.20 22.95 10.20 12.05 12.05 26.99 11.99 11.99 11.99 11.45 22.95 10.20 22.95 10.20 12.05 12.05 12.05 17.00 13.26 10.20 22.95 10.20 12.05 10.20 10.20 10.20 12.05 10.20 59.36 12.05 22.95 10.20 10.20 10.20 12.05 22.95 12.05 12.05 10.20 22.95 10.20 22.95 10.20 10.85 302000072 302 86705 HEP B CORE IGM AB 84.80 84.80 59.36 10.20 13.42 11.77 22.95 10.20 22.95 10.20 11.77 11.77 27.44 11.77 10.20 11.77 22.95 10.20 22.95 11.77 14.13 17.67 22.95 10.20 22.95 10.20 11.77 11.77 26.99 11.99 11.99 11.99 11.18 22.95 10.20 22.95 10.20 11.77 11.77 11.77 17.00 12.95 10.20 22.95 10.20 11.77 10.20 10.20 10.20 11.77 10.20 59.36 11.77 22.95 10.20 10.20 10.20 11.77 22.95 11.77 11.77 10.20 22.95 10.20 22.95 10.20 10.59 302000073 302 86706 HEP B SURFACE AB 75.26 75.26 52.68 9.67 12.24 10.74 22.95 10.20 22.95 10.20 10.74 10.74 25.20 10.74 10.20 10.74 22.95 10.20 22.95 10.74 12.90 16.12 22.95 10.20 22.95 10.20 10.74 10.74 26.99 11.99 11.99 11.99 10.20 22.95 10.20 22.95 10.20 10.74 10.74 10.74 15.00 11.81 10.20 22.95 10.20 10.74 10.20 10.20 10.20 10.74 10.20 52.68 10.74 22.95 10.20 10.20 10.20 10.74 22.95 10.74 10.74 10.20 22.95 10.20 22.95 10.20 9.67 302000075 302 86707 HEP BE ANTI-B 80.56 80.56 56.39 10.20 13.19 11.57 22.95 10.20 22.95 10.20 11.57 11.57 26.87 11.57 10.20 11.57 22.95 10.20 22.95 11.57 13.89 17.37 22.95 10.20 22.95 10.20 11.57 11.57 26.99 11.99 11.99 11.99 10.99 22.95 10.20 22.95 10.20 11.57 11.57 11.57 16.00 12.73 10.20 22.95 10.20 11.57 10.20 10.20 10.20 11.57 10.20 56.39 11.57 22.95 10.20 10.20 10.20 11.57 22.95 11.57 11.57 10.20 22.95 10.20 22.95 10.20 10.41 353005086 302 86707 HEPATITIS BE ANTIGEN 80.56 80.56 56.39 10.20 13.19 11.57 22.95 10.20 22.95 10.20 11.57 11.57 26.87 11.57 10.20 11.57 22.95 10.20 22.95 11.57 13.89 17.37 22.95 10.20 22.95 10.20 11.57 11.57 26.99 11.99 11.99 11.99 10.99 22.95 10.20 22.95 10.20 11.57 11.57 11.57 16.00 12.73 10.20 22.95 10.20 11.57 10.20 10.20 10.20 11.57 10.20 56.39 11.57 22.95 10.20 10.20 10.20 11.57 22.95 11.57 11.57 10.20 22.95 10.20 22.95 10.20 10.41 353005087 302 86707 HEPATITIS BE ANTIBODY 80.56 80.56 56.39 10.20 13.19 11.57 22.95 10.20 22.95 10.20 11.57 11.57 26.87 11.57 10.20 11.57 22.95 10.20 22.95 11.57 13.89 17.37 22.95 10.20 22.95 10.20 11.57 11.57 26.99 11.99 11.99 11.99 10.99 22.95 10.20 22.95 10.20 11.57 11.57 11.57 16.00 12.73 10.20 22.95 10.20 11.57 10.20 10.20 10.20 11.57 10.20 56.39 11.57 22.95 10.20 10.20 10.20 11.57 22.95 11.57 11.57 10.20 22.95 10.20 22.95 10.20 10.41 302000076 302 86708 HEP A AB 86.92 86.92 60.84 10.10 14.12 12.39 22.73 10.10 22.73 10.10 12.39 12.39 28.56 12.39 10.10 12.39 22.73 10.10 22.73 12.39 14.88 18.60 22.73 10.10 22.73 10.10 12.39 12.39 26.99 11.99 11.99 11.99 11.77 22.73 10.10 22.73 10.10 12.39 12.39 12.39 18.00 13.63 10.10 22.73 10.10 12.39 10.10 10.10 10.10 12.39 10.10 60.84 12.39 22.73 10.10 10.10 10.10 12.39 22.73 12.39 12.39 10.10 22.73 10.10 22.73 10.10 11.15 302000077 302 86709 HEP A IGM AB 148.40 148.40 103.88 10.10 12.84 11.26 22.73 10.10 22.73 10.10 11.26 11.26 26.32 11.26 10.10 11.26 22.73 10.10 22.73 11.26 13.52 16.90 22.73 10.10 22.73 10.10 11.26 11.26 26.99 11.99 11.99 11.99 10.70 22.73 10.10 22.73 10.10 11.26 11.26 11.26 16.00 12.39 10.10 22.73 10.10 11.26 10.10 10.10 10.10 11.26 10.10 103.88 11.26 22.73 10.10 10.10 10.10 11.26 22.73 11.26 11.26 10.10 22.73 10.10 22.73 10.10 10.13 353005101 302 86709 HAV AB (IGM) TEST 148.40 148.40 103.88 10.10 12.84 11.26 22.73 10.10 22.73 10.10 11.26 11.26 26.32 11.26 10.10 11.26 22.73 10.10 22.73 11.26 13.52 16.90 22.73 10.10 22.73 10.10 11.26 11.26 26.99 11.99 11.99 11.99 10.70 22.73 10.10 22.73 10.10 11.26 11.26 11.26 16.00 12.39 10.10 22.73 10.10 11.26 10.10 10.10 10.10 11.26 10.10 103.88 11.26 22.73 10.10 10.10 10.10 11.26 22.73 11.26 11.26 10.10 22.73 10.10 22.73 10.10 10.13 302000078 302 86710 AB INFLUENZA VIRUS 95.40 95.40 66.78 11.99 15.45 13.55 30.49 13.55 30.49 13.55 13.55 13.55 31.36 13.55 13.55 13.55 30.49 13.55 30.49 13.55 16.27 20.34 30.49 13.55 30.49 13.55 13.55 13.55 26.99 11.99 11.99 11.99 12.87 30.49 13.55 30.49 13.55 13.55 13.55 13.55 19.00 14.91 13.55 30.49 13.55 13.55 13.55 13.55 13.55 13.55 13.55 66.78 13.55 30.49 13.55 13.55 13.55 13.55 30.49 13.55 13.55 13.55 30.49 13.55 30.49 13.55 12.20 302000032 302 86713 LEGIONELLA ANTIBODIES 84.80 84.80 59.36 11.99 17.44 15.30 34.43 15.30 34.43 15.30 15.30 15.30 35.28 15.30 15.30 15.30 34.43 15.30 34.43 15.30 18.37 22.97 34.43 15.30 34.43 15.30 15.30 15.30 26.99 11.99 11.99 11.99 14.54 34.43 15.30 34.43 15.30 15.30 15.30 15.30 22.00 16.83 15.30 34.43 15.30 15.30 15.30 15.30 15.30 15.30 15.30 59.36 15.30 34.43 15.30 15.30 15.30 15.30 34.43 15.30 15.30 15.30 34.43 15.30 34.43 15.30 13.77 302000079 302 86720 LEPTOSPIRA 66.78 66.78 46.75 8.11 18.47 16.20 18.25 8.11 18.25 8.11 16.20 16.20 30.79 16.20 8.11 16.20 18.25 8.11 18.25 16.20 19.45 24.32 18.25 8.11 18.25 8.11 16.20 16.20 26.99 11.99 11.99 11.99 15.39 18.25 8.11 18.25 8.11 16.20 16.20 16.20 9.00 17.82 8.11 18.25 8.11 16.20 8.11 8.11 8.11 16.20 8.11 46.75 16.20 18.25 8.11 8.11 8.11 16.20 18.25 16.20 16.20 8.11 18.25 8.11 18.25 8.11 14.58 353005081 302 86720 LEPTOSPIRA AB SCREEN 66.78 66.78 46.75 8.11 18.47 16.20 18.25 8.11 18.25 8.11 16.20 16.20 30.79 16.20 8.11 16.20 18.25 8.11 18.25 16.20 19.45 24.32 18.25 8.11 18.25 8.11 16.20 16.20 26.99 11.99 11.99 11.99 15.39 18.25 8.11 18.25 8.11 16.20 16.20 16.20 9.00 17.82 8.11 18.25 8.11 16.20 8.11 8.11 8.11 16.20 8.11 46.75 16.20 18.25 8.11 8.11 8.11 16.20 18.25 16.20 16.20 8.11 18.25 8.11 18.25 8.11 14.58 302000035 302 86735 MUMPS AB HAI 92.22 92.22 64.55 8.11 14.88 13.05 18.25 8.11 18.25 8.11 13.05 13.05 30.24 13.05 8.11 13.05 18.25 8.11 18.25 13.05 15.67 19.59 18.25 8.11 18.25 8.11 13.05 13.05 26.99 11.99 11.99 11.99 12.40 18.25 8.11 18.25 8.11 13.05 13.05 13.05 9.00 14.36 8.11 18.25 8.11 13.05 8.11 8.11 8.11 13.05 8.11 64.55 13.05 18.25 8.11 8.11 8.11 13.05 18.25 13.05 13.05 8.11 18.25 8.11 18.25 8.11 11.75 302000101 302 86735 MUMPS IGM AB 92.22 92.22 64.55 8.11 14.88 13.05 18.25 8.11 18.25 8.11 13.05 13.05 30.24 13.05 8.11 13.05 18.25 8.11 18.25 13.05 15.67 19.59 18.25 8.11 18.25 8.11 13.05 13.05 26.99 11.99 11.99 11.99 12.40 18.25 8.11 18.25 8.11 13.05 13.05 13.05 9.00 14.36 8.11 18.25 8.11 13.05 8.11 8.11 8.11 13.05 8.11 64.55 13.05 18.25 8.11 8.11 8.11 13.05 18.25 13.05 13.05 8.11 18.25 8.11 18.25 8.11 11.75 302000080 302 86738 MYCOPLASMA 92.22 92.22 64.55 11.92 15.09 13.24 29.79 13.24 29.79 13.24 13.24 13.24 30.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 15.90 19.87 29.79 13.24 29.79 13.24 13.24 13.24 26.99 11.99 11.99 11.99 12.58 29.79 13.24 29.79 13.24 13.24 13.24 13.24 19.00 14.56 13.24 29.79 13.24 13.24 13.24 13.24 13.24 13.24 13.24 64.55 13.24 29.79 13.24 13.24 13.24 13.24 29.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 11.92 302000120 302 86738 M PNEUMONIAE AB IGM 92.22 92.22 64.55 11.92 15.09 13.24 29.79 13.24 29.79 13.24 13.24 13.24 30.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 15.90 19.87 29.79 13.24 29.79 13.24 13.24 13.24 26.99 11.99 11.99 11.99 12.58 29.79 13.24 29.79 13.24 13.24 13.24 13.24 19.00 14.56 13.24 29.79 13.24 13.24 13.24 13.24 13.24 13.24 13.24 64.55 13.24 29.79 13.24 13.24 13.24 13.24 29.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 11.92 302000121 302 86738 M PNEUMONIAE AB IGG EIA 92.22 92.22 64.55 11.92 15.09 13.24 29.79 13.24 29.79 13.24 13.24 13.24 30.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 15.90 19.87 29.79 13.24 29.79 13.24 13.24 13.24 26.99 11.99 11.99 11.99 12.58 29.79 13.24 29.79 13.24 13.24 13.24 13.24 19.00 14.56 13.24 29.79 13.24 13.24 13.24 13.24 13.24 13.24 13.24 64.55 13.24 29.79 13.24 13.24 13.24 13.24 29.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 11.92 353005102 302 86738 "M.PNEUMONIAE AB (IGG), EIA TES" 92.22 92.22 64.55 11.92 15.09 13.24 29.79 13.24 29.79 13.24 13.24 13.24 30.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 15.90 19.87 29.79 13.24 29.79 13.24 13.24 13.24 26.99 11.99 11.99 11.99 12.58 29.79 13.24 29.79 13.24 13.24 13.24 13.24 19.00 14.56 13.24 29.79 13.24 13.24 13.24 13.24 13.24 13.24 13.24 64.55 13.24 29.79 13.24 13.24 13.24 13.24 29.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 11.92 353005103 302 86738 M.PNEUMONIAE AB (IGM) TEST 92.22 92.22 64.55 11.92 15.09 13.24 29.79 13.24 29.79 13.24 13.24 13.24 30.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 15.90 19.87 29.79 13.24 29.79 13.24 13.24 13.24 26.99 11.99 11.99 11.99 12.58 29.79 13.24 29.79 13.24 13.24 13.24 13.24 19.00 14.56 13.24 29.79 13.24 13.24 13.24 13.24 13.24 13.24 13.24 64.55 13.24 29.79 13.24 13.24 13.24 13.24 29.79 13.24 13.24 13.24 29.79 13.24 29.79 13.24 11.92 302000081 302 86747 PARVOVIRUS AB 279.84 279.84 195.89 11.99 17.13 15.03 33.82 15.03 33.82 15.03 15.03 15.03 34.71 15.03 15.03 15.03 33.82 15.03 33.82 15.03 18.05 22.56 33.82 15.03 33.82 15.03 15.03 15.03 26.99 11.99 11.99 11.99 14.28 33.82 15.03 33.82 15.03 15.03 15.03 15.03 21.00 16.53 15.03 33.82 15.03 15.03 15.03 15.03 15.03 15.03 15.03 195.89 15.03 33.82 15.03 15.03 15.03 15.03 33.82 15.03 15.03 15.03 33.82 15.03 33.82 15.03 13.53 353005038 302 86747 PARVOVIRUS B19 (IGG) 279.84 279.84 195.89 11.99 17.13 15.03 33.82 15.03 33.82 15.03 15.03 15.03 34.71 15.03 15.03 15.03 33.82 15.03 33.82 15.03 18.05 22.56 33.82 15.03 33.82 15.03 15.03 15.03 26.99 11.99 11.99 11.99 14.28 33.82 15.03 33.82 15.03 15.03 15.03 15.03 21.00 16.53 15.03 33.82 15.03 15.03 15.03 15.03 15.03 15.03 15.03 195.89 15.03 33.82 15.03 15.03 15.03 15.03 33.82 15.03 15.03 15.03 33.82 15.03 33.82 15.03 13.53 353005039 302 86747 PARVOVIRUS B19 (IGM) 279.84 279.84 195.89 11.99 17.13 15.03 33.82 15.03 33.82 15.03 15.03 15.03 34.71 15.03 15.03 15.03 33.82 15.03 33.82 15.03 18.05 22.56 33.82 15.03 33.82 15.03 15.03 15.03 26.99 11.99 11.99 11.99 14.28 33.82 15.03 33.82 15.03 15.03 15.03 15.03 21.00 16.53 15.03 33.82 15.03 15.03 15.03 15.03 15.03 15.03 15.03 195.89 15.03 33.82 15.03 15.03 15.03 15.03 33.82 15.03 15.03 15.03 33.82 15.03 33.82 15.03 13.53 353005347 302 86747 PARVOVIRUS B19 AB 279.84 279.84 195.89 11.99 17.13 15.03 33.82 15.03 33.82 15.03 15.03 15.03 34.71 15.03 15.03 15.03 33.82 15.03 33.82 15.03 18.05 22.56 33.82 15.03 33.82 15.03 15.03 15.03 26.99 11.99 11.99 11.99 14.28 33.82 15.03 33.82 15.03 15.03 15.03 15.03 21.00 16.53 15.03 33.82 15.03 15.03 15.03 15.03 15.03 15.03 15.03 195.89 15.03 33.82 15.03 15.03 15.03 15.03 33.82 15.03 15.03 15.03 33.82 15.03 33.82 15.03 13.53 302000036 302 86753 AMEBIC ABS & HISTOLYTICA 57.24 57.24 40.07 0.00 14.12 12.39 0.00 0.00 0.00 0.00 12.39 12.39 28.56 12.39 0.00 12.39 0.00 0.00 0.00 12.39 14.88 18.60 0.00 0.00 0.00 0.00 12.39 12.39 26.99 11.99 11.99 11.99 11.77 0.00 0.00 0.00 0.00 12.39 12.39 12.39 9.00 13.63 0.00 0.00 0.00 12.39 0.00 0.00 0.00 12.39 0.00 40.07 12.39 0.00 0.00 0.00 0.00 12.39 0.00 12.39 12.39 0.00 0.00 0.00 0.00 0.00 11.15 302000039 302 86759 ROTAVIRUS AB 104.94 104.94 73.46 11.99 20.78 18.23 33.13 14.73 33.13 14.73 18.23 18.23 30.79 18.23 14.73 18.23 33.13 14.73 33.13 18.23 21.89 27.36 33.13 14.73 33.13 14.73 18.23 18.23 26.99 11.99 11.99 11.99 17.32 33.13 14.73 33.13 14.73 18.23 18.23 18.23 19.00 20.05 14.73 33.13 14.73 18.23 14.73 14.73 14.73 18.23 14.73 73.46 18.23 33.13 14.73 14.73 14.73 18.23 33.13 18.23 18.23 14.73 33.13 14.73 33.13 14.73 16.41 353005108 302 86759 ROTAVIRUS ANTIGEN 104.94 104.94 73.46 11.99 20.78 18.23 33.13 14.73 33.13 14.73 18.23 18.23 30.79 18.23 14.73 18.23 33.13 14.73 33.13 18.23 21.89 27.36 33.13 14.73 33.13 14.73 18.23 18.23 26.99 11.99 11.99 11.99 17.32 33.13 14.73 33.13 14.73 18.23 18.23 18.23 19.00 20.05 14.73 33.13 14.73 18.23 14.73 14.73 14.73 18.23 14.73 73.46 18.23 33.13 14.73 14.73 14.73 18.23 33.13 18.23 18.23 14.73 33.13 14.73 33.13 14.73 16.41 302000082 302 86762 RUBELLA 99.64 99.64 69.75 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 69.75 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 302000083 302 86762 RUBELLA IGM ABS 99.64 99.64 69.75 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 69.75 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 302000116 302 86762 TORCH RUBELLA AB lgM 99.64 99.64 69.75 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 69.75 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 353005104 302 86762 RUBELLA ANTIBODY (IGM) 99.64 99.64 69.75 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 69.75 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 302000084 302 86765 RUBEOLA 91.16 91.16 63.81 11.59 14.68 12.88 28.98 12.88 28.98 12.88 12.88 12.88 29.67 12.88 12.88 12.88 28.98 12.88 28.98 12.88 15.47 19.33 28.98 12.88 28.98 12.88 12.88 12.88 26.99 11.99 11.99 11.99 12.24 28.98 12.88 28.98 12.88 12.88 12.88 12.88 18.00 14.17 12.88 28.98 12.88 12.88 12.88 12.88 12.88 12.88 12.88 63.81 12.88 28.98 12.88 12.88 12.88 12.88 28.98 12.88 12.88 12.88 28.98 12.88 28.98 12.88 11.59 302000085 302 86765 RUBEOLLA IGM AB 91.16 91.16 63.81 11.59 14.68 12.88 28.98 12.88 28.98 12.88 12.88 12.88 29.67 12.88 12.88 12.88 28.98 12.88 28.98 12.88 15.47 19.33 28.98 12.88 28.98 12.88 12.88 12.88 26.99 11.99 11.99 11.99 12.24 28.98 12.88 28.98 12.88 12.88 12.88 12.88 18.00 14.17 12.88 28.98 12.88 12.88 12.88 12.88 12.88 12.88 12.88 63.81 12.88 28.98 12.88 12.88 12.88 12.88 28.98 12.88 12.88 12.88 28.98 12.88 28.98 12.88 11.59 353005414 302 86769 SARS-COV-2 COVID-19 ANTIBODY 265.00 265.00 185.50 11.99 48.03 42.13 56.88 25.28 56.88 25.28 42.13 42.13 185.50 42.13 25.28 42.13 56.88 25.28 56.88 42.13 42.13 42.13 56.88 25.28 56.88 25.28 42.13 42.13 26.99 11.99 11.99 11.99 40.02 56.88 25.28 56.88 25.28 42.13 42.13 42.13 42.13 46.34 25.28 56.88 25.28 42.13 25.28 25.28 25.28 42.13 25.28 185.50 42.13 56.88 25.28 25.28 25.28 42.13 56.88 42.13 42.13 25.28 56.88 25.28 56.88 25.28 37.92 302000086 302 86774 TETANUS 104.94 104.94 73.46 11.99 16.87 14.80 29.03 12.90 29.03 12.90 14.80 14.80 34.16 14.80 12.90 14.80 29.03 12.90 29.03 14.80 17.77 22.21 29.03 12.90 29.03 12.90 14.80 14.80 26.99 11.99 11.99 11.99 14.06 29.03 12.90 29.03 12.90 14.80 14.80 14.80 21.00 16.28 12.90 29.03 12.90 14.80 12.90 12.90 12.90 14.80 12.90 73.46 14.80 29.03 12.90 12.90 12.90 14.80 29.03 14.80 14.80 12.90 29.03 12.90 29.03 12.90 13.32 302000016 302 86777 TOXPLASMOSI GONDI IGG CSF 259.70 259.70 181.79 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 181.79 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 302000087 302 86777 TOXOPLASMA 259.70 259.70 181.79 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 181.79 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 302000130 302 86777 "TOXOPLASMA AB (IGG,IGM)" 259.70 259.70 181.79 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 181.79 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 353005201 302 86777 TOXOPLASMA AB IGG 259.70 259.70 181.79 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 181.79 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 353005202 302 86777 TOXOPLASMA AB IGM 259.70 259.70 181.79 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.00 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 181.79 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 302000114 302 86778 TORCH TOXOPLASMA IGM AB 42.40 42.40 33.59 11.99 16.43 14.41 32.09 14.26 32.09 14.26 14.41 14.41 33.59 14.41 14.26 14.41 32.09 14.26 32.09 14.41 17.30 21.63 32.09 14.26 32.09 14.26 14.41 14.41 26.99 11.99 11.99 11.99 13.69 32.09 14.26 32.09 14.26 14.41 14.41 14.41 18.00 15.85 14.26 32.09 14.26 14.41 14.26 14.26 14.26 14.41 14.26 29.68 14.41 32.09 14.26 14.26 14.26 14.41 32.09 14.41 14.41 14.26 32.09 14.26 32.09 14.26 12.97 302000088 302 86780 TREPONEMA PALLIDUM 92.22 92.22 64.55 11.92 15.09 13.24 28.70 12.76 28.70 12.76 13.24 13.24 30.79 13.24 12.76 13.24 28.70 12.76 28.70 13.24 15.90 19.87 28.70 12.76 28.70 12.76 13.24 13.24 26.99 11.99 11.99 11.99 12.58 28.70 12.76 28.70 12.76 13.24 13.24 13.24 19.00 14.56 12.76 28.70 12.76 13.24 12.76 12.76 12.76 13.24 12.76 64.55 13.24 28.70 12.76 12.76 12.76 13.24 28.70 13.24 13.24 12.76 28.70 12.76 28.70 12.76 11.92 302000040 302 86787 VARICELLA ZOSTER IGG AB 212.00 212.00 148.40 8.11 14.68 12.88 18.25 8.11 18.25 8.11 12.88 12.88 29.67 12.88 8.11 12.88 18.25 8.11 18.25 12.88 15.47 19.33 18.25 8.11 18.25 8.11 12.88 12.88 26.99 11.99 11.99 11.99 12.24 18.25 8.11 18.25 8.11 12.88 12.88 12.88 9.00 14.17 8.11 18.25 8.11 12.88 8.11 8.11 8.11 12.88 8.11 148.40 12.88 18.25 8.11 8.11 8.11 12.88 18.25 12.88 12.88 8.11 18.25 8.11 18.25 8.11 11.59 302000089 302 86787 VARICELLA-ZOSTER IGM AB 212.00 212.00 148.40 8.11 14.68 12.88 18.25 8.11 18.25 8.11 12.88 12.88 29.67 12.88 8.11 12.88 18.25 8.11 18.25 12.88 15.47 19.33 18.25 8.11 18.25 8.11 12.88 12.88 26.99 11.99 11.99 11.99 12.24 18.25 8.11 18.25 8.11 12.88 12.88 12.88 9.00 14.17 8.11 18.25 8.11 12.88 8.11 8.11 8.11 12.88 8.11 148.40 12.88 18.25 8.11 8.11 8.11 12.88 18.25 12.88 12.88 8.11 18.25 8.11 18.25 8.11 11.59 302000195 302 86787 VZV AB PANEL CSF 212.00 212.00 148.40 8.11 14.68 12.88 18.25 8.11 18.25 8.11 12.88 12.88 29.67 12.88 8.11 12.88 18.25 8.11 18.25 12.88 15.47 19.33 18.25 8.11 18.25 8.11 12.88 12.88 26.99 11.99 11.99 11.99 12.24 18.25 8.11 18.25 8.11 12.88 12.88 12.88 9.00 14.17 8.11 18.25 8.11 12.88 8.11 8.11 8.11 12.88 8.11 148.40 12.88 18.25 8.11 8.11 8.11 12.88 18.25 12.88 12.88 8.11 18.25 8.11 18.25 8.11 11.59 353000028 302 86787 VARICELLA ZOSTER IGG 212.00 212.00 148.40 8.11 14.68 12.88 18.25 8.11 18.25 8.11 12.88 12.88 29.67 12.88 8.11 12.88 18.25 8.11 18.25 12.88 15.47 19.33 18.25 8.11 18.25 8.11 12.88 12.88 26.99 11.99 11.99 11.99 12.24 18.25 8.11 18.25 8.11 12.88 12.88 12.88 9.00 14.17 8.11 18.25 8.11 12.88 8.11 8.11 8.11 12.88 8.11 148.40 12.88 18.25 8.11 8.11 8.11 12.88 18.25 12.88 12.88 8.11 18.25 8.11 18.25 8.11 11.59 353000029 302 86787 VARICELLA ZOSTER IGM 212.00 212.00 148.40 8.11 14.68 12.88 18.25 8.11 18.25 8.11 12.88 12.88 29.67 12.88 8.11 12.88 18.25 8.11 18.25 12.88 15.47 19.33 18.25 8.11 18.25 8.11 12.88 12.88 26.99 11.99 11.99 11.99 12.24 18.25 8.11 18.25 8.11 12.88 12.88 12.88 9.00 14.17 8.11 18.25 8.11 12.88 8.11 8.11 8.11 12.88 8.11 148.40 12.88 18.25 8.11 8.11 8.11 12.88 18.25 12.88 12.88 8.11 18.25 8.11 18.25 8.11 11.59 353005279 302 86787 VZV TOTAL AB (ACIF) 212.00 212.00 148.40 8.11 14.68 12.88 18.25 8.11 18.25 8.11 12.88 12.88 29.67 12.88 8.11 12.88 18.25 8.11 18.25 12.88 15.47 19.33 18.25 8.11 18.25 8.11 12.88 12.88 26.99 11.99 11.99 11.99 12.24 18.25 8.11 18.25 8.11 12.88 12.88 12.88 9.00 14.17 8.11 18.25 8.11 12.88 8.11 8.11 8.11 12.88 8.11 148.40 12.88 18.25 8.11 8.11 8.11 12.88 18.25 12.88 12.88 8.11 18.25 8.11 18.25 8.11 11.59 353005280 302 86787 VZV IGM (IFA) 212.00 212.00 148.40 8.11 14.68 12.88 18.25 8.11 18.25 8.11 12.88 12.88 29.67 12.88 8.11 12.88 18.25 8.11 18.25 12.88 15.47 19.33 18.25 8.11 18.25 8.11 12.88 12.88 26.99 11.99 11.99 11.99 12.24 18.25 8.11 18.25 8.11 12.88 12.88 12.88 9.00 14.17 8.11 18.25 8.11 12.88 8.11 8.11 8.11 12.88 8.11 148.40 12.88 18.25 8.11 8.11 8.11 12.88 18.25 12.88 12.88 8.11 18.25 8.11 18.25 8.11 11.59 302000188 302 86788 "WEST NILE AB(IGG,IGM)SER" 174.90 174.90 122.43 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 39.20 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 13.64 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 122.43 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 302000192 302 86788 "WEST NILE AB(IGG,IGM) CSF" 174.90 174.90 122.43 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 39.20 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 13.64 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 122.43 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 353000034 302 86788 WEST NILE VIRUS IGM CSF 174.90 174.90 122.43 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 39.20 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 13.64 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 122.43 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 353000035 302 86788 WEST NILE VIRUS IGM SER 174.90 174.90 122.43 8.11 19.21 16.85 18.25 8.11 18.25 8.11 16.85 16.85 39.20 16.85 8.11 16.85 18.25 8.11 18.25 16.85 20.23 25.29 18.25 8.11 18.25 8.11 16.85 16.85 26.99 11.99 11.99 11.99 16.01 18.25 8.11 18.25 8.11 16.85 16.85 16.85 13.64 18.54 8.11 18.25 8.11 16.85 8.11 8.11 8.11 16.85 8.11 122.43 16.85 18.25 8.11 8.11 8.11 16.85 18.25 16.85 16.85 8.11 18.25 8.11 18.25 8.11 15.17 353000032 302 86789 WEST NILE VIRUS IGG CSF 53.00 53.00 37.10 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.11 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 37.10 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 353000033 302 86789 WEST NILE VIRUS IGG SER 53.00 53.00 37.10 11.99 16.40 14.39 32.38 14.39 32.38 14.39 14.39 14.39 33.59 14.39 14.39 14.39 32.38 14.39 32.38 14.39 17.28 21.60 32.38 14.39 32.38 14.39 14.39 14.39 26.99 11.99 11.99 11.99 13.67 32.38 14.39 32.38 14.39 14.39 14.39 14.39 20.11 15.83 14.39 32.38 14.39 14.39 14.39 14.39 14.39 14.39 14.39 37.10 14.39 32.38 14.39 14.39 14.39 14.39 32.38 14.39 14.39 14.39 32.38 14.39 32.38 14.39 12.95 302000090 302 86790 HANTAVIRUS AB EVAL 148.40 148.40 103.88 0.00 14.68 12.88 0.00 0.00 0.00 0.00 12.88 12.88 29.67 12.88 0.00 12.88 0.00 0.00 0.00 12.88 15.47 19.33 0.00 0.00 0.00 0.00 12.88 12.88 26.99 11.99 11.99 11.99 12.24 0.00 0.00 0.00 0.00 12.88 12.88 12.88 9.00 14.17 0.00 0.00 0.00 12.88 0.00 0.00 0.00 12.88 0.00 103.88 12.88 0.00 0.00 0.00 0.00 12.88 0.00 12.88 12.88 0.00 0.00 0.00 0.00 0.00 11.59 302000134 302 86790 "HTLV-I/II AB,EIA W/RFL WB" 148.40 148.40 103.88 0.00 14.68 12.88 0.00 0.00 0.00 0.00 12.88 12.88 29.67 12.88 0.00 12.88 0.00 0.00 0.00 12.88 15.47 19.33 0.00 0.00 0.00 0.00 12.88 12.88 26.99 11.99 11.99 11.99 12.24 0.00 0.00 0.00 0.00 12.88 12.88 12.88 9.00 14.17 0.00 0.00 0.00 12.88 0.00 0.00 0.00 12.88 0.00 103.88 12.88 0.00 0.00 0.00 0.00 12.88 0.00 12.88 12.88 0.00 0.00 0.00 0.00 0.00 11.59 302000193 302 86790 HEPATITIS E AB (IGG) 148.40 148.40 103.88 0.00 14.68 12.88 0.00 0.00 0.00 0.00 12.88 12.88 29.67 12.88 0.00 12.88 0.00 0.00 0.00 12.88 15.47 19.33 0.00 0.00 0.00 0.00 12.88 12.88 26.99 11.99 11.99 11.99 12.24 0.00 0.00 0.00 0.00 12.88 12.88 12.88 9.00 14.17 0.00 0.00 0.00 12.88 0.00 0.00 0.00 12.88 0.00 103.88 12.88 0.00 0.00 0.00 0.00 12.88 0.00 12.88 12.88 0.00 0.00 0.00 0.00 0.00 11.59 302000194 302 86790 HEPATITIS E AB (IGM) 148.40 148.40 103.88 0.00 14.68 12.88 0.00 0.00 0.00 0.00 12.88 12.88 29.67 12.88 0.00 12.88 0.00 0.00 0.00 12.88 15.47 19.33 0.00 0.00 0.00 0.00 12.88 12.88 26.99 11.99 11.99 11.99 12.24 0.00 0.00 0.00 0.00 12.88 12.88 12.88 9.00 14.17 0.00 0.00 0.00 12.88 0.00 0.00 0.00 12.88 0.00 103.88 12.88 0.00 0.00 0.00 0.00 12.88 0.00 12.88 12.88 0.00 0.00 0.00 0.00 0.00 11.59 302000196 302 86790 "DENGUE FEVER (IGG,IGM)" 148.40 148.40 103.88 0.00 14.68 12.88 0.00 0.00 0.00 0.00 12.88 12.88 29.67 12.88 0.00 12.88 0.00 0.00 0.00 12.88 15.47 19.33 0.00 0.00 0.00 0.00 12.88 12.88 26.99 11.99 11.99 11.99 12.24 0.00 0.00 0.00 0.00 12.88 12.88 12.88 9.00 14.17 0.00 0.00 0.00 12.88 0.00 0.00 0.00 12.88 0.00 103.88 12.88 0.00 0.00 0.00 0.00 12.88 0.00 12.88 12.88 0.00 0.00 0.00 0.00 0.00 11.59 302000091 302 86800 THYROGLOBULIN AB 111.30 111.30 77.91 11.99 18.14 15.91 30.34 13.48 30.34 13.48 15.91 15.91 36.95 15.91 13.48 15.91 30.34 13.48 30.34 15.91 19.10 23.88 30.34 13.48 30.34 13.48 15.91 15.91 26.99 11.99 11.99 11.99 15.11 30.34 13.48 30.34 13.48 15.91 15.91 15.91 22.00 17.50 13.48 30.34 13.48 15.91 13.48 13.48 13.48 15.91 13.48 77.91 15.91 30.34 13.48 13.48 13.48 15.91 30.34 15.91 15.91 13.48 30.34 13.48 30.34 13.48 14.32 302000092 302 86800 ANTI-THYROGLOBULIN ABS 111.30 111.30 77.91 11.99 18.14 15.91 30.34 13.48 30.34 13.48 15.91 15.91 36.95 15.91 13.48 15.91 30.34 13.48 30.34 15.91 19.10 23.88 30.34 13.48 30.34 13.48 15.91 15.91 26.99 11.99 11.99 11.99 15.11 30.34 13.48 30.34 13.48 15.91 15.91 15.91 22.00 17.50 13.48 30.34 13.48 15.91 13.48 13.48 13.48 15.91 13.48 77.91 15.91 30.34 13.48 13.48 13.48 15.91 30.34 15.91 15.91 13.48 30.34 13.48 30.34 13.48 14.32 302000131 302 86800 THYROGLOBULIN PANEL 275.60 275.60 192.92 11.99 18.14 15.91 30.34 13.48 30.34 13.48 15.91 15.91 36.95 15.91 13.48 15.91 30.34 13.48 30.34 15.91 19.10 23.88 30.34 13.48 30.34 13.48 15.91 15.91 26.99 11.99 11.99 11.99 15.11 30.34 13.48 30.34 13.48 15.91 15.91 15.91 22.00 17.50 13.48 30.34 13.48 15.91 13.48 13.48 13.48 15.91 13.48 192.92 15.91 30.34 13.48 13.48 13.48 15.91 30.34 15.91 15.91 13.48 30.34 13.48 30.34 13.48 14.32 353005190 302 86800 THYROGLOBULIN 111.30 111.30 77.91 11.99 18.14 15.91 30.34 13.48 30.34 13.48 15.91 15.91 36.95 15.91 13.48 15.91 30.34 13.48 30.34 15.91 19.10 23.88 30.34 13.48 30.34 13.48 15.91 15.91 26.99 11.99 11.99 11.99 15.11 30.34 13.48 30.34 13.48 15.91 15.91 15.91 22.00 17.50 13.48 30.34 13.48 15.91 13.48 13.48 13.48 15.91 13.48 77.91 15.91 30.34 13.48 13.48 13.48 15.91 30.34 15.91 15.91 13.48 30.34 13.48 30.34 13.48 14.32 353005191 302 86800 THYROGLOBULIN AB 111.30 111.30 77.91 11.99 18.14 15.91 30.34 13.48 30.34 13.48 15.91 15.91 36.95 15.91 13.48 15.91 30.34 13.48 30.34 15.91 19.10 23.88 30.34 13.48 30.34 13.48 15.91 15.91 26.99 11.99 11.99 11.99 15.11 30.34 13.48 30.34 13.48 15.91 15.91 15.91 22.00 17.50 13.48 30.34 13.48 15.91 13.48 13.48 13.48 15.91 13.48 77.91 15.91 30.34 13.48 13.48 13.48 15.91 30.34 15.91 15.91 13.48 30.34 13.48 30.34 13.48 14.32 302000093 302 86803 HEP C ANTIBODY 99.64 99.64 69.75 10.10 16.27 14.27 22.73 10.10 22.73 10.10 14.27 14.27 33.03 14.27 10.10 14.27 22.73 10.10 22.73 14.27 17.14 21.42 22.73 10.10 22.73 10.10 14.27 14.27 26.99 11.99 11.99 11.99 13.56 22.73 10.10 22.73 10.10 14.27 14.27 14.27 20.00 15.70 10.10 22.73 10.10 14.27 10.10 10.10 10.10 14.27 10.10 69.75 14.27 22.73 10.10 10.10 10.10 14.27 22.73 14.27 14.27 10.10 22.73 10.10 22.73 10.10 12.84 302000201 302 86803 PLACENTA HEP C ANTIBODY 99.64 99.64 69.75 10.10 16.27 14.27 22.73 10.10 22.73 10.10 14.27 14.27 33.03 14.27 10.10 14.27 22.73 10.10 22.73 14.27 17.14 21.42 22.73 10.10 22.73 10.10 14.27 14.27 26.99 11.99 11.99 11.99 13.56 22.73 10.10 22.73 10.10 14.27 14.27 14.27 20.00 15.70 10.10 22.73 10.10 14.27 10.10 10.10 10.10 14.27 10.10 69.75 14.27 22.73 10.10 10.10 10.10 14.27 22.73 14.27 14.27 10.10 22.73 10.10 22.73 10.10 12.84 302000094 302 86804 HEP C CONFIRM 110.24 110.24 77.17 11.99 17.66 15.49 34.85 15.49 34.85 15.49 15.49 15.49 35.83 15.49 15.49 15.49 34.85 15.49 34.85 15.49 18.60 23.25 34.85 15.49 34.85 15.49 15.49 15.49 26.99 11.99 11.99 11.99 14.72 34.85 15.49 34.85 15.49 15.49 15.49 15.49 22.00 17.04 15.49 34.85 15.49 15.49 15.49 15.49 15.49 15.49 15.49 77.17 15.49 34.85 15.49 15.49 15.49 15.49 34.85 15.49 15.49 15.49 34.85 15.49 34.85 15.49 13.94 302000095 302 86804 HEP C AB RIBA 110.24 110.24 77.17 11.99 17.66 15.49 34.85 15.49 34.85 15.49 15.49 15.49 35.83 15.49 15.49 15.49 34.85 15.49 34.85 15.49 18.60 23.25 34.85 15.49 34.85 15.49 15.49 15.49 26.99 11.99 11.99 11.99 14.72 34.85 15.49 34.85 15.49 15.49 15.49 15.49 22.00 17.04 15.49 34.85 15.49 15.49 15.49 15.49 15.49 15.49 15.49 77.17 15.49 34.85 15.49 15.49 15.49 15.49 34.85 15.49 15.49 15.49 34.85 15.49 34.85 15.49 13.94 302000096 302 86812 HLA TYPING 214.12 214.12 149.88 23.23 29.42 25.81 114.04 50.68 114.04 50.68 25.81 25.81 59.91 25.81 50.68 25.81 114.04 50.68 114.04 25.81 30.99 38.74 114.04 50.68 114.04 50.68 25.81 25.81 106.01 47.12 47.12 47.12 24.52 114.04 50.68 114.04 50.68 25.81 25.81 25.81 36.00 28.39 50.68 114.04 50.68 25.81 50.68 50.68 50.68 25.81 50.68 149.88 25.81 114.04 50.68 50.68 50.68 25.81 114.04 25.81 25.81 50.68 114.04 50.68 114.04 50.68 23.23 353005100 302 86812 HLA-B27 AG 214.12 214.12 149.88 23.23 29.42 25.81 114.04 50.68 114.04 50.68 25.81 25.81 59.91 25.81 50.68 25.81 114.04 50.68 114.04 25.81 30.99 38.74 114.04 50.68 114.04 50.68 25.81 25.81 106.01 47.12 47.12 47.12 24.52 114.04 50.68 114.04 50.68 25.81 25.81 25.81 36.00 28.39 50.68 114.04 50.68 25.81 50.68 50.68 50.68 25.81 50.68 149.88 25.81 114.04 50.68 50.68 50.68 25.81 114.04 25.81 25.81 50.68 114.04 50.68 114.04 50.68 23.23 302000098 302 86816 HLA DR TYPING 408.10 408.10 285.67 27.15 34.39 30.17 114.04 50.68 114.04 50.68 30.17 30.17 64.39 30.17 50.68 30.17 114.04 50.68 114.04 30.17 36.23 45.29 114.04 50.68 114.04 50.68 30.17 30.17 106.01 47.12 47.12 47.12 28.66 114.04 50.68 114.04 50.68 30.17 30.17 30.17 39.00 33.19 50.68 114.04 50.68 30.17 50.68 50.68 50.68 30.17 50.68 285.67 30.17 114.04 50.68 50.68 50.68 30.17 114.04 30.17 30.17 50.68 114.04 50.68 114.04 50.68 27.15 300000011 300 86850 AB SCREEN- RBC-EA 171.72 171.72 120.20 5.61 11.14 62.66 12.61 5.61 12.61 5.61 62.66 62.66 26.87 62.66 5.61 62.66 12.61 5.61 12.61 62.66 11.73 14.66 12.61 5.61 12.61 5.61 62.66 62.66 106.01 47.12 47.12 47.12 59.53 12.61 5.61 12.61 5.61 62.66 62.66 62.66 18.00 10.75 5.61 12.61 5.61 62.66 5.61 5.61 5.61 62.66 5.61 120.20 62.66 12.61 5.61 5.61 5.61 62.66 12.61 62.66 62.66 5.61 12.61 5.61 12.61 5.61 8.79 300000012 300 86860 AB ELUTION (RBC)- EA 493.96 493.96 419.87 11.82 295.88 197.52 26.59 11.82 26.59 11.82 197.52 197.52 34.71 197.52 11.82 197.52 26.59 11.82 26.59 197.52 237.18 296.47 26.59 11.82 26.59 11.82 197.52 197.52 106.00 47.11 47.11 47.11 187.64 26.59 11.82 26.59 11.82 197.52 197.52 197.52 24.00 419.87 11.82 26.59 11.82 197.52 11.82 11.82 11.82 197.52 11.82 345.77 197.52 26.59 11.82 11.82 11.82 197.52 26.59 197.52 197.52 11.82 26.59 11.82 26.59 11.82 177.77 300000013 300 86870 AB WORKUP 823.62 823.62 700.08 14.24 493.35 415.67 32.04 14.24 32.04 14.24 415.67 415.67 47.59 415.67 14.24 415.67 32.04 14.24 32.04 415.67 499.13 623.92 32.04 14.24 32.04 14.24 415.67 415.67 106.00 47.11 47.11 47.11 394.88 32.04 14.24 32.04 14.24 415.67 415.67 415.67 39.00 700.08 14.24 32.04 14.24 415.67 14.24 14.24 14.24 415.67 14.24 576.53 415.67 32.04 14.24 14.24 14.24 415.67 32.04 415.67 415.67 14.24 32.04 14.24 32.04 14.24 374.10 300000014 300 86880 DIRECT COOMBS IGG 121.90 121.90 106.01 4.74 6.14 70.73 10.66 4.74 10.66 4.74 70.73 70.73 12.31 70.73 4.74 70.73 10.66 4.74 10.66 70.73 6.47 8.09 10.66 4.74 10.66 4.74 70.73 70.73 106.01 47.12 47.12 47.12 67.20 10.66 4.74 10.66 4.74 70.73 70.73 70.73 8.00 5.93 4.74 10.66 4.74 70.73 4.74 4.74 4.74 70.73 4.74 85.33 70.73 10.66 4.74 4.74 4.74 70.73 10.66 70.73 70.73 4.74 10.66 4.74 10.66 4.74 4.85 302000003 309 86891 INTRA OP SALVAGE 2068.06 2068.06 1757.85 43.00 1238.77 994.37 112.51 50.01 112.51 50.01 994.37 994.37 154.52 994.37 50.01 994.37 112.51 50.01 112.51 994.37 1194.04 1492.55 112.51 50.01 112.51 50.01 994.37 994.37 104.60 46.49 46.49 46.49 944.65 112.51 50.01 112.51 50.01 994.37 994.37 994.37 43.00 1757.85 50.01 112.51 50.01 994.37 50.01 50.01 50.01 994.37 50.01 1447.64 994.37 112.51 50.01 50.01 50.01 994.37 112.51 994.37 994.37 50.01 112.51 50.01 112.51 50.01 894.94 302000001 300 86900 BLOOD TYPING ABO 401.74 401.74 281.22 2.69 3.41 147.72 6.73 2.99 6.73 2.99 147.72 147.72 6.72 147.72 2.99 147.72 6.73 2.99 6.73 147.72 3.59 4.49 6.73 2.99 6.73 2.99 147.72 147.72 106.01 47.12 47.12 47.12 140.33 6.73 2.99 6.73 2.99 147.72 147.72 147.72 5.00 3.29 2.99 6.73 2.99 147.72 2.99 2.99 2.99 147.72 2.99 281.22 147.72 6.73 2.99 2.99 2.99 147.72 6.73 147.72 147.72 2.99 6.73 2.99 6.73 2.99 2.69 300000007 300 86905 RBC ANTIGENS- OTHER THAN ABO/R 823.62 823.62 576.53 3.45 4.37 415.67 8.62 3.83 8.62 3.83 415.67 415.67 8.96 415.67 3.83 415.67 8.62 3.83 8.62 415.67 4.60 5.75 8.62 3.83 8.62 3.83 415.67 415.67 106.01 47.12 47.12 47.12 394.88 8.62 3.83 8.62 3.83 415.67 415.67 415.67 6.00 4.21 3.83 8.62 3.83 415.67 3.83 3.83 3.83 415.67 3.83 576.53 415.67 8.62 3.83 3.83 3.83 415.67 8.62 415.67 415.67 3.83 8.62 3.83 8.62 3.83 3.45 300000016 300 86920 COMPAT EACH IMM. SPIN 493.96 493.96 419.87 20.00 295.88 197.52 114.02 50.68 114.02 50.68 197.52 197.52 38.63 197.52 50.68 197.52 114.02 50.68 114.02 197.52 237.18 296.47 114.02 50.68 114.02 50.68 197.52 197.52 106.00 47.11 47.11 47.11 187.64 114.02 50.68 114.02 50.68 197.52 197.52 197.52 20.00 419.87 50.68 114.02 50.68 197.52 50.68 50.68 50.68 197.52 50.68 345.77 197.52 114.02 50.68 50.68 50.68 197.52 114.02 197.52 197.52 50.68 114.02 50.68 114.02 50.68 177.77 353300001 300 86922 ANTIGLOBULIN X-MATCH 493.96 493.96 419.87 41.43 295.88 197.52 114.02 50.68 114.02 50.68 197.52 197.52 41.43 197.52 50.68 197.52 114.02 50.68 114.02 197.52 237.18 296.47 114.02 50.68 114.02 50.68 197.52 197.52 106.00 47.11 47.11 47.11 187.64 114.02 50.68 114.02 50.68 197.52 197.52 197.52 50.00 419.87 50.68 114.02 50.68 197.52 50.68 50.68 50.68 197.52 50.68 345.77 197.52 114.02 50.68 50.68 50.68 197.52 114.02 197.52 197.52 50.68 114.02 50.68 114.02 50.68 177.77 300000017 300 86927 FFP THAWING- EA 823.62 823.62 700.08 21.83 493.35 197.52 112.51 50.01 112.51 50.01 197.52 197.52 21.83 197.52 50.01 197.52 112.51 50.01 112.51 197.52 237.18 296.47 112.51 50.01 112.51 50.01 197.52 197.52 104.60 46.49 46.49 46.49 187.64 112.51 50.01 112.51 50.01 197.52 197.52 197.52 75.00 700.08 50.01 112.51 50.01 197.52 50.01 50.01 50.01 197.52 50.01 576.53 197.52 112.51 50.01 50.01 50.01 197.52 112.51 197.52 197.52 50.01 112.51 50.01 112.51 50.01 177.77 300000009 300 86965 POOLING OF PLAT OR OTHER BLOOD 493.96 493.96 419.87 22.00 295.88 197.52 112.51 50.01 112.51 50.01 197.52 197.52 35.83 197.52 50.01 197.52 112.51 50.01 112.51 197.52 237.18 296.47 112.51 50.01 112.51 50.01 197.52 197.52 104.60 46.49 46.49 46.49 187.64 112.51 50.01 112.51 50.01 197.52 197.52 197.52 22.00 419.87 50.01 112.51 50.01 197.52 50.01 50.01 50.01 197.52 50.01 345.77 197.52 112.51 50.01 50.01 50.01 197.52 112.51 197.52 197.52 50.01 112.51 50.01 112.51 50.01 177.77 300000026 300 86985 SPLIT BLOOD OR PRODUCTS 493.96 493.96 419.87 12.91 295.88 197.52 112.51 50.01 112.51 50.01 197.52 197.52 28.56 197.52 50.01 197.52 112.51 50.01 112.51 197.52 237.18 296.47 112.51 50.01 112.51 50.01 197.52 197.52 104.60 46.49 46.49 46.49 187.64 112.51 50.01 112.51 50.01 197.52 197.52 197.52 12.91 419.87 50.01 112.51 50.01 197.52 50.01 50.01 50.01 197.52 50.01 345.77 197.52 112.51 50.01 50.01 50.01 197.52 112.51 197.52 197.52 50.01 112.51 50.01 112.51 50.01 177.77 306000017 306 87015 ACID FAST CULTURE/INC SMEAR 164.30 164.30 115.01 3.28 7.62 6.68 7.39 3.28 7.39 3.28 6.68 6.68 15.68 6.68 3.28 6.68 7.39 3.28 7.39 6.68 8.02 10.03 7.39 3.28 7.39 3.28 6.68 6.68 24.96 11.09 11.09 11.09 6.35 7.39 3.28 7.39 3.28 6.68 6.68 6.68 10.00 7.35 3.28 7.39 3.28 6.68 3.28 3.28 3.28 6.68 3.28 115.01 6.68 7.39 3.28 3.28 3.28 6.68 7.39 6.68 6.68 3.28 7.39 3.28 7.39 3.28 6.01 353000024 306 87015 SPECIMEN CONCENTRATION 25.44 25.44 24.96 3.28 7.62 6.68 7.39 3.28 7.39 3.28 6.68 6.68 15.68 6.68 3.28 6.68 7.39 3.28 7.39 6.68 8.02 10.03 7.39 3.28 7.39 3.28 6.68 6.68 24.96 11.09 11.09 11.09 6.35 7.39 3.28 7.39 3.28 6.68 6.68 6.68 10.00 7.35 3.28 7.39 3.28 6.68 3.28 3.28 3.28 6.68 3.28 17.81 6.68 7.39 3.28 3.28 3.28 6.68 7.39 6.68 6.68 3.28 7.39 3.28 7.39 3.28 6.01 353005138 306 87015 "AFB STAIN, SPUTUM" 33.92 33.92 24.96 3.28 7.62 6.68 7.39 3.28 7.39 3.28 6.68 6.68 15.68 6.68 3.28 6.68 7.39 3.28 7.39 6.68 8.02 10.03 7.39 3.28 7.39 3.28 6.68 6.68 24.96 11.09 11.09 11.09 6.35 7.39 3.28 7.39 3.28 6.68 6.68 6.68 10.00 7.35 3.28 7.39 3.28 6.68 3.28 3.28 3.28 6.68 3.28 23.74 6.68 7.39 3.28 3.28 3.28 6.68 7.39 6.68 6.68 3.28 7.39 3.28 7.39 3.28 6.01 353005140 306 87015 "CULTURE, AFB, BODY FLUID" 33.92 33.92 24.96 3.28 7.62 6.68 7.39 3.28 7.39 3.28 6.68 6.68 15.68 6.68 3.28 6.68 7.39 3.28 7.39 6.68 8.02 10.03 7.39 3.28 7.39 3.28 6.68 6.68 24.96 11.09 11.09 11.09 6.35 7.39 3.28 7.39 3.28 6.68 6.68 6.68 10.00 7.35 3.28 7.39 3.28 6.68 3.28 3.28 3.28 6.68 3.28 23.74 6.68 7.39 3.28 3.28 3.28 6.68 7.39 6.68 6.68 3.28 7.39 3.28 7.39 3.28 6.01 353005314 306 87015 "CULTURE, AFB, BODY FLUID" 33.92 33.92 24.96 3.28 7.62 6.68 7.39 3.28 7.39 3.28 6.68 6.68 15.68 6.68 3.28 6.68 7.39 3.28 7.39 6.68 8.02 10.03 7.39 3.28 7.39 3.28 6.68 6.68 24.96 11.09 11.09 11.09 6.35 7.39 3.28 7.39 3.28 6.68 6.68 6.68 10.00 7.35 3.28 7.39 3.28 6.68 3.28 3.28 3.28 6.68 3.28 23.74 6.68 7.39 3.28 3.28 3.28 6.68 7.39 6.68 6.68 3.28 7.39 3.28 7.39 3.28 6.01 306000001 306 87040 CULTURE- BLOOD 65.72 65.72 46.00 8.23 11.76 10.32 18.52 8.23 18.52 8.23 10.32 10.32 24.07 10.32 8.23 10.32 18.52 8.23 18.52 10.32 12.39 15.49 18.52 8.23 18.52 8.23 10.32 10.32 24.96 11.09 11.09 11.09 9.80 18.52 8.23 18.52 8.23 10.32 10.32 10.32 13.00 11.35 8.23 18.52 8.23 10.32 8.23 8.23 8.23 10.32 8.23 46.00 10.32 18.52 8.23 8.23 8.23 10.32 18.52 10.32 10.32 8.23 18.52 8.23 18.52 8.23 9.29 306000002 306 87045 CULTURE STOOL 67.84 67.84 47.49 8.23 10.76 9.44 18.52 8.23 18.52 8.23 9.44 9.44 21.83 9.44 8.23 9.44 18.52 8.23 18.52 9.44 11.34 14.17 18.52 8.23 18.52 8.23 9.44 9.44 24.96 11.09 11.09 11.09 8.97 18.52 8.23 18.52 8.23 9.44 9.44 9.44 14.00 10.38 8.23 18.52 8.23 9.44 8.23 8.23 8.23 9.44 8.23 47.49 9.44 18.52 8.23 8.23 8.23 9.44 18.52 9.44 9.44 8.23 18.52 8.23 18.52 8.23 8.50 353000025 306 87046 STOOL CULTURE CAMPY PLAGE 34.98 34.98 24.96 2.98 10.76 9.44 6.70 2.98 6.70 2.98 9.44 9.44 21.83 9.44 2.98 9.44 6.70 2.98 6.70 9.44 11.34 14.17 6.70 2.98 6.70 2.98 9.44 9.44 24.96 11.09 11.09 11.09 8.97 6.70 2.98 6.70 2.98 9.44 9.44 9.44 14.00 10.38 2.98 6.70 2.98 9.44 2.98 2.98 2.98 9.44 2.98 24.49 9.44 6.70 2.98 2.98 2.98 9.44 6.70 9.44 9.44 2.98 6.70 2.98 6.70 2.98 8.50 306000003 306 87070 CULTURE THROAT 55.12 55.12 38.58 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 38.58 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000004 306 87070 CULTURE SPUTUM 55.12 55.12 38.58 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 38.58 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000005 306 87070 CULTURE EYE 60.42 60.42 42.29 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 42.29 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000006 306 87070 CULTURE BODY FLUIDS 60.42 60.42 42.29 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 42.29 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000008 306 87070 CULTURE CSF 94.34 94.34 66.04 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 66.04 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000009 306 87070 CULTURE GENITAL 60.42 60.42 42.29 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 42.29 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000010 306 87070 CULTURE WOUND 60.42 60.42 42.29 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 42.29 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000011 306 87070 CULTURE EAR 60.42 60.42 42.29 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 42.29 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000047 306 87070 TISSUE CULTURE (TSC) 71.02 71.02 49.71 7.76 9.83 8.62 18.52 8.23 18.52 8.23 8.62 8.62 20.15 8.62 8.23 8.62 18.52 8.23 18.52 8.62 10.35 12.94 18.52 8.23 18.52 8.23 8.62 8.62 24.96 11.09 11.09 11.09 8.19 18.52 8.23 18.52 8.23 8.62 8.62 8.62 12.00 9.48 8.23 18.52 8.23 8.62 8.23 8.23 8.23 8.62 8.23 49.71 8.62 18.52 8.23 8.23 8.23 8.62 18.52 8.62 8.62 8.23 18.52 8.23 18.52 8.23 7.76 306000007 306 87075 CULTURE ANAEROBIC 94.34 94.34 66.04 8.52 10.80 9.47 21.31 9.47 21.31 9.47 9.47 9.47 21.83 9.47 9.47 9.47 21.31 9.47 21.31 9.47 11.37 14.21 21.31 9.47 21.31 9.47 9.47 9.47 24.96 11.09 11.09 11.09 9.00 21.31 9.47 21.31 9.47 9.47 9.47 9.47 14.00 10.42 9.47 21.31 9.47 9.47 9.47 9.47 9.47 9.47 9.47 66.04 9.47 21.31 9.47 9.47 9.47 9.47 21.31 9.47 9.47 9.47 21.31 9.47 21.31 9.47 8.52 306000014 306 87075 CULTURE- BACTERIAL- ANAER 67.84 67.84 47.49 8.52 10.80 9.47 21.31 9.47 21.31 9.47 9.47 9.47 21.83 9.47 9.47 9.47 21.31 9.47 21.31 9.47 11.37 14.21 21.31 9.47 21.31 9.47 9.47 9.47 24.96 11.09 11.09 11.09 9.00 21.31 9.47 21.31 9.47 9.47 9.47 9.47 14.00 10.42 9.47 21.31 9.47 9.47 9.47 9.47 9.47 9.47 9.47 47.49 9.47 21.31 9.47 9.47 9.47 9.47 21.31 9.47 9.47 9.47 21.31 9.47 21.31 9.47 8.52 353000004 306 87076 ANAEROBIC DEFINITIVE ID 29.68 29.68 24.96 7.27 9.21 8.08 18.18 8.08 18.18 8.08 8.08 8.08 18.48 8.08 8.08 8.08 18.18 8.08 18.18 8.08 9.70 12.13 18.18 8.08 18.18 8.08 8.08 8.08 24.96 11.09 11.09 11.09 7.68 18.18 8.08 18.18 8.08 8.08 8.08 8.08 17.00 8.89 8.08 18.18 8.08 8.08 8.08 8.08 8.08 8.08 8.08 20.78 8.08 18.18 8.08 8.08 8.08 8.08 18.18 8.08 8.08 8.08 18.18 8.08 18.18 8.08 7.27 353000003 306 87077 AEROBIC DEFINITIVE ID 29.68 29.68 24.96 7.27 9.21 8.08 18.18 8.08 18.18 8.08 8.08 8.08 18.48 8.08 8.08 8.08 18.18 8.08 18.18 8.08 9.70 12.13 18.18 8.08 18.18 8.08 8.08 8.08 24.96 11.09 11.09 11.09 7.68 18.18 8.08 18.18 8.08 8.08 8.08 8.08 17.00 8.89 8.08 18.18 8.08 8.08 8.08 8.08 8.08 8.08 8.08 20.78 8.08 18.18 8.08 8.08 8.08 8.08 18.18 8.08 8.08 8.08 18.18 8.08 18.18 8.08 7.27 510000304 300 87081 CUL PRSMPTV PTHGNC ORGNISM SCR 39.22 39.22 27.45 5.25 7.56 6.63 11.82 5.25 11.82 5.25 6.63 6.63 15.11 6.63 5.25 6.63 11.82 5.25 11.82 6.63 7.96 9.95 11.82 5.25 11.82 5.25 6.63 6.63 24.96 11.09 11.09 11.09 6.30 11.82 5.25 11.82 5.25 6.63 6.63 6.63 10.00 25.49 5.25 11.82 5.25 6.63 5.25 5.25 5.25 6.63 5.25 27.45 6.63 11.82 5.25 5.25 5.25 6.63 11.82 6.63 6.63 5.25 11.82 5.25 11.82 5.25 5.97 306000015 306 87086 CULTURE URINE W/CT 94.34 94.34 66.04 7.26 9.20 8.07 18.16 8.07 18.16 8.07 8.07 8.07 18.48 8.07 8.07 8.07 18.16 8.07 18.16 8.07 9.69 12.11 18.16 8.07 18.16 8.07 8.07 8.07 24.96 11.09 11.09 11.09 7.67 18.16 8.07 18.16 8.07 8.07 8.07 8.07 12.00 8.88 8.07 18.16 8.07 8.07 8.07 8.07 8.07 8.07 8.07 66.04 8.07 18.16 8.07 8.07 8.07 8.07 18.16 8.07 8.07 8.07 18.16 8.07 18.16 8.07 7.26 353000021 306 87088 POS URINE CULT PRESUM ID 29.68 29.68 24.96 7.28 9.22 8.09 18.20 8.09 18.20 8.09 8.09 8.09 19.03 8.09 8.09 8.09 18.20 8.09 18.20 8.09 9.71 12.14 18.20 8.09 18.20 8.09 8.09 8.09 24.96 11.09 11.09 11.09 7.69 18.20 8.09 18.20 8.09 8.09 8.09 8.09 12.00 8.90 8.09 18.20 8.09 8.09 8.09 8.09 8.09 8.09 8.09 20.78 8.09 18.20 8.09 8.09 8.09 8.09 18.20 8.09 8.09 8.09 18.20 8.09 18.20 8.09 7.28 353000012 306 87101 FUNGUS SKN/HAIR/NAIL 55.12 55.12 38.58 6.94 8.79 7.71 17.35 7.71 17.35 7.71 7.71 7.71 17.91 7.71 7.71 7.71 17.35 7.71 17.35 7.71 9.26 11.57 17.35 7.71 17.35 7.71 7.71 7.71 24.96 11.09 11.09 11.09 7.32 17.35 7.71 17.35 7.71 7.71 7.71 7.71 11.00 8.48 7.71 17.35 7.71 7.71 7.71 7.71 7.71 7.71 7.71 38.58 7.71 17.35 7.71 7.71 7.71 7.71 17.35 7.71 7.71 7.71 17.35 7.71 17.35 7.71 6.94 306000016 306 87102 CULT FUNG NO SKN/HIR/NAL/BLD 129.32 129.32 90.52 7.57 9.59 8.41 18.92 8.41 18.92 8.41 8.41 8.41 19.60 8.41 8.41 8.41 18.92 8.41 18.92 8.41 10.10 12.62 18.92 8.41 18.92 8.41 8.41 8.41 24.96 11.09 11.09 11.09 7.99 18.92 8.41 18.92 8.41 8.41 8.41 8.41 12.00 9.25 8.41 18.92 8.41 8.41 8.41 8.41 8.41 8.41 8.41 90.52 8.41 18.92 8.41 8.41 8.41 8.41 18.92 8.41 8.41 8.41 18.92 8.41 18.92 8.41 7.57 353005106 306 87102 "CULTURE,FUNGUS, MISC1" 43.46 43.46 30.42 7.57 9.59 8.41 18.92 8.41 18.92 8.41 8.41 8.41 19.60 8.41 8.41 8.41 18.92 8.41 18.92 8.41 10.10 12.62 18.92 8.41 18.92 8.41 8.41 8.41 24.96 11.09 11.09 11.09 7.99 18.92 8.41 18.92 8.41 8.41 8.41 8.41 12.00 9.25 8.41 18.92 8.41 8.41 8.41 8.41 8.41 8.41 8.41 30.42 8.41 18.92 8.41 8.41 8.41 8.41 18.92 8.41 8.41 8.41 18.92 8.41 18.92 8.41 7.57 353005107 306 87102 "FUNGUS CULTURE, MISC2" 43.46 43.46 30.42 7.57 9.59 8.41 18.92 8.41 18.92 8.41 8.41 8.41 19.60 8.41 8.41 8.41 18.92 8.41 18.92 8.41 10.10 12.62 18.92 8.41 18.92 8.41 8.41 8.41 24.96 11.09 11.09 11.09 7.99 18.92 8.41 18.92 8.41 8.41 8.41 8.41 12.00 9.25 8.41 18.92 8.41 8.41 8.41 8.41 8.41 8.41 8.41 30.42 8.41 18.92 8.41 8.41 8.41 8.41 18.92 8.41 8.41 8.41 18.92 8.41 18.92 8.41 7.57 306000056 306 87106 FUNGUS ID YEAST 100.70 100.70 70.49 9.29 11.76 10.32 22.04 9.80 22.04 9.80 10.32 10.32 24.07 10.32 9.80 10.32 22.04 9.80 22.04 10.32 12.39 15.49 22.04 9.80 22.04 9.80 10.32 10.32 24.96 11.09 11.09 11.09 9.80 22.04 9.80 22.04 9.80 10.32 10.32 10.32 15.00 11.35 9.80 22.04 9.80 10.32 9.80 9.80 9.80 10.32 9.80 70.49 10.32 22.04 9.80 9.80 9.80 10.32 22.04 10.32 10.32 9.80 22.04 9.80 22.04 9.80 9.29 353000013 306 87107 FUNGUS ID MOLD 37.10 37.10 25.97 9.29 11.76 10.32 22.04 9.80 22.04 9.80 10.32 10.32 24.07 10.32 9.80 10.32 22.04 9.80 22.04 10.32 12.39 15.49 22.04 9.80 22.04 9.80 10.32 10.32 24.96 11.09 11.09 11.09 9.80 22.04 9.80 22.04 9.80 10.32 10.32 10.32 22.00 11.35 9.80 22.04 9.80 10.32 9.80 9.80 9.80 10.32 9.80 25.97 10.32 22.04 9.80 9.80 9.80 10.32 22.04 10.32 10.32 9.80 22.04 9.80 22.04 9.80 9.29 306000064 306 87110 CHLAMYDIA TRACHOMATIS CULTURE 185.50 185.50 129.85 8.23 22.34 19.60 18.52 8.23 18.52 8.23 19.60 19.60 45.35 19.60 8.23 19.60 18.52 8.23 18.52 19.60 23.54 29.42 18.52 8.23 18.52 8.23 19.60 19.60 24.96 11.09 11.09 11.09 18.62 18.52 8.23 18.52 8.23 19.60 19.60 19.60 13.00 21.56 8.23 18.52 8.23 19.60 8.23 8.23 8.23 19.60 8.23 129.85 19.60 18.52 8.23 8.23 8.23 19.60 18.52 19.60 19.60 8.23 18.52 8.23 18.52 8.23 17.64 353005199 306 87110 C. TRACHOMATIS CULTURE 100.70 100.70 70.49 8.23 22.34 19.60 18.52 8.23 18.52 8.23 19.60 19.60 45.35 19.60 8.23 19.60 18.52 8.23 18.52 19.60 23.54 29.42 18.52 8.23 18.52 8.23 19.60 19.60 24.96 11.09 11.09 11.09 18.62 18.52 8.23 18.52 8.23 19.60 19.60 19.60 13.00 21.56 8.23 18.52 8.23 19.60 8.23 8.23 8.23 19.60 8.23 70.49 19.60 18.52 8.23 8.23 8.23 19.60 18.52 19.60 19.60 8.23 18.52 8.23 18.52 8.23 17.64 353005200 306 87110 "C. TRACHOMATIS AG, DFA" 100.70 100.70 70.49 8.23 22.34 19.60 18.52 8.23 18.52 8.23 19.60 19.60 45.35 19.60 8.23 19.60 18.52 8.23 18.52 19.60 23.54 29.42 18.52 8.23 18.52 8.23 19.60 19.60 24.96 11.09 11.09 11.09 18.62 18.52 8.23 18.52 8.23 19.60 19.60 19.60 13.00 21.56 8.23 18.52 8.23 19.60 8.23 8.23 8.23 19.60 8.23 70.49 19.60 18.52 8.23 8.23 8.23 19.60 18.52 19.60 19.60 8.23 18.52 8.23 18.52 8.23 17.64 306000055 306 87116 CULTURE MYCOBACTERIA 156.88 156.88 109.82 9.72 12.31 10.80 24.30 10.80 24.30 10.80 10.80 10.80 25.20 10.80 10.80 10.80 24.30 10.80 24.30 10.80 12.97 16.21 24.30 10.80 24.30 10.80 10.80 10.80 24.96 11.09 11.09 11.09 10.26 24.30 10.80 24.30 10.80 10.80 10.80 10.80 15.00 11.88 10.80 24.30 10.80 10.80 10.80 10.80 10.80 10.80 10.80 109.82 10.80 24.30 10.80 10.80 10.80 10.80 24.30 10.80 10.80 10.80 24.30 10.80 24.30 10.80 9.72 353000001 306 87116 ACID FAST CULTURE 40.28 40.28 28.20 9.72 12.31 10.80 24.30 10.80 24.30 10.80 10.80 10.80 25.20 10.80 10.80 10.80 24.30 10.80 24.30 10.80 12.97 16.21 24.30 10.80 24.30 10.80 10.80 10.80 24.96 11.09 11.09 11.09 10.26 24.30 10.80 24.30 10.80 10.80 10.80 10.80 15.00 11.88 10.80 24.30 10.80 10.80 10.80 10.80 10.80 10.80 10.80 28.20 10.80 24.30 10.80 10.80 10.80 10.80 24.30 10.80 10.80 10.80 24.30 10.80 24.30 10.80 9.72 306000039 306 87147 MENINGITIS PANEL 394.32 394.32 276.02 4.66 5.91 5.18 26.85 11.93 26.85 11.93 5.18 5.18 11.76 5.18 11.93 5.18 26.85 11.93 26.85 5.18 6.22 7.78 26.85 11.93 26.85 11.93 5.18 5.18 24.96 11.09 11.09 11.09 4.92 26.85 11.93 26.85 11.93 5.18 5.18 5.18 8.00 5.70 11.93 26.85 11.93 5.18 11.93 11.93 11.93 5.18 11.93 276.02 5.18 26.85 11.93 11.93 11.93 5.18 26.85 5.18 5.18 11.93 26.85 11.93 26.85 11.93 4.66 306000044 306 87150 MRS (MRSA PCR) 132.50 132.50 106.29 31.58 40.00 35.09 106.29 47.24 106.29 47.24 35.09 35.09 81.18 35.09 47.24 35.09 106.29 47.24 106.29 35.09 42.14 52.67 106.29 47.24 106.29 47.24 35.09 35.09 98.81 43.92 43.92 43.92 33.34 106.29 47.24 106.29 47.24 35.09 35.09 35.09 50.00 38.60 47.24 106.29 47.24 35.09 47.24 47.24 47.24 35.09 47.24 92.75 35.09 106.29 47.24 47.24 47.24 35.09 106.29 35.09 35.09 47.24 106.29 47.24 106.29 47.24 31.58 353005380 306 87150 HISTOPLASMOSIS AB I 120.84 120.84 106.29 31.58 40.00 35.09 106.29 47.24 106.29 47.24 35.09 35.09 81.18 35.09 47.24 35.09 106.29 47.24 106.29 35.09 42.14 52.67 106.29 47.24 106.29 47.24 35.09 35.09 98.81 43.92 43.92 43.92 33.34 106.29 47.24 106.29 47.24 35.09 35.09 35.09 50.00 38.60 47.24 106.29 47.24 35.09 47.24 47.24 47.24 35.09 47.24 84.59 35.09 106.29 47.24 47.24 47.24 35.09 106.29 35.09 35.09 47.24 106.29 47.24 106.29 47.24 31.58 353005404 306 87150 "MTB COMPLEX, PCR" 119.78 119.78 106.29 31.58 40.00 35.09 106.29 47.24 106.29 47.24 35.09 35.09 81.18 35.09 47.24 35.09 106.29 47.24 106.29 35.09 42.14 52.67 106.29 47.24 106.29 47.24 35.09 35.09 98.81 43.92 43.92 43.92 33.34 106.29 47.24 106.29 47.24 35.09 35.09 35.09 50.00 38.60 47.24 106.29 47.24 35.09 47.24 47.24 47.24 35.09 47.24 83.85 35.09 106.29 47.24 47.24 47.24 35.09 106.29 35.09 35.09 47.24 106.29 47.24 106.29 47.24 31.58 306000023 306 87177 DIRECT OVA AND PARASITE 38.16 38.16 26.71 8.01 10.15 8.90 20.03 8.90 20.03 8.90 8.90 8.90 20.72 8.90 8.90 8.90 20.03 8.90 20.03 8.90 10.69 13.36 20.03 8.90 20.03 8.90 8.90 8.90 24.96 11.09 11.09 11.09 8.46 20.03 8.90 20.03 8.90 8.90 8.90 8.90 13.00 9.79 8.90 20.03 8.90 8.90 8.90 8.90 8.90 8.90 8.90 26.71 8.90 20.03 8.90 8.90 8.90 8.90 20.03 8.90 8.90 8.90 20.03 8.90 20.03 8.90 8.01 306000018 306 87184 SENSITIVITIES KB 39.22 39.22 27.45 6.66 8.53 7.48 14.98 6.66 14.98 6.66 7.48 7.48 16.23 7.48 6.66 7.48 14.98 6.66 14.98 7.48 8.98 11.23 14.98 6.66 14.98 6.66 7.48 7.48 24.96 11.09 11.09 11.09 7.11 14.98 6.66 14.98 6.66 7.48 7.48 7.48 9.00 8.23 6.66 14.98 6.66 7.48 6.66 6.66 6.66 7.48 6.66 27.45 7.48 14.98 6.66 6.66 6.66 7.48 14.98 7.48 7.48 6.66 14.98 6.66 14.98 6.66 6.73 353000006 306 87185 BETA LACTAMASE 29.68 29.68 24.96 4.28 5.42 4.75 10.23 4.55 10.23 4.55 4.75 4.75 11.19 4.75 4.55 4.75 10.23 4.55 10.23 4.75 5.70 7.13 10.23 4.55 10.23 4.55 4.75 4.75 24.96 11.09 11.09 11.09 4.51 10.23 4.55 10.23 4.55 4.75 4.75 4.75 9.00 5.23 4.55 10.23 4.55 4.75 4.55 4.55 4.55 4.75 4.55 20.78 4.75 10.23 4.55 4.55 4.55 4.75 10.23 4.75 4.75 4.55 10.23 4.55 10.23 4.55 4.28 353000023 306 87186 SENSITIVITIES MIC 26.50 26.50 24.96 6.66 9.86 8.65 14.98 6.66 14.98 6.66 8.65 8.65 20.15 8.65 6.66 8.65 14.98 6.66 14.98 8.65 10.39 12.98 14.98 6.66 14.98 6.66 8.65 8.65 24.96 11.09 11.09 11.09 8.22 14.98 6.66 14.98 6.66 8.65 8.65 8.65 9.00 9.52 6.66 14.98 6.66 8.65 6.66 6.66 6.66 8.65 6.66 18.55 8.65 14.98 6.66 6.66 6.66 8.65 14.98 8.65 8.65 6.66 14.98 6.66 14.98 6.66 7.79 306000020 306 87205 GRAM STAIN 37.10 37.10 25.97 3.43 4.87 4.27 7.73 3.43 7.73 3.43 4.27 4.27 10.08 4.27 3.43 4.27 7.73 3.43 7.73 4.27 5.13 6.41 7.73 3.43 7.73 3.43 4.27 4.27 24.96 11.09 11.09 11.09 4.06 7.73 3.43 7.73 3.43 4.27 4.27 4.27 6.00 4.70 3.43 7.73 3.43 4.27 3.43 3.43 3.43 4.27 3.43 25.97 4.27 7.73 3.43 3.43 3.43 4.27 7.73 4.27 4.27 3.43 7.73 3.43 7.73 3.43 3.84 306000021 306 87206 ACID FAST SMEAR 38.16 38.16 26.71 4.85 6.14 5.39 12.13 5.39 12.13 5.39 5.39 5.39 12.31 5.39 5.39 5.39 12.13 5.39 12.13 5.39 6.47 8.09 12.13 5.39 12.13 5.39 5.39 5.39 24.96 11.09 11.09 11.09 5.12 12.13 5.39 12.13 5.39 5.39 5.39 5.39 8.00 5.93 5.39 12.13 5.39 5.39 5.39 5.39 5.39 5.39 5.39 26.71 5.39 12.13 5.39 5.39 5.39 5.39 12.13 5.39 5.39 5.39 12.13 5.39 12.13 5.39 4.85 353000002 306 87206 ACID FAST STAIN 20.14 20.14 24.96 4.85 6.14 5.39 12.13 5.39 12.13 5.39 5.39 5.39 12.31 5.39 5.39 5.39 12.13 5.39 12.13 5.39 6.47 8.09 12.13 5.39 12.13 5.39 5.39 5.39 24.96 11.09 11.09 11.09 5.12 12.13 5.39 12.13 5.39 5.39 5.39 5.39 8.00 5.93 5.39 12.13 5.39 5.39 5.39 5.39 5.39 5.39 5.39 14.10 5.39 12.13 5.39 5.39 5.39 5.39 12.13 5.39 5.39 5.39 12.13 5.39 12.13 5.39 4.85 306000022 306 87207 MALARIAL SMEAR 44.52 44.52 31.16 5.39 6.83 5.99 13.48 5.99 13.48 5.99 5.99 5.99 14.00 5.99 5.99 5.99 13.48 5.99 13.48 5.99 7.19 8.99 13.48 5.99 13.48 5.99 5.99 5.99 24.96 11.09 11.09 11.09 5.69 13.48 5.99 13.48 5.99 5.99 5.99 5.99 9.00 6.59 5.99 13.48 5.99 5.99 5.99 5.99 5.99 5.99 5.99 31.16 5.99 13.48 5.99 5.99 5.99 5.99 13.48 5.99 5.99 5.99 13.48 5.99 13.48 5.99 5.39 306000024 306 87210 TRICHIMONAS 30.74 30.74 24.96 3.43 6.63 5.82 7.73 3.43 7.73 3.43 5.82 5.82 10.08 5.82 3.43 5.82 7.73 3.43 7.73 5.82 6.99 8.74 7.73 3.43 7.73 3.43 5.82 5.82 24.96 11.09 11.09 11.09 5.53 7.73 3.43 7.73 3.43 5.82 5.82 5.82 6.00 6.40 3.43 7.73 3.43 5.82 3.43 3.43 3.43 5.82 3.43 21.52 5.82 7.73 3.43 3.43 3.43 5.82 7.73 5.82 5.82 3.43 7.73 3.43 7.73 3.43 5.24 306000025 306 87230 C DIFFICILE TOXIN TITER 113.42 113.42 79.39 9.49 22.50 19.74 21.36 9.49 21.36 9.49 19.74 19.74 45.92 19.74 9.49 19.74 21.36 9.49 21.36 19.74 23.70 29.63 21.36 9.49 21.36 9.49 19.74 19.74 24.96 11.09 11.09 11.09 18.75 21.36 9.49 21.36 9.49 19.74 19.74 19.74 13.00 21.71 9.49 21.36 9.49 19.74 9.49 9.49 9.49 19.74 9.49 79.39 19.74 21.36 9.49 9.49 9.49 19.74 21.36 19.74 19.74 9.49 21.36 9.49 21.36 9.49 17.77 306000027 306 87252 CULTURE CMV 189.74 189.74 132.82 11.09 29.72 26.07 58.66 26.07 58.66 26.07 26.07 26.07 60.47 26.07 26.07 26.07 58.66 26.07 58.66 26.07 31.30 39.13 58.66 26.07 58.66 26.07 26.07 26.07 24.96 11.09 11.09 11.09 24.77 58.66 26.07 58.66 26.07 26.07 26.07 26.07 37.00 28.68 26.07 58.66 26.07 26.07 26.07 26.07 26.07 26.07 26.07 132.82 26.07 58.66 26.07 26.07 26.07 26.07 58.66 26.07 26.07 26.07 58.66 26.07 58.66 26.07 23.46 306000057 306 87252 CULTURE VIRUS FLD TISSUE 79.50 79.50 60.47 11.09 29.72 26.07 58.66 26.07 58.66 26.07 26.07 26.07 60.47 26.07 26.07 26.07 58.66 26.07 58.66 26.07 31.30 39.13 58.66 26.07 58.66 26.07 26.07 26.07 24.96 11.09 11.09 11.09 24.77 58.66 26.07 58.66 26.07 26.07 26.07 26.07 37.00 28.68 26.07 58.66 26.07 26.07 26.07 26.07 26.07 26.07 26.07 55.65 26.07 58.66 26.07 26.07 26.07 26.07 58.66 26.07 26.07 26.07 58.66 26.07 58.66 26.07 23.46 353005370 306 87252 CULTURE VIRAL NON RESPIRATORY 90.10 90.10 63.07 11.09 29.72 26.07 58.66 26.07 58.66 26.07 26.07 26.07 60.47 26.07 26.07 26.07 58.66 26.07 58.66 26.07 31.30 39.13 58.66 26.07 58.66 26.07 26.07 26.07 24.96 11.09 11.09 11.09 24.77 58.66 26.07 58.66 26.07 26.07 26.07 26.07 37.00 28.68 26.07 58.66 26.07 26.07 26.07 26.07 26.07 26.07 26.07 63.07 26.07 58.66 26.07 26.07 26.07 26.07 58.66 26.07 26.07 26.07 58.66 26.07 58.66 26.07 23.46 353005339 306 87253 CULTURE VIRUS FLUID TISSUE PDM 69.96 69.96 48.97 11.09 23.03 20.20 45.45 20.20 45.45 20.20 20.20 20.20 47.03 20.20 20.20 20.20 45.45 20.20 45.45 20.20 24.26 30.32 45.45 20.20 45.45 20.20 20.20 20.20 24.96 11.09 11.09 11.09 19.19 45.45 20.20 45.45 20.20 20.20 20.20 20.20 28.00 22.22 20.20 45.45 20.20 20.20 20.20 20.20 20.20 20.20 20.20 48.97 20.20 45.45 20.20 20.20 20.20 20.20 45.45 20.20 20.20 20.20 45.45 20.20 45.45 20.20 18.18 306000026 306 87255 HERPES SIMPLEX ISO 245.92 245.92 172.14 6.83 38.60 33.86 15.36 6.83 15.36 6.83 33.86 33.86 78.38 33.86 6.83 33.86 15.36 6.83 15.36 33.86 40.66 50.82 15.36 6.83 15.36 6.83 33.86 33.86 98.81 43.92 43.92 43.92 32.17 15.36 6.83 15.36 6.83 33.86 33.86 33.86 28.00 37.25 6.83 15.36 6.83 33.86 6.83 6.83 6.83 33.86 6.83 172.14 33.86 15.36 6.83 6.83 6.83 33.86 15.36 33.86 33.86 6.83 15.36 6.83 15.36 6.83 30.47 306000065 306 87270 "CHLAMYDIA TRACHOMATIS AG, DFA" 126.14 126.14 88.30 8.11 13.66 11.98 18.25 8.11 18.25 8.11 11.98 11.98 27.99 11.98 8.11 11.98 18.25 8.11 18.25 11.98 14.39 17.98 18.25 8.11 18.25 8.11 11.98 11.98 24.96 11.09 11.09 11.09 11.38 18.25 8.11 18.25 8.11 11.98 11.98 11.98 13.00 13.18 8.11 18.25 8.11 11.98 8.11 8.11 8.11 11.98 8.11 88.30 11.98 18.25 8.11 8.11 8.11 11.98 18.25 11.98 11.98 8.11 18.25 8.11 18.25 8.11 10.78 353005062 306 87270 "C. TRACHOMATIS RNA, TMA" 61.48 61.48 43.04 8.11 13.66 11.98 18.25 8.11 18.25 8.11 11.98 11.98 27.99 11.98 8.11 11.98 18.25 8.11 18.25 11.98 14.39 17.98 18.25 8.11 18.25 8.11 11.98 11.98 24.96 11.09 11.09 11.09 11.38 18.25 8.11 18.25 8.11 11.98 11.98 11.98 13.00 13.18 8.11 18.25 8.11 11.98 8.11 8.11 8.11 11.98 8.11 43.04 11.98 18.25 8.11 8.11 8.11 11.98 18.25 11.98 11.98 8.11 18.25 8.11 18.25 8.11 10.78 306000081 306 87272 CRYPTOSPORIDIUM ANTIGEN STOOL 42.40 42.40 29.68 10.78 13.66 11.98 26.96 11.98 26.96 11.98 11.98 11.98 27.99 11.98 11.98 11.98 26.96 11.98 26.96 11.98 14.39 17.98 26.96 11.98 26.96 11.98 11.98 11.98 24.96 11.09 11.09 11.09 11.38 26.96 11.98 26.96 11.98 11.98 11.98 11.98 13.00 13.18 11.98 26.96 11.98 11.98 11.98 11.98 11.98 11.98 11.98 29.68 11.98 26.96 11.98 11.98 11.98 11.98 26.96 11.98 11.98 11.98 26.96 11.98 26.96 11.98 10.78 306000053 306 87275 "INFLUENZA B VIRUS, ANTIGEN DET" 47.70 47.70 33.39 11.03 13.97 12.25 27.56 12.25 27.56 12.25 12.25 12.25 27.99 12.25 12.25 12.25 27.56 12.25 27.56 12.25 14.71 18.39 27.56 12.25 27.56 12.25 12.25 12.25 24.96 11.09 11.09 11.09 11.64 27.56 12.25 27.56 12.25 12.25 12.25 12.25 13.00 13.48 12.25 27.56 12.25 12.25 12.25 12.25 12.25 12.25 12.25 33.39 12.25 27.56 12.25 12.25 12.25 12.25 27.56 12.25 12.25 12.25 27.56 12.25 27.56 12.25 11.03 306000054 306 87276 "INFLUENZA A VIRUS, ANTIGEN DET" 47.70 47.70 33.39 11.09 18.32 16.07 32.95 14.65 32.95 14.65 16.07 16.07 27.99 16.07 14.65 16.07 32.95 14.65 32.95 16.07 19.30 24.12 32.95 14.65 32.95 14.65 16.07 16.07 24.96 11.09 11.09 11.09 15.27 32.95 14.65 32.95 14.65 16.07 16.07 16.07 13.00 17.68 14.65 32.95 14.65 16.07 14.65 14.65 14.65 16.07 14.65 33.39 16.07 32.95 14.65 14.65 14.65 16.07 32.95 16.07 16.07 14.65 32.95 14.65 32.95 14.65 14.46 301000257 302 87278 URINE- LEGIONELLA AG 326.48 326.48 228.54 11.09 17.78 15.60 35.10 15.60 35.10 15.60 15.60 15.60 27.99 15.60 15.60 15.60 35.10 15.60 35.10 15.60 18.73 23.42 35.10 15.60 35.10 15.60 15.60 15.60 24.96 11.09 11.09 11.09 14.82 35.10 15.60 35.10 15.60 15.60 15.60 15.60 13.00 17.16 15.60 35.10 15.60 15.60 15.60 15.60 15.60 15.60 15.60 228.54 15.60 35.10 15.60 15.60 15.60 15.60 35.10 15.60 15.60 15.60 35.10 15.60 35.10 15.60 14.04 353005369 306 87280 CULTURE VIRAL RESPIRATORY 41.34 41.34 28.94 8.11 15.30 13.42 18.25 8.11 18.25 8.11 13.42 13.42 27.99 13.42 8.11 13.42 18.25 8.11 18.25 13.42 16.11 20.14 18.25 8.11 18.25 8.11 13.42 13.42 24.96 11.09 11.09 11.09 12.75 18.25 8.11 18.25 8.11 13.42 13.42 13.42 13.00 14.76 8.11 18.25 8.11 13.42 8.11 8.11 8.11 13.42 8.11 28.94 13.42 18.25 8.11 8.11 8.11 13.42 18.25 13.42 13.42 8.11 18.25 8.11 18.25 8.11 12.08 306000066 306 87281 PNUEMOCYSTIS JIROVECI(CAR) DF 164.30 164.30 115.01 8.11 13.66 11.98 18.25 8.11 18.25 8.11 11.98 11.98 27.99 11.98 8.11 11.98 18.25 8.11 18.25 11.98 14.39 17.98 18.25 8.11 18.25 8.11 11.98 11.98 24.96 11.09 11.09 11.09 11.38 18.25 8.11 18.25 8.11 11.98 11.98 11.98 13.00 13.18 8.11 18.25 8.11 11.98 8.11 8.11 8.11 11.98 8.11 115.01 11.98 18.25 8.11 8.11 8.11 11.98 18.25 11.98 11.98 8.11 18.25 8.11 18.25 8.11 10.78 353005185 306 87281 "PNEUMOCYSTIS CARINII, DFA" 61.48 61.48 43.04 8.11 13.66 11.98 18.25 8.11 18.25 8.11 11.98 11.98 27.99 11.98 8.11 11.98 18.25 8.11 18.25 11.98 14.39 17.98 18.25 8.11 18.25 8.11 11.98 11.98 24.96 11.09 11.09 11.09 11.38 18.25 8.11 18.25 8.11 11.98 11.98 11.98 13.00 13.18 8.11 18.25 8.11 11.98 8.11 8.11 8.11 11.98 8.11 43.04 11.98 18.25 8.11 8.11 8.11 11.98 18.25 11.98 11.98 8.11 18.25 8.11 18.25 8.11 10.78 306000058 306 87290 "VARICELLA-ZOSTER AG,DFA" 121.90 121.90 85.33 8.11 15.30 13.42 18.25 8.11 18.25 8.11 13.42 13.42 27.99 13.42 8.11 13.42 18.25 8.11 18.25 13.42 16.11 20.14 18.25 8.11 18.25 8.11 13.42 13.42 24.96 11.09 11.09 11.09 12.75 18.25 8.11 18.25 8.11 13.42 13.42 13.42 13.00 14.76 8.11 18.25 8.11 13.42 8.11 8.11 8.11 13.42 8.11 85.33 13.42 18.25 8.11 8.11 8.11 13.42 18.25 13.42 13.42 8.11 18.25 8.11 18.25 8.11 12.08 353005110 306 87328 "GIARDIA AG, EIA, STL" 61.48 61.48 43.04 11.09 15.75 13.82 31.10 13.82 31.10 13.82 13.82 13.82 27.99 13.82 13.82 13.82 31.10 13.82 31.10 13.82 16.60 20.74 31.10 13.82 31.10 13.82 13.82 13.82 24.96 11.09 11.09 11.09 13.13 31.10 13.82 31.10 13.82 13.82 13.82 13.82 13.00 15.20 13.82 31.10 13.82 13.82 13.82 13.82 13.82 13.82 13.82 43.04 13.82 31.10 13.82 13.82 13.82 13.82 31.10 13.82 13.82 13.82 31.10 13.82 31.10 13.82 12.44 353005320 306 87329 "GIARDIA AG,EIA,STOOL" 41.34 41.34 28.94 10.78 13.66 11.98 26.96 11.98 26.96 11.98 11.98 11.98 27.99 11.98 11.98 11.98 26.96 11.98 26.96 11.98 14.39 17.98 26.96 11.98 26.96 11.98 11.98 11.98 24.96 11.09 11.09 11.09 11.38 26.96 11.98 26.96 11.98 11.98 11.98 11.98 12.00 13.18 11.98 26.96 11.98 11.98 11.98 11.98 11.98 11.98 11.98 28.94 11.98 26.96 11.98 11.98 11.98 11.98 26.96 11.98 11.98 11.98 26.96 11.98 26.96 11.98 10.78 306000046 306 87338 HPYSAG (H.PYLORI AG DET EIA ST 273.48 273.48 191.44 8.11 16.39 14.38 18.25 8.11 18.25 8.11 14.38 14.38 33.59 14.38 8.11 14.38 18.25 8.11 18.25 14.38 17.27 21.58 18.25 8.11 18.25 8.11 14.38 14.38 24.96 11.09 11.09 11.09 13.66 18.25 8.11 18.25 8.11 14.38 14.38 14.38 20.00 15.82 8.11 18.25 8.11 14.38 8.11 8.11 8.11 14.38 8.11 191.44 14.38 18.25 8.11 8.11 8.11 14.38 18.25 14.38 14.38 8.11 18.25 8.11 18.25 8.11 12.94 353005207 306 87338 H. PYLORI AB (IGG) 74.20 74.20 51.94 8.11 16.39 14.38 18.25 8.11 18.25 8.11 14.38 14.38 33.59 14.38 8.11 14.38 18.25 8.11 18.25 14.38 17.27 21.58 18.25 8.11 18.25 8.11 14.38 14.38 24.96 11.09 11.09 11.09 13.66 18.25 8.11 18.25 8.11 14.38 14.38 14.38 20.00 15.82 8.11 18.25 8.11 14.38 8.11 8.11 8.11 14.38 8.11 51.94 14.38 18.25 8.11 8.11 8.11 14.38 18.25 14.38 14.38 8.11 18.25 8.11 18.25 8.11 12.94 353005340 306 87338 "H.PYLORI AG, QL STOOL" 49.82 49.82 34.87 8.11 16.39 14.38 18.25 8.11 18.25 8.11 14.38 14.38 33.59 14.38 8.11 14.38 18.25 8.11 18.25 14.38 17.27 21.58 18.25 8.11 18.25 8.11 14.38 14.38 24.96 11.09 11.09 11.09 13.66 18.25 8.11 18.25 8.11 14.38 14.38 14.38 20.00 15.82 8.11 18.25 8.11 14.38 8.11 8.11 8.11 14.38 8.11 34.87 14.38 18.25 8.11 8.11 8.11 14.38 18.25 14.38 14.38 8.11 18.25 8.11 18.25 8.11 12.94 306000029 306 87340 HEP B SURFACE ANT 75.26 75.26 52.68 9.30 11.78 10.33 23.24 10.33 23.24 10.33 10.33 10.33 24.07 10.33 10.33 10.33 23.24 10.33 23.24 10.33 12.40 15.51 23.24 10.33 23.24 10.33 10.33 10.33 24.96 11.09 11.09 11.09 9.81 23.24 10.33 23.24 10.33 10.33 10.33 10.33 15.00 11.36 10.33 23.24 10.33 10.33 10.33 10.33 10.33 10.33 10.33 52.68 10.33 23.24 10.33 10.33 10.33 10.33 23.24 10.33 10.33 10.33 23.24 10.33 23.24 10.33 9.30 353005310 306 87340 HEPATITIS B SURFACE ANTIGEN CO 53.00 53.00 37.10 9.30 11.78 10.33 23.24 10.33 23.24 10.33 10.33 10.33 24.07 10.33 10.33 10.33 23.24 10.33 23.24 10.33 12.40 15.51 23.24 10.33 23.24 10.33 10.33 10.33 24.96 11.09 11.09 11.09 9.81 23.24 10.33 23.24 10.33 10.33 10.33 10.33 15.00 11.36 10.33 23.24 10.33 10.33 10.33 10.33 10.33 10.33 10.33 37.10 10.33 23.24 10.33 10.33 10.33 10.33 23.24 10.33 10.33 10.33 23.24 10.33 23.24 10.33 9.30 306000030 306 87350 HEP BE ANTIGEN(HBSAG) 231.08 231.08 161.76 10.20 13.14 11.53 22.95 10.20 22.95 10.20 11.53 11.53 26.87 11.53 10.20 11.53 22.95 10.20 22.95 11.53 13.85 17.31 22.95 10.20 22.95 10.20 11.53 11.53 24.96 11.09 11.09 11.09 10.95 22.95 10.20 22.95 10.20 11.53 11.53 11.53 16.00 12.68 10.20 22.95 10.20 11.53 10.20 10.20 10.20 11.53 10.20 161.76 11.53 22.95 10.20 10.20 10.20 11.53 22.95 11.53 11.53 10.20 22.95 10.20 22.95 10.20 10.38 306000032 306 87380 HEP-DELTA AGENT 116.60 116.60 81.62 10.10 20.93 18.36 22.73 10.10 22.73 10.10 18.36 18.36 38.08 18.36 10.10 18.36 22.73 10.10 22.73 18.36 22.05 27.56 22.73 10.10 22.73 10.10 18.36 18.36 24.96 11.09 11.09 11.09 17.44 22.73 10.10 22.73 10.10 18.36 18.36 18.36 23.00 20.20 10.10 22.73 10.10 18.36 10.10 10.10 10.10 18.36 10.10 81.62 18.36 22.73 10.10 10.10 10.10 18.36 22.73 18.36 18.36 10.10 22.73 10.10 22.73 10.10 16.52 306000033 306 87385 HISTOPLASMA CAPSULATUM 65.72 65.72 46.00 11.09 15.11 13.25 28.20 12.53 28.20 12.53 13.25 13.25 27.99 13.25 12.53 13.25 28.20 12.53 28.20 13.25 15.91 19.89 28.20 12.53 28.20 12.53 13.25 13.25 24.96 11.09 11.09 11.09 12.59 28.20 12.53 28.20 12.53 13.25 13.25 13.25 13.00 14.58 12.53 28.20 12.53 13.25 12.53 12.53 12.53 13.25 12.53 46.00 13.25 28.20 12.53 12.53 12.53 13.25 28.20 13.25 13.25 12.53 28.20 12.53 28.20 12.53 11.93 306000077 306 87385 "HISTOPLASMA AG, URINE" 174.90 174.90 122.43 11.09 15.11 13.25 28.20 12.53 28.20 12.53 13.25 13.25 27.99 13.25 12.53 13.25 28.20 12.53 28.20 13.25 15.91 19.89 28.20 12.53 28.20 12.53 13.25 13.25 24.96 11.09 11.09 11.09 12.59 28.20 12.53 28.20 12.53 13.25 13.25 13.25 13.00 14.58 12.53 28.20 12.53 13.25 12.53 12.53 12.53 13.25 12.53 122.43 13.25 28.20 12.53 12.53 12.53 13.25 28.20 13.25 13.25 12.53 28.20 12.53 28.20 12.53 11.93 306000034 306 87390 EIA SCREENING 1 126.14 126.14 88.30 11.09 27.43 24.06 49.77 22.12 49.77 22.12 24.06 24.06 40.87 24.06 22.12 24.06 49.77 22.12 49.77 24.06 28.89 36.11 49.77 22.12 49.77 22.12 24.06 24.06 24.96 11.09 11.09 11.09 22.86 49.77 22.12 49.77 22.12 24.06 24.06 24.06 25.00 26.47 22.12 49.77 22.12 24.06 22.12 22.12 22.12 24.06 22.12 88.30 24.06 49.77 22.12 22.12 22.12 24.06 49.77 24.06 24.06 22.12 49.77 22.12 49.77 22.12 21.65 306000035 306 87391 EIA SCREENING 2 126.14 126.14 88.30 11.09 24.97 21.90 26.85 11.93 26.85 11.93 21.90 21.90 40.87 21.90 11.93 21.90 26.85 11.93 26.85 21.90 26.30 32.87 26.85 11.93 26.85 11.93 21.90 21.90 24.96 11.09 11.09 11.09 20.81 26.85 11.93 26.85 11.93 21.90 21.90 21.90 25.00 24.09 11.93 26.85 11.93 21.90 11.93 11.93 11.93 21.90 11.93 88.30 21.90 26.85 11.93 11.93 11.93 21.90 26.85 21.90 21.90 11.93 26.85 11.93 26.85 11.93 19.71 306000036 306 87420 RESP SYNCTIAL VIRUS 65.72 65.72 46.00 8.11 15.86 13.91 18.25 8.11 18.25 8.11 13.91 13.91 27.99 13.91 8.11 13.91 18.25 8.11 18.25 13.91 16.70 20.88 18.25 8.11 18.25 8.11 13.91 13.91 24.96 11.09 11.09 11.09 13.21 18.25 8.11 18.25 8.11 13.91 13.91 13.91 13.00 15.30 8.11 18.25 8.11 13.91 8.11 8.11 8.11 13.91 8.11 46.00 13.91 18.25 8.11 8.11 8.11 13.91 18.25 13.91 13.91 8.11 18.25 8.11 18.25 8.11 12.52 306000078 306 87476 LYME DISEASE PCR CSF/SYN 383.72 383.72 268.60 21.64 40.00 35.09 48.70 21.64 48.70 21.64 35.09 35.09 81.18 35.09 21.64 35.09 48.70 21.64 48.70 35.09 42.14 52.67 48.70 21.64 48.70 21.64 35.09 35.09 98.81 43.92 43.92 43.92 33.34 48.70 21.64 48.70 21.64 35.09 35.09 35.09 58.00 38.60 21.64 48.70 21.64 35.09 21.64 21.64 21.64 35.09 21.64 268.60 35.09 48.70 21.64 21.64 21.64 35.09 48.70 35.09 35.09 21.64 48.70 21.64 48.70 21.64 31.58 306000079 306 87491 CHLAMYDIA T AMPLIF NA PROBE 128.26 128.26 98.81 21.64 40.00 35.09 48.70 21.64 48.70 21.64 35.09 35.09 81.18 35.09 21.64 35.09 48.70 21.64 48.70 35.09 42.14 52.67 48.70 21.64 48.70 21.64 35.09 35.09 98.81 43.92 43.92 43.92 33.34 48.70 21.64 48.70 21.64 35.09 35.09 35.09 58.00 38.60 21.64 48.70 21.64 35.09 21.64 21.64 21.64 35.09 21.64 89.78 35.09 48.70 21.64 21.64 21.64 35.09 48.70 35.09 35.09 21.64 48.70 21.64 48.70 21.64 31.58 306000072 306 87493 CLOSTRIDIUM DIFFICILE PCR 157.94 157.94 110.56 33.54 42.49 37.27 106.29 47.24 106.29 47.24 37.27 37.27 81.18 37.27 47.24 37.27 106.29 47.24 106.29 37.27 44.75 55.94 106.29 47.24 106.29 47.24 37.27 37.27 98.81 43.92 43.92 43.92 35.41 106.29 47.24 106.29 47.24 37.27 37.27 37.27 50.27 41.00 47.24 106.29 47.24 37.27 47.24 47.24 47.24 37.27 47.24 110.56 37.27 106.29 47.24 47.24 47.24 37.27 106.29 37.27 37.27 47.24 106.29 47.24 106.29 47.24 33.54 353005375 306 87496 CYTOMEGALOVIRUS(CMV) PCR CSF 120.84 120.84 98.81 23.62 40.00 35.09 53.15 23.62 53.15 23.62 35.09 35.09 81.18 35.09 23.62 35.09 53.15 23.62 53.15 35.09 42.14 52.67 53.15 23.62 53.15 23.62 35.09 35.09 98.81 43.92 43.92 43.92 33.34 53.15 23.62 53.15 23.62 35.09 35.09 35.09 58.00 38.60 23.62 53.15 23.62 35.09 23.62 23.62 23.62 35.09 23.62 84.59 35.09 53.15 23.62 23.62 23.62 35.09 53.15 35.09 35.09 23.62 53.15 23.62 53.15 23.62 31.58 306000073 306 87497 CMV DNA QN REAL TIME PCR 523.64 523.64 366.55 28.85 48.84 42.84 64.90 28.85 64.90 28.85 42.84 42.84 99.10 42.84 28.85 42.84 64.90 28.85 64.90 42.84 51.44 64.30 64.90 28.85 64.90 28.85 42.84 42.84 98.81 43.92 43.92 43.92 40.70 64.90 28.85 64.90 28.85 42.84 42.84 42.84 71.00 47.12 28.85 64.90 28.85 42.84 28.85 28.85 28.85 42.84 28.85 366.55 42.84 64.90 28.85 28.85 28.85 42.84 64.90 42.84 42.84 28.85 64.90 28.85 64.90 28.85 38.56 353005400 306 87497 CYTOMEGALOVIRUS URINE 146.28 146.28 102.40 28.85 48.84 42.84 64.90 28.85 64.90 28.85 42.84 42.84 99.10 42.84 28.85 42.84 64.90 28.85 64.90 42.84 51.44 64.30 64.90 28.85 64.90 28.85 42.84 42.84 98.81 43.92 43.92 43.92 40.70 64.90 28.85 64.90 28.85 42.84 42.84 42.84 71.00 47.12 28.85 64.90 28.85 42.84 28.85 28.85 28.85 42.84 28.85 102.40 42.84 64.90 28.85 28.85 28.85 42.84 64.90 42.84 42.84 28.85 64.90 28.85 64.90 28.85 38.56 353005374 306 87498 "ENTEROVIRUS RNA, RT-PCR CSF" 120.84 120.84 98.81 21.64 40.00 35.09 48.70 21.64 48.70 21.64 35.09 35.09 81.18 35.09 21.64 35.09 48.70 21.64 48.70 35.09 42.14 52.67 48.70 21.64 48.70 21.64 35.09 35.09 98.81 43.92 43.92 43.92 33.34 48.70 21.64 48.70 21.64 35.09 35.09 35.09 49.04 38.60 21.64 48.70 21.64 35.09 21.64 21.64 21.64 35.09 21.64 84.59 35.09 48.70 21.64 21.64 21.64 35.09 48.70 35.09 35.09 21.64 48.70 21.64 48.70 21.64 31.58 306000031 306 87517 HEP B INTECTIVITY PANEL 591.48 591.48 414.04 38.56 48.84 42.84 106.29 47.24 106.29 47.24 42.84 42.84 99.10 42.84 47.24 42.84 106.29 47.24 106.29 42.84 51.44 64.30 106.29 47.24 106.29 47.24 42.84 42.84 98.81 43.92 43.92 43.92 40.70 106.29 47.24 106.29 47.24 42.84 42.84 42.84 71.00 47.12 47.24 106.29 47.24 42.84 47.24 47.24 47.24 42.84 47.24 414.04 42.84 106.29 47.24 47.24 47.24 42.84 106.29 42.84 42.84 47.24 106.29 47.24 106.29 47.24 38.56 353005117 306 87517 HEPATITIS B VIRUS DNA 1 220.48 220.48 154.34 38.56 48.84 42.84 106.29 47.24 106.29 47.24 42.84 42.84 99.10 42.84 47.24 42.84 106.29 47.24 106.29 42.84 51.44 64.30 106.29 47.24 106.29 47.24 42.84 42.84 98.81 43.92 43.92 43.92 40.70 106.29 47.24 106.29 47.24 42.84 42.84 42.84 71.00 47.12 47.24 106.29 47.24 42.84 47.24 47.24 47.24 42.84 47.24 154.34 42.84 106.29 47.24 47.24 47.24 42.84 106.29 42.84 42.84 47.24 106.29 47.24 106.29 47.24 38.56 302000103 306 87521 HEP C RNA BY PCR QUAL 438.84 438.84 307.19 31.58 40.00 35.09 78.95 35.09 78.95 35.09 35.09 35.09 81.18 35.09 35.09 35.09 78.95 35.09 78.95 35.09 42.14 52.67 78.95 35.09 78.95 35.09 35.09 35.09 98.81 43.92 43.92 43.92 33.34 78.95 35.09 78.95 35.09 35.09 35.09 35.09 58.00 38.60 35.09 78.95 35.09 35.09 35.09 35.09 35.09 35.09 35.09 307.19 35.09 78.95 35.09 35.09 35.09 35.09 78.95 35.09 35.09 35.09 78.95 35.09 78.95 35.09 31.58 302000102 306 87522 HEP C RNA BY PCR QUANT 502.44 502.44 351.71 38.56 48.84 42.84 96.39 42.84 96.39 42.84 42.84 42.84 99.10 42.84 42.84 42.84 96.39 42.84 96.39 42.84 51.44 64.30 96.39 42.84 96.39 42.84 42.84 42.84 98.81 43.92 43.92 43.92 40.70 96.39 42.84 96.39 42.84 42.84 42.84 42.84 71.00 47.12 42.84 96.39 42.84 42.84 42.84 42.84 42.84 42.84 42.84 351.71 42.84 96.39 42.84 42.84 42.84 42.84 96.39 42.84 42.84 42.84 96.39 42.84 96.39 42.84 38.56 353005001 306 87522 "HCV RNA GENO,LIPA" 220.48 220.48 154.34 38.56 48.84 42.84 96.39 42.84 96.39 42.84 42.84 42.84 99.10 42.84 42.84 42.84 96.39 42.84 96.39 42.84 51.44 64.30 96.39 42.84 96.39 42.84 42.84 42.84 98.81 43.92 43.92 43.92 40.70 96.39 42.84 96.39 42.84 42.84 42.84 42.84 71.00 47.12 42.84 96.39 42.84 42.84 42.84 42.84 42.84 42.84 42.84 154.34 42.84 96.39 42.84 42.84 42.84 42.84 96.39 42.84 42.84 42.84 96.39 42.84 96.39 42.84 38.56 353005060 306 87522 HCV RNA IU/ml 220.48 220.48 154.34 38.56 48.84 42.84 96.39 42.84 96.39 42.84 42.84 42.84 99.10 42.84 42.84 42.84 96.39 42.84 96.39 42.84 51.44 64.30 96.39 42.84 96.39 42.84 42.84 42.84 98.81 43.92 43.92 43.92 40.70 96.39 42.84 96.39 42.84 42.84 42.84 42.84 71.00 47.12 42.84 96.39 42.84 42.84 42.84 42.84 42.84 42.84 42.84 154.34 42.84 96.39 42.84 42.84 42.84 42.84 96.39 42.84 42.84 42.84 96.39 42.84 96.39 42.84 38.56 353005061 306 87522 "HCV RNA, QN, PCR" 220.48 220.48 154.34 38.56 48.84 42.84 96.39 42.84 96.39 42.84 42.84 42.84 99.10 42.84 42.84 42.84 96.39 42.84 96.39 42.84 51.44 64.30 96.39 42.84 96.39 42.84 42.84 42.84 98.81 43.92 43.92 43.92 40.70 96.39 42.84 96.39 42.84 42.84 42.84 42.84 71.00 47.12 42.84 96.39 42.84 42.84 42.84 42.84 42.84 42.84 42.84 154.34 42.84 96.39 42.84 42.84 42.84 42.84 96.39 42.84 42.84 42.84 96.39 42.84 96.39 42.84 38.56 353005063 306 87522 "HCV ANTIBODY, RIBA" 220.48 220.48 154.34 38.56 48.84 42.84 96.39 42.84 96.39 42.84 42.84 42.84 99.10 42.84 42.84 42.84 96.39 42.84 96.39 42.84 51.44 64.30 96.39 42.84 96.39 42.84 42.84 42.84 98.81 43.92 43.92 43.92 40.70 96.39 42.84 96.39 42.84 42.84 42.84 42.84 71.00 47.12 42.84 96.39 42.84 42.84 42.84 42.84 42.84 42.84 42.84 154.34 42.84 96.39 42.84 42.84 42.84 42.84 96.39 42.84 42.84 42.84 96.39 42.84 96.39 42.84 38.56 353005312 306 87522 RT GENE MUTATION PHENO 220.48 220.48 154.34 38.56 48.84 42.84 96.39 42.84 96.39 42.84 42.84 42.84 99.10 42.84 42.84 42.84 96.39 42.84 96.39 42.84 51.44 64.30 96.39 42.84 96.39 42.84 42.84 42.84 98.81 43.92 43.92 43.92 40.70 96.39 42.84 96.39 42.84 42.84 42.84 42.84 71.00 47.12 42.84 96.39 42.84 42.84 42.84 42.84 42.84 42.84 42.84 154.34 42.84 96.39 42.84 42.84 42.84 42.84 96.39 42.84 42.84 42.84 96.39 42.84 96.39 42.84 38.56 301000262 306 87529 HERPES TYPE 1&2-DNA.PCR 644.48 644.48 451.14 31.58 40.00 35.09 73.06 32.47 73.06 32.47 35.09 35.09 81.18 35.09 32.47 35.09 73.06 32.47 73.06 35.09 42.14 52.67 73.06 32.47 73.06 32.47 35.09 35.09 98.81 43.92 43.92 43.92 33.34 73.06 32.47 73.06 32.47 35.09 35.09 35.09 58.00 38.60 32.47 73.06 32.47 35.09 32.47 32.47 32.47 35.09 32.47 451.14 35.09 73.06 32.47 32.47 32.47 35.09 73.06 35.09 35.09 32.47 73.06 32.47 73.06 32.47 31.58 353005139 306 87529 HPV HIGH RISK 181.26 181.26 126.88 31.58 40.00 35.09 73.06 32.47 73.06 32.47 35.09 35.09 81.18 35.09 32.47 35.09 73.06 32.47 73.06 35.09 42.14 52.67 73.06 32.47 73.06 32.47 35.09 35.09 98.81 43.92 43.92 43.92 33.34 73.06 32.47 73.06 32.47 35.09 35.09 35.09 58.00 38.60 32.47 73.06 32.47 35.09 32.47 32.47 32.47 35.09 32.47 126.88 35.09 73.06 32.47 32.47 32.47 35.09 73.06 35.09 35.09 32.47 73.06 32.47 73.06 32.47 31.58 306000038 306 87536 RNA QT (CHRN) 691.12 691.12 483.78 43.92 97.01 85.10 191.48 85.10 191.48 85.10 85.10 85.10 197.07 85.10 85.10 85.10 191.48 85.10 191.48 85.10 102.19 127.74 191.48 85.10 191.48 85.10 85.10 85.10 98.81 43.92 43.92 43.92 80.85 191.48 85.10 191.48 85.10 85.10 85.10 85.10 69.00 93.61 85.10 191.48 85.10 85.10 85.10 85.10 85.10 85.10 85.10 483.78 85.10 191.48 85.10 85.10 85.10 85.10 191.48 85.10 85.10 85.10 191.48 85.10 191.48 85.10 76.59 309000005 309 87536 VIRUS LOAD HIV 1 RNA QUANT (DN 536.36 536.36 375.45 43.92 97.01 85.10 191.48 85.10 191.48 85.10 85.10 85.10 197.07 85.10 85.10 85.10 191.48 85.10 191.48 85.10 102.19 127.74 191.48 85.10 191.48 85.10 85.10 85.10 98.81 43.92 43.92 43.92 80.85 191.48 85.10 191.48 85.10 85.10 85.10 85.10 69.00 93.61 85.10 191.48 85.10 85.10 85.10 85.10 85.10 85.10 85.10 375.45 85.10 191.48 85.10 85.10 85.10 85.10 191.48 85.10 85.10 85.10 191.48 85.10 191.48 85.10 76.59 306000071 306 87555 M. TUBERCULOSIS DIRECT DET 345.56 345.56 241.89 11.09 30.64 26.88 26.85 11.93 26.85 11.93 26.88 26.88 46.47 26.88 11.93 26.88 26.85 11.93 26.85 26.88 32.28 40.35 26.85 11.93 26.85 11.93 26.88 26.88 24.96 11.09 11.09 11.09 25.54 26.85 11.93 26.85 11.93 26.88 26.88 26.88 33.00 29.57 11.93 26.85 11.93 26.88 11.93 11.93 11.93 26.88 11.93 241.89 26.88 26.85 11.93 11.93 11.93 26.88 26.85 26.88 26.88 11.93 26.85 11.93 26.85 11.93 24.19 353005141 306 87555 MYCOBACTERIUM STAIN 103.88 103.88 72.72 11.09 30.64 26.88 26.85 11.93 26.85 11.93 26.88 26.88 46.47 26.88 11.93 26.88 26.85 11.93 26.85 26.88 32.28 40.35 26.85 11.93 26.85 11.93 26.88 26.88 24.96 11.09 11.09 11.09 25.54 26.85 11.93 26.85 11.93 26.88 26.88 26.88 33.00 29.57 11.93 26.85 11.93 26.88 11.93 11.93 11.93 26.88 11.93 72.72 26.88 26.85 11.93 11.93 11.93 26.88 26.85 26.88 26.88 11.93 26.85 11.93 26.85 11.93 24.19 306000060 306 87556 "M.TUBERCULOS, PCR, NON-RESP" 327.54 327.54 229.28 37.51 47.52 41.68 93.78 41.68 93.78 41.68 41.68 41.68 81.18 41.68 41.68 41.68 93.78 41.68 93.78 41.68 50.05 62.56 93.78 41.68 93.78 41.68 41.68 41.68 98.81 43.92 43.92 43.92 39.60 93.78 41.68 93.78 41.68 41.68 41.68 41.68 58.00 45.85 41.68 93.78 41.68 41.68 41.68 41.68 41.68 41.68 41.68 229.28 41.68 93.78 41.68 41.68 41.68 41.68 93.78 41.68 41.68 41.68 93.78 41.68 93.78 41.68 37.51 306000061 306 87556 "MYCOBACTERIA, PCR, RESP" 327.54 327.54 229.28 37.51 47.52 41.68 93.78 41.68 93.78 41.68 41.68 41.68 81.18 41.68 41.68 41.68 93.78 41.68 93.78 41.68 50.05 62.56 93.78 41.68 93.78 41.68 41.68 41.68 98.81 43.92 43.92 43.92 39.60 93.78 41.68 93.78 41.68 41.68 41.68 41.68 58.00 45.85 41.68 93.78 41.68 41.68 41.68 41.68 41.68 41.68 41.68 229.28 41.68 93.78 41.68 41.68 41.68 41.68 93.78 41.68 41.68 41.68 93.78 41.68 93.78 41.68 37.51 353005175 306 87556 "MTB COMPLEX, PCR" 181.26 181.26 126.88 37.51 47.52 41.68 93.78 41.68 93.78 41.68 41.68 41.68 81.18 41.68 41.68 41.68 93.78 41.68 93.78 41.68 50.05 62.56 93.78 41.68 93.78 41.68 41.68 41.68 98.81 43.92 43.92 43.92 39.60 93.78 41.68 93.78 41.68 41.68 41.68 41.68 58.00 45.85 41.68 93.78 41.68 41.68 41.68 41.68 41.68 41.68 41.68 126.88 41.68 93.78 41.68 41.68 41.68 41.68 93.78 41.68 41.68 41.68 93.78 41.68 93.78 41.68 37.51 353005176 306 87556 "MTB COMPLEX, PCR, RESPIRATORY" 181.26 181.26 126.88 37.51 47.52 41.68 93.78 41.68 93.78 41.68 41.68 41.68 81.18 41.68 41.68 41.68 93.78 41.68 93.78 41.68 50.05 62.56 93.78 41.68 93.78 41.68 41.68 41.68 98.81 43.92 43.92 43.92 39.60 93.78 41.68 93.78 41.68 41.68 41.68 41.68 58.00 45.85 41.68 93.78 41.68 41.68 41.68 41.68 41.68 41.68 41.68 126.88 41.68 93.78 41.68 41.68 41.68 41.68 93.78 41.68 41.68 41.68 93.78 41.68 93.78 41.68 37.51 306000041 306 87591 Chlamydia/GC DNA/SDA (CHDNA) 114.48 114.48 98.81 21.64 40.00 35.09 48.70 21.64 48.70 21.64 35.09 35.09 81.18 35.09 21.64 35.09 48.70 21.64 48.70 35.09 42.14 52.67 48.70 21.64 48.70 21.64 35.09 35.09 98.81 43.92 43.92 43.92 33.34 48.70 21.64 48.70 21.64 35.09 35.09 35.09 58.00 38.60 21.64 48.70 21.64 35.09 21.64 21.64 21.64 35.09 21.64 80.14 35.09 48.70 21.64 21.64 21.64 35.09 48.70 35.09 35.09 21.64 48.70 21.64 48.70 21.64 31.58 306000080 306 87591 NEISSERIA AMPLIF NA PROBE 128.26 128.26 98.81 21.64 40.00 35.09 48.70 21.64 48.70 21.64 35.09 35.09 81.18 35.09 21.64 35.09 48.70 21.64 48.70 35.09 42.14 52.67 48.70 21.64 48.70 21.64 35.09 35.09 98.81 43.92 43.92 43.92 33.34 48.70 21.64 48.70 21.64 35.09 35.09 35.09 58.00 38.60 21.64 48.70 21.64 35.09 21.64 21.64 21.64 35.09 21.64 89.78 35.09 48.70 21.64 21.64 21.64 35.09 48.70 35.09 35.09 21.64 48.70 21.64 48.70 21.64 31.58 311000002 306 87624 CYTOPATH-HPV HIGH RISK VAGW/MD 92.22 92.22 98.81 28.13 40.00 35.09 63.29 28.13 63.29 28.13 35.09 35.09 64.55 35.09 28.13 35.09 63.29 28.13 63.29 35.09 42.14 52.67 63.29 28.13 63.29 28.13 35.09 35.09 98.81 43.92 43.92 43.92 33.34 63.29 28.13 63.29 28.13 35.09 35.09 35.09 47.76 38.60 28.13 63.29 28.13 35.09 28.13 28.13 28.13 35.09 28.13 64.55 35.09 63.29 28.13 28.13 28.13 35.09 63.29 35.09 35.09 28.13 63.29 28.13 63.29 28.13 31.58 353005413 306 87635 SUPPRT PRSN CVD19 TEST NCDC LB 163.17 163.17 114.22 30.79 58.49 51.31 69.28 30.79 69.28 30.79 51.31 51.31 114.22 51.31 30.79 51.31 69.28 30.79 69.28 51.31 51.31 51.31 69.28 30.79 69.28 30.79 51.31 51.31 98.81 43.92 43.92 43.92 48.74 69.28 30.79 69.28 30.79 51.31 51.31 51.31 51.31 56.44 30.79 69.28 30.79 51.31 30.79 30.79 30.79 51.31 30.79 114.22 51.31 69.28 30.79 30.79 30.79 51.31 69.28 51.31 51.31 30.79 69.28 30.79 69.28 30.79 46.18 353005411 306 87635 2019-NCOV DIAGNOSTC/NONCDC LAB U0002 163.17 163.17 114.22 30.79 58.49 51.31 69.28 30.79 69.28 30.79 51.31 51.31 114.22 51.31 30.79 51.31 69.28 30.79 69.28 51.31 51.31 51.31 69.28 30.79 69.28 30.79 51.31 51.31 98.81 43.92 43.92 43.92 48.74 69.28 30.79 69.28 30.79 51.31 51.31 51.31 51.31 56.44 30.79 69.28 30.79 51.31 30.79 30.79 30.79 51.31 30.79 114.22 51.31 69.28 30.79 30.79 30.79 51.31 69.28 51.31 51.31 30.79 69.28 30.79 69.28 30.79 46.18 306000043 306 87653 GBS (GROUP B STREP) 132.50 132.50 98.81 21.64 40.00 35.09 48.70 21.64 48.70 21.64 35.09 35.09 81.18 35.09 21.64 35.09 48.70 21.64 48.70 35.09 42.14 52.67 48.70 21.64 48.70 21.64 35.09 35.09 98.81 43.92 43.92 43.92 33.34 48.70 21.64 48.70 21.64 35.09 35.09 35.09 49.04 38.60 21.64 48.70 21.64 35.09 21.64 21.64 21.64 35.09 21.64 92.75 35.09 48.70 21.64 21.64 21.64 35.09 48.70 35.09 35.09 21.64 48.70 21.64 48.70 21.64 31.58 301000261 306 87798 ENTEROVIRUS DETECTION PCR 811.96 811.96 568.37 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 568.37 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 306000045 306 87798 EVRNA (ENTEROVIRUS RNA- QL RT- 700.66 700.66 490.46 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 490.46 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 306000070 306 87798 "HTLV-I/II,QL,RT-PCR" 470.64 470.64 329.45 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 329.45 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 306000074 306 87798 T. GONDII DNA QL PCR 415.52 415.52 290.86 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 290.86 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 306000075 306 87798 WEST NILE RNA PCR (CSF) NY 591.48 591.48 414.04 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 414.04 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 306000076 306 87798 "WEST NILE RNA RT-PCR, NY" 453.68 453.68 317.58 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 317.58 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 353005075 306 87798 "ENTEROVIRUS RNA, QL, RT-PCR" 181.26 181.26 126.88 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 126.88 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 353005192 306 87798 "WEST NILE, RNA, PCR, CSF" 181.26 181.26 126.88 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 126.88 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 353005193 306 87798 "W. NILE, PCR, SERUM" 181.26 181.26 126.88 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 126.88 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 353005209 306 87798 HTLV-I DNA 181.26 181.26 126.88 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 126.88 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 353005210 306 87798 HTLV-II DNA 181.26 181.26 126.88 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 126.88 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 353005365 306 87798 BORDETELLA PERTUSSIS & BORD PA 120.84 120.84 98.81 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 84.59 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 353005405 306 87798 "BABESIA MICROTI,PCR BLOOD" 119.78 119.78 98.81 0.00 40.00 35.09 0.00 0.00 0.00 0.00 35.09 35.09 81.18 35.09 0.00 35.09 0.00 0.00 0.00 35.09 42.14 52.67 0.00 0.00 0.00 0.00 35.09 35.09 98.81 43.92 43.92 43.92 33.34 0.00 0.00 0.00 0.00 35.09 35.09 35.09 58.00 38.60 0.00 0.00 0.00 35.09 0.00 0.00 0.00 35.09 0.00 83.85 35.09 0.00 0.00 0.00 0.00 35.09 0.00 35.09 35.09 0.00 0.00 0.00 0.00 0.00 31.58 306000040 306 87800 GC/CHLC GENPROBE 212.00 212.00 148.40 28.19 49.78 43.67 63.43 28.19 63.43 28.19 43.67 43.67 92.94 43.67 28.19 43.67 63.43 28.19 63.43 43.67 52.44 65.55 63.43 28.19 63.43 28.19 43.67 43.67 98.81 43.92 43.92 43.92 41.49 63.43 28.19 63.43 28.19 43.67 43.67 43.67 30.00 48.04 28.19 63.43 28.19 43.67 28.19 28.19 28.19 43.67 28.19 148.40 43.67 63.43 28.19 28.19 28.19 43.67 63.43 43.67 43.67 28.19 63.43 28.19 63.43 28.19 39.30 306000042 306 87801 CHLAMYDIA/GC RNA/TMA (CHRNA) 398.56 398.56 278.99 30.00 80.03 70.20 90.90 40.40 90.90 40.40 70.20 70.20 162.93 70.20 40.40 70.20 90.90 40.40 90.90 70.20 84.30 105.37 90.90 40.40 90.90 40.40 70.20 70.20 98.81 43.92 43.92 43.92 66.69 90.90 40.40 90.90 40.40 70.20 70.20 70.20 30.00 77.22 40.40 90.90 40.40 70.20 40.40 40.40 40.40 70.20 40.40 278.99 70.20 90.90 40.40 40.40 40.40 70.20 90.90 70.20 70.20 40.40 90.90 40.40 90.90 40.40 63.18 306000062 306 87801 "B PERTUSSIS/PARAPERTUSSIS, PCR" 617.98 617.98 432.59 30.00 80.03 70.20 90.90 40.40 90.90 40.40 70.20 70.20 162.93 70.20 40.40 70.20 90.90 40.40 90.90 70.20 84.30 105.37 90.90 40.40 90.90 40.40 70.20 70.20 98.81 43.92 43.92 43.92 66.69 90.90 40.40 90.90 40.40 70.20 70.20 70.20 30.00 77.22 40.40 90.90 40.40 70.20 40.40 40.40 40.40 70.20 40.40 432.59 70.20 90.90 40.40 40.40 40.40 70.20 90.90 70.20 70.20 40.40 90.90 40.40 90.90 40.40 63.18 306000063 306 87801 B PERTUSSIS CULTURE 227.90 227.90 162.93 30.00 80.03 70.20 90.90 40.40 90.90 40.40 70.20 70.20 162.93 70.20 40.40 70.20 90.90 40.40 90.90 70.20 84.30 105.37 90.90 40.40 90.90 40.40 70.20 70.20 98.81 43.92 43.92 43.92 66.69 90.90 40.40 90.90 40.40 70.20 70.20 70.20 30.00 77.22 40.40 90.90 40.40 70.20 40.40 40.40 40.40 70.20 40.40 159.53 70.20 90.90 40.40 40.40 40.40 70.20 90.90 70.20 70.20 40.40 90.90 40.40 90.90 40.40 63.18 353005197 306 87801 BORDETELLA PERTUSSIS 362.52 362.52 253.76 30.00 80.03 70.20 90.90 40.40 90.90 40.40 70.20 70.20 162.93 70.20 40.40 70.20 90.90 40.40 90.90 70.20 84.30 105.37 90.90 40.40 90.90 40.40 70.20 70.20 98.81 43.92 43.92 43.92 66.69 90.90 40.40 90.90 40.40 70.20 70.20 70.20 30.00 77.22 40.40 90.90 40.40 70.20 40.40 40.40 40.40 70.20 40.40 253.76 70.20 90.90 40.40 40.40 40.40 70.20 90.90 70.20 70.20 40.40 90.90 40.40 90.90 40.40 63.18 353005198 306 87801 BORDETELLA PARAPERTUSSIS 362.52 362.52 253.76 30.00 80.03 70.20 90.90 40.40 90.90 40.40 70.20 70.20 162.93 70.20 40.40 70.20 90.90 40.40 90.90 70.20 84.30 105.37 90.90 40.40 90.90 40.40 70.20 70.20 98.81 43.92 43.92 43.92 66.69 90.90 40.40 90.90 40.40 70.20 70.20 70.20 30.00 77.22 40.40 90.90 40.40 70.20 40.40 40.40 40.40 70.20 40.40 253.76 70.20 90.90 40.40 40.40 40.40 70.20 90.90 70.20 70.20 40.40 90.90 40.40 90.90 40.40 63.18 306000013 306 87802 GROUP B STREP SERO 60.42 60.42 42.29 11.09 14.51 12.73 26.85 11.93 26.85 11.93 12.73 12.73 27.99 12.73 11.93 12.73 26.85 11.93 26.85 12.73 15.29 19.11 26.85 11.93 26.85 11.93 12.73 12.73 24.96 11.09 11.09 11.09 12.09 26.85 11.93 26.85 11.93 12.73 12.73 12.73 18.00 14.00 11.93 26.85 11.93 12.73 11.93 11.93 11.93 12.73 11.93 42.29 12.73 26.85 11.93 11.93 11.93 12.73 26.85 12.73 12.73 11.93 26.85 11.93 26.85 11.93 11.46 306000037 306 87802 STREP GROUP B RAPID 138.86 138.86 97.20 11.09 14.51 12.73 26.85 11.93 26.85 11.93 12.73 12.73 27.99 12.73 11.93 12.73 26.85 11.93 26.85 12.73 15.29 19.11 26.85 11.93 26.85 11.93 12.73 12.73 24.96 11.09 11.09 11.09 12.09 26.85 11.93 26.85 11.93 12.73 12.73 12.73 18.00 14.00 11.93 26.85 11.93 12.73 11.93 11.93 11.93 12.73 11.93 97.20 12.73 26.85 11.93 11.93 11.93 12.73 26.85 12.73 12.73 11.93 26.85 11.93 26.85 11.93 11.46 306000012 306 87880 GROUP A STREP SERO 60.42 60.42 42.29 3.79 18.84 16.53 8.52 3.79 8.52 3.79 16.53 16.53 27.99 16.53 3.79 16.53 8.52 3.79 8.52 16.53 19.85 24.81 8.52 3.79 8.52 3.79 16.53 16.53 24.96 11.09 11.09 11.09 15.70 8.52 3.79 8.52 3.79 16.53 16.53 16.53 13.00 18.18 3.79 8.52 3.79 16.53 3.79 3.79 3.79 16.53 3.79 42.29 16.53 8.52 3.79 3.79 3.79 16.53 8.52 16.53 16.53 3.79 8.52 3.79 8.52 3.79 14.88 301000263 306 87901 HIV-1 VIRTUAL PHENOTYPE 1551.84 1551.84 1086.29 0.00 293.49 257.45 579.26 257.45 579.26 257.45 257.45 257.45 596.85 257.45 257.45 257.45 579.26 257.45 579.26 257.45 309.15 386.43 579.26 257.45 579.26 257.45 257.45 257.45 0.00 0.00 0.00 0.00 244.58 579.26 257.45 579.26 257.45 257.45 257.45 257.45 125.00 283.20 257.45 579.26 257.45 257.45 257.45 257.45 257.45 257.45 257.45 1086.29 257.45 579.26 257.45 257.45 257.45 257.45 579.26 257.45 257.45 257.45 579.26 257.45 579.26 257.45 231.71 353005350 306 87902 HEPATITIS C VIRUS (HCV) GENOTY 885.10 885.10 619.57 0.00 293.49 257.45 579.26 257.45 579.26 257.45 257.45 257.45 596.85 257.45 257.45 257.45 579.26 257.45 579.26 257.45 309.15 386.43 579.26 257.45 579.26 257.45 257.45 257.45 0.00 0.00 0.00 0.00 244.58 579.26 257.45 579.26 257.45 257.45 257.45 257.45 58.00 283.20 257.45 579.26 257.45 257.45 257.45 257.45 257.45 257.45 257.45 619.57 257.45 579.26 257.45 257.45 257.45 257.45 579.26 257.45 257.45 257.45 579.26 257.45 579.26 257.45 231.71 353005143 306 87906 "HIV-1 AB, WESTERN BLOT" 130.38 130.38 298.42 61.15 146.75 128.73 289.64 128.73 289.64 128.73 128.73 128.73 298.42 128.73 128.73 128.73 289.64 128.73 289.64 128.73 154.58 193.22 289.64 128.73 289.64 128.73 128.73 128.73 137.59 61.15 61.15 61.15 122.29 289.64 128.73 289.64 128.73 128.73 128.73 128.73 181.00 141.60 128.73 289.64 128.73 128.73 128.73 128.73 128.73 128.73 128.73 91.27 128.73 289.64 128.73 128.73 128.73 128.73 289.64 128.73 128.73 128.73 289.64 128.73 289.64 128.73 115.86 311000005 311 88104 CYTOLOGY-FLUIDS/BRUSH/WASH 121.90 121.90 178.59 12.00 65.77 46.38 43.45 19.31 43.45 19.31 46.38 46.38 62.18 46.38 19.31 46.38 43.45 19.31 43.45 46.38 69.27 86.59 43.45 19.31 43.45 19.31 46.38 46.38 178.59 79.37 79.37 79.37 54.81 43.45 19.31 43.45 19.31 46.38 46.38 46.38 12.00 103.62 19.31 43.45 19.31 46.38 19.31 19.31 19.31 46.38 19.31 85.33 46.38 43.45 19.31 19.31 19.31 46.38 19.31 46.38 46.38 19.31 43.45 19.31 43.45 19.31 51.92 311000008 311 88108 CYTOLOGY FOR CYTOSPIN PREP 121.90 121.90 178.59 13.00 63.00 46.38 43.45 19.31 43.45 19.31 46.38 46.38 79.53 46.38 19.31 46.38 43.45 19.31 43.45 46.38 66.36 82.95 43.45 19.31 43.45 19.31 46.38 46.38 178.59 79.37 79.37 79.37 52.50 43.45 19.31 43.45 19.31 46.38 46.38 46.38 13.00 103.62 19.31 43.45 19.31 46.38 19.31 19.31 19.31 46.38 19.31 85.33 46.38 43.45 19.31 19.31 19.31 46.38 19.31 46.38 46.38 19.31 43.45 19.31 43.45 19.31 49.73 310000001 310 88112 NON GYN- THIN PREP 171.72 171.72 178.59 29.11 55.42 62.66 65.49 29.11 65.49 29.11 62.66 62.66 76.17 62.66 29.11 62.66 65.49 29.11 65.49 62.66 58.37 72.96 65.49 29.11 65.49 29.11 62.66 62.66 178.59 79.37 79.37 79.37 46.18 65.49 29.11 65.49 29.11 62.66 62.66 62.66 152.00 145.96 29.11 65.49 29.11 62.66 29.11 29.11 29.11 62.66 29.11 120.20 62.66 65.49 29.11 29.11 29.11 62.66 29.11 62.66 62.66 29.11 65.49 29.11 65.49 29.11 43.75 311000001 311 88141 CYTOPATH- W/MD THIN SLIDE 86.92 86.92 74.64 0.00 30.95 0.00 18.86 8.38 18.86 8.38 0.00 0.00 43.47 0.00 8.38 0.00 18.86 8.38 18.86 0.00 32.60 40.75 18.86 8.38 18.86 8.38 0.00 0.00 74.64 33.17 33.17 33.17 25.79 18.86 8.38 18.86 8.38 0.00 0.00 0.00 36.00 73.88 8.38 18.86 8.38 0.00 8.38 8.38 8.38 0.00 8.38 60.84 0.00 18.86 8.38 8.38 8.38 0.00 8.38 0.00 0.00 8.38 18.86 8.38 18.86 8.38 24.44 311000003 311 88142 CYTO PAP SMEAR-THIN PREP 62.54 62.54 74.64 18.23 23.10 20.26 45.59 20.26 45.59 20.26 20.26 20.26 47.03 20.26 20.26 20.26 45.59 20.26 45.59 20.26 24.33 30.41 45.59 20.26 45.59 20.26 20.26 20.26 74.64 33.17 33.17 33.17 19.25 45.59 20.26 45.59 20.26 20.26 20.26 20.26 20.00 22.29 20.26 45.59 20.26 20.26 20.26 20.26 20.26 20.26 20.26 43.78 20.26 45.59 20.26 20.26 20.26 20.26 20.26 20.26 20.26 20.26 45.59 20.26 45.59 20.26 18.23 311000006 311 88160 CYTO NON GYN 103.88 103.88 178.59 10.00 73.80 34.43 43.45 19.31 43.45 19.31 34.43 34.43 49.29 34.43 19.31 34.43 43.45 19.31 43.45 34.43 77.74 97.17 43.45 19.31 43.45 19.31 34.43 34.43 178.59 79.37 79.37 79.37 61.50 43.45 19.31 43.45 19.31 34.43 34.43 34.43 10.00 88.30 19.31 43.45 19.31 34.43 19.31 19.31 19.31 34.43 19.31 72.72 34.43 43.45 19.31 19.31 19.31 34.43 19.31 34.43 34.43 19.31 43.45 19.31 43.45 19.31 58.27 310000014 310 88164 BETHESDA PAP MAN SCRN 470.64 470.64 329.45 12.00 20.25 17.76 33.29 14.80 33.29 14.80 17.76 17.76 24.64 17.76 14.80 17.76 33.29 14.80 33.29 17.76 21.33 26.66 33.29 14.80 33.29 14.80 17.76 17.76 74.64 33.17 33.17 33.17 16.87 33.29 14.80 33.29 14.80 17.76 17.76 17.76 12.00 19.54 14.80 33.29 14.80 17.76 14.80 14.80 14.80 17.76 14.80 329.45 17.76 33.29 14.80 14.80 14.80 17.76 14.80 17.76 17.76 14.80 33.29 14.80 33.29 14.80 15.98 311000004 311 88173 FNA EVAL INTERP AND REPORT 269.24 269.24 228.85 19.31 134.12 62.66 43.45 19.31 43.45 19.31 62.66 62.66 114.24 62.66 19.31 62.66 43.45 19.31 43.45 62.66 141.27 176.59 43.45 19.31 43.45 19.31 62.66 62.66 151.92 67.52 67.52 67.52 111.77 43.45 19.31 43.45 19.31 62.66 62.66 62.66 23.00 228.85 19.31 43.45 19.31 62.66 19.31 19.31 19.31 62.66 19.31 188.47 62.66 43.45 19.31 19.31 19.31 62.66 19.31 62.66 62.66 19.31 43.45 19.31 43.45 19.31 105.89 311000010 311 88175 CYTOPATH-W/MD THIN SLIDE 81.62 81.62 74.64 23.95 30.34 26.61 59.87 26.61 59.87 26.61 26.61 26.61 61.58 26.61 26.61 26.61 59.87 26.61 59.87 26.61 31.95 39.94 59.87 26.61 59.87 26.61 26.61 26.61 74.64 33.17 33.17 33.17 25.28 59.87 26.61 59.87 26.61 26.61 26.61 26.61 31.49 29.27 26.61 59.87 26.61 26.61 26.61 26.61 26.61 26.61 26.61 57.13 26.61 59.87 26.61 26.61 26.61 26.61 26.61 26.61 26.61 26.61 59.87 26.61 59.87 26.61 23.95 310000009 310 88184 LEUKEMIA/LYMPH EVALUATION 823.62 823.62 700.08 23.40 104.58 415.67 52.65 23.40 52.65 23.40 415.67 415.67 138.32 415.67 23.40 415.67 52.65 23.40 52.65 415.67 110.16 137.70 52.65 23.40 52.65 23.40 415.67 415.67 192.18 85.41 85.41 85.41 87.15 52.65 23.40 52.65 23.40 415.67 415.67 415.67 67.00 700.08 23.40 52.65 23.40 415.67 23.40 23.40 23.40 415.67 23.40 576.53 415.67 52.65 23.40 23.40 23.40 415.67 23.40 415.67 415.67 23.40 52.65 23.40 52.65 23.40 82.57 310000010 310 88184 PLASMA NEOPLASIA FOLLOWUP 823.62 823.62 700.08 23.40 104.58 415.67 52.65 23.40 52.65 23.40 415.67 415.67 138.32 415.67 23.40 415.67 52.65 23.40 52.65 415.67 110.16 137.70 52.65 23.40 52.65 23.40 415.67 415.67 192.18 85.41 85.41 85.41 87.15 52.65 23.40 52.65 23.40 415.67 415.67 415.67 67.00 700.08 23.40 52.65 23.40 415.67 23.40 23.40 23.40 415.67 23.40 576.53 415.67 52.65 23.40 23.40 23.40 415.67 23.40 415.67 415.67 23.40 52.65 23.40 52.65 23.40 82.57 353005359 311 88188 LEUKEMIA/LYMPHOMA/CHROMOSOME 784.40 784.40 666.74 0.00 75.51 0.00 56.81 25.25 56.81 25.25 0.00 0.00 121.62 549.08 25.25 0.00 56.81 25.25 56.81 549.08 79.54 99.43 56.81 25.25 56.81 25.25 0.00 0.00 178.59 79.37 79.37 79.37 62.93 56.81 25.25 56.81 25.25 0.00 0.00 0.00 98.00 666.74 25.25 56.81 25.25 0.00 25.25 25.25 25.25 0.00 25.25 549.08 0.00 56.81 25.25 25.25 25.25 0.00 25.25 0.00 0.00 25.25 56.81 25.25 56.81 25.25 59.62 310000005 310 88230 CHROMOSOMES CLL/LPD 652.96 652.96 457.07 29.00 132.80 116.49 90.90 40.40 90.90 40.40 116.49 116.49 270.43 116.49 40.40 116.49 90.90 40.40 90.90 116.49 139.88 174.85 90.90 40.40 90.90 40.40 116.49 116.49 192.18 85.41 85.41 85.41 110.67 90.90 40.40 90.90 40.40 116.49 116.49 116.49 29.00 128.14 40.40 90.90 40.40 116.49 40.40 40.40 40.40 116.49 40.40 457.07 116.49 90.90 40.40 40.40 40.40 116.49 40.40 116.49 116.49 40.40 90.90 40.40 90.90 40.40 104.84 310000007 310 88230 CHROMOSOMES BLOOD 509.86 509.86 356.90 29.00 132.80 116.49 90.90 40.40 90.90 40.40 116.49 116.49 270.43 116.49 40.40 116.49 90.90 40.40 90.90 116.49 139.88 174.85 90.90 40.40 90.90 40.40 116.49 116.49 192.18 85.41 85.41 85.41 110.67 90.90 40.40 90.90 40.40 116.49 116.49 116.49 29.00 128.14 40.40 90.90 40.40 116.49 40.40 40.40 40.40 116.49 40.40 356.90 116.49 90.90 40.40 40.40 40.40 116.49 40.40 116.49 116.49 40.40 90.90 40.40 90.90 40.40 104.84 353005084 311 88230 CHROMOSOME BLOOD 601.02 601.02 420.71 29.00 132.80 116.49 90.90 40.40 90.90 40.40 116.49 116.49 270.43 116.49 40.40 116.49 90.90 40.40 90.90 116.49 139.88 174.85 90.90 40.40 90.90 40.40 116.49 116.49 192.18 85.41 85.41 85.41 110.67 90.90 40.40 90.90 40.40 116.49 116.49 116.49 29.00 128.14 40.40 90.90 40.40 116.49 40.40 40.40 40.40 116.49 40.40 420.71 116.49 90.90 40.40 40.40 40.40 116.49 40.40 116.49 116.49 40.40 90.90 40.40 90.90 40.40 104.84 310000008 310 88235 CULTURE ADD PRENATAL TEST 477.00 477.00 341.53 36.00 171.34 150.30 299.77 133.23 299.77 133.23 150.30 150.30 341.53 150.30 133.23 150.30 299.77 133.23 299.77 150.30 180.48 225.60 299.77 133.23 299.77 133.23 150.30 150.30 192.18 85.41 85.41 85.41 142.79 299.77 133.23 299.77 133.23 150.30 150.30 150.30 36.00 165.33 133.23 299.77 133.23 150.30 133.23 133.23 133.23 150.30 133.23 333.90 150.30 299.77 133.23 133.23 133.23 150.30 133.23 150.30 150.30 133.23 299.77 133.23 299.77 133.23 135.27 305000036 310 88237 HEMATOLOGIC MALIGNANCY 2002.34 2002.34 1401.64 36.00 163.88 143.75 227.32 101.03 227.32 101.03 143.75 143.75 292.83 143.75 101.03 143.75 227.32 101.03 227.32 143.75 172.62 215.77 227.32 101.03 227.32 101.03 143.75 143.75 192.18 85.41 85.41 85.41 136.56 227.32 101.03 227.32 101.03 143.75 143.75 143.75 36.00 158.13 101.03 227.32 101.03 143.75 101.03 101.03 101.03 143.75 101.03 1401.64 143.75 227.32 101.03 101.03 101.03 143.75 101.03 143.75 143.75 101.03 227.32 101.03 227.32 101.03 129.38 310000006 310 88237 CHROMOSOMES HEMATOLOGIC 477.00 477.00 333.90 36.00 163.88 143.75 227.32 101.03 227.32 101.03 143.75 143.75 292.83 143.75 101.03 143.75 227.32 101.03 227.32 143.75 172.62 215.77 227.32 101.03 227.32 101.03 143.75 143.75 192.18 85.41 85.41 85.41 136.56 227.32 101.03 227.32 101.03 143.75 143.75 143.75 36.00 158.13 101.03 227.32 101.03 143.75 101.03 101.03 101.03 143.75 101.03 333.90 143.75 227.32 101.03 101.03 101.03 143.75 101.03 143.75 143.75 101.03 227.32 101.03 227.32 101.03 129.38 353005065 311 88237 "CHROMOSOMES,HEMATO" 651.90 651.90 456.33 36.00 163.88 143.75 227.32 101.03 227.32 101.03 143.75 143.75 292.83 143.75 101.03 143.75 227.32 101.03 227.32 143.75 172.62 215.77 227.32 101.03 227.32 101.03 143.75 143.75 192.18 85.41 85.41 85.41 136.56 227.32 101.03 227.32 101.03 143.75 143.75 143.75 36.00 158.13 101.03 227.32 101.03 143.75 101.03 101.03 101.03 143.75 101.03 456.33 143.75 227.32 101.03 101.03 101.03 143.75 101.03 143.75 143.75 101.03 227.32 101.03 227.32 101.03 129.38 353005067 311 88237 "CHROMOSOMES, HEMATO" 651.90 651.90 456.33 36.00 163.88 143.75 227.32 101.03 227.32 101.03 143.75 143.75 292.83 143.75 101.03 143.75 227.32 101.03 227.32 143.75 172.62 215.77 227.32 101.03 227.32 101.03 143.75 143.75 192.18 85.41 85.41 85.41 136.56 227.32 101.03 227.32 101.03 143.75 143.75 143.75 36.00 158.13 101.03 227.32 101.03 143.75 101.03 101.03 101.03 143.75 101.03 456.33 143.75 227.32 101.03 101.03 101.03 143.75 101.03 143.75 143.75 101.03 227.32 101.03 227.32 101.03 129.38 353005068 311 88237 "CHROMOSOM, CLL/LPD" 651.90 651.90 456.33 36.00 163.88 143.75 227.32 101.03 227.32 101.03 143.75 143.75 292.83 143.75 101.03 143.75 227.32 101.03 227.32 143.75 172.62 215.77 227.32 101.03 227.32 101.03 143.75 143.75 192.18 85.41 85.41 85.41 136.56 227.32 101.03 227.32 101.03 143.75 143.75 143.75 36.00 158.13 101.03 227.32 101.03 143.75 101.03 101.03 101.03 143.75 101.03 456.33 143.75 227.32 101.03 101.03 101.03 143.75 101.03 143.75 143.75 101.03 227.32 101.03 227.32 101.03 129.38 311000007 311 88261 CHROMOSOME/ GEN TISSUE 1522.16 1522.16 1065.51 0.00 301.35 264.34 0.00 0.00 0.00 0.00 264.34 264.34 409.84 264.34 0.00 264.34 0.00 0.00 0.00 264.34 317.42 396.77 0.00 0.00 0.00 0.00 264.34 264.34 0.00 0.00 0.00 0.00 251.12 0.00 0.00 0.00 0.00 264.34 264.34 264.34 245.00 290.77 0.00 0.00 0.00 264.34 0.00 0.00 0.00 264.34 0.00 1065.51 264.34 0.00 0.00 0.00 0.00 264.34 0.00 264.34 264.34 0.00 0.00 0.00 0.00 0.00 237.91 353005341 311 88262 CHROMOSOMES BLOOD 437.78 437.78 306.45 0.00 143.06 125.49 227.25 101.00 227.25 101.00 125.49 125.49 288.91 125.49 101.00 125.49 227.25 101.00 227.25 125.49 150.69 188.36 227.25 101.00 227.25 101.00 125.49 125.49 0.00 0.00 0.00 0.00 119.22 227.25 101.00 227.25 101.00 125.49 125.49 125.49 173.00 138.04 101.00 227.25 101.00 125.49 101.00 101.00 101.00 125.49 101.00 306.45 125.49 227.25 101.00 101.00 101.00 125.49 101.00 125.49 125.49 101.00 227.25 101.00 227.25 101.00 112.94 310000003 310 88271 FISH MDS PANEL 2 7 8 20 1445.84 1445.84 1012.09 0.00 24.42 21.42 48.20 21.42 48.20 21.42 21.42 21.42 49.84 21.42 21.42 21.42 48.20 21.42 48.20 21.42 25.72 32.15 48.20 21.42 48.20 21.42 21.42 21.42 0.00 0.00 0.00 0.00 20.35 48.20 21.42 48.20 21.42 21.42 21.42 21.42 35.00 23.56 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 1012.09 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 21.42 48.20 21.42 48.20 21.42 19.28 310000004 310 88271 FISH POC PANEL 717.62 717.62 502.33 0.00 24.42 21.42 48.20 21.42 48.20 21.42 21.42 21.42 49.84 21.42 21.42 21.42 48.20 21.42 48.20 21.42 25.72 32.15 48.20 21.42 48.20 21.42 21.42 21.42 0.00 0.00 0.00 0.00 20.35 48.20 21.42 48.20 21.42 21.42 21.42 21.42 35.00 23.56 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 502.33 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 21.42 48.20 21.42 48.20 21.42 19.28 310000013 310 88271 "FISH,CML/ALL,BCR/ABL" 896.76 896.76 627.73 0.00 24.42 21.42 48.20 21.42 48.20 21.42 21.42 21.42 49.84 21.42 21.42 21.42 48.20 21.42 48.20 21.42 25.72 32.15 48.20 21.42 48.20 21.42 21.42 21.42 0.00 0.00 0.00 0.00 20.35 48.20 21.42 48.20 21.42 21.42 21.42 21.42 35.00 23.56 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 627.73 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 21.42 48.20 21.42 48.20 21.42 19.28 311000009 311 88271 FISH B CELL PANEL 1065.30 1065.30 745.71 0.00 24.42 21.42 48.20 21.42 48.20 21.42 21.42 21.42 49.84 21.42 21.42 21.42 48.20 21.42 48.20 21.42 25.72 32.15 48.20 21.42 48.20 21.42 21.42 21.42 0.00 0.00 0.00 0.00 20.35 48.20 21.42 48.20 21.42 21.42 21.42 21.42 35.00 23.56 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 745.71 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 21.42 48.20 21.42 48.20 21.42 19.28 353005085 311 88271 "FISH,MDS PANEL, 5,7,8,20 TEST" 110.24 110.24 77.17 0.00 24.42 21.42 48.20 21.42 48.20 21.42 21.42 21.42 49.84 21.42 21.42 21.42 48.20 21.42 48.20 21.42 25.72 32.15 48.20 21.42 48.20 21.42 21.42 21.42 0.00 0.00 0.00 0.00 20.35 48.20 21.42 48.20 21.42 21.42 21.42 21.42 35.00 23.56 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 77.17 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 21.42 48.20 21.42 48.20 21.42 19.28 353005165 311 88271 "FISH, HES/LEUKEMIA 4Q12" 110.24 110.24 77.17 0.00 24.42 21.42 48.20 21.42 48.20 21.42 21.42 21.42 49.84 21.42 21.42 21.42 48.20 21.42 48.20 21.42 25.72 32.15 48.20 21.42 48.20 21.42 21.42 21.42 0.00 0.00 0.00 0.00 20.35 48.20 21.42 48.20 21.42 21.42 21.42 21.42 35.00 23.56 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 77.17 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 21.42 48.20 21.42 48.20 21.42 19.28 353005196 311 88271 "FISH, CML/ALL,BCR/ABL" 110.24 110.24 77.17 0.00 24.42 21.42 48.20 21.42 48.20 21.42 21.42 21.42 49.84 21.42 21.42 21.42 48.20 21.42 48.20 21.42 25.72 32.15 48.20 21.42 48.20 21.42 21.42 21.42 0.00 0.00 0.00 0.00 20.35 48.20 21.42 48.20 21.42 21.42 21.42 21.42 35.00 23.56 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 77.17 21.42 48.20 21.42 21.42 21.42 21.42 21.42 21.42 21.42 21.42 48.20 21.42 48.20 21.42 19.28 312000003 312 88300 L-I S/P GROSS 66.78 66.78 137.43 5.00 16.15 34.43 137.43 61.08 137.43 61.08 34.43 34.43 36.98 34.43 61.08 34.43 137.43 61.08 137.43 34.43 17.02 21.27 137.43 61.08 137.43 61.08 34.43 34.43 127.76 56.78 56.78 56.78 13.46 137.43 61.08 137.43 61.08 34.43 34.43 34.43 5.00 56.76 61.08 137.43 61.08 34.43 61.08 61.08 61.08 34.43 61.08 46.75 34.43 137.43 61.08 61.08 61.08 34.43 61.08 34.43 34.43 61.08 137.43 61.08 137.43 61.08 12.75 312000005 312 88302 L-II S/P G/M 121.90 121.90 127.76 13.00 35.78 34.43 43.88 19.50 43.88 19.50 34.43 34.43 77.29 34.43 19.50 34.43 43.88 19.50 43.88 34.43 37.69 47.12 43.88 19.50 43.88 19.50 34.43 34.43 127.76 56.78 56.78 56.78 29.82 43.88 19.50 43.88 19.50 34.43 34.43 34.43 13.00 103.62 19.50 43.88 19.50 34.43 19.50 19.50 19.50 34.43 19.50 85.33 34.43 43.88 19.50 19.50 19.50 34.43 19.50 34.43 34.43 19.50 43.88 19.50 43.88 19.50 28.25 312000022 312 88302 "ADDL SURG LEVEL 2, G&M SIMPLE" 121.90 121.90 127.76 13.00 35.78 34.43 43.88 19.50 43.88 19.50 34.43 34.43 77.29 34.43 19.50 34.43 43.88 19.50 43.88 34.43 37.69 47.12 43.88 19.50 43.88 19.50 34.43 34.43 127.76 56.78 56.78 56.78 29.82 43.88 19.50 43.88 19.50 34.43 34.43 34.43 13.00 103.62 19.50 43.88 19.50 34.43 19.50 19.50 19.50 34.43 19.50 85.33 34.43 43.88 19.50 19.50 19.50 34.43 19.50 34.43 34.43 19.50 43.88 19.50 43.88 19.50 28.25 312000006 312 88304 L-III S/P G/M MODERATE 171.72 171.72 145.96 18.00 42.92 62.66 57.56 25.58 57.56 25.58 62.66 62.66 85.13 62.66 25.58 62.66 57.56 25.58 57.56 62.66 45.21 56.51 57.56 25.58 57.56 25.58 62.66 62.66 127.76 56.78 56.78 56.78 35.77 57.56 25.58 57.56 25.58 62.66 62.66 62.66 18.00 145.96 25.58 57.56 25.58 62.66 25.58 25.58 25.58 62.66 25.58 120.20 62.66 57.56 25.58 25.58 25.58 62.66 25.58 62.66 62.66 25.58 57.56 25.58 57.56 25.58 33.89 312000001 312 88305 L-IV G/M SLIGHTLY COMPLEX 171.72 171.72 145.96 28.00 47.83 62.66 98.15 43.62 98.15 43.62 62.66 62.66 114.80 62.66 43.62 62.66 98.15 43.62 98.15 62.66 50.39 62.98 98.15 43.62 98.15 43.62 62.66 62.66 127.76 56.78 56.78 56.78 39.86 98.15 43.62 98.15 43.62 62.66 62.66 62.66 28.00 145.96 43.62 98.15 43.62 62.66 43.62 43.62 43.62 62.66 43.62 120.20 62.66 98.15 43.62 43.62 43.62 62.66 43.62 62.66 62.66 43.62 98.15 43.62 98.15 43.62 37.76 312000007 312 88305 L-IV CELL BLOCK MULTIPLE 171.72 171.72 145.96 28.00 47.83 62.66 98.15 43.62 98.15 43.62 62.66 62.66 114.80 62.66 43.62 62.66 98.15 43.62 98.15 62.66 50.39 62.98 98.15 43.62 98.15 43.62 62.66 62.66 127.76 56.78 56.78 56.78 39.86 98.15 43.62 98.15 43.62 62.66 62.66 62.66 28.00 145.96 43.62 98.15 43.62 62.66 43.62 43.62 43.62 62.66 43.62 120.20 62.66 98.15 43.62 43.62 43.62 62.66 43.62 62.66 62.66 43.62 98.15 43.62 98.15 43.62 37.76 312000023 312 88305 "ADDL SURG LEVL 3, G&M MODERATE" 171.72 171.72 145.96 28.00 47.83 62.66 98.15 43.62 98.15 43.62 62.66 62.66 114.80 62.66 43.62 62.66 98.15 43.62 98.15 62.66 50.39 62.98 98.15 43.62 98.15 43.62 62.66 62.66 127.76 56.78 56.78 56.78 39.86 98.15 43.62 98.15 43.62 62.66 62.66 62.66 28.00 145.96 43.62 98.15 43.62 62.66 43.62 43.62 43.62 62.66 43.62 120.20 62.66 98.15 43.62 43.62 43.62 62.66 43.62 62.66 62.66 43.62 98.15 43.62 98.15 43.62 37.76 312000024 312 88305 "ADDL SUR LEVL 4, G&M SLGT COMP" 171.72 171.72 145.96 28.00 47.83 62.66 98.15 43.62 98.15 43.62 62.66 62.66 114.80 62.66 43.62 62.66 98.15 43.62 98.15 62.66 50.39 62.98 98.15 43.62 98.15 43.62 62.66 62.66 127.76 56.78 56.78 56.78 39.86 98.15 43.62 98.15 43.62 62.66 62.66 62.66 28.00 145.96 43.62 98.15 43.62 62.66 43.62 43.62 43.62 62.66 43.62 120.20 62.66 98.15 43.62 43.62 43.62 62.66 43.62 62.66 62.66 43.62 98.15 43.62 98.15 43.62 37.76 312000008 312 88307 L-V S/P G/M COMPLEX DX 823.62 823.62 700.08 41.00 280.09 415.67 396.35 176.15 396.35 176.15 415.67 415.67 241.89 415.67 176.15 415.67 396.35 176.15 396.35 415.67 295.02 368.78 396.35 176.15 396.35 176.15 415.67 415.67 180.04 80.02 80.02 80.02 233.41 396.35 176.15 396.35 176.15 415.67 415.67 415.67 41.00 700.08 176.15 396.35 176.15 415.67 176.15 176.15 176.15 415.67 176.15 576.53 415.67 396.35 176.15 176.15 176.15 415.67 176.15 415.67 415.67 176.15 396.35 176.15 396.35 176.15 221.12 312000025 312 88307 "ADDL SURG LEVL 5, G&M COMPLEX" 823.62 823.62 700.08 41.00 280.09 415.67 396.35 176.15 396.35 176.15 415.67 415.67 241.89 415.67 176.15 415.67 396.35 176.15 396.35 415.67 295.02 368.78 396.35 176.15 396.35 176.15 415.67 415.67 180.04 80.02 80.02 80.02 233.41 396.35 176.15 396.35 176.15 415.67 415.67 415.67 41.00 700.08 176.15 396.35 176.15 415.67 176.15 176.15 176.15 415.67 176.15 576.53 415.67 396.35 176.15 176.15 176.15 415.67 176.15 415.67 415.67 176.15 396.35 176.15 396.35 176.15 221.12 312000009 312 88309 L-VI S/P G/M COMP DX 2068.06 2068.06 1757.85 50.00 392.95 994.37 602.19 267.64 602.19 267.64 994.37 994.37 336.01 994.37 267.64 994.37 602.19 267.64 602.19 994.37 413.90 517.38 602.19 267.64 602.19 267.64 994.37 994.37 180.04 80.02 80.02 80.02 327.46 602.19 267.64 602.19 267.64 994.37 994.37 994.37 50.00 1757.85 267.64 602.19 267.64 994.37 267.64 267.64 267.64 994.37 267.64 1447.64 994.37 602.19 267.64 267.64 267.64 994.37 267.64 994.37 994.37 267.64 602.19 267.64 602.19 267.64 310.22 312000020 312 88311 S/P DECALIFICATION G/M 56.18 56.18 137.43 0.00 11.70 0.00 137.43 61.08 137.43 61.08 0.00 0.00 11.22 0.00 61.08 0.00 137.43 61.08 137.43 0.00 12.32 15.40 137.43 61.08 137.43 61.08 0.00 0.00 127.76 56.78 56.78 56.78 9.75 137.43 61.08 137.43 61.08 0.00 0.00 0.00 5.00 47.75 61.08 137.43 61.08 0.00 61.08 61.08 61.08 0.00 61.08 39.33 0.00 137.43 61.08 61.08 61.08 0.00 61.08 0.00 0.00 61.08 137.43 61.08 137.43 61.08 9.23 306000069 310 88312 HELICOBACTER PYLORI 171.72 171.72 153.42 6.00 116.52 62.66 29.95 13.31 29.95 13.31 62.66 62.66 132.72 62.66 13.31 62.66 29.95 13.31 29.95 62.66 122.73 153.42 29.95 13.31 29.95 13.31 62.66 62.66 127.76 56.78 56.78 56.78 97.10 29.95 13.31 29.95 13.31 62.66 62.66 62.66 6.00 145.96 13.31 29.95 13.31 62.66 13.31 13.31 13.31 62.66 13.31 120.20 62.66 29.95 13.31 13.31 13.31 62.66 13.31 62.66 62.66 13.31 29.95 13.31 29.95 13.31 91.99 312000002 312 88312 CRYPTOSPORIDIUM SMEAR 171.72 171.72 153.42 6.00 116.52 62.66 29.95 13.31 29.95 13.31 62.66 62.66 132.72 62.66 13.31 62.66 29.95 13.31 29.95 62.66 122.73 153.42 29.95 13.31 29.95 13.31 62.66 62.66 127.76 56.78 56.78 56.78 97.10 29.95 13.31 29.95 13.31 62.66 62.66 62.66 6.00 145.96 13.31 29.95 13.31 62.66 13.31 13.31 13.31 62.66 13.31 120.20 62.66 29.95 13.31 13.31 13.31 62.66 13.31 62.66 62.66 13.31 29.95 13.31 29.95 13.31 91.99 312000010 312 88312 GP STAIN I 171.72 171.72 153.42 6.00 116.52 62.66 29.95 13.31 29.95 13.31 62.66 62.66 132.72 62.66 13.31 62.66 29.95 13.31 29.95 62.66 122.73 153.42 29.95 13.31 29.95 13.31 62.66 62.66 127.76 56.78 56.78 56.78 97.10 29.95 13.31 29.95 13.31 62.66 62.66 62.66 6.00 145.96 13.31 29.95 13.31 62.66 13.31 13.31 13.31 62.66 13.31 120.20 62.66 29.95 13.31 13.31 13.31 62.66 13.31 62.66 62.66 13.31 29.95 13.31 29.95 13.31 91.99 312000011 312 88312 GP-I STAIN 171.72 171.72 153.42 6.00 116.52 62.66 29.95 13.31 29.95 13.31 62.66 62.66 132.72 62.66 13.31 62.66 29.95 13.31 29.95 62.66 122.73 153.42 29.95 13.31 29.95 13.31 62.66 62.66 127.76 56.78 56.78 56.78 97.10 29.95 13.31 29.95 13.31 62.66 62.66 62.66 6.00 145.96 13.31 29.95 13.31 62.66 13.31 13.31 13.31 62.66 13.31 120.20 62.66 29.95 13.31 13.31 13.31 62.66 13.31 62.66 62.66 13.31 29.95 13.31 29.95 13.31 91.99 312000012 312 88313 GP-II PATH STAINS 121.90 121.90 127.76 5.00 95.55 70.73 22.45 9.98 22.45 9.98 70.73 70.73 109.20 70.73 9.98 70.73 22.45 9.98 22.45 70.73 100.65 125.81 22.45 9.98 22.45 9.98 70.73 70.73 127.76 56.78 56.78 56.78 79.63 22.45 9.98 22.45 9.98 70.73 70.73 70.73 5.00 103.62 9.98 22.45 9.98 70.73 9.98 9.98 9.98 70.73 9.98 85.33 70.73 22.45 9.98 9.98 9.98 70.73 9.98 70.73 70.73 9.98 22.45 9.98 22.45 9.98 75.44 312000013 312 88313 GP-II PROSTATIC AG STAIN 121.90 121.90 127.76 5.00 95.55 70.73 22.45 9.98 22.45 9.98 70.73 70.73 109.20 70.73 9.98 70.73 22.45 9.98 22.45 70.73 100.65 125.81 22.45 9.98 22.45 9.98 70.73 70.73 127.76 56.78 56.78 56.78 79.63 22.45 9.98 22.45 9.98 70.73 70.73 70.73 5.00 103.62 9.98 22.45 9.98 70.73 9.98 9.98 9.98 70.73 9.98 85.33 70.73 22.45 9.98 9.98 9.98 70.73 9.98 70.73 70.73 9.98 22.45 9.98 22.45 9.98 75.44 312000014 312 88313 GP-II SPECIAL STAIN 121.90 121.90 127.76 5.00 95.55 70.73 22.45 9.98 22.45 9.98 70.73 70.73 109.20 70.73 9.98 70.73 22.45 9.98 22.45 70.73 100.65 125.81 22.45 9.98 22.45 9.98 70.73 70.73 127.76 56.78 56.78 56.78 79.63 22.45 9.98 22.45 9.98 70.73 70.73 70.73 5.00 103.62 9.98 22.45 9.98 70.73 9.98 9.98 9.98 70.73 9.98 85.33 70.73 22.45 9.98 9.98 9.98 70.73 9.98 70.73 70.73 9.98 22.45 9.98 22.45 9.98 75.44 312000015 312 88321 S/PCONS/REPT ON SLIDE 121.90 121.90 163.42 46.38 101.73 46.38 163.42 72.63 163.42 72.63 46.38 46.38 117.75 46.38 72.63 46.38 163.42 72.63 163.42 46.38 107.16 133.95 163.42 72.63 163.42 72.63 46.38 46.38 151.92 67.52 67.52 67.52 84.78 163.42 72.63 163.42 72.63 46.38 46.38 46.38 70.00 103.62 72.63 163.42 72.63 46.38 72.63 72.63 72.63 46.38 72.63 85.33 46.38 163.42 72.63 72.63 72.63 46.38 72.63 46.38 46.38 72.63 163.42 72.63 163.42 72.63 80.32 310000012 312 88325 COMPREHENSIVE CONSULTATION 299.98 299.98 254.98 67.52 162.22 197.52 163.42 72.63 163.42 72.63 197.52 197.52 185.79 197.52 72.63 197.52 163.42 72.63 163.42 197.52 170.87 213.59 163.42 72.63 163.42 72.63 197.52 197.52 151.92 67.52 67.52 67.52 135.19 163.42 72.63 163.42 72.63 197.52 197.52 197.52 108.00 254.98 72.63 163.42 72.63 197.52 72.63 72.63 72.63 197.52 72.63 209.99 197.52 163.42 72.63 72.63 72.63 197.52 72.63 197.52 197.52 72.63 163.42 72.63 163.42 72.63 128.07 312000016 312 88329 PATHOLOGY CON IN OR 397.50 397.50 337.88 34.02 43.09 70.73 163.42 72.63 163.42 72.63 70.73 70.73 49.94 70.73 72.63 70.73 163.42 72.63 163.42 70.73 45.39 56.74 163.42 72.63 163.42 72.63 70.73 70.73 151.92 67.52 67.52 67.52 35.91 163.42 72.63 163.42 72.63 70.73 70.73 70.73 45.00 337.88 72.63 163.42 72.63 70.73 72.63 72.63 72.63 70.73 72.63 278.25 70.73 163.42 72.63 72.63 72.63 70.73 72.63 70.73 70.73 72.63 163.42 72.63 163.42 72.63 34.02 312000017 312 88331 W/ FZN SECTION 493.96 493.96 419.87 30.00 55.42 197.52 163.42 72.63 163.42 72.63 197.52 197.52 52.66 197.52 72.63 197.52 163.42 72.63 163.42 197.52 58.37 72.96 163.42 72.63 163.42 72.63 197.52 197.52 151.92 67.52 67.52 67.52 46.18 163.42 72.63 163.42 72.63 197.52 197.52 197.52 30.00 419.87 72.63 163.42 72.63 197.52 72.63 72.63 72.63 197.52 72.63 345.77 197.52 163.42 72.63 72.63 72.63 197.52 72.63 197.52 197.52 72.63 163.42 72.63 163.42 72.63 43.75 312000018 312 88332 FROZEN SECTION ADD'L TISSUE 118.72 118.72 163.42 0.00 33.55 0.00 163.42 72.63 163.42 72.63 0.00 0.00 18.50 0.00 72.63 0.00 163.42 72.63 163.42 0.00 35.34 44.17 163.42 72.63 163.42 72.63 0.00 0.00 151.92 67.52 67.52 67.52 27.96 163.42 72.63 163.42 72.63 0.00 0.00 0.00 15.00 100.91 72.63 163.42 72.63 0.00 72.63 72.63 72.63 0.00 72.63 83.10 0.00 163.42 72.63 72.63 72.63 0.00 72.63 0.00 0.00 72.63 163.42 72.63 163.42 72.63 26.49 312000026 312 88346 CELLSEARCH (R) BREAST 823.62 823.62 700.08 15.00 154.54 197.52 43.75 19.44 43.75 19.44 197.52 197.52 100.24 197.52 19.44 197.52 43.75 19.44 43.75 197.52 162.78 203.48 43.75 19.44 43.75 19.44 197.52 197.52 180.04 80.02 80.02 80.02 128.78 43.75 19.44 43.75 19.44 197.52 197.52 197.52 15.00 700.08 19.44 43.75 19.44 197.52 19.44 19.44 19.44 197.52 19.44 576.53 197.52 43.75 19.44 19.44 19.44 197.52 19.44 197.52 197.52 19.44 43.75 19.44 43.75 19.44 122.00 309000010 309 89050 CELL COUNT EXCEPT BLOOD 65.72 65.72 95.98 2.83 5.38 4.72 6.36 2.83 6.36 2.83 4.72 4.72 11.19 4.72 2.83 4.72 6.36 2.83 6.36 4.72 5.67 7.08 6.36 2.83 6.36 2.83 4.72 4.72 95.98 42.66 42.66 42.66 4.48 6.36 2.83 6.36 2.83 4.72 4.72 4.72 6.00 5.19 2.83 6.36 2.83 4.72 2.83 2.83 2.83 4.72 2.83 46.00 4.72 6.36 2.83 2.83 2.83 4.72 6.36 4.72 4.72 2.83 6.36 2.83 6.36 2.83 4.25 309000011 309 89050 STOOL FOR WBCS 44.52 44.52 95.98 2.83 5.38 4.72 6.36 2.83 6.36 2.83 4.72 4.72 11.19 4.72 2.83 4.72 6.36 2.83 6.36 4.72 5.67 7.08 6.36 2.83 6.36 2.83 4.72 4.72 95.98 42.66 42.66 42.66 4.48 6.36 2.83 6.36 2.83 4.72 4.72 4.72 6.00 5.19 2.83 6.36 2.83 4.72 2.83 2.83 2.83 4.72 2.83 31.16 4.72 6.36 2.83 2.83 2.83 4.72 6.36 4.72 4.72 2.83 6.36 2.83 6.36 2.83 4.25 309000012 309 89051 CSF-COUNT/DIFF 47.70 47.70 95.98 2.83 6.38 5.60 6.36 2.83 6.36 2.83 5.60 5.60 12.88 5.60 2.83 5.60 6.36 2.83 6.36 5.60 6.72 8.41 6.36 2.83 6.36 2.83 5.60 5.60 95.98 42.66 42.66 42.66 5.32 6.36 2.83 6.36 2.83 5.60 5.60 5.60 6.00 6.16 2.83 6.36 2.83 5.60 2.83 2.83 2.83 5.60 2.83 33.39 5.60 6.36 2.83 2.83 2.83 5.60 6.36 5.60 5.60 2.83 6.36 2.83 6.36 2.83 5.04 353005000 300 89055 STOOL FOR WBC 14.84 14.84 95.98 3.43 4.87 4.27 7.73 3.43 7.73 3.43 4.27 4.27 10.08 4.27 3.43 4.27 7.73 3.43 7.73 4.27 5.13 6.41 7.73 3.43 7.73 3.43 4.27 4.27 95.98 42.66 42.66 42.66 4.06 7.73 3.43 7.73 3.43 4.27 4.27 4.27 4.00 4.70 3.43 7.73 3.43 4.27 3.43 3.43 3.43 4.27 3.43 10.39 4.27 7.73 3.43 3.43 3.43 4.27 7.73 4.27 4.27 3.43 7.73 3.43 7.73 3.43 3.84 309000013 309 89060 PATH CRYSTAL ID 30.74 30.74 95.98 6.06 8.36 7.33 13.64 6.06 13.64 6.06 7.33 7.33 16.80 7.33 6.06 7.33 13.64 6.06 13.64 7.33 8.80 11.00 13.64 6.06 13.64 6.06 7.33 7.33 95.98 42.66 42.66 42.66 6.96 13.64 6.06 13.64 6.06 7.33 7.33 7.33 10.00 8.06 6.06 13.64 6.06 7.33 6.06 6.06 6.06 7.33 6.06 21.52 7.33 13.64 6.06 6.06 6.06 7.33 13.64 7.33 7.33 6.06 13.64 6.06 13.64 6.06 6.60 305000001 305 89190 NASAL SMEAR FOR EOSINOPHILES 44.52 44.52 95.98 4.75 6.60 5.79 10.68 4.75 10.68 4.75 5.79 5.79 11.19 5.79 4.75 5.79 10.68 4.75 10.68 5.79 6.95 8.69 10.68 4.75 10.68 4.75 5.79 5.79 95.98 42.66 42.66 42.66 5.50 10.68 4.75 10.68 4.75 5.79 5.79 5.79 7.00 6.37 4.75 10.68 4.75 5.79 4.75 4.75 4.75 5.79 4.75 31.16 5.79 10.68 4.75 4.75 4.75 5.79 10.68 5.79 5.79 4.75 10.68 4.75 10.68 4.75 5.21 450000566 636 90283 IMMUNE GLOBULIN IGIV HUMAN IV 71.02 71.02 83.45 0.00 42.54 0.00 83.45 37.09 83.45 37.09 0.00 0.00 35.51 49.71 37.09 0.00 83.45 37.09 83.45 49.71 46.16 46.16 83.45 37.09 83.45 37.09 0.00 0.00 77.58 34.48 34.48 34.48 0.00 83.45 37.09 83.45 37.09 0.00 0.00 0.00 25.00 46.16 37.09 0.00 0.00 0.00 37.09 37.09 37.09 0.00 37.09 49.71 0.00 83.45 37.09 0.00 37.09 0.00 0.00 0.00 0.00 37.09 83.45 37.09 83.45 37.09 0.00 250001143 636 90371 HEPATITUS B IMM GLOB 1560 UNIT 0.00 0.00 226.14 0.00 157.20 137.89 cost cost cost cost 137.89 137.89 226.14 137.89 cost 137.89 cost cost cost 137.89 0.65 of billed charges 0.65 of eligible billed charges cost cost cost cost 137.89 137.89 cost cost cost cost 131.00 cost cost cost cost 137.89 137.89 137.89 137.58 0.65 of charges cost 137.89 106.87 106.87 cost cost cost 106.87 cost 0.00 137.89 cost cost 137.89 cost 137.89 137.89 137.89 137.89 cost cost cost cost cost 124.10 250001144 636 90371 HEPATITUS B IMM GLOB 312 UNITS 0.00 0.00 226.14 0.00 157.20 137.89 cost cost cost cost 137.89 137.89 226.14 137.89 cost 137.89 cost cost cost 137.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 137.89 137.89 cost cost cost cost 131.00 cost cost cost cost 137.89 137.89 137.89 137.58 0.65 of charges cost 137.89 106.87 106.87 cost cost cost 106.87 cost 0.00 137.89 cost cost 137.89 cost 137.89 137.89 137.89 137.89 cost cost cost cost cost 124.10 250001444 636 90371 HEPATITIS B IMM GLOB 220 U/1ML 0.00 0.00 226.14 0.00 157.20 137.89 cost cost cost cost 137.89 137.89 226.14 137.89 cost 137.89 cost cost cost 137.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 137.89 137.89 cost cost cost cost 131.00 cost cost cost cost 137.89 137.89 137.89 137.58 0.65 of charges cost 137.89 106.87 106.87 cost cost cost 106.87 cost 0.00 137.89 cost cost 137.89 cost 137.89 137.89 137.89 137.89 cost cost cost cost cost 124.10 250001145 636 90375 RABIES IMM GLOB 1500 UNIT/10ML 0.00 0.00 475.57 0.00 330.58 289.98 cost cost cost cost 289.98 289.98 475.57 289.98 cost 289.98 cost cost cost 289.98 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 289.98 289.98 cost cost cost cost 275.48 cost cost cost cost 289.98 289.98 289.98 277.74 0.65 of charges cost 289.98 224.73 224.73 cost cost cost 224.73 cost 0.00 289.98 cost cost 289.98 cost 289.98 289.98 289.98 289.98 cost cost cost cost cost 260.98 250001349 636 90375 RABIES IMMUNE GLOBULIN 300UN 0.00 0.00 475.57 0.00 330.58 289.98 cost cost cost cost 289.98 289.98 475.57 289.98 cost 289.98 cost cost cost 289.98 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 289.98 289.98 cost cost cost cost 275.48 cost cost cost cost 289.98 289.98 289.98 277.74 0.65 of charges cost 289.98 224.73 224.73 cost cost cost 224.73 cost 0.00 289.98 cost cost 289.98 cost 289.98 289.98 289.98 289.98 cost cost cost cost cost 260.98 351500204 636 90375 RABIES IG INJ 300IU/ML 5ML VL 0.00 0.00 475.57 0.00 330.58 289.98 cost cost cost cost 289.98 289.98 475.57 289.98 cost 289.98 cost cost cost 289.98 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 289.98 289.98 cost cost cost cost 275.48 cost cost cost cost 289.98 289.98 289.98 277.74 0.65 of charges cost 289.98 224.73 224.73 cost cost cost 224.73 cost 0.00 289.98 cost cost 289.98 cost 289.98 289.98 289.98 289.98 cost cost cost cost cost 260.98 351500369 636 90375 HYPERRAB 300UNITS/ML 5ML VIAL 0.00 0.00 475.57 0.00 330.58 289.98 cost cost cost cost 289.98 289.98 475.57 289.98 cost 289.98 cost cost cost 289.98 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 289.98 289.98 cost cost cost cost 275.48 cost cost cost cost 289.98 289.98 289.98 277.74 0.65 of charges cost 289.98 224.73 224.73 cost cost cost 224.73 cost 0.00 289.98 cost cost 289.98 cost 289.98 289.98 289.98 289.98 cost cost cost cost cost 260.98 636000435 636 90375 RABIES IG INJECTION IM/SQ 1065.30 1065.30 4093.84 224.73 330.58 289.98 cost cost cost cost 289.98 289.98 475.57 289.98 cost 289.98 cost cost cost 289.98 692.45 692.45 cost cost cost cost 289.98 289.98 4093.84 1819.48 1819.48 1819.48 275.48 cost cost cost cost 289.98 289.98 289.98 277.74 692.45 cost 289.98 224.73 224.73 cost cost cost 224.73 cost 745.71 289.98 cost cost 289.98 cost 289.98 289.98 289.98 289.98 cost cost cost cost cost 260.98 351500499 636 90380 RSV MONOC ANTB SEASN .5ML IM 0.00 0.00 534.60 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 534.60 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500508 636 90380 SL VFC-RSV MNC ANTB SEASN .5ML IM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500500 636 90381 RSV MONOC ANTB SEASN 1 ML IM 0.00 0.00 534.60 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 534.60 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500507 636 90381 SL VFC-RSV MNC ANTB SEASN 1 ML IM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 450000576 636 90384 "RH IG, FULL-DOSE, IM" 71.02 71.02 250.31 0.00 42.54 0.00 cost cost cost cost 0.00 0.00 35.51 49.71 cost 0.00 cost cost cost 49.71 46.16 46.16 cost cost cost cost 0.00 0.00 250.31 111.25 111.25 111.25 0.00 cost cost cost cost 0.00 0.00 0.00 155.00 46.16 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 49.71 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000415 636 90384 RHO IMMUNE GLOBULIN IM 71.02 71.02 250.31 0.00 42.54 0.00 cost cost cost cost 0.00 0.00 35.51 49.71 cost 0.00 cost cost cost 49.71 46.16 46.16 cost cost cost cost 0.00 0.00 250.31 111.25 111.25 111.25 0.00 cost cost cost cost 0.00 0.00 0.00 155.00 46.16 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 49.71 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000014 636 90385 RHO IG HUMAN MINI DOSE 160.06 160.06 112.04 0.00 95.88 0.00 cost cost cost cost 0.00 0.00 80.03 0.00 cost 0.00 cost cost cost 0.00 104.04 104.04 cost cost cost cost 0.00 0.00 83.44 37.08 37.08 37.08 0.00 cost cost cost cost 0.00 0.00 0.00 34.66 104.04 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 112.04 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 360000113 771 90460 INJECTION(S) OR VACCINE ADM 206.70 206.70 175.70 0.00 15.66 0.00 24.34 10.82 24.34 10.82 0.00 0.00 144.69 144.69 10.82 0.00 24.34 10.82 24.34 144.69 31.40 39.25 24.34 10.82 24.34 10.82 0.00 0.00 36.72 16.32 16.32 16.32 24.84 24.34 10.82 24.34 10.82 0.00 0.00 0.00 28.00 175.70 10.82 24.34 10.82 0.00 10.82 10.82 10.82 0.00 10.82 144.69 0.00 24.34 10.82 87.00 per visit 10.82 0.00 87.00 per visit 0.00 0.00 10.82 24.34 10.82 24.34 10.82 23.54 362002002 771 90460 IM IMMUN ADM <=18YO W/CONSL 206.70 206.70 175.70 0.00 15.66 0.00 24.34 10.82 24.34 10.82 0.00 0.00 144.69 144.69 10.82 0.00 24.34 10.82 24.34 144.69 31.40 39.25 24.34 10.82 24.34 10.82 0.00 0.00 34.15 15.18 15.18 15.18 24.84 24.34 10.82 24.34 10.82 0.00 0.00 0.00 28.00 175.70 10.82 24.34 10.82 0.00 10.82 10.82 10.82 0.00 10.82 144.69 0.00 24.34 10.82 87.00 per visit 10.82 0.00 87.00 per visit 0.00 0.00 10.82 24.34 10.82 24.34 10.82 23.54 362002402 771 90460 FP IMMUN ADM <=18YO W/COUNSL 206.70 206.70 175.70 0.00 15.66 0.00 24.34 10.82 24.34 10.82 0.00 0.00 144.69 144.69 10.82 0.00 24.34 10.82 24.34 144.69 31.40 39.25 24.34 10.82 24.34 10.82 0.00 0.00 34.15 15.18 15.18 15.18 24.84 24.34 10.82 24.34 10.82 0.00 0.00 0.00 28.00 175.70 10.82 24.34 10.82 0.00 10.82 10.82 10.82 0.00 10.82 144.69 0.00 24.34 10.82 87.00 per visit 10.82 0.00 87.00 per visit 0.00 0.00 10.82 24.34 10.82 24.34 10.82 23.54 362600202 771 90460 PEDS IMMUN ADM <=18YO W/CONSL 206.70 206.70 175.70 0.00 15.66 0.00 24.34 10.82 24.34 10.82 0.00 0.00 144.69 144.69 10.82 0.00 24.34 10.82 24.34 144.69 31.40 39.25 24.34 10.82 24.34 10.82 0.00 0.00 34.15 15.18 15.18 15.18 24.84 24.34 10.82 24.34 10.82 0.00 0.00 0.00 28.00 175.70 10.82 24.34 10.82 0.00 10.82 10.82 10.82 0.00 10.82 144.69 0.00 24.34 10.82 87.00 per visit 10.82 0.00 87.00 per visit 0.00 0.00 10.82 24.34 10.82 24.34 10.82 23.54 450000580 771 90460 IMADM ANY ROUTE 1ST VAC/TOXOID 206.70 206.70 175.70 0.00 15.66 0.00 24.34 10.82 24.34 10.82 0.00 0.00 144.69 144.69 10.82 0.00 24.34 10.82 24.34 144.69 31.40 39.25 24.34 10.82 24.34 10.82 0.00 0.00 36.72 16.32 16.32 16.32 24.84 24.34 10.82 24.34 10.82 0.00 0.00 0.00 28.00 175.70 10.82 24.34 10.82 0.00 10.82 10.82 10.82 0.00 10.82 144.69 0.00 24.34 10.82 87.00 per visit 10.82 0.00 87.00 per visit 0.00 0.00 10.82 24.34 10.82 24.34 10.82 23.54 510000316 771 90460 IMADM ANY ROUTE 1ST VAC/TOX 206.70 206.70 175.70 0.00 15.66 0.00 24.34 10.82 24.34 10.82 0.00 0.00 144.69 144.69 10.82 0.00 24.34 10.82 24.34 144.69 31.40 39.25 24.34 10.82 24.34 10.82 0.00 0.00 34.15 15.18 15.18 15.18 24.84 24.34 10.82 24.34 10.82 0.00 0.00 0.00 28.00 175.70 10.82 24.34 10.82 0.00 10.82 10.82 10.82 0.00 10.82 144.69 0.00 24.34 10.82 87.00 per visit 10.82 0.00 87.00 per visit 0.00 0.00 10.82 24.34 10.82 24.34 10.82 23.54 362002003 771 90461 IM IMMUN ADM <= 18 YO W/CONSL 206.70 206.70 175.70 0.00 5.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 144.69 0.00 0.00 0.00 0.00 0.00 144.69 11.40 14.24 0.00 0.00 0.00 0.00 0.00 0.00 34.15 15.18 15.18 15.18 9.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.00 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.54 362002403 771 90461 FP IMMUN ADM <= 18 YO W/COUNSL 206.70 206.70 175.70 0.00 5.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 144.69 0.00 0.00 0.00 0.00 0.00 144.69 11.40 14.24 0.00 0.00 0.00 0.00 0.00 0.00 34.15 15.18 15.18 15.18 9.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.00 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.54 362600203 771 90461 PEDS IMMUN ADM <= 18 YO W/CONS 206.70 206.70 175.70 0.00 5.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 144.69 0.00 0.00 0.00 0.00 0.00 144.69 11.40 14.24 0.00 0.00 0.00 0.00 0.00 0.00 34.15 15.18 15.18 15.18 9.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.00 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.54 450000579 771 90461 INADM ANY ROUTE ADDL VAC/TOX 206.70 206.70 175.70 0.00 5.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 144.69 0.00 0.00 0.00 0.00 0.00 144.69 11.40 14.24 0.00 0.00 0.00 0.00 0.00 0.00 36.72 16.32 16.32 16.32 9.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.00 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.54 510000315 771 90461 INADM ANY ROUTE ADDL VAC/TOX 206.70 206.70 175.70 0.00 5.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 144.69 0.00 0.00 0.00 0.00 0.00 144.69 11.40 14.24 0.00 0.00 0.00 0.00 0.00 0.00 34.15 15.18 15.18 15.18 9.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.00 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.54 361000128 771 90471 ADMIN PNEUMONIA VACCINE G0009 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 361000130 771 90471 ADMIN HEPATITIS B VACCINE G0010 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 361000131 771 90471 ADMIN INFLUENZA VIRUS VAC G0008 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 362002004 771 90471 IM IMMUNIZATION ADMIN 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 362002044 771 90471 IM ADMIN HEP B VAC G0010 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 362002404 771 90471 FP IMMUNIZATION ADMIN 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 362002464 771 90471 FP ADMIN HEP B VAC G0010 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 362600204 771 90471 PEDS IMMUNIZATION ADMIN 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 450000102 771 90471 ER IMMUNIZATION ADMIN 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 36.72 16.32 16.32 16.32 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 510000082 771 90471 IMMUNIZATION ADMIN 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 34.15 15.18 15.18 15.18 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 771000000 771 90471 IMMUNIZATION ADMINISTRATION 222.60 222.60 189.21 8.02 14.15 81.46 18.04 8.02 18.04 8.02 81.46 81.46 155.82 81.46 8.02 81.46 18.04 8.02 18.04 81.46 28.36 35.45 18.04 8.02 18.04 8.02 81.46 81.46 36.39 16.17 16.17 16.17 22.44 18.04 8.02 18.04 8.02 81.46 81.46 81.46 10.00 189.21 8.02 18.04 8.02 81.46 8.02 8.02 8.02 81.46 8.02 155.82 81.46 18.04 8.02 87.00 per visit 8.02 81.46 87.00 per visit 81.46 81.46 8.02 18.04 8.02 18.04 8.02 21.26 362002005 771 90472 IM IMMUNIZATION ADM- EACH ADD 206.70 206.70 175.70 0.00 9.99 0.00 18.04 8.02 18.04 8.02 0.00 0.00 144.69 0.00 8.02 0.00 18.04 8.02 18.04 0.00 20.02 25.02 18.04 8.02 18.04 8.02 0.00 0.00 34.15 15.18 15.18 15.18 15.84 18.04 8.02 18.04 8.02 0.00 0.00 0.00 8.00 175.70 8.02 18.04 8.02 0.00 8.02 8.02 8.02 0.00 8.02 144.69 0.00 18.04 8.02 87.00 per visit 8.02 0.00 87.00 per visit 0.00 0.00 8.02 18.04 8.02 18.04 8.02 15.00 362002405 771 90472 FP IMMUNIZATION ADM- EACH ADD 206.70 206.70 175.70 0.00 9.99 0.00 18.04 8.02 18.04 8.02 0.00 0.00 144.69 0.00 8.02 0.00 18.04 8.02 18.04 0.00 20.02 25.02 18.04 8.02 18.04 8.02 0.00 0.00 34.15 15.18 15.18 15.18 15.84 18.04 8.02 18.04 8.02 0.00 0.00 0.00 8.00 175.70 8.02 18.04 8.02 0.00 8.02 8.02 8.02 0.00 8.02 144.69 0.00 18.04 8.02 87.00 per visit 8.02 0.00 87.00 per visit 0.00 0.00 8.02 18.04 8.02 18.04 8.02 15.00 362600205 771 90472 PEDS IMMUNIZATION ADM EACH ADD 206.70 206.70 175.70 0.00 9.99 0.00 18.04 8.02 18.04 8.02 0.00 0.00 144.69 0.00 8.02 0.00 18.04 8.02 18.04 0.00 20.02 25.02 18.04 8.02 18.04 8.02 0.00 0.00 34.15 15.18 15.18 15.18 15.84 18.04 8.02 18.04 8.02 0.00 0.00 0.00 8.00 175.70 8.02 18.04 8.02 0.00 8.02 8.02 8.02 0.00 8.02 144.69 0.00 18.04 8.02 87.00 per visit 8.02 0.00 87.00 per visit 0.00 0.00 8.02 18.04 8.02 18.04 8.02 15.00 450000103 771 90472 ER IMMUNIZATION ADMIN- EACH AD 206.70 206.70 175.70 0.00 9.99 0.00 18.04 8.02 18.04 8.02 0.00 0.00 144.69 0.00 8.02 0.00 18.04 8.02 18.04 0.00 20.02 25.02 18.04 8.02 18.04 8.02 0.00 0.00 36.72 16.32 16.32 16.32 15.84 18.04 8.02 18.04 8.02 0.00 0.00 0.00 8.00 175.70 8.02 18.04 8.02 0.00 8.02 8.02 8.02 0.00 8.02 144.69 0.00 18.04 8.02 87.00 per visit 8.02 0.00 87.00 per visit 0.00 0.00 8.02 18.04 8.02 18.04 8.02 15.00 362002006 771 90473 IM IMMUNE ADM ORAL/NASAL 222.60 222.60 189.21 5.20 11.34 81.46 11.69 5.20 11.69 5.20 81.46 81.46 155.82 81.46 5.20 81.46 11.69 5.20 11.69 81.46 22.73 28.41 11.69 5.20 11.69 5.20 81.46 81.46 34.15 15.18 15.18 15.18 17.98 11.69 5.20 11.69 5.20 81.46 81.46 81.46 20.00 189.21 5.20 11.69 5.20 81.46 5.20 5.20 5.20 81.46 5.20 155.82 81.46 11.69 5.20 87.00 per visit 5.20 81.46 87.00 per visit 81.46 81.46 5.20 11.69 5.20 11.69 5.20 17.04 362002406 771 90473 FP IMMUNE ADM ORAL/NASAL 222.60 222.60 189.21 5.20 11.34 81.46 11.69 5.20 11.69 5.20 81.46 81.46 155.82 81.46 5.20 81.46 11.69 5.20 11.69 81.46 22.73 28.41 11.69 5.20 11.69 5.20 81.46 81.46 34.15 15.18 15.18 15.18 17.98 11.69 5.20 11.69 5.20 81.46 81.46 81.46 20.00 189.21 5.20 11.69 5.20 81.46 5.20 5.20 5.20 81.46 5.20 155.82 81.46 11.69 5.20 87.00 per visit 5.20 81.46 87.00 per visit 81.46 81.46 5.20 11.69 5.20 11.69 5.20 17.04 362600206 771 90473 PEDS IMMUNE ADM ORAL/NASAL 222.60 222.60 189.21 5.20 11.34 81.46 11.69 5.20 11.69 5.20 81.46 81.46 155.82 81.46 5.20 81.46 11.69 5.20 11.69 81.46 22.73 28.41 11.69 5.20 11.69 5.20 81.46 81.46 34.15 15.18 15.18 15.18 17.98 11.69 5.20 11.69 5.20 81.46 81.46 81.46 20.00 189.21 5.20 11.69 5.20 81.46 5.20 5.20 5.20 81.46 5.20 155.82 81.46 11.69 5.20 87.00 per visit 5.20 81.46 87.00 per visit 81.46 81.46 5.20 11.69 5.20 11.69 5.20 17.04 450000104 771 90473 ER IMMUNE ADMIN ORAL/NASAL 222.60 222.60 189.21 5.20 11.34 81.46 11.69 5.20 11.69 5.20 81.46 81.46 155.82 81.46 5.20 81.46 11.69 5.20 11.69 81.46 22.73 28.41 11.69 5.20 11.69 5.20 81.46 81.46 36.72 16.32 16.32 16.32 17.98 11.69 5.20 11.69 5.20 81.46 81.46 81.46 20.00 189.21 5.20 11.69 5.20 81.46 5.20 5.20 5.20 81.46 5.20 155.82 81.46 11.69 5.20 87.00 per visit 5.20 81.46 87.00 per visit 81.46 81.46 5.20 11.69 5.20 11.69 5.20 17.04 362600207 771 90474 PEDS IMMUNE ADM ORAL/NASAL ADD 206.70 206.70 175.70 0.00 8.11 0.00 15.04 6.68 15.04 6.68 0.00 0.00 144.69 0.00 6.68 0.00 15.04 6.68 15.04 0.00 16.26 20.32 15.04 6.68 15.04 6.68 0.00 0.00 34.15 15.18 15.18 15.18 12.86 15.04 6.68 15.04 6.68 0.00 0.00 0.00 20.00 175.70 6.68 15.04 6.68 0.00 6.68 6.68 6.68 0.00 6.68 144.69 0.00 15.04 6.68 87.00 per visit 6.68 0.00 87.00 per visit 0.00 0.00 6.68 15.04 6.68 15.04 6.68 12.19 450000105 771 90474 ER IMMUNE ADMIN ORAL/NASAL ADD 206.70 206.70 175.70 0.00 8.11 0.00 15.04 6.68 15.04 6.68 0.00 0.00 144.69 0.00 6.68 0.00 15.04 6.68 15.04 0.00 16.26 20.32 15.04 6.68 15.04 6.68 0.00 0.00 36.72 16.32 16.32 16.32 12.86 15.04 6.68 15.04 6.68 0.00 0.00 0.00 20.00 175.70 6.68 15.04 6.68 0.00 6.68 6.68 6.68 0.00 6.68 144.69 0.00 15.04 6.68 87.00 per visit 6.68 0.00 87.00 per visit 0.00 0.00 6.68 15.04 6.68 15.04 6.68 12.19 362600526 771 90480 ADMN SARSCOV2 VACC 1 DOSE 127.20 127.20 108.12 15.18 76.19 50.39 54.00 24.00 54.00 24.00 50.39 50.39 89.04 50.39 24.00 50.39 54.00 24.00 54.00 50.39 60.51 75.64 54.00 24.00 54.00 24.00 50.39 50.39 34.15 15.18 15.18 15.18 47.87 54.00 24.00 54.00 24.00 50.39 50.39 50.39 40.00 108.12 24.00 54.00 24.00 50.39 24.00 24.00 24.00 50.39 24.00 89.04 50.39 54.00 24.00 87.00 per visit 24.00 50.39 87.00 per visit 50.39 50.39 24.00 54.00 24.00 54.00 24.00 45.35 636000434 636 90585 BCG VACCINE PERCUT 298.92 298.92 209.24 0.00 179.05 0.00 cost cost cost cost 0.00 0.00 149.46 209.24 cost 0.00 cost cost cost 209.24 194.30 194.30 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 169.63 194.30 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 209.24 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001456 636 90586 BCG VACCINE INTRAVESICAL 290.44 290.44 236.97 0.00 164.72 0.00 cost cost cost cost 0.00 0.00 236.97 203.31 cost 0.00 cost cost cost 203.31 188.79 188.79 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 145.83 188.79 cost 144.50 111.98 111.98 cost cost cost 111.98 cost 203.31 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500434 636 90611 SL SMALLPOX&MONKEYPOX VAC 0.5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500109 636 90620 BEXSERO 0.00 0.00 228.09 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 228.09 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362020015 636 90620 MENB-4C VACC 2 DOSE IM 156.88 156.88 228.09 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 109.82 cost 0.00 cost cost cost 109.82 101.97 101.97 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 228.09 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600411 636 90620 PEDS MENB-4C VACC 2 DOSE IM 156.88 156.88 228.09 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 109.82 cost 0.00 cost cost cost 109.82 101.97 101.97 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 228.09 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600412 636 90620 SL VFC PEDS MENB-4C VAC 2 DOSE IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362020016 636 90621 MENB-FHBP VAC 2/3 DOSE IM 156.88 156.88 193.94 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 109.82 cost 0.00 cost cost cost 109.82 101.97 101.97 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 193.94 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600413 636 90621 PEDS MENB-FHBP VAC 2/3 DOSE IM 156.88 156.88 193.94 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 109.82 cost 0.00 cost cost cost 109.82 101.97 101.97 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 193.94 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600414 636 90621 SL VFC PEDS MENB-FHBP VAC 2/3 IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002407 636 90632 FP HEP A VACCINE ADULT IM 179.14 179.14 125.40 0.00 80.10 0.00 cost cost cost cost 0.00 0.00 115.23 0.00 cost 0.00 cost cost cost 0.00 116.44 116.44 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 70.08 116.44 cost 70.26 54.45 54.45 cost cost cost 54.45 cost 125.40 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001244 636 90633 "HAVRIX 1,440 UNITS/1 ML INJ" 0.00 0.00 40.62 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 40.62 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500255 636 90633 HAVRIX 720UNIT/0.5ML SYR 2 DSS 0.00 0.00 40.62 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 40.62 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002408 636 90633 FP HEP A VACC- PED/ADOL 2 DOSE 179.14 179.14 125.40 0.00 107.30 0.00 cost cost cost cost 0.00 0.00 89.57 0.00 cost 0.00 cost cost cost 0.00 116.44 116.44 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 40.62 116.44 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 125.40 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600208 636 90633 PEDS HEP A PED/ADOL- 2 DOSE 179.14 179.14 125.40 0.00 107.30 0.00 cost cost cost cost 0.00 0.00 89.57 0.00 cost 0.00 cost cost cost 0.00 116.44 116.44 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 40.62 116.44 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 125.40 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600381 636 90633 SL VFC PEDS HEP A PED/ADOL 2 DOSE 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500256 636 90634 HAVRIX 720UNIT/0.5ML SYR 3 DSS 0.00 0.00 79.65 0.00 0.00 0.00 79.65 35.40 79.65 35.40 0.00 0.00 0.00 0.00 35.40 0.00 79.65 35.40 79.65 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 79.65 35.40 79.65 35.40 0.00 0.00 74.05 32.91 32.91 32.91 0.00 79.65 35.40 79.65 35.40 0.00 0.00 0.00 39.74 0.65 of charges 35.40 0.00 0.00 0.00 35.40 35.40 35.40 0.00 35.40 0.00 0.00 79.65 35.40 0.00 35.40 0.00 0.00 0.00 0.00 35.40 79.65 35.40 79.65 35.40 0.00 362002409 636 90647 FP HIB VACCINE- PRP-OMP- IM 96.46 96.46 74.05 0.00 57.78 0.00 cost cost cost cost 0.00 0.00 48.23 0.00 cost 0.00 cost cost cost 0.00 62.70 62.70 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 31.95 62.70 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 67.52 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600209 636 90647 PEDS HIB VACCINE- PRP-OMP- IM 96.46 96.46 74.05 0.00 57.78 0.00 cost cost cost cost 0.00 0.00 48.23 0.00 cost 0.00 cost cost cost 0.00 62.70 62.70 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 31.95 62.70 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 67.52 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600382 636 90647 SL VFC PEDS HIB VACC- PRP-OMP- IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001450 636 90648 HAEMOPH B POLYSAC CONJ-TET TOX 0.00 0.00 20.32 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 20.32 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362020017 636 90648 HIB PRP-T VACC 4 DOSE IM 156.88 156.88 109.82 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 0.00 cost 0.00 cost cost cost 0.00 101.97 101.97 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 20.32 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600415 636 90648 PEDS HIB PRP-T VACC 4 DOSE IM 156.88 156.88 109.82 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 0.00 cost 0.00 cost cost cost 0.00 101.97 101.97 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 20.32 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600416 636 90648 SL VFC PEDS HIB PRP-T VAC 4 DS IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001371 636 90649 GARDASIL 0.5 ML INJ 0.00 0.00 173.20 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 173.20 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362500102 636 90649 OB/GYN H PAPILLOMA VACC 3 DOSE 483.36 483.36 338.35 0.00 289.53 0.00 cost cost cost cost 0.00 0.00 241.68 338.35 cost 0.00 cost cost cost 338.35 314.18 314.18 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 173.20 314.18 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 338.35 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600210 636 90649 PEDS H PAPILLOMA VACC 3 DOSE I 483.36 483.36 338.35 0.00 289.53 0.00 cost cost cost cost 0.00 0.00 241.68 338.35 cost 0.00 cost cost cost 338.35 314.18 314.18 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 173.20 314.18 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 338.35 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000257 636 90649 H PAPILLOMA VACC 3 DOSE IM 495.02 495.02 346.51 0.00 296.52 0.00 cost cost cost cost 0.00 0.00 247.51 346.51 cost 0.00 cost cost cost 346.51 321.76 321.76 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 173.20 321.76 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 346.51 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600383 636 90649 SL VFC PEDS H PAPILL VAC 3DOSE IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001445 636 90650 HUMAN PAPILLOMAV VACCINE 0.00 0.00 138.92 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 138.92 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362010037 636 90650 HPV VACCINE 583.00 583.00 408.10 0.00 349.22 0.00 cost cost cost cost 0.00 0.00 291.50 408.10 cost 0.00 cost cost cost 408.10 378.95 378.95 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 138.92 378.95 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 408.10 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362001827 636 90651 9VHPV VACCINE 2/3 DOSE IM 561.80 561.80 393.26 0.00 336.52 0.00 cost cost cost cost 0.00 0.00 280.90 393.26 cost 0.00 cost cost cost 393.26 365.17 365.17 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 310.40 365.17 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 393.26 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362001828 636 90651 SL VFC PEDS 9VHPV VAC 2/3 DOSE IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000155 636 90653 FLU VACC ADJUVANT IM 0.00 0.00 79.65 0.00 0.00 0.00 79.65 35.40 79.65 35.40 0.00 0.00 0.00 0.00 35.40 0.00 79.65 35.40 79.65 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 79.65 35.40 79.65 35.40 0.00 0.00 74.05 32.91 32.91 32.91 0.00 79.65 35.40 79.65 35.40 0.00 0.00 0.00 59.53 0.65 of charges 35.40 0.00 0.00 0.00 35.40 35.40 35.40 0.00 35.40 0.00 0.00 79.65 35.40 0.00 35.40 0.00 0.00 0.00 0.00 35.40 79.65 35.40 79.65 35.40 0.00 362020013 636 90653 IIV ADJUVANT VACCINE IM 156.88 156.88 109.82 0.00 93.97 0.00 79.65 35.40 79.65 35.40 0.00 0.00 78.44 0.00 35.40 0.00 79.65 35.40 79.65 0.00 101.97 101.97 79.65 35.40 79.65 35.40 0.00 0.00 74.05 32.91 32.91 32.91 0.00 79.65 35.40 79.65 35.40 0.00 0.00 0.00 59.53 101.97 35.40 0.00 0.00 0.00 35.40 35.40 35.40 0.00 35.40 109.82 0.00 79.65 35.40 0.00 35.40 0.00 0.00 0.00 0.00 35.40 79.65 35.40 79.65 35.40 0.00 362600211 636 90655 PEDS FLU VACCINE NO PRESERV 6- 53.00 53.00 74.05 0.00 31.75 0.00 cost cost cost cost 0.00 0.00 26.50 0.00 cost 0.00 cost cost cost 0.00 34.45 34.45 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 17.24 34.45 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 37.10 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000012 636 90655 ER FLU VACCINE PRESERV 6-3 54.06 54.06 79.63 0.00 32.38 0.00 cost cost cost cost 0.00 0.00 27.03 0.00 cost 0.00 cost cost cost 0.00 35.14 35.14 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 17.24 35.14 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 37.84 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600384 636 90655 SL VFC PEDS FLU VAC NO PRESERV 6- 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000108 636 90656 FLU VACCINE OVER 3 YR PF IM Q2034 57.24 57.24 74.05 0.00 34.29 0.00 cost cost cost cost 0.00 0.00 28.62 0.00 cost 0.00 cost cost cost 0.00 37.21 37.21 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 19.77 37.21 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 40.07 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002007 636 90656 IM FLU VACC NO PRESERV 3 & GT Q2034 53.00 53.00 74.05 0.00 31.75 0.00 cost cost cost cost 0.00 0.00 26.50 0.00 cost 0.00 cost cost cost 0.00 34.45 34.45 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 19.77 34.45 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 37.10 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002410 636 90656 FP FLU VACCINE NO PRESERV 3 & Q2034 53.00 53.00 74.05 0.00 31.75 0.00 cost cost cost cost 0.00 0.00 26.50 0.00 cost 0.00 cost cost cost 0.00 34.45 34.45 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 19.77 34.45 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 37.10 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600212 636 90656 PEDS FLU VACCINE NO PRESERV 3 Q2034 53.00 53.00 74.05 0.00 31.75 0.00 cost cost cost cost 0.00 0.00 26.50 0.00 cost 0.00 cost cost cost 0.00 34.45 34.45 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 19.77 34.45 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 37.10 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000013 636 90656 FLU VACCINE NO PRESERV 3 & GT Q2034 54.06 54.06 79.63 0.00 32.38 0.00 cost cost cost cost 0.00 0.00 27.03 0.00 cost 0.00 cost cost cost 0.00 35.14 35.14 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 19.77 35.14 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 37.84 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600385 636 90656 SL VFC PEDS FLU VACC NO PRESERV 3 Q2034 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600213 636 90657 "PEDS FLU VACCINE,SPLIT <3 YRS" 53.00 53.00 74.05 0.00 31.75 0.00 cost cost cost cost 0.00 0.00 26.50 0.00 cost 0.00 cost cost cost 0.00 34.45 34.45 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 6.02 34.45 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 37.10 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000014 636 90657 FLU VACCINE-3YRS-IM 54.06 54.06 79.63 0.00 32.38 0.00 cost cost cost cost 0.00 0.00 27.03 0.00 cost 0.00 cost cost cost 0.00 35.14 35.14 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 6.02 35.14 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 37.84 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600386 636 90657 SL "VFC PEDS FLU VACC,SPLIT <3 YRS" 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002008 636 90658 IM FLU VACCINE -3 YRS & GT- IM Q2034 44.52 44.52 74.05 0.00 26.67 0.00 cost cost cost cost 0.00 0.00 22.26 0.00 cost 0.00 cost cost cost 0.00 28.94 28.94 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 28.94 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 31.16 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002411 636 90658 FP FLU VACCINE 3 YRS & GT- IM Q2034 44.52 44.52 74.05 0.00 26.67 0.00 cost cost cost cost 0.00 0.00 22.26 0.00 cost 0.00 cost cost cost 0.00 28.94 28.94 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 28.94 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 31.16 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600214 636 90658 PEDS FLU VACCINE SPLIT 3 YRS & 44.52 44.52 74.05 0.00 26.67 0.00 cost cost cost cost 0.00 0.00 22.26 31.16 cost 0.00 cost cost cost 31.16 28.94 28.94 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 28.94 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 31.16 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000592 636 90658 AFLURIA VACC 3YRS> & IM Q2035 19.08 19.08 79.63 0.00 11.43 0.00 cost cost cost cost 0.00 0.00 9.54 0.00 cost 0.00 cost cost cost 0.00 12.40 12.40 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 12.40 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 13.36 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000593 636 90658 FLULAVAL VACC >3YRS & IM Q2036 19.08 19.08 79.63 0.00 11.43 0.00 cost cost cost cost 0.00 0.00 9.54 0.00 cost 0.00 cost cost cost 0.00 12.40 12.40 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 12.40 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 13.36 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000594 636 90658 FLUVIRIN VACC 3YRS> & IM Q2037 33.92 33.92 79.63 0.00 20.32 0.00 cost cost cost cost 0.00 0.00 16.96 0.00 cost 0.00 cost cost cost 0.00 22.05 22.05 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 22.05 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 23.74 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000595 636 90658 FLUZONE VACC 3YRS> & IM Q2038 32.86 32.86 79.63 0.00 19.68 0.00 cost cost cost cost 0.00 0.00 16.43 0.00 cost 0.00 cost cost cost 0.00 21.36 21.36 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 21.36 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 23.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000596 636 90658 NOS VLU VACC 3YRS> & IM Q2039 32.86 32.86 79.63 0.00 19.68 0.00 cost cost cost cost 0.00 0.00 16.43 0.00 cost 0.00 cost cost cost 0.00 21.36 21.36 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 21.36 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 23.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000224 636 90658 FLU VACCINE -3 YRS & GT- IM 45.58 45.58 74.05 0.00 27.30 0.00 cost cost cost cost 0.00 0.00 22.79 31.91 cost 0.00 cost cost cost 31.91 29.63 29.63 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 29.63 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 31.91 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000318 636 90658 FLULAVAL VACC 3YRS> & IM Q2036 20.14 20.14 74.05 0.00 12.06 0.00 cost cost cost cost 0.00 0.00 10.07 0.00 cost 0.00 cost cost cost 0.00 13.09 13.09 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 13.09 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 14.10 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000319 636 90658 FLUVIRIN VACC 3YRS> & IM Q2037 33.92 33.92 74.05 0.00 20.32 0.00 cost cost cost cost 0.00 0.00 16.96 0.00 cost 0.00 cost cost cost 0.00 22.05 22.05 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 22.05 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 23.74 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000320 636 90658 FLUZONE VACC 3YRS> & IM Q2038 32.86 32.86 74.05 0.00 19.68 0.00 cost cost cost cost 0.00 0.00 16.43 0.00 cost 0.00 cost cost cost 0.00 21.36 21.36 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 21.36 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 23.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000321 636 90658 NOS VLU VACC 3 YRS> & IM Q2039 32.86 32.86 74.05 0.00 19.68 0.00 cost cost cost cost 0.00 0.00 16.43 0.00 cost 0.00 cost cost cost 0.00 21.36 21.36 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 21.36 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 23.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000371 636 90658 AFLURIA VACC 3 YRS> & IM Q2035 19.08 19.08 74.05 0.00 11.43 0.00 cost cost cost cost 0.00 0.00 9.54 0.00 cost 0.00 cost cost cost 0.00 12.40 12.40 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 18.86 12.40 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 13.36 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600387 636 90658 SL VFC PEDS FLU VACC SPLIT 3 YRS& 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001452 636 90660 FLUMIST NASAL 0.2 ML 0.00 0.00 23.46 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 23.46 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600215 636 90660 PEDS FLU VACCINE NASAL 73.14 73.14 74.05 0.00 43.81 0.00 cost cost cost cost 0.00 0.00 36.57 0.00 cost 0.00 cost cost cost 0.00 47.54 47.54 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 23.46 47.54 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 51.20 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000016 636 90660 ER FLU VACCINE NASAL 75.26 75.26 79.63 0.00 45.08 0.00 cost cost cost cost 0.00 0.00 37.63 0.00 cost 0.00 cost cost cost 0.00 48.92 48.92 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 23.46 48.92 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 52.68 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600388 636 90660 SL VFC PEDS FLU VACCINE NASAL 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500320 636 90662 FLUZN HGHDS QD SEP2020-AUG2021 0.00 0.00 120.38 0.00 83.68 0.00 cost cost cost cost 0.00 0.00 120.38 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 73.40 0.65 of charges cost 73.40 56.89 56.89 cost cost cost 56.89 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500376 636 90662 FLUZONE QUAD SEPT2021-AUG2022 0.00 0.00 120.38 0.00 83.68 0.00 cost cost cost cost 0.00 0.00 120.38 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 73.40 0.65 of charges cost 73.40 56.89 56.89 cost cost cost 56.89 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500430 636 90662 FLUZONE QUAD SEPT2022-AUG2023 0.00 0.00 120.38 0.00 83.68 0.00 cost cost cost cost 0.00 0.00 120.38 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 73.40 0.65 of charges cost 73.40 56.89 56.89 cost cost cost 56.89 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500489 636 90662 FLUZONE QUAD SEPT2023-AUG2024 0.00 0.00 120.38 0.00 83.68 0.00 cost cost cost cost 0.00 0.00 120.38 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 73.40 0.65 of charges cost 73.40 56.89 56.89 cost cost cost 56.89 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362010032 636 90662 INFLUENZA VACCINE .5ML 55.12 55.12 120.38 0.00 83.68 0.00 cost cost cost cost 0.00 0.00 120.38 0.00 cost 0.00 cost cost cost 0.00 35.83 35.83 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 73.40 35.83 cost 73.40 56.89 56.89 cost cost cost 56.89 cost 38.58 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600407 636 90670 PCV13 VACCINE IM 708.08 708.08 495.66 0.00 294.11 0.00 cost cost cost cost 0.00 0.00 423.10 0.00 cost 0.00 cost cost cost 0.00 460.25 460.25 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 257.99 460.25 cost 257.99 199.94 199.94 cost cost cost 199.94 cost 495.66 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600417 636 90670 PEDS PCV13 VACCINE IM 156.88 156.88 423.10 0.00 294.11 0.00 cost cost cost cost 0.00 0.00 423.10 0.00 cost 0.00 cost cost cost 0.00 101.97 101.97 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 257.99 101.97 cost 257.99 199.94 199.94 cost cost cost 199.94 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600418 636 90670 SL VFC PEDS PCV13 VACCINE IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500495 636 90671 PCV15 VAC IM-VXNUVNC 0.5ML SYR 0.00 0.00 415.84 0.00 289.06 253.56 cost cost cost cost 253.56 253.56 415.84 253.56 cost 253.56 cost cost cost 253.56 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 253.56 253.56 cost cost cost cost 240.88 cost cost cost cost 253.56 253.56 253.56 246.20 0.65 of charges cost 253.56 196.51 196.51 cost cost cost 196.51 cost 0.00 253.56 cost cost 253.56 cost 253.56 253.56 253.56 253.56 cost cost cost cost cost 228.20 362600523 636 90671 SL VFC PEDS PCV15 VACCINE IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000156 636 90672 FLU VACC 4VALENT NASAL 0.00 0.00 45.57 0.00 31.68 0.00 cost cost cost cost 0.00 0.00 45.57 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 27.79 0.65 of charges cost 27.79 21.54 21.54 cost cost cost 21.54 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500378 636 90672 FLUMIST QUAD SEPT2021-AUG2022 0.00 0.00 45.57 0.00 31.68 0.00 cost cost cost cost 0.00 0.00 45.57 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 27.79 0.65 of charges cost 27.79 21.54 21.54 cost cost cost 21.54 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362020019 636 90672 LAIV4 VACCINE INTRANASAL 159.00 159.00 111.30 0.00 31.68 0.00 cost cost cost cost 0.00 0.00 45.57 0.00 cost 0.00 cost cost cost 0.00 103.35 103.35 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 27.79 103.35 cost 27.79 21.54 21.54 cost cost cost 21.54 cost 111.30 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600426 636 90672 PEDS LAIV4 VACCINE INTRNSL 159.00 159.00 111.30 0.00 31.68 0.00 cost cost cost cost 0.00 0.00 45.57 0.00 cost 0.00 cost cost cost 0.00 103.35 103.35 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 27.79 103.35 cost 27.79 21.54 21.54 cost cost cost 21.54 cost 111.30 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600427 636 90672 SL VFC PEDS LAIV4 VACCINE INTRNSL 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500112 636 90673 FLUBLOK 0.00 0.00 40.61 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 40.61 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001245 636 90675 RABAVERT RABIES VAC KIT 2.5UN 0.00 0.00 532.58 0.00 370.21 324.74 cost cost cost cost 324.74 324.74 532.58 324.74 cost 324.74 cost cost cost 324.74 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 324.74 324.74 cost cost cost cost 308.51 cost cost cost cost 324.74 324.74 324.74 328.55 0.65 of charges cost 324.74 251.68 251.68 cost cost cost 251.68 cost 0.00 324.74 cost cost 324.74 cost 324.74 324.74 324.74 324.74 cost cost cost cost cost 292.27 450000558 636 90675 RABIES VACCINE INTRAMUSCULAR 927.50 927.50 649.25 73.40 370.21 324.74 cost cost cost cost 324.74 324.74 532.58 324.74 cost 324.74 cost cost cost 324.74 602.88 602.88 cost cost cost cost 324.74 324.74 165.15 73.40 73.40 73.40 308.51 cost cost cost cost 324.74 324.74 324.74 328.55 602.88 cost 324.74 251.68 251.68 cost cost cost 251.68 cost 649.25 324.74 cost cost 324.74 cost 324.74 324.74 324.74 324.74 cost cost cost cost cost 292.27 351500443 636 90677 PREVNAR 20-VAL CONJ 0.5ML SYR 0.00 0.00 473.41 0.00 329.08 288.66 cost cost cost cost 288.66 288.66 473.41 288.66 cost 288.66 cost cost cost 288.66 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 288.66 288.66 cost cost cost cost 274.23 cost cost cost cost 288.66 288.66 288.66 288.66 0.65 of charges cost 288.66 223.71 223.71 cost cost cost 223.71 cost 0.00 288.66 cost cost 288.66 cost 288.66 288.66 288.66 288.66 cost cost cost cost cost 259.79 351500496 636 90678 RSV VAC-PRF AB/PF 120MCG/0.5ML 0.00 0.00 318.60 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 318.60 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002413 636 90680 FP ROTOVIRUS VACC 3 DOSE ORAL 288.32 288.32 201.82 0.00 172.70 0.00 cost cost cost cost 0.00 0.00 144.16 0.00 cost 0.00 cost cost cost 0.00 187.41 187.41 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 103.50 187.41 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 201.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600217 636 90680 PEDS ROTOVIRUS VACC 3 DOSE ORA 288.32 288.32 201.82 0.00 172.70 0.00 cost cost cost cost 0.00 0.00 144.16 0.00 cost 0.00 cost cost cost 0.00 187.41 187.41 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 103.50 187.41 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 201.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600389 636 90680 SL VFC PEDS ROTOVRS VACC 3DSE ORL 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500377 636 90682 FLUBLOK QUAD SEPT2021-AUG2022 0.00 0.00 120.38 0.00 83.68 0.00 cost cost cost cost 0.00 0.00 120.38 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 73.40 0.65 of charges cost 73.40 56.89 56.89 cost cost cost 56.89 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362020018 636 90685 IIV4 VAC NO PRSV0.25ML IM 156.88 156.88 109.82 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 0.00 cost 0.00 cost cost cost 0.00 101.97 101.97 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 22.32 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600419 636 90685 PEDS IIV4 VAC NO PRSV0.25ML IM 156.88 156.88 109.82 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 0.00 cost 0.00 cost cost cost 0.00 101.97 101.97 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 22.32 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600420 636 90685 SL VFC PED IIV4 VC NOPRSV0.25MLIM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500357 636 90686 FLUARIX QUAD SEPT2020-AUG2021 0.00 0.00 36.65 0.00 25.48 0.00 cost cost cost cost 0.00 0.00 36.65 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 22.35 0.65 of charges cost 22.35 17.32 17.32 cost cost cost 17.32 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500375 636 90686 FLUARIX QUAD SEPT2021-AUG2022 0.00 0.00 36.65 0.00 25.48 0.00 cost cost cost cost 0.00 0.00 36.65 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 22.35 0.65 of charges cost 22.35 17.32 17.32 cost cost cost 17.32 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500433 636 90686 FLUARIX QUAD SEPT2022-AUG2023 0.00 0.00 36.65 0.00 25.48 0.00 cost cost cost cost 0.00 0.00 36.65 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 22.35 0.65 of charges cost 22.35 17.32 17.32 cost cost cost 17.32 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500490 636 90686 FLUARIX QUAD SEPT2023-AUG2024 0.00 0.00 36.65 0.00 25.48 0.00 cost cost cost cost 0.00 0.00 36.65 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 22.35 0.65 of charges cost 22.35 17.32 17.32 cost cost cost 17.32 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362020011 636 90686 IIV4 VAC NO PRSV0.5 ML IM 156.88 156.88 109.82 0.00 25.48 0.00 cost cost cost cost 0.00 0.00 36.65 0.00 cost 0.00 cost cost cost 0.00 101.97 101.97 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 22.35 101.97 cost 22.35 17.32 17.32 cost cost cost 17.32 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600421 636 90686 PEDS IIV4 VAC NO PRSV0.5 ML IM 156.88 156.88 109.82 0.00 25.48 0.00 cost cost cost cost 0.00 0.00 36.65 0.00 cost 0.00 cost cost cost 0.00 101.97 101.97 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 22.35 101.97 cost 22.35 17.32 17.32 cost cost cost 17.32 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600422 636 90686 SL VFC PED IIV4 VC NOPRSV0.5ML IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362020020 636 90688 IIV4 VACCINE SPLT 0.5 ML IM 159.00 159.00 111.30 0.00 23.80 0.00 cost cost cost cost 0.00 0.00 34.24 0.00 cost 0.00 cost cost cost 0.00 103.35 103.35 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 20.88 103.35 cost 20.88 16.18 16.18 cost cost cost 16.18 cost 111.30 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600428 636 90688 PEDS IIV4 VAC SPLT 0.5 ML IM 159.00 159.00 111.30 0.00 23.80 0.00 cost cost cost cost 0.00 0.00 34.24 0.00 cost 0.00 cost cost cost 0.00 103.35 103.35 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 20.88 103.35 cost 20.88 16.18 16.18 cost cost cost 16.18 cost 111.30 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600429 636 90688 SL VFC PDS IIV4 VAC SPLT 0.5ML IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000166 636 90696 KINRIX 0.00 0.00 63.60 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 63.60 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500473 636 90696 KINRIX (DTAP-IPV VC 4-6YRS IM) 0.00 0.00 63.60 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 63.60 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002414 636 90696 FP DTAP-IPV INACTIVATE AGE 4-6 187.62 187.62 131.33 0.00 112.38 0.00 cost cost cost cost 0.00 0.00 93.81 0.00 cost 0.00 cost cost cost 0.00 121.95 121.95 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 63.60 121.95 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 131.33 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600218 636 90696 PEDS DTAP-IPV INACTIVATE AGE 4 187.62 187.62 131.33 0.00 112.38 0.00 cost cost cost cost 0.00 0.00 93.81 0.00 cost 0.00 cost cost cost 0.00 121.95 121.95 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 63.60 121.95 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 131.33 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000300 636 90696 DTAP-IPV INACTIVATE AGE 4-6 191.86 191.86 134.30 0.00 114.92 0.00 cost cost cost cost 0.00 0.00 95.93 0.00 cost 0.00 cost cost cost 0.00 124.71 124.71 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 63.60 124.71 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 134.30 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600390 636 90696 SL VFC PEDS DTAP-IPV INACTV AGE 4 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500501 636 90697 DTAP-IPV-HIB-HEPB VC 0.5ML SYR 0.00 0.00 157.51 0.00 0.00 0.00 79.65 35.40 79.65 35.40 0.00 0.00 0.00 0.00 35.40 0.00 79.65 35.40 79.65 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 79.65 35.40 79.65 35.40 0.00 0.00 74.05 32.91 32.91 32.91 0.00 79.65 35.40 79.65 35.40 0.00 0.00 0.00 157.51 0.65 of charges 35.40 0.00 0.00 0.00 35.40 35.40 35.40 0.00 35.40 0.00 0.00 79.65 35.40 0.00 35.40 0.00 0.00 0.00 0.00 35.40 79.65 35.40 79.65 35.40 0.00 362600524 636 90697 SL VFC DTAP-IPV-HIB-HEPB VAC IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001449 636 90698 DP(A)T-POLIO/HIB CONJ-TET/PF 0.00 0.00 119.53 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 119.53 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002415 636 90698 FP DTAP-HIB-IPV VACCINE IM 187.62 187.62 131.33 0.00 112.38 0.00 cost cost cost cost 0.00 0.00 93.81 0.00 cost 0.00 cost cost cost 0.00 121.95 121.95 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 119.53 121.95 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 131.33 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600219 636 90698 PEDS DTAP-HIB-IPV VACCINE IM 187.62 187.62 131.33 0.00 112.38 0.00 cost cost cost cost 0.00 0.00 93.81 0.00 cost 0.00 cost cost cost 0.00 121.95 121.95 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 119.53 121.95 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 131.33 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000299 636 90698 DTAP-HIB-IPV VACCINE IM 191.86 191.86 134.30 0.00 114.92 0.00 cost cost cost cost 0.00 0.00 95.93 0.00 cost 0.00 cost cost cost 0.00 124.71 124.71 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 119.53 124.71 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 134.30 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600391 636 90698 SL VFC PEDS DTAP-HIB-IPV VACC IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001376 636 90700 TETANUS-DIPTH-AC PERT PEDI 0.00 0.00 38.20 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 38.20 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000182 636 90700 INFANRIX 0.00 0.00 38.20 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 38.20 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500472 636 90700 INFANRIX (DTAP VAC < 7 YRS IM) 0.00 0.00 38.20 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 38.20 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002416 636 90700 FP DTAP VACCINE & LT 7 YRS IM 82.68 82.68 74.05 0.00 49.53 0.00 cost cost cost cost 0.00 0.00 41.34 0.00 cost 0.00 cost cost cost 0.00 53.74 53.74 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 38.20 53.74 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 57.88 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600220 636 90700 PEDS DTAP VACCINE & LT 7 YRS O 82.68 82.68 74.05 0.00 49.53 0.00 cost cost cost cost 0.00 0.00 41.34 0.00 cost 0.00 cost cost cost 0.00 53.74 53.74 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 38.20 53.74 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 57.88 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000019 636 90700 ER DTAP VACCINE- & LT 7YRS IM 83.74 83.74 79.63 0.00 50.16 0.00 cost cost cost cost 0.00 0.00 41.87 0.00 cost 0.00 cost cost cost 0.00 54.43 54.43 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 38.20 54.43 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 58.62 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600392 636 90700 SL VFC PEDS DTAP VACC & LT <7YRS 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002417 636 90702 FP DT VACCINE & LT 7 IM 111.30 111.30 77.91 0.00 66.67 0.00 cost cost cost cost 0.00 0.00 55.65 0.00 cost 0.00 cost cost cost 0.00 72.35 72.35 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 42.65 72.35 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 77.91 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600221 636 90702 PEDS DT VACCINE & LT 7 IM 111.30 111.30 77.91 0.00 66.67 0.00 cost cost cost cost 0.00 0.00 55.65 0.00 cost 0.00 cost cost cost 0.00 72.35 72.35 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 42.65 72.35 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 77.91 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000020 636 90702 ER DT VACCINE & LT 7-IM 114.48 114.48 80.14 0.00 68.57 0.00 cost cost cost cost 0.00 0.00 57.24 0.00 cost 0.00 cost cost cost 0.00 74.41 74.41 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 42.65 74.41 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 80.14 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000229 636 90702 DT VACCINE & LT 7 IM 114.48 114.48 80.14 0.00 68.57 0.00 cost cost cost cost 0.00 0.00 57.24 0.00 cost 0.00 cost cost cost 0.00 74.41 74.41 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 42.65 74.41 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 80.14 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600425 636 90702 SL VFC PEDS DT VACCINE & LT 7 IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001410 636 90707 MEASLES/MUMPS/RUBELLA VACCINE 0.00 0.00 99.49 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 99.49 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002418 636 90707 FP MMR VACCINE SC 179.14 179.14 125.40 0.00 107.30 0.00 cost cost cost cost 0.00 0.00 89.57 0.00 cost 0.00 cost cost cost 0.00 116.44 116.44 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 99.49 116.44 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 125.40 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362010035 636 90707 MMR VACCINE 468.52 468.52 327.96 0.00 280.64 0.00 cost cost cost cost 0.00 0.00 234.26 0.00 cost 0.00 cost cost cost 0.00 304.54 304.54 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 99.49 304.54 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 327.96 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600222 636 90707 PEDS MMR VACCINE SC 179.14 179.14 125.40 0.00 107.30 0.00 cost cost cost cost 0.00 0.00 89.57 0.00 cost 0.00 cost cost cost 0.00 116.44 116.44 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 99.49 116.44 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 125.40 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600393 636 90707 SL VFC PEDS MMR VACCINE SC 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500498 636 90710 PROQUAD VIAL (MMR VAC SC) 90710 0.00 0.00 291.22 0.00 0.00 161.05 cost cost cost cost 161.05 161.05 264.12 161.05 cost 161.05 cost cost cost 161.05 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 161.05 161.05 cost cost cost cost 152.99 cost cost cost cost 161.05 161.05 161.05 291.22 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 161.05 cost cost 161.05 cost 161.05 161.05 161.05 161.05 cost cost cost cost cost 144.94 362002419 636 90710 FP MMRV VACCINE SC 477.00 477.00 333.90 0.00 285.72 161.05 cost cost cost cost 161.05 161.05 264.12 161.05 cost 161.05 cost cost cost 161.05 310.05 310.05 cost cost cost cost 161.05 161.05 74.05 32.91 32.91 32.91 152.99 cost cost cost cost 161.05 161.05 161.05 291.22 310.05 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 333.90 161.05 cost cost 161.05 cost 161.05 161.05 161.05 161.05 cost cost cost cost cost 144.94 362600223 636 90710 PEDS MMRV VACCINE SC 477.00 477.00 333.90 0.00 285.72 161.05 cost cost cost cost 161.05 161.05 264.12 161.05 cost 161.05 cost cost cost 161.05 310.05 310.05 cost cost cost cost 161.05 161.05 74.05 32.91 32.91 32.91 152.99 cost cost cost cost 161.05 161.05 161.05 291.22 310.05 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 333.90 161.05 cost cost 161.05 cost 161.05 161.05 161.05 161.05 cost cost cost cost cost 144.94 362600394 636 90710 SL VFC PEDS MMRV VACCINE SC 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500014 636 90713 IPOL 5ML 0.00 0.00 437.67 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 437.67 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002420 636 90713 FP POLIOVIRUS IPV SC/IM 92.22 92.22 437.67 0.00 55.24 0.00 cost cost cost cost 0.00 0.00 46.11 0.00 cost 0.00 cost cost cost 0.00 59.94 59.94 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 437.67 59.94 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 64.55 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600224 636 90713 PEDS POLIOVIRUS IPV SC/IM 92.22 92.22 437.67 0.00 55.24 0.00 cost cost cost cost 0.00 0.00 46.11 0.00 cost 0.00 cost cost cost 0.00 59.94 59.94 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 437.67 59.94 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 64.55 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000569 636 90713 "POLIO VIRUS VACC, SUBQ OR IM" 94.34 94.34 437.67 0.00 56.51 0.00 cost cost cost cost 0.00 0.00 47.17 0.00 cost 0.00 cost cost cost 0.00 61.32 61.32 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 437.67 61.32 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 66.04 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600395 636 90713 SL VFC PEDS POLIOVIRUS IPV SC/IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001259 636 90714 TETANUS/DIPHTHERIA TOX ADULT 0.00 0.00 49.76 0.00 34.59 0.00 cost cost cost cost 0.00 0.00 49.76 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 28.65 0.65 of charges cost 30.34 23.52 23.52 cost cost cost 23.52 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002423 636 90714 FP TD VACCINE & GT 7- IM 74.20 74.20 74.05 0.00 34.59 0.00 cost cost cost cost 0.00 0.00 49.76 0.00 cost 0.00 cost cost cost 0.00 48.23 48.23 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 28.65 48.23 cost 30.34 23.52 23.52 cost cost cost 23.52 cost 51.94 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600227 636 90714 PEDS TD VACCINE & GT 7- IM 74.20 74.20 74.05 0.00 34.59 0.00 cost cost cost cost 0.00 0.00 49.76 0.00 cost 0.00 cost cost cost 0.00 48.23 48.23 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 28.65 48.23 cost 30.34 23.52 23.52 cost cost cost 23.52 cost 51.94 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000026 636 90714 ER TD VACCINE & GT 7- IM 76.32 76.32 79.63 0.00 34.59 0.00 cost cost cost cost 0.00 0.00 49.76 0.00 cost 0.00 cost cost cost 0.00 49.61 49.61 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 28.65 49.61 cost 30.34 23.52 23.52 cost cost cost 23.52 cost 53.42 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600397 636 90714 SL VFC PEDS TD VACCINE & GT 7- IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001377 636 90715 TETATNUS DIPH AC PERT ADULT 0.00 0.00 62.82 0.00 43.67 0.00 cost cost cost cost 0.00 0.00 62.82 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 38.67 0.65 of charges cost 38.31 29.69 29.69 cost cost cost 29.69 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000183 636 90715 BOOSTERIX 0.00 0.00 62.82 0.00 43.67 0.00 cost cost cost cost 0.00 0.00 62.82 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 38.67 0.65 of charges cost 38.31 29.69 29.69 cost cost cost 29.69 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000184 636 90715 ADACEL 0.00 0.00 62.82 0.00 43.67 0.00 cost cost cost cost 0.00 0.00 62.82 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 38.67 0.65 of charges cost 38.31 29.69 29.69 cost cost cost 29.69 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000430 636 90715 BOOSTERIX 0.5ML VIAL 0.00 0.00 62.82 0.00 43.67 0.00 cost cost cost cost 0.00 0.00 62.82 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 38.67 0.65 of charges cost 38.31 29.69 29.69 cost cost cost 29.69 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002421 636 90715 FP TDAP VACCINE > 7 IM 151.58 151.58 106.11 0.00 43.67 0.00 cost cost cost cost 0.00 0.00 62.82 0.00 cost 0.00 cost cost cost 0.00 98.53 98.53 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 38.67 98.53 cost 38.31 29.69 29.69 cost cost cost 29.69 cost 106.11 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600225 636 90715 PEDS TDAP VACCINE > 7 IM 151.58 151.58 106.11 0.00 43.67 0.00 cost cost cost cost 0.00 0.00 62.82 0.00 cost 0.00 cost cost cost 0.00 98.53 98.53 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 38.67 98.53 cost 38.31 29.69 29.69 cost cost cost 29.69 cost 106.11 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 450000024 636 90715 TDAP VACCINE & GT 7 IM 154.76 154.76 108.33 0.00 43.67 0.00 cost cost cost cost 0.00 0.00 62.82 0.00 cost 0.00 cost cost cost 0.00 100.59 100.59 cost cost cost cost 0.00 0.00 79.63 35.39 35.39 35.39 0.00 cost cost cost cost 0.00 0.00 0.00 38.67 100.59 cost 38.31 29.69 29.69 cost cost cost 29.69 cost 108.33 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600396 636 90715 SL VFC PEDS TDAP VACCINE > 7 IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001433 636 90716 VARICELLA VIRUS VACC 0.5 ML LI 0.00 0.00 188.13 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 188.13 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002060 636 90716 VARICELLA VIRUS VACC 0.5 ML LI 387.96 387.96 271.57 0.00 232.39 0.00 cost cost cost cost 0.00 0.00 193.98 271.57 cost 0.00 cost cost cost 271.57 252.17 252.17 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 188.13 252.17 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 271.57 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002422 636 90716 FP CHICKEN POX VACCINE SC 298.92 298.92 209.24 0.00 179.05 0.00 cost cost cost cost 0.00 0.00 149.46 209.24 cost 0.00 cost cost cost 209.24 194.30 194.30 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 188.13 194.30 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 209.24 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600226 636 90716 PEDS CHICKEN POX VACCINE SC 298.92 298.92 209.24 0.00 179.05 0.00 cost cost cost cost 0.00 0.00 149.46 209.24 cost 0.00 cost cost cost 209.24 194.30 194.30 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 188.13 194.30 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 209.24 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600398 636 90716 SL VFC PEDS CHICKEN POX VACC SC 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001448 636 90723 HEP B /DP (A)T/POLIO 0.00 0.00 99.37 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 99.37 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002425 636 90723 FP DTAP-HEP B -IPV VACCINE IM 273.48 273.48 191.44 0.00 163.81 0.00 cost cost cost cost 0.00 0.00 136.74 191.44 cost 0.00 cost cost cost 191.44 177.76 177.76 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 99.37 177.76 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 191.44 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600229 636 90723 PEDS DTAP-HEP B -IPV VACCINE I 273.48 273.48 191.44 0.00 163.81 0.00 cost cost cost cost 0.00 0.00 136.74 191.44 cost 0.00 cost cost cost 191.44 177.76 177.76 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 99.37 177.76 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 191.44 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600399 636 90723 SL VFC PEDS DTAP-HEP B-IPV VACC I 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001205 636 90732 PNEUMOVAX 23 VIAL-MSD 0.5 0.00 0.00 218.89 0.00 152.16 0.00 cost cost cost cost 0.00 0.00 218.89 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 133.47 0.65 of charges cost 133.47 103.44 103.44 cost cost cost 103.44 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000186 636 90732 PNEUMOVAX -13 0.00 0.00 218.89 0.00 152.16 0.00 cost cost cost cost 0.00 0.00 218.89 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 133.47 0.65 of charges cost 133.47 103.44 103.44 cost cost cost 103.44 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500003 636 90732 ROTAVIRUS VACCINE ORAL 2ML 0.00 0.00 218.89 0.00 152.16 0.00 cost cost cost cost 0.00 0.00 218.89 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 133.47 0.65 of charges cost 133.47 103.44 103.44 cost cost cost 103.44 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 361000127 636 90732 PNEUMO VAC 23 VALENT>2YRSSQ/IM 116.60 116.60 218.89 0.00 152.16 0.00 cost cost cost cost 0.00 0.00 218.89 0.00 cost 0.00 cost cost cost 0.00 75.79 75.79 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 133.47 75.79 cost 133.47 103.44 103.44 cost cost cost 103.44 cost 81.62 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002426 636 90732 FP PNEUMOCOCCAL VACCINE 126.14 126.14 218.89 0.00 152.16 0.00 cost cost cost cost 0.00 0.00 218.89 0.00 cost 0.00 cost cost cost 0.00 81.99 81.99 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 133.47 81.99 cost 133.47 103.44 103.44 cost cost cost 103.44 cost 88.30 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600230 636 90732 PEDS PNEUMOCOCCAL VACCINE 126.14 126.14 218.89 0.00 152.16 0.00 cost cost cost cost 0.00 0.00 218.89 0.00 cost 0.00 cost cost cost 0.00 81.99 81.99 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 133.47 81.99 cost 133.47 103.44 103.44 cost cost cost 103.44 cost 88.30 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600400 636 90732 SL VFC PEDS PNEUMOCOCCAL VACCINE 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001188 636 90733 MENINGOCOCCAL POLYS VACC 4 MCG 0.00 0.00 165.19 0.00 0.00 0.00 165.19 73.42 165.19 73.42 0.00 0.00 0.00 0.00 73.42 0.00 165.19 73.42 165.19 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 165.19 73.42 165.19 73.42 0.00 0.00 153.57 68.25 68.25 68.25 0.00 165.19 73.42 165.19 73.42 0.00 0.00 0.00 106.49 0.65 of charges 73.42 0.00 0.00 0.00 73.42 73.42 73.42 0.00 73.42 0.00 0.00 165.19 73.42 0.00 73.42 0.00 0.00 0.00 0.00 73.42 165.19 73.42 165.19 73.42 0.00 362002427 636 90733 FP MENINGOCOCCAL VACCINE SC 386.90 386.90 270.83 0.00 231.75 0.00 165.19 73.42 165.19 73.42 0.00 0.00 193.45 270.83 73.42 0.00 165.19 73.42 165.19 270.83 251.49 251.49 165.19 73.42 165.19 73.42 0.00 0.00 153.57 68.25 68.25 68.25 0.00 165.19 73.42 165.19 73.42 0.00 0.00 0.00 106.49 251.49 73.42 0.00 0.00 0.00 73.42 73.42 73.42 0.00 73.42 270.83 0.00 165.19 73.42 0.00 73.42 0.00 0.00 0.00 0.00 73.42 165.19 73.42 165.19 73.42 0.00 362600231 636 90733 PEDS MENINGOCOCCAL VACCINE SC 386.90 386.90 270.83 0.00 231.75 0.00 165.19 73.42 165.19 73.42 0.00 0.00 193.45 270.83 73.42 0.00 165.19 73.42 165.19 270.83 251.49 251.49 165.19 73.42 165.19 73.42 0.00 0.00 153.57 68.25 68.25 68.25 0.00 165.19 73.42 165.19 73.42 0.00 0.00 0.00 106.49 251.49 73.42 0.00 0.00 0.00 73.42 73.42 73.42 0.00 73.42 270.83 0.00 165.19 73.42 0.00 73.42 0.00 0.00 0.00 0.00 73.42 165.19 73.42 165.19 73.42 0.00 362600401 636 90733 SL VFC PEDS MENINGOCOCCAL VACC SC 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500257 636 90734 MENVEO IMMUNIZATION KIT 0.00 0.00 160.24 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 160.24 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500511 636 90734 MENACWYD/MENACWYCRM VACC IM 0.00 0.00 160.24 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 160.24 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362010036 636 90734 MENINGOCOCCAL VACCINE 488.66 488.66 342.06 0.00 292.71 0.00 cost cost cost cost 0.00 0.00 244.33 342.06 cost 0.00 cost cost cost 342.06 317.63 317.63 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 160.24 317.63 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 342.06 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600423 636 90734 PEDS MCV4 MENACWY VACCINE IM 156.88 156.88 160.24 0.00 93.97 0.00 cost cost cost cost 0.00 0.00 78.44 109.82 cost 0.00 cost cost cost 109.82 101.97 101.97 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 160.24 101.97 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 109.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600424 636 90734 SL VFC PEDS MCV4 MENACWY VACC IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001453 636 90736 ZOSTAR VACCINE LIVE 0.00 0.00 178.94 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 178.94 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600409 636 90736 HZV VACC LIVE SUBQ (ZOSTAVAX) 859.66 859.66 601.76 0.00 514.94 0.00 cost cost cost cost 0.00 0.00 429.83 601.76 cost 0.00 cost cost cost 601.76 558.78 558.78 cost cost cost cost 0.00 0.00 153.57 68.25 68.25 68.25 0.00 cost cost cost cost 0.00 0.00 0.00 178.94 558.78 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 601.76 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000157 636 90739 HEPB VACC ADLT 2 DOSE IM 0.00 0.00 262.87 0.00 182.72 0.00 cost cost cost cost 0.00 0.00 262.87 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 160.28 0.65 of charges cost 160.28 124.22 124.22 cost cost cost 124.22 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500409 636 90739 HEPLISAV-B 20MCG/0.5ML SYRNG 0.00 0.00 262.87 0.00 182.72 0.00 cost cost cost cost 0.00 0.00 262.87 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 160.28 0.65 of charges cost 160.28 124.22 124.22 cost cost cost 124.22 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500199 636 90740 HEPB VACC 3 DOSE IMMUNSUP IM 0.00 0.00 249.48 0.00 173.42 0.00 cost cost cost cost 0.00 0.00 249.48 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 152.12 0.65 of charges cost 152.12 117.90 117.90 cost cost cost 117.90 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002428 636 90744 FP HEPB VACC PED/DOL3 DOSE IM 179.14 179.14 125.40 0.00 35.08 0.00 cost cost cost cost 0.00 0.00 50.46 0.00 cost 0.00 cost cost cost 0.00 116.44 116.44 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 29.90 116.44 cost 30.77 23.85 23.85 cost cost cost 23.85 cost 125.40 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600232 636 90744 PEDS HEP B VACC PED/DOL3 DOSE 179.14 179.14 125.40 0.00 35.08 0.00 cost cost cost cost 0.00 0.00 50.46 0.00 cost 0.00 cost cost cost 0.00 116.44 116.44 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 29.90 116.44 cost 30.77 23.85 23.85 cost cost cost 23.85 cost 125.40 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500509 636 90744 SL VFC-HEPB VC/PF 10MCG/0.5ML SYR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600402 636 90744 SL VFC PEDS HEP B VAC PED/DOL 3DS 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001215 636 90746 RECOMBIVAX HB 10 MCG/1 ML VIAL 0.00 0.00 115.42 0.00 80.23 0.00 cost cost cost cost 0.00 0.00 115.42 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 70.38 0.65 of charges cost 70.38 54.54 54.54 cost cost cost 54.54 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001319 636 90746 RECOMBIVAX HB 5 MCG/0.5 ML 0.00 0.00 115.42 0.00 80.23 0.00 cost cost cost cost 0.00 0.00 115.42 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 70.38 0.65 of charges cost 70.38 54.54 54.54 cost cost cost 54.54 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500155 636 90746 HEPB VACC 3 DOSE ADULT IM 0.00 0.00 115.42 0.00 80.23 0.00 cost cost cost cost 0.00 0.00 115.42 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 70.38 0.65 of charges cost 70.38 54.54 54.54 cost cost cost 54.54 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002010 636 90746 IM HEP B VACC ADULT DOSE IM 153.70 153.70 115.42 0.00 80.23 0.00 cost cost cost cost 0.00 0.00 115.42 0.00 cost 0.00 cost cost cost 0.00 99.91 99.91 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 70.38 99.91 cost 70.38 54.54 54.54 cost cost cost 54.54 cost 107.59 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002429 636 90746 FP HEITIS B VACC ADULT DOSE IM 153.70 153.70 115.42 0.00 80.23 0.00 cost cost cost cost 0.00 0.00 115.42 0.00 cost 0.00 cost cost cost 0.00 99.91 99.91 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 70.38 99.91 cost 70.38 54.54 54.54 cost cost cost 54.54 cost 107.59 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 510000302 636 90746 HEPATITIS B VACC ADULT DOSE IM 157.94 157.94 115.42 0.00 80.23 0.00 cost cost cost cost 0.00 0.00 115.42 0.00 cost 0.00 cost cost cost 0.00 102.66 102.66 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 70.38 102.66 cost 70.38 54.54 54.54 cost cost cost 54.54 cost 110.56 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000348 636 90746 RECOMBIVAX HB 40 MCG/ML VIAL 0.00 0.00 115.42 0.00 80.23 0.00 cost cost cost cost 0.00 0.00 115.42 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 70.38 0.65 of charges cost 70.38 54.54 54.54 cost cost cost 54.54 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362002430 636 90748 FP HEP B/HIB VACCINE- IM 172.78 172.78 120.95 0.00 103.50 0.00 cost cost cost cost 0.00 0.00 86.39 120.95 cost 0.00 cost cost cost 120.95 112.31 112.31 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 45.41 112.31 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 120.95 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600233 636 90748 PEDS HEP B/HIB VACCINE- IM 172.78 172.78 120.95 0.00 103.50 0.00 cost cost cost cost 0.00 0.00 86.39 120.95 cost 0.00 cost cost cost 120.95 112.31 112.31 cost cost cost cost 0.00 0.00 74.05 32.91 32.91 32.91 0.00 cost cost cost cost 0.00 0.00 0.00 45.41 112.31 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 120.95 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362600403 636 90748 SL VFC PEDS HEP B/HIB VACCINE- IM 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500310 636 90750 SHINGRIX ZSTR VAC 50MCG/0.5ML 0.00 0.00 198.08 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 198.08 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 363005000 900 90791 PSYCH DIAGNOSTIC EVALUATION 473.82 473.82 485.59 142.08 182.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 331.67 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 149.98 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 402.75 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 331.67 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 142.08 364005000 900 90791 PSYCH DIAGNOSTIC EVALUATION 473.82 473.82 485.59 142.08 182.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 331.67 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 149.98 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 402.75 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 331.67 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 142.08 450000223 900 90791 ER PSY DX INTERVIEW 473.82 473.82 494.14 142.08 182.00 once per unique code per service date 184.37 494.14 219.62 494.14 219.62 184.37 184.37 331.67 184.37 219.62 184.37 494.14 219.62 494.14 184.37 153.00 per diem 191.00 per diem 494.14 219.62 494.14 219.62 184.37 184.37 459.39 204.17 204.17 204.17 149.98 494.14 219.62 494.14 219.62 184.37 184.37 184.37 165.00 402.75 219.62 494.14 219.62 184.37 219.62 219.62 219.62 184.37 219.62 331.67 184.37 494.14 219.62 184.37 219.62 184.37 184.37 184.37 184.37 219.62 494.14 219.62 494.14 219.62 142.08 510000198 900 90791 PSY DX INTERVIEW 473.82 473.82 459.48 142.08 182.00 once per unique code per service date 184.37 459.48 204.21 459.48 204.21 184.37 184.37 331.67 184.37 204.21 184.37 459.48 204.21 459.48 184.37 153.00 per diem 191.00 per diem 459.48 204.21 459.48 204.21 184.37 184.37 427.15 189.85 189.85 189.85 149.98 459.48 204.21 459.48 204.21 184.37 184.37 184.37 165.00 402.75 204.21 459.48 204.21 184.37 204.21 204.21 204.21 184.37 204.21 331.67 184.37 459.48 204.21 184.37 204.21 184.37 184.37 184.37 184.37 204.21 459.48 204.21 459.48 204.21 142.08 362002126 900 90791 95 PSY TELEMED DIAG EVAL 473.82 473.82 485.59 142.08 182.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 331.67 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 149.98 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 402.75 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 331.67 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 142.08 362002136 900 90791 95 PSY TELEMED DIAG EVAL 473.82 473.82 485.59 142.08 182.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 331.67 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 149.98 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 402.75 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 331.67 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 142.08 362002127 900 90791 95U4 PSY TELEMED DIAG EVAL LANG 324.36 324.36 485.59 142.08 182.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 227.05 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 149.98 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 275.71 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 227.05 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 142.08 362002137 900 90791 95U4 PSY TELEMED DIAG EVAL LANG 324.36 324.36 485.59 142.08 182.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 227.05 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 149.98 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 275.71 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 227.05 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 142.08 363005009 900 90791 U4 PSYCH DIAGNOSTIC EVAL LANG 324.36 324.36 485.59 142.08 182.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 227.05 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 149.98 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 275.71 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 227.05 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 142.08 364005009 900 90791 U4 PSYCH DIAGNOSTIC EVAL LANG 324.36 324.36 485.59 142.08 182.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 227.05 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 149.98 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 275.71 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 227.05 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 142.08 363005001 900 90792 PSYCH DIAG EVAL W/MED SRVCS 473.82 473.82 485.59 164.30 204.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 331.67 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 173.43 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 402.75 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 331.67 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 164.30 364005001 900 90792 PSYCH DIAG EVAL W/MED SRVCS 473.82 473.82 485.59 164.30 204.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 331.67 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 173.43 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 402.75 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 331.67 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 164.30 362002128 900 90792 95 PSY TELMD DIAG EVA W/MED SVC 473.82 473.82 485.59 164.30 204.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 331.67 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 173.43 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 402.75 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 331.67 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 164.30 362002138 900 90792 95 PSY TELMD DIAG EVA W/MED SVC 473.82 473.82 485.59 164.30 204.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 331.67 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 173.43 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 402.75 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 331.67 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 164.30 362002129 900 90792 95U4 PSY TELMD DIAG EVA W/MED SV LG 324.36 324.36 485.59 164.30 204.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 227.05 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 173.43 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 275.71 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 227.05 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 164.30 362002139 900 90792 95U4 PSY TELMD DIAG EVA W/MED SV LG 324.36 324.36 485.59 164.30 204.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 227.05 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 173.43 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 275.71 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 227.05 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 164.30 363005051 900 90792 U4 PSYCH DIAG EVAL W/MED SVC LANG 324.36 324.36 485.59 164.30 204.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 227.05 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 173.43 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 275.71 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 227.05 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 164.30 364005055 900 90792 U4 PSYCH DIAG EVAL W/MED SVC LANG 324.36 324.36 485.59 164.30 204.00 once per unique code per service date 184.37 485.59 215.82 485.59 215.82 184.37 184.37 227.05 184.37 215.82 184.37 485.59 215.82 485.59 184.37 153.00 per diem 191.00 per diem 485.59 215.82 485.59 215.82 184.37 184.37 421.64 187.39 187.39 187.39 173.43 485.59 215.82 485.59 215.82 184.37 184.37 184.37 165.00 275.71 215.82 485.59 215.82 184.37 215.82 215.82 215.82 184.37 215.82 227.05 184.37 485.59 215.82 184.37 215.82 184.37 184.37 184.37 184.37 215.82 485.59 215.82 485.59 215.82 164.30 363005002 914 90832 PSYTX PT&/FAMILY 30 MIN 473.82 473.82 402.75 65.77 91.00 once per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 331.67 184.37 129.49 184.37 291.36 129.49 291.36 184.37 65.00 per diem 81.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 69.43 291.36 129.49 291.36 129.49 184.37 184.37 184.37 71.00 402.75 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 331.67 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 65.77 364005002 914 90832 PSYTX PT&/FAMILY 30 MIN 473.82 473.82 402.75 65.77 91.00 once per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 331.67 184.37 129.49 184.37 291.36 129.49 291.36 184.37 65.00 per diem 81.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 69.43 291.36 129.49 291.36 129.49 184.37 184.37 184.37 71.00 402.75 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 331.67 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 65.77 362002098 914 90832 95 PSYTX W PT TELEMED 30 MINUTES 473.82 473.82 402.75 65.77 91.00 once per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 331.67 184.37 129.49 184.37 291.36 129.49 291.36 184.37 65.00 per diem 81.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 69.43 291.36 129.49 291.36 129.49 184.37 184.37 184.37 71.00 402.75 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 331.67 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 65.77 362002099 914 90832 95 PSYTX W PT TELEMED 30 MINUTES 473.82 473.82 402.75 65.77 91.00 once per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 331.67 184.37 129.49 184.37 291.36 129.49 291.36 184.37 65.00 per diem 81.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 69.43 291.36 129.49 291.36 129.49 184.37 184.37 184.37 71.00 402.75 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 331.67 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 65.77 362002108 914 90832 95U4 PSYTX W PT TELEMED 30 MIN LANG 237.44 237.44 291.36 65.77 91.00 once per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 166.21 184.37 129.49 184.37 291.36 129.49 291.36 184.37 65.00 per diem 81.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 69.43 291.36 129.49 291.36 129.49 184.37 184.37 184.37 71.00 201.82 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 166.21 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 65.77 362002117 914 90832 95U4 PSYTX W PT TELEMED 30 MIN LANG 237.44 237.44 291.36 65.77 91.00 once per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 166.21 184.37 129.49 184.37 291.36 129.49 291.36 184.37 65.00 per diem 81.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 69.43 291.36 129.49 291.36 129.49 184.37 184.37 184.37 71.00 201.82 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 166.21 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 65.77 363005010 914 90832 U4 PSYTX PT&/FAMILY 30 MIN 237.44 237.44 291.36 65.77 91.00 once per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 166.21 184.37 129.49 184.37 291.36 129.49 291.36 184.37 65.00 per diem 81.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 69.43 291.36 129.49 291.36 129.49 184.37 184.37 184.37 71.00 201.82 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 166.21 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 65.77 364005010 914 90832 U4 PSYTX PT&/FAMILY 30 MIN 237.44 237.44 291.36 65.77 91.00 once per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 166.21 184.37 129.49 184.37 291.36 129.49 291.36 184.37 65.00 per diem 81.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 69.43 291.36 129.49 291.36 129.49 184.37 184.37 184.37 71.00 201.82 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 166.21 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 65.77 363005003 914 90833 PSYTX PT&/FAM W/ E&M 30 MIN 173.84 173.84 174.82 0.00 95.00 once per unique code per service date 0.00 174.82 77.70 174.82 77.70 0.00 0.00 121.69 0.00 77.70 0.00 174.82 77.70 174.82 0.00 63.00 case rate 79.00 case rate 174.82 77.70 174.82 77.70 0.00 0.00 151.79 67.46 67.46 67.46 65.61 174.82 77.70 174.82 77.70 0.00 0.00 0.00 45.00 147.76 77.70 174.82 77.70 0.00 77.70 77.70 77.70 0.00 77.70 121.69 0.00 174.82 77.70 69.06 77.70 0.00 69.06 0.00 0.00 77.70 174.82 77.70 174.82 77.70 62.15 364005003 914 90833 PSYTX PT&/FAM W/ E&M 30 MIN 173.84 173.84 174.82 0.00 95.00 once per unique code per service date 0.00 174.82 77.70 174.82 77.70 0.00 0.00 121.69 0.00 77.70 0.00 174.82 77.70 174.82 0.00 63.00 case rate 79.00 case rate 174.82 77.70 174.82 77.70 0.00 0.00 151.79 67.46 67.46 67.46 65.61 174.82 77.70 174.82 77.70 0.00 0.00 0.00 45.00 147.76 77.70 174.82 77.70 0.00 77.70 77.70 77.70 0.00 77.70 121.69 0.00 174.82 77.70 69.06 77.70 0.00 69.06 0.00 0.00 77.70 174.82 77.70 174.82 77.70 62.15 362002196 914 90833 95 PSYTX PT&/FAM W/E&M TELMD 30MN 173.84 173.84 174.82 0.00 95.00 once per unique code per service date 0.00 174.82 77.70 174.82 77.70 0.00 0.00 121.69 0.00 77.70 0.00 174.82 77.70 174.82 0.00 63.00 case rate 79.00 case rate 174.82 77.70 174.82 77.70 0.00 0.00 151.79 67.46 67.46 67.46 65.61 174.82 77.70 174.82 77.70 0.00 0.00 0.00 45.00 147.76 77.70 174.82 77.70 0.00 77.70 77.70 77.70 0.00 77.70 121.69 0.00 174.82 77.70 69.06 77.70 0.00 69.06 0.00 0.00 77.70 174.82 77.70 174.82 77.70 62.15 362002197 914 90833 95 PSYTX PT&/FAM W/E&M TELMD 30MN 173.84 173.84 174.82 0.00 95.00 once per unique code per service date 0.00 174.82 77.70 174.82 77.70 0.00 0.00 121.69 0.00 77.70 0.00 174.82 77.70 174.82 0.00 63.00 case rate 79.00 case rate 174.82 77.70 174.82 77.70 0.00 0.00 151.79 67.46 67.46 67.46 65.61 174.82 77.70 174.82 77.70 0.00 0.00 0.00 45.00 147.76 77.70 174.82 77.70 0.00 77.70 77.70 77.70 0.00 77.70 121.69 0.00 174.82 77.70 69.06 77.70 0.00 69.06 0.00 0.00 77.70 174.82 77.70 174.82 77.70 62.15 363005004 914 90834 PSYTX PT&/FAM 45 MIN 551.20 551.20 468.52 86.90 121.00 once per unique code per service date 184.37 388.48 172.66 388.48 172.66 184.37 184.37 385.84 184.37 172.66 184.37 388.48 172.66 388.48 184.37 133.00 per diem 166.00 per diem 388.48 172.66 388.48 172.66 184.37 184.37 337.31 149.92 149.92 149.92 91.73 388.48 172.66 388.48 172.66 184.37 184.37 184.37 100.00 468.52 172.66 388.48 172.66 184.37 172.66 172.66 172.66 184.37 172.66 385.84 184.37 388.48 172.66 184.37 172.66 184.37 184.37 184.37 184.37 172.66 388.48 172.66 388.48 172.66 86.90 364005004 914 90834 PSYTX PT&/FAM 45 MIN 551.20 551.20 468.52 86.90 121.00 once per unique code per service date 184.37 388.48 172.66 388.48 172.66 184.37 184.37 385.84 184.37 172.66 184.37 388.48 172.66 388.48 184.37 133.00 per diem 166.00 per diem 388.48 172.66 388.48 172.66 184.37 184.37 337.31 149.92 149.92 149.92 91.73 388.48 172.66 388.48 172.66 184.37 184.37 184.37 100.00 468.52 172.66 388.48 172.66 184.37 172.66 172.66 172.66 184.37 172.66 385.84 184.37 388.48 172.66 184.37 172.66 184.37 184.37 184.37 184.37 172.66 388.48 172.66 388.48 172.66 86.90 510000005 914 90834 CL COUNSELING -NO TESTING 551.20 551.20 468.52 86.90 121.00 once per unique code per service date 184.37 367.58 163.37 367.58 163.37 184.37 184.37 385.84 184.37 163.37 184.37 367.58 163.37 367.58 184.37 133.00 per diem 166.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 91.73 367.58 163.37 367.58 163.37 184.37 184.37 184.37 100.00 468.52 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 385.84 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 86.90 362002130 914 90834 95 PSYTX W PT TELEMED 45MIN 551.20 551.20 468.52 86.90 121.00 once per unique code per service date 184.37 388.48 172.66 388.48 172.66 184.37 184.37 385.84 184.37 172.66 184.37 388.48 172.66 388.48 184.37 133.00 per diem 166.00 per diem 388.48 172.66 388.48 172.66 184.37 184.37 337.31 149.92 149.92 149.92 91.73 388.48 172.66 388.48 172.66 184.37 184.37 184.37 100.00 468.52 172.66 388.48 172.66 184.37 172.66 172.66 172.66 184.37 172.66 385.84 184.37 388.48 172.66 184.37 172.66 184.37 184.37 184.37 184.37 172.66 388.48 172.66 388.48 172.66 86.90 362002140 914 90834 95 PSYTX W PT TELEMED 45MIN 551.20 551.20 468.52 86.90 121.00 once per unique code per service date 184.37 388.48 172.66 388.48 172.66 184.37 184.37 385.84 184.37 172.66 184.37 388.48 172.66 388.48 184.37 133.00 per diem 166.00 per diem 388.48 172.66 388.48 172.66 184.37 184.37 337.31 149.92 149.92 149.92 91.73 388.48 172.66 388.48 172.66 184.37 184.37 184.37 100.00 468.52 172.66 388.48 172.66 184.37 172.66 172.66 172.66 184.37 172.66 385.84 184.37 388.48 172.66 184.37 172.66 184.37 184.37 184.37 184.37 172.66 388.48 172.66 388.48 172.66 86.90 362002131 914 90834 95U4 PSYTX W PT TELEMED 45MIN LANG 324.36 324.36 388.48 86.90 121.00 once per unique code per service date 184.37 388.48 172.66 388.48 172.66 184.37 184.37 227.05 184.37 172.66 184.37 388.48 172.66 388.48 184.37 133.00 per diem 166.00 per diem 388.48 172.66 388.48 172.66 184.37 184.37 337.31 149.92 149.92 149.92 91.73 388.48 172.66 388.48 172.66 184.37 184.37 184.37 100.00 275.71 172.66 388.48 172.66 184.37 172.66 172.66 172.66 184.37 172.66 227.05 184.37 388.48 172.66 184.37 172.66 184.37 184.37 184.37 184.37 172.66 388.48 172.66 388.48 172.66 86.90 362002141 914 90834 95U4 PSYTX W PT TELEMED 45MIN LANG 324.36 324.36 388.48 86.90 121.00 once per unique code per service date 184.37 388.48 172.66 388.48 172.66 184.37 184.37 227.05 184.37 172.66 184.37 388.48 172.66 388.48 184.37 133.00 per diem 166.00 per diem 388.48 172.66 388.48 172.66 184.37 184.37 337.31 149.92 149.92 149.92 91.73 388.48 172.66 388.48 172.66 184.37 184.37 184.37 100.00 275.71 172.66 388.48 172.66 184.37 172.66 172.66 172.66 184.37 172.66 227.05 184.37 388.48 172.66 184.37 172.66 184.37 184.37 184.37 184.37 172.66 388.48 172.66 388.48 172.66 86.90 363005011 914 90834 U4 PSYTX PT&/FAM 45 MIN 324.36 324.36 388.48 86.90 121.00 once per unique code per service date 184.37 388.48 172.66 388.48 172.66 184.37 184.37 227.05 184.37 172.66 184.37 388.48 172.66 388.48 184.37 133.00 per diem 166.00 per diem 388.48 172.66 388.48 172.66 184.37 184.37 337.31 149.92 149.92 149.92 91.73 388.48 172.66 388.48 172.66 184.37 184.37 184.37 100.00 275.71 172.66 388.48 172.66 184.37 172.66 172.66 172.66 184.37 172.66 227.05 184.37 388.48 172.66 184.37 172.66 184.37 184.37 184.37 184.37 172.66 388.48 172.66 388.48 172.66 86.90 364005011 914 90834 U4 PSYTX PT&/FAM 45 MIN 324.36 324.36 388.48 86.90 121.00 once per unique code per service date 184.37 388.48 172.66 388.48 172.66 184.37 184.37 227.05 184.37 172.66 184.37 388.48 172.66 388.48 184.37 133.00 per diem 166.00 per diem 388.48 172.66 388.48 172.66 184.37 184.37 337.31 149.92 149.92 149.92 91.73 388.48 172.66 388.48 172.66 184.37 184.37 184.37 100.00 275.71 172.66 388.48 172.66 184.37 172.66 172.66 172.66 184.37 172.66 227.05 184.37 388.48 172.66 184.37 172.66 184.37 184.37 184.37 184.37 172.66 388.48 172.66 388.48 172.66 86.90 363005005 914 90836 PSYTX PT&/FAM W/ E&M 45 MIN 217.30 217.30 271.95 0.00 182.00 once per unique code per service date 0.00 271.95 120.87 271.95 120.87 0.00 0.00 152.11 0.00 120.87 0.00 271.95 120.87 271.95 0.00 82.00 case rate 103.00 case rate 271.95 120.87 271.95 120.87 0.00 0.00 236.13 104.95 104.95 104.95 82.94 271.95 120.87 271.95 120.87 0.00 0.00 0.00 73.00 184.71 120.87 271.95 120.87 0.00 120.87 120.87 120.87 0.00 120.87 152.11 0.00 271.95 120.87 87.31 120.87 0.00 87.31 0.00 0.00 120.87 271.95 120.87 271.95 120.87 78.58 364005005 914 90836 PSYTX PT&/FAM W/ E&M 45 MIN 217.30 217.30 271.95 0.00 182.00 once per unique code per service date 0.00 271.95 120.87 271.95 120.87 0.00 0.00 152.11 0.00 120.87 0.00 271.95 120.87 271.95 0.00 82.00 case rate 103.00 case rate 271.95 120.87 271.95 120.87 0.00 0.00 236.13 104.95 104.95 104.95 82.94 271.95 120.87 271.95 120.87 0.00 0.00 0.00 73.00 184.71 120.87 271.95 120.87 0.00 120.87 120.87 120.87 0.00 120.87 152.11 0.00 271.95 120.87 87.31 120.87 0.00 87.31 0.00 0.00 120.87 271.95 120.87 271.95 120.87 78.58 362002198 914 90836 95 PSYTX PT&/FAM W/E&M TELMD 45MN 217.30 217.30 271.95 0.00 182.00 once per unique code per service date 0.00 271.95 120.87 271.95 120.87 0.00 0.00 152.11 0.00 120.87 0.00 271.95 120.87 271.95 0.00 82.00 case rate 103.00 case rate 271.95 120.87 271.95 120.87 0.00 0.00 236.13 104.95 104.95 104.95 82.94 271.95 120.87 271.95 120.87 0.00 0.00 0.00 73.00 184.71 120.87 271.95 120.87 0.00 120.87 120.87 120.87 0.00 120.87 152.11 0.00 271.95 120.87 87.31 120.87 0.00 87.31 0.00 0.00 120.87 271.95 120.87 271.95 120.87 78.58 362002199 914 90836 95 PSYTX PT&/FAM W/E&M TELMD 45MN 217.30 217.30 271.95 0.00 182.00 once per unique code per service date 0.00 271.95 120.87 271.95 120.87 0.00 0.00 152.11 0.00 120.87 0.00 271.95 120.87 271.95 0.00 82.00 case rate 103.00 case rate 271.95 120.87 271.95 120.87 0.00 0.00 236.13 104.95 104.95 104.95 82.94 271.95 120.87 271.95 120.87 0.00 0.00 0.00 73.00 184.71 120.87 271.95 120.87 0.00 120.87 120.87 120.87 0.00 120.87 152.11 0.00 271.95 120.87 87.31 120.87 0.00 87.31 0.00 0.00 120.87 271.95 120.87 271.95 120.87 78.58 363005006 914 90837 PSYTX PT&/FAM 60 MIN 628.58 628.58 534.29 127.00 158.00 once per unique code per service date 184.37 367.58 163.37 367.58 163.37 184.37 184.37 440.01 184.37 163.37 184.37 367.58 163.37 367.58 184.37 133.00 per diem 166.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 135.40 367.58 163.37 367.58 163.37 184.37 184.37 184.37 127.00 534.29 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 440.01 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 128.28 364005006 914 90837 PSYTX PT&/FAM 60 MIN 628.58 628.58 534.29 127.00 158.00 once per unique code per service date 184.37 367.58 163.37 367.58 163.37 184.37 184.37 440.01 184.37 163.37 184.37 367.58 163.37 367.58 184.37 133.00 per diem 166.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 135.40 367.58 163.37 367.58 163.37 184.37 184.37 184.37 127.00 534.29 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 440.01 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 128.28 364005075 914 90837 U4 PSYTX PT&/FAM 60 MIN LANG 689.00 689.00 585.65 127.00 158.00 once per unique code per service date 184.37 367.58 163.37 367.58 163.37 184.37 184.37 482.30 184.37 163.37 184.37 367.58 163.37 367.58 184.37 133.00 per diem 166.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 135.40 367.58 163.37 367.58 163.37 184.37 184.37 184.37 127.00 585.65 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 482.30 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 128.28 363005007 914 90838 PSYTX PT&/FAM W/E&M 60 MIN 276.66 276.66 367.58 0.00 42.00 once per unique code per service date 0.00 367.58 163.37 367.58 163.37 0.00 0.00 193.66 0.00 163.37 0.00 367.58 163.37 367.58 0.00 83.00 case rate 104.00 case rate 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 110.02 367.58 163.37 367.58 163.37 0.00 0.00 0.00 118.00 235.16 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 193.66 0.00 367.58 163.37 115.81 163.37 0.00 115.81 0.00 0.00 163.37 367.58 163.37 367.58 163.37 104.23 364005007 914 90838 PSYTX PT&/FAM W/E&M 60 MIN 276.66 276.66 367.58 0.00 42.00 once per unique code per service date 0.00 367.58 163.37 367.58 163.37 0.00 0.00 193.66 0.00 163.37 0.00 367.58 163.37 367.58 0.00 83.00 case rate 104.00 case rate 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 110.02 367.58 163.37 367.58 163.37 0.00 0.00 0.00 118.00 235.16 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 193.66 0.00 367.58 163.37 115.81 163.37 0.00 115.81 0.00 0.00 163.37 367.58 163.37 367.58 163.37 104.23 362002230 914 90838 95 PSYTX PT&/FAM W/E&M TELMD 60MN 276.66 276.66 367.58 0.00 42.00 once per unique code per service date 0.00 367.58 163.37 367.58 163.37 0.00 0.00 193.66 0.00 163.37 0.00 367.58 163.37 367.58 0.00 83.00 case rate 104.00 case rate 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 110.02 367.58 163.37 367.58 163.37 0.00 0.00 0.00 118.00 235.16 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 193.66 0.00 367.58 163.37 115.81 163.37 0.00 115.81 0.00 0.00 163.37 367.58 163.37 367.58 163.37 104.23 362002231 914 90838 95 PSYTX PT&/FAM W/E&M TELMD 60MN 276.66 276.66 367.58 0.00 42.00 once per unique code per service date 0.00 367.58 163.37 367.58 163.37 0.00 0.00 193.66 0.00 163.37 0.00 367.58 163.37 367.58 0.00 83.00 case rate 104.00 case rate 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 110.02 367.58 163.37 367.58 163.37 0.00 0.00 0.00 118.00 235.16 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 193.66 0.00 367.58 163.37 115.81 163.37 0.00 115.81 0.00 0.00 163.37 367.58 163.37 367.58 163.37 104.23 363005008 914 90839 PSYTX CRISS INT 60 MIN 954.00 954.00 810.90 124.51 571.45 184.37 367.58 163.37 367.58 163.37 184.37 184.37 667.80 184.37 163.37 184.37 367.58 163.37 367.58 184.37 183.00 per diem 229.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 131.42 367.58 163.37 367.58 163.37 184.37 184.37 184.37 202.00 810.90 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 667.80 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 124.51 364005008 914 90839 PSYTX CRISS INT 60 MIN 954.00 954.00 810.90 124.51 571.45 184.37 367.58 163.37 367.58 163.37 184.37 184.37 667.80 184.37 163.37 184.37 367.58 163.37 367.58 184.37 183.00 per diem 229.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 131.42 367.58 163.37 367.58 163.37 184.37 184.37 184.37 202.00 810.90 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 667.80 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 124.51 362002146 914 90839 GT PSYTX CRISS INT TELMD 60MN 954.00 954.00 810.90 124.51 571.45 184.37 367.58 163.37 367.58 163.37 184.37 184.37 667.80 184.37 163.37 184.37 367.58 163.37 367.58 184.37 183.00 per diem 229.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 131.42 367.58 163.37 367.58 163.37 184.37 184.37 184.37 202.00 810.90 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 667.80 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 124.51 362002154 914 90839 GT PSYTX CRISS INT TELMD 60MN 954.00 954.00 810.90 124.51 571.45 184.37 367.58 163.37 367.58 163.37 184.37 184.37 667.80 184.37 163.37 184.37 367.58 163.37 367.58 184.37 183.00 per diem 229.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 131.42 367.58 163.37 367.58 163.37 184.37 184.37 184.37 202.00 810.90 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 667.80 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 124.51 362002147 914 90839 GTU4 PSYTX CRISS INT TELMD 60MN LG 954.00 954.00 810.90 124.51 571.45 184.37 367.58 163.37 367.58 163.37 184.37 184.37 667.80 184.37 163.37 184.37 367.58 163.37 367.58 184.37 183.00 per diem 229.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 131.42 367.58 163.37 367.58 163.37 184.37 184.37 184.37 202.00 810.90 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 667.80 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 124.51 362002155 914 90839 GTU4 PSYTX CRISS INT TELMD 60MN LG 954.00 954.00 810.90 124.51 571.45 184.37 367.58 163.37 367.58 163.37 184.37 184.37 667.80 184.37 163.37 184.37 367.58 163.37 367.58 184.37 183.00 per diem 229.00 per diem 367.58 163.37 367.58 163.37 184.37 184.37 341.72 151.88 151.88 151.88 131.42 367.58 163.37 367.58 163.37 184.37 184.37 184.37 202.00 810.90 163.37 367.58 163.37 184.37 163.37 163.37 163.37 184.37 163.37 667.80 184.37 367.58 163.37 184.37 163.37 184.37 184.37 184.37 184.37 163.37 367.58 163.37 367.58 163.37 124.51 363005055 914 90840 PSYTX CRISIS EA ADDL 30 MIN 477.00 477.00 405.45 0.00 285.72 0.00 367.58 163.37 367.58 163.37 0.00 0.00 333.90 0.00 163.37 0.00 367.58 163.37 367.58 0.00 143.10 143.10 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 66.43 367.58 163.37 367.58 163.37 0.00 0.00 0.00 105.00 405.45 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 333.90 0.00 367.58 163.37 69.93 163.37 0.00 69.93 0.00 0.00 163.37 367.58 163.37 367.58 163.37 62.94 364005052 914 90840 PSYTX CRISIS EA ADDL 30 MIN 477.00 477.00 405.45 0.00 285.72 0.00 367.58 163.37 367.58 163.37 0.00 0.00 333.90 0.00 163.37 0.00 367.58 163.37 367.58 0.00 143.10 143.10 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 66.43 367.58 163.37 367.58 163.37 0.00 0.00 0.00 105.00 405.45 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 333.90 0.00 367.58 163.37 69.93 163.37 0.00 69.93 0.00 0.00 163.37 367.58 163.37 367.58 163.37 62.94 362002148 914 90840 GT PSYTX CRIS EA AD TELMD 30MN 477.00 477.00 405.45 0.00 285.72 0.00 367.58 163.37 367.58 163.37 0.00 0.00 333.90 0.00 163.37 0.00 367.58 163.37 367.58 0.00 143.10 143.10 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 66.43 367.58 163.37 367.58 163.37 0.00 0.00 0.00 105.00 405.45 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 333.90 0.00 367.58 163.37 69.93 163.37 0.00 69.93 0.00 0.00 163.37 367.58 163.37 367.58 163.37 62.94 362002156 914 90840 GT PSYTX CRIS EA AD TELMD 30MN 477.00 477.00 405.45 0.00 285.72 0.00 367.58 163.37 367.58 163.37 0.00 0.00 333.90 0.00 163.37 0.00 367.58 163.37 367.58 0.00 143.10 143.10 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 66.43 367.58 163.37 367.58 163.37 0.00 0.00 0.00 105.00 405.45 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 333.90 0.00 367.58 163.37 69.93 163.37 0.00 69.93 0.00 0.00 163.37 367.58 163.37 367.58 163.37 62.94 362002149 914 90840 GTU4 PSYTX CRIS EA AD TELMD 30MN LG 477.00 477.00 405.45 0.00 285.72 0.00 367.58 163.37 367.58 163.37 0.00 0.00 333.90 0.00 163.37 0.00 367.58 163.37 367.58 0.00 143.10 143.10 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 66.43 367.58 163.37 367.58 163.37 0.00 0.00 0.00 105.00 405.45 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 333.90 0.00 367.58 163.37 69.93 163.37 0.00 69.93 0.00 0.00 163.37 367.58 163.37 367.58 163.37 62.94 362002157 914 90840 GTU4 PSYTX CRIS EA AD TELMD 30MN LG 477.00 477.00 405.45 0.00 285.72 0.00 367.58 163.37 367.58 163.37 0.00 0.00 333.90 0.00 163.37 0.00 367.58 163.37 367.58 0.00 143.10 143.10 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 66.43 367.58 163.37 367.58 163.37 0.00 0.00 0.00 105.00 405.45 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 333.90 0.00 367.58 163.37 69.93 163.37 0.00 69.93 0.00 0.00 163.37 367.58 163.37 367.58 163.37 62.94 363005056 914 90840 U4 PSYTX CRISIS EA ADDL 30 MIN LG 477.00 477.00 405.45 0.00 285.72 0.00 367.58 163.37 367.58 163.37 0.00 0.00 333.90 0.00 163.37 0.00 367.58 163.37 367.58 0.00 143.10 143.10 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 66.43 367.58 163.37 367.58 163.37 0.00 0.00 0.00 105.00 405.45 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 333.90 0.00 367.58 163.37 69.93 163.37 0.00 69.93 0.00 0.00 163.37 367.58 163.37 367.58 163.37 62.94 364005053 914 90840 U4 PSYTX CRISIS EA ADDL 30 MIN LG 477.00 477.00 405.45 0.00 285.72 0.00 367.58 163.37 367.58 163.37 0.00 0.00 333.90 0.00 163.37 0.00 367.58 163.37 367.58 0.00 143.10 143.10 367.58 163.37 367.58 163.37 0.00 0.00 341.72 151.88 151.88 151.88 66.43 367.58 163.37 367.58 163.37 0.00 0.00 0.00 105.00 405.45 163.37 367.58 163.37 0.00 163.37 163.37 163.37 0.00 163.37 333.90 0.00 367.58 163.37 69.93 163.37 0.00 69.93 0.00 0.00 163.37 367.58 163.37 367.58 163.37 62.94 363000008 916 90846 COLLATERAL W/O PATIENT 30MN 473.82 473.82 402.75 75.00 148.00 oncer per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 331.67 184.37 129.49 184.37 291.36 129.49 291.36 184.37 138.00 per diem 172.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 98.98 291.36 129.49 291.36 129.49 184.37 184.37 184.37 75.00 402.75 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 331.67 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 93.77 916000024 916 90846 COLLATERAL W/O PATIENT 30MN 473.82 473.82 402.75 75.00 148.00 oncer per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 331.67 184.37 129.49 184.37 291.36 129.49 291.36 184.37 138.00 per diem 172.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 98.98 291.36 129.49 291.36 129.49 184.37 184.37 184.37 75.00 402.75 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 331.67 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 93.77 362002132 916 90846 95 COLLAT W/O PT TELMD 50MIN 473.82 473.82 402.75 75.00 148.00 oncer per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 331.67 184.37 129.49 184.37 291.36 129.49 291.36 184.37 138.00 per diem 172.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 98.98 291.36 129.49 291.36 129.49 184.37 184.37 184.37 75.00 402.75 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 331.67 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 93.77 362002142 916 90846 95 COLLAT W/O PT TELMD 50MIN 473.82 473.82 402.75 75.00 148.00 oncer per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 331.67 184.37 129.49 184.37 291.36 129.49 291.36 184.37 138.00 per diem 172.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 98.98 291.36 129.49 291.36 129.49 184.37 184.37 184.37 75.00 402.75 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 331.67 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 93.77 362002133 916 90846 95U4 COLLAT W/O PT TELMD 50MIN LANG 364.64 364.64 309.94 75.00 148.00 oncer per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 255.25 184.37 129.49 184.37 291.36 129.49 291.36 184.37 138.00 per diem 172.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 98.98 291.36 129.49 291.36 129.49 184.37 184.37 184.37 75.00 309.94 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 255.25 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 93.77 362002143 916 90846 95U4 COLLAT W/O PT TELMD 50MIN LANG 364.64 364.64 309.94 75.00 148.00 oncer per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 255.25 184.37 129.49 184.37 291.36 129.49 291.36 184.37 138.00 per diem 172.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 98.98 291.36 129.49 291.36 129.49 184.37 184.37 184.37 75.00 309.94 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 255.25 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 93.77 363000009 916 90846 U4 COL W/O PATIENT 3OMN/LANGUAGE 355.10 355.10 301.84 75.00 148.00 oncer per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 248.57 184.37 129.49 184.37 291.36 129.49 291.36 184.37 138.00 per diem 172.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 98.98 291.36 129.49 291.36 129.49 184.37 184.37 184.37 75.00 301.84 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 248.57 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 93.77 919000020 916 90846 U4 COL W/O PATIENT 30MN/LANGUAGE 364.64 364.64 309.94 75.00 148.00 oncer per unique code per service date 184.37 291.36 129.49 291.36 129.49 184.37 184.37 255.25 184.37 129.49 184.37 291.36 129.49 291.36 184.37 138.00 per diem 172.00 per diem 291.36 129.49 291.36 129.49 184.37 184.37 252.98 112.44 112.44 112.44 98.98 291.36 129.49 291.36 129.49 184.37 184.37 184.37 75.00 309.94 129.49 291.36 129.49 184.37 129.49 129.49 129.49 184.37 129.49 255.25 184.37 291.36 129.49 184.37 129.49 184.37 184.37 184.37 184.37 129.49 291.36 129.49 291.36 129.49 93.77 363000010 916 90847 COLLATERAL 60MN 947.64 947.64 805.49 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 663.35 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 805.49 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 663.35 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 916000009 916 90847 PSYCH FAMILY THERAPY 947.64 947.64 805.49 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 663.35 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 805.49 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 663.35 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 916000010 916 90847 COLLATERAL 60MN 947.64 947.64 805.49 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 663.35 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 805.49 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 663.35 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 362002134 916 90847 95 COLLAT W/PT TELMD 50MIN 947.64 947.64 805.49 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 663.35 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 805.49 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 663.35 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 362002144 916 90847 95 COLLAT W/PT TELMD 50MIN 947.64 947.64 805.49 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 663.35 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 805.49 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 663.35 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 362002135 916 90847 95U4 COLLAT W/PT TELMD 50MIN LANG 751.54 751.54 638.81 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 526.08 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 638.81 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 526.08 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 362002145 916 90847 95U4 COLLAT W/PT TELMD 50MIN LANG 751.54 751.54 638.81 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 526.08 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 638.81 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 526.08 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 363000011 916 90847 U4 COL 60MN/LANGUAGE 660.38 660.38 582.72 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 462.27 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 561.32 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 462.27 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 919000021 916 90847 U4 COL 60MN/LANGUAGE 751.54 751.54 638.81 75.00 153.00 once per unique code per service date 184.37 582.72 258.98 582.72 258.98 184.37 184.37 526.08 184.37 258.98 184.37 582.72 258.98 582.72 184.37 138.00 per diem 172.00 per diem 582.72 258.98 582.72 258.98 184.37 184.37 505.97 224.87 224.87 224.87 103.36 582.72 258.98 582.72 258.98 184.37 184.37 184.37 75.00 638.81 258.98 582.72 258.98 184.37 258.98 258.98 258.98 184.37 258.98 526.08 184.37 582.72 258.98 184.37 258.98 184.37 184.37 184.37 184.37 258.98 582.72 258.98 582.72 258.98 97.92 363005052 916 90849 COLLATERAL GROUP 484.42 484.42 411.76 28.77 290.17 184.37 225.85 100.38 225.85 100.38 184.37 184.37 339.09 184.37 100.38 184.37 225.85 100.38 225.85 184.37 145.33 145.33 225.85 100.38 225.85 100.38 184.37 184.37 196.10 87.16 87.16 87.16 30.37 225.85 100.38 225.85 100.38 184.37 184.37 184.37 35.00 411.76 100.38 225.85 100.38 184.37 100.38 100.38 100.38 184.37 100.38 339.09 184.37 225.85 100.38 184.37 100.38 184.37 184.37 184.37 184.37 100.38 225.85 100.38 225.85 100.38 28.77 363005053 916 90849 U4 COLLATERAL GROUP LANG 324.36 324.36 275.71 28.77 194.29 184.37 225.85 100.38 225.85 100.38 184.37 184.37 227.05 184.37 100.38 184.37 225.85 100.38 225.85 184.37 97.31 97.31 225.85 100.38 225.85 100.38 184.37 184.37 196.10 87.16 87.16 87.16 30.37 225.85 100.38 225.85 100.38 184.37 184.37 184.37 35.00 275.71 100.38 225.85 100.38 184.37 100.38 100.38 100.38 184.37 100.38 227.05 184.37 225.85 100.38 184.37 100.38 184.37 184.37 184.37 184.37 100.38 225.85 100.38 225.85 100.38 28.77 919000022 900 90849 U4 COL GROUP/LANGUAGE 324.36 324.36 275.71 28.77 194.29 184.37 225.85 100.38 225.85 100.38 184.37 184.37 227.05 184.37 100.38 184.37 225.85 100.38 225.85 184.37 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 184.37 184.37 196.10 87.16 87.16 87.16 30.37 225.85 100.38 225.85 100.38 184.37 184.37 184.37 35.00 275.71 100.38 225.85 100.38 184.37 100.38 100.38 100.38 184.37 100.38 227.05 184.37 225.85 100.38 184.37 100.38 184.37 184.37 184.37 184.37 100.38 225.85 100.38 225.85 100.38 28.77 363000012 915 90853 PSYCH GROUP 60MN 318.00 318.00 270.30 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 222.60 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 270.30 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 222.60 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 915000008 915 90853 PSYCH GROUP COLLATERAL 1 HOUR 318.00 318.00 270.30 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 222.60 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 270.30 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 222.60 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 915000009 915 90853 PSYCH GROUP COLLATERAL 2 HOURS 636.00 636.00 540.60 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 445.20 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 540.60 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 445.20 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 915000014 915 90853 PSYCH GROUP THERAPY 318.00 318.00 270.30 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 222.60 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 270.30 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 222.60 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 915000015 915 90853 PSYCH GROUP 60MN 318.00 318.00 270.30 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 222.60 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 270.30 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 222.60 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 362002150 915 90853 GT PSYCH GROUP TELEMED 60 MIN 318.00 318.00 270.30 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 222.60 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 270.30 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 222.60 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 362002158 915 90853 GT PSYCH GROUP TELEMED 60 MIN 318.00 318.00 270.30 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 222.60 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 270.30 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 222.60 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 362002151 915 90853 GTU4 PSYCH GROUP TELEMED 60 MIN LNG 318.00 318.00 270.30 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 222.60 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 270.30 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 222.60 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 362002159 915 90853 GTU4 PSYCH GROUP TELEMED 60 MIN LNG 318.00 318.00 270.30 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 222.60 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 270.30 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 222.60 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 363000013 915 90853 U4 PSYCH GROUP 60MIN/LANGUAGE 232.14 232.14 225.85 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 162.50 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 197.32 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 162.50 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 919000019 915 90853 U4 PSYCH GROUP 60MIN/LANGUAGE 263.94 263.94 225.85 23.14 36.00 once per unique code per service date 103.08 225.85 100.38 225.85 100.38 103.08 103.08 184.76 103.08 100.38 103.08 225.85 100.38 225.85 103.08 108.00 per diem 135.00 per diem 225.85 100.38 225.85 100.38 103.08 103.08 196.10 87.16 87.16 87.16 24.42 225.85 100.38 225.85 100.38 103.08 103.08 103.08 35.00 224.35 100.38 225.85 100.38 103.08 100.38 100.38 100.38 103.08 100.38 184.76 103.08 225.85 100.38 103.08 100.38 103.08 103.08 103.08 103.08 100.38 225.85 100.38 225.85 100.38 23.14 363005077 914 90863 PHARMACOLOGIC MGMT W/PSYTX 439.90 439.90 373.92 0.00 263.50 0.00 52.37 23.28 52.37 23.28 0.00 0.00 307.93 307.93 23.28 0.00 52.37 23.28 52.37 307.93 131.97 131.97 52.37 23.28 52.37 23.28 0.00 0.00 48.69 21.64 21.64 21.64 0.00 52.37 23.28 52.37 23.28 0.00 0.00 0.00 307.93 373.92 23.28 52.37 23.28 0.00 23.28 23.28 23.28 0.00 23.28 307.93 0.00 52.37 23.28 0.00 23.28 0.00 0.00 0.00 0.00 23.28 52.37 23.28 52.37 23.28 0.00 363005054 914 90882 COMPLEX CARE MGMT 15 MIN 160.06 160.06 136.05 0.00 95.88 0.00 45.30 20.13 45.30 20.13 0.00 0.00 112.04 112.04 20.13 0.00 45.30 20.13 45.30 112.04 48.02 48.02 45.30 20.13 45.30 20.13 0.00 0.00 39.33 17.48 17.48 17.48 0.00 45.30 20.13 45.30 20.13 0.00 0.00 0.00 101.00 136.05 20.13 45.30 20.13 0.00 20.13 20.13 20.13 0.00 20.13 112.04 0.00 45.30 20.13 0.00 20.13 0.00 0.00 0.00 0.00 20.13 45.30 20.13 45.30 20.13 0.00 363000014 914 90882 U4 COMPLEX CARE MGMT 15 MIN/LANG 154.76 154.76 131.55 0.00 92.70 0.00 45.30 20.13 45.30 20.13 0.00 0.00 108.33 108.33 20.13 0.00 45.30 20.13 45.30 108.33 46.43 46.43 45.30 20.13 45.30 20.13 0.00 0.00 39.33 17.48 17.48 17.48 0.00 45.30 20.13 45.30 20.13 0.00 0.00 0.00 101.00 131.55 20.13 45.30 20.13 0.00 20.13 20.13 20.13 0.00 20.13 108.33 0.00 45.30 20.13 0.00 20.13 0.00 0.00 0.00 0.00 20.13 45.30 20.13 45.30 20.13 0.00 919000017 914 90882 U4 COMPLEX CARE MGMT 15 MIN/LANG 175.96 175.96 149.57 0.00 105.40 0.00 45.30 20.13 45.30 20.13 0.00 0.00 123.17 123.17 20.13 0.00 45.30 20.13 45.30 123.17 52.79 52.79 45.30 20.13 45.30 20.13 0.00 0.00 39.33 17.48 17.48 17.48 0.00 45.30 20.13 45.30 20.13 0.00 0.00 0.00 101.00 149.57 20.13 45.30 20.13 0.00 20.13 20.13 20.13 0.00 20.13 123.17 0.00 45.30 20.13 0.00 20.13 0.00 0.00 0.00 0.00 20.13 45.30 20.13 45.30 20.13 0.00 361000129 450 90935 EMERG DIALYSIS ESRD PT G0257 2337.30 2337.30 1636.11 72.83 625.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 1636.11 808.09 269.51 808.09 606.39 269.51 606.39 808.09 1153.00 case rate 1441.00 case rate 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 1085.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 775.00 per case 269.51 808.09 775.00 per case 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000001 821 90935 HEMODIALYSIS - OUTPATIENT 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000002 801 90935 HEMODIALYSIS - INPATIENT 2286.42 2286.42 1600.49 0.00 0.00 808.09 606.39 269.51 606.39 269.51 808.09 808.09 1600.49 808.09 269.51 808.09 606.39 269.51 606.39 808.09 685.93 685.93 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 1486.17 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1600.49 808.09 606.39 269.51 808.09 269.51 808.09 808.09 808.09 808.09 269.51 606.39 269.51 606.39 269.51 0.00 821000007 821 90935 G1 HEMO DAILY TX -G1 URR<60% 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000008 821 90935 G2 HEMO DAILY TX -G2 URR=60-64.9% 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000009 821 90935 G3 HEMO DAILY TX -G3 URR=65-69.9% 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000010 821 90935 G4 HEMO DAILY TX -G4 URR=70-74.9% 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000011 821 90935 G5 HEMO DAILY TX -G5 URR>=75% 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000012 821 90935 G6 HEMO DAILY TX < 7 IN MNTH -G6 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000013 821 90935 V5 HEMO ANY VASCULAR CATH -V5 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000014 821 90935 V6 HEMO ARTERIOVENOUS GRAFT -V6 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 821000015 821 90935 V7 HEMO ARTERIOVENOUS FISTULA -V7 90999 2337.30 2337.30 1636.11 72.83 690.00 case rate 808.09 606.39 269.51 606.39 269.51 808.09 808.09 616.00 per visit 808.09 269.51 808.09 606.39 269.51 606.39 808.09 739.00 per day/per diem 924.00 per day/per diem 606.39 269.51 606.39 269.51 808.09 808.09 563.72 250.54 250.54 250.54 72.83 606.39 269.51 606.39 269.51 808.09 808.09 808.09 80.00 519.00 per visit 269.51 606.39 269.51 808.09 269.51 269.51 269.51 808.09 269.51 1636.11 808.09 606.39 269.51 482.00 per visit 269.51 808.09 482.00 per visit 808.09 808.09 269.51 606.39 269.51 606.39 269.51 330.00 450000570 821 90970 ESRD REL SVC 20YRS 903.12 903.12 924.00 0.00 690.00 case rate 0.00 652.12 289.83 652.12 289.83 0.00 0.00 616.00 per visit 632.18 289.83 0.00 652.12 289.83 652.12 632.18 739.00 per day/per diem 924.00 per day/per diem 652.12 289.83 652.12 289.83 0.00 0.00 606.26 269.45 269.45 269.45 9.77 652.12 289.83 652.12 289.83 0.00 0.00 0.00 9.00 519.00 per visit 289.83 652.12 289.83 0.00 289.83 289.83 289.83 0.00 289.83 632.18 0.00 652.12 289.83 482.00 per visit 289.83 0.00 482.00 per visit 0.00 0.00 289.83 652.12 289.83 652.12 289.83 9.25 351500493 636 91320 COVID VC 9/23-8/24 12+PFZR SYR 0.00 0.00 215.00 0.00 149.45 131.10 cost cost cost cost 131.10 131.10 215.00 131.10 cost 131.10 cost cost cost 131.10 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 131.10 131.10 cost cost cost cost 124.55 cost cost cost cost 131.10 131.10 131.10 131.10 0.65 of charges cost 131.10 101.60 101.60 cost cost cost 101.60 cost 0.00 131.10 cost cost 131.10 cost 131.10 131.10 131.10 131.10 cost cost cost cost cost 117.99 351500497 636 91320 COVID VC 9/23-8/24 12+PFZR VL 0.00 0.00 215.00 0.00 149.45 131.10 cost cost cost cost 131.10 131.10 215.00 131.10 cost 131.10 cost cost cost 131.10 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 131.10 131.10 cost cost cost cost 124.55 cost cost cost cost 131.10 131.10 131.10 131.10 0.65 of charges cost 131.10 101.60 101.60 cost cost cost 101.60 cost 0.00 131.10 cost cost 131.10 cost 131.10 131.10 131.10 131.10 cost cost cost cost cost 117.99 351500503 636 91321 COVID VC 9/23-8/24 <12 MODERNA 0.00 0.00 239.31 0.00 166.35 145.92 cost cost cost cost 145.92 145.92 239.31 145.92 cost 145.92 cost cost cost 145.92 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 145.92 145.92 cost cost cost cost 138.62 cost cost cost cost 145.92 145.92 145.92 145.92 0.65 of charges cost 145.92 113.09 113.09 cost cost cost 113.09 cost 0.00 145.92 cost cost 145.92 cost 145.92 145.92 145.92 145.92 cost cost cost cost cost 131.33 351500502 636 91322 COVID VC 9/23-8/24 12+ MODERNA 0.00 0.00 239.31 0.00 166.35 145.92 cost cost cost cost 145.92 145.92 239.31 145.92 cost 145.92 cost cost cost 145.92 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 145.92 145.92 cost cost cost cost 138.62 cost cost cost cost 145.92 145.92 145.92 145.92 0.65 of charges cost 145.92 113.09 113.09 cost cost cost 113.09 cost 0.00 145.92 cost cost 145.92 cost 145.92 145.92 145.92 145.92 cost cost cost cost cost 131.33 362400500 510 92002 OPHTHAL NEW PT EVAL INTERMEDIA 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 46.42 444.20 197.42 444.20 197.42 152.87 152.87 152.87 78.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 43.97 362400501 510 92004 OPHTHAL NEW PT EVAL COMP 1 OR 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 96.03 444.20 197.42 444.20 197.42 152.87 152.87 152.87 143.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 90.97 362400502 510 92012 OPHTHAL EST PT INTERMEDIATE 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 51.55 444.20 197.42 444.20 197.42 152.87 152.87 152.87 72.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 48.83 362400503 510 92014 OPHTHAL EST PT COMP 1 OR MORE 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 77.48 444.20 197.42 444.20 197.42 152.87 152.87 152.87 106.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 73.40 362400505 510 92020 OPHTHAL GONIOSCOPY 402.80 402.80 342.38 0.00 0.00 147.72 219.97 97.77 219.97 97.77 147.72 147.72 0.00 147.72 97.77 147.72 219.97 97.77 219.97 147.72 226.00 283.00 219.97 97.77 219.97 97.77 147.72 147.72 204.50 90.89 90.89 90.89 20.89 219.97 97.77 219.97 97.77 147.72 147.72 147.72 58.00 342.38 97.77 219.97 97.77 147.72 97.77 97.77 97.77 147.72 97.77 281.96 147.72 219.97 97.77 142.00 per visit 97.77 147.72 142.00 per visit 147.72 147.72 97.77 219.97 97.77 219.97 97.77 19.79 362400506 510 92060 OPHTHAL SENSIMOTOR EXAM 214.12 214.12 283.00 0.00 0.00 70.73 20.45 9.09 20.45 9.09 70.73 70.73 0.00 70.73 9.09 70.73 20.45 9.09 20.45 70.73 226.00 283.00 20.45 9.09 20.45 9.09 70.73 70.73 204.50 90.89 90.89 90.89 68.37 20.45 9.09 20.45 9.09 70.73 70.73 70.73 21.00 182.00 9.09 20.45 9.09 70.73 9.09 9.09 9.09 70.73 9.09 149.88 70.73 20.45 9.09 142.00 per visit 9.09 70.73 142.00 per visit 70.73 70.73 9.09 20.45 9.09 20.45 9.09 64.77 362400507 510 92065 OPHTHAL ORTHOTIC/PLEOPTIC TRAI 214.12 214.12 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.88 0.00 0.00 0.00 0.00 0.00 149.88 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.00 182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.88 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.22 362400508 510 92081 "OPHTHAL VISUAL FIELD EXAM, LMT" 214.12 214.12 283.00 0.00 0.00 70.73 219.97 97.77 219.97 97.77 70.73 70.73 0.00 70.73 97.77 70.73 219.97 97.77 219.97 70.73 226.00 283.00 219.97 97.77 219.97 97.77 70.73 70.73 204.50 90.89 90.89 90.89 36.13 219.97 97.77 219.97 97.77 70.73 70.73 70.73 88.00 182.00 97.77 219.97 97.77 70.73 97.77 97.77 97.77 70.73 97.77 149.88 70.73 219.97 97.77 142.00 per visit 97.77 70.73 142.00 per visit 70.73 70.73 97.77 219.97 97.77 219.97 97.77 34.23 362400509 510 92082 "OPHTHAL VISUAL FIELD EXAM, INT" 214.12 214.12 283.00 0.00 0.00 70.73 219.97 97.77 219.97 97.77 70.73 70.73 0.00 70.73 97.77 70.73 219.97 97.77 219.97 70.73 226.00 283.00 219.97 97.77 219.97 97.77 70.73 70.73 204.50 90.89 90.89 90.89 50.96 219.97 97.77 219.97 97.77 70.73 70.73 70.73 41.00 182.00 97.77 219.97 97.77 70.73 97.77 97.77 97.77 70.73 97.77 149.88 70.73 219.97 97.77 142.00 per visit 97.77 70.73 142.00 per visit 70.73 70.73 97.77 219.97 97.77 219.97 97.77 48.28 362400510 510 92083 "OPHTHAL VISUAL FIELD EXAM, EXT" 402.80 402.80 342.38 0.00 0.00 147.72 219.97 97.77 219.97 97.77 147.72 147.72 0.00 147.72 97.77 147.72 219.97 97.77 219.97 147.72 226.00 283.00 219.97 97.77 219.97 97.77 147.72 147.72 204.50 90.89 90.89 90.89 68.77 219.97 97.77 219.97 97.77 147.72 147.72 147.72 64.00 342.38 97.77 219.97 97.77 147.72 97.77 97.77 97.77 147.72 97.77 281.96 147.72 219.97 97.77 142.00 per visit 97.77 147.72 142.00 per visit 147.72 147.72 97.77 219.97 97.77 219.97 97.77 65.15 362400511 510 92100 OPHTHAL SERIAL TONOMETRY 138.86 138.86 283.00 0.00 0.00 0.00 219.97 97.77 219.97 97.77 0.00 0.00 0.00 0.00 97.77 0.00 219.97 97.77 219.97 0.00 226.00 283.00 219.97 97.77 219.97 97.77 0.00 0.00 204.50 90.89 90.89 90.89 33.01 219.97 97.77 219.97 97.77 0.00 0.00 0.00 70.00 118.03 97.77 219.97 97.77 0.00 97.77 97.77 97.77 0.00 97.77 97.20 0.00 219.97 97.77 142.00 per visit 97.77 0.00 142.00 per visit 0.00 0.00 97.77 219.97 97.77 219.97 97.77 31.28 362400513 510 92132 OPHTHAL SCAN COMPUTER DX ANTER 214.12 214.12 283.00 0.00 0.00 70.73 253.64 112.73 253.64 112.73 70.73 70.73 0.00 70.73 112.73 70.73 253.64 112.73 253.64 70.73 226.00 283.00 253.64 112.73 253.64 112.73 70.73 70.73 235.79 104.80 104.80 104.80 33.90 253.64 112.73 253.64 112.73 70.73 70.73 70.73 19.00 182.00 112.73 253.64 112.73 70.73 112.73 112.73 112.73 70.73 112.73 149.88 70.73 253.64 112.73 142.00 per visit 112.73 70.73 142.00 per visit 70.73 70.73 112.73 253.64 112.73 253.64 112.73 32.11 362400514 510 92136 OPHTHAL BIOMETRY BY INTERFEROM 402.80 402.80 342.38 0.00 0.00 147.72 253.64 112.73 253.64 112.73 147.72 147.72 0.00 147.72 112.73 147.72 253.64 112.73 253.64 147.72 226.00 283.00 253.64 112.73 253.64 112.73 147.72 147.72 235.79 104.80 104.80 104.80 50.40 253.64 112.73 253.64 112.73 147.72 147.72 147.72 80.00 342.38 112.73 253.64 112.73 147.72 112.73 112.73 112.73 147.72 112.73 281.96 147.72 253.64 112.73 142.00 per visit 112.73 147.72 142.00 per visit 147.72 147.72 112.73 253.64 112.73 253.64 112.73 47.75 450000586 761 92230 FLUORESCEIN ANGIOSCOPY I&R 1699.18 1699.18 2810.00 22.53 22.53 619.81 511.40 227.29 511.40 227.29 619.81 619.81 2810.00 per visit 619.81 227.29 619.81 511.40 227.29 511.40 619.81 45.17 56.47 511.40 227.29 511.40 227.29 619.81 619.81 475.44 211.31 211.31 211.31 35.74 511.40 227.29 511.40 227.29 619.81 619.81 619.81 103.00 1444.30 227.29 511.40 227.29 619.81 227.29 227.29 227.29 619.81 227.29 1189.43 619.81 511.40 227.29 619.81 227.29 619.81 619.81 619.81 619.81 227.29 511.40 227.29 511.40 227.29 33.86 362002062 510 92250 TC FUNDUS PHOTOGRAPHY W/INTRP&RPRT 408.10 408.10 346.89 0.00 0.00 147.72 253.64 112.73 253.64 112.73 147.72 147.72 0.00 147.72 112.73 147.72 253.64 112.73 253.64 147.72 226.00 283.00 253.64 112.73 253.64 112.73 147.72 147.72 235.79 104.80 104.80 104.80 39.81 253.64 112.73 253.64 112.73 147.72 147.72 147.72 61.00 346.89 112.73 253.64 112.73 147.72 112.73 112.73 112.73 147.72 112.73 285.67 147.72 253.64 112.73 142.00 per visit 112.73 147.72 142.00 per visit 147.72 147.72 112.73 253.64 112.73 253.64 112.73 37.72 440000002 440 92507 GN SP SPEECH THERAPY INDIVIDUAL 294.68 294.68 294.07 73.00 96.14 84.33 294.07 130.70 294.07 130.70 84.33 84.33 131.00 per visit 84.33 130.70 84.33 294.07 130.70 294.07 84.33 101.26 126.58 294.07 130.70 294.07 130.70 84.33 84.33 273.38 121.50 121.50 121.50 80.11 294.07 130.70 294.07 130.70 84.33 84.33 84.33 73.00 166.00 per visit 130.70 294.07 130.70 84.33 130.70 130.70 130.70 84.33 130.70 206.28 84.33 294.07 130.70 149.00 per visit 130.70 84.33 149.00 per visit 84.33 84.33 130.70 294.07 130.70 294.07 130.70 75.90 440000003 440 92508 GN SP SPEECH THERAPY GROUP 231.08 231.08 172.70 24.53 31.07 27.25 172.70 76.76 172.70 76.76 27.25 27.25 131.00 per visit 27.25 76.76 27.25 172.70 76.76 172.70 27.25 32.72 40.90 172.70 76.76 172.70 76.76 27.25 27.25 160.55 71.36 71.36 71.36 25.89 172.70 76.76 172.70 76.76 27.25 27.25 27.25 78.00 166.00 per visit 76.76 172.70 76.76 27.25 76.76 76.76 76.76 27.25 76.76 161.76 27.25 172.70 76.76 149.00 per visit 76.76 27.25 149.00 per visit 27.25 27.25 76.76 172.70 76.76 172.70 76.76 24.53 362401101 761 92511 ENT NASOPHARYNGOSCOPY 602.08 602.08 2810.00 25.14 25.14 229.06 324.62 144.27 324.62 144.27 229.06 229.06 2810.00 per visit 229.06 144.27 229.06 324.62 144.27 324.62 229.06 50.40 63.00 324.62 144.27 324.62 144.27 229.06 229.06 301.78 134.12 134.12 134.12 39.87 324.62 144.27 324.62 144.27 229.06 229.06 229.06 98.00 511.77 144.27 324.62 144.27 229.06 144.27 144.27 144.27 229.06 144.27 421.46 229.06 324.62 144.27 229.06 144.27 229.06 229.06 229.06 229.06 144.27 324.62 144.27 324.62 144.27 37.77 354505060 444 92521 GN EVALUATION SPEECH FLUENCY 306.34 306.34 294.07 121.50 167.72 147.12 294.07 130.70 294.07 130.70 147.12 147.12 131.00 per visit 147.12 130.70 147.12 294.07 130.70 294.07 147.12 176.66 220.83 294.07 130.70 294.07 130.70 147.12 147.12 273.38 121.50 121.50 121.50 139.76 294.07 130.70 294.07 130.70 147.12 147.12 147.12 127.00 166.00 per visit 130.70 294.07 130.70 147.12 130.70 130.70 130.70 147.12 130.70 214.44 147.12 294.07 130.70 149.00 per visit 130.70 147.12 149.00 per visit 147.12 147.12 130.70 294.07 130.70 294.07 130.70 132.41 354505061 444 92522 GN EVALUATION SPEECH PRODUC 246.98 246.98 294.07 103.00 140.37 123.13 294.07 130.70 294.07 130.70 123.13 123.13 131.00 per visit 123.13 130.70 123.13 294.07 130.70 294.07 123.13 147.85 184.82 294.07 130.70 294.07 130.70 123.13 123.13 273.38 121.50 121.50 121.50 116.97 294.07 130.70 294.07 130.70 123.13 123.13 123.13 103.00 166.00 per visit 130.70 294.07 130.70 123.13 130.70 130.70 130.70 123.13 130.70 172.89 123.13 294.07 130.70 149.00 per visit 130.70 123.13 149.00 per visit 123.13 123.13 130.70 294.07 130.70 294.07 130.70 110.82 354505062 440 92523 GN SPEECH SOUND LANG COMP 516.22 516.22 378.51 121.50 287.47 252.17 294.07 130.70 294.07 130.70 252.17 252.17 131.00 per visit 252.17 130.70 252.17 294.07 130.70 294.07 252.17 302.81 378.51 294.07 130.70 294.07 130.70 252.17 252.17 273.38 121.50 121.50 121.50 239.56 294.07 130.70 294.07 130.70 252.17 252.17 252.17 214.00 166.00 per visit 130.70 294.07 130.70 252.17 130.70 130.70 130.70 252.17 130.70 361.35 252.17 294.07 130.70 149.00 per visit 130.70 252.17 149.00 per visit 252.17 252.17 130.70 294.07 130.70 294.07 130.70 226.95 354505063 440 92524 GN BEHAVRAL QUALT VOICE 260.76 260.76 294.07 108.00 138.13 121.17 294.07 130.70 294.07 130.70 121.17 121.17 131.00 per visit 121.17 130.70 121.17 294.07 130.70 294.07 121.17 145.50 181.88 294.07 130.70 294.07 130.70 121.17 121.17 273.38 121.50 121.50 121.50 115.11 294.07 130.70 294.07 130.70 121.17 121.17 121.17 108.00 166.00 per visit 130.70 294.07 130.70 121.17 130.70 130.70 130.70 121.17 130.70 182.53 121.17 294.07 130.70 149.00 per visit 130.70 121.17 149.00 per visit 121.17 121.17 130.70 294.07 130.70 294.07 130.70 109.05 440000004 440 92526 GN SP BARIUM SWALLOW 626.46 626.46 438.52 71.36 107.10 93.95 172.70 76.76 172.70 76.76 93.95 93.95 131.00 per visit 93.95 76.76 93.95 172.70 76.76 172.70 93.95 112.82 141.02 172.70 76.76 172.70 76.76 93.95 93.95 160.55 71.36 71.36 71.36 89.25 172.70 76.76 172.70 76.76 93.95 93.95 93.95 98.00 166.00 per visit 76.76 172.70 76.76 93.95 76.76 76.76 76.76 93.95 76.76 438.52 93.95 172.70 76.76 149.00 per visit 76.76 93.95 149.00 per visit 93.95 93.95 76.76 172.70 76.76 172.70 76.76 84.56 362401102 920 92532 ENT POSITIONAL NYSTAGMUS TEST 90.10 90.10 195.85 0.00 53.97 0.00 195.85 87.04 195.85 87.04 0.00 0.00 63.07 0.00 87.04 0.00 195.85 87.04 195.85 0.00 0.00 0.00 195.85 87.04 195.85 87.04 0.00 0.00 182.07 80.92 80.92 80.92 0.00 195.85 87.04 195.85 87.04 0.00 0.00 0.00 39.00 76.59 87.04 195.85 87.04 0.00 87.04 87.04 87.04 0.00 87.04 63.07 0.00 195.85 87.04 96.00 per visit 87.04 0.00 96.00 per visit 0.00 0.00 87.04 195.85 87.04 195.85 87.04 0.00 470000002 470 92550 TYMPANOMETRY & REFLEX THRESH 521.52 521.52 443.29 2.16 14.39 180.63 187.04 83.13 187.04 83.13 180.63 180.63 365.06 180.63 83.13 180.63 187.04 83.13 187.04 180.63 28.86 36.07 187.04 83.13 187.04 83.13 180.63 180.63 173.88 77.28 77.28 77.28 22.83 187.04 83.13 187.04 83.13 180.63 180.63 180.63 24.00 443.29 83.13 187.04 83.13 180.63 83.13 83.13 83.13 180.63 83.13 365.06 180.63 187.04 83.13 125.00 per visit 83.13 180.63 125.00 per visit 180.63 180.63 83.13 187.04 83.13 187.04 83.13 2.16 510000091 470 92551 PURE TONE HEARING TEST- AIR 56.18 56.18 195.85 0.00 33.65 0.00 195.85 87.04 195.85 87.04 0.00 0.00 0.00 39.33 87.04 0.00 195.85 87.04 195.85 39.33 0.00 0.00 195.85 87.04 195.85 87.04 0.00 0.00 182.07 80.92 80.92 80.92 0.00 195.85 87.04 195.85 87.04 0.00 0.00 0.00 7.98 47.75 87.04 195.85 87.04 0.00 87.04 87.04 87.04 0.00 87.04 39.33 0.00 195.85 87.04 125.00 per visit 87.04 0.00 125.00 per visit 0.00 0.00 87.04 195.85 87.04 195.85 87.04 0.00 362020028 471 92552 PURE TONE AUDIOMETRY AIR 432.48 432.48 367.61 23.00 26.77 147.72 195.85 87.04 195.85 87.04 147.72 147.72 302.74 147.72 87.04 147.72 195.85 87.04 195.85 147.72 53.66 67.08 195.85 87.04 195.85 87.04 147.72 147.72 182.07 80.92 80.92 80.92 42.46 195.85 87.04 195.85 87.04 147.72 147.72 147.72 23.00 367.61 87.04 195.85 87.04 147.72 87.04 87.04 87.04 147.72 87.04 302.74 147.72 195.85 87.04 125.00 per visit 87.04 147.72 125.00 per visit 147.72 147.72 87.04 195.85 87.04 195.85 87.04 40.22 362020029 471 92553 AUDIOMETRY AIR & BONE 538.48 538.48 457.71 6.06 32.40 180.63 13.64 6.06 13.64 6.06 180.63 180.63 376.94 180.63 6.06 180.63 13.64 6.06 13.64 180.63 64.95 81.19 13.64 6.06 13.64 6.06 180.63 180.63 173.88 77.28 77.28 77.28 51.39 13.64 6.06 13.64 6.06 180.63 180.63 180.63 34.00 457.71 6.06 13.64 6.06 180.63 6.06 6.06 6.06 180.63 6.06 376.94 180.63 13.64 6.06 125.00 per visit 6.06 180.63 125.00 per visit 180.63 180.63 6.06 13.64 6.06 13.64 6.06 48.68 362020030 471 92555 SPEECH THRESHOLD AUDIOMETRY 131.44 131.44 195.85 19.00 20.44 70.73 195.85 87.04 195.85 87.04 70.73 70.73 92.01 70.73 87.04 70.73 195.85 87.04 195.85 70.73 40.98 51.23 195.85 87.04 195.85 87.04 70.73 70.73 182.07 80.92 80.92 80.92 32.42 195.85 87.04 195.85 87.04 70.73 70.73 70.73 19.00 111.72 87.04 195.85 87.04 70.73 87.04 87.04 87.04 70.73 87.04 92.01 70.73 195.85 87.04 125.00 per visit 87.04 70.73 125.00 per visit 70.73 70.73 87.04 195.85 87.04 195.85 87.04 30.72 362020031 471 92556 SPEECH AUDIOMETRY COMPLETE 215.18 215.18 182.90 9.09 31.69 70.73 20.45 9.09 20.45 9.09 70.73 70.73 150.63 70.73 9.09 70.73 20.45 9.09 20.45 70.73 63.53 79.42 20.45 9.09 20.45 9.09 70.73 70.73 182.07 80.92 80.92 80.92 50.26 20.45 9.09 20.45 9.09 70.73 70.73 70.73 30.00 182.90 9.09 20.45 9.09 70.73 9.09 9.09 9.09 70.73 9.09 150.63 70.73 20.45 9.09 125.00 per visit 9.09 70.73 125.00 per visit 70.73 70.73 9.09 20.45 9.09 20.45 9.09 47.62 362001600 471 92557 COMP AUDIOMETRY THESHOLD EVAL 521.52 521.52 443.29 15.15 20.61 180.63 34.09 15.15 34.09 15.15 180.63 180.63 365.06 180.63 15.15 180.63 34.09 15.15 34.09 180.63 41.31 51.63 34.09 15.15 34.09 15.15 180.63 180.63 173.88 77.28 77.28 77.28 32.68 34.09 15.15 34.09 15.15 180.63 180.63 180.63 61.00 443.29 15.15 34.09 15.15 180.63 15.15 15.15 15.15 180.63 15.15 365.06 180.63 34.09 15.15 125.00 per visit 15.15 180.63 125.00 per visit 180.63 180.63 15.15 34.09 15.15 34.09 15.15 30.96 362001603 471 92563 TONE DECAY TEST 121.90 121.90 195.85 19.00 24.43 46.38 195.85 87.04 195.85 87.04 46.38 46.38 85.33 46.38 87.04 46.38 195.85 87.04 195.85 46.38 48.97 61.21 195.85 87.04 195.85 87.04 46.38 46.38 182.07 80.92 80.92 80.92 38.74 195.85 87.04 195.85 87.04 46.38 46.38 46.38 19.00 103.62 87.04 195.85 87.04 46.38 87.04 87.04 87.04 46.38 87.04 85.33 46.38 195.85 87.04 125.00 per visit 87.04 46.38 125.00 per visit 46.38 46.38 87.04 195.85 87.04 195.85 87.04 36.70 362001601 471 92567 TYMPANOMETRY 121.90 121.90 182.07 6.06 7.04 46.38 13.64 6.06 13.64 6.06 46.38 46.38 85.33 46.38 6.06 46.38 13.64 6.06 13.64 46.38 14.12 17.65 13.64 6.06 13.64 6.06 46.38 46.38 182.07 80.92 80.92 80.92 11.17 13.64 6.06 13.64 6.06 46.38 46.38 46.38 27.00 103.62 6.06 13.64 6.06 46.38 6.06 6.06 6.06 46.38 6.06 85.33 46.38 13.64 6.06 125.00 per visit 6.06 46.38 125.00 per visit 46.38 46.38 6.06 13.64 6.06 13.64 6.06 10.58 362401103 471 92567 ENT TYMPANOMETRY 121.90 121.90 182.07 6.06 7.04 46.38 13.64 6.06 13.64 6.06 46.38 46.38 85.33 46.38 6.06 46.38 13.64 6.06 13.64 46.38 14.12 17.65 13.64 6.06 13.64 6.06 46.38 46.38 182.07 80.92 80.92 80.92 11.17 13.64 6.06 13.64 6.06 46.38 46.38 46.38 27.00 103.62 6.06 13.64 6.06 46.38 6.06 6.06 6.06 46.38 6.06 85.33 46.38 13.64 6.06 125.00 per visit 6.06 46.38 125.00 per visit 46.38 46.38 6.06 13.64 6.06 13.64 6.06 10.58 362001602 471 92568 ACOUSTIC REFL THRESHOLD TST 121.90 121.90 182.07 6.06 9.63 46.38 13.64 6.06 13.64 6.06 46.38 46.38 85.33 46.38 6.06 46.38 13.64 6.06 13.64 46.38 19.30 24.12 13.64 6.06 13.64 6.06 46.38 46.38 182.07 80.92 80.92 80.92 15.27 13.64 6.06 13.64 6.06 46.38 46.38 46.38 19.00 103.62 6.06 13.64 6.06 46.38 6.06 6.06 6.06 46.38 6.06 85.33 46.38 13.64 6.06 125.00 per visit 6.06 46.38 125.00 per visit 46.38 46.38 6.06 13.64 6.06 13.64 6.06 14.46 362401104 471 92568 ENT ACOUSTIC REFL THRESHOLD TS 121.90 121.90 182.07 6.06 9.63 46.38 13.64 6.06 13.64 6.06 46.38 46.38 85.33 46.38 6.06 46.38 13.64 6.06 13.64 46.38 19.30 24.12 13.64 6.06 13.64 6.06 46.38 46.38 182.07 80.92 80.92 80.92 15.27 13.64 6.06 13.64 6.06 46.38 46.38 46.38 19.00 103.62 6.06 13.64 6.06 46.38 6.06 6.06 6.06 46.38 6.06 85.33 46.38 13.64 6.06 125.00 per visit 6.06 46.38 125.00 per visit 46.38 46.38 6.06 13.64 6.06 13.64 6.06 14.46 362001604 471 92579 VISUAL AUDIOMETRY 538.48 538.48 457.71 23.87 23.87 180.63 187.04 83.13 187.04 83.13 180.63 180.63 376.94 180.63 83.13 180.63 187.04 83.13 187.04 180.63 47.85 59.81 187.04 83.13 187.04 83.13 180.63 180.63 173.88 77.28 77.28 77.28 37.86 187.04 83.13 187.04 83.13 180.63 180.63 180.63 37.00 457.71 83.13 187.04 83.13 180.63 83.13 83.13 83.13 180.63 83.13 376.94 180.63 187.04 83.13 125.00 per visit 83.13 180.63 125.00 per visit 180.63 180.63 83.13 187.04 83.13 187.04 83.13 35.87 362401105 471 92579 ENT VISUAL REINFORCE AUDIOMETR 538.48 538.48 457.71 23.87 23.87 180.63 187.04 83.13 187.04 83.13 180.63 180.63 376.94 180.63 83.13 180.63 187.04 83.13 187.04 180.63 47.85 59.81 187.04 83.13 187.04 83.13 180.63 180.63 173.88 77.28 77.28 77.28 37.86 187.04 83.13 187.04 83.13 180.63 180.63 180.63 37.00 457.71 83.13 187.04 83.13 180.63 83.13 83.13 83.13 180.63 83.13 376.94 180.63 187.04 83.13 125.00 per visit 83.13 180.63 125.00 per visit 180.63 180.63 83.13 187.04 83.13 187.04 83.13 35.87 362001605 471 92582 CONDITIONING PLAY AUDIOMETRY 521.52 521.52 443.29 37.00 60.99 180.63 187.04 83.13 187.04 83.13 180.63 180.63 365.06 180.63 83.13 180.63 187.04 83.13 187.04 180.63 122.27 152.83 187.04 83.13 187.04 83.13 180.63 180.63 173.88 77.28 77.28 77.28 96.73 187.04 83.13 187.04 83.13 180.63 180.63 180.63 37.00 443.29 83.13 187.04 83.13 180.63 83.13 83.13 83.13 180.63 83.13 365.06 180.63 187.04 83.13 125.00 per visit 83.13 180.63 125.00 per visit 180.63 180.63 83.13 187.04 83.13 187.04 83.13 91.64 362401106 471 92582 ENT CONDITION PLAY AUDIOMETRY 521.52 521.52 443.29 37.00 60.99 180.63 187.04 83.13 187.04 83.13 180.63 180.63 365.06 180.63 83.13 180.63 187.04 83.13 187.04 180.63 122.27 152.83 187.04 83.13 187.04 83.13 180.63 180.63 173.88 77.28 77.28 77.28 96.73 187.04 83.13 187.04 83.13 180.63 180.63 180.63 37.00 443.29 83.13 187.04 83.13 180.63 83.13 83.13 83.13 180.63 83.13 365.06 180.63 187.04 83.13 125.00 per visit 83.13 180.63 125.00 per visit 180.63 180.63 83.13 187.04 83.13 187.04 83.13 91.64 362020027 471 92583 SELECT PICTURE AUDIOMETRY 217.30 217.30 195.85 40.13 40.13 70.73 195.85 87.04 195.85 87.04 70.73 70.73 152.11 70.73 87.04 70.73 195.85 87.04 195.85 70.73 80.45 100.57 195.85 87.04 195.85 87.04 70.73 70.73 182.07 80.92 80.92 80.92 63.65 195.85 87.04 195.85 87.04 70.73 70.73 70.73 46.00 184.71 87.04 195.85 87.04 70.73 87.04 87.04 87.04 70.73 87.04 152.11 70.73 195.85 87.04 125.00 per visit 87.04 70.73 125.00 per visit 70.73 70.73 87.04 195.85 87.04 195.85 87.04 60.30 470000001 470 92587 NEW BORN HEARING & SCREENING 954.00 954.00 810.90 12.00 14.21 362.97 68.18 30.30 68.18 30.30 362.97 362.97 667.80 362.97 30.30 362.97 68.18 30.30 68.18 362.97 28.49 35.62 68.18 30.30 68.18 30.30 362.97 362.97 173.88 77.28 77.28 77.28 22.54 68.18 30.30 68.18 30.30 362.97 362.97 362.97 12.00 810.90 30.30 68.18 30.30 362.97 30.30 30.30 30.30 362.97 30.30 667.80 362.97 68.18 30.30 125.00 per visit 30.30 362.97 125.00 per visit 362.97 362.97 30.30 68.18 30.30 68.18 30.30 21.36 362020033 471 92651 AEP HEARING STATUS DETER I&R 538.48 538.48 457.71 55.84 55.84 362.97 187.04 83.13 187.04 83.13 362.97 362.97 376.94 362.97 83.13 362.97 187.04 83.13 187.04 362.97 111.94 139.92 187.04 83.13 187.04 83.13 362.97 362.97 173.88 77.28 77.28 77.28 88.56 187.04 83.13 187.04 83.13 362.97 362.97 362.97 100.00 457.71 83.13 187.04 83.13 362.97 83.13 83.13 83.13 362.97 83.13 376.94 362.97 187.04 83.13 125.00 per visit 83.13 362.97 125.00 per visit 362.97 362.97 83.13 187.04 83.13 187.04 83.13 83.90 362000201 510 92950 ENDOCRN CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362000401 510 92950 ONC CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362000601 510 92950 INFECTIOUS DIS CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362000801 510 92950 GASTRO CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362001001 510 92950 RHEUM HEART/LUNG RESUSCITA 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362001201 510 92950 NEPHRO CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362001401 510 92950 NEURO CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362001801 510 92950 HEMO CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362002011 510 92950 IM CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362002201 510 92950 PULM CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362002431 510 92950 FP CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362002600 510 92950 DERM CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362002801 510 92950 CARD CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362400101 510 92950 PODIATRY CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362400300 510 92950 GEN SURG CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362400701 510 92950 BREAST CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362400901 510 92950 UROLOGY CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362401301 510 92950 ORTHO CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362401501 510 92950 VASCULAR CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362500103 510 92950 OB/GYN CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362600101 510 92950 PEDS NEURO CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362600234 510 92950 PEDS CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 362600301 510 92950 PEDS CARD CPR 954.00 954.00 1389.68 0.00 0.00 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 0.00 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 226.00 283.00 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 142.00 per visit 617.64 362.97 142.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 450000219 450 92950 ER HEART/LUNG RESUSCITATION CP 954.00 954.00 1494.50 178.34 625.00 case rate 362.97 1494.50 664.22 1494.50 664.22 362.97 362.97 667.80 362.97 664.22 362.97 1494.50 664.22 1494.50 362.97 1153.00 case rate 1441.00 case rate 1494.50 664.22 1494.50 664.22 362.97 362.97 1389.40 165.00 per visit 617.51 165.00 per visit 225.00 per visit 1494.50 664.22 1494.50 664.22 362.97 362.97 362.97 203.00 1085.00 per visit 664.22 1494.50 664.22 362.97 664.22 664.22 664.22 362.97 664.22 667.80 362.97 1494.50 664.22 775.00 per case 664.22 362.97 775.00 per case 362.97 362.97 664.22 1494.50 664.22 1494.50 664.22 178.34 480000005 480 92950 CARDIOPULMONARY RESUSCITATION 954.00 954.00 1389.68 118.70 118.70 362.97 1389.68 617.64 1389.68 617.64 362.97 362.97 667.80 362.97 617.64 362.97 1389.68 617.64 1389.68 362.97 237.95 297.44 1389.68 617.64 1389.68 617.64 362.97 362.97 1291.91 574.18 574.18 574.18 188.25 1389.68 617.64 1389.68 617.64 362.97 362.97 362.97 203.00 810.90 617.64 1389.68 617.64 362.97 617.64 617.64 617.64 362.97 617.64 667.80 362.97 1389.68 617.64 591.00 per visit 617.64 362.97 591.00 per visit 362.97 362.97 617.64 1389.68 617.64 1389.68 617.64 178.34 450000555 450 92953 TEMP TRANSCUTANEOUS PACING 1961.00 1961.00 1441.00 1.10 625.00 case rate 752.62 1386.33 616.14 1386.33 616.14 752.62 752.62 1372.70 752.62 616.14 752.62 1386.33 616.14 1386.33 752.62 1153.00 case rate 1441.00 case rate 1386.33 616.14 1386.33 616.14 752.62 752.62 1288.84 165.00 per visit 572.82 165.00 per visit 225.00 per visit 1386.33 616.14 1386.33 616.14 752.62 752.62 752.62 20.00 1085.00 per visit 616.14 1386.33 616.14 752.62 616.14 616.14 616.14 752.62 616.14 1372.70 752.62 1386.33 616.14 775.00 per case 616.14 752.62 775.00 per case 752.62 752.62 616.14 1386.33 616.14 1386.33 616.14 1.10 480000006 480 92960 CARDIOVERSION 1961.00 1961.00 1666.85 70.22 70.22 752.62 1386.33 616.14 1386.33 616.14 752.62 752.62 1372.70 752.62 616.14 752.62 1386.33 616.14 1386.33 752.62 140.77 175.96 1386.33 616.14 1386.33 616.14 752.62 752.62 1288.84 572.82 572.82 572.82 111.37 1386.33 616.14 1386.33 616.14 752.62 752.62 752.62 196.00 1666.85 616.14 1386.33 616.14 752.62 616.14 616.14 616.14 752.62 616.14 1372.70 752.62 1386.33 616.14 591.00 per visit 616.14 752.62 591.00 per visit 752.62 752.62 616.14 1386.33 616.14 1386.33 616.14 105.51 510000308 730 93000 ECG RT ECG W/LEAST 12 LDS W/IR 47.70 47.70 101.00 0.00 9.75 0.00 20.45 9.09 20.45 9.09 0.00 0.00 33.39 33.39 9.09 0.00 20.45 9.09 20.45 33.39 14.31 14.31 20.45 9.09 20.45 9.09 0.00 0.00 94.53 42.01 42.01 42.01 15.47 20.45 9.09 20.45 9.09 0.00 0.00 0.00 32.00 31.01 9.09 20.45 9.09 0.00 9.09 9.09 9.09 0.00 9.09 33.39 0.00 20.45 9.09 101.00 per visit 9.09 0.00 101.00 per visit 0.00 0.00 9.09 20.45 9.09 20.45 9.09 14.65 362002012 730 93005 IM ECG-TRACING 214.12 214.12 149.88 4.50 4.50 70.73 10.23 4.55 10.23 4.55 70.73 70.73 149.88 70.73 4.55 70.73 10.23 4.55 10.23 70.73 64.24 64.24 10.23 4.55 10.23 4.55 70.73 70.73 94.53 42.01 42.01 42.01 7.14 10.23 4.55 10.23 4.55 70.73 70.73 70.73 22.00 139.18 4.55 10.23 4.55 70.73 4.55 4.55 4.55 70.73 4.55 149.88 70.73 10.23 4.55 101.00 per visit 4.55 70.73 101.00 per visit 70.73 70.73 4.55 10.23 4.55 10.23 4.55 6.77 362002432 730 93005 FP ELECTROCARDIOGRAM- TRACING 214.12 214.12 149.88 4.50 4.50 70.73 10.23 4.55 10.23 4.55 70.73 70.73 149.88 70.73 4.55 70.73 10.23 4.55 10.23 70.73 64.24 64.24 10.23 4.55 10.23 4.55 70.73 70.73 94.53 42.01 42.01 42.01 7.14 10.23 4.55 10.23 4.55 70.73 70.73 70.73 22.00 139.18 4.55 10.23 4.55 70.73 4.55 4.55 4.55 70.73 4.55 149.88 70.73 10.23 4.55 101.00 per visit 4.55 70.73 101.00 per visit 70.73 70.73 4.55 10.23 4.55 10.23 4.55 6.77 362002802 730 93005 CARD ELECTROCARDIOGRAM- TRACIN 214.12 214.12 149.88 4.50 4.50 70.73 10.23 4.55 10.23 4.55 70.73 70.73 149.88 70.73 4.55 70.73 10.23 4.55 10.23 70.73 64.24 64.24 10.23 4.55 10.23 4.55 70.73 70.73 94.53 42.01 42.01 42.01 7.14 10.23 4.55 10.23 4.55 70.73 70.73 70.73 22.00 139.18 4.55 10.23 4.55 70.73 4.55 4.55 4.55 70.73 4.55 149.88 70.73 10.23 4.55 101.00 per visit 4.55 70.73 101.00 per visit 70.73 70.73 4.55 10.23 4.55 10.23 4.55 6.77 450000047 730 93005 ER ELECTROCARDIOGRAM- TRACING 214.12 214.12 149.88 4.50 4.50 70.73 10.23 4.55 10.23 4.55 70.73 70.73 149.88 70.73 4.55 70.73 10.23 4.55 10.23 70.73 64.24 64.24 10.23 4.55 10.23 4.55 70.73 70.73 101.66 45.18 45.18 45.18 7.14 10.23 4.55 10.23 4.55 70.73 70.73 70.73 22.00 139.18 4.55 10.23 4.55 70.73 4.55 4.55 4.55 70.73 4.55 149.88 70.73 10.23 4.55 101.00 per visit 4.55 70.73 101.00 per visit 70.73 70.73 4.55 10.23 4.55 10.23 4.55 6.77 510000214 730 93005 ELECTROCARDIOGRAM- TRACING 214.12 214.12 149.88 4.50 4.50 70.73 10.23 4.55 10.23 4.55 70.73 70.73 149.88 70.73 4.55 70.73 10.23 4.55 10.23 70.73 64.24 64.24 10.23 4.55 10.23 4.55 70.73 70.73 94.53 42.01 42.01 42.01 7.14 10.23 4.55 10.23 4.55 70.73 70.73 70.73 22.00 139.18 4.55 10.23 4.55 70.73 4.55 4.55 4.55 70.73 4.55 149.88 70.73 10.23 4.55 101.00 per visit 4.55 70.73 101.00 per visit 70.73 70.73 4.55 10.23 4.55 10.23 4.55 6.77 730000002 730 93005 12 LEAD EKG; TRACING ONLY 214.12 214.12 149.88 4.50 4.50 70.73 10.23 4.55 10.23 4.55 70.73 70.73 149.88 70.73 4.55 70.73 10.23 4.55 10.23 70.73 64.24 64.24 10.23 4.55 10.23 4.55 70.73 70.73 94.53 42.01 42.01 42.01 7.14 10.23 4.55 10.23 4.55 70.73 70.73 70.73 22.00 139.18 4.55 10.23 4.55 70.73 4.55 4.55 4.55 70.73 4.55 149.88 70.73 10.23 4.55 101.00 per visit 4.55 70.73 101.00 per visit 70.73 70.73 4.55 10.23 4.55 10.23 4.55 6.77 730000003 730 93005 76 EKG SUBSEQUENT 126.14 126.14 101.66 4.50 4.50 70.73 10.23 4.55 10.23 4.55 70.73 70.73 88.30 70.73 4.55 70.73 10.23 4.55 10.23 70.73 37.84 37.84 10.23 4.55 10.23 4.55 70.73 70.73 101.66 45.18 45.18 45.18 7.14 10.23 4.55 10.23 4.55 70.73 70.73 70.73 22.00 81.99 4.55 10.23 4.55 70.73 4.55 4.55 4.55 70.73 4.55 88.30 70.73 10.23 4.55 101.00 per visit 4.55 70.73 101.00 per visit 70.73 70.73 4.55 10.23 4.55 10.23 4.55 6.77 482000001 482 93017 NM CARDIO STRESS-EXERCISE-TRAC 954.00 954.00 810.90 18.18 50.60 362.97 40.91 18.18 40.91 18.18 362.97 362.97 667.80 362.97 18.18 362.97 40.91 18.18 40.91 362.97 53.30 66.63 40.91 18.18 40.91 18.18 362.97 362.97 375.18 39.95 166.75 39.95 42.17 40.91 18.18 40.91 18.18 362.97 362.97 362.97 83.00 810.90 18.18 40.91 18.18 362.97 18.18 18.18 18.18 362.97 18.18 667.80 362.97 40.91 18.18 147.00 per visit 18.18 362.97 147.00 per visit 362.97 362.97 18.18 40.91 18.18 40.91 18.18 39.95 353500001 731 93225 ECG UP TO 48 HRS RECORDING 402.80 402.80 449.92 12.94 12.94 147.72 449.92 199.96 449.92 199.96 147.72 147.72 281.96 147.72 199.96 147.72 449.92 199.96 449.92 147.72 25.95 32.44 449.92 199.96 449.92 199.96 147.72 147.72 418.26 185.89 185.89 185.89 20.53 449.92 199.96 449.92 199.96 147.72 147.72 147.72 62.00 261.82 199.96 449.92 199.96 147.72 199.96 199.96 199.96 147.72 199.96 281.96 147.72 449.92 199.96 222.00 per visit 199.96 147.72 222.00 per visit 147.72 147.72 199.96 449.92 199.96 449.92 199.96 19.45 353500017 480 93279 PRGRMG DEV EVAL PM/LDLS PM 139.67 139.67 591.00 10.36 45.61 43.61 23.30 10.36 23.30 10.36 43.61 43.61 97.77 43.61 10.36 43.61 23.30 10.36 23.30 43.61 91.44 114.30 23.30 10.36 23.30 10.36 43.61 43.61 187.66 83.40 83.40 83.40 72.34 23.30 10.36 23.30 10.36 43.61 43.61 43.61 25.00 118.72 10.36 23.30 10.36 43.61 10.36 10.36 10.36 43.61 10.36 97.77 43.61 23.30 10.36 591.00 per visit 10.36 43.61 591.00 per visit 43.61 43.61 10.36 23.30 10.36 23.30 10.36 68.54 353500018 480 93280 PM DEVICE PROGR EVAL DUAL 139.67 139.67 591.00 43.61 53.28 43.61 201.86 89.71 201.86 89.71 43.61 43.61 97.77 43.61 89.71 43.61 201.86 89.71 201.86 43.61 106.80 133.50 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 84.49 201.86 89.71 201.86 89.71 43.61 43.61 43.61 120.00 118.72 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 97.77 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 80.05 353500019 480 93281 PM DEVICE PROGR EVAL MULTI 139.67 139.67 591.00 34.00 56.64 43.61 201.86 89.71 201.86 89.71 43.61 43.61 97.77 43.61 89.71 43.61 201.86 89.71 201.86 43.61 113.54 141.92 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 89.82 201.86 89.71 201.86 89.71 43.61 43.61 43.61 34.00 118.72 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 97.77 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 85.10 353500023 480 93282 PRGRMG EVAL IMPLNTBL DFB 1LEAD 139.67 139.67 591.00 30.00 53.59 43.61 201.86 89.71 201.86 89.71 43.61 43.61 97.77 43.61 89.71 43.61 201.86 89.71 201.86 43.61 107.44 134.29 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 85.00 201.86 89.71 201.86 89.71 43.61 43.61 43.61 30.00 118.72 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 97.77 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 80.52 353500024 480 93283 PRGRMG EVAL IMPLNTBL DFB 2LEAD 139.67 139.67 591.00 35.00 65.54 43.61 201.86 89.71 201.86 89.71 43.61 43.61 97.77 43.61 89.71 43.61 201.86 89.71 201.86 43.61 131.38 164.22 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 103.94 201.86 89.71 201.86 89.71 43.61 43.61 43.61 35.00 118.72 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 97.77 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 98.47 353500025 480 93284 PRGRMG EVAL IMPLNTBL DFB MLTLD 139.67 139.67 591.00 40.00 70.67 43.61 201.86 89.71 201.86 89.71 43.61 43.61 97.77 43.61 89.71 43.61 201.86 89.71 201.86 43.61 141.67 177.09 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 112.08 201.86 89.71 201.86 89.71 43.61 43.61 43.61 40.00 118.72 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 97.77 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 106.18 353500015 480 93285 PRGRMG DEV EVAL SCRMS IP 139.67 139.67 591.00 24.00 40.79 43.61 201.86 89.71 201.86 89.71 43.61 43.61 97.77 43.61 89.71 43.61 201.86 89.71 201.86 43.61 81.76 102.20 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 64.69 201.86 89.71 201.86 89.71 43.61 43.61 43.61 24.00 118.72 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 97.77 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 61.28 362002803 480 93288 CARD PACER DEVICE EVAL IN PERS 145.22 145.22 591.00 24.00 38.38 43.61 201.86 89.71 201.86 89.71 43.61 43.61 101.65 43.61 89.71 43.61 201.86 89.71 201.86 43.61 76.95 96.18 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 60.88 201.86 89.71 201.86 89.71 43.61 43.61 43.61 24.00 123.44 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 101.65 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 57.67 362002804 480 93289 CARD ICD DEVICE INTERROGATE 145.22 145.22 591.00 29.00 48.69 43.61 201.86 89.71 201.86 89.71 43.61 43.61 101.65 43.61 89.71 43.61 201.86 89.71 201.86 43.61 97.61 122.02 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 77.23 201.86 89.71 201.86 89.71 43.61 43.61 43.61 29.00 123.44 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 101.65 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 73.16 450000584 480 93289 ICD DEVICE INTERROGATE 145.22 145.22 591.00 29.00 48.69 43.61 217.08 96.48 217.08 96.48 43.61 43.61 101.65 43.61 96.48 43.61 217.08 96.48 217.08 43.61 97.61 122.02 217.08 96.48 217.08 96.48 43.61 43.61 201.82 89.70 89.70 89.70 77.23 217.08 96.48 217.08 96.48 43.61 43.61 43.61 29.00 123.44 96.48 217.08 96.48 43.61 96.48 96.48 96.48 43.61 96.48 101.65 43.61 217.08 96.48 591.00 per visit 96.48 43.61 591.00 per visit 43.61 43.61 96.48 217.08 96.48 217.08 96.48 73.16 353500014 480 93291 INTERROG DEV EVAL SCRMS IP 88.56 88.56 591.00 21.00 33.38 34.43 201.86 89.71 201.86 89.71 34.43 34.43 61.99 34.43 89.71 34.43 201.86 89.71 201.86 34.43 66.92 83.65 201.86 89.71 201.86 89.71 34.43 34.43 187.66 83.40 83.40 83.40 52.94 201.86 89.71 201.86 89.71 34.43 34.43 34.43 21.00 75.28 89.71 201.86 89.71 34.43 89.71 89.71 89.71 34.43 89.71 61.99 34.43 201.86 89.71 591.00 per visit 89.71 34.43 591.00 per visit 34.43 34.43 89.71 201.86 89.71 201.86 89.71 50.16 353500020 480 93293 PM PHONE R-STRIP DEVICE EVAL 139.67 139.67 591.00 9.09 30.26 43.61 20.45 9.09 20.45 9.09 43.61 43.61 97.77 43.61 9.09 43.61 20.45 9.09 20.45 43.61 60.65 75.82 20.45 9.09 20.45 9.09 43.61 43.61 187.66 83.40 83.40 83.40 47.98 20.45 9.09 20.45 9.09 43.61 43.61 43.61 54.00 118.72 9.09 20.45 9.09 43.61 9.09 9.09 9.09 43.61 9.09 97.77 43.61 20.45 9.09 591.00 per visit 9.09 43.61 591.00 per visit 43.61 43.61 9.09 20.45 9.09 20.45 9.09 45.46 353500021 480 93294 REM INTERROG EVL PM/LDLS PM 119.73 119.73 591.00 0.00 19.07 0.00 201.86 89.71 201.86 89.71 0.00 0.00 83.81 83.81 89.71 0.00 201.86 89.71 201.86 83.81 38.23 47.79 201.86 89.71 201.86 89.71 0.00 0.00 187.66 83.40 83.40 83.40 30.25 201.86 89.71 201.86 89.71 0.00 0.00 0.00 41.00 101.77 89.71 201.86 89.71 0.00 89.71 89.71 89.71 0.00 89.71 83.81 0.00 201.86 89.71 591.00 per visit 89.71 0.00 591.00 per visit 0.00 0.00 89.71 201.86 89.71 201.86 89.71 28.66 353500026 480 93295 DEV INTERROG REMOTE 1/2/MLT 145.04 145.04 591.00 0.00 23.69 0.00 201.86 89.71 201.86 89.71 0.00 0.00 101.53 101.53 89.71 0.00 201.86 89.71 201.86 101.53 47.49 59.36 201.86 89.71 201.86 89.71 0.00 0.00 187.66 83.40 83.40 83.40 37.57 201.86 89.71 201.86 89.71 0.00 0.00 0.00 75.00 123.28 89.71 201.86 89.71 0.00 89.71 89.71 89.71 0.00 89.71 101.53 0.00 201.86 89.71 591.00 per visit 89.71 0.00 591.00 per visit 0.00 0.00 89.71 201.86 89.71 201.86 89.71 35.60 353500022 480 93296 REM INTERROG EVL PM/IDS 139.67 139.67 591.00 15.05 15.05 43.61 201.86 89.71 201.86 89.71 43.61 43.61 97.77 43.61 89.71 43.61 201.86 89.71 201.86 43.61 30.18 37.72 201.86 89.71 201.86 89.71 43.61 43.61 187.66 83.40 83.40 83.40 23.87 201.86 89.71 201.86 89.71 43.61 43.61 43.61 47.00 118.72 89.71 201.86 89.71 43.61 89.71 89.71 89.71 43.61 89.71 97.77 43.61 201.86 89.71 591.00 per visit 89.71 43.61 591.00 per visit 43.61 43.61 89.71 201.86 89.71 201.86 89.71 22.62 353500016 480 93298 REM INTERROG DEV EVAL SCRMS 105.89 105.89 591.00 0.00 70.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.12 74.12 0.00 0.00 0.00 0.00 0.00 74.12 141.07 176.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.00 90.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.12 0.00 0.00 0.00 591.00 per visit 0.00 0.00 591.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.73 353500002 483 93306 TTE W/DOPPLER COMPLTE W/O CONT 2226.00 2226.00 1892.10 202.46 290.20 637.96 785.66 349.18 785.66 349.18 637.96 637.96 1558.20 637.96 349.18 637.96 785.66 349.18 785.66 637.96 270.13 337.66 785.66 349.18 785.66 349.18 637.96 637.96 730.38 324.61 324.61 324.61 213.71 785.66 349.18 785.66 349.18 637.96 637.96 637.96 250.00 1892.10 349.18 785.66 349.18 637.96 349.18 349.18 349.18 637.96 349.18 1558.20 637.96 785.66 349.18 222.00 per visit 349.18 637.96 222.00 per visit 637.96 637.96 349.18 785.66 349.18 785.66 349.18 202.46 352600006 483 93306 TTE W/ OR W/O FOL W/CON DOPPLER C8929 2226.00 2226.00 1892.10 202.46 290.20 925.91 785.66 349.18 785.66 349.18 925.91 925.91 1558.20 925.91 349.18 925.91 785.66 349.18 785.66 925.91 270.13 337.66 785.66 349.18 785.66 349.18 925.91 925.91 730.38 202.46 324.61 202.46 213.71 785.66 349.18 785.66 349.18 925.91 925.91 925.91 250.00 1892.10 349.18 785.66 349.18 925.91 349.18 349.18 349.18 925.91 349.18 1558.20 925.91 785.66 349.18 222.00 per visit 349.18 925.91 222.00 per visit 925.91 925.91 349.18 785.66 349.18 785.66 349.18 202.46 353500003 483 93306 TTE W/DOPPLER COMPLTE W/ CONT C8929 2597.00 2597.00 2207.45 202.46 290.20 925.91 785.66 349.18 785.66 349.18 925.91 925.91 1817.90 925.91 349.18 925.91 785.66 349.18 785.66 925.91 270.13 337.66 785.66 349.18 785.66 349.18 925.91 925.91 730.38 324.61 324.61 324.61 213.71 785.66 349.18 785.66 349.18 925.91 925.91 925.91 250.00 2207.45 349.18 785.66 349.18 925.91 349.18 349.18 349.18 925.91 349.18 1817.90 925.91 785.66 349.18 222.00 per visit 349.18 925.91 222.00 per visit 925.91 925.91 349.18 785.66 349.18 785.66 349.18 202.46 353500006 480 93308 TTE F-UP OR LMTD W/O CONT 1007.00 1007.00 855.95 36.36 68.24 283.36 81.81 36.36 81.81 36.36 283.36 283.36 704.90 283.36 36.36 283.36 81.81 36.36 81.81 283.36 136.80 170.99 81.81 36.36 81.81 36.36 283.36 283.36 730.38 324.61 324.61 324.61 108.22 81.81 36.36 81.81 36.36 283.36 283.36 283.36 97.00 855.95 36.36 81.81 36.36 283.36 36.36 36.36 36.36 283.36 36.36 704.90 283.36 81.81 36.36 591.00 per visit 36.36 283.36 591.00 per visit 283.36 283.36 36.36 81.81 36.36 81.81 36.36 102.53 353500007 480 93308 TTE F-UP OR LMTD W/ CONT C8924 1462.80 1462.80 1243.38 36.36 68.24 444.72 81.81 36.36 81.81 36.36 444.72 444.72 1023.96 444.72 36.36 444.72 81.81 36.36 81.81 444.72 136.80 170.99 81.81 36.36 81.81 36.36 444.72 444.72 730.38 324.61 324.61 324.61 108.22 81.81 36.36 81.81 36.36 444.72 444.72 444.72 97.00 1243.38 36.36 81.81 36.36 444.72 36.36 36.36 36.36 444.72 36.36 1023.96 444.72 81.81 36.36 591.00 per visit 36.36 444.72 591.00 per visit 444.72 444.72 36.36 81.81 36.36 81.81 36.36 102.53 353500008 483 93312 ECHO TRNSESOPHGL CMPLT W/O CNT 2332.00 2332.00 1982.20 190.00 344.97 637.96 785.66 349.18 785.66 349.18 637.96 637.96 1632.40 637.96 349.18 637.96 785.66 349.18 785.66 637.96 321.12 401.40 785.66 349.18 785.66 349.18 637.96 637.96 730.38 324.61 324.61 324.61 254.05 785.66 349.18 785.66 349.18 637.96 637.96 637.96 190.00 1982.20 349.18 785.66 349.18 637.96 349.18 349.18 349.18 637.96 349.18 1632.40 637.96 785.66 349.18 222.00 per visit 349.18 637.96 222.00 per visit 637.96 637.96 349.18 785.66 349.18 785.66 349.18 240.68 353500009 483 93312 ECHO TRNSESOPHGL CMPLT W/ CNT C8925 2597.00 2597.00 2207.45 190.00 344.97 925.91 785.66 349.18 785.66 349.18 925.91 925.91 1817.90 925.91 349.18 925.91 785.66 349.18 785.66 925.91 321.12 401.40 785.66 349.18 785.66 349.18 925.91 925.91 730.38 324.61 324.61 324.61 254.05 785.66 349.18 785.66 349.18 925.91 925.91 925.91 190.00 2207.45 349.18 785.66 349.18 925.91 349.18 349.18 349.18 925.91 349.18 1817.90 925.91 785.66 349.18 222.00 per visit 349.18 925.91 222.00 per visit 925.91 925.91 349.18 785.66 349.18 785.66 349.18 240.68 362600477 489 93325 TC DOPPLER COLOR FLOW ADD-ON 227.90 227.90 591.00 0.00 16.23 0.00 357.57 158.92 357.57 158.92 0.00 0.00 159.53 0.00 158.92 0.00 357.57 158.92 357.57 0.00 32.53 40.66 357.57 158.92 357.57 158.92 0.00 0.00 332.42 147.74 147.74 147.74 25.74 357.57 158.92 357.57 158.92 0.00 0.00 0.00 145.00 193.72 158.92 357.57 158.92 0.00 158.92 158.92 158.92 0.00 158.92 159.53 0.00 357.57 158.92 591.00 per visit 158.92 0.00 591.00 per visit 0.00 0.00 158.92 357.57 158.92 357.57 158.92 24.38 353500012 483 93351 STRESS TTE COMPLETE W/O CONT 1860.30 1860.30 1581.26 194.00 342.84 637.96 785.66 349.18 785.66 349.18 637.96 637.96 1302.21 637.96 349.18 637.96 785.66 349.18 785.66 637.96 319.14 398.92 785.66 349.18 785.66 349.18 637.96 637.96 730.38 324.61 324.61 324.61 252.48 785.66 349.18 785.66 349.18 637.96 637.96 637.96 194.00 1581.26 349.18 785.66 349.18 637.96 349.18 349.18 349.18 637.96 349.18 1302.21 637.96 785.66 349.18 222.00 per visit 349.18 637.96 222.00 per visit 637.96 637.96 349.18 785.66 349.18 785.66 349.18 239.19 353500013 483 93351 STRESS TTE COMPLETE W/ CONT C8930 2358.50 2358.50 2004.73 194.00 342.84 925.91 785.66 349.18 785.66 349.18 925.91 925.91 1650.95 925.91 349.18 925.91 785.66 349.18 785.66 925.91 319.14 398.92 785.66 349.18 785.66 349.18 925.91 925.91 730.38 324.61 324.61 324.61 252.48 785.66 349.18 785.66 349.18 925.91 925.91 925.91 194.00 2004.73 349.18 785.66 349.18 925.91 349.18 349.18 349.18 925.91 349.18 1650.95 925.91 785.66 349.18 222.00 per visit 349.18 925.91 222.00 per visit 925.91 925.91 349.18 785.66 349.18 785.66 349.18 239.19 921000001 921 93880 US CAROTID DOPPLER COMP BILATE 1219.00 1219.00 1551.06 198.46 251.38 283.36 1551.06 689.36 1551.06 689.36 283.36 283.36 853.30 283.36 689.36 283.36 1551.06 689.36 1551.06 283.36 264.79 330.99 1551.06 689.36 1551.06 689.36 283.36 283.36 1441.93 198.46 640.86 198.46 209.48 1551.06 689.36 1551.06 689.36 283.36 283.36 283.36 208.00 1036.15 689.36 1551.06 689.36 283.36 689.36 689.36 689.36 283.36 689.36 853.30 283.36 1551.06 689.36 283.36 689.36 283.36 283.36 283.36 283.36 689.36 1551.06 689.36 1551.06 689.36 198.46 921000014 921 93880 US CAROTID DUPLEX SCAN BILAT 1219.00 1219.00 1551.06 198.46 251.38 283.36 1551.06 689.36 1551.06 689.36 283.36 283.36 853.30 283.36 689.36 283.36 1551.06 689.36 1551.06 283.36 264.79 330.99 1551.06 689.36 1551.06 689.36 283.36 283.36 1441.93 198.46 640.86 198.46 209.48 1551.06 689.36 1551.06 689.36 283.36 283.36 283.36 208.00 1036.15 689.36 1551.06 689.36 283.36 689.36 689.36 689.36 283.36 689.36 853.30 283.36 1551.06 689.36 283.36 689.36 283.36 283.36 283.36 283.36 689.36 1551.06 689.36 1551.06 689.36 198.46 921000016 921 93882 US CAROTID DOPPLER UNI OR LMT 1001.70 1001.70 851.45 127.14 165.20 127.14 357.57 158.92 357.57 158.92 127.14 127.14 701.19 127.14 158.92 127.14 357.57 158.92 357.57 127.14 174.01 217.51 357.57 158.92 357.57 158.92 127.14 127.14 332.42 130.42 147.74 130.42 137.66 357.57 158.92 357.57 158.92 127.14 127.14 127.14 142.00 851.45 158.92 357.57 158.92 127.14 158.92 158.92 158.92 127.14 158.92 701.19 127.14 357.57 158.92 127.14 158.92 127.14 127.14 127.14 127.14 158.92 357.57 158.92 357.57 158.92 130.42 361500042 920 93922 UPR/L XTREMITY ART 2 LEVELS 514.10 514.10 436.99 43.63 307.95 147.72 98.17 43.63 98.17 43.63 147.72 147.72 359.87 147.72 43.63 147.72 98.17 43.63 98.17 147.72 115.30 144.13 98.17 43.63 98.17 43.63 147.72 147.72 332.42 147.74 147.74 147.74 91.22 98.17 43.63 98.17 43.63 147.72 147.72 147.72 90.00 436.99 43.63 98.17 43.63 147.72 43.63 43.63 43.63 147.72 43.63 359.87 147.72 98.17 43.63 96.00 per visit 43.63 147.72 96.00 per visit 147.72 147.72 43.63 98.17 43.63 98.17 43.63 86.42 361500043 920 93923 UPR/LXTR ART STDY 3+ LVLS 530.00 530.00 450.50 43.63 317.47 180.63 98.17 43.63 98.17 43.63 180.63 180.63 371.00 180.63 43.63 180.63 98.17 43.63 98.17 180.63 182.37 227.96 98.17 43.63 98.17 43.63 180.63 180.63 375.18 166.75 166.75 166.75 144.28 98.17 43.63 98.17 43.63 180.63 180.63 180.63 141.00 450.50 43.63 98.17 43.63 180.63 43.63 43.63 43.63 180.63 43.63 371.00 180.63 98.17 43.63 96.00 per visit 43.63 180.63 96.00 per visit 180.63 180.63 43.63 98.17 43.63 98.17 43.63 136.68 921000002 921 93925 US EXTREM LWR ART DUP COMP BIL 1171.30 1171.30 1551.06 239.00 318.84 283.36 1551.06 689.36 1551.06 689.36 283.36 283.36 819.91 283.36 689.36 283.36 1551.06 689.36 1551.06 283.36 335.84 419.80 1551.06 689.36 1551.06 689.36 283.36 283.36 1441.93 251.71 640.86 251.71 265.70 1551.06 689.36 1551.06 689.36 283.36 283.36 283.36 239.00 995.61 689.36 1551.06 689.36 283.36 689.36 689.36 689.36 283.36 689.36 819.91 283.36 1551.06 689.36 283.36 689.36 283.36 283.36 283.36 283.36 689.36 1551.06 689.36 1551.06 689.36 251.71 921000003 921 93926 US EXT LWR ART DUP LIMITED/UNI 1007.00 1007.00 855.95 127.14 191.08 127.14 357.57 158.92 357.57 158.92 127.14 127.14 704.90 127.14 158.92 127.14 357.57 158.92 357.57 127.14 201.27 251.58 357.57 158.92 357.57 158.92 127.14 127.14 332.42 150.85 147.74 150.85 159.23 357.57 158.92 357.57 158.92 127.14 127.14 127.14 163.00 855.95 158.92 357.57 158.92 127.14 158.92 158.92 158.92 127.14 158.92 704.90 127.14 357.57 158.92 127.14 158.92 127.14 127.14 127.14 127.14 158.92 357.57 158.92 357.57 158.92 150.85 921000004 921 93930 TC US EXT UPPER ART DUP COMP BILA 1224.30 1224.30 1040.66 147.74 262.18 283.36 357.57 158.92 357.57 158.92 283.36 283.36 857.01 283.36 158.92 283.36 357.57 158.92 357.57 283.36 276.16 345.20 357.57 158.92 357.57 158.92 283.36 283.36 332.42 206.98 147.74 206.98 218.48 357.57 158.92 357.57 158.92 283.36 283.36 283.36 195.00 1040.66 158.92 357.57 158.92 283.36 158.92 158.92 158.92 283.36 158.92 857.01 283.36 357.57 158.92 283.36 158.92 283.36 283.36 283.36 283.36 158.92 357.57 158.92 357.57 158.92 206.98 921000005 921 93931 US EXT UP ART DUP LIMITED/UNIL 1038.80 1038.80 882.98 127.14 163.76 127.14 357.57 158.92 357.57 158.92 127.14 127.14 727.16 127.14 158.92 127.14 357.57 158.92 357.57 127.14 172.49 215.62 357.57 158.92 357.57 158.92 127.14 127.14 332.42 129.29 147.74 129.29 136.47 357.57 158.92 357.57 158.92 127.14 127.14 127.14 139.00 882.98 158.92 357.57 158.92 127.14 158.92 158.92 158.92 127.14 158.92 727.16 127.14 357.57 158.92 127.14 158.92 127.14 127.14 127.14 127.14 158.92 357.57 158.92 357.57 158.92 129.29 921000007 921 93970 US VENOUS DOPPLER EXT BILAT 1224.30 1224.30 1551.06 195.59 247.74 283.36 1551.06 689.36 1551.06 689.36 283.36 283.36 857.01 283.36 689.36 283.36 1551.06 689.36 1551.06 283.36 260.96 326.20 1551.06 689.36 1551.06 689.36 283.36 283.36 1441.93 195.59 640.86 195.59 206.45 1551.06 689.36 1551.06 689.36 283.36 283.36 283.36 197.00 1040.66 689.36 1551.06 689.36 283.36 689.36 689.36 689.36 283.36 689.36 857.01 283.36 1551.06 689.36 283.36 689.36 283.36 283.36 283.36 283.36 689.36 1551.06 689.36 1551.06 689.36 195.59 921000009 921 93971 US VENOUS DOPPLER EXT UNILAT 901.00 901.00 765.85 124.39 157.56 127.14 357.57 158.92 357.57 158.92 127.14 127.14 630.70 127.14 158.92 127.14 357.57 158.92 357.57 127.14 165.96 207.45 357.57 158.92 357.57 158.92 127.14 127.14 332.42 124.39 147.74 124.39 131.30 357.57 158.92 357.57 158.92 127.14 127.14 127.14 140.00 765.85 158.92 357.57 158.92 127.14 158.92 158.92 158.92 127.14 158.92 630.70 127.14 357.57 158.92 127.14 158.92 127.14 127.14 127.14 127.14 158.92 357.57 158.92 357.57 158.92 124.39 921000011 921 93975 US IN/OUT FLW ABD PELVS RTRO C 1643.00 1643.00 1551.06 268.00 349.40 283.36 1551.06 689.36 1551.06 689.36 283.36 283.36 1150.10 283.36 689.36 283.36 1551.06 689.36 1551.06 283.36 368.03 460.04 1551.06 689.36 1551.06 689.36 283.36 283.36 1441.93 275.84 640.86 275.84 291.17 1551.06 689.36 1551.06 689.36 283.36 283.36 283.36 268.00 1396.55 689.36 1551.06 689.36 283.36 689.36 689.36 689.36 283.36 689.36 1150.10 283.36 1551.06 689.36 283.36 689.36 283.36 283.36 283.36 283.36 689.36 1551.06 689.36 1551.06 689.36 275.84 921000010 921 93976 US IN/OUT ABD PELVS RETO LMTD 1643.00 1643.00 1551.06 127.14 209.14 127.14 1551.06 689.36 1551.06 689.36 127.14 127.14 1150.10 127.14 689.36 127.14 1551.06 689.36 1551.06 127.14 220.30 275.37 1551.06 689.36 1551.06 689.36 127.14 127.14 1441.93 165.11 640.86 165.11 174.29 1551.06 689.36 1551.06 689.36 127.14 127.14 127.14 158.00 1396.55 689.36 1551.06 689.36 127.14 689.36 689.36 689.36 127.14 689.36 1150.10 127.14 1551.06 689.36 127.14 689.36 127.14 127.14 127.14 127.14 689.36 1551.06 689.36 1551.06 689.36 165.11 921000012 921 93978 US DUP AORT INF VC ILC GFT C 1213.70 1213.70 1551.06 177.00 238.74 283.36 1551.06 689.36 1551.06 689.36 283.36 283.36 849.59 283.36 689.36 283.36 1551.06 689.36 1551.06 283.36 251.47 314.34 1551.06 689.36 1551.06 689.36 283.36 283.36 1441.93 188.48 640.86 188.48 198.95 1551.06 689.36 1551.06 689.36 283.36 283.36 283.36 177.00 1031.65 689.36 1551.06 689.36 283.36 689.36 689.36 689.36 283.36 689.36 849.59 283.36 1551.06 689.36 283.36 689.36 283.36 283.36 283.36 283.36 689.36 1551.06 689.36 1551.06 689.36 188.48 921000017 921 93979 US DUP AO INF VC IL GFT UNI LI 764.26 764.26 649.62 123.38 156.28 127.14 357.57 158.92 357.57 158.92 127.14 127.14 534.98 127.14 158.92 127.14 357.57 158.92 357.57 127.14 164.62 205.77 357.57 158.92 357.57 158.92 127.14 127.14 332.42 123.38 147.74 123.38 130.24 357.57 158.92 357.57 158.92 127.14 127.14 127.14 127.00 649.62 158.92 357.57 158.92 127.14 158.92 158.92 158.92 127.14 158.92 534.98 127.14 357.57 158.92 127.14 158.92 127.14 127.14 127.14 127.14 158.92 357.57 158.92 357.57 158.92 123.38 921000018 921 93980 US IN/OUT PENILE COMPLETE 1263.52 1263.52 1551.06 119.30 151.11 127.14 1551.06 689.36 1551.06 689.36 127.14 127.14 884.46 127.14 689.36 127.14 1551.06 689.36 1551.06 127.14 159.17 198.96 1551.06 689.36 1551.06 689.36 127.14 127.14 1441.93 119.30 640.86 119.30 125.92 1551.06 689.36 1551.06 689.36 127.14 127.14 127.14 207.00 1073.99 689.36 1551.06 689.36 127.14 689.36 689.36 689.36 127.14 689.36 884.46 127.14 1551.06 689.36 127.14 689.36 127.14 127.14 127.14 127.14 689.36 1551.06 689.36 1551.06 689.36 119.30 921000019 921 93981 US IN OUT PENILE FLWUP LMT 1605.90 1605.90 1365.02 73.29 92.83 127.14 357.57 158.92 357.57 158.92 127.14 127.14 1124.13 127.14 158.92 127.14 357.57 158.92 357.57 127.14 97.78 122.23 357.57 158.92 357.57 158.92 127.14 127.14 332.42 73.29 147.74 73.29 77.36 357.57 158.92 357.57 158.92 127.14 127.14 127.14 233.00 1365.02 158.92 357.57 158.92 127.14 158.92 158.92 158.92 127.14 158.92 1124.13 127.14 357.57 158.92 127.14 158.92 127.14 127.14 127.14 127.14 158.92 357.57 158.92 357.57 158.92 73.29 921000020 921 93990 US HEMODIALYSIS ACCESS 764.26 764.26 649.62 127.14 195.38 127.14 357.57 158.92 357.57 158.92 127.14 127.14 534.98 127.14 158.92 127.14 357.57 158.92 357.57 127.14 205.81 257.26 357.57 158.92 357.57 158.92 127.14 127.14 332.42 154.25 147.74 154.25 162.82 357.57 158.92 357.57 158.92 127.14 127.14 127.14 163.00 649.62 158.92 357.57 158.92 127.14 158.92 158.92 158.92 127.14 158.92 534.98 127.14 357.57 158.92 127.14 158.92 127.14 127.14 127.14 127.14 158.92 357.57 158.92 357.57 158.92 154.25 410000001 410 94002 VENT ASSIT & MANAGE 1ST DAY 1761.72 1761.72 1233.20 88.72 127.17 724.68 456.04 202.68 456.04 202.68 724.68 724.68 131.00 per visit 724.68 202.68 724.68 456.04 202.68 456.04 724.68 118.37 147.97 456.04 202.68 456.04 202.68 724.68 724.68 423.95 188.42 188.42 188.42 93.65 456.04 202.68 456.04 202.68 724.68 724.68 724.68 89.00 1145.12 202.68 456.04 202.68 724.68 202.68 202.68 202.68 724.68 202.68 1233.20 724.68 456.04 202.68 147 per visit 202.68 724.68 147 per visit 724.68 724.68 202.68 456.04 202.68 456.04 202.68 88.72 450000564 410 94002 ED VENT ASSIST & MGMT 1761.72 1761.72 1233.20 88.72 127.17 724.68 490.44 217.97 490.44 217.97 724.68 724.68 131.00 per visit 724.68 217.97 724.68 490.44 217.97 490.44 724.68 118.37 147.97 490.44 217.97 490.44 217.97 724.68 724.68 455.95 202.64 202.64 202.64 93.65 490.44 217.97 490.44 217.97 724.68 724.68 724.68 89.00 1145.12 217.97 490.44 217.97 724.68 217.97 217.97 217.97 724.68 217.97 1233.20 724.68 490.44 217.97 147 per visit 217.97 724.68 147 per visit 724.68 724.68 217.97 490.44 217.97 490.44 217.97 88.72 410000002 410 94003 VENT SUBSEQUENT DAY 1761.72 1761.72 1233.20 62.53 89.63 724.68 456.04 202.68 456.04 202.68 724.68 724.68 131.00 per visit 724.68 202.68 724.68 456.04 202.68 456.04 724.68 83.43 104.29 456.04 202.68 456.04 202.68 724.68 724.68 423.95 188.42 188.42 188.42 66.01 456.04 202.68 456.04 202.68 724.68 724.68 724.68 65.00 1145.12 202.68 456.04 202.68 724.68 202.68 202.68 202.68 724.68 202.68 1233.20 724.68 456.04 202.68 147 per visit 202.68 724.68 147 per visit 724.68 724.68 202.68 456.04 202.68 456.04 202.68 62.53 362000426 460 94010 SPIROMETRY- GRAPH REC TOT&TIME 521.52 521.52 443.29 9.09 40.69 180.63 20.45 9.09 20.45 9.09 180.63 180.63 365.06 180.63 9.09 180.63 20.45 9.09 20.45 180.63 37.87 47.34 20.45 9.09 20.45 9.09 180.63 180.63 166.63 74.06 74.06 74.06 29.96 20.45 9.09 20.45 9.09 180.63 180.63 180.63 40.00 443.29 9.09 20.45 9.09 180.63 9.09 9.09 9.09 180.63 9.09 365.06 180.63 20.45 9.09 88.00 per visit 9.09 180.63 88.00 per visit 180.63 180.63 9.09 20.45 9.09 20.45 9.09 28.39 450000563 460 94010 ED SPIRO-GRAPH RECORD TOT&TIME 521.52 521.52 443.29 9.09 40.69 180.63 20.45 9.09 20.45 9.09 180.63 180.63 365.06 180.63 9.09 180.63 20.45 9.09 20.45 180.63 37.87 47.34 20.45 9.09 20.45 9.09 180.63 180.63 179.20 79.65 79.65 79.65 29.96 20.45 9.09 20.45 9.09 180.63 180.63 180.63 40.00 443.29 9.09 20.45 9.09 180.63 9.09 9.09 9.09 180.63 9.09 365.06 180.63 20.45 9.09 88.00 per visit 9.09 180.63 88.00 per visit 180.63 180.63 9.09 20.45 9.09 20.45 9.09 28.39 460000005 460 94010 SPIROM-GRAPH RECORD TOTAL&TIME 521.52 521.52 443.29 9.09 40.69 180.63 20.45 9.09 20.45 9.09 180.63 180.63 365.06 180.63 9.09 180.63 20.45 9.09 20.45 180.63 37.87 47.34 20.45 9.09 20.45 9.09 180.63 180.63 166.63 74.06 74.06 74.06 29.96 20.45 9.09 20.45 9.09 180.63 180.63 180.63 40.00 443.29 9.09 20.45 9.09 180.63 9.09 9.09 9.09 180.63 9.09 365.06 180.63 20.45 9.09 88.00 per visit 9.09 180.63 88.00 per visit 180.63 180.63 9.09 20.45 9.09 20.45 9.09 28.39 362020010 460 94060 BRONCH EVAL BEFORE&AFTER BRON 1272.00 1272.00 1081.20 15.15 58.08 362.97 34.09 15.15 34.09 15.15 362.97 362.97 890.40 362.97 15.15 362.97 34.09 15.15 34.09 362.97 54.06 67.58 34.09 15.15 34.09 15.15 362.97 362.97 615.80 273.69 273.69 273.69 42.77 34.09 15.15 34.09 15.15 362.97 362.97 362.97 69.00 1081.20 15.15 34.09 15.15 362.97 15.15 15.15 15.15 362.97 15.15 890.40 362.97 34.09 15.15 88.00 per visit 15.15 362.97 88.00 per visit 362.97 362.97 15.15 34.09 15.15 34.09 15.15 40.52 460000007 460 94060 BRONCH EVAL BEFORE&AFTER BRON 1272.00 1272.00 1081.20 15.15 58.08 362.97 34.09 15.15 34.09 15.15 362.97 362.97 890.40 362.97 15.15 362.97 34.09 15.15 34.09 362.97 54.06 67.58 34.09 15.15 34.09 15.15 362.97 362.97 615.80 273.69 273.69 273.69 42.77 34.09 15.15 34.09 15.15 362.97 362.97 362.97 69.00 1081.20 15.15 34.09 15.15 362.97 15.15 15.15 15.15 362.97 15.15 890.40 362.97 34.09 15.15 88.00 per visit 15.15 362.97 88.00 per visit 362.97 362.97 15.15 34.09 15.15 34.09 15.15 40.52 460000008 460 94150 VITAL CAPACITY-BEDSIDE 521.52 521.52 443.29 35.00 312.39 180.63 179.24 79.66 179.24 79.66 180.63 180.63 365.06 180.63 79.66 180.63 179.24 79.66 179.24 180.63 216.91 271.13 179.24 79.66 179.24 79.66 180.63 180.63 166.63 74.06 74.06 74.06 171.60 179.24 79.66 179.24 79.66 180.63 180.63 180.63 35.00 443.29 79.66 179.24 79.66 180.63 79.66 79.66 79.66 180.63 79.66 365.06 180.63 179.24 79.66 88.00 per visit 79.66 180.63 88.00 per visit 180.63 180.63 79.66 179.24 79.66 179.24 79.66 162.57 460000012 460 94375 RESPIR FLOW VOL LOOP 951.88 951.88 809.10 9.09 57.59 362.97 20.45 9.09 20.45 9.09 362.97 362.97 666.32 362.97 9.09 362.97 20.45 9.09 20.45 362.97 53.60 67.00 20.45 9.09 20.45 9.09 362.97 362.97 615.80 273.69 273.69 273.69 42.41 20.45 9.09 20.45 9.09 362.97 362.97 362.97 28.00 809.10 9.09 20.45 9.09 362.97 9.09 9.09 9.09 362.97 9.09 666.32 362.97 20.45 9.09 88.00 per visit 9.09 362.97 88.00 per visit 362.97 362.97 9.09 20.45 9.09 20.45 9.09 40.18 362002202 410 94640 PULM AIRWAY INHALATION TREAT 713.38 713.38 499.37 8.53 12.23 246.65 179.24 79.66 179.24 79.66 246.65 246.65 131.00 per visit 246.65 79.66 246.65 179.24 79.66 179.24 246.65 11.38 14.23 179.24 79.66 179.24 79.66 246.65 246.65 166.63 74.06 74.06 74.06 9.01 179.24 79.66 179.24 79.66 246.65 246.65 246.65 34.00 463.70 79.66 179.24 79.66 246.65 79.66 79.66 79.66 246.65 79.66 499.37 246.65 179.24 79.66 147 per visit 79.66 246.65 147 per visit 246.65 246.65 79.66 179.24 79.66 179.24 79.66 8.53 362600235 410 94640 PEDS AIRWAY INHALATION TREAT 713.38 713.38 499.37 8.53 12.23 246.65 179.24 79.66 179.24 79.66 246.65 246.65 131.00 per visit 246.65 79.66 246.65 179.24 79.66 179.24 246.65 11.38 14.23 179.24 79.66 179.24 79.66 246.65 246.65 166.63 74.06 74.06 74.06 9.01 179.24 79.66 179.24 79.66 246.65 246.65 246.65 34.00 463.70 79.66 179.24 79.66 246.65 79.66 79.66 79.66 246.65 79.66 499.37 246.65 179.24 79.66 147 per visit 79.66 246.65 147 per visit 246.65 246.65 79.66 179.24 79.66 179.24 79.66 8.53 410000009 410 94640 INH TX NEB METER- IPPB INTIAL 713.38 713.38 499.37 8.53 12.23 246.65 179.24 79.66 179.24 79.66 246.65 246.65 131.00 per visit 246.65 79.66 246.65 179.24 79.66 179.24 246.65 11.38 14.23 179.24 79.66 179.24 79.66 246.65 246.65 166.63 74.06 74.06 74.06 9.01 179.24 79.66 179.24 79.66 246.65 246.65 246.65 34.00 463.70 79.66 179.24 79.66 246.65 79.66 79.66 79.66 246.65 79.66 499.37 246.65 179.24 79.66 147 per visit 79.66 246.65 147 per visit 246.65 246.65 79.66 179.24 79.66 179.24 79.66 8.53 450000243 412 94640 ER AIRWAY INHALATION TREATMENT 713.38 713.38 499.37 8.53 12.23 246.65 192.76 85.67 192.76 85.67 246.65 246.65 131.00 per visit 246.65 85.67 246.65 192.76 85.67 192.76 246.65 11.38 14.23 192.76 85.67 192.76 85.67 246.65 246.65 179.20 79.65 79.65 79.65 9.01 192.76 85.67 192.76 85.67 246.65 246.65 246.65 34.00 463.70 85.67 192.76 85.67 246.65 85.67 85.67 85.67 246.65 85.67 499.37 246.65 192.76 85.67 147 per visit 85.67 246.65 147 per visit 246.65 246.65 85.67 192.76 85.67 192.76 85.67 8.53 460000001 460 94640 NR IPPB NEWBORN INFANTS 713.38 713.38 606.37 8.53 12.23 246.65 192.76 85.67 192.76 85.67 246.65 246.65 499.37 246.65 85.67 246.65 192.76 85.67 192.76 246.65 11.38 14.23 192.76 85.67 192.76 85.67 246.65 246.65 179.20 79.65 79.65 79.65 9.01 192.76 85.67 192.76 85.67 246.65 246.65 246.65 34.00 606.37 85.67 192.76 85.67 246.65 85.67 85.67 85.67 246.65 85.67 499.37 246.65 192.76 85.67 88.00 per visit 85.67 246.65 88.00 per visit 246.65 246.65 85.67 192.76 85.67 192.76 85.67 8.53 410000010 410 94640 76 INH TX NEB METER- IPPB SUB 336.02 336.02 246.65 8.53 12.23 246.65 179.24 79.66 179.24 79.66 246.65 246.65 131.00 per visit 246.65 79.66 246.65 179.24 79.66 179.24 246.65 11.38 14.23 179.24 79.66 179.24 79.66 246.65 246.65 166.63 74.06 74.06 74.06 9.01 179.24 79.66 179.24 79.66 246.65 246.65 246.65 34.00 218.41 79.66 179.24 79.66 246.65 79.66 79.66 79.66 246.65 79.66 235.21 246.65 179.24 79.66 147 per visit 79.66 246.65 147 per visit 246.65 246.65 79.66 179.24 79.66 179.24 79.66 8.53 410000003 410 94660 CPAP 713.38 713.38 499.37 36.30 52.03 246.65 456.06 202.69 456.06 202.69 246.65 246.65 131.00 per visit 246.65 202.69 246.65 456.06 202.69 456.06 246.65 48.43 60.54 456.06 202.69 456.06 202.69 246.65 246.65 423.97 188.43 188.43 188.43 38.31 456.06 202.69 456.06 202.69 246.65 246.65 246.65 62.00 463.70 202.69 456.06 202.69 246.65 202.69 202.69 202.69 246.65 202.69 499.37 246.65 456.06 202.69 147 per visit 202.69 246.65 147 per visit 246.65 246.65 202.69 456.06 202.69 456.06 202.69 36.30 362002203 410 94664 PULM EVALUATE PT USE OF INHALE 713.38 713.38 499.37 19.17 27.48 246.65 179.24 79.66 179.24 79.66 246.65 246.65 131.00 per visit 246.65 79.66 246.65 179.24 79.66 179.24 246.65 25.58 31.97 179.24 79.66 179.24 79.66 246.65 246.65 166.63 74.06 74.06 74.06 20.24 179.24 79.66 179.24 79.66 246.65 246.65 246.65 26.00 463.70 79.66 179.24 79.66 246.65 79.66 79.66 79.66 246.65 79.66 499.37 246.65 179.24 79.66 147 per visit 79.66 246.65 147 per visit 246.65 246.65 79.66 179.24 79.66 179.24 79.66 19.17 362600236 410 94664 PEDS EVALUATE PT USE OF INHALE 713.38 713.38 499.37 19.17 27.48 246.65 179.24 79.66 179.24 79.66 246.65 246.65 131.00 per visit 246.65 79.66 246.65 179.24 79.66 179.24 246.65 25.58 31.97 179.24 79.66 179.24 79.66 246.65 246.65 166.63 74.06 74.06 74.06 20.24 179.24 79.66 179.24 79.66 246.65 246.65 246.65 26.00 463.70 79.66 179.24 79.66 246.65 79.66 79.66 79.66 246.65 79.66 499.37 246.65 179.24 79.66 147 per visit 79.66 246.65 147 per visit 246.65 246.65 79.66 179.24 79.66 179.24 79.66 19.17 410000011 410 94664 DEMO/EVAL PT USE NEB MET IPPB 713.38 713.38 499.37 19.17 27.48 246.65 179.24 79.66 179.24 79.66 246.65 246.65 131.00 per visit 246.65 79.66 246.65 179.24 79.66 179.24 246.65 25.58 31.97 179.24 79.66 179.24 79.66 246.65 246.65 166.63 74.06 74.06 74.06 20.24 179.24 79.66 179.24 79.66 246.65 246.65 246.65 26.00 463.70 79.66 179.24 79.66 246.65 79.66 79.66 79.66 246.65 79.66 499.37 246.65 179.24 79.66 147 per visit 79.66 246.65 147 per visit 246.65 246.65 79.66 179.24 79.66 179.24 79.66 19.17 362600404 410 94667 PEDS CHEST PT; INIT OR EVAL 535.30 535.30 374.71 26.57 38.08 147.72 179.24 79.66 179.24 79.66 147.72 147.72 131.00 per visit 147.72 79.66 147.72 179.24 79.66 179.24 147.72 35.45 44.31 179.24 79.66 179.24 79.66 147.72 147.72 166.63 74.06 74.06 74.06 28.04 179.24 79.66 179.24 79.66 147.72 147.72 147.72 40.00 347.95 79.66 179.24 79.66 147.72 79.66 79.66 79.66 147.72 79.66 374.71 147.72 179.24 79.66 147 per visit 79.66 147.72 147 per visit 147.72 147.72 79.66 179.24 79.66 179.24 79.66 26.57 362600410 410 94668 PEDS CHEST PT; SUBSEQUENT 535.30 535.30 374.71 34.00 59.89 147.72 179.24 79.66 179.24 79.66 147.72 147.72 131.00 per visit 147.72 79.66 147.72 179.24 79.66 179.24 147.72 55.75 69.69 179.24 79.66 179.24 79.66 147.72 147.72 166.63 74.06 74.06 74.06 44.11 179.24 79.66 179.24 79.66 147.72 147.72 147.72 34.00 347.95 79.66 179.24 79.66 147.72 79.66 79.66 79.66 147.72 79.66 374.71 147.72 179.24 79.66 147 per visit 79.66 147.72 147 per visit 147.72 147.72 79.66 179.24 79.66 179.24 79.66 41.79 355000125 410 94669 MECHANICAL CHEST WALL OSCILL 731.69 731.69 512.18 22.00 31.53 246.65 179.24 79.66 179.24 79.66 246.65 246.65 131.00 per visit 246.65 79.66 246.65 179.24 79.66 179.24 246.65 29.35 36.68 179.24 79.66 179.24 79.66 246.65 246.65 166.63 74.06 74.06 74.06 23.22 179.24 79.66 179.24 79.66 246.65 246.65 246.65 41.00 475.60 79.66 179.24 79.66 246.65 79.66 79.66 79.66 246.65 79.66 512.18 246.65 179.24 79.66 147 per visit 79.66 246.65 147 per visit 246.65 246.65 79.66 179.24 79.66 179.24 79.66 22.00 460000020 460 94726 PULM FUNCT TST PLETHYSMOGRAP 951.88 951.88 809.10 48.00 83.71 362.97 662.40 294.40 662.40 294.40 362.97 362.97 666.32 362.97 294.40 362.97 662.40 294.40 662.40 362.97 77.92 97.40 662.40 294.40 662.40 294.40 362.97 362.97 615.80 273.69 273.69 273.69 61.65 662.40 294.40 662.40 294.40 362.97 362.97 362.97 48.00 809.10 294.40 662.40 294.40 362.97 294.40 294.40 294.40 362.97 294.40 666.32 362.97 662.40 294.40 88.00 per visit 294.40 362.97 88.00 per visit 362.97 362.97 294.40 662.40 294.40 662.40 294.40 58.40 460000021 460 94727 PULM FUNCT TEST BY GAS 521.52 521.52 443.29 35.00 66.44 180.63 179.24 79.66 179.24 79.66 180.63 180.63 365.06 180.63 79.66 180.63 179.24 79.66 179.24 180.63 61.84 77.30 179.24 79.66 179.24 79.66 180.63 180.63 166.63 74.06 74.06 74.06 48.93 179.24 79.66 179.24 79.66 180.63 180.63 180.63 35.00 443.29 79.66 179.24 79.66 180.63 79.66 79.66 79.66 180.63 79.66 365.06 180.63 179.24 79.66 88.00 per visit 79.66 180.63 88.00 per visit 180.63 180.63 79.66 179.24 79.66 179.24 79.66 46.35 460000019 460 94729 CO/MEMBRANE DIFUSE CAPACITY 192.92 192.92 179.24 0.00 85.00 0.00 179.24 79.66 179.24 79.66 0.00 0.00 135.04 0.00 79.66 0.00 179.24 79.66 179.24 0.00 79.12 98.90 179.24 79.66 179.24 79.66 0.00 0.00 166.63 74.06 74.06 74.06 62.60 179.24 79.66 179.24 79.66 0.00 0.00 0.00 53.00 163.98 79.66 179.24 79.66 0.00 79.66 79.66 79.66 0.00 79.66 135.04 0.00 179.24 79.66 88.00 per visit 79.66 0.00 88.00 per visit 0.00 0.00 79.66 179.24 79.66 179.24 79.66 59.30 362002013 460 94760 IM MEASURE O2 L SINGLE 12.72 12.72 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 362002204 460 94760 "PULM MEASURE OXYGEN LEVEL, SGL" 12.72 12.72 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 362002433 460 94760 "FP MEASURE O2 LEVEL, SNGL" 12.72 12.72 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 362002805 460 94760 CARD MEASURE OXYGEN L SINGLE 12.72 12.72 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 362600237 460 94760 "PEDS MEASURE OXYGEN L, SGL" 12.72 12.72 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 362600302 460 94760 PEDS CARD MEASURE OXYGEN L SGL 12.72 12.72 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 450000560 460 94760 ED PULSE OXIMETRY 58.30 58.30 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 49.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.81 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 460000002 460 94760 NR PULSE OXIMETRY SINGLE 31.80 31.80 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 460000018 460 94760 PULSE OXIMETRY 58.30 58.30 88.00 0.00 4.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.87 4.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 49.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.81 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 362002014 460 94761 IM MEASURE O2 L MULTIPLE 13.78 13.78 88.00 0.00 6.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.74 7.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.30 362002205 460 94761 PULM MEASURE OXYGEN LEVEL MULT 13.78 13.78 88.00 0.00 6.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.74 7.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.30 362002434 460 94761 "FP MEASURE OXYGEN LEVEL, MULT" 13.78 13.78 88.00 0.00 6.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.74 7.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.30 362002806 460 94761 "CARD MEASURE OXYGEN L, MULT" 13.78 13.78 88.00 0.00 6.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.74 7.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.30 362600238 460 94761 PEDS MEASURE OXYGEN L MULT 13.78 13.78 88.00 0.00 6.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.74 7.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.30 362600303 460 94761 PEDS CARD MEASURE OXY LVL MULT 13.78 13.78 88.00 0.00 6.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.74 7.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.30 450000561 460 94761 ED NR PULSE OXIMETRY MULTIPLE 31.80 31.80 88.00 0.00 6.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.74 7.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.30 460000003 460 94761 NR PULSE OXIMETRY MULTIPLE 31.80 31.80 88.00 0.00 6.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.74 7.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 88.00 per visit 0.00 0.00 88.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.30 460000004 460 94762 NR PULSE OXIMETRY CONTINUOUS 521.52 521.52 443.29 26.85 38.48 180.63 192.76 85.67 192.76 85.67 180.63 180.63 365.06 180.63 85.67 180.63 192.76 85.67 192.76 180.63 35.82 44.77 192.76 85.67 192.76 85.67 180.63 180.63 179.20 79.65 79.65 79.65 28.34 192.76 85.67 192.76 85.67 180.63 180.63 180.63 39.00 443.29 85.67 192.76 85.67 180.63 85.67 85.67 85.67 180.63 85.67 365.06 180.63 192.76 85.67 88.00 per visit 85.67 180.63 88.00 per visit 180.63 180.63 85.67 192.76 85.67 192.76 85.67 26.85 362600462 924 95004 PERCUT ALLERGY SKIN TESTS 45.58 45.58 1209.06 2.61 2.61 1209.06 612.94 272.42 612.94 272.42 1209.06 1209.06 31.91 1209.06 272.42 1209.06 612.94 272.42 612.94 1209.06 13.67 13.67 612.94 272.42 612.94 272.42 1209.06 1209.06 569.82 253.25 253.25 253.25 4.13 612.94 272.42 612.94 272.42 1209.06 1209.06 1209.06 5.00 38.74 272.42 612.94 272.42 1209.06 272.42 272.42 272.42 1209.06 272.42 31.91 1209.06 612.94 272.42 43.00 per visit 272.42 1209.06 43.00 per visit 1209.06 1209.06 272.42 612.94 272.42 612.94 272.42 3.92 362600405 460 95012 EXHALED NITRIC OXIDE MEASURE 121.90 121.90 179.24 20.15 28.88 46.38 179.24 79.66 179.24 79.66 46.38 46.38 85.33 46.38 79.66 46.38 179.24 79.66 179.24 46.38 26.89 33.61 179.24 79.66 179.24 79.66 46.38 46.38 166.63 74.06 74.06 74.06 21.27 179.24 79.66 179.24 79.66 46.38 46.38 46.38 22.00 103.62 79.66 179.24 79.66 46.38 79.66 79.66 79.66 46.38 79.66 85.33 46.38 179.24 79.66 88.00 per visit 79.66 46.38 88.00 per visit 46.38 46.38 79.66 179.24 79.66 179.24 79.66 20.15 362600431 920 95249 CONT GLUC MNTR PT PROV EQP 214.12 214.12 182.00 0.00 128.26 70.73 0.00 0.00 0.00 0.00 70.73 70.73 149.88 70.73 0.00 70.73 0.00 0.00 0.00 70.73 92.51 115.64 0.00 0.00 0.00 0.00 70.73 70.73 0.00 0.00 0.00 0.00 73.19 0.00 0.00 0.00 0.00 70.73 70.73 70.73 67.00 182.00 0.00 0.00 0.00 70.73 0.00 0.00 0.00 70.73 0.00 149.88 70.73 0.00 0.00 96.00 per visit 0.00 70.73 96.00 per visit 70.73 70.73 0.00 0.00 0.00 0.00 0.00 69.34 362600430 920 95250 CONT GLUC MNTR PHYS/QHP EQP 443.08 443.08 449.92 151.00 265.40 152.87 449.92 199.96 449.92 199.96 152.87 152.87 310.16 152.87 199.96 152.87 449.92 199.96 449.92 152.87 208.57 260.71 449.92 199.96 449.92 199.96 152.87 152.87 418.26 185.89 185.89 185.89 165.01 449.92 199.96 449.92 199.96 152.87 152.87 152.87 151.00 376.62 199.96 449.92 199.96 152.87 199.96 199.96 199.96 152.87 199.96 310.16 152.87 449.92 199.96 96.00 per visit 199.96 152.87 96.00 per visit 152.87 152.87 199.96 449.92 199.96 449.92 199.96 156.32 740000001 740 95816 TC EEG AWAKE & DROWSY 1084.38 1084.38 759.07 21.21 275.52 362.97 47.72 21.21 47.72 21.21 362.97 362.97 759.07 362.97 21.21 362.97 47.72 21.21 47.72 362.97 552.32 690.40 47.72 21.21 47.72 21.21 362.97 362.97 401.14 178.28 178.28 178.28 436.96 47.72 21.21 47.72 21.21 362.97 362.97 362.97 154.00 704.85 21.21 47.72 21.21 362.97 21.21 21.21 21.21 362.97 21.21 759.07 362.97 47.72 21.21 410.00 per visit 21.21 362.97 410.00 per visit 362.97 362.97 21.21 47.72 21.21 47.72 21.21 413.96 740000002 740 95819 TC EEG AWAKE & ASLEEP 1220.06 1220.06 854.04 21.21 317.76 362.97 47.72 21.21 47.72 21.21 362.97 362.97 854.04 362.97 21.21 362.97 47.72 21.21 47.72 362.97 637.00 796.25 47.72 21.21 47.72 21.21 362.97 362.97 401.14 178.28 178.28 178.28 503.96 47.72 21.21 47.72 21.21 362.97 362.97 362.97 184.00 793.04 21.21 47.72 21.21 362.97 21.21 21.21 21.21 362.97 21.21 854.04 362.97 47.72 21.21 410.00 per visit 21.21 362.97 410.00 per visit 362.97 362.97 21.21 47.72 21.21 47.72 21.21 477.43 922000001 922 95864 EMG ELECTROMYOGRAPHY 4 EXTREMI 928.56 928.56 789.28 84.84 556.21 180.63 190.89 84.84 190.89 84.84 180.63 180.63 649.99 180.63 84.84 180.63 190.89 84.84 190.89 180.63 317.07 396.34 190.89 84.84 190.89 84.84 180.63 180.63 308.76 137.22 137.22 137.22 250.85 190.89 84.84 190.89 84.84 180.63 180.63 180.63 88.00 789.28 84.84 190.89 84.84 180.63 84.84 84.84 84.84 180.63 84.84 649.99 180.63 190.89 84.84 163.00 per visit 84.84 180.63 163.00 per visit 180.63 180.63 84.84 190.89 84.84 190.89 84.84 237.65 362020012 918 96127 BRIEF EMOTIONAL/BEHAV ASSMT 125.08 125.08 191.00 5.01 74.92 46.38 124.51 55.34 124.51 55.34 46.38 46.38 87.56 46.38 55.34 46.38 124.51 55.34 124.51 46.38 153.00 per diem 191.00 per diem 124.51 55.34 124.51 55.34 46.38 46.38 115.75 51.44 51.44 51.44 5.29 124.51 55.34 124.51 55.34 46.38 46.38 46.38 6.00 106.32 55.34 124.51 55.34 46.38 55.34 55.34 55.34 46.38 55.34 87.56 46.38 124.51 55.34 46.38 55.34 46.38 46.38 46.38 46.38 55.34 124.51 55.34 124.51 55.34 5.01 363005050 918 96127 BRIEF EMOTIONAL/BEHAV ASSMT 125.08 125.08 191.00 5.01 74.92 46.38 124.51 55.34 124.51 55.34 46.38 46.38 87.56 46.38 55.34 46.38 124.51 55.34 124.51 46.38 153.00 per diem 191.00 per diem 124.51 55.34 124.51 55.34 46.38 46.38 115.75 51.44 51.44 51.44 5.29 124.51 55.34 124.51 55.34 46.38 46.38 46.38 6.00 106.32 55.34 124.51 55.34 46.38 55.34 55.34 55.34 46.38 55.34 87.56 46.38 124.51 55.34 46.38 55.34 46.38 46.38 46.38 46.38 55.34 124.51 55.34 124.51 55.34 5.01 364005050 918 96127 BRIEF EMOTIONAL/BEHAV ASSMT 125.08 125.08 191.00 5.01 74.92 46.38 124.51 55.34 124.51 55.34 46.38 46.38 87.56 46.38 55.34 46.38 124.51 55.34 124.51 46.38 153.00 per diem 191.00 per diem 124.51 55.34 124.51 55.34 46.38 46.38 115.75 51.44 51.44 51.44 5.29 124.51 55.34 124.51 55.34 46.38 46.38 46.38 6.00 106.32 55.34 124.51 55.34 46.38 55.34 55.34 55.34 46.38 55.34 87.56 46.38 124.51 55.34 46.38 55.34 46.38 46.38 46.38 46.38 55.34 124.51 55.34 124.51 55.34 5.01 362002232 918 96127 GT BRIEF EMOTIONL/BHV ASSMT TELMD 125.08 125.08 191.00 5.01 74.92 46.38 124.51 55.34 124.51 55.34 46.38 46.38 87.56 46.38 55.34 46.38 124.51 55.34 124.51 46.38 153.00 per diem 191.00 per diem 124.51 55.34 124.51 55.34 46.38 46.38 115.75 51.44 51.44 51.44 5.29 124.51 55.34 124.51 55.34 46.38 46.38 46.38 6.00 106.32 55.34 124.51 55.34 46.38 55.34 55.34 55.34 46.38 55.34 87.56 46.38 124.51 55.34 46.38 55.34 46.38 46.38 46.38 46.38 55.34 124.51 55.34 124.51 55.34 5.01 362002233 918 96127 GT BRIEF EMOTIONL/BHV ASSMT TELMD 125.08 125.08 191.00 5.01 74.92 46.38 124.51 55.34 124.51 55.34 46.38 46.38 87.56 46.38 55.34 46.38 124.51 55.34 124.51 46.38 153.00 per diem 191.00 per diem 124.51 55.34 124.51 55.34 46.38 46.38 115.75 51.44 51.44 51.44 5.29 124.51 55.34 124.51 55.34 46.38 46.38 46.38 6.00 106.32 55.34 124.51 55.34 46.38 55.34 55.34 55.34 46.38 55.34 87.56 46.38 124.51 55.34 46.38 55.34 46.38 46.38 46.38 46.38 55.34 124.51 55.34 124.51 55.34 5.01 260000004 260 96360 HYDRATION IV INF- INIT- 31-60 731.40 731.40 621.69 21.21 22.35 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 454.00 per diem 568.00 per diem 47.72 21.21 47.72 21.21 247.86 247.86 603.90 268.40 268.40 268.40 35.45 47.72 21.21 47.72 21.21 247.86 247.86 247.86 71.00 621.69 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 132.00 per visit 21.21 247.86 132.00 per visit 247.86 247.86 21.21 47.72 21.21 47.72 21.21 33.59 260000010 260 96360 HYDRATION IV INF INIT 31-60 731.40 731.40 649.47 21.21 22.35 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 454.00 per diem 568.00 per diem 47.72 21.21 47.72 21.21 247.86 247.86 649.47 288.66 288.66 288.66 35.45 47.72 21.21 47.72 21.21 247.86 247.86 247.86 71.00 621.69 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 132.00 per visit 21.21 247.86 132.00 per visit 247.86 247.86 21.21 47.72 21.21 47.72 21.21 33.59 337000011 260 96360 INFUSION HYDRATION 31MIN - 1HR 731.40 731.40 649.47 21.21 22.35 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 454.00 per diem 568.00 per diem 47.72 21.21 47.72 21.21 247.86 247.86 649.47 288.66 288.66 288.66 35.45 47.72 21.21 47.72 21.21 247.86 247.86 247.86 71.00 621.69 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 132.00 per visit 21.21 247.86 132.00 per visit 247.86 247.86 21.21 47.72 21.21 47.72 21.21 33.59 450000155 450 96360 ER HYDRATION IV INFUSION- INIT 731.40 731.40 1441.00 21.21 625.00 case rate 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 1153.00 case rate 1441.00 case rate 47.72 21.21 47.72 21.21 247.86 247.86 649.47 165.00 per visit 288.66 165.00 per visit 225.00 per visit 47.72 21.21 47.72 21.21 247.86 247.86 247.86 71.00 1085.00 per visit 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 775.00 per case 21.21 247.86 775.00 per case 247.86 247.86 21.21 47.72 21.21 47.72 21.21 33.59 260000005 260 96361 HYDRATE IV INFUSION- EA ADDL H 142.04 142.04 1734.48 8.49 8.49 54.93 1734.48 770.88 1734.48 770.88 54.93 54.93 99.43 54.93 770.88 54.93 1734.48 770.88 1734.48 54.93 454.00 per diem 568.00 per diem 1734.48 770.88 1734.48 770.88 54.93 54.93 1612.44 716.64 716.64 716.64 13.47 1734.48 770.88 1734.48 770.88 54.93 54.93 54.93 20.00 120.73 770.88 1734.48 770.88 54.93 770.88 770.88 770.88 54.93 770.88 99.43 54.93 1734.48 770.88 132.00 per visit 770.88 54.93 132.00 per visit 54.93 54.93 770.88 1734.48 770.88 1734.48 770.88 12.76 260000011 260 96361 HYDRATE IV INFUSION EA ADDL H 142.04 142.04 1865.30 8.49 8.49 54.93 1865.30 829.02 1865.30 829.02 54.93 54.93 99.43 54.93 829.02 54.93 1865.30 829.02 1865.30 54.93 454.00 per diem 568.00 per diem 1865.30 829.02 1865.30 829.02 54.93 54.93 1734.13 770.72 770.72 770.72 13.47 1865.30 829.02 1865.30 829.02 54.93 54.93 54.93 20.00 120.73 829.02 1865.30 829.02 54.93 829.02 829.02 829.02 54.93 829.02 99.43 54.93 1865.30 829.02 132.00 per visit 829.02 54.93 132.00 per visit 54.93 54.93 829.02 1865.30 829.02 1865.30 829.02 12.76 337000012 260 96361 INFUSION HYDRATION EA ADDT HOU 142.04 142.04 1865.30 8.49 8.49 54.93 1865.30 829.02 1865.30 829.02 54.93 54.93 99.43 54.93 829.02 54.93 1865.30 829.02 1865.30 54.93 454.00 per diem 568.00 per diem 1865.30 829.02 1865.30 829.02 54.93 54.93 1734.13 770.72 770.72 770.72 13.47 1865.30 829.02 1865.30 829.02 54.93 54.93 54.93 20.00 120.73 829.02 1865.30 829.02 54.93 829.02 829.02 829.02 54.93 829.02 99.43 54.93 1865.30 829.02 132.00 per visit 829.02 54.93 132.00 per visit 54.93 54.93 829.02 1865.30 829.02 1865.30 829.02 12.76 450000156 450 96361 ER HYDRATE IV INFUSION- ADD-ON 142.04 142.04 1865.30 12.76 625.00 case rate 54.93 1865.30 829.02 1865.30 829.02 54.93 54.93 99.43 54.93 829.02 54.93 1865.30 829.02 1865.30 54.93 1153.00 case rate 1441.00 case rate 1865.30 829.02 1865.30 829.02 54.93 54.93 1734.13 165.00 per visit 770.72 165.00 per visit 225.00 per visit 1865.30 829.02 1865.30 829.02 54.93 54.93 54.93 20.00 1085.00 per visit 829.02 1865.30 829.02 54.93 829.02 829.02 829.02 54.93 829.02 99.43 54.93 1865.30 829.02 775.00 per case 829.02 54.93 775.00 per case 54.93 54.93 829.02 1865.30 829.02 1865.30 829.02 12.76 260000006 260 96365 THER/PROPH/DIAG IV INF- INI 731.40 731.40 621.69 21.21 43.74 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 454.00 per diem 568.00 per diem 47.72 21.21 47.72 21.21 247.86 247.86 603.90 268.40 268.40 268.40 69.37 47.72 21.21 47.72 21.21 247.86 247.86 247.86 87.00 621.69 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 132.00 per visit 21.21 247.86 132.00 per visit 247.86 247.86 21.21 47.72 21.21 47.72 21.21 65.72 260000012 260 96365 THER/PROPH/DIAG IV INF INI 731.40 731.40 649.47 21.21 43.74 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 454.00 per diem 568.00 per diem 47.72 21.21 47.72 21.21 247.86 247.86 649.47 288.66 288.66 288.66 69.37 47.72 21.21 47.72 21.21 247.86 247.86 247.86 87.00 621.69 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 132.00 per visit 21.21 247.86 132.00 per visit 247.86 247.86 21.21 47.72 21.21 47.72 21.21 65.72 337000013 260 96365 IV DRUGS INFUSION UP TO 1HR 731.40 731.40 649.47 21.21 43.74 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 454.00 per diem 568.00 per diem 47.72 21.21 47.72 21.21 247.86 247.86 649.47 288.66 288.66 288.66 69.37 47.72 21.21 47.72 21.21 247.86 247.86 247.86 87.00 621.69 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 132.00 per visit 21.21 247.86 132.00 per visit 247.86 247.86 21.21 47.72 21.21 47.72 21.21 65.72 450000157 450 96365 ER THER/PROPH/DIAG IV INF- INI 731.40 731.40 1441.00 21.21 625.00 case rate 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 1153.00 case rate 1441.00 case rate 47.72 21.21 47.72 21.21 247.86 247.86 649.47 165.00 per visit 288.66 165.00 per visit 225.00 per visit 47.72 21.21 47.72 21.21 247.86 247.86 247.86 87.00 1085.00 per visit 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 775.00 per case 21.21 247.86 775.00 per case 247.86 247.86 21.21 47.72 21.21 47.72 21.21 65.72 260000007 260 96366 THER/PROPH/DIAG IV INF ADD HR 142.04 142.04 1734.48 13.89 13.89 54.93 1734.48 770.88 1734.48 770.88 54.93 54.93 99.43 54.93 770.88 54.93 1734.48 770.88 1734.48 54.93 454.00 per diem 568.00 per diem 1734.48 770.88 1734.48 770.88 54.93 54.93 1612.44 716.64 716.64 716.64 22.03 1734.48 770.88 1734.48 770.88 54.93 54.93 54.93 27.00 120.73 770.88 1734.48 770.88 54.93 770.88 770.88 770.88 54.93 770.88 99.43 54.93 1734.48 770.88 132.00 per visit 770.88 54.93 132.00 per visit 54.93 54.93 770.88 1734.48 770.88 1734.48 770.88 20.87 260000013 260 96366 THER/PROPH/DIAG IV INF ADD HR 142.04 142.04 1865.30 13.89 13.89 54.93 1865.30 829.02 1865.30 829.02 54.93 54.93 99.43 54.93 829.02 54.93 1865.30 829.02 1865.30 54.93 454.00 per diem 568.00 per diem 1865.30 829.02 1865.30 829.02 54.93 54.93 1734.13 770.72 770.72 770.72 22.03 1865.30 829.02 1865.30 829.02 54.93 54.93 54.93 27.00 120.73 829.02 1865.30 829.02 54.93 829.02 829.02 829.02 54.93 829.02 99.43 54.93 1865.30 829.02 132.00 per visit 829.02 54.93 132.00 per visit 54.93 54.93 829.02 1865.30 829.02 1865.30 829.02 20.87 337000014 260 96366 IV DRUGS INFUSION EA ADDT HR 142.04 142.04 1865.30 13.89 13.89 54.93 1865.30 829.02 1865.30 829.02 54.93 54.93 99.43 54.93 829.02 54.93 1865.30 829.02 1865.30 54.93 454.00 per diem 568.00 per diem 1865.30 829.02 1865.30 829.02 54.93 54.93 1734.13 770.72 770.72 770.72 22.03 1865.30 829.02 1865.30 829.02 54.93 54.93 54.93 27.00 120.73 829.02 1865.30 829.02 54.93 829.02 829.02 829.02 54.93 829.02 99.43 54.93 1865.30 829.02 132.00 per visit 829.02 54.93 132.00 per visit 54.93 54.93 829.02 1865.30 829.02 1865.30 829.02 20.87 450000158 450 96366 ER THER/PROPH/DIAG IV INF ADDO 142.04 142.04 1865.30 20.87 625.00 case rate 54.93 1865.30 829.02 1865.30 829.02 54.93 54.93 99.43 54.93 829.02 54.93 1865.30 829.02 1865.30 54.93 1153.00 case rate 1441.00 case rate 1865.30 829.02 1865.30 829.02 54.93 54.93 1734.13 165.00 per visit 770.72 165.00 per visit 225.00 per visit 1865.30 829.02 1865.30 829.02 54.93 54.93 54.93 27.00 1085.00 per visit 829.02 1865.30 829.02 54.93 829.02 829.02 829.02 54.93 829.02 99.43 54.93 1865.30 829.02 775.00 per case 829.02 54.93 775.00 per case 54.93 54.93 829.02 1865.30 829.02 1865.30 829.02 20.87 260000008 260 96367 TX/PROPH/DG ADDL SEQ IV INF 222.60 222.60 649.61 19.49 19.49 81.46 649.61 288.71 649.61 288.71 81.46 81.46 155.82 81.46 288.71 81.46 649.61 288.71 649.61 81.46 454.00 per diem 568.00 per diem 649.61 288.71 649.61 288.71 81.46 81.46 603.90 268.40 268.40 268.40 30.91 649.61 288.71 649.61 288.71 81.46 81.46 81.46 43.00 189.21 288.71 649.61 288.71 81.46 288.71 288.71 288.71 81.46 288.71 155.82 81.46 649.61 288.71 132.00 per visit 288.71 81.46 132.00 per visit 81.46 81.46 288.71 649.61 288.71 649.61 288.71 29.29 260000014 260 96367 TX/PROPH/DG ADDL SEQ IV INF 222.60 222.60 698.60 19.49 19.49 81.46 698.60 310.49 698.60 310.49 81.46 81.46 155.82 81.46 310.49 81.46 698.60 310.49 698.60 81.46 454.00 per diem 568.00 per diem 698.60 310.49 698.60 310.49 81.46 81.46 649.47 288.66 288.66 288.66 30.91 698.60 310.49 698.60 310.49 81.46 81.46 81.46 43.00 189.21 310.49 698.60 310.49 81.46 310.49 310.49 310.49 81.46 310.49 155.82 81.46 698.60 310.49 132.00 per visit 310.49 81.46 132.00 per visit 81.46 81.46 310.49 698.60 310.49 698.60 310.49 29.29 337000015 260 96367 IV NEW DRUG INFUSION ADDT UP T 222.60 222.60 698.60 19.49 19.49 81.46 698.60 310.49 698.60 310.49 81.46 81.46 155.82 81.46 310.49 81.46 698.60 310.49 698.60 81.46 454.00 per diem 568.00 per diem 698.60 310.49 698.60 310.49 81.46 81.46 649.47 288.66 288.66 288.66 30.91 698.60 310.49 698.60 310.49 81.46 81.46 81.46 43.00 189.21 310.49 698.60 310.49 81.46 310.49 310.49 310.49 81.46 310.49 155.82 81.46 698.60 310.49 132.00 per visit 310.49 81.46 132.00 per visit 81.46 81.46 310.49 698.60 310.49 698.60 310.49 29.29 450000159 450 96367 ER TX/PROPH/DG ADDL SEQ IV INF 222.60 222.60 1441.00 29.29 625.00 case rate 81.46 698.60 310.49 698.60 310.49 81.46 81.46 155.82 81.46 310.49 81.46 698.60 310.49 698.60 81.46 1153.00 case rate 1441.00 case rate 698.60 310.49 698.60 310.49 81.46 81.46 649.47 165.00 per visit 288.66 165.00 per visit 225.00 per visit 698.60 310.49 698.60 310.49 81.46 81.46 81.46 43.00 1085.00 per visit 310.49 698.60 310.49 81.46 310.49 310.49 310.49 81.46 310.49 155.82 81.46 698.60 310.49 775.00 per case 310.49 81.46 775.00 per case 81.46 81.46 310.49 698.60 310.49 698.60 310.49 29.29 260000009 260 96368 THER/DIAG CONCURRENT INF 58.30 58.30 649.61 0.00 13.45 0.00 649.61 288.71 649.61 288.71 0.00 0.00 40.81 0.00 288.71 0.00 649.61 288.71 649.61 0.00 454.00 per diem 568.00 per diem 649.61 288.71 649.61 288.71 0.00 0.00 603.90 268.40 268.40 268.40 21.33 649.61 288.71 649.61 288.71 0.00 0.00 0.00 25.00 49.56 288.71 649.61 288.71 0.00 288.71 288.71 288.71 0.00 288.71 40.81 0.00 649.61 288.71 132.00 per visit 288.71 0.00 132.00 per visit 0.00 0.00 288.71 649.61 288.71 649.61 288.71 20.21 260000015 260 96368 THER/DIAG CONCURRENT INF 57.24 57.24 698.60 0.00 13.45 0.00 698.60 310.49 698.60 310.49 0.00 0.00 40.07 0.00 310.49 0.00 698.60 310.49 698.60 0.00 454.00 per diem 568.00 per diem 698.60 310.49 698.60 310.49 0.00 0.00 649.47 288.66 288.66 288.66 21.33 698.60 310.49 698.60 310.49 0.00 0.00 0.00 25.00 48.65 310.49 698.60 310.49 0.00 310.49 310.49 310.49 0.00 310.49 40.07 0.00 698.60 310.49 132.00 per visit 310.49 0.00 132.00 per visit 0.00 0.00 310.49 698.60 310.49 698.60 310.49 20.21 337000016 260 96368 IV NEW DRUG INFUSION CONCURREN 57.24 57.24 698.60 0.00 13.45 0.00 698.60 310.49 698.60 310.49 0.00 0.00 40.07 0.00 310.49 0.00 698.60 310.49 698.60 0.00 454.00 per diem 568.00 per diem 698.60 310.49 698.60 310.49 0.00 0.00 649.47 288.66 288.66 288.66 21.33 698.60 310.49 698.60 310.49 0.00 0.00 0.00 25.00 48.65 310.49 698.60 310.49 0.00 310.49 310.49 310.49 0.00 310.49 40.07 0.00 698.60 310.49 132.00 per visit 310.49 0.00 132.00 per visit 0.00 0.00 310.49 698.60 310.49 698.60 310.49 20.21 450000160 450 96368 ER THER/DIAG CONCURRENT INF 96 78.44 78.44 1441.00 0.00 625.00 case rate 0.00 698.60 310.49 698.60 310.49 0.00 0.00 54.91 0.00 310.49 0.00 698.60 310.49 698.60 0.00 1153.00 case rate 1441.00 case rate 698.60 310.49 698.60 310.49 0.00 0.00 649.47 165.00 per visit 288.66 165.00 per visit 225.00 per visit 698.60 310.49 698.60 310.49 0.00 0.00 0.00 25.00 1085.00 per visit 310.49 698.60 310.49 0.00 310.49 310.49 310.49 0.00 310.49 54.91 0.00 698.60 310.49 775.00 per case 310.49 0.00 775.00 per case 0.00 0.00 310.49 698.60 310.49 698.60 310.49 20.21 450000161 450 96369 ER SC THER INFUSION- UP TO 1 H 731.40 731.40 1441.00 21.21 625.00 case rate 247.86 47.72 21.21 47.72 21.21 247.86 247.86 511.98 247.86 21.21 247.86 47.72 21.21 47.72 247.86 1153.00 case rate 1441.00 case rate 47.72 21.21 47.72 21.21 247.86 247.86 649.47 165.00 per visit 288.66 165.00 per visit 225.00 per visit 47.72 21.21 47.72 21.21 247.86 247.86 247.86 192.00 1085.00 per visit 21.21 47.72 21.21 247.86 21.21 21.21 21.21 247.86 21.21 511.98 247.86 47.72 21.21 775.00 per case 21.21 247.86 775.00 per case 247.86 247.86 21.21 47.72 21.21 47.72 21.21 148.75 450000162 450 96370 ER SC THER INFUSION- ADDL HR 142.04 142.04 1865.30 16.29 625.00 case rate 54.93 1865.30 829.02 1865.30 829.02 54.93 54.93 99.43 54.93 829.02 54.93 1865.30 829.02 1865.30 54.93 1153.00 case rate 1441.00 case rate 1865.30 829.02 1865.30 829.02 54.93 54.93 1734.13 165.00 per visit 770.72 165.00 per visit 225.00 per visit 1865.30 829.02 1865.30 829.02 54.93 54.93 54.93 19.00 1085.00 per visit 829.02 1865.30 829.02 54.93 829.02 829.02 829.02 54.93 829.02 99.43 54.93 1865.30 829.02 775.00 per case 829.02 54.93 775.00 per case 54.93 54.93 829.02 1865.30 829.02 1865.30 829.02 16.29 450000163 450 96371 ER SC THER INFUSION- RESET PUM 288.32 288.32 1441.00 63.82 625.00 case rate 81.46 698.60 310.49 698.60 310.49 81.46 81.46 201.82 81.46 310.49 81.46 698.60 310.49 698.60 81.46 1153.00 case rate 1441.00 case rate 698.60 310.49 698.60 310.49 81.46 81.46 649.47 165.00 per visit 288.66 165.00 per visit 225.00 per visit 698.60 310.49 698.60 310.49 81.46 81.46 81.46 94.00 1085.00 per visit 310.49 698.60 310.49 81.46 310.49 310.49 310.49 81.46 310.49 201.82 81.46 698.60 310.49 775.00 per case 310.49 81.46 775.00 per case 81.46 81.46 310.49 698.60 310.49 698.60 310.49 63.82 337000028 260 96372 INJECTION SUB Q OR IM 234.26 234.26 568.00 9.70 9.70 81.46 98.60 43.82 98.60 43.82 81.46 81.46 163.98 81.46 43.82 81.46 98.60 43.82 98.60 81.46 454.00 per diem 568.00 per diem 98.60 43.82 98.60 43.82 81.46 81.46 91.66 40.74 40.74 40.74 15.38 98.60 43.82 98.60 43.82 81.46 81.46 81.46 26.00 199.12 43.82 98.60 43.82 81.46 43.82 43.82 43.82 81.46 43.82 163.98 81.46 98.60 43.82 132.00 per visit 43.82 81.46 132.00 per visit 81.46 81.46 43.82 98.60 43.82 98.60 43.82 14.57 360000005 260 96372 THERAPEUTIC PROPHYLACTIC/DX IN 234.26 234.26 568.00 9.70 9.70 81.46 91.68 40.75 91.68 40.75 81.46 81.46 163.98 81.46 40.75 81.46 91.68 40.75 91.68 81.46 454.00 per diem 568.00 per diem 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 132.00 per visit 40.75 81.46 132.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362000202 510 96372 ENDOCRN INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362000402 510 96372 ONC INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362000602 510 96372 INFECTIOUS DIS INJ SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362000802 510 96372 GASTRO INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362001002 510 96372 RHEUM THER/PROPH/DIAG INJ- 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362001202 510 96372 NEPHRO INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362001402 510 96372 NEURO INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362001802 510 96372 HEMO INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362002015 510 96372 IM INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362002206 510 96372 PULM INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362002435 510 96372 FP INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362002601 510 96372 DERM SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362002807 510 96372 CARD INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362400102 510 96372 PODIATRY INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362400301 510 96372 GEN SURG SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362400516 510 96372 OPHTHAL INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362400702 510 96372 BREAST INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362400902 510 96372 UROLOGY INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362401107 510 96372 ENT INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362401302 510 96372 ORTHO INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362401502 510 96372 VASCULAR INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362500104 510 96372 OB/GYN INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362600102 510 96372 PEDS NEURO INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362600239 510 96372 PEDS INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 362600304 510 96372 PEDS CARD INJ-SC/IM 234.26 234.26 283.00 0.00 0.00 81.46 91.68 40.75 91.68 40.75 81.46 81.46 0.00 81.46 40.75 81.46 91.68 40.75 91.68 81.46 226.00 283.00 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 15.38 91.68 40.75 91.68 40.75 81.46 81.46 81.46 26.00 199.12 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 163.98 81.46 91.68 40.75 142.00 per visit 40.75 81.46 142.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 14.57 450000164 450 96372 ER THER/PROPH/DIAG INJ- SC/IM 234.26 234.26 1441.00 14.57 625.00 case rate 81.46 98.60 43.82 98.60 43.82 81.46 81.46 163.98 81.46 43.82 81.46 98.60 43.82 98.60 81.46 1153.00 case rate 1441.00 case rate 98.60 43.82 98.60 43.82 81.46 81.46 91.66 165.00 per visit 40.74 165.00 per visit 225.00 per visit 98.60 43.82 98.60 43.82 81.46 81.46 81.46 26.00 1085.00 per visit 43.82 98.60 43.82 81.46 43.82 43.82 43.82 81.46 43.82 163.98 81.46 98.60 43.82 775.00 per case 43.82 81.46 775.00 per case 81.46 81.46 43.82 98.60 43.82 98.60 43.82 14.57 914000025 940 96372 PHARMACOLOGICAL MGMT/W INJECT 234.26 234.26 199.12 13.23 22.00 once per unique code per service date 81.46 29.77 13.23 29.77 13.23 81.46 81.46 163.98 81.46 13.23 81.46 29.77 13.23 29.77 81.46 70.28 70.28 29.77 13.23 29.77 13.23 81.46 81.46 29.77 13.23 13.23 13.23 15.38 29.77 13.23 29.77 13.23 81.46 81.46 81.46 26.00 199.12 13.23 29.77 13.23 81.46 13.23 13.23 13.23 81.46 13.23 163.98 81.46 29.77 13.23 140.56 13.23 81.46 140.56 81.46 81.46 13.23 29.77 13.23 29.77 13.23 14.57 940000001 940 96372 MEDICATION THERAPEUTIC INJECT. 234.26 234.26 199.12 13.23 22.00 once per unique code per service date 81.46 29.77 13.23 29.77 13.23 81.46 81.46 163.98 81.46 13.23 81.46 29.77 13.23 29.77 81.46 70.28 70.28 29.77 13.23 29.77 13.23 81.46 81.46 29.77 13.23 13.23 13.23 15.38 29.77 13.23 29.77 13.23 81.46 81.46 81.46 26.00 199.12 13.23 29.77 13.23 81.46 13.23 13.23 13.23 81.46 13.23 163.98 81.46 29.77 13.23 140.56 13.23 81.46 140.56 81.46 81.46 13.23 29.77 13.23 29.77 13.23 14.57 940000003 940 96372 THER/PROPH/DIAG INJ- SC/IM 234.26 234.26 199.12 14.57 22.00 once per unique code per service date 81.46 97.71 43.42 97.71 43.42 81.46 81.46 163.98 81.46 43.42 81.46 97.71 43.42 97.71 81.46 70.28 70.28 97.71 43.42 97.71 43.42 81.46 81.46 90.83 40.37 40.37 40.37 15.38 97.71 43.42 97.71 43.42 81.46 81.46 81.46 26.00 199.12 43.42 97.71 43.42 81.46 43.42 43.42 43.42 81.46 43.42 163.98 81.46 97.71 43.42 140.56 43.42 81.46 140.56 81.46 81.46 43.42 97.71 43.42 97.71 43.42 14.57 940000008 940 96372 THER/PROPH/DIAG INJ SC/IM 234.26 234.26 199.12 14.57 22.00 once per unique code per service date 81.46 98.60 43.82 98.60 43.82 81.46 81.46 163.98 81.46 43.82 81.46 98.60 43.82 98.60 81.46 70.28 70.28 98.60 43.82 98.60 43.82 81.46 81.46 91.66 40.74 40.74 40.74 15.38 98.60 43.82 98.60 43.82 81.46 81.46 81.46 26.00 199.12 43.82 98.60 43.82 81.46 43.82 43.82 43.82 81.46 43.82 163.98 81.46 98.60 43.82 140.56 43.82 81.46 140.56 81.46 81.46 43.82 98.60 43.82 98.60 43.82 14.57 940000012 940 96372 INJECTION MEDICATION THERAPEUT 234.26 234.26 199.12 13.23 22.00 once per unique code per service date 81.46 29.77 13.23 29.77 13.23 81.46 81.46 163.98 81.46 13.23 81.46 29.77 13.23 29.77 81.46 70.28 70.28 29.77 13.23 29.77 13.23 81.46 81.46 29.77 13.23 13.23 13.23 15.38 29.77 13.23 29.77 13.23 81.46 81.46 81.46 26.00 199.12 13.23 29.77 13.23 81.46 13.23 13.23 13.23 81.46 13.23 163.98 81.46 29.77 13.23 140.56 13.23 81.46 140.56 81.46 81.46 13.23 29.77 13.23 29.77 13.23 14.57 450000165 450 96373 ER THER/PROPH/DIAG INJ- IA 963 731.40 731.40 1441.00 19.15 625.00 case rate 247.86 98.60 43.82 98.60 43.82 247.86 247.86 511.98 247.86 43.82 247.86 98.60 43.82 98.60 247.86 1153.00 case rate 1441.00 case rate 98.60 43.82 98.60 43.82 247.86 247.86 91.66 165.00 per visit 40.74 165.00 per visit 225.00 per visit 98.60 43.82 98.60 43.82 247.86 247.86 247.86 22.00 1085.00 per visit 43.82 98.60 43.82 247.86 43.82 43.82 43.82 247.86 43.82 511.98 247.86 98.60 43.82 775.00 per case 43.82 247.86 775.00 per case 247.86 247.86 43.82 98.60 43.82 98.60 43.82 19.15 337000029 260 96374 INJECTION IV PUSH INITIAL 731.40 731.40 621.69 25.43 25.43 247.86 98.60 43.82 98.60 43.82 247.86 247.86 511.98 247.86 43.82 247.86 98.60 43.82 98.60 247.86 454.00 per diem 568.00 per diem 98.60 43.82 98.60 43.82 247.86 247.86 91.66 40.74 40.74 40.74 40.33 98.60 43.82 98.60 43.82 247.86 247.86 247.86 69.00 621.69 43.82 98.60 43.82 247.86 43.82 43.82 43.82 247.86 43.82 511.98 247.86 98.60 43.82 132.00 per visit 43.82 247.86 132.00 per visit 247.86 247.86 43.82 98.60 43.82 98.60 43.82 38.21 450000166 450 96374 ER THER/PROPH/DIAG INJ- IV PUS 731.40 731.40 1441.00 38.21 625.00 case rate 247.86 98.60 43.82 98.60 43.82 247.86 247.86 511.98 247.86 43.82 247.86 98.60 43.82 98.60 247.86 1153.00 case rate 1441.00 case rate 98.60 43.82 98.60 43.82 247.86 247.86 91.66 165.00 per visit 40.74 165.00 per visit 225.00 per visit 98.60 43.82 98.60 43.82 247.86 247.86 247.86 69.00 1085.00 per visit 43.82 98.60 43.82 247.86 43.82 43.82 43.82 247.86 43.82 511.98 247.86 98.60 43.82 775.00 per case 43.82 247.86 775.00 per case 247.86 247.86 43.82 98.60 43.82 98.60 43.82 38.21 940000004 940 96374 THER/PROPH/DIAG INJ- IV PUS 731.40 731.40 621.69 25.43 25.43 247.86 97.71 43.42 97.71 43.42 247.86 247.86 511.98 247.86 43.42 247.86 97.71 43.42 97.71 247.86 219.42 219.42 97.71 43.42 97.71 43.42 247.86 247.86 90.83 40.37 40.37 40.37 40.33 97.71 43.42 97.71 43.42 247.86 247.86 247.86 69.00 621.69 43.42 97.71 43.42 247.86 43.42 43.42 43.42 247.86 43.42 511.98 247.86 97.71 43.42 438.84 43.42 247.86 438.84 247.86 247.86 43.42 97.71 43.42 97.71 43.42 38.21 940000009 940 96374 THER/PROPH/DIAG INJ IV PUS 731.40 731.40 621.69 25.43 25.43 247.86 98.60 43.82 98.60 43.82 247.86 247.86 511.98 247.86 43.82 247.86 98.60 43.82 98.60 247.86 219.42 219.42 98.60 43.82 98.60 43.82 247.86 247.86 91.66 40.74 40.74 40.74 40.33 98.60 43.82 98.60 43.82 247.86 247.86 247.86 69.00 621.69 43.82 98.60 43.82 247.86 43.82 43.82 43.82 247.86 43.82 511.98 247.86 98.60 43.82 438.84 43.82 247.86 438.84 247.86 247.86 43.82 98.60 43.82 98.60 43.82 38.21 335000014 260 96375 TX/PRO/DX INJ NEW DRUG ADDON 9 142.04 142.04 568.00 10.58 10.58 54.93 91.68 40.75 91.68 40.75 54.93 54.93 99.43 54.93 40.75 54.93 91.68 40.75 91.68 54.93 454.00 per diem 568.00 per diem 91.68 40.75 91.68 40.75 54.93 54.93 85.23 37.88 37.88 37.88 16.78 91.68 40.75 91.68 40.75 54.93 54.93 54.93 30.00 120.73 40.75 91.68 40.75 54.93 40.75 40.75 40.75 54.93 40.75 99.43 54.93 91.68 40.75 132.00 per visit 40.75 54.93 132.00 per visit 54.93 54.93 40.75 91.68 40.75 91.68 40.75 15.89 337000030 260 96375 INJECTION IV PUSH INITIAL 142.04 142.04 568.00 10.58 10.58 54.93 98.60 43.82 98.60 43.82 54.93 54.93 99.43 54.93 43.82 54.93 98.60 43.82 98.60 54.93 454.00 per diem 568.00 per diem 98.60 43.82 98.60 43.82 54.93 54.93 91.66 40.74 40.74 40.74 16.78 98.60 43.82 98.60 43.82 54.93 54.93 54.93 30.00 120.73 43.82 98.60 43.82 54.93 43.82 43.82 43.82 54.93 43.82 99.43 54.93 98.60 43.82 132.00 per visit 43.82 54.93 132.00 per visit 54.93 54.93 43.82 98.60 43.82 98.60 43.82 15.89 450000167 450 96375 ER TX/PRO/DX INJ NEW DRUG ADDO 142.04 142.04 1441.00 15.89 625.00 case rate 54.93 98.60 43.82 98.60 43.82 54.93 54.93 99.43 54.93 43.82 54.93 98.60 43.82 98.60 54.93 1153.00 case rate 1441.00 case rate 98.60 43.82 98.60 43.82 54.93 54.93 91.66 165.00 per visit 40.74 165.00 per visit 225.00 per visit 98.60 43.82 98.60 43.82 54.93 54.93 54.93 30.00 1085.00 per visit 43.82 98.60 43.82 54.93 43.82 43.82 43.82 54.93 43.82 99.43 54.93 98.60 43.82 775.00 per case 43.82 54.93 775.00 per case 54.93 54.93 43.82 98.60 43.82 98.60 43.82 15.89 940000005 940 96375 TX/PRO/DX INJ NEW DRUG ADDO 142.04 142.04 120.73 10.58 10.58 54.93 97.71 43.42 97.71 43.42 54.93 54.93 99.43 54.93 43.42 54.93 97.71 43.42 97.71 54.93 42.61 42.61 97.71 43.42 97.71 43.42 54.93 54.93 90.83 40.37 40.37 40.37 16.78 97.71 43.42 97.71 43.42 54.93 54.93 54.93 30.00 120.73 43.42 97.71 43.42 54.93 43.42 43.42 43.42 54.93 43.42 99.43 54.93 97.71 43.42 85.22 43.42 54.93 85.22 54.93 54.93 43.42 97.71 43.42 97.71 43.42 15.89 940000010 940 96375 TX/PRO/DX INJ NEW DRUG ADDO 142.04 142.04 120.73 10.58 10.58 54.93 98.60 43.82 98.60 43.82 54.93 54.93 99.43 54.93 43.82 54.93 98.60 43.82 98.60 54.93 42.61 42.61 98.60 43.82 98.60 43.82 54.93 54.93 91.66 40.74 40.74 40.74 16.78 98.60 43.82 98.60 43.82 54.93 54.93 54.93 30.00 120.73 43.82 98.60 43.82 54.93 43.82 43.82 43.82 54.93 43.82 99.43 54.93 98.60 43.82 85.22 43.82 54.93 85.22 54.93 54.93 43.82 98.60 43.82 98.60 43.82 15.89 360505000 260 96376 IV PUSH 142.04 142.04 568.00 0.00 85.08 0.00 91.68 40.75 91.68 40.75 0.00 0.00 99.43 0.00 40.75 0.00 91.68 40.75 91.68 0.00 454.00 per diem 568.00 per diem 91.68 40.75 91.68 40.75 0.00 0.00 85.23 37.88 37.88 37.88 0.00 91.68 40.75 91.68 40.75 0.00 0.00 0.00 99.43 120.73 40.75 91.68 40.75 0.00 40.75 40.75 40.75 0.00 40.75 99.43 0.00 91.68 40.75 132.00 per visit 40.75 0.00 132.00 per visit 0.00 0.00 40.75 91.68 40.75 91.68 40.75 0.00 450000168 450 96376 ER TX/PRO/DX INJ NEW DRUG ADDO 110.24 110.24 1441.00 0.00 625.00 case rate 0.00 98.60 43.82 98.60 43.82 0.00 0.00 77.17 0.00 43.82 0.00 98.60 43.82 98.60 0.00 1153.00 case rate 1441.00 case rate 98.60 43.82 98.60 43.82 0.00 0.00 91.66 165.00 per visit 40.74 165.00 per visit 225.00 per visit 98.60 43.82 98.60 43.82 0.00 0.00 0.00 77.17 1085.00 per visit 43.82 98.60 43.82 0.00 43.82 43.82 43.82 0.00 43.82 77.17 0.00 98.60 43.82 775.00 per case 43.82 0.00 775.00 per case 0.00 0.00 43.82 98.60 43.82 98.60 43.82 0.00 940000006 940 96376 TX/PRO/DX INJ SAME DRUG ADDO 110.24 110.24 97.71 0.00 66.03 0.00 97.71 43.42 97.71 43.42 0.00 0.00 77.17 0.00 43.42 0.00 97.71 43.42 97.71 0.00 33.07 33.07 97.71 43.42 97.71 43.42 0.00 0.00 90.83 40.37 40.37 40.37 0.00 97.71 43.42 97.71 43.42 0.00 0.00 0.00 77.17 93.70 43.42 97.71 43.42 0.00 43.42 43.42 43.42 0.00 43.42 77.17 0.00 97.71 43.42 66.14 43.42 0.00 66.14 0.00 0.00 43.42 97.71 43.42 97.71 43.42 0.00 940000011 940 96376 TX/PRO/DX INJ SAME DRUG ADDO 110.24 110.24 98.60 0.00 66.03 0.00 98.60 43.82 98.60 43.82 0.00 0.00 77.17 0.00 43.82 0.00 98.60 43.82 98.60 0.00 33.07 33.07 98.60 43.82 98.60 43.82 0.00 0.00 91.66 40.74 40.74 40.74 0.00 98.60 43.82 98.60 43.82 0.00 0.00 0.00 77.17 93.70 43.82 98.60 43.82 0.00 43.82 43.82 43.82 0.00 43.82 77.17 0.00 98.60 43.82 66.14 43.82 0.00 66.14 0.00 0.00 43.82 98.60 43.82 98.60 43.82 0.00 260000016 260 96379 THER/PROP/DIAG INJ/INF PROC 142.04 142.04 568.00 40.74 85.08 54.93 98.60 43.82 98.60 43.82 54.93 54.93 99.43 54.93 43.82 54.93 98.60 43.82 98.60 54.93 454.00 per diem 568.00 per diem 98.60 43.82 98.60 43.82 54.93 54.93 91.66 40.74 40.74 40.74 52.19 98.60 43.82 98.60 43.82 54.93 54.93 54.93 99.43 120.73 43.82 98.60 43.82 54.93 43.82 43.82 43.82 54.93 43.82 99.43 54.93 98.60 43.82 132.00 per visit 43.82 54.93 132.00 per visit 54.93 54.93 43.82 98.60 43.82 98.60 43.82 49.44 331000001 331 96401 CHEMO ADMIN SQ OR IM 450.50 450.50 902.00 37.88 81.62 81.46 91.68 40.75 91.68 40.75 81.46 81.46 558.00 per visit 81.46 40.75 81.46 91.68 40.75 91.68 81.46 722.00 per diem 902.00 per diem 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 79.40 91.68 40.75 91.68 40.75 81.46 81.46 81.46 76.00 800.00 per visit 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 315.35 81.46 91.68 40.75 888.00 per visit 40.75 81.46 888.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 285.00 335000007 331 96402 "CHEMOTHERAPY ADMIN, SQ/IM" 450.50 450.50 902.00 34.96 34.96 81.46 91.68 40.75 91.68 40.75 81.46 81.46 558.00 per visit 81.46 40.75 81.46 91.68 40.75 91.68 81.46 722.00 per diem 902.00 per diem 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 38.80 91.68 40.75 91.68 40.75 81.46 81.46 81.46 40.00 800.00 per visit 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 315.35 81.46 91.68 40.75 888.00 per visit 40.75 81.46 888.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 285.00 335000008 331 96405 "CHEMOTHERAPY ADMIN, IL; <7 LES" 222.60 222.60 902.00 6.06 31.55 81.46 13.64 6.06 13.64 6.06 81.46 81.46 558.00 per visit 81.46 6.06 81.46 13.64 6.06 13.64 81.46 722.00 per diem 902.00 per diem 13.64 6.06 13.64 6.06 81.46 81.46 85.23 37.88 37.88 37.88 29.74 13.64 6.06 13.64 6.06 81.46 81.46 81.46 33.00 800.00 per visit 6.06 13.64 6.06 81.46 6.06 6.06 6.06 81.46 6.06 155.82 81.46 13.64 6.06 888.00 per visit 6.06 81.46 888.00 per visit 81.46 81.46 6.06 13.64 6.06 13.64 6.06 285.00 335000009 331 96406 "CHEMOTHERAPY ADMIN, IL; >7 LES" 731.40 731.40 902.00 9.09 49.09 247.86 20.45 9.09 20.45 9.09 247.86 247.86 558.00 per visit 247.86 9.09 247.86 20.45 9.09 20.45 247.86 722.00 per diem 902.00 per diem 20.45 9.09 20.45 9.09 247.86 247.86 85.23 37.88 37.88 37.88 46.33 20.45 9.09 20.45 9.09 247.86 247.86 247.86 46.00 800.00 per visit 9.09 20.45 9.09 247.86 9.09 9.09 9.09 247.86 9.09 511.98 247.86 20.45 9.09 888.00 per visit 9.09 247.86 888.00 per visit 247.86 247.86 9.09 20.45 9.09 20.45 9.09 285.00 335000010 335 96409 "CHEMO,IV PUSH, SNGL DURG" 731.40 731.40 902.00 9.09 121.45 391.64 20.45 9.09 20.45 9.09 391.64 391.64 558.00 per visit 391.64 9.09 391.64 20.45 9.09 20.45 391.64 722.00 per diem 902.00 per diem 20.45 9.09 20.45 9.09 391.64 391.64 85.23 37.88 37.88 37.88 111.05 20.45 9.09 20.45 9.09 391.64 391.64 391.64 163.00 800.00 per visit 9.09 20.45 9.09 391.64 9.09 9.09 9.09 391.64 9.09 511.98 391.64 20.45 9.09 888.00 per visit 9.09 391.64 888.00 per visit 391.64 391.64 9.09 20.45 9.09 20.45 9.09 285.00 335000011 335 96411 "CHEMO,IV PUSH,ADDL DRUG" 249.10 249.10 902.00 37.88 67.88 81.46 91.68 40.75 91.68 40.75 81.46 81.46 558.00 per visit 81.46 40.75 81.46 91.68 40.75 91.68 81.46 722.00 per diem 902.00 per diem 91.68 40.75 91.68 40.75 81.46 81.46 85.23 37.88 37.88 37.88 60.03 91.68 40.75 91.68 40.75 81.46 81.46 81.46 82.00 800.00 per visit 40.75 91.68 40.75 81.46 40.75 40.75 40.75 81.46 40.75 174.37 81.46 91.68 40.75 888.00 per visit 40.75 81.46 888.00 per visit 81.46 81.46 40.75 91.68 40.75 91.68 40.75 285.00 335000004 335 96413 CHEMO IV INFUSION 1HR 1138.44 1138.44 902.00 21.21 148.26 391.64 47.72 21.21 47.72 21.21 391.64 391.64 558.00 per visit 391.64 21.21 391.64 47.72 21.21 47.72 391.64 722.00 per diem 902.00 per diem 47.72 21.21 47.72 21.21 391.64 391.64 603.90 268.40 268.40 268.40 143.68 47.72 21.21 47.72 21.21 391.64 391.64 391.64 201.00 800.00 per visit 21.21 47.72 21.21 391.64 21.21 21.21 21.21 391.64 21.21 796.91 391.64 47.72 21.21 888.00 per visit 21.21 391.64 888.00 per visit 391.64 391.64 21.21 47.72 21.21 47.72 21.21 285.00 335000005 335 96415 CHEMO-IV INFUSION-ADDL HR 451.56 451.56 1734.48 30.25 30.69 81.46 1734.48 770.88 1734.48 770.88 81.46 81.46 558.00 per visit 81.46 770.88 81.46 1734.48 770.88 1734.48 81.46 722.00 per diem 902.00 per diem 1734.48 770.88 1734.48 770.88 81.46 81.46 1612.44 716.64 716.64 716.64 30.25 1734.48 770.88 1734.48 770.88 81.46 81.46 81.46 44.00 800.00 per visit 770.88 1734.48 770.88 81.46 770.88 770.88 770.88 81.46 770.88 316.09 81.46 1734.48 770.88 888.00 per visit 770.88 81.46 888.00 per visit 81.46 81.46 770.88 1734.48 770.88 1734.48 770.88 285.00 335000012 335 96416 CHEMO PROLONG INFUSE W/PUMP 1138.44 1138.44 1612.44 21.21 154.34 391.64 47.72 21.21 47.72 21.21 391.64 391.64 558.00 per visit 391.64 21.21 391.64 47.72 21.21 47.72 391.64 722.00 per diem 902.00 per diem 47.72 21.21 47.72 21.21 391.64 391.64 1612.44 716.64 716.64 716.64 141.73 47.72 21.21 47.72 21.21 391.64 391.64 391.64 217.00 800.00 per visit 21.21 47.72 21.21 391.64 21.21 21.21 21.21 391.64 21.21 796.91 391.64 47.72 21.21 888.00 per visit 21.21 391.64 888.00 per visit 391.64 391.64 21.21 47.72 21.21 47.72 21.21 285.00 335000013 335 96417 CHEMO IV INFUS EACH ADDL SEQ 451.56 451.56 902.00 68.23 68.23 81.46 649.61 288.71 649.61 288.71 81.46 81.46 558.00 per visit 81.46 288.71 81.46 649.61 288.71 649.61 81.46 722.00 per diem 902.00 per diem 649.61 288.71 649.61 288.71 81.46 81.46 603.90 268.40 268.40 268.40 70.48 649.61 288.71 649.61 288.71 81.46 81.46 81.46 98.00 800.00 per visit 288.71 649.61 288.71 81.46 288.71 288.71 288.71 81.46 288.71 316.09 81.46 649.61 288.71 888.00 per visit 288.71 81.46 888.00 per visit 81.46 81.46 288.71 649.61 288.71 649.61 288.71 285.00 331000003 331 96420 CHEMO ADMIN INTRA-ARTERIAL PUS 1138.44 1138.44 902.00 9.09 115.91 391.64 20.45 9.09 20.45 9.09 391.64 391.64 558.00 per visit 391.64 9.09 391.64 20.45 9.09 20.45 391.64 722.00 per diem 902.00 per diem 20.45 9.09 20.45 9.09 391.64 391.64 85.23 37.88 37.88 37.88 113.56 20.45 9.09 20.45 9.09 391.64 391.64 391.64 62.00 800.00 per visit 9.09 20.45 9.09 391.64 9.09 9.09 9.09 391.64 9.09 796.91 391.64 20.45 9.09 888.00 per visit 9.09 391.64 888.00 per visit 391.64 391.64 9.09 20.45 9.09 20.45 9.09 285.00 331000004 331 96450 CHEMO IN CNS W/LP 1138.44 1138.44 1734.48 78.98 186.69 391.64 1734.48 770.88 1734.48 770.88 391.64 391.64 558.00 per visit 391.64 770.88 391.64 1734.48 770.88 1734.48 391.64 722.00 per diem 902.00 per diem 1734.48 770.88 1734.48 770.88 391.64 391.64 1612.44 716.64 716.64 716.64 78.98 1734.48 770.88 1734.48 770.88 391.64 391.64 391.64 369.00 800.00 per visit 770.88 1734.48 770.88 391.64 770.88 770.88 770.88 391.64 770.88 796.91 391.64 1734.48 770.88 888.00 per visit 770.88 391.64 888.00 per visit 391.64 391.64 770.88 1734.48 770.88 1734.48 770.88 285.00 331000006 260 96521 CHEMO REFILL & MAINTAIN PORT P 731.40 731.40 568.00 9.09 87.02 247.86 20.45 9.09 20.45 9.09 247.86 247.86 511.98 247.86 9.09 247.86 20.45 9.09 20.45 247.86 454.00 per diem 568.00 per diem 20.45 9.09 20.45 9.09 247.86 247.86 85.23 37.88 37.88 37.88 138.02 20.45 9.09 20.45 9.09 247.86 247.86 247.86 178.00 621.69 9.09 20.45 9.09 247.86 9.09 9.09 9.09 247.86 9.09 511.98 247.86 20.45 9.09 132.00 per visit 9.09 247.86 132.00 per visit 247.86 247.86 9.09 20.45 9.09 20.45 9.09 285.00 362001803 510 96523 IRRIG VAD FOR DRUG DELIVERY 227.90 227.90 283.00 0.00 0.00 70.73 91.68 40.75 91.68 40.75 70.73 70.73 0.00 70.73 40.75 70.73 91.68 40.75 91.68 70.73 226.00 283.00 91.68 40.75 91.68 40.75 70.73 70.73 85.23 37.88 37.88 37.88 27.80 91.68 40.75 91.68 40.75 70.73 70.73 70.73 32.00 193.72 40.75 91.68 40.75 70.73 40.75 40.75 40.75 70.73 40.75 159.53 70.73 91.68 40.75 142.00 per visit 40.75 70.73 142.00 per visit 70.73 70.73 40.75 91.68 40.75 91.68 40.75 26.33 450000562 450 96523 ED IRRIG DRUG DELIV DEVICE 227.90 227.90 1441.00 26.33 625.00 case rate 70.73 98.60 43.82 98.60 43.82 70.73 70.73 159.53 70.73 43.82 70.73 98.60 43.82 98.60 70.73 1153.00 case rate 1441.00 case rate 98.60 43.82 98.60 43.82 70.73 70.73 91.66 165.00 per visit 40.74 165.00 per visit 225.00 per visit 98.60 43.82 98.60 43.82 70.73 70.73 70.73 32.00 1085.00 per visit 43.82 98.60 43.82 70.73 43.82 43.82 43.82 70.73 43.82 159.53 70.73 98.60 43.82 775.00 per case 43.82 70.73 775.00 per case 70.73 70.73 43.82 98.60 43.82 98.60 43.82 26.33 940000007 940 96523 IRRIGATE VAD 227.90 227.90 193.72 17.53 17.53 70.73 97.71 43.42 97.71 43.42 70.73 70.73 159.53 70.73 43.42 70.73 97.71 43.42 97.71 70.73 68.37 68.37 97.71 43.42 97.71 43.42 70.73 70.73 90.83 40.37 40.37 40.37 27.80 97.71 43.42 97.71 43.42 70.73 70.73 70.73 32.00 193.72 43.42 97.71 43.42 70.73 43.42 43.42 43.42 70.73 43.42 159.53 70.73 97.71 43.42 136.74 43.42 70.73 136.74 70.73 70.73 43.42 97.71 43.42 97.71 43.42 26.33 420000004 420 97012 GP PT TRACTION- MECHANICAL 85.86 85.86 166.00 13.91 17.62 15.46 61.25 27.22 61.25 27.22 15.46 15.46 131.00 per visit 15.46 27.22 15.46 61.25 27.22 61.25 15.46 18.56 23.21 61.25 27.22 61.25 27.22 15.46 15.46 56.94 25.31 25.31 25.31 14.69 61.25 27.22 61.25 27.22 15.46 15.46 15.46 50.00 per visit 166.00 per visit 27.22 61.25 27.22 15.46 27.22 27.22 27.22 15.46 27.22 60.10 15.46 61.25 27.22 149.00 per visit 27.22 15.46 149.00 per visit 15.46 15.46 27.22 61.25 27.22 61.25 27.22 13.91 430000023 430 97014 GO OT ELECTRIC STIMULATION UNATTE G0283 136.74 136.74 166.00 11.72 14.84 13.02 61.25 27.22 61.25 27.22 13.02 13.02 131.00 per visit 13.02 27.22 13.02 61.25 27.22 61.25 13.02 15.63 19.54 61.25 27.22 61.25 27.22 13.02 13.02 56.94 25.31 25.31 25.31 12.37 61.25 27.22 61.25 27.22 13.02 13.02 13.02 50.00 per visit 166.00 per visit 27.22 61.25 27.22 13.02 27.22 27.22 27.22 13.02 27.22 95.72 13.02 61.25 27.22 149.00 per visit 27.22 13.02 149.00 per visit 13.02 13.02 27.22 61.25 27.22 61.25 27.22 11.72 420000005 420 97014 GP PT ELECTRIC STIMULATION UNATTE G0283 136.74 136.74 166.00 11.72 14.84 13.02 61.25 27.22 61.25 27.22 13.02 13.02 131.00 per visit 13.02 27.22 13.02 61.25 27.22 61.25 13.02 15.63 19.54 61.25 27.22 61.25 27.22 13.02 13.02 56.94 25.31 25.31 25.31 12.37 61.25 27.22 61.25 27.22 13.02 13.02 13.02 50.00 per visit 166.00 per visit 27.22 61.25 27.22 13.02 27.22 27.22 27.22 13.02 27.22 95.72 13.02 61.25 27.22 149.00 per visit 27.22 13.02 149.00 per visit 13.02 13.02 27.22 61.25 27.22 61.25 27.22 11.72 430000004 430 97016 GO OT VASOPNEUMATIC DEVICES 85.86 85.86 166.00 11.72 14.84 13.02 61.25 27.22 61.25 27.22 13.02 13.02 131.00 per visit 13.02 27.22 13.02 61.25 27.22 61.25 13.02 15.63 19.54 61.25 27.22 61.25 27.22 13.02 13.02 56.94 25.31 25.31 25.31 12.37 61.25 27.22 61.25 27.22 13.02 13.02 13.02 50.00 per visit 166.00 per visit 27.22 61.25 27.22 13.02 27.22 27.22 27.22 13.02 27.22 60.10 13.02 61.25 27.22 149.00 per visit 27.22 13.02 149.00 per visit 13.02 13.02 27.22 61.25 27.22 61.25 27.22 11.72 420000006 420 97016 GP PT VASOPNEUMATIC DEVICES 85.86 85.86 166.00 11.72 14.84 13.02 61.25 27.22 61.25 27.22 13.02 13.02 131.00 per visit 13.02 27.22 13.02 61.25 27.22 61.25 13.02 15.63 19.54 61.25 27.22 61.25 27.22 13.02 13.02 56.94 25.31 25.31 25.31 12.37 61.25 27.22 61.25 27.22 13.02 13.02 13.02 50.00 per visit 166.00 per visit 27.22 61.25 27.22 13.02 27.22 27.22 27.22 13.02 27.22 60.10 13.02 61.25 27.22 149.00 per visit 27.22 13.02 149.00 per visit 13.02 13.02 27.22 61.25 27.22 61.25 27.22 11.72 430000005 430 97018 GO OT PARAFFIN BATH 65.72 65.72 166.00 5.83 7.39 6.48 61.25 27.22 61.25 27.22 6.48 6.48 131.00 per visit 6.48 27.22 6.48 61.25 27.22 61.25 6.48 7.78 9.73 61.25 27.22 61.25 27.22 6.48 6.48 56.94 25.31 25.31 25.31 6.16 61.25 27.22 61.25 27.22 6.48 6.48 6.48 50.00 per visit 166.00 per visit 27.22 61.25 27.22 6.48 27.22 27.22 27.22 6.48 27.22 46.00 6.48 61.25 27.22 149.00 per visit 27.22 6.48 149.00 per visit 6.48 6.48 27.22 61.25 27.22 61.25 27.22 5.83 420000007 420 97018 GP PT PARAFFIN BATH THERAPY 65.72 65.72 166.00 5.83 7.39 6.48 61.25 27.22 61.25 27.22 6.48 6.48 131.00 per visit 6.48 27.22 6.48 61.25 27.22 61.25 6.48 7.78 9.73 61.25 27.22 61.25 27.22 6.48 6.48 56.94 25.31 25.31 25.31 6.16 61.25 27.22 61.25 27.22 6.48 6.48 6.48 50.00 per visit 166.00 per visit 27.22 61.25 27.22 6.48 27.22 27.22 27.22 6.48 27.22 46.00 6.48 61.25 27.22 149.00 per visit 27.22 6.48 149.00 per visit 6.48 6.48 27.22 61.25 27.22 61.25 27.22 5.83 420000033 420 97022 GP PT WHIRLPOOL 65.72 65.72 166.00 17.39 22.02 19.32 61.25 27.22 61.25 27.22 19.32 19.32 131.00 per visit 19.32 27.22 19.32 61.25 27.22 61.25 19.32 23.20 29.00 61.25 27.22 61.25 27.22 19.32 19.32 56.94 25.31 25.31 25.31 18.35 61.25 27.22 61.25 27.22 19.32 19.32 19.32 50.00 per visit 166.00 per visit 27.22 61.25 27.22 19.32 27.22 27.22 27.22 19.32 27.22 46.00 19.32 61.25 27.22 149.00 per visit 27.22 19.32 149.00 per visit 19.32 19.32 27.22 61.25 27.22 61.25 27.22 17.39 420000008 420 97024 GP PT DIATHERMY THERAPY 65.72 65.72 166.00 7.60 9.62 8.44 61.25 27.22 61.25 27.22 8.44 8.44 131.00 per visit 8.44 27.22 8.44 61.25 27.22 61.25 8.44 10.13 12.67 61.25 27.22 61.25 27.22 8.44 8.44 56.94 25.31 25.31 25.31 8.02 61.25 27.22 61.25 27.22 8.44 8.44 8.44 50.00 per visit 166.00 per visit 27.22 61.25 27.22 8.44 27.22 27.22 27.22 8.44 27.22 46.00 8.44 61.25 27.22 149.00 per visit 27.22 8.44 149.00 per visit 8.44 8.44 27.22 61.25 27.22 61.25 27.22 7.60 420000009 420 97028 GP PT ULTRAVIOLET THERAPY 65.72 65.72 166.00 8.58 10.86 9.53 61.25 27.22 61.25 27.22 9.53 9.53 131.00 per visit 9.53 27.22 9.53 61.25 27.22 61.25 9.53 11.44 14.30 61.25 27.22 61.25 27.22 9.53 9.53 56.94 25.31 25.31 25.31 9.05 61.25 27.22 61.25 27.22 9.53 9.53 9.53 50.00 per visit 166.00 per visit 27.22 61.25 27.22 9.53 27.22 27.22 27.22 9.53 27.22 46.00 9.53 61.25 27.22 149.00 per visit 27.22 9.53 149.00 per visit 9.53 9.53 27.22 61.25 27.22 61.25 27.22 8.58 420000010 420 97032 GP PT ELECTRIC STIMUL(MANUAL) 15 85.86 85.86 166.00 14.27 18.07 15.85 61.25 27.22 61.25 27.22 15.85 15.85 131.00 per visit 15.85 27.22 15.85 61.25 27.22 61.25 15.85 19.03 23.79 61.25 27.22 61.25 27.22 15.85 15.85 56.94 25.31 25.31 25.31 15.06 61.25 27.22 61.25 27.22 15.85 15.85 15.85 50.00 per visit 166.00 per visit 27.22 61.25 27.22 15.85 27.22 27.22 27.22 15.85 27.22 60.10 15.85 61.25 27.22 149.00 per visit 27.22 15.85 149.00 per visit 15.85 15.85 27.22 61.25 27.22 61.25 27.22 14.27 420000011 420 97033 GP PT IONTOPHORESIS EA 15 MIN 90.10 90.10 166.00 19.51 24.72 21.68 61.25 27.22 61.25 27.22 21.68 21.68 131.00 per visit 21.68 27.22 21.68 61.25 27.22 61.25 21.68 26.03 32.54 61.25 27.22 61.25 27.22 21.68 21.68 56.94 25.31 25.31 25.31 20.60 61.25 27.22 61.25 27.22 21.68 21.68 21.68 50.00 per visit 166.00 per visit 27.22 61.25 27.22 21.68 27.22 27.22 27.22 21.68 27.22 63.07 21.68 61.25 27.22 149.00 per visit 27.22 21.68 149.00 per visit 21.68 21.68 27.22 61.25 27.22 61.25 27.22 19.51 430000007 430 97034 GO OT CONTRAST BATH EA 15 MIN 65.72 65.72 166.00 14.07 17.82 15.63 61.25 27.22 61.25 27.22 15.63 15.63 131.00 per visit 15.63 27.22 15.63 61.25 27.22 61.25 15.63 18.77 23.46 61.25 27.22 61.25 27.22 15.63 15.63 56.94 25.31 25.31 25.31 14.85 61.25 27.22 61.25 27.22 15.63 15.63 15.63 50.00 per visit 166.00 per visit 27.22 61.25 27.22 15.63 27.22 27.22 27.22 15.63 27.22 46.00 15.63 61.25 27.22 149.00 per visit 27.22 15.63 149.00 per visit 15.63 15.63 27.22 61.25 27.22 61.25 27.22 14.07 420000012 420 97034 GP PT CONTRAST BATHS EA 15 MIN 65.72 65.72 166.00 14.07 17.82 15.63 61.25 27.22 61.25 27.22 15.63 15.63 131.00 per visit 15.63 27.22 15.63 61.25 27.22 61.25 15.63 18.77 23.46 61.25 27.22 61.25 27.22 15.63 15.63 56.94 25.31 25.31 25.31 14.85 61.25 27.22 61.25 27.22 15.63 15.63 15.63 50.00 per visit 166.00 per visit 27.22 61.25 27.22 15.63 27.22 27.22 27.22 15.63 27.22 46.00 15.63 61.25 27.22 149.00 per visit 27.22 15.63 149.00 per visit 15.63 15.63 27.22 61.25 27.22 61.25 27.22 14.07 430000018 430 97035 GO OT-ULTRASOUND EACH 15 MIN 71.02 71.02 166.00 14.07 17.82 15.63 61.25 27.22 61.25 27.22 15.63 15.63 131.00 per visit 15.63 27.22 15.63 61.25 27.22 61.25 15.63 18.77 23.46 61.25 27.22 61.25 27.22 15.63 15.63 56.94 25.31 25.31 25.31 14.85 61.25 27.22 61.25 27.22 15.63 15.63 15.63 50.00 per visit 166.00 per visit 27.22 61.25 27.22 15.63 27.22 27.22 27.22 15.63 27.22 49.71 15.63 61.25 27.22 149.00 per visit 27.22 15.63 149.00 per visit 15.63 15.63 27.22 61.25 27.22 61.25 27.22 14.07 420000013 420 97035 GP PT ULTRASOUND EA 15 MIN 65.72 65.72 166.00 14.07 17.82 15.63 61.25 27.22 61.25 27.22 15.63 15.63 131.00 per visit 15.63 27.22 15.63 61.25 27.22 61.25 15.63 18.77 23.46 61.25 27.22 61.25 27.22 15.63 15.63 56.94 25.31 25.31 25.31 14.85 61.25 27.22 61.25 27.22 15.63 15.63 15.63 50.00 per visit 166.00 per visit 27.22 61.25 27.22 15.63 27.22 27.22 27.22 15.63 27.22 46.00 15.63 61.25 27.22 149.00 per visit 27.22 15.63 149.00 per visit 15.63 15.63 27.22 61.25 27.22 61.25 27.22 14.07 420000014 420 97036 GP PT HUBBARD/HYDROTHERAPY 15 MIN 91.16 91.16 172.70 15.63 45.58 15.63 172.70 76.76 172.70 76.76 15.63 15.63 131.00 per visit 15.63 76.76 15.63 172.70 76.76 172.70 15.63 48.01 60.01 172.70 76.76 172.70 76.76 15.63 15.63 160.55 71.36 71.36 71.36 37.98 172.70 76.76 172.70 76.76 15.63 15.63 15.63 50.00 per visit 166.00 per visit 76.76 172.70 76.76 15.63 76.76 76.76 76.76 15.63 76.76 63.81 15.63 172.70 76.76 149.00 per visit 76.76 15.63 149.00 per visit 15.63 15.63 76.76 172.70 76.76 172.70 76.76 35.98 420000015 420 97039 GP PT FLUIDOTHERAPY EA 15 MIN 106.00 106.00 166.00 0.00 63.49 0.00 61.25 27.22 61.25 27.22 0.00 0.00 131.00 per visit 0.00 27.22 0.00 61.25 27.22 61.25 0.00 0.00 0.00 61.25 27.22 61.25 27.22 0.00 0.00 56.94 25.31 25.31 25.31 0.00 61.25 27.22 61.25 27.22 0.00 0.00 0.00 50.00 per visit 166.00 per visit 27.22 61.25 27.22 0.00 27.22 27.22 27.22 0.00 27.22 74.20 0.00 61.25 27.22 149.00 per visit 27.22 0.00 149.00 per visit 0.00 0.00 27.22 61.25 27.22 61.25 27.22 0.00 430000010 430 97110 GO OT THERAPEUTIC EXERCISE EA 15 126.14 126.14 172.70 29.35 37.18 32.61 172.70 76.76 172.70 76.76 32.61 32.61 131.00 per visit 32.61 76.76 32.61 172.70 76.76 172.70 32.61 39.16 48.95 172.70 76.76 172.70 76.76 32.61 32.61 160.55 71.36 71.36 71.36 30.98 172.70 76.76 172.70 76.76 32.61 32.61 32.61 50.00 per visit 166.00 per visit 76.76 172.70 76.76 32.61 76.76 76.76 76.76 32.61 76.76 88.30 32.61 172.70 76.76 149.00 per visit 76.76 32.61 149.00 per visit 32.61 32.61 76.76 172.70 76.76 172.70 76.76 29.35 420000016 420 97110 GP PT THERAPEUTIC EXERCISE EA 15 126.14 126.14 172.70 29.35 37.18 32.61 172.70 76.76 172.70 76.76 32.61 32.61 131.00 per visit 32.61 76.76 32.61 172.70 76.76 172.70 32.61 39.16 48.95 172.70 76.76 172.70 76.76 32.61 32.61 160.55 71.36 71.36 71.36 30.98 172.70 76.76 172.70 76.76 32.61 32.61 32.61 50.00 per visit 166.00 per visit 76.76 172.70 76.76 32.61 76.76 76.76 76.76 32.61 76.76 88.30 32.61 172.70 76.76 149.00 per visit 76.76 32.61 149.00 per visit 32.61 32.61 76.76 172.70 76.76 172.70 76.76 29.35 420000021 420 97110 GP PT SPRAY & STRETCH EA 15 MIN 126.14 126.14 172.70 29.35 37.18 32.61 172.70 76.76 172.70 76.76 32.61 32.61 131.00 per visit 32.61 76.76 32.61 172.70 76.76 172.70 32.61 39.16 48.95 172.70 76.76 172.70 76.76 32.61 32.61 160.55 71.36 71.36 71.36 30.98 172.70 76.76 172.70 76.76 32.61 32.61 32.61 50.00 per visit 166.00 per visit 76.76 172.70 76.76 32.61 76.76 76.76 76.76 32.61 76.76 88.30 32.61 172.70 76.76 149.00 per visit 76.76 32.61 149.00 per visit 32.61 32.61 76.76 172.70 76.76 172.70 76.76 29.35 430000011 430 97112 GO OT NEUROMUSCULAR REEDUCAT 15 M 126.14 126.14 172.70 33.73 42.73 37.48 172.70 76.76 172.70 76.76 37.48 37.48 131.00 per visit 37.48 76.76 37.48 172.70 76.76 172.70 37.48 45.01 56.26 172.70 76.76 172.70 76.76 37.48 37.48 160.55 71.36 71.36 71.36 35.61 172.70 76.76 172.70 76.76 37.48 37.48 37.48 50.00 per visit 166.00 per visit 76.76 172.70 76.76 37.48 76.76 76.76 76.76 37.48 76.76 88.30 37.48 172.70 76.76 149.00 per visit 76.76 37.48 149.00 per visit 37.48 37.48 76.76 172.70 76.76 172.70 76.76 33.73 420000017 420 97112 GP PT NEUROMUSCULAR REEDUCATE 15 126.14 126.14 172.70 33.73 42.73 37.48 172.70 76.76 172.70 76.76 37.48 37.48 131.00 per visit 37.48 76.76 37.48 172.70 76.76 172.70 37.48 45.01 56.26 172.70 76.76 172.70 76.76 37.48 37.48 160.55 71.36 71.36 71.36 35.61 172.70 76.76 172.70 76.76 37.48 37.48 37.48 50.00 per visit 166.00 per visit 76.76 172.70 76.76 37.48 76.76 76.76 76.76 37.48 76.76 88.30 37.48 172.70 76.76 149.00 per visit 76.76 37.48 149.00 per visit 37.48 37.48 76.76 172.70 76.76 172.70 76.76 33.73 420000018 420 97113 GP PT AQUATIC EXERCISES EA 15 MIN 118.72 118.72 172.70 36.98 46.84 41.09 172.70 76.76 172.70 76.76 41.09 41.09 131.00 per visit 41.09 76.76 41.09 172.70 76.76 172.70 41.09 49.34 61.68 172.70 76.76 172.70 76.76 41.09 41.09 160.55 71.36 71.36 71.36 39.04 172.70 76.76 172.70 76.76 41.09 41.09 41.09 50.00 per visit 166.00 per visit 76.76 172.70 76.76 41.09 76.76 76.76 76.76 41.09 76.76 83.10 41.09 172.70 76.76 149.00 per visit 76.76 41.09 149.00 per visit 41.09 41.09 76.76 172.70 76.76 172.70 76.76 36.98 420000019 420 97116 GP PT GAIT TRAINING EA 15 MIN 10.60 10.60 166.00 7.42 37.18 32.61 61.25 27.22 61.25 27.22 32.61 32.61 131.00 per visit 32.61 27.22 32.61 61.25 27.22 61.25 32.61 39.16 48.95 61.25 27.22 61.25 27.22 32.61 32.61 56.94 25.31 25.31 25.31 30.98 61.25 27.22 61.25 27.22 32.61 32.61 32.61 50.00 per visit 166.00 per visit 27.22 61.25 27.22 32.61 27.22 27.22 27.22 32.61 27.22 7.42 32.61 61.25 27.22 149.00 per visit 27.22 32.61 149.00 per visit 32.61 32.61 27.22 61.25 27.22 61.25 27.22 29.35 430000012 430 97124 GO OT MASSAGE/COMPRESS/PERCUSS 15 168.54 168.54 166.00 25.31 39.00 34.21 61.25 27.22 61.25 27.22 34.21 34.21 131.00 per visit 34.21 27.22 34.21 61.25 27.22 61.25 34.21 41.08 51.35 61.25 27.22 61.25 27.22 34.21 34.21 56.94 25.31 25.31 25.31 32.50 61.25 27.22 61.25 27.22 34.21 34.21 34.21 50.00 per visit 166.00 per visit 27.22 61.25 27.22 34.21 27.22 27.22 27.22 34.21 27.22 117.98 34.21 61.25 27.22 149.00 per visit 27.22 34.21 149.00 per visit 34.21 34.21 27.22 61.25 27.22 61.25 27.22 30.79 420000020 420 97124 GP PT MASSAGE/CHEST PERCUSSION 15 168.54 168.54 166.00 25.31 39.00 34.21 61.25 27.22 61.25 27.22 34.21 34.21 131.00 per visit 34.21 27.22 34.21 61.25 27.22 61.25 34.21 41.08 51.35 61.25 27.22 61.25 27.22 34.21 34.21 56.94 25.31 25.31 25.31 32.50 61.25 27.22 61.25 27.22 34.21 34.21 34.21 50.00 per visit 166.00 per visit 27.22 61.25 27.22 34.21 27.22 27.22 27.22 34.21 27.22 117.98 34.21 61.25 27.22 149.00 per visit 27.22 34.21 149.00 per visit 34.21 34.21 27.22 61.25 27.22 61.25 27.22 30.79 420000022 420 97140 GP PT MANUAL-MANIP/MOBILIZ/TRACT 80.56 80.56 172.70 26.96 34.14 29.95 172.70 76.76 172.70 76.76 29.95 29.95 131.00 per visit 29.95 76.76 29.95 172.70 76.76 172.70 29.95 35.96 44.95 172.70 76.76 172.70 76.76 29.95 29.95 160.55 71.36 71.36 71.36 28.45 172.70 76.76 172.70 76.76 29.95 29.95 29.95 50.00 per visit 166.00 per visit 76.76 172.70 76.76 29.95 76.76 76.76 76.76 29.95 76.76 56.39 29.95 172.70 76.76 149.00 per visit 76.76 29.95 149.00 per visit 29.95 29.95 76.76 172.70 76.76 172.70 76.76 26.96 430000019 430 97150 GO OT THERAPUTIC PROCEDURE GROUP 47.70 47.70 172.70 17.98 22.78 19.98 172.70 76.76 172.70 76.76 19.98 19.98 131.00 per visit 19.98 76.76 19.98 172.70 76.76 172.70 19.98 23.99 29.99 172.70 76.76 172.70 76.76 19.98 19.98 160.55 71.36 71.36 71.36 18.98 172.70 76.76 172.70 76.76 19.98 19.98 19.98 50.00 per visit 166.00 per visit 76.76 172.70 76.76 19.98 76.76 76.76 76.76 19.98 76.76 33.39 19.98 172.70 76.76 149.00 per visit 76.76 19.98 149.00 per visit 19.98 19.98 76.76 172.70 76.76 172.70 76.76 17.98 420000028 420 97150 GP PT THERAPUTIC PROCEDURE GROUP 47.70 47.70 172.70 17.98 22.78 19.98 172.70 76.76 172.70 76.76 19.98 19.98 131.00 per visit 19.98 76.76 19.98 172.70 76.76 172.70 19.98 23.99 29.99 172.70 76.76 172.70 76.76 19.98 19.98 160.55 71.36 71.36 71.36 18.98 172.70 76.76 172.70 76.76 19.98 19.98 19.98 50.00 per visit 166.00 per visit 76.76 172.70 76.76 19.98 76.76 76.76 76.76 19.98 76.76 33.39 19.98 172.70 76.76 149.00 per visit 76.76 19.98 149.00 per visit 19.98 19.98 76.76 172.70 76.76 172.70 76.76 17.98 354505064 424 97161 GP PT EVAL LOW COMPLEX 20 MIN 381.60 381.60 303.26 100.41 127.19 111.57 303.26 134.78 303.26 134.78 111.57 111.57 131.00 per visit 111.57 134.78 111.57 303.26 134.78 303.26 111.57 133.97 167.47 303.26 134.78 303.26 134.78 111.57 111.57 281.92 125.30 125.30 125.30 105.99 303.26 134.78 303.26 134.78 111.57 111.57 111.57 93.00 per visit 166.00 per visit 134.78 303.26 134.78 111.57 134.78 134.78 134.78 111.57 134.78 267.12 111.57 303.26 134.78 149.00 per visit 134.78 111.57 149.00 per visit 111.57 111.57 134.78 303.26 134.78 303.26 134.78 100.41 354505065 424 97162 GP PT EVAL MOD COMPLEX 30 MIN 449.44 449.44 314.61 100.41 127.19 111.57 303.26 134.78 303.26 134.78 111.57 111.57 131.00 per visit 111.57 134.78 111.57 303.26 134.78 303.26 111.57 133.97 167.47 303.26 134.78 303.26 134.78 111.57 111.57 281.92 125.30 125.30 125.30 105.99 303.26 134.78 303.26 134.78 111.57 111.57 111.57 93.00 per visit 166.00 per visit 134.78 303.26 134.78 111.57 134.78 134.78 134.78 111.57 134.78 314.61 111.57 303.26 134.78 149.00 per visit 134.78 111.57 149.00 per visit 111.57 111.57 134.78 303.26 134.78 303.26 134.78 100.41 354505066 424 97163 GP PT EVAL HIGH COMPLEX 45 MIN 534.24 534.24 373.97 100.41 127.19 111.57 303.26 134.78 303.26 134.78 111.57 111.57 131.00 per visit 111.57 134.78 111.57 303.26 134.78 303.26 111.57 133.97 167.47 303.26 134.78 303.26 134.78 111.57 111.57 281.92 125.30 125.30 125.30 105.99 303.26 134.78 303.26 134.78 111.57 111.57 111.57 93.00 per visit 166.00 per visit 134.78 303.26 134.78 111.57 134.78 134.78 134.78 111.57 134.78 373.97 111.57 303.26 134.78 149.00 per visit 134.78 111.57 149.00 per visit 111.57 111.57 134.78 303.26 134.78 303.26 134.78 100.41 354505067 424 97164 GP PT RE-EVAL EST PLAN CARE 253.34 253.34 303.26 70.16 88.87 77.96 303.26 134.78 303.26 134.78 77.96 77.96 131.00 per visit 77.96 134.78 77.96 303.26 134.78 303.26 77.96 93.61 117.02 303.26 134.78 303.26 134.78 77.96 77.96 281.92 125.30 125.30 125.30 74.06 303.26 134.78 303.26 134.78 77.96 77.96 77.96 63.00 per visit 166.00 per visit 134.78 303.26 134.78 77.96 134.78 134.78 134.78 77.96 134.78 177.34 77.96 303.26 134.78 149.00 per visit 134.78 77.96 149.00 per visit 77.96 77.96 134.78 303.26 134.78 303.26 134.78 70.16 354505068 434 97165 GO OT EVAL LOW COMPLEX 30 MIN 359.34 359.34 321.64 101.48 128.54 112.75 321.64 142.95 321.64 142.95 112.75 112.75 131.00 per visit 112.75 142.95 112.75 321.64 142.95 321.64 112.75 135.39 169.24 321.64 142.95 321.64 142.95 112.75 112.75 299.01 132.89 132.89 132.89 107.11 321.64 142.95 321.64 142.95 112.75 112.75 112.75 106.99 per visit 166.00 per visit 142.95 321.64 142.95 112.75 142.95 142.95 142.95 112.75 142.95 251.54 112.75 321.64 142.95 149.00 per visit 142.95 112.75 149.00 per visit 112.75 112.75 142.95 321.64 142.95 321.64 142.95 101.48 354505069 434 97166 GO OT EVAL MOD COMPLEX 45 MIN 427.18 427.18 321.64 101.48 128.54 112.75 321.64 142.95 321.64 142.95 112.75 112.75 131.00 per visit 112.75 142.95 112.75 321.64 142.95 321.64 112.75 135.39 169.24 321.64 142.95 321.64 142.95 112.75 112.75 299.01 132.89 132.89 132.89 107.11 321.64 142.95 321.64 142.95 112.75 112.75 112.75 90.00 per visit 166.00 per visit 142.95 321.64 142.95 112.75 142.95 142.95 142.95 112.75 142.95 299.03 112.75 321.64 142.95 149.00 per visit 142.95 112.75 149.00 per visit 112.75 112.75 142.95 321.64 142.95 321.64 142.95 101.48 354505070 434 97167 GO OT EVAL HIGH COMPLEX 60 MIN 510.92 510.92 357.64 101.48 128.54 112.75 321.64 142.95 321.64 142.95 112.75 112.75 131.00 per visit 112.75 142.95 112.75 321.64 142.95 321.64 112.75 135.39 169.24 321.64 142.95 321.64 142.95 112.75 112.75 299.01 132.89 132.89 132.89 107.11 321.64 142.95 321.64 142.95 112.75 112.75 112.75 90.00 per visit 166.00 per visit 142.95 321.64 142.95 112.75 142.95 142.95 142.95 112.75 142.95 357.64 112.75 321.64 142.95 149.00 per visit 142.95 112.75 149.00 per visit 112.75 112.75 142.95 321.64 142.95 321.64 142.95 101.48 354505071 434 97168 GO OT RE-EVAL EST PLAN CARE 224.72 224.72 321.64 70.52 89.32 78.35 321.64 142.95 321.64 142.95 78.35 78.35 131.00 per visit 78.35 142.95 78.35 321.64 142.95 321.64 78.35 94.08 117.60 321.64 142.95 321.64 142.95 78.35 78.35 299.01 132.89 132.89 132.89 74.43 321.64 142.95 321.64 142.95 78.35 78.35 78.35 59.00 per visit 166.00 per visit 142.95 321.64 142.95 78.35 142.95 142.95 142.95 78.35 142.95 157.30 78.35 321.64 142.95 149.00 per visit 142.95 78.35 149.00 per visit 78.35 78.35 142.95 321.64 142.95 321.64 142.95 70.52 430000009 430 97530 GO OT FLUIDOTHERAPY EA 15 MIN 10.60 10.60 172.70 7.42 47.04 41.26 172.70 76.76 172.70 76.76 41.26 41.26 131.00 per visit 41.26 76.76 41.26 172.70 76.76 172.70 41.26 49.55 61.93 172.70 76.76 172.70 76.76 41.26 41.26 160.55 71.36 71.36 71.36 39.20 172.70 76.76 172.70 76.76 41.26 41.26 41.26 50.00 per visit 166.00 per visit 76.76 172.70 76.76 41.26 76.76 76.76 76.76 41.26 76.76 7.42 41.26 172.70 76.76 149.00 per visit 76.76 41.26 149.00 per visit 41.26 41.26 76.76 172.70 76.76 172.70 76.76 37.13 430000014 430 97530 GO OT THERAP ACTIVITIES 1 ON 1-15 126.14 126.14 172.70 37.13 47.04 41.26 172.70 76.76 172.70 76.76 41.26 41.26 131.00 per visit 41.26 76.76 41.26 172.70 76.76 172.70 41.26 49.55 61.93 172.70 76.76 172.70 76.76 41.26 41.26 160.55 71.36 71.36 71.36 39.20 172.70 76.76 172.70 76.76 41.26 41.26 41.26 50.00 per visit 166.00 per visit 76.76 172.70 76.76 41.26 76.76 76.76 76.76 41.26 76.76 88.30 41.26 172.70 76.76 149.00 per visit 76.76 41.26 149.00 per visit 41.26 41.26 76.76 172.70 76.76 172.70 76.76 37.13 420000025 420 97530 GP PT THERAP ACTIVITIES 1 ON 1-15 126.14 126.14 172.70 37.13 47.04 41.26 172.70 76.76 172.70 76.76 41.26 41.26 131.00 per visit 41.26 76.76 41.26 172.70 76.76 172.70 41.26 49.55 61.93 172.70 76.76 172.70 76.76 41.26 41.26 160.55 71.36 71.36 71.36 39.20 172.70 76.76 172.70 76.76 41.26 41.26 41.26 50.00 per visit 166.00 per visit 76.76 172.70 76.76 41.26 76.76 76.76 76.76 41.26 76.76 88.30 41.26 172.70 76.76 149.00 per visit 76.76 41.26 149.00 per visit 41.26 41.26 76.76 172.70 76.76 172.70 76.76 37.13 430000008 430 97535 GO OT ADL TRAINING EA 15 MIN 95.40 95.40 166.00 25.31 41.63 36.52 61.25 27.22 61.25 27.22 36.52 36.52 131.00 per visit 36.52 27.22 36.52 61.25 27.22 61.25 36.52 43.85 54.82 61.25 27.22 61.25 27.22 36.52 36.52 56.94 25.31 25.31 25.31 34.69 61.25 27.22 61.25 27.22 36.52 36.52 36.52 50.00 per visit 166.00 per visit 27.22 61.25 27.22 36.52 27.22 27.22 27.22 36.52 27.22 66.78 36.52 61.25 27.22 149.00 per visit 27.22 36.52 149.00 per visit 36.52 36.52 27.22 61.25 27.22 61.25 27.22 32.87 420000026 420 97535 GP PT SELF CARE MGMT TRAINING 15 126.14 126.14 166.00 25.31 41.63 36.52 61.25 27.22 61.25 27.22 36.52 36.52 131.00 per visit 36.52 27.22 36.52 61.25 27.22 61.25 36.52 43.85 54.82 61.25 27.22 61.25 27.22 36.52 36.52 56.94 25.31 25.31 25.31 34.69 61.25 27.22 61.25 27.22 36.52 36.52 36.52 50.00 per visit 166.00 per visit 27.22 61.25 27.22 36.52 27.22 27.22 27.22 36.52 27.22 88.30 36.52 61.25 27.22 149.00 per visit 27.22 36.52 149.00 per visit 36.52 36.52 27.22 61.25 27.22 61.25 27.22 32.87 430000020 430 97537 GO OT COMMUN INTERGRAT EA 15 MIN 81.62 81.62 172.70 31.70 40.15 35.22 172.70 76.76 172.70 76.76 35.22 35.22 131.00 per visit 35.22 76.76 35.22 172.70 76.76 172.70 35.22 42.29 52.87 172.70 76.76 172.70 76.76 35.22 35.22 160.55 71.36 71.36 71.36 33.46 172.70 76.76 172.70 76.76 35.22 35.22 35.22 50.00 per visit 166.00 per visit 76.76 172.70 76.76 35.22 76.76 76.76 76.76 35.22 76.76 57.13 35.22 172.70 76.76 149.00 per visit 76.76 35.22 149.00 per visit 35.22 35.22 76.76 172.70 76.76 172.70 76.76 31.70 420000029 420 97537 GP PT COMMUN INTERGRAT EA 15 MIN 81.62 81.62 172.70 31.70 40.15 35.22 172.70 76.76 172.70 76.76 35.22 35.22 131.00 per visit 35.22 76.76 35.22 172.70 76.76 172.70 35.22 42.29 52.87 172.70 76.76 172.70 76.76 35.22 35.22 160.55 71.36 71.36 71.36 33.46 172.70 76.76 172.70 76.76 35.22 35.22 35.22 50.00 per visit 166.00 per visit 76.76 172.70 76.76 35.22 76.76 76.76 76.76 35.22 76.76 57.13 35.22 172.70 76.76 149.00 per visit 76.76 35.22 149.00 per visit 35.22 35.22 76.76 172.70 76.76 172.70 76.76 31.70 430000021 430 97542 GO OT WHEELCHAIR MANAGT EA 15 MIN 82.68 82.68 172.70 31.70 40.15 35.22 172.70 76.76 172.70 76.76 35.22 35.22 131.00 per visit 35.22 76.76 35.22 172.70 76.76 172.70 35.22 42.29 52.87 172.70 76.76 172.70 76.76 35.22 35.22 160.55 71.36 71.36 71.36 33.46 172.70 76.76 172.70 76.76 35.22 35.22 35.22 33.69 per visit 166.00 per visit 76.76 172.70 76.76 35.22 76.76 76.76 76.76 35.22 76.76 57.88 35.22 172.70 76.76 149.00 per visit 76.76 35.22 149.00 per visit 35.22 35.22 76.76 172.70 76.76 172.70 76.76 31.70 420000030 420 97542 GP PT WHEELCHAIR MANAGT EA 15 MIN 82.68 82.68 172.70 31.70 40.15 35.22 172.70 76.76 172.70 76.76 35.22 35.22 131.00 per visit 35.22 76.76 35.22 172.70 76.76 172.70 35.22 42.29 52.87 172.70 76.76 172.70 76.76 35.22 35.22 160.55 71.36 71.36 71.36 33.46 172.70 76.76 172.70 76.76 35.22 35.22 35.22 33.69 per visit 166.00 per visit 76.76 172.70 76.76 35.22 76.76 76.76 76.76 35.22 76.76 57.88 35.22 172.70 76.76 149.00 per visit 76.76 35.22 149.00 per visit 35.22 35.22 76.76 172.70 76.76 172.70 76.76 31.70 430000022 430 97545 GO OT WORKHARDING INITIAL 2 HRS 1009.12 1009.12 706.38 0.00 604.46 0.00 61.25 27.22 61.25 27.22 0.00 0.00 131.00 per visit 0.00 27.22 0.00 61.25 27.22 61.25 0.00 0.00 0.00 61.25 27.22 61.25 27.22 0.00 0.00 56.94 25.31 25.31 25.31 0.00 61.25 27.22 61.25 27.22 0.00 0.00 0.00 50.00 per visit 166.00 per visit 27.22 61.25 27.22 0.00 27.22 27.22 27.22 0.00 27.22 706.38 0.00 61.25 27.22 149.00 per visit 27.22 0.00 149.00 per visit 0.00 0.00 27.22 61.25 27.22 61.25 27.22 0.00 420000031 420 97545 GP PT WORKHARDING INITIAL 2 HRS 67.84 67.84 166.00 0.00 40.64 0.00 61.25 27.22 61.25 27.22 0.00 0.00 131.00 per visit 0.00 27.22 0.00 61.25 27.22 61.25 0.00 0.00 0.00 61.25 27.22 61.25 27.22 0.00 0.00 56.94 25.31 25.31 25.31 0.00 61.25 27.22 61.25 27.22 0.00 0.00 0.00 50.00 per visit 166.00 per visit 27.22 61.25 27.22 0.00 27.22 27.22 27.22 0.00 27.22 47.49 0.00 61.25 27.22 149.00 per visit 27.22 0.00 149.00 per visit 0.00 0.00 27.22 61.25 27.22 61.25 27.22 0.00 450000598 450 97597 SLCTV WND DEBRIDEM 20CM OR< 646.60 646.60 1441.00 34.50 625.00 case rate 231.51 1194.00 530.67 1194.00 530.67 231.51 231.51 452.62 231.51 530.67 231.51 1194.00 530.67 1194.00 231.51 1153.00 case rate 1441.00 case rate 1194.00 530.67 1194.00 530.67 231.51 231.51 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 231.51 231.51 231.51 56.06 1085.00 per visit 530.67 1194.00 530.67 231.51 530.67 530.67 530.67 231.51 530.67 452.62 231.51 1194.00 530.67 775.00 per case 530.67 231.51 775.00 per case 231.51 231.51 530.67 1194.00 530.67 1194.00 530.67 34.50 510000396 761 97597 SLCT WND DEB 20 CM OR< 646.60 646.60 2810.00 0.00 22.96 231.51 1110.27 493.45 1110.27 493.45 231.51 231.51 2810.00 per visit 231.51 493.45 231.51 1110.27 493.45 1110.27 231.51 46.03 57.53 1110.27 493.45 1110.27 493.45 231.51 231.51 1032.15 458.73 458.73 458.73 36.41 1110.27 493.45 1110.27 493.45 231.51 231.51 231.51 56.06 549.61 493.45 1110.27 493.45 231.51 493.45 493.45 493.45 231.51 493.45 452.62 231.51 1110.27 493.45 0.00 493.45 231.51 0.00 231.51 231.51 493.45 1110.27 493.45 1110.27 493.45 34.50 510000397 510 97598 SLCT WND DEB 20 CM OR< ADDL 321.18 321.18 3366.07 0.00 0.00 0.00 3366.07 1496.03 3366.07 1496.03 0.00 0.00 0.00 0.00 "1,496.03" 0.00 3366.07 1496.03 3366.07 0.00 226.00 283.00 3366.07 1496.03 3366.07 1496.03 0.00 0.00 3129.24 1390.77 1390.77 1390.77 25.61 3366.07 1496.03 3366.07 1496.03 0.00 0.00 0.00 70.64 273.00 1496.03 3366.07 1496.03 0.00 1496.03 1496.03 1496.03 0.00 1496.03 224.83 0.00 3366.07 1496.03 142.00 per visit 1496.03 0.00 142.00 per visit 0.00 0.00 1496.03 3366.07 1496.03 3366.07 1496.03 24.26 510000255 510 97602 NON-SELECTIVE DEBRIDMENT FR WO 646.60 646.60 1690.43 0.00 0.00 231.51 1690.43 751.30 1690.43 751.30 231.51 231.51 0.00 231.51 751.30 231.51 1690.43 751.30 1690.43 231.51 226.00 283.00 1690.43 751.30 1690.43 751.30 231.51 231.51 1571.49 698.44 698.44 698.44 219.94 1690.43 751.30 1690.43 751.30 231.51 231.51 231.51 153.12 549.61 751.30 1690.43 751.30 231.51 751.30 751.30 751.30 231.51 751.30 452.62 231.51 1690.43 751.30 142.00 per visit 751.30 231.51 142.00 per visit 231.51 231.51 751.30 1690.43 751.30 1690.43 751.30 208.36 450000583 761 97605 NEG PRESS WND THER50CM 1188.26 1188.26 1690.43 0.00 0.00 461.11 1690.43 751.30 1690.43 751.30 461.11 461.11 0.00 461.11 751.30 461.11 1690.43 751.30 1690.43 461.11 226.00 283.00 1690.43 751.30 1690.43 751.30 461.11 461.11 1571.49 698.44 698.44 698.44 27.03 1690.43 751.30 1690.43 751.30 461.11 461.11 461.11 67.01 1010.02 751.30 1690.43 751.30 461.11 751.30 751.30 751.30 461.11 751.30 831.78 461.11 1690.43 751.30 142.00 per visit 751.30 461.11 142.00 per visit 461.11 461.11 751.30 1690.43 751.30 1690.43 751.30 25.61 430000016 430 97750 GO OT PHYSICAL PERFORM. TEST 15 M 126.14 126.14 172.70 33.45 43.41 38.08 172.70 76.76 172.70 76.76 38.08 38.08 131.00 per visit 38.08 76.76 38.08 172.70 76.76 172.70 38.08 45.73 57.16 172.70 76.76 172.70 76.76 38.08 38.08 160.55 71.36 71.36 71.36 36.18 172.70 76.76 172.70 76.76 38.08 38.08 38.08 33.45 166.00 per visit 76.76 172.70 76.76 38.08 76.76 76.76 76.76 38.08 76.76 88.30 38.08 172.70 76.76 149.00 per visit 76.76 38.08 149.00 per visit 38.08 38.08 76.76 172.70 76.76 172.70 76.76 34.27 430000013 430 97760 GO OT ORTHOTIC FIT/TRAINING EA 15 126.14 126.14 172.70 33.00 61.46 53.91 172.70 76.76 172.70 76.76 53.91 53.91 131.00 per visit 53.91 76.76 53.91 172.70 76.76 172.70 53.91 64.74 80.92 172.70 76.76 172.70 76.76 53.91 53.91 160.55 71.36 71.36 71.36 51.21 172.70 76.76 172.70 76.76 53.91 53.91 53.91 33.00 166.00 per visit 76.76 172.70 76.76 53.91 76.76 76.76 76.76 53.91 76.76 88.30 53.91 172.70 76.76 149.00 per visit 76.76 53.91 149.00 per visit 53.91 53.91 76.76 172.70 76.76 172.70 76.76 48.52 420000023 420 97760 GP PT ORTHOTIC TRAINING EA 15 MIN 126.14 126.14 172.70 33.00 61.46 53.91 172.70 76.76 172.70 76.76 53.91 53.91 131.00 per visit 53.91 76.76 53.91 172.70 76.76 172.70 53.91 64.74 80.92 172.70 76.76 172.70 76.76 53.91 53.91 160.55 71.36 71.36 71.36 51.21 172.70 76.76 172.70 76.76 53.91 53.91 53.91 33.00 166.00 per visit 76.76 172.70 76.76 53.91 76.76 76.76 76.76 53.91 76.76 88.30 53.91 172.70 76.76 149.00 per visit 76.76 53.91 149.00 per visit 53.91 53.91 76.76 172.70 76.76 172.70 76.76 48.52 420000024 420 97761 GP PT PROSTHETIC TRAINING EA 15 M 126.14 126.14 172.70 30.00 53.43 46.87 172.70 76.76 172.70 76.76 46.87 46.87 131.00 per visit 46.87 76.76 46.87 172.70 76.76 172.70 46.87 56.28 70.35 172.70 76.76 172.70 76.76 46.87 46.87 160.55 71.36 71.36 71.36 44.53 172.70 76.76 172.70 76.76 46.87 46.87 46.87 30.00 166.00 per visit 76.76 172.70 76.76 46.87 76.76 76.76 76.76 46.87 76.76 88.30 46.87 172.70 76.76 149.00 per visit 76.76 46.87 149.00 per visit 46.87 46.87 76.76 172.70 76.76 172.70 76.76 42.18 354505074 430 97763 GO OT ORTHC/PROSTC MGMT SBSQ ENC 196.10 196.10 172.70 53.53 67.81 59.48 172.70 76.76 172.70 76.76 59.48 59.48 131.00 per visit 59.48 76.76 59.48 172.70 76.76 172.70 59.48 71.42 89.28 172.70 76.76 172.70 76.76 59.48 59.48 160.55 71.36 71.36 71.36 56.51 172.70 76.76 172.70 76.76 59.48 59.48 59.48 56.00 166.00 per visit 76.76 172.70 76.76 59.48 76.76 76.76 76.76 59.48 76.76 137.27 59.48 172.70 76.76 149.00 per visit 76.76 59.48 149.00 per visit 59.48 59.48 76.76 172.70 76.76 172.70 76.76 53.53 362020002 942 97802 INIT NUTRITION THERAPY EA 15MN 127.20 127.20 108.12 0.00 20.97 35.00 0.00 0.00 0.00 0.00 35.00 35.00 89.04 35.00 0.00 35.00 0.00 0.00 0.00 35.00 38.16 38.16 0.00 0.00 0.00 0.00 35.00 35.00 0.00 0.00 0.00 0.00 33.25 0.00 0.00 0.00 0.00 35.00 35.00 35.00 22.00 108.12 0.00 0.00 0.00 35.00 0.00 0.00 0.00 35.00 0.00 89.04 35.00 0.00 0.00 81.00 per visit 0.00 35.00 81.00 per visit 35.00 35.00 0.00 0.00 0.00 0.00 0.00 31.50 362002252 942 97802 95 TELMD INIT NUTRTN THRPY EA15M 127.20 127.20 108.12 0.00 20.97 35.00 0.00 0.00 0.00 0.00 35.00 35.00 89.04 35.00 0.00 35.00 0.00 0.00 0.00 35.00 38.16 38.16 0.00 0.00 0.00 0.00 35.00 35.00 0.00 0.00 0.00 0.00 33.25 0.00 0.00 0.00 0.00 35.00 35.00 35.00 22.00 108.12 0.00 0.00 0.00 35.00 0.00 0.00 0.00 35.00 0.00 89.04 35.00 0.00 0.00 81.00 per visit 0.00 35.00 81.00 per visit 35.00 35.00 0.00 0.00 0.00 0.00 0.00 31.50 362020003 942 97803 REASSESS NUTRTN THRPY EA 15MN 108.12 108.12 91.90 0.00 17.89 29.87 0.00 0.00 0.00 0.00 29.87 29.87 75.68 29.87 0.00 29.87 0.00 0.00 0.00 29.87 32.44 32.44 0.00 0.00 0.00 0.00 29.87 29.87 0.00 0.00 0.00 0.00 28.38 0.00 0.00 0.00 0.00 29.87 29.87 29.87 22.00 91.90 0.00 0.00 0.00 29.87 0.00 0.00 0.00 29.87 0.00 75.68 29.87 0.00 0.00 81.00 per visit 0.00 29.87 81.00 per visit 29.87 29.87 0.00 0.00 0.00 0.00 0.00 26.88 362002253 942 97803 95 TELMD REASS NUTRTN THRPY EA15M 108.12 108.12 91.90 0.00 17.89 29.87 0.00 0.00 0.00 0.00 29.87 29.87 75.68 29.87 0.00 29.87 0.00 0.00 0.00 29.87 32.44 32.44 0.00 0.00 0.00 0.00 29.87 29.87 0.00 0.00 0.00 0.00 28.38 0.00 0.00 0.00 0.00 29.87 29.87 29.87 22.00 91.90 0.00 0.00 0.00 29.87 0.00 0.00 0.00 29.87 0.00 75.68 29.87 0.00 0.00 81.00 per visit 0.00 29.87 81.00 per visit 29.87 29.87 0.00 0.00 0.00 0.00 0.00 26.88 362020004 942 97804 GRP NUTRITION THERAPY EA 30MN 61.48 61.48 81.00 0.00 10.19 17.02 0.00 0.00 0.00 0.00 17.02 17.02 43.04 17.02 0.00 17.02 0.00 0.00 0.00 17.02 18.44 18.44 0.00 0.00 0.00 0.00 17.02 17.02 0.00 0.00 0.00 0.00 16.17 0.00 0.00 0.00 0.00 17.02 17.02 17.02 9.00 52.26 0.00 0.00 0.00 17.02 0.00 0.00 0.00 17.02 0.00 43.04 17.02 0.00 0.00 81.00 per visit 0.00 17.02 81.00 per visit 17.02 17.02 0.00 0.00 0.00 0.00 0.00 15.32 362002296 530 98925 OSTEOPATH MANJ 1-2 BODY REGNS 106.00 106.00 90.10 14.92 14.92 30.00 61.25 27.22 61.25 27.22 30.00 30.00 74.20 30.00 27.22 30.00 61.25 27.22 61.25 30.00 31.80 31.80 61.25 27.22 61.25 27.22 30.00 30.00 56.94 25.31 25.31 25.31 23.66 61.25 27.22 61.25 27.22 30.00 30.00 30.00 35.00 90.10 27.22 61.25 27.22 30.00 27.22 27.22 27.22 30.00 27.22 74.20 30.00 61.25 27.22 30.00 27.22 30.00 30.00 30.00 30.00 27.22 61.25 27.22 61.25 27.22 22.42 362600435 942 98960 SELF-MGMT EDUC & TRAIN 1 PT G0108 111.30 111.30 94.61 0.00 36.12 0.00 45.45 20.20 45.45 20.20 0.00 0.00 77.91 0.00 20.20 0.00 45.45 20.20 45.45 0.00 33.39 33.39 45.45 20.20 45.45 20.20 0.00 0.00 0.00 0.00 0.00 0.00 57.29 45.45 20.20 45.45 20.20 0.00 0.00 0.00 25.00 94.61 20.20 45.45 20.20 0.00 20.20 20.20 20.20 0.00 20.20 77.91 0.00 45.45 20.20 81.00 per visit 20.20 0.00 81.00 per visit 0.00 0.00 20.20 45.45 20.20 45.45 20.20 54.27 362600436 942 98961 SELF-MGMT EDUC/TRAIN 2-4 PT G0109 54.06 54.06 81.00 0.00 10.43 0.00 25.00 11.11 25.00 11.11 0.00 0.00 37.84 0.00 11.11 0.00 25.00 11.11 25.00 0.00 16.22 16.22 25.00 11.11 25.00 11.11 0.00 0.00 0.00 0.00 0.00 0.00 16.54 25.00 11.11 25.00 11.11 0.00 0.00 0.00 13.75 45.95 11.11 25.00 11.11 0.00 11.11 11.11 11.11 0.00 11.11 37.84 0.00 25.00 11.11 81.00 per visit 11.11 0.00 81.00 per visit 0.00 0.00 11.11 25.00 11.11 25.00 11.11 15.67 362600437 942 98962 SELF-MGMT EDUC/TRAIN 5-8 PT G0109 40.28 40.28 81.00 0.00 10.43 0.00 25.00 11.11 25.00 11.11 0.00 0.00 28.20 0.00 11.11 0.00 25.00 11.11 25.00 0.00 12.08 12.08 25.00 11.11 25.00 11.11 0.00 0.00 0.00 0.00 0.00 0.00 16.54 25.00 11.11 25.00 11.11 0.00 0.00 0.00 13.75 34.24 11.11 25.00 11.11 0.00 11.11 11.11 11.11 0.00 11.11 28.20 0.00 25.00 11.11 81.00 per visit 11.11 0.00 81.00 per visit 0.00 0.00 11.11 25.00 11.11 25.00 11.11 15.67 362002254 510 98966 HC PRO PHONE CALL 5-10 MIN 269.24 269.24 444.20 0.00 0.00 12.33 444.20 197.42 444.20 197.42 12.33 12.33 0.00 12.33 197.42 12.33 444.20 197.42 444.20 12.33 226.00 283.00 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 142.00 per visit 197.42 12.33 142.00 per visit 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002257 914 98966 HC PRO PHONE CALL 5-10 MIN 269.24 269.24 444.20 11.10 161.27 12.33 444.20 197.42 444.20 197.42 12.33 12.33 188.47 12.33 197.42 12.33 444.20 197.42 444.20 12.33 80.77 80.77 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 12.33 197.42 12.33 12.33 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002260 914 98966 HC PRO PHONE CALL 5-10 MIN 269.24 269.24 444.20 11.10 161.27 12.33 444.20 197.42 444.20 197.42 12.33 12.33 188.47 12.33 197.42 12.33 444.20 197.42 444.20 12.33 80.77 80.77 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 12.33 197.42 12.33 12.33 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002272 510 98966 GT TELMD HC PRO PHON CLL 5-10MN 269.24 269.24 444.20 0.00 0.00 12.33 444.20 197.42 444.20 197.42 12.33 12.33 0.00 12.33 197.42 12.33 444.20 197.42 444.20 12.33 226.00 283.00 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 142.00 per visit 197.42 12.33 142.00 per visit 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002275 914 98966 GT TELMD HC PRO PHON CLL 5-10MN 269.24 269.24 444.20 11.10 161.27 12.33 444.20 197.42 444.20 197.42 12.33 12.33 188.47 12.33 197.42 12.33 444.20 197.42 444.20 12.33 80.77 80.77 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 12.33 197.42 12.33 12.33 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002278 914 98966 GT TELMD HC PRO PHON CLL 5-10MN 269.24 269.24 444.20 11.10 161.27 12.33 444.20 197.42 444.20 197.42 12.33 12.33 188.47 12.33 197.42 12.33 444.20 197.42 444.20 12.33 80.77 80.77 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 12.33 197.42 12.33 12.33 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002281 510 98966 GTU4 TLMD HC PRO PHON CLL 5-10MN LG 269.24 269.24 444.20 0.00 0.00 12.33 444.20 197.42 444.20 197.42 12.33 12.33 0.00 12.33 197.42 12.33 444.20 197.42 444.20 12.33 226.00 283.00 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 142.00 per visit 197.42 12.33 142.00 per visit 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002284 914 98966 GTU4 TLMD HC PRO PHON CLL 5-10MN LG 269.24 269.24 444.20 11.10 161.27 12.33 444.20 197.42 444.20 197.42 12.33 12.33 188.47 12.33 197.42 12.33 444.20 197.42 444.20 12.33 80.77 80.77 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 12.33 197.42 12.33 12.33 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002287 914 98966 GTU4 TLMD HC PRO PHON CLL 5-10MN LG 269.24 269.24 444.20 11.10 161.27 12.33 444.20 197.42 444.20 197.42 12.33 12.33 188.47 12.33 197.42 12.33 444.20 197.42 444.20 12.33 80.77 80.77 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 12.33 197.42 12.33 12.33 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002263 510 98966 U4 HC PRO PHONE CALL 5-10MIN LANG 269.24 269.24 444.20 0.00 0.00 12.33 444.20 197.42 444.20 197.42 12.33 12.33 0.00 12.33 197.42 12.33 444.20 197.42 444.20 12.33 226.00 283.00 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 142.00 per visit 197.42 12.33 142.00 per visit 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002266 914 98966 U4 HC PRO PHONE CALL 5-10MIN LANG 269.24 269.24 444.20 11.10 161.27 12.33 444.20 197.42 444.20 197.42 12.33 12.33 188.47 12.33 197.42 12.33 444.20 197.42 444.20 12.33 80.77 80.77 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 12.33 197.42 12.33 12.33 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002269 914 98966 U4 HC PRO PHONE CALL 5-10MIN LANG 269.24 269.24 444.20 11.10 161.27 12.33 444.20 197.42 444.20 197.42 12.33 12.33 188.47 12.33 197.42 12.33 444.20 197.42 444.20 12.33 80.77 80.77 444.20 197.42 444.20 197.42 12.33 12.33 412.94 183.53 183.53 183.53 11.71 444.20 197.42 444.20 197.42 12.33 12.33 12.33 188.47 228.85 197.42 444.20 197.42 12.33 197.42 197.42 197.42 12.33 197.42 188.47 12.33 444.20 197.42 12.33 197.42 12.33 12.33 12.33 12.33 197.42 444.20 197.42 444.20 197.42 11.10 362002255 510 98967 HC PRO PHONE CALL 11-20 MIN 309.52 309.52 444.20 0.00 0.00 23.87 444.20 197.42 444.20 197.42 23.87 23.87 0.00 23.87 197.42 23.87 444.20 197.42 444.20 23.87 226.00 283.00 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 142.00 per visit 197.42 23.87 142.00 per visit 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002258 914 98967 HC PRO PHONE CALL 11-20 MIN 309.52 309.52 444.20 21.48 185.40 23.87 444.20 197.42 444.20 197.42 23.87 23.87 216.66 23.87 197.42 23.87 444.20 197.42 444.20 23.87 92.86 92.86 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 23.87 197.42 23.87 23.87 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002261 914 98967 HC PRO PHONE CALL 11-20 MIN 309.52 309.52 444.20 21.48 185.40 23.87 444.20 197.42 444.20 197.42 23.87 23.87 216.66 23.87 197.42 23.87 444.20 197.42 444.20 23.87 92.86 92.86 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 23.87 197.42 23.87 23.87 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002273 510 98967 GT TELMD HC PRO PHON CLL 11-20MN 309.52 309.52 444.20 0.00 0.00 23.87 444.20 197.42 444.20 197.42 23.87 23.87 0.00 23.87 197.42 23.87 444.20 197.42 444.20 23.87 226.00 283.00 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 142.00 per visit 197.42 23.87 142.00 per visit 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002276 914 98967 GT TELMD HC PRO PHON CLL 11-20MN 309.52 309.52 444.20 21.48 185.40 23.87 444.20 197.42 444.20 197.42 23.87 23.87 216.66 23.87 197.42 23.87 444.20 197.42 444.20 23.87 92.86 92.86 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 23.87 197.42 23.87 23.87 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002279 914 98967 GT TELMD HC PRO PHON CLL 11-20MN 309.52 309.52 444.20 21.48 185.40 23.87 444.20 197.42 444.20 197.42 23.87 23.87 216.66 23.87 197.42 23.87 444.20 197.42 444.20 23.87 92.86 92.86 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 23.87 197.42 23.87 23.87 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002282 510 98967 GTU4 TLMD HC PRO PHON CLL 11-20M LG 309.52 309.52 444.20 0.00 0.00 23.87 444.20 197.42 444.20 197.42 23.87 23.87 0.00 23.87 197.42 23.87 444.20 197.42 444.20 23.87 226.00 283.00 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 142.00 per visit 197.42 23.87 142.00 per visit 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002285 914 98967 GTU4 TLMD HC PRO PHON CLL 11-20M LG 309.52 309.52 444.20 21.48 185.40 23.87 444.20 197.42 444.20 197.42 23.87 23.87 216.66 23.87 197.42 23.87 444.20 197.42 444.20 23.87 92.86 92.86 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 23.87 197.42 23.87 23.87 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002288 914 98967 GTU4 TLMD HC PRO PHON CLL 11-20M LG 309.52 309.52 444.20 21.48 185.40 23.87 444.20 197.42 444.20 197.42 23.87 23.87 216.66 23.87 197.42 23.87 444.20 197.42 444.20 23.87 92.86 92.86 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 23.87 197.42 23.87 23.87 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002264 510 98967 U4 HC PRO PHONE CALL 11-20MN LANG 309.52 309.52 444.20 0.00 0.00 23.87 444.20 197.42 444.20 197.42 23.87 23.87 0.00 23.87 197.42 23.87 444.20 197.42 444.20 23.87 226.00 283.00 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 142.00 per visit 197.42 23.87 142.00 per visit 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002267 914 98967 U4 HC PRO PHONE CALL 11-20MN LANG 309.52 309.52 444.20 21.48 185.40 23.87 444.20 197.42 444.20 197.42 23.87 23.87 216.66 23.87 197.42 23.87 444.20 197.42 444.20 23.87 92.86 92.86 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 23.87 197.42 23.87 23.87 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002270 914 98967 U4 HC PRO PHONE CALL 11-20MN LANG 309.52 309.52 444.20 21.48 185.40 23.87 444.20 197.42 444.20 197.42 23.87 23.87 216.66 23.87 197.42 23.87 444.20 197.42 444.20 23.87 92.86 92.86 444.20 197.42 444.20 197.42 23.87 23.87 412.94 183.53 183.53 183.53 22.68 444.20 197.42 444.20 197.42 23.87 23.87 23.87 216.66 263.09 197.42 444.20 197.42 23.87 197.42 197.42 197.42 23.87 197.42 216.66 23.87 444.20 197.42 23.87 197.42 23.87 23.87 23.87 23.87 197.42 444.20 197.42 444.20 197.42 21.48 362002256 510 98968 HC PRO PHONE CALL 21-30 MIN 342.38 342.38 291.02 0.00 0.00 32.98 0.00 0.00 0.00 0.00 32.98 32.98 0.00 32.98 0.00 32.98 0.00 0.00 0.00 32.98 226.00 283.00 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 142.00 per visit 0.00 32.98 142.00 per visit 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002259 914 98968 HC PRO PHONE CALL 21-30 MIN 342.38 342.38 291.02 0.00 205.09 32.98 0.00 0.00 0.00 0.00 32.98 32.98 239.67 32.98 0.00 32.98 0.00 0.00 0.00 32.98 102.71 102.71 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 32.98 0.00 32.98 32.98 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002262 914 98968 HC PRO PHONE CALL 21-30 MIN 342.38 342.38 291.02 0.00 205.09 32.98 0.00 0.00 0.00 0.00 32.98 32.98 239.67 32.98 0.00 32.98 0.00 0.00 0.00 32.98 102.71 102.71 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 32.98 0.00 32.98 32.98 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002274 510 98968 GT TELMD HC PRO PHON CLL 21-30MN 342.38 342.38 291.02 0.00 0.00 32.98 0.00 0.00 0.00 0.00 32.98 32.98 0.00 32.98 0.00 32.98 0.00 0.00 0.00 32.98 226.00 283.00 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 142.00 per visit 0.00 32.98 142.00 per visit 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002277 914 98968 GT TELMD HC PRO PHON CLL 21-30MN 342.38 342.38 291.02 0.00 205.09 32.98 0.00 0.00 0.00 0.00 32.98 32.98 239.67 32.98 0.00 32.98 0.00 0.00 0.00 32.98 102.71 102.71 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 32.98 0.00 32.98 32.98 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002280 914 98968 GT TELMD HC PRO PHON CLL 21-30MN 309.52 309.52 263.09 0.00 185.40 32.98 0.00 0.00 0.00 0.00 32.98 32.98 216.66 32.98 0.00 32.98 0.00 0.00 0.00 32.98 92.86 92.86 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 216.66 263.09 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 216.66 32.98 0.00 0.00 32.98 0.00 32.98 32.98 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002283 510 98968 GTU4 TLMD HC PRO PHON CLL 21-30M LG 342.38 342.38 291.02 0.00 0.00 32.98 0.00 0.00 0.00 0.00 32.98 32.98 0.00 32.98 0.00 32.98 0.00 0.00 0.00 32.98 226.00 283.00 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 142.00 per visit 0.00 32.98 142.00 per visit 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002286 914 98968 GTU4 TLMD HC PRO PHON CLL 21-30M LG 342.38 342.38 291.02 0.00 205.09 32.98 0.00 0.00 0.00 0.00 32.98 32.98 239.67 32.98 0.00 32.98 0.00 0.00 0.00 32.98 102.71 102.71 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 32.98 0.00 32.98 32.98 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002289 914 98968 GTU4 TLMD HC PRO PHON CLL 21-30M LG 342.38 342.38 291.02 0.00 205.09 32.98 0.00 0.00 0.00 0.00 32.98 32.98 239.67 32.98 0.00 32.98 0.00 0.00 0.00 32.98 102.71 102.71 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 32.98 0.00 32.98 32.98 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002265 510 98968 U4 HC PRO PHONE CALL 21-30MN LANG 342.38 342.38 291.02 0.00 0.00 32.98 0.00 0.00 0.00 0.00 32.98 32.98 0.00 32.98 0.00 32.98 0.00 0.00 0.00 32.98 226.00 283.00 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 142.00 per visit 0.00 32.98 142.00 per visit 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002268 914 98968 U4 HC PRO PHONE CALL 21-30MN LANG 342.38 342.38 291.02 0.00 205.09 32.98 0.00 0.00 0.00 0.00 32.98 32.98 239.67 32.98 0.00 32.98 0.00 0.00 0.00 32.98 102.71 102.71 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 32.98 0.00 32.98 32.98 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 362002271 914 98968 U4 HC PRO PHONE CALL 21-30MN LANG 342.38 342.38 291.02 0.00 205.09 32.98 0.00 0.00 0.00 0.00 32.98 32.98 239.67 32.98 0.00 32.98 0.00 0.00 0.00 32.98 102.71 102.71 0.00 0.00 0.00 0.00 32.98 32.98 0.00 0.00 0.00 0.00 31.33 0.00 0.00 0.00 0.00 32.98 32.98 32.98 239.67 291.02 0.00 0.00 0.00 32.98 0.00 0.00 0.00 32.98 0.00 239.67 32.98 0.00 0.00 32.98 0.00 32.98 32.98 32.98 32.98 0.00 0.00 0.00 0.00 0.00 29.68 363000015 919 99051 VISIT AFTER HOURS 78.44 78.44 66.67 0.00 0.00 0.00 33.70 14.98 33.70 14.98 0.00 0.00 54.91 54.91 14.98 0.00 33.70 14.98 33.70 54.91 23.53 23.53 33.70 14.98 33.70 14.98 0.00 0.00 31.32 13.92 13.92 13.92 0.00 33.70 14.98 33.70 14.98 0.00 0.00 0.00 54.91 66.67 14.98 33.70 14.98 0.00 14.98 14.98 14.98 0.00 14.98 54.91 0.00 33.70 14.98 0.00 14.98 0.00 0.00 0.00 0.00 14.98 33.70 14.98 33.70 14.98 0.00 510000019 510 99051 MEDICAL SERVICE EVE/WKEND/HOLI 78.44 78.44 283.00 0.00 0.00 0.00 33.70 14.98 33.70 14.98 0.00 0.00 0.00 54.91 14.98 0.00 33.70 14.98 33.70 54.91 226.00 283.00 33.70 14.98 33.70 14.98 0.00 0.00 31.32 13.92 13.92 13.92 0.00 33.70 14.98 33.70 14.98 0.00 0.00 0.00 54.91 66.67 14.98 33.70 14.98 0.00 14.98 14.98 14.98 0.00 14.98 54.91 0.00 33.70 14.98 142.00 per visit 14.98 0.00 142.00 per visit 0.00 0.00 14.98 33.70 14.98 33.70 14.98 0.00 919000002 919 99051 VISIT AFTER HOURS 78.44 78.44 66.67 0.00 0.00 0.00 33.70 14.98 33.70 14.98 0.00 0.00 54.91 54.91 14.98 0.00 33.70 14.98 33.70 54.91 23.53 23.53 33.70 14.98 33.70 14.98 0.00 0.00 31.32 13.92 13.92 13.92 0.00 33.70 14.98 33.70 14.98 0.00 0.00 0.00 54.91 66.67 14.98 33.70 14.98 0.00 14.98 14.98 14.98 0.00 14.98 54.91 0.00 33.70 14.98 0.00 14.98 0.00 0.00 0.00 0.00 14.98 33.70 14.98 33.70 14.98 0.00 363000016 919 99051 U4 VISIT AFTER HOURS/LANGUAGE 76.32 76.32 64.87 0.00 0.00 0.00 33.70 14.98 33.70 14.98 0.00 0.00 53.42 53.42 14.98 0.00 33.70 14.98 33.70 53.42 22.90 22.90 33.70 14.98 33.70 14.98 0.00 0.00 31.32 13.92 13.92 13.92 0.00 33.70 14.98 33.70 14.98 0.00 0.00 0.00 53.42 64.87 14.98 33.70 14.98 0.00 14.98 14.98 14.98 0.00 14.98 53.42 0.00 33.70 14.98 0.00 14.98 0.00 0.00 0.00 0.00 14.98 33.70 14.98 33.70 14.98 0.00 919000029 919 99051 U4 VISIT AFTER HOURS/LANGUAGE 86.92 86.92 73.88 0.00 0.00 0.00 33.70 14.98 33.70 14.98 0.00 0.00 60.84 60.84 14.98 0.00 33.70 14.98 33.70 60.84 26.08 26.08 33.70 14.98 33.70 14.98 0.00 0.00 31.32 13.92 13.92 13.92 0.00 33.70 14.98 33.70 14.98 0.00 0.00 0.00 60.84 73.88 14.98 33.70 14.98 0.00 14.98 14.98 14.98 0.00 14.98 60.84 0.00 33.70 14.98 0.00 14.98 0.00 0.00 0.00 0.00 14.98 33.70 14.98 33.70 14.98 0.00 362600510 942 99078 GROUP HLTH EDUCATN BY PHYS/QHP 265.00 265.00 225.25 0.00 158.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 185.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.50 79.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.00 225.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 185.50 0.00 0.00 0.00 81.00 per visit 0.00 0.00 81.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362020014 519 99173 VISUAL ACUITY SCREEN BILAT - QUAN 163.24 163.24 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 0.00 0.00 0.00 0.00 0.00 114.27 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 138.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 450000556 450 99173 SCREEN TEST OF VISUAL ACUITY 190.80 190.80 1441.00 0.00 625.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 133.56 0.00 0.00 0.00 0.00 0.00 133.56 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 1085.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 0.00 0.00 0.00 775.00 per case 0.00 0.00 775.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600380 770 99188 PEDS APP TOPICL FLUORIDE VRNSH 115.54 115.54 144.93 0.00 69.21 0.00 144.93 64.41 144.93 64.41 0.00 0.00 80.88 80.88 64.41 0.00 144.93 64.41 144.93 80.88 0.00 0.00 144.93 64.41 144.93 64.41 0.00 0.00 134.73 59.88 59.88 59.88 0.00 144.93 64.41 144.93 64.41 0.00 0.00 0.00 30.00 98.21 64.41 144.93 64.41 0.00 64.41 64.41 64.41 0.00 64.41 80.88 0.00 144.93 64.41 0.00 64.41 0.00 0.00 0.00 0.00 64.41 144.93 64.41 144.93 64.41 0.00 362000204 510 99202 ENDOCRN VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362000404 510 99202 ONCVISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362000604 510 99202 INFECTIOUS DIS VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362000804 510 99202 GASTRO VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362001004 510 99202 RHEUM CLINIC VISIT NEW PAT G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362001204 510 99202 NEPHRO VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362001404 510 99202 NEURO VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362001805 510 99202 HEMO VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002017 510 99202 IM VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002208 510 99202 PULM VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002437 510 99202 FP VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002603 510 99202 DERM VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002809 510 99202 CARD VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400104 510 99202 PODIATRY VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400303 510 99202 GEN SURG VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400518 510 99202 OPHTHAL VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400704 510 99202 BREAST VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400904 510 99202 UROLOGY VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362401109 510 99202 ENT VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362401304 510 99202 ORTHO VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362401504 510 99202 VASCULAR VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362500106 510 99202 OB-GYN VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600104 510 99202 PEDS NEURO VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600241 510 99202 PEDS VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600306 510 99202 PEDS CARD VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600341 510 99202 PEDS ENDO NEW PATIENT L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600361 510 99202 PEDS PULM NEW PATIENT L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 363005021 513 99202 OFFICE OP VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 364005021 513 99202 OFFICE OP VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 510000011 510 99202 CLINIC VISIT NEW PAT LEVEL 2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 510000245 510 99202 WC NEW PATIENT EXPANDED G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362000217 510 99202 25 ENDOCRN VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362000417 510 99202 25 ONC VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362000617 510 99202 25 INFECTIOUS DIS VISIT/WPROC NEW G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362000817 510 99202 25 GASTRO VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362001017 510 99202 25 RHEUM VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362001217 510 99202 25 NEPHRO VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362001417 510 99202 25 NEURO VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362001818 510 99202 25 HEMO VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002051 510 99202 25 IM VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002221 510 99202 25 PULM VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002471 510 99202 25 FP VISIT /WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002617 510 99202 25 DERM VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002823 510 99202 25 CARD VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400125 510 99202 25 PODIATRY VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400317 510 99202 25 GEN SURG VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400528 510 99202 25 OPHTHAL VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400717 510 99202 25 BREAST VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362400917 510 99202 25 UROLOGY VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362401122 510 99202 25 ENT VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362401323 510 99202 25 ORTHO VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362401517 510 99202 25 VASCULAR VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362500120 510 99202 25 OB-GYN VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600117 510 99202 25 PEDS NEURO VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600254 510 99202 25 PEDS VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600319 510 99202 25 PEDS CARD VISIT/WPROC NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600351 510 99202 25 PEDS ENDO NEW PATIENT/W PROCL2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600371 510 99202 25 PEDS PULM NEW PATIENT/W PROCL2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 363005041 513 99202 25 OFFICE OP VISIT NEW L2 - 25 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 364005041 513 99202 25 OFFICE OP VISIT NEW L2 - 25 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 510000360 510 99202 25 WC NEW PATIENT EXPANDED W/PROC G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600448 510 99202 25U4 OFF OP VISIT NEW L2 W/PRC LANG G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 363005068 513 99202 25U4 OFF OP VISIT NEW L2 W/PRC LANG G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 364005066 513 99202 25U4 OFF OP VISIT NEW L2 W/PRC LANG G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002167 510 99202 95 SYNC TELMED OFF OP VST NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002177 914 99202 95 SYNC TELMED OFF OP VST NEW L2 G0463 328.60 328.60 444.20 46.00 196.83 152.87 444.20 197.42 444.20 197.42 152.87 152.87 230.02 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002182 914 99202 95 SYNC TELMED OFF OP VST NEW L2 G0463 328.60 328.60 444.20 46.00 196.83 152.87 444.20 197.42 444.20 197.42 152.87 152.87 230.02 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002171 510 99202 95U4 SYNC TELMED OFOPVST NEWL2 LANG G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002187 914 99202 95U4 SYNC TELMED OFOPVST NEWL2 LANG G0463 328.60 328.60 444.20 46.00 196.83 152.87 444.20 197.42 444.20 197.42 152.87 152.87 230.02 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362002192 914 99202 95U4 SYNC TELMED OFOPVST NEWL2 LANG G0463 328.60 328.60 444.20 46.00 196.83 152.87 444.20 197.42 444.20 197.42 152.87 152.87 230.02 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 363005031 513 99202 HE OFFICE OP VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 364005031 513 99202 HE OFFICE OP VISIT NEW L2 G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362600439 510 99202 U4 OFFICE OP VISIT NEW L2 LANG G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 363005059 513 99202 U4 OFFICE OP VISIT NEW L2 LANG G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 364005057 513 99202 U4 OFFICE OP VISIT NEW L2 LANG G0463 328.60 328.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 49.31 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 279.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 230.02 152.87 444.20 197.42 51.91 197.42 152.87 51.91 152.87 152.87 197.42 444.20 197.42 444.20 197.42 46.72 362000205 510 99203 ENDOCRN VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362000405 510 99203 ONC VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362000605 510 99203 INFECTIOUS DIS VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362000805 510 99203 GASTRO VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362001005 510 99203 RHEUM CLINIC VISIT NEW PAT G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362001205 510 99203 NEPHRO VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362001405 510 99203 NEURO VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362001806 510 99203 HEMO VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002018 510 99203 IM VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002209 510 99203 PULM VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002438 510 99203 FP VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002604 510 99203 DERM VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002810 510 99203 CARD VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400105 510 99203 PODIATRY VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400304 510 99203 GEN SURG VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400519 510 99203 OPHTHAL VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400705 510 99203 BREAST VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400905 510 99203 UROLOGY VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362401110 510 99203 ENT VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362401305 510 99203 ORTHO VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362401505 510 99203 VASCULAR VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362500107 510 99203 OB-GYN VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600105 510 99203 PEDS NEURO VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600242 510 99203 PEDS VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600307 510 99203 PEDS CARD VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600342 510 99203 PEDS ENDO NEW PATIENT L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600362 510 99203 PEDS PULM NEW PATIENT L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 363005022 513 99203 OFFICE OP VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 364005022 513 99203 OFFICE OP VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 510000012 510 99203 CLINIC VISIT NEW PAT LEVEL 3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 761000015 510 99203 WC NEW PATIENT MODERATE G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362000218 510 99203 25 ENDOCRN VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362000418 510 99203 25 ONC VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362000618 510 99203 25 INFECTIOUS DIS VISIT/WPROC NEW G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362000818 510 99203 25 GASTRO VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362001018 510 99203 25 RHEUM VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362001218 510 99203 25 NEPHRO VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362001418 510 99203 25 NEURO VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362001819 510 99203 25 HEMO VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002052 510 99203 25 IM VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002222 510 99203 25 PULM VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002472 510 99203 25 FP VISIT /WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002618 510 99203 25 DERM VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002824 510 99203 25 CARD VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400126 510 99203 25 PODIATRY VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400318 510 99203 25 GEN SURG VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400529 510 99203 25 OPHTHAL VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400718 510 99203 25 BREAST VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362400918 510 99203 25 UROLOGY VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362401123 510 99203 25 ENT VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362401324 510 99203 25 ORTHO VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362401518 510 99203 25 VASCULAR VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362500121 510 99203 25 OB-GYN VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600118 510 99203 25 PEDS NEURO VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600255 510 99203 25 PEDS VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600320 510 99203 25 PEDS CARD VISIT/WPROC NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600352 510 99203 25 PEDS ENDO NEW PATIENT/W PROCL3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600372 510 99203 25 PEDS PULM NEW PATIENT/W PROCL3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 363005042 513 99203 25 OFFICE OP VISIT NEW L3 - 25 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 364005042 513 99203 25 OFFICE OP VISIT NEW L3 - 25 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 510000361 510 99203 25 WC NEW PATIENT MODERATE W/PROC G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600449 510 99203 25U4 OFF OP VISIT NEW L3 W/PRC LANG G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 363005069 513 99203 25U4 OFF OP VISIT NEW L3 W/PRC LANG G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 364005067 513 99203 25U4 OFF OP VISIT NEW L3 W/PRC LANG G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002168 510 99203 95 SYNC TELMED OFF OP VST NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002178 914 99203 95 SYNC TELMED OFF OP VST NEW L3 G0463 434.60 434.60 444.20 46.00 260.33 152.87 444.20 197.42 444.20 197.42 152.87 152.87 304.22 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002183 914 99203 95 SYNC TELMED OFF OP VST NEW L3 G0463 434.60 434.60 444.20 46.00 260.33 152.87 444.20 197.42 444.20 197.42 152.87 152.87 304.22 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002172 510 99203 95U4 SYNC TELMED OFOPVST NEWL3 LANG G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002188 914 99203 95U4 SYNC TELMED OFOPVST NEWL3 LANG G0463 434.60 434.60 444.20 46.00 260.33 152.87 444.20 197.42 444.20 197.42 152.87 152.87 304.22 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362002193 914 99203 95U4 SYNC TELMED OFOPVST NEWL3 LANG G0463 434.60 434.60 444.20 46.00 260.33 152.87 444.20 197.42 444.20 197.42 152.87 152.87 304.22 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 363005032 513 99203 HE OFFICE OP VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 364005032 513 99203 HE OFFICE OP VISIT NEW L3 G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362600440 510 99203 U4 OFFICE OP VISIT NEW L3 LANG G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 363005060 513 99203 U4 OFFICE OP VISIT NEW L3 LANG G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 364005058 513 99203 U4 OFFICE OP VISIT NEW L3 LANG G0463 434.60 434.60 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 85.56 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 369.41 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 304.22 152.87 444.20 197.42 90.06 197.42 152.87 90.06 152.87 152.87 197.42 444.20 197.42 444.20 197.42 81.05 362000206 510 99204 ENDOCRN VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362000406 510 99204 ONC VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362000606 510 99204 INFECTIOUS DIS VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362000806 510 99204 GASTRO VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362001006 510 99204 RHEUM CLINIC VISIT NEW PAT G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362001206 510 99204 NEPHRO VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362001406 510 99204 NEURO VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362001807 510 99204 HEMO VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002019 510 99204 IM VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002210 510 99204 PULM VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002439 510 99204 FP VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002605 510 99204 DERM VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002811 510 99204 CARD VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400106 510 99204 PODIATRY VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400305 510 99204 GEN SURG VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400520 510 99204 OPHTHAL VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400706 510 99204 BREAST VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400906 510 99204 UROLOGY VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362401111 510 99204 ENT VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362401306 510 99204 ORTHO VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362401506 510 99204 VASCULAR VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362500108 510 99204 OB-GYN VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600106 510 99204 PEDS NEURO VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600243 510 99204 PEDS VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600308 510 99204 PEDS CARD VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600343 510 99204 PEDS ENDO NEW PATIENT L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600363 510 99204 PEDS PULM NEW PATIENT L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 363005023 513 99204 OFFICE OP VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 364005023 513 99204 OFFICE OP VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 510000013 510 99204 CLINIC VISIT NEW PAT LEVEL 4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 510000247 510 99204 WC NEW PATIENT DETAILED G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362000219 510 99204 25 ENDOCRN VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362000419 510 99204 25 ONC VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362000619 510 99204 25 INFECTIOUS DIS VISIT/WPROC NEW G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362000820 510 99204 25 GASTRO VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362001019 510 99204 25 RHEUM VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362001219 510 99204 25 NEPHRO VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362001419 510 99204 25 NEURO VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362001820 510 99204 25 HEMO VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002053 510 99204 25 IM VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002223 510 99204 25 PULM VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002473 510 99204 25 FP VISIT /WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002619 510 99204 25 DERM VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002825 510 99204 25 CARD VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400127 510 99204 25 PODIATRY VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400319 510 99204 25 GEN SURG VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400530 510 99204 25 OPHTHAL VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400719 510 99204 25 BREAST VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362400919 510 99204 25 UROLOGY VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362401124 510 99204 25 ENT VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362401325 510 99204 25 ORTHO VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362401519 510 99204 25 VASCULAR VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362500122 510 99204 25 OB-GYN VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600119 510 99204 25 PEDS NEURO VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600256 510 99204 25 PEDS VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600321 510 99204 25 PEDS CARD VISIT/WPROC NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600353 510 99204 25 PEDS ENDO NEW PATIENT/W PROCL4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600373 510 99204 25 PEDS PULM NEW PATIENT/W PROCL4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 363005043 513 99204 25 OFFICE OP VISIT NEW L4 - 25 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 364005043 513 99204 25 OFFICE OP VISIT NEW L4 - 25 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 510000362 510 99204 25 WC NEW PATIENT DETAILED W/PROC G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600450 510 99204 25U4 OFF OP VISIT NEW L4 W/PRC LANG G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 363005070 513 99204 25U4 OFF OP VISIT NEW L4 W/PRC LANG G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 364005068 513 99204 25U4 OFF OP VISIT NEW L4 W/PRC LANG G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002169 510 99204 95 SYNC TELMED OFF OP VST NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002174 510 99204 95 SYNC TELMED OFF OP VST NEW L5 G0463 662.50 662.50 563.13 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 563.13 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 463.75 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002179 914 99204 95 SYNC TELMED OFF OP VST NEW L4 G0463 545.90 545.90 464.02 46.00 326.99 152.87 444.20 197.42 444.20 197.42 152.87 152.87 382.13 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002184 914 99204 95 SYNC TELMED OFF OP VST NEW L4 G0463 545.90 545.90 464.02 46.00 326.99 152.87 444.20 197.42 444.20 197.42 152.87 152.87 382.13 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002173 510 99204 95U4 SYNC TELMED OFOPVST NEWL4 LANG G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002175 510 99204 95U4 SYNC TELMED OFOPVST NEWL5 LANG G0463 662.50 662.50 563.13 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 563.13 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 463.75 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002189 914 99204 95U4 SYNC TELMED OFOPVST NEWL4 LANG G0463 545.90 545.90 464.02 46.00 326.99 152.87 444.20 197.42 444.20 197.42 152.87 152.87 382.13 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362002194 914 99204 95U4 SYNC TELMED OFOPVST NEWL4 LANG G0463 545.90 545.90 464.02 46.00 326.99 152.87 444.20 197.42 444.20 197.42 152.87 152.87 382.13 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 363005033 513 99204 HE OFFICE OP VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 364005033 513 99204 HE OFFICE OP VISIT NEW L4 G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362600441 510 99204 U4 OFFICE OP VISIT NEW L4 LANG G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 363005061 513 99204 U4 OFFICE OP VISIT NEW L4 LANG G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 364005059 513 99204 U4 OFFICE OP VISIT NEW L4 LANG G0463 545.90 545.90 464.02 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 139.05 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 464.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 382.13 152.87 444.20 197.42 146.37 197.42 152.87 146.37 152.87 152.87 197.42 444.20 197.42 444.20 197.42 131.73 362000207 510 99205 ENDOCRN VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362000407 510 99205 ONC VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362000607 510 99205 INFECTIOUS DIS VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362000807 510 99205 GASTRO VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362001007 510 99205 RHEUM CLINIC VISIT NEW PAT G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362001207 510 99205 NEPHRO VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362001407 510 99205 NEURO VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362001808 510 99205 HEMO VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002020 510 99205 IM VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002211 510 99205 PULM VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002440 510 99205 FP VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002606 510 99205 DERM VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002812 510 99205 CARD VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400107 510 99205 PODIATRY VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400306 510 99205 GEN SURG VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400521 510 99205 OPHTHAL VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400707 510 99205 BREAST VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400907 510 99205 UROLOGY VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362401112 510 99205 ENT VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362401307 510 99205 ORTHO VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362401507 510 99205 VASCULAR VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362500109 510 99205 OB-GYN VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600107 510 99205 PEDS NEURO VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600244 510 99205 PEDS VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600309 510 99205 PEDS CARD VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600344 510 99205 PEDS ENDO NEW PATIENT L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600364 510 99205 PEDS PULM NEW PATIENT L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 363005024 513 99205 OFFICE OP VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 364005024 513 99205 OFFICE OP VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 510000248 510 99205 WC NEW PATIENT COMPREHENSIVE G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362000220 510 99205 25 ENDOCRN VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362000420 510 99205 25 ONC VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362000620 510 99205 25 INFECTIOUS DIS VISIT/WPROC NEW G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362000821 510 99205 25 GASTRO VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362001020 510 99205 25 RHEUM VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362001220 510 99205 25 NEPHRO VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362001420 510 99205 25 NEURO VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362001821 510 99205 25 HEMO VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002054 510 99205 25 IM VISIT /WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002224 510 99205 25 PULM VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002474 510 99205 25 FP VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002620 510 99205 25 DERM VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002826 510 99205 25 CARD VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400128 510 99205 25 PODIATRY VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400320 510 99205 25 GEN SURG VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400531 510 99205 25 OPHTHAL VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400720 510 99205 25 BREAST VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362400920 510 99205 25 UROLOGY VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362401125 510 99205 25 ENT VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362401326 510 99205 25 ORTHO VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362401520 510 99205 25 VASCULAR VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362500123 510 99205 25 OB-GYN VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600120 510 99205 25 PEDS NEURO VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600257 510 99205 25 PEDS VISIT/WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600322 510 99205 25 PEDS CARD VISIT/ WPROC NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600354 510 99205 25 PEDS ENDO NEW PATIENT/W PROCL5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600374 510 99205 25 PEDS PULM NEW PATIENT/W PROCL5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 363005044 513 99205 25 OFFICE OP VISIT NEW L5 - 25 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 364005044 513 99205 25 OFFICE OP VISIT NEW L5 - 25 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 510000363 510 99205 25 WC NEW PATIENT COMPREH W/PROC G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600451 510 99205 25U4 OFF OP VISIT NEW L5 W/PRC LANG G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 363005071 513 99205 25U4 OFF OP VISIT NEW L5 W/PRC LANG G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 364005069 513 99205 25U4 OFF OP VISIT NEW L5 W/PRC LANG G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002180 914 99205 95 SYNC TELMED OFF OP VST NEW L5 G0463 662.50 662.50 563.13 46.00 396.84 152.87 444.20 197.42 444.20 197.42 152.87 152.87 463.75 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 563.13 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 463.75 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002185 914 99205 95 SYNC TELMED OFF OP VST NEW L5 G0463 662.50 662.50 563.13 46.00 396.84 152.87 444.20 197.42 444.20 197.42 152.87 152.87 463.75 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 563.13 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 463.75 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002190 914 99205 95U4 SYNC TELMED OFOPVST NEWL5 LANG G0463 662.50 662.50 563.13 46.00 396.84 152.87 444.20 197.42 444.20 197.42 152.87 152.87 463.75 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 563.13 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 463.75 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362002195 914 99205 95U4 SYNC TELMED OFOPVST NEWL5 LANG G0463 662.50 662.50 563.13 46.00 396.84 152.87 444.20 197.42 444.20 197.42 152.87 152.87 463.75 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 563.13 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 463.75 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 363005034 513 99205 HE OFFICE OP VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 364005034 513 99205 HE OFFICE OP VISIT NEW L5 G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 362600442 510 99205 U4 OFFICE OP VISIT NEW L5 LANG G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 363005062 513 99205 U4 OFFICE OP VISIT NEW L5 LANG G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 364005060 513 99205 U4 OFFICE OP VISIT NEW L5 LANG G0463 572.40 572.40 486.54 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 189.32 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 486.54 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 400.68 152.87 444.20 197.42 199.28 197.42 152.87 199.28 152.87 152.87 197.42 444.20 197.42 444.20 197.42 179.35 337000001 514 99211 OB NON-ED VISIT LEVEL 1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362000208 510 99211 ENDOCRN VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362000408 510 99211 ONC VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362000608 510 99211 INFECTIOUS DIS VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362000808 510 99211 GASTRO VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362001008 510 99211 RHEUM CLINIC VISIT ESTAB P G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362001208 510 99211 NEPHRO VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362001408 510 99211 NEURO VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362001809 510 99211 HEMO VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002021 510 99211 IM VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002212 510 99211 PULM VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002441 510 99211 FP VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002607 510 99211 DERM VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002813 510 99211 CARD VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400108 510 99211 PODIATRY VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400307 510 99211 GEN SURG VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400522 510 99211 OPHTHAL VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400708 510 99211 BREAST VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400908 510 99211 UROLOGY VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362401113 510 99211 ENT VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362401308 510 99211 ORTHO VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362401508 510 99211 VASCULAR VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362500110 510 99211 OB-GYN VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600108 510 99211 PEDS NEURO VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600245 510 99211 PEDS VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600310 510 99211 PEDS CARD VISIT ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600345 510 99211 PEDS ENDO EST PATIENT L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600365 510 99211 PEDS PULM EST PATIENT L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 363005025 513 99211 OFFICE OP VISIT EST L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 364005025 513 99211 OFFICE OP VISIT EST L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 510000014 510 99211 CLINIC VISIT ESTAB PAT LEVEL 1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 510000249 510 99211 WC EST PATIENT LIMITED G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 337000037 514 99211 25 OB NON ED VISIT W PROCED L 1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362000221 510 99211 25 ENDOCRN VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362000421 510 99211 25 ONC VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362000621 510 99211 25 INFECTIOUS DIS VISIT/WPROC EST G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362000822 510 99211 25 GASTRO VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362001021 510 99211 25 RHEUM VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362001221 510 99211 25 NEPHRO VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362001421 510 99211 25 NEURO VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362001822 510 99211 25 HEMO VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002055 510 99211 25 IM VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002225 510 99211 25 PULM VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002475 510 99211 25 FP VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002621 510 99211 25 DERM VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362002827 510 99211 25 CARD VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400129 510 99211 25 PODIATRY VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400321 510 99211 25 GEN SURG VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400532 510 99211 25 OPHTHAL VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400721 510 99211 25 BREAST VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362400921 510 99211 25 UROLOGY VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362401126 510 99211 25 ENT VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362401327 510 99211 25 ORTHO VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362401521 510 99211 25 VASCULAR VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362500124 510 99211 25 OB-GYN VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600121 510 99211 25 PEDS NEURO VISIT/WPROC ESTAB G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600258 510 99211 25 PEDS VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600323 510 99211 25 PEDS CARD VISIT/WPROC ESTAB L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600355 510 99211 25 PEDS ENDO EST PATIENT/W PROCL1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600375 510 99211 25 PEDS PULM EST PATIENT/W PROCL1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 363005045 513 99211 25 OFFICE OP VISIT EST L1 - 25 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 364005045 513 99211 25 OFFICE OP VISIT EST L1 - 25 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 510000364 510 99211 25 WC EST PATIENT LIMITED W/PROC G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600452 510 99211 25U4 OFF OP VISIT EST L1 W/PRC LANG G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 363005072 513 99211 25U4 OFF OP VISIT EST L1 W/PRC LANG G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 364005070 513 99211 25U4 OFF OP VISIT EST L1 W/PRC LANG G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 363005035 513 99211 HE OFFICE OP VISIT EST L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 364005035 513 99211 HE OFFICE OP VISIT EST L1 G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 362600443 510 99211 U4 OFFICE OP VISIT EST L1 LANG G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 363005063 513 99211 U4 OFFICE OP VISIT EST L1 LANG G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 364005061 513 99211 U4 OFFICE OP VISIT EST L1 LANG G0463 230.02 230.02 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 9.02 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 195.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 161.01 152.87 444.20 197.42 9.49 197.42 152.87 9.49 152.87 152.87 197.42 444.20 197.42 444.20 197.42 8.54 337000002 514 99212 OB NON-ED VISIT LEVEL 2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362000209 510 99212 ENDOCRN VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362000409 510 99212 ONC VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362000609 510 99212 INFECTIOUS DIS VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362000809 510 99212 GASTRO VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362001009 510 99212 RHEUM CLINIC VISIT ESTAB P G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362001209 510 99212 NEPHRO VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362001409 510 99212 NEURO VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362001810 510 99212 HEMO VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002022 510 99212 IM VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002213 510 99212 PULM VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002442 510 99212 FP VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002608 510 99212 DERM VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002814 510 99212 CARD VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400109 510 99212 PODIATRY VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400308 510 99212 GEN SURG VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400523 510 99212 OPHTHAL VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400709 510 99212 BREAST VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400909 510 99212 UROLOGY VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362401114 510 99212 ENT VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362401309 510 99212 ORTHO VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362401509 510 99212 VASCULAR VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362500111 510 99212 OB-GYN VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600109 510 99212 PEDS NEURO VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600246 510 99212 PEDS VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600311 510 99212 PEDS CARD VISIT ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600346 510 99212 PEDS ENDO EST PATIENT L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600366 510 99212 PEDS PULM EST PATIENT L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 363005026 513 99212 OFFICE OP VISIT EST L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 364005026 513 99212 OFFICE OP VISIT EST L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 510000015 510 99212 CLINIC VISIT ESTAB PAT LEVEL 2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 761000013 510 99212 WC EST PATIENT EXPANDED G0463 286.20 286.20 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 243.27 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 200.34 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 337000038 514 99212 25 OB NON ED VISIT W PROCED L 2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362000222 510 99212 25 ENDOCRN VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362000422 510 99212 25 ONC VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362000622 510 99212 25 INFECTIOUS DIS VISIT/WPROC EST G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362000823 510 99212 25 GASTRO VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362001022 510 99212 25 RHEUM VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362001222 510 99212 25 NEPHRO VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362001422 510 99212 25 NEURO VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362001823 510 99212 25 HEMO VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002056 510 99212 25 IM VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002226 510 99212 25 PULM VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002476 510 99212 25 FP VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002622 510 99212 25 DERM VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002828 510 99212 25 CARD VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400130 510 99212 25 PODIATRY VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400322 510 99212 25 GEN SURG VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400533 510 99212 25 OPHTHAL VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400722 510 99212 25 BREAST VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362400922 510 99212 25 UROLOGY VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362401127 510 99212 25 ENT VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362401328 510 99212 25 ORTHO VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362401522 510 99212 25 VASCULAR VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362500125 510 99212 25 OB-GYN VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600122 510 99212 25 PEDS NEURO VISIT/WPROC ESTAB G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600259 510 99212 25 PEDS VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600324 510 99212 25 PEDS CARD VISIT/WPROC ESTAB L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600356 510 99212 25 PEDS ENDO EST PATIENT/W PROCL2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600376 510 99212 25 PEDS PULM EST PATIENT/W PROCL2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 363005046 513 99212 25 OFFICE OP VISIT EST L2 - 25 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 364005046 513 99212 25 OFFICE OP VISIT EST L2 - 25 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 510000365 510 99212 25 WC EST PATIENT EXPANDED W/PROC G0463 286.20 286.20 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 243.27 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 200.34 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600453 510 99212 25U4 OFF OP VISIT EST L2 W/PRC LANG G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 363005073 513 99212 25U4 OFF OP VISIT EST L2 W/PRC LANG G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 364005071 513 99212 25U4 OFF OP VISIT EST L2 W/PRC LANG G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002074 914 99212 95 SYNC TELMED OFF OP VST EST L2 G0463 269.24 269.24 444.20 34.77 161.27 152.87 444.20 197.42 444.20 197.42 152.87 152.87 188.47 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002082 914 99212 95 SYNC TELMED OFF OP VST EST L2 G0463 269.24 269.24 444.20 34.77 161.27 152.87 444.20 197.42 444.20 197.42 152.87 152.87 188.47 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002090 510 99212 95 SYNC TELMED OFF OP VST EST L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002100 914 99212 95U4 SYNC TELMED OFOPVST ESTL2 LANG G0463 269.24 269.24 444.20 34.77 161.27 152.87 444.20 197.42 444.20 197.42 152.87 152.87 188.47 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002109 914 99212 95U4 SYNC TELMED OFOPVST ESTL2 LANG G0463 269.24 269.24 444.20 34.77 161.27 152.87 444.20 197.42 444.20 197.42 152.87 152.87 188.47 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362002118 510 99212 95U4 SYNC TELMED OFOPVST ESTL2 LANG G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 363005036 513 99212 HE OFFICE OP VISIT EST L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 364005036 513 99212 HE OFFICE OP VISIT EST L2 G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 362600444 510 99212 U4 OFFICE OP VISIT EST L2 LANG G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 363005064 513 99212 U4 OFFICE OP VISIT EST L2 LANG G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 364005062 513 99212 U4 OFFICE OP VISIT EST L2 LANG G0463 269.24 269.24 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 36.70 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 228.85 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 188.47 152.87 444.20 197.42 38.63 197.42 152.87 38.63 152.87 152.87 197.42 444.20 197.42 444.20 197.42 34.77 337000003 514 99213 OB NON-ED VISIT LEVEL 3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362000210 510 99213 ENDOCRN VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362000410 510 99213 ONC VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362000610 510 99213 INFECTIOUS DIS VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362000810 510 99213 GASTRO VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362001010 510 99213 RHEUM CLINIC VISIT ESTAB P G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362001210 510 99213 NEPHRO VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362001410 510 99213 NEURO VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362001811 510 99213 HEMO VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002023 510 99213 IM VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002214 510 99213 PULM VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002443 510 99213 FP VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002609 510 99213 DERM VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002815 510 99213 CARD VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400110 510 99213 PODIATRY VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400309 510 99213 GEN SURG VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400524 510 99213 OPHTHAL VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400710 510 99213 BREAST VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400910 510 99213 UROLOGY VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362401115 510 99213 ENT VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362401310 510 99213 ORTHO VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362401510 510 99213 VASCULAR VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362500112 510 99213 OB-GYN VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600110 510 99213 PEDS NEURO VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600247 510 99213 PEDS VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600312 510 99213 PEDS CARD VISIT ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600347 510 99213 PEDS ENDO EST PATIENT L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600367 510 99213 PEDS PULM EST PATIENT L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 363005027 513 99213 OFFICE OP VISIT EST L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 364005027 513 99213 OFFICE OP VISIT EST L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 510000016 510 99213 CLINIC VISIT ESTAB PAT LEVEL 3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 510000251 510 99213 WC EST PATIENT MODERATE G0463 398.56 398.56 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 338.78 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 278.99 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 337000039 514 99213 25 OB NON ED VISIT W PROCED L 3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362000223 510 99213 25 ENDOCRN VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362000423 510 99213 25 ONC VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362000623 510 99213 25 INFECTIOUS DIS VISIT/WPROC EST G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362000824 510 99213 25 GASTRO VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362001023 510 99213 25 RHEUM VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362001223 510 99213 25 NEPHRO VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362001423 510 99213 25 NEURO VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362001824 510 99213 25 HEMO VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002057 510 99213 25 IM VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002227 510 99213 25 PULM VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002477 510 99213 25 FP VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002623 510 99213 25 DERM VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002829 510 99213 25 CARD VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400131 510 99213 25 PODIATRY VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400323 510 99213 25 GEN SURG VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400534 510 99213 25 OPHTHAL VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400723 510 99213 25 BREAST VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362400923 510 99213 25 UROLOGY VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362401128 510 99213 25 ENT VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362401329 510 99213 25 ORTHO VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362401523 510 99213 25 VASCULAR VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362500126 510 99213 25 OB-GYN VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600123 510 99213 25 PEDS NEURO VISIT/WPROC ESTAB G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600260 510 99213 25 PEDS VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600325 510 99213 25 PEDS CARD VISIT/WPROC ESTAB L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600357 510 99213 25 PEDS ENDO EST PATIENT/W PROCL3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600377 510 99213 25 PEDS PULM EST PATIENT/W PROCL3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 363005047 513 99213 25 OFFICE OP VISIT EST L3 - 25 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 364005047 513 99213 25 OFFICE OP VISIT EST L3 - 25 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 510000366 510 99213 25 WC EST PATIENT MODERATE W/PROC G0463 398.56 398.56 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 338.78 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 278.99 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600454 510 99213 25U4 OFF OP VISIT EST L3 W/PRC LANG G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 363005074 513 99213 25U4 OFF OP VISIT EST L3 W/PRC LANG G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 364005072 513 99213 25U4 OFF OP VISIT EST L3 W/PRC LANG G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002075 914 99213 95 SYNC TELMED OFF OP VST EST L3 G0463 309.52 309.52 444.20 46.00 185.40 152.87 444.20 197.42 444.20 197.42 152.87 152.87 216.66 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002083 914 99213 95 SYNC TELMED OFF OP VST EST L3 G0463 309.52 309.52 444.20 46.00 185.40 152.87 444.20 197.42 444.20 197.42 152.87 152.87 216.66 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002091 510 99213 95 SYNC TELMED OFF OP VST EST L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002101 914 99213 95U4 SYNC TELMED OFOPVST ESTL3 LANG G0463 309.52 309.52 444.20 46.00 185.40 152.87 444.20 197.42 444.20 197.42 152.87 152.87 216.66 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002110 914 99213 95U4 SYNC TELMED OFOPVST ESTL3 LANG G0463 309.52 309.52 444.20 46.00 185.40 152.87 444.20 197.42 444.20 197.42 152.87 152.87 216.66 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362002119 510 99213 95U4 SYNC TELMED OFOPVST ESTL3 LANG G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 363005037 513 99213 HE OFFICE OP VISIT EST L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 364005037 513 99213 HE OFFICE OP VISIT EST L3 G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 362600445 510 99213 U4 OFFICE OP VISIT EST L3 LANG G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 363005065 513 99213 U4 OFFICE OP VISIT EST L3 LANG G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 364005063 513 99213 U4 OFFICE OP VISIT EST L3 LANG G0463 309.52 309.52 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 68.43 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 263.09 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 216.66 152.87 444.20 197.42 72.03 197.42 152.87 72.03 152.87 152.87 197.42 444.20 197.42 444.20 197.42 64.83 337000004 514 99214 OB NON-ED VISIT LEVEL 4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362000211 510 99214 ENDOCRN VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362000411 510 99214 ONC VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362000611 510 99214 INFECTIOUS DIS VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362000811 510 99214 GASTRO VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362001011 510 99214 RHEUM CLINIC VISIT ESTAB P G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362001211 510 99214 NEPHRO VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362001411 510 99214 NEURO VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362001812 510 99214 HEMO VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002024 510 99214 IM VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002215 510 99214 PULM VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002444 510 99214 FP VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002610 510 99214 DERM VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002816 510 99214 CARD VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362005028 513 99214 OFFICE OP VISIT EST L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400111 510 99214 PODIATRY VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400310 510 99214 GEN SURG VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400525 510 99214 OPHTHAL VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400711 510 99214 BREAST VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400911 510 99214 UROLOGY VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362401116 510 99214 ENT VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362401311 510 99214 ORTHO VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362401511 510 99214 VASCULAR VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362500113 510 99214 OB-GYN VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600111 510 99214 PEDS NEURO VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600248 510 99214 PEDS VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600313 510 99214 PEDS CARD VISIT ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600348 510 99214 PEDS ENDO EST PATIENT L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600368 510 99214 PEDS PULM EST PATIENT L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 364005028 513 99214 OFFICE OP VISIT EST L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 510000017 510 99214 CLINIC VISIT ESTAB PAT LEVEL 4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 510000252 510 99214 WC EST PATIENT DETAILED G0463 510.92 510.92 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 434.28 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 357.64 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 337000040 514 99214 25 OB NON ED VISIT W PROCED L 4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362000224 510 99214 25 ENDOCRN VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362000424 510 99214 25 ONC VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362000624 510 99214 25 INFECTIOUS DIS VISIT/WPROC EST G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362000825 510 99214 25 GASTRO VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362001024 510 99214 25 RHEUM VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362001224 510 99214 25 NEPHRO VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362001424 510 99214 25 NEURO VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362001825 510 99214 25 HEMO VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002058 510 99214 25 IM VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002228 510 99214 25 PULM VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002478 510 99214 25 FP VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002624 510 99214 25 DERM VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002830 510 99214 25 CARD VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400132 510 99214 25 PODIATRY VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400324 510 99214 25 GEN SURG VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400535 510 99214 25 OPHTHAL VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400724 510 99214 25 BREAST VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362400924 510 99214 25 UROLOGY VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362401129 510 99214 25 ENT VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362401330 510 99214 25 ORTHO VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362401524 510 99214 25 VASCULAR VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362500127 510 99214 25 OB-GYN VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600124 510 99214 25 PEDS NEURO VISIT/WPROC ESTAB L G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600261 510 99214 25 PEDS VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600326 510 99214 25 PEDS CARD VISIT/WPROC ESTAB L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600358 510 99214 25 PEDS ENDO EST PATIENT/W PROCL4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600378 510 99214 25 PEDS PULM EST PATIENT/W PROCL4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 363005048 513 99214 25 OFFICE OP VISIT EST L4 - 25 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 364005048 513 99214 25 OFFICE OP VISIT EST L4 - 25 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 510000367 510 99214 25 WC EST PATIENT DETAILED W/PROC G0463 510.92 510.92 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 434.28 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 357.64 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600455 510 99214 25U4 OFF OP VISIT EST L4 W/PRC LANG G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 363005075 513 99214 25U4 OFF OP VISIT EST L4 W/PRC LANG G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 364005073 513 99214 25U4 OFF OP VISIT EST L4 W/PRC LANG G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002076 914 99214 95 SYNC TELMED OFF OP VST EST L4 G0463 342.38 342.38 444.20 46.00 205.09 152.87 444.20 197.42 444.20 197.42 152.87 152.87 239.67 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002084 914 99214 95 SYNC TELMED OFF OP VST EST L4 G0463 342.38 342.38 444.20 46.00 205.09 152.87 444.20 197.42 444.20 197.42 152.87 152.87 239.67 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002092 510 99214 95 SYNC TELMED OFF OP VST EST L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002102 914 99214 95U4 SYNC TELMED OFOPVST ESTL4 LANG G0463 342.38 342.38 444.20 46.00 205.09 152.87 444.20 197.42 444.20 197.42 152.87 152.87 239.67 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002111 914 99214 95U4 SYNC TELMED OFOPVST ESTL4 LANG G0463 342.38 342.38 444.20 46.00 205.09 152.87 444.20 197.42 444.20 197.42 152.87 152.87 239.67 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362002120 510 99214 95U4 SYNC TELMED OFOPVST ESTL4 LANG G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 363005038 513 99214 HE OFFICE OP VISIT EST L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 364005038 513 99214 HE OFFICE OP VISIT EST L4 G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 362600446 510 99214 U4 OFFICE OP VISIT NEW L4 LANG G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 363005066 513 99214 U4 OFFICE OP VISIT EST L4 LANG G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 364005064 513 99214 U4 OFFICE OP VISIT EST L4 LANG G0463 342.38 342.38 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 291.02 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 239.67 152.87 444.20 197.42 106.13 197.42 152.87 106.13 152.87 152.87 197.42 444.20 197.42 444.20 197.42 95.52 337000005 514 99215 OB NON-ED VISIT LEVEL 4 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362000212 510 99215 ENDOCRN VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362000412 510 99215 ONC VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362000612 510 99215 INFECTIOUS DIS VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362000812 510 99215 GASTRO VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362001012 510 99215 RHEUM CLINIC VISIT ESTAB P G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362001212 510 99215 NEPHRO VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362001412 510 99215 NEURO VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362001813 510 99215 HEMO VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002025 510 99215 IM VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002216 510 99215 PULM VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002445 510 99215 FP VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002611 510 99215 DERM VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002817 510 99215 CARD VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400112 510 99215 PODIATRY VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400311 510 99215 GEN SURG VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400526 510 99215 OPHTHAL VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400712 510 99215 BREAST VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400912 510 99215 UROLOGY VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362401117 510 99215 ENT VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362401312 510 99215 ORTHO VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362401512 510 99215 VASCULAR VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362500114 510 99215 OB-GYN VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600112 510 99215 PEDS NEURO VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600249 510 99215 PEDS VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600314 510 99215 PEDS CARD VISIT ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600349 510 99215 PEDS ENDO EST PATIENT L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600369 510 99215 PEDS PULM EST PATIENT L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 363005029 513 99215 OFFICE OP VISIT EST L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 364005029 513 99215 OFFICE OP VISIT EST L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 510000298 510 99215 WC EST PATIENT COMPREHENSIVE G0463 1067.42 1067.42 907.31 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 907.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 747.19 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 337000041 514 99215 25 OB NON ED VISIT W PROCED L 5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362000225 510 99215 25 ENDOCRN VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362000425 510 99215 25 ONC VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362000625 510 99215 25 INFECTIOUS DIS VISIT/WPROC EST G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362000819 510 99215 25 GASTRO VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362001025 510 99215 25 RHEUM VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362001225 510 99215 25 NEPHRO VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362001425 510 99215 25 NEURO VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362001826 510 99215 25 HEMO VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002059 510 99215 25 IM VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002229 510 99215 25 PULM VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002479 510 99215 25 FP VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002625 510 99215 25 DERM VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002831 510 99215 25 CARD VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400133 510 99215 25 PODIATRY VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400325 510 99215 25 GEN SURG VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400536 510 99215 25 OPHTHAL VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400725 510 99215 25 BREAST VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362400925 510 99215 25 UROLOGY VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362401130 510 99215 25 ENT VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362401331 510 99215 25 ORTHO VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362401525 510 99215 25 VASCULAR VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362500128 510 99215 25 OB-GYN VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600125 510 99215 25 PEDS NEURO VISIT/WPROC ESTAB L G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600262 510 99215 25 PEDS VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600327 510 99215 25 PEDS CARD VISIT/WPROC ESTAB L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600359 510 99215 25 PEDS ENDO EST PATIENT/W PROCL5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600379 510 99215 25 PEDS PULM EST PATIENT/W PROCL5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 363005049 513 99215 25 OFFICE OP VISIT EST L5 - 25 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 364005049 513 99215 25 OFFICE OP VISIT EST L5 - 25 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 510000368 510 99215 25 WC EST PATIENT COMPREH W/PROC G0463 1067.42 1067.42 907.31 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 907.31 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 747.19 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600456 510 99215 25U4 OFF OP VISIT EST L5 W/PRC LANG G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 363005076 513 99215 25U4 OFF OP VISIT EST L5 W/PRC LANG G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 364005074 513 99215 25U4 OFF OP VISIT EST L5 W/PRC LANG G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002077 914 99215 95 SYNC TELMED OFF OP VST EST L5 G0463 444.14 444.14 444.20 46.00 266.04 152.87 444.20 197.42 444.20 197.42 152.87 152.87 310.90 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002085 914 99215 95 SYNC TELMED OFF OP VST EST L5 G0463 444.14 444.14 444.20 46.00 266.04 152.87 444.20 197.42 444.20 197.42 152.87 152.87 310.90 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002093 510 99215 95 SYNC TELMED OFF OP VST EST L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002103 914 99215 95U4 SYNC TELMED OFOPVST ESTL5 LANG G0463 444.14 444.14 444.20 46.00 266.04 152.87 444.20 197.42 444.20 197.42 152.87 152.87 310.90 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002112 914 99215 95U4 SYNC TELMED OFOPVST ESTL5 LANG G0463 444.14 444.14 444.20 46.00 266.04 152.87 444.20 197.42 444.20 197.42 152.87 152.87 310.90 152.87 197.42 152.87 444.20 197.42 444.20 152.87 56.00 per diem 70.00 per diem 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362002121 510 99215 95U4 SYNC TELMED OFOPVST ESTL5 LANG G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 363005039 513 99215 HE OFFICE OP VISIT EST L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 364005039 513 99215 HE OFFICE OP VISIT EST L5 G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 362600447 510 99215 U4 OFFICE OP VISIT EST L5 LANG G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 226.00 283.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 142.00 per visit 197.42 152.87 142.00 per visit 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 363005067 513 99215 U4 OFFICE OP VISIT EST L5 LANG G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 364005065 513 99215 U4 OFFICE OP VISIT EST L5 LANG G0463 444.14 444.14 444.20 0.00 0.00 152.87 444.20 197.42 444.20 197.42 152.87 152.87 0.00 152.87 197.42 152.87 444.20 197.42 444.20 152.87 0.00 0.00 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 149.98 444.20 197.42 444.20 197.42 152.87 152.87 152.87 46.00 377.52 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 310.90 152.87 444.20 197.42 157.87 197.42 152.87 157.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 142.08 337000006 450 99281 OB ED VISIT LEVEL 1 1359.98 1359.98 1441.00 11.88 625.00 case rate 102.67 477.70 212.31 477.70 212.31 102.67 102.67 610.00 per visit 102.67 212.31 102.67 477.70 212.31 477.70 102.67 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 102.67 102.67 444.11 197.38 197.38 197.38 11.88 477.70 212.31 477.70 212.31 102.67 102.67 102.67 18.00 1085.00 per visit 212.31 477.70 212.31 102.67 212.31 212.31 212.31 102.67 212.31 951.99 102.67 477.70 212.31 775.00 per case 212.31 102.67 775.00 per case 102.67 102.67 212.31 477.70 212.31 477.70 212.31 335.00 337001001 450 99281 OB ER VISIT NO CHRG/NOT SEEN 0.01 0.01 1441.00 0.01 625.00 case rate 102.67 477.70 212.31 477.70 212.31 102.67 102.67 610.00 per visit 102.67 212.31 102.67 477.70 212.31 477.70 102.67 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 102.67 102.67 444.11 197.38 197.38 197.38 11.88 477.70 212.31 477.70 212.31 102.67 102.67 102.67 18.00 1085.00 per visit 212.31 477.70 212.31 102.67 212.31 212.31 212.31 102.67 212.31 0.01 102.67 477.70 212.31 775.00 per case 212.31 102.67 775.00 per case 102.67 102.67 212.31 477.70 212.31 477.70 212.31 335.00 360005004 450 99281 ER VISIT NO CHRG/NOT SEEN 0.01 0.01 1441.00 0.01 625.00 case rate 102.67 477.70 212.31 477.70 212.31 102.67 102.67 610.00 per visit 102.67 212.31 102.67 477.70 212.31 477.70 102.67 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 102.67 102.67 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 102.67 102.67 102.67 18.00 1085.00 per visit 212.31 477.70 212.31 102.67 212.31 212.31 212.31 102.67 212.31 0.01 102.67 477.70 212.31 775.00 per case 212.31 102.67 775.00 per case 102.67 102.67 212.31 477.70 212.31 477.70 212.31 335.00 450000002 450 99281 EMERGENCY ROOM VISIT LEVEL 1 1359.98 1359.98 1441.00 18.00 625.00 case rate 102.67 477.70 212.31 477.70 212.31 102.67 102.67 610.00 per visit 102.67 212.31 102.67 477.70 212.31 477.70 102.67 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 102.67 102.67 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 102.67 102.67 102.67 18.00 1085.00 per visit 212.31 477.70 212.31 102.67 212.31 212.31 212.31 102.67 212.31 951.99 102.67 477.70 212.31 775.00 per case 212.31 102.67 775.00 per case 102.67 102.67 212.31 477.70 212.31 477.70 212.31 335.00 337000032 450 99281 25 OB ED VISIT W PROCED L 1 1474.46 1474.46 1441.00 11.88 625.00 case rate 102.67 477.70 212.31 477.70 212.31 102.67 102.67 610.00 per visit 102.67 212.31 102.67 477.70 212.31 477.70 102.67 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 102.67 102.67 444.11 197.38 197.38 197.38 11.88 477.70 212.31 477.70 212.31 102.67 102.67 102.67 18.00 1085.00 per visit 212.31 477.70 212.31 102.67 212.31 212.31 212.31 102.67 212.31 1032.12 102.67 477.70 212.31 775.00 per case 212.31 102.67 775.00 per case 102.67 102.67 212.31 477.70 212.31 477.70 212.31 335.00 337000007 450 99282 OB ED VISIT LEVEL 2 1528.52 1528.52 1441.00 30.00 625.00 case rate 189.13 477.70 212.31 477.70 212.31 189.13 189.13 610.00 per visit 189.13 212.31 189.13 477.70 212.31 477.70 189.13 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 189.13 189.13 444.11 197.38 197.38 197.38 43.17 477.70 212.31 477.70 212.31 189.13 189.13 189.13 30.00 1085.00 per visit 212.31 477.70 212.31 189.13 212.31 212.31 212.31 189.13 212.31 1069.96 189.13 477.70 212.31 775.00 per case 212.31 189.13 775.00 per case 189.13 189.13 212.31 477.70 212.31 477.70 212.31 335.00 450000003 450 99282 EMERGENCY ROOM VISIT LEVEL 2 1528.52 1528.52 1441.00 30.00 625.00 case rate 189.13 477.70 212.31 477.70 212.31 189.13 189.13 610.00 per visit 189.13 212.31 189.13 477.70 212.31 477.70 189.13 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 189.13 189.13 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 189.13 189.13 189.13 30.00 1085.00 per visit 212.31 477.70 212.31 189.13 212.31 212.31 212.31 189.13 212.31 1069.96 189.13 477.70 212.31 775.00 per case 212.31 189.13 775.00 per case 189.13 189.13 212.31 477.70 212.31 477.70 212.31 335.00 450000244 450 99282 OB ER VISIT LEVEL 2 1528.52 1528.52 1441.00 30.00 625.00 case rate 189.13 477.70 212.31 477.70 212.31 189.13 189.13 610.00 per visit 189.13 212.31 189.13 477.70 212.31 477.70 189.13 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 189.13 189.13 444.11 197.38 197.38 197.38 43.17 477.70 212.31 477.70 212.31 189.13 189.13 189.13 30.00 1085.00 per visit 212.31 477.70 212.31 189.13 212.31 212.31 212.31 189.13 212.31 1069.96 189.13 477.70 212.31 775.00 per case 212.31 189.13 775.00 per case 189.13 189.13 212.31 477.70 212.31 477.70 212.31 335.00 337000033 450 99282 25 OB ED VISIT W PROCED L 2 1692.82 1692.82 1441.00 30.00 625.00 case rate 189.13 477.70 212.31 477.70 212.31 189.13 189.13 610.00 per visit 189.13 212.31 189.13 477.70 212.31 477.70 189.13 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 189.13 189.13 444.11 197.38 197.38 197.38 43.17 477.70 212.31 477.70 212.31 189.13 189.13 189.13 30.00 1085.00 per visit 212.31 477.70 212.31 189.13 212.31 212.31 212.31 189.13 212.31 1184.97 189.13 477.70 212.31 775.00 per case 212.31 189.13 775.00 per case 189.13 189.13 212.31 477.70 212.31 477.70 212.31 335.00 337000008 450 99283 OB ED VISIT LEVEL 3 1746.88 1746.88 1441.00 66.00 625.00 case rate 329.94 477.70 212.31 477.70 212.31 329.94 329.94 705.00 per visit 329.94 212.31 329.94 477.70 212.31 477.70 329.94 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 329.94 329.94 444.11 197.38 197.38 197.38 73.38 477.70 212.31 477.70 212.31 329.94 329.94 329.94 66.00 1085.00 per visit 212.31 477.70 212.31 329.94 212.31 212.31 212.31 329.94 212.31 1222.82 329.94 477.70 212.31 775.00 per case 212.31 329.94 775.00 per case 329.94 329.94 212.31 477.70 212.31 477.70 212.31 335.00 450000004 450 99283 EMERGENCY ROOM VISIT LEVEL 3 1746.88 1746.88 1441.00 66.00 625.00 case rate 329.94 477.70 212.31 477.70 212.31 329.94 329.94 705.00 per visit 329.94 212.31 329.94 477.70 212.31 477.70 329.94 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 329.94 329.94 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 329.94 329.94 329.94 66.00 1085.00 per visit 212.31 477.70 212.31 329.94 212.31 212.31 212.31 329.94 212.31 1222.82 329.94 477.70 212.31 775.00 per case 212.31 329.94 775.00 per case 329.94 329.94 212.31 477.70 212.31 477.70 212.31 335.00 450000245 450 99283 OB ER VISIT LEVEL 3 1746.88 1746.88 1441.00 66.00 625.00 case rate 329.94 477.70 212.31 477.70 212.31 329.94 329.94 705.00 per visit 329.94 212.31 329.94 477.70 212.31 477.70 329.94 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 329.94 329.94 444.11 197.38 197.38 197.38 73.38 477.70 212.31 477.70 212.31 329.94 329.94 329.94 66.00 1085.00 per visit 212.31 477.70 212.31 329.94 212.31 212.31 212.31 329.94 212.31 1222.82 329.94 477.70 212.31 775.00 per case 212.31 329.94 775.00 per case 329.94 329.94 212.31 477.70 212.31 477.70 212.31 335.00 337000034 450 99283 25 OB ED VISIT W PROCED L 3 1911.18 1911.18 1441.00 66.00 625.00 case rate 329.94 477.70 212.31 477.70 212.31 329.94 329.94 705.00 per visit 329.94 212.31 329.94 477.70 212.31 477.70 329.94 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 329.94 329.94 444.11 197.38 197.38 197.38 73.38 477.70 212.31 477.70 212.31 329.94 329.94 329.94 66.00 1085.00 per visit 212.31 477.70 212.31 329.94 212.31 212.31 212.31 329.94 212.31 1337.83 329.94 477.70 212.31 775.00 per case 212.31 329.94 775.00 per case 329.94 329.94 212.31 477.70 212.31 477.70 212.31 335.00 337000009 450 99284 OB ED VISIT LEVEL 4 1965.24 1965.24 1441.00 104.00 625.00 case rate 512.18 477.70 212.31 477.70 212.31 512.18 512.18 865.00 per visit 512.18 212.31 512.18 477.70 212.31 477.70 512.18 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 512.18 512.18 444.11 197.38 197.38 197.38 124.78 477.70 212.31 477.70 212.31 512.18 512.18 512.18 104.00 1085.00 per visit 212.31 477.70 212.31 512.18 212.31 212.31 212.31 512.18 212.31 1375.67 512.18 477.70 212.31 775.00 per case 212.31 512.18 775.00 per case 512.18 512.18 212.31 477.70 212.31 477.70 212.31 335.00 450000005 450 99284 EMERGENCY ROOM VISIT LEVEL 4 1965.24 1965.24 1441.00 104.00 625.00 case rate 512.18 477.70 212.31 477.70 212.31 512.18 512.18 865.00 per visit 512.18 212.31 512.18 477.70 212.31 477.70 512.18 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 512.18 512.18 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 512.18 512.18 512.18 104.00 1085.00 per visit 212.31 477.70 212.31 512.18 212.31 212.31 212.31 512.18 212.31 1375.67 512.18 477.70 212.31 775.00 per case 212.31 512.18 775.00 per case 512.18 512.18 212.31 477.70 212.31 477.70 212.31 335.00 450000008 450 99284 ER ADMIT 1965.24 1965.24 1441.00 104.00 625.00 case rate 512.18 477.70 212.31 477.70 212.31 512.18 512.18 865.00 per visit 512.18 212.31 512.18 477.70 212.31 477.70 512.18 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 512.18 512.18 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 512.18 512.18 512.18 104.00 1085.00 per visit 212.31 477.70 212.31 512.18 212.31 212.31 212.31 512.18 212.31 1375.67 512.18 477.70 212.31 775.00 per case 212.31 512.18 775.00 per case 512.18 512.18 212.31 477.70 212.31 477.70 212.31 335.00 450000246 450 99284 OB ER VISIT LEVEL 4 1965.24 1965.24 1441.00 104.00 625.00 case rate 512.18 477.70 212.31 477.70 212.31 512.18 512.18 865.00 per visit 512.18 212.31 512.18 477.70 212.31 477.70 512.18 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 512.18 512.18 444.11 197.38 197.38 197.38 124.78 477.70 212.31 477.70 212.31 512.18 512.18 512.18 104.00 1085.00 per visit 212.31 477.70 212.31 512.18 212.31 212.31 212.31 512.18 212.31 1375.67 512.18 477.70 212.31 775.00 per case 212.31 512.18 775.00 per case 512.18 512.18 212.31 477.70 212.31 477.70 212.31 335.00 337000035 450 99284 25 OB ED VISIT W PROCED L 4 2129.54 2129.54 1490.68 104.00 625.00 case rate 512.18 477.70 212.31 477.70 212.31 512.18 512.18 865.00 per visit 512.18 212.31 512.18 477.70 212.31 477.70 512.18 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 512.18 512.18 444.11 197.38 197.38 197.38 124.78 477.70 212.31 477.70 212.31 512.18 512.18 512.18 104.00 1085.00 per visit 212.31 477.70 212.31 512.18 212.31 212.31 212.31 512.18 212.31 1490.68 512.18 477.70 212.31 775.00 per case 212.31 512.18 775.00 per case 512.18 512.18 212.31 477.70 212.31 477.70 212.31 335.00 337000010 450 99285 OB ED VISIT LEVEL 5 2183.60 2183.60 1528.52 161.00 625.00 case rate 742.77 477.70 212.31 477.70 212.31 742.77 742.77 865.00 per visit 742.77 212.31 742.77 477.70 212.31 477.70 742.77 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 742.77 742.77 444.11 197.38 197.38 197.38 180.61 477.70 212.31 477.70 212.31 742.77 742.77 742.77 161.00 1085.00 per visit 212.31 477.70 212.31 742.77 212.31 212.31 212.31 742.77 212.31 1528.52 742.77 477.70 212.31 775.00 per case 212.31 742.77 775.00 per case 742.77 742.77 212.31 477.70 212.31 477.70 212.31 335.00 450000006 450 99285 EMERGENCY ROOM VISIT LEVEL 5 2183.60 2183.60 1528.52 161.00 625.00 case rate 742.77 477.70 212.31 477.70 212.31 742.77 742.77 865.00 per visit 742.77 212.31 742.77 477.70 212.31 477.70 742.77 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 742.77 742.77 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 742.77 742.77 742.77 161.00 1085.00 per visit 212.31 477.70 212.31 742.77 212.31 212.31 212.31 742.77 212.31 1528.52 742.77 477.70 212.31 775.00 per case 212.31 742.77 775.00 per case 742.77 742.77 212.31 477.70 212.31 477.70 212.31 335.00 450000247 450 99285 OB ER VISIT LEVEL 5 2183.60 2183.60 1528.52 161.00 625.00 case rate 742.77 477.70 212.31 477.70 212.31 742.77 742.77 865.00 per visit 742.77 212.31 742.77 477.70 212.31 477.70 742.77 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 742.77 742.77 444.11 197.38 197.38 197.38 180.61 477.70 212.31 477.70 212.31 742.77 742.77 742.77 161.00 1085.00 per visit 212.31 477.70 212.31 742.77 212.31 212.31 212.31 742.77 212.31 1528.52 742.77 477.70 212.31 775.00 per case 212.31 742.77 775.00 per case 742.77 742.77 212.31 477.70 212.31 477.70 212.31 335.00 337000036 450 99285 25 OB ED VISIT W PROCED L 5 2347.90 2347.90 1643.53 161.00 625.00 case rate 742.77 477.70 212.31 477.70 212.31 742.77 742.77 865.00 per visit 742.77 212.31 742.77 477.70 212.31 477.70 742.77 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 742.77 742.77 444.11 197.38 197.38 197.38 180.61 477.70 212.31 477.70 212.31 742.77 742.77 742.77 161.00 1085.00 per visit 212.31 477.70 212.31 742.77 212.31 212.31 212.31 742.77 212.31 1643.53 742.77 477.70 212.31 775.00 per case 212.31 742.77 775.00 per case 742.77 742.77 212.31 477.70 212.31 477.70 212.31 335.00 450000007 450 99291 ER VISIT CRITICAL CARE 1ST HOU 2809.00 2809.00 1966.30 197.38 625.00 case rate 1026.16 477.70 212.31 477.70 212.31 1026.16 1026.16 1218.00 per visit 1026.16 212.31 1026.16 477.70 212.31 477.70 1026.16 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 1026.16 1026.16 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 1026.16 1026.16 1026.16 233.00 1085.00 per visit 212.31 477.70 212.31 1026.16 212.31 212.31 212.31 1026.16 212.31 1966.30 1026.16 477.70 212.31 775.00 per case 212.31 1026.16 775.00 per case 1026.16 1026.16 212.31 477.70 212.31 477.70 212.31 335.00 450000573 450 99292 "CRITICAL CARE, ADDL 30 MIN" 1325.00 1325.00 1441.00 0.00 625.00 case rate 0.00 477.70 212.31 477.70 212.31 0.00 0.00 1218.00 per visit 0.00 212.31 0.00 477.70 212.31 477.70 0.00 1153.00 case rate 1441.00 case rate 477.70 212.31 477.70 212.31 0.00 0.00 444.11 165.00 per visit 197.38 165.00 per visit 225.00 per visit 477.70 212.31 477.70 212.31 0.00 0.00 0.00 120.00 1085.00 per visit 212.31 477.70 212.31 0.00 212.31 212.31 212.31 0.00 212.31 927.50 0.00 477.70 212.31 775.00 per case 212.31 0.00 775.00 per case 0.00 0.00 212.31 477.70 212.31 477.70 212.31 335.00 362002026 510 99381 IM PREV NEW INFANT G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 118.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002446 510 99381 FP PREV NEW INFANT G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 118.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600330 510 99381 PEDS PREV NEW INFANT G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 118.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002027 510 99382 IM PREV NEW 1-4 G0439 220.48 220.48 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 127.00 187.41 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 154.34 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002447 510 99382 FP PREV NEW 1-4 G0439 220.48 220.48 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 127.00 187.41 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 154.34 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600331 510 99382 PEDS PREV NEW 1-4 G0439 220.48 220.48 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 127.00 187.41 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 154.34 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002028 510 99383 IM PREV NEW 5-11 G0439 235.32 235.32 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 124.00 200.02 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 164.72 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002448 510 99383 FP PREV NEW 5-11 G0439 235.32 235.32 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 124.00 200.02 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 164.72 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600332 510 99383 PEDS PREV NEW 5-11 G0439 235.32 235.32 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 124.00 200.02 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 164.72 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002029 510 99384 IM PREV NEW 12-17 G0439 276.66 276.66 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 134.00 235.16 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 193.66 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002449 510 99384 FP PREV NEW 12-17 G0439 276.66 276.66 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 134.00 235.16 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 193.66 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600333 510 99384 PEDS PREV NEW 12-17 G0439 276.66 276.66 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 134.00 235.16 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 193.66 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002030 510 99385 IM PREV NEW 18-39 G0439 267.12 267.12 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 134.00 227.05 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 186.98 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002450 510 99385 FP PREV NEW 18-39 G0439 267.12 267.12 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 134.00 227.05 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 186.98 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600334 510 99385 PEDS PREV NEW 18-39 G0439 267.12 267.12 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 134.00 227.05 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 186.98 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002031 510 99386 IM PREV NEW 40-64 G0439 323.30 323.30 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 157.00 274.81 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 226.31 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002452 510 99386 FP PREV NEW 40-64 G0439 323.30 323.30 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 157.00 274.81 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 226.31 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002032 510 99387 IM PREV NEW 65 G0439 347.68 347.68 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 170.00 295.53 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 243.38 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002454 510 99387 FP PREV NEW 65 G0439 347.68 347.68 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 170.00 295.53 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 243.38 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002035 510 99391 IM PREV EST INFANT G0439 190.80 190.80 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 88.00 162.18 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 133.56 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002455 510 99391 FP PREV EST INFANT G0439 190.80 190.80 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 88.00 162.18 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 133.56 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600335 510 99391 PEDS PREV EST INFANT G0439 190.80 190.80 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 88.00 162.18 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 133.56 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002036 510 99392 IM PREV EST 1-4 G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 99.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002456 510 99392 FP PREV EST 1-4 G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 99.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600336 510 99392 PEDS PREV EST 1-4 G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 99.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002037 510 99393 IM PREV EST 5-11 G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 97.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002457 510 99393 FP PREV EST 5-11 G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 97.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600337 510 99393 PEDS PREV EST 5-11 G0439 208.82 208.82 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 97.00 177.50 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 146.17 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002038 510 99394 IM PREV EST 12-17 G0439 235.32 235.32 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 108.00 200.02 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 164.72 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002458 510 99394 FP PREV EST 12-17 G0439 235.32 235.32 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 108.00 200.02 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 164.72 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600338 510 99394 PEDS PREV EST 12-17 G0439 235.32 235.32 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 108.00 200.02 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 164.72 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002034 510 99395 IM PREV EST 18-39 G0439 240.62 240.62 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 109.00 204.53 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 168.43 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002451 510 99395 FP PREV EST 18-39 G0439 240.62 240.62 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 109.00 204.53 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 168.43 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600339 510 99395 PEDS PREV EST 18-39 G0439 240.62 240.62 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 109.00 204.53 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 168.43 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002033 510 99396 IM PREV EST 40-64 G0439 262.88 262.88 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 120.00 223.45 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 184.02 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002453 510 99396 FP PREV EST 40-64 G0439 262.88 262.88 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 120.00 223.45 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 184.02 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002039 510 99397 IM PREV EST 65 G0439 375.24 375.24 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 132.00 318.95 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 262.67 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362002459 510 99397 FP PREV EST 65 G0439 375.24 375.24 444.20 0.00 0.00 145.96 444.20 197.42 444.20 197.42 145.96 145.96 0.00 145.96 197.42 145.96 444.20 197.42 444.20 145.96 226.00 283.00 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 132.00 318.95 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 262.67 145.96 444.20 197.42 142.00 per visit 197.42 145.96 142.00 per visit 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 510000306 770 99401 PREV MED CNSL INDIV SPX 15 MIN 118.72 118.72 100.91 0.00 71.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.10 83.10 0.00 0.00 0.00 0.00 0.00 83.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.00 100.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362020023 770 99402 PREV MED CNSL INDIV SPX 30 MN 237.44 237.44 201.82 0.00 142.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.21 166.21 0.00 0.00 0.00 0.00 0.00 166.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600515 510 99403 PREV MED CNSL INDIV SPX 45 MN 356.16 356.16 302.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 249.31 0.00 0.00 0.00 0.00 0.00 249.31 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.00 302.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 249.31 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600516 510 99404 PREV MED CNSL INDIV SPX 60 MN 474.88 474.88 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 0.00 0.00 0.00 0.00 0.00 332.42 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.00 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002041 510 99406 IM TOBACCO CESSATN INTRM 3-10 116.60 116.60 283.00 0.00 0.00 33.18 124.51 55.34 124.51 55.34 33.18 33.18 0.00 33.18 55.34 33.18 124.51 55.34 124.51 33.18 226.00 283.00 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 12.21 124.51 55.34 124.51 55.34 33.18 33.18 33.18 15.00 99.11 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 81.62 33.18 124.51 55.34 142.00 per visit 55.34 33.18 142.00 per visit 33.18 33.18 55.34 124.51 55.34 124.51 55.34 11.57 362002461 510 99406 FP TOBACCO CESSATN INTRM 3-10 116.60 116.60 283.00 0.00 0.00 33.18 124.51 55.34 124.51 55.34 33.18 33.18 0.00 33.18 55.34 33.18 124.51 55.34 124.51 33.18 226.00 283.00 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 12.21 124.51 55.34 124.51 55.34 33.18 33.18 33.18 15.00 99.11 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 81.62 33.18 124.51 55.34 142.00 per visit 55.34 33.18 142.00 per visit 33.18 33.18 55.34 124.51 55.34 124.51 55.34 11.57 362002821 510 99406 CARD TOBACCO CESSATN INTRM 3-1 116.60 116.60 283.00 0.00 0.00 33.18 124.51 55.34 124.51 55.34 33.18 33.18 0.00 33.18 55.34 33.18 124.51 55.34 124.51 33.18 226.00 283.00 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 12.21 124.51 55.34 124.51 55.34 33.18 33.18 33.18 15.00 99.11 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 81.62 33.18 124.51 55.34 142.00 per visit 55.34 33.18 142.00 per visit 33.18 33.18 55.34 124.51 55.34 124.51 55.34 11.57 362500115 510 99406 OB TOBACCO CESSATN INTRM 3-10 116.60 116.60 283.00 0.00 0.00 33.18 124.51 55.34 124.51 55.34 33.18 33.18 0.00 33.18 55.34 33.18 124.51 55.34 124.51 33.18 226.00 283.00 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 12.21 124.51 55.34 124.51 55.34 33.18 33.18 33.18 15.00 99.11 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 81.62 33.18 124.51 55.34 142.00 per visit 55.34 33.18 142.00 per visit 33.18 33.18 55.34 124.51 55.34 124.51 55.34 11.57 362600504 942 99406 BEHAV CHNG SMOKING 3-10 MIN 121.90 121.90 124.51 7.70 7.70 33.18 124.51 55.34 124.51 55.34 33.18 33.18 85.33 33.18 55.34 33.18 124.51 55.34 124.51 33.18 36.57 36.57 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 12.21 124.51 55.34 124.51 55.34 33.18 33.18 33.18 15.00 103.62 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 85.33 33.18 124.51 55.34 81.00 per visit 55.34 33.18 81.00 per visit 33.18 33.18 55.34 124.51 55.34 124.51 55.34 11.57 362600505 942 99407 BEHAV CHNG SMOKING > 10 MIN 137.80 137.80 124.51 16.28 16.28 33.18 124.51 55.34 124.51 55.34 33.18 33.18 96.46 33.18 55.34 33.18 124.51 55.34 124.51 33.18 41.34 41.34 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 25.82 124.51 55.34 124.51 55.34 33.18 33.18 33.18 30.00 117.13 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 96.46 33.18 124.51 55.34 81.00 per visit 55.34 33.18 81.00 per visit 33.18 33.18 55.34 124.51 55.34 124.51 55.34 24.46 362600517 510 99411 PREV MED CNSL GROUP SPX 30 MN 318.00 318.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 0.00 0.00 0.00 0.00 0.00 222.60 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.00 270.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600518 510 99412 PREV MED CNSL GROUP SPX 60 MN 450.50 450.50 382.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.35 0.00 0.00 0.00 0.00 0.00 315.35 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.00 382.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.35 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002078 914 99441 PHONE E/M PHYS/QHP 5-10 MIN 269.24 269.24 444.20 0.00 161.27 0.00 444.20 197.42 444.20 197.42 0.00 0.00 188.47 188.47 197.42 0.00 444.20 197.42 444.20 188.47 80.77 80.77 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 38.15 197.42 0.00 38.15 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002086 914 99441 PHONE E/M PHYS/QHP 5-10 MIN 269.24 269.24 444.20 0.00 161.27 0.00 444.20 197.42 444.20 197.42 0.00 0.00 188.47 188.47 197.42 0.00 444.20 197.42 444.20 188.47 80.77 80.77 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 38.15 197.42 0.00 38.15 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002094 510 99441 PHONE E/M PHYS/QHP 5-10 MIN 269.24 269.24 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 188.47 197.42 0.00 444.20 197.42 444.20 188.47 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002234 510 99441 GT TELMD PHON E/M PHYS/QHP 5-10M 269.24 269.24 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 188.47 197.42 0.00 444.20 197.42 444.20 188.47 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002237 510 99441 GT TELMD PHON E/M PHYS/QHP 5-10M 269.24 269.24 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 188.47 197.42 0.00 444.20 197.42 444.20 188.47 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002240 510 99441 GT TELMD PHON E/M PHYS/QHP 5-10M 269.24 269.24 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 188.47 197.42 0.00 444.20 197.42 444.20 188.47 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002243 510 99441 GTU4 TLMD PHON E/M PHYS/QHP5-10MLG 269.24 269.24 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 188.47 197.42 0.00 444.20 197.42 444.20 188.47 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002246 510 99441 GTU4 TLMD PHON E/M PHYS/QHP5-10MLG 269.24 269.24 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 188.47 197.42 0.00 444.20 197.42 444.20 188.47 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002249 510 99441 GTU4 TLMD PHON E/M PHYS/QHP5-10MLG 269.24 269.24 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 188.47 197.42 0.00 444.20 197.42 444.20 188.47 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002104 914 99441 U4 PHON E/M PHYS/QHP 5-10MN LANG 269.24 269.24 444.20 0.00 161.27 0.00 444.20 197.42 444.20 197.42 0.00 0.00 188.47 188.47 197.42 0.00 444.20 197.42 444.20 188.47 80.77 80.77 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 38.15 197.42 0.00 38.15 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002113 914 99441 U4 PHON E/M PHYS/QHP 5-10MN LANG 269.24 269.24 444.20 0.00 161.27 0.00 444.20 197.42 444.20 197.42 0.00 0.00 188.47 188.47 197.42 0.00 444.20 197.42 444.20 188.47 80.77 80.77 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 38.15 197.42 0.00 38.15 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002122 510 99441 U4 PHON E/M PHYS/QHP 5-10MN LANG 269.24 269.24 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 188.47 197.42 0.00 444.20 197.42 444.20 188.47 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 36.24 444.20 197.42 444.20 197.42 0.00 0.00 0.00 16.00 228.85 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 188.47 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 34.34 362002079 914 99442 PHONE E/M PHYS/QHP 11-20 MIN 309.52 309.52 444.20 0.00 185.40 0.00 444.20 197.42 444.20 197.42 0.00 0.00 216.66 216.66 197.42 0.00 444.20 197.42 444.20 216.66 92.86 92.86 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 71.56 197.42 0.00 71.56 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002087 914 99442 PHONE E/M PHYS/QHP 11-20 MIN 309.52 309.52 444.20 0.00 185.40 0.00 444.20 197.42 444.20 197.42 0.00 0.00 216.66 216.66 197.42 0.00 444.20 197.42 444.20 216.66 92.86 92.86 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 71.56 197.42 0.00 71.56 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002095 510 99442 PHONE E/M PHYS/QHP 11-20 MIN 309.52 309.52 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 216.66 197.42 0.00 444.20 197.42 444.20 216.66 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002235 510 99442 GT TELMD PHON E/M PHYS/QHP 11-20M 309.52 309.52 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 216.66 197.42 0.00 444.20 197.42 444.20 216.66 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002238 510 99442 GT TELMD PHON E/M PHYS/QHP 11-20M 309.52 309.52 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 216.66 197.42 0.00 444.20 197.42 444.20 216.66 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002241 510 99442 GT TELMD PHON E/M PHYS/QHP 11-20M 309.52 309.52 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 216.66 197.42 0.00 444.20 197.42 444.20 216.66 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002244 510 99442 GTU4 TLMD PHON E/M PHYS/QHP11-20MLG 309.52 309.52 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 216.66 197.42 0.00 444.20 197.42 444.20 216.66 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002247 510 99442 GTU4 TLMD PHON E/M PHYS/QHP11-20MLG 309.52 309.52 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 216.66 197.42 0.00 444.20 197.42 444.20 216.66 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002250 510 99442 GTU4 TLMD PHON E/M PHYS/QHP11-20MLG 309.52 309.52 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 216.66 197.42 0.00 444.20 197.42 444.20 216.66 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002105 914 99442 U4 PHON E/M PHYS/QHP 11-20MN LANG 309.52 309.52 444.20 0.00 185.40 0.00 444.20 197.42 444.20 197.42 0.00 0.00 216.66 216.66 197.42 0.00 444.20 197.42 444.20 216.66 92.86 92.86 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 71.56 197.42 0.00 71.56 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002114 914 99442 U4 PHON E/M PHYS/QHP 11-20MN LANG 309.52 309.52 444.20 0.00 185.40 0.00 444.20 197.42 444.20 197.42 0.00 0.00 216.66 216.66 197.42 0.00 444.20 197.42 444.20 216.66 92.86 92.86 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 71.56 197.42 0.00 71.56 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002123 510 99442 U4 PHON E/M PHYS/QHP 11-20MN LANG 309.52 309.52 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 216.66 197.42 0.00 444.20 197.42 444.20 216.66 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 67.98 444.20 197.42 444.20 197.42 0.00 0.00 0.00 29.00 263.09 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 216.66 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 64.40 362002080 914 99443 PHONE E/M PHYS/QHP 21-30 MIN 342.38 342.38 444.20 0.00 205.09 0.00 444.20 197.42 444.20 197.42 0.00 0.00 239.67 239.67 197.42 0.00 444.20 197.42 444.20 239.67 102.71 102.71 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 106.13 197.42 0.00 106.13 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002088 914 99443 PHONE E/M PHYS/QHP 21-30 MIN 342.38 342.38 444.20 0.00 205.09 0.00 444.20 197.42 444.20 197.42 0.00 0.00 239.67 239.67 197.42 0.00 444.20 197.42 444.20 239.67 102.71 102.71 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 106.13 197.42 0.00 106.13 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002096 510 99443 PHONE E/M PHYS/QHP 21-30 MIN 342.38 342.38 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 239.67 197.42 0.00 444.20 197.42 444.20 239.67 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002236 510 99443 GT TELMD PHON E/M PHYS/QHP 21-30M 342.38 342.38 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 239.67 197.42 0.00 444.20 197.42 444.20 239.67 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002239 510 99443 GT TELMD PHON E/M PHYS/QHP 21-30M 342.38 342.38 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 239.67 197.42 0.00 444.20 197.42 444.20 239.67 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002242 510 99443 GT TELMD PHON E/M PHYS/QHP 21-30M 342.38 342.38 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 239.67 197.42 0.00 444.20 197.42 444.20 239.67 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002245 510 99443 GTU4 TLMD PHON E/M PHYS/QHP21-30MLG 342.38 342.38 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 239.67 197.42 0.00 444.20 197.42 444.20 239.67 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002248 510 99443 GTU4 TLMD PHON E/M PHYS/QHP21-30MLG 342.38 342.38 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 239.67 197.42 0.00 444.20 197.42 444.20 239.67 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002251 510 99443 GTU4 TLMD PHON E/M PHYS/QHP21-30MLG 342.38 342.38 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 239.67 197.42 0.00 444.20 197.42 444.20 239.67 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002106 914 99443 U4 PHON E/M PHYS/QHP 21-30MN LANG 342.38 342.38 444.20 0.00 205.09 0.00 444.20 197.42 444.20 197.42 0.00 0.00 239.67 239.67 197.42 0.00 444.20 197.42 444.20 239.67 102.71 102.71 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 106.13 197.42 0.00 106.13 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002115 914 99443 U4 PHON E/M PHYS/QHP 21-30MN LANG 342.38 342.38 444.20 0.00 205.09 0.00 444.20 197.42 444.20 197.42 0.00 0.00 239.67 239.67 197.42 0.00 444.20 197.42 444.20 239.67 102.71 102.71 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 106.13 197.42 0.00 106.13 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 362002124 510 99443 U4 PHON E/M PHYS/QHP 21-30MN LANG 342.38 342.38 444.20 0.00 0.00 0.00 444.20 197.42 444.20 197.42 0.00 0.00 0.00 239.67 197.42 0.00 444.20 197.42 444.20 239.67 226.00 283.00 444.20 197.42 444.20 197.42 0.00 0.00 412.94 183.53 183.53 183.53 100.82 444.20 197.42 444.20 197.42 0.00 0.00 0.00 47.00 291.02 197.42 444.20 197.42 0.00 197.42 197.42 197.42 0.00 197.42 239.67 0.00 444.20 197.42 142.00 per visit 197.42 0.00 142.00 per visit 0.00 0.00 197.42 444.20 197.42 444.20 197.42 95.52 720000015 720 99465 NEWBORN RESUSCITATION 1961.00 1961.00 1666.85 92.25 92.25 752.62 1494.50 664.22 1494.50 664.22 752.62 752.62 1372.70 752.62 664.22 752.62 1494.50 664.22 1494.50 752.62 184.94 231.17 1494.50 664.22 1494.50 664.22 752.62 752.62 1389.40 617.51 617.51 617.51 146.31 1494.50 664.22 1494.50 664.22 752.62 752.62 752.62 162.00 1666.85 664.22 1494.50 664.22 752.62 664.22 664.22 664.22 752.62 664.22 1372.70 752.62 1494.50 664.22 295.00 per visit 664.22 752.62 295.00 per visit 752.62 752.62 664.22 1494.50 664.22 1494.50 664.22 138.61 362600512 510 99487 CMPLX CHRNC CARE 1ST 60 MIN 556.50 556.50 473.03 0.00 0.00 184.37 0.00 0.00 0.00 0.00 184.37 184.37 0.00 184.37 0.00 184.37 0.00 0.00 0.00 184.37 226.00 283.00 0.00 0.00 0.00 0.00 184.37 184.37 0.00 0.00 0.00 0.00 93.30 0.00 0.00 0.00 0.00 184.37 184.37 184.37 107.00 473.03 0.00 0.00 0.00 184.37 0.00 0.00 0.00 184.37 0.00 389.55 184.37 0.00 0.00 142.00 per visit 0.00 184.37 142.00 per visit 184.37 184.37 0.00 0.00 0.00 0.00 0.00 88.39 362600513 510 99489 CMPLX CHRNC CARE EA ADDL 30 MN 265.00 265.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.00 225.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 185.50 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.19 362600511 510 99490 CHRNC CARE MGMT STAFF 1ST 20MN 289.38 289.38 283.00 0.00 0.00 103.08 0.00 0.00 0.00 0.00 103.08 103.08 0.00 103.08 0.00 103.08 0.00 0.00 0.00 103.08 226.00 283.00 0.00 0.00 0.00 0.00 103.08 103.08 0.00 0.00 0.00 0.00 51.93 0.00 0.00 0.00 0.00 103.08 103.08 103.08 49.00 245.97 0.00 0.00 0.00 103.08 0.00 0.00 0.00 103.08 0.00 202.57 103.08 0.00 0.00 142.00 per visit 0.00 103.08 142.00 per visit 103.08 103.08 0.00 0.00 0.00 0.00 0.00 49.19 362002066 900 99492 1ST PSYC COLLB CR MGT70MN YR1 302.10 302.10 256.79 0.00 180.96 103.08 0.00 0.00 0.00 0.00 103.08 103.08 211.47 103.08 0.00 103.08 0.00 0.00 0.00 103.08 90.63 90.63 0.00 0.00 0.00 0.00 103.08 103.08 0.00 0.00 0.00 0.00 97.11 0.00 0.00 0.00 0.00 103.08 103.08 103.08 184.00 256.79 0.00 0.00 0.00 103.08 0.00 0.00 0.00 103.08 0.00 211.47 103.08 0.00 0.00 103.08 0.00 103.08 103.08 103.08 103.08 0.00 0.00 0.00 0.00 0.00 92.00 362002070 900 99492 1ST PSYC COLLB CR MGT70MN YR2 302.10 302.10 256.79 0.00 180.96 103.08 0.00 0.00 0.00 0.00 103.08 103.08 211.47 103.08 0.00 103.08 0.00 0.00 0.00 103.08 90.63 90.63 0.00 0.00 0.00 0.00 103.08 103.08 0.00 0.00 0.00 0.00 97.11 0.00 0.00 0.00 0.00 103.08 103.08 103.08 184.00 256.79 0.00 0.00 0.00 103.08 0.00 0.00 0.00 103.08 0.00 211.47 103.08 0.00 0.00 103.08 0.00 103.08 103.08 103.08 103.08 0.00 0.00 0.00 0.00 0.00 92.00 362002162 900 99492 GT 1ST PSY COLB CR MGT70MN YR1 TM 302.10 302.10 256.79 0.00 180.96 103.08 0.00 0.00 0.00 0.00 103.08 103.08 211.47 103.08 0.00 103.08 0.00 0.00 0.00 103.08 90.63 90.63 0.00 0.00 0.00 0.00 103.08 103.08 0.00 0.00 0.00 0.00 97.11 0.00 0.00 0.00 0.00 103.08 103.08 103.08 184.00 256.79 0.00 0.00 0.00 103.08 0.00 0.00 0.00 103.08 0.00 211.47 103.08 0.00 0.00 103.08 0.00 103.08 103.08 103.08 103.08 0.00 0.00 0.00 0.00 0.00 92.00 362002067 900 99493 SBSQ PSYC COLLB CR MGT60MN YR1 302.10 302.10 256.79 0.00 180.96 184.37 0.00 0.00 0.00 0.00 184.37 184.37 211.47 184.37 0.00 184.37 0.00 0.00 0.00 184.37 90.63 90.63 0.00 0.00 0.00 0.00 184.37 184.37 0.00 0.00 0.00 0.00 106.25 0.00 0.00 0.00 0.00 184.37 184.37 184.37 147.00 256.79 0.00 0.00 0.00 184.37 0.00 0.00 0.00 184.37 0.00 211.47 184.37 0.00 0.00 184.37 0.00 184.37 184.37 184.37 184.37 0.00 0.00 0.00 0.00 0.00 100.66 362002071 900 99493 SBSQ PSYC COLLB CR MGT60MN YR2 302.10 302.10 256.79 0.00 180.96 184.37 0.00 0.00 0.00 0.00 184.37 184.37 211.47 184.37 0.00 184.37 0.00 0.00 0.00 184.37 90.63 90.63 0.00 0.00 0.00 0.00 184.37 184.37 0.00 0.00 0.00 0.00 106.25 0.00 0.00 0.00 0.00 184.37 184.37 184.37 147.00 256.79 0.00 0.00 0.00 184.37 0.00 0.00 0.00 184.37 0.00 211.47 184.37 0.00 0.00 184.37 0.00 184.37 184.37 184.37 184.37 0.00 0.00 0.00 0.00 0.00 100.66 362002163 900 99493 GT SBSQ PSY COLB CR MGT60MN Y1 TM 302.10 302.10 256.79 0.00 180.96 184.37 0.00 0.00 0.00 0.00 184.37 184.37 211.47 184.37 0.00 184.37 0.00 0.00 0.00 184.37 90.63 90.63 0.00 0.00 0.00 0.00 184.37 184.37 0.00 0.00 0.00 0.00 106.25 0.00 0.00 0.00 0.00 184.37 184.37 184.37 147.00 256.79 0.00 0.00 0.00 184.37 0.00 0.00 0.00 184.37 0.00 211.47 184.37 0.00 0.00 184.37 0.00 184.37 184.37 184.37 184.37 0.00 0.00 0.00 0.00 0.00 100.66 362002068 900 99494 IST/SBSQ PSY CLBCRMGT EAD30MY1 151.58 151.58 128.84 0.00 90.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.47 45.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.00 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 44.68 0.00 0.00 44.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.21 362002072 900 99494 IST/SBSQ PSY CLBCRMGT EAD30MY2 151.58 151.58 128.84 0.00 90.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.47 45.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.00 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 44.68 0.00 0.00 44.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.21 362002164 900 99494 GT ISTSBSQPSY CLBCRMGT EAD30MY1TM 151.58 151.58 128.84 0.00 90.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.47 45.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.00 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 44.68 0.00 0.00 44.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.21 362600502 510 99497 ADVNCD CARE PLANNG 1ST 30 MIN 289.38 289.38 283.00 0.00 0.00 103.08 0.00 0.00 0.00 0.00 103.08 103.08 0.00 103.08 0.00 103.08 0.00 0.00 0.00 103.08 226.00 283.00 0.00 0.00 0.00 0.00 103.08 103.08 0.00 0.00 0.00 0.00 78.03 0.00 0.00 0.00 0.00 103.08 103.08 103.08 96.00 245.97 0.00 0.00 0.00 103.08 0.00 0.00 0.00 103.08 0.00 202.57 103.08 0.00 0.00 142.00 per visit 0.00 103.08 142.00 per visit 103.08 103.08 0.00 0.00 0.00 0.00 0.00 73.93 362600503 510 99498 ADVNCD CARE PLANNG EA ADD 30MN 262.88 262.88 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.00 223.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.02 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.73 362600432 940 99605 MTMS BY PHARM NEW PT 15 MIN 159.00 159.00 135.15 0.00 95.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 111.30 0.00 0.00 0.00 0.00 0.00 111.30 47.70 47.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 0.00 0.00 0.00 95.40 0.00 0.00 95.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600433 940 99606 MTMS BY PHARM EST PT 15 MIN 135.68 135.68 115.33 0.00 81.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.98 94.98 0.00 0.00 0.00 0.00 0.00 94.98 40.70 40.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.98 115.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.98 0.00 0.00 0.00 81.41 0.00 0.00 81.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600434 940 99607 MTMS BY PHARM ADDL 15 MIN 81.62 81.62 69.38 0.00 48.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.13 57.13 0.00 0.00 0.00 0.00 0.00 57.13 24.49 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.13 69.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.13 0.00 0.00 0.00 48.97 0.00 0.00 48.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002634 636 MATRIX WND MSHD 12X24CM PRSQCM A2008 81.62 81.62 3056.69 0.00 48.89 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 40.81 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 53.05 53.05 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 57.13 53.05 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 57.13 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002648 636 MATRIX WND BILAYR 4X3CM PRSQCM A2008 495.02 495.02 3056.69 0.00 296.52 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 247.51 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 321.76 321.76 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 346.51 321.76 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 346.51 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002649 636 MATRIX WND BILAYR 4X6CM PRSQCM A2008 309.52 309.52 3056.69 0.00 185.40 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 154.76 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 201.19 201.19 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 216.66 201.19 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 216.66 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002650 636 MATRX WND BILYR 8.2X6CM PRSQCM A2008 189.74 189.74 3056.69 0.00 113.65 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 94.87 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 123.33 123.33 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 132.82 123.33 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 132.82 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002651 636 MATRX WND BILYR 8.2X9CM PRSQCM A2008 144.16 144.16 3056.69 0.00 86.35 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 72.08 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 93.70 93.70 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 100.91 93.70 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 100.91 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002652 636 MTRX WND BILYR 8.2X12CM PRSQCM A2008 120.84 120.84 3056.69 0.00 72.38 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 60.42 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 78.55 78.55 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 84.59 78.55 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 84.59 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002653 636 MATRX WND BILYR 20X24CM PRSQCM A2008 71.02 71.02 3056.69 0.00 42.54 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 35.51 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 46.16 46.16 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 49.71 46.16 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 49.71 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000963 272 INFU-SURG BAG 3000ML A4222 122.27 122.27 103.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.57 103.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000180 272 SET CTRL FLOW 2C8891 A4223 16.59 16.59 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.61 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002388 278 PLUG PUNCTUM TPR SHAFT 0.6MM A4263 122.00 122.00 85.40 0.00 61.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.30 79.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.29 79.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.40 0.00 0.00 0.00 73.20 0.00 0.00 73.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000666 278 ESSURE CONCEPTUS ESS305 A4264 4144.00 4144.00 2900.80 0.00 2072.00 0.00 cost cost cost cost 0.00 0.00 2072.00 0.00 cost 0.00 cost cost cost 0.00 2693.60 2693.60 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 2900.80 2693.60 cost cost cost 0.00 cost cost cost 0.00 cost 2900.80 0.00 cost cost 2486.40 cost 0.00 2486.40 0.00 0.00 cost cost cost cost cost 0.00 350000228 278 CLIP HULKA A4264 94.00 94.00 65.80 0.00 47.00 0.00 cost cost cost cost 0.00 0.00 47.00 0.00 cost 0.00 cost cost cost 0.00 61.10 61.10 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 65.80 61.10 cost cost cost 0.00 cost cost cost 0.00 cost 65.80 0.00 cost cost 56.40 cost 0.00 56.40 0.00 0.00 cost cost cost cost cost 0.00 350001169 278 PORT ACCESS EZ STANDARD A4301 3270.00 3270.00 2289.00 0.00 1635.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1635.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2125.50 2125.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2289.00 2125.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2289.00 0.00 0.00 0.00 1962.00 0.00 0.00 1962.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000242 272 TRAY IRR PISTON SYR 70CC A4320 4.24 4.24 4.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.67 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001007 272 TRAY IRR PISTON SYR 70CC A4320 4.24 4.24 4.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.67 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000620 272 CATHETER FOLEY LATX IC 5CC 20F A4338 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.95 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000928 272 CATHETER FOLEY 14FR 5CC 2WAY A4338 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.95 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000929 272 CATHETER FOLEY 16F A4338 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.95 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000933 272 CATHETER FOLEY 8FR 3CC PEDS A4338 5.30 5.30 9.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.95 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000934 272 CATHETER FOLEY LATX IC 5CC 24F A4338 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.95 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001942 272 CATHETHER FOLEY 18FR 30CC 2 WAY A4338 11.89 11.89 10.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.95 10.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002671 272 CATH FOL LTX IC 2W 5CC 18FR A4340 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000177 272 CATH FOLEY 16FR 5CC 2WAY A4344 9.41 9.41 8.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.59 8.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002033 272 CATH FOLEY URINARY 18FR 2WAY A4344 55.33 55.33 47.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.73 47.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002710 272 CATH FOLEY 22FR 30CC 2WAY A4344 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000724 272 CATHETER FOLEY 20FR 5CC 3 WAY A4346 63.60 63.60 54.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.52 54.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000930 272 CATHETER FOLEY 18FR 3CC A4346 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000931 272 CATHETER FOLEY 22FR 3WAY 30CC A4346 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000932 272 CATHETER FOLEY 26FR 5CC 3WAY A4346 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001327 272 CATHETER FOLEY 22FR 3WAY 30CC A4346 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002018 272 CATHETER FOLEY 26FR 30CC 3WAY A4346 29.21 29.21 24.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.45 24.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002601 272 CATH INTERMIT URETH 12FR A4351 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.47 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002602 272 CATH INTERMIT URETH 14FR A4351 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.47 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000739 272 CATH FOLEY 12FR 5CC 2WAY COUDE A4352 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000800 272 CATH FOLEY LTX 24FR 30CC COUDE A4352 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000110 272 TAPE SURGICAL 1 INCH A4452 1.65 1.65 1.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.36 1.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000992 270 STOCKING ANTIEMBOLISM LG KNEE A4490 9.54 9.54 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000993 270 STOCKING ANTIEMBOLISM MED KNEE A4490 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000994 270 STOCKING ANTIEMBOLISM SM KNEE A4490 9.54 9.54 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000995 270 STOCKING ANTIEMBOLISM XL KNEE A4490 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000989 270 STOCKING ANTIEMBLISM MED THIGH A4495 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000990 270 STOCKING ANTIEMBLISM XLG THIGH A4495 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000991 270 STOCKING ANTIEMBOLISM LG A4495 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000687 270 SLING ARM MED W/THUMB LOOP A4565 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.67 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000688 270 SLING LARGE ARM W THUMBLOOP A4565 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.67 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000090 272 CATHETER SUCTION 10FR A4624 5.12 5.12 4.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.13 4.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000128 272 CATHETER SUCTION 10FR PEDS A4624 0.77 0.77 2.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.13 0.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255000006 343 TECHNETIUM 99M A4641 50.88 50.88 43.25 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 35.62 43.25 cost cost cost 0.00 cost cost cost 0.00 cost 35.62 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 352505078 278 SVSCT TSSU MRKR IMP ANY TYP EA A4648 2060.00 2060.00 1442.00 0.00 1030.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1030.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1339.00 1339.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1442.00 1339.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1442.00 0.00 0.00 0.00 1236.00 0.00 0.00 1236.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001928 272 DRSG AQUACEL AG EXTRA 4X5 A6197 27.63 27.63 23.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.34 23.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002415 272 DRSG AG ADV SURG 3.5X6 STRL A6197 85.30 85.30 72.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.71 72.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002416 272 DRSG AG ADV SURG 3.5X10 STRL A6197 106.61 106.61 90.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.63 90.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000124 272 SPONGE DRESSING 4 X 4 A6251 0.14 0.14 0.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.10 0.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000046 272 PAD ABD 5X9 A6252 0.28 0.28 3.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.10 0.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000048 272 SPONGE XRAY DETECT 4X4 STER A6403 0.19 0.19 0.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.41 0.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000099 272 DRESSING TELFA 3X8 A6403 0.33 0.33 0.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.41 0.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000088 272 BANDAID STRIP 1X3 A6413 0.04 0.04 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001768 272 DRSG SENSATRAC GRAN MED A6550 137.80 137.80 117.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 96.46 117.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 96.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001769 272 CONNECTORY Y 5 A6550 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001770 272 DRSG VAC VERAFLOW MED A6550 347.68 347.68 295.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 243.38 295.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 243.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001771 272 DRSG VAC VERAFLOW CHOICE MED A6550 416.58 416.58 354.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 291.61 354.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 291.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001772 272 KIT DRSG GRANUFOAM SLV A6550 217.30 217.30 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001773 272 CASSETTE VERALINK VAC A6550 166.42 166.42 141.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 116.49 141.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 116.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001779 272 KIT DRSG GRANUFOAM SLV LG A6550 232.70 232.70 197.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.89 197.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001893 272 KIT DRSG GRANUFOAM SLV LG A6550 258.61 258.61 219.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.03 219.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001778 272 CANNISTER W/GEL 500ML A7000 119.14 119.14 101.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.97 101.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000657 270 TUBE TRACH XLTCD 6.0 X 11.0 S A7520 227.90 227.90 193.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.48 193.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000054 272 SHILEY TRACH TUBE FEN CFN 8 A7520 174.90 174.90 148.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.48 148.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 122.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000144 272 TUBE TRACH CUFFLESS 6CFN A7520 121.90 121.90 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.48 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000179 272 TRACHE TUBE XLT 7.0 UNCUFFED A7520 280.90 280.90 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.48 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001008 272 TUBE CUFFLESS FEN 4CFN A7520 146.28 146.28 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.48 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002336 272 TUBE TRACH 3X39MM A7520 194.84 194.84 165.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.48 165.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 136.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000377 272 TUBE TRACH XLT EXT LNGTH SHILE A7521 233.20 233.20 198.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.24 198.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000609 272 TUBE TRACH CUFFED SHILEY A7521 333.90 333.90 283.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 233.73 283.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 233.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000050 272 SHILEY TRACH TUBE CUFFED DCT 1 A7521 169.60 169.60 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000051 272 SHILEY TRACH TUBE CUFFED DCT 4 A7521 169.60 169.60 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000052 272 TUBE TRACH CUFFED SHILEY DCT6 A7521 169.60 169.60 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000053 272 TUBE TRACH CUFFED SHILEY DCT8 A7521 169.60 169.60 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000055 272 SHILEY TRACH TUBE LP CUFF SCT A7521 121.90 121.90 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000056 272 TUBE TRACH LP CUFF SHILEY SCT6 A7521 121.90 121.90 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000057 272 TUBE TRACH LP CUFF SHILEY SCT8 A7521 121.90 121.90 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000103 272 "TUBE,TRACH FEN CUF SHILEY FEN6" A7521 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000108 272 TUBE TRACH FEN CUF SHILEY FEN8 A7521 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000180 272 TRACHE TUBE XLT 7.0 A7521 280.90 280.90 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000181 272 TRACHE TUBE XLT 8.0 A7521 217.30 217.30 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000219 272 TUBE TRACH CUFFED 8 A7521 217.30 217.30 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000396 272 TUBE TRACH HYPERFLEX 8.0 A7521 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001006 272 TRACHE TUBE XLT 6.0 A7521 223.66 223.66 190.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.56 190.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001012 272 TUBE TRACH CUFFED 4 A7521 178.08 178.08 151.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.66 151.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001196 272 TUBE TRACH HYPERFLEX 7.0 A7521 386.90 386.90 328.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270.83 328.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001510 272 TUBE TRACH HYPERFLEX 9.0 A7521 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002371 272 TUBE TRACH 8.0MM HYPERFLEX A7521 302.35 302.35 257.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.65 257.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000894 270 COLLAR/MASK - ADULT TRACH A7525 2.68 2.68 2.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.88 2.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000950 270 COLLAR PHILADELPHIA EXTRA SM A7526 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.37 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000951 270 COLLAR PHILADELPHIA SMALL A7526 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.37 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000952 270 COLLAR PHILADELPHIA SM 4.25 A7526 13.78 13.78 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.37 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000953 270 COLLAR PHILADELPHIA SM 5.25 A7526 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.37 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000959 272 HOLDER TRACHEOSTOMY A7526 5.78 5.78 4.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.37 4.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000960 272 HOLDER TUBE ENDOTRACHEAL A7526 48.76 48.76 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.37 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002783 272 DRSG KIT NEG PRSR SNGL 10X30CM A9272 938.10 938.10 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002784 272 DRSG KIT NEG PRSR SNGL 10X20CM A9272 938.10 938.10 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002785 272 DRSG KIT NEG PRSR SNGL 15X30CM A9272 938.10 938.10 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255000003 343 TECHN SESTAMIBI (DOSE)-CARDIOL A9500 362.52 362.52 308.14 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 123.84 308.14 cost cost cost 0.00 cost cost cost 0.00 cost 253.76 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000035 343 TC99M SESTAMBI A9500 364.64 364.64 309.94 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 123.84 309.94 cost cost cost 0.00 cost cost cost 0.00 cost 255.25 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000036 343 TC99M TETROFOSMIN A9502 288.32 288.32 245.07 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 133.51 245.07 cost cost cost 0.00 cost cost cost 0.00 cost 201.82 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000034 343 NM TC-99M MEDRONATE=<30MCI A9503 80.56 80.56 68.48 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 21.90 68.48 cost cost cost 0.00 cost cost cost 0.00 cost 56.39 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 255000004 343 THALLOUS CHLORIDE TL-201 (PER A9505 73.14 73.14 62.17 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 59.03 62.17 cost cost cost 0.00 cost cost cost 0.00 cost 51.20 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000037 343 TL201 THALLIUM 1MCI A9505 66.78 66.78 59.03 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 59.03 56.76 cost cost cost 0.00 cost cost cost 0.00 cost 46.75 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 255000005 343 INDIUM IN 111 (DOSE) A9507 4374.62 4374.62 3718.43 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 1582.56 3718.43 cost cost cost 0.00 cost cost cost 0.00 cost 3062.23 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000038 343 IODINE I-123 IODIDE PER 1MCI A9509 260.76 260.76 221.65 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 182.53 221.65 cost cost cost 0.00 cost cost cost 0.00 cost 182.53 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000039 343 TC99M DISOFENIN =< 15 MCI A9510 260.76 260.76 221.65 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 75.60 221.65 cost cost cost 0.00 cost cost cost 0.00 cost 182.53 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000031 343 NM PERTECHNETATE PER 1 MILICUR A9512 41.34 41.34 35.14 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 21.20 35.14 cost cost cost 0.00 cost cost cost 0.00 cost 28.94 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000040 343 TC99M PERTECHNETATE A9512 91.16 91.16 77.49 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 21.20 77.49 cost cost cost 0.00 cost cost cost 0.00 cost 63.81 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000041 343 IODINE I-131 IODIDE CAP DX A9516 121.90 121.90 134.77 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 134.77 103.62 cost cost cost 0.00 cost cost cost 0.00 cost 85.33 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000010 343 IN-123 PER 100 MCI A9516 6.36 6.36 134.77 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 134.77 5.41 cost cost cost 0.00 cost cost cost 0.00 cost 4.45 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000042 344 IODIDE I131 CAP RX PER 1MCI A9517 337.08 337.08 900.13 0.00 201.91 21.34 cost cost cost cost 21.34 21.34 0.00 21.34 cost 21.34 cost cost cost 21.34 101.12 101.12 cost cost cost cost 21.34 21.34 900.13 400.06 400.06 400.06 20.27 cost cost cost cost 21.34 21.34 21.34 40.70 286.52 cost cost cost 21.34 cost cost cost 21.34 cost 235.96 21.34 cost cost 202.25 cost 21.34 202.25 21.34 21.34 cost cost cost cost cost 1.92 341000043 343 I131 IODINE SOL DXPER 1MCI A9529 337.08 337.08 286.52 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 235.96 286.52 cost cost cost 0.00 cost cost cost 0.00 cost 235.96 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000044 344 I-131 IODINE SOL RX PER 1MCI A9530 121.90 121.90 900.13 0.00 73.02 20.40 cost cost cost cost 20.40 20.40 0.00 20.40 cost 20.40 cost cost cost 20.40 36.57 36.57 cost cost cost cost 20.40 20.40 900.13 400.06 400.06 400.06 19.38 cost cost cost cost 20.40 20.40 20.40 12.56 103.62 cost cost cost 20.40 cost cost cost 20.40 cost 85.33 20.40 cost cost 73.14 cost 20.40 73.14 20.40 20.40 cost cost cost cost cost 1.84 341000045 343 I131 PER 1UCI TO 100UCI A9531 121.90 121.90 103.62 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 85.33 103.62 cost cost cost 0.00 cost cost cost 0.00 cost 85.33 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 314000046 343 TC99M DEPREOTIDE=<35MCI A9536 206.70 206.70 175.70 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 144.69 175.70 cost cost cost 0.00 cost cost cost 0.00 cost 144.69 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000046 343 TC99M DEPREOTIDE =<35MCI A9536 206.70 206.70 175.70 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 144.69 175.70 cost cost cost 0.00 cost cost cost 0.00 cost 144.69 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000047 343 TC99M MEBROFENIN =<15MCI A9537 192.92 192.92 163.98 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 57.64 163.98 cost cost cost 0.00 cost cost cost 0.00 cost 135.04 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000008 343 TC-99M MEBROFENIN UP TO 15 MCI A9537 322.24 322.24 273.90 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 57.64 273.90 cost cost cost 0.00 cost cost cost 0.00 cost 225.57 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000012 343 TC-99M PYROPHOSPHATE UP TO 25M A9538 204.58 204.58 173.89 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 26.48 173.89 cost cost cost 0.00 cost cost cost 0.00 cost 143.21 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000048 343 TC99 PENTETATE=< 25MCI A9539 80.56 80.56 68.48 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 33.84 68.48 cost cost cost 0.00 cost cost cost 0.00 cost 56.39 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000013 343 TC-99M DTPA UP TO 25MCI A9539 142.04 142.04 120.73 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 33.84 120.73 cost cost cost 0.00 cost cost cost 0.00 cost 99.43 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000049 343 TC99M MAA =< 10MCI A9540 80.56 80.56 68.48 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 18.00 68.48 cost cost cost 0.00 cost cost cost 0.00 cost 56.39 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000009 343 TC-99M MAA UP TO 10 MCI A9540 208.82 208.82 177.50 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 18.00 177.50 cost cost cost 0.00 cost cost cost 0.00 cost 146.17 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 255000007 343 TECHN ULTR FLTR SLPH UP 20MCI A9541 169.60 169.60 144.16 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 70.20 144.16 cost cost cost 0.00 cost cost cost 0.00 cost 118.72 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000050 343 TC99M SULFUR COLLOID =< 20MCI A9541 337.08 337.08 286.52 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 70.20 286.52 cost cost cost 0.00 cost cost cost 0.00 cost 235.96 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000051 343 IN 111 PENTETATE PER 0.5MCI A9548 5970.98 5970.98 5075.33 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 446.24 5075.33 cost cost cost 0.00 cost cost cost 0.00 cost 4179.69 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000052 343 GA67 GALLIUM PER 1 MCI A9556 126.14 126.14 129.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.78 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000006 343 GALLIUM GA67 PER MCI A9556 717.62 717.62 609.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.78 609.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 502.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341000053 343 TC99M LABELED RBC=<30MCI A9560 80.56 80.56 102.86 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 102.86 68.48 cost cost cost 0.00 cost cost cost 0.00 cost 56.39 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000007 343 TC99M LABELED RBC UP TO 30MCI A9560 299.98 299.98 254.98 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 102.86 254.98 cost cost cost 0.00 cost cost cost 0.00 cost 209.99 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000054 343 TC99M OXIDRONATE=<30MCI A9561 116.60 116.60 99.11 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 56.16 99.11 cost cost cost 0.00 cost cost cost 0.00 cost 81.62 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000005 343 TC-99M HDP UP TO 30 MCI A9561 11.66 11.66 56.16 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 56.16 9.91 cost cost cost 0.00 cost cost cost 0.00 cost 8.16 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000055 343 TC99M MERTIATIDE=<15MCI A9562 965.66 965.66 820.81 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 182.00 820.81 cost cost cost 0.00 cost cost cost 0.00 cost 675.96 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000011 343 TC-99M M MAG 3 STDY UP TO 15MC A9562 717.62 717.62 609.98 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 182.00 609.98 cost cost cost 0.00 cost cost cost 0.00 cost 502.33 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000056 343 TECHNETIUM TC99M ARSOL =<75MCI A9567 122.96 122.96 104.52 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 71.55 104.52 cost cost cost 0.00 cost cost cost 0.00 cost 86.07 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000057 343 INDIUM IN-111 AUTO WBC A9570 4040.72 4040.72 3434.61 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 1253.00 3434.61 cost cost cost 0.00 cost cost cost 0.00 cost 2828.50 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000058 343 INDIUM IN111 PENTETRETID=<6MCI A9572 5970.98 5970.98 5075.33 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 2699.10 5075.33 cost cost cost 0.00 cost cost cost 0.00 cost 4179.69 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 352505082 636 DOTAREM 10X20ML VIAL A9575 84.59 84.59 59.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.98 54.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.12 54.98 0.00 0.13 0.10 0.10 0.00 0.00 0.00 0.10 0.00 59.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 352505083 636 DOTAREM 10X15ML VIAL A9575 78.60 78.60 55.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.09 51.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.12 51.09 0.00 0.13 0.10 0.10 0.00 0.00 0.00 0.10 0.00 55.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341000032 343 NM IOBENGUANE 1ST DOSE=<15MCI A9582 3847.80 3847.80 4249.90 0.00 2304.83 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 4249.90 3270.63 cost cost cost 0.00 cost cost cost 0.00 cost 2693.46 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 341000033 343 NM IOBENGUN EACH ADDL =< 15MCI A9582 384.78 384.78 4249.90 0.00 230.48 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 4249.90 327.06 cost cost cost 0.00 cost cost cost 0.00 cost 269.35 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 352600007 344 SM 153 LEXIDRONAM =< 150 MCI A9604 43780.12 43780.12 37213.10 0.00 26224.29 17259.85 cost cost cost cost 17259.85 17259.85 0.00 17259.85 cost 17259.85 cost cost cost 17259.85 13134.04 13134.04 cost cost cost cost 17259.85 17259.85 2615.29 1162.35 1162.35 1162.35 16396.86 cost cost cost cost 17259.85 17259.85 17259.85 30646.08 37213.10 cost cost cost 17259.85 cost cost cost 17259.85 cost 30646.08 17259.85 cost cost 26268.07 cost 17259.85 26268.07 17259.85 17259.85 cost cost cost cost cost "1,553.39" 350001009 272 TUBE SALEM SUMP 14FR 50CS B4082 4.24 4.24 14.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.73 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001890 272 TUBE SALEM SUMP 18FR 10CS B4082 169.24 169.24 143.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.73 143.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000568 270 BOS BUT G-TUBE REPL 18/2.4 6 B4087 644.48 644.48 547.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.14 547.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000612 270 BUTTON G-TUBE REPLACEMENT 18FR B4087 644.48 644.48 547.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.14 547.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000620 272 G-TUBE 3-PORT 18 FR B4087 61.48 61.48 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000621 272 G-TUBE 3-PORT 20 FR B4087 61.48 61.48 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001072 272 TUBE JEJUNOSTOMY 14FR B4087 656.14 656.14 557.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.30 557.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001567 272 TUBE GASTRO 18F B4087 1194.62 1194.62 1015.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 836.23 1015.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 836.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002737 272 TUBE FEEDING JEJUNAL 12FR B4087 500.32 500.32 425.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.22 425.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002745 272 TUBE GASTRO 24FR PULL KIT B4087 368.88 368.88 313.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.22 313.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001044 272 TUBE DECOM RIGHT ANGLE 3.4CM B9998 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001047 272 FEEDING SET RIGHT ANGLE B9998 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001048 272 FEEDING SET RIGHT ANGLED B9998 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000761 278 PIN ORTHOSORB C1713 588.00 588.00 411.60 0.00 294.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 294.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 382.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.60 382.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.60 0.00 0.00 0.00 352.80 0.00 0.00 352.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000889 278 SCREW CANNULATED 3.0X36MM C1713 344.00 344.00 240.80 0.00 172.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.60 223.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 240.80 223.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 240.80 0.00 0.00 0.00 206.40 0.00 0.00 206.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000007 278 ZIM SCR CAN 4.0X48 1142-41-48 C1713 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000058 278 SYN WASHER CANC SCREW SM 219.9 C1713 52.00 52.00 36.40 0.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.80 33.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 33.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 0.00 0.00 0.00 31.20 0.00 0.00 31.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000086 278 ZIM WASHER CANN SCREW 7.0 2344 C1713 36.00 36.00 25.20 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.40 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 0.00 0.00 0.00 21.60 0.00 0.00 21.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000089 278 PLATE SH TUBE HIP 135 DEGR 4-H C1713 1845.00 1845.00 1291.50 0.00 922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1199.25 1199.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1291.50 1199.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1291.50 0.00 0.00 0.00 1107.00 0.00 0.00 1107.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000127 278 CABLE SLEEVE SET DALMILES 2.0M C1713 2217.00 2217.00 1551.90 0.00 1108.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1108.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1441.05 1441.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1551.90 1441.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1551.90 0.00 0.00 0.00 1330.20 0.00 0.00 1330.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000154 278 OST SCREW LOCK .5X45M 1896-50 C1713 758.00 758.00 530.60 0.00 379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 492.70 492.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 530.60 492.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 530.60 0.00 0.00 0.00 454.80 0.00 0.00 454.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000156 278 OST SCREW LOCK .5X60M 1896-50 C1713 758.00 758.00 530.60 0.00 379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 492.70 492.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 530.60 492.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 530.60 0.00 0.00 0.00 454.80 0.00 0.00 454.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000157 278 OST SCREW LOCK .5X70M 1896-50 C1713 758.00 758.00 530.60 0.00 379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 492.70 492.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 530.60 492.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 530.60 0.00 0.00 0.00 454.80 0.00 0.00 454.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000159 278 OST SCREW LOCK 5X35M 1896-503 C1713 707.00 707.00 494.90 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.55 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 0.00 0.00 0.00 424.20 0.00 0.00 424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000160 278 OST SCREW LOCK 5X55M 1896-505 C1713 631.00 631.00 441.70 0.00 315.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 410.15 410.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 441.70 410.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 441.70 0.00 0.00 0.00 378.60 0.00 0.00 378.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000207 278 PIN MEDULLARY 3.2X24.1CM SZ L C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000208 278 PIN MEDULLARY 3.2X22.9CM SZ K C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000209 278 PIN MEDULLARY 3.2X267CM SZ N C1713 348.00 348.00 243.60 0.00 174.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.20 226.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 243.60 226.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 243.60 0.00 0.00 0.00 208.80 0.00 0.00 208.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000215 278 OST SCREW CAN. 4.0X18 319.40 C1713 391.00 391.00 273.70 0.00 195.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 254.15 254.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.70 254.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.70 0.00 0.00 0.00 234.60 0.00 0.00 234.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000217 278 OST SCREW CAN. 3.0X12 319.30 C1713 427.00 427.00 298.90 0.00 213.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 213.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 277.55 277.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.90 277.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.90 0.00 0.00 0.00 256.20 0.00 0.00 256.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000231 278 OST SCREW LOCK 4X50M 1896-508 C1713 512.00 512.00 358.40 0.00 256.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 256.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.80 332.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.40 332.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.40 0.00 0.00 0.00 307.20 0.00 0.00 307.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000232 278 OST SCREW LOCK 4X40M 1896-404 C1713 512.00 512.00 358.40 0.00 256.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 256.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.80 332.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.40 332.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.40 0.00 0.00 0.00 307.20 0.00 0.00 307.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000236 278 OST SCREW CAN. 2.0X14 319.20 C1713 475.00 475.00 332.50 0.00 237.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 237.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.75 308.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.50 308.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.50 0.00 0.00 0.00 285.00 0.00 0.00 285.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000242 278 PIN MEDULLARY 32.X165CM SZ F C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000265 278 OST SCREW LOCK 05X90M 1896-50 C1713 651.00 651.00 455.70 0.00 325.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 325.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 423.15 423.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 455.70 423.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 455.70 0.00 0.00 0.00 390.60 0.00 0.00 390.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000266 278 OST SCREW LOCK 05X80M 1896-50 C1713 707.00 707.00 494.90 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.55 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 0.00 0.00 0.00 424.20 0.00 0.00 424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000283 278 WASHER IM FIXATION 13MM (ZIMM C1713 249.00 249.00 174.30 0.00 124.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.85 161.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.30 161.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.30 0.00 0.00 0.00 149.40 0.00 0.00 149.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000323 278 WASHER FIXATION BOLT 4MM (SBI C1713 100.00 100.00 70.00 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.00 65.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 65.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 0.00 0.00 0.00 60.00 0.00 0.00 60.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000364 278 PLATE TUBULAR 1/3 7 HOLE C1713 149.00 149.00 104.30 0.00 74.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 96.85 96.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 104.30 96.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 104.30 0.00 0.00 0.00 89.40 0.00 0.00 89.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000402 278 WASHER 4.0 CANNULATED SCREW ( C1713 36.00 36.00 25.20 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.40 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 0.00 0.00 0.00 21.60 0.00 0.00 21.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000514 278 CABLES INTRGRL LONG TROCH REA C1713 10727.00 10727.00 7508.90 0.00 5363.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5363.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6972.55 6972.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7508.90 6972.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7508.90 0.00 0.00 0.00 6436.20 0.00 0.00 6436.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000525 278 SCREW EXTREMEFIX 2.4 X 20MM ( C1713 785.00 785.00 549.50 0.00 392.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 392.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 510.25 510.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 549.50 510.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 549.50 0.00 0.00 0.00 471.00 0.00 0.00 471.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000526 278 IMP HYPROCURE SINUS TARSI SZ10 C1713 7647.00 7647.00 5352.90 0.00 3823.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3823.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4970.55 4970.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5352.90 4970.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5352.90 0.00 0.00 0.00 4588.20 0.00 0.00 4588.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000549 278 IMP HYPROCURE SINUS TARSI SZ8 C1713 4702.00 4702.00 3291.40 0.00 2351.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2351.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3056.30 3056.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3291.40 3056.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3291.40 0.00 0.00 0.00 2821.20 0.00 0.00 2821.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000576 278 PLATE SH. TUBE HIP SCREW 130 C1713 1135.00 1135.00 794.50 0.00 567.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 737.75 737.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 794.50 737.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 794.50 0.00 0.00 0.00 681.00 0.00 0.00 681.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000599 278 IMP HYPROCURE SINUS TARSI SZ5 C1713 7837.00 7837.00 5485.90 0.00 3918.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3918.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5094.05 5094.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5485.90 5094.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5485.90 0.00 0.00 0.00 4702.20 0.00 0.00 4702.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000600 278 IMP HYPROCURE SINUS TARSI SZ6 C1713 7837.00 7837.00 5485.90 0.00 3918.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3918.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5094.05 5094.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5485.90 5094.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5485.90 0.00 0.00 0.00 4702.20 0.00 0.00 4702.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000601 278 IMP HYPROCURE SINUS TARSI SZ7 C1713 7837.00 7837.00 5485.90 0.00 3918.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3918.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5094.05 5094.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5485.90 5094.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5485.90 0.00 0.00 0.00 4702.20 0.00 0.00 4702.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000604 278 PLATE/TUBE LOW PROF. 4 HOLE/15 C1713 856.00 856.00 599.20 0.00 428.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 428.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.40 556.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 599.20 556.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 599.20 0.00 0.00 0.00 513.60 0.00 0.00 513.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000613 278 SCREW EXTREMEFIX 2.4 X 22MM ( C1713 777.00 777.00 543.90 0.00 388.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 388.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.05 505.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.90 505.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.90 0.00 0.00 0.00 466.20 0.00 0.00 466.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000655 278 "KIT, PIN 1.5MM INION OTPS (OST" C1713 1637.00 1637.00 1145.90 0.00 818.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 818.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1064.05 1064.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1145.90 1064.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1145.90 0.00 0.00 0.00 982.20 0.00 0.00 982.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000658 278 "SCREW, LOCKING 2.7 X 18MM (STR" C1713 432.00 432.00 302.40 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.80 280.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.40 280.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.40 0.00 0.00 0.00 259.20 0.00 0.00 259.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000671 278 "SCREW, LOCKING 2.7 X 12MM (STR" C1713 432.00 432.00 302.40 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.80 280.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.40 280.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.40 0.00 0.00 0.00 259.20 0.00 0.00 259.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000684 278 PIN MEDULLARY 3.2X254CM SZ M C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000745 278 PIN MEDULLARY 3.2X15.2CM SZ E C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000747 278 "PLATE, 9 HOLE STRYKER 54-25384" C1713 4508.00 4508.00 3155.60 0.00 2254.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2254.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2930.20 2930.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3155.60 2930.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3155.60 0.00 0.00 0.00 2704.80 0.00 0.00 2704.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000771 278 PIN MEDULLARY 3.2X20.3CM SZ I C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000780 278 IMP GRAFT 20X20X4 FUSIONFLEX C1713 2852.00 2852.00 1996.40 0.00 1426.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1426.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1853.80 1853.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1996.40 1853.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1996.40 0.00 0.00 0.00 1711.20 0.00 0.00 1711.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000810 278 MITEK SUPER QUICK SUT 212032 C1713 1179.00 1179.00 825.30 0.00 589.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 589.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 766.35 766.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 825.30 766.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 825.30 0.00 0.00 0.00 707.40 0.00 0.00 707.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000811 278 MITEK MINI SUT 212033 C1713 962.00 962.00 673.40 0.00 481.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 481.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 625.30 625.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 673.40 625.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 673.40 0.00 0.00 0.00 577.20 0.00 0.00 577.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000812 278 SUT MITEK GII QUICK ANC 212034 C1713 962.00 962.00 673.40 0.00 481.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 481.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 625.30 625.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 673.40 625.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 673.40 0.00 0.00 0.00 577.20 0.00 0.00 577.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000830 278 PIN MEDULLARY 3.2X21.6CM SZ J C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000859 278 PIN MEDULLARY 3.2X178CM SZ G C1713 430.00 430.00 301.00 0.00 215.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 279.50 279.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 301.00 279.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 301.00 0.00 0.00 0.00 258.00 0.00 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000883 278 NAIL TIBIAL IM 10MM 38CM C1713 2142.00 2142.00 1499.40 0.00 1071.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1071.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1392.30 1392.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1499.40 1392.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1499.40 0.00 0.00 0.00 1285.20 0.00 0.00 1285.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000884 278 NAIL TIBIAL IM 10MM 34CM C1713 2142.00 2142.00 1499.40 0.00 1071.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1071.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1392.30 1392.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1499.40 1392.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1499.40 0.00 0.00 0.00 1285.20 0.00 0.00 1285.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000886 278 SCREW BONE 2.7X12MM C1713 303.00 303.00 212.10 0.00 151.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 151.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.95 196.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.10 196.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.10 0.00 0.00 0.00 181.80 0.00 0.00 181.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000888 278 SCREW LOCKING 2.7x10MM C1713 378.00 378.00 264.60 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.70 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 0.00 0.00 0.00 226.80 0.00 0.00 226.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000889 278 SCREW CANNULATED 3.0 x36MM C1713 357.00 357.00 249.90 0.00 178.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 178.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.05 232.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 249.90 232.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 249.90 0.00 0.00 0.00 214.20 0.00 0.00 214.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000891 278 SCREW LOCKING T 7.2MMX14MM C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000892 278 SCREW BONE T 7.2X10MM C1713 182.00 182.00 127.40 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.30 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 0.00 0.00 0.00 109.20 0.00 0.00 109.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000893 278 SCREW BONE T7 2.7X16MM C1713 182.00 182.00 127.40 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.30 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 0.00 0.00 0.00 109.20 0.00 0.00 109.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000894 278 SCREW LOCKING T7 2.7X10MM C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000895 278 SCREW LOCKING T7 2.7 x 12MM C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000896 278 NAIL SUPRACOND T2 11X360MM C1713 6578.00 6578.00 4604.60 0.00 3289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4275.70 4275.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4604.60 4275.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4604.60 0.00 0.00 0.00 3946.80 0.00 0.00 3946.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000897 278 SCREW LOCKING 5X65MM C1713 607.00 607.00 424.90 0.00 303.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.55 394.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.90 394.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.90 0.00 0.00 0.00 364.20 0.00 0.00 364.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000898 278 NAIL T2 SUPRACONDYLAR 11/340MM C1713 6578.00 6578.00 4604.60 0.00 3289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4275.70 4275.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4604.60 4275.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4604.60 0.00 0.00 0.00 3946.80 0.00 0.00 3946.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000902 278 SCREW CANCELLOUS 6.5 X 60MM C1713 114.00 114.00 79.80 0.00 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.10 74.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.80 74.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.80 0.00 0.00 0.00 68.40 0.00 0.00 68.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000903 278 SCREW CANCELLOUS 6.5MM X 45 C1713 114.00 114.00 79.80 0.00 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.10 74.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.80 74.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.80 0.00 0.00 0.00 68.40 0.00 0.00 68.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000904 278 SCREW CORTEX 4.5MM X 44MM C1713 58.00 58.00 40.60 0.00 29.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.70 37.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.60 37.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.60 0.00 0.00 0.00 34.80 0.00 0.00 34.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000905 278 SCREW CORTEX 4.5 X 46MM C1713 58.00 58.00 40.60 0.00 29.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.70 37.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.60 37.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.60 0.00 0.00 0.00 34.80 0.00 0.00 34.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000906 278 SCREW CORTEX 4.5 X 54MM C1713 58.00 58.00 40.60 0.00 29.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.70 37.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.60 37.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.60 0.00 0.00 0.00 34.80 0.00 0.00 34.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000907 278 SCREW CANCELLOUS 6.5MM X 70MM C1713 114.00 114.00 79.80 0.00 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.10 74.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.80 74.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.80 0.00 0.00 0.00 68.40 0.00 0.00 68.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000908 278 SCREW CORTEX 4.5MM X 70MM C1713 58.00 58.00 40.60 0.00 29.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.70 37.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.60 37.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.60 0.00 0.00 0.00 34.80 0.00 0.00 34.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000910 278 SCREW CORTICAL IM 4.2 X 60MM C1713 545.00 545.00 381.50 0.00 272.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.25 354.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 381.50 354.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 381.50 0.00 0.00 0.00 327.00 0.00 0.00 327.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000911 278 SCREW 4.5 CORTEX 34MM C1713 140.00 140.00 98.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 0.00 0.00 0.00 84.00 0.00 0.00 84.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000912 278 SCREW 4.5 CORTEX 42MM C1713 140.00 140.00 98.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 0.00 0.00 0.00 84.00 0.00 0.00 84.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000913 278 SCREW LOCKING AXSOS 4.0X44ML C1713 847.00 847.00 592.90 0.00 423.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 423.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 550.55 550.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.90 550.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.90 0.00 0.00 0.00 508.20 0.00 0.00 508.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000915 278 SCREW CANCELLOUS 4.0X30MM C1713 140.00 140.00 98.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 0.00 0.00 0.00 84.00 0.00 0.00 84.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000916 278 SCREW CANCELLOUS 4.0 X 45MM C1713 140.00 140.00 98.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 0.00 0.00 0.00 84.00 0.00 0.00 84.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000917 278 CABLE DALL MILES 1.6MM C1713 2304.00 2304.00 1612.80 0.00 1152.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1152.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1497.60 1497.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1612.80 1497.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1612.80 0.00 0.00 0.00 1382.40 0.00 0.00 1382.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000918 278 SCREW COMPRESSION 12.7DX55MM C1713 1408.00 1408.00 985.60 0.00 704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 915.20 915.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 985.60 915.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 985.60 0.00 0.00 0.00 844.80 0.00 0.00 844.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000922 278 SCREW CANCELLOUS 4.0X38MM C1713 140.00 140.00 98.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 0.00 0.00 0.00 84.00 0.00 0.00 84.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000923 278 SCREW CORTICAL 3.5 X38MM C1713 140.00 140.00 98.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 0.00 0.00 0.00 84.00 0.00 0.00 84.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000931 278 PLATE COMM 20MM 4 HOLE C1713 8688.00 8688.00 6081.60 0.00 4344.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4344.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5647.20 5647.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6081.60 5647.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6081.60 0.00 0.00 0.00 5212.80 0.00 0.00 5212.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000932 278 PLATE COMM 20MM 3 HOLE C1713 5784.00 5784.00 4048.80 0.00 2892.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2892.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3759.60 3759.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.80 3759.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.80 0.00 0.00 0.00 3470.40 0.00 0.00 3470.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000935 278 SET CABLE 2.0MM C1713 2304.00 2304.00 1612.80 0.00 1152.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1152.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1497.60 1497.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1612.80 1497.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1612.80 0.00 0.00 0.00 1382.40 0.00 0.00 1382.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000936 278 CABLE BEADED 2.0MM C1713 2468.00 2468.00 1727.60 0.00 1234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.20 1604.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1727.60 1604.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1727.60 0.00 0.00 0.00 1480.80 0.00 0.00 1480.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000985 278 SCREW HEADLESS 7.0X85MM C1713 3291.00 3291.00 2303.70 0.00 1645.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1645.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2139.15 2139.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2303.70 2139.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2303.70 0.00 0.00 0.00 1974.60 0.00 0.00 1974.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000993 278 PLATE LCD 4.5MM 6 HOLE C1713 1980.00 1980.00 1386.00 0.00 990.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 990.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1287.00 1287.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1386.00 1287.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1386.00 0.00 0.00 0.00 1188.00 0.00 0.00 1188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000994 278 PLATE BUTTRESS L 4 HOLE C1713 2275.00 2275.00 1592.50 0.00 1137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1478.75 1478.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1592.50 1478.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1592.50 0.00 0.00 0.00 1365.00 0.00 0.00 1365.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000998 278 PLATE 2.7MM SM R C1713 5493.00 5493.00 3845.10 0.00 2746.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2746.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3570.45 3570.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3845.10 3570.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3845.10 0.00 0.00 0.00 3295.80 0.00 0.00 3295.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001003 278 NAIL HUMERAL PROXIMAL 8X260MM C1713 11829.00 11829.00 8280.30 0.00 5914.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5914.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7688.85 7688.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8280.30 7688.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8280.30 0.00 0.00 0.00 7097.40 0.00 0.00 7097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001004 278 NAIL T2 STD TIBIAL 11MMX345MM C1713 9738.00 9738.00 6816.60 0.00 4869.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4869.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6329.70 6329.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6816.60 6329.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6816.60 0.00 0.00 0.00 5842.80 0.00 0.00 5842.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001006 278 NAIL T2 STD TIBIAL 11MMX360MM C1713 9738.00 9738.00 6816.60 0.00 4869.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4869.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6329.70 6329.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6816.60 6329.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6816.60 0.00 0.00 0.00 5842.80 0.00 0.00 5842.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001008 278 KIT NAIL L 10X380MM C1713 15657.00 15657.00 10959.90 0.00 7828.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7828.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10177.05 10177.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10959.90 10177.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10959.90 0.00 0.00 0.00 9394.20 0.00 0.00 9394.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278005000 278 SCREW 1M TO 50M C1713 242.00 242.00 169.40 0.00 121.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 157.30 157.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 169.40 157.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 169.40 0.00 0.00 0.00 145.20 0.00 0.00 145.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278010000 278 SCREW 51M TO 100M C1713 484.00 484.00 338.80 0.00 242.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.60 314.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.80 314.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.80 0.00 0.00 0.00 290.40 0.00 0.00 290.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278015000 278 SCREW 101M TO 150M C1713 726.00 726.00 508.20 0.00 363.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 363.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 471.90 471.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 471.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 0.00 0.00 0.00 435.60 0.00 0.00 435.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278020000 278 SCREW 151M TO 200M C1713 968.00 968.00 677.60 0.00 484.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 484.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 629.20 629.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 677.60 629.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 677.60 0.00 0.00 0.00 580.80 0.00 0.00 580.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278025000 278 SCREW 201M TO 250M C1713 1210.00 1210.00 847.00 0.00 605.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 605.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 786.50 786.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 847.00 786.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 847.00 0.00 0.00 0.00 726.00 0.00 0.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278030000 278 SCREW 251M TO 300M C1713 1452.00 1452.00 1016.40 0.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 943.80 943.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1016.40 943.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1016.40 0.00 0.00 0.00 871.20 0.00 0.00 871.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000115 278 WASHER 13.0MM C1713 121.00 121.00 84.70 0.00 60.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 78.65 78.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.70 78.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.70 0.00 0.00 0.00 72.60 0.00 0.00 72.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000130 278 PLATE LCK 3 HOLE R DISTAL C1713 3499.00 3499.00 2449.30 0.00 1749.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1749.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2274.35 2274.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2449.30 2274.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2449.30 0.00 0.00 0.00 2099.40 0.00 0.00 2099.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000131 278 IMP HYPROCURE SINUS TARSI SZ9 C1713 7647.00 7647.00 5352.90 0.00 3823.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3823.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4970.55 4970.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5352.90 4970.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5352.90 0.00 0.00 0.00 4588.20 0.00 0.00 4588.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000138 278 SET NAIL FEM 12MMX36CM C1713 4153.00 4153.00 2907.10 0.00 2076.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2076.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.45 2699.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2907.10 2699.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2907.10 0.00 0.00 0.00 2491.80 0.00 0.00 2491.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000142 278 PLATE CALCANEAL 65MM C1713 2904.00 2904.00 2032.80 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1887.60 1887.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2032.80 1887.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2032.80 0.00 0.00 0.00 1742.40 0.00 0.00 1742.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000154 278 PLATE TUBE 145DX86MM 4HOLE C1713 2105.00 2105.00 1473.50 0.00 1052.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1052.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1368.25 1368.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1473.50 1368.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1473.50 0.00 0.00 0.00 1263.00 0.00 0.00 1263.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000165 278 NAIL M/DN R-F 11MMX32CM C1713 5963.00 5963.00 4174.10 0.00 2981.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2981.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3875.95 3875.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4174.10 3875.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4174.10 0.00 0.00 0.00 3577.80 0.00 0.00 3577.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000168 278 NAIL TIBIAL 8MMX32MM C1713 4282.00 4282.00 2997.40 0.00 2141.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2141.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2783.30 2783.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.40 2783.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.40 0.00 0.00 0.00 2569.20 0.00 0.00 2569.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000169 278 PROSTHESIS HIP 54DIAX152MM C1713 4894.00 4894.00 3425.80 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3181.10 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 0.00 0.00 0.00 2936.40 0.00 0.00 2936.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000171 278 NAIL HUMERAL L 240MM C1713 10758.00 10758.00 7530.60 0.00 5379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6992.70 6992.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7530.60 6992.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7530.60 0.00 0.00 0.00 6454.80 0.00 0.00 6454.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000178 278 NAIL M/DN R-F 11MMX34CM C1713 5965.00 5965.00 4175.50 0.00 2982.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2982.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3877.25 3877.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4175.50 3877.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4175.50 0.00 0.00 0.00 3579.00 0.00 0.00 3579.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000203 278 PLATE 5 DEGREE LT C1713 9912.00 9912.00 6938.40 0.00 4956.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4956.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6442.80 6442.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6938.40 6442.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6938.40 0.00 0.00 0.00 5947.20 0.00 0.00 5947.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000214 278 NAIL I/M FEM 12MMX30CM C1713 5816.00 5816.00 4071.20 0.00 2908.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2908.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3780.40 3780.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4071.20 3780.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4071.20 0.00 0.00 0.00 3489.60 0.00 0.00 3489.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000220 278 NAIL HUMERAL 220MM C1713 12343.00 12343.00 8640.10 0.00 6171.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6171.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8022.95 8022.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8640.10 8022.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8640.10 0.00 0.00 0.00 7405.80 0.00 0.00 7405.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000234 278 PLATE TUBE 135D X 157MM STD C1713 2695.00 2695.00 1886.50 0.00 1347.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1347.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1751.75 1751.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1886.50 1751.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1886.50 0.00 0.00 0.00 1617.00 0.00 0.00 1617.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000245 278 NAIL ANKLE 11X200MM L C1713 14830.00 14830.00 10381.00 0.00 7415.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7415.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9639.50 9639.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10381.00 9639.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10381.00 0.00 0.00 0.00 8898.00 0.00 0.00 8898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000249 278 SCREW COMPR ANKLE C1713 1189.00 1189.00 832.30 0.00 594.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 594.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 772.85 772.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.30 772.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.30 0.00 0.00 0.00 713.40 0.00 0.00 713.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000262 278 NAIL GAMMA 10X360MMX125 C1713 15807.00 15807.00 11064.90 0.00 7903.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7903.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10274.55 10274.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11064.90 10274.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11064.90 0.00 0.00 0.00 9484.20 0.00 0.00 9484.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000264 278 NAIL TIBIAL IM 10MMX34CM C1713 4050.00 4050.00 2835.00 0.00 2025.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2025.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2632.50 2632.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2835.00 2632.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2835.00 0.00 0.00 0.00 2430.00 0.00 0.00 2430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000278 278 NAIL HUMERAL M/DN 12MMX21CM C1713 5794.00 5794.00 4055.80 0.00 2897.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2897.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3766.10 3766.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4055.80 3766.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4055.80 0.00 0.00 0.00 3476.40 0.00 0.00 3476.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000279 278 PLATE 2.0MM 7H Y C1713 1699.00 1699.00 1189.30 0.00 849.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 849.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1104.35 1104.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1189.30 1104.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1189.30 0.00 0.00 0.00 1019.40 0.00 0.00 1019.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000282 278 PIN MEDULLARY 3.2X14CM SZ D C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000283 278 PIN MEDULLARY 3.2X12.7CM C C1713 398.00 398.00 278.60 0.00 199.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 199.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.70 258.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.60 258.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.60 0.00 0.00 0.00 238.80 0.00 0.00 238.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000284 278 PIN MEDULLARY 3.2X11.4CM B C1713 398.00 398.00 278.60 0.00 199.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 199.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.70 258.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.60 258.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.60 0.00 0.00 0.00 238.80 0.00 0.00 238.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000285 278 PIN MEDULLARY 3.2X10.2CM A C1713 398.00 398.00 278.60 0.00 199.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 199.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.70 258.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.60 258.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.60 0.00 0.00 0.00 238.80 0.00 0.00 238.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000289 278 DEVICE IMPLANT 4.75X19.1MM C1713 11196.00 11196.00 7837.20 0.00 5598.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5598.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7277.40 7277.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7837.20 7277.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7837.20 0.00 0.00 0.00 6717.60 0.00 0.00 6717.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000293 278 NAIL TIBIAL IM 11MMX34CM C1713 4176.00 4176.00 2923.20 0.00 2088.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2088.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2714.40 2714.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2923.20 2714.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2923.20 0.00 0.00 0.00 2505.60 0.00 0.00 2505.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000294 278 PLATE TUBE 140D X 157MM STD C1713 2694.00 2694.00 1885.80 0.00 1347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1751.10 1751.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1885.80 1751.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1885.80 0.00 0.00 0.00 1616.40 0.00 0.00 1616.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000295 278 PLATE TUBE 135D X 189MM STD C1713 2694.00 2694.00 1885.80 0.00 1347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1751.10 1751.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1885.80 1751.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1885.80 0.00 0.00 0.00 1616.40 0.00 0.00 1616.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000301 278 PLATE HOOK 2.7MM RT C1713 3800.00 3800.00 2660.00 0.00 1900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2470.00 2470.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2660.00 2470.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2660.00 0.00 0.00 0.00 2280.00 0.00 0.00 2280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000303 278 HEAD FEMORAL ENDO 55MM DIA C1713 2411.00 2411.00 1687.70 0.00 1205.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1205.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1567.15 1567.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1687.70 1567.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1687.70 0.00 0.00 0.00 1446.60 0.00 0.00 1446.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000313 278 PLATE 17 HOLE 6/7 TI C1713 7524.00 7524.00 5266.80 0.00 3762.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3762.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4890.60 4890.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5266.80 4890.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5266.80 0.00 0.00 0.00 4514.40 0.00 0.00 4514.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000316 278 PLATE 16 HOLE 4/5 TI C1713 7524.00 7524.00 5266.80 0.00 3762.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3762.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4890.60 4890.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5266.80 4890.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5266.80 0.00 0.00 0.00 4514.40 0.00 0.00 4514.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000328 278 PLATE DR NARROW C1713 5664.00 5664.00 3964.80 0.00 2832.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2832.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3681.60 3681.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3964.80 3681.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3964.80 0.00 0.00 0.00 3398.40 0.00 0.00 3398.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000331 278 PLATE LCK ROTATION 5H C1713 3068.00 3068.00 2147.60 0.00 1534.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1534.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1994.20 1994.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2147.60 1994.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2147.60 0.00 0.00 0.00 1840.80 0.00 0.00 1840.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000340 278 PLATE LCK 1.6MM C1713 2714.00 2714.00 1899.80 0.00 1357.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1357.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1764.10 1764.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1899.80 1764.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1899.80 0.00 0.00 0.00 1628.40 0.00 0.00 1628.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000342 278 NAIL TIBIAL 12MMX300MM C1713 10068.00 10068.00 7047.60 0.00 5034.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5034.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6544.20 6544.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7047.60 6544.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7047.60 0.00 0.00 0.00 6040.80 0.00 0.00 6040.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000343 278 PLATE FIBULA 4H 89MM C1713 4997.00 4997.00 3497.90 0.00 2498.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2498.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3248.05 3248.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3497.90 3248.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3497.90 0.00 0.00 0.00 2998.20 0.00 0.00 2998.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000346 278 KIT NAIL L R1.5 10X300MMX125 C1713 15807.00 15807.00 11064.90 0.00 7903.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7903.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10274.55 10274.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11064.90 10274.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11064.90 0.00 0.00 0.00 9484.20 0.00 0.00 9484.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000347 278 KIT NAIL 10X170MM C1713 11791.00 11791.00 8253.70 0.00 5895.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5895.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7664.15 7664.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8253.70 7664.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8253.70 0.00 0.00 0.00 7074.60 0.00 0.00 7074.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000349 278 PLATE HOOK 2.7MM L C1713 4956.00 4956.00 3469.20 0.00 2478.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2478.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3221.40 3221.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3469.20 3221.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3469.20 0.00 0.00 0.00 2973.60 0.00 0.00 2973.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000356 278 KIT NAIL L 10X320MM X125 C1713 15812.00 15812.00 11068.40 0.00 7906.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7906.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10277.80 10277.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11068.40 10277.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11068.40 0.00 0.00 0.00 9487.20 0.00 0.00 9487.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000370 278 NAIL I/M FEM 12MMX28CM C1713 5900.00 5900.00 4130.00 0.00 2950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3835.00 3835.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4130.00 3835.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4130.00 0.00 0.00 0.00 3540.00 0.00 0.00 3540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000373 278 TUBULAR PLATE W/COLLAR 4 HOLES C1713 197.00 197.00 137.90 0.00 98.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 128.05 128.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.90 128.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.90 0.00 0.00 0.00 118.20 0.00 0.00 118.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000377 278 NAIL TIBIAL YL 9.3MM X 32CM C1713 8260.00 8260.00 5782.00 0.00 4130.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4130.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5369.00 5369.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5782.00 5369.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5782.00 0.00 0.00 0.00 4956.00 0.00 0.00 4956.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000378 278 CAP NAIL TIBIAL 15MM C1713 1050.00 1050.00 735.00 0.00 525.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 682.50 682.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 735.00 682.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 735.00 0.00 0.00 0.00 630.00 0.00 0.00 630.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000379 278 KIT NAIL LG 11X340MM X 125 C1713 14221.00 14221.00 9954.70 0.00 7110.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7110.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9243.65 9243.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9954.70 9243.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9954.70 0.00 0.00 0.00 8532.60 0.00 0.00 8532.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000386 278 NAIL GAMMA 10X170MM X 120 C1713 12390.00 12390.00 8673.00 0.00 6195.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6195.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8053.50 8053.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8673.00 8053.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8673.00 0.00 0.00 0.00 7434.00 0.00 0.00 7434.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000399 278 NAIL FEM T2 12MM X 240MM C1713 12075.00 12075.00 8452.50 0.00 6037.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6037.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7848.75 7848.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8452.50 7848.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8452.50 0.00 0.00 0.00 7245.00 0.00 0.00 7245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000400 278 NAIL HUM M/DN 8MM X 21CM C1713 6958.00 6958.00 4870.60 0.00 3479.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3479.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4522.70 4522.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4870.60 4522.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4870.60 0.00 0.00 0.00 4174.80 0.00 0.00 4174.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000407 278 PLATE FIBULA 3H 77MM C1713 3296.00 3296.00 2307.20 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2142.40 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 0.00 0.00 0.00 1977.60 0.00 0.00 1977.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000408 278 KIT NAIL L 10X360X125 C1713 16174.00 16174.00 11321.80 0.00 8087.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8087.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10513.10 10513.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11321.80 10513.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11321.80 0.00 0.00 0.00 9704.40 0.00 0.00 9704.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000417 278 FILLER BONE 5CC C1713 13320.00 13320.00 9324.00 0.00 6660.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6660.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8658.00 8658.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9324.00 8658.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9324.00 0.00 0.00 0.00 7992.00 0.00 0.00 7992.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000418 278 NAIL GAMMA R1.5 10X125X40CM C1713 16596.00 16596.00 11617.20 0.00 8298.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8298.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10787.40 10787.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11617.20 10787.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11617.20 0.00 0.00 0.00 9957.60 0.00 0.00 9957.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000422 278 PLATE TS 3 HOLE L C1713 9421.00 9421.00 6594.70 0.00 4710.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4710.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6123.65 6123.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6594.70 6123.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6594.70 0.00 0.00 0.00 5652.60 0.00 0.00 5652.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000426 278 NAIL TIB 12X390MM C1713 10497.00 10497.00 7347.90 0.00 5248.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5248.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6823.05 6823.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7347.90 6823.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7347.90 0.00 0.00 0.00 6298.20 0.00 0.00 6298.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000427 278 PLATE FIB STR 6 HOLE C1713 2870.00 2870.00 2009.00 0.00 1435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1865.50 1865.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2009.00 1865.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2009.00 0.00 0.00 0.00 1722.00 0.00 0.00 1722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000429 278 PIN STEINMAN 2.0MMX229MM C1713 41.00 41.00 28.70 0.00 20.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.65 26.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.70 26.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.70 0.00 0.00 0.00 24.60 0.00 0.00 24.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000434 278 PLATE FIBULA 5H 101MM C1713 4209.00 4209.00 2946.30 0.00 2104.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2104.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2735.85 2735.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2946.30 2735.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2946.30 0.00 0.00 0.00 2525.40 0.00 0.00 2525.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000435 278 NAIL FEM T2 11MM X 300MM C1713 12080.00 12080.00 8456.00 0.00 6040.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6040.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7852.00 7852.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8456.00 7852.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8456.00 0.00 0.00 0.00 7248.00 0.00 0.00 7248.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000440 278 PLATE 6 HOLE R 113MM C1713 7006.00 7006.00 4904.20 0.00 3503.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3503.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4553.90 4553.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4904.20 4553.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4904.20 0.00 0.00 0.00 4203.60 0.00 0.00 4203.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000443 278 PLATE FIB 6 HOLE 113MM C1713 4365.00 4365.00 3055.50 0.00 2182.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2182.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2837.25 2837.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3055.50 2837.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3055.50 0.00 0.00 0.00 2619.00 0.00 0.00 2619.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000449 278 PLATE OLECRANON 4 H LEFT C1713 7006.00 7006.00 4904.20 0.00 3503.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3503.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4553.90 4553.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4904.20 4553.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4904.20 0.00 0.00 0.00 4203.60 0.00 0.00 4203.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000450 278 KIT NAIL L 10X340MM X125 C1713 16174.00 16174.00 11321.80 0.00 8087.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8087.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10513.10 10513.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11321.80 10513.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11321.80 0.00 0.00 0.00 9704.40 0.00 0.00 9704.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000452 278 CLIP FIXATION 10-10MM C1713 5598.00 5598.00 3918.60 0.00 2799.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2799.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3638.70 3638.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3918.60 3638.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3918.60 0.00 0.00 0.00 3358.80 0.00 0.00 3358.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000454 278 KIT IMPLANT DISP 8X8MM C1713 6417.00 6417.00 4491.90 0.00 3208.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3208.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4171.05 4171.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4491.90 4171.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4491.90 0.00 0.00 0.00 3850.20 0.00 0.00 3850.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000456 278 PLATE T 4 HOLE C1713 7447.00 7447.00 5212.90 0.00 3723.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3723.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.55 4840.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5212.90 4840.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5212.90 0.00 0.00 0.00 4468.20 0.00 0.00 4468.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000461 278 NAIL FEM T2 11X340MM C1713 12080.00 12080.00 8456.00 0.00 6040.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6040.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7852.00 7852.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8456.00 7852.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8456.00 0.00 0.00 0.00 7248.00 0.00 0.00 7248.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000473 278 PLATE LCK 2.7MM L C1713 8740.00 8740.00 6118.00 0.00 4370.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4370.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5681.00 5681.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6118.00 5681.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6118.00 0.00 0.00 0.00 5244.00 0.00 0.00 5244.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000474 278 PLATE DISTAL 4H R C1713 7006.00 7006.00 4904.20 0.00 3503.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3503.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4553.90 4553.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4904.20 4553.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4904.20 0.00 0.00 0.00 4203.60 0.00 0.00 4203.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000480 278 FILLER BONE 10CC C1713 13273.00 13273.00 9291.10 0.00 6636.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6636.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8627.45 8627.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9291.10 8627.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9291.10 0.00 0.00 0.00 7963.80 0.00 0.00 7963.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000481 278 PLATE TIBIAL 8H 173MM R C1713 11762.00 11762.00 8233.40 0.00 5881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7645.30 7645.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8233.40 7645.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8233.40 0.00 0.00 0.00 7057.20 0.00 0.00 7057.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000483 278 PLATE STR 2HOLE 28.5MM C1713 2870.00 2870.00 2009.00 0.00 1435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1865.50 1865.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2009.00 1865.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2009.00 0.00 0.00 0.00 1722.00 0.00 0.00 1722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000488 278 PLATE 3H SS C1713 1812.00 1812.00 1268.40 0.00 906.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 906.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1177.80 1177.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1268.40 1177.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1268.40 0.00 0.00 0.00 1087.20 0.00 0.00 1087.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000493 278 PLATE OLECRANON 4 H RIGHT C1713 7006.00 7006.00 4904.20 0.00 3503.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3503.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4553.90 4553.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4904.20 4553.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4904.20 0.00 0.00 0.00 4203.60 0.00 0.00 4203.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000494 278 PLATE TIBIA 10H R C1713 9885.00 9885.00 6919.50 0.00 4942.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4942.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6425.25 6425.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6919.50 6425.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6919.50 0.00 0.00 0.00 5931.00 0.00 0.00 5931.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000496 278 NAIL TIBIAL 10X285MM C1713 10497.00 10497.00 7347.90 0.00 5248.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5248.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6823.05 6823.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7347.90 6823.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7347.90 0.00 0.00 0.00 6298.20 0.00 0.00 6298.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000497 278 PLATE TUBE SHORT 140DX93MM C1713 2058.00 2058.00 1440.60 0.00 1029.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1029.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1337.70 1337.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.60 1337.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.60 0.00 0.00 0.00 1234.80 0.00 0.00 1234.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000500 278 INSERT LCK 5.0 C1713 483.00 483.00 338.10 0.00 241.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.95 313.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.10 313.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.10 0.00 0.00 0.00 289.80 0.00 0.00 289.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000507 278 PLATE HIP 4H 135DEG C1713 4333.00 4333.00 3033.10 0.00 2166.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2166.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2816.45 2816.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3033.10 2816.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3033.10 0.00 0.00 0.00 2599.80 0.00 0.00 2599.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000516 278 NAIL GAMMA R1.5 L 10X360MM C1713 16174.00 16174.00 11321.80 0.00 8087.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8087.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10513.10 10513.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11321.80 10513.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11321.80 0.00 0.00 0.00 9704.40 0.00 0.00 9704.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000517 278 PLATE TIBIAL 2H 95MM R C1713 11762.00 11762.00 8233.40 0.00 5881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7645.30 7645.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8233.40 7645.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8233.40 0.00 0.00 0.00 7057.20 0.00 0.00 7057.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000518 278 NAIL SUPR 12X280MM C1713 13920.00 13920.00 9744.00 0.00 6960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9048.00 9048.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9744.00 9048.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9744.00 0.00 0.00 0.00 8352.00 0.00 0.00 8352.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000532 278 PLATE LCK 5H 2.7MM C1713 5520.00 5520.00 3864.00 0.00 2760.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2760.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3588.00 3588.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3864.00 3588.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3864.00 0.00 0.00 0.00 3312.00 0.00 0.00 3312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000557 278 NAIL TIB 8.3MMX32CM C1713 7783.00 7783.00 5448.10 0.00 3891.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3891.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5058.95 5058.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5448.10 5058.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5448.10 0.00 0.00 0.00 4669.80 0.00 0.00 4669.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000558 278 CAP TIB NAIL 0MM C1713 994.00 994.00 695.80 0.00 497.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 497.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 646.10 646.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 695.80 646.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 695.80 0.00 0.00 0.00 596.40 0.00 0.00 596.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000560 278 PLATE OLECRANON 8 HOLE R C1713 8938.00 8938.00 6256.60 0.00 4469.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4469.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5809.70 5809.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6256.60 5809.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6256.60 0.00 0.00 0.00 5362.80 0.00 0.00 5362.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000561 278 PLATE FIB 8 HOLE C1713 4743.00 4743.00 3320.10 0.00 2371.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2371.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3082.95 3082.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3320.10 3082.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3320.10 0.00 0.00 0.00 2845.80 0.00 0.00 2845.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000563 278 NAIL FEM CPM 11.5MM X 38CM C1713 10698.00 10698.00 7488.60 0.00 5349.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5349.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6953.70 6953.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7488.60 6953.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7488.60 0.00 0.00 0.00 6418.80 0.00 0.00 6418.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000575 278 PLATE CLAW 20MM 3H C1713 6792.00 6792.00 4754.40 0.00 3396.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3396.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4414.80 4414.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4754.40 4414.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4754.40 0.00 0.00 0.00 4075.20 0.00 0.00 4075.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000576 278 PUTTY BONE 10CC C1713 4915.00 4915.00 3440.50 0.00 2457.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2457.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3194.75 3194.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3440.50 3194.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3440.50 0.00 0.00 0.00 2949.00 0.00 0.00 2949.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000577 278 WEDGE BONE 8X20X22MM C1713 9009.00 9009.00 6306.30 0.00 4504.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4504.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5855.85 5855.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6306.30 5855.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6306.30 0.00 0.00 0.00 5405.40 0.00 0.00 5405.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000582 278 PLATE TIBIAL 10H RT C1713 11402.00 11402.00 7981.40 0.00 5701.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5701.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7411.30 7411.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7981.40 7411.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7981.40 0.00 0.00 0.00 6841.20 0.00 0.00 6841.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000598 278 KIT IMPLANT DISP 10X10MM C1713 6250.00 6250.00 4375.00 0.00 3125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4062.50 4062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4375.00 4062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4375.00 0.00 0.00 0.00 3750.00 0.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000613 278 WASHER 4.0 C1713 193.00 193.00 135.10 0.00 96.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 96.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.45 125.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.10 125.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.10 0.00 0.00 0.00 115.80 0.00 0.00 115.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000617 278 NAIL HUM M/DN 10MMX24CM C1713 6774.00 6774.00 4741.80 0.00 3387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4403.10 4403.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.80 4403.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.80 0.00 0.00 0.00 4064.40 0.00 0.00 4064.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000619 278 FILLER BONE 2.5CC C1713 6742.00 6742.00 4719.40 0.00 3371.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3371.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4382.30 4382.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4719.40 4382.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4719.40 0.00 0.00 0.00 4045.20 0.00 0.00 4045.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000622 278 PLATE TIBIA 2H 95MM L C1713 11455.00 11455.00 8018.50 0.00 5727.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5727.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7445.75 7445.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8018.50 7445.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8018.50 0.00 0.00 0.00 6873.00 0.00 0.00 6873.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000624 278 BROAD LCK 9H L 173MM C1713 1680.00 1680.00 1176.00 0.00 840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1092.00 1092.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1176.00 1092.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1176.00 0.00 0.00 0.00 1008.00 0.00 0.00 1008.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000625 278 PLUG CABLE 5.0 C1713 470.00 470.00 329.00 0.00 235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 305.50 305.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 329.00 305.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 329.00 0.00 0.00 0.00 282.00 0.00 0.00 282.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000636 278 PLATE FIBULA 8H 108MM C1713 2796.00 2796.00 1957.20 0.00 1398.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1398.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1817.40 1817.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1957.20 1817.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1957.20 0.00 0.00 0.00 1677.60 0.00 0.00 1677.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000640 278 PLATE TIBIAL 6H 123MM R C1713 11402.00 11402.00 7981.40 0.00 5701.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5701.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7411.30 7411.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7981.40 7411.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7981.40 0.00 0.00 0.00 6841.20 0.00 0.00 6841.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000641 278 WASHER 3.5MM C1713 484.00 484.00 338.80 0.00 242.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.60 314.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.80 314.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.80 0.00 0.00 0.00 290.40 0.00 0.00 290.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000642 278 KIT IMPLANT DISP 20X20MM C1713 8060.00 8060.00 5642.00 0.00 4030.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4030.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5239.00 5239.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5642.00 5239.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5642.00 0.00 0.00 0.00 4836.00 0.00 0.00 4836.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000643 278 KIT IMPLANT DISP 25X22MM C1713 8060.00 8060.00 5642.00 0.00 4030.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4030.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5239.00 5239.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5642.00 5239.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5642.00 0.00 0.00 0.00 4836.00 0.00 0.00 4836.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000644 278 PLATE COMP 8H SS C1713 968.00 968.00 677.60 0.00 484.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 484.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 629.20 629.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 677.60 629.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 677.60 0.00 0.00 0.00 580.80 0.00 0.00 580.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000645 278 NAIL TIBIAL 11MM X 32CM C1713 6774.00 6774.00 4741.80 0.00 3387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4403.10 4403.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.80 4403.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.80 0.00 0.00 0.00 4064.40 0.00 0.00 4064.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000648 278 PLATE STR 6H C1713 3450.00 3450.00 2415.00 0.00 1725.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1725.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.50 2242.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2415.00 2242.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2415.00 0.00 0.00 0.00 2070.00 0.00 0.00 2070.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000655 278 NAIL GAMMA R 10X340MMX125 C1713 15752.00 15752.00 11026.40 0.00 7876.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7876.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10238.80 10238.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11026.40 10238.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11026.40 0.00 0.00 0.00 9451.20 0.00 0.00 9451.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000658 278 NAIL TIBIAL YL 9.3X34CM C1713 7580.00 7580.00 5306.00 0.00 3790.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3790.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4927.00 4927.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5306.00 4927.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5306.00 0.00 0.00 0.00 4548.00 0.00 0.00 4548.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000663 278 BROAD LCK 10H L 191MM C1713 1680.00 1680.00 1176.00 0.00 840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1092.00 1092.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1176.00 1092.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1176.00 0.00 0.00 0.00 1008.00 0.00 0.00 1008.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000664 278 CABLE/SLEEVE BEADED 2.0MM C1713 1976.00 1976.00 1383.20 0.00 988.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 988.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1284.40 1284.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1383.20 1284.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1383.20 0.00 0.00 0.00 1185.60 0.00 0.00 1185.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000681 278 PLATE TIBIAL 10 HOLE L 178MM C1713 11823.00 11823.00 8276.10 0.00 5911.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5911.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7684.95 7684.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8276.10 7684.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8276.10 0.00 0.00 0.00 7093.80 0.00 0.00 7093.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000682 278 PLATE TIBIAL 10 HOLE R 178MM C1713 11823.00 11823.00 8276.10 0.00 5911.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5911.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7684.95 7684.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8276.10 7684.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8276.10 0.00 0.00 0.00 7093.80 0.00 0.00 7093.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000684 278 FORMULA INJECT 10CC C1713 17024.00 17024.00 11916.80 0.00 8512.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8512.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11065.60 11065.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11916.80 11065.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11916.80 0.00 0.00 0.00 10214.40 0.00 0.00 10214.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000685 278 PLATE LCK 2.7MM Y C1713 5824.00 5824.00 4076.80 0.00 2912.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2912.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3785.60 3785.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4076.80 3785.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4076.80 0.00 0.00 0.00 3494.40 0.00 0.00 3494.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000686 278 PLATE LCK 2.4MM SUBCONDYLAR C1713 2800.00 2800.00 1960.00 0.00 1400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1820.00 1820.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1960.00 1820.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1960.00 0.00 0.00 0.00 1680.00 0.00 0.00 1680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000689 278 WEDGE COTTON 6MM 24X14X6MM C1713 7400.00 7400.00 5180.00 0.00 3700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4810.00 4810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5180.00 4810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5180.00 0.00 0.00 0.00 4440.00 0.00 0.00 4440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000690 278 PLATE 5 DEGREE RT C1713 9408.00 9408.00 6585.60 0.00 4704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6115.20 6115.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6585.60 6115.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6585.60 0.00 0.00 0.00 5644.80 0.00 0.00 5644.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000698 278 KIT NAIL RT 2.0X400MM C1713 13498.00 13498.00 9448.60 0.00 6749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8773.70 8773.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9448.60 8773.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9448.60 0.00 0.00 0.00 8098.80 0.00 0.00 8098.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000700 278 KIT NAIL TRONCHANTERIC TI 15.5 C1713 11751.00 11751.00 8225.70 0.00 5875.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5875.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7638.15 7638.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8225.70 7638.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8225.70 0.00 0.00 0.00 7050.60 0.00 0.00 7050.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000709 278 SET CABLE D/M 1.6MM C1713 1847.00 1847.00 1292.90 0.00 923.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1200.55 1200.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1292.90 1200.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1292.90 0.00 0.00 0.00 1108.20 0.00 0.00 1108.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000713 278 PLATE LCK 4H 2.7MM C1713 9408.00 9408.00 6585.60 0.00 4704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6115.20 6115.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6585.60 6115.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6585.60 0.00 0.00 0.00 5644.80 0.00 0.00 5644.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000715 278 WASHER 6.5/7.3 C1713 860.00 860.00 602.00 0.00 430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 559.00 559.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 602.00 559.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 602.00 0.00 0.00 0.00 516.00 0.00 0.00 516.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000722 278 BONE SUBSTITUTE HYDROSET 15ML C1713 22924.00 22924.00 16046.80 0.00 11462.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11462.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14900.60 14900.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16046.80 14900.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16046.80 0.00 0.00 0.00 13754.40 0.00 0.00 13754.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000723 278 NAIL HUMERAL R 260MM C1713 12535.00 12535.00 8774.50 0.00 6267.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6267.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8147.75 8147.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8774.50 8147.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8774.50 0.00 0.00 0.00 7521.00 0.00 0.00 7521.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000726 278 PLATE HUMERUS 10H LT C1713 13337.00 13337.00 9335.90 0.00 6668.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6668.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8669.05 8669.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9335.90 8669.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9335.90 0.00 0.00 0.00 8002.20 0.00 0.00 8002.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000729 278 PLATE FEMURAL 8H 202MM L C1713 13996.00 13996.00 9797.20 0.00 6998.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6998.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9097.40 9097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.20 9097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.20 0.00 0.00 0.00 8397.60 0.00 0.00 8397.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000744 278 PLATE TIBIAL 6H 123MM L C1713 11402.00 11402.00 7981.40 0.00 5701.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5701.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7411.30 7411.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7981.40 7411.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7981.40 0.00 0.00 0.00 6841.20 0.00 0.00 6841.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000745 278 NAIL HUMERAL PROXIMAL 8 X 220M C1713 12535.00 12535.00 8774.50 0.00 6267.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6267.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8147.75 8147.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8774.50 8147.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8774.50 0.00 0.00 0.00 7521.00 0.00 0.00 7521.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000746 278 PLATE 3.0 TUBULAR NON LCK C1713 412.00 412.00 288.40 0.00 206.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 206.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.80 267.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.40 267.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.40 0.00 0.00 0.00 247.20 0.00 0.00 247.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000749 278 NAIL HUMERAL 11X25.5CM C1713 6774.00 6774.00 4741.80 0.00 3387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4403.10 4403.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.80 4403.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.80 0.00 0.00 0.00 4064.40 0.00 0.00 4064.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000754 278 PLATE FEMUR 6H LT 166MM C1713 13996.00 13996.00 9797.20 0.00 6998.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6998.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9097.40 9097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.20 9097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.20 0.00 0.00 0.00 8397.60 0.00 0.00 8397.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000757 278 PLATE TIBIA 10H 149MM L C1713 10403.00 10403.00 7282.10 0.00 5201.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5201.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6761.95 6761.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7282.10 6761.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7282.10 0.00 0.00 0.00 6241.80 0.00 0.00 6241.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000758 278 PLATE DISTAL 6 HOLE 166MM R C1713 13996.00 13996.00 9797.20 0.00 6998.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6998.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9097.40 9097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.20 9097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.20 0.00 0.00 0.00 8397.60 0.00 0.00 8397.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000770 278 PLATE DISTAL 14H L 310MM C1713 13996.00 13996.00 9797.20 0.00 6998.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6998.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9097.40 9097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.20 9097.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.20 0.00 0.00 0.00 8397.60 0.00 0.00 8397.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000772 278 CAP END 11.5X20MM C1713 1254.00 1254.00 877.80 0.00 627.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 627.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 815.10 815.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 877.80 815.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 877.80 0.00 0.00 0.00 752.40 0.00 0.00 752.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000773 278 PLATE OLECRANON 6HOLE L C1713 6823.00 6823.00 4776.10 0.00 3411.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3411.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4434.95 4434.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4776.10 4434.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4776.10 0.00 0.00 0.00 4093.80 0.00 0.00 4093.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000788 278 KIT BEAD MINI 5CC C1713 2746.00 2746.00 1922.20 0.00 1373.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1373.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1784.90 1784.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1922.20 1784.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1922.20 0.00 0.00 0.00 1647.60 0.00 0.00 1647.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000797 278 PLATE LATERAL 4 HOLE L 109MM C1713 6823.00 6823.00 4776.10 0.00 3411.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3411.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4434.95 4434.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4776.10 4434.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4776.10 0.00 0.00 0.00 4093.80 0.00 0.00 4093.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000801 278 PLATE TUBE 130D X 189MM STD C1713 2557.00 2557.00 1789.90 0.00 1278.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1278.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1662.05 1662.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1789.90 1662.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1789.90 0.00 0.00 0.00 1534.20 0.00 0.00 1534.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000805 278 PLATE DISTAL 6 HOLE R C1713 12092.00 12092.00 8464.40 0.00 6046.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6046.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7859.80 7859.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8464.40 7859.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8464.40 0.00 0.00 0.00 7255.20 0.00 0.00 7255.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000819 278 PLATE DR EXTRA SHORT L C1713 6736.00 6736.00 4715.20 0.00 3368.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3368.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4378.40 4378.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4715.20 4378.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4715.20 0.00 0.00 0.00 4041.60 0.00 0.00 4041.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000821 278 NAIL HUMERAL 12X25.5CM C1713 6977.00 6977.00 4883.90 0.00 3488.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3488.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4535.05 4535.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4883.90 4535.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4883.90 0.00 0.00 0.00 4186.20 0.00 0.00 4186.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000822 278 NAIL HUMERAL 13X25.5CM C1713 6977.00 6977.00 4883.90 0.00 3488.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3488.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4535.05 4535.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4883.90 4535.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4883.90 0.00 0.00 0.00 4186.20 0.00 0.00 4186.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000853 278 PUTTY BONE 10CC C1713 4983.00 4983.00 3488.10 0.00 2491.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2491.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3238.95 3238.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3488.10 3238.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3488.10 0.00 0.00 0.00 2989.80 0.00 0.00 2989.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000858 278 PLATE TUBE FEMORAL 8H C1713 2808.00 2808.00 1965.60 0.00 1404.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1404.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1825.20 1825.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1965.60 1825.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1965.60 0.00 0.00 0.00 1684.80 0.00 0.00 1684.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000878 278 NAIL HUMERAL 9X260MM C1713 10643.00 10643.00 7450.10 0.00 5321.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5321.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6917.95 6917.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7450.10 6917.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7450.10 0.00 0.00 0.00 6385.80 0.00 0.00 6385.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000884 278 PLATE MPJ C1713 10760.00 10760.00 7532.00 0.00 5380.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5380.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6994.00 6994.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7532.00 6994.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7532.00 0.00 0.00 0.00 6456.00 0.00 0.00 6456.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000905 278 IMPLANT HYPRO CURE SINUS TARSI C1713 6889.00 6889.00 4822.30 0.00 3444.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3444.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4477.85 4477.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4822.30 4477.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4822.30 0.00 0.00 0.00 4133.40 0.00 0.00 4133.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000906 278 PUTTY BONE 5CC C1713 3379.00 3379.00 2365.30 0.00 1689.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1689.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2196.35 2196.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2365.30 2196.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2365.30 0.00 0.00 0.00 2027.40 0.00 0.00 2027.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001084 278 NAIL TIBIAL 10X36MM C1713 7598.00 7598.00 5318.60 0.00 3799.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3799.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4938.70 4938.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5318.60 4938.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5318.60 0.00 0.00 0.00 4558.80 0.00 0.00 4558.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001089 278 NAIL HIP FRACTURE 11X340MM L C1713 11503.00 11503.00 8052.10 0.00 5751.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5751.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7476.95 7476.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8052.10 7476.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8052.10 0.00 0.00 0.00 6901.80 0.00 0.00 6901.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001090 278 SCREW LAG HIP 10.5X75MM C1713 3202.00 3202.00 2241.40 0.00 1601.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.30 2081.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2241.40 2081.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2241.40 0.00 0.00 0.00 1921.20 0.00 0.00 1921.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001092 278 SCREW ANTI-ROTATION 65MM C1713 1285.00 1285.00 899.50 0.00 642.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 642.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 835.25 835.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 899.50 835.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 899.50 0.00 0.00 0.00 771.00 0.00 0.00 771.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001097 278 NAIL HIP FRACTURE 11X360MM C1713 11503.00 11503.00 8052.10 0.00 5751.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5751.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7476.95 7476.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8052.10 7476.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8052.10 0.00 0.00 0.00 6901.80 0.00 0.00 6901.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001098 278 SCREW LAG 10.5X85MM C1713 3202.00 3202.00 2241.40 0.00 1601.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.30 2081.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2241.40 2081.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2241.40 0.00 0.00 0.00 1921.20 0.00 0.00 1921.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001100 278 SCREW LAG 10.5X90MM C1713 3202.00 3202.00 2241.40 0.00 1601.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.30 2081.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2241.40 2081.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2241.40 0.00 0.00 0.00 1921.20 0.00 0.00 1921.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001107 278 PLATE LCK 139MM 6H L C1713 3867.00 3867.00 2706.90 0.00 1933.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1933.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.55 2513.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2706.90 2513.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2706.90 0.00 0.00 0.00 2320.20 0.00 0.00 2320.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001110 278 PLATE LCK 4H R 109MM C1713 3360.00 3360.00 2352.00 0.00 1680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2184.00 2184.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2352.00 2184.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2352.00 0.00 0.00 0.00 2016.00 0.00 0.00 2016.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001111 278 STAPLE HAND FIXATION 12X12 C1713 4774.00 4774.00 3341.80 0.00 2387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3103.10 3103.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3341.80 3103.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3341.80 0.00 0.00 0.00 2864.40 0.00 0.00 2864.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001114 278 NAIL HIP FRACTURE RT 9X340MM C1713 11503.00 11503.00 8052.10 0.00 5751.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5751.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7476.95 7476.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8052.10 7476.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8052.10 0.00 0.00 0.00 6901.80 0.00 0.00 6901.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001121 278 PLATE SUPERCONDYLAR 2.0MM C1713 3370.00 3370.00 2359.00 0.00 1685.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1685.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2190.50 2190.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2359.00 2190.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2359.00 0.00 0.00 0.00 2022.00 0.00 0.00 2022.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001123 278 PLATE STRAIGHT 2.0MM 5H C1713 2245.00 2245.00 1571.50 0.00 1122.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1122.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1459.25 1459.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1571.50 1459.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1571.50 0.00 0.00 0.00 1347.00 0.00 0.00 1347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001139 278 CAP END OFFSET 12X0MM C1713 781.00 781.00 546.70 0.00 390.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 390.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 507.65 507.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 546.70 507.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 546.70 0.00 0.00 0.00 468.60 0.00 0.00 468.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001140 278 NAIL FEM RETRO 10.5X260MM C1713 9327.00 9327.00 6528.90 0.00 4663.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4663.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6062.55 6062.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6528.90 6062.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6528.90 0.00 0.00 0.00 5596.20 0.00 0.00 5596.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001145 278 NAIL INTRAMEDULLARY 11X380MM C1713 11946.00 11946.00 8362.20 0.00 5973.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5973.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7764.90 7764.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8362.20 7764.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8362.20 0.00 0.00 0.00 7167.60 0.00 0.00 7167.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001151 278 NAIL INTRAMEDULLARY 11X360MM C1713 11946.00 11946.00 8362.20 0.00 5973.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5973.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7764.90 7764.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8362.20 7764.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8362.20 0.00 0.00 0.00 7167.60 0.00 0.00 7167.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001223 278 PLATE LCK 3H L C1713 8633.00 8633.00 6043.10 0.00 4316.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4316.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5611.45 5611.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6043.10 5611.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6043.10 0.00 0.00 0.00 5179.80 0.00 0.00 5179.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001228 278 NAIL GAMMA 11X360MMX125 C1713 12544.00 12544.00 8780.80 0.00 6272.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6272.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8153.60 8153.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8780.80 8153.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8780.80 0.00 0.00 0.00 7526.40 0.00 0.00 7526.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001229 278 PLATE COMP 7H C1713 2228.00 2228.00 1559.60 0.00 1114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1448.20 1448.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1559.60 1448.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1559.60 0.00 0.00 0.00 1336.80 0.00 0.00 1336.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001231 278 FILLER BONE VOID 5CC C1713 13080.00 13080.00 9156.00 0.00 6540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8502.00 8502.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9156.00 8502.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9156.00 0.00 0.00 0.00 7848.00 0.00 0.00 7848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001236 278 PLATE TIBIAL 4H 102MM R C1713 8378.00 8378.00 5864.60 0.00 4189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5445.70 5445.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5864.60 5445.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5864.60 0.00 0.00 0.00 5026.80 0.00 0.00 5026.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001239 278 KIT IMPLANT 8X8MM C1713 4360.00 4360.00 3052.00 0.00 2180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2834.00 2834.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3052.00 2834.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3052.00 0.00 0.00 0.00 2616.00 0.00 0.00 2616.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001244 278 NAIL TIBIAL 9.0X315MM C1713 8063.00 8063.00 5644.10 0.00 4031.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4031.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5240.95 5240.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5644.10 5240.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5644.10 0.00 0.00 0.00 4837.80 0.00 0.00 4837.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001246 278 PLATE CALCANEAL MESH 56MM C1713 8306.00 8306.00 5814.20 0.00 4153.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4153.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5398.90 5398.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5814.20 5398.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5814.20 0.00 0.00 0.00 4983.60 0.00 0.00 4983.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001251 278 NAIL GAMMA R 11X380MMX125 C1713 12544.00 12544.00 8780.80 0.00 6272.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6272.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8153.60 8153.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8780.80 8153.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8780.80 0.00 0.00 0.00 7526.40 0.00 0.00 7526.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001253 278 BASEPLATE TIBIAL SZ1 C1713 7194.00 7194.00 5035.80 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4676.10 4676.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5035.80 4676.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5035.80 0.00 0.00 0.00 4316.40 0.00 0.00 4316.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001254 278 COMP FEMORAL SZ2 L C1713 9592.00 9592.00 6714.40 0.00 4796.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4796.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6234.80 6234.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6714.40 6234.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6714.40 0.00 0.00 0.00 5755.20 0.00 0.00 5755.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001255 278 INSERT TIBIAL SZ1 9MM C1713 5995.00 5995.00 4196.50 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.75 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 0.00 0.00 0.00 3597.00 0.00 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001256 278 INSERT TIBIAL SZ1 13MM C1713 5995.00 5995.00 4196.50 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.75 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 0.00 0.00 0.00 3597.00 0.00 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001265 278 PIN MEDULLARY 3.2X19.1CM SZ H C1713 443.00 443.00 310.10 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.95 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 287.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.10 0.00 0.00 0.00 265.80 0.00 0.00 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001272 278 NAIL FEM RETRO 12X240MM C1713 12957.00 12957.00 9069.90 0.00 6478.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6478.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8422.05 8422.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9069.90 8422.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9069.90 0.00 0.00 0.00 7774.20 0.00 0.00 7774.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001273 278 NAIL HUMERAL 8X270MM C1713 9756.00 9756.00 6829.20 0.00 4878.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4878.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6341.40 6341.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6829.20 6341.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6829.20 0.00 0.00 0.00 5853.60 0.00 0.00 5853.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001275 278 NAIL FEMORAL 10.5X340MM C1713 12957.00 12957.00 9069.90 0.00 6478.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6478.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8422.05 8422.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9069.90 8422.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9069.90 0.00 0.00 0.00 7774.20 0.00 0.00 7774.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001284 278 NAIL GAMMA R 11X420MMX125 C1713 12198.00 12198.00 8538.60 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7928.70 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 0.00 0.00 0.00 7318.80 0.00 0.00 7318.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001285 278 PLATE FIBULA DIST 4H C1713 3232.00 3232.00 2262.40 0.00 1616.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1616.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2100.80 2100.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2262.40 2100.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2262.40 0.00 0.00 0.00 1939.20 0.00 0.00 1939.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001292 278 NAIL HUMERAL R 8X300MM C1713 9613.00 9613.00 6729.10 0.00 4806.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4806.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6248.45 6248.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6729.10 6248.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6729.10 0.00 0.00 0.00 5767.80 0.00 0.00 5767.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001293 278 KIT SCP KNEE 5CC C1713 17278.00 17278.00 12094.60 0.00 8639.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8639.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11230.70 11230.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12094.60 11230.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12094.60 0.00 0.00 0.00 10366.80 0.00 0.00 10366.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001295 278 NAIL TIBIAL 12X360MM C1713 7841.00 7841.00 5488.70 0.00 3920.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3920.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5096.65 5096.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5488.70 5096.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5488.70 0.00 0.00 0.00 4704.60 0.00 0.00 4704.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001297 278 NAIL TIBIAL 9.0X360 C1713 5881.00 5881.00 4116.70 0.00 2940.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2940.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3822.65 3822.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4116.70 3822.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4116.70 0.00 0.00 0.00 3528.60 0.00 0.00 3528.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001304 278 NAIL GAMMA R 10X380MMX125 C1713 12198.00 12198.00 8538.60 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7928.70 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 0.00 0.00 0.00 7318.80 0.00 0.00 7318.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001326 278 PLATE MTP R C1713 9230.00 9230.00 6461.00 0.00 4615.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4615.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5999.50 5999.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6461.00 5999.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6461.00 0.00 0.00 0.00 5538.00 0.00 0.00 5538.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001337 278 PLATE DISTAL LATERAL 4H C1713 9839.00 9839.00 6887.30 0.00 4919.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4919.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6395.35 6395.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6887.30 6395.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6887.30 0.00 0.00 0.00 5903.40 0.00 0.00 5903.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001340 278 KIT STAPLE NITINOL 10X10MM C1713 4643.00 4643.00 3250.10 0.00 2321.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2321.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3017.95 3017.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3250.10 3017.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3250.10 0.00 0.00 0.00 2785.80 0.00 0.00 2785.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001341 278 KIT NAIL IM 11X400X125 C1713 12198.00 12198.00 8538.60 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7928.70 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 0.00 0.00 0.00 7318.80 0.00 0.00 7318.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001347 278 NAIL FEM RETRO 12X320MM C1713 13356.00 13356.00 9349.20 0.00 6678.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6678.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8681.40 8681.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9349.20 8681.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9349.20 0.00 0.00 0.00 8013.60 0.00 0.00 8013.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001353 278 KIT NAIL R 10X280MMX125 C1713 12198.00 12198.00 8538.60 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7928.70 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 0.00 0.00 0.00 7318.80 0.00 0.00 7318.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001357 278 KIT NAIL L 11X320MMX125 C1713 12198.00 12198.00 8538.60 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7928.70 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 0.00 0.00 0.00 7318.80 0.00 0.00 7318.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001359 278 PLATE FIB 9 HOLE C1713 3642.00 3642.00 2549.40 0.00 1821.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1821.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2367.30 2367.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2549.40 2367.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2549.40 0.00 0.00 0.00 2185.20 0.00 0.00 2185.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001368 278 PLATE INTER EXTRA SHORT C1713 4814.00 4814.00 3369.80 0.00 2407.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2407.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3129.10 3129.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3369.80 3129.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3369.80 0.00 0.00 0.00 2888.40 0.00 0.00 2888.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001385 278 KIT IMPLANT 10X10MM C1713 4240.00 4240.00 2968.00 0.00 2120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2756.00 2756.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2968.00 2756.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2968.00 0.00 0.00 0.00 2544.00 0.00 0.00 2544.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001397 278 NAIL FEMORAL 11.55X24MM C1713 9590.00 9590.00 6713.00 0.00 4795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6233.50 6233.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6713.00 6233.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6713.00 0.00 0.00 0.00 5754.00 0.00 0.00 5754.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001419 278 PLATE TUBE SHORT 130DX109MM C1713 2116.00 2116.00 1481.20 0.00 1058.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1058.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1375.40 1375.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1481.20 1375.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1481.20 0.00 0.00 0.00 1269.60 0.00 0.00 1269.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001420 278 PLATE TUBE SHORT 135DX109MM C1713 2116.00 2116.00 1481.20 0.00 1058.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1058.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1375.40 1375.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1481.20 1375.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1481.20 0.00 0.00 0.00 1269.60 0.00 0.00 1269.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001421 278 NAIL HUMERUS 8X150 R C1713 10578.00 10578.00 7404.60 0.00 5289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6875.70 6875.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7404.60 6875.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7404.60 0.00 0.00 0.00 6346.80 0.00 0.00 6346.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001423 278 KIT NAIL L 11X340MMX125 C1713 12198.00 12198.00 8538.60 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6099.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7928.70 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 7928.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8538.60 0.00 0.00 0.00 7318.80 0.00 0.00 7318.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001429 278 SET BONE SUBSTITUTE C1713 14724.00 14724.00 10306.80 0.00 7362.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7362.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9570.60 9570.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10306.80 9570.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10306.80 0.00 0.00 0.00 8834.40 0.00 0.00 8834.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001430 278 IMP TARSI SINUS HYPOCURE SZ8 C1713 6699.00 6699.00 4689.30 0.00 3349.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3349.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4354.35 4354.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4689.30 4354.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4689.30 0.00 0.00 0.00 4019.40 0.00 0.00 4019.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001431 278 SET CABLE D/M 1.6MM C1713 5220.00 5220.00 3654.00 0.00 2610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3393.00 3393.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3654.00 3393.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3654.00 0.00 0.00 0.00 3132.00 0.00 0.00 3132.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001468 278 NAIL GAMMA 11X340X125 C1713 12810.00 12810.00 8967.00 0.00 6405.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6405.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8326.50 8326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8967.00 8326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8967.00 0.00 0.00 0.00 7686.00 0.00 0.00 7686.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001471 278 NAIL HUM UNV 7X240MM C1713 10685.00 10685.00 7479.50 0.00 5342.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5342.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6945.25 6945.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7479.50 6945.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7479.50 0.00 0.00 0.00 6411.00 0.00 0.00 6411.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001475 278 SYS IMPLANT MINI 1.1MM C1713 2226.00 2226.00 1558.20 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1446.90 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 0.00 0.00 0.00 1335.60 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001476 278 PLATE NARROW L 49MM C1713 5152.00 5152.00 3606.40 0.00 2576.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2576.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3348.80 3348.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3606.40 3348.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3606.40 0.00 0.00 0.00 3091.20 0.00 0.00 3091.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001490 278 SCREW CANC 6.5X40MM C1713 280.00 280.00 196.00 0.00 140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.00 182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.00 182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.00 0.00 0.00 0.00 168.00 0.00 0.00 168.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001491 278 NAIL TIBIAL 9X285MM C1713 8313.00 8313.00 5819.10 0.00 4156.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4156.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5403.45 5403.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5819.10 5403.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5819.10 0.00 0.00 0.00 4987.80 0.00 0.00 4987.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001500 278 NAIL HUMERAL 8X260MM C1713 10685.00 10685.00 7479.50 0.00 5342.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5342.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6945.25 6945.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7479.50 6945.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7479.50 0.00 0.00 0.00 6411.00 0.00 0.00 6411.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001501 278 SCREW CANC 4.8X42MM C1713 933.00 933.00 653.10 0.00 466.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 466.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 606.45 606.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 653.10 606.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 653.10 0.00 0.00 0.00 559.80 0.00 0.00 559.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001503 278 PLATE 4 HOLE STRAIGHT 2.3MM C1713 2152.00 2152.00 1506.40 0.00 1076.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1076.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1398.80 1398.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1506.40 1398.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1506.40 0.00 0.00 0.00 1291.20 0.00 0.00 1291.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001505 278 NAIL TIBIAL 11X36CM C1713 7389.00 7389.00 5172.30 0.00 3694.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3694.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4802.85 4802.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5172.30 4802.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5172.30 0.00 0.00 0.00 4433.40 0.00 0.00 4433.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001506 278 NAIL HIP R 9X380MM C1713 16154.00 16154.00 11307.80 0.00 8077.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8077.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10500.10 10500.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11307.80 10500.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11307.80 0.00 0.00 0.00 9692.40 0.00 0.00 9692.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001517 278 NAIL SUPRACONDYLAR 14X360MM C1713 10604.00 10604.00 7422.80 0.00 5302.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5302.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6892.60 6892.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7422.80 6892.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7422.80 0.00 0.00 0.00 6362.40 0.00 0.00 6362.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001518 278 COMPONENT FEMORAL SZD LT C1713 15656.00 15656.00 10959.20 0.00 7828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10176.40 10176.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10959.20 10176.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10959.20 0.00 0.00 0.00 9393.60 0.00 0.00 9393.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001519 278 SURFACE ART CD 14MM C1713 5284.00 5284.00 3698.80 0.00 2642.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2642.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3434.60 3434.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3698.80 3434.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3698.80 0.00 0.00 0.00 3170.40 0.00 0.00 3170.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001522 278 NAIL TIBIAL T2 9X345 C1713 8078.00 8078.00 5654.60 0.00 4039.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4039.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.70 5250.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5654.60 5250.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5654.60 0.00 0.00 0.00 4846.80 0.00 0.00 4846.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001534 278 KIT IMPLANT STRL LAPIPLASTY C1713 15656.00 15656.00 10959.20 0.00 7828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10176.40 10176.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10959.20 10176.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10959.20 0.00 0.00 0.00 9393.60 0.00 0.00 9393.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001557 278 SET BONE SUBSTITUTE C1713 14308.00 14308.00 10015.60 0.00 7154.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7154.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9300.20 9300.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10015.60 9300.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10015.60 0.00 0.00 0.00 8584.80 0.00 0.00 8584.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001559 278 PLATE TIBIAL 5H 84MM C1713 7622.00 7622.00 5335.40 0.00 3811.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3811.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4954.30 4954.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5335.40 4954.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5335.40 0.00 0.00 0.00 4573.20 0.00 0.00 4573.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001587 278 NAIL FEMORAL 9X360MM C1713 16192.00 16192.00 11334.40 0.00 8096.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8096.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10524.80 10524.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11334.40 10524.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11334.40 0.00 0.00 0.00 9715.20 0.00 0.00 9715.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001605 278 NAIL TIBIAL 9.0X300MM C1713 8096.00 8096.00 5667.20 0.00 4048.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5262.40 5262.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5667.20 5262.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5667.20 0.00 0.00 0.00 4857.60 0.00 0.00 4857.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001626 278 PLATE LATERAL 4HOLE R 109MM C1713 5390.00 5390.00 3773.00 0.00 2695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3503.50 3503.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3773.00 3503.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3773.00 0.00 0.00 0.00 3234.00 0.00 0.00 3234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001627 278 PLATE DIST 3HOLE R 80MM C1713 4888.00 4888.00 3421.60 0.00 2444.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2444.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3177.20 3177.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3421.60 3177.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3421.60 0.00 0.00 0.00 2932.80 0.00 0.00 2932.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001641 278 NAIL FEMORAL 11.5X34CM C1713 9319.00 9319.00 6523.30 0.00 4659.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4659.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6057.35 6057.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6523.30 6057.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6523.30 0.00 0.00 0.00 5591.40 0.00 0.00 5591.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001649 278 NAIL HUMERAL R 240MM C1713 9901.00 9901.00 6930.70 0.00 4950.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4950.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6435.65 6435.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6930.70 6435.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6930.70 0.00 0.00 0.00 5940.60 0.00 0.00 5940.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001654 278 FIXATOR EXTERNAL SHORT C1713 13732.00 13732.00 9612.40 0.00 6866.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6866.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8925.80 8925.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9612.40 8925.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9612.40 0.00 0.00 0.00 8239.20 0.00 0.00 8239.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001655 278 PIN HALF 2.5X80MM C1713 577.00 577.00 403.90 0.00 288.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.05 375.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 403.90 375.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 403.90 0.00 0.00 0.00 346.20 0.00 0.00 346.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001659 278 IMPLANT HAMMERTOE MED C1713 5739.00 5739.00 4017.30 0.00 2869.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2869.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3730.35 3730.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4017.30 3730.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4017.30 0.00 0.00 0.00 3443.40 0.00 0.00 3443.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001664 278 INSERT TIBIAL SZ5 11MM C1713 5665.00 5665.00 3965.50 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3682.25 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 0.00 0.00 0.00 3399.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001671 278 PLATE TUBULAR 1/3 9H C1713 2108.00 2108.00 1475.60 0.00 1054.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1054.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1370.20 1370.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1475.60 1370.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1475.60 0.00 0.00 0.00 1264.80 0.00 0.00 1264.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001676 278 PLATE NARROW R 8HOLE C1713 7152.00 7152.00 5006.40 0.00 3576.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3576.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4648.80 4648.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5006.40 4648.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5006.40 0.00 0.00 0.00 4291.20 0.00 0.00 4291.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001677 278 PLATE MTP L C1713 8969.00 8969.00 6278.30 0.00 4484.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4484.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5829.85 5829.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6278.30 5829.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6278.30 0.00 0.00 0.00 5381.40 0.00 0.00 5381.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001679 278 PLATE MEDIAL 6HOLE 116MM C1713 5390.00 5390.00 3773.00 0.00 2695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3503.50 3503.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3773.00 3503.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3773.00 0.00 0.00 0.00 3234.00 0.00 0.00 3234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001686 278 PLATE COMP 5.0MM 10HOLE C1713 8234.00 8234.00 5763.80 0.00 4117.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4117.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5352.10 5352.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5763.80 5352.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5763.80 0.00 0.00 0.00 4940.40 0.00 0.00 4940.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001687 278 PLUG CABLE 5.0MM C1713 1228.00 1228.00 859.60 0.00 614.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 614.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 798.20 798.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 859.60 798.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 859.60 0.00 0.00 0.00 736.80 0.00 0.00 736.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001700 278 CLIP FIXATION 8X8X8 C1713 4554.00 4554.00 3187.80 0.00 2277.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2277.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2960.10 2960.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3187.80 2960.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3187.80 0.00 0.00 0.00 2732.40 0.00 0.00 2732.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001707 278 PLATE TIBIAL 4H 171MM C1713 7383.00 7383.00 5168.10 0.00 3691.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3691.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4798.95 4798.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5168.10 4798.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5168.10 0.00 0.00 0.00 4429.80 0.00 0.00 4429.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001708 278 SET BONE SUBSTITUTE 5CC C1713 10737.00 10737.00 7515.90 0.00 5368.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5368.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6979.05 6979.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7515.90 6979.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7515.90 0.00 0.00 0.00 6442.20 0.00 0.00 6442.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001725 278 NAIL FEMORAL 13X34CM C1713 9319.00 9319.00 6523.30 0.00 4659.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4659.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6057.35 6057.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6523.30 6057.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6523.30 0.00 0.00 0.00 5591.40 0.00 0.00 5591.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001731 278 NAIL SUPRACONDYLAR 9X170MM C1713 10604.00 10604.00 7422.80 0.00 5302.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5302.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6892.60 6892.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7422.80 6892.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7422.80 0.00 0.00 0.00 6362.40 0.00 0.00 6362.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001733 278 IMP TARSI SINUS HYPOCURE SZ7 C1713 6510.00 6510.00 4557.00 0.00 3255.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3255.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4231.50 4231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4557.00 4231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4557.00 0.00 0.00 0.00 3906.00 0.00 0.00 3906.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001737 278 IMP TARSI SINUS HYPOCURE SZ6 C1713 6510.00 6510.00 4557.00 0.00 3255.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3255.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4231.50 4231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4557.00 4231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4557.00 0.00 0.00 0.00 3906.00 0.00 0.00 3906.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001754 278 INSERTER RESTRICTOR CEMENT C1713 741.60 741.60 519.12 0.00 370.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 370.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 482.04 482.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 519.12 482.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 519.12 0.00 0.00 0.00 444.96 0.00 0.00 444.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001765 278 PLATE COMP STR 5H NARROW C1713 2187.00 2187.00 1530.90 0.00 1093.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1093.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1421.55 1421.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1530.90 1421.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1530.90 0.00 0.00 0.00 1312.20 0.00 0.00 1312.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001766 278 PLATE COMP STR BROAD 5H C1713 2187.00 2187.00 1530.90 0.00 1093.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1093.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1421.55 1421.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1530.90 1421.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1530.90 0.00 0.00 0.00 1312.20 0.00 0.00 1312.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001783 278 NAIL GAMMA 11X180MM X 120 C1713 7305.20 7305.20 5113.64 0.00 3652.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3652.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4748.38 4748.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5113.64 4748.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5113.64 0.00 0.00 0.00 4383.12 0.00 0.00 4383.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001784 278 PLATE HIP KEYED 135DEG 3H C1713 3206.00 3206.00 2244.20 0.00 1603.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1603.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2083.90 2083.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2244.20 2083.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2244.20 0.00 0.00 0.00 1923.60 0.00 0.00 1923.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001785 278 PLATE HIP KEYELESS 135DEG 3H C1713 3206.00 3206.00 2244.20 0.00 1603.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1603.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2083.90 2083.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2244.20 2083.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2244.20 0.00 0.00 0.00 1923.60 0.00 0.00 1923.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001797 278 NAIL GAMMA 1X42MM C1713 12085.00 12085.00 8459.50 0.00 6042.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6042.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7855.25 7855.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8459.50 7855.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8459.50 0.00 0.00 0.00 7251.00 0.00 0.00 7251.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001798 278 PLATE TIBIAL 12 HOLE C1713 7424.00 7424.00 5196.80 0.00 3712.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3712.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4825.60 4825.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5196.80 4825.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5196.80 0.00 0.00 0.00 4454.40 0.00 0.00 4454.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001805 278 PLATE HIP 4 HOLE 135 DEG C1713 1900.00 1900.00 1330.00 0.00 950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1235.00 1235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1330.00 1235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1330.00 0.00 0.00 0.00 1140.00 0.00 0.00 1140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001807 278 PLATE HIP KEYED 135DEG 4H C1713 2404.00 2404.00 1682.80 0.00 1202.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1202.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1562.60 1562.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1682.80 1562.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1682.80 0.00 0.00 0.00 1442.40 0.00 0.00 1442.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001809 278 PLATE BARRELL HIP 135DEG 4H C1713 1900.00 1900.00 1330.00 0.00 950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1235.00 1235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1330.00 1235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1330.00 0.00 0.00 0.00 1140.00 0.00 0.00 1140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001855 278 PLATE TIBIAL 12H 223MM L C1713 6657.20 6657.20 4660.04 0.00 3328.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3328.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4327.18 4327.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4660.04 4327.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4660.04 0.00 0.00 0.00 3994.32 0.00 0.00 3994.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001856 278 PLATE TIBIAL 13H 245MM L C1713 6813.40 6813.40 4769.38 0.00 3406.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3406.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4428.71 4428.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4769.38 4428.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4769.38 0.00 0.00 0.00 4088.04 0.00 0.00 4088.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001862 278 PLATE BARREL HIP 135DEG 3H C1713 1900.00 1900.00 1330.00 0.00 950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1235.00 1235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1330.00 1235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1330.00 0.00 0.00 0.00 1140.00 0.00 0.00 1140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001863 278 PLATE FEMORAL 8H LT 202MM C1713 8655.00 8655.00 6058.50 0.00 4327.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4327.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5625.75 5625.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6058.50 5625.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6058.50 0.00 0.00 0.00 5193.00 0.00 0.00 5193.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001869 278 PLATE TIBULAR 1/3 7H C1713 1166.00 1166.00 816.20 0.00 583.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 757.90 757.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 816.20 757.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 816.20 0.00 0.00 0.00 699.60 0.00 0.00 699.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001875 278 PLATE HIP KEYED 135DEG 2H C1713 2404.00 2404.00 1682.80 0.00 1202.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1202.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1562.60 1562.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1682.80 1562.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1682.80 0.00 0.00 0.00 1442.40 0.00 0.00 1442.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001884 278 NAIL TIBIAL 10MMX330MM C1713 6534.00 6534.00 4573.80 0.00 3267.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3267.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4247.10 4247.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4573.80 4247.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4573.80 0.00 0.00 0.00 3920.40 0.00 0.00 3920.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001887 278 NAIL GAMMA R 10X320MMX125 C1713 8157.60 8157.60 5710.32 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5302.44 5302.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5710.32 5302.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5710.32 0.00 0.00 0.00 4894.56 0.00 0.00 4894.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001896 278 NAIL SUPRACONDYLAR 10X380MM C1713 8573.40 8573.40 6001.38 0.00 4286.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4286.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5572.71 5572.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6001.38 5572.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6001.38 0.00 0.00 0.00 5144.04 0.00 0.00 5144.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001899 278 PLATE OLECRANON 3 H RIGHT C1713 3594.00 3594.00 2515.80 0.00 1797.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1797.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2336.10 2336.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2515.80 2336.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2515.80 0.00 0.00 0.00 2156.40 0.00 0.00 2156.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001916 278 SYS HAND FIXATION 18X16X3 C1713 7196.00 7196.00 5037.20 0.00 3598.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3598.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4677.40 4677.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5037.20 4677.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5037.20 0.00 0.00 0.00 4317.60 0.00 0.00 4317.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001919 278 PLATE BARREL IP 130DEG 4H C1713 2404.00 2404.00 1682.80 0.00 1202.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1202.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1562.60 1562.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1682.80 1562.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1682.80 0.00 0.00 0.00 1442.40 0.00 0.00 1442.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001923 278 PLATE DISTAL 12H C1713 7244.60 7244.60 5071.22 0.00 3622.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3622.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4708.99 4708.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5071.22 4708.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5071.22 0.00 0.00 0.00 4346.76 0.00 0.00 4346.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001924 278 PLATE HOOK 5TH MET C1713 6672.00 6672.00 4670.40 0.00 3336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4336.80 4336.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4670.40 4336.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4670.40 0.00 0.00 0.00 4003.20 0.00 0.00 4003.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001934 278 KIT KNEE SIDE SCCUPORT C1713 11600.00 11600.00 8120.00 0.00 5800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7540.00 7540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8120.00 7540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8120.00 0.00 0.00 0.00 6960.00 0.00 0.00 6960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001937 278 WASHER SS 4.0MM C1713 104.40 104.40 73.08 0.00 52.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.86 67.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.08 67.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.08 0.00 0.00 0.00 62.64 0.00 0.00 62.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001938 278 PLATE TIBIA 6 H L97MM C1713 6358.00 6358.00 4450.60 0.00 3179.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3179.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4132.70 4132.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4450.60 4132.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4450.60 0.00 0.00 0.00 3814.80 0.00 0.00 3814.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001939 278 PLATE TIBIA 4 H R L121 C1713 6914.60 6914.60 4840.22 0.00 3457.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3457.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4494.49 4494.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.22 4494.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.22 0.00 0.00 0.00 4148.76 0.00 0.00 4148.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001940 278 KIT IMPLANT STRL LAPIPLASTY2 C1713 18780.00 18780.00 13146.00 0.00 9390.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9390.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12207.00 12207.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13146.00 12207.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13146.00 0.00 0.00 0.00 11268.00 0.00 0.00 11268.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001954 278 NAIL SUPRACONDYAR 9X360MM C1713 8573.40 8573.40 6001.38 0.00 4286.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4286.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5572.71 5572.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6001.38 5572.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6001.38 0.00 0.00 0.00 5144.04 0.00 0.00 5144.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001957 278 PLATE TIBIAL 4 HOLE C1713 6721.00 6721.00 4704.70 0.00 3360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4368.65 4368.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4704.70 4368.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4704.70 0.00 0.00 0.00 4032.60 0.00 0.00 4032.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001962 278 PLATE TIBIAL LATERAL 4 HOLE L C1713 5849.80 5849.80 4094.86 0.00 2924.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2924.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3802.37 3802.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4094.86 3802.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4094.86 0.00 0.00 0.00 3509.88 0.00 0.00 3509.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001969 278 PIN HALF S/D 40 THR 5X150 C1713 598.00 598.00 418.60 0.00 299.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 388.70 388.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.60 388.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.60 0.00 0.00 0.00 358.80 0.00 0.00 358.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001970 278 PLATE FIB 7 HOLE C1713 2756.00 2756.00 1929.20 0.00 1378.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1378.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1791.40 1791.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1929.20 1791.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1929.20 0.00 0.00 0.00 1653.60 0.00 0.00 1653.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001972 278 PLATE LCK 2.0MM SUBCONDYLAR C1713 5060.00 5060.00 3542.00 0.00 2530.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2530.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3289.00 3289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3542.00 3289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3542.00 0.00 0.00 0.00 3036.00 0.00 0.00 3036.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001973 278 PLATE COMP 7H 90MM C1713 1656.00 1656.00 1159.20 0.00 828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1076.40 1076.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1159.20 1076.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1159.20 0.00 0.00 0.00 993.60 0.00 0.00 993.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001976 278 PLATE DR EXTRA SHORT L C1713 6180.00 6180.00 4326.00 0.00 3090.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3090.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4017.00 4017.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4326.00 4017.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4326.00 0.00 0.00 0.00 3708.00 0.00 0.00 3708.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001977 278 PLATE SHORT RADIAL C1713 2590.00 2590.00 1813.00 0.00 1295.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1295.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1683.50 1683.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1813.00 1683.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1813.00 0.00 0.00 0.00 1554.00 0.00 0.00 1554.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001978 278 PLATE COMP STR 8 HOLE C1713 2430.00 2430.00 1701.00 0.00 1215.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1215.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1579.50 1579.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1701.00 1579.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1701.00 0.00 0.00 0.00 1458.00 0.00 0.00 1458.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001979 278 NAIL GAMMA R 10X420X125 C1713 8157.60 8157.60 5710.32 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5302.44 5302.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5710.32 5302.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5710.32 0.00 0.00 0.00 4894.56 0.00 0.00 4894.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001990 278 NAIL TIBIAL 9X330MM C1713 13368.00 13368.00 9357.60 0.00 6684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8689.20 8689.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9357.60 8689.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9357.60 0.00 0.00 0.00 8020.80 0.00 0.00 8020.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001997 278 NAIL TIBIA 10X345MM C1713 13368.00 13368.00 9357.60 0.00 6684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8689.20 8689.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9357.60 8689.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9357.60 0.00 0.00 0.00 8020.80 0.00 0.00 8020.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002002 278 NAIL TIBIAL 9X300MM C1713 13368.00 13368.00 9357.60 0.00 6684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8689.20 8689.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9357.60 8689.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9357.60 0.00 0.00 0.00 8020.80 0.00 0.00 8020.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002004 278 PLATE DR STD R C1713 3478.00 3478.00 2434.60 0.00 1739.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1739.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2260.70 2260.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2434.60 2260.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2434.60 0.00 0.00 0.00 2086.80 0.00 0.00 2086.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002005 278 PLATE COMP STR BROAD 8H C1713 2430.00 2430.00 1701.00 0.00 1215.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1215.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1579.50 1579.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1701.00 1579.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1701.00 0.00 0.00 0.00 1458.00 0.00 0.00 1458.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002032 278 PLATE TIBIA L 4H L71MM C1713 5970.80 5970.80 4179.56 0.00 2985.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2985.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3881.02 3881.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4179.56 3881.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4179.56 0.00 0.00 0.00 3582.48 0.00 0.00 3582.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002035 278 KIT NAIL 11X200X125 C1713 19248.00 19248.00 13473.60 0.00 9624.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9624.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12511.20 12511.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13473.60 12511.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13473.60 0.00 0.00 0.00 11548.80 0.00 0.00 11548.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002039 278 PLATE TIBIAL 4H L 121MM C1713 6914.60 6914.60 4840.22 0.00 3457.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3457.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4494.49 4494.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.22 4494.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.22 0.00 0.00 0.00 4148.76 0.00 0.00 4148.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002040 278 ANCHOR GII C1713 0.04 0.04 0.03 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.00 0.00 0.00 0.02 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002041 278 ANCHOR PEEK HEALIX 5.5MM C1713 2256.00 2256.00 1579.20 0.00 1128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1466.40 1466.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1579.20 1466.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1579.20 0.00 0.00 0.00 1353.60 0.00 0.00 1353.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002042 278 WASHER 6.5/8.0MM C1713 138.60 138.60 97.02 0.00 69.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.09 90.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.02 90.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.02 0.00 0.00 0.00 83.16 0.00 0.00 83.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002046 278 NAIL HUMERAL 7X240MM C1713 6457.00 6457.00 4519.90 0.00 3228.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3228.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4197.05 4197.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4519.90 4197.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4519.90 0.00 0.00 0.00 3874.20 0.00 0.00 3874.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002055 278 NAIL TIBIAL 8X315MM C1713 13876.00 13876.00 9713.20 0.00 6938.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6938.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9019.40 9019.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9713.20 9019.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9713.20 0.00 0.00 0.00 8325.60 0.00 0.00 8325.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002057 278 GRAFT BONE 10CC PRO DENSE C1713 11400.00 11400.00 7980.00 0.00 5700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7410.00 7410.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7980.00 7410.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7980.00 0.00 0.00 0.00 6840.00 0.00 0.00 6840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002059 278 PLATE CALC STD R C1713 7400.00 7400.00 5180.00 0.00 3700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4810.00 4810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5180.00 4810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5180.00 0.00 0.00 0.00 4440.00 0.00 0.00 4440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002060 278 PIN SCHANZ 5.0MM C1713 280.00 280.00 196.00 0.00 140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.00 182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.00 182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.00 0.00 0.00 0.00 168.00 0.00 0.00 168.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002066 278 PLATE DISTAL 4 HOLE 130MM L C1713 8272.00 8272.00 5790.40 0.00 4136.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4136.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5376.80 5376.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5790.40 5376.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5790.40 0.00 0.00 0.00 4963.20 0.00 0.00 4963.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002067 278 PLATE COMP 10H 4.0X136MM C1713 5117.20 5117.20 3582.04 0.00 2558.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2558.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3326.18 3326.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3582.04 3326.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3582.04 0.00 0.00 0.00 3070.32 0.00 0.00 3070.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002074 278 PLATE LAPIFUSE 2MM L C1713 12176.00 12176.00 8523.20 0.00 6088.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6088.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7914.40 7914.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8523.20 7914.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8523.20 0.00 0.00 0.00 7305.60 0.00 0.00 7305.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002078 278 WASHER 5.0MM C1713 113.40 113.40 79.38 0.00 56.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.71 73.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.38 73.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.38 0.00 0.00 0.00 68.04 0.00 0.00 68.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002081 278 PLATE Y 4H BROAD C1713 3936.00 3936.00 2755.20 0.00 1968.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1968.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2558.40 2558.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2755.20 2558.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2755.20 0.00 0.00 0.00 2361.60 0.00 0.00 2361.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002083 278 NAIL TIBIAL 11X300MM C1713 13876.00 13876.00 9713.20 0.00 6938.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6938.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9019.40 9019.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9713.20 9019.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9713.20 0.00 0.00 0.00 8325.60 0.00 0.00 8325.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002092 278 NAIL TIBIAL 10X375MM C1713 13876.00 13876.00 9713.20 0.00 6938.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6938.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9019.40 9019.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9713.20 9019.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9713.20 0.00 0.00 0.00 8325.60 0.00 0.00 8325.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002100 278 NAIL HUMERAL R 280MM C1713 8005.80 8005.80 5604.06 0.00 4002.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4002.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5203.77 5203.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5604.06 5203.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5604.06 0.00 0.00 0.00 4803.48 0.00 0.00 4803.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002107 278 PLATE FEMORAL 10H 238MM L C1713 8848.40 8848.40 6193.88 0.00 4424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5751.46 5751.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6193.88 5751.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6193.88 0.00 0.00 0.00 5309.04 0.00 0.00 5309.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002127 278 PLATE DITAL 8H L149MM C1713 6864.00 6864.00 4804.80 0.00 3432.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3432.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4461.60 4461.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4804.80 4461.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4804.80 0.00 0.00 0.00 4118.40 0.00 0.00 4118.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002128 278 MIX GRAFT POWER 4CC C1713 10160.00 10160.00 7112.00 0.00 5080.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5080.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6604.00 6604.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7112.00 6604.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7112.00 0.00 0.00 0.00 6096.00 0.00 0.00 6096.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002135 278 NAIL SUPRACONDYLAR 9X340MM C1713 8575.00 8575.00 6002.50 0.00 4287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5573.75 5573.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6002.50 5573.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6002.50 0.00 0.00 0.00 5145.00 0.00 0.00 5145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002139 278 PLATE T 6 HOLE C1713 4136.00 4136.00 2895.20 0.00 2068.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2068.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2688.40 2688.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2895.20 2688.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2895.20 0.00 0.00 0.00 2481.60 0.00 0.00 2481.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002146 278 NAIL T2 STD TIB 10.0X345MM C1713 6534.00 6534.00 4573.80 0.00 3267.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3267.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4247.10 4247.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4573.80 4247.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4573.80 0.00 0.00 0.00 3920.40 0.00 0.00 3920.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002155 278 PIN HALF S/D 40 THR 4X120 C1713 484.00 484.00 338.80 0.00 242.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.60 314.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.80 314.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.80 0.00 0.00 0.00 290.40 0.00 0.00 290.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002157 278 PIN TRANSFIXING AEX 40X300MM C1713 556.00 556.00 389.20 0.00 278.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.40 361.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.20 361.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.20 0.00 0.00 0.00 333.60 0.00 0.00 333.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002168 278 NAIL TIBIAL 11X720MM C1713 14264.00 14264.00 9984.80 0.00 7132.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7132.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9271.60 9271.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9984.80 9271.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9984.80 0.00 0.00 0.00 8558.40 0.00 0.00 8558.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002198 278 PLATE TIBIA LATERAL 8H L 173MM C1713 7196.20 7196.20 5037.34 0.00 3598.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3598.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4677.53 4677.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5037.34 4677.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5037.34 0.00 0.00 0.00 4317.72 0.00 0.00 4317.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002202 278 PLATE FUSION 2.7MM R 10IN C1713 9480.00 9480.00 6636.00 0.00 4740.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4740.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6162.00 6162.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6636.00 6162.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6636.00 0.00 0.00 0.00 5688.00 0.00 0.00 5688.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002218 278 PLATE REVISION MTP LT C1713 13024.00 13024.00 9116.80 0.00 6512.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6512.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8465.60 8465.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9116.80 8465.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9116.80 0.00 0.00 0.00 7814.40 0.00 0.00 7814.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002219 278 KIT ANCHOR SONIC 2.5X10MM C1713 2240.00 2240.00 1568.00 0.00 1120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1456.00 1456.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1568.00 1456.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1568.00 0.00 0.00 0.00 1344.00 0.00 0.00 1344.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002253 278 SCREW CANN 04.0MMX37.5 C1713 1580.00 1580.00 1106.00 0.00 790.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 790.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1027.00 1027.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1106.00 1027.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1106.00 0.00 0.00 0.00 948.00 0.00 0.00 948.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002255 278 PLATE DECREASED 7H R C1713 3940.00 3940.00 2758.00 0.00 1970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2561.00 2561.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2758.00 2561.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2758.00 0.00 0.00 0.00 2364.00 0.00 0.00 2364.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002258 278 ANCHOR 2.3MM C1713 2208.60 2208.60 1546.02 0.00 1104.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1104.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1435.59 1435.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1546.02 1435.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1546.02 0.00 0.00 0.00 1325.16 0.00 0.00 1325.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002285 278 ANCHOR SUPER QUICK PLUS DS C1713 2836.00 2836.00 1985.20 0.00 1418.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1418.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1843.40 1843.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1985.20 1843.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1985.20 0.00 0.00 0.00 1701.60 0.00 0.00 1701.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002288 278 ANCHOR 1.4MM C1713 2120.00 2120.00 1484.00 0.00 1060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1378.00 1378.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1484.00 1378.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1484.00 0.00 0.00 0.00 1272.00 0.00 0.00 1272.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002310 278 NAIL TIBIAL 9X285MM C1713 14264.00 14264.00 9984.80 0.00 7132.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7132.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9271.60 9271.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9984.80 9271.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9984.80 0.00 0.00 0.00 8558.40 0.00 0.00 8558.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002326 278 NAIL FEM 11X220MM C1713 17936.00 17936.00 12555.20 0.00 8968.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8968.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11658.40 11658.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12555.20 11658.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12555.20 0.00 0.00 0.00 10761.60 0.00 0.00 10761.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002328 278 PLATE FUSION M L 0DEG C1713 11924.00 11924.00 8346.80 0.00 5962.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5962.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7750.60 7750.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8346.80 7750.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8346.80 0.00 0.00 0.00 7154.40 0.00 0.00 7154.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002342 278 PLATE FIXATION 25MM 4HOLE C1713 13800.00 13800.00 9660.00 0.00 6900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8970.00 8970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9660.00 8970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9660.00 0.00 0.00 0.00 8280.00 0.00 0.00 8280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002343 278 STAPLE 18X15 NITINOL C1713 10000.00 10000.00 7000.00 0.00 5000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6500.00 6500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7000.00 6500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7000.00 0.00 0.00 0.00 6000.00 0.00 0.00 6000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002344 278 STAPLE 20X15 NITINOL C1713 11200.00 11200.00 7840.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7280.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 0.00 0.00 0.00 6720.00 0.00 0.00 6720.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002349 278 PLATE TUBULAR 1/3 6H C1713 1166.00 1166.00 816.20 0.00 583.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 757.90 757.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 816.20 757.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 816.20 0.00 0.00 0.00 699.60 0.00 0.00 699.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002350 278 PLATE RADIAL HEAD 24MM C1713 10872.00 10872.00 7610.40 0.00 5436.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5436.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7066.80 7066.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7610.40 7066.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7610.40 0.00 0.00 0.00 6523.20 0.00 0.00 6523.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002385 278 PLATE LCK LAPIDUS 1MM R C1713 10839.00 10839.00 7587.30 0.00 5419.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5419.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7045.35 7045.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7587.30 7045.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7587.30 0.00 0.00 0.00 6503.40 0.00 0.00 6503.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002398 278 PIN APEX S/D 5X120 35 THR C1713 598.00 598.00 418.60 0.00 299.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 388.70 388.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.60 388.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.60 0.00 0.00 0.00 358.80 0.00 0.00 358.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002399 278 PIN APEX S/D 5X180 50 THR C1713 598.00 598.00 418.60 0.00 299.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 388.70 388.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.60 388.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.60 0.00 0.00 0.00 358.80 0.00 0.00 358.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002408 278 NAIL HUMERAL 7X260MM C1713 8721.00 8721.00 6104.70 0.00 4360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5668.65 5668.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6104.70 5668.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6104.70 0.00 0.00 0.00 5232.60 0.00 0.00 5232.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002452 278 PLATE HIP KEYLESS 135DEG 2H C1713 3572.00 3572.00 2500.40 0.00 1786.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1786.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2321.80 2321.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2500.40 2321.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2500.40 0.00 0.00 0.00 2143.20 0.00 0.00 2143.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002453 278 PLATE L LEFT 37MM C1713 2846.00 2846.00 1992.20 0.00 1423.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1423.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1849.90 1849.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1992.20 1849.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1992.20 0.00 0.00 0.00 1707.60 0.00 0.00 1707.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002467 278 PLATE COMP STRT 10H 126MM STRL C1713 4157.00 4157.00 2909.90 0.00 2078.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2078.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2702.05 2702.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2909.90 2702.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2909.90 0.00 0.00 0.00 2494.20 0.00 0.00 2494.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002468 278 PLATE DIST LAT HMRS RT 6H 132MM C1713 6779.00 6779.00 4745.30 0.00 3389.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3389.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4406.35 4406.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4745.30 4406.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4745.30 0.00 0.00 0.00 4067.40 0.00 0.00 4067.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002501 278 PLATE ACP 1LVL 20MM C1713 9380.00 9380.00 6566.00 0.00 4690.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4690.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6097.00 6097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6566.00 6097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6566.00 0.00 0.00 0.00 5628.00 0.00 0.00 5628.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002514 278 PLT EPS OLCRN MED LT 16H 126MM C1713 10448.00 10448.00 7313.60 0.00 5224.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5224.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6791.20 6791.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7313.60 6791.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7313.60 0.00 0.00 0.00 6268.80 0.00 0.00 6268.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002515 278 PLT PROX LAT HUM LT 86MM 3H C1713 11139.00 11139.00 7797.30 0.00 5569.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5569.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7240.35 7240.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7797.30 7240.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7797.30 0.00 0.00 0.00 6683.40 0.00 0.00 6683.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002519 278 PLT LCK NARR 2.4 6H 41MM C1713 4253.00 4253.00 2977.10 0.00 2126.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2126.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2764.45 2764.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2977.10 2764.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2977.10 0.00 0.00 0.00 2551.80 0.00 0.00 2551.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002525 278 PLT CALC FRAC TAB XSM/SM C1713 11100.00 11100.00 7770.00 0.00 5550.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5550.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7215.00 7215.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7770.00 7215.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7770.00 0.00 0.00 0.00 6660.00 0.00 0.00 6660.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002530 278 PLATE LCK 2MM R T10 C1713 11579.00 11579.00 8105.30 0.00 5789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7526.35 7526.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8105.30 7526.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8105.30 0.00 0.00 0.00 6947.40 0.00 0.00 6947.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002540 278 BONE GRAFT SUBSTTE FOAM 5CC C1713 8020.00 8020.00 5614.00 0.00 4010.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4010.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5213.00 5213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5614.00 5213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5614.00 0.00 0.00 0.00 4812.00 0.00 0.00 4812.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002541 278 BONE GRAFT SUBSTTE FOAM 10CC C1713 14946.00 14946.00 10462.20 0.00 7473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9714.90 9714.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10462.20 9714.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10462.20 0.00 0.00 0.00 8967.60 0.00 0.00 8967.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002542 278 BONE GRAFT SUBSTT STRIP 10CC C1713 8132.00 8132.00 5692.40 0.00 4066.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4066.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5285.80 5285.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5692.40 5285.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5692.40 0.00 0.00 0.00 4879.20 0.00 0.00 4879.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002543 278 ROD MAX RAD TI 6X60MM C1713 2081.00 2081.00 1456.70 0.00 1040.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1040.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1352.65 1352.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1456.70 1352.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1456.70 0.00 0.00 0.00 1248.60 0.00 0.00 1248.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002544 278 ROD MAX RAD TI 6X70MM C1713 2081.00 2081.00 1456.70 0.00 1040.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1040.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1352.65 1352.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1456.70 1352.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1456.70 0.00 0.00 0.00 1248.60 0.00 0.00 1248.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002545 278 SYS FIXATION SPINAL BLCKR SCR C1713 1224.00 1224.00 856.80 0.00 612.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 612.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 795.60 795.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 856.80 795.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 856.80 0.00 0.00 0.00 734.40 0.00 0.00 734.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002554 278 PLATE ACP CERVICAL 2LVL 40MM C1713 9380.00 9380.00 6566.00 0.00 4690.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4690.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6097.00 6097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6566.00 6097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6566.00 0.00 0.00 0.00 5628.00 0.00 0.00 5628.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002567 278 ROD HEX STRT TI 5.5X140MM C1713 4104.00 4104.00 2872.80 0.00 2052.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2052.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2667.60 2667.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2872.80 2667.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2872.80 0.00 0.00 0.00 2462.40 0.00 0.00 2462.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002570 278 PLT DIST RADIUS 11 HOLE RT SHRT C1713 4768.00 4768.00 3337.60 0.00 2384.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2384.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3099.20 3099.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3337.60 3099.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3337.60 0.00 0.00 0.00 2860.80 0.00 0.00 2860.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002572 278 NAIL FEM 13X170MM STRL C1713 10744.00 10744.00 7520.80 0.00 5372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6983.60 6983.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7520.80 6983.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7520.80 0.00 0.00 0.00 6446.40 0.00 0.00 6446.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002579 278 NAIL FEM 12X300MM C1713 10744.00 10744.00 7520.80 0.00 5372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6983.60 6983.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7520.80 6983.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7520.80 0.00 0.00 0.00 6446.40 0.00 0.00 6446.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002583 278 PLT ACP 2LVL 38MM C1713 9380.00 9380.00 6566.00 0.00 4690.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4690.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6097.00 6097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6566.00 6097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6566.00 0.00 0.00 0.00 5628.00 0.00 0.00 5628.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002588 278 NAIL FEM RETRO 12X340MM C1713 10744.00 10744.00 7520.80 0.00 5372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6983.60 6983.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7520.80 6983.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7520.80 0.00 0.00 0.00 6446.40 0.00 0.00 6446.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002624 278 RO RAD TITANIUM 5.5X100MM C1713 1867.00 1867.00 1306.90 0.00 933.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 933.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1213.55 1213.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1306.90 1213.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1306.90 0.00 0.00 0.00 1120.20 0.00 0.00 1120.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002635 278 ROD CONTOURED 5.5X35MM C1713 1796.00 1796.00 1257.20 0.00 898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.40 1167.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1257.20 1167.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1257.20 0.00 0.00 0.00 1077.60 0.00 0.00 1077.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002636 278 DEVICE INTERBODY 10X28X10-16MM C1713 35200.00 35200.00 24640.00 0.00 17600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22880.00 22880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24640.00 22880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24640.00 0.00 0.00 0.00 21120.00 0.00 0.00 21120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002642 278 PLT PA LCK MTP CROSS-PLT RT C1713 8293.00 8293.00 5805.10 0.00 4146.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4146.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.45 5390.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5805.10 5390.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5805.10 0.00 0.00 0.00 4975.80 0.00 0.00 4975.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002673 278 PLATE ACP 1 LEVEL 22MM C1713 9380.00 9380.00 6566.00 0.00 4690.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4690.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6097.00 6097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6566.00 6097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6566.00 0.00 0.00 0.00 5628.00 0.00 0.00 5628.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002681 278 PLATE T 8HOLE C1713 6108.00 6108.00 4275.60 0.00 3054.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3054.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3970.20 3970.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4275.60 3970.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4275.60 0.00 0.00 0.00 3664.80 0.00 0.00 3664.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002690 278 NAIL TIBIAL 10X360MM C1713 7500.00 7500.00 5250.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4875.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 0.00 0.00 0.00 4500.00 0.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002691 278 PLATE CALCANEAL S7 7 HOLES C1713 6567.00 6567.00 4596.90 0.00 3283.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3283.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4268.55 4268.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4596.90 4268.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4596.90 0.00 0.00 0.00 3940.20 0.00 0.00 3940.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002697 278 NAIL FEM TROCH D10XL170MM C1713 2377.00 2377.00 1663.90 0.00 1188.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1188.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1545.05 1545.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1663.90 1545.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1663.90 0.00 0.00 0.00 1426.20 0.00 0.00 1426.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002698 278 NAIL FEM TROCH D11XL170MM C1713 11516.00 11516.00 8061.20 0.00 5758.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5758.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7485.40 7485.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8061.20 7485.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8061.20 0.00 0.00 0.00 6909.60 0.00 0.00 6909.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002699 278 NAIL FEM TROCH D12XL170MM C1713 2465.00 2465.00 1725.50 0.00 1232.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1232.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1602.25 1602.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1725.50 1602.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1725.50 0.00 0.00 0.00 1479.00 0.00 0.00 1479.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002700 278 NAIL FEM LONG R D10XL320MM C1713 3211.00 3211.00 2247.70 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2087.15 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 0.00 0.00 0.00 1926.60 0.00 0.00 1926.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002701 278 NAIL FEM LONG R D10XL340MM C1713 3211.00 3211.00 2247.70 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2087.15 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 0.00 0.00 0.00 1926.60 0.00 0.00 1926.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002702 278 NAIL FEM LONG R D10XL360MM C1713 15796.00 15796.00 11057.20 0.00 7898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10267.40 10267.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11057.20 10267.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11057.20 0.00 0.00 0.00 9477.60 0.00 0.00 9477.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002703 278 NAIL FEM LONG R D10XL380MM C1713 3211.00 3211.00 2247.70 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2087.15 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 0.00 0.00 0.00 1926.60 0.00 0.00 1926.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002704 278 NAIL FEM LONG R D10XL400MM C1713 3211.00 3211.00 2247.70 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2087.15 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 0.00 0.00 0.00 1926.60 0.00 0.00 1926.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002705 278 NAIL FEM LONG R D11XL320MM C1713 3211.00 3211.00 2247.70 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2087.15 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 2087.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2247.70 0.00 0.00 0.00 1926.60 0.00 0.00 1926.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002706 278 NAIL TIBIAL 9X315MM C1713 7500.00 7500.00 5250.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4875.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 0.00 0.00 0.00 4500.00 0.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002707 278 PIN EXT FIX APEX 60 THR 5X200 C1713 700.00 700.00 490.00 0.00 350.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 455.00 455.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 490.00 455.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 490.00 0.00 0.00 0.00 420.00 0.00 0.00 420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002708 278 PLATE PA LOCK MTP CROSS T8 LT C1713 8293.00 8293.00 5805.10 0.00 4146.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4146.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.45 5390.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5805.10 5390.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5805.10 0.00 0.00 0.00 4975.80 0.00 0.00 4975.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002709 278 PIN TRANSFIXING 5X300 NSTRL C1713 848.00 848.00 593.60 0.00 424.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 551.20 551.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 593.60 551.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 593.60 0.00 0.00 0.00 508.80 0.00 0.00 508.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002711 278 PLT PA LCK LAPIDUS CRX RT T10 C1713 8293.00 8293.00 5805.10 0.00 4146.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4146.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.45 5390.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5805.10 5390.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5805.10 0.00 0.00 0.00 4975.80 0.00 0.00 4975.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002713 278 PIN HAMMERTOE 0DEG CANN XSM C1713 8248.00 8248.00 5773.60 0.00 4124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5361.20 5361.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5773.60 5361.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5773.60 0.00 0.00 0.00 4948.80 0.00 0.00 4948.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002714 278 PIN HAMMERTOE 0DEG CANN SM C1713 8248.00 8248.00 5773.60 0.00 4124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5361.20 5361.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5773.60 5361.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5773.60 0.00 0.00 0.00 4948.80 0.00 0.00 4948.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002715 278 PIN HAMMERTOE ODEG CANN MED C1713 8248.00 8248.00 5773.60 0.00 4124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5361.20 5361.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5773.60 5361.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5773.60 0.00 0.00 0.00 4948.80 0.00 0.00 4948.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002721 278 ANCHOR SUT DX FIBRTK ST & NDLS C1713 1860.00 1860.00 1302.00 0.00 930.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 930.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1209.00 1209.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1302.00 1209.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1302.00 0.00 0.00 0.00 1116.00 0.00 0.00 1116.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002730 278 PLT PROX MED TIB LT 6H 97MM C1713 7414.00 7414.00 5189.80 0.00 3707.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3707.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4819.10 4819.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5189.80 4819.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5189.80 0.00 0.00 0.00 4448.40 0.00 0.00 4448.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002731 278 PLT PROX LAT TIB LT 6H 147MM C1713 8229.00 8229.00 5760.30 0.00 4114.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4114.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5348.85 5348.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5760.30 5348.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5760.30 0.00 0.00 0.00 4937.40 0.00 0.00 4937.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002747 278 ROD RAD TI 6MM L X 40MM C1713 2081.00 2081.00 1456.70 0.00 1040.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1040.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1352.65 1352.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1456.70 1352.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1456.70 0.00 0.00 0.00 1248.60 0.00 0.00 1248.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002758 278 PLT TUBULAR 1/3 8H 95MM STRL C1713 1495.00 1495.00 1046.50 0.00 747.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 747.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 971.75 971.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1046.50 971.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1046.50 0.00 0.00 0.00 897.00 0.00 0.00 897.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002759 278 NAIL TIB 9X400MM C1713 7500.00 7500.00 5250.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4875.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 0.00 0.00 0.00 4500.00 0.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002790 278 PLATE TIBIA 3DI SM C1713 12000.00 12000.00 8400.00 0.00 6000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7800.00 7800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8400.00 7800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8400.00 0.00 0.00 0.00 7200.00 0.00 0.00 7200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002796 278 ROD CONTOURED 5.5X60MM C1713 1795.00 1795.00 1256.50 0.00 897.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 897.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1166.75 1166.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1256.50 1166.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1256.50 0.00 0.00 0.00 1077.00 0.00 0.00 1077.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002810 278 NAIL T2 HUM LCK 9.0X260MM C1713 6210.00 6210.00 4347.00 0.00 3105.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3105.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4036.50 4036.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4347.00 4036.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4347.00 0.00 0.00 0.00 3726.00 0.00 0.00 3726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002811 278 PLT PROX LAT HUM RT 99MM 4H C1713 11364.00 11364.00 7954.80 0.00 5682.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5682.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7386.60 7386.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7954.80 7386.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7954.80 0.00 0.00 0.00 6818.40 0.00 0.00 6818.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002818 278 BONE GRAFT SUBSTT BEAD KIT 5CC C1713 3164.00 3164.00 2214.80 0.00 1582.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1582.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2056.60 2056.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2214.80 2056.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2214.80 0.00 0.00 0.00 1898.40 0.00 0.00 1898.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002822 278 PLT DIST LAT FEM LT 10H 238MM C1713 14556.00 14556.00 10189.20 0.00 7278.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7278.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9461.40 9461.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10189.20 9461.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10189.20 0.00 0.00 0.00 8733.60 0.00 0.00 8733.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002829 278 PLT TUBULAR 1/3 12H 143MM C1713 2628.00 2628.00 1839.60 0.00 1314.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1314.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1708.20 1708.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1839.60 1708.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1839.60 0.00 0.00 0.00 1576.80 0.00 0.00 1576.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002835 278 NAIL FEM RT 125DEG 11X340 STRL C1713 15796.00 15796.00 11057.20 0.00 7898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10267.40 10267.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11057.20 10267.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11057.20 0.00 0.00 0.00 9477.60 0.00 0.00 9477.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002840 278 ANCHOR LIGMNT CITREFX 2.9X12.5 C1713 5816.00 5816.00 4071.20 0.00 2908.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2908.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3780.40 3780.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4071.20 3780.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4071.20 0.00 0.00 0.00 3489.60 0.00 0.00 3489.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002842 272 ANCHOR LIGMNT CITRELCK 5X15MM C1713 5567.12 5567.12 4732.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.98 4732.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002849 278 NAIL FEM LT 125DG 10.5X320 STL C1713 15796.00 15796.00 11057.20 0.00 7898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7898.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10267.40 10267.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11057.20 10267.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11057.20 0.00 0.00 0.00 9477.60 0.00 0.00 9477.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002855 278 ANCHR LGMNT CITREFX 2.9X12.5MM C1713 2776.00 2776.00 1943.20 0.00 1388.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1388.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1804.40 1804.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1943.20 1804.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1943.20 0.00 0.00 0.00 1665.60 0.00 0.00 1665.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002856 278 ANCHR LGMNT CITREFX 3.5X15.5MM C1713 5816.00 5816.00 4071.20 0.00 2908.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2908.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3780.40 3780.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4071.20 3780.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4071.20 0.00 0.00 0.00 3489.60 0.00 0.00 3489.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002858 278 PLT RIB PRE-CONTOURED 12H C1713 7528.00 7528.00 5269.60 0.00 3764.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3764.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4893.20 4893.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5269.60 4893.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5269.60 0.00 0.00 0.00 4516.80 0.00 0.00 4516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002859 278 FHL RECON IMPL SYS 6.5MM C1713 5980.00 5980.00 4186.00 0.00 2990.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2990.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3887.00 3887.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4186.00 3887.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4186.00 0.00 0.00 0.00 3588.00 0.00 0.00 3588.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002861 278 FHL RECON IMPL SYS 7MM C1713 5980.00 5980.00 4186.00 0.00 2990.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2990.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3887.00 3887.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4186.00 3887.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4186.00 0.00 0.00 0.00 3588.00 0.00 0.00 3588.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350035000 278 SCREW 301M TO 350M C1713 1452.00 1452.00 1016.40 0.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 943.80 943.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1016.40 943.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1016.40 0.00 0.00 0.00 871.20 0.00 0.00 871.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350040000 278 SCREW 351M TO 400M C1713 1452.00 1452.00 1016.40 0.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 943.80 943.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1016.40 943.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1016.40 0.00 0.00 0.00 871.20 0.00 0.00 871.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350045000 278 SCREW 401M TO 450M C1713 1936.00 1936.00 1355.20 0.00 968.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 968.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1258.40 1258.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1355.20 1258.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1355.20 0.00 0.00 0.00 1161.60 0.00 0.00 1161.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350050000 278 SCREW 451M TO 500M C1713 2420.00 2420.00 1694.00 0.00 1210.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1210.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1573.00 1573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1694.00 1573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1694.00 0.00 0.00 0.00 1452.00 0.00 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350055000 278 SCREW 501M TO 550M C1713 2420.00 2420.00 1694.00 0.00 1210.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1210.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1573.00 1573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1694.00 1573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1694.00 0.00 0.00 0.00 1452.00 0.00 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350060000 278 SCREW 551M TO 600M C1713 2904.00 2904.00 2032.80 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1887.60 1887.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2032.80 1887.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2032.80 0.00 0.00 0.00 1742.40 0.00 0.00 1742.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350065000 278 SCREW 601M TO 651M C1713 2904.00 2904.00 2032.80 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1887.60 1887.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2032.80 1887.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2032.80 0.00 0.00 0.00 1742.40 0.00 0.00 1742.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350070000 278 SCREW 651M TO 700M C1713 3388.00 3388.00 2371.60 0.00 1694.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1694.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2202.20 2202.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2371.60 2202.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2371.60 0.00 0.00 0.00 2032.80 0.00 0.00 2032.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350075000 278 SCREW 701M TO 750M C1713 3388.00 3388.00 2371.60 0.00 1694.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1694.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2202.20 2202.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2371.60 2202.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2371.60 0.00 0.00 0.00 2032.80 0.00 0.00 2032.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350080000 278 SCREW 751M TO 800M C1713 3872.00 3872.00 2710.40 0.00 1936.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1936.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2516.80 2516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2710.40 2516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2710.40 0.00 0.00 0.00 2323.20 0.00 0.00 2323.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350085000 278 SCREW 801M TO 850M C1713 3872.00 3872.00 2710.40 0.00 1936.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1936.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2516.80 2516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2710.40 2516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2710.40 0.00 0.00 0.00 2323.20 0.00 0.00 2323.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350090000 278 SCREW 851M TO 900M C1713 4356.00 4356.00 3049.20 0.00 2178.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2178.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2831.40 2831.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3049.20 2831.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3049.20 0.00 0.00 0.00 2613.60 0.00 0.00 2613.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350095000 278 SCREW 901M TO 950M C1713 4356.00 4356.00 3049.20 0.00 2178.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2178.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2831.40 2831.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3049.20 2831.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3049.20 0.00 0.00 0.00 2613.60 0.00 0.00 2613.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350100000 278 SCREW 951M TO 1000M C1713 4840.00 4840.00 3388.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3146.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 0.00 0.00 0.00 2904.00 0.00 0.00 2904.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350105000 278 SCREW 1001M TO 1050M C1713 4840.00 4840.00 3388.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3146.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 0.00 0.00 0.00 2904.00 0.00 0.00 2904.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350200000 278 SCREW 1051M TO 2000M C1713 9680.00 9680.00 6776.00 0.00 4840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6292.00 6292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6776.00 6292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6776.00 0.00 0.00 0.00 5808.00 0.00 0.00 5808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350205000 278 SCREW 2001M TO 2050M C1713 9680.00 9680.00 6776.00 0.00 4840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6292.00 6292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6776.00 6292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6776.00 0.00 0.00 0.00 5808.00 0.00 0.00 5808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350300000 278 SCREW 2051M TO 3000M C1713 14520.00 14520.00 10164.00 0.00 7260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9438.00 9438.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10164.00 9438.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10164.00 0.00 0.00 0.00 8712.00 0.00 0.00 8712.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000840 272 CATH SUPPORT .035X135CM C1714 381.60 381.60 324.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.12 324.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000857 272 CATHETER SUPPORT .035 5X90CM C1714 381.60 381.60 324.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.12 324.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000879 278 KIT IMPLANT DISP 18X16MM C1714 7844.00 7844.00 5490.80 0.00 3922.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3922.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5098.60 5098.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5490.80 5098.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5490.80 0.00 0.00 0.00 4706.40 0.00 0.00 4706.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001128 272 CATHETER CROSSING .014X150CM C1714 381.60 381.60 324.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.12 324.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001318 272 CATH RECANALIZATION CTO 106CM C1714 11865.64 11865.64 10085.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8305.95 10085.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8305.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001364 272 CATH RECANALIZATION 146CM OTW C1714 8427.00 8427.00 7162.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 7162.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001601 272 CATH RECANALIZATION 154CM C1714 8188.50 8188.50 6960.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5731.95 6960.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5731.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000599 275 PACEMAKER DEFIB DR C1721 80035.00 80035.00 56024.50 0.00 40017.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40017.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52022.75 52022.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56024.50 52022.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56024.50 0.00 0.00 0.00 48021.00 0.00 0.00 48021.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000782 275 GENERATOR PACEMAKER INOGEN C1721 90720.00 90720.00 63504.00 0.00 45360.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45360.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58968.00 58968.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63504.00 58968.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63504.00 0.00 0.00 0.00 54432.00 0.00 0.00 54432.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000786 275 GENERATOR PACEMAKER ITREVIA C1721 88859.00 88859.00 62201.30 0.00 44429.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44429.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57758.35 57758.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62201.30 57758.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62201.30 0.00 0.00 0.00 53315.40 0.00 0.00 53315.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002015 275 GENERATOR PACEMAKER MOMENTUM C1721 95088.00 95088.00 66561.60 0.00 47544.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47544.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61807.20 61807.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66561.60 61807.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66561.60 0.00 0.00 0.00 57052.80 0.00 0.00 57052.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000213 278 DEFIB PROTECTA XT C1722 107518.00 107518.00 75262.60 0.00 53759.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53759.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69886.70 69886.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75262.60 69886.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75262.60 0.00 0.00 0.00 64510.80 0.00 0.00 64510.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000554 278 PACEMAKER GENERATOR EVERA C1722 107419.00 107419.00 75193.30 0.00 53709.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53709.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69822.35 69822.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75193.30 69822.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75193.30 0.00 0.00 0.00 64451.40 0.00 0.00 64451.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000691 275 DEFIB PACEMAKER EVERA XT C1722 104617.00 104617.00 73231.90 0.00 52308.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52308.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68001.05 68001.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73231.90 68001.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73231.90 0.00 0.00 0.00 62770.20 0.00 0.00 62770.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000699 275 DEFIBRILLATOR INOGEN C1722 82880.00 82880.00 58016.00 0.00 41440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53872.00 53872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58016.00 53872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58016.00 0.00 0.00 0.00 49728.00 0.00 0.00 49728.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001424 275 DEVICE DEFIBRILATOR VISIA C1722 108383.00 108383.00 75868.10 0.00 54191.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54191.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70448.95 70448.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75868.10 70448.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75868.10 0.00 0.00 0.00 65029.80 0.00 0.00 65029.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001432 275 DEVICE DEFIBRILATOR VISIA C1722 108764.00 108764.00 76134.80 0.00 54382.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54382.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70696.60 70696.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76134.80 70696.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76134.80 0.00 0.00 0.00 65258.40 0.00 0.00 65258.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002098 275 PACEMAKER ICD IS-1/DF-1-VR C1722 93008.00 93008.00 65105.60 0.00 46504.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46504.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60455.20 60455.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65105.60 60455.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65105.60 0.00 0.00 0.00 55804.80 0.00 0.00 55804.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000521 272 SYS CROWN PAD 1.50MM C1724 16072.78 16072.78 13661.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11250.95 13661.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11250.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001178 272 SYST ATHERECTOMY 1.25X145CMMIC C1724 15234.32 15234.32 12949.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10664.02 12949.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10664.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001179 272 SYST ATHERECTOMY 1.25X145CMSLD C1724 15234.32 15234.32 12949.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10664.02 12949.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10664.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001570 272 SYSTEM ATHERECTOMY 1.50X145CM C1724 14394.80 14394.80 12235.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10076.36 12235.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10076.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002282 272 SET CATH ATHERECTOMY 6X135CM C1724 11130.00 11130.00 9460.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7791.00 9460.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7791.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002369 272 SET CATH ARTHRECTOMY 6X110CM C1724 11130.00 11130.00 9460.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7791.00 9460.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7791.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000870 272 BALLOON DIL CATH CONQUEST PTA C1725 804.54 804.54 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000871 272 BALLOON DIL CATH CONQUEST PTA C1725 804.54 804.54 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000872 272 BALLOON DIL CATH CONQUEST PTA C1725 804.54 804.54 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000873 272 BALLOON DIL CATH CONQUEST PTA C1725 804.54 804.54 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000875 270 BALLOON DIL CATH CONQUEST PTA C1725 804.54 804.54 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000876 272 BALLOON DIL CATH CONQUEST PTA C1725 804.54 804.54 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000877 272 CATH DIL BALLOON CONQUEST PTA C1725 981.56 981.56 834.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.09 834.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000989 272 CATH TEMPO 5FR UF C1725 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001007 272 CATH VERTBRL AQUA 4FR65 C1725 207.76 207.76 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001008 272 CATH VERTBRL TEMPO AQUA 4FR125 C1725 207.76 207.76 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001009 272 CATH 5FR PTA BALLOON 4195000L C1725 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001010 272 CATH DIL SLEEK 3X40X150 C1725 1510.50 1510.50 1283.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1057.35 1283.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1057.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001011 272 CATH 6FR PTA BALLOON 4196000L C1725 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001013 272 CATH DIL PTA CORDIS 6040S C1725 824.68 824.68 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001014 272 CATH DIL PTA CORDIS 8040S C1725 824.68 824.68 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001015 272 CATH DIL POWERFLEX 8X4X80 C1725 824.68 824.68 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001016 272 CATH DIL POWERFLEX P3 6X4X80 C1725 824.68 824.68 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001034 272 CATH PTA DILAT EXTR 415-9040S C1725 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000111 272 CATH POWER FLEX PTA 10X4X80 C1725 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000112 272 CATH BALLOON DIL PTA 50X8X4 C1725 804.54 804.54 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 683.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 563.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000121 272 CATH DILAT PTA SLEEK 2X100X150 C1725 1008.06 1008.06 856.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.64 856.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000127 272 CATH DIL PTA OTW 3MMX100MM C1725 1008.06 1008.06 856.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.64 856.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000161 272 CATH PTA DIL SAVVY LONG 3X150M C1725 1489.30 1489.30 1265.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1042.51 1265.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1042.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000197 272 CATH PTA BALLOONSAVVY3X4X150CM C1725 1491.42 1491.42 1267.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1043.99 1267.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1043.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000208 272 CATH DIL BALON ESOPH 18MM-20MM C1725 816.20 816.20 693.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 571.34 693.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 571.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000209 272 CATH CTO 140CMX6F C1725 4386.28 4386.28 3728.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3070.40 3728.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3070.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000224 272 CATH DIL PTA 5MMX40CM C1725 1510.50 1510.50 1283.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1057.35 1283.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1057.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000232 272 CATH DIL PTA 6MMX4CM C1725 823.62 823.62 700.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 576.53 700.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 576.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000914 272 CATH DIL POWERFLEX P3 6X10X110 C1725 824.68 824.68 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 700.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000107 272 CATH DIL PTA 7MMX10CM C1725 823.62 823.62 700.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 576.53 700.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 576.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000145 272 CATH DIL PTA 6MMX15CM C1725 731.40 731.40 621.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.98 621.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000162 272 CATH DIL PF 7MMX100CM C1725 731.40 731.40 621.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.98 621.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000163 272 CATH DIL PF 4MMX80CM C1725 731.40 731.40 621.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.98 621.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000216 272 CATH DIL PF 6MMX80CM C1725 713.38 713.38 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000224 272 CATH DIL PTA 4MMX4CM C1725 535.30 535.30 455.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 374.71 455.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 374.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000238 272 CATH DIL PF 6MMX10CM C1725 713.38 713.38 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000239 272 CATH DIL PF 6MMX4CM C1725 713.38 713.38 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000252 272 CATH DIL PTA 10MMX4CM C1725 713.38 713.38 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000287 272 CATH DIL PTA 2MMX150CM C1725 1473.40 1473.40 1252.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1031.38 1252.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1031.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000298 272 CATH ANGIO VISCERAL 4FRX65CM C1725 67.84 67.84 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000299 272 CATH ANGIO CEREBRAL 4FRX65CM C1725 67.84 67.84 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000304 272 CATH DIL PTA 4MMX40CM C1725 713.38 713.38 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 606.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 499.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000325 272 CATH DIL PTA 8MMX40CM C1725 657.20 657.20 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000326 272 CATH DIL PTA 5MMX150CM C1725 657.20 657.20 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000327 272 CATH DIL PTA 3MMX40CM C1725 657.20 657.20 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000332 272 CATH DIL PTA 7MMX40CM C1725 657.20 657.20 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000389 272 CATH DIL PTA 12X4X80 C1725 657.20 657.20 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000393 272 CATH DIL PTA 6MM X 80CM C1725 657.20 657.20 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000403 272 CATH DIL PTA 2MMx10CM C1725 1280.48 1280.48 1088.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 896.34 1088.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 896.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000412 272 CATH DIL PTA 5MMX40CM C1725 640.24 640.24 544.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.17 544.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000442 272 CATH DIL PTA 4MMX80CM C1725 489.72 489.72 416.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.80 416.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000490 272 CATH DIL PF 8MMX80CM C1725 489.72 489.72 416.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.80 416.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000588 272 CATH PTA 4X20X135CM C1725 1691.76 1691.76 1438.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1184.23 1438.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1184.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000615 272 CATH PTA ARMADA 2.0X150X200MM C1725 2297.02 2297.02 1952.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1607.91 1952.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1607.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000838 272 CATH DIL PTA 2X100MM C1725 849.06 849.06 721.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 594.34 721.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 594.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000839 272 CATH DIL PTA 035 6X100MM C1725 398.56 398.56 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000841 272 CATH DIL PTA .035 9X60MM C1725 398.56 398.56 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000856 272 CATH DIL PTA .014 4X40MM C1725 849.06 849.06 721.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 594.34 721.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 594.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001118 272 CATH DIL PTA 40 8X6CM C1725 1635.58 1635.58 1390.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1144.91 1390.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1144.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001129 272 CATHETER PTA DIL 3.0X80MM C1725 3962.28 3962.28 3367.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2773.60 3367.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2773.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001252 272 CATH DIL PTA .035 8X60MM C1725 398.56 398.56 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001257 272 CATH DIL BALLOON PTA 2X10CM C1725 2426.34 2426.34 2062.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1698.44 2062.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1698.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001258 272 CATH DIL PTA .O35 5X100MM C1725 398.56 398.56 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001262 272 CATH DIL PTA 014 2X150MM C1725 825.74 825.74 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001263 272 CATH DIL PTA 014 2.5X150MM C1725 825.74 825.74 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001274 272 CATH DIL PTA 014 1.5X150MM C1725 825.74 825.74 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001277 272 CATHETER BALOON 5X100X134MM C1725 1275.18 1275.18 1083.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 892.63 1083.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 892.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001278 272 CATH DIL PTA .O35 4X100MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001299 272 CATH DIL PTA .035 4X40MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001300 272 CATH DL PTA .035 130CM 7X40MM C1725 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001301 272 CATH DL PTA .035 130CM 6X60MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001305 272 CATH DIL PTA .035 8X40MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001320 272 CATH DIL PTA .O35 4X150MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001321 272 CATH DIL PTA .O35 4X60MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001333 272 CATH DIL PTA .O35 6X40MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001343 272 CATH DIL PTA .O35 5X150MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001369 272 CATH DIL BALLOON PTA 10X12CM C1725 2359.56 2359.56 2005.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1651.69 2005.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1651.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001378 272 CATH DIL PTA .035 4X150 C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001409 272 CATH DIL PTA .O35 3X100MM C1725 371.00 371.00 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001410 272 CATH DIL PTA .035 4X100 C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001412 272 CATH DIL PTA .035 6X40MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001443 272 CATH DIL PTA .035 8X80MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001467 272 CATH DILATATION .035 5X4CM C1725 1496.72 1496.72 1272.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1047.70 1272.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1047.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001474 272 CATH DIL PTA .O35 5X40MM C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001488 272 CATHETER PTA DIL 3.5X140MM C1725 2359.56 2359.56 2005.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1651.69 2005.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1651.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001495 272 CATH DIL 3X150CM C1725 825.74 825.74 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001498 272 CATH DIL PTA .035 6X150 C1725 387.96 387.96 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 329.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001528 272 CATH DIL PTA .035 4X40MM C1725 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001529 272 CATH DIL PTA .018 3X10CM C1725 802.42 802.42 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001535 272 CATH DIL PTA .O35 6X150MM C1725 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001546 272 CATH DIL PTA .014 2X150MM C1725 802.42 802.42 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001547 272 CATH DIL PTA 014 5X150MM C1725 802.42 802.42 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001549 272 CATH DIL PTA .035 5X40MM C1725 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001556 272 CATH DIL PTA 014 10X150MM C1725 802.42 802.42 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001561 272 CATH DIL PTA .035 3X40MM C1725 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001569 272 CATH DIL PTA .035 5X100MM C1725 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001577 272 CATH BALLOON 18X4CM C1725 795.00 795.00 675.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.50 675.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001606 272 CATH DILITATION 4X20MM C1725 2292.78 2292.78 1948.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.95 1948.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001607 272 CATH DIL PTA .O35 3X150MM C1725 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001628 272 CATHETER PTA DIL 3X150MM C1725 2292.78 2292.78 1948.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.95 1948.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001639 272 CATH DIL PTA 6X100MM C1725 2292.78 2292.78 1948.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.95 1948.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001673 272 CATH DILATATION .035 5X10CM C1725 1676.92 1676.92 1425.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1173.84 1425.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1173.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001674 272 CATH DIL PTA .O35 5X60MM C1725 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001692 272 CATH DIL PTA .018 2.5X100MM C1725 802.42 802.42 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 682.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 561.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001761 272 CATH PTA BALLOON .035 5X150MM C1725 2544.00 2544.00 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001767 272 CATH PTA BALLOON .035 4X100MM C1725 2544.00 2544.00 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001800 272 CATH DILATATION .035 6X100CM C1725 1774.44 1774.44 1508.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1242.11 1508.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1242.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001841 272 CATH DIL PTA .014 3X150MM C1725 779.10 779.10 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001843 272 CATH PTA BALLOON .035 5X80MM C1725 2544.00 2544.00 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001857 272 CATH DIL PTA .O35 5X120MM C1725 365.70 365.70 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001883 272 CATH DIL PTA 014 3.5X150MM C1725 779.10 779.10 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001909 272 CATH DIL 3X220X150CM C1725 779.10 779.10 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001910 272 CATH DIL PTA 014 4X100X150CM C1725 779.10 779.10 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001932 272 CATH DIL PTA .014 5X40X150MM C1725 779.10 779.10 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001941 272 CATH DIL 3X150MM C1725 779.10 779.10 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001944 272 CATH DIL PTA 40 5X4CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001945 272 CATH DIL PTA 40 8X4CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001946 272 CATH DIL PTA 40 10X4CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001956 272 CATH PTA BALLOON .035 6X40MM C1725 2544.00 2544.00 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002011 272 CATH DIL PTA 40 7X4CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002070 272 CATH DIL PTA 014 3.5X15X150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002106 272 CATH PTA BALLOON .035 6X100MM C1725 2544.00 2544.00 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002201 272 CATH PTA BALLOON .035 4X130CM C1725 2544.00 2544.00 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 2162.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1780.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002213 272 CATH BALLOON PTA .018 4X150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002214 272 CATH BALLOON PTA .018 TX300CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002215 272 CATH BALLOON PTA .018 5X60CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002216 272 CATH BALLOON PTA .018 3X120CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002247 272 CATH DIL PTA .014 5FR 150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002248 272 CATH DIL PTA 0.18 4X130CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002249 272 CATH DIL PTA .018 3X150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002250 272 CATH DIL PTA .018 5X150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002259 272 CATH BALLOON DIL PTA 2.5X150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002266 272 CATH DIL 2X150MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002293 272 CATH BALLOON PTA .018 6X80MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002294 272 CATH BALLOON DIL PTA 2.5X220MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002300 272 CATH BALLOON PTA .018 3X220CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002313 272 CATH DIL PTA .018 5X150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002322 272 CATH DIL PTA 40 4X40CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002323 272 CATH DIL PTA 40 6X40CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002327 272 CATH BALLOON DIL PTA 2.5X40MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002366 272 CATH BALLOON 46MM C1725 1415.10 1415.10 1202.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 990.57 1202.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 990.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002370 272 CATH BALLOON PTA .018 4X130CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002376 272 CATH BALLOON PTA .018 3X150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002377 272 CATH BALLOON PTA .018 5X40CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002378 272 CATH BALLOON PTA .018 5X120CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002380 272 CATH BALLOON PTA .018 3X100CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002401 272 CATH DIL PTA .018 3X40CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002402 272 CATH DIL PTA .018 6X220CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002403 272 CATH DIL PTA .018 4X100CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002407 272 CATH DIL PTA 014 6X150MM C1725 779.10 779.10 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 662.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 545.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002420 272 CATH BALLOON PTA .018 3X150CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002421 272 CATH BALLOON PTA .018 4X130CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002424 272 CATH DIL PTA 014 1.5X100MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002425 272 CATH BALLOON DIL PTA 2.5X150MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002457 272 CATH DIL PTA .018 6X300CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002458 272 CATH DIL PTA .018 5X220CM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002464 272 CATH DIL PTA 014 1.5X80MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002491 272 CATH BALLOON DIL PTA 2.5X100MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002499 272 CATH DIL PTA .035 5X80MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002500 272 CATH DIL PTA .O35 4X200MM C1725 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002573 272 CATH DIL PTA 014 2.5X220X150CM C1725 1227.48 1227.48 1043.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 859.24 1043.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 859.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002667 272 CATH DIL PTA .018 2.5X60MM C1725 1147.98 1147.98 975.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 803.59 975.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 803.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002679 272 CATH DIL PTA 40 9X40CM C1725 1157.52 1157.52 983.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 810.26 983.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 810.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002735 272 CATH DIL PTA .018 4X120CM C1725 1147.98 1147.98 975.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 803.59 975.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 803.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002736 272 CATH DIL PTA .035 10X40MM C1725 492.90 492.90 418.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 345.03 418.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 345.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000079 272 BALLOON ESOPHAGEAL CRE 12-15MM C1726 846.94 846.94 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000699 272 CATH BALLOON ESOPH 9-10MM C1726 846.94 846.94 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000732 272 CATH BALLOON ESOPH 10-11-12MM C1726 846.94 846.94 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000772 272 CATHETER BILIARY BALLOON 10 X C1726 1079.08 1079.08 917.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 755.36 917.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 755.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000049 272 BALLOON RIPENING W/STYLET 18FR C1726 134.35 134.35 114.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.05 114.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000273 272 BALLOON DILATION 10MM/30FR C1726 844.82 844.82 718.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 591.37 718.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 591.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000338 272 CATHETER KIT DIATATION C1726 1100.28 1100.28 935.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 770.20 935.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 770.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000464 272 KIT DIL BALLON 18FR X 6MM X 10 C1726 788.64 788.64 670.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 552.05 670.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 552.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001825 272 CATH DIL BALLOON 7.5X180 C1726 718.52 718.52 610.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 502.96 610.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 502.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002274 272 CATH DIL BALLOON 12-13.5-15X5 C1726 718.52 718.52 610.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 502.96 610.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 502.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002178 272 TROCAR BLUNT TIP SPACEMAKER C1727 2709.36 2709.36 2302.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1896.55 2302.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1896.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000637 272 CATH PREP LD C1728 694.30 694.30 590.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.01 590.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000092 272 ARG CATH/THO FR24 8888-5725454 C1729 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000093 272 CATHETER THORACIC 28FR C1729 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000094 272 CATHETER THORACIC 32FR C1729 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000095 272 CATHETER THORACIC 36FR C1729 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000096 272 ARG CATH/THO FR40 8888-572586 C1729 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000937 272 CATHETER TORACIC 32FR C1729 43.46 43.46 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000938 272 CATHETER TORACIC 36FR C1729 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000939 272 CATHETER TORACIC 40FR C1729 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000940 272 CATHETER UMBILICAL 3.5FR C1729 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000941 272 CATHETER UMBILICAL 5FR C1729 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000942 272 CATHETER UMBILICAL 8FR C1729 58.30 58.30 49.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.81 49.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000943 272 CATHETER URETHERAL 15FR C1729 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001793 272 CATH THORACIC 28FR RT ANG FIRM C1729 22.63 22.63 19.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.84 19.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002012 272 TRAY PNEUMOTHORAX 10.2FR C1729 661.44 661.44 562.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 463.01 562.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 463.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000976 278 "CATH, HEMO XK 16F 23CM 5883730" C1750 1331.00 1331.00 931.70 0.00 665.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 865.15 865.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 931.70 865.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 931.70 0.00 0.00 0.00 798.60 0.00 0.00 798.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000977 278 "CATH, HEMO XK 16F 19CM" C1750 1331.00 1331.00 931.70 0.00 665.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 865.15 865.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 931.70 865.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 931.70 0.00 0.00 0.00 798.60 0.00 0.00 798.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001033 278 CATH HEMOSTAR 16F 27CM 5883270 C1750 682.00 682.00 477.40 0.00 341.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 443.30 443.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 477.40 443.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 477.40 0.00 0.00 0.00 409.20 0.00 0.00 409.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001036 278 CATH HEMO XK 16F 35CM 5883350 C1750 1331.00 1331.00 931.70 0.00 665.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 865.15 865.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 931.70 865.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 931.70 0.00 0.00 0.00 798.60 0.00 0.00 798.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001074 278 CATH HEMOSTAR XK 16F 31CM C1750 1331.00 1331.00 931.70 0.00 665.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 865.15 865.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 931.70 865.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 931.70 0.00 0.00 0.00 798.60 0.00 0.00 798.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000913 278 CATHETER SINGLE LUMEN 9.6FR HM C1750 635.00 635.00 444.50 0.00 317.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.75 412.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.50 412.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.50 0.00 0.00 0.00 381.00 0.00 0.00 381.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000098 278 GOR GRAF RING ST 6X45 RD060050 C1750 3050.00 3050.00 2135.00 0.00 1525.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1525.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1982.50 1982.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2135.00 1982.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2135.00 0.00 0.00 0.00 1830.00 0.00 0.00 1830.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000106 278 MEDC TESIO CATH KIT MBR-6 C1750 1114.00 1114.00 779.80 0.00 557.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 557.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 724.10 724.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.80 724.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.80 0.00 0.00 0.00 668.40 0.00 0.00 668.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000107 278 MEDC TESIO CATH KIT MBL-6 C1750 1114.00 1114.00 779.80 0.00 557.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 557.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 724.10 724.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.80 724.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.80 0.00 0.00 0.00 668.40 0.00 0.00 668.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000747 278 CATH MAHURKUR 13.5FR 13.5CM C1750 426.00 426.00 298.20 0.00 213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.90 276.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.20 276.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.20 0.00 0.00 0.00 255.60 0.00 0.00 255.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000820 278 CATH PALINDROME PREC 44CM C1750 1751.00 1751.00 1225.70 0.00 875.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 875.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1138.15 1138.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1225.70 1138.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1225.70 0.00 0.00 0.00 1050.60 0.00 0.00 1050.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001444 278 CATH MAHURKUR 13.5X20CM CVD C1750 963.00 963.00 674.10 0.00 481.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 481.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 625.95 625.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 674.10 625.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 674.10 0.00 0.00 0.00 577.80 0.00 0.00 577.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000582 272 BD PICC KIT 16X65 384178 C1751 326.48 326.48 277.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.54 277.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000624 272 KIT PICC PROCEDURE 18 GA X 65 C1751 326.48 326.48 277.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.54 277.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000646 272 KIT PICC PROCEDURE 5F X 60CM C1751 85.86 85.86 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000647 272 KIT PICC PROCEDURE 4F X 60CM C1751 85.86 85.86 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000831 272 KIT POWER PICC SOLO CATHETER C1751 725.04 725.04 616.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 507.53 616.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 507.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000496 278 NOVASILK POLYPROLENE MESH (COL C1751 3214.00 3214.00 2249.80 0.00 1607.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1607.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2089.10 2089.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2249.80 2089.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2249.80 0.00 0.00 0.00 1928.40 0.00 0.00 1928.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000514 278 CATH MAHURKUR 13.5FR 16CM C1751 519.00 519.00 363.30 0.00 259.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.35 337.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 363.30 337.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 363.30 0.00 0.00 0.00 311.40 0.00 0.00 311.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001425 272 TRAY CATH MIDLINE 20G C1751 323.30 323.30 274.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.31 274.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001452 272 CATHETER DUAL LUMEN 9X65CM C1751 1021.84 1021.84 868.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 715.29 868.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 715.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001453 272 CATHETER DUAL LUMEN 9X90CM C1751 1091.80 1091.80 928.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 764.26 928.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 764.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001881 272 TRAY CATH MIDLINE 18G C1751 362.52 362.52 308.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.76 308.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001980 272 TRAY CATH MIDLINE 4F DL C1751 451.11 451.11 383.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.78 383.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000640 278 CATHETER MAHURKAR 12FR X 20CM C1752 397.00 397.00 277.90 0.00 198.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.05 258.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 277.90 258.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 277.90 0.00 0.00 0.00 238.20 0.00 0.00 238.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000679 278 CATHETER MAHURKAR 12FR X 16CM C1752 397.00 397.00 277.90 0.00 198.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.05 258.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 277.90 258.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 277.90 0.00 0.00 0.00 238.20 0.00 0.00 238.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000928 278 "CATHETER, MAHURKAR 11.5 X 19.5" C1752 574.00 574.00 401.80 0.00 287.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.10 373.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 401.80 373.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 401.80 0.00 0.00 0.00 344.40 0.00 0.00 344.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000532 278 CATH CUFFED PALINDROME 14.5FR C1752 1970.00 1970.00 1379.00 0.00 985.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 985.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1280.50 1280.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1379.00 1280.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1379.00 0.00 0.00 0.00 1182.00 0.00 0.00 1182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000533 278 CATH CUFFED PALINDROME 14.5FR C1752 1970.00 1970.00 1379.00 0.00 985.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 985.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1280.50 1280.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1379.00 1280.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1379.00 0.00 0.00 0.00 1182.00 0.00 0.00 1182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000534 278 CATH CUFFED PALINDROME 14.5FR C1752 1970.00 1970.00 1379.00 0.00 985.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 985.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1280.50 1280.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1379.00 1280.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1379.00 0.00 0.00 0.00 1182.00 0.00 0.00 1182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001508 278 CATH DIALYSIS 12X15CM C1752 975.00 975.00 682.50 0.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 633.75 633.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 682.50 633.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 682.50 0.00 0.00 0.00 585.00 0.00 0.00 585.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001509 278 CATH DIALYSIS 12X20CM C1752 975.00 975.00 682.50 0.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 633.75 633.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 682.50 633.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 682.50 0.00 0.00 0.00 585.00 0.00 0.00 585.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001604 278 SHUNT CAROTID 9FX31CM C1752 2468.00 2468.00 1727.60 0.00 1234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.20 1604.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1727.60 1604.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1727.60 0.00 0.00 0.00 1480.80 0.00 0.00 1480.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001889 278 CATH MAHURKUR 13.5X16CM CVD C1752 1918.24 1918.24 1342.77 0.00 959.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 959.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1246.86 1246.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1342.77 1246.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1342.77 0.00 0.00 0.00 1150.94 0.00 0.00 1150.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000106 272 CATHETER FOGARTY EMBOLCTMY 3F C1757 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000107 272 CATHETER FOGARTY EMBOLCTMY 4FR C1757 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000108 272 ALLE FOG EMB CATH 5FR 12080-5F C1757 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001034 272 CATHETER FOGARTY IRRIGATION 4F C1757 273.48 273.48 232.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 191.44 232.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 191.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002112 272 CATH VENOUS 6X105CM 8F C1757 11893.20 11893.20 10109.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8325.24 10109.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8325.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002113 272 CATH PERIF A/V 3X120CM 6F C1757 7788.00 7788.00 6619.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 6619.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002114 272 CATH PERIF A/V 3X90CM 6F C1757 6360.80 6360.80 5406.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4452.56 5406.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4452.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002115 272 CATH PERIF ART 1.5X145CM 4F/3F C1757 9036.00 9036.00 7680.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6325.20 7680.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6325.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002116 272 CATH AV 3X50CM 6F C1757 2470.86 2470.86 2100.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.60 2100.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002199 272 CATH INFUSION 4F 45X20CM C1757 556.50 556.50 473.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.55 473.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002200 272 CATH INFUSION 4F 135X40CM C1757 556.50 556.50 473.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.55 473.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002367 272 CATH FOGARTY EMBOLECTOMY 3FR C1757 399.79 399.79 339.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 279.85 339.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 279.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000217 272 SPINCTEROTOME ERCP 20MM.5MM C1758 846.94 846.94 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000130 272 CATHETER OPN END URETRL AXCE 6 C1758 74.20 74.20 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000360 272 CATH URETERAL 5FR X 7CM C1758 469.58 469.58 399.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.71 399.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001360 272 KIT CATH FLEX TIP 6F 70CM C1758 217.30 217.30 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001958 272 CATH URETHERAL 10F C1758 215.18 215.18 182.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.63 182.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002016 272 CATH URETERAL 5FX70 C1758 39.79 39.79 33.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.85 33.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000250 278 DEVICE CLOSURE VASC 5F C1760 1015.00 1015.00 710.50 0.00 507.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 507.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.75 659.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710.50 659.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710.50 0.00 0.00 0.00 609.00 0.00 0.00 609.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000251 278 DEVICE CLOSURE VASC 6F C1760 1015.00 1015.00 710.50 0.00 507.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 507.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.75 659.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710.50 659.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710.50 0.00 0.00 0.00 609.00 0.00 0.00 609.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000466 278 DEVICE CLOSURE VASC 7F C1760 782.00 782.00 547.40 0.00 391.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 391.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.30 508.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 547.40 508.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 547.40 0.00 0.00 0.00 469.20 0.00 0.00 469.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001933 278 DEVICE CLOSURE 6FR ANGIOSEAL C1760 1280.00 1280.00 896.00 0.00 640.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 640.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.00 832.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 896.00 832.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 896.00 0.00 0.00 0.00 768.00 0.00 0.00 768.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000844 278 ALLOGRAFT PIP 2.7X18MM C1762 8745.00 8745.00 6121.50 0.00 4372.50 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 4372.50 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 5684.25 5684.25 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 6121.50 5684.25 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 6121.50 0.00 3056.69 1358.53 5247.00 1358.53 0.00 5247.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001848 278 TISSU MATRX REGN 5X10CM PRSQCM C1762 148.02 148.02 3056.69 0.00 74.01 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 74.01 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 96.21 96.21 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 103.61 96.21 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 103.61 0.00 3056.69 1358.53 88.81 1358.53 0.00 88.81 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001851 278 FLEXI GRAFT 10X250MM C1762 8359.80 8359.80 5851.86 0.00 4179.90 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 4179.90 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 5433.87 5433.87 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 5851.86 5433.87 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 5851.86 0.00 3056.69 1358.53 5015.88 1358.53 0.00 5015.88 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001867 278 TISSUE ALLOGRAFT 6X8CM PERSQCM C1762 210.00 210.00 3056.69 0.00 105.00 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 105.00 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 136.50 136.50 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 147.00 136.50 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 147.00 0.00 3056.69 1358.53 126.00 1358.53 0.00 126.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001912 278 ALLOGRAFT PIP 2.OX15MM C1762 7808.00 7808.00 5465.60 0.00 3904.00 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 3904.00 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 5075.20 5075.20 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 5465.60 5075.20 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 5465.60 0.00 3056.69 1358.53 4684.80 1358.53 0.00 4684.80 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002427 278 GRAFT BONE MATRIX 1CC C1762 1302.20 1302.20 3056.69 0.00 651.10 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 651.10 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 846.43 846.43 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 911.54 846.43 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 911.54 0.00 3056.69 1358.53 781.32 1358.53 0.00 781.32 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002428 278 GRAFT BONE MATRIX 5CC C1762 5722.20 5722.20 4005.54 0.00 2861.10 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2861.10 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 3719.43 3719.43 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 4005.54 3719.43 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 4005.54 0.00 3056.69 1358.53 3433.32 1358.53 0.00 3433.32 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002429 278 GRAFT BONE MATRIX 10CC C1762 8850.20 8850.20 6195.14 0.00 4425.10 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 4425.10 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 5752.63 5752.63 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 6195.14 5752.63 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 6195.14 0.00 3056.69 1358.53 5310.12 1358.53 0.00 5310.12 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002431 278 CHIP CANC CRUSHED 15CC C1762 1755.00 1755.00 3056.69 0.00 877.50 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 877.50 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 1140.75 1140.75 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 1228.50 1140.75 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 1228.50 0.00 3056.69 1358.53 1053.00 1358.53 0.00 1053.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002432 278 CHIP CANC CRUSHED 30CC C1762 2700.00 2700.00 3056.69 0.00 1350.00 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 1350.00 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 1755.00 1755.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 1890.00 1755.00 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 1890.00 0.00 3056.69 1358.53 1620.00 1358.53 0.00 1620.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002523 278 ALGRFT CHIPS CANC 15CC C1762 1444.00 1444.00 3056.69 0.00 722.00 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 722.00 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 938.60 938.60 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 1010.80 938.60 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 1010.80 0.00 3056.69 1358.53 866.40 1358.53 0.00 866.40 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 278000545 278 PELVIC FLOOR REPAIR KIT PINNA C1763 5922.00 5922.00 4145.40 0.00 2961.00 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2961.00 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 3849.30 3849.30 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 4145.40 3849.30 1358.53 3056.69 1358.53 0.00 1358.53 1358.53 1358.53 0.00 1358.53 4145.40 0.00 3056.69 1358.53 3553.20 1358.53 0.00 3553.20 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000711 278 MONITOR CARDIAC INSERT LINQ C1764 23587.00 23587.00 16510.90 0.00 11793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15331.55 15331.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16510.90 15331.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16510.90 0.00 0.00 0.00 14152.20 0.00 0.00 14152.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000732 278 MONITOR CARDIAC INSERT LINQ C1764 23587.00 23587.00 16510.90 0.00 11793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15331.55 15331.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16510.90 15331.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16510.90 0.00 0.00 0.00 14152.20 0.00 0.00 14152.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002162 278 CARDIAC MONITR INSERTBL LUX-DX C1764 18000.00 18000.00 12600.00 0.00 9000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11700.00 11700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12600.00 11700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12600.00 0.00 0.00 0.00 10800.00 0.00 0.00 10800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000381 278 SEPRA FILM ADH BARRIER 3X5 C1765 2420.00 2420.00 1694.00 0.00 1210.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1210.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1573.00 1573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1694.00 1573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1694.00 0.00 0.00 0.00 1452.00 0.00 0.00 1452.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000662 278 ADHESION BARRIER INTERCEED 3X4 C1765 1261.00 1261.00 882.70 0.00 630.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 630.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 819.65 819.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 882.70 819.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 882.70 0.00 0.00 0.00 756.60 0.00 0.00 756.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000982 278 SEPRA FILM ADH BARRIER 5X6 C1765 1244.00 1244.00 870.80 0.00 622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 808.60 808.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 870.80 808.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 870.80 0.00 0.00 0.00 746.40 0.00 0.00 746.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000216 278 SEPRA FILM ADH BARRIER 5X6 C1765 1244.00 1244.00 870.80 0.00 622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 808.60 808.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 870.80 808.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 870.80 0.00 0.00 0.00 746.40 0.00 0.00 746.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001103 278 MEMB AMNIOTIC 1.5X1.5CM PSQCM C1765 1297.00 1297.00 907.90 0.00 648.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 648.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 843.05 843.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 907.90 843.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 907.90 0.00 0.00 0.00 778.20 0.00 0.00 778.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001175 278 MEMBRANE AMNIOTIC 2X3 PER SQCM C1765 491.00 491.00 343.70 0.00 245.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 319.15 319.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 343.70 319.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 343.70 0.00 0.00 0.00 294.60 0.00 0.00 294.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000705 278 INTERSTIM II NEUROSTIM 3058 C1767 49523.00 49523.00 34666.10 0.00 24761.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24761.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32189.95 32189.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34666.10 32189.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34666.10 0.00 0.00 0.00 29713.80 0.00 0.00 29713.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002389 278 NEUROSTIMULATOR SNM NON RECHG C1767 46536.00 46536.00 32575.20 0.00 23268.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23268.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30248.40 30248.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32575.20 30248.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32575.20 0.00 0.00 0.00 27921.60 0.00 0.00 27921.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000095 278 GOR GRAFT NON-RI STR 6X10 V060 C1768 579.00 579.00 405.30 0.00 289.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 376.35 376.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 405.30 376.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 405.30 0.00 0.00 0.00 347.40 0.00 0.00 347.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000096 278 GRAFT GORTEX NON RINGED STR 6X C1768 3102.00 3102.00 2171.40 0.00 1551.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1551.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.30 2016.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2171.40 2016.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2171.40 0.00 0.00 0.00 1861.20 0.00 0.00 1861.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000097 278 GOR GRAFT NON-RI STR 6X70 V060 C1768 2931.00 2931.00 2051.70 0.00 1465.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1465.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1905.15 1905.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2051.70 1905.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2051.70 0.00 0.00 0.00 1758.60 0.00 0.00 1758.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000438 278 GRAFT GORTEX STD REM RING 6 C1768 3901.00 3901.00 2730.70 0.00 1950.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1950.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2535.65 2535.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2730.70 2535.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2730.70 0.00 0.00 0.00 2340.60 0.00 0.00 2340.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000579 278 GRAFT VASCULAR STRETCH 5 X 20 C1768 952.00 952.00 666.40 0.00 476.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 476.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 618.80 618.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 666.40 618.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 666.40 0.00 0.00 0.00 571.20 0.00 0.00 571.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000580 278 GRAFT PROPATEN VASCULAR 4-6MM C1768 5648.00 5648.00 3953.60 0.00 2824.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2824.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3671.20 3671.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3953.60 3671.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3953.60 0.00 0.00 0.00 3388.80 0.00 0.00 3388.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000693 278 GRAFT VAS ACUSEAL C1768 5734.00 5734.00 4013.80 0.00 2867.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2867.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3727.10 3727.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4013.80 3727.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4013.80 0.00 0.00 0.00 3440.40 0.00 0.00 3440.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000843 278 GRAFT BYPASS 6X80CM C1768 15705.00 15705.00 10993.50 0.00 7852.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7852.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10208.25 10208.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10993.50 10208.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10993.50 0.00 0.00 0.00 9423.00 0.00 0.00 9423.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000897 278 GRAFT STD WALL 8MMX70CM C1768 3078.00 3078.00 2154.60 0.00 1539.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1539.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2000.70 2000.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2154.60 2000.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2154.60 0.00 0.00 0.00 1846.80 0.00 0.00 1846.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000898 278 GRAFT STRECH BIF 14X7MMX40CM C1768 3946.00 3946.00 2762.20 0.00 1973.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1973.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2564.90 2564.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2762.20 2564.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2762.20 0.00 0.00 0.00 2367.60 0.00 0.00 2367.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001267 278 PATCH VASCULAR 1X10CM C1768 1080.00 1080.00 756.00 0.00 540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 702.00 702.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 756.00 702.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 756.00 0.00 0.00 0.00 648.00 0.00 0.00 648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001439 278 GRAFT VASCULAR 45CM 4-7MM C1768 6356.00 6356.00 4449.20 0.00 3178.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3178.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4131.40 4131.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4449.20 4131.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4449.20 0.00 0.00 0.00 3813.60 0.00 0.00 3813.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002208 278 PATCH VASCULAR 0.8X8CM C1768 844.00 844.00 590.80 0.00 422.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 422.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 548.60 548.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 590.80 548.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 590.80 0.00 0.00 0.00 506.40 0.00 0.00 506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002308 278 GRAFT VASCULAR 8X80CM C1768 11824.00 11824.00 8276.80 0.00 5912.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5912.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7685.60 7685.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8276.80 7685.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8276.80 0.00 0.00 0.00 7094.40 0.00 0.00 7094.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002309 278 GRAFT VASCULAR 8X50CM C1768 7468.00 7468.00 5227.60 0.00 3734.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3734.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4854.20 4854.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5227.60 4854.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5227.60 0.00 0.00 0.00 4480.80 0.00 0.00 4480.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002354 278 GRAFT VASCULAR HEPARIN 7X80CM C1768 11476.00 11476.00 8033.20 0.00 5738.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5738.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7459.40 7459.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8033.20 7459.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8033.20 0.00 0.00 0.00 6885.60 0.00 0.00 6885.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002462 278 GRAFT VASC BYPASS 6MMX90CM C1768 21068.00 21068.00 14747.60 0.00 10534.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10534.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13694.20 13694.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14747.60 13694.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14747.60 0.00 0.00 0.00 12640.80 0.00 0.00 12640.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000212 272 GLLIDEWIRE 0.35X150CM C1769 161.12 161.12 136.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.78 136.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000216 272 WIRE JAG 0.35 EXTEND RAPIDE C1769 904.18 904.18 768.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 632.93 768.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 632.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000221 272 JAGWIRE RX ERCP RAPID .025 C1769 626.46 626.46 532.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 438.52 532.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 438.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000289 270 BARD GUIDE WIRE 70X30 007008 c1769 220.48 220.48 187.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 154.34 187.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 154.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000308 272 GUIDEWIRE THREADED 0.45X6MM C1769 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000313 272 GUIDEWIRE SMOOTH 3.0 C1769 538.48 538.48 457.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 376.94 457.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 376.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000451 270 BIO WIRE GUIDE 3.2X98CM 4690 C1769 346.62 346.62 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000539 272 WIRE HYDRA ERCP 5600 C1769 762.14 762.14 647.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.50 647.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000581 272 GLIDEWIRE ANGLED 180CMX3CM C1769 200.34 200.34 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.24 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000583 272 GUIDEWIRE SMOOTH BULLET TP 3.0 C1769 654.02 654.02 555.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.81 555.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000707 272 GUIDEWIRE WALL STENT SUPER ST C1769 400.68 400.68 340.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.48 340.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000721 272 GUIDEWIRE PARTIAL THREAD 0.35 C1769 80.56 80.56 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000749 272 GLIDEWIRE 0.035/180CM ANGLED C1769 207.76 207.76 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000750 272 GLIDEWIRE 0.035/180CM ANGL STF C1769 242.74 242.74 206.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 169.92 206.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 169.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000775 272 GUIDE WIRE SMOOTH 2.2X800 (ST C1769 810.90 810.90 689.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.63 689.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000778 272 GUIDEWIRE .035 X 4 (OSTEOMED) C1769 87.98 87.98 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000786 272 GUIDEWIRE SMOOTH .035 X 4 (OS C1769 61.48 61.48 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000794 272 GUIDEWIRE (OSTEOMED) 316-0108 C1769 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000813 272 GUIDEWIRE UROLOGICAL .035 X 1 C1769 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000843 272 GUIDEWIRE ENCOMPASS (OSTEOMED C1769 134.62 134.62 114.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.23 114.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000864 272 WIRE SENSOR STRGHT .035.150CM C1769 172.78 172.78 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000935 272 "GUIDEWIRE, 2.4MMX70 2255-08" C1769 846.94 846.94 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 719.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000990 272 GUIDEWIRE AQUA ANG REG 150CM C1769 164.30 164.30 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000996 272 GUIDEWIRE STABIL X SUP .14 C1769 665.68 665.68 565.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.98 565.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001006 272 GUIDEWIRE AQUA ANG REG 260 CM C1769 245.92 245.92 209.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.14 209.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001020 272 GUIDEWIRE EMERALD 0.35X150CM C1769 110.24 110.24 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001022 270 GUIDE WIRE SMTH BULL 3.0 ZIM C1769 330.72 330.72 281.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 231.50 281.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001023 272 GUIDEWIRE AQUA ANG STIFF 260CC C1769 283.02 283.02 240.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.11 240.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001027 272 GUIDEWRE ANG REG 18CM C3518RSA C1769 212.00 212.00 180.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 148.40 180.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 148.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000102 272 MIC GLIDEWIRE .035X150 630-100 C1769 131.44 131.44 111.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92.01 111.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000116 272 GUIDEWIRE SMOOTH BULET TIP 3.0 C1769 341.32 341.32 290.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 238.92 290.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 238.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000122 272 GLIDEWIRE STRAIGHT 0.35/260CM C1769 163.24 163.24 138.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 138.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000125 272 GUIDEWIRE 0.35 STR 300CM STORQ C1769 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000150 272 GUIDEWIRE TEAR DROP 2.4X100CM C1769 896.76 896.76 762.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 627.73 762.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 627.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000157 272 WIRE GUIDE NITINOL .35 X 150CM C1769 103.88 103.88 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.72 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000171 272 GUIDEWIRE PGW .018 SV 300CM C1769 419.76 419.76 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000213 272 GUIDEWIRE 0.35X180CM C1769 245.92 245.92 209.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.14 209.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000178 272 GUIDEWIRE THREADED 0.45 OSTEOM C1769 86.92 86.92 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000216 272 GUIDEWIRE 0.45X4 OSTOMED C1769 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000230 278 OST SCREW LOCK 5X85M 1896-508 C1769 631.00 631.00 441.70 0.00 315.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 410.15 410.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 441.70 410.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 441.70 0.00 0.00 0.00 378.60 0.00 0.00 378.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000150 272 GUIDEWRE SMOOTH BULLET TIP 3.0 C1769 341.32 341.32 290.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 238.92 290.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 238.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000175 272 GUIDEWIRE .025X145CM C1769 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000277 272 WIRE GUIDE .035IN/480CM C1769 543.78 543.78 462.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 380.65 462.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 380.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000363 272 GUIDEWIRE .035 C1769 200.34 200.34 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.24 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000376 272 GUIDE WIRE TR DROP 3.0MMX100CM C1769 881.92 881.92 749.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.34 749.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000616 272 GUIDEWIRE .014X300CM C1769 2118.94 2118.94 1801.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1483.26 1801.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1483.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000695 272 WIRE GUIDE METATARSAL C1769 303.16 303.16 257.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.21 257.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000696 272 WIRE GUIDE PHALANGEAL C1769 303.16 303.16 257.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.21 257.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000737 272 JAGWIRE .035 C1769 560.74 560.74 476.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 392.52 476.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 392.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000783 272 GUIDEWIRE .035X145CM C1769 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001050 272 GUIDEWIRE AMPLATZ 0.035X75 C1769 94.34 94.34 80.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.04 80.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001096 272 GUIDEWIRE SS .035X500CM C1769 402.80 402.80 342.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 281.96 342.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 281.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001241 272 GUIDEWIRE SS AMPLATZ 0.38X260 C1769 605.26 605.26 514.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 423.68 514.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 423.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001387 272 GUIDE WIRE 1.6X180MM C1769 202.46 202.46 172.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 141.72 172.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 141.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001485 272 GUIDEWIRE COR .014X300 STR C1769 640.24 640.24 544.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.17 544.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001537 272 GUIDEWIRE .014X195CM C1769 556.50 556.50 473.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.55 473.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001711 272 GUIDEWIRE 0.035 STR SS 300CM C1769 216.24 216.24 183.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 151.37 183.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 151.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001799 272 GUIDEWIRE STR .038X260CM C1769 268.18 268.18 227.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 187.73 227.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 187.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002010 272 GUIDEWIRE PERIF 0.014X300CM C1769 413.40 413.40 351.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.38 351.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002044 272 GUIDEWIRE AMPLATZ .035X260 C1769 143.10 143.10 121.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.17 121.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002194 272 GUIDEWIRE 0.035 260X5CM C1769 818.85 818.85 696.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 573.20 696.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 573.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002196 272 GUIDEWIRE ANGLE STIFF 350CM C1769 327.54 327.54 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002220 272 GUIDEWIRE 0.018 0.46X300 STR C1769 353.81 353.81 300.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 247.67 300.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 247.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002221 272 GUIDEWIRE 0.018X150CM C1769 353.81 353.81 300.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 247.67 300.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 247.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002233 272 GLIDEWIRE 0.018X300CM C1769 1052.58 1052.58 894.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 736.81 894.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 736.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002411 272 GUIDEWIRE .014 30X300CM C1769 540.60 540.60 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002465 272 GWIRE GLIDE 0.14X300 ANGL TIP C1769 1154.34 1154.34 981.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 808.04 981.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 808.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002466 272 GWIRE 300CM TL 8CM STRT C1769 650.84 650.84 553.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 455.59 553.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 455.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002596 272 KIT CATH STAND 19CM C1769 1644.06 1644.06 1397.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1150.84 1397.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1150.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002597 272 KIT CATH STAND 23CM C1769 1644.06 1644.06 1397.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1150.84 1397.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1150.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000582 278 KIT MALE SLING ADVANCE (ADVAN C1771 26189.00 26189.00 18332.30 0.00 13094.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13094.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17022.85 17022.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18332.30 17022.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18332.30 0.00 0.00 0.00 15713.40 0.00 0.00 15713.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000596 278 SLING MONARCH SUBFASCIAL HAMM C1771 5566.00 5566.00 3896.20 0.00 2783.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2783.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3617.90 3617.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.20 3617.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.20 0.00 0.00 0.00 3339.60 0.00 0.00 3339.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000794 278 SYSTEM REPAIR A & P PROLAPSE C1771 4414.00 4414.00 3089.80 0.00 2207.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2207.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2869.10 2869.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3089.80 2869.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3089.80 0.00 0.00 0.00 2648.40 0.00 0.00 2648.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000881 278 SLING SOLYX SIS SYTEM C1771 8143.00 8143.00 5700.10 0.00 4071.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4071.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5292.95 5292.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5700.10 5292.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5700.10 0.00 0.00 0.00 4885.80 0.00 0.00 4885.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001001 278 SLING INCLISION ADJUSTABLE C1771 6186.00 6186.00 4330.20 0.00 3093.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3093.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4020.90 4020.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4330.20 4020.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4330.20 0.00 0.00 0.00 3711.60 0.00 0.00 3711.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001269 278 SLING OBTRYX II C1771 3652.00 3652.00 2556.40 0.00 1826.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1826.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2373.80 2373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2556.40 2373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2556.40 0.00 0.00 0.00 2191.20 0.00 0.00 2191.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001134 272 SET RETRIEVAL 11FR C1773 867.08 867.08 737.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 606.96 737.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 606.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002330 272 KIT SNARE ENDOVASCULAR 6F C1773 1144.80 1144.80 973.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 801.36 973.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 801.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274000002 278 HEAD FEMORAL 12/14 TAPER 32MM C1776 3104.00 3104.00 2172.80 0.00 1552.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1552.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2017.60 2017.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2172.80 2017.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2172.80 0.00 0.00 0.00 1862.40 0.00 0.00 1862.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000073 278 PATELLA NEXGEN SIZE 29 C1776 4087.00 4087.00 2860.90 0.00 2043.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2043.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2656.55 2656.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2860.90 2656.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2860.90 0.00 0.00 0.00 2452.20 0.00 0.00 2452.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000076 278 STEM TIBIAL SZ 3 C1776 9061.00 9061.00 6342.70 0.00 4530.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4530.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5889.65 5889.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6342.70 5889.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6342.70 0.00 0.00 0.00 5436.60 0.00 0.00 5436.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000077 278 ZIM STEM PRECOAT NEX 5980-37-0 C1776 8427.00 8427.00 5898.90 0.00 4213.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4213.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5477.55 5477.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 5477.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 0.00 0.00 0.00 5056.20 0.00 0.00 5056.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000078 278 ZIM STEM PRECOAT NEX 5980-47-0 C1776 9061.00 9061.00 6342.70 0.00 4530.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4530.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5889.65 5889.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6342.70 5889.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6342.70 0.00 0.00 0.00 5436.60 0.00 0.00 5436.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000079 278 ZIM STEM PRECOAT NEX 5980-47-0 C1776 8589.00 8589.00 6012.30 0.00 4294.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4294.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5582.85 5582.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6012.30 5582.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6012.30 0.00 0.00 0.00 5153.40 0.00 0.00 5153.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000164 278 HEAD FEMORAL ENDO 44MM C1776 2759.00 2759.00 1931.30 0.00 1379.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1379.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1793.35 1793.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1931.30 1793.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1931.30 0.00 0.00 0.00 1655.40 0.00 0.00 1655.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000171 278 HEAD FEMORAL ENDO 12/14 47MM C1776 2570.00 2570.00 1799.00 0.00 1285.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1285.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1670.50 1670.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1799.00 1670.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1799.00 0.00 0.00 0.00 1542.00 0.00 0.00 1542.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000189 278 HEAD FEMORAL 12/14 45MM C1776 2870.00 2870.00 2009.00 0.00 1435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1865.50 1865.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2009.00 1865.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2009.00 0.00 0.00 0.00 1722.00 0.00 0.00 1722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000221 278 HEAD FEMORAL ENDO 12/14 46MM C1776 2471.00 2471.00 1729.70 0.00 1235.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1235.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1606.15 1606.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.70 1606.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.70 0.00 0.00 0.00 1482.60 0.00 0.00 1482.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000223 278 HEAD FEMORAL ENDO 12/14 48MM C1776 2471.00 2471.00 1729.70 0.00 1235.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1235.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1606.15 1606.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.70 1606.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.70 0.00 0.00 0.00 1482.60 0.00 0.00 1482.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000224 278 HEAD FEMORAL ENDO 12/14 49MM C1776 2471.00 2471.00 1729.70 0.00 1235.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1235.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1606.15 1606.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.70 1606.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.70 0.00 0.00 0.00 1482.60 0.00 0.00 1482.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000227 278 HEAD FEMORAL ENDO 12/14 54MM C1776 2570.00 2570.00 1799.00 0.00 1285.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1285.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1670.50 1670.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1799.00 1670.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1799.00 0.00 0.00 0.00 1542.00 0.00 0.00 1542.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000253 278 BIO GREAT TOE M-P JOINT 1041 C1776 3839.00 3839.00 2687.30 0.00 1919.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1919.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2495.35 2495.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2687.30 2495.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2687.30 0.00 0.00 0.00 2303.40 0.00 0.00 2303.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000254 278 LINER ACETAB 32MM 10 DEGREE C1776 7791.00 7791.00 5453.70 0.00 3895.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3895.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5064.15 5064.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5453.70 5064.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5453.70 0.00 0.00 0.00 4674.60 0.00 0.00 4674.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000293 278 TAPER PLUG NEXGEN C1776 4626.00 4626.00 3238.20 0.00 2313.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2313.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3006.90 3006.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3238.20 3006.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3238.20 0.00 0.00 0.00 2775.60 0.00 0.00 2775.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000313 278 ARTICULAR SURFACE SIZE C D 10M C1776 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000351 278 ARTICULAR SURFACE SIZE E F 12M C1776 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000409 278 FEMORAL COMPONENT LPS FLEX SZ C1776 19738.00 19738.00 13816.60 0.00 9869.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9869.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12829.70 12829.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13816.60 12829.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13816.60 0.00 0.00 0.00 11842.80 0.00 0.00 11842.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000410 278 ARTICULAR SURFACE SIZE E F 10M C1776 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000439 278 IMPLANT GREAT TOE X-SMALL (OST C1776 3214.00 3214.00 2249.80 0.00 1607.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1607.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2089.10 2089.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2249.80 2089.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2249.80 0.00 0.00 0.00 1928.40 0.00 0.00 1928.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000478 278 ARTICULAR SURFACE SIZE E F 10M C1776 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000538 278 ARTICULAR SURFACE LPS NEXGEN C1776 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000575 278 FEMORAL COMPONENT LPS-FLEX SIZ C1776 10550.00 10550.00 7385.00 0.00 5275.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5275.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6857.50 6857.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7385.00 6857.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7385.00 0.00 0.00 0.00 6330.00 0.00 0.00 6330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000645 278 METATARSAL IMPLANT ENCOMPASS 1 C1776 5803.00 5803.00 4062.10 0.00 2901.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2901.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3771.95 3771.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4062.10 3771.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4062.10 0.00 0.00 0.00 3481.80 0.00 0.00 3481.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000674 278 FEMORAL COMPONENT SZ C LFT C1776 27473.00 27473.00 19231.10 0.00 13736.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13736.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17857.45 17857.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19231.10 17857.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19231.10 0.00 0.00 0.00 16483.80 0.00 0.00 16483.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000680 278 "KNEE, NEXGEN LEGACY SIZE F LEF" C1776 9084.00 9084.00 6358.80 0.00 4542.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4542.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5904.60 5904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6358.80 5904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6358.80 0.00 0.00 0.00 5450.40 0.00 0.00 5450.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000707 278 HEAD FEMORAL TAPER 12/14 32MM C1776 3105.00 3105.00 2173.50 0.00 1552.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1552.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2018.25 2018.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2173.50 2018.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2173.50 0.00 0.00 0.00 1863.00 0.00 0.00 1863.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000733 278 STEM FEMORAL CEMENTED SZ 13 C1776 26484.00 26484.00 18538.80 0.00 13242.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13242.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17214.60 17214.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18538.80 17214.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18538.80 0.00 0.00 0.00 15890.40 0.00 0.00 15890.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000821 278 HEAD FEMORAL 32MM+2.5 HH32 C1776 4228.00 4228.00 2959.60 0.00 2114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2748.20 2748.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2959.60 2748.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2959.60 0.00 0.00 0.00 2536.80 0.00 0.00 2536.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000823 278 LINDER ACETAB 32MM C1776 4168.00 4168.00 2917.60 0.00 2084.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2084.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2709.20 2709.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2917.60 2709.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2917.60 0.00 0.00 0.00 2500.80 0.00 0.00 2500.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000824 278 HIP STEM SZ 7 30MM C1776 12807.00 12807.00 8964.90 0.00 6403.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6403.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8324.55 8324.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8964.90 8324.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8964.90 0.00 0.00 0.00 7684.20 0.00 0.00 7684.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000825 278 HEAD FEMORAL 32MM+2.5 HH31 C1776 4228.00 4228.00 2959.60 0.00 2114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2748.20 2748.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2959.60 2748.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2959.60 0.00 0.00 0.00 2536.80 0.00 0.00 2536.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000840 278 IMP ENCOMPASS 15MM 385-0015 C1776 5332.00 5332.00 3732.40 0.00 2666.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2666.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.80 3465.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3732.40 3465.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3732.40 0.00 0.00 0.00 3199.20 0.00 0.00 3199.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000842 278 LINER ACETAB 40MM E 623-00-40E C1776 8135.00 8135.00 5694.50 0.00 4067.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4067.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5287.75 5287.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5694.50 5287.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5694.50 0.00 0.00 0.00 4881.00 0.00 0.00 4881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000843 278 HIP STEM SIZE 9 35MM C1776 12807.00 12807.00 8964.90 0.00 6403.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6403.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8324.55 8324.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8964.90 8324.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8964.90 0.00 0.00 0.00 7684.20 0.00 0.00 7684.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000844 278 HEAD FEMORAL 40MM+2.5 C1776 4119.00 4119.00 2883.30 0.00 2059.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2059.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2677.35 2677.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2883.30 2677.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2883.30 0.00 0.00 0.00 2471.40 0.00 0.00 2471.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000845 278 MEDPOR TF2 MED RT 9860 C1776 3581.00 3581.00 2506.70 0.00 1790.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1790.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2327.65 2327.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2506.70 2327.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2506.70 0.00 0.00 0.00 2148.60 0.00 0.00 2148.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000856 278 HEAD FEMORAL 40MM +0MM 6260 C1776 4119.00 4119.00 2883.30 0.00 2059.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2059.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2677.35 2677.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2883.30 2677.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2883.30 0.00 0.00 0.00 2471.40 0.00 0.00 2471.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000876 278 IMP METATARSAL HEAD LONG C1776 1488.00 1488.00 1041.60 0.00 744.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 967.20 967.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1041.60 967.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1041.60 0.00 0.00 0.00 892.80 0.00 0.00 892.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000877 278 IMP METATARSAL STEM MED C1776 2840.00 2840.00 1988.00 0.00 1420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1846.00 1846.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1988.00 1846.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1988.00 0.00 0.00 0.00 1704.00 0.00 0.00 1704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000882 278 ARTICULR SURFCE LPS FLX 14MM C1776 3354.00 3354.00 2347.80 0.00 1677.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1677.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2180.10 2180.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2347.80 2180.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2347.80 0.00 0.00 0.00 2012.40 0.00 0.00 2012.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000885 278 FEM COMPONENT LPS FLX SZ E RT C1776 12917.00 12917.00 9041.90 0.00 6458.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6458.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8396.05 8396.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9041.90 8396.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9041.90 0.00 0.00 0.00 7750.20 0.00 0.00 7750.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000919 278 LINER ACETABULAR 10 DEG 36MM C1776 8606.00 8606.00 6024.20 0.00 4303.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4303.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5593.90 5593.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6024.20 5593.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6024.20 0.00 0.00 0.00 5163.60 0.00 0.00 5163.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000920 278 HEAD FEMORAL 0X36MM C1776 5043.00 5043.00 3530.10 0.00 2521.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2521.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3277.95 3277.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3530.10 3277.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3530.10 0.00 0.00 0.00 3025.80 0.00 0.00 3025.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000921 278 SHELL ACETUBULAR 58MM TRILOGY C1776 7308.00 7308.00 5115.60 0.00 3654.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3654.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4750.20 4750.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5115.60 4750.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5115.60 0.00 0.00 0.00 4384.80 0.00 0.00 4384.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000925 278 SURFACE ART SZ 12MM C1776 6708.00 6708.00 4695.60 0.00 3354.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3354.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4360.20 4360.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4695.60 4360.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4695.60 0.00 0.00 0.00 4024.80 0.00 0.00 4024.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000926 278 COMP FEM NEXGEN SZ G RT C1776 25831.00 25831.00 18081.70 0.00 12915.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12915.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16790.15 16790.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18081.70 16790.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18081.70 0.00 0.00 0.00 15498.60 0.00 0.00 15498.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000928 278 COMP TIBIAL STEM NEXGEN SZ 8 C1776 10633.00 10633.00 7443.10 0.00 5316.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5316.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6911.45 6911.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7443.10 6911.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7443.10 0.00 0.00 0.00 6379.80 0.00 0.00 6379.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000933 278 INSERT RIBIAL SZ4 13MM C1776 15062.00 15062.00 10543.40 0.00 7531.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7531.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9790.30 9790.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10543.40 9790.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10543.40 0.00 0.00 0.00 9037.20 0.00 0.00 9037.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000934 278 INSERT CONSTRAINED C1776 21059.00 21059.00 14741.30 0.00 10529.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10529.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13688.35 13688.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14741.30 13688.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14741.30 0.00 0.00 0.00 12635.40 0.00 0.00 12635.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000937 278 GRIP SM C1776 8969.00 8969.00 6278.30 0.00 4484.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4484.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5829.85 5829.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6278.30 5829.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6278.30 0.00 0.00 0.00 5381.40 0.00 0.00 5381.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000938 278 HEAD FEM 22.2MM C1776 5498.00 5498.00 3848.60 0.00 2749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3573.70 3573.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3848.60 3573.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3848.60 0.00 0.00 0.00 3298.80 0.00 0.00 3298.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000939 278 SYSTEM HIP MOD 21MM C1776 30632.00 30632.00 21442.40 0.00 15316.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15316.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19910.80 19910.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21442.40 19910.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21442.40 0.00 0.00 0.00 18379.20 0.00 0.00 18379.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000940 278 STEM DISTAL 195MM C1776 24529.00 24529.00 17170.30 0.00 12264.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12264.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15943.85 15943.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17170.30 15943.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17170.30 0.00 0.00 0.00 14717.40 0.00 0.00 14717.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000966 278 INSERT TRI PS X 3 TIBIAL C1776 15582.00 15582.00 10907.40 0.00 7791.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7791.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10128.30 10128.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10907.40 10128.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10907.40 0.00 0.00 0.00 9349.20 0.00 0.00 9349.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000972 278 COM FEM NEXGEN LPS FLEX ELT C1776 25834.00 25834.00 18083.80 0.00 12917.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12917.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16792.10 16792.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18083.80 16792.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18083.80 0.00 0.00 0.00 15500.40 0.00 0.00 15500.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000973 278 COMP FEMORAL LSP FLEX SZ F LT C1776 25834.00 25834.00 18083.80 0.00 12917.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12917.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16792.10 16792.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18083.80 16792.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18083.80 0.00 0.00 0.00 15500.40 0.00 0.00 15500.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000977 278 INSERET TIBIAL SZ4 16MM C1776 16916.00 16916.00 11841.20 0.00 8458.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8458.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10995.40 10995.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11841.20 10995.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11841.20 0.00 0.00 0.00 10149.60 0.00 0.00 10149.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000978 278 FEMORAL COMPONENT SZ 4 RT C1776 10648.00 10648.00 7453.60 0.00 5324.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5324.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6921.20 6921.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7453.60 6921.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7453.60 0.00 0.00 0.00 6388.80 0.00 0.00 6388.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000982 278 IMP TOE SMALL C1776 5276.00 5276.00 3693.20 0.00 2638.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2638.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3429.40 3429.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3693.20 3429.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3693.20 0.00 0.00 0.00 3165.60 0.00 0.00 3165.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000986 278 PLATE 16H STR VARIAX C1776 2396.00 2396.00 1677.20 0.00 1198.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1198.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1557.40 1557.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1677.20 1557.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1677.20 0.00 0.00 0.00 1437.60 0.00 0.00 1437.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000987 278 PLATE LOW PRO META WDG 3MM C1776 3427.00 3427.00 2398.90 0.00 1713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2227.55 2227.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2398.90 2227.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2398.90 0.00 0.00 0.00 2056.20 0.00 0.00 2056.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000988 278 PLATE 4H STR VARIAX C1776 1544.00 1544.00 1080.80 0.00 772.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 772.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1003.60 1003.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1080.80 1003.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1080.80 0.00 0.00 0.00 926.40 0.00 0.00 926.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000992 278 FEMORAL HEAD COMP 2600 +15MM C1776 5721.00 5721.00 4004.70 0.00 2860.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2860.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3718.65 3718.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4004.70 3718.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4004.70 0.00 0.00 0.00 3432.60 0.00 0.00 3432.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000997 278 NAIL SUPRACONDYLAR 14X340MM C1776 13155.00 13155.00 9208.50 0.00 6577.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6577.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8550.75 8550.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9208.50 8550.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9208.50 0.00 0.00 0.00 7893.00 0.00 0.00 7893.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000999 278 INSERT LAT 32MM 10 +4MM C1776 7526.00 7526.00 5268.20 0.00 3763.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3763.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4891.90 4891.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5268.20 4891.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5268.20 0.00 0.00 0.00 4515.60 0.00 0.00 4515.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001000 278 HEAD FEM 32MMX10MM C1776 5779.00 5779.00 4045.30 0.00 2889.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2889.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3756.35 3756.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4045.30 3756.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4045.30 0.00 0.00 0.00 3467.40 0.00 0.00 3467.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001002 278 PROSTHESIS HIP 47DIAX140MM C1776 4894.00 4894.00 3425.80 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3181.10 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 0.00 0.00 0.00 2936.40 0.00 0.00 2936.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001005 278 LINER ACETUBULA 58X32 C1776 7791.00 7791.00 5453.70 0.00 3895.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3895.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5064.15 5064.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5453.70 5064.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5453.70 0.00 0.00 0.00 4674.60 0.00 0.00 4674.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000120 278 HEAD FEMORAL 7.0X32MM C1776 3146.00 3146.00 2202.20 0.00 1573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2044.90 2044.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2202.20 2044.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2202.20 0.00 0.00 0.00 1887.60 0.00 0.00 1887.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000122 278 STEM FEMORAL SZ11 C1776 19486.00 19486.00 13640.20 0.00 9743.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9743.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12665.90 12665.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13640.20 12665.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13640.20 0.00 0.00 0.00 11691.60 0.00 0.00 11691.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000124 278 HEAD FEM 48MMX18MM C1776 12298.00 12298.00 8608.60 0.00 6149.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6149.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7993.70 7993.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8608.60 7993.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8608.60 0.00 0.00 0.00 7378.80 0.00 0.00 7378.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000125 278 STEM PRESS FIT SZ 12MM C1776 26635.00 26635.00 18644.50 0.00 13317.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13317.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17312.75 17312.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18644.50 17312.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18644.50 0.00 0.00 0.00 15981.00 0.00 0.00 15981.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000176 278 KNEE FEM SZ H RT C1776 15367.00 15367.00 10756.90 0.00 7683.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7683.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9988.55 9988.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10756.90 9988.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10756.90 0.00 0.00 0.00 9220.20 0.00 0.00 9220.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000177 278 SURF ART 14MM C1776 6046.00 6046.00 4232.20 0.00 3023.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3023.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3929.90 3929.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4232.20 3929.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4232.20 0.00 0.00 0.00 3627.60 0.00 0.00 3627.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000184 278 ADAPTER ENDO HEAD VERSYS 7.0MM C1776 654.00 654.00 457.80 0.00 327.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 327.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 425.10 425.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.80 425.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.80 0.00 0.00 0.00 392.40 0.00 0.00 392.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000185 278 HEAD FEMORAL ENDO 51MM DIA C1776 2506.00 2506.00 1754.20 0.00 1253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1628.90 1628.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1754.20 1628.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1754.20 0.00 0.00 0.00 1503.60 0.00 0.00 1503.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000186 278 STEM FEM 13MM C1776 20862.00 20862.00 14603.40 0.00 10431.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10431.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13560.30 13560.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14603.40 13560.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14603.40 0.00 0.00 0.00 12517.20 0.00 0.00 12517.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000187 278 STEM FEM 8MM C1776 20862.00 20862.00 14603.40 0.00 10431.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10431.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13560.30 13560.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14603.40 13560.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14603.40 0.00 0.00 0.00 12517.20 0.00 0.00 12517.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000188 278 HEAD HUMERAL 50MMX24MM C1776 10392.00 10392.00 7274.40 0.00 5196.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5196.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6754.80 6754.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7274.40 6754.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7274.40 0.00 0.00 0.00 6235.20 0.00 0.00 6235.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000207 278 HEAD C-TAPER 32MMX7.5 C1776 3375.00 3375.00 2362.50 0.00 1687.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1687.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2193.75 2193.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2362.50 2193.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2362.50 0.00 0.00 0.00 2025.00 0.00 0.00 2025.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000208 278 STEM HIP SECUR-FIT C1776 14018.00 14018.00 9812.60 0.00 7009.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7009.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9111.70 9111.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9812.60 9111.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9812.60 0.00 0.00 0.00 8410.80 0.00 0.00 8410.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000209 278 SHELL 50MM C1776 7859.00 7859.00 5501.30 0.00 3929.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3929.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5108.35 5108.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5501.30 5108.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5501.30 0.00 0.00 0.00 4715.40 0.00 0.00 4715.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000211 278 FEMORAL KNEE SZE RT C1776 14984.00 14984.00 10488.80 0.00 7492.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7492.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9739.60 9739.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10488.80 9739.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10488.80 0.00 0.00 0.00 8990.40 0.00 0.00 8990.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000215 278 FEMORAL KNEE SZE RT C1776 14984.00 14984.00 10488.80 0.00 7492.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7492.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9739.60 9739.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10488.80 9739.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10488.80 0.00 0.00 0.00 8990.40 0.00 0.00 8990.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000221 278 HEAD HUMERAL 50MMX28MM C1776 12989.00 12989.00 9092.30 0.00 6494.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6494.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8442.85 8442.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9092.30 8442.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9092.30 0.00 0.00 0.00 7793.40 0.00 0.00 7793.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000222 278 STEM HUMERAL 10MM C1776 26078.00 26078.00 18254.60 0.00 13039.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13039.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16950.70 16950.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18254.60 16950.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18254.60 0.00 0.00 0.00 15646.80 0.00 0.00 15646.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000225 278 INSERT POLY 36MM C1776 6490.00 6490.00 4543.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4218.50 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 0.00 0.00 0.00 3894.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000226 278 SHELL CLUSTER 56MM C1776 7788.00 7788.00 5451.60 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5062.20 5062.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 5062.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 0.00 0.00 0.00 4672.80 0.00 0.00 4672.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000227 278 HEAD FEMORAL 36MMX2.5MM C1776 3375.00 3375.00 2362.50 0.00 1687.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1687.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2193.75 2193.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2362.50 2193.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2362.50 0.00 0.00 0.00 2025.00 0.00 0.00 2025.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000229 278 PROSTHESIS HIP 40 DIA X 127MM C1776 4779.00 4779.00 3345.30 0.00 2389.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2389.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3106.35 3106.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3345.30 3106.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3345.30 0.00 0.00 0.00 2867.40 0.00 0.00 2867.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000235 278 BASEPLATE TIBIAL SZ6 C1776 6490.00 6490.00 4543.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4218.50 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 0.00 0.00 0.00 3894.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000236 278 INSERT TIBIAL SZ6 11MM C1776 6490.00 6490.00 4543.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4218.50 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 0.00 0.00 0.00 3894.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000237 278 COMP FEMORAL SZ5 C1776 10384.00 10384.00 7268.80 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6749.60 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 0.00 0.00 0.00 6230.40 0.00 0.00 6230.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000240 278 INSERT TIBIAL 6-9MM C1776 6490.00 6490.00 4543.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4218.50 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 0.00 0.00 0.00 3894.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000241 278 COMP FEMORAL 5 RT C1776 10384.00 10384.00 7268.80 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6749.60 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 0.00 0.00 0.00 6230.40 0.00 0.00 6230.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000255 278 STABILIZER FEOMORAL SZ7 C1776 10384.00 10384.00 7268.80 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6749.60 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 0.00 0.00 0.00 6230.40 0.00 0.00 6230.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000256 278 BASEPLATE TIBIAL SZ7 C1776 10384.00 10384.00 7268.80 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6749.60 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 0.00 0.00 0.00 6230.40 0.00 0.00 6230.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000257 278 INSERT TIBIAL 7X9MM C1776 6490.00 6490.00 4543.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4218.50 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 0.00 0.00 0.00 3894.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000258 278 BASEPLATE TIBIAL SZ3 C1776 7788.00 7788.00 5451.60 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5062.20 5062.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 5062.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 0.00 0.00 0.00 4672.80 0.00 0.00 4672.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000259 278 INSERT TIBIAL SZ3 11MM C1776 6490.00 6490.00 4543.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4218.50 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 0.00 0.00 0.00 3894.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000260 278 COMP FEMORAL SZ3 C1776 10384.00 10384.00 7268.80 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6749.60 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 0.00 0.00 0.00 6230.40 0.00 0.00 6230.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000297 278 INSERT TIBIAL 3X9MM C1776 6490.00 6490.00 4543.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4218.50 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 0.00 0.00 0.00 3894.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000320 278 STEM FEM 14MM C1776 19003.00 19003.00 13302.10 0.00 9501.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9501.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12351.95 12351.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13302.10 12351.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13302.10 0.00 0.00 0.00 11401.80 0.00 0.00 11401.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000321 278 STEM HUM 13MM C1776 26078.00 26078.00 18254.60 0.00 13039.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13039.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16950.70 16950.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18254.60 16950.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18254.60 0.00 0.00 0.00 15646.80 0.00 0.00 15646.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000322 278 HEAD HUMERAL 55MMX24MM C1776 12989.00 12989.00 9092.30 0.00 6494.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6494.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8442.85 8442.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9092.30 8442.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9092.30 0.00 0.00 0.00 7793.40 0.00 0.00 7793.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000334 278 ART SURFACE SZ C-D 14MM C1776 5895.00 5895.00 4126.50 0.00 2947.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2947.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3831.75 3831.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4126.50 3831.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4126.50 0.00 0.00 0.00 3537.00 0.00 0.00 3537.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000341 278 COMP FEMORAL SZ3 RT C1776 10384.00 10384.00 7268.80 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6749.60 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 6749.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7268.80 0.00 0.00 0.00 6230.40 0.00 0.00 6230.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000368 278 BASEPLATE TIBIAL SZ5 C1776 6490.00 6490.00 4543.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4218.50 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 4218.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4543.00 0.00 0.00 0.00 3894.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000369 278 INSERT TIBIAL SZ 5 13MM C1776 7788.00 7788.00 5451.60 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5062.20 5062.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 5062.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 0.00 0.00 0.00 4672.80 0.00 0.00 4672.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000371 278 SHELL CLUSTER F 58MM C1776 7788.00 7788.00 5451.60 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3894.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5062.20 5062.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 5062.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5451.60 0.00 0.00 0.00 4672.80 0.00 0.00 4672.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000372 278 INSERT POLY 36MM C1776 3375.00 3375.00 2362.50 0.00 1687.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1687.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2193.75 2193.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2362.50 2193.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2362.50 0.00 0.00 0.00 2025.00 0.00 0.00 2025.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000391 278 BLADE VO 2.4MM X 16MM C1776 3247.00 3247.00 2272.90 0.00 1623.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1623.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2110.55 2110.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2272.90 2110.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2272.90 0.00 0.00 0.00 1948.20 0.00 0.00 1948.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000392 278 BLADE VO 2.0MM X 13MM C1776 3247.00 3247.00 2272.90 0.00 1623.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1623.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2110.55 2110.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2272.90 2110.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2272.90 0.00 0.00 0.00 1948.20 0.00 0.00 1948.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000394 278 SHELL ACETAB 48MM TRAB C1776 16695.00 16695.00 11686.50 0.00 8347.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8347.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10851.75 10851.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11686.50 10851.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11686.50 0.00 0.00 0.00 10017.00 0.00 0.00 10017.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000402 278 INSERT TIBIAL SZ4 19MM C1776 13915.00 13915.00 9740.50 0.00 6957.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6957.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9044.75 9044.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9740.50 9044.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9740.50 0.00 0.00 0.00 8349.00 0.00 0.00 8349.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000404 278 HEAD FEM CERAMIC 32/+3.5 L C1776 10442.00 10442.00 7309.40 0.00 5221.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5221.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6787.30 6787.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7309.40 6787.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7309.40 0.00 0.00 0.00 6265.20 0.00 0.00 6265.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000409 278 SHELL HEMISPHERICAL 54 MM C1776 17825.00 17825.00 12477.50 0.00 8912.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8912.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11586.25 11586.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12477.50 11586.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12477.50 0.00 0.00 0.00 10695.00 0.00 0.00 10695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000410 278 HEAD FEMORAL 40MM +5MM C1776 6325.00 6325.00 4427.50 0.00 3162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4111.25 4111.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4427.50 4111.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4427.50 0.00 0.00 0.00 3795.00 0.00 0.00 3795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000423 278 COMP FEM SZ F RT C1776 18934.00 18934.00 13253.80 0.00 9467.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9467.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12307.10 12307.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13253.80 12307.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13253.80 0.00 0.00 0.00 11360.40 0.00 0.00 11360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000424 278 ART SURF SZ C-D 10MM C1776 5746.00 5746.00 4022.20 0.00 2873.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2873.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3734.90 3734.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4022.20 3734.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4022.20 0.00 0.00 0.00 3447.60 0.00 0.00 3447.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000436 278 STEM HUM 14MM C1776 25926.00 25926.00 18148.20 0.00 12963.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12963.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16851.90 16851.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18148.20 16851.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18148.20 0.00 0.00 0.00 15555.60 0.00 0.00 15555.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000455 278 HEAD ENDO UNITRAX C1776 3795.00 3795.00 2656.50 0.00 1897.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1897.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2466.75 2466.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2656.50 2466.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2656.50 0.00 0.00 0.00 2277.00 0.00 0.00 2277.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000458 278 SLEEVE UNITRAX C-TAPER C1776 1002.00 1002.00 701.40 0.00 501.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 501.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 651.30 651.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 701.40 651.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 701.40 0.00 0.00 0.00 601.20 0.00 0.00 601.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000459 278 JOINT TOE PC LG C1776 8050.00 8050.00 5635.00 0.00 4025.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4025.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5232.50 5232.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5635.00 5232.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5635.00 0.00 0.00 0.00 4830.00 0.00 0.00 4830.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000462 278 HEAD FEMORAL ENDO 41MM DIA C1776 2442.00 2442.00 1709.40 0.00 1221.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1221.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1587.30 1587.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1709.40 1587.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1709.40 0.00 0.00 0.00 1465.20 0.00 0.00 1465.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000482 278 BASEPLATE UNV SZ 6 C1776 7590.00 7590.00 5313.00 0.00 3795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4933.50 4933.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5313.00 4933.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5313.00 0.00 0.00 0.00 4554.00 0.00 0.00 4554.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000484 278 INSERT TIBIAL SZ2 9MM C1776 6325.00 6325.00 4427.50 0.00 3162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4111.25 4111.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4427.50 4111.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4427.50 0.00 0.00 0.00 3795.00 0.00 0.00 3795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000485 278 BASEPLATE UNV SZ2 C1776 7590.00 7590.00 5313.00 0.00 3795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4933.50 4933.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5313.00 4933.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5313.00 0.00 0.00 0.00 4554.00 0.00 0.00 4554.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000486 278 FEM STABILIZED SZ2 RT C1776 10120.00 10120.00 7084.00 0.00 5060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6578.00 6578.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7084.00 6578.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7084.00 0.00 0.00 0.00 6072.00 0.00 0.00 6072.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000491 278 INSERT TIBIAL SZ4 11MM C1776 4744.00 4744.00 3320.80 0.00 2372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3083.60 3083.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3320.80 3083.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3320.80 0.00 0.00 0.00 2846.40 0.00 0.00 2846.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000492 278 NAIL TIB 10X390MM C1776 10497.00 10497.00 7347.90 0.00 5248.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5248.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6823.05 6823.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7347.90 6823.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7347.90 0.00 0.00 0.00 6298.20 0.00 0.00 6298.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000511 278 INSERT TIBIAL #4 16MM C1776 6325.00 6325.00 4427.50 0.00 3162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4111.25 4111.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4427.50 4111.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4427.50 0.00 0.00 0.00 3795.00 0.00 0.00 3795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000512 278 HEAD C-TAPER 22MM C1776 3289.00 3289.00 2302.30 0.00 1644.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1644.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2137.85 2137.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2302.30 2137.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2302.30 0.00 0.00 0.00 1973.40 0.00 0.00 1973.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000530 278 INSERT TIB SZ3 13MM C1776 13910.00 13910.00 9737.00 0.00 6955.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6955.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9041.50 9041.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9737.00 9041.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9737.00 0.00 0.00 0.00 8346.00 0.00 0.00 8346.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000533 278 PLATE WEDGE NEUTRAL C1776 9214.00 9214.00 6449.80 0.00 4607.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4607.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5989.10 5989.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6449.80 5989.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6449.80 0.00 0.00 0.00 5528.40 0.00 0.00 5528.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000534 278 HEAD FEM 40MM+1 C1776 6325.00 6325.00 4427.50 0.00 3162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4111.25 4111.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4427.50 4111.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4427.50 0.00 0.00 0.00 3795.00 0.00 0.00 3795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000536 278 HEAD ENDO FEM 57MM 12/14 ZIMMER C1776 2348.00 2348.00 1643.60 0.00 1174.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1174.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1526.20 1526.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1643.60 1526.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1643.60 0.00 0.00 0.00 1408.80 0.00 0.00 1408.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000544 278 BIPOLAR UHR 26X43MM C1776 3795.00 3795.00 2656.50 0.00 1897.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1897.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2466.75 2466.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2656.50 2466.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2656.50 0.00 0.00 0.00 2277.00 0.00 0.00 2277.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000545 278 HEAD C-TAPER LFIT 26MM C1776 3289.00 3289.00 2302.30 0.00 1644.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1644.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2137.85 2137.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2302.30 2137.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2302.30 0.00 0.00 0.00 1973.40 0.00 0.00 1973.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000553 278 COMP FEM SZ6 RT C1776 10120.00 10120.00 7084.00 0.00 5060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6578.00 6578.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7084.00 6578.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7084.00 0.00 0.00 0.00 6072.00 0.00 0.00 6072.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000568 278 HEAD C-TAPER 28MMX7.5 C1776 3203.00 3203.00 2242.10 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.95 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 0.00 0.00 0.00 1921.80 0.00 0.00 1921.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000569 278 BIPOLAR UHR 28X45MM C1776 3696.00 3696.00 2587.20 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2402.40 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 0.00 0.00 0.00 2217.60 0.00 0.00 2217.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000602 278 BODY CONE PROX 19X20MM C1776 24535.00 24535.00 17174.50 0.00 12267.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12267.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15947.75 15947.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17174.50 15947.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17174.50 0.00 0.00 0.00 14721.00 0.00 0.00 14721.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000603 278 STEM DIST BOWED 17X235MM C1776 20680.00 20680.00 14476.00 0.00 10340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13442.00 13442.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14476.00 13442.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14476.00 0.00 0.00 0.00 12408.00 0.00 0.00 12408.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000604 278 BIPOLAR UHR 28X50MM C1776 3696.00 3696.00 2587.20 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2402.40 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 0.00 0.00 0.00 2217.60 0.00 0.00 2217.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000609 278 HEAD FEM 28MM LFIT C1776 3203.00 3203.00 2242.10 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.95 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 0.00 0.00 0.00 1921.80 0.00 0.00 1921.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000611 278 BIPOLAR UHR 28X52MM C1776 3696.00 3696.00 2587.20 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2402.40 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 0.00 0.00 0.00 2217.60 0.00 0.00 2217.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000612 278 HEAD C-TAPER LFIT 28MM C1776 3203.00 3203.00 2242.10 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.95 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 0.00 0.00 0.00 1921.80 0.00 0.00 1921.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000618 278 HEAD FEM C-TAPER 28MM C1776 3203.00 3203.00 2242.10 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.95 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 0.00 0.00 0.00 1921.80 0.00 0.00 1921.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000627 278 STEM HIP SZ8 32X136MM C1776 13306.00 13306.00 9314.20 0.00 6653.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6653.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8648.90 8648.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9314.20 8648.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9314.20 0.00 0.00 0.00 7983.60 0.00 0.00 7983.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000628 278 HEAD FEM 36X10MM C1776 3203.00 3203.00 2242.10 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.95 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 0.00 0.00 0.00 1921.80 0.00 0.00 1921.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000661 278 BIPOLAR UHR 28X44MM C1776 3696.00 3696.00 2587.20 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2402.40 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 0.00 0.00 0.00 2217.60 0.00 0.00 2217.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000662 278 HEAD C-TAPER LFIT 28MM C1776 3203.00 3203.00 2242.10 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1601.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2081.95 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 2081.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.10 0.00 0.00 0.00 1921.80 0.00 0.00 1921.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000665 278 HEAD FEMORAL ENDO 39MM DIA C1776 2287.00 2287.00 1600.90 0.00 1143.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1143.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1486.55 1486.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1600.90 1486.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1600.90 0.00 0.00 0.00 1372.20 0.00 0.00 1372.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000674 278 HEAD FEM 28MM C1776 2873.00 2873.00 2011.10 0.00 1436.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1436.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1867.45 1867.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2011.10 1867.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2011.10 0.00 0.00 0.00 1723.80 0.00 0.00 1723.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000675 278 SHELL BIPOLAR 50MM C1776 2748.00 2748.00 1923.60 0.00 1374.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1374.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1786.20 1786.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1923.60 1786.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1923.60 0.00 0.00 0.00 1648.80 0.00 0.00 1648.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000676 278 HEAD FEM 28MM (CUP) C1776 1691.00 1691.00 1183.70 0.00 845.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1099.15 1099.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1183.70 1099.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1183.70 0.00 0.00 0.00 1014.60 0.00 0.00 1014.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000677 278 STEM CEMENTED 12X50MM C1776 5975.00 5975.00 4182.50 0.00 2987.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2987.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3883.75 3883.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4182.50 3883.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4182.50 0.00 0.00 0.00 3585.00 0.00 0.00 3585.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000678 278 INSERT TIBIAL SZ4 9MM C1776 13548.00 13548.00 9483.60 0.00 6774.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6774.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8806.20 8806.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9483.60 8806.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9483.60 0.00 0.00 0.00 8128.80 0.00 0.00 8128.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000704 278 COMP FEMORAL SZ7 LT C1776 33941.00 33941.00 23758.70 0.00 16970.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16970.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22061.65 22061.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23758.70 22061.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23758.70 0.00 0.00 0.00 20364.60 0.00 0.00 20364.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000705 278 BASEPLATE TIBIAL SZ8 C1776 7392.00 7392.00 5174.40 0.00 3696.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3696.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4804.80 4804.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5174.40 4804.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5174.40 0.00 0.00 0.00 4435.20 0.00 0.00 4435.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000706 278 STEM CEMENTLESS 15X100MM C1776 6689.00 6689.00 4682.30 0.00 3344.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3344.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4347.85 4347.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4682.30 4347.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4682.30 0.00 0.00 0.00 4013.40 0.00 0.00 4013.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000707 278 INSERT TIBIAL SZ8 13MM C1776 13548.00 13548.00 9483.60 0.00 6774.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6774.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8806.20 8806.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9483.60 8806.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9483.60 0.00 0.00 0.00 8128.80 0.00 0.00 8128.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000708 278 NAIL SUPRA T2 9X260MM C1776 13556.00 13556.00 9489.20 0.00 6778.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6778.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8811.40 8811.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9489.20 8811.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9489.20 0.00 0.00 0.00 8133.60 0.00 0.00 8133.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000710 278 HEAD BIPOLAR 48X28MM C1776 3696.00 3696.00 2587.20 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2402.40 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 2402.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2587.20 0.00 0.00 0.00 2217.60 0.00 0.00 2217.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000720 278 HEAD BIPOLAR 51X28MM C1776 7347.00 7347.00 5142.90 0.00 3673.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3673.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4775.55 4775.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5142.90 4775.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5142.90 0.00 0.00 0.00 4408.20 0.00 0.00 4408.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000751 278 STEM FEM 12/14 SZ 16 C1776 18038.00 18038.00 12626.60 0.00 9019.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9019.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11724.70 11724.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12626.60 11724.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12626.60 0.00 0.00 0.00 10822.80 0.00 0.00 10822.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000752 278 LINER ACETUBULAR 32MM C1776 4591.00 4591.00 3213.70 0.00 2295.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2295.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2984.15 2984.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3213.70 2984.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3213.70 0.00 0.00 0.00 2754.60 0.00 0.00 2754.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000753 278 SYSTEM ACETUBULAR 62MM C1776 5795.00 5795.00 4056.50 0.00 2897.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2897.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3766.75 3766.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4056.50 3766.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4056.50 0.00 0.00 0.00 3477.00 0.00 0.00 3477.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000785 278 HEAD C-TAPER 28MMX2.5 C1776 5560.00 5560.00 3892.00 0.00 2780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3614.00 3614.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3892.00 3614.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3892.00 0.00 0.00 0.00 3336.00 0.00 0.00 3336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000850 278 STEM RADIAL SZ 2 C1776 15182.00 15182.00 10627.40 0.00 7591.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7591.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9868.30 9868.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10627.40 9868.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10627.40 0.00 0.00 0.00 9109.20 0.00 0.00 9109.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000851 278 HEAD RADIAL SZ3 C1776 9230.00 9230.00 6461.00 0.00 4615.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4615.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5999.50 5999.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6461.00 5999.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6461.00 0.00 0.00 0.00 5538.00 0.00 0.00 5538.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000892 278 PLUG ACETUBULAR DOME C1776 636.00 636.00 445.20 0.00 318.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 318.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 413.40 413.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 445.20 413.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 445.20 0.00 0.00 0.00 381.60 0.00 0.00 381.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000893 278 HEAD C-TAPER LFIT 36MM C1776 3117.00 3117.00 2181.90 0.00 1558.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2026.05 2026.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2181.90 2026.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2181.90 0.00 0.00 0.00 1870.20 0.00 0.00 1870.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000901 278 HEAD FEMORAL ENDO 38 MM DIA C1776 2226.00 2226.00 1558.20 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1446.90 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 0.00 0.00 0.00 1335.60 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000902 278 HEAD FEMORAL ENDO 40MM C1776 2226.00 2226.00 1558.20 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1446.90 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 0.00 0.00 0.00 1335.60 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000903 278 HEAD FEMORAL ENDO 43MM DIA C1776 2315.00 2315.00 1620.50 0.00 1157.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1157.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1504.75 1504.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1620.50 1504.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1620.50 0.00 0.00 0.00 1389.00 0.00 0.00 1389.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000904 278 HEAD FEMORAL ENDO 60MM DIA C1776 2226.00 2226.00 1558.20 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1446.90 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 0.00 0.00 0.00 1335.60 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001085 278 FEM STABILIZED SZ1 RT C1776 9592.00 9592.00 6714.40 0.00 4796.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4796.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6234.80 6234.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6714.40 6234.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6714.40 0.00 0.00 0.00 5755.20 0.00 0.00 5755.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001101 278 HEAD FEMORAL 36MM C1776 5995.00 5995.00 4196.50 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.75 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 0.00 0.00 0.00 3597.00 0.00 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001112 278 SHELL CLUSTER 46X47.8MM 3H C1776 5995.00 5995.00 4196.50 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.75 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 0.00 0.00 0.00 3597.00 0.00 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001113 278 HEAD CERAMIC 32X+4 C1776 5995.00 5995.00 4196.50 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.75 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 0.00 0.00 0.00 3597.00 0.00 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001115 278 STEM HIP SZ7 127DEG C1776 12949.00 12949.00 9064.30 0.00 6474.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6474.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8416.85 8416.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9064.30 8416.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9064.30 0.00 0.00 0.00 7769.40 0.00 0.00 7769.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001116 278 HEAD FEMORAL 36MM C1776 3117.00 3117.00 2181.90 0.00 1558.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2026.05 2026.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2181.90 2026.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2181.90 0.00 0.00 0.00 1870.20 0.00 0.00 1870.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001120 278 STEM FEM 10X130MM C1776 16154.00 16154.00 11307.80 0.00 8077.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8077.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10500.10 10500.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11307.80 10500.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11307.80 0.00 0.00 0.00 9692.40 0.00 0.00 9692.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001190 278 SHELL HEMI 58MM C1776 29453.00 29453.00 20617.10 0.00 14726.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14726.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19144.45 19144.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20617.10 19144.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20617.10 0.00 0.00 0.00 17671.80 0.00 0.00 17671.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001191 278 STEM 127 SZ 10 C1776 22573.00 22573.00 15801.10 0.00 11286.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11286.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14672.45 14672.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15801.10 14672.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15801.10 0.00 0.00 0.00 13543.80 0.00 0.00 13543.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001195 278 HEAD FEMORAL 32MM C1776 5434.00 5434.00 3803.80 0.00 2717.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2717.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3532.10 3532.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3803.80 3532.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3803.80 0.00 0.00 0.00 3260.40 0.00 0.00 3260.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001197 278 SHELL MULTI-HOLE 56X56MM C1776 29453.00 29453.00 20617.10 0.00 14726.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14726.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19144.45 19144.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20617.10 19144.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20617.10 0.00 0.00 0.00 17671.80 0.00 0.00 17671.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001199 278 NAIL TIBIAL 9.0X330 C1776 13385.00 13385.00 9369.50 0.00 6692.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6692.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8700.25 8700.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9369.50 8700.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9369.50 0.00 0.00 0.00 8031.00 0.00 0.00 8031.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001219 278 INSERT TIBIAL SZ4 13MM C1776 13185.00 13185.00 9229.50 0.00 6592.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6592.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8570.25 8570.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9229.50 8570.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9229.50 0.00 0.00 0.00 7911.00 0.00 0.00 7911.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001232 278 HEAD ENDO 38MM C1776 3597.00 3597.00 2517.90 0.00 1798.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1798.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2338.05 2338.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2517.90 2338.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2517.90 0.00 0.00 0.00 2158.20 0.00 0.00 2158.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001233 278 SHELL CLUSTER 50X51.8 5H C1776 5995.00 5995.00 4196.50 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.75 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 0.00 0.00 0.00 3597.00 0.00 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001234 278 INSERT POLY 32MM C1776 5995.00 5995.00 4196.50 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2997.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3896.75 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 3896.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4196.50 0.00 0.00 0.00 3597.00 0.00 0.00 3597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001235 278 HEAD FEMORAL 32MM +8 C1776 3117.00 3117.00 2181.90 0.00 1558.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2026.05 2026.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2181.90 2026.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2181.90 0.00 0.00 0.00 1870.20 0.00 0.00 1870.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001268 278 STEM HIP SZ4 132DEG C1776 12593.00 12593.00 8815.10 0.00 6296.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6296.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8185.45 8185.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8815.10 8185.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8815.10 0.00 0.00 0.00 7555.80 0.00 0.00 7555.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001282 278 HEAD BIPOLAR 49X28MM C1776 3498.00 3498.00 2448.60 0.00 1749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2273.70 2273.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2448.60 2273.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2448.60 0.00 0.00 0.00 2098.80 0.00 0.00 2098.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001283 278 INSERT TIBIAL SZ2 11MM C1776 5830.00 5830.00 4081.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3789.50 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 0.00 0.00 0.00 3498.00 0.00 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001303 278 COMP FEMORAL SZ7 R C1776 9328.00 9328.00 6529.60 0.00 4664.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4664.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6063.20 6063.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6529.60 6063.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6529.60 0.00 0.00 0.00 5596.80 0.00 0.00 5596.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001325 278 INSERT TIBIAL BEARING 5X9MM C1776 5830.00 5830.00 4081.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3789.50 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 0.00 0.00 0.00 3498.00 0.00 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001328 278 HEAD CERAMIC 36X+7.5MM C1776 5830.00 5830.00 4081.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3789.50 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 0.00 0.00 0.00 3498.00 0.00 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001329 278 SHELL HEMI 62MM G C1776 16432.00 16432.00 11502.40 0.00 8216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10680.80 10680.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11502.40 10680.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11502.40 0.00 0.00 0.00 9859.20 0.00 0.00 9859.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001330 278 INSERT POLY 36MM G C1776 5830.00 5830.00 4081.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3789.50 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 0.00 0.00 0.00 3498.00 0.00 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001334 278 HEAD BIPOLAR 46X28MM C1776 3498.00 3498.00 2448.60 0.00 1749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2273.70 2273.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2448.60 2273.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2448.60 0.00 0.00 0.00 2098.80 0.00 0.00 2098.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001350 278 AUGUMENT TIBIAL 5MM SZ6 L C1776 5552.00 5552.00 3886.40 0.00 2776.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2776.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3608.80 3608.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3886.40 3608.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3886.40 0.00 0.00 0.00 3331.20 0.00 0.00 3331.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001351 278 COMPONENT FEMORAL SZ5 L C1776 12826.00 12826.00 8978.20 0.00 6413.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6413.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8336.90 8336.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8978.20 8336.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8978.20 0.00 0.00 0.00 7695.60 0.00 0.00 7695.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001354 278 INSERT TIBIAL SZ2 C1776 5830.00 5830.00 4081.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3789.50 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 0.00 0.00 0.00 3498.00 0.00 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001355 278 COMPONENT TIBIAL SZ2 C1776 6996.00 6996.00 4897.20 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4547.40 4547.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4897.20 4547.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4897.20 0.00 0.00 0.00 4197.60 0.00 0.00 4197.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001356 278 COMPONENT FEMORAL SZ3 R C1776 12826.00 12826.00 8978.20 0.00 6413.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6413.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8336.90 8336.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8978.20 8336.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8978.20 0.00 0.00 0.00 7695.60 0.00 0.00 7695.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001384 278 HEAD FEMORAL CERAMIC 36X+5MM C1776 5830.00 5830.00 4081.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2915.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3789.50 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 3789.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4081.00 0.00 0.00 0.00 3498.00 0.00 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001403 278 COMPONENT FEMORAL SZ5 R C1776 12826.00 12826.00 8978.20 0.00 6413.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6413.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8336.90 8336.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8978.20 8336.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8978.20 0.00 0.00 0.00 7695.60 0.00 0.00 7695.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001404 278 COMPONENT TIBIAL SZ5 C1776 6996.00 6996.00 4897.20 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3498.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4547.40 4547.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4897.20 4547.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4897.20 0.00 0.00 0.00 4197.60 0.00 0.00 4197.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001405 278 STEM HIP #7 30X35MM C1776 12593.00 12593.00 8815.10 0.00 6296.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6296.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8185.45 8185.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8815.10 8185.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8815.10 0.00 0.00 0.00 7555.80 0.00 0.00 7555.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001435 278 COMPONENT FEMORAL SZ6 L C1776 12826.00 12826.00 8978.20 0.00 6413.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6413.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8336.90 8336.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8978.20 8336.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8978.20 0.00 0.00 0.00 7695.60 0.00 0.00 7695.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001436 278 INSERT TIBIAL SZ7 9MM C1776 12822.00 12822.00 8975.40 0.00 6411.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6411.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8334.30 8334.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8975.40 8334.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8975.40 0.00 0.00 0.00 7693.20 0.00 0.00 7693.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001484 278 HEAD UNIVERSAL UHR 56X28MM C1776 3498.00 3498.00 2448.60 0.00 1749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1749.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2273.70 2273.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2448.60 2273.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2448.60 0.00 0.00 0.00 2098.80 0.00 0.00 2098.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001494 278 STEM HIP SZ9 35MM C1776 12593.00 12593.00 8815.10 0.00 6296.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6296.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8185.45 8185.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8815.10 8185.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8815.10 0.00 0.00 0.00 7555.80 0.00 0.00 7555.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001516 278 STEM HIP SZ9 127DEG C1776 12236.00 12236.00 8565.20 0.00 6118.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6118.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7953.40 7953.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8565.20 7953.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8565.20 0.00 0.00 0.00 7341.60 0.00 0.00 7341.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001525 278 COMPONENT TIBIAL SZ4 C1776 6798.00 6798.00 4758.60 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4418.70 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 0.00 0.00 0.00 4078.80 0.00 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001538 278 COMP FEM SZ6 LFT C1776 9064.00 9064.00 6344.80 0.00 4532.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4532.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5891.60 5891.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6344.80 5891.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6344.80 0.00 0.00 0.00 5438.40 0.00 0.00 5438.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001555 278 HEAD BIPOLAR UHR 28X54MM C1776 3399.00 3399.00 2379.30 0.00 1699.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1699.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2209.35 2209.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2379.30 2209.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2379.30 0.00 0.00 0.00 2039.40 0.00 0.00 2039.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001558 278 COMPONENT FEMORAL SZ1 R C1776 12463.00 12463.00 8724.10 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8100.95 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 0.00 0.00 0.00 7477.80 0.00 0.00 7477.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001564 278 STEM HIP SZ5 132DEG C1776 12236.00 12236.00 8565.20 0.00 6118.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6118.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7953.40 7953.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8565.20 7953.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8565.20 0.00 0.00 0.00 7341.60 0.00 0.00 7341.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001565 278 HEAD FEMORAL 36MM (0) C1776 5665.00 5665.00 3965.50 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3682.25 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 0.00 0.00 0.00 3399.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001568 278 COMP FEM SZ-F RT C1776 13699.00 13699.00 9589.30 0.00 6849.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6849.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8904.35 8904.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9589.30 8904.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9589.30 0.00 0.00 0.00 8219.40 0.00 0.00 8219.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001571 278 HEAD FEMORAL 26MM -3 C1776 2946.00 2946.00 2062.20 0.00 1473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1914.90 1914.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.20 1914.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.20 0.00 0.00 0.00 1767.60 0.00 0.00 1767.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001572 278 BODY CONE 21+10MM C1776 22563.00 22563.00 15794.10 0.00 11281.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11281.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14665.95 14665.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15794.10 14665.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15794.10 0.00 0.00 0.00 13537.80 0.00 0.00 13537.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001573 278 STEM DISTAL 20X195MM C1776 18065.00 18065.00 12645.50 0.00 9032.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9032.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11742.25 11742.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12645.50 11742.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12645.50 0.00 0.00 0.00 10839.00 0.00 0.00 10839.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001574 278 STEM DISTAL 23X195MM C1776 18065.00 18065.00 12645.50 0.00 9032.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9032.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11742.25 11742.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12645.50 11742.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12645.50 0.00 0.00 0.00 10839.00 0.00 0.00 10839.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001575 278 COMPONENT TIBIAL SZ6 C1776 6798.00 6798.00 4758.60 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4418.70 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 0.00 0.00 0.00 4078.80 0.00 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001576 278 COMP FEMORAL SZ7 LT C1776 12463.00 12463.00 8724.10 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8100.95 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 0.00 0.00 0.00 7477.80 0.00 0.00 7477.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001585 278 HEAD BIPOLAR 47X28MM C1776 2946.00 2946.00 2062.20 0.00 1473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1914.90 1914.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.20 1914.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.20 0.00 0.00 0.00 1767.60 0.00 0.00 1767.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001586 278 STEM HIP SZ4 25MM C1776 2946.00 2946.00 2062.20 0.00 1473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1914.90 1914.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.20 1914.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.20 0.00 0.00 0.00 1767.60 0.00 0.00 1767.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001623 278 STEM FLUTED 13X100MM C1776 6152.00 6152.00 4306.40 0.00 3076.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3076.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3998.80 3998.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4306.40 3998.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4306.40 0.00 0.00 0.00 3691.20 0.00 0.00 3691.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001624 278 COMP FEMORAL SZ2 L C1776 31214.00 31214.00 21849.80 0.00 15607.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15607.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20289.10 20289.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21849.80 20289.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21849.80 0.00 0.00 0.00 18728.40 0.00 0.00 18728.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001633 278 COMPONENT FEMORAL SZ7 RT C1776 12463.00 12463.00 8724.10 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8100.95 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 0.00 0.00 0.00 7477.80 0.00 0.00 7477.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001634 278 COMPONENT TIBIAL SZ7 C1776 6798.00 6798.00 4758.60 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4418.70 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 0.00 0.00 0.00 4078.80 0.00 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001635 278 SHELL ACETUBULAR 50MM C1776 5871.00 5871.00 4109.70 0.00 2935.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2935.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3816.15 3816.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4109.70 3816.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4109.70 0.00 0.00 0.00 3522.60 0.00 0.00 3522.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001636 278 COMP TIBIAL SZ3 C1776 6798.00 6798.00 4758.60 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4418.70 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 0.00 0.00 0.00 4078.80 0.00 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001637 278 HEAD FEMORAL 36MM-2.5MM C1776 5665.00 5665.00 3965.50 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3682.25 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 0.00 0.00 0.00 3399.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001638 278 SHELL ACETUBULAR 56MM F C1776 16740.00 16740.00 11718.00 0.00 8370.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8370.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10881.00 10881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11718.00 10881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11718.00 0.00 0.00 0.00 10044.00 0.00 0.00 10044.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001646 278 COMP FEMORAL SZ3 LFT C1776 12463.00 12463.00 8724.10 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8100.95 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 0.00 0.00 0.00 7477.80 0.00 0.00 7477.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001647 278 INSERT TIBIAL SZ3 13MM C1776 5665.00 5665.00 3965.50 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3682.25 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 0.00 0.00 0.00 3399.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001648 278 SHELL ACETUBULAR SZ54 E C1776 16740.00 16740.00 11718.00 0.00 8370.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8370.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10881.00 10881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11718.00 10881.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11718.00 0.00 0.00 0.00 10044.00 0.00 0.00 10044.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001650 278 COMP HEAD 41MM C1776 3399.00 3399.00 2379.30 0.00 1699.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1699.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2209.35 2209.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2379.30 2209.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2379.30 0.00 0.00 0.00 2039.40 0.00 0.00 2039.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001651 278 SLEEVE C-TAPER 10MM C1776 897.00 897.00 627.90 0.00 448.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.05 583.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 627.90 583.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 627.90 0.00 0.00 0.00 538.20 0.00 0.00 538.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001652 278 STEM HIP SZ10 C1776 12236.00 12236.00 8565.20 0.00 6118.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6118.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7953.40 7953.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8565.20 7953.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8565.20 0.00 0.00 0.00 7341.60 0.00 0.00 7341.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001656 278 COMPONENT TIBIAL SZ1 C1776 6798.00 6798.00 4758.60 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4418.70 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 4418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4758.60 0.00 0.00 0.00 4078.80 0.00 0.00 4078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001657 278 COMPONENT FEMORAL SZ1 LFT C1776 12463.00 12463.00 8724.10 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8100.95 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 0.00 0.00 0.00 7477.80 0.00 0.00 7477.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001658 278 INSERT TIBIAL SZ1 11MM C1776 5665.00 5665.00 3965.50 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3682.25 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 0.00 0.00 0.00 3399.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001662 278 SHELL ACETUBULAR SZ58 F C1776 11718.00 11718.00 8202.60 0.00 5859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7616.70 7616.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8202.60 7616.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8202.60 0.00 0.00 0.00 7030.80 0.00 0.00 7030.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001663 278 HEAD FEMORAL 36MM C1776 8266.00 8266.00 5786.20 0.00 4133.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4133.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5372.90 5372.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5786.20 5372.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5786.20 0.00 0.00 0.00 4959.60 0.00 0.00 4959.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001667 278 COMPONENT FEMORAL SZ4 R C1776 12463.00 12463.00 8724.10 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8100.95 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 0.00 0.00 0.00 7477.80 0.00 0.00 7477.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001691 278 COMP FEMORAL SZ3 LFT C1776 12463.00 12463.00 8724.10 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8100.95 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 0.00 0.00 0.00 7477.80 0.00 0.00 7477.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001709 278 INSERT ELEVATED RIM 36MM C1776 5665.00 5665.00 3965.50 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2832.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3682.25 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 3682.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3965.50 0.00 0.00 0.00 3399.00 0.00 0.00 3399.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001710 278 SHELL ACETUBULAR SZ52 E C1776 17073.00 17073.00 11951.10 0.00 8536.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8536.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11097.45 11097.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11951.10 11097.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11951.10 0.00 0.00 0.00 10243.80 0.00 0.00 10243.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001712 278 COMPONENT FEMORAL SZ6 R C1776 12463.00 12463.00 8724.10 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8100.95 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 8100.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8724.10 0.00 0.00 0.00 7477.80 0.00 0.00 7477.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001728 278 SHELL ACETUBULAR SZ62 G C1776 17073.00 17073.00 11951.10 0.00 8536.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8536.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11097.45 11097.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11951.10 11097.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11951.10 0.00 0.00 0.00 10243.80 0.00 0.00 10243.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001739 278 SHELL HEMI 68MM C1776 15967.00 15967.00 11176.90 0.00 7983.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7983.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10378.55 10378.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11176.90 10378.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11176.90 0.00 0.00 0.00 9580.20 0.00 0.00 9580.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001742 278 INSERT CONSTRAINED 32H C1776 15514.00 15514.00 10859.80 0.00 7757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10084.10 10084.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10859.80 10084.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10859.80 0.00 0.00 0.00 9308.40 0.00 0.00 9308.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001750 278 STEM HIP SZ8 30MM C1776 11880.00 11880.00 8316.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7722.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 0.00 0.00 0.00 7128.00 0.00 0.00 7128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001751 278 HEAD FEM 44MMX19MM C1776 14284.00 14284.00 9998.80 0.00 7142.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7142.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9284.60 9284.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9998.80 9284.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9998.80 0.00 0.00 0.00 8570.40 0.00 0.00 8570.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001752 278 STEM HUMERAL 9MM C1776 31496.00 31496.00 22047.20 0.00 15748.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15748.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20472.40 20472.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22047.20 20472.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22047.20 0.00 0.00 0.00 18897.60 0.00 0.00 18897.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001755 278 SHELL ANATOMIC SZ74 L C1776 28684.00 28684.00 20078.80 0.00 14342.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14342.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18644.60 18644.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20078.80 18644.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20078.80 0.00 0.00 0.00 17210.40 0.00 0.00 17210.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001757 278 COMPONENT FEMORAL SZ4 L C1776 12100.00 12100.00 8470.00 0.00 6050.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6050.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7865.00 7865.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8470.00 7865.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8470.00 0.00 0.00 0.00 7260.00 0.00 0.00 7260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001775 278 INSERT POLY 36MM C1776 5500.00 5500.00 3850.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3575.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 0.00 0.00 0.00 3300.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001776 278 SHELL ACETUBULAR SZ50 D C1776 16576.00 16576.00 11603.20 0.00 8288.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8288.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10774.40 10774.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11603.20 10774.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11603.20 0.00 0.00 0.00 9945.60 0.00 0.00 9945.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001781 278 KNEE FEM SZ G RT C1776 7220.00 7220.00 5054.00 0.00 3610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4693.00 4693.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5054.00 4693.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5054.00 0.00 0.00 0.00 4332.00 0.00 0.00 4332.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001782 278 SURFACE ART GH 5-6 10MM C1776 4750.00 4750.00 3325.00 0.00 2375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3087.50 3087.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3325.00 3087.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3325.00 0.00 0.00 0.00 2850.00 0.00 0.00 2850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001789 278 HEAD BIPOLAR UHR 26X42MM C1776 3300.00 3300.00 2310.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2145.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 0.00 0.00 0.00 1980.00 0.00 0.00 1980.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001790 278 FEMUR PROXIMAL 135DEGREE C1776 23839.20 23839.20 16687.44 0.00 11919.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11919.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15495.48 15495.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16687.44 15495.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16687.44 0.00 0.00 0.00 14303.52 0.00 0.00 14303.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001791 278 STEM FEM 11X127 C1776 13298.40 13298.40 9308.88 0.00 6649.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6649.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8643.96 8643.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9308.88 8643.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9308.88 0.00 0.00 0.00 7979.04 0.00 0.00 7979.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001792 278 HEAD FEM 26MM +4 C1776 2860.00 2860.00 2002.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1859.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 0.00 0.00 0.00 1716.00 0.00 0.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001818 278 IMP SYNTH CARTILAGE 10MM C1776 14000.00 14000.00 9800.00 0.00 7000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9100.00 9100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9800.00 9100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9800.00 0.00 0.00 0.00 8400.00 0.00 0.00 8400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001839 278 SHELL ACETABULAR 48MM C1776 5320.00 5320.00 3724.00 0.00 2660.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2660.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3458.00 3458.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3724.00 3458.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3724.00 0.00 0.00 0.00 3192.00 0.00 0.00 3192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001844 278 HEAD BIPOLAR UHR 28X55MM C1776 3300.00 3300.00 2310.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2145.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 0.00 0.00 0.00 1980.00 0.00 0.00 1980.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001845 278 COMP FEMORAL SZ2 RT C1776 12100.00 12100.00 8470.00 0.00 6050.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6050.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7865.00 7865.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8470.00 7865.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8470.00 0.00 0.00 0.00 7260.00 0.00 0.00 7260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001868 278 INSERT TIBIAL X3 13MM C1776 5500.00 5500.00 3850.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3575.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 0.00 0.00 0.00 3300.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001874 278 STEM CEMENTED 15X50MM C1776 5335.20 5335.20 3734.64 0.00 2667.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2667.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3467.88 3467.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3734.64 3467.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3734.64 0.00 0.00 0.00 3201.12 0.00 0.00 3201.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001882 278 INSERT POLY 36MM C1776 5400.00 5400.00 3780.00 0.00 2700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3510.00 3510.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3780.00 3510.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3780.00 0.00 0.00 0.00 3240.00 0.00 0.00 3240.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001898 278 SHELL ACETUBULAR MULTIHOLE 56F C1776 25780.00 25780.00 18046.00 0.00 12890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16757.00 16757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18046.00 16757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18046.00 0.00 0.00 0.00 15468.00 0.00 0.00 15468.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001900 278 SHELL ACETUBULAR MULTIHOLE 54E C1776 25780.00 25780.00 18046.00 0.00 12890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16757.00 16757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18046.00 16757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18046.00 0.00 0.00 0.00 15468.00 0.00 0.00 15468.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001902 278 INSERT ADM LINER 28MM C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001903 278 LINER COCR 42MM E C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001904 278 HEAD CERAMIC 28/+4 C1776 5500.00 5500.00 3850.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3575.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 0.00 0.00 0.00 3300.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001905 278 SHELL ACETUBULAR MULTIHOLE 52E C1776 25780.00 25780.00 18046.00 0.00 12890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16757.00 16757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18046.00 16757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18046.00 0.00 0.00 0.00 15468.00 0.00 0.00 15468.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001906 278 STEM HIP SZ7 132DEG C1776 11880.00 11880.00 8316.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7722.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 0.00 0.00 0.00 7128.00 0.00 0.00 7128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001907 278 HEAD FEM 28MM +12 C1776 2860.00 2860.00 2002.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1859.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 0.00 0.00 0.00 1716.00 0.00 0.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001929 278 HEAD FEM 28MM LFIT +8 C1776 2860.00 2860.00 2002.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1859.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 0.00 0.00 0.00 1716.00 0.00 0.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001947 278 INSERT ADM LINER 22.2/28MM C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001948 278 LINER COCR 38MM D C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001949 278 HEAD FEM 22.2MM +3 C1776 2860.00 2860.00 2002.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1859.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 0.00 0.00 0.00 1716.00 0.00 0.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001950 278 SHELL ACETUBULAR MULTIHOLE 50D C1776 25780.00 25780.00 18046.00 0.00 12890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16757.00 16757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18046.00 16757.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18046.00 0.00 0.00 0.00 15468.00 0.00 0.00 15468.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002019 278 HEAD FEM 32MM 12/14 TAPER C1776 2598.40 2598.40 1818.88 0.00 1299.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1299.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1688.96 1688.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1818.88 1688.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1818.88 0.00 0.00 0.00 1559.04 0.00 0.00 1559.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002034 278 HEAD ENDO 49MM C1776 3300.00 3300.00 2310.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2145.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 0.00 0.00 0.00 1980.00 0.00 0.00 1980.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002036 278 STEM HIP #6 C1776 11880.00 11880.00 8316.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7722.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 0.00 0.00 0.00 7128.00 0.00 0.00 7128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002038 278 HEAD FEM CERAMIC 28X-2.7 C1776 5500.00 5500.00 3850.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3575.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 0.00 0.00 0.00 3300.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002043 278 HEAD BIPOLAR 26X44MM C1776 3300.00 3300.00 2310.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2145.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 0.00 0.00 0.00 1980.00 0.00 0.00 1980.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002047 278 HEAD PROLINE 22MM C1776 13080.00 13080.00 9156.00 0.00 6540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6540.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8502.00 8502.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9156.00 8502.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9156.00 0.00 0.00 0.00 7848.00 0.00 0.00 7848.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002048 278 STEM PROLINE 7.5MM C1776 15544.00 15544.00 10880.80 0.00 7772.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7772.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10103.60 10103.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10880.80 10103.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10880.80 0.00 0.00 0.00 9326.40 0.00 0.00 9326.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002054 278 STEM HIP SZ6 127DEG C1776 11880.00 11880.00 8316.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7722.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 0.00 0.00 0.00 7128.00 0.00 0.00 7128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002076 278 HEAD FEM 44X19MM C1776 14692.00 14692.00 10284.40 0.00 7346.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7346.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9549.80 9549.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10284.40 9549.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10284.40 0.00 0.00 0.00 8815.20 0.00 0.00 8815.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002077 278 STEM HUMERAL 6MM C1776 36376.00 36376.00 25463.20 0.00 18188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23644.40 23644.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25463.20 23644.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25463.20 0.00 0.00 0.00 21825.60 0.00 0.00 21825.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002132 278 HEAD HUM SR STD 52X17MM C1776 14692.00 14692.00 10284.40 0.00 7346.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7346.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9549.80 9549.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10284.40 9549.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10284.40 0.00 0.00 0.00 8815.20 0.00 0.00 8815.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002149 278 HEAD C-TAPER LFIT C1776 2860.00 2860.00 2002.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1859.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 0.00 0.00 0.00 1716.00 0.00 0.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002150 278 HEAD BIPOLAR UHR 41X26MM C1776 3300.00 3300.00 2310.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2145.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 0.00 0.00 0.00 1980.00 0.00 0.00 1980.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002169 278 STEM FEM HIP 132DG SZ11 C1776 11880.00 11880.00 8316.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7722.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 0.00 0.00 0.00 7128.00 0.00 0.00 7128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002195 278 COMP FEMORAL LPS SZ F RT C1776 7220.00 7220.00 5054.00 0.00 3610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4693.00 4693.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5054.00 4693.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5054.00 0.00 0.00 0.00 4332.00 0.00 0.00 4332.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002223 278 SHELL ACETABULAR MULTIHOLE 60G C1776 27508.00 27508.00 19255.60 0.00 13754.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13754.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17880.20 17880.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19255.60 17880.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19255.60 0.00 0.00 0.00 16504.80 0.00 0.00 16504.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002224 278 "HEAD CERAMIC 28/-2,7" C1776 5500.00 5500.00 3850.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3575.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 3575.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 0.00 0.00 0.00 3300.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002225 278 LINER COCR48MM G C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002226 278 INSERT ADM LINER X3 28MM C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002230 278 INSERT ADM LINER X3 28MM C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002231 278 LINER COCR 46MM F C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002232 278 SHELL ACETUBULAR MULTIHOLE 58F C1776 27508.00 27508.00 19255.60 0.00 13754.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13754.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17880.20 17880.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19255.60 17880.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19255.60 0.00 0.00 0.00 16504.80 0.00 0.00 16504.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002333 278 INSERT ADM/MDM 3X C1776 12196.00 12196.00 8537.20 0.00 6098.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6098.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7927.40 7927.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8537.20 7927.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8537.20 0.00 0.00 0.00 7317.60 0.00 0.00 7317.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002355 278 HEAD UNIV COCR 32MM X +0 C1776 2470.00 2470.00 1729.00 0.00 1235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1605.50 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.00 1605.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1729.00 0.00 0.00 0.00 1482.00 0.00 0.00 1482.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002356 278 STEM VERSYS FM 14X140MM C1776 14440.00 14440.00 10108.00 0.00 7220.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7220.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9386.00 9386.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10108.00 9386.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10108.00 0.00 0.00 0.00 8664.00 0.00 0.00 8664.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002426 278 STEM FEM HIP 127DEG SZ7 C1776 7700.00 7700.00 5390.00 0.00 3850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5005.00 5005.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.00 5005.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.00 0.00 0.00 0.00 4620.00 0.00 0.00 4620.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002454 278 INSERT ADM/MDM 3X 28/52 C1776 12624.00 12624.00 8836.80 0.00 6312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8205.60 8205.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8836.80 8205.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8836.80 0.00 0.00 0.00 7574.40 0.00 0.00 7574.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002489 278 STEM FEM HIP 132DG SZ5 C1776 11880.00 11880.00 8316.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7722.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 0.00 0.00 0.00 7128.00 0.00 0.00 7128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002490 278 HEAD C-TAPER 28MM PLUS 10 OFST C1776 2860.00 2860.00 2002.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1859.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 0.00 0.00 0.00 1716.00 0.00 0.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002526 278 HEAD BI-POLAR 28X53MM C1776 3300.00 3300.00 2310.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2145.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 2145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2310.00 0.00 0.00 0.00 1980.00 0.00 0.00 1980.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002534 278 COMP FEM CEMENTED STD SZ10 L C1776 34600.00 34600.00 24220.00 0.00 17300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22490.00 22490.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24220.00 22490.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24220.00 0.00 0.00 0.00 20760.00 0.00 0.00 20760.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002535 278 INSERT TIBIAL 10MM L 10-12 GH C1776 14680.00 14680.00 10276.00 0.00 7340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9542.00 9542.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10276.00 9542.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10276.00 0.00 0.00 0.00 8808.00 0.00 0.00 8808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002536 278 STEM TIBIAL SZ G L (BASEPLATE) C1776 14920.00 14920.00 10444.00 0.00 7460.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7460.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9698.00 9698.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10444.00 9698.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10444.00 0.00 0.00 0.00 8952.00 0.00 0.00 8952.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002607 278 INSERT ADM/MDM 3X 22/44 C1776 6600.00 6600.00 4620.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4290.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 4290.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4620.00 0.00 0.00 0.00 3960.00 0.00 0.00 3960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002611 278 SHELL ACETUBULAR MULTIHOLE 48D C1776 29896.00 29896.00 20927.20 0.00 14948.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14948.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19432.40 19432.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20927.20 19432.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20927.20 0.00 0.00 0.00 17937.60 0.00 0.00 17937.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002614 278 STEM FEM OFFSET SZ 6 132DEG C1776 11880.00 11880.00 8316.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7722.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 0.00 0.00 0.00 7128.00 0.00 0.00 7128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002615 278 STEM HIP CEMENTED 127DEG C1776 7700.00 7700.00 5390.00 0.00 3850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5005.00 5005.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.00 5005.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.00 0.00 0.00 0.00 4620.00 0.00 0.00 4620.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002633 278 HEAD V40 TAPR 28MM PLUS 4 OFST C1776 2860.00 2860.00 2002.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1430.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1859.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 1859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.00 0.00 0.00 0.00 1716.00 0.00 0.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002661 278 STEM FEM HIP CEMNTD 127DEG SZ8 C1776 7700.00 7700.00 5390.00 0.00 3850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5005.00 5005.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.00 5005.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5390.00 0.00 0.00 0.00 4620.00 0.00 0.00 4620.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002760 278 CUP ACET PNN SCTR W/GRPTN 58MM C1776 4992.00 4992.00 3494.40 0.00 2496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3244.80 3244.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3494.40 3244.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3494.40 0.00 0.00 0.00 2995.20 0.00 0.00 2995.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002761 278 LINER NEUT 36IDX58OD ALTRX C1776 2880.00 2880.00 2016.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1872.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 0.00 0.00 0.00 1728.00 0.00 0.00 1728.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002762 278 STEM FEM HA OFFSET SZ 1 CLRLSS C1776 10008.00 10008.00 7005.60 0.00 5004.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5004.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6505.20 6505.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7005.60 6505.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7005.60 0.00 0.00 0.00 6004.80 0.00 0.00 6004.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002763 278 HEAD FEM M 36MM PLUS 5 ARTCULZ C1776 1930.00 1930.00 1351.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1254.50 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 0.00 0.00 0.00 1158.00 0.00 0.00 1158.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002764 278 BASE TIB REV FB SZ 4 CEM C1776 4800.00 4800.00 3360.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3120.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.00 0.00 0.00 0.00 2880.00 0.00 0.00 2880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002765 278 COMP FEM PS LT SZ 5 CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002766 278 PATELLA MED DOME 32MM C1776 2400.00 2400.00 1680.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1560.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 0.00 0.00 0.00 1440.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002767 278 INSRT PS FB SZ 5 6MM C1776 4320.00 4320.00 3024.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2808.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 0.00 0.00 0.00 2592.00 0.00 0.00 2592.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002768 278 BASE TIB REV FB SZ 3 CEM C1776 4800.00 4800.00 3360.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3120.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.00 0.00 0.00 0.00 2880.00 0.00 0.00 2880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002769 278 COMP FEM PS RT SZ 4 CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002770 278 INSRT PS FB SZ 4 8MM C1776 4320.00 4320.00 3024.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2808.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 0.00 0.00 0.00 2592.00 0.00 0.00 2592.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002780 278 COMP FEM PS RT SZ 5 NAR CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002781 278 COMP FEM PS LT SZ 4 CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002782 278 PATELLA MED DOME 35MM C1776 2400.00 2400.00 1680.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1560.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 0.00 0.00 0.00 1440.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002792 278 COMP FEM PS LT SZ5 NAR CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002793 278 INSERT PS FB SZ4 6MM C1776 4320.00 4320.00 3024.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2808.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 0.00 0.00 0.00 2592.00 0.00 0.00 2592.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002794 278 CUP ACET PIN SCTR W/GRPTN 52MM C1776 4992.00 4992.00 3494.40 0.00 2496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3244.80 3244.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3494.40 3244.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3494.40 0.00 0.00 0.00 2995.20 0.00 0.00 2995.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002795 278 PINN ALTRX 36X52MM C1776 2880.00 2880.00 2016.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1872.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 0.00 0.00 0.00 1728.00 0.00 0.00 1728.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002797 278 STEM FEM SZ15 STD C1776 8640.00 8640.00 6048.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5616.00 5616.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6048.00 5616.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6048.00 0.00 0.00 0.00 5184.00 0.00 0.00 5184.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002798 278 HEAD FEM SELF CENT BIP 53X28MM C1776 2640.00 2640.00 1848.00 0.00 1320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1716.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 0.00 0.00 0.00 1584.00 0.00 0.00 1584.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002799 278 HEAD FEM BLL 28MM+ 1.5 ARTICLZ C1776 1930.00 1930.00 1351.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1254.50 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 0.00 0.00 0.00 1158.00 0.00 0.00 1158.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002800 278 BASE TIB REV FB SZ 2 CEM C1776 4800.00 4800.00 3360.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3120.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.00 0.00 0.00 0.00 2880.00 0.00 0.00 2880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002801 278 COMP FEM PS RT SZ3 CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002802 278 INSRT PS FB SZ3 8MM C1776 4320.00 4320.00 3024.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2808.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 0.00 0.00 0.00 2592.00 0.00 0.00 2592.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002803 278 HEAD FEM BLL 28MM+ 5 ARTICLZ C1776 1930.00 1930.00 1351.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1254.50 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 0.00 0.00 0.00 1158.00 0.00 0.00 1158.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002804 278 STEM FEM SZ11 STD C1776 8640.00 8640.00 6048.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5616.00 5616.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6048.00 5616.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6048.00 0.00 0.00 0.00 5184.00 0.00 0.00 5184.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002805 278 HEAD FEM SELF CENT BIP 28X49MM C1776 2640.00 2640.00 1848.00 0.00 1320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1716.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 1716.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1848.00 0.00 0.00 0.00 1584.00 0.00 0.00 1584.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002806 278 COMP FEM PS RT SZ5 CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002807 278 COMP FEM PS LT SZ6 CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002808 278 BASE TIB REV FB SZ 5 CEM C1776 4800.00 4800.00 3360.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3120.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3360.00 0.00 0.00 0.00 2880.00 0.00 0.00 2880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002809 278 INSRT PS FB SZ6 7MM C1776 4320.00 4320.00 3024.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2808.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 0.00 0.00 0.00 2592.00 0.00 0.00 2592.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002815 278 TIBIAL INSRT PS FB SZ5 8MM C1776 4320.00 4320.00 3024.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2808.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 2808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.00 0.00 0.00 0.00 2592.00 0.00 0.00 2592.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002823 278 COMP FEM PS LT SZ3 CEM C1776 7200.00 7200.00 5040.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4680.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 4680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5040.00 0.00 0.00 0.00 4320.00 0.00 0.00 4320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002828 278 LINER ACT NON-CONSTR 0DEG 36MM C1776 14196.00 14196.00 9937.20 0.00 7098.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7098.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9227.40 9227.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9937.20 9227.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9937.20 0.00 0.00 0.00 8517.60 0.00 0.00 8517.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002831 278 CUP ACT PINN SCTR W/GRPTN 54MM C1776 4992.00 4992.00 3494.40 0.00 2496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3244.80 3244.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3494.40 3244.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3494.40 0.00 0.00 0.00 2995.20 0.00 0.00 2995.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002832 278 LINER NEUT 36IDX54OD ALTRX C1776 2880.00 2880.00 2016.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1872.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 0.00 0.00 0.00 1728.00 0.00 0.00 1728.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002833 278 HEAD FEM M 36MM PLS 8.5 ARTCLZ C1776 1930.00 1930.00 1351.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1254.50 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 0.00 0.00 0.00 1158.00 0.00 0.00 1158.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002834 278 STEM FEM STD OFFSET SZ 1 EMSYS C1776 10008.00 10008.00 7005.60 0.00 5004.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5004.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6505.20 6505.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7005.60 6505.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7005.60 0.00 0.00 0.00 6004.80 0.00 0.00 6004.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002843 278 CUP ACET PIN SCTR W/GRPTN 50MM C1776 4992.00 4992.00 3494.40 0.00 2496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3244.80 3244.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3494.40 3244.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3494.40 0.00 0.00 0.00 2995.20 0.00 0.00 2995.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002844 278 PINN ALTRX 31X50ODMM C1776 2880.00 2880.00 2016.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1872.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 0.00 0.00 0.00 1728.00 0.00 0.00 1728.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002845 278 PINN ALTRX 32X50ODMM C1776 2880.00 2880.00 2016.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1872.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 1872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2016.00 0.00 0.00 0.00 1728.00 0.00 0.00 1728.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002846 278 HEAD FEM 32MM +5 BR ARTICULIZE C1776 1930.00 1930.00 1351.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 965.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1254.50 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 1254.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1351.00 0.00 0.00 0.00 1158.00 0.00 0.00 1158.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002850 278 STEM FEM HP SC-FT MX 127DG SZ6 C1776 11880.00 11880.00 8316.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7722.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 7722.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8316.00 0.00 0.00 0.00 7128.00 0.00 0.00 7128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000692 275 LEAD PACEMAKER VENTRICULAR C1777 28475.00 28475.00 19932.50 0.00 14237.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14237.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18508.75 18508.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19932.50 18508.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19932.50 0.00 0.00 0.00 17085.00 0.00 0.00 17085.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001433 275 LEAD PACEMAKER VENTRICULAR C1777 26280.00 26280.00 18396.00 0.00 13140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17082.00 17082.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18396.00 17082.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18396.00 0.00 0.00 0.00 15768.00 0.00 0.00 15768.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000704 278 QUADRIPOLAR LEAD KIT 3889-28 C1778 15073.00 15073.00 10551.10 0.00 7536.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7536.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9797.45 9797.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10551.10 9797.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10551.10 0.00 0.00 0.00 9043.80 0.00 0.00 9043.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000900 278 LEAD STIM TEST C1778 278.00 278.00 194.60 0.00 139.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 180.70 180.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 194.60 180.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 194.60 0.00 0.00 0.00 166.80 0.00 0.00 166.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002143 278 LEAD KIT SNM NEUROSTIMULATOR C1778 13404.00 13404.00 9382.80 0.00 6702.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6702.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8712.60 8712.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9382.80 8712.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9382.80 0.00 0.00 0.00 8042.40 0.00 0.00 8042.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000113 278 LEAD PACEMAKER TEND STS C1779 3559.00 3559.00 2491.30 0.00 1779.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1779.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2313.35 2313.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2491.30 2313.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2491.30 0.00 0.00 0.00 2135.40 0.00 0.00 2135.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000115 278 PLUG MARLEX LARGE C1781 1220.00 1220.00 854.00 0.00 610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 793.00 793.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 854.00 793.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 854.00 0.00 0.00 0.00 732.00 0.00 0.00 732.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000116 278 MESH MARLLEX 3X6 C1781 565.00 565.00 395.50 0.00 282.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 282.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 367.25 367.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 395.50 367.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 395.50 0.00 0.00 0.00 339.00 0.00 0.00 339.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000145 278 MESH MARLEX 1X4 C1781 378.00 378.00 264.60 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.70 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 0.00 0.00 0.00 226.80 0.00 0.00 226.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000146 278 MESH MARLEX 10X14 C1781 557.00 557.00 389.90 0.00 278.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362.05 362.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.90 362.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 389.90 0.00 0.00 0.00 334.20 0.00 0.00 334.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000147 278 BARD MESH MARLEX 1X4 0112710 C1781 603.00 603.00 422.10 0.00 301.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 301.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 391.95 391.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 422.10 391.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 422.10 0.00 0.00 0.00 361.80 0.00 0.00 361.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000148 278 MESH MARLEX PRESHAPED KEY HOLE C1781 581.00 581.00 406.70 0.00 290.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 377.65 377.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 406.70 377.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 406.70 0.00 0.00 0.00 348.60 0.00 0.00 348.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000210 278 BARD MESH MARLEX LG PLUG 0112 C1781 670.00 670.00 469.00 0.00 335.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.50 435.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 469.00 435.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 469.00 0.00 0.00 0.00 402.00 0.00 0.00 402.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000233 278 PLUG MARLEX MEDIUM C1781 1205.00 1205.00 843.50 0.00 602.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 602.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 783.25 783.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 843.50 783.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 843.50 0.00 0.00 0.00 723.00 0.00 0.00 723.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000234 278 MESH MARLEX PRESHAPED 13.7X5.9 C1781 668.00 668.00 467.60 0.00 334.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 334.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.20 434.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 467.60 434.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 467.60 0.00 0.00 0.00 400.80 0.00 0.00 400.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000246 278 MESH COMPOSIX 4X6 C1781 1941.00 1941.00 1358.70 0.00 970.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 970.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1261.65 1261.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1358.70 1261.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1358.70 0.00 0.00 0.00 1164.60 0.00 0.00 1164.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000247 278 MESH VENTRALEX MED CIRCLE C1781 2171.00 2171.00 1519.70 0.00 1085.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1085.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1411.15 1411.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1519.70 1411.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1519.70 0.00 0.00 0.00 1302.60 0.00 0.00 1302.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000248 278 MESH COMPOSIX 6X8 C1781 4172.00 4172.00 2920.40 0.00 2086.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2086.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2711.80 2711.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2920.40 2711.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2920.40 0.00 0.00 0.00 2503.20 0.00 0.00 2503.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000249 278 BAR MESH COMPOSIX 0123790 C1781 3660.00 3660.00 2562.00 0.00 1830.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1830.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2379.00 2379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2562.00 2379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2562.00 0.00 0.00 0.00 2196.00 0.00 0.00 2196.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000250 278 BAR MESH COMPOSIX 0123810 C1781 4572.00 4572.00 3200.40 0.00 2286.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2286.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2971.80 2971.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3200.40 2971.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3200.40 0.00 0.00 0.00 2743.20 0.00 0.00 2743.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000251 278 MESH COMPOSIX 10X13 C1781 8683.00 8683.00 6078.10 0.00 4341.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4341.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5643.95 5643.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6078.10 5643.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6078.10 0.00 0.00 0.00 5209.80 0.00 0.00 5209.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000383 278 MESH SALUTE LAPAROSCOPIC 38CM C1781 1358.00 1358.00 950.60 0.00 679.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 679.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 882.70 882.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 950.60 882.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 950.60 0.00 0.00 0.00 814.80 0.00 0.00 814.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000447 278 MESH PELVIC PROLENE (BOS. SC C1781 1250.00 1250.00 875.00 0.00 625.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 625.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 812.50 812.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 875.00 812.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 875.00 0.00 0.00 0.00 750.00 0.00 0.00 750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000486 278 INTEMESH 4CM X 7CM (AMS) 7240 C1781 1786.00 1786.00 1250.20 0.00 893.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 893.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1160.90 1160.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1250.20 1160.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1250.20 0.00 0.00 0.00 1071.60 0.00 0.00 1071.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000497 278 ARIS SURGICAL KIT TRANS-OBTUR C1781 3393.00 3393.00 2375.10 0.00 1696.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1696.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2205.45 2205.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2375.10 2205.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2375.10 0.00 0.00 0.00 2035.80 0.00 0.00 2035.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000571 278 MESH ZENFORM (BOS. SCIEN.) 8 C1781 4888.00 4888.00 3421.60 0.00 2444.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2444.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3177.20 3177.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3421.60 3177.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3421.60 0.00 0.00 0.00 2932.80 0.00 0.00 2932.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000623 278 MESH VENTRALEX LRG CIRCLE W/S C1781 6011.00 6011.00 4207.70 0.00 3005.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3005.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3907.15 3907.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4207.70 3907.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4207.70 0.00 0.00 0.00 3606.60 0.00 0.00 3606.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000696 278 MESH VENTRALEX SMALL CIRCLE W C1781 4656.00 4656.00 3259.20 0.00 2328.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2328.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3026.40 3026.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3259.20 3026.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3259.20 0.00 0.00 0.00 2793.60 0.00 0.00 2793.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000989 278 SYSTEM MESH POLYPRO LG C1781 8664.00 8664.00 6064.80 0.00 4332.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4332.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5631.60 5631.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6064.80 5631.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6064.80 0.00 0.00 0.00 5198.40 0.00 0.00 5198.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000990 278 SYSTEM MESH POLYPRO EXT C1781 8664.00 8664.00 6064.80 0.00 4332.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4332.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5631.60 5631.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6064.80 5631.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6064.80 0.00 0.00 0.00 5198.40 0.00 0.00 5198.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001007 278 MESH V-PATCH 8CMX8CM C1781 2690.00 2690.00 1883.00 0.00 1345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1748.50 1748.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1883.00 1748.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1883.00 0.00 0.00 0.00 1614.00 0.00 0.00 1614.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001011 278 MESH V-PATCH 6.4CMX6.4CM C1781 2178.00 2178.00 1524.60 0.00 1089.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1089.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.70 1415.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1524.60 1415.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1524.60 0.00 0.00 0.00 1306.80 0.00 0.00 1306.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000109 278 MESH POLYPRO MED C1781 596.00 596.00 417.20 0.00 298.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 387.40 387.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 417.20 387.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 417.20 0.00 0.00 0.00 357.60 0.00 0.00 357.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000116 278 MESH TACSHEILD 10CMX15CM C1781 2226.00 2226.00 1558.20 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1446.90 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 1446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.20 0.00 0.00 0.00 1335.60 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000118 278 MESH POLYPRO LG C1781 597.00 597.00 417.90 0.00 298.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 388.05 388.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 417.90 388.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 417.90 0.00 0.00 0.00 358.20 0.00 0.00 358.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000123 278 MESH TACSHIELD 11.4CMX11.4CM C1781 2545.00 2545.00 1781.50 0.00 1272.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1272.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1654.25 1654.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1781.50 1654.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1781.50 0.00 0.00 0.00 1527.00 0.00 0.00 1527.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000128 278 MESH V-PATCH 1.7CMX1.7CM C1781 1634.00 1634.00 1143.80 0.00 817.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 817.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1062.10 1062.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1143.80 1062.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1143.80 0.00 0.00 0.00 980.40 0.00 0.00 980.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000157 278 MESH POLYPRO 6.4CMX14CM C1781 195.00 195.00 136.50 0.00 97.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.75 126.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 136.50 126.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 136.50 0.00 0.00 0.00 117.00 0.00 0.00 117.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000200 278 MESH POLYPRO XLG C1781 611.00 611.00 427.70 0.00 305.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 305.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.15 397.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 427.70 397.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 427.70 0.00 0.00 0.00 366.60 0.00 0.00 366.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000210 278 MESH POLYPRO SM C1781 582.00 582.00 407.40 0.00 291.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 291.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.30 378.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 407.40 378.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 407.40 0.00 0.00 0.00 349.20 0.00 0.00 349.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000290 278 MESH MONOF POLYPRO 3X6 C1781 705.00 705.00 493.50 0.00 352.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 352.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 458.25 458.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 493.50 458.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 493.50 0.00 0.00 0.00 423.00 0.00 0.00 423.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000291 278 MESH SURG POLY 1X4IN C1781 99.00 99.00 69.30 0.00 49.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 64.35 64.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.30 64.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.30 0.00 0.00 0.00 59.40 0.00 0.00 59.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000308 278 MESH C-QUR 7X9 C1781 4071.00 4071.00 2849.70 0.00 2035.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2035.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2646.15 2646.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2849.70 2646.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2849.70 0.00 0.00 0.00 2442.60 0.00 0.00 2442.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000330 278 MESH 9CMX9CM C1781 1166.00 1166.00 816.20 0.00 583.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 757.90 757.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 816.20 757.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 816.20 0.00 0.00 0.00 699.60 0.00 0.00 699.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000453 278 MESH POLY COATED 9CM X 9CM C1781 1308.00 1308.00 915.60 0.00 654.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 654.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 850.20 850.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 915.60 850.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 915.60 0.00 0.00 0.00 784.80 0.00 0.00 784.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000487 278 MESH POLY 4X6IN C1781 172.00 172.00 120.40 0.00 86.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.80 111.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.40 111.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.40 0.00 0.00 0.00 103.20 0.00 0.00 103.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000565 278 MESH COMP 15X20CM C1781 11285.00 11285.00 7899.50 0.00 5642.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5642.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7335.25 7335.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7899.50 7335.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7899.50 0.00 0.00 0.00 6771.00 0.00 0.00 6771.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000567 278 MESH PELVIC PROLENE C1781 1192.00 1192.00 834.40 0.00 596.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 596.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 774.80 774.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 834.40 774.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 834.40 0.00 0.00 0.00 715.20 0.00 0.00 715.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000589 278 MESH PROLENE 6X6 C1781 3403.00 3403.00 2382.10 0.00 1701.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1701.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2211.95 2211.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2382.10 2211.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2382.10 0.00 0.00 0.00 2041.80 0.00 0.00 2041.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000601 278 MESH COMP 10X15CM C1781 6051.00 6051.00 4235.70 0.00 3025.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3025.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3933.15 3933.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4235.70 3933.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4235.70 0.00 0.00 0.00 3630.60 0.00 0.00 3630.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000608 278 MESH COMP 20X25CM C1781 17596.00 17596.00 12317.20 0.00 8798.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8798.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11437.40 11437.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12317.20 11437.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12317.20 0.00 0.00 0.00 10557.60 0.00 0.00 10557.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000632 278 MESH PTEX RND 9CM 3.6 STER C1781 2219.00 2219.00 1553.30 0.00 1109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1442.35 1442.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1553.30 1442.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1553.30 0.00 0.00 0.00 1331.40 0.00 0.00 1331.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000638 278 MESH PRESHAPE L 2.5X5.5IN C1781 174.00 174.00 121.80 0.00 87.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.10 113.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.80 113.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.80 0.00 0.00 0.00 104.40 0.00 0.00 104.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000653 278 MESH COMP 20X30CM RECT C1781 10861.00 10861.00 7602.70 0.00 5430.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5430.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7059.65 7059.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7602.70 7059.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7602.70 0.00 0.00 0.00 6516.60 0.00 0.00 6516.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000673 278 PATCH VENTRAL 4C C1781 2345.00 2345.00 1641.50 0.00 1172.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1172.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1524.25 1524.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1641.50 1524.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1641.50 0.00 0.00 0.00 1407.00 0.00 0.00 1407.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000774 278 PATCH VENTRAL PCO C1781 2810.00 2810.00 1967.00 0.00 1405.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1405.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1826.50 1826.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1967.00 1826.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1967.00 0.00 0.00 0.00 1686.00 0.00 0.00 1686.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001207 278 MESH PHYSIO 10X10CM C1781 7455.00 7455.00 5218.50 0.00 3727.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3727.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4845.75 4845.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5218.50 4845.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5218.50 0.00 0.00 0.00 4473.00 0.00 0.00 4473.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001237 278 MESH PROCEED 10X15CM C1781 4765.00 4765.00 3335.50 0.00 2382.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2382.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3097.25 3097.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3335.50 3097.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3335.50 0.00 0.00 0.00 2859.00 0.00 0.00 2859.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001291 278 MESH PROCEED 15X20CM C1781 8351.00 8351.00 5845.70 0.00 4175.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4175.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5428.15 5428.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5845.70 5428.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5845.70 0.00 0.00 0.00 5010.60 0.00 0.00 5010.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001358 278 MESH PROCEED 20X25CM C1781 12824.00 12824.00 8976.80 0.00 6412.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6412.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8335.60 8335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8976.80 8335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8976.80 0.00 0.00 0.00 7694.40 0.00 0.00 7694.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001580 278 MATRIX TISSUE 20X20CM PER SQCM C1781 113.00 113.00 79.10 0.00 56.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.45 73.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.10 73.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.10 0.00 0.00 0.00 67.80 0.00 0.00 67.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002063 278 MESH PROCEED HERNIA 10X13IN C1781 12687.68 12687.68 8881.38 0.00 6343.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6343.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8246.99 8246.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8881.38 8246.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8881.38 0.00 0.00 0.00 7612.61 0.00 0.00 7612.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002165 278 MESH KNITTED VICRYL 12X12IN C1781 5617.50 5617.50 3932.25 0.00 2808.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2808.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3651.38 3651.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3932.25 3651.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3932.25 0.00 0.00 0.00 3370.50 0.00 0.00 3370.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002171 278 MESH SURGICAL I/H L 14X9CM C1781 1626.32 1626.32 1138.42 0.00 813.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 813.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1057.11 1057.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1138.42 1057.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1138.42 0.00 0.00 0.00 975.79 0.00 0.00 975.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002172 278 MESH SURGICAL I/H R 14X19CM C1781 1626.32 1626.32 1138.42 0.00 813.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 813.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1057.11 1057.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1138.42 1057.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1138.42 0.00 0.00 0.00 975.79 0.00 0.00 975.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002174 278 MESH SELF FIXATING L ANATOMIC C1781 2520.00 2520.00 1764.00 0.00 1260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1638.00 1638.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1764.00 1638.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1764.00 0.00 0.00 0.00 1512.00 0.00 0.00 1512.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002175 278 MESH SELF FIXATING R ANATOMIC C1781 2520.00 2520.00 1764.00 0.00 1260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1638.00 1638.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1764.00 1638.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1764.00 0.00 0.00 0.00 1512.00 0.00 0.00 1512.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002176 278 MESH HERNIA 5.9X3.9IN L C1781 1111.00 1111.00 777.70 0.00 555.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 722.15 722.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 777.70 722.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 777.70 0.00 0.00 0.00 666.60 0.00 0.00 666.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002177 278 MESH HERNIA 5.9X3.9IN R C1781 1111.00 1111.00 777.70 0.00 555.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 722.15 722.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 777.70 722.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 777.70 0.00 0.00 0.00 666.60 0.00 0.00 666.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002280 278 MESH SURG HERNIA 7X14CM 55MM C1781 1068.23 1068.23 747.76 0.00 534.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 534.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 694.35 694.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 747.76 694.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 747.76 0.00 0.00 0.00 640.94 0.00 0.00 640.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002281 278 MESH SURG HERNIA 7X14CM 40MM C1781 1017.84 1017.84 712.49 0.00 508.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 661.60 661.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 712.49 661.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 712.49 0.00 0.00 0.00 610.70 0.00 0.00 610.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002284 278 MESH R ANATOMICAL LAP 12X8CM C1781 1305.04 1305.04 913.53 0.00 652.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 652.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 848.28 848.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 913.53 848.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 913.53 0.00 0.00 0.00 783.02 0.00 0.00 783.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002286 278 MESH L ANATOMICAL LAP 12X8CM C1781 1305.04 1305.04 913.53 0.00 652.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 652.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 848.28 848.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 913.53 848.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 913.53 0.00 0.00 0.00 783.02 0.00 0.00 783.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002287 278 MESH COMPOSITE 9CM RND C1781 2029.20 2029.20 1420.44 0.00 1014.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1014.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1318.98 1318.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1420.44 1318.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1420.44 0.00 0.00 0.00 1217.52 0.00 0.00 1217.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002394 278 MESH COMPOSITE 20X15CM C1781 8652.00 8652.00 6056.40 0.00 4326.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4326.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5623.80 5623.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6056.40 5623.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6056.40 0.00 0.00 0.00 5191.20 0.00 0.00 5191.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002395 278 MESH COMPOSITE 15CM C1781 4029.00 4029.00 2820.30 0.00 2014.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2014.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2618.85 2618.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2820.30 2618.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2820.30 0.00 0.00 0.00 2417.40 0.00 0.00 2417.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002404 278 MESH COMPOSITE 12CM C1781 2308.59 2308.59 1616.01 0.00 1154.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1154.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1500.58 1500.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1616.01 1500.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1616.01 0.00 0.00 0.00 1385.15 0.00 0.00 1385.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002550 278 MESH HERNIA PLUG MD C1781 2501.00 2501.00 1750.70 0.00 1250.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1250.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1625.65 1625.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1750.70 1625.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1750.70 0.00 0.00 0.00 1500.60 0.00 0.00 1500.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002608 278 MESH COMPOSITE 30X20CM C1781 8091.00 8091.00 5663.70 0.00 4045.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4045.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5259.15 5259.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5663.70 5259.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5663.70 0.00 0.00 0.00 4854.60 0.00 0.00 4854.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002609 278 MESH DUAL BIOMATERIAL 20X30CM C1781 9628.00 9628.00 6739.60 0.00 4814.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4814.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6258.20 6258.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6739.60 6258.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6739.60 0.00 0.00 0.00 5776.80 0.00 0.00 5776.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002722 278 MESH HERNIA LG LT 10.8X16CM C1781 1207.00 1207.00 844.90 0.00 603.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 603.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 784.55 784.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 844.90 784.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 844.90 0.00 0.00 0.00 724.20 0.00 0.00 724.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002723 278 MESH HERNIA LG RT 10.8X16CM C1781 1207.00 1207.00 844.90 0.00 603.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 603.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 784.55 784.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 844.90 784.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 844.90 0.00 0.00 0.00 724.20 0.00 0.00 724.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002724 278 MESH HERNIA MED LT 8.5X13.7CM C1781 1132.00 1132.00 792.40 0.00 566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 735.80 735.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 792.40 735.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 792.40 0.00 0.00 0.00 679.20 0.00 0.00 679.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002725 278 MESH HERNIA MED RT 8.5X13.7CM C1781 1132.00 1132.00 792.40 0.00 566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 735.80 735.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 792.40 735.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 792.40 0.00 0.00 0.00 679.20 0.00 0.00 679.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002817 278 MESH HERNIA PLG LG 7X12CM 50MM C1781 1263.00 1263.00 884.10 0.00 631.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 631.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 820.95 820.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 884.10 820.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 884.10 0.00 0.00 0.00 757.80 0.00 0.00 757.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002299 272 DEVICE TISSUE REMOVAL XL C1782 4749.86 4749.86 4037.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3324.90 4037.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3324.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000358 278 DEVICE FILTRATION GLAUCOMA C1783 4720.00 4720.00 3304.00 0.00 2360.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2360.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3068.00 3068.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3304.00 3068.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3304.00 0.00 0.00 0.00 2832.00 0.00 0.00 2832.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000600 278 DEVICE FILT SHUNT C1783 4458.00 4458.00 3120.60 0.00 2229.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2229.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2897.70 2897.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3120.60 2897.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3120.60 0.00 0.00 0.00 2674.80 0.00 0.00 2674.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001870 278 SYS MICRO-BYPASS TRABECULAR C1783 9600.00 9600.00 6720.00 0.00 4800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6240.00 6240.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6720.00 6240.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6720.00 0.00 0.00 0.00 5760.00 0.00 0.00 5760.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000018 275 PACEMAKER GENERATOR ADAPTA (M C1785 30589.00 30589.00 21412.30 0.00 15294.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15294.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19882.85 19882.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21412.30 19882.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21412.30 0.00 0.00 0.00 18353.40 0.00 0.00 18353.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000019 275 PACEMAKER GENERATOR SENSIA SE C1785 31460.00 31460.00 22022.00 0.00 15730.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15730.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20449.00 20449.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22022.00 20449.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22022.00 0.00 0.00 0.00 18876.00 0.00 0.00 18876.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000024 275 PACEMAKER GENERATOR ALTRUA 60 C1785 39180.00 39180.00 27426.00 0.00 19590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25467.00 25467.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27426.00 25467.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27426.00 0.00 0.00 0.00 23508.00 0.00 0.00 23508.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000037 275 "PACEMAKER GEN,ALTRUA 60 S606" C1785 39180.00 39180.00 27426.00 0.00 19590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25467.00 25467.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27426.00 25467.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27426.00 0.00 0.00 0.00 23508.00 0.00 0.00 23508.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000038 275 PACEMAKER GEN ALT60 S602 DR EL C1785 39180.00 39180.00 27426.00 0.00 19590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25467.00 25467.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27426.00 25467.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27426.00 0.00 0.00 0.00 23508.00 0.00 0.00 23508.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000039 275 PACEMAKER GENERATOR ACCENT RFD C1785 24690.00 24690.00 17283.00 0.00 12345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16048.50 16048.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17283.00 16048.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17283.00 0.00 0.00 0.00 14814.00 0.00 0.00 14814.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000044 275 PACEMAKER GEN ACCENT DR PM2110 C1785 29935.00 29935.00 20954.50 0.00 14967.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14967.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19457.75 19457.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20954.50 19457.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20954.50 0.00 0.00 0.00 17961.00 0.00 0.00 17961.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000047 275 PACEMAKER GEN EVIA DR-T 359529 C1785 13491.00 13491.00 9443.70 0.00 6745.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6745.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8769.15 8769.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9443.70 8769.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9443.70 0.00 0.00 0.00 8094.60 0.00 0.00 8094.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000152 275 PACEMAKER GEN ALTRUA 60 S606 C1785 19590.00 19590.00 13713.00 0.00 9795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9795.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12733.50 12733.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13713.00 12733.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13713.00 0.00 0.00 0.00 11754.00 0.00 0.00 11754.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000405 275 PACEMAKER INGENIO DR IS-1 C1785 33120.00 33120.00 23184.00 0.00 16560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21528.00 21528.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23184.00 21528.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23184.00 0.00 0.00 0.00 19872.00 0.00 0.00 19872.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000431 275 GENERATOR PACEMAKER ADAPTA SM C1785 29072.00 29072.00 20350.40 0.00 14536.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14536.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18896.80 18896.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20350.40 18896.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20350.40 0.00 0.00 0.00 17443.20 0.00 0.00 17443.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000529 275 PACEMAKER GENERATOR ADVISA C1785 34072.00 34072.00 23850.40 0.00 17036.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17036.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22146.80 22146.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23850.40 22146.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23850.40 0.00 0.00 0.00 20443.20 0.00 0.00 20443.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000559 275 GENERATOR PACEMAKER ASSUR C1785 28663.00 28663.00 20064.10 0.00 14331.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14331.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18630.95 18630.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20064.10 18630.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20064.10 0.00 0.00 0.00 17197.80 0.00 0.00 17197.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000702 275 GENERATOR PACEMAKER ACCOLADE C1785 25760.00 25760.00 18032.00 0.00 12880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16744.00 16744.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18032.00 16744.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18032.00 0.00 0.00 0.00 15456.00 0.00 0.00 15456.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000721 275 PACEMAKER ACCOLADE EL C1785 26656.00 26656.00 18659.20 0.00 13328.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13328.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17326.40 17326.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18659.20 17326.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18659.20 0.00 0.00 0.00 15993.60 0.00 0.00 15993.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000740 275 PACEMAKER ELUNA 8 DR-T C1785 30688.00 30688.00 21481.60 0.00 15344.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15344.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19947.20 19947.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21481.60 19947.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21481.60 0.00 0.00 0.00 18412.80 0.00 0.00 18412.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000863 275 PACEMAKER ACCOLADE C1785 23108.00 23108.00 16175.60 0.00 11554.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11554.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15020.20 15020.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16175.60 15020.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16175.60 0.00 0.00 0.00 13864.80 0.00 0.00 13864.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001124 275 PACEMAKER MRI EL C1785 25942.00 25942.00 18159.40 0.00 12971.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12971.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16862.30 16862.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18159.40 16862.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18159.40 0.00 0.00 0.00 15565.20 0.00 0.00 15565.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001312 275 GENERATOR PACEMAKER ASSUR MRI C1785 21200.00 21200.00 14840.00 0.00 10600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13780.00 13780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14840.00 13780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14840.00 0.00 0.00 0.00 12720.00 0.00 0.00 12720.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001313 275 LEAD PACEMAKER MRI 52 C1785 2120.00 2120.00 1484.00 0.00 1060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1378.00 1378.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1484.00 1378.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1484.00 0.00 0.00 0.00 1272.00 0.00 0.00 1272.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001314 275 LEAD PACEMAKER MRI 58 C1785 2120.00 2120.00 1484.00 0.00 1060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1060.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1378.00 1378.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1484.00 1378.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1484.00 0.00 0.00 0.00 1272.00 0.00 0.00 1272.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001376 275 PACEMAKER ELUNA 8 DR-T C1785 28325.00 28325.00 19827.50 0.00 14162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18411.25 18411.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19827.50 18411.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19827.50 0.00 0.00 0.00 16995.00 0.00 0.00 16995.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001545 275 PACEMAKER EDORA 8 DR-T C1785 30613.00 30613.00 21429.10 0.00 15306.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15306.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19898.45 19898.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21429.10 19898.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21429.10 0.00 0.00 0.00 18367.80 0.00 0.00 18367.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001589 275 LEAD PACEMAKER C1785 3282.00 3282.00 2297.40 0.00 1641.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1641.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2133.30 2133.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2297.40 2133.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2297.40 0.00 0.00 0.00 1969.20 0.00 0.00 1969.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002227 275 PACEMAKER MRI DR IS-1 C1785 23000.00 23000.00 16100.00 0.00 11500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14950.00 14950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16100.00 14950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16100.00 0.00 0.00 0.00 13800.00 0.00 0.00 13800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000021 275 PACEMAKER GENERATOR ADAPTA AD C1786 35712.00 35712.00 24998.40 0.00 17856.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17856.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23212.80 23212.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24998.40 23212.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24998.40 0.00 0.00 0.00 21427.20 0.00 0.00 21427.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000025 275 PACEMAKER GENERATOR ALTRUA 60 C1786 34340.00 34340.00 24038.00 0.00 17170.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17170.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22321.00 22321.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24038.00 22321.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24038.00 0.00 0.00 0.00 20604.00 0.00 0.00 20604.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000054 275 GENERATOR PACEMAKER ACCENT SR C1786 24621.00 24621.00 17234.70 0.00 12310.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12310.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16003.65 16003.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17234.70 16003.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17234.70 0.00 0.00 0.00 14772.60 0.00 0.00 14772.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000112 275 PACEMAKER GENERATOR C1786 17587.00 17587.00 12310.90 0.00 8793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11431.55 11431.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12310.90 11431.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12310.90 0.00 0.00 0.00 10552.20 0.00 0.00 10552.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000566 275 PACEMAKER INGENIO SR IS-1 C1786 30016.00 30016.00 21011.20 0.00 15008.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15008.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19510.40 19510.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21011.20 19510.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21011.20 0.00 0.00 0.00 18009.60 0.00 0.00 18009.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001093 275 PACEMAKER ADVIS SR C1786 24574.00 24574.00 17201.80 0.00 12287.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12287.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15973.10 15973.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17201.80 15973.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17201.80 0.00 0.00 0.00 14744.40 0.00 0.00 14744.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001493 275 PACEMAKER MRI SGL CHAMB C1786 18241.00 18241.00 12768.70 0.00 9120.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9120.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11856.65 11856.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12768.70 11856.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12768.70 0.00 0.00 0.00 10944.60 0.00 0.00 10944.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001672 275 PACEMAKER AZURE XT C1786 61800.00 61800.00 43260.00 0.00 30900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40170.00 40170.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43260.00 40170.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43260.00 0.00 0.00 0.00 37080.00 0.00 0.00 37080.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001914 275 PACEMAKER ACCOLADE MRI SR C1786 21200.00 21200.00 14840.00 0.00 10600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13780.00 13780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14840.00 13780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14840.00 0.00 0.00 0.00 12720.00 0.00 0.00 12720.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000811 278 PATIENT PROGRAMMER (MEDTRONICS C1787 5474.00 5474.00 3831.80 0.00 2737.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2737.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3558.10 3558.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3831.80 3558.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3831.80 0.00 0.00 0.00 3284.40 0.00 0.00 3284.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002144 270 REMOTE CONTROL PATIENT C1787 2680.74 2680.74 2278.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1876.52 2278.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1876.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000603 278 PORT LIFE PORT LPS C1788 1041.00 1041.00 728.70 0.00 520.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 520.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 676.65 676.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 728.70 676.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 728.70 0.00 0.00 0.00 624.60 0.00 0.00 624.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002352 278 LIFEPORT 8F LOW PROFILE C1788 1540.00 1540.00 1078.00 0.00 770.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 770.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1001.00 1001.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1078.00 1001.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1078.00 0.00 0.00 0.00 924.00 0.00 0.00 924.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002392 278 PORT TI LOPFRL 8FR C1788 698.00 698.00 488.60 0.00 349.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 349.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 453.70 453.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 488.60 453.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 488.60 0.00 0.00 0.00 418.80 0.00 0.00 418.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002529 278 LIFEPORT 8F LOW PROFILE FILLED C1788 706.00 706.00 494.20 0.00 353.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 458.90 458.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.20 458.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.20 0.00 0.00 0.00 423.60 0.00 0.00 423.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000975 278 IMPL BREAST NATRELLE 40 500CC C1789 3993.00 3993.00 2795.10 0.00 1996.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1996.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2595.45 2595.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2795.10 2595.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2795.10 0.00 0.00 0.00 2395.80 0.00 0.00 2395.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000976 278 IMPLBREAST NATRELLE ST10 240CC C1789 3872.00 3872.00 2710.40 0.00 1936.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1936.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2516.80 2516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2710.40 2516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2710.40 0.00 0.00 0.00 2323.20 0.00 0.00 2323.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000126 278 IMP BREAST 700CC C1789 3872.00 3872.00 2710.40 0.00 1936.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1936.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2516.80 2516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2710.40 2516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2710.40 0.00 0.00 0.00 2323.20 0.00 0.00 2323.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000351 278 IMP BRST 627CC C1789 3776.00 3776.00 2643.20 0.00 1888.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1888.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2454.40 2454.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2643.20 2454.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2643.20 0.00 0.00 0.00 2265.60 0.00 0.00 2265.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000444 278 IMP BRST RND 450CC C1789 4508.00 4508.00 3155.60 0.00 2254.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2254.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2930.20 2930.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3155.60 2930.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3155.60 0.00 0.00 0.00 2704.80 0.00 0.00 2704.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000451 278 IMP BRST 90CC C1789 3680.00 3680.00 2576.00 0.00 1840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2392.00 2392.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2576.00 2392.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2576.00 0.00 0.00 0.00 2208.00 0.00 0.00 2208.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000510 278 IMP BRST RND 350CC C1789 4508.00 4508.00 3155.60 0.00 2254.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2254.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2930.20 2930.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3155.60 2930.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3155.60 0.00 0.00 0.00 2704.80 0.00 0.00 2704.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000556 278 IMP BRST RND 250CC MOD C1789 4393.00 4393.00 3075.10 0.00 2196.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2196.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2855.45 2855.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3075.10 2855.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3075.10 0.00 0.00 0.00 2635.80 0.00 0.00 2635.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000610 278 IMP BRST 700CC C1789 4278.00 4278.00 2994.60 0.00 2139.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2139.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2780.70 2780.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2994.60 2780.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2994.60 0.00 0.00 0.00 2566.80 0.00 0.00 2566.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000639 278 IMPL BRST RND PLUS 450CC C1789 4278.00 4278.00 2994.60 0.00 2139.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2139.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2780.70 2780.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2994.60 2780.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2994.60 0.00 0.00 0.00 2566.80 0.00 0.00 2566.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000738 278 IMP BRST RND HIGH 700C C1789 4390.00 4390.00 3073.00 0.00 2195.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2195.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2853.50 2853.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3073.00 2853.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3073.00 0.00 0.00 0.00 2634.00 0.00 0.00 2634.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000748 278 IMPL BRST RND PLUS 600CC C1789 4278.00 4278.00 2994.60 0.00 2139.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2139.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2780.70 2780.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2994.60 2780.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2994.60 0.00 0.00 0.00 2566.80 0.00 0.00 2566.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000804 278 IMP BRST 650CC C1789 3584.00 3584.00 2508.80 0.00 1792.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1792.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2329.60 2329.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2508.80 2329.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2508.80 0.00 0.00 0.00 2150.40 0.00 0.00 2150.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000849 278 IMP BRST MOD PLUS 350CC C1789 4164.00 4164.00 2914.80 0.00 2082.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2082.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2706.60 2706.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2914.80 2706.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2914.80 0.00 0.00 0.00 2498.40 0.00 0.00 2498.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001260 278 IMP BRST 615CC C1789 5886.00 5886.00 4120.20 0.00 2943.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2943.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3825.90 3825.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4120.20 3825.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4120.20 0.00 0.00 0.00 3531.60 0.00 0.00 3531.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001539 278 IMPL BRST RND PLUS 400CC C1789 3935.00 3935.00 2754.50 0.00 1967.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1967.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2557.75 2557.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2754.50 2557.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2754.50 0.00 0.00 0.00 2361.00 0.00 0.00 2361.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000134 278 SET CYLINDER TITAN C1813 34872.00 34872.00 24410.40 0.00 17436.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17436.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22666.80 22666.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24410.40 22666.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24410.40 0.00 0.00 0.00 20923.20 0.00 0.00 20923.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000135 278 RESEVOIR CL 75CC C1813 8107.00 8107.00 5674.90 0.00 4053.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4053.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5269.55 5269.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5674.90 5269.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5674.90 0.00 0.00 0.00 4864.20 0.00 0.00 4864.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000137 278 KIT ASSEMBLY C1813 1307.00 1307.00 914.90 0.00 653.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 653.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 849.55 849.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 914.90 849.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 914.90 0.00 0.00 0.00 784.20 0.00 0.00 784.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000846 278 NAIL CPH 10X32CM LONG L C1813 7833.00 7833.00 5483.10 0.00 3916.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3916.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5091.45 5091.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5483.10 5091.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5483.10 0.00 0.00 0.00 4699.80 0.00 0.00 4699.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000847 278 SET NAIL SCREW 3.5X8MM C1813 889.00 889.00 622.30 0.00 444.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.85 577.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 622.30 577.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 622.30 0.00 0.00 0.00 533.40 0.00 0.00 533.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001993 278 RESERVOIR CL 125CC C1813 9412.00 9412.00 6588.40 0.00 4706.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4706.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6117.80 6117.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6588.40 6117.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6588.40 0.00 0.00 0.00 5647.20 0.00 0.00 5647.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001994 278 SET CYLINDER 22CM C1813 42848.00 42848.00 29993.60 0.00 21424.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21424.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27851.20 27851.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29993.60 27851.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29993.60 0.00 0.00 0.00 25708.80 0.00 0.00 25708.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002142 278 NEUROSTIMULATOR SNM C1820 42936.00 42936.00 30055.20 0.00 21468.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21468.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27908.40 27908.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30055.20 27908.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30055.20 0.00 0.00 0.00 25761.60 0.00 0.00 25761.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002145 278 CHARGING SYS IPG C1820 3600.00 3600.00 2520.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2340.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 0.00 0.00 0.00 2160.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000105 276 LENS INTRAOCULAR 12.0D C1840 726.00 726.00 508.20 0.00 363.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 471.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 0.00 0.00 0.00 435.60 0.00 0.00 435.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000106 276 LENS INTRAOCULAR 16.0D C1840 726.00 726.00 508.20 0.00 363.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 471.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 0.00 0.00 0.00 435.60 0.00 0.00 435.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000111 276 LENS INTRAOCULAR C1840 726.00 726.00 508.20 0.00 363.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 471.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 0.00 0.00 0.00 435.60 0.00 0.00 435.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000873 278 STENT TRANSHEP BILIA 6X150X120 C1874 5059.00 5059.00 3541.30 0.00 2529.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2529.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3288.35 3288.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3541.30 3288.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3541.30 0.00 0.00 0.00 3035.40 0.00 0.00 3035.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001119 278 GRAFT STENT ENDOVASCULAR 10X80 C1874 16394.00 16394.00 11475.80 0.00 8197.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8197.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10656.10 10656.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11475.80 10656.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11475.80 0.00 0.00 0.00 9836.40 0.00 0.00 9836.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001803 278 STENT VASCULAR 6X37MM C1874 11200.00 11200.00 7840.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7280.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 0.00 0.00 0.00 6720.00 0.00 0.00 6720.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002373 278 STENT VASC .035 58X135CM C1874 11200.00 11200.00 7840.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7280.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 0.00 0.00 0.00 6720.00 0.00 0.00 6720.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002381 278 STENT VASC BE CVRD 7X58MMX80CM C1874 11200.00 11200.00 7840.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7280.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 0.00 0.00 0.00 6720.00 0.00 0.00 6720.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002419 278 STENT ENDORPROS 5X7.55MMX120CM C1874 16440.00 16440.00 11508.00 0.00 8220.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8220.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10686.00 10686.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11508.00 10686.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11508.00 0.00 0.00 0.00 9864.00 0.00 0.00 9864.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002422 278 STENT VASC BE CVRD 8X58MMX80CM C1874 11200.00 11200.00 7840.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7280.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 7280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7840.00 0.00 0.00 0.00 6720.00 0.00 0.00 6720.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002732 278 STENT VASCULAR 10X58MM C1874 15000.00 15000.00 10500.00 0.00 7500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9750.00 9750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10500.00 9750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10500.00 0.00 0.00 0.00 9000.00 0.00 0.00 9000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002733 278 STENT VASCULAR 7X37MM C1874 15000.00 15000.00 10500.00 0.00 7500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9750.00 9750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10500.00 9750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10500.00 0.00 0.00 0.00 9000.00 0.00 0.00 9000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000141 278 MIC BIL RX STENT 7FRX7CM 4556 C1876 438.00 438.00 306.60 0.00 219.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.70 284.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.60 284.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.60 0.00 0.00 0.00 262.80 0.00 0.00 262.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000142 278 STENT ERCP RX RAPIDE C1876 537.00 537.00 375.90 0.00 268.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 268.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 349.05 349.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.90 349.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.90 0.00 0.00 0.00 322.20 0.00 0.00 322.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000143 278 STENT ERCP RX RAPIDE 7FRX12CM C1876 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000144 278 MIC BIL RX STENT 10FRX12CM 45 C1876 482.00 482.00 337.40 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.30 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 0.00 0.00 0.00 289.20 0.00 0.00 289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000241 278 MIC BIL STENT SYSTEM 8.5FR 45 C1876 482.00 482.00 337.40 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.30 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 0.00 0.00 0.00 289.20 0.00 0.00 289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000781 278 IMP STNT 6X120X120 BIL C06120M C1876 5059.00 5059.00 3541.30 0.00 2529.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2529.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3288.35 3288.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3541.30 3288.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3541.30 0.00 0.00 0.00 3035.40 0.00 0.00 3035.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000782 278 STENT 6X100X120 ILIAC C06100ML C1876 4249.00 4249.00 2974.30 0.00 2124.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2124.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2761.85 2761.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2974.30 2761.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2974.30 0.00 0.00 0.00 2549.40 0.00 0.00 2549.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000783 278 STENT BIL 7X150X120 C07150MB C1876 5059.00 5059.00 3541.30 0.00 2529.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2529.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3288.35 3288.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3541.30 3288.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3541.30 0.00 0.00 0.00 3035.40 0.00 0.00 3035.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000785 278 STENT 8X20X80 CORDIS C08020SL C1876 3845.00 3845.00 2691.50 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.25 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 0.00 0.00 0.00 2307.00 0.00 0.00 2307.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000792 278 STENT SMART ILIAC 6X40 6FR C1876 3845.00 3845.00 2691.50 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.25 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 0.00 0.00 0.00 2307.00 0.00 0.00 2307.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000802 278 STENT SMART ILIAC 7X60 CORDIS C1876 3845.00 3845.00 2691.50 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.25 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 0.00 0.00 0.00 2307.00 0.00 0.00 2307.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000804 278 STENT SMART ILIAC 6X60 6FR COR C1876 3845.00 3845.00 2691.50 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.25 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 0.00 0.00 0.00 2307.00 0.00 0.00 2307.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000879 278 STENT SMART 6F 40X10X80 C1876 3844.00 3844.00 2690.80 0.00 1922.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1922.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2498.60 2498.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2690.80 2498.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2690.80 0.00 0.00 0.00 2306.40 0.00 0.00 2306.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000880 278 STENT SMART 8X40X80 C1876 3753.00 3753.00 2627.10 0.00 1876.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1876.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2439.45 2439.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2627.10 2439.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2627.10 0.00 0.00 0.00 2251.80 0.00 0.00 2251.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000899 278 STENT ILIAC 7X40ML C1876 3942.00 3942.00 2759.40 0.00 1971.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1971.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2562.30 2562.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2759.40 2562.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2759.40 0.00 0.00 0.00 2365.20 0.00 0.00 2365.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000901 278 STENT SMART ILIAC 6 X 80 6FR C1876 3751.00 3751.00 2625.70 0.00 1875.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1875.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2438.15 2438.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2625.70 2438.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2625.70 0.00 0.00 0.00 2250.60 0.00 0.00 2250.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000929 278 STENT PRICISE BILIARY 8MMX40MM C1876 8194.00 8194.00 5735.80 0.00 4097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5326.10 5326.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5735.80 5326.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5735.80 0.00 0.00 0.00 4916.40 0.00 0.00 4916.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000930 278 STENT PRECISE BILLIARY 8MMX30M C1876 8194.00 8194.00 5735.80 0.00 4097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5326.10 5326.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5735.80 5326.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5735.80 0.00 0.00 0.00 4916.40 0.00 0.00 4916.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000971 278 STENT BILIARY 6MMX4MM C1876 8195.00 8195.00 5736.50 0.00 4097.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4097.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5326.75 5326.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5736.50 5326.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5736.50 0.00 0.00 0.00 4917.00 0.00 0.00 4917.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001010 278 STNT SYS 7X80 C1876 7502.00 7502.00 5251.40 0.00 3751.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3751.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4876.30 4876.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5251.40 4876.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5251.40 0.00 0.00 0.00 4501.20 0.00 0.00 4501.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000274 278 STENT METAL 10MMX6CM C1876 6136.00 6136.00 4295.20 0.00 3068.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3068.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3988.40 3988.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4295.20 3988.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4295.20 0.00 0.00 0.00 3681.60 0.00 0.00 3681.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000275 278 STENT METAL 10MMX4CM C1876 1652.00 1652.00 1156.40 0.00 826.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 826.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1073.80 1073.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1156.40 1073.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1156.40 0.00 0.00 0.00 991.20 0.00 0.00 991.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000333 278 STNT ILIAC 7MMX120CM C1876 4248.00 4248.00 2973.60 0.00 2124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2761.20 2761.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2973.60 2761.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2973.60 0.00 0.00 0.00 2548.80 0.00 0.00 2548.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000467 278 STNT ILIAC 7X120 C1876 5060.00 5060.00 3542.00 0.00 2530.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2530.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3289.00 3289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3542.00 3289.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3542.00 0.00 0.00 0.00 3036.00 0.00 0.00 3036.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000520 278 STNT BILIARY 12X40X80 C1876 3910.00 3910.00 2737.00 0.00 1955.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1955.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2541.50 2541.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2737.00 2541.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2737.00 0.00 0.00 0.00 2346.00 0.00 0.00 2346.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000535 278 STNT BILIARY 14X80MM C1876 3910.00 3910.00 2737.00 0.00 1955.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1955.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2541.50 2541.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2737.00 2541.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2737.00 0.00 0.00 0.00 2346.00 0.00 0.00 2346.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000583 278 STNT VASC 8X59MM C1876 9352.00 9352.00 6546.40 0.00 4676.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4676.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6078.80 6078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6546.40 6078.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6546.40 0.00 0.00 0.00 5611.20 0.00 0.00 5611.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000584 278 STNT VASC 8X60MM ABSOLUTE C1876 9386.00 9386.00 6570.20 0.00 4693.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4693.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6100.90 6100.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6570.20 6100.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6570.20 0.00 0.00 0.00 5631.60 0.00 0.00 5631.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000614 278 STNT VASC ELITE 8X59X135CM C1876 9386.00 9386.00 6570.20 0.00 4693.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4693.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6100.90 6100.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6570.20 6100.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6570.20 0.00 0.00 0.00 5631.60 0.00 0.00 5631.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000733 278 STNT COLONIC 9X230CM C1876 11715.00 11715.00 8200.50 0.00 5857.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5857.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7614.75 7614.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8200.50 7614.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8200.50 0.00 0.00 0.00 7029.00 0.00 0.00 7029.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000734 278 STNT COLONIC 12X135CM C1876 11715.00 11715.00 8200.50 0.00 5857.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5857.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7614.75 7614.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8200.50 7614.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8200.50 0.00 0.00 0.00 7029.00 0.00 0.00 7029.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000836 278 STENT SYS ILIAC 10X30MM C1876 3052.00 3052.00 2136.40 0.00 1526.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1526.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1983.80 1983.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2136.40 1983.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2136.40 0.00 0.00 0.00 1831.20 0.00 0.00 1831.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000837 278 STENT VASCULAR 6X100MM C1876 3488.00 3488.00 2441.60 0.00 1744.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1744.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2267.20 2267.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2441.60 2267.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2441.60 0.00 0.00 0.00 2092.80 0.00 0.00 2092.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000842 278 STENT VASCULAR 0.35 9X60MM C1876 5668.00 5668.00 3967.60 0.00 2834.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2834.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3684.20 3684.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3967.60 3684.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3967.60 0.00 0.00 0.00 3400.80 0.00 0.00 3400.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000899 278 STENT RX 7FR X 15CM C1876 645.00 645.00 451.50 0.00 322.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 419.25 419.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.50 419.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.50 0.00 0.00 0.00 387.00 0.00 0.00 387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000900 278 STENT RX 8.5 X 15CM C1876 645.00 645.00 451.50 0.00 322.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 419.25 419.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.50 419.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.50 0.00 0.00 0.00 387.00 0.00 0.00 387.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001094 278 STENT COLONIC 25X60MM C1876 11360.00 11360.00 7952.00 0.00 5680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7384.00 7384.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7952.00 7384.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7952.00 0.00 0.00 0.00 6816.00 0.00 0.00 6816.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001095 278 STENT COLONIC 25X90MM C1876 11360.00 11360.00 7952.00 0.00 5680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7384.00 7384.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7952.00 7384.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7952.00 0.00 0.00 0.00 6816.00 0.00 0.00 6816.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001346 278 STENT 6F VASCULAR 5X40MM C1876 3392.00 3392.00 2374.40 0.00 1696.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1696.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2204.80 2204.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2374.40 2204.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2374.40 0.00 0.00 0.00 2035.20 0.00 0.00 2035.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001365 278 STENT VASCULAR 6X150MM C1876 5512.00 5512.00 3858.40 0.00 2756.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2756.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3582.80 3582.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3858.40 3582.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3858.40 0.00 0.00 0.00 3307.20 0.00 0.00 3307.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001524 278 STENT VASCULAR 6X120MM C1876 3914.00 3914.00 2739.80 0.00 1957.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1957.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2544.10 2544.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2739.80 2544.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2739.80 0.00 0.00 0.00 2348.40 0.00 0.00 2348.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001526 278 STENT VASCULAR 5X60MM C1876 3600.00 3600.00 2520.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2340.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 0.00 0.00 0.00 2160.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001527 278 STENT VASCULAR 6X30MM C1876 3296.00 3296.00 2307.20 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2142.40 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 0.00 0.00 0.00 1977.60 0.00 0.00 1977.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001542 278 STENT VASCULAR 6X80MM C1876 3296.00 3296.00 2307.20 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2142.40 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 0.00 0.00 0.00 1977.60 0.00 0.00 1977.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001584 278 STENT VASCULAR 6X40MM C1876 3296.00 3296.00 2307.20 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2142.40 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 0.00 0.00 0.00 1977.60 0.00 0.00 1977.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001598 278 STENT VASCULAR 6X40MM C1876 3296.00 3296.00 2307.20 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1648.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2142.40 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 2142.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.20 0.00 0.00 0.00 1977.60 0.00 0.00 1977.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001640 278 STENT VASCULAR 6X150MM C1876 5356.00 5356.00 3749.20 0.00 2678.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2678.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3481.40 3481.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3749.20 3481.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3749.20 0.00 0.00 0.00 3213.60 0.00 0.00 3213.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001801 278 STENT BILIARY 10X40MM C1876 5200.00 5200.00 3640.00 0.00 2600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3380.00 3380.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3640.00 3380.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3640.00 0.00 0.00 0.00 3120.00 0.00 0.00 3120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001802 278 STENT VASCULAR 7X30MM C1876 6000.00 6000.00 4200.00 0.00 3000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3900.00 3900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4200.00 3900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4200.00 0.00 0.00 0.00 3600.00 0.00 0.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001930 278 STENT VASCULAR 5X120MM C1876 3800.00 3800.00 2660.00 0.00 1900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2470.00 2470.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2660.00 2470.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2660.00 0.00 0.00 0.00 2280.00 0.00 0.00 2280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002045 278 STENT VASCULAR 6X120MM C1876 4200.00 4200.00 2940.00 0.00 2100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2730.00 2730.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2940.00 2730.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2940.00 0.00 0.00 0.00 2520.00 0.00 0.00 2520.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002217 278 STENT VASCULAR 7X40CM C1876 3600.00 3600.00 2520.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2340.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 0.00 0.00 0.00 2160.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002277 278 STENT VASCULAR 5X100MM C1876 3600.00 3600.00 2520.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2340.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 0.00 0.00 0.00 2160.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002301 278 STENT VASCULAR 5X120MM C1876 4200.00 4200.00 2940.00 0.00 2100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2730.00 2730.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2940.00 2730.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2940.00 0.00 0.00 0.00 2520.00 0.00 0.00 2520.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002418 278 STENT VASC 5FR 5X40MM 135CM C1876 3600.00 3600.00 2520.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2340.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 0.00 0.00 0.00 2160.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002497 278 STENT VASC 5FR 5X20MM 135CM C1876 3600.00 3600.00 2520.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2340.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 0.00 0.00 0.00 2160.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002498 278 STENT VASC 5FR 5X80MM 135CM C1876 3600.00 3600.00 2520.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2340.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 2340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2520.00 0.00 0.00 0.00 2160.00 0.00 0.00 2160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002088 278 IMP CAL HYDROXYLAPATITE 1.5CC C1878 1260.00 1260.00 3056.68 0.00 630.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 630.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 819.00 819.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 882.00 819.00 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 882.00 0.00 3056.68 1358.52 756.00 1358.52 0.00 756.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 272000014 278 "KIT, ACCESS GREENFIELD FILTER" C1880 576.00 576.00 403.20 0.00 288.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 374.40 374.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 403.20 374.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 403.20 0.00 0.00 0.00 345.60 0.00 0.00 345.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000069 278 FILTER GREENFIELD FEMORAL C1880 5532.00 5532.00 3872.40 0.00 2766.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2766.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3595.80 3595.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3872.40 3595.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3872.40 0.00 0.00 0.00 3319.20 0.00 0.00 3319.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000449 278 FILTER VENA CAVA OPTEASE 6 FR C1880 8204.00 8204.00 5742.80 0.00 4102.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4102.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5332.60 5332.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5742.80 5332.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5742.80 0.00 0.00 0.00 4922.40 0.00 0.00 4922.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000678 278 FILTER VENA CAVA ECLIPSE FEMO C1880 19921.00 19921.00 13944.70 0.00 9960.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9960.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12948.65 12948.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13944.70 12948.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13944.70 0.00 0.00 0.00 11952.60 0.00 0.00 11952.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000679 278 "FILTER, VENA CAVA ECLIPSE JUGU" C1880 3571.00 3571.00 2499.70 0.00 1785.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1785.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2321.15 2321.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.70 2321.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.70 0.00 0.00 0.00 2142.60 0.00 0.00 2142.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000388 278 FILTER VENA CAVA PERM 55CM C1880 5632.00 5632.00 3942.40 0.00 2816.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2816.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3660.80 3660.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3942.40 3660.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3942.40 0.00 0.00 0.00 3379.20 0.00 0.00 3379.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000406 278 FILTER VENA CAVA ANTICUB C1880 4255.00 4255.00 2978.50 0.00 2127.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2127.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2765.75 2765.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2978.50 2765.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2978.50 0.00 0.00 0.00 2553.00 0.00 0.00 2553.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000834 278 FILTER VENA CAVA RET 55CM C1880 7768.00 7768.00 5437.60 0.00 3884.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3884.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5049.20 5049.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5437.60 5049.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5437.60 0.00 0.00 0.00 4660.80 0.00 0.00 4660.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001788 278 FILTER VENA CAVA RET JUG 55CM C1880 5722.20 5722.20 4005.54 0.00 2861.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2861.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3719.43 3719.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4005.54 3719.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4005.54 0.00 0.00 0.00 3433.32 0.00 0.00 3433.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002193 278 FLTR FEMORAL VAS 7FX65CM C1880 4000.00 4000.00 2800.00 0.00 2000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2600.00 2600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2800.00 2600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2800.00 0.00 0.00 0.00 2400.00 0.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000276 275 PACEMAKER GENERATOR BIPOLAR C1882 108499.00 108499.00 75949.30 0.00 54249.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54249.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70524.35 70524.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75949.30 70524.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75949.30 0.00 0.00 0.00 65099.40 0.00 0.00 65099.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000671 275 PACEMAKER GENERATOR VIVA XT C1882 140694.00 140694.00 98485.80 0.00 70347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91451.10 91451.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98485.80 91451.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98485.80 0.00 0.00 0.00 84416.40 0.00 0.00 84416.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000862 275 PACEMAKER GENERATOR INOGEN C1882 104640.00 104640.00 73248.00 0.00 52320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68016.00 68016.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73248.00 68016.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73248.00 0.00 0.00 0.00 62784.00 0.00 0.00 62784.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002118 275 PACEMAKER GENERATOR CLARIA MRI C1882 138735.72 138735.72 97115.00 0.00 69367.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69367.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90178.22 90178.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97115.00 90178.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97115.00 0.00 0.00 0.00 83241.43 0.00 0.00 83241.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002311 275 PACEMAKER GEN GALLANT C1882 94488.00 94488.00 66141.60 0.00 47244.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47244.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61417.20 61417.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66141.60 61417.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66141.60 0.00 0.00 0.00 56692.80 0.00 0.00 56692.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002325 272 DEVICE THERMAL ABLATION C1886 4934.30 4934.30 4194.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3454.01 4194.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3454.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000272 272 KIT CATHETER CVP MULIT LUMEN C1887 422.94 422.94 359.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.06 359.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000278 272 KIT CATHETER CVP SINGLE LUMEN C1887 192.92 192.92 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000748 270 GLIDECATH 5FR 65CM ANGLED TAPE C1887 246.98 246.98 209.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.89 209.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000897 272 "KIT, PICC SOLO CATH #32" C1887 885.10 885.10 752.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 619.57 752.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 619.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000905 272 "CATH., OMNI FLUSH MARKING 5FR" C1887 838.46 838.46 712.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.92 712.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001024 272 CATH VERTEBRAL 4F 100CM CORDIS C1887 207.76 207.76 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000195 272 INTRODUCER BRITETIP 8 X 55CM C1887 415.52 415.52 353.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.86 353.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000198 272 PORT INFUSE-A -PORT DUAL LUMEN C1887 1522.16 1522.16 1293.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1065.51 1293.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1065.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000833 272 CARTHETER GUIDING 55CM C1887 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001177 272 SHEATH GUIDED 5X45 C1887 606.32 606.32 515.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.42 515.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001317 272 CATH SUPPORT ANGLED 83CM C1887 1742.64 1742.64 1481.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1219.85 1481.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1219.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001338 272 CATHETER SUPPORT .018X90CM C1887 371.00 371.00 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001363 272 CATH SUPPORT 110CM C1887 1011.24 1011.24 859.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 707.87 859.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 707.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001600 272 CATH SUPPORT 130CM C1887 982.62 982.62 835.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.83 835.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001602 272 CATH SUPPORT .035X65CM C1887 1802.00 1802.00 1531.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1261.40 1531.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1261.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001685 272 CATH PERIPHERAL 0.035X135CM C1887 747.30 747.30 635.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 523.11 635.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 523.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001864 272 CATH SUPPORT 70CM STR C1887 954.00 954.00 810.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 667.80 810.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 667.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002207 272 SHEATH GUIDED 6FR 45X35CM C1887 478.59 478.59 406.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.01 406.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002234 272 SHEATH GUIDING 5FR 45CM C1887 478.59 478.59 406.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.01 406.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002235 272 SHEATH GUIDING 7FR 45CM C1887 478.59 478.59 406.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.01 406.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002236 272 CATH SUPPORT 0.035X90CM C1887 761.61 761.61 647.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.13 647.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002237 272 CATH SUPPORT 0.018X90CM C1887 761.61 761.61 647.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.13 647.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002238 272 CATH SUPPORT 0.035X150CM C1887 761.61 761.61 647.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.13 647.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002239 272 CATH SUPPORT 0.018X135CM C1887 761.61 761.61 647.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.13 647.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002242 272 SHEATH GUIDING 6FR 65CM C1887 515.16 515.16 437.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360.61 437.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002243 272 SHEATH GUIDING 6FR 90CM C1887 551.73 551.73 468.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 386.21 468.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 386.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002245 272 GLIDECATH ANGLE 4FR 65CM C1887 262.35 262.35 223.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.65 223.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002246 272 GLIDECATH ANGLE 4FR 120CM C1887 262.35 262.35 223.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.65 223.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002324 272 GLIDECATH ANGLE 5X100CM C1887 262.35 262.35 223.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.65 223.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002353 272 CATH SIZING PIGTAIL 5X70CM C1887 413.40 413.40 351.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.38 351.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000137 272 INTRODUCER CATHETER PM 10FR C1892 218.36 218.36 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000145 272 INTRODUCER CATHETER PM 12FR C1892 276.66 276.66 235.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 193.66 235.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 193.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000470 272 INTRODUCER SAFESHEATH PM C1892 361.46 361.46 307.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.02 307.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000188 272 SHEATH SAFE 9FR C1892 288.32 288.32 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000210 272 INTROD SHEATH 6F C1892 327.54 327.54 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000211 272 INTRO SHEALTH 6FX14CM C1892 192.92 192.92 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000212 272 INTRO SHEALTH 8F C1892 327.54 327.54 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000727 272 SHEATH LEAD INTRO 7FR C1892 240.62 240.62 204.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.43 204.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000728 272 SHEATH LEAD INTRO 9FR C1892 240.62 240.62 204.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.43 204.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000751 272 INTRO SHEATH 6FR R/O II6 CM W C1894 111.30 111.30 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000992 272 INTRODUCER SHEAT BRITETIP CORT C1894 414.46 414.46 352.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.12 352.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001017 272 INTROD SHEATH BRITETIP 7.5 C1894 126.14 126.14 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001039 278 KIT URO INTRO INTERSTM 3550-18 C1894 1288.00 1288.00 901.60 0.00 644.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 644.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 837.20 837.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.60 837.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.60 0.00 0.00 0.00 772.80 0.00 0.00 772.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000164 272 KIT INTRO PERCUTANEOUS 13FR C1894 346.62 346.62 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000201 272 SHEATH PINNACLE 5F 10CM C1894 72.08 72.08 61.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 50.46 61.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000225 272 SHEATH INTERV 6X55CM C1894 160.06 160.06 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000231 272 INTROD SHEATH 7FRX11CM C1894 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278001009 272 SHEATH INTERV 6X45CM C1894 205.64 205.64 174.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.95 174.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000465 272 INTROD SHEATH 6MSX11CM C1894 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001675 272 SHEATH INT 5X45CM C1894 75.26 75.26 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002087 272 KIT IMP TINED LEAD C1894 1844.40 1844.40 1567.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1291.08 1567.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1291.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002191 272 KIT MICROINTRODUCER COAXIAL 4F C1894 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002197 272 SHEATH INTRO 6FR R/O 4CM C1894 116.07 116.07 98.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.25 98.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002244 272 SHEATH ACCESS 4FR C1894 216.24 216.24 183.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 151.37 183.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 151.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002365 272 SHEATH SNTRANT INTRO 12F C1894 477.00 477.00 405.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 333.90 405.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 333.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002372 272 SHEATH INTRODUCER 11X10CM C1894 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002379 272 SHEATH INTRODUCER 10X7CM C1894 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002821 272 SHEATH INTRODUCER 6FRX10CM C1894 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000697 275 LEAD PACEMAKER SPRINT C1895 28475.00 28475.00 19932.50 0.00 14237.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14237.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18508.75 18508.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19932.50 18508.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19932.50 0.00 0.00 0.00 17085.00 0.00 0.00 17085.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000003 275 MED PACEMAKER LEAD 5568 53CM C1898 2949.00 2949.00 2064.30 0.00 1474.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1474.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1916.85 1916.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2064.30 1916.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2064.30 0.00 0.00 0.00 1769.40 0.00 0.00 1769.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000004 275 PACE LEAD CAPSUREFIX NOVUS 52C C1898 5053.00 5053.00 3537.10 0.00 2526.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2526.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3284.45 3284.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3537.10 3284.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3537.10 0.00 0.00 0.00 3031.80 0.00 0.00 3031.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000005 275 PACE LEAD CAPSUREFIX NOVUS C1898 3366.00 3366.00 2356.20 0.00 1683.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1683.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2187.90 2187.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2356.20 2187.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2356.20 0.00 0.00 0.00 2019.60 0.00 0.00 2019.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000006 275 GUID.PACEMAKER LEAD BIP ENDO 4 C1898 3931.00 3931.00 2751.70 0.00 1965.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1965.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2555.15 2555.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2751.70 2555.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2751.70 0.00 0.00 0.00 2358.60 0.00 0.00 2358.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000011 275 LEAD CAPSURE SP NOVUS 53CM C1898 5053.00 5053.00 3537.10 0.00 2526.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2526.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3284.45 3284.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3537.10 3284.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3537.10 0.00 0.00 0.00 3031.80 0.00 0.00 3031.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000022 275 PACEMAKER LEAD CAPSUREFIX NOV C1898 3393.00 3393.00 2375.10 0.00 1696.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1696.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2205.45 2205.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2375.10 2205.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2375.10 0.00 0.00 0.00 2035.80 0.00 0.00 2035.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000023 275 PACEMAKER LEAD CAPSUREFIX NOV C1898 3393.00 3393.00 2375.10 0.00 1696.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1696.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2205.45 2205.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2375.10 2205.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2375.10 0.00 0.00 0.00 2035.80 0.00 0.00 2035.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000026 275 PACEMAKER LEAD DEXTRUS MODEL C1898 4840.00 4840.00 3388.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3146.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 0.00 0.00 0.00 2904.00 0.00 0.00 2904.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000028 275 PACEMAKER LEAD CAPSUREFIX NOV C1898 2589.00 2589.00 1812.30 0.00 1294.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1294.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1682.85 1682.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1812.30 1682.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1812.30 0.00 0.00 0.00 1553.40 0.00 0.00 1553.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000031 275 PACEMAKER LEAD CAPSUREFIX NOV C1898 2158.00 2158.00 1510.60 0.00 1079.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1079.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1402.70 1402.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1510.60 1402.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1510.60 0.00 0.00 0.00 1294.80 0.00 0.00 1294.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000033 275 PACEMAKER LEAD FINELINE MODEL C1898 4840.00 4840.00 3388.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3146.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 0.00 0.00 0.00 2904.00 0.00 0.00 2904.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000035 275 PACEMAKER LEAD CAPSURE SP NOV C1898 1934.00 1934.00 1353.80 0.00 967.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 967.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1257.10 1257.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1353.80 1257.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1353.80 0.00 0.00 0.00 1160.40 0.00 0.00 1160.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000036 275 "PACEMAKER LEAD, DEXTRUS MODEL" C1898 4840.00 4840.00 3388.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3146.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 0.00 0.00 0.00 2904.00 0.00 0.00 2904.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000040 275 PACE LEAD ISO 52CM 1944 C1898 3516.00 3516.00 2461.20 0.00 1758.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1758.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2285.40 2285.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2461.20 2285.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2461.20 0.00 0.00 0.00 2109.60 0.00 0.00 2109.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000041 275 PACE LEAD TEDRIL 58CM 1888TC C1898 4254.00 4254.00 2977.80 0.00 2127.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2127.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2765.10 2765.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2977.80 2765.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2977.80 0.00 0.00 0.00 2552.40 0.00 0.00 2552.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000042 275 PACE LEAD BIPOLAR 4480 C1898 4840.00 4840.00 3388.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3146.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 0.00 0.00 0.00 2904.00 0.00 0.00 2904.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000045 275 PACE LEAD TRENDRILACTIVE 58CM C1898 3559.00 3559.00 2491.30 0.00 1779.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1779.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2313.35 2313.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2491.30 2313.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2491.30 0.00 0.00 0.00 2135.40 0.00 0.00 2135.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000049 275 IMP LEAD SELOX JT 53 346368 C1898 1570.00 1570.00 1099.00 0.00 785.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 785.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1020.50 1020.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1099.00 1020.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1099.00 0.00 0.00 0.00 942.00 0.00 0.00 942.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000050 275 IMP LEAD SETROX S 60 350975 C1898 1570.00 1570.00 1099.00 0.00 785.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 785.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1020.50 1020.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1099.00 1020.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1099.00 0.00 0.00 0.00 942.00 0.00 0.00 942.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000051 275 LEAD PACING BIPOLKAR 53CM C1898 1532.00 1532.00 1072.40 0.00 766.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 766.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 995.80 995.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1072.40 995.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1072.40 0.00 0.00 0.00 919.20 0.00 0.00 919.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000052 275 LEAD PACEMAKER FINE LINE 11 C1898 4840.00 4840.00 3388.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3146.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 3146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3388.00 0.00 0.00 0.00 2904.00 0.00 0.00 2904.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000053 275 LEAD PACEMAKER TENDRIL C1898 4719.00 4719.00 3303.30 0.00 2359.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2359.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3067.35 3067.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3303.30 3067.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3303.30 0.00 0.00 0.00 2831.40 0.00 0.00 2831.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000055 275 PACEMAKER GENERATOR C1898 24621.00 24621.00 17234.70 0.00 12310.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12310.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16003.65 16003.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17234.70 16003.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17234.70 0.00 0.00 0.00 14772.60 0.00 0.00 14772.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000162 278 GUID.PACEMAKER LEAD BIP ENDO 4 C1898 3734.00 3734.00 2613.80 0.00 1867.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1867.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2427.10 2427.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2613.80 2427.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2613.80 0.00 0.00 0.00 2240.40 0.00 0.00 2240.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000199 278 GUI PACEMAKER LEAD 4480 C1898 3931.00 3931.00 2751.70 0.00 1965.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1965.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2555.15 2555.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2751.70 2555.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2751.70 0.00 0.00 0.00 2358.60 0.00 0.00 2358.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000480 278 PACEMAKER LEAD CAPSURE SENSE C1898 3751.00 3751.00 2625.70 0.00 1875.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1875.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2438.15 2438.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2625.70 2438.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2625.70 0.00 0.00 0.00 2250.60 0.00 0.00 2250.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000306 278 LEAD PACEMAKER 6FX46CM C1898 3559.00 3559.00 2491.30 0.00 1779.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1779.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2313.35 2313.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2491.30 2313.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2491.30 0.00 0.00 0.00 2135.40 0.00 0.00 2135.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000537 275 LEAD PACEMAKER GUIDANT 45CM C1898 3450.00 3450.00 2415.00 0.00 1725.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1725.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2242.50 2242.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2415.00 2242.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2415.00 0.00 0.00 0.00 2070.00 0.00 0.00 2070.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001125 275 LEAD MRI PACING INGEVITY 45CM C1898 2616.00 2616.00 1831.20 0.00 1308.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1308.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1700.40 1700.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1831.20 1700.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1831.20 0.00 0.00 0.00 1569.60 0.00 0.00 1569.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001126 275 LEAD MRI PACING INGEVITY 52CM C1898 2616.00 2616.00 1831.20 0.00 1308.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1308.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1700.40 1700.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1831.20 1700.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1831.20 0.00 0.00 0.00 1569.60 0.00 0.00 1569.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001238 275 LEAD PACEMAKER INGEVITY 59CM C1898 2616.00 2616.00 1831.20 0.00 1308.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1308.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1700.40 1700.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1831.20 1700.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1831.20 0.00 0.00 0.00 1569.60 0.00 0.00 1569.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001362 278 LEAD PACEMAKER 58CM C1898 347.00 347.00 242.90 0.00 173.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 173.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.55 225.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.90 225.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.90 0.00 0.00 0.00 208.20 0.00 0.00 208.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001374 275 LEAD PACEMAKER MRI S 53 C1898 3294.00 3294.00 2305.80 0.00 1647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2141.10 2141.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2305.80 2141.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2305.80 0.00 0.00 0.00 1976.40 0.00 0.00 1976.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001375 275 LEAD PACEMAKER MRI S 45 C1898 3294.00 3294.00 2305.80 0.00 1647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2141.10 2141.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2305.80 2141.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2305.80 0.00 0.00 0.00 1976.40 0.00 0.00 1976.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001402 278 LEAD PACEMAKER 52CM C1898 3072.00 3072.00 2150.40 0.00 1536.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1536.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1996.80 1996.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2150.40 1996.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2150.40 0.00 0.00 0.00 1843.20 0.00 0.00 1843.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001514 275 LEAD PACEMAKER SOLIA S 60 C1898 2398.00 2398.00 1678.60 0.00 1199.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1199.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1558.70 1558.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1678.60 1558.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1678.60 0.00 0.00 0.00 1438.80 0.00 0.00 1438.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001588 275 PACEMAKER XT DR MRI C1898 32231.00 32231.00 22561.70 0.00 16115.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16115.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20950.15 20950.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22561.70 20950.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22561.70 0.00 0.00 0.00 19338.60 0.00 0.00 19338.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001981 275 LEAD PACEMAKER 52CM C1898 2400.00 2400.00 1680.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1560.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 0.00 0.00 0.00 1440.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001982 275 LEAD PACEMAKER 59CM C1898 2400.00 2400.00 1680.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1560.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 0.00 0.00 0.00 1440.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002104 275 LEAD PACEMAKER 45CM C1898 2400.00 2400.00 1680.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1560.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 1560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1680.00 0.00 0.00 0.00 1440.00 0.00 0.00 1440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275000029 275 LEAD VENTRICULAR SPRINT QUATT C1899 18570.00 18570.00 12999.00 0.00 9285.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9285.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12070.50 12070.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12999.00 12070.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12999.00 0.00 0.00 0.00 11142.00 0.00 0.00 11142.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000173 278 KIT SEALANT C2615 4114.00 4114.00 3056.68 0.00 2057.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2057.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 2674.10 2674.10 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 2879.80 2674.10 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 2879.80 0.00 3056.68 1358.52 2468.40 1358.52 0.00 2468.40 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 278000118 278 MIC URETERAL STENT 6X24 175-21 C2617 516.00 516.00 361.20 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.40 335.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.20 335.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.20 0.00 0.00 0.00 309.60 0.00 0.00 309.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000119 278 STEND URETERAL PERCUFLEX 4.8 C2617 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000120 278 MIC URETERAL STENT 6X26 175-21 C2617 536.00 536.00 375.20 0.00 268.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 268.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 348.40 348.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.20 348.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.20 0.00 0.00 0.00 321.60 0.00 0.00 321.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000131 278 STENT URETRAL PERCUFLEX 4.8X24 C2617 652.00 652.00 456.40 0.00 326.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 423.80 423.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 456.40 423.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 456.40 0.00 0.00 0.00 391.20 0.00 0.00 391.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000137 278 MIC URETERAL STENT 6X24 175-26 C2617 536.00 536.00 375.20 0.00 268.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 268.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 348.40 348.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.20 348.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.20 0.00 0.00 0.00 321.60 0.00 0.00 321.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000140 278 STENT URETERAL PERCUFLEX 6X22 C2617 726.00 726.00 508.20 0.00 363.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 363.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 471.90 471.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 471.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.20 0.00 0.00 0.00 435.60 0.00 0.00 435.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000398 278 STENT URETERAL PERCUFLEX 6X24 C2617 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000399 278 STENT URETERAL PERCUFLEX 6X26 C2617 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000400 278 STENT URETERAL PERCUFLEX 6X28 C2617 516.00 516.00 361.20 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.40 335.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.20 335.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.20 0.00 0.00 0.00 309.60 0.00 0.00 309.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000401 278 STENT URETERAL PERCUFLEX 4.8X C2617 516.00 516.00 361.20 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.40 335.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.20 335.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.20 0.00 0.00 0.00 309.60 0.00 0.00 309.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000832 278 STENT POLAR ULT 6F 24CM 192132 C2617 736.00 736.00 515.20 0.00 368.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 368.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 478.40 478.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 515.20 478.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 515.20 0.00 0.00 0.00 441.60 0.00 0.00 441.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000818 278 STENT URETERAL 6F X 26CM C2617 773.00 773.00 541.10 0.00 386.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 386.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 502.45 502.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 541.10 502.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 541.10 0.00 0.00 0.00 463.80 0.00 0.00 463.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001227 278 STENT PERCUFLEX 6X26CM C2617 773.00 773.00 541.10 0.00 386.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 386.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 502.45 502.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 541.10 502.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 541.10 0.00 0.00 0.00 463.80 0.00 0.00 463.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001736 278 STENT PERCUFLEX 6X24 C2617 470.00 470.00 329.00 0.00 235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 305.50 305.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 329.00 305.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 329.00 0.00 0.00 0.00 282.00 0.00 0.00 282.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001794 278 STENT PERCUFLEX 6X28 C2617 456.00 456.00 319.20 0.00 228.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.40 296.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 319.20 296.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 319.20 0.00 0.00 0.00 273.60 0.00 0.00 273.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002029 278 STENT PERCUFLEX 8X24CM C2617 442.32 442.32 309.62 0.00 221.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.51 287.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.62 287.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.62 0.00 0.00 0.00 265.39 0.00 0.00 265.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002030 278 STENT PERCUFLEX 8X26CM C2617 442.32 442.32 309.62 0.00 221.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.51 287.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.62 287.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.62 0.00 0.00 0.00 265.39 0.00 0.00 265.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000865 272 CATHETER BALLOON PTA 4X100 C2623 6915.44 6915.44 5878.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.81 5878.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001176 272 CATHETER PTA 5X150 C2623 6585.78 6585.78 5597.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4610.05 5597.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4610.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001298 272 CATH DL PTA .035 130CM 5X100MM C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001306 272 CATHETER PTA 4X100MM C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001322 272 CATH BALLOON PTA .O35 5X150CM C2623 6404.52 6404.52 5443.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4483.16 5443.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4483.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001323 272 CATH BALLOON PTA .O35 5X60CM C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001324 272 CATH BALLOON PTA .O35 5X150CM C2623 6404.52 6404.52 5443.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4483.16 5443.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4483.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001339 272 CATH BALLOON PTA .035 60X12 C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001344 272 CATH BALLOON PTA .O35 6X150CM C2623 6404.52 6404.52 5443.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4483.16 5443.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4483.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001366 272 CATH BALLOON PTA .O35 6X60CM C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001379 272 CATH DIL PTA .035 4X100MM C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001380 272 CATH DILPTA .035 5X100MM C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001381 272 CATH DIL PTA 0.35 5X60MM C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001408 272 CATH BALLOON PTA .O35 4X120CM C2623 4719.12 4719.12 4011.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3303.38 4011.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3303.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001422 272 CATH DIL PTA 0.35 6X60MM C2623 5393.28 5393.28 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 4584.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3775.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001489 272 CATH DL PTA .035 130CM 5X120MM C2623 5898.90 5898.90 5014.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4129.23 5014.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4129.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001499 272 CATH BALLOON PTA .O35 6X120CM C2623 5898.90 5898.90 5014.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4129.23 5014.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4129.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001515 272 CATH BALLOON PTA .O35 6X80CM C2623 5240.64 5240.64 4454.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.45 4454.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001536 272 CATH BALLOON PTA .O35 6X100CM C2623 5240.64 5240.64 4454.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.45 4454.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001548 272 CATH BALLOON PTA .O35 5X800CM C2623 5240.64 5240.64 4454.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.45 4454.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001560 272 CATH DIL PTA 0.35 4.0X60MM C2623 2060.64 2060.64 1751.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1442.45 1751.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1442.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001653 272 CATH BALLOON PTA .O35 6X40CM C2623 5240.64 5240.64 4454.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.45 4454.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001821 272 CATH BALLOON PTA .035 5X40X130 C2623 5088.00 5088.00 4324.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3561.60 4324.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3561.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001842 272 CATH DL PTA .035 75CM 12X40MM C2623 6042.00 6042.00 5135.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4229.40 5135.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4229.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002031 272 CATH BALLOON PTA .035 4X130CM C2623 7632.00 7632.00 6487.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5342.40 6487.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5342.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002065 272 CATH BALLOON PTA 4X80MM C2623 5088.00 5088.00 4324.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3561.60 4324.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3561.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002069 272 CATH DL PTA .035 130CM 5X220MM C2623 7632.00 7632.00 6487.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5342.40 6487.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5342.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002097 272 CATH BALLOON PTA .O35 6X220CM C2623 7632.00 7632.00 6487.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5342.40 6487.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5342.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002211 272 CATH BALLOON PTA .018 4X150CM C2623 6837.00 6837.00 5811.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4785.90 5811.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4785.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002212 272 CATH BALLOON PTA .018 5X300CM C2623 10017.00 10017.00 8514.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7011.90 8514.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7011.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002251 272 CATH BALLOON PTA .018 5X220MM C2623 8427.00 8427.00 7162.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 7162.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002252 272 CATH BALLOON PTA .018 4X300MM C2623 10017.00 10017.00 8514.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7011.90 8514.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7011.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002265 272 CATH BALLOON PTA 4X220MM C2623 8427.00 8427.00 7162.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 7162.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002292 272 CATH BALLOON PTA .018 6X300MM C2623 10017.00 10017.00 8514.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7011.90 8514.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7011.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002318 272 CATH BALLOON PTA .018 4X60MM C2623 5883.00 5883.00 5000.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4118.10 5000.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4118.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002319 272 CATH BALLOON PTA .018 5X100MM C2623 5883.00 5883.00 5000.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4118.10 5000.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4118.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002321 272 CATH DIL PTA 0.35 8X40MM C2623 6201.00 6201.00 5270.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4340.70 5270.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4340.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002374 272 CATH BALLOON PTA .018 4X100CM C2623 5883.00 5883.00 5000.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4118.10 5000.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4118.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002375 272 CATH BALLOON PTA .018 5X150CM C2623 6837.00 6837.00 5811.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4785.90 5811.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4785.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002576 272 CATH BALLOON PTA .018 4X80MM C2623 6042.00 6042.00 5135.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4229.40 5135.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4229.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002605 272 CATH BALLOON PTA .018 5X80CM C2623 6042.00 6042.00 5135.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4229.40 5135.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4229.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002666 272 CATH BALLOON PTA .018 7X80MM C2623 6042.00 6042.00 5135.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4229.40 5135.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4229.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002734 272 CATH BALLOON PTA .018 6X150CM C2623 6996.00 6996.00 5946.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4897.20 5946.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4897.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000252 278 STENT ERCP BILIARY 10FRX70CM C2625 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000755 278 STENT ERCP BILIARY 11.5FRX10CM C2625 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000924 278 STENT URETERAL 8F X 28CM C2625 741.00 741.00 518.70 0.00 370.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 370.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 481.65 481.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 518.70 481.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 518.70 0.00 0.00 0.00 444.60 0.00 0.00 444.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000927 278 STENT INLAY 6FRX26CM C2625 387.00 387.00 270.90 0.00 193.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 193.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 251.55 251.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270.90 251.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270.90 0.00 0.00 0.00 232.20 0.00 0.00 232.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000979 278 STENT URETERAL INLAY 6FX24CM C2625 387.00 387.00 270.90 0.00 193.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 193.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 251.55 251.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270.90 251.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270.90 0.00 0.00 0.00 232.20 0.00 0.00 232.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000164 278 STENT RX 8.5FR X 7CM C2625 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000196 278 STNT INLAY 4.7FRX22CM C2625 378.00 378.00 264.60 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.70 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 0.00 0.00 0.00 226.80 0.00 0.00 226.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000197 278 STNT INLAY 4.7FRX24CM C2625 378.00 378.00 264.60 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.70 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 0.00 0.00 0.00 226.80 0.00 0.00 226.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000198 278 STNT INLAY 4.7FRX28CM C2625 378.00 378.00 264.60 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.70 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 0.00 0.00 0.00 226.80 0.00 0.00 226.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000199 278 STNT INLAY 6FX24CM HYDRO C2625 466.00 466.00 326.20 0.00 233.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 233.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.90 302.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.20 302.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.20 0.00 0.00 0.00 279.60 0.00 0.00 279.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000253 278 STNT INLAY 6X28CM C2625 378.00 378.00 264.60 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.70 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 0.00 0.00 0.00 226.80 0.00 0.00 226.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000421 278 STENT RX 11.5FR X 7CM C2625 732.00 732.00 512.40 0.00 366.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 366.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 475.80 475.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 512.40 475.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 512.40 0.00 0.00 0.00 439.20 0.00 0.00 439.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000531 278 STNT URETERAL 8FRX26CM C2625 368.00 368.00 257.60 0.00 184.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 239.20 239.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 257.60 239.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 257.60 0.00 0.00 0.00 220.80 0.00 0.00 220.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000823 278 IMPLANT SINUS MINI PROPEL 16MM C2625 3183.00 3183.00 2228.10 0.00 1591.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1591.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2068.95 2068.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2228.10 2068.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2228.10 0.00 0.00 0.00 1909.80 0.00 0.00 1909.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000855 278 IMPLANT SINUS PROPEL 23MM C2625 3183.00 3183.00 2228.10 0.00 1591.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1591.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2068.95 2068.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2228.10 2068.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2228.10 0.00 0.00 0.00 1909.80 0.00 0.00 1909.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002119 278 STENT PRELOADED RX 7X12CM C2625 575.08 575.08 402.56 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.80 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 0.00 0.00 0.00 345.05 0.00 0.00 345.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002120 278 STENT PRELOADED RX 7X15CM C2625 575.08 575.08 402.56 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.80 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 0.00 0.00 0.00 345.05 0.00 0.00 345.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002121 278 STENT PRELOADED RX 8.5X7CM C2625 575.08 575.08 402.56 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.80 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 0.00 0.00 0.00 345.05 0.00 0.00 345.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002122 278 STENT PRELOADED RX 8.5X9CM C2625 575.08 575.08 402.56 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.80 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 0.00 0.00 0.00 345.05 0.00 0.00 345.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002123 278 STENT PRELOADED RX 8.5X12CM C2625 575.08 575.08 402.56 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.80 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 0.00 0.00 0.00 345.05 0.00 0.00 345.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002124 278 STENT PRELOADED RX 8.5X15CM C2625 575.08 575.08 402.56 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.80 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 0.00 0.00 0.00 345.05 0.00 0.00 345.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002125 278 STENT PRELOADED RX 10X9CM C2625 575.08 575.08 402.56 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.80 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 0.00 0.00 0.00 345.05 0.00 0.00 345.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002126 278 STENT PRELOADED RX 10X12CM C2625 575.08 575.08 402.56 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.80 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 373.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.56 0.00 0.00 0.00 345.05 0.00 0.00 345.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000723 272 INTRODUCER SUPRAPBC CATH 16FR C2627 102.82 102.82 87.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.97 87.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 510000379 361 LOW COST SKIN SUBSTITUTE APP C5271 1844.40 1844.40 3744.89 453.10 2515.00 case rate 726.28 3744.89 1664.40 3744.89 1664.40 726.28 726.28 2810.00 per visit 726.28 "1,664.40" 726.28 3744.89 1664.40 3744.89 726.28 1635.00 2044.00 3744.89 1664.40 3744.89 1664.40 726.28 726.28 3481.45 1547.31 1547.31 1547.31 689.96 3744.89 1664.40 3744.89 1664.40 726.28 726.28 726.28 453.10 2831.00 per case 1664.40 3744.89 1664.40 726.28 1664.40 1664.40 1664.40 726.28 1664.40 1291.08 726.28 3744.89 1664.40 2300.00 per case 1664.40 726.28 2300.00 per case 726.28 726.28 1664.40 3744.89 1664.40 3744.89 1664.40 653.65 510000381 361 LOW COST SKIN SUBSTITUTE APP C5272 235.32 235.32 3744.89 0.00 2515.00 case rate 0.00 3744.89 1664.40 3744.89 1664.40 0.00 0.00 2810.00 per visit 0.00 "1,664.40" 0.00 3744.89 1664.40 3744.89 0.00 1635.00 2044.00 3744.89 1664.40 3744.89 1664.40 0.00 0.00 3481.45 1547.31 1547.31 1547.31 0.00 3744.89 1664.40 3744.89 1664.40 0.00 0.00 0.00 164.72 2831.00 per case 1664.40 3744.89 1664.40 0.00 1664.40 1664.40 1664.40 0.00 1664.40 164.72 0.00 3744.89 1664.40 2300.00 per case 1664.40 0.00 2300.00 per case 0.00 0.00 1664.40 3744.89 1664.40 3744.89 1664.40 0.00 510000400 361 LOW COST SKIN SUBSTITUTE APP C5275 1844.40 1844.40 3744.89 453.10 2515.00 case rate 726.28 3744.89 1664.40 3744.89 1664.40 726.28 726.28 2810.00 per visit 726.28 "1,664.40" 726.28 3744.89 1664.40 3744.89 726.28 1635.00 2044.00 3744.89 1664.40 3744.89 1664.40 726.28 726.28 3481.45 1547.31 1547.31 1547.31 689.96 3744.89 1664.40 3744.89 1664.40 726.28 726.28 726.28 453.10 2831.00 per case 1664.40 3744.89 1664.40 726.28 1664.40 1664.40 1664.40 726.28 1664.40 1291.08 726.28 3744.89 1664.40 2300.00 per case 1664.40 726.28 2300.00 per case 726.28 726.28 1664.40 3744.89 1664.40 3744.89 1664.40 653.65 510000401 361 LOW COST SKIN SUBSTITUTE APP C5276 534.24 534.24 3744.89 0.00 2515.00 case rate 0.00 3744.89 1664.40 3744.89 1664.40 0.00 0.00 2810.00 per visit 0.00 "1,664.40" 0.00 3744.89 1664.40 3744.89 0.00 1635.00 2044.00 3744.89 1664.40 3744.89 1664.40 0.00 0.00 3481.45 1547.31 1547.31 1547.31 0.00 3744.89 1664.40 3744.89 1664.40 0.00 0.00 0.00 373.97 2831.00 per case 1664.40 3744.89 1664.40 0.00 1664.40 1664.40 1664.40 0.00 1664.40 373.97 0.00 3744.89 1664.40 2300.00 per case 1664.40 0.00 2300.00 per case 0.00 0.00 1664.40 3744.89 1664.40 3744.89 1664.40 0.00 250001211 636 PROTONIX 40 MG VIAL C9113 0.00 0.00 5.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.40 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001427 636 FLUCONAZOLE 100 MG IN NS INJ C9113 0.00 0.00 5.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.40 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002210 636 SEALANT FIBRIN 2ML C9250 521.15 521.15 3056.69 0.00 312.17 132.73 3056.69 1358.53 3056.69 1358.53 132.73 132.73 217.68 132.73 "1,358.53" 132.73 3056.69 1358.53 3056.69 132.73 338.75 338.75 3056.69 1358.53 3056.69 1358.53 132.73 132.73 2841.67 1262.96 1262.96 1262.96 126.10 3056.69 1358.53 3056.69 1358.53 132.73 132.73 132.73 112.98 338.75 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 364.81 132.73 3056.69 1358.53 132.73 1358.53 132.73 132.73 132.73 132.73 1358.53 3056.69 1358.53 3056.69 1358.53 119.46 351500363 636 VIMPAT 200MG/20ML VIAL C9254 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.35 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 278000311 278 GRAFT CANCELLOUS CHIPS 30CC C9359 1628.00 1628.00 3056.68 0.00 814.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 814.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 1058.20 1058.20 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 1139.60 1058.20 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1139.60 0.00 3056.68 1358.52 976.80 1358.52 0.00 976.80 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350000292 278 PUTTY ALLOMATRIX 5CC C9359 4649.00 4649.00 3254.30 0.00 2324.50 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2324.50 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 3021.85 3021.85 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 3254.30 3021.85 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 3254.30 0.00 3056.68 1358.52 2789.40 1358.52 0.00 2789.40 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350002600 278 GRAFT PUTTY DBM 1CC C9359 325.00 325.00 3056.68 0.00 162.50 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 162.50 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 211.25 211.25 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 227.50 211.25 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 227.50 0.00 3056.68 1358.52 195.00 1358.52 0.00 195.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350002606 278 MATRX WRP CLGN 12X5CM PR 0.5CM C9361 920.00 920.00 3056.68 0.00 460.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 460.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 598.00 598.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 644.00 598.00 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 644.00 0.00 3056.68 1358.52 552.00 1358.52 0.00 552.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350001302 636 "MATRIX WND MESH 4""X5"" PER SQCM" C9363 174.69 174.69 3056.69 0.00 104.64 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 87.35 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 113.55 113.55 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 38.89 113.55 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 122.28 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001332 636 MATRIX WND BILAYER 5X5CM PSQCM C9363 524.70 524.70 3056.69 0.00 314.30 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 262.35 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 341.06 341.06 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 38.89 341.06 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 367.29 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 351500110 636 TECENTRIQ C9399 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500234 636 GIAPREZA 2.5MG/ML VIAL C9399 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500371 636 CONIVAPTAN 20MG/100ML PREMX BG C9488 0.00 0.00 1311.50 0.00 0.00 47.24 1311.50 582.89 1311.50 582.89 47.24 47.24 77.47 47.24 582.89 47.24 1311.50 582.89 1311.50 47.24 0.65 of eligible billed charges 0.65 of eligible billed charges 1311.50 582.89 1311.50 582.89 47.24 47.24 1219.27 541.90 541.90 541.90 44.88 1311.50 582.89 1311.50 582.89 47.24 47.24 47.24 30.73 0.65 of charges 582.89 0.00 0.00 0.00 582.89 582.89 582.89 0.00 582.89 0.00 47.24 1311.50 582.89 47.24 582.89 47.24 47.24 47.24 47.24 582.89 1311.50 582.89 1311.50 582.89 42.52 350000712 278 MONITOR CARDIAC LINQ W MEM E0616 200.00 200.00 140.00 0.00 100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 130.00 130.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.00 130.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.00 0.00 0.00 0.00 120.00 0.00 0.00 120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002042 771 IM ADMIN INFLUENZA VIRUS VAC G0008 206.70 206.70 175.70 13.36 123.81 54.93 30.06 13.36 30.06 13.36 54.93 54.93 144.69 54.93 13.36 54.93 30.06 13.36 30.06 54.93 65.96 82.45 30.06 13.36 30.06 13.36 54.93 54.93 34.15 15.18 15.18 15.18 52.19 30.06 13.36 30.06 13.36 54.93 54.93 54.93 20.00 175.70 13.36 30.06 13.36 54.93 13.36 13.36 13.36 54.93 13.36 144.69 54.93 30.06 13.36 87.00 per visit 13.36 54.93 87.00 per visit 54.93 54.93 13.36 30.06 13.36 30.06 13.36 49.44 362002462 771 FP ADMIN INFLUENZA VIRUS VAC G0008 206.70 206.70 175.70 13.36 123.81 54.93 30.06 13.36 30.06 13.36 54.93 54.93 144.69 54.93 13.36 54.93 30.06 13.36 30.06 54.93 65.96 82.45 30.06 13.36 30.06 13.36 54.93 54.93 34.15 15.18 15.18 15.18 52.19 30.06 13.36 30.06 13.36 54.93 54.93 54.93 20.00 175.70 13.36 30.06 13.36 54.93 13.36 13.36 13.36 54.93 13.36 144.69 54.93 30.06 13.36 87.00 per visit 13.36 54.93 87.00 per visit 54.93 54.93 13.36 30.06 13.36 30.06 13.36 49.44 362002043 771 IM ADMIN PNEUMOCOCCAL VAC G0009 206.70 206.70 175.70 10.00 123.81 54.93 30.06 13.36 30.06 13.36 54.93 54.93 144.69 54.93 13.36 54.93 30.06 13.36 30.06 54.93 65.96 82.45 30.06 13.36 30.06 13.36 54.93 54.93 34.15 15.18 15.18 15.18 52.19 30.06 13.36 30.06 13.36 54.93 54.93 54.93 10.00 175.70 13.36 30.06 13.36 54.93 13.36 13.36 13.36 54.93 13.36 144.69 54.93 30.06 13.36 87.00 per visit 13.36 54.93 87.00 per visit 54.93 54.93 13.36 30.06 13.36 30.06 13.36 49.44 362002463 771 FP ADMIN PNEUMOCOCCAL VAC G0009 206.70 206.70 175.70 10.00 123.81 54.93 30.06 13.36 30.06 13.36 54.93 54.93 144.69 54.93 13.36 54.93 30.06 13.36 30.06 54.93 65.96 82.45 30.06 13.36 30.06 13.36 54.93 54.93 34.15 15.18 15.18 15.18 52.19 30.06 13.36 30.06 13.36 54.93 54.93 54.93 10.00 175.70 13.36 30.06 13.36 54.93 13.36 13.36 13.36 54.93 13.36 144.69 54.93 30.06 13.36 87.00 per visit 13.36 54.93 87.00 per visit 54.93 54.93 13.36 30.06 13.36 30.06 13.36 49.44 362600498 770 CA SCREEN; PELVIC/BREAST EXAM G0101 289.38 289.38 444.20 18.44 18.44 103.08 444.20 197.42 444.20 197.42 103.08 103.08 202.57 103.08 197.42 103.08 444.20 197.42 444.20 103.08 36.96 46.20 444.20 197.42 444.20 197.42 103.08 103.08 412.94 183.53 183.53 183.53 29.24 444.20 197.42 444.20 197.42 103.08 103.08 103.08 36.00 245.97 197.42 444.20 197.42 103.08 197.42 197.42 197.42 103.08 197.42 202.57 103.08 444.20 197.42 103.08 197.42 103.08 103.08 103.08 103.08 197.42 444.20 197.42 444.20 197.42 27.70 362600499 770 "PROSTATE CA SCREENING, DRE" G0102 289.38 289.38 245.97 0.00 5.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 202.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.40 14.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.41 245.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 202.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.54 450000218 450 ER WOUND CLOSURE BY ADHESIVE G0168 295.74 295.74 2044.00 0.00 625.00 case rate 0.00 1194.00 530.67 1194.00 530.67 0.00 0.00 207.02 0.00 530.67 0.00 1194.00 530.67 1194.00 0.00 1635.00 2044.00 1194.00 530.67 1194.00 530.67 0.00 0.00 1110.04 165.00 per visit 493.35 165.00 per visit 225.00 per visit 1194.00 530.67 1194.00 530.67 0.00 0.00 0.00 122.00 1085.00 per visit 530.67 1194.00 530.67 0.00 530.67 530.67 530.67 0.00 530.67 207.02 0.00 1194.00 530.67 775.00 per case 530.67 0.00 775.00 per case 0.00 0.00 530.67 1194.00 530.67 1194.00 530.67 14.78 904000001 904 PSYCH DAY ACTIVITY G0176 118.72 118.72 100.91 0.00 71.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.10 100.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 942000001 942 PSYCH DAY EDUCATION G0177 118.72 118.72 100.91 0.00 71.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.10 100.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.10 0.00 0.00 0.00 81.00 per visit 0.00 0.00 81.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362020005 942 MNT EA 15 M AFTER 2ND REFRL G0270 108.12 108.12 91.90 0.00 17.89 29.87 82.04 36.46 82.04 36.46 29.87 29.87 75.68 29.87 36.46 29.87 82.04 36.46 82.04 29.87 32.44 32.44 82.04 36.46 82.04 36.46 29.87 29.87 0.00 0.00 0.00 0.00 28.38 82.04 36.46 82.04 36.46 29.87 29.87 29.87 22.61 91.90 36.46 82.04 36.46 29.87 36.46 36.46 36.46 29.87 36.46 75.68 29.87 82.04 36.46 81.00 per visit 36.46 29.87 81.00 per visit 29.87 29.87 36.46 82.04 36.46 82.04 36.46 26.88 362020006 942 MNT GRP/30M AFTER 2ND RFERL G0271 61.48 61.48 81.00 0.00 10.19 17.02 67.38 29.95 67.38 29.95 17.02 17.02 43.04 17.02 29.95 17.02 67.38 29.95 67.38 17.02 18.44 18.44 67.38 29.95 67.38 29.95 17.02 17.02 0.00 0.00 0.00 0.00 16.17 67.38 29.95 67.38 29.95 17.02 17.02 17.02 9.00 52.26 29.95 67.38 29.95 17.02 29.95 29.95 29.95 17.02 29.95 43.04 17.02 67.38 29.95 81.00 per visit 29.95 17.02 81.00 per visit 17.02 17.02 29.95 67.38 29.95 67.38 29.95 15.32 413000001 413 TREATMENT PER 30 MIN SEGMENT M G0277 1310.16 1310.16 5864.00 109.00 2900.00 once per unique code per service date 160.46 1690.43 751.30 1690.43 751.30 160.46 160.46 917.11 160.46 751.30 160.46 1690.43 751.30 1690.43 160.46 4691.00 5864.00 1690.43 751.30 1690.43 751.30 160.46 160.46 1571.49 698.44 698.44 698.44 203.67 1690.43 751.30 1690.43 751.30 160.46 160.46 160.46 109.00 2262.00 per visit 751.30 1690.43 751.30 160.46 751.30 751.30 751.30 160.46 751.30 917.11 160.46 1690.43 751.30 1298.00 per visit 751.30 160.46 1298.00 per visit 160.46 160.46 751.30 1690.43 751.30 1690.43 751.30 300.00 360005000 762 OBSERVATION PER HR G0378 438.84 438.84 8035.00 0.00 1665.00 case rate 0.00 74.66 33.18 74.66 33.18 0.00 0.00 3575.00 per stay 0.00 33.18 0.00 74.66 33.18 74.66 0.00 6428.00 case rate 8035.00 case rate 74.66 33.18 74.66 33.18 0.00 0.00 30.85 2200.00 30.85 2200.00 0.00 74.66 33.18 74.66 33.18 0.00 0.00 0.00 39.00 373.01 33.18 74.66 33.18 0.00 33.18 33.18 33.18 0.00 33.18 307.19 0.00 74.66 33.18 2500 per case 33.18 0.00 2500 per case 0.00 0.00 33.18 74.66 33.18 74.66 33.18 500.00 360005001 762 OBSERVATION DIR REFER PER HR G0379 1992.80 1992.80 8035.00 197.38 1665.00 case rate 742.77 477.70 212.31 477.70 212.31 742.77 742.77 3575.00 per stay 742.77 212.31 742.77 477.70 212.31 477.70 742.77 6428.00 case rate 8035.00 case rate 477.70 212.31 477.70 212.31 742.77 742.77 444.11 2200.00 197.38 2200.00 705.63 477.70 212.31 477.70 212.31 742.77 742.77 742.77 1394.96 1693.88 212.31 477.70 212.31 742.77 212.31 212.31 212.31 742.77 212.31 1394.96 742.77 477.70 212.31 2500 per case 212.31 742.77 2500 per case 742.77 742.77 212.31 477.70 212.31 477.70 212.31 500.00 362002045 770 IM INITIAL PREVENTIVE EXAM G0402 445.20 445.20 444.20 85.67 85.67 152.87 444.20 197.42 444.20 197.42 152.87 152.87 311.64 152.87 197.42 152.87 444.20 197.42 444.20 152.87 171.74 214.67 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 135.87 444.20 197.42 444.20 197.42 152.87 152.87 152.87 311.64 378.42 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 311.64 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 128.72 362002465 770 FP INITIAL PREVENTIVE EXAM G0402 445.20 445.20 444.20 85.67 85.67 152.87 444.20 197.42 444.20 197.42 152.87 152.87 311.64 152.87 197.42 152.87 444.20 197.42 444.20 152.87 171.74 214.67 444.20 197.42 444.20 197.42 152.87 152.87 412.94 183.53 183.53 183.53 135.87 444.20 197.42 444.20 197.42 152.87 152.87 152.87 311.64 378.42 197.42 444.20 197.42 152.87 197.42 197.42 197.42 152.87 197.42 311.64 152.87 444.20 197.42 152.87 197.42 152.87 152.87 152.87 152.87 197.42 444.20 197.42 444.20 197.42 128.72 362002046 730 IM EKG TRACING FOR IPPE G0404 65.72 65.72 101.68 4.50 4.50 34.43 101.68 45.19 101.68 45.19 34.43 34.43 46.00 34.43 45.19 34.43 101.68 45.19 101.68 34.43 9.03 11.29 101.68 45.19 101.68 45.19 34.43 34.43 94.53 42.01 42.01 42.01 7.14 101.68 45.19 101.68 45.19 34.43 34.43 34.43 46.00 42.72 45.19 101.68 45.19 34.43 45.19 45.19 45.19 34.43 45.19 46.00 34.43 101.68 45.19 101.00 per visit 45.19 34.43 101.00 per visit 34.43 34.43 45.19 101.68 45.19 101.68 45.19 6.77 362002466 730 FP EKG TRACING FOR IPPE G0404 65.72 65.72 101.68 4.50 4.50 34.43 101.68 45.19 101.68 45.19 34.43 34.43 46.00 34.43 45.19 34.43 101.68 45.19 101.68 34.43 9.03 11.29 101.68 45.19 101.68 45.19 34.43 34.43 94.53 42.01 42.01 42.01 7.14 101.68 45.19 101.68 45.19 34.43 34.43 34.43 46.00 42.72 45.19 101.68 45.19 34.43 45.19 45.19 45.19 34.43 45.19 46.00 34.43 101.68 45.19 101.00 per visit 45.19 34.43 101.00 per visit 34.43 34.43 45.19 101.68 45.19 101.68 45.19 6.77 362600500 770 AWV PPPS INIT VST-X1 PR LFTIME G0438 615.86 615.86 523.48 110.75 110.75 184.89 444.20 197.42 444.20 197.42 184.89 184.89 431.10 184.89 197.42 184.89 444.20 197.42 444.20 184.89 222.02 277.52 444.20 197.42 444.20 197.42 184.89 184.89 412.94 183.53 183.53 183.53 175.65 444.20 197.42 444.20 197.42 184.89 184.89 184.89 431.10 523.48 197.42 444.20 197.42 184.89 197.42 197.42 197.42 184.89 197.42 431.10 184.89 444.20 197.42 184.89 197.42 184.89 184.89 184.89 184.89 197.42 444.20 197.42 444.20 197.42 166.40 362600501 770 "AWV PPPS, SUBSEQ VISIT" G0439 481.24 481.24 444.20 87.43 87.43 145.96 444.20 197.42 444.20 197.42 145.96 145.96 336.87 145.96 197.42 145.96 444.20 197.42 444.20 145.96 175.27 219.09 444.20 197.42 444.20 197.42 145.96 145.96 412.94 183.53 183.53 183.53 138.66 444.20 197.42 444.20 197.42 145.96 145.96 145.96 336.87 409.05 197.42 444.20 197.42 145.96 197.42 197.42 197.42 145.96 197.42 336.87 145.96 444.20 197.42 145.96 197.42 145.96 145.96 145.96 145.96 197.42 444.20 197.42 444.20 197.42 131.36 362600507 770 ANNUAL ALCOHOL SCREEN 5-15 MIN G0442 121.90 121.90 124.51 5.92 5.92 33.18 124.51 55.34 124.51 55.34 33.18 33.18 85.33 33.18 55.34 33.18 124.51 55.34 124.51 33.18 11.88 14.84 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 9.40 124.51 55.34 124.51 55.34 33.18 33.18 33.18 85.33 103.62 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 85.33 33.18 124.51 55.34 33.18 55.34 33.18 33.18 33.18 33.18 55.34 124.51 55.34 124.51 55.34 8.90 916000001 916 CMHC FAMILY VISIT G0442 235.32 235.32 200.02 8.90 140.96 33.18 124.51 55.34 124.51 55.34 33.18 33.18 164.72 33.18 55.34 33.18 124.51 55.34 124.51 33.18 70.60 70.60 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 9.40 124.51 55.34 124.51 55.34 33.18 33.18 33.18 164.72 200.02 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 164.72 33.18 124.51 55.34 33.18 55.34 33.18 33.18 33.18 33.18 55.34 124.51 55.34 124.51 55.34 8.90 362600508 770 BRIEF ALCOHOL MISUSE COUNSEL G0443 289.38 289.38 275.69 14.71 14.71 103.08 275.69 122.53 275.69 122.53 103.08 103.08 202.57 103.08 122.53 103.08 275.69 122.53 275.69 103.08 29.49 36.86 275.69 122.53 275.69 122.53 103.08 103.08 256.29 113.91 113.91 113.91 23.33 275.69 122.53 275.69 122.53 103.08 103.08 103.08 202.57 245.97 122.53 275.69 122.53 103.08 122.53 122.53 122.53 103.08 122.53 202.57 103.08 275.69 122.53 103.08 122.53 103.08 103.08 103.08 103.08 122.53 275.69 122.53 275.69 122.53 22.10 362600509 770 ANNUAL DEPRESSION SCRN 5-15 MN G0444 121.90 121.90 124.51 5.92 5.92 33.18 124.51 55.34 124.51 55.34 33.18 33.18 85.33 33.18 55.34 33.18 124.51 55.34 124.51 33.18 11.88 14.84 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 9.40 124.51 55.34 124.51 55.34 33.18 33.18 33.18 85.33 103.62 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 85.33 33.18 124.51 55.34 33.18 55.34 33.18 33.18 33.18 33.18 55.34 124.51 55.34 124.51 55.34 8.90 362600506 770 INTENS BEHAVE THER CARDIO DX G0446 137.80 137.80 124.51 14.95 14.95 33.18 124.51 55.34 124.51 55.34 33.18 33.18 96.46 33.18 55.34 33.18 124.51 55.34 124.51 33.18 29.96 37.45 124.51 55.34 124.51 55.34 33.18 33.18 115.75 51.44 51.44 51.44 23.70 124.51 55.34 124.51 55.34 33.18 33.18 33.18 96.46 117.13 55.34 124.51 55.34 33.18 55.34 55.34 55.34 33.18 55.34 96.46 33.18 124.51 55.34 33.18 55.34 33.18 33.18 33.18 33.18 55.34 124.51 55.34 124.51 55.34 22.46 362020021 770 BEHAVIOR COUNSEL OBESITY 15M G0447 291.50 291.50 275.69 14.71 14.71 103.08 275.69 122.53 275.69 122.53 103.08 103.08 204.05 103.08 122.53 103.08 275.69 122.53 275.69 103.08 29.49 36.86 275.69 122.53 275.69 122.53 103.08 103.08 256.29 113.91 113.91 113.91 23.33 275.69 122.53 275.69 122.53 103.08 103.08 103.08 28.23 247.78 122.53 275.69 122.53 103.08 122.53 122.53 122.53 103.08 122.53 204.05 103.08 275.69 122.53 103.08 122.53 103.08 103.08 103.08 103.08 122.53 275.69 122.53 275.69 122.53 22.10 362020022 770 GROUP OBESITY BEHAV COUNS 2-10 G0473 106.00 106.00 142.44 7.43 7.43 33.18 142.44 63.31 142.44 63.31 33.18 33.18 74.20 33.18 63.31 33.18 142.44 63.31 142.44 33.18 14.90 18.63 142.44 63.31 142.44 63.31 33.18 33.18 132.42 58.85 58.85 58.85 11.79 142.44 63.31 142.44 63.31 33.18 33.18 33.18 74.20 90.10 63.31 142.44 63.31 33.18 63.31 63.31 63.31 33.18 63.31 74.20 33.18 142.44 63.31 33.18 63.31 33.18 33.18 33.18 33.18 63.31 142.44 63.31 142.44 63.31 11.17 362600514 510 COMP ASSES CARE PLAN CCM SVC G0506 318.00 318.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 270.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.27 362002081 914 BRIEF CHECK IN BY MD/QHP G2012 269.24 269.24 228.85 0.00 161.27 0.00 38.93 17.30 38.93 17.30 0.00 0.00 188.47 0.00 17.30 0.00 38.93 17.30 38.93 0.00 80.77 80.77 38.93 17.30 38.93 17.30 0.00 0.00 38.93 17.30 17.30 17.30 13.28 38.93 17.30 38.93 17.30 0.00 0.00 0.00 17.00 228.85 17.30 38.93 17.30 0.00 17.30 17.30 17.30 0.00 17.30 188.47 0.00 38.93 17.30 13.98 17.30 0.00 13.98 0.00 0.00 17.30 38.93 17.30 38.93 17.30 12.58 362002089 914 BRIEF CHECK IN BY MD/QHP G2012 269.24 269.24 228.85 0.00 161.27 0.00 38.93 17.30 38.93 17.30 0.00 0.00 188.47 0.00 17.30 0.00 38.93 17.30 38.93 0.00 80.77 80.77 38.93 17.30 38.93 17.30 0.00 0.00 38.93 17.30 17.30 17.30 13.28 38.93 17.30 38.93 17.30 0.00 0.00 0.00 17.00 228.85 17.30 38.93 17.30 0.00 17.30 17.30 17.30 0.00 17.30 188.47 0.00 38.93 17.30 13.98 17.30 0.00 13.98 0.00 0.00 17.30 38.93 17.30 38.93 17.30 12.58 362002097 510 BRIEF CHECK IN BY MD/QHP G2012 269.24 269.24 283.00 0.00 0.00 0.00 33.70 14.98 33.70 14.98 0.00 0.00 0.00 0.00 14.98 0.00 33.70 14.98 33.70 0.00 226.00 283.00 33.70 14.98 33.70 14.98 0.00 0.00 31.32 13.92 13.92 13.92 13.28 33.70 14.98 33.70 14.98 0.00 0.00 0.00 17.00 228.85 14.98 33.70 14.98 0.00 14.98 14.98 14.98 0.00 14.98 188.47 0.00 33.70 14.98 142.00 per visit 14.98 0.00 142.00 per visit 0.00 0.00 14.98 33.70 14.98 33.70 14.98 12.58 362002107 914 BRIEF CHECK IN BY MD/QHP LANG G2012U4 269.24 269.24 228.85 0.00 161.27 0.00 38.93 17.30 38.93 17.30 0.00 0.00 188.47 0.00 17.30 0.00 38.93 17.30 38.93 0.00 80.77 80.77 38.93 17.30 38.93 17.30 0.00 0.00 38.93 17.30 17.30 17.30 13.28 38.93 17.30 38.93 17.30 0.00 0.00 0.00 188.47 228.85 17.30 38.93 17.30 0.00 17.30 17.30 17.30 0.00 17.30 188.47 0.00 38.93 17.30 13.98 17.30 0.00 13.98 0.00 0.00 17.30 38.93 17.30 38.93 17.30 12.58 362002116 914 BRIEF CHECK IN BY MD/QHP LANG G2012U4 269.24 269.24 228.85 0.00 161.27 0.00 38.93 17.30 38.93 17.30 0.00 0.00 188.47 0.00 17.30 0.00 38.93 17.30 38.93 0.00 80.77 80.77 38.93 17.30 38.93 17.30 0.00 0.00 38.93 17.30 17.30 17.30 13.28 38.93 17.30 38.93 17.30 0.00 0.00 0.00 188.47 228.85 17.30 38.93 17.30 0.00 17.30 17.30 17.30 0.00 17.30 188.47 0.00 38.93 17.30 13.98 17.30 0.00 13.98 0.00 0.00 17.30 38.93 17.30 38.93 17.30 12.58 362002125 510 BRIEF CHECK IN BY MD/QHP LANG G2012U4 269.24 269.24 283.00 0.00 0.00 0.00 38.93 17.30 38.93 17.30 0.00 0.00 0.00 0.00 17.30 0.00 38.93 17.30 38.93 0.00 226.00 283.00 38.93 17.30 38.93 17.30 0.00 0.00 38.93 17.30 17.30 17.30 13.28 38.93 17.30 38.93 17.30 0.00 0.00 0.00 188.47 228.85 17.30 38.93 17.30 0.00 17.30 17.30 17.30 0.00 17.30 188.47 0.00 38.93 17.30 142.00 per visit 17.30 0.00 142.00 per visit 0.00 0.00 17.30 38.93 17.30 38.93 17.30 12.58 363000002 914 OUTREACH ENGAGEMENT H0023 344.50 344.50 292.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.15 241.15 0.00 0.00 0.00 0.00 0.00 241.15 103.35 103.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.15 292.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 914000033 914 OUTREACH ENGAGEMENT H0023 344.50 344.50 292.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.15 241.15 0.00 0.00 0.00 0.00 0.00 241.15 103.35 103.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.15 292.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 363000001 919 OUTREACH ENGAGEMENT LANGUAGE H0023U4 371.00 371.00 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 0.00 0.00 0.00 0.00 0.00 259.70 111.30 111.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 919000013 919 OUTREACH ENGAGEMENT LANGUAGE H0023U4 371.00 371.00 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 0.00 0.00 0.00 0.00 0.00 259.70 111.30 111.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500005 907 YTHPR SUPSVCTRN PRF EA15MN H0038EP 53.00 53.00 64.89 0.00 31.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 37.10 15.90 15.90 0.00 0.00 0.00 0.00 0.00 0.00 64.89 28.84 28.84 28.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 45.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500006 907 YTHPR SUPSVCTRN PRF GRP EA15MN H0038EPHQ 26.50 26.50 25.31 0.00 15.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 18.55 7.95 7.95 0.00 0.00 0.00 0.00 0.00 0.00 25.31 11.25 11.25 11.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500008 907 OFST YTHPR SPSVCTR GRP EA15MN H0038EPHQSC 5.30 5.30 25.31 0.00 3.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 3.71 1.59 1.59 0.00 0.00 0.00 0.00 0.00 0.00 25.31 11.25 11.25 11.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500004 907 OFST FAMPR SUPPSVC GRP EA15MN H0038EPHQSCUK 5.30 5.30 25.31 0.00 3.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 3.71 1.59 1.59 0.00 0.00 0.00 0.00 0.00 0.00 25.31 11.25 11.25 11.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500012 907 TLMD OFST FMPR SUPSV GP EA15MN H0038EPHQSCUKGT 5.30 5.30 25.31 0.00 3.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 3.71 1.59 1.59 0.00 0.00 0.00 0.00 0.00 0.00 25.31 11.25 11.25 11.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500007 907 OFST YTHPR SPSVCTR INDV EA15MN H0038EPSC 10.60 10.60 64.89 0.00 6.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 7.42 3.18 3.18 0.00 0.00 0.00 0.00 0.00 0.00 64.89 28.84 28.84 28.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500001 907 FAMPEER SUPPSVC PRF EA15MN H0038EPUK 53.00 53.00 64.89 0.00 31.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 37.10 15.90 15.90 0.00 0.00 0.00 0.00 0.00 0.00 64.89 28.84 28.84 28.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 45.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500009 907 TLMD FMPR SUPSVC PRF EA15MN H0038EPUKGT 53.00 53.00 64.89 0.00 31.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 37.10 15.90 15.90 0.00 0.00 0.00 0.00 0.00 0.00 64.89 28.84 28.84 28.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 45.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500002 907 FAMPEER SUPPSVC PRF GRP EA15MN H0038EPUKHQ 26.50 26.50 25.31 0.00 15.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 18.55 7.95 7.95 0.00 0.00 0.00 0.00 0.00 0.00 25.31 11.25 11.25 11.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500010 907 TLMD FMPR SUPSVC PRF GP EA15MN H0038EPUKHQGT 26.50 26.50 25.31 0.00 15.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 18.55 7.95 7.95 0.00 0.00 0.00 0.00 0.00 0.00 25.31 11.25 11.25 11.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500003 907 OFST FAMPR SUPPSVC INDV EA15MN H0038EPUKSC 10.60 10.60 64.89 0.00 6.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 7.42 3.18 3.18 0.00 0.00 0.00 0.00 0.00 0.00 64.89 28.84 28.84 28.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372500011 907 TLMD OFST FMPR SUPSV IN EA15MN H0038EPUKSCGT 10.60 10.60 64.89 0.00 6.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 7.42 3.18 3.18 0.00 0.00 0.00 0.00 0.00 0.00 64.89 28.84 28.84 28.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 363000017 944 PSYCHOTROPIC MEDICATION ADMIN H2010 201.40 201.40 194.25 0.00 120.64 0.00 194.25 86.34 194.25 86.34 0.00 0.00 140.98 140.98 86.34 0.00 194.25 86.34 194.25 140.98 60.42 60.42 194.25 86.34 194.25 86.34 0.00 0.00 168.67 74.96 74.96 74.96 0.00 194.25 86.34 194.25 86.34 0.00 0.00 0.00 140.98 171.19 86.34 194.25 86.34 0.00 86.34 86.34 86.34 0.00 86.34 140.98 0.00 194.25 86.34 0.00 86.34 0.00 0.00 0.00 0.00 86.34 194.25 86.34 194.25 86.34 0.00 910000003 944 PSYCHOTROPIC MEDICATION ADMIN H2010 228.96 228.96 194.62 0.00 137.15 0.00 194.25 86.34 194.25 86.34 0.00 0.00 160.27 160.27 86.34 0.00 194.25 86.34 194.25 160.27 68.69 68.69 194.25 86.34 194.25 86.34 0.00 0.00 168.67 74.96 74.96 74.96 0.00 194.25 86.34 194.25 86.34 0.00 0.00 0.00 160.27 194.62 86.34 194.25 86.34 0.00 86.34 86.34 86.34 0.00 86.34 160.27 0.00 194.25 86.34 0.00 86.34 0.00 0.00 0.00 0.00 86.34 194.25 86.34 194.25 86.34 0.00 363000004 914 CRISIS INTERVENTION 15MIN H2011 222.60 222.60 189.21 0.00 133.34 0.00 187.78 83.46 187.78 83.46 0.00 0.00 155.82 155.82 83.46 0.00 187.78 83.46 187.78 155.82 66.78 66.78 187.78 83.46 187.78 83.46 0.00 0.00 163.04 72.46 72.46 72.46 0.00 187.78 83.46 187.78 83.46 0.00 0.00 0.00 43.00 189.21 83.46 187.78 83.46 0.00 83.46 83.46 83.46 0.00 83.46 155.82 0.00 187.78 83.46 0.00 83.46 0.00 0.00 0.00 0.00 83.46 187.78 83.46 187.78 83.46 0.00 910000005 914 CRISIS INTERVENTION 15MIN H2011 222.60 222.60 189.21 0.00 133.34 0.00 187.78 83.46 187.78 83.46 0.00 0.00 155.82 155.82 83.46 0.00 187.78 83.46 187.78 155.82 66.78 66.78 187.78 83.46 187.78 83.46 0.00 0.00 163.04 72.46 72.46 72.46 0.00 187.78 83.46 187.78 83.46 0.00 0.00 0.00 43.00 189.21 83.46 187.78 83.46 0.00 83.46 83.46 83.46 0.00 83.46 155.82 0.00 187.78 83.46 0.00 83.46 0.00 0.00 0.00 0.00 83.46 187.78 83.46 187.78 83.46 0.00 362002152 914 CRISIS INTERVENT TELMD 15MN H2011GT 222.60 222.60 189.21 0.00 133.34 0.00 187.78 83.46 187.78 83.46 0.00 0.00 155.82 155.82 83.46 0.00 187.78 83.46 187.78 155.82 66.78 66.78 187.78 83.46 187.78 83.46 0.00 0.00 163.04 72.46 72.46 72.46 0.00 187.78 83.46 187.78 83.46 0.00 0.00 0.00 155.82 189.21 83.46 187.78 83.46 0.00 83.46 83.46 83.46 0.00 83.46 155.82 0.00 187.78 83.46 0.00 83.46 0.00 0.00 0.00 0.00 83.46 187.78 83.46 187.78 83.46 0.00 362002160 914 CRISIS INTERVENT TELMD 15MN H2011GT 222.60 222.60 189.21 0.00 133.34 0.00 187.78 83.46 187.78 83.46 0.00 0.00 155.82 155.82 83.46 0.00 187.78 83.46 187.78 155.82 66.78 66.78 187.78 83.46 187.78 83.46 0.00 0.00 163.04 72.46 72.46 72.46 0.00 187.78 83.46 187.78 83.46 0.00 0.00 0.00 155.82 189.21 83.46 187.78 83.46 0.00 83.46 83.46 83.46 0.00 83.46 155.82 0.00 187.78 83.46 0.00 83.46 0.00 0.00 0.00 0.00 83.46 187.78 83.46 187.78 83.46 0.00 362002153 914 CRISIS INTERVENT TELMD 15MN LG H2011GTU4 222.60 222.60 189.21 0.00 133.34 0.00 187.78 83.46 187.78 83.46 0.00 0.00 155.82 155.82 83.46 0.00 187.78 83.46 187.78 155.82 66.78 66.78 187.78 83.46 187.78 83.46 0.00 0.00 163.04 72.46 72.46 72.46 0.00 187.78 83.46 187.78 83.46 0.00 0.00 0.00 155.82 189.21 83.46 187.78 83.46 0.00 83.46 83.46 83.46 0.00 83.46 155.82 0.00 187.78 83.46 0.00 83.46 0.00 0.00 0.00 0.00 83.46 187.78 83.46 187.78 83.46 0.00 362002161 914 CRISIS INTERVENT TELMD 15MN LG H2011GTU4 222.60 222.60 189.21 0.00 133.34 0.00 187.78 83.46 187.78 83.46 0.00 0.00 155.82 155.82 83.46 0.00 187.78 83.46 187.78 155.82 66.78 66.78 187.78 83.46 187.78 83.46 0.00 0.00 163.04 72.46 72.46 72.46 0.00 187.78 83.46 187.78 83.46 0.00 0.00 0.00 155.82 189.21 83.46 187.78 83.46 0.00 83.46 83.46 83.46 0.00 83.46 155.82 0.00 187.78 83.46 0.00 83.46 0.00 0.00 0.00 0.00 83.46 187.78 83.46 187.78 83.46 0.00 363000003 919 CRISIS INTER 15MIN/LANG H2011U4 222.60 222.60 189.21 0.00 133.34 0.00 187.78 83.46 187.78 83.46 0.00 0.00 155.82 155.82 83.46 0.00 187.78 83.46 187.78 155.82 66.78 66.78 187.78 83.46 187.78 83.46 0.00 0.00 163.04 72.46 72.46 72.46 0.00 187.78 83.46 187.78 83.46 0.00 0.00 0.00 155.82 189.21 83.46 187.78 83.46 0.00 83.46 83.46 83.46 0.00 83.46 155.82 0.00 187.78 83.46 0.00 83.46 0.00 0.00 0.00 0.00 83.46 187.78 83.46 187.78 83.46 0.00 919000018 919 CRISIS INTER 15MIN/LANG H2011U4 222.60 222.60 189.21 0.00 133.34 0.00 187.78 83.46 187.78 83.46 0.00 0.00 155.82 155.82 83.46 0.00 187.78 83.46 187.78 155.82 66.78 66.78 187.78 83.46 187.78 83.46 0.00 0.00 163.04 72.46 72.46 72.46 0.00 187.78 83.46 187.78 83.46 0.00 0.00 0.00 155.82 189.21 83.46 187.78 83.46 0.00 83.46 83.46 83.46 0.00 83.46 155.82 0.00 187.78 83.46 0.00 83.46 0.00 0.00 0.00 0.00 83.46 187.78 83.46 187.78 83.46 0.00 351000112 636 OFIRMEV 10MG/ML J0131 0.00 0.00 0.08 0.00 0.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.05 0.04 0.04 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001134 636 ACYCLOVIR 1 GRAM VIAL J0133 0.00 0.00 0.09 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.05 0.65 of charges 0.00 0.06 0.04 0.04 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001135 636 ACYCLOVIR 500 MG J0133 0.00 0.00 0.09 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.05 0.65 of charges 0.00 0.06 0.04 0.04 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000401 636 ACYCLOVIR 400MG J0133 0.00 0.00 0.09 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.05 0.65 of charges 0.00 0.06 0.04 0.04 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500474 636 ADENOSINE 6MG/2ML VIAL J0153 0.00 0.00 89.75 0.00 0.69 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.99 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.54 0.65 of charges 39.89 0.60 0.47 0.47 39.89 39.89 39.89 0.47 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000060 636 ADENOCARD 6 MG VIAL J0153 0.00 0.00 89.75 0.00 0.69 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.99 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.54 0.65 of charges 39.89 0.60 0.47 0.47 39.89 39.89 39.89 0.47 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000432 636 ADENOSINE 6 MG J0153 0.00 0.00 89.75 0.00 0.69 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.99 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.54 0.65 of charges 39.89 0.60 0.47 0.47 39.89 39.89 39.89 0.47 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351000203 636 EPIPEN .15MG J0171 0.00 0.00 1.23 0.00 0.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.78 0.65 of charges 0.00 0.75 0.58 0.58 0.00 0.00 0.00 0.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000204 636 EPIPEN .30MG J0171 0.00 0.00 1.23 0.00 0.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.78 0.65 of charges 0.00 0.75 0.58 0.58 0.00 0.00 0.00 0.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000107 636 EPINEPHRINE 1MG/ML AMP J0171 4.24 4.24 2.97 0.00 0.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.76 2.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.78 2.76 0.00 0.75 0.58 0.58 0.00 0.00 0.00 0.58 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000135 636 EPINEPHRINE 1 MG/10 ML INJ J0171 0.00 0.00 1.23 0.00 0.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.78 0.65 of charges 0.00 0.75 0.58 0.58 0.00 0.00 0.00 0.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000136 636 EPINEPHRINE 1 MG/1 ML INJ J0171 0.00 0.00 1.23 0.00 0.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.78 0.65 of charges 0.00 0.75 0.58 0.58 0.00 0.00 0.00 0.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001342 636 ETHYOL 500 MG INJ J0207 0.00 0.00 1135.69 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1135.69 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000217 636 METHYLDOPATE 250 MG/5 ML J0210 0.00 0.00 483.49 0.00 0.00 0.00 483.49 214.88 483.49 214.88 0.00 0.00 0.00 0.00 214.88 0.00 483.49 214.88 483.49 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 483.49 214.88 483.49 214.88 0.00 0.00 449.49 199.77 199.77 199.77 0.00 483.49 214.88 483.49 214.88 0.00 0.00 0.00 42.40 0.65 of charges 214.88 0.00 0.00 0.00 214.88 214.88 214.88 0.00 214.88 0.00 0.00 483.49 214.88 0.00 214.88 0.00 0.00 0.00 0.00 214.88 483.49 214.88 483.49 214.88 0.00 250001139 636 AMIKIN 500 MG J0278 0.00 0.00 1.36 0.00 0.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.94 0.65 of charges 0.00 0.83 0.64 0.64 0.00 0.00 0.00 0.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500517 636 AMIKACIN SULFATE 500MG/2ML VL J0278 0.00 0.00 1.36 0.00 0.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.94 0.65 of charges 0.00 0.83 0.64 0.64 0.00 0.00 0.00 0.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341000059 636 AMINOPHYLLIN UP TO 250 MG J0280 34.98 34.98 24.49 0.00 5.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.74 22.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.59 22.74 0.00 5.13 3.98 3.98 0.00 0.00 0.00 3.98 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000065 636 AMINOPHYLLINE 250 MG VIAL J0280 0.00 0.00 10.59 0.00 5.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.59 0.65 of charges 0.00 5.13 3.98 3.98 0.00 0.00 0.00 3.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000066 636 AMINOPHYLLINE 500 MG VIAL J0280 0.00 0.00 10.59 0.00 5.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.59 0.65 of charges 0.00 5.13 3.98 3.98 0.00 0.00 0.00 3.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000100 636 CORDARONE 150 MG INJ J0282 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.43 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000146 636 FUNGIZONE 50 MG INJ J0285 0.00 0.00 89.75 0.00 10.87 0.00 89.75 39.89 89.75 39.89 0.00 0.00 15.64 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 24.62 0.65 of charges 39.89 9.54 7.39 7.39 39.89 39.89 39.89 7.39 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001304 636 AMPHOTERICIN B LIPID CO 100MG J0287 0.00 0.00 483.49 0.00 0.00 11.13 483.49 214.88 483.49 214.88 11.13 11.13 18.25 11.13 214.88 11.13 483.49 214.88 483.49 11.13 0.65 of eligible billed charges 0.65 of eligible billed charges 483.49 214.88 483.49 214.88 11.13 11.13 449.49 199.77 199.77 199.77 10.57 483.49 214.88 483.49 214.88 11.13 11.13 11.13 11.13 0.65 of charges 214.88 0.00 0.00 0.00 214.88 214.88 214.88 0.00 214.88 0.00 11.13 483.49 214.88 11.13 214.88 11.13 11.13 11.13 11.13 214.88 483.49 214.88 483.49 214.88 10.02 351500467 636 AMPHOT B LIPOSOM 10MG INJ J0289 0.00 0.00 2043.97 0.00 30.39 26.66 2043.97 908.43 2043.97 908.43 26.66 26.66 43.72 26.66 908.43 26.66 2043.97 908.43 2043.97 26.66 0.65 of eligible billed charges 0.65 of eligible billed charges 2043.97 908.43 2043.97 908.43 26.66 26.66 1900.23 844.55 844.55 844.55 25.33 2043.97 908.43 2043.97 908.43 26.66 26.66 26.66 27.92 0.65 of charges 908.43 26.66 20.66 20.66 908.43 908.43 908.43 20.66 908.43 0.00 26.66 2043.97 908.43 26.66 908.43 26.66 26.66 26.66 26.66 908.43 2043.97 908.43 2043.97 908.43 23.99 636000350 636 AMBISOME 50 MG VIAL J0289 0.00 0.00 2043.97 0.00 30.39 26.66 2043.97 908.43 2043.97 908.43 26.66 26.66 43.72 26.66 908.43 26.66 2043.97 908.43 2043.97 26.66 0.65 of eligible billed charges 0.65 of eligible billed charges 2043.97 908.43 2043.97 908.43 26.66 26.66 1900.23 844.55 844.55 844.55 25.33 2043.97 908.43 2043.97 908.43 26.66 26.66 26.66 27.92 0.65 of charges 908.43 26.66 20.66 20.66 908.43 908.43 908.43 20.66 908.43 0.00 26.66 2043.97 908.43 26.66 908.43 26.66 26.66 26.66 26.66 908.43 2043.97 908.43 2043.97 908.43 23.99 636000068 636 AMPICILLIN 1 GRAM VIAL J0290 0.00 0.00 1.66 0.00 1.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.95 0.65 of charges 0.00 1.01 0.78 0.78 0.00 0.00 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000070 636 AMPICILLIN 2 GRAM VIAL J0290 0.00 0.00 1.66 0.00 1.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.95 0.65 of charges 0.00 1.01 0.78 0.78 0.00 0.00 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000071 636 AMPICILLIN 500 MG VIAL J0290 0.00 0.00 1.66 0.00 1.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.95 0.65 of charges 0.00 1.01 0.78 0.78 0.00 0.00 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000296 636 UNASYN 1.5 GM VIAL J0295 0.00 0.00 2.90 0.00 2.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.05 0.65 of charges 0.00 1.77 1.37 1.37 0.00 0.00 0.00 1.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000297 636 UNASYN 3 GM VIAL J0295 0.00 0.00 2.90 0.00 2.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.05 0.65 of charges 0.00 1.77 1.37 1.37 0.00 0.00 0.00 1.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000290 636 SUCCINYLCHOLINE 200 MG/20 ML J0330 0.00 0.00 0.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.15 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000166 636 HYDRALAZINE 20 MG/1 ML J0360 0.00 0.00 9.16 0.00 6.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.76 0.65 of charges 0.00 5.59 4.33 4.33 0.00 0.00 0.00 4.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000347 636 ABILIFY 9.75 MG J0400 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.76 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351000346 636 ABILIFY MAINTENA 400MG J0401 0.00 0.00 11.17 0.00 7.76 6.81 cost cost cost cost 6.81 6.81 11.17 6.81 cost 6.81 cost cost cost 6.81 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 6.81 6.81 cost cost cost cost 6.47 cost cost cost cost 6.81 6.81 6.81 6.82 0.65 of charges cost 6.81 5.28 5.28 cost cost cost 5.28 cost 0.00 6.81 cost cost 6.81 cost 6.81 6.81 6.81 6.81 cost cost cost cost cost 6.13 351500050 636 ABILIFY MAINTENA 300MG J0401 0.00 0.00 11.17 0.00 7.76 6.81 cost cost cost cost 6.81 6.81 11.17 6.81 cost 6.81 cost cost cost 6.81 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 6.81 6.81 cost cost cost cost 6.47 cost cost cost cost 6.81 6.81 6.81 6.82 0.65 of charges cost 6.81 5.28 5.28 cost cost cost 5.28 cost 0.00 6.81 cost cost 6.81 cost 6.81 6.81 6.81 6.81 cost cost cost cost cost 6.13 636000315 636 ZITHROMAX 500 MG VIAL J0456 0.00 0.00 4.26 0.00 2.96 0.00 cost cost cost cost 0.00 0.00 4.26 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.79 0.65 of charges cost 2.60 2.02 2.02 cost cost cost 2.02 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000078 636 ATROPINE 1 MG/10 ML SYRINGE J0461 0.00 0.00 0.12 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.09 0.65 of charges 0.00 0.08 0.06 0.06 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000079 636 ATROPINE 0.4 MG VIAL J0461 0.00 0.00 0.12 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.09 0.65 of charges 0.00 0.08 0.06 0.06 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001316 636 DICYCLOMINE 20 MG/2 ML INJ J0500 0.00 0.00 89.75 0.00 28.46 0.00 89.75 39.89 89.75 39.89 0.00 0.00 40.94 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 21.80 0.65 of charges 39.89 24.97 19.35 19.35 39.89 39.89 39.89 19.35 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000097 636 COGENTIN 2 MG INJ J0515 0.00 0.00 89.75 0.00 18.74 0.00 89.75 39.89 89.75 39.89 0.00 0.00 26.95 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 44.56 0.65 of charges 39.89 16.44 12.74 12.74 39.89 39.89 39.89 12.74 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 362010038 636 PENCILIN G BENZATHINE1.2MIL DS J0561 150.52 150.52 250.36 16.84 24.77 21.73 250.36 111.27 250.36 111.27 21.73 21.73 35.64 21.73 111.27 21.73 250.36 111.27 250.36 21.73 97.84 97.84 250.36 111.27 250.36 111.27 21.73 21.73 232.75 103.44 103.44 103.44 20.64 250.36 111.27 250.36 111.27 21.73 21.73 21.73 20.16 97.84 111.27 21.73 16.84 16.84 111.27 111.27 111.27 16.84 111.27 105.36 21.73 250.36 111.27 21.73 111.27 21.73 21.73 21.73 21.73 111.27 250.36 111.27 250.36 111.27 19.56 362010039 636 PENCILIN G BENZATHINE2.4MIL DS J0561 305.28 305.28 250.36 16.84 24.77 21.73 250.36 111.27 250.36 111.27 21.73 21.73 35.64 21.73 111.27 21.73 250.36 111.27 250.36 21.73 198.43 198.43 250.36 111.27 250.36 111.27 21.73 21.73 232.75 103.44 103.44 103.44 20.64 250.36 111.27 250.36 111.27 21.73 21.73 21.73 20.16 198.43 111.27 21.73 16.84 16.84 111.27 111.27 111.27 16.84 111.27 213.70 21.73 250.36 111.27 21.73 111.27 21.73 21.73 21.73 21.73 111.27 250.36 111.27 250.36 111.27 19.56 636000081 636 BICILLIN L-A 2.4 MILLION UNIT J0561 0.00 0.00 269.25 0.00 24.77 21.73 269.25 119.67 269.25 119.67 21.73 21.73 35.64 21.73 119.67 21.73 269.25 119.67 269.25 21.73 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 21.73 21.73 250.31 111.25 111.25 111.25 20.64 269.25 119.67 269.25 119.67 21.73 21.73 21.73 20.16 0.65 of charges 119.67 21.73 16.84 16.84 119.67 119.67 119.67 16.84 119.67 0.00 21.73 269.25 119.67 21.73 119.67 21.73 21.73 21.73 21.73 119.67 269.25 119.67 269.25 119.67 19.56 636000082 636 BICILLIN L-A 1.2 MU J0561 0.00 0.00 269.25 0.00 24.77 21.73 269.25 119.67 269.25 119.67 21.73 21.73 35.64 21.73 119.67 21.73 269.25 119.67 269.25 21.73 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 21.73 21.73 250.31 111.25 111.25 111.25 20.64 269.25 119.67 269.25 119.67 21.73 21.73 21.73 20.16 0.65 of charges 119.67 21.73 16.84 16.84 119.67 119.67 119.67 16.84 119.67 0.00 21.73 269.25 119.67 21.73 119.67 21.73 21.73 21.73 21.73 119.67 269.25 119.67 269.25 119.67 19.56 636000083 636 "BICILLIN L-A 600,000 UNITS INJ" J0561 0.00 0.00 269.25 0.00 24.77 21.73 269.25 119.67 269.25 119.67 21.73 21.73 35.64 21.73 119.67 21.73 269.25 119.67 269.25 21.73 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 21.73 21.73 250.31 111.25 111.25 111.25 20.64 269.25 119.67 269.25 119.67 21.73 21.73 21.73 20.16 0.65 of charges 119.67 21.73 16.84 16.84 119.67 119.67 119.67 16.84 119.67 0.00 21.73 269.25 119.67 21.73 119.67 21.73 21.73 21.73 21.73 119.67 269.25 119.67 269.25 119.67 19.56 351500312 636 ZINPLAVA 1000MG/40ML VIAL J0565 0.00 0.00 65.37 0.00 45.44 39.86 cost cost cost cost 39.86 39.86 65.37 39.86 cost 39.86 cost cost cost 39.86 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 39.86 39.86 cost cost cost cost 37.87 cost cost cost cost 39.86 39.86 39.86 39.84 0.65 of charges cost 39.86 30.89 30.89 cost cost cost 30.89 cost 0.00 39.86 cost cost 39.86 cost 39.86 39.86 39.86 39.86 cost cost cost cost cost 35.87 250001286 636 ANGIOMAX 250 MG VIAL J0583 0.00 0.00 7.29 0.00 0.24 0.00 7.29 3.24 7.29 3.24 0.00 0.00 0.35 0.00 3.24 0.00 7.29 3.24 7.29 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 7.29 3.24 7.29 3.24 0.00 0.00 7.29 3.24 3.24 3.24 0.00 7.29 3.24 7.29 3.24 0.00 0.00 0.00 0.19 0.65 of charges 3.24 0.21 0.17 0.17 3.24 3.24 3.24 0.17 3.24 0.00 0.00 7.29 3.24 0.00 3.24 0.00 0.00 0.00 0.00 3.24 7.29 3.24 7.29 3.24 0.00 250001263 636 BOTOX 100 UNIT VIAL J0585 0.00 0.00 633.00 0.00 7.21 6.33 cost cost cost cost 6.33 6.33 10.38 6.33 cost 6.33 cost cost cost 6.33 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 6.33 6.33 cost cost cost cost 6.01 cost cost cost cost 6.33 6.33 6.33 633.00 0.65 of charges cost 6.33 4.90 4.90 cost cost cost 4.90 cost 0.00 6.33 cost cost 6.33 cost 6.33 6.33 6.33 6.33 cost cost cost cost cost 5.69 250001254 636 STADOL 1 MG/1 ML VIAL J0595 0.00 0.00 4.59 0.00 3.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.54 0.65 of charges 0.00 2.80 2.17 2.17 0.00 0.00 0.00 2.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001306 636 BUTORPHANOL 2 MG INJ J0595 0.00 0.00 4.59 0.00 3.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.54 0.65 of charges 0.00 2.80 2.17 2.17 0.00 0.00 0.00 2.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500185 636 SENSIPAR 60MG J0604 0.00 0.00 269.25 0.00 0.00 0.00 269.25 119.67 269.25 119.67 0.00 0.00 0.00 0.00 119.67 0.00 269.25 119.67 269.25 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 0.00 0.00 250.31 111.25 111.25 111.25 0.00 269.25 119.67 269.25 119.67 0.00 0.00 0.00 0.00 0.65 of charges 119.67 0.00 0.00 0.00 119.67 119.67 119.67 0.00 119.67 0.00 0.00 269.25 119.67 0.00 119.67 0.00 0.00 0.00 0.00 119.67 269.25 119.67 269.25 119.67 0.00 351500186 636 SENSIPAR 90MG J0604 0.00 0.00 269.25 0.00 0.00 0.00 269.25 119.67 269.25 119.67 0.00 0.00 0.00 0.00 119.67 0.00 269.25 119.67 269.25 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 0.00 0.00 250.31 111.25 111.25 111.25 0.00 269.25 119.67 269.25 119.67 0.00 0.00 0.00 0.00 0.65 of charges 119.67 0.00 0.00 0.00 119.67 119.67 119.67 0.00 119.67 0.00 0.00 269.25 119.67 0.00 119.67 0.00 0.00 0.00 0.00 119.67 269.25 119.67 269.25 119.67 0.00 351500187 636 PARSABIV 2.5MG/0.5ML J0606 0.00 0.00 269.25 0.00 0.00 2.61 269.25 119.67 269.25 119.67 2.61 2.61 4.28 2.61 119.67 2.61 269.25 119.67 269.25 2.61 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 2.61 2.61 250.31 111.25 111.25 111.25 2.48 269.25 119.67 269.25 119.67 2.61 2.61 2.61 0.00 0.65 of charges 119.67 0.00 0.00 0.00 119.67 119.67 119.67 0.00 119.67 0.00 2.61 269.25 119.67 2.61 119.67 2.61 2.61 2.61 2.61 119.67 269.25 119.67 269.25 119.67 2.35 351500189 636 PARSABIV 5MG/1ML J0606 0.00 0.00 269.25 0.00 0.00 2.61 269.25 119.67 269.25 119.67 2.61 2.61 4.28 2.61 119.67 2.61 269.25 119.67 269.25 2.61 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 2.61 2.61 250.31 111.25 111.25 111.25 2.48 269.25 119.67 269.25 119.67 2.61 2.61 2.61 0.00 0.65 of charges 119.67 0.00 0.00 0.00 119.67 119.67 119.67 0.00 119.67 0.00 2.61 269.25 119.67 2.61 119.67 2.61 2.61 2.61 2.61 119.67 269.25 119.67 269.25 119.67 2.35 351500191 636 PARSABIV 10MG/2ML J0606 0.00 0.00 269.25 0.00 0.00 2.61 269.25 119.67 269.25 119.67 2.61 2.61 4.28 2.61 119.67 2.61 269.25 119.67 269.25 2.61 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 2.61 2.61 250.31 111.25 111.25 111.25 2.48 269.25 119.67 269.25 119.67 2.61 2.61 2.61 0.00 0.65 of charges 119.67 0.00 0.00 0.00 119.67 119.67 119.67 0.00 119.67 0.00 2.61 269.25 119.67 2.61 119.67 2.61 2.61 2.61 2.61 119.67 269.25 119.67 269.25 119.67 2.35 636000086 636 CALCIUM GLUCONATE 10% 50 ML J0612 0.00 0.00 0.08 0.00 0.06 0.06 0.00 0.00 0.00 0.00 0.06 0.06 0.08 0.06 0.00 0.06 0.00 0.00 0.00 0.06 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.06 0.06 0.00 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.05 0.65 of charges 0.00 0.05 0.04 0.04 0.00 0.00 0.00 0.04 0.00 0.00 0.06 0.00 0.00 0.06 0.00 0.06 0.06 0.06 0.06 0.00 0.00 0.00 0.00 0.00 0.05 636000220 636 MIACALCIN 400 UNITS/2 ML INJ J0630 0.00 0.00 4403.50 0.00 1219.23 1069.50 4403.50 1957.11 4403.50 1957.11 1069.50 1069.50 1753.98 1069.50 "1,957.11" 1069.50 4403.50 1957.11 4403.50 1069.50 0.65 of eligible billed charges 0.65 of eligible billed charges 4403.50 1957.11 4403.50 1957.11 1069.50 1069.50 4093.84 1819.48 1819.48 1819.48 1016.02 4403.50 1957.11 4403.50 1957.11 1069.50 1069.50 1069.50 1296.36 0.65 of charges 1957.11 1069.50 828.86 828.86 1957.11 1957.11 1957.11 828.86 1957.11 0.00 1069.50 4403.50 1957.11 1069.50 1957.11 1069.50 1069.50 1069.50 1069.50 1957.11 4403.50 1957.11 4403.50 1957.11 962.55 250001258 636 CASPOFUNGIN 50 MG VIAL J0637 0.00 0.00 89.75 0.00 6.19 0.00 89.75 39.89 89.75 39.89 0.00 0.00 8.90 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 5.50 0.65 of charges 39.89 5.43 4.21 4.21 39.89 39.89 39.89 4.21 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000336 636 CASPOFUNGIN 70 MG INJ J0637 0.00 0.00 89.75 0.00 6.19 0.00 89.75 39.89 89.75 39.89 0.00 0.00 8.90 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 5.50 0.65 of charges 39.89 5.43 4.21 4.21 39.89 39.89 39.89 4.21 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500023 636 LEUCOVORIN CALCIUM 100 MG INJ J0640 0.00 0.00 8.92 0.00 5.10 0.00 cost cost cost cost 0.00 0.00 7.33 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 8.92 0.65 of charges cost 4.47 3.46 3.46 cost cost cost 3.46 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500024 636 LEUCOVORIN CALCIUM 200 MG INJ J0640 0.00 0.00 17.84 0.00 5.10 0.00 cost cost cost cost 0.00 0.00 7.33 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 17.84 0.65 of charges cost 4.47 3.46 3.46 cost cost cost 3.46 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000188 636 LEUCOVORIN CALCIUM 350 MG INJ J0640 0.00 0.00 31.22 0.00 5.10 0.00 cost cost cost cost 0.00 0.00 7.33 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 31.22 0.65 of charges cost 4.47 3.46 3.46 cost cost cost 3.46 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000189 636 LEUCOVORIN CALCIUM 50 MG INJ J0640 0.00 0.00 7.33 0.00 5.10 0.00 cost cost cost cost 0.00 0.00 7.33 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 4.46 0.65 of charges cost 4.47 3.46 3.46 cost cost cost 3.46 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500485 636 MARCAINE SPINAL 15MG/2ML AMP J0665 0.00 0.00 0.02 0.00 0.02 0.01 0.00 0.00 0.00 0.00 0.01 0.01 0.02 0.01 0.00 0.01 0.00 0.00 0.00 0.01 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.01 0.01 0.00 0.00 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.02 0.65 of charges 0.00 0.01 0.01 0.01 0.00 0.00 0.00 0.01 0.00 0.00 0.01 0.00 0.00 0.01 0.00 0.01 0.01 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.01 351000105 636 CARBOCAINNE 1.5% J0670 0.00 0.00 5.40 0.00 3.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.45 0.65 of charges 0.00 3.29 2.55 2.55 0.00 0.00 0.00 2.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000146 636 CEFAZOLIN 2 GRAM IN D5W J0690 0.00 0.00 1.25 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.73 0.65 of charges 0.00 0.76 0.59 0.59 0.00 0.00 0.00 0.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000400 636 CEFAZOLIN 10 GRAM VIAL J0690 0.00 0.00 1.25 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.73 0.65 of charges 0.00 0.76 0.59 0.59 0.00 0.00 0.00 0.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500447 636 CEFAZOLIN SODIUM 2GM VIAL J0690 0.00 0.00 1.25 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.73 0.65 of charges 0.00 0.76 0.59 0.59 0.00 0.00 0.00 0.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000105 636 CEFAZOLIN 1 GRAM VIAL J0690 15.90 15.90 11.13 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.34 10.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.73 10.34 0.00 0.76 0.59 0.59 0.00 0.00 0.00 0.59 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000072 636 ANCEF 1 GRAM VIAL J0690 0.00 0.00 1.25 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.73 0.65 of charges 0.00 0.76 0.59 0.59 0.00 0.00 0.00 0.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000087 636 CEFAZOLIN 1 GRAM VIAL J0690 0.00 0.00 1.25 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.73 0.65 of charges 0.00 0.76 0.59 0.59 0.00 0.00 0.00 0.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000088 636 CEFAZOLIN 1 GRAM IN D5W J0690 0.00 0.00 1.25 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.73 0.65 of charges 0.00 0.76 0.59 0.59 0.00 0.00 0.00 0.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000443 636 ANCEF 2 GMS IV J0690 0.00 0.00 1.25 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.73 0.65 of charges 0.00 0.76 0.59 0.59 0.00 0.00 0.00 0.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500260 636 CEFEPIME 2GRAM/50ML PREMIX BAG J0692 0.00 0.00 2.07 0.00 1.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.27 0.65 of charges 0.00 1.26 0.98 0.98 0.00 0.00 0.00 0.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000212 636 MAXIPIME 1 GRAM INJ J0692 0.00 0.00 2.07 0.00 1.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.27 0.65 of charges 0.00 1.26 0.98 0.98 0.00 0.00 0.00 0.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000213 636 MAXIPIME 2 GRAM INJ J0692 0.00 0.00 2.07 0.00 1.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.27 0.65 of charges 0.00 1.26 0.98 0.98 0.00 0.00 0.00 0.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001308 636 CEFOXITIN 1 GRAM INJ J0694 0.00 0.00 8.33 0.00 5.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.17 0.65 of charges 0.00 5.08 3.94 3.94 0.00 0.00 0.00 3.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000089 636 CEFOXITIN 1 GRAM INJ J0694 0.00 0.00 8.33 0.00 5.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.17 0.65 of charges 0.00 5.08 3.94 3.94 0.00 0.00 0.00 3.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000090 636 CEFOXITIN 2 GRAM INJ J0694 0.00 0.00 8.33 0.00 5.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.17 0.65 of charges 0.00 5.08 3.94 3.94 0.00 0.00 0.00 3.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000214 636 MEFOXIN 2 GRAM IN D5W J0694 0.00 0.00 8.33 0.00 5.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.17 0.65 of charges 0.00 5.08 3.94 3.94 0.00 0.00 0.00 3.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000126 636 ROCEPHIN 2GM IN D5W 50ML J0696 0.00 0.00 3.76 0.00 0.56 0.00 cost cost cost cost 0.00 0.00 0.81 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 3.76 0.65 of charges cost 0.49 0.38 0.38 cost cost cost 0.38 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500258 636 CEFEPIME 1GRAM/50ML PREMIX J0696 0.00 0.00 1.88 0.00 0.56 0.00 cost cost cost cost 0.00 0.00 0.81 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.88 0.65 of charges cost 0.49 0.38 0.38 cost cost cost 0.38 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000262 636 ROCEPHIN 1 GM VIAL J0696 0.00 0.00 1.88 0.00 0.56 0.00 cost cost cost cost 0.00 0.00 0.81 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.88 0.65 of charges cost 0.49 0.38 0.38 cost cost cost 0.38 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000263 636 ROCEPHIN 1 GM IN D5W J0696 0.00 0.00 1.88 0.00 0.56 0.00 cost cost cost cost 0.00 0.00 0.81 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.88 0.65 of charges cost 0.49 0.38 0.38 cost cost cost 0.38 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000264 636 ROCEPHIN 250 MG VIAL J0696 0.00 0.00 0.81 0.00 0.56 0.00 cost cost cost cost 0.00 0.00 0.81 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.47 0.65 of charges cost 0.49 0.38 0.38 cost cost cost 0.38 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000265 636 ROCEPHIN 2 GM VIAL J0696 0.00 0.00 3.76 0.00 0.56 0.00 cost cost cost cost 0.00 0.00 0.81 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 3.76 0.65 of charges cost 0.49 0.38 0.38 cost cost cost 0.38 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000266 636 ROCEPHIN 2 GM IN D5W J0696 0.00 0.00 3.76 0.00 0.56 0.00 cost cost cost cost 0.00 0.00 0.81 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 3.76 0.65 of charges cost 0.49 0.38 0.38 cost cost cost 0.38 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000267 636 ROCEPHIN 500 MG J0696 0.00 0.00 0.94 0.00 0.56 0.00 cost cost cost cost 0.00 0.00 0.81 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.94 0.65 of charges cost 0.49 0.38 0.38 cost cost cost 0.38 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000313 636 ZINACEF 1.5 GM VIAL J0697 0.00 0.00 3.74 0.00 2.31 0.00 cost cost cost cost 0.00 0.00 3.32 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 3.74 0.65 of charges cost 2.03 1.57 1.57 cost cost cost 1.57 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000314 636 ZINACEF 750 MG VIAL J0697 0.00 0.00 3.32 0.00 2.31 0.00 cost cost cost cost 0.00 0.00 3.32 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.87 0.65 of charges cost 2.03 1.57 1.57 cost cost cost 1.57 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001307 636 CEFOTAXIME 1 GRAM INJ J0698 0.00 0.00 2780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2780.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001333 636 CEFOTAXIME 2 GRAM INJ J0698 0.00 0.00 5560.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5560.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500407 636 CEFIDEROCOL SLFT TOSYLT 1GM VL J0699 J0699 0.00 0.00 483.49 0.00 2.48 2.17 483.49 214.88 483.49 214.88 2.17 2.17 3.56 2.17 214.88 2.17 483.49 214.88 483.49 2.17 0.65 of eligible billed charges 0.65 of eligible billed charges 483.49 214.88 483.49 214.88 2.17 2.17 449.49 199.77 199.77 199.77 2.06 483.49 214.88 483.49 214.88 2.17 2.17 2.17 2.17 0.65 of charges 214.88 2.17 1.68 1.68 214.88 214.88 214.88 1.68 214.88 0.00 2.17 483.49 214.88 2.17 214.88 2.17 2.17 2.17 2.17 214.88 483.49 214.88 483.49 214.88 1.96 636000091 636 CELESTONE SOLUSPAN 30 MG INJ J0702 0.00 0.00 11.18 0.00 7.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.41 0.65 of charges 0.00 6.82 5.28 5.28 0.00 0.00 0.00 5.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001287 636 CAFFEINE CITRATE 60 MG VIAL J0706 0.00 0.00 0.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.55 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000179 636 CEFTAROLINE FOSAMIL 400MG IV J0712 0.00 0.00 6.29 0.00 4.37 3.84 cost cost cost cost 3.84 3.84 6.29 3.84 cost 3.84 cost cost cost 3.84 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 3.84 3.84 cost cost cost cost 3.64 cost cost cost cost 3.84 3.84 3.84 3.86 0.65 of charges cost 3.84 2.97 2.97 cost cost cost 2.97 cost 0.00 3.84 cost cost 3.84 cost 3.84 3.84 3.84 3.84 cost cost cost cost cost 3.45 351500001 636 CEFTAROLINE FOSAMIL 600MG IV J0712 0.00 0.00 6.29 0.00 4.37 3.84 cost cost cost cost 3.84 3.84 6.29 3.84 cost 3.84 cost cost cost 3.84 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 3.84 3.84 cost cost cost cost 3.64 cost cost cost cost 3.84 3.84 3.84 3.86 0.65 of charges cost 3.84 2.97 2.97 cost cost cost 2.97 cost 0.00 3.84 cost cost 3.84 cost 3.84 3.84 3.84 3.84 cost cost cost cost cost 3.45 250001168 636 FORTAZ 1 GRAM INJ J0713 0.00 0.00 3.56 0.00 1.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.56 0.65 of charges 0.00 1.69 1.31 1.31 0.00 0.00 0.00 1.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001309 636 CEFTAZIDIME 2 GRAM INJ J0713 0.00 0.00 3.56 0.00 1.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.56 0.65 of charges 0.00 1.69 1.31 1.31 0.00 0.00 0.00 1.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500254 636 CEFTAZIDIME 2G/50ML PREMIX J0713 0.00 0.00 7.12 0.00 1.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.12 0.65 of charges 0.00 1.69 1.31 1.31 0.00 0.00 0.00 1.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500116 636 AVYCAZ INJ VIAL J0714 0.00 0.00 810.64 0.00 108.81 95.45 810.64 360.28 810.64 360.28 95.45 95.45 156.54 95.45 360.28 95.45 810.64 360.28 810.64 95.45 0.65 of eligible billed charges 0.65 of eligible billed charges 810.64 360.28 810.64 360.28 95.45 95.45 753.63 334.95 334.95 334.95 90.68 810.64 360.28 810.64 360.28 95.45 95.45 95.45 95.44 0.65 of charges 360.28 95.45 73.97 73.97 360.28 360.28 360.28 73.97 360.28 0.00 95.45 810.64 360.28 95.45 360.28 95.45 95.45 95.45 95.45 360.28 810.64 360.28 810.64 360.28 85.90 636000092 636 CHLORAMPHENICOL 1 GRAM INJ J0720 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 50.26 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001301 636 PRIMAXIN 500 MG INJ J0743 0.00 0.00 89.75 0.00 9.24 0.00 89.75 39.89 89.75 39.89 0.00 0.00 13.29 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 15.86 0.65 of charges 39.89 8.10 6.28 6.28 39.89 39.89 39.89 6.28 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000251 636 PRIMAXIN 250 MG INJ J0743 0.00 0.00 89.75 0.00 9.24 0.00 89.75 39.89 89.75 39.89 0.00 0.00 13.29 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 7.93 0.65 of charges 39.89 8.10 6.28 6.28 39.89 39.89 39.89 6.28 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000252 636 PRIMAXIN IV 500 MG VIAL J0743 0.00 0.00 89.75 0.00 9.24 0.00 89.75 39.89 89.75 39.89 0.00 0.00 13.29 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 15.86 0.65 of charges 39.89 8.10 6.28 6.28 39.89 39.89 39.89 6.28 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500476 636 CIPRFLXCN D5W 400MG/200ML IVPB J0744 0.00 0.00 3.17 0.00 2.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.83 0.65 of charges 0.00 1.93 1.50 1.50 0.00 0.00 0.00 1.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000094 636 CIPRO 200 MG IN D5W J0744 0.00 0.00 3.17 0.00 2.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.83 0.65 of charges 0.00 1.93 1.50 1.50 0.00 0.00 0.00 1.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000095 636 CIPRO 400 MG IN D5W INJ J0744 0.00 0.00 3.17 0.00 2.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.83 0.65 of charges 0.00 1.93 1.50 1.50 0.00 0.00 0.00 1.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001278 636 COLISTIMETHATE 150MG VIAL J0770 0.00 0.00 89.75 0.00 15.86 0.00 89.75 39.89 89.75 39.89 0.00 0.00 22.82 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 13.88 0.65 of charges 39.89 13.92 10.78 10.78 39.89 39.89 39.89 10.78 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500504 636 PROCHLORPRZN EDSLT 10MG/2ML VL J0780 0.00 0.00 5.62 0.00 3.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.85 0.65 of charges 0.00 3.43 2.66 2.66 0.00 0.00 0.00 2.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000098 636 COMPAZINE 10 MG INJ J0780 0.00 0.00 5.62 0.00 3.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.85 0.65 of charges 0.00 3.43 2.66 2.66 0.00 0.00 0.00 2.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000101 636 CORTROSYN 0.25MG VIAL-ORGANON J0834 0.00 0.00 89.75 0.00 30.91 0.00 89.75 39.89 89.75 39.89 0.00 0.00 44.47 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 32.68 0.65 of charges 39.89 27.11 21.01 21.01 39.89 39.89 39.89 21.01 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500202 636 DALBAVANC -DALVANCE 500MG VIAL J0875 0.00 0.00 25.08 0.00 17.43 15.29 cost cost cost cost 15.29 15.29 25.08 15.29 cost 15.29 cost cost cost 15.29 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 15.29 15.29 cost cost cost cost 14.53 cost cost cost cost 15.29 15.29 15.29 15.21 0.65 of charges cost 15.29 11.85 11.85 cost cost cost 11.85 cost 0.00 15.29 cost cost 15.29 cost 15.29 15.29 15.29 15.29 cost cost cost cost cost 13.76 250001266 636 DAPTOMYCIN 500 MG INJ J0878 0.00 0.00 0.06 0.00 0.04 0.00 cost cost cost cost 0.00 0.00 0.06 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.04 0.65 of charges cost 0.04 0.03 0.03 cost cost cost 0.03 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500513 636 DAPTOMYCIN 500MG VIAL J0878 0.00 0.00 0.06 0.00 0.04 0.00 cost cost cost cost 0.00 0.00 0.06 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.04 0.65 of charges cost 0.04 0.03 0.03 cost cost cost 0.03 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000427 636 ARANESP 150MCG/0.3ML SYRINGE A J0881 0.00 0.00 4.81 0.00 3.34 2.93 cost cost cost cost 2.93 2.93 4.81 2.93 cost 2.93 cost cost cost 2.93 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.93 2.93 cost cost cost cost 2.78 cost cost cost cost 2.93 2.93 2.93 2.95 0.65 of charges cost 2.93 2.27 2.27 cost cost cost 2.27 cost 0.00 2.93 cost cost 2.93 cost 2.93 2.93 2.93 2.93 cost cost cost cost cost 2.64 250001296 636 ARANESP 40MCG/0.4 ML SYRINGE A J0882 0.00 0.00 4.81 0.00 3.34 2.93 cost cost cost cost 2.93 2.93 4.81 2.93 cost 2.93 cost cost cost 2.93 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.93 2.93 cost cost cost cost 2.78 cost cost cost cost 2.93 2.93 2.93 2.95 0.65 of charges cost 2.93 2.27 2.27 cost cost cost 2.27 cost 0.00 2.93 cost cost 2.93 cost 2.93 2.93 2.93 2.93 cost cost cost cost cost 2.64 351500002 636 DARBEPOETIN 25MCG/0.42ML J0882 0.00 0.00 4.81 0.00 3.34 2.93 cost cost cost cost 2.93 2.93 4.81 2.93 cost 2.93 cost cost cost 2.93 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.93 2.93 cost cost cost cost 2.78 cost cost cost cost 2.93 2.93 2.93 2.95 0.65 of charges cost 2.93 2.27 2.27 cost cost cost 2.27 cost 0.00 2.93 cost cost 2.93 cost 2.93 2.93 2.93 2.93 cost cost cost cost cost 2.64 361000100 636 ARANESP PER 1MCG J0882 2.62 2.62 417.95 1.70 3.34 2.93 cost cost cost cost 2.93 2.93 4.81 2.93 cost 2.93 cost cost cost 2.93 1.70 1.70 cost cost cost cost 2.93 2.93 417.95 185.75 185.75 185.75 2.78 cost cost cost cost 2.93 2.93 2.93 2.95 1.70 cost 2.93 2.27 2.27 cost cost cost 2.27 cost 1.83 2.93 cost cost 2.93 cost 2.93 2.93 2.93 2.93 cost cost cost cost cost 2.64 636000351 636 ARNESP 25 MCG/0.42 ML SYRINGE J0882 0.00 0.00 4.81 0.00 3.34 2.93 cost cost cost cost 2.93 2.93 4.81 2.93 cost 2.93 cost cost cost 2.93 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.93 2.93 cost cost cost cost 2.78 cost cost cost cost 2.93 2.93 2.93 2.95 0.65 of charges cost 2.93 2.27 2.27 cost cost cost 2.27 cost 0.00 2.93 cost cost 2.93 cost 2.93 2.93 2.93 2.93 cost cost cost cost cost 2.64 636000352 636 ARANESP 60MCG/0.3 ML SYRINGE A J0882 0.00 0.00 4.81 0.00 3.34 2.93 cost cost cost cost 2.93 2.93 4.81 2.93 cost 2.93 cost cost cost 2.93 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.93 2.93 cost cost cost cost 2.78 cost cost cost cost 2.93 2.93 2.93 2.95 0.65 of charges cost 2.93 2.27 2.27 cost cost cost 2.27 cost 0.00 2.93 cost cost 2.93 cost 2.93 2.93 2.93 2.93 cost cost cost cost cost 2.64 636000353 636 ARANESP 100 MCG/1 ML J0882 0.00 0.00 4.81 0.00 3.34 2.93 cost cost cost cost 2.93 2.93 4.81 2.93 cost 2.93 cost cost cost 2.93 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.93 2.93 cost cost cost cost 2.78 cost cost cost cost 2.93 2.93 2.93 2.95 0.65 of charges cost 2.93 2.27 2.27 cost cost cost 2.27 cost 0.00 2.93 cost cost 2.93 cost 2.93 2.93 2.93 2.93 cost cost cost cost cost 2.64 351500395 636 EPOETN ALF NON-ESRD 2000 UN/ML J0885 0.00 0.00 14.57 0.00 10.13 8.89 cost cost cost cost 8.89 8.89 14.57 8.89 cost 8.89 cost cost cost 8.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.89 8.89 cost cost cost cost 8.44 cost cost cost cost 8.89 8.89 8.89 7.09 0.65 of charges cost 8.89 6.89 6.89 cost cost cost 6.89 cost 0.00 8.89 cost cost 8.89 cost 8.89 8.89 8.89 8.89 cost cost cost cost cost 8.00 351500396 636 EPOETN ALF NON-ESRD 4000 UN/ML J0885 0.00 0.00 14.57 0.00 10.13 8.89 cost cost cost cost 8.89 8.89 14.57 8.89 cost 8.89 cost cost cost 8.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.89 8.89 cost cost cost cost 8.44 cost cost cost cost 8.89 8.89 8.89 7.09 0.65 of charges cost 8.89 6.89 6.89 cost cost cost 6.89 cost 0.00 8.89 cost cost 8.89 cost 8.89 8.89 8.89 8.89 cost cost cost cost cost 8.00 351500400 636 EPOETN ALF NON-ESRD 3000 UN/ML J0885 0.00 0.00 14.57 0.00 10.13 8.89 cost cost cost cost 8.89 8.89 14.57 8.89 cost 8.89 cost cost cost 8.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.89 8.89 cost cost cost cost 8.44 cost cost cost cost 8.89 8.89 8.89 7.09 0.65 of charges cost 8.89 6.89 6.89 cost cost cost 6.89 cost 0.00 8.89 cost cost 8.89 cost 8.89 8.89 8.89 8.89 cost cost cost cost cost 8.00 351500401 636 EPOETN ALF NON-ESRD 10000UN/ML J0885 0.00 0.00 14.57 0.00 10.13 8.89 cost cost cost cost 8.89 8.89 14.57 8.89 cost 8.89 cost cost cost 8.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.89 8.89 cost cost cost cost 8.44 cost cost cost cost 8.89 8.89 8.89 7.09 0.65 of charges cost 8.89 6.89 6.89 cost cost cost 6.89 cost 0.00 8.89 cost cost 8.89 cost 8.89 8.89 8.89 8.89 cost cost cost cost cost 8.00 634000001 636 PROCRIT4000UNT/ML VIA NESRD J0885 0.00 0.00 14.57 0.00 10.13 8.89 cost cost cost cost 8.89 8.89 14.57 8.89 cost 8.89 cost cost cost 8.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.89 8.89 cost cost cost cost 8.44 cost cost cost cost 8.89 8.89 8.89 7.09 0.65 of charges cost 8.89 6.89 6.89 cost cost cost 6.89 cost 0.00 8.89 cost cost 8.89 cost 8.89 8.89 8.89 8.89 cost cost cost cost cost 8.00 636000338 636 PROCRIT2000UNT/ML VIAL NERSD J0885 0.00 0.00 14.57 0.00 10.13 8.89 cost cost cost cost 8.89 8.89 14.57 8.89 cost 8.89 cost cost cost 8.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.89 8.89 cost cost cost cost 8.44 cost cost cost cost 8.89 8.89 8.89 7.09 0.65 of charges cost 8.89 6.89 6.89 cost cost cost 6.89 cost 0.00 8.89 cost cost 8.89 cost 8.89 8.89 8.89 8.89 cost cost cost cost cost 8.00 636000339 636 PROCRIT3000UN/ML VIL OR NERSD J0885 0.00 0.00 14.57 0.00 10.13 8.89 cost cost cost cost 8.89 8.89 14.57 8.89 cost 8.89 cost cost cost 8.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.89 8.89 cost cost cost cost 8.44 cost cost cost cost 8.89 8.89 8.89 7.09 0.65 of charges cost 8.89 6.89 6.89 cost cost cost 6.89 cost 0.00 8.89 cost cost 8.89 cost 8.89 8.89 8.89 8.89 cost cost cost cost cost 8.00 636000340 636 EPOGEN 1000 UNITS/1 ML J0885 0.00 0.00 14.57 0.00 10.13 8.89 cost cost cost cost 8.89 8.89 14.57 8.89 cost 8.89 cost cost cost 8.89 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.89 8.89 cost cost cost cost 8.44 cost cost cost cost 8.89 8.89 8.89 7.09 0.65 of charges cost 8.89 6.89 6.89 cost cost cost 6.89 cost 0.00 8.89 cost cost 8.89 cost 8.89 8.89 8.89 8.89 cost cost cost cost cost 8.00 250001293 636 DEFEROXAMINE 500 MG VIAL J0895 0.00 0.00 89.75 0.00 9.80 0.00 89.75 39.89 89.75 39.89 0.00 0.00 14.10 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 8.59 0.65 of charges 39.89 8.60 6.66 6.66 39.89 39.89 39.89 6.66 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500514 636 DENOSUMAB 120MG/1.7ML VIAL J0897 J0897 0.00 0.00 41.32 0.00 28.73 25.20 cost cost cost cost 25.20 25.20 41.32 25.20 cost 25.20 cost cost cost 25.20 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 25.20 25.20 cost cost cost cost 23.94 cost cost cost cost 25.20 25.20 25.20 24.22 0.65 of charges cost 25.20 19.53 19.53 cost cost cost 19.53 cost 0.00 25.20 cost cost 25.20 cost 25.20 25.20 25.20 25.20 cost cost cost cost cost 22.68 636000105 636 DEPO-MEDROL 40 MG/1 ML INJ J1030 0.00 0.00 10.53 0.00 7.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.20 0.65 of charges 0.00 6.42 4.97 4.97 0.00 0.00 0.00 4.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000106 636 DEPO-PROVERA 1MG INJ J1050 0.00 0.00 0.57 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.57 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001315 636 DEXAMETHASONE 100 MG/10 ML INJ J1100 0.00 0.00 0.20 0.00 0.14 0.00 cost cost cost cost 0.00 0.00 0.20 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.13 0.65 of charges cost 0.12 0.09 0.09 cost cost cost 0.09 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000409 636 DEXAMETHASONE 20 MG/5 ML INJ J1100 0.00 0.00 0.20 0.00 0.14 0.00 cost cost cost cost 0.00 0.00 0.20 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.13 0.65 of charges cost 0.12 0.09 0.09 cost cost cost 0.09 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000109 636 DEXAMETHASONE 10 MG/1 ML INJ J1100 0.00 0.00 0.20 0.00 0.14 0.00 cost cost cost cost 0.00 0.00 0.20 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.13 0.65 of charges cost 0.12 0.09 0.09 cost cost cost 0.09 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000110 636 DEXAMETHASONE 4 MG/1 ML INJ J1100 0.00 0.00 0.20 0.00 0.14 0.00 cost cost cost cost 0.00 0.00 0.20 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.13 0.65 of charges cost 0.12 0.09 0.09 cost cost cost 0.09 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000111 636 DEXAMETHASONE 120 MG/30 ML INJ J1100 0.00 0.00 0.20 0.00 0.14 0.00 cost cost cost cost 0.00 0.00 0.20 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.13 0.65 of charges cost 0.12 0.09 0.09 cost cost cost 0.09 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500136 636 ACETAZOLAMIDE 500MG/VIAL J1120 0.00 0.00 89.75 0.00 32.06 0.00 89.75 39.89 89.75 39.89 0.00 0.00 46.12 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 26.32 0.65 of charges 39.89 28.12 21.79 21.79 39.89 39.89 39.89 21.79 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000130 636 DIGOXIN 500 MCG/2 ML INJ J1160 0.00 0.00 15.43 0.00 10.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.36 0.65 of charges 0.00 9.41 7.29 7.29 0.00 0.00 0.00 7.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000129 636 DIGIBIND 38 MG INJ J1162 0.00 0.00 15564.25 0.00 5446.28 4777.44 15564.25 6917.45 15564.25 6917.45 4777.44 4777.44 7835.00 4777.44 "6,917.45" 4777.44 15564.25 6917.45 15564.25 4777.44 0.65 of eligible billed charges 0.65 of eligible billed charges 15564.25 6917.45 15564.25 6917.45 4777.44 4777.44 14469.75 6431.00 6431.00 6431.00 4538.57 15564.25 6917.45 15564.25 6917.45 4777.44 4777.44 4777.44 4593.57 0.65 of charges 6917.45 4777.44 3702.52 3702.52 6917.45 6917.45 6917.45 3702.52 6917.45 0.00 4777.44 15564.25 6917.45 4777.44 6917.45 4777.44 4777.44 4777.44 4777.44 6917.45 15564.25 6917.45 15564.25 6917.45 "4,299.70" 636000436 636 DIGIFAB 40MG INJ J1162 0.00 0.00 15564.25 0.00 5446.28 4777.44 15564.25 6917.45 15564.25 6917.45 4777.44 4777.44 7835.00 4777.44 "6,917.45" 4777.44 15564.25 6917.45 15564.25 4777.44 0.65 of eligible billed charges 0.65 of eligible billed charges 15564.25 6917.45 15564.25 6917.45 4777.44 4777.44 14469.75 6431.00 6431.00 6431.00 4538.57 15564.25 6917.45 15564.25 6917.45 4777.44 4777.44 4777.44 4593.57 0.65 of charges 6917.45 4777.44 3702.52 3702.52 6917.45 6917.45 6917.45 3702.52 6917.45 0.00 4777.44 15564.25 6917.45 4777.44 6917.45 4777.44 4777.44 4777.44 4777.44 6917.45 15564.25 6917.45 15564.25 6917.45 "4,299.70" 636000242 636 PHENYTOIN 100 MG/2 ML J1165 0.00 0.00 1.03 0.00 0.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.92 0.65 of charges 0.00 0.63 0.49 0.49 0.00 0.00 0.00 0.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000243 636 PHENYTOIN 250 MG/5 ML J1165 0.00 0.00 2.30 0.00 0.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.30 0.65 of charges 0.00 0.63 0.49 0.49 0.00 0.00 0.00 0.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001321 636 HYDROMORPHONE 4 MG/1 ML INJ J1170 0.00 0.00 7.53 0.00 5.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.02 0.65 of charges 0.00 4.59 3.56 3.56 0.00 0.00 0.00 3.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500068 636 HYDROMORPHONE 40MG/20ML J1170 0.00 0.00 7.53 0.00 5.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.02 0.65 of charges 0.00 4.59 3.56 3.56 0.00 0.00 0.00 3.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500074 636 HYDROMORPHONE 50MG/5ML J1170 0.00 0.00 7.53 0.00 5.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.02 0.65 of charges 0.00 4.59 3.56 3.56 0.00 0.00 0.00 3.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000106 636 BENADRYL 50MG J1200 2.57 2.57 1.80 0.00 0.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.67 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 1.67 0.00 0.80 0.62 0.62 0.00 0.00 0.00 0.62 0.00 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000131 636 DIPHENHYDRAMINE 50 MG/1 ML INJ J1200 0.00 0.00 1.32 0.00 0.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 0.65 of charges 0.00 0.80 0.62 0.62 0.00 0.00 0.00 0.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000349 636 METHADONE 200MG/20ML J1230 0.00 0.00 32.26 0.00 22.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.52 0.65 of charges 0.00 19.67 15.25 15.25 0.00 0.00 0.00 15.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341000060 636 PERSATINE INJ PER 10MG J1245 57.24 57.24 40.07 0.00 4.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.21 37.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.69 37.21 0.00 3.72 2.88 2.88 0.00 0.00 0.00 2.88 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000132 636 DIPYRIDAMOLE 10 MG/2 ML J1245 0.00 0.00 6.10 0.00 4.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.69 0.65 of charges 0.00 3.72 2.88 2.88 0.00 0.00 0.00 2.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000133 636 DIPYRIDAMOLE 50 MG/20 ML J1245 0.00 0.00 8.69 0.00 4.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.69 0.65 of charges 0.00 3.72 2.88 2.88 0.00 0.00 0.00 2.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000134 636 DOBUTAMINE 250 MG/20 ML INJ J1250 0.00 0.00 16.15 0.00 11.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.82 0.65 of charges 0.00 9.85 7.63 7.63 0.00 0.00 0.00 7.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000404 636 DOBUTAMINE 250 MG IN D5W INJ J1250 0.00 0.00 16.15 0.00 11.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.82 0.65 of charges 0.00 9.85 7.63 7.63 0.00 0.00 0.00 7.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000405 636 DOBUTAMINE 500 MG IN D5W J1250 0.00 0.00 19.64 0.00 11.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.64 0.65 of charges 0.00 9.85 7.63 7.63 0.00 0.00 0.00 7.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001280 636 ANZEMET 20 MG/ML VIAL AVENTIS J1260 0.00 0.00 6.17 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 6.17 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001159 636 DOPAMINE 200 MG/5 ML INJ J1265 0.00 0.00 1.27 0.00 0.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.63 0.65 of charges 0.00 0.77 0.60 0.60 0.00 0.00 0.00 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001160 636 DOPAMINE 800 MG IN D5W INJ J1265 0.00 0.00 1.27 0.00 0.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.63 0.65 of charges 0.00 0.77 0.60 0.60 0.00 0.00 0.00 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500127 636 DOPAMINE 400MG/250ML D5W J1265 0.00 0.00 1.27 0.00 0.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.63 0.65 of charges 0.00 0.77 0.60 0.60 0.00 0.00 0.00 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000430 636 DOPAMINE 400 MG/5 ML VIAL J1265 0.00 0.00 1.27 0.00 0.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.63 0.65 of charges 0.00 0.77 0.60 0.60 0.00 0.00 0.00 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001277 636 HECTOROL 4 MCG/2 ML INJ J1270 0.00 0.00 0.62 0.00 0.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.42 0.65 of charges 0.00 0.38 0.29 0.29 0.00 0.00 0.00 0.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000101 636 HECTOROL 2MCG/1ML J1270 15.90 15.90 11.13 0.00 0.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.34 10.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.42 10.34 0.00 0.38 0.29 0.29 0.00 0.00 0.00 0.29 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000121 636 HECTOROL 4MCG/1ML J1270 15.90 15.90 11.13 0.00 0.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.34 10.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.42 10.34 0.00 0.38 0.29 0.29 0.00 0.00 0.00 0.29 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 821000003 636 HECTOROL 2 MCG INJ J1270 0.00 0.00 0.62 0.00 0.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.42 0.65 of charges 0.00 0.38 0.29 0.29 0.00 0.00 0.00 0.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 821000005 636 HECTOROL 4 MCG INJ J1270 0.00 0.00 0.62 0.00 0.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.42 0.65 of charges 0.00 0.38 0.29 0.29 0.00 0.00 0.00 0.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000420 636 EPTIFIBATIDE 75 MG/100 ML INJ J1327 0.00 0.00 27.58 0.00 0.00 3.35 0.00 0.00 0.00 0.00 3.35 3.35 5.49 3.35 0.00 3.35 0.00 0.00 0.00 3.35 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 3.35 3.35 0.00 0.00 0.00 0.00 3.18 0.00 0.00 0.00 0.00 3.35 3.35 3.35 27.58 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.35 0.00 0.00 3.35 0.00 3.35 3.35 3.35 3.35 0.00 0.00 0.00 0.00 0.00 3.01 351500013 636 ERTAPENEM 1GM VIAL J1335 0.00 0.00 89.75 0.00 14.78 0.00 89.75 39.89 89.75 39.89 0.00 0.00 21.26 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 13.19 0.65 of charges 39.89 12.97 10.05 10.05 39.89 39.89 39.89 10.05 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000137 636 ERYTHROCIN LACT 500 MG INJ J1364 0.00 0.00 132.47 0.00 92.08 98.04 89.75 39.89 89.75 39.89 98.04 98.04 132.47 98.04 39.89 98.04 89.75 39.89 89.75 98.04 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 98.04 98.04 83.44 37.08 37.08 37.08 93.13 89.75 39.89 89.75 39.89 98.04 98.04 98.04 83.64 0.65 of charges 39.89 80.78 62.60 62.60 39.89 39.89 39.89 62.60 39.89 0.00 98.04 89.75 39.89 98.04 39.89 98.04 98.04 98.04 98.04 39.89 89.75 39.89 89.75 39.89 88.23 636000249 636 PREMARIN 25 MG VIAL J1410 0.00 0.00 810.64 0.00 424.25 372.15 810.64 360.28 810.64 360.28 372.15 372.15 610.32 372.15 360.28 372.15 810.64 360.28 810.64 372.15 0.65 of eligible billed charges 0.65 of eligible billed charges 810.64 360.28 810.64 360.28 372.15 372.15 753.63 334.95 334.95 334.95 353.54 810.64 360.28 810.64 360.28 372.15 372.15 372.15 372.48 0.65 of charges 360.28 372.15 288.41 288.41 360.28 360.28 360.28 288.41 360.28 0.00 372.15 810.64 360.28 372.15 360.28 372.15 372.15 372.15 372.15 360.28 810.64 360.28 810.64 360.28 334.93 636000138 636 ETHAMOLIN 5% AMP J1430 0.00 0.00 2043.97 0.00 540.28 473.93 2043.97 908.43 2043.97 908.43 473.93 473.93 777.25 473.93 908.43 473.93 2043.97 908.43 2043.97 473.93 0.65 of eligible billed charges 0.65 of eligible billed charges 2043.97 908.43 2043.97 908.43 473.93 473.93 1900.23 844.55 844.55 844.55 450.24 2043.97 908.43 2043.97 908.43 473.93 473.93 473.93 469.26 0.65 of charges 908.43 473.93 367.30 367.30 908.43 908.43 908.43 367.30 908.43 0.00 473.93 2043.97 908.43 473.93 908.43 473.93 473.93 473.93 473.93 908.43 2043.97 908.43 2043.97 908.43 426.54 351500060 636 INJECTAFER 750MG/15ML J1439 0.00 0.00 1311.50 0.00 1.31 1.15 1311.50 582.89 1311.50 582.89 1.15 1.15 1.88 1.15 582.89 1.15 1311.50 582.89 1311.50 1.15 0.65 of eligible billed charges 0.65 of eligible billed charges 1311.50 582.89 1311.50 582.89 1.15 1.15 1219.27 541.90 541.90 541.90 1.09 1311.50 582.89 1311.50 582.89 1.15 1.15 1.15 1.12 0.65 of charges 582.89 1.15 0.89 0.89 582.89 582.89 582.89 0.89 582.89 0.00 1.15 1311.50 582.89 1.15 582.89 1.15 1.15 1.15 1.15 582.89 1311.50 582.89 1311.50 582.89 1.03 250001302 636 NEUPOGEN 480 MCG/ 1.6 ML J1442 0.00 0.00 1.62 0.00 1.12 0.99 cost cost cost cost 0.99 0.99 1.62 0.99 cost 0.99 cost cost cost 0.99 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.99 0.99 cost cost cost cost 0.94 cost cost cost cost 0.99 0.99 0.99 0.99 0.65 of charges cost 0.99 0.76 0.76 cost cost cost 0.76 cost 0.00 0.99 cost cost 0.99 cost 0.99 0.99 0.99 0.99 cost cost cost cost cost 0.89 351500004 636 NEUPOGEN 480 MCG SINGLEJECT J1442 0.00 0.00 1.62 0.00 1.12 0.99 cost cost cost cost 0.99 0.99 1.62 0.99 cost 0.99 cost cost cost 0.99 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.99 0.99 cost cost cost cost 0.94 cost cost cost cost 0.99 0.99 0.99 0.99 0.65 of charges cost 0.99 0.76 0.76 cost cost cost 0.76 cost 0.00 0.99 cost cost 0.99 cost 0.99 0.99 0.99 0.99 cost cost cost cost cost 0.89 351500005 636 NEUPOGEN 300 MCG SINGLEJECT J1442 0.00 0.00 1.62 0.00 1.12 0.99 cost cost cost cost 0.99 0.99 1.62 0.99 cost 0.99 cost cost cost 0.99 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.99 0.99 cost cost cost cost 0.94 cost cost cost cost 0.99 0.99 0.99 0.99 0.65 of charges cost 0.99 0.76 0.76 cost cost cost 0.76 cost 0.00 0.99 cost cost 0.99 cost 0.99 0.99 0.99 0.99 cost cost cost cost cost 0.89 636000233 636 NEUPOGEN 300 MCG/1 ML VIAL J1442 0.00 0.00 1.62 0.00 1.12 0.99 cost cost cost cost 0.99 0.99 1.62 0.99 cost 0.99 cost cost cost 0.99 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.99 0.99 cost cost cost cost 0.94 cost cost cost cost 0.99 0.99 0.99 0.99 0.65 of charges cost 0.99 0.76 0.76 cost cost cost 0.76 cost 0.00 0.99 cost cost 0.99 cost 0.99 0.99 0.99 0.99 cost cost cost cost cost 0.89 250001155 636 DIFLUCAN 400 MG IN NS INJ J1450 0.00 0.00 4.59 0.00 3.19 0.00 cost cost cost cost 0.00 0.00 4.59 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.31 0.65 of charges cost 2.80 2.17 2.17 cost cost cost 2.17 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000128 636 DIFLUCAN 200 MG IN NS INJ J1450 0.00 0.00 4.59 0.00 3.19 0.00 cost cost cost cost 0.00 0.00 4.59 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.31 0.65 of charges cost 2.80 2.17 2.17 cost cost cost 2.17 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001291 636 ANTIZOL 1.5 GRAM VIAL J1451 0.00 0.00 810.64 0.00 0.00 6.06 810.64 360.28 810.64 360.28 6.06 6.06 9.93 6.06 360.28 6.06 810.64 360.28 810.64 6.06 0.65 of eligible billed charges 0.65 of eligible billed charges 810.64 360.28 810.64 360.28 6.06 6.06 753.63 334.95 334.95 334.95 5.75 810.64 360.28 810.64 360.28 6.06 6.06 6.06 6.70 0.65 of charges 360.28 0.00 0.00 0.00 360.28 360.28 360.28 0.00 360.28 0.00 6.06 810.64 360.28 6.06 360.28 6.06 6.06 6.06 6.06 360.28 810.64 360.28 810.64 360.28 5.45 351500086 636 FOSCARNET 6G/250ML J1455 0.00 0.00 483.49 0.00 0.00 59.37 483.49 214.88 483.49 214.88 59.37 59.37 97.37 59.37 214.88 59.37 483.49 214.88 483.49 59.37 0.65 of eligible billed charges 0.65 of eligible billed charges 483.49 214.88 483.49 214.88 59.37 59.37 449.49 199.77 199.77 199.77 56.40 483.49 214.88 483.49 214.88 59.37 59.37 59.37 21.00 0.65 of charges 214.88 0.00 0.00 0.00 214.88 214.88 214.88 0.00 214.88 0.00 59.37 483.49 214.88 59.37 214.88 59.37 59.37 59.37 59.37 214.88 483.49 214.88 483.49 214.88 53.43 636000439 636 IMMUNE GLOBULIN 10% 100ML J1459 0.00 0.00 79.20 0.00 55.05 48.29 cost cost cost cost 48.29 48.29 79.20 48.29 cost 48.29 cost cost cost 48.29 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 48.29 48.29 cost cost cost cost 45.88 cost cost cost cost 48.29 48.29 48.29 47.59 0.65 of charges cost 48.29 37.42 37.42 cost cost cost 37.42 cost 0.00 48.29 cost cost 48.29 cost 48.29 48.29 48.29 48.29 cost cost cost cost cost 43.46 636000444 636 IMMUNE GLOBULIN PRIVIGEN 10% J1459 0.00 0.00 79.20 0.00 55.05 48.29 cost cost cost cost 48.29 48.29 79.20 48.29 cost 48.29 cost cost cost 48.29 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 48.29 48.29 cost cost cost cost 45.88 cost cost cost cost 48.29 48.29 48.29 47.59 0.65 of charges cost 48.29 37.42 37.42 cost cost cost 37.42 cost 0.00 48.29 cost cost 48.29 cost 48.29 48.29 48.29 48.29 cost cost cost cost cost 43.46 390000001 636 GAMMA GLOBULIN IV 10GM 500MG J1560 2056.40 2056.40 1439.48 311.44 578.27 507.26 cost cost cost cost 507.26 507.26 831.90 507.26 cost 507.26 cost cost cost 507.26 1336.66 1336.66 cost cost cost cost 507.26 507.26 700.75 311.44 311.44 311.44 481.90 cost cost cost cost 507.26 507.26 507.26 487.66 1336.66 cost 507.26 393.12 393.12 cost cost cost 393.12 cost 1439.48 507.26 cost cost 507.26 cost 507.26 507.26 507.26 507.26 cost cost cost cost cost 456.53 636000080 636 IMMUNE GLOBULIN 10 GRAM VIAL J1569 0.00 0.00 72.41 0.00 50.33 44.15 cost cost cost cost 44.15 44.15 72.41 44.15 cost 44.15 cost cost cost 44.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 44.15 44.15 cost cost cost cost 41.94 cost cost cost cost 44.15 44.15 44.15 44.46 0.65 of charges cost 44.15 34.22 34.22 cost cost cost 34.22 cost 0.00 44.15 cost cost 44.15 cost 44.15 44.15 44.15 44.15 cost cost cost cost cost 39.74 636000337 636 CYTOVENE 500 MG INJ J1570 0.00 0.00 73.67 0.00 51.21 0.00 cost cost cost cost 0.00 0.00 73.67 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 29.99 0.65 of charges cost 44.92 34.81 34.81 cost cost cost 34.81 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 361000110 636 HEPATITIS B 40MCG/ML J1571 718.68 718.68 1219.52 46.20 67.97 59.62 1219.52 542.01 1219.52 542.01 59.62 59.62 97.78 59.62 542.01 59.62 1219.52 542.01 1219.52 59.62 467.14 467.14 1219.52 542.01 1219.52 542.01 59.62 59.62 1133.71 503.87 503.87 503.87 56.64 1219.52 542.01 1219.52 542.01 59.62 59.62 59.62 62.16 467.14 542.01 59.62 46.20 46.20 542.01 542.01 542.01 46.20 542.01 503.08 59.62 1219.52 542.01 59.62 542.01 59.62 59.62 59.62 59.62 542.01 1219.52 542.01 1219.52 542.01 53.66 250001173 636 GENTAMICIN 100 MG IN NS J1580 0.00 0.00 4.40 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.92 0.65 of charges 0.00 2.69 2.08 2.08 0.00 0.00 0.00 2.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001174 636 GENTAMICIN 120 MG IN NS J1580 0.00 0.00 4.40 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.92 0.65 of charges 0.00 2.69 2.08 2.08 0.00 0.00 0.00 2.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001176 636 GENTAMICIN 80 MG IN NS J1580 0.00 0.00 4.40 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.92 0.65 of charges 0.00 2.69 2.08 2.08 0.00 0.00 0.00 2.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500126 636 GENTAMICIN 80MG/50ML BAG J1580 0.00 0.00 4.40 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.92 0.65 of charges 0.00 2.69 2.08 2.08 0.00 0.00 0.00 2.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000109 636 GENTAMICIN 80MG/2ML J1580 2.57 2.57 4.40 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.67 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.92 1.67 0.00 2.69 2.08 2.08 0.00 0.00 0.00 2.08 0.00 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000151 636 GENTAMICIN 80 MG/2 ML INJ J1580 0.00 0.00 4.40 0.00 3.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.92 0.65 of charges 0.00 2.69 2.08 2.08 0.00 0.00 0.00 2.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000099 636 COPAXONE 20 MG INJ KIT J1595 0.00 0.00 255.80 0.00 0.00 155.98 cost cost cost cost 155.98 155.98 255.80 155.98 cost 155.98 cost cost cost 155.98 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 155.98 155.98 cost cost cost cost 148.18 cost cost cost cost 155.98 155.98 155.98 67.64 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 155.98 cost cost 155.98 cost 155.98 155.98 155.98 155.98 cost cost cost cost cost 140.38 250001170 636 GLUCAGEN 1 MG J1610 0.00 0.00 483.49 0.00 214.74 188.37 483.49 214.88 483.49 214.88 188.37 188.37 308.92 188.37 214.88 188.37 483.49 214.88 483.49 188.37 0.65 of eligible billed charges 0.65 of eligible billed charges 483.49 214.88 483.49 214.88 188.37 188.37 449.49 199.77 199.77 199.77 178.95 483.49 214.88 483.49 214.88 188.37 188.37 188.37 187.50 0.65 of charges 214.88 188.37 145.98 145.98 214.88 214.88 214.88 145.98 214.88 0.00 188.37 483.49 214.88 188.37 214.88 188.37 188.37 188.37 188.37 214.88 483.49 214.88 483.49 214.88 169.53 636000153 636 GLUCAGON 1 MG INJ KIT J1610 0.00 0.00 483.49 0.00 214.74 188.37 483.49 214.88 483.49 214.88 188.37 188.37 308.92 188.37 214.88 188.37 483.49 214.88 483.49 188.37 0.65 of eligible billed charges 0.65 of eligible billed charges 483.49 214.88 483.49 214.88 188.37 188.37 449.49 199.77 199.77 199.77 178.95 483.49 214.88 483.49 214.88 188.37 188.37 188.37 187.50 0.65 of charges 214.88 188.37 145.98 145.98 214.88 214.88 214.88 145.98 214.88 0.00 188.37 483.49 214.88 188.37 214.88 188.37 188.37 188.37 188.37 214.88 483.49 214.88 483.49 214.88 169.53 636000184 636 KYTRIL 1 MG/1 ML INJ J1626 0.00 0.00 0.62 0.00 0.43 0.00 cost cost cost cost 0.00 0.00 0.62 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.39 0.65 of charges cost 0.38 0.30 0.30 cost cost cost 0.30 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000400 636 KYTRIL 1MG/ML VIAL-GLXSK 4 J1626 0.00 0.00 0.62 0.00 0.43 0.00 cost cost cost cost 0.00 0.00 0.62 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.39 0.65 of charges cost 0.38 0.30 0.30 cost cost cost 0.30 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000154 636 HALDOL 5 MG/1 ML INJ J1630 0.00 0.00 2.32 0.00 1.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.24 0.65 of charges 0.00 1.42 1.10 1.10 0.00 0.00 0.00 1.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000410 636 HALOPERIDOL DECON 250 MG/5 ML J1631 0.00 0.00 40.20 0.00 10.01 0.00 cost cost cost cost 0.00 0.00 14.39 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 40.20 0.65 of charges cost 8.78 6.80 6.80 cost cost cost 6.80 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500210 636 HALOPERIDOL DECNT 250MG/5ML VL J1631 0.00 0.00 40.20 0.00 10.01 0.00 cost cost cost cost 0.00 0.00 14.39 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 40.20 0.65 of charges cost 8.78 6.80 6.80 cost cost cost 6.80 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000155 636 HALOPERIDOL DECON 100 MG/1 ML J1631 0.00 0.00 16.08 0.00 10.01 0.00 cost cost cost cost 0.00 0.00 14.39 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 16.08 0.65 of charges cost 8.78 6.80 6.80 cost cost cost 6.80 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000156 636 HALOPERIDOL DECON 50 MG/1 ML J1631 0.00 0.00 14.39 0.00 10.01 0.00 cost cost cost cost 0.00 0.00 14.39 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 8.04 0.65 of charges cost 8.78 6.80 6.80 cost cost cost 6.80 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000162 636 HEPARIN MONOJECT 10U 5ML FLUSH J1642 0.00 0.00 0.03 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.65 of charges 0.00 0.02 0.01 0.01 0.00 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500480 636 HEPRN SDM PRCN/PF 50UN/5ML SYR J1642 0.00 0.00 0.10 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.10 0.65 of charges 0.00 0.02 0.01 0.01 0.00 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000158 636 HEPARIN LOCK FLUSH 100 U/1 ML J1642 0.00 0.00 0.20 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.20 0.65 of charges 0.00 0.02 0.01 0.01 0.00 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001320 636 "HEPARIN 25,000 UNIT IN NS" J1644 0.00 0.00 7.00 0.00 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.00 0.65 of charges 0.00 0.27 0.21 0.21 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500232 636 HEPARIN 10000 UNTS/ML 1ML VIAL J1644 0.00 0.00 2.80 0.00 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.80 0.65 of charges 0.00 0.27 0.21 0.21 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500282 636 "HEPARIN 10,000 UNITS/10ML VIAL" J1644 0.00 0.00 2.80 0.00 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.80 0.65 of charges 0.00 0.27 0.21 0.21 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500292 636 "HEPARIN 1,000UNIT/1ML VIAL" J1644 0.00 0.00 0.44 0.00 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.28 0.65 of charges 0.00 0.27 0.21 0.21 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000157 636 "HEPARIN 25,000 UNIT/D5W 250 ML" J1644 0.00 0.00 7.00 0.00 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.00 0.65 of charges 0.00 0.27 0.21 0.21 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000161 636 HEPARIN SODIUM 5000U/1 ML J1644 0.00 0.00 1.40 0.00 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.40 0.65 of charges 0.00 0.27 0.21 0.21 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000162 636 "HEPARIN SODIUM 50,000 U/10 ML" J1644 0.00 0.00 14.00 0.00 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.00 0.65 of charges 0.00 0.27 0.21 0.21 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001454 636 DALTEPARIN SODIUM INJECTION J1645 0.00 0.00 89.75 0.00 19.83 0.00 89.75 39.89 89.75 39.89 0.00 0.00 28.53 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 15.21 0.65 of charges 39.89 17.40 13.48 13.48 39.89 39.89 39.89 13.48 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000419 636 EPTIFIBATIDE 20 MG/10 ML VL J1645 0.00 0.00 89.75 0.00 19.83 0.00 89.75 39.89 89.75 39.89 0.00 0.00 28.53 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 15.21 0.65 of charges 39.89 17.40 13.48 13.48 39.89 39.89 39.89 13.48 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001183 636 LOVENOX 100 MG/1 ML SYR J1650 0.00 0.00 1.12 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.66 0.65 of charges 0.00 0.68 0.53 0.53 0.00 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001184 636 LOVENOX 80 MG/0.8 ML SYR J1650 0.00 0.00 1.12 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.66 0.65 of charges 0.00 0.68 0.53 0.53 0.00 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500287 636 ENOXAPARIN 150MG/1ML SYR J1650 0.00 0.00 1.12 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.66 0.65 of charges 0.00 0.68 0.53 0.53 0.00 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500288 636 ENOXAPARIN 120MG/0.8ML SYR J1650 0.00 0.00 1.12 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.66 0.65 of charges 0.00 0.68 0.53 0.53 0.00 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000202 636 LOVENOX 30MG PREFILLED SYRN-AV J1650 0.00 0.00 1.12 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.66 0.65 of charges 0.00 0.68 0.53 0.53 0.00 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000203 636 LOVENOX 40 MG/0.4 ML SYR J1650 0.00 0.00 1.12 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.66 0.65 of charges 0.00 0.68 0.53 0.53 0.00 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000204 636 LOVENOX 60 MG/0.6 ML SYR J1650 0.00 0.00 1.12 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.66 0.65 of charges 0.00 0.68 0.53 0.53 0.00 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500047 636 FONDAPARINUX SODIUM 5MG/0.4ML J1652 0.00 0.00 1.79 0.00 1.25 0.00 cost cost cost cost 0.00 0.00 1.79 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.02 0.65 of charges cost 1.09 0.85 0.85 cost cost cost 0.85 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000064 636 A-HYDROCORT 250 MG J1720 0.00 0.00 29.27 0.00 20.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.67 0.65 of charges 0.00 17.85 13.83 13.83 0.00 0.00 0.00 13.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000282 636 SOLU-CORTEF 1000 MG/8 ML J1720 0.00 0.00 29.27 0.00 20.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.67 0.65 of charges 0.00 17.85 13.83 13.83 0.00 0.00 0.00 13.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000283 636 SOLU-CORTEF 100 MG/2 ML J1720 0.00 0.00 29.27 0.00 20.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.67 0.65 of charges 0.00 17.85 13.83 13.83 0.00 0.00 0.00 13.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000284 636 SOLU-CORTEF 500 MG/4 ML J1720 0.00 0.00 29.27 0.00 20.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.67 0.65 of charges 0.00 17.85 13.83 13.83 0.00 0.00 0.00 13.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500200 636 MAKENA 250MG/ML VIAL J1726 0.00 0.00 34.69 0.00 0.00 12.08 cost cost cost cost 12.08 12.08 19.82 12.08 cost 12.08 cost cost cost 12.08 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 12.08 12.08 cost cost cost cost 11.48 cost cost cost cost 12.08 12.08 12.08 34.69 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 12.08 cost cost 12.08 cost 12.08 12.08 12.08 12.08 cost cost cost cost cost 10.88 351500244 636 MAKENA INJ 275MG/1.1ML AUTOINJ J1726 0.00 0.00 34.69 0.00 0.00 12.08 cost cost cost cost 12.08 12.08 19.82 12.08 cost 12.08 cost cost cost 12.08 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 12.08 12.08 cost cost cost cost 11.48 cost cost cost cost 12.08 12.08 12.08 34.69 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 12.08 cost cost 12.08 cost 12.08 12.08 12.08 12.08 cost cost cost cost cost 10.88 351500197 636 CALDOLOR 100MG/ML J1741 0.00 0.00 2.94 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.94 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500291 636 CALDOLOR 800MG/200ML PREMIX IV J1741 0.00 0.00 2.94 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.94 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000259 636 REMICADE 100 MG VIAL J1745 0.00 0.00 52.74 0.00 36.66 32.16 cost cost cost cost 32.16 32.16 52.74 32.16 cost 32.16 cost cost cost 32.16 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 32.16 32.16 cost cost cost cost 30.55 cost cost cost cost 32.16 32.16 32.16 32.64 0.65 of charges cost 32.16 24.92 24.92 cost cost cost 24.92 cost 0.00 32.16 cost cost 32.16 cost 32.16 32.16 32.16 32.16 cost cost cost cost cost 28.94 636000171 636 INFED 100 MG/2 ML INJ J1750 0.00 0.00 269.25 0.00 19.75 17.32 269.25 119.67 269.25 119.67 17.32 17.32 28.41 17.32 119.67 17.32 269.25 119.67 269.25 17.32 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 17.32 17.32 250.31 111.25 111.25 111.25 16.46 269.25 119.67 269.25 119.67 17.32 17.32 17.32 17.41 0.65 of charges 119.67 17.32 13.43 13.43 119.67 119.67 119.67 13.43 119.67 0.00 17.32 269.25 119.67 17.32 119.67 17.32 17.32 17.32 17.32 119.67 269.25 119.67 269.25 119.67 15.59 250001248 636 IRON SUCROSE 100 MG/5 ML J1756 0.00 0.00 0.61 0.00 0.25 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.36 0.00 0.27 0.00 0.61 0.27 0.61 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.61 0.27 0.61 0.27 0.00 0.00 0.61 0.27 0.27 0.27 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.00 0.21 0.65 of charges 0.27 0.22 0.17 0.17 0.27 0.27 0.27 0.17 0.27 0.00 0.00 0.61 0.27 0.00 0.27 0.00 0.00 0.00 0.00 0.27 0.61 0.27 0.61 0.27 0.00 351500025 636 VENOFER 200MG/10ML J1756 0.00 0.00 0.61 0.00 0.25 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.36 0.00 0.27 0.00 0.61 0.27 0.61 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.61 0.27 0.61 0.27 0.00 0.00 0.61 0.27 0.27 0.27 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.00 0.21 0.65 of charges 0.27 0.22 0.17 0.17 0.27 0.27 0.27 0.17 0.27 0.00 0.00 0.61 0.27 0.00 0.27 0.00 0.00 0.00 0.00 0.27 0.61 0.27 0.61 0.27 0.00 361000102 636 VENOFER 50MG J1756 5.30 5.30 77.58 0.00 0.25 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.36 0.00 0.27 0.00 0.61 0.27 0.61 0.00 3.45 3.45 0.61 0.27 0.61 0.27 0.00 0.00 77.58 34.48 34.48 34.48 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.00 0.21 3.45 0.27 0.22 0.17 0.17 0.27 0.27 0.27 0.17 0.27 3.71 0.00 0.61 0.27 0.00 0.27 0.00 0.00 0.00 0.00 0.27 0.61 0.27 0.61 0.27 0.00 361000123 636 VENOFER 100MCG J1756 5.30 5.30 77.58 0.00 0.25 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.36 0.00 0.27 0.00 0.61 0.27 0.61 0.00 3.45 3.45 0.61 0.27 0.61 0.27 0.00 0.00 77.58 34.48 34.48 34.48 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.00 0.21 3.45 0.27 0.22 0.17 0.17 0.27 0.27 0.27 0.17 0.27 3.71 0.00 0.61 0.27 0.00 0.27 0.00 0.00 0.00 0.00 0.27 0.61 0.27 0.61 0.27 0.00 636000438 636 VENOFER 50MG IN 2.5ML J1756 0.00 0.00 0.61 0.00 0.25 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.36 0.00 0.27 0.00 0.61 0.27 0.61 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.61 0.27 0.61 0.27 0.00 0.00 0.61 0.27 0.27 0.27 0.00 0.61 0.27 0.61 0.27 0.00 0.00 0.00 0.21 0.65 of charges 0.27 0.22 0.17 0.17 0.27 0.27 0.27 0.17 0.27 0.00 0.00 0.61 0.27 0.00 0.27 0.00 0.00 0.00 0.00 0.27 0.61 0.27 0.61 0.27 0.00 636000169 636 INAPSINE 5 MG/2 ML INJ J1790 0.00 0.00 2.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.14 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000170 636 INDERAL 1 MG/1 ML INJ J1800 0.00 0.00 3.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.32 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000236 636 NOVOLIN R 100U/ML VIAL 10 ML J1815 0.00 0.00 4.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.50 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000181 636 KETOROLAC 15 MG/1 ML INJ J1885 0.00 0.00 0.80 0.00 0.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.61 0.65 of charges 0.00 0.49 0.38 0.38 0.00 0.00 0.00 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000182 636 KETOROLAC 60 MG/2 ML INJ J1885 0.00 0.00 3.05 0.00 0.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.05 0.65 of charges 0.00 0.49 0.38 0.38 0.00 0.00 0.00 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000183 636 KETOROLAC 30 MG/1 ML J1885 0.00 0.00 1.22 0.00 0.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.22 0.65 of charges 0.00 0.49 0.38 0.38 0.00 0.00 0.00 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000148 636 FUROSEMIDE 100 MG/10 ML INJ J1940 0.00 0.00 0.94 0.00 0.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.58 0.65 of charges 0.00 0.57 0.44 0.44 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000149 636 FUROSEMIDE 20 MG/2 ML J1940 0.00 0.00 0.94 0.00 0.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.58 0.65 of charges 0.00 0.57 0.44 0.44 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000150 636 FUROSEMIDE 40 MG/4 ML INJ J1940 0.00 0.00 0.94 0.00 0.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.58 0.65 of charges 0.00 0.57 0.44 0.44 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500209 636 ARISTADA INITO 675MG/2.4ML SYR J1943 0.00 0.00 5.07 0.00 3.52 3.09 cost cost cost cost 3.09 3.09 5.07 3.09 cost 3.09 cost cost cost 3.09 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 3.09 3.09 cost cost cost cost 2.94 cost cost cost cost 3.09 3.09 3.09 3.05 0.65 of charges cost 3.09 2.40 2.40 cost cost cost 2.40 cost 0.00 3.09 cost cost 3.09 cost 3.09 3.09 3.09 3.09 cost cost cost cost cost 2.78 351500117 636 ARISTADA 662MG J1944 0.00 0.00 5.10 0.00 3.54 3.77 cost cost cost cost 3.77 3.77 5.10 3.77 cost 3.77 cost cost cost 3.77 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 3.77 3.77 cost cost cost cost 3.58 cost cost cost cost 3.77 3.77 3.77 3.11 0.65 of charges cost 3.11 2.41 2.41 cost cost cost 2.41 cost 0.00 3.77 cost cost 3.77 cost 3.77 3.77 3.77 3.77 cost cost cost cost cost 3.40 351500237 636 ARISTADA 1064MG/3.9ML SYR J1944 0.00 0.00 5.10 0.00 3.54 3.77 cost cost cost cost 3.77 3.77 5.10 3.77 cost 3.77 cost cost cost 3.77 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 3.77 3.77 cost cost cost cost 3.58 cost cost cost cost 3.77 3.77 3.77 3.11 0.65 of charges cost 3.11 2.41 2.41 cost cost cost 2.41 cost 0.00 3.77 cost cost 3.77 cost 3.77 3.77 3.77 3.77 cost cost cost cost cost 3.40 351500487 636 LEUPRLDE ACETATE 11.25MG SYRKT J1950 0.00 0.00 4573.02 0.00 1783.65 1564.60 cost cost cost cost 1564.60 1564.60 2565.95 1564.60 cost 1564.60 cost cost cost 1564.60 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 1564.60 1564.60 cost cost cost cost 1486.37 cost cost cost cost 1564.60 1564.60 1564.60 4573.02 0.65 of charges cost 1564.60 1212.57 1212.57 cost cost cost 1212.57 cost 0.00 1564.60 cost cost 1564.60 cost 1564.60 1564.60 1564.60 1564.60 cost cost cost cost cost "1,408.14" 636000206 636 LUPRON DEPOT 30 MG KIT J1950 0.00 0.00 12194.72 0.00 1783.65 1564.60 cost cost cost cost 1564.60 1564.60 2565.95 1564.60 cost 1564.60 cost cost cost 1564.60 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 1564.60 1564.60 cost cost cost cost 1486.37 cost cost cost cost 1564.60 1564.60 1564.60 12194.72 0.65 of charges cost 1564.60 1212.57 1212.57 cost cost cost 1212.57 cost 0.00 1564.60 cost cost 1564.60 cost 1564.60 1564.60 1564.60 1564.60 cost cost cost cost cost "1,408.14" 250001322 636 LEVETIRACETAM 500 MG/5 ML J1953 0.00 0.00 0.10 0.00 0.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.06 0.05 0.05 0.00 0.00 0.00 0.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500052 636 LEVETIRACETAM 500 MG/100 ML NS J1953 0.00 0.00 0.10 0.00 0.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.06 0.05 0.05 0.00 0.00 0.00 0.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500137 636 KEPPRA 500MG/100ML PREMIX J1953 0.00 0.00 0.10 0.00 0.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.06 0.05 0.05 0.00 0.00 0.00 0.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500138 636 KEPPRA 1000MG/100ML PREMIX J1953 0.00 0.00 0.10 0.00 0.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.06 0.05 0.05 0.00 0.00 0.00 0.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500139 636 KEPPRA 1500MG/100ML PREMIX J1953 0.00 0.00 0.10 0.00 0.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.06 0.05 0.05 0.00 0.00 0.00 0.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500216 636 LEVOCARNTN INJ(200MG/ML)PER1GM J1955 0.00 0.00 89.75 0.00 40.27 0.00 89.75 39.89 89.75 39.89 0.00 0.00 57.93 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 35.44 0.65 of charges 39.89 35.32 27.37 27.37 39.89 39.89 39.89 27.37 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000190 636 LEVAQUIN 25MG/ML VIAL-MC NEIL J1956 0.00 0.00 1.49 0.00 1.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.93 0.65 of charges 0.00 0.91 0.70 0.70 0.00 0.00 0.00 0.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000191 636 LEVAQUIN 750 MG IN D5W J1956 0.00 0.00 1.49 0.00 1.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.93 0.65 of charges 0.00 0.91 0.70 0.70 0.00 0.00 0.00 0.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000319 636 LEVAQUIN 250 MG IN D5W J1956 0.00 0.00 1.49 0.00 1.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.93 0.65 of charges 0.00 0.91 0.70 0.70 0.00 0.00 0.00 0.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000320 636 LEVAQUIN 500 MG IN D5W J1956 0.00 0.00 1.49 0.00 1.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.93 0.65 of charges 0.00 0.91 0.70 0.70 0.00 0.00 0.00 0.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000192 636 LIDOCAINE 0.4%(2 GM/500 ML)IV J2001 0.00 0.00 0.04 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.65 of charges 0.00 0.03 0.02 0.02 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000196 636 LIDOCAINE 50 MG/5 ML 1% INJ J2001 0.00 0.00 0.04 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.65 of charges 0.00 0.03 0.02 0.02 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000198 636 LIDOCAINE 100 MG/5 ML 2% SYR J2001 0.00 0.00 0.04 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.65 of charges 0.00 0.03 0.02 0.02 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000199 636 LIDOCAINE 400 MG/20 ML 2% INJ J2001 0.00 0.00 0.04 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.65 of charges 0.00 0.03 0.02 0.02 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000200 636 LIDOCAINE 40 MG/1 ML 4% INJ J2001 0.00 0.00 0.04 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.65 of charges 0.00 0.03 0.02 0.02 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000333 636 ZYVOX 200 MG IN D5W 100 ML J2020 0.00 0.00 89.75 0.00 3.76 0.00 89.75 39.89 89.75 39.89 0.00 0.00 5.41 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 3.65 0.65 of charges 39.89 3.30 2.56 2.56 39.89 39.89 39.89 2.56 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000334 636 ZYVOX 600 MG IN D5W 300 ML J2020 0.00 0.00 89.75 0.00 3.76 0.00 89.75 39.89 89.75 39.89 0.00 0.00 5.41 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 3.65 0.65 of charges 39.89 3.30 2.56 2.56 39.89 39.89 39.89 2.56 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500299 636 LORAZEPAM 20MG/10ML VIAL J2060 0.00 0.00 1.84 0.00 1.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.01 0.65 of charges 0.00 1.12 0.87 0.87 0.00 0.00 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500466 636 LORAZEPAM 20MG/10ML VIAL J2060 0.00 0.00 1.84 0.00 1.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.01 0.65 of charges 0.00 1.12 0.87 0.87 0.00 0.00 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000075 636 ATIVAN 2 MG INJ J2060 0.00 0.00 1.84 0.00 1.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.01 0.65 of charges 0.00 1.12 0.87 0.87 0.00 0.00 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000076 636 ATIVAN 4 MG INJ J2060 0.00 0.00 1.84 0.00 1.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.01 0.65 of charges 0.00 1.12 0.87 0.87 0.00 0.00 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000077 636 ATIVAN 4 MG INJ J2060 0.00 0.00 1.84 0.00 1.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.01 0.65 of charges 0.00 1.12 0.87 0.87 0.00 0.00 0.00 0.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001323 636 MANNITOL 25 % 12.5 GM/50 ML J2150 0.00 0.00 5.26 0.00 2.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.26 0.65 of charges 0.00 2.60 2.01 2.01 0.00 0.00 0.00 2.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000111 636 MANNITOL 25% ML VIAL J2150 4.24 4.24 5.26 0.00 2.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.76 2.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.26 2.76 0.00 2.60 2.01 2.01 0.00 0.00 0.00 2.01 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001189 636 MERREM 1 GRAM INJ J2185 0.00 0.00 0.74 0.00 0.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.56 0.65 of charges 0.00 0.45 0.35 0.35 0.00 0.00 0.00 0.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001275 636 MERREM 500 MG INJ J2185 0.00 0.00 0.74 0.00 0.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.56 0.65 of charges 0.00 0.45 0.35 0.35 0.00 0.00 0.00 0.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500240 636 MEROPENEM 1000MG/50ML PREMX BG J2185 0.00 0.00 0.74 0.00 0.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.56 0.65 of charges 0.00 0.45 0.35 0.35 0.00 0.00 0.00 0.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500241 636 MEROPENEM 500MG/50ML PREMX BG J2185 0.00 0.00 0.74 0.00 0.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.56 0.65 of charges 0.00 0.45 0.35 0.35 0.00 0.00 0.00 0.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500368 636 VABOMERE 2GM VIAL J2186 0.00 0.00 483.49 0.00 0.00 2.08 483.49 214.88 483.49 214.88 2.08 2.08 3.40 2.08 214.88 2.08 483.49 214.88 483.49 2.08 0.65 of eligible billed charges 0.65 of eligible billed charges 483.49 214.88 483.49 214.88 2.08 2.08 449.49 199.77 199.77 199.77 1.97 483.49 214.88 483.49 214.88 2.08 2.08 2.08 1.78 0.65 of charges 214.88 0.00 0.00 0.00 214.88 214.88 214.88 0.00 214.88 0.00 2.08 483.49 214.88 2.08 214.88 2.08 2.08 2.08 2.08 214.88 483.49 214.88 483.49 214.88 1.87 636000215 636 METHERGINE 0.2 MG/1 ML INJ J2210 0.00 0.00 89.75 0.00 22.35 0.00 89.75 39.89 89.75 39.89 0.00 0.00 32.15 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 21.09 0.65 of charges 39.89 19.60 15.19 15.19 39.89 39.89 39.89 15.19 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500218 636 METHYLNALTREXONE 12MG/0.6MLSYR J2212 0.00 0.00 89.75 0.00 0.00 1.20 89.75 39.89 89.75 39.89 1.20 1.20 1.97 1.20 39.89 1.20 89.75 39.89 89.75 1.20 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 1.20 1.20 83.44 37.08 37.08 37.08 1.14 89.75 39.89 89.75 39.89 1.20 1.20 1.20 1.56 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 1.20 89.75 39.89 1.20 39.89 1.20 1.20 1.20 1.20 39.89 89.75 39.89 89.75 39.89 1.08 250001294 636 MYCAMINE 100 MG VIAL J2248 0.00 0.00 89.75 0.00 0.86 0.00 89.75 39.89 89.75 39.89 0.00 0.00 1.24 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.75 0.65 of charges 39.89 0.76 0.59 0.59 39.89 39.89 39.89 0.59 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001326 636 MICAFUNGIN 50 MG INJ J2248 0.00 0.00 89.75 0.00 0.86 0.00 89.75 39.89 89.75 39.89 0.00 0.00 1.24 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.75 0.65 of charges 39.89 0.76 0.59 0.59 39.89 39.89 39.89 0.59 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351000351 636 MIDAZOLAM 50 MG/10 ML INJ J2250 0.00 0.00 8.50 0.00 0.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.50 0.65 of charges 0.00 0.14 0.11 0.11 0.00 0.00 0.00 0.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000352 636 MIDAZOLAM 5 MG/1 ML INJ J2250 0.00 0.00 0.85 0.00 0.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 0.65 of charges 0.00 0.14 0.11 0.11 0.00 0.00 0.00 0.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000221 636 MIDAZOLAM 2 MG/2 ML INJ J2250 0.00 0.00 0.34 0.00 0.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.34 0.65 of charges 0.00 0.14 0.11 0.11 0.00 0.00 0.00 0.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000222 636 MIDAZOLAM 10 MG/2 ML INJ J2250 0.00 0.00 1.70 0.00 0.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.70 0.65 of charges 0.00 0.14 0.11 0.11 0.00 0.00 0.00 0.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000250 636 PRIMACOR 50 MG/50 ML J2260 0.00 0.00 2.56 0.00 1.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.77 0.65 of charges 0.00 1.56 1.21 1.21 0.00 0.00 0.00 1.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000106 636 MORPHINE SULFATE 10MG/5ML J2270 0.00 0.00 7.65 0.00 5.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.32 0.65 of charges 0.00 4.67 3.62 3.62 0.00 0.00 0.00 3.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000107 636 MORPHINE SULFATE 20MG/5ML J2270 0.00 0.00 7.65 0.00 5.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.32 0.65 of charges 0.00 4.67 3.62 3.62 0.00 0.00 0.00 3.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000140 636 MORPHINE SULFATE 5 MG/1 ML J2270 0.00 0.00 7.65 0.00 5.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.32 0.65 of charges 0.00 4.67 3.62 3.62 0.00 0.00 0.00 3.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000144 636 MORPHINE 4MG/ML SYRINGE J2270 0.00 0.00 7.65 0.00 5.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.32 0.65 of charges 0.00 4.67 3.62 3.62 0.00 0.00 0.00 3.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000322 636 MORPHINE 10MG/ML J2270 0.00 0.00 7.65 0.00 5.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.32 0.65 of charges 0.00 4.67 3.62 3.62 0.00 0.00 0.00 3.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000330 636 MORPHINE 2MG/ML SYRINGE J2270 0.00 0.00 7.65 0.00 5.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.32 0.65 of charges 0.00 4.67 3.62 3.62 0.00 0.00 0.00 3.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000427 636 MORPHINE SULFATE 10 MG/1 ML J2270 0.00 0.00 7.65 0.00 5.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.32 0.65 of charges 0.00 4.67 3.62 3.62 0.00 0.00 0.00 3.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500118 636 DURAMORPH 10MG J2274 0.00 0.00 89.75 0.00 12.82 0.00 89.75 39.89 89.75 39.89 0.00 0.00 18.44 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 11.19 0.65 of charges 39.89 11.24 8.71 8.71 39.89 39.89 39.89 8.71 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001446 636 MOXIFLOXACIN 400 MG IN NACL J2280 0.00 0.00 15.46 0.00 10.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.76 0.65 of charges 0.00 9.43 7.31 7.31 0.00 0.00 0.00 7.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500196 636 NALBUPHINE HCL 10MG/ML J2300 0.00 0.00 4.61 0.00 3.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.87 0.65 of charges 0.00 2.81 2.18 2.18 0.00 0.00 0.00 2.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500459 636 NALBUPHINE 100MG/10ML VIAL J2300 0.00 0.00 28.70 0.00 3.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.70 0.65 of charges 0.00 2.81 2.18 2.18 0.00 0.00 0.00 2.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000225 636 NALBUPHINE 10 MG/1 ML INJ J2300 0.00 0.00 4.61 0.00 3.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.87 0.65 of charges 0.00 2.81 2.18 2.18 0.00 0.00 0.00 2.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000406 636 NALOXONE 2MG/2ML SYRINGE J2310 0.00 0.00 45.45 0.00 8.31 0.00 45.45 20.20 45.45 20.20 0.00 0.00 11.95 0.00 20.20 0.00 45.45 20.20 45.45 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 45.45 20.20 45.45 20.20 0.00 0.00 45.45 20.20 20.20 20.20 0.00 45.45 20.20 45.45 20.20 0.00 0.00 0.00 19.08 0.65 of charges 20.20 7.29 5.65 5.65 20.20 20.20 20.20 5.65 20.20 0.00 0.00 45.45 20.20 0.00 20.20 0.00 0.00 0.00 0.00 20.20 45.45 20.20 45.45 20.20 0.00 636000226 636 NALOXONE 0.4MG/ML AMPUL-ABBOTT J2310 0.00 0.00 45.45 0.00 8.31 0.00 45.45 20.20 45.45 20.20 0.00 0.00 11.95 0.00 20.20 0.00 45.45 20.20 45.45 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 45.45 20.20 45.45 20.20 0.00 0.00 45.45 20.20 20.20 20.20 0.00 45.45 20.20 45.45 20.20 0.00 0.00 0.00 9.54 0.65 of charges 20.20 7.29 5.65 5.65 20.20 20.20 20.20 5.65 20.20 0.00 0.00 45.45 20.20 0.00 20.20 0.00 0.00 0.00 0.00 20.20 45.45 20.20 45.45 20.20 0.00 351500134 636 VIVITROL 380MG/VIAL J2315 0.00 0.00 6.49 0.00 4.51 3.96 cost cost cost cost 3.96 3.96 6.49 3.96 cost 3.96 cost cost cost 3.96 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 3.96 3.96 cost cost cost cost 3.76 cost cost cost cost 3.96 3.96 3.96 3.96 0.65 of charges cost 3.96 3.07 3.07 cost cost cost 3.07 cost 0.00 3.96 cost cost 3.96 cost 3.96 3.96 3.96 3.96 cost cost cost cost cost 3.56 250001338 636 TYSABRI 300 MG/15 ML J2323 0.00 0.00 40.10 0.00 27.88 24.45 cost cost cost cost 24.45 24.45 40.10 24.45 cost 24.45 cost cost cost 24.45 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 24.45 24.45 cost cost cost cost 23.23 cost cost cost cost 24.45 24.45 24.45 24.60 0.65 of charges cost 24.45 18.95 18.95 cost cost cost 18.95 cost 0.00 24.45 cost cost 24.45 cost 24.45 24.45 24.45 24.45 cost cost cost cost cost 22.01 250001195 636 NATRECOR 1.5 MG VIAL J2325 0.00 0.00 2043.97 0.00 0.00 0.00 2043.97 908.43 2043.97 908.43 0.00 0.00 0.00 0.00 908.43 0.00 2043.97 908.43 2043.97 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 2043.97 908.43 2043.97 908.43 0.00 0.00 1900.23 844.55 844.55 844.55 0.00 2043.97 908.43 2043.97 908.43 0.00 0.00 0.00 60.25 0.65 of charges 908.43 0.00 0.00 0.00 908.43 908.43 908.43 0.00 908.43 0.00 0.00 2043.97 908.43 0.00 908.43 0.00 0.00 0.00 0.00 908.43 2043.97 908.43 2043.97 908.43 0.00 250001222 636 SANDOSTATIN LAR 20MG KIT-SANDO J2353 0.00 0.00 345.76 0.00 240.35 210.83 cost cost cost cost 210.83 210.83 345.76 210.83 cost 210.83 cost cost cost 210.83 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 210.83 210.83 cost cost cost cost 200.29 cost cost cost cost 210.83 210.83 210.83 207.16 0.65 of charges cost 210.83 163.39 163.39 cost cost cost 163.39 cost 0.00 210.83 cost cost 210.83 cost 210.83 210.83 210.83 210.83 cost cost cost cost cost 189.75 250001219 636 SANDOSTATIN 50 MCG/1 ML INJ J2354 0.00 0.00 1.95 0.00 1.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.65 of charges 0.00 1.19 0.92 0.92 0.00 0.00 0.00 0.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001220 250 SANDOSTATIN 100 MCG/1 ML INJ J2354 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001221 250 SANDOSTATIN 500 MCG/1 ML J2354 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000428 636 OCTREOTIDE 200MCG/ML 5ML VIAL J2354 0.00 0.00 1.95 0.00 1.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.65 of charges 0.00 1.19 0.92 0.92 0.00 0.00 0.00 0.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000429 250 OCTREOTIDE 1000MCG/ML 5ML VIAL J2354 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001283 636 NEUMEGA 5 MG VIAL J2355 0.00 0.00 426.92 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 426.92 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500418 636 XOLAIR 150MG/ML SYRNG J2357 J2357 0.00 0.00 4403.50 0.00 44.98 39.46 4403.50 1957.11 4403.50 1957.11 39.46 39.46 64.71 39.46 "1,957.11" 39.46 4403.50 1957.11 4403.50 39.46 0.65 of eligible billed charges 0.65 of eligible billed charges 4403.50 1957.11 4403.50 1957.11 39.46 39.46 4093.84 1819.48 1819.48 1819.48 37.49 4403.50 1957.11 4403.50 1957.11 39.46 39.46 39.46 39.09 0.65 of charges 1957.11 39.46 30.58 30.58 1957.11 1957.11 1957.11 30.58 1957.11 0.00 39.46 4403.50 1957.11 39.46 1957.11 39.46 39.46 39.46 39.46 1957.11 4403.50 1957.11 4403.50 1957.11 35.51 351500458 636 XOLAIR 150MG VIAL J2357 0.00 0.00 4403.50 0.00 44.98 39.46 4403.50 1957.11 4403.50 1957.11 39.46 39.46 64.71 39.46 "1,957.11" 39.46 4403.50 1957.11 4403.50 39.46 0.65 of eligible billed charges 0.65 of eligible billed charges 4403.50 1957.11 4403.50 1957.11 39.46 39.46 4093.84 1819.48 1819.48 1819.48 37.49 4403.50 1957.11 4403.50 1957.11 39.46 39.46 39.46 39.09 0.65 of charges 1957.11 39.46 30.58 30.58 1957.11 1957.11 1957.11 30.58 1957.11 0.00 39.46 4403.50 1957.11 39.46 1957.11 39.46 39.46 39.46 39.46 1957.11 4403.50 1957.11 4403.50 1957.11 35.51 351500290 636 OLANZAPINE PAMOATE 300MG VIAL J2358 0.00 0.00 4.78 0.00 3.33 2.92 cost cost cost cost 2.92 2.92 4.78 2.92 cost 2.92 cost cost cost 2.92 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.92 2.92 cost cost cost cost 2.77 cost cost cost cost 2.92 2.92 2.92 2.92 0.65 of charges cost 2.92 2.26 2.26 cost cost cost 2.26 cost 0.00 2.92 cost cost 2.92 cost 2.92 2.92 2.92 2.92 cost cost cost cost cost 2.63 351000407 636 ZOFRAN 2 MG/2 ML VIAL J2405 0.00 0.00 0.18 0.00 0.11 0.00 cost cost cost cost 0.00 0.00 0.16 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.18 0.65 of charges cost 0.10 0.08 0.08 cost cost cost 0.08 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000412 636 ZOFRAN 40 MG/20 ML VIAL J2405 0.00 0.00 3.60 0.00 0.11 0.00 cost cost cost cost 0.00 0.00 0.16 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 3.60 0.65 of charges cost 0.10 0.08 0.08 cost cost cost 0.08 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000331 636 ZOFRAN 4 MG/2 ML VIAL J2405 0.00 0.00 0.36 0.00 0.11 0.00 cost cost cost cost 0.00 0.00 0.16 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.36 0.65 of charges cost 0.10 0.08 0.08 cost cost cost 0.08 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000100 636 INVEGA SUSTENNA 156MG J2426 0.00 0.00 23.48 0.00 16.32 14.32 cost cost cost cost 14.32 14.32 23.48 14.32 cost 14.32 cost cost cost 14.32 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 14.32 14.32 cost cost cost cost 13.60 cost cost cost cost 14.32 14.32 14.32 14.34 0.65 of charges cost 14.32 11.10 11.10 cost cost cost 11.10 cost 0.00 14.32 cost cost 14.32 cost 14.32 14.32 14.32 14.32 cost cost cost cost cost 12.89 351000101 636 INVEGA SUSTENNA 39MG J2426 0.00 0.00 23.48 0.00 16.32 14.32 cost cost cost cost 14.32 14.32 23.48 14.32 cost 14.32 cost cost cost 14.32 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 14.32 14.32 cost cost cost cost 13.60 cost cost cost cost 14.32 14.32 14.32 14.34 0.65 of charges cost 14.32 11.10 11.10 cost cost cost 11.10 cost 0.00 14.32 cost cost 14.32 cost 14.32 14.32 14.32 14.32 cost cost cost cost cost 12.89 351000102 636 INVEGA SUSTENNA 234MG J2426 0.00 0.00 23.48 0.00 16.32 14.32 cost cost cost cost 14.32 14.32 23.48 14.32 cost 14.32 cost cost cost 14.32 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 14.32 14.32 cost cost cost cost 13.60 cost cost cost cost 14.32 14.32 14.32 14.34 0.65 of charges cost 14.32 11.10 11.10 cost cost cost 11.10 cost 0.00 14.32 cost cost 14.32 cost 14.32 14.32 14.32 14.32 cost cost cost cost cost 12.89 351000103 636 INVEGA SUSTENNA 78MG J2426 0.00 0.00 23.48 0.00 16.32 14.32 cost cost cost cost 14.32 14.32 23.48 14.32 cost 14.32 cost cost cost 14.32 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 14.32 14.32 cost cost cost cost 13.60 cost cost cost cost 14.32 14.32 14.32 14.34 0.65 of charges cost 14.32 11.10 11.10 cost cost cost 11.10 cost 0.00 14.32 cost cost 14.32 cost 14.32 14.32 14.32 14.32 cost cost cost cost cost 12.89 351000104 636 INVEGA SUSTENNA 117MG J2426 0.00 0.00 23.48 0.00 16.32 14.32 cost cost cost cost 14.32 14.32 23.48 14.32 cost 14.32 cost cost cost 14.32 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 14.32 14.32 cost cost cost cost 13.60 cost cost cost cost 14.32 14.32 14.32 14.34 0.65 of charges cost 14.32 11.10 11.10 cost cost cost 11.10 cost 0.00 14.32 cost cost 14.32 cost 14.32 14.32 14.32 14.32 cost cost cost cost cost 12.89 250001328 636 PAMIDRONATE DIS 60 MG/10 ML J2430 0.00 0.00 20.66 0.00 10.12 0.00 cost cost cost cost 0.00 0.00 14.55 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 20.66 0.65 of charges cost 8.87 6.88 6.88 cost cost cost 6.88 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000073 636 AREDIA 30 MG VIAL J2430 0.00 0.00 14.55 0.00 10.12 0.00 cost cost cost cost 0.00 0.00 14.55 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 10.33 0.65 of charges cost 8.87 6.88 6.88 cost cost cost 6.88 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000074 636 AREDIA 90 MG VIAL J2430 0.00 0.00 30.99 0.00 10.12 0.00 cost cost cost cost 0.00 0.00 14.55 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 30.99 0.65 of charges cost 8.87 6.88 6.88 cost cost cost 6.88 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001284 636 ALOXI 0.25 MG J2469 0.00 0.00 1.39 0.00 0.96 0.00 cost cost cost cost 0.00 0.00 1.39 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.88 0.65 of charges cost 0.85 0.65 0.65 cost cost cost 0.65 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 361000103 636 ZEMPLAR 5MCG J2501 28.62 28.62 20.03 0.00 0.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.60 18.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.90 18.60 0.00 0.66 0.52 0.52 0.00 0.00 0.00 0.52 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000126 636 ZEMPLAR 10MCG J2501 28.62 28.62 20.03 0.00 0.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.60 18.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.90 18.60 0.00 0.66 0.52 0.52 0.00 0.00 0.00 0.52 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000312 636 ZEMPLAR 5 MCG/1 ML VIAL J2501 0.00 0.00 1.09 0.00 0.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.90 0.65 of charges 0.00 0.66 0.52 0.52 0.00 0.00 0.00 0.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000328 636 WYCILLIN 1.2 MMU/2 ML TUBEX J2510 0.00 0.00 89.75 0.00 0.00 40.94 89.75 39.89 89.75 39.89 40.94 40.94 67.14 40.94 39.89 40.94 89.75 39.89 89.75 40.94 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 40.94 40.94 83.44 37.08 37.08 37.08 38.89 89.75 39.89 89.75 39.89 40.94 40.94 40.94 43.38 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 40.94 89.75 39.89 40.94 39.89 40.94 40.94 40.94 40.94 39.89 89.75 39.89 89.75 39.89 36.85 250001261 636 PENICILLIN G POT 5 MMU VIAL J2540 0.00 0.00 1.26 0.00 0.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.82 0.65 of charges 0.00 0.77 0.60 0.60 0.00 0.00 0.00 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000085 636 PENICILLIN G POT 20 MILLION UN J2540 0.00 0.00 1.26 0.00 0.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.82 0.65 of charges 0.00 0.77 0.60 0.60 0.00 0.00 0.00 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001330 636 PIPERACILLIN 4.5 GRAM INJ J2543 0.00 0.00 1.93 0.00 1.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.89 0.65 of charges 0.00 1.18 0.91 0.91 0.00 0.00 0.00 0.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000054 636 ZOSYN 2.25 GM IN D5W 50 ML J2543 0.00 0.00 1.93 0.00 1.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.89 0.65 of charges 0.00 1.18 0.91 0.91 0.00 0.00 0.00 0.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000316 636 ZOSYN 2.25 GM VIAL J2543 0.00 0.00 1.93 0.00 1.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.89 0.65 of charges 0.00 1.18 0.91 0.91 0.00 0.00 0.00 0.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000317 636 ZOSYN 3.375 GM IN D5W 50 ML J2543 0.00 0.00 1.93 0.00 1.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.89 0.65 of charges 0.00 1.18 0.91 0.91 0.00 0.00 0.00 0.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000318 636 ZOSYN 3.375 GM VIAL J2543 0.00 0.00 1.93 0.00 1.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.89 0.65 of charges 0.00 1.18 0.91 0.91 0.00 0.00 0.00 0.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000256 636 PROMETHAZINE 50MG/ML AMPUL-ESI J2550 0.00 0.00 5.89 0.00 4.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.48 0.65 of charges 0.00 3.59 2.78 2.78 0.00 0.00 0.00 2.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001185 636 LUMINAL 65 MG/1 ML INJ J2560 0.00 0.00 89.75 0.00 35.83 0.00 89.75 39.89 89.75 39.89 0.00 0.00 51.55 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 36.25 0.65 of charges 39.89 31.43 24.36 24.36 39.89 39.89 39.89 24.36 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000324 636 PHENOBARBITAL 130 MG/1 ML J2560 0.00 0.00 89.75 0.00 35.83 0.00 89.75 39.89 89.75 39.89 0.00 0.00 51.55 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 36.25 0.65 of charges 39.89 31.43 24.36 24.36 39.89 39.89 39.89 24.36 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351000122 636 OXYTOCIN 20 UNITS/1 ML INJ J2590 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.53 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000237 636 OXYTOCIN 10 UNITS/1 ML INJ J2590 0.00 0.00 0.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.53 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001314 636 DESMOPRESSIN 40 MCG/10 ML VIAL J2597 0.00 0.00 246.00 0.00 7.21 6.33 cost cost cost cost 6.33 6.33 10.38 6.33 cost 6.33 cost cost cost 6.33 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 6.33 6.33 cost cost cost cost 6.01 cost cost cost cost 6.33 6.33 6.33 246.00 0.65 of charges cost 6.33 4.90 4.90 cost cost cost 4.90 cost 0.00 6.33 cost cost 6.33 cost 6.33 6.33 6.33 6.33 cost cost cost cost cost 5.70 636000107 636 DESMOPRESSIN AC 4 MCG/1 ML INJ J2597 0.00 0.00 24.60 0.00 7.21 6.33 cost cost cost cost 6.33 6.33 10.38 6.33 cost 6.33 cost cost cost 6.33 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 6.33 6.33 cost cost cost cost 6.01 cost cost cost cost 6.33 6.33 6.33 24.60 0.65 of charges cost 6.33 4.90 4.90 cost cost cost 4.90 cost 0.00 6.33 cost cost 6.33 cost 6.33 6.33 6.33 6.33 cost cost cost cost cost 5.70 636000108 636 DESMOPRESSIN AC 4 MCG/1 ML J2597 0.00 0.00 24.60 0.00 7.21 6.33 cost cost cost cost 6.33 6.33 10.38 6.33 cost 6.33 cost cost cost 6.33 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 6.33 6.33 cost cost cost cost 6.01 cost cost cost cost 6.33 6.33 6.33 24.60 0.65 of charges cost 6.33 4.90 4.90 cost cost cost 4.90 cost 0.00 6.33 cost cost 6.33 cost 6.33 6.33 6.33 6.33 cost cost cost cost cost 5.70 636000145 636 FLUPHENAZINE DECAN 125 MG/5 ML J2680 0.00 0.00 15.01 0.00 10.43 0.00 cost cost cost cost 0.00 0.00 15.01 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 9.87 0.65 of charges cost 9.15 7.09 7.09 cost cost cost 7.09 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000253 636 PROCAINAMIDE 1 GRAM/10 ML J2690 0.00 0.00 340.44 0.00 166.80 146.32 89.75 39.89 89.75 39.89 146.32 146.32 239.96 146.32 39.89 146.32 89.75 39.89 89.75 146.32 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 146.32 146.32 83.44 37.08 37.08 37.08 139.00 89.75 39.89 89.75 39.89 146.32 146.32 146.32 340.44 0.65 of charges 39.89 146.32 113.40 113.40 39.89 39.89 39.89 113.40 39.89 0.00 146.32 89.75 39.89 146.32 39.89 146.32 146.32 146.32 146.32 39.89 89.75 39.89 89.75 39.89 131.69 636000254 636 PROCAINAMIDE 500MG/ML VIAL-ESI J2690 0.00 0.00 340.44 0.00 166.80 146.32 89.75 39.89 89.75 39.89 146.32 146.32 239.96 146.32 39.89 146.32 89.75 39.89 89.75 146.32 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 146.32 146.32 83.44 37.08 37.08 37.08 139.00 89.75 39.89 89.75 39.89 146.32 146.32 146.32 340.44 0.65 of charges 39.89 146.32 113.40 113.40 39.89 39.89 39.89 113.40 39.89 0.00 146.32 89.75 39.89 146.32 39.89 146.32 146.32 146.32 146.32 39.89 89.75 39.89 89.75 39.89 131.69 250001332 636 PROTAMINE SULFATE 250 MG/25 ML J2720 0.00 0.00 19.75 0.00 1.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.75 0.65 of charges 0.00 1.66 1.28 1.28 0.00 0.00 0.00 1.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000113 636 PROTAMINE SILFATE 50MG J2720 15.90 15.90 11.13 0.00 1.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.34 10.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.58 10.34 0.00 1.66 1.28 1.28 0.00 0.00 0.00 1.28 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000257 636 PROTAMINE 50 MG/5 ML INJ J2720 0.00 0.00 3.95 0.00 1.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.95 0.65 of charges 0.00 1.66 1.28 1.28 0.00 0.00 0.00 1.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000388 636 PROTOPAM 1G VIAL J2730 0.00 0.00 269.25 0.00 0.00 0.00 269.25 119.67 269.25 119.67 0.00 0.00 0.00 0.00 119.67 0.00 269.25 119.67 269.25 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 0.00 0.00 250.31 111.25 111.25 111.25 0.00 269.25 119.67 269.25 119.67 0.00 0.00 0.00 93.64 0.65 of charges 119.67 0.00 0.00 0.00 119.67 119.67 119.67 0.00 119.67 0.00 0.00 269.25 119.67 0.00 119.67 0.00 0.00 0.00 0.00 119.67 269.25 119.67 269.25 119.67 0.00 250001324 636 METOCLOPRAMIDE 150 MG/30 ML J2765 0.00 0.00 1.79 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.11 0.65 of charges 0.00 1.09 0.85 0.85 0.00 0.00 0.00 0.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000112 636 REGLAN 10MG/2ML J2765 1.41 1.41 1.79 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.92 0.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.11 0.92 0.00 1.09 0.85 0.85 0.00 0.00 0.00 0.85 0.00 0.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000218 636 METOCLOPRAMIDE 10 MG/2 ML J2765 0.00 0.00 1.79 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.11 0.65 of charges 0.00 1.09 0.85 0.85 0.00 0.00 0.00 0.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000219 636 METOCLOPRAMIDE 50 MG/10 ML J2765 0.00 0.00 1.79 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.11 0.65 of charges 0.00 1.09 0.85 0.85 0.00 0.00 0.00 0.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000291 636 SYNERCID 500 MG VIAL J2770 0.00 0.00 810.11 0.00 0.00 493.97 cost cost cost cost 493.97 493.97 810.11 493.97 cost 493.97 cost cost cost 493.97 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 493.97 493.97 cost cost cost cost 469.27 cost cost cost cost 493.97 493.97 493.97 493.97 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 493.97 cost cost 493.97 cost 493.97 493.97 493.97 493.97 cost cost cost cost cost 444.57 351500456 636 RASBURICASE 1.5M VIAL J2783 0.00 0.00 602.32 0.00 418.69 367.27 cost cost cost cost 367.27 367.27 602.32 367.27 cost 367.27 cost cost cost 367.27 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 367.27 367.27 cost cost cost cost 348.90 cost cost cost cost 367.27 367.27 367.27 358.43 0.65 of charges cost 367.27 284.63 284.63 cost cost cost 284.63 cost 0.00 367.27 cost cost 367.27 cost 367.27 367.27 367.27 367.27 cost cost cost cost cost 330.54 351500457 636 RASBURICASE 7.5M VIAL J2783 0.00 0.00 602.32 0.00 418.69 367.27 cost cost cost cost 367.27 367.27 602.32 367.27 cost 367.27 cost cost cost 367.27 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 367.27 367.27 cost cost cost cost 348.90 cost cost cost cost 367.27 367.27 367.27 358.43 0.65 of charges cost 367.27 284.63 284.63 cost cost cost 284.63 cost 0.00 367.27 cost cost 367.27 cost 367.27 367.27 367.27 367.27 cost cost cost cost cost 330.54 341000061 636 LEXISCAN PER 0.1MG J2785 87.98 87.98 61.59 0.00 16.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.19 57.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.76 57.19 0.00 14.28 11.07 11.07 0.00 0.00 0.00 11.07 0.00 61.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000426 636 REGADENOSON 0.4 MG/5 ML J2785 0.00 0.00 34.76 0.00 16.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.76 0.65 of charges 0.00 14.28 11.07 11.07 0.00 0.00 0.00 11.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 300000008 636 RHOGAM 50MCQ J2788 164.30 164.30 115.01 0.00 27.13 0.00 83.45 37.09 83.45 37.09 0.00 0.00 39.03 0.00 37.09 0.00 83.45 37.09 83.45 0.00 106.80 106.80 83.45 37.09 83.45 37.09 0.00 0.00 77.58 34.48 34.48 34.48 0.00 83.45 37.09 83.45 37.09 0.00 0.00 0.00 25.51 106.80 37.09 23.80 18.44 18.44 37.09 37.09 37.09 18.44 37.09 115.01 0.00 83.45 37.09 0.00 37.09 0.00 0.00 0.00 0.00 37.09 83.45 37.09 83.45 37.09 0.00 636000411 636 RHOGAM 300 MCG J2790 214.12 214.12 250.36 0.00 92.52 0.00 250.36 111.27 250.36 111.27 0.00 0.00 133.10 0.00 111.27 0.00 250.36 111.27 250.36 0.00 139.18 139.18 250.36 111.27 250.36 111.27 0.00 0.00 232.75 103.44 103.44 103.44 0.00 250.36 111.27 250.36 111.27 0.00 0.00 0.00 77.30 139.18 111.27 81.16 62.90 62.90 111.27 111.27 111.27 62.90 111.27 149.88 0.00 250.36 111.27 0.00 111.27 0.00 0.00 0.00 0.00 111.27 250.36 111.27 250.36 111.27 0.00 250001298 636 RISPERIDONE CONSTA 12.5 MG J2794 0.00 0.00 19.93 0.00 13.85 12.15 cost cost cost cost 12.15 12.15 19.93 12.15 cost 12.15 cost cost cost 12.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 12.15 12.15 cost cost cost cost 11.54 cost cost cost cost 12.15 12.15 12.15 12.15 0.65 of charges cost 12.15 9.42 9.42 cost cost cost 9.42 cost 0.00 12.15 cost cost 12.15 cost 12.15 12.15 12.15 12.15 cost cost cost cost cost 10.94 250001299 636 RISPERIDONE CONSTA 50 MG/2 ML J2794 0.00 0.00 19.93 0.00 13.85 12.15 cost cost cost cost 12.15 12.15 19.93 12.15 cost 12.15 cost cost cost 12.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 12.15 12.15 cost cost cost cost 11.54 cost cost cost cost 12.15 12.15 12.15 12.15 0.65 of charges cost 12.15 9.42 9.42 cost cost cost 9.42 cost 0.00 12.15 cost cost 12.15 cost 12.15 12.15 12.15 12.15 cost cost cost cost cost 10.94 250001300 636 RISPERIDONE CONSTA 37.5 MG J2794 0.00 0.00 19.93 0.00 13.85 12.15 cost cost cost cost 12.15 12.15 19.93 12.15 cost 12.15 cost cost cost 12.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 12.15 12.15 cost cost cost cost 11.54 cost cost cost cost 12.15 12.15 12.15 12.15 0.65 of charges cost 12.15 9.42 9.42 cost cost cost 9.42 cost 0.00 12.15 cost cost 12.15 cost 12.15 12.15 12.15 12.15 cost cost cost cost cost 10.94 636000341 636 RISPERDAL CONSTA 25 MG SYR J2794 0.00 0.00 19.93 0.00 13.85 12.15 cost cost cost cost 12.15 12.15 19.93 12.15 cost 12.15 cost cost cost 12.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 12.15 12.15 cost cost cost cost 11.54 cost cost cost cost 12.15 12.15 12.15 12.15 0.65 of charges cost 12.15 9.42 9.42 cost cost cost 9.42 cost 0.00 12.15 cost cost 12.15 cost 12.15 12.15 12.15 12.15 cost cost cost cost cost 10.94 351000108 636 NAROPIN 0.2MG/ML J2795 0.00 0.00 0.13 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.08 0.06 0.06 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000109 636 NAROPIN 10MG/ML J2795 0.00 0.00 0.13 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.08 0.06 0.06 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000110 636 NAROPIN 5MG/ML J2795 0.00 0.00 0.13 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.08 0.06 0.06 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000111 636 NAROPIN 0.75% 7.5MG/ML J2795 0.00 0.00 0.13 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.08 0.06 0.06 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500040 636 NAROPIN 2MG/ ML 100ML J2795 0.00 0.00 0.13 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.08 0.06 0.06 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000228 636 NAROPIN 2MG/ML VIAL-ASTRA PHAR J2795 0.00 0.00 0.13 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.65 of charges 0.00 0.08 0.06 0.06 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500460 636 NPLATE J2796 0.00 0.00 157.48 0.00 109.47 96.03 cost cost cost cost 96.03 96.03 157.48 96.03 cost 96.03 cost cost cost 96.03 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 96.03 96.03 cost cost cost cost 91.23 cost cost cost cost 96.03 96.03 96.03 95.75 0.65 of charges cost 96.03 74.42 74.42 cost cost cost 74.42 cost 0.00 96.03 cost cost 96.03 cost 96.03 96.03 96.03 96.03 cost cost cost cost cost 86.42 351500242 636 RISPERIDONE SUBC INJ 90MG SYR J2798 0.00 0.00 19.06 0.00 13.25 14.11 cost cost cost cost 14.11 14.11 19.06 14.11 cost 14.11 cost cost cost 14.11 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 14.11 14.11 cost cost cost cost 13.40 cost cost cost cost 14.11 14.11 14.11 11.64 0.65 of charges cost 11.62 9.01 9.01 cost cost cost 9.01 cost 0.00 14.11 cost cost 14.11 cost 14.11 14.11 14.11 14.11 cost cost cost cost cost 12.70 636000261 636 ROBAXIN 1000 MG/10 ML J2800 0.00 0.00 9.28 0.00 6.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.07 0.65 of charges 0.00 5.66 4.38 4.38 0.00 0.00 0.00 4.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001279 636 LEUKINE 250 MCG VIAL J2820 0.00 0.00 810.64 0.00 67.62 59.32 810.64 360.28 810.64 360.28 59.32 59.32 97.28 59.32 360.28 59.32 810.64 360.28 810.64 59.32 0.65 of eligible billed charges 0.65 of eligible billed charges 810.64 360.28 810.64 360.28 59.32 59.32 753.63 334.95 334.95 334.95 56.35 810.64 360.28 810.64 360.28 59.32 59.32 59.32 58.26 0.65 of charges 360.28 59.32 45.97 45.97 360.28 360.28 360.28 45.97 360.28 0.00 59.32 810.64 360.28 59.32 360.28 59.32 59.32 59.32 59.32 360.28 810.64 360.28 810.64 360.28 53.39 250001285 636 LEUKINE 500 MCG/1 ML INJ J2820 0.00 0.00 810.64 0.00 67.62 59.32 810.64 360.28 810.64 360.28 59.32 59.32 97.28 59.32 360.28 59.32 810.64 360.28 810.64 59.32 0.65 of eligible billed charges 0.65 of eligible billed charges 810.64 360.28 810.64 360.28 59.32 59.32 753.63 334.95 334.95 334.95 56.35 810.64 360.28 810.64 360.28 59.32 59.32 59.32 58.26 0.65 of charges 360.28 59.32 45.97 45.97 360.28 360.28 360.28 45.97 360.28 0.00 59.32 810.64 360.28 59.32 360.28 59.32 59.32 59.32 59.32 360.28 810.64 360.28 810.64 360.28 53.39 351500370 636 FERRLECIT 62.5MG/5ML J2916 0.00 0.00 5.99 0.00 2.71 0.00 5.99 2.66 5.99 2.66 0.00 0.00 3.89 0.00 2.66 0.00 5.99 2.66 5.99 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 5.99 2.66 5.99 2.66 0.00 0.00 5.99 2.66 2.66 2.66 0.00 5.99 2.66 5.99 2.66 0.00 0.00 0.00 2.10 0.65 of charges 2.66 2.37 1.84 1.84 2.66 2.66 2.66 1.84 2.66 0.00 0.00 5.99 2.66 0.00 2.66 0.00 0.00 0.00 0.00 2.66 5.99 2.66 5.99 2.66 0.00 636000144 636 FERRLECIT 62.5 MG/5 ML INJ J2916 0.00 0.00 5.99 0.00 2.71 0.00 5.99 2.66 5.99 2.66 0.00 0.00 3.89 0.00 2.66 0.00 5.99 2.66 5.99 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 5.99 2.66 5.99 2.66 0.00 0.00 5.99 2.66 2.66 2.66 0.00 5.99 2.66 5.99 2.66 0.00 0.00 0.00 2.10 0.65 of charges 2.66 2.37 1.84 1.84 2.66 2.66 2.66 1.84 2.66 0.00 0.00 5.99 2.66 0.00 2.66 0.00 0.00 0.00 0.00 2.66 5.99 2.66 5.99 2.66 0.00 351500464 636 METHYLPREDNISOLONE 40MG VIAL J2920 0.00 0.00 6.87 0.00 4.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.43 0.65 of charges 0.00 4.19 3.25 3.25 0.00 0.00 0.00 3.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000287 636 SOLU-MEDROL 40 MG VIAL J2920 0.00 0.00 6.87 0.00 4.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.43 0.65 of charges 0.00 4.19 3.25 3.25 0.00 0.00 0.00 3.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000387 636 METHYLPREDNISOLONE 1GM VIAL J2930 0.00 0.00 9.65 0.00 6.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.99 0.65 of charges 0.00 5.88 4.56 4.56 0.00 0.00 0.00 4.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500463 636 METHYLPREDNISOLONE 125MG VIAL J2930 0.00 0.00 9.65 0.00 6.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.99 0.65 of charges 0.00 5.88 4.56 4.56 0.00 0.00 0.00 4.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000285 636 SOLU-MEDROL 1000 MG J2930 0.00 0.00 9.65 0.00 6.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.99 0.65 of charges 0.00 5.88 4.56 4.56 0.00 0.00 0.00 4.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000286 636 SOLU-MEDROL 125 MG VIAL J2930 0.00 0.00 9.65 0.00 6.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.99 0.65 of charges 0.00 5.88 4.56 4.56 0.00 0.00 0.00 4.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000288 636 SOLU-MEDROL 500 MG VIAL J2930 0.00 0.00 9.65 0.00 6.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.99 0.65 of charges 0.00 5.88 4.56 4.56 0.00 0.00 0.00 4.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259000001 636 SOMATROPIN 5 MG VIAL J2941 0.00 0.00 325.54 0.00 0.00 198.50 89.75 39.89 89.75 39.89 198.50 198.50 325.54 198.50 39.89 198.50 89.75 39.89 89.75 198.50 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 198.50 198.50 83.44 37.08 37.08 37.08 188.58 89.75 39.89 89.75 39.89 198.50 198.50 198.50 137.80 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 198.50 89.75 39.89 198.50 39.89 198.50 198.50 198.50 198.50 39.89 89.75 39.89 89.75 39.89 178.65 250001249 636 ACTIVASE 2 MG INJ J2997 0.00 0.00 145.92 0.00 101.43 88.97 cost cost cost cost 88.97 88.97 145.92 88.97 cost 88.97 cost cost cost 88.97 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 88.97 88.97 cost cost cost cost 84.53 cost cost cost cost 88.97 88.97 88.97 89.16 0.65 of charges cost 88.97 68.95 68.95 cost cost cost 68.95 cost 0.00 88.97 cost cost 88.97 cost 88.97 88.97 88.97 88.97 cost cost cost cost cost 80.08 361000104 636 CATHFLO ACTIVASE 2MG/2ML J2997 205.64 205.64 232.75 68.95 101.43 88.97 cost cost cost cost 88.97 88.97 145.92 88.97 cost 88.97 cost cost cost 88.97 133.67 133.67 cost cost cost cost 88.97 88.97 232.75 103.44 103.44 103.44 84.53 cost cost cost cost 88.97 88.97 88.97 89.16 133.67 cost 88.97 68.95 68.95 cost cost cost 68.95 cost 143.95 88.97 cost cost 88.97 cost 88.97 88.97 88.97 88.97 cost cost cost cost cost 80.08 636000058 636 ACTIVASE 100MG VIAL J2997 0.00 0.00 145.92 0.00 101.43 88.97 cost cost cost cost 88.97 88.97 145.92 88.97 cost 88.97 cost cost cost 88.97 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 88.97 88.97 cost cost cost cost 84.53 cost cost cost cost 88.97 88.97 88.97 89.16 0.65 of charges cost 88.97 68.95 68.95 cost cost cost 68.95 cost 0.00 88.97 cost cost 88.97 cost 88.97 88.97 88.97 88.97 cost cost cost cost cost 80.08 636000059 636 ACTIVASE 50MG VIAL J2997 0.00 0.00 145.92 0.00 101.43 88.97 cost cost cost cost 88.97 88.97 145.92 88.97 cost 88.97 cost cost cost 88.97 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 88.97 88.97 cost cost cost cost 84.53 cost cost cost cost 88.97 88.97 88.97 89.16 0.65 of charges cost 88.97 68.95 68.95 cost cost cost 68.95 cost 0.00 88.97 cost cost 88.97 cost 88.97 88.97 88.97 88.97 cost cost cost cost cost 80.08 636000289 636 STREPTOMYCIN SULF 1 GM VIAL J3000 0.00 0.00 89.75 0.00 37.07 0.00 89.75 39.89 89.75 39.89 0.00 0.00 53.33 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 33.37 0.65 of charges 39.89 32.52 25.20 25.20 39.89 39.89 39.89 25.20 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351000350 636 FENTANYL 1000 MCG/20 ML INJ J3010 0.00 0.00 1.59 0.00 1.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 0.65 of charges 0.00 0.97 0.75 0.75 0.00 0.00 0.00 0.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500146 636 FENTANYL CITRAT 50MCG/20ML AMP J3010 0.00 0.00 1.59 0.00 1.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 0.65 of charges 0.00 0.97 0.75 0.75 0.00 0.00 0.00 0.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500462 636 "FENTANYL 2,500 MCG/50ML VIAL" J3010 0.00 0.00 1.59 0.00 1.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 0.65 of charges 0.00 0.97 0.75 0.75 0.00 0.00 0.00 0.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000140 636 FENTANYL 100MCG/2ML INJ AMPULE J3010 0.00 0.00 1.59 0.00 1.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 0.65 of charges 0.00 0.97 0.75 0.75 0.00 0.00 0.00 0.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000141 636 FENTANYL 250MCG/5MLVIAL J3010 0.00 0.00 1.59 0.00 1.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 0.65 of charges 0.00 0.97 0.75 0.75 0.00 0.00 0.00 0.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000143 636 FENTANYL 100MCG/2ML INJ VIAL J3010 0.00 0.00 1.59 0.00 1.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.85 0.65 of charges 0.00 0.97 0.75 0.75 0.00 0.00 0.00 0.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000421 636 SUMATRIPTAN SUCC 6 MG/0.5 ML J3030 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 51.89 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000326 636 TNKASE 50 MG KIT J3101 0.00 0.00 15564.25 0.00 174.55 153.11 15564.25 6917.45 15564.25 6917.45 153.11 153.11 251.11 153.11 "6,917.45" 153.11 15564.25 6917.45 15564.25 153.11 0.65 of eligible billed charges 0.65 of eligible billed charges 15564.25 6917.45 15564.25 6917.45 153.11 153.11 14469.75 6431.00 6431.00 6431.00 145.46 15564.25 6917.45 15564.25 6917.45 153.11 153.11 153.11 153.10 0.65 of charges 6917.45 153.11 118.66 118.66 6917.45 6917.45 6917.45 118.66 6917.45 0.00 153.11 15564.25 6917.45 153.11 6917.45 153.11 153.11 153.11 153.11 6917.45 15564.25 6917.45 15564.25 6917.45 137.80 636000084 636 TERBUTALINE 1 MG/ML J3105 0.00 0.00 14.30 0.00 8.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.30 0.65 of charges 0.00 7.79 6.04 6.04 0.00 0.00 0.00 6.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500505 636 CHLORPROMAZN HCL 25MG/ML AMPUL J3230 0.00 0.00 89.75 0.00 33.96 0.00 89.75 39.89 89.75 39.89 0.00 0.00 48.85 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 31.78 0.65 of charges 39.89 29.79 23.08 23.08 39.89 39.89 39.89 23.08 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001272 636 TYGACIL 50 MG VIAL J3243 0.00 0.00 89.75 0.00 0.84 0.00 89.75 39.89 89.75 39.89 0.00 0.00 1.21 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.62 0.65 of charges 39.89 0.74 0.57 0.57 39.89 39.89 39.89 0.57 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000063 636 AGGRASTAT 12.5 MG J3246 0.00 0.00 7.08 0.00 4.92 4.32 0.00 0.00 0.00 0.00 4.32 4.32 7.08 4.32 0.00 4.32 0.00 0.00 0.00 4.32 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 4.32 4.32 0.00 0.00 0.00 0.00 4.10 0.00 0.00 0.00 0.00 4.32 4.32 4.32 4.41 0.65 of charges 0.00 4.32 3.35 3.35 0.00 0.00 0.00 3.35 0.00 0.00 4.32 0.00 0.00 4.32 0.00 4.32 4.32 4.32 4.32 0.00 0.00 0.00 0.00 0.00 3.89 636000293 636 TIGAN 200 MG/2 ML J3250 0.00 0.00 89.75 0.00 54.54 0.00 89.75 39.89 89.75 39.89 0.00 0.00 78.46 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 44.95 0.65 of charges 39.89 47.84 37.08 37.08 39.89 39.89 39.89 37.08 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000295 636 TRIMETHOBENZAMIDE 200 MG/2 ML J3250 0.00 0.00 89.75 0.00 54.54 0.00 89.75 39.89 89.75 39.89 0.00 0.00 78.46 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 44.95 0.65 of charges 39.89 47.84 37.08 37.08 39.89 39.89 39.89 37.08 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351000391 636 TOBRAMYCIN 1.2GM INJ J3260 0.00 0.00 4.37 0.00 3.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.65 0.65 of charges 0.00 2.66 2.06 2.06 0.00 0.00 0.00 2.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000294 636 TOBRAMYCIN 80 MG/2 ML J3260 0.00 0.00 4.37 0.00 3.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.65 0.65 of charges 0.00 2.66 2.06 2.06 0.00 0.00 0.00 2.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500301 636 TOCILIZUMAB 80MG/4ML VIAL J3262 J3262 0.00 0.00 3060.16 0.00 6.98 6.12 3060.16 1360.07 3060.16 1360.07 6.12 6.12 10.04 6.12 "1,360.07" 6.12 3060.16 1360.07 3060.16 6.12 0.65 of eligible billed charges 0.65 of eligible billed charges 3060.16 1360.07 3060.16 1360.07 6.12 6.12 2844.96 1264.43 1264.43 1264.43 5.81 3060.16 1360.07 3060.16 1360.07 6.12 6.12 6.12 6.19 0.65 of charges 1360.07 6.12 4.74 4.74 1360.07 1360.07 1360.07 4.74 1360.07 0.00 6.12 3060.16 1360.07 6.12 1360.07 6.12 6.12 6.12 6.12 1360.07 3060.16 1360.07 3060.16 1360.07 5.51 350000362 636 INJECTION TRIESENCE 1ML J3300 378.42 378.42 266.81 0.00 226.67 0.00 266.81 118.58 266.81 118.58 0.00 0.00 189.21 0.00 118.58 0.00 266.81 118.58 266.81 0.00 245.97 245.97 266.81 118.58 266.81 118.58 0.00 0.00 248.04 110.24 110.24 110.24 0.00 266.81 118.58 266.81 118.58 0.00 0.00 0.00 4.27 245.97 118.58 0.00 0.00 0.00 118.58 118.58 118.58 0.00 118.58 264.89 0.00 266.81 118.58 0.00 118.58 0.00 0.00 0.00 0.00 118.58 266.81 118.58 266.81 118.58 0.00 351500076 636 TRIESCENCE 40MG/1ML VIAL J3300 0.00 0.00 269.25 0.00 0.00 0.00 269.25 119.67 269.25 119.67 0.00 0.00 0.00 0.00 119.67 0.00 269.25 119.67 269.25 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 269.25 119.67 269.25 119.67 0.00 0.00 250.31 111.25 111.25 111.25 0.00 269.25 119.67 269.25 119.67 0.00 0.00 0.00 4.27 0.65 of charges 119.67 0.00 0.00 0.00 119.67 119.67 119.67 0.00 119.67 0.00 0.00 269.25 119.67 0.00 119.67 0.00 0.00 0.00 0.00 119.67 269.25 119.67 269.25 119.67 0.00 636000178 636 KENALOG 50 MG/5 ML INJ J3301 0.00 0.00 1.55 0.00 1.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.16 0.65 of charges 0.00 0.95 0.73 0.73 0.00 0.00 0.00 0.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000179 636 KENALOG 40 MG/1 ML INJ J3301 0.00 0.00 1.55 0.00 1.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.16 0.65 of charges 0.00 0.95 0.73 0.73 0.00 0.00 0.00 0.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500318 636 STELARA 130MG/26ML VIAL J3358 0.00 0.00 20.70 0.00 14.39 12.62 cost cost cost cost 12.62 12.62 20.70 12.62 cost 12.62 cost cost cost 12.62 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 12.62 12.62 cost cost cost cost 11.99 cost cost cost cost 12.62 12.62 12.62 12.62 0.65 of charges cost 12.62 9.78 9.78 cost cost cost 9.78 cost 0.00 12.62 cost cost 12.62 cost 12.62 12.62 12.62 12.62 cost cost cost cost cost 11.36 636000127 636 DIAZEPAM 10 MG/2 ML INJ J3360 0.00 0.00 8.96 0.00 6.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.48 0.65 of charges 0.00 5.47 4.24 4.24 0.00 0.00 0.00 4.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000390 636 VANCOMYCIN 5 GM VIAL J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500227 636 VANCOMYCIN HYDROCHL 1.5G INJ J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500408 636 VANCOMYCIN 750MG/150ML PRMX BG J3370 J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000298 636 VANCOCIN HCL 500MG/100ML-BAXTE J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000299 636 VANCOMYCIN 1 GM VIAL J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000300 636 VANCOMYCIN 500 MG VIAL J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000301 636 VANCOMYCIN 10 GM VIAL J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000327 636 VANCOCIN 1 GM IN NS 200 ML J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000406 636 VANCOMYCIN 750 MG VIAL J3370 0.00 0.00 3.78 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.09 0.65 of charges 0.00 2.31 1.79 1.79 0.00 0.00 0.00 1.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500084 636 ENTYVIO 300MG VIAL J3380 0.00 0.00 36.18 0.00 25.15 22.06 cost cost cost cost 22.06 22.06 36.18 22.06 cost 22.06 cost cost cost 22.06 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 22.06 22.06 cost cost cost cost 20.96 cost cost cost cost 22.06 22.06 22.06 22.30 0.65 of charges cost 22.06 17.10 17.10 cost cost cost 17.10 cost 0.00 22.06 cost cost 22.06 cost 22.06 22.06 22.06 22.06 cost cost cost cost cost 19.86 636000167 636 HYDROXYZINE 25 MG/1 ML INJ J3410 0.00 0.00 16.25 0.00 11.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.15 0.65 of charges 0.00 9.91 7.68 7.68 0.00 0.00 0.00 7.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000168 636 HYDROXYZINE 50 MG/1 ML INJ J3410 0.00 0.00 16.25 0.00 11.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.15 0.65 of charges 0.00 9.91 7.68 7.68 0.00 0.00 0.00 7.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001235 636 THIAMINE 200 MG/2 ML J3411 0.00 0.00 4.03 0.00 2.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.59 0.65 of charges 0.00 2.46 1.90 1.90 0.00 0.00 0.00 1.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001213 636 PYRIDOXINE 100 MG/1 ML J3415 0.00 0.00 24.31 0.00 16.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.93 0.65 of charges 0.00 14.83 11.49 11.49 0.00 0.00 0.00 11.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000102 636 CYANOCOBALAMIN 1000 MCG INJ J3420 0.00 0.00 2.37 0.00 1.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.33 0.65 of charges 0.00 1.44 1.12 1.12 0.00 0.00 0.00 1.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001329 636 PHYTONADIONE 1 MG/0.5 ML INJ J3430 0.00 0.00 89.75 0.00 3.30 0.00 89.75 39.89 89.75 39.89 0.00 0.00 4.75 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 2.98 0.65 of charges 39.89 2.90 2.25 2.25 39.89 39.89 39.89 2.25 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001378 636 VITAMINE K 1 MG/0.5 ML INJ J3430 0.00 0.00 89.75 0.00 3.30 0.00 89.75 39.89 89.75 39.89 0.00 0.00 4.75 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 2.98 0.65 of charges 39.89 2.90 2.25 2.25 39.89 39.89 39.89 2.25 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000303 636 VITAMIN K 10 MG/1 ML AMPUL J3430 0.00 0.00 89.75 0.00 3.30 0.00 89.75 39.89 89.75 39.89 0.00 0.00 4.75 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 29.80 0.65 of charges 39.89 2.90 2.25 2.25 39.89 39.89 39.89 2.25 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000304 636 VITAMIN K 1MG/0.5ML AMPUL-ABBO J3430 0.00 0.00 89.75 0.00 3.30 0.00 89.75 39.89 89.75 39.89 0.00 0.00 4.75 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 29.80 0.65 of charges 39.89 2.90 2.25 2.25 39.89 39.89 39.89 2.25 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 636000346 636 VFEND IV 200 MG VIAL J3465 0.00 0.00 89.75 0.00 1.32 0.00 89.75 39.89 89.75 39.89 0.00 0.00 1.90 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.68 0.65 of charges 39.89 1.16 0.90 0.90 39.89 39.89 39.89 0.90 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500284 636 HYLENEX INJ 150UNITS/ML J3473 0.00 0.00 89.75 0.00 0.41 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.59 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.36 0.65 of charges 39.89 0.36 0.28 0.28 39.89 39.89 39.89 0.28 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001372 636 MAGNESIUM SULFATE 1 GRAM/100ML J3475 0.00 0.00 1.52 0.00 0.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.52 0.65 of charges 0.00 0.69 0.54 0.54 0.00 0.00 0.00 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001373 636 MAGNESIUM SULFATE 2 GM/50 ML J3475 0.00 0.00 3.04 0.00 0.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.04 0.65 of charges 0.00 0.69 0.54 0.54 0.00 0.00 0.00 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000365 636 MAGNESIUM SULF 4GM 50ML STRL J3475 0.00 0.00 6.08 0.00 0.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.08 0.65 of charges 0.00 0.69 0.54 0.54 0.00 0.00 0.00 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000394 636 MAGNESIUM SULF 20ML INJ J3475 0.00 0.00 1.13 0.00 0.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.76 0.65 of charges 0.00 0.69 0.54 0.54 0.00 0.00 0.00 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000031 636 MAGNESIUM SULF 4% IV SOLN-ABBO J3475 0.00 0.00 1.13 0.00 0.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.76 0.65 of charges 0.00 0.69 0.54 0.54 0.00 0.00 0.00 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000208 636 MAGNESIUM SULF 4 GRAM IN 100ML J3475 0.00 0.00 6.08 0.00 0.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.08 0.65 of charges 0.00 0.69 0.54 0.54 0.00 0.00 0.00 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000209 636 MAGNESIUM SULFATE 8 MEQ/2 ML J3475 0.00 0.00 1.13 0.00 0.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.76 0.65 of charges 0.00 0.69 0.54 0.54 0.00 0.00 0.00 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001208 636 POTASSIUM ACET 40 MEQ/20 ML J3480 0.00 0.00 2.20 0.00 0.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.20 0.65 of charges 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000246 636 POTASSIUM CHLORIDE 10 MEQ PB J3480 0.00 0.00 0.55 0.00 0.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.55 0.65 of charges 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000247 636 POTASSIUM CHLORIDE 20 MEQ PB J3480 0.00 0.00 1.10 0.00 0.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.10 0.65 of charges 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000248 636 POTASSIUM CHLORID 40 MEQ/20ML J3480 0.00 0.00 2.20 0.00 0.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.20 0.65 of charges 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000260 636 RETROVIR IV 200 MG/10 ML J3485 0.00 0.00 89.75 0.00 1.72 0.00 89.75 39.89 89.75 39.89 0.00 0.00 2.48 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 1.51 0.65 of charges 39.89 1.51 1.17 1.17 39.89 39.89 39.89 1.17 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001257 636 GEODON 20 MG INJ J3486 0.00 0.00 89.75 0.00 11.12 0.00 89.75 39.89 89.75 39.89 0.00 0.00 16.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 9.95 0.65 of charges 39.89 9.76 7.56 7.56 39.89 39.89 39.89 7.56 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 250001262 636 ZOMETA 4 MG/5 ML VIAL J3489 0.00 0.00 73.26 0.00 8.22 0.00 73.26 32.56 73.26 32.56 0.00 0.00 11.83 0.00 32.56 0.00 73.26 32.56 73.26 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 73.26 32.56 73.26 32.56 0.00 0.00 73.26 32.56 32.56 32.56 0.00 73.26 32.56 73.26 32.56 0.00 0.00 0.00 6.93 0.65 of charges 32.56 7.21 5.59 5.59 32.56 32.56 32.56 5.59 32.56 0.00 0.00 73.26 32.56 0.00 32.56 0.00 0.00 0.00 0.00 32.56 73.26 32.56 73.26 32.56 0.00 351000343 636 RECLAST 5MG/100ML J3489 0.00 0.00 73.26 0.00 8.22 0.00 73.26 32.56 73.26 32.56 0.00 0.00 11.83 0.00 32.56 0.00 73.26 32.56 73.26 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 73.26 32.56 73.26 32.56 0.00 0.00 73.26 32.56 32.56 32.56 0.00 73.26 32.56 73.26 32.56 0.00 0.00 0.00 6.93 0.65 of charges 32.56 7.21 5.59 5.59 32.56 32.56 32.56 5.59 32.56 0.00 0.00 73.26 32.56 0.00 32.56 0.00 0.00 0.00 0.00 32.56 73.26 32.56 73.26 32.56 0.00 250001152 636 CLEOCIN 600 MG IN D5W J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001177 636 LABETALOL 100 MG/20 ML INJ J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001203 636 PEPCID 20 MG IN D5W J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500030 636 PENICILLIN G SODIUM 5 MILLION UNITS J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500081 636 TETRACAINE HcL 1% 2ML J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500131 636 SODIUM THIOSLFT INJ 12.5G/50ML J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500133 636 RYANODEX 250MG/5ML J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500205 636 SOTRADECOL 3% (60MG/2ML) VIAL J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500212 636 BUMETANIDE 1MG/4ML-0.25MG/ML V J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500253 636 ESMOLOL 2500MG/250ML PREMX BAG J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500259 636 NITROGLYCERIN 100MG/250ML BTTL J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500306 636 ANAKINRA 100MG/0.67ML SYRINGE J3490 J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500317 636 AQUASOL A J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500332 636 TETRACAINE 1% AMP 10ML J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500419 636 ARTESUNATE 110MG VIAL J3490 J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500448 636 ETOMIDATE 20MG/10ML VIAL J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500449 636 REMIFENTANIL 1MG VIAL J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500468 636 KETAMINE 200MG/20ML VIAL J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500510 636 ROCURONIUM BROMIDE 10MG/ML VL J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000180 636 KETAMINE 500 MG/10 ML INJ J3490 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500414 636 LEVALBUTEROL 200PUFF/15GM INHL J3535 J3535 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500455 636 LEVALBUTEROL 200 PFF/15GM INHL J3535 J3535 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500304 636 FLOSEAL (HUMAN THROMBIN) KIT J3590 J3590 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000273 636 SODIUM CHLORIDE 0.9% SOLN-BAXT J7030 0.00 0.00 4.41 0.00 3.07 0.00 cost cost cost cost 0.00 0.00 4.41 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.58 0.65 of charges cost 2.69 2.09 2.09 cost cost cost 2.09 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000117 636 DEXTROSE 5%/WATER IV SOLN.-BAX J7060 0.00 0.00 3.17 0.00 2.20 0.00 cost cost cost cost 0.00 0.00 3.17 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.63 0.65 of charges cost 1.93 1.50 1.50 cost cost cost 1.50 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000118 636 DEXTROSE 5%/WATER IV SOLN.-BAX J7060 0.00 0.00 3.17 0.00 2.20 0.00 cost cost cost cost 0.00 0.00 3.17 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.63 0.65 of charges cost 1.93 1.50 1.50 cost cost cost 1.50 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000119 636 DEXTROSE 5%/WATER IV SOLN.-BAX J7060 0.00 0.00 3.17 0.00 2.20 0.00 cost cost cost cost 0.00 0.00 3.17 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.63 0.65 of charges cost 1.93 1.50 1.50 cost cost cost 1.50 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000120 636 DEXTROSE 5%/WATER IV SOLN.-BAX J7060 0.00 0.00 3.17 0.00 2.20 0.00 cost cost cost cost 0.00 0.00 3.17 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.63 0.65 of charges cost 1.93 1.50 1.50 cost cost cost 1.50 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000124 636 DEXTROSE 50%/WATER IV SOLN.-BA J7060 0.00 0.00 3.17 0.00 2.20 0.00 cost cost cost cost 0.00 0.00 3.17 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.63 0.65 of charges cost 1.93 1.50 1.50 cost cost cost 1.50 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000125 636 DEXTROSE 50%/WATER SYRINGE-IMS J7060 0.00 0.00 3.17 0.00 2.20 0.00 cost cost cost cost 0.00 0.00 3.17 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.63 0.65 of charges cost 1.93 1.50 1.50 cost cost cost 1.50 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000126 636 DEXTROSE 50%/WATER VIAL-ABBOTT J7060 0.00 0.00 3.17 0.00 2.20 0.00 cost cost cost cost 0.00 0.00 3.17 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.63 0.65 of charges cost 1.93 1.50 1.50 cost cost cost 1.50 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000185 636 LACTATED RINGERS INJECTION-BAX J7120 0.00 0.00 4.25 0.00 2.95 0.00 cost cost cost cost 0.00 0.00 4.25 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.45 0.65 of charges cost 2.59 2.01 2.01 cost cost cost 2.01 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000186 636 LACTATED RINGERS INJECTION-BAX J7120 0.00 0.00 4.25 0.00 2.95 0.00 cost cost cost cost 0.00 0.00 4.25 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.45 0.65 of charges cost 2.59 2.01 2.01 cost cost cost 2.01 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500275 636 KCENTRA 500UNIT VIAL J7168 0.00 0.00 3.74 0.00 0.00 2.28 cost cost cost cost 2.28 2.28 3.74 2.28 cost 2.28 cost cost cost 2.28 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.28 2.28 cost cost cost cost 2.17 cost cost cost cost 2.28 2.28 2.28 2.83 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 2.28 cost cost 2.28 cost 2.28 2.28 2.28 2.28 cost cost cost cost cost 2.05 351500516 636 PROTHROMBIN COMPLEX KCENTRA J7168 J7168 0.00 0.00 3.74 0.00 0.00 2.28 cost cost cost cost 2.28 2.28 3.74 2.28 cost 2.28 cost cost cost 2.28 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2.28 2.28 cost cost cost cost 2.17 cost cost cost cost 2.28 2.28 2.28 2.83 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 2.28 cost cost 2.28 cost 2.28 2.28 2.28 2.28 cost cost cost cost cost 2.05 353300019 636 FACTOR IX PER UI J7195 4.24 4.24 13454.42 1.36 2.00 1.75 cost cost cost cost 1.75 1.75 2.87 1.75 cost 1.75 cost cost cost 1.75 2.76 2.76 cost cost cost cost 1.75 1.75 13454.42 5979.74 5979.74 5979.74 1.66 cost cost cost cost 1.75 1.75 1.75 1.74 2.76 cost 1.75 1.36 1.36 cost cost cost 1.36 cost 2.97 1.75 cost cost 1.75 cost 1.75 1.75 1.75 1.75 cost cost cost cost cost 1.58 351500224 636 KYLEENA 19.5 MG J7296 0.00 0.00 1049.24 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1049.24 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500223 636 MIRENA 52 MG J7298 0.00 0.00 1049.24 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1049.24 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 362500135 636 MIRENA J7298 713.38 713.38 1133.71 0.00 427.31 0.00 cost cost cost cost 0.00 0.00 356.69 0.00 cost 0.00 cost cost cost 0.00 463.70 463.70 cost cost cost cost 0.00 0.00 1133.71 503.87 503.87 503.87 0.00 cost cost cost cost 0.00 0.00 0.00 1049.24 463.70 cost 0.00 0.00 0.00 cost cost cost 0.00 cost 499.37 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500226 636 PARAGARD T-380A J7300 0.00 0.00 884.50 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 884.50 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500225 636 SKYLA 13.5 MG J7301 0.00 0.00 873.67 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 873.67 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500222 636 NEXPLANON SUBDERMAL 68MG J7307 0.00 0.00 1030.64 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1030.64 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500145 636 OZURDEX 0.7MG (IMPLANT) J7312 0.00 0.00 449.53 0.00 234.40 205.61 449.53 199.79 449.53 199.79 205.61 205.61 337.20 205.61 199.79 205.61 449.53 199.79 449.53 205.61 0.65 of eligible billed charges 0.65 of eligible billed charges 449.53 199.79 449.53 199.79 205.61 205.61 449.53 199.79 199.79 199.79 195.33 449.53 199.79 449.53 199.79 205.61 205.61 205.61 205.69 0.65 of charges 199.79 205.61 159.35 159.35 199.79 199.79 199.79 159.35 199.79 0.00 205.61 449.53 199.79 205.61 199.79 205.61 205.61 205.61 205.61 199.79 449.53 199.79 449.53 199.79 185.05 351000378 636 TACROLIMUS 1MG CAPSULE J7507 0.00 0.00 0.39 0.00 0.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.30 0.65 of charges 0.00 0.24 0.18 0.18 0.00 0.00 0.00 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000039 250 PREDNISOLONE 15 MG/5 ML ORAL J7510 0.00 0.00 0.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000428 636 MYCOPHENOLATE MOFETIL 250MGCAP J7517 0.00 0.00 0.31 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.20 0.65 of charges 0.00 0.19 0.15 0.15 0.00 0.00 0.00 0.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500340 636 MYCOPHENOLIC ACID 360MG J7518 0.00 0.00 1.03 0.00 0.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.87 0.65 of charges 0.00 0.63 0.49 0.49 0.00 0.00 0.00 0.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000379 636 TACROLIMUS 5MG CAPSULE J7525 0.00 0.00 483.49 0.00 283.56 248.74 483.49 214.88 483.49 214.88 248.74 248.74 407.93 248.74 214.88 248.74 483.49 214.88 483.49 248.74 0.65 of eligible billed charges 0.65 of eligible billed charges 483.49 214.88 483.49 214.88 248.74 248.74 449.49 199.77 199.77 199.77 236.30 483.49 214.88 483.49 214.88 248.74 248.74 248.74 248.75 0.65 of charges 214.88 248.74 192.77 192.77 214.88 214.88 214.88 192.77 214.88 0.00 248.74 483.49 214.88 248.74 214.88 248.74 248.74 248.74 248.74 214.88 483.49 214.88 483.49 214.88 223.86 351500140 636 DEXTRSE 5%/0.2% SODM CHL 250ML J7799 0.00 0.00 89.75 0.00 0.00 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 0.00 39.89 0.00 89.75 39.89 89.75 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 89.75 39.89 89.75 39.89 0.00 0.00 83.44 37.08 37.08 37.08 0.00 89.75 39.89 89.75 39.89 0.00 0.00 0.00 10.28 0.65 of charges 39.89 0.00 0.00 0.00 39.89 39.89 39.89 0.00 39.89 0.00 0.00 89.75 39.89 0.00 39.89 0.00 0.00 0.00 0.00 39.89 89.75 39.89 89.75 39.89 0.00 351500016 636 PROMETHAZINE HCL 12.5MG RECTAL SUPP J8498 0.00 0.00 0.00 0.00 0.00 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.00 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000190 636 XELODA 500MG J8521 0.00 0.00 1.17 0.00 0.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.17 0.65 of charges 0.00 0.57 0.44 0.44 0.00 0.00 0.00 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000364 636 CYCLOPHOSPHAMIDE 50MG TABLET J8530 0.00 0.00 1.01 0.00 0.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.01 0.65 of charges 0.00 0.62 0.48 0.48 0.00 0.00 0.00 0.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000403 636 VEPESID 50 MG CAPSULE J8560 0.00 0.00 125.64 0.00 87.34 76.61 0.00 0.00 0.00 0.00 76.61 76.61 125.64 76.61 0.00 76.61 0.00 0.00 0.00 76.61 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 76.61 76.61 0.00 0.00 0.00 0.00 72.78 0.00 0.00 0.00 0.00 76.61 76.61 76.61 76.53 0.65 of charges 0.00 76.61 59.37 59.37 0.00 0.00 0.00 59.37 0.00 0.00 76.61 0.00 0.00 76.61 0.00 76.61 76.61 76.61 76.61 0.00 0.00 0.00 0.00 0.00 68.95 636000399 636 ALKERAN 2 MG TABLET J8600 0.00 0.00 12.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000398 636 ADRIAMYCIN-PFS 50 MG J9000 0.00 0.00 5.38 0.00 3.74 0.00 cost cost cost cost 0.00 0.00 5.38 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.68 0.65 of charges cost 3.28 2.54 2.54 cost cost cost 2.54 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500213 636 AZACITIDINE(VIZADA) 100MG VIAL J9025 0.00 0.00 0.58 0.00 0.40 0.00 cost cost cost cost 0.00 0.00 0.58 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.41 0.65 of charges cost 0.35 0.27 0.27 cost cost cost 0.27 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001297 636 BCG LIVE VACCINE 50 MG J9030 0.00 0.00 4.74 0.00 3.29 0.00 cost cost cost cost 0.00 0.00 4.74 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.92 0.65 of charges cost 2.89 2.24 2.24 cost cost cost 2.24 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000389 636 AVASTIN 100 MG J9035 C9257 0.00 0.00 121.48 0.00 84.44 74.07 cost cost cost cost 74.07 74.07 121.48 74.07 cost 74.07 cost cost cost 74.07 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 74.07 74.07 cost cost cost cost 70.37 cost cost cost cost 74.07 74.07 74.07 73.81 0.65 of charges cost 74.07 57.41 57.41 cost cost cost 57.41 cost 0.00 74.07 cost cost 74.07 cost 74.07 74.07 74.07 74.07 cost cost cost cost cost 70.37 636000390 636 AVASTIN 400 MG INJ J9035 C9257 0.00 0.00 121.48 0.00 84.44 74.07 cost cost cost cost 74.07 74.07 121.48 74.07 cost 74.07 cost cost cost 74.07 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 74.07 74.07 cost cost cost cost 70.37 cost cost cost cost 74.07 74.07 74.07 73.81 0.65 of charges cost 74.07 57.41 57.41 cost cost cost 57.41 cost 0.00 74.07 cost cost 74.07 cost 74.07 74.07 74.07 74.07 cost cost cost cost cost 70.37 250001336 636 BLEOMYCIN SULFATE 30 UNIT VIAL J9040 0.00 0.00 34.48 0.00 23.97 0.00 cost cost cost cost 0.00 0.00 34.48 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 24.58 0.65 of charges cost 21.02 16.29 16.29 cost cost cost 16.29 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000345 636 BLEOMYCIN SULFATE 15 UNIT VIAL J9040 0.00 0.00 34.48 0.00 23.97 0.00 cost cost cost cost 0.00 0.00 34.48 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 24.58 0.65 of charges cost 21.02 16.29 16.29 cost cost cost 16.29 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000388 636 VELCADE 3.5 MG VIAL J9041 0.00 0.00 3.21 0.00 2.23 1.96 cost cost cost cost 1.96 1.96 3.21 1.96 cost 1.96 cost cost cost 1.96 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 1.96 1.96 cost cost cost cost 1.86 cost cost cost cost 1.96 1.96 1.96 2.29 0.65 of charges cost 1.96 1.52 1.52 cost cost cost 1.52 cost 0.00 1.96 cost cost 1.96 cost 1.96 1.96 1.96 1.96 cost cost cost cost cost 1.86 636000372 636 PARAPLATIN 150 MG/15 ML INJ J9045 0.00 0.00 5.90 0.00 4.10 0.00 cost cost cost cost 0.00 0.00 5.90 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.76 0.65 of charges cost 3.60 2.79 2.79 cost cost cost 2.79 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000373 636 PARAPLATIN 450 MG/45 ML INJ J9045 0.00 0.00 5.90 0.00 4.10 0.00 cost cost cost cost 0.00 0.00 5.90 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.76 0.65 of charges cost 3.60 2.79 2.79 cost cost cost 2.79 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000374 636 PARAPLATIN 50 MG/5 ML J9045 0.00 0.00 5.90 0.00 4.10 0.00 cost cost cost cost 0.00 0.00 5.90 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.76 0.65 of charges cost 3.60 2.79 2.79 cost cost cost 2.79 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000344 636 KYPROLIS 60MG VIAL J9047 0.00 0.00 77.22 0.00 53.68 47.09 cost cost cost cost 47.09 47.09 77.22 47.09 cost 47.09 cost cost cost 47.09 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 47.09 47.09 cost cost cost cost 44.73 cost cost cost cost 47.09 47.09 47.09 46.90 0.65 of charges cost 47.09 36.49 36.49 cost cost cost 36.49 cost 0.00 47.09 cost cost 47.09 cost 47.09 47.09 47.09 47.09 cost cost cost cost cost 44.73 636000356 636 BICNU 100 MG VIAL J9050 0.00 0.00 445.20 0.00 309.47 271.47 cost cost cost cost 271.47 271.47 445.20 271.47 cost 271.47 cost cost cost 271.47 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 271.47 271.47 cost cost cost cost 257.89 cost cost cost cost 271.47 271.47 271.47 409.70 0.65 of charges cost 271.47 210.39 210.39 cost cost cost 210.39 cost 0.00 271.47 cost cost 271.47 cost 271.47 271.47 271.47 271.47 cost cost cost cost cost 257.89 636000391 636 ERBITUX 100 MG/50 ML VIAL J9055 0.00 0.00 120.90 0.00 84.04 73.72 cost cost cost cost 73.72 73.72 120.90 73.72 cost 73.72 cost cost cost 73.72 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 73.72 73.72 cost cost cost cost 70.03 cost cost cost cost 73.72 73.72 73.72 72.28 0.65 of charges cost 73.72 57.13 57.13 cost cost cost 57.13 cost 0.00 73.72 cost cost 73.72 cost 73.72 73.72 73.72 73.72 cost cost cost cost cost 70.03 636000396 636 CETUXIMAB 200 MG/100 ML VIAL J9055 0.00 0.00 120.90 0.00 84.04 73.72 cost cost cost cost 73.72 73.72 120.90 73.72 cost 73.72 cost cost cost 73.72 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 73.72 73.72 cost cost cost cost 70.03 cost cost cost cost 73.72 73.72 73.72 72.28 0.65 of charges cost 73.72 57.13 57.13 cost cost cost 57.13 cost 0.00 73.72 cost cost 73.72 cost 73.72 73.72 73.72 73.72 cost cost cost cost cost 70.03 636000359 636 CISPLATIN 50 MG INJ J9060 0.00 0.00 6.62 0.00 4.60 0.00 cost cost cost cost 0.00 0.00 6.62 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.19 0.65 of charges cost 4.04 3.13 3.13 cost cost cost 3.13 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000360 636 CISPLATIN 100 MG INJ J9060 0.00 0.00 6.62 0.00 4.60 0.00 cost cost cost cost 0.00 0.00 6.62 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.19 0.65 of charges cost 4.04 3.13 3.13 cost cost cost 3.13 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000342 636 CYTOXAN 2 GRAM INJ J9070 0.00 0.00 33.05 0.00 22.97 20.15 cost cost cost cost 20.15 20.15 33.05 20.15 cost 20.15 cost cost cost 20.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 20.15 20.15 cost cost cost cost 19.15 cost cost cost cost 20.15 20.15 20.15 17.94 0.65 of charges cost 20.15 15.62 15.62 cost cost cost 15.62 cost 0.00 20.15 cost cost 20.15 cost 20.15 20.15 20.15 20.15 cost cost cost cost cost 19.15 636000354 636 CYTOXAN 1 GRAM INJ J9070 0.00 0.00 33.05 0.00 22.97 20.15 cost cost cost cost 20.15 20.15 33.05 20.15 cost 20.15 cost cost cost 20.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 20.15 20.15 cost cost cost cost 19.15 cost cost cost cost 20.15 20.15 20.15 17.94 0.65 of charges cost 20.15 15.62 15.62 cost cost cost 15.62 cost 0.00 20.15 cost cost 20.15 cost 20.15 20.15 20.15 20.15 cost cost cost cost cost 19.15 636000384 636 CYTOXAN 500 MG INJ J9070 0.00 0.00 33.05 0.00 22.97 20.15 cost cost cost cost 20.15 20.15 33.05 20.15 cost 20.15 cost cost cost 20.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 20.15 20.15 cost cost cost cost 19.15 cost cost cost cost 20.15 20.15 20.15 17.94 0.65 of charges cost 20.15 15.62 15.62 cost cost cost 15.62 cost 0.00 20.15 cost cost 20.15 cost 20.15 20.15 20.15 20.15 cost cost cost cost cost 19.15 636000103 636 CYTARABINE 500MG VIAL-BEDFORD J9100 0.00 0.00 1.60 0.00 1.11 0.00 cost cost cost cost 0.00 0.00 1.60 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.94 0.65 of charges cost 0.97 0.75 0.75 cost cost cost 0.75 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000361 636 CYTARABINE 100 MG VIAL J9100 0.00 0.00 1.60 0.00 1.11 0.00 cost cost cost cost 0.00 0.00 1.60 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.94 0.65 of charges cost 0.97 0.75 0.75 cost cost cost 0.75 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000362 636 CYTARABINE 1 GRAM INJ J9100 0.00 0.00 1.60 0.00 1.11 0.00 cost cost cost cost 0.00 0.00 1.60 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.94 0.65 of charges cost 0.97 0.75 0.75 cost cost cost 0.75 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000363 636 CYTARABINE 1000 MG INJ J9100 0.00 0.00 1.60 0.00 1.11 0.00 cost cost cost cost 0.00 0.00 1.60 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.94 0.65 of charges cost 0.97 0.75 0.75 cost cost cost 0.75 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500158 636 DARZALEX 20MG/ML J9145 0.00 0.00 101.20 0.00 70.34 61.71 cost cost cost cost 61.71 61.71 101.20 61.71 cost 61.71 cost cost cost 61.71 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 61.71 61.71 cost cost cost cost 58.62 cost cost cost cost 61.71 61.71 61.71 62.13 0.65 of charges cost 61.71 47.82 47.82 cost cost cost 47.82 cost 0.00 61.71 cost cost 61.71 cost 61.71 61.71 61.71 61.71 cost cost cost cost cost 58.62 636000380 636 TAXOTERE 80 MG/8 ML J9171 0.00 0.00 1.63 0.00 1.13 0.00 cost cost cost cost 0.00 0.00 1.63 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.80 0.65 of charges cost 1.00 0.77 0.77 cost cost cost 0.77 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000397 636 DOCETAXEL 20 MG/2 ML J9171 0.00 0.00 1.63 0.00 1.13 0.00 cost cost cost cost 0.00 0.00 1.63 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.80 0.65 of charges cost 1.00 0.77 0.77 cost cost cost 0.77 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000392 636 ELLENCE 50 MG/25 ML J9178 0.00 0.00 2.26 0.00 1.57 0.00 cost cost cost cost 0.00 0.00 2.26 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.45 0.65 of charges cost 1.38 1.07 1.07 cost cost cost 1.07 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000364 636 ETOPOSIDE 100 MG/5 ML INJ J9181 0.00 0.00 1.63 0.00 1.13 0.00 cost cost cost cost 0.00 0.00 1.63 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.77 0.65 of charges cost 0.99 0.77 0.77 cost cost cost 0.77 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000381 636 VEPESID 500 MG/25 ML J9181 0.00 0.00 1.63 0.00 1.13 0.00 cost cost cost cost 0.00 0.00 1.63 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.77 0.65 of charges cost 0.99 0.77 0.77 cost cost cost 0.77 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000365 636 FLUDARA 50 MG INJ J9185 0.00 0.00 500.46 0.00 198.32 173.97 cost cost cost cost 173.97 173.97 285.31 173.97 cost 173.97 cost cost cost 173.97 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 173.97 173.97 cost cost cost cost 165.27 cost cost cost cost 173.97 173.97 173.97 500.46 0.65 of charges cost 173.97 134.83 134.83 cost cost cost 134.83 cost 0.00 173.97 cost cost 173.97 cost 173.97 173.97 173.97 173.97 cost cost cost cost cost 165.27 636000366 636 FLUOROURACIL 500 MG/10 ML J9190 0.00 0.00 5.27 0.00 3.67 0.00 cost cost cost cost 0.00 0.00 5.27 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.84 0.65 of charges cost 3.22 2.49 2.49 cost cost cost 2.49 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000367 636 FLUOROURACIL 1 GRAM/20 ML J9190 0.00 0.00 5.27 0.00 3.67 0.00 cost cost cost cost 0.00 0.00 5.27 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.84 0.65 of charges cost 3.22 2.49 2.49 cost cost cost 2.49 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000368 636 GEMZAR 1 GRAM INJ J9201 0.00 0.00 5.99 0.00 4.16 0.00 cost cost cost cost 0.00 0.00 5.99 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 3.93 0.65 of charges cost 3.65 2.83 2.83 cost cost cost 2.83 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000369 636 GEMZAR 200 MG INJ J9201 0.00 0.00 5.99 0.00 4.16 0.00 cost cost cost cost 0.00 0.00 5.99 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 3.93 0.65 of charges cost 3.65 2.83 2.83 cost cost cost 2.83 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000357 636 IRINOTECAN 100 MG VIAL J9206 0.00 0.00 3.19 0.00 2.22 0.00 cost cost cost cost 0.00 0.00 3.19 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.06 0.65 of charges cost 1.95 1.51 1.51 cost cost cost 1.51 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000358 636 IRINOTECAN 40 MG INJ J9206 0.00 0.00 3.19 0.00 2.22 0.00 cost cost cost cost 0.00 0.00 3.19 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.06 0.65 of charges cost 1.95 1.51 1.51 cost cost cost 1.51 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000393 636 IXEMPRA 15 MG KIT J9207 0.00 0.00 210.04 0.00 146.00 128.07 cost cost cost cost 128.07 128.07 210.04 128.07 cost 128.07 cost cost cost 128.07 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 128.07 128.07 cost cost cost cost 121.67 cost cost cost cost 128.07 128.07 128.07 127.57 0.65 of charges cost 128.07 99.26 99.26 cost cost cost 99.26 cost 0.00 128.07 cost cost 128.07 cost 128.07 128.07 128.07 128.07 cost cost cost cost cost 121.67 636000395 636 IXABEPILONE 45 MG KIT J9207 0.00 0.00 210.04 0.00 146.00 128.07 cost cost cost cost 128.07 128.07 210.04 128.07 cost 128.07 cost cost cost 128.07 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 128.07 128.07 cost cost cost cost 121.67 cost cost cost cost 128.07 128.07 128.07 127.57 0.65 of charges cost 128.07 99.26 99.26 cost cost cost 99.26 cost 0.00 128.07 cost cost 128.07 cost 128.07 128.07 128.07 128.07 cost cost cost cost cost 121.67 636000437 636 MESNA 100MG/1ML 10ML VIAL J9209 0.00 0.00 2.25 0.00 1.56 0.00 cost cost cost cost 0.00 0.00 2.25 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.52 0.65 of charges cost 1.37 1.06 1.06 cost cost cost 1.06 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000173 636 INTRON A 3MMU INJECTION PEN-SC J9214 0.00 0.00 53.42 0.00 0.00 32.57 cost cost cost cost 32.57 32.57 53.42 32.57 cost 32.57 cost cost cost 32.57 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 32.57 32.57 cost cost cost cost 30.95 cost cost cost cost 32.57 32.57 32.57 32.57 0.65 of charges cost 0.00 0.00 0.00 cost cost cost 0.00 cost 0.00 32.57 cost cost 32.57 cost 32.57 32.57 32.57 32.57 cost cost cost cost cost 30.95 636000205 636 LUPRON DEPOT 7.5MG KIT J9217 0.00 0.00 297.34 0.00 206.68 181.30 cost cost cost cost 181.30 181.30 297.34 181.30 cost 181.30 cost cost cost 181.30 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 181.30 181.30 cost cost cost cost 172.24 cost cost cost cost 181.30 181.30 181.30 166.69 0.65 of charges cost 181.30 140.51 140.51 cost cost cost 140.51 cost 0.00 181.30 cost cost 181.30 cost 181.30 181.30 181.30 181.30 cost cost cost cost cost 172.24 636000216 636 METHOTREXATE 50 MG/2 ML INJ J9250 0.00 0.00 0.50 0.00 0.35 0.00 cost cost cost cost 0.00 0.00 0.50 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.23 0.65 of charges cost 0.31 0.24 0.24 cost cost cost 0.24 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351000341 636 METHOTREXATE 250 MG/10 ML INJ J9260 0.00 0.00 4.97 0.00 3.46 0.00 cost cost cost cost 0.00 0.00 4.97 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.33 0.65 of charges cost 3.03 2.35 2.35 cost cost cost 2.35 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 351500217 636 METHOTREXATE INJ SOD 50MG/2ML J9260 0.00 0.00 4.97 0.00 3.46 0.00 cost cost cost cost 0.00 0.00 4.97 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 2.33 0.65 of charges cost 3.03 2.35 2.35 cost cost cost 2.35 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000386 636 ELOXATIN 100 MG/20 ML INJ J9263 0.00 0.00 0.12 0.00 0.08 0.00 cost cost cost cost 0.00 0.00 0.12 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.07 0.65 of charges cost 0.07 0.06 0.06 cost cost cost 0.06 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000387 636 ELOXATIN 50 MG/10 ML J9263 0.00 0.00 0.12 0.00 0.08 0.00 cost cost cost cost 0.00 0.00 0.12 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.07 0.65 of charges cost 0.07 0.06 0.06 cost cost cost 0.06 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001337 636 ABRAXANE 100 MG VIAL J9264 0.00 0.00 23.44 0.00 16.30 14.29 cost cost cost cost 14.29 14.29 23.44 14.29 cost 14.29 cost cost cost 14.29 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 14.29 14.29 cost cost cost cost 13.58 cost cost cost cost 14.29 14.29 14.29 14.79 0.65 of charges cost 14.29 11.08 11.08 cost cost cost 11.08 cost 0.00 14.29 cost cost 14.29 cost 14.29 14.29 14.29 14.29 cost cost cost cost cost 13.58 636000377 636 TAXOL 100 MG/16.7 ML VIAL J9267 0.00 0.00 0.18 0.00 0.12 0.00 cost cost cost cost 0.00 0.00 0.18 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.12 0.65 of charges cost 0.11 0.08 0.08 cost cost cost 0.08 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000378 636 TAXOL 300 MG/50 ML J9267 0.00 0.00 0.18 0.00 0.12 0.00 cost cost cost cost 0.00 0.00 0.18 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.12 0.65 of charges cost 0.11 0.08 0.08 cost cost cost 0.08 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000379 636 TAXOL 30 MG/5 ML VIAL J9267 0.00 0.00 0.18 0.00 0.12 0.00 cost cost cost cost 0.00 0.00 0.18 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 0.12 0.65 of charges cost 0.11 0.08 0.08 cost cost cost 0.08 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000407 636 NIPENT 10 MG VIAL J9268 0.00 0.00 3727.97 0.00 2591.39 2273.15 cost cost cost cost 2273.15 2273.15 3727.97 2273.15 cost 2273.15 cost cost cost 2273.15 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 2273.15 2273.15 cost cost cost cost 2159.50 cost cost cost cost 2273.15 2273.15 2273.15 2336.98 0.65 of charges cost 2273.15 1761.69 1761.69 cost cost cost 1761.69 cost 0.00 2273.15 cost cost 2273.15 cost 2273.15 2273.15 2273.15 2273.15 cost cost cost cost cost "2,159.50" 636000371 636 MITOMYCIN 5 MG VIAL J9280 0.00 0.00 103.89 0.00 72.22 63.35 cost cost cost cost 63.35 63.35 103.89 63.35 cost 63.35 cost cost cost 63.35 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 63.35 63.35 cost cost cost cost 60.18 cost cost cost cost 63.35 63.35 63.35 95.61 0.65 of charges cost 63.35 49.09 49.09 cost cost cost 49.09 cost 0.00 63.35 cost cost 63.35 cost 63.35 63.35 63.35 63.35 cost cost cost cost cost 60.18 250001340 636 MITOXANTRONE 20MG/10 ML INJ J9293 0.00 0.00 165.56 0.00 49.68 43.58 cost cost cost cost 43.58 43.58 71.47 43.58 cost 43.58 cost cost cost 43.58 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 43.58 43.58 cost cost cost cost 41.40 cost cost cost cost 43.58 43.58 43.58 165.56 0.65 of charges cost 43.58 33.77 33.77 cost cost cost 33.77 cost 0.00 43.58 cost cost 43.58 cost 43.58 43.58 43.58 43.58 cost cost cost cost cost 41.40 351500087 636 OPDIVO 100MG/10ML J9299 0.00 0.00 50.99 0.00 35.44 31.09 cost cost cost cost 31.09 31.09 50.99 31.09 cost 31.09 cost cost cost 31.09 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 31.09 31.09 cost cost cost cost 29.53 cost cost cost cost 31.09 31.09 31.09 30.43 0.65 of charges cost 31.09 24.09 24.09 cost cost cost 24.09 cost 0.00 31.09 cost cost 31.09 cost 31.09 31.09 31.09 31.09 cost cost cost cost cost 29.53 250001341 636 VECTIBIX 400 MG/20 ML J9303 0.00 0.00 247.08 0.00 171.75 150.66 cost cost cost cost 150.66 150.66 247.08 150.66 cost 150.66 cost cost cost 150.66 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 150.66 150.66 cost cost cost cost 143.13 cost cost cost cost 150.66 150.66 150.66 149.72 0.65 of charges cost 150.66 116.76 116.76 cost cost cost 116.76 cost 0.00 150.66 cost cost 150.66 cost 150.66 150.66 150.66 150.66 cost cost cost cost cost 143.13 250001455 636 PREMETREXED (ALIMTA)500MG VIAL J9305 0.00 0.00 7.17 0.00 4.98 4.37 cost cost cost cost 4.37 4.37 7.17 4.37 cost 4.37 cost cost cost 4.37 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 4.37 4.37 cost cost cost cost 4.15 cost cost cost cost 4.37 4.37 4.37 3.22 0.65 of charges cost 4.37 3.39 3.39 cost cost cost 3.39 cost 0.00 4.37 cost cost 4.37 cost 4.37 4.37 4.37 4.37 cost cost cost cost cost 4.15 351500180 636 PREMETREXED (ALIMTA)100MG VIAL J9305 0.00 0.00 7.17 0.00 4.98 4.37 cost cost cost cost 4.37 4.37 7.17 4.37 cost 4.37 cost cost cost 4.37 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 4.37 4.37 cost cost cost cost 4.15 cost cost cost cost 4.37 4.37 4.37 3.22 0.65 of charges cost 4.37 3.39 3.39 cost cost cost 3.39 cost 0.00 4.37 cost cost 4.37 cost 4.37 4.37 4.37 4.37 cost cost cost cost cost 4.15 636000375 636 RITUXAN 100 MG/10 ML J9312 0.00 0.00 129.88 0.00 90.29 79.20 cost cost cost cost 79.20 79.20 129.88 79.20 cost 79.20 cost cost cost 79.20 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 79.20 79.20 cost cost cost cost 75.24 cost cost cost cost 79.20 79.20 79.20 80.19 0.65 of charges cost 79.20 61.38 61.38 cost cost cost 61.38 cost 0.00 79.20 cost cost 79.20 cost 79.20 79.20 79.20 79.20 cost cost cost cost cost 75.24 636000376 636 RITUXAN 500 MG/50 ML J9312 0.00 0.00 129.88 0.00 90.29 79.20 cost cost cost cost 79.20 79.20 129.88 79.20 cost 79.20 cost cost cost 79.20 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 79.20 79.20 cost cost cost cost 75.24 cost cost cost cost 79.20 79.20 79.20 80.19 0.65 of charges cost 79.20 61.38 61.38 cost cost cost 61.38 cost 0.00 79.20 cost cost 79.20 cost 79.20 79.20 79.20 79.20 cost cost cost cost cost 75.24 636000370 636 HYCAMTIN 4 MG INJ J9351 0.00 0.00 1.28 0.00 0.89 0.00 cost cost cost cost 0.00 0.00 1.28 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 1.09 0.65 of charges cost 0.78 0.61 0.61 cost cost cost 0.61 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000385 636 HERCEPTIN 440 MG INJ J9355 0.00 0.00 131.96 0.00 91.73 80.47 cost cost cost cost 80.47 80.47 131.96 80.47 cost 80.47 cost cost cost 80.47 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 80.47 80.47 cost cost cost cost 76.44 cost cost cost cost 80.47 80.47 80.47 80.79 0.65 of charges cost 80.47 62.36 62.36 cost cost cost 62.36 cost 0.00 80.47 cost cost 80.47 cost 80.47 80.47 80.47 80.47 cost cost cost cost cost 76.44 636000382 636 VINCRISTINE 1 MG/1 ML INJ J9370 0.00 0.00 12.67 0.00 8.81 0.00 cost cost cost cost 0.00 0.00 12.67 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 7.94 0.65 of charges cost 7.73 5.99 5.99 cost cost cost 5.99 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000383 636 VINCRISTINE 2 MG/2 ML J9370 0.00 0.00 12.67 0.00 8.81 0.00 cost cost cost cost 0.00 0.00 12.67 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 7.94 0.65 of charges cost 7.73 5.99 5.99 cost cost cost 5.99 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000229 636 NAVELBINE 50 MG/5 ML INJ J9390 0.00 0.00 12.16 0.00 8.45 0.00 cost cost cost cost 0.00 0.00 12.16 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 8.11 0.65 of charges cost 7.42 5.75 5.75 cost cost cost 5.75 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 636000355 636 NAVELBINE 10 MG/ML VIAL J9390 0.00 0.00 12.16 0.00 8.45 0.00 cost cost cost cost 0.00 0.00 12.16 0.00 cost 0.00 cost cost cost 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 0.00 0.00 cost cost cost cost 0.00 cost cost cost cost 0.00 0.00 0.00 8.11 0.65 of charges cost 7.42 5.75 5.75 cost cost cost 5.75 cost 0.00 0.00 cost cost 0.00 cost 0.00 0.00 0.00 0.00 cost cost cost cost cost 0.00 250001281 636 FASLODEX 125 MG/2.5 ML SYRINGE J9395 0.00 0.00 13.85 0.00 9.63 8.45 cost cost cost cost 8.45 8.45 13.85 8.45 cost 8.45 cost cost cost 8.45 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.45 8.45 cost cost cost cost 8.02 cost cost cost cost 8.45 8.45 8.45 8.36 0.65 of charges cost 8.45 6.54 6.54 cost cost cost 6.54 cost 0.00 8.45 cost cost 8.45 cost 8.45 8.45 8.45 8.45 cost cost cost cost cost 8.02 250001303 636 FULVESTRANT 250 MG/5 ML INJ J9395 0.00 0.00 13.85 0.00 9.63 8.45 cost cost cost cost 8.45 8.45 13.85 8.45 cost 8.45 cost cost cost 8.45 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 8.45 8.45 cost cost cost cost 8.02 cost cost cost cost 8.45 8.45 8.45 8.36 0.65 of charges cost 8.45 6.54 6.54 cost cost cost 6.54 cost 0.00 8.45 cost cost 8.45 cost 8.45 8.45 8.45 8.45 cost cost cost cost cost 8.02 350000944 274 COLLAR CERVICAL LARGE L0120 84.80 84.80 59.36 0.00 42.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.12 55.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.36 55.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.36 0.00 0.00 0.00 50.88 0.00 0.00 50.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000945 274 COLLAR CERVICAL MED L0120 79.50 79.50 55.65 0.00 39.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.68 51.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 51.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 0.00 0.00 0.00 47.70 0.00 0.00 47.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000946 274 COLLAR CERVICAL SMALL L0120 74.20 74.20 51.94 0.00 37.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 0.00 0.00 0.00 44.52 0.00 0.00 44.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000947 274 COLLAR MED 4 1/4 L0140 190.80 190.80 133.56 0.00 95.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.02 124.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.61 124.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 0.00 0.00 0.00 114.48 0.00 0.00 114.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000948 274 COLLAR MED 5 1/4 L0140 190.80 190.80 133.56 0.00 95.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.02 124.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.61 124.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 0.00 0.00 0.00 114.48 0.00 0.00 114.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000949 274 COLLAR PHIL LG 4 1/4 L0140 201.40 201.40 140.98 0.00 100.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 130.91 130.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.61 130.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 120.84 0.00 0.00 120.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000369 274 BRACE KNEE TEC MED L1830 318.00 318.00 222.60 0.00 159.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 206.70 206.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.27 206.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 0.00 0.00 0.00 190.80 0.00 0.00 190.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000370 274 BRACE KNEE TEC LARG L1830 318.00 318.00 222.60 0.00 159.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 206.70 206.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.27 206.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 0.00 0.00 0.00 190.80 0.00 0.00 190.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000961 274 IMMOBILIZER KNEE 12IN LENGTH S L1830 42.40 42.40 72.27 0.00 21.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.56 27.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.27 27.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 25.44 0.00 0.00 25.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000962 274 IMMOBILIZER KNEE LG L1830 53.00 53.00 72.27 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.45 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.27 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 31.80 0.00 0.00 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000983 274 SPLINT KNEE MED L1830 53.00 53.00 72.27 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.45 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.27 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 31.80 0.00 0.00 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000984 274 SPLINT KNEE SM L1830 53.00 53.00 72.27 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.45 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.27 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 31.80 0.00 0.00 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000985 274 SPLINT KNEE XLG L1830 53.00 53.00 72.27 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.45 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.27 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 31.80 0.00 0.00 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000986 274 SPLINT KNEE XXLG L1830 53.00 53.00 72.27 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.45 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.27 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 31.80 0.00 0.00 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000132 274 IMMOBILIZER SHOULDER VLP LRG L3650 265.00 265.00 185.50 0.00 132.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.25 172.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.92 172.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 185.50 0.00 0.00 0.00 159.00 0.00 0.00 159.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000133 274 IMMOBILIZER SHOULDER VLP MED L3650 265.00 265.00 185.50 0.00 132.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.25 172.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.92 172.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 185.50 0.00 0.00 0.00 159.00 0.00 0.00 159.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000305 274 SLING ARM TECH LARG L3650 206.70 206.70 144.69 0.00 103.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 134.36 134.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.92 134.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 124.02 0.00 0.00 124.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000448 274 SLING ARM TECH SM/MED L3650 206.70 206.70 144.69 0.00 103.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 134.36 134.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.92 134.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 124.02 0.00 0.00 124.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274000004 274 IMMOB SHOULDER PROCARE XL L3650 206.70 206.70 144.69 0.00 103.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 134.36 134.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.92 134.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 124.02 0.00 0.00 124.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000025 274 HAND WRIST ORTHOSIS W/ADJ/FIT L3807 699.60 699.60 489.72 0.00 349.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 349.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 454.74 454.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 489.72 454.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 489.72 0.00 0.00 0.00 419.76 0.00 0.00 419.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000035 274 ULNAR SPLINT W/ADJ/FIT L3906 1179.78 1179.78 825.85 0.00 589.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 589.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 766.86 766.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 281.23 766.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 825.85 0.00 0.00 0.00 707.87 0.00 0.00 707.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000026 274 THUMB SHORT ORTHOSIS W/ADJ/FIT L3908 837.40 837.40 586.18 0.00 418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 544.31 544.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.48 544.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.18 0.00 0.00 0.00 502.44 0.00 0.00 502.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000027 274 THUMB LONG ORTHOSIS W/ADJ/FIT L3908 837.40 837.40 586.18 0.00 418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 544.31 544.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.48 544.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.18 0.00 0.00 0.00 502.44 0.00 0.00 502.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000028 274 WRIST ORTHOSIS W/ADJ/FIT L3908 837.40 837.40 586.18 0.00 418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 544.31 544.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.48 544.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.18 0.00 0.00 0.00 502.44 0.00 0.00 502.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000029 274 WRIST-FOREARM BRACE W/ADJ/FIT L3908 837.40 837.40 586.18 0.00 418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 418.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 544.31 544.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.48 544.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.18 0.00 0.00 0.00 502.44 0.00 0.00 502.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000034 274 FINGER ORTHOSIS W/ADJ/FIT L3925 143.10 143.10 100.17 0.00 71.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 93.02 93.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.17 93.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.17 0.00 0.00 0.00 85.86 0.00 0.00 85.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000033 274 FINGER GUTTER SPLT STRPS W/FIT L3929 227.90 227.90 159.53 0.00 113.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 148.14 148.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.53 148.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.53 0.00 0.00 0.00 136.74 0.00 0.00 136.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000437 274 BRA SURG XLG 40IN-42IN L8000 115.54 115.54 80.88 0.00 57.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.10 75.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.36 75.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 0.00 0.00 0.00 69.32 0.00 0.00 69.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000396 278 TISSUE EXPANDER (ALLERGHAN) 6 L8600 4626.00 4626.00 3238.20 0.00 2313.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2313.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3006.90 3006.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3238.20 3006.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3238.20 0.00 0.00 0.00 2775.60 0.00 0.00 2775.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000644 278 TISSUE EXPANDER NATRELLE BIOC L8600 3571.00 3571.00 2499.70 0.00 1785.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1785.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2321.15 2321.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.70 2321.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.70 0.00 0.00 0.00 2142.60 0.00 0.00 2142.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000831 278 TISSUE EXPANDER 800CC 133SX16 L8600 2976.00 2976.00 2083.20 0.00 1488.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1488.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1934.40 1934.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2083.20 1934.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2083.20 0.00 0.00 0.00 1785.60 0.00 0.00 1785.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000254 278 EXPANDER TISSUE 600CC L8600 5853.00 5853.00 4097.10 0.00 2926.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2926.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3804.45 3804.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4097.10 3804.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4097.10 0.00 0.00 0.00 3511.80 0.00 0.00 3511.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000271 278 EXPANDER TISSUE MED 350CC L8600 7528.00 7528.00 5269.60 0.00 3764.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3764.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4893.20 4893.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5269.60 4893.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5269.60 0.00 0.00 0.00 4516.80 0.00 0.00 4516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000315 278 EXPANDER TISSUE MED 450CC L8600 7528.00 7528.00 5269.60 0.00 3764.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3764.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4893.20 4893.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5269.60 4893.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5269.60 0.00 0.00 0.00 4516.80 0.00 0.00 4516.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000460 278 EXPANDER TISSUE MED 650CC L8600 5675.00 5675.00 3972.50 0.00 2837.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2837.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3688.75 3688.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3972.50 3688.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3972.50 0.00 0.00 0.00 3405.00 0.00 0.00 3405.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000513 278 EXPANDER TISSUE TALL 250CC L8600 5244.00 5244.00 3670.80 0.00 2622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3408.60 3408.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3670.80 3408.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3670.80 0.00 0.00 0.00 3146.40 0.00 0.00 3146.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000523 278 EXPANDER TISSUE 350CC CPX4 L8600 7567.00 7567.00 5296.90 0.00 3783.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3783.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4918.55 4918.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5296.90 4918.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5296.90 0.00 0.00 0.00 4540.20 0.00 0.00 4540.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000868 278 EXPANDER TISSUE MED 650CC L8600 4970.00 4970.00 3479.00 0.00 2485.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2485.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3230.50 3230.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3479.00 3230.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3479.00 0.00 0.00 0.00 2982.00 0.00 0.00 2982.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001428 278 EXPANDER TISSUE 450CC CPX4 L8600 6636.00 6636.00 4645.20 0.00 3318.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3318.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4313.40 4313.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4645.20 4313.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4645.20 0.00 0.00 0.00 3981.60 0.00 0.00 3981.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002486 278 EXPNDR TISSUE 133-S-MX-T 400CC L8600 6380.00 6380.00 4466.00 0.00 3190.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3190.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4147.00 4147.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4466.00 4147.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4466.00 0.00 0.00 0.00 3828.00 0.00 0.00 3828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002568 278 BREAST IMP SIL STYL SCX 560CC L8600 5400.00 5400.00 3780.00 0.00 2700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3510.00 3510.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3780.00 3510.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3780.00 0.00 0.00 0.00 3240.00 0.00 0.00 3240.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002451 278 VOCAL FOLD IMPL GEL 1.0CC L8607 2720.00 2720.00 3056.68 0.00 1360.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 1360.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 1768.00 1768.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 1904.00 1768.00 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1904.00 0.00 3056.68 1358.52 1632.00 1358.52 0.00 1632.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350002726 278 VOCAL FOLD IMPL 1.0CC L8607 2720.00 2720.00 3056.68 0.00 1360.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 1360.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 1768.00 1768.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 1904.00 1768.00 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1904.00 0.00 3056.68 1358.52 1632.00 1358.52 0.00 1632.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350002773 278 SPHERE ORBITAL VEN STRL 10MM L8610 256.00 256.00 514.68 0.00 128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.40 166.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 514.68 166.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.20 0.00 0.00 0.00 153.60 0.00 0.00 153.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002774 278 SPHERE ORBITAL VEN STRL 14MM L8610 256.00 256.00 514.68 0.00 128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.40 166.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 514.68 166.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.20 0.00 0.00 0.00 153.60 0.00 0.00 153.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002775 278 SPHERE ORBITAL VEN STRL 18MM L8610 256.00 256.00 514.68 0.00 128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.40 166.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 514.68 166.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.20 0.00 0.00 0.00 153.60 0.00 0.00 153.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002776 278 SPHERE ORBITAL VEN STRL 22MM L8610 256.00 256.00 514.68 0.00 128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 128.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.40 166.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 514.68 166.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.20 0.00 0.00 0.00 153.60 0.00 0.00 153.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000048 278 T-TUBE END 0.45 L8699 179.00 179.00 125.30 0.00 89.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 116.35 116.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.30 116.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.30 0.00 0.00 0.00 107.40 0.00 0.00 107.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000150 278 TUBE VENT ENT REUTER-BOBN .50 L8699 73.00 73.00 51.10 0.00 36.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.45 47.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.10 47.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.10 0.00 0.00 0.00 43.80 0.00 0.00 43.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000151 278 TUBE VENT ENT REUTER-BOBN .45 L8699 57.00 57.00 39.90 0.00 28.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.05 37.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.90 37.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.90 0.00 0.00 0.00 34.20 0.00 0.00 34.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000201 278 TUBE ARMSTRONG V VENT L8699 53.00 53.00 37.10 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.45 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 34.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 31.80 0.00 0.00 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000277 278 TUBE VENT ENT PAPARELLA 0.4 L8699 126.00 126.00 88.20 0.00 63.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.90 81.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.20 81.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.20 0.00 0.00 0.00 75.60 0.00 0.00 75.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000574 278 TUBE VENT ENT REUTER-BOBBIN T L8699 694.00 694.00 485.80 0.00 347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.10 451.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 485.80 451.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 485.80 0.00 0.00 0.00 416.40 0.00 0.00 416.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000551 278 "TUBE PAPARELLA TYPE VENT 50""" L8699 66.00 66.00 46.20 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.90 42.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.20 42.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.20 0.00 0.00 0.00 39.60 0.00 0.00 39.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001180 278 SYSTEM LAP BAND 10CC L8699 15587.00 15587.00 10910.90 0.00 7793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10131.55 10131.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10910.90 10131.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10910.90 0.00 0.00 0.00 9352.20 0.00 0.00 9352.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001181 278 SYSTEM LAP BAND 14CC L8699 15587.00 15587.00 10910.90 0.00 7793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7793.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10131.55 10131.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10910.90 10131.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10910.90 0.00 0.00 0.00 9352.20 0.00 0.00 9352.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001373 278 IMPLANT NASAL LATERA L8699 4219.00 4219.00 2953.30 0.00 2109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2742.35 2742.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2953.30 2742.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2953.30 0.00 0.00 0.00 2531.40 0.00 0.00 2531.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001562 278 SYSTEM LAP BAND LARGE L8699 14729.00 14729.00 10310.30 0.00 7364.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7364.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9573.85 9573.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10310.30 9573.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10310.30 0.00 0.00 0.00 8837.40 0.00 0.00 8837.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001669 278 SYSTEM LAP BAND STANDARD L8699 14729.00 14729.00 10310.30 0.00 7364.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7364.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9573.85 9573.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10310.30 9573.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10310.30 0.00 0.00 0.00 8837.40 0.00 0.00 8837.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002261 278 SHUNT CAROTID 3X5MM 10CM L8699 2262.32 2262.32 1583.62 0.00 1131.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1131.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1470.51 1470.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1583.62 1470.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1583.62 0.00 0.00 0.00 1357.39 0.00 0.00 1357.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002262 278 SHUNT CAROTID 3X5MM 10CM L8699 2262.32 2262.32 1583.62 0.00 1131.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1131.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1470.51 1470.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1583.62 1470.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1583.62 0.00 0.00 0.00 1357.39 0.00 0.00 1357.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002364 278 SYS GRAFT STENT L8699 19900.00 19900.00 13930.00 0.00 9950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12935.00 12935.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13930.00 12935.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13930.00 0.00 0.00 0.00 11940.00 0.00 0.00 11940.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002390 278 STENT GRAFT ILIAC 20X20X82MM L8699 19400.00 19400.00 13580.00 0.00 9700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12610.00 12610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13580.00 12610.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13580.00 0.00 0.00 0.00 11640.00 0.00 0.00 11640.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002423 278 SHUNT CAROTID 3X5MM 30CM L8699 2075.00 2075.00 1452.50 0.00 1037.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1037.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1348.75 1348.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1452.50 1348.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1452.50 0.00 0.00 0.00 1245.00 0.00 0.00 1245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002430 278 GRAFT BONE MATRIX SYN 6CC L8699 9000.00 9000.00 6300.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5850.00 5850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6300.00 5850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6300.00 0.00 0.00 0.00 5400.00 0.00 0.00 5400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002456 278 NASAL CARTILAGE IMPL SYS 24MM L8699 5700.00 5700.00 3990.00 0.00 2850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3705.00 3705.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3990.00 3705.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3990.00 0.00 0.00 0.00 3420.00 0.00 0.00 3420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002511 278 SPACER CERV 12DEG 13X16X8MM L8699 8600.00 8600.00 6020.00 0.00 4300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5590.00 5590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6020.00 5590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6020.00 0.00 0.00 0.00 5160.00 0.00 0.00 5160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002548 278 SYS SPACER EXPAND 15DEG L8699 35560.00 35560.00 24892.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23114.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 0.00 0.00 0.00 21336.00 0.00 0.00 21336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002549 278 SYS SPACER EXPAND 12DEG L8699 35560.00 35560.00 24892.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23114.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 0.00 0.00 0.00 21336.00 0.00 0.00 21336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002553 278 SYS INTERBODY CERV 12X14X18MM L8699 17200.00 17200.00 12040.00 0.00 8600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11180.00 11180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12040.00 11180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12040.00 0.00 0.00 0.00 10320.00 0.00 0.00 10320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002581 278 SYS INTERBODY CERV 12X14X6MM L8699 8600.00 8600.00 6020.00 0.00 4300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5590.00 5590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6020.00 5590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6020.00 0.00 0.00 0.00 5160.00 0.00 0.00 5160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002582 278 SYS INTERBODY CERV 12X14X7MM L8699 8600.00 8600.00 6020.00 0.00 4300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5590.00 5590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6020.00 5590.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6020.00 0.00 0.00 0.00 5160.00 0.00 0.00 5160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002625 278 SPACER XPND 12DEG 10X28X8-13MM L8699 35560.00 35560.00 24892.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23114.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 0.00 0.00 0.00 21336.00 0.00 0.00 21336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002626 278 SPACER XPND 15DEG 10X28X8-13MM L8699 35560.00 35560.00 24892.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23114.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 0.00 0.00 0.00 21336.00 0.00 0.00 21336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002627 278 SPACR XPND 12DEG 10X28X10-16MM L8699 35560.00 35560.00 24892.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17780.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23114.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 23114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24892.00 0.00 0.00 0.00 21336.00 0.00 0.00 21336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002676 278 SET SCREW YUKON OCT L8699 1224.00 1224.00 856.80 0.00 612.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 612.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 795.60 795.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 856.80 795.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 856.80 0.00 0.00 0.00 734.40 0.00 0.00 734.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002677 278 ROD CONTOURED 03.5X75MM L8699 3100.00 3100.00 2170.00 0.00 1550.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1550.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2015.00 2015.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2170.00 2015.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2170.00 0.00 0.00 0.00 1860.00 0.00 0.00 1860.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002678 278 ROD CONTOURED 03.5X85MM L8699 3100.00 3100.00 2170.00 0.00 1550.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1550.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2015.00 2015.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2170.00 2015.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2170.00 0.00 0.00 0.00 1860.00 0.00 0.00 1860.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002688 278 ROD COUNTOURED 3.5X45MM L8699 2325.00 2325.00 1627.50 0.00 1162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1511.25 1511.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1627.50 1511.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1627.50 0.00 0.00 0.00 1395.00 0.00 0.00 1395.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002740 278 GRAFT STENT 23X23MM L8699 17368.00 17368.00 12157.60 0.00 8684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11289.20 11289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12157.60 11289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12157.60 0.00 0.00 0.00 10420.80 0.00 0.00 10420.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000555 272 KIT CATH PLEURX STARTER L9900 3101.56 3101.56 2636.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2171.09 2636.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2171.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600464 771 ADM TIXAGEV AND CILGAV INJ HM M0221 960.36 960.36 816.31 0.00 575.26 304.03 0.00 0.00 0.00 0.00 304.03 304.03 672.25 304.03 0.00 304.03 0.00 0.00 0.00 304.03 365.08 456.35 0.00 0.00 0.00 0.00 304.03 304.03 85.23 37.88 37.88 37.88 288.83 0.00 0.00 0.00 0.00 304.03 304.03 304.03 250.00 816.31 0.00 0.00 0.00 304.03 0.00 0.00 0.00 304.03 0.00 672.25 304.03 0.00 0.00 87.00 per visit 0.00 304.03 87.00 per visit 304.03 304.03 0.00 0.00 0.00 0.00 0.00 273.63 360505102 260 CASIRIVI & IMDEVI INFUSION M0243 985.80 985.80 837.93 0.00 590.49 546.77 0.00 0.00 0.00 0.00 546.77 546.77 690.06 546.77 0.00 546.77 0.00 0.00 0.00 546.77 454.00 per diem 568.00 per diem 0.00 0.00 0.00 0.00 546.77 546.77 603.90 268.40 268.40 268.40 519.43 0.00 0.00 0.00 0.00 546.77 546.77 546.77 450.00 837.93 0.00 0.00 0.00 546.77 0.00 0.00 0.00 546.77 0.00 690.06 546.77 0.00 0.00 132.00 per visit 0.00 546.77 132.00 per visit 546.77 546.77 0.00 0.00 0.00 0.00 0.00 492.09 390000002 390 WHOLE BLOOD PER UNIT P9010 826.80 826.80 1314.73 155.51 495.25 203.10 1314.73 584.32 1314.73 584.32 203.10 203.10 578.76 203.10 584.32 203.10 1314.73 584.32 1314.73 203.10 537.42 537.42 1314.73 584.32 1314.73 584.32 203.10 203.10 1222.23 543.21 543.21 543.21 192.95 1314.73 584.32 1314.73 584.32 203.10 203.10 203.10 155.51 702.78 584.32 1314.73 584.32 203.10 584.32 584.32 584.32 203.10 584.32 578.76 203.10 1314.73 584.32 0.00 per visit 584.32 203.10 0.00 per visit 203.10 203.10 584.32 1314.73 584.32 1314.73 584.32 182.79 390000003 390 BLOOD SPLIT UNIT P9011 402.80 402.80 1314.73 131.98 241.28 149.07 1314.73 584.32 1314.73 584.32 149.07 149.07 281.96 149.07 584.32 149.07 1314.73 584.32 1314.73 149.07 261.82 261.82 1314.73 584.32 1314.73 584.32 149.07 149.07 1222.23 543.21 543.21 543.21 141.62 1314.73 584.32 1314.73 584.32 149.07 149.07 149.07 131.98 342.38 584.32 1314.73 584.32 149.07 584.32 584.32 584.32 149.07 584.32 281.96 149.07 1314.73 584.32 0.00 per visit 584.32 149.07 0.00 per visit 149.07 149.07 584.32 1314.73 584.32 1314.73 584.32 134.16 390000004 390 CRYOPRECIPITATE EA UNIT P9012 318.00 318.00 1618.02 53.03 190.48 59.87 1618.02 719.12 1618.02 719.12 59.87 59.87 222.60 59.87 719.12 59.87 1618.02 719.12 1618.02 59.87 206.70 206.70 1618.02 719.12 1618.02 719.12 59.87 59.87 1504.18 668.53 668.53 668.53 56.88 1618.02 719.12 1618.02 719.12 59.87 59.87 59.87 53.03 270.30 719.12 1618.02 719.12 59.87 719.12 719.12 719.12 59.87 719.12 222.60 59.87 1618.02 719.12 0.00 per visit 719.12 59.87 0.00 per visit 59.87 59.87 719.12 1618.02 719.12 1618.02 719.12 53.88 300000019 390 RBC'S LEUK POOR P9016 807.72 807.72 1314.73 162.74 483.82 180.82 1314.73 584.32 1314.73 584.32 180.82 180.82 565.40 180.82 584.32 180.82 1314.73 584.32 1314.73 180.82 525.02 525.02 1314.73 584.32 1314.73 584.32 180.82 180.82 1222.23 543.21 543.21 543.21 171.78 1314.73 584.32 1314.73 584.32 180.82 180.82 180.82 185.82 686.56 584.32 1314.73 584.32 180.82 584.32 584.32 584.32 180.82 584.32 565.40 180.82 1314.73 584.32 0.00 per visit 584.32 180.82 0.00 per visit 180.82 180.82 584.32 1314.73 584.32 1314.73 584.32 162.74 390000005 390 FFP SNGL DONOR EA UNIT P9017 333.90 333.90 1314.73 71.96 200.01 79.96 1314.73 584.32 1314.73 584.32 79.96 79.96 233.73 79.96 584.32 79.96 1314.73 584.32 1314.73 79.96 217.04 217.04 1314.73 584.32 1314.73 584.32 79.96 79.96 1222.23 543.21 543.21 543.21 75.96 1314.73 584.32 1314.73 584.32 79.96 79.96 79.96 73.73 283.82 584.32 1314.73 584.32 79.96 584.32 584.32 584.32 79.96 584.32 233.73 79.96 1314.73 584.32 0.00 per visit 584.32 79.96 0.00 per visit 79.96 79.96 584.32 1314.73 584.32 1314.73 584.32 71.96 390000006 390 PLATELETES EA UNIT P9019 496.08 496.08 1314.73 58.54 297.15 65.04 1314.73 584.32 1314.73 584.32 65.04 65.04 347.26 65.04 584.32 65.04 1314.73 584.32 1314.73 65.04 322.45 322.45 1314.73 584.32 1314.73 584.32 65.04 65.04 1222.23 543.21 543.21 543.21 61.79 1314.73 584.32 1314.73 584.32 65.04 65.04 65.04 96.49 421.67 584.32 1314.73 584.32 65.04 584.32 584.32 584.32 65.04 584.32 347.26 65.04 1314.73 584.32 0.00 per visit 584.32 65.04 0.00 per visit 65.04 65.04 584.32 1314.73 584.32 1314.73 584.32 58.54 300000018 390 RED BLOOD CELLS - ONE UNIT P9021 641.30 641.30 1314.73 122.86 384.14 136.51 1314.73 584.32 1314.73 584.32 136.51 136.51 448.91 136.51 584.32 136.51 1314.73 584.32 1314.73 136.51 416.85 416.85 1314.73 584.32 1314.73 584.32 136.51 136.51 1222.23 543.21 543.21 543.21 129.68 1314.73 584.32 1314.73 584.32 136.51 136.51 136.51 142.36 545.11 584.32 1314.73 584.32 136.51 584.32 584.32 584.32 136.51 584.32 448.91 136.51 1314.73 584.32 0.00 per visit 584.32 136.51 0.00 per visit 136.51 136.51 584.32 1314.73 584.32 1314.73 584.32 122.86 353300018 390 WASHED RED BLOOD CELLS P9022 1224.30 1224.30 1618.02 344.37 733.36 397.12 1618.02 719.12 1618.02 719.12 397.12 397.12 857.01 397.12 719.12 397.12 1618.02 719.12 1618.02 397.12 795.80 795.80 1618.02 719.12 1618.02 719.12 397.12 397.12 1504.18 668.53 668.53 668.53 377.26 1618.02 719.12 1618.02 719.12 397.12 397.12 397.12 344.37 1040.66 719.12 1618.02 719.12 397.12 719.12 719.12 719.12 397.12 719.12 857.01 397.12 1618.02 719.12 0.00 per visit 719.12 397.12 0.00 per visit 397.12 397.12 719.12 1618.02 719.12 1618.02 719.12 357.41 353300008 390 PLATELETS LEUKOCYTES REDCD P9031 498.20 498.20 1618.02 117.79 298.42 130.88 1618.02 719.12 1618.02 719.12 130.88 130.88 348.74 130.88 719.12 130.88 1618.02 719.12 1618.02 130.88 323.83 323.83 1618.02 719.12 1618.02 719.12 130.88 130.88 1504.18 668.53 668.53 668.53 124.34 1618.02 719.12 1618.02 719.12 130.88 130.88 130.88 125.73 423.47 719.12 1618.02 719.12 130.88 719.12 719.12 719.12 130.88 719.12 348.74 130.88 1618.02 719.12 0.00 per visit 719.12 130.88 0.00 per visit 130.88 130.88 719.12 1618.02 719.12 1618.02 719.12 117.79 353300007 390 PLATELETS IRRADIATED P9032 710.20 710.20 1618.02 120.02 425.41 133.36 1618.02 719.12 1618.02 719.12 133.36 133.36 497.14 133.36 719.12 133.36 1618.02 719.12 1618.02 133.36 461.63 461.63 1618.02 719.12 1618.02 719.12 133.36 133.36 1504.18 668.53 668.53 668.53 126.69 1618.02 719.12 1618.02 719.12 133.36 133.36 133.36 167.42 603.67 719.12 1618.02 719.12 133.36 719.12 719.12 719.12 133.36 719.12 497.14 133.36 1618.02 719.12 0.00 per visit 719.12 133.36 0.00 per visit 133.36 133.36 719.12 1618.02 719.12 1618.02 719.12 120.02 353300009 390 PLATELETS LR IRR P9033 678.40 678.40 1618.02 162.09 406.36 230.63 1618.02 719.12 1618.02 719.12 230.63 230.63 474.88 230.63 719.12 230.63 1618.02 719.12 1618.02 230.63 440.96 440.96 1618.02 719.12 1618.02 719.12 230.63 230.63 1504.18 668.53 668.53 668.53 219.10 1618.02 719.12 1618.02 719.12 230.63 230.63 230.63 162.09 576.64 719.12 1618.02 719.12 230.63 719.12 719.12 719.12 230.63 719.12 474.88 230.63 1618.02 719.12 0.00 per visit 719.12 230.63 0.00 per visit 230.63 230.63 719.12 1618.02 719.12 1618.02 719.12 207.57 353300010 390 PLATELETS PHERESIS P9034 1701.30 1701.30 1618.02 289.67 1019.08 321.86 1618.02 719.12 1618.02 719.12 321.86 321.86 1190.91 321.86 719.12 321.86 1618.02 719.12 1618.02 321.86 1105.85 1105.85 1618.02 719.12 1618.02 719.12 321.86 321.86 1504.18 668.53 668.53 668.53 305.77 1618.02 719.12 1618.02 719.12 321.86 321.86 321.86 412.10 1446.11 719.12 1618.02 719.12 321.86 719.12 719.12 719.12 321.86 719.12 1190.91 321.86 1618.02 719.12 0.00 per visit 719.12 321.86 0.00 per visit 321.86 321.86 719.12 1618.02 719.12 1618.02 719.12 289.67 384000000 390 PLATELETS PHERESIS LEUK REDUC P9035 2294.90 2294.90 1950.67 425.10 1374.65 472.33 1618.02 719.12 1618.02 719.12 472.33 472.33 1606.43 472.33 719.12 472.33 1618.02 719.12 1618.02 472.33 1491.69 1491.69 1618.02 719.12 1618.02 719.12 472.33 472.33 1504.18 668.53 668.53 668.53 448.71 1618.02 719.12 1618.02 719.12 472.33 472.33 472.33 499.95 1950.67 719.12 1618.02 719.12 472.33 719.12 719.12 719.12 472.33 719.12 1606.43 472.33 1618.02 719.12 0.00 per visit 719.12 472.33 0.00 per visit 472.33 472.33 719.12 1618.02 719.12 1618.02 719.12 425.10 353300005 390 PLATELET PHER IRR P9036 2469.80 2469.80 2099.33 503.95 1479.41 559.94 1618.02 719.12 1618.02 719.12 559.94 559.94 1728.86 559.94 719.12 559.94 1618.02 719.12 1618.02 559.94 1605.37 1605.37 1618.02 719.12 1618.02 719.12 559.94 559.94 1504.18 668.53 668.53 668.53 531.94 1618.02 719.12 1618.02 719.12 559.94 559.94 559.94 556.58 2099.33 719.12 1618.02 719.12 559.94 719.12 719.12 719.12 559.94 719.12 1728.86 559.94 1618.02 719.12 0.00 per visit 719.12 559.94 0.00 per visit 559.94 559.94 719.12 1618.02 719.12 1618.02 719.12 503.95 353300013 390 PLT PHER LR IRR P9037 2830.20 2830.20 2405.67 605.23 1695.29 672.48 1618.02 719.12 1618.02 719.12 672.48 672.48 1981.14 672.48 719.12 672.48 1618.02 719.12 1618.02 672.48 1839.63 1839.63 1618.02 719.12 1618.02 719.12 672.48 672.48 1504.18 668.53 668.53 668.53 638.86 1618.02 719.12 1618.02 719.12 672.48 672.48 672.48 647.40 2405.67 719.12 1618.02 719.12 672.48 719.12 719.12 719.12 672.48 719.12 1981.14 672.48 1618.02 719.12 0.00 per visit 719.12 672.48 0.00 per visit 672.48 672.48 719.12 1618.02 719.12 1618.02 719.12 605.23 353300015 390 RBC IRRADIATED P9038 927.50 927.50 1314.73 195.05 555.57 216.72 1314.73 584.32 1314.73 584.32 216.72 216.72 649.25 216.72 584.32 216.72 1314.73 584.32 1314.73 216.72 602.88 602.88 1314.73 584.32 1314.73 584.32 216.72 216.72 1222.23 543.21 543.21 543.21 205.88 1314.73 584.32 1314.73 584.32 216.72 216.72 216.72 218.95 788.38 584.32 1314.73 584.32 216.72 584.32 584.32 584.32 216.72 584.32 649.25 216.72 1314.73 584.32 0.00 per visit 584.32 216.72 0.00 per visit 216.72 216.72 584.32 1314.73 584.32 1314.73 584.32 195.05 353300014 390 RBC DEGLYCEROLIZED P9039 1590.00 1590.00 1351.50 280.00 952.41 311.11 1314.73 584.32 1314.73 584.32 311.11 311.11 1113.00 311.11 584.32 311.11 1314.73 584.32 1314.73 311.11 1033.50 1033.50 1314.73 584.32 1314.73 584.32 311.11 311.11 1222.23 543.21 543.21 543.21 295.55 1314.73 584.32 1314.73 584.32 311.11 311.11 311.11 383.58 1351.50 584.32 1314.73 584.32 311.11 584.32 584.32 584.32 311.11 584.32 1113.00 311.11 1314.73 584.32 0.00 per visit 584.32 311.11 0.00 per visit 311.11 311.11 584.32 1314.73 584.32 1314.73 584.32 280.00 636000412 636 ALBUMIN 5% 50 ML P9041 100.70 100.70 1314.73 8.23 12.10 10.62 1314.73 584.32 1314.73 584.32 10.62 10.62 17.41 10.62 584.32 10.62 1314.73 584.32 1314.73 10.62 65.46 65.46 1314.73 584.32 1314.73 584.32 10.62 10.62 1222.23 543.21 543.21 543.21 10.08 1314.73 584.32 1314.73 584.32 10.62 10.62 10.62 10.62 65.46 584.32 10.62 8.23 8.23 584.32 584.32 584.32 8.23 584.32 70.49 10.62 1314.73 584.32 10.62 584.32 10.62 10.62 10.62 10.62 584.32 1314.73 584.32 1314.73 584.32 9.55 636000440 636 ALBUMIN 5% 12.5 GM/250 ML P9045 0.00 0.00 1740.06 0.00 60.51 53.08 1740.06 773.36 1740.06 773.36 53.08 53.08 87.05 53.08 773.36 53.08 1740.06 773.36 1740.06 53.08 0.65 of eligible billed charges 0.65 of eligible billed charges 1740.06 773.36 1740.06 773.36 53.08 53.08 1617.70 718.98 718.98 718.98 50.42 1740.06 773.36 1740.06 773.36 53.08 53.08 53.08 53.08 0.65 of charges 773.36 53.08 41.13 41.13 773.36 773.36 773.36 41.13 773.36 0.00 53.08 1740.06 773.36 53.08 773.36 53.08 53.08 53.08 53.08 773.36 1740.06 773.36 1740.06 773.36 47.77 636000413 636 ALBUMIN 25% 20 ML P9046 79.50 79.50 1314.73 16.45 24.20 21.23 1314.73 584.32 1314.73 584.32 21.23 21.23 34.82 21.23 584.32 21.23 1314.73 584.32 1314.73 21.23 51.68 51.68 1314.73 584.32 1314.73 584.32 21.23 21.23 1222.23 543.21 543.21 543.21 20.17 1314.73 584.32 1314.73 584.32 21.23 21.23 21.23 21.23 51.68 584.32 21.23 16.45 16.45 584.32 584.32 584.32 16.45 584.32 55.65 21.23 1314.73 584.32 21.23 584.32 21.23 21.23 21.23 21.23 584.32 1314.73 584.32 1314.73 584.32 19.11 636000414 636 ALBUMIN 25 % 50 ML P9047 307.40 307.40 1314.73 41.13 60.51 53.08 1314.73 584.32 1314.73 584.32 53.08 53.08 87.05 53.08 584.32 53.08 1314.73 584.32 1314.73 53.08 199.81 199.81 1314.73 584.32 1314.73 584.32 53.08 53.08 1222.23 543.21 543.21 543.21 50.42 1314.73 584.32 1314.73 584.32 53.08 53.08 53.08 53.08 199.81 584.32 53.08 41.13 41.13 584.32 584.32 584.32 41.13 584.32 215.18 53.08 1314.73 584.32 53.08 584.32 53.08 53.08 53.08 53.08 584.32 1314.73 584.32 1314.73 584.32 47.77 636000441 636 ALBUMIN 25% 12.5 GM/50 ML P9047 0.00 0.00 1413.89 0.00 60.51 53.08 1413.89 628.40 1413.89 628.40 53.08 53.08 87.05 53.08 628.40 53.08 1413.89 628.40 1413.89 53.08 0.65 of eligible billed charges 0.65 of eligible billed charges 1413.89 628.40 1413.89 628.40 53.08 53.08 1314.46 584.21 584.21 584.21 50.42 1413.89 628.40 1413.89 628.40 53.08 53.08 53.08 53.08 0.65 of charges 628.40 53.08 41.13 41.13 628.40 628.40 628.40 41.13 628.40 0.00 53.08 1413.89 628.40 53.08 628.40 53.08 53.08 53.08 53.08 628.40 1413.89 628.40 1413.89 628.40 47.77 353300002 390 BLOOD LR CMV-NEG P9051 715.50 715.50 1314.73 150.53 428.58 167.25 1314.73 584.32 1314.73 584.32 167.25 167.25 500.85 167.25 584.32 167.25 1314.73 584.32 1314.73 167.25 465.08 465.08 1314.73 584.32 1314.73 584.32 167.25 167.25 1222.23 543.21 543.21 543.21 158.89 1314.73 584.32 1314.73 584.32 167.25 167.25 167.25 206.48 608.18 584.32 1314.73 584.32 167.25 584.32 584.32 584.32 167.25 584.32 500.85 167.25 1314.73 584.32 0.00 per visit 584.32 167.25 0.00 per visit 167.25 167.25 584.32 1314.73 584.32 1314.73 584.32 150.53 353300006 390 PLATELETS HLA-M LR P9052 3307.20 3307.20 2811.12 648.60 1981.01 720.67 1618.02 719.12 1618.02 719.12 720.67 720.67 2315.04 720.67 719.12 720.67 1618.02 719.12 1618.02 720.67 2149.68 2149.68 1618.02 719.12 1618.02 719.12 720.67 720.67 1504.18 668.53 668.53 668.53 684.64 1618.02 719.12 1618.02 719.12 720.67 720.67 720.67 738.14 2811.12 719.12 1618.02 719.12 720.67 719.12 719.12 719.12 720.67 719.12 2315.04 720.67 1618.02 719.12 0.00 per visit 719.12 720.67 0.00 per visit 720.67 720.67 719.12 1618.02 719.12 1618.02 719.12 648.60 353300012 390 PLT PHER LR CMV-NEG IRR P9053 2962.70 2962.70 2518.30 466.37 1774.66 518.19 1618.02 719.12 1618.02 719.12 518.19 518.19 2073.89 518.19 719.12 518.19 1618.02 719.12 1618.02 518.19 1925.76 1925.76 1618.02 719.12 1618.02 719.12 518.19 518.19 1504.18 668.53 668.53 668.53 492.28 1618.02 719.12 1618.02 719.12 518.19 518.19 518.19 618.89 2518.30 719.12 1618.02 719.12 518.19 719.12 719.12 719.12 518.19 719.12 2073.89 518.19 1618.02 719.12 0.00 per visit 719.12 518.19 0.00 per visit 518.19 518.19 719.12 1618.02 719.12 1618.02 719.12 466.37 353300003 390 BLOOD LR FROZ/DEGLY/WASHED P9054 1081.20 1081.20 1314.73 193.69 647.64 215.21 1314.73 584.32 1314.73 584.32 215.21 215.21 756.84 215.21 584.32 215.21 1314.73 584.32 1314.73 215.21 702.78 702.78 1314.73 584.32 1314.73 584.32 215.21 215.21 1222.23 543.21 543.21 543.21 204.45 1314.73 584.32 1314.73 584.32 215.21 215.21 215.21 275.58 919.02 584.32 1314.73 584.32 215.21 584.32 584.32 584.32 215.21 584.32 756.84 215.21 1314.73 584.32 0.00 per visit 584.32 215.21 0.00 per visit 215.21 215.21 584.32 1314.73 584.32 1314.73 584.32 193.69 353300011 390 PLT APH/PHER LR CMV-NEG P9055 1828.50 1828.50 1618.02 225.73 1095.27 250.81 1618.02 719.12 1618.02 719.12 250.81 250.81 1279.95 250.81 719.12 250.81 1618.02 719.12 1618.02 250.81 1188.53 1188.53 1618.02 719.12 1618.02 719.12 250.81 250.81 1504.18 668.53 668.53 668.53 238.27 1618.02 719.12 1618.02 719.12 250.81 250.81 250.81 422.00 1554.23 719.12 1618.02 719.12 250.81 719.12 719.12 719.12 250.81 719.12 1279.95 250.81 1618.02 719.12 0.00 per visit 719.12 250.81 0.00 per visit 250.81 250.81 719.12 1618.02 719.12 1618.02 719.12 225.73 353300004 390 BLOOD LR IRRADIATED P9056 720.80 720.80 1314.73 82.79 431.76 91.99 1314.73 584.32 1314.73 584.32 91.99 91.99 504.56 91.99 584.32 91.99 1314.73 584.32 1314.73 91.99 468.52 468.52 1314.73 584.32 1314.73 584.32 91.99 91.99 1222.23 543.21 543.21 543.21 87.39 1314.73 584.32 1314.73 584.32 91.99 91.99 91.99 124.37 612.68 584.32 1314.73 584.32 91.99 584.32 584.32 584.32 91.99 584.32 504.56 91.99 1314.73 584.32 0.00 per visit 584.32 91.99 0.00 per visit 91.99 91.99 584.32 1314.73 584.32 1314.73 584.32 82.79 353300017 390 RBC LR FROZ/DEGLY/WASHED IRR P9057 1839.10 1839.10 1563.24 207.45 1101.62 492.70 1314.73 584.32 1314.73 584.32 492.70 492.70 1287.37 492.70 584.32 492.70 1314.73 584.32 1314.73 492.70 1195.42 1195.42 1314.73 584.32 1314.73 584.32 492.70 492.70 1222.23 543.21 543.21 543.21 468.07 1314.73 584.32 1314.73 584.32 492.70 492.70 492.70 207.45 1563.24 584.32 1314.73 584.32 492.70 584.32 584.32 584.32 492.70 584.32 1287.37 492.70 1314.73 584.32 0.00 per visit 584.32 492.70 0.00 per visit 492.70 492.70 584.32 1314.73 584.32 1314.73 584.32 443.43 353300016 390 RBC LR CMV-NEG IRR P9058 1228.54 1228.54 1314.73 217.67 735.90 241.86 1314.73 584.32 1314.73 584.32 241.86 241.86 859.98 241.86 584.32 241.86 1314.73 584.32 1314.73 241.86 798.55 798.55 1314.73 584.32 1314.73 584.32 241.86 241.86 1222.23 543.21 543.21 543.21 229.77 1314.73 584.32 1314.73 584.32 241.86 241.86 241.86 250.10 1044.26 584.32 1314.73 584.32 241.86 584.32 584.32 584.32 241.86 584.32 859.98 241.86 1314.73 584.32 0.00 per visit 584.32 241.86 0.00 per visit 241.86 241.86 584.32 1314.73 584.32 1314.73 584.32 217.67 362020034 770 OBTAINING SCREEN PAP SMEAR Q0091 95.40 95.40 81.09 0.00 11.82 34.43 0.00 0.00 0.00 0.00 34.43 34.43 66.78 34.43 0.00 34.43 0.00 0.00 0.00 34.43 23.69 29.61 0.00 0.00 0.00 0.00 34.43 34.43 74.64 33.17 33.17 33.17 18.74 0.00 0.00 0.00 0.00 34.43 34.43 34.43 66.78 81.09 0.00 0.00 0.00 34.43 0.00 0.00 0.00 34.43 0.00 66.78 34.43 0.00 0.00 34.43 0.00 34.43 34.43 34.43 34.43 0.00 0.00 0.00 0.00 0.00 17.76 351500157 636 ONDANSETRON 4MG/5ML SOLUT 50ML Q0162 0.00 0.00 0.02 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.65 of charges 0.00 0.01 0.01 0.01 0.00 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001029 636 ANEZEMET 100 MG TABLET Q0180 0.00 0.00 101.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 101.24 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001030 636 ANZEMET 50MG TABLET AVENTIS PH Q0180 0.00 0.00 101.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 101.24 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500427 636 EVUSHIELD 150-150MG/1.5ML Q0220 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500429 636 EVUSHIELD 300-300MG/3ML Q0221 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500405 636 BEBTELOVIMAB 175MG/2ML VIAL Q0222 0.00 0.00 4765.18 0.00 0.00 2905.60 0.00 0.00 0.00 0.00 2905.60 2905.60 4765.18 2905.60 0.00 2905.60 0.00 0.00 0.00 2905.60 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 2905.60 2905.60 0.00 0.00 0.00 0.00 2760.32 0.00 0.00 0.00 0.00 2905.60 2905.60 2905.60 2394.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2905.60 0.00 0.00 2905.60 0.00 2905.60 2905.60 2905.60 2905.60 0.00 0.00 0.00 0.00 0.00 "2,615.04" 351500342 636 CASIRIVIMAB 2.5ML VIAL Q0243 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500344 636 IMDEVIMAB 2.5ML VIAL Q0243 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500362 636 ETESEVIMAB 700MG/20ML VIAL Q0245 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001339 636 DOXIL 20 MG/10 ML INJ Q2050 0.00 0.00 144.85 0.00 97.45 85.48 cost cost cost cost 85.48 85.48 140.19 85.48 cost 85.48 cost cost cost 85.48 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 85.48 85.48 cost cost cost cost 81.21 cost cost cost cost 85.48 85.48 85.48 144.85 0.65 of charges cost 85.48 66.25 66.25 cost cost cost 66.25 cost 0.00 85.48 cost cost 85.48 cost 85.48 85.48 85.48 85.48 cost cost cost cost cost 76.94 351500397 634 EPOETN ALF ESRD 2000 UN/ML Q4081 0.00 0.00 2.23 0.00 1.01 0.00 2.23 0.99 2.23 0.99 0.00 0.00 1.46 0.00 0.99 0.00 2.23 0.99 2.23 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 2.23 0.99 2.23 0.99 0.00 0.00 2.23 0.99 0.99 0.99 0.00 2.23 0.99 2.23 0.99 0.00 0.00 0.00 0.71 0.65 of charges 0.99 2.23 0.99 0.00 0.99 0.99 0.99 0.00 0.99 0.00 0.00 2.23 0.99 0.00 0.99 0.00 0.00 0.00 0.00 0.99 2.23 0.99 2.23 0.99 0.00 351500398 634 EPOETN ALF ESRD 4000 UN/ML Q4081 0.00 0.00 2.23 0.00 1.01 0.00 2.23 0.99 2.23 0.99 0.00 0.00 1.46 0.00 0.99 0.00 2.23 0.99 2.23 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 2.23 0.99 2.23 0.99 0.00 0.00 2.23 0.99 0.99 0.99 0.00 2.23 0.99 2.23 0.99 0.00 0.00 0.00 0.71 0.65 of charges 0.99 2.23 0.99 0.00 0.99 0.99 0.99 0.00 0.99 0.00 0.00 2.23 0.99 0.00 0.99 0.00 0.00 0.00 0.00 0.99 2.23 0.99 2.23 0.99 0.00 351500402 634 EPOETN ALF ESRD 3000 UN/ML Q4081 0.00 0.00 2.23 0.00 1.01 0.00 2.23 0.99 2.23 0.99 0.00 0.00 1.46 0.00 0.99 0.00 2.23 0.99 2.23 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 2.23 0.99 2.23 0.99 0.00 0.00 2.23 0.99 0.99 0.99 0.00 2.23 0.99 2.23 0.99 0.00 0.00 0.00 0.71 0.65 of charges 0.99 2.23 0.99 0.00 0.99 0.99 0.99 0.00 0.99 0.00 0.00 2.23 0.99 0.00 0.99 0.00 0.00 0.00 0.00 0.99 2.23 0.99 2.23 0.99 0.00 351500403 635 EPOETN ALF ESRD 10000 UN/ML Q4081 0.00 0.00 2.23 0.00 1.01 0.00 2.23 0.99 2.23 0.99 0.00 0.00 1.46 0.00 0.99 0.00 2.23 0.99 2.23 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 2.23 0.99 2.23 0.99 0.00 0.00 2.23 0.99 0.99 0.99 0.00 2.23 0.99 2.23 0.99 0.00 0.00 0.00 0.71 0.65 of charges 0.99 2.23 0.99 0.00 0.99 0.99 0.99 0.00 0.99 0.00 0.00 2.23 0.99 0.00 0.99 0.00 0.00 0.00 0.00 0.99 2.23 0.99 2.23 0.99 0.00 350002417 278 MATRIX REGN DURAL + 4X5 PRSQCM Q4100 319.90 319.90 3056.68 0.00 159.95 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 159.95 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 207.94 207.94 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 223.93 207.94 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 223.93 0.00 3056.68 1358.52 191.94 1358.52 0.00 191.94 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 361500063 636 GRAFIX XC 7.5X15CM PER SQ CM Q4100 109.18 109.18 3056.68 0.00 65.40 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 54.59 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 70.97 70.97 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 76.43 70.97 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 76.43 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 361500064 636 STRAVIX 2X4CM PER SQ CM Q4100 238.50 238.50 3056.68 0.00 142.86 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 119.25 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 155.03 155.03 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 166.95 155.03 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 166.95 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 361500065 636 STRAVIX 3X6CM PER SQ CM Q4100 169.60 169.60 3056.68 0.00 101.59 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 84.80 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 110.24 110.24 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 118.72 110.24 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 118.72 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 278000430 636 APLIGRAF PER CM ROUND ORG Q4101 148.40 148.40 3056.69 0.00 34.66 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 49.86 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 96.46 96.46 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 30.30 96.46 1358.53 30.40 23.56 23.56 1358.53 1358.53 1358.53 23.56 1358.53 103.88 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500012 636 APLIGRAF PER 1SQ CM Q4101 100.70 100.70 3056.69 0.00 34.66 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 49.86 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 65.46 65.46 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 30.30 65.46 1358.53 30.40 23.56 23.56 1358.53 1358.53 1358.53 23.56 1358.53 70.49 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 636000004 636 SKIN SUB OASIS PER 1SQ CM Q4102 34.98 34.98 3056.69 0.00 15.28 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 21.99 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 22.74 22.74 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 12.50 22.74 1358.53 13.41 10.39 10.39 1358.53 1358.53 1358.53 10.39 1358.53 24.49 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000735 636 JACKET GRAFT 4X4CM Q4107 492.90 492.90 3056.68 0.00 295.25 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 246.45 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 320.39 320.39 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 92.59 320.39 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 345.03 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350001266 636 MATRIX TISSUE 2X4CM PER SQ CM Q4107 1558.20 1558.20 3056.68 0.00 933.36 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 779.10 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 1012.83 1012.83 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 92.59 1012.83 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1090.74 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350001287 636 MATRIX TISSUE 5X5CM PER SQCM Q4107 508.80 508.80 3056.68 0.00 304.77 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 254.40 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 330.72 330.72 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 92.59 330.72 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 356.16 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350000605 636 MESH PRIMATRIX 10X25CM PERSQCM Q4110 132.50 132.50 3056.69 0.00 44.52 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 64.05 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 86.13 86.13 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 41.36 86.13 1358.53 39.06 30.27 30.27 1358.53 1358.53 1358.53 30.27 1358.53 92.75 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000630 636 MESH PRIMATRIX 6X6CM PER SQ CM Q4110 159.00 159.00 3056.69 0.00 44.52 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 64.05 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 103.35 103.35 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 41.36 103.35 1358.53 39.06 30.27 30.27 1358.53 1358.53 1358.53 30.27 1358.53 111.30 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001099 636 MESH PRIMATRIX 3X3 MSHD PRSQCM Q4110 339.20 339.20 3056.69 0.00 44.52 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 64.05 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 220.48 220.48 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 41.36 220.48 1358.53 39.06 30.27 30.27 1358.53 1358.53 1358.53 30.27 1358.53 237.44 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001264 636 MATRIX TISSUE FEN 4X4CM PRSQCM Q4110 243.80 243.80 3056.69 0.00 44.52 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 64.05 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 158.47 158.47 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 41.36 158.47 1358.53 39.06 30.27 30.27 1358.53 1358.53 1358.53 30.27 1358.53 170.66 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 761000032 636 PRIMATRIX PER 1 SQ CM Q4110 159.00 159.00 3056.69 0.00 44.52 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 64.05 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 103.35 103.35 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 41.36 103.35 1358.53 39.06 30.27 30.27 1358.53 1358.53 1358.53 30.27 1358.53 111.30 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000430 636 TISSUE CYMETRA 2CC Q4112 1939.80 1939.80 3056.68 0.00 1161.94 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 969.90 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 1260.87 1260.87 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 872.08 1260.87 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1357.86 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350001331 636 MATRIX WOUND FLOWABLE 1CC Q4114 15476.00 15476.00 10833.20 0.00 1717.98 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2471.48 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 10059.40 10059.40 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 1537.55 10059.40 1358.53 1507.00 1167.93 1167.93 1358.53 1358.53 1358.53 1167.93 1358.53 10833.20 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 278000817 636 "GRAFT, ALLODEM 4 x 16 CM (Life" Q4116 185.50 185.50 3056.68 0.00 111.11 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 92.75 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 120.58 120.58 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 31.11 120.58 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 129.85 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350000223 636 MATRIX TISSUE 1X4CM Q4116 1611.20 1611.20 3056.68 0.00 965.11 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 805.60 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 1047.28 1047.28 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 31.11 1047.28 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1127.84 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350000784 636 MATRIX TISSUE 3X7 THICK PRSQCM Q4116 238.50 238.50 3056.68 0.00 142.86 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 119.25 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 155.03 155.03 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 31.11 155.03 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 166.95 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350001117 636 MATRIX TISSUE 3X7 MED PER SQCM Q4116 238.50 238.50 3056.68 0.00 142.86 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 119.25 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 155.03 155.03 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 31.11 155.03 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 166.95 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350002485 636 MATRIX TISS RGN 16X20CM PRSQCM Q4116 203.52 203.52 3056.68 0.00 121.91 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 101.76 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 132.29 132.29 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 31.11 132.29 1358.52 0.00 0.00 0.00 1358.52 1358.52 1358.52 0.00 1358.52 142.46 0.00 3056.68 1358.52 0.00 1358.52 0.00 0.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350002229 636 MICROMATRIX PRTCLT 1000MG PRMG Q4118 11.59 11.59 3056.69 0.00 2.90 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 4.18 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 7.53 7.53 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 2.52 7.53 1358.53 2.55 1.97 1.97 1358.53 1358.53 1358.53 1.97 1358.53 8.11 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000384 636 DRESSING WOUND MATRIX 7 x 10 Q4124 58.30 58.30 3056.69 0.00 10.58 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 15.23 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 37.90 37.90 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 8.90 37.90 1358.53 9.28 7.20 7.20 1358.53 1358.53 1358.53 7.20 1358.53 40.81 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000495 636 DRSG WOUND MATRIX 7X20CM Q4124 58.30 58.30 3056.69 0.00 10.58 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 15.23 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 37.90 37.90 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 8.90 37.90 1358.53 9.28 7.20 7.20 1358.53 1358.53 1358.53 7.20 1358.53 40.81 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 636000442 636 OASIS TRI-LAYR WND MATRIX 1SQ Q4124 50.88 50.88 3056.69 0.00 10.58 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 15.23 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 33.07 33.07 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 8.90 33.07 1358.53 9.28 7.20 7.20 1358.53 1358.53 1358.53 7.20 1358.53 35.62 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000509 636 MATRIX TISSUE 8CM X 16CM Q4128 185.50 185.50 3056.69 0.00 35.03 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 50.40 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 120.58 120.58 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 30.70 120.58 1358.53 30.73 23.82 23.82 1358.53 1358.53 1358.53 23.82 1358.53 129.85 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000114 636 MATRIX TISSUE PLIABLE 8X16CM Q4130 641.30 641.30 3056.69 0.00 384.14 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 320.65 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 416.85 416.85 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 448.91 416.85 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 448.91 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000420 636 MATRIX TISSUE PLIABLE 5X16CM Q4130 84.80 84.80 3056.69 0.00 50.80 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 42.40 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 55.12 55.12 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 59.36 55.12 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 59.36 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350000633 636 MATRIX TISSUE REG 10X20CM Q4130 164.30 164.30 3056.69 0.00 98.42 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 82.15 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 106.80 106.80 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 115.01 106.80 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 115.01 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001261 636 MATRIX TISSUE 20X40CM PER SQCM Q4130 159.00 159.00 3056.69 0.00 95.24 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 79.50 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 103.35 103.35 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 111.30 103.35 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 111.30 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002571 636 MATRIX TISSUE 10X16 PERSQCM Q4130 167.48 167.48 3056.69 0.00 100.32 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 83.74 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 108.86 108.86 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 117.24 108.86 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 117.24 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002712 636 MATRIX TISS FIRM 6X10CM PRSQCM Q4130 181.26 181.26 3056.69 0.00 108.57 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 90.63 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 117.82 117.82 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 126.88 117.82 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 126.88 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500066 636 GRAFIX CORE 16MM (1 SQ CM) Q4132 503.50 503.50 3056.69 0.00 180.39 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 259.51 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 327.28 327.28 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 207.72 327.28 1358.53 158.24 122.63 122.63 1358.53 1358.53 1358.53 122.63 1358.53 352.45 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500067 636 GRAFIX CORE 1.5X2CM PER SQ CM Q4132 296.80 296.80 3056.69 0.00 180.39 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 259.51 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 192.92 192.92 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 207.72 192.92 1358.53 158.24 122.63 122.63 1358.53 1358.53 1358.53 122.63 1358.53 207.76 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500068 636 GRAFIX CORE 2X3CM PER SQ CM Q4132 185.50 185.50 3056.69 0.00 180.39 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 259.51 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 120.58 120.58 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 207.72 120.58 1358.53 158.24 122.63 122.63 1358.53 1358.53 1358.53 122.63 1358.53 129.85 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500069 636 GRAFIX CORE 3X4CM PER SQ CM Q4132 114.48 114.48 3056.69 0.00 180.39 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 259.51 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 74.41 74.41 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 207.72 74.41 1358.53 158.24 122.63 122.63 1358.53 1358.53 1358.53 122.63 1358.53 80.14 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500070 636 GRAFIX CORE 5X5CM PER SQ CM Q4132 121.90 121.90 3056.69 0.00 180.39 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 259.51 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 79.24 79.24 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 207.72 79.24 1358.53 158.24 122.63 122.63 1358.53 1358.53 1358.53 122.63 1358.53 85.33 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500058 636 GRAFIX PRIME 16MM (1 SQ CM) Q4133 503.50 503.50 3056.69 0.00 155.41 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 223.57 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 327.28 327.28 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 147.66 327.28 1358.53 136.32 105.65 105.65 1358.53 1358.53 1358.53 105.65 1358.53 352.45 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500059 636 GRAFIX PRIME 1.5X2CM PER SQ CM Q4133 296.80 296.80 3056.69 0.00 155.41 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 223.57 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 192.92 192.92 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 147.66 192.92 1358.53 136.32 105.65 105.65 1358.53 1358.53 1358.53 105.65 1358.53 207.76 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500060 636 GRAFIX PRIME 2X3CM PER SQ CM Q4133 185.50 185.50 3056.69 0.00 155.41 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 223.57 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 120.58 120.58 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 147.66 120.58 1358.53 136.32 105.65 105.65 1358.53 1358.53 1358.53 105.65 1358.53 129.85 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500061 636 GRAFIX PRIME 3X4CM PER SQ CM Q4133 114.48 114.48 3056.69 0.00 155.41 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 223.57 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 74.41 74.41 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 147.66 74.41 1358.53 136.32 105.65 105.65 1358.53 1358.53 1358.53 105.65 1358.53 80.14 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500062 636 GRAFIX PRIME 5X5CM PER SQ CM Q4133 121.90 121.90 3056.69 0.00 155.41 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 223.57 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 79.24 79.24 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 147.66 79.24 1358.53 136.32 105.65 105.65 1358.53 1358.53 1358.53 105.65 1358.53 85.33 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001918 636 MEMBRN AMNIOT 1.5X1.5CM PRSQCM Q4137 1375.88 1375.88 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 894.32 894.32 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 894.32 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 963.12 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002331 636 ALLOGRFT PLACENTL 5X8CM PRSQCM Q4137 623.50 623.50 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 405.28 405.28 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 405.28 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 436.45 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002551 636 ALGFT PLCNTL MEMB 4X5CM PRSQCM Q4137 622.22 622.22 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 404.44 404.44 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 404.44 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 435.55 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500072 636 MEMBRANE AMNIOTIC 12MM DISK Q4137 1142.68 1142.68 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 742.74 742.74 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 742.74 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 799.88 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500073 636 MEMBRANE AMNIOTIC 15MM DISK Q4137 1246.56 1246.56 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 810.26 810.26 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 810.26 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 872.59 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500074 636 MEMBRANE AMNIOTIC 18MM DISK Q4137 2493.12 2493.12 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 1620.53 1620.53 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 1620.53 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 1745.18 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500075 636 MEMBRANE AMNIOTIC 24MM DISK Q4137 2908.64 2908.64 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 1890.62 1890.62 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 1890.62 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 2036.05 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500076 636 MEMBRN AMNIOTC 1.5X1.5CM PSQCM Q4137 1223.24 1223.24 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 795.11 795.11 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 795.11 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 856.27 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500077 636 MEMBRANE AMNIOTIC 2X3CM PSQCM Q4137 625.40 625.40 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 406.51 406.51 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 406.51 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 437.78 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500078 636 MEMBRNE AMNIOT 3.5X3.5CM PSQCM Q4137 330.72 330.72 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 214.97 214.97 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 214.97 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 231.50 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500079 636 MEMBRANE AMNIOTIC 4X4CM PSQCM Q4137 266.06 266.06 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 172.94 172.94 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 172.94 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 186.24 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500080 636 MEMBRANE AMNIOTIC 4X8CM PSQCM Q4137 167.48 167.48 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 108.86 108.86 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 108.86 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 117.24 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500081 636 MEMBRANE AMNIOTIC 5X5CM PSQCM Q4137 191.86 191.86 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 124.71 124.71 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 124.71 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 134.30 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500082 636 MEMBRANE AMNIOTC 10X10CM PSQCM Q4137 220.48 220.48 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 143.31 143.31 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 143.31 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 154.34 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500083 636 SUSPENSION ALLOGRAFT 0.50ML Q4137 4252.72 4252.72 3056.69 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 2764.27 2764.27 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 2764.27 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 2976.90 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500084 636 SUSPENSION ALLOGRAFT 1.00ML Q4137 6254.00 6254.00 4377.80 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 4065.10 4065.10 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 4065.10 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 4377.80 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500085 636 SUSPENSION ALLOGRAFT 2.00ML Q4137 7504.80 7504.80 5253.36 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 4878.12 4878.12 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 4878.12 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 5253.36 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500086 636 SUSPENSION ALLOGRAFT 3.00ML Q4137 8755.60 8755.60 6128.92 0.00 129.59 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 186.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 5691.14 5691.14 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 102.90 5691.14 1358.53 113.68 88.10 88.10 1358.53 1358.53 1358.53 88.10 1358.53 6128.92 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001308 636 MATRIX TISS THK 20X25CM PRSQCM Q4142 156.88 156.88 3056.69 0.00 93.97 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 78.44 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 101.97 101.97 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 109.82 101.97 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 109.82 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001479 636 MATRIX TISS THK 16X20CM PRSQCM Q4142 156.88 156.88 3056.69 0.00 93.97 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 78.44 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 101.97 101.97 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 109.82 101.97 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 109.82 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001762 636 MATRIX TISSUE THK 16X25CMPSQCM Q4142 150.52 150.52 3056.69 0.00 90.16 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 75.26 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 97.84 97.84 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 105.36 97.84 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 105.36 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001840 636 MEMBRN AMNIOT 2.5X2.5CM PRSQCM Q4148 810.69 810.69 3056.69 0.00 485.60 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 405.35 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 526.95 526.95 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 567.48 526.95 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 567.48 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002312 636 ALLOGRAFT DERMAL 4X6CM PERSQCM Q4152 387.78 387.78 3056.69 0.00 57.47 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 82.68 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 252.06 252.06 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 52.12 252.06 1358.53 50.42 39.07 39.07 1358.53 1358.53 1358.53 39.07 1358.53 271.45 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500025 636 PLURIVEST 2X3CM PER SQ CM Q4153 365.70 365.70 3056.69 0.00 132.53 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 190.66 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 237.71 237.71 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 169.06 237.71 1358.53 116.26 90.10 90.10 1358.53 1358.53 1358.53 90.10 1358.53 255.99 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500026 636 DERMAVEST 2X3CM PER SQ CM Q4153 365.70 365.70 3056.69 0.00 132.53 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 190.66 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 237.71 237.71 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 169.06 237.71 1358.53 116.26 90.10 90.10 1358.53 1358.53 1358.53 90.10 1358.53 255.99 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001645 636 MEMBRANE AMNIOTIC 100MG PER MG Q4155 111.30 111.30 3056.69 0.00 66.67 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 55.65 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 72.35 72.35 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 77.91 72.35 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 77.91 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001690 636 MEMBRANE AMNIOTIC 50MG PER MG Q4155 51.94 51.94 3056.69 0.00 31.11 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 25.97 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 33.76 33.76 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 36.36 33.76 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 36.36 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500052 636 AFFINITY 1.5X1.5CM PER SQ CM Q4159 270.30 270.30 3056.69 0.00 410.01 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 589.85 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 175.70 175.70 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 367.05 175.70 1358.53 359.66 278.74 278.74 1358.53 1358.53 1358.53 278.74 1358.53 189.21 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500053 636 AFFINITY 2.5X2.5CM PER SQ CM Q4159 180.20 180.20 3056.69 0.00 410.01 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 589.85 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 117.13 117.13 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 367.05 117.13 1358.53 359.66 278.74 278.74 1358.53 1358.53 1358.53 278.74 1358.53 126.14 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500054 636 NUSHIELD 1.6 SQCM Q4160 212.00 212.00 3056.69 0.00 111.71 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 160.70 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 137.80 137.80 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 96.26 137.80 1358.53 97.99 75.94 75.94 1358.53 1358.53 1358.53 75.94 1358.53 148.40 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500055 636 NUSHIELD 2X3CM PER SQ CM Q4160 143.10 143.10 3056.69 0.00 111.71 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 160.70 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 93.02 93.02 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 96.26 93.02 1358.53 97.99 75.94 75.94 1358.53 1358.53 1358.53 75.94 1358.53 100.17 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500056 636 NUSHIELD 2X4CM PER SQ CM Q4160 127.20 127.20 3056.69 0.00 111.71 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 160.70 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 82.68 82.68 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 96.26 82.68 1358.53 97.99 75.94 75.94 1358.53 1358.53 1358.53 75.94 1358.53 89.04 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500057 636 NUSHIELD 3X4CM PER SQ CM Q4160 127.20 127.20 3056.69 0.00 111.71 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 160.70 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 82.68 82.68 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 96.26 82.68 1358.53 97.99 75.94 75.94 1358.53 1358.53 1358.53 75.94 1358.53 89.04 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002222 636 DEVCE MATRX WND 10X15CM PRSQCM Q4166 138.17 138.17 3056.69 0.00 21.15 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 30.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 89.81 89.81 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 19.27 89.81 1358.53 18.55 14.38 14.38 1358.53 1358.53 1358.53 14.38 1358.53 96.72 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002228 636 MATRIX WND 2-LYR 7X10CM PRSQCM Q4166 71.17 71.17 3056.69 0.00 21.15 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 30.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 46.26 46.26 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 19.27 46.26 1358.53 18.55 14.38 14.38 1358.53 1358.53 1358.53 14.38 1358.53 49.82 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002278 636 MATRIX WND 2LYR 10X15CM PRSQCM Q4166 52.15 52.15 3056.69 0.00 21.15 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 30.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 33.90 33.90 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 19.27 33.90 1358.53 18.55 14.38 14.38 1358.53 1358.53 1358.53 14.38 1358.53 36.51 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350002320 636 DEVICE MATRX WND 7X10CM PRSQCM Q4166 150.50 150.50 3056.69 0.00 21.15 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 30.43 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 97.83 97.83 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 19.27 97.83 1358.53 18.55 14.38 14.38 1358.53 1358.53 1358.53 14.38 1358.53 105.35 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001226 636 MESH EPIFIX 4X4.5CM PER SQ CM Q4186 487.60 487.60 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 316.94 316.94 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 316.94 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 341.32 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001294 636 MESH EPIFIX 3.5X3.5CM PER SQCM Q4186 434.60 434.60 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 282.49 282.49 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 282.49 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 304.22 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 350001681 636 MEMBRANE EPIFIX 18MM DSK PR MM Q4186 165.36 165.36 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 107.48 107.48 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 107.48 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 115.75 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500013 636 MEMBRANE EPIFIX 18MMDISK PSQCM Q4186 1605.90 1605.90 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 1043.84 1043.84 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 1043.84 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 1124.13 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500015 636 MEMBRANE EPIFIX 2X2CM PSQCM Q4186 1150.10 1150.10 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 747.57 747.57 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 747.57 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 805.07 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500017 636 MEMBRANE EPIFIX 2X3CM PSQCM Q4186 916.90 916.90 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 595.99 595.99 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 595.99 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 641.83 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500019 636 MEMBRANE EPIFIX 2X4CM PSQCM Q4186 747.30 747.30 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 485.75 485.75 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 485.75 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 523.11 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500021 636 MESH EPIFIX 3.5X3.5CM PSQCM Q4186 461.10 461.10 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 299.72 299.72 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 299.72 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 322.77 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500023 636 MESH EPIFIX 4X4.5CM PSQCM Q4186 328.60 328.60 3056.69 0.00 172.82 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 248.62 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 213.59 213.59 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 149.73 213.59 1358.53 151.60 117.49 117.49 1358.53 1358.53 1358.53 117.49 1358.53 230.02 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500027 636 PURAPLY 2X4CM PER SQ CM Q4195 450.50 450.50 3056.69 0.00 269.85 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 225.25 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 292.83 292.83 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 71.23 292.83 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 315.35 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500029 636 PURAPLY 5X5CM PER SQ CM Q4195 450.50 450.50 3056.69 0.00 269.85 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 225.25 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 292.83 292.83 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 71.23 292.83 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 315.35 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500031 636 PURAPLY 6X9CM PER SQ CM Q4195 450.50 450.50 3056.69 0.00 269.85 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 225.25 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 292.83 292.83 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 71.23 292.83 1358.53 0.00 0.00 0.00 1358.53 1358.53 1358.53 0.00 1358.53 315.35 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500033 636 PURAPLY AM 2X2CM PER SQ CM Q4196 487.60 487.60 3056.69 0.00 118.30 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 170.18 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 316.94 316.94 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 103.47 316.94 1358.53 103.77 80.42 80.42 1358.53 1358.53 1358.53 80.42 1358.53 341.32 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500035 636 PURAPLY AM 2X4CM PER SQ CM Q4196 487.60 487.60 3056.69 0.00 118.30 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 170.18 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 316.94 316.94 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 103.47 316.94 1358.53 103.77 80.42 80.42 1358.53 1358.53 1358.53 80.42 1358.53 341.32 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500037 636 PURAPLY AM 5X5CM PER SQ CM Q4196 487.60 487.60 3056.69 0.00 118.30 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 170.18 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 316.94 316.94 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 103.47 316.94 1358.53 103.77 80.42 80.42 1358.53 1358.53 1358.53 80.42 1358.53 341.32 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 361500039 636 PURAPLY AM 6X9CM PER SQ CM Q4196 487.60 487.60 3056.69 0.00 118.30 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 170.18 0.00 "1,358.53" 0.00 3056.69 1358.53 3056.69 0.00 316.94 316.94 3056.69 1358.53 3056.69 1358.53 0.00 0.00 2841.67 1262.96 1262.96 1262.96 0.00 3056.69 1358.53 3056.69 1358.53 0.00 0.00 0.00 103.47 316.94 1358.53 103.77 80.42 80.42 1358.53 1358.53 1358.53 80.42 1358.53 341.32 0.00 3056.69 1358.53 0.00 1358.53 0.00 0.00 0.00 0.00 1358.53 3056.69 1358.53 3056.69 1358.53 0.00 351500411 636 RENFLEXIS Q5104 Q5104 0.00 0.00 51.66 0.00 35.91 31.50 cost cost cost cost 31.50 31.50 51.66 31.50 cost 31.50 cost cost cost 31.50 0.65 of eligible billed charges 0.65 of eligible billed charges cost cost cost cost 31.50 31.50 cost cost cost cost 29.92 cost cost cost cost 31.50 31.50 31.50 32.56 0.65 of charges cost 31.50 24.41 24.41 cost cost cost 24.41 cost 0.00 31.50 cost cost 31.50 cost 31.50 31.50 31.50 31.50 cost cost cost cost cost 28.35 351500327 636 RETACRIT NON-ESRD 2000UN Q5106 0.00 0.00 753.79 0.00 8.92 7.82 753.79 335.02 753.79 335.02 7.82 7.82 12.83 7.82 335.02 7.82 753.79 335.02 753.79 7.82 0.65 of eligible billed charges 0.65 of eligible billed charges 753.79 335.02 753.79 335.02 7.82 7.82 700.75 311.44 311.44 311.44 7.43 753.79 335.02 753.79 335.02 7.82 7.82 7.82 7.25 0.65 of charges 335.02 7.82 6.06 6.06 335.02 335.02 335.02 6.06 335.02 0.00 7.82 753.79 335.02 7.82 335.02 7.82 7.82 7.82 7.82 335.02 753.79 335.02 753.79 335.02 7.04 351500328 636 RETACRIT NON-ESRD 3000UN Q5106 0.00 0.00 753.79 0.00 8.92 7.82 753.79 335.02 753.79 335.02 7.82 7.82 12.83 7.82 335.02 7.82 753.79 335.02 753.79 7.82 0.65 of eligible billed charges 0.65 of eligible billed charges 753.79 335.02 753.79 335.02 7.82 7.82 700.75 311.44 311.44 311.44 7.43 753.79 335.02 753.79 335.02 7.82 7.82 7.82 7.25 0.65 of charges 335.02 7.82 6.06 6.06 335.02 335.02 335.02 6.06 335.02 0.00 7.82 753.79 335.02 7.82 335.02 7.82 7.82 7.82 7.82 335.02 753.79 335.02 753.79 335.02 7.04 351500329 636 RETACRIT NON-ESRD 4000UN Q5106 0.00 0.00 753.79 0.00 8.92 7.82 753.79 335.02 753.79 335.02 7.82 7.82 12.83 7.82 335.02 7.82 753.79 335.02 753.79 7.82 0.65 of eligible billed charges 0.65 of eligible billed charges 753.79 335.02 753.79 335.02 7.82 7.82 700.75 311.44 311.44 311.44 7.43 753.79 335.02 753.79 335.02 7.82 7.82 7.82 7.25 0.65 of charges 335.02 7.82 6.06 6.06 335.02 335.02 335.02 6.06 335.02 0.00 7.82 753.79 335.02 7.82 335.02 7.82 7.82 7.82 7.82 335.02 753.79 335.02 753.79 335.02 7.04 351500330 636 RETACRIT NON-ESRD 10000UN Q5106 0.00 0.00 753.79 0.00 8.92 7.82 753.79 335.02 753.79 335.02 7.82 7.82 12.83 7.82 335.02 7.82 753.79 335.02 753.79 7.82 0.65 of eligible billed charges 0.65 of eligible billed charges 753.79 335.02 753.79 335.02 7.82 7.82 700.75 311.44 311.44 311.44 7.43 753.79 335.02 753.79 335.02 7.82 7.82 7.82 7.25 0.65 of charges 335.02 7.82 6.06 6.06 335.02 335.02 335.02 6.06 335.02 0.00 7.82 753.79 335.02 7.82 335.02 7.82 7.82 7.82 7.82 335.02 753.79 335.02 753.79 335.02 7.04 351500331 636 RETACRIT NON-ESRD 40000UN Q5106 0.00 0.00 753.79 0.00 8.92 7.82 753.79 335.02 753.79 335.02 7.82 7.82 12.83 7.82 335.02 7.82 753.79 335.02 753.79 7.82 0.65 of eligible billed charges 0.65 of eligible billed charges 753.79 335.02 753.79 335.02 7.82 7.82 700.75 311.44 311.44 311.44 7.43 753.79 335.02 753.79 335.02 7.82 7.82 7.82 7.25 0.65 of charges 335.02 7.82 6.06 6.06 335.02 335.02 335.02 6.06 335.02 0.00 7.82 753.79 335.02 7.82 335.02 7.82 7.82 7.82 7.82 335.02 753.79 335.02 753.79 335.02 7.04 351500041 255 INJ PERFLUTREN LIP MICROS 1ML Q9957 0.00 0.00 42.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500044 636 MD-GASTROVIEW Q9963 0.00 0.00 0.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.22 0.65 of charges 0.00 0.21 0.16 0.16 0.00 0.00 0.00 0.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500482 636 DIATRIZOATE MGLMN SDM 30ML SOL Q9963 0.00 0.00 0.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.22 0.65 of charges 0.00 0.21 0.16 0.16 0.00 0.00 0.00 0.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 254000001 636 OPTIRAY 240 (50ML BTL) PER ML Q9966 0.42 0.42 0.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.27 0.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.41 0.27 0.00 0.37 0.29 0.29 0.00 0.00 0.00 0.29 0.00 0.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 254000003 636 OPTIRAY 240 (200ML BTL) PER ML Q9966 0.38 0.38 0.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.25 0.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.41 0.25 0.00 0.37 0.29 0.29 0.00 0.00 0.00 0.29 0.00 0.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255000001 636 ISOVUE 200-M 20ML Q9966 106.00 106.00 74.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.90 68.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.41 68.90 0.00 0.37 0.29 0.29 0.00 0.00 0.00 0.29 0.00 74.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 254000002 636 OPTIRAY 320 (50ML BTL) PER ML Q9967 0.53 0.53 0.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.34 0.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.34 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 0.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 254000013 636 OPTIRAY 320 (200ML BTL) PER ML Q9967 0.46 0.46 0.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.30 0.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.30 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 0.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255000002 636 OPTIRAY 320 150ML BOTTLE Q9967 252.28 252.28 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.98 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 163.98 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002064 636 OPTIRAY 300 100ML VIAL PER ML Q9967 29.83 29.83 20.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.39 19.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 19.39 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 20.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002463 636 VISIPAQUE 320 100ML BTL PER ML Q9967 2.15 2.15 1.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.40 1.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 1.40 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 1.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 352505081 636 OMNIPAQUE 350MG/ML Q9967 385.15 385.15 269.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250.35 250.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 250.35 0.00 0.12 0.09 0.09 0.00 0.00 0.00 0.09 0.00 269.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500293 636 METHYLENE BLUE 50MG/10ML AMPUL Q9968 Q9968 0.00 0.00 13.04 0.00 0.00 7.95 0.00 0.00 0.00 0.00 7.95 7.95 13.04 7.95 0.00 7.95 0.00 0.00 0.00 7.95 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 7.95 7.95 0.00 0.00 0.00 0.00 7.55 0.00 0.00 0.00 0.00 7.95 7.95 7.95 4.54 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.95 0.00 0.00 7.95 0.00 7.95 7.95 7.95 7.95 0.00 0.00 0.00 0.00 0.00 7.16 350000679 278 IMPLANT GATEWAY SUBTALAR S2117 10235.00 10235.00 7164.50 0.00 5117.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5117.50 7164.50 0.00 0.00 0.00 0.00 0.00 7164.50 6652.75 6652.75 0.00 0.00 0.00 0.00 0.00 0.00 3914.73 1739.88 1739.88 1739.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7164.50 6652.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7164.50 0.00 0.00 0.00 6141.00 0.00 0.00 6141.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362020000 942 LACTATION-PT EDUCA NOC INDIV S9445 224.72 224.72 191.01 0.00 134.61 0.00 124.95 55.53 124.95 55.53 0.00 0.00 157.30 157.30 55.53 0.00 124.95 55.53 124.95 157.30 67.42 67.42 124.95 55.53 124.95 55.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.95 55.53 124.95 55.53 0.00 0.00 0.00 157.30 191.01 55.53 124.95 55.53 0.00 55.53 55.53 55.53 0.00 55.53 157.30 0.00 124.95 55.53 81.00 per visit 55.53 0.00 81.00 per visit 0.00 0.00 55.53 124.95 55.53 124.95 55.53 0.00 362020001 942 LACTATION-PT EDUCA NOC GROUP S9446 75.26 75.26 124.95 0.00 45.08 0.00 124.95 55.53 124.95 55.53 0.00 0.00 52.68 52.68 55.53 0.00 124.95 55.53 124.95 52.68 22.58 22.58 124.95 55.53 124.95 55.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.95 55.53 124.95 55.53 0.00 0.00 0.00 52.68 63.97 55.53 124.95 55.53 0.00 55.53 55.53 55.53 0.00 55.53 52.68 0.00 124.95 55.53 81.00 per visit 55.53 0.00 81.00 per visit 0.00 0.00 55.53 124.95 55.53 124.95 55.53 0.00 362020026 942 WT MGMT CLSS NON-PHYS EA SESSN S9449 106.00 106.00 90.10 0.00 63.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 74.20 0.00 0.00 0.00 0.00 0.00 74.20 31.80 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 81.00 per visit 0.00 0.00 81.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362020024 942 NUTRIT CLASS NON-PHYS EA SESSN S9452 106.00 106.00 90.10 0.00 63.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 74.20 0.00 0.00 0.00 0.00 0.00 74.20 31.80 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 81.00 per visit 0.00 0.00 81.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362020025 942 NUTRITION COUNSELING DIETITIAN S9470 106.00 106.00 90.10 0.00 63.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 74.20 0.00 0.00 0.00 0.00 0.00 74.20 31.80 31.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 81.00 per visit 0.00 0.00 81.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 363000006 914 CRISIS INTERVENTION 1 HR S9484 1293.20 1293.20 1133.04 0.00 774.63 0.00 1133.04 503.57 1133.04 503.57 0.00 0.00 905.24 905.24 503.57 0.00 1133.04 503.57 1133.04 905.24 387.96 387.96 1133.04 503.57 1133.04 503.57 0.00 0.00 983.81 437.25 437.25 437.25 0.00 1133.04 503.57 1133.04 503.57 0.00 0.00 0.00 905.24 1099.22 503.57 1133.04 503.57 0.00 503.57 503.57 503.57 0.00 503.57 905.24 0.00 1133.04 503.57 0.00 503.57 0.00 0.00 0.00 0.00 503.57 1133.04 503.57 1133.04 503.57 0.00 914000031 914 CRISIS INTERVENTION 1 HOUR S9484 1293.20 1293.20 1133.04 0.00 774.63 0.00 1133.04 503.57 1133.04 503.57 0.00 0.00 905.24 905.24 503.57 0.00 1133.04 503.57 1133.04 905.24 387.96 387.96 1133.04 503.57 1133.04 503.57 0.00 0.00 983.81 437.25 437.25 437.25 0.00 1133.04 503.57 1133.04 503.57 0.00 0.00 0.00 905.24 1099.22 503.57 1133.04 503.57 0.00 503.57 503.57 503.57 0.00 503.57 905.24 0.00 1133.04 503.57 0.00 503.57 0.00 0.00 0.00 0.00 503.57 1133.04 503.57 1133.04 503.57 0.00 363000005 919 CRISIS INTERVEN 1 HR LANGUAGE S9484U4 1425.70 1425.70 1211.85 0.00 853.99 0.00 1133.04 503.57 1133.04 503.57 0.00 0.00 997.99 997.99 503.57 0.00 1133.04 503.57 1133.04 997.99 427.71 427.71 1133.04 503.57 1133.04 503.57 0.00 0.00 983.81 437.25 437.25 437.25 0.00 1133.04 503.57 1133.04 503.57 0.00 0.00 0.00 997.99 1211.85 503.57 1133.04 503.57 0.00 503.57 503.57 503.57 0.00 503.57 997.99 0.00 1133.04 503.57 0.00 503.57 0.00 0.00 0.00 0.00 503.57 1133.04 503.57 1133.04 503.57 0.00 919000011 919 CRISIS INTERVEN 1 HR LANGUAGE S9484U4 1425.70 1425.70 1211.85 0.00 853.99 0.00 1133.04 503.57 1133.04 503.57 0.00 0.00 997.99 997.99 503.57 0.00 1133.04 503.57 1133.04 997.99 427.71 427.71 1133.04 503.57 1133.04 503.57 0.00 0.00 983.81 437.25 437.25 437.25 0.00 1133.04 503.57 1133.04 503.57 0.00 0.00 0.00 997.99 1211.85 503.57 1133.04 503.57 0.00 503.57 503.57 503.57 0.00 503.57 997.99 0.00 1133.04 503.57 0.00 503.57 0.00 0.00 0.00 0.00 503.57 1133.04 503.57 1133.04 503.57 0.00 363000007 919 CRISIS INTER PER DIEM LANGUAGE S9485U4 3418.50 3418.50 2905.73 0.00 2047.68 0.00 2719.33 1208.59 2719.33 1208.59 0.00 0.00 2392.95 2392.95 "1,208.59" 0.00 2719.33 1208.59 2719.33 2392.95 1025.55 1025.55 2719.33 1208.59 2719.33 1208.59 0.00 0.00 2361.16 1049.41 1049.41 1049.41 0.00 2719.33 1208.59 2719.33 1208.59 0.00 0.00 0.00 2392.95 2905.73 1208.59 2719.33 1208.59 0.00 1208.59 1208.59 1208.59 0.00 1208.59 2392.95 0.00 2719.33 1208.59 0.00 1208.59 0.00 0.00 0.00 0.00 1208.59 2719.33 1208.59 2719.33 1208.59 0.00 919000012 919 CRISIS INTER PER DIEM LANGUAGE S9485U4 3418.50 3418.50 2905.73 0.00 2047.68 0.00 2719.33 1208.59 2719.33 1208.59 0.00 0.00 2392.95 2392.95 "1,208.59" 0.00 2719.33 1208.59 2719.33 2392.95 1025.55 1025.55 2719.33 1208.59 2719.33 1208.59 0.00 0.00 2361.16 1049.41 1049.41 1049.41 0.00 2719.33 1208.59 2719.33 1208.59 0.00 0.00 0.00 2392.95 2905.73 1208.59 2719.33 1208.59 0.00 1208.59 1208.59 1208.59 0.00 1208.59 2392.95 0.00 2719.33 1208.59 0.00 1208.59 0.00 0.00 0.00 0.00 1208.59 2719.33 1208.59 2719.33 1208.59 0.00 362002069 900 "CASE MANAGEMENT, PER MNTH YR1" T2022 302.10 302.10 256.79 0.00 180.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 211.47 0.00 0.00 0.00 0.00 0.00 211.47 90.63 90.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 256.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002073 900 "CASE MANAGEMENT, PER MNTH YR2" T2022 302.10 302.10 256.79 0.00 180.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 211.47 0.00 0.00 0.00 0.00 0.00 211.47 90.63 90.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 256.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002165 900 "CASE MNGMNT, PER MNTH YR1 TM" T2022GT 302.10 302.10 256.79 0.00 180.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 211.47 0.00 0.00 0.00 0.00 0.00 211.47 90.63 90.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 256.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353005410 306 2019-NCOV DIAGNOSTC P/CDC LAB U0001 114.19 114.19 79.93 11.09 40.95 35.92 26.85 11.93 26.85 11.93 35.92 35.92 79.93 35.92 11.93 35.92 26.85 11.93 26.85 35.92 35.92 35.92 26.85 11.93 26.85 11.93 35.92 35.92 24.96 11.09 11.09 11.09 34.12 26.85 11.93 26.85 11.93 35.92 35.92 35.92 35.91 39.51 11.93 26.85 11.93 35.92 11.93 11.93 11.93 35.92 11.93 79.93 35.92 26.85 11.93 11.93 11.93 35.92 26.85 35.92 35.92 11.93 26.85 11.93 26.85 11.93 32.33 350001852 274 SPHERE EYE 20.0MM V2629 288.32 288.32 201.82 0.00 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 187.41 187.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 187.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 172.99 0.00 0.00 172.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001853 274 SPHERE EYE 18.0MM V2629 158.75 158.75 111.13 0.00 79.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.19 103.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.13 103.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.13 0.00 0.00 0.00 95.25 0.00 0.00 95.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000054 276 ALCON LENS MTA3UO 16.0 V2630 520.00 520.00 364.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 0.00 0.00 0.00 312.00 0.00 0.00 312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000055 276 ALCON LENS MTA3UO 17.0 V2630 520.00 520.00 364.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 0.00 0.00 0.00 312.00 0.00 0.00 312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000056 276 ALCON LENS MTA3UO 19.5 V2630 520.00 520.00 364.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 0.00 0.00 0.00 312.00 0.00 0.00 312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000058 276 LENS ALCON MTA2UO DIOPTER 16 V2630 520.00 520.00 364.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 0.00 0.00 0.00 312.00 0.00 0.00 312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000060 276 "ALCON, LENS MTA3UO 16.5" V2630 520.00 520.00 364.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 0.00 0.00 0.00 312.00 0.00 0.00 312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000063 276 "LENS, ALCON MTA4UO, DIOPTER 18" V2630 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000067 276 "LENS, ALCON MTA3UO, DIOPTER 17" V2630 240.00 240.00 168.00 0.00 120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.00 0.00 0.00 0.00 144.00 0.00 0.00 144.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000075 276 "LENS, ALCON MTA3OU.OD" V2630 365.00 365.00 255.50 0.00 182.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.50 237.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.50 0.00 0.00 0.00 219.00 0.00 0.00 219.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000078 276 INTRAOCCULAR LENS MTA4UO 26 DI V2630 365.00 365.00 255.50 0.00 182.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.50 237.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.50 0.00 0.00 0.00 219.00 0.00 0.00 219.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000002 276 ALCON LENS MC20CM 21.0 V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000003 276 ALCON LENS MC50BD 18.0 V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000004 276 ALCON LENS MC50BD 19.0 V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000005 276 ALCON LENS MC50BD 20.0 V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000006 276 ALCON LENS MC50BD 21.5 V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000007 276 ALCON LENS MC50BD 23.0 V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000008 276 ALCON LENS MC50BD 24.5 V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000009 276 ALCON LENS SA60AT 20.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000010 276 ALCON LENS SA60AT 22.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000011 276 ALCON LENS SA60AT 25.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000012 276 ALCON LENS SA60AT 11.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000013 276 ALCON LENS SA60AT 11.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000014 276 ALCON LENS SA60AT 12.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000015 276 ALCON LENS SA60AT 13.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000016 276 ALCON LENS SA60AT 13.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000017 276 ALCON LENS SA60AT 14.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000018 276 ALCON LENS SA60AT 14.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000019 276 ALCON LENS SA60AT 15.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000020 276 ALCON LENS SA60AT 15.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000021 276 ALCON LENS SA60AT 16.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000022 276 ALCON LENS SA60AT 16.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000023 276 ALCON LENS SA60AT 17.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000024 276 ALCON LENS SA60AT 17.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000025 276 ALCON LENS SA60AT 18.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000026 276 ALCON LENS SA60AT 18.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000027 276 ALCON LENS SA60AT 19.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000028 276 ALCON LENS SA60AT 19.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000029 276 ALCON LENS SA60AT 20.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000030 276 ALCON LENS SA60AT 21.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000031 276 ALCON LENS SA60AT 21.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000032 276 ALCON LENS SA60AT 22.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000033 276 ALCON LENS SA60AT 23.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000034 276 ALCON LENS SA60AT 23.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000035 276 ALCON LENS SA60AT 24.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000036 276 ALCON LENS SA60AT 24.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000037 276 ALCON LENS SA60AT 25.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000038 276 ALCON LENS SA60AT 26.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000039 276 ALCON LENS SA60AT 26.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000040 276 ALCON LENS SA60AT 27.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000041 276 ALCON LENS MA60AC 20.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000042 276 ALCON LENS MA60AC 22.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000043 276 ALCON LENS MA60AC 14.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000044 276 ALCON LENS MA60AC 16.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000045 276 ALCON LENS MA60AC 17.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000046 276 ALCON LENS MA60AC 18.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000047 276 ALCON LENS MA60AC 19.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000048 276 ALCON LENS MA60AC 20.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000049 276 ALCON LENS MA60AC 21.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000050 276 ALCON LENS MA60AC 21.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000051 276 ALCON LENS MA60AC 22.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000052 276 ALCON LENS MA60AC 23.0 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000053 276 ALCON LENS MA60AC 24.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000057 276 LENS ALCON SA60AT DIOPTER 32 V2632 520.00 520.00 364.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 0.00 0.00 0.00 312.00 0.00 0.00 312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000059 276 LENS ALCON MC50BD DIOPTER 27 V2632 520.00 520.00 364.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 0.00 0.00 0.00 312.00 0.00 0.00 312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000061 276 "LENS,ALCON MA60AC, DIOPTER 1" V2632 435.00 435.00 304.50 0.00 217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.50 282.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.50 0.00 0.00 0.00 261.00 0.00 0.00 261.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000062 276 "LENS, ALCON MA60AC, DIOPTER 17" V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000064 276 LENS ALCON MA60AC DIOPTER 18.5 V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000065 276 LENS ALCON SN60WF DIOPTER 20.5 V2632 370.00 370.00 259.00 0.00 185.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.00 240.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.00 0.00 0.00 0.00 222.00 0.00 0.00 222.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000066 276 LENS ALCON SN60WF DIOPTER 20.0 V2632 370.00 370.00 259.00 0.00 185.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.00 240.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.00 0.00 0.00 0.00 222.00 0.00 0.00 222.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000068 276 LENS ALCON DIOPTER 22 MC50BD V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000069 276 IMP LENS ALCON DIOPTR 26 MC50B V2632 360.00 360.00 252.00 0.00 180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 0.00 0.00 0.00 216.00 0.00 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000070 276 LENS ALCON DIOPTER 20.5 MC50BD V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000071 276 LENS ALCON DIOPTER 19.0 MA60AC V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000072 276 IMP LENS ALCON DIOPTR 15 MA60A V2632 575.00 575.00 402.50 0.00 287.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 373.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.50 0.00 0.00 0.00 345.00 0.00 0.00 345.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000073 276 IMP LENS ALCON MC50BD 25.0 V2632 385.00 385.00 269.50 0.00 192.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 250.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.50 0.00 0.00 0.00 231.00 0.00 0.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000074 276 "LENS, ALCON SN60WF 10.0D" V2632 360.00 360.00 252.00 0.00 180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 0.00 0.00 0.00 216.00 0.00 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000076 276 "LENS, ALCON MA60AC 9.0OD" V2632 360.00 360.00 252.00 0.00 180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 0.00 0.00 0.00 216.00 0.00 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000077 276 INTRAOCCULAR LENS SA6OAT 29.5 V2632 360.00 360.00 252.00 0.00 180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 0.00 0.00 0.00 216.00 0.00 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000079 276 INTRAOCCULAR LENS SN60WF 22.OD V2632 360.00 360.00 252.00 0.00 180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.00 0.00 0.00 0.00 216.00 0.00 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000081 276 LENS IOL MC500BD 18.5D V2632 355.00 355.00 248.50 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 0.00 0.00 0.00 213.00 0.00 0.00 213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000082 276 LENS IOL SN60WF 22.5D V2632 600.00 600.00 420.00 0.00 300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 420.00 390.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 420.00 0.00 0.00 0.00 360.00 0.00 0.00 360.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000083 276 LENS IOL MC508D 23.5D V2632 470.00 470.00 329.00 0.00 235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 329.00 305.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 329.00 0.00 0.00 0.00 282.00 0.00 0.00 282.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000100 276 LENS IOL SN60WF 23.5D V2632 600.00 600.00 420.00 0.00 300.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 420.00 390.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 420.00 0.00 0.00 0.00 360.00 0.00 0.00 360.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000101 276 LENS INTRAOCULAR SN60WF 17.5D V2632 800.00 800.00 560.00 0.00 400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.00 520.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.00 0.00 0.00 0.00 480.00 0.00 0.00 480.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000102 276 LENS INTRAOCULAR SN60WF 21.0D V2632 800.00 800.00 560.00 0.00 400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.00 520.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.00 0.00 0.00 0.00 480.00 0.00 0.00 480.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000103 276 LENS INTRAOCULAR SN60WF 21.5D V2632 800.00 800.00 560.00 0.00 400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.00 520.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.00 0.00 0.00 0.00 480.00 0.00 0.00 480.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276000107 276 LEN INTRAOCULAR SN60WF 24.0D V2632 800.00 800.00 560.00 0.00 400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.00 520.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.00 0.00 0.00 0.00 480.00 0.00 0.00 480.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000255 278 AMNIOTIC MEMBRANE 2X3CM V2790 480.00 480.00 3056.68 0.00 240.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 240.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 312.00 312.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 336.00 312.00 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 336.00 0.00 3056.68 1358.52 288.00 1358.52 0.00 288.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350000212 278 AMNIOTIC MEMBRANE 1.5X2CM V2790 2240.00 2240.00 3056.68 0.00 1120.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 1120.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 1456.00 1456.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 1568.00 1456.00 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1568.00 0.00 3056.68 1358.52 1344.00 1358.52 0.00 1344.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350001670 278 MEMBRANE ACE AMNIOTIC 15MM V2790 1530.00 1530.00 3056.68 0.00 765.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 765.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 994.50 994.50 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 1071.00 994.50 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1071.00 0.00 3056.68 1358.52 918.00 1358.52 0.00 918.00 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350002138 278 ALGRFT OCULAR BNDG CORNEAL V2790 3796.00 3796.00 3056.68 0.00 1898.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 1898.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 2467.40 2467.40 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 2657.20 2467.40 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 2657.20 0.00 3056.68 1358.52 2277.60 1358.52 0.00 2277.60 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 350002387 278 GRAFT MEMBRANE AMNIOTIC 12MM V2790 2496.00 2496.00 3056.68 0.00 1248.00 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 1248.00 0.00 "1,358.52" 0.00 3056.68 1358.52 3056.68 0.00 1622.40 1622.40 3056.68 1358.52 3056.68 1358.52 0.00 0.00 2841.65 1262.96 1262.96 1262.96 0.00 3056.68 1358.52 3056.68 1358.52 0.00 0.00 0.00 1747.20 1622.40 1358.52 3056.68 1358.52 0.00 1358.52 1358.52 1358.52 0.00 1358.52 1747.20 0.00 3056.68 1358.52 1497.60 1358.52 0.00 1497.60 0.00 0.00 1358.52 3056.68 1358.52 3056.68 1358.52 0.00 111000001 111 R B MED/SUR/GYN PVT 6000.00 6000.00 4200.00 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 111000002 111 R B PULMONARY PVT 6000.00 6000.00 4200.00 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 111000003 111 R B SURGICAL PVT 6000.00 6000.00 4200.00 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 111000004 111 R B TELEMETRY PVT 6000.00 6000.00 4200.00 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 111000005 111 R B MED/SUR/GYN VIP 6030.00 6030.00 4221.00 4221.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4221.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4221.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 111000006 111 R B MED/SUR/GYN VIP SUITE 6030.00 6030.00 4221.00 4221.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4221.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4221.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 112000001 112 R B MATERNITY PVT 6500.00 6500.00 4550.00 4550.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4550.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4550.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 112000002 112 R B MATERNITY DELIVERY PVT 6500.00 6500.00 4550.00 4550.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4550.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4550.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 113000001 113 R B PEDS PVT 5100.00 5100.00 3570.00 3570.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 3570.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 3570.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 114000001 114 R B PSYCH PVT 4200.00 4200.00 2940.00 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 114000002 114 R B PSYCH 939 PVT 4200.00 4200.00 2940.00 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 116000001 116 R B DETOX PVT 4200.00 4200.00 2940.00 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2940.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 120000001 120 R B PULMONARY STEPDOWN UNIT SP 6800.00 6800.00 4760.00 4760.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4760.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4760.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 120000002 120 R B SURGICAL STEPDOWN UNIT SP 6800.00 6800.00 4760.00 4760.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4760.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4760.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 121000001 121 R B MED/SUR/GYN SP 5500.00 5500.00 3850.00 3850.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 3850.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 3850.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 121000002 121 R B PULMONARY SP 5500.00 5500.00 3850.00 3850.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 3850.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 3850.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 121000003 121 R B SURGICAL SP 5500.00 5500.00 3850.00 3850.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT 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BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 4200.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 123000001 123 R B PEDS SP 4800.00 4800.00 3360.00 3360.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT 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BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2590.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2590.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 124000002 124 R B PSYCH 939 SP 3700.00 3700.00 2590.00 2590.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2590.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2590.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 126000001 126 R B DETOX SP 3700.00 3700.00 2590.00 2590.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2590.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 2590.00 INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED INPT PER DIEM BASED 171000002 171 R B NURSERY 3300.00 3300.00 2310.00 2310.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 2310.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 2310.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 174000001 174 R B NICU 5300.00 5300.00 3710.00 3710.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 3710.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 3710.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 200000001 200 R B ICU 7200.00 7200.00 5040.00 5040.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 5040.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 5040.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 200000002 200 R B ICU SP 7200.00 7200.00 5040.00 5040.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 5040.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 5040.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 201001024 270 CATH VERTEBRAL 4F 100CM CORDIS 142.04 142.04 120.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.43 120.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 210000001 210 R B CCU 7800.00 7800.00 5460.00 5460.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 5460.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 5460.00 INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED INPT DRG BASED 250000001 250 ACCOLATE 10MG TABLET-ZENECA IN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000002 250 ACCOLATE 20MG TABLET-ZENECA IN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000003 250 ACCUPRIL 10MG TABLET-PD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000004 250 ACCUPRIL 20MG TABLET-PD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000005 250 ACCUPRIL 5MG TABLET-PD 90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000006 250 ACEPHEN 120MG SUPPOSITORY-G & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000007 250 ACEPHEN 325MG SUPPOSITORY-G & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000008 250 ACEPHEN 650MG SUPPOSITORY-G & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000009 250 ACETAMINOPHEN/COD #2 TABLET-TE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000010 250 ACETAMINOPHEN/COD #3 TABLET-UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000011 250 ACETAMINOPHEN/COD ELIXIR-BARRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000012 250 ACETAZOLAMIDE 250MG TABLET-SCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000013 250 ACTICIN 5% CREAM-BERTEK PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000014 250 ACTIDOSE-AQUA 25GM LIQUID-PADD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000015 250 ACTIDOSE-AQUA 50GM LIQUID-PADD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000016 250 ACTIFED TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000017 250 ACTOS 15MG TABLET-TAKEDA PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000018 250 ACTOS 30MG TABLET-TAKEDA PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000019 250 ACULAR 0.5% EYE DROPS-ALLERGAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000020 250 ACYCLOVIR 200MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000021 250 ACYCLOVIR 200MG/5ML SUSP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000022 250 ACYCLOVIR 800MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000023 250 ADRENALIN 1 1000 NASAL SOLN-MO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000024 250 AK-POLY-BAC EYE OINTMENT-AKORN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000025 250 ALBUTEROL 90MCG INHALER-DEY LA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000026 250 ALBUTEROL SULF 2MG/5ML SYRP-TE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000027 250 ALBUTEROL SULFATE 2MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000028 250 ALCAINE 0.5% EYE DROPS-ALCON ( 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000029 250 ALLOPURINOL 100MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000030 250 ALLOPURINOL 300MG TABLET-PAR P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000031 250 ALPHAGAN 0.2% EYE DROPS-ALLERG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000032 250 ALPRAZOLAM 0.25MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000033 250 ALPRAZOLAM 0.5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000034 250 ALTACE 2.5MG CAPSULE-MONARCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000035 250 ALUMINUM HYDROXIDE GEL-RUGBY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000036 250 AMANTADINE 100MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000037 250 AMANTADINE 50MG/5ML SYRUP-PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000038 250 AMARYL 1MG TABLET-AVENTIS PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000039 250 AMARYL 2MG TABLET-AVENTIS PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000040 250 AMARYL 4MG TABLET-AVENTIS PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000041 250 AMBIEN 5MG TABLET-G.D. SEARLE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000042 250 AMICAR 500MG TABLET-IMMUNEX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000043 250 AMIODARONE HCL 200MG TABLET-TE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000044 250 AMITRIPTYLINE HCL 100MG TAB-UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000045 250 AMITRIPTYLINE HCL 10MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000046 250 AMITRIPTYLINE HCL 25MG TAB-GEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000047 250 AMITRIPTYLINE HCL 50MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000048 250 AMMONIA AROMATIC AMPUL-PHARMA- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000049 250 AMOXICILLIN 250MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000050 250 AMOXICILLIN 250MG/5ML SUSP-TEV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000051 250 AMOXICILLIN 500MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000052 250 AMOXIL 125MG/5ML SUSPENSION-GL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000053 250 AMOXIL 200MG/5ML SUSPENSION-GL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000054 250 AMOXIL 250MG/5ML SUSPENSION-GL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000055 250 AMOXIL 400MG/5ML SUSPENSION-GL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000056 250 ANALGESIC BALM OINTMENT-FOUG 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000057 250 ANCOBON 500MG CAPSULE-ICN-ETHI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000058 250 ANDRODERM 5MG/24HR PATCH-WATSO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000059 250 ANTISEPTIC MOUTH CLEANSER-MAJO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000060 250 ANTISPASMODIC ELIXIR-MORTON GR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000061 250 ANUMED SUPPOSITORY-MAJOR 12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000062 250 ANUSOL SUPPOSITORY-W&W 12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000063 250 APAP 160MG/5ML ELIXIR-BARRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000064 250 AQUASOL E 50IU/ML DROPS-ASTRA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000065 250 ARALEN PHOSPHATE 500MG TAB-SAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000066 250 ARICEPT 10MG TABLET-PFIZER US 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000067 250 ARICEPT 5MG TABLET-PFIZER US P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000068 250 ARIMIDEX 1MG TABLET-ZENECA INC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000069 250 ARTIFICIAL TEARS DROPS-SCHEIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000070 250 ASACOL 400MG TABLET EC-P&G PHA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000071 250 ASPIRIN 325MG TABLET-MAJOR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000072 250 ASPIRIN 325MG TABLET EC-PADDOC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000073 250 ASPIRIN 600MG SUPPOSITORIES-CP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000074 250 ASPIRIN 81MG TABLET CHEW-GOLDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000075 250 ASPIRIN 81MG TABLET EC-GOLDLIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000076 250 ATENOLOL 25MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000077 250 ATENOLOL 50MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000078 250 ATROPINE 1% EYE DROPS-B&R 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000079 250 ATROVENT INHALER-BOEHRINGER IN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000080 250 AUGMENTIN 200-28.5 SUSPEN-GLXS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000081 250 AUGMENTIN 250-125 TABLET-GLXSK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000082 250 AUGMENTIN 400-57 SUSPEN-GLXSK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000083 250 AUGMENTIN 500-125 TABLET-GLXSK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000084 250 AUGMENTIN 875-125 TABLET-GLXSK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000085 250 AURODEX EAR DROPS-MAJOR 15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000086 250 AVANDIA 2MG TABLET-GLXSK 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000087 250 AVANDIA 4MG TABLET-GLXSK 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000088 250 AVANDIA 8MG TABLET-GLXSK 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000089 250 AVAPRO 150MG TABLET-MEADJOHNSO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000090 250 AVAPRO 75MG TABLET-MEADJOHNSON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000091 250 AVITENE FLOUR-MEDCHEM PROD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000092 250 BACITRACIN 500U/GM EYE OINT-FO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000093 250 BACITRACIN 500U/GM OINT PKT-CP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000094 250 BACITRACIN ZINC OINTMENT-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000095 250 BACLOFEN 10MG TABLET-ZENITH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000096 250 BACLOFEN 20MG TABLET-ZENITH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000097 250 BACTROBAN 2% CREAM-GLXSK 15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000098 250 BACTROBAN 2% OINTMENT-GLXSK 22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000099 250 BALANCED SALT SOLUTION-BAXTER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000100 250 BENADRYL ITCH STOPPING CRM-W&W 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000101 250 BENZOIN COMPOUND TINCTURE-DENI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000102 250 BENZOYL PEROXIDE 5% GEL-QUALIT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000103 250 BENZTROPINE MES 0.5MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000104 250 BENZTROPINE MES 1MG TABLET-SID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000105 250 BENZTROPINE MES 2MG TABLET-MED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000106 250 BETADINE 10% OINTMENT-PURDUE 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000107 250 BETADINE 10% SOLUTION-PURDUE 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000108 250 BETADINE 10% SOLUTION-PURDUE 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000109 250 BETADINE 10% SOLUTION-PURDUE 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000110 250 BETADINE 7.5% SCRUB-PURDUE 473 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000111 250 BETADINE 7.5% SKIN CLEANSER-PU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000112 250 BETADINE SURGICAL SCRUB-PURDUE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000113 250 BETADINE SWABSTICKS-PURDUE 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000114 250 BETADINE SWABSTICKS-PURDUE 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000115 250 BETAPACE AF 80MG TABLET-BERLEX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000116 250 BETHAPRIM DS TABLET-MAJOR 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000117 250 BETIMOL 0.5% EYE DROPS-SANTEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000118 250 BETOPTIC S 0.25% EYE DROPS-ALC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000119 250 BIAXIN 125MG/5ML SUSPENSION-AB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000120 250 BIAXIN 250MG TABLET-ABBOTT LAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000121 250 BIAXIN 250MG/5ML SUSPENSION-AB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000122 250 BIAXIN 500MG TABLET-ABBOTT LAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000123 250 BICITRA SOLUTION-ALZA CORP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000124 250 BISACODYL 10MG SUPPOSITORY-PAD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000125 250 BISACODYL 5MG TABLET EC-GOLDLI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000126 250 BISMATROL SUSPENSION-MAJOR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000127 250 BLEPHAMIDE 0.2% EYE OINT-ALLER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000128 250 BRETHINE 2.5MG TABLET-GEIGY PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000129 250 BRETHINE 5MG TABLET-GEIGY PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000130 250 BROMOCRIPTINE 2.5MG TABLET-GEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000131 250 BSS EYE SOLUTION-ALCON LABS. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000132 250 BUPROPION HCL 100MG TABLET-GEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000133 250 BUSPAR 10MG TABLET-MEADJOHNSON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000134 250 CALAMINE LOTION-MAJOR 120 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000135 250 CALCIONATE 1.8GM/5ML SYRUP-RUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000136 250 CALCIUM CARB 500MG/5ML SUSP-RO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000137 250 CALCIUM GLUCONATE 500MG TAB-RO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000138 250 CAPTOPRIL 12.5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000139 250 CAPTOPRIL 25MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000140 250 CAPTOPRIL 50MG TABLET-MOVA PHA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000141 250 CARAFATE 1GM/10ML SUSP-AVENTIS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000142 250 CARBAMAZEPINE 200MG TABLET-MAJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000143 250 CARBIDOPA/LEVO 10/100 TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000144 250 CARBIDOPA/LEVO 25/100 TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000145 250 CARBIDOPA/LEVO 25/250 TAB-AHP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000146 250 CARBIDOPA/LEVO 50/200 TB SA-UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000147 250 CARNITOR 100MG/ML ORAL SOLN-SI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000148 250 CASTOR OIL-HUMCO LAB. 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000149 250 CATAPRES-TTS 1 PATCH-BOEHRINGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000150 250 CATAPRES-TTS 2 PATCH-BOEHRINGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000151 250 CATAPRES-TTS 3 PATCH-BOEHRINGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000152 250 CEFTIN 250MG TABLET-GLXSK 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000153 250 CEFTIN 250MG/5ML ORAL SUSP-GLX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000154 250 CEFTIN 500MG TABLET-GLXSK 50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000155 250 CELEBREX 100MG CAPSULE-G.D. SE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000156 250 CELEBREX 200MG CAPSULE-G.D. SE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000157 250 CELEXA 20MG TABLET-FOREST 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000158 250 CELEXA 40MG TABLET-FOREST 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000159 250 CEPACOL SORE THROAT LOZENGE-AV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000160 250 CEPHALEXIN 250MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000161 250 CEPHALEXIN 250MG/5ML SUSPEN-TE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000162 250 CEPHALEXIN 500MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000163 250 CERVIDIL 10MG VAGINAL INSRT-FO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000164 250 CETACAINE SPRAY-CETYLITE INDUS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000165 250 CHLORAL HYDRATE 500MG/5ML-PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000166 250 CHLORDIAZEPOXIDE 10MG CAP-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000167 250 CHLORDIAZEPOXIDE 25MG CAP-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000168 250 CHLORDIAZEPOXIDE 5MG CAP-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000169 250 CHLORHEXIDINE 0.12% RINSE-BARR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000170 250 CHLOROTHIAZIDE 250MG TABLET-MY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000171 250 CHLORTHALIDONE 25MG TABLET-MYL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000172 250 CHOLESTYRAMINE PACKET-APOTHECO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000173 250 CIPRO 500MG TABLET-BAYER-PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000174 250 CLARITIN 10MG TABLET-SCHERING 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000175 250 CLINDAMYCIN HCL 150MG CAPS-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000176 250 CLINIPAD NAIL POLISH REMOVE-CL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000177 250 CLONAZEPAM 0.5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000178 250 CLONAZEPAM 1MG TABLET-MAJOR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000179 250 CLONIDINE HCL 0.1MG TABLET-MYL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000180 250 CLONIDINE HCL 0.2MG TABLET-LED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000181 250 CLONIDINE HCL 0.3MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000182 250 CLOTRIM ANTIFUNGAL CREAM-MAJOR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000183 250 CLOTRIMAZOLE 1% CREAM-BARRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000184 250 CLOTRIMAZOLE 1% SOLUTION-TEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000185 250 CLOZAPINE 100MG TABLET-ZENITH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000186 250 COCAINE 4% SOLUTION-ROXANE 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000187 250 COLCHICINE 0.6MG TABLET-WEST-W 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000188 250 COLOCORT 100MG ENEMA-PADDOCK L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000189 250 COLYTE SOLUTION-SCHWARZ PHARMA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000190 250 COMBIVIR TABLET-GLXSK 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000191 250 COMTAN 200MG TABLET-SANDOZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000192 250 COREG 12.5MG TABLET-GLXSK 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000193 250 COREG 3.125MG TABLET-GLXSK 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000194 250 COREG 6.25MG TABLET-GLXSK 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000195 250 CORTISPORIN EYE DROPS-MONARCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000196 250 COSOPT EYE DROPS-MSD 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000197 250 COUMADIN 10MG TABLET-DUPONT 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000198 250 COUMADIN 1MG TABLET-DUPONT 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000199 250 COUMADIN 2MG TABLET-DUPONT 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000200 250 COUMADIN 3MG TABLET-DUPONT 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000201 250 COUMADIN 4MG TABLET-DUPONT 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000202 250 COUMADIN 5MG TABLET-DUPONT 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000203 250 COUMADIN 7.5MG TABLET-DUPONT 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000204 250 COZAAR 25MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000205 250 COZAAR 50MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000206 250 CRIXIVAN 400MG CAPSULE-MSD 42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000207 250 CYCLOBENZAPRINE 10MG TABLET-UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000208 250 CYCLOCORT 0.1% CREAM-FUJISAWA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000209 250 CYCLOGYL 1% EYE DROPS-ALCON LA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000210 250 CYPROHEPTADINE 4MG TABLET-GOLD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000211 250 CYTOMEL 25MCG TABLET-JONES MED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000212 250 CYTOMEL 5MCG TABLET-JONES MED. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000213 250 DECLOMYCIN 300MG TABLET-LEDERL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000214 250 DEEP SEA 0.65% NOSE SPRAY-MAJO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000215 250 DEPAKENE 250MG/5ML SYRUP-ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000216 250 DEPAKOTE 125MG TABLET EC-ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000217 250 DEPAKOTE 250MG TABLET EC-ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000218 250 DEPAKOTE 500MG TABLET EC-ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000219 250 DERMAGRAN OINTMENT-DERMASCIENC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000220 250 DERMOPLAST SPRAY-MEDTECH LABS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000221 250 DESIPRAMINE 10MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000222 250 DESIPRAMINE 25MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000223 250 DESIPRAMINE 50MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000224 250 DESMOPRESSIN 0.01% NASAL SPRAY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000225 250 DETROL 1MG TABLET-PHARMACIA/UP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000226 250 DETROL 2MG TABLET-PHARMACIA/UP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000227 250 DEXAMETHASONE 0.1% EYE DROP-B& 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000228 250 DEXAMETHASONE 1MG TABLET-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000229 250 DEXAMETHASONE 2MG TABLET-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000230 250 DEXAMETHASONE 4MG TABLET-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000231 250 DIAMOX SEQUELS 500MG CAP SA-LE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000232 250 DIAPER RASH OINTMENT-BARRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000233 250 DIARRHEA & CRAMP RELIEF LIQ-GO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000234 250 DIAZEPAM 2MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000235 250 DIAZEPAM 5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000236 250 DIBENZYLINE 10MG CAPSULE-WELLS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000237 250 DIBUCAINE 1% OINTMENT-FOUG 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000238 250 DICYCLOMINE 10MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000239 250 DIDRONEL 400MG TABLET-P&G PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000240 250 DIFLORASONE 0.05% OINTMENT-FOU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000241 250 DIFLUCAN 100MG TABLET-ROERIG-J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000242 250 DIFLUCAN 200MG TABLET-ROERIG-J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000243 250 DILANTIN 50MG INFATAB-PD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000244 250 DILTIAZEM 30MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000245 250 DILTIAZEM 60MG TABLET-MYLAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000246 250 DILTIAZEM 90MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000247 250 DILTIAZEM ER 90MG CAP SA-MYLAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000248 250 DILTIAZEM HCL 180MG CAP SA-AHP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000249 250 DIOVAN 160MG CAPSULE-CIBA PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000250 250 DIOVAN 80MG CAPSULE-CIBA PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000251 250 DIPHEN AF 12.5MG/5ML ELIXIR-MO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000252 250 DIPHENHYDRAMINE 25MG CAPS-EON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000253 250 DIPHENHYDRAMINE 50MG CAPS-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000254 250 DIPHENOXYLATE/ATROPINE LIQ-ROX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000255 250 DIPHENOXYLATE/ATROPINE TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000256 250 DIPIVEFRIN 0.1% EYE DROPS-B&R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000257 250 DIPYRIDAMOLE 25MG TABLET-BARR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000258 250 DIPYRIDAMOLE 75MG TABLET-MEDIR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000259 250 DISOPYRAMIDE 150MG CAPSULE-SCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000260 250 DOCUSATE SOD 150MG/15ML LIQ-PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000261 250 DOCUSATE SODIUM 100MG CAP-SCHE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000262 250 DOXAZOSIN MESYLATE 1MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000263 250 DOXAZOSIN MESYLATE 2MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000264 250 DOXAZOSIN MESYLATE 4MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000265 250 DOXEPIN 100MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000266 250 DOXEPIN 10MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000267 250 DOXEPIN 25MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000268 250 DOXEPIN 50MG CAPSULE-PAR PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000269 250 DOXYCYCLINE 100MG CAPSULE-SCHE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000270 250 DURAGESIC 100MCG/HR PATCH-JANS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000271 250 DURAGESIC 25MCG/HR PATCH-JANSS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000272 250 DURAGESIC 50MCG/HR PATCH-JANSS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000273 250 DURAGESIC 75MCG/HR PATCH-JANSS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000274 250 DYRENIUM 100MG CAPSULE-WELLSPR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000275 250 EFFEXOR 100MG TABLET-WYETH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000276 250 EFFEXOR 25MG TABLET-WYETH 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000277 250 EFFEXOR 37.5MG TABLET-WYETH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000278 250 EFFEXOR 50MG TABLET-WYETH 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000279 250 EFFEXOR 75MG TABLET-WYETH 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000280 250 EFFEXOR XR 150MG CAPSULE SA-WY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000281 250 EFFEXOR XR 75MG CAPSULE SA-WYE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000282 250 EFUDEX 2% SOLUTION-ICN-ETHICAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000283 250 EFUDEX 5% CREAM-ICN-ETHICAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000284 250 ELOCON 0.1% CREAM-SCHERING 15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000285 250 EMLA CREAM W/TEGADERM-ASTRA PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000286 250 ENALAPRIL MALEATE 10MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000287 250 ENALAPRIL MALEATE 2.5MG TAB-AP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000288 250 ENALAPRIL MALEATE 20MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000289 250 ENALAPRIL MALEATE 5MG TAB-APOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000290 250 EPIVIR 10MG/ML ORAL SOLN-GLXSK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000291 250 EPIVIR 150MG TABLET-GLXSK 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000292 250 ERYPED 200MG/5ML GRANULES-ABBO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000293 250 ERYTHROMYCIN 250MG FILMTAB-ABB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000294 250 ERYTHROMYCIN EYE OINTMENT-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000295 250 ERYTHROMYCIN/SULFISOX SUSP-ABB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000296 250 ESKALITH CR 450MG TABLET SA-GL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000297 250 ESTRADIOL 0.5MG TABLET-BARR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000298 250 ETHYL CHLORIDE SPRAY-GEBAUER C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000299 250 EURAX 10% CREAM-WESTWOOD 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000300 250 EURAX 10% LOTION-WESTWOOD 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000301 250 EXELON 1.5MG CAPSULE-SANDOZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000302 250 EYE WASH SOLUTION-GOLDLINE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000303 250 FAMOTIDINE 20MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000304 250 FER-IN-SOL 75MG/0.6ML DROPS-ME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000305 250 FEROSUL 325MG TABLET-MAJOR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000306 250 FERROUS SULF 300MG/5ML LIQ-PHA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000307 250 FERROUS SULF 324MG TAB EC-PADD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000308 250 FLEET ENEMA-FLEET-C.B. CO. 26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000309 250 FLEET ENEMA PEDIATRIC-FLEET-C. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000310 250 FLEET MINERAL OIL-FLEET-C.B. C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000311 250 FLEET PHOSPHO-SODA SOLUTION-FL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000312 250 FLORINEF ACETATE 0.1MG TABS-SQ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000313 250 FLOVENT 220MCG INHALER-GLXSK 7 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000314 250 FLUOCINOLONE 0.01% CREAM-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000315 250 FLUOCINOLONE 0.01% SOLUTION-FO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000316 250 FLUOCINOLONE 0.025% CREAM-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000317 250 FLUOCINOLONE 0.025% CREAM-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000318 250 FLUOCINONIDE 0.05% CREAM-TARO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000319 250 FLUOCINONIDE 0.05% OINTMENT-TE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000320 250 FLUOR-I-STRIP-B&R 300 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000321 250 FLUOROMETHOLONE 0.1% DROPS-FAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000322 250 FLUPHENAZINE 10MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000323 250 FLUPHENAZINE 1MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000324 250 FLUPHENAZINE 2.5MG TABLET-GENE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000325 250 FLUPHENAZINE 5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000326 250 FLURBIPROFEN 0.03% EYE DROP-B& 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000327 250 FML FORTE 0.25% EYE DROPS-ALLE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000328 250 FOLIC ACID 1MG TABLET-WEST-WAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000329 250 FOSAMAX 10MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000330 250 FOSAMAX 5MG TABLET-MSD 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000331 250 FP MINERAL OIL- HEAVY-FAMILY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000332 250 FP OATMEAL BATH PACKET-FAMILY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000333 250 FP PINK BISMUTH MAX-STR-FAMILY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000334 250 FP VIT C 250MG TABLET-FAMILY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000335 250 FP VITAMIN B-1 100MG TAB-FAMIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000336 250 FUROSEMIDE 20MG TABLET-ROXANE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000337 250 FUROSEMIDE 40MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000338 250 GELFOAM COMPRESSED SPONGE-PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000339 250 GELFOAM SIZE 100 SPONGE-PHARMA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000340 250 GEMFIBROZIL 600MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000341 250 GENTAMICIN 0.1% CREAM-FOUG 15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000342 250 GENTAMICIN 0.1% OINTMENT-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000343 250 GENTAMICIN 3MG/ML EYE DROPS-FA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000344 250 GEODON 40MG CAPSULE-ROERIG-J.B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000345 250 GLIPIZIDE 10MG TABLET-DURAMED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000346 250 GLIPIZIDE 5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000347 250 GLUCOPHAGE 500MG TABLET-MEADJO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000348 250 GLUCOPHAGE 850MG TABLET-MEADJO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000349 250 GLUCOTROL XL 10MG TABLET SA-RO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000350 250 GLUCOTROL XL 2.5MG TAB SA-ROER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000351 250 GLUCOTROL XL 5MG TABLET SA-ROE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000352 250 GLUCOVANCE 1.25/250MG TAB-MEAD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000353 250 GLUCOVANCE 2.5/500MG TAB-MEADJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000354 250 GLUCOVANCE 5/500MG TAB-MEADJOH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000355 250 GLUTOL GEL-PADDOCK LABS. 180 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000356 250 GLYBURIDE 1.25MG TABLET-TEVA 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000357 250 GLYBURIDE 5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000358 250 GLYCERIN ANHYDROUS LIQUID-HUMC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000359 250 GOLYTELY SOLUTION-BRAINTREE LA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000360 250 GUIATUSS 100MG/5ML SYRUP-BARRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000361 250 GUIATUSS AC SYRUP-BARRE 120 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000362 250 GUIATUSS DM SYRUP-BARRE 120 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000363 250 HALOPERIDOL 0.5MG TABLET-GENEV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000364 250 HALOPERIDOL 10MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000365 250 HALOPERIDOL 1MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000366 250 HALOPERIDOL 2MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000367 250 HALOPERIDOL 5MG TABLET-MYLAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000368 250 HIBICLENS 4% LIQUID-ZENECA INC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000369 250 HIBICLENS 4% LIQUID-ZENECA INC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000370 250 HIBICLENS 4% LIQUID-ZENECA INC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000371 250 HYDRALAZINE 10MG TABLET-GOLDLI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000372 250 HYDRALAZINE 25MG TABLET-GOLDLI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000373 250 HYDRALAZINE 50MG TABLET-GOLDLI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000374 250 HYDREA 500MG CAPSULE-SQUIBB 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000375 250 HYDROCHLOROTHIAZIDE 25MG TB-GO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000376 250 HYDROCHLOROTHIAZIDE 50MG TB-ZE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000377 250 HYDROCORTISONE 0.2% CREAM-APOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000378 250 HYDROCORTISONE 0.2% OINT-APOTH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000379 250 HYDROCORTISONE 1% CREAM-FOUG 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000380 250 HYDROCORTISONE 1% OINTMENT-BAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000381 250 HYDROCORTISONE 2.5% CREAM-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000382 250 HYDROCORTISONE 2.5% OINT-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000383 250 HYDROCORTISONE 20MG TABLET-WES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000384 250 HYDROCORTONE 10MG TABLET-MSD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000385 250 HYDROGEN PEROXIDE 3% SOLN-HUMC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000386 250 HYDROMORPHONE 2MG TABLET-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000387 250 HYDROMORPHONE 4MG TABLET-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000388 250 HYDROQUINONE 3% SOLUTION-GLADE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000389 250 HYDROXYCHLOROQUINE 200MG TB-AP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000390 250 HYDROXYZINE HCL 10MG TABLET-GO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000391 250 HYDROXYZINE HCL 25MG TABLET-SC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000392 250 HYDROXYZINE HCL 50MG TABLET-SI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000393 250 IBUPROFEN 400MG TABLET-GOLDLIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000394 250 IBUPROFEN 600MG TABLET-GOLDLIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000395 250 IMDUR 30MG TABLET SA-SCHERING 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000396 250 IMDUR 60MG TABLET SA-SCHERING 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000397 250 IMIPRAMINE HCL 25MG TABLET-GEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000398 250 IMIPRAMINE HCL 50MG TABLET-GEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000399 250 INDOMETHACIN 25MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000400 250 INDOMETHACIN 50MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000401 250 INVIRASE 200MG CAPSULE-ROCHE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000402 250 IOPIDINE 0.5% EYE DROPS-ALCON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000403 250 IOPIDINE 1% EYE DROPS-ALCON LA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000404 250 ISONIAZID 100MG TABLET-BARR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000405 250 ISONIAZID 300MG TABLET-BARR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000406 250 ISOPTO CARBACHOL 0.75% DROPS-A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000407 250 ISOSORBIDE DN 10MG TABLET-WEST 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000408 250 ISOSORBIDE DN 20MG TABLET-WEST 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000409 250 ISOSORBIDE DN 5MG TABLET-GENEV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000410 250 KAOLIN-PECTIN SUSPENSION-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000411 250 KAOPECTATE 750MG CAPLET-PHARMA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000412 250 KAOPECTATE SUSPENSION-PHARMACI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000413 250 K-DUR 20MEQ TABLET SA-SCHERING 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000414 250 KETOCONAZOLE 2% CREAM-TEVA 15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000415 250 K-LOR 20MEQ PACKET-ABBOTT LABS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000416 250 KLOR-CON 10MEQ TABLET SA-UPSHE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000417 250 K-PHOS NEUTRAL TABLET-BEACH PR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000418 250 K-PHOS ORIGINAL TABLET-BEACH P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000419 250 LABETALOL HCL 100MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000420 250 LABETALOL HCL 200MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000421 250 LAC-HYDRIN 12% LOTION-WESTWOOD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000422 250 LAC-HYDRIN 5% LOTION-WESTWOOD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000423 250 LACRI-LUBE NP OINTMENT-ALLERGA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000424 250 LACTULOSE 10GM/15ML SYRUP-ROXA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000425 250 LACTULOSE 10GM/15ML SYRUP-ROXA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000426 250 LANOXIN 125MCG TABLET-GLXSK 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000427 250 LANOXIN 50MCG/ML ELIXIR-GLXSK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000428 250 LEUCOVORIN CALCIUM 5MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000429 250 LEVAQUIN 250MG TABLET-MC NEIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000430 250 LEVAQUIN 500MG TABLET-MC NEIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000431 250 LEVAQUIN 750MG TABLET-MC NEIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000432 250 LEVOBUNOLOL 0.25% EYE DROPS-B& 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000433 250 LEVOBUNOLOL 0.5% EYE DROPS-B&R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000434 250 LEVOTHROID 112MCG TABLET-FORES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000435 250 LEVOTHROID 88MCG TABLET-FOREST 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000436 250 LEVOXYL 125MCG TABLET-DANIELS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000437 250 LEVOXYL 150MCG TABLET-DANIELS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000438 250 LIDOCAINE 5% OINTMENT-FOUG 35. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000439 250 LIDOCAINE HCL 2% JELLY-IMS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000440 250 LINDANE 1% LOTION-BARRE 59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000441 250 LINDANE 1% SHAMPOO-MORTON GROV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000442 250 LIPITOR 10MG TABLET-PD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000443 250 LIPITOR 20MG TABLET-PD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000444 250 LITHIUM CARBONATE 300MG CAP-RO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000445 250 LITHIUM CARBONATE 300MG TAB-RO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000446 250 LITHIUM CIT 8MEQ/5ML SYRUP-ROX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000447 250 LOPERAMIDE 2MG CAPSULE-TEVA 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000448 250 LORAZEPAM 0.5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000449 250 LORAZEPAM 1MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000450 250 LORAZEPAM 2MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000451 250 LOTRISONE CREAM-SCHERING 45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000452 250 LOXAPINE 10MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000453 250 LOXAPINE 25MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000454 250 LOXAPINE 50MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000455 250 LOXAPINE 5MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000456 250 LUVOX 50MG TABLET-SOLVAY PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000457 250 MAALOX PLUS SUSPENSION-NOVARTI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000458 250 MAG-OX 400 TABLET-BLAINE CO-IN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000459 250 MAXIFLOR 0.05% OINTMENT-ALLERG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000460 250 MEBENDAZOLE 100MG TAB CHEW-TEV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000461 250 MECLIZINE 12.5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000462 250 MECLIZINE 25MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000463 250 MEDROXYPROGESTERONE 10 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000464 250 MEDROXYPROGESTERONE 2.5 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000465 250 MEGACE 40MG/ML ORAL SUSP-BRIST 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000466 250 MEGESTROL 20MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000467 250 MEGESTROL 40MG TABLET-ROXANE 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000468 250 MEPERIDINE 50MG TABLET-ROXANE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000469 250 MEPHYTON 5MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000470 250 MEPRON 750MG/5ML SUSPENSION-GL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000471 250 MESTINON 180MG TIMESPAN-ICN-ET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000472 250 MESTINON 60MG TABLET-ICN-ETHIC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000473 250 METHADONE HCL 10MG TABLET-ROXA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000474 250 METHADONE HCL 5MG TABLET-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000475 250 METHERGINE 0.2MG TABLET-SANDOZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000476 250 METHOCARBAMOL 500MG TABLET-WES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000477 250 METHOCARBAMOL 750MG TABLET-WES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000478 250 METHYLDOPA 250MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000479 250 METHYLIN 5MG TABLET-M'CKRODT S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000480 250 METOCLOPRAMIDE 10MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000481 250 METOCLOPRAMIDE 5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000482 250 METOPROLOL 50MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000483 250 METROCREAM 0.75% CREAM-GALDERM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000484 250 METRONIDAZOLE 250MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000485 250 METRONIDAZOLE 500MG TABLET-GOL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000486 250 MEVACOR 20MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000487 250 MEXILETINE 150MG CAPSULE-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000488 250 MIACALCIN 200U NASAL SPRAY-SAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000489 250 MICADERM 2% CREAM-ALTAIRE PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000490 250 MICONAZOLE 3 200MG VAG SUPP-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000491 250 MICONAZOLE 7 100MG VAG SUPP-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000492 250 MICONAZOLE 7 CREAM-MAJOR 45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000493 250 MILK OF MAGNESIA SUSPENSION-MA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000494 250 MINOXIDIL 10MG TABLET-SCHEIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000495 250 MINOXIDIL 2.5MG TABLET-SCHEIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000496 250 MIOCHOL-E SYSTEM PACK-NOVARTIS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000497 250 MIRALAX POWDER-BRAINTREE LABS. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000498 250 MOBAN 10MG TABLET-ENDO PARM IN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000499 250 MONOPRIL 10MG TABLET-MEADJOHNS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000500 250 MONOPRIL 20MG TABLET-MEADJOHNS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000501 250 MOTRIN 100MG/5ML SUSPENSION-MC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000502 250 MS CONTIN 15MG TABLET SA-PURDU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000503 250 MS CONTIN 30MG TABLET SA-PURDU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000504 250 MULTIVITAMIN TABLET-MEDIREX IN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000505 250 MYAMBUTOL 100MG TABLET-DEP 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000506 250 MYAMBUTOL 400MG TABLET-DEP 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000507 250 MYCELEX 10MG TROCHE-ALZA CORP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000508 250 MYDFRIN 2.5% EYE DROPS-ALCON L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000509 250 MYDRIACYL 1% EYE DROPS-ALCON L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000510 250 MYSOLINE 50MG TABLET-ATHENA NE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000511 250 NALTREXONE 50MG TABLET-M'CKROD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000512 250 NAPHAZOLINE 0.1% EYE DROPS-B&R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000513 250 NAPROXEN 250MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000514 250 NAPROXEN 375MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000515 250 NAPROXEN 500MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000516 250 NEO/BACIT/POLY EYE OINTMENT-B& 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000517 250 NEO/POLYMYXIN/DEXAMETH DROP-FA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000518 250 NEO/POLYMYXIN/HC EAR SOLN-B&R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000519 250 NEO/POLYMYXIN/HC EAR SUSP-B&R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000520 250 NEOMYCIN 500MG TABLET-TEVA 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000521 250 NEOMYCIN/POLY/GRAM EYE DROP-B& 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000522 250 NEPHROCAPS CAPSULE-FLEMING & C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000523 250 NEPHRO-VITE TABLET-R&D LABS. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000524 250 NEURONTIN 100MG CAPSULE-PD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000525 250 NEURONTIN 300MG CAPSULE-PD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000526 250 NEURONTIN 400MG CAPSULE-PD 50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000527 250 NEUTRA-PHOS PACKET-ALZA CORP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000528 250 NIACIN 100MG TABLET-DIXON-SHAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000529 250 NIACIN 500MG TABLET-MAJOR 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000530 250 NICOTINE 14MG/24HR PATCH-NOVAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000531 250 NICOTINE 21MG/24HR PATCH-SCHEI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000532 250 NICOTINE 7MG/24HR PATCH-NOVART 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000533 250 NITRO-BID 2% OINTMENT-FOUG 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000534 250 NITRO-DUR 0.3MG/HR PATCH-SCHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000535 250 NITRO-DUR 0.4MG/HR PATCH-SCHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000536 250 NITRO-DUR 0.6MG/HR PATCH-SCHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000537 250 NITROFURANTOIN MCR 100MG CP-ZE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000538 250 NITROFURANTOIN MCR 50MG CAP-GE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000539 250 NITROGLYCERIN .2MG/HR PATCH-MY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000540 250 NITROGLYCERIN 0.1MG/HR PTCH-MY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000541 250 NITROQUICK 0.3MG TABLET SL-ETH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000542 250 NITROQUICK 0.4MG TABLET SL-ETH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000543 250 NITROSTAT 0.6MG TABLET SL-PD 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000544 250 NORTRIPTYLINE 10MG/5ML SOL-RAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000545 250 NORTRIPTYLINE HCL 10MG CAP-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000546 250 NORTRIPTYLINE HCL 50MG CAP-TEV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000547 250 NORVASC 10MG TABLET-PFIZER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000548 250 NORVASC 2.5MG TABLET-PFIZER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000549 250 NORVASC 5MG TABLET-PFIZER 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000550 250 NORVIR 100MG SOFTGEL CAP-ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000551 250 NITROGLYCERIN 50 MG IN D5W 250 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000552 250 NYSTATIN 100000U/GM CREAM-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000553 250 NYSTATIN 100000U/GM OINT-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000554 250 NYSTATIN 100000U/ML SUSP-BARRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000555 250 NYSTATIN VAGINAL TABLET-ODYSSE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000556 250 NYSTATIN/TRIAMCINOLONE CRM-BAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000557 250 NYSTATIN/TRIAMCINOLONE OINT-FO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000558 250 NYSTOP 100-000U/GM POWDER-PADD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000559 250 OCUFLOX 0.3% EYE DROPS-ALLERGA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000560 250 OXYBUTYNIN 5MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000561 250 OXYMETAZOLINE 0.05% SPRAY-TARO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000562 250 OYSTER SHELL CALCIUM TABLET-MA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000563 250 OYSTER SHELL W/VIT D TABLET-MA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000564 250 OYSTER SHELL W/VIT D TABLET-MA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000565 250 PARLODEL 5MG CAPSULE-SANDOZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000566 250 PAXIL 10MG TABLET-GLXSK 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000567 250 PAXIL 20MG TABLET-GLXSK 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000568 250 PAXIL 30MG TABLET-GLXSK 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000569 250 PEN GK 3MMU/50ML ISO-OSM-BAXTE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000570 250 PENICILLIN VK 250MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000571 250 PENICILLIN VK 250MG/5ML LIQ-TE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000572 250 PENICILLIN VK 500MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000573 250 PENTASA 250MG CAPSULE SA-ROBER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000574 250 PENTOXIFYLLINE 400MG TAB SA-UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000575 250 PERCOCET 5/325MG TABLET-ENDO P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000576 250 PERCODAN TABLET-ENDO PARM INC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000577 250 PETROLATUM FOILPAC JELLY-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000578 250 PETROLATUM JELLY-FOUG 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000579 250 PHENAZOPYRIDINE 100MG TAB-ABLE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000580 250 PHENAZOPYRIDINE 200MG TAB-AMID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000581 250 PHENOBARBITAL 15MG TABLET-MEDI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000582 250 PHENOBARBITAL 20MG/5ML ELIX-PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000583 250 PHENOBARBITAL 30MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000584 250 PHENOBARBITAL 60MG TABLET-RANB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000585 250 PHENYLEPHRINE 10% EYE DROPS-NO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000586 250 PHOSLO 667MG TABLET-BRAINTREE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000587 250 PILOCARPINE 0.5% EYE DROPS-B&R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000588 250 PILOCARPINE 2% EYE DROPS-B&R 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000589 250 PILOCARPINE 3% EYE DROPS-B&R 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000590 250 PILOCARPINE 4% EYE DROPS-FALCO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000591 250 PLAVIX 75MG TABLET-BRISTOL MYE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000592 250 PLETAL 100MG TABLET-OTSUKA AME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000593 250 PODOCON-25 LIQUID-PADDOCK LABS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000594 250 POLYSPORIN POWDER-W&W 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000595 250 POLY-VITAMIN DROPS-HI-TECH PHA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000596 250 PRAVACHOL 10MG TABLET-SQUIBB 9 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000597 250 PRAVACHOL 20MG TABLET-SQUIBB 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000598 250 PRAZOSIN 1MG CAPSULE-MYLAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000599 250 PRAZOSIN 2MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000600 250 PRED FORTE 1% EYE DROPS-ALLERG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000601 250 PRED MILD 0.12% EYE DROPS-ALLE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000602 250 PREMARIN 0.3MG TABLET-WYETH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000603 250 PREMARIN 0.625MG TABLET-WYETH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000604 250 PREMARIN VAGINAL CREAM/APPL-WY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000605 250 PRENATAL S TABLET-GOLDLINE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000606 250 PREPIDIL 0.5MG/3GM GEL-PHARMAC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000607 250 PRILOSEC 20MG CAPSULE DR-ASTRA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000608 250 PRIMAQUINE 26.3MG TABLET-SANOF 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000609 250 PRIMIDONE 250MG TABLET-SCHEIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000610 250 PRINCIPEN 250MG CAPSULE-SQUIBB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000611 250 PRINCIPEN 250MG/5ML SUSP-SQUIB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000612 250 PRINCIPEN 500MG CAPSULE-SQUIBB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000613 250 PRINIVIL 10MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000614 250 PRINIVIL 20MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000615 250 PRINIVIL 5MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000616 250 PROBENECID 500MG TABLET-SCHEIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000617 250 PROCHLORPERAZINE 25MG SUPP-G & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000618 250 PROCHLORPERAZINE 5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000619 250 PROMETHAZINE 6.25MG/5ML SYR-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000620 250 PROMETHAZINE W/DM SYRUP-BARRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000621 250 PROPOXYPHENE HCL 65MG CAP-MYLA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000622 250 PROPRANOLOL 10MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000623 250 PROPRANOLOL 20MG TABLET-MEDIRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000624 250 PROPRANOLOL 40MG TABLET-MEDIRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000625 250 PROSCAR 5MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000626 250 PROZAC 10MG PULVULE-DISTA LABS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000627 250 PROZAC 20MG/5ML SOLUTION-DISTA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000628 250 PSEUDOEPHED 30MG/5ML SYRUP-PHA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000629 250 PSEUDOEPHEDRINE 30MG TABLET-RO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000630 250 PSEUDOEPHEDRINE 60MG TABLET-RO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000631 250 PURALUBE EYE OINTMENT-FOUG 3.5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000632 250 PYRAZINAMIDE 500MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000633 250 PYRIDOXINE 25MG TABLET-VERSAPH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000634 250 Q-DRYL 12.5MG/5ML LIQUID-QUALI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000635 250 QUINAGLUTE DURA-TABS 324MG-BER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000636 250 QUINIDINE SULFATE 200MG TAB-SC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000637 250 QUINIDINE SULFATE 300MG TAB-SC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000638 250 RA ETHYL ALCOHOL 70% LIQUID-RI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000639 250 REMERON 15MG TABLET-ORGANON 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000640 250 RENAGEL 800MG TABLET-GENZYME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000641 250 REQUIP 2MG TABLET-GLXSK 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000642 250 RETROVIR 100MG CAPSULE-GLXSK 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000643 250 RETROVIR 10MG/ML SYRUP-GLXSK 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000644 250 RETROVIR 300MG TABLET-GLXSK 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000645 250 RHINOCORT NASAL INHALER-ASTRA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000646 250 RIFAMPIN 300MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000647 250 RISPERDAL 0.25MG TABLET-JANSSE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000648 250 RISPERDAL 0.5MG TABLET-JANSSEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000649 250 RISPERDAL 1MG TABLET-JANSSEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000650 250 RISPERDAL 1MG/ML SOLUTION-JANS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000651 250 RISPERDAL 2MG TABLET-JANSSEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000652 250 RISPERDAL 3MG TABLET-JANSSEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000653 250 RISPERDAL 4MG TABLET-JANSSEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000654 250 ROCALTROL 0.25MCG CAPSULE-ROCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000655 250 ROWASA 4GM/60ML ENEMA-SOLVAY P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000656 250 S-2 2.25% SOLUTION-NEPHRON COR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000657 250 SANI-SUPP ADULT SUPPOSITORY-G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000658 250 SANI-SUPP PEDIATRIC SUPPOS-G & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000659 250 SANTYL OINTMENT-SMITH&N/UNITED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000660 250 SARNA ANTI-ITCH LOTION-STIEFEL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000661 250 SELENIUM SULF 2.5% SHAMPOO-BAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000662 250 SEREVENT 21MCG INHALER-GLXSK 6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000663 250 SEROQUEL 100MG TABLET-ZENECA I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000664 250 SEROQUEL 200MG TABLET-ZENECA I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000665 250 SEROQUEL 25MG TABLET-ZENECA IN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000666 250 SIMETHICONE 40MG/0.6ML DROP-QU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000667 250 SIMETHICONE 80MG TAB CHEW-RUGB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000668 250 SINGULAIR 10MG TABLET-MSD 90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000669 250 SOD CITRATE/CITRIC ACID SOL-PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000670 250 SODIUM BICARB 650MG TABLET-UNI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000671 250 SOTALOL 80MG TABLET-EON LABS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000672 250 SPIRONOLACTONE 25MG TABLET-MYL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000673 250 SPORANOX 100MG CAPSULE-JANSSEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000674 250 SPS 15GM/60ML SUSPENSION-ROXAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000675 250 SSKI 1GM/ML SOLUTION-UPSHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000676 250 STERILE WATER-IRRIGATION-BAXTE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000677 250 STERILE WATER-IRRIGATION-BAXTE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000678 250 STROMECTOL 3MG TABLET-MSD 20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000679 250 SULF/PRED 0.25% EYE DROPS-B&R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000680 250 SULF-10 10% EYE DROPS-NOVARTIS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000681 250 SULFAMETHOXAZOLE/TMP SS TAB-SC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000682 250 SULFASALAZINE 500MG TABLET-WAT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000683 250 SURGILUBE LUBRICANT-FOUG 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000684 250 SURGILUBE LUBRICANT-FOUG 127.5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000685 250 SURGILUBE LUBRICANT-FOUG 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000686 250 SURGILUBE LUBRICANT-FOUG 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000687 250 SUSTIVA 200MG CAPSULE-DUPONT 9 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000688 250 SYNTHROID 100MCG TABLET-KNOLL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000689 250 SYNTHROID 25MCG TABLET-KNOLL P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000690 250 SYNTHROID 50MCG TABLET-KNOLL P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000691 250 SYNTHROID 75MCG TABLET-KNOLL P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000692 250 TAMBOCOR 100MG TABLET-3M PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000693 250 TAMBOCOR 50MG TABLET-3M PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000694 250 TAPAZOLE 10MG TABLET-JONES MED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000695 250 TAPAZOLE 5MG TABLET-JONES MED. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000696 250 TEARS RENEWED EYE DROPS-AKORN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000697 250 TEGRETOL 100MG TABLET CHEW-CIB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000698 250 TEGRETOL 100MG/5ML SUSP-CIBA P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000699 250 TEMAZEPAM 15MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000700 250 TEMAZEPAM 30MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000701 250 TERAZOSIN 1MG CAPSULE-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000702 250 TERAZOSIN 2MG CAPSULE-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000703 250 TERAZOSIN 5MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000704 250 TETRACAINE 0.5% EYE DROPS-ALCO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000705 250 THEOPHYLLINE 100MG TAB SA-GOLD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000706 250 THEOPHYLLINE 200MG TAB SA-WARR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000707 250 THEOPHYLLINE 300MG TAB SA-GOLD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000708 250 THERA LIQUID-MAJOR 120 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000709 250 THERAPEUTIC VITAMIN TABLET-MED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000710 250 THERMAZENE 1% CREAM-SHERWOOD M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000711 250 THERMAZENE 1% CREAM-SHERWOOD M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000712 250 THIORIDAZINE 100MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000713 250 THIORIDAZINE 10MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000714 250 THIORIDAZINE 50MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000715 250 THIOTHIXENE 10MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000716 250 THIOTHIXENE 1MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000717 250 THIOTHIXENE 2MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000718 250 THIOTHIXENE 5MG CAPSULE-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000719 250 TIMOLOL 0.25% EYE DROPS-B&R 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000720 250 TIMOLOL 0.5% EYE DROPS-B&R 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000721 250 TIMOLOL 0.5% GEL/SOLUTION-FALC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000722 250 TIMOPTIC 0.5% OCUDOSE DROP-MSD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000723 250 TINCTURE OF BENZOIN SPRAY-SMIT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000724 250 TOBRADEX EYE DROPS-ALCON LABS. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000725 250 TOBRADEX EYE OINTMENT-ALCON LA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000726 250 TOBRAMYCIN 0.3% EYE DROPS-FALC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000727 250 TOBREX 0.3% EYE OINTMENT-ALCON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000728 250 TOPAMAX 100MG TABLET-MC NEIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000729 250 TOPAMAX 25MG TABLET-MC NEIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000730 250 TOPROL XL 50MG TABLET SA-ASTRA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000731 250 TRAZODONE 50MG TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000732 250 TRIAMCINOLONE 0.1% CREAM-FOUG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000733 250 TRIAMCINOLONE 0.1% OINTMENT-CP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000734 250 TRIAMTERENE/HCTZ 37.5/25 CP-UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000735 250 TRIFLUOPERAZINE 10MG TABLET-GE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000736 250 TRIHEXYPHENIDYL 2MG TABLET-SCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000737 250 TRIPLE DYE SWAB-KERR CHEMICAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000738 250 TRIPLE PASTE MEDICATED OINT-SU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000739 250 TRUSOPT 2% EYE DROPS-MSD 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000740 250 TYLENOL 325MG CAPLET-MC NEIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000741 250 ULTRAM 50MG TABLET-MC NEIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000742 250 ULTRAVATE 0.05% OINTMENT-WESTW 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000743 250 UNIPHYL 400MG TABLET SA-PURDUE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000744 250 VALPROIC ACID 250MG CAPSULE-UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000745 250 VALPROIC ACID 250MG/5ML SYR-TE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000746 250 VASOCON-A EYE DROPS-NOVARTIS O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000747 250 VERAPAMIL 120MG TABLET-GOLDLIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000748 250 VERAPAMIL 120MG TABLET SA-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000749 250 VERAPAMIL 180MG TABLET SA-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000750 250 VERAPAMIL 240MG TABLET SA-MYLA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000751 250 VERAPAMIL 40MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000752 250 VIRACEPT 250MG TABLET-AGOURON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000753 250 VIRAMUNE 200MG TABLET-ROXANE 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000754 250 VISCOAT SYRINGE-ALCON SURGICAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000755 250 VITAMIN A & D OINTMENT-FOUG 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000756 250 VITAMIN A & D OINTMENT-FOUG 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000757 250 VITAMIN B COMPLEX CAPSULE-RUGB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000758 250 VITAMIN B-12 1000MCG TABLET-MA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000759 250 VITAMIN B12 100MCG TABLET-RUGB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000760 250 VITAMIN B-12 250MCG TABLET-MAJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000761 250 VITAMIN B12 500MCG TABLET-GOLD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000762 250 VITAMIN B-6 50MG TABLET-DIXON- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000763 250 VITAMIN C 500MG TABLET-MAJOR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000764 250 VITAMIN E 400IU CAPSULE-DIXON- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000765 250 WELLBUTRIN 75MG TABLET-GLXSK 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000766 250 WELLBUTRIN SR 100MG TAB SA-GLX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000767 250 WELLBUTRIN SR 150MG TAB SA-GLX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000768 250 XALATAN 0.005% EYE DROPS-PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000769 250 ZAROXOLYN 5MG TABLET-MEDEVA PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000770 250 ZERIT 15MG CAPSULE-SQUIBB 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000771 250 ZERIT 20MG CAPSULE-SQUIBB 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000772 250 ZERIT 30MG CAPSULE-SQUIBB 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000773 250 ZERIT 40MG CAPSULE-SQUIBB 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000774 250 ZETAR SHAMPOO-DERMIK LABS. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000775 250 ZIAGEN 300MG TABLET-GLXSK 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000776 250 ZINC OXIDE PASTE-UNITED RESEAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000777 250 ZINC-220 CAPSULE-ALTO LAB. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000778 250 ZITHROMAX 250MG TABLET-PFIZER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000779 250 ZITHROMAX 600MG TABLET-PFIZER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000780 250 ZOCOR 10MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000781 250 ZOCOR 20MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000782 250 ZOCOR 5MG TABLET-MSD 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000783 250 ZOLOFT 100MG TABLET-ROERIG-J.B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000784 250 ZOLOFT 25MG TABLET-ROERIG-J.B. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000785 250 ZOLOFT 50MG TABLET-ROERIG-J.B. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000786 250 ZOVIRAX 5% OINTMENT-GLXSK 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000787 250 ZYPREXA 10MG TABLET-LILLY 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000788 250 ZYPREXA 2.5MG TABLET-LILLY 60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000789 250 ZYPREXA 5MG TABLET-LILLY 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000790 250 ZYPREXA 7.5MG TABLET-LILLY 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000791 250 ZYVOX 600MG TABLET-PHARMACIA/U 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000792 250 DIABETIC TUSSIN DM SYRUP-HEALT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000793 250 DIABETIC TUSSIN EX SYRUP-HEALT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000794 250 INFANT'S TYLENOL SUSP DROP 15M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000795 250 FOSAMAX 70MG TABLET-MERCK 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000796 250 ROCALTROL 0.5MCG CAPSULE-ROCHE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000797 250 ERYTHROMYCIN ST 500MG CAPLET-B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000798 250 DETROL LA 2MG CAPSULE SA-PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000799 250 EFFEXOR XR 37.5MG CAP SA-WYETH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000800 250 COREG 25MG TABLET-SKBEECH 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000801 250 ERYTHROCIN 250MG FILMTAB-ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000802 250 METOPROLOL 100MG TABLET-GENEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000803 250 FERROUS GLUCONATE 325MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000804 250 ZYPREXA ZYDIS 10MG TABLET-LILL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000805 250 AVAPRO 300MG TABLET-MEADJOHNSO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000806 250 ZAROXOLYN 2.5MG TABLET-MEDEVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000807 250 DIFLUCAN 150MG TABLET-ROERIG-J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000808 250 FOSAMAX 35MG TABLET-MERCK 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000809 250 BUSPIRONE HCL 15MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000810 250 DETROL LA 4MG CAPSULE SA-PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000811 250 SELEGILINE HCL 5MG CAPSULE-APO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000812 250 SELEGILINE HCL 5MG TABLET-APOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000813 250 BUSPIRONE HCL 5MG TABLET A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000814 250 SUMYCIN 250MG CAPSULE-SQUIBB 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000815 250 ZYPREXA ZYDIS 5MG TABLET-LILLY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000816 250 BETAPACE 240MG TABLET-BERLEX L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000817 250 ANAFRANIL 50MG CAPSUL-SANDOZ P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000818 250 ANUCORT HC 25MG SUPPOSITORY - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000819 250 BACID CAPSUL - HERITAGE CONSUM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000820 250 CALAN 80MG TABLET - SEARLE CO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000821 250 CARDIZEM CD 120MG CAPSA- AVENT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000822 250 CARDIZEM CD 240MG CAPSA - AVEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000823 250 CARDIZEM CD 300MG CAP SA-AVENT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000824 250 CASODEX 50MG TABLET - ASTRAZEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000825 250 COMBIVENT INHALER - BOEHRINGER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000826 250 DANKINS 0.25% SOLUTION - CENTU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000827 250 DANKINS 0.5% SOLUTION - CENTUR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000828 250 DICLOXACILLIN 250MG CAPSULE - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000829 250 DOMEBORO PACKET - BAYER INC 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000830 250 EVISTA 60MG TABLET - LILLY & C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000831 250 FLOVENT 110MCG INHALER - GLAXO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000832 250 FLOVENT 44MCG INHALER - GLAXO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000833 250 GLUCOPHAGE XR 500MG TAB - MEAD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000834 250 GLYSET 25 MG TABLET - PHARMACI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000835 250 GLYSET 50MG TABLET - PHARMACIA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000836 250 LOTENSIN 10MG TABLET - CIBA PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000837 250 LOTENSIN 20MG TABLET - CIBA PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000838 250 LUMIGAN 0.03% EYE DROPS - ALLE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000839 250 SULFATRIM SUSPENSION - ALPHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000840 250 ULTRACET TABLET - MCNEIL 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000841 250 WARFARIN SODIUM 2.5MG TAB - AP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000842 250 ZYPREXA ZYDIS 15 MG TABLET - L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000843 250 ZYPREXA ZYDIS 20MG TABLET - LI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000844 250 ABILIFY 10MG TABLET - OTSUKA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000845 250 ABILIFY 15MG TABLET - OTSUKA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000846 250 ABILIFY 20MG TABLET - OTSUKA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000847 250 ABILIFY 30MG TABLET - OTSUKA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000848 250 ACETIC ACID 0.25% IRRIG. - M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000849 250 ADVAIR 100/50 DISKUS - GLAXO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000850 250 ADVAIR 250/50 DISKUS - GLAXO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000851 250 ADVAIR 500/50 DISKUS - GLAXO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000852 250 ALPHAGAN P 0.15% EYE DROPS - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000853 250 ALTACE 10MG CAPSULE - MONARC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000854 250 ALTACE 5MG CAPSULE - MONARCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000855 250 AMBIEN 10MG TABLET - G.D. SE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000856 250 ANAFRANIL 25MG CAPSULE - SAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000857 250 DEBROX 6.5% EAR DROPS - AVEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000858 250 FLOMAX 0.4MG CAPSULE SA - BO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000859 250 FLONASE 0.05% NASAL SPRAY - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000860 250 HYDROCIL INSTANT PACKET - NU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000861 250 NIZORAL 200MG TABLET - JANSS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000862 250 SEROQUEL 300MG TABLET - ASTR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000863 250 TRIHEXYPHENIDYL 5MG TABLET - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000864 250 ZYPREXA 20MG TABLET - LILLY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000865 250 TRILEPTAL 300MG TABLET SANDO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000866 250 CHLORPHENIRAME 4MG-MANU DIXON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000867 250 LEXAPRO 10 - MANU FOREST PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000868 250 LEXAPRO 20 - MANU FOREST PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000869 250 PROPYLTHIOURACIL 50MG - MANU P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000870 250 PARNATE 10MG GLAXO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000871 250 PEPCID 40MG/5ML ORAL SUSPENSIO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000872 250 LOTREL 5/10MG CAPSULE CIBA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000873 250 LEVOTHROID 137MCG TABLET FORES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000874 250 ZYMAR 0.3% EYE DROPS ALLERGAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000875 250 LEVOTHROID 200MCG TABLET FORES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000876 250 CORTISONE 25MG TABLET WATSON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000877 250 LIDODERM 5% PATCH ENDO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000878 250 LAMICTAL 100MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000879 250 NIMOTOP 30MG CAPSULE BAYER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000880 250 AQUAPHOR OINTMENT BEIERSDORF 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000881 250 DAPSONE 100MG TABLET JACOBUS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000882 250 TOPROL XL 100MG TABLET SA ASTR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000883 250 KEPPRA 250MG TABLET UCB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000884 250 KEPPRA 500 MG TABLET UCB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000885 250 KEPPRA 750MG TABLET UCB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000886 250 LAMICTAL 25MG TABLET GLXSK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000887 250 ZANTAC 15MG/ML SYRUP GLXSK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000888 250 VIREAD 300MG TABLET GILEAD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000889 250 DESITIN CREAMY OINTMENT PFIZER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000890 250 ORAPRED 15MG/5ML SOLUTION ASCE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000891 250 PILOCAR 1% EYE DROPS NOVARTIS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000892 250 PRANDIN 1MG TABLET NOVO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000893 250 PRECOSE 25MG TABLET BAYER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000894 250 REMINYL 4MG TABLET JANSSEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000895 250 RENAGEL 400MG TABLET GENZYME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000896 250 SENNA TABLET CONCORD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000897 250 TOPROL XL 25MG TABLET SA ASTRA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000898 250 DAPSONE 25MG TABLET JACOBUS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000899 250 LEVOTHROID 175MCG TABLET FORES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000900 250 ACTONEL 5MG TABLET P&G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000901 250 DIOVAN HCT 160/12.5MG TABLET S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000902 250 DIOVAN HCT 160/25MG TABLET SAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000903 250 ACTONEL 30MG TABLET P&G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000904 250 ACTONEL 35MG TABLET P&G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000905 250 MYCOBUTIN 150MG CAPSULE PHARMA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000906 250 GABITRIL 4MG TAB CEPHELON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000907 250 GABITRIL 12MG TAB CEPHELON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000908 250 GABITRIL 2MG TABLET CEPHELON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000909 250 GEODEN 20MG CAPSULE PFIZER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000910 250 DIOVAN 320 TABLET SANDOZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000911 250 DEPAKOTE ER 250MG TABLET ABB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000912 250 DEPAKOTE ER 500MG TAB SA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000913 250 LOZOL 1.25MG TABLET AVENTIS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000914 250 ACTIGALL 300MG CAPSULE WATSO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000915 250 TORADOL 10MG TABLET ROCHE LA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000916 250 HYZAAR 100 25 TABLET MERCK & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000917 250 HYZAAR 50/12.5 TABLET MERCK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000918 250 NEXIUM 20MG CAPSULE ASTRAZEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000919 250 EULEXIM 125MG CAPSULE SCHERIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000920 250 DIOVAN HCT 80/12.5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000921 250 AVADAMET2MG/500MG TABLET GLA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000922 250 AVANDAMET 4MG/500MG TABLET G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000923 250 TRIZIVIR TABLET GLAXOSMITH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000924 250 QUININE SULFATE 325MG CAPS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000925 250 BUMETANIDE 1MG TABLET UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000926 250 MIRAPEX 0.25MG TABLET BOE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000927 250 FEMARA 2.5MG TABLET SANDO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000928 250 STARLIX 60MG TABLET SANDOZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000929 250 ADALAT CC 90MG TABLET SA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000930 250 ADALAT CC 30MG TABLET SA BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000931 250 ADALAT CC 60MG TABLET SA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000932 250 PROGRAF 1MG CAPSULE F 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000933 250 RISPERDAL 1MG M-TAB JANSSE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000934 250 CRESTOR 20MG TABLET ASTRA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000935 250 PLETAL 50MG TABLET OTSUKAAME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000936 250 ARTHRITIS FORMULA CAPSAICN G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000937 250 RISPERDAL 2MG M TAB JANSSE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000938 250 CRESTOR 10MG TABLET ASTRAZE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000939 250 RISPERDAL 0.5 M-TAB JANSSEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000940 250 CELLCEPT 500MG TABLET ROC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000941 250 NAMENDA PER 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000942 250 AUGMENTIN 125 31.25 SUSPEN G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000943 250 WELLBUTRIN XL 300MG TABLET GLA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000944 250 WELLBUTRIN XL 150MG TABLET G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000945 250 OFLOXACIN 0.3% EAR DROPS 5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000946 250 PROSTIN E2 VAGINAL 20MG SUP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000947 250 PROGRAF 5MG CAPSULE FUJISAW 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000948 250 TRILEPTAL 300MG/5ML SUSP S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000949 250 TRAVATAN 0.004% EYE DROP ALC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000950 250 CYMBALTA 20MG CAPSULE ELI LIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000951 250 IODOSORB GEL HEALTHPOINT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000952 250 PULMICORT 0.25 MG/2 ML RESPUL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000953 250 BENICAR 20 MG TABLET SANKYO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000954 250 ZEPTIA 10MG TABLET MERCK/SC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000955 250 CYMBALTA 60MG CAPSULE ELI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000956 250 VIRACEPT 625 MG TABLET AGOUR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000957 250 IODOFLEX GEL PAD HEALTHPOIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000958 250 AUGMENTIN 250-62.5 SUSP PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000959 250 SPECTAZOLE 1% CREAM ALLSCRIP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000960 250 DARAPRIM 25 MG TABLET GLAXO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000961 250 FLEXERIL 5MG TABLET MC NEI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000962 250 HYDROCORTISONE 0.5% CREAM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000963 250 HYDROCORTISONE 0.5% OINT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000964 250 TAMIFLU 75MG GELCAP DIRECT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000965 250 NEURONTIN 250 MG/5 ML SOLN P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000966 250 CYMBALTA 30MG CAPSULE ELI L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000967 250 FURADANTIN 25 MG/5 SUSP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000968 250 TESSALON 200MG CAPSULE F 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000969 250 TESSALON PERLE 100 MG CAP A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000970 250 VANTIN 100MG TABLET PHARMAC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000971 250 PLAN B 0.75MG TABLET ALLSCRI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000972 250 SENSIPAR 30MG TABLET AMGEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000973 250 TOPICORT 0.25% OINTMENT TAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000974 250 TOPICORT 0.25% CREAM TARO P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000975 250 SPIRIVA 18 MCG CP-HANDIHALER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000976 250 METROGEL-VAGINAL 0.75% GEL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000977 250 LAC-HYDRIN 12% CREAM WESTW 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000978 250 METROPROLOL 25 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000979 250 DITROPAN XL 10MG TABLET SA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000980 250 VYTORIN 10/10 TABLET MERCK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000981 250 VYTORIN 10/20 TABLET MERCK/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000982 250 VYTORIN 10/40 TABLET MERCK/S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000983 250 VYTORIN 10/80 TABLET MERCK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000984 250 AGGRENOX CAPSULE SA BOEHRI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000985 250 LACTAID 3000 UNITS TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000986 250 BENZAMYCINPAK GEL ALLSCRIP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000987 250 ZONEGRAN 50MG CAPSULE SOUTHWO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000988 250 VANTIN 200MG TABLET PHARMACI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000989 250 VANTIN 100MG/5ML SUSPENSION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000990 250 CADUET 10-20 MG TABLET PHYSIC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000991 250 A-HYDROCORT 250 MG UNIVIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000992 250 LEXIVA 700 MG TABLET-ALLSCRIPT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000993 250 TRUVADA TABLET-GILEAD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000994 250 REYATAZ 150 MG CAPSULE-ALLSCRI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000995 250 LESCOL 20 MG CAPSULE-ALLSCRPIT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000996 250 CAFCIT 20 MG/ML ORAL SOLN-MEAD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000997 250 LIPITOR 40 MG TABLET-PD-RX PHA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000998 250 LIPITOR 80 MG TABLET-ALLSCRIPT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250000999 250 CADUET 10MG/40 MG TABLET PFI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001000 250 CADUET 5MG/40 MG TABLET PFIZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001001 250 DRISDOL 8000 UNIT S/ML DROPS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001002 250 RIBAVIRIN 200MG CAPSULE M'CKR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001003 250 CYTOTEC 100 MCG TABLET-GD SEAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001004 250 VANCOCIN HCL 125 MG PULVULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001005 250 NEXIUM 40 MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001006 250 SALAGEN 5 MG TABLET-MGI PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001007 250 SEROQUEL 50 MG TABLET-ASTRAZEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001008 250 VITAMIN D 400 UNIT SOFTGEL-LEA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001009 250 ZOVIRAX 5% CREAM-BIOVAIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001010 250 CITALOPRAM 10MG TAB-IVAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001011 250 TRIMETHOBENZAMIDE 300 MG CAP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001012 250 NAMENDA 10 MG TAB-FOREST 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001013 250 SPIRONOLACTONE 100 MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001014 250 SPIRONOLACTONE 50 MG TAB-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001015 250 ATRIPLA TABLET BMS/GILEAD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001016 250 XOPENEX HFA 45 MCG INHALER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001017 250 INVEGA 6 MG ER TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001018 250 INVEGA 3 MG ER TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001019 250 REVATIO 20MG TABLET PFIZER US 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001020 250 REQUIP 0.5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001021 250 MOBAN 25MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001022 250 MOBAN 50 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001023 250 CLOZARIL 25MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001024 250 BETAXOLOL HCL 0.5% EYE DROP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001025 250 CALCITRIOL 1MCG/ML SOLUTION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001026 250 PROVIGIL 100 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001027 250 ENABLEX 7.5MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001028 250 PULMICORT 0.5MG/2ML RESPULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001031 250 MIDODRINE HCL 5MG TABLET UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001032 250 PV VIT. A 10000 UNITS SFTG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001033 250 SYMBICORT 160/4.5 MCG INHALER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001034 250 SYMBICORT 80/4.5 MCG INHALER A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001035 250 DIASTAT2.5 MG PEDI SYSTEM XCE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001036 250 HALOPERIDOL LAC MG/ML U/D PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001037 250 GUAIFENESIN 100 MG/5 ML STRUP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001038 250 GUAIFENENESIN DM SYRUP PHARMAC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001039 250 AVELOX 400 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001040 250 HEPSERA 10MG TABLET GILEAD SCI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001041 250 SEROQUEL XR 200MG TABLET ASTRA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001042 250 SEROQUEL XR 300MG TABLET ASTRA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001043 250 JANUVIA 100MG TABLET MERCK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001044 250 JANUVIA 50MG TABLET MERCK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001045 250 KEPPRA 100 MG/ML ORAL SOL UCR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001046 250 DEPAKOTE 125 MG SPRINKLE CAP A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001047 250 NIZORAL 2% SHAMPOO ALLSCRIPTS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001048 250 FOSAMAX 70MG ORAL SOLUTION ME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001049 250 AVODART 0.5 MG SOFTGEL GLAXOAM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001050 250 TRICOR 145 MG TABLET ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001051 250 TRICOR 48MG TABLET ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001052 250 ALPHAGAN 0.1% OPHTH SOLN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001053 250 ISENTRESS 400MG TABLET MERCK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001054 250 EMTRIVA 200MG CAPSULE GILEAD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001055 250 EPIZICOM TABLET GLAXOSMITHKLI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001056 250 ABILIFY 2MG TABLET OTSUKA AME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001057 250 BLEPHAMIDE EYE DROPS ALLERGAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001058 250 FLUPHENAZINE 5MG/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001059 250 TRAIMCINOLONE 0.5% CREAM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001060 250 TRIMCINOLONE 0.5% OINTMENT IVA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001061 250 MEGACE ES 625 MG/5ML SUSP PHAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001062 250 XOPENEX 0.63 MG/3ML SOLUTION S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001063 250 XOPENEX 1.25 MG/3 ML SOLUTION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001064 250 NADOLOL 20MG TABLET UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001065 250 NODOLOL 40MG TABLET UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001066 250 TAMOXIFEN 10MG TABLET MCKESSON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001067 250 MELOXICAM 7.5MG TABLET UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001068 250 VALTREX 500MG CAPLET GLAXOSMI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001069 250 ABILIFY 5MG TABLET OTSUKA AMER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001070 250 DIOVAN 40MG TABLET SANDOZ PHA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001071 250 TAMIFLU 12 MG/ML SUSPENSION RO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001072 250 ZIPRASIDONE HCL 80 MG CA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001073 250 REPAGLINIDE 0.5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001074 250 REPAGLINIDE 2 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001075 250 ROSUVASTATIN CALCIUM 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001076 250 ATAZANAVIR SULFATE 200 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001077 250 QUETIAPINE FUMARATE 400 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001078 250 QUETIAPINE FUMARATE XR 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001079 250 ZIPRASIDONE HCL 60 MG CA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001080 250 NIZORAL AD 1% SHAMPOO 120 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001081 250 SAQUINAVIR MESYLATE 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001082 250 SOAP/POVIDONE-IODINE SUR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001083 250 FLUCYTOSINE 250 MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001084 250 FLUVOXAMINE MALEATE 100MG TA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001085 250 TRIAMCINOLONE ACETONIDE 0.025 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001086 250 TRIAMCINOLONE ACETONIDE 0.025 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001087 250 ACETAMIN 650 MG SOL 20.3 ML UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001088 250 BETHANECHOL CHLORIDE 10 MG T 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001089 250 BUMETANIDE 0.5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001091 250 CEPHALEXIN MONOHYDRATE 125 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001092 250 CHLOROTHIAZIDE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001093 250 CIPROFLOXACIN HCL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001094 250 CIPROFLOXACIN HCL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001095 250 CLINDAMYCIN PALMITATE PED 75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001096 250 CLINDAMYCIN PHOSPHATE 1% TO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001097 250 DICLOXACILLIN SODIUM 500 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001098 250 DOXYCYCLINE HYCLATE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001099 250 DOXYCYCLINE CALCIUM 50 MG/5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001100 250 EFAVIRENZ 600 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001101 250 ELETRIPTAN HYDROBROMIDE 20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001102 250 ELETRIPTAN HYDROBROMIDE 40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001103 250 ERYTHROMYCIN BASE EYE OINTMEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001104 250 ESTROGENS-CONJUGATED 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001105 250 HYDROCHLOROTHIAZIDE 12.5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001106 250 HYDROCORTISONE 5 MG TA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001107 250 IBUPROFEN 200 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001108 250 LABETALOL HCL 300 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001109 250 LEVETIRACETAM 1000 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001110 250 LIDOCAINE HCL 2% VISCO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001111 250 LISINOPRIL 2. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001112 250 LOVASTATIN 10 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001113 250 LOVASTATIN 40 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001114 250 METFORMIN HCL 1000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001115 250 MIDODRINE HCL 2.5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001116 250 MIDODRINE HCL 10 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001117 250 MINERAL OIL - HEAVY 30 ML UD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001118 250 MONTELUKAST SODIUM 5 MG CHW 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001119 250 MONTELUKAST SODIUM 4 MG CHW 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001120 250 NATEGLINIDE 120 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001121 250 NIACIN 50 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001122 250 NIFEDIPINE 10 MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001123 250 PHENOBARB 20 MG/5ML ELX 100X5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001124 250 PILOCARPINE HCL 6% EYE DROPS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001125 250 PRAMIPEXOLE DI-HCL 0.5 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001126 250 PRAMIPEXOLE DI-HCL 1 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001127 250 PREDNISOLONE SOD PHOSPHATE 6. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001128 250 PREGABALIN 25 MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001129 250 SIMVASTATIN 40 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001130 250 SODIUM/POTASSIUM/CAL/MAGNESIUM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001131 250 TRAZODONE HCL 100 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001132 250 MIRTAZAPINE 45 MG TABL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001133 250 HYDRALAZINE HCL 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001136 250 ALCOHOL-DEHYDRATED 98% AMP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001137 250 AMICAR 5 GRAM/20 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001138 250 AMIDATE 2MG/ML AMPUL-ABBOTT LA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001140 250 AZACTAM 1 GRAM VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001141 250 AZACTAM 2 GRAM VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001142 250 BACIIM STERILE 50MU VIAL-PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001146 250 BREVIBLOC 100 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001147 250 CAFFEINE/SOD BENZOATE 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001148 250 CALCIUM CHLORIDE 10% INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001149 250 CALCIUM CHLORIDE 10% VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001150 250 CANDIN SKIN TEST STRENGTH-BERK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001151 250 CITRATE OF MAGNESIA SOLN-HUMCO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001153 250 CLEOCIN 900 MG IN D5W 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001154 250 CLINDAMYCIN 300 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001156 250 DILTIAZEM 50 MG/10 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001157 250 DILTIAZEM 25 MG/5 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001158 250 DIPRIVAN 200 MG/20 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001161 250 DOXYCYCLINE 100 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001162 250 ENALAPRILAT 1.25 MG/ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001163 250 ENALAPRILAT 2.5 MG/2 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001164 250 ENLON 150 MG/15 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001165 250 EPHEDRINE 50 MG/1 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001166 250 FLUPHENAZINE 25 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001167 250 FOLIC ACID 50 MG/10 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001169 250 GENTAMICIN PED 20 MG/2 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001171 250 HEALON 10MG/ML DISP SYRINGE-PH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001172 250 INDIGO CARMINE 40 MG/5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001175 250 GENTAMICIN 60 MG IN NS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001178 250 LABETALOL 400 MG/20 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001179 250 LEVOPHED 4 MG/4 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001180 250 LEVOTHYROXINE 200 MCG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001181 250 LIDOCAINE 1% W/EPI 20 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001182 250 LOPRESSOR 5 MG/5 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001186 250 MARCAINE 0.5% 150 MG/30 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001187 250 MARCAINE 0.75% 7.5 MG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001190 250 MERUVAX II VACCINE/DILUENT-MSD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001191 250 METHYLENE BLUE 1% 100 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001192 250 METHYLENE BLUE 1% 10 MG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001193 250 METRONIDAZOLE 250 MG IN D5W 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001194 250 NAFCILLIN 1 GM VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001196 250 NEOSPORIN G.U. IRRIGANT AMP-MO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001197 250 NIMBEX 10 MG/5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001198 250 NITROGLYCERIN 50 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001199 250 NITROPRUSSIDE 50 MG/2 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001200 250 OSMITROL 20% IV 500 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001201 250 PANCURONIUM 10 MG/5 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001202 250 PENTOTHAL 500MG SYRINGE-ABBOTT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001204 250 PHENYLEPHRINE 1% DROPS-BARRE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001206 250 "POLYMYXIN B SULF 500,000 UNITS" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001207 250 PONTOCAINE 2% SOLUTION-ABBOTT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001209 250 POTASSIUM PHOS 45 MM/15 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001210 250 PROPOFOL 500 MG/50 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001212 250 PROZAC 20MG PULVULE-DISTA LABS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001214 250 QUINIDINE GLUC 800 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001216 250 RIFADIN IV 600 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001217 250 ROBINUL 0.2 MG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001218 250 ROMAZICON 0.5 MG/5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001223 250 SENSORCAINE/EPI 0.25%/.0005-AS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001224 250 SODIUM ACETATE 40 MEQ/20 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001225 250 SODIUM BICARB 4.2% 5 MEQ/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001226 250 SODIUM BICARB 8.4% 50 MEQ/50ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001227 250 SODIUM BICARB 8.4% 50 MEQ/50ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001228 250 SODIUM PHOSPHATE 45 MMOL/15 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001229 250 SORBITOL 70% SOLUTION-PHARMACE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001230 250 SULFAMETHOXAZOLE W/TMP 30 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001231 250 SULFAMETHOXAZOLE W/TMP 5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001232 250 SULFAMETHOXAZOLE W/TMP 10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001233 250 SURVANTA 25MG/ML VIAL-ABBOTT L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001234 250 SURVANTA 25MG/ML VIAL-ABBOTT L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001236 250 THROMBIN-JMI 5MU VIAL-JONES ME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001237 250 TIMENTIN 3.1 GM VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001238 250 TUBERSOL 5TU/0.1ML VIAL-PASTEU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001239 250 VECURONIUM 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001240 250 VERAPAMIL 5 MG/2 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001241 250 XYLOCAINE-MPF 1% AMPUL 1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001242 250 ZEMURON 100 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001243 250 ZINC SULFATE 10 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001246 250 TIMENTIN 3.1GM/100 ML ISO-GLXS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001247 250 TRICHOPHYTON SKN TEST 1 500-BE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001250 250 HUMALOG INSULIN 10000 U/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001251 250 HUMALOG MIX 75/25 VIAL - LILLY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001252 250 LANTUS 100U/ML VIAL -AVENTIS P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001253 250 SODIUM CLORIDE 0.45% 1000 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001255 250 XIGRIS 20 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001256 250 XIGRIS 5 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001260 250 PENICILLIN G SOD 5MMU VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001264 250 ZYPREXA 10 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001265 250 "PROCRIT10,000UNT/ML VIA NESRD" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001267 250 VALPROATE SOD 500 MG/5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001268 250 DEXTROSE 5%- LR IV SOLUTION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001269 250 HERMABATE 250 MCG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001270 250 VITRASE 200 UNITS/ML VIAL I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001271 250 CLINIMIX 5/25 SOLUTION BAXTER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001273 250 MORPHINE/NS 50MG/ML BAXTER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001274 250 NEXIUM 40 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001276 250 DANTROLENE 20MG VIAL P&G PHARM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001288 250 ARGATROBAN 250 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001289 250 APIDRA 100 UNITS/ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001290 250 NOVOLOG 100UNIT/ML VIAL NOVO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001292 250 NOVOLOG MIX 7030 VIAL NORDISK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001295 250 AVONEX INJ 30 MCG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001305 250 BUMETANIDE 0.5 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001310 250 CEFTAZIDIME PENTAHYDRATE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001311 250 CLINDAMYCIN 600 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001312 250 CLINDAMYCIN 900 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001313 250 CLINDAMYCIN 300 MG IN D5W 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001317 250 ESOMEPRAZOLE 20 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001318 250 ETOMIDATE 40 MG/20 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001325 250 METOPROLOL TART 5 MG/5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001331 250 PROPOFOL 1000 MG/100 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001334 250 D5-1/2NS/KCL 10MEQ/L IV SOL-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001335 250 GENTAK 3MG/GM EYE OINTMENT-AKO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001343 250 "ETELSPAR 10,000 UNITS INJ" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001344 250 LEUKERAN 2MG TABLET GLAXOSMITH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001345 250 MERAPTOPURINE 50MG TABLET ROXA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001346 250 ACETIC ACID 5 % SOL 16 OZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001347 250 SITAGLIPTIN PHOSPHATE 25 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001348 250 ACETYLCYSTEINE 200 MG/ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001350 250 ATTENTOLOL 100MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001351 250 BUPRENORPHINE HCI/NAL TB 2/0.5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001352 250 BUPRENORPHINE HCI/NAL TB 8/2MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001353 250 CARBAMAZEPHINE 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001354 250 CYPROHEPTADINE SYRUP 2MG/5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001355 250 DECLOMYCLINE 150MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001356 250 DIPRIDIMOLE 50MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001357 250 LEVODOPA/CARBIDOPA ER 25/100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001358 250 MAG HYDROXIAL HYDEOX/SMETH30ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001359 250 MIDAZOLAM 2MG/ML SYRUP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001360 250 MIRTAZAPINE 30MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001361 250 PRAZOSIN 5MG CAP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001362 250 PREZISTA 600MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001363 250 PROMETHIAZINE 25MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001364 250 RANEXA 500MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001365 250 RISPERDAL M-TABLET 4MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001366 250 TRIFLUOPERAZINE 1MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001367 250 TRIFLUOPERAZINE 5MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001368 250 CEFOTETAN 1GM VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001369 250 CEFOTETAN 2 GM VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001370 250 CLINIMIX E 4.25/5 2000ML BAG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001375 250 NACL 0.45% W/20 KCL 1000 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001379 250 PANTOPRAZOLE40 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001380 250 ALPROSTADIL 500 MCG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001381 250 NON-FORMUALRY MED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001382 250 PT'S OWN MED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001383 250 AZANAMIVIR 5 MG 5X4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001384 250 LEUPROLIDE ACETATE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001385 250 GEBAUERS SPRY & STRTCH SPY 3.5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001386 250 CEFPODOXIME PROXETIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001387 250 FONDAPARINUX SODIUM - 2.5 MG S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001388 250 FONDAPARINUX SODIUM 7.5MG/0.6M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001392 250 Vitamin D 1000 IU tablet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001393 250 MOLINDONE HCL 10 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001394 250 MOLINDONE HCL 5 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001395 250 DANTROLENE SODIUM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001396 250 Nicotine Polacrilex Gum 2 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001397 250 Rifaximin 200 mg tablet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001398 250 CEFPODOXIME PROXETIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001399 250 LICE KILLING SHAMPOO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001400 250 METHYLNALTREXONE BROMIDE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001401 250 Lapatinin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001402 250 Leflunomide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001403 250 Paliperidone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001404 250 Asenapine - 10T 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001405 250 Asenapine - 5T 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001406 250 Mometasone Furoate -110 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001407 250 Mometasone Furoate -220 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001408 250 Sodium Chloride 3% 15 ml ud in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001409 250 Sevoflurane 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001411 250 ISOFLURANE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001412 250 AMYLASE/LIPASE/PROTEASE 4000 U 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001413 250 RAMIPRIL 1.25 MG CAP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001414 250 TOPIRAMATE 50 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001415 250 ISOSORBIDE DINITRATE 2.5 MG SL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001416 250 NEOMYCIN/BACITRACIN/POLYMYXIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001417 250 FLUOCINONIDE 0.05% 60 ML SOLN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001418 250 CHERRY SYRUP 82% 480 ML SYRUP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001419 250 HOMATROPINE HBR 5% 5 ML SOLN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001420 250 FERRIC SUBSULFATE 450 ML SOLN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001421 250 SILVER NITRATE APPLICATOR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001422 250 AEROCHAMBER PLUS/SMALL MASK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001423 250 AEROCHAMBER PLUS/ REG MASK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001425 250 SCOPOLAMINE HCL 0.4 MG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001426 250 LEVOFLOXACIN 750 MG TBALET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001428 250 SODIUM BICARBONATE 8.4% 10 MEQ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001429 250 DEXAMETHASONE 0.5 MG/5 ML SOLN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001430 250 KEPPRA 250 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001431 250 LABETALOL 20 MG/4 ML SYRINGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001432 250 LEVOTHYROXINE 500 MCG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001434 250 Deferasirox 125 mg tab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001435 250 FEBUXOSTAT 40 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001436 250 METHENAMINE MANDELATE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001437 250 ILOPERIDONE -4 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001438 250 IMATINIB MESYLATE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001439 250 ILOPERIDONE -2 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001440 250 ILOPERIDONE -1 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001441 250 SACCHAROMYCES BOULARDII 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001442 250 DESVENLAFAXINE SUCCINATE-50mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001443 250 SODIUM CHLORIDE 5% OPH DROP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001447 250 MOXIFLOXACIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001457 250 RYTHMOL 150MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001458 250 ACYCLOVIR 30 GMS OINTMENT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001459 250 RISPERDOL 0.5MG ORAL LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001460 250 RISPERDOL 1MG ORAL LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001461 250 RISPERDOL 2MG ORAL LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001462 250 RISPERDOL 3MG ORAL LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001463 250 RISPERDOL 4MG ORAL LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001464 250 RISPERDOL 5MG ORAL LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001465 250 IBUPROFEN 800 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001467 250 PURACOL PLUS COLLAGEN 42.40 42.40 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 27.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001468 250 PROMOGRAM MAXTRIX 43.46 43.46 30.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 28.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001469 250 SILVERCELL 44.52 44.52 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001471 250 MEDIHONEY GEL 38.16 38.16 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 24.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001473 250 VITAMIN D CAPSULE 1.25MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001474 250 CLINCAMYCIN 300MG CAPSULES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001478 250 XIFAXAM 550MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001479 250 BRILINTA TABLET 90 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 250001480 250 PREZISTA TABLET 400 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258000001 258 D5-1/3NS/KCL 20MEQ/L IV SOL-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258000002 258 D5W/KCL 20MEQ/L IV SOLUTION-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000002 270 NR UMBILICAL ARTERY CATHERIZAT 523.64 523.64 445.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 366.55 445.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 366.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000003 272 STAPLE RELOAD LIN CUT GIA RED 384.78 384.78 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000004 272 STAPLE RELOAD LIN CUT GIA BLUE 384.78 384.78 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000005 272 STAPLE RELOAD LIN CUT GIA 55MM 338.14 338.14 287.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 236.70 287.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 236.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000006 272 STAPLER RELOAD LIN CUT GIA 75M 531.06 531.06 451.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.74 451.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000007 270 ETHI STAPL REL TA 30 3.5 XR30B 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000008 272 STAPLER RELOAD LIN TA 30MM 4.8 294.68 294.68 250.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 206.28 250.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 206.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000009 272 STAPLER RELOAD LIN TA 60MM 3.5 319.06 319.06 271.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.34 271.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000010 272 STAPLER RELOAD LIN TA 60MM 4.8 319.06 319.06 271.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.34 271.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000011 270 ETHI STAPL REL TA 90 3.5 TR90 225.78 225.78 191.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 158.05 191.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 158.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000012 270 ETHI STAPL CURV INTR EEA CDH25 1230.66 1230.66 1046.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 861.46 1046.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 861.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000013 270 ETHI STAPL CURV INTR EEA CDH29 1230.66 1230.66 1046.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 861.46 1046.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 861.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000014 272 STAPLER LIN CUTR ENDO 1 GIA BL 826.80 826.80 702.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.76 702.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000015 272 STAPLER LIN CTR ENDO 1 GIA RED 826.80 826.80 702.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.76 702.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000016 272 STAPLER LIN CTR GIA 55MM 665.68 665.68 565.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.98 565.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000017 272 STAPLER LIN CTR GIA 75MM 988.98 988.98 840.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 692.29 840.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 692.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000018 272 STAPLER LIN TA 30MM 3.5 634.94 634.94 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000022 270 LIGACLIP ENDO II (ETH) ER320 270.30 270.30 229.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.21 229.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000026 270 IRRIG. BULB SYRINGE 2 OZ 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000027 272 "BANDAGE, KLING STRETCH" 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000031 272 SUCTION AVAC 1500 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000033 272 TUBE CONNECTING 9/32 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000034 270 CAST PAD 2 INCH UNSTERILE 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000035 270 CAST PAD 3 INCH UNSTERILE 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000036 270 CAST PAD 4 INCH UNSTERILE 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000037 270 CAST PAD 6 INCH UNSTERILE 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000038 270 J J PLASTER 2X3 007362 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000039 270 J J PLASTER 4X5 007367 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000040 270 ELASTIC RUBBER BANDAGE 2 INCH 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000041 270 ELASTIC RUBBER BANDAGE 3 INCH 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000042 270 ELASTIC RUBBER BANDAGE 4 INCH 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000043 270 ELASTIC RUBBER BANDAGE 6 INCH 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000046 272 DRESSING VASELINE GUAZ 1/2 X72 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000047 270 VASELINE GAUZE 3 X 18 INCHES 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000048 272 DRESSING XEROFORM 5X9 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000050 272 DRESSING IODOFORM PACKING 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000052 272 WAFER SUR-FIT FLEX 2 1/4 156.88 156.88 133.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.82 133.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000053 272 WAFER SUR-FIT FLEX 2 3/4 80.56 80.56 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000054 272 PADS EYE LARGE 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000057 272 CAUTERY HI TEMP 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000058 270 BAX DUOTHERM DISP BLANK 66N425 76.32 76.32 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000059 272 SUCTION DELTA FLOW ANDLE SH TP 99.64 99.64 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000060 270 SVAH TAPE DRESSING 120 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000062 272 CAUTERY ESU W/ HOLSTER 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000063 271 PAD GROUND ESU REM ADLT 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000064 271 PAD GROUND REM ESU PEDS 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000065 272 CAUTERY POLISHER TIP 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000066 272 CANNISTER SUCTION SEP-T-VAC 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000069 272 STAC SMOKE EVAC NIPPLE CTR104 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000071 270 STAC SMOKE EVAC LFS-103 209.88 209.88 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000072 272 SUCTION FRAZIER SURG 8FR 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000074 271 LINERS SUCTION INNER TANDEM 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000077 272 SUCTION FRAZIER SURG 12 FR 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000080 270 MIC SYRINGE 60CC 5060-05 152.64 152.64 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000081 270 PENROSE DRAIN W/PIN 1 20414-10 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000082 270 PENROSE DRAIN W/PIN 1/2 20414- 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000083 270 PENROSE DRAIN W/PIN 1/4 20414- 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000084 272 DRAIN PLEUREVAC REG 7000 818.32 818.32 695.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 572.82 695.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 572.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000085 272 DRAIN PLEUREVAC PNEU 4301 818.32 818.32 695.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 572.82 695.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 572.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000088 270 PILL MED HEMPCLIP 523700 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000089 270 PILL LRG HEMOCLIP 523770 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000090 270 PILL MED/LRG HEMOCLIP 523160 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000091 270 US SUT SKIN STAPLER 35W 05400 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000097 272 BLADE ENDOTRAC FASCIOTOMY 2073.36 2073.36 1762.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1451.35 1762.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1451.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000098 272 INSERT HYDRAJAW FORAGTY SMALL 148.40 148.40 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.88 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000100 272 KIT CATHETER FOLEY 16FR 5CC 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000101 272 SET SUCTION LAP IRR TUBE 267.12 267.12 227.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 186.98 227.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 186.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000102 272 KNIFE I MICROSURGICAL 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000109 272 ADAPTER TWIST DRILL 4.0MM 619.04 619.04 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000110 270 ZIM PAT REM BLADE 46MM 5120-95 728.22 728.22 618.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 509.75 618.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 509.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000112 272 DRAIN SALEM SUMP 10FR 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000113 270 SOLUTION ADM SET 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000116 272 DRAIN SALEM SUMP 16FR 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000117 272 DRAIN SALEM SUMP 18FR 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000118 270 IDEAS PRUITT 9-10F 0088 489.72 489.72 416.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.80 416.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000119 272 STAPLER GIA 80MM 4.8 1493.54 1493.54 1269.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1045.48 1269.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1045.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000120 272 STAPLER GIA 80MM 4.8 1104.52 1104.52 938.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 773.16 938.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 773.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000121 272 STAPLER TA 90 4.8 PREM/MULT 882.98 882.98 750.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 618.09 750.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 618.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000122 272 STAPLER TA 60 4.8 1231.72 1231.72 1046.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 862.20 1046.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 862.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000123 272 STAPLER TA 60 4.8 REFILL 604.20 604.20 513.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 422.94 513.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 422.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000124 272 HEMOSTATIC EREASER WETFIELD 53.00 53.00 45.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 45.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000131 272 DRESSING TEGADERM LRG 48.76 48.76 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000134 270 TEC SHOULDER SLING SM 43596-01 181.26 181.26 154.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.88 154.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000135 270 J J ROLL HEAD 4 1/2 6964 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000136 270 J J BANDAGE 4 1/2 6964 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000143 272 LOOP VESSEL RED MINI 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000144 272 LOOP VESSEL BLUE MAXI 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000146 270 BOVIE TIP CLEANER 80-101 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000148 272 CLAMP COVERS 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000150 270 MIC GDWIRE .035X150 620-110 59.36 59.36 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.55 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000151 270 MIC GLIDEWIRE PS25153 209.88 209.88 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000152 270 SMI TURBO TRIM BLADE3.5 AS1335 246.98 246.98 209.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.89 209.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000153 270 ETH ENDOP TROCAR 5MM 355LD 85.86 85.86 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000154 272 VALVE FEX SUCTION BRONCHOSCOPE 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000155 271 VALVE BIOPSY FEX BRONCH 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000156 271 PAD PM PROPADZ 269.24 269.24 228.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.47 228.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000157 270 MAC SPECBOARD 444 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000158 270 DEV NEEDLE COUNTER 31142212 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000159 272 SUCTION POOLE SURGICAL 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000160 272 HEMOCLIP AUTOMATIC MEDIUM 249.10 249.10 211.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.37 211.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000161 272 HEMOCLIP AUTOMATIC SMALL 248.04 248.04 210.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 173.63 210.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 173.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000162 270 BIO DRILL ADAPTER 3.6MM 471839 575.58 575.58 489.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.91 489.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 402.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000163 272 TRANSCUCER DOME UDS 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000164 272 TUBING PRESSURE 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000165 272 TUBING PUMP UDS UDP 79.50 79.50 67.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 67.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000166 270 LAB PUMP TUBING EXT. UDS-576T 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000168 270 LAB RUSCH CATH 8 UDS-107E 39.22 39.22 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000169 270 LAB RECTAL BALL. UDS-108C 66.78 66.78 56.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.75 56.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000170 270 LAB RECTAL BALL.ADAP UDS-108A 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000171 272 SET SUCTION SHOWER HEAD IRR 80.56 80.56 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000173 272 KIT MIXING BOWL DISP 115.54 115.54 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000174 272 SUCTION SOFT SPLASH SHLD IRR 79.50 79.50 67.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 67.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000175 272 SUCTION PULSEVAC DEBRIDMT SYST 157.94 157.94 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000176 270 DAV IRRIG TIP SUCTION 0057630 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000177 272 CATHETER FOLEY COUDE 16FR 5CC 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000178 272 CATHETER FOLEY 18FR 5CC 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000179 272 CATHETER FOLEY 22FR 5CC 3WY 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000180 272 PICK VEIN OSCOR 46.64 46.64 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000181 272 BALDE ARTHROWAND 3.5MM 90 DEGR 904.18 904.18 768.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 632.93 768.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 632.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000182 272 ART ART WAND 3.0 50 DEG AS4630 730.34 730.34 620.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.24 620.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000183 272 KIT NEEDLE ENDO ENDOCAVITY 86.92 86.92 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000184 270 MICRO CORE BX SYS.18G 510-1 78.44 78.44 66.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.91 66.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000185 272 CAUTERY ESU LIGASURE LS3112 904.18 904.18 768.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 632.93 768.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 632.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000186 272 CURETTE VACUUM 6MM 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000187 272 CURRETTE VACUUM 8MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000188 272 CURRETTE VACUUM 10MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000189 272 CURETTE VACUUM 11MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000190 272 TUBE SUCTION NON-CONDUCTIVE 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000191 272 UNI HUMI-KRON UTERINE MANIP 60 135.82 135.82 115.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.07 115.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000193 272 CURRETTE VACUUM 7MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000194 271 SUCTION SEP-T-VAC COLLECTION 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000195 272 CABLE SURGICAL LARGE CLIP 215.18 215.18 182.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.63 182.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000196 270 STR HUM BLADE 4.0 290-648-00 405.98 405.98 345.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.19 345.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000197 272 CATHETER FOLEY 18FR 5CC 2-WAY 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000198 272 LIGATOR MULTI-BAND 6 SHOOT 1070.60 1070.60 910.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 749.42 910.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 749.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000210 270 OST OSC SAW BLADE 11-2334 417.64 417.64 354.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 292.35 354.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 292.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000211 270 MIC GDWIRE .038X150 620-101 59.36 59.36 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.55 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000213 272 MIC BASKET STON RETR. 330-10 763.20 763.20 648.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 534.24 648.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 534.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000214 270 MED PACE INTRO SET 6207S1 231.08 231.08 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000215 270 WOL ELECTRODE 24F 8424.0310 471.70 471.70 400.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.19 400.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000218 270 MIC RX NEEDLEKNIFE 4584 822.56 822.56 699.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 575.79 699.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 575.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000219 272 BRUSH ERCP CYTOLOGY RAPIDE 419.76 419.76 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000220 270 MIC JAGTAIL 5690 377.36 377.36 320.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.15 320.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000222 270 MED GDWIRE .035X120 007045 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000229 272 CATHETER FOLEY 22FR 30CC 3WY 261.82 261.82 222.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.27 222.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000230 272 CATHETER FOLEY 16FR 5CC 2-WAY 13.78 13.78 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000235 272 DRESSING TEGADERM SMALL 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000236 270 KIM EENT SPLIT SHEET 89351 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000237 272 SHEATH SCOPE ENT ENDSCRB 0 DEG 161.12 161.12 136.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.78 136.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000238 270 XOM ENDOSCRUB 30 DEG 18-502 171.72 171.72 145.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.20 145.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000239 271 SPLINT AQUAPLAST 3X3 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000240 272 SPONGE TONSIL STRING CYLD 1/2 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000241 272 BLADE BEAVER #6400 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000242 270 UPJ GELFILM 0009-0297-01 355.10 355.10 301.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.57 301.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000243 272 ADAPTER SUCTION ENT HEMOVAC 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000244 272 SPONGE TONSIL ADENOID 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000245 272 SURGICEL 4X8 285.14 285.14 242.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 199.60 242.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 199.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000246 272 ENDO CATCH AUTO SUTURE 10MM 649.78 649.78 552.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 454.85 552.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 454.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000251 272 STAPLER LDS 15W 765.32 765.32 650.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 535.72 650.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 535.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000252 270 MUE FOG IRRIG CAT 4FR CV1058 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000253 270 ALB STOCKINETTE 2 DRAPE ROLL 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000256 270 ALBA STOCKINETTE 5 DRAPE ROL 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000258 270 BAX IMPERV STOCKINETTE LRG 158 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000259 270 BAX STOCKINETTE MED 1585 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000260 270 ALBA STOCKINETTE SM 23646-920 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000261 270 OST DRILL 4.2X130MM 1806.4280 756.84 756.84 643.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 529.79 643.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 529.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000262 270 OST DRILL 4.2X260MM 1806.4250 756.84 756.84 643.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 529.79 643.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 529.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000263 270 GUIDEWIRE DRILL 3X800MM 815.14 815.14 692.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 570.60 692.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 570.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000264 270 OST K-WIRE 3.2X450M 1210-645 665.68 665.68 565.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.98 565.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000265 270 OST K-WIRE 3.0X285M 1806-005 552.26 552.26 469.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 386.58 469.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 386.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000266 272 WATER STERILE IRR 1500ML 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000267 270 BAX SOD/CHLOIDE 500CCS 2F712 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000270 272 "BAG, SUR-FIT POUCH 2 3/4" 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000273 272 SPONGE TELFA 3X8 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000274 270 RICH ABDUCTION PILLOW SM 25580 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000275 272 BLADE RIB BACK SIZE 20 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000276 272 BLADE RIB BACK CARB SIZE 10 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000279 272 CATHETER UMBILICAL VESSEL 8FR 32.86 32.86 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000280 272 ARG UMB VESSEL CATH 5.0FR 160 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000281 272 DRESSING PLAIN PACKING 1/4 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000282 270 BAX ANSTH. EXT SET 2C5628 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000283 270 POV IODINE SOL (BETADINE) 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000284 270 ERBE APC PROBE2.3MM 20132-07 787.58 787.58 669.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 551.31 669.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 551.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000285 270 ERBE APC FILTER 0.20MM 20132- 258.64 258.64 219.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.05 219.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000287 272 RETRACTOR IRIS FLEXIBLE 468.52 468.52 398.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 327.96 398.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 327.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000288 270 BARD PERCUT. KIT 10 0601460 235.32 235.32 200.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.72 200.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000290 272 TUBING INSUFFLATOR CO2 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000291 270 OST DRILL 4.2X340MM 1806.4260 833.16 833.16 708.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.21 708.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000292 270 OST DRILL 4.2X180MM 1806.4270 815.14 815.14 692.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 570.60 692.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 570.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000293 272 BLADE RECIPROCATOR 12 5X70 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000294 272 PACK PHACO MAXVAC 30 DGRE FLAR 1111.94 1111.94 945.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 778.36 945.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 778.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000295 272 BANDAGE ESMARK 4 LR 85.86 85.86 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000296 272 "BANDAGE, ESMARK 6 LF" 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000299 272 BLADE OSCILLATING SAW 177.02 177.02 150.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 123.91 150.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 123.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000300 270 ALCON CAUTERY 8065-8041-01 55.12 55.12 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000301 270 RICH ABDUCTION PILLOW MED 2558 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000303 270 MIC SUTURE CAPIO 833-124 98.58 98.58 83.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.01 83.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000304 272 SPINCTERTOME ERCP CANNULATING 1046.22 1046.22 889.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 732.35 889.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 732.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000306 270 OST GUIDE PIN 0152-0218S 533.18 533.18 453.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.23 453.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000307 270 ETHI PL GUT 4-0 SC-1 1828H 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000309 270 BEI HYDRO THERMABLATOR 55015 2838.68 2838.68 2412.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1987.08 2412.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1987.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000310 270 BEI HEATER CANNISTER 55022 334.96 334.96 284.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 234.47 284.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 234.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000311 272 DRILL FEMORAL IM FIXATION 5.0M 722.92 722.92 614.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.04 614.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000312 272 DRILL IM FIX DISTL PILT TP 5.0 722.92 722.92 614.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.04 614.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000314 271 DRESSING COVER RLL STRTCH 6X2 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000315 270 TECH KNEE BRACE 43835-210 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000317 272 BLADE BARD PARKER ENT 15C 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000318 270 WOL PROBE ELEC. URET.5FR 2135 843.76 843.76 717.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 590.63 717.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 590.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000320 272 PROBE LITH/ELEC DIGTL BLADR 9F 792.88 792.88 673.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.02 673.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000321 270 ROSS REPL FEEDING TUB 20 PEG 189.74 189.74 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000323 270 KIM LIMB HOLDER 12525 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000324 270 BAX SECONDARY SET 2C7462 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000325 272 LOOP VESSEL RED MAXI 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000326 272 LOOP VESSEL BLUE MINI 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000327 270 BARD TUNNELLER HICKMAN 60193 116.60 116.60 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000328 272 CATHETER FOLEY 24FR 30CC 3WY 99.64 99.64 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000329 270 BARD MUSHROOM CATH 30FR 0860 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000330 272 CATHETER INGRAM TROCAR 16FR 96.46 96.46 81.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.52 81.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000332 270 ENDO ESMARK 4X12 014.02 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000333 270 ZIM CEMENT KIT 5049-55 678.40 678.40 576.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 474.88 576.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 474.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000334 271 SCROTAL SUSPENSORY MED 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000336 272 SPONGE NEURO END 1/2X3 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000337 272 KIT SUCTION CATH W/SALINE 14FR 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000341 271 SCROTAL SUSPENSORY LRG 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000342 271 SCROTAL SUSPENSORY XL 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000343 270 ZIM OSCILLATOR 5071-161 252.28 252.28 214.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 176.60 214.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000345 270 BAR FOLEY 16FR 30CC 2WY 0166 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000346 270 BAR FOLEY 14FR 30CC 2WY 0166 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000347 270 BAR FOLEY 18FR 30CC 2WY 0166 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000349 272 DRESSING SKIN CLSR ETHSTRP 1/2 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000351 272 DRESSING SKIN CLSR ETHTHRP 1/4 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000352 270 STR HUM BLADE 4.0 292-744-10 405.98 405.98 345.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.19 345.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000353 270 STR HUM BLADE 3.5 290-638-00 384.78 384.78 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000354 270 STR HUM CASS. 290-075-000 125.08 125.08 106.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.56 106.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000356 270 ROSS REPL FEEDING TUB 18 PEG 148.40 148.40 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.88 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000357 270 MIC LOW PEG 24FR M005 62830 626.46 626.46 532.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 438.52 532.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 438.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000359 250 BALANCED SALT SOL (BSS) 15ML 12.72 12.72 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 8.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000360 272 "BANDAGE, KLING SOFT CONFORMING" 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000361 272 ADAPTER SWIVEL PROTEX 184.44 184.44 156.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.11 156.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000362 271 STATLOCK FOLEY CATH 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000363 270 VEN N/T TUBE STATLOCK VNGSPL 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000364 272 MIC ONE-STEP BUTTON 24FR 6304 800.30 800.30 680.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.21 680.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000365 272 TUBING Y 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000366 270 XOM CAUT OPHTH HOT TEMP 00-068 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000368 270 GAY DISPOS-A-PROBE DP 400 CE 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000371 270 TEC KNEE BRACE XL 43835-240 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000372 272 STIMULATOR NERVE XOMED 181.26 181.26 154.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.88 154.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000373 270 AND SUMP DRAIN 18FR 6354-001 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000374 270 ARG SET INFUSE MEDI 8888-809 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000375 272 TUBE SUCTION TONSIL COAG ENT 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000376 250 SOLUTION GLYCINE 3000ML 22.26 22.26 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 14.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000378 270 BARD RED RB 16FR CATH 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000379 272 CATHETER #10FR RED RUBBER 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000382 270 COD SURG STRIP SPNG 3/4 80-145 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000383 270 COD SURG STRIP SPNG 1/2 80-145 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000384 270 COD SURG STRIP SPNG 1/4 80-145 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000385 272 KIT LOW PROFILE PEG 24FR 800.30 800.30 680.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.21 680.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000386 272 KIT LOW PROFILE PEG 24 FR 800.30 800.30 680.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.21 680.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000387 270 ZIM DRILL 2.5MM 2410-029-00 204.58 204.58 173.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.21 173.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000388 272 CATHETER #8FR RED RUBBER 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000389 272 KIT JEJUNOSTOMY TB 14FR 0301 751.54 751.54 638.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 526.08 638.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 526.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000390 272 BLADE ROUND GIGLE SAW 108.12 108.12 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000391 272 DRILL PILOT 316.0005 1052.58 1052.58 894.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 736.81 894.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 736.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000392 270 ETH CR SHEAR 14CM CS14C 1425.70 1425.70 1211.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 997.99 1211.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 997.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000393 272 BLADE HARMONIC SCALPL CRV W/GR 566.04 566.04 481.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 396.23 481.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 396.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000394 270 ZIM OSCILLATOR 5052-179 542.72 542.72 461.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.90 461.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000395 270 ETHI STAPL ARTICULATING 55 AX5 905.24 905.24 769.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 633.67 769.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 633.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000396 270 DEP PHIL TRAC/CERV COLL 3015-4 106.00 106.00 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000399 272 INK ENDOSCOPIC MARKER SPOT 5ML 126.14 126.14 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000400 271 BAG URODRAIN 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000402 270 ETH CHROMIC 2-0 G123H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000403 270 ETH PL GUT 3-0 665H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000404 270 ETH VICRYL 2-0 J417H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000405 270 ETH VICRYL 1 J208G 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000406 270 ETH VICRYL 0 J352H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000407 270 ETH CHROMIC 2-0 811H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000408 270 ETH PL GUT 2-0 843H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000409 270 ETH CHROMIC 0 812H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000410 270 ETH VICRYL 1 J353H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000411 270 ETH CHROMIC 4-0 U203H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000412 270 ETH CHROMIC 3-0 G122H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000413 270 ETH MONOCRYL 4-0 X-494G 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000414 270 ETH ETHILON 3-0 1669H 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000415 270 ETH ETHILON 10-0 7756G 60.42 60.42 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000416 270 ETH VICRYL 4-0 J496H 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000417 270 ETH VICRYL 0 J260H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000418 270 ETH PROLENE 0 8424H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000419 270 ETH VICRYL 3-0 J497H 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000420 270 SUT PDS II 4-0 PC-3 Z845G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000421 270 ETH ETHILON 4-0 X 1629H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000422 270 ETH SILK 4-0 SA63H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000423 270 ETH SILK 2-0 SA85 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000424 270 ETH PROLENE 5-0 8717H 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000425 270 ETH SILK TIES 1 SA-7H 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000426 270 ETH SILK 0 SA86G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000427 270 ETH SILK 3-0 SA84H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000428 270 ETH PROLENE 6-0 8806H 39.22 39.22 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000429 270 ETH VICRYL 3-0 J416H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000430 270 OST DRILL 3.5X130MM 1806.3550 810.90 810.90 689.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.63 689.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000431 270 ETH ETHILON 2 825G 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000432 270 ETH SILK 2-0 3K833 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000433 270 ETH CHROMIC 2-0 SG13T 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000434 270 ETH VICRYL 1 J261H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000435 270 ETH PROLENE 2-0 8411H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000436 270 ETH VICRYL 2-0 J259H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000437 270 ETH PL GUT 3-0 FS-2 H822H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000438 270 ETH CHROMIC 3-0 L112H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000439 270 ETH ETHILON 3-0 627H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000440 270 ETH SILK 0 622H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000441 270 ETH VICRYL 0 J603H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000442 270 ETH VICRYL 4-0 J494H 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000443 270 ETH SILK 2-0 685H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000444 272 NEEDLE VERESS ENDO 150MM 156.88 156.88 133.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.82 133.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000445 272 TUBE DISP LAPAROSCOPY C02 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000446 270 ETHI BONE WAX W31G 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000447 272 SHEATH PERCUTANEOUS AK 1172.36 1172.36 996.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 820.65 996.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 820.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000449 272 BALL ERCP CAT INERNAL 0260.18 1250.80 1250.80 1063.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 875.56 1063.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 875.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000450 270 WOL PROBE ELEC/URET 2.3F 2280 920.08 920.08 782.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 644.06 782.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 644.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000452 272 MIC FORCEP GASTRIC BIOPSY 15 111.30 111.30 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000454 272 RETRIEVER POYP ROTH NET 346.62 346.62 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000455 270 ZIM K-WIRE 3.0MM 0186-027-20 116.60 116.60 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000456 272 MIC EXTRAC BA DIL 9X12 4690 762.14 762.14 647.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.50 647.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000457 270 GYN LOOP ELECTRODE 20X8 12-2 39.22 39.22 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000458 272 ELECTRODE LOOP 20X15MM GYN 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000459 272 ELECTRODE LOOP 25X15MM GYN 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000460 272 ELECTRODE LOOP SQR 10.4MM GYN 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000461 272 MIC DEVICE BX CAP 4526 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000462 270 PHAR GELGOAM 100 0009-0342-0 523.64 523.64 445.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 366.55 445.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 366.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000463 270 OST TRINKLE REAMER 0227-3000 833.16 833.16 708.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.21 708.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000464 272 DEVICE SUTURING ENDO CLOSE 181.26 181.26 154.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.88 154.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000465 272 CATH BALLOON ESOPH 12-13.5-15M 762.14 762.14 647.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.50 647.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000466 270 ETH CR SHEAR PISTOL 36CM LSC 13634.78 13634.78 11589.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9544.35 11589.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9544.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000467 270 ETH SILK 3-0 3K832 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000468 270 ETH SILK O K834H 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000469 270 ZIM PAT REM BLADE 41MM 5979-95 728.22 728.22 618.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 509.75 618.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 509.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000471 272 CABLE SURGICAL REM 2.5 DISP 115.54 115.54 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000472 270 GUID WRENCH PACEMAKER 6942 189.74 189.74 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000473 250 DRESSING DERMABOND 67.84 67.84 47.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 44.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000474 270 US SUR STAPL FASCIAL 070614 398.56 398.56 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000475 272 KIT ENDO ABLA NOVASURE 4329.04 4329.04 3679.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3030.33 3679.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3030.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000476 272 CATHETER FOLEY COUDE 14FR 5CC 46.64 46.64 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000477 272 CATH FOLEY COUDE 18FR 5CC 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000478 272 CATHETER FOLEY COUDE 20FR 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000479 272 DRILL IM FIX DISTL PILT TP 3.7 722.92 722.92 614.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.04 614.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000480 272 WIRE HUMERAL GUIDE SMOOTH 280.90 280.90 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000481 272 BLADE INCISOR 4.5MM STRAIGHT 288.32 288.32 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000482 270 SMI ABRADER BLADE 4.0 7205324 197.16 197.16 167.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.01 167.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000483 272 STAPLER LIN ARTICULAT 55 PROX 1287.90 1287.90 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000484 270 ETH 12MM THOR TROC SLEEVE TT0 76.32 76.32 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000485 272 CUTTER ENDO LINR W/SFTY LK 45M 1189.32 1189.32 1010.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.52 1010.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000486 272 ETH REFILL 45MM ZR45G 484.42 484.42 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000487 272 BLAD MYRINGOTOMY ENT 3.2 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000488 270 GUID INTRO SET 10FR 6093 208.82 208.82 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000489 270 GUID INTRO SET 8FR 6091 208.82 208.82 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000490 270 MIC CAPIO SUTURE DEVICE 831-1 3729.08 3729.08 3169.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2610.36 3169.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2610.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000491 272 DRILL FEMORAL IM FIXATION 3.7M 627.52 627.52 533.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 439.26 533.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 439.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000492 270 ETH PDS II 3-0 Z683 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000493 270 BARD FOLEY CATH 16FR 3WY 0167L 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000494 270 ETH PROLENE 4-0 8621H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000495 270 ETH CHROMIC 0 904H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000496 270 ETH VICRYL 1 J959H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000497 270 ETH PL. GUT 2-0 TIES L103G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000498 270 ETH ETHILON 4-0 1667H 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000499 270 BARD FOLEY 18F 5CC 3WAY 0119 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000500 270 ETH PROLENE 2-0 SH 36 8523H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000501 270 ETH PROLENE 4-0 FS-2 8638G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000502 270 ETH PROLENE 4-0 FS-1 8629H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000503 270 ETH ETHILON 3-0 FS-1 663H 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000504 270 BSN ORTHO GLASS 5X15 OG-5L1 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000505 270 BSN ORTHO GLASS 4 ROLL OG-4 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000506 272 BLADE PATELLA REAMER 38MM 769.56 769.56 654.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 538.69 654.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 538.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000507 272 CAUTERY ESU W/HOLSTR COAT BLAD 61.48 61.48 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000508 270 WIL STONE BASKET 4-WIRE MSB-2X 1119.36 1119.36 951.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 783.55 951.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 783.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000509 270 ZIM GLV ORTHO RAD 70-1000-080 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000510 270 RETENTION SUTURE BOLSTER 450G 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000511 270 ETH CHROMIC 0 SG14T 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000512 270 ETH CHROMIC 1 975H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000513 270 ETH CHROMIC 1 SG15T 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000514 270 ETH CHROMIC 4-0 1643G 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000515 270 ETH ETHIBOND 2 X496T 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000516 270 ETH ETHILON 2-0 664H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000517 270 ETH PROLENE 7-0 8696G 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000518 270 ETH VICRYL 3-0 J936H 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000519 270 ETH SILK 7-0 768G 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000520 270 ETH SILK 3-0 1679H 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000521 270 BAU CORNEAL PROTECTOR E5699 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000524 270 ETH PROLENE 5-0 RB-1 8555H 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000525 270 ETH PROLENE 3-0 FS-1 8684G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000526 270 WIL SPHINCT WIRE GUID PTG-20-6 568.16 568.16 482.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.71 482.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000528 270 ETH VICRYL 5-0 J543H 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000529 270 ETH SILK 6-0 780G 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000530 270 ETH ETHILON 5-0 698G 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000531 270 ETH MONOCRYL 5-0 Y-493G 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000532 270 ETH VICRYL 3-0 J305H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000533 270 ETH VICRYL 4-0 J304H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000534 270 ETH PL GUT TIE 4-0 L101G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000535 270 ETH CHROMIC 5-0 687G 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000536 270 ETH PROLENE 4-0 8557H 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000537 272 MIC RESOLUTION CLIP M0052261 831.04 831.04 706.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 581.73 706.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 581.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000538 272 PROBE GOLD 7FR 1269.88 1269.88 1079.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 888.92 1079.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 888.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000540 272 ALC GREENBAUM CANN 8065-4430- 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000541 272 ALC J CANNULA 25G 8065-4412 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000542 270 ETH PL GUT 6-0 PC-1 1916G 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000543 270 ETH ETHILON 7-0 P-6 1647G 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000544 270 ETH PDS II 5-0 P-2 Z504G 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000545 270 ETH PROLENE 9-0 P-1 8697H 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000546 270 ETH PROLENE 9-0 P-1 8697G 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000547 270 ETH MERSIL 5MM LR R-499T 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000548 270 ETH SILK 4-0 BB 30 K881H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000549 272 CATHETER FOLEY 20FR 5CC 2-WAY 16.96 16.96 14.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.87 14.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000550 270 ETH ETHILON 6-0 697H 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000551 270 ETH CHROMIC 0 TIE S114H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000552 270 ETH PL GUT TIE 3-0 L102G 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000553 270 ETH CHROMIC 4-0 1637G 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000554 270 ETH CHROMIC 5-0 634G 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000555 270 ETH ETHIBOND 1 OS-4 X-518H 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000556 270 ETH VICRYL 7-0 J575G 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000557 270 ETH CHROMIC 5-0 1792G 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000558 270 ETH PDS II 1 2879G 76.32 76.32 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000559 272 HEMOSTATIC CLIPPING DEVICE 753.66 753.66 640.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 527.56 640.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 527.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000560 271 FILTER OPTI MUMM ULPA 365.70 365.70 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000561 271 EVACUATOR ATTACHMENT 704.90 704.90 599.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 493.43 599.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 493.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000562 272 TUBING SMOKE EVACUATOR 61.48 61.48 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000563 271 FILTER SMOKE EVACUATOR 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000564 270 BARD PRECUT. KIT 13 0601490 235.32 235.32 200.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.72 200.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000565 270 BARD 12FR DUAL 0600620 651.90 651.90 554.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 456.33 554.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 456.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000566 270 PADGETT BLADE 252 76.32 76.32 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000567 270 ETH HARM SCALPEL CS23C 1296.38 1296.38 1101.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 907.47 1101.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 907.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000569 272 CATHETER FOLEY 20FR 30CC 2WY 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000570 270 ETH PROLENE 5-0 P-3 8698G 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000571 270 ETH PDS11 6-0 Z489G 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000572 270 ETH SILK 4-0 789G 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000573 270 ETH PDS II 4-0 Z504G 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000574 270 ETH NYLON 7-0 P-1 1696G 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000575 270 ETH VIC 2-0 CT-1 VC259H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000576 270 ETH VIC 3-0 SH J416H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000577 270 ETH VICRYL 5-0 J463G 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000578 270 ETH SILK 3-0 622H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000579 270 GUID INTRO SET 7FR 6089 208.82 208.82 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000580 272 BALL INJECTION NEEDL CATH 6081 98.58 98.58 83.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.01 83.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000584 270 ETH CHROMIC 0 884H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000585 272 CATHETER FOLEY 22FR 30CC 2WY 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000586 270 BARD FOLEY 16FR 5CC 3W 0119L 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000587 270 ETH SILK 2-0 KS 623H 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000588 270 ETH CHROMIC 2-0 STD 54 S113H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000589 270 ETH CHROMIC 3-0 PS-2 1638H 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000590 270 ETH ETHIBOND 1 CT-1 X-425H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000591 270 ETH PROLENE 1 CTX 30 8455H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000592 270 ETH VICRYL 9-0 BU100-3 V-402 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000593 270 ETH PROLENE 7-0 BV-1 18 8701 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000594 270 ETH COTTON UMB TAPE U11T 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000595 270 ETH PROLENE 6-0 C-1 24 8726H 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000596 272 WRENCH PM 170.66 170.66 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000597 270 DUP ORTHOSORB PIN 84-1050 1647.24 1647.24 1400.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1153.07 1400.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1153.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000598 270 BD PICC INTRODUCER 384011 173.84 173.84 147.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.69 147.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000599 272 KIT JEJUNOSTOMY TB 14FR 500.32 500.32 425.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.22 425.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000600 272 STAPLER 1 ENDO ILS ENO CURVED 1981.14 1981.14 1683.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1386.80 1683.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1386.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000601 270 ETH ETHILON 5-0 661G 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000602 270 ETH PDS 11 2-0 Z339H 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000603 270 ETH SILK 5-0 1676H 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000604 270 ETH ETHIBOND 2-0 X-833H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000605 270 ETH ETHIBOND 0 X-444H 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000606 270 ETH VIC 0 CT-1 ETVCP260H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000607 270 SUT PL GUT 4-0 FS-2 H821H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000608 270 ETH PROLENE 6-0 8714H 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000610 272 CATHETER FOLEY 24FR 30CC 2 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000611 272 ELECTRODE LEEP BALL (VALLEY L 74.20 74.20 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000613 272 BLADE SAGITTAL SAW KM 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000614 270 CATHETER FOLEY 18FR 30CC 2 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000615 270 PERSONAL BINDER S/M (PROCARE) 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000616 270 PERSONAL BINDER M/L (PROCARE) 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000617 270 CLIPPER HEAD DISP. FOR RAZOR 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000618 270 SUT ETHIBOND 2 OS-4 CUTTING 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000619 270 SUT PROLENE 4-0 PS-2 (ETHIC 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000622 270 KIT LOCKING TALAR-FIT SURGICA 2006.58 2006.58 1705.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1404.61 1705.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1404.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000623 270 CATHETER RECTAL TUBE 28 251.22 251.22 213.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.85 213.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000625 270 SUT PROLENE 6-0 BV-1 24 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000626 270 SUT VICRYL 3-0 TIES 54 (E 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000627 270 SUT PL. GUT 2-0 FS-1 H823H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000628 270 WIRE AMPLATZ .035 (BOSTON SCI 116.60 116.60 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000629 270 WIRE SENSOR .035 (BOSTON SCIE 179.14 179.14 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000630 270 SHEATH URETERAL ACCESS 11/13 492.90 492.90 418.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 345.03 418.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 345.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000631 270 SUT IMPLANT CARTRIDGE 10 Q-RI 833.16 833.16 708.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.21 708.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000632 270 SUT IMPLANT CARTRIDGE 30 Q-RI 1287.90 1287.90 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000633 272 ADAPTER CATHETER URETERAL 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000634 270 CAUTERY TIP LONG EXTENDED BLA 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000635 272 HEMOCLIP AUTOMATIC LARGE LIG 234.26 234.26 199.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.98 199.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000636 270 SUT CHROMIC 2-0 C-T (ETHIC 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000637 270 SUT PL. GUT 4-0 M-1 742G 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000638 270 SUT CHROMIC 4-0 P-3 (ETHIC 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000639 270 STYLET KIT 58CM (MEDTRONIC) 189.74 189.74 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000641 272 NEEDLE COLORADO 3CM 140.98 140.98 119.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.69 119.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000642 272 NEEDLE COLORADO 7CM STRAIGHT 200.34 200.34 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.24 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000643 270 CATHETER MAHURKAR 12FR X 13CM 311.64 311.64 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000644 270 ERCP RX 39 AUTOTOME SPHINCTE 976.26 976.26 829.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 683.38 829.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 683.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000645 270 KNIFE COLD STRAIGHT BLADE (A 662.50 662.50 563.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 463.75 563.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 463.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000648 270 INTRODUCER INTROSYTE AUTOGUAR 172.78 172.78 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000649 272 KIT SUCTION CATHETER W/SALINE 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000650 272 CATHETER FOLEY 12FR 5CC 2-W 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000651 272 LASER FIBER URETERAL FLEX (RE 750.48 750.48 637.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.34 637.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000652 272 LASER FIBER URETERAL RIGID (R 750.48 750.48 637.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.34 637.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000653 270 LASER FIBER BLADDER (REPUBLIC 1363.16 1363.16 1158.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 954.21 1158.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 954.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000654 270 SUT CHROMIC 0 CP-1 (ETHICO 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000655 270 SUT VICRYL 4-0 KS (ETHICON 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000656 270 SUT PROLENE 7-0 BV-1 24 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000658 270 BOX WRENCH 10MM OPEN (SBI) 9 579.82 579.82 492.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 405.87 492.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 405.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000659 272 DRILL BIT 3.1MM (STRYKER) 702 573.46 573.46 487.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 401.42 487.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 401.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000660 270 K-WIRE (STRYKER) 38111090 60.42 60.42 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000661 272 DRILL BIT 2.5MM (STRYKER) 70 954.00 954.00 810.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 667.80 810.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 667.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000663 272 CONNECTOR TRACH FLEXIBLE 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000664 270 KIT CVP PRESSURE MONITOR (ARR 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000665 272 WIRE KIRSCHNER .45 X 9 F 24.38 24.38 20.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.07 20.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000666 270 DRILL BIT Q-C 2.5MM X 110MM ( 187.62 187.62 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000667 272 WIRE KIRSCHNER .062 X 9 F 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000668 270 SUT ETHILON 4-0 KS (ETHICO 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000669 270 BLADE HEMOSTATIX ENT SCALPEL 152.64 152.64 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000670 272 BLADE HEMOSTATIX ENT SCALPEL 312.70 312.70 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.89 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000671 270 K-WIRE (ACUMED) WS-1106ST 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000672 270 DRILL BIT 2.0 (ACUMED) MS-DCR 152.64 152.64 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000673 270 DRILL BIT 2.8 (ACUMED) MS-DCJ 114.48 114.48 97.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.14 97.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000674 270 SUT CHROMIC 1 C-T (ETHICON 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000675 270 SUT SILK 3-0 RB-1 30 ( 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000676 270 SUT SILK 2 TIES 60 (ET 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000677 270 CATHETER LACRICATH TRANSNAS. 2101.98 2101.98 1786.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1471.39 1786.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1471.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000678 270 BUR OVAL MEDIUM 4.0 X 8MM ( 114.48 114.48 97.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.14 97.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000680 270 INTRODUCER SET TEAR-AWAY 8FR 197.16 197.16 167.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.01 167.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000681 270 DRILL BIT 2.8MM (ACUMED) MS-D 114.48 114.48 97.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.14 97.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000682 270 DRILL BIT 2.0MM (ACUMED) MS-D 189.74 189.74 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000683 270 K-WIRE .045 (ACUMED) WS-1106 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000684 270 K-WIRE .054 (ACUMED) WS-1406 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000685 272 TROCAR THORACOPORT 11.5 (US 306.34 306.34 260.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 214.44 260.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 214.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000686 270 TROCAR XCEL 5MM DILATING TIP 207.76 207.76 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000687 270 TROCAR XCEL 12MM BLUNT TIP ( 330.72 330.72 281.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 231.50 281.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 231.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000688 270 CATHETER (ANGIO) PROTECTIV PL 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000689 270 SUT PL. GUT 5-0 P-3 686G 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000690 270 SUT PROLENE 4-0 PS-4 (ETHI 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000691 270 TROCAR 5MM (ETHICON) B5XT 246.98 246.98 209.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.89 209.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000692 270 TROCAR 12MM (ETHICON) B12XT 326.48 326.48 277.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.54 277.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000693 270 SUT PROLENE 5-0 C-1 24 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000694 270 SUT PL GUT 1 TIES 54 S105H 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000695 270 SUT VICRYL RAPIDE 5-0 P-1 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000698 270 DRILL BIT (BIOPRO) 170.66 170.66 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000700 270 LASER FIBER BLADDER (REPUBLIC 852.24 852.24 724.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 596.57 724.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 596.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000701 270 SUT VICRYL PLUS 0 CTX (ETHICO 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000702 270 SUT VICRYL PLUS 1 CTX (ETHI 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000703 272 SHEARS CURVED W/SCISSORS HARM 1496.72 1496.72 1272.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1047.70 1272.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1047.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000704 272 SPINCETEROTOME ERCP RX44 1958.88 1958.88 1665.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1371.22 1665.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1371.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000705 270 CATHETER MAHURKAR 13.5FR X 19 311.64 311.64 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000706 270 GUIDEWIRE BALL TIP 2.4MM X 70 378.42 378.42 321.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.89 321.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000708 272 CATHETER FOLEY 14FR 5CC 2-WA 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000709 270 TRAY PICC NEEDLELESS (CHURCHI 168.54 168.54 143.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 117.98 143.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 117.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000710 270 SUT SILK 0 CT-1 (ETHICON) 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000711 270 SUT ETHILON 6-0 PS-3 (ETHI 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000712 270 TUBE TRACH XLT EXT LENGTH SHI 235.32 235.32 200.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.72 200.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000713 270 DRILL BIT 2.0 (STRYKER) 60-20 457.92 457.92 389.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 320.54 389.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 320.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000714 270 K-WIRE (STRYKER) 56-40281 106.00 106.00 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000715 272 RETRIEVER FOREIGN BODY ROTH N 365.70 365.70 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000716 270 DRILL 3.5 X 180MM (STRYKER) 730.34 730.34 620.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.24 620.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000717 270 K-WIRE 2.0 X 150MM (STRYKER) 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000718 270 SUT ETHILON 4-0 P-3 (ETHIC 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000719 270 SUT SILK 5-0 BB 30 (ET 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000722 270 KNIFE COLD HALF MOON BLADE ( 662.50 662.50 563.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 463.75 563.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 463.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000724 270 SUT MERSILENE 5MM BP RS20 108.12 108.12 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000725 270 SUT PROLENE 3-0 SH 30 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000726 270 SUT PL. GUT 6-0 G-6 (ETHICO 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000727 270 SUT VICRYL 2-0 TIES 54 (ET 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000728 272 KIT PONSKY PULL PEG (BARD) 0 750.48 750.48 637.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.34 637.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000730 272 NEEDLE VERESS 120CM 203.52 203.52 172.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.46 172.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000731 272 KIT PEG 20FR 304.22 304.22 258.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.95 258.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000733 272 TROCAR 5MM X 100MM BLADELESS 95.40 95.40 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000734 272 TROCAR 12MM X 100MM BLADELESS 122.96 122.96 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000735 272 TROCAR 5MM X 100MM BLADED (AP 80.56 80.56 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000736 272 TROCAR 12MM X 100MM BLADED (A 103.88 103.88 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.72 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000737 272 SLEEVE 5MM X 100MM (APPLED) 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000738 270 SLEEVE 12MM X 100MM (APPLED) 55.12 55.12 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000739 272 HASSON 12MM BLUNT TIP (APPLED 96.46 96.46 81.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.52 81.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000740 272 CLIP APPLIER 10MM (APPLIED) C 269.24 269.24 228.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.47 228.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000741 272 BAG SPECIMEN MONARCH (APPLIED 257.58 257.58 218.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 180.31 218.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 180.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000742 272 SCISSORS 5MM X 30CM (APPLIED) 215.18 215.18 182.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.63 182.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000743 272 GRASPER 5MM X 35CM (APPLIED) 238.50 238.50 202.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.95 202.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000744 272 NEEDLE VERESS 120CM (APPLIED) 46.64 46.64 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000745 270 NEEDLE VERESS 150CM (APPLIED) 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000746 270 OPTIRAY TUBING 48- ENDOVASCULA 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000747 272 WIRE POLYPECTOMY SNARE (CONME 61.48 61.48 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000752 270 INTRO SHEATH 7FR R/O II 6CM W 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000753 270 WIRE K 100MM (INTEGRA) 115 7 85.86 85.86 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000754 272 DRILL 2.0/2.4 (OSTEOMED) 316 914.78 914.78 777.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 640.35 777.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 640.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000755 270 BIOPSY DEVICE EASY CORE 18G X 160.06 160.06 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000756 272 TUBING DIEGO SUCTION IRRIGATI 60.42 60.42 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000757 270 DRILL BIT 2.5 X 125 (STRYKER) 481.24 481.24 409.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.87 409.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000758 270 K-WIRE 2.0 X 230 (STRYKER) 3 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000759 272 BALLOON RECTAL 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000760 270 URODYNAMICS RUSCH CATHETER FR 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000762 270 DRAPE ISOLATION BAG (BECKTON 76.32 76.32 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000763 272 CATHETER ON-Q 400 ML PUMP DUAL 1173.42 1173.42 997.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 821.39 997.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 821.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000764 272 SHEARS WAVE COAGULATING HARMO 1350.44 1350.44 1147.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 945.31 1147.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 945.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000765 270 DRILL BIT 2.3 (STRYKER) 60-2 472.76 472.76 401.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.93 401.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000766 272 DRILL 3.0/4.0 (OSTEOMED) 316 1043.04 1043.04 886.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 730.13 886.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 730.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000767 270 INTRODUCER SET SAFESHEATH 9 F 235.32 235.32 200.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.72 200.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000768 272 INFUSION SET LIFEPORT WITH Y- 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000769 270 SHEATH INTRODUCER PRELUDE (M 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000770 270 NEEDLE PERCUTANEOUS ENTRY THI 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000771 270 INFLATION DEVICE ENCORE 26 (B 280.90 280.90 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000773 270 BASKET LITHOTRIPTOR COMPATABL 1171.30 1171.30 995.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 819.91 995.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 819.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000776 270 DRILL AO 3.5 X 230 (STRYKER) 810.90 810.90 689.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.63 689.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000777 270 DRILL 4 X 180MM AO (STRYKER) 810.90 810.90 689.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.63 689.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000779 270 GUIDEWIRE (GRAMEDICA) 58.30 58.30 49.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.81 49.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000780 270 SUT VICRYL 0 CT 18 (ETHICON 39.22 39.22 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000781 270 SUT VICRYL 2-0 CT 18 (ETHIC 39.22 39.22 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000782 270 DRILL 2.5MM (STRYKER) 703586 889.34 889.34 755.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 622.54 755.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 622.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000783 270 DRILL 3.1MM (STRYKER) 703585 889.34 889.34 755.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 622.54 755.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 622.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000784 270 K-WIRE 2.0MM (STRYKER) 70358 477.00 477.00 405.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 333.90 405.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 333.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000785 270 SUT CHROMIC 1 CTX (ETHICON) 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000787 272 TROCAR LONG NON-BLADED 5MM (A 95.40 95.40 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000788 272 SHEARS FOCUS 9CM CURVED HARMO 2358.50 2358.50 2004.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1650.95 2004.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1650.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000789 270 DRILL (BIOPRO) 17659 170.66 170.66 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000790 270 DRILL (BIOPRO) 17660 170.66 170.66 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000791 272 CABLE PSA DISPOSABLE (BOSTON 115.54 115.54 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000792 270 PIN FROM HYPROCURE INSTRUMENT 378.42 378.42 321.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.89 321.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000793 270 WIRE THREADED 100 X15 (EBI) 126.14 126.14 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000796 272 KIT HYDROTHERMAL ABLATION (BO 5021.22 5021.22 4268.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3514.85 4268.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3514.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000797 270 LOOP LIGATING DEVICE DETACHAB 294.68 294.68 250.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 206.28 250.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 206.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000798 272 INTRODUCER SET SAFESHEATH 7FR 288.32 288.32 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000799 270 TUBE DECOMPRESSION RIGHT ANGL 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000800 270 MAXCUTTER 2.3MM DISPOSABLE (BI 524.70 524.70 446.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 367.29 446.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 367.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000801 270 KIT PEG 20FR (CONMED) FESP2 346.62 346.62 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000802 270 FIBER DELIVERY DEVICE SLIMLINE 3312.50 3312.50 2815.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2318.75 2815.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2318.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000803 270 DRILL A-O 2.6 (STRYKER) 7037 504.56 504.56 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000804 270 K-WIRE 1.6 (STRYKER) 390164 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000805 272 INTRODUCER SET SAFESHEATH 7FR 288.32 288.32 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000807 270 OXYGEN NASAL/MASK 212.00 212.00 180.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 148.40 180.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 148.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000808 272 IMPLANT CORING TUBE (ZIMMER) 1467.04 1467.04 1246.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1026.93 1246.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1026.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000809 270 URODYNAMICS CATHETER TWIN LUME 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000810 272 CARTRIDGE TRANSDUCER 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000812 272 ANTENNA FOR PATIENT PROGRAMMER 307.40 307.40 261.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.18 261.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000814 272 CATHETER FOLEY 20FR 3WY 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000815 250 GELFOAM SIZE 100 (PHARMACIA 65.72 65.72 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 42.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000816 272 CATHETER FOLEY 24FR 30CC 3 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000817 272 BLADE DERMATOME (ZIMMER) 00 119.78 119.78 101.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.85 101.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000818 270 SUT BIO-SUTURE TAK 3.0 1 FIB 1009.12 1009.12 857.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 706.38 857.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 706.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000819 270 KIT BIO-SUTURE TAK SMALL JOIN 504.56 504.56 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000820 272 TUBING TRANSPAC II (A-LINE) A 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000822 270 CATHETER (ANGIO) PROTECTIV PL 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000823 270 GUIDEWIRE 3 X 1000 (STRYKER) 772.74 772.74 656.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.92 656.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000824 270 WIRE ZEBRA (STRYKER) 07-4028 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000825 270 DRILL 1.9 (STRYKER) 60-19340 400.68 400.68 340.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.48 340.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000826 270 DRILL STOP PILOT TIP 5.0MM (Z 882.98 882.98 750.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 618.09 750.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 618.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000827 270 DRILL PROX. STOP PILOT TIP 5. 817.26 817.26 694.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 572.08 694.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 572.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000828 270 CATHETER FOLEY 18FR 30CC 3 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000829 270 INTRODUCER INTROSYTE AUTOGUAR 146.28 146.28 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000830 270 INTRODUCER INTROSYTE AUTOGUAR 146.28 146.28 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000832 270 EXTENSION SET TESIO VENOUS ( 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000833 270 EXTENSION SET TESIO ARTERIAL 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000834 270 STYLET KIT 58CM (MEDTRONIC) 126.14 126.14 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000835 270 STYLET KIT 65CM (MEDTRONIC) 120.84 120.84 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000836 270 STYLET KIT 58CM (MEDTRONIC) 120.84 120.84 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000838 272 NEEDLE BIOPSY CORE 18G 184.44 184.44 156.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.11 156.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000839 250 DERMABOND PRO PEN (ETHICON) D 119.78 119.78 83.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.85 77.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000841 270 SUT MONOCRYL 3- 0 PS-2 18 14.84 14.84 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000842 270 SUT PDS II 2-0 FS-1 27 (E 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000844 272 CUTTING LOOP 24FR 0.35MM (STO 511.98 511.98 435.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.39 435.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000845 270 KNIFE STRAIGHT COLD (STORZ) 587.24 587.24 499.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.07 499.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000846 270 SUT VICRYL 8-0 TG180-8 J54 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000847 270 SUT VICRYL 6-0 S-29 (ETHIC 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000848 270 SUT NYLON 4-0 P3 691G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000849 270 BUR HOODED ROUND (STRYKER) 5 394.32 394.32 335.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.02 335.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000850 270 BUR UNHOODED ROUND (STRYKER) 394.32 394.32 335.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.02 335.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000851 270 AMPLATZ 180.035 (BOSTON SCIEN) 154.76 154.76 131.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.33 131.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000852 270 SUT CHROMIC 0 BP-1 (ETHILO 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000853 272 CATHETER DUAL LUMAN 8FR 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000854 270 DRILL J LATCH 1.5MM (OSTEOMED 236.38 236.38 200.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 165.47 200.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 165.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000855 270 DRILL J LATCH 2.0MM (OSTEOMED 236.38 236.38 200.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 165.47 200.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 165.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000856 270 PLATE HOLDING TAKS 2.0/2.4MM ( 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000857 270 CATHETER UMBILICAL VESSEL 2. 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000858 272 WIRE OLIVE 119.78 119.78 101.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.85 101.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000859 272 BALLOON RECTAL 10FR 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000860 270 STOCKING ANTI-EMBOLISM XL LON 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000861 278 K-WIRE 1.0 X 105MM (STRYKER) 25.00 25.00 17.50 0.00 12.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.25 16.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.50 16.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.50 0.00 0.00 0.00 15.00 0.00 0.00 15.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000862 270 "KNIFE, ROUND COLD (STORZ) #270" 606.32 606.32 515.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.42 515.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000863 272 "INTRO SHEATH, 4FR R/O II 6CM W" 111.30 111.30 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000865 272 WIRE SENSOR STRGHT .038 172.78 172.78 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000866 272 STONE BASKET 1.9 OTIP 4 WIRE B 837.40 837.40 711.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.18 711.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000867 270 STONE BASKET 2.4 OTIP 4 WIRE B 673.10 673.10 572.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 471.17 572.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 471.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000868 272 BLADE SAGITTAL SAW 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000869 270 TRYPAN BLUE OPHTH SOL 0.06% #V 148.40 148.40 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.88 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000878 272 THD SLIDE 710004 THD LAB 1904.82 1904.82 1619.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1333.37 1619.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1333.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000892 272 DRILL BIT 2.7MM (STRYKER) #700 611.62 611.62 519.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 428.13 519.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 428.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000893 270 DRILL BIT 3.5MM (STRYKER) #700 452.62 452.62 384.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 316.83 384.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 316.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000894 270 "DRILL, CANNULATED 2.7MM (STRYK" 1299.56 1299.56 1104.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 909.69 1104.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 909.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000895 270 "K-WIRE, 1.4MM X 150MM (STRYKER" 157.94 157.94 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000896 272 "ELECTRODE, LOOP 15X12MM (GYNEX" 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000898 270 "BLADE, KOBYGARD (OSTEOMED) #38" 486.54 486.54 413.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.58 413.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000900 272 BLADE DIEGO DISSECTOR AGGRESSI 504.56 504.56 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000901 270 "TUBE, EXCHANGE (STRYKER) 1806" 1068.48 1068.48 908.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 747.94 908.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 747.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000902 270 COUNTERSINK 2.0/2.4MM (OSTEOME 725.04 725.04 616.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 507.53 616.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 507.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000903 278 LEAD CAP KIT 6623 (BOS SCI) 104.00 104.00 72.80 0.00 52.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.60 67.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.80 67.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.80 0.00 0.00 0.00 62.40 0.00 0.00 62.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000904 272 "KIT, MICROPUNCTURE 4FR (ANGIOD" 257.58 257.58 218.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 180.31 218.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 180.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000906 270 "WILS,BAL TAMP. SET ZEB-1" 2292.78 2292.78 1948.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.95 1948.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000907 270 "SUT, VICRYL, 6-0, TG100-8 #J54" 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000908 270 "SUT, VICRYL, 7-0, 12 TG140-8" 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000910 272 CAUTERY TP LNG EXT BLD 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000911 272 STAPLER TA 30 4.8 1189.32 1189.32 1010.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.52 1010.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000912 272 STAPLER TA 30 4.8 REFILL 557.56 557.56 473.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 390.29 473.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 390.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000913 272 trocar 12x150mm 122.96 122.96 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000914 270 SUT CHROMIC1 CT1 1 ETHICON 813 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000915 270 "SUT, VICRYL, 2-0, TIES, 54 (ET" 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000916 270 "SUT, MERSILENE, 5MM, BP, RS20" 108.12 108.12 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000917 272 "SLEEVE, 12MM X 100MM (APPLED)" 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000918 272 TIP FLARED 45 DEGREES ALCON #8 1100.28 1100.28 935.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 770.20 935.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 770.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000919 272 KIT ANTERIOR VITRECTOMY ALCON 639.18 639.18 543.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 447.43 543.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 447.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000920 272 INFUSION SLEEVE CO-AXIAL ALCON 172.78 172.78 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000921 270 BLDE STERN SYS 6 STRYK 6207971 94.34 94.34 80.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.04 80.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000922 270 DRLL PILOT FPS 1.6 OST 3231116 315.88 315.88 268.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.12 268.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000923 270 HOLD TAK .045X6 OSTEO 321-0004 63.60 63.60 54.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.52 54.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000924 270 GUIDWR FPS .062 OSTEO 321-0122 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000925 272 ELECTRODE COAGULATING BALL 24F 511.98 511.98 435.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.39 435.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000926 270 "CATH FOL COUDE 16F, 5CC 168L16" 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000927 270 "GUIDEWIRE, WALL STENT(BS)18001" 334.96 334.96 284.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 234.47 284.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 234.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000929 272 "TUBING, CLEARVIS II 031229-01" 115.54 115.54 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000930 270 CATHETER FOLEY 28FR 0166L28 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000931 270 MAXFRE MENISCAL REP BIO 900321 1299.56 1299.56 1104.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 909.69 1104.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 909.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000932 272 "PROBE, LITH/ELE URET RIGID 2.4" 946.58 946.58 804.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 662.61 804.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 662.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000933 270 "PROBE, LITH/ELEC URET 2280.425" 776.98 776.98 660.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.89 660.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000934 272 ENDOSCOPIC KITTNER KT-9101 ASP 188.68 188.68 160.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 160.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000936 270 "SUT, PROLENE 3-0 RB-1 36 8558H" 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000937 270 "SUT, MONOCRYL 4-0 PS-2 MCP426" 14.84 14.84 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000939 272 "WIRE, HUM BULLET TIP 2255-26" 231.08 231.08 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000940 270 "CATH, FOLEY 28FR 30CC 0166S128" 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000941 270 "DRILL, FEM ZIM 47-2255-31-37" 515.16 515.16 437.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360.61 437.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000942 270 FORAMEN NEEDLE 5 INTERS 041829 138.86 138.86 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000943 270 "SUT, PDS II 5-0 C-1 30 Z126H" 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000944 270 "CABLE, URO INTERSTIM 041827" 169.60 169.60 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000945 272 "TORQ DEV, MULTI-LINQUAL TD01" 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000946 270 "BRUSH, CYTO ENDO (BS) 1615" 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000947 270 "IMMOBIL,SHOULD XL VELPEAU SLIN" 137.80 137.80 117.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 96.46 117.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 96.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000948 270 "TRAY, SORBAVIEW DT12995" 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000949 270 "SET,RADIAL ARTERY CATH RA04020" 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000950 270 CALIBER INFLATION DEV CL3030 208.82 208.82 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000951 272 TRANSDUC COVERS CIV 610-542-24 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000952 272 GDE WRE SMTH 2.4 ZIM47-2237-33 538.48 538.48 457.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 376.94 457.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 376.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000953 270 INJECT BONE CEMNT ZIMM 5069-71 171.72 171.72 145.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.20 145.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000954 272 "BLADE, MICROCH ACCUCUT 17721" 288.32 288.32 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000955 272 CUTTING LOOP ANGL EXT 24FR 577.70 577.70 491.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 404.39 491.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 404.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000956 270 "CAUTERY, VALLEY LAB LS3091" 690.06 690.06 586.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 483.04 586.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 483.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000957 270 "FOLEY 10FR, 2WY(BARD) 0165PL10" 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000958 272 "WIRE, KIR THREADED TP 2.0X150" 108.12 108.12 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000959 272 DRILL BIT 3.3 CAN 195MM OC ZIM 892.52 892.52 758.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 624.76 758.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 624.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000960 272 C2 (ANGIODYNAMICS) #11719708 416.58 416.58 354.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 291.61 354.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 291.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000961 272 INFLATION DEV (BARD VASC)MAX30 152.64 152.64 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000962 270 INFLATION DEV CALIBER #CL3030 173.84 173.84 147.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.69 147.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000963 270 "SUT, PL. GUT, 0, FN-2 N864H" 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000964 270 SUT CHROMIC 3-0 RB-1(ETH)U204H 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000965 270 SUT CHROM 7-0 175-8(ETH)1745G 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000966 272 INTRODUCER KIT ANGIODYN 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000967 271 STOCKINGS FLOWTRON LRGE 126.14 126.14 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000968 270 DRILL BIT 4.0MM CAL(SYN)315.40 313.76 313.76 266.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.63 266.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000969 272 INTRODCR SET PM (MED)HLS-1007M 238.50 238.50 202.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.95 202.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000970 270 DRILL BIT 3.5MM ZIM 2410-036-0 174.90 174.90 148.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 122.43 148.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 122.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000971 272 BLADE DIEGO DIS GYRUS 70138000 427.18 427.18 363.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.03 363.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000972 272 BLADE DGO CON 75 GYRS 70138027 434.60 434.60 369.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.22 369.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000973 272 CATH DOV SIL 20FR 5CC 6052051C 21.20 21.20 18.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.84 18.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000974 270 GLIDEWIRE 035/260CM ANG GS3509 179.14 179.14 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000975 270 VASELINE GAUZE 6 X 36 IN 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000978 270 BLADE DIEGO DISSECTOR CON 40D 312.70 312.70 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.89 265.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000979 272 LASER FIBER VERSIVA 365 2693.46 2693.46 2289.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1885.42 2289.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1885.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000980 270 GLIDEWRE .035 180CM STR GR3503 170.66 170.66 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 145.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000981 270 GLIDEWIRE 35/180STF ANG GS3508 239.56 239.56 203.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167.69 203.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000983 270 CHEMOSITE VEN ACCS SYS 9FR AUT 3247.84 3247.84 2760.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2273.49 2760.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2273.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000984 270 "SUT, PL. GUT, 6-0, G-1, 770G" 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000985 270 CATH FOLEY 10FR 3CC 2WAY BARD 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000986 270 PURSE STRING 45 ETHICON #02073 447.32 447.32 380.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.12 380.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000987 270 GLIDEWIRE 0.035/260CM STR CATH 157.94 157.94 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000988 270 PROBE APC W FILTER 1500A ERBE 545.90 545.90 464.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.13 464.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000991 270 GUIDEWIRE STORQ .035 CORDIS 228.96 228.96 194.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 160.27 194.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 160.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000993 270 SHEATH INTRO BRITE TIP 11CM 108.12 108.12 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000994 270 CATH DILATA PTA SAVVY 3MMX10CM 1340.90 1340.90 1139.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 938.63 1139.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 938.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000995 270 CATH DILATA PTA SLEEK 2X40MM 1474.46 1474.46 1253.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1032.12 1253.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1032.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000997 272 INFLATION DEV ENCORE 26 15-105 157.94 157.94 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000998 272 DRILL BIT 2.4X121MM ZIMMER 432.48 432.48 367.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.74 367.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270000999 270 K-WIRE 1.6MM (ZIMMER) 49011615 182.32 182.32 154.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.62 154.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001000 270 BLADE NARROW ZIMMER 5071-180 251.22 251.22 213.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.85 213.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001001 272 LASER FIBER TWISTER L (UMS) 2886.38 2886.38 2453.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2020.47 2453.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2020.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001002 270 PIN OLIVE WRIGHT MED DC4212 250.16 250.16 212.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.11 212.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001003 270 DRILL 1.6MM WRIGHT MED 5202000 365.70 365.70 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001004 270 KIT BMA WRIGHT MED 8600 BMA1 124.02 124.02 105.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.81 105.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001005 270 INTROD 11CM BRITE TIP 5F CORDI 108.12 108.12 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 91.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001012 270 INTROD SHEATH 7FR 401711M 86.92 86.92 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001018 270 WIRE 2.5X230 WRIGHT 4418-2523 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001019 270 CABLE LARGE CLIP SURGICAL 4042 104.94 104.94 89.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.46 89.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001021 270 CATH PTA BALL 5F.035 5X40X135 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001025 270 CATH PTA BALL PRO 10X4CM CORD 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001026 272 VEIN PICK (GUIDANT) 6541 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001028 270 CATH DILAT PTA SLEEK 3X120MM 1031.38 1031.38 876.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 721.97 876.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 721.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001029 270 CATH DILAT PTA SAVVY 6MMX10CM 1018.66 1018.66 865.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 713.06 865.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 713.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001030 270 CATH HEMO 15.5F X24CM 10302803 630.70 630.70 536.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 441.49 536.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 441.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001031 270 CATH SCHON XL 14F X 24CM 239.56 239.56 203.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167.69 203.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001032 270 CATH HEMO 15.5F X55CM 10301211 657.20 657.20 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001035 270 GLIDEWIRE 0.035/260CM STR STIF 179.14 179.14 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001037 270 URETERAL ACCESS SHEATH 250-201 288.32 288.32 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001038 270 FORCEP PIRAN FLEX DISP 505160 903.12 903.12 767.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 632.18 767.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 632.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001040 270 LASER FIBER FLEXIVA 840-394 2063.82 2063.82 1754.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1444.67 1754.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1444.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001041 272 INTRO SHEATH 5FR 6CM RSB501 111.30 111.30 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001042 270 "Suture, PDS II 6-0 P-1 (ethico" 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001043 272 TROCAR 12 X 100MM 619.04 619.04 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001044 270 K-Wire 1.0mm (Wright Med) 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001045 270 K-Wire 1.6mm (Wright Med) 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001046 270 Drill 2.5mm (Wright Med) 394.32 394.32 335.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.02 335.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001047 270 Drill 2.0mm (Wright Med) 394.32 394.32 335.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.02 335.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001048 270 DRILL 1.6MM WRIGT MED 52021160 449.44 449.44 382.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.61 382.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001049 270 BLADE SAGITTAL BMS-S90002 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001050 272 DRILL 2.0/2.4 PROX COR 3160322 738.82 738.82 628.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 517.17 628.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 517.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001051 272 INTROD SET SAFESHEA 6F HLS1006 273.48 273.48 232.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 191.44 232.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 191.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001052 272 CABLE SURG LRG CLIP 4051L 78.44 78.44 66.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.91 66.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001053 272 DRILL BIT STRYKER 2107-3325 239.56 239.56 203.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167.69 203.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001054 272 HTA PROCERVA PROC SET 56021 4617.36 4617.36 3924.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3232.15 3924.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3232.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001055 270 NEEDLE DELIVERY DLS-7122-01S 136.74 136.74 116.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.72 116.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001056 270 IRRIG BAG SPIKE DRILL 325505 53.00 53.00 45.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 45.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001057 272 INTRODUCER GUIDE BRITETIP 7FR 414.46 414.46 352.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.12 352.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001058 272 INTROD AVANTI 5F 402-605X 64.66 64.66 54.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.26 54.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001059 270 INTROD AVANTI 6F 402-606X 43.46 43.46 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001060 270 CATH BALL 5F .035 4X7X135 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001061 270 CATH BALL 6F 7X10X110 4197000L 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001062 270 URETERAL ACCESS SHEATH 250-200 288.32 288.32 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001063 270 INTROD SET PACEMAKER 7F 7089 197.16 197.16 167.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.01 167.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001064 270 CABLE SURGICAL PSA 6129 78.44 78.44 66.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.91 66.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001065 270 DRILL 2.5 WRIGHT DC6136 449.44 449.44 382.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.61 382.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001066 270 DRILL 3.0 WRIGHT DSDS0030 449.44 449.44 382.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.61 382.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001067 270 K-WIRE 1.4MM DSDS1014 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001068 270 SUT BIO SUTURETAK 2.4 X 8.5MM 1145.86 1145.86 973.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 802.10 973.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 802.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001069 270 KIT BIO SUTURETAK MIN AR1322DS 657.20 657.20 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 558.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001070 270 STAPLER RELOAD LINEAR 90MM 4.8 209.88 209.88 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001071 270 REAMER HALLU LOCK 299005SND 568.16 568.16 482.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.71 482.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001072 270 CATH VERT TEMPO AQUA 5F 100CM 142.04 142.04 120.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.43 120.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001073 270 CATH PTA BALL OPTA PRO 5F .035 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001075 270 SUT VICRYL 2-0 CT 18 VCP751D 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001076 270 INTROD BRITE TIP 6FR 5.5CM 86.92 86.92 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001077 270 FORCEP GASTRIC LRG SERR 1333 76.32 76.32 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001078 270 BALLOON 15-16.5-18MM 5837 678.40 678.40 576.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 474.88 576.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 474.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001079 270 "KIT, OSTEOVATION INJ DEL" 250.16 250.16 212.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.11 212.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001080 270 GUIDE PIN METATARSAL 373-0224 92.22 92.22 78.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 64.55 78.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 64.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270001081 270 GUIDE PIN PHALANGEAL 373-0424 92.22 92.22 78.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 64.55 78.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 64.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000001 271 SEQUENTIAL STOCKING SM DVT30 161.12 161.12 136.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.78 136.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000002 271 SEQUENTIAL STOCKING LG DVT40 218.36 218.36 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000003 271 SHOE PODIATRY WOMEN LRG 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000004 271 SHOE PODIATRY WOMENS MED 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000005 271 SHOE PODIATRY MENS LRG 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000006 271 SHOE PODIATRY MENS MED 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000007 271 SHOE PODIATRY WOMENS SML 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000008 271 SHOE PODIATRY MENS SML 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000009 271 PHOTOTHERAPY LIGHT W PHOTOM 173.84 173.84 147.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.69 147.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000010 271 CAST/SPLINT LONG LEG 153.70 153.70 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000011 271 CAST/SPLINT SHORT LEG 77.38 77.38 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000012 271 CAST/SPLINT SHORT ARM 77.38 77.38 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 271000013 271 CAST/SPLINT LONG ARM 153.70 153.70 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000001 272 CANNULA HYDRO-DISSECTION 25.44 25.44 21.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.81 21.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000002 272 CYSTOTOME REV CUTTING 27 G 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000003 272 KNIFE CRESENT STRAIGHT 97.52 97.52 82.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.26 82.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000004 272 KNIFE SHORT CUT 3.5MM 100.70 100.70 85.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.49 85.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000005 272 KNIFE SLIT 2.75MM 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000006 272 KNIFE V-LANCE 1.4MM 142.04 142.04 120.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.43 120.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000007 272 NEEDLE RETROCULBAR 23G 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000008 272 ALCON I/A PACK 20508A 492.90 492.90 418.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 345.03 418.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 345.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000009 272 PACK PHACO PEA 45 DEGREE 760.02 760.02 646.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 532.01 646.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 532.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000010 272 ALCON OCC VIT PROBE 1006 692.18 692.18 588.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 484.53 588.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 484.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000011 272 ALCON BSS ADMIN SET 0065-0826- 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000012 250 SOLUTION BSS PLUS 250 180.20 180.20 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.14 117.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000013 250 SOLUTION BSS PLUS 500 192.92 192.92 135.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 125.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000015 272 ZIM PAT REM BLADE 41MM 5120-95 728.22 728.22 618.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 509.75 618.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 509.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000016 272 ZIM PAT REM BLADE 51MM 5120-95 738.82 738.82 628.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 517.17 628.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 517.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000017 272 ZIM ST REC BLA 21.5X73.5 5052- 192.92 192.92 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000018 272 DISSECTOR ENDO CURVED 5MM 442.02 442.02 375.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.41 375.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000019 272 GRASPER ENDO W/RATCH UNI 5MM 442.02 442.02 375.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.41 375.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000020 272 ETHI LAP APPEND KIT FDB15 1425.70 1425.70 1211.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 997.99 1211.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 997.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000021 272 ETHI END CHOL KIT FL TR FDC11 1129.96 1129.96 960.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 790.97 960.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 790.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000022 272 LIGACLIP ENDO II 417.64 417.64 354.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 292.35 354.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 292.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000023 272 ETHI VERESS NEEDLE 120MM UV120 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000024 272 ETHI ONESEAL 5MM-12MM ISEAL 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000025 272 SCISSOR ENDO CURVED 5MM 453.68 453.68 385.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.58 385.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000026 272 TROCAR RADIOLUCENT 12MM 361.46 361.46 307.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.02 307.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000027 272 TROCAR RADIOLUCENT SLEEVE 5MM 299.98 299.98 254.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.99 254.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000028 272 ETHI BL TIP HAS TROC 12MM 512B 288.32 288.32 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 245.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000029 272 SMI FULL RAD BLADE 2.9 3419 246.98 246.98 209.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.89 209.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 172.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000030 272 BLADE STONE CUT ACROMZER 4.0 361.46 361.46 307.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.02 307.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000031 272 CAUTERY ELECT PROBE W/HNDL END 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000032 272 BALL CYTOLOGY BRUSH DISP. 6031 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000033 272 KIT PONSKY DLX GASTRO PULL PEG 483.36 483.36 410.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.35 410.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000034 272 KIT PONSKY GASTRO DLX 20FR 330 304.22 304.22 258.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.95 258.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000035 272 BARD RAP FIRE MUL BAND LOG 000 772.74 772.74 656.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.92 656.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000036 272 NEEDLE WASHING/INJ CATH 23G 218.36 218.36 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000037 272 CARRIER SKIN GRAFT 80.56 80.56 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000038 272 SUCTION ARTHROSCOPY 307.40 307.40 261.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.18 261.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000039 272 BLADE SAGITTAL SAW 101 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000040 272 BLADE SAGITTAL SAW 3101 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000041 272 BLADE SAGITTAL SAW 3102 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000042 272 BUR CYLINDER 16-S0402 62.54 62.54 53.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.78 53.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000043 272 BUR OVAL CARBIDE 03-C0905 67.84 67.84 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000044 272 BUR OVAL CARBIDE 03-C0901 46.64 46.64 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000045 272 KOM SHAN TAPER DRILL 04-S1501 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000046 272 KOM WIREPASS DRILL 1.5MM 04-S1 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000047 272 DRILL WIREPASS 2.0MM 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000049 272 RICH SAW BLADE GENESIS 114553 283.02 283.02 240.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.11 240.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000058 272 ART ART WAND 3MM 50 DEG AS2530 730.34 730.34 620.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.24 620.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000059 272 ART ART WAND 3.6MM 90 DEG A133 644.48 644.48 547.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.14 547.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 451.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000061 272 KIM LITHOTOMY PACK DRAPE 88521 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000062 272 HEMOVAC DRAIN LRG 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000063 272 HEMOVAC DRAIN MED 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000064 271 BAG URINARY DRAINAGE 32.86 32.86 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000065 272 CATHETER UMBILICAL VSSL 3 1/2F 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000066 272 URETERAL CATH 14FR K-90 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000067 272 DRESSING IODOFORM PACKING 1/2 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000068 272 DRESSING IODOFORM PACKING 1 IN 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000069 272 DRESSING IODOFORM PACKING 2 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000070 272 BAG BILE 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000071 272 ETH ENDOPATH TROCAR 5MM 355LD 209.88 209.88 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000072 272 CATH FOLEY COUD 22FR-30CC 3WY 169.60 169.60 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000073 272 ETH ENDOPATH TROCAR 12MM 512SD 263.94 263.94 224.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.76 224.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000074 272 CATH FOLEY 22FR 30CC 3WY 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000075 272 DRILL SIDE CUTTING 86.92 86.92 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000076 272 ARR LAP CHOLANG KIT CS-01700 1293.20 1293.20 1099.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 905.24 1099.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 905.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000077 272 BAX MIN CAP PD TRANS SET 5C448 116.60 116.60 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000078 272 KIT CHOLANGIOGRM OPEN 306.34 306.34 260.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 214.44 260.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 214.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000079 272 CURETTE VACUUM 14MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000082 272 BANDAGE COBAN 4 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000083 272 ACMI CUT LOOP ELEC 26F MLE-260 296.80 296.80 252.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 207.76 252.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 207.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000085 272 BAX RECTAL/ESOPH PROBE 66N2810 89.04 89.04 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62.33 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000086 272 ELECTRODE NEEDLE WECK 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000087 272 BALL POLYP SNARE WIRE 123A 116.60 116.60 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000088 272 BARD HICKMAN CATH 9.6FR 060016 313.76 313.76 266.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.63 266.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000089 272 KIT CEMENT INJECTOR 965.66 965.66 820.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 675.96 820.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 675.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000090 272 WORD BARTH GLND CATH 10FR 5640 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000091 272 BAX CHOLANG CATH 4FR CV4985 85.86 85.86 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000092 272 SUCTIN ELECTRO/COAG WECK 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000093 272 TOT PELV POSIT SORFTW 1084 73.14 73.14 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 62.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000094 272 SUCTION SIGMOIDOSCOPY 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000095 272 ENDOLOOP EL10G 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000096 272 CURETTE VACUUM 12MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000097 272 TRUCUT BX NEEDLE 14GX6 2N2704X 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000098 272 JACKSON PRATT RESERVOIR 3101 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000099 272 CURETTE VACUUM 9MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000100 272 ADAPTER CATHETER 3250 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000101 272 ADAPTER TITANIUM LOCKING 1135.26 1135.26 964.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 794.68 964.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 794.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000104 272 DRILL 1.8MM STANDARD 1107.70 1107.70 941.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 775.39 941.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 775.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000105 272 DRILL 2.7MM STANDARD 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000106 272 K-WIRE TROCAR PT 1.25X150MM 280.90 280.90 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000107 272 DRILL BIT Q-C 2.7MM X 100MM 249.10 249.10 211.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.37 211.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000109 272 SMI BLADE ACROM 5.5MM 7205663 164.30 164.30 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000110 272 PACK ARTHROSCOPY 11 ALLEG 9185 126.14 126.14 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000113 272 RESERVOIR JACKSON PRATT 25.44 25.44 21.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.81 21.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000114 272 DRAIN JACKSON PRATT ROUND 25.44 25.44 21.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.81 21.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000117 272 SUT VICRY 5-0 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000118 272 BLADE SCLEROTOME OPTH BVR BLAD 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000119 272 TROCAR BLUNT TIP 12 X 100MM 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000120 272 RETRACTOR SYSTEM LONE STAR 256.52 256.52 218.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.56 218.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000123 272 CATH FOLEY 24 FR 30CC 2 WAY 127.20 127.20 108.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.04 108.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000124 272 SUTURE ETHILON 6-0 PS3 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000126 272 CATH ANGIO 4FR x 100 CM 46.64 46.64 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000128 272 DRILL 1.9MMX27MM AO END TWIST 351.92 351.92 299.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 246.34 299.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 246.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000129 272 DRILL 2.0MMX102MM WL 50MM 343.44 343.44 291.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 240.41 291.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 240.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000130 272 WIRE 1.4MMX100MM SMOOTH K 61.48 61.48 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000131 272 RETRACTOR DISP LARGE ALEXIS 146.28 146.28 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000132 272 WRENCH TORQUE TW 120.84 120.84 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000133 272 STYLT 53M-F 120.84 120.84 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000134 272 JACKSON PRATT 7MM FLAT 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000135 272 FIBER LASER FLEXIVA 200 1154.34 1154.34 981.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 808.04 981.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 808.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000136 272 RETRACTOR DISPO XL ALEXIS 187.62 187.62 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000137 272 FIBER LASER FLEXIVA 365 923.26 923.26 784.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 646.28 784.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 646.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000138 272 KIT LOOP LOC UNIV OSTOMY 64.66 64.66 54.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.26 54.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000139 272 SHEATH CLASSIC 7 FR CLS-1007 182.32 182.32 154.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.62 154.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000140 272 SHAFT REAMER 8.0 X 510MM 708.08 708.08 601.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 495.66 601.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 495.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000141 272 RETRACTOR DISPO LARGE ALEXIS 146.28 146.28 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000142 272 TRAY CENTESIS SAFETY 8FR STND 148.40 148.40 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.88 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000143 272 CAUTERY HIGH TEMP FINE TIP 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000145 272 KIT PNE INTERSTIM 782.28 782.28 664.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 547.60 664.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 547.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000146 272 TROCAR NON-BLADED 12MM 99.64 99.64 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000147 272 DRESSING SENSA BLK MED 130.38 130.38 110.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.27 110.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000148 272 CANNISTER W/O GEL 500ML 110.24 110.24 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000149 272 CANNULA DISP INNER 8 13.78 13.78 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000151 272 DRILL IM PROX STOP 3.7MM P TIP 1076.96 1076.96 915.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 753.87 915.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 753.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000152 272 DEVICE TRANS VAG SUT CAPTURING 3599.76 3599.76 3059.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2519.83 3059.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2519.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000153 272 DRILL MUC 5.0MM CANNULATED 930.68 930.68 791.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 651.48 791.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 651.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000154 272 DEVICE CAPIO SUTURE RETRIEVAL 1208.40 1208.40 1027.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.88 1027.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000155 250 HEMOSTAT SURGICEL 2X3 188.68 188.68 132.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 122.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000156 272 DRILL TWIST AO 3.5MM X195MM 954.00 954.00 810.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 667.80 810.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 667.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000158 272 KNIFE OPTHALMIC 40.28 40.28 34.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.20 34.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000159 272 RESERVOIRE JACKSON PRATT 100CC 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000160 272 KIT HTA PROCEDURE 4386.28 4386.28 3728.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3070.40 3728.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3070.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000162 272 SOLUTION 0.9 SOD CLH IRR 3000C 25.44 25.44 21.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.81 21.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000163 272 SOLUTION WATER IRR 3000CC 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000165 272 CATH FOLEY 2W 22FR 5CC 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000166 272 TUBING STERILE LAMIS 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000167 272 ELECT CAUTERY NDS 2.8 IN 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000168 272 TUBING 12' STRL PSI-TEC 48.76 48.76 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000169 272 WAND MICRODERIDER TOPAZ 1465.98 1465.98 1246.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1026.19 1246.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1026.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000170 272 CATH VER TEMPO AQUA 5FR 65CM 207.76 207.76 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000186 278 PINS PINABALL PRELOADED 2559.00 2559.00 1791.30 0.00 1279.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1279.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1663.35 1663.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1791.30 1663.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1791.30 0.00 0.00 0.00 1535.40 0.00 0.00 1535.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000187 272 HTA PROCERVA PROCEDURE SET 4386.28 4386.28 3728.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3070.40 3728.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3070.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000189 272 DRILL AO SM 4.2 X 230MM 679.46 679.46 577.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 475.62 577.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 475.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000190 272 PROBE APC W FILTER STR FIRE FL 796.06 796.06 676.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 557.24 676.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 557.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000191 272 ELECT CTD CAUTERY BLD 2.75 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000192 272 BRA SURGICAL 958 E-Z LRG 38-40 280.90 280.90 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000193 272 BRA SURGICAL 958EZ MED 280.90 280.90 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 238.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000194 272 SIZER BREAST IMP NATRELLE240CC 153.70 153.70 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000196 272 PINS FLUTED 3.2X89MM 2308.68 2308.68 1962.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1616.08 1962.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1616.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000198 272 BIT DRIL 2.8 MM 377.36 377.36 320.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.15 320.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000199 272 DRILL 1.4MM 526.82 526.82 447.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 368.77 447.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 368.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000200 272 DRILL 1.7 MM AO LOW PRO 434.60 434.60 369.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.22 369.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000202 272 TAK BB 165.36 165.36 140.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.75 140.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000203 272 INJECTOR FEM BONE CEMENT LRG 86.92 86.92 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000204 272 FIBER SURG 365 MICRON 942.34 942.34 800.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.64 800.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000205 272 FIBER SURG 200 MICRON 942.34 942.34 800.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.64 800.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000206 272 "FIBER SURG 1,000 MICRON" 1808.36 1808.36 1537.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1265.85 1537.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1265.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000207 272 INFINITY ULTRASND FMS SYSTEM 1123.60 1123.60 955.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 786.52 955.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 786.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000214 272 WIRE SS PTFE .035X150CM 43.46 43.46 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000215 272 STENT INLAY 6X22CM 307.40 307.40 261.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.18 261.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000216 272 DRILL PILOT 2.0MM 403.86 403.86 343.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 282.70 343.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 282.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000217 272 DRILL PROXIMAL CORTEX 3.0/4.0M 816.20 816.20 693.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 571.34 693.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 571.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000218 272 REAMER 16MM PHALANX 3847.80 3847.80 3270.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2693.46 3270.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2693.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000219 272 REAMER 16MM CANN 3847.80 3847.80 3270.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2693.46 3270.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2693.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000220 272 NEEDLE INSUFFLATION 150MM 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000221 272 WIRE-K 1.25MMX150MM 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000222 272 STRAP ANKLE 1081.20 1081.20 919.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 756.84 919.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 756.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000223 272 DRILL STR 3.3MM 484.42 484.42 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000226 272 DRILL CANN 2.1MM 1189.32 1189.32 1010.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.52 1010.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000227 272 KWIRE 1.2MMX100MM 169.60 169.60 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 144.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000228 272 COUNTERSINK CANN 3.0X3.8MM 1189.32 1189.32 1010.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.52 1010.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000229 272 BIT DRILL 2.0MM 377.36 377.36 320.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.15 320.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000230 272 BIT DRILL CANN 3.0MM 377.36 377.36 320.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.15 320.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000234 272 FIBER LASER TWST 600UM 1923.90 1923.90 1635.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1346.73 1635.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1346.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272000915 272 KIT PACEMAKER HEX WRENCH 128.26 128.26 109.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 109.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272001015 272 SUTURE GENERAL 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 272001030 272 SUTURE SPECIALITY 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274000001 272 CATHETER W/BAG 3-WAY 69.96 69.96 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274000003 278 ZIM FEM. STEM 14 7841-14-30 16564.00 16564.00 11594.80 0.00 8282.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8282.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10766.60 10766.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11594.80 10766.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11594.80 0.00 0.00 0.00 9938.40 0.00 0.00 9938.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000001 278 ZIM SCR CAN 4.0X34 1142-41-34 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000002 278 ZIM SCR CAN 4.0X36 1142-41-36 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000003 278 ZIM SCR CAN 4.0X40 1142-41-40 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000004 278 ZIM SCR CAN 4.0X42 1142-41-42 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000005 278 ZIM SCR CAN 4.0X44 1142-41-44 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000006 278 ZIM SCR CAN 4.0X46 1142-41-46 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000008 278 ZIM SCR CAN 4.0X50 1142-41-50 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000009 278 ZIM SCR CAN 4.0X65 1142-41-65 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000011 272 GUIDE PIN 1.7MM 1142 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000013 278 ZIM SCR CAN 7X55 7.0 1146-055 660.00 660.00 462.00 0.00 330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 429.00 429.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.00 429.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.00 0.00 0.00 0.00 396.00 0.00 0.00 396.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000014 278 ZIM SCR CAN 7X65 7.0 1146-065 660.00 660.00 462.00 0.00 330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 429.00 429.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.00 429.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.00 0.00 0.00 0.00 396.00 0.00 0.00 396.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000020 278 ZIM SCR CAN 7X95 7.0 1146-095 412.00 412.00 288.40 0.00 206.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 206.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.80 267.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.40 267.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.40 0.00 0.00 0.00 247.20 0.00 0.00 247.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000021 278 ZIM SCR COMP VER 19.0 47-1162 146.00 146.00 102.20 0.00 73.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.90 94.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.20 94.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.20 0.00 0.00 0.00 87.60 0.00 0.00 87.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000022 278 ZIM SCR COMP VER 25.4 47-1162 164.00 164.00 114.80 0.00 82.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 82.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.60 106.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.80 106.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.80 0.00 0.00 0.00 98.40 0.00 0.00 98.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000023 278 ZIM SCR COMP VER 38.0 47-1162 146.00 146.00 102.20 0.00 73.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.90 94.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.20 94.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.20 0.00 0.00 0.00 87.60 0.00 0.00 87.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000024 278 ZIM SCR CORT 4.5MM X 32MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000025 278 ZIM SCR CORT 4.5MM X 34MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000026 278 ZIM SCR CORT 4.5MM X 36MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000027 278 ZIM SCR CORT 4.5MM X 38MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000028 278 ZIM SCR CORT 4.5MM X 40MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000029 278 ZIM SCR CORT 4.5MM X 42MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000030 278 ZIM SCR CORT 4.5MM X 44MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000031 278 ZIM SCR CORT 4.5MM X 46MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000032 278 ZIM SCR CORT 4.5MM X 50MM 2319 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000035 278 ZIM SCR LAG STAN 110 1193-10- 832.00 832.00 582.40 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.80 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 0.00 0.00 0.00 499.20 0.00 0.00 499.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000036 278 ZIM SCR LAG STAN 140 1193-10- 832.00 832.00 582.40 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.80 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 0.00 0.00 0.00 499.20 0.00 0.00 499.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000039 278 ZIM SCR LAG STAN 85 1193-10- 832.00 832.00 582.40 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.80 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 0.00 0.00 0.00 499.20 0.00 0.00 499.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000041 278 ZIM SCR LAG STD 95 1193-10-40 832.00 832.00 582.40 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.80 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 0.00 0.00 0.00 499.20 0.00 0.00 499.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000042 278 HOWM INTERMED BRUSH 6198-1-514 304.00 304.00 212.80 0.00 152.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 197.60 197.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.80 197.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.80 0.00 0.00 0.00 182.40 0.00 0.00 182.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000043 278 CEMENT BONE HOWMEDICA 866.00 866.00 606.20 0.00 433.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 562.90 562.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 606.20 562.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 606.20 0.00 0.00 0.00 519.60 0.00 0.00 519.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000044 278 HOWM A M PROS 53MM 6940-5-530 2629.00 2629.00 1840.30 0.00 1314.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1314.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1708.85 1708.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1840.30 1708.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1840.30 0.00 0.00 0.00 1577.40 0.00 0.00 1577.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000045 278 SYN SCREW CANC 4.0X12 FTH 206. 42.00 42.00 29.40 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 0.00 0.00 0.00 25.20 0.00 0.00 25.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000046 278 SYN SCREW CANC 4.0X14 FTH 206. 42.00 42.00 29.40 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 0.00 0.00 0.00 25.20 0.00 0.00 25.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000047 278 SYN SCREW CANC 4.0X16 FTH 206. 42.00 42.00 29.40 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 0.00 0.00 0.00 25.20 0.00 0.00 25.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000048 278 SYN SCREW CANC 4.0X18 FTH 206. 42.00 42.00 29.40 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 0.00 0.00 0.00 25.20 0.00 0.00 25.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000049 278 SYN SCREW CANC 4.0X24 FTH 206. 42.00 42.00 29.40 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 27.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.40 0.00 0.00 0.00 25.20 0.00 0.00 25.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000050 278 SYN SCREW CORT 3.5X10 204.010 40.00 40.00 28.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 24.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000051 278 SYN SCREW CORT 3.5X12 204.012 40.00 40.00 28.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 24.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000052 278 SYN SCREW CORT 3.5X14 204.014 40.00 40.00 28.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 24.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000053 278 SYN SCREW CORT 3.5X16 204.016 40.00 40.00 28.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 24.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000054 278 SYN SCREW CORT 3.5X22 204.022 40.00 40.00 28.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 24.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000055 278 SYN SCREW CORT 4.5X14 214.014 36.00 36.00 25.20 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.40 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 0.00 0.00 0.00 21.60 0.00 0.00 21.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000056 278 SYN SCREW CORT 4.5X18 214.018 36.00 36.00 25.20 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.40 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 0.00 0.00 0.00 21.60 0.00 0.00 21.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000057 278 SYN SCREW CORT 4.5X38 214.038 36.00 36.00 25.20 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.40 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.20 0.00 0.00 0.00 21.60 0.00 0.00 21.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000059 278 SYN CERCLAGE WIRE 1.0X280 291. 151.00 151.00 105.70 0.00 75.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.15 98.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.70 98.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.70 0.00 0.00 0.00 90.60 0.00 0.00 90.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000060 272 SYN CERCLAGE WIRE 1.5X280 291 160.06 160.06 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000061 278 SYN CERCLAGE WIRE 1.5X280 291. 15.00 15.00 10.50 0.00 7.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.75 9.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.50 9.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.50 0.00 0.00 0.00 9.00 0.00 0.00 9.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000062 278 SYN CERCLAGE WIRE 1.5X280 291. 151.00 151.00 105.70 0.00 75.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.15 98.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.70 98.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.70 0.00 0.00 0.00 90.60 0.00 0.00 90.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000063 278 SYN PLATE TUB 1/3 IN 7 HL 241. 134.00 134.00 93.80 0.00 67.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.10 87.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 93.80 87.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 93.80 0.00 0.00 0.00 80.40 0.00 0.00 80.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000064 278 SYN PLATE TUB 1/3 IN 8 HL 241. 140.00 140.00 98.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.00 0.00 0.00 0.00 84.00 0.00 0.00 84.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000065 278 SYN PLATE TUB SEMI 5 HOLE 222 131.00 131.00 91.70 0.00 65.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.15 85.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.70 85.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.70 0.00 0.00 0.00 78.60 0.00 0.00 78.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000066 278 SYN PLATE TUB SEMI 6 HOLE 222 40.00 40.00 28.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 24.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000067 278 SYN PLATE D-C 3.5X7 HOLE 248. 294.00 294.00 205.80 0.00 147.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 147.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 191.10 191.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 205.80 191.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 205.80 0.00 0.00 0.00 176.40 0.00 0.00 176.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000068 278 SURG SEN KUG MED OV 11X14 10-1 1136.00 1136.00 795.20 0.00 568.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 568.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 738.40 738.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 795.20 738.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 795.20 0.00 0.00 0.00 681.60 0.00 0.00 681.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000070 278 MEDITECH JUG GR FIL TIT 50-300 4082.00 4082.00 2857.40 0.00 2041.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2041.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2653.30 2653.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2857.40 2653.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2857.40 0.00 0.00 0.00 2449.20 0.00 0.00 2449.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000071 278 MEDITECH FEM ONLY GR FIL 50-50 4454.00 4454.00 3117.80 0.00 2227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2895.10 2895.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3117.80 2895.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3117.80 0.00 0.00 0.00 2672.40 0.00 0.00 2672.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000072 278 ZIM PATEL SIZE 35 NEX 5972-65- 3622.00 3622.00 2535.40 0.00 1811.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1811.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2354.30 2354.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2535.40 2354.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2535.40 0.00 0.00 0.00 2173.20 0.00 0.00 2173.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000074 278 ZIM PATEL SIZE 38 NEX 5972-65- 3368.00 3368.00 2357.60 0.00 1684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2189.20 2189.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2357.60 2189.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2357.60 0.00 0.00 0.00 2020.80 0.00 0.00 2020.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000075 278 ZIM PATEL SIZE 32 NEX 5972-65- 3368.00 3368.00 2357.60 0.00 1684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2189.20 2189.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2357.60 2189.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2357.60 0.00 0.00 0.00 2020.80 0.00 0.00 2020.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000080 278 ZIM TIB STEM 7 NEX PRE 5980-57 8427.00 8427.00 5898.90 0.00 4213.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4213.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5477.55 5477.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 5477.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5898.90 0.00 0.00 0.00 5056.20 0.00 0.00 5056.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000081 272 STAPLER LINEAR TA 30MM 4.8 433.54 433.54 368.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.48 368.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000082 272 STAPLER LINEAR TA60 3.5 452.62 452.62 384.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 316.83 384.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 316.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000083 272 ETHI LIN STAPL TA 60 4.8 TX60G 452.62 452.62 384.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 316.83 384.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 316.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000084 278 ETHI LIN STAPL TA 90 3.5 TL90 435.00 435.00 304.50 0.00 217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 282.75 282.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.50 282.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.50 0.00 0.00 0.00 261.00 0.00 0.00 261.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000085 278 ETHI LIN STAPL TA 90 4.8 TLH90 435.00 435.00 304.50 0.00 217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 282.75 282.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.50 282.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.50 0.00 0.00 0.00 261.00 0.00 0.00 261.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000087 278 PIN GUIDE 3.2 FOR LAG SCREW 116.00 116.00 81.20 0.00 58.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.40 75.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.20 75.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.20 0.00 0.00 0.00 69.60 0.00 0.00 69.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000088 278 ZIM SH TU HP PL 130/4 1199-130 1137.00 1137.00 795.90 0.00 568.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 568.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 739.05 739.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 795.90 739.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 795.90 0.00 0.00 0.00 682.20 0.00 0.00 682.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000090 278 ZIM SH TU HP PL 140/4 1199-140 1128.00 1128.00 789.60 0.00 564.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 564.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 733.20 733.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 789.60 733.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 789.60 0.00 0.00 0.00 676.80 0.00 0.00 676.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000091 278 PLATE HIP SCREW 130 DEGR 4-H 1774.00 1774.00 1241.80 0.00 887.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 887.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1153.10 1153.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1241.80 1153.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1241.80 0.00 0.00 0.00 1064.40 0.00 0.00 1064.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000092 278 PLATE HIP SCREW 135 DEGR 4-H 1263.00 1263.00 884.10 0.00 631.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 631.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 820.95 820.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 884.10 820.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 884.10 0.00 0.00 0.00 757.80 0.00 0.00 757.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000093 278 ZIM HIP SC PL 135D/6H 1199-135 795.00 795.00 556.50 0.00 397.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 516.75 516.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.50 516.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.50 0.00 0.00 0.00 477.00 0.00 0.00 477.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000094 278 ZIM HIP SC PL 150D/4H 1199-150 795.00 795.00 556.50 0.00 397.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 516.75 516.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.50 516.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.50 0.00 0.00 0.00 477.00 0.00 0.00 477.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000099 278 GOR TAPERED GRAFT 4X6 V46050L 2275.00 2275.00 1592.50 0.00 1137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1478.75 1478.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1592.50 1478.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1592.50 0.00 0.00 0.00 1365.00 0.00 0.00 1365.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000100 278 RICH IRR TUB BAG SPIK ENT 32-5 376.00 376.00 263.20 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.40 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 0.00 0.00 0.00 225.60 0.00 0.00 225.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000101 278 RICH KIRSCH WIRE .45X9 F 12-80 21.00 21.00 14.70 0.00 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.65 13.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 13.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 0.00 0.00 0.00 12.60 0.00 0.00 12.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000102 278 RICH KIRSCH WIRE .62X9 F 12-80 21.00 21.00 14.70 0.00 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.65 13.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 13.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 0.00 0.00 0.00 12.60 0.00 0.00 12.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000103 278 RICH STEEL 28GA WIRE 22-0178 26.00 26.00 18.20 0.00 13.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.90 16.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.20 16.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.20 0.00 0.00 0.00 15.60 0.00 0.00 15.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000108 271 BAIR HUGGER UPPER BODY 522 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000109 270 STEP BAIR HUGGER BH300 30.74 30.74 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 26.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000110 271 BAIR HUGGER LOWER BODY 525 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000111 272 DRESSING PLAIN PACKING 1/2 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000112 272 DRESSING PLAIN PACKING 1 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000113 272 DRESSING PLAIN PACKING 2 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000114 272 DRESSING SKIN STAPLE EXTRACTOR 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000117 272 INSERT HYDRAJAW FOGARTY LRG 179.14 179.14 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000121 278 STRYK K WIRE 2.0 5101-2-450 167.00 167.00 116.90 0.00 83.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.55 108.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 116.90 108.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 116.90 0.00 0.00 0.00 100.20 0.00 0.00 100.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000122 278 MED INTR.VACU-SHEATH 11F MCVI 124.00 124.00 86.80 0.00 62.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.60 80.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.80 80.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.80 0.00 0.00 0.00 74.40 0.00 0.00 74.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000123 278 ZIM GUIDEWIRE IM TIB 4722-37-3 326.00 326.00 228.20 0.00 163.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.90 211.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.20 211.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.20 0.00 0.00 0.00 195.60 0.00 0.00 195.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000124 278 SGA SNAP PIN 40-100-16-SNAP-16 160.00 160.00 112.00 0.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 104.00 104.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.00 104.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.00 0.00 0.00 0.00 96.00 0.00 0.00 96.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000125 278 SGA SNAP PIN 40-100-14-SNAP-14 160.00 160.00 112.00 0.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 104.00 104.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.00 104.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.00 0.00 0.00 0.00 96.00 0.00 0.00 96.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000126 278 SGA SNAP PIN 40-100-10-SNAP-10 160.00 160.00 112.00 0.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 104.00 104.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.00 104.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.00 0.00 0.00 0.00 96.00 0.00 0.00 96.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000128 278 SYN PLATE RECON 8 HL 245.31 905.00 905.00 633.50 0.00 452.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 452.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 588.25 588.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 633.50 588.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 633.50 0.00 0.00 0.00 543.00 0.00 0.00 543.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000129 278 GOR GRF RNG ST 6X70 RRT0607007 4747.00 4747.00 3322.90 0.00 2373.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2373.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3085.55 3085.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3322.90 3085.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3322.90 0.00 0.00 0.00 2848.20 0.00 0.00 2848.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000132 278 BIO NAIL TIB 8MMX30CM 33-34403 2275.00 2275.00 1592.50 0.00 1137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1478.75 1478.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1592.50 1478.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1592.50 0.00 0.00 0.00 1365.00 0.00 0.00 1365.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000133 278 RICH KIRSCH WIRE 0.62X9 12-806 21.00 21.00 14.70 0.00 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.65 13.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 13.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 0.00 0.00 0.00 12.60 0.00 0.00 12.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000134 278 RICH KIRSCH WIRE 0.45X9 12-804 21.00 21.00 14.70 0.00 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.65 13.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 13.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 0.00 0.00 0.00 12.60 0.00 0.00 12.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000135 278 OST GUIDE PIN 3371-1-060 198.00 198.00 138.60 0.00 99.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 128.70 128.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.60 128.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.60 0.00 0.00 0.00 118.80 0.00 0.00 118.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000138 278 SYN SCREW CORT 3.5X14 204.814 52.00 52.00 36.40 0.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.80 33.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 33.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 0.00 0.00 0.00 31.20 0.00 0.00 31.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000139 278 SYN SCREW CORT 3.5X16 204.816 52.00 52.00 36.40 0.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.80 33.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 33.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 0.00 0.00 0.00 31.20 0.00 0.00 31.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000149 278 NOV APLIGRAF 9978-0001-99 5714.00 5714.00 3999.80 0.00 2857.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2857.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3714.10 3714.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3999.80 3714.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3999.80 0.00 0.00 0.00 3428.40 0.00 0.00 3428.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000152 278 RICH BOB TUBE .040 145212 25.00 25.00 17.50 0.00 12.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.25 16.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.50 16.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.50 0.00 0.00 0.00 15.00 0.00 0.00 15.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000153 278 OST SCREW LOCK .5X40M 1896-50 707.00 707.00 494.90 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.55 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 0.00 0.00 0.00 424.20 0.00 0.00 424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000155 278 OST SCREW LOCK .5X50M 1896-50 707.00 707.00 494.90 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.55 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 0.00 0.00 0.00 424.20 0.00 0.00 424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000161 278 GUIDEWIRE STR 2.5X800MM 765.00 765.00 535.50 0.00 382.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 497.25 497.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 535.50 497.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 535.50 0.00 0.00 0.00 459.00 0.00 0.00 459.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000163 278 STEM FEMORAL PRS FIT LD/FX 12 7294.00 7294.00 5105.80 0.00 3647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.10 4741.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5105.80 4741.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5105.80 0.00 0.00 0.00 4376.40 0.00 0.00 4376.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000165 278 STEM FEMORAL PRS LD/FX 15 6630.00 6630.00 4641.00 0.00 3315.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3315.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4309.50 4309.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4641.00 4309.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4641.00 0.00 0.00 0.00 3978.00 0.00 0.00 3978.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000166 278 STEM FEMORAL PRS FIT 14 7294.00 7294.00 5105.80 0.00 3647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.10 4741.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5105.80 4741.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5105.80 0.00 0.00 0.00 4376.40 0.00 0.00 4376.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000167 278 STR CONDYLE SCREW NUT 1895-50 707.00 707.00 494.90 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.55 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 0.00 0.00 0.00 424.20 0.00 0.00 424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000168 278 ZIM FEM. STEM 13 7841-13 17199.00 17199.00 12039.30 0.00 8599.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8599.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11179.35 11179.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12039.30 11179.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12039.30 0.00 0.00 0.00 10319.40 0.00 0.00 10319.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000169 278 SHELL ACETAB 50MM 7313.00 7313.00 5119.10 0.00 3656.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3656.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4753.45 4753.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5119.10 4753.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5119.10 0.00 0.00 0.00 4387.80 0.00 0.00 4387.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000170 278 STR KIT WRISTEXT FIX 5150-52- 4913.00 4913.00 3439.10 0.00 2456.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2456.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3193.45 3193.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3439.10 3193.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3439.10 0.00 0.00 0.00 2947.80 0.00 0.00 2947.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000172 278 STEM FEMORAL PRES FIX LD/FX 11 7294.00 7294.00 5105.80 0.00 3647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.10 4741.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5105.80 4741.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5105.80 0.00 0.00 0.00 4376.40 0.00 0.00 4376.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000173 278 ZIM BONE SCREW 6250-65-15 454.00 454.00 317.80 0.00 227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 295.10 295.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.80 295.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.80 0.00 0.00 0.00 272.40 0.00 0.00 272.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000174 278 ZIM BONE SCREW 6250-65-35 454.00 454.00 317.80 0.00 227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 295.10 295.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.80 295.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.80 0.00 0.00 0.00 272.40 0.00 0.00 272.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000175 278 ZIM BONE SCREW 6250-65-30 454.00 454.00 317.80 0.00 227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 295.10 295.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.80 295.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.80 0.00 0.00 0.00 272.40 0.00 0.00 272.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000176 278 ZIM FEM. STEM 13 7841-13-30 17199.00 17199.00 12039.30 0.00 8599.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8599.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11179.35 11179.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12039.30 11179.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12039.30 0.00 0.00 0.00 10319.40 0.00 0.00 10319.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000177 278 SHELL ACETAB POROUS 52MM 7313.00 7313.00 5119.10 0.00 3656.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3656.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4753.45 4753.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5119.10 4753.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5119.10 0.00 0.00 0.00 4387.80 0.00 0.00 4387.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000180 278 ZIM MOORE HIP 42X127 4005-00- 3856.00 3856.00 2699.20 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2506.40 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 0.00 0.00 0.00 2313.60 0.00 0.00 2313.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000181 278 PROS MOORE HIP REG FEN 43X127 4894.00 4894.00 3425.80 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3181.10 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 0.00 0.00 0.00 2936.40 0.00 0.00 2936.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000182 278 PROS MOORE HIP REG FEN 44X127 4894.00 4894.00 3425.80 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3181.10 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 0.00 0.00 0.00 2936.40 0.00 0.00 2936.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000183 278 ZIM MOORE HIP 45X140 4005-00- 3856.00 3856.00 2699.20 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2506.40 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 0.00 0.00 0.00 2313.60 0.00 0.00 2313.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000184 278 PROS MOORE HIP REG FEN 46X140 4894.00 4894.00 3425.80 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3181.10 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 0.00 0.00 0.00 2936.40 0.00 0.00 2936.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000185 278 ZIM MOORE HIP 49X140 4005-00- 3856.00 3856.00 2699.20 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2506.40 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 0.00 0.00 0.00 2313.60 0.00 0.00 2313.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000186 278 ZIM MOORE HIP 50X152 4005-00- 3856.00 3856.00 2699.20 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2506.40 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 0.00 0.00 0.00 2313.60 0.00 0.00 2313.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000187 278 ZIM MOORE HIP 54X152 4005-00- 3856.00 3856.00 2699.20 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2506.40 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 0.00 0.00 0.00 2313.60 0.00 0.00 2313.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000190 278 ZIM SHELL ACETA.54MM 6200-54 5396.00 5396.00 3777.20 0.00 2698.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2698.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3507.40 3507.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3777.20 3507.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3777.20 0.00 0.00 0.00 3237.60 0.00 0.00 3237.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000191 278 ZIM BONE SCREW 6.5X25 6250-65 592.00 592.00 414.40 0.00 296.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 384.80 384.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 414.40 384.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 414.40 0.00 0.00 0.00 355.20 0.00 0.00 355.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000192 278 HMP INFU-A-PORT SGLE 40057 926.00 926.00 648.20 0.00 463.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 463.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 601.90 601.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 648.20 601.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 648.20 0.00 0.00 0.00 555.60 0.00 0.00 555.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000193 278 OST NAIL TIB 9 X 300 1822-093 5636.00 5636.00 3945.20 0.00 2818.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2818.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3663.40 3663.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3945.20 3663.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3945.20 0.00 0.00 0.00 3381.60 0.00 0.00 3381.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000194 278 STR SCREW LOCK 5X75MM 1896-50 651.00 651.00 455.70 0.00 325.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 325.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 423.15 423.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 455.70 423.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 455.70 0.00 0.00 0.00 390.60 0.00 0.00 390.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000195 278 ZIM CORT. SCREW 35MM 2253-35 482.00 482.00 337.40 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.30 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 0.00 0.00 0.00 289.20 0.00 0.00 289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000197 278 ZIM FEM HEAD 12/14 42MM 718- 2087.00 2087.00 1460.90 0.00 1043.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1043.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1356.55 1356.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1460.90 1356.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1460.90 0.00 0.00 0.00 1252.20 0.00 0.00 1252.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000200 278 OST NAIL TIB 10X 300 1822-103 5636.00 5636.00 3945.20 0.00 2818.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2818.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3663.40 3663.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3945.20 3663.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3945.20 0.00 0.00 0.00 3381.60 0.00 0.00 3381.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000202 278 ZIM CORT. SCREW 35MM 2253-35- 721.00 721.00 504.70 0.00 360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 468.65 468.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 504.70 468.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 504.70 0.00 0.00 0.00 432.60 0.00 0.00 432.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000203 278 ZIM CORT. SCREW 40MM 2253-40- 721.00 721.00 504.70 0.00 360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 468.65 468.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 504.70 468.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 504.70 0.00 0.00 0.00 432.60 0.00 0.00 432.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000204 278 ZIM STOP DRILL 47-2241-13-37 866.00 866.00 606.20 0.00 433.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 562.90 562.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 606.20 562.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 606.20 0.00 0.00 0.00 519.60 0.00 0.00 519.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000205 278 ZIM FEM. STEM 12 7841-12-20 16565.00 16565.00 11595.50 0.00 8282.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8282.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10767.25 10767.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11595.50 10767.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11595.50 0.00 0.00 0.00 9939.00 0.00 0.00 9939.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000206 278 ZIM SCREW BONE 6250-65-20 428.00 428.00 299.60 0.00 214.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 214.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.20 278.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.60 278.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.60 0.00 0.00 0.00 256.80 0.00 0.00 256.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000213 278 OST SCREW CAN. 3.0X24 319.30 438.00 438.00 306.60 0.00 219.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.70 284.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.60 284.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.60 0.00 0.00 0.00 262.80 0.00 0.00 262.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000214 278 OST SCREW CAN. 3.0X34 319.30 520.00 520.00 364.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.00 0.00 0.00 0.00 312.00 0.00 0.00 312.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000219 278 STEM FEMORAL PRS FIT LD/FIX 13 7294.00 7294.00 5105.80 0.00 3647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3647.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4741.10 4741.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5105.80 4741.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5105.80 0.00 0.00 0.00 4376.40 0.00 0.00 4376.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000220 278 ZIM FEM. STEM 12 7833.12 5534.00 5534.00 3873.80 0.00 2767.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2767.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3597.10 3597.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3873.80 3597.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3873.80 0.00 0.00 0.00 3320.40 0.00 0.00 3320.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000222 278 ZIM FEM HEAD 12/14 46MM 7818 1887.00 1887.00 1320.90 0.00 943.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 943.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1226.55 1226.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1320.90 1226.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1320.90 0.00 0.00 0.00 1132.20 0.00 0.00 1132.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000225 278 ZIM FEM HEAD 12/14 50MM 7818 2315.00 2315.00 1620.50 0.00 1157.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1157.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1504.75 1504.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1620.50 1504.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1620.50 0.00 0.00 0.00 1389.00 0.00 0.00 1389.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000226 278 ZIM FEM HEAD 12/14 53MM 7818 2190.00 2190.00 1533.00 0.00 1095.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1095.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1423.50 1423.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1533.00 1423.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1533.00 0.00 0.00 0.00 1314.00 0.00 0.00 1314.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000228 278 SYN SCREW CANC 6.5X35 217.035 93.00 93.00 65.10 0.00 46.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.45 60.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.10 60.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.10 0.00 0.00 0.00 55.80 0.00 0.00 55.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000229 278 ZIM SHELL ACE 56MM 6200-56-2 5548.00 5548.00 3883.60 0.00 2774.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2774.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3606.20 3606.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3883.60 3606.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3883.60 0.00 0.00 0.00 3328.80 0.00 0.00 3328.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000235 278 OST SCREW CAN. 2.0X16 319.20 449.00 449.00 314.30 0.00 224.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 224.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 291.85 291.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.30 291.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.30 0.00 0.00 0.00 269.40 0.00 0.00 269.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000237 278 OST SCREW CAN. 2.0X20 319.20 533.00 533.00 373.10 0.00 266.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 266.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 346.45 346.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.10 346.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.10 0.00 0.00 0.00 319.80 0.00 0.00 319.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000239 278 OST SCREW CAN. 2.4X18 319.24 441.00 441.00 308.70 0.00 220.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 220.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.65 286.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.70 286.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.70 0.00 0.00 0.00 264.60 0.00 0.00 264.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000240 278 OST SCREW CAN. 2.4X20 319.24 441.00 441.00 308.70 0.00 220.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 220.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.65 286.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.70 286.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.70 0.00 0.00 0.00 264.60 0.00 0.00 264.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000243 278 OST TIB INSERT 5 72-5-0512A 5777.00 5777.00 4043.90 0.00 2888.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2888.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3755.05 3755.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4043.90 3755.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4043.90 0.00 0.00 0.00 3466.20 0.00 0.00 3466.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000244 278 ZIM CORT. SCREW 5.5MM 2253-90 482.00 482.00 337.40 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.30 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 0.00 0.00 0.00 289.20 0.00 0.00 289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000245 278 ZIM PLATE DISTAL 2348-06-06 2280.00 2280.00 1596.00 0.00 1140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1482.00 1482.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1596.00 1482.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1596.00 0.00 0.00 0.00 1368.00 0.00 0.00 1368.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000256 278 ZIM SCREW 20X3.5MM 2348-20-3 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000257 278 ZIM SCREW 24X3.5MM 2348-24-3 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000259 278 ZIM DRILL 3.5MM 4806-110-25 188.00 188.00 131.60 0.00 94.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 122.20 122.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.60 122.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.60 0.00 0.00 0.00 112.80 0.00 0.00 112.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000260 278 TYCO CUFF CATH 14.5X28 145011 1411.00 1411.00 987.70 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 917.15 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 0.00 0.00 0.00 846.60 0.00 0.00 846.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000261 278 TYCO CUFF CATH 14.5X19 145009 1411.00 1411.00 987.70 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 917.15 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 0.00 0.00 0.00 846.60 0.00 0.00 846.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000262 278 TYCO CUFF CATH 14.5X23 145010 1411.00 1411.00 987.70 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 917.15 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 0.00 0.00 0.00 846.60 0.00 0.00 846.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000263 278 ZIM DRILL IM 3.2 47-2255-33- 897.00 897.00 627.90 0.00 448.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 583.05 583.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 627.90 583.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 627.90 0.00 0.00 0.00 538.20 0.00 0.00 538.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000264 278 END CAP IM NAIL HEAD HEIGHT 835.00 835.00 584.50 0.00 417.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 417.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.75 542.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 584.50 542.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 584.50 0.00 0.00 0.00 501.00 0.00 0.00 501.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000267 278 LIF GRAFT ALLODERM 102007 947.00 947.00 662.90 0.00 473.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 473.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 615.55 615.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 662.90 615.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 662.90 0.00 0.00 0.00 568.20 0.00 0.00 568.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000268 278 BARD KUG LRG CIR 11.43 001010 1146.00 1146.00 802.20 0.00 573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 573.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.90 744.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 802.20 744.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 802.20 0.00 0.00 0.00 687.60 0.00 0.00 687.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000269 278 TYCO PALIND CATH 14.5X33 145 1411.00 1411.00 987.70 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 917.15 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 0.00 0.00 0.00 846.60 0.00 0.00 846.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000270 278 STRY NAIL GAM 11X380MM 3225-03 6696.00 6696.00 4687.20 0.00 3348.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3348.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4352.40 4352.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4687.20 4352.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4687.20 0.00 0.00 0.00 4017.60 0.00 0.00 4017.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000271 278 STR LAG SCREW 10.5X95 3060-00 1947.00 1947.00 1362.90 0.00 973.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 973.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1265.55 1265.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1362.90 1265.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1362.90 0.00 0.00 0.00 1168.20 0.00 0.00 1168.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000272 278 STR SCREW LOCK 30MM 1896-5030 707.00 707.00 494.90 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.55 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 0.00 0.00 0.00 424.20 0.00 0.00 424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000273 278 STR T2 SUP CON NAIL 1826-122 6542.00 6542.00 4579.40 0.00 3271.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3271.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4252.30 4252.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4579.40 4252.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4579.40 0.00 0.00 0.00 3925.20 0.00 0.00 3925.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000274 278 STR LAG SCREW 10.5X90 3060-00 1394.00 1394.00 975.80 0.00 697.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 697.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 906.10 906.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 975.80 906.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 975.80 0.00 0.00 0.00 836.40 0.00 0.00 836.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000275 278 STR TROCH NAIL 11X180 3125-11 3536.00 3536.00 2475.20 0.00 1768.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1768.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2298.40 2298.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.20 2298.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.20 0.00 0.00 0.00 2121.60 0.00 0.00 2121.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000276 278 BAU EYE SPHERE 14MM L1414 57.00 57.00 39.90 0.00 28.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.05 37.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.90 37.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.90 0.00 0.00 0.00 34.20 0.00 0.00 34.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000278 278 STR NAIL GAM 11X360MM 3325-03 6143.00 6143.00 4300.10 0.00 3071.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3071.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3992.95 3992.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4300.10 3992.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4300.10 0.00 0.00 0.00 3685.80 0.00 0.00 3685.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000279 278 STEM TIBIAL COMP NEXGN PRECT 2 10636.00 10636.00 7445.20 0.00 5318.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5318.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6913.40 6913.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7445.20 6913.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7445.20 0.00 0.00 0.00 6381.60 0.00 0.00 6381.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000280 278 ZIM SCR LAG STAN 65 1193-10-2 832.00 832.00 582.40 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.80 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 540.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 582.40 0.00 0.00 0.00 499.20 0.00 0.00 499.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000281 278 SCREW CORTICAL 5.5X60MM (ZIMM 516.00 516.00 361.20 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.40 335.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.20 335.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.20 0.00 0.00 0.00 309.60 0.00 0.00 309.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000282 278 NAIL IM FEMORAL RETROGRADE 13 4307.00 4307.00 3014.90 0.00 2153.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2153.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2799.55 2799.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3014.90 2799.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3014.90 0.00 0.00 0.00 2584.20 0.00 0.00 2584.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000284 278 CORTICAL NUT IM RETROGRADE FE 275.00 275.00 192.50 0.00 137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 178.75 178.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.50 178.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.50 0.00 0.00 0.00 165.00 0.00 0.00 165.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000285 278 SCREW CORTICAL 5.5X95MM (ZIMM 482.00 482.00 337.40 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.30 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 0.00 0.00 0.00 289.20 0.00 0.00 289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000286 278 CERCLAGE CABLE W/CRIMP 1.8MMX3 1276.00 1276.00 893.20 0.00 638.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 638.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 829.40 829.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 893.20 829.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 893.20 0.00 0.00 0.00 765.60 0.00 0.00 765.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000287 278 GRAFT JACKET 4X4CM (WRIGHT MED 4519.00 4519.00 3163.30 0.00 2259.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2259.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2937.35 2937.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3163.30 2937.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3163.30 0.00 0.00 0.00 2711.40 0.00 0.00 2711.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000288 278 IMPLANT TALAR-FIT 10MM (OSTEO 4464.00 4464.00 3124.80 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2901.60 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 0.00 0.00 0.00 2678.40 0.00 0.00 2678.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000289 278 IMPLANT TALAR-FIT 11MM (OSTEO 4464.00 4464.00 3124.80 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2901.60 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 0.00 0.00 0.00 2678.40 0.00 0.00 2678.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000290 278 SCREW CORTICAL 3.5MM x 12MM ( 179.00 179.00 125.30 0.00 89.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 116.35 116.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.30 116.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.30 0.00 0.00 0.00 107.40 0.00 0.00 107.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000291 278 IMPLANT TALAR-FIT 9MM (OSTEO 4464.00 4464.00 3124.80 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2901.60 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 0.00 0.00 0.00 2678.40 0.00 0.00 2678.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000292 278 ARTICULAR SURFACE NEXGEN 10MM 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000295 278 FEMORAL COMPONENT LPS FLEX SZ 18621.00 18621.00 13034.70 0.00 9310.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9310.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12103.65 12103.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13034.70 12103.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13034.70 0.00 0.00 0.00 11172.60 0.00 0.00 11172.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000296 278 GRAFT JACKET 5X10 CM (WRIGHT 8857.00 8857.00 6199.90 0.00 4428.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4428.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5757.05 5757.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6199.90 5757.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6199.90 0.00 0.00 0.00 5314.20 0.00 0.00 5314.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000297 278 SCREW CORTICAL 3.5MM X 10MM S 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000309 278 SCREW CORTICAL 3.5MM X 45MM S 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000310 278 SCREW CORTICAL 3.5MM X 50MM S 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000312 278 FEMORAL COMPONENT LPS-FLEX SIZ 14986.00 14986.00 10490.20 0.00 7493.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7493.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9740.90 9740.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10490.20 9740.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10490.20 0.00 0.00 0.00 8991.60 0.00 0.00 8991.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000314 278 RING FULL EXTERNAL FIXATION 1 3503.00 3503.00 2452.10 0.00 1751.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1751.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2276.95 2276.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2452.10 2276.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2452.10 0.00 0.00 0.00 2101.80 0.00 0.00 2101.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000315 278 FOOT PLATE ALUMINUM 180MM (SB 2861.00 2861.00 2002.70 0.00 1430.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1430.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1859.65 1859.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.70 1859.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2002.70 0.00 0.00 0.00 1716.60 0.00 0.00 1716.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000316 278 HINGE MALE (SBI) 954-1010 311.00 311.00 217.70 0.00 155.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 202.15 202.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 217.70 202.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 217.70 0.00 0.00 0.00 186.60 0.00 0.00 186.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000317 278 PLATE 3 HOLE (SBI) 953-0040 275.00 275.00 192.50 0.00 137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 178.75 178.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.50 178.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.50 0.00 0.00 0.00 165.00 0.00 0.00 165.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000318 278 NUT FOR EXTERNAL FIXATOR (SBI) 19.00 19.00 13.30 0.00 9.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.35 12.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.30 12.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.30 0.00 0.00 0.00 11.40 0.00 0.00 11.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000319 278 ROD 120MM THREAD (SBI) 956-0 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000320 278 ROD 150MM THREAD (SBI) 956-0 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000321 278 WIRE OLIVE 1.8MM X 400MM (SBI 811.00 811.00 567.70 0.00 405.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 405.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 527.15 527.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.70 527.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.70 0.00 0.00 0.00 486.60 0.00 0.00 486.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000322 278 WIRE SMOOTH 1.8MM X 400MM (SB 218.00 218.00 152.60 0.00 109.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 141.70 141.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.60 141.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.60 0.00 0.00 0.00 130.80 0.00 0.00 130.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000324 278 BOLT SHOULDER 16MM (SBI) 957 19.00 19.00 13.30 0.00 9.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.35 12.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.30 12.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.30 0.00 0.00 0.00 11.40 0.00 0.00 11.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000325 278 BOLT FIXATION SLOTTED (SBI) 161.00 161.00 112.70 0.00 80.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 104.65 104.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.70 104.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.70 0.00 0.00 0.00 96.60 0.00 0.00 96.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000326 278 RING HALF EXTERNAL FIXATION 1 3218.00 3218.00 2252.60 0.00 1609.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1609.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2091.70 2091.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2252.60 2091.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2252.60 0.00 0.00 0.00 1930.80 0.00 0.00 1930.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000327 278 SCREW 4.0MM X 75MM LOCKING FU 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000328 278 SCREW 4.0MM X 70MM LOCKING FU 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000329 278 SCREW 4.0MM X 80MM LOCKING FU 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000330 278 SCREW 4.0MM X 60MM LOCKING FU 482.00 482.00 337.40 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.30 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 0.00 0.00 0.00 289.20 0.00 0.00 289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000331 278 SCREW 4.0MM X 32MM LOCKING FU 401.00 401.00 280.70 0.00 200.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.65 260.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.70 260.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.70 0.00 0.00 0.00 240.60 0.00 0.00 240.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000332 278 SCREW 4.0MM X 36MM LOCKING FU 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000333 278 SCREW CORTICAL 3.5MM X 36MM ( 82.00 82.00 57.40 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.30 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 0.00 0.00 0.00 49.20 0.00 0.00 49.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000334 278 SCREW CORTICAL 3.5MM X 34MM ( 82.00 82.00 57.40 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.30 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 0.00 0.00 0.00 49.20 0.00 0.00 49.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000335 278 PLATE 4 HOLE 4.0MM PROX LATER 4375.00 4375.00 3062.50 0.00 2187.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2187.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2843.75 2843.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3062.50 2843.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3062.50 0.00 0.00 0.00 2625.00 0.00 0.00 2625.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000336 278 PLATE 2 HOLE 4.0MM PROX LATER 4464.00 4464.00 3124.80 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2901.60 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 0.00 0.00 0.00 2678.40 0.00 0.00 2678.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000337 278 COUNTER NUT (SBI) 955-1035 332.00 332.00 232.40 0.00 166.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.80 215.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.40 215.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.40 0.00 0.00 0.00 199.20 0.00 0.00 199.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000338 278 FILTER GREENFIELD OVER THE WI 4454.00 4454.00 3117.80 0.00 2227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2227.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2895.10 2895.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3117.80 2895.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3117.80 0.00 0.00 0.00 2672.40 0.00 0.00 2672.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000339 278 PLATE TIBIAL 8 HOLE (STRYKER) 4321.00 4321.00 3024.70 0.00 2160.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2160.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2808.65 2808.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.70 2808.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3024.70 0.00 0.00 0.00 2592.60 0.00 0.00 2592.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000340 278 SCREW LOCKING 4.0MM X 40MM (S 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000341 278 SCREW LOCKING 4.0MM X 20MM (S 401.00 401.00 280.70 0.00 200.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.65 260.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.70 260.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.70 0.00 0.00 0.00 240.60 0.00 0.00 240.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000342 278 SCREW LOCKING 4.0MM X 28MM (S 401.00 401.00 280.70 0.00 200.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.65 260.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.70 260.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.70 0.00 0.00 0.00 240.60 0.00 0.00 240.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000343 278 SCREW LOCKING 4.0MM X 30MM (S 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000344 278 SCREW CORTICAL 3.5MM X 20MM ( 69.00 69.00 48.30 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.85 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 0.00 0.00 0.00 41.40 0.00 0.00 41.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000345 278 SCREW CORTICAL 3.5MM X 30MM ( 74.00 74.00 51.80 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.10 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 0.00 0.00 0.00 44.40 0.00 0.00 44.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000346 278 SCREW CORTICAL 3.5MM X 26MM ( 74.00 74.00 51.80 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.10 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 0.00 0.00 0.00 44.40 0.00 0.00 44.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000347 278 SCREW CORTICAL 3.5MM X 55MM ( 69.00 69.00 48.30 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.85 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 0.00 0.00 0.00 41.40 0.00 0.00 41.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000348 278 SCREW CORTICAL 3.5MM X 28MM ( 69.00 69.00 48.30 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.85 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 0.00 0.00 0.00 41.40 0.00 0.00 41.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000349 278 SCREW CANCELLOUS 4.0MMX16MM 71.00 71.00 49.70 0.00 35.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.15 46.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.70 46.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.70 0.00 0.00 0.00 42.60 0.00 0.00 42.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000350 278 SCREW CANCELLOUS 4.0MMX20MM 71.00 71.00 49.70 0.00 35.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.15 46.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.70 46.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.70 0.00 0.00 0.00 42.60 0.00 0.00 42.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000352 278 FEMORAL COMPONENT LPS-FLEX SIZ 12407.00 12407.00 8684.90 0.00 6203.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6203.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8064.55 8064.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8684.90 8064.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8684.90 0.00 0.00 0.00 7444.20 0.00 0.00 7444.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000353 278 PLATE DISTAL MEDIAL HUMERAL 1 1521.00 1521.00 1064.70 0.00 760.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 760.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 988.65 988.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1064.70 988.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1064.70 0.00 0.00 0.00 912.60 0.00 0.00 912.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000354 278 PLATE DISTL POST/LAT HUMERAL 2414.00 2414.00 1689.80 0.00 1207.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1207.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1569.10 1569.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1689.80 1569.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1689.80 0.00 0.00 0.00 1448.40 0.00 0.00 1448.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000355 278 SCREW CORTICAL 2.7MM X 8MM SE 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000356 278 SCREW CORTICAL 2.7MM X 10MM S 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000357 278 SCREW PERI 3.5MM X 14MM SELF 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000358 278 SCREW PERI 3.5MM X 16MM SELF 109.00 109.00 76.30 0.00 54.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.85 70.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.30 70.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.30 0.00 0.00 0.00 65.40 0.00 0.00 65.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000359 278 SCREW PERI 3.5MM X 18MM SELF 109.00 109.00 76.30 0.00 54.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.85 70.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.30 70.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.30 0.00 0.00 0.00 65.40 0.00 0.00 65.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000360 278 K-WIRE TROCAR PT. ONE END 1.2 218.00 218.00 152.60 0.00 109.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 141.70 141.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.60 141.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.60 0.00 0.00 0.00 130.80 0.00 0.00 130.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000365 278 PLATE TUBULAR 1/3 6 HOLE (ZI 219.00 219.00 153.30 0.00 109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.35 142.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 153.30 142.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 153.30 0.00 0.00 0.00 131.40 0.00 0.00 131.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000370 278 SCREW CANCELLOUS 4.0 X 34MM F 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000371 278 SCREW CANCELLOUS 4.0 X 36MM F 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000372 278 SCREW CANCELLOUS 4.0 X 38MM F 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000373 278 SCREW CANCELLOUS 4.0 X 40MM F 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000374 278 SCREW CANCELLOUS 4.0 X 10MM P 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000375 278 SCREW CANCELLOUS 4.0 X 12MM P 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000376 278 SCREW CANCELLOUS 4.0 X 14MM P 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000377 278 SCREW CANCELLOUS 4.0 X 18MM P 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000378 278 PLATE DISTAL RADIUS 10 HOLE 2482.00 2482.00 1737.40 0.00 1241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1613.30 1613.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1737.40 1613.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1737.40 0.00 0.00 0.00 1489.20 0.00 0.00 1489.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000379 278 SCREW CORTICAL 2.3 X 20MM (AC 250.00 250.00 175.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 0.00 0.00 0.00 150.00 0.00 0.00 150.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000380 278 SCREW CORTICAL 3.5 X 12MM (AC 215.00 215.00 150.50 0.00 107.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.75 139.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.50 139.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.50 0.00 0.00 0.00 129.00 0.00 0.00 129.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000381 278 SCREW LOCKING 2.3 X 22MM (ACU 250.00 250.00 175.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 0.00 0.00 0.00 150.00 0.00 0.00 150.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000382 278 SCREW LOCKING 3.5 X 12MM (AC 250.00 250.00 175.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 0.00 0.00 0.00 150.00 0.00 0.00 150.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000384 278 SCREW CORT 4.5X30 ZIM 4845-30 56.00 56.00 39.20 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 0.00 0.00 0.00 33.60 0.00 0.00 33.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000385 278 SCREW CORT 4.5X32 ZIM 4845-32 56.00 56.00 39.20 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 0.00 0.00 0.00 33.60 0.00 0.00 33.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000392 278 SCREW CORT 4.5X46 ZIM 4845-46 56.00 56.00 39.20 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 0.00 0.00 0.00 33.60 0.00 0.00 33.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000393 278 SCREW CORT 4.5X48 ZIM 4845-48 56.00 56.00 39.20 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 0.00 0.00 0.00 33.60 0.00 0.00 33.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000394 278 SCREW CORT 4.5X60 ZIM 4845-60 56.00 56.00 39.20 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 0.00 0.00 0.00 33.60 0.00 0.00 33.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000395 278 GRAFT CANCELLOUS CHIPS 30CC 1521.00 1521.00 1064.70 0.00 760.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 760.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 988.65 988.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1064.70 988.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1064.70 0.00 0.00 0.00 912.60 0.00 0.00 912.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000397 278 PLATE ZIMMER HIP SCREW 130 DE 1105.00 1105.00 773.50 0.00 552.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 552.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 718.25 718.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 773.50 718.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 773.50 0.00 0.00 0.00 663.00 0.00 0.00 663.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000404 278 SCREW LOCKING 2.3 X 16MM (ACU 250.00 250.00 175.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 0.00 0.00 0.00 150.00 0.00 0.00 150.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000405 278 SCREW CORTICAL 3.5 X 14MM (AC 215.00 215.00 150.50 0.00 107.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.75 139.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.50 139.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.50 0.00 0.00 0.00 129.00 0.00 0.00 129.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000406 278 SCREW LOCKING 2.3 X 14MM (ACU 250.00 250.00 175.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 0.00 0.00 0.00 150.00 0.00 0.00 150.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000407 278 SCREW CORTICAL 3.5 X 16MM (AC 215.00 215.00 150.50 0.00 107.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.75 139.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.50 139.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.50 0.00 0.00 0.00 129.00 0.00 0.00 129.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000408 278 SCREW LOCKING 3.5 X 16MM (ACU 250.00 250.00 175.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 0.00 0.00 0.00 150.00 0.00 0.00 150.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000411 278 ARTICULAR SURFACE SIZE E F 14M 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000412 278 PLATE DISTAL MEDIAL HUMERAL 1 1598.00 1598.00 1118.60 0.00 799.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 799.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1038.70 1038.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1118.60 1038.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1118.60 0.00 0.00 0.00 958.80 0.00 0.00 958.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000413 278 SCREW CORTICAL 40MM X 3.5MM ( 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000414 278 SCREW CORTICAL 28MM X 3.5MM ( 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000415 278 SCREW CORTICAL 22MM X 3.5MM ( 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000416 278 FEMORAL COMPONENT SIZE D LEFT 13089.00 13089.00 9162.30 0.00 6544.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6544.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8507.85 8507.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9162.30 8507.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9162.30 0.00 0.00 0.00 7853.40 0.00 0.00 7853.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000417 278 ARTICULAR SURFACE SIZE E F 12M 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000418 278 NAIL IM RETROGRADE FEMORAL 28 4061.00 4061.00 2842.70 0.00 2030.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2030.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2639.65 2639.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2842.70 2639.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2842.70 0.00 0.00 0.00 2436.60 0.00 0.00 2436.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000419 278 SCREW 4.0MM X 50MM LOCKING FU 482.00 482.00 337.40 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.30 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 0.00 0.00 0.00 289.20 0.00 0.00 289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000420 278 SCREW CANCELLOUS 4.0MM X 60M 69.00 69.00 48.30 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.85 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 0.00 0.00 0.00 41.40 0.00 0.00 41.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000422 278 PLATE 2 HOLE 4.0 PROX/LAT LEF 4868.00 4868.00 3407.60 0.00 2434.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2434.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3164.20 3164.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3407.60 3164.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3407.60 0.00 0.00 0.00 2920.80 0.00 0.00 2920.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000423 278 STEM FEMORAL12/14 TAPER 10MM 22160.00 22160.00 15512.00 0.00 11080.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11080.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14404.00 14404.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15512.00 14404.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15512.00 0.00 0.00 0.00 13296.00 0.00 0.00 13296.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000424 278 STEM FEMORAL 12/14 TAPER SIZE 22141.00 22141.00 15498.70 0.00 11070.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11070.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14391.65 14391.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15498.70 14391.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15498.70 0.00 0.00 0.00 13284.60 0.00 0.00 13284.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000425 278 STAPLE BIOPRO MEMORY 11X8 1. 982.00 982.00 687.40 0.00 491.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 491.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 638.30 638.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.40 638.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.40 0.00 0.00 0.00 589.20 0.00 0.00 589.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000427 278 NAIL IM RETROGRADE FEMORAL 13 4061.00 4061.00 2842.70 0.00 2030.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2030.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2639.65 2639.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2842.70 2639.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2842.70 0.00 0.00 0.00 2436.60 0.00 0.00 2436.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000428 278 NAIL CAP HUMERAL LOCKING (ZIM 547.00 547.00 382.90 0.00 273.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355.55 355.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.90 355.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.90 0.00 0.00 0.00 328.20 0.00 0.00 328.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000429 278 SLING LYNX SUPRAPUBIC MID-URE 3179.00 3179.00 2225.30 0.00 1589.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1589.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2066.35 2066.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2225.30 2066.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2225.30 0.00 0.00 0.00 1907.40 0.00 0.00 1907.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000431 278 NAIL IM TIBIAL 12 X 360MM STR 5636.00 5636.00 3945.20 0.00 2818.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2818.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3663.40 3663.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3945.20 3663.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3945.20 0.00 0.00 0.00 3381.60 0.00 0.00 3381.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000432 278 NAIL IM HUMERAL 10MM X 25.5CM 4045.00 4045.00 2831.50 0.00 2022.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2022.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2629.25 2629.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2831.50 2629.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2831.50 0.00 0.00 0.00 2427.00 0.00 0.00 2427.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000433 278 STENT COLONIC WALLFLEX ENTERA 8911.00 8911.00 6237.70 0.00 4455.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4455.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5792.15 5792.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6237.70 5792.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6237.70 0.00 0.00 0.00 5346.60 0.00 0.00 5346.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000434 278 NAIL T2 SUPRA CONDYLAR 012 X 7336.00 7336.00 5135.20 0.00 3668.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3668.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4768.40 4768.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5135.20 4768.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5135.20 0.00 0.00 0.00 4401.60 0.00 0.00 4401.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000435 278 SCREW CONDYLE 5X70MM (STRYKER 707.00 707.00 494.90 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.55 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 0.00 0.00 0.00 424.20 0.00 0.00 424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000436 278 SCREW CONDYLE 5X75MM (STRYKER 707.00 707.00 494.90 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.55 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 459.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 494.90 0.00 0.00 0.00 424.20 0.00 0.00 424.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000437 278 PROSTH. FEMORAL STEM 12/14 NEC 16113.00 16113.00 11279.10 0.00 8056.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8056.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10473.45 10473.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11279.10 10473.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11279.10 0.00 0.00 0.00 9667.80 0.00 0.00 9667.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000440 278 PLATE 5 HOLE 4.0MM PROX LATER 4929.00 4929.00 3450.30 0.00 2464.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2464.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3203.85 3203.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3450.30 3203.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3450.30 0.00 0.00 0.00 2957.40 0.00 0.00 2957.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000441 278 SCREW 4.0MM X 22MM LOCKING (S 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000442 278 SCREW 4.0MM X 26MM LOCKING (S 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000443 278 SCREW 4.0MM X 44MM LOCKING (S 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000444 278 HEAD FEMORAL 12/14 TAPER 32MM 2292.00 2292.00 1604.40 0.00 1146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1489.80 1489.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.40 1489.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1604.40 0.00 0.00 0.00 1375.20 0.00 0.00 1375.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000445 278 STEM FEMORAL 12/14 SIZE 11 21837.00 21837.00 15285.90 0.00 10918.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10918.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14194.05 14194.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15285.90 14194.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15285.90 0.00 0.00 0.00 13102.20 0.00 0.00 13102.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000446 278 NAIL IM TIBIAL 9MM X 30CM (ZI 2840.00 2840.00 1988.00 0.00 1420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1846.00 1846.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1988.00 1846.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1988.00 0.00 0.00 0.00 1704.00 0.00 0.00 1704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000448 278 OPTEAS FILTER (CARDIS) 466F 2 5947.00 5947.00 4162.90 0.00 2973.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2973.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3865.55 3865.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4162.90 3865.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4162.90 0.00 0.00 0.00 3568.20 0.00 0.00 3568.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000450 278 PLATE 10 HOLE RIGHT (STRYKER) 3021.00 3021.00 2114.70 0.00 1510.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1510.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1963.65 1963.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2114.70 1963.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2114.70 0.00 0.00 0.00 1812.60 0.00 0.00 1812.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000451 278 SCREW BONE 2.3MM X 14MM (STRY 279.00 279.00 195.30 0.00 139.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.35 181.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.30 181.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.30 0.00 0.00 0.00 167.40 0.00 0.00 167.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000452 278 SCREW BONE 2.3MM X 16MM (STRY 279.00 279.00 195.30 0.00 139.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.35 181.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.30 181.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.30 0.00 0.00 0.00 167.40 0.00 0.00 167.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000453 278 SCREW 2.3 MM X 10MM LOCKING ( 319.00 319.00 223.30 0.00 159.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 207.35 207.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.30 207.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.30 0.00 0.00 0.00 191.40 0.00 0.00 191.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000454 278 SCREW 2.3MM X 14MM LOCKING (S 376.00 376.00 263.20 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.40 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 0.00 0.00 0.00 225.60 0.00 0.00 225.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000455 278 SCREW 2.3MM X 16MM LOCKING (S 376.00 376.00 263.20 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.40 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 0.00 0.00 0.00 225.60 0.00 0.00 225.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000456 278 SCREW 2.3MM X 20MM LOCKING (S 319.00 319.00 223.30 0.00 159.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 207.35 207.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.30 207.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.30 0.00 0.00 0.00 191.40 0.00 0.00 191.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000457 278 SCREW 2.3MM X 22MM LOCKING (S 376.00 376.00 263.20 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.40 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 0.00 0.00 0.00 225.60 0.00 0.00 225.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000458 278 PLATE 7 HOLE LEFT (STRYKER) 3021.00 3021.00 2114.70 0.00 1510.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1510.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1963.65 1963.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2114.70 1963.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2114.70 0.00 0.00 0.00 1812.60 0.00 0.00 1812.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000459 278 SCREW 2.3MM X 12MM LOCKING (S 319.00 319.00 223.30 0.00 159.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 207.35 207.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.30 207.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.30 0.00 0.00 0.00 191.40 0.00 0.00 191.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000460 278 SCREW 2.3MM X 18MM LOCKING (S 376.00 376.00 263.20 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.40 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 0.00 0.00 0.00 225.60 0.00 0.00 225.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000461 278 DRILL 04.2X300MM AO SMALL (ST 680.00 680.00 476.00 0.00 340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 442.00 442.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 476.00 442.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 476.00 0.00 0.00 0.00 408.00 0.00 0.00 408.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000462 278 NAIL GAMMA KIT 11X180MMX130 D 5153.00 5153.00 3607.10 0.00 2576.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2576.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3349.45 3349.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3607.10 3349.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3607.10 0.00 0.00 0.00 3091.80 0.00 0.00 3091.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000463 278 SCREW LAG GAMMA3 Ti 10.5X100M 1947.00 1947.00 1362.90 0.00 973.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 973.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1265.55 1265.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1362.90 1265.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1362.90 0.00 0.00 0.00 1168.20 0.00 0.00 1168.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000464 278 SCREW BONE 3.5 x 75MM (STRYKE 82.00 82.00 57.40 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.30 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 0.00 0.00 0.00 49.20 0.00 0.00 49.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000465 278 SCREW BONE 3.5 X 46MM (STRYKE 74.00 74.00 51.80 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.10 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 0.00 0.00 0.00 44.40 0.00 0.00 44.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000466 278 SCREW 4.0MM X 48MM LOCKING (S 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000467 278 HYDROSET INJECTABLE BONE SUBST 5018.00 5018.00 3512.60 0.00 2509.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2509.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3261.70 3261.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3512.60 3261.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3512.60 0.00 0.00 0.00 3010.80 0.00 0.00 3010.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000468 278 STAPLE BIOPRO MEMORY 9X7 1.5 982.00 982.00 687.40 0.00 491.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 491.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 638.30 638.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.40 638.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.40 0.00 0.00 0.00 589.20 0.00 0.00 589.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000469 278 NAIL GAMMA LOCKING 11X340MMX1 7500.00 7500.00 5250.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4875.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 0.00 0.00 0.00 4500.00 0.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000470 278 SCREW SELF TAP 12MM (OSTEOMED 472.00 472.00 330.40 0.00 236.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 236.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.80 306.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.40 306.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.40 0.00 0.00 0.00 283.20 0.00 0.00 283.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000471 278 NAIL GAMMA KIT R2.0 Ti RIG 7500.00 7500.00 5250.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4875.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 0.00 0.00 0.00 4500.00 0.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000472 278 KNEE NEXGEN LEGACY (ZIMMER) 5 13089.00 13089.00 9162.30 0.00 6544.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6544.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8507.85 8507.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9162.30 8507.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9162.30 0.00 0.00 0.00 7853.40 0.00 0.00 7853.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000473 278 ARTICULAR SURFACE SIZE C D 17 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000474 278 NAIL GAMMA LOCKING 11X380MMX1 7500.00 7500.00 5250.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4875.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 0.00 0.00 0.00 4500.00 0.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000475 278 NAIL GAMMA LOCKING 11X380MMX1 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000476 278 SCREW LAG GAMMA3 TI 10.5X105M 1947.00 1947.00 1362.90 0.00 973.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 973.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1265.55 1265.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1362.90 1265.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1362.90 0.00 0.00 0.00 1168.20 0.00 0.00 1168.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000477 278 PROSTH. ACETABULAR SYS. LINER 6646.00 6646.00 4652.20 0.00 3323.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3323.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4319.90 4319.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4652.20 4319.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4652.20 0.00 0.00 0.00 3987.60 0.00 0.00 3987.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000479 278 KNEE NEXGEN LEGACY SIZE F RIG 13089.00 13089.00 9162.30 0.00 6544.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6544.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8507.85 8507.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9162.30 8507.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9162.30 0.00 0.00 0.00 7853.40 0.00 0.00 7853.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000481 278 FEMORAL COMPONENT LPS FLEX SZ 20823.00 20823.00 14576.10 0.00 10411.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10411.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13534.95 13534.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14576.10 13534.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14576.10 0.00 0.00 0.00 12493.80 0.00 0.00 12493.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000482 278 IMPLANT TRABECULAR OSTEONECRO 11329.00 11329.00 7930.30 0.00 5664.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5664.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7363.85 7363.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7930.30 7363.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7930.30 0.00 0.00 0.00 6797.40 0.00 0.00 6797.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000483 278 SCREW CANNULATED 2.4 PRT THR 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000484 278 SCREW SPIN NEWDEAL 2.7 X 14MM 1033.00 1033.00 723.10 0.00 516.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 516.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 671.45 671.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 723.10 671.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 723.10 0.00 0.00 0.00 619.80 0.00 0.00 619.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000485 278 KIT INVANCE MALE SLING (AMS) 12839.00 12839.00 8987.30 0.00 6419.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6419.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8345.35 8345.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8987.30 8345.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8987.30 0.00 0.00 0.00 7703.40 0.00 0.00 7703.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000487 278 SCREW EXTREMEFIX 3.0 X 18MM ( 825.00 825.00 577.50 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 536.25 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 0.00 0.00 0.00 495.00 0.00 0.00 495.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000488 278 SCREW EXTREMEFIX 3.0 X 14MM ( 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000489 278 PLATE 6 HOLE 4.0MM PROX . LAT 4464.00 4464.00 3124.80 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2232.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2901.60 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 2901.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3124.80 0.00 0.00 0.00 2678.40 0.00 0.00 2678.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000490 278 SCREW 4.0MM X 55MM LOCKING FU 439.00 439.00 307.30 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 285.35 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 285.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.30 0.00 0.00 0.00 263.40 0.00 0.00 263.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000491 278 HYDROSET INJECTABLE BONE SUBST 8928.00 8928.00 6249.60 0.00 4464.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4464.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5803.20 5803.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6249.60 5803.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6249.60 0.00 0.00 0.00 5356.80 0.00 0.00 5356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000492 278 FEMORAL COMPONENT SIZE G RIGHT 12172.00 12172.00 8520.40 0.00 6086.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6086.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7911.80 7911.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8520.40 7911.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8520.40 0.00 0.00 0.00 7303.20 0.00 0.00 7303.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000493 278 ARTICULAR SURFACE SIZE G H 10M 4950.00 4950.00 3465.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3217.50 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 3217.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3465.00 0.00 0.00 0.00 2970.00 0.00 0.00 2970.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000494 278 PLATE TUBULAR 1/3 3 HOLE (ZI 136.00 136.00 95.20 0.00 68.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.40 88.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.20 88.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.20 0.00 0.00 0.00 81.60 0.00 0.00 81.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000495 278 NAIL GAMMA RIGHT 11X380MM (ST 7500.00 7500.00 5250.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4875.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 4875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5250.00 0.00 0.00 0.00 4500.00 0.00 0.00 4500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000498 278 SCREW EXTREMEFIX 3.0 X 20MM ( 750.00 750.00 525.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 487.50 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 487.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 525.00 0.00 0.00 0.00 450.00 0.00 0.00 450.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000499 278 SCREW LOCKING 2.7 X 18MM (ZIM 305.00 305.00 213.50 0.00 152.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.25 198.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 213.50 198.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 213.50 0.00 0.00 0.00 183.00 0.00 0.00 183.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000500 278 SCREW LOCKING 3.5MM X 18MM (Z 312.00 312.00 218.40 0.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 202.80 202.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.40 202.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.40 0.00 0.00 0.00 187.20 0.00 0.00 187.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000501 278 SCREW LOCKING 3.5MM X 20MM (Z 312.00 312.00 218.40 0.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 202.80 202.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.40 202.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.40 0.00 0.00 0.00 187.20 0.00 0.00 187.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000502 278 SCREW LOCKING 3.5MM X 22MM (Z 312.00 312.00 218.40 0.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 202.80 202.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.40 202.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.40 0.00 0.00 0.00 187.20 0.00 0.00 187.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000503 278 PLATE TIBIAL 8H LT DIST LATER 4652.00 4652.00 3256.40 0.00 2326.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2326.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3023.80 3023.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3256.40 3023.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3256.40 0.00 0.00 0.00 2791.20 0.00 0.00 2791.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000504 278 GRAFT CARDIOVAS PATCH 5.0CM X 1115.00 1115.00 780.50 0.00 557.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 557.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 724.75 724.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 780.50 724.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 780.50 0.00 0.00 0.00 669.00 0.00 0.00 669.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000505 278 SCREW EXTREMEFIX 3.0 X 16MM ( 825.00 825.00 577.50 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 536.25 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 0.00 0.00 0.00 495.00 0.00 0.00 495.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000506 278 SCREW EXTREMEFIX 4.0 X 28MM ( 807.00 807.00 564.90 0.00 403.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 403.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 524.55 524.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 564.90 524.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 564.90 0.00 0.00 0.00 484.20 0.00 0.00 484.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000507 278 SCREW EXTREMEFIX 3.0 X 36MM ( 825.00 825.00 577.50 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 536.25 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 0.00 0.00 0.00 495.00 0.00 0.00 495.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000508 278 PLATE SMALL 9 HOLE LEFT (STRY 3569.00 3569.00 2498.30 0.00 1784.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1784.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2319.85 2319.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2498.30 2319.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2498.30 0.00 0.00 0.00 2141.40 0.00 0.00 2141.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000509 278 SCREW BONE 2.7 X 18MM (STRYKE 322.00 322.00 225.40 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.30 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 0.00 0.00 0.00 193.20 0.00 0.00 193.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000510 278 SCREW LOCKING BONE 2.7 X 14MM 376.00 376.00 263.20 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.40 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 244.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.20 0.00 0.00 0.00 225.60 0.00 0.00 225.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000511 278 SCREW BONE 2.7 X 14MM (STRYKE 322.00 322.00 225.40 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.30 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 0.00 0.00 0.00 193.20 0.00 0.00 193.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000512 278 HYDROSET INJECTABLE BONE SUBST 3125.00 3125.00 2187.50 0.00 1562.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1562.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2031.25 2031.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2187.50 2031.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2187.50 0.00 0.00 0.00 1875.00 0.00 0.00 1875.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000513 278 SCREW EXTREMEFIX 3.0 X 40MM ( 825.00 825.00 577.50 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 536.25 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 0.00 0.00 0.00 495.00 0.00 0.00 495.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000515 278 CERCLAGE CABLE W/CRIMP 1.8MMX6 1189.00 1189.00 832.30 0.00 594.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 594.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 772.85 772.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.30 772.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 832.30 0.00 0.00 0.00 713.40 0.00 0.00 713.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000516 278 CERCLAGE CABLE W/CRIMP 1.8MMX9 1366.00 1366.00 956.20 0.00 683.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 683.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 887.90 887.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 956.20 887.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 956.20 0.00 0.00 0.00 819.60 0.00 0.00 819.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000517 278 SCREW EXTREMEFIX 3.0 X 32MM ( 825.00 825.00 577.50 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 536.25 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 536.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 577.50 0.00 0.00 0.00 495.00 0.00 0.00 495.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000518 278 FEMORAL COMPONENT LPS FLEX SIZ 18741.00 18741.00 13118.70 0.00 9370.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9370.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12181.65 12181.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13118.70 12181.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13118.70 0.00 0.00 0.00 11244.60 0.00 0.00 11244.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000520 278 SCREW EXTREMEFIX 2.0 X 16MM ( 785.00 785.00 549.50 0.00 392.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 392.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 510.25 510.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 549.50 510.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 549.50 0.00 0.00 0.00 471.00 0.00 0.00 471.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000521 278 SCREW EXTREMEFIX 2.0 X 32MM ( 785.00 785.00 549.50 0.00 392.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 392.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 510.25 510.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 549.50 510.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 549.50 0.00 0.00 0.00 471.00 0.00 0.00 471.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000522 278 CEMENT BONE W/GENTAMICIN PALA 1464.00 1464.00 1024.80 0.00 732.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 732.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 951.60 951.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1024.80 951.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1024.80 0.00 0.00 0.00 878.40 0.00 0.00 878.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000523 278 SCREW LOCKING STRYKER 4 X 26M 758.00 758.00 530.60 0.00 379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 492.70 492.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 530.60 492.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 530.60 0.00 0.00 0.00 454.80 0.00 0.00 454.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000524 278 NAIL FEMORAL T2 A/R 9X320MM 6343.00 6343.00 4440.10 0.00 3171.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3171.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4122.95 4122.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4440.10 4122.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4440.10 0.00 0.00 0.00 3805.80 0.00 0.00 3805.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000527 278 SCREW 4.0MM X 34MM LOCKING FU 482.00 482.00 337.40 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 313.30 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 313.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337.40 0.00 0.00 0.00 289.20 0.00 0.00 289.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000528 278 SCREW BONE 3.5 X 40MM (STRYKE 82.00 82.00 57.40 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.30 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 0.00 0.00 0.00 49.20 0.00 0.00 49.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000529 278 SCREW BONE 3.5 X 90MM (STRYKE 82.00 82.00 57.40 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.30 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 53.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.40 0.00 0.00 0.00 49.20 0.00 0.00 49.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000530 278 STAPLE BIOPRO MEMORY 13X10 1 982.00 982.00 687.40 0.00 491.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 491.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 638.30 638.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.40 638.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.40 0.00 0.00 0.00 589.20 0.00 0.00 589.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000531 278 STAPLE BIOPRO MEMORY 9X7 1.2 982.00 982.00 687.40 0.00 491.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 491.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 638.30 638.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.40 638.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 687.40 0.00 0.00 0.00 589.20 0.00 0.00 589.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000535 278 KIT SMALL MINI FIXATOR (EBI) 5354.00 5354.00 3747.80 0.00 2677.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2677.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3480.10 3480.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3747.80 3480.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3747.80 0.00 0.00 0.00 3212.40 0.00 0.00 3212.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000537 278 SCREW EXTREMEFIX 2.0 X 12MM ( 785.00 785.00 549.50 0.00 392.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 392.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 510.25 510.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 549.50 510.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 549.50 0.00 0.00 0.00 471.00 0.00 0.00 471.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000539 278 ARTICULAR SURFACE LPS NEXGEN 6708.00 6708.00 4695.60 0.00 3354.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3354.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4360.20 4360.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4695.60 4360.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4695.60 0.00 0.00 0.00 4024.80 0.00 0.00 4024.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000541 278 PIN RUSH (ZIMMER) 60059962 238.00 238.00 166.60 0.00 119.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 154.70 154.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.60 154.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.60 0.00 0.00 0.00 142.80 0.00 0.00 142.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000542 278 SCREW CORTICAL 30MM X 3.5MM ( 97.00 97.00 67.90 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.05 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 63.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.90 0.00 0.00 0.00 58.20 0.00 0.00 58.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000543 278 ARTICULAR SURFACE LPS NEXGEN C 4125.00 4125.00 2887.50 0.00 2062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2681.25 2681.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2887.50 2681.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2887.50 0.00 0.00 0.00 2475.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000547 278 DEVICE TROCHANTERIC REATTACH 4416.00 4416.00 3091.20 0.00 2208.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2208.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2870.40 2870.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3091.20 2870.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3091.20 0.00 0.00 0.00 2649.60 0.00 0.00 2649.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000548 278 PROSTH. FEMORAL STEM SIZE 12 S 13427.00 13427.00 9398.90 0.00 6713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8727.55 8727.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9398.90 8727.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9398.90 0.00 0.00 0.00 8056.20 0.00 0.00 8056.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000550 278 NAIL T2 SUPRA CONDYLAR 014X17 6542.00 6542.00 4579.40 0.00 3271.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3271.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4252.30 4252.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4579.40 4252.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4579.40 0.00 0.00 0.00 3925.20 0.00 0.00 3925.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000551 278 ARTICULAR SURFACE SIZE E F 10M 4125.00 4125.00 2887.50 0.00 2062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2681.25 2681.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2887.50 2681.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2887.50 0.00 0.00 0.00 2475.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000552 278 FEMORAL COMPONENT SIZE F RIGHT 14121.00 14121.00 9884.70 0.00 7060.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7060.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9178.65 9178.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9884.70 9178.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9884.70 0.00 0.00 0.00 8472.60 0.00 0.00 8472.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000553 278 ARTICULAR COMPONENT 15MM (ARTH 5952.00 5952.00 4166.40 0.00 2976.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2976.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3868.80 3868.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4166.40 3868.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4166.40 0.00 0.00 0.00 3571.20 0.00 0.00 3571.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000554 278 TAPER POST 9.5MM (ARTHROSURFAC 1176.00 1176.00 823.20 0.00 588.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 588.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 764.40 764.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 823.20 764.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 823.20 0.00 0.00 0.00 705.60 0.00 0.00 705.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000555 278 FEMORAL COMPONENT SIZE D RIGHT 10550.00 10550.00 7385.00 0.00 5275.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5275.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6857.50 6857.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7385.00 6857.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7385.00 0.00 0.00 0.00 6330.00 0.00 0.00 6330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000556 272 MAXFIRE WITH ZIPLOOP (BIOMET) 1470.22 1470.22 1249.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1029.15 1249.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1029.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000557 278 CONFORMER WITHOUT HOLES (GULDE 51.00 51.00 35.70 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.15 33.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.70 33.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.70 0.00 0.00 0.00 30.60 0.00 0.00 30.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000559 278 SLING OBTRYX HALO MID-URETHR 3244.00 3244.00 2270.80 0.00 1622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2108.60 2108.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2270.80 2108.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2270.80 0.00 0.00 0.00 1946.40 0.00 0.00 1946.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000560 278 NAIL T2 SUPRA CONDYLAR 011X20 6542.00 6542.00 4579.40 0.00 3271.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3271.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4252.30 4252.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4579.40 4252.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4579.40 0.00 0.00 0.00 3925.20 0.00 0.00 3925.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000561 278 PLATE 8 HOLE LEFT POSTERIOR L 3928.00 3928.00 2749.60 0.00 1964.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1964.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2553.20 2553.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2749.60 2553.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2749.60 0.00 0.00 0.00 2356.80 0.00 0.00 2356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000562 278 SCREW 3.5 X 10MM LOCKING (STR 546.00 546.00 382.20 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.90 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 0.00 0.00 0.00 327.60 0.00 0.00 327.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000563 278 SCREW 3.5 X 12MM LOCKING (STR 546.00 546.00 382.20 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.90 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 0.00 0.00 0.00 327.60 0.00 0.00 327.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000564 278 SCREW 3.5 X 16MM LOCKING (STR 546.00 546.00 382.20 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.90 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 0.00 0.00 0.00 327.60 0.00 0.00 327.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000565 278 SCREW 3.5 X 18MM LOCKING (STR 546.00 546.00 382.20 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.90 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 0.00 0.00 0.00 327.60 0.00 0.00 327.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000566 278 SCREW 3.5 X 20MM LOCKING (STR 546.00 546.00 382.20 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.90 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 0.00 0.00 0.00 327.60 0.00 0.00 327.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000567 278 SCREW 3.5 X 22MM LOCKING (STR 546.00 546.00 382.20 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.90 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 0.00 0.00 0.00 327.60 0.00 0.00 327.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000568 278 SCREW 3.5 X 24MM LOCKING (STR 546.00 546.00 382.20 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.90 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 354.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 382.20 0.00 0.00 0.00 327.60 0.00 0.00 327.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000569 278 SCREW BONE 3.5 X 20MM (STRYKE 268.00 268.00 187.60 0.00 134.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 134.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.20 174.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 187.60 174.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 187.60 0.00 0.00 0.00 160.80 0.00 0.00 160.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000570 278 SCREW BONE 3.5 X 22MM (STRYK 268.00 268.00 187.60 0.00 134.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 134.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 174.20 174.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 187.60 174.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 187.60 0.00 0.00 0.00 160.80 0.00 0.00 160.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000572 278 SLING OBTRYX HALO MID-URETHRA 3244.00 3244.00 2270.80 0.00 1622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1622.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2108.60 2108.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2270.80 2108.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2270.80 0.00 0.00 0.00 1946.40 0.00 0.00 1946.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000573 278 NAIL IM FEMORAL RETRO 12 X 32 3806.00 3806.00 2664.20 0.00 1903.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1903.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2473.90 2473.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2664.20 2473.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2664.20 0.00 0.00 0.00 2283.60 0.00 0.00 2283.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000577 278 PIN TRIM-IT SPIN 2.0MM X 100M 670.00 670.00 469.00 0.00 335.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.50 435.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 469.00 435.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 469.00 0.00 0.00 0.00 402.00 0.00 0.00 402.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000578 278 PIN TRIM-IT DRILL 1.5MMX100MM 1316.00 1316.00 921.20 0.00 658.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 658.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 855.40 855.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 921.20 855.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 921.20 0.00 0.00 0.00 789.60 0.00 0.00 789.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000581 278 PLATE TUBULAR 1/3 10 HOLE 240.00 240.00 168.00 0.00 120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.00 156.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.00 0.00 0.00 0.00 144.00 0.00 0.00 144.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000583 278 IPG-INTERSTIM I (MEDTRONICS) 423.00 423.00 296.10 0.00 211.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274.95 274.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.10 274.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.10 0.00 0.00 0.00 253.80 0.00 0.00 253.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000584 278 EXTENSION KIT (MEDTRONICS) 30 1473.00 1473.00 1031.10 0.00 736.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 736.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 957.45 957.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1031.10 957.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1031.10 0.00 0.00 0.00 883.80 0.00 0.00 883.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000585 278 NAIL GAMMA3 LONG R2.0 TI RT 6696.00 6696.00 4687.20 0.00 3348.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3348.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4352.40 4352.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4687.20 4352.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4687.20 0.00 0.00 0.00 4017.60 0.00 0.00 4017.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000586 278 SCREW LAG GAMMA3 TI 10.5X85MM 3567.00 3567.00 2496.90 0.00 1783.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1783.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2318.55 2318.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2496.90 2318.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2496.90 0.00 0.00 0.00 2140.20 0.00 0.00 2140.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000587 278 SCREW EXTREMEFIX 2.0 X 20MM ( 653.00 653.00 457.10 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.45 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 0.00 0.00 0.00 391.80 0.00 0.00 391.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000588 278 UROLUME ENDOURETHRAL PROSTHESI 14047.00 14047.00 9832.90 0.00 7023.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7023.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9130.55 9130.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9832.90 9130.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9832.90 0.00 0.00 0.00 8428.20 0.00 0.00 8428.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000589 278 PLATE 3 HOLE 4.0 PROXIMAL RIG 4643.00 4643.00 3250.10 0.00 2321.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2321.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3017.95 3017.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3250.10 3017.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3250.10 0.00 0.00 0.00 2785.80 0.00 0.00 2785.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000590 278 SCREW LOCKING 4.0 X 38MM AXSO 847.00 847.00 592.90 0.00 423.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 423.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 550.55 550.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.90 550.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.90 0.00 0.00 0.00 508.20 0.00 0.00 508.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000591 278 SCREW LOCKING 4.0 X 36MM AXSO 847.00 847.00 592.90 0.00 423.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 423.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 550.55 550.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.90 550.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.90 0.00 0.00 0.00 508.20 0.00 0.00 508.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000593 278 SCREW LOCKING 4.0 X 40MM AXSO 423.00 423.00 296.10 0.00 211.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274.95 274.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.10 274.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.10 0.00 0.00 0.00 253.80 0.00 0.00 253.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000594 278 SCREW LOCKING 4.0 X 32MM AXSO 423.00 423.00 296.10 0.00 211.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274.95 274.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.10 274.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.10 0.00 0.00 0.00 253.80 0.00 0.00 253.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000595 278 SCREW CANCELLOUS 4.0MM X 40MM 69.00 69.00 48.30 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.85 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 44.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.30 0.00 0.00 0.00 41.40 0.00 0.00 41.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000597 278 SCREW PERI 4.5 X 30MM (ZIMMER 86.00 86.00 60.20 0.00 43.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.90 55.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.20 55.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.20 0.00 0.00 0.00 51.60 0.00 0.00 51.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000598 278 SCREW PERI 4.5 X 32MM (ZIMMER 86.00 86.00 60.20 0.00 43.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.90 55.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.20 55.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.20 0.00 0.00 0.00 51.60 0.00 0.00 51.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000602 278 LINER ACETABULUM 10 DEGREE 32 4429.00 4429.00 3100.30 0.00 2214.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2214.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2878.85 2878.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3100.30 2878.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3100.30 0.00 0.00 0.00 2657.40 0.00 0.00 2657.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000605 278 NAIL T2 SUPRA CONDYLAR 012 X 7131.00 7131.00 4991.70 0.00 3565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4635.15 4635.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4991.70 4635.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4991.70 0.00 0.00 0.00 4278.60 0.00 0.00 4278.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000606 278 NAIL IM HUMERAL IM 9MMX24CM 6164.00 6164.00 4314.80 0.00 3082.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3082.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4006.60 4006.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4314.80 4006.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4314.80 0.00 0.00 0.00 3698.40 0.00 0.00 3698.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000607 278 NAIL HUMERAL IM 9MMX19.5CM (Z 3791.00 3791.00 2653.70 0.00 1895.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1895.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2464.15 2464.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2653.70 2464.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2653.70 0.00 0.00 0.00 2274.60 0.00 0.00 2274.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000608 278 PLATE T LOCKING 2 X 8 (OSTEOM 744.00 744.00 520.80 0.00 372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 372.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 483.60 483.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 520.80 483.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 520.80 0.00 0.00 0.00 446.40 0.00 0.00 446.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000609 278 SCREW LOCKING ANGLED 2.0 X 13 283.00 283.00 198.10 0.00 141.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 141.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.95 183.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.10 183.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.10 0.00 0.00 0.00 169.80 0.00 0.00 169.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000610 278 SCREW LOCKING ANGLED 2.0 X 14 283.00 283.00 198.10 0.00 141.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 141.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.95 183.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.10 183.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.10 0.00 0.00 0.00 169.80 0.00 0.00 169.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000611 278 SCREW LOCKING ANGLED 2.0 X 16 283.00 283.00 198.10 0.00 141.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 141.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.95 183.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.10 183.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.10 0.00 0.00 0.00 169.80 0.00 0.00 169.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000615 278 SCREW EXTREMEFIX 2.4 X 26MM ( 777.00 777.00 543.90 0.00 388.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 388.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.05 505.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.90 505.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.90 0.00 0.00 0.00 466.20 0.00 0.00 466.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000616 278 SCREW EXTREMEFIX 2.4 X 28MM ( 777.00 777.00 543.90 0.00 388.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 388.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.05 505.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.90 505.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.90 0.00 0.00 0.00 466.20 0.00 0.00 466.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000617 278 SCREW EXTREMEFIX 2.4 X 30MM ( 777.00 777.00 543.90 0.00 388.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 388.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.05 505.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.90 505.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.90 0.00 0.00 0.00 466.20 0.00 0.00 466.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000618 278 SCREW CONDYLE 5X65MM (STRYKER 676.00 676.00 473.20 0.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 439.40 439.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 473.20 439.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 473.20 0.00 0.00 0.00 405.60 0.00 0.00 405.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000619 278 ANTERIOR APICAL ELEVATE SYST 9680.00 9680.00 6776.00 0.00 4840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4840.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6292.00 6292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6776.00 6292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6776.00 0.00 0.00 0.00 5808.00 0.00 0.00 5808.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000620 278 MINI ARC (AMS) 720046-01 4152.00 4152.00 2906.40 0.00 2076.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2076.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2698.80 2698.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2906.40 2698.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2906.40 0.00 0.00 0.00 2491.20 0.00 0.00 2491.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000621 278 APOGEE (AMS) 720002-01 4449.00 4449.00 3114.30 0.00 2224.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2224.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2891.85 2891.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3114.30 2891.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3114.30 0.00 0.00 0.00 2669.40 0.00 0.00 2669.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000622 278 NAIL T2 SUPRA CONDYLAR 010X36 7131.00 7131.00 4991.70 0.00 3565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4635.15 4635.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4991.70 4635.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4991.70 0.00 0.00 0.00 4278.60 0.00 0.00 4278.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000625 278 NAIL IM FEMORAL RETROGRADE 12 3957.00 3957.00 2769.90 0.00 1978.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1978.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2572.05 2572.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2769.90 2572.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2769.90 0.00 0.00 0.00 2374.20 0.00 0.00 2374.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000626 278 NAIL GAMMA LOCKING 11X400MMX1 6899.00 6899.00 4829.30 0.00 3449.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3449.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4484.35 4484.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4829.30 4484.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4829.30 0.00 0.00 0.00 4139.40 0.00 0.00 4139.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000627 278 PROS. MOORE HIP REG FENEST 50X 3012.00 3012.00 2108.40 0.00 1506.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1506.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1957.80 1957.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2108.40 1957.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2108.40 0.00 0.00 0.00 1807.20 0.00 0.00 1807.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000628 278 STENT ENDOSCOPIC BILIARY 8.5X 461.00 461.00 322.70 0.00 230.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.65 299.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.70 299.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.70 0.00 0.00 0.00 276.60 0.00 0.00 276.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000629 278 NAIL IM TIBIAL 9 X 315M STRYK 5378.00 5378.00 3764.60 0.00 2689.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2689.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3495.70 3495.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3764.60 3495.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3764.60 0.00 0.00 0.00 3226.80 0.00 0.00 3226.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000630 278 SCREW LOCKING 4.0 X 75MM AXSO 453.00 453.00 317.10 0.00 226.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 294.45 294.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.10 294.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.10 0.00 0.00 0.00 271.80 0.00 0.00 271.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000631 278 SCREW LOCKING 4.0 X 70MM AXSO 453.00 453.00 317.10 0.00 226.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 294.45 294.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.10 294.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.10 0.00 0.00 0.00 271.80 0.00 0.00 271.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000632 278 PROSTH. FEMORAL STEM 15 NECK 13427.00 13427.00 9398.90 0.00 6713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8727.55 8727.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9398.90 8727.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9398.90 0.00 0.00 0.00 8056.20 0.00 0.00 8056.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000633 278 PLATE TIBIAL 6H LT DIST MEDIA 4147.00 4147.00 2902.90 0.00 2073.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2073.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2695.55 2695.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2902.90 2695.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2902.90 0.00 0.00 0.00 2488.20 0.00 0.00 2488.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000634 278 SCREW LOCKING 3.5MM X 26MM (Z 281.00 281.00 196.70 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.65 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 0.00 0.00 0.00 168.60 0.00 0.00 168.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000635 278 SCREW LOCKING 3.5MM X 24MM (Z 281.00 281.00 196.70 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.65 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 0.00 0.00 0.00 168.60 0.00 0.00 168.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000636 278 SCREW LOCKING 3.5MM X 40MM (Z 281.00 281.00 196.70 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.65 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 0.00 0.00 0.00 168.60 0.00 0.00 168.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000637 278 SCREW LOCKING 3.5MM X 46MM (Z 281.00 281.00 196.70 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.65 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 0.00 0.00 0.00 168.60 0.00 0.00 168.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000638 278 SCREW LOCKING 3.5MM X 42MM (Z 281.00 281.00 196.70 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.65 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 0.00 0.00 0.00 168.60 0.00 0.00 168.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000639 278 SCREW LOCKING 3.5MM X 34MM (Z 281.00 281.00 196.70 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.65 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 0.00 0.00 0.00 168.60 0.00 0.00 168.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000640 278 SCREW LOCKING 3.5MM X 30MM (Z 281.00 281.00 196.70 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.65 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 0.00 0.00 0.00 168.60 0.00 0.00 168.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000641 278 SCREW LOCKING 3.5MM X 36MM (Z 281.00 281.00 196.70 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.65 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 182.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 196.70 0.00 0.00 0.00 168.60 0.00 0.00 168.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000642 278 BONE GRAFT PRO-DENSE INJ 4CC 5907.00 5907.00 4134.90 0.00 2953.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2953.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3839.55 3839.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4134.90 3839.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4134.90 0.00 0.00 0.00 3544.20 0.00 0.00 3544.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000643 278 GRAFT ALLODERM 6X16CM (LIFE C 10250.00 10250.00 7175.00 0.00 5125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6662.50 6662.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7175.00 6662.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7175.00 0.00 0.00 0.00 6150.00 0.00 0.00 6150.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000647 278 SCREW LOCKING 3.5 X 18MM (STR 486.00 486.00 340.20 0.00 243.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 243.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.90 315.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.20 315.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.20 0.00 0.00 0.00 291.60 0.00 0.00 291.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000648 278 SCREW LOCKING 3.5 X 28MM (STR 486.00 486.00 340.20 0.00 243.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 243.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.90 315.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.20 315.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.20 0.00 0.00 0.00 291.60 0.00 0.00 291.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000649 278 SCREW LOCKING 3.5 X 24MM (STR 486.00 486.00 340.20 0.00 243.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 243.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.90 315.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.20 315.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.20 0.00 0.00 0.00 291.60 0.00 0.00 291.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000650 278 SCREW LOCKING 3.5 X 20MM (STR 486.00 486.00 340.20 0.00 243.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 243.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.90 315.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.20 315.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.20 0.00 0.00 0.00 291.60 0.00 0.00 291.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000651 278 SCREW NON-LOCKING 3.5 X 34MM 223.00 223.00 156.10 0.00 111.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.95 144.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.10 144.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.10 0.00 0.00 0.00 133.80 0.00 0.00 133.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000652 278 PLATE EXTENDED MEDIAL 6 HOLE 3822.00 3822.00 2675.40 0.00 1911.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1911.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2484.30 2484.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2675.40 2484.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2675.40 0.00 0.00 0.00 2293.20 0.00 0.00 2293.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000653 272 BIO-SUTURE TAK SM JOINT (ARTH 1009.12 1009.12 857.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 706.38 857.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 706.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000654 272 BIO-SUTURE TAK SM JOINT DISP. 504.56 504.56 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000656 278 "PIN, TRIM-IT SPIN 2.0MM X 100M" 810.00 810.00 567.00 0.00 405.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 405.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 526.50 526.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.00 526.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 567.00 0.00 0.00 0.00 486.00 0.00 0.00 486.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000657 278 SCREW EXTREMEFIX 3.0 X 22MM HE 653.00 653.00 457.10 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.45 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 0.00 0.00 0.00 391.80 0.00 0.00 391.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000662 278 "SCREW, CORTICAL 3.5MM X 16MM (" 74.00 74.00 51.80 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.10 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 0.00 0.00 0.00 44.40 0.00 0.00 44.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000663 278 "SCREW, CORTICAL 3.5MM X 14MM (" 74.00 74.00 51.80 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.10 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 48.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.80 0.00 0.00 0.00 44.40 0.00 0.00 44.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000664 278 "SCREW, EXTREMEFIX 2.0 X 10MM H" 653.00 653.00 457.10 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.45 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 0.00 0.00 0.00 391.80 0.00 0.00 391.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000665 278 "PLATE TUBULAR 1/3, 5 HOLE" 219.00 219.00 153.30 0.00 109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.35 142.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 153.30 142.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 153.30 0.00 0.00 0.00 131.40 0.00 0.00 131.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000667 278 "PROSTH.,FEMORAL STEM 12/14 NEC" 13427.00 13427.00 9398.90 0.00 6713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8727.55 8727.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9398.90 8727.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9398.90 0.00 0.00 0.00 8056.20 0.00 0.00 8056.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000668 278 "SCREW, EXTREMEFIX 2.0 X 14MM H" 653.00 653.00 457.10 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.45 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 0.00 0.00 0.00 391.80 0.00 0.00 391.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000669 278 "PLATE, TUBULAR 1/3, 8 HOLE (ST" 223.00 223.00 156.10 0.00 111.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.95 144.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.10 144.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.10 0.00 0.00 0.00 133.80 0.00 0.00 133.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000670 278 "SCREW, CANNULATED 4.0 X 55MM (" 635.00 635.00 444.50 0.00 317.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 317.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.75 412.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.50 412.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.50 0.00 0.00 0.00 381.00 0.00 0.00 381.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000672 278 "SCREW, BONE 2.7 X 14MM (STRYKE" 372.00 372.00 260.40 0.00 186.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 186.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.80 241.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.40 241.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.40 0.00 0.00 0.00 223.20 0.00 0.00 223.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000673 278 "ARTICULAR SURFACE LPS, NEXGEN" 4125.00 4125.00 2887.50 0.00 2062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2681.25 2681.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2887.50 2681.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2887.50 0.00 0.00 0.00 2475.00 0.00 0.00 2475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000675 278 "NAIL, T2 SUPRA CONDYLAR 010X34" 7131.00 7131.00 4991.70 0.00 3565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4635.15 4635.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4991.70 4635.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4991.70 0.00 0.00 0.00 4278.60 0.00 0.00 4278.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000676 278 "PLATE, 4 HOLE 2.0MM LOCKING (O" 640.00 640.00 448.00 0.00 320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 416.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.00 416.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.00 0.00 0.00 0.00 384.00 0.00 0.00 384.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000677 278 "GRAFT, PROPATEN 6 X 70 (GORE)" 6343.00 6343.00 4440.10 0.00 3171.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3171.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4122.95 4122.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4440.10 4122.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4440.10 0.00 0.00 0.00 3805.80 0.00 0.00 3805.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000681 278 FEMORAL COMPONENT SIZE C RIGHT 16893.00 16893.00 11825.10 0.00 8446.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8446.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10980.45 10980.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11825.10 10980.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11825.10 0.00 0.00 0.00 10135.80 0.00 0.00 10135.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000682 278 "LINER, ACETABULUM TRILOGY 10 D" 4608.00 4608.00 3225.60 0.00 2304.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2304.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2995.20 2995.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3225.60 2995.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3225.60 0.00 0.00 0.00 2764.80 0.00 0.00 2764.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000683 278 "SHELL, ACETABULUM (ZIMMER) #62" 5320.00 5320.00 3724.00 0.00 2660.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2660.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3458.00 3458.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3724.00 3458.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3724.00 0.00 0.00 0.00 3192.00 0.00 0.00 3192.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000686 278 "ZIM,SCR CAN 4.0X28 1142-41-28" 506.00 506.00 354.20 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.90 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 328.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 354.20 0.00 0.00 0.00 303.60 0.00 0.00 303.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000687 278 "ZIM,SCR CAN 4.0X28 1142-41-28" 432.00 432.00 302.40 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 216.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 280.80 280.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.40 280.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.40 0.00 0.00 0.00 259.20 0.00 0.00 259.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000688 278 "IMPLANT, TALAR-FIT 12MM 340-00" 4092.00 4092.00 2864.40 0.00 2046.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2046.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2659.80 2659.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2864.40 2659.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2864.40 0.00 0.00 0.00 2455.20 0.00 0.00 2455.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000689 278 PLATE 2.7MM HOOK SHORT OSTEOME 1190.00 1190.00 833.00 0.00 595.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 595.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 773.50 773.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 833.00 773.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 833.00 0.00 0.00 0.00 714.00 0.00 0.00 714.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000690 278 SCREW FPS 2.7MM X 12MM STANDAR 253.00 253.00 177.10 0.00 126.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.45 164.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177.10 164.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177.10 0.00 0.00 0.00 151.80 0.00 0.00 151.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000691 278 SCREW FPS 2.7MM X 10MM LOCKING 372.00 372.00 260.40 0.00 186.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 186.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.80 241.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.40 241.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.40 0.00 0.00 0.00 223.20 0.00 0.00 223.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000692 278 SCRW FPS 2.7X16 STD OST3212716 253.00 253.00 177.10 0.00 126.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 164.45 164.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177.10 164.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177.10 0.00 0.00 0.00 151.80 0.00 0.00 151.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000693 278 SCREW EXTREMEFIX 2.4 X 12MM 653.00 653.00 457.10 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 424.45 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 424.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.10 0.00 0.00 0.00 391.80 0.00 0.00 391.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000694 278 "SCREW, BONE CANNULATED 7X95, 7" 584.00 584.00 408.80 0.00 292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.60 379.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 408.80 379.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 408.80 0.00 0.00 0.00 350.40 0.00 0.00 350.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000695 278 "SCREW, BONE CANNULATED 7X105" 584.00 584.00 408.80 0.00 292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 292.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.60 379.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 408.80 379.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 408.80 0.00 0.00 0.00 350.40 0.00 0.00 350.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000697 278 "SCREW, CAN 4.0X24 ZIM 4840-24" 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000699 278 "SCREW, BONE CANNULATED 4.0X60M" 465.00 465.00 325.50 0.00 232.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 302.25 302.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 325.50 302.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 325.50 0.00 0.00 0.00 279.00 0.00 0.00 279.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000701 278 NAIL IM HUMERAL 10X25.5 2254 6055.00 6055.00 4238.50 0.00 3027.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3027.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3935.75 3935.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4238.50 3935.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4238.50 0.00 0.00 0.00 3633.00 0.00 0.00 3633.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000702 278 NAIL IM FEM RETRO 14MMX32CM 6078.00 6078.00 4254.60 0.00 3039.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3039.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3950.70 3950.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4254.60 3950.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4254.60 0.00 0.00 0.00 3646.80 0.00 0.00 3646.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000703 278 "GRAFT, SOFT TISSUE PATCH-GORE" 553.00 553.00 387.10 0.00 276.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.45 359.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 387.10 359.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 387.10 0.00 0.00 0.00 331.80 0.00 0.00 331.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000706 278 "PROSTH,FEM STEM ZIM 7841-14-20" 13427.00 13427.00 9398.90 0.00 6713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6713.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8727.55 8727.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9398.90 8727.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9398.90 0.00 0.00 0.00 8056.20 0.00 0.00 8056.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000708 278 "NAIL CAP, HUM LOCK ZIM 2252-03" 475.00 475.00 332.50 0.00 237.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 237.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.75 308.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.50 308.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.50 0.00 0.00 0.00 285.00 0.00 0.00 285.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000709 278 "SCREW, CORT 4.2X50 2253-50-42" 438.00 438.00 306.60 0.00 219.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 219.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.70 284.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.60 284.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.60 0.00 0.00 0.00 262.80 0.00 0.00 262.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000710 278 NAIL IM HUMERAL 9X25.5 2254 5783.00 5783.00 4048.10 0.00 2891.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2891.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3758.95 3758.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.10 3758.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.10 0.00 0.00 0.00 3469.80 0.00 0.00 3469.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000711 278 "HEAD, FEM 12/14 TAP 8018-28-03" 2029.00 2029.00 1420.30 0.00 1014.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1014.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1318.85 1318.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1420.30 1318.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1420.30 0.00 0.00 0.00 1217.40 0.00 0.00 1217.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000712 278 "SCREW,CORT 4.5X28MM 1193-28-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000713 278 "SCREW,CORT 4.5X30MM 1193-30-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000714 278 "SCREW,CORT 4.5X32MM 1193-32-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000715 278 "SCREW,CORT 4.5X34MM 1193-34-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000716 278 "SCREW,CORT 4.5X36MM 1193-36-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000717 278 "SCREW,CORT 4.5X38MM 1193-38-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000718 278 "SCREW,CORT 4.5X40MM 1193-40-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000719 278 "SCREW,CORT 4.5X42MM 1193-42-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000720 278 "SCREW,CORT 4.5X44MM 1193-44-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000721 278 "SCREW,CORT 4.5X46MM 1193-46-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000722 278 "SCREW,CORT 4.5X48MM 1193-48-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000723 278 "SCREW,CORT 4.5X50MM 1193-50-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000724 278 "SCREW,CORT 4.5X52MM 1193-52-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000725 278 "SCREW,CORT 4.5X54MM 1193-54-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000726 278 "SCREW,CORT 4.5X56MM 1193-56-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000727 278 "SCREW,CORT 4.5X58MM 1193-58-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000728 278 "SCREW,CORT 4.5X60MM 1193-60-01" 39.00 39.00 27.30 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.35 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 25.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.30 0.00 0.00 0.00 23.40 0.00 0.00 23.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000729 278 PLATE HIP SCRW 130 DEGR 8-H 2762.00 2762.00 1933.40 0.00 1381.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1381.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1795.30 1795.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1933.40 1795.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1933.40 0.00 0.00 0.00 1657.20 0.00 0.00 1657.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000730 278 "PLATE, HIP SCRW 130D 119313096" 1297.00 1297.00 907.90 0.00 648.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 648.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 843.05 843.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 907.90 843.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 907.90 0.00 0.00 0.00 778.20 0.00 0.00 778.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000731 278 "PLATE, ZIM SCRW 130D 119313006" 1017.00 1017.00 711.90 0.00 508.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 661.05 661.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 711.90 661.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 711.90 0.00 0.00 0.00 610.20 0.00 0.00 610.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000732 278 BLD UP BLK W SCRW 7871-01-10 1360.00 1360.00 952.00 0.00 680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 680.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 884.00 884.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 952.00 884.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 952.00 0.00 0.00 0.00 816.00 0.00 0.00 816.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000734 278 "PROSTH, CNTRL DSTL 10MM" 461.00 461.00 322.70 0.00 230.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.65 299.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.70 299.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.70 0.00 0.00 0.00 276.60 0.00 0.00 276.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000735 278 ZIM FEM HEAD 12/14 52M 7818-52 1887.00 1887.00 1320.90 0.00 943.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 943.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1226.55 1226.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1320.90 1226.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1320.90 0.00 0.00 0.00 1132.20 0.00 0.00 1132.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000736 278 IMP SCREW CORT 4.5X28MM ZIMM 56.00 56.00 39.20 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.40 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 36.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.20 0.00 0.00 0.00 33.60 0.00 0.00 33.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000737 278 NAIL IM TIBIAL 11MMX32CM 4167.00 4167.00 2916.90 0.00 2083.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2083.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2708.55 2708.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2916.90 2708.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2916.90 0.00 0.00 0.00 2500.20 0.00 0.00 2500.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000738 278 SCREW CANC 4.0X50MM 4840-50-01 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000744 278 "PLATE, NCB W/4 LOCK HOLES ZIM" 6040.00 6040.00 4228.00 0.00 3020.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3020.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3926.00 3926.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4228.00 3926.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4228.00 0.00 0.00 0.00 3624.00 0.00 0.00 3624.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000746 278 "SCREW,BONE 2.7X18MM 53-27218E" 3725.00 3725.00 2607.50 0.00 1862.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1862.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2421.25 2421.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2607.50 2421.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2607.50 0.00 0.00 0.00 2235.00 0.00 0.00 2235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000749 278 NAIL IM FEM RETRO 14X26 2240- 5804.00 5804.00 4062.80 0.00 2902.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2902.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3772.60 3772.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4062.80 3772.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4062.80 0.00 0.00 0.00 3482.40 0.00 0.00 3482.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000750 278 "PLATE, ZIM HIP SCRW 140D 4HOLE" 942.00 942.00 659.40 0.00 471.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 471.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 612.30 612.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.40 612.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.40 0.00 0.00 0.00 565.20 0.00 0.00 565.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000751 278 NAIL IM FEM RETRO 13X32 5804.00 5804.00 4062.80 0.00 2902.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2902.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3772.60 3772.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4062.80 3772.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4062.80 0.00 0.00 0.00 3482.40 0.00 0.00 3482.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000752 278 SCREW CORT 5.5MM(ZIM) 22537055 396.00 396.00 277.20 0.00 198.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 257.40 257.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 277.20 257.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 277.20 0.00 0.00 0.00 237.60 0.00 0.00 237.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000753 278 OST SCREW CAN 3X30MM 319.3030 433.00 433.00 303.10 0.00 216.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 216.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 281.45 281.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.10 281.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.10 0.00 0.00 0.00 259.80 0.00 0.00 259.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000754 278 OST SCREW CAN 3X32 319.3032 182.00 182.00 127.40 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.30 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 0.00 0.00 0.00 109.20 0.00 0.00 109.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000756 278 SCREW CON PERI 2.4MM X 14MM ZI 182.00 182.00 127.40 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.30 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 0.00 0.00 0.00 109.20 0.00 0.00 109.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000757 278 SCREW CON PERI 2.4MM X 16MM ZI 182.00 182.00 127.40 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.30 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 0.00 0.00 0.00 109.20 0.00 0.00 109.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000758 278 SCREW CON PERI 2.4MM X 18MM ZI 182.00 182.00 127.40 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.30 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 118.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.40 0.00 0.00 0.00 109.20 0.00 0.00 109.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000761 278 PLATE RAD DIST VOLAR 4 HOLE RT 3572.00 3572.00 2500.40 0.00 1786.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1786.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2321.80 2321.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2500.40 2321.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2500.40 0.00 0.00 0.00 2143.20 0.00 0.00 2143.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000766 278 PLATE ULNAR 7 HOLE PROX 3660.00 3660.00 2562.00 0.00 1830.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1830.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2379.00 2379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2562.00 2379.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2562.00 0.00 0.00 0.00 2196.00 0.00 0.00 2196.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000767 278 PLATE ZIMMER HIP SCREW 135D 5H 909.00 909.00 636.30 0.00 454.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 454.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 590.85 590.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636.30 590.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636.30 0.00 0.00 0.00 545.40 0.00 0.00 545.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000768 278 PLATE PDS FLEX .15X40 ETH ZFP8 1411.00 1411.00 987.70 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 705.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 917.15 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 917.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 987.70 0.00 0.00 0.00 846.60 0.00 0.00 846.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000769 278 PLATE PDS FLEX .25X40 ETH ZFP5 1210.00 1210.00 847.00 0.00 605.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 605.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 786.50 786.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 847.00 786.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 847.00 0.00 0.00 0.00 726.00 0.00 0.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000774 278 IMP SCREW 22MM NONLOCK WRIGHT 221.00 221.00 154.70 0.00 110.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.65 143.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 154.70 143.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 154.70 0.00 0.00 0.00 132.60 0.00 0.00 132.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000775 278 IMP SCREW 14MM NONLOCK WRIGHT 221.00 221.00 154.70 0.00 110.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.65 143.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 154.70 143.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 154.70 0.00 0.00 0.00 132.60 0.00 0.00 132.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000776 278 IMP SCREW 10MM LOCKING WRIGHT 322.00 322.00 225.40 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.30 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 0.00 0.00 0.00 193.20 0.00 0.00 193.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000777 278 IMP SCREW 18MM LOCKING WRIGHT 322.00 322.00 225.40 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.30 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 0.00 0.00 0.00 193.20 0.00 0.00 193.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000778 278 IMP SCREW 22MM LOCKING WRIGHT 322.00 322.00 225.40 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.30 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 209.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 225.40 0.00 0.00 0.00 193.20 0.00 0.00 193.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000779 278 IMP PLATE T 6 HOLE WRIGHT MED 1600.00 1600.00 1120.00 0.00 800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1040.00 1040.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1120.00 1040.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1120.00 0.00 0.00 0.00 960.00 0.00 0.00 960.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000786 278 IMP SCREW 7.0X75 4417-7516 2046.00 2046.00 1432.20 0.00 1023.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1023.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1329.90 1329.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1432.20 1329.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1432.20 0.00 0.00 0.00 1227.60 0.00 0.00 1227.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000787 278 IMP SCREW 4.5X44 SCN454420 806.00 806.00 564.20 0.00 403.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 403.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 523.90 523.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 564.20 523.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 564.20 0.00 0.00 0.00 483.60 0.00 0.00 483.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000788 278 IMP PLATE 3.5X20 4013-0020 3968.00 3968.00 2777.60 0.00 1984.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1984.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2579.20 2579.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2777.60 2579.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2777.60 0.00 0.00 0.00 2380.80 0.00 0.00 2380.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000789 278 IMP SCREW 3.5X14 4013-3514 459.00 459.00 321.30 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.35 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 0.00 0.00 0.00 275.40 0.00 0.00 275.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000790 278 IMP SCREW 3.5X16 4013-3516 459.00 459.00 321.30 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.35 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 0.00 0.00 0.00 275.40 0.00 0.00 275.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000791 278 IMP SCREW 3.5X18 4013-3518 459.00 459.00 321.30 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.35 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 0.00 0.00 0.00 275.40 0.00 0.00 275.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000793 278 STENT SMART ILIAC 7X30 6FR 3845.00 3845.00 2691.50 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1922.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2499.25 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 2499.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2691.50 0.00 0.00 0.00 2307.00 0.00 0.00 2307.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000795 278 NAIL IM TIBIAL 10MMX36CM 2253 4167.00 4167.00 2916.90 0.00 2083.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2083.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2708.55 2708.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2916.90 2708.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2916.90 0.00 0.00 0.00 2500.20 0.00 0.00 2500.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000796 278 NAIL IM TIBIAL 10MMX40CM 4167.00 4167.00 2916.90 0.00 2083.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2083.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2708.55 2708.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2916.90 2708.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2916.90 0.00 0.00 0.00 2500.20 0.00 0.00 2500.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000797 278 IMP NAIL TIBIAL 11MMX36CM ZIM 2135.00 2135.00 1494.50 0.00 1067.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1067.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1387.75 1387.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1494.50 1387.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1494.50 0.00 0.00 0.00 1281.00 0.00 0.00 1281.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000798 278 IMP SCREW CORT 3.5MMX28MM SELF 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000799 278 IMP SCREW CORT 3.5MMX32MM SELF 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000800 278 IMP SCREW CORT 3.5MMX34MM SELF 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000801 278 IMP SCREW CORT 3.5MMX36MM SELF 55.00 55.00 38.50 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.75 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 35.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.50 0.00 0.00 0.00 33.00 0.00 0.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000803 278 IMP MOORE HIP REG FENST 48X140 3213.00 3213.00 2249.10 0.00 1606.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1606.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2088.45 2088.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2249.10 2088.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2249.10 0.00 0.00 0.00 1927.80 0.00 0.00 1927.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000805 278 WEIGHT GOLD 1.0GM LL4010 558.00 558.00 390.60 0.00 279.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 279.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362.70 362.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 390.60 362.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 390.60 0.00 0.00 0.00 334.80 0.00 0.00 334.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000806 278 PROS MOORE HIP REG FEN52X152MM 4894.00 4894.00 3425.80 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2447.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3181.10 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 3181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3425.80 0.00 0.00 0.00 2936.40 0.00 0.00 2936.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000807 278 IMP SCREW CORTICAL 4.2X45MM 721.00 721.00 504.70 0.00 360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 468.65 468.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 504.70 468.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 504.70 0.00 0.00 0.00 432.60 0.00 0.00 432.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000808 278 NAIL HUMERAL IM 8MMX24CM 5783.00 5783.00 4048.10 0.00 2891.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2891.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3758.95 3758.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.10 3758.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.10 0.00 0.00 0.00 3469.80 0.00 0.00 3469.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000809 278 NAIL HUMERAL IM 7MMX24CM 5783.00 5783.00 4048.10 0.00 2891.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2891.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3758.95 3758.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.10 3758.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.10 0.00 0.00 0.00 3469.80 0.00 0.00 3469.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000813 278 IMP SCREW LOCK PERI 2.4X20MM 226.00 226.00 158.20 0.00 113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.90 146.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 158.20 146.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 158.20 0.00 0.00 0.00 135.60 0.00 0.00 135.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000814 278 SCREW COMPRES VERSA-FX 32MM 125.00 125.00 87.50 0.00 62.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.25 81.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.50 81.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.50 0.00 0.00 0.00 75.00 0.00 0.00 75.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000815 278 LEAD URO TINED INTERSTIM 3889 8906.00 8906.00 6234.20 0.00 4453.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4453.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5788.90 5788.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6234.20 5788.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6234.20 0.00 0.00 0.00 5343.60 0.00 0.00 5343.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000816 278 "Graft, Alloderm 1 x 4 cm (Life" 350.00 350.00 245.00 0.00 175.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 227.50 227.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.00 227.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.00 0.00 0.00 0.00 210.00 0.00 0.00 210.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000818 278 Systems Coretrak (Wright Medic 8266.00 8266.00 5786.20 0.00 4133.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4133.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5372.90 5372.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5786.20 5372.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5786.20 0.00 0.00 0.00 4959.60 0.00 0.00 4959.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000819 278 "Nail, Humeral IM 7x22.5 (Zimme" 2963.00 2963.00 2074.10 0.00 1481.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1481.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1925.95 1925.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2074.10 1925.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2074.10 0.00 0.00 0.00 1777.80 0.00 0.00 1777.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000820 278 SHELL ACETEB TRIDENT PSL 48MM 9390.00 9390.00 6573.00 0.00 4695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6103.50 6103.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6573.00 6103.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6573.00 0.00 0.00 0.00 5634.00 0.00 0.00 5634.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000826 278 Screw 3.0x34mm (Wright Med) 796.00 796.00 557.20 0.00 398.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 398.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 517.40 517.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 557.20 517.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 557.20 0.00 0.00 0.00 477.60 0.00 0.00 477.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000827 278 Plate Lapidus 0mm (Wright Med) 4171.00 4171.00 2919.70 0.00 2085.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2085.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2711.15 2711.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2919.70 2711.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2919.70 0.00 0.00 0.00 2502.60 0.00 0.00 2502.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000828 278 Screw Locking 3.5x14mm (Wright 521.00 521.00 364.70 0.00 260.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.65 338.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.70 338.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.70 0.00 0.00 0.00 312.60 0.00 0.00 312.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000829 278 Screw Locking 3.5x18mm (Wright 521.00 521.00 364.70 0.00 260.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 260.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 338.65 338.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.70 338.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 364.70 0.00 0.00 0.00 312.60 0.00 0.00 312.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000833 278 SCREW LOCK 2.4X12MM 5201024012 637.00 637.00 445.90 0.00 318.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 318.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 414.05 414.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 445.90 414.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 445.90 0.00 0.00 0.00 382.20 0.00 0.00 382.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000834 278 SCREW LOCK 2.4X14MM 5201024014 637.00 637.00 445.90 0.00 318.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 318.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 414.05 414.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 445.90 414.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 445.90 0.00 0.00 0.00 382.20 0.00 0.00 382.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000835 278 PLATE 3.5 UNIV 20MM DC2801020 3264.00 3264.00 2284.80 0.00 1632.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1632.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2121.60 2121.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2284.80 2121.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2284.80 0.00 0.00 0.00 1958.40 0.00 0.00 1958.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000836 278 PLATE 3.5 UNIV 24MM DC2801024 3264.00 3264.00 2284.80 0.00 1632.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1632.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2121.60 2121.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2284.80 2121.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2284.80 0.00 0.00 0.00 1958.40 0.00 0.00 1958.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000837 278 GRAFT COTTON WDG 5MM 403205 4332.00 4332.00 3032.40 0.00 2166.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2166.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2815.80 2815.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3032.40 2815.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3032.40 0.00 0.00 0.00 2599.20 0.00 0.00 2599.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000838 278 GRAFT EVANS WEDGE 10MM 403110 5300.00 5300.00 3710.00 0.00 2650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3445.00 3445.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3710.00 3445.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3710.00 0.00 0.00 0.00 3180.00 0.00 0.00 3180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000839 278 IMP SCREW CANC 4.0X50MM 484050 47.00 47.00 32.90 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.55 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 30.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.90 0.00 0.00 0.00 28.20 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000841 278 SHELL ACETAB TRID PSL 5421150E 9390.00 9390.00 6573.00 0.00 4695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6103.50 6103.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6573.00 6103.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6573.00 0.00 0.00 0.00 5634.00 0.00 0.00 5634.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000846 278 SCREW DRILLING 1.7X6MM 5017906 146.00 146.00 102.20 0.00 73.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.90 94.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.20 94.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.20 0.00 0.00 0.00 87.60 0.00 0.00 87.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000847 278 SHELL ACTAB TRI 60MM 542-1160G 4811.00 4811.00 3367.70 0.00 2405.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2405.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3127.15 3127.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3367.70 3127.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3367.70 0.00 0.00 0.00 2886.60 0.00 0.00 2886.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000848 278 LINER ACETAB 40MM G 623-00-40G 4553.00 4553.00 3187.10 0.00 2276.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2276.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2959.45 2959.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3187.10 2959.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3187.10 0.00 0.00 0.00 2731.80 0.00 0.00 2731.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000849 278 HIP STEM SZ 10 35MM 6052-1035S 12807.00 12807.00 8964.90 0.00 6403.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6403.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8324.55 8324.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8964.90 8324.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8964.90 0.00 0.00 0.00 7684.20 0.00 0.00 7684.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000850 278 HEAD FEMORAL 40MM +7.5 06-4075 4119.00 4119.00 2883.30 0.00 2059.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2059.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2677.35 2677.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2883.30 2677.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2883.30 0.00 0.00 0.00 2471.40 0.00 0.00 2471.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000851 278 BONE FILLER SRS-010-RMS 7656.00 7656.00 5359.20 0.00 3828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3828.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4976.40 4976.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5359.20 4976.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5359.20 0.00 0.00 0.00 4593.60 0.00 0.00 4593.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000852 278 SCREW LOCK 3.5X24MM 212.108 355.00 355.00 248.50 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.75 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 0.00 0.00 0.00 213.00 0.00 0.00 213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000853 278 SCREW LOCK 3.5X26MM 212.109 355.00 355.00 248.50 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.75 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 0.00 0.00 0.00 213.00 0.00 0.00 213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000854 278 "SCREW, LOCKING 3.5X30MM (SYNTH" 355.00 355.00 248.50 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.75 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 0.00 0.00 0.00 213.00 0.00 0.00 213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000855 278 SCREW LOCK 3.5X32MM 212.112 355.00 355.00 248.50 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.75 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 230.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 248.50 0.00 0.00 0.00 213.00 0.00 0.00 213.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000857 278 HIP RESTOR PROX BODY 27MM+20 12770.00 12770.00 8939.00 0.00 6385.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6385.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8300.50 8300.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8939.00 8300.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8939.00 0.00 0.00 0.00 7662.00 0.00 0.00 7662.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000858 278 HIP RESTOR DIST STEM 155MX19MM 9151.00 9151.00 6405.70 0.00 4575.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4575.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5948.15 5948.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6405.70 5948.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6405.70 0.00 0.00 0.00 5490.60 0.00 0.00 5490.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000860 278 HIP REG FENEST 51X152MM ZIMM 3856.00 3856.00 2699.20 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2506.40 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 2506.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2699.20 0.00 0.00 0.00 2313.60 0.00 0.00 2313.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000861 278 SCREW CANN 4.0X50MM DIN40050S 722.00 722.00 505.40 0.00 361.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 469.30 469.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.40 469.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.40 0.00 0.00 0.00 433.20 0.00 0.00 433.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000862 278 SCREW LOCK 3.5X22MM 4013-3522 459.00 459.00 321.30 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.35 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 0.00 0.00 0.00 275.40 0.00 0.00 275.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000863 278 SCREW LOCK 3.5X26MM 4013-3526 459.00 459.00 321.30 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.35 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 298.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 321.30 0.00 0.00 0.00 275.40 0.00 0.00 275.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000864 278 SCREW CANN 4.0X44MM DIN40044S 722.00 722.00 505.40 0.00 361.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 469.30 469.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.40 469.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.40 0.00 0.00 0.00 433.20 0.00 0.00 433.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000865 278 SCREW BONE CANN 7X40 7.0MM 660.00 660.00 462.00 0.00 330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 429.00 429.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.00 429.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.00 0.00 0.00 0.00 396.00 0.00 0.00 396.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000866 278 SCREW BONE CANN 7X60 7.0MM 660.00 660.00 462.00 0.00 330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 330.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 429.00 429.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.00 429.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.00 0.00 0.00 0.00 396.00 0.00 0.00 396.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000867 278 SLING MINIARC PRECISE 72019101 3819.00 3819.00 2673.30 0.00 1909.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1909.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2482.35 2482.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2673.30 2482.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2673.30 0.00 0.00 0.00 2291.40 0.00 0.00 2291.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000868 278 FEM COMP FLEX SZ E-R 57641552 14639.00 14639.00 10247.30 0.00 7319.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7319.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9515.35 9515.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10247.30 9515.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10247.30 0.00 0.00 0.00 8783.40 0.00 0.00 8783.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000869 278 K-WIRE 100MM 115070ND 79.00 79.00 55.30 0.00 39.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.35 51.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.30 51.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.30 0.00 0.00 0.00 47.40 0.00 0.00 47.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000870 278 SCREW 3.0X30MM QWIX 111330SND 870.00 870.00 609.00 0.00 435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 565.50 565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 609.00 565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 609.00 0.00 0.00 0.00 522.00 0.00 0.00 522.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000871 278 SCREW 3.0X24MM QWIX 111324SND 870.00 870.00 609.00 0.00 435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 565.50 565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 609.00 565.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 609.00 0.00 0.00 0.00 522.00 0.00 0.00 522.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000872 278 SCREW CANN 2.4X12MM 319.2412 441.00 441.00 308.70 0.00 220.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 220.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.65 286.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.70 286.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.70 0.00 0.00 0.00 264.60 0.00 0.00 264.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000874 278 SCREW CANN 2.4X16MM 319.2416 441.00 441.00 308.70 0.00 220.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 220.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.65 286.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.70 286.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 308.70 0.00 0.00 0.00 264.60 0.00 0.00 264.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000875 278 BONE FILLER EX INJECT 5CC 3708.00 3708.00 2595.60 0.00 1854.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1854.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2410.20 2410.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2595.60 2410.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2595.60 0.00 0.00 0.00 2224.80 0.00 0.00 2224.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000878 278 IMP PHALANGEAL BASE LRG 3385.00 3385.00 2369.50 0.00 1692.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1692.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2200.25 2200.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2369.50 2200.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2369.50 0.00 0.00 0.00 2031.00 0.00 0.00 2031.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000887 278 SCREW LOCKING 2.7X20MM 378.00 378.00 264.60 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 245.70 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 245.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 264.60 0.00 0.00 0.00 226.80 0.00 0.00 226.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000890 278 PLATE CURVED 4 HOLES 1827.00 1827.00 1278.90 0.00 913.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 913.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1187.55 1187.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1278.90 1187.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1278.90 0.00 0.00 0.00 1096.20 0.00 0.00 1096.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000909 278 PLATE 6 HOLE LC-DCP BROAD 736.00 736.00 515.20 0.00 368.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 368.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 478.40 478.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 515.20 478.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 515.20 0.00 0.00 0.00 441.60 0.00 0.00 441.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000914 278 STEM PRESS FIT LD/FX 16X145M 5470.00 5470.00 3829.00 0.00 2735.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2735.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3555.50 3555.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3829.00 3555.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3829.00 0.00 0.00 0.00 3282.00 0.00 0.00 3282.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000964 278 CEMENT SIMPLEX W/TOBRAMYCIN 10 2343.00 2343.00 1640.10 0.00 1171.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1171.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1522.95 1522.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1640.10 1522.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1640.10 0.00 0.00 0.00 1405.80 0.00 0.00 1405.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000965 272 CEMENT SIMPLEX W/TROBRAMYCIN 1404.50 1404.50 1193.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 983.15 1193.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 983.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000967 278 COMPONENT TRI TS BASEPLT 4 18131.00 18131.00 12691.70 0.00 9065.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9065.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11785.15 11785.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12691.70 11785.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12691.70 0.00 0.00 0.00 10878.60 0.00 0.00 10878.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000968 278 PEG MODULAR DISTAL FEMORAL 3093.00 3093.00 2165.10 0.00 1546.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1546.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2010.45 2010.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2165.10 2010.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2165.10 0.00 0.00 0.00 1855.80 0.00 0.00 1855.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000969 278 COMPONENT TRI PS FEM SZ4 22830.00 22830.00 15981.00 0.00 11415.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11415.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14839.50 14839.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15981.00 14839.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15981.00 0.00 0.00 0.00 13698.00 0.00 0.00 13698.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000970 278 NAIL TIBIAL 10MM X 360MM 9738.00 9738.00 6816.60 0.00 4869.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4869.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6329.70 6329.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6816.60 6329.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6816.60 0.00 0.00 0.00 5842.80 0.00 0.00 5842.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000974 272 SIZER BREASTIMPL NATRELLE450CC 205.64 205.64 174.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.95 174.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000980 278 PLATE PIA LATERAL 0MM 4332.00 4332.00 3032.40 0.00 2166.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2166.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2815.80 2815.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3032.40 2815.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3032.40 0.00 0.00 0.00 2599.20 0.00 0.00 2599.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000981 278 PLATE COMP STR 20 X 20 MM 5784.00 5784.00 4048.80 0.00 2892.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2892.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3759.60 3759.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.80 3759.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4048.80 0.00 0.00 0.00 3470.40 0.00 0.00 3470.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000983 278 NAIL SUPRA 12X320MM 13155.00 13155.00 9208.50 0.00 6577.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6577.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8550.75 8550.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9208.50 8550.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9208.50 0.00 0.00 0.00 7893.00 0.00 0.00 7893.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000984 278 DBM PUTTY 1CC 968.00 968.00 677.60 0.00 484.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 484.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 629.20 629.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 677.60 629.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 677.60 0.00 0.00 0.00 580.80 0.00 0.00 580.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278000996 278 PLATE TUBULAR 9HOLE 109MM 327.00 327.00 228.90 0.00 163.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.55 212.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.90 212.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 228.90 0.00 0.00 0.00 196.20 0.00 0.00 196.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000017 720 VAGINAL DELIVERY 3706.82 3706.82 3150.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2594.77 3150.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2594.77 0.00 0.00 0.00 295.00 per visit 0.00 0.00 295.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000018 720 VBAC 3706.82 3706.82 3150.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2594.77 3150.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2594.77 0.00 0.00 0.00 295.00 per visit 0.00 0.00 295.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000019 720 FAILED VBAC 6792.48 6792.48 5773.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4754.74 5773.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4754.74 0.00 0.00 0.00 295.00 per visit 0.00 0.00 295.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000020 720 CESAREAN 6792.48 6792.48 5773.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4754.74 5773.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4754.74 0.00 0.00 0.00 295.00 per visit 0.00 0.00 295.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000022 710 RECOVERY ROOM 30 MIN 231.08 231.08 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000023 720 L&D OR ROOM PER 30MINS 1923.90 1923.90 1635.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1346.73 1635.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1346.73 0.00 0.00 0.00 295.00 per visit 0.00 0.00 295.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000042 720 VAGINAL TWINS DEL 5559.70 5559.70 4725.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3891.79 4725.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3891.79 0.00 0.00 0.00 295.00 per visit 0.00 0.00 295.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000047 270 PAD MATERNITY NON STERILE 0.23 0.23 0.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.16 0.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000050 270 BANDAGE ROLL 2.25 INCH 6PLY 1.16 1.16 0.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.81 0.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000051 270 COVER PROBE SMARTEMP 0.33 0.33 0.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.23 0.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000052 272 SPECULUM VAG LIGHTED LG 24.24 24.24 20.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.97 20.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000053 272 SPECULUM VAG LIGHTED MED 13.03 13.03 11.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.12 11.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000054 272 SPECULUM VAG LIGHTED SM 13.03 13.03 11.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.12 11.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000055 270 COVER PROBE ULTRASOUND 4.13 4.13 3.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.89 3.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000056 270 SYRINGE LUER LOCK TIP 10ML 0.46 0.46 0.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.32 0.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000057 270 TAPE MEASURING PAPER 36 1.45 1.45 1.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.02 1.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000058 270 CART WRISTBAND INFANT SOFT 204.05 204.05 173.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.84 173.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000059 270 BELT FETAL MONITOR 3.05 3.05 2.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.14 2.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000060 272 ELECT ATTACHMENT 2.65 2.65 2.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.86 2.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000061 272 ELECT FETAL SCALP 11.29 11.29 9.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.90 9.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000062 272 CIRCUIT RESUS NEO-TEE 85.21 85.21 72.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.65 72.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000063 272 ASPIRATOR MECONIUM YEL 20.82 20.82 17.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.57 17.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000064 272 ELECT FETAL QWICK CONNECT 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000065 272 ASPIRATOR MECONIUM CLEAR 14.46 14.46 12.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.12 12.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000066 272 KIT CIRCUIT NEONATAL SZ1 37.08 37.08 31.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.96 31.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000067 270 PROBE SKIN TEMP INFANT DISP 29.66 29.66 25.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.76 25.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000068 270 ELECTRODE ECK FOAM 0.34 0.34 0.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.24 0.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000069 270 PAD QWIK CONNECT 3.59 3.59 3.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.51 3.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000070 270 BAG SICKNESS EMESIS 1.57 1.57 1.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.10 1.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000071 270 FILT EVACUATOR ULPA 1458.83 1458.83 1240.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1021.18 1240.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1021.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000072 270 BOX REMEMBRANCE ENGLISH GRN 97.24 97.24 82.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.07 82.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000073 270 BOX REMEMBRANCE SPANISH GRN 97.24 97.24 82.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.07 82.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000074 270 BOX MEMORY BASIC ENGLISH GRN 106.56 106.56 90.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.59 90.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000075 270 BOX MEMORY BASIC SPANISH GRN 106.56 106.56 90.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.59 90.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000076 272 RESUS INFANT MANUAL W/MANMTR 42.18 42.18 35.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.53 35.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000077 270 MATT HOVER LINK 39IN 274.43 274.43 233.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.10 233.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000078 270 PACK COLD PREM OB-PAD 7.5X14.5 3.51 3.51 2.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.46 2.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000079 270 CATH FEMALE EXT LF 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000080 270 SYS COLLECTION CANISTER 27.33 27.33 23.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.13 23.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000081 272 SYS VACUUM DELIVERY 78.42 78.42 66.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.89 66.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000083 272 CATH INTRAUTERINE PRESSURE 70.25 70.25 59.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.18 59.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000084 272 DEVICE URINE TRANSFER 0.80 0.80 0.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.56 0.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000085 272 SOLUTION 0.45%SODCHL 1000ML 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000086 272 SPECULUM VAGINAL MED 16.13 16.13 13.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.29 13.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000087 272 PAD ALCOHOL LARGE 0.07 0.07 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.05 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000089 270 BRACELET I D OB 4.44 4.44 3.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.11 3.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000091 272 PAD ALCOHOL LARGE 0.02 0.02 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000092 272 RESUSCITATOR INFANT 54.09 54.09 45.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.86 45.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000093 272 CATHETER IV 18G X 1 1/4 381444 5.31 5.31 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.72 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000094 272 CATHETER IV 20G X 1 381433 5.31 5.31 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.72 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000095 272 CATHETER IV 22G X 1 381423 5.31 5.31 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.72 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000096 272 STRIP STERI SKIN 1/2 X 4 2.43 2.43 2.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.70 2.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000097 272 STRIP STERI SKIN 1/4 X 4 2.43 2.43 2.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.70 2.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000098 270 PUMP - DISPO. BREAST 72.99 72.99 62.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.09 62.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000100 270 APPLICATOR 6 COTTON TIP 0.07 0.07 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.05 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000101 270 BAG ENEMA W/CASTILE SOAP 3.90 3.90 3.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.73 3.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000102 270 SYRINGE - EAR/ULCER BULB 1.95 1.95 1.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.37 1.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000103 270 BRIEF DISPOSABLE MESH LG 4.35 4.35 3.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.05 3.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000104 270 BRIEF DISPOSABLE MESK MED 2.66 2.66 2.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.86 2.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000105 270 KIT COLL URINE MID STREAM 3.46 3.46 2.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.42 2.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000106 270 SYSTEM - MYSTIC II/MITY VAC 105.64 105.64 89.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.95 89.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000107 272 SPONGE LAP 18 X 18 40PKCS 0.13 0.13 0.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.09 0.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000108 272 TOWELS ABSORBANT STERILE 0.78 0.78 0.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.55 0.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000109 272 SET SKIN PREP 10.10 10.10 8.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.07 8.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000111 272 SENSOR NEOTEMP NEONATAL 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000112 272 BOTTLE PERI 8OZ 1.30 1.30 1.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.91 1.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000113 270 TONGUE DEPRESSOR ADULT 0.10 0.10 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000114 272 CLAMP UMBILICAL CORD 1.83 1.83 1.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.28 1.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000115 272 AMNIHOOK/PERFORATOR 13.57 13.57 11.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.50 11.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000116 272 SOLUTION 0.45%SODCHL 2B1314X 6.21 6.21 5.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.35 5.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000117 270 ELECTRODE FETAL 8.32 8.32 7.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.82 7.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000118 270 PAD ATTACHMENT 0.52 0.52 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.36 0.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000119 270 SYRINGE 6CC 1180600777 0.20 0.20 0.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.14 0.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000120 270 SYRINGE 3CC 1180300777 0.12 0.12 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.08 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000121 270 SYRINGE 20CC 1182000777 0.56 0.56 0.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.39 0.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000122 272 TUBE ENDOTRACHEAL 2.5 PED 10BX 5.54 5.54 4.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.88 4.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000123 270 COVER PROBE GENERAL 1.13 1.13 0.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.79 0.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000125 272 TUBE ENDOTRACHEAL 3.5 PEDS 5.54 5.54 4.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.88 4.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000126 272 TUBE ENDOTRACHEAL 4.0 PEDS 3.36 3.36 2.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.35 2.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000127 272 TUBE ENDOTRACHEAL 3.0 PEDS 5.54 5.54 4.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.88 4.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000129 272 SOLUTION DEX5% & 9% 2B1064 6.07 6.07 5.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.25 5.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000130 272 TUBE VYGON 2.0 ENDOTRACHEAL 28.90 28.90 24.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.23 24.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000131 270 TUBING FLOWTRON 45.54 45.54 38.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.88 38.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000132 270 CUFF BP ADULT 1 TB BP501520 4.94 4.94 4.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.46 4.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000133 270 CUFF BLOOD PRESSURE LARGE 11.41 11.41 9.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.99 9.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000134 272 TRAY CATHETERIZATION UMBILICAL 150.92 150.92 128.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.64 128.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000135 270 SCRUB SHIRT MEDIUM 3.38 3.38 2.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.37 2.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000136 270 SCRUB SHIRT LARGE 3.33 3.33 2.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.33 2.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000137 270 SCRUB SHIRT XLARGE 3.31 3.31 2.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.32 2.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000138 270 SCRUB SHIRT XXLARGE 6.66 6.66 5.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.66 5.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000139 270 SCRUB PANTS MEDIUM 3.75 3.75 3.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.63 3.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000140 270 SCRUB PANT LARGE 7.38 7.38 6.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.17 6.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000141 270 SCRUB PANT XLARGE 3.46 3.46 2.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.42 2.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000142 270 SCRUB PANT XXXLARGE 3.54 3.54 3.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.48 3.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000143 272 NEEDLE BUTTERFLY 21G 2.51 2.51 2.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.76 2.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000144 272 NEEDLE BUTTERFLY 23G 2.51 2.51 2.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.76 2.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000145 270 COVER PROBE FILAC 3000 0.99 0.99 0.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.69 0.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000146 270 NEBULIZER 2446 MISTY 2.19 2.19 1.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.53 1.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000147 270 NEBULIZER 2433 W/ADULT 5.65 5.65 4.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.96 4.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000148 270 RESUSCITATOR 2K8005 AMBU 22.72 22.72 19.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.90 19.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000149 270 TUBING 72 CORRUGATED 1420 2.09 2.09 1.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.46 1.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000150 272 CO2 DETECTOR END-TIDAL 29.40 29.40 24.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.58 24.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000151 272 CO2 DETECTOR PEDI-CAP 29.40 29.40 24.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.58 24.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000152 272 SET IV START 9.72 9.72 8.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.80 8.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000153 270 SYRINGE TB 1CC 25 X 5/8 0.50 0.50 0.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.35 0.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000154 270 SYRINGE 3CC 22 X 1 1/2 0.60 0.60 0.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.42 0.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000155 272 NEEDLE 25 X 5/8 500CS 0.45 0.45 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.32 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000156 272 NEEDLE 22 X 1 1/2 500CS 0.45 0.45 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.32 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000157 270 SET Y-TYPE BLOOD 2C8750 23.08 23.08 19.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.16 19.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000158 272 NEEDLE 18 X 1 1/2 500CS 0.46 0.46 0.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.32 0.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000159 272 PACK LABOR&DELIVERY CDS 150.18 150.18 127.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.13 127.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000160 272 SOLUTION 9%SODCHL 2B1309 4.89 4.89 4.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.42 4.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000161 270 OXISENSOR NEO/ADULT 37.21 37.21 31.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.05 31.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000162 272 SET INJECTION SITE 2N8399 3.99 3.99 3.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.79 3.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000163 272 SPECULUM VAGINAL DISP. LARGE 1.75 1.75 1.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.23 1.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000164 272 SOLUTION LACT 2B2074X 5.87 5.87 4.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.11 4.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000165 270 PROBE SKIN TEMP DISP 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000166 272 TRAY AMNIO 20 X 3 1/2 25.85 25.85 21.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.10 21.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000167 272 SOLUTION LACT 2B2323Q 5.13 5.13 4.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.59 4.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000168 272 SOLUTION DEX 5% 100ML 2B0082 5.17 5.17 4.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.62 4.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000169 272 KIT SUCT CATH 8FR 1.27 1.27 1.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.89 1.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000170 272 KIT SUCT CATH 5FR 1.34 1.34 1.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.94 1.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000171 272 TUBING CONN 5MM 1 1/2FT 0.74 0.74 0.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.52 0.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000172 272 TRAY SKIN PREP 6.49 6.49 5.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 5.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000173 272 BARRIER ADHESION SEPFLM 3X2.5 254.72 254.72 216.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 178.30 216.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 178.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000174 272 SOLUTION DEX 5% 45% 2B1074X 6.32 6.32 5.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.42 5.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000175 270 STOCKINGS D.V.T. 10 56.07 56.07 47.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.25 47.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000176 270 STOCKINGS D.V.T. 20 89.92 89.92 76.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62.94 76.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000178 272 SOLUTION SODCHL 9% 2F7124 8.12 8.12 6.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.68 6.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000179 270 BED PAN COMMODE FITTING 2.06 2.06 1.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.44 1.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000181 272 BLADE LARYNG MILLER 0 DISP 12.61 12.61 10.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.83 10.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000182 272 BLADE LARYNG MILLER 00 DISP. 11.29 11.29 9.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.90 9.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000183 272 BLADE LARYNG MILLER 1 DISP 22.94 22.94 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.06 19.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000184 272 MASK NEO DISP 35MM 19.86 19.86 16.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.90 16.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000185 272 MASK NEO DISP 42MM 17.84 17.84 15.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.49 15.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000186 272 MASK NEO DISP 60MM 21.03 21.03 17.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.72 17.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000187 272 MASK NEO DISP 72MM 21.03 21.03 17.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.72 17.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000188 272 KIT NEO DISP 60IN T PIECE 21.94 21.94 18.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.36 18.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000189 270 SYRINGE 1CC INSULIN 0.71 0.71 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000190 272 SPONGE NUGAUZE 4 X 4 9024 0.05 0.05 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000191 272 MASK NEO DISP 50MM 17.17 17.17 14.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.02 14.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000192 272 SPONGE GAUZE 4 X 4 12PLY 0.10 0.10 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000193 272 FILT DISP GYRUS 21.12 21.12 17.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.78 17.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000194 270 BRIEF UNDERWEAR 38-58IN 2XL 1.96 1.96 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.37 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000195 272 NDL FLTR 19G 0.54 0.54 0.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.38 0.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000196 270 BAG SPONGE COUNTER BLU 3.10 3.10 2.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.17 2.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000197 272 CATHETER INTRAUTERINE 64.98 64.98 55.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.49 55.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000198 272 SET FLTRLINE ADL/PED 27.98 27.98 23.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.59 23.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000199 272 LINE FLTR ORAL/NASAL ADL 58.12 58.12 49.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.68 49.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000200 270 PAD SANITARY 11IN 0.30 0.30 0.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.21 0.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000201 272 "BANDAGE, KLING STRETCH" 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000202 272 CAUTERY ESU W/ HOLSTER 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000203 271 PAD GROUND ESU REM ADLT 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000204 270 US SUT SKIN STAPLER 35W 05400 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000205 272 DRESSING TEGADERM LRG 48.76 48.76 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000206 272 CURRETTE VACUUM 8MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000207 272 CURRETTE VACUUM 10MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000208 272 CURRETTE VACUUM 7MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000209 272 DRESSING TEGADERM SMALL 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000210 272 SURGICEL 4X8 285.14 285.14 242.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 199.60 242.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 199.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000211 272 BLADE RIB BACK SIZE 20 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000212 270 BAX SECONDARY SET 2C7462 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000213 270 CATHETER FOLEY 18FR 30CC 2 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000214 270 CLIPPER HEAD DISP. FOR RAZOR 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000215 250 DERMABOND PRO PEN (ETHICON) D 119.78 119.78 83.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.85 77.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000217 272 CURETTE VACUUM 12MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000218 272 CURETTE VACUUM 9MM 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000219 272 RETRACTOR DISPO XL ALEXIS 187.62 187.62 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000220 250 HEMOSTAT SURGICEL 2X3 188.68 188.68 132.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 122.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000221 272 SUTURE GENERAL 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000222 272 SUTURE SPECIALITY 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000223 271 BAIR HUGGER UPPER BODY 522 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000224 272 STOCKINGS D.V.T. STD 12IN 231.08 231.08 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000225 272 STOCKINGS D.V.T. LG 14IN 99.64 99.64 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000226 250 APPLIC 3ML 2% CHLORHEXIDINE 2.38 2.38 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.67 1.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000227 250 APPLIC CHLRHXDN 26ML STRL 15.90 15.90 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 10.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000228 272 PACK C SECTION 238.50 238.50 202.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.95 202.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000229 272 PACK GENERAL LAP 189.74 189.74 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000230 272 TRAY FOL 16FR W/URINE METER 74.20 74.20 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000231 270 ADHESIVE TISSUE DOME TIP 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000232 272 BLADE SURGICAL 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000233 270 CANNISTER SUCTION 1200CC 437.78 437.78 372.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.45 372.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000234 270 CANNISTER SUCTION 2000CC 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000235 270 HOLDER FOLEY 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000236 272 SOLUTION LACT 2B2324 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000237 272 SOLUTION DOCHL 9% 2B1324X 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000238 272 SYRINGE BULB TYPE IRR 60CC 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000239 272 TAPE DERMICEL 2 INCH 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000240 272 TAPE DERMICEL 3 INCH 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000241 272 TPAE DERMICEL 1 INCH 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000243 272 TUBE SUCTION 9/32 X 12 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000244 272 TUBE SUCTION 9/32 X 6 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000245 272 TUBE YANKAUER SUCTION 50CS 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000246 272 PACK PERI-GYN 55.12 55.12 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000247 272 TUBING UTERINE STER 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000248 272 SET CONTINUE FLOW 2C8519 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000249 272 BLANKET ALLIANCE FULL BODY 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000250 272 KIT DRESSING 13CM 1668.44 1668.44 1418.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.91 1418.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000251 272 KIT DRESSING 20CM 1668.44 1668.44 1418.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.91 1418.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000252 272 MANIFOLD FOUR PORT W/COLL 91.16 91.16 77.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.81 77.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000253 272 MANIFOLD FOUR PORT 83.74 83.74 71.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.62 71.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000254 272 TRAP TISSUE 30.61 30.61 26.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.43 26.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000255 250 SOLUTION WATER STERILE 2F7114 5.83 5.83 4.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.08 3.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337000256 272 SHEET TRANSFER PATIENT 7.37 7.37 6.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.16 6.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337005001 450 E&M OB ED VISIT 1908.00 1908.00 1441.00 0.00 625.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 1085.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 337005002 450 E&M OB ED VISIT W/PROC 1908.00 1908.00 1441.00 0.00 625.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 1085.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000101 272 KIT PEG 18FR 800.30 800.30 680.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.21 680.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000102 272 BASKET STONE 2.4FX115CM 695.36 695.36 591.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.75 591.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000103 272 BURR ABRADER 4.0MM 442.02 442.02 375.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.41 375.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000104 272 GUIDEWIRE 0.9MMX70MM 77.38 77.38 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000108 278 NAIL SUPRA T2 11X320MM 13155.00 13155.00 9208.50 0.00 6577.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6577.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8550.75 8550.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9208.50 8550.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9208.50 0.00 0.00 0.00 7893.00 0.00 0.00 7893.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000110 272 STNT INLAY 4.7FRX26CM 307.40 307.40 261.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.18 261.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 215.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000111 272 KIT LEAD 384.78 384.78 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000117 278 SYSTEM ELEVATE POSTERIOR 11737.00 11737.00 8215.90 0.00 5868.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5868.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7629.05 7629.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8215.90 7629.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8215.90 0.00 0.00 0.00 7042.20 0.00 0.00 7042.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000119 272 TUBE CONN FLTR 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000121 278 "PLATE TUBULAR 1/3, 8 HOLE" 219.00 219.00 153.30 0.00 109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.35 142.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 153.30 142.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 153.30 0.00 0.00 0.00 131.40 0.00 0.00 131.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000127 272 K WIRE 0.8MMX100MM 77.38 77.38 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000129 272 STAPLER CARTRIDGE TA 90 DST 864.96 864.96 735.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 605.47 735.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 605.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000132 750 ENDOSCOPY ROOM - FIRST 1/2 HOU 4142.48 4142.48 2899.74 0.00 748.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2899.74 1367.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2899.74 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000133 750 ENDOSCOPY ROOM - EACH ADD'L 1/ 1564.56 1564.56 2831.00 0.00 748.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1095.19 1367.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1095.19 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000136 272 SYS RETRACTOR 1173.42 1173.42 997.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 821.39 997.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 821.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000139 272 BIT DRIL 4.5MM 634.94 634.94 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000140 272 BIT DRILL 3.2MM 634.94 634.94 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000141 272 BIT DRILL 2.6MM 634.94 634.94 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000143 272 PIN STEINMAN 5.4MMX229MM 327.54 327.54 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000144 272 DRILL 2.4MM 431.42 431.42 366.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 301.99 366.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 301.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000146 272 GUIDEWIRE 1.6MMX190MM 77.38 77.38 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000147 278 CAP LCK 3.5MMX8MM 711.00 711.00 497.70 0.00 355.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 462.15 462.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 497.70 462.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 497.70 0.00 0.00 0.00 426.60 0.00 0.00 426.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000148 272 BIT DRILL 2.5MMX110MM 276.66 276.66 235.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 193.66 235.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 193.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000149 272 BIT DRILL 2.5MMX180MM 328.60 328.60 279.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.02 279.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000151 272 "CAUTERY TIP, LONG EXTENDED BLA" 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000153 272 BIT DRILL 3.3MM 654.02 654.02 555.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.81 555.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000155 272 KIT CLOSED WOUND SUCTION 386.90 386.90 328.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270.83 328.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 270.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000156 272 EVACUTR BLADDER DISP. 242.74 242.74 206.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 169.92 206.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 169.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000158 272 BLANKET 36X33IN PEDI FULL 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000159 272 DRAIN JP 10FR 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000160 272 CATHETER FOLEY LATX IC 5CC 16F 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000161 272 CATHETER FOLEY 24FR 5CC COUDE 32.86 32.86 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000166 272 FIBER MOXY 2180.42 2180.42 1853.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1526.29 1853.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1526.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000167 272 TRAY CATHETER TRIPLE 182.32 182.32 154.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.62 154.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 127.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000170 272 SUT VI 0 18IN ENDOLOOP 163.24 163.24 138.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 138.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000172 278 SHAFT 284MM 1769.00 1769.00 1238.30 0.00 884.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 884.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1149.85 1149.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1238.30 1149.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1238.30 0.00 0.00 0.00 1061.40 0.00 0.00 1061.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000174 272 FIBER SURG 272 MICRON 942.34 942.34 800.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.64 800.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 659.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000182 272 CATH FOLEY 20FR 30CC 3WAY 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000183 272 APPLIC TIP 16CM 327.54 327.54 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000189 272 FIBER FORCE SZ 5 106.00 106.00 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000190 272 PIN FIX LG 1.4MM 367.82 367.82 312.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 257.47 312.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 257.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000191 272 K-WIRE 1.1X150MM 60.42 60.42 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000192 278 PLATE LAP LPS 4MM 9416.00 9416.00 6591.20 0.00 4708.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4708.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6120.40 6120.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6591.20 6120.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6591.20 0.00 0.00 0.00 5649.60 0.00 0.00 5649.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000193 272 BIT DRILL 2.0X24MM 412.34 412.34 350.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.64 350.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000194 272 BIT DRILL 2.8X60MM 619.04 619.04 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000195 272 BIT DRILL CANN 2.5MM 463.22 463.22 393.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 324.25 393.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 324.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000201 272 BIT DRILL 2.0MMX30MM 619.04 619.04 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000202 272 PIN FIXATION 1.4MM SM 258.64 258.64 219.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.05 219.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000204 272 PLATE TACK 367.82 367.82 312.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 257.47 312.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 257.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000205 272 BIT DRILL CANN 2.2MM 619.04 619.04 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 526.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 433.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000206 272 DRILL 25MM 491.84 491.84 418.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 344.29 418.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 344.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000217 272 BASKET RETRIEVAL 3.0CM X 3.2MM 1208.40 1208.40 1027.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.88 1027.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000218 272 BASKET RETRIEVAL 2.5CM X 3.2MM 1208.40 1208.40 1027.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.88 1027.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000230 272 KIT CLOSED WOUND SUCTION 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000231 272 BLADE SAW SAG 41.0MM 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000232 272 SIGMOIDOSCOPE DISP 19MM X 25 21.20 21.20 18.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.84 18.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000233 272 CATHETER FOLEY 22FR 5CC 2WAY 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000246 272 BIT DRILL 4.2X340 641.30 641.30 545.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.91 545.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000247 272 BIT DRILL 5.0X230MM 972.02 972.02 826.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 680.41 826.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 680.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000248 272 GUIDEWIRE 3.0X800MM 1005.94 1005.94 855.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 704.16 855.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 704.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000261 272 BIT DRILL 3.2MM X 145MM 187.62 187.62 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000263 272 CLIP TUBE CLOSED 821.50 821.50 698.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 575.05 698.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 575.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000265 272 CATH RE-ENTRY 6FX120CM 8191.68 8191.68 6962.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5734.18 6962.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5734.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000266 272 TROCAR NON BLADED 5MM 75.26 75.26 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000267 272 TROCAR BLADED 5X100MM 75.26 75.26 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000268 272 TROCAR SLEEVE 5MM 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000269 272 STOCKINGS D.V.T. STD 12IN 231.08 231.08 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000270 272 STOCKINGS D.V.T. BARI 12IN 156.88 156.88 133.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.82 133.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000272 272 DEVICE INFLATION 20CC 487.60 487.60 414.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341.32 414.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000280 272 DRILL 2.0MM 419.76 419.76 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000281 272 DRILL PILOT 1.3MM 419.76 419.76 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000286 272 PILLOW ABDUCTION CONTOUR LRG 69.96 69.96 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000288 272 WAND TURBOVAC SUCTION 881.92 881.92 749.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.34 749.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000300 272 SNARE POLYPECTOMY LARGE 75.26 75.26 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000302 278 FORMULA IMPACT 5CC 7623.00 7623.00 5336.10 0.00 3811.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3811.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4954.95 4954.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5336.10 4954.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5336.10 0.00 0.00 0.00 4573.80 0.00 0.00 4573.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000305 272 SHEATH CLASSIC 9F 221.54 221.54 188.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.08 188.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000307 272 STOCKINGS D.V.T. LG 14IN 99.64 99.64 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000309 272 ELECT DEFIB ADL PHILLIPS 71.02 71.02 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000310 272 ELECT DEFIB ADL ZOLL 71.02 71.02 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000311 272 ELECTRODE TUNGSTEN LOOP 20X12M 33.92 33.92 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000312 272 BIT DRILL 2.2MMX10MM 694.30 694.30 590.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.01 590.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000314 272 BIT DRILL 2.2MMX8MM 694.30 694.30 590.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.01 590.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000317 278 CAP END HUMERAL 1251.00 1251.00 875.70 0.00 625.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 625.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 813.15 813.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 875.70 813.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 875.70 0.00 0.00 0.00 750.60 0.00 0.00 750.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000318 272 PADS PROTECTIVE 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000319 272 FIBER LASER 910 2814.30 2814.30 2392.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1970.01 2392.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1970.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000323 272 SET SEAL 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000324 272 DEVICE TISSUE REMOVAL 4127.64 4127.64 3508.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2889.35 3508.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2889.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000329 272 NDL BONE MARROW 11GX4 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000335 272 CUTTER 35MM LINEAR ARTIC REG 998.52 998.52 848.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 698.96 848.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 698.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000336 272 CUTTER 35MM LINEAR ARTIC VASC 33.92 33.92 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000337 272 TAKS PLATE HOLDING 150.52 150.52 127.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.36 127.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000339 272 DRIL PILOT 1.3MM 562.86 562.86 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 478.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000344 272 DRILL 2.6MMX122MM 641.30 641.30 545.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.91 545.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 448.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000345 272 BIT DRILL 3.5MM 604.20 604.20 513.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 422.94 513.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 422.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000348 272 KIT INJECT DELIVERY 469.58 469.58 399.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.71 399.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000350 278 FILLER BONE INJECT 5CC 7835.00 7835.00 5484.50 0.00 3917.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3917.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5092.75 5092.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5484.50 5092.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5484.50 0.00 0.00 0.00 4701.00 0.00 0.00 4701.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000352 272 COUNTERSINK 3.0/4.0 1133.14 1133.14 963.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 793.20 963.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 793.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000353 272 DRILL CANN 2.7MM 1162.82 1162.82 988.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 813.97 988.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 813.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000354 272 KIT DIL CATH 18F 1451.14 1451.14 1233.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1015.80 1233.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1015.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000355 272 KIT DIL BALLON 18FR X 6MM 806.66 806.66 685.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 564.66 685.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 564.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000357 272 SIZER IMP 650-700CC 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000359 272 FIBER LASER 365 1125.72 1125.72 956.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 788.00 956.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 788.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000361 272 FIBER LASER 550 1125.72 1125.72 956.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 788.00 956.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 788.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000364 272 INSTRUMENT LIGASURE 5MM-37CM 2063.82 2063.82 1754.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1444.67 1754.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1444.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000365 272 INSTRUMENT LIGASURE 5MM-43CM 2450.72 2450.72 2083.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1715.50 2083.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1715.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000366 272 INSTRUMENT LIGASURE IMPACT 2576.86 2576.86 2190.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1803.80 2190.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1803.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000367 272 LIGASURE CUR SM JAW 1751.12 1751.12 1488.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1225.78 1488.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1225.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000374 272 DEVICE GELPOINT ADVANCED 100MM 1688.58 1688.58 1435.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1182.01 1435.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1182.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000375 272 BIT DRILL 4.3MM 543.78 543.78 462.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 380.65 462.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 380.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000380 272 CATH COUNCIL 22FR X 5CC 151.58 151.58 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000381 272 CATH COUNCIL 20FR X 5CC 151.58 151.58 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000382 272 CATH COUNCIL 18FR X 5CC 164.30 164.30 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000383 272 CATH COUNCIL 16FR X 5CC 151.58 151.58 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 128.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000385 272 TUBE TRACH SCT #8 125.08 125.08 106.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.56 106.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000387 272 CATHETER FOLEY 24FR 30CC 3WY 255.46 255.46 217.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 178.82 217.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 178.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000390 272 KIT INST VO 975.20 975.20 828.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 682.64 828.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 682.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000395 272 KIT CATH PLEURAL 1535.94 1535.94 1305.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1075.16 1305.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1075.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000397 272 KWIRE FULLY THRD 1.6X200MM 262.88 262.88 223.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.02 223.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000398 272 KIT POST OP STRL 97.52 97.52 82.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.26 82.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000401 272 SEPARATOR OPT SYSTEM THREADED 65.72 65.72 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 55.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000411 272 FCP ALLIGATOR RET. 3.3X65CM 1061.06 1061.06 901.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.74 901.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000413 272 CATHETER THORACIC (B) 14.84 14.84 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000415 272 GRANUFOAM LG DRSG PK 221.54 221.54 188.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.08 188.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000419 272 FIBER SURG 300 MICRON 919.02 919.02 781.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 643.31 781.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 643.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000425 272 BIT DRILL 02.8X120MM 647.66 647.66 550.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 453.36 550.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 453.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000428 272 SYSTEM SEPERATOR KII 12MM 107.06 107.06 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.94 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000432 250 APPLIC 3ML 2% CHLORHEXIDINE 2.38 2.38 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.67 1.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000433 250 APPLIC CHLRHXDN 26ML STRL 15.90 15.90 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 10.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000438 272 KIT INTRO SHEATH PERCU 8.5FR 136.74 136.74 116.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.72 116.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000439 272 SHEATH INTRO 5FR R/O 10CM 116.60 116.60 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000441 272 WIRE TROCAR .045X6IN 110.24 110.24 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000445 272 WIRE K 1.25X150MM 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000446 272 SIZER SALINE 150-170CC 146.28 146.28 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000447 272 ROD POSITIONING 2MM 764.26 764.26 649.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 534.98 649.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 534.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000448 272 REAMER CALIB 2.0MM 973.08 973.08 827.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 681.16 827.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 681.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000457 272 PIN STEINMAN 3.2X229MM 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000463 272 SPONGE ENDO 5MM KITTNER 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000468 272 BIT DRILL CANN 4.9MM 2406.20 2406.20 2045.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1684.34 2045.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1684.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000469 272 GUIDEWIRE 3.2X300MM 709.14 709.14 602.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 496.40 602.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 496.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000470 272 DRILL 2.3MM 1170.24 1170.24 994.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 819.17 994.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 819.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000471 272 DRILL 2.0MM 658.26 658.26 559.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.78 559.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000472 272 TAK HOLDING 237.44 237.44 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.21 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000475 272 DRILL 2.6MM AO 950.82 950.82 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000476 272 BLADE 2MM SERR 509.86 509.86 433.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 356.90 433.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 356.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000477 272 BURR 3MM CUT 455.80 455.80 387.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 319.06 387.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 319.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000478 272 BLADE TONSIL 4MM SERR 414.46 414.46 352.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.12 352.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 290.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000479 272 DRILL 3.5MM 848.00 848.00 720.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 593.60 720.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 593.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000489 272 DRILL AO 2.0X30MM 950.82 950.82 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000498 272 BIT DRILL 4.3X262MM 768.50 768.50 653.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 537.95 653.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 537.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000499 272 BIT DRILL 3.2MM/L145MM 928.56 928.56 789.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 649.99 789.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 649.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000508 272 GUIDEWIRE 2.8X230MM 815.14 815.14 692.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 570.60 692.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 570.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000515 272 SET INTU GUIBOR 17.7CM 395.38 395.38 336.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.77 336.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000519 272 GUIDEWIRE 3.2X300MM 716.56 716.56 609.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 501.59 609.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 501.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000522 272 WIRE GUIDE 335CM 695.36 695.36 591.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.75 591.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000524 272 BLADE OSCILLATOR 62.54 62.54 53.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.78 53.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000525 272 LUBRICANT VIPERSLIDE 329.66 329.66 280.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.76 280.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000526 272 BIT SCREWDRIVER T8 1207.34 1207.34 1026.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.14 1026.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000527 272 WIRE K 1.2MM L65MM 716.56 716.56 609.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 501.59 609.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 501.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000528 272 BIT DRILL 2.0MM/L110MM 1001.70 1001.70 851.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 701.19 851.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 701.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000538 272 DEVICE FIXATION ABS 2588.52 2588.52 2200.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1811.96 2200.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1811.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000539 272 INST PROTACK 5MM 442.02 442.02 375.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.41 375.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 309.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000540 272 TROCAR XCEL BLDLS 100MM 12DIA 1097.10 1097.10 932.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 767.97 932.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 767.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000541 272 TROCAR XCEL BLT 100MM 12DIA 841.64 841.64 715.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 589.15 715.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 589.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000542 272 SLV STBLTY XCEL CANN 5MM DIA 109.18 109.18 92.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.43 92.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000543 272 TROCAR XCEL BLT 100MM 5DIA 658.26 658.26 559.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.78 559.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000546 272 DEVICE FIXATION 5MM 2832.32 2832.32 2407.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1982.62 2407.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1982.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000547 272 TUBE INSUFF W/FILTER 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000548 272 TUBING SMOKE EVAC 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000549 272 SHEAR CVD 5MM X 36CM 4498.64 4498.64 3823.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3149.05 3823.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3149.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000550 272 APPLIER CLIP 5MM ENDO 602.08 602.08 511.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 421.46 511.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 421.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000552 272 FIBER HPS BPH 1097.10 1097.10 932.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 767.97 932.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 767.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000562 272 STYLET CLEANING 1.4MM 234.26 234.26 199.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.98 199.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000564 272 PIN THRD 3.2MM X 450MM 684.76 684.76 582.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 479.33 582.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 479.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000570 272 CATHETER FOLEY PEDS. 8FR 3CC 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000571 272 NDL RETROBULBAR 25G 1IN 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000572 272 CANN IRR 25GX4MM 21.20 21.20 18.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.84 18.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000573 272 BLADE LARYN 4X22CM DEBULK 995.34 995.34 846.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 696.74 846.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 696.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000574 272 BLADE LARYN 3.2X22CM SUPER 979.44 979.44 832.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 685.61 832.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 685.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000578 272 REINFORCEMENT STAPLE APEX 45E 911.60 911.60 774.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 638.12 774.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 638.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000579 272 SYSTEM LIGATOR CRH 231.08 231.08 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000580 272 WIRE K 1.2 85.86 85.86 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000581 272 COUNTERSINK 926.44 926.44 787.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 648.51 787.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 648.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000585 272 GUIDEWIRE PERIH.035X300CM 392.20 392.20 333.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274.54 333.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 274.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000586 272 GUIDEWIRE STEEL 300CM 427.18 427.18 363.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.03 363.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 299.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000587 272 GUIDEWIRE J 260CM 659.32 659.32 560.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 461.52 560.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 461.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000590 272 STAPLER PWRD 60X340MM 1490.36 1490.36 1266.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1043.25 1266.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1043.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000591 272 STAPLER PWRD 60X440MM 1467.04 1467.04 1246.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1026.93 1246.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1026.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000592 272 TROCAR BLDLS 5X100MM 857.54 857.54 728.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 600.28 728.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 600.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000593 272 CART RELOAD 45MM BLU 486.54 486.54 413.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.58 413.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 340.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000594 272 STAPLER RELOAD 60MM GRN 536.36 536.36 455.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.45 455.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000595 272 SLEEVE STBLTY CANN 12MM 463.22 463.22 393.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 324.25 393.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 324.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000596 272 STAPLER RELOAD 60MM BLU 536.36 536.36 455.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.45 455.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000597 272 STAPLER RELOAD 60MM GLD 536.36 536.36 455.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.45 455.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 375.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000606 272 DEVICE DISSECTOR OVAL SM 2285.36 2285.36 1942.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1599.75 1942.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1599.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000607 272 SHEARS HARMONIC 5X45CM 4573.90 4573.90 3887.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3201.73 3887.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3201.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000621 272 BIT DRILL 2.5 SHORT 1453.26 1453.26 1235.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1017.28 1235.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1017.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000623 272 FIBER LASER SUREFLEX 365 2058.52 2058.52 1749.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.96 1749.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1440.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000626 272 DRILL 2.5MM 348.74 348.74 296.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.12 296.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000629 272 BIT DRILL 3.3X40MM 498.20 498.20 423.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 348.74 423.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 348.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000631 272 CUTTER 45MM LINEAR ARTIC VASC 977.32 977.32 830.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 684.12 830.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 684.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000634 278 SPHERE EYE VENUS 12MM STER 206.00 206.00 144.20 0.00 103.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.90 133.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.20 133.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.20 0.00 0.00 0.00 123.60 0.00 0.00 123.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000635 278 SPHERE EYE VENUS 16MM STER 224.00 224.00 156.80 0.00 112.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.60 145.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.80 145.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.80 0.00 0.00 0.00 134.40 0.00 0.00 134.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000646 272 BIT DRILL 4.5MM/L145MM 947.64 947.64 805.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 663.35 805.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 663.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000649 272 PIN FIXATION 348.74 348.74 296.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.12 296.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000650 272 BIT DRILL CANN 2.0MM 587.24 587.24 499.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.07 499.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000651 272 BIT DRILL 1.3MM 481.24 481.24 409.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.87 409.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000652 272 K-WIRE 0.9X150MM 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000654 272 KIT SEALANT EVICEL 5ML 3217.10 3217.10 2734.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2251.97 2734.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2251.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000656 272 FIBER LASER 600 MICRON 435.66 435.66 370.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.96 370.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000657 272 FIBER LASER 1000 MICRON 970.96 970.96 825.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 679.67 825.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 679.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000659 272 PIN THREADED 3.0X305MM 332.84 332.84 282.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.99 282.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000660 272 APPL FLEXTIP 45CM 121.90 121.90 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 103.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000666 272 WIRE K 2.5X228MM 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000667 272 DRILL CANN 4.5MM 348.74 348.74 296.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.12 296.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000668 272 COUNTERSINK LG 6.5MM 348.74 348.74 296.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.12 296.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000669 272 SYS LAP GELPORT 120MM 1549.72 1549.72 1317.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1084.80 1317.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1084.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000670 272 CUTTER 45MM LINEAR ENDO 431.42 431.42 366.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 301.99 366.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 301.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000672 272 SYS LAP ALEXIS SM 160.06 160.06 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000680 272 ROD ALIGNMENT 178.08 178.08 151.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.66 151.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000683 272 BIT DRILL 3.1 LCK 901.00 901.00 765.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 630.70 765.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 630.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000694 272 REAMER 20MM METATARSAL 5520.48 5520.48 4692.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3864.34 4692.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3864.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000701 272 BIT DRILL CANN 1.7MM 587.24 587.24 499.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.07 499.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000703 272 DEFIBRILLATOR PADS ADULT 64.66 64.66 54.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.26 54.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000714 272 GUIDEWIRE 2.3MM 191.86 191.86 163.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 134.30 163.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 134.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000716 272 NEEDLE VERRES 120MM 86.92 86.92 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000717 272 TIP MINI FLARED 0.9MM 267.12 267.12 227.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 186.98 227.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 186.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000718 272 CASSETTE CENTURION .9 & SLEEVE 829.98 829.98 705.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 580.99 705.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 580.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000719 272 SOLUTION BSS+ 500ML BAG 267.12 267.12 227.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 186.98 227.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 186.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000725 272 SYS SKIN CLOSURE PRINEO 584.06 584.06 496.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 408.84 496.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 408.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000730 272 BIT DRILL 3.2X315MM 1086.50 1086.50 923.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 760.55 923.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 760.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000731 272 BIT DRILL 4.3X310MM 1125.72 1125.72 956.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 788.00 956.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 788.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000736 272 TROCAR BLDLS ENDOSCOPIC 481.24 481.24 409.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.87 409.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000741 272 PIN STEINMAN 4X22.9MM 66.78 66.78 56.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.75 56.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000742 272 PIN STEINMAN 3.2X22.9MM 59.36 59.36 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.55 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000743 272 COUNTERSINK CANN 6.5/7.3MM 1744.76 1744.76 1483.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1221.33 1483.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1221.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000750 272 ASSY CENTURION VIRECTOMY 23G 837.40 837.40 711.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.18 711.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 586.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000755 272 BIT DRILL 3.2X216MM 908.42 908.42 772.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 635.89 772.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 635.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000756 272 BIT DRILL 4.3X296MM 986.86 986.86 838.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 690.80 838.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 690.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000759 272 REINFORCEMENT STAPLE VER 45E 664.62 664.62 564.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.23 564.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000760 272 REINFORCEMENT STAPLE APEX 80U 674.16 674.16 573.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 471.91 573.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 471.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000761 272 FCP BIOPSY 2.4 1341.96 1341.96 1140.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 939.37 1140.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 939.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000762 272 SHEATH URETERAL 12-4FR 516.22 516.22 438.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.35 438.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000763 272 PACK CUSTOM CATARACT 1033.50 1033.50 878.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 723.45 878.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 723.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000764 272 PACK BASIC ORTHO 154.76 154.76 131.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.33 131.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000765 272 PACK C SECTION 238.50 238.50 202.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.95 202.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000766 272 PACK CYSTO 80.56 80.56 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000767 272 PACK GENERAL LAP 189.74 189.74 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 161.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000768 272 PACK KNEE ARTHO 192.92 192.92 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000769 272 PACK LAP GYN 160.06 160.06 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000771 272 WIRE-K TROCAR POINT 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000775 272 ELECT COAG STER 3FR 214.12 214.12 182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.88 182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000776 272 BLADE - DOUBLE EDGE RAZOR 1.35 1.35 1.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.95 1.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000777 272 CATHETER INSERTION PACK 84.80 84.80 72.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.36 72.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000778 272 PEN MARKER 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000779 272 SOLUTION 5%DEX 500ML 2B0063Q 0.25 0.25 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.18 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000780 272 SOLUTION 9%SODCHL 50ML 2B1308 0.30 0.30 0.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.21 0.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000787 272 FCP BIPOLAR HET 2376.52 2376.52 2020.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1663.56 2020.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1663.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000789 272 COUNTERSINK CANNULATED 4.0MM 793.94 793.94 674.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.76 674.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000790 272 BIT DRILL 3.2X145MM 269.24 269.24 228.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.47 228.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 188.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000791 272 BLADE BIPOLAR 4MM STR 580.88 580.88 493.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 406.62 493.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 406.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000792 272 BLADE SHAVER 4MM STR TYPE A 438.84 438.84 373.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.19 373.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 307.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000793 272 BLADE BIPOLAR 2MM STR TYPE A 622.22 622.22 528.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.55 528.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000794 272 BLADE SHAVER STD 4MM MALLEABLE 502.44 502.44 427.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351.71 427.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000795 272 BURR 3MM DIAMOND 769.56 769.56 654.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 538.69 654.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 538.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000796 272 BLADE LARYNGEAL 2.9MM STD 1060.00 1060.00 901.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.00 901.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000798 272 STAPLER CRVD CUTTER CONTOUR 3310.38 3310.38 2813.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2317.27 2813.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2317.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000799 272 PROTECTOR CORNEAL PEDIATRIC 23.32 23.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 19.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000803 272 BLADE OSCILLATOR 25.4X90X1 138.86 138.86 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000806 272 SHAFT SCREWDRIVER T15 1773.38 1773.38 1507.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1241.37 1507.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1241.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000807 272 BLADE SHAVER 4MM 90DEGREE 755.78 755.78 642.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 529.05 642.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 529.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000808 272 BLADE LARYNGEAL 4.0MM 22CM 1060.00 1060.00 901.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.00 901.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000809 272 BLADE SHAVE 4MM 40DEGREE 484.42 484.42 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000810 272 BLADE SHAVER 2.9MM 75DEGREE 484.42 484.42 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000811 272 SET TUBE DECLOG 175.96 175.96 149.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 123.17 149.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 123.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000812 272 SYS LAP ALEXIS MED 160.06 160.06 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000813 272 STAPLER PROXIMATE CURVED 33MM 1015.48 1015.48 863.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710.84 863.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000814 272 BIT DRILL 2.0MM 919.02 919.02 781.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 643.31 781.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 643.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000815 272 BIT DRILL 2.7MM 919.02 919.02 781.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 643.31 781.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 643.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000816 272 WIRE K 2.0MM W/STOP 159.00 159.00 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000817 272 FCP BIOPSY DISP 2.8MM 33.92 33.92 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000824 272 SHAVER RESECTOR LG 4.2MM 143.10 143.10 121.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.17 121.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000825 272 SHAVER RESECTOR LG 4.2MM PRE 186.56 186.56 158.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 130.59 158.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 130.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000826 272 SHAVER RESECTOR LG 3.5MM 143.10 143.10 121.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.17 121.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000827 272 BLADE ULTRAFRR 4.2MM 293.62 293.62 249.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 205.53 249.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 205.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000828 272 BLADE SHAVER LG 4.2MM 157.94 157.94 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 134.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000829 272 BLADE SHAVER LG 3.5MM 163.24 163.24 138.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 138.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 114.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000830 272 BLADE SHAVER LG 4.2MM MERLIN 186.56 186.56 158.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 130.59 158.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 130.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000831 272 BUR OVAL 5.0MM LG 199.28 199.28 169.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.50 169.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 139.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000832 272 BLADE ULTRAGATOR 4.2MM 293.62 293.62 249.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 205.53 249.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 205.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000835 272 STAPLER CRVD CUTTER CONTOUR 3221.34 3221.34 2738.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2254.94 2738.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2254.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000845 272 KIT INSTRUMENT STRL 1962.06 1962.06 1667.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1373.44 1667.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1373.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000848 272 WIRE KIRSCHNER .063X1.6MM 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000852 272 TRAY FOL 16FR W/URINE METER 74.20 74.20 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000854 272 STAPLER RELOAD 60MM BLU 569.22 569.22 483.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 398.45 483.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 398.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000859 272 FIBER SURG 273 MICRON 1068.48 1068.48 908.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 747.94 908.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 747.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000860 272 COUNTERSINK CANNULATED 6.0MM 772.74 772.74 656.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.92 656.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000861 272 GUIDE YOUNGSWICK 2MM 346.62 346.62 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000864 272 REAMER 18MM METATARSAL 4159.44 4159.44 3535.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2911.61 3535.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2911.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000866 272 PIN GUIDE THREADED 1.6X6IN 321.18 321.18 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 224.83 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 224.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000867 272 SNARE ELE DISP 15MM 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000869 272 SLEEVE TROCAR STBLTY 12MM 589.36 589.36 500.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.55 500.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000870 272 CUP CERVICAL LG 37MM 274.54 274.54 233.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.18 233.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000871 272 UNIT LOADING ENDO STITCH 2/0 218.36 218.36 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000872 272 RING MALYUGIN 6.25MM 433.54 433.54 368.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.48 368.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000873 272 RING MALYUGIN 7.0MM 433.54 433.54 368.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.48 368.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 303.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000874 272 GUIDE PIN 3.2X14IN 207.76 207.76 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000875 272 BIT DRILL 3.8MM GRN 1287.90 1287.90 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000876 272 GUIDEWIRE 2.2X28IN 315.88 315.88 268.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.12 268.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 221.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000877 272 GUIDEWIRE BALL NOSE 2.0X70CM 1233.84 1233.84 1048.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 863.69 1048.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 863.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000880 272 SET WATER TUBING/CAP 55.12 55.12 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000881 272 DEVICE SUTURING 10MM ENDO 1401.32 1401.32 1191.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 980.92 1191.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 980.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000882 272 LENS FLAT DISP 77.38 77.38 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000883 272 SUTURE 2-0 FIBERWIRE 18IN BLU 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000885 272 DRILL 1.6MM 339.20 339.20 288.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 237.44 288.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 237.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000886 272 WIRE K 1.4MM 24.38 24.38 20.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.07 20.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000887 272 DRILL CANNULATED 2.7MM 339.20 339.20 288.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 237.44 288.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 237.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000888 272 SUTURE VLOC 3/0 VL 107.06 107.06 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.94 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000889 272 SUTURE VLOC 3/0 PBT BL 94.34 94.34 80.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.04 80.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000890 272 DRILL CANNULATED 2.7MM 1979.02 1979.02 1682.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1385.31 1682.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1385.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000891 272 SYSTEM CLEARIFY VISUALIZATION 218.36 218.36 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 185.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000895 270 EXTENSION SET MICROBORE 7IN 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000896 270 SET BLOOD/FLUID WARM IV RANGER 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000907 270 SPECIMEN TRAP 50CS 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000908 272 ADHESIVE MASTISOL LIQUID 2/3CC 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000909 270 ADHESIVE TISSUE DOME TIP 42.40 42.40 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 36.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000910 270 ANKLE RINGFOOT DROP STOP 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000911 270 BAG DRAINABLE POUCH 2 1/4 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000912 270 BAG DRAINABLE POUCH 2 3/4 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000913 270 BAG DRAINABLE POUCH W/4 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000914 270 BAG DRAINABLE 154004 20/CS 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000915 270 BAG FECAL INCONTENANCE 16.96 16.96 14.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.87 14.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000916 270 BANDAGE UNDERCAST 4IN 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000917 270 "BANDAGE UNDERCAST 3""" 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000918 270 "BANDAGE UNDERCAST 6""" 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000919 270 BANDAGES PLASTER 3 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000920 272 BLADE B-P SURGICAL CARB SZ 11 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000921 272 BLADE SURGICAL 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000922 272 BLANKET HYPOTHERMIA 10BX 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000923 270 CANNISTER SUCTION 1200CC 437.78 437.78 372.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.45 372.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000924 270 CANNISTER SUCTION 2000CC 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000925 272 CANNULA DISP. INNER 6 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000926 272 CANNULA DISP. INNER 10 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000927 270 "CAST PADDING 6"" REGULAR" 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000935 272 CATHETER INSERTION PACK 82.68 82.68 70.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.88 70.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000936 272 CATHETER SWAN GANZ 7.5FR 405.98 405.98 345.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.19 345.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000954 270 CONNECTOR Y TYPE 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000955 272 GAUZE PACKING PLAIN 1 X 5 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000956 272 GAUZE PACKING PLAIN 2 X 5 9.54 9.54 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000957 270 HOLDER FOLEY 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000958 270 HOLDER LIMB SECURE ALL 30PR/PK 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000964 272 NEEDLE SPINAL 22 X 1 1/2 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000965 272 NEEDLE SPINAL 18G X 3 1/2 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000966 272 NEEDLE SPINAL 22G X 3 1/2 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000967 270 "PADDING CAST 4"" REGULAR" 14.84 14.84 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000968 270 "PADDING UNDERCAST COTTON 6""" 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000969 272 PROBE RECTAL DISP. 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000970 272 SALINE ADDIPAK FULL 1.06 1.06 0.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.74 0.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000971 270 SET MICROBORE EXTENSION 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000972 270 SHIELD EYE FOX ALUMINUM 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000973 270 SHIELD EYE W/COVER 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000974 270 SHROUD ADULT KIT 50CS 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000975 272 SOLUTION LACT 2B2324 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000976 272 SOLUTION DOCHL 9% 2B1324X 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000977 272 SOLUTION SODCHL 9% 2F7123 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000978 272 SOLUTION SODCHL9% 2B1323 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000979 272 SOLUTION SODCHL9% 2B1322Q 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000980 272 SOLUTION WATER STRLE 2F7115 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000981 272 SPECULUM KLEENSPEC MED 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000982 272 SPECULUM KLEENSPEC SMALL 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000987 270 STOCKINETTE IMPERVIOUS LARGE 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000988 270 STOCKINETTE IMPERVIOUS MEDIUM 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000996 270 STRAP STIRRUP SELF ADJUSTING 24.38 24.38 20.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.07 20.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000997 272 STRIP SURGICAL 1 X 6 STERILE 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000998 272 SYRINGE BULB TYPE IRR 60CC 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350000999 272 TAPE DERMICEL 2 INCH 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001000 272 TAPE DERMICEL 3 INCH 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001001 272 TPAE DERMICEL 1 INCH 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001002 272 TAPE FIBERGLASS 3IN 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001003 272 TAPE FIBER GLASS 2IN 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001004 272 TAPE FIBERGLASS 4IN 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001005 272 TAPE FIBERGLASS 5IN 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001010 272 TUBE SUCTION 9/32 X 12 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001011 272 TUBE SUCTION 9/32 X 6 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001013 272 TUBE YANKAUER SUCTION 50CS 2.12 2.12 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001014 270 ADAPTER (PIGTAIL) FOR MR730 237.44 237.44 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.21 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001015 272 BAG DECANTER STERILE 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001016 270 BAG DRAIN UROLOGY 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001017 270 CONNECTOR PORT 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001018 272 CONNECTOR 5-IN-1 STERILE 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001019 270 PEN SKIN MARKING 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001020 270 RESTRAINT HEAD UNIV DISP 76.32 76.32 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001021 270 ACCUVAC SMOKE EVACUATION 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001022 270 BAG PRESSURE 1000ML 0-300MMHG 60.42 60.42 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001023 270 BITE BLOCK LARGE SCOPE SAVER 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001024 272 BLADE BEAVER SURG CHISEL 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001025 272 BLADE B-P SURGICAL SZ15 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001026 272 BLADE MENISCUS BEAVER 32.86 32.86 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001027 272 BLADE MYRINGOTOMY 45DEG 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001028 272 BLADE SURGICAL MINI EDGE 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001029 272 BALDE SURGICAL MINI EDGE SHARP 16.96 16.96 14.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.87 14.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001030 272 BLADE TYPANOPLASTY 60 DEGREE 47.70 47.70 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 40.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001031 272 BLOCK BITE PEDIATRIC 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001032 272 BRUSH CYTOLOGY 55.12 55.12 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001033 272 BURR ABRADER 5.5MM 398.56 398.56 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 338.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001035 272 CATHETER LATEX RECTAL BALLOON 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001036 272 CATHETER TWIN LUMEN 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001037 272 CLEANER TIP 2INX2IN STERILE 1.06 1.06 0.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.74 0.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001038 272 "COAGULATOR SUCTION 6""" 33.92 33.92 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001039 270 "CONTAINER, FLUID DISPOSAL" 46.64 46.64 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001040 270 CONVERTER SPECIMEN ARTHOSCOPY 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001041 270 CONVERTER SPECIMEN PLASTIC 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001042 272 COVER TRANSDUCER 4X30CM 16.96 16.96 14.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.87 14.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001043 272 CYSTOTOME 27G SHT 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001045 272 ELECTRODE EXTENDED BLADE 6.5IN 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001046 272 "ELECTRODE, NEOTRODE PATCH" 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001049 272 FIBER LASER 200 MICRON 1155.40 1155.40 982.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 808.78 982.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 808.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001051 272 HOOK DISSECTING HARMONIC 5MM 634.94 634.94 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 539.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 444.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001052 270 KIT COMPASS COMP MONITORING 346.62 346.62 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001053 270 KIT PATIENT CARE POSITIONER 113.42 113.42 96.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.39 96.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001054 272 NEEDLE COLORADO 7CM CURVED 209.88 209.88 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001055 272 PACK MAJOR 164.30 164.30 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001056 272 PACK MINOR 110.24 110.24 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001057 272 PACK OPTHALMIC 72.08 72.08 61.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 50.46 61.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001058 272 PACK OPTHALMIC 87.98 87.98 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001059 272 PACK OR ANGIO 180.20 180.20 153.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.14 153.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001060 272 PACK PERI-GYN 55.12 55.12 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 46.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001061 272 PACK PODIATRY 130.38 130.38 110.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.27 110.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001062 272 RETRACTOR DRAPE NEVYAS 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001063 272 SEPARATOR OPTICAL 12MMX100MM 110.24 110.24 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001066 272 SOLUTION ANTI FOG W/SPONGE 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001067 272 STRIP VEIN CODMAN DISPOSABLE 98.58 98.58 83.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.01 83.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001068 272 TIES VASCULAR SIL MAXI BLUE 9.54 9.54 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001069 272 TIES VASCULAR SIL MAXI RED 9.54 9.54 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001070 272 TIP FEMORAL BRACEUSH 46.64 46.64 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001071 272 TRAP SUCT POLYP 4 CHAMBER 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001073 272 "TUBE SUCTION COAGULATION 6""" 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001074 272 TUBE V-VENT 1.14MM 71.02 71.02 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001075 272 TUBING UTERINE STER 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001076 272 VALVE BIOPSY DISPOSABLE STRL 18.02 18.02 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 15.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001077 272 WICK EYE 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001078 272 WRENCH BLADE TORQUE LOCK 146.28 146.28 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001079 272 CUTTER LINEAR RELOAD 45MM 473.82 473.82 402.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 331.67 402.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 331.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001080 272 REINFORCEMENT STAPLE VER 80U 670.98 670.98 570.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 469.69 570.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 469.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001081 272 TROCAR BLUNT TIP UNIT 12X130MM 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001082 272 ADHESIVE TISSUE FLOW CONTROL 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001083 272 PIN 2.0MM 346.62 346.62 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 294.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 242.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001086 272 BOWL MIXING QUICK-VAC 234.26 234.26 199.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.98 199.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 163.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001087 272 GUIDEWIRE BALL NOSE 3.0X100CM 514.10 514.10 436.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.87 436.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001088 272 DRILL SCREW ANTI-ROTATION 1040.92 1040.92 884.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 728.64 884.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 728.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001091 272 PIN GUIDE THREADED 3.2X444MM 540.60 540.60 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001102 272 BIT DRILL 4.0X40MM 496.08 496.08 421.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 347.26 421.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 347.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001104 272 GUIDEWIRE 0.078IN 109.18 109.18 92.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.43 92.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001105 272 BIT DRILL 2.7MM 397.50 397.50 337.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.25 337.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 278.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001106 272 WIRE-K 1.6MM 107.06 107.06 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.94 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001108 272 BIT DRILL 2.5MM 371.00 371.00 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 259.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001109 272 BIT DRILL 2.9MM 798.18 798.18 678.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 558.73 678.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 558.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001122 272 DRILL 1.5MM SHORT 624.34 624.34 530.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 437.04 530.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 437.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001127 272 SOLUTION 0.9% SOD CHL 2B7127 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001130 272 K WIRE 1.4X150MM 665.68 665.68 565.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.98 565.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 465.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001131 272 BIT DRILL 2.6MM 669.92 669.92 569.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 468.94 569.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 468.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001132 272 BIT DRILL 2.7MM 1138.44 1138.44 967.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 796.91 967.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 796.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001133 272 K WIRE 2.0 LONG 208.82 208.82 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 177.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001135 272 GUIDEWIRE BEAD TIP 3.0X98CM 404.92 404.92 344.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 283.44 344.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 283.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001136 272 DRILL CALIBRATED 4.3X365MM 737.76 737.76 627.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 516.43 627.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 516.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001137 272 REAMER ONE STEP 12.2MM 2846.10 2846.10 2419.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1992.27 2419.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1992.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001138 272 WIRE COCR THD TIP 3.2X460MM 553.32 553.32 470.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 387.32 470.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 387.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001144 272 PLATE FIXATOR PIN 1275.18 1275.18 1083.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 892.63 1083.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 892.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001146 272 PROBE DIATHERMY 25G 145.22 145.22 123.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 101.65 123.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 101.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001147 272 FORCEP GRASPING 25+ 450.50 450.50 382.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.35 382.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001148 272 FORCEP DSP ILM 25+ 450.50 450.50 382.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.35 382.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 315.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001149 272 SCISSORS CRVD DSP 25+ 589.36 589.36 500.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.55 500.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 412.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001150 272 PIK MEMBRANE ILLUM 25G 319.06 319.06 271.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.34 271.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001152 272 CANNULA SOFT TIP 25G 115.54 115.54 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001153 272 SOLUTION WATER STERILE 2B7117 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001154 272 INJECTION DE JUAN 41G 484.42 484.42 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 411.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 339.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001155 272 SYSTEM LIGHTING CHANDELIER 435.66 435.66 370.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.96 370.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001156 272 PACK FRAG CONST 193.98 193.98 164.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.79 164.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001157 272 PACK VFC CONST 204.58 204.58 173.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.21 173.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001158 272 BLADE MVR 25G 76.32 76.32 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 64.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001159 272 SPONGE SCLERAL 3X5 138.86 138.86 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001160 272 BAND SCLERAL 120MM 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001161 272 BLADE RESCECTOR 2.0 159.00 159.00 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001162 272 SYSTEM MACKOOL CATARACT 409.16 409.16 347.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.41 347.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001163 272 CORD BIPOLAR FORCEPS 12FT 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001164 272 CANNULA RETINAL 25G 225.78 225.78 191.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 158.05 191.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 158.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001165 272 SCRAPER ELBOW 25G 426.12 426.12 362.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.28 362.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 298.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001166 272 BACKFLUSH GREISHABER SOFT TIP 228.96 228.96 194.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 160.27 194.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 160.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001167 272 FORCEP ASYMMETRICAL 25G 580.88 580.88 493.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 406.62 493.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 406.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001168 272 NDL LAP BAND 3.5X20G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001170 272 KIT ACCESS PORT II 2600.18 2600.18 2210.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1820.13 2210.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1820.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001171 272 NDL LAP BAND 2X20G 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001172 272 MAINTAINER SELF RETAIN .90M 109.18 109.18 92.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.43 92.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001173 272 MAINTAINER OVAL ACM 63.60 63.60 54.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.52 54.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001174 272 KIT MEROCEL EYE 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001182 272 BIT DRILL 3.5 643.42 643.42 546.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 450.39 546.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 450.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001183 272 PROBE LASER RFID 25G 693.24 693.24 589.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 485.27 589.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 485.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001184 272 PACK CUSTOM RETINA 2425.28 2425.28 2061.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1697.70 2061.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1697.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001185 272 PACK AUTO GAS FILL 225.78 225.78 191.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 158.05 191.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 158.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001186 272 KIT FOAM DRESSING MED 250.16 250.16 212.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.11 212.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001187 272 FILM NEGATIVE PRESSURE 20X27CM 46.64 46.64 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 39.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001188 272 FILM TRANSPARENT 20X28CM 33.92 33.92 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001189 272 SEALANT RESURE 543.78 543.78 462.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 380.65 462.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 380.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001192 272 TUBING CANISTER 1.5M 110.24 110.24 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 93.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001193 272 SHEATH INTRODUCER 9X10CM 129.32 129.32 109.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.52 109.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001194 272 SHEATH INTRODUCER 10X10CM 129.32 129.32 109.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.52 109.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001198 272 COLLARETTE CRAWFORD 3MM MONO 443.08 443.08 376.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.16 376.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 310.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001200 272 PIN STEINMAN 3.6X229MM 102.82 102.82 87.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.97 87.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001201 272 SET CONTINUE FLOW 2C8519 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001202 272 CERCLAGE WIRE 0.8X280CM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001203 272 PIN STEiNMAN 2.4X229MM 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001204 272 BLADE CUTTER 4.5MM 302.10 302.10 256.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 256.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001205 272 BLANKET ALLIANCE FULL BODY 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001206 272 SHOULDER IMMOBILIZER MED 32.86 32.86 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001208 272 ERASER HEMOSTATIC 1.27MM 18G 33.92 33.92 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001209 272 DEVICE FIXATION OPEN STRAP20 3944.26 3944.26 3352.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2760.98 3352.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2760.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001210 272 MANIPULATOR/ELEVATOR 34MM MED 263.94 263.94 224.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.76 224.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001211 272 MANIPULATOR 259.70 259.70 220.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.79 220.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001212 272 SOLUTION DEX5% & 45% 2B1073 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001213 272 DRILL CANNULATED 4.7MM 1443.72 1443.72 1227.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1010.60 1227.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1010.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001214 272 PIN STEINMANN 2.8X109IN 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001215 272 PIN STEINMANN 3.2X125IN 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001216 272 PIN STEINMANN 4.8X188IN 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001217 272 PIN STEINMANN 3.6X141IN 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001218 272 PIN STEINMANN 4.0X156IN 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001220 272 KWIRE 1.6MM SS 114.48 114.48 97.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.14 97.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001221 272 BIT DRILL 2.7MM 568.16 568.16 482.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.71 482.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 397.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001222 272 BIT DRILL 2.5MM 530.00 530.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001224 272 SOLUTION DEX5% & 33% 2B1083 5.30 5.30 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 4.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001225 272 KIT SEALANT EVICEL 2ML 1102.40 1102.40 937.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 771.68 937.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 771.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001230 272 DRILL 3.5MM 1303.80 1303.80 1108.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 912.66 1108.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 912.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001240 272 KIT ACCESSORY 1.5MM 1507.32 1507.32 1281.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1055.12 1281.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1055.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001242 272 DRILL CANNULATED 4.0 1230.66 1230.66 1046.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 861.46 1046.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 861.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001243 272 K-WIRE 1.6X150MM 138.86 138.86 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001245 272 FIBER LASER 600 MICRON 5026.52 5026.52 4272.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3518.56 4272.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3518.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001247 272 TEMPLATE CALCANEAL 56MM 901.00 901.00 765.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 630.70 765.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 630.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001248 272 TEMPLATE CALCANEAL 65MM 901.00 901.00 765.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 630.70 765.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 630.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001249 272 DRILL CANNULATED 2.7MM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001250 272 DRILL PILOT LONG 2.5MM 710.20 710.20 603.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 497.14 603.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 497.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001259 272 DISK PROTECTIVE BIOPATCH 22.26 22.26 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 18.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001270 272 SYSTEM VERIFY 1348.32 1348.32 1146.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 943.82 1146.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 943.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001271 272 CABLE PATIENT 134.62 134.62 114.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.23 114.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001276 272 DRILL TWIST 4.5MM 970.96 970.96 825.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 679.67 825.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 679.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001279 272 DRILL CALIBRATED 4.3MM 856.48 856.48 728.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 599.54 728.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 599.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001280 272 ADAPTER CELLULAR USB 1516.86 1516.86 1289.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1061.80 1289.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1061.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001281 272 KIT ODOR CONTROL FLEXI SEAL FM 621.16 621.16 527.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.81 527.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001286 272 BIT DRILL 3.0MM 708.08 708.08 601.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 495.66 601.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 495.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001288 272 CUFF ARM 18X4 RED DISP 67.84 67.84 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001289 272 CUFF ARM 24X4 YELLOW DISP 78.44 78.44 66.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.91 66.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001290 272 CUFF LEG LONG 34X4 BLUE DISP 89.04 89.04 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62.33 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 62.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001296 272 BIT DRILL 2.4MM 654.02 654.02 555.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.81 555.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001307 272 KIT DRESSING 13CM 1668.44 1668.44 1418.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.91 1418.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001309 272 CATH TEMPO AQUA 4X100CM 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001310 272 CATH TEMPO PIG 4X65CM 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001311 272 CATH TEMPO STR 4X100CM 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001315 272 FIBER LASER HPS EA 600 MICRON 1011.24 1011.24 859.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 707.87 859.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 707.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001316 272 SHIELD CORNEAL COLLAGEN 12H 134.62 134.62 114.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.23 114.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001319 272 FIBER HOLMIUM LASER 270 MICRON 1011.24 1011.24 859.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 707.87 859.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 707.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001335 272 WIRE-K 2.0 325.42 325.42 276.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 227.79 276.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 227.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001336 272 BIT DRILL 4.3 1052.58 1052.58 894.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 736.81 894.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 736.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001342 272 BIT DRILL 3.1 1026.08 1026.08 872.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 718.26 872.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 718.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001345 272 WIRE-K 3.2X300 745.18 745.18 633.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 521.63 633.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 521.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001348 272 GUIDE LONGARM CHEVRON 45DEG 421.88 421.88 358.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 295.32 358.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 295.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001349 272 STAPLER CURVED INTRALUMINAL 961.42 961.42 817.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 672.99 817.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 672.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001352 272 RELOAD STAPLER 60MM BLUE 502.44 502.44 427.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351.71 427.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001361 272 SHEATH INTRO 6FR R/O 6CM 104.94 104.94 89.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.46 89.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001367 272 BIT DRILL 2.7MM 656.14 656.14 557.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.30 557.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001371 272 STAPLER LINEAR PROX 60MM 332.84 332.84 282.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.99 282.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001377 272 CATH HEMSTR XK 16FR 27CM 927.50 927.50 788.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 649.25 788.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 649.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001382 250 VIAL SILIKON 8.5ML 1552.90 1552.90 1087.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1087.03 1009.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1087.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001383 250 KIT LIQUID PROCEDURAL 5ML 1478.70 1478.70 1035.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1035.09 961.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1035.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001386 272 KIT ACCESSORY 2.0MM 1216.88 1216.88 1034.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 851.82 1034.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 851.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001388 272 BUR ROUND MED CARBIDE 5MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001389 272 BUR ROUND MED 6.5MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001390 272 BUR OVAL MED 4X8MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001391 272 BUR OVAL MED CARBIDE 5.5X10MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001392 272 BLADE SAGITTAL 4.5X25.5X0.4MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001393 272 BLADE SAGITTAL 9.5X25.5X0.4MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001394 272 BLADE SAGITTAL 14X25.5X0.4MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001395 272 BLADE SAGITTAL 5.5X18.5X0.4MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001396 272 DRILL WIRE PASS MED 2X19MM 44.52 44.52 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001398 272 DRILL CALIBRATED 4.3MM 687.94 687.94 584.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 481.56 584.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 481.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001399 272 DRILL CALIBRATED 4.9MM 1474.46 1474.46 1253.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1032.12 1253.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1032.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001400 272 PIN THREADED 3.0X355MM 399.62 399.62 339.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 279.73 339.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 279.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001401 272 RELOAD CUTTER 45MM GRN 469.58 469.58 399.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.71 399.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 328.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001406 272 SET TUBE SUCTION 10K/24K 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001407 272 SET TUBE SUCTION W/CANNULA 224.72 224.72 191.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 157.30 191.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 157.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001411 272 "TUBING HIGH PRESSURE 72""" 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001413 272 HANDLE COVER LIGHT 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001414 272 CERCLAGE WIRE 1.25MM X 280CM 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001415 272 STAPLER LINEAR PROX 90MM 354.04 354.04 300.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 247.83 300.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 247.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001416 272 DEVICE BIPOLAR 13X20CM 1901.64 1901.64 1616.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1331.15 1616.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1331.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001417 272 RELOAD CARTRIDGE 45MM WHT 461.10 461.10 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001418 272 CUTTER ENDO LINEAR 45MM PWRD 1208.40 1208.40 1027.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.88 1027.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 845.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001426 272 BIT DRILL 4.3MM TARG 337.08 337.08 286.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 235.96 286.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 235.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001427 272 PIN THREADED 3.0 349.80 349.80 297.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.86 297.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001434 272 MONITOR CARELINK 2022.48 2022.48 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001437 272 DEVICE BIPOLAR 38MM 1901.64 1901.64 1616.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1331.15 1616.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1331.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001438 272 MANIPULATOR/ELEVATOR 37MM LG 256.52 256.52 218.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.56 218.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001440 272 SUT MON 2-0 STRATAFIX 15CM 160.06 160.06 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 136.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001441 272 SUT MON 2-0 STRATAFIX 20CM 101.76 101.76 86.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.23 86.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001442 272 SUT 2-0 STRATAFIX SPIRAL 106.00 106.00 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 90.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001445 272 SYR MARK 7 ARTERION 150ML 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001446 272 DRAIN PENROSE 18X.25 LF STRL 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001447 272 DRAIN PENROSE 18X1 LF STRL 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001448 272 DRAIN PENROSE 18X.5 LF STRL 8.48 8.48 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 7.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001449 272 SYS CALIB GASTR SLV 36FR 534.24 534.24 454.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.97 454.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001450 272 KIT CUSTOMIZABLE SYS 2005.52 2005.52 1704.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1403.86 1704.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1403.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001451 272 KIT DRESSING 20CM 1668.44 1668.44 1418.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.91 1418.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1167.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001454 272 MANIFOLD FOUR PORT W/COLL 91.16 91.16 77.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.81 77.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001455 272 TUBING SMOKE EVAC 7/8X10' 67.84 67.84 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 57.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001456 272 DRSG AG 3.5X9.75 STRL 109.18 109.18 92.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.43 92.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001457 272 DRSG AG 3.5X13.75 STRL 126.14 126.14 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 107.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001458 272 GOWN WARMING ADL BAIR PAW 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001459 272 GOWN WARMING PED BAIR PAW 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001460 272 GOWN WARMING XL BAIR PAW 62.54 62.54 53.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.78 53.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001461 272 GOWN WARMING STD BAIR PAW 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001462 272 MANIFOLD FOUR PORT 83.74 83.74 71.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.62 71.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001463 272 HOOD SURGICAL FLYTE 184.44 184.44 156.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.11 156.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001464 272 BLADE SAGITTAL 41X19.5X0.6MM 60.42 60.42 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001465 272 BLADE OSCILLATOR 25.4X90 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001466 272 BLADE RECIPROCATOR 12.5X73.5 107.06 107.06 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.94 91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001469 272 BIT DRILL 3.8MM 1314.40 1314.40 1117.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 920.08 1117.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 920.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001470 272 PIN GUIDE THREADED 3.2MM 525.76 525.76 446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 368.03 446.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 368.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001472 272 GUIDEWIRE 2.2X28IN 774.86 774.86 658.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.40 658.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001473 272 GUIDEWIRE BALL NOSE 2.0MM 1213.70 1213.70 1031.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 849.59 1031.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 849.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001477 272 GOWN WARMING ADL DUAL HOSE 39.22 39.22 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001478 272 MATTRESS TRANSFER 34X78 270.30 270.30 229.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.21 229.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001480 272 SCISSOR HOOK 310MM 167.48 167.48 142.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 117.24 142.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 117.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001481 272 SCISSOR METZ CVD L 310MM 167.48 167.48 142.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 117.24 142.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 117.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001482 272 SCISSORS METZ CVD L 420MM 167.48 167.48 142.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 117.24 142.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 117.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001483 272 GUIDEWIRE .014X300CM 573.46 573.46 487.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 401.42 487.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 401.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001486 272 CANISTER FLUID SAFE 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001487 272 TUBING FLUID SAFE 354.04 354.04 300.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 247.83 300.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 247.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001492 272 WIRE K 3X285MM 542.72 542.72 461.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.90 461.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 379.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001496 272 WIRE-K 2.0X150MM 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001497 272 CONNECTOR URETERAL 134.62 134.62 114.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.23 114.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001502 272 SYS POSITIONING XL 504.56 504.56 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 428.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 353.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001504 272 DRILL HUM/TIB 4.3MM 774.86 774.86 658.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.40 658.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001507 272 DRILL DISTAL 4.3MM 1314.40 1314.40 1117.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 920.08 1117.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 920.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001511 272 "HEMOSTAT SURGICEL SNOW 2""X4""" 495.02 495.02 420.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 346.51 420.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 346.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001512 272 SET GASTRO ANCHOR 381.60 381.60 324.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.12 324.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001513 272 SET IRRIGATOR W/SMOKEVAC 258.64 258.64 219.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.05 219.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 181.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001520 272 "PIN GUIDE TROCAR 3.2X9""" 413.40 413.40 351.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.38 351.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001521 272 DRILL CANNULATED 5.0MM 1815.78 1815.78 1543.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1271.05 1543.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1271.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001523 272 GUIDEWIRE COR .014X180 622.22 622.22 528.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.55 528.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001530 272 DELINEATOR 3.0CM 278.78 278.78 236.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.15 236.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001531 272 DELINEATOR 3.5CM 278.78 278.78 236.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.15 236.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001532 272 DELINEATOR 4.0CM 278.78 278.78 236.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.15 236.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001533 272 PACK VITRECTOMY 2285.36 2285.36 1942.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1599.75 1942.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1599.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001540 272 TUBING MAX 600ML 99.64 99.64 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001541 272 SHEATH INTRODUCER 10X6CM 69.96 69.96 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001543 272 EVACUATOR BLADDER 80.56 80.56 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001544 272 BLADE SAW 40X11MM 164.30 164.30 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001550 272 GLIDEWIRE ANGLE STANDARD 260CM 207.76 207.76 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 145.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001551 272 FIBER LASER 365 1056.82 1056.82 898.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 739.77 898.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 739.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001552 272 FIBER LASER 200 1327.12 1327.12 1128.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 928.98 1128.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 928.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001553 272 FIBER LASER 550 1387.54 1387.54 1179.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 971.28 1179.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 971.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001554 272 GLIDEWIRE ANGLE 150CM 237.44 237.44 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.21 201.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001566 272 SYS DILATION ENT 6X20MM 6469.18 6469.18 5498.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4528.43 5498.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4528.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001578 272 TUBING HEATED RTP 177.02 177.02 150.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 123.91 150.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 123.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001579 272 IRRIGATOR SUCTION W/O TIP 162.18 162.18 137.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.53 137.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001581 272 HOLDER LEG OPERATIVE DISP 49.82 49.82 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 42.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001582 272 MATRIX HEMOSTATIC SURGIFLO 852.24 852.24 724.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 596.57 724.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 596.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001583 272 APP ENDO SURGIFLO 240.62 240.62 204.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.43 204.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 168.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001590 272 PACK ABD HYSTERECTOMY 251.22 251.22 213.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.85 213.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 175.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001591 272 PACK BARIATRIC 2153.92 2153.92 1830.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1507.74 1830.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1507.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001592 272 PACK ENT 195.04 195.04 165.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 136.53 165.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 136.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001593 272 PACK ORIF HIP 296.80 296.80 252.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 207.76 252.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 207.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001594 272 PACK VASCULAR 278.78 278.78 236.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.15 236.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001595 272 PACK EXTREMITY-SHOULDER 252.28 252.28 214.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 176.60 214.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 176.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001596 272 PACK TOTAL KNEE 1524.28 1524.28 1295.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1067.00 1295.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1067.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001597 272 PACK TOTAL HIP 1474.46 1474.46 1253.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1032.12 1253.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1032.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001599 272 KIT PROCEDURAL 164.30 164.30 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 139.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001603 272 LOOP CUTTING 24/26FR 1433.12 1433.12 1218.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1003.18 1218.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1003.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001608 272 BLADE SHAVER TOMCAT 4.5MM 196.10 196.10 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001609 272 BLADE SHAVER ANG RESECTOR 4.5 196.10 196.10 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001610 272 BURR BARR 5.0MM 196.10 196.10 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001611 272 BLADE SHAVER RESECTOR 3.5MM 188.68 188.68 160.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 160.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001612 272 BLADE SHAVER DUAL EDGE 4.0MM 284.08 284.08 241.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.86 241.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001613 272 BLADE SHAVER RESECTOR 4.0MM 196.10 196.10 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001614 272 BLADE SHAVER TOMCAT INJ 3.5MM 196.10 196.10 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001615 272 BLADE SHAVER TOMCAT 4.0MM 196.10 196.10 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001616 272 BLADE SHAVER FULL RADIU S JNT 196.10 196.10 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 166.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 137.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001617 272 PROBE SUCTION ELECT 90-S 491.84 491.84 418.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 344.29 418.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 344.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001618 272 SET TUBE HIGH FLOW 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001619 272 SET TUBE SMOKE EVAC HIGH FLOW 1061.06 1061.06 901.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.74 901.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001620 272 TUBING CASSETTE INFLOW 185.50 185.50 157.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.85 157.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001621 272 KIT SINGLE PROCEDURE 2440.12 2440.12 2074.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1708.08 2074.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1708.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001622 272 KIT PINPOINT PAQ 857.54 857.54 728.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 600.28 728.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 600.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001625 272 OSTEOTOME STR 6.4X120MM 1205.22 1205.22 1024.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 843.65 1024.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 843.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001629 272 SET TUBE INFLOW IRR 349.80 349.80 297.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.86 297.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 244.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001630 272 SHEATH INTRODUCER 10X5CM 69.96 69.96 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001631 272 DEVICE DELIVERY CAPSULE 887.22 887.22 754.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 621.05 754.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 621.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001632 272 SYSTEM ATHERECTOMY 2.00X145CM 14395.86 14395.86 12236.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10077.10 12236.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10077.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001642 272 BIT DRILL 40MM 409.16 409.16 347.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.41 347.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001643 272 PACK ENDO NY COMM HOSP 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001644 272 PACK PROCEDURE TX1 2505.84 2505.84 2129.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1754.09 2129.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1754.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001660 272 IRRIGATOR SUCTION W/TIP 243.80 243.80 207.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.66 207.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001661 272 CATH BALLON 12X4CM 723.98 723.98 615.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.79 615.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001665 272 DRESSING WHT FOAM LG 43.46 43.46 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001666 272 TUBING FLUID SAFE 343.44 343.44 291.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 240.41 291.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 240.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001668 272 FOAM LARGE 188.68 188.68 160.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 160.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 132.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001678 272 BIT DRILL 2.5X60MM 540.60 540.60 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001680 272 COVER TABLE STRL Z BACK 48.76 48.76 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001682 272 DEVICE TISSUE REMOVAL XL 4MM 3602.94 3602.94 3062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2522.06 3062.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2522.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001683 272 DEVICE TISSUE REMOVAL LITE 3MM 2129.54 2129.54 1810.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1490.68 1810.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1490.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001684 272 URETEROSCOPE FLEXIBLE 4913.10 4913.10 4176.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3439.17 4176.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3439.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001688 272 BIT DRILL 4.0MMX25MM 409.16 409.16 347.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.41 347.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001689 272 CUTTER 2.5MM SMALL JNT 376.30 376.30 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 319.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 263.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001693 250 SOL WOUND CLEANING 34OZ 192.92 192.92 135.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 125.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001694 272 BLADE SAGITTAL 25.4X1.27X90MM 122.96 122.96 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001695 272 BLADE RECIPROCATING 77.5X11MM 122.96 122.96 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001696 272 BLADE RECIPROCATING 70X12.5MM 122.96 122.96 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001697 272 BLADE SAGITTAL 13.8X25.5MM 104.94 104.94 89.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.46 89.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001698 272 BLADE SAGITTAL 9X25.0MM 87.98 87.98 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001699 272 BLADE SAGITTAL 5.5X18.0MM 87.98 87.98 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001701 272 BLADE SAGITTAL MICRO 19X41MM 87.98 87.98 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001702 272 BUR CARBIDE OVAL 5.5MM 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001703 272 BIT DRILL MED 2.0MM 87.98 87.98 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001704 272 BUR CARBIDE OVAL 4.0MM 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001705 272 BUR CARBIDE SOLID 5.0MM 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001706 272 BUR CARBIDE SOLID 6.5MM 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001713 272 SET TUBING DISP 4M 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001714 272 KIT FIBER 45CM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001715 272 KIT FIBER 65CM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001716 272 KIT FIBER 25CM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001717 272 KIT FIBER 90CM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001718 272 KIT FIBER .018X45CM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001719 272 KIT FIBER 65CM X 19GA 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001720 272 KIT FIBER 90CM X 19GA 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001721 272 KIT FIBER FRS 19X45CM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001722 272 KIT FIBER .018X65CM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001723 272 KIT PROCEDURE 10CM 1064.24 1064.24 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 904.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 744.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001724 272 BLADE SAW 0.38MM 87.98 87.98 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 74.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001726 272 TROCAR FEMUR SCREW 910.54 910.54 773.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 637.38 773.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 637.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001727 272 VALVE SUCTION AIR/WATER STRL 27.56 27.56 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001729 272 DRAPE IOBAN 2 ISOLATION 60.42 60.42 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001730 272 BLADE SCALPEL HEMOSTATIX SZ10 139.92 139.92 118.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.94 118.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001732 272 FIBER LASER DSL 550 3652.76 3652.76 3104.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2556.93 3104.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2556.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001734 272 RELOAD CUTTER CONTOUR BLU CVD 845.88 845.88 719.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.12 719.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 592.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001735 250 SOL WOUND CLEANING 16OZ 116.60 116.60 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 75.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001738 272 FIBER LASER FLEXIVA 1000 2245.08 2245.08 1908.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1571.56 1908.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1571.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001740 272 OSTEOTOME CUP 46MM 2377.58 2377.58 2020.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1664.31 2020.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1664.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001741 272 TIP CUT ACETUBULAR 32X140MM 5656.16 5656.16 4807.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3959.31 4807.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3959.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001743 272 BIT DRILL 3.3x25MM 419.76 419.76 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 356.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 293.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001744 272 DRSG SENSA GRANU MED 156.88 156.88 133.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.82 133.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001745 272 CONE REAMER 18MM 474.88 474.88 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001746 272 CONE REAMER 20MM 474.88 474.88 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001747 272 CONE REAMER 22MM 474.88 474.88 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001748 272 CUP REAMER 16MM 474.88 474.88 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001749 272 CUP REAMER 18MM 474.88 474.88 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 403.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 332.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001753 272 ADAPTOR HUMERAL CUP 1704.48 1704.48 1448.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1193.14 1448.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1193.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001756 272 BIT DRILL 60MM 407.04 407.04 345.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.93 345.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 284.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001758 272 SYS VALVE ENTRY 25G 4MM 140.24 140.24 119.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.17 119.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 98.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001759 272 PROBE VITRECTOMY 7500CPM 734.58 734.58 624.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 514.21 624.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 514.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001760 272 DRAPE INCISE IOBAN 23X23 23.03 23.03 19.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.12 19.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001763 272 ELECT L HOOK SUCT/IRRG 36CM 136.64 136.64 116.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.65 116.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001764 272 ELECTRODE QUIK-COMBO ADULT 30.20 30.20 25.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.14 25.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001774 272 STAPLR CONTOUR BLUE CVD 1459.62 1459.62 1240.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1021.73 1240.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1021.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001777 272 DRAIN JP 10MM FLAT 12.91 12.91 10.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.04 10.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001780 272 SHEATH INTRO 5FR R/O 6CM 99.22 99.22 84.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.45 84.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001786 272 GUIDEPIN THREADED 230MM 207.02 207.02 175.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.91 175.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001787 272 CATHETER FOGARTY EMBOLECTOMY 2 223.55 223.55 190.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.49 190.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 156.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001795 272 INFLATOR HIGH PRESSURE 104.88 104.88 89.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.42 89.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001796 272 CATH NYLON DIAG 0.038X65 127.20 127.20 108.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.04 108.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001804 272 PENCIL SMOKE EVAC 70MM 95.40 95.40 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001806 272 SNARE POLYPECTOMY ROUND 10MM 51.67 51.67 43.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.17 43.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001808 272 DRILL CANNULATED 6.5MM 1567.74 1567.74 1332.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1097.42 1332.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1097.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001810 272 KIT LIFTING AGENT SUBMUCOSAL 540.60 540.60 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001811 272 CLIP RESOLUTION 360 235CM 663.95 663.95 564.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 464.77 564.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 464.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001812 272 SNARE POLYPECTOMY ROUND 25MM 30.90 30.90 26.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.63 26.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001813 272 SNARE LG OVAL 30MM 43.11 43.11 36.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.18 36.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001814 272 LIGATOR BAND SUPER 7 480.12 480.12 408.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.08 408.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001815 272 RETRIEVAL DEVICE 230CM 275.43 275.43 234.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.80 234.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001816 272 BITE BLOCK ENDO 54FR 1.78 1.78 1.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 1.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001817 272 TRAP POLYP SINGLE 3.07 3.07 2.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.15 2.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001819 272 SET INST 10MM 795.00 795.00 675.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.50 675.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 556.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001820 272 GUIDEWIRE 3.2X300MM 155.82 155.82 132.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.07 132.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001822 272 FCP RESCUE ALLIGATOR 243.03 243.03 206.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.12 206.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001823 272 FCP RESCUE COMBO 275.43 275.43 234.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.80 234.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 192.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001824 272 FCP RADIAL JAW PULMONARY 101.26 101.26 86.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.88 86.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 70.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001826 272 FIBER LASER FLEXIVA ID 1000 2165.39 2165.39 1840.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1515.77 1840.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1515.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001827 272 SLEEVE SUCTION 165MM 13.72 13.72 11.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.60 11.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001828 272 BLADE ELEC COATED 165MM 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001829 272 DILATOR BALLOON WIRE 6-7-8 633.42 633.42 538.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 443.39 538.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 443.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001830 272 SHEATH URETERAL 11/13X36CM 382.24 382.24 324.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.57 324.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001831 272 SHEATH URETERAL 12/14X28CM 382.24 382.24 324.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.57 324.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001832 272 SHEATH URETERAL 12/14X36CM 382.24 382.24 324.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.57 324.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001833 272 SET INTRODUCER 4FX10CM 82.68 82.68 70.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.88 70.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001834 272 PROBE LASER 25G CRVD RFID 540.60 540.60 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 459.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 378.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001835 272 SUT MONOSOF 10-0 256.76 256.76 218.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.73 218.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 179.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001836 272 FIBER SLIMLINE EZ365 1060.00 1060.00 901.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.00 901.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 742.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001837 272 BIT DRILL LISFRANC 3.7MM 311.64 311.64 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001838 272 KNIFE ANGLED CLEARCUT 6.0MM 90.09 90.09 76.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.06 76.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001846 272 NDL TUNG 2CM STRT 82.89 82.89 70.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.02 70.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001847 272 BAG SPECIMEN RETRIEVAL 10MM 160.59 160.59 136.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.41 136.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 112.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001849 272 FCP ENDOSCOPIC 5X32MM CRVD 161.69 161.69 137.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.18 137.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001850 272 NDL BIOPSY MAGNUM 18G 86.39 86.39 73.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.47 73.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001854 272 GUIDE NDL ENDOCAVITY 68.80 68.80 58.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.16 58.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001858 272 TRNQ DISP 18X3 1PRT 69.95 69.95 59.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 59.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001859 272 TRNQ DISP 24X4 1PRT 78.52 78.52 66.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.96 66.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001860 272 TRNQ DISP 34X4 1PRT 91.20 91.20 77.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.84 77.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001861 272 TRNQ DISP 44IN 1PRT 105.95 105.95 90.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.17 90.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001865 272 CATH RECANALIZATION 106CM OTW 7950.00 7950.00 6757.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5565.00 6757.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5565.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001866 272 DEVICE RETRIEVAL ENDO 15MM 849.06 849.06 721.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 594.34 721.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 594.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001871 272 STABILIZER IPRISM L DISP 190.80 190.80 162.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 162.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001872 272 SYS DRSG OPEN ABDOMEN 1521.31 1521.31 1293.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1064.92 1293.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1064.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001873 272 FIBER LASER SLIMLINE 550 1300.16 1300.16 1105.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 910.11 1105.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 910.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001876 272 COUNTERSINK CANNULATED 5MM 709.14 709.14 602.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 496.40 602.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 496.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001877 272 BIT DRILL CANN 3.0MM 524.70 524.70 446.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 367.29 446.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 367.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001878 272 SUT 1 STRATAFIX SPIRAL PDS 82.18 82.18 69.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.53 69.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001879 272 SUT VLOC 3.5 GRN 96.61 96.61 82.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.63 82.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001880 272 BASKET STONE RETRIEVAL 3.0 552.14 552.14 469.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 386.50 469.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 386.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001885 272 BLADE ELEC COATED 70MM 57.47 57.47 48.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.23 48.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001886 272 SET CHOLANGIOGRAPHY 4FR 203.90 203.90 173.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.73 173.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001888 272 BIT DRILL 4.9MM 907.89 907.89 771.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 635.52 771.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 635.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001891 272 SUT VLOC 180 ESTITCH ABS 359.47 359.47 305.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 251.63 305.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 251.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001892 272 CORD FOOTSWITCH BIPOLAR 12FT 16.70 16.70 14.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.69 14.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001894 272 TROCAR ENDOSCOPIC 5MM DISP 75.15 75.15 63.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.61 63.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001895 272 FCP BIPOLAR LAP 33CM 156.78 156.78 133.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.75 133.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001897 272 BIT DRILL 4.0X40MM 422.94 422.94 359.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.06 359.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001901 272 DRAPES DISP SPACE STATION TBL 119.94 119.94 101.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.96 101.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001908 272 GLIDEWIRE .035X150CM ANGLED 124.50 124.50 105.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.15 105.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001911 272 DRAPE SURG LAP 38.52 38.52 32.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.96 32.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001913 272 REAMER DEPTH 2.0MM STER 954.00 954.00 810.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 667.80 810.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 667.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001917 272 WIRE K 1.4X150MM BLUNT 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001920 272 TRAY UROLOGIST SYS 699.60 699.60 594.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 489.72 594.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 489.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001921 272 CANNULA TENON TRI-PORT 21G 319.43 319.43 271.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.60 271.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 223.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001922 272 KIT LIQUID PROCEDURAL 7ML 1868.78 1868.78 1588.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1308.15 1588.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1308.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001925 272 BIT DRILL 1.6MM 429.30 429.30 364.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 300.51 364.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 300.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001926 272 SCOPE BRONCHO BFLEX 5.0 938.10 938.10 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001927 272 COMMUNICATOR LATITUDE 0.01 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001931 272 PROBE APC CIRCUMFERENTIAL 7.2' 699.44 699.44 594.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 489.61 594.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 489.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001935 272 CANNULA 15X60MM 1176.60 1176.60 1000.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 823.62 1000.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 823.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001936 272 RELOAD STAPLE 55M BLU/GRN 243.00 243.00 206.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.10 206.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001943 272 NDL INTRO 18GX2-1/2 7.27 7.27 6.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.09 6.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001951 272 TUBE SURG IRR STRL 241.68 241.68 205.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 169.18 205.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 169.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001952 272 BURR MICA 2X88MM 1195.68 1195.68 1016.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 836.98 1016.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 836.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001953 272 BURR WEDGE 3.1X13MM 1195.68 1195.68 1016.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 836.98 1016.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 836.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001955 272 PROBE RETINAL 2.5MM 511.98 511.98 435.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.39 435.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 358.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001959 272 APPLIC ENDOSCOPIC 41CM 201.40 201.40 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 171.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001960 272 TRAP TISSUE 30.61 30.61 26.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.43 26.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001961 250 SOL OPTHALMIC BLUE 0.025% 445.20 445.20 311.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.64 289.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 311.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001963 272 COUPLING 5/8/11MM 2641.52 2641.52 2245.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1849.06 2245.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1849.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001964 272 CLAMP 5H PIN 4/5/6MM 2722.24 2722.24 2313.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1905.57 2313.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1905.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001965 272 POST 30DEG ANGLED 11MM 477.48 477.48 405.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 334.24 405.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 334.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001966 272 ROD CONN 11X200MM 1343.55 1343.55 1142.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 940.49 1142.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 940.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001967 272 ROD CONN 11X250MM 1343.55 1343.55 1142.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 940.49 1142.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 940.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001968 272 DRILL PT 4.0X200MM 327.54 327.54 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 278.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 229.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001971 272 BIT DRILL 2.0X135MM 488.13 488.13 414.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341.69 414.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001974 272 MATRIX HEMOSTATIC 5ML STRL 793.18 793.18 674.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.23 674.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001975 272 MATRIX HEMOSTATIC 5ML FAST 793.18 793.18 674.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.23 674.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 555.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001983 272 NDL ABD STR SZ2 11.51 11.51 9.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.06 9.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001984 272 NDL MAYO GUT SZ3.5 19.55 19.55 16.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.69 16.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001985 272 FCP BIOPSY ALLIGATOR 2.0 87.82 87.82 74.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.47 74.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001986 272 FCP BIOPSY LUNG 2.0MM 87.82 87.82 74.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.47 74.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001987 272 PENCIL SMK EVAC TELESCPC 70MM 97.82 97.82 83.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.47 83.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001988 272 BALLOON EXTRACTOR 9-12 488.32 488.32 415.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341.82 415.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 341.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001989 272 BALLOON EXTRACTOR 12-15 162.77 162.77 138.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.94 138.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 113.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001991 272 DRILL FREEHAND 4.2X130MM 1319.70 1319.70 1121.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.79 1121.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001992 272 DRILL LCK 4.2X360MM 1319.70 1319.70 1121.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.79 1121.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001995 272 BASKET STONE RETRIEVAL 1.9X90 632.34 632.34 537.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 442.64 537.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 442.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001996 272 BASKET STONE RETRIEVAL 1.9X8MM 647.77 647.77 550.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 453.44 550.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 453.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001998 272 WIRE K 3X285MM 801.36 801.36 681.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.95 681.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 560.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350001999 272 DRILL FREEHAND 4.2X185MM 1319.70 1319.70 1121.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.79 1121.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002000 272 KIT TISSUE EXPANDER 3176.82 3176.82 2700.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2223.77 2700.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2223.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002001 272 CONFORMER VENUS W/HOLE MD 197.16 197.16 167.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.01 167.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002003 272 ENVELOPE ABSORBABLE A/BACTERIA 4118.10 4118.10 3500.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2882.67 3500.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2882.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002006 272 PACK 27+ TOTAL VITRECTOMY 2273.13 2273.13 1932.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1591.19 1932.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1591.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002007 272 PACK 27+ ULTRAVIT VITRECTOMY 993.91 993.91 844.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 695.74 844.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 695.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002008 272 GUIDE DRILL NONLCK SCRW 2.5MM 3369.00 3369.00 2863.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2358.30 2863.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2358.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002013 272 TROCAR DISP 12X15MM 93.14 93.14 79.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.20 79.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002014 250 SOLUTION WATER STERILE 2F7114 5.83 5.83 4.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.08 3.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002017 272 RELOAD LINEAR CUTTER 45MM 360.80 360.80 306.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.56 306.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 252.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002020 272 ELECTRODE NDL 70MM 45.09 45.09 38.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.56 38.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002021 272 BIT DRILL 4.5X6.5MM 608.97 608.97 517.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 426.28 517.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 426.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002022 272 RELOAD STAPLER 60MM GLD 583.00 583.00 495.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 408.10 495.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 408.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002023 272 COUNTERSINK CANNULATED 2.8MM 461.10 461.10 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002024 272 CUP REAMER MTP 16MM 461.10 461.10 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002025 272 REAMER MTP CUP 18MM 461.10 461.10 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002026 272 CONE REAMER MTP 16MM 461.10 461.10 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002027 272 REAMER MTP CONE 18MM 461.10 461.10 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002028 272 REAMER MTP CONE 20MM 461.10 461.10 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 391.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 322.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002037 272 RETRACTOR IRIS FLEXIBLE 72.41 72.41 61.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 50.69 61.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 50.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002049 272 BIT DRILL 1.1MM 1074.84 1074.84 913.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 752.39 913.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 752.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002050 272 CATHETER IV 16GX1.77 5.02 5.02 4.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.51 4.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002051 272 CATHETER IV 14GX1.75 5.02 5.02 4.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.51 4.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002052 272 BLADE RECIPROCATING 70X12.6MM 95.40 95.40 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002053 272 TUBE RECTAL SIZE 26 32.05 32.05 27.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.44 27.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002056 272 DRILL 3.5X130MM 0.03 0.03 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002058 272 BIT DRILL 2.4 629.64 629.64 535.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 440.75 535.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 440.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002061 272 GUIDEWIRE 1.6MM 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002062 272 WIRE OLIVE 159.00 159.00 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002068 272 TRANFORMER I/A 0.3MM 81.82 81.82 69.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.27 69.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002071 272 WIRE-K 1.4 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002072 272 WIRE-K 2.5X150MM 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002073 272 KIT JOINT PREP 1122.54 1122.54 954.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 785.78 954.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 785.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002075 272 SIZER STAPLE 775.92 775.92 659.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.14 659.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 543.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002079 272 KNIFE IOL 6.2MM 147.17 147.17 125.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.02 125.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002080 272 SHEATH GUIDE SURG 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002082 272 SPONGE PACK VAG XRAY 4X36 1.14 1.14 0.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.80 0.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002084 272 BRA SURG QUEEN 44 286.20 286.20 243.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.34 243.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002085 272 BRA SURG SUPER 48IN-50IN 286.20 286.20 243.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.34 243.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002086 272 KIT C-ARMOR DRAPE 345.35 345.35 293.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.75 293.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 241.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002089 272 BLADE RECIP 70MM 95.40 95.40 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 81.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 66.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002090 272 BLADE LONG M 31.0X9.0MM 103.35 103.35 87.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.35 87.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002091 272 NEEDLE COLORADO 4CM STRAIGHT 449.11 449.11 381.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.38 381.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 314.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002093 272 TRINKLE MOD 885MM 1615.44 1615.44 1373.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1130.81 1373.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1130.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002094 272 SLEEVE INSERTION NAIL 405.45 405.45 344.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 283.82 344.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 283.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002095 272 SUT ORTHOCORD 2 W/MO-7 NDL 120.84 120.84 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002096 272 TUBING SMOKE EVAC 3/8IN 105.54 105.54 89.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.88 89.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 73.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002099 272 NDL RETROBULAR 0.5X22MM 22.32 22.32 18.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.62 18.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002101 272 SET PROBE GAMMA 950.82 950.82 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002102 272 PACK CLOSURE 332.79 332.79 282.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.95 282.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 232.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002103 272 PACK PACEMAKER/AICD-LF 361.76 361.76 307.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.23 307.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002105 272 SET PROBE GAMMA 950.82 950.82 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002108 272 BLADE PHOTON W/SMOKE EVAC 1287.90 1287.90 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002109 272 ILUM ADAPT GUIDE 1356.78 1356.78 1153.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 949.75 1153.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 949.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002110 272 ILUM WIDE 1256.10 1256.10 1067.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 879.27 1067.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 879.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002111 272 ILUM NARROW 1256.10 1256.10 1067.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 879.27 1067.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 879.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002117 272 KIT DELIVERY POWER PULSE 113.95 113.95 96.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.77 96.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 79.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002129 272 PACK VITRECTOMY 7500CPM 2191.24 2191.24 1862.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1533.87 1862.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1533.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002130 272 SYSTEM CAPSULE GASTRO 987.71 987.71 839.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 691.40 839.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 691.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002131 272 BLADE SURG AM ENDO 3539.34 3539.34 3008.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2477.54 3008.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2477.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002133 272 BAG COLLCTN FECAL MGMT SYS 11.45 11.45 9.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.02 9.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002134 272 FCP RAT TOOTH GRASPING 7 X230CM 243.80 243.80 207.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.66 207.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002136 272 ACCSRY TRACKER PT ENT NAV SYS 715.50 715.50 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 608.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002137 272 TRACKER INSTR ENT 591.48 591.48 502.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 414.04 502.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 414.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002147 272 CANNULA DUALBORE 25G 146.28 146.28 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 124.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002148 272 COUNTERSINK 7.0 311.64 311.64 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002151 272 MULTIPLANAR COUPLING 5/8/11 3733.32 3733.32 3173.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2613.32 3173.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2613.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002152 272 COUPLING 4/5/6 2418.92 2418.92 2056.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1693.24 2056.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1693.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002153 272 POST STR 11MM 580.88 580.88 493.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 406.62 493.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 406.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002154 272 ROD CONN 11X350MM 1379.06 1379.06 1172.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 965.34 1172.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 965.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002156 272 CAP TIP PROTECT 145.22 145.22 123.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 101.65 123.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 101.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002158 272 REAMER CONCAVE SURFACE 18MM 1803.06 1803.06 1532.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1262.14 1532.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1262.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002159 272 REAMER CONVEX SURFACE 16MM 1803.06 1803.06 1532.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1262.14 1532.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1262.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002160 272 REAMER CONVEX SURFACE 18MM 1803.06 1803.06 1532.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1262.14 1532.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1262.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002161 272 SHEET TRANSFER PATIENT 7.37 7.37 6.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.16 6.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002163 272 SUTURE TAPE XBRAID 1.4MM BL 380.54 380.54 323.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 266.38 323.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 266.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002164 272 SYS RETRACTOR WOUND 2.5-6CM 180.31 180.31 153.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.22 153.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 126.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002166 272 PACK INST STRL 1287.90 1287.90 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002167 272 DRAPE SURGICAL LAP REINF 54.78 54.78 46.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.35 46.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002170 272 PACK TRAUMA CDS 2546.12 2546.12 2164.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1782.28 2164.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1782.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002173 272 INSTR LIGASURE MARYLAND JAW 2825.41 2825.41 2401.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1977.79 2401.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1977.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002179 272 DRILL CANN 5.6MM 1400.79 1400.79 1190.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 980.55 1190.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 980.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002180 272 DRILL CANN 8.0MM 1539.12 1539.12 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002181 272 INST CUT MATCH HEAD 2.5X13CM 868.39 868.39 738.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 607.87 738.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 607.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002182 272 INST CUT MATCH HEAD 2.5X16CM 868.39 868.39 738.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 607.87 738.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 607.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002183 272 ROUTER TAPERED 2.3MM 411.21 411.21 349.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.85 349.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 287.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002184 272 BUR CUT ROUND 2.0MM 437.98 437.98 372.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.59 372.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002185 272 BUR CUT ROUND 3.0MM 775.70 775.70 659.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.99 659.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002186 272 BUR CUT ROUND 5.0MM 775.70 775.70 659.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.99 659.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002187 272 BUR CUT COARSE DIAMOND 6.0MM 437.98 437.98 372.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.59 372.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002188 272 BUR CUT SOFT TOUCH 1.5X2.3MM 437.98 437.98 372.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.59 372.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 306.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002189 272 BUR CUT CARBIDE 3.0X3.8MM 775.70 775.70 659.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.99 659.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 542.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002190 272 PERFERATOR CRANIAL LRG 14/11MM 666.75 666.75 566.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 466.73 566.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 466.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002192 272 TAPE RADIOPAQUE MARKING 30CM 190.32 190.32 161.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.22 161.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002203 272 WIRE GUIDE METATARSAL 333.90 333.90 283.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 233.73 283.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 233.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002204 272 WIRE GUIDE PHALANGEAL 333.90 333.90 283.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 233.73 283.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 233.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002205 272 COVER K-WIRE/STEINMAN PIN .045 5.83 5.83 4.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.08 4.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002206 272 "DRAPE,X-RAY,UNIVL,CLR,41X65IN" 20.83 20.83 17.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.58 17.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002209 272 CATH ANGIO 4F 65CM .035 66.78 66.78 56.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.75 56.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002240 272 COIL HYDROGEL 4X7CM 4674.60 4674.60 3973.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3272.22 3973.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3272.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002241 272 COIL HYDROGEL 5X11CM 4674.60 4674.60 3973.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3272.22 3973.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3272.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002254 272 COUNTERSINK 04.0 709.14 709.14 602.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 496.40 602.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 496.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002256 272 SUTURE CAPIO SZ0 48IN 154.71 154.71 131.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.30 131.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002257 272 STAPLER POWERED 45MM 1050.27 1050.27 892.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 735.19 892.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 735.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002260 272 CATH FLUSH 4F 65CM .035 57.24 57.24 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 48.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002263 272 TUBING HIGH FLOW RTP 53.76 53.76 45.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.63 45.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002264 272 SYS DEFECT CLOSURE PADLCK CLP 1590.00 1590.00 1351.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 1351.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002267 272 DEVICE VALVULOTOME 98CM 8582.82 8582.82 7295.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6007.97 7295.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6007.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002268 272 DRILL SHORT 1.7MM 975.94 975.94 829.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 683.16 829.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 683.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002269 272 PIN DISTRACTOR 2.4X140MM 286.20 286.20 243.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.34 243.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002270 272 GUIDEWIRE 1.6X180MM 206.70 206.70 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002271 272 DRILL CANN 3.1MM 1319.70 1319.70 1121.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.79 1121.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 923.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002272 272 DRILL CANN PROXIMAL 4.2MM 1192.50 1192.50 1013.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 834.75 1013.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 834.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002273 272 CATH SUPPORT .018x135CM 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002276 272 PACK TOTAL JOINT-LF 2607.57 2607.57 2216.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1825.30 2216.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1825.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002283 272 BIT DRILL 3.2X300MM 465.87 465.87 395.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.11 395.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 326.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002289 272 DRILL DISP 1.4MM 700.50 700.50 595.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 490.35 595.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 490.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002290 272 KIT PLANTAR FASCIOTOMY 3078.24 3078.24 2616.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2154.77 2616.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2154.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002291 272 PLATE COMPRESSION TRANSPEC 93.64 93.64 79.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.55 79.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002295 272 DRAPE C-SECTION 102X121X78 59.28 59.28 50.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.50 50.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002296 272 KIT FLUID MANAGEMENT 1122.54 1122.54 954.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 785.78 954.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 785.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002297 272 BAG WASTE FLUID MANAGEMENT 190.80 190.80 162.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 162.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 133.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002298 272 TRAP TISSUE FLUID MANAGEMENT 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002302 272 STAPLR STD UNIV 340.09 340.09 289.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 238.06 289.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 238.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002304 272 RELOAD STPLR 60MM TAN 697.47 697.47 592.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 488.23 592.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 488.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002305 272 RELOAD STPLR 45MM PUR MED 553.65 553.65 470.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 387.56 470.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 387.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002306 272 RELOAD STPLR 60MM PUR MED 728.44 728.44 619.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 509.91 619.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 509.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002307 272 RELOAD STPLR 60MM BLK THK 916.35 916.35 778.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 641.45 778.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 641.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002314 272 GUIDE WIRE 2.0X150MM 243.27 243.27 206.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.29 206.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002315 272 COUNTERSINK CANN 5.0MM 950.82 950.82 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 808.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 665.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002316 272 WIRE TROCAR 1.0X150MM 50.88 50.88 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 43.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002317 272 BURR MICA 3X20MM 1227.48 1227.48 1043.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 859.24 1043.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 859.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002329 272 CUP REAMER 22MM 1262.46 1262.46 1073.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 883.72 1073.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 883.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002332 272 KIT SIZER 435.50 435.50 370.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.85 370.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 304.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002334 272 CABLE FRCP BIPOLAR DISP 14.68 14.68 12.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.28 12.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002335 272 SET CORD BIPOLAR 42.61 42.61 36.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.83 36.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 29.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002337 272 FIBER LASER FLEXIVA PULSE 242 1865.00 1865.00 1585.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1305.50 1585.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1305.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002338 272 SUT PGA GRN SZ0 48IN 154.71 154.71 131.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.30 131.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 108.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002339 272 APPLIER LIGACLIP ENDO 111/2 30 167.06 167.06 142.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 116.94 142.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 116.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002340 272 DRAPE U STER LG 60X84IN 8.17 8.17 6.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.72 6.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002341 272 DRAPE FEM ANGIO 80X135 23.07 23.07 19.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.15 19.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002345 272 PACK INST MI/HIND FOOT 1590.00 1590.00 1351.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 1351.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002346 272 PIN STEINMANN 2.5X100MM 128.79 128.79 109.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.15 109.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002347 272 GUIDEWIRE 3.2X230MM 262.35 262.35 223.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.65 223.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002348 272 COUNTERSINK CAN 7.0MM 969.90 969.90 824.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 678.93 824.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 678.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002351 272 BIT DRILL 1.3MM 1103.46 1103.46 937.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 772.42 937.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 772.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002357 272 DRILL CANN 3.2MM 1202.04 1202.04 1021.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 841.43 1021.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 841.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002358 272 TAP CANN 4.5MM 938.10 938.10 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002359 272 FIBER LASER FLEXIVA ID 910 2179.29 2179.29 1852.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1525.50 1852.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1525.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002360 272 FIBER LASER FLEXIVA ID 550 1302.02 1302.02 1106.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 911.41 1106.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 911.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002361 272 SET TUBING SMOKE EVAC 500.85 500.85 425.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.60 425.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002362 272 SYS COIL PERIPHERAL 8X24CM 3650.64 3650.64 3103.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2555.45 3103.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2555.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002363 272 SYS COIL PERIPHERAL 6X17CM 3650.64 3650.64 3103.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2555.45 3103.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2555.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002368 272 CONTROLLER DETACH 0.03 0.03 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002382 272 HANDLE BLADE SCALPEL 728.75 728.75 619.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 510.13 619.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 510.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002383 272 BURR MICA 2X12MM STRL 1892.10 1892.10 1608.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1324.47 1608.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1324.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002384 272 KIT RECESSION GASTRO ENDO-EGR 3078.24 3078.24 2616.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2154.77 2616.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2154.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002386 272 REAMER CANN FOR CROSS-PLATES 1948.28 1948.28 1656.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1363.80 1656.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1363.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002391 272 FIBER LASER FLEXIVA PULSE 365 1016.54 1016.54 864.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 711.58 864.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 711.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002393 272 HOLDER NEEDLE ENDOSCOPIC 5MM 1883.62 1883.62 1601.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1318.53 1601.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1318.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002396 272 CLAMP IN 10H 4-6MM 3296.86 3296.86 2802.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.80 2802.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2307.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002397 272 ROD CONN EXT FIX CRBN 11X450MM 1579.40 1579.40 1342.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1105.58 1342.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1105.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002400 272 DRILL BIT GRY PT 3.2X200MM 321.18 321.18 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 224.83 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 224.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002405 272 DEVICE BIPOLAR STR 5X37CM 2286.63 2286.63 1943.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1600.64 1943.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1600.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002406 272 DEVICE BIPOLAR CVD 5X37CM 2631.46 2631.46 2236.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1842.02 2236.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1842.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002409 272 POST ANGLED 8MM 588.30 588.30 500.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.81 500.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 411.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002410 272 ROD CONN 11X400MM 2244.02 2244.02 1907.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1570.81 1907.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1570.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002412 272 ROD SEMI-CIRCULAR CVD 11X220MM 2489.94 2489.94 2116.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1742.96 2116.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1742.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002413 272 BLANKET 36X60IN LOWER BODY 14.63 14.63 12.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.24 12.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002414 272 BURR CRAN RND PRECISION 4.0MM 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002433 272 DRAIN WOUND ROUND 10FR 40.65 40.65 34.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.46 34.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002434 272 DRAIN WOUND FLAT 7MM 40.15 40.15 34.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.11 34.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002435 272 SPONGE NEURO 1/2X1/2 7.48 7.48 6.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.24 6.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002436 272 SPONGE NEURO 1X3 8.89 8.89 7.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.22 7.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002437 272 SUCT RESERVOIR EVAC 100CC 23.09 23.09 19.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.16 19.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002438 272 PIN SKULL ADLT SS STRL DISP 54.51 54.51 46.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.16 46.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002439 272 DRAPE T THYROID 102X121X77 17.07 17.07 14.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.95 14.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002440 272 FCP BAYONET TIP DISP 1.0MM SM 1396.66 1396.66 1187.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 977.66 1187.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 977.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002441 272 FCP BAYONET TIP DISP 1.5MM SM 1313.34 1313.34 1116.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 919.34 1116.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 919.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002444 272 NDL CANN K-WIRE 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002445 272 BATTERY NAVIGATION INSTR 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002446 272 PIN GD SURG NAV SYS 3X150MM 0.32 0.32 0.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.22 0.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002447 272 TRACKER SPINEMASK NON-INVASIVE 1.59 1.59 1.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.11 1.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002448 272 MASK CRANIAL REG TRCKR SNG USE 0.64 0.64 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.45 0.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002449 272 GWIRE ORTHO UNTHREADED 2X200MM 413.81 413.81 351.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.67 351.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 289.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002450 272 COUNTERSINK CANN 4MM 1609.08 1609.08 1367.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1126.36 1367.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1126.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002455 272 SET SIZERS DISPOSABLE EYE 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002459 272 WRENCH T 5+6MM SOCKET 7MM 2294.90 2294.90 1950.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1606.43 1950.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1606.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002460 272 ROD CONN EXT FIX CRBN 11X150MM 1862.42 1862.42 1583.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1303.69 1583.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1303.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002461 272 SUT PRLN 6-0 C-1 D-ARM M8726 172.78 172.78 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 146.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002470 272 KIT BTL ADHESIVE UNIV 507.74 507.74 431.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355.42 431.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002471 272 ENAMEL A1E UNIDOSE SHADE 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002472 272 ENAMEL A2E UNIDOSE SHADE 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002473 272 ENAMEL A3E UNIDOSE SHADE 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002474 272 COMPOSITE UNIV LIGHT 0.25GM 14.84 14.84 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002475 272 COMPOSITE UNIV MED 0.25GM 14.84 14.84 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002476 272 REFILL SYR A1 ULTRA FLOW 281.96 281.96 239.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 197.37 239.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 197.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002477 272 REFILL SYR A2 ULTRA FLOW 281.96 281.96 239.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 197.37 239.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 197.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002478 272 REFILL SYR A3 ULTRA FLOW 281.96 281.96 239.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 197.37 239.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 197.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002479 272 REFILL CAVIFIL EVOCERAM 0.2G 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002480 272 REFILL EVOFLOW TETRIC 1X2G A2 117.66 117.66 100.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 82.36 100.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 82.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002481 272 REFILL EVOFLOW TETRIC 1X2G A1 117.66 117.66 100.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 82.36 100.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 82.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002482 272 REFILL TETRIC CAVIFIL 0.2G A1 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002483 272 APP MICROBRUSH FINE 0.12 0.12 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.08 0.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002484 272 REFILL ULTRASEAL XT PLUS .4ML 3.92 3.92 3.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.74 3.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002487 272 KIT CURETTE TIP - EXCEL 2361.68 2361.68 2007.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1653.18 2007.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1653.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002488 272 INSTR HANDPC SONICVAC W/TUBSET 2095.62 2095.62 1781.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1466.93 1781.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1466.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002492 272 BUR PREP AMALGAM 245FG CARBIDE 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002493 272 BUR COARSE DIAMOND FOOTBALL 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002494 272 STONE DURA-WHITE RD1 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002495 272 BUR CARBIDE 330FG PEAR 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002496 272 STRIP MYLAR 0.04 0.04 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002502 272 SYR GEL ETCHING 1.2ML 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002503 272 APP ADHESIVE 0.18ML 9.54 9.54 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 8.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002504 272 BUBBLEGUM VARNISH FLUORIDE 5% 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002505 272 BUR CARBIDE SS 169L FG 7.42 7.42 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 6.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002506 272 LINER GLASS LONOMER 699.57 699.57 594.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 489.70 594.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 489.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002507 272 BAND MATRIX 6MM 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002508 272 BAND MATRIX 4.5MM NARROW 4.24 4.24 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 3.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002509 272 PIN DIXTRACTION 10MM 2089.26 2089.26 1775.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1462.48 1775.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1462.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002510 272 PIN DIXTRACTION 15MM 2089.26 2089.26 1775.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1462.48 1775.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1462.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002512 272 WIRE-K 2.0X150MM BLUNT 187.62 187.62 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 159.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002513 272 DRILL BIT BONE 2.5MM 1268.82 1268.82 1078.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 888.17 1078.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 888.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002516 272 KIT POSITNNG OR SPINE W/ARM C 116.60 116.60 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002517 272 KIT POSITNNG OR SPINE W/HDRST 111.30 111.30 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002518 272 SLEEVE ARM PROTECT 26.50 26.50 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 22.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002520 272 DRILL AO SCALED 1.6MM L96MM 829.98 829.98 705.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 580.99 705.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 580.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002521 272 DRILL AO SCALED 2.0MM L105MM 829.98 829.98 705.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 580.99 705.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 580.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002522 272 WIRE-K 1.6MM L150MM 488.66 488.66 415.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.06 415.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 342.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002524 272 COUNTERSINK 6.5/8.0 1111.94 1111.94 945.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 778.36 945.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 778.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002527 272 DEVICE ADHESIVE 104.5X80MM 3.18 3.18 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002528 272 SET TUBE SHARPVAC 2095.62 2095.62 1781.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1466.93 1781.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1466.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002531 272 COUNTERSINK CANN 4MM 1555.02 1555.02 1321.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1088.51 1321.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1088.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002532 272 SLEEVE INFUSION VIT 0.9MM 825.74 825.74 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002533 272 DRILL PIN HEADLSS 75MM 2145.44 2145.44 1823.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1501.81 1823.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1501.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002537 272 BONE GRAFT DELIVERY SYS 3100.50 3100.50 2635.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2170.35 2635.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2170.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002538 272 CABLE LIGHT DISP 6201.00 6201.00 5270.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4340.70 5270.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4340.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002539 272 NDL ASPIRATION 11G 781.22 781.22 664.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 546.85 664.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 546.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002546 272 TAP 5.0MM 1987.50 1987.50 1689.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1391.25 1689.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1391.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002547 272 TAP 4.0MM 1987.50 1987.50 1689.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1391.25 1689.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1391.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002552 272 SCALPEL BLADE #15 2862.00 2862.00 2432.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2003.40 2432.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2003.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002555 272 MATRIX HEMOSTATIC 10ML FAST 1346.20 1346.20 1144.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 942.34 1144.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 942.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002556 272 MATRIX HEMOSTATIC 5ML 735.64 735.64 625.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 514.95 625.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 514.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002557 272 SPONGE NEURO X-RAY 1/2X3 STRL 1.07 1.07 0.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.75 0.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002558 272 DRAPE INST MAGNETIC 10X16 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002559 272 DRILL BIT 1.3MM 1300.62 1300.62 1105.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 910.43 1105.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 910.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002560 272 GAUGE DEPTH 150MM 709.14 709.14 602.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 496.40 602.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 496.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002561 272 BURR MICA 2X12MM 2044.74 2044.74 1738.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1431.32 1738.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1431.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002562 272 TRNQ DISP 30X4 1PRT ROY BL N/S 90.10 90.10 76.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.07 76.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002563 272 TRNQ DISP 34X4 1PRT PUR N/S 96.46 96.46 81.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.52 81.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002564 272 TRNQ DISP 18X4 1PRT RED N/S 74.20 74.20 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002565 272 TAP TAPERED 3.5MM 2022.48 2022.48 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002566 272 TAP TAPERED 4.5MM 2022.48 2022.48 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002569 272 SIZER BRST EX-FP SGL USE 560CC 731.40 731.40 621.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.98 621.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 511.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002574 272 SNARE ROUND STIFF 2.4X240 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002575 272 SYR AIR WATER DISP ASST 0.37 0.37 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.26 0.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002577 272 CATH WORD BARTHOLIN 15F 58.30 58.30 49.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.81 49.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002578 272 CONN FEED PORT 14.84 14.84 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 12.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002580 272 KWIRE TEMP FIX 3.2X400MM 680.52 680.52 578.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 476.36 578.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 476.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002584 272 BIT DRILL 2.2X60MM STRL 1287.90 1287.90 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002585 272 TRANSLATOR META STRL 721.86 721.86 613.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.30 613.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 505.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002586 272 PIN GUIDE 2.0MM 203.52 203.52 172.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.46 172.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 142.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002587 272 BIT DRILL 3.0X60MM STRL 1287.90 1287.90 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 1094.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 901.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002589 272 PUNCH BIOPSY DISP 4MM 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002590 272 PUNCH BIOPSY DISP 5MM 6.36 6.36 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 5.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002591 272 TBG SIL 30IN 43.46 43.46 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 36.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002592 272 PULL G-TUBE SAFETY 20FR 368.88 368.88 313.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.22 313.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 258.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002593 272 BLADE COARSE MILL + 1992.80 1992.80 1693.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1394.96 1693.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1394.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002594 272 BLADE FINE MILL + 1992.80 1992.80 1693.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1394.96 1693.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1394.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002595 272 BLADE MED MILL + 1992.80 1992.80 1693.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1394.96 1693.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1394.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002598 272 DRAPE MICROSCOPE STRL DISP 177.02 177.02 150.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 123.91 150.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 123.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002599 272 KIT SPINAL TABLE 178.08 178.08 151.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.66 151.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 124.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002603 272 BLADE HOOK 722.92 722.92 614.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.04 614.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 506.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002604 272 COVER PROBE ULTRASOUND 6X24L 33.92 33.92 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 28.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002610 272 APPLIC PROTC SKIN 0.7ML 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002612 272 AQUAMANTYS SEALER BIPOLAR 6.0 1712.96 1712.96 1456.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1199.07 1456.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1199.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002613 272 INSTR HANDLE CANN SGL-USE STRL 403.86 403.86 343.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 282.70 343.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 282.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002616 272 BURR STRAIGHT SURGICAL 13X2MM 1113.00 1113.00 946.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.10 946.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002617 272 BURR STRT 19MM 2.0MM 1113.00 1113.00 946.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.10 946.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002618 272 GWIRE ORTHO 1.4MM 155.82 155.82 132.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.07 132.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002619 272 GWIRE ORTHO 1.6X150MM 155.82 155.82 132.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.07 132.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002620 272 DRILL BIT CANN 2.9MM SGL USE 620.10 620.10 527.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.07 527.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002621 272 PROBE NERVE STIM BALL TIP DISP 1684.34 1684.34 1431.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1179.04 1431.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1179.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002622 272 TAP TAPERED 5.5MM 2022.48 2022.48 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002623 272 TAP TAPERED 6.5MM 2022.48 2022.48 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 1719.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1415.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002628 272 TRNQ DISP 18X4 1PRT LNG ARM 54.06 54.06 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 45.95 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002629 272 TRNQ DISP 24X4 1PRT LEG 63.60 63.60 54.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.52 54.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002630 272 TRNQ DISP 34X4 1PRT LONG LEG 81.62 81.62 69.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.13 69.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002631 272 POSITIONER HEAD REST BLUE 7IN 45.58 45.58 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 38.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 31.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002632 272 KIT POSITIONING TRENDEL 537.42 537.42 456.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 376.19 456.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 376.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002637 272 TAP SZ 4.5MM 1987.50 1987.50 1689.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1391.25 1689.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1391.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002638 272 SCOPE NEEDLE 125MM SNGL USE 1669.50 1669.50 1419.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1168.65 1419.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1168.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002639 272 KIT HIGH FLOW 125MM SNGL USE 365.70 365.70 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 310.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 255.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002640 272 REAMER CONCAVE SURFACE 14MM 2434.82 2434.82 2069.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1704.37 2069.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1704.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002641 272 REAMER CONVEX SURFACE 14MM 2434.82 2434.82 2069.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1704.37 2069.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1704.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002643 272 DRILL BIT CANN 2.0MM 620.10 620.10 527.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.07 527.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002644 272 TIP GUIDEWIRE TROCAR 0.86MM 69.96 69.96 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 59.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002645 272 GUIDEWIRE 1.6X4MM BEVELED 155.82 155.82 132.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.07 132.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 109.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002646 272 DRILL BIT CANN 3.6MM 620.10 620.10 527.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.07 527.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 434.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002647 272 SET TUBING IRR 103.88 103.88 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.72 88.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 72.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002654 272 SLEEVE TRNQ DISP 18X4.5 2PRT 102.82 102.82 87.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.97 87.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002655 272 SLEEVE TRNQ DISP 24X4.5 2PRT 116.60 116.60 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 99.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002656 272 SLEEVE TRNQ DISP 30X4.5 2PRT 128.26 128.26 109.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 109.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002657 272 SLEEVE TRNQ DISP 34X4.5 2PRT 138.86 138.86 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002658 272 SLEEVE TRNQ DISP 44X4.5 2PRT 150.52 150.52 127.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.36 127.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 105.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002659 272 BLD ELEC EDGE COATD 4IN SNGL U 19.08 19.08 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 16.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002660 272 HOOD SURG T7 W/PEEL AWAY 152.64 152.64 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 129.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002662 272 SPACER DIST CEMENT UNIV 16MM 501.38 501.38 426.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.97 426.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002663 272 TRNQ DISP DPSB 18X4.125 2PRT 71.02 71.02 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002664 272 TRNQ DISP DPSB 24X4.125 2PRT 79.50 79.50 67.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 67.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002665 272 TRNQ DISP DPSB 34X4.125 2PRT 91.16 91.16 77.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.81 77.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002668 272 TRNQ DISP DPSB 18X4.125 2PRT 93.28 93.28 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 79.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 65.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002669 272 TRNQ DISP DPSB 24X4.125 2PRT 102.82 102.82 87.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.97 87.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002670 272 TRNQ DISP DPSB 34X4.125 2PRT 120.84 120.84 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 102.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002672 272 PACK SPINE CDS-LF 1398.14 1398.14 1188.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 978.70 1188.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 978.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002674 272 BIT DRILL 2.3MM 1749.00 1749.00 1486.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1224.30 1486.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1224.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002675 272 TAP CERVICAL 4.0MM 1749.00 1749.00 1486.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1224.30 1486.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1224.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002680 272 SET CYL PROBE 1689.64 1689.64 1436.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1182.75 1436.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1182.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002682 272 PIN SCREW DISTRACTION 12MM 111.30 111.30 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002683 272 PIN SCREW DISTRACTION 14MM 111.30 111.30 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 94.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002684 272 BURR STR 12MM 2.2MM 1113.00 1113.00 946.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.10 946.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 779.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002685 272 PAK VIRECTOMY 25+HYPERVIT 2499.29 2499.29 2124.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1749.50 2124.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1749.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002686 272 DRILL ADJUST 2.3MM DISP 1033.50 1033.50 878.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 723.45 878.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 723.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002687 272 TAP 3.0MM 915.84 915.84 778.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 641.09 778.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 641.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002689 272 KIT TABLE 947.64 947.64 805.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 663.35 805.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 663.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002692 272 PIN REDUCTION 5.0MM 1649.36 1649.36 1401.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1154.55 1401.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1154.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002693 272 PIN PRECISION 3.9X450MM 179.14 179.14 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 152.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002694 272 DRILL COUNTERBORE SHORT 204.58 204.58 173.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.21 173.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002695 272 DRILL COUNTERBORE LONG 231.08 231.08 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002696 272 DRILL COUNTERBORE MAN 356.16 356.16 302.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 249.31 302.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 249.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002716 272 KIT SHEATH HIGH FLOW 125MM 632.82 632.82 537.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 442.97 537.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 442.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002717 272 TUBING SYS PUMP ARTHRO 8FT 193.98 193.98 164.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.79 164.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 135.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002718 272 TUBING SYS ARTHRO 8FT 85.86 85.86 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 72.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002719 272 SHVR RESCTR SM JNG 3MM DISSCTR 209.88 209.88 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 178.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002720 272 KIT ORTHO GWIRE DRILL SLV DISP 874.50 874.50 743.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 612.15 743.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 612.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002727 272 RELOAD STPLR ENDO GIA 45MM MED 719.74 719.74 611.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 503.82 611.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 503.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002728 272 EXTRCT 2 LUM BLN 12-15MM 200CM 518.34 518.34 440.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362.84 440.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002729 272 NDL TRANSBRONCH ASPR W/SYR 21G 299.98 299.98 254.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.99 254.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002738 272 TRNQ DISP 34X4 1 PRT PUR N/S 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002739 272 TRNQ DISP 18X3 1 PRT PUR N/A 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002741 272 HOOD PROTECT T7 79.50 79.50 67.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 67.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 55.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002742 272 NAVIGTN UNT ORTHALGHN+ SNGL US 2846.10 2846.10 2419.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1992.27 2419.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1992.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002743 272 PAD ARMBOARD FOAM 2X8X20 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002744 272 POSITIONER ARM ULNAR NERVE 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002746 272 PROBE PLASMA 2.3MM 220CM 75.26 75.26 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 63.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 52.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002748 272 KIT BONE GRAFT DELVRY W/STYLET 3176.82 3176.82 2700.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2223.77 2700.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2223.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002749 272 CONFORMER VENUS W/HOLE LG 232.14 232.14 197.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 197.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002750 272 K-WIRE TEMP FIX 1.1 213.06 213.06 181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.14 181.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002751 272 DRILL BIT CANN 2.55MM 1459.62 1459.62 1240.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1021.73 1240.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1021.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002752 272 DRILL BIT 2.55MM 1341.96 1341.96 1140.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 939.37 1140.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 939.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002753 272 REAMER CONCAVE SURFACE 20MM 2434.82 2434.82 2069.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1704.37 2069.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1704.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002754 272 REAMER CONCAVE SURFACE 22MM 2434.82 2434.82 2069.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1704.37 2069.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1704.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002755 272 COIL PERIPH VASC DETCH 3MMX4CM 2703.00 2703.00 2297.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1892.10 2297.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1892.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002756 272 SHEATH SET URET 11-13FRX28 382.66 382.66 325.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.86 325.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 267.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002757 272 BURR SINUS 4.5MM 15DEG DIEGO E 700.66 700.66 595.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 490.46 595.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 490.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002771 272 PIN HP STRL THREADEDS HEADED 672.04 672.04 571.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 470.43 571.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 470.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002772 272 PIN HP STRL THREADED 672.04 672.04 571.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 470.43 571.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 470.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002777 272 CONFORMER EYE STRL W/HOLES LG 232.14 232.14 197.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 197.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002778 272 DEV CAPSULE DEL SM BOWEL 646.60 646.60 549.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 452.62 549.61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 452.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002779 272 TUBING OUTFLOW CASSETTE 217.30 217.30 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 184.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 152.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002786 272 DRSG FOAM POST-OP 4X10 68.90 68.90 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 58.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002787 272 DRSG FOAM POST-OP 4X12 80.56 80.56 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 68.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002788 272 SPONGE ENDO 5MM KITTNER 48.76 48.76 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 41.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002789 272 BIT DRILL 3.1X216CM 1087.56 1087.56 924.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 761.29 924.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 761.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002791 272 SOL DEBRI 0.05%CHG 450ML 2480.40 2480.40 2108.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1736.28 2108.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1736.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002816 272 CLIP ADAPT F/GAMMA3 TUBE CLSD 2308.68 2308.68 1962.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1616.08 1962.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1616.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002819 272 NDL ENDO INSUF 150MM VERRES 38.16 38.16 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 32.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002820 272 CLIP RESOLUTION 235CM 825.74 825.74 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 701.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002824 272 PROBE LASER FLEX-TIP 27G 572.40 572.40 486.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 400.68 486.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 400.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002825 272 FORCEPS REFLEX DSP 27G 714.55 714.55 607.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.19 607.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002826 272 HNDL SFT TIP DSP 27G 0.8MM 232.14 232.14 197.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 197.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002827 272 BLADE DERMABRADER DISP 4MM 1030.32 1030.32 875.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 721.22 875.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 721.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002830 272 SUTURE RETRIEVER STE 311.64 311.64 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 264.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 218.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002837 270 DRAPE INCISE 23X33 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002838 272 BLADE HOOK CARPAL 826.80 826.80 702.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.76 702.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 578.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002839 272 ELEC COAG BIPOLAR 24FR 1604.84 1604.84 1364.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1123.39 1364.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1123.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002841 272 KIT SIZING TENDON SGL USE 772.74 772.74 656.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.92 656.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 540.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002847 270 "DRAPE,C-ARM,UNIV,CLR,42X72IN" 7.74 7.74 6.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.42 6.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002848 272 DEBRIDER DISP 2MM BIP 790.76 790.76 672.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 553.53 672.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 553.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002851 270 CUFF TOURN 18IN SP SB STRL 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002852 270 CUFF TOURN 34IN SP SB STRL 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002853 272 ADJ FEM ANTEGRADE 13753.50 13753.50 11690.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9627.45 11690.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9627.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002854 272 DRILL BIT 5X180MM 909.48 909.48 773.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636.64 773.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002857 272 SCR TEMP FIX 2.4X10MM (PIN) 1084.38 1084.38 921.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 759.07 921.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 759.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350002860 272 GRAFT SIZING KIT TENODESIS 938.10 938.10 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 797.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 656.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350022303 272 RELOAD STPLR 45MM TAN 533.24 533.24 453.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.27 453.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 373.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000114 250 OXYCODONE IR 10MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000115 250 OXYCONTIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000116 250 LATUDA 40MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000117 250 LATUDA 80MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000118 250 NUEDEXTA 20MG/10MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000119 250 PREZISTA 400MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000120 250 FERROUS SULF 220MG/5ML LIQ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000121 250 CHLORHEXIDINE GLUCONATE 4% WSH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000123 250 OXYCONTIN 20MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000124 250 DIATRIZOATE MEGLUMINE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000125 250 DIATRIZOATE SODIUM SOL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000127 250 SPIRIVA 18 MCG CAP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000128 250 TYLENOL 160MG/5ML SOLU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000129 250 TYLENOL 650MG/20ML SOLU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000130 250 TYLENOL 325MG/10ML SOLU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000131 250 BETAMETHASONE DIPRO 0.05%OINMT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000134 250 MULTAQ 400MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000135 250 BETAMETHASONE VALERATE 0.1%OIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000136 250 BETAMETHASONE VALERATE 0.1% CR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000137 250 INTELENCE TABLETS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000138 250 SILVASORB GEL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000139 250 AVITENE SHEET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000141 250 METHADONE 10MG/ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000142 250 NICARDIPINE 30MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000143 250 NICARDIPINE 60MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000145 250 CYANIDE ANTIDOTE PACKAGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000147 250 BREVITAL 500MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000148 250 DIDANOSINE 200MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000149 250 LORAZEPAM 2MG /ML ORAL SOLUTIO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000150 250 DIPHENHYDRAMINE 25MG/10ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000151 250 "CREON DR 24,000" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000152 250 TETRACAINE VISC OPTH 05.% 5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000153 250 BUPIVACAINE HCL 0.5% 10ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000154 250 BUPIVACAINE HCL 0.75% 10ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000158 250 POVIDONE-IODINE 10% OINTMENT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000159 250 POVIDONE-IODINE OINT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000160 250 LUGOLS SOLUTION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000161 250 MINERAL OIL LIGHT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000163 250 TETRAVISC DROPS 5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000164 250 STRONG IODINE SOLUTION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000165 250 GM/1000ML STERILE WATER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000167 250 ENGERIX -B PED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000168 250 NICARDIPINE 2.5MG/ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000169 250 TRICOR 145 MG TABLET ABBOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000170 250 CHLORHEXIDINE GLUCONATE 0.12% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000171 250 BETADINE 10% SOLUTION 118ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000172 250 BETAMETHASONE DIPROPIONATE 0.0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000173 250 EXACTACAIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000174 250 MARCAINE 0.25% 150 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000175 250 CYTOTEC 200 MCG TABLET-GD SEAR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000178 250 TETANUS IMMUNE GLOBULIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000180 250 AMILORIDE 5MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000181 250 MEDROXYPROGESTERONE 150MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000185 250 PRADAXA 150MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000187 250 AUGMENTIN 125-31.5 SUSPEN-GLXS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000189 250 AUGMENTIN 250- 62.5 SUSPEN-GLX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000191 250 DEXTROSE 10%/WATER IV SOLN.- 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000193 250 ZYPREXA 20MG TABLET-LILLY 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000194 250 MARINOL 2.5MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000195 250 LIGHT MINERAL OIL -25ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000196 250 AMIODARONE PRMX INJ150MG/100ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000197 250 AMIODARONE PRMX INJ360MG/200ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000198 250 DOBUTAMINE 1000MG/ PREMIX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000199 250 XARELTO 20MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000200 250 TACRILOMUS 0.5MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000201 250 ACETAZOLAMIDE 500MG TABLET-SCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000202 250 CHLORPROMAZINE 50MG/2ML AMP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000205 250 DEHYDRATED ALCOHOL 1ML AMP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000206 250 PEDVAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000207 250 KALETRA LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000208 250 AMYL NITRATE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000209 250 RID SHAMPOO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000210 250 GLYCERIN ANHYDROUS 177ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000211 250 GENTIAN VIOLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000212 250 DESITIN CREAM 30GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000213 250 PREMARIN VAGINAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000214 250 BETAMETHASONE VALTE 0.1% LOTIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000215 250 CLINDAMYCIN PHOSPH1% TOPIC SOL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000216 250 ATROPINE 1% OPTHALMIC OINTMENT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000217 250 PRISTIQ 50MG EXTEN- RELS TABL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000218 250 BETAXOLOL HCL 0.25% EYE DROP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000219 250 AZACTAM 2 GRAM /DEXTROSE 50ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000220 250 AZACTAM 1 GRAM /DEXTROSE 50ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000221 250 VANCO 750MG /DEXTROSE 150ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000222 250 CLINIMIX 4.25/5 2000ML BAG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000223 250 CLINIMIX 5/15 2000ML BAG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000224 250 CLINIMIX E 5/15 1000ML BAG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000225 250 BICILLIN C-R 1.2 MIL UNT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000226 250 XARELTO 10MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000227 250 XARELTO 15MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000228 250 FER- IRON DROPS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000229 250 SORBITUSSIN DM LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000330 250 ACETYLCYSTEINE 10% 30ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000331 250 SENSORCAINE MPF 0.5% 30ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000332 250 XYLOCAINE-MPF 2% 10 ML AMP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000333 250 XYLOCAINE-MPF 1% 2 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000334 250 SENNA SYRUP 240ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000335 250 XYLOCAINE-MPF 2% 5ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000336 250 HYDROXYZINE HCL 10MG/5ML 16OZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000337 250 SILVADENE CREAM 20GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000338 250 NEOMYCIN/BACITN/POLYMYXIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000340 250 ALBUMIN 25% 25 GM/100ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000347 250 SUFENTANIL 100MCG/2ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000348 250 INFUMORPH 200MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000353 250 PRADAXA 75MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000354 250 REQUIP 1 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000355 250 FANAPT 2MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000356 250 ZONISAMIDE 50MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000357 250 ULORIC 40MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000358 250 RELPAX 20MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000359 250 VALCYTE 450MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000360 250 TOPIRAMATE 15 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000361 250 MICARDIS 40MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000362 250 MIRAPEX 0.5MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000363 250 MIRAPEX 1MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000366 250 ANAGRELIDE 1MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000367 250 ANAGRILDE 0.5MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000368 250 BUDESONIDE 3MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000369 250 OLANZEPINE 15MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000370 250 PRECOSE 50MG TABLET BAYER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000371 250 CYCLOSPORINE MODIFIED 100MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000372 250 OXYCODONE IR 5MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000373 250 PHENOBARBITAL 16.2MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000374 250 PHENOBARBITAL 32.4MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000375 250 VIMPAT 50MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000376 250 ZONISAMIDE 100MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000377 250 NEO/BACIT/POLY HC EYE ONTMT-B& 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000380 250 DIFICID 200MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000381 250 SULFADIAZINE 500MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000382 250 PHENOBARBITAL 64.8MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000383 250 PRECEDEX 100MCG/ML (2ml) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000384 250 PRECEDEX 4MCG/ML (50ML) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000385 250 PREZISTA 800MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000386 250 PROTONIX 40 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000389 250 GENTAMICIN 40MG/ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000393 250 EDECRIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000395 250 ERYTHROMYCIN 500MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000396 250 POVIDONE- IODINE SCRUB 118ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000397 250 ALEBENZA 200MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000398 250 LISINOPRIL BENAZEPRIL 5MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000399 250 REYATAZ 300 MG ULE-ALLSCRI 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000402 250 LIDOCAINE HCL 2% JELLY 30ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000403 250 GALANTAMINE 12MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000404 250 FRAGMIN 2500 IU/0.2ML SYRINGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000405 250 FONDAPARINUX SODIUM 10MG/0.8M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000408 250 LEVOTHYROXINE 100 MCG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000413 250 AMMONIUM LACTATE LOTION 12% 400GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000414 250 AMMONIUM LACTATE CREAM 12% 385 GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000415 250 TRIPLE ANTIBIOTIC OINT 14GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000416 250 TRIPLE ANTIBIOTIC OINTMENT 1GM PACKET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000417 250 BETAMETHAS DIP0.05% CREAM 45GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000418 250 BETAMETHAS DIP 0.05%OINMT 15GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000419 250 MAALOX 30ML UDC SUSPENSION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000420 250 NITRO-BID 2% OINTMENT 60GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000421 250 NITRO-BID 2% OINTMENT 30GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000422 250 LIDOCAINE 2% TOPICAL UDC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000423 250 CLOTRIMAZOLE 1% 30ML SOLUTION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000424 250 CLOTRIMAZOLE 1% 15GM CREAM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000425 250 ACYCLOVIR OINT 5% 30GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351000426 250 DESOXIMETASONE OINT 0.25% 60GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500006 250 FAMOTIDINE 40MG/4ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500007 250 FAMOTIDINE 200 MG/20 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500008 250 LIDOCAINE 3.5% OPTHALMIC GEL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500009 250 LIDOCAINE 2% MPF 5ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500010 250 VIBRAMYCIN 25MG/5ML 60ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500011 250 TAMIFLU 6mg/ml 60ml DIRECT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500012 250 DILTIAZEM 12mg/25ml vial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500015 250 METHAZOLAMIDE 25MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500017 250 SODIUM ACETATE 10 MEQ/50 ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500018 250 ACETYLCYSTEINE 20% 10 ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500019 250 ZINC SULFATE 5 MG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500020 250 CEFTAZIDIME 1GM/D5W 50ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500021 250 GENTAMICIN 100MG/100ML IVPB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500022 250 NS FLUSH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500026 250 COMBIVENT RESPIMAT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500027 250 IMIPRAMINE HCL 10MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500028 250 HUMULIN R 100U/ML VIAL-LILLY 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500029 250 DESOXIMETASONE OINT 0.5% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500031 250 SETRON 4MG ODT TABS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500032 250 DAPTACEL 0.5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500033 250 PODOCON-25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500034 250 EFFIENT 10MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500035 250 LIDOCAINE JELLY 2% UROJECT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500036 250 DESMOPRESSIN ACETATE 0.2MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500037 250 FANAPT 8MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500038 250 FANAPT 6MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500039 250 LATUDA 20MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500042 250 RITONAVIR 80MG/ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500043 250 PREZISTA LIQUID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500045 250 CARBAMAZEPINE 100MG/5ML UDC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500046 250 PRAVACHOL 40MG ET-SQU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500048 250 REQUIP 0.25 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500049 250 ACTOS 45MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500051 250 ISENTRESS 100MG CHEWABLE TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500053 250 DEXTROSE 10%-0.2 NS 250ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500054 250 INDOMETHACIN 50MG SUPPOSITORY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500055 250 INTELENCE 200mg TABLETS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500056 250 COMPLERA TABS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500057 250 MALARONE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500058 250 PLAN B 1.5MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500059 250 MINOCYCLINE 100MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500061 250 VOLTAREN GEL 100MG TUBE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500062 250 EPHEDRINE 25 MG/5ML SYRINGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500064 250 FLECAINIDE 100MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500065 250 TAMIFLU 30MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500066 250 RISPERDAL -M 3MG TABLET- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500067 250 DIDRONEL 200MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500069 250 STARLIX 120MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500070 250 GLYCINE 1.5% 3L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500071 250 SW FOR IRRIGATION 1.5L 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500072 250 MEROPENEM 1GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500073 250 MEROPENEM 500MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500075 250 LATUDA 60MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500077 250 ICG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500078 250 PRAXBIND 2.5G/50ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500079 250 PRE-PEN INTRADERMAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500080 250 ELIQUIS 2.5MG PO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500082 250 LIDOCAINE HCL OPTHLMC GEL 3.5% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500083 250 IMPROVUE OPTHLMIC LUBRIC DROPS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500085 250 CLOZAPINE 50MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500111 250 DEHYDRATED ALCOHOL 10 X 5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500113 250 EXPAREL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500114 250 ENTEREG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500119 250 ENTRESTO 24-26MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500120 250 ENTRESTO 49-51MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500121 250 ENTRESTO 97-103MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500122 250 TRIFLURIDINE 1MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500123 250 PHENYLEPHRINE SYRNGE 100MCG/ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500124 250 SUCCINYLCHOLINE SYRNGE 20MG/ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500125 250 EPHEDRINE 5MG/ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500128 250 EDETATE DISODIUM 100GM POWDER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500129 250 CHLORHEXIDINE GLUCONATE 0.12% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500130 250 FLUOCINONIDE CREAM 0.1% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500132 250 NORMAL SALINE FLUSH 3ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500141 250 BUPROPION SR 100MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500142 250 TIVICAY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500143 250 EXJADE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500144 250 FUL-GLO 0.6MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500147 250 NUTRAMIGEN DHA-ARA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500148 250 ENFAMIL A.R. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500149 250 ENFAMIL ENFACARE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500150 250 ENFAMIL GENTLEASE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500151 250 ENFAMIL PREMATURE 20 CAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500152 250 ENFAMIL PREMATURE 24 CAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500153 250 ENFAMIL PREMIUM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500154 250 ENFAMIL PROSOBEE LIPIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500156 250 NAPHAZOLINE EYE DROPS 0.025% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500193 250 DESCOVY 200MG/25MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500194 250 GENVOYA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500195 250 ODEFSEY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500198 250 RIFAMPIN 150MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500201 250 ENFAMIL NEURO-PRO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500206 250 FLUORO SOD/PROPARACNE HCL OPTH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500207 250 GRISEOFULVIN ULTRAMICRSZ 125MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500208 250 GRISEOFULVIN ULTRAMICRSZ 250MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500211 250 PHENYLEPHRINE SYR 1MG/10ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500215 250 ITRACONAZOLE 100MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500219 250 RIVASTIGMINE 9.5MG/24HR PATCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500220 250 TICAGRELOR (BRILINTA) 60MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500221 250 PRASUGREL (EFFIENT) 5MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500228 250 VANCOMYCIN HCL 1.25G VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500229 250 SALICYLIC ACID 28.5% 10ML BTTL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500230 250 SALINOCAINE OINTMENT 40G BTTL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500231 250 APREMILAST (OTEZLA) 30MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500233 250 TRANSDERM SCOP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500235 250 SUGAMMADEX 100MG/ML 2ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500236 250 SUGAMMADEX 100MG/ML 5ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500246 250 NORPHNPHRN PREMX 8MG/250ML D5W 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500247 250 POVIDONE IODINE SCRUB 10% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500248 250 POVIDONE IODINE SCRUB 7.5% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500249 250 LITHIUM CARBONATE 300MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500250 250 ALBUTEROL SULFATE 4MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500251 250 FIRVANQ 50MG/ML SOL KIT 300ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500252 250 FIRSTRX MGC MTHWSH CMPKT 8FLOZ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500261 250 IBUPROFEN 200MG/10ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500262 250 CLINIMIX E 5/15 1000ML PRMX BG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500263 250 SEVELAMER CRBNT FOR SUSP 0.8GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500264 250 TRANEXAMIC ACID 1000MG/10ML IV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500265 250 GLUTOSE 5 - 12.5GRAM TUBE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500266 250 AMOXICILLIN 875MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500267 250 VALGANCICLOVIR 50MG/ML ORL SOL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500268 250 AQUAPHOR OINTMENT 10GRAM TUBE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500269 250 RIVASTIGMINE TRNSDRM13.3MG PCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500270 250 RIVASTIGMINE TRNSDRM 4.6MG PCH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500271 250 MUSCLE RUB ANALGESIC CREAM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500272 250 RIVAROXABAN 2.5MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500273 250 CADEXOMER IODINE GEL 10G TUBE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500274 250 METHENAMINE 500MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500277 250 MACROBID 100MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500278 250 MEDIHONEY 15ML TUBE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500279 250 MICONAZOLE 2% CREAM 92GM TUBE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500280 250 METHYLDOPA 500MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500281 250 MEDIHONEY HCS HYDRCOLLD WNDDRS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500283 250 SURGIFOAM ABSORB GELATIN SPNGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500285 250 RITONAVIR 100MG ORAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500286 250 CALCIUM ACETATE SOL 667MG/5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500289 250 BIKTARVY TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500295 250 MIRTAZAPINE 15MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500296 250 LEVOCARNITINE 330MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500297 250 LOKELMA 10GM PACKET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500298 250 CYCLOMYDRIL OPHTH SOL 2ML BTTL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500300 250 CHLOROQUINE 250MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500303 250 TOFACITINIB 10MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500305 250 BARICITINIB 2MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500307 250 ELIQUIS (APIXABAN) 5MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500308 250 BUMETANIDE 2.5MG/10ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500311 250 INDOMETHACIN 50MG SUPPOSITORY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500314 250 DOFETILIDE 250MCG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500315 250 FENTANYL PATCH 12MCG/HR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500316 250 BENZOYL PEROXIDE 5% WASH 148GM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500319 250 MEXILETENE 200MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500321 250 LOKELMA 5G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500334 250 TRANXMC ACD 1000MG/100ML PMXBG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500335 250 MYXREDLIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500336 250 CALC GLUCONT-SODCHL 1000MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500337 250 CALC GLUCONT-SODCHL 2000MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500349 250 NICARDIPINE 20MG/200ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500350 250 FAMOTIDINE 10MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500351 250 SPIRONOLACTONE 25MG/5ML SUSP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500354 250 NOREPINEPHRINE 8MG/250ML NS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500355 250 FAT EMULSION 20% 500ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500356 250 REMDESERVIR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500358 250 CISATRACURIUM BESYLT 2MG/ML VL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500365 250 SEMGLEE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500366 250 THERA HONEY DRESSING 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500367 250 THERA HONEY TUBE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500372 250 ASPIRIN 300MG RECTAL SUP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500373 250 TRANEXAMIC ACID 650MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500374 250 LIPASE/PROTS/AMYLS 6000UN CAPS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500379 250 CHLRHEXIDN 4% GLUCNT 473ML BTL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500380 250 DESFLURANE 240ML BTL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500381 250 EPHEDRN SULF INJ 50MG/10ML VL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500382 250 STERILE WATER IRRIGTN 1000ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500387 250 ETHYL ALCOHOL 1ML AMPUL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500388 250 LIDOCAINE HCL 1% 10MG/ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500389 250 LIDOCAINE PF 1% 50MG/5ML AMPUL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500390 250 SOTROVIMAB 500MG/8ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500391 250 FARXIGA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500392 250 ETHYL ALCOHOL 99% 5ML AMPUL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500399 250 STERILE WATER FOR INJ 10ML VL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500406 250 MINERAL OIL 10ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500412 250 SODIUM CHLORIDE 0.45% 250ML IV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500413 250 ACEBUTOLOL 400MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500416 250 NEVIRAPINE 10MG/ML ORAL SYRNG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500417 250 STERILE WATER FOR INJ 10ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500421 250 VASOSTRICT 40 UNITS/100ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500424 250 BILTRICIDE 600MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500431 250 TECOVIRIMAT 200MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500432 250 TECOVIRIMAT 200MG/20ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500438 250 LIDOCAINE 1% 20MG/2ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500439 250 BACTERIOSTATIC SOD CHL 20ML VL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500440 250 LIDOCAIN 1%-EPI 1:100K 50ML VL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500441 250 THEO ANHYDRUS 300MG CAP.ER.24H 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500442 250 TRACE ELEMNT CONCNTRTD 1ML VL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500444 250 STERILE WATER FOR INJ 20ML VL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500445 250 CHLORASEPTIC LOZENGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500446 250 NOREPINEPHRINE 8MG/250ML D5W 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500450 250 MIDAZOLAM SYRUP 5MG/2.5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500451 250 BUPVCN MPF0.75%EPI1:200K30MLVL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500452 250 PENICILLIN VK 125MG/5ML SLTN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500453 250 DEXMEDETOMDN 200MCG NS IN 50ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500454 250 DOFETILIDE 125MCG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500461 250 ACEBUTOLOL HCL 400MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500465 250 POTASSIUM ALUM 10MG/100ML SOL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500469 250 AUGMENTIN 125-31.25MG/5ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500470 250 BENZONATATE 100MG CAPSULE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500471 250 CIPROFLOXACIN HCL 500MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500475 250 BENZTROPINE MESYLATE 1MG TBLT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500477 250 WATER FOR INJ STRL 20ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500478 250 LIDOCAINE HCL 20MG/ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500479 250 DEFERASIROX 125MG TAB.DISPER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500481 250 PANTOPRAZOLE SODIUM 40MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500483 250 DEXMEDETOMIDINE HCL 180MCG FLM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500484 250 SODIUM CHLORIDE IRRIG SOL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500486 250 LIDOCAINE VISCOUS 100ML SOL 2% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500488 250 BACLOFEN 5MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500491 250 LITHIUM CARBONATE 150MG CAPSL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500492 250 LIDOCAINE/PRILOCAIN 1APP/GM TB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500494 250 LEVETIRACETAM 100MG/ML LQD CUP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500506 250 POTASSIUM IODD 1GM/ML SOL 30ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500512 250 ETHYL CHLORIDE 103.5ML CAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 351500515 250 ESCITALOPHRAM 5MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 352505044 361 PROCEDURE-TREATMENT ROOM RAD 2809.00 2809.00 2831.00 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1966.30 2831.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1966.30 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000100 271 VENTILATOR INITIAL SUPPLY 122.96 122.96 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 104.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000101 271 TUBING AUTO FEED 40.28 40.28 34.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.20 34.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000102 271 FILTER 13.78 13.78 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000103 271 BAG AMBU 31.80 31.80 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 27.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000104 271 ET HOLDER SMALL 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000105 271 ET HOLDER LARGE 28.62 28.62 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 24.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000106 271 BIPAP INITIAL SUPPLY 138.86 138.86 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 118.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000107 271 BIPAP MASK MED 90.10 90.10 76.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.07 76.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000108 271 BIPAP MASK LARGE 99.64 99.64 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000109 271 BIPAP TUBING 24.38 24.38 20.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.07 20.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000110 271 HH TENT PEDS 37.10 37.10 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 31.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000111 271 EXTUBATION SUPPLY 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000112 271 AEROSOL TREATMENT NEBUL MED 15.90 15.90 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 13.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000113 271 WATER BOTTLE 10.60 10.60 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 9.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000114 271 PEAK EXP FLOW 29.68 29.68 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000115 271 SPIROMETRY INCENTIVE 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000116 271 NEBULIZER PARI 117.66 117.66 100.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 82.36 100.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 82.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000117 272 TBG 02 CAPNOLINE 56.18 56.18 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 47.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000118 272 SET FLTRLINE ADL/PED 36.04 36.04 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 30.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000120 272 CANNULA OPTIFLOW SM 71.02 71.02 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000121 272 CANNULA OPTIFLOW MED 71.02 71.02 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000122 272 CANNULA OPTIFLOW LG 71.02 71.02 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000123 272 INTERFACE TRACH OPTIFLOW 71.02 71.02 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 60.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355000124 272 CIRCUIT AIRVO 200.34 200.34 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.24 170.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360000001 360 ASU VISIT FEE 1044.10 1044.10 2831.00 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1635.00 1635.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 730.87 2831.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 730.87 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360000003 360 OPERATING ROOM - FIRST 1/2 HOU 4985.18 4985.18 3489.63 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1635.00 1635.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3489.63 2831.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3489.63 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360000004 360 OPERA ROOM - EACH ADD'L 1/2 1882.56 1882.56 2831.00 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1635.00 1635.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1317.79 2831.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1317.79 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360005002 250 DERMABOND 49.82 49.82 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 32.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360005014 761 TREATMENT/PROC BEDSIDE OBSERV 3710.00 3710.00 3153.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2597.00 3153.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2597.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360005024 450 E&M EMERGNCY DEPT VISIT 1908.00 1908.00 1441.00 0.00 625.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 1085.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360005025 450 E&M EMERGNCY DEPT VISIT W/PROC 1908.00 1908.00 1441.00 0.00 625.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1153.00 case rate 1441.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 165.00 per visit 0.00 165.00 per visit 225.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 1085.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1335.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 360505100 490 AMSU INFUSION PER MINUTE 19.08 19.08 2810.00 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1635.00 1635.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 12.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.36 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000114 250 SURGI FOAM 2CM X 6CM 108.12 108.12 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 70.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 75.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000115 250 TYLENOL 325MG 0.57 0.57 0.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.40 0.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000116 250 MAALOX 30ML 2.57 2.57 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.80 1.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000117 250 BENADRYL 25MG CAP 0.19 0.19 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000118 250 ROBITUSSIN 10ML 2.12 2.12 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000119 250 VISTERIL 100MG 1.03 1.03 0.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.72 0.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361000120 250 CLONIDINE 0.2 MG 0.30 0.30 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.21 0.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500001 272 PRISMA 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500002 272 FIBERCOL 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500003 272 ALGINATE 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500004 272 HYDROFERA BLUE 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500005 272 COMPRESSION BANDAGE 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500006 272 COBAN 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500007 272 CONTACT LAYER 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500044 272 SUPPLY TESTING 13.78 13.78 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500045 272 CUFF LINER MICRO 11.66 11.66 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 9.91 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500046 272 CUFF LINER SMALL 13.78 13.78 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 11.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500047 272 CUFF LINER MEDIUM 20.14 20.14 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 17.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 361500048 361 WOUND CARE SURG PROCEDURE 2809.00 2809.00 2831.00 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1966.30 2831.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1966.30 0.00 0.00 0.00 2300.00 per case 0.00 0.00 2300.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000213 761 ENDOCRN SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000214 761 ENDOCRN INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000215 761 ENDOCRN COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000226 510 E&M A28 - NEW PT 530.00 530.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000227 510 E&M A28 - ESTAB PT 424.00 424.00 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000228 510 PREV E&M A28 - NEW PT 424.00 424.00 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000229 510 PREV E&M A28 - ESTAB PT 318.00 318.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 270.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000230 510 E&M A28 - NEW PT W/PROC 530.00 530.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000231 510 TLMD E&M A28 - NEW PT 530.00 530.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000232 510 TLMD E&M A28 - NEW PT W/LANG 530.00 530.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000233 510 MNTL HLTH PRG E&M A28 - NEW PT 530.00 530.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 450.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 371.00 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000234 510 MNTL HLTH PRG E&M A28 - EST PT 424.00 424.00 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000235 510 E&M A28 - ESTAB PT W/PROC 424.00 424.00 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000236 510 TLMD E&M A28 - ESTAB PT 424.00 424.00 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000237 510 TLMD E&M A28 - ESTAB PT W/LANG 424.00 424.00 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000238 510 PREV E&M A28 - NEW PT W/PROC 424.00 424.00 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 360.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 296.80 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000239 510 PREV E&M A28 - ESTAB PT W/PROC 318.00 318.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 226.00 283.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 270.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 222.60 0.00 0.00 0.00 142.00 per visit 0.00 0.00 142.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000240 300 A28 SHELL ROUTINE VENIPUNCTURE 47.70 47.70 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 31.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000241 940 A28 SHELL MTMS-PHA NW PT 15MIN 159.00 159.00 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 47.70 47.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 135.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.30 0.00 0.00 0.00 95.40 0.00 0.00 95.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000242 940 A28 SHELL MTMS-PHA ES PT 15MIN 135.68 135.68 115.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.70 40.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.98 115.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94.98 0.00 0.00 0.00 81.41 0.00 0.00 81.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000243 940 A28 SHELL MTMS- EA ADDL 15 MIN 81.62 81.62 69.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.13 69.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.13 0.00 0.00 0.00 48.97 0.00 0.00 48.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000244 918 A28 SHELL BRF EMTNL/BEHV ASSMT 125.08 125.08 106.32 0.00 74.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.56 106.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 87.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000245 771 A28 SHLL IMMUN ADM<=18Y W/CNSL 206.70 206.70 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000246 771 A28 SHLL IMMUN ADM<=18Y EA ADD 206.70 206.70 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000247 771 A28 SHLL IMMUN ADM>=19Y 222.60 222.60 189.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.82 189.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.82 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000248 771 A28 SHLL IMMUN ADM>=19Y EA ADD 206.70 206.70 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 175.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 144.69 0.00 0.00 0.00 87.00 per visit 0.00 0.00 87.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000249 770 A28 SHELL APP TOPCL FLRD VRNSH 115.54 115.54 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 98.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000413 761 ONC SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000414 761 ONC INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000415 761 ONC COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000613 761 INFECTIOUS DIS SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000614 761 INFECTIOUS DIS INTERMEDIATE PR 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000615 761 INFECTIOUS DIS COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000813 761 GASTRO SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000814 761 GASTRO INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362000815 761 GASTRO COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001013 761 RHEUM SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001014 761 RHEUM INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001015 761 RHEUM COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001213 761 NEPHRO SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001214 761 NEPHRO INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001215 761 NEPHRO COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001413 761 NEURO SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001414 761 NEURO INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001415 761 NEURO COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001814 761 HEMO SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001815 761 HEMO INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362001816 761 HEMO COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002047 761 IM SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002048 761 IM INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002049 761 IM COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002061 250 IPOL (INACTIVATED) VACCINE 116.60 116.60 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 75.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002217 761 PULM SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002218 761 PULM INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002219 761 PULM COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002467 761 FP SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002468 761 FP INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002469 761 FP COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002612 761 DERM SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002613 761 DERM INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002614 761 DERM COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002818 761 CARD SIMPLE PROC 231.08 231.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002819 761 CARD INTERMEDIATE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362002820 761 CARD COMPLEX PROC 513.04 513.04 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 436.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 359.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010000 250 A&D OINT 0.99 0.99 0.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.69 0.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010001 250 ACETAMINOPHEN 325 MG 0.05 0.05 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010002 250 APAP ELIXIR 650MG/20.3ML 2.12 2.12 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010003 250 APAP ELIXIR 160MG/5ML 2.12 2.12 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 1.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010004 250 ALBUTEROL SOLUTION .0083% INHA 0.72 0.72 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 0.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010005 250 ALBUTEROL SOLUTION .0083% INHA 71.02 71.02 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 46.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010007 250 AMMONIA INHALANT 1.12 1.12 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.78 0.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010008 250 ATROVENT .02% INHALER 872.38 872.38 610.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 610.67 567.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 610.67 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010009 250 BACTRACIN OINT UD 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010010 250 BENZOIN TINCTURE CPD 1OZ 20.14 20.14 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 13.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010011 250 BETADINE OINT 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010012 250 BETADINE SWAB STICK 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010013 250 DIPHENHYDRAMINE 12.5MG/5ML 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010014 250 DIPHENHYDRAMINE 25MG 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010015 250 DIPTHERIA/TETANUS TOXOIDS ADU 881.92 881.92 617.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.34 573.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010016 250 DIPTHERIA/TETANUS TOXOIDS PEDS 881.92 881.92 617.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.34 573.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 617.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010017 250 EPINEPHRINE 1:1000ML 6.36 6.36 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 4.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010018 250 FLOR- I- STRIP 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010019 250 GLUCOTOL GTT 6OZ 36.04 36.04 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 23.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010020 250 HEPATITIS A HAVRIX 283.02 283.02 198.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.11 183.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 198.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010021 250 HEPATITIS B 261.82 261.82 183.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.27 170.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 183.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010022 250 HYDROXYPROPYL METHYLCELLULOSE 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010023 250 IBUPROFEN (MORTIN) 100MG/5ML 3.18 3.18 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 2.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010024 250 LIDOCAINE VISC .2% 20ML 4.24 4.24 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 2.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010025 250 NITROGLYCERIN 0.4MG SL 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010026 250 PETROLEUM UD#144 0.27 0.27 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010027 250 PNUEMOCOCCAL VACCINE 0.5ML 277.72 277.72 194.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 194.40 180.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 194.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010028 250 PPD 5 UNITS 1ML 15.90 15.90 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 10.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010029 250 PREDNISOLONE OPTH 147.34 147.34 103.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.14 95.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 103.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010030 250 RECOMBIVAX VACCINE 92.22 92.22 64.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 64.55 59.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 64.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010033 250 ADACEL (TDAP) 169.60 169.60 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 110.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 118.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362010034 250 PNEUMOVAX 257.58 257.58 180.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 180.31 167.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 180.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400113 761 PODIATRY SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400114 761 PODIATRY INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400115 761 PODIATRY COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400312 761 GEN SURG SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400313 761 GEN SURG INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400314 761 GEN SURG COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400713 761 BREAST SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400714 761 BREAST INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400715 761 BREAST COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400913 761 UROLOGY SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400914 761 UROLOGY INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362400915 761 UROLOGY COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401118 761 ENT SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401119 761 ENT INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401120 761 ENT COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401313 761 ORTHO SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401314 761 ORTHO INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401315 761 ORTHO COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401317 271 ORTHO CASTS LONG LEG 153.70 153.70 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401318 271 ORTHO SPLINTS SHORT LEG 77.38 77.38 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401319 271 ORTHO CASTS LONG ARM 153.70 153.70 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 130.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401320 271 ORTHO SPLINTS SHORT ARM 77.38 77.38 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 65.77 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401513 761 VASCULAR SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401514 761 VASCULAR INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362401515 761 VASCULAR COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362500116 761 OB-GYN SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362500117 761 OB-GYN INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362500118 761 OB-GYN COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600113 761 PEDS NEURO SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600114 761 PEDS NEURO INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600115 761 PEDS NEURO COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600250 761 PEDS SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600251 761 PEDS INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600252 761 PEDS COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600315 761 PEDS CARD SIMPLE PROC 384.78 384.78 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 327.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 269.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600316 761 PEDS CARD INTERMEDIATE PROC 1539.12 1539.12 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 1308.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1077.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600317 761 PEDS CARD COMPLEX PROC 3591.28 3591.28 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 3052.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2513.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 362600406 761 SURG SIMPLE PROC 337.08 337.08 2810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 235.96 286.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 235.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 370000001 370 ANESTHESIA TIME PER MINUTE 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 370000002 370 CRNA TIME PER MINUTE 34.98 34.98 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 29.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 420000034 420 PT G CODE 0.01 0.01 166.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 166.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.00 0.00 0.00 149.00 per visit 0.00 0.00 149.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000024 271 WRIST HAND FOREARM ORTHSIS W/O 91.16 91.16 77.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.81 77.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000030 271 HAND WRIST ORTHOSIS W/O 99.64 99.64 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 84.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000031 271 KIT KNEE PAD CPM K100 66.78 66.78 56.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.75 56.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 46.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 430000032 271 WRIST ORTHOSIS W/O 41.34 41.34 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 35.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.94 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 440000005 440 SLP G CODE 0.01 0.01 166.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 131.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 166.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.00 0.00 0.00 149.00 per visit 0.00 0.00 149.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460000015 271 OXYHOOD 60.42 60.42 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 51.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 621000001 272 NEPHROSTOMY CATHETER 231.08 231.08 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 196.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 161.76 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 621000002 272 COAXIAL INTRODUCER (NEEDLE) 61.48 61.48 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 52.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 621000003 272 NEEDLE BIOPSY CORE 59.36 59.36 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.55 50.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.55 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 621000005 272 NEPHROSTOMY KIT 404.92 404.92 344.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 283.44 344.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 283.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000015 250 ALBUTEROL .83MG/ML SOLUTION-ZE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000016 250 AZATHIOPRINE 50 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000017 250 CHLORPROMAZINE 100 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000018 250 CHLORPROMAZINE 10 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000019 250 CHLORPROMAZINE 200 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000020 250 CHLORPROMAZINE 25 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000021 250 CHLORPROMAZINE 50 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000022 250 CROMOLYN NEBULIZER SOLUTION-DE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000023 250 DIFLUCAN 350 MG/35 ML ORAL SUS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000024 250 DIGOXIN 250 MCG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000025 250 DILANTIN 100 MG CAP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000026 250 DILANTIN 125 MG/5 ML SUSP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000027 250 HALOPERIDOL 2 MG/1 ML ORAL SOL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000028 250 HYDROXYZINE PAM 25MG CAP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000029 250 HYDROXYZINE PAM 50MG CAP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000030 250 KYTRIL 1 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000032 250 METHYLPREDNISOLONE 4 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000033 250 METOCLOPRAMIDE 5 MG/5 ML SYRP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000034 250 NEO/POLY/DEXAMET EYE OINT-FALC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000035 250 NORTRIPTYLINE HCL 25MG CAP-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000036 250 PERPHENAZINE 2 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000037 250 PERPHENAZINE 4 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000038 250 PERPHENAZINE 8 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000040 250 PREDNISONE 10 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000041 250 PREDNISONE 1 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000042 250 PREDNISONE 2.5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000043 250 PREDNISONE 20 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000044 250 PREDNISONE 5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000045 250 PREDNISONE 5 MG/5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000046 250 PROCHLORPERAZINE 10 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000047 250 SODIUM CHLORIDE 1GM TABLET-LIL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000048 250 SUCRALFATE 1GM TABLET-UDL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000049 250 THEOPHYLLINE 80MG/15ML ORAL SO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000050 250 URECHOLINE 25MG TABLET-ODYSSEY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000051 250 ZITHROMAX 100 MG/5ML SUSP ORAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000052 250 ZITHROMAX 1GM POWDER PACK ORAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000053 250 ZITHROMAX 200 MG/5ML SUSP ORAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000055 250 ACETYLCYSTEINE 10% VIAL-ROXANE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000056 250 ACETYLCYSTEINE 20% VIAL 30ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000057 250 ACETYLCYSTEINE 20% 4 ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000067 250 AMPICILLIN 125 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000069 250 AMPICILLIN 250 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000093 250 CHLORPROMAZINE 25 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000096 250 CLAFORAN 500 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000104 250 D5-1/2NS/KCL 20MEQ/L IV SOL-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000112 250 DEXTROSE 10%/WATER IV SOLN.-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000113 250 DEXTROSE 10%/WATER IV SOLN.-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000114 250 DEXTROSE 20%/WATER IV SOLN.-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000115 250 DEXTROSE 5%/WATER IV SOLN.-BAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000116 250 DEXTROSE 5%/WATER IV SOLN.-BAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000121 250 DEXTROSE 5%-1/2NS IV SOLN.-BAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000122 250 DEXTROSE 5%-1/3NS IV SOLN.-BAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000123 250 DEXTROSE 5%-NS IV SOLUTION-BAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000139 250 FAMOTIDINE 20 MG/2 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000147 250 FUROSEMIDE 10 MG/1 ML ORAL SOL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000152 250 GENTAMICIN 40 MG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000159 250 HEPARIN LOCK 10 UNITS/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000160 250 "HEPARIN SODIUM 30,000 U/30 ML" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000163 250 HUMULIN 50/50 INSULIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000164 250 HUMULIN 70/30 VIAL-LILLY 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000165 250 HUMULIN N 100U/ML VIAL-LILLY 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000172 250 INTRALIPID 20% 50 GM/250 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000174 250 IPRATROPIUM BR 0.02% SOLN-ROXA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000175 250 ISUPREL 1 MG/5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000176 250 KCL 20MEQ IN D5W/NACL 0.9% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000177 250 KCL 20MEQ/NS 1000ML IV SOLN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000187 250 LANOXIN PED 100 MCG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000193 250 LIDOCAINE 2% VISCOUS SOLN-ROXA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000194 250 LIDOCAINE 2% W/EPI 20 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000195 250 LIDOCAINE 5 MG/1 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000197 636 LIDOCAINE 200 MG/20 ML 1% INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of eligible billed charges 0.65 of eligible billed charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.65 of charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000201 250 LIDOCAINE 4% TOP SOLN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000207 250 M.T.E.-4 VIAL-APP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000210 250 MAGNESIUM SULF 40 MEQ/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000211 250 MARCAINE 0.25% 150 MG/30 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000223 250 MULTIVITAMIN FOR INFUSION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000224 250 NAFCILLIN 2 GM VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000227 250 NARCAN 0.4MG/ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000230 250 NEOSTIGMINE 10 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000231 250 NEOSTIGMINE 5 MG/10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000232 250 NESACAINE-MPF 3% 600 MG/20 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000234 250 NOVOLIN 70/30 INSULIN 10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000235 250 NOVOLIN N 100U/ML 10 ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000238 250 PAPAVERINE 60 MG/2 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000239 250 PHENTOLAMINE 5 MG VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000241 250 PHENYTOIN 100 MG/4 ML SUSP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000244 250 PHYSOSTIGMINE 2 MG/2 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000245 250 POT CHLORIDE ORAL 10% LIQ-ROX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000255 250 PROMETHAZINE 25 MG/1 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000258 250 REGONOL 5MG/ML AMPUL-ORGANON 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000268 250 SODIUM CHLORIDE 0.9% IRRIG.-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000269 250 SODIUM CHLORIDE 0.9% IRRIG.-BA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000270 250 SODIUM CHLORIDE 0.9% IRR 1000M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000271 250 SODIUM CHLORIDE 0.9% SOLN 150M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000272 250 SODIUM CHLORIDE 0.9% SOLN 35ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000274 250 SODIUM CHLORIDE 0.9% SOLN 500M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000275 250 SODIUM CHLORIDE 0.9% SOLN 100M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000276 250 SODIUM CHLORIDE 0.9% VIAL-DEY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000277 250 SODIUM CHLORIDE 0.9% VIAL-DEY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000278 250 SODIUM CHLORIDE 0.9% VIAL 10ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000279 250 SODIUM CHLORIDE 0.9% VIAL 20ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000280 250 SODIUM CHLORIDE 3% IV 500 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000281 250 SODIUM CHLORIDE 23.4% 30 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000292 250 TETANUS TOXOID ABSORB 0.5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000302 250 VASOPRESSIN 20 UNITS/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000305 250 WATER FOR INJECTION 2.5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000306 250 WATER FOR INJECTION 30 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000307 250 WATER FOR INJECTION 10 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000308 250 WATER FOR INJECTION VIAL 20 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000309 250 XYLOCAINE 0.5% VIAL 50 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000310 250 XYLOCAINE-MPF 1% 5 ML VIAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000311 250 XYLOCAINE-MPF 1.5% 1 ML AMP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000321 250 MEPERIDINE 50 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000323 250 MORPHINE 8 MG/1 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000325 250 STERILE WATER FOR INJ 1000 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000329 250 XYLOCAINE 1.5%/EPI 5 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000332 250 ZOFRAN 4 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000335 250 HYDROMORPHONE 2 MG/1 ML INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000342 250 CLINIMIX 4.25/5 SOLUTION-BAXTE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000343 250 CLINIMIX E 4.25/5 SOLUTION-BAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000344 250 CLINIMIX 5/15 SOLUTION-BAXTER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000345 250 CLINIMIX E 5/15 SOLUTION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000349 250 FOSPHENYTOIN SOD 100 MG/2 ML 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000394 250 IMATINIB MESYLATE 100 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000401 250 CYTOXAN 25 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000402 250 METHOTREXATE 2.5 MG TABLET 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000416 250 PENTAMIDINE 300 MG INJ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000417 250 VORICONAZOLE 200 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000418 250 VORICONAZOLE 50 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000422 250 SUMATRIPTAN SUCCINATE 25MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000423 250 SUMATRIPTAN SUCCINATE 50MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000424 250 SUMATRIPTAN SUCCINATE 100MG TA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000425 250 TOBRAMYCIN 300 mg neb soln 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000429 250 CYCLOSPORINE MODIFIED 25 MG CA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000431 250 DEXAMETHASONE 2.5 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 636000433 250 DESMOPRESSIN ACET 0.1 MG TAB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710000001 710 RECOVERY PHASE I PER MINUTE 39.22 39.22 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710000002 710 RECOVERY PHASE II PER MINUTE 32.86 32.86 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 27.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710000003 710 AMSU PHASE I PER MINUTE 39.22 39.22 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 33.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710000004 710 AMSU PHASE II PER MINUTE 12.72 12.72 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 10.81 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 722000001 722 DELIVERY ROOM CHARGE 1014.42 1014.42 862.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710.09 862.26 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 710.09 0.00 0.00 0.00 295.00 per visit 0.00 0.00 295.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 730000004 730 SHL 12 LEAD EKG; TRACING ONLY 214.12 214.12 149.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.88 139.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.88 0.00 0.00 0.00 101.00 per visit 0.00 0.00 101.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 790000001 790 ASU-LITHOTRIPSY 2838.68 2838.68 7629.00 0.00 2515.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2810.00 per visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6103.00 case rate 7629.00 case rate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1987.08 4904 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1987.08 0.00 0.00 0.00 5101.00 per case 0.00 0.00 5101.00 per case 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 900000002 914 TIER 1 FULL DAY 1-40 HRS 128.26 128.26 109.02 0.00 76.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.48 38.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 109.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 900000003 914 TIER 2 FULL DAY 41+ HOURS 128.26 128.26 109.02 0.00 76.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.48 38.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 109.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 900000004 914 TIER 1 HALF DAY 1 - 40 HRS 128.26 128.26 109.02 0.00 76.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.48 38.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 109.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 900000005 914 TIER 2 HALF DAY 41+ HOURS 128.26 128.26 109.02 0.00 76.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.48 38.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 109.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 89.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 999000000 250 PRE MIX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00