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 &GT 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 &GT 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 &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

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 <FULL MNTH >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 THER</EQ 50SQ CM			646.60	646.60	2810.00	15.53	15.53	231.51	1194.00	530.67	1194.00	530.67	231.51	231.51	2810.00 per visit	231.51	530.67	231.51	1194.00	530.67	1194.00	231.51	31.12	38.91	1194.00	530.67	1194.00	530.67	231.51	231.51	1110.04	493.35	493.35	493.35	24.62	1194.00	530.67	1194.00	530.67	231.51	231.51	231.51	32.00	549.61	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	231.51	530.67	231.51	231.51	231.51	231.51	530.67	1194.00	530.67	1194.00	530.67	23.33

510000378	510	97605		NEG PRESS WOUND TX<50CM			646.60	646.60	1110.27	0.00	0.00	231.51	1110.27	493.45	1110.27	493.45	231.51	231.51	0.00	231.51	493.45	231.51	1110.27	493.45	1110.27	231.51	226.00	283.00	1110.27	493.45	1110.27	493.45	231.51	231.51	1032.15	458.73	458.73	458.73	24.62	1110.27	493.45	1110.27	493.45	231.51	231.51	231.51	32.00	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	142.00 per visit	493.45	231.51	142.00 per visit	231.51	231.51	493.45	1110.27	493.45	1110.27	493.45	23.33

510000395	510	97606		NEG PRESS WND TX >50CM			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 DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	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

121000004	121			R B TELEMETRY 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

121000005	121			R B EMERGENCY ROOM 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

122000001	122			R B MATERNITY SP			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

122000002	122			R B MATERNITY DELIVERY SP			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

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 DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	INPT DRG BASED	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	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

124000001	124			R B PSYCH 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

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