Charge Code Description Department UB RevenueCode Procedure Code Rate BCBS MEDICAID MEDICARE  Status
10060 I&D ABSCESS CLIN 361 10060 75.00 Active
10061 I&D ABSCESS MULTIPLE CLIN 361 10061 100.00 Active
3300025 I & D PILONIDAL CYST ED 450 10080 72.60 Active
3550026 REMOVAL FOREIGN BODY WC 361 10120 508.20 Active
3550031 I&D HEMATOMA SEROMA WC 361 10140 290.40 Active
3550024 PUCTURE DRAINAGE OF LE WC 361 10160 508.20 Active
3550005 COMPLEX DRAINAGE, WOUN WC 361 10180 5082.00 Active
3550006 DEBRIDE INFECTED SKIN WC 361 11000 217.80 Active
3550008 DEBRIDE SKIN, PARTIAL WC 361 11040 435.60 Active
3550007 DEBRIDE SKIN, FULL WC 361 11041 682.50 Active
3550009 DEBRIDE SUBQ/TISSUE 1ST WC 361 11042 1379.40 Active
3550010 DEBRIDE FASCIA/MUSCLE 1ST WC 361 11043 1379.40 Active
3550011 DEBRIDE BONE 1ST 20 CM WC 361 11044 1887.60 Active
3550035 DEBRIDE SUBQ EACH ADD 20 WC 361 11045 435.60 Active
3550034 DEBRIDE MUSCLE/FACIA ADD WC 361 11046 435.60 Active
3550033 DEBRIDE BONE EACH ADD 20 WC 361 11047 726.00 Active
3550356 PARING/CUTTING CORN/CALLUS, SINGLE WC 361 11055 100.00 Active
3550032 CALLUS/CORN REMOVAL 2-4 WC 361 11056 145.20 Active
3550358 PARING/CUTTING CORN/CALLUS 4+ WC 361 11057 200.00 Active
3550025 PUNCH BIOPSY WC 361 11100 400.00 Active
335023 PUNCH BIOPSY SINGLE LESION TR 510 11104 200.00 Active
335024 PUNCH BIOPSY EACH ADDITIONAL LESION TR 510 11105 200.00 Active
11200 SKIN TAG REMOVAL CLIN 361 11200 75.00 Active
3300090 REMOVAL LES SHAVED .6-1CM ED 450 11301 100.00 Active
3300091 REMOVE LES SHAVED 1.1-2CM ED 450 11302 175.00 Active
3300082 EXCISION BN LESION .5 < ED 450 11400 726.00 Active
3300083 EXCISION BN LESION .6-1.0 ED 450 11401 726.00 Active
3300084 EXCISION BN LESION 1.1-2 ED 450 11402 726.00 Active
335016 LESION EXCISE FACE .5/< TR 510 11440 150.00 Active
335014 LESION EXCISE FACE .6-1CM TR 510 11441 200.00 Active
335008 EXCISION MAL. LESION <4CM TR 510 11646 2178.00 Active
3550359 TRIM NONDYSTROPHIC NAILS WC 361 11719 100.00 Active
3550360 DEBRIDE NAIL 1-5 WC 361 11720 150.00 Active
3550361 DEBRIDE NAILS 6+ WC 361 11721 250.00 Active
3300002 AVULSION NAIL PLATE SINGL ED 450 11730 217.80 Active
3300086 AVULSION NAIL PLATE ADD ED 450 11731 0.00 Active
11765 INGROWN NAIL REMOVAL CLIN 361 11765 75.00 Active
335022 REMOVAL IMPLANTED CONTRACEPTIVE CAPSULES TR 510 11976 150.00 Active
12001 SIMPLE REPAIR CLIN 361 12001 75.00 Active
3300069 SP SCALP\EXT\TRK 2.6-7 ED 450 12002 363.00 Active
3300070 SP SCALP\EXT\TRK 7.6-1 ED 450 12004 363.00 Active
3300067 SP SCALP\EXT\TRK 12.6- ED 450 12005 363.00 Active
3300093 LC SCALP/EXT/TRK 20-30CM ED 450 12006 450.00 Active
3300064 SP FACE\EAR\MM 2.5 OF ED 450 12011 363.00 Active
3300065 SP FACE\EAR\MM 5.1-7.5 ED 450 12013 363.00 Active
3300066 SP FACE\EAR\MM 7.6-12. ED 450 12014 363.00 Active
3300063 SP FACE\EAR\MM 12.6-20 ED 450 12015 363.00 Active
3300043 LC SCALP\EXT\TRK 2.5 O ED 450 12031 363.00 Active
3300044 LC SCALP\EXT\TRK 2.6-7 ED 450 12032 363.00 Active
3300045 LC SCALP\EXT\TRK 7.6-1 ED 450 12034 363.00 Active
3300042 LC SCALP\EXT\TRK 12.6- ED 450 12035 363.00 Active
3300039 LC NECK\HAND\FT 2.5 OR ED 450 12041 363.00 Active
3300040 LC NECK\HAND\FT 2.6-7. ED 450 12042 363.00 Active
3300041 LC NECK\HAND\FT 7.6-12 ED 450 12044 363.00 Active
3300038 LC NECK\HAND\FT 12.6-2 ED 450 12045 363.00 Active
3300035 LC FACE\EAR\MM 2.5 OR ED 450 12051 363.00 Active
3300034 LC \FACE\EAR\MM 2.6-5 ED 450 12052 363.00 Active
3300036 LC FACE\EAR\MM 5.1-7.5 ED 450 12053 363.00 Active
3300037 LC FACE\EAR\MM 7.6-12. ED 450 12054 363.00 Active
3550044 APP OF APLIGRAF 1ST 25 CM WC 361 15340 435.60 Active
3550045 APP OF APLIGRAF ADD 25CM WC 361 15341 0.00 Active
3550048 APP OF DERMAGRAFT 1ST 100 WC 361 15365 109.60 Active
3550001 APP OASIS WND MATRIX 1ST WC 361 15430 1234.20 Active
3550002 APP OASIS WND MATRIX ADD WC 361 15431 1234.20 Active
3300004 BURN 1ST INITIAL ED 450 16000 363.00 Active
3300007 BURN DRESS/DEBRIDE SM ED 450 16020 290.40 Active
3300006 BURN DRESS/DEBRIDE MD ED 450 16025 363.00 Active
17000 DESTRUCTION OF LESION CLIN 361 17000 75.00 Active
335020 DESTRUCTION OF LESION-2ND/14TH TR 982 17003 250.00 Active
17004 DESTRUCTION OF LESION CLIN 361 17004 165.00 Active
17110 WART DESTRUCTION CLIN 361 17110 75.00 Active
3550004 CHEMICAL CAUT OF TISSU WC 361 17250 400.00 Active
3300058 REM FOREIGN BODY MUS\T ED 450 20520 563.70 Active
335021 TRIGGER POINT INJ 1-2 MUSCLES TR 510 20552 250.00 Active
3300088 TRIGGER POINT INJ 3+ MUSCLES TR 510 20553 462.00 Active
20610 JOINT INJECTIONS CLIN 361 20610 83.00 Active
3300055 REDUCTION OF SHOULDER ED 450 23650 145.20 Active
3300085 EXCISION GANGLION FINGER ED 450 26160 2904.00 Active
3300094 THUMB REDUCTION ED 450 26641 150.00 Active
335025 REDUCTION FINGER TR 510 26700 250.00 Active
3300102 TOE DISLOCATION ED 450 28630 200.00 Active
3300074 SPLINT APP. LONG ARM ED 450 29105 217.80 Active
3300075 SPLINT APP. SHORT ARM ED 450 29125 203.30 Active
3300073 SPLINT APP. FINGER ED 450 29130 188.80 Active
3300080 STRAPPING SHOULDER ED 450 29240 145.20 Active
3300077 STRAPPING ELBOW/WRIST ED 450 29260 145.20 Active
3300078 STRAPPING HAND/FINGER ED 450 29280 145.20 Active
3300071 SPLINT APP LONG LEG ED 450 29505 130.70 Active
3300001 AIR CAST APPLICATION ED 450 29515 116.20 Active
3300079 STRAPPING KNEE ED 450 29530 145.20 Active
3300076 STRAPPING ANKLE ED 450 29540 145.20 Active
3550003 APP OF UNNA BOOT/MULTI WC 761 29580 290.40 Active
3550028 APP OF VENOUS WOUND COMPR WC 361 29581 217.80 Active
3300062 REMOVAL LEG/ARM CAST ED 450 29705 145.20 Active
3300060 REMOVAL FOREIGN BODY N ED 450 30300 363.00 Active
3300049 NASAL HEM. ANT. SIMPLE ED 450 30901 290.40 Active
3300048 NASAL HEM. ANT. COMPLE ED 450 30903 363.00 Active
3300050 NASAL HEM. POS. INITIA ED 450 30905 508.20 Active
3300047 NASAL HEM POS SUBSEQUE ED 450 30906 435.60 Active
4000001 ENDO TRACHEAL TUBE PROCEDURE NUP 241 31500 250.00 Active
3300095 EMERGENCY TRACHEOSTOMY ED 450 31605 450.00 Active
3300033 INSERTION OF CHEST TUB ED 450 32020 508.20 Active
3300081 THORACENTESIS FOR ASPI ED 450 32421 726.00 Active
3300096 THORACENTESIS ED 450 32554 350.00 Active
36415 VENIPUNCTURE CLIN 300 36415 10.00 Active
3650012 BLOOD ADMINISTRATION BB 391 36430 668.00 Active
3300009 CENTRAL VENOUS CATH PL ED 450 36489 1161.60 Active
3300100 PICC < 5 YRS TR 761 36568 500.00 Active
3300101 PICC > 5 YRS TR 761 36569 500.00 Active
3300089 INTRAOCCEOUS LINE ED 450 36680 300.00 Active
3740016 PG UTERUS TRANSVAGINAL US 402 36830 330.00 Active
3850013 EGD W/DILATION VIA DIL ENDO 750 43213 1742.40 Active
3850016 ESOPHAGOSCOPY ENDO 750 43220 1742.40 Active
3850010 EGD ENDO 750 43235 1742.40 209.01 Active
3850012 EGD W/BIOPSY ENDO 750 43239 1742.40 236.26 Active
3850015 EGD W/PEG PLACEMENT ENDO 750 43246 1742.40 Active
3850020 PEG REMOVAL ENDO 750 43247 798.60 Active
3850011 EGD W/BALLOON DILATION ENDO 750 43249 1742.40 Active
3850014 EGD W/DILATION VIA SAV ENDO 750 43453 1742.40 Active
3850018 GASTROTOMY W/INSERT PE ENDO 750 43750 1742.40 Active
3850019 NG TUBE PLACEMENT NUP 750 43752 1742.40 Active
3300022 GASTRIC INTUBA ASPIRA\ ED 450 43753 435.60 Active
3850017 GASTROSTOMY TUBE REPL. ENDO 750 43762 1742.40 Active
3850025 SMALL BOWEL ENDS W\BIO ENDO 750 44361 798.60 Active
3850003 COLONOSCOPY THROUGH ST ENDO 750 44388 1742.40 Active
3850021 PROCTOSIGMOIDOSCOPY W/ ENDO 750 45303 798.60 Active
3850023 SIGMOIDOSCOPY FLEXIBLE ENDO 750 45330 1742.40 Active
3850024 SIGMOIDOSCOPY FLEX W/B ENDO 750 45331 1742.40 Active
3850022 SIGMOIDO FLEX W/HOT BIOP ENDO 750 45333 798.60 Active
3850009 COLONOSCOPY, DIAGNOSTIC ENDO 750 45378 1742.40 316.32 Active
3850004 COLONOSCOPY W/ BIOPSY ENDO 750 45380 1742.40 342.67 Active
3850008 COLONOSCOPY W/TUMOR MA ENDO 750 45381 1742.40 Active
3850005 COLONOSCOPY W/BLEED CO ENDO 750 45382 1742.40 Active
3850006 COLONOSCOPY W/LESION R ENDO 750 45384 1016.40 Active
3850007 COLONOSCOPY W/REMOVAL ENDO 750 45385 1742.40 434.84 Active
3850001 ANOSCOPY W/DILATION ENDO 750 46604 2032.80 Active
335017 PARACENTESIS ABDOMINAL TR 510 49082 350.00 Active
3300023 GASTROSTOMY TUBE REPLA ED 450 49450 871.20 Active
3300092 BLADDER IRRIGATION ED 450 51700 75.00 Active
3300031 INSERT NON-DWELLING CA ED 450 51701 72.60 Active
3300032 INSERT TEM.INDWELLING ED 450 51702 95.10 Active
3300008 CATH INS TEMPORARY COM ED 450 51703 217.80 Active
3300014 DELIVERY ED 450 59409 1335.90 Active
3300015 DELIVERY OF PLACENTA ED 450 59414 334.00 Active
3300046 LUMBAR PUNCTURE ED 450 62270 421.10 Active
3300057 REM FOREIGN BODY EYE S ED 450 65205 372.30 Active
3300056 REM FOREIGN BODY EYE E ED 450 65210 406.60 Active
3300059 REMOVAL FOREIGN BODY E ED 450 69200 145.20 Active
3300061 REMOVAL IMPACTED CERUM ED 450 69210 145.20 Active
3700053 MANDIBLE MIN 4 VIEWS RAD 320 70110 273.30 12.65 Active
3700054 MASTOIDS MIN 3 VIEWS RAD 320 70130 331.40 17.3 Active
3700018 FAC/BONES MIN 3 VIEW RAD 320 70150 269.30 13.33 Active
3700055 NAS/BONES MIN 3 VIEW RAD 320 70160 228.40 8.81 Active
3700057 ORBITS MIN 4 VIEWS RAD 320 70200 275.90 14.5 Active
3700058 PARANASAL SINUSES <3VI RAD 320 70210 240.30 8.81 Active
3700059 PARANASAL SINUSES 3OR> RAD 320 70220 298.40 11.25 Active
3700074 SKULL < 4 VIEWS RAD 320 70250 286.50 10.12 Active
3700075 SKULL SER 4 VIEW RAD 320 70260 323.40 14.36 Active
3700079 T M JOINTS BILATERAL RAD 320 70330 237.60 12.29 Active
3700056 NECK (SOFT TISSUES) RAD 320 70360 207.30 9.17 Active
3720019 CT HEAD WO\CONTRAST CT 351 70450 719.40 146.53 42.77 Active
3720018 CT HEAD W\CONTRAST CT 351 70460 827.70 56.37 Active
3720020 CT HEAD W-WO\CONTRAST CT 351 70470 1009.80 63.46 Active
3720041 CT EAR W/O CONTRAST CT 350 70480 435.60 63.82 Active
3720027 CT ORBITS W\CONTRAST CT 350 70481 900.30 56.37 Active
3720029 CT ORBITS W-WO\CONTRAS CT 350 70482 900.30 63.14 Active
3720017 CT FACIAL BONES WO/CON CT 350 70486 682.50 43.09 Active
3720016 CT FACIAL BONES W/CONT CT 350 70487 755.10 56.37 Active
3720054 CT SINUSES WITH AND W/O CONTRAST CT 350 70488 1100.00 63.46 Active
3720026 CT NECK SOFT TIS WO\CO CT 350 70490 827.70 64.13 Active
3720025 CT NECK SOFT TIS W\CON CT 350 70491 827.70 69.01 Active
3720045 CT NECK SOFT TIS W-WO/CON CT 350 70492 870.00 81.57 Active
3720006 CT ANGIOGRAM HEAD CT 350 70496 871.20 87.53 Active
3720008 CT ANGIOGRAM NECK CT 350 70498 871.20 87.53 Active
3700009 CHEST 1 VIEW RAD 320 71045 118.80 9.17 Active
3700011 CHEST 2 VIEWS RAD 324 71046 203.30 10.93 Active
3700013 CHEST 3 VIEWS RAD 324 71047 154.50 13.69 Active
3700111 CHEST 4 VIEWS RAD 324 71048 250.00 16.08 Active
3700063 RIBS LT W/O CHEST RAD 320 71100 289.10 14.72 Active
3700062 RIBS BILATERAL W/O CHEST RAD 320 71110 359.10 11.25 Active
3700078 STERNUM MIN 2 VIEW RAD 320 71120 261.40 10.21 Active
3720013 CT CHEST WO\CONTRAST CT 350 71250 392.10 57.77 Active
3720012 CT CHEST W/CONTRAST CT 350 71260 827.70 62.37 Active
3720014 CT CHEST W-WO/CONTRAST CT 350 71270 900.30 68.7 Active
3720005 CT ANGIOGRAM CHEST CT 350 71275 1089.00 91.01 Active
3700077 SPINE 1 VIEW,SPECIFY RAD 320 72020 134.70 8.13 Active
3700008 CERVICAL SPINE AP\LATE RAD 320 72040 295.70 11.25 Active
3700007 CER SPINE 5 VIEW RAD 320 72050 314.20 13.69 Active
3700081 THORACIC SPINE AP\LATE RAD 320 72070 266.70 11.61 Active
3700080 THORACIC SPINE 3V RAD 320 72072 290.40 16.22 Active
3700068 SCOLIOSIS SURVEY RAD 320 72082 590.10 62.03 Active
3700051 LUMBAR SPINE AP/LAT. RAD 320 72100 310.20 11.25 Active
3700052 LUMBAR SPINE W/OBLIQ RAD 320 72110 278.60 61.47 15.09 Active
3700050 LUMB/SPINE W/BENDING RAD 320 72114 388.10 15.09 Active
3720015 CT C-SPINE WO\CONTRAST CT 350 72125 755.10 50.09 Active
3720052 CT CERVICAL SPINE WITH CONTRAST CT 350 72126 1000.00 61.02 Active
3720053 CT CERVICAL SPINE WITH AND W/O CONTRAST CT 350 72127 1500.00 63.46 Active
3720036 CT THORACIC SPINE WO\C CT 350 72128 755.10 50.09 Active
3720051 CT THORACIC SPINE WITH  CONTRAST CT 350 72129 1000.00 61.02 Active
3720047 CT THORACIC SPINE W/WO CONTRAST CT 350 72130 800.00 63.46 Active
3720024 CT LUMBAR SPINE WO\CON CT 350 72131 755.10 50.09 Active
3720040 CT LUMBAR SPINE W/CON CT 350 72132 871.20 61.02 Active
3720050 CT LUMBAR SPINE WITH AND W/O CONTRAST CT 350 72133 500.00 63.14 Active
3700061 PELVIS AP RAD 320 72170 194.10 8.81 Active
3700060 PELVIS 3V RAD 320 72190 217.80 12.65 Active
3720009 CT ANGIOGRAM PELVIS CT 350 72191 1089.00 89.69 Active
3720032 CT PELVIS WO-CONTRAST CT 350 72192 792.00 54.29 Active
3720031 CT PELVIS W\CONTRAST CT 350 72193 937.20 281.75 57.77 Active
3720033 CT PELVIS W-WO\CONTRAS CT 350 72194 1009.80 61.02 Active
3700065 SACRUM/COCCYX MIN 2V RAD 320 72220 217.80 8.81 Active
3700014 CLAVICLE LT RAD 320 73000 191.40 8.45 Active
3700066 SCAPULA LT RAD 320 73010 187.50 9.13 Active
3700069 SHOULDER 1 VIEW LT RAD 320 73020 216.50 7.77 Active
3700071 SHOULDER MIN 2 VIEWS L RAD 320 73030 264.00 9.49 Active
3700043 HUMERUS MIN 2 VIEWS LT RAD 320 73060 153.20 8.45 Active
3700016 ELBOW LT RAD 320 73080 212.60 8.81 Active
3700033 FOREARM AP/LAT RT RAD 320 73090 166.40 8.45 Active
3700104 UPPER EXT INFANT LT RAD 320 73092 160.00 8.45 Active
3700094 WRIST 2 VIEWS LT RAD 320 73100 145.20 8.45 Active
3700096 WRIST MIN 3 VIEWS LT RAD 320 73110 216.50 8.81 Active
3700103 HAND 2 VIEWS LT RAD 320 73120 180.00 8.45 Active
3700035 HAND MIN 3 VIEWS LT RAD 320 73130 207.30 8.81 Active
3700021 FINGER 3 VIEWS LT 2ND RAD 320 73140 202.00 7.05 Active
3720039 CT UPPER EXT. WO\CONTR CT 350 73200 755.10 50.09 Active
3720037 CT UPPER EXT W\CONTRAS CT 350 73201 900.30 57.77 Active
3720038 CT UPPER EXT W-WO\CONT CT 350 73202 900.30 61.02 Active
3720010 CT ANGIOGRAM UPPER EXT CT 350 73206 871.20 89.69 Active
3700039 HIP 1 VIEW LT RAD 320 73501 217.80 9.49 Active
3700041 HIP MIN 2 VIEWS LT RAD 320 73502 254.80 11.25 Active
3700101 HIP BIL/PELVIS RAD 320 73522 300.00 14.72 Active
3700019 FEMUR AP\LATERAL LT RAD 320 73552 223.10 9.17 Active
3700047 KNEE AP/LATERAL LT RAD 320 73560 202.00 8.45 Active
3700046 KNEE AP/LAT\OBL RT RAD 320 73562 212.60 9.49 Active
3700082 TIBIA/FIBULA LT RAD 320 73590 208.60 11.25 Active
3700106 LOWER EXT INFANT LT RAD 320 73592 180.00 8.13 Active
3700003 ANKLE 2 VIEWS LT RAD 320 73600 176.90 8.45 Active
3700005 ANKLE AP\OBL\LAT LT RAD 320 73610 209.90 8.81 Active
3700108 FOOT 2 VIEWS LT RAD 320 73620 180.00 8.49 Active
3700031 FOOT MIN 3 VIEWS LT RAD 320 73630 208.60 8.49 Active
3700037 HEEL OS CALCIS LT RAD 320 73650 202.00 8.13 Active
3700084 TOE MIN 2 VIEWS LT 2ND RAD 320 73660 202.00 6.73 Active
3720022 CT L EXT WO\CONTRAST CT 350 73700 682.50 50.09 Active
3720021 CT L EXT W\CONTRAST CT 350 73701 792.00 57.77 Active
3720023 CT L EXT W-WO\CONTRAST CT 350 73702 900.30 60.7 Active
3720007 CT ANGIOGRAM LOWER EXT CT 350 73706 871.20 93.89 Active
3700002 ABDOMEN 1 VIEW RAD 320 74018 202.00 9.17 Active
3700001 ABDOMEN 2 VIEWS RAD 320 74019 274.60 11.61 Active
3700112 ABDOMEN 3 OR MORE VIEWS RAD 320 74021 350.00 13.37 Active
3700113 ACUTE ABD SERIES WITH CHEST FILM RAD 324 74022 950.00 15.81 Active
3720002 CT ABDOMEN WO\CONTRAST CT 350 74150 755.10 59.62 Active
3720001 CT ABDOMEN W\CONTRAST CT 350 74160 842.20 63.77 Active
3720003 CT ABDOMEN W-WO\CONTRA CT 350 74170 1009.80 70.32 Active
3720004 CT ANGIOGRAM ABDOMEN CT 350 74175 1161.60 90.69 Active
3720043 CT ABD/PELVIS W/O CONTRAS CT 350 74176 1016.40 87.17 Active
3720044 CT ABD/PELVIS W/CONTRAST CT 350 74177 1016.40 389.39 91.32 Active
3720042 CT ABD/PELVIS W/WO CONTRS CT 350 74178 1452.00 100.08 Active
3700100 BARIUM SWALLOW RAD 320 74220 290.40 29.63 Active
3700076 SMALL BOWEL SERIES RAD 320 74250 217.80 41.01 Active
3700045 IVP RAD 320 74400 332.70 24.3 Active
3700098 X-RAY VARIALBE RAD 320 76061 2.70 28.23 Active
3740009 THYROID ULTRASOUND US 402 76536 217.80 Active
3740032 BREAST US UNI COMPLETE US 402 76641 350.00 28.23 Active
3740033 BREAST US UNI LIMITED US 402 76642 300.00 33.83 Active
3740002 COMPLETE ABDOMEN ULTRA US 402 76700 508.20 154.75 41.01 Active
3740007 SINGLE ORGAN ULTRASOUN US 402 76705 363.00 29.31 Active
3740006 RETROPERITONEAL ULTRAS US 402 76770 363.00 41.01 Active
3740014 PG UTERUS 1ST TRIMESTER US 402 76801 528.00 49.73 Active
3740004 OB>1=14 WEEKS SIMPLE U US 402 76805 435.60 181.12 49.73 Active
3740003 OB>/=14 WEEKS COMPLEX US 402 76811 508.20 94.12 Active
3740017 TRANSVAGINAL US 402 76830 264.00 154.09 34.51 Active
3740005 PELVIS ULTRASOUND US 402 76856 363.00 34.19 Active
3740008 TESTICLE ULTRASOUND US 402 76870 217.80 31.75 Active
3740019 EXTREMITY SUPERFICIAL US 402 76881 198.00 31.25 Active
3740010 ULT HIPS INFANT US 402 76886 217.80 31.03 Active
3760003 MAMMOGRAM DIAGNOSTIC UNILATERAL LEFT MAMM 401 77065 135.00 137.38 41.01 Active
3760001 MAMMOGRAM DIAGNOSTIC BILATERAL MAMM 401 77066 200.00 173.72 50.09 Active
3760002 MAMMOGRAM SCREENING BILATERAL MAMM 403 77067 150.00 139.15 38.57 Active
3700102 BONE AGE STUDY RAD 320 77072 300.00 9.53 Active
3700073 SKELETAL SURVEY RAD 320 77075 547.80 27.87 Active
3720011 CT BONE DENSITY CT 320 77078 319.50 70.24 Active
3610128 RBC FOLATE RLAB 300 78170 129.40 11.51 Active
3600073 PROFILE 8 LAB 300 80048 59.40 12.18 8.46 Active
3600034 ELECTROLYTE PANEL LAB 300 80051 34.40 9.94 7.01 Active
3600072 PROFILE 14 LAB 300 80053 79.20 15.21 10.56 Active
3600054 LIPID PANEL LAB 300 80061 70.00 17.22 13.39 Active
3600079 RENAL FUNCTION PANEL LAB 300 80069 46.20 12.51 8.68 Active
3610093 HEPATITIS PANEL RLAB 300 80074 368.30 68.61 47.63 Active
3600047 HEPATIC FUNCTION PANEL LAB 300 80076 37.00 11.77 8.17 Active
3610010 AMIKACIN PEAK RLAB 300 80150 67.40 16.77 15.08 Active
3610327 CAFFEINE LEVEL RLAB 300 80155 115.00 20.37 19.25 Active
3610150 TEGRETOL LEVEL RLAB 300 80156 89.80 16.77 14.57 Active
3610214 CYCLOSPORIN RLAB 300 80158 241.50 26 18.05 Active
3600021 DIGOXIN LAB 300 80162 46.20 19.12 13.28 Active
3610064 DEPAKANE RLAB 300 80164 113.60 19.51 13.54 Active
3610174 ZARONTIN RLAB 300 80168 63.40 19.78 16.34 Active
3610078 GENTAMYCIN PEAK RLAB 300 80170 77.90 16.77 15.84 Active
3610234 HALOPERIDOL RLAB 300 80173 155.00 16.77 15.78 Active
3610249 LAMOTRIGINE RLAB 300 80175 184.00 19.09 13.25 Active
3610108 LIDOCAINE LEVEL RLAB 300 80176 96.40 18.38 14.69 Active
3610250 LEVETIRACETAM RLAB 300 80177 278.00 19.09 13.25 Active
3610109 LITHIUM RLAB 300 80178 62.10 9.52 6.61 Active
3600064 PHENOBARBITOL LEVEL LAB 300 80184 34.40 16.5 15.3 Active
3600022 DILANTIN LAB 300 80185 46.20 19.09 13.25 Active
3610112 MYSOLINE LEVEL RLAB 300 80188 109.60 23.9 16.59 Active
3610125 QUINIDINE RLAB 300 80194 121.50 21.03 14.6 Active
3610293 SIROLIMUS RLAB 300 80195 104.00 19.78 13.73 Active
3610270 TACROLIMUS (PROGRAF) RLAB 300 80197 177.00 19.78 13.73 Active
3600083 THEOPHYLLINE LEVEL LAB 300 80198 39.60 20.37 14.14 Active
3610157 TOBRAMYCIN PEAK RLAB 300 80200 92.40 16.77 15.84 Active
3610301 TOPIRAMATE RLAB 300 80201 234.00 17.17 11.92 Active
3600093 VANCOMYCIN PEAK LAB 300 80202 68.70 19.51 13.54 Active
3610266 ZONISAMIDE RLAB 300 80203 270.00 19.09 13.25 Active
3610013 AMIODARONE RLAB 300 80299 121.50 19.73 18.64 Active
3610377 TRICYCLIC ACID RLAB 300 80301 110.00 Active
3610355 DRUG SCREEN SERUM RLAB 300 80302 300.00 Active
3600023 DRUG SCREEN (CNH) LAB 300 80305 51.50 15.71 12.6 Active
3610194 ACETAMINOPHEN LEVEL LAB 300 80307 140.25 83.8 62.14 Active
3610557 THC CONFIRMATION RLAB 300 80349 400.00 Active
3610003 ACTH LEVEL RLAB 300 80400 513.50 46.98 32.62 Active
3600091 URINALYSIS, MANUAL LAB 300 81000 22.50 4.57 4.02 Active
3600092 URINIALYSIS, AUTOMATED LAB 300 81001 22.50 4.57 3.17 Active
81002 UA CLIN 300 81002 15.00 3.68 3.48 Active
81025 PREGNANCY TEST CLIN 300 81025 25.00 9.1 8.61 Active
3610339 BCR-ABL-1 FOR CML MONITORING RLAB 300 81206 530.00 236.16 163.96 Active
3610367 PROTHROMBIN GENE MUTATION RLAB 300 81240 510.00 Active
3610311 FACTOR V LEIDEN RLAB 300 81241 330.00 Active
3610508 HEMOCHROMATOSIS (HFE) PCR RLAB 300 81256 250.00 Active
3610197 BCR-ABLI QUALITATIVE REFLEX QUANTITATIVE RLAB 300 81260 522.00 Active
3610366 MTHFR GENE RLAB 300 81291 371.00 Active
3610481 GILBERT'S SYNDROME GENETIC SCREEN RLAB 300 81350 550.00 Active
3610386 THIOPURINE METHYLTRANSFERANSE RLAB 300 81401 700.00 Active
3600001 ACETONE LAB 300 82009 25.10 6.51 4.52 Active
3600002 ALBUMIN LAB 300 82040 22.50 7.13 4.95 Active
3610006 ALBUMIN CSF/OTHER RLAB 300 82042 34.40 7.46 7.04 Active
3610166 URINE FOR MICROALBUMIN LAB 300 82043 290.40 8.33 5.78 Active
3600717 ALCOHOL, BREATH LAB 300 82075 15.00 17.36 16.4 Active
3610195 ALDOLASE RLAB 300 82085 104.75 13.99 9.71 Active
3610007 ALDOSTERONE RLAB 300 82088 186.20 58.7 40.75 Active
3610008 ALPHA -1- ANTITRY PSIN RLAB 300 82103 384.20 19.35 13.44 Active
3610009 ALPHA-FETOPROTEIN RLAB 300 82105 97.70 24.16 16.77 Active
3610353 AMINOACID PLASMA RLAB 300 82139 320.00 24.3 16.87 Active
3610014 AMMONIA RLAB 300 82140 116.20 20.99 20.99 Active
3600004 AMYLASE LAB 300 82150 27.80 9.33 6.48 Active
3610193 ANGIOCONVERTING ENZYME (ACE) RLAB 300 82164 210.50 21.03 14.6 Active
3610394 ARSENIC FRACTIONED URINE RLAB 300 82175 170.00 27.32 18.97 Active
3610021 BETA 2 MICROGLOBULIN RLAB 300 82232 76.60 23.3 16.18 Active
3600006 BILIRUBIN,TOTAL LAB 300 82247 22.50 4.73 4.73 Active
3600005 BILIRUBIN, DIRECT LAB 300 82248 37.00 5 4.73 Active
82270 STOOL/BLOOD OCCULT CLIN 300 82270 25.00 4.68 4.38 Active
3600718 GASTRIC OCCULT BLOOD, PH LAB 300 82271 50.00 4.68 4.43 Active
3600099 OCCULT BLOOD NONSCREENING LAB 300 82272 58.10 4.68 4.23 Active
36000719 OCCULT BLOOD SCREENING IFOBT LAB 300 82274 16.00 22.91 15.92 Active
3610171 VITAMIN D (CALCIFEROL) RLAB 300 82306 72.60 42.64 29.6 Active
3610447 CALCITONIN RLAB 300 82308 255.00 38.59 26.79 Active
3600011 CALCIUM LAB 300 82310 25.10 7.43 5.16 Active
3610028 CALCIUM IONIZED RLAB 300 82330 241.60 19.7 13.68 Active
3610383 ASSAY OF CALCIUM IN URINE RLAB 300 82340 60.00 8.68 6.03 Active
3610029 CALCULUS ANALYSIS RLAB 300 82360 179.60 12.87 12.87 Active
3600017 CO2 LAB 300 82374 25.10 7.04 4.88 Active
3610351 CARBOXYHEMOGLOBIN RLAB 300 82375 150.00 17.75 12.32 Active
3610031 CEA RLAB 300 82378 140.00 27.31 18.96 Active
3610328 CARNITINE RLAB 300 82379 235.00 24.3 16.87 Active
3610202 CAMPYLOBACTER JEJUNI RLAB 300 82384 100.45 36.37 25.25 Active
3610036 CERULOPLASMIN RLAB 300 82390 323.40 15.47 10.74 Active
3610317 IGFBP3 RLAB 300 82397 117.00 6.68 6.31 Active
3600014 CHLORIDE LAB 300 82435 25.10 6.63 4.6 Active
3610546 URINE, CHLORIDE RLAB 300 82436 150.00 7.25 5.75 Active
3600015 CHOLESTEROL LAB 300 82465 25.10 6.27 4.35 Active
3610445 PSEUDOCHOLINESTERASE RLAB 300 82480 70.00 11.34 7.87 Active
3610205 CITRIC ACID URINE RLAB 300 82507 82.00 40.05 27.8 Active
3610349 COPPER SERUM RLAB 300 82525 114.00 17.87 12.41 Active
3610178 24 HR URINE CORTISOL RLAB 300 82530 261.40 24.07 16.71 Active
3610044 CORTISOL RLAB 300 82533 121.50 23.48 16.3 Active
3610163 URINE CREAT. 24 HRS RLAB 300 82540 47.60 6.68 4.64 Active
3610273 MERCAPTOPURINE METABOLITES RLAB 300 82542 0.00 26.01 24.09 Active
3600018 CPK LAB 300 82550 27.80 9.38 6.51 Active
3610045 CPK ISOENZYME RLAB 300 82552 51.50 19.29 13.39 Active
3600016 CK MB LAB 300 82553 60.80 16.63 11.55 Active
3600019 CREATININE LAB 300 82565 26.40 7.38 5.12 Active
3610384 ASSAY OF URINE CREATININE RLAB 300 82570 60.00 7.46 5.18 Active
3610047 CREAT CLEARANCE RLAB 300 82575 81.90 13.62 9.46 Active
3600715 B12 (Vit B12) LAB 300 82607 140.25 21.71 15.08 Active
3610215 DHEA NON-SULFATE RLAB 300 82626 155.50 36.4 25.27 Active
3610342 DHEA SULFATE RLAB 300 82627 230.00 32.03 22.23 Active
3610187 VITAMIN D 1.25 DI-OH RLAB 300 82652 435.60 55.45 38.5 Active
3610074 ERYTHROPOIETIN RLAB 300 82668 141.30 27.07 18.79 Active
3610218 ESTRADIOL RLAB 300 82670 200.25 40.24 27.94 Active
3610326 ESTROGEN LEVEL RLAB 300 82672 112.00 31.25 21.7 Active
3610453 ASSAY OF ESTRIOL RLAB 300 82677 100.00 34.83 24.18 Active
3610359 ESTRONE RLAB 300 82679 90.00 35.94 24.95 Active
3610075 FERRITIN LAB 300 82728 114.90 19.64 13.63 Active
3600714 Folate (folic acid) LAB 300 82746 131.50 21.18 14.7 Active
3610221 FOLATE RBC RLAB 300 82747 149.50 24.78 17.65 Active
3610032 CELIAC PANEL 1 RLAB 300 82784 290.40 13.4 9.3 Active
3610097 IGA RLAB 300 82787 58.10 6.98 6.59 Active
3900003 ARTERIAL BLOOD GAS RT 300 82803 487.10 7.52 7.1 Active
3610229 GASTRIN RLAB 300 82941 70.00 25.4 17.63 Active
3610568 GLUCAGON RLAB 300 82943 130.00 20.58 14.29 Active
3610081 GLUCOSE CSF/OTHER RLAB 300 82945 76.60 Active
3600039 GLUCOSE LAB 300 82947 27.80 Active
3600098 POSTPRANDIAL GLUCOSE LAB 300 82950 22.50 Active
3600037 GLU/TOL 3 SPECIMENS LAB 300 82951 51.50 Active
3600038 GLUC/TOL EA ADD.SPEC LAB 300 82952 43.60 Active
3610226 GLUCOSE-6-PD QUANTITATIVE RLAB 300 82955 72.00 Active
82962 FBS CLIN 300 82962 20.00 3.37 3.19 Active
3610227 GAMM GLUTAMYLTRANSFERANSE RLAB 300 82977 56.00 10.37 7.2 Active
3610223 FRUCTOSAMINE RLAB 300 82985 112.00 21.71 16.76 Active
3610224 FOLLICLE STIMULATING HOROMONE RLAB 300 83001 150.00 26.76 18.58 Active
3610110 LUTEINIZING HORMONE (L RLAB 300 83002 77.90 26.67 18.52 Active
3610318 GROWTH HORMONE RLAB 300 83003 142.00 24.01 16.67 Active
3610083 HAPTOGLOBIN RLAB 300 83010 97.70 18.11 12.58 Active
83013 H PYLORI ANALYSIS CLIN 300 83013 25.00 41.69 39.38 Active
3610094 HGB ELECTROPHORESIS RLAB 300 83020 96.40 18.54 12.87 18.7 Active
3600048 HGB A1,C LAB 300 83036 54.20 13.99 9.71 Active
3610190 HOMOCYSTEINE LAB 300 83090 173.00 24.3 17.92 Active
3610393 17-HYDROXYPROGESTERONE RLAB 300 83498 210.00 39.13 27.17 Active
3610466 ACETYLCHOLINE MOD AB RLAB 300 83516 320.00 16.61 11.53 Active
3610465 ACETYLCHOLINE BINDING AB RLAB 300 83519 280.00 6.7 6.33 Active
3610259 PANCREATIC ELAST FECAL RLAB 300 83520 465.00 18.65 17.27 Active
3610558 INSULIN LEVEL RLAB 300 83525 16.00 16.46 11.43 Active
3610104 IRON LAB 300 83540 25.10 7.73 6.47 Active
3610156 TIBC LAB 300 83550 76.60 12.59 8.74 Active
3610356 LACTIC ACID LAB 300 83605 100.00 15.38 11.57 Active
3600050 LDH LAB 300 83615 25.10 8.69 6.04 Active
3610514 LACTOFERRIN FECAL RLAB 300 83630 170.00 28.28 19.7 Active
3610471 ASSAY OF LEAD RLAB 300 83655 100.00 17.44 12.11 Active
3600053 LIPASE LAB 300 83690 51.50 9.92 6.89 Active
3600043 HDL LAB 300 83718 75.30 11.8 8.19 Active
3600051 LDL DIRECT LAB 300 83721 34.40 12.31 10.5 Active
3610565 GONADOTROXIN RELEASING HOROMONE RLAB 300 83727 900.00 24.76 17.19 Active
3600058 MG LAB 300 83735 22.50 9.65 6.7 Active
3610387 6-TG MERCAPTOPURINE 8 METABOLITES RLAB 300 83789 385.00 26.01 24.11 Active
3610472 ASSAY OF MERCURY RLAB 300 83825 125.00 23.42 16.26 Active
3610175 METANEPHRINES FRAC PLASMA RLAB 300 83835 508.20 24.4 16.94 Active
3610352 MYOGLOBIN URINE RLAB 300 83874 220.00 18.61 12.92 Active
3600009 BNP LAB 300 83880 113.60 48.89 39.26 Active
3610222 FREE LIGHT CHAINS, SERUM RLAB 300 83883 140.35 6.68 6.31 Active
3610354 ORGANIC ACIDS URINE RLAB 300 83918 335.00 23.7 22.39 Active
3610189 METHYLMALONIC ACID SERUM LAB 300 83921 112.00 23.7 21.21 Active
3600063 OSMOLALITY SERUM MANUA LAB 300 83930 72.60 9.52 6.61 Active
3610258 OSMOLALITY URINE RLAB 300 83935 97.00 9.82 6.82 Active
3610515 OXALATE URINE RLAB 300 83945 150.00 18.54 14.45 Active
3610117 PARATHORMONE RLAB 300 83970 85.80 59.45 41.28 Active
3610379 STOOL PH RLAB 300 83986 44.00 5.16 3.58 Active
3610201 CALPROTECTIN FECAL RLAB 300 83993 429.60 28.28 19.63 Active
3610002 ACID PHOSPHATASE RLAB 300 84060 33.00 10.64 7.64 Active
3600003 ALKALINE PHOSPHATASE LAB 300 84075 23.80 7.46 5.18 Active
3610344 ALP ISOENZYMES RLAB 300 84080 140.00 21.29 14.78 Active
3600067 PHOSPHOROUS LAB 300 84100 19.80 6.83 4.74 Active
3610260 PHOSPHORUS URINE RLAB 300 84105 65.00 7.46 5.78 Active
3610555 PORPHOBILINOGEN URINE QUANT RANDOM RLAB 300 84110 80.00 7.1 6.7 Active
3600069 POTASSIUM LAB 300 84132 19.80 6.63 4.76 Active
3610167 URINE POTASSIUM RLAB 300 84133 26.40 6.21 4.73 Active
3610269 PROGESTERONE RLAB 300 84144 146.00 30.05 20.86 Active
3610513 MACROPROLACTIN RLAB 300 84146 305.00 27.91 19.38 Active
3600075 PSA DIAGNOSTIC LAB 300 84153 58.10 26.49 18.39 Active
3610124 PSA FREE RLAB 300 84154 273.30 26.49 18.39 Active
3600084 TOTAL PROTEIN LAB 300 84155 41.00 5.28 3.67 Active
3610122 PROTEIN CSF/OTHER RLAB 300 84157 76.60 5.28 4 Active
3610120 PRO ELECTROPHORESIS SERUM RLAB 300 84165 76.60 15.47 10.74 18.7 Active
3610184 PRO ELECTROPHORESIS OTHER RLAB 300 84166 232.40 25.68 17.83 18.7 Active
3610350 VITAMIN B-6 RLAB 300 84207 510.00 20.36 19.24 Active
3610490 ASSAY OF RENIN RLAB 300 84244 200.00 31.68 21.99 Active
3610358 SEX HORMONE BIND GLOBULIN RLAB 300 84270 200.00 31.3 21.73 Active
3600081 SODUIM LAB 300 84295 25.10 6.93 4.81 Active
3610169 URINE SODIUM RLAB 300 84300 25.10 7 5.06 Active
3610316 IGFI RLAB 300 84305 35.00 28.29 21.26 Active
3610297 SOMATOSTATIN RLAB 300 84307 440.00 26.32 18.28 Active
3610151 TESTOSTERONE RLAB 300 84403 206.00 37.18 25.81 Active
3610153 THIAMEN LEVEL RLAB 300 84425 136.00 30.58 21.23 Active
3610363 ASSAY OF THYROGLOBULIN RLAB 300 84432 100.00 23.13 16.06 Active
3610149 T4 TOTAL RLAB 300 84436 34.40 6.97 6.58 Active
3600036 FREE T-4 LAB 300 84439 37.00 12.99 9.02 Active
3600089 TSH LAB 300 84443 51.50 24.2 16.8 Active
3610299 THYROID STIMULATING IMM RLAB 300 84445 315.00 26.52 25.05 Active
3610264 VITAMIN E RLAB 300 84446 167.00 20.42 14.18 Active
3600086 TRANSMINASE-SGO LAB 300 84450 48.90 7.46 5.18 Active
3600085 TRANSAMINASE-SGPT LAB 300 84460 48.90 7.63 5.3 Active
3610161 TRANSFERRIN RLAB 300 84466 56.80 18.39 12.76 Active
3600087 TRIGLICERIDES LAB 300 84478 25.10 8.27 5.74 Active
3610148 T3 UPTAKE RLAB 300 84479 34.40 6.69 6.32 Active
3610146 T3 RLAB 300 84480 63.40 9.24 8.73 Active
3610298 FREE T3 RLAB 300 84481 209.00 14.21 13.43 Active
3610332 T3 REVERSE RLAB 300 84482 255.00 6.69 6.32 Active
3600188 P-TROPONIN LAB 300 84484 68.70 14.18 12.47 Active
3600010 BUN LAB 300 84520 26.40 5.69 3.95 Active
3600090 URIC ACID LAB 300 84550 22.50 6.51 4.52 Active
3610305 URIC ACID URINE 24 HOUR RLAB 300 84560 32.00 6.84 5.08 Active
3610265 VANILLYMANDELIC ACID URINE 24 HOUR RLAB 300 84585 92.00 22.32 15.5 Active
3610487 VASOACTIVE INTESTIONAL POLYPEPTIDE RLAB 300 84586 350.00 50.89 35.33 Active
3610262 VITAMIN A RLAB 300 84590 150.00 16.72 11.61 Active
3610277 NIACIN/VITAMIN B3 RLAB 300 84591 500.00 16.72 15.79 Active
3610480 VITAMIN K RLAB 300 84597 400.00 19.76 13.72 Active
3610543 ZINC ASSAY RLAB 300 84630 100.00 16.4 11.39 Active
3610198 C-PEPTIDE RLAB 300 84681 227.25 Active
3610179 BETA HCG QUANTITATIVE RLAB 300 84702 174.30 21.68 15.05 Active
3600070 PREGNANCY TEST BLOOD LAB 300 84703 39.60 10.84 7.52 Active
3600057 MANUAL DIFF COUNT LAB 300 85007 19.80 3.6 3.41 Active
3600045 HEMATOCRIT LAB 300 85014 25.10 3.41 2.37 Active
3600046 HEMOGLOBIN LAB 300 85018 25.10 3.41 2.37 Active
85025 CBC CLIN 300 85025 25.00 11.19 7.77 Active
3600705 HEMOGRAM LAB 300 85027 51.50 9.31 6.47 Active
3600056 MANUAL CELL COUNT LAB 300 85032 26.40 6.21 4.31 Active
3610129 RETUCOLOCYTE COUNT RLAB 300 85044 46.20 6.21 4.31 Active
3600096 WBC LAB 300 85048 19.80 3.65 2.54 Active
3600068 PLATELET COUNT LAB 300 85049 22.50 5.93 4.48 Active
3610023 BONE MARROW ASPIRATION RLAB 312 85095 128.10 Active
3610024 BONE MARROW BIOPSY RLAB 314 85102 157.10 Active
3610314 FACTOR VIII ACTIVITY RLAB 300 85240 220.00 25.79 17.9 Active
3610334 VON WILLEBRAND PANEL RLAB 300 85245 150.00 33.04 22.94 Active
3610312 VWF ANTIGEN RLAB 300 85246 250.00 33.04 22.94 Active
3610315 FACTOR 1X ACTIVITY RLAB 300 85250 240.00 27.43 19.04 Active
3610309 ANTITHROMBIN III ACTIVITY RLAB 300 85300 101.00 17.07 11.85 Active
3610368 PROTEIN C ANTIGEN RLAB 300 85302 220.00 17.3 12.01 Active
3610310 PROTEIN C ACTIVITY RLAB 300 85303 118.00 18.39 13.84 Active
3610369 PROTEIN S ANTIGEN TOTAL RLAB 300 85305 114.00 16.72 11.61 Active
3600706 D-DIMER QUANTITATIVE LAB 300 85379 290.40 14.66 10.18 Active
3610357 FIBRINOGEN RLAB 300 85384 90.00 12.23 9.72 Active
3610482 LYSOZYME RLAB 300 85549 150.00 27.01 18.75 Active
3610374 PHOSPHOLIPID PLTLT NEUTRALIZE RLAB 300 85597 50.00 19.3 17.98 Active
3600074 PROTHROMBIN TIME LAB 300 85610 22.50 5.66 4.29 Active
3610373 RUSSELL VIPER VENOM DILUTED RLAB 300 85613 85613.00 13.8 9.58 Active
3600080 SED RATE LAB 300 85651 18.50 5.11 4.27 Active
3610140 SICKLE CELL TEST RLAB 300 85660 52.80 7.94 5.51 Active
3600077 PTT LAB 300 85730 39.60 8.65 6.01 Active
3610375 THROMBOPLASTIN TIME PARTIAL RLAB 300 85732 50.00 9.31 6.47 Active
3610016 ANEMIA SCREEN RLAB 300 85999 120.20 N/A MP Active
3610131 ROCKY MTN SPOTTED FV E RLAB 300 86000 124.10 10.06 6.98 Active
3610428 A. ALTERNATA IGE RLAB 300 86003 37.00 7.52 5.22 Active
3610559 ANCA WP.ANKA AND C-ANCA RLAB 300 86021 120.00 21.68 15.05 Active
3610268 PLATELET ANTIBODY ANALYSIS RLAB 300 86022 371.50 26.46 18.37 Active
3610015 ANA RLAB 300 86038 101.70 17.41 12.09 Active
3610196 ASO TITER RLAB 300 86060 134.25 10.51 7.3 Active
3610048 CRP LAB 300 86140 99.00 7.46 5.18 Active
3610371 ANTICARDIOLIPIN IGG RLAB 300 86147 114.00 16.75 15.82 Active
3610025 C1 ESTERASE INHIBITOR RLAB 300 86160 92.40 17.28 12 Active
3610510 AH50 RLAB 300 86162 325.00 27.46 20.32 Active
3610203 CCP IGG RLAB 300 86200 122.75 18.65 12.95 Active
3610340 DNASE B ANTIBODY RLAB 300 86215 200.00 19.08 13.25 Active
3610329 DNA DS ANTIBODY RLAB 300 86225 230.00 19.79 13.74 Active
3610019 ANTISMOOTH MUSCLE ANTI RLAB 300 86235 77.90 16.77 15.84 Active
3610033 CELIAC PANEL 2 RLAB 300 86255 290.40 16.36 12.05 18.7 Active
3610345 ADRENAL ANTIBODY RLAB 300 86256 170.00 17.36 12.05 18.7 Active
3610544 CA 15-3 RLAB 300 86300 200.00 29.98 20.81 Active
3610200 CANCER ANTIGEN 19-9 RLAB 300 86301 227.25 29.98 20.81 Active
3600719 CANCER ANTIGEN 125 RLAB 300 86304 215.00 29.98 20.81 Active
3600059 MONO TEST LAB 300 86308 31.70 7.46 5.18 Active
3610027 CA-19-9/PANCREACTIC AN RLAB 300 86316 134.70 29.98 20.81 Active
3610319 DIPHTHERIA IGG RLAB 300 86317 74.00 21.59 14.99 Active
86318 STREP TEST CLIN 300 86318 25.00 18.65 17.62 Active
3610137 SERUM IEP RLAB 300 86320 76.60 32.29 29.92 Active
3610526 BETA-2 TRANSFERRIN RLAB 300 86335 220.00 Active
3610476 INTRINSIC FACTOR AB RLAB 300 86340 160.00 Active
3610388 IA-2 ANTIBODY RLAB 300 86341 432.00 Active
3610545 ADALIMUMAB AB RLAB 300 86352 800.00 Active
3610531 B CELLS TOTAL COUNT RLAB 300 86355 150.00 Active
3610530 NATURAL KILLER CELLS TOTAL COUNT RLAB 300 86357 150.00 Active
3610529 T CELLS TOTAL COUNT RLAB 300 86359 150.00 Active
3610469 CD4/CD8 LYMPHOCYTE ENUMERATION RLAB 300 86360 330.00 Active
3610251 LKM ANTIBODY RLAB 300 86376 70.00 Active
3610126 RA TEST RLAB 300 86430 54.20 Active
3610560 T-SPOT TB RLAB 300 86481 250.00 Active
86580 TB SKIN TEST CLIN 300 86580 17.00 8.38 Active
3610134 RPR RLAB 300 86592 47.60 Active
3610554 BARTONELLA AB IGG 81GM RLAB 300 86611 150.00 Active
3610524 LYME DISEASE IGG/IGM RLAB 300 86617 170.00 Active
3610330 LYME AB-REFLEX IB RLAB 300 86618 230.00 44.55 17.03 Active
3610030 CAMPYLOBACTER RLAB 300 86625 295.70 34.32 13.12 Active
3610274 CHLAMYDIA ANTIBODY PANEL RLAB 300 86631 0.00 30.93 11.82 Active
3610062 CYTOMEGALOVIRUS IGM RLAB 300 86645 77.90 44.07 16.85 Active
3610070 ENCEPH CALIFORNIA RLAB 300 86651 48.90 34.5 13.19 Active
3610071 ENCEPH E. EQUINE RLAB 300 86652 48.90 34.5 13.19 Active
3610072 ENCEPH ST. LOUIS RLAB 300 86653 48.90 34.5 13.19 Active
3610073 ENCEPH W. EQUINE RLAB 300 86654 48.90 34.5 13.19 Active
3610213 COXSACKIE ANTIBODY PANEL RLAB 300 86658 269.00 34.07 13.03 Active
3610066 EB VIRUS EARLY ANTIGEN RLAB 300 86663 179.60 34.32 13.12 Active
3610067 EB VIRUS NUCLEAR ANTIG RLAB 300 86664 179.60 40.03 15.29 Active
3610068 EB VIRUS VIRAL CAPSID RLAB 300 86665 179.60 46.62 18.14 Active
3610069 EHRLICHIA RLAB 300 86666 372.30 26.62 10.18 Active
3610444 S. CEREVISIAE (ASCA) RLAB 300 86671 170.00 12.25 32.07 Active
3610475 FILARIA IGG4 AB RLAB 300 86682 380.00 34.01 13.01 Active
3610092 HEPATITIS D ANTIBODY RLAB 300 86692 55.50 33.36 17.16 Active
3610182 HSV BLOOD IGM RLAB 300 86694 145.20 37.65 14.39 Active
3610244 HSV 1&2 IGG BY IMMUNOBLOT RLAB 300 86695 184.00 34.5 13.19 Active
3610248 HERPES SIMPLEX VIRUS II IGG RLAB 300 86696 115.00 50.64 19.35 Active
3610537 HEP B CORE 1GG REFLEX TO 1GM RLAB 300 86704 150.00 31.52 12.05 Active
3610235 HEPATITIS B CORE IGM RLAB 300 86705 150.00 30.77 11.77 Active
3610088 HEPATITIS B SURFACE AN RLAB 300 86706 80.60 28.09 10.74 Active
3610240 HEPATITIS BE ANTIBODY RLAB 300 86707 132.00 30.25 11.57 Active
3610086 HEPATITIS A ANTIBODY RLAB 300 86708 55.50 30.43 12.39 Active
3610365 HEPATITIS A IGM RLAB 300 86709 141.00 29.45 11.26 Active
3610103 INFLUENZA ANTIBODY RLAB 300 86710 463.40 35.45 13.55 Active
3610186 MUMPS AB IGM RLAB 300 86735 145.20 34.13 13.05 Active
3610275 LEGIONELLA IGM/IGG RLAB 300 86738 0.00 34.65 13.24 Active
3610118 PARVOVIRUS ANTIBODY RLAB 300 86747 113.60 39.31 15.03 Active
3610385 AMEBIASIS ANTIBODY IGG RLAB 300 86753 200.00 32.42 12.39 Active
3610133 ROTAVIRUS RLAB 300 86759 112.20 34.5 17.95 Active
3610578 RUBELLA ANTIBODY RLAB 300 86762 30.00 37.65 14.39 Active
3610576 RUBEOLA ANTIBODY RLAB 300 86765 30.00 33.7 12.88 Active
3610136 SALMONELLA ANTIBODY RLAB 300 86768 295.70 34.5 13.19 Active
3610583 SARS-COV-2 IGG RLAB 300 86769 55.00 42.13 42.13 Active
3610139 SHIGELLA ANTIBODY RLAB 300 86771 295.70 34.5 17.95 Active
3610152 TETANUS ANTIBODY RLAB 300 86774 444.90 25.58 13.32 Active
3610159 TOXOPLASMA IGG RLAB 300 86777 179.60 37.65 14.39 Active
3610160 TOXOPLASMA IGM RLAB 300 86778 179.60 37.66 14.41 Active
3610570 SYPHILIS TP RLAB 300 86780 10.00 24.66 13.24 Active
3610170 VARICELLA ZOSTER IGG RLAB 300 86787 153.20 29.33 12.88 Active
3610017 ANTIBODY WEST NILE RLAB 300 86790 287.80 29.33 12.88 Active
3610173 YERSINIA ANTIBODY RLAB 300 86793 295.70 29.33 13.19 Active
3610155 THYROGLOBULIN ANTIBODY RLAB 300 86800 41.00 41.6 15.91 Active
3610091 HEPATITIS C ANTIBODY RLAB 300 86803 159.80 37.32 14.27 Active
3650003 ANTIBODY SCREEN ANTIGL BB 300 86850 97.70 17.82 5.21 Active
3650002 ANTIBODY I D BB 300 86870 175.00 30.81 44.04 Active
3650014 COOMBS TEST DIRECT BB 300 86880 71.30 14.04 5.39 Active
3650015 COOMBS TEST INDIRECT BB 300 86885 71.30 14.96 5.72 Active
3610532 ANTIHUMAN GLOBULIN INDIRECT EACH RLAB 300 86886 305.00 13.53 5.18 Active
3650001 ABO TYPING BB 300 86900 80.60 7.8 2.99 Active
3650030 RH (D) BB 300 86901 29.10 8.91 2.99 Active
3650007 ANTIGEN SCREENING /UNI BB 300 86902 76.60 Active
3610581 RARE ANTIGEN TYPING FEE LAB 300 86905 170.00 Active
3650031 RH PHENOTYPE BB 300 86906 141.30 Active
3650011 BB CROSSMATCH SPIN BB 300 86920 100.40 Active
3650010 BB CROSSMATCH INCUBA BB 300 86921 85.80 Active
3650008 BB CROSSMAT/ANTIGLOB BB 300 86922 138.60 Active
3610534 HEMOLYSINSAGGLUTINNS INCUBATED RLAB 300 86941 305.00 Active
3650017 ELUTION TECHNIQUE BB 300 86978 150.50 Active
3650033 SPLITTING BLOOD PRODUC BB 390 86985 319.50 Active
3610022 BLOOD CULTURE RLAB 300 87040 89.80 Active
3610143 STOOL CULTURE RLAB 300 87045 81.90 Active
3610056 CULTURE & SENS RLAB 300 87060 68.70 Active
3610001 ABSCESS CULTURE RLAB 300 87070 76.60 Active
3610210 ANAEROBIC CULTURE RLAB 300 87075 122.75 Active
3610571 AEROBIC ISOLATE RLAB 300 87077 100.00 Active
3610485 SPUTUM CULTURE FOR LEGIONELLA RLAB 300 87081 300.00 Active
3610165 URINE CULTURE RLAB 300 87086 62.10 Active
3610538 FUNGUS CULTURE NON-BLOOD/SKIN RLAB 300 87102 150.00 Active
3610077 FUNGUS CULTURE RLAB 300 87103 290.40 Active
3610573 FUNGUS/MOLD ID RLAB 300 87107 130.00 Active
3610004 AFB CULTURE RLAB 300 87116 91.10 Active
3610575 MYCOBACTERIUM CULTURE RLAB 300 87118 120.00 Active
3610255 OVA AND PARASITES WITH TRICH RLAB 300 87177 368.00 Active
3610572 CARBA NP TEST RLAB 300 87185 300.00 Active
3610569 AEROBIC SUSCEPTIBILITY RLAB 300 87186 60.00 Active
3610082 GRAM STAIN RLAB 300 87205 46.20 Active
3610005 AFB SMEAR RLAB 300 87206 442.20 Active
3610172 WET PREP RLAB 300 87210 46.20 Active
3610106 KOH PREP RLAB 300 87220 46.20 Active
3610040 CLOS. DIFFICILE RLAB 300 87230 145.20 Active
3610055 CSF VIRAL CULTURE RLAB 300 87252 76.60 Active
3610183 HSV CS RLAB 300 87255 203.30 Active
3610247 HERPES SIMPLEX VIRUS II RLAB 300 87273 80.00 Active
3610245 HSV 1 RLAB 300 87274 80.00 Active
3600061 NASAL SWAB FOR FLU B LAB 300 87275 99.00 Active
3600060 NASAL SWAB FOR FLU A LAB 300 87276 99.00 Active
3610050 CRYPTOCOCCAL ANTIGEN RLAB 300 87327 77.90 Active
3610208 CRYPTOSPORIDIUM AG RLAB 300 87328 40.00 Active
3610232 GIARDIA SPECIFIC ANTIGEN RLAB 300 87329 40.00 Active
3610061 CYTOMEGALOVIRUS IGG RLAB 300 87332 92.40 Active
3610233 H PYLORI AG STOOL RLAB 300 87338 150.00 Active
3600044 HELICOBACTER PYLORI LAB 300 87339 48.90 Active
3610089 HEPATITIS B SURFACE AN RLAB 300 87340 129.40 Active
3610090 HEPATITIS BE ANTIGEN RLAB 300 87350 220.50 Active
3610096 HIV LAB 300 87389 63.40 Active
3610135 RSV LAB 300 87420 108.30 Active
3610188 STOOL FOR NOROVIRUS LAB 300 87449 332.50 Active
3610443 LYME DIS DNA RLAB 300 87476 340.00 Active
3610551 C. PNEUMONIAE BY PCR LAB 300 87486 200.00 Active
3610038 CHL. TRACH. DIRECT PRO RLAB 300 87490 191.40 Active
3600710 CHLAMYDIA TRACHOMATIS LAB 300 87491 75.00 Active
3600711 CLOSTRIDIUM DIFFICILE LAB 300 87493 75.00 Active
3610512 CMV PCR QUANTIFICATION RLAB 300 87497 510.00 Active
3610553 G.I. PANEL BY PCR LAB 300 87507 520.00 Active
3610236 HEPATITIS B VIRUS VIRAL DNA RLAB 300 87517 318.00 Active
3610238 HCV RNA PCR QUANTITATIVE RLAB 300 87522 442.00 Active
3610053 CSF HERPES RLAB 300 87528 128.10 Active
3610246 HERPES SIMPLEX VIRUS I AND II BY PCR RLAB 300 87529 180.00 Active
3610242 HIV-1 QUANTITATIVE PCR RLAB 300 87536 420.00 Active
3610552 M. PNEUMONIAE BY PCR LAB 300 87581 200.00 Active
3610114 NEIS. GON. DIRECT PROB RLAB 300 87590 191.40 Active
3600712 NEISSERIA GONORRHOEAE LAB 300 87591 75.00 Active
3610243 HPV HIGH RISK WITH GENOTYPE TP RLAB 300 87624 0.00 Active
3610549 RESPIRATORY PANEL LAB 300 87633 520.00 Active
3600554 SARS COVID-19 PCR LAB 300 87635 60.00 Active
3610550 B. PERTUSSIS BY PCR LAB 300 87798 200.00 Active
3610579 EBV DNA DETECTION/QUANT RLAB 300 87799 250.00 Active
3610130 RHEUMATOID SURVEY RLAB 300 87802 186.20 Active
87804 FLU TEST NOSTRIL CLINIC CLIN 300 87804 68.00 Active
360714 TRICHOMONAS KIT TEST LAB 300 87808 25.00 Active
3600078 QUICK STREP LAB 300 87880 31.70 Active
3610051 CSF BACTERIAL ANTIGEN RLAB 300 87899 68.70 Active
3600713 BACTERIAL VAGINOSIS RLAB 300 87905 100.00 Active
3610491 FLOW CYTOMETRY CELL SURF MARKER RLAB 300 88184 210.00 Active
3610492 URTICARIA BASO ACTIVITY RLAB 300 88185 210.00 Active
3610346 TISSUE CULTURE LYMPHOCYTE RLAB 300 88230 175.00 Active
3610347 CHROMOSOME ANALYSIS 15-20 RLAB 300 88262 175.00 Active
3610505 MOLECULAR CYTOGENETICS DNA PROBE EACH RLAB 300 88271 400.00 Active
3610506 MOLECULAR CYTOGENETICS INTERPHASE ISH RLAB 300 88275 400.00 Active
3610507 CYTOGENETICS MOLEC CYTO INTERPRETATION RLAB 300 88291 400.00 Active
3610396 ENDO TISSUE 2 RLAB 300 88305 23.00 Active
3610395 ENDO TISSUE 1 RLAB 300 88312 50.00 Active
3610398 ENDO TISSUE 3 RLAB 300 88313 50.00 Active
3610400 ENDO TISSUE 41 RLAB 300 88341 50.00 Active
361399 ENDO TISSUE 42 RLAB 300 88342 50.00 Active
3610145 STOOL FOR WBC RLAB 300 89050 19.80 Active
3401678 RABIES IMMUNE GLOBULIN PHAR 250 90375 7056.00 Active
3401679 RABIES VACCINE PHAR 250 90472 864.00 Active
90645 KIDMED IMM/HIB CLIN 521 90645 10.45 Active
90649 KIDMED IMM HPV FEMALE CLIN 521 90649 10.45 Active
90657 FLU INJ CHILD LESS THA CLIN 521 90657 25.00 Active
90658 FLU INJ 3YRS AND UP CLIN 521 90658 25.00 Active
90669 KIDMED IMM PCV7 CLIN 521 90669 10.45 Active
3401804 PREVNAR 13 INJ PHAR 636 90670 548.00 Active
3401817 TYPHOID VACCINE PHAR 636 90691 200.00 Active
90700 KIDMED IMM DTAP CLIN 521 90700 10.45 Active
90702 KIDMED IMM DTP/HIB CLIN 521 90702 10.45 Active
90707 KIDMED IMM MMR CLIN 521 90707 10.45 Active
90713 KIDMED IMM IPV CLIN 521 90713 10.45 Active
90716 KIDMED IMM VRCELLA 1-1 CLIN 521 90716 10.45 Active
90718 KIDMED IMM TD CLIN 521 90718 10.45 Active
90723 KIDMED IMM PEDIARIX CLIN 521 90723 10.45 Active
90732 PNEUMONIA VACCINE CLIN 521 90732 45.00 Active
90733 MENINGOCOCCAL VACCINE CLIN 521 90733 200.00 Active
90734 KIDMED IMM MCV4 CLIN 521 90734 10.45 Active
90744 KIDMED IMM HBV 0-19 YR CLIN 521 90744 10.45 Active
90746 KIDMED HBV 20 YRS CLIN 521 90746 10.45 Active
3300030 INJECTION ANTIBIOTIC ED 450 90788 87.20 Active
90791 PSYCHIATRIC DIAGNOSTIC EVALUATION CLIN 521 90791 175.00 Active
90832 PSYCHOTHERAPY, 30 MIN CLIN 521 90832 50.00 63.22 $63.51 Active
90834 PSYCHOTHERAPY, 45 MINUTES CLIN 521 90834 75.00 96.9   Active
90837 PSYCHOTHERAPY, 60 MINUTES CLIN 521 90837 100.00 146.5 138.94 Active
3920113 BIOFEEEDBACK TRAINING 15 MINUTES PT 420 90912 200.00 44.58 Active
3920114 BIOFEEDBACK TRAINING ADD 15 MINUTES PT 420 90913 150.00 24.79 Active
3960004 TREATMENT OF SPEECH IN ST 441 92507 327.40 77.73 Active
3960001 EVALUATION OF SPEECH FLUENCY ST 444 92521 421.10 110.55 Active
3960006 EVALUATION OF SPEECH SOUND PRODUCTION ST 444 92522 410.00 90374 Active
3960007 EVAL OF SSP WITH LANG COMP/ EXPRESSION ST 444 92523 600.00 189.06 Active
3960008 BEHAVORIAL/QUALITATIVE ANALYSIS ST 444 92524 410.00 88.84 Active
3960005 TREATMENT/SWALLOWING D ST 441 92526 327.40 85.2 Active
92551 HEARING SCREENING CLIN 521 92551 4.60 Active
3960002 EVALUATION OF SWALLOWI ST 444 92610 254.80 72.15 Active
3960009 EVALUATION OF SWALLOWING MOTION FLUOR ST 444 92611 600.00 90.18 Active
3300011 CPR ED 450 92950 363.00 192.77 Active
93000 EKG CLIN 730 93005 75.00 7.75 Active
3780003 CARDIAC MONITORING CONTINUOUS EKG 730 93041 254.80 5.21 Active
3780002 HOLTER MONITOR EKG 731 93236 217.80 32.49 Active
3740030 ECHOCARDIOGRAM US 921 93306 300.00 73.21 Active
3740027 CAROTID US 921 93880 594.00 40.15 Active
93922 PAD SCREENING CLIN 521 93922 200.00 12.6 Active
3740020 ARTERIAL LOWER BILATERAL US 921 93925 396.00 39.52 Active
3740021 ARTERIAL LOWER UNILATERAL US 921 93926 462.00 24.75 Active
3740022 ARTERIAL UPPER BILATERAL US 921 93930 396.00 40.87 Active
3740024 ABD/PELVIS VASCULATURE US 921 93931 528.00 25.06 Active
3740028 VENUS SCAN BILATERAL US 921 93970 660.00 34.95 Active
3740029 VENUS SCAN UNILATERAL US 921 93971 594.00 22.36 Active
3740025 AORTA/IVC DUPLEX US 921 93978 528.00 40.24 Active
3740026 HEMODIALYSIS ACCCESS US 921 93990 330.00 25.92 Active
3900024 INCENTIVE SPIROMETER RT 270 94010 80.60 8.49 Active
3900032 SPIROMETRY - BRONCHODILATION RESPONSE RT 410 94060 200.00 13.05 Active
3900017 SPUTUM INDUCTION RT 410 94640 96.40 16 Active
3900033 CPAP/BIPAP INITIATION AND MANAGEMENT RT 412 94660 350.00 38.71 Active
3900011 POSTURAL DRAINAGE INIT RT 410 94667 97.70 22.48 Active
3900028 CHEST PERCUSSION SUBSEQUENT RT 412 94668 50.00 25.97 Active
95115 SP ALLERGY INJECTION CLIN 250 95115 10.00 8.38 Active
95851 RANGE OF MOTION CLIN 521 95851 22.00 8.13 Active
3250011 IV HYDRATION UP TO 1 H IV 260 96360 203.30 31.47 Active
3250010 IV HYDRATION EACH ADD. IV 260 96361 47.60 12.58 Active
3250886 IV INFUS TX/PROPH/DX IV 260 96365 264.00 65.04 Active
3250012 IV MEDICATION EACH ADDITIONAL HOUR IV 260 96366 47.60 20.27 Active
96372 ADMINISTRATION INJECTION CLIN 250 96372 10.00 13.57 Active
3800043 INJECTION INTRA-ARTERI CHEM 761 96373 109.60 17.37 Active
3250015 IV PUSH 1ST/INITIAL IV 260 96374 109.60 36.27 Active
3250023 IV PUSH ADD MED IV 260 96375 109.00 15.16 Active
3250024 IV PUSH REPEAT MED IV 260 96376 90.00 Active
3800012 CHEMO ADM IM/SC CHEM 331 96401 26.40 72.02 Active
3800015 CHEMO ADM IV PUSH CHEM 335 96409 71.30 Active
3800014 CHEMO ADM INFUSION 1 H CHEM 335 96413 116.20 127.74 Active
3800013 CHEMO ADM INFUS EA ADD CHEM 335 96415 22.50 28.06 Active
3800065 REFILLING&MAINT PORT/P CHEM 636 96520 71.30 Active
3250008 IRRIGATION OF ACCESS D IV 261 96523 130.70 25.19 Active
3800064 REFILLING&MAINT IMPLAN CHEM 636 96530 80.60 Active
3800016 CHEMO INJ VIA RESERVOI CHEM 280 96542 188.80 122.36 Active
3920011 MOIST HEAT&COLD PACK15 PT 420 97010 101.64 29.83 Active
3920022 TRACTION PT 420 97012 87.12 14.87 Active
3920012 PARAFFIN BATH PT 420 97018 66.00 14.87 Active
3920024 WHIRLPOOL TREATMENT PT 420 97022 43.56 17.06 Active
3920007 ELECTRICAL STIMULATI PT 420 97032 87.12 14.55 Active
3920005 CONTRAST BATH, 15 MIN. PT 420 97034 66.00 14.69 Active
3920023 ULTRASOUND, 15 MIN. PT 420 97035 43.56 14.06 Active
3920009 LUMBAR ROLL PT 420 97110 77.88 23.51 29.83 Active
3920107 NEUROMUSCULAR REEDUCATION PT 420 97112 116.20 34.18 Active
3920008 GAIT TRAINING, 15 MIN. PT 420 97116 87.12 29.52 Active
3920010 MASSAGE, 15 MIN. PT 420 97124 87.12 27.99 Active
3920111 THERAPEUTIC INTERVENTION COG 15 MINUTES PT 420 97129 200.00 24.02 Active
3920112 THERAPEUTIC INTERVENTION ADD 15 MIN PT 420 97130 150.00 24.02 Active
3920016 PT EVALUATION - LOW PT 424 97161 188.76 22.99 Active
392079 PT EVALUATION - MODERATE PT 424 97162 200.00 83 Active
392080 PT EVALUATION - HIGH PT 424 97163 250.00 83 Active
3920015 PT RE-EVALUATION PT 424 97164 153.12 56.66 Active
3940017 OT EVALUATION - LOW OT 434 97165 188.80 87.76 Active
3940117 OT EVALUATION - MODERATE OT 430 97166 200.00 87.44 Active
3940118 OT EVALUATION - HIGH OT 430 97167 250.00 87.44 Active
3940018 OT RE-EVALUATION OT 434 97168 153.20 60.15 Active
3920020 THERAPEUTIC ACT. 15 MI PT 420 97530 116.16 37.72 Active
3960003 THERAPEUTIC ACTIVITY ST 440 97532 290.40 Active
3940001 ADL 15 MINUTES OT 430 97535 116.20 33.01 Active
3940008 COMM/WORK REINTEGR\15M OT 430 97537 116.20 31.87 Active
3940031 WHEELCHAIR MAN/PROPUL OT 430 97542 130.70 32.19 Active
3550036 DEBRIDE DERMIS 1ST 20 CM WC 361 97597 217.80 91.03 Active
3550037 DEBRIDE DERMIS ADD 20 WC 361 97598 217.80 26.47 Active
3550027 ACTIVE WOUND MANAGEMENT WC 361 97602 217.80 Active
3550041 NPWT < 50 SQ CM WC 361 97605 217.80 26.15 Active
3550042 NPWT > 50 SQ CM WC 361 97606 290.40 49.21 Active
3940023 PHYS PERF TEST/MEAS 15 OT 430 97750 130.70 33.64 Active
3920014 PROSTHETIC TRAINING INITIAL 15 MINUTES PT 420 97761 95.04 40.2 Active
3940020 ORTHO/PROS TRAINING SUB 15 MINUTES OT 430 97763 116.20 49.95 Active
99000 DRUG SCREEN COLLECTION RHC CLIN 521 99000 18.50 Active
99173 VISION SCREENING CLIN 521 99173 5.00 Active
3600066 PHLEBOTOMY, THERAPEUTI LAB 300 99195 99.00 91.22 Active
99201 NEW MINIMAL OFFICE VIS CLIN 521 99201 200.00 26.56 Active
99202 NEW LOW OFFICE VISIT CLIN 521 99202 210.00 73.16 Active
99203 NEW MODERATE OFFICE VI CLIN 521 99203 220.00 78.06 75.84 Active
99204 NEW HIGH OFFICE VISIT CLIN 521 99204 230.00 131.75 129.69 Active
99205 NEW COMPLEX OFFICE VIS CLIN 521 99205 240.00 171.67 169.26 Active
99211 EST. MINIMAL OFFICE VI CLIN 521 99211 190.00 9.17 Active
99212 EST. LOW OFFICE VISIT CLIN 521 99212 200.00 25.93 Active
99213 EST MODERATE OFFICE VI CLIN 521 99213 210.00 51.31 Active
99214 EST. HIGH OFFICE VISIT CLIN 521 99214 220.00 78.78 Active
99215 EST. COMPLEX OFFICE VI CLIN 521 99215 230.00 111.17 Active
4900111 OBS DC PRO 960 99217 110.00 71.84 Active
3320122 OBS RND EDP 981 99218 138.00 100 Active
4900105 OBS CHEMO PRO 960 99219 138.00 135.28 Active
4900099 OBS ADMIT PRO 960 99220 193.00 184.65 Active
4900066 LOW RND ADMIT AY PRO 960 99221 138.00 102.31 Active
4900079 MED RD ADMIT TB PRO 960 99222 165.00 137.77 Active
4900001 ADMIT PRO 960 99223 193.00 201.77 Active
4900060 LOW RND PRO 960 99231 66.00 39.34 Active
4900089 MOD RND PRO 960 99232 83.00 72 Active
4900042 HIGH RND PRO 960 99233 138.00 103.75 Active
4900011 ADMIT/DC SAME DAY PRO 960 99235 220.00 168.57 Active
4900025 DC PRO 960 99238 110.00 72.15 Active
99242 OFFICE VISIT CONSULT CLIN 521 99242 200.00 Active
3300017 EMERGENCY ROOM LEVEL 1 ED 450 99281 145.20 23.07 Active
3300018 EMERGENCY ROOM LEVEL 2 ED 450 99282 182.20 44.29 Active
3300019 EMERGENCY ROOM LEVEL 3 ED 450 99283 290.40 66.33 Active
3300020 EMERGENCY ROOM LEVEL 4 ED 450 99284 363.00 122.22 Active
3300021 EMERGENCY ROOM LEVEL 5 ED 450 99285 435.60 177.75 Active
3300099 CRITICAL CARE ADDITIONAL 30 MINUTES ED 450 99292 150.00 112.9 Active
99307 N/H STRAIGHT FORWARD VISIT CLNH 522 99307 175.00 43.33 Active
99308 SNF LOW VISIT CLNH 525 99308 175.00 68 Active
99238 SWB DISCHARGE CLNH 521 99309 175.00 89.51 Active
99310 N/H COMPREHENSIVE VISIT CLNH 521 99310 175.00 132.25 Active
KM99381 INITIAL KM 00-01 CLIN 521 99381 200.00 Active
KM99382 INITIAL KM 01-04 CLIN 521 99382 200.00 Active
KM99383 INITIAL KM 05-11 CLIN 521 99383 200.00 Active
KM99384 INITIAL KM 12-17 CLIN 521 99384 200.00 Active
KM99385 INITIAL KM 18-20 CLIN 521 99385 200.00 92.35 Active
99386 NEW PT WELLNESS 40-64 CLIN 521 99386 200.00 112.39 Active
99387 NEW PT WELLNESS 65+ CLIN 521 99387 200.00 Active
99391 EST. PT WELLNESS 0-1 CLIN 521 99391 200.00 Active
99392 EST.PT WELLNESS 1-4 CLIN 521 99392 200.00 Active
99393 EST.PT WELLNESS 5-11 CLIN 521 99393 200.00 Active
99394 EST.PT WELLNESS 12-17 CLIN 521 99394 200.00 Active
99395 EST.PT WELLNESS 18-39 CLIN 521 99395 200.00 Active
99396 EST.PT WELLNESS 40-64 CLIN 521 99396 200.00 Active
99397 EST.PT WELLNESS 65+ CLIN 521 99397 200.00 Active
36000720 RESP PANEL WITH COVID-19 LAB 300 0202U 500.00 Active
1125F PAIN PRESENT CLIN 521 1125F 0.00 Active
1126F NO PAIN PRESENT CLIN 521 1126F 0.00 Active
1158F SNP ADVANCE CARE PLAN DISCUSSION CLIN 521 1158F 0.00 Active
1159F MEDICATION LIST CLIN 521 1159F 0.00 Active
1160F MEDICATION REVIEW CLIN 521 1160F 0.00 Active
1170F FUNTIONAL STATUS ASSESSED CLIN 521 1170F 0.00 Active
3500084 PARAFFIN WAX 1B CS 270 A4265 9.30 Active
3500020 CENTRAL LINE WITH TRAY CS 272 A4300 464.70 Active
3500018 CATH TRAY W/O CATHER CS 270 A4310 23.80 Active
3500046 FOLEY CATH TRAY CS 272 A4314 80.60 Active
3500063 IRRIGATION TRAY W/SYRI CS 272 A4320 22.50 Active
3500118 URINARY IRRIGATION SYR CS 272 A4322 21.20 Active
3500117 URINARY IRR SAL 1000CC CS 272 A4323 21.20 Active
3500027 CONDOM CATHETER CS 270 A4325 18.50 Active
3500019 CATHETER, FOLEY CS 272 A4344 66.00 Active
3500047 FOLEY CATHETER, 3-WAY CS 272 A4346 145.20 Active
3500060 INTERMITTENT CATHETER CS 272 A4351 80.60 Active
3500116 URINARY DRAINAGE BAG CS 272 A4357 41.00 Active
3500080 OSTOMY FACEPLATE CS 270 A4361 29.10 Active
3500004 ADHESIVE FOR OSTOMY CS 270 A4364 51.50 Active
3500079 OSTOMY BELT CS 270 A4367 58.10 Active
3500025 COLOSTOMY BAGS CS 270 A4377 37.00 Active
3500081 OSTOMY IRRIGATION SET CS 270 A4400 522.80 Active
3500067 LUBRICANT WATER-BASED CS 270 A4402 2.70 Active
3500093 SKIN BARRIER,OSTOMY,PA CS 270 A4405 58.10 Active
3500082 OSTOMY SKIN BARR W/FLA CS 270 A4409 58.10 Active
3550144 TAPE PAPER 2" X 10 YD WC 623 A4450 8.00 Active
3500105 TAPE (PLAIN) CS 270 A4452 14.60 Active
3500026 COMPRESSION HOSE THIGH CS 270 A4495 79.20 Active
3500024 COMPRESSION HOSE BELOW KNEE CS 270 A4500 72.60 Active
3500005 AED PADS CS 270 A4556 116.20 Active
3500094 SLING ARM CS 270 A4565 72.60 Active
3500095 SPLINT CS 270 A4570 122.80 Active
3500037 ELEC. STIM. SUPPLIES/M CS 270 A4595 14.60 Active
3900021 MASK SIMPLE RT 270 A4620 37.00 Active
3500111 TRACHEOSTOMY MASK, COL CS 272 A4621 29.10 Active
3500114 TRACHEOTOMY TUBE CS 272 A4622 21.20 Active
3500112 TRACHEOSTOMY,INNER CAN CS 272 A4623 41.00 Active
3500110 TRACHEAL SUCTION CATHE CS 270 A4624 11.90 Active
3500078 OROPHARYNGEAL SUCTION CS 272 A4628 58.10 Active
3500113 TRACHEOTOMY CARE TRAY CS 272 A4629 21.20 Active
3500119 URINARY LEG BAG CS 270 A5105 21.20 Active
3500139 DIABETIC SHOE WEDGE CS 270 A5504 60.00 Active
3550340 FIBRACOL 2X2 WC 623 A6021 22.50 Active
3550341 FIBRACOL 4X4 WC 623 A6022 51.50 Active
3500016 CALCIUM ALGINATE DRESS CS 270 A6196 18.50 Active
3550339 ACTICOAT W/ALGINATE 4X5 WC 623 A6197 51.50 Active
3500015 CALCIUM ALGIN WOUNDFIL CS 270 A6199 47.60 Active
3550333 MEPITEL 2X3 WC 623 A6206 34.40 Active
3500055 HYDRASORB 4X4 CS 272 A6209 22.50 Active
3550132 FOAM 4X8 WC 623 A6210 22.50 Active
3500130 ALLEVYN 5X5 CS 272 A6212 30.00 Active
3500126 4X4 NONSTERILE GAUZE CS 271 A6216 37.00 Active
3550129 BORDER DRESSING 4X4 WC 623 A6219 4.00 Active
3550130 BORDER DRESSING 6X6 WC 623 A6220 8.70 Active
3500122 VASELINE GAUZE 4X4 CS 272 A6222 11.90 Active
3500121 VASELINE GAUZE 3X9 CS 272 A6223 10.60 Active
3500056 HYDROCOLLOID 4X4 CS 272 A6237 13.20 Active
3550351 VIGILON 4X4 WC 623 A6242 0.00 Active
3550352 VIGILON 6X8 WC 623 A6243 35.70 Active
3550330 HYDROGEL 4 OZ WC 623 A6248 29.10 Active
3500001 ABD PAD 5X9 CS 272 A6252 10.60 Active
3500002 ABD PAD 8X10 CS 272 A6253 11.90 Active
3500077 OPSITE SMALL CS 272 A6257 33.00 Active
3500076 OPSITE MEDIUM CS 272 A6258 37.00 Active
3500075 OPSITE LARGE CS 272 A6259 41.00 Active
3500100 SUR CLENS CS 270 A6260 18.50 Active
3550345 IDODOFLEX 5GM WC 623 A6261 48.90 Active
3550348 IODOFORM NU GAUZE 1/2XSYD WC 623 A6266 43.60 Active
3550349 NU GAUZE 1/4X5 YD PLAIN WC 623 A6407 6.90 Active
3500101 SURGIFLEX CS 270 A6430 14.60 Active
3550133 KERLIX 4.5 X 4.1 YDS WC 623 A6443 3.40 Active
3550030 KLING 3X4 CONFORM WC 623 A6446 14.60 Active
3500128 ACE WRAP 4"X5 YD CS 623 A6450 4.00 Active
3550131 COBAN 4"X5 YD WC 623 A6454 10.60 Active
3550350 UNNA BOOT 4" X 10 YD WC 623 A6456 52.80 Active
3550137 STOCKINETTE 2" WC 623 A6457 6.60 Active
3500137 ULCER CARE ZIPPERED STOCKING EACH CS 270 A6531 400.00 Active
3500098 SUCTION CANISTER, DISP CS 270 A7000 23.80 Active
3300052 OB PACK ED 720 A9270 242.70 Active
3500044 FEEDING TUBE SYRINGE CS 270 B4034 8.00 Active
3500043 FEEDING TUBE BAG W/TUB CS 272 B4036 51.50 Active
3500072 NASOGASTRIC TUBING CS 272 B4082 43.60 Active
3500066 LEVINE TUBE ANY SIZE CS 272 B4083 29.10 Active
3500049 GASTROSTOMY TUBE CS 272 B4086 261.40 Active
3401824 CLINIMIX E 4.25/10 IV PHAR 636 B4176 90.00 Active
3401825 INTRALIPID 20% IV PHAR 636 B4185 50.00 Active
3401864 KABIVEN TPN PHAR 636 B4189 150.00 Active
3800060 OCTREOTIDE ACETATE 1 M CHEM 636 C1207 963.60 Active
3500131 PICC KIT CS 272 C1751 600.00 Active
D0120 PERIODIC ORAL EXAM CLIN 521 D0120 20.00 Active
D0150 COMPREHENSIVE ORAL EXA CLIN 521 D0150 22.00 Active
D0180 COMPREHENSIVE PERIODON CLIN 521 D0180 22.00 Active
D0220 XRAY 1ST FILM CLIN 521 D0220 22.00 Active
D0230 XRAY EA ADD CLIN 521 D0230 5.00 Active
D0272 BITE WINGS 2-FILMS CLIN 521 D0272 15.00 Active
D0330 PANORAMIC FILM CLIN 521 D0330 39.00 Active
WCD0999 DENTAL ENCOUNTER CLIN 521 D0999 167.17 Active
D1110 PROPHYLAXIS-ADULT (12- CLIN 521 D1110 32.00 Active
D1120 PROPHYLAXIS-CHILD (UND CLIN 521 D1120 17.00 Active
D1203 TOPICAL APPLICATION FL CHILD CLIN 521 D1203 13.00 Active
D1204 TOPICAL APPLICATION FL ADULT CLIN 521 D1204 13.00 Active
D1351 SEALANT, PER TOOTH CLIN 521 D1351 21.00 Active
D1510 SPACE MAINTAINER,FIXED CLIN 521 D1510 105.00 Active
D1515 SPACE MAINTAINER,FIXED CLIN 521 D1515 195.00 Active
D1550 RECEMENATION OF SPACE CLIN 521 D1550 22.00 Active
D2140 ONE SURFACE AMALGAM CLIN 521 D2140 52.00 Active
D2150 TWO SURFACE AMALGAM CLIN 521 D2150 64.00 Active
D2160 FOUR SURFACE AMALGAM CLIN 521 D2160 119.00 Active
D2330 1 SURFACE COMPOSITE CLIN 521 D2330 65.00 Active
D2331 2 SURFACE COMPOSITE CLIN 521 D2331 75.00 Active
D2332 RESIN BASED COMPOSITE CLIN 521 D2332 94.00 Active
D2335 RESIN BASED COMPOSITE CLIN 521 D2335 119.00 Active
D2390 RESIN-BASED COM. CRN. CLIN 521 D2390 115.00 Active
D2920 RECEMENT CRN CLIN 521 D2920 22.00 Active
D2930 STAINLESS STEEL CRN PRIMARY CLIN 521 D2930 119.00 Active
D2931 STAINLESS STEEL CRN PERM CLIN 521 D2931 119.00 Active
D2932 PREFABRICATED RESIN CR CLIN 521 D2932 115.00 Active
D2950 CORE BUILDUP CLIN 521 D2950 61.00 Active
D2951 PIN RETENTION CLIN 521 D2951 17.00 Active
D2954 POST AND CORE CLIN 521 D2954 83.00 Active
D5110 COMPLETE DENTURE (MAX) CLIN 521 D5110 545.00 Active
D5120 COMPLETE DENTURE (MAND CLIN 521 D5120 545.00 Active
D5130 IMMEDIATE DENTURE (MAX CLIN 521 D5130 545.00 Active
D5140 IMMEDIATE DENTURE (MAN CLIN 521 D5140 545.00 Active
D5211 MAX PARTIAL DENTURE CLIN 521 D5211 517.00 Active
D5212 MAND PARTIAL DENTURE CLIN 521 D5212 517.00 Active
D5213 MAX PARTIAL DENTURE(CA CLIN 521 D5213 605.00 Active
D5214 MAND PARTIAL DENTURE(C CLIN 521 D5214 605.00 Active
D5510 REPAIR BRKN COMPLETE D CLIN 521 D5510 110.00 Active
D7140 SIMPLE EXTRACTION CLIN 521 D7140 51.00 Active
D7210 SURGICAL EXTRACTION CLIN 521 D7210 63.00 Active
D7220 REMVL OF IMPACTED TOOT CLIN 521 D7220 95.00 Active
D7230 REMVL IMPACTED TOOTH(P CLIN 521 D7230 150.00 Active
D7240 REMVL IMPACTED TOOTH(C CLIN 521 D7240 178.00 Active
D7270 TOOTH REIMPLANTATION CLIN 521 D7270 165.00 Active
D9110 EMERGENCY EXAM DENTAL CLIN 521 D9110 28.00 Active
3500028 CRUTCHES CS 270 E0114 188.80 Active
3500036 ELBOW PROTECTOR CS 270 E0191 58.10 Active
3500035 EGG CRATE MATTRESS CS 270 E0199 67.40 Active
3500115 URINAL CS 270 E0325 11.90 Active
3900029 CPAP/BIPAP DEVICE RT 412 E0601 300.00 Active
3920004 CONT. PASSIVE MOTION PT 420 E0935 66.00 Active
3940005 CERVICAL HEAD HALTER OT 430 E0942 34.40 Active
3500022 CERVICAL PILLO CS 270 E0943 66.00 Active
3940009 ELBOW EXT./FLEXION DEV OT 430 E1800 51.50 Active
3940027 STRETCH ELBOW DEVICE OT 430 E1801 43.60 Active
3940013 FOREARM PRONATION/SUPI OT 430 E1802 80.60 Active
3940032 WRIST EXT./FLEXION DEV OT 430 E1805 51.50 Active
3940028 STRETCH WRIST DEVICE OT 430 E1806 43.60 Active
3350011 INFLUENZA  SEASONAL ADM TR 510 G0008 43.60 Active
G0009 PNEU VAC ADMINISTRATION CLIN 521 G0009 5.00 Active
3600076 PSA SCREENING LAB 300 G0103 58.10 Active
3850026 COLONOSCOPY SCREENING HIGH RISK ENDO 750 G0105 1452.00 Active
3850002 COLONOSCOPY SCREENING LOW RISK ENDO 750 G0121 1452.00 Active
3550362 TRIM DYSTROPHIC NAILS WC 361 G0127 125.00 Active
3150003 OBS PER HR APP OBS 762 G0244 8.00 Active
3150001 OBS APP CL OBS 762 G0263 8.00 Active
3150004 OBS PER HR. NAPP. OBS 762 G0264 8.00 Active
3720049 CT CHEST LUNG CANCER SCREENING CT 350 G0297 450.00 Active
3150005 OBS SERVICES PER HOUR OBS 762 G0378 8.00 Active
3150002 OBS DIRECT ADMISSION OBS 762 G0379 145.20 Active
3740031 ULT  SCREENING FOR AAA US 402 G0389 240.00 Active
3350006 TREATMENT RM EXTENDED TR 510 G0463 150.50 Active
3610509 NICOTINE LEVEL RLAB 300 G0480 280.00 Active
3940119 DEVELOPMENT COGNITIVE SKILLS 15 MINUTES OT 430 G0515 100.00 Active
3920038 CONT WALK&MOVE 100% PT 420 G8979 0.00 Active
3920039 DC WALK&MOVE 0% PT 420 G8980 0.00 Active
3920046 ON BODY POSTURE 0% PT 420 G8981 0.00 Active
3920066 CONT BODY POSTURE 0% PT 420 G8982 0.00 Active
3920087 DC BODY POSTURE 0% PT 420 G8983 0.00 Active
3920053 ON CAR/MOV/HAN 0% PT 420 G8984 0.00 Active
3920073 CONT CAR/MOV/HAN 0% PT 420 G8985 0.00 Active
3920094 DC CAR/MOV/HAN 0% PT 420 G8986 0.00 Active
3920059 ON SELF CARE 0% PT 420 G8987 0.00 Active
3920080 CONT SELF CARE 0% PT 420 G8988 0.00 Active
3920101 DC SELF CARE 0% PT 420 G8989 0.00 Active
3350010 INFLUENZA A (H1N1) ADM TR 510 G9141 43.60 Active
H2020 BH ENCOUNTER CLIN 521 H2020 230.00 Active
3400054 ADENOSINE INJ 1MG PHAR 636 J0153 13.00 Active
3401405 EPINEPHRINE AUTO-INJ [0.1 PHAR 636 J0170 827.00 Active
3800002 AMIFOSTINE 500 MG IV CHEM 636 J0207 1434.90 Active
3401819 PROLASTIN-C 10MG IM PHAR 636 J0256 15.00 Active
3400112 AMIKACIN INJ [500 MG/2 ML PHAR 636 J0278 83.00 Active
3400113 AMINOPHYLLINE INJ [250 MG PHAR 636 J0280 21.00 Active
3401714 AMIODARONE 900 MG (6 X 150 MG) PHAR 250 J0282 450.00 Active
J0290 AMPICILLIN 500 MG CLIN 636 J0290 20.00 Active
3401462 AMPICIL/SUL 1.5GM/NS 50ML PHAR 636 J0295 18.50 Active
3400139 SUCCINYLCHOLINE INJ [20 M PHAR 636 J0330 11.00 Active
3400178 ATROPINE INJ [0.4 MG/1 ML PHAR 636 J0460 12.00 Active
3400537 DICYCLOMINE INJ [20 MG/2 PHAR 636 J0500 205.00 Active
3401330 PEN G BENZ/PENIC G PROC PHAR 636 J0558 273.00 Active
3401333 BICILLIN LA 600UN/ML PHAR 636 J0560 80.00 Active
J0560 BICILLIN 100000 UNITS CLIN 636 J0561 30.00 Active
J0570 BICILLAN 1.2 CLIN 636 J0570 40.00 Active
3401853 SUBOXONE 2/5 FILM PHAR 636 J0573 12.00 Active
3401849 SUBOXONE 8/2 FILM PHAR 250 J0574 20.00 Active
J0580 BICILLAN 2.4 CLIN 636 J0580 50.00 Active
3401160 BUTORPHANOL INJ [2 MG/ML] PHAR 250 J0595 38.40 Active
3400299 CALCIUM GLUC 10% INJ [10 PHAR 636 J0610 20.00 Active
3400297 CALCITONIN INJ 400 UNT/2 PHAR 636 J0630 7123.00 Active
3800049 LEUCOVORIN 50 MG IV CHEM 636 J0640 415.80 Active
J0690 ANCEF 500MG CLIN 636 J0690 15.00 Active
3401774 CEFEPIME 2GM/100ML NS IVPB PHAR 636 J0692 78.00 Active
J0696 ROCEPHIN 250 MG INJ CLIN 636 J0696 15.00 Active
3401286 CEFUROXIME 750MG INJ PHAR 636 J0697 106.70 Active
3401470 CEFOTAXIME 1GM/D5W 50ML PHAR 636 J0698 18.50 Active
J0702 CELESTONE INJ CLIN 636 J0702 15.00 Active
3401472 CEFTAZIDIME 1GM/D5W 50ML PHAR 636 J0713 59.00 Active
3401068 IMIPENEM/CILAS INJ [500 M PHAR 636 J0743 181.20 Active
3401734 CIPROFLOXACIN 200MG PHAR 250 J0744 25.00 Active
3401399 COSYNTROPIN INJ [0.25 MG] PHAR 636 J0835 394.00 Active
3401815 DAPTOMYCIN 1MG INJECTION PHAR 636 J0878 15.00 Active
3400148 DARBEPOETIN/ARASNEP INJ 1MCG PHAR 636 J0881 1200.00 Active
3800030 EPOGEN INJ 1,000U CHEM 636 J0885 85.80 Active
J0900 DEPOESTTADIOL 1CC CLIN 636 J0900 55.00 Active
3401401 ESTRADIOL VAL INJ [40 MG/ PHAR 636 J0970 448.00 Active
J1000 DELESTROGEN 5MG CLIN 636 J1000 25.00 Active
3400502 METHYLPREDNISOLONE INJ [8 PHAR 636 J1030 60.00 Active
J1040 DEPO MEDROL INJ CLIN 636 J1040 15.00 Active
J1055 DEPO PROVERA CONTRACEP CLIN 636 J1050 65.00 Active
3401402 MEDROXYPROGESTERONE INJ [ PHAR 636 J1055 497.00 Active
3800026 DECADRON 4 MG (CHEMO) CHEM 636 J1100 31.70 Active
3400548 DIGOXIN INJ [0.25 MG/ML] PHAR 636 J1160 23.00 Active
3401040 PHENYTOIN INJ [50 MG/ML - PHAR 636 J1165 165.00 Active
3400557 HYDROMORPHONE INJ [2 MG/M PHAR 636 J1170 36.00 Active
3800027 DEXRAZOXENE 250 MG IV CHEM 636 J1190 649.50 Active
J1200 DIPHENHYDRAMINE UP TO CLIN 636 J1200 15.00 Active
3400587 CHLORTHIAZIDE INJ [500 MG PHAR 636 J1205 1935.00 Active
3401404 DOBUTAMINE INJ [12.5 MG/M PHAR 636 J1250 17.00 Active
3800003 ANZEMET 10 MG IVP CHEM 636 J1260 63.40 Active
3400595 DOPAMINE 40MG IV PHAR 636 J1265 120.00 Active
3400800 ERTAPENUM INJ [1000 MG] PHAR 250 J1335 346.00 Active
3400661 ERYTHROMYCIN LAC INJ [500 PHAR 636 J1364 148.00 Active
3400972 NEUPOGEN INJECTION 1MCG PHAR 636 J1442 1718.50 Active
3400542 FLUCONAZOLE/ SOD CL PREMI PHAR 250 J1450 72.00 Active
3401648 IMMUNE GLOBULIN 500MG IM PHAR 636 J1556 1210.00 Active
3400732 GENTAMICIN INJ [40MG/ML] PHAR 636 J1580 27.60 Active
3400738 GLUCAGON EMERG KIT [1 MG] PHAR 636 J1610 773.00 Active
3800038 GRANISETRON 100 MEG CHEM 636 J1626 740.60 Active
3400754 HALOPERIDOL INJ [5 MG/ML] PHAR 636 J1630 68.00 Active
J1631 HALDOL 50 MG CLIN 636 J1631 15.00 Active
3400758 HEP-LOCK FLUSH [100 UNT/M PHAR 636 J1642 20.00 Active
3401749 HEPARIN DRIP 25000UN/250ML NS PHAR 250 J1644 500.00 Active
3400863 ENOXAPARIN INJ SYR [100 M PHAR 636 J1650 184.00 Active
J1670 TETANUS TOXOID CLIN 636 J1670 25.00 Active
3401445 HYDROCORTISONE INJ [1 GM] PHAR 636 J1720 207.00 Active
3400281 IBANDRONATE INJ 1MG PHAR 636 J1740 1747.00 Active
3401689 REMICADE 10MG INFUSION PHAR 636 J1745 3490.00 Active
3400795 DEXFERRUM INJ 50MG/ML PHAR 636 J1750 230.00 Active
3401252 IRON SUCROSE INJ [20 MG/M PHAR 636 J1756 144.00 Active
3401438 PROPRANOLOL INJ [1 MG/ML) PHAR 636 J1800 29.00 Active
3401746 HUMULIN R IV DRIP 100UN/100ML NS PHAR 250 J1815 220.00 Active
3401347 INS- ASPART/INS ASPART PR PHAR 636 J1820 12.00 Active
3400814 KETOROLAC INJ [30 MG/ML] PHAR 250 J1885 12.00 Active
3401411 FUROSEMIDE INJ [100 MG/10 PHAR 636 J1940 12.00 Active
3800051 LEUPRON 3.75MG CHEM 636 J1950 1016.40 Active
3400837 LEVOFLOXACIN/ D5W PREMIX PHAR 636 J1956 88.00 Active
3401419 LIDOCAINE 1% INJ [10 MG/M PHAR 250 J2000 9.00 Active
3400842 LIDOCAINE 1% INJ PHAR 250 J2001 6.00 Active
3401653 LINEZOLID INJ PREMIX [600 PHAR 636 J2020 362.00 Active
3400857 LORAZEPAM INJ [2 MG/ML] PHAR 636 J2060 20.40 Active
3400881 MANNITOL 20% PREMIX INJ [ PHAR 636 J2150 70.00 Active
3400495 MEPERIDINE INJ [25 MG/ML] PHAR 250 J2175 18.00 Active
3400895 MEROPENUM 100MG INJECTION PHAR 636 J2185 200.00 Active
3400918 MIDAZOLAM  INJ  [5 MG/ML] PHAR 636 J2250 66.00 Active
3401757 MORPHINE 100MG/100ML NS PHAR 250 J2270 100.00 Active
3400952 NALBUPHINE INJ [10 MG/ML] PHAR 636 J2300 24.00 Active
3400953 NALOXONE INJ [0.4 MG/ML] PHAR 636 J2310 79.20 Active
3400962 NESIRITIDE INJ [1.5 MG] PHAR 636 J2325 3793.50 Active
3800061 OPRELVEKIN 5 MG IM CHEM 636 J2355 664.00 Active
3800074 ZOFRAN 1MG/2ML IV CHEM 636 J2405 101.70 Active
3401433 PAMIDRONATE INJ [3 MG/ML] PHAR 250 J2430 74.00 Active
3800059 NEULASTA 6MG IM CHEM 636 J2505 4065.60 Active
3401493 PENICILLIN G INJ PHAR 250 J2540 145.00 Active
3401295 PIPERACILLIN/ TAZO INJ [2 PHAR 636 J2543 40.00 Active
J2550 PHENERGAN INJ CLIN 636 J2550 20.00 Active
3401343 OXYTOCIN INJ [10 UNT/ML] PHAR 636 J2590 28.00 Active
3401074 PROCAINAMIDE INJ [100MG/M PHAR 250 J2690 211.00 Active
3401439 PROTAMINE SULF INJ [250MG PHAR 636 J2720 97.00 Active
3401667 PROTOPAM CHLORIDE 1G PHAR 636 J2730 311.00 Active
3800066 REGLAN 10 MG (CHEMO) CHEM 636 J2765 34.40 Active
3401752 RANITIDINE 300MG/250ML NS PHAR 250 J2780 80.00 Active
3800050 LEUKINE 50 MEG CHEM 636 J2820 105.60 Active
3401812 FERRLECIT 12.5MG INJ PHAR 636 J2916 40.00 Active
3400111 METHYLPREDNISOLONE INJ [4 PHAR 636 J2920 18.00 Active
3401153 METHYLPREDNISOLONE INJ [1 PHAR 636 J2930 40.80 Active
3400678 FENTANYL INJ [0.1 MG/2 ML PHAR 636 J3010 24.00 Active
3400789 SUMATRIPTAN INJ [6 MG/0.5 PHAR 636 J3030 254.00 Active
3400038 ALTEPLASE RECOMBINANT 1MG PHAR 636 J3101 16300.00 Active
3401448 TERBUTALINE INJ [1 MG/ML] PHAR 250 J3105 17.00 Active
J1060 TESTOSTERONE CYPIONATE CLIN 636 J3121 25.00 Active
3400380 CHLORPROMAZINE INJ [25 MG PHAR 250 J3230 64.00 Active
3401226 TIGECYCLINE INJ [50 MG] PHAR 636 J3243 423.00 Active
3401203 TRIMETHOBENZAMIDE INJ [10 PHAR 636 J3250 87.00 Active
3401751 TOBRAMYCIN 80MG INJ PHAR 636 J3260 60.00 Active
3400493 TORSEMIDE 10MG/ML-2ML INJ PHAR 636 J3265 23.00 Active
3401416 TRIAMCINOLONE INJ [10 MG/ PHAR 636 J3301 40.00 Active
3400530 DIAZEPAM INJ SYR [10 MG/2 PHAR 636 J3360 37.00 Active
3401246 VANCOMYCIN 500MG INJ PHAR 636 J3370 100.00 Active
3400772 HYDROXYZINE INJ [50 MG/ML PHAR 636 J3410 40.00 Active
3400228 VIT- B-6 TAB [100 MG] PHAR 636 J3415 4.80 Active
3400473 VIT- B-12 INJ [1000 MCG/M PHAR 250 J3420 18.00 Active
3401263 VIT- K INJ [10 MG/ML] PHAR 636 J3430 180.00 Active
J3475 MAGNESIUM SULFATE 500 CLIN 636 J3475 20.00 Active
3401784 POTASSIUM CL 2MEQ/ML-20ML/D5W 100ML IVPB PHAR 636 J3480 45.00 Active
3800037 GEODON 10 MG INJ CHEM 636 J3486 178.20 Active
3401294 BICILLIN LA 2.4MU/ML PHAR 636 J3487 26.50 Active
3401111 ZOLEDRONIC ACID 1MG IV PHAR 636 J3489 1768.00 Active
3400076 ALBUTEROL HFA MDI PHAR 250 J3535 61.00 Active
3401519 IVF SOD CL 0.9% [1000 ML] PHAR 250 J7030 10.00 Active
3401516 IVF SOD CL 0.9% [500 ML] PHAR 250 J7040 10.00 Active
3401512 IVF DEX 5%/ 0.9% SOD CL [ PHAR 250 J7042 10.00 Active
3401503 IVF SOD CL 0.9% [250 ML] PHAR 250 J7050 10.00 Active
3401510 IVF DEXTROSE 5% [500 ML] PHAR 250 J7060 10.00 Active
3401511 IVF DEXTROSE 5% [1000 ML] PHAR 250 J7070 10.00 Active
3401524 IVF LACTATED RINGERS [100 PHAR 250 J7120 10.00 Active
3400677 FACTOR VIII [ANTIHEMOPHIL PHAR 636 J7191 3010.00 Active
3550023 NON-HUMAN METABOLIC TI WC 361 J7341 109.60 Active
3400217 AZOTHIOPRINE TAB [50 MG] PHAR 636 J7500 6.00 Active
3401616 METHYLPREDNISOLONE TAB [4 PHAR 250 J7509 68.00 Active
3401022 PREDNISOLONE SOL [5 MG/5M PHAR 250 J7510 13.00 Active
3401791 IPRATROPIUM 0.02%-0.5MG/2.5ML RT 410 J7644 25.00 Active
3400936 ACETYLCYSTEINE SOL 20% PHAR 250 J7699 50.40 Active
3401084 PROMETHAZINE SUP [12.5 MG PHAR 250 J8498 6.00 Active
3800009 BUSULFAN 2MG ORAL CHEM 636 J8510 14.60 Active
3800020 CYCLOPHOSPHAMIDE 25MGO CHEM 636 J8530 37.00 Active
3400515 DEXAMETHASONE TAB [4 MG] PHAR 636 J8540 4.80 Active
3401361 METHOTREXATE TAB [2.5 MG] PHAR 250 J8610 8.00 Active
3800068 TAMOXIFEN 10 MG PO CHEM 636 J8999 11.90 Active
3800001 ADRIAMYCIN 10 MG IV CHEM 636 J9000 97.70 Active
3800006 BLEOMYCIN 15 IM CHEM 636 J9040 1011.20 Active
3800011 CARBOPLATIN 50 MG CHEM 636 J9045 272.00 Active
3800017 CISPLATIN 10 MG IV CHEM 636 J9060 162.40 Active
3800019 CYCLOPHOSPHAMIDE 100 M CHEM 636 J9093 224.40 Active
3800021 CYTARABINE 100 MG IVP CHEM 636 J9100 35.70 Active
3800024 DACTINOMYCIN 0.5MG CHEM 636 J9120 58.10 Active
3800023 DACARBAZINE 100 MG CHEM 636 J9130 452.80 Active
3800025 DAUNORUBICIN HCL 10 MG CHEM 636 J9150 682.50 Active
3800029 DOCETAXEL 20 MG CHEM 636 J9170 1114.10 Active
3800031 ETOPOSIDE 10 MG IV CHEM 636 J9181 55.50 Active
3800033 FLUDARA 50 MG IV CHEM 636 J9185 978.20 Active
3800034 FLUOROURACIL 500 MG CHEM 636 J9190 116.20 Active
3800036 GEMCITABINE HCL 200 MG CHEM 636 J9201 425.10 Active
3800076 ZOLADEX 3.6 MG CHEM 636 J9202 932.00 Active
3800010 CAMPOSTAR 100 MG IV CHEM 636 J9206 2277.00 Active
3800041 IFOSFOMIDE 1 GM CHEM 636 J9208 1479.80 Active
3800053 MESNA 200 MG 1 GM CHEM 636 J9209 738.40 Active
3800040 IDARUBICIN HCL 5 MG CHEM 636 J9211 1087.70 Active
3800045 INTERFERON ALFA-2A 3MI CHEM 636 J9213 134.70 Active
3800046 INTERFERON ALFA-2B 1MI CHEM 636 J9214 145.20 Active
3800047 INTERFERON ALFAN3 250, CHEM 636 J9215 633.60 Active
3800048 INTERFERON GAMMA1-B 3M CHEM 636 J9216 833.00 Active
3800052 MECHLORETHAMINE HCL 10 CHEM 636 J9230 51.50 Active
3800055 METHOTREXATE 5 MG INJ CHEM 636 J9250 11.90 Active
J9260 METHOTREXATE INJ CLIN 636 J9260 25.00 Active
3800069 TAXOL(PACLITAXEL)30MG CHEM 636 J9265 488.40 Active
3800057 MITOMYCIN 5 MG IV CHEM 636 J9280 361.70 Active
3401820 RITUXAN 10MG IV PHAR 636 J9310 260.00 Active
3800067 RITUXAN 10MG IV CHEM 636 J9312 260.00 Active
3800072 VINBLASTINE 1 MG IVP CHEM 636 J9360 112.20 Active
3800073 VINCRISTINE 1 MG IV CHEM 636 J9370 145.20 Active
3800032 FASLODEX 25 MG IM CHEM 636 J9395 225.80 Active
3500021 CERVICAL COLLAR FLEX CS 270 L0120 80.60 Active
3920002 CERVICAL COLLAR RIGID PT 420 L0140 87.12 Active
3500088 RIB BELT CS 270 L0210 72.60 Active
3500065 KNEE IMMOBILIZER CS 270 L1830 261.40 Active
3500023 CLAVICLE STRAP CS 270 L3650 109.60 Active
3500200 E-Z BOOT CS 279 L4350 250.00 Active
3650013 BLOOD SPLIT UNIT SPEC. BB 381 P9011 319.50 Active
3650016 CRYOPRECIPITATE EACH U BB 300 P9012 95.10 Active
3650027 RBC LEUK. RED./U BB 381 P9016 537.30 Active
3650019 PLASMA,FRESH FROZEN/UN BB 384 P9017 392.10 Active
3650020 PLATELET PHER.LEUK.RED BB 384 P9035 900.30 Active
3650026 RBC LEUK. RED. CMV-/U BB 384 P9058 1074.50 Active
3401846 FERAHEME 1MG IV PHAR 636 Q0138 6.00 Active
3400381 CHLORPROMAZINE TAB  [25 M PHAR 636 Q0161 4.80 Active
3800028 DIPHENHYDRAMINE 50MG(C CHEM 636 Q0163 13.20 Active
3800063 PROCHLORPER 5MG ORAL C CHEM 636 Q0164 13.20 Active
3800062 PHENERGAN 12.5 ORAL(CH CHEM 636 Q0169 13.20 Active
3401002 ONDANSETRON TAB [8 MG] PHAR 636 Q0179 59.00 Active
3800071 TENIPOSIDE 50 MG CHEM 636 Q2017 788.10 Active
3550046 APLIGRAF TOTAL CM WC 361 Q4101 109.60 Active
3550047 OASIS WND MATRIX APPLIED WC 361 Q4102 72.60 Active
3550049 DERMAGRAFT TOTAL CM APP WC 361 Q4106 109.60 Active
3401821 PEPCID 20MG IV PHAR 636 S0028 10.00 Active
CMT1015K CMC KIDMED ENCOUNTER CLIN 521 T1015 146.26 Active