january 2019 charges - stony brook medicine · 2019-12-16 · january 2019 charges technical...

January 2019 chargesTechnical Description ChargeLENS IOL +20 DIOP BCNVX 12.5M 258

LENS IOL +20 DIOP BCNVX 12.5M 300

"L" PLATE LEFT EXTENDED 832

.008 MAGIC 1316

.009 MAGIC 1194

.010 TRANSEND 530

.012 MAGIC 1194

.014 300 CM GUIDEWIRE 790

.014 300CM GRAND SLAM 300CM 166

.014 300CM MIRACLEBROS 300 280

.018 180CM ANGLED GLIDEWIRE 138

.018 VISIONS PV IVUS CATH 1500

.035 VISION PV DIGIT IVUS CATH 1900

.035/9/180CM KATZEN INFUS WIRE 379

0.45 NORM.SALINE 500ML 6.11

014 135CM SUPPORT CATH RUBICON 300

014X182CM V-14 CONTROL WIRE 366

014X300CM V-14 CONTROL WIRE 403

021 RENEGADE STC18 STR MCRO CA 808

1 GRAM ADHESIVE TRUFILL 4590

1 LEVEL KIT, 1.4 MM 1681

1.5MMX2CM DELETAPAQS C 2471

1.5MMX2CM DELTAPAQS P 2471

1.5MMX4CM DELTAPAQS C 2471



1.5X15MM GATEWAY PTA 1990

1.5X15MM RX APEX BALLOON 508


1.5X6CM DELTAPAQS P 2471


1.7F 150CM ECHELON 10MICROCATH 1186

�1

1.7MM CRYOPROBE PERC17 2315

1.7MM CRYOPROBE ROUND PERC15 2315

1.7MM TURBO ELITE 5600

1.8MM X 19CM PMTA ACCU2I INTER 5430

1.9F 150CM ECHELON 10MICROCATH 1186

10-7X30 PROT?G? STENT TAPR 4300

10-7X40 PROTEGE STENT TAPR 4100

10CM 4MM AZUR COIL 035 2210


10CMX14CM COAXIAL BIOPSY 750

10F 20 X 55 WALLSTENT 3946

10F 20 X 80 WALLSTENT 3946

10F 25CM DRAINAGE CATHETER 182

10F 35CM ARROW FLEX SHEATH 179

10F 40CM BILARY CATHETER 182

10F 45CM ARROW FLEX SHEATH 210

10FX30CM INTRODUCER SET 102

10MM 10CM AZUR DETACH 18 COIL 1600

10MM 15CM AZUR COIL 1600



10MM 26CM AZUR FRAMING COIL035 2210

10MM 29MMX80CM GENESIS STENT 2340

10MM ABUTMENT 4100

10MM VASCULAR PLUG 1600

10MMX 17.1CM MICRUSPHERE 18 C 3164

10MMX 30CM HELIPAQ C 2518

10MMX 34CM PRESIDIO 18 5150

10MMX16CM CASHMERE C 3297

10MMX17.1CM SPHERICAL 18 2180

10MMX25CM CASHMERE 2290

10MMX25CM DELTAPAQS C 2471

10MMX25CM DELTAPAQS P 2471

10MMX30CM HELICAL 18 1100

10X25X180CM FATHOM GUIDEWIRE 549

�2

10X38X120 ICAST COVERED STENT 4893

11 VOLT LI-ION SYSTEM CONTROLL 1000

11-12 NERVE CONDUCTION STUDIES 1588

11-DEOXYCORTISOL 33


11G MAMMATOME PROBE 301


11MMX 27CM CASHMERE 2318




11X320MMX130 DEG LEFT 5274



12 LEAD ECG 319

12 LEAD EKG TRACING ONLY 319


123 IOBENGUANE DIAG TO 10 MCI 589

12F 15CM PRE-CURVED SLIM CATH 70

12F 20CM PRE-CURVED SLIM CATH 141



12F JEJUNAL FEEDING TUBE 258

12FX35CM WILLS-OGLESBY GASTROS 314


12MM ABUTMENT 4100


12MM X 40MM BALLOON, 80CM SHAF 334

12MM30CM AX HELICAL DETCH COIL 1672


12MMX 30CM CASHMERE 2338





�3


12X60CM80CM LUMNX 3 BILRY STNT 2308

12X8X75 MUSTANG BALLOON 400

13+ NERVE CONDUCTION STUDIES 1719

135CM DELIVERY MICROCATHETER 1380

135CM INDIGO RPRF ASPIR CATH6 3980




14.5 CM BENTSON GUIDEWIRE 28

14.5FRX23CM HEMOSPLIT CATHETER 798

14.5FRX27CM HEMOSPLIT CATHETER 760

145CM WHOLEY GUIDEWIRE SYSTEM 147



14G MAMMATOME PROBE 301

14MM 34CM AZUR FRAMING COIL035 2380

14MM 40CM AXIUM 3D DETACH COIL 2116

14MM ABUTMENT 4100

14MM ABUTMENT 4100

14MM ENTERPRISE 9000

14MM SEMI CONSTRAINED 330



14MM30CM CONCRT PGLA HELIX EMB 1590






150 CC ROUND SMOOTH 1150

152MM BONE ACCESS NEEDLES 190


15CM STR DUAL LUMEN CATH LIT 154


�4


15MMX26CM MICRUSPHERE 18 C 3258




16F PERCUTANEOUS INTRODUCER 378

16F2.0CM STMA LOW MIC-KEY GTUB 197

16MM 27.9CM MICRUSPHERE 18 C 3288

16MM 40CM AXIUM 3D DETACH COIL 2116






16MMX4CMX120CM ATLAS BALL CATH 650

17 HYDROXYPREGNENOLONE 33

17 HYDROXYPROGESTERONE 33

17 KETOSTEROID,URINE 23

17 K-S URINE CREATININE 8

175CM INDIGO WIRE SEPARATOR 5 1590

177 LU-DOTA FOR NEUROENDO TX 1505

177 LU-DOTA FOR NEUROENDO TX 1505

17-HYDROXYCORTICOSTEROID,URINE 48


17MMX30CM MICRUSPHERE 18 C 3316

17MMX30CM SPHERICAL 18 2300

18 HYDROXYCORTICOSTERONE 164


18F PERCUTANEOUS INTRODUCER 378



18MMX 30CM MICRUSPHERE 18 C 3316

18MMX 46CM PRESIDIO 18 C 5492


18MMX60MM WALLSTENT ENDOPRSTHE 2585

�5

190CM 2.8 FLOPPY COMMAND WIRE 472

190CM 3.5 STIFF COMMAND WIRE 450

19GX60CM QUICK CORE BIOPSY NDL 104


1ST AEROBIC ID 76

1ST ANAEROBIC ID 104

1ST MOLD IDENTIFICATION 59

1ST YEAST IDENTIFICATION 74

2 GRAM ADHESIVE TRUFILL 4590

2.0MM TURBO ELITE CATH 5600







2.3MM TURBO ELITE 5400

2.4MM CRYOPROBE PERC24 2315

2.4MM CRYOPROBE PERC24L 2315



2.5MMX20MM MONORAIL MAVRICKCAT 518



2.5MMX2CM ULTIPAQ 1790

2.5MMX2CM ULTIPAQ 10 C 2090

2.5MMX3.3CM MICRUSPHERE 10 C 2926

2.5MMX3.3CM SPHERICAL 10 2040



2.5MMX4CM ULIPAQ 1810




2.5MMX6CM ULTIPAQ 1739

�6




2.5X 9.0 WINGSPAN STENT 11990

2.5X15 WINGSPAN STENT 11990

2.5X20 STERLING BALLOON 791








2.8F 150CM MICROCATHETER 900PS 640

20 GA X 15CM SUPERCORE OPT. CO 800








20G CVS PIK PACK INCLUDES MACH 1130




20X50 HELEX EMBOLIZATION COIL 1990

21MM WATCHMANTM LAA CLOS DEV 23800




24CM HEMOSTREAM DIALYSIS CATHS 430


24F 4.0CM STOMA LOW PROF G-TUB 197


�7

25+ CVS PIK PACK INCLUDES MACH 1130

25+ CVS PIK PACK INCLUDES MACH 1130

25G SOFT TIP-NEW .8MM 36

25G SOFT TIP-NEW .8MM 36

26F PEEL AWAY INTRODUCER SET 84



2D ECHO W/WO M MODE 1237

2D STR ECHO W/WO M MODE W/CON 2515

2D STRESS ECHO W/WO M MODE 2065

2MM ALLIGATOR 5000

2MM ELITE MICROSNARE 3790

2MMX 1CM ULTIPAQ 1780



2MMX 4CM HELICAL 18 910



2MMX1CM ULTIPAQ 10 C 2072

2MMX2.5CM CASHMERE C 3126

2MMX2.5CM MICRUSPHERE 10 C 3956










2MMX4CM HELIPAQ C 2024

2MMX4CM ULTIPAQ 1810




�8







2ND AEROBIC ID 76

2ND ANAEROBIC ID 104

2ND CLOS SURG WND EXT/COMP SEP 2678

2ND CLOSE SURG WOUND EXT/COMP 1252

2ND MOLD IDENTIFICATION 59

2ND YEAST IDENTIFICATION 74

3.0MMX5.4CMMICRUSPHERE 10 C 2974

3.0X15 NEUROFORM3 STENT 9720

3.0X15.0 WINGSPAN STENT 11990



3.0X20 STERLING 791



3.0X30 STERLING 791

3.0X40 STERLING 791

3.0X60 STERLING 791






3.5CMX6.35 PRECUT/BENT 516


3.5MMX6.6CM SPHERICAL 10 2060





�9


3.5X20 STERLING BALOON 791








3.75X20X135 REENTRY CATH 4590


300CM 2.8 FLOPPY COMMAND WIRE 450

300CM 3.5 STIFF COMMAND WIRE 450








3D BDL HEX STSCW 1/4-32TI 170

3D RENDER W/POST PROCESS 733

3MM 320CM SPIDER FX EMB 2500


3MM ALLIGATOR 5000











�10













3RD AEROBIC ID 76

3RD ANAEROBIC ID 104

3X80 STERLING BALLOON 791

4 FACTOR PROTHROMBIN COMPLEX 3

4 MAX DDC 3380

4 SCREW AXIAL 979


4.0MM X 25MM LOCKING SCREW 464





4.0MMX11.5CM PRESIDIO 10 C 4490




4.0X15/12 AVIATOR GENESIS 2567




4.0X20 STERLING 791



�11


4.0X30 STERLING 791

4.0X40 STERLING 791









40UM 2ML MICROSPHERE 4800

4F 135CM SPIROFLEX THROMBECT 3440

4F 150CM PV MULTI GLIDECATH 97

4F 22G .018 NEFF PERCUT ACCES 168

4F 6CM PINNACLE SHEATH 46

4F 80CM SOFT VU SOS OMNI SEL 2 120

4F NITINOL MICROPUNCTURE SET 68

4F SINGLE X PP IR KIT 245

4F SPIRAL FLEX CATHETER 2990

4F035 70CM ANGIOGRAPHIC CATH 192

4FR 100CM SIM1 28

4FR VERT 100CM 28

4FRX135CM XMI THROMBECT CATH 2650

4FX10CM MARKER PIN INTROD SHEA 49


4MM 180CM MICRO SNARE 3790


4MM ALLIGATOR 5000






4MMX10MM HYPERGLIDE 1940

�12




4MMX4.5CM CASHMERE C 3135






4MMX6CM ULIPAQ 1830



4MMX7MM HYPERFORM 2400




4MMX8CM ULIPAQ 1850



4X100MM 130CM LUTXDRUGCOAT CTH 3300


4X40MM 130CM LUTXDRUGCOAT CATH 3300



5 FR VERT 100CM 28

5.0 MM SOLID DRILL BIT - LONG 464










�13


5.0X20 STERLING 791



5.0X40 STERLING 791

5.0X60 STERLING 791

540 6.09


58110ENDO BX+COLP 395


5F 110CM PIGTAIL CATHETER 48

5F 4MMX1000MM LUTONX DRUG CATH 3300

5F 4MMX40MM LUTONIX DRUG CATH 3300


5F 55CM .038 CHECK FLO INTROST 119




5F 65 CM COBRA 2 GLIDE CATH 99

5F 65CM 038 SIM SIDE BRAIDED 24




5F 80CM B2 5.8CM TIP 2 SIDE 18

5F 90CM SHUTTLE SHEATH 196

5F DUAL X PP IR KIT 271

5FR 100CM ENVOY H1 590

5FR 100CM SIM2 28

5FR 100CM SIM3 28

5FR 90CM ENVOY MPD 590

5FR MIKAELSSON 25

5FR NEURON 120BER 250

5FR NEURON 120H1 250

5FR NEURON 120SIM 250

5FR SNGL LUMEN TRAY CATH PWRLN 756

�14

5FR X 125CM VERTEBRAL CATH 26

5FR X 65CM CATH BRAIDED 035 24

5FRKA2, 0.038 40CM CATH 26

5FX135CMX30CM INFUSION CATH 280



5-HYDROXYINDOLEACETIC ACID 18

5MM ALLIGATOR 5000








5MMX17CM PRESIDIO 10 C 4532



5MMX9.7CM CASHMERE 2128

5'NUCLEOTIDASE 16




5X150X80 BALLOON EVERCROSS 260

5X16X120 ICAST 4600


5X22X120 ICAST 4700

5X38X120 ICAST 4900




6 HOLE CURVED PLATE W/ BAR MID 388

6 HOLE PLATE .6MM 297

6 MM X 59 MM STENT, 80CM CATH, 4893


�15

6.0FR132 INDIGO RPRF ASP CATH5 2580




6.0X30 STERLING 791

6.0X40 STERLING 791

6.0X60 STERLING 791

600 13.19

618 8.68

69990 MICROSURGERY ADD-ON 241

6F 10CM YEAH CENTESIS NEEDLE 41


6F 50CM AVX THROMBECTOMY CATH 1250

6F 80CM 10CM TRELLIS 4190

6F 90CM SHUTTLE SHEATH 196

6F PLASTIC DUAL POWER PORT 594

6FR 070 NEURON CATH 105CM MP 990

6FR 070 NEURON CATH 95CM MP 990


6FR 100CM ENVOY STR 514

6FR 100CM ENVOY STR XB 568

6FR 105CM 12CM NEURON 990





6FR 90CM ENVOY MPD XB 568

6FR 90CM ENVOY STR 514

6FR 90CM ENVOY STR XB 568

6FR 90CM SHEATH 198






�16







6MMX26CM PRSIDIO 10 C 4456





6X16X120 ICAST 4600

6X20 PROTEGE STENT STR 2900


6X22X120 ICAST 4700


6X38X120 ICAST 4900









7.0X30 STERLING 791

7.0X40 STERLING 791



7F 7X38X120 ICAST COVERED STNT 4893

7F 7X38X80 ICAST COVERED STENT 4893

7F 7X59X80 ICAST COVERED STENT 4893

7F 7X5X120 VIABAHN 6190

7MM 10MM AMPLATZER PLUG 1400

7MM 180CM MICRO SNARE 3790

�17






7MMX14.3 MICRUSPHERE 18 C 3078









7MMX7MM HYPERFORM 2400





8 HOLE BROAD PLATE 2142

8 HOLE PLATE .8MM T SHAPED PLA 462

8.0X30 STERLING 791

8.0X40 STERLING 791

8.3FR LOCK PERICARDIOCENTESIS 364

8.3FR. LOCK PERICARDIOCENTESIS 364

8.5F .035 12CM URETERAL STENT 496

8.5F .035 16CM URETERAL STENT 496

8-6X30 PROT?G? STENT TAPR 3800

8-6X40 PROTEGE STENT TAPR 4100



8F CATHETER DRAINAGE TRAY 159

8F PLAS/TITAN SINGLE PWR PORT 514

8F PLAS/TITANIUM SINGLE POWER 514

8F POWER PORT IMPLANTABLE 540

�18

8FR 1.6MM LOW PROF XCELA PORT 612

8FR 12MMX40MM WALLSTENT ENDOPR 2325


8FX25CM PINNACLE INTROD SHEATH 63





8MM 20CM AZUR FRAMING COIL 035 2040


8MM ABUTMENT 4100













8MMX60CM80CM LUMINEX 3BIL STNT 2308


8X2X75 PTA DILATION CATHETER 320




9.6F PLASTIC DUAL POWER PORT 800

90 SCREW 785


99201-NEW W/OTHER SVC L1 RES 262

99201-NEW W/OTHER SVC LEVEL 1 262


�19


99203-LEVEL 3 NEW W/MULT E&M 360






99205-NEW-W/OTHER SVC LEVEL 5 453

99211-EST PT W/OTH SVC L1 RES 247

99211-EST PT W/OTH SVC LEVEL 1 247

99212-EAST PT W/OTH SVC L2 RES 300








9-ASD-028 28MM APLATZER SEPTAL 9500












9MMX2CMX110CM PTADILATION CATH 393


A1 AG NEG BLD 300

A1 PATIENT ANTIGEN 220

A1AT,PHENOTYPE 27

�20

A1AT,TOTAL 25

AA FRACT MT SIN 241

AAC-NON SGD THERAPY-30MINS 247

AAC-NON SGD THERAPY-60MINS 457

AAC-SGD EVALUATION ADD.30 MINS 200

AAC-SGD THERAPY(30 MINS) 317

AAC-SGD THERAPY-60MINS. 580

AAC-SPEECHGENERATING DEVICE EV 728

ABACAVIR 300MG TAB 33.05

ABACAVIR/LAMIVUDINE 155

ABACAVIR/LAMUV/ZIDOV 75.34

ABATACEPT INJ 10MG 2150.7

ABBO CABLE HEARTMATE 3 9900

ABBO CONTROLLER HEARTMATE 3 11000

ABBREVO TVT 2506

ABBREVO TVT 2506

ABCESS CATHETER CHECK 974

ABCESS VESTIBULE MOUTH 730

ABCIXIMAB INJ 10MG 4073.92

ABD PARACENTES-DX/TX W/O IMAGE 1554

ABD PARACENTES-DX/TX W/O IMAGE 1257

ABD PARACENTESIS W/IMAGING 1555

ABD PARACENTESIS-DX/TX W/IMAGE 1257

ABDOMEN 1 VIEW DECUBITUS RIGHT 447

ABDOMEN 1VIEW DECUBITS PORT LT 447

ABDOMEN 1VIEW DECUBITS PORT RT 497

ABDOMEN 1VIEW DECUBITUS BILTRL 581

ABDOMEN 1VIEW DECUBITUS LEFT 447

ABDOMEN 1VIEW DECUBITUS LEFT 446

ABDOMEN 1VIEW DECUBITUS RIGHT 446

ABDOMEN 1VIEW ERECT 447

ABDOMEN 1VIEW ERECT 447

ABDOMEN 1VIEW INFANT 447

ABDOMEN 1VIEW INFANT PORTABLE 447

ABDOMEN 1VIEW OBLIQUE POS LEFT 446

�21

ABDOMEN 1VIEW OBLIQUE POS LEFT 446

ABDOMEN 1VIEW OBLIQUE POS RGHT 446

ABDOMEN 1VIEW OBLIQUE POS RIGH 446

ABDOMEN 1VIEW SUPINE KUB 447

ABDOMEN 1VIEW SUPINE KUB 447

ABDOMEN 1VIEW SUPINE KUB PORT 447

ABDOMEN 1VIEW SUPINE LAT 447

ABDOMEN 1VIEW SUPINE LATERAL 497

ABDOMEN 2VIEWS DECUBITUS BIL 446

ABDOMEN 2VIEWS FLAT ERECT PORT 572

ABDOMEN 2VW DECUB PORTABLE BIL 447

ABDOMEN 2VW OBLIQUE POSTER BIL 303

ABDOMEN 2VW SERIES FLAT ERECT 572

ABDOMEN 2VWS SERIES FLAT ERECT 572

ABDOMEN CHEST COMPLETE 601

ABDOMEN CHEST COMPLETE 601

ABDOMEN DUPLEX-IVC/ILIAC V LTD 610

ABDOMEN OBLIQUE POSTERIOR/BILA 303

ABDOMEN SURGERY PROCEDURE 6820

ABDOMEN TUBE INJ JEJUNOSTOMY 974

ABDOMEN TUBE PL.W/FLUOR 832

ABDOMEN W/NON-IONIC 3446

ABDOMEN W/NON-IONIC 3446

ABDOMEN W/O AND W/NON-IONIC 3864

ABDOMEN W/O AND W/NON-IONIC 3864

ABDOMEN W/O CONTRAST 2225

ABDOMINAL AORTOGTRAM 8067

ABDOMINAL CONTRA LIMB TALENT 17850

ABDOMINAL VAC DRESSING 670



ABG W/CARBOXY AND METH 219

ABLATE ARRHYTHYMIA ADD ON 9236

ABLATION DEV SURG FLEX-10 8500

ABLATOR ASPIRATING 3MM 60 DEG 260

�22



ABO BLOOD TYPING 140

ABR - THRESHOLD 1660

ABR HEARING SCREEN 581

ABR HEARING SCREEN 1 581

ABS CATH CHANGE 629

ABS DRAIN EMPYEMA 749

ABS DRAIN PARA-RENAL 1744

ABS DRAIN PERI-RENAL 1744

ABS DRAIN PERITONEOCENT 1744

ABS DRAIN SUBDIAPHRAG 1744

ABSCESS CATHETER EXCH/SINO 629

ABSCESS DRAINAGE UNDER X-RAY 1744

ABSCESS DRAINAGE,LIVER 1744

ABSCESS DRAINAGE,PERCUTANEOUS 1744

ABSCESS DRAINAGE,PERITONEAL 1744

ABSCESS DRAINAGE,RETROPERITON 1744

ABSCESS LOC./GALL. WB 2540

ABSCESS LOC.GAL.LIMITED 3746

ABSCESS LOCALIZATION SPECT CT 2698

ABSCESS TUBE CHECK VIA CATH 1140

ABSOLUTE ALCOHOL 53.62

ABUTMENT HEALING 4.3X5MM 69

ACARBOSE 50MG TABLET 1.68

ACCENT DR RF PACEMAKER PM2210 11220

ACCESS MP LIFT SET 990

ACCESS MV STABILIZER SET 1900

ACCESS PELVIS 9247

ACCESS PORT GSTRC BAND LPBND 1650

ACCESS PORT GSTRC BAND LPBND 1650

ACCESSORY BLOCK 369

ACCOLADE C #5 4016

ACCTAZOLAMIDE 25MG/ML SUSP 0.72

ACCUPUNCT W/ELE STIM INIT 15M 24

�23

ACCUPUNCT W/STIM EA ADD 25MIN 14

ACCUPUNCTUE INITIAL 15 MIN 34

ACCUPUNCTURE EA ADDL 15 MIN MD 17

ACCUSTICK INTRODUCER NEEDLE 21

ACETAB SHELL 52E 2574

ACETABULAR AUGMENT 58/30MM 5562

ACETABULAR AUGMENT 62/30MM 5562

ACETABULAR LINER 10 DEG 36MM 6734

ACETABULAR LOCK RING SZ 42 202

ACETAMINOPHEN 185

ACETAMINOPHEN 10MG/1ML INJ PED 1.01

ACETAMINOPHEN 10MG/ML 100ML IN 112.26

ACETAMINOPHEN 120MG SUPP 1.07

ACETAMINOPHEN 160MG/5ML LIQUID 2.02

ACETAMINOPHEN 325MG SUPP 1

ACETAMINOPHEN 325MG/10.15ML LI 2.32

ACETAMINOPHEN 500MG TAB 0.54

ACETAMINOPHEN 650MG SUPP 1.69

ACETAZOLAMID SODIUM INJ 500MG 132.49

ACETAZOLAMIDE 250MG TABLET 6.61

ACETAZOLAMIDE 500MG CAP 12.55

ACETIC ACID 0.25% IRRIG 18.43

ACETYLCHOLINE 1% OPHTH SOLN 269.8

ACETYLCHOLINE RECEPTOR BIND AB 39

ACETYLCHOLINE RECEPTOR BLOC AB 51

ACETYLCHOLINESTERASE, AF 175

ACETYLCYSTEINE 20% SOLN 42.21

ACETYLCYSTEINE 200MG/ML 52.13

ACETYLCYSTEINE INJ 200MG/ML 579.98

ACHILLES TENDON W/CALCANEOUS 2266

ACHILLES TENDON W/CALCANEUOS 2266

ACHR MODULATING AB 68

ACNE SURGERY 650

ACNE SURGERY 566

ACO REF THESH-1 167

�24

ACOUSTIC IMMITTANCE 457

ACOUSTIC IMMITTANCE-1 457

ACOUSTIC REFLEX THRESHOLD 167

ACP PROCEDURE ROOM TO 15 MIN 2042

ACP PX ROOM EA ADDITION 15 MIN 306

ACQUISITION FEE(BONE ONLY) 1675

ACQUISITION FEE(BONE RETRIEVAL 1675

ACQUISITION FEE(BONE&VEIN) 2186

ACQUISITION FEE(RESEARCH) 1159

ACROMIOCLAV.JTS/BLT 340

ACROMIOCLAV.JTS/BLT 340

ACTIGALL 300MG CAPSULE 18.58

ACTIVATED CHARCOAL 30GM LIQUID 39.92

ACTIVATION ARM DSTRCT ZRCH2 D 696

ACTUATOR PNEUM LRS AXIUM 3D 97

ACUM 30170007-S 1084

ACUTE ED 1290

ACUTE HEMODIALYSIS I/P 1783

ACUTE PERIT DIAL 1450

ACUTE VENOUS THROMBOSIS IMAGIN 2405

ACYCLOVIR 200MG CAP 6.89

ACYCLOVIR 200MG/5ML SUSP 2.74

ACYCLOVIR 400MG TAB 9

ACYCLOVIR 400MG/10ML ORAL SUSP 27.43

ACYCLOVIR 5% OINTMENT 1115.52

ACYCLOVIR 50MG/1ML INJ 6.29

ACYCLOVIR 5MG/ML SYRINGE 0.47

ACYLCARNITINE QUANT, PLASMA 132

ACYLGLYCINES QUANT, URINE 202

ADAMTS13 ACTIVITY 228

ADAMTS13 INHIBITOR 366

ADAPTER ALARM 550

ADAPTER BSCP EDG OLMPS 136

ADAPTER CONTROLLER AC POWER 2000

ADAPTER CRDPLG Y M LL F LL CLR 32

�25

ADAPTER DC CONTROLLER 4000

ADAPTER ESCP OLMPS BSCP 150

ADAPTER EXTR FIXAT RING F ROT 1276

ADAPTER FEM BOLT OFFSET +2/-2 454

ADAPTER FEM TRTHLN 2MM OFST KN 2582

ADAPTER FEM TRTHLN 4MM OFST KN 2582

ADAPTER FEMALE XS RING 875

ADAPTER LD 15CM BRADY 5.38MM 650

ADAPTER LEAD 200

ADAPTER LEAD 47CM 800

ADAPTER NK STG1 +6 HIP SIL SS 610

ADAPTER PC-LD 9FR SFSHTH SPLT 100

ADAPTER PWR ALRM 550

ADAPTER PWR COMTROLLER AC 2000

ADAPTER SIGMA FEMORAL SZ5 3302

ADAPTER SPNL VEPTR 2 TI NSTRL 6012

ADAPTER TAPER M2A 42-50 PLUS 3 482

ADAPTER TAPER M2A MAGNUM 42-50 482

ADAPTER TAPER SL 487

ADAPTER TIB OSS SEG STK 286

ADAPTER USED W/CALIBER SCREW 567

ADAPTOR 45 DEG 2744

ADAPTOR BIPOLAR LEAD 500

ADAPTOR CAMINO BOLT 166

ADAPTOR DR 11400

ADAPTOR DR 11400

ADAPTOR IRR 2 354

ADAPTOR LARGE 750

ADAPTOR POCKET 1X4 990

ADAPTOR TAPER SLEEVE 11/13 487

ADAPTOR TAPER SLEEVE 11/13 3+ 700



ADAPTOR TITANIUM PD CATH 320

ADAPTOR TOOM ELLIK NON-LOK 1719

�26

ADAPTOR TPR SL 488

ADAPTOR ULTRACISON HARMONIC 891

ADATOR SIL 5000 730

ADD ON KIT, 1.4 MM 840

ADD WALKER PREVIOUSLY APPLIED 620

ADDIT TISS BLOCK 123

ADDITIONAL CELLS COUNTED 264

ADDITIONAL KARYO TYPE 391

ADDITIONAL SEQ INFUSION TO 1HR 611

ADDITIONAL SEQ INFUSION TO 1HR 611

ADD-ON LORDOTIC SM 16MM 6615

ADENOSCAN 90MG/30ML INJ 548.43

ADENOSINE 60MG/20ML INJ 311.87

ADENOSINE 6MG INJ 35.67

ADENOSINE INJECTION 423

ADENOVIRUS AB IGG 12

ADENOVIRUS AB IGM 11

ADENOVIRUS QPCR, BAL 150

ADENOVIRUS QPCR, CSF 150

ADENOVIRUS QPCR, FECAL 150

ADENOVIRUS QPCR, PLASMA 150

ADENOVIRUS QPCR, URINE 150

ADENOVIRUS QPCR,BRONCH WASH 150

ADH SKN CLSRE ABRA SET 9960

ADJ GASTRIC BAND DIAM VIA INJ 90

ADJ GASTRIC BAND DIAM-INJ/ASP 124

ADJUSTABLE CRYOPROBE 2700

ADM-CYROPRECIPIT 21

ADMIN CHG 1ST VACCINE 155

ADMIN CHG EACH ADDT'L VACCINE 109

ADMIN EA ADD ORAL/NASAL IMMUN 93

ADMIN EA ADDITIONAL VACCINE 67

ADMIN HEPATITIS B VACCINE 155

ADMIN HEPATITIS B VACCINE 155

ADMIN IMMUNIZATION SINGLE/INIT 98

�27

ADMIN INFLUENZA A H1N1 W-CO MC 109

ADMIN INTO CNS/INTRATHECAL 6126

ADMIN OF HEPATITIS B VACCINE 155

ADMIN PNEUMOCOCCAL VACCINE 155





ADMIN. OF INFLUENZA VACCINE 109

ADMIN-FF PLASMA 71

ADMINISTER INFLUENZA VACCINE 81

ADMINISTER PNEUMOCOCCAL VACCIN 81

ADMINISTRATION FLU VACCINE 109

ADMINISTRATION PREVNAR VACCINE 155

ADMIN-WHOLE BLOOD 71

ADM-LEUKOCYT CONC 21

ADM-PCKD RED CELL 71

ADM-PLATELET CONC 21

ADM-WASH RED CELL 71

ADO-TRASTUZUMAB 100MG/5ML INJ 9651.35

ADRENAL IMAG.,CORT./MED. 3460

ADRENALIN EPINEPHR INJ 0.1MG 1

ADRENALS W/O&W NON-IONIC CONTR 3864

ADRENALS W/O&W NON-IONIC CONTR 3864

ADRENALS WITH NON-IONIC CONTRA 3446

ADRENALS WITH NON-IONIC CONTRA 3446

ADRENOCORTICOTROPIC HORMONE 23

AEROSOL SPUTUM COLLECTION 252

AFB CONCENTRATION 86

AFB CULTURE ONLY 135

AFB CULTURE PRESUMPTIVE ID 135

AFB SMEAR ONLY 109

AFP AMNIOTIC FLUID 15

AFP MATERNAL SCRN (QUAD) 80

AFP-TUMOR MARKER 243

�28

AFX INTRODUCER SHEATH 650

AGENT BULK SIL-EL 2.5ML 990

AGENT DURASPHERE INJ BULKING 356

AGENT HMST FLSL BVN MTRX HMN 376

AIMING BLOCK FOR RT PLATE 1500

AIRWAY INHALATION TREATMENT 234



AIRWAY RESIS BY IMPULSE OSCILL 598

AIRWAYS SURGICAL PROCEDURE 3042

AKREOS LENS D=15.5 220




ALARYNGEAL SPEECH BRIEF EVAL 668

ALARYNGEAL SPEECH EVAL 668

ALBENDAZOLE 200MG TAB 163.2

ALBUMIN 53

ALBUMIN 5% 250ML 209.02

ALBUMIN 5%, 250ML 270

ALBUMIN 5%,50ML 199

ALBUMIN CSF 47

ALBUMIN HUMAN 25% 25G/100ML SO 318.14

ALBUMIN HUMAN 25% 50ML 171.82

ALBUMIN SERUM 53

ALBUMIN,BODY FLUID 47

ALBUNEX 292

ALBUTEROL 0.83MG/ML INH SOL 1.84

ALBUTEROL 1MG/ML NEB 1.17

ALBUTEROL 2.5MG/0.5NL ER DEPT 2.32

ALBUTEROL 4MG TABLET 21.15

ALBUTEROL 5MG/ML INH SOL 97.21

ALBUTEROL CFC FREE 90MCG INH 50.47

ALBUTEROL-IPRA 2.5MG-0.5MG 3ML 6.02

ALBUTEROL-IPRATROPIUM 100MCG-2 1149.72

�29

ALCL SB6AT4 14.5 320

ALCL SB6AT5 D=7.0 320

ALCL SN6AD1 17.0 320








ALCL SN6AD1 CF 17.0 894








ALCL SN6AD1 CF D=18.0 894









ALCL SN6AD1 D=10.0 320








�30




ALCL SN6AD1. CF 240 894

ALCL SN6AD1.240 320



ALCL SN6AT3 11.0 320

























ALCL SN6AT3 28.5 CF IOL 414

ALCL SN6AT3 28.5 IOL 342

ALCL SN6AT3 CF 11.0 414

�31

























ALCL SN6AT3 CF D=10.0 414









ALCL SN6AT3 D=10.0 320


�32








ALCL SN6AT4 .250 320


















ALCL SN6AT4 CF .250 414










�33






















ALCL SN6AT4 CF U260 414













ALCL SN6AT4 U260 320

�34

ALCL SN6AT4U CF 220 414

ALCL SN6AT4U220 320











ALCL SN6AT5 9.0 320























�35












ALCL SN6AT5 CF D-22.0 414





















ALCL SN6AT5 D-22.0 320

ALCL SN6AT5.085 320

ALCL SN6AT5U CF 210 414

�36

ALCL SN6AT5U210 320














ALCL SN6AT6 6.0 320

ALCL SN6AT6 9.5 320


















ALCL SN6AT65 14.0 320


�37





























ALCL SN6AT7. CF 17.0 414

ALCL SN6AT7.17.0 320

ALCL SN6AT8 320




ALCL SN6AT8 7.5 320

�38

ALCL SN6AT8 CF 414




















ALCL SN6AT9 8.5 320















�39







ALCL SV25T4 11.0 320

ALCL SV25T4 22.5 320

ALCL SV25T4 CF 11.0 894

ALCL SV25T4 CF 22.5 894

ALCL SV25TO 11.5 320

ALCL SV25TO CF 11.5 894

ALCO SN6AT CF D=24.5 414

ALCO SN6AT D=24.5 320

ALCO SN6AT3 15.5 320

ALCO SN6AT3 CF 15.5 414


ALCO SN6AT4 7.0 320



ALCO SN6AT4 CF D=16.5 414

ALCO SN6AT4 D=16.5 320






ALCO SN6AT5 7.5 320








�40

ALCO SN6AT5 CF D17.5 414


ALCO SN6AT5 D17.5 320







ALCOHOL 185

ALCOHOL/DRUG SCREENING 135

ALCOHOL/DRUG SCREENING 135

ALCOHOL/DRUG SERVICE 15 MIN 135

ALCOHOL/DRUG SERVICE 15 MIN 135

ALCOHOL/SUBS INTERV >30 MIN 242

ALCOHOL/SUBS INTERV >30 MIN 242

ALCOHOL/SUBS INTERV 15-30MIN 135




ALCOHOL/SUBS INTERV>30 MIN 242

ALCOHOL/SUBS INTERV>30 MIN 242

ALCON LENS D=19.5 170

ALCON LENS D=19.5 170

ALDOLASE 8

ALDOSTERONE 23

ALDOSTERONE,24HR URINE 18

ALERNDRONATE 70MG TAB 56.32

ALK PHOS 94

ALK PHOS ISO.ISOENZYME 14

ALK PHOS ISO.TOTAL 9

ALK(D5F3) IHC ARUP 95

ALLO DERM 4X6 994

ALLO DERM 6X8CM 1720

ALLODERM 102022 1298

�41

ALLODERM 102022 1410

ALLODERM 16 X 20CM ULTRA THICK 19786

ALLODERM 16X20CM 20640

ALLODERM 3X12 CM 2076

ALLODERM 3X12 ULTRA THICK 1986




ALLODERM 5X10 2930

ALLODERM 5X10 2930

ALLODERM 6 X 12CM THICK 4216

ALLODERM 6X16CM 6686

ALLODERM 8X16 16020

ALLODERM 8X16CM THICK 7948

ALLODERM 8X16CM THICK 7948

ALLODERM ACELLULAR GRAFT THIN 986

ALLODERM ACELLULAR GRAFT THIN 1060

ALLODERM EXTRA THICK 3X7CM 1532

ALLODERM EXTRA THICK 3X7CM 1532

ALLODERM PER SQUARE CM 9

ALLODERM PERFORATED THIN 8X16 8010

ALLODERM READY TO USE 8320

ALLODERM THICK 4X7CM 568

ALLODERM THIN 3X7CM 1306

ALLODERM THIN 3X7CM 1306

ALLOGRAFT ALLOSOURCE 12500

ALLOGRAFT PLUG FRESH 4990

ALLOPURINOL 100MG TABLET 1.46

ALLOPURINOL 20MG/ML SUSP 0.25

ALLOPURINOL 300MG TABLET 2.01

ALLRGY TST INTRACUT EXTR IMMED 203

ALLRGY TST PERC/INTRACUT IMMED 76

ALOVEOLOPLASTY NOT W/EXTRACTS 372

ALPHA 1 ANTITRIPSIN 221

ALPHA 2 ANTIPLASMIN ACT 40

�42

ALPHA-1 ANTITRYPSIN, STOOL 44

ALPRAZOLAM 0.25MG TABLET 1.66

ALPRAZOLAM 1MG TAB 1.95

ALPROSTADIL INJ 1.25MCG 390.05

ALS 1 AMBULANCE 1271

ALS 1 EMERGENCY AMBULANCE 2011

ALS 2 AMBULANCE 2532

ALS MILEAGE(PER MILE) 2

ALS MILES 2

ALT (SGPT) 85

ALT, ARUP REFERRED 31

ALTEPLASE 10MG INJ 2459.21

ALTEPLASE 50MG INJ 14931.33

ALTEPLASE INJ 100MG 28293.46

ALTEPLASE RECOMB INJ 1MG 389.34

ALUM CER 32HD 12/14+8 3030

ALUMINUM ACETATE SOLN 3.4

ALUMINUM HYDROXIDE 400MG/5ML S 1.05

ALUMINUM,SERUM 13

ALUMINUM,URINE 13

AMALGAM 1 SURF PERMANENT/PRIM 138

AMALGAM -2 SURF PERMANENT 144

AMANTADINE 100MG CAPSULE 8.39

AMANTADINE 50MG/5ML SYRUP 2.08

AMEBIASIS(E.HISTOLYTICA AB) 13

AMIKACIN 141

AMIKACIN 5MG/1ML SYR 0.44

AMIKACIN INJ 500MG/2ML 40.21

AMILORIDE 5MG TAB 2.89

AMINO ACIDS BRANCH CHAIN 157

AMINO ACIDS, PLASMA 85

AMINO ACIDS, URINE 96

AMINO ACIDS,CSF 96

AMINOCAPROIC ACID 250MG/ML SYR 24.27

AMINOCAPROIC ACID 5000MG/20ML 12.86

�43

AMINOCAPROIC ACID 500MG TABLET 71.88

AMINOLEVULINIC ACID ALA,URINE 38

AMINOPHYLLIN INJ 250MG 18.73

AMIODARONE 200MG TABLET 23.1

AMIODARONE 5MG/ML SUSP 3

AMIODARONE HCI INJ 30MG 5.81

AMIODARONE+METABOLITE 21

AMITRIPTYLINE 26

AMITRIPTYLINE 10MG TABLET 0.63

AMITRIPTYLINE 25MG TABLET 1.32

AMITRIPTYLINE 50MGTABLET 2.68

AMLODIPINE 1MG/ML SUSP 0.07

AMLODIPINE 5MG TABLET 4.38

AMLODIPINE TAB 2.5MG 4.76

AMMONIA 119

AMMONIUM LACTATE 12% LOTION 69.79

AMNIOCENTESIS 1405

AMNIOCENTESIS OUTPT 1405

AMNIOCENTESIS, DX 885

AMNIOCENTESIS-DIAG SEPARATE PX 703

AMNIOFIL 1000MM 4500

AMNIOFIL 1000MM 4500

AMNIOFILL 500MG 2300



AMNIOGRAFT 1190

AMNIOGRAFT SZ A 2.5X2.0CM 1590

AMNIOGRAFT SZ A 2.5X2.0CM 1590

AMNIOGRAFT SZ B 2.0X1.5CM 1390

AMNIOGRAFT SZ C 3.5X3.5CM 1590

AMNIOGRAFT SZ D 1.5X1.0CM 1390

AMNIOINFUSION TRANSCERVIC INPT 1405

AMO (ZMB00.230) 320

AMO ACT300 CF 16.5 414

AMO AMB00 CF D=22.0 894

�44

AMO AMB00 D=22.0 320

AMO CF (ZMB00.230) 894

AMO CF ZMB00 21.5 894

AMO PCB00 30.5 320

AMO SV25TO CF D=18.0 894



AMO SV25TO D=18.0 320

AMO SV25TO D=19.0 320

AMO SV25TO D=20.5 320

AMO ZBL00 CF D=22.0 894

AMO ZCT150 12.5 320

AMO ZCT150 14.5 320

AMO ZCT150 15.0 320

AMO ZCT150 15.5 320

AMO ZCT150 17.5 320

AMO ZCT150 19.0 320

AMO ZCT150 20.0 320

AMO ZCT150 20.5 320

AMO ZCT150 21.0 320

AMO ZCT150 21.5 320

AMO ZCT150 22.0 320

AMO ZCT150 23.0 320

AMO ZCT150 24.0 320

AMO ZCT150 26.0 320

AMO ZCT150 CF 12.5 414

AMO ZCT150 CF 14.5 414

AMO ZCT150 CF 15.0 414

AMO ZCT150 CF 15.5 414

AMO ZCT150 CF 17.5 414

AMO ZCT150 CF 19.0 414

AMO ZCT150 CF 20.0 414

AMO ZCT150 CF 20.5 414

AMO ZCT150 CF 21.0 414

AMO ZCT150 CF 21.5 414

�45

AMO ZCT150 CF 22.0 414

AMO ZCT150 CF 23.0 414

AMO ZCT150 CF 24.0 414

AMO ZCT150 CF 26.0 414

AMO ZCT150 CF D=16.0 414

AMO ZCT150 CF D=19.5 414

AMO ZCT150 CF D=23.5 414

AMO ZCT150 CF D=30.0 414

AMO ZCT150 D=16.0 320

AMO ZCT150 D=19.5 320

AMO ZCT150 D=23.5 320

AMO ZCT150 D=30.0 346

AMO ZCT225 12.0 320

AMO ZCT225 13.0 320

AMO ZCT225 13.5 320

AMO ZCT225 14.5 320

AMO ZCT225 15.0 320

AMO ZCT225 15.5 320

AMO ZCT225 17.5 320

AMO ZCT225 20.5 320

AMO ZCT225 22.0 320

AMO ZCT225 22.5 320

AMO ZCT225 23.5 320

AMO ZCT225 24.0 320

AMO ZCT225 24.5 320

AMO ZCT225 25.0 320

AMO ZCT225 25.5 320

AMO ZCT225 28.5 320

AMO ZCT225 CF 12.0 414

AMO ZCT225 CF 13.0 414

AMO ZCT225 CF 13.5 414

AMO ZCT225 CF 14.5 414

AMO ZCT225 CF 15.0 414

AMO ZCT225 CF 15.5 414

AMO ZCT225 CF 17.5 414

�46

AMO ZCT225 CF 20.5 414

AMO ZCT225 CF 22.0 414

AMO ZCT225 CF 22.5 414

AMO ZCT225 CF 23.5 414

AMO ZCT225 CF 24.0 414

AMO ZCT225 CF 24.5 414

AMO ZCT225 CF 25.0 414

AMO ZCT225 CF 25.5 414

AMO ZCT225 CF 28.5 414

AMO ZCT225 CF D=13.0 414

AMO ZCT225 CF D=16.0 414

AMO ZCT225 CF D=18.0 414

AMO ZCT225 CF D=21.5 414

AMO ZCT225 D=13.0 320

AMO ZCT225 D=16.0 320

AMO ZCT225 D=18.0 320

AMO ZCT225 D=21.5 320

AMO ZCT300 13.5 320

AMO ZCT300 14.0 320

AMO ZCT300 14.5 320

AMO ZCT300 16.0 320

AMO ZCT300 16.5 320

AMO ZCT300 18.5 320

AMO ZCT300 19.5 320

AMO ZCT300 20.0 320

AMO ZCT300 20.5 320

AMO ZCT300 21.0 320

AMO ZCT300 23.0 320

AMO ZCT300 23.5 320

AMO ZCT300 24.5 320

AMO ZCT300 25.0 320

AMO ZCT300 25.5 320

AMO ZCT300 26.5 320

AMO ZCT300 5.5 320

AMO ZCT300 CF 13.5 414

�47

AMO ZCT300 CF 14.0 414

AMO ZCT300 CF 14.5 414

AMO ZCT300 CF 16.0 414

AMO ZCT300 CF 18.5 414

AMO ZCT300 CF 19.5 414

AMO ZCT300 CF 20.0 414

AMO ZCT300 CF 20.5 414

AMO ZCT300 CF 21.0 414

AMO ZCT300 CF 23.0 414

AMO ZCT300 CF 23.5 414

AMO ZCT300 CF 24.5 414

AMO ZCT300 CF 25.0 414

AMO ZCT300 CF 25.5 414

AMO ZCT300 CF 26.5 414

AMO ZCT300 CF 5.5 414

AMO ZCT300 CF D=15.0 414

AMO ZCT300 CF D=17.5 414

AMO ZCT300 CF D=18.5 414

AMO ZCT300 CF D=21.0 414

AMO ZCT300 CF D=8.0 414

AMO ZCT300 CF D=8.5 414

AMO ZCT300 D=15.0 320

AMO ZCT300 D=17.5 320

AMO ZCT300 D=18.5 320

AMO ZCT300 D=21.0 320

AMO ZCT300 D=8.0 320

AMO ZCT300 D=8.5 320

AMO ZCT400 12.0 320

AMO ZCT400 16.0 320

AMO ZCT400 19.0 320

AMO ZCT400 23.0 320

AMO ZCT400 27.0 320

AMO ZCT400 33.0 320

AMO ZCT400 33.5 320

AMO ZCT400 9.5 320

�48

AMO ZCT400 CF 12.0 414

AMO ZCT400 CF 16.0 414

AMO ZCT400 CF 19.0 414

AMO ZCT400 CF 23.0 414

AMO ZCT400 CF 27.0 414

AMO ZCT400 CF 33.0 414

AMO ZCT400 CF 33.5 414

AMO ZCT400 CF 9.5 414

AMO ZCT400 CF D=17.5 414

AMO ZCT400 CF D=18.0 414

AMO ZCT400 CF D=21.0 414

AMO ZCT400 CF D=23.5 414

AMO ZCT400 CF D=26.0 414

AMO ZCT400 D=17.5 320

AMO ZCT400 D=18.0 320

AMO ZCT400 D=21.0 320

AMO ZCT400 D=23.5 320

AMO ZCT400 D=26.0 320

AMO ZCT450 20.5 320

AMO ZCT450 22.5 320

AMO ZCT450 9.5 320

AMO ZCT450 CF 20.5 414

AMO ZCT450 CF 22.5 414

AMO ZCT450 CF 9.5 414

AMO ZCT525 18.5 320

AMO ZCT525 20.0 320

AMO ZCT525 21.0 320

AMO ZCT525 21.5 320

AMO ZCT525 CF 18.5 414

AMO ZCT525 CF 20.0 414

AMO ZCT525 CF 21.0 414

AMO ZCT525 CF 21.5 414

AMO ZCT600 19.0 320

AMO ZCT600 CF 19.0 414

AMO ZKB00 CF D = 10.0 894

�49

AMO ZKB00 CF D = 10.5 894

AMO ZKB00 CF D = 11.0 894

AMO ZKB00 CF D = 11.5 894

AMO ZKB00 CF D = 12.0 894

AMO ZKB00 CF D = 12.5 894

AMO ZKB00 CF D = 13.0 894

AMO ZKB00 CF D = 13.5 894

AMO ZKB00 CF D = 14.0 894

AMO ZKB00 CF D = 14.5 894

AMO ZKB00 CF D = 15.0 894

AMO ZKB00 CF D = 16.0 894

AMO ZKB00 CF D = 16.5 894

AMO ZKB00 CF D = 17.0 894

AMO ZKB00 CF D = 17.5 894

AMO ZKB00 CF D = 18.0 894

AMO ZKB00 CF D = 18.5 894

AMO ZKB00 CF D = 19.0 894

AMO ZKB00 CF D = 19.5 894

AMO ZKB00 CF D = 20.0 894

AMO ZKB00 CF D = 20.5 894

AMO ZKB00 CF D = 21.0 894

AMO ZKB00 CF D = 21.5 894

AMO ZKB00 CF D = 22.0 894

AMO ZKB00 CF D = 22.5 894

AMO ZKB00 CF D = 23.0 894

AMO ZKB00 CF D = 23.5 894

AMO ZKB00 CF D = 24.0 894

AMO ZKB00 CF D = 24.5 894

AMO ZKB00 CF D = 25.0 894

AMO ZKB00 CF D = 25.5 894

AMO ZKB00 CF D = 26.0 894

AMO ZKB00 CF D = 26.5 894

AMO ZKB00 CF D = 27.0 894

AMO ZKB00 CF D = 27.5 894

AMO ZKB00 CF D = 28.0 894

�50

AMO ZKB00 CF D = 28.5 894

AMO ZKB00 CF D = 29.0 894

AMO ZKB00 CF D = 29.5 894

AMO ZKB00 CF D = 30.0 894

AMO ZKB00 CF D = 30.5 894

AMO ZKB00 CF D = 31.0 894

AMO ZKB00 CF D = 31.5 894

AMO ZKB00 CF D = 32.0 894

AMO ZKB00 CF D = 32.5 894

AMO ZKB00 CF D = 33.0 894

AMO ZKB00 CF D = 33.5 894

AMO ZKB00 CF D = 34.0 894

AMO ZKB00 CF D = 5.0 894

AMO ZKB00 CF D = 5.5 894

AMO ZKB00 CF D = 6.0 894

AMO ZKB00 CF D = 6.5 894

AMO ZKB00 CF D = 7.0 894

AMO ZKB00 CF D = 7.5 894

AMO ZKB00 CF D = 8.0 894

AMO ZKB00 CF D = 8.5 894

AMO ZKB00 CF D = 9.0 894

AMO ZKB00 CF D = 9.5 894

AMO ZKB00 D = 10.0 320

AMO ZKB00 D = 10.5 320

AMO ZKB00 D = 11.0 320

AMO ZKB00 D = 11.5 320

AMO ZKB00 D = 12.0 320

AMO ZKB00 D = 12.5 320

AMO ZKB00 D = 13.0 320

AMO ZKB00 D = 13.5 320

AMO ZKB00 D = 14.0 320

AMO ZKB00 D = 14.5 320

AMO ZKB00 D = 15.0 320

AMO ZKB00 D = 16.0 320

AMO ZKB00 D = 16.5 320

�51

AMO ZKB00 D = 17.0 320

AMO ZKB00 D = 17.5 320

AMO ZKB00 D = 18.0 320

AMO ZKB00 D = 18.5 320

AMO ZKB00 D = 19.0 320

AMO ZKB00 D = 19.5 320

AMO ZKB00 D = 20.0 320

AMO ZKB00 D = 20.5 320

AMO ZKB00 D = 21.0 320

AMO ZKB00 D = 21.5 320

AMO ZKB00 D = 22.0 320

AMO ZKB00 D = 22.5 320

AMO ZKB00 D = 23.0 320

AMO ZKB00 D = 23.5 320

AMO ZKB00 D = 24.0 320

AMO ZKB00 D = 24.5 320

AMO ZKB00 D = 25.0 320

AMO ZKB00 D = 25.5 320

AMO ZKB00 D = 26.0 320

AMO ZKB00 D = 26.5 320

AMO ZKB00 D = 27.0 320

AMO ZKB00 D = 27.5 320

AMO ZKB00 D = 28.0 320

AMO ZKB00 D = 28.5 320

AMO ZKB00 D = 29.0 320

AMO ZKB00 D = 29.5 320

AMO ZKB00 D = 30.0 320

AMO ZKB00 D = 30.5 320

AMO ZKB00 D = 31.0 320

AMO ZKB00 D = 31.5 320

AMO ZKB00 D = 32.0 320

AMO ZKB00 D = 32.5 320

AMO ZKB00 D = 33.0 320

AMO ZKB00 D = 33.5 320

AMO ZKB00 D = 34.0 320

�52

AMO ZKB00 D = 5.0 320

AMO ZKB00 D = 5.5 320

AMO ZKB00 D = 6.0 320

AMO ZKB00 D = 6.5 320

AMO ZKB00 D = 7.0 320

AMO ZKB00 D = 7.5 320

AMO ZKB00 D = 8.0 320

AMO ZKB00 D = 8.5 320

AMO ZKB00 D = 9.0 320

AMO ZKB00 D = 9.5 320

AMO ZLB00 CF D = 10.0 894

AMO ZLB00 CF D = 10.5 894

AMO ZLB00 CF D = 11.0 894

AMO ZLB00 CF D = 11.5 894

AMO ZLB00 CF D = 12.0 894

AMO ZLB00 CF D = 12.5 894

AMO ZLB00 CF D = 13.0 894

AMO ZLB00 CF D = 13.5 894

AMO ZLB00 CF D = 14.0 894

AMO ZLB00 CF D = 14.5 894

AMO ZLB00 CF D = 15.0 894

AMO ZLB00 CF D = 16.0 894

AMO ZLB00 CF D = 16.5 894

AMO ZLB00 CF D = 17.0 894

AMO ZLB00 CF D = 17.5 894

AMO ZLB00 CF D = 18.0 894

AMO ZLB00 CF D = 18.5 894

AMO ZLB00 CF D = 19.0 894

AMO ZLB00 CF D = 19.5 894

AMO ZLB00 CF D = 20.0 894

AMO ZLB00 CF D = 20.5 894

AMO ZLB00 CF D = 21.0 894

AMO ZLB00 CF D = 21.5 894

AMO ZLB00 CF D = 22.5 894

AMO ZLB00 CF D = 23.0 894

�53

AMO ZLB00 CF D = 23.5 894

AMO ZLB00 CF D = 25.0 894

AMO ZLB00 CF D = 25.5 894

AMO ZLB00 CF D = 26.0 894

AMO ZLB00 CF D = 26.5 894

AMO ZLB00 CF D = 27.0 894

AMO ZLB00 CF D = 27.5 894

AMO ZLB00 CF D = 28.0 894

AMO ZLB00 CF D = 28.5 894

AMO ZLB00 CF D = 29.0 894

AMO ZLB00 CF D = 29.5 894

AMO ZLB00 CF D = 30.0 894

AMO ZLB00 CF D = 30.5 894

AMO ZLB00 CF D = 31.0 894

AMO ZLB00 CF D = 31.5 894

AMO ZLB00 CF D = 32.0 894

AMO ZLB00 CF D = 32.5 894

AMO ZLB00 CF D = 33.0 894

AMO ZLB00 CF D = 33.5 894

AMO ZLB00 CF D = 34.0 894

AMO ZLB00 CF D = 5.0 894

AMO ZLB00 CF D = 5.5 894

AMO ZLB00 CF D = 6.0 894

AMO ZLB00 CF D = 6.5 894

AMO ZLB00 CF D = 7.0 894

AMO ZLB00 CF D = 7.5 894

AMO ZLB00 CF D = 8.0 894

AMO ZLB00 CF D = 8.5 894

AMO ZLB00 CF D = 9.0 894

AMO ZLB00 CF D = 9.5 894

AMO ZLB00 CF D=23.0 894

AMO ZLB00 CF D=23.5 894

AMO ZLB00 CF D=24.0 894

AMO ZLB00 CF D=24.5 894

AMO ZLB00 D = 10.0 320

�54

AMO ZLB00 D = 10.5 320

AMO ZLB00 D = 11.0 320

AMO ZLB00 D = 11.5 320

AMO ZLB00 D = 12.0 320

AMO ZLB00 D = 12.5 320

AMO ZLB00 D = 13.0 320

AMO ZLB00 D = 13.5 320

AMO ZLB00 D = 14.0 320

AMO ZLB00 D = 14.5 320

AMO ZLB00 D = 15.0 320

AMO ZLB00 D = 16.0 320

AMO ZLB00 D = 16.5 320

AMO ZLB00 D = 17.0 320

AMO ZLB00 D = 17.5 320

AMO ZLB00 D = 18.0 320

AMO ZLB00 D = 18.5 320

AMO ZLB00 D = 19.0 320

AMO ZLB00 D = 19.5 320

AMO ZLB00 D = 20.0 320

AMO ZLB00 D = 20.5 320

AMO ZLB00 D = 21.0 320

AMO ZLB00 D = 21.5 320

AMO ZLB00 D = 22.5 320

AMO ZLB00 D = 23.0 320

AMO ZLB00 D = 23.5 320

AMO ZLB00 D = 25.0 320

AMO ZLB00 D = 25.5 320

AMO ZLB00 D = 26.0 320

AMO ZLB00 D = 26.5 320

AMO ZLB00 D = 27.0 320

AMO ZLB00 D = 27.5 320

AMO ZLB00 D = 28.0 320

AMO ZLB00 D = 28.5 320

AMO ZLB00 D = 29.0 320

AMO ZLB00 D = 29.5 320

�55

AMO ZLB00 D = 30.0 320

AMO ZLB00 D = 30.5 320

AMO ZLB00 D = 31.0 320

AMO ZLB00 D = 31.5 320

AMO ZLB00 D = 32.0 320

AMO ZLB00 D = 32.5 320

AMO ZLB00 D = 33.0 320

AMO ZLB00 D = 33.5 320

AMO ZLB00 D = 34.0 320

AMO ZLB00 D = 5.0 320

AMO ZLB00 D = 5.5 320

AMO ZLB00 D = 6.0 320

AMO ZLB00 D = 6.5 320

AMO ZLB00 D = 7.0 320

AMO ZLB00 D = 7.5 320

AMO ZLB00 D = 8.0 320

AMO ZLB00 D = 8.5 320

AMO ZLB00 D = 9.0 320

AMO ZLB00 D = 9.5 320

AMO ZLB00 D=22.0 320

AMO ZLB00 D=23.0 320

AMO ZLB00 D=24.0 320

AMO ZLB00 D=24.5 320

AMO ZLBOO D=23.5 320

AMO ZMB00 18.0 320

AMO ZMB00 21.5 320

AMO ZMB00 22.5 320

AMO ZMB00 24.0 320

AMO ZMB00 24.5 320

AMO ZMB00 25.0 320

AMO ZMB00 CF 18.0 894

AMO ZMB00 CF 22.5 894

AMO ZMB00 CF 24.0 894

AMO ZMB00 CF 24.5 894

AMO ZMB00 CF 25.0 894

�56

AMO ZMB00 CF D=13.5 894

AMO ZMB00 CF D=16.0 894

AMO ZMB00 CF D=17 894

AMO ZMB00 CF D=17.5 894

AMO ZMB00 CF D=20.5 894

AMO ZMB00 CF D=21.0 894

AMO ZMB00 CF D=23.5 894

AMO ZMB00 D=13.5 320

AMO ZMB00 D=16.0 320

AMO ZMB00 D=17 320

AMO ZMB00 D=17.5 320

AMO ZMB00 D=20.5 320

AMO ZMB00 D=21.0 320

AMO ZMB00 D=23.5 320

AMO ZXR00 14.0 320

AMO ZXR00 16.0 320

AMO ZXR00 16.0 320

AMO ZXR00 20.0 320

AMO ZXR00 20.5 320

AMO ZXR00 20.5 320

AMO ZXR00 21.0 320

AMO ZXR00 21.5 320

AMO ZXR00 22.0 320

AMO ZXR00 22.5 320

AMO ZXR00 23.5 320

AMO ZXR00 24.0 320

AMO ZXR00 24.5 320

AMO ZXR00 CF 14.0 1002

AMO ZXR00 CF 16.0 894

AMO ZXR00 CF 16.0 894

AMO ZXR00 CF 20.0 894

AMO ZXR00 CF 20.5 894

AMO ZXR00 CF 20.5 894

AMO ZXR00 CF 21.0 894

AMO ZXR00 CF 21.5 894

�57

AMO ZXR00 CF 22.0 894

AMO ZXR00 CF 22.5 894

AMO ZXR00 CF 23.5 894

AMO ZXR00 CF 24.0 894

AMO ZXR00 CF 24.5 894

AMO ZXRT225 13.0 320

AMO ZXRT225 15.0 320

AMO ZXRT225 21.0 320

AMO ZXRT225 22.5 320

AMO ZXRT225 25.5 320

AMO ZXRT225 31.0 320

AMO ZXRT225 CF 13.0 1002

AMO ZXRT225 CF 15.0 1002

AMO ZXRT225 CF 21.0 1002

AMO ZXRT225 CF 22.5 1002

AMO ZXRT225 CF 25.5 1002

AMO ZXRT225 CF 31.0 1002

AMO ZXRT300 18.0 320

AMO ZXRT300 21.0 320

AMO ZXRT300 30.5 320

AMO ZXRT300 CF 18.0 1002

AMO ZXRT300 CF 21.0 1002

AMO ZXRT300 CF 30.5 1002

AMO ZXT150 22.5 320

AMO ZXT150 23.0 320

AMO ZXT150 23.5 320

AMO ZXT150 24.0 320

AMO ZXT150 25.5 320

AMO ZXT150 CF 22.5 1002

AMO ZXT150 CF 23.0 1002

AMO ZXT150 CF 23.5 1002

AMO ZXT150 CF 24.0 1002

AMO ZXT150 CF 25.5 1002

AMO ZXT225 20.0 320

AMO ZXT225 21.5 320

�58

AMO ZXT225 CF 20.0 1002

AMO ZXT225 CF 21.5 1002

AMO ZXT300 17.0 320

AMO ZXT300 19.5 320

AMO ZXT300 CF 17.0 1002

AMO ZXT300 CF 19.5 1002

AMO ZXT375 21.0 320

AMO ZXT375 CF 21.0 1002

AMO ZXT375 CF 24.0 1002

AMOXICILLIN 250MG CAPSULE 2.02

AMOXICILLIN 250MG/5ML SUSP 0.09


AMOXICILLIN 500MG CAP 0.88



AMOXICILLIN CLAV 250MG/5ML ORA 0.36

AMOXICILLIN/CLAV 500MG 10.69

AMOXICILLIN/CLAV 875MG TAB 12.89

AMPH DEEP BALL CATH 2.5X40X150 750

AMPH DEEP BALL CATH2.5X120X150 750

AMPHETAMINE 49

AMPHETAMINE CONFIRM 21

AMPHETAMINE/DEXTRAMPHET 5MGTAB 2.79

AMPHIR DEEP PTA BALL 2X40X150 750





AMPHOTERICIN B 50MG/STERILE WA 136.8

AMPHOTERICIN B INJ 50MG 136.8

AMPHOTERICIN B LIPOSOME 10MG 516.35

AMPHOTERICIN B LIPOSOME 10MG 22.62

AMPICILLIN 1G/0.9% NACI 100ML 23.93

AMPICILLIN 2G/0.9%NACI 100MLIV 33.26

AMPICILLIN SOD INJ 500MG 48.06

�59

AMPICILLIN SODIUM INJ 500MG 8.06

AMPICILLIN SODIUM INJ 500MG 17.61

AMPICILLIN-SULBACTAM 30MG STR 0.78

AMPLATZ GOOSENECK 4F 120X5X102 630

AMPLATZ GOOSENECK4F 120X10X102 580



AMPLATZ MICRO 175CMX7MMX150CM 1300

AMPLATZ SUPERSTIFF .035-180CM 103

AMPLATZ SUPERSTIFF .035-260CM 99

AMPLATZER PLUG 12MMX9MM 1600

AMPLATZER SEPTAL OCCL 9500




AMPLATZER SEPTAL OCCL. 9500





AMPUT FINGR/THMB W/LOC ADV FLP 4840

AMPUTATION-FINGER W/CLOSURE 4840

AMYLASE 126

AMYLASE BODY FLD 126

AMYVID F18 STDY DOSE TO 10MCI 7800

ANA PROFILE 158

ANA PROFILE-TITER 97

ANA SCREEN 158

ANA TITER 97

ANALYZ ANTITACHYARDIA PACEMKR 630

ANALYZ INFUSION PUMP NO REPROG 706

ANALYZE INFUS PUMP W/REPROGRM 467

ANALYZE NEUROSTIM NO PROG 309

ANALYZE NEUROSTIMUL W/O PROG 284

ANALYZE SPINE INFUSION PUMP 706

�60

ANCA INITIAL PROFILE 145

ANCA MPO 197

ANCA PR3 232

ANCA TITER BY IFA 145

ANCH TOG TOGGLELOC 7 ACL/PCL 922

ANCHOR 1284

ANCHOR 1284

ANCHOR 1605

ANCHOR 1605

ANCHOR 8X14X16X4 8924

ANCHOR ALL THREAD TI 5.0MM 641

ANCHOR BABSR GFT 2125

ANCHOR BC PUSHLOCK 2.9X15.5 116

ANCHOR BIOCORK SCREW 5.5MM 485

ANCHOR BIOCORK SCREW 5.5MM 485

ANCHOR BIO-PUSHLOCK 3.5X14MM 578

ANCHOR BIO-PUSHLOCK 3.5X14MM 578

ANCHOR BIO-SWIVELOCK 5MM 121

ANCHOR C 6X14X16X40 8924

ANCHOR C 8X12 9324

ANCHOR C 8X12X14X4 DEG 9324

ANCHOR C 8X14X16X8 DEG 8924

ANCHOR C CAGE 6X12X14X4 8924

ANCHOR C-CAGE 7X12X14X8 9324

ANCHOR CONNECTOR 2568

ANCHOR CONNECTOR 2568

ANCHOR CROSSLNK PEG GLENOID 40 3946

ANCHOR FAST-FIX ULTRA AB CVD 660

ANCHOR FAST-FIX ULTRA REV CVD 660

ANCHOR LD CLIK X MRI 700

ANCHOR MICRO FIX QUICK #4 620

ANCHOR MICRO FIX QUICK #4 620

ANCHOR MICROFIX PANACRYL 3-0 556

ANCHOR MICROFIX PANACRYL 3-0 556

ANCHOR MINI LOK O 752

�61

ANCHOR MINI QUICK PLUS/1 678

ANCHOR MINI QUICK PLUS/1 678

ANCHOR MINILOK ETHIBOND 2-0 710

ANCHOR MINILOK ETHIBOND 2-0 710

ANCHOR MINILOK PANACRYL 2-0 710

ANCHOR MINILOK PANACRYL 2-0 710

ANCHOR OTSC 738

ANCHOR PEG SZ 52MM 3945

ANCHOR PLUS GII QUICK 754

ANCHOR PLUS GII QUICK 754

ANCHOR PLUS SUPER QUICK 694

ANCHOR PLUS SUPER QUICK 694

ANCHOR PUSHLOCK 35X14MM PECK 590

ANCHOR PUSHLOCK 35X14MM PEEK 578

ANCHOR PUSHLOCK BIO 4.5MM 578



ANCHOR PUSHLOCK PEEK 4.5MM 578



ANCHOR QUICK MICRO 1.3MM 3-0 526



ANCHOR QUICK PLUS 2-0 542

ANCHOR QUICK PLUS 2-0 542

ANCHOR SCR 5MM WAYPOINT 150

ANCHOR SCREW 3.5X10MM 832

ANCHOR SCREW 4.0 X 10MM 832

ANCHOR SCREW BIOCORK 6.5MM 2507

ANCHOR SCREW BIOCORK 6.5MM 2507

ANCHOR SKIN CLOSURE WND KIT 1680

ANCHOR SUT BIO SWIVLK 4.75 760

ANCHOR SUT BIO SWIVLK 4.75 760

ANCHOR SUT DUET 6X16.5MM 504

ANCHOR SUT DUET 6X16.5MM 504

�62

ANCHOR SUTR 1 DIAM PNT SUT TK 618

ANCHOR SUTR 1.3MM 4-0 P3 MIC 568

ANCHOR SUTR 17GA .035IN .035IN 140

ANCHOR SUTR 2.4MM +1.5MM MIC 610

ANCHOR SUTR 2.4MM +1.5MM MIC 610

ANCHOR SUTR 2.4MM 2 SUT TK 468

ANCHOR SUTR 2.4MM 2-0 MIC 610

ANCHOR SUTR 2.4MM 2-0 MIC BSUT 490

ANCHOR SUTR 2.4MM 2-0 MIC BSUT 490

ANCHOR SUTR 2.4MM 2-0 MN BSUT 383

ANCHOR SUTR 2.4MM PUSHLOCK 578

ANCHOR SUTR 2.5MM BIO-PUSHLOCK 680

ANCHOR SUTR 2.9MM LNG MCMX 617



ANCHOR SUTR 2.9MM PUSHLOCK HIP 680

ANCHOR SUTR 2.9MM PUSHLOCK SHT 578

ANCHOR SUTR 2.9MM PUSHLOCK SHT 578

ANCHOR SUTR 2-0 MINILOK 966

ANCHOR SUTR 2-0 QAN+ PNC SFT 860

ANCHOR SUTR 3.5MM DX SWIVELOCK 170

ANCHOR SUTR 3.5MM DX SWIVELOCK 162

ANCHOR SUTR 3.5MM SWIVELOCK 638

ANCHOR SUTR 3.5MM SWIVELOCK 638

ANCHOR SUTR 3MM 2 SUT TK FBRWR 434

ANCHOR SUTR 3MM 2 SUT TK FBRWR 434

ANCHOR SUTR 3MM ARTHRO 519

ANCHOR SUTR 4.5MM IBALANCE 425





ANCHOR SUTR 4.75MM 604



�63


ANCHOR SUTR 5.5MM 2 CRKSCR FT 880

ANCHOR SUTR 5.5MM 2 CRKSCR FT 880

ANCHOR SUTR 5.5MM BCMPS 646

ANCHOR SUTR 5.5MM HEALIX PEEK 716

ANCHOR SUTR 6.5MM CRKSCR FT 3 490

ANCHOR SUTR 6.5MM CRKSCR FULL 590

ANCHOR SUTR 6.5MM CRKSCR FULL 590





ANCHOR SUTR ARTHRO DLV SYS 800

ANCHOR SUTR BIO-SWIVELOCK SP 646

ANCHOR SUTR BIO-SWIVELOCK SP 646

ANCHOR SUTR SPEEDBRIDGE IMPLNT 2253

ANCHOR SUTR SWIVELOCK VT CLSD 118

ANCHOR SUTR SWIVELOCK VT CLSD 118

ANCHOR SUTURE CORKSCREW 391

ANCHOR**USE ITEM 40236** 242

ANCHOR**USE ITEM 40236** 242

ANCHORING RING 68

ANCHR QUIK+ETHBND 2 CP-2 STRL 694

ANDROSTENEDIONE 38

ANESTHET FEMORAL NERV INFUSION 1438

ANESTHET SCIATIC NERV INFUSION 1538

ANEUROPLASTIC 2060

ANEUROPLASTIC KIT FAST SET 1214

ANGIO BRACHIAL RETRO RADIOLOGY 8056

ANGIO BRACHIAL RETROGRADE LEFT 8056

ANGIO BRACHIAL RETROGRADE RIGH 8056

ANGIO EXIST CATH FOR F/U STUDY 1559

ANGIO PELVIC EACH VESSEL SELCT 5569

ANGIO RENAL UNILATERAL SUPERVI 5535

ANGIO RENAL UNILATERAL SUPERVI 5535

�64

ANGIO SLIP CATHETER 120

ANGIO, ADRENAL BILAT 4986

ANGIO, ADRENAL UNILAT 4901

ANGIO, EXTREMITY BILAT 7012

ANGIO, EXTREMITY UNILAT 5241

ANGIO, INTERNAL MAMMARY 3822

ANGIO, PELVIC 5569

ANGIO, PULMONARY BILAT 4986

ANGIO, PULMONARY NON-SELECT 4823

ANGIO, PULMONARY UNILAT 4986

ANGIO, SELECTIVE E/ADDL 2513

ANGIO, SPINAL 2262

ANGIO,SELECTIVE EA ADD VESSEL 2513

ANGIO.THRU EXISTING CATH. 1559

ANGIOCATHETER 20X1.88 3

ANGIOGRAPHY ADDITIONAL SELECTV 2513

ANGIOGRAPHY EXTREM BILATERAL 7012

ANGIOGRAPHY EXTREMITY BILAT 7012

ANGIOGRAPHY EXTREMITY LEFT 5241

ANGIOGRAPHY EXTREMITY RIGHT 5241

ANGIOGRAPHY EXTREMITY UNILAT 5241

ANGIOGRAPHY SPINAL SELECTIVE 2262

ANGIOSCULPT RX 2.0X10MM 1600








ANGIOSCULPT, RX, US, PTCA 2.0 3200




ANGIOSEAL 6FR 380

�65

ANGIOSEAL 6FR 380

ANGIOSEAL 8FR 380

ANGIOTENSIN CONVERTING ENZ,CSF 18

ANGIOTENSIN CONVERTING ENZYME 18

ANGLED TRANSVERSE PROCESS, LEF 785

ANGLED TRANSVERSE PROCESS, RIG 785

ANKLE 2 VIEWS BILATERAL 460


ANKLE 2 VIEWS, LEFT 460


ANKLE 2 VIEWS, RIGHT 460

ANKLE 2 VIEWS,RIGHT 460







ANKLE BRACHIAL INDEX - LLE 786

ANKLE BRACHIAL INDEX - RLE 786

ANKLE,MORTISE VIEW/BILATERAL 460

ANKLE,MORTISE VIEW/BILATERAL 460

ANKLE,MORTISE VIEW/LEFT 460

ANKLE,MORTISE VIEW/LEFT 460

ANKLE,MORTISE VIEW/RIGHT 460

ANKLE,MORTISE VIEW/RIGHT 460

ANKLE,STRESS VIEW,RIGHT 460

ANKLE,STRESS VIEW,RIGHT 460

ANKLE,STRESS VIEW/BILATERAL 460

ANKLE,STRESS VIEW/BILATERAL 460

ANKLE,STRESS VIEW/LEFT 460

ANKLE,STRESS VIEW/LEFT 460

ANKLE/BILATERAL/PORTABLE 597

ANKLE/LEFT/PORTABLE 460

ANKLE/RIGHT/PORTABLE 460

�66

ANLYZ NEUROSTIM-S SPINE/PERIPH 277

ANNA IFA TITER IGG 43

ANNULOPLASTY RING 3540

ANORECTAL MANOMETRY 786



ANOSCOPY DX W/SPECIMEN SEP PX 178

ANOSCOPY, REMOVE FOREIGN BODY 2399

ANSER ADA - REPEAT SAMPLE 300

ANSER ADA-FIRST SAMPLE 875

ANSER IFX 2000

ANSER IFX INITIAL 2000

ANSER IFX REPEAT 300

ANSER VDZ - INITIAL 2000

ANSER VDZ - REPEAT SAMPLE 300

ANTEGRADE PUNCTURE 5241

ANTENNA FOR PATIENT PROGRAMMER 160

ANTEPARTUM CARE ONLY>=7 VISITS 2322

ANTEPARTUM CARE ONLY4-6 VISITS 1311

ANTERIOR 780

ANTERIOR CERVICAL 23MM 2218

ANTERIOR CERVICAL 23MM 2126

ANTERIOR CHAMBER EYE INJECTION 4725

ANTERIOR LUMBAR HYPERLORDOTIC 7658












�67



















ANTERIOR/POSTERIER 7.5CM 63

ANTERIOR/POSTERIER 7.5CM 63

ANTHEM RF CRT-PPM3210 16500

ANTHOLOGY SO POROUS SIZE 4 5770

ANTI-A4-FLA2 IGG ELISA 20

ANTIBODY ABSORPTION 254

ANTIBODY IDENTIFICATION 260

ANTIBODY SCREEN 207

ANTIBODY TITER 146

ANTI-CARDIOLIPIN IGG 233

ANTI-CARDIOLIPIN IGM 233

ANTI-CBIR1 IGG ELISA 20

ANTICOAGULANT MAN SUBS 90DAYS 32

ANTICOAGULANT MANAG 1ST 90DAYS 32

ANTIDIURETIC HORMONE 34

ANTI-DNA (ELISA) 212

ANTI-ENA PROFILE(SM,RNP,RO,LA) 265

�68

ANTIERUM GROUPING 33

ANTI-FLAX IGG ELISA 20

ANTIGEN SUBGROUPINGS 220

ANTI-LA NUCLEAR AB 265

ANTI-OMPC IGA ELISA 20

ANTI-PLT ABY (PLT ABY SCREEN) 280

ANTI-RNP NUCLEAR AB 265

ANTI-RO NUCLEAR AB 265

ANTI-SIPHON DEVICE 679

ANTI-SM NUCLEAR AB 265

ANTISTREPTOLYSIN O 95

ANTI-THROM III AG 235

ANTI-THROM.III AC 266

ANTITHROMBIN III 4

ANTI-XA ACTIVITY 236

ANUS SURGERY PROCEDURE 1706

AORT:ABDOMINAL ADRENAL,LEFT(AD 8067

AORT:ABDOMINAL ADRENAL,RIGHT(A 8067

AORT:ABDOMINAL SUBCLAVIAN,LEFT 8067

AORT:ABDOMINAL SUBCLAVIAN,RIGH 8067

AORTA DESCENDING THORACIC 15CM 12200

AORTA W/O&W NON-IONIC CONTRAST 3864

AORTA W/O&W NON-IONIC CONTRAST 3864

AORTIC BODY STENT GRAFT, O-PRI 16000



AORTIC VALVE CRYOPRESERVED 19792

AORTO ABDOMINAL ADDITIONAL 8067

AORTO, ABDOM+BILAT W/SRLGRPH 5232

AORTO, ABDOMINAL, W SRLGRPH 8067

AORTO, THORACIC, W/O SRLGRPH 4986

AORTOGRAM ABDOM W PERIPH RUNOF 5232

AORTOGRAM,ABD+PERIPHERAL RUNOF 5232

AORTOGRAM,THORACIC 8529

AORTOGRAM:ABDOMINAL,ADD.SELECT 8067

�69

AORTOGRAM:ABDOMINAL,RENAL/BILA 8067

AORTOGRAM:ABDOMINAL,RENAL/LEFT 8067

AORTOGRAM:ABDOMINAL,RENAL/RIGH 8067

APHASIA EVAL ADD31-60MINS 340

APHASIA EVAL-1ST HOUR 340

APHERESIS PROTEIN A EXTRACORPO 12472

APICO/PERIRAD MOLAR/1ST ROOT 896

APIXABAN 2.5MG TAB 21.11

APIXABAN 5MG TAB 19.61

APLIGRAF 2285

APLIGRAF 2285

APOGEE W INTEXEN 3790

APOGEE WITH INTEPRO 2790

APPIC LONG LEG CAST;WALK/AMB 709

APPL,FINGER SPLINT;STATIC 437

APPL,LONG LEG SPLINT(THIGH) 761

APPL,SHORT ARM SPLINT(FOREARM) 437

APPL,SHORT LEG SPLINT (CALF) 761

APPLIC CAST LNG ARM SHLDR-HAND 356

APPLIC RIGID TOTAL CNTC LEG CA 709

APPLIC SHRT LEG CAST;WALK/AMB 709

APPLICATION CAST; FINGER 437

APPLICATION CAST;ELBOW TO FIN 709

APPLICATION CAST;FIGURE-OF-8 356

APPLICATION CAST;FIGURE-OF-EI 709

APPLICATION CAST;FINGER 273

APPLICATION CAST;PLASTER VELP 709

APPLICATION CAST;SHOULDER SPI 709

APPLICATION FINGER SPLINT;DYN 381

APPLICATION HIP CAST-ONE LEG 709

APPLICATION OF CYLINDER CAST 709

APPLICATION OF LING LEG CAST B 709

APPLICATION OF LONG ARM SPLINT 437

APPLICATION OF SHORT LEG CAST 709

APPLICATION ON-BODY INJECTOR 386

�70

APPLICATION ON-BODY INJECTOR 386

APPLICATION PATR TENDON BEAR C 709

APPLICATION SHORT ARM SPLINT 381

APPLICATOR ESCP TROC NRFL CANN 350

APPLICATOR ESCP TROC NRFL CANN 350

APPLICATOR EXTEND TIP DURASEAL 750

APPLICATOR SURG 318MM MALLEA 1083

APPLICTAOR FLOSEAL ENDOSCOPIC 112

APPLIER CLIP 35CM ATO 5MM LF 244

APPLIER CLIP MCA MULTIPLE 19

APPLIER IN CLP 2300MM LWR 302

APPLIER IN CLP 5MM 5MM TI ESCP 244

APPLIER IN CLP ENDOSTAPLE CSST 9500

APPLIER IN CLP TI HMST CRTDG 20

APPLIER MCA MULTIPLE CLIP 19

APPLIER VASCUSTAT 1014

APPLY CAST ELBOW TO FINGER 663

APPLY CLUBFOOT CAST W/MOLD/MAN 356

APPLY FINGER SPLINT; STATIC 273

APPLY LEG CAST THIGH TO TOES 356

APPLY LONG LEG CAST 709

APPLY SPLINT FOREARM TO HAND 273

APPLY TOPICAL FLUORIDE VARNISH 63

APPLY WALKER SHORT LEG CAST 356

APRACLONIDINE OPHTH 1% SOLN 89.68

APREPITANT 125MG CAP 685.19



APTT (PTT) 109

APTT; PLASMA OR WHOLE BLOOD 109

AQUACEL AG 12X12 84

AQUACEL AG 4X4 26

AQUACEL AG 6X6 58

AQUACEL AG-12X12 84

AQUACEL AG-4X4 26

�71

AQUACEL AG-6X6 58

AQUAPLAST PERFORATED 1.6MM 197

AQUAPORIN-4 (AQP4) RECEPTOR 270

ARATERIOGRAM,ILIAC IPSHILATERA 5241

ARBO, WNILE 19

ARBO,E.CALF 20

ARBO,EEE 20

ARBO,SLE 19

ARBO,WEE 19

ARCH LARGE SIZE 1/3 2490

ARCOM XL 44-36 STD HMRL BRNG 2400

ARGATROBAN 1MG/1ML INJ 15.38

ARGATROBAN 250MG/2.5ML INJ 3175.23

ARGININE 10% IV 113.84

ARIPIPRAZOLE 10MG 69.65



ARIPIPRAZOLE 2MG CAP 85.05

ARIPIPRAZOLE 30MG TAB 97.02


ARROW CANNON CATH II 27CM 680

ARROW MENISCUS 1.1X13 314

ARROW MENISCUS 10MM 314

ARROW MENISCUS 16MM 314

ARSENIC 16

ARSENIC TRIOXIDE 10MG/10ML INJ 1538.79

ARSENIC TRIOXIDE 2MG/ML INJ 411.94

ARSENIC,HAIR 160

ARSENIC,URINE 17

ART BLOOD GAS 219

ART CATH ADD 2,3,+ ORDR LE ART 221

ART CATHETERIZ 1ST ORDER BRNCH 919

ART CATHETERIZ 2ND ORDER BRNCH 1003

ART CATHETERIZ 3RD ORDER BRNCH 1191

ART SURF SZ 3 10MM 2871

�72

ART SURF SZ 4 10MM 2871

ART,GRM,SUP.MESENTERIC(ADD) 8067

ART.CELIAC ARTERY(ADD) 2513

ART.GRM,ABD;SING.STUDY 8067

ART.GRM,ADD STDY 2513

ART.GRM,CELIAC(IND.PROC) 6890

ART.GRM,FEMOR,ADD 2513

ART.GRM,INFER.MESENERIC 388

ART.GRM,PELVIC(ADD) 5569

ART.GRM,SPINAL 2262

ART.GRM,THORACIC 8529

ART.GRM,TRNSLUM W/RUNOFF 5232

ART.GRM,TRNSLUMW/ORUNOFF 8067

ART.INF.MESEN.ARTERY(ADD) 2513

ART.PELVIC ARTERY(ADD) 2513

ART.SUP.MESEN.ARTERY(ADD) 2513

ART: ABDOMINAL 8067

ART: ARM 5241

ART: FEMORAL IPSILATERAL 5241

ART: ILIAC CONTRALAT 5241

ART: THORACIC 8529

ART:ABDOM W/PERIPH RUN OFF 5232

ART:ADD VIEW N/NEURO 2513

ART:ADD VIEW/NEURO 2513

ART:SELEC AS INDEP. 6890

ARTER.,INFERIOR MESEN(IND) 6890

ARTERIAL BG W/POTASSIUM(ED) 219

ARTERIAL BLOOD GAS 219



ARTERIAL BLOOD GAS & LYTES 219

ARTERIAL BLOOD GAS NICU 280

ARTERIAL BLOOD GAS WITH HB 219

ARTERIAL CATHETER,PERCUTANEOUS 411

ARTERIAL EMBOLIZATION 5324

�73

ARTERIAL GRAFT COMPONENT 8000

ARTERIAL LOW W/EX 273

ARTERIAL LOWER SP, SINGLE 786

ARTERIAL LOWER, MULT LEVEL 1245

ARTERIAL PUNCT WITHDRAWL BLOOD 231

ARTERIAL PUNCTURE 78

ARTERIAL PUNCTURE BLOOD DRAW 78

ARTERIAL PUNCTURE W/D BLOOD DX 285

ARTERIAL PUNCTURE,WITHDRW BLD 285

ARTERIAL UPPER, MULT LEVEL 1245

ARTERIOGRAM PULMONARY 4823

ARTERIOGRAM RENAL ARTERY/BILAT 2513

ARTERIOGRAM RENAL ARTERY/LEFT 2513

ARTERIOGRAM RENAL ARTERY/RIGHT 2513

ARTERIOGRAM SUBCLAVIAN ARTERY/ 2513

ARTERIOGRAM SUBCLAVIAN ARTERY/ 2513

ARTERIOGRAM SUBCLAVIAN LEFT 5241

ARTERIOGRAM SUBCLAVIAN RIGHT 5241

ARTERIOGRAM, PULMONARY BILATER 4986

ARTERIOGRAM,ADDITIONAL SELECTV 2513

ARTERIOGRAM,ADRENAL BILETERAL 4986

ARTERIOGRAM,ADRENAL/LEFT 4901

ARTERIOGRAM,ADRENAL/RIGHT 4901

ARTERIOGRAM,FELVIC(IND.PROC) 5569

ARTERIOGRAM,ILIAC IPSHILATERAL 5241

ARTERIOGRAM,PULMONARY,SELECT,L 4986

ARTERIOGRAM,PULMONARY,SELECT,R 4986

ARTERIOGRAM:ADRENAL ARTERY LEF 2513

ARTERIOGRAM:ADRENAL ARTERY(ADD 2513

ARTERIOGRAM:ARM NEEDLE CATH LT 5241

ARTERIOGRAM:FEMORAL/BILATERAL 7012

ARTERIOGRAM:FEMORAL/LEFT 5241

ARTERIOGRAM:FEMORAL/RIGHT 5241

ARTGRM,ABD W/SEL ART 8067

ARTGRM,ARCH W/SUB SEL ART 6890

�74

ARTGRM,SPINAL/ANY(ADD) 2262

ARTGRM,SUP MESEN(IND) 6890

ARTHOGRAM, ELBOW/LEFT 1774

ARTHOGRAM,ANKLE/LEFT 1431

ARTHOGRAM,ANKLE/RIGHT 1431

ARTHOGRAM,ELBOW/RIGHT 1774

ARTHOGRAM,HIP/LEFT 1973

ARTHOGRAM,HIP/RIGHT 1973

ARTHOGRAM,KNEE/LEFT 823

ARTHOGRAM,KNEE/RIGHT 823

ARTHOGRAM,SHOULDER/LEFT 1536

ARTHOGRAM,SHOULDER/RIGHT 1536

ARTHOGRAM,WRIST RIGHT 448

ARTHOGRAM,WRIST/LEFT 448

ARTHOGRM,THUMB/LT 388

ARTHOGRM,THUMB/RT 388

ARTHOTOMO,TMJ,ART 753

ARTHRECTOMY SYS 3.5 TO 7.0MM 6990

ARTHROGRAM,ANKLE/LEFT 1431

ARTHROGRAM,ANKLE/RIGHT 1431

ARTHROGRAM,ELBOW/LEFT 1774

ARTHROGRAM,ELBOW/RIGHT 1774

ARTHROGRAM,HIP/LEFT 1973

ARTHROGRAM,HIP/RIGHT 1973

ARTHROGRAM,KNEE/LEFT 823

ARTHROGRAM,KNEE/RIGHT 823

ARTHROGRAM,SHOULDER/LEFT 1536

ARTHROGRAM,SHOULDER/RIGHT 1536

ARTHROGRAM,THUMB/LEFT 388

ARTHROGRAM,THUMB/RIGHT 388

ARTHROGRAM,WRIST/LEFT 448

ARTHROGRAM,WRIST/RIGHT 448

ARTHROTOMOGRAM TEMPERO-MAND JT 753

ARTIC SURFACE SZ 3 8MM 1502

ARTICULAR INSERT SZ 3-4 9MM 8170

�75

ARTICULAR SURFACE 14MM 3732

ARTICULAR SURFACE 17MM 4328

ARTICULAR SURFACE SZ 5 8MM 1410

ARTICULAR SURFACE SZ EF 17MM 3506

ARTICULAR SURFACE W/LOCK 17MM 3732

ARTICULAR SURGACE SZG H 12MM 3740

ARUP IMMUNOHIST EGFR 433

ARUP IMMUNOHISTEA AB 433

ARUP TISSUE IN SITU 478

ARYLSULFATASE A,URINE 332

ASAH AHW14R004S 750

ASAHI WIRE MIRACLEBROS 3 190 280

ASC MINUTE CHARGE 45

ASC RECOVERY MIN 45

ASCA IGA ELISA 20

ASCA IGG ELISA 20

ASCORBIC ACID 250MG TABLET 0.82

ASCORBIC ACID 500MG TAB 0.8

ASCORBIC ACID 500MG/5ML LIQUID 0.93

ASCORBIC ACID 500MG/5ML SYRUP 0.36

ASCORBIC ACID INJ 500MG/ML 4.35

ASP/ARTH/INJ MAJ JNT BL W/O US 850

ASP/ARTHR/INJ MAJ JOINT W/O US 635

ASP/ARTHR/INJ SM JOINT W/ US 593

ASP/ARTHR/INJ SM JOINT W/O US 635

ASP/ARTHRO/INJ INT JNT W/O US 635

ASP/ARTHRO/INJ INTMED JNT W US 593

ASP/ARTHRO/INJ MAJOR JNT W US 593

ASPARAGINASE ERWINIA 10000U IN 11066.61

ASPERGILLUS ANTIBODIES,ID 13

ASPERGILLUS EIA BRONCHIAL WASH 100

ASPERGILLUS EIA, BAL 100

ASPERGILLUS EIA, SERUM 100

ASPERGILLUS GALACTOMANNAN AG 70

ASPERGILLUS PCR PANEL 185

�76

ASPIRATE PLEURA W/IMAGING 1554

ASPIRATE PLEURA W/O IMAGING 1554

ASPIRATE PLEURA W/O IMAGING 6126

ASPIRATE/INJ GANGLION CYST 728

ASPIRATE/INJECT GANGLION CYST 635

ASPIRATION TUBING 700

ASPIRATOR TOPEL CYST 335

ASPIRATOR TOPEL CYST 335

ASPIRE SR GENERATOR 53356

ASPIRIN 300MG SUPP 4.27

ASPIRIN 325MG EC TABLET 0.87

ASPIRIN 600MG SUPP 4.52

ASPIRIN 81MG 0.92

ASPIRIN RESPONSE 275

ASPIRIN/CAFFEINE/BUTALBUTAL TA 4.4

ASPIRIN/DIPYRIDAM ER 25/200 20.78

ASSAY BLOOD CARBON DIOXIDE 108

ASSAY GLUCOSE BLOOD QUANT 54

ASSAY OF BLOOD CHLORIDE 67

ASSAY OF CREATININE 88

ASSAY OF LACTIC ACID 155

ASSAY OF NATRIURETIC PEPTIDE 299

ASSAY OF SERUM POTASS

january 2019 charges - stony brook medicine · 2019-12-16 · january 2019 charges technical...

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