LRMC Item Description Primary PriceSEMI PRIVATE ROOM 1,028.00SBU SEMI-PRIVATE ROOM 1,660.00NEWBORN NURSERY BED 585.00ICU ROOM CHARGE 1,889.00CVICU ROOM CHARGE 2,494.00NM ZZ TECHNET TC99 MESROFENIN PRE 725.70SOLUTION IV .9%SOD CHLOR 250ML 9.40SOLUTION IV .9%SOD CHLOR 1000ML 10.95SOL IV LACT RING BAG 1000ML 16.26SOLUTION IV LACTD RNGR BG 1000ML 16.26IV INFUS THPY/PRO/DX CONCURREN 124.65IV INFUS THRPY/DX EA ADD HOUR 167.10IV INFUS THERAPY/DX ADDL HR 167.10IV INFUS THERAPY/DX EA ADD HR 167.10IV INFUS HYDRA THPY FLUID ADDL HR 168.30IV INFUS THERPY FLUID ADD HR 168.30IV INFUS THPY FLUID ADDL HR 168.30THERAPEUT/PROPH/DX INJ SQ/IM (59) 212.00THERAPEUT/PROPH/DX INJ SQ/IM (59) 212.00THERAPEUTIC/PROPH/DIAG INJ SQ/IM 212.00THERAPY/PRO//DX IV PUSH INITIA 213.25THERAPYPRO//DX IV PSH ADD SQ (59) 213.25IVP THERAPYPRO//DX SAME DRUG (59) 213.25THERAPYPRO//DX IV PUSH SAME DRUG 213.25THERAPYPRO//DX IV PUSH INITIAL 213.25THERAPY PRO/DX IV PUSH ADD SEQ 213.25THERAPYPRO/DX SAME DRUG IV PUSH 213.25THERAPYPRO/DX IV PUSH ADD SEQ 213.25THERAPYPRO/DX IV PUSH INITL 213.25THERAPYPRO//DX IV PUSH INITIA 213.25THERAPYPRO//DX IV PUSH ADDL SEQ 213.25THERAPYPRO//DX IV PUSH SAME 213.25IV INFUS THRPYPRO/DX CONCURRNT 270.80IV INFUS THPYPRO//DX CONCURREN 270.80IV INFUS THPYPRO//DX ADD SEQ 270.80IV INFUS THPYPRO//DX ADDL SEQ 270.80IV INFUS THERPY HYDRATION INIT HR 554.60IV INFUS THPY FLUID INITIAL 554.60IV INFUS THPY HYDRA FLUID INITIAL 554.60IV INFUS THRPYPROPH//DX INTL UP 699.80IV INFUS THPYPROPH//DX INTL UP 699.80IV INFUS THPY INITIAL HOUR SDPM 699.80IV INFUS THPYPROPH//DX INITIAL 699.80SET IV LOOP WITH CONNECTOR 8.80CATHETER SCTN W/O CONTRL VL 18FR 9.25

LRMC Item Description Primary PriceSCALPEL SURG SFTY STNLS STL NO20 9.25SPLINT CASTG PLSTR XTRA 3INX15IN 9.25SPLINT CASTG PLSTR XTRA 4INX15IN 9.25SPLINT FNGR ALUM FOAM 1INX18IN 9.25STRAP DRSG MNTGMR 7.25INX111/8IN 9.25SYRINGE INJ CONTRST RADRPHC W/QC 9.25CATHETER O2 TRNSTRACH 10FR 9.25POUCH OSTMY DRNBL TRANS 4IN 14IN 9.25CANNULA IV ACCSS NDLLS LVER 15GA 9.25SPLINT FNGR FRG FOAM MED 9.25SUCTION FRAZIER 12F 9.25DRAIN WND PENRS RBBR XR 1INX18IN 9.25DRESSING SPNG GAU 6INX6.75IN MED 9.25TUBE NASODUODNL LEVN S 18FRX48IN 9.25CLAMP TAIL CLOSR OSTMY PCH 9.25TUBE NASODUODNL LEVN S 16FRX48IN 9.25OINTMENT PETRO JLLY TUBE BLK 1OZ 9.25HOLSTER ELECTRD ELECTROSURGCL ST 9.25PACK CLD INST LG 9INX7IN 9.25PACK CLD INST LG 9INX7IN 9.25POUCH OSTMY 2 PC DRN 1.75IN 12IN 9.25POUCH OSTMY 2 PC DRN 2.25IN 12IN 9.25SOLUTION SCRB SURG POV IOD .75OZ 9.25DRESSING ABSRBNT ADHSV P 3INX4IN 9.25TOWEL SURG NON ABSRBNT 19INX26IN 9.25SLIPPERS PTNT FEM BLU SZ5-SZ9 9.25DRESSING FLM TRANS 23/8INX23/4IN 9.25SLIPPERS PTNT MAL SZ10-SZ13 ADLT 9.25DRESSING FLM TRANSPRN 4INX4.75IN 9.25SLIPPERS PTNT TRRY X-LG SZ9-SZ16 9.25TUBE ET NSL OR ORL UNCUFF 2.5MM 9.35TUBE ET NSL OR ORL UNCUFF 3.5MM 9.35POUCH OSTMY 1 PC DRNBL TRAN 12IN 9.50CATH EXTERNAL MALE 21MM 9.62TIP SCTN FRAZIR SURG STRL 8FR W/ 9.85TIP SCTN FRAZIR SURG STRL 10FR W 9.90SPLINT FNGR 4 PRONG FOAM LG 10.30CATH EXTERNAL MALE 40MM 10.51DRAIN WND PENRS RBBR 5/8INX12IN 10.75TRACHEOSTOMY MASKS 10.85TRAY SUT RMVL 11.20DRESSING FLM TRANSPRNT 4INX10IN 11.30BRIDGE IRRIG OSTMY LP STRL 3.5IN 11.70BANDAGES COMP 3INX5YD TAN 11.84NEEDLE SPNL QNCK SNGL 20GAX3.5IN 11.85

LRMC Item Description Primary PriceNEEDLE SPNL QNCK SNGL 22GAX3.5IN 11.85NEEDLE SPNL QNCK SNGL 18GAX3.5IN 11.85SUTURE SLK 0 STRND 30 IN NON ABS 12.15SOCK SPECI SCTN CANSTR ARTHRO SH 12.25SUTURE SLK 2-0 SH 30 IN NON ABSR 12.55SUTURE SLK 3-0 SH 30 IN NON ABSR 12.60HOOK AMNIOTC OBSTRCL CUST STRL 12.70SPECULUM VAG GRAV DISP MED 12.80SUTURE SLK 0 SH 30 IN NON ABSRBL 12.80DEODORANT OSTMY SPRY BTL 1OZ 12.80DRAIN WND PENRS RBBR X .5INX18IN 12.95DRAIN WND PENRS RBBR .25INX18IN 12.95DRESSING FLM TRANSPRNT O 6INX8IN 13.00POUCH URSTMY 2 PC 1.5IN W/1 SDD 13.05TRAY CATH URTHRL RBBR RED 15FR 13.05VALVE FEDG ENTRL LPZ W/4 WAY STO 13.10TUBE NG ENTRL FEDG PREM 5FRX15IN 13.30TUBE NG ENTRL FEDG 8FRX15IN INF 13.30DRESSING ISLND PERF CVR 4INX10IN 13.50SET EXT IV MACROBR 100CM W/2 NDL 13.60TIP SCTN FRAZIR BARON SURG S 7FR 13.70TUBE ET NSL OR ORL CFFD MRP 10MM 13.70TUBE ET NSL OR ORL CFFD MRPH 6MM 13.70TUBE ET NSL OR ORL CFFD MRPH 4MM 13.70TUBE ET NSL OR ORL CFFD MR 6.5MM 13.70EXTRACTOR MCS 10FR 13.70TUBE ET NSL OR ORL CFFD MR 8.5MM 13.70TUBE ET NSL OR ORL CFFD MRPH 9MM 13.70TUBE ET NSL OR ORL CFFD MR 4.5MM 14.25TUBE ET NSL OR ORL CFFD MRPH 7MM 14.25TUBE ET NSL OR ORL CFFD MRPH 8MM 14.25TUBE ET NSL OR ORL CFFD MR 7.5MM 14.25SOLUTION IRRIG .9% SOD CHL 500ML 14.30SOLUTION IRRIG WTR PLSTC 1000ML 14.80SUTURE VCRYL 2-0 SH 27 IN ABSRBL 14.85SUTURE VCRYL 2-0 CT-1 27 IN ABSR 14.85SUTURE VCRYL 3-0 SH 27 IN ABSRBL 14.90SOLUTION IRRIG .9% SOD CH 1000ML 14.90SUTURE VCRYL 0 CT-1 27 IN ABSRBL 14.95SUTURE VCRYL 0 CT-1 27 IN ABSRBL 15.05DRESSING ADHSV SURG STRL 6INX4IN 15.05TUBE NASODUODNL LEVN SNGL L 14FR 15.10LOOP VSL MINI RED 15.25SUTURE VCRYL 1 CT 27 IN ABSRBLE 15.50SUTURE VCRYL 0 CT-2 27 IN ABSRBL 15.50

LRMC Item Description Primary PriceTUBE ET NSL OR ORL CFFD MRPH 5MM 15.55LENS IRRIG OPHTH MORGN 15.60SUTURE ETHLN 2-0 KS 30 IN NON AB 15.60SUTURE VCRYL 0 CT-1 36 IN ABSRBL 15.70SOCK SPECI SCTN CANSTR ARTHROSCP 15.80SUTURE SLK 2-0 FS 18 IN NON ABSR 15.80SUTURE VCRYL 2-0 CT-2 27 IN ABSR 15.85SUTURE ETHLN 4-0 FS-2 18 IN NON 15.95SUTURE ETHLN 4-0 FS 2 18 IN NON 15.95SUTURE VCRYL 3-0 CT-1 36 IN ABSR 15.95SUTURE VCRYL 2-0 CT-1 36 IN ABSR 16.00SUTURE VCRYL 2-0 CP-1 27 IN ABSR 16.10SUTURE VCRYL 2-0 CTX 36 IN ABSRB 16.15SUTURE ETHLN 3-0 FS-1 30 IN NON 16.20SUTURE VCRYL 0 CP-1 27 IN ABSRBL 16.25SUTURE SLK 3-0 KS 30 IN NON ABSR 16.30SUTURE VCRYL 1 CP 27 IN ABSRBLE 16.30SUTURE VCRYL 1 CT-1 36 IN ABSRBL 16.35SUTURE VCRYL 2-0 CP-2 27 IN ABSR 16.35DRESSING BURN ANTI SHEAR 4INX6IN 16.40SUTURE SLK 0 FSL 30 IN NON ABSRB 16.40SUTURE VCRYL 1 CT 36 IN ABSRBLE 16.45SUTURE VCRYL 0 CP-2 27 IN ABSRBL 16.45SUTURE VCRYL 0 CTX 36 IN ABSRBLE 16.50SUTURE ETHBND EXCL 2-0 CT-2 30 I 16.55SUTURE ETHBND EXCL 2-0 CT-1 30 I 16.55SUTURE ETHBND EXCL 1 CT-1 30 IN 16.55SUTURE ETHBND EXCL 0 CT-1 30 IN 16.55SUTURE VCRYL 1 CTX 36 IN ABSRBLE 16.55SUTURE ETHLN 2-0 FS 18 IN NON AB 16.55SUTURE ETHLN 2-0 FSLX 30 IN NON 16.60SUTURE VCRYL 1 CP-1 27 IN ABSRBL 16.60SUTURE ETHLN 3-0 FS-1 18 IN NON 16.65SUTURE VCRYL 0 CPX 27 IN ABSRBLE 16.70SUTURE ETHLN 4-0 FS-1 18 IN NON 16.90KIT SHROUD ADLT LG 72INX108IN 17.30CONNECTOR TBG MALE TO MALE 72IN 17.57SUTURE VCRYL 0 CP 36 IN ABSRBLE 17.65SUTURE VCRYL 0 REEL 54 IN ABSRBL 18.00SUTURE VCRYL 3-0 REEL 54 IN ABSR 18.05CATHETER IV 24GAX5/8IN 18.05DRESSING FLM TRANSPRNT 8INX12IN 18.20NEEDLE SUT FERGSN HLF CRCLE SZ2 18.30SUTURE VCRYL 3-0 CP-1 36 IN ABSR 18.35SUTURE VCRYL 0 UR-6 27 IN ABSRBL 18.35

LRMC Item Description Primary PriceSUTURE VCRYL 2-0 REEL 54 IN ABSR 18.40EXTRACTOR STPL SKN 18.50SUTURE VCRYL 4-0 RB-1 27 IN ABSR 18.55NEEDLE SPNL QNCK SNGL 26GAX3.5IN 18.60SUTURE MONCRYL 3-0 SH 27 IN ABSR 18.85DRESSING BURN ANTI SHEAR 3INX4IN 19.35BAG DRNG URIN CONTNS IRRI 4000ML 19.50SUTURE ETHLN 4-0 FSL 30 IN NON A 19.70SUTURE SLK 1 STRND 10 IN NON ABS 19.85SUTURE MONCRYL 3-0 CT-1 36 IN AB 20.90BARRIER OSTMY WAFR ADHSV 6INX6IN 21.00STYLET INTUBTN ET TUBE 14FR ADLT 21.05SUTURE MONCRYL 2-0 CT-1 36 IN AB 21.10SUTURE STL 3-0 CP-1 20 IN NON AB 21.30SUTURE PROLN 1 CTX 30 IN NON ABS 21.35SUTURE ETHLN 2 LR 20 IN NON ABSR 21.70BAG DRNG URIN LEG LF 21.85NEEDLE SUT FR SPRNG EYE HLF SZ2 21.90MANIFOLD 3 GNG 4 WAY MALE LL PRT 22.00NEEDLE SUT MRTN UTER HLF CRC SZ5 22.30PUNCH BPSY DISP 3MM 22.60SUTURE PROLN 2-0 CT-2 30 IN NON 22.60SUTURE PROLN 0 CT 30 IN NON ABSR 22.60COLLAR CERV SM 22.65COLLAR CERV UNIV 4INX22IN 22.65SUTURE PDS II 0 CT-1 27 IN ABSRB 22.65COLLAR CERV MED 22.65COLLAR CERV LG 22.65SUTURE PDS II 4-0 RB-1 27 IN ABS 22.80SUTURE PROLN 1 CT-1 30 IN NON AB 22.80SUTURE PROLN 2-0 FS 18 IN NON AB 22.85VENTI MASK 22.85SUTURE PDS II 3-0 CT-1 27 IN ABS 23.30SLING ARM INF W/PAD 23.40SUTURE PROLN 4-0 FS-2 18 IN NON 23.65BAG DRNG URNRY STRL 2000ML W/ANT 23.75SUTURE PROLN 2-0 KS 30 IN NON AB 24.00SUTURE PROLN 5-0 FS-2 18 IN NON 24.05CLIP LIGTG TI MED 24.05SUTURE PDS II 0 CTX 36 IN ABSRBL 24.15SUTURE PDS II 0 CT-2 27 IN ABSRB 24.15FETAL SCALP ELECTRODE 24.15SUTURE SLK 2-0 STRND 30 IN NON A 24.25SUTURE ETHLN 1 TP-1 60 IN NON AB 24.35SUTURE PDS II 2-0 CT-2 27 IN ABS 24.40

LRMC Item Description Primary PriceSUTURE SLK 5-0 TF 18 IN NON ABSR 24.50SUTURE ETHBND EXCL 0 OS-4 30 IN 24.55SUTURE ETHBND EXCL 1 OS-4 30 IN 24.55SUTURE PDS II 3-0 SH 27 IN ABSRB 24.55SUTURE ETHBND EXCL 1 OS-6 30 IN 24.55SLING ARM CRDLE X-LG W/PAD 24.80SLING ARM SM 24.80SLING ARM LG 24.80SLING ARM MED 24.80DRESSING BURN ANTI SHEAR 6INX9IN 24.95SUTURE PROLN 2-0 SH 30 IN NON AB 25.20SUTURE MONCRYL 3-0 KS 27 IN ABSR 25.30SUTURE SLK 3-0 STRND 30 IN NON A 25.55SUTURE SLK 4-0 STRND 30 IN NON A 25.90SUTURE PDS II 1 CT 36 IN ABSRBLE 25.90SUTURE PROLN 3-0 SH 30 IN NON AB 26.00TUBE NG SLEM SUMP DBL LUMN 18FR 26.25BELT OSTMY ADJUSTBL 26.60ADHESIVE APLNC OSTMY PWDR 1OZ 26.60SUTURE PROLN 0 SH 30 IN NON ABSR 27.15CANNULA INR TRACH DISP SZ8 27.60CANNULA INR TRACH DISP SZ6 27.60NEEDLE ARTERL ANGIOG 18GAX.038IN 27.65SOLUTION IRRIG WTR STRL 1000ML 27.65OXYGEN HUMIDIFIER 27.65CATHETER URTHRL FOL STR 12FR 5ML 27.75CATHETER URTHRL FOL RND 14FR 5ML 27.75WIRE FIXTN KRSCHNR 1.6MMX140MM W 27.75WIRE FIXTN KRSCHNR 1.1MMX140MM W 27.75SUTURE CHRMC 2-0 CT-2 27 IN ABSR 27.80TUBE NG SLEM SUMP DBL LUMN 14FR 28.00TUBE NG SLEM SUMP DBL LUMN 16FR 28.00SUTURE PDS II 1 CTX 36 IN ABSRBL 28.10KIT CATH URTHRL UNISX RBBR 14FR 28.20OXYGEN STAND-BY 28.25POUCH COLOST ILOSTMY PST OP 70MM 28.25CATHETER URTHRL FOL RND 22FR 5ML 28.75CATHETER URTHRL FOL RND 26FR 5ML 28.75CATHETER URTHRL FOL RND 12FR 5ML 28.75SUTURE CHRMC 2-0 CT-1 27 IN ABSR 28.95SUTURE PLN 2-0 CT-1 27 IN ABSRBL 29.00VALVE ANTI RFLUX GSTRC 29.05SUTURE PROLN 0 MO-6 30 IN NON AB 29.20NEEDLE SPNL QNCK 22GAX4.75IN 29.25SUTURE PLN 1 STRND 54 IN ABSRBLE 29.30

LRMC Item Description Primary PriceSUTURE CHRMC 2-0 SH 27 IN ABSRBL 29.35CATHETER URTHRL FOL RND 18FR 5ML 29.55SPLINT WRST FA LFT ALUM FOAM SM 29.60SUTURE PLN 0 CT-1 27 IN ABSRBLE 29.80SUTURE CHRMC 0 CT-1 27 IN ABSRBL 29.80SUTURE CHRMC 3-0 SH 27 IN ABSRBL 29.80INFUSION PUMP (IV PUMP) 30.35SPLINT CASTG PLSTR CONF 3INX12IN 30.40CATHETER URTHRL FOL RND 20FR 5ML 30.65CATHETER URTHRL FOL RND 18FR 5ML 30.65CATHETER URTHRL FOL RND 14FR 5ML 30.65CATHETER URTHRL FOL RND 16FR 5ML 30.65SUTURE CHRMC 0 SH 27 IN ABSRBLE 30.70DRESSING FOAM SLF ADHERN 4INX4IN 30.75SUTURE CHRMC 3-0 SH-1 27 IN ABSR 30.90SUTURE CHRMC 4-0 SH 27 IN ABSRBL 30.90CLIP LIGTG TI M/L 31.15TAPE UMBLCL POLYEST W 1/8INX30IN 31.20SUTURE ETHLN 4-0 P-3 18 IN NON A 31.30SUTURE ETHLN 5-0 P-3 18 IN NON A 31.30SUTURE CHRMC 3-0 UR-6 27 IN ABSR 31.35SUTURE ETHLN 6-0 P-3 18 IN NON A 31.35KNIFE STRT OPHTH MICRO SPCLTY 31.70AIRWAY NASO DISP LF NS 9MM 31.95AIRWAY NASO DISP LF NS 8MM 31.95AIRWAY NASO DISP LF NS 7MM 31.95POUCH URSTMY PST OPERTV STR 45MM 32.00IMMOBILIZER SHLDR VELP ELSTC SM 32.10IMMOBILIZER SHLDR VELP ELSTC MED 32.10IMMOBILIZER SHLDR VELP ELSTC LG 32.10SUTURE SLK 3-0 PS-1 18 IN NON AB 32.20CURETTE VAC ENDOMTRL CRVD R 12MM 32.25SUTURE ETHLN 4-0 PS-2 18 IN NON 32.40PROTECTOR EYE PHOTHRP 9IN-13.5IN 32.50SUTURE SLK 5-0 P-3 18 IN NON ABS 32.60SUTURE ETHLN 3-0 PS-2 18 IN NON 32.60TRAY CATH URTHRL COUD TIP T 16FR 32.75SUTURE ETHLN 4-0 PS-2 18 IN NON 32.75SUTURE CHRMC 3-0 REEL 54 IN ABSR 32.85SUTURE ETHLN 2-0 LR 30 IN NON AB 33.20CATHETER URTHRL FOL RND 30FR 5ML 33.30SUTURE VCRYL 2-0 PS-2 27 IN ABSR 33.30SUTURE SLK 6-0 P-1 18 IN NON ABS 33.35CATHETER URTHRL FOL RN 24FR 30ML 33.40CATHETER URTHRL FOL RN 26FR 30ML 33.40

LRMC Item Description Primary PriceCATHETER URTHRL FOL RN 18FR 30ML 33.40CATHETER URTHRL TIEMNN COUD 12FR 33.55SLEEVE PROTCTR HL & ELB SM/MED 33.75SUTURE CHRMC 2-0 REEL 54 IN ABSR 33.85SUTURE VCRYL 3-0 PS-2 27 IN ABSR 34.05SUTURE ETHLN 3-0 PS-1 18 IN NON 34.05SUTURE VCRYL 4-0 P-3 18 IN ABSRB 34.15SUTURE VCRYL 4-0 PS-2 27 IN ABSR 34.25SUTURE VCRYL 5-0 PS-2 18 IN ABSR 34.35SET EXT IV 12IN W/INJ PRT 34.45SUTURE VCRYL 4-0 PS-2 18 IN ABSR 34.70NEEDLE SUT MAYO CATGT HLF CR SZ6 35.00SUTURE SLK 2-0 PS 18 IN NON ABSR 35.00OBTURATOR INTRODCR SHETH PRCUTAN 35.15MANIFOLD 5 GNG 4 WAY MALE LL PRT 35.20SUTURE VCRYL 3-0 PS-1 18 IN ABSR 35.40CATHETER URTHRL FOL RN 20FR 30ML 35.55SUTURE VCRYL 4-0 PS-1 27 IN ABSR 35.95CURETTE VAC ENDOMTRL CRVD RG 8MM 36.55SHOE CST RCKR SOLE MED 36.90SPLINT WRST FA LFT SM 36.90SPLINT WRST FA RT SM 36.90SPLINT WRST FA LFT LG 36.90SPLINT WRST FA RT MED 36.90SPLINT WRIST FOREARM LEFT MEDIUM 36.90CATHETER URTHRL FOL RN 28FR 30ML 37.10TUBE ET ORL UNCUFF MRPHY F 5.5MM 37.20RESERVOIR DRNG WND BLB SCT 100ML 37.35ADHESIVE APLNC OSTMY PSTE TU 2OZ 37.45SHOE PST OPERTV MEN SM W/VLCRO 37.55SHOE PST OPERTV MEN LG SZ11-SZ12 37.55SHOE PST OPERTV MEN MED SZ9-SZ11 37.55ELECTRODE ELECTROSURGCL SCT 10FR 38.10SUTURE PROLN 5-0 PS-2 18 IN NON 38.90SHOE PST OPERTV WMEN SM W/VLCRO 40.05SHOE PST OPERTV WMEN LG SZ9 W/VL 40.05SHOE PST OPERTV WMEN MED SZ6-SZ8 40.05SUTURE PDS II 1 TP-1 54 IN ABSRB 40.95DRESSING BURN ANTI SHEAR 3INX9IN 40.95SUTURE PROLN 4-0 FS-2 18 IN NON 41.20ER-EAR TRAY 41.60DRESSING BURN ANTI SHEA 9INX15IN 41.80VALVE BPSY ENDOSCP FLXBL SNGL US 41.95ER-FIBEROPTIC LAYRNGOSCOPE 42.10SUTURE TICR 0 T-12 30 IN NON ABS 42.65

LRMC Item Description Primary PriceNEEDLE SPNL WHTACR PN 25GAX3.5IN 42.85SUTURE PDS II 1 TP-1 96 IN ABSRB 43.35BINDER ABD 3 PNL S 9INX30IN-45IN 43.40TUBE ET ORL CFFD MRPHY 7MM 44.05PAD HYPOTHERM NON WVN 18INX24IN 44.10ELECTRODE ELECTROSURGCL GRND INF 44.10CANNULA INR TRACH DISP SZ4 44.80DRAIN WND FLAT HUBLS SI 7MMX20CM 44.85DRAIN WND FLAT CLSD SC 10MMX20CM 44.85BANDAGE PSTE UNNA BOOT 4INX10YD 44.95SPLINT CASTG PLSTR CONF 4INX15IN 45.50CATH FEMALE EXTERNAL 45.79SUTURE MONCRYL 5-0 PS-2 18 IN AB 46.25TUBE ET ORL CFFD MRPHY 6MM 46.35SUTURE MONCRYL 4-0 PS-1 27 IN AB 46.40SUTURE MONCRYL 3-0 PS-1 27 IN AB 46.40BLADE SAW OSCI 5.8MMX18.5MMX.6MM 46.80CLIP LIGTG TI LG 46.95ADULT C02 DETECTORS 46.95WAX BNE HEMOSTC 2.5GR 47.65TRANSPORT OXYGEN 47.85BLADE SAW SAG C 19.1MMX41MMX.4MM 48.55MANOMETER MNTRG PRESSR DISP W/ST 48.55SUTURE PROLN 2-0 SH 36 IN NON AB 48.70SUTURE PROLN 3-0 SH 36 IN NON AB 49.25SUTURE PROLN 4-0 SH 36 IN NON AB 49.40SUTURE PROLN 3-0 SH 8 IN NON ABS 49.45SUTURE MONCRYL 5-0 C-1 18 IN ABS 49.95SUTURE PROLN 4-0 RB-1 36 IN NON 50.10BLANKET BAIR HUGGER INTRAOP 50.24BAG DRNG BILE REG LTX STRL 19OZ 50.30SUTURE PROLN 5-0 RB-1 36 IN NON 50.30IMMOBILIZER SHOULDER UNIV 50.70SUTURE CHRMC 2-0 PS-2 27 IN ABSR 51.75DRESSING FOAM SLF ADHERN 6INX6IN 52.15SUTURE PDS II 0 TP-1 60 IN ABSRB 52.65STAY ELSTC RETRCTR SHRP SURG 3MM 52.75SUTURE PROLN 2-0 MH 8 IN NON ABS 53.60ER-CUTDOWN TRAY 53.60BLADE MINI SHRP ALL ARND 180DEG 54.00IMMOBILIZER SHOULDER UNIV 54.02CATHETER URTHRL FOL 10FR 3ML PED 55.40DRESSING ANTIMICROBL PRCUTAN 1IN 56.35ER-EYE TRAY 56.60SOLUTION IRRIG WTR FLXBL 3000ML 58.00

LRMC Item Description Primary PriceSOLUTION IRRIG .9% SOD CH 3000ML 58.00SUTURE CHRMC 4-0 P-3 18 IN ABSRB 58.05CATHETER URTHRL FOL 8FR 3ML PED 59.00CATHETER URTHRL FOL RND 22FR 5ML 59.25CATHETER URTHRL FOL 2 W 20FR 5ML 59.30SUTURE CHRMC 5-0 P-3 18 IN ABSRB 59.40TRAY CATH URTHRL FOL LF 16FR W/5 60.15SUTURE CHRMC 4-0 PS-2 18 IN ABSR 60.50CATHETER URTHRL FOL 2 W 18FR 5ML 61.60SET TBG COLL VAC CURETG 6FT 62.05TUBING INSUF ENDOSCPC DISP W/0.2 62.45CLIP LIGTG TI SM 63.00BLADE MINI ROUND (60-6900) 63.65ER-PELVIC EXAM TRAY 63.70SUTURE PLN 5-0 PC-1 18 IN ABSRBL 64.20STAPLER SKN FIXD HEAD WD 64.75BINDER ABD 3 PNL S 9INX60IN-75IN 65.70TELEMETRY 65.70IMMOBILIZER KNEE FOAM 14IN MED 67.25SUTURE STL 28 GA STRND 18 IN NON 67.55IMMOBILIZER KNEE FOAM 14IN LG 68.25KIT SHETH INTRODCR STD 5FRX11CM 69.40TRAY ANESTH PARACERV PU 20GAX6IN 70.05BAG DRNG URNRY LF 2500ML W/350 M 70.10DRAPE EXTRMTY SURG 70.90CATHETER FOLEY 3WAY 30CC 22FR 71.50CATHETER URTHRL FOL CO 20FR 30ML 71.50CATHETER URTHRL FOL RN 22FR 30ML 71.50CATHETER URTHRL FOL CO 18FR 30ML 71.50KIT CATH ARTE 20GAX1.75IN 4.45CM 72.05PENCIL CAUTRY LO TEMP FINE .5MM 72.15TRAY LUMB PUN 22GAX1.5IN PED INF 72.15SOLUTION IRRIG 3% SORB 3000ML 73.10KIT TRNSDUCR PRESSR STD W/FLSH D 73.80PLEDGET FLT PLYTET PTFE SFT MED 73.90PEAK FLOW METER 75.10CATHETER URTHRL FOL CON 18FR 5ML 75.65CATHETER DRNG THOR STR 32FRX23IN 75.85CATHETER URTHRL FOL 3 26FR 30ML 76.15CATHETER URTHRL FOL CO 24FR 30ML 76.15SET BRSH CANLA FEMRL W/SCTN & IR 76.30BINDER ABD 4 PNL 12INX46IN-62IN 76.70DRAIN WND SURG 1.25INX6IN 400ML 76.75SUTURE STL 25 GA STRND 18 IN NON 78.05TUBE FEDG ENTRL NG 14FRX36IN W/S 78.60

LRMC Item Description Primary PriceBIT DRL 1/16IN 79.55BIT DRL TWST 1/8INX5IN 79.55GEL LIDO HYDROCHL PREFLD SY 20ML 80.80TRAY CATH URTHRL FOL 16FR 5ML W/ 80.85TRAY CATH URTHRL FOL 18FR 5ML W/ 80.90BLADE SAW SAG MICRO 10 MM STP 80.94TRAY LUMB PUNCT 20GAX3.5IN ADLT 81.35COLLAR CERV 3.25IN SM W/TRCTN 83.15COLLAR CERV 3.25IN LG W/TRCTN 83.15UNDERPAD INCONT XTRA A 23INX36IN 83.75CATHETER DRNG THOR RT ANGL 20FR 84.20CATHETER URTHRL FOL TIE 24FR 5ML 84.35SUTURE PLN 3-0 CT-1 18 IN ABSRBL 86.10SUTURE TICR 5-0 C-20 30 IN NON A 86.10SUTURE CHRMC 1 CT-1 27 IN ABSRBL 86.45SUTURE SLK 3-0 SH 30 IN NON ABSR 86.80ER-SLIP LAMP 87.10SUTURE SLK 2-0 SH 30 IN NON ABSR 87.90SUTURE SLK 4-0 SH 30 IN NON ABSR 87.95SPLINT CASTG PLSTR CONF 3INX35IN 88.50TUBE VENTLTN MYRNGTMY SHP 1.14MM 89.15TUBE FEDG ENTRL NG W/O 12FRX36IN 89.80CATHETER URTHRL FOL TIE 18FR 5ML 89.85CATHETER URTHRL FOL TIE 14FR 5ML 89.85CATHETER URTHRL FOL TIE 16FR 5ML 89.85SPONGE PTTIE XRAY DE .25INX.25IN 90.85SPLINT CASTG PLSTR CONF 4INX30IN 91.10SLING ARM IMOBLIZNG DLX MED W/SW 91.20SLING ARM IMOBLIZNG DLX LG W/SWT 91.20SPLINT WRIST/FOREARM UNIVRSAL RT 91.60CATHETER URTHRL FOL 3 18FR 30ML 92.50TUBE DRNG THOR RT ANGL 36FRX57CM 92.50VALVE SCTN ENDOSCP FLXBL SNGL US 92.50BLADE SAW SAG WD MED 92.50CATHETER URTHRL FOL CO 24FR 30ML 92.50CATHETER URTHRL FOL IR 22FR 30ML 92.50CATHETER TROCAR 24 93.45TRAY CATH URTHRL FOL CTR EN 14FR 93.45SUTURE PROLN 5-0 C-1 36 IN NON A 94.10SENSOR PLSE OXMTR ADHSV SNGL INF 94.75SUTURE VCRYL 2-0 CT-2 18 IN ABSR 95.55SUTURE VCRYL 1 CTX 18 IN ABSRBLE 98.05SUTURE VCRYL 0 CT-2 18 IN ABSRBL 98.25DELIVERY SYSTEM INJCTAT CRDIAC O 98.75SUTURE VCRYL 3-0 SH 18 IN ABSRBL 98.90

LRMC Item Description Primary PriceFILTER CLLCTR SPECI TISS TRP 99.00NEEDLE SUT MRTN UTER HLF CRC SZ5 100.35SUTURE VCRYL 0 CT-1 27 IN ABSRBL 101.20CATHETER URTHRL FOL COU 16FR 5ML 101.25KIT GDE NDL 21GA 102.60DRESSING ANTIMICROBL SILVR C 5GR 106.35STOCKINET LNR CST SYNTH 3INX25YD 106.45NEEDLE SPNL WHTACR 25GAX411/16IN 107.95SUTURE VCRYL 5-0 S-14 18 IN ABSR 108.10BUR CTTG OVL 4MM 109.80DRAIN WND FLAT SIL 3/4 FLTD 10MM 110.05CATHETER DRNG MALECT 4 WNG 24FR 110.25BUR CTTG RND CARBD 4MM 110.25SPLINT CASTG PLSTR CONF 5INX30IN 110.75DRAPE ISLTN VERTCL SURG 111.15SUTURE PROLN 6-0 BV-1 18 IN NON 113.90SUTURE PROLN 6-0 BV 30 IN NON AB 115.30SUTURE ETHBND EXCL 0 MO-7 18 IN 116.00NEEDLE INSUF PNEUMPERTNM D 150MM 117.00NEEDLE INSUF PNEUMPERTNM D 150MM 117.00DRAIN BILE T SHAP TU 5/32IN 18FR 117.30DRAIN BILE T SHAP T 11/16IN 20FR 117.30SUTURE PROLN 7-0 BV-1 24 IN NON 118.00COVER PRB ULTRSND T SHAP LG 119.25CLIP SCALP RNEY HEMSTAS 122.55OXYGEN SET-UP + 2 HOURS 124.15CATHETER DRNG GYNCLGCL WORD CYST 125.25SLEEVE ANTI THRMBS ALTERNATG REG 126.00CATHETER UMBLCL VSL N 3.5FRX38CM 126.95SUTURE VCRYL 2-0 CP-2 18 IN ABSR 127.20KIT CATH SCTN TRACHL 14FR 4.6MM 127.35IMMOBILIZER KNEE FOAM 24IN SM 127.70DISSECTOR ENDOSCPC BLNT TIP 10MM 129.10RESUSCITATOR MNL LF PED W/NEON M 129.55GUIDEWIRE ANGIOGRPH .035INX150CM 129.95TUBE FEDG SIL 8FR 130.50ELECTRODE ELECTRO 20MMX15MM 11CM 135.00ELECTRODE ELECTROSURGCL 5MM 11CM 135.00CABLE PACG CRDIAC TEMPRY DIS 6FT 135.00DISSECTOR ENDOSCPC BLNT TIP 5MM 135.95PUMP BRST 1 HNDD STRL 138.25CATHETER URTHRL FOL 2 W 18FR 5ML 143.55BRUSH CYTO COLONSCPY 7FRX240CM 143.90LARYNGOSCOPE GLIDESCPE STATS GVL4 144.00SLEEVE SEQTL CMPRSN DEVC SCD REG 144.00

LRMC Item Description Primary PriceCUSHION WHLCHR FOA 18INX16INX4IN 145.55SUTURE NURLN 4-0 TF 18 IN NON AB 146.70TRAY CATH URTHRL FOL 16FR 350ML 146.70SUTURE ETHBND EXCL 2-0 V-37 30 I 146.85KIT TRNSDUCR PRESSR STD W/2 FLSH 148.50INCENTIVE SPIROMETRY SETUP/NS 150.10TUBE VENTLTN MYRNGTMY REU .045IN 150.30SPLINT WRST HND ELB ADLT MED 150.85AEROSOL SETUP/NEW START 154.65SLEEVE SEQTL CMPRSN UPTO36IN LG 158.40SUTURE CHRMC 5-0 S-14 18 IN ABSR 158.70TUBING SCTN ANTICOAGLATN 160.20PAD DEFIB ADHSV GEL PED 161.55ELECTRODE ELECTRCRDOGRM MUL ADLT 161.55SENSOR PTNT NEUROLGCL STD F/BISP 162.00PILLOW ABDUCTN SM 6INX12INX18IN 162.00SNARE POLYP OVL S 1.5CMX3CM JMBO 162.00FORCEPS BPSY ALIGTR ENDOSCPC DIS 165.19SUTURE FIBRWIR 2 TPR NDL 38 IN N 166.50PILLOW ABDUCTN MED 14INX22INX6IN 168.75SUTURE PDS II 1 CTX 18 IN ABSRBL 169.10TUBING IRRIG BIPOL SURG DIS 12IN 170.10BRACE ANKL STIRUP STD LFT 171.65BRACE ANKL STIRUP STD RT 171.65ELECTRODE ELECTROSURGCL FRCP 172.55BUR LNDMNN STNLS STL 1.6MM 172.80PAD CLD THRPY SHLDR WRP ON X-LG 175.95PAD CLD THRPY KNEE WRP ON X-LG 175.95DRESSING HYDRGRL ANTIMICRO 1.5OZ 176.95CLAMP BPSY MSCL RAYPRT 12MM MED 177.20EVACUATOR BLDDR W/ELLK ADPTR 179.80PACKING NSL POST W/O DRWSTR 10CM 180.00SUTURING DEVICE SURGDAC ENDO STC 180.00PACKING NSL TAMPN W/TBG 180.00SUTURING DEVICE SLK ENDO STCH 2- 180.00SUTURING DEVICE SLK ENDO STCH 0 180.00DRAIN WND RND HUBLS SIL SUR 15FR 182.80DRAIN WND RND HUBLS SIL SUR 19FR 182.80PAD CLD THRPY SHLDR WRP ON REG 184.80NEEDLE BPSY BNE MRW JAM 11GAX4IN 186.75TUBE VENTLTN MYRNGTMY PAPRLLA 186.90BRUSH CYTO ENDOSCPC 1MMX90CM 188.50PACKING NSL KENDY 9MM 193.90PILLOW ABDUCTN LG 6INX16INX25IN 197.75SUTURE GORE TEX CV-5 TTC-13 36 I 198.80

LRMC Item Description Primary PriceATTEMPTED VAGINAL DELIVERY 200.35FORCEPS BPSY PULM EN 1.8MMX100CM 204.20RETAINER VISCRL SURG RADPAQ MED 204.95EXTRACTOR FTL VAC ASISTD 205.65CATHETER URTHRL FOL CO 22FR 30ML 206.70RETAINER DRSG ELSTC SZ8 30YD LG 207.90SPLINT ANKL X-LG 211.60BLADE SAW CTTG 29.2MMX90MMX.05IN 211.70SUTURE MONCRYL 2-0 UR-6 27 IN AB 212.45DIFFUSER AIR DRVR PNEUMTC 213.45ISOLETTE INTENSIVE 214.35TUBE VENTLTN MYRNGTMY 12MMX9.8MM 215.85TUBING IRRIG PWR SURG PWRFRM TO 217.30TUBE GASTRO REPLCMT TRI FNN 20FR 218.40SUTURE PROLN 8-0 BV175-6 24 IN N 219.10TRAY THORCNTS W/14 GA X 2 IN NDL 221.15WRAP BOOT WLKR LO PROFL BLU LG 227.70WRAP BOOT WLKR LO PROFL BLU MED 227.70WRAP BOOT WLKR LO PROFL BLU SM 227.70DRAIN SYSTEM CHST WTR SCTN CONTR 229.20EXTRACTOR FTL VAC ASISTD 229.25SUTURE GORE TEX CV-5 PT-13 36 IN 231.00CARRIER GRFT SKN STRL 8INX2IN 233.50KIT CANSTR VAC ASISTD CLOS 500ML 238.60SAFETY VEST BARIATRIC 2XL 240.66TUBE GASTROSTOMY FEEDING 20FR 241.50KIT TRNSDUCR PRESSR MCR DRIP DIS 241.50CATHETER PRESSR INTRAUTRN IUP W/ 243.60PACKING NSL EPISTX ANT 5.5CM 245.70SET INTRODCR CATH PACE 10FRX14CM 246.10MARKER TATOG ENDOSCPC MUCSL W/SY 247.80BLADE SAW GIGLI 249.20DRAIN EVACTNG RND TROC TIP 7FR 252.00CATHETER BALLN ANGIOPLSTY CRNRY 252.00KIT CATH THOR TROC STR 28FRX10IN 252.30KIT CATH THOR TROC STR 20FRX12IN 257.00SAFETY VEST BARIATRIC 3XL 257.88PACKING NSL EPISTX POST 7.5CM W/ 258.70PAD CLD THRPY SHLDR WRP ON LG 260.40DRAIN WND SURG 10FR W/TROC 264.60NEEDLE INJ BUNG AGNT U 18GAX15IN 264.60SET INTRODCR CATH COAXL 4FRX10CM 266.45CERV FLEX N/ADJ FOAM PRE OTS 273.00KIT DRSG FOAM VAC ASISTD CLOS SM 273.25BOOT PREVNTN ANKL CONTRCTUR MED 274.45

LRMC Item Description Primary PriceSET IRRIG SCTN 277.60CATHETER CHOLANG ENDO 7.5FRX18IN 277.75TROCAR ENDOSCPC FLXBL 15MM 278.45PIN SKULL MAYFD HDRST SURG ADLT 278.95VALVE DRNG CHST HEIMLC 1 WAY STR 283.25LOOP WRE SPNL BD 1.22MMX30CM 284.75INTRODUCER LDWR PACEMKR 7FRX13CM 285.60OSSUR EXOFORM WRIST BRACE SM R 286.50CATHETER CHOLANG ENDO 4.5FRX18IN 287.85SET PAD FOAM KNEE POSITNR SURG L 289.80TROCAR ENDOSCPC BLADLS 5MM 289.90PACK TUBAL LIGTN CUST SURG 296.55SUTURE FIBRWIR 5 CTTG NDL 38 IN 302.40PUNCH VSCLR DISP STRL 4MM 306.15TUBE TRACH CFFD LO PRESSR DI SZ8 312.55CATHETER CNTRAL VENS 7.5FRX110CM 319.70CATHETER PUSHG STNT BI 5FRX170CM 323.75BUR RND DMD HALL 3MM LNG 329.30SENSOR RECT ELECTROMYOGRAPHY 335.60SET DRL DISP W/PIN 336.00TUBE VENTLTN MYRNGTMY REUTR 1MM 337.75TROCAR ENDOSCPC DI 7MM-8MMX100MM 339.20CARTRIDGE STPL RELOAD 30MMX4.8MM 344.40KIT DRSG FOAM VAC ASISTD CLO MED 344.60TRAY INTRODCR SHETH PRCUTAN 9FR 353.05CARTRIDGE STPL RELOADNG LNE 30MM 354.05SLEEVE SEQTL CMPRSN DEVC SC X-LG 358.25KIT SCTN PLSED LAV 360.10FORCEPS GRSPG BABCK ENDOSCPC 5MM 361.20TROCAR ENDOSCPC BLADLS 11MM 372.35SPLINT NSL SM/MED 372.95CATHETER ENDOSCPC RETROGRD 5.5FR 378.00SET INTRODCR CATH BL 12FR .038IN 382.20TROCAR ENDOSCPC BLADLS 12MM 383.70BLADE SHVR FUNCTNL ENDOSCP 4.2MM 394.80CATHETER EMBLCTMY 3FRX80CM 403.20CATHETER EMBLCTMY 4FRX80CM 403.20CATHETER PACE PORT 7.5 403.80CATHETER ANGIOGRPHC PE 5FRX100CM 407.40DIAB SHOE FOR DENSITY INSERT 408.83TUBE TRACH CFFD FEN LO PRESS SZ6 411.25KIT DRSG FOAM VAC ASISTD CLOS LG 415.85GUIDEWIRE ANGIOGRPH .035INX150CM 417.90INSERTION KIT PERC/VENOUS 420.00KIT INSTR BPSY PRCUTAN 18GAX20CM 420.00

LRMC Item Description Primary PriceRESTRAINT ABD SO 8 PRE OTS 420.00TRAY CATH VSL UMBLCL UVC W/O CAT 420.00TUBE ENDOBRNCHL DBL LUMN LF 41FR 420.00ELECTRODE ELECTROSURGCL NDL 3CM 420.00INSERT RETRCTR 420.00CLAMP BPSY MSCL RAYPRT 16MM LG 420.00STIMULATOR NRV DISP 420.00TUBE ENDOBRNCHL DBL LUMN LF 37FR 420.00CATHETER EMBLCTMY ARTER 3FRX40CM 420.00TUBE ENDOBRNCHL DBL LUMN LF 39FR 420.00RESERVOIR COLL AUTOTRNSFUSN SYS 420.00CATHETER EMBLCTMY ARTER 4FRX40CM 420.00CARTRIDGE STPL RELOADNG LNE 55MM 420.00STAY ELSTC RETRCTR SHRP SURG 5MM 420.00CATHETER EMBLCTMY ARTER 6FRX80CM 428.45CATHETER EMBLCTMY ARTER 5FRX80CM 428.45CATHETER EMBLCTMY ARTER 4FRX80CM 431.45CATHETER EMBLCTMY ARTER 3FRX80CM 431.45TROCAR ENDOSCPC BLNT T 10MM-12MM 432.20PACK EXTRMTY MAJ SURG 439.85HEMOSTATIC AGENT OXDZD C 4INX8IN 450.60ELECTRODE ELECTROSURGCL LP 26FR 452.05ELECTRODE ELECTROSURGCL LP 24FR 452.05TUBE ENDOBRNCHL DBL LUMN RT 37FR 457.10KO IMMOBILIZER CANVAS LONGIT 463.80PATCH NAV3 EXTERNAL REFERENCE 472.85APPLIER CLP RNEY SCALP DISP 476.70ELECTRODE ELECTROSURGCL LP 24FR 477.75SPONGE COLAGN MOISTNG & 3INX4IN 497.20TUBE TRACH UNCUFF FEN SZ8 499.35PIN GDE ARTHROSCPC 2.4MM W/SUT E 499.80TORSION STRAIGHT KNEE JOINT 526.40STAPLER INTRNL PURSTRNG SUT 65MM 526.75CARTRIDGE STPL RELOADNG LNE 75MM 538.30BRUSH CYTO BILRY DBL L 8FRX200CM 551.25SHUNT INTRACRNRY CV 1MM 551.25MISTER BLOWR CRNRY ARTRY SURG 588.00ACROMIO/CLAVICULAR CANVAS&WE 599.40ELECTRODE PACG CRDIAC TEMPRY 5FR 602.70BLADE SHVR XTRA SHRP ARTHR 5.5MM 602.70OPEN HEART/CODE BLUE 607.35SHUNT INTRACRNRY CV 1.25MM 610.05SHUNT INTRACRNRY SURG 1.5MM W/14 610.05EPIDURAL SUPPLY CHARGE 620.45POUCH SPECI RETRVL ENDOSCPC 15MM 624.75

LRMC Item Description Primary PriceSTAPLER INTRNL LNEAR 30MMX4.8MM 627.70APPLIER CLP LIGTG ROTATG SHF M/L 631.70STAPLER INTRNL LNEAR 30MMX3.5MM 639.90CATHETER ANGIOGRPHC CM 5FRX70CM 640.70STAPLER INTRNL LNEAR 60MMX4.8MM 649.15STAPLER INTRNL LNEAR 60MMX3.5MM 649.15NET RETRVL PLYP RTH 2.5MMX230MM 661.50PORT PRCUTAN ENDOSCPC GASTR 20FR 661.50STAPLER INTRNL LNEAR CTTR T 55MM 663.40DRESSING ABSRBNT FBROUS 4INX4IN 664.55BRACE KNEE PST OPERTV FLL FOAM 692.30STAPLER INTRNL LNEAR VSCLR 30MM 694.05STAPLER INTRNL LNEAR CTTR T 55MM 695.05STAPLER INTRNL LNEAR CTTR V 55MM 704.00SP PEG TUBE KIT 719.20RETRACTOR OPHTH IRIS FLXBL DISP 723.40POWDER TALC VI STRL 5GR 757.05CARTRIDGE STPL RELOADNG LNE 35MM 764.30TUBE FASTENER ENDOTRACHEAL 764.62STATIC AFO 771.70HEMOSTATIC AGENT OXDZD C 2INX4IN 772.35CARTRIDGE STPL RELOADNG LN 100MM 795.65BUR MTCH HEAD 3MMX9CM 801.65RESERVOIR COLL AUTOTRNSFUS 135ML 808.50RESERVOIR COLL AUTOTRNSFUS 250ML 808.50CATHETER CNTRAL VENS H 62CM ADLT 812.70STENT URTRL SFT HYDROPH 7FRX26CM 837.90STENT URTRL SFT HYDROPH 7FRX28CM 837.90SET STNT URTRL MONFLMT 6FRX28CM 837.90STENT URTRL SFT HYDROPH 6FRX26CM 837.90CAST TCC-EZ TOTAL CONTACT W/BOOT 840.80KIT CATH CNTRAL VENS TRPL LUMN W 859.80SUTURING DEVICE SURGDAC END 10MM 862.55SET TBG LAV SYS CO2 GS 871.00CAST TCC-EZ TOTAL CONTACT 3 IN 929.95CEMENT BNE TOTL HIP MAX CAPCTY 933.45CARTRIDGE STPL RELOADNG LNE 45MM 938.85ELECTRODE ELECTROSURGCL RLLR BAL 947.20ANTERIOR THORACIC EXTENSION 947.25ELECTRODE ELECTROSURGCL LP VPRZT 949.25SET STNT URTRL MONFLMT 8FRX22CM 968.35SET STNT URTRL MONFLMT 8FR 24CM 968.35STAPLER INTRNL LNEAR CTTR T 75MM 990.00SENSOR CEREBRL OXMTR 1,029.00WHFO NO JOINT PREFABRICATED 1,046.35

LRMC Item Description Primary PriceKNIFE NDL TRPL LUMN ENDOSCPC 7FR 1,069.00STAPLER INTRNL LNEAR CTTR T 75MM 1,078.20BASKET STNE RETRVL BILRY 2CMX4CM 1,102.00BLADE SHVR LARYN CR 4MMX11CM PED 1,102.00BLADE SHVR STRT SHFT 2.9MMX11CM 1,102.00BUR MTL CTTR 25.4MMX9CM 1,102.00CATHETER BALLN E 36FR 12MMX5.5CM 1,102.00UPP EXT FX ORTHOSIS HUMERAL 1,102.00CATHETER BAL 10MMX4CM 5.8FRX75CM 1,102.00BLADE SHVR SNUS STRT 3.5MMX11CM 1,102.00HEMOSTAT COLAGN MICRFIBRLR F 1GR 1,102.00BLADE SHVR STRT SHFT SI 4MMX11CM 1,102.00KX PNEUMATI WALKING BOOT PREFAB 1,102.00BLADE SHVR CRVD S 4MMX11CM 40DEG 1,102.00CERV COL FOAM 2 PIECE W THOR 1,102.00LIGATOR CLPPR ENDOSCPC 7FRX205CM 1,102.00ELECTRODE ELECTROSURGCL COAG 7FR 1,102.00CATHETER DRNG CYSTC DCT RDDCK 1,102.15CABLE UMBILICAL 2035UC 1,147.00CATHETER STNE RETR 3FRX90CM 11MM 1,171.80CATHETER STNE RETR 3FRX90CM 11MM 1,171.80CATHETER STNE RETR 3FRX90CM 11MM 1,171.80BASKET STNE RETRVL 3FRX90CM 11MM 1,171.80BASKET STONE RETR SEGURA 4.5FR 1,201.55BLADE URTHRTM STRT CLD KNIF 1,233.70PERFORATOR CRANL DISP 14MM 1,235.85TEMPORARY PACING ELECTRODE 1,271.55STAPLER INTRNL LNEAR CTTR 100MM 1,275.55UPPER EXT FRACT ORTHOTIC WRIST 1,438.90PROBE SURG GSTRC 2.3MMX220CM 1,460.85PROBE LITHTRPTR ELEC 1.9FRX120CM 1,503.50HIP ADJ FLEX EXT ABDUCT CONT 1,503.60ADAPTER CELLULAR SERVICE 1,550.00LIGATOR MULT BND SAEED X-SM 1,565.85TUBE GASTRO ENTRL FEDG 18FRX18IN 1,581.00SPHINCTEROTOME ENDOSC 25MM 480CM 1,597.10BALLOON OCCLUSION PREPKIT 1,643.00KX WALK BOOT PRE OTS 1,655.28BASKET STNE RE 5FRX200CM 3CMX6CM 1,743.80KIT CATH DILATN BA 15FRX4CMX75CM 1,765.45PROBE LITHTRPTR ELECTRH 9FRX60CM 1,768.80FORCEPS BPSY RAT TOOTH 3FRX115CM 1,830.75FORCEPS GRSPG ALIGTR E 3FRX115CM 1,830.75STAPLER INTRNL CIRCULR 21MM 1,904.40STAPLER INTRNL CIRCULR CRVD 33MM 1,904.40

LRMC Item Description Primary PriceSTAPLER INTRNL CIRCULR 29MM 1,904.40STAPLER INTRNL CIRCULR 25MM 1,904.40KIT TUBE TRACH PRCUTAN LF 7MM 1,957.45CABLE CERCLG STNLS S 1.8MMX559MM 1,971.60SHEETING SILASTIC REINFORCED 1,971.60KIT VNTRCLSTMY W/DRL 2,008.80KIT TUBE TRACH PRCUTAN LF 8MM 2,017.40POSTOP APP NOWGT BEAR DSG 2,057.10FORCEPS BPSY FLXBL URT 3FRX115CM 2,081.65ELECTRODE ULTRSNC SHR ENDOS 23CM 2,460.30STAPLER INTRNL CIRCULR HEMR 15IN 2,464.70CEMENT BNE FST 70GR 2,511.00NEEDLE BPSY STLTH GDED 2MM 2,703.80KIT SEALNT HEMOSTC FIBRNGN T 5ML 2,732.60KO ADJ POS RIGID SUPPORT 2,923.75AFO TIBIAL FRACTURE RIGID 2,926.52PIN FIXTN ABSRBLE 1.3MMX40MM 3,075.20KIT MNTRG INTRACRAN PRESSR ICP T 3,100.00LSO SAG-CORONAL PANEL PREFAB 3,100.00AFO RIG ANT TIB PREFAB TCF/= 3,100.00PATCH ENSITE VELOCITY NAVX 3,100.00BALLOON OCCLUSION BRIDGE 3,100.00SHUNT CAROTD OUTLYG W/O T SH 9FR 3,100.00LT HO POST-OP HIP ABDUCTION 3,100.00BONE PRESS WITH TUBING HENSLER 3,100.00LSO SAG R AN/POS PRE OTS 3,100.00LSO SAG-CORO RIGID FRAME PRE 3,100.00CATHETER CNTRAL VENS D 8FRX110CM 3,100.00CATHETER ABLATN UTER BALLN THRML 3,386.65OCTOPUS EVOLUTION AS 4,111.25CATH INFUS SYS LYSUS 30X135 CM 7,686.25PAD SANIT 9.25KIT BG ENM 1500ML W/CASTIL SOAP 9.25PAD SANIT NS 3INX11IN 9.25PACK ICE DISP LG 6INX14IN 15.10PACK ICE SM 5INX12IN 15.85DIAPER BBY DISP F/0 LB-10 NEWBRN 20.10BRIEF INCONT ADLT SM 30.15BAG COLLECTION STOOL MNGMT 33.75SPECULUM VAGINAL WITH LED SMALL 36.08DIAPER BBY DISP F/8 L NEWBRN SZ1 38.85DIAPER BBY WLKR UN 22LB-35LB SZ4 39.50DIAPER BBY 35+LB SZ6 CHLD 39.95DIAPER BBY CRWLR U 16LB-28LB SZ3 40.10BRIEF INCONT ADLT LG 57.90

LRMC Item Description Primary PriceADHESIVE RELEASER STNG FREE 50ML 78.60DIAPER BBY TRNG GR SZ2 32LB-40LB 91.90FRACTURE SOCK LT 175.25TIP COVER SCISSORS CURVED 180.00SLING RT ULTIMATE AVE ADULT 327.60LT MULTI DEN INSERT CUSTOM MOLD 347.93HIGH FLOW INITIAL 467.05KX ANKLE CONTROL ORTHO PRE OTS 681.49KIT STOOL MANAGEMENT SYSTEM 1,021.65BIT DRILL NON-STERILE 3.8MM 1,289.60MASK TRACHEOSTOMY W/O TUBE 9.25SOL ANTISEPTIC H202 3% 4OZ 9.25TUBE SUCTION YANKAUER 12FR 9.25CAP PIN PROTCTV WH .045IN 9.25DRESSING IV VENIGUARD JR SM LIMB 9.25CAP NDL DEAD END RED STRL 9.25STERI STRIPS 1/2 CLOSU BR 304148 9.25SOL IV .9% NACL NO-PVC 500ML 9.25DRESSING TELFA ISLAND 2X3 1/2 9.25CLEANER TIP ELECTRODE ELECTROSURG 9.25CATHETER SCTN 18FR W/VAC CONTRL 9.25SET ADMIN IV SECNDARY 15 DRP 37IN 9.25POUCH OSTMY 2 PC DRN 2.75IN 12IN 9.25DRESSING TEFLA STR 3X8IN 9.25CLOSURE WOUND STRIP R1/2 INX4IN 9.25STOPCOCK 3 WAY LF SWVEL MLE LUER 9.25SYR BULB IRR DISP STR 50ML 9.25DRSG TEGADERM HP IV 2.375X2.75IN 9.25SPONGE GAUZE XRAY DETCT 4X4 16PLY 9.25BAG DCNTR FLUID IV 9.25DRESSING ABSRBNT ADHSV P 8INX4IN 9.25DRESSING TELFA 4X5 9.25TUBE CONNECTING SUCTN .25INX10FT 9.25TIP SUCTION YANKAUER WO CTRL VENT 9.25IV START KIT 9.25GAUZE SPONGE 10'S 4X4 9.25SOLUTION IV .9%SOD CHLOR 100ML 9.25SLIPPER DBL THREAD GY XXL 9.25DRSG TEGADERM HP 4X4.75IN 9.25CREAM NUTRASHIELD SKIN 4OZ 9.25IV START KIT 9.25SOL IV .9 % SOD CHL 250ML 9.40DRESSING ABSRBNT ADH 11.75INX4IN 9.80SOLUTION IV .9%SOD CHLOR 500ML 9.90SOL IV .9 % SOD CHL 500ML 9.90

LRMC Item Description Primary PriceSOLUTION IV LACTD RNGR BG LF 500M 10.25SOLUTION IV 5%DEX 250ML 10.35IV PUMP SET SECONDARY 10.35BANDAGE CMPRSN ELSTC SLF 3INX5YD 10.60POUCH UROSTOMY ACCUSEAL 2 1/4 10.90POUCH UROSTOMY ACCUSEAL 1 3/4 10.90SOLUTION IV 5%DEX 500ML 10.90SET EXT PRES INFUS MICRO PRPL 7IN 10.92SET EXT IV SB MCLAV RMV VALVE 7IN 10.92SOL IV .9 % SOD CHL 1000ML 10.95BANDAGE CMPRSN ELSTC POL 4INX5YD 11.40SOLUTION IV 5%DEX .45%SOD CH 500M 11.75SOLUTION IV 5%DEX .2%SOD CHL 500M 11.80SOLUTION IV 5%DEX 1000ML 11.80INSERT TOOL ENDOSCOPIC 12.05ADAPTER LL MALE TO MALE PRESSR T 12.21SOLUTION INFSN 5%DEX LACTD R 1000 12.30SOLUTION INFSN 5%DEX .45%SO 1000M 12.30SUTURE SLK 3-0 REEL 144 IN NON A 12.35SUTURE SILK 0 MH 30IN BLK 12.43IV START KIT 12.71SOLUTION IV 5%DEX 50ML 12.75SOLUTION IV 5%DEX 100ML 12.75SOL IV .9 % SOD CHL MIN BAG 100ML 12.75SOLUTION IV .9%SOD CHLOR MINI 50M 12.75SOLUTION INFSN 5%DEX .9%SOD 1000M 12.75SOL IV .9 % SOD CHL MINI BAG 50ML 12.75SOLUTION IV .9%SOD CHLOR MINI 100 12.75SUTURE SILK 0 SH 30IN BLK 12.80SOLUTION IRRIG LACTD RNGR 1000ML 12.85SUTURE SLK 0 MH 30 IN NON ABSRBL 12.85SOL INJTN .45 % SOD CHL 1000ML 13.15SOLUTION INJ .45%SOD CHLOR 1000ML 13.15BARRIER WAFER DURA W HYDRO 1.75 13.50BARRIER WAFER DURA W HYDRO 2.75 13.50BARRIER WAFER DURA W HYDRO 2.25 13.50SET EXT IV 36IN NDLLESS VLVE PORT 13.60TUBING BACTERIOSTATIC 9MM X 6 13.75TRACHEOSTOMY CARE KIT 14.00SOLUTION IRRIG WTR PLSTC P 500ML 14.30SPLINT FINGER ALUM/FOAM 9115-03 14.50SOLUTION IV 10%DEX PLSTC CONT 250 14.55CATHETER IV 18GAX1.25IN 14.80CATHETER IV 22GAX1IN 14.80SUTURE VCRYL 2-0 SH 27IN ABSRBL 14.85

LRMC Item Description Primary PriceSUTURE VCRYL 3-0 CT-1 27 IN ABSR 14.90BLADE MINI RNDED TIP SURG 15.15WIRE K .062X9IN SMOOTH TROCAR 15.25ROD COLOSTOMY LOOP 65MM 15.30SPONGE LAP PRE WSHD STD LF 18X18 15.47SUTURE VCRYL 1 CT-1 27 IN ABSRBL 15.50SCALPEL SURG SAFETY DISP SZ11 15.63SCALPEL SURG DISP STERILE SZ15 15.63SUTURE SILK 2-0 FS 18IN NON ABSOR 15.80CLEANER SAF CLENS SPRAY 12OZ 15.95DRESSING DUODERM CGF XTHIN 4X4 15.95SUTURE VICRYL 2-0 CT-1 16.05SUTURE VICRYL 2-0 CT-1 16.05SUTURE VICRYL 3-0 SH 27IN UD 16.09SUTURE VICRYL PLUS 3-0 27IN CT-1 16.10SUTURE VICRYL PLUS 3-0 SH 27IN 16.10SUTURE VCRYL 0 CT 36 IN ABSRBLE 16.20SOLUTION IV 10%DEX PLSTC CON 1000 16.20CONNECTOR Y WOUND CARE VAC 16.25SOLUTION IV 2.5%DEX .45%SOD 1000M 16.25SUTURE VCRYL 3-0 CTX 36 IN ABSRB 16.25SUTURE VCRYL 3-0 CT 36 IN ABSRBL 16.35SUTURE SILK 0 FSL 30IN BLK 16.40SUTURE VCRYL 1 CTX 36 IN ABSRBLE 16.50SUTURE ETHIBOND EXC 0T-1 30IN PB 16.53SUTURE VCRYL 1 CPX 27 IN ABSRBLE 16.75CONTROLLER CONTRST SPKE ASMBLY 16.85CAP TBG WND VAC ASISTD CLOSR THE 17.15SOL SET W MALE LEUR LOCK ADAPTER 17.20SUTURE VICRYL PLUS UD BR 2-0 27IN 17.40SUTURE VICRYL 0 17.50SUTURE VICRYL PLUS UD BR 0 27IN C 17.55SUTURE VICRYL 1 CP 17.65SUTURE VICRYL 20 27IN CP-2 17.65SUTURE VICRYL 2-0 SH 27 IN 70CM 17.75SUTURE VICRYL 2-0 CP 27IN 18.15SUTURE MONOCRYL 4.0 Y214H 19.65SUTURE VICRYL 0 UR-6 19.85SUTURE ETHBND EXCL 2-0 SH 30 IN 20.05DRESSING DUODERM EXTRA THIN 2X8 20.30SUTURE ETHBND EXCL 3-0 SH 30 IN 20.30SUTURE ETHBND EXCL 4-0 RB-1 30 I 20.40BLADE CLIPPERS SURGICAL DISPSBLE 20.88BLADE CLIPPING SINGLE USE 20.88SUTURE VCRYL 2-0 FS-1 27 IN ABSR 20.90

LRMC Item Description Primary PriceBANDAGE CMPRSN ELSTC SLF 4INX5YD 20.90SUTURE MONOCRYL 5.0 Y215H 20.95BLADE CLIP SURG FOR MODEL 9602 21.18CONNECTOR TBG RDCR S .25INX3/8IN 21.30DRAPE ANGIO BRACHIAL SURG 38X44IN 21.55SUTURE MONOCRYL 3.0 Y213H 21.75DRESSNG SAF-GEL HYDRATNG W/ALGINA 24.65ELECTRODE ELECTRO GROUND PAD 25.25ELECTRODE ELECTROSURGCL PNCL RCK 25.81CANNULA INNER SIZE 10 DIC 26.00CATHETER FOLEY SILCONE 30CC 18FR 26.15BAG URINARY BASIN 2000 26.30DRESSING VERSIVA XC 4 X 4 27.15SOLUTION INFSN ELECTRLYT 5%D 1000 27.55CATHETER URTHRL FOL RND 24FR 5ML 28.75CATH FOLEY SILICONE 2W 5CC 16F 29.55SUTURE CHROMIC GUT 3-0 CT-2 27IN 29.60SYRINGE ANGIO 3 RING CRTL 12ML 29.70SUTURE CHRMC 3-0 CT-1 27 IN ABSR 29.95CANNULA STRAIGHT 24 FR PEDIATRIC 30.05CATHETER URTHRL FOL SIL 12FR 5ML 30.05NEEDLE PERCUTANEOUS ENTRY 18G 9CM 30.06NEEDLE SMOOTH TIP 21GX4CM 30.06POUCH COLOST ILOSTMY PST OP 45MM 30.10OSTOMY POST OPERATIVE KIT 2 1/4 30.10CLAMP VSL SURG BLU STRL 30.25SUTURE CHRMC 4-0 SH-1 27 IN ABSR 30.90CRM SKIN ZINC OXIDE INV BARRIER 4 31.05SHOE POST-OP XTRA-LARGE 31.45BARRIER OSTMY WAF ADHSV ML 45MM M 31.80DRESSING DUODERM CGF XTHIN 6X6 31.85SUTURE ETHILON 6-0 PS-3 32.10IMMOBILIZER SHLDR VELP ELST X-LG 32.10IMMOBILE SHOULDER UNISEX L 32.10CURETTE VAC ENDOMTRL CRVD S 10MM 32.25CONNECTOR TBG STRT S 3/8INX3/8IN 32.30CONNECTOR TBG STRT STR .5INX.5IN 32.30CONNECTOR TBG STRT ST .5INX3/8IN 32.30PROTECTOR EYE SIZE MED 32.50IV PUMP SET PRIMARY 33.05IV PUMP SET PRIMARY 33.05CAP PIN PROTCTV GRN .062IN 33.10CATHETER URTHRL FOL RN 22FR 30ML 33.40CATHETER FOLEY 12FR 5CC SILICONE 33.50MANIFOLD 4 GNG 4 WAY DISP STRL W 33.60

LRMC Item Description Primary PriceCONNECTOR 1/2 X 3/8 X 3/8 33.76SUTURE VCRYL 2-0 XLH 27 IN ABSRB 33.85SUTURE VCRYL 3-0 PS-2 18 IN ABSR 34.10SUTURE PROLENE 5-0 C1 35.60DRESSING AQUACEL HYDOFIBER 4 X 4 36.10SUTURE VICRYL 4-0 PS-2 36.23CATHETER DRNG THOR STR 24FRX22IN 36.35CATHETER DRNG THOR STR 36FRX23IN 36.35HEMSTAT SPNG SRGIFOM 2CMX6CMX7MM 36.57SUTURE ETHIBOND XTRA 5-0 30 IN 36.80SUTURE VICRYL 4-0 PS-2 37.50BELT GAIT UNIVERSAL 38.10SUTURE ETHLN 4-0 P-3 18 IN NON A 38.25DRSG GAUZ XEROFORM 4INX3YD NONSTK 39.88SECURING DEVICE PERIPHLY INSRTD 40.60SUTURE PROLENE 3-0 PS-2 41.15ADAPTER PERFSN CARDOPL .25INX2IN 41.15CONTRAST INJECTOR LINE 20IN 41.55NEEDLE EZ HUB INFUS 20GA 1IN W YS 41.65NEEDLE EZ HUB INFUS 22GA 1IN 41.65NEEDLE EZ HUB INFUS 19GA 1IN 41.65CONNECTOR 1/4X1/4 41.71DRESSING VERSIVA XC 5.5 X 5.5 41.85NEEDLE FERGUSON 1/2 CIRCLE TAPER 42.40NEEDLE EZ HUB INFUS 20GA 3/4IN 44.35SLING ARM UNIVERSAL LG 79-84167 44.50NEEDLE EZ HUBER INFUSION 20GA 1IN 44.85CANNULA DILATN SPHNS VEIN STRL 45.40SUTURE MONOCRYL 4-0 PS2 45.70SUTURE MONCRYL 4-0 PS-2 18 IN AB 45.85BLADE MYRNGTMY LNC TIP SUR 45DEG 45.95SUTURE MONCRYL 3-0 PS-2 27 IN AB 46.25NEEDLE EZ HUB INFUS 19GA 1IN W YS 46.25NEEDLE EZ HUB INFUS 20GA 3/4IN YS 46.25SUTURE MONOCRYL 4-0 PS1 (Y935H) 46.39DRESSING MEPITEL STR 3X4 SILICONE 46.45DRESSNG RIBBON AQUACEL HYDR3/4X18 46.65SUTURE PDS II 1 XLH 48 IN ABSRBL 47.90CATHETER THORACIC 36FR 8888570564 48.05SUTURE PROLN 3-0 PC-5 18 IN NON 48.30DRAPE ANTIMICROBIAL IOBAN2 23X17 48.38COVER PROBE 6 X 48 48.55CATH DRAIN THORACIC STR 28FR 48.56COVER PROBE 6 X 48 48.56CATH DRAIN THORACIC? STR 36S 48.56

LRMC Item Description Primary PriceCATH THORACIC 32FR 8888570556 49.05IMMOBILIXER XL SHOULD 7984038 49.30IMMOBILIZER SHOULDER MEDIUM 49.30TRAY LACERATION 49.55TRAY LAC SURG CUST 49.55SHOE POST OP MEN XLARGE 49.60SUT MONOCRYL PLUS UD 4-0 27 PS-2 50.10SUTURE PROLN 2-0 SH 8 IN NON ABS 50.35KIT DRESSING MIDLINE 50.90DRESSING PAD NA 5V5IN 51.37CATH DRAIN THORACIC STR 32S 51.71SPLINT WRIST LARGE 51.80SHOE SQUARED TOE POST OP XLRG 51.80SHOE SQUARED TOE POST OP LRG 51.80SP ZZ FOGARTY BALLOON CATHETER 53.20KIT NATURA POST OP 4 55.15TUBING SMART MAC SAMPLING 02 55.40TUBING SMART MAC SAMPLING 02 55.40COLLECTOR FECAL INCONTINENCE 55.75DRESS BIO PATCH 7MM 56.33KIT CUSTOM ENDOCHOICE LRMC 56.35GW VISE MULTITORQ .010 .03 56.65SUT PDS PLUS 0 60 VIO MONO TP-1 56.90TRAY-URINE METER 60.20BLADE SAW SAG 9.5MMX25.5MMX.4MM 61.98BLADE SAW OSCI 5.5MMX18.5MMX.4MM 61.98BLADE SAW SAG 9.5MMX25.5MMX.4MM 61.98SOLUTION IRRIG LACTD RNGR LF 5000 62.60MASK AIRWAY LARYNGEAL SZ 2 62.90SUTURE ETHBND EXCL 2-0 SH-2 30 I 63.45DRESSNG VERSIVA XC NON-ADHES 6X6 63.85STAPLER SKIN FIXED HEAD 64.75STAPLER SKIN FIXED HEAD WIDE1 64.75MASK AIRWY LARYN SZ3 64.80MASK AIRWY LARYN SZ4 64.80MASK AIRWY LARYN SZ5 64.80DRESSING SILVER NA 4.25X4.25IN 66.01IV PUMP SET BLOOD 66.40WIRE FIXTN KRSCHNR TRO 2MMX150MM 66.60WIRE FIXTN KRSCHNR T 1.6MMX150MM 66.60TRAY BIOPSY SURGICAL 66.97TRAY BIOPSY SURGICAL 66.97PENCL CAUT HIGH TEMP FNE TIP .5IN 68.11CANNULA INNER 6.0 XLT DISPOSABLE 68.25DIFFUSER MAESTRO DRILL 68.40

LRMC Item Description Primary PriceKIT ADAPTER CATH Y PTCA 69.30CATH DIAG ST+ AL III 6F 100CM 69.38CATH ANGIO DIAGNS 6FRX100CM 69.38CATH DIAG ST+ RCB 6F 100CM 69.38CATH DIAG ST+ AL MOD 6F 100CM 69.38CATH DIAG ST CAS2 6F 100CM 69.38CATH DIAG ST+ AL II 6F 100CM 69.38CATH DIAG ST+ LCB 6F 100CM 69.38CATH DIAG F6 ST JR 4 100CM 69.38CATH DIAG ST+ MPA1 6F 125CM 69.38CATH ANGIO DIAGNSTC PIG 6FR 69.38CATH DIAG ST+ AL I 6F 100CM 69.38CATH DIAG F6 ST+ JR 4 100CM 69.38CATH ANGIO DIAGNS 6FRX110CM 69.38NEEDLE ASPIRTN AIR COOLY ST 16GA 69.40NEEDLE NON ECHOGENIC TIP 21GX7CM 69.40CATH DIAG ST CAS1 6F 100CM 69.40CATHETER THORACIC 32FR ANGLED 70.85SET CATH RADIAL ARTERY 20GX1.75IN 72.05CATH DIAG 5F FR4 125CM 72.52CATH DIAG 5F IM 125CM 72.52CATHETER PIGTAIL 6FR X 125CM 72.52CATH DIAG 5F MPA2 125CM 72.52CATH DIAG 5F IM 125CM 72.52CATH DIAG 5F FR4 125CM 72.52CATH DIAG 5F FL3.5 125CM 72.52GUIDEWIRE ANGIOGRPH .025INX150CM 72.60GUIDEWIRE ANGIOGRPH .035INX150CM 72.60GUIDEWIRE 0.035IN X 260CM 72.61GW EMERLD FIX CORE J FRM .035X125 72.61GUIDEWIRE ANGIO ST .035INX260CM 72.61GW EMERALD FIX CORE J .025X150 72.61GUIDEWIRE 0.035INX260CM 72.61LINE CARDIOPLEGIA 72.89IV PUMP SET BURETTE 73.60CATH DRAIN THORACIC RT ANG 36 FR 73.82CATH DRAIN THORACIC RT ANG 32FR 73.82WIRE ACUMED .059 WS-1505ST 74.00GUIDEWIRE ORTHO STNLS .054INX6IN 74.00K WIRE ACUMED WS-1607ST 74.00KIT TRANS PRESS STND FLUSH 60IN 75.15POUCH WOUND/EKIN FISTULA 2.4X3.14 75.55CATHETER DRNG THOR STR 28FRX23IN 75.85SUTURE SILK 2-0 BLK 18 IN 75.95DISSECTOR ENDOS 5MM CONMED CD801 76.20

LRMC Item Description Primary PriceKIT CLOSE WOUND SUCTION EVACUATOR 76.65TRACTION BOOT BUCKS FOAM MEDIUM 77.05SUTURE SILK 3-0 CO13D 77.80ADAPTER PERFSN CARDOPLGA C 3.5MM 77.90CATHETER ANGIOGRPHC DI 5FRX110CM 78.15CATH ANGIO 6FR X 125CM 78.15CATHETER ANGIOGRPHC DI 5FRX100CM 78.15CATH ANGIO DIAGNS 6FRX125CM 78.16CATH ANGIO DIAGNS 5FRX125CM 78.16CATH DIAG INF JR 5 5F 100CM 78.16CATH DIAG INF AL III 5F 100CM 78.16CATH DIAG INF JL 6 5F 100CM 78.16CATH DIAG INF RCB 5F 100CM 78.16CATH ANGIO DIAGNS 5FRX100CM 78.16CATH DIAG INF JL 5 5F 100CM 78.16CATH DIAG INF LCB 5F 100CM 78.16CATH DIAG INF AL MOD 5F 100CM 78.16CATH DIAG INF A1MOD 5F 100CM 78.16CATH DIAG INF MPA2 5F 2SH 100CM 78.16CATH DIAG INF AL I 5F 100CM 78.16CATH DIAG INF JR 4 5F 100CM 78.16CATH DIAG INF A2MOD 5F 100CM 78.16CATH DIAG INF PIG145D 5F 6SG 110 78.16SUTURE SILK 2-0 SH 78.30INJECTOR SYR 150ML RM 2 3 900101 79.09CATHETER FOLEY TRAY 16FR 80.85BLADE OSC AND SAGIT 2296-003-414 80.94BLADE OSC AND SAGIT 2296-003-412 80.94BLADE SAW OSCILLATING STRYKER 25X 80.94BLADE OSC AND SAGIT 2296-003-111 80.94WIRE K-9IN .045 1.10MM 470186062 81.40DRESSING COMBIDERM ACD 6 X 7 81.45URETH CATH CONE TIP 8FR LRAS 82.50CATH DIAG ST+ MULTIPAC PIG STR 83.16CATH DIAG ST+ MULTIPAC PIG 145 83.16CATHETER COUDE 2 WAY 22FR 5CC 84.35CATH FOLEY LUBRICATH TC 5ML 20FR 84.36PIN STEINMANN SMOOTH 5/64 86.35DRESS PRISMA MATRIX 28CM 2 4.34SQ 86.70CATHETER OPEN ENDED 8FR 86.95GUIDEWIRE ANGIOGRPH .035INX150CM 86.95INTRODUCER PINNACLE 6F 16035-06 86.95GW ANGIO TFE 3MM J TIP .035INX150 86.95CATH DIAG INF JL4.5 4F 100CM 87.88DRESSING MEPITEL STR 4X8 SILICONE 88.05

LRMC Item Description Primary PriceCATHETER FOLEY 24FR 3WAY 5CC 88.50PAS XTRA AAL 1/4 88.80CATHETER URTHRL FOL RN 22FR 30ML 88.85PIN GDE SMTH SHFT TROC 1.6MMX6IN 91.00PLEDGET F 3/8INX3/16INX1/16IN LG 91.75STOCK COMPRESSION MEDIUM(APL3-ME 92.05K-WIRE STANDARD TIP 1.5MM X 100MM 92.50SEAL SCOPE MYOSURE 92.50VENT 3T VALVESURGE 1-WAY NON ADJ 92.50WIRE KIRSCHNER 2.0 X 228 MM 92.50CATHETER URTRL OLV TIP POLYU 5FR 92.50BLADE SAGITTAL THIN 2108-197-00 92.50K WIRE 1.6X150MM 44112008 92.50CATHETER URTRL OPN END 5FRX70CM 92.50CANISTER VAC CURETG SURG 92.50CATHETER URTRL CONE TIP 5FRX70CM 92.50DRESSING AQUACEL HYDROFB SIL4X4.7 92.50TUBNG CAPNOLINE PLUS OXYGEN ADULT 92.50CANNULA NASAL 02 MONITOR ADLT 92.50CLIP LIGTG HEMOSTC TI LG 93.30CLIP LIGTG HEMOSTC TI MED 93.60SUTURE PROLENE 6-0 C1 DA 24IN 93.65SP CATHETER DIAGNOSTIC 94.00GWIRE STRAIGHT TIP 94.05BUR CARBIDE FISRE T 1607-002-109 94.50ETRAP POLYP TRAP 94.50MASK AIRWAY LARYNGEAL SUPREME SZ5 95.85MASK AIRWAY LARYNGEAL SUPREME SZ3 95.85MASK AIRWAY LARYNGEAL SUPREME SZ4 95.85DRESSNG AQUACEL AG RIBBON2.0X45.0 96.95CATHETER URTHRL FOL TEMP SN 16FR 98.05TUBE DRNG THOR RT ANGL 32FRX57CM 98.15SUTURE NUROLON 3-0 8-18 SH BLK 98.56SUTURE VICRYL UNDYDED 0 CT J840D 98.69DRESSING AQUACL FOM SACRL 9.5X8.4 101.05CATHERTER FOLEY COUNCIL 18F 5CC 101.25SUTURE NURLN 0 CT-2 18 IN NON AB 102.05GUIDEWIRE ANGIOGRPH .025INX150CM 102.40CATHETER DRNG MALECT 4 WNG 20FR 103.50DRESSING HEMOSTAT CELOX STR 2X2 104.19DRESSING HEMOSTAT CELOX STR 2X2 104.20STAY SURGICAL DOUBLE GREEN 104.95SUTURE STL 2-0 SH/SKS-3 24 IN NO 105.90NEEDLE INSULTD PRPH N/B 21GAX3.5 106.60NEEDLE INSULTD PERIPH N/B 22GA X2 107.65

LRMC Item Description Primary PriceTUBE DRNG THOR TROC SFT POL 28FR 107.70CATH INF PIG145 4F 6SH 110CM 108.00MONITOR PERCEPTOR PRESSURE 108.00CATHETER URTRL RT ANGL 4FRX70CM 108.80CATHETER URTRL POLCK OP 5FRX70CM 108.80DRESSING VERSAFOAM LARGE 108.95CARTRIDGE OIL MAESTRO DRILL 109.65DRAIN SUMP PERICRDL WTD SUR 15IN 109.80DRAIN BLAKE ROUND 15FR 110.05IMMOBILIZER KNEE CONTR MD 24IN 110.50K-WIRE 9IN .062 1.60MM 110.60CATH ANGIO DIAGNST 5FRX80CM 112.50CATH DIAG ST TEMPO SIM2 5F 100CM 112.50CATH DIAG ST TEMPO 5F 5SH 65CM 112.50CATHETER FOLEY 16FR 5CC 113.75BLADE SAW STERNL 32MM 113.85TIP SCTN DBRIDMNT HEX HNDL ADLT 115.30SUTURE PROLN 6-0 BV-1 30 IN NON 115.45IMMOBILIZER KNEE 24 U 116.20DRAPE GYN/URO LITHO W/ POUCH 117.20POUCH WOUND/EKIN FISTULA6.9X4.3IN 117.35ORGANIZER TBG PERFSN STRL 117.70SUTURE PROLN 7-0 BV-1 30 IN NON 118.00PIN GDE SMTH SHFT TROC 3.2MMX9IN 118.80GUIDEWIRE ANGIOGRPH .035INX150CM 119.75TIP SCTN GRVD HEX HNDL STRL ADLT 120.15IMMOBILIZER KNEE FOAM 20IN UNIV 120.35DRAIN BLAKE FULL FLUT 7MM 2210 125.90HEMOVAC JADKPRATT 19FR SU1301010 125.90SUTURE VICRYL 1 CUTTING NEEDLE 127.05IMMOBILIZER KNEE FOAM 24IN SMALL 127.71PIN GDE SMTH SHFT TRO 3.2MMX12IN 129.60MANIFOLD 4 PORT FOR NEPTUNE SYSTE 129.60GWIRE PTFE MOVABLE CORE.035X150CM 129.95ELECTROCAUTERY USAGE CHARGE 130.30MANIFOLDPERC MP 3V 200S PH ON PG 130.50COLLAR PHILLY CERV 3.25 WTRCH SM 132.20DRESSING BACTERIOSTATIC FOAM 6X6 133.45TRAY SPNL ANESTH PNCN W/27 GA X 134.70ELECTRODE ELECTRO 15MMX12MM 11CM 135.00PIN GDE PARTL THRD TRO 2.4MMX9IN 135.00ELECTRODE ELECTRO 20MMX12MM 11CM 135.00PACEMAKER MEDT SLEEVE STR 135.00PIN GDE THRDD TIP 1.6MMX6IN 135.00ELECTRODE ELECTRO 10MMX10MM 11CM 135.00

LRMC Item Description Primary PriceCABLE PACING CARDIAC TEMP 8FT 135.00INSERT CLMP VSCLR SURG 61MM MED 135.90DRAIN WOUND RND W 1/4 TROCAR 19F 136.45SUTURE VCRYL 2-0 TP-1 27 IN ABSR 137.15INTRO HEMO FASTCATH CATHLOCK 6F 138.51INTRO HEMO FASTCATH CATHLOCK 7F 138.51INTRO HEMO FASTCATH CATHLOCK 8F 138.51INTRO HEMO FASTCATH CATHLOCK 9F 138.51CATHETER ANGIOGRPHC DIA 5FRX65CM 139.05CATHETER ANGIOGRAPH DIA 5FRX65CM 139.05SUTURE VICRYL 0 MO-4 139.50IMMOBILIZER KNEE 26IN UNIVERSAL 142.10SUTURE SURGICAL SS 1/2 CIRCLE #5 142.30GUIDEWIRE CVS .032 X 60CM 142.40PIN STEINMAN 1/8 THRD 161418000 144.00CATHETER ANGIOGRPHC DI 7FRX100CM 144.00KWIRE .8MM X 100MM 144.00GUIDEWIRE ANGIO FI .035INX150CM 146.25CANNULA AORTIC ROOT 14GA 147.42KIT CANNISTER MYOSURE 149.94DERMABOND WITH TIP DNX12 150.66DERMABOND WITH TIP DNX12 150.66ADHESIVE SKIN DERMABOND MINI 152.33TRAY FOLEY URINE METER 14F 152.37SET INTRDCR CATH MID 5FRX23CM 157.50CANNULA CARDOPLGA ARTC ROOT 14GA 158.85CANNULA CARDOPLGA CRNRY MAL 10FR 159.95CANNULA CARDOPLGA CRNRY MAL 12FR 159.95PROBE SMAA T SHAPED 160.20BIOSEAL CVC PRO QR 160.40CATHETER ANGIOGRPHC DIA 5FRX80CM 162.00CATHETER ANGIOGRPHC DIA 5FRX80CM 162.00GW ROSEN CVD TIP .035INX260CM 163.80CANNULA ARTC NON WRE R 22FRX15CM 164.95SUTURE MYO WR II 65MMX18IN SZ5 168.20SUTURE MYO WR II 65MM 4X18IN SZ7 168.20TUBING SMK EVACTN .25IN 168.30POUCH RETRVL SPECI ENDOS 3INX6IN 169.35WIRE KIRSCHNER 2.0MM 172.80MEDIA CONTRAST VISIPAQUE 320X50ML 173.00DVC STRATAFIX PDSPLUS CT2 0 45CM 173.11HEMSTAT SPNG SRGIFOM 8CMX12CMX10M 173.70GUIDE WIRE .035 FLEX TIP 25BX 175.30SHIELD RADIAL SORBX 179.37BUR OVL CARBD 5.5MMX10MM 180.00

LRMC Item Description Primary PriceCANNULA AORTIC ROOT LONG 12GA 180.00CANNULA VENS SNGL STAGE RT 28FR 180.00NOZZLE MIS REVOLUTION BREAKAWAY 180.00ROTATION TOOL MEDTR 6056 180.00SUTURE QUILL SRS PDO 00 TAPER 180.00SUTURE PRLN 5-0 RB-1 36 IN NON 180.00KIT LEAD END CAP PACEMAKER 180.00TOURNIQUET SINGLE BLADDER 24IN 180.00CLAMP INSERT AORTIC 61MM 180.00SLEEVE UNIVERSAL TROCAR 5MMX100MM 180.00SUTURE QUILL SRS PDO 2 REVERSE 180.00BLADE SAGITTAL 2108-318-000 180.00CONTROL VALVE BLDBCK BLN CATH 180.00INTRO CATH VAS W/O GW 6FRX10CM 180.60DRESSING MEPILEX BORDER 4X8IN 180.75NEEDLE VERESS 120MM UV 120 181.20PACKING NASAL DOYLE MOROCEL 183.71PIN STEINMANN DMND 2.4X229MM 184.80PIN STEINMANN DMND 2X229MM 186.30CATHETER ANGIO MULTIPAC CP0060 187.15SUTURE GORE TEX CV-3 PH-24 24 IN 188.30CANN VEN W/WIRE REINFORCE 28FR 189.00CANN VEN W/WIRE REINFORCE 32FR 189.00SHIELD FEMORAL ANGIO SORBX 189.25BURR BARREL 5MM 190.00INTRDCR SYS ARROWFLEX STD 7FRX13 190.68CATH ANGIOGRPHC DIAG 4FRX80CM 193.20SUTURE GORE TEX CV-0 THX-26 36 I 193.20BLADE HEAVY DUTY 0277-096-325 194.40SAW BLADE STRYKER 0277-096-278 194.40SYSTM SMOKE EVACUATION LAPAROSCOP 195.55BLADE OSC AND SAGIT 2296-003-411 199.10BLADE OSC AND SAGIT 2296-003-155 199.10BLADE MICRO 2296-003-414S7 199.10NEEDLE BPSY SFT TISS 14GAX6IN 199.50CANNULA ARTC NON W 18FRX15CM PED 201.60INTRO KIT MINI STICK MAX 45-753 201.60TOURNIQUET SINGLE BLADDER 34IN 202.30PACEMAKER MEDT CABLE PACING 12FT 210.00CANNULA ARTHROSCPC TWST IN 7MMX7C 210.00CANNULA TWST IN ARTHROSC 6MMX7CM 210.00BLADE OSC AND SAGIT 2296-033-522 210.00BLADE OSC AND SAGIT 2296-033-520 210.00CATH MLTIPK 3FR 145 ANGL 6SH JL4 210.84BUR CARBIDE EG OVAL 0277-010-062 211.60

LRMC Item Description Primary PriceDRILL BIT LINDEMANN 1608-002-043 211.60CATH VENOUS 36/46 213.19CATH VENOUS 32/40 213.19CATH VENOUS 29/37 213.19KWIRE 1.2MM X 100MM 213.45WRAP KNEE COMPRESSION 214.60GUIDEWIRE ANGIOGRPH .035INX145CM 216.40INTRODUCER SET 5FRX7CM 216.70CANNULA ARTC CRVD MTL 22FRX8.5IN 217.05GW AMPLATX SS STR .035X75 218.00GW AMPLATZ SS STR .035X75 218.00FIXATION TOOL BSCI 6616 218.40TOURNIQUET SINGLE BLADDER 42IN 219.85SLEEVE STABILITY XCEL 12MM 220.21GUIDEWIRE NON-THREADED 1.25X150MM 221.35CANNULA SS VENOUS 28FR 17L 10PK 223.69SAGITTAL BLADE 18.0X1.27X100MM 226.80SAGITTAL BLADE 21.0X90X1.27MM 226.80BLADE SAG SYSTEM 6 BR11990-47 226.80SAGITTAL BLADE 25.0X1.47X90MM 226.80BLADE NEXGEN 18MM X 90MM X 1.27MM 226.80BLADE SAG SAW SYSTEM 6 BR11290-50 226.80SAGITTAL BLADE 25.0X1.27X90MM 226.80SAGITTAL BLADE 13.0X0.89X90MM 226.80KIT INTRODCR SHE 6FRX41/8IN 10CM 228.40DRAIN SYSTEM CHST DRY SCTN CONTR 229.50MASK FACE DISP 231.60BRA SURGICAL XXL 231.85BRA SURGI MEDIUM 231.85BRA SURGI XL 231.85BRA SURGI LARGE 231.85CANNULA 67532 VEN RT PVC 32FR 232.17CANNULA VENOUS 32FR 232.17BOOT PREVNTN DECUB INFLAT MED 233.05TRAY THORACENTESIS PARA 8FR 4 3/4 234.00TRAY US PARA/THORA 234.00TRAY THORACEN/PARACEN 234.00PACEMAKER MEDT UNI SLITTER 235.20BLADE SAW STERNL NS 235.20CANNULA RIGHT ANGLE 24FR 235.60WALKER MAXTRAX BOOT MEDIUM 235.70WALKER MAXTRAX BOOT SMALL 235.70WALKER MAXTRAX BOOT LARGE 235.70WALKER MAXTRAX BOOT MEDIUM 235.70WALKER MAXTRAX BOOT XLARGE 238.75

LRMC Item Description Primary PriceBAG DRNG BILRY NEPHRSTMY 239.40TUBE GASTROSTOMY 18FR 241.50TACK PLATE 243.60SCISSOR TIP LOGICUT 243.60CANNULA VENS SNGL 28FRX15IN ADLT 245.30GW GLIDEWIRE STR 3CM 035X150 248.64GUIDEWIRE ANGIO STRGHT .035X150 248.65CANNULA MC VEN 249.31CANNULA VEN DUAL STAGE 36X46FR 249.31CANN VEN MC2 32/40FR X 1/2 249.31NEEDLE MACROPLASTIQUE 3.8FR 252.00KIT LEAD CAP 252.00TROCAR KII BLUNT TIP SYS 5X100 252.00SET SLV IRRIG OSTMY TRANS 1.75IN 252.60GWIRE EXTRA-STIFF 260 CURVED 252.84WRAP SHOULDER COMPRESSION 253.30WRAP HIP COMPRESSION 253.30TUBE GASTROSTOMY 24FR 253.59GW AMPLATZ SS J .035X145 255.00GW AMPLATZ SS J .035X145 255.00SET CATH ARTRY RADL 3FRX5CM PED 255.85SUTURE QUILL SRS MONODERM 2.0 259.05SUTURE QUILL SRS 36CMX36CM 48M 259.05SP CATHETER PIGTAIL 4FR 260.00DRESS POST OP SILV 260.55KIT INFSN GALCTGRPHY RAD BRS 31GA 261.40SP CATHETER MICHELSON 5FR 261.75SUTURE CAPIO 0 TC/T 36 IN NON AB 264.60SUTURE CAPIO 0 TC/T 36 IN NON AB 264.60GUIDEWIRE ANGIOGRPH .035INX150CM 264.80GW GLIDEWIRE ANG 3CM 035X150 264.80MANIPULATOR UTER ENDOSCPC 266.15MICROINTRODUCER PICC KIT 4.0FR 266.45TOURNIQUET DUAL BLADDER 18IN 268.15PACEMAKER MEDT STYLET KIT 268.80STYLET KIT MEDTR 6057-58 268.80STYLET KIT MEDTR 6082-55 268.80STYLET KIT MEDTR 6094-52 268.80STYLET KIT MEDTR 6093-58 268.80STYLET KIT MEDTRNIC 6082-58 268.80PAD PRO RADIOTRANSPARENT 268.80STYLET KIT MEDTR 6057-65 268.80STYLET KIT MEDTR 6091-58 268.80STYLET KIT MEDTR 6082-65 268.80STYLET KIT MEDTR 6056M 268.80

LRMC Item Description Primary PriceDRAIN BLAKE WOUND 24FR ROUND 269.95SP ZZ PIGTAIL CATHETER 8F 270.00CLIP LIGATING HEM-O-LOK LARGE 270.00XRES B RESERVOIR OUTLET 272.16GW GLIDEWIRE ANG 8CM 035X150 274.68INTRO SYS SAFESHTHII STD 8FRX13 277.20KIT IRRIG AHTO STUBE W/ TIP 33CM 277.20KIT INFLATN DILATN BALLN ANGIOPL 279.90KIT INFLATION ENCORE 26 ADVANTAGE 279.90CATH 5F CAS 1 [MODC16415] 283.50CATH INF JL5 6F 100CM 283.50CATH ANGIO SPECIAL SUPER TORGUE 283.50SHEATH SAFE 11FR 285.60BAG RETRVL SPECI ENDOSCP 4INX6IN 285.60INTRO HEMO FASTCATH TRIO 12F 287.28LARYNGOSCOPE DISP LOPRO S3 294.00CATH CRNRY DIAG 4.5X100 CM 294.00CATH OPTITORQUE 6FR JACKAY RADIAL 294.00CATH CRNRY DIAG 4.0X100 CM 294.00CATH OPTITORQUE 5FR JACKAY RADIAL 294.00KIT PORT ANGIOGRAPHIC WHITE 296.39KIT PORT ANGIOGRAPHIC RED 296.39PACK TUBAL LIGTN CUST SURG 296.55SLING ARJO FLITES DISP SLING XL 299.50SLING ARJO FLITES DISP SLING LG 299.50DRESSING AQUA HYDROFIBER 3.5X10 301.75TUBING PMP ARTHROSCPY INFLO OUTF 302.40PIN GDE SMTH SHFT DRL 3.2MMX12IN 302.40SHEATH INTR CATH POLY 8.5FR 302.40PACEMAKER MEDT WRENCH KIT 302.40IDOSORB GEL 4OZ TUBE 303.83SHIELD PERIPHERAL SORBX 307.44TUBE TRACH CFFD LO PRESSR DI SZ6 312.55GUIDEWIRE ANGIOGRPH .035INX150CM 315.00SET VASC ACCS VSTICK 4400E 315.80LINER CANISTER SONOPET 316.28CATH VENT SILICONE W/ GW STYLET 316.93KIT HANA BED 319.40SUTURE ETHBND EXCL 2-0 SH 30 IN 321.45BLADE DERMATONE NO MFR NBR 323.40BLADE DERMTM 323.40SUTURING DEVICE VCRYL ENDOLP 0 S 324.75SUTURING DEVICE PDS II ENDOLP 0 324.75SP CATHETER ACCUSTIC 325.50OXYGEN NEW 325.60

LRMC Item Description Primary PriceOXYGEN DAILY 325.60KIT D HELP STERILE 327.20GWIRE STND SHAFT .024IN X 150CM 328.40GW AMPLATZ SS STR .038X180 329.00GW AMPLATZ SS STR .035X180 329.00GW AMPLATZ SS STR 035X180 329.08GUIDEWIRE ANGIO .035INX180CM 329.10BAND TR STANDARD WITH INFLATOR 330.96SET VASC STIFF 4FX10CM 335.20GUIDEWIRE ANGIOGRPH .035INX145CM 335.50CATH GDE XBLAD3.5 7FRX100CM W/SH 336.00CATH GDG 5FR XB 3.5 LBT 100CM 336.00CATH GDG 8FR JR5 [588-856] 336.00CATH GDG AMPLTZ LFT 3 6FRX100CM 336.00CATH GDG MULT PRPS A1 8FRX100CM 336.00CATH GDG RT CRNRY BYPS 7FRX100CM 336.00CATH GDG V JL 4.0 SH 588-834 336.00CATH GUIDE AL.75 6FRX100CM W/ SH 336.00CATH GUIDE AL2 6FRX100CM W/ SH 336.00CATH GUIDE HS SH 6FRX100CM W/ SH 336.00CATH GUIDE JL3.5 7FRX100CM W/ SH 336.00CATH GUIDE JL4.5 7FRX100CM W/ SH 336.00CATH GUIDE JR4 7FRX100CM W/ SH 336.00CATH GDG 5FR JR4 LBT 100CM 336.00CATH GDG JDKNS LFT 6 C 6FRX100CM 336.00CATH GDG LFT 4 C 6FRX100CM 336.00CATH GUIDE AR1 7FRX100CM 336.00CATH GUIDE MPA1 6FRX100CM W/ SH 336.00LARYNGOSCOPE DISP LOPRO S4 336.00CATH GDG TRNSRADIAL XT 7FRX100CM 336.00CATH GUIDE XB2 6FRX100CM W/ SH 336.00CATH GUIDE XB3.5 7FRX100CM W/ SH 336.00CATH GUIDE XBLAD 3.5 100CM 336.00CATH GDG AMPLTZ LFT 1 8FRX100CM 336.00CATH GUIDE AR2 6FRX100CM W/ SH 336.00CATH GDG JDKNS RT 5 CR 6FRX100CM 336.00CATH 6FR XB 4.0 SH [G667696] 336.00CATH GDG MULT PRPS A1 7FRX100CM 336.00CATH GUIDE XBLAD4 7FRX100CM 336.00HEMOSTAT ABSO SURG 2X3 336.00CATH GUIDE IMA 6FRX100CM W/ SH 336.00CATH GUIDE LCB 6FRX100CM W/ SH 336.00CATH GDG XTRA BCKUP 4 7FRX100CM 336.00CATH GUIDE JL4 7FRX100CM W/ SH 336.00CATH GUIDE JR3.5 6FRX100CM W/ SH 336.00

LRMC Item Description Primary PriceCATHGDG JDKNS LFT 3.5 5FRX100CM 336.00TROCAR KII BLUNT TIP SYS 12X100 336.00CATH GDG JDKNS LFT 4.5 6FRX100CM 336.00CATH GDG JDKNS LFT 5 C 6FRX100CM 336.00CATH GDG JDKNS RT 4 CR 8FRX100CM 336.00CATH GDG AMPLTZ RT 2 C 7FRX100CM 336.00CATH GDG JDKNS LFT 3.5 6FRX100CM 336.00CATH GDG JDKNS LFT 4 C 7FRX100CM 336.00CATH GDG INTRNL MAMRY A 6FRX90CM 336.00CATH GDG RT CRNRY BYPS 6FRX100CM 336.00CATH 6FR AR1SH [G667636] 336.00CATH GDG XTRA BCKUP 4. 6FRX100CM 336.00CATH GDG JDKNS LFT 4 C 8FRX100CM 336.00CATH GUIDE AL1 6FRX100CM W/ SH 336.00CATH GDG XTRA BCKUP 3. 8FRX100CM 336.00CATH GDG MULT PRPS B1 6FRX100CM 336.00CATH GDG V 6FR JL3 667-000-00 336.00CATH GDG XTRA BCKUP LA 7FRX100CM 336.00CATH 7FR JR4 VISTA 778-082-00 336.00CATH GDG JDKNS RT 3.5 6FRX100CM 336.00CATH GDG AMPLTZ LFT 2 6FRX100CM 336.00CATH GDG XTRA BCKUP 3 7FRX100CM 336.00CATH GDG 6FR 3DRC [G6723DRC] 336.00CATH GUIDE XBRCA 6FRX100CM 336.00CATH GUIDE XBLAD4 6FRX100CM 336.00CATH GUIDE XB3.5 6FRX100CM W/ SH 336.00CATH GDG HCKEY STIK CR 6FRX100CM 336.00CATH GDG AMPLTZ LFT .7 6FRX100CM 336.00CATH GDG AMPLTZ LFT 1 6FRX100CM 336.00CATH GDG INTRNL MAMRY 6FRX100CM 336.00CATH GDG LFT CRNRY BYP 6FRX100CM 336.00CATH GUIDE JR4SH 6FRX100CM W/ SH 336.00CATH GDG XTRA BCKUP 3. 7FRX100CM 336.00CATH GDG XTRA BCKUP 4 6FRX100CM 336.00CATH GDG XTRA BCKUP 4 8FRX100CM 336.00CATH GDG MULT PRPS A1 6FRX100CM 336.00CATH GUIDE JR4SH 8FRX100CM W/ SH 336.00CATH GDG AMPLTZ RT 1 C 6FRX100CM 336.00CATH GDG JDKNS LFT 4 C 6FRX100CM 336.00CATH GDG XTRA BCKUP LA 6FRX100CM 336.00CATH GUIDE XBLAD3 6FRX100CM 336.00CATH GDG AMPLTZ RT 2 C 6FRX100CM 336.00CATH 6FR 3DRC [G6703DRC] 336.00CATH GDG JDKNS RT 4 CR 6FRX100CM 336.00CATH GDG XTRA BCKUP 3 6FRX100CM 336.00

LRMC Item Description Primary PriceCATH GDG XTRA BCKUP 3. 6FRX100CM 336.00DRESSING AQUA HYDROFIBER 12IN 336.25DRESSING AQUA HYDROFIBER 3.5X14 336.25TROCAR 5MM LONG 125MM 336.30GW AMPLATZ SS STR .035X260 344.00GW AMPLATZ SS J .035X260 344.00GW AMPLATZ SS STR .035X260 344.00CATH BALLOON 6FR 110CM 344.40WRENCH TORQUE BIDIRECTIONAL BSCI 344.40WRENCH TORQUE BIDIRECTIONAL BSCI 344.40GUIDEWIRE ANGIOGRPH .035INX260CM 344.40GW ANGIO 3 MM AMPLATZ .035INX260 344.42SUTURE PROLN 5-0 C-1 36 IN NON A 348.15TIP RUMI WHITE 6.7MM X 6CM 348.20CANN VEN 3-STAGE MC2X 29/29/29FR 349.02SP ZZ CATH SUPRAPUB FOLEY 350.95GUIDEWIRE ANGIO ANGLED .035X180 355.15GW GLIDEWIRE ANG 3CM 035X180 355.15GW AMPLATZ SS ST .035X260 359.00GW AMPLATZ SS ST .035X260 359.05CATHETER BALLOON 6714 361.20BLADE KNEE 6118-119-090 361.20SAGITTAL BLADE 25.0X0.89X90MM 361.20SHEATH INTRO INTRA ARTC BLLN PMP 369.60ADAPTER PACING SEALING 369.60SP GLIDEWIRE 372.00GUIDE DRILL TIP 1.6MM 372.95GW GLIDEWIRE STR 3CM 035X260 372.95GUIDEWIRE ANGIOGRPH .035INX260CM 372.95GW GLDEWRE ANG 3CM .038INX260CM 372.96GW GLIDEWIRE ANG 3CM 035X260 372.96FORCEP GRASPING CARTRIDGE 5MMX38C 375.75SAGITTAL BLADE 25.0X1.37X100.0MM 378.00SUTURE FIBERLOOP 2 20IN 76MM 7MM 378.00GUIDEWIRE DBL STRT .035INX150CM 378.40GUIDEWIRE ANGIOGRPH .035INX150CM 379.25GW GLIDEWIRE SS ANG 3 035X150 379.26SET INTRO CTH MODIFCATION 6FRX55 382.20SHEATH PERFORM GUIDE CFLO G08024 382.20BUR EGG 0277-010-050 386.40TRAY PACEMAKER (CVP138) 389.40GW GLIDEWIRE SS ANG 3CM 035X180 392.28GUIDEWIRE J-TIP SUPERSTIFF 1.5MM 394.80GUIDEWIRE ANGIOGRPH .025INX150CM 395.65KIT ACCSS ARTRY TRNS 6FX43/8IN 11 399.84

LRMC Item Description Primary PriceTOURNIQUET DUAL BLADDER 24IN 401.50CONN 8 HC 700 MIDI 1/4 401.53DRILL BIT 2.7MM X 100MM 403.20CATH MIDLINE 20GX8CM BASIC KIT 403.20GLIDECATH ANGIO 5FR MULTIPURPOSE 407.40CATH ANGIOGRPHC PERIPH 5FX100CM 407.40CATH GLIDECATH STRAIGHT 100CM 4FR 407.40CATHETER ANGIOGRPHC DI 5FRX100CM 407.40TUBE GASTRO REPLACE TRFUNNEL 18FR 407.40CATH ANGIOGRPHC PERIPH 4FRX100CM 407.40CATH ANGIO PERIPHL 5FRX65CM 407.40CATH GLIDECATH ANGLE 120CM 4FR 407.40CATH GLIDECATH ANGLE 65CM 4FR 407.40SP CATHETER VERTEBRAL GLIDE 4FR 407.40CATH GDE GLIDECTH SIM2 100CM 5FR 407.40DRESSING VAC GRANDUFOAM MEDIUM 408.40SHEATH FLEXOR ANSEL RDC 6F 45 411.60CATHETER PER-Q-CATH SINGLE 4.0FR 411.60GWIRE CRNRY HI PER .035INX260CM 417.90GW GLIDEWIRE SS ANG 3 035X260 417.90BLADE SAW OSCILL STRYKER 18.5X5.5 420.00CATH CRNRY SLIPCATH JB1 6FX125 420.00CATHETER TRPL LUMEN W INTERLNK 7F 420.00KIT INSERTION 420.00PIN GDE HIP SCRW 3.2MMX353MM 420.00CANNULA AORTIC 8MM 420.00SPLINT BULK 3IN X 15YDS 420.00GLIDEWIRE .035 STIFF TYPE 630117 420.00DRILL BIT NON CANN 1.7MM 420.00BUR HOLLOW FLUTE BARREL 5.0MM 6 420.00TUBE TRACH CFFD LO PRESSR DI SZ4 420.00CUTTER AGGRESSIVE PLUS 5.5MM 420.00CUTTER RESECTOR 5.5MM 420.00CUTTER AGGRESSIVE PLUS 4.0MM 420.00BUR HOLLOW FLUTE BARREL 5.5MM 6 420.00CUTTER TOMCAT 4.0MM 420.00CUTTER TOMCAT ANGLED 4.5MM 420.00DRILL ACUMED 2.0 80-0318 420.00PIN DISTRACTION 14MM 420.00KIT DRAINAGE FOR PLEURX CATHETER 420.00CATH FEMORAL SWANGANZ CC AMC 7F 420.00APPLIER CLP LIGTG MULT LG 420.00APPLIER CLP LIGTG MULT MED 420.00SUTURE PROLN 7-0 BV-1 30 IN NON 420.00APPLIER CLP LIGTG MULT MED SH 420.00

LRMC Item Description Primary PriceAPPLIER CLP LIGTG MULT SM 420.00CATHETER ANGIOGRPHC DI 5FRX110CM 420.40CATHETER ANGIOGRPHC DI 5FRX110CM 420.40INTRODUCER PEEL OPTISEAL 7F 25CM 421.89INTRO PEEL OPTISEAL 9F 25CM 421.89INTRODUCER PEEL OPTISEAL 13CM 8F 421.89SET TUBE PUMP DISP FLOSTEADY 422.90SUTURE E PK CUST 423.15PACK KNEE ORTHO ARTHROSCPC SURG 423.80TUBE TRACH CFFD LO PRESSR D SZ10 426.50DILATOR FOLLOWER 20FR 427.20DILATOR FOLLOWER 18FR 427.20DILATOR FOLLOWER 16FR 427.20DILATOR FOLLOWER 14FR 427.20KIT STYLT STANDRD HANDLE 10GX12CM 430.00KIT STYLT STANDRD HANDLE 13GX12CM 430.00KIT STYLT STANDRD HANDLE 11GX12CM 430.00GUIDEWIRE ANGIO 5 .018INX300CM 430.56GW SPARTACORE .014X300 1005203 430.56GW ANGIOGRPHC ST .035INX145CM 430.56GW ANGIO ST .035INX300 1002703-02 430.56GUIDEWIRE ANGIO ST .035INX190CM 430.56SP CATHETER VERTEBRAL 4FR 431.00NEEDLE CYSTOSCOPY 25GX70CM 437.33PAD PRESSURE PROTECTOR SET 907-P 439.55CATHETER GDG DIAGNSTC RNL DB 6FR 441.00CATH GDG PERIPHL STRT T 8FRX90CM 441.00CATH 6F IM [670-190-55] 441.00CATH GUIDE VISCERAL RDC1 6FR 441.00CATHETER GDG DIAGNSTC HCKEY 6FR 441.00CATH GDG 6F RDC [670-212-55] 441.00CATH GDG HCKEY STIK CRV 7FRX55CM 441.00BIT DRILL 2.0 X 100MM 442.55DRILL BIT US IMPLANT DB27-100 442.55GW ANGIO J SHAPE TIP .035INX145CM 445.90CANNULA ARTC FEMRL PER 22FRX25CM 446.60CANNULA ARTC FEMRL PER 20FRX25CM 446.60GWIRE MANDREL SS .018X80CM 446.90SET EXTRA BOWL X/175 449.82SET EXTRA BOWL X/225 449.82SET EXTRA BOWL X/125 449.82PAS XTRA B W/GROSS FILTER 120ML 449.82PACK TOTAL KNEE 454.45CHITO SEAL 456.95LO FLEX W/O RIGID STAYS/PRE 459.30

LRMC Item Description Primary PriceRETRIEVER SUT HWSON ARTHROSCPC 461.35BIT DRL QCK CONCT 1.5MMX85MM 463.05BIT DRL QCK CONCT 3.5MMX110MM SH 463.05BIT DRL QCK CONCT 2.7MMX100MM 463.05BLADE SAW OSCILL STRYKER 18.5X9MM 463.05BLADE SAW OSCILL STRYKER 11.5X5.5 463.05BIT DRL QCK CONCT 2MMX100MM 463.05BIT DRL QCK CONC 2.5MMX110MM STD 463.05PROBE INTRNL REF DUAL PH 15CM 463.05TUBE TRACH UNCUFF SZ8 464.50BLADE CHISEL 10MM 470.40TIP TROCAR DILATING 5X100 473.11SHEATH INRODUCER LONG 12 FR 477.75CANNULA CARDOPLGA RETR 14FRX32CM 481.65TUBE TRACH CUFF DISTAL EXT 8MM 481.95SUTURE ETHBND EXCL 2-0 SH-2 30 I 490.85DRESSING SINUS STAMMBERGER 492.45VALVE PASSY MUIR 492.80SUTURE ETHBND EXCL 2-0 SH-2 30 I 494.05TUBE TRACH UNCUFF FEN SZ6 499.35KWIRE SMTH SING TRO PNT 1.6X150MM 499.80GUIDE PIN 3.2MM 01000100 499.80SAGGITAL SAW BLADE 507.15SUTURE ETHBND EXCL 2-0 SH 30 IN 508.00MEDIA CONTRST OMNIPAQUE 300 100ML 512.30CATH IKARI LEFT 4.5 6FR 100CM 514.50GW HITPRQUE J .014X190 514.50CATH IKARI RIGHT 1.0 6FR 100CM 514.50CATH IKARI RIGHT 1.5 6FR 100CM 514.50CATH IKARI LEFT 4.0 6FR 100CM 514.50GW CHOICE PT .014X182 514.50GW VERSA TURN F 190 CM 514.50GW CHOICE PT XS .014X182 514.50GW TURN TRAC FLEX 190 CM 514.50DRILL BIT 2.0 518.55SPHERE NEURO STEALTHSTATION PK/4 519.50GUIDEWIRE CHOICE PT GRAPHIX 182CM 525.82GWIRE CRNRY HYDROPH .014INX182CM 525.82GW CHOICE PT J TIP .014X600 525.82GW CHOICE FLOPPY J .014X300 525.82GW CHOICE XTRA SUPPRT J 014X300 525.82GW CHOICE PT XTR SUPPRT J 014X300 525.82GW CHOICE EXTRA SUPPRT J .014X182 525.82GUIDEWIRE CRNRY .014INX182CM 525.82SHEATH FLEXOR ANSEL STR 6F 70 526.26

LRMC Item Description Primary PriceKIT POWERPULSE ULTRA 529.20SHEATH PINN DESTIN CC ST 6F 45 529.20SHEATH INTRDCR VSCLR 7FRX45CM 529.20GW BALL TIP STRL 02.5X850MM 532.51BLADE CORE FAN 5400-134-281 536.85BIT DRILL 2.8 540.22BIT DRILL 3.0 540.22BIT DRILL 2.0 540.22BIT DRILL 2.5 540.22DRILL BIT SGL USE STRL 03.5X115MM 540.23SP COIL TORNADO EMBO 4X8MM 541.70GW GLIDEWIRE STR 3CM .018X260 543.90GWIRE ANGLED .018 INX260X3 CM 543.90GW ASAHI GRANDSLAM .014X300 547.94GW HITORQUE PILOT 200 J .014X300 547.94GUIDEWIRE ANGIO CR .014INX300CM 547.94GW ASAHI LIGHT .014INX180CM 547.94GUIDEWIRE ANGIO J SHAP TI 190CM 547.94GUIDEWIRE WHISPER HT J .014 X 300 547.94GWIRE .014 190 CM 547.94GW ANGIO 3 .014INX190 547.94GW ANGIO 3 .014INX300 547.94GW HI-TORQUE MIDLEWGHT J 014X190 547.94GWIREHT STRAIGHT .014X190 547.94GW ASAHI PROWATER .014X180 547.94GW ANGIOGRPHC CR .014INX190CM 547.94GUIDEWIRE ANGIO 3 .014INX190CM 547.94GUIDEWIRE EXT DOC 145CM[22260] 547.95GUIDEWIRE ANGIO ST .014INX300CM 547.95KIT PATIENT PREP AVAPREP 562.30CATH INDWELLING INTRACOMP PRESSUR 567.50DRILL BIT 2.5MM X 180MM Q/C 573.30SP ZZ CATHETER URETHRAL 578.40SET INTRO STENT 8.5FR 580.65MAT PATIENT TRANSFER HOVERTECH 580.65GWIRE FLOPPY TIP .014 300CM 580.65GWIRE FLOPPY TIP .014 180CM 580.65GUIDEWIRE ANGIO J .035INX260CM 583.10NDL ASPIRTN TRNSBRNCHL 21GAX130CM 588.00ADAPTER LDWR PACG CRDIAC PIN PLG 588.00KIT PNEUMTHRX RADPAQ 18GA W/CATH 591.95ELECTRODE PACG CRDIAC TEMPRY 5FR 602.70CATH MIDLINE 20G X 8CM 602.70DRILL BIT ACUMED 2.3MM 80-0627 610.05SYSTEM MIXER BONE CEMENT 612.50

LRMC Item Description Primary PriceSHEATH DESTINATION 6FR X 90CM 617.40SHTH CAROTID 6FRX90CM 617.40BUR TAPERED ROUTER 1.7MMX16.0CM 624.75DRILL BIT TWIST 2.6 X 122MM 628.45COMPRESSOR ARTRY FEMRL DISP STRL 632.10COMPRESSOR ARTRY FEMRL DISP STRL 632.10DRILL BIT ACUMED 2.8MM 80-0387 632.10PIN STEINMANN DMND 4.8X229MM 635.80CATHETER EMBLCTMY ARTER 2FRX60CM 637.40DRILL ZIM HAND FREE 4.3 X 152.5MM 639.45DRILL BIT 4.3MM X 145MM 639.45CATH DIAG WHOLEY FLOPPY .035X15 640.19HEMOSTAT ABSORB SNOW 2X4IN 641.27ELECTRODE NEURODIAGSTC SUBDER SH 642.40DRILL BIT 2.5 8290-29-070 646.80TRAY CATH SUPRAPUB FOL 646.95SPHERE NEURO STEALTHSTATION PK/5 649.37PACK BATTERY QUICK DRIVE MINI 654.15APPLIER CLIP LIGTG ROTATG SHFT LG 656.00KWIRE STRYKER 3 X 285MM 657.85CANNULA DLP SILICONE RCSP 15FR 661.50DRILL BIT STANDARD 2.5MM 661.50DRILL BIT CANNULATED 4.5MM 661.50CATH PTA EVERCROSS 5X120X135 661.50LEAD CUTTER 661.50SET TUBE AQUILEX IN/OUT-FLOW 661.50SP ZZ DRAINAGE CATHETER 661.95DRILL BIT REVERSED II 3MM 673.65TUBE TRACH XLT 6.0 CUFFED PRO/EXT 677.75K WIRE 03.2 X 450MM 683.55DRILL BIT NCB 4.3MM X 195MM 683.55GUIDEWIRE UNTHREADED 1.5X150MM 685.02GW V-18 CONTROL STR 8CM .018X300 689.36DRILL BIT 3.5MM SHORT BRAD POINT 690.40CABLE COAXIAL UMBILICAL 203CXC 698.25CATH RESPON QUAD CRD 5MM 6F 120 698.25CATH RESPON QUAD CRD 5MM 5F 120 698.25CATH LIVEWIRE DECA XLC 2-5-2 6F 698.25CATHETER OMNI FLUSH SF .035 70CM 705.60GUIDEWIRE ANGIOGRPH .035INX260CM 712.95DRILL BIT 2.7 2142-27-070 727.65GUIDEWIRE EXTRA STIFF 0.34X260 727.65GW LUNDRQIST EXTRA STIFF 0.35X260 727.65BLK CUT TIBIAL RT MEDIAL SZ4 NS 735.00NEEDLE SITE MARKER BIOPSY 735.00

LRMC Item Description Primary PriceBONE MODEL TIBIA RIGHT 735.00BALLOON MEDT PACE VENOGRAM ATTAIN 735.00BONE MODEL FEMUR RIGHT 735.00BONE MODEL TIBIA LEFT 735.00GWIRE BILIARY STRAIGHT LONG 735.00BONE MODEL FEMUR LEFT 735.00GUIDEWIRE FUSION SHORT .035 735.00SET INTRODCR CATH 16FRX35CM W/.0 738.70SET INTRDCR CATH TOUH 6FRX90CM 740.51TRACKER ENT INSTRUMENT 740.88BRACE KN/POST OP T ROM F/FOAM XL 746.05DRILL BIT NCB 3.3 195MM 749.70GUIDEWIRE ZIM SMOOTH BULLET 749.70PROBE STIMLTR MONPLR PRASS MPG C 753.30BRUSH CYTOLOGY RX 757.05SLEEVE MEASURING 8163-01-005 764.40BURR STANDARD PFJ MILL 771.75DRILL BIT 2.7MM 771.90STAPEL RELOAD 45MM GRAY 774.50PIN ALIGNMENT REVERSED 2.5X200MM 793.05CATH MINNIE SUPPORT .014 X 150CM 801.15GDWIRE VERSACORE MOD J 035X260 806.25GW APPROACH HYDRO ST 014X300 808.50NEEDLE VASCULAR ACCESS 18GA 808.50CROSS CUT LARGE 5100-037-114 808.50DRILL 2.7MM 815.85SUCTION IRRIGATOR DEVICE LIGHTED 830.55SET STNT URTRL MON 6FRX22CM-30CM 837.90STENT URTRL SFT HYDROPH 6FRX28CM 837.90SET STNT URTRL MONFLMT 6FRX26CM 837.90STENT URTRL SFT HYDROPH 6FRX24CM 837.90SAVARY GILLARD GUIDEWIRE (SGW-200 843.80REAMER CALIBRATED DEPTH 2.0MM 845.25CATHETER B 48FRX240CM 16MMX5.5CM 845.25CATHETER B 54FRX240CM 18MMX5.5CM 845.25CATHETER B 30FRX240CM 10MMX5.5CM 845.25CATH WEBSTER QUAD FIXED F5QF005RT 845.25CATH STNE RETRVL 11.5MM 845.25CATH WEBSTER QUAD FIXED F6QF005CT 845.25CATH STNE RETRVL 8.5MM 845.25GUIDEWIRE BILRY STR .025INX450CM 845.25TROCAR ENDOSCOPIC BLADELESS 15MM 858.95SEALANT THROMBIN TOPICAL FLOWABLE 861.05EXTRACTOR STNE NTNL W/ 12FRX38CM 871.55SPHINC CLEVER CUT 3 4FR 7MMX20MM 874.30

LRMC Item Description Primary PriceCATH LANGSTON PIGTAIL 6F 145 874.65SET INTRO CATH TOUH BORS 6FX90CM 883.84CEMENT RESTICTOR EB0101 883.85KIT PICC XCELA 5FR DUAL LUM INTER 885.00BIT DRL SPNL 12MM 889.35K WIRE NITINOL SHARP 20-0124 911.40CONNECTOR SMARTSTITCH PERFECTPASS 918.75BED BARI TOTAL W AIR 923.95STAPLE ECHOLON RELOAD 45 GREEN 938.85STAPLE ECHELON RELOAD 45 GREY 938.85STAPLE ECHELON RELOAD 45 WHITE 938.85STAPLE ECHELON RELOAD 45 BLUE 938.85CARTRIDGE STPL RELOADNG LNE 45MM 938.85PATIENT TRACKER NON-INVASIVE 946.68DRILL STRYKER 1806-4280S 951.85DRILL AO 04.20X340MM 951.85DRILL STRYKER 1806-4250S 951.85BIT DRILL SHORT 4.3X152MM 955.50PERFUSION PACK LRMC 964.68WIRE SUT 970.20SUT CART SMART PERFECTP CO-BRAID 970.20SUT CART SMART PERFECTPASS WHITE 970.20SET INTRO PERFORMER RCF-16.0-38-J 977.55GUIDEWIRE SMOOTH TIPPED 984.90GUIDE WIRE BALL TIP 3 X 800MM 984.90KIT CENTRAL LINE BUNDLE 988.60KIT CENTRAL LINE BUNDLE DWARDS 988.60CATH SUPPORT DAV CXI 4FX150 992.00CATH SUPPORT ANG CXI 2.6FX150CM 992.00FORCEPS GRSPG CONCTR ANCHR ROTAT 992.25CATH SUPPORT QUICKCROSS .018X150 992.25CATH SUPPORT QUICKCROSS .014X150 992.25FUNNEL KELLER 992.25GW ASHAHI FIELDER XT .009X190 992.25CATH SUPPORT QUICKCROSS .035X150 992.25CATH PTA ARMADA 35 14X20X135 992.50DRILL BIT SGL USE STRL 04.2X300MM 996.03DRILL BIT 3.8MM X 6IN 999.60CATH CRICOTHYROTOMY MELKER EMGNCY 1,003.30CATH DIAG 3DRC 125 1,010.63INTRO HEMO RAMP-1 8F 60CM 1,012.46INTRO TRANS SWARTZ SL 8F 63CM 1,012.46INTRO HEMO SWARTZ SR0 8F 60CM 1,012.46KIT PICC XCELA WPV 4F D LUM IR 1,019.80ROTAWIRE PERIPH EXTRA SUPPORT 1,021.65

LRMC Item Description Primary PriceSTAPLE ECHELON RELOAD 60 GREEN 1,024.50STAPLE ECHELON RELOAD 60 WHITE 1,024.50STAPLE ECHELON RELOAD 60 BLUE 1,024.50ROUTER TAPERED 2.3MM 1,025.33SCREWDRIVER TIP REVERSED 3.5MM 1,027.15GUIDE WIRE BALL TIPPED 03X1000MM 1,047.40GWIRE CRNRY 9 .014 X180CM 1,056.75GWIRE CRNRY ASAHI 3 .014X180 CM 1,056.75GWIRE CRNRY ASAHI 3 .014X300 CM 1,056.75GWIRE CRNRY 9 .014 X300CM 1,056.75BLADE TRICUT M4 13CM 4MM 1,057.22STAPLER INTERNAL LINEAR CUTTER 45 1,059.80TRANSTIBIAL ACL DISPOSABLE KIT 1,065.75GW HITORQUE COMMAND .014X300 1,065.75BIT DRILL 310.509 1,067.60DRILL BIT 2.0MM W/DEPTH MARK 1,067.60KIT PICC XCELA WPV 5F D LUM 1,077.05DRIL DISTAL GRAD 4.3MM 212-01-406 1,087.80KIT PERICARDIO 8.3FR CATH 1,090.23KIT PERICARDIO 8.3FR CATH 1,090.25BIT DRL ANCHR SUT MINI ART 2.4MM 1,102.00CATH GDG RT CRV 7FR W/SIDEHL 1,102.00CATH SUPPORT SEEKER .018X135 1,102.00DILATOR BALL ECLIPSE COLON ECL-10 1,102.00NEEDLE TRANSSPETAL BRK 98CM 1,102.00CATH NAVICROSS 30DEG ANGLED 135CM 1,102.00NEEDLE TRANSSPETAL BRK 71CM 1,102.00ON Q PAINBUSTER W/5IN CATHETER 1,102.00CATHETER SUPPORT CXI 4FR 1,102.00SET STNT URTRL PRCUTAN 8FRX28CM 1,102.00TRACKER NONINVASIVE AXIEM 1,102.00DRILL DISTAL GRAD LNG 2112-01-405 1,102.00LEADWIRE PACG ENDCARDL 6FR 1,102.00DRILL BIT SHORT 4.0MM 1,102.00CATH VISTA BRITE XBRCA SH 6F 100 1,102.00COUNTER SINK CANN 3MM 1,102.00GUIDEWIRE ANGIO ROTATNL A 325CM 1,102.00INTRO BRAID SWARTZ SL1 8.5F 63CM 1,102.00CATH PLUS PTA 3.5X80X130 1,102.00CATH PTA PACIFIC PLUS 5X40X130 1,102.00TOOL CONNECTOR ACUITY X4 1,102.00DRILL BIT CANN CANN 1.7MM 1,102.00CATH SUPPORT CXI 2.6FR X 150CM 1,102.00PUMP PAIN RELIEF ON-Q DISP DUAL 1,102.00ELECTRODE ELECTROSURGCL WA 90DEG 1,102.00

LRMC Item Description Primary PriceGW ASAHI ASTATO 30 300CM 1,102.00LARYNGOSCOPE GLIDESCOPE DISP#3 1,102.00CATH NAVICROSS 30DEG ANGLE 150CM 1,102.00SYSTEM EXOSEAL VASCLR CLOSURE 6F 1,102.00CATH PTA PLUS 5X120X130 1,102.00NEEDLE TRANSSPETAL BRK-1 98CM 1,102.00GW ASAHI TREASURE .45 X 300CM 1,102.00GWIRE ASAHI ASTATO 20 17X300 CM 1,102.00WIRES DIAMONDBACK FIRM .014X35CM 1,102.00NEEDLE MULTIFIRE SCORPION 1,102.00GUIDEWIRE ANGIO STRT TIP 325CM 1,102.00CATH NAVICROSS STRAIGHT 135CM 1,102.00NEEDLE TRANSSPETAL BRK-1 71CM 1,102.00INTRO BRAID SWARTZ SL0 8.5F 63CM 1,102.00APPLIER CLP LIGTG ROTATG MED 5MM 1,102.00SYSTEM EXOSEAL VASCLR CLOSURE 5F 1,102.00BIT 2.0 DRILL 1,116.00SP ZZ OCCLUSION BALLOON STENT 1,119.00ROD GDE BALL TIP DISP 3MMX1000MM 1,124.05BSKT STN RETRIEV SEGURA 3FRX120CM 1,141.48CATH STN RETRV SEGURA 2.4FRX120CM 1,141.48SP ZZ VASOSEAL 1,141.75KNIFE NEEDLE RX 1,147.00CLOSURE VASCULAR MECHANICAL 8FR 1,147.00COUNTER SINK CANN 2MM 1,159.40WAND SUPER TURBOVAC 90 IFS 1,178.00CLOSURE VASCULAR MECHANICAL 6FR 1,178.00BASKET STONE 0 4.5 90CM 20MM 1,201.55ELECTRODE ELECTROSURGCL WA 45DEG 1,204.35CATH CPS AIM SL SUB 90D 59CM 1,209.00CATH CPS AIM SL SUB-ACU 59CM 1,209.00CATH CPS AIM SL OBTUSE 59CM 1,209.00CATH CPS AIM SL CSL 65CM 1,209.00GW CONFIDA CURVED .035X260CM 1,209.00GW CORONARY VIPERWIRE .014X325CM 1,209.00HEMOSTATIC PARTICLES ABS 3GM 1,222.02BLADE PLNTR FASOTOMY ENDOSCPC HK 1,227.60KIT CATH TEMP PACING BALLOON 1,230.08CATHETER BAL 12MMX4CM 5.8FRX75CM 1,240.00ELECTRODE WAND TURBINATOR 1,240.00CATH PTA PACIFIC PLUS 4X80X130 1,240.00SP ZZ INFUSION CATHETER 1,246.65KIT PICC XCELA WPV 6F 3LUM IR 1,251.65SP ZZ GUIDEWIRE 1,269.40ELECTRODE ELECTROSURGCL WA 70DEG 1,270.20

LRMC Item Description Primary PriceKIT INFLATOR ENT 1,277.20BUR ACRN FLTD 9.1MMX11.4MM 1,284.82MCRSPHR BEAD BLOCK 300-500 2ML 1,302.00BASKT STONE RETRIEVAL NITINOL 1.9 1,302.00PROBE ARGON BEAM STRAIGHT FIRE 1,313.45CLOSURE VASCULAR SUTURE 6FR 1,320.60CLOSURE VASCULAR SUTURE 6FR 1,320.60BLADE IT ROTATE 2MM 1,327.61REAMER SHAFT MOD TRINKLE 08.0X448 1,333.00SUTURE FIBER PITON 2.8 MM 1,333.00PROBE ARGON BEAM CIRCUMFRENTIAL 1,348.50CANNULA ARTERIAL PRFUSION OPTISIT 1,349.20ELECTRODE CYLINDER 24-28FR .35W 1,356.75CANNULA ARTERIAL OPTISITE 20 1,357.80SPHICTERTOME RX 44 WIRE SHORT 1,357.80SP ZZ Closure Device 1,362.55CLOSURE DEVICE VASCULAR 6FR 7FR 1,364.00DRILL BIT ADV ORTHO 0209 1,364.00CABLE ACHIEVE 1,395.00BLADE SAW PRECISION 6525-127-105 1,395.00COUNTERSINK STRYKER CANN 4MM 1,398.10STAPLER INT LNR CUTTR ARTICUL 45M 1,418.85CATHETER RIGHTSITE 1,438.40FIBER LASER MICRON 400 1,450.80FIBER LASER MICRON 270 1,450.80LEAD EXTENDER BULLDOG 1,469.40STAPLER INTRNL LNEAR CTTR A 35MM 1,496.60CATHETER BALL 12FRX180CM 4MMX3CM 1,515.05KIT SNARE INTRVS RETRL 10MMX120 1,537.60HARVESTING SYSTEM SPHNS VEIN BIP 1,550.00STAPLER LINR CUTTR FLEX SHAFT 45M 1,559.30CARTRIDGE STPL RELOADNG CRVD GRN 1,569.25CARTRIDGE STPL RELOADNG CRVD BLU 1,569.25CATHETER ENDOSCPC RE 5.5FRX200CM 1,572.30CATH GUIDE ATTAIN COMM SV MPR 1,581.00SP ZZ PERCLOSE 1,584.00HEMOSTATIC PARTICLES ABSORBABLE 1,612.60BIT DRL TWST COLE RADLCNT 4MM 1,663.60FILM ADHESION BARRIER GYN 1,667.80KIT CATH UROMAX ULTRA 24FRX8CM 1,670.60KIT DIL HIGH PRES HYDRPLS 24FX8CM 1,670.60SYS INCISION WND MNGMT PRE1055US 1,682.68CATHETER THROM VASC EXTRAC 6FR 1,705.00CATHETER EXTRACTION PRONTO LP 1,705.00DEVICE FIXATION PERM CAPSURE 30 1,705.00

LRMC Item Description Primary PriceFILM ADHESION BARRIER 5 X 6 1,717.85CATH GUIDE ATTAIN COMMAND 1,721.10RETRACTOR SOFT TISSUE MEDIUM 1,736.00BURR MATCH HEAD MIS 2.5MM 1,739.10CATH STNE RETRVL 1.5X3.5MM 1,743.80STAPLER INTRNL HRNIA LV 5MM 1,746.05FLOSEAL MATRIX HEMOSTATIC 10ML 1,749.45RETRACTOR WOUND PROTECTOR 1,798.00BLADE TRICUT 13CM 1,806.68CATH GUIDING ATTAIN SELECT 90 1,810.40ADAPTER POWER DRIVE 4.0 MV SCREW 1,822.80PEEK PLASMABLADE 1,829.00PEEK PLASMABLADE 1,829.00WC GRAFT EPIFIX 14MM 1,853.80CATH LIVEWIRE DECA MED 2-5-2 6F 1,860.00CATH LIVEWIRE DECA MED 2-5-2 6F 1,860.00CATH DIAG TORQR 2-5-2 65CM 1,860.00SHEARS HARMONIC ACE+7 23CM 1,914.87GUIDEWIRE ANGIO WHOLEY ST 300CM 1,934.40PAD ARTIC GEL UNIVERSAL 1,937.50CABLE ASSEMBLY 1.8X635MM 1,971.60TUBE ET EMG NRV INTGRTY MNTR 8MM 1,979.90DRILL TIBIAL 10MM CM-7310 1,984.00STAPLER ECHELON 60 LAP 1,986.70CATH WEBSTER QUAD DEFL D6DR005RT 1,996.40CATH WEBSTER QUAD DEFL D6DR005CT 1,996.40SHEARS HARMONIC ACE+7 36CM 2,002.60DRILL TIBIAL FEMORAL 10MM CM-7210 2,015.00STAPLR PWRD LAPRSCPIC CUTTER 45MM 2,028.50GRAFT EPIFIX 18MM Q4131 2,055.00FIBER LSR HI TRANSMSN STD 365 MH 2,073.30TUBING SET W/EXT SONOPET 2,109.86REAMER CANNULATED 2.7MM 2,110.48TUBE ET NSL OR ORL RNFCD 6MM 2,163.80RETRACTOR SCROTAL 2,163.80TUBE ET EMG NRV INTGRTY MNTR 7MM 2,163.80CAPTURING DEVICE SUT OPN AC 25CM 2,165.35CATH CPS DIRECT PL OC-115 47CM 2,170.00CATH CPS DIRECT PL OC-R 47CM 2,170.00CATH CPS DIRECT SL II RS 47CM 2,170.00DRILL BIT 3.5 66-1015 2,170.00CATH CPS DIRECT SL II XWIDE 47CM 2,170.00CATH CPS DIRECT SL II WIDE 47CM 2,170.00KIT DYEVERT PLUS DISPOSABLE 2,170.00FIBER LASER MICRON 600 2,219.60

LRMC Item Description Primary PriceKIT SQUARE TORQUE DEFINING SCREW 2,236.65ELECTRODE LOOP MEDIUM 45 DEGREE 2,240.70ELECTRODE NEEDLE 45 DEG 2,240.70ELECTRODE NEEDLE 12 DEG 2,240.70ELECTRODE LOOP MED 12DEG 2,240.70CATHETER RELIEVA FLEX SINUS GUIDE 2,294.00CATHETER RELIEVE FLEX TIP M-110 2,294.00CANNISTER MAX W/TUBE AND FILTER 2,294.00ELECTRODE BUTTON VAPORIZATION 2,337.40STAPLER ECHLON FLX ENDOPATH 280MM 2,340.30STAPLER POWER FLEX 60MM 2,340.30SUTURING DEVICE BARD SD105 2,356.00TROCAR BLUNT TIP W ROUND DISS BAL 2,374.45OXYGENATOR ADVANCE FX15 2,404.67OXYGENATOR ADVANCE FX25 2,404.67CATH GUIDELINER V3 7F 150CM 2,449.00CATH GDG LINER 6F 25X150CM 2,449.00LIGASURE ATLAS STR 20 CM 2,476.15CATH RESPON DECA CSL 2-8-2 7F 65 2,480.00PROSTATE SEEDING ULTRASOUND 2,480.00DRILL BIT CANNULTD 2.0MM 310.221 2,495.80FIBER LSR HI TRANSMSN STD 200MH 2,497.35DRESSING ABDOMINAL VAC SYS 2,504.80SCPL HARMNC HAND ACTVTD 23CM 2,533.95BAL OCCLUSION CODE-10.0-35-100-32 2,585.40CEMENT BONE L VISCOSITY W GENTAMI 2,604.00LIGASURE V SEALER AND DIVIDER 2,624.70COUNTERSINK SURG CANNULATED 4MM 2,631.28CANNULA VENOUS QUICKDRAW 2,635.00CANNULA VENOUS QUICKDRAW 22F 2,635.00ENSEAL TRIO 3MM CIRVE TIP 35CM 2,643.80NEEDLE TRANSEPTAL RF 98CM 2,666.00NEEDLE TRANSSEPTAL RF C1 71CM 2,666.00MARKER TISSUE BIOZORB 3X3CM 2,681.25GRAFT BONE CONNEXUS PUTTY 2.5CC 2,703.20FIBER LSR HI TRANSMSN STD 550 MH 2,732.95KIT VERT AUGMENT CEMENT KIVA 2,755.58CATH STENT GRAFT BALLOON 12FR 2,759.00INTRODCR SAFESHTH CSG JM 9FX50CM 2,765.20STAPLER INTRNL CRVD CTTR THCK TI 2,789.05STAPLER INTRNL CONTR BLU 2,789.05TUBING ASPIRATION PENUMBRA LRG 2,790.00DISSECTOR HRVSTG VSL 2,817.30SYS INCISION WND MNGMT PRE1001US 2,823.48DEVICE SUTURE CAPTURNG CAPIO SLIM 2,835.76

LRMC Item Description Primary PriceKIT ASSEMBLY TITAN 2,842.70ST JUDE ESI ENSITE NAVIX PATCH 2,852.85POINTER NAVIGATION AXIEM 2,854.17BIT DRL QCK CONCT CANLT 7MMX12MM 2,864.40BIT DRL QCK CONCT CANLTD 2.7MM 2,864.40ELECTRODE ULTRSNC SHR ENDOS 36CM 2,880.60SCPL HARMNC HAND ACTVTD 36CM 2,966.80DEVICE FIXATION SECURE STRAP 2,977.20CATH WEBSTER CS UNI-D CS-D 2,994.60CATH WEBSTER CS UNI-D CS-F 2,994.60TISSEEL FIBRIN SEALANT FROZEN 10M 3,009.05SYSTEM LAPARASCOPIC GELPORT 3,030.25CATH MAPPING HALO XP 6F 3,100.00CATH SAFIRE LG SW 5MM 7F 3,100.00CATH SAFIRE TX BI-D MED CRV 7F 3,100.00CATH VALVULOPLASTY V8 17MM 3,100.00CATHETER IAB MEGA 8FR 500CC 3,100.00ENSPIRE COMBO DISCETOMY TOOL SYS 3,100.00FEMUR HEAD FREEZE DRIED 3,100.00LIGASURE IMPACT HANDPIECE 3,100.00MICROCATHETER LP 150CM 3,100.00SEPARATOR PENUMBRA 6 .055 3,100.00SP ZZ GOOSENECK SNARE 3,100.00CATH LIVEWIRE TC QUAD XLS-U LGSWP 3,100.00KIT PROGEL PLEURAL AIRLEAK SEALAN 3,100.00MICROCATHETER LP 135CM 3,100.00PACEMAKER STJUDE CPS IMPLANT KIT 3,100.00CATH WEBSTER CS BI-D F-J 3,100.00KIT AMS 800 ACCESSORY 3,100.00CONNECTOR CRSS ROD SPNL MUL 50MM 3,100.00PAD ARTIC GEL LARGE 3,100.00CATH WEBSTER CS BI-D F-J AUTOID 3,100.00CATH DIAG BLAZER DX20 SLC 2-10-2 3,100.00CATH SAFIRE TX BI-D LG CRV 7F 3,100.00DEVICE LEAD LOCKING LLD E 3,100.00KIT ENSITE NAVX SURFACE ELECTRODE 3,100.00BALLOON IABP FIBER OPTIC 40CC 3,100.00BALLOON IABP FIBER OPTIC 50CC 3,100.00KIT BIOPSY GUIDE NAVIGUS EXTERNAL 3,100.00NEEDLE BIOPSY NEURO PASSIVE 2.2MM 3,100.00PAD ARTIC GEL MED 3,100.00CATHETER VOLCANO VISION PV .035F 3,100.00ELECTRODE PK BUTTON 3,100.00TRAY PROCEDURE AVAMAX PLUS 3,100.00CATH SAFIRE MED SWP 4MM 7F 3,100.00

LRMC Item Description Primary PriceSYS DELIVERY 9FR 45-80 3,100.00CATH DIAG CELSIUS BI-D F-J 3,100.00SEPARATOR PENUMBRA 8 .072 3,100.00FIBER LSR HI TRANSMSN STD 1000MH 3,100.00DEVICE LEAD LOCKING LLD 1 3,100.00TIP ASP SPETZLER BARRACUDA LG 3,100.00SEALER TISSUE X1 LARGE JAW 3,100.00CATH DIAG CELSIUS BI-D D-F 3,100.00TIP ASP SPETZLER BARRACUDA 25KHZ 3,100.00PROBE CYBER WAND CW-RBPBX 3,100.00KIT CATH PLEURX INDEWELLIPLURAL 3,100.00DEVICE LEAD LOCKING LLD EZ 3,100.00PEEK SPACER 12 X 12MM 3,100.00TRAY VRTBRL BALLON PROCDR 10GX15M 3,100.00KIT INTRODUCER IMPELLA CP 14FR 3,100.00MOXY GL FIBER LASER 3,100.00DEVICE TISSUE REM MYOSURE LITE 3,100.00DEVICE LEAD LOCKING LLD 2 3,100.00CATH VALVULOPLASTY V8 19MM 3,100.00TRAY VRTBRL BALLON PROCDR 11GX15M 3,100.00CATH SPIDER IMBOLIC PROTECT 7.0 3,100.00CATH VALVULOPLASTY V8 21MM 3,100.00CATH VALVULOPLASTY V8 23MM 3,100.00TRAY PROCEDURE AVAMAX PLUS 3,100.00FIBER LASER MICRON 1000 3,100.00SEALER AQUAMANTY BIPOLAR MALLEABL 3,100.00ABLATION DEVICE ENDOMTRL DISP 3,100.00SHEARS HARMONIC FOCUS 9CM CURVED 3,100.00FBR LASER PVP 3,100.00OPEN BODY STANDARD 20-2090 3,100.00SYSTEM VIRTUOSAPH PLUS 3,100.00IR AVAMAX PLUS TRAY 3,100.00MONOTORING SSEP INTRA OP 3,100.00GW PRESSURE VERRATA STRT 185CM 3,100.00SREW BODY TOP LOADING 3,100.00CATH DIAG CELSIUS DS BI-D F-J 3,415.50CATH ACUNAV REPROCESSED 8F 3,712.50CATH SOUNDSTAR REPROCESSED 8F 3,712.50CATH PTA LUTONIX 4MMX100MMX130CM 3,850.00CATH PTA LUTONIX 5MMX60MMX130CM 3,850.00CATH PTA LUTONIX 5MMX100MMX130CM 3,850.00CATH PTA LUTONIX 4MMX60MMX130CM 3,850.00CATH THERMOCOOL SF BI-D F-J 3,855.50CATH PTA DCB ADMIRAL 5X40X130 3,877.50CATH PTA DCB ADMIRAL 5X80X130 3,877.50

LRMC Item Description Primary PriceCATH PTA DCB ADMIRAL 6X40X130 3,877.50CATH PTA DCB ADMIRAL 6X80X130 3,877.50CATH PTA DCB ADMIRAL 7X40X130 3,877.50CATH PTA DCB ADMIRAL 7X80X130 3,877.50CATH PTA DCB ADMIRAL 4X40X130 3,877.50SYSTEM AUTOPLEX W HV 3,960.00PEN TRANSPOLAR MAZE 4,125.00CLIP LONG HANDLE 35MM LAA SYSTEM 4,125.00CLIP LONG HANDLE 50MM LAA SYSTEM 4,125.00CLIP LONG HANDLE 45MM LAA SYSTEM 4,125.00CLIP LONG HANDLE 40MM LAA SYSTEM 4,125.00GWIRE ANGIO RX EMBLC PRTCT DVC 6M 4,262.50CATH PTA DCB ADMIRAL 6X120X80 4,290.00CATH PTA DCB ADMIRAL 4X120X130 4,290.00CATH PTA DCB ADMIRAL 5X120X130 4,290.00CATH PTA DCB ADMIRAL 6X120X130 4,290.00CATH MAPPING REFLEXION SPIRAL 4,331.25SET SOLENT PROXI THRMBECTMY 4,372.50STNT 20MM BDY 25MM FLNGE DIA 10CM 4,389.00CATH NAV LASSO 2515 2-6-2MM 22P D 4,554.00BALLOON SINUSPLASTY MAXILLARY SYS 4,606.25RESERVOIR W LOCK-OUT VALVE 75CC 4,606.25PORT EVACUATING SYSTEM SUBDURAL 4,611.15SEPARATOR INDIGO WIRE D 4,620.00SP ZZ ACCUNET BASKET 4,719.10EXPANDER BREAST TISSUE 535CC 5,018.75CATH NAV PENTARAY 4-4-4MM D 5,046.25CATHETER INDIGO RX W/ASP TUBE 5,335.00SET SOLENT OMNI THROMBECTOMY 5,513.75CATH ICE VIEWFLEX XTRA 5,775.00PROBE MALLEABLE CRYO-ABLATION 5,775.00CLIP RESOLUTION 360 235CM 6,022.50CATH NAV NAVISTAR DS BI-D F-J 4MM 6,072.00CATH NAV NAVISTAR DS BI-D D-F 4MM 6,072.00CATH NAV THERMOCOOL SF UNI-D B 6,083.00CLIP LAA OCCLUSION SYSTEM 35MM 6,875.00DISSECTOR LUMITIP LONG 6,875.00CLIP LAA OCCLUSION SYSTEM 40MM 6,875.00CLIP LAA OCCLUSION SYSTEM 45MM 6,875.00CLIP LAA OCCLUSION SYSTEM 50MM 6,875.00PEN ABLATION BIPOLAR LINEAR LONG 7,012.50PEN ABLATION LINEAR COOLRAIL 30MM 7,012.50CATH NAV NAVISTAR DS BI-D F-J 8MM 7,084.00CATH NAV NAVISTAR DS BI-D D-F 8MM 7,084.00CATH ULTRASOUND ACUNAV SMS 8F 7,337.00

LRMC Item Description Primary PriceCATHETER INDIGO D 50CM 7,397.00CATH NAV SOUNDSTAR ECO 10F 7,411.00CATH NAV THERMOCOOL SF BI-D F-J 7,590.00CATH NAV THERMOCOOL SF BI-D D-F 7,590.00CATH TACTICATH QUARTZ 75MM 7,700.00CATH NAV THERMOCOOL ST UNI-D D 8,349.00CATH NAV THERMOCOOL ST BI-D F-J 8,855.00CATH NAV THERMOCOOL ST BI-D D-F 8,855.00CATH ENSITE ARRAY 8,937.50CATH NAV SOUNDSTAR ECO 8F 9,680.00CLIP LAA SYSTEM PRO2-50MM 10,450.00KIT PEN TNSPLR&HANPIECE OLL2 MAX1 10,931.25KIT PROSTATE ICE-ROD CRYO NEEDLE 11,000.00SHUNT CODMAN RIGHT ANGLE 82-3146 11,078.50CERTAS PLUS INLINE W/ SIPHON 13,234.76KIT ABLATION CRY02 OLL2 MAX1 13,956.25VALVE ARTC TISS PERICRDL 25MM W/ 14,891.25GRFT BIFUR ENDURANT IIS 32X14X103 26,059.00GRFT BIFUR ENDURANT IIS 36X14X103 26,059.00GRFT BIFUR ENDURANT IIS 23X14X103 26,059.00GRFT BIFUR ENDURANT IIS 28X14X103 26,059.00DEVICE EPI-SENSE GUIDED 6130 3CM 28,875.00CATH HEART ASSIST IMPELLA 2.5 55,000.00ACUITY BSCI PRO IC90 1,302.00LEAD BSCI 7FR 60CM CS-IC 130 1,339.20LEAD ST JUDE ISOFLEX OPTIM 52 2,790.00LEAD PACING MRI 46CM 2,790.00LEAD PACING TENDRIL MRI 58CM 2,790.00LEAD PACING MRI 52CM 2,790.00LEAD PACING TENDRIL MRI 58CM 2,790.00LEAD PACING MRI 46CM 2,790.00LEAD PACING MRI 52CM 2,790.00LEAD BSCI 9FR 54CM CS-H 2,808.60LEAD BSCI 9FR 45CM CS-EH 2,808.60LEAD MEDT CAPSURE FIX 6.2FR 65CM 3,100.00PMAKER GUIDANT LEAD DEXTRUS 4136 3,100.00PMAKER GUIDANT LEAD DEXTRUS 4137 3,100.00LEAD SELECT SECURE 3830 69 3,100.00ENVELOPE PACEMAKER TYRX MED 3,100.00LEAD INGEVITY MRI 52CM 3,100.00LEAD INGEVITY MRI 59CM 3,100.00LEAD INGEVITY MRI 59CM 3,100.00ENVELOPE PACEMAKER TYRX ABSORB 3,100.00LEAD INGEVITY MRI 52CM 3,100.00LEAD INGEVITY MRI 45CM 3,100.00

LRMC Item Description Primary PriceLEAD ST JUDE QUARTET TRAD S 86CM 5,282.75LEAD MEDT ATTAIN PERFORMA 4598-78 5,500.00LEAD MEDT ATTAIN PERFORMA 439888 5,500.00LEAD ACUITY X 4 SPIRALL L 86CM 6,432.25LEAD ACUITY X4 STRAIGHT 86CM 6,432.25LOOP RECORDER ST JUDE 7,837.50PACEMAKER ESSENTIO SR MRI 8,635.00PACEMAKER ESSENTIO SR MRI 8,635.00PACEMAKER ESSENTIO DR MRI 9,044.75PACEMAKER ESSENTIO DR MRI 9,044.75PACEMAKER ASSURITY SR IS1 9,344.28P/MAKER MED DUAL GEN ONLY ENPULSE 9,344.60PACE MEDTRONIC SNGL GENERATOR ONL 9,344.60PACEMKR MED VERSA DUAL GEN 9,344.60PACEMKR MED ADAPT SINGLE GEN 9,344.60PACEMAKER BSCI ACCOLADE DR 9,570.00PACEMAKER MEDT ADAPTA 9,625.00PACEMAKER MRI PM 1272 9,900.00PACEMKR STJUD ACCENT DUAL GEN 9,925.95PACEMAKER XT SR MRI SURESCAN 10,023.75PACEMAKER XT SR MRI SURESCAN 10,023.75PACEMAKER ASSURITY DR IS1 10,242.05PACEMAKER XT DR MRI SURESCAN 10,604.13PACEMAKER XT DR MRI SURESCAN 10,604.13PACEMAKER MEDT ADVISA SR MRI 11,000.00PACEMAKER MEDT ADVISA SR MRI 11,000.00PACEMAKER MEDT ADVISA DR MRI SYS 11,121.40PACEMKR MED ADVISA DR MRI 11,121.40PACEMAKER MRI PM 2272 11,137.50PACEMAKER MRI PM 2272 11,137.50PACEMKR MED REVEAL XT RECORDER 11,202.50ELECTRODE S-ICD EMBLEM 12,375.00REOCRDER LOOP MEDT LINQ 12,531.00PACEMAKER STJUDE ASSURITY DR IS1 13,649.60PACEMAKER STJUDE ALLURE RF CRT-P 16,500.00PACMKR STJUD ALLURE QUADRA CRT-P 17,875.00PMAKER BSCI VALITUDE X4 CRT-P 18,150.00PACEMAKER MEDT VIVA CRT-P 18,975.00PACEMAKER MRI QUAD CRT-P 20,350.00PACEMAKER LEADLESS MICRA 24,062.50PACEMAKER ILLIPSE VR ICD DF1 29,082.35PACEMAKER ASSURA VR SGL ICD DF4 29,082.35PACEMKR STJUD FORT AS VR ICD DF4 29,082.35PACEMKR STJUD ELLP VR ICD DF1 29,082.35PACEMAKER ELLIPSE VR ICD DF4 29,082.35

LRMC Item Description Primary PricePMAKER DYNAGEN EL ICD VR DF4 31,471.00PACEMKR MED EVERA XT ICD VR DF1 32,588.35PMAKER DYNAGEN MINI ICD VR 33,000.00PMAKER DYNAGEN MINI ICD VR DF4 33,000.00PACEMAKER ELLIPSE DR ICD DF 1 34,140.15PACEMAKER ASSURA DR ICD DF4 34,140.15PACEMKR STJUD ELLP DR ICD DF4 34,140.15PACEMKR STJUD FORT AS DR IC DF4 34,140.15PACEMAKER VISIA AF VR DVAB1D4 34,650.00PMAKER DYNAGEN EL ICD DR 36,025.00PMAKER DYNAGEN EL ICD DR DF4 36,025.00PACEMKR MED EVERA XT ICD IS1 DF4 36,364.45PACEMKR MED EVERA XT ICD IS1 DF1 36,364.45PACEMKR STJUD ASSUR DR DL ICDDF4 37,125.00PACEMKR STJUD ELLP DR ICD DF1 37,125.00PMAKER DYNAGEN MINI ICD DR DF4 37,675.00PACEMAKER VISIA AF MRI S-SCAN VR 38,087.50PACEMKR MEDT ICD EVERA MRI XT VR 38,087.50PACEMAKER VISIA AF MRI S-SCAN VR 38,087.50PACEMAKER EVERA MRI XT DR 40,667.00DEFIBRILATOR BSCI LV-1 CRT-D BI-V 42,768.00PACEMAKER UNIFY ASSURA CRT-D 42,978.65PACEMAKER UNIFY CRT-D IS1 DF4 42,978.65PACEMKR STJUD UNI ASSURA CRT-D 42,978.65PACEMKR STJUD UNI AS CRTD DF4 42,978.65PACEMKR MEDT ICD EVERA MRI XT DR 43,202.50PMAKER DYNAGEN CRT-D SYS 44,500.00PACEMAKER BSCI DYNAGEN CRT-D DF4 44,550.00PACEMKR MED VIVA XT CRT-D DF4 45,261.55PACEMAKER VIVA XT CRT-D IS1 DF1 45,261.55PACEMKR MED VIVA XT CRTD IS1 DF1 45,261.55PMAKER DYNAGEN X4 CRT-D DF4 45,925.00PACEMAKER VIVA QUAD XT CRT-D DF4 47,201.35PACEMAKER MRI SURESCAN DTMB1D1 49,500.00PACEMAKER MRI SURESCAN DTMB1D4 49,500.00PACEMAKER VISIA AF MRI VR SYS 49,912.50PACEMAKER ST JUDE CD3369-40C 50,737.50PACEMKR ST JUDE ASSURA QUADRA 50,737.50PACEMAKER MRI SURESCAN DTMB1Q1 51,425.00PACEMKR MEDT SURSCN MRI QD CRT-D 54,725.00PACEMKR BOST S-ICD EMBLEM 60,500.00PACEMAKER PROTECT XTCRT-D PRMSYS 64,487.50PACEMKR ST JUDE ASSURA QUADRA 67,100.00PIN STEINMANN 2.4X229MM 37.00SHEATH INTRDCR CATH VASC 8FRX10CM 46.30

LRMC Item Description Primary PriceKWIRE 0.062 STERILE 58.85CATH ST PLUS JR3.5 6F 100CM 69.38CATH ST PLUS JR5 6F 100CM 69.38CATH ST PLUS JL6 6F 100CM 69.38CATH ST PLUS JL5 6F 100CM 69.38CATH ST PLUS AR1 MOD 6F 100CM 69.38CATH ST PLUS JL4.5 6F 100CM 69.38CATH ST PLUS MPA2 6F 100CM 69.38CATH DIAG ST PLUS MPB2 6F 100CM 69.38CATH ST PLUS AR2 MOD 6F 100CM 69.38CATH ST PLUS JL3.5 6F 100CM 69.38CATH ST PLUS JL4 6F 100CM 69.38SHEATH INTRODCR CATH ST 7FRX11CM 69.40SHEATH INTRODCR CATH ST 6FRX11CM 69.40SHEATH INTRO CATH STD W/9FRX11CM 69.40SHEATH COR PINNACLE 5F 10CM 74.00SHEATH INTRODCR CATH V 11FRX10CM 74.00SHEATH INTRO VAS CATH 11FRX10CM 74.00CATH DIAG INFINITI AL II 5F 100CM 78.16CATH DIAG MULTI MPB 5FR X 100CM 78.16CATH DIAG INFINI PIG 5F 6SH 110CM 78.16CATH DIAG INFINITI IM 6F 100CM 78.16CATH INF JL4.5 5F 100CM 78.16CATH DIAG INFINITI IM 5F 100CM 78.16CATH INF 3DRC 6F 100CM 78.16CATH DIAG INFNI JL 3.5 5F 100CM 78.16CATH DIAG INFINITI 3DRC 5F 100CM 78.16CATH DIAG INFINI JL4 5F 100CM 78.16INTRODUCER SHEATH PINNACLE 10C7F 83.50SHEATH INTRO VAS CATH 9FRX10CM 86.95SHEATH INTRDCR VASC 10FRX10CM 86.95INTRODUCER PINNACLE 5F 86.95CATH DIAG INF JR4 4F 100CM 87.88CATH DIAG INF AR2MOD 4F 100CM 87.88SHEATH COR PINNACLE GW 9F 10CM 92.50SHEATH PER PINNACLE GW 8F 10CM 92.50SHEATH INTRO CATH VAS 7FRX10CM 92.50SHEATH INTRDCR VASC CATH 9FRX10CM 92.50SHEATH INTRDCR VASC CATH 9FRX10CM 92.50SHEATH INTRDCR CATH VASC 7FRX10CM 92.50BLADE SAW RECLM THCK HVY DUT LNG 108.00CATH DIAG ST TEMPO H1 5F 100CM 112.50CATH DIAG ST TEMPO SIM1 5F 100CM 112.50GUIDE WIRE .078 X 9 126.00GUIDE PIN 3.2 X 9 PART THREAD 135.00

LRMC Item Description Primary PriceGRAFT VSCLR PTCH FLT PLY 1INX1IN 136.80K-WIRE SINGLE USE STERILE 1.6MM 144.00K WIRE 1.4MM 144.00SHEATH INTRO CARDIO 4FRX10CM 144.00CATH DIAG SOS OMNI 1 4FRX80CM 149.40NAIL FIXTN IM FEMRL R 3/32INX1IN 150.30K WIRE 1.2MM 45-30015S 157.50SCREW BNE CANC FLL THRD 4MMX40MM 162.00INTRODUCER SHEATH PINNACLE 7F 25 162.00KIT CATH CNTRAL VE 20GAX5IN 12CM 166.00SCREW BNE CORT SLF TP 2.7MMX10MM 172.80SCREW BNE CORT SLF TP 2.7MMX12MM 172.80SCREW BNE CORT SLF TP 2.7MMX16MM 172.80SCREW BNE CORT SLF TP 2.7MMX24MM 172.80SCREW BNE CORT SLF TP 2.7MMX14MM 172.80SCREW BNE CORT SLF TP 2.7MMX18MM 172.80WASHER F/2.7 MM & 3.5 MM 7MM SM 172.80SCREW BNE CORT SLF TP 2.7MMX20MM 172.80K WIRE 1.6MM X 107MM 180.00SCREW BNE CORT MINI SLF 2MMX10MM 180.00SCREW BNE CORT MINI SLF 2MMX18MM 180.00SCREW BNE CORT MINI SLF 2MMX12MM 180.00GW ANGIO STR TIP AMPLATZ .025X145 180.00SCREW BNE CORT MINI SLF 2MMX16MM 180.00SCREW BNE CORT MINI SLF 2MMX14MM 180.00SHEATH INTRODCR CATH VS 6FRX10CM 180.60INTRODUCER SHEATH PINNACLE 10CM8F 180.60SNARE SPIRAL 20MM 181.00DVC STRATIFIX PDSPLUS 1 CTX 183.54SCREW BNE CORT SLF TP 3.5MMX30MM 186.50SCREW BNE CORT SLF TP 3.5MMX32MM 186.50SCREW BNE CORT SLF TP 3.5MMX26MM 186.50SCREW BNE CORT SLF TP 3.5MMX24MM 186.50SCREW BNE CORT SLF TP 3.5MMX18MM 186.50SCREW BNE CORT SLF TP 3.5MMX38MM 186.50SCREW BNE CORT SLF TP 3.5MMX22MM 186.50SCREW BNE CORT SLF TP 3.5MMX34MM 186.50SCREW BNE CORT SLF TP 3.5MMX28MM 186.50SCREW BNE CORT SLF TP 3.5MMX16MM 186.50K WIRE SMOOTH 1.6MM 201.60SET INTRO SHEATH VASC 7FRX11CM 205.50CATH DIAG INF MULTIPAC 534-680T 210.84K-WIRE THREADED 1.25 215.46GUID WIRE NONTHREAD 1.1MM 292.623 223.10SCREW BNE PERIARTCLR 3.5MMX34MM 226.80

LRMC Item Description Primary PriceGUIDE WIRE THREADED 1.1MM 292.622 237.05SCREW BNE PERIARTCLR 4.5MMX38MM 246.95SCREW BNE PERIARTCLR 4.5MMX40MM 246.95SCREW BNE PERIARTCLR 4.5MMX60MM 246.95SCREW BNE PERIARTCLR 4.5MMX36MM 246.95INTRO SHEATH TEAR AWAY VALVE 8FR 252.00CATH DIAG OMNI 5FRX65CM W/6SH 259.56SCREW BNE PERIARTCLR 3.5MMX70MM 262.08SCREW BNE PERIARTCLR 3.5MMX12MM 262.10SCREW BNE PERIARTCLR 3.5MMX28MM 262.10SCREW BNE PERIARTCLR 3.5MMX40MM 262.10SCREW BNE PERIARTCLR 3.5MMX26MM 262.10SCREW BNE PERIARTCLR 3.5MMX36MM 262.10SCREW BNE PERIARTCLR 3.5MMX22MM 262.10SCREW BNE PERIARTCLR 3.5MMX56MM 262.10SCREW BNE PERIARTCLR 3.5MMX60MM 262.10SCREW BNE PERIARTCLR 3.5MMX24MM 262.10SCREW BNE PERIARTCLR 3.5MMX14MM 262.10SCREW BNE PERIARTCLR 3.5MMX20MM 262.10SCREW BNE PERIARTCLR 3.5MMX16MM 262.10SCREW BNE PERIARTCLR 3.5MMX18MM 262.10PIN SHRT THREATED GD 3.2MM X 14IN 268.80SCREW BNE PERIARTCLR 6.5MMX75MM 272.15SCREW BNE PERIARTCLR 6.5MMX70MM 272.15INTRDCR SHTH SAFESHEATH BLACK 9FR 277.20INTRO SHEATH SAFESHEATH II 7F 277.20INTRDCR SHTH SAFESHEATH 6FR 277.20SET INTRO SHEATH VASC 7FRX55CM 278.96SHEATH INTRDCR CATH INT 6FRX55CM 278.96KIT SHEATH INTRDCR CATH 8FRX35CM 278.96SHEATH INTRDCR CATH INT 7FRX23CM 278.96INTRODUCER SHETH CATH ST 7FRX35CM 278.96SHEATH INTRODCR CATH CV 6FRX23CM 278.96SHEATH INTRODCR CATH CV 6FRX35CM 278.96WIRE CERCLAGE COIL 1.25MMX10MM 279.30WASHER F/CANC SCRW 5.5MM 282.25WASHER F/4.5 MM CANLTD SCRW 282.25WASHER F/3.5 MM & 4 MM CANLTD SC 282.25INTRO SYS SAFESHEATH STD 9FRX13 285.60INTRODUCER SYS SAFESHEATH 7FX13 285.60INTRODUCER SHETH HEMSTA 9FRX13CM 285.60SHEATH SYSTEM LDWR PRCUTAN SNGL 285.60PIN GDE NL THRDD TIP 2.8MMX230MM 294.00GLIDESHEATH 6FR 100MM .021 302.40MESH SFT TISS HRNIA REPR 3INX6IN 311.45

LRMC Item Description Primary PriceGLIDESHEATH 5FR X10CM 322.15BAND TR LONG WITH INFLATOR 330.96INTRO SHEATH FEMORAL 4FRX45CM 331.80BREAST IMPL SALINE SIZER 550CC 336.00CATH GUIDE JL4 5FR 336.00CATH GUIDE IM 5FR 336.00CATH FEMORAL SWANGANZ STIP 7FR 344.48PLATE BNE 1/4 TUBLR 5 HOLE 39MM 353.70SHEATH INTRODCR CATH VSCLR 10FR 357.00INTRDCR SAFESHEATH II LNG 9FRX23 369.60SHEATH FLEXOR RAABE STR 8F 55 382.20SCREW CORTICAL2.7X18MM2359-018-26 383.05SHEATH INTRDCR VASC PR 6FRX35CM 394.21SCREW CORTICAL 2.7 X 14 399.85SCREW CORTICAL 2.7 X 16 399.85SCREW CORTICAL 3.5 X 20 399.85SCREW CORTICAL 2.7 X 12 399.85SHEATH CHECKFLO ANSEL 7FR X 45CM 420.00SHEATH FLEXOR ANSEL MP 6F 45CM 420.00SHEATH INTRODUCER 4FR 420.00STENT BILRY 8.5FR W/5 CM BTWN FL 420.00STENT BILRY 8.5FRX7CM 420.00WASHER STRYKER MICRO 3MM 420.00SCREW NON-LOCKING SHAFT 3.5X14MM 420.00STENT BSCI 10FRX5CM 420.00STENT BILRY ENDOSCPC 10FR W/5 CM 420.00SHEATH FLEXOR ANSEL STR 7F 45 420.00SCREW NON LOCKING 3.5X55MM 420.00SCREW NON LOCKING SHAFT 3.5X18 420.00SCREW NON LOCKING SHAFT 3.5X20 420.00STENT BILRY ENDOSCPC 8.5FRX12CM 420.00STENT BILRY 8.5FRX9CM 420.00SCREW NON LOCKING 3.5X16MM 420.00SP ZZ PLEURX KIT 420.00STENT BILRY ENDOSCPC 10FR W/9 CM 420.00SHEATH INTRODCR CATH PERITO 61CM 420.00SCREW NON LOCKING SHAFT 3.5X14 420.00SHEATH FLEXOR ANSEL STR 6F 45 420.00GLIDESHEATH SLENDER SS .021 6FX16 420.00SCREW SD CP 1.5X5MM 420.00SCREW LOCKING HEAD 3.5X14MM 420.00SCREW NON LOCKING SHAFT 3.5X16 420.00GLIDESHEATH SLENDER SS .021 6FX10 420.00INTRO OPTISEAL 11F 13CM 421.89INTRO SHEATH OPTISEAL ORANGE 7F 421.89

LRMC Item Description Primary PriceINTRDCR SHEATH TR AWY VLV BLK 9F 421.89INTRDCR SHTH OPTISEAL GREEN 6FR 421.89STENT BILRY ENDOSCPC 10FR W/7 CM 427.90G/WIRE ANG STR PERI.035INX300CM 430.55G/WIRE ANG C PER.014INX300CM5CMSE 430.55INTRODUCER CHECK-FLO14FR X 30CM 437.33OCCLUDERS COLPO PNEUMO STERILE 440.05PLATE LOW PROFILE 12MM BAR 2H 441.00CATHETER BALLN DILATN BILRY 8FR 452.05SP ZZ DECLOT CATHETER 454.30SCREW CAPTURED CORTICAL 5X44MM 462.30SCREW ADV ORTHO CORTICAL 34MM 462.30SCREW ADVORTH DISTAL 38MM 8001-03 462.30SCREW ACUMED CORTICAL 3.5 X 18MM 463.05SCREW ACUMED CORTICAL 3.5 X 22MM 463.05SCREW ACUMED CORTICAL 3.5 X 24 463.05SCREW ACUMED CORTICAL 3.5 X 28MM 463.05SCREW NON-LOCK HEXALOBE 3.0X45MM 463.05SCREW ACUMED CORTICAL 3.5 X 26 463.05SCREW ACUMED CORTICAL 3.5 X 30MM 463.05SCREW ACUMED NON-LOCKING 3.5X45MM 463.05SCREW NON-LOCK HEXALOBE 3.0X14MM 463.05SCREW NON-LOCK HEXALOBE 3.0X20MM 463.05SCREW NON-LOCK HEXALOBE 3.5X34MM 463.05SCREW ACUMED NON LOCKING 3.5 X 20 463.05SCREW HEX NON-LOCKING 3.5X10MM 463.05SCREW HEX NON-LOCKING 3.5X16MM 463.05SCREW HEX NON-LOCKING 3.5X12MM 463.05SCREW ACUMED CORTICAL 3.5 X 14MM 463.05SHEATH INTRDCR VASC PR 7FRX45CM 463.42PEG FIXTN DISTL RAD LC 23MMX20MM 470.40SCREW BNE DISTL RAD N 2.3MMX22MM 470.40SCREW BNE DISTL RAD N 2.3MMX26MM 470.40SCREW BNE DISTL RAD NO 23MMX14MM 470.40SCREW BNE DISTL RAD N 2.3MMX24MM 470.40SCREW BNE DISTL RAD N 2.3MMX28MM 470.40SCREW BNE DISTL RAD NO 23MMX26MM 470.40SCREW BNE DISTL RAD N 2.3MMX16MM 470.40SCREW BNE DISTL RAD NO 23MMX18MM 470.40SCREW BNE DISTL RAD NO 23MMX22MM 470.40SCREW BNE DISTL RAD NO 23MMX24MM 470.40SCREW BNE DISTL RAD NO 23MMX20MM 470.40LAG SCREW K-WIRE 450MM 472.97PIN GDE THRDD TIP 3.5MM 486.70TEMP FIXATION OLIVE PIN DC4212 499.80

LRMC Item Description Primary PriceGUIDE WIRE BALL NOSE 499.80SET INT 8.5FRX200CM .035INX480CM 500.25SET INTR 10FRX200CM .035INX480CM 500.25SCREW LP CP ST F.7X4MM 512.80PEG FIXTN BNE FLL THR 2.5MMX16MM 514.50SHEATH FLEXOR ANSEL STR 6F 70 526.26SHEATH PINN DESTIN TB RDC 7F 45 529.20SHEATH PINN DESTIN TB RDC 6F 45 529.20SHEATH PINNACLE DEST TB ST 6F 45 529.20SHEATH INTRDC CC STRGHT 5FRX45CM 529.20SHEATH DESTINATION 6FR X 45 CM 529.20COIL EMBLZTN TRNDO .018X5CM 5X2MM 541.70COIL MICRO EMBLZTN .018X4X2MM 541.70COIL EMBOLZTN DETCHBL E 10MMX5CM 541.70SP COIL MREYE EMBO 8MM 541.70COIL EMB NESTER .035 14CM X 10MM 549.80SCREW PERI LOCKING 2.7MM X 40MM 551.25CLIP CRANIAL W/TABS RIGHT ANGLE 555.07SHEATH RTRVL EMBOLIC PRTCT SYS CV 588.00SCREW BNE LAG CANLTD 2MMX12MM 593.50KIT CENTRAL LINE BUNDLE 594.45SHEATH INTRODUCER 6F 65CM 596.82SP ZZ SHUTTLE SHEATH 600.15WIRE FIXTN KRSCHNR 1.25MMX150MM 616.15SHEATH DESTINA CAROTID 6FRX90CM 617.40SHEATH GUIDE DILATION 7FRX90CM 617.40SCREW LOCKING CORTICAL 3.5MM 20MM 618.50SCREW LOCKING CORTICAL 3.5MM 24MM 618.50SCREW LOCKING CORTICAL 3.5MM 22MM 618.50SCREW US IMPLANT 37351-18 618.50SCREW US IMPLANT 37351-36N 618.50SHEATH URTRSCPC KNK RESISTN 55CM 624.75SHEATH ACCSS URTRL 35CM 624.75GUIDE WIRE PIN 3.2MM 636.35SCREW ZIM LOCKING 3.5 MM X 22 MM 639.45SCREW ZIMMER LOCKING SS 3.5 X 12 639.45SCREW LCKING 2.7MM HEAD 3.5X24MM 639.45SCREW ZIM LOCKING 3.5 MM X 18 MM 639.45SCREW ZIM LOCKING 3.5 MM X 20 MM 639.45SCREW ZIM LOCKING 3.5 X 16MM 639.45SCREW ZIMMER LOCING SS 3.5 X 14 639.45SCREW SET LOCKING 44-2001 639.45CATH SHEATH 8FR 65X35X2.5CM 646.80CATH SHEATH 6FR 65X35X2.5CM 646.80CLIP TUBAL LIGTN 650.50

LRMC Item Description Primary PriceCATH PTA EVERCROSS 6X60X135 661.50SCREW 3.5 X 28 LOCKING 661.50SCREW 3.5 X 34 LOCKING 661.50SCREW NCB CORT SLF-TAP 4.0 X 48MM 661.50SCREW PERI LOCKING 3.5MM X 46MM 661.50CATH EVERCROSS 5X80X135 661.50PEG PULL SAFETY KIT 20FR W/VIAL 661.50SCREW LOCKING 3.5 X 30MM 661.50BLN CATH PTA .035 5X40X135 661.50SCREW ZIM LOCKING 3.5 X 24MM 661.50SCREW ZIM CAN LOCK 3.5 X 40MM 661.50BLN CATH PTA .035 5X150X135 661.50SCREW ZIM LOCKING 3.5 X 35MM 661.50SCREW ZIM LOCKING 3.5 X 26MM 661.50CATH EVERCROSS 4X80X135 661.50SCREW ZIM CANN LOCKING 3.5 X 55MM 661.50SCREW ZIM LOCKING 3.5 X 40MM 661.50SCREW NCB CORT SELF-TAPNG 4X36MM 661.50SCREW ZIM LOCKING 3.5 X 22MM 661.50SCREW ZIM CAN LOCK 3.5 X 45MM 661.50BLN CATH PTA .035 8X40X80 661.50CATH EVERCROSS 6X80X135 661.50CATH EVERCROSS 6X40X80 661.50SCREW 3.5 X 32 LOCKING 661.50SCREW PERI LOCKING 3.5MM X 14MM 661.50BLN CATH PTA .035 6X150X135 661.50SCREW NCB CORT SELF-TAPNG 4X40MM 661.50SCREW CORTICAL ST 4MMX42MM 661.50BLN CATH PTA .035 6X40X135 661.50BLN CATH PTA .035 7X40X80 661.50SCREW PERI LOCKING 3.5MM X 18MM 661.50SCREW ZIM CANN LOCKING 3.5 X 50MM 661.50SCREW PERI LOCKING 3.5MM X 16MM 661.50PEG PULL SAFETY KIT 24FR W/VIAL 661.50HEAD FEMRL COBLT CHRM COCR +6MM 670.30PLATE BONE COMP 10 HOLE ST STEEL 672.00SCREW NON LOCKING 3.5 X 18MM 676.20K WIRE OLIVE 676.20SCREW ZIM LOCKING 2.7 MM X 10 MM 683.55SCREW ZIM LOCKING 2.7 MM X 28 MM 683.55SCREW ZIM LOCKING 2.7 MM X 20 MM 683.55SCREW ZIMMER LOCKING SS 2.7 X 14 683.55SCREW ZIM LOCKING 2.7 X 12MM 683.55SCREW ZIMMER LOCKING 2.7 X 18MM 683.55SCREW ZIMMER LOCKING SS 2.7 X 16 683.55

LRMC Item Description Primary PriceELECTRODE LOOP 26FR .35W 12DEG 692.13SCREW LOCKING HEAD 2.7X18 694.58SCREW LOCKING HEAD 2.5X22 694.58SCREW LOCKING HEAD 2.8X14 694.58SCREW LOCKING HEAD 2.5X16 694.58SCREW LOCKING SHAFT 3.5X14 694.58SCREW LOCKING SHAFT 3.5X16 694.58SCREW LOCKING HEAD 2.7X16 694.58SCREW LOCKIG HEAD 2.5X20 694.58SCREW LOCKING HEAD 2.5X18 694.58CATH FEMORAL SWANGANZ CTIP 6FR 698.70LOCKING CAN SCREW 3.0 X 30 699.70LOCKING CAN SCREW 3.0 X 22 699.70SCREW LOCKING CANCELLOUS 4.2 X 40 699.70SCREW LOCKING CANCELLOUS 4.2 X 42 699.70LOCKING CAN SCREW 3.0 X 16 699.70LOCKING CAN SCREW 3.0 X 12 699.70LOCKING CAN SCREW 3.0 X 14 699.70LOCKING CAN SCREW 3.0 X 18 699.70LOCKING CAN SCREW 3.0 X 20 699.70STENT URTRL INLAY W/O WIRE 6FX26C 708.15CATHETER TRIPLE LUMEN CVC KIT 7FR 712.95MESH SFT TISS HRNIA RE 12INX12IN 714.25SCREW ACUMED NON-LOCKING 3.0X30MM 720.30SCREW HEX LOCKING 3.5X8MM 720.30SCREW LOCKING HEXALOBE 2.7X8MM 720.30SCREW LOCKING HEXALOBE 3.0X12MM 720.30SCREW ACUMED 30-0326 720.30SCREW HEX LOCKING 3.5X10MM 720.30SCREW ACUMED LOCKING 2.7 X 14 720.30SCREW ACUMED LOCKING 3.5 X 36MM 720.30SCREW LOCKING HEXALOBE 2.7X24MM 720.30SCREW LOCKING HEXALOBE 3.0X28MM 720.30SCREW LOCKING HEXALOBE 3.5X28MM 720.30SCREW LOCKING HEXALOBE 3.5X30MM 720.30SCREW LOCKING HEXALOBE 3.5X34MM 720.30SCREW ACUMED LOCKING 3.5 X 45MM 720.30SCREW SCUMED LOCKING 3.5 X 20 720.30SCREW LOCKING HEXALOBE 3.0X14MM 720.30SCREW LOCKING HEXALOBE 3.5X38MM 720.30SCREW HEX LOCKING 3.5X18MM 720.30SCREW ACUMED 30-0236 720.30SCREW ACUMED LOCKING 2.7 X 18 720.30SCREW LOCKING HEXALOBE 2.7X20MM 720.30SCREW ACUMED LOCKING 2.7 X 16 720.30

LRMC Item Description Primary PriceSCREW ACUMED LOCKING 3.5 X 12MM 720.30SCREW ACUMED LOCKING 3.5 X 14MM 720.30SHEATH INTRDCR MLTPRPSE 5FRX90CM 746.03INTRODUCR CK FLO SHEATH 6FR 90CM 746.03CATHETR MULTI LUMEN BLUE FLEX TIP 748.35CEMENT BNE RADPAQ HI VSCSTY 40GR 771.75STENT URTRL W/O GWIRE 6FRX24CM 779.76STENT URTRL W/O GWIRE 6FRX28CM 779.76BAR LOCKING TIBIAL MODULAR 785.00STENT URETERAL W/O GW 785.71SP ZZ HICKMAN CATH TRIPLE LUMEN 789.85PIN GOLD TIP LONG PIN THREADED 793.80CATH DILATN BALLN 110CM 7X4CM 808.50CATH OPTA PRO 10X2X110 808.50CATH PTA OPTA PRO 6X40X110 808.50CATH PTA OPTA PRO 7X6X110 808.50CATH PTA OPTA PRO 8X2X110 808.50CATH PTA OPTA PRO 8X40X110 808.50CATH PTA OPTA PRO 9X2X110 808.50CATH PTA OPTA PRO 9X4X110 808.50CATH PTA POWERFLEX P3 10X40X110 808.50CATH ULTRAVERSE 035 5X150X130 808.50CATH ULTRAVERSE 035 5X40X75 808.50CATH ULTRAVERSE 035 7X80X130 808.50CATH PTA OPTA PRO 7X20X110 808.50CATH ULTRAVERSE 035 10X40X75 808.50CATH ULTRAVERSE 035 4X40X75 808.50CATH ULTRAVERSE 035 5X100X75 808.50CATH ULTRAVERSE 035 8X40X75 808.50CATH ULTRAVERSE 035 9X40X75 808.50CATH TREK MINI II 2.00X8MM 808.50CATH ULTRAVERSE 035 6X40X75 808.50CATH ULTRAVERSE 035 7X40X75 808.50CATH ULTRAVERSE 035 4X40X130 808.50CATH PTA OPTA PRO 4X20X110 808.50CATH ULTRAVERSE 035 10X40X130 808.50CATH ULTRAVERSE 035 5X100X130 808.50CATH ULTRAVERSE 035 6X40X130 808.50CATH PTA ULTRAVERSE 035 7X100X130 808.50CATH ULTRAVERSE 035 5X40X130 808.50CATH ULTRAVERSE 035 6X100X130 808.50CATH TREK MINI 1.2MM X 12 MM 808.50CATH ULTRAVERSE 035 8X40X130 808.50CATH ULTRAVERSE 035 7X40X130 808.50GW RUNTHRU NS HYPERCOAT 180CM 808.50

LRMC Item Description Primary PriceSCREW NCB CORT SLF-TAP 4.0 X 34MM 827.90SCREW NCB CORT SLF-TAP 4.0 X 38MM 827.90SCREW NCB CORT SLF-TAP 4.0 X 32MM 827.90SCREW BNE CANC TI 6.5MMX35MM 828.70SP ZZ PICC LINE TRAY SNGL LUMEN 832.25STENT URETERAL CONTOUR 7FRX24CM 837.90STENT URTRL VARBL 7FRX22CM-30CM 837.90SET STNT URTRL MONFLM 4.8FRX28CM 837.90SET STNT URTRL MONFLMT 6FRX24CM 837.90SCREW BNE CANLTD SH THR 4MMX40MM 837.90SET STNT URTRL MONFLM 4.8FRX24CM 837.90SET STNT URTRL MONFLM 4.8FRX26CM 837.90BALLOON RX SMALL 2.75MM X 08MM 861.05BALLOON RX SMALL 3.25MM X 08MM 861.05BALLOON RX SMALL 3.50MM X 30MM 861.05CATH BLN CRNRY PTCA 3.00X25 861.05BALLOON OTW SMALL 1.50MM X 15MM 861.05BALLOON OTW SMALL 3.0MM X 12MM 861.05BALLOON OTW MINI 1.20MM X 12MM 861.05BALLOON OTW SMALL 2.5MM X 12MM 861.05BALLOON OTW MINI 1.20MM X 08MM 861.05CATH BLN CRNRY ANGIO PTCA 2.0X20 861.05BALLOON RX SMALL 3.75MM X 12MM 861.05BALLOON RX SMALL 4.5MM X 12MM 861.05CATH BLN CRNRY ANGIO PTCA 1.5X12 861.05CATH BLN CRNRY ANGIO PTCA 1.5X8 861.05CATH BLN CRNRY PTCA 3.75X08 861.05BALLOON OTW SMALL 1.50MM X 08MM 861.05CATH BLN CRNRY ANGIO PTCA 5.0X15 861.05BALLOON OTW MINI 1.20MM X 15MM 861.05BALLOON OTW SMALL 2.5MM X 15MM 861.05CATH BLN CRNRY ANGIO PTCA 4.5X15 861.05BALLOON RX SMALL 5.0MM X 12MM 861.05BALLOON RX SMALL 5.0MM X 15MM 861.05CATH TREK RX 3.75X8 861.05BALLOON RX SMALL 2.75MM X 20MM 861.05BALLOON RX SMALL 3.0MM X 30MM 861.05BALLOON RX SMALL 4.0MM X 20MM 861.05CATH BLN CRNRY ANGIO PTCA 4.5X12 861.05BALLOON RX SMALL 3.50MM X 20MM 861.05CATH BLN CRNRY ANGIO PTCA 2.75X8 861.05BALLOON OTW SMALL 2.0MM X 08MM 861.05BALLOON OTW SMALL 3.0MM X 15MM 861.05CATH BLN CRNRY ANGIO PTCA 5.0X12 861.05CATH BLN CRNRY PTCA 2.75X20 861.05

LRMC Item Description Primary PriceBALLOON RX SMALL 1.50MM X 20MM 861.05CATH BLN CRNRY PTCA 3.25X20 861.05BALLOON OTW SMALL 1.50MM X 12MM 861.05CATH BLN CRNRY ANGIO PTCA 2.0X8 861.05CATH BLN CRNRY PTCA 3.75X12 861.05BALLOON RX SMALL 2.0MM X 30MM 861.05CATH BLN CRNRY ANGIO PTCA 2.5X20 861.05BALLOON MINI TREK 1.20MM X 12MM 861.05CATH BLN CRNRY PTCA 2.25X20 861.05CATH BLN CRNRY PTCA 2.25X15 861.05BALLOON OTW SMALL 2.0MM X 15MM 861.05BALLOON RX SMALL 4.0MM X 15MM 861.05BALLOON OTW SMALL 2.0MM X 12MM 861.05BALLOON RX SMALL 4.0MM X 08MM 861.05CATH BLN CRNRY ANGIO PTCA 2.25X8 861.05CATH BLN CRNRY PTCA 2.75X15 861.05BALLOON RX SMALL 2.75MM X 12MM 861.05BALLOON RX SMALL 3.50MM X 08MM 861.05CATH BLN CRNRY ANGIO PTCA 4.5X8 861.05BALLOON RX SMALL 3.0MM X 08MM 861.05BALLOON RX SMALL 1.50MM X 08MM 861.05BALLOON MINI TREK 1.20MM X 08MM 861.05CATH BLN CRNRY ANGIO PTCA 4.0X15 861.05CATH BLN CRNRY ANGIO PTCA 2.5X15 861.05CATH BLN CRNRY ANGIO PTCA 3.25X8 861.05CATH BLN CRNRY ANGIO PTCA 2.0X15 861.05BALLOON MINI TREK 1.20MM X 15MM 861.05BALLOON RX SMALL 2.75MM X 15MM 861.05BALLOON RX SMALL 2.25MM X 08MM 861.05CATH BLN CRNRY PTCA 2.75X12 861.05CATH BLN CRNRY PTCA 3.00X15 861.05CATH BLN CRNRY ANGIO PTCA 5.0X8 861.05CATH BLN CRNRY ANGIO PTCA 3.5X20 861.05BALLOON RX SMALL 1.50MM X 15MM 861.05BALLOON RX SMALL 3.0MM X 20MM 861.05CATH BLN CRNRY PTCA 2.25X12 861.05CATH BLN CRNRY ANGIO PTCA 2.0X12 861.05BALLOON RX SMALL 2.50MM X 30MM 861.05CATH BLN CRNRY PTCA 3.25X15 861.05BALLOON RX SMALL 4.0MM X 12MM 861.05CATH BLN CRNRY PTCA 3.00X20 861.05BALLOON RX SMALL 2.25MM X 20MM 861.05BALLOON RX SMALL 1.50MM X 12MM 861.05CATH BLN CRNRY PTCA 3.75X15 861.05CATH BLN CRNRY ANGIO PTCA 4.0X20 861.05

LRMC Item Description Primary PriceBALLOON RX SMALL 3.50MM X 12MM 861.05CATH BLN CRNRY ANGIO PTCA 4.0X8 861.05BALLOON RX SMALL 2.50MM X 08MM 861.05CATH BLN CRNRY ANGIO PTCA 4.0X12 861.05CATH BLN CRNRY PTCA 3.25X12 861.05BALLOON RX SMALL 3.50MM X 15MM 861.05CATH BLN CRNRY ANGIO PTCA 2.5X12 861.05BALLOON RX SMALL 2.0MM X 08MM 861.05CATH BLN CRNRY ANGIO PTCA 2.5X8 861.05BALLOON RX SMALL 2.25MM X 15MM 861.05BALLOON RX SMALL 2.0MM X 20MM 861.05CATH BLN CRNRY ANGIO PTCA 3.00X8 861.05BALLOON RX SMALL 2.50MM X 20MM 861.05BALLOON RX SMALL 2.0MM X 15MM 861.05CATH BLN CRNRY ANGIO PTCA 3.5X8 861.05CATH BLN CRNRY PTCA 3.00X12 861.05CATH BLN CRNRY ANGIO PTCA 3.5X15 861.05BALLOON RX SMALL 30.MM X 15MM 861.05BALLOON RX SMALL 2.50MM X 15MM 861.05CATH BLN CRNRY ANGIO PTCA 3.5X12 861.05BALLOON RX SMALL 3.0MM X 12MM 861.05BALLOON RX SMALL 2.25MM X 12MM 861.05BALLOON RX SMALL 2.0MM X 12MM 861.05BALLOON RX SMALL 2.50MM X 12MM 861.05WASHER SPIKED 4.0MM 866.25SCREW LOCKING HEXALOBE 3.0X50MM 867.30SCREW LAG 10.5X110MM 871.55SCREW LAG 10.5X85MM 871.55SCREW LAG 10.5X90MM 871.55SCREW ADVORTH COMPRESS 1045-100 871.55SCREW CANN THREAD P 4 MM X 40 MM 882.00SCREW CANC PRTL THRD 5.0MMX50MM 882.00CATH TREK MINI OTW 1.5X8MM 882.00GUIDEWIRE BALL NOSE 3.0MMX100CM 882.00SCREW CANC NCB 85 X 5.0 X 3.5MM 882.00SCREW CANC NCB 70 X 5.0 X 3.5MM 882.00SCREW CANC PRTL THRD 5.0MMX60MM 882.00WIRE GUIDE BALL NOSE 3.0MM X 80CM 882.00SCREW CANC NCB 75 X 5.0 X 3.5MM 882.00SCREW CANC NCB 80 X 5.0 X 3.5MM 882.00BIT DRILL 12MM 889.35KIT PREP CEMT BNE HIP 894.40KIT PICC XCELA WPV 4F SGL LUM 935.66PLATE BNE T SHAP 4 HOLE STN 84MM 940.80SCREW LOCKING 3.5 X 16MM 945.50

LRMC Item Description Primary PriceSCREW UNICRTCL BLNT TP 5.0X12MM 948.15SCREW UNICRTCL BLNT TP 5.0X16MM 948.15SCREW UNICRTCL BLNT TP 5.0X10MM 948.15SCREW LOCKING CAP NCB 8X3.5MM 948.15PLATE PLT LOCK 1/3 TUB 5H 68MM 970.20SCREW FULL THREADED LCKN 5X42.5MM 970.20SCREW FULL THREADED LCKN 5X60MM 970.20SCREW LOCKING FULL THREAD 05X30MM 970.20SCREW FULL THREADED LCKN 5X32.5MM 970.20SCREW FULL THREADED LCKN 5X37.5MM 970.20BLN ARMADA 35 WH 3 X 40 X 135 CM 992.25BLN ARMADA 35 WH 4 X 40 X 135 CM 992.25BLN ARMADA 35 WH 5 X 100 X 135 CM 992.25CATH FOX PLUS BLN 4.0 X 20 MM 992.25CATH PTA ARMADA 35 6X60X135 992.25BLN ARMADA 35 WH 9 X 20 X 135 CM 992.25CATH PTA ARMADA 35 6X20X135 992.25CATH PTA ARMADA 35 5X20X135 992.25CATH PTA ARMADA 5.0X40MM 992.25CATH PTA ARMADA 35 6X80X135 992.25BLN ARMADA 35 WH 4 X 100 X 135 CM 992.25BLN ARMADA 35 WH 8 X 60 X 135 CM 992.25CATH PTA ARMADA 5.0X60MM 992.25CATH PTA ARMADA 35 12X20X135 992.25CATH PTA ARMADA 35 7X100X135 992.25CATH PTA ARMADA 5.0X80MM 992.25BLN ARMADA 35 WH 9 X 40 X 135 CM 992.25CATH PTA ARMADA 6.0X100MM 992.25CATH PTA ARMADA 35 10X20X135 992.25CATH PTA ARMADA 35 7X40X135 992.25CATH PTA ARMADA 35 12X40X135 992.25CATH PTA ARMADA 35 10X20X135 992.25CATH FOX PLUS BLN 8.0X 20MM 992.25CATH PTA ARMADA 35 6X120X135 992.25CATH PTA ARMADA 35 7X60X135 992.25CATH PTA ARMADA 35 6X40X135 992.25GW ASAHI FIELDER XT 190CM 992.25CATH PTA ARMADA 35 8X40X135 992.25SCREW DISTAL TITANIUM 5X32.5MM 996.03SCREW STRYKER CANN 2 MM X 16 MM 1,018.00SCREW STRYKER CANN 2 MM X 18 MM 1,018.00SCREW STRYKER CANN 2 MM X 20 MM 1,018.00SCREW STRYKER CANN 2 MM X 22 MM 1,018.00SCREW STRYKER CANN 3 MM X 26 MM 1,018.00SCREW STRYKER CANN 2 MM X 10 MM 1,018.00

LRMC Item Description Primary PriceSCREW STRYKER CANN 3 MM X 22 MM 1,018.00SCREW STRYKER CANN 3 MM X 18 MM 1,018.00SCREW STRYKER CANN 3 MM X 16 MM 1,018.00SCREW STRYKER CANN 2 MM X 11 MM 1,018.00SCREW STRYKER CANN 2 MM X 24 MM 1,018.00SCREW STRYKER CANN 3 MM X 20 MM 1,018.00SCREW STRYKER CANN 2 MM X 14 MM 1,018.00HEMASHIELD WOOVEN DBL VELOUR 2X3 1,021.65SCREW CORTICAL ST 5MMX48MM 1,036.35SCREW CORTICAL ST 5MMX50MM 1,036.35SCREW NCB SELFTAPPING 36MM X 3.5 1,036.35SCREW NCB CORT SLF-TAP 5.0 X 38MM 1,036.35SCREW CORTICAL ST 5MMX40MM 1,036.35SCREW CORTICAL ST 5MMX34MM 1,036.35BLADE ANCHORAGE SELF RETAINING 1,037.82MESH SFT TISS H 1.3INX1.55IN MED 1,046.25K-WIRE 1.6MM 1,055.75PIN QUICK RELEASE WITH COLLAR 40M 1,058.40DILATORS BALLOON 10 11 12 1,066.40MESH SFT TISS HRN 1.6INX1.9IN LG 1,067.75WIRE CERCLG 1MMX600MM W/EYE 1,073.15SCREW BNE LAG CANLTD 2.4MMX12MM 1,082.30SCREW BNE LAG CANLTD 2.4MMX14MM 1,082.30SCREW PRIMARY 14MM 1,087.80BLN ARMADA 35 WH 4 X 120 X 135 CM 1,102.00CATH PTA ARMADA 35 7X120X135 1,102.00ROD LORDOTIC 40MM 1,102.00ROD STAIGHT 60MM 1,102.00ROD STRAIGHT 80MM 1,102.00SCREW BNE CANLTD 1/3 TH 4MMX34MM 1,102.00SCREW BNE CANLTD FLL 4.5MMX46MM 1,102.00SCREW BNE CANLTD FLL 4.5MMX48MM 1,102.00SCREW BNE CANLTD PART 3.5MMX32MM 1,102.00SCREW CANN THREAD P 4 MM X 26 MM 1,102.00BURR COVER LP 10MM W TAB 1,102.00ROD LORDOTIC 70MM 1,102.00ROD STRAIGHT 110MM 1,102.00SCREW BNE CANLTD 1/3 TH 4MMX36MM 1,102.00SCREW BNE CANLTD 1/3 TH 4MMX44MM 1,102.00SCREW BNE CANLTD FLL 4.5MMX35MM 1,102.00SCREW ZIM CORTICAL 3.5 X 32.5MM 1,102.00WIRE SUT 1,102.00BLN ARMADA 35 WH 5 X 120 X 135 CM 1,102.00ROD LORDOTIC 50MM 1,102.00SCREW CANNUL CNCL 4.5MMX85MM 1,102.00

LRMC Item Description Primary PriceROD LORDOTIC 45MM 1,102.00ROD STRAIGHT 50MM 52-2050 1,102.00ROD STRAIGHT 90MM 1,102.00SCREW BNE CANLTD 1/2 TH 4MMX50MM 1,102.00ROD LORDOTIC 35MM 1,102.00ROD LORDOTIC 65MM 1,102.00RODS PRE BENT 55MM 52-6055 1,102.00CATH PTA PACIFIC PLUS 3X40X130 1,102.00ROD LORDOTIC PHOENIX 60MM 1,102.00SCREW BNE CANLTD 1/3 4.5MMX66MM 1,102.00SCREW BNE CANLTD PART 3.5MMX38MM 1,102.00SCREW BNE CANLTD PART 3.5MMX44MM 1,102.00SCREW CANNU 4.0MMX55MM 1/2 THREAD 1,102.00SCREW CANNU 4.0MMX60MM 1/3 THREAD 1,102.00SCREW PRIMARY 16MM 1,102.00ROD STRAIGHT 100MM 1,102.00SCREW BNE CANLTD PART 3.5MMX50MM 1,102.00SCREW CANNULTD 1/2 THD 4.0MM 60MM 1,102.00SCREW BNE CANLTD PART 3.5MMX40MM 1,102.00SCREW BNE CANLTD PART 3.5MMX46MM 1,102.00SCREW CANN PRTIL THRED 3.5X55 MM 1,102.00SCREW DRIVER BIT CAN 2MM 1,102.00SCREW BNE CANLTD 1/3 TH 4MMX46MM 1,102.00MESH SFT TISS HRN 1.6INX2IN X-LG 1,102.00SCREW DRIVER BIT CAN 3MM 1,102.00SCREW CANNUL CNCL 4.5MMX70MM 1,102.00SCREW CANC NCB 65 X 5.0 X 3.5MM 1,102.00ROD LORDOTIC 80MM 1,102.00CATH PTA PACIFIC PLUS 5X40X130 1,102.00GUIDEWIRE HYDRA JAGWIRE STRAIGHT 1,102.00SCREW BNE CANLTD 1/3 TH 4MMX38MM 1,102.00MESH ULTRAPRO PLUG AND PATCH LARG 1,102.00ROD HEX STRAIGHT 40MM 1,102.00ROD LORDOTIC 60MM 1,102.00GRAFT VASCULAR PATCH 1CMX6CM 1,102.00MESH ULTRAPRO PLUG AND PATCH MED 1,102.00ELECTRODE LOOP 24FR .35W 12D 1,102.00ROD STRAIGHT 40MM 52-2040 1,102.00MESH SFT TISS H 8.5CMX13.7CM MED 1,102.00MESH SFT TISS H 8.5CMX13.7CM MED 1,102.00SCREW NCB SELFTAPPING 32MM X 3.5 1,107.55SCREW NCB SELFTAPPING 30MM X 3.5 1,107.55GUIDE PIN THREADED 3.2MMX444MM 1,109.80ANCHOR SUT SFT TISS BIOABSRB 5MM 1,116.00BURR COVER LP 14MM W TAB 1,122.20

LRMC Item Description Primary PriceSCREW DRIVER CANNULATED 45-30005S 1,147.00MESH SFT TISS HRNIA R 4INX6IN LG 1,162.00MESH SFT TISS HRN 10.8CMX16CM LG 1,162.00CATH CCOMBO SWAN GANZ 8F 1,181.41CATH GUIDE ATTAIN COMMAND 9FR 1,190.40SCREW LOCKING T2 F/T 5 X 52.5MM 1,198.25CATH CPS AIM SL ACUTE 59CM 1,209.00CATH RX VIATRAC 14 5.5X15X80 1,209.00CATH PTA VIATRAC 5.5X20X80 1,209.00GUIDEWIRE NOVAGOLD 0.018X480 1,209.00CATH PTA VIATRAC 5.5X15X135 1,209.00SP ZZ CATHETER BALLOON DIL NONVAS 1,233.30GRAFT VASCULAR PATCH .8CMX8CM 1,233.80CATH PTA NANOCROSS 2.0X40X150 1,240.00CATH PTA NANOCROSS 2.5X40X120 1,240.00CATH PTA PACIFIC PLUS 2X120X130 1,240.00CATHETER BAL 14MMX4CM 5.8FRX75CM 1,240.00CATH PTA CONQUEST 10X4X75 1,240.00CATH PTA CONQUEST 12X4X75 1,240.00CATH PTA PACIFIC PLUS 2X150X130 1,240.00CATH PTA CONQUEST 7X4X75 1,240.00CATH PTA XXL 18X40X75 1,240.00CATH PTA CONQUEST 8X4X75 1,240.00CATH PTA NANOCROSS 2.5X120X150 1,240.00CATH PTA PACIFIC PLUS 2.5X120X130 1,240.00CATH PTA PACIFIC PLUS 2.5X40X130 1,240.00CATH PTA NANOCROSS 2.5X210X150 1,240.00CATH PTA NANOCROSS 2X120X150 1,240.00CATH PTA PACIFIC PLUS 3.5X40X130 1,240.00CATH PTA XXL 14X40X75 1,240.00CATH PTA XXL 16X40X75 1,240.00CATH PTA NANOCROSS 4X40X150 1,240.00CATH PTA CONQUEST 9X4X75 1,240.00CATH PTA PACIFIC PLUS 3X120X130 1,240.00CATH PTA PACIFIC PLUS 4X40X130 1,240.00CATH PTA PACIFIC PLUS 2X40X130 1,240.00CATH PTA XXL 12X40X75 1,240.00CATH PTA PACIFIC PLUS 2.5X150X130 1,240.00CATH PTA PACIFIC PLUS 3X150X130 1,240.00SCREW NCB CANC 4.5X75MM 1,265.80SCREW BNE CANLTD 16 MM 7MMX100MM 1,283.40SCREW BNE CANLTD 32 MM 7MMX100MM 1,283.40SCREW BNE CANLTD 16 MM 7MMX70MM 1,283.40SCREW BNE CANLTD 16 MM 7MMX75MM 1,283.40SCREW BNE CANLTD 16 MM 7MMX80MM 1,283.40

LRMC Item Description Primary PriceSCREW BNE CANLTD 16 MM 7MMX85MM 1,283.40SCREW BNE CANLTD 32 MM 7MMX55MM 1,283.40SCREW BNE CANLTD 32 MM 7MMX90MM 1,283.40SCREW BNE CANLTD 32 MM 7MMX95MM 1,283.40SCREW BNE CANLTD 16 MM 7MMX95MM 1,283.40SCREW BNE CANLTD 16 MM 7MMX90MM 1,283.40CATH DIL .014INX135CM 4.5X20MM 1,287.60CATH DIL VIA 6.5X15X135 1,287.60CATH DILATN .014INX80CM 6X20MM 1,287.60CATH DIL .014INX135CM 6.5X20MM 1,287.60CATH DILAT .014INX135CM 4X15MM 1,287.60CATH DILAT .014INX135CM 5X20MM 1,287.60CATH DILATN .014INX80CM 5X20MM 1,287.62CATH RX VIATRAC 14 4.5X30X135 1,287.62CATH VIATRAC 14 PLS 7.0X15X80 1,287.62CATH DIL .014INX135CM 5.5X30MM 1,287.62CATH DLTN BLN PRPHRL 135CM 5X15MM 1,287.62CATH VIATRAC 14 PLS 7.0X20135 1,287.62CATH DILAT .014INX135CM 4X30MM 1,287.62CATH DILAT .014INX135CM 6X30MM 1,287.62CATH DILAT .014INX135CM 5X30MM 1,287.62CATH DILAT .014INX135CM 6X15MM 1,287.62CATH DILAT .014INX135CM 6X20MM 1,287.62CATH DIL .014INX135CM 5.5X20MM 1,287.62SP ZZ INTRODUCER/SHEATH 1,301.20DRILL PIN TRIM-IT 1.5MMX100MM 1,302.00CATH ULTRAVERSE 018 4X40X130 1,364.00CATH ULTRAVERSE 018 5X100X130 1,364.00CATH ULTRAVERSE 018 5X20X130 1,364.00CATH ULTRAVERSE 018 6X40X130 1,364.00CATH ULTRAVERSE 018 7X40X130 1,364.00CATH ULTRAVERSE 018 5X40X130 1,364.00MESH VENTRALIGHT ECHO 4X6IN 1,388.75CATH AVIATOR PLUS 4X40X142 1,395.00CATH BLN DILATATION RX PTA 5 X3CM 1,395.00CATH DIL PTA BLN LG 6X100X150 CM 1,395.00CATH DILATN BALLN 110CM 6X6CM 1,395.00CATH PTA PACIFIC XTRM 4.5X60X130 1,395.00CATH PTA SABER 5X4X80 1,395.00CATH AVIATOR PLUS 6X40X142 1,395.00CATH BLN DILATATION RX PTA 4 X3CM 1,395.00CATH PTA AVIATOR PLUS 5.5X3X142 1,395.00CATH PTA AVIATOR PLUS 5X4X142 1,395.00BLN AVIATOR PLUS RX PTA 6X 2CM 1,395.00CATH PTA SABER 8X4X150 1,395.00

LRMC Item Description Primary PriceCATH DIL PTA BLN LONG 3X40X150 CM 1,395.00CATH DILATN BALLN 110CM 5X4CM 1,395.00CATH DILATN BALLN 150CM 4X10MM 1,395.00CABLE READY GRIP 1.8X914MM 1,413.60CATH ULTRAVERSE 014 2X40X150 1,426.00CATH ULTRAVERSE 014 2.5X120X150 1,426.00BULKING AGENT INJ URNRY STRSS IN 1,450.80CATH PTA ARMADA 18 2.0X20X150 1,457.00CATH PTA ARMADA 18 2.0X40X150 1,457.00CATH PTA ARMADA 18 4.0X20X150 1,457.00SHEATH DILATOR VISISHEATH L 16F 1,457.00SHEATH DILATOR VISISHEATH M 14F 1,457.00CATH PTA ARMADA 18 2.0X60X150 1,457.00CATH PTA ARMADA 18 5.5X60X150 1,457.00CATH PTA ARMADA 18 6.0X40X150 1,457.00CATH PTA ARMADA 18 3.0X40X150 1,457.00CATH PTA ARMADA 18 6.0X60X150 1,457.00CATH PTA ARMADA 18 5.0X40X150 1,457.00INTRO SHEATH SENTRANT 20F 1,475.60CATHETER DILAT BALLN 24FX8MMX8CM 1,501.95MESH VENTRALIGHT ECHO CIRCLE 4.5 1,512.50CRANIAL LOOP (L) NEOS 1,519.00CATH PTA ARMADA 18 2.5X120X90 1,550.00CATH PTA ARMADA 18 3.0X80X150 1,550.00CATH PTA ARMADA 18 4.0X100X150 1,550.00CATH PTA ARMADA 18 5.0X80X150 1,550.00CATH PTA ARMADA 18 5.5X150X150 1,550.00CATH PTA ARMADA 18 6.0X120X150 1,550.00CATH PTA ARMADA 18 6.0X120X90 1,550.00CATH PTA ARMADA 18 6.0X200X90 1,550.00CATH PTA ARMADA 14 3X20X150 1,550.00CATH PTA ARMADA 14 3X40X150 1,550.00CATH PTA ARMADA 18 3.0X100X150 1,550.00CATH PTA ARMADA 18 4.0X120X90 1,550.00CATH PTA ARMADA 18 5.0X150X150 1,550.00CATH PTA ARMADA 14 4X40X150 1,550.00CATH PTA ARMADA 18 3.0X200X150 1,550.00CATH PTA ARMADA 18 5.0X200X150 1,550.00CATH PTA ARMADA 18 6.0X200X150 1,550.00CATH PTA ARMADA 14 2.5X80X150 1,550.00CATH PTA ARMADA 14 3X60X150 1,550.00CATH PTA ARMADA 14 4X60X150 1,550.00CATH PTA ARMADA 14 1.5X40X150 1,550.00CATH PTA ARMADA 14 1.5X40X150 1,550.00CATH PTA ARMADA 14 2.5X40X150 1,550.00

LRMC Item Description Primary PriceCATH PTA ARMADA 18 2.5X100X150 1,550.00CATH PTA ARMADA 14 3X80X150 1,550.00CATH PTA ARMADA 14 2X80X150 1,550.00CATH PTA ARMADA 18 6.0X150X150 1,550.00CATH PTA ARMADA 18 6.0X100X150 1,550.00CATH PTA ARMADA 14 4X80X150 1,550.00MESH SFT TISS HRNIA REPR POL MED 1,550.30MESH SFT TISS HRNIA REPR POLY LG 1,550.30CATH UROMAX ULTRA 6.4/5.8/75 1,581.00FILM ADHESN PREVNTN SURG 3INX4IN 1,651.55SP ZZ PERIPERAL BALLOON CATHETER 1,663.80PLATE ULS COMP 7H 3.5X92MM 1,692.60CATH DIL PTA BLN LONG 2.5X220CM 1,705.00CATH PTA SABER 2X15X150 1,705.00CATH CORONARY SINUS BVCS6180 1,705.00CATH DIL PTA BLN LG 3X220X150 CM 1,705.00CATH PTA SABER 5X20X150 1,705.00KIT CATH DILA 7FRX55CM 30FRX12CM 1,712.75PORT POWER INJECT PLASTIC TIT 8FR 1,756.15KIT CATH BAL 18FRX4CM 5.8FRX75CM 1,765.45BLN DLTN CATH OTW 7.0X100X135 1,767.00SCREW ADV ORTH 8021-085 1,771.60SCREW CANCELLOUS A/R 5 X 80MM 1,771.60SCREW CANNUL FULL THREAD 80 X 7MM 1,771.60SCREW ADV ORTH 8021-090 1,771.60PLATE ULS COMP 9H 3.5X118MM 1,804.20CRANIAL LOOP FIXATION EXTRA LARGE 1,829.00CATH PTA ARMADA 14 1.5X120X150 1,860.00CATH PTA ARMADA 14 4X120X150 1,860.00CATH PTA ARMADA 14 2X120X150 1,860.00CATH PTA ARMADA 14 2X200X150 1,860.00CATH PTA ARMADA 14 4X200X150 1,860.00ANCHOR SUTURE PITON BLUE 3.5 1,860.00ANCHOR SUT ROTATR CUFF KNTLS 1,860.00ANCHOR SUTURE PITON BLACK 3.5 1,860.00CATH PTA ARMADA 14 2.5X120X150 1,860.00PLATE ULS COMP 10H 3.5X131MM 1,860.00CATH PTA ARMADA 14 2.5X200X150 1,860.00CATH PTA ARMADA 14 3X120X150 1,860.00CATH PTA ARMADA 14 3X200X150 1,860.00COVER BURR HOLE W/TAB 20MM 1,920.26CATH PTA AMPHIRION 1.5X20X150 1,922.00CATH PTA AMPHIRION 2.5X40X120 1,922.00CATH PTA AMPHIRION 3.0X120X150 1,922.00SNARE SYSTEM STANDARD 7F 120CM 1,922.00

LRMC Item Description Primary PriceCATH PTA AMPHIRION 3X40X150 1,922.00SNARE SYSTEM STANDARD 7F 120CM 1,922.00CATH PTA AMPHIRION 2.0X120X150 1,922.00CATH PTA AMPHIRION 2X40X150 1,922.00CATH PTA AMPHIRION 2.5X40X150 1,922.00CATH ASPIRATION PRIORITYONE 7F 1,953.00SCREW HLESS SHT THREAD 3.0MMX40MM 1,965.75SCREW HEADLS COMP LNG 3.0 X 34 1,965.75SCREW COMP HEADLESS 3.0MM X 30MM 1,965.75CABLE ASSEMBLY 1.8 X 635MM 1,971.60SP ZZ TESSIO CATHETER 1,982.40SHEATH AFX 17FR 2,015.00SHEATH AFX 17FR 2,015.00SP ZZ URETERAL STENT 2,040.80SP ZZ X-PORT CHEST PORT 2,076.75PLATE LP GAP LARGE 2,090.70HEAD FEMRL ENDOPRSTHSIS 50MM 2,142.70GRAFT VSCLR STRT DBL VL 6MMX60CM 2,145.20GRAFT VSCLR STRT DBL V 10MMX30CM 2,145.20GRAFT VSCLR STRT DBL VL 6MMX30CM 2,145.20GRAFT VSCLR STRT DBL VL 8MMX30CM 2,145.20MESH SFT TISS HRNIA 5CMX10CMX2MM 2,145.20MESH COMPOSIX LP 10.8CM X 15.9CM 2,157.00SCREW POST 5.5 X 50MM 77-8550 2,170.00SCREW POST 6.5 X 50MM 77-8650 2,170.00SCREW SF TAPC 5.5X40MM MULTI 2,170.00SCREW SF TAPC 5.5X45MM MULTI 2,170.00SCREW SF TAPC 6.5X40MM MULTI 2,170.00SCREW POST 6.5 X 45MM 77-8645 2,170.00MESH VENTRALIGHT ECHO CIRCLE 6IN 2,200.00MESH VENTRALIGHT ST 4X6 2,201.00CATH DECIPOLAR CSL 7FR 2,208.75CATH PTA AMPHIRION 2.5X150X150 2,232.00CATH PTA AMPHIRION 2X150X150 2,232.00GRAFT VASCULAR PATCH 2CMX9CM 2,263.00MESH VENTRALEX ST SM CIRCLE 2,263.00BONE CANC CHP CRSHD 15ML 2,315.70SUTURE ANC SWIVELOCK 4.75X19.1MM 2,325.00CATHETER MAPPING 990063-015 2,337.50CATHETER MAPPING 990063-020 2,337.50CATH PTA AMPHIRION 2.5/3X210X150 2,356.00SP ZZ INFERIOR VENA CAVA FILTER 2,384.05FILTER VENA CAVA OPTION ELT 70CM 2,385.00BALLOON SEEKER EM SPHN 6X17 2,393.20SUTURE ANCHOR QUATRO X 5.5MM 2,405.60

LRMC Item Description Primary PriceMESH SFT TISS HRN 4.3CMX4.3CM SM 2,426.60PUTTY DBM PROGENIX PLUS 2.5CC 2,440.30SCREW LAG SCREW 010.5 X 100MM 2,445.90SCREW HEADLS COMP SH 3.0 X 28 2,447.75SCREW COMP HEADLESS 3.0MM X 24MM 2,447.75SCREW HEADLS COMP SH 3.0 X 30 2,447.75SCREW HEADLS COMP SH 3.0 X 34 2,447.75SCREW COMP HEADLESS 3.0MM X 32MM 2,447.75CATH PTCA GLIDER 2.5X12X135 2,449.00CATH PTCA GLIDER 2X12X135 2,449.00CATH PTCA GLIDER 3X8X135 2,449.00ANCHOR SUTURE 2/0 MINI V-5 2,449.00LEAD ST JUDE TENDRIL ST 2088TC46 2,565.70LEAD ST JUDE TENDRIL ST 2088TC52 2,565.70LEAD STJUDE TENDRIL ST 2088TC46 2,565.70LEAD STJUDE TENDRIL ST 2088TC52 2,565.70GRAFT VSCLR DBL VLR WV 30MMX30CM 2,585.40GRAFT VSCLR STRT DBL V 28MMX30CM 2,585.40GRAFT VSCLR STRT DBL V 26MMX30CM 2,585.40BONE CANC CHP 30ML 2,604.00STENT URETERAL 6FR 28CM 2,621.00STENT URETERAL 6FR 24CM 2,621.00SCREW CANNUL FULL THREAD 90 X 7MM 2,635.00SCREW CANNUL MED THREAD 105 X 7MM 2,635.00SCREW CANNUL MED THREAD 115 X 7MM 2,635.00SCREW CANNUL MED THREAD 120 X 7MM 2,635.00SCREW CANNUL MED THREAD 95 X 7MM 2,635.00STENT NIRXCELL 3.5X24X135 2,635.00STENT NIRXCELL 3X24X135 2,635.00SCREW CANNUL MED THREAD 80 X 7MM 2,635.00SCREW CANNUL MED THREAD 90 X 7MM 2,635.00SCREW CANNUL MED THREAD 100 X 7MM 2,635.00SYSTEM ANCHORSURE 2,635.00SP ZZ SCHON CATHETER 2,747.05SP ZZ STENT 2,748.50INTRODUCER SAFESHEATH 9FX40CM 2,765.20STNT CRNRY SML VSL2.25X18MM 2,777.60CATH VASC EXTRT V3 6F .014INX140 2,790.00P/MAKER STJUDE LEAD EPICARDIAL 2,790.00ACUITY BSCI PRO 9 FR X 45CM 2,808.60MESH KUGEL COMPOSIT OVAL 14X18 LG 2,871.70LAG SCREW 10.5MM X 100MM 2,901.60MESH SFT TISS HR 6.4CMX6.4CM MED 2,905.45STNT CRNRY BLN EXPND 4.5X28MM 2,958.14STNT CRNRY RPD EXCHNG RX 3.5X8MM 2,958.14

LRMC Item Description Primary PriceSTNT CRNRY RX VISION 2.75 X 8 MM 2,958.14STNT CRNRY RPD EXCHNG RX 4X8MM 2,958.14STNT CRNRY RX VISION 2.75X15 MM 2,958.14STNT CORONARY RX 3.5X23MM 2,958.14STNT CRNRY RX VISION 2.75X23 MM 2,958.14STNT CRNRY RX VISION 2.75X28 MM 2,958.14STNT CRNRY SML VSL RX 2.25X12MM 2,958.14STNT CRNRY SML VSL RX 2X12MM 2,958.14STNT CORONARY RX 3.5X15MM 2,958.14STNT CRNRY BLN EXPND 4.5X18MM 2,958.14STNT CRNRY RPD EXCHNG RX 3X8MM 2,958.14STNT CRNRY RX VISION 2.75X12 MM 2,958.14STNT CORONARY RX 3X12MM 2,958.14STNT CORONARY RX 4X18MM 2,958.14STNT CRNRY SML VSL RX 2.25X28MM 2,958.14STNT CRNRY SML VSL RX 2.5X12MM 2,958.14STNT CRNRY SML VSL RX 2.5X18MM 2,958.14STNT CRNRY SML VSL RX 2X23MM 2,958.14STNT CORONARY RX 3X28MM 2,958.14STNT CRNRY SML VSL RX 2X28MM 2,958.14STNT CRNRY SML VSL RX 2.5X28MM 2,958.14STNT CORONARY RX 4X23MM 2,958.14STNT CRNRY SML VSL RX 2.25X8MM 2,958.14STNT CRNRY SML VSL RX 2.25X23MM 2,958.14STNT CRNRY BLN EXPND 5X18MM 2,958.14STNT CRNRY SML VSL RX 2X8MM 2,958.14STNT CORONARY RX 3.5X12MM 2,958.14STNT CORONARY RX 4X12MM 2,958.14STNT CRNRY RX VISION 2.75X18 MM 2,958.14STNT CRNRY SML VSL RX 2X18MM 2,958.14STNT CORONARY RX 4X15MM 2,958.14STNT CRNRY SML VSL RX 2.25X15MM 2,958.14STNT CRNRY SML VSL RX 2.5X23MM 2,958.14STNT CORONARY RX 3X18MM 2,958.14STNT MLT LNK VISION 3X18 2,958.14STNT CRNRY SML VSL RX 2X15MM 2,958.14STNT CORONARY RX 4X28MM 2,958.14STNT CRNRY SML VSL RX 2.5X15MM 2,958.14STNT CORONARY RX 3X23MM 2,958.14STNT CORONARY RX 3.5X28MM 2,958.14STNT CORONARY RX 3X15MM 2,958.14STNT CRNRY BLN EXPND 5X28MM 2,958.15STNT CRNRY BLN EXPND 5X13MM 2,958.15CATH UNI-D WEBSTER CS-F 6FR 2,994.60STENT PROSTATIC SPANNER SPNR-6HA 3,069.00

LRMC Item Description Primary PriceSTENT PROSTATIC SPANNER SPNR-9HA 3,069.00APERFIX II CAN TIBIAL PK 10MMX30M 3,069.00STENT PROSTATIC SPANNER SPNR-8HA 3,069.00STENT PROSTATIC SPANNER SPNR-7HA 3,069.00IMPLANT MACROPLASTIQUE 3,069.00CATH PRPHRL PTA 4.0X40 X137 CM 3,100.00CATH PRPHRL PTA 5.0X40 X137 CM 3,100.00FILTER VENA CAVA ENDOASC 55CM 3,100.00GRAFT VASC NAT COLLAGEN 6MMX15CM 3,100.00GRAFT VASCULAR PATCH 1CMX6CM 3,100.00GRAFT VSCLR BIFUR 16MMX8MMX40CM 3,100.00LEAD MDTR ATTAIN COMMAND SYS 3,100.00MESH SFT TISS HRNI 15CMX20CMX1MM 3,100.00MOLD TIBIAL KNEE 70MM 3,100.00NAIL KIT TROCH TI 11X160MMX125 3,100.00NAIL STRYKER TIBIAL 10 X 315 3,100.00PLATE 2 VDR NARROW LNG LT 70-0370 3,100.00PLATE 2 VDR NARROW RT 70-0359 3,100.00PLATE BONE 8 HOLE 246MM 3,100.00PLATE BONE CERVICAL RELIANT 68MM 3,100.00PLATE DIST POST HUM 9H LT 150MM 3,100.00PLATE FEMUR SHAFT CRVD 10H 210MM 3,100.00PLATE FIBULAR 8 HOLE RT 3,100.00PLATE LOCKING CLAVICLE 6 HOLE 3,100.00PLATE OLECRANON EXT RT 5 HOLE 3,100.00PLATE OLECRANON STD LT 7 HOLE 3,100.00PLATE PROX ULNAR 5H LT 103MM 3,100.00PLATE RADIAL 4 HOLE SM RT 25MM 3,100.00PLUG VASCULAR AMPLATZER 12MM 3,100.00SCREW CORTICAL LAG 4MMX40MM 3,100.00SCREW SF TAPC 7.5X45MM MULTI 3,100.00SPACER MINI PEEK 12X15MM 8MM PRL 3,100.00STEM REV STRGHT FLUTTED 14.5X175M 3,100.00STEM REVISION NATRUAL 12.5MMX125M 3,100.00STEM REVISION SZ 16.5 X 125MM 3,100.00STENT BIL SMART FLEX 10X40X80 3,100.00STENT BIL SMART FLEX 6X150X120 3,100.00STENT BIL SMART FLEX 7X40X120 3,100.00STENT BIL SMART FLEX 8X40X120 3,100.00STENT BILIARY EVERFLEX 7X20X120 3,100.00STENT DES RESOLUTE RX 2.00X26MM 3,100.00STENT DES RESOLUTE RX 2.75X34MM 3,100.00STENT DES RESOLUTE RX 4.5X26MM 3,100.00STENT EVERFLEX 7X100X120 3,100.00STENT EVERFLEX 7X60X120 3,100.00

LRMC Item Description Primary PriceSTENT EVERFLEX 7X80X120 3,100.00STENT EVERFLEX 8X100X120 3,100.00STENT EVERFLEX 8X80X120 3,100.00STENT OMNILINK ELITE 9X39X135 3,100.00STENT PALMZ GENESIS 9X29X80 3,100.00STENT PROTEGE EVRFLX 8X150X120 3,100.00STENT PROTEGE GPS 10X60X120 3,100.00STENT PROTEGE GPS 10X60X80 3,100.00STENT PROTEGE GPS 14X40X80 3,100.00STENT PROTGE EVRFLX 6FR .035 7X80 3,100.00STENT VISIPRO 5X17X80 3,100.00STENT VISIPRO 6X17X80 3,100.00STENT VISIPRO 6X37X80 3,100.00STENT VISIPRO 6X57X135 3,100.00STENT VISIPRO 7X17X135 3,100.00STENT VISIPRO 7X37X135 3,100.00STENT VISIPRO 9X37X80 3,100.00STNT .035 7.0X19X135CM 3,100.00STNT .035 9.0X29X135CM 3,100.00STNT 6FR .035 8X80MM 120CM 3,100.00STNT ABSOLUT PRO VASC 10X60X135CM 3,100.00STNT ABSOLUT PRO VASC 7X100X135CM 3,100.00STNT ABSOLUTE VASC 6 X60 X135 CM 3,100.00STNT BIL PALMAZ GENESIS 7X29X135 3,100.00STNT BLRY TRNSHPTC 39X8MM 135CM 3,100.00STNT BLRY TRNSHPTC 6X15MM 80CM 3,100.00STNT BLRY TRNSHPTC 7X40MM 120CM 3,100.00STNT HURCULINK ELITE 7X15X135 3,100.00STNT ILIAC TRANSHEPTIC 8X30 X120 3,100.00STNT INTEGRITY 2.75 MM X 08MM 3,100.00STNT INTEGRITY 2.75 MM X 18MM 3,100.00STNT INTEGRITY 3.00 MM X 09MM 3,100.00STNT INTEGRITY 3.50 MM X 15MM 3,100.00STNT INTEGRITY 3.50 MM X 26MM 3,100.00STNT INTEGRITY 4.00 MM X 09MM 3,100.00STNT INTEGRITY 4.00 MM X 15MM 3,100.00STNT INTEGRITY 4.0MM X 12MM 3,100.00STNT INTEGRITY 4.0MM X 22MM 3,100.00STNT PROTEGE 6 X 40 X 120 3,100.00STNT SMART 8MM X 40MM 3,100.00STNT SMART CONTROL 6X150X120 3,100.00STNT VISI PRO GPS 6 X 37 X 135 3,100.00STNT VISI PRO GPS 8 X 37 X 135 3,100.00STNT VISI-PRO .035 EXPANDABLE 3,100.00STNT VISI-PRO 09 X 37 X 80 CM 3,100.00

LRMC Item Description Primary PriceSYS THROMBECTOMY 6FR 135CM 3,100.00TOE SMART IMPLANT STANDARD 19MM 3,100.00BIO GLUE SYRINGE DEL SYSTEM 5ML 3,100.00BONE GRAFT FIBULA STRUT 100MM 3,100.00BREAST IMPLANT GEL 600CC 3,100.00CATH BLN INTRA ARTC P 7.5FR 40ML 3,100.00CATH PRPHRL PTA 6.0X20 X137 CM 3,100.00CONNECTOR CRSS ROD SPNL MUL 45MM 3,100.00CONNECTOR CRSS ROD SPNL MUL 60MM 3,100.00DEVICE ROTABLATOR ROTALINK 1.5 3,100.00PLATE BONE CERVICAL RELIANT 46MM 3,100.00PLATE BONE CERVICAL RELIANT 48MM 3,100.00PLATE BONE CERVICAL RELIANT 62MM 3,100.00PUTTY GRAFTON DBM 5CC 3,100.00STEM TIBIAL REVISION 3,100.00STENT DES RESOLUTE RX 2.75X38MM 3,100.00STENT EVERFLEX 6X150X120 3,100.00STENT EVERFLEX 7X40X120 3,100.00STENT EVERFLEX 8X40X120 3,100.00STENT PALMZ GENESIS 8X24X135 3,100.00STENT VISIPRO 6X27X80 3,100.00STENT VISIPRO 8X27X80 3,100.00STENT VISIPRO 8X37X80 3,100.00STENT VISIPRO 8X57X135 3,100.00STNT .035 7.0X39X135CM 3,100.00STNT .035 7.0X59X135CM 3,100.00STNT ABSOLUTE VASC 8 X40 X135 CM 3,100.00STNT CORONARY INTEGRITY 22MM 3,100.00STNT HURCULINK ELITE 7X18X135 3,100.00STNT INTEGRITY 3.00 MM X 15MM 3,100.00STNT INTEGRITY 4.0MM X 30MM 3,100.00TENDON SEMI TENDINOSUS FZ 3,100.00CATH IVUS PV .018 3,100.00CATH PTA ANGIOSCULPT 6X40X137 3,100.00DEVICE EMBO PROTC SPIDR FX 3X320 3,100.00GRAFT 4.5MM-6.5MMX70CM 4.5MMTO6. 3,100.00INTRODUCER MICRA 3,100.00LEAD MEDT CAPSURE FIX 45CM 3,100.00SPACER JNT TOE FLXBL HNG SZ2 SH 3,100.00STENT DES RESOLUTE RX 2.75X08MM 3,100.00STENT DES RESOLUTE RX 2.75X26MM 3,100.00STNT .035 7.0X29X135CM 3,100.00STNT .035 8.0X19X135CM 3,100.00STNT INTEGRITY 2.50MM X 18MM 3,100.00STNT INTEGRITY 3.50MM X 12MM 3,100.00

LRMC Item Description Primary PriceSTNT VISI PRO GPS 8 X 57 X 135 3,100.00CATH CRNRY RX PTCA TT 2.0X6MM 3,100.00PLATE BONE CERVICAL RELIANT 42MM 3,100.00PLATE ZIM LAT FIB LOCK 106MM L6H 3,100.00SCREW STEM FEMOAR CONSTRAINED 3,100.00STENT DES RESOLUTE RX 2.25X30MM 3,100.00STENT DES RESOLUTE RX 2.50X30MM 3,100.00STNT INTEGRITY 3.50MM X 22MM 3,100.00SUTURE ANCHOR QUATTRO LINK 4.5MM 3,100.00TENDON GRACILIS FZ 3,100.00STENT DES RESOLUTE RX 3.0X34MM 3,100.00STNT INTEGRITY 2.50MM X 12MM 3,100.00STNT INTEGRITY 4.0MM X 18MM 3,100.00CATH CRNRY RX PTCA TT 2.5X6MM 3,100.00CATH CRNRY RX PTCA TT 3.0X6MM 3,100.00CATH CRNRY RX PTCA TT 3.5X6MM 3,100.00SPACER JNT TOE FLXBL HNG SZ4 SH 3,100.00SPACER MINI PEEK 6MM 3,100.00STNT .035 8.0X29X135CM 3,100.00CATHETER BALLN PTV .035 22MMX6CM 3,100.00CATH CRNRY RX PTCA TT 3.0X10MM 3,100.00PHOENIX STND OP HEAD BODY 20-2070 3,100.00CATH BILIARY LD 6.0X57X135 3,100.00KIT AMS 700 ACCESSORY 3,100.00PLATE 2 VDR WIDE LT 70-0360 3,100.00PLATE BONE CERVICAL RELIANT 30MM 3,100.00PLATE FIBULAR 6 HOLE LT 3,100.00PLATE OLECRANON STD LT 3 HOLE 3,100.00PLATE PROX ULNAR 3H LT 77MM 3,100.00PLATELOCKING 8HOLE MEDIAL HUMERUS 3,100.00PLT HEMERUS POST-LAT LT 5 HOLE 3,100.00STENT BIL SMART FLEX 5X60X120 3,100.00STENT BILIARY ABSOLUTE PRO 7X80 3,100.00STENT DES RESOLUTE RX 4.0X34MM 3,100.00STENT DES RESOLUTE RX 5.0X18MM 3,100.00STENT DES RESOLUTE RX 5.0X22MM 3,100.00STENT PROTEGE GPS 10X40X80 3,100.00STENT VISIPRO 7X37X80 3,100.00STNT ABSOLUTE VASC 6 X80 X135 CM 3,100.00STNT DESXIENCE SIERRA 2.50X33MM 3,100.00STNT DESXIENCE SIERRA 2.75X08MM 3,100.00STNT DESXIENCE SIERRA 4.00X33MM 3,100.00STNT HURCULINK ELITE 6X12X135 3,100.00STNT ILIAC 6FR 9X40MM 3,100.00STNT INTEGRITY 2.25MM X 22MM 3,100.00

LRMC Item Description Primary PriceSTNT INTEGRITY 2.75 MM X 26MM 3,100.00STNT VISI PRO GPS 9 X 37 X 135 3,100.00STNT VISI-PRO 10 X 27 X 80 CM 3,100.00STNT VISI-PRO 10 X 37 X 80 CM 3,100.00TOE SMART IMPLANT STANDARD 16MM 3,100.00CATH BLN INTRA ARTC P 7.5FR 34ML 3,100.00GRAFT VSCLR BIFUR 12MMX7MMX40CM 3,100.00MOLD TIBIAL KNEE 80MM 3,100.00PLATE 2 VDR WIDE RT 70-0361 3,100.00PLATE OLECRANON STD LT 5 HOLE 3,100.00PLATE OLECRANON STD RT 5 HOLE 3,100.00PLATE PROX ULNAR 3H RT 77MM 3,100.00PLATE ZIMMER DISTAL FIB LOCK 8 H 3,100.00SCREW CORTICAL 30MM 3,100.00STENT DES RESOLUTE RX 2.75X30MM 3,100.00STENT DES RESOLUTE RX 3.5X34MM 3,100.00STENT DES RESOLUTE RX 5.0X15MM 3,100.00STENT PROTEGE EVRFLX 8X40X80 3,100.00STENT PROTEGE GPS 14X60X80 3,100.00STENT VISIPRO 7X17X80 3,100.00STNT ABSOLUTE VASC 6 X40 X135 CM 3,100.00STNT ABSOLUTE VASC 7 X40 X135 CM 3,100.00STNT BLRY TRNSHPTC 8X60MM 120CM 3,100.00STNT FILTER EVERFLEX 06X150X120 3,100.00STNT HURCULINK ELITE 6X15X135 3,100.00STNT HURCULINK ELITE 6X18X135 3,100.00STNT INTEGRITY 2.50 MM X 08MM 3,100.00STNT INTEGRITY 2.50 MM X 14MM 3,100.00STNT INTEGRITY 3.00MM X 30MM 3,100.00STNT INTEGRITY 3.50MM X 18MM 3,100.00GRAFT VSCLR BIFUR 14MMX7MMX40CM 3,100.00PLATE BONE CERVICAL RELIANT 66MM 3,100.00PLATE ZIM DISTAL LEFT 80MM 3,100.00PLATE ZIM LAT FIB LOCK 80MM R4H 3,100.00STENT DES RESOLUTE RX 2.25X34MM 3,100.00STENT DES RESOLUTE RX 4.0X15MM 3,100.00STENT DES RESOLUTE RX 4.0X38MM 3,100.00STENT PROTEGE GPS 12X60X80 3,100.00STNT INTEGRITY 2.25MM X 18MM 3,100.00PLATE BONE CERVICAL RELIANT 44MM 3,100.00STENT DES RESOLUTE RX 3.5X38MM 3,100.00STENT DES RESOLUTE RX 4.0X26MM 3,100.00STENT WALLSTENT 18X60X75 3,100.00STNT INTEGRITY 3.50MM X 30MM 3,100.00CATH CRNRY RX PTCA TT 3.5X10MM 3,100.00

LRMC Item Description Primary PriceCATH CRNRY RX PTCA TT 3.5X15MM 3,100.00PLATE ZIM LAT FIB LOCK 106MM R6H 3,100.00SPACER JNT TOE FLXBL HNG SZ3 SH 3,100.00STENT DES RESOLUTE RX 2.50X34MM 3,100.00STNT .035 8.0X39X135CM 3,100.00PUTTY DBM PROGENIX PLUS 5CC 3,100.00STENT DES RESOLUTE RX 2.25X38MM 3,100.00STENT DES RESOLUTE RX 3.0X08MM 3,100.00STENT DES RESOLUTE RX 3.0X30MM 3,100.00STENT DES RESOLUTE RX 3.5X08MM 3,100.00STENT DES RESOLUTE RX 4.0X22MM 3,100.00LEAD MEDT CAPSURE FIX 58CM 3,100.00OSTEOSET ABSORBABLE MINI BEAD KIT 3,100.00STNT INTEGRITY 2.25MM X 12MM 3,100.00SLING SYSTEM OBTRYX II CURVED 3,100.00CATH CRNRY RX PTCA TT 2.0X10MM 3,100.00PLATE BONE CERVICAL RELIANT 26MM 3,100.00STENT DES RESOLUTE RX 4.5X22MM 3,100.00MESH COMPOSIX LP 15.9 X 21.0CM 3,100.00STENT DES RESOLUTE RX 3.0X26MM 3,100.00PUTTY DBM PROGENIX PLUS 10CC 3,100.00STENT VISIPRO 7X37X80 3,100.00STENT DES RESOLUTE RX 2.00X22MM 3,100.00STENT DES RESOLUTE RX 4.0X30MM 3,100.00STNT DESXIENCE SIERRA 2.25X15MM 3,100.00STNT DESXIENCE SIERRA 2.75X12MM 3,100.00STNT DESXIENCE SIERRA 2.75X33MM 3,100.00STNT DESXIENCE SIERRA 3.25X38MM 3,100.00STNT DESXIENCE SIERRA 4.00X28MM 3,100.00STNT DESXIENCE SIERRA 4.00X38MM 3,100.00CONNECTOR CRSS ROD SPNL MUL 55MM 3,100.00PLATE 2 VDR STANDAWRD RT 70-0357 3,100.00PLATE RAD STYLOID 4HOLE SM LT 25M 3,100.00STENT DES RESOLUTE RX 4.5X18MM 3,100.00STENT EVERFLEX 7X150X120 3,100.00SPACER PEEK PARALLEL 15X12X7MM 3,100.00STENT DES RESOLUTE RX 4.5X15MM 3,100.00STENT DES RESOLUTE RX 5.0X26MM 3,100.00CATH REVOLUTION 6F 014X135CM 3,100.00MESH PATCH VENTRALEX LG 3,100.00LEAD MEDT CAPSURE FIX 52CM 3,100.00STENT WALLSTENT 16X60X75 3,100.00STENT DES RESOLUTE RX 2.25X26MM 3,100.00STENT DES RESOLUTE RX 2.50X26MM 3,100.00STENT DES RESOLUTE RX 4.0X18MM 3,100.00

LRMC Item Description Primary PriceSTENT DES RESOLUTE RX 2.75X12MM 3,100.00STENT DES RESOLUTE RX 5.0X12MM 3,100.00PUTTY DMB 5CC 3,100.00STENT DES RESOLUTE RX 2.25X08MM 3,100.00STENT DES RESOLUTE RX 2.75X18MM 3,100.00STENT DES RESOLUTE RX 2.25X22MM 3,100.00BALLOON SEEKER 70DG FRT 6X17 3,100.00STENT DES RESOLUTE RX 3.0X38MM 3,100.00STNT DESXIENCE SIERRA 3.00X08MM 3,100.00STNT DESXIENCE SIERRA 3.25X12MM 3,100.00STNT DESXIENCE SIERRA 3.25X33MM 3,100.00STNT DESXIENCE SIERRA 3.50X08MM 3,100.00STNT DESXIENCE SIERRA 4.00X08MM 3,100.00STNT DESXIENCE SIERRA 4.00X12MM 3,100.00STNT DESXIENCE SIERRA 4.00X18MM 3,100.00STNT DESXIENCE SIERRA 4.00X23MM 3,100.00STENT DES RESOLUTE RX 3.5X30MM 3,100.00CATH CRNRY RX PTCA TT 2.0X15MM 3,100.00PLATE 2 VDR STANDARD LT 70-0356 3,100.00STENT DES RESOLUTE RX 2.50X38MM 3,100.00STENT DES RESOLUTE RX 2.75X22MM 3,100.00STENT DES RESOLUTE RX 2.50X08MM 3,100.00STENT DES RESOLUTE RX 4.5X12MM 3,100.00MESH VENTRALIGHT 6X8 ELLIPSE 3,100.00PLATE BONE CERVICAL RELIANT 28MM 3,100.00STENT DES RESOLUTE RX 2.75X15MM 3,100.00STENT DES RESOLUTE RX 3.0X18MM 3,100.00STNT DESXIENCE SIERRA 2.25X28MM 3,100.00STNT DESXIENCE SIERRA 2.25X38MM 3,100.00STNT DESXIENCE SIERRA 2.75X28MM 3,100.00STNT DESXIENCE SIERRA 3.50X33MM 3,100.00STENT DES RESOLUTE RX 2.00X8MM 3,100.00PLATE DISTAL FIBULA 6H RT 3,100.00STENT DES RESOLUTE RX 4.0X08MM 3,100.00CATH CRNRY RX PTCA TT 2.5X15MM 3,100.00SCREW SF TAPC 6.5X55MM MULTI 3,100.00STENT DES RESOLUTE RX 3.5X26MM 3,100.00STENT DES RESOLUTE RX 2.50X22MM 3,100.00WIRE FILTER EMBLC PRTCT 6.0MM 3,100.00STNT DESXIENCE SIERRA 2.25X23MM 3,100.00STNT DESXIENCE SIERRA 2.50X23MM 3,100.00STNT DESXIENCE SIERRA 2.50X38MM 3,100.00STNT DESXIENCE SIERRA 2.75X18MM 3,100.00STNT DESXIENCE SIERRA 2.75X38MM 3,100.00STNT DESXIENCE SIERRA 3.00X23MM 3,100.00

LRMC Item Description Primary PriceSTNT DESXIENCE SIERRA 3.25X15MM 3,100.00STNT DESXIENCE SIERRA 4.00X15MM 3,100.00STENT DES RESOLUTE RX 4.0X12MM 3,100.00INTRODUCER AGILIS NXT MED 71CM 3,100.00SPACER JNT TOE FLXBL HNG SZ5 SH 3,100.00STENT DES RESOLUTE RX 3.5X22MM 3,100.00STENT DES RESOLUTE RX 3.5X12MM 3,100.00CATHETER IVUS VISIONS PV .035X135 3,100.00CATH CRNRY RX PTCA TT 2.5X10MM 3,100.00STENT DES RESOLUTE RX 2.50X15MM 3,100.00STNT DESXIENCE SIERRA 2.25X12MM 3,100.00STNT DESXIENCE SIERRA 2.50X28MM 3,100.00STNT DESXIENCE SIERRA 3.25X28MM 3,100.00STENT DES RESOLUTE RX 3.5X15MM 3,100.00STNT SPIDER FX 5.0MM 3,100.00DEVICE EMBO PROTCT SPIDR FX 4X320 3,100.00STENT DES RESOLUTE RX 2.25X18MM 3,100.00STNT DESXIENCE SIERRA 3.00X33MM 3,100.00STNT DESXIENCE SIERRA 3.25X23MM 3,100.00STENT DES RESOLUTE RX 2.00X30MM 3,100.00STENT DES RESOLUTE RX 2.00X18MM 3,100.00CATH CRNRY RX PTCA TT 3.0X15MM 3,100.00PLATE DISTAL RADIUS 3 HOLE 3,100.00STNT DESXIENCE SIERRA 2.75X23MM 3,100.00STNT DESXIENCE SIERRA 3.50X12MM 3,100.00STNT DESXIENCE SIERRA 3.50X28MM 3,100.00STENT DES RESOLUTE RX 2.00X15MM 3,100.00STENT DES RESOLUTE RX 2.25X15MM 3,100.00STENT DES RESOLUTE RX 3.0X22MM 3,100.00STENT DES RESOLUTE RX 3.0X12MM 3,100.00STENT DES RESOLUTE RX 3.0X15MM 3,100.00MESH COMPOSIX LP CIRCLE 4.5IN 3,100.00CATHETHER MEDT DEFLECTABLE 3,100.00STNT DESXIENCE SIERRA 2.50X12MM 3,100.00STNT DESXIENCE SIERRA 2.50X15MM 3,100.00STNT DESXIENCE SIERRA 2.75X15MM 3,100.00STENT DES RESOLUTE RX 3.5X18MM 3,100.00STENT DES RESOLUTE RX 2.50X18MM 3,100.00STNT DESXIENCE SIERRA 3.00X12MM 3,100.00STNT DESXIENCE SIERRA 3.25X18MM 3,100.00STENT DES RESOLUTE RX 2.00X12MM 3,100.00CEMENT BNE RADPAQ 40GR W/GNTMYCN 3,100.00STNT DESXIENCE SIERRA 3.00X28MM 3,100.00STNT DESXIENCE SIERRA 3.00X38MM 3,100.00STNT DESXIENCE SIERRA 3.50X18MM 3,100.00

LRMC Item Description Primary PriceSTNT DESXIENCE SIERRA 3.50X23MM 3,100.00STNT DESXIENCE SIERRA 3.50X38MM 3,100.00STENT DES RESOLUTE RX 2.25X12MM 3,100.00STNT DESXIENCE SIERRA 2.50X18MM 3,100.00LEAD MDT CAPSURE FIX 6.2FR 58CM 3,100.00STNT DESXIENCE SIERRA 2.25X18MM 3,100.00STNT DESXIENCE SIERRA 3.50X15MM 3,100.00STENT DES RESOLUTE RX 2.50X12MM 3,100.00STNT DESXIENCE SIERRA 3.00X15MM 3,100.00SUTURE ANCHOR QUATRO LINK 5.5MM 3,100.00STNT DESXIENCE SIERRA 3.00X18MM 3,100.00LEAD MDT CAPSURE FIX 6.2 FR 45CM 3,100.00LEAD MDT CAPSURE FIX 6.2FR 52CM 3,100.00BONE MATRIX TRINITY MCB 1CC 3,100.00CATH EAGLE EYE PLATINUM 3,100.00DERMIS FLEXHD THICK 6X8CM 3,137.05BREAST IMPLANT GEL 495CC 3,162.50BREAST IMPLANT GEL 555CC 3,162.50CATH PRPHRL PTA 6.0X100 X137 CM 3,162.50CATH PRPHRL PTA 5.0X100 X137 CM 3,162.50ROTALINK PLUS SYSTEM 1.25 3,162.50NAIL TROCHANTERIC LEFT 11X33X130 3,186.30NAIL TROCHANTERIC RIGHT 11X36X130 3,186.30NAIL TROCHANTERIC SHORT 11X20X130 3,186.30PATIENT PROGRMMR NEUROSTIMLTR EON 3,195.60CATH INDIGO 3 STR TIP 150CM 3.5F 3,198.25GRAFT VSCLR NATRL COLAGN 7MM 3,214.75PLATE PROX TIBIA 5H LT 132MM 3,217.50PLATE PROX TIBIA 5H RT 132MM 3,217.50STNT ABSOLUTE PRO 5 X 40 X135 3,221.65PLATE DISTAL FEMUR 12H RT 278MM 3,267.00PLATE DISTAL FEMUR 9H LEFT 167MM 3,300.00SHEATH STEERABLE 12FR 3,300.00PLATE DISTAL FEMUR 5H RIGHT 167MM 3,300.00ORTHOBLEND DEFGRAFT DBM 10CC 3,345.40GRAFT PROPATEN STD 4-7MM 45CM 3,390.75MESH RESTORELLE DIRECTFIX POST 3,411.95STENT XIENCE XPEDITN RX 2.5X33 3,412.00STENT XIENCE ALPINE 3.25X8 3,412.00STENT XIENCE ALPINE 2.25X8 3,412.00STENT XIENCE ALPINE 4.0X28 3,412.00STENT XIENCE ALPINE 2.75X8 3,412.00STENT XIENCE ALPINE 4.0X8 3,412.00STENT XIENCE ALPINE 2.5X8 3,412.00STENT XIENCE ALPINE 3.5X8 3,412.00

LRMC Item Description Primary PriceSTENT XIENCE ALPINE 3.5X33 3,412.00STENT XIENCE ALPINE 4.0X23 3,412.00STENT XIENCE ALPINE 3.25X38 3,412.00STENT XIENCE ALPINE 3.0X8 3,412.00STENT XIENCE ALPINE 3.25X33 3,412.00STENT XIENCE ALPINE 4.0X38 3,412.00STENT XIENCE ALPINE 2.5X38 3,412.00STENT XIENCE ALPINE 2.25X28 3,412.00STENT XIENCE ALPINE 2.5X33 3,412.00STENT XIENCE ALPINE 2.75X38 3,412.00STENT XIENCE ALPINE 3.25X23 3,412.00STENT XIENCE ALPINE 2.75X33 3,412.00STENT XIENCE ALPINE 2.75X28 3,412.00STENT XIENCE ALPINE 4.0X15 3,412.00STENT XIENCE ALPINE 2.25X15 3,412.00STENT XIENCE ALPINE 3.5X28 3,412.00STENT XIENCE ALPINE 2.75X23 3,412.00STENT XIENCE ALPINE 3.5X38 3,412.00STENT XIENCE ALPINE 3.25X15 3,412.00STENT XIENCE ALPINE 2.5X23 3,412.00STENT XIENCE ALPINE 2.75X18 3,412.00STENT XIENCE ALPINE 3.0X33 3,412.00STENT XIENCE ALPINE 2.25X18 3,412.00STENT XIENCE ALPINE 4.0X18 3,412.00STENT XIENCE ALPINE 2.25X12 3,412.00STENT XIENCE ALPINE 2.75X12 3,412.00STENT XIENCE ALPINE 3.25X18 3,412.00STENT XIENCE ALPINE 3.5X15 3,412.00STENT XIENCE ALPINE 3.0X28 3,412.00STENT XIENCE ALPINE 3.0X38 3,412.00STENT XIENCE ALPINE 2.75X15 3,412.00STENT XIENCE ALPINE 3.5X12 3,412.00STENT XIENCE ALPINE 3.5X18 3,412.00STENT XIENCE ALPINE 2.5X15 3,412.00STENT XIENCE ALPINE 3.0X18 3,412.00STENT XIENCE ALPINE 3.0X15 3,412.00STENT XIENCE ALPINE 3.25X28 3,412.00STENT XIENCE ALPINE 4.0X12 3,412.00STENT XIENCE ALPINE 2.25X23 3,412.00STENT XIENCE ALPINE 3.25X12 3,412.00STENT XIENCE ALPINE 2.5X28 3,412.00STENT XIENCE ALPINE 3.5X23 3,412.00STENT XIENCE ALPINE 2.5X18 3,412.00STENT XIENCE ALPINE 2.5X12 3,412.00STENT XIENCE ALPINE 3.0X23 3,412.00

LRMC Item Description Primary PriceSTENT XIENCE ALPINE 3.0X12 3,412.00SLING SYSTEM ALTIS 7.75CM 3,437.50NAIL PROXIMAL FEMUR 11/180 3,439.15ROTALINK PLUS SYSTEM 2.00 3,503.50ROTALINK PLUS SYSTEM 1.75 3,503.50ROTALINK PLUS SYSTEM 1.50 3,503.50STNT INTEGRITY DES 2.25X22MM 3,506.25STNT INTEGRITY DES 2.75X14MM 3,506.25STNT INTEGRITY DES 3.50X18MM 3,506.25STNT INTEGRITY DES 3.OOX26MM 3,506.25STNT INTEGRITY DES 4.00X12MM 3,506.25STNT INTEGRITY DES 4.00X15MM 3,506.25STNT INTEGRITY DES 4.00X22MM 3,506.25STNT RES INTEGRITY DES 2.50X30 MM 3,506.25STNT RX 3.00X9MM 3,506.25STENT RESOLUTE INTEG RX 2.75X22 3,506.25STNT INTEGRITY DES 2.50X26MM 3,506.25STNT INTEGRITY DES 2.75X18MM 3,506.25STNT INTEGRITY DES 3.00X12MM 3,506.25STNT INTEGRITY DES 3.00X22MM 3,506.25STNT INTEGRITY DES 3.00X30MM 3,506.25STNT RX 2.25X8MM 3,506.25STNT RX 2.50X8MM 3,506.25STNT INTEGRITY DES 2.25X18MM 3,506.25STNT INTEGRITY DES 4.00X38MM 3,506.25STNT RES INTEGRITY DES 2.25X30 MM 3,506.25STNT INTEGRITY DES 2.25X14MM 3,506.25STNT INTEGRITY DES 2.75X12MM 3,506.25STNT INTEGRITY DES 3.50X15MM 3,506.25STNT INTEGRITY DES 2.50X14MM 3,506.25STNT INTEGRITY DES 2.50X18MM 3,506.25STNT INTEGRITY DES 3.50X12MM 3,506.25STNT INTEGRITY DES 3.50X30MM 3,506.25STNT RES INTEGRITY DES 2.75X30 MM 3,506.25STNT INTEGRITY DES 3.00X34MM 3,506.25STNT RES INTEGRITY DES 2.50X22 MM 3,506.25STNT INTEGRITY DES 2.50X12MM 3,506.25STNT INTEGRITY DES 3.00X15MM 3,506.25STNT INTEGRITY DES 3.00X18MM 3,506.25STNT INTEGRITY DES 3.50X22MM 3,506.25MOLD FEMORAL KNEE 65MM 3,511.20PLATE PROX LAT HUM 8H RT 138MM 3,531.00GRAFT PELVIC RECON XENFORM 3,561.25MESH RESTORRELLE DIRECT FIX 3,572.25STENT ABSORB GT1 BVS 3.5X23 RX 3,575.00

LRMC Item Description Primary PricePLATE ZIMMER LOCKING 14 HOLE R 3,613.50PLATE PROX LAT HUM 12H LT 186MM 3,613.50PLATE PROX LAT HUM 16H RT 234MM 3,696.00TOTAL KNEE EXACTECH K1 3,700.00MONARC C SUBFASCIAL HAMMOCK 3,709.75STENT SIDE BRANCH 15MM 3.5-4.0MM 3,712.50STENT SIDE BRANCH 2.5MM 3,712.50ROTALINK PLUS PERIPHERAL1.25MM 3,712.50ROTALINK PLUS PERIPHERAL 2.0MM 3,712.50TENDON ACHILLES IMPLANT 3,731.75GRAFT VSCLR NATRL COLAGN 6MM 3,737.25STENT XCEED NITINOL 8 X 120 X 120 3,790.55CATH DCB STELLAREX 6X60X80 3,850.00SP ATHERECTOMY CATHETER 4,003.90MESH TISSUE MATRIX XENFORM 8X12 4,004.00FILTER BSKET EMBOLC PROTCTN 4,070.00BONE GRAFT PUTTY CONNEXUS 10CC 4,086.50SHEATH DILATOR TIGHTRAIL MINI 13F 4,111.25TISSUE TENDON TIBIALIS POSTER 4,122.25GRAFT ACUSEAL 4-7MMX45CM 4,122.25CATH DCB STELLAREX 6X120X135 4,125.00PLATE NCB PT LAT PROX 3H TIB5H RT 4,152.70PLATE TIB NCB-PT LAT PROX 3H LT5M 4,152.70MESH S/TISS HERNIA REP ALLO 4CM X 4,166.65NAIL 13MM X 180MM 8143-13-180 4,180.00GRAFT VASC NTRL COLLAGEN 7MMX45CM 4,259.75STENT WALLSTENT 20X80X75 4,262.50STENT WALLSTENT 18X90X75 4,262.50MATRIX SOFT TISSUE 200 3CM X 3CM 4,279.00MESH TISSUE MATRIX TENDON 2X5CM 4,306.50STNT SUPERA VERITAS 5X80X120CM 4,386.25STENT SUPERA PERIPH 5.5X120X120 4,386.25SP ZZ DURAFLOW CATHETER 4,403.25FILTER EMBOLIC PRTCT 6.5MM 300CM 4,466.35FILTER EMBOSHIELD NAV6 5.0 SMALL 4,466.35FILTER EMBOSHIELD NAV6 7.2 LARGE 4,466.35MESH S/TISS HERNIA REP ALLO 7CM X 4,566.20LEAD MDT ATTAIN ABILITY 88CM 4,655.50CATHETER MO MA ULTRA 9F 4,661.25CATH PTA DCB INPACT 150X130 4,702.50CATH PTA DCB INPACT 5X150X130 4,702.50CATH PTA DCB INPACT 6X150X130 4,702.50DERMIS AFLEX 100 1.26-1.75MM 4,758.19OPTEFORM ALLOGRAFT DBM RT 5CC 4,779.50LEAD STJUDE QUICKFLEX MICRO 75 4,812.50

LRMC Item Description Primary PriceSTNT CAROTID PRECISE PRO 6X20X135 4,812.50STNT PRECISE PRO RX CAROTID 10X40 4,812.50STNT PRECISE PRO RX CAROTID 7X40 4,812.50STNT PRECISE PRO RX CAROTID 8X30 4,812.50STNT CAROTID PRECISE PRO 8X20X135 4,812.50STNT PRECISE PRO RX CAROTID 9X40 4,812.50STNT PRO RX CAROTID 8 X 40 4,812.50STNT PRECISE PRO RX CAROTID 7X30 4,812.50GRAFT PROPATEN TW RR 6MM 40-50CM 4,878.50RING ANNLPLSTY MTRL VLV 32MM 4,936.25STNT SUPERA VERI SYS 5X120X120CM 4,936.25STNT ZILVER DRG-ELT 35-125-6-100 4,936.25STNT ZILVER DRG-ELT 35-125-7-100 4,936.25STNT SUPERA VERI SYS 5X100X120CM 4,936.25STENT SUPERA 6.0X150X120 4,936.25LEAD MDT ABILTY PLUS 5.3FR88CM 4,950.00LEAD STJUDE QUARTET 86CM 5,057.80SHEATH DILATOR TIGHTRAIL 9F 5,211.25SHEATH DILATOR TIGHTRAIL 11F 5,211.25SHEATH DILATOR TIGHTRAIL 13F 5,211.25STENT BILIARY PRECISE 6X40X135 5,362.50STENT BILIARY PRECISE 7X40X135 5,362.50CATH INDIGO 6 STR TIP 135CM 6.0F 5,472.50SET THROMBECTOMY SOLENT DISTA 5,500.00LEAD MEDT ATTAIN PERFOMRA 78CM 5,500.00LEAD STJUDE QUARTET 75CM 5,500.00LEAD MEDT ATTAIN PERFORMA S 88CM 5,500.00LEAD MEDT ATTAIN PERF 88CM 5,500.00CATH ICE VIEWFLEX XTRA 5,775.00MATRIX SOFT TISSUE 200 5CM X 5CM 5,819.00RESERVOIR CONCEAL 100 ML 5,879.50STENT XACT CAR 8.0X30MM STRGHT 5,930.73STENT RX ACCULINK 10X30X132 5,930.75STNT CRTD ENDOVSCLR 7X40MM 8FR 5,930.75STENT RX ACCULINK 6.0X40X132 5,930.75HIP FRAC TRAUMA DPY SHRT T1A 6,050.00SP ZZ PERIPHERAL STENT GRAFT 6,121.20TOTAL HIP HSPLIT 6,187.50BONE MATRIX TRINITY MCB 5CC 6,338.75LEAD BSCI ACUITY X 4 6,432.25RING ANNLPLSTY HRT VLV MTRL 40MM 6,462.50RING ANNLPLSTY MTRL VLV 38MM W/H 6,462.50RING ANNLPLSTY MTRL VLV 30MM W/H 6,462.50CATH LASER ELCA RX 1.4MM 6,462.50RING ANNLPLSTY MTRL VLV 34MM W/H 6,462.50

LRMC Item Description Primary PriceRING ANNLPLSTY MTRL VLV 36MM W/H 6,462.50STENT GRAFT VBC VIABAHN 7X5X120 6,462.50RING ANNLPLSTY MTRL VLV 26MM W/H 6,462.50RING ANNLPLSTY MTRL VLV 32MM W/H 6,462.50RING ANNLPLSTY MTRL VLV 28MM W/H 6,462.50CATH LASER ELCA RX 0.9MM X-80 6,462.50STNT XACT CAROTD 8-6X30MM TAP 6,516.50STNT CRTD ENDOVSCLR 6MM-8X30MM 6,516.50STNT CRTD ENDOVSCLR 7MM-10X30MM 6,516.50STNT CRTD ENDOVSCLR 6MM-8X40MM 6,516.50STNT CRTD ENDOVSCLR 7MM-10X40MM 6,516.50JOSTNT GRAFTMASTER 3.5 X 19 6,586.25JOSTNT GRAFTMASTER 4.0 X 16 6,586.25STNT GRFMATR CRNRY OTW 3.5X19 MM 6,586.25JOSTNT GRAFTMASTER 2.8X16 6,586.25DERMIS FLEXHD ULTRA THICK 8X12CM 6,717.45BASEPLATE CONSTRAIND MOD TIBIAL 6,730.65HIP PARTIAL CEMENTED H3 6,875.00HIP BIPOLAR CEMENTED ZIMMER H3 6,875.00HIP FRAC TRAUMA DPY LNG T1 6,875.00HIP BIPOLAR CEMENTED BIOMET H3 6,875.00BALLOON SPHNCTR PRESSR 61CM-70CM 6,905.25CATH NAVISTAR D-F CURVE 8MM 7,084.00RING ANNLPLSTY HRT VLV TRIC 28MM 7,136.25RING ANNLPLSTY HRT VLV TRIC 26MM 7,136.25RING ANNLPLSTY HRT VLV TRIC 32MM 7,136.25SYSTEM FROZA SPACER 9MMX27MMX8MM 7,152.75SYSTEM FROZA SPACER 9MMX27MMX6MM 7,152.75SYSTEM FORZA SPACER 9MMX27MMX10MM 7,152.75SYS FORZA SPACER9MMX27MMX7MM 7,152.75SYS FORZA SPACER 9MMX27MMX9MM 7,152.75STENT GRAFT VIABAHN VBH 10X5 7,339.75STENT GRAFT VIABAHN VBH 11X2.5 7,339.75STENT GRAFT VBH VIABAHN 9X5X120 7,339.75STENT VIABAHN EXP 8X59MM 7,339.75STENT VIABAHN EXP 8X39MM 7,339.75CATH LASER TURBO-ELITE OTW 0.9MM 7,425.00CATH LASER TURBO-ELITE OTW 1.4MM 7,425.00CATH LASER TURBO-ELITE OTW 2.0MM 7,425.00GRAFT PROPATEN TW RR 6MM 60-80CM 7,499.25HANDPIECE TRANSMRL BIPOL CRV LNG 7,562.50SHEATH LASER GLIDELIGHT 12FR 7,590.00SHEATH LASER GLIDELIGHT 14F 7,590.00SHEATH LASER GLIDELIGHT 16F 7,590.00STENT GRAFT VIABAHN VBJ 6X5 7,603.75

LRMC Item Description Primary PriceSTENT GRAFT VIABAHN VBJ 8X5 7,603.75STNT CVRD HEPARIN 5X5CMX120CM 7,603.75STNT CVRD HEPARIN 6X5CMX120CM 7,603.75STNT CVRD HEPARIN 8X5CMX120CM 7,603.75STENT GRAFT VBC VIABAHN 7X10X75 7,625.75CATH INFUSION SYS LYSUS 12X106CM 7,686.25CATH INFUSION SYS LYSUS 18X106CM 7,686.25CATH INFUSION SYS LYSUS 30X106CM 7,686.25RING ANNULO MITRAL CARP M A 28MM 7,686.25CATH INFUSION SYS LYSUS 50X135CM 7,686.25INFUSION SYSTEM EKOSONIC 50X106 7,686.25CATH INFUSION SYS LYSUS 40X135CM 7,686.25INFUSION SYSTEM LYSUS 40X106 7,686.25INFUSION SYSTEM LYSUS 12X106 7,686.25GRAFT PROPATEN TW RR 8MM 70-80CM 7,724.75PLATE EXT 4HOLE W/4CBLS 23X232MM 7,837.50PLATE 4 HOLE GREATER TROCHANTER 7,837.50CATH INDIGO 8 XTORQ TIP 115CM 7,947.50CATH INDIGO 8 TORQ TIP 85CM 7,947.50OPTEFORM ALLOGRAFT DBM RT 10CC 7,983.25CATH DIAMONDBACK 2.00MMX135CM 8,236.25HIP BIPOLAR POROUS STRYKER H2 8,250.00HIP BIPOLAR POROUS BIOMET H2 8,250.00HIP BIPOLAR POROUS ODI H2 8,250.00HIP BIPOLAR POROUS MEDACTA H2 8,250.00GRFT AORTIC EXT ENDURANT 25X25X49 8,456.25GRFT AORTIC EXT ENDURANT 28X28X49 8,456.25GRFT SUPRA AFX A-28X28 75 8,511.25STENT GRAFT VIABAHN 5X10X120 8,665.25STENT GRAFT VIABAHN VBJ 8X10 8,665.25STENT VIABAHN 6X7.5 8,665.25STNT CVRD HEPARIN 7X10X120 8,665.25STENT GRAFT VBJ VIABAHN 8X10X120 8,665.25CATHETER HAWKONE LX 7FR 8,786.25CATHETER HAWKONE S 6FR 8,786.25CATHETER HAWKONE M 6FR 8,786.25GRAFT STRETCH VASCULAR STANDARD 8,794.50VALVE AORTIC AP360 MHV 505DA18 8,800.00VALVE AORTIC AP360 MHV 505DA16 8,800.00LEAD STJUDE ICD DURATA DF465 CM 8,851.15LEAD ST JUDE ICD DURATA 65CM 8,851.15LEAD STJUDE ICD SJ4 DURATA58CM 8,851.15LEAD STJUDE ICD SJ4 DURATA 52CM 8,851.15LEAD ST JUDE ICD DURATA 65CM 8,851.15LEAD STJUD ICD DURATA SJ4 58CM 8,851.15

LRMC Item Description Primary PriceSTENT GRAFT VBC VIABAHN 6X15X120 8,943.00DERMIS PLIABLE PERFORATED 8X16CM 9,060.84GRFT AORTIC EXT ENDURANT 32X32X49 9,281.25CATH STLTH CLASSIC CROWN 1.5X145 9,336.25CATH STEALTH MICRO 1.25X145 9,336.25CATH STEALTH SOLID CROWN 1.5X145 9,336.25CATH STEALTH SOLID CROWN 2.0X145 9,336.25STENT GRAFT VIABAHN VBH 6X15 9,724.00CATH SMART TOUCH ST SF D-F 9,759.00STENT GRAFT VBJ VIABAHN 8X15X120 9,988.00STENT GRAFT VIABAHN 5X15X120 9,988.00STENT GRAFT VIABAHN VBJ 7X15 9,988.00STNT CVRD HEPARIN 6X15MM 120CM 9,988.00STENT GRAFT VIABAHN VBJ 6X15 9,988.00TOTAL KNEE PRIMARY ZIMMER K1U 10,175.00TOTAL KNEE PRIMARY ZIMMER K1T 10,175.00TOTAL KNEE PRIMARY MEDACTA K1T 10,175.00LEAD BSCI ENDOTK RELINC G 64 10,419.75LEAD BSCI ENDOTK RELINC SG64 DF4 10,419.75LEAD BSCI ENDOTK RELINC SG59 DF4 10,419.75SYSTEM DIAMONDBACK 360 1.25MM 10,436.25TOTAL KNEE PRIMARY SN K1U 10,450.00TOTAL KNEE PRIMARY ZIMMER K1 10,450.00LEAD MDT SPRNT QUA SEC 58CM 10,604.15LEAD MDTR SPRINT QUA DF4 55CM 10,604.15LEAD MDTR SPRNT QUA DF4 62CM 10,604.15LEAD MEDTR SPRNT QUA DF4 62CM 10,604.15LEAD MEDT SPRNT QUATTRO S 62CM 10,604.15LEAD MEDT SPRNT QUATTRO S 62CM 10,604.15GRFT LIMB ENDURANT II 16X16X93 10,931.25TOTAL SHOULDER FX SOLUTIONS S1 11,000.00TOTAL SHOULDER TORNIER S1T 11,000.00TOTAL KNEE HYBRID EXACTECHK2 11,275.00LEAD MEDT SPRNT QUATTRO S 55CM 11,275.00GRFT LIMB ENDURANT II 16X13X93 11,481.25RECORDER LOOP CONFIRM RX ICM 11,495.00RECORDER LOOP CONFIRM RX ICM 11,495.00GRFT SUPRA AFX A-34X34 80 11,536.25GRFT SUPRA AFX A-34X34 100 11,536.25TOTAL SHOULDER TORNIER S2 11,825.00TOTAL SHOULDER EXACTECH S1 11,825.00GRFT LIMB ENDURANT II 16X20X93 11,893.75TOTAL HIP CORIN H1 12,375.00TOTAL HIP HYBRID ZIMMER H1 12,375.00TOTAL HIP EXACTECH H1 12,375.00

LRMC Item Description Primary PriceCATH AFA CRYOABLATION 2AF284 12,375.00TOTAL HIP ODI H1 12,375.00TOTAL HIP MEDACTA H1 12,375.00MESH TISS ALLOMAX 13CM X 15CM 12,714.50GRFT LIMB ENDURANT II 16X10X93 12,856.25GRFT LIMB ENDURANT II 16X16X124 12,866.56GRFT LIMB ENDURANT II 16X24X124 12,997.19GRFT LIMB ENDURANT II 16X10X124 12,997.19GRFT LIMB ENDURANT II 16X20X124 12,997.19GRFT LIMB ENDURANT II 16X13X124 12,997.19COMPONENT FEMORAL REV SIZE 0 RT 13,165.35COMPONENT FEMORAL REVISION SZ 1 R 13,165.35COMPONENT FEMORAL SIZE 0 LEFT 13,165.35DERMIS FLEXHD ULTRA THICK 12X16CM 13,313.30GRFT LIMB ENDURANT II 16X28X124 13,681.25TOTAL SHOULDER LIMA S2 13,750.00TOTAL HIP BIOMET H1 13,750.00CUFF AMS 800 ST WITH IZ 14,148.75PUMP CONTROL AMS 800 72404127 14,341.25STENT GRAFT VIABAHN 5X25X120 16,816.25STENT GRAFT VIABAHN VBJ 6X25 16,816.25STENT GRAFT VIABAHN 6X25X120 16,816.25VALVE MITRAL PERICARDIAL 31MM 17,462.50VALVE MITRAL PERICARDIAL 27MM 17,462.50VALVE MITRAL PERICARDIAL 25MM 17,462.50VALVE MAGNA EASE 19MM 17,462.50VALVE MAGNA EASE 27MM 17,462.50VALVE MAGNA EASE 21MM 17,462.50VALVE MAGNA EASE 25MM 17,462.50VALVE MAGNA EASE 23MM 17,462.50GRFT LIMB ENDURANT II 16X13X156 17,600.00GRFT LIMB ENDURANT II 16X20X156 17,600.00GRFT LIMB ENDURANT II 16X28X156 17,600.00GRFT LIMB ENDURANT II 16X24X156 17,600.00GRFT LIMB ENDURANT II 16X10X156 17,600.00GRFT LIMB ENDURANT II 16X16X156 17,600.00GRFT LIMB ENDURANT II 16X13X199 17,861.25VEIN CRYO SAPHENEOUS 61-70CM 19,127.00VEIN SPHNS 19,800.00SET CYLINDER W PUMP 18CM 19,813.75VEIN CRYO SAPHENEOUS 71-80CM 20,374.00GRFT AORTIC EXT ENDURANT 25X25X70 20,556.25TOTAL SHOULDER REV EXACTECHS3 20,625.00TOTAL SHOULDER REV DPUY ORTH S3 20,625.00TOTAL SHOULDER REVERSE TORNIER S3 20,625.00

LRMC Item Description Primary PriceTOTAL SHOULDER REVERSE MEDACTA S3 20,625.00TOTAL SHOULDER REV LIMA S3 20,625.00VEIN CRYO SAPHENEOUS >80CM 21,877.00TOTL ANKLE INBONE II WRIGHT MD A2 23,375.00VEIN SAPHENOUS 4-5MMX50CM 25,698.75GRFT BIFUR ENDURANT IIS 25X14X103 26,059.00GRFT BIFUR ENDURANT II 25X13X124 27,431.25OCCLUDER PFO 25MM 27,486.25PUMP IMPELLA CP 14FR W/ 9FR CATH 55,000.00SET PUMP IMPELLA LD AIC 77,000.00VALVE AORTIC SAPIEN COMMANDER 20 89,375.00VALVE AORTIC SAPIEN NOVAFLEX 26MM 89,375.00VALVE AORTIC SAPIEN ASCENDRA 23MM 89,375.00VALVE AORTIC SAPIEN COMMANDER 29 89,375.00VALVE AORTIC SAPIEN COMMANDER 23 89,375.00VALVE AORTIC SAPIEN COMMANDER 26 89,375.00VENIPUNCTURE SPECIMEN COLLECTION 10.50VENIPUNCTURE SPECIMEN COLLECTION 10.50VENIPUNCTURE CHG 10.50GASTRIC OCCULT BLOOD 19.95WET PREP 27.60HEMOGLOBIN ELECTROPHORESIS PANEL 40.95HDL CHOLESTEROL CDC 43.35PROTEIN ELECTROPORESIS 60.85IEF CONFIRMS 71.00LIPOPROTEIN METABOLISM PROFILE 71.95ANTIBODY SCREEN-TUBE METHODS 73.50ANTIBODY SCREEN-CHARGE ONLY 73.50IRON AND IRON BINDING CAPACITY 74.80INDUCED SPUTUM 85.85INDUCE SPUTUM SUBSEQUENT 85.85BLOOD PARASITES 92.55ACTIVATED CLOTTING TIME 105.20ELECTROLYTE PROFILE 134.00URINALYSIS (ROUTINE UA) 137.60URINALYSIS W/ REFLEX CULTURE 137.60JAK2 V617F MUTATION QN 250.00MOLECULAR HGB ELECT 293.90JAK2 V617F MUTATION 297.25VARICELLA ZOSTER ANTIBODY (IGG) 4.50LH (LUTEINIZING HORMONE) 5.00FOLLICLE STIM HORMONE (FSH) 5.00CFH BIOMETRICS LIPID PANEL 5.00CFH BIOMETRICS GLYCOHEMOGLOBIN 5.00CFH BIOMETRICS VIT D 250H TOTAL 5.00

LRMC Item Description Primary PricePROLACTIN (PRL) 6.00FRUCTOSAMINE BLD 6.00CERULOPLASMIN BLD 7.00MITOCHONDRIAL (M2) AB IGG 7.00DHEA SO4 (DHEAS) 7.80ALDOLASE BLD 8.00INSULIN LEVEL 8.00PROGESTERONE LVL BLD 8.00COPPER (CU) BLD 9.00CALCIUM LVL IONIZED 9.00ESTRADIOL (E2) BLD 9.00BETA2 MICROGLOBULIN BLD 10.00ALPHA-1-ANTITRYPSIN QUANTITATION 10.00TISSUE TRANSGLUTAMINASE AB IGA 10.00ALPHA FETOPROTEIN (AFP) 10.00PROTEIN TOTAL URINE CHG ONLY 10.90PROTEIN OTHER SOURCE CHG ONLY 10.90ANGIOTENSIN CONVERT ENZ(ACE) BLD 12.00ALK PHOS ISOS 13.24T3 REVERSE BLD 13.35CYCLOSPORINE A TROUGH 13.86OLIGOCLONAL BANDS CSF 14.00RENIN ACTIVITY PLASMA 14.00VITAMIN B6 PLASMA 14.00METHYLMALONIC ACID (MMA) 15.00TESTOSTERONE FREE & TOTAL BLD 15.00ZINC LEVEL 15.76SEX HORMONE BINDING GLOB 16.00GLIADIN DEAMIDATED ABS IGG,IGA 16.00VITAMIN B1 (THIAMINE) BLD 16.00ACTH (CORTICOTROPIN) 16.00PSA FREE & TOTAL BLD 16.00VITAMIN D 1 25-DIHYDROXY BLD 17.00URIC ACID URINE-CO 17.30VOLUME MEASUREMENT - CHRG ONLY 17.35ERYTHROPOIETIN (EPO) BLD 17.42THYROGLOBULIN PROFILE 17.82INFANT SCREEN 18.90ALDOSTERONE BLD 19.00C PEPTIDE BLD 20.00LEVETIRACETAM LVL 21.50OCCULT BLOOD STOOL X3 21.65OCCULT BLOOD FECES 1-3 SIMUL DET 21.65TACROLIMUS HIGH SENSI 22.02VITAMIN E (TOCOPHEROL) 22.22

LRMC Item Description Primary PriceLEAD BLOOD 23.40ACHR BINDING AB 24.50ZINC 24.65TESTOS FREE,BIO & TOTAL 25.00KAPPA/LAMBDA LT CHAINS TOTAL 25.00FASTING GLUCOSE 25.35LATEX IGE SERUM 25.70ALDOLASE BLOOD 26.05MITOCHONDRIAL AB 26.15BETA 2 MICROGLOBULIN SERUM 26.65CELIAC DISEASE CASCADE 27.205-HIAA 24 HR URINE 28.20INSULIN SERUM 28.80PCX GLUCOSE 29.15ALPHA-1-ANTITRYPSIN SERUM 29.35LIPOPROTEIN (A) 29.75TISSUE TRANGLUTAMINASE AB IGG 30.15TISSUE TRANSGLUTAMINASE IGA AB 30.15RENIN ACTIVITY 30.20METANEPHRINES FRAC 24H URINE 30.25GLUCOSE CSF 30.45GLUCOSE BODY FLUID 30.45I STAT GLUCOSE 30.45GASTRIN BLD 30.55CERULOPLASMIN SERUM 31.05GLUCOSE FASTING 31.25DIRECT LDL 31.25ALPHA-1-ANTITRYPSIN PHENOTYPE 31.60CALCIUM IONIZED 31.65POTASSIUM URINE 24HR 31.75POTASSIUM URINE RANDOM 31.75VMA RANDOM URINE 31.85VMA 24 HR URINE 31.85GROWTH HORMONE (HGH) 31.95GBM IGG AB 32.00CATECHOLAMINE FRAC FREE URINE 32.45PSA FREE & TOTAL 33.10FRUCTOSAMINE 33.45UREA CLEARANCE 33.60POTASSIUM SERUM 34.10SIROLIMUS (RAPAMYCIN) LVL 34.25DHEA SULFATE 34.40LAMOTRIGINE BLOOD 34.65IMMUNO QN TYPE BY RIA-CO 35.00PTH RELATED PROTEIN 35.00

LRMC Item Description Primary PriceCRYOGLOBULIN BLOOD 35.10INSULIN-LIKE GROWTH FACTOR 1 35.50GLUCOSE-6-PD QN 35.80CYCLOSPORINE BLOOD 36.00DHEA DEHYROEPIANDROSTERONE 36.05ANGIOTENSIN CONVERTING ENZYME 36.70COPPER BLOOD 36.90CATECHOLAMINE FREE FRAC BLD 37.00CORTISOL FREE 24H URINE 37.05METHYLMALONIC ACID 37.05MYELIN BASIC PROTEIN 37.15GLIADIN IGG & IGA ANTIBODIES 37.40BUN 37.55CALCITONIN 37.70IRON 38.05PHOSPHOROUS URINE 24HR 38.20DS DNA ABS W/REF IGG 38.39VITAMIN A SERUM 38.40PH BODY FLUID 38.80ALKALINE PHOS ISOENZYMES 39.10TACROLIMUS 39.50IGG INDEX CSF 39.54SEX HORMONE BINDING GLOBULIN 39.80ESTROGEN TOTAL 39.90MATERNAL QUAD SCREEN 40.10DEAMIDATED GLIADIN IGG AB 40.15DEAMIDATED GLIADIN IGA AB 40.15BHCG TUMOR MARKER 40.20PROSTATIC ACID PHOSPHATASE BLD 40.75CALCIUM SERUM 41.20VITAMIN E SERUM 41.30IGG SYNTHESIS INDEX CSF 41.35FSH BLOOD 42.10LUTEINIZING HORMONE (LH) BLOOD 42.35THYROXINE-BINDING GLOB (TBG) 42.65ALKALINE PHOSPATASE 43.05IGE QUANT IMMUNOGLOB 43.30BILIRUBIN-TOTAL-CO 43.50CELIAC DZ SEROLOGY 43.50ESTRIOL UNCONJUGATED 43.75PHOSPHOROUS SERUM 43.75TOPIRAMATE 43.80CAFFEINE 43.90ESTROGENS FRACTIONATED 43.90CALCIUM URINE 44.55

LRMC Item Description Primary PriceCALCIUM URINE 24 HR 44.55VARICELLA ZOSTER IGG AB SERUM 44.70AFP TUMOR MARKER 44.90PROT ELECTROPHORESIS 24H URINE 45.40PROTEIN ELECTROPHORESIS, URINE 45.40AMIODARONE BLOOD 45.55CHROMOGRANIN A 45.60MYELOPEROXIDASE IGG AB 45.70BILIRUBIN TOTAL 45.70IGFBP-3 45.75GLUC TOL 3 HR SPEC 46.55GLUC TOL FASTING SPEC 46.55C1 ESTERASE INHIBITOR AG 46.60C PEPTIDE 46.60GBM AB IGG 47.40UNSTABLE HEMOGLOBIN 47.95HDL 48.10IGG SUBCLASSES PANEL 48.10BETA HYDROXYBUTYRATE 48.15AMIKACIN PEAK SERUM 48.60AMIKACIN TROUGH SERUM 48.60OLIGOCLONAL BANDING CSF & SERUM 48.90T3 REVERSE BLOOD 49.00CYSTATIN C 49.10IGG SUBLASSES SERUM 49.70CARBON DIOXIDE 50.10IMMUNOGLOBULIN M 50.25IMMUNOGLOBULIN G 50.25IMMUNOGLOBULIN A 50.25IMMUNOGLOBULIN PANEL 50.25MONOCLONAL PROTEIN 24H URINE 50.30MONOCLONAL PROTEIN STUDY URINE 50.30ALBUMIN BODY FLUID 50.35ALBUMIN SERUM 50.35HEAVY METALS SCRN 24HR URINE 50.50VITAMIN B2 PLASMA 51.40LEVETIRACETAM BLOOD 51.60ACETYLCHOLINE REC BINDING AB 51.65ETHYLENE GLYCOL BLOOD 52.05PROGESTERONE SERUM 52.20ACTH PLASMA 52.60PHOSPHOLIPIDS SERUM 52.85FECAL FAT (LIPIDS) 53.30VITAMIN D 1 25 DIHYDROXY 53.45BILIRUBIN DIRECT 53.55

LRMC Item Description Primary PriceMETANEPHRINES FRAC FREE BLD 55.00CREATININE BODY FLUID 55.50CREATININE URINE 24 HOUR 55.50CREATININE URINE RANDOM 55.50CREATININE SERUM 55.50THYROGLOBULIN PANEL BLD 55.75URIC ACID BODY FLUID 56.10URIC ACID URINE 56.10HISTONE AUTOANTIBODY 57.20HEAVY METAL PROFILE RANDOM URINE 57.90TRIGLYCERIDE BODY FLUID 58.15TRIGLYCERIDES 58.15TRANSFERRIN LEVEL 58.35PROTEIN ELECTROPHORESIS CSF \ BF 58.45SODIUM URINE 24 HOUR 59.15SODIUM URINE RANDOM 59.15COMPLEMENT C1Q 59.20CHOLESTEROL TOTAL 59.35CHOLESTEROL BODY FLUID 59.35BONE ALKALINE PHOSPHATASE 59.55TESTOSTERONE FREE TOT & BIO 59.75MECONIUM DRUG SCR 9 PANEL 60.00T4 FREE DIRECT DIALYSIS 60.15SODIUM SERUM 60.45I STAT 6+ 60.45METHOTREXATE SERUM 60.50DIHYDROTESTOSTERONE (DHT) 60.60SIROLIMUS 60.70HEAVY METALS SCRN BLOOD 60.95MAGNESIUM 61.15T4 FREE (FREE THYROXIN) 61.80IMMUNOGLOBULIN D 62.60ESTRONE BLD 62.85CALCIUM IONIZED (ISTAT) 63.55OXCARBAZEPINE METAB (MHC) 63.70TESTOSTERONE FREE & TOTAL 63.75LACTATE (LACTIC ACID) 63.80PROTEIN TOTAL 64.25ALT (SGPT) 64.50VITAMIN B6 SERUM 64.65GLUCOSE 2 HOUR POST PRANDIAL 65.60GLUCOSE 1HR PP 65.60IODINE 66.05PRO BNP N-TERMINAL SERUM 66.05CHLORIDE BODY FLUID 66.30

LRMC Item Description Primary PriceCHLORIDE SERUM 66.30CHLORIDE URINE RANDOM 66.30PROCAINAMIDE/NAPA BLD 66.65TOTAL T3 68.15METANEPHRINES FRAC FREE PLASMA 69.40PROTEIN URINE 24HR 69.50PROTEIN CSF 70.65PROTEIN BODY FLUID 70.65ESTRADIOL SERUM 70.90THYROID STIM IMMUNOGLOB 72.65PROTEIN 14-3-3 CSF 73.40LDH BODY FLUID 75.70LDH TOTAL 75.70MICROALBUMIN URINE QN-CO 75.75B-12 SERUM 75.95CREATININE CLEARANCE 76.10C REACTIVE PROTEIN HYPERSENS 77.45VITAMIN B1 (THIAMINE) 78.60FERRITIN 79.20PTH RELATED PROTEIN BLD 79.35CARBOXYHEMOGLOBIN 79.90FOLATE 81.25DIGOXIN 82.15MULTIPLE SCLEROSIS PROFILE 82.50AST (SGOT) 82.80T3 FREE (TRI-IODOTHYRONINE FREE) 83.80URIC ACID SERUM 88.00HOMOCYSTEINE TOTAL 89.60PREGNENOLONE BLD 90.86PROSTATIC SPECIFIC ANTIGEN 91.15IGFBP-1 92.40IMMUNOASSAY ANALYTE NOS-CO 92.40ACHR BLOCKING AB 93.19ALPHA-2 PLASMIN INHIBITOR 93.20PRE ALBUMIN 93.30GLYCOMARK TM 95.00PANCREATIC ELASTASE STOOL 96.75NEPHELOMETRY EA ANLYATE CHG ONLY 98.85HIV-1/HIV-2 AB CONF AND DIFF 100.00PREGNENOLONE BLOOD 101.80TESTOSTERONE 102.40THEOPHYLLINE 103.35HGB VARIANT BY MASS SPEC 103.55PHENOBARBITAL 103.65GLUTAMYLTRANSFERASE GAMMA-GGT-CO 106.65

LRMC Item Description Primary PriceT-4 THYROXINE 107.20LACOSAMIDE 108.05T-3 UPTAKE 108.50CORTISOL SERUM 108.60OSMOLALITY URINE RANDOM 109.60OSMOLALITY SERUM 109.60KAPPA/LAMBDA FREE LIGHT CHAINS 110.60CALCULUS ANALYSIS QUALITATIVE 111.15ACETONE 111.75GAMMA GT 112.00SODIUM BODY FLUID 113.30ACHR MODULATING AB 113.35ADULT FOOD ALLERGY PROF 114.15OCCULT BLOOD IMMUNOASSAY 115.30THYROID STIMULATING HORMONE 116.40HAPTOGLOBIN QUANTITATIVE 117.40DILANTIN 118.05CYSTIC FIBROSIS MUTATION PANEL 118.45ACE CSF 118.70CPK TOTAL 119.05ISTAT CHEM8+ 122.40KAPPA & LAMBDA QNT LT CHAINS UR 122.45PSA TOTAL SCREENING 123.20RENAL FUNCTION PANEL 123.75IMMUNOFIXATION URINE 124.30TEGRETOL (CARBAMAZEPINE) 124.30GQ1B AB IGG 125.25HEMOGLOBIN AIC/GLYCOHEMOGLOBIN 128.05PREGNANCY TEST SERUM 129.35IFE 24H URINE 130.00AMMONIA 130.25DRUG SCREEN-MEDICAL(IN HOUSE) 131.00CHILDHOOD ALLERGY PANEL 131.35B-TYPE NATRIURETIC PEPTIDE/BNP 133.00HEMOCHROMATOSIS GENE ANALYSIS 133.50PTH-INTACT RAPID 136.70PTH INTACT RAPID SURGICAL 136.70PARATHYROID HORMONE-INTACT 136.70PTH INTACT W/CA 136.70IMMUNOFIXATION 137.00REGION IV SW FLA ALLERGAN PANEL 138.30ACETYCHOLINE REC BLOCK AB 141.25CEA 145.55ACETYLCHOLINE REC MODULAT AB 146.00AMYLASE BODY FLUID 148.90

LRMC Item Description Primary PriceAMYLASE SERUM 148.90TOBRAMYCIN NOT PEAK OR TROUGH 154.30TOBRAMYCIN PEAK 154.30TOBRAMYCIN TROUGH 154.30ALPHA-FETOPROTEIN & AFP L3% 156.25MTHFR MUTATION BY PCR 159.55VANCOMYCIN PEAK 159.65VANCOMYCIN NOT PEAK OR TROUGH 159.65VANCOMYCIN TROUGH 159.65VALPROIC ACID 159.75PROCALCITONIN 164.35LIPASE 165.60HLA-DQ AND DQ BETA 1 DNA TYPING 166.50VITAMIN D 25 HYDROXY 173.00VITAMIN D 25-OH TOTAL 180.15MECONIUM DRUGS OF ABUSE 10 PANEL 199.55GENTAMYCIN NOT PEAK OR TROUGH 200.20GENTAMICIN PEAK 200.20GENTAMICIN TROUGH 200.20CO-SYNTROPIN TEST 200.50ALDOSTERONE SERUM 208.15LIPID PROFILE 209.05PROBNP 209.50IGA SUBCLASSES 229.70HEPATIC FUNCTION PANEL 238.15ISTAT 7+ 252.15ABG-ISG3+ 252.15COMP DRUG ANALYSIS-URINE 255.30COMP DRUG SCREEN ANALYSIS-SERUM 277.30VOLTAGE GATED CA CHANNEL AB 281.40ALCOHOL (ETHANOL) 289.25METABOLIC PANEL BASIC (CHEM 7) 294.85SALICYLATE 301.95ACETAMINOPHEN 334.85I STAT TROPONIN 336.30TROPONIN I 336.30HEPATITIS PANEL ACUTE 347.60COMPREHENSIVE METABOLIC PANEL 359.20NMDA-R AB CBA CSF 425.00BETA HCG 494.95FETAL FIBRONECTIN 501.20RUBEOLA MEASLES ANTIBODY (IGG) 5.00LYME AB IGG & IGM REFL BLOT 7.00CARDIOLIPIN AB IGG & IGM 7.40HEPATITIS A AB TOTAL 7.50

LRMC Item Description Primary PriceACTIN (SMOOTH MUSCLE) AB 8.00MUMPS VIRUS ANTIBODY (IGG) 8.50CH50 TOTAL COMPLEMENT 9.00THYROID PEROXIDASE ANTIBODIES 9.00VDRL SPINAL FLUID 9.30CA 27.29 BLD 9.55RUBELLA ANTIBODY (IGG) 11.97LYME DZ ABS BY BLOT 14.00MYELOPEROXIDASE ANTIBODY (MPO) 14.50RNP ANTIBODY 17.76CMV CHARGE ONLY 19.60MYCOPLASMA PNEUM ABS IGG/IGM 21.00CMV IGG ANTIBODIES 22.50ANCA VASCULITIDES ABS 22.50HEPATITIS A TOTAL ABS 24.85SMOOTH MUSCLE ANTIBODY BLOOD 25.70CA 27.29 27.80DNA DS IGG AB 27.95RUBEOLA (MEASLES) IGG AB 30.00CMV IGM ANTIBODIES 30.40SMOOTH MUSCLE ANTIBODY BLOOD 30.60VDRL (CSF) 30.70HERPES SIMPLEX VIRUS IGM AB 31.45HEPATITIS B CORE TOTAL ABS 31.45HSV TYPES 1&2 IGG AB BLD 31.50RETICULIN ANTIBODIES 31.65EBV ANTIBODY PANEL 32.07CA 15-3 SERUM 32.25PARVO B19 AB IGG & IGM 33.90RUBELLA AB IGG 34.10COMPLEMENT TOTAL CH50 35.75HSV TYPE 1 & 2 IGG ABS 37.05CARDIOLIPIN ANTIBODIES 37.40CENTROMERE IGG AB 37.55INSTRINSIC FACTOR BLOCKING AB 38.85HLA-B27 BLOOD 40.40THYROID PEROXIDASE ABS 40.75ANCA VASCULITIS 40.95ANCA-RFLX 41.35RPR TITER CHARGE ONLY 42.20CYCLIC CITRULLINATED PEPTIDE IGG 42.25HSV TYPE 1 & 2 ABS BY EIA 43.45CMV IGM CHG ONLY 43.65SM IGG ANTIBODIES 43.65RNP IGG ANTIBODIES 43.65

LRMC Item Description Primary PriceINDIRECT PLATELET ANTIBODY 43.70LYME DZ AB W/REF WB CSF 43.85INFLUENZA A IGG & IGM ABS 43.90INFLUENZA B IGG & IGM ABS 43.90MYCOPLASMA PNEUMO IGG & IGM 43.90DONOR ANTIGEN TYPING 44.45LYME DISEASE IGM & IGG WB 45.55PARIETAL CELL IGG ANTIBODIES 45.85EPSTEIN BARR IGG&IGM AB SCR 46.25MUMPS IGG ANTIBODY 46.85BARTONELLA IGG & IGM ANTIBODIES 49.60BRUCELLA AB IGG & IGM 49.85SCLERODERMA (SCL 70) ABS 49.90QUANTIFERON(R)-TB GOLD 50.00ANA COMPREHENSIVE CASCADE 50.90RUBELLA VIRUS IGM ANTIBODY 51.00ASO TITER PROFILE 51.15SM (SMITH) ANTIBODY 52.00C REACTIVE PROTEIN CRP 52.30RIBOSOME P IGG AB 53.00RH TUBE METHOD 53.25RH SCREEN CHARGE ONLY 53.25DNA (DS) IGG ANTIBODIES 55.00HEPATITIS BE PROFILE 55.10HTLV I / II AB SCREEN 55.75HEPATITIS B CORE AB TOTAL 56.00JO 1 AB IGG 56.15ENDOMYSIAL IGA ANTIBODIES 57.05SJOGREN'S ANTIBODIES 57.45LYME DZ AB BY WB CSF 57.60COLD AGGLUTININS BLD 58.10COCCIDIODES ANTIBODY SERUM 58.25ABO GROUPING CHARGE ONLY 59.80ENA ANTIBODIES 61.00ASPERGILLUS AG BLOOD 61.40FTA-ABS IGG 62.35Q FEVER AB IGG & IGM 62.50S PNEUMONIAE IGG AB 23 SEROTYPES 63.60CA-125 63.75LYMPHOCYTE SUBSET PANEL 63.95BETA-2 GLYCOPROTEIN AB PANEL 64.45WEST NILE VIRUSE ABS CSF 68.35QUANTIFERON GOLD PLUS MTB 69.00L/K MICROSOME TYPE 1 ABS 69.30DIRECT COOMBS-CHARGE ONLY 71.60

LRMC Item Description Primary PriceBABESIA ABS IGG / IGM BLD 72.10TOXOPLASMA IGG / IGM ABS 72.25INDIRECT COOMBS-CHARGE ONLY 76.45STRIATED MUSCLE ABS 79.40RPR 79.40HEPATITIS A VIRUS ANTIBODY IGM 80.70C4 COMPLEMENT 80.75C3 COMPLEMENT 80.75STREP PN ANTIGEN URINE 84.60HEPATITIS B CORE ANTIBODY IGM 86.40RF TITER CHARGE ONLY 86.65RA LATEX 86.65HIV 1 /HIV II SCREEN 87.45HIV AB CONFIRMATION PROFILE 89.30ANTI-NUCLEAR ANTIBODY TITER 89.60CCP AB IGG 90.00SJOGRENS ANTIBODIES (SSA & SSB) 90.34T-CELL & B-CELL QUANT BY FLOW 94.55TISSUE TRANGLUTAMINASE AB IGA&IGG 98.95EHRLICHIA AB PANEL 100.20WEAK D 101.00HISTOPLASMA AG URINE (MVISTA) 101.80CA 19-9 (CANCER ANTIGEN 19-9) 107.95GAD65 AB ASSAY CSF 111.75GAD65 AB ASSAY BLD 111.75PHOSPHATIDLYSERINE AB PANEL 114.25CO FICIN/ENZ PANEL EA 117.20WEST NILE VIRUS ABS BLD 120.45ANCA C&P INFLAM BOWEL 121.45QUANTIFERON GOLD MTB 131.90MONO TEST 133.55HYPERSENSITIVITY PNEUMONITIS/PANE 138.60ARBOVIRUS ABS IGG/IGM CSF 144.00NMO IGG CSF 156.50NMO IGG BLD 156.50CO CELL SEPARATION 160.05REGION III RESP ALLERGY PROF 173.00HEPATITIS B SURFACE ANTIBODY 174.35M PNEUMONIAE IGM AB IFA 179.65ANA SCREEN 179.70HEPATITIS C ANTIBODY 256.55PARANEOPLASTIC AUTOAB EVAL CSF 315.35PARANEOPLASTIC AUTOAB EVAL BLOOD 330.45ANTIGEN TYPING-CHARGE ONLY 364.15THROMBIN CLOTTING TIME 3.10

LRMC Item Description Primary PricePROTEIN S ANTIGEN FREE 10.00PROTEIN S ACTIVITY FUNCTIONAL 16.50PROTEIN C ANTIGEN BLD 17.00PROTEIN C ACTIVITY FUNCTIONAL 18.00INFUSION CENTER H & H 26.60HEMOGLOBIN 26.60PLATELET CLUMPING TEST 27.65CHG ONLY PLATELET CNT 27.65ANTITHROMBIN 3 ACTIVITY 31.50WBC 32.30FETAL SCREEN 34.55PROTEIN S ANTIGEN TOTAL 35.75FACTOR VIII ACTIVITY LVL 40.00HEMATOCRIT 41.45PROTEIN S ACTIVITY BLOOD 41.85PROTEIN C ANTIGEN PLASMA 42.35PROTEIN S ANTIGEN PLASMA 42.35PROTEIN C ACTIVITY BLOOD 45.70INFUSION CENTER PT/INR 47.85ISTAT PT/INR 47.85PROTHROMBIN TIME 47.85THROMBIN TIME 52.75COAG FACTOR XIII SCREEN 59.20FACTOR VIII ASSAY 59.20FACTOR VIII VW RISTOCETIN CF-CO 59.45SICKLE CELL SCREEN (HGB S SCR) 61.00COAG FACTOR XII ACTIVITY 64.40COAG FACTOR II ACTIVITY 64.40COAG FACTOR VII 64.40COAG FACTOR V 64.40COAG FACTOR XI ACTIVITY 64.40COAG FACTOR IX ACTIVITY 64.40FIBRIN DEGRADATION PRD 65.75ANTI-XA 68.15HEPARIN PROTOCOL/PTT 72.30PARTIAL THROMBOPLASTIN TIME 72.30WESTERGEN SEDIMENTATION RATE 77.90RETICULOCYTE (AUTO) 78.10INFUSION CENTER PLATELET CNT 78.45PLATELET COUNT AUTO 78.45VON WILLEBRAND FACTOR ACTIVITY 89.80VON WILLIBRAND FACTOR ANTIGEN 89.80PROTHROMBIN G20210A MUTATION 92.05CBC W/DIFF 93.45CBC (HEMOGRAM) 93.70

LRMC Item Description Primary PriceFIBRINOGEN 97.45PLATELET FUNCTION ASSAY (PFA) 99.65PFA PLAVIX ASSAY 99.65ISTAT ACT CELITE 105.20HEPARIN PF4 ANTIBODY (HIT) 108.35COAG FACTOR X 120.35VON WILLEBRAND FAC AG 137.45COAG FACTOR VIII INHIBITOR 145.85VON WILLEBRAND FACT ACT 156.25D-DIMER 176.40SEROTONN RELES ASSAY UNFRAC HEPAR 317.55FACTOR V LEIDEN MUTATION G1691A 319.80VON WILLEBRAND PROFILE 347.45GIARDIA AG EIA STOOL 8.00HELICOBACTER PYLORI AG FECES 10.00HSV IGM AB BY IFA 31.45CHG ONLY AEROBIC ISOLATE DEF ID 31.45LEGIONELLA CULTURE 32.70OVA & PARASITE 33.85HOMOGENIZATION TISSU CULT CHG ONL 34.45RSV ANTIGEN 38.50CONCENTRATION- CHRG ONLY 42.20GIARDIA ANTIGEN STOOL 44.95LEGIONELLA DFA 45.15GROUP A STREP ANTIGEN THROAT 46.65VIRAL CULTURE RESPIRATORY 48.35VIRAL CULTURE NON-RESPIRATORY 48.35ADENOVIRUS ANTIGEN BY DFA 51.50MALARIA / BABESIA SMEAR 52.80CHARGE ONLY SHIGA TOXIN 55.15HELICOBACTER PYLORI AG STOOL 56.90YEAST ISOLATE DEF ID CHARGE ONLY 56.95SENSITIVITY KIRBY-BOW - CHRG ONLY 58.70HELICOBACTER PYLORI BREATH TEST 60.00FUNGAL BLOOD CULUTRE 61.85STOOL AEROBIC ADD PATHOGENS - CHG 61.90MOLD ISOLATE DEF ID CHARGE ONLY 63.20INFLUENZA A&B ANTIGEN 63.50VZV PCR CSF 64.90ANAEROBIC CULTURE CHARGE ONLY 67.25HEPATITIS C RNA QN PCR 70.40ACID FAST BACILLI BLOOD CULTURE 74.10CRYPTOCOCCAL ANTIGEN 74.95ANAEROBIC CULTURE W/ GRAM STAIN 76.95HERPES SIMPLEX VIRUS 1&2 PCR 79.65

LRMC Item Description Primary PriceBORDETELLA PCR NASOPHARYNGEAL 81.25ENTEROVIRUS PCR 82.45CAMPYLOBACTER ANTIGEN CHG ONLY 83.20LEGIONELLA AG 84.00BK VIRUS PCR 84.25JC VIRUS PCR CSF 86.75SENSITIVITY MIC - CHRG ONLY 88.10GRAM STAIN 88.50EOSINOPHL-URINE 88.50GRAM STAIN CHARGE ONLY 88.50CMV PCR FLUIDS 95.25CRYPTOSPORIDIUM PRAVUM ANTIGEN 98.65PARASITE ANTIGEN PANEL 98.65E HISTOLYTICA/DISPAR ANTIGEN 106.00ANAEROBIC ISOLATE DEF ID CHG ONLY 108.25BABESIA MICROTI PCR 111.20HEPATITIS B SURFACE ANTIGEN 114.90LYME DZ PCR CSF 120.05EBV PCR FLUIDS 120.05LYME DZ PCR BLOOD 120.05AFB STAIN 121.35AFB STAIN CHARGE ONLY 121.35HEP C RNA DETECTION & QN RTPCR 122.85CANDIDA DIRECT PROBE-CHG ONLY 123.05GARDNERELLA DIRECT PROBE CHG ONLY 123.05TRICHONONAS DIRECT PROBE CHG ONLY 123.05ROTAVIRUS ANTIGEN 123.85HSV TYPE 1&2 RT PCR CSF 125.00CULTURE URINE 125.55CULTURE AND SMEAR FUNGUS 136.45CULTURE GROUP B STREP GENITAL 137.60CULTRUE VRE SCREEN 137.60CULTURE MRSA SCREEN 137.60H PYLORI BREATH TEST 138.70AMPLIFIED PROBE TECH EA ORG CHG O 142.95HIV-1 RNA QUANT VIRAL LOAD 148.70HHV-6 CSF 159.75CMV QUANT PCR PLASMA 160.95GC GENPROBE-CHARGE ONLY 180.40GC/CHLAMYDIA GENPROBE 180.40HEPATITIS B QUAL TO QUANT RT PCR 183.65C DIFFICILE TOXIN A AND B 187.65CULTURE ROUTINE 207.00CULTURE GENITAL 207.00CULTURE AND SMEAR RESPIRATORY 207.00

LRMC Item Description Primary PriceCULTURE AND SMEAR BODY FLUID 207.00SPUTUM CULTURE AND SMEAR 207.00C DIFFICILE TOXIN B BY PCR 240.80MRSA PCR ASSAY 251.85VARICELLA ZOSTER DNA PCR QL 253.25CULTURE AFB 262.25CSF CULTURE W/GRAM STAIN 275.95THROAT CULTURE 275.95CULTURE BLOOD 278.55MEDICAL DEVICE CULTURE 278.95CATHETER TIP CULTURE 278.95EAR CULTURE W/ GRAM STAIN 278.95EYE CULTURE W/ GRAM STAIN 278.95WOUND/MISC CULT W/GRAM STAIN 278.95CULTURE STOOL 279.35AFB BY PCR W DNA PROBE (8820) 334.50HIV 1 GENOTYPIC DRUG RESISTANCE 350.70HEPATITIS C GENOTYPE BLD 1,347.35PROTEIN URINE QUALITATIVE 43.90PH URINE 43.90URINE CHEM ONLY 43.90POINT OF CARE HCG 183.00PREGNANCY TEST URINE 183.00CRYSTAL IDENTIFICATION 61.80FECAL LEUKOCYTES BY LACTOFERRIN 112.80CELL COUNT BODY FLUID 114.95CELL COUNT CSF 114.95IMMUNOCYTOCHEMISTRY ADDL SLIDE 154.60IMMUNOCYTOCHEMISTRY 1ST SLIDE 251.25LEVEL IV GROSS & MICRO 303.05CYT EXAM TOUCH SQUASH EA ADDL 68.80CYT EXAM TOUCH SQUASH IST SITE 68.80FLOW CYTOMETRY EA ADD MARKER 95.85THINPREP 120.10SMEAR SCREENING & INTERPRETATION 133.50FLOW CYTO SURFACE MRKR 1ST MRKR 214.10SMEAR TOUCH IMPRINTS 250.10LEVEL I GROSS ONLY 84.40DECALCIFICATION 110.40IMMUNOFLORESCENT STAIN EA AB 141.90ADD FROZEN SECTION (SAME SITE) 151.80SPECIAL STAINS GRP II 182.85HER2/NEU ERA/PRA EA AB MANUAL 215.95SPECIAL STAINS GRP I MICROORGNSMS 216.25LEVEL II GROSS & MICRO 284.45

LRMC Item Description Primary PriceLEVEL III GROSS & MICRO 284.45FROZEN SECTION (EA DISTINCT SITE) 296.60LEVEL V GROSS & MICRO 487.30LEVEL VI GROSS & MICRO 568.35ELECTRON MICROSCOPY 813.30XR PANOREX 94.45FL ERCP BILIARY S&I 104.70XR L-SPINE FLEX/EXT ONLY 120.85XR-L-UPPER EXTREMITY INFANT 140.95XR-R-UPPER EXTREMITY INFANT 140.95XR SPINE ENTIRE ONE VIEW 154.80XR SACROILIAC JOINTS 173.10SP VEIN RENIN SAMPLING S & I 175.40XR EYES BIL FOREIGN BODY 191.65XR SPINE ENTIRE AP & LAT 198.55XR SURGICAL SPECIMEN 198.55XR L-SPINE COMP FLEX/EXT 203.45XR HIP L OPERATIVE 204.20XR HIP R OPERATIVE 204.20XR BONE AGE STUDY 210.40XR-L-LOWER EXTREMITY INFANT 245.70XR-R-LOWER EXTREMITY INFANT 245.70FL FLOUROSCOPIC GUIDANCE PROCEDUR 273.65SP BIOPSY FLUORO S & I 273.65SP LUNG BIOPSY S & I 273.65SP FL/GUIDE/NEEDL/PLACE/SPINE 273.65SP FLUOROSCOPIC GUIDANCE 273.65FL FLOURO GUIDED NEEDLE PLACEMENT 273.65FL UGI W-KUB 285.40XR STERNUM 288.85FL VIDEO FLUOROSCOPY 293.80SP CYSTOGRAM CONT COMP S&I 299.30FL CYSTOGRAM S&I 299.30XR CLAVICLE LT 301.00XR CLAVICLE RT 301.00FL C-ARM <60 MIN 303.30SP FLUOROSCOPIC GUIDANCE 303.30XR HIPS BILATERAL 306.05XR HIP RT POST REDUCTION 73501 313.60XR HIP LT POST REDUCTION 73501 313.60XR HIP R POST TOTAL HIP 73501 313.60XR HIP L POST TOTAL HIP 73501 313.60XR L MOBILE HIP 73501 313.60XR HIP R PST FM PROSTHESIS 73501 313.60XR R MOBILE HIP 73501 313.60

LRMC Item Description Primary PriceXR HIP L PST FM PROSTHESIS 73501 313.60XR R HIP COMPLETE 73502 313.60XR L HIP COMPLETE 73502 313.60FL SNIFF TEST 342.80SP NG/ J-TUBE INSERTION S&I 353.70XR BONE SURVEY INFANT COMP 364.10XR BONE SURVEY INFANT 364.10XR C-ARM FOR VENOUS ACCESS 368.85FL VENOUS ACCESS 368.85SP FL VENOUS ACCESS DEVICE 368.85FL C-ARM INTEROP CHOLANGIOGRAM 375.30FL URETHROCYSTOGRAM VOIDING S&I 383.65FL URETHROCYSTOGRAM S&I 383.65XR-L-RIBS 389.10XR-R-RIBS 389.10XR-L-FEMUR 391.00XR-R-FEMUR 391.00SP INJ FACET JOINT LUMB. S&I 393.00XR RIBS BILATERAL 413.05XR BONE SURVEY 417.00SP FALLOPIAN TUBE S&I 417.40XRAY ABDOMEN 1 VIEW 421.70FL URETHROCYSTOGRAM VOIDING 434.25FL CYSTOGRAM CONTRAST COMPLETE 434.25FL ARTHROGRAM HIP RIGHT S&I 434.70XR-R-3RD DIGIT-FINGER 445.40XR-R-4TH DIGIT-FINGER 445.40XR-L-3RD DIGIT-FINGER 445.40XR-R-5TH DIGIT-FINGER 445.40XR-R-THUMB 445.40XR-L-THUMB 445.40XR-R-2ND DIGIT-FINGER 445.40XR-L-2ND DIGIT-FINGER 445.40XR-L-4TH DIGIT-FINGER 445.40XR-L-5TH DIGIT-FINGER 445.40XR-L-4TH DIGIT-TOE 448.80XR-R-2ND DIGIT-TOE 448.80XR-R-3RD DIGIT-TOE 448.80XR-R-5TH DIGIT-TOE 448.80XR-L-5TH DIGIT-TOE 448.80XR-R-4TH DIGIT-TOE 448.80XR-R-BIG TOE 448.80XR-L-BIG TOE 448.80XR-L-MOBILE FOOT 450.60XR-R-MOBILE FOOT 450.60

LRMC Item Description Primary PriceXR-L-FOOT AP & LATERAL 450.60XR-R-FOOT AP & LATERAL 450.60XR-L-FOOT COMPLETE 450.60XR-R-FOOT COMPLETE 450.60XR-L-MOBILE ELBOW 450.90XR ELBOW R POST REDUCTION 450.90XR ELBOW L POST REDUCTION 450.90XR-R-ELBOW-TWO VIEWS 450.90XR-L-ELBOW TWO VIEWS 450.90SP NEPHROSTOMY DILATATION S&I 458.40SP EXT/VEIN INJ/VENOGRAM 460.50VENOGRAM EXTREMTY UNILATERAL 460.50XR PELVIS W/OBLIQUES 461.30XR SKULL LIMITED 467.80XR-R-MOBILE ANKLE 469.15XR-L-ANKLE AP & LATERAL 469.15XR-R-ANKLE AP & LATERAL 469.15SP ANGIO F/U THROMBOLYTIC 480.00ANGIOGRAM FOLLOW-UP STUDY 480.00XR-R-FOREARM 486.45XR-L-FOREARM 486.45XRAY ABDOMEN 2 VIEW 488.00XR MOBILE PELVIS 500.10XR PELVIS AP 500.10XR NECK SOFT TISSUE 501.60XR-R-SCAPULA 507.05XR-L-SCAPULA 507.05FL-L-KNEE ARTHROGRAPHY S&I 511.65XR-L-MOBILE HAND 513.45XR-L-HAND-TWO VIEWS 513.45XR-R-HAND TWO VIEWS 513.45XR MOBILE CERVICAL SPINE 514.70XR SPINE CERVICAL AP & LAT 514.70XR MOBILE HUMERUS LT 522.70XR MOBILE HUMERUS RT 522.70XR-L-HUMERUS 522.70XR-R-HUMERUS 522.70XR ORBITS COMPLETE 529.85SP NEPHROSTOMY TUBE CHANGE S&I 530.05SP URETEROSTOMY CTH CHANGE S&I 530.05SP PERC DRAINGE CATH EXCHANGE S&I 530.05SP CHANGE CYSTOSTOMY TUBE S&I 530.05FL C-ARM >60 MIN 530.35FL PYELOGRAM RETROGRADE 535.10XR SACRUM AND COCCYX 537.60

LRMC Item Description Primary PriceXR NASAL BONE COMPLETE 540.05XR-R-MOBILE WRIST 540.90XR-L-MOBILE WRIST 540.90XR WRIST R POST REDUCTION 540.90XR WRIST L POST REDUCTION 540.90XR-R-WRIST COMPLETE 540.90XR-L-WRIST COMPLETE 540.90XR-R-WRIST AP & LATERAL 540.90XR-L-WRIST AP & LATERAL 540.90SP PERITONEOGRAM S & I 547.60XR-L-HAND COMPLETE 549.60XR-R-HAND COMPLETE 549.60XR-L-CALCANEUS/HEEL 550.20XR-R-CALCANEUS/HEEL 550.20XR-R-SHOULDER COMPLETE 558.85XR-L-SHOULDER COMPLETE 558.85XR-R-MOBILE SHOULDER 563.50XR-L-MOBILE SHOULDER 563.50XR SHOULDER RT POST REDUCTION 563.50XR SHOULDER LT POST REDUCTION 563.50XR-R-SHOULDER PARTIAL 563.50XR-L-SHOULDER PARTIAL 563.50XR SINUSES COMPLETE 568.10XR-L-ANKLE COMPLETE 572.15XR-R-ANKLE COMPLETE 572.15XR-R-ELBOW COMPLETE 576.50XR-L-ELBOW COMPLETE 576.50XR MANDIBLE COMPLETE 589.85XR-L-MOBILE TIB/FIB (LOWER LEG) 591.85XR-R-MOBILE TIB/FIB 591.85XR-R-TIB/FIB-LOWER LEG 591.85XR-L-TIB/FIB-LOWER LEG 591.85XR MOBILE LUMBAR SPINE 612.85XR-L SPINE PARTIAL 612.85XR-R-KNEE COMPLETE 650.30XR-L-KNEE COMPLETE 650.30XR SPINE CERVICAL INC OBL FL & FX 658.45XR-R-MOBILE KNEE 661.00XR-L-MOBILE KNEE 661.00XR MOBILE KNEE POST UNI RT 661.00XR MOBILE KNEE POST UNI LT 661.00XR MOBILE KNEE POST TKA LT 661.00XR MOBILE KNEE POST TKA RT 661.00XR-L-KNEE AP & LATERAL 661.00XR-R-KNEE AP & LATERAL 661.00

LRMC Item Description Primary PriceXR FACIAL BONES COMPLETE 681.55FL ESOPHAGRAM 743.45XR SPINE CERVICAL W/ OBLIQUES 744.90XR SPINE THORACOLUMBAR 770.50XR ACUTE ABD AND CHEST 1 VIEW 775.10XR RIBS BILATERAL W/PA CHEST 779.75XR MOBILE THORACIC SPINE 781.90XR SPINE THORACIC W/SWIMMERS VIEW 781.90SP INJ. FACET JOINT C/T S&I 789.10FL UPPER GI SERIES 792.45XR-R-RIBS W/PA CHEST 803.70XR-L-RIBS W/PA CHEST 803.70FL UGI WITH AIR 829.45FL-R-ARTHROGRAM-SHOULDER 842.20FL-L-ARTHROGRAM SHOULDER 842.20XR L-SPINE COMPLETE 868.95FL SMALL BOWEL SERIES 879.80FL UPPER GI SERIES W/SMALL BOWEL 880.45VISCERAL SELECTIVE S&I 964.85SP VISCERAL S&I 964.85XR SKULL COMPLETE 975.00XR BILATERAL KNEES 975.35SP ABSCESS DRAINAGE S&I 1,012.65FL COLON W/AIR CONTRAST 1,114.50FL COLON BARIUM ENEMA 1,114.50SP HYSTEROSALPINGOGRAM S&I 1,118.25VENOGRAM EXTREMITY BILAT 1,218.10SP ANGIOGRAPHY/SPINAL SELECT S&I 1,242.75FL ERCP BIL/PAN S&I 1,244.95SP PULMONARY ANGIO-BILATERAL S&I 1,301.15SP EMBOLIZATION S&I 1,321.75SP VENA CAVA INFERIOR S&I 1,374.15FL PYELOGRAM INTRAVENOUS 1,527.55SP ABDOMINAL RUNOFF S &I 1,562.00ABDOMINAL AO S&I 1,562.00EA ADD VES AFTER BASIC EXAM S&I 1,587.65SP EXTREMITY ANGIO-BILATERAL S&I 2,125.40SP EXTREMITY ANGIO-UNILAT S & I 2,125.40EXTREMITY BILATERAL SELEC S&I 2,125.40EXTREMITY UNILATERAL SELEC S&I 2,125.40SP CHOLANGIO PERC NEW 47532 6,050.00SP EA ADDL VESSEL AFTER BASIC 1,587.65CHEST X RAY ONE VIEW FRONTAL 390.00CHEST XRAY 2VW FRONTAL&LATL 472.00CHEMO ANTI-NEOPL SQ/IM 259.35

LRMC Item Description Primary PriceCHEMO IV PUSH ADDITIONAL DRUG 294.90CHEMO IV INFUSION EA ADD DRUG<1H 177.75CHEMO IV INFUSION ADD HR 177.75CHEMO IV INFUSION SGL/INITIAL HR 752.90CHEMO PROLONG INFUSE W/PUMP 836.65NM THYROID UPTAKE 322.45NM THYROID IMAGING 424.25NM THYROID IMAGING W UPTAKE 658.70NM ABSCESS LOCALIZATION SPECT 668.75NM HIDA W/MORPHIN 838.30NM HIDA W/O PHARM INTERVEN 838.30NM HIDA W/ PHARM INTERVEN 838.30NM PARATHYROID PLANAR SPECT 910.65NM CISTERNOGRAM 419.60NM PARATHYROID INJECTION W/O IMAG 506.50NM ABSCESS LOCALIZATION TOT BODY 668.75NM ABSCESS LOCALIZATION LIMITED 668.75NM GI BLOOD LOSS 695.45NM TUMOR LOCALIZATION SPECT 722.20NM THYROID CA WHOLE BODY IMAGE 793.15NM TUMOR LOCALIZATION TOTAL BODY 840.10NM PULMONARY PERFUSION 849.35NM PULMONARY (QUANT) (PERFUSION) 849.35NM BONE SCAN TOTAL BODY 950.65NM GASTRIC EMPTYING STUDY 984.20NM BONE SPECT 1,157.85NM RENAL SCAN AND FLOW 1,334.35NM TRIPLE RENAL IMAGE 1,447.10NM THREE PHASE BONE IMAGE 1,470.80NM MYO PERF SIGL SDY STRESS/SPECT 1,472.50NM LYMPHOSCINTIGRAPHY RT 1,604.65NM LYMPHOSCINTIGAPHY LT 1,604.65NM PULMONARY PERFUSION AND AEROSO 1,710.95NM GATED WALL MOTION RESTING 1,761.05NM BRAIN IMAGE FLOW & STATICS 1,826.40NM MYO PERF MULTI SPECT W EF/WM 5,000.65NM HYPERTHYROID TREATMENT 2,123.05NM THYROID CA THERAPY 2,123.05NM-ZZ-I 123 CAPSULE PER 100 UCI 81.10NM ZZ DPT P/ST (25MCI) 95.85NM ZZ TC99M DTPA 103.30NM ZZ GALLIUM GA 67 PER MCI 108.25NM ZZ TECH TC99 LBL RBC P/ST (30M 108.25NM ZZ TC99M MAA 151.95NM ZZ TC99M SESTAMIBI 267.50

LRMC Item Description Primary PriceNM ZZ TC99M MDP 330.85NM ZZ TC99M PERTECHNETATE 331.25NM-ZZ-TETROFOSMIN PER DOSE 337.20NM ZZ TC99M SULFUR COLLOID 346.45NM-ZZ-MAG P/ST (10MCI) 383.00NM-ZZ-IN III DTPA PER .5 MCI 1,917.25NM ZZ IN-111 WBC 2,013.95NM-ZZ-MONOCLONIAL ANTIBODIES 3,824.75NM-ZZ-I 131 1 MILC 83.35CTA HEART W/WO/GATI/3D/FUNCT/EVAL 318.95CTA HRT W/O CON EVAL COR CAL 870.85CT NEEDLE GUIDANCE 1,349.55CTA ABDOM/PELVIS/ W/CONTRAST 1,646.10CT CHEST W/CONTRAST & PUL ANGIO 1,777.25CT PELVIS WO CONTRAST 1,902.65CT PELVIS WITH CONTRAST 2,406.10CT THORAX HIGH RESOLUTION 2,502.20CT THORAX WITHOUT CONTRAST 2,502.20CT THORAX WITH CONTRAST 2,671.25CT ABDOMEN/PELVIS (ORAL ONLY) 3,398.35CT ABDOMEN/PELVIS (STONE) 3,398.35CT ABDOMEN & PELVIS WO CONTRAST 3,398.35CT PELVIS WO/W CONTRAST 3,416.35CT ABDOMEN & PELVIS WITH CONTRAST 3,848.10CT ABDOMEN/PELVIS (IV ONLY) 3,848.10CT THORAX WO/W CONTRAST 4,075.65CT ABDOMEN & PELVIS W/WO CONTRAST 5,897.10CTA NECK W/WO CONTRAST 1,010.35CT TEMPORAL BONES W/O CONTRAST 1,701.45CT ORBITS SELLA OR IACS WO CONT 1,701.45CT MASTOIDS W CONTRAST 1,713.60CT SOFT TISSUE NECK W/ CONTRAST 1,713.60CT SINUS 1,851.95CT MAXILLOFACIAL AREA WO CONT 1,851.95CT TEMPORAL BONES W/ CONTRAST 1,859.75CT ORBITS SELLA OR IAC W/CONTRAST 1,859.75CT MAXILLOFACIAL AREA W/CONTRAST 1,907.60CTA BRAIN W/WO CONTRAST 2,095.00CT HEAD WO CONTRAST 2,101.05CT HEAD WITH CONTRAST 2,491.60CT HEAD WO/W CONTRAST 3,242.25CT MAXILLOFACIAL WO/W CONTRAST 3,558.05CT ANGIO UPPER EXTREMITY LEFT 909.30CT ANGIO LOWER EXTREMITY LEFT 909.30CTA AORTO-ILIOFEMOAL RUNOF W/WO C 1,009.85

LRMC Item Description Primary PriceCT ANGIO UPPER EXTREMITY RIGHT 1,010.35CT ANGIO LOWER EXTREMITY RIGHT 1,010.35CT THORACIC SPINE WO CONTRAST 1,274.55CT TIB/FIB LT W/O CONTRAST 1,372.30CT FEMUR LT W/O CONTRAST 1,372.30CT TIB/FIB RT W/O CONTRAST 1,372.30CT ANKLE LT W/O CONTRAST 1,372.30CT FOOT RT W/O CONTRAST 1,372.30CT ANKLE RT W/O CONTRAST 1,372.30CT FOOT LT W/O CONTRAST 1,372.30CT FEMUR RT W/O CONTRAST 1,372.30CT LOWER EXT WO/CONTRAST LT 1,372.30CT KNEE RT W/O CONTRAST 1,372.30CT KNEE LT W/O CONTRAST 1,372.30CT HIP RT W/O CONTRAST 1,372.30CT HIP LT W/O CONTRAST 1,372.30CT FOREARM LT W/O CONTRAST 1,508.75CT HUMERUS LT W/O CONTRAST 1,508.75CT WRIST LT W/O CONTRAST 1,508.75CT HAND LT W/O CONTRAST 1,508.75CT HUMERUS RT W/O CONTRAST 1,508.75CT ELBOW RT W/O CONTRAST 1,508.75CT WRIST RT W/O CONTRAST 1,508.75CT HAND RT W/O CONTRAST 1,508.75CT UPPER EXT WO CONTRAST LT 1,508.75CT SHOULDER RT W/O CONTRAST 1,508.75CT ELBOW LT W/O CONTRAST 1,508.75CT SHOULDER LT W/O CONTRAST 1,508.75CT LOWER EXT W/O CONTRAST RT 1,524.80CTA ABDOMEN W/WO CONTRAST 1,577.50CT CTA AAA 1,577.50CT SOFT TISSUE NECK WO CONTRAST 1,578.25CT UPPER EXT W/O CONTRAST RT 1,676.40CTA CHEST W/CONTRAST 1,777.25CT TIB/FIB LT W/ CONTRAST 1,815.05CT TIB/FIB RT W/ CONTRAST 1,815.05CT FEMUR RT W/ CONTRAST 1,815.05CT HIP LT W/ CONTRAST 1,815.05CT KNEE LT W/ CONTRAST 1,815.05CT ANKLE RT W/ CONTRAST 1,815.05CT FOOT LT W/ CONTRAST 1,815.05CT FEMUR LT W/ CONTRAST 1,815.05CT FOOT RT W/ CONTRAST 1,815.05CT HIP RT W/ CONTRAST 1,815.05CT KNEE RT W/ CONTRAST 1,815.05

LRMC Item Description Primary PriceCT LOWER EXT W/CONTRAST LT 1,815.05CT T-SPINE POST MYELO 1,822.15CT T-SPINE W/CONTRAST 1,822.15CT HAND LT W/ CONTRAST 1,995.60CT SHOULDER RT W/ CONTRAST 1,995.60CT FOREARM RT W/ CONTRAST 1,995.60CT SHOULDER LT W/ CONTRAST 1,995.60CT FOREARM LT W/ CONTRAST 1,995.60CT HUMERUS LT W/ CONTRAST 1,995.60CT UPPER EXT WITH CONTRAST LT 1,995.60CT HAND RT W/ CONTRAST 1,995.60CT LOWER EXT W/ CONTRAST RT 2,016.75CT LUMBAR SPINE WO CONTRAST 2,182.65CT UPPER EXT W/ CONTRAST RT 2,217.35CT CERVICAL SPINE WO CONTRAST 2,425.30CT LUMBAR SPINE WITH CONTRAST 2,466.00CT L-SPINE POST MYELO 2,466.00CT ABDOMEN WO CONTRAST 2,865.45CT ABDOMEN WITH CONTRAST 1111 3,128.40CT FOOT RT WO/W CONTRAST 3,185.85CT C-SPINE POST MYELO 3,292.05CT CERVICAL SPINE WITH CONTRAST 3,292.05CT SOFT TISSUE NECK WO/W CONTRAST 3,583.45CT UPPER EXT WO/W CONTRAST RT 3,893.75CT CERVICAL SPINE WO/W CONTRAST 4,354.45CT ABDOMEN WO/W CONTRAST 4,920.70FL JOINT ASP INTERMEDIATE JOINT 73.15L&D OR PER MINUTE 88.70LRDSC OPERATING ROOM TIME 104.10OPERATING ROOM TIME 104.10COLLECT BLOOD PORT/ACCESS DVC 106.90OPEN HEART/OR MINUTE CHARGE 132.70FL HIP INJECTION RT 359.20FL HIP INJECTION LT 359.20FL CHOLANGIO PERC EXISTING 375.15US BREAST BIOPSY LT 378.45US BREAST BIOPSY RT 378.45DECLOT PORT W/THROMB AGENT 379.45DECLOT PORT W/THROMB AGENT 379.45US PLEURAL BIOPSY 411.40MM WIRE LOCALIZATION ADD SITE 491.10INTRO NEEDLE EXTR ART 502.20INJ PROCEDURE EXTREM VENOGRAPHY 503.40PERICARDIOCENTESIS 545.10FL-L-ARTHROGRAM-KNEE 722.60

LRMC Item Description Primary PriceUS BIOPSY RENAL 830.95FL CV CATH INJ/CHECK 863.25FL LUMBAR PUNCTURE THERAPY 896.50US THORACENTESIS W/TUBE INSERT LT 917.60US THORACENTESIS LEFT 917.60XR FL MYELOGRAM 2+ LEVELS 954.70FL MYELOGRAM CERVICAL SPI 954.70FL MYELOGRAM LUMBOSACRAL 954.70REPAIR CVAD CATH W/O PORT/PUMP 1,093.00MM WIRE LOCALIZATION 1,119.90VENA CAVA INFERIOR/SUPERIOR 1,303.00PRIMARY ART MECH THROMB ADL VES 1,420.65R OR L PA 1,445.30FL LUMBAR PUNCTURE DIAGNOSTIC 1,535.801ST ORD BRANC-RENAL/JUG/HEP 1,652.85SP NEPHROSTOGRAM NEW 1,680.80DRAINAGE HEMATOMA FLUID 2,031.05REPAIR SINGLE LEAD 2,117.701ST ORDER THOR/BRACHIOCEPHALIC BR 2,210.10THROMBOLYSIS VENOUS 2,222.80SP THROMBOLYSIS ART NON-COR 2,222.802ND ORDER THOR/BRACHIOCEPHALIC BR 2,278.35ADD 2ND/3RD ORD ABD/PEL/LWR EXT A 2,350.402ND ORDER BRANCH 2,557.951ST ORD ABD/PEL/LOWER EXTR ART BR 2,638.00RMVL SNGL/DUAL DEFIB ELEC TRNSVEN 2,663.30SUBQ RMVL SNGL/DUAL DEFIB PLS GEN 2,663.30INSERT NON-TUNNEL CV >5 YRS 2,836.90INSERTION PICC OVER 5 YEARS 2,839.65INSERTION PICC OVER 5 YEARS 2,839.652ND ORD ABD/PEL/LOWER EXTR ART BR 2,840.50SEC PERC THROMB EA ADD VESSEL 2,993.803RD ORD ABD/PEL/LOWER EXTR ART BR 3,212.45PRIMARY ART MECH THROMB 1ST VES 3,529.30TIB/PER REVASC ADD-ON 4,469.65RENAL ANGIO SEL 4,512.10THROMBOLYSIS NON-COR NXT DAY 4,960.15THROMBOLYSIS NON-COR DC 4,960.15ILIAC REVASC 5,605.00FEM/POPL REVAS W/TLA 5,936.25TIB/PER REVASC W/TLA 5,936.25PERC PLCMNT CCA STENT W/EMBOL PRO 6,752.55INSERT TRANS ELEC SGL CHAMBER PAC 7,067.20ENDOVASCLR RPR ILIAC ARTERY 7,703.15TRLUML PERIP ATHRC ILIAC ART 9,302.25

LRMC Item Description Primary PriceTIBPER REVASC W/ATHER ADD-ON 9,492.85LITHOTRIPSY 9,529.70TIB/PER REVASC W/STENT 10,253.80TRANSCATH INTRVSC STNT ADDL 11,376.00SEL CATH PL EA INTRACRAN ART 11,376.15SEL CATH PL INT CAROTID UNI 11,376.15SEL CATH PL COM CAR IN ART EX 11,376.15SEL CATH PL COM CAR IN ART IN 11,376.15TIB/PER REVASC W/ATHER 11,569.90FEM/POPL REVAS W/ATHERECTOMY 11,569.90REVSC OPN/PRQ TIB/PERO STENT 11,647.70ILIAC REVASC W/STENT 12,783.00FEM/POPL REVASC W/STENT 13,114.25INSERTION OF AICD 13,431.55TRANSCATH INTRAVASC STENT ADD 15,507.50TIB/PER REVASC STENT & ATHER 15,887.45REPLACE AORTIC VLVE PERQ FEMORAL 18,009.05FEM/POPL REVASC STNT & ATHER 18,747.85TRANSCATH INTRVSC STNT OPN/PER 20,857.40SEL CATH PL SUBC OR IN ART IPS 24,479.25SEL CATH PL VERT ART IPSILAT 24,479.25EMBOLIZATION ORGAN ART 31,186.25TRANSCATH INTRVASC STENT 32,066.25SP INJ TRIGGER PT 1-2 MUSCLE(S) 197.05SP NEPHROSTOGRAM EXISTING 216.20SP SACRO JT INJECT/ARTHRO 229.00SP INJ ARTHROGRAM HIP ANES 238.30SP ASP BONE MARROW W/BX SAME DAY 257.60SP BIOPSY LIVER W/PROCEDURE 270.00SP BIOPSY BILIARY ENDOLUMINAL 292.50SP CYSTOSTOMY TUBE CHANGE SIMPLE 301.25SP HYSTEROSALPINGOGRAM 305.40SP BIOPSY BONE MARROW 340.25REMOVAL OF IMPLANT EVENT RECORDER 354.90SP JOINT(MAJOR) INJECTION LT 359.20SP JOINT (MAJOR) INJECTION RT 359.20SP NEPHROSTOMY PERCUTANEOUS COMP 369.50SP NEPHROSTOMY TRACT DILATATION 369.50SP CHOLANGIOGRAM PERC 375.15SP DECLOT THROMBOLYTIC VASCULAR A 379.45SP BIOPSY LYMPH NODE 383.65FL INTRODUCTION OF GI TUBE 399.20SP BIOPSY BONE SUPERFICIAL 420.35SP ASPIRATION ABSCESS OR CYST 426.55SP URETERAL BALLOON DILATION 432.95

LRMC Item Description Primary PriceSP INJ CNTR W/FLUOR EVAL G/D/J TB 439.30SP BILIARY DUCT DILATE/AMPULLA 487.80SP EXT VEIN INJ PROC 503.40SP ABSCESS DRAINAGE LIVER 516.30SP ARTHROCENTESIS INT US 535.85SP ARTHROCENTESIS LG US 535.85SP GI TUBE LONG INTRO 547.15SP BIOPSY LUNG LT 557.85SP BIOPSY LUNG RT 557.85SP GASTROSTOMY TUBE EXC. 576.75SP BIOPSY MUSCLE 588.30SP ABSCESS DRAINAGE PLEURAL 641.70SP CHEST TUBE INSERTION 641.70SP ASPIRATION RENAL CYST LT 693.40SP ASPIRATION FINE NDL W/ IMAGING 704.80SP INJ AIR/CONTR PERITONEAL CAV 733.85SP ASP PUNC ABSC/CYST/HEMA/BULLA 746.00SP PARACENTESIS 749.70SP BIOPSY BONE DEEP 753.90SP PLACE GASTROSCOPY TUBE 767.55SP NEPHROSTOMY TUBE CHANGE 774.30SP MECH REM OBS MAT G/D/J/G-J/CEC 778.65SP BIOPSY THYROID 797.65SP BIOPSY ABDOMEN/RETROPERITONEAL 830.95SP BIOPSY RENAL 830.95SP BIOPSY LIVER 830.95SP ABSCESS DRAINAGE LUNG 841.10SP CV CATH INJ/CHECK 863.25SP PSEUDOANEURYSM THROM INJ 876.20SP LUMBAR PUNCTURE THERA 896.50SP NEPHROSTOMY TUBE REMOVAL 909.10REMOVAL OF SPANNER STENT 915.06SP THORACENTESIS W/TUBE INSERT LT 917.60SP THORACENTESIS LEFT 917.60SP DISKOGRAPHY LUMBAR (EA LEVEL) 954.70SP CHANGE URETEROSTOMY CATHETER 975.15SP RPLC GASTRO-JEJUN TB FLUORO 1,027.30SP THORACENTESIS W/TUBE INSERT RT 1,029.40US THORACENTESIS RIGHT 1,029.40US THORACENTESIS W/TUBE INSERT RT 1,029.40SP THORACENTESIS RIGHT 1,029.40SP URETERAL STENT PL EXIST 1,039.40SP PLEURAL DRAINAGE/CATH/IMAGING 1,039.50SP RPLC DUODEN/JEJUN TB FLUORO 1,053.40SP GUIDANCE CATHET FLUID DRAINAGE 1,078.50

LRMC Item Description Primary PriceSP REPAIR CV CATH W/O PORT/PUMP 1,093.00SP REPAIR CV CATH WITH PORT/PUMP 1,093.00SP REMOVE TUNNEL CATH WO PORT/PUM 1,093.00SP RPLC G/CEC/OTH TB UNDER FLUORO 1,106.40SP CHANGE CYSTOSTOMY TUBE COMPLEX 1,131.60*PU TRANBRON ADD USE W/31629 1,171.35*PU TRNSBRONC BX ADD LOBE W/31828 1,171.35SP BIOPSY SALIVARY GLAND 1,195.15SP ABSCESS DRAINAGE APPENDICEAL 1,225.45SP BILIARY DRAIN CATH EXCH COMP 1,237.30SP VERTEBROPLASTY T/L ADD 1,272.15SP PERC J/G TUBE INSERTION 1,371.70SP CHANGE EXT/INT URETER STENT 1,379.25*PU BRONCHOSCOPY 1,417.00SP PULMONARY ARTERY PLACE LT/RT 1,445.30SP INTERDISCAL PERC ASPIR DX 1,467.40SP ASPIRATION NUCLEUS PULPOSUS 1,467.40SP SCLEROTHERAPY 1,514.28SP LUMBAR PUNCTURE DIAG W/O INJ 1,535.80SP VERTEBROPLASTY LUMBAR 1,538.10SP VERTEBROPLASTY THORACIC 1,538.10SP CHANGE OF ABSCESS DRAIN 1,587.30SP LOCALIZATION DEVICE PLACE 1,595.75SP PERC CHOLECYSTOSTOMY 1,604.05SP VENOUS SEL FIRST ORDER 1,652.85SP NEPH CATH TO NEPHROURETERAL 1,681.15*PU BRONCHOSCOPY INCLUD BRUSHING 1,707.65*PU TRANSBRONC BIOPSY SINGLE LOBE 1,707.65*PU BRONCHOSCOPY BEDSIDE 1,757.45SP INJ EPIDUR LUM/SAC W/ IMAGE 1,773.55SP BLOOD PATCH 1,819.30SP FOREIGN BODY REMOVAL 1,840.20SP REMOVE TUNNEL CATH W PORT/PUMP 1,844.30SP INJ FORAMEN EPIDURAL SGL 1,863.55SP AV FISTULOGRAM 1,921.00*PU BRONCHOSCOPY WITH BRUSHING 1,956.20*PU TRANSBRONC NEEDLE ASP BIOPSY 1,956.20*PU BRONCH ALVEOLAR LAVAGE-BAL 1,956.20SP VEIN RENIN SAMPLING 1,985.35*PU BRONCHOSCOPY WITH BIOPSY 2,038.55SP THORACENTESIS BILAT 2,058.80SP ABSCESS DRAINAGE RETROPERITONE 2,106.60SP ABSCESS DRAINAGE PEROTINEAL 2,106.60SP NERVE BLOCK SUP HYPOGAS PLEXUS 2,150.20SP BIOPSY NECK/THORAX SOFT TISSUE 2,184.20

LRMC Item Description Primary PriceSP SEL THOR/BRACH 1ST ORDER 2,210.10SP THROMBOLYSIS VENOUS 2,222.80SP THROMBOLYSIS ART NON-COR 2,222.80BRONCH W/ CRYOABLATION 2,276.00INSERT IMPELLA ART&VEIN ACCESS 2,344.50INSERT IMPELLA ARTERY ACCESS 2,344.50*PU BRONH WITH BIOPSY BEDSIDE 2,421.55*PU REMOVAL OF FOREIGN BODY 2,421.55SP REPLAC TUNNEL CATH WO PORT/PUM 2,450.80SP TRANSHEPATIC TUBE REVISION 2,496.15SP DRAINAGE CATHETER RENAL PELVIS 2,500.25SP TIPS VENOGRAM 2ND ORDER 2,557.95SP VENOUS SEL SECOND ORDER+ 2,557.95SP ABSCESS DRAINAGE RENAL/PERIREN 2,567.75SP ARTER VISCERAL SUPRASELECT CP 2,638.00SP SELEC ABDOMEN/PELVIC 1ST ORDER 2,638.00SP ARTERIOGRAM AORTA ABDOMINAL 2,638.00SP TIPS REVISION 2,694.40SP INSERT DUODEN/JEJUN TBE FLUORO 2,696.85SP CHG G-TB TO GJ-TB PERC FLUORO 2,696.85*PU BRNCHS W/CPTR-ASST IMAGE-GUID 2,741.35SP REPLACE PICC W/O PORT/PUMP 2,836.90SP REPLACE NON-TUNN CATH W/O PORT 2,836.90SP INSERT/TUNNEL/CV W/O PORT/PUMP 2,836.90SP INSERT/NON-TUNNEL CV CATH >5 2,836.90SP PICC LINE INSERTION > 5 YEARS 2,839.65SP ARTERIO RENAL UNILATERAL 2,840.50SP SELEC ABD/PELVIC EXTR 2 VESSEL 2,840.50SP ABSCESS DRAINAGE SUBDIAPHRAGM 2,899.05SP SEC PERC THROMB EA ADD VESSEL 2,993.80SP SELEC ABD/PELVIC EXTR 3/4 VESS 3,212.45SP ABCESS DRAINAGE RENAL PELVIS 3,473.00IR BIOPSY BREAST PERC 3,473.46SP PRIMRY ART MECH THROMB 1ST VES 3,529.30*PU BRONCHOSCOPY W/CRYOTHERAPY 3,577.75SP FALLOPIAN TUBE RECANALIZATION 3,584.05SP BONE MARROW BX & ASPIR 3,790.05SP EMBOLIZATION ORGAN VENOUS 3,835.20SP PERCUTANEOUS CYSTOSTOMY 3,901.75SP REMOVAL & REPLACE URETERL STNT 3,911.35IVUS INT US NONCOR EA ADTL VES 4,250.00SP EMBOL/OCCLUS TRANSCATH NON-CNS 4,319.20SP REVASC TIB/PER ADD-ON 4,469.65SP ABSCESS PELVIC TRV PERC 4,471.00SP RENAL ANGIO SEL BIL 4,512.10

LRMC Item Description Primary PriceSP RENAL ANGIO SEL R 4,512.10SPANNER STENT INSERT BEDSIDE 4,619.58SP NEPHROURETERAL CATH PLCMT 4,767.50SP REVASC ILIAC ADD ON 4,906.05IMPLANT EVENT RECORDER 4,911.70SP THROMBOLYSIS NON-COR DC 4,960.15SP THROMBOLYSIS NON-COR NXT DAY 4,960.15SP VENA CAVA FILTER REMOVAL 5,119.70SP KYPHOPLASTY THORACIC PERC 5,422.90SP REVASC ILIAC UNI 5,605.00THROMBECTOMY VENOUS MECHAN 5,643.90SP TUNNEL PLEURAL CATH W/CUFF 5,771.65SP REVAS FEM/POPL W/TLA 5,936.25SP REVASC TIB/PER W/TLA 5,936.25SP REPLACE TUNNEL CATH WITH PORT 6,330.25SP INSERT TUNN CV CATH WITH PRT/P 6,330.25SP SACROPLASTY BILATERAL 6,488.25SP SACROPLASTY UNILATERAL 6,597.00STENT PLACEMENT INNOMINATE 6,752.55SP AV FIST W/ CENTRAL PTA 6,774.00SP EA ADDITNL VASCULAR STENT ARTL 6,780.00SP BILIARY DRAIN CATH INT-EXT 7,173.70SP URETERAL STENT PL NEW W 7,189.20SP URETERAL STENT PL NEW WO 7,189.20SP PERC UMBRELLA PLACEMENT 7,460.50SP VENA CAVA FILTER INSERT 7,460.50SP ATHRECTOMY ILIAC ART 9,302.25SP-TIPS-VENOUS ANASTOMOSIS 9,376.30SP REVASC TIBPER W/ATHER ADD-ON 9,492.85SP EMBOLIZATION UTERINE FIBROID 9,982.30SP KYPHOPLASTY LUMBAR PERC 10,569.25SP REVASC TIB/PER W/ATHER 11,569.90SP REVASC FEM/POP W ATHERECTOMY 11,569.90ENDGRFT RPR W ILIO-ILIAC TUBE 11,590.00SP REVAS W STENT ILIAC ART ADD 12,084.05SP REVAS W STENT ILIAC ARTY 12,783.00SP REVASC FEM/POPL W/STENT 13,114.25IVUS INTRVASC US NONCORONARY 1ST 13,350.00SP AV FIST W/ THROMBECT/LYTIC INF 13,547.00AV FISTULAGRAM W/ PTA 13,547.00PTA VENOUS INITAL 13,547.00SP AV FISTULOGRAM W/ PTA 13,547.00SP PTA RENAL OR VISCERAL 13,547.00PTA RENAL OR VISCERAL 13,547.00SP PTA VENOUS INITIAL 13,547.00

LRMC Item Description Primary PriceSP AV FIST W/ CENT STENT PLCMNT 13,691.00SP TRANSCATH INTRAVASC STENT ADD 15,507.50SP REVASC FEM/POP STENT/ATHR 18,747.85SP INTRAVASCULAR STENT PLACE ARTL 20,957.40SP NON-SEL CATH PL THOR AORTA 24,479.25SP AV FIST THROM/INF W/ PTA 27,381.00SP EMBOL ART/VEN/LYMPH 31,186.25SP EMBOLIZATION ORGAN ART 31,186.25SP TRANSCATH INTRVASC STENT 32,066.25OH - MONITORED ANESTHESIA CARE 3.70ANESTHESIA TIME 17.45OPEN HEART/ANESTHESIA TIME 19.05SEDATION SAME MD ADDITION 15 MIN 280.95SEDATION SAME MD ADDITION 15 MIN 280.95SEDATION SAME MD INIT 15 MIN >5YR 561.80SEDATION SAME MD INIT 15 MIN >5YR 561.80ELECTRONIC CROSSMATCH 42.101 UNIT CRYO-CHARGE ONLY 57.20TRANSFUSION RX WORK-UP CHRG ONLY 128.20CROSSMATCH 1 UNIT RBC CHRG ONLY 128.20ELUTION-CHARGE ONLY 135.60PLASMA FROZEN 8 TO 24 137.55ANTIBODY INDENTI-CHARGE ONLY 146.40CROSSMATCH 1 UNIT RBC-CHRG ONLY 177.201 UNIT FFP-CHARGE ONLY 200.001 LEUK REDUCED RBC-CHARGE ONLY 385.70RBC-IRRADITE-LEUKO REDUC 1UNIT 390.65PLATELETS PHER L/R IRR EA 1,210.50PLATELET PHERESIS LEUKOREDUCED 1,292.80LD-BLOOD TRANSFUSION 529.55BLOOD TRANSFUSION 529.55CDU-BLOOD TRRANSFUSION 529.55BLOOD/BLOOD COMPONENT TRANSFUSION 529.55MM C MAMMO DIAG IMP W/ CAD LT 387.00MM MAMMO DIAG IMP W/ CAD LT 387.00MM C MAMMO DIAG IMP W/ CAD RT 387.00MM C MAMMO DIAG W/ CAD RT 387.00MM C MAMMO DIAG W/ CAD LT 387.00MM MAMMO DIAG W/ CAD RT 387.00MM MAMMO DIAG W/ CAD LT 387.00MM C MAMMO DIAG IMP W/ CAD BIL 503.00MM MAMMO DIAG IMP W/ CAD BIL 503.00MM C MAMMO DIAG W/ CAD BIL 503.00MM MAMMO DIAG W/ CAD BIL 503.00US LIMITED 87.55

LRMC Item Description Primary PriceULTRASOUND GUIDANCE PICC PLACEMEN 155.75GUIDANCE VENOUS ACCESS 155.75SP US GUIDANCE VENOUS ACCESS 155.75ULTRASOUND GUIDANCE PICC PLACE 155.75US OB > 14 WEEKS ADDITIONAL FETUS 179.25US OB < 14 WEEKS ADDITIONAL FETUS 179.25US EXTREMITY NON-VASCULAR LTD BIL 215.30US EXTREMITY NON-VASCULAR LTD RT 215.30US EXTREMITY NON-VASCULAR LTD LT 215.30US BREAST LTD LT <4 QUAD 259.35US BREAST LTD RT <4 QUAD 259.35US BREAST LTD BIL <4 QUAD 259.35LABOR & DELIVERY ULTRASOUND 282.45US OB LIMITED 282.45US OB TRANSVAGINAL 286.70US OB < 14 WEEKS 286.70SP US Chest 393.95US CHEST 393.95US NEONATAL BRAIN 419.05US OB COMPLETE 431.20US SPINAL CORD 443.60US PELVIS OB FOLLOW-UP 467.95US RENAL TRANSPLANT D'PLER 503.20ULTRASONIC GUIDANCE INTRAOP 534.40US BREAST LT 560.05US BREAST RT 560.05US BREAST BILATERAL 560.05US EXTREMITY NON-VASCULAR BIL 634.65US EXTREMITY NON-VASCULAR LEFT 634.65US EXTREMITY NON-VASCULAR RIGHT 634.65US OB > 14 WEEKS 650.15US OB BIOPHYSICAL PROFILE ADD 655.10US OB BIOPHYSICAL PROFILE 655.10US AORTA ABDOMINAL 670.85US RENAL 670.85US SOFT TISSUE HEAD/NECK 725.50US THYROID 725.50US NEEDLE PLACEMENT GUIDANCE 902.65US BIOPSY GUIDANCE S&I 902.65US WIRE LOCAL 902.65SP ABLATION U/S GUIDANCE S&I 902.65SP U/S GUIDANCE 902.65US BLADDER VOLUME 927.00US PELVIS GENERAL 927.00US SPLEEN 1,004.70

LRMC Item Description Primary PriceUS INFANT GASTRIC OUTLET 1,004.70US APPENDIX 1,004.70SP U/S ABDOMEN LIMITED 1,004.70US HEPATIC 1,004.70US ABDOMEN LIMITED 1,004.70US GALLBLADDER 1,004.70US TRANSVAGINAL NOT OB 1,007.90US BREAST LOCALIZATION/BX/INJ 1,095.60US ABDOMINAL COMPLETE 1,317.65MM MAMMO SCR BIL DIG IMP 137.80MM MAMMO SCR IMP W/ CAD RT 398.00MM MAMMO SCR W/ CAD RT 398.00MM MAMMO SCR W/ CAD LT 398.00MM MAMMO SCR IMP W/ CAD BIL 398.00MM MAMMO SCR W/ CAD BIL 398.00IMPROVE RESP FUNCTION PER UNIT 69.25INC STRENGTH RESP MUSCLE 15 MIN 69.25RESP FUNCTION/STRENGTH GROUP 80.75CHEST PHYSIO INITIAL 84.90CHEST PHYSIO SUBSEQUENT 84.90MDI INSTRUCTION 89.35AIRWAY INHALATION TREATMENT 89.35EVAL PATIENT USE OF INHALER 89.35DEMO-EVAL USE BRONCH DEVISE ONCE 89.35AIRWAY INHALATION TREATMENT 89.35PEDS AIRWAY INHALATION TREATMENT 176.15SUCTIONING 271.65PUNCTURE ARTERIAL 290.65CPAP/BIPAP OVERNIGHT 430.05CPAP/BIPAP INITIAL 430.05CPAP/BIPAP SUBSEQUENT 430.05INTUBATION ENDOTRACHEAL 544.15PEDIATRIC CPAP/BIPAP INITIAL 579.20PEDIATRIC CPAP/BIPAP SUBSEQUENT 579.20VENTILATOR SHORT TERM 1-4 HOURS 954.90VENTILATOR FIRST DAY 1,390.40VENTILATOR SUBSEQUENT 1,390.40SURFACTANT ADMINISTRATION 89.95PEDIATRIC VENT MANGMNT INIT DAY 1,575.80PEDIATRIC VENT MANGMNT SUBS DAY 1,575.80HYPERBARIC 02 PER 30 MIN 402.50HYPERBARIC O2 THERAPY PER SESSION 1,610.00COMMUNITY/WORK INTEGRATION / UNIT 82.35WHEELCHAIR MANAGEMENT PER UNIT 84.15PROSTHETIC TRAINING PER UNIT 90.00

LRMC Item Description Primary PriceGROUP THERAPY 90.90GAIT TRAINING PER UNIT 92.70AQUATIC THERAPY PER UNIT 95.25HOME MANAGEMENT TRAINING PER UNIT 98.10THERAPEUTIC ACTIVITIES PER UNIT 100.80P.T. THERAPY EXERCISE PER UNIT 103.50FUNCTIONAL CAPACITY WORKUP / UNIT 111.00ELECTRIC STIMULATION UNATTENDED 113.50MASSAGE PER UNIT 113.85ELEC STIMULATION MANUAL PER UNIT 121.95PT NEUROMUSCULAR RE-ED PER UNIT 142.50JT MOBILIZA ONE/MORE AREA PER UNI 145.00TRACTION PER UNIT 145.00MYOFASCIAL RELEASE PER UNIT 145.00ULTRASOUND PER UNIT 158.15PT RE-EVAL EST PLAN CARE 204.30PT EVAL LOW COMP 20 MIN 245.70PT EVAL MOD COMPLEX 30 MIN 333.90PT EVAL HIGH COMPLEX 45 MIN 459.90SELF CARE/HOME TRAINING PER UNIT 98.10THERAPEUTIC ACTIVITIES PER UNIT 100.80O.T. THERAPY EXERCISE PER UNIT 103.50ORTHOTICS TRAINING PER UNIT 105.30FUNCTIONAL WORK CAPACITY / UNIT 111.00COGNITIVE SKILL DEVEL PER 15MIN 141.20NEUROMUSCULAR PROCEDURE PER UNIT 142.50OT RE-EVAL EST PLAN CARE 207.00OT EVAL LOW COMPLEX 30 MIN 251.10OT EVAL MOD COMPLEX 45 MIN 337.50OT EVAL HIGH COMPLEX 60 MIN 466.20SLP TREATMENT GROUP 115.00SLP SWALLOWING TREATMENT 217.80MODIFICATION OF VOICE PROSTHETIC 225.55SLP TREATMENT 225.55SWALLOW EVAL W/RADIO-OPAQUE 236.75SWALLOW EVAL BEDSIDE 236.75ST BEHAV QUALIT ANALYS VOICE 243.00ST EVAL SOUND PRODUCTION 280.70ST EVAL LANG COMP/EXPRESSI 346.35ER IMMUN ADMIN EA ADD VACC 31.25ER FEMALE GENITAL UNLSTD PROC 38.75FB REMOVAL EXT EAR 61.10DRAIN/INJECT INTERM JOINT/BURSA 73.15REMOVAL NASAL FOREIGN BODY 80.05EVAC SUBUNGUAL HEMATOMA 85.65

LRMC Item Description Primary PriceED BLADDER SCAN 92.05INSERTION NON-INDWELLING CATHTER 116.15REMOVE IMPACTED CERUMEN 133.95REMOVE IMPACTED EAR WAX UNILAT 140.90ER CATHETERIZATION 154.40ER CATHETERIZATION SIMPLE 154.40DSG/DEBRID W/O ANES SMALL 158.75ER DEBR NAIL(S) UP TO 5 159.25ER TRIMMING NAILS NONDYSTRPHC 159.25ER PLACE NDL INFS INTRAOSSEO 160.30IV INFUS THERAPY/DX EA ADD HR 167.10IV INFUS THPY FLUID ADDL HR 168.30CLSD TX HIP DISLOC 174.75CLOSED TRMT JAW DISLOCATION 178.10STRAPPING OF SHOULDER 185.10NAIL AVUL/PARTIAL COMP SIM SINGLE 189.65INI TR FIRST DEGREE BURN 192.00ER NOSE UNLSTD PROC 194.50ER TX DISL SHLDR W/MAN CLSD LT 197.90CLSD TX SHOULDER DISLOC 197.90IRRIG/LAVG/INSTL BLADDER 198.00TX DISL KNEE W/O ANES CLSD 205.45ER THER/PRO/DX INJ SQ/IM DPSS 212.00THERAPEUTIC/PROPH/DIAG INJ SQ/IM 212.00ER THERAPYPRO//DX IV PSH SM 213.25ER THPY/PRO/DX IV PUSH INI DPSS 213.25ER THPY/PRO/DX IV PUSH ADD SQ 213.25THERAPYPRO//DX IV PUSH SAME 213.25THERAPYPRO//DX IV PUSH INITIA 213.25THERAPYPRO//DX IV PUSH ADDL SEQ 213.25ER APPL SPLINT ARM SHORT STAT LT 219.60ER APPL SPLINT ARM SHORT STAT RT 219.60APPLY FOREARM SPLINT 219.60TRACH TUBE CHANGE 224.00APPLY FINGER SPLINT 233.60CONTROL N/BLEED W/PACKS CAUTERIZE 235.95CONTROL NASAL HEMORRHAGE 235.95STRAPPING OF TOES 238.90FB REMOVAL EXT EYE 243.95ER APPL SPLINT LEG SHORT LT 248.00ER APPL SPLINT LEG SHORT RT 248.00APPLY LOWER LEG SPLINT 248.00FB REMOVAL CORNEA W/SLIT 261.50IV INFUS THPYPRO//DX CONCURREN 270.80IV INFUS THPYPRO//DX ADD SEQ 270.80

LRMC Item Description Primary PriceREPAIR NAIL BED 271.30TX DISL METATARSOPH CLOSED 276.40SEDATION MD ADDITION 15 MIN 280.95FB REMOVAL CORNEA W/O SLIT 283.75ER APPL SPLINT LEG LONG LT 285.00INJECT NERVE BLOCK-PERI NERVE 285.10INJECT NERVE BLOCK-TRIGEMINAL 294.30I&D PILONIDAL CYST SIMPLE 297.00ED VISIT LEVEL 1 297.45CHANGE CYSTOSTOMY TUBE SIMPLE 301.25TX DISL (M-P) W/O ANES CLSD 306.05INSERT EMERGENCY AIRWAY 311.90CLOSED TRMT KNEECAP DISLOCATION 315.85ARTERIAL CATH A-LINE 315.95CLSD TX RADIUS/ULNA FX 318.75ER APPL SPLINT ARM LONG LT 319.15APPLY LONG ARM SPLINT 319.15CLOSED TRMT HIP PROTH DISLO 328.55LAYER CLOSE WOUND(NHFG)12.6-20CM 332.70LAYER CLOSE WOUND(SNAT)<=2.5CM 332.70WOOUND REPAIR SIMPLE OVER 30.0 CM 332.70LAYER CLOSE WOUND(SNAT)20.1-30CM 332.70LAYER CLOSEWOUND(SNAT)2.6-7.5CM 332.70LAYER CLOSE WOUND(NHF6)<=2.5CM 332.70LAYER CLOSE WOUND(SNAT)7.6-12.5CM 332.70LAYER CLOSE WOUND(FEENL)2.6-5.0CM 332.70LAYER CLOSE WOUND(FEENL)<=2.5CM 332.70LAYER CLOSE WOUND(NHF6)2.6-7.5CM 332.70LAYER CLOSE WOUND(SNAT)12.5-20CM 332.70REPAIR SUP WOUND(FEENL)5.1-7.5CM 332.70REPAIR SUP WOUND(FEENL)7.6-12.5CM 332.70REPAIR SUP WOUND(SNAT)12.6-20CM 332.70REPAIR SUP WOUND(SNAT)7.6-12.5CM 332.70REPAIR SUP WOUND(FEENL)2.6-7.5CM 332.70REPAIR SUP WOUND(FEENL)<=2.5CM 332.70REPAIR SUP WOUND(SNAT)2.6-7.6CM 332.70REPAIR SUP WOUND(S N A T)<=2.5CM 332.70ER SKIN/MUC MEM/SUBQ TISS UNLS 348.70ER TX DISL HIP SPONT W/O ANES BIL 354.15ER TX FX RADIUS/ULNA W/MAN CL LT 354.80CLSD TX RADIUS/ULNA FX W/MANIP 354.80DRAIN/INJECT MAJOR JOINT/BURSA 359.20ER INTUBTN GASTRIC TREATMENT 362.55SIMPLE REPAIR SUPERFICIAL WOUNDS 365.15INCISION & DRAIN BARTHOLIN 366.50

LRMC Item Description Primary PriceER TX FX RADUS/ULNA W/O MAN C BL 368.70ER TX FX ULNA SHFT W/O MAN CLS BL 368.70INJECT ANESTHETIC FACIAL NERVE 371.50ER TX DISL (I-P) FOOT W/O ANES T5 381.10ER TX DISL TARSOMET W/O ANES C BL 381.10ER TX FX TARSAL W/O MAN BIL 381.10CLOSED TRMT TOE DISLOCATION 381.10CLSD TX FINGER FX EACH 394.85CLSD TX FINGER DISLOC 394.85ER DEBR/REM DEV TISS <20 SQ CM 397.95PLACE TUBE NASOGASTRIC 399.20I&D ABSCESS COMP/MULT 421.05INC&REMOVAL FB SUBQ TISSUE SIMPLE 421.05I&D ABSCESS 426.55EXC WEDGE SKIN NAIL FOLD 430.15ER DRAIN ABSC/HEMA EAR EXT SMP 431.00ER DRAIN ABSC EXT AUDITORY CAN 431.00ER RPR LAC SMP FACE 12.1-20.0 435.65ER RPR LAC CPLX SCALP ADD 5.0C 435.65ER TX FX FEM DIST W/MAN CLSD BIL 435.95ER DRAIN ABSC FINGER SIMPLE 453.55ED VISIT LEVEL 2 W PROC 456.30ED VISIT LEVEL 2 456.30APPL SPLINT ARM SHORT 473.00ER ASP FINE NDL W/O IMGNG GUID 475.45ED-CRITICAL CARE ADDL 30 MIN 478.50CLSD TX ANKLE DISLOC 493.40TX DISL WRIST W/MANIP CLOSED 495.05ER TX FX BIMALLEOLAR W/O MAN BIL 504.60ER TX FX FIB DIST W/MAN CLSD RT 504.60ER TX FX FIB DIST W/MAN CLSD BIL 504.60STRAPPING OF ANKLE 512.40INCISE EXT HEMORRHOID 525.30ER ARTHROCENT ASP/INJ JT SMALL 544.15ER NJ SINGLE TENDON/LIGAMENT 544.15ER REM FB EYELID EMBEDDED 545.75I&D ABSC VULVA/PERINEAL 549.55ER TX ELBOW CHILD W/MAN CLSD LT 549.85CLSD TX ELBOW DIS-CHILD 549.85ER IV INFS THPY FLD INTL 1H DPSS 554.60HYDRATION INITIAL HOUR 554.60SEDATION MD INIT 15MIN >5YR 561.80ER CATH BLADDER CPLX 568.15ER IRRIG CORPORA CAVERNOSA 568.20EXCISION NAIL/NAIL MATRIX 573.05

LRMC Item Description Primary PriceCHANGE GASTROSOMY TUBE 576.75RPR LAC CPLX FOREHD 1.1-2.5CM 584.20RPR LAC CPLX FOREHD 2.6-7.5CM 584.20RPR LAC CPLX SCALP 2.6-7.5CM 584.20ER TX RAD/ULNA SHFT W/MAN CL BL 591.25ER TX RAD/ULNA SHFT W/MAN CL RT 591.25ER TX DISL RADIOULNAR W/MAN CL BL 591.25ER TX FX ULNA SHFT W/MAN CLSD BIL 591.25REM FB FOOT SUBQ 610.55ER TX FX ULNA PROX W/MAN CLSD BIL 623.75ER TX FX ULNA PROX W/MAN CLSD LT 623.75ER RPR LAC CPLX TRNK ADD 5.0CM 624.70ER TX DISL THUMB W/MAN CLSD BIL 633.15CLSD TX PHAL SHAFT FX W/MANIP 633.15ER TX FX METACARP W/MAN CLSD RT 633.15ER TX DISL (M-P) W/ANES/MAN CL BL 633.15THORACOSTOMY W/TUBE INSRT 641.70ER IV INFUS THY/PROP/DX INTL DPSS 699.80IV INFUS THPYPROPH//DX INTL UP 699.80ER TX FX TIB DIST TRACT W/MAN 727.00ER PACK WOUND DEHISCENCE SUPER 746.00ER RPR LAC CPLX SCALP 1.1-2.5C 746.00PARACENTESIS 749.70I&D ABSC PERIANAL SUPERFIC 785.60ER RPR LAC CPLX FOREHD ADD 5CM 792.05EXPL PENTR WOUND EXTREMITY 792.40ER THORACENTESIS W/O IMAGING G 797.90ED VISIT LEVEL 3 W PROC 841.80ED VISIT LEVEL 3 841.80ED NEPHROSTOMY TUBE CHANGE 860.35PUNC ASPR ABS HEMATOMA BULLA CYST 1,078.50TX DISTAL FINGER FX W/O MANIP 1,089.30REMOVAL TUNNELED CV CATH 1,093.00ER TX DISL PATELLAR W/ANES CLS BL 1,128.20ER PLEUR DRN W/INSRT CATH W G 1,297.45ER TX FX TRIMALLEOLAR W/MAN CL LT 1,305.95ER TX FX BIMALLEOLAR W/MAN CLS BL 1,305.95ER TRACHEOSTOMY CRICOTHYROID 1,318.60ER TX DISL HIP TRAUMA W/ANES LT 1,469.85ER TX DISL HIP TRAUMA W/ANES RT 1,469.85ER TX DISL HIP SPONT W/ANES/MA BL 1,469.85ER RPR LAC CPLX TRNK 2.6-7.5CM 1,534.55ER CLOSURE WOUND DEHIS SPRFCL 1,534.55SPINAL TAP DIAGNOSTIC 1,535.80CYSTOSCOPY W/ FOLEY PLCMT 1,543.29

LRMC Item Description Primary PriceER RECTUM UNLSTD PROC 1,560.45ER DRAIN ABSC SCROTAL WALL 1,648.25ED VISIT LEVEL 4 W PROC 1,670.80ED VISIT LEVEL 4 1,670.80ER LARYNGOSC DIRECT DX 1,704.30ED VISIT LEVEL 5 W PROC 1,903.80ED VISIT LEVEL 5 1,903.80ER DRAIN ABSC FINGER COMPLEX 2,159.70ER REMOVE FB ARM/ELBOW SUBQ 2,304.70ER TX DISL HIP POST W/ANES 2,352.40ER INS CATH CV NON-TUNL <5 YRS 2,549.15ER TX DISL SHLDR W/MAN/ANES CL LT 2,735.60ER TX DISL SHLDR W/MAN/ANES CL RT 2,735.60CLSD TX SHOULDER DIS W/ANES 2,735.60ER TX DISL (I-P) HND W/ANES/MN F9 2,776.75ER TX DISL (I-P) HND W/ANES/MN 2,776.75ER I&D HEMATOMA/SEROMA/FLUID 2,979.10ER TX DISL ANKLE W/ANES CLSD BIL 3,358.45ER TX DISL ANKLE W/ANES CLSD RT 3,358.45ER TX FX TIB SHAFT W/MAN CLSD BIL 3,642.70ER TX FX MALLEOLUS W/MAN CLSD BIL 3,642.70ER TX DISL HIP POST W/ANES RT 3,779.85ER TX DISL HIP POST W/ANES LT 3,779.85ED CRITICAL CARE 30-74 W PROC 3,810.30ED CRITICAL CARE 30-74 3,810.30ER INCISION/REM FB SUBQ CPLX 4,043.65ER TX DISL ELBOW W/ANES CLSD BIL 4,151.40ER TX DISL METATARSOPH ANES CL BL 4,411.45ER I&D WOUND POST OP CPLX 5,536.25*PU MVV 56.50MAX VOLUNTARY VENTILATION 56.50ENDTIDAL CO2 MONITOR 93.95VITAL CAPACITY 123.70PULSE OXIMETER-MULTI ONCE PER DAY 147.85*PU RESIDUAL VOLUME 179.25*PU PULMONARY FUNCTION SIMPLE 179.70*PU PFT DLCO ADD ON 184.80PULMONARY STRESS TEST SIMPLE 295.35*PU PULMONARY FUNCTION PRE-POST 314.55O2 SATURATION/CONT 382.85COMP INFANT HEARING SCREEN 133.20NEWBORN HEARING SCREEN (BASIC) 159.15REMOVAL OF IMPLANT EVENT RECORDER 354.90OR-CODE BLUE 453.00CODE BLUE 453.00

LRMC Item Description Primary PriceCPR 453.00CPR/CODE 453.00EK TT ECHO FOLLOWUP/LMT STUDY 510.45EK DOPPLER COLOR FLOW 510.45EK DOPPLER FLW UP ECHO/LIMITED 510.45EK ECHO TT COMPLETE 943.85EK ECHO TT INCLUDING STRESS 943.85EK ECHO DOPPLER COMPLETE 943.85EP EVAL CARDIO/DEFIB SGL/DUAL 957.15EK TE ECHO 971.70CARDIOVERSION 1,014.25CARDIOVERSION EP LAB 1,014.25CARDIOVERSION ELECTIVE 1,014.25CARDIOVERSION 1,014.25EK CARDIOVERSION 1,014.25CARDIOVERSION 1,014.25TRANSESOPHEGEAL ECHO-TEE 1,080.00EP EVAL CD W/GENERATOR TEST 1,119.65EK TILT TEST 1,724.00EK ECHO COMPLETE STDY (3PTS) 2,398.05EP IV DRUG INFUSION PACING 4,791.65I.C.E. STAND ALONE PROCEDURE 4,800.45INTRACARDIAC ECHO INTERVENT 4,800.45IMPLANT EVENT RECORDER 4,911.70ICAR CATHETER ABLATION ARRHYTH 6,250.00REMOVE SUBQ DEFIB ELECTRODE 6,268.60ICC ABL AV NODE CREATE CHB 7,518.20COMP EP EVAL W LV RECORDING 9,273.60COMP EP EVAL WO INDUCTION 9,273.60COMP EP EVAL W INDUCTION 9,273.60COMP EP W RA RECORDING 9,273.60ELECTROPHYS MAP 3D ADD-ON 9,936.25EPHYS EVAL W/ ABLATION VENTRIC 39,396.25EP LAB EVAL W/ ABLATION SUPRA 39,396.25EPHYS EVL TRNSPTL TX ATRIAL 39,396.25INS/REP DEFIB SYS W/SUBQ EL 40,869.55IVUS ADDITIONAL VESSEL 361.75WAVEWIRE ADDITIONAL VESSEL 436.35CPR 453.00CARDIOVERSION 1,014.25PACER SKIN POCKET REVISION 1,039.80IAB PERCUTANEOUS INSERTION 1,044.65PERM PACER GENERATOR REMOVAL 1,179.60WAVEWIRE INITIAL VESSEL 1,525.00REPO PREV CARDIAC VENOUS SYSTEM 1,894.00

LRMC Item Description Primary PricePERCUTANEOUS CORONARY THRMBCTY 2,258.25IVUS INITIAL VESSEL 2,280.85REPOSITION TRANSVENOUS ELECTRODE 2,324.35ILLIAC ARTERY ANGIO DURING CATH 2,462.65REMOVE TRNVNS PCMKR SNGL LEAD 2,663.30RMVL TRNSVEN ELEC DUAL LEAD 2,663.30INSERT PACE ELEC CVS LFT VEN PACE 2,756.45CORONARY ARTERY ANGIO S&I 3,140.15VALVULOPLASTY AORTIC VALVE 3,995.10CORONARY ART/GRFT ANGIO S&I 4,212.50RENAL ANGIO SEL BIL 4,512.10INS LV PACING TO PREV PCMKR 5,723.35INSERTION TEMPORARY PACEMAKER 6,353.30RHRT CORONARY ARTERY ANGIO 6,774.65LHRT CATH TRNSPTL PUNCTURE 6,934.75VENA CAVA FILTER INSERT 7,460.50RHRT ART/GRFT ANGIO 7,842.55LHRT ARTERY/VENTRICLE ANGIO 7,851.05LHRT ART/GRFT ANGIO 8,918.90REMV&REPLC PM GEN MULT LDS 9,330.90REMOVE&REPLACE PM GEN SGL 9,330.90REMV&REPLC PM GEN DUAL LD 9,330.90R&L HRT ART/VENTRICLE ANGIO 9,936.15UPGRADE SINGLE CHAMBER TO DUAL 10,004.65PERMANENT PACER ATRIAL W/LEADS 10,004.65PERMANENT PACER VENTR W/LEADS 10,004.65PERMANENT PACER DUAL W/LEADS 10,004.65R&L HRT ART/VENTRIC GRFT ANGIO 11,004.00REMV&REPLC CVD GEN SGL LD 12,472.40REMV&REPLC CVD GEN DUAL LD 12,472.40REMV&REPLC CVD GEN MULT LDS 12,472.40INSRT PULSE GEN W/MULT LDS 13,431.55INSRT PULSE GEN W/DUAL LDS 13,431.55PRQ CARDIAC ANGIO ADDL ART 14,220.20PRQ CARDIAC ANGIOPLAST 1 ART 14,220.20PRQ CARD STENT/ATH/ANGIO 15,529.10PRQ CARD REVASC MI 1 VSL 15,529.10PRQ CARD STENT W/ANGIO ADDL 15,529.10PRQ REVASC BYP GRAFT 1 VSL 15,529.10PRQ CARD STENT W/ANGIO 1 VSL 15,529.10PRQ CARD ANGIO/ATHRECT 1 ART 19,495.55PERC D-E COR REVASC T CABG B 21,952.25PERC D-E COR STENT ATHER S 21,952.25PERC D-E COR REVASC W AMI S 21,952.25PERC DRUG-EL COR STENT BRAN 21,952.25

LRMC Item Description Primary PricePERC D-E COR REVASC T CABG S 21,952.25PERC DRUG-EL COR STENT SING 21,952.25INSERT/REPLACE LEADLESS PACER 41,520.66PFO/ASD CLOSURE 45,042.00EK CARDIAC STRESS TEST 1,662.00ECHO TEE PROBE PLACEMENT 1,084.95ASU EXTENDED STAY 0.70VISIT WOUND NEW LEVEL I 194.50VISIT WOUND ESTAB LEVEL I 194.50VISIT WOUND NEW LEVEL II 232.70VISIT WOUND ESTAB LEVEL II 232.70VISIT WOUND ESTAB LEVEL III 277.45VISIT WOUND ESTAB LEVEL IV 322.00VISIT WOUND NEW LEVEL III 322.00VISIT WOUND ESTAB LEVEL V 403.60VISIT WOUND NEW LEVEL IV 403.60VISIT WOUND NEW LEVEL V 515.45MRI SACRUM WO CONTRAST 1,449.25MRI CHEST/HILAR/MEDIAS W/O CONTRA 1,449.25MRI ANKLE LT W/O CONTRAT 1,706.15MRI HIP LT W/O CONTRAST 1,706.15MRI ANKLE RT W/O CONTRAST 1,706.15MRI HIP RT W/O CONTRAST 1,706.15MRI FOOT LT W/O CONTRAST 1,706.15MRI FOOT RT W/O CONTRAST 1,706.15MRI KNEE LT W/O CONTRAST 1,706.15MRI KNEE RT W/O CONTRAST 1,706.15MRI ORBITS/FACE/NECK W/O CONTRAST 1,896.35MRI TMJ JOINTS 1,975.55MRI ABDOMEN W/O CONTRAST 2,369.40MRI ABDOMEN MRCP 2,369.40MRI SACRUM WO W CONTRAST 2,898.35MRI HIP LT WO/W CONTRAST 3,220.40MRI KNEE LT WO/W CONTRAST 3,220.40MRI HIP RT WO/W CONTRAST 3,220.40MRI ANKLE LT WO/W CONTRAST 3,220.40MRI KNEE RT WO/W CONTRAST 3,220.40MRI ANKLE RT WO/W CONTRAST 3,220.40MRI FEMUR RT WO/W CONTRAST 3,361.70MRI TIB FIB RT WO/W CONTRAST 3,361.70MRI TIB FIB LT WO/W CONTRAST 3,361.70MRI FEMUR LT WO/W CONTRAST 3,361.70MRI FOOT RT WO/W CONTRAST 3,361.70MRI FOOT LT WO/W CONTRAST 3,361.70MRI ABDOMEN WITH/WITHOUT CONTRAST 3,652.25

LRMC Item Description Primary PriceMRI BRAIN WITHOUT CONTRAST 1,896.35MRI BRAIN WITH CONTRAST 2,369.45MRI BRACHIAL PLEXUS WO W CONTRAST 2,923.25MRI PITUITARY 2,923.25MRI BRAIN WITH/WITHOUT CONTRAST 2,923.25MRI THORACIC SPINE W/O CONTRAST 2,101.40MRI LUMBAR SPINE W/O CONTRAST 2,332.55MRI THORACIC SPINE WITH CONTRAST 2,625.45MRI CERVICAL SPINE W/O CONTRAST 2,844.05MRI LUMBAR SPINE WITH CONTRAST 2,914.50MRI THORACIC SPINE WITH/WO CONTRA 3,238.85MRI LUMBAR SPINE WITH/WO CONTRAST 3,595.75MRI CERVICAL SPINE WITH/WO CONTRA 4,384.20MRI PELVIS WITHOUT CONTRAST 1,449.25MRI FEMUR LT W/O CONTRAST 1,706.15MRI FEMUR RT W/O CONTRAST 1,706.15MRI TIB FIB LT W/O CONTRAST 1,706.15MRI TIB FIB RT W/O CONTRAST 1,706.15MRI ELBOW LT W/O CONTRAST 2,076.95MRI ELBOW RT W/O CONTRAST 2,076.95MRI WRIST LT W/O CONTRAST 2,076.95MRI WRIST RT W/O CONTRAST 2,076.95MRI SHOULDER RT W/O CONTRAST 2,076.95MRI SHOULDER LT W/O CONTRAST 2,076.95MRI KNEE LT W/ CONTRAST 2,131.65MRI FOREARM LT W/O CONTRAST 2,180.80MRI HAND LT W/O CONTRAST 2,180.80MRI HUMERUS LT W/O CONTRAST 2,180.80MRI HAND RT W/O CONTRAST 2,180.80MRI PELVIS WITH/WITHOUT CONTRAST 2,898.35MRI CHEST/HILAR/MEDIAS WITH/W/O C 2,898.40MRI NECK WO/W CONTRAST 2,923.25MRI ORBITS/FACE/NECK WITH/WO CONT 2,923.25MRI ELBOW RT WO/W CONTRAST 3,361.70MRI FOREARM RT WO/W CONTRAST 3,361.70MRI HUMERUS LT WO/W CONTRAST 3,361.70MRI SHOULDER LT WO/W CONTRAST 3,361.70MRI SHOULDER RT WO/W CONTRAST 3,361.70MRI WRIST LT WO/W CONTRAST 3,361.70MRI HAND LT WO/W CONTRAST 3,361.70MRI HAND RT WO/W CONTRAST 3,361.70MRV HEAD W/O CONTRAST 1,896.35MRA NECK WITHOUT CONTRAST 1,896.35MRA HEAD WITHOUT CONTRAST 1,896.35MRA HEAD WITH CONTRAST 2,369.45

LRMC Item Description Primary PriceMRA HEAD WITH/WITHOUT CONTRAST 2,923.25MRA NECK/WITH/WITHOUT CONTRAST 2,923.25MRA LOWER EXTR WITH CONTRAST 2,131.65MRA LOWER EXTR WITH/WO CONTRAST 2,421.65MRA CHEST EXCL/MYOCAR W/WO CON 2,117.85MRA ABDOMEN WITH/WO CONTRAST 3,191.90XR ZZ ISOVUE 300 PER ML 0.70VISIPAQUE 270 PER ML 1.10OMNIPAQUE 350 PER ML 1.10CONTRAST LOW OSMOLAR 300-399MG 1.25VISIPAQUE 320 PER ML 1.30OMNIPAQUE 300 PER ML 1.30XR ZZ- OMNIPAQUE 240 PER ML 5.60SP OMNIPAQUE 180 PER ML 7.20XR ZZ- OMNIPAQUE 180 PER ML 7.20SP MULTIHANCE PER ML 7.26MR ZZ MULTIHANCE PER ML 7.26DSG OASIS FENESTRATED PER SQ CM 17.75MR ZZ EOVIST PER ML 38.31MEDIA CONTRAST OMNI 300 50 47.08MEDIA CONTRAST OMNI 300 100ML 64.10OASIS TRI LAYER WND PER SQ CM 78.45APLIGRAF PER SQ CM 82.60RHOGAM SINGLE DOSE-CHARGE ONLY 171.00EK ECHO CONTRST(OPTISON)PER MI 179.20DEFINITY CONTRAST PER ML 236.90NM ZZ CCK 643.12GRAFT NUSHIELD 1.6 SQ CM DISC 2,449.00GRAFT NUSHIELD 2 X 3 8 SQ CM 3,100.00DERMIS FLEXHD ULTRA THICK 16X20CM 21,471.45OB PACU PER MINUTE 10.05SURGICAL RECOVERY ROOM TIME 12.95PT STAGING CATH RECOVERY 2 HRS 307.10LRDSC AMBULATORY ROOM CHARGE 374.50ASU RECOVERY ROOM CHARGE 540.00TE ECHO RECOVERY 618.50CARDIAC CATH RECOVERY 794.50SURGICAL RECOVERY 1,151.70NEONATAL RESUSITATION PER MINUTE 16.80POSTPARTUM INTENSIVE OBS PER MIN 2.05LIMITED LABOR TIME PER MINUTE 2.75LABOR STAGE I PER MINUTE 2.80EPIDURAL INSERTION PHASE PER MIN 2.95INTENSIVE LABOR STAGE I PER MIN 3.85LABOR STAGE II PER MINUTE 3.85

LRMC Item Description Primary PriceLABOR TIME PER MINUTE 4.70INTENSIVE LABOR TIME PER MINUTE 10.10POST PARTUM RECOVERY PER MINUTE 3.70VAGINAL DELIVERY PER MINUTE 12.50C-SECTION DELIVERY PER MINUTE 24.65ADDED PROCEDURE 271.95CIRCUMCISION 338.25RHYTHM ECG TRACING & MONITOR 123.95EKG CVU 288.55EKG ADU/ENDO 288.55EKG CVICU 288.55EKG PT PLACEMENT CENTER 288.55EKG PROGRESSIVE CARE 288.55EKG INTENSIVE CARE 288.55ER-EKG 288.55EKG OBSTETRICS 288.55EKG ONCOLOGY 288.55EKG MEDICAL 288.55EKG 12 LEAD 339.45EK TRIGGER MONITOR 209.90EK HOLTER MONITOR 24HR-RECORDING 858.00EXT EEG < 1 HOUR 367.45EXT EEG > 1 HOUR 427.55EEG AWAKE & ASLEEP 470.25EEG AWAKE & DROWSY 470.25EEG ALL NIGHT RECORDING 954.15ENDO TIME 25.50ENDO TIME 25.50RECTAL SENSATION TEST 444.05LRDSC MODIFIED MOTILITY 1,231.50ESOPHAGEAL MOTILITY STUDY 1,231.50ANORECTAL MOTILITY BALLOON 1,237.00PH MONITORING STUDY 24 HOUR 1,922.80IRRIGAT IMPLANT VEN ACCESS DEV 89.10BX LESN SKIN/SUBQ/MUCOUS SGL 182.30DEBR/REM DEV TISS W/O ANES <20 185.20DEBR NON-SELECTIVE W/O ANES 186.05PARING/CUTTING LESION BENIGN 1 205.50DRESS/DEB BURN <5% TOTAL SM 238.60REM DEVITAL TISS W/O ANES >20 238.60CAUT CHEM TISSUE GRANULATION 265.00NEG PRESS WOUND THRPY <50 285.45I&D BARTHOLIN CYST 293.20NEG PRESS WOUND THRPY >50 SQ CM 297.75PICC LINE CARE BASIC LEVEL 1 313.85

LRMC Item Description Primary PricePICC LINE CARE BASIC LEVEL 1 313.85APPL MULTILYR VEN WD CMPRES 336.80BONE MARROW BX NEEDLE OR TROCAR 340.25DRESS/DEBR BURN >10% TOTAL LRG 374.25DRESS/DEB BURN 5-10% TOTAL MED 374.25ASP FINE NDL W/O IMAGING GUIDE 380.35STRAPPING BOOT UNNA 473.00BIOPSY BONE NEEDLE SUPERFICIAL 497.50DEBRID BONE ADDL 20 SQ CM 581.40DEBRID MUSC/FASCIA ADDL 20 SQ CM 581.40DEBRID SUBQ TISSUE ADDL 20 SQ CM 581.40I&D ABSCES SIMPLE 597.80APPL CAST LEG RIGID CONTACT 630.15DEBRID MUSCLE/FASCIA 1ST 20 SQ CM 678.45DEBRIDE SUBQ TISSUE 1ST 20 SQ CM 678.45GFT SKN SUB F/S/E <=100CM 25 SC 807.10GFT SKIN LOW SUB T/A/L <=100CM 807.10GFT SKIN SUB T/A/L <=100CM 807.10FOLEY PLCMT W/ CYSTO 1,543.29DEBRIDE BONE 1ST 20 SQ CM 1,744.60I&D HEMATOMA/SEROMA/FLUID 1,856.90APHERESIS PLASMA 2,747.90APHERESIS PLASMA 2,747.90APHERESIS PLASMA 2,747.90OBSERVATION PER MINUTE 0.70PCU OBSERVATION 0.90DIRECT ADMIT OBSERVATION CARE PRO 115.75DIRECT ADMIT OBSERVATION CARE PRO 115.75DIRECT ADMIT OBSERVATION CARE 115.75ADMIN INFLUENZA VACCINE 69.90ADMIN INFLUENZA VACCINE 110.65IMMUNIZATION ADMIN 153.95ER IMMUNIZATION 153.95USAGE CHARGE FOR LITHOTRIPSY 9,529.70DIAL RPOC OTHR THN HEMO IP >1 418.25DIALYSIS PROC OTH THN HEMO IP 1 477.80HEMODIALYSIS DAILY 911.75PERITONEAL DIALYSIS INITIAL SETUP 418.25PERITONEAL DIALYSIS DAILY 418.25HEMODIALYSIS OUTPATIENT 911.75BIOFEEDBACK PERI/URO/RECTAL 324.90NERVE CONDUCTION 8 STUDIES 213.80NERVE CONDUCTION 13 STUDIES 327.20US DIALYSIS GRAFT MAPPING 409.05US CAROTID RIGHT 468.15

LRMC Item Description Primary PriceUS INGUINAL FOR PSEUDOANEURYSM 717.20US PELVIS ART/VEN FLOW 1,107.20US TESTICULAR ART/VEN FLOW 1,107.20US DUPLEX SCAN HEMO ACCESS 197.45US ABI POST ANGIO 327.90DOPPLER ARTERIAL EXTREMITY 327.90US ANKLE/BRACHIAL PRESSURES (ABI) 327.90DOPPLER ARTERIAL EXT CMPL 343.45US THORACIC LTD 347.45US ARTERIAL UPPER EXT RT 551.05US ARTERIAL UPPER EXT LT 551.05US PSEUDO ANEURYSM COMP/REPAIR 717.20US ARTERIAL LOWER LT 717.20US ARTERIAL LOWER RT 717.20US AORTA DUPLEX 842.00US VEIN MAPPING LOWER EXT RT 874.60US DIALYSIS GRAFT RT 874.60US VEIN MAPPING UPPER EXT RT 874.60US VEIN MAPPING UPPER EXT LT 874.60ER-DOPPLER 874.60US VENOUS UPPER EXTREMITY RIGHT 874.60US VENOUS UPPER EXTREMITY LEFT 874.60US VENOUS LOWER EXTREMITY RIGHT 874.60US VENOUS LOWER EXTREMITY LEFT 874.60US CAROTID BILATERAL 899.45US VENOUS INSUFFICIENCY 1,024.50US VEIN MAPPING LOWER EXT BIL 1,024.50US EXTREMITY VASCULAR BILATERAL 1,024.50US VEIN MAPPING UPPER EXT BIL 1,024.50US VENOUS LOWER EXTREMITY BILAT 1,024.50US ARTERIAL LOWER EXTREMITY BIL 1,033.25US ARTERIAL UPPER EXTREMITY BIL 1,069.60US ART/VEN FLOW ABDOMEN LIMITED 1,107.20US ART/VEN FLOW ABDOMEN 1,297.20PHOTOTHERAPY 143.40NON-ANTIBIOTIC SC/IM INJECTION 212.00ADMIN INJECTION SC/IM 212.00ARTERIAL CATH A-LINE 315.95SMOKING CESSATION 3-10 MINS 61.65ER SMOK CESS COUN INTER >3MIN 61.65SMOKING CESSATION COUNSELING INTE 61.65MED NUTRITION TX REASS/INT EA 15 72.40MED NUTRITION TX INI ASSES EA 15 72.40SMOKING CESSATION COUNS 3-10 MINS 82.15CARD REHAB ASSESS EDUCATE SD 118.60

LRMC Item Description Primary PriceCARDIAC REHAB PHASE II 237.20PULMON REHAB W EXRCISE 1 HR SES 245.35ICU OBSERVATION 1.30