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