PRODUCT / PROCEDURE DEPARTMENT PRICE

PRODUCT / PROCEDURE DEPARTMENT PRICE

0.9% NaCl NS FOR IRRIGATION - 1000ML CS 10.00$

1.6 WIRE SUR 52.00$

1073-11 6-0 SILK BL BR CS 29.00$

1074-21 5-0 SILK CE 4 CS 28.00$

1114-G GUT CHR 0 CS 39.00$

15 GA 45 MM IO NEEDLE SET CS 349.00$

16 - 37 mins. Individual Psychotherapy SLS 325.00$

1633 ETHILON 3-0 CS 54.00$

1676G 5-0 SILK BLK CS 18.00$

1-A304H E SILK 3-0 MER CS 33.00$

1-A305H E SILK BL 0 LRH CS 33.00$

1-C013T E SILK BL 3-0 SH CS 108.00$

1-CO 45D SILK 0 CS 49.00$

1-D-71 GUT 4-0 (DENTAL) CS 33.00$

1-G-698G 50 ETHILON P-3 CS 17.00$

1-G-699G ETHILON 4-0 P-3 CS 17.00$

1-J 207G VICRYL 0 CS 11.00$

1-J 304H VICRYL 4-0 CS 10.00$

1-J 316H 3-0 VICRYL SH CS 9.00$

1-J 333H VICRYL 2-0 CS 10.00$

1-J 344H VICRYL O CT-1 CS 10.00$

1-J 345H VICRYL 2-0 CS 93.00$

1-J 346-H VICRYL O CT-1 CS 10.00$

1-J 442-H VICRYL 3-0 CS 12.00$

1-J 453 2-0 VICRYL CS 27.00$

1-J-205G 3-0 VICRYL CS 24.00$

1-J-328H 2-0 VICRYL CS 27.00$

1-J-334H O VICRYL CS 35.00$

1-J-339H 2-0 VICRYL CS 27.00$

1-J-359H 1-VICRYL CS 23.00$

1-J422H VICRYL 4-0 CS 11.00$

1-J465H VICRYL 3-0 CS 27.00$

1-K 831H E SILK BL 4-0 SH CS 29.00$

1-K 832-H SILK 3-0 SH CS 8.00$

1-K 833H 2-0 SILK CS 32.00$

1-K 834H E SILK BL 000 SH CS 28.00$

1-K 890H 5-0 SILK CS 82.00$


1-L 114 G GUT CHR LG PK. CS 19.00$

1-Z-346H 0-PDS CS 14.00$

2" Ace Wrap Velcro Closure, Sterile SUR 5.00$

2" SCOTCH CAST, RED CS 20.00$

2" Sterile Cast Padding SUR 6.00$

2% CHLORHEXIDINE WIPES CS 14.00$

201-CT1 VICRYL CS 34.00$

20X20X4X2 FUSION FLEX SUR 2,699.00$

22" STOCKINETS SMALL CS 57.00$

24" STOCKINET LARGE CS 96.00$

3" Ace Wrap(Velcro Closure, Sterile, Lat SUR 6.00$


3.5 X 16 LOCKING SCREW SUR 456.00$



3.5MM HOOK SERFAS ENERGY PROBE CS 867.00$

3.5X3.6 CROSSCHECK SCREW SUR 519.00$

30 FR. FOLEY CATH CS 47.00$

3000ml 0.9% NaCl CS 33.00$

34" STOCKINET MED CS 67.00$


4" Ace Wrap (Velcro Closure, Sterile, La SUR 6.00$

4" Coban Sterile, Latex Free SUR 12.00$

4.0MM ANGLED AGGRESSIVE PLUS CUTTER CS 496.00$

4.0MM SERFAS ENERGY 90-S CRUISE PROBE CS 664.00$

4.0MM TOMCAT CUTTER, FORMULA CS 232.00$

4X4 CHARCOAL CS 18.00$

4X4 HYDOFERA BLUE CS 39.00$

5.5MM 12 FLUTE BARREL BUR - HOLLOW CS 245.00$


6" Ace Wrap (Velcro Closure, Sterile, La SUR 9.00$

6" Coban, Sterile, LF SUR 18.00$

6" Esmark SUR 18.00$


662G ETHILON 4-0 FS-2 CS 10.00$

684G SILK 3-0 FS-1 CS 29.00$

697G ETHILON 6-0 P-1 CS 18.00$

6FT CROSSCHECK MTP PLATE SUR 3,853.00$

6-METHYLMERCAPTOPURINE LAB 420.00$

7608-31 4-0 DEXON S CS 22.00$

8411-H 2-0 PROLENE CS 38.00$

8-4223H PROLENE BL 00 CS 38.00$

8424H PROLENE 0 CT-1 CS 50.00$


8618 G PROLENE 5-0 CS 27.00$

8622-H 3-0 PROLENE CS 38.00$

8629H E PROLENE 4-0 FS1 CS 14.00$

862H E PROLENE BL 00 KS CS 32.00$

8665G PROLENE 3-0 CS 13.00$

8682 4-0 PROLENE CS 23.00$

8684G PROLENE 3-0 FS-1 CS 13.00$

8699H PROLENE 4-0 CS 24.00$

8825G PROLENE CS 64.00$

887 H 2-0 CHROMIC GUT CS 38.00$

922H 3-0 CHROMIC GUT CS 19.00$

A/B OTIC DROPS 10 ML BOTTLE CL 5.00$

AB ID/ EA REAGENT CELL LAB 31.00$

ABD DRESSING/BX OF 20 CS 28.00$

ABO LAB 63.00$

ABSC CST HMTMA FROM DENTOALVEOLAR STRUCT CL 316.00$

ACCESS VALVE, ONE-LINK CS 35.00$

ACE (ANGIOTENSIN CONVERTING ENZ, SER) LAB 57.00$

ACETAMINOPHEN LAB 207.00$

ACETAMINOPHEN 160 MG LIQUID DOSE PHAR 4.00$

ACETAMINOPHEN ARTHRITIS T PHAR 3.00$

ACETAMINOPHEN CR TAB [650 PHAR 3.00$

ACETAMINOPHEN INFANT DROP PHAR 19.00$

ACETAMINOPHEN LIQ [320 MG PHAR 2.50$

ACETAMINOPHEN SUPP [120 M PHAR 2.50$




ACETAMINOPHEN SUPP [80 MG PHAR 5.00$

ACETAMINOPHEN TAB [325 MG PHAR 2.50$

ACETAMINOPHEN TAB [500 MG PHAR 2.50$

ACETAMINOPHEN W/CODEINE L PHAR 4.00$

ACETAMINOPHEN WITH CODEIN PHAR 4.00$

ACETAZOLAMIDE ER CAP [500 PHAR 17.20$

ACETAZOLAMIDE SODIUM VL [ PHAR 98.80$

ACETYLCYSTEINE [2000 MG/ PHAR 29.20$

ACETYLCYSTEINE AMP [200 M PHAR 8.00$

ACID PHOSPHATASE LAB 125.00$

ACIDOPHILUS PHAR 4.00$

ACNE SURGERY CL 182.00$

ACTH LAB 284.00$

ActHib vaccine (MEDICAID) CL 19.82$

ACTIDOSE WITH SORBITOL [ PHAR 70.95$


ACTIDOSE WITH SORBITOL [1 PHAR 62.00$

ACUTE GI BLD LOSS IMAGING NM 1,585.00$

ACYCLOVIR CAP [200 MG] PHAR 5.00$

ADAPTER/VENTED SPIKE,IV CS 7.00$

ADD'L SEQ INF UNIT=1 TR 138.00$

ADD'L TX/PRO/DX INJ INIT TR 146.00$

ADENOSINE INJ VL [90 MG/ PHAR 888.00$

ADENOSINE SYR. [6 MG/2 ML PHAR 68.00$

ADENOVIRUS LAB 117.00$

ADENOVIRUS, STOOL LAB 138.00$

ADL TRAINING (15 MIN) OT 93.00$

ADOL SUB ABUSE SCREEN BH 134.00$

ADRENALIN, EPINEPHRINE, 0.1 MG CL 44.00$

ADULT CO2 CANNULA CS 19.00$

ADULT SAMPLING LINE CS 37.00$

ADULT SO2 SENSOR CS 53.00$

ADULT SUB ABUSE SCREEN BH 134.00$

ADVAIR 250/50 60 DOSE INH PHAR 945.45$

ADVANCED CARE PLANNING FIRST 30M CL 225.00$

AG SCREEN PT SERUM, UNIT LAB -$

AG TYPING LAB 83.00$

AIR STIRRUP CL -$

AIRCAST ANKLE BRACE LFT CS 102.00$

AIRCAST ANKLE BRACE LFT LARGE CS 140.00$

AIRCAST ANKLE BRACE LFT LONG CS 87.00$

AIRCAST ANKLE BRACE RT CS 95.00$

AIRCAST ANKLE BRACE RT LARGE CS 140.00$

AIRCAST ANKLE BRACE RT LONG CS 87.00$

AIRWAY ADAPTER CS 20.00$

AIRWAY, NASAL 20FR CS 18.00$









ALBUMIN HUMAN IV [5% 500 PHAR 480.00$

ALBUMIN LEVEL LAB 42.00$

ALBUMIN LEVEL, SEND OUT LAB 42.00$

Albuterol 2.5 mg/ 3mL NEB in Clinic CL 3.00$

ALBUTEROL MDI [90 MCG] PHAR 160.55$


ALBUTEROL SULFATE AMP [0. PHAR 5.00$



ALCOHOL, BLOOD LAB 153.00$

ALDOLASE LAB 98.00$

ALDOSTERONE LAB 352.00$

ALENDRONATE SOD TAB [70 M PHAR 76.00$

ALENDRONATE SODIUM TAB [7 PHAR 61.50$

ALFENTANIL HCL AMP [1000 PHAR 10.52$

ALFENTANIL HCL AMP [500 M PHAR 35.00$

Align 4 mg cap PHAR 4.00$

ALISKIREN TAB [150 MG] PHAR 19.85$

ALL INCLUSIVE MEDICARE CLINIC CL -$

ALL PURPOSE CATH 8FR. CS 4.00$

ALLERGEN LAB 60.00$

ALLERGEN RESP PROFILE LAB 72.00$

ALLERGY INJECTION CL 27.00$

ALLERGY TESTING PER SCRATCH LAB 16.00$

ALLEVYN DRESSING CS 16.00$

ALLEVYN DRESSING 3x3 CS 17.00$

ALLOPURINOL TAB [100 MG] PHAR 4.00$

ALLOPURINOL TAB [300 MG] PHAR 5.00$

ALLYVEN DRESSING 3x3 CS 13.00$

ALOE VESTA 2 OZ CS 8.00$



ALOGLIPTIN TAB [12.5 MG] PHAR 23.40$

ALP LAB 34.00$

ALPHA1 ANTITRYPS DEF PROF LAB 379.00$

ALPHA-1-ANTITRYPSIN LAB 146.00$

ALPHA-FETOPROTEIN LAB 114.00$

Alpha-thalassemia LAB 739.00$

ALPRAZOLAM TAB [0.25 MG] PHAR 4.00$

ALPRAZOLAM TAB [1 MG] PHAR 4.00$

ALPRAZOLAM TAB [O.5 MG] PHAR 4.00$

ALTEPLASE STROKE KIT [100 PHAR 21,360.00$

ALTEPLASE VL [2 MG] PHAR 350.65$

ALUMINUM LAB 173.00$

ALUMINUM CHLORIDE SOLUTIO PHAR 4.00$

Aluminum Hydroxide Gel PHAR 4.00$

ALUMINUM HYDROXIDE GEL [6 PHAR 31.00$

ALUMINUM/MAGNESIUM HYDROX PHAR 3.00$

AMANTADINE HCL 100 MG CAP PHAR 6.75$


AMBU BAG CS 62.00$

AMILoride HCL TAB 5MG PHAR 3.00$

AMINOPHYLLINE VL [250 MG/ PHAR 36.00$

AMIODARONE HCL SOD VL [15 PHAR 27.50$

AMIODARONE HCL TAB [200 M PHAR 13.25$

AMITRIPTYLINE LAB 158.00$

AMITRIPTYLINE 150 MG TAB PHAR 15.25$

AMITRIPTYLINE HCL TAB [10 PHAR 4.00$

AMITRIPTYLINE HCL TAB [25 PHAR 4.00$

AMLODIPINE BESYLATE TAB [ PHAR 8.00$

AMLODIPINE TAB [10 MG] PHAR 9.05$

AMLODIPINE TAB [5 MG] PHAR 6.60$

AMMONIA LAB 123.00$

AMNIOTIC FLUID FLM LAB 191.00$

AMOXICILLIN SOLU BTL [200 PHAR 5.55$

AMOXICILLIN SUSP [400 MG/ PHAR 4.00$

AMOXICILLIN SUSP BTL [250 PHAR 20.00$

AMOXICILLIN TRIHYDRATE CA PHAR 4.00$

AMOXICILLIN TRIHYDRATE CH PHAR 4.00$

AMOXICILLIN TRIHYDRATE SO PHAR 16.05$

AMOXICILLIN/CLAVULANATE P PHAR 16.20$

AMOXICILLIN/POT CLAVU SOL PHAR 141.00$

AMOXICILLIN/POT CLAVULA S PHAR 158.20$

AMOXICILLIN/POT CLAVULANA PHAR 15.15$

AMOXICILLIN/POT CLAVULANA PHAR 15.15$

AMPHADASE 150U PHAR 57.00$

AMPICILLIN SODIUM VL [1 G PHAR 41.60$

AMPICILLIN SODIUM VL [250 PHAR 28.10$

AMPICILLIN SODIUM VL [500 PHAR 33.25$

AMPICILLIN/SULBACTAM VIAL PHAR 32.60$

AMPICILLIN/SULBACTAM VL [ PHAR 56.50$

AMPLIFIED PROBE TECHNIQUE LAB 308.00$

AMPLIFIED PROBE TECNIQUE, EACH ORGANISM LAB 247.00$

Amputation finger, thumb-V or Y closure CL 1,066.00$

AMYLASE LAB 92.00$

AMYLASE, RANDOM URINE LAB 28.00$

AMYLASE/LIPASE/PROTMGSE C PHAR 15.35$

ANA LAB 103.00$

ANASTROZOLE TAB [1 MG] PHAR 179.75$

ANCA SCREEN WITH REFLEX LAB 152.00$

ANDROSTENEDIONE LAB 267.00$

ANESTHESIA PRO FEE ESIA 114.00$

Anesthesia Set Tubing CS 10.00$


ANITDEPRESSANTS TRICYCLIC LAB 258.00$

ANIT-FACTOR XA LAB 247.00$

ANKLE BRACE, LACE UP MEDIUM CS 21.00$

ANKLE BRACE, LACE UP, LARGE CS 21.00$

ANKLE SUPPORT BRACE CS 99.00$

ANKLE/BRACHIAL DOPPLER VASC 483.00$

ANNUAL WELLNESS VISIT CL 241.00$

Anoro Ellipta inhaler PHAR 1,043.00$

ANOSCOPY CL 107.00$

ANTACID 30 ML CL 3.00$

ANTEPARTUM 4-6 VISITS CL 125.00$

ANTEPARTUM CARE ONLY-7 OR MORE VISITS CL 194.00$

ANTIBODY ACTINOMYCES LAB 45.00$

ANTIBODY ABSORBTION/WARM LAB 92.00$

ANTIBODY BACTERIUM ELSEWHERE LAB 42.00$

ANTIBODY EHRLICHIA LAB 105.00$

ANTIBODY ELUTION LAB 170.00$

ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED LAB 66.00$

ANTIBODY ID LAB 170.00$

ANTIBODY PROTOZOA NES LAB 10.00$

ANTIBODY TITER LAB 102.00$

ANTIBODY TOXOPLANA IGM LAB 173.00$

ANTI-CCP,IGG,IGA LAB 142.00$

ANTI-ENTEROCYTE LAB 276.00$

ANTIGEN TYPE, UNIT LAB 78.00$

ANTIGLIADIN ABS, IGA, AND IGM PANEL PRIC LAB 120.00$

ANTIGLOBULIN TECH,GEL LAB 194.00$

ANTINUCLEAR ANTIBODIES, IFA LAB 91.00$

ANTI-PLATLET ANTIBODY,SRM LAB 273.00$

ANTIPYRINE/BCAINE/GLYCER PHAR 30.00$

ANTIPYRINE/BCAINE/GLYCERI PHAR 23.90$

ANTISPASMODIC ELIXIR PHAR 918.05$

ANTI-STREPTOLYSIN ASO QUA LAB 97.00$

ANTITHROMBIN III LAB 167.00$

Apixaban 5 mg tab PHAR 28.25$

APIXABAN TAB [2.5 MG] PHAR 28.25$

APPLICATION LONG ARM SPLINT SHOULDER HAN ER 260.00$

APPLICATION OF FINGER SPLINT STATIC CL 145.00$

APPLICATION OF GUTTER SPLINT CL 209.00$

APPLICATION OF LONG ARM SPLINT CL 243.00$

APPLICATION OF LONG LEG SPLINT CL 220.00$

APPLICATION OF SHORT LEG SPLINT CL 166.00$

APPLICATION-SHORT ARM CAST CL 295.00$


APPLICATION-SHORT LEG CAST CL 266.00$

APRACLONIDINE OPTH SOL [0 PHAR 173.55$

APRACLONIDINE OPTH SOL [0 PHAR 360.00$

APTT MIXING STUDY LAB 25.00$

AQUA KIT CS 8.00$

AQUA PACK CS 6.00$

AQUACEL DRESSING CS 12.00$

AQUACEL FOAM 3X3 CS 9.00$

AQUACEL FOAM 5X5 CS 17.00$

ARIPIPRAZOLE (ABILIFY) LAB 205.00$

ARIPIPRAZOLE TAB [5 MG] PHAR 114.00$

ARM SLING W/ PAD CHILD CS 21.00$

ARM SLING W/ PAD LARGE CS 42.00$

ARM SLING W/ PAD MEDIUM CS 42.00$

ARM SLING W/ PAD SMALL CS 42.00$

ARM SLING W/ PAD XTR-LARGE CS 42.00$

ARSENIC LEVEL LAB 193.00$

ART DUPLEX UPPER EXT UNILATERAL/LMTD VASC 446.00$

ART. DUPLEX U.E.COMPLETE VASC 739.00$

ARTERIAL DUPLEX LOWER EXT VASC 1,098.00$

ARTERIOL FEE/WITHDRAWALOF LAB 91.00$

Arthroscopy Drape SUR 85.00$

Arthroscopy Drape Pack (XL Long Gown, L SUR 114.00$

ARTIFICIAL TEARS OPTH [15 PHAR 5.00$

ASCORCIC ACID LAB 221.00$

ASPERGILLOSIS LAB 137.00$

ASPERGILLUS GALACTOMANNAN AG. DET. LAB 373.00$

ASPIRATION (PUNCTURE)-ABSCESS, ETC CL 231.00$

ASPIRATION AND/OR INJEC GANGLION CYST CL 152.00$

ASPIRATION/INJECTION GANGLION CYST CL 153.00$

ASPIRIN 325 MG EC TAB- CLINIC CL 3.00$

ASPIRIN CHEW TAB [81 MG] PHAR 2.50$

ASPIRIN EC TAB [325 MG] PHAR 2.50$

ASPIRIN EC TAB [81 MG] PHAR 2.50$

ASPIRIN SUPP [300 MG] PHAR 7.00$

ASPIRIN/ DIPYRIDAMOLE ER PHAR 25.10$

ASSAY OF GLUCAGON LAB 226.00$

ASSAY OF PROINSULIN LAB 116.00$

ASSAY OF TOCOPHEROL ALPHA VIT E LAB 134.00$

ASSAY OF ZINC LAB 105.00$

ASSESSNEBT/INTAKE BH 109.00$

ASSISTED LVG CARE LVL 2 AL 365.00$

ASSISTED LVG/BEDROOM APT4 AL 2,845.00$


ASSISTED LVG/DLX STUDIO 3 AL 2,680.00$

ASSISTED LVG/STUDIO APT l AL 2,462.00$

ATA/ANTIBODY SCREEN LAB 96.00$

ATENOLOL TAB [25 MG] PHAR 4.00$

ATENOLOL TAB [50 MG] PHAR 4.00$

ATERIAL DUPLEX LIMITED-LO VASC 861.00$

ATORVASTATIN CALCIUM TAB PHAR 4.00$

ATORVASTATIN CALCIUM TAB PHAR 4.00$

ATROPINE SULFATE OPTH SOL PHAR 33.65$

ATROPINE SULFATE SYR [0.0 PHAR 73.00$

ATROPINE SULFATE SYR [0.1 PHAR 47.25$

ATROPINE SULFATE SYR [1 M PHAR 47.00$

ATROPINE SULFATE VL [1 MG PHAR 56.25$

AUTO VENT CIRCUIT CS 26.00$

AUTOLOGOUS UNIT LAB 306.00$

AVULSION OF NAIL PLATE-SINGLE CL 215.00$

AYR SALINE NASAL DROPS [5 PHAR 5.00$

AYR SALINE NASAL MIST [50 PHAR 5.00$

AZATHIOPRINE 50 MG TAB PHAR 9.40$

AZELASTINE HCL 0.1%[137MCG]NASAL SPRAY PHAR 70.15$

AZITHROMYCIN LIQ [100 MG/ PHAR 104.65$

AZITHROMYCIN LIQ [200 MG/ PHAR 104.65$

AZITHROMYCIN TAB [250 MG] PHAR 28.00$

AZITHROMYCIN TAB [500 MG] PHAR 56.95$

AZITHROMYCIN VL [500 MG] PHAR 30.80$

AZTREONAM 1 GM IVPB PHAR 85.55$

B CELL TOTAL COUNT LAB 75.00$

BACITRACIN VL [50,000 UNI PHAR 53.30$

BACITRACIN ZINC OINT [500 PHAR 4.00$

BACK SUPPORT CROSS CS 44.00$

BACLOFEN TAB [10 MG] PHAR 4.00$

BACTROBAN OINTMENT [1 GM] PACKET PHAR 15.40$

bair hugger full body blanket CS 27.00$

BALANCED SALT SOLUTION [500 ML] BAG PHAR 5.00$

BALSAM PERU/TRYPSIN/CASTO PHAR 84.45$

BANDAGE ESMARK 4" LF CS 10.00$

BANDAGE KLING 2" STERILE CS 8.00$

BANDG,ELAS STERILE 4" CS 26.00$

BASIC METABOLIC PANEL LAB 141.00$

BAUSCH & LOMB ADVANCED EYE RELIEF EYE WA CS 28.00$

BEHAVIOR CHG INTERVENTIONS < 10 MIN CL 61.00$

BENADRYL INJ-UP TO 50 MG CL 37.00$

BENAZAPRIL HCL TAB [20 MG PHAR 4.00$


BENAZEPRIL HCL TAB [10 MG PHAR 4.00$

BENEMID 0.5gr TABS PHAR 8.00$

BENIGN HYPERKERATITIC LEASION >4 TR 151.00$

BENZOCAINE AND TRIMETHOBE PHAR 7.00$

BENZOCAINE/MENTHOL LOZENGES [15-3.6MG] PHAR 4.00$

BENZOCAINE/MENTHOL SPRAY PHAR 4.00$

BENZOCAINE/TETRACAINE/BUT PHAR 14.50$

BENZODIAZEPINES, SERUM LAB 179.00$

BENZONATATE CAP [100 MG] PHAR 4.00$

BENZTROPINE MESYLATE TAB PHAR 4.00$

BETA 2 GLYCOPROTEIN/ANTIB LAB 234.00$

BETA 2 MICROGLOBULIN LAB 136.00$

BETA-HYDROXYBUTYRIC ACID LAB 90.00$

BETAMETH SOD PHOS/ BETAME PHAR 41.00$

BETAMETHASONE NA/BETAMETH PHAR 109.80$

BETAXOLOL HCL OPTH [0.25% PHAR 59.00$

BETAXOLOL HCL OPTH [0.25% PHAR 745.30$

BETAXOLOL HCL TABS [10 MG PHAR 8.00$

BETOPTICS 0.25% GTT PHAR 48.00$

BICALUTAMIDE TAB [50 MG] PHAR 55.70$

BICILLIAN INJ-1,200,000u CL 225.00$

BIFIDOBACTERIUM PHAR 5.25$

BILE BAG CS 30.00$

BILIRUBIN TOTAL LAB 49.00$

BILIRUBIN/DIRECT LAB 49.00$

BIMATOPROST OPTH SOL [0.01% 5ML BTL] PHAR 198.50$

BINDER X BACK SUPPORT CS 44.00$

BIOGLO OPTHALMIC STRIP CL 3.00$

BIOPSY OF SKIN LESION TR 186.00$

BIOPSY SKIN-SINGLE LESION CL 185.00$

BIOPSY-SKIN/EACH ADD'L LESION CL 97.00$

BIOTIN TAB [1000 MCG] PHAR 2.50$

BISACODYL SUPP [10 MG] PHAR 4.00$

BISACODYL TAB [5 MG] PHAR 4.00$

BISMUTH SUBSALICYLATE LIQ PHAR 3.00$

BISMUTH SUBSALICYLATE LIQ PHAR 3.00$

BISOPROLOL TAB [10 MG] PHAR 6.00$

BISOPROLOL/ HCTZ TAB [5 M PHAR 13.50$

BLADDER SCANNER CL 170.00$

BLADE SURGICAL SAW SAGITTAL 90 MM x 1.27 CS 263.00$

BLADE, PRECISION THIN, LONG MEDIUM (9.0M CS 176.00$

BLANKET, BAIR HUGGER UPPER BODY, MULTI-P CS 36.00$

BLOOD ALCOHOL, CORPORATE LAB 101.00$


BLOOD ALCOHOL-MEDICAL PURPOSES ONLY LAB 114.00$

BLOOD GASES/ABG LAB 233.00$

BLOOD PRESSURE MEASURED CL -$

BLOOD PRESSURE MONITOR CS 43.00$

BLOOD PROCESSING LAB 415.00$

BLOOD SMEAR INTERPRET. LAB 109.00$

BLOOD, 1 UNIT PRBC PHAR 20.00$

BNP LAB 250.00$

BONE IMG MULT AREAS/BNJNT NM 1,585.00$

BONE IMG(3D) TOMOGRAPHICS NM 1,585.00$

BONE IMG,3PHASE STUDY NM 1,891.00$

BONE IMG/LIMITED BNJNT NM 1,015.00$

BONE MARROW ASPIRAT. TRAY CS 82.00$

BONE MARROW NDL/ILLINOIS CS 55.00$

BONE MARROW NDL/JAMSHIDI CS 91.00$

BONE MARROW TRAY CS 103.00$

Boost, Chocolate CS 8.00$

BORDETELLA LAB 259.00$

BRACE, GEL ANKLE CS 97.00$

BRACE, GEL ANKLE RT CS 188.00$

BRACE, KNEE SPLINT 16 SMALL CS 56.00$

BRACE, KNEE SPLINT CANVAS CS 61.00$

BRACE, KNEE SPLINT L 19 CS 104.00$

BRACE, KNEE SPLINT MEDIUM CS 56.00$

BRACE, KNEE SPLINT S/L 16 CS 60.00$

BRACE, KNEE SPLINT S/L 19" MED CS 104.00$

BRACE, KNEE SPLINT S/L 19" XLG CS 104.00$

BRADEN SCALE PHAR -$

BREO ELLIPTA INHALER PHAR 868.35$

BRIMONIDINE TART 0.2% PHAR 13.10$

BRIMONIDINE TARTRATE OPTH PHAR 403.10$

BRIMONIDINE TARTRATE OPTH PHAR 350.45$

BRINZOLAMIDE OPTH SUSP. 1 PHAR 780.85$

BROMFENAC OPTH GTT(0.075%) PHAR 129.60$

BROVANA NEB 15 MCG/ 2 ML PHAR 42.95$

Budesonide 0.5 mg/ 2mL NEB in Clinic CL -$

BUDESONIDE AMP [0.25/2 ML PHAR 18.85$

BUDESONIDE AMP [0.5 MG/2 PHAR 22.20$

BUDESONIDE/ FORMOTEROL FU PHAR 516.60$

BUDESONIDE/FORMOTEROL [16 PHAR 594.25$

BULB INTUBATION DETECTOR CS 28.00$

BUMETANIDE TAB [0.5 MG] PHAR 6.10$

BUMETANIDE TAB [2 MG] PHAR 8.25$


BUMETANIDE VL [1 MG/4 ML] PHAR 28.20$

BUN LAB 52.00$

BUN, URINE LAB 61.00$

BUPIVACAINE 0.25% PF SDV PHAR 39.65$

BUPIVACAINE 0.25% PF SDV PHAR 74.75$

Bupivacaine 0.5% w/ Epi 1:200,000 MPF PHAR 44.80$

BUPIVACAINE HCL VL 0.25% PHAR 20.00$

BUPIVACAINE HCL VL 0.5% PHAR 34.45$

BUPIVACAINE HCL VL 0.5% [ PHAR 33.95$

BUPIVACAINE HCL/EPINEPHRINE VL 0.25% PHAR 20.00$

BUPIVACAINE LIPOSOME SUSP PHAR 741.85$

BUPIVACAINE SPINAL 0.75% PHAR 28.05$

BUPIVICAINE 0.25% CL 40.00$

BUPIVICAINE 5% CL 43.00$

BUPROPION HCL TAB [75 MG PHAR 5.00$

BUPROPION SUSTAINED RELEA PHAR 4.00$

BUPROPION XL 150 MG TAB PHAR 23.30$

BUPROPION XL TAB [300 MG] PHAR 11.20$

BURN - TREATMENT SMALL TR 186.00$

BURN-LOCAL FIRST DEGREE CL 187.00$

BURR TIPS CS 42.00$

BUSPIRONE HCL TAB [10 MG] PHAR 5.40$

BusPIRONE TAB 7.5 MG PHAR 6.35$

C, M, H OBJECTS: CURRENT STATUS PT -$

C, M, H, OBJECTS: GOAL STATUS PT -$

C1INHIBITOR, FUNC LAB 196.00$

C1Q LAB 200.00$

C3-COMPLEMENT BLOOD LAB 104.00$

CA 125 LAB 183.00$

CA 19.9 LAB 189.00$

CA 27.29 LAB 166.00$

CA50 LAB 189.00$

CADMIUM LEVEL LAB 106.00$

CALAMINE LOTION PHAR 4.00$

CALAZIME, REMEDY 4OZ. PASTE PROTECTANT CS 22.00$

CALCITONIN SALMON NASAL SPRAY PHAR 64.10$

Calcitriol 0.5 mcg PHAR 7.75$

CALCITRIOL CAP [0.25 MCG] PHAR 5.15$

CALCIUM ACETATE [667 MG] PHAR 4.00$

CALCIUM CARB/VITA D TAB [ PHAR 2.50$

CALCIUM CARBONATE CHEW TA PHAR 3.00$

CALCIUM CARBONATE CHEW TA PHAR 2.50$

Calcium Chloride Syr 10ml PHAR 182.85$


CALCIUM GLUCONATE VL [100 PHAR 217.65$

CALCIUM GLUCONATE VL [5000MG/50ML] PHAR 20.00$

CALCIUM LEVEL LAB 52.00$

CALCIUM POLYCARBOPHIL TAB PHAR 2.50$

CALCIUM W/D CHEW [500 MG) PHAR 3.00$

CALCULUS ASSAY LAB 121.00$

CALMOSEPTINE OINT. 4 OZ CS 28.00$

CALMOSEPTINE OINTMENT CS 24.00$

CALPROTECTIN, FECAL LAB 419.00$

CAMERA DRAPE CS 42.00$

CANDESARTAN CILEXETIL TAB PHAR 19.10$

CANISTER WITH GEL, WOUND V.A.C. ULTA CS 178.00$

CANNULA, ADULT DIVIDED O2/CO2, MALE CONN CS 13.00$

CANNULA, DRI-LOK 5.0MMX7.5MMM DISTAL THR CS 128.00$

CANNULA, DRI-LOK, THREADED 8MM X 75MM CS 128.00$

CANNULA, TWIST-IN, 8.25MM X 9 CM CS 109.00$

CAPILLARY COLLECTION LAB 25.00$

CARBACHOL INRAOCULAR VL 0 PHAR 87.45$

CARBAMAZEPINE LAB 116.00$

Carbamazepine ER 200mg PHAR 12.00$

CARBAMIDE PEROXIDE [6.5% PHAR 10.00$

CARBAMIDE PEROXIDE OTIC 6 PHAR 5.00$

CARBIDOPA/ LEVODOPA TAB [ PHAR 4.00$

CARBIDOPA/LEVODOPA ER TAB PHAR 9.00$

CARBIDOPA/LEVODOPA ER TAB PHAR 7.00$

CARBIDOPA/LEVODOPA EXTEND PHAR 4.00$

CARBIDOPA/LEVODOPA TAB [1 PHAR 4.00$

CARBIDOPA/LEVODOPA TAB [2 PHAR 4.00$

CARBIDOPA/LEVODOPA/ENTACA PHAR 27.55$

CARBON DIOXIDE(BICARBONAT LAB 26.00$

CARBON MONOXIDE LAB 24.00$

Carboxymethylcellose Sodium [1%] gel gtt PHAR 5.00$

CARBOXYMETHYLCELLULOSE SO PHAR 5.00$

CARDIAC PUNT, KCo. LEGAL LAB 102.00$

CARDIAC REHAB PH 3 MAINT. CR 13.00$

CARDIO STRESS TEST/PHYS S NM 90.00$

CARDIOVASCULAR STRS T/PHY CL 297.00$

CARIMUNE IV [12 GM] PHAR 2,840.00$

CARIMUNE IV [6 GM] PHAR 1,430.00$

CARISOPRODOL TAB [350 MG] PHAR 4.00$

C-ARM DRAPE, STERILE 64" X 41" CS 78.00$

C-ARM/FLUORO RAD -$

CAROTID ARTERY STUDY VASC 739.00$


CAROTID STUDY VASC 1,298.00$

CARVEDILOL TAB [12.5 MG] PHAR 8.45$

CARVEDILOL TAB [25 MG] PHAR 15.00$

CARVEDILOL TAB [6.25 MG] PHAR 8.45$

CASE MANAGEMENT BH 109.00$

CASSETTE, VERALINK, WOUND V.A.C. ULTA CS 247.00$

CAST PAD SYNTHETIX 3 IN CS 6.00$

CAST PADDING, STERILE, 4" CS 11.00$

CAST, SCOTCH /FIBER 2" WH CS 28.00$

CAST, SCOTCH/FIBER 2" PUR CS 20.00$

CAST, SCOTCH/FIBER 3" PUR CS 34.00$

CAST, SCOTCH/FIBER 3" WHI CS 34.00$

CAST, SCOTCH/FIBER 4' PUR CS 44.00$

CAST, SCOTCH/FIBER 4" WHI CS 44.00$

CATARACT SURGERY SUR 3,547.00$

CATECHOLAMINES LAB 206.00$

CATH 16FR 5CC, LATEX CS 9.00$

CATH 18FR 30CC SILICONE CS 33.00$

CATH 20FR 30CC, SILICONE CS 23.00$

CATH 20FR 5CC CS 19.00$

CATH 20FR 5CC SIL. COATED CS 11.00$

CATH 22FR 5CC SILICONE CS 20.00$

CATH 24FR 30CC, SILICONE CS 19.00$

CATH 24FR 5CC CS 19.00$

CATH 3-WAY #18 30CC CS 110.00$

CATH 3-WAY #20 5CC CS 60.00$

CATH 3-WAY #22 30CC CS 110.00$

CATH 3-WAY #24 30CC CS 54.00$

CATH 3-WAY #26 5CC CS 60.00$

CATH FOLEY #10 3CC CS 43.00$


















CATH FRENCH #18 ROBINSON CS 13.00$



CATH FRENCH #24 CS 27.00$

CATH FRENCH #26 CS 85.00$

CATH HOLDER, FOLE CS 18.00$

CATH HOLDER, FOLEY CS 22.00$

CATH KIT, FEMALE(COMPLETE CS 10.00$

CATH MUSHROOM #18 CS 71.00$

CATH OLIVE TIP #5 CS 90.00$

CATH OLIVE TIP 5CC 16FR CS 60.00$

CATH PEDI 8 FR 3CC CS 20.00$

CATH SUCTION #14 CS 6.00$

CATH T TUBE #1132 CS 36.00$

CATH TRAY #16 CS 43.00$



CATH TRAY 16FR LF CS 52.00$

CATH TRAY FOLEY CS 11.00$

CATH TRAY W/O CATH CS 25.00$

CATH URET. WHISTLETIP 8FR CS 255.00$

CATH, 24FR 5CC, SILICONE CS 11.00$

CATH, COUDE TIP 18F 30CC CS 54.00$

CATH, COUDE TIP 18F 5CC CS 53.00$

CATH, FOLEY 14FR. 30CC CS 22.00$

CATH, FOLEY 26FR, 30CC CS 48.00$




CATH. 20FR 30CC 2WAY CS 14.00$

CATH. MALE CS 18.00$

CATH. SUCTION #16 FR CS 14.00$

CATHETER SECUREMENT ADHESIVE CS 26.00$

CATHETER TRAY #16 CS 43.00$

CATHETER, MALE STRAIGHT TIP 14FR. CS 5.00$

CATHETER, NASAL EPI-MAX CS 328.00$

CATHETERIZATION, SIMPLE CL 233.00$

CATHETERIZATION/UA LAB 19.00$

CAUTERY CORD, BIPOLAR, STERILE CS 4.00$

CAUTERY CORD, MONOPOLAR, STERILE, SINGLE CS 21.00$


CAUTERY PENCIL, W/HOLSTER CS 20.00$

CAUTERY/NAIL DRILL CS 43.00$

Cavilon Antifungal Cream CS 40.00$

CBC NO CHARGE LAB -$

CBC WITH MANUAL DIFF LAB 58.00$

CBC/COMPLETE, AUTOMATED LAB 61.00$

CBC/PLT/AUTO DIFF LAB 99.00$

CEA (CARCIN ANTIGEN) LAB 144.00$

CEFADROXIL CAP [500 MG] PHAR 18.00$

CEFAZOLIN IV IN 50 ML [1 PHAR 57.25$

ceFAZolin sodium inj [2G] PHAR 81.30$

CEFAZOLIN SODIUM VL [1 GM PHAR 25.95$

CEFDINIR CAP [300 MG] PHAR 19.00$

CEFDINIR ORAL SOL [250 MG PHAR 298.45$

CEFEPIME VL [1 GM] PHAR 35.50$

CEFOXITIN VL [1 GM] PHAR 54.00$

ceFTARoline fosamil PHAR 455.75$

CEFTAZIDIME VL [1 GM] PHAR 34.00$

cefTRIAXone 1 gram premixed PHAR 70.90$

CEFTRIAXONE SODIUM VL [1 PHAR 25.40$



CEFUROXIME AXETIL ORAL SU PHAR 431.00$

CEFUROXIME AXETIL TAB [25 PHAR 16.50$

CELECOXIB CAP [100 MG] PHAR 18.50$

CELECOXIB CAP [200 MG] PHAR 22.75$

CELL COUNT AND DIFF,CSF LAB 72.00$

CELL COUNT/FLUIDS LAB 49.00$

CEMENT MIXING BOWL-MIXEVAC III CS 261.00$

CEPHALEXIN MONOHYDRATE BT PHAR 33.00$

CEPHALEXIN MONOHYDRATE CA PHAR 5.00$

CEPHALEXIN MONOHYDRATE CA PHAR 4.00$

CEPHALEXIN MONOHYDRATE LI PHAR 5.75$

CEPHALEXIN MONOHYDRATE LI PHAR 121.50$

CERULOPLASMIN LAB 44.00$

CERVICAL COLLAR L, 3.5X22 CS 35.00$

CETACAINE SPRAY,1 DOSE PHAR 53.00$

CETIRIZINE HCL TAB [10 MG PHAR 4.00$

Change Gastrostomy Tube Percutaneous W/O CL 91.00$

CHANGE OF CYSTOSTOMY TUBE, SIMPLE CL 173.00$

CHANGING/MAINTAINING POSITION: CURRENT PT -$

CHANGING/MAINTAINING POSITION: D/C PT -$

CHANGING/MAINTAINING POSITION: GOAL PT -$


CHEM PROFILE LAB 15.00$

CHEM, INFUSE/GT 8HRSwPUMP TR 409.00$

CHEMICAL CAUTERIZATION OF GRAN TISSUE CL 133.00$

CHEMO , INTO CNS/SPINAL P TR 232.00$

CHEMO INJ TR 232.00$

CHEMO SUBQ/IM NON HORMONAL ANTI-NEO TR 140.00$

CHEMO UNSPECIFIED TR 232.00$

CHEMO, INF addition hour TR 78.00$

CHEMO, INFUSE/UP TO 1 HR TR 335.00$

CHEMO, PUSH TECH/IV TR 232.00$

CHEST DRAIN SYS/AQUASEAL CS 180.00$

CHEST DRAINAGE SYSTEM/THO CS 92.00$

CHEWABLE ASPIRIN 81 MG- CLINIC CL 3.00$

CHILDRENS BENADRYL[12.5MG/5ML] SINGLEDOS CL 1.00$

CHLAMDIOPHILIA PNEUMONIEA LAB 91.00$

CHLAMYDIA TRACH LAB 96.00$

CHLORAPREP, HI-LITE ORANGE, 26ML CS 35.00$

CHLORDIAZEPOXIDE HCL CAP PHAR 4.00$

CHLORHEXIDINE RINSE 0.12% PHAR 4.00$

CHLORIDE LAB 47.00$

CHLORPHENIRAMINE MALEATE PHAR 3.00$

CHLORTHALIDONE 25 MG TAB PHAR 9.20$

CHLORTHIAZIDE 250 MG TAB PHAR 4.00$

CHOLECALCIFEROL PHAR 4.00$

CHOLECALCIFEROL CAP [50,0 PHAR 4.00$

CHOLECALCIFEROL TAB [1000 PHAR 2.50$

CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY CL 537.00$

CHOLESTEROL,SERUM LAB 48.00$

CHOLESTEROL/CHEM PROFILE LAB 15.00$

Cholestryamine/Aquaphor PHAR 5.00$

cholestyramine 4 gm PHAR 2.00$

CHROMATOGRAPHY, QUALITTATIVE, COLUMN LAB 299.00$

CHRONIC CARE MANAGEMENT CL 72.00$

CHRONIC CARE MANAGEMENT 20 MIN OR MORE CL 72.00$

CILOSTAZOL TAB [50 MG] PHAR 9.00$

CILOSTAZOL TABS [100 MG] PHAR 9.00$

CIPRO ORAL SUSP PHAR 313.00$

Ciprofloxacin 0.3% eye drop PHAR 20.00$

Ciprofloxacin 0.3%/ Dexamethasone 0.1% PHAR 597.85$

CIPROFLOXACIN BAG PHAR 30.10$

CIPROFLOXACIN HCL OPTH [0 PHAR 51.85$

CIPROFLOXACIN HCL TAB [25 PHAR 22.00$

CIPROFLOXACIN HCL TAB [50 PHAR 4.00$


CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJ CL 379.00$

CITALOPRAM HYDROBROMIDE T PHAR 10.80$

CITALOPRAM TAB [40 MG] PHAR 12.00$

CITY WELLNESS CL 103.00$

CLARITHROMYCIN TAB [500 M PHAR 17.55$

CLAVICAL STRAP L ADJ CS 27.00$

CLAVICLE SPLINT, PAD. MEDIUM CS 27.00$

CLAVICLE SPLINT, PAD. SMALL CS 23.00$

CLINDAMYCIN CAP [150 MG] PHAR 4.00$

CLINDAMYCIN PHOSPHATE VL PHAR 35.00$

CLINDAMYCIN/ NaCl [900MG/50ML] PHAR 61.35$

CLINIC - GLUCOSE-STICK CL 22.00$

CLINIC - HEMOGLOBIN CL 15.00$

CLINIC - OCCULT BLOOD CL 16.00$

CLINIC - PREGNANCY TEST, URINE CL 35.00$

CLINIC - RAPID INFLUENZA TEST A/B CL 87.00$

CLINIC - RSV CL 50.00$

CLINIC - STREP A, RAPID CL 35.00$

CLINIC - URINALYSIS-DIP CL 23.00$

Clinic Childrens' Ibuprofen Susp CL 3.00$

CLINIC DEPO-MEDROL 80 MG/ ML MULTIDOSE CL 17.00$

CLINIC EYE IRRIGATION SOLUTION CL 6.00$

CLINIC IBUPROFEN TAB CL -$

CLINIC POLYSPORIN PACKET CL 3.00$

CLINIC RACEMIC EPINEPHRINE CL 3.00$

CLINIC TORADOL 30 MG CL 3.00$

CLINIC- UA - ANTEPARTUMN CL -$

CLIP APPLIER, ENDO CLIP II M/L, PISTOL G CS 373.00$

CLIPPER BLADE CS 12.00$

CLIPPER BLADES CS 13.00$

CLOMIPRAMINE HCL CAP [25 PHAR 41.00$

Clonazepam 0.125 ODT PHAR 233.80$

CLONAZEPAM TAB [0.5 MG] PHAR 4.00$

CLONIDINE HCL TAB [0.1 MG PHAR 3.00$

CLONIDINE HCL TAB [0.2 MG PHAR 4.00$

CLONIDINE HYDROCHLORIDE [ PHAR 5.00$

CLONIDINE PATCH [0.1 MG] PHAR 199.00$

CLONIDINE TRANSDERMAL PAT PHAR 232.10$

CLOPIDOGREL BISULFATE TAB PHAR 17.45$

CLORAZEPATE DIPOTASSIUM T 3.75 mg PHAR 16.15$

CLOSED TREATMENT OF TIBIAL FRACTURE CL 955.00$

CLOSED TREATMENT/CARPAL BONE FX CL 709.00$

CLOSED TX PATELLAR DISLOCATION W/O ANES ER 498.00$


CLOSTRID DIFF, STOOL LAB 161.00$

CLOSTRIDIUM DIFF TXN A LAB 184.00$

CLOSTRIDIUM DIFFECILE BY DNA LAB 283.00$

CLOTRIMAZOLE CREAM [1% - PHAR 104.55$

CLOTRIMAZOLE CREAM 1% - 1 PHAR 39.90$

CLOTRIMAZOLE/BETA DIP TUB PHAR 109.00$

CLOZAPIME LAB 153.00$

CLOZAPINE TAB [100 MG] PHAR 16.00$

CLOZAPINE TAB [25 MG] PHAR 6.00$

CMV, DNA DETECT AND QUANT LAB 308.00$

CMV/IgG LAB 163.00$

CMV/IgM LAB 214.00$

CMV-DNA QUAL LAB 426.00$

CO2 DETECTOR CS 53.00$

CO2 DETECTOR PEDICAP CS 53.00$

COBAN 2" CS 15.00$

COBAN 3" CS 19.00$

COBAN 4" NONSTERILE LF CS 8.00$

COBAN WRAP 3" LF CS 9.00$

CODEINE/ACETAMIN TAB 30-3 PHAR 3.00$

COENZYME Q10 CAP [75 MG PHAR 3.00$

COENZYME Q-10 [100 MG] PHAR 2.50$

COGN. RETRAIN(15 MIN) OT 78.00$

COLCHICINE TAB [0.6 MG] PHAR 20.05$

COLD AGGLUTININ TITER LAB 131.00$

COLD BIOPSY/ALLIGATOR JAW CS 196.00$

COLD/HOT PACK CS 15.00$

COLESEVALAM HCL POWDER [3 PHAR 49.00$

COLESEVELAM HCL TAB [625 PHAR 17.90$

COLESTIPOL TAB [1000 MG] PHAR 5.00$

COLLA PLUG CS 38.00$

COLLAGEN CROSS LINKS,ANY LAB 248.00$

COLLAGENASE OINTMENT [250 PHAR 24.60$

COLLAR PHILA LG CS 101.00$

COLLAR PHILA PEDI 8-11 CS 85.00$

COLLAR, CERVICAL FOAM 2X19 XS CS 37.00$

COLLAR, CERVICAL FOAM MEDIUM CS 50.00$

COLLAR, LOW CONTOUR FOAM CS 26.00$

COLLAR, STIFF NECK ADULT CS 54.00$

COLLAR, STIFF NECK PEDS CS 63.00$

COLLECTION AND HANDLING LAB 22.00$

COLLECTION/HANDLING FEE LAB 28.00$

COLON SUBMUCOSAL TATTOOING SUR 1,361.00$


COLONOSCOPY FLEXIBLE WITH BAND LIGATION( SUR 2,022.00$

COLONOSCOPY W BIOPSY SUR 1,863.00$

COLONOSCOPY WITH BIOPSY CL 1,127.00$

COLONOSCOPY,SMALL INTESTI SUR 1,858.00$

COLONOSCPY W/POLYP RMVL SUR 1,608.00$

COLONOSCPY W/RMVL PLYP/TU SUR 2,075.00$

COMBIGAN 0.2%/0.5% PHAR 88.90$

COMFORT FORM BOXER SPLINT, LEFT, LARGE CS 84.00$

COMFORT FORM BOXER SPLINT, LEFT, MEDIUM CS 84.00$

COMFORT FORM BOXER SPLINT, LEFT, SMALL CS 84.00$

COMFORT FORM BOXER SPLINT, LEFT, XLARGE CS 84.00$

COMFORT FORM BOXER SPLINT, RIGHT, LARGE CS 182.00$

COMFORT FORM BOXER SPLINT, RIGHT, MEDIUM CS 81.00$

COMFORT FORM BOXER SPLINT, RIGHT, SMALL CS 84.00$

COMFORT FORM BOXER SPLINT, RIGHT, XLARGE CS 81.00$

COMP METAB PANEL LAB 162.00$

COMPLEMENT(CH50) LAB 167.00$

COMPLEMENT, C4c LAB 109.00$

COMPLETE A/V DOPPLER VASC 922.00$

COMPLIMENT, C4 LAB 109.00$

CONCNTRTION/INFECTIOUS AG LAB 55.00$

CONCURRENT INF UNIT=1 TR 98.00$

CONCURRENT INFUSION OF DIFFERENT DRUG OBS 97.00$

Confirm Drug Test, CORPORATE LAB 37.00$

CONFORM, STRL 6" BANDAGE CS 7.00$

CONSULTING DOC- LIMITED (TECHNICAL) SPEC 70.00$

CONSULTING DOC-BRIEF (TECHNICAL) SPEC 63.00$

CONSULTING DOC-DETAILED (TECHINCAL) SPEC 93.00$

CONSULTING DOC-DETAILED (TECHNICAL) SPEC 107.00$

CONTROL NASAK HEMORRHAGE/PACKS/CAUTERIZE CL 486.00$

CONTROL NASAL HEMPRRHAGE/CAUT/PACKING CL 236.00$

CONTROL OF NOSEBLEED ER 346.00$

CONTROL OF NOSEBLEED CL 426.00$

COPPER, SERUM LAB 147.00$

CORONAVIRUS, NOVEL (COVID-19) LAB 105.00$

CORTISOL LAB 138.00$

CORTISOL STIMULATION LAB 248.00$

CORTISOL, FREE, URINE LAB 170.00$

COSYNTROPIN VL [0.25 MG] PHAR 250.25$

COVID 19 BY PCR, REGIONAL PATH LAB 124.00$

C-PEPTIDE LAB 98.00$

CPK LAB 94.00$

CPK ISOENZYME LAB 136.00$


CPKMB LAB 175.00$

CPR CL 801.00$

CR - PHASE 2 OUTPATIENT CR 229.00$

CR SPOUSE PROG/4-36 SESS. CR 25.00$

CREATINE CLEARANCE LAB 106.00$

CREATININE, 24 HR URINE LAB 68.00$

CREATININE, 24 HR URINE LAB 11.00$

CREATININE, BLOOD LAB 50.00$

CREATININE, OTHER SOURCE LAB 77.00$

CRITICAL CARE/EACH ADDITIONAL 30 MIN CL 290.00$

CRITICAL CARE/FIRST HOUR CL 584.00$

CRNA ANESTH. PER UNIT ANES 114.00$

CRP LAB 101.00$

CRP, CARDIO LAB 84.00$

CRUTCHES, ALUMINUM CS 26.00$

CRYPTOCOCCUS TITER LAB 48.00$

CRYPTOSPORIDIUM LAB 162.00$

CRYPTOSPORIDIUM LAB 137.00$

CRYSTAL IDENTIFICATION LAB 62.00$

CT ABD AND PELVIS W/O CT 3,698.00$

CT ABDL AORTABI ILIOFEM W/ CONTRAST CT 2,028.00$

CT ADB AND PELVIS WITH CT 4,490.00$

CT ADB PELVIS W & W/O CT 5,104.00$

CT ORBITS W/O CONTRAST CT 2,055.00$

CT ORBITS W/WO CONTRAST CT 2,455.00$

CT ORBITS WITH CONTRAST CT 2,214.00$

CT SCAN UNLISTED CT -$

CT/ABDOMEN W & W/O CNTRS CT 2,909.00$

CT/ABDOMEN W CONTRST CT 2,494.00$

CT/ABDOMEN W/O CNTRST CT 2,142.00$

CT/CHEST LOW DOSE CT 2,092.00$

CT/CHEST W & W/O CNTRST CT 2,596.00$

CT/CHEST W CONTRAST CT 2,448.00$

CT/CHEST W/O CONTRAST CT 2,268.00$

CT/C-SPINE W & W/O CNTRST CT 2,437.00$

CT/C-SPINE W CONTRAST CT 2,279.00$

CT/C-SPINE W/O CONTRAST CT 2,298.00$

CT/HEAD W & W/O CONTRST CT 2,364.00$

CT/HEAD W CONTRAST CT 2,122.00$

CT/HEAD W/0 CONTRAST CT 1,970.00$

CT/LOWER EXTRMT W CNTRST CT 2,122.00$

CT/LOWER EXTRMT W&W/O CNT CT 2,279.00$

CT/LOWER EXTRMT W/O CNTRS CT 2,160.00$


CT/L-SPINE W & W/O CNTRST CT 2,437.00$

CT/L-SPINE W CONTRAST CT 2,279.00$

CT/L-SPINE W/O CONTRAST CT 2,259.00$

CT/NECK W & W/O CNTRST CT 2,757.00$

CT/NECK W CONTRAST CT 2,282.00$

CT/NECK W/0 CONTRAST CT 1,995.00$

CT/PELVIS W & W/O CNTRST CT 2,533.00$

CT/PELVIS W CONTRAST CT 2,342.00$

CT/PELVIS W/O CONTRAST CT 2,137.00$

CT/SCAN MAXILLOFACIAL CT 1,798.00$

CT/T-SPINE W & W/O CNTRST CT 2,437.00$

CT/T-SPINE W CONTRAST CT 2,279.00$

CT/T-SPINE W/O CONTRAST CT 2,240.00$

CT/UPPER EXTRMT W CNTRST CT 2,122.00$

CT/UPPER EXTRMT W&W/O CNT CT 2,279.00$

CT/UPPER EXTRMTS W/O CNTR CT 1,971.00$

CTA ABDOMEN W/WO CNTRST CT 3,109.00$

CTA CAROTIDS CT 2,955.00$

CTA HEAD C/ (COW) CT 2,843.00$

CTA PELVIS W & W/O CT 3,040.00$

CTA/CHEST W & W/O CNTRST CT 3,162.00$

CTRL NASAL HEMORRAGE/C/P CL 262.00$

CULTURE - BACTERIAL STOOL ADDITIONAL LAB 70.00$

CULTURE - SCREENING LAB 55.00$

CULTURE BLOOD LAB 204.00$

CULTURE FUNGUS-OTHER SRC LAB 112.00$

CULTURE TB/MICROBACTERIAL LAB 316.00$

CULTURE URINE LAB 90.00$

CULTURE, AEROBIC PANEL PRICING LAB 52.00$

CULTURE, AEROBIC, OTHER SOURCE LAB 119.00$

CULTURE, ANAEROBIC LAB 125.00$

CULTURE, ANAEROBIC PANEL PRICING LAB 52.00$

CULTURE, SPUTUM LAB 111.00$

CULTURE, SPUTUM LAB 48.00$

CULTURE,VIRUS LAB 81.00$

CULTURE/ACID-FAST BACILLI LAB 157.00$

CULTURE/FUNGAL LAB 112.00$

CULTURE-BACTERIAL - STOOL AEROBIC LAB 124.00$

CULTYP NUC ACID AMP PRB - PANEL PRICING LAB 13.12$

CVC KIT MULTI LUMEN CS 320.00$

CYANOCOBALAMIN (VIT B12) PHAR 40.75$

CYANOCOBALAMIN (VIT B12) PHAR 2.50$

CYANOCOBALAMIN (VITA B12) PHAR 2.50$


CYCLOBENZAPRINE HCL TAB [ PHAR 4.00$

CYCLOPENTOLATE HCL OPTH S PHAR 221.55$

CYCLOPENTOLATE OPHTH 0.5% PHAR 189.00$

CYCLOSPORIN LAB 153.00$

CYCLOSPORINE CAP [100 MG] PHAR 26.00$

CYCLOSPORINE CAP [25 MG] PHAR 10.85$

CYCLOSPORINE MODIFIED CAP PHAR 8.00$

CYCLOSPORINE MODIFIED CAP PHAR 26.00$

CYCLOSPORINE OPTH EMULSION 0.05% (0.4ML) PHAR 468.50$

CYSTINE, URINE LAB 156.00$

CYTO SLECTIVE CELL W/ INT LAB 78.00$

CYTOPATHOLOGY, CERVICAL OR VAGINAL CL 67.00$

D ALLERGY DROPS [30 ML] PHAR 60.00$

D ALLERGY SYRUP [2MG/5ML] PHAR 7.00$

DABIGATRAN ETEXILATE CAP PHAR 24.05$

DABIGATRAN ETEXILATE CAP PHAR 27.55$

DAILY WEIGHT PHAR -$

DAILY DRESSING CHANGE PHAR -$

DAILY FALL RISK ASSESSMEN PHAR -$

DAILY SKIN ASSESSMENT PHAR -$

DANTROLENE SODIUM VL [20 PHAR 188.00$

DAPTOMYCIN 1MG INJ PHAR 3.00$

DAPTOMYCIN VL [500 MG] PHAR 1,897.00$

DARBEPOETIN ALFA SYR [200 PHAR 3,443.00$

DARBEPOETIN ALFA SYR [300 PHAR 5,155.00$

DARBEPOETIN ALFA/POLYSORB PHAR 1,731.00$

DARBEPOETIN ALFA/POLYSORB PHAR 8,578.00$

DAT/DIRECT COOMBS LAB 72.00$

D-DIMER LAB 155.00$

DEBRIDE:SKIN, SUBC.T,M,BN TR 523.00$

debridement of nails 6 or more CL 88.00$

DEBRIDEMNT:SKIN & SUBCUTA TR 218.00$

DEBRIDEMNT:SKIN SUB T&MUS TR 398.00$

DECADRON INJ-UP TO 10 MG CL 3.00$

DECADRON OPTH/CATARACT PHAR 18.00$

Default Charge Code CS -$

DELIVERY OF PLACENTA (SEPERATE PROCEDURE CL 534.00$

DELIVERY SET, MORGAN LENS CS 57.00$

DEMECLOCYCLINE TAB [150 M PHAR 35.00$

DEMEROL 100 MG CL 4.00$

DENOSUMAB INJ SYR [60 MG/ PHAR 2,365.00$

DENTAL 4X4 5 PK CS 20.00$

DENTAL MACHINE CS 85.00$


DEPAKENE LAB 137.00$

DEPO-MEDROL 40 MG SINGLE DOSE VIAL CL 10.00$

DEPOMEDROL INJ 40 MG CL 6.00$

DEPO-MEDROL INJ 80MG/1ML PHAR 71.00$

DEPOMEDROL INJ-80 MG CL 17.00$

DEPOPROVERA INJ-1 MG UNIT CL 261.00$

DEPOPROVERA INJ-CONTRACEPTIVE CL 150.00$

DEPOTESTADIOL INJ-UP TO 1 ML CL 16.00$

DEPROMEDROL 20MG CL 16.00$

DERMABOND ADHESIVE CS 89.00$

DERMABOND PEN/PROPEN CS 145.00$

DESIPRAMINE HYDROCHLORIDE [50 MG TAB] PHAR 15.10$

DESOCIMETASONE CREAM PHAR 398.50$

DESOXIMETASONE CREAM 0.25 PHAR 213.00$

DESTRCTN, MLGNNT LESION, 1.1 TO 2.0 CM CL 305.00$

DESTRUCT LESION/SCAR VESTIBULE MOUTH CL 387.00$

DESTRUCTION MAL LESION 2.1 - 3 CM CL 603.00$

DESTRUCTION MALIGNANT LESION CL 275.00$

DESTRUCTION MALIGNANT LESION CL 225.00$

DESTRUCTION MALIGNANT LESION, 0.6 / 1 CM CL 300.00$

DESTRUCTION OFLESION TR 158.00$

DESTRUCTION SECOND THRU 14 LESIONS CL 57.00$

DESTRUCTION-ANY METHOD/BENIGN-PREMALIG CL 157.00$

DESTRUCTN OF SKIN LESION CL 177.00$

DESVENLAFAXINE ER TAB [10 PHAR 49.55$

DEXA SCAN DEXA 444.00$

DEXAMETH PHO INJ [4 MG/ML PHAR 27.00$

DEXAMETHASONE SOD PHOS OP PHAR 53.00$

DEXAMETHASONE SOD PHOS VL PHAR 37.00$



DEXAMETHASONE SOD PHOS VL[10MG/ML] PHAR 38.80$

DEXAMETHASONE TAB [2 MG] PHAR 4.00$

DEXAMETHASONE TAB [4 MG] PHAR 5.00$

DEXAMETHOSONE LAB 204.00$

DEXA-VFA DEXA 137.00$

DEXA-WRIST ONLY DEXA 209.00$

DEXTROMETH POLISTIREX LIQ PHAR 4.00$

DEXTROSE [5% -1000 ML] PHAR 60.00$

DEXTROSE [5% -250 ML] PHAR 75.00$

DEXTROSE 50% SYR [25 G/ 5 PHAR 46.30$

DEXTROSE/ LR [5% -1000 M PHAR 60.00$

DEXTROSE/ NACL [5% / 0.9% PHAR 60.00$


DEXTROSE/ NACL [5% / 20% PHAR 75.00$

DEXTROSE/NACL [5% / 0.45% PHAR 60.00$

DHEA LAB 161.00$

DHEA SULFATE LAB 177.00$

DIAMOX 500 MG TAB PHAR 12.00$

DIATHERMY PT 70.00$

DIAZEPAM CARPUJECT (10 MG PHAR 85.65$

DIAZEPAM KIT AMP [10 MG] PHAR 841.80$

DIAZEPAM KIT AMP [2.5 MG] PHAR 613.80$

DIAZEPAM KIT AMP [20 MG] PHAR 841.80$

DIAZEPAM TAB [2 MG] PHAR 4.00$

DIAZEPAM TAB [5 MG] PHAR 4.00$

DIAZEPAM VL [5 MG/ML 5ML PHAR 115.80$

DICLOFENAC NA/MISOPROSTOL PHAR 24.00$

DICLOFENAC SODIUM TOP GEL [1%] PHAR 194.50$

Diclofenac tab 75 mg PHAR 5.00$

DICLOXCILLIN TAB [500 MG] PHAR 5.00$

DICYCLOMINE HCL TAB [20 PHAR 4.00$

DICYCLOMINE HCL [10 MG] CAP PHAR 4.00$

DIGITAL THERMOMETER CS 15.00$

DIGOXIN LAB 128.00$

DIGOXIN 0RAL SOLN [0.05 M PHAR 5.00$

DIGOXIN AMP [0.5 MG/ 2 ML PHAR 121.50$

DIGOXIN TAB [0.125 MG] PHAR 5.70$

DIGOXIN TAB [0.25 MG] PHAR 5.00$

DIHYDROERGOTAMINE MESYLAT PHAR 303.75$

DILTIAZEM CD CAP [180 MG] PHAR 4.00$

DILTIAZEM ER CAP [60 MG] PHAR 12.70$

DILTIAZEM HCL CAP [240 MG PHAR 6.00$

DILTIAZEM HCL CAP CD [120 PHAR 4.00$

DILTIAZEM HCL CAP CD [300 PHAR 13.00$

DILTIAZEM HCL CD CAP [240 PHAR 4.00$

DILTIAZEM HCL TAB [60 MG] PHAR 5.00$

DILTIAZEM HCL VIAL [5 MG/ PHAR 33.00$

DILTIAZEM HCL VL [25 MG/ PHAR 20.00$

DILTIAZEM TAB [90 MG] PHAR 5.00$

DIPHENHYDRAMINE HCL CAP PHAR 2.50$

DIPHENHYDRAMINE HCL SOLU PHAR 2.50$

DIPHENHYDRAMINE HCL VL [5 PHAR 23.85$

DIPHENHYDRAMINE/ACETAMINO PHAR 3.00$

DIPHENOXYLATE/ATROPINE TA PHAR 4.00$

DIPYRIDAMOLE [75 MG] PHAR 8.20$

DIS SITE TELE SERVS RHC CL 95.00$


DISLOCATION ELBOW-REDUCTION CL 909.00$

DISLOCATION-SHOULDER (ANESTHESIA) CL 1,023.00$

DISLOCATION-SHOULDER (ANESTHESIA) CL 1,023.00$

DISPOSABLE BIOPSY PUNCHES, 6MM CS 15.00$

DISPOSABLE LATEX PEDS O2 SENSOR CS 52.00$

DISPOSABLE PUNCH BIOPSY, 3MM CS 15.00$

DISPOSABLE S/I TIP 5MMX32CM, VENTED CS 168.00$

DIVALPROEX ER TAB 500 MG PHAR 9.90$

DIVALPROEX NA CAP SPRINKL PHAR 5.00$

DIVALPROEX NA DELAYED-REL PHAR 12.95$

DIVALPROEX SOD ER [250 MG] TAB PHAR 6.20$

DIVALPROEX SODIUM DELAYED PHAR 7.05$

DNA - B ANTIBODY LAB 144.00$

DOBUTAMINE HCL VL [12.5 M PHAR 37.70$

DOCUSATE SODIUM CAP [100 PHAR 2.50$

DOCUSATE SODIUM LIQ [100 PHAR 4.00$

DOMICILIARY OR REST HOME VISIT CL 109.00$

DONEPEZIL HCL TAB [10 MG] PHAR 4.00$

DONEPEZIL HCL TAB [5 MG] PHAR 23.35$

Donjoy Cool Trom Advance Knee Brace, Reg CS 419.00$

Donjoy Cool Trom Advance Knee Brace, XL CS 452.00$

DONNATAL ORAL SOL. TSP CL 15.00$

DOPamine DRIP (200mg /250ml) PHAR 50.00$

DOPAMINE DRIP (400 MG/ 25 PHAR 56.55$

DOPAMINE HCL VL [80 MG/ML PHAR 34.00$

DOPPLER 2-4, M-MODE ECHO 1,970.00$

DOPPLER COLOR FLOW ECHO 275.00$

DOPPLER, LIMITED ECHO 319.00$

DORZOLAMIDE HCL OPTH(22.3MG/ML)2% PHAR 6.70$

DORZOLAMIDE/ TIMOLOL 2%/ PHAR 135.00$

DOXAZOSIN TAB [1 MG] PHAR 5.00$

DOXEPIN 10mg TABS PHAR 8.00$

DOXEPIN HCL ORAL CAP 10 MG PHAR 4.00$

DOXYCYCLINE HYCLATE TAB [ PHAR 9.80$

DOXYCYCLINE HYCLATE VL [1 PHAR 70.40$

DRAIN BAG CS 12.00$

DRAIN BAG LEG W/ TUB CS 16.00$

DRAIN BAG LEG W/ TUBING CS 19.00$

DRAIN SPONGES BOX CS 20.00$

DRAIN SPONGES/BOX CS 20.00$

DRAIN/INJECT JOINT/BURSA CL 189.00$

DRAINAGE BAG, LEG CS 14.00$

DRAINAGE OF FINGER ABCESS CL 439.00$


DRAINAGE OF HEMATOMA TR 335.00$

Drainage of Scrotal wall abcess CL 370.00$

DRAINAGE OF SKIN ABSCESS TR 231.00$

DRAPE, DERMATAC, WOUND V.A.C. ULTA CS 99.00$

DRAPE, LAPAROSCOPIC/CHOLECYSTECTOMY, STE CS 50.00$

DRAPE, UTILITY, WITH TAPE, 15 X 26 STERI CS 7.00$

DRESSING CHANGE TR 111.00$

DRESSING CHANGE PHAR -$

DRESSING CHANGE KIT CS 19.00$

DRESSING IV 3000 CS 21.00$

DRESSING STICK CS 16.00$

DRESSING TRAY CENTRAL CS 17.00$

DRESSING, ADHESIVE ALLEYN CS 26.00$

DRESSING, VERAFLO, MEDIUM WOUND V.A.C. U CS 437.00$

DRESSING, VERAFLOW CLEANSE CHOICE, MEDIU CS 517.00$

DRESSING/ALLEVYN CS 22.00$

DRONEDARONE TAB [400 MG] PHAR 26.00$

DRUG CONFORM, CORPORATE LAB 36.00$

DRUG SCREEN, CORPORATE LAB 36.00$

DRUG SCREEN, URINE LAB 201.00$

DRUG SCRN,UR, STUDENT LAB 42.00$

DRYSOL 20% SOLUTION CL 10.00$

DS-DNA LAB 135.00$

DSTL FINGER FRACTURE CL 615.00$

DT MEDICAID CL 19.82$

DT-ADULT CL 43.00$

DTAP - HIB CL 36.00$

DTAP - HIM MEDICAID CL 19.82$

DTAP <7 YEARS CL 35.00$

DTAP <7 YEARS MEDICAID CL 19.82$

DTAP 7-64 YEARS MEDICAID CL 19.82$

DTAP-HIB-IPV(PENTCEL) CL 137.00$

DUAL CUT SAGITTAL BLADE, 25 X 1.27 X 90M CS 217.00$

DUAL CUT SAGITTAL BLADE, 25 X 1.35 X 90M CS 217.00$

dulaglutide inj 0.75 PHAR 881.15$

DULAGLUTIDE INJECTON [1.5 MG/0.5 ML] PEN PHAR 956.76$

DULOXETINE CAP [2O MG] PHAR 7.00$

DULOXETINE HCL CAP [30 MG PHAR 17.80$

DULOXETINE HCL CAP [60 MG PHAR 20.00$

DUODERM 01 8X9 CS 58.00$



DUODERM DRESS 3X3 CS 11.00$


DUODERM DRESSING 4X4 CS 14.00$

Duoneb 0.5/3 mg NEB in Clinic CL 3.00$

DUPLEX SCAN AORTA, LIMITE VASC 699.00$

DUPLEX SCAN AORTA/COMPLET VASC 945.00$

DUPLEX SCAN ARTL FLOW ABD/PEL/SCROT ORGA VASC 890.00$

DURAPORE TAPE, 2 IN. X 10 YD. CS 6.00$

DURAPREP APPLICATOR, 26ML CS 23.00$

DUREZOL OPTH 0.05% PHAR 94.50$

DUTASTERIDE TAB [0.5 MG] PHAR 18.15$

E COLI SHIGA TOXINS LAB 141.00$

E.COLI SHIGOTOXIN LAB 140.00$

EACH ADDITIONAL (DIFFERENT) DRUG OBS 138.00$

EACH ADDITIONAL 31-60 MINUTES OBS 95.00$

EACH ADDITIONAL 31-60 MINUTES OF SAME DR OBS 93.00$

EACH ADDITIONAL ADMIN OF SAME DRUG OBS 136.00$

EACH ADDITIONAL IMMUNIZATION ADMINISTRAT CL 19.82$

EACH ADDITIONAL NAIL PLATE CL 107.00$

EACH AMIN OF DIFFERENT DRUG OBS 161.00$

ECHO 2D LIMITED ECHO 775.00$

ECHOCARDIOGRAM-2D ONLY ECHO 852.00$

ECHOCARDIOGRAM-2DM ECHO 721.00$

EDG TATTOOING SUR 1,404.00$

EDROPHONIUM CHL/ATROPINE PHAR 81.00$

EGD REMOVAL TUMOR/POLYP SNARE SUR 1,169.00$

EKG EKG 284.00$

EKG, PACER TRACING EKG 127.00$

ELAS-TO GEL DRSG 4X4 CS 18.00$

ELBOW PROTECTOR SLEEV LRG CS 42.00$

ELBOW PROTECTOR SLEEV MD CS 42.00$

ELBOW PROTECTOR SLEEV SM CS 8.00$

ELECTRICAL STIMULATION OT OT 99.00$

ELECTRODE, L-HOOK LAPAROSCOPIC, 13 IN. CS 180.00$

ELECTROLYTE POWDER PKT [0 PHAR 2.81$

ELECTROLYTE SOLUTION ORAL PHAR 12.00$

ELECTROPHRETIC FRACTN,QT LAB 133.00$

ELECTROSURGICAL PENCIL, PUSH BUTTON SWIT CS 52.00$

ELETRIPTAN HBR TAB [40 MG PHAR 144.00$

ELETROPHORESIS LAB 11.00$

ELIQUIS TAB [5MG] PHAR 28.25$

EMERGENCY DEPT VISIT/HIGH CL 421.00$

EMERGENCY DEPT VISIT/LOW CL 125.00$

EMERGENCY DEPT VISIT/MIN CL 94.00$

EMERGENCY DEPT VISIT/MODERATE CL 190.00$


EMERGENCY DEPT VISIT/MODERATE/DETAILED CL 283.00$

EMLA 30 GRAM TUBE PHAR 106.30$

EMLA CREAM UNIT DOSE PHAR 6.45$

EMOLLIENT/SKIN CLEANSER [ PHAR 33.00$

EMOLLIENT/SKIN CLEANSER C PHAR 26.00$

ENALAPRIL MALEATE TAB [2. PHAR 4.00$

ENALAPRIL MALEATE TAB [20 PHAR 9.20$

ENALAPRIL MALEATE TAB [5 PHAR 6.20$

ENALAPRILAT DIHYDRATE VL PHAR 15.85$

ENDO CLINCH II, 5MM CS 812.00$

ENDO CLOSE, TROCAR SITE CLOSING DEVICE CS 236.00$

ENDO RECOVERY REC 473.00$

ENDO TRACH TUBE 5.5MM CS 20.00$




ENDOMETRIAL BIOPSY CL 244.00$

ENDOPOUCH PRO 46 CS 444.00$

ENDOSCOPIC APPLICATOR CS 509.00$

ENDOSCOPY WITH BIOPSY CL 955.00$

ENEMA BUCKET CS 7.00$

ENEMA FLEETS CS 8.00$

ENEMA, BUCKET CS 12.00$

ENEMA, FLEET CS 7.00$

ENGERIX-B PEDIATRIC DOSE CL 35.00$

ENOXAPARIN SODIUM SYR [10 PHAR 65.00$






ENOXAPARIN SODIUM VL [300 PHAR 680.00$

ENTEROVIRUS RNA PCR/QUALI LAB 344.00$

ENTEROVIRUS/COXSACKIE,ECH LAB 153.00$

EPHEDRINE SULFATE VL [50 PHAR 52.55$

EPHEDRINE SULFATE VL [50 PHAR 125.55$

EPIDURAL KIT ANES 123.00$

EPIDURAL KIT, SINGLE SHOT ANES 15.00$

EPINEPHRINE AMP [1 MG/ML] PHAR 64.90$

EPINEPHRINE AUTO-INJECT [ PHAR 677.30$

EPINEPHRINE AUTO-INJECT JR PHAR 357.50$

EPINEPHRINE EMERGENCY AMP PHAR 27.60$

EPINEPHRINE INJECTION UP TO 1ML CL 3.00$


EPINEPHRINE SYR [1 MG/ 10 PHAR 46.25$

EPINEPHRINESOLN NEB [2.25 PHAR 8.00$

EPOETIN ALFA VL [10,000 U PHAR 559.00$

EPOETIN ALFA VL [20,000 U PHAR 1,174.55$

EPOETIN ALFA VL [2000 UNI PHAR 139.00$


EPOETIN ALFA VL [40 MU/ML PHAR 2,178.00$


EPOETIN ALFA VL 1000UNT PHAR 41.00$

EPOETIN ALFA-EPBX VL [40,000 UNIT/ML] PHAR 636.00$

EPSTEIN-BARR VIRUS/IgG LAB 175.00$

EPSTEIN-BARR/IgM LAB 175.00$

EPTIFIBATIDE INJ BOLUS [2 PHAR 395.50$

EPTIFIBATIDE VL [2 MG/ML PHAR 3,175.00$

ER - BLOOD ADMIN 1 - 4 HOURS ER 806.00$

ER -CPR CL 801.00$

ER ONLY - CARDIAC MONITOR MON 62.00$

ER REPAIR INTERM 7.6 - 12.5 CM CL 569.00$

ERAXIS VIAL PHAR 408.80$

ERGOCALCIFEROL CAP [50,00 PHAR 7.90$

ERTAPENEM SODIUM [1 G] PHAR 297.95$

ERYTHROMYCIN BASE OPTH OI PHAR 5.00$

ERYTHROMYCIN ETHYLSUCCINA PHAR 520.00$

ERYTHROPOIETIN LAB 183.00$

ES/ULTRASOUND--15 MIN PT 102.00$

ESCITALOPRAM OXALATE TAB PHAR 26.00$

ESCITALOPRAM TAB [20 MG] PHAR 18.30$

ESMOLOL VL [100 MG/ 10 ML] PHAR 63.15$

ESOMEPRAZOLE D-R CAP [40 PHAR 23.40$

ESOMEPRAZOLE D-R CAPS [20 PHAR 25.55$

ESOMEPRAZOLE MAG TRIHYD P PHAR 35.00$

ESTAZOLAM TAB [1 MG] PHAR 4.00$

ESTRADIAL LAB 208.00$

ESTRIOL LAB 203.00$

ESTROGEN CONJUGATED TAB [ PHAR 18.00$

ESTROGEN CONJUGATED TAB [ PHAR 18.00$

ESTROGEN TAB [0.75 MG] PHAR 4.00$

ESTROGEN/SERUM TOTAL LAB 362.00$

ESTRONE LAB 191.00$

ESTROPIPATE ORAL TABLET 1.5 MG PHAR 6.35$

ETG/ETS ETHYL GLUCURONIDE, URINE LAB 189.00$

ethyl chloride spray PHAR 4.00$

ETHYLENE GLYCOL LAB 156.00$


ETODOLAC CAP [300 MG] PHAR 8.00$

ETODOLAC TAB [400 MG] PHAR 6.00$

ETOMIDATE 20 MG/ 10 ML PHAR 36.70$

ETOMIDATE INJ VL [40 MG/ PHAR 20.00$

ETRAP, POLYP TRAP CS 57.00$

EUGLOBULIN CLOT LISIS TIM LAB 288.00$

EVACUATION SUBUNGUAL HEMATOMA CL 98.00$

EVACULATION SUBUNGUAL HEMATOMA CL 98.00$

EVAL OF SWALLOWING & ORAL ST 308.00$

EVAL/VOICE PROSTHETIC ST 183.00$

EVENT MONITOR MON 216.00$

Excision- adhesions/post circumcision CL 507.00$

EXCISION BENIGN LESION 3.1-4CM CL 604.00$

EXCISION BENIGN LESION-0.5 CM OR LESS CL 240.00$

EXCISION BENIGN LESION-0.6 TO 1.0 CM CL 123.00$









EXCISION BENIGN LESION-OVER 4.0 CM CL 739.00$

EXCISION MALIGNANT LESION .6 -1.0CM CL 375.00$

EXCISION MALIGNANT LESION-0.5 CM OR LESS CL 340.00$

EXCISION MALIGNANT LESION-0.6 TO 1.0 CM CL 376.00$






EXCISION MALIGNANT LESION-O.5 CM OR LESS CL 375.00$

EXCISION OF NAIL FOLD TR 455.00$

EXCISION OTHER BENIGN LESION-0.5 OR LESS CL 262.00$

EXCISION OVER 4.0 CYST OR LESION CL 785.00$

EXCISON BENIGN LESION-0.6 TO 1.0 CM CL 284.00$

EXTENDED HYDROTHERAPY(HUB PT 90.00$

EXTENSION SET 9" CS 32.00$

EXTENSION SET, ANESTHESIA ANES 12.00$

EYE IRRIGATION SOLUTION PHAR 2.50$

E-Z- DISK (700MG) TABLET PHAR 5.55$

E-Z WRAP CS 9.00$


EZETIMIBE TAB [10 MG] PHAR 39.65$

FACTOR 5 LEIDEN MUT ID LAB 688.00$

FAMCICLOVIR 500 MG TAB PHAR 5.00$

Family psychotherapy w/ patient present SLS 375.00$

Family psychotherapy w/o patient present SLS 375.00$

FAMOTIDINE 40 MG/ 4 ML PHAR 26.50$

FAMOTIDINE TAB [20 MG] PHAR 6.95$

FAMOTIDINE VL [10 MG/ML - PHAR 20.00$

FAST PATCH ELECTRODE CS 105.00$

FEBRILES ANTIGEN TEST LAB 65.00$

FEBUXOSTAT TAB [40 MG] PHAR 39.60$

FEBUXOSTAT TAB [80MG] PHAR 39.60$

FECAL CHYMOTRYPSIN LAB 144.00$

FECAL COLLECTION BAG CS 37.00$

FECAL FAT LAB 48.00$

FECAL LEUKOCYTE STN. LAB 62.00$

FECAL MANAGEMENT KIT CS 1,005.00$

FEEDING TUBE SET WITH BAG CS 17.00$

FEEDING/KANG. SPIKE SET CS 13.00$

FENOFIBRATE 134 MG PHAR 7.85$

FENOFIBRATE 160 MG TAB PHAR 21.40$

FENOFIBRATE TAB [145 MG] PHAR 15.45$

FENOFIBRATE TAB [48 MG] PHAR 12.00$

FENOFIBRIC PHAR 18.00$

FENTANYL 1ML VIAL PHAR 28.00$

FENTANYL CITRATE VL [0.05 PHAR 20.00$

FENTANYL PATCH [12 MCG/H PHAR 60.95$

FENTANYL PATCH [ 25 MCG/H PHAR 43.30$



FENTANYL PATCH [100 MCG/H PHAR 198.00$

FENTANYL PATCH [75 MCG/HR PHAR 120.75$

FERREX 150 CAP PHAR 4.00$

FERREX PLUS CAP [150 MG] PHAR 6.00$

FERRIC CARBOXYMALTOSE VL PHAR 1,883.00$

FERRITIN LAB 126.00$

FERROUS FUMARATE/B-COMPLE PHAR 4.00$

FERROUS GLUCONATE TAB [32 PHAR 4.00$

FERROUS SULFATE ELIXER [2 PHAR 3.00$

FERROUS SULFATE TAB [325 PHAR 4.00$

FESOTERODINE FUMARATE PHAR 3.00$

FESOTERODINE FUMARATE ER PHAR 41.80$

FETAL MONITOR (EXTERNAL) MON 164.00$


FETAL SCREEN LAB 97.00$

FEXOFENADINE HCL TAB [180 PHAR 12.00$

FEXOFENADINE HCL TAB [60 PHAR 4.00$

FIBRIN DEGRADATION PRODUC LAB 81.00$

FIBRINOGEN LAB 104.00$

FIBRINOGEN ANTIGEN LAB 286.00$

FILGRASTIM SYR [300 MCG/ PHAR 740.80$

FILGRASTIM VIAL[300MCG/1ML] PHAR 642.30$

FILGRASTIM VL [480 MCG/1. PHAR 1,454.90$

FILGRASTIM-AAFI PHAR 1.00$

FINASTERIDE TAB [5MG] PHAR 5.00$

FINE NEEDLE ASPIRATION/WO IMAGING GUIDE CL 295.00$

FINGER DISLOCATION CL 161.00$

FINGER SPLINT, LARGE CS 6.00$

FINGER SPLINT, XL CS 5.00$

FISH OIL CAP [1000 MG] PHAR 2.50$

FISH OIL CAP [500 MG] PHAR 3.00$

FLECAINIDE 50 MG TAB PHAR 16.25$

FLEETS ENEMA CS 6.00$

FLORASTOR CAP [250 MG] PHAR 4.00$

FLORESCENT ANTIBODY, TITE LAB 200.00$

FLOSEAL HEMO STERIL PREP 5 ML CS 1,542.00$

FLOW CYMOTERY ADDIT PANEL LAB 145.00$

FLOW CYMOTRY 1ST PANEL LAB 145.00$

FLOW CYTMETRY, 1ST MARKER LAB 112.00$

FLOW CYTOMETRY/EA ADD MAR LAB 66.00$

FLOW CYTOMTRY INTERP >16 LAB 45.00$

FLUBLOK INFLUENZA VACCINE 50+ PHAR 132.40$

FLUCAINE OPTH DROPS[0.25-0.5%] PHAR 17.70$

FLUCONAZOLE LIQ[40MG/ML] PHAR 78.50$

FLUCONAZOLE TAB [100 MG] PHAR 28.60$

FLUCONAZOLE TAB [150 MG] PHAR 52.00$

FLUCONAZOLE/SOD CL BAG [2 PHAR 70.00$

FLUDROCORTISONE ACETATE T PHAR 6.40$

Fluid Warming Set SUR 53.00$

FLUMAZENIL VL [0.5 MG/ 5 PHAR 24.90$

FLUMAZENILL INJ (O.1MG/M PHAR 29.40$

FLUORESCEIN SODIUM STRIP PHAR 4.00$

FLUORO ESI SUR 1,031.00$

FLUOROMETHOLONE OPTH [0.1%] PHAR 341.05$

FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT A SUR 155.00$

FLUOROSCOPTY SPX >1 HR PHYSS/QHP TIME SUR 344.00$

FLUOROSCOPY SPX UP TO 1 HOUR PHYS/QHP TI SUR 531.00$


FLUOTHANE PHAR -$

FLUOXETINE HCL CAP [10 MG PHAR 12.00$

FLUOXETINE HCL CAP [20 MG PHAR 9.95$

FLURBIPROFEN SODIUM OPTH PHAR 17.50$

FLUTICASONE FUROATE 200 MCG/ VILANTEROL PHAR 334.55$

FLUTICASONE PROIONATE NASAL SPRAY[50MCG] PHAR 5.00$

FLUTICASONE PROP/SALMETER PHAR 364.20$




FLUTICASONE PROPIONATE IN PHAR 619.50$

FLUTICASONE PROPIONATE NA PHAR 5.00$

FLUVASTATIN TAB [80 MG] PHAR 28.00$

FLUVESTRANT INJ 250MG/5ML PHAR 437.00$

FLUVIRIN VIAL [5ML] PHAR 63.00$

FLUZONE, 6+ MONTHS CL 34.80$

FMLY PSYCHOTHRPY/60M WP BH 109.00$

FMLY PSYCHOTHRPY/60MINW/O BH 109.00$

FOAM PADS ADHV HG SUPPORT CS 113.00$

FOLATE , RBC LAB 158.00$

FOLEY CATH TRAY #16wS CS 54.00$

FOLEY CATH TRAY #16wSTLK CS 57.00$

FOLIC ACID LAB 138.00$

FOLIC ACID TAB [1 MG] PHAR 2.50$

FOLIC ACID VIT B-6 VIT B- PHAR 3.00$

FOLIC ACID VL [5 MG/ML 10 PHAR 98.00$

FOLIC ACID/CYANOCOBALAMIN PHAR 7.00$

FOR RED BLOOD CELLS LAB 910.00$

FORCEPS, BIPOLAR JEWELERS CS 266.00$

FOREIGN BDY REMVL/EYE CL 196.00$

FOREIGN BODY REMOVAL - EYE CL 127.00$

FOREIGN BODY REMOVAL AUDITORY CANAL CL 264.00$

FOREIGN BODY REMOVAL-EAR CL 264.00$

FORTICAL, CALCITONIN SPRA PHAR 253.00$

FOSINOPRIL TAB [10 MG] PHAR 5.00$

FRACTURE - OPEN DISTAL PHALANX CL 591.00$

FRACTURE DISTAL ULNA CL 403.00$

FRACTURE HUMERAS/CLOSED CL 1,022.00$

FRACTURE/DISTAL TIBIA/CLOSED CL 828.00$

FRACTURE-DISTAL RADIAL CL 773.00$

FRACTURE-METACARPAL CL 616.00$

FRACTURE-METATARSAL CL 479.00$

FRACTURE-PHALANGEAL CL 391.00$


FRACTURE-RADIAL SHAFT CL 403.00$

FRACTURE-TIBIAL SHAFT CL 705.00$

FRACTURE-ULNAR (PROXIMAL) CL 966.00$

Frazier Suction (10fr) SUR 18.00$

FSH/SERUM LAB 132.00$

FUNCTIONAL ACTIVITIES15MI PT 92.00$

FUNGUS CULTURE LAB 106.00$

FUROSEMIDE ORAL SOL [10 PHAR 4.00$

FUROSEMIDE TAB [20 MG] PHAR 4.00$

FUROSEMIDE TAB [40 MG] PHAR 4.00$

FUROSEMIDE VL [10 MG/ML 4 PHAR 31.35$

FUROSEMIDE VL [100 MG/10 PHAR 32.70$

FX, GREAT TOE, CLOSED CL 448.00$

G112H 3-0 CHROMIC GUT CS 27.00$

GABAPENTIN CAP [100 MG] PHAR 4.00$



GABAPENTIN ORAL SOLUTION PHAR 4.00$

GABAPENTIN ORAL SOLUTION PHAR 7.60$

GABAPENTIN TAB [600 MG] PHAR 9.70$

GABAPENTIN, WHOLE BLOOD SERUM, OR PLASMA LAB 153.00$

GAIT TRAINING THERAPY PT 81.00$

GALANTAMINE HYDROBROMIDE PHAR 24.00$

Gardasil 9 Vaccine CL 307.00$

GARDASIL 9 VFC CL 19.82$

GASTR.ENDOSCOPY W BIOPSY SUR 1,909.00$

GASTRIC ACID ANALYSIS LAB -$

GASTRIC LAVAGE TUBE, 40FR CS 81.00$

GASTRIN LAB 113.00$

GASTROSCOPY SUR 410.00$

GASTROSTOMY TUBE 24FR CS 99.00$

GASTROSTOMY TUBE CHANGE CL 208.00$

GASTROSTOMY TUBE, 20FR CS 85.00$

GATIFLOXACIN OPTH SOL [0. PHAR 189.10$

GAUZE W/RAYTEX (10) 4X4 CS 11.00$

GC/CHLAM AMP PROBE LAB 116.00$

GEL DEFFUSION, QUALITATIVE, EACH ANTIGEN LAB 56.00$

GEL TOE CAP L/XL CS 19.00$

GEL TOE CAP S/M CS 16.00$

GEL TOE CAP S/M CS 19.00$

GEMFIBROZIL TAB [600 MG] PHAR 6.00$

GENERAL ANES EQUIP/SUP 121-150MIN ANES 943.00$

GENERAL ANES EQUIP/SUP 151-180MIN ANES 1,187.00$




GENERAL ANES EQUIP/SUPP 1-30MIN ANES 497.00$




GENERAL HEALTH PANEL LAB 364.00$

GENTAMICIN SULFATE IV PB PHAR 20.00$

GENTAMICIN SULFATE OPTH O PHAR 20.25$

GENTAMICIN SULFATE OPTH S PHAR 85.70$

GENTAMICIN SULFATE VL [8 PHAR 31.00$

GENTAMYCIN LEVEL BLOOD LAB 145.00$

GENTIAN VIOLET APPLICATION CL 3.00$

GFR PANEL LAB 50.00$

GGT/GLUTAMYLTRANSFERASE,G LAB 64.00$

GI COCKTAIL PHAR 44.00$

GI PANEL LAB 616.00$

GIARDIA LAB 132.00$

GLIMEPIRIDE TAB [1 MG] PHAR 5.00$



GLIPIZIDE EXTENDED RELEAS PHAR 4.00$

GLIPIZIDE EXTENDED-RELEAS PHAR 5.45$

GLIPIZIDE TAB [10 MG] PHAR 4.00$

GLIPIZIDE TAB [5 MG] PHAR 4.00$

GLIPIZIDE XL TAB [5 MG] PHAR 3.00$

GLIPIZIDE/METFORMIN TAB [ PHAR 5.00$

GLUCAGON EMERGENCY KIT PHAR 626.55$

GLUCAGON VL [1 MG/ 1ML] PHAR 390.70$

GLUCERNA 1.2 RTH CS 13.00$

GLUCOMETER/PER DAY CS 52.00$

GLUCOSAMINE SULFATE CAP PHAR 2.50$

GLUCOSE OTHER SOURCE LAB 44.00$

GLUCOSE TOL 1HR LAB 84.00$

GLUCOSE TOL 2HR LAB 126.00$

GLUCOSE TOL 3 HR LAB 141.00$

GLUCOSE,QUANTITATIVE,BLOO LAB 57.00$

GLYBURIDE TAB [5 MG] PHAR 4.00$

GLYCERIN SUPPOSITORY PHAR 3.00$

glycopyrrolate inhalation powder PHAR 946.10$

GLYCOPYRROLATE VL [0.2 MG PHAR 41.00$

GONORRHOEAE, NEISSERIA LAB 97.00$

GRAM STAIN FOR BACTERIA LAB 49.00$


Group psychotherapy SLS 295.00$

GROWTH HORMONE LAB 130.00$

GRP PSYCHOTHRPY/90 MIN BH 41.00$

GS-11 POLYSORB 0 CL-817 CS 24.00$

GUAIFEN/COD LIQ [100/10 M PHAR 4.00$

GUAIFEN/DEXTR LIQ [100/ 1 PHAR 2.50$

GUAIFENESIN ER TAB [1200 PHAR 5.00$

GUAIFENESIN ER TAB [600 M PHAR 2.50$

GUAIFENESIN LIQUID [100 M PHAR 2.50$

GUAIFENESIN/DEXTROMETHORP PHAR 3.00$

GUAIFENESIN/PHENYL SYRUP PHAR 5.00$

guaiFENisen 200 mg/ 10 mL PHAR 2.50$

GUAIFENSIN SOL, ETOH-SUGA PHAR 5.00$

H. PYLORI , STOOL LAB 186.00$

HALFLYTELY BOWEL PREP PHAR 290.00$

HALOPERIDOL LACTATE SOD V PHAR 38.00$

HALOPERIDOL TAB [0.5 MG] PHAR 4.00$

HANDLING FEE CL 28.00$

HANDLING FEE LAB 28.00$

HAPTOGLOBIN LAB 104.00$

HCG, QT LAB 134.00$

HDL LAB 70.00$

HEALTH FAIR A1C LAB 15.00$

HEALTH FAIR CMP, CBC, LIPIDS LAB 46.00$

HEALTH FAIR LIPIDS LAB 26.00$

HEALTH FAIR TSH LAB 26.00$

HEART IMG, MLTPL STDY NM 3,989.00$

HEAVY METAL SCREEN LAB 380.00$

HEB B/HIB (INFLUENZA B) MEDICAID CL 19.82$

HEB B/HIB(HEMOPHILOS INFLUENZA B) CL 81.00$

HEEL ANKLE ELBOW PROCTCTR CS 22.00$

HEEL ANKLE ELBOW PROT CS 19.00$

HEEL PAD CL 47.00$

HEEL PILLOW CS 7.00$

HEEL SUSPEN BOOT, REG CS 115.00$

HEEL SUSPENSION BOOT CS 152.00$

HEEL SUSPENSION BOOT REG CS 167.00$

HEEL SUSPENSION BOOT, BARIATRIC CS 228.00$

HEEL SUSPENSION BOOT, PET CS 186.00$

HELICOBACTER PYLORI LAB 137.00$

HEMATOCRIT LAB 40.00$

HEMI SLING CS 17.00$

HEMOGLOBIN LAB 39.00$


HEMOGLOBIN A1C LAB 80.00$

HEMOGRAM LAB 77.00$

HEMOPHILUS INFLUENZA b(HIB ACT) VACCINE CL 21.00$

HEMORRHAGE NASAL-ANTERIOR EXTENSIVE CL 331.00$

Hemorrhoidal Oint PHAR 9.98$

HEMORRHOIDECTOMY SUR 2,805.00$

HEMORRHOIDECTOMY INTERNAL RUBBER BANDING SUR 628.00$

HEP A ADULT VACCINE MEDICAID CL 19.82$

HEP B 0-19 YEARS MEDICAID CL 19.82$

HEP B CORE, ANTIBODYTOTAL LAB 107.00$

HEP B IMJECTION <20YEARS MEDICAID CL 19.82$

HEP Be AB LAB 102.00$

HEP C AB TEST,CONFIRM LAB 183.00$

HEP C GENOTYPE LAB 184.00$

HEP C GENOTYPE LAB 107.00$

HEP C VIRAL RNA PCR LAB 532.00$

HEP C VIRUS GENOTYPE LAB 835.00$

HEP. B CORE AB,IGM LAB 102.00$

HEP. B SURF AG/CONFIRMATN LAB 40.00$

HEP. B SURF. AG EIA LAB 85.00$

HEPARIN CARPUJECT [5000 U PHAR 20.00$

HEPARIN DRIP [25 000 U/ 2 PHAR 62.20$

HEPARIN INJ VL [10,000 UN PHAR 31.70$

HEPARIN INJ VL [1000 UNIT PHAR 26.60$

HEPARIN INJ VL [5000 UNIT PHAR 32.15$

HEPARIN LOCK FLUSH PHAR 10.00$

HEPARIN LOCK FLUSH [100 U PHAR 10.00$

HEPARIN LOCK FLUSH SYR [3 PHAR 10.00$



HEPATIC FUNC PNL LAB 140.00$

HEPATITIS A ADULT VACCINE CL 101.00$

HEPATITIS A ANTIBODY,TOTA LAB 132.00$

HEPATITIS A IGM LAB 113.00$

HEPATITIS A VAC/ ADOLESCENT MEDICAID CL 19.82$

HEPATITIS A VACCINE PEDIATRIC/ADOLESCENT CL -$

HEPATITIS A VACCINE/ADOLESCENT CL 49.00$

HEPATITIS B INJECTION-20 YEARS & ABOVE CL 85.00$

HEPATITIS B INJECTION-BIRTH TO 11 YEARS CL 36.00$

HEPATITIS B SURFACE AB IMMUNE LAB 121.00$

HEPATITIS B VACCINE SYR PHAR 82.00$

HEPATITIS B VACCINE SYR [ PHAR 174.00$

HEPATITIS B VACCINE SYR [ PHAR 174.00$


HEPATITIS C ANTIBODY LAB 149.00$

HEPATITIS C RNA/QUANT LAB 550.00$

HEPATITIS PANEL/ACUTE LAB 163.00$

HEPATITIS-B VACCINE SYR [ PHAR 82.00$

HEPATITS E, IGM LAB 177.00$

HEPATOBIL SYST IMAG INC GB W/PHARMA INTE NM 2,256.00$

HEPATOBILIARY SYSTEM IMAG NM 1,648.00$

HEPC GENOTYPE LAB 96.00$

HERNIA MESH SYSTEM, PROLENE, LG CS 1,890.00$

HERNIA MESH SYTEM, PROLENE, EXTENDED CS 1,890.00$

HERNIA PATCH W/ STRAP 3.2" VENTRALEX CS 1,350.00$

HERPES SIMPLEX VIRUS/TYP1 LAB 97.00$

HERPES SIMPLEX VIRUS/TYP2 LAB 98.00$

HFE HEMOCHROMATOSIS GENE ANAL COMMON LAB 382.00$

Hibiclens 4oz. Skin Cleanser SUR 20.00$

HIGH- PROF FEE EXT DAY CL 168.00$

HIV LAB 87.00$

HIV 4th Generation LAB 186.00$

HIV ANTIBODY LAB 144.00$

HIV-1 &HIV-2 SINGLE ASSAY LAB 70.00$

HLA B27 DISEASE ASSOC LAB 122.00$

HOLTER MONITER 25 - 48 HOURS ADDITIONAL MON 383.00$

HOLTER MONITOR SCAN MON 492.00$

HOME VISIT CL 114.00$



HOME VISIT, LOW CL 136.00$

HOME VISIT, MODERATE CL 221.00$

HOMOCYSTINE LAB 186.00$

HOSE ELASTIC KNEE CS 27.00$

HOSE, ELAS KNEE/7071 CS 27.00$

HOSE, ELASTIC KNEE HI CS 27.00$

HOSE,ELAS KNEE/7115 CS 27.00$

HOSE. ELASTIC KNEE (7071) CS 31.00$





HOSE. ELASTIC KNEE LARGE CS 28.00$

HOSE. ELASTIC KNEE XTRA LARGE CS 28.00$

HOSE. ELASTIC THIGH (3130 CS 39.00$




HOSP DISCHARGE/MORE THAN 30 MIN CL 189.00$

HOSPITAL ADMIT/HIGH CL 357.00$

HOSPITAL ADMIT/LOW CL 210.00$

HOSPITAL ADMIT/MODERATE CL 290.00$

HOSPITAL CARE/SUBSEQUENT/HIGH CL 215.00$

HOSPITAL CARE/SUBSEQUENT/LOW CL 111.00$

HOSPITAL CARE/SUBSEQUENT/MODERATE CL 158.00$

HOSPITAL DISCHARGE CL 158.00$

Hospital outpatient clinic visit SLS 50.00$

HOT DISP SNARE CS 45.00$

HOT DISP. BIOPSY CS 430.00$

HPV Quadrivalent CL 272.00$

HPV VACCINE CL 253.00$

HPV VACCINE MEDICAID CL 19.82$

HPV, SURE PATH - NO CHARGE LAB -$

HSV DNA DIRECT DETECTION SWAB LAB 240.00$

HSV1 AND/OR HSV2 ANTIBODIES, IGM LAB 51.00$

HUBER NEEDLE 19G CS 11.00$

HUBER NEEDLE 20X1 CS 23.00$

HUBER NEEDLE 22 G 90o CS 18.00$

HUBER NEEDLE 22G X 3/4 CS 23.00$

HUMERAL FRACTURE W/O MANIPULATION CL 1,023.00$

HUMIDIFIER/COOL MIST CS 241.00$

HUNTINGTON DISEASE MOL AN LAB 672.00$

HYALURONAN SYR 30MG/2ML PHAR 1,052.50$

HYALURONATE SODIUM SYR [48 MG/6 ML] PHAR 471.91$

HYALURONATE SODIUM SYR [8 PHAR 1,006.15$

HYALURONIDASE SOLU [150 U PHAR 153.95$

HYDRALAZINE HCL TAB [10 M PHAR 4.00$

HYDRALAZINE HCL TAB [50 M PHAR 4.00$

HYDRALAZINE HCL VL [20 MG PHAR 65.00$

HYDRALAZINE TAB [25 MG] PHAR 3.00$

HYDRANTION FIRST 31-60 MIN OBS 316.00$

HYDRATE IV INF. 1ST HR TR 333.00$

HYDRATE IV INF.,ADDON 8HR TR 95.00$

HYDRATE IV INFUSION,ADDON ER 95.00$

HYDRATION IV INFUSION,INT ER 333.00$

HYDROCHLOROTHIAZIDE TAB [ PHAR 4.00$

HYDROCOD/ACETAMIN LIQ [2. PHAR 5.00$

HYDROCOD/CHLORPHEN POLYST PHAR 24.70$

HYDROCODONE BIT/HOMATROPI PHAR 4.00$

HYDROCODONE BITARTRATE/AC PHAR 3.00$





HYDROCODONE BITRAT/ACETAM PHAR 7.40$

HYDROCODONE/ACETAMINOPHEN PHAR 5.00$

HYDROCODONE/GUAIFENESIN S PHAR 5.00$

HYDROCORTISONE ACETATE SU PHAR 67.95$

HYDROCORTISONE CREAM [1% PHAR 21.00$

HYDROCORTISONE CREAM 2.5% PHAR 323.00$

HYDROCORTISONE CREAM PACK PHAR 2.50$

HYDROCORTISONE SOD SUCC V PHAR 156.00$

HYDROCORTISONE SODIUM SUC PHAR 85.20$

HYDROCORTISONE SODIUM SUC PHAR 64.10$

HYDROCORTISONE TAB [10 MG PHAR 7.00$

HYDROCORTISONE/ PRAMOXINE PHAR 345.00$

HYDROMORPHONE HCL VIAL [1 PHAR 29.00$

HYDROMORPHONE HCL VL [2 M PHAR 25.00$



HYDROMORPHONE TAB [2 MG] PHAR 8.50$

HYDROXYCHLOROQUINE [200MG] PHAR 9.40$

HYDROXYCHLOROQUINE SULFAT PHAR 5.00$

HYDROXYPROGESTERONE LAB 167.00$

HYDROXYUREA CAP [500 MG] PHAR 5.15$

HYDROXYZINE HCL TAB [10 M PHAR 5.00$

HYDROXYZINE HCL TAB [25 M PHAR 4.00$

HYDROXYZINE HCL VIAL [ 50 PHAR 35.00$

HYDROXYZINE HCL VIAL [100 PHAR 38.00$

HYDROXYZINE HCL VL [25 MG PHAR 33.00$

HYOSCYAMINE SULFATE TAB [ PHAR 11.50$

HYPERKERATOTIC CALLUS, CORN 2 TO 4 CL 139.00$

HYPERKERATOTIC DEBR. CALLAS OR CORN TR 106.00$

HYPROCURE IMPLANT SIZE 8 CS 3,963.00$

HYPROCURE INPLANT SIZE 6 CS 3,963.00$

I & D ABSCESS/CYST CL 238.00$

I & D ABSCESS-COMPLICATED/MULTIPLE CL 445.00$

I & D OF ABSCESS SIMPLE OR SINGLE CL 229.00$

I & D THROMBOSED HEMORRHOID (EXTERNAL) CL 357.00$

I AND D OF COMPLICATED PILONIDAL CYST CL 617.00$

IBANDRONATE SODIUM INJ [1 PHAR 968.60$

IBUPROFEN CONCENTRATED IN PHAR 3.00$

IBUPROFEN JR STRENGTH CHE PHAR 3.00$

IBUPROFEN SUSP [100 MG/5M PHAR 3.00$

IBUPROFEN SUSP [200 MG/10 PHAR 2.50$


IBUPROFEN TAB [200 MG] PHAR 2.50$



ICD EVAL DUAL ECHO 203.00$

ICD EVAL; MULTIPLE ECHO 186.00$

ICF ROOM CHARGE ICF 368.00$

ID BY NUCLEIC ACID PROBE LAB 115.00$

IDENTIFICATION, BACTERIAL LAB 70.00$

IGE/SERUM LAB 157.00$

IGE/SERUM , PROFILE LAB 162.00$

IgF1 LAB 130.00$

IgFbt3 LAB 274.00$

IgG LAB 65.00$

ILOPERIDONE TAB [8 MG] PHAR 57.00$

IM ADM INTRASL/ORAL EA VACCINE CL 22.00$

IMIPENEM AND CILASTATIN V PHAR 48.35$

IMIPRAMINE HCL TAB [25 MG PHAR 4.00$

IMIPRAMINE/DESIPRAMINE LAB 130.00$

IMMOBILIZER, SHOULDER LARGE CS 27.00$

IMMOBILIZER, SHOULDER MD CS 47.00$

IMMOBILIZER, SHOULDER SMALL CS 29.00$

IMMUNE GLOBULIN 10% [40 G PHAR 12,751.00$

IMMUNE GLOBULIN 10% VL [ PHAR 6,385.00$

IMMUNIZATION ADM ER 68.00$

IMMUNIZATION ADM. EA ADD TR 40.00$

IMMUNIZATION ADMIN OBS 21.00$

IMMUNIZATION ADMINISTRATION CL 19.82$

IMMUNIZATION, ADM INJ TR 52.00$

IMMUNIZATION, ORAL/NASAL TR 52.00$

IMMUNIZATION,ORAL/NSLADDL TR 40.00$

IMMUNO GLOBULINS IGA LAB 46.00$

IMMUNO GLOBULINS IGM LAB 46.00$

IMMUNOASSAY QUANTITATIVE, NOC LAB 204.00$

IMMUNOASSAY QUANTITATIVE, NOC - PANEL PR LAB 95.00$

IMMUNOASSAY, INFECTION LAB 138.00$

IMMUNOFIXATION/, URINE LAB 200.00$

IMMUNOFIXATION/SERUM LAB 179.00$

IMMUNOPEROXIDASE STAIN LAB 116.00$

IMMUNOPEROXIDASE STAIN - ADDL STAIN LAB 126.00$

IMMUNUNIZATION ADM /INTRANASAL OR ORAL CL 30.00$

IMPLANT SYSTEM, BIOCOMPOSITE ACHILLES SU CS 4,272.00$

IMPLANT SYSTEM, SHOULDER SPEEDBRIDGE CS 2,934.00$

IMPLANTABLE TIGHT ROPE CS 1,844.00$


INCISION & DRAINAGE OF HEMATOMA CL 334.00$

INCISION AND DRAINAGE/PILONIDAL CYST CL 345.00$

INCRUSE ELLIPTA INHALER PHAR 825.10$

INDIVD PSYCHOTHRPY/75-80M BH 160.00$

INDIVIDUAL PSYCHO 20-30 M BH 64.00$

INDIVIDUAL PSYCHO 45-50M BH 109.00$

INDOMETHACIN CAP [25 MG] PHAR 4.00$

INDOMETHACIN CAP [50 MG] PHAR 4.00$

INDOMETHACIN EXTENDED-REL PHAR 12.05$

INFANRIX VACCINE PHAR 140.05$

INFED 100 MG CL 65.00$

INFLIXIMAB VL [100 MG] PHAR 2,490.00$

INFLUENZA 3+ MEDICAID CL 19.82$

INFLUENZA 6-35MOS, INTRAM,PRES. FEE CL 48.00$

INFLUENZA A 0R B LAB 125.00$

INFLUENZA ADMIN 1ST ADMIN CL 19.82$

INFLUENZA CHILDREN 6-35 MOS CL 24.00$

INFLUENZA CHILDREN MEDICAID CL 19.82$

INFLUENZA FLUBLOK QUAD INTRA 0.5ML CL 77.85$

INFLUENZA MEDICAID CL 19.82$

INFLUENZA VIRUS VACCINE S PHAR 172.90$

INFLUENZA VIRUS VACCINE S PHAR 101.75$

INFLUENZA VIRUS VACCINE V PHAR 31.00$

INFLUENZA VIRUS VACCINE/3 AND ABOVE CL 24.00$

INHALATION TREATMENT ER 164.00$

INHALATION TREATMENT OBS 42.00$

INHALER ACCESSORY PHAR 98.00$

INHIBIN A LAB 114.00$

INITIAL COMP PREVENT EXAM/UNDER 1 YEAR CL 182.00$

INITIAL HOSPITAL - NEW BORN CL 115.00$

INITIAL MEDICATION UP TO 1 HOUR OBS 320.00$

INITIAL NURSING HOME CARE CL 229.00$

INITIAL NURSING HOME -COMPREHENSIVE CL 276.00$

INITIAL NURSING HOME VISIT CL 189.00$

iNITIAL PHYSICAL EXAM FOR MEDICARE ENROL CL 202.00$

INITIAL PREVENTIVE MEDICINE EXAM CL 332.00$

INITIAL VIAL SET COMMERCIAL 52 UNITS CL 7.00$

INITIAL VIAL SET MC/MC 10 UNITS CL 19.00$

INITIAL VISIT PREVENTIVE MEDICINE 18/39 CL 305.00$

INJ ANESTHETIC AGENT SUPRASCAPULAR NERVE ANES 387.00$

INJ ANKLE ARTHROGRAPHY CL 334.00$

INJ ELBOW ARTHOGRAPHY CL 313.00$

INJ EPIDURAL BLOOD/CLOT PATCH CL 790.00$


INJ HIP ARTHORPGRAPHY W/O ANES CL 681.00$

INJ KNEWW ARTHROGRAPHY CL 251.00$

INJ PROC MYELOGRAPHY /CT LUMBAR CL 738.00$

INJ SHOULDER ARTHRO/ CT/ MRI ARTHG CL 449.00$

INJ SI JOINT ARTHO &ANES/STERIOD CL 681.00$

INJ WRIST ARTHROGRAPHY CL 295.00$

Inj, Penicillin G, 100,000 units, benzat CL 6.00$

INJECT/DRAIN MAJOR JOINT CL 187.00$

INJECTION - SMALL JOINT (FINGERS, TOES) CL 153.00$

INJECTION ANES AGENT SPHENOPALATINE GANG CL 492.00$

INJECTION ANESTHETIC AGENT CERVICAL PLEX ANES 443.00$

INJECTION ANESTHETIC AGENT FEMORAL NERVE ANES 371.00$

INJECTION INTO SKIN LESIO TR -$

INJECTION PERIPERAL NERVE/BRANCH ANES 290.00$

INJECTION SINGLE TENDON CL 152.00$

Injection Single/Mlt Trigger Point 3/> M CL 175.00$

INJECTION TENDON, LIGAMENT CL 158.00$

INJECTION-INTERMEDIATE JOINT CL 160.00$

INJECTION-MAJOR JOINT CL 187.00$

INJECTION-SMALL JOINT (FINGER, TOES) CL 152.00$

INJECTIONTENDON TENDON, LIGAMENT CL 158.00$

INPATIENT TELEMETRY / DAY MON 479.00$

INSERTION OF IUD CL 261.00$

INSERTION OF SUPRAPUBIC CATHETER CL 639.00$

INSERTION OF TEMP INDWELLING CATHETER CL 136.00$

INSERTION OF TEMP INDWELLING CATHETER CL 136.00$

INSERTION PICC LINE >5Y SUR -$

Insj Temp Ndwellg Bladder Catheter Compl CL 272.00$

INSULIN ANTIBODIES LAB 245.00$

INSULIN ASPART MIX FLEXPE PHAR 268.24$

INSULIN ASPART/INS ASPART PHAR 16.00$

INSULIN DEGLUDEC PHAR 14.00$

INSULIN DELGLUDEC PHAR 40.00$

INSULIN DETEMIR LEVEMIR F PHAR 221.86$

INSULIN GLARGINE LANTUS S PHAR 130.00$

INSULIN LEVEL LAB 138.00$

INSULIN LISPRO INJECTION PHAR 130.00$

INSULIN LISPRO PROT/LISPR PHAR 130.00$

INSULIN NPH HUMAN RECOMB PHAR 130.00$

INSULIN REG HUMAN RECOMB PHAR 53.53$

INTERLINK INJECTION SITE, MALE LUER LOCK CS 6.00$

Intermediate Repair, 2.6 cm to 7.5 cm CL 538.00$

INTERMEDIATE REPAIR, 20.1 CM TO 30.0 CM CL 695.00$


INTERNAL HEMORRHOIDS, LIGATION (BANDING) CL 398.00$

INTRA-ARTERIAL INJ TR 115.00$

INTRAOSSEOUS ACCESS CL 317.00$

INTRINSIC FACTOR AB LAB 134.00$

INTUBATION - ENDOTRACHEAL ER PROCEEDURE CL 275.00$

INVALID RING CS 15.00$

IODINE, 24 HR URINE LAB 153.00$

IODOFELX PAD, 10G 6CMx8CM CS 59.00$

IODOFORM PKG. STRIPS CS 9.00$

IONIZED CALCIUM LAB 97.00$

IONTOPHORESIS--15MIN PT 99.00$

IOPHEN DM-NR LIQ [473 ML] PHAR 3.00$

IOPIDINE 0.5% GTT/CATARCT PHAR 145.00$

IPECAC LIQUID PHAR 18.00$

IPECAC SYRUP [30 ML] PHAR 24.00$

IPRATROPIUM BROMIDE INH S PHAR 5.00$

IPRATROPIUM/ALBUTEROL INH PHAR 5.00$

IPRATROPIUM/ALBUTEROL INH PHAR 255.90$

IRBESARTAN TAB [150 MG] PHAR 12.30$

IRBESARTAN/ HCTZ TAB [300 PHAR 15.00$

IRON BINDING CAP LAB 75.00$

IRON DEXTRAN COMPLEX VL [ PHAR 90.15$

IRON SUCROSE COMPLEX VL [ PHAR 236.00$

IRON SUCROSE, INJ 1MG PHAR 2.00$

IRON TOTAL LAB 66.00$

IRRADIATION LAB 92.00$

ISLET CELL AB LAB 315.00$

ISOEMZYMES,ALKALINE PHOSP LAB 106.00$

ISOFLURANE ANESTH INH [1 PHAR 5.00$

ISOLATE, HSV LAB 214.00$

ISOLATION NUR -$

ISOSORBIDE DINITRATE TAB PHAR 5.00$

ISOSORBIDE MONONITRATE E- PHAR 7.00$

ISOSORBIDE MONONITRATE E- PHAR 10.00$

ISOVUE-M 200 (41%) INJECTION VL PHAR 20.00$

ISOVUE-M 300 (61%) INJ PHAR 37.20$

IV CATH (INSYTE 14G) CS 6.00$

IV CATH (INSYTE 22G) CS 6.00$

IV CATH (INSYTE) 20G CS 6.00$

IV CATH (INSYTE) 24G CS 6.00$

IV CATH, INSYTE 14G AUTOGUARD CS 10.00$







IV EXTENSION SET CS 12.00$

IV INFUSION THERP/ADD HRS TR 81.00$

IV PRESSURE INFUSER 1000 CS 48.00$

IV PRESSURE INFUSER 500 CS 82.00$

IV PUMP CS 80.00$

IV PUSH, ADD ON DIFF DRG TR 161.00$

IV PUSH, SNGL OR INIT DRG TR 198.00$

IV SEDATION 181-210 MIN ANES 652.00$


IV SEDATION 121-150 MIN ANES 1,266.00$






IV START KIT, CUSTOM CS 54.00$

IV START KIT, STD. BORE CS 27.00$

IV THERP. INFUSION/ADD HR TR 90.00$

IVABRADINE [5MG] TAB PHAR 27.85$

IVF STERILE WATER FOR INJ PHAR 75.00$

J 423H VICYRL 3-0 CS 26.00$

J 471 H 3-0 VICRYL CS 27.00$

J 603H VICYRL 0 CS 26.00$

J303 VICRYL 5-0 CS 39.00$

JACKSON PRATT 100CC BULB RESERVOIR CS 88.00$

JAIL MEALS NUR -$

JAK2 GENE ANALYSIS P.VAL617PHE VARIANT LAB 694.00$

JANUVIA 25MG TAB PHAR 18.00$

JC POLYOMA VIRUS,QL LAB 435.00$

JUZO SOCKS CS 78.00$

K-2 SYNTH THC, URINE LAB 44.00$

KANG. SPIKE SET CS 11.00$

KDNY FLW/FNCTN WW/0PHARIN NM 1,648.00$

KDNY FLW/FNTN STDY W PHAR NM 1,648.00$

KENGALOG INJ 40 MG CL 11.00$

KETAMINE 200 MG/ 20ML VIAL PHAR 48.26$

KETAMINE HCL VL [50 MG/ML PHAR 25.90$

KETOCONAZOLE CREAM [2%] 30 G TUBE PHAR 6.95$

KETOPROFEN CAP [50 MG] PHAR 5.00$

KETOROLAC TAB [10 MG] PHAR 5.60$


KETOROLAC TRIMET CARP [30 PHAR 29.00$

KETOROLAC TROMETHAMINE OP PHAR 97.50$

KETOROLAC TROMETHAMINE VL PHAR 23.15$

KETOROLAC TROMETHAMINE VL PHAR 24.50$

KETOTIFEN FURMARATE [0.025%] 5ML BTL PHAR 254.10$

KIDNEY FLW/FNCT W INTRVNT NM 1,268.00$

KIDNEY STONE ANALYSIS/ INFRARED LAB 128.00$

KIDNEY STONE ANALYSIS/QUANTITIVE CHEMICA LAB 130.00$

KINRIX VACCINE (DTAP, POLIO) CL 77.00$

KINRIX VACCINE (DTAP, POLIO) MEDICAID CL 19.82$

KLEINHAUER-BETKE LAB 234.00$

Knee Brace, Procare 20 in. Medium CS 55.00$

Knee brace, Procare 20 in. Small CS 55.00$

KNEE IMMOBILIZER CL -$

KNEE IMOBILIZER LARGE 20 CS 75.00$

KNEE IMOBILIZER X-LARGE 20 CS 75.00$

KNEE/ ADJUSTABRACE CL -$

KOH PREP LAB 83.00$

KUMAR CATHETER CHOLANGIOGRAPHY CS 719.00$

K-WIRE COVERS, STERILE, BLUE, 0.035" CS 6.00$

K-WIRE COVERS, STERILE, GREEN, 0.062" CS 6.00$

K-WIRE COVERS, STERILE, RED, 0.054" CS 6.00$

K-WIRE COVERS, STERILE, WHITE, 0.045" CS 6.00$

K-WIRE COVERS, STERILE, YELLOW, 0.028" CS 6.00$

K-WIRE, SINGLE TROCAR, 0.028"X4" CS 17.00$





K-Y JELLY 5 0Z CS 16.00$

LABETALOL HCL SYR [20 MG PHAR 42.20$

LABETALOL HCL VL [5 MG/ML PHAR 82.50$

LABETALOL TAB [200 MG] PHAR 13.95$

LACERATION TRAY, SINGLE USE CS 23.00$

LACOSAMIDE 200 MG TAB PHAR 62.25$

LACOSAMIDE TAB 100 MG PHAR 58.80$

LACTATED RINGERS [1000 ML PHAR 60.00$

LACTIC ACID LAB 134.00$

lactobacillus rhamnosus GG PHAR 1.00$

LACTOFERRIN FECAL QUANTITATIVE LAB 247.00$

LACTULOSE SOLUTION [20 G/ PHAR 4.00$

LACTULOSE SOLUTION BTL [ PHAR 6.00$

LAMICTAL TAB [200 MG] PHAR 64.55$


LAMOTRIGINE LAB 163.00$

LAMOTRIGINE TAB [25 MG] PHAR 4.00$

LANSOPRAZOLE CAP [30 MG] PHAR 23.00$

LANSOPRAZOLE SOLUTAB [30 PHAR 49.85$

LANTHANUM CARB 1000 MG PHAR 7.00$

LAP PACK II (1259) CS 48.00$

LAP PACK LA75 CS 65.00$

LAP/PELVIS PACK CS 161.00$

LAPAROSCOPIC SCOPE WARMER, DUAL CS 52.00$

LAPAROSCOPY CHOLECYSTECTOMY SUR 4,627.00$

LATANOPROST OPTH SOL 0.00 PHAR 334.00$

LATEX FREE CATH 16 30CC CS 28.00$


LATEX FREE CATH 18 30 C CS 28.00$

LATEX FREE CATH 18 30 CS 24.00$


LAUNDRY PER LB LTC 2.00$

LAYER CLOSURE OF FACE UP TO 2.5 CM. CL 591.00$

LDH LAB 68.00$

LDH ISOENZYME LAB 125.00$

LDH OTHER FLUID LAB 44.00$

LDH/LIVER PROFILE LAB 24.00$

LDL DIRECT MEASUREMENT LAB 69.00$

LEAD LEVEL LAB 84.00$

LEFLUNOMIDE TAB [20 MG] PHAR 61.00$

LEG STRAP, FABRIC CS 9.00$

LEGIONELLA LAB 109.00$

LENS/IOL CS 211.00$

LESION SHAVING,OVER 2.0 CM, TRUNK ARMS,L CL 253.00$

LESION/SKIN TAG .5CM < .80CM SUR 231.00$

letrozole 2.5 mg PHAR 24.00$

LEUKOCYTE POOR BLOOD LAB 402.00$

LEVALBUTEROL HCL AMP [0. PHAR 5.00$

LEVALBUTEROL HCL AMP [0.3 PHAR 13.45$



Levalbuterol MDI PHAR 10.95$

LEVEL E1 ER 144.00$

LEVEL E2 ER 305.00$

LEVEL E3 ER 471.00$

LEVEL E4 ER 702.00$

LEVEL E5 ER 1,058.00$

LEVEL E6 ER 1,462.00$


LEVEL E7 ER 1,404.00$

LEVEL III SURG PATH GROSS MICROSCOPE LAB 49.00$

LEVEL T0 BY PROCEDURE TR 115.00$




LEVEL T4 TR 603.00$

LEVEL T5 TR 730.00$

LEVEL T6 TR 856.00$

LEVEL V SURG PATH GROSS MICO LAB 272.00$

LEVETIRACETAM (KEPPRA) LAB 202.00$

LEVETIRACETAM ORAL SOL [5 PHAR 11.05$

LEVETIRACETAM TAB [1000 M PHAR 56.00$

LEVETIRACETAM TAB [500 MG PHAR 4.00$

LEVETIRACETAM TAB [750 MG PHAR 17.15$

LEVETIRACETAM VL [500 MG/ PHAR 57.50$

LEVINE SUCTION UNIT, DAIL CS 106.00$

LEVOBUNOLOL 0.5%/CATARACT PHAR 31.00$

LEVOBUNOLOL HCL OPTH SOL PHAR 94.05$

LEVOFLOXACIN BAG [250 MG/ PHAR 47.30$



LEVOFLOXACIN TAB [250 MG] PHAR 96.00$

LEVOFLOXACIN TAB [500 MG] PHAR 50.50$

LEVOTHYROXINE SODIUM TAB PHAR 4.00$










Lidocain1% Phenyleph1.5% opth gtts PHAR 24.00$

LIDOCAINE 0.5% MPF SDV PHAR 57.80$

LIDOCAINE 1% INTRADERMAL CL 3.00$

LIDOCAINE 1% MDV PHAR 25.15$

LIDOCAINE 1% SDV PHAR 32.15$

LIDOCAINE 1%/ PHENYLEPHRI PHAR 21.00$

LIDOCAINE 2% INTRADERMAL CL 3.00$

LIDOCAINE 2% W/ EPI 1:200,000 PHAR 67.20$

LIDOCAINE 4% MPF 5ML AMP PHAR 26.00$


LIDOCAINE HCL JELLY 2% PHAR 75.00$

LIDOCAINE HCL 2% SYR CAR PHAR 20.70$

LIDOCAINE HCL 2% VIAL [40 mg/ 2 ml PHAR 24.60$

LIDOCAINE HCL 2% VL [100 PHAR 31.25$

LIDOCAINE HCL 2% VL CARDI PHAR 20.00$

LIDOCAINE HCL 4% AMP [40 PHAR 24.55$

LIDOCAINE HCL JELLY CARP PHAR 21.45$

LIDOCAINE HCL JELLY 2% [5 PHAR 15.60$

LIDOCAINE HCL VISCOUS SOL PHAR 8.55$

LIDOCAINE HCL VL [10 MG/M PHAR 50.00$

LIDOCAINE HCL VL 1% 10 M PHAR 50.75$

LIDOCAINE HCL VL 2% [20 PHAR 20.00$

LIDOCAINE JELLY 2% TUBE CL 10.00$

LIDOCAINE MPF 1% [20 MG/2 PHAR 29.25$

LIDOCAINE SYRUP [20 MG/ML PHAR 4.00$

LIDOCAINE WITH EPI 1% CL 4.00$

LIDOCAINE WITH EPI 2% INTRADERMAL CL 3.00$

Lidocaine/Diphen/Maalox PHAR 4.00$

LIDOCAINE/EPINEPHRINE VL PHAR 20.00$

LIDOCAINE/EPINEPHRINE VL PHAR 20.00$

LIDOCAINE/PRILOCAINE CREA PHAR 125.75$

LIDOCAINE4% MPF/EPINEPHRI PHAR 26.00$

LIDODERM PATCH [5%] PHAR 7.50$

LIMITED SPECT MYCARDAL SINGLE NM 745.00$

LINACLOTIDE CAP [145 MCG] PHAR 53.40$

LINAGLIPTIN 5 MG TAB PHAR 55.50$

LINEZOLID TAB [600 MG] PHAR 378.00$

LIOTHYRONINE SODIUM TAB [ PHAR 5.00$

LIPASE, BLOOD LAB 108.00$

LIPID PROFILE LAB 122.00$

LIPOPROTEIN A LAB 142.00$

LIPROPROTEIN/BLOOD LAB 169.00$

LIRAGLUTIDE PEN INJ [18 M PHAR 494.00$

LISINOPRIL TAB [10 MG] PHAR 4.00$

LISINOPRIL TAB [2.5 MG] PHAR 4.00$



LITHIUM CARBONATE CAP [150 MG] PHAR 4.00$

LITHIUM CARBONATE CAP [30 PHAR 4.00$

LITHIUM LEVEL LAB 81.00$

LIVER & SPLEEN IMAGING ST NM 1,648.00$

LIVER IMAGING W VASC FL NM 1,648.00$

LIVER IMAGING(3D)/SPECT NM 1,648.00$


LIVER IMAGING(3D)W VASCFL NM 1,648.00$

LIVER/SPLEEN W VASCU FLW NM 1,648.00$

LODOFLEX PAD 10G LTC 49.00$

LONG ARM CAST CL 388.00$

LOPERAMIDE HCL CAP [2 MG] PHAR 4.00$

LOPEZ VALVE CS 13.00$

LORATADINE SYRUP [5 MG/ 5 PHAR 2.50$

LORATADINE TAB [10 MG] PHAR 2.50$

LORAZEPAM CARPUJECT [2 MG PHAR 30.55$

LORAZEPAM INJ [4MG/ML] PHAR 27.00$

lorazepam oral concentrate 2mg/ml PHAR 144.10$

LORAZEPAM TAB [0.5 MG] PHAR 4.00$

LORAZEPAM TAB [1 MG] PHAR 4.00$

LORAZEPAM VL [2 MG/ML 1ML PHAR 20.00$

LOSARTAN POT 100 MG PHAR 12.35$

LOSARTAN POTASSIUM TAB [5 PHAR 9.00$

LOSARTAN TAB [25 MG] PHAR 12.00$

LOSARTAN/HCTZ/POTASSIUM T PHAR 9.15$

LOVASTATIN SR TAB [60 MG PHAR 69.00$

LOVASTATIN TAB [40 MG] PHAR 21.00$

LUBIPROSTONE 8 MCG PHAR 22.30$

LUBIPROSTONE CAP [24 MCG] PHAR 22.30$

LUER ACTIVATED VALVE CS 6.00$

LUMBAR PUNCTURE TRAY, ADT CS 42.00$

LUMBAR PUNCTURE TRAY, INF CS 43.00$

LUMBAR PUNTURE CL 504.00$

LUNG CANCER SCREENING VISIT CL 84.00$

LUPUS ANTI EVAL LAB 121.00$

LUTEIN CAP [20 MG] PHAR 2.50$

LUTEIN CAP [6 MG] PHAR 3.00$

LUTEININZING HORMONE/LH LAB 116.00$

LYCE CELLS - NUCLEIC EX LAB 125.00$

LYME DISEASE SCREEN LAB 235.00$

LYMPHOCYTE LAB 515.00$

LYMPHOCYTOXICITY LEVEL LAB 362.00$

M/PHMTRC ALYS TUMOR IMHCHEMA ANITBODY MN LAB 165.00$

MAALOX 30 ML- CLINIC CL 3.00$

MACRODANTIN 50mg CAPS PHAR 12.00$

MAGNESIUM CHLORIDE TABS [64 MG PHAR 4.00$

MAGNESIUM CITRATE ORAL SO PHAR 4.00$

MAGNESIUM HYDROX/AL HYDRO PHAR 2.50$

MAGNESIUM HYDROXIDE SOLN PHAR 2.50$

MAGNESIUM HYDROXIDE TABLE PHAR 3.00$


MAGNESIUM LEVEL LAB 83.00$

MAGNESIUM OXIDE TAB [400 PHAR 4.00$

Magnesium Sulfate VL (100 mg/ 2 mL PHAR 24.35$

MAGNESIUM SULFATE VL [5 G PHAR 20.00$

MAINTENANCE VIAL SET 10 UNITS CL 4.00$

MAJOR SURGERY SUR -$

MAMMO, BILAT DIAGNOSTIC MAMM 380.00$

MAMMO, BILAT SCREEN MAMM 329.00$

MAMMO, UNILAT DIAGNOSTIC MAMM 318.00$

MAMMO, UNILAT SCREEN MAMM 329.00$

MANNITOL 25% [12.5 G/ 50 PHAR 20.00$

MANUAL DIFF LAB 58.00$

MARCAINE 0.5% WITH EPI PHAR 20.00$

MARCAINE HCI.5% UPTO 30CC PHAR 32.00$

MASS, SPEC QUALITATIVE LAB 54.00$

MASSAGE 15MIN PT 27.00$

MD-ACT-HIB CL 19.82$

MEASURE URINE LAB 25.00$

MECHANICAL TRACTION (PT) PT 62.00$

MECKELS'S DIVERT/BOWEL IM NM 1,204.00$

MECLIZINE TAB [12.5 MG] PHAR 3.00$

MECLIZINE TAB [25 MG] PHAR 4.00$

MED. CERVICAL COLLAR CS 27.00$

MED. NUTRI, INV/EA 15MIN TR 35.00$

MED. NUTRITN/GRP EA 30MIN TR 32.00$

MED. NUTRTN ASSESSMNT/15M TR 40.00$

Medical team conf.-Direct patient contac CL 87.00$

MEDIHONEY CS 85.00$

MEDIHONEY PASTE, 1.5 OZ CS 73.00$

MEDIHONEY, 2X2 HONEYCOLLOID DRESSING W/A CS 19.00$

MEDIPORE DRESSING, 3.5"X13.75" CS 9.00$

MEDIPORE TAPE, 4" CS 37.00$

MEGESTROL ACETATE ORAL SU PHAR 16.95$

MEGESTROL ACETATE TAB [40 PHAR 6.00$

MELATONIN 3MG PHAR 4.00$

MELOXICAM TAB [7.5 MG] PHAR 12.40$

MEMANTINE HCL EXTENDED-RE PHAR 14.50$

MEMANTINE HCL TAB [10 MG] PHAR 26.70$

MEMANTINE HCL TAB [5 MG] PHAR 22.00$

MENACTRA (MCV4) VACCINE CL 172.00$

MENACTRA (MCV4) VACCINE MEDICAID CL 19.82$

MENINGOCOCCAL GRP B VFC PHAR 19.82$

MENTHOL/ZINC OX MEDICATED PHAR 14.00$


MEPERIDINE HCL CARP [100 PHAR 38.90$

MEPERIDINE HCL CARP [25 M PHAR 36.00$



MEPERIDINE HCL VIAL [100 MG/ML] PHAR 30.45$

MEPERIDINE HCL VIAL [25 M PHAR 29.15$

MEPILEX BORDER 4X10 CS 26.00$



Mepilex Border Ag, 4x10in. SUR 115.00$

MERCAPTOPURINE TAB [50 MG PHAR 16.40$

MERCURY LEVEL LAB 155.00$

MEROPENEM VL [1 GRAM] PHAR 53.00$

MESALAMINE CAPS [500 MG] PHAR 21.90$

MESALAMINE DELAY RELEASE PHAR 10.00$

MESALAMINE DELAY-RELEASE PHAR 10.10$

MESH, PROCEED VENTRAL PATCH, MEDIUM, CIR CS 1,735.00$

MESH, PROCEED VENTRAL PATCH, SMALL, CIRC CS 1,735.00$

METANEPHRINES LAB 136.00$

METATARSAL FRACTURE W/ MANIPULATION/CLOS CL 414.00$

METAXALONE TAB [800 MG] PHAR 19.60$

METFORMIN HCL EXTENDED-RE PHAR 51.75$

METFORMIN HCL TAB [500 MG PHAR 4.00$

METFORMIN HCL TAB [850 MG PHAR 4.00$

METHIMAZOLE TAB [10 MG] PHAR 5.00$



METHOTREXATE TAB [2.5 MG] PHAR 18.75$

METHYLENE BLUE VL [1%] PHAR 77.15$

METHYLPHENIDATE ER 20 PHAR 23.25$

METHYLPHENIDATE HCL TAB [ PHAR 4.00$

METHYLPHENIDATE TAB [10 M PHAR -$

METHYLPHENIDATE TAB [20 M PHAR 5.00$

METHYLPHENIDATE TAB [5 M PHAR 3.00$

METHYLPREDNISOLONE ACETAT PHAR 47.55$




METHYLPREDNISOLONE SOD SU PHAR 75.50$






METHYLPREDNISOLONE TAB [4 PHAR 4.00$

METHYLPREDNISOLONE TAB [4 PHAR 6.60$

METOCLOPRAMIDE HCL [10MG/10ML] PHAR 4.00$

METOCLOPRAMIDE HCL ODT [5 PHAR 13.00$

METOCLOPRAMIDE HCL ORAL L PHAR 4.00$

METOCLOPRAMIDE HCL TAB [1 PHAR 3.00$

METOCLOPRAMIDE HCL VL [5 PHAR 32.10$

METOCLOPRAMIDE TAB [5 MG] PHAR 4.00$

METOLAZONE TAB [2.5 MG] PHAR 13.15$

METOLAZONE TAB [5 MG] TAB PHAR 3.00$

METOPROLOL SUCCINATE TAB PHAR 5.00$

METOPROLOL SUCCINATE TAB PHAR 5.00$

METOPROLOL TARTRATE SYR [ PHAR 24.20$

METOPROLOL TARTRATE TAB [ PHAR 4.00$



METOPROLOL TARTRATE VIAL PHAR 29.70$

METRONIDAZOLE CREAM 0.75% [45G TUBE] PHAR 364.35$

METRONIDAZOLE GEL 0.75% [ PHAR 341.70$

METRONIDAZOLE TAB [250 MG PHAR 4.00$

METRONIDAZOLE TAB [500 MG PHAR 5.00$

METRONIDAZOLE/SOD CL BAG PHAR 30.10$

MEYTHLMELONIC ACID LAB 286.00$

MICONAZOLE NITRATE CREAM PHAR 9.60$

MICONAZOLE NITRATE CREAM PHAR 5.00$

MICROALBUMIN, 24HR LAB 101.00$

MICROFOAM TAPE 2" ROLL CS 23.00$

MICROFOAM TAPE 4" ROLL CS 34.00$

MID LEVEL OBS - LOW SAME DAY ADMIT/DISCH CL 272.00$

MID LEVEL-WOUND CARE BREIF VISIT CL 101.00$

MID LEVEL-WOUND CARE COMP VISIT CL 279.00$

MID LEVEL-WOUND CARE DETAILED VISIT CL 186.00$

MID LEVEL-WOUND CARE LIMITED VISIT CL 130.00$

MID LVL- ER C.C. 1HR CL 584.00$

MID LVL- ER VISIT HIGH CL 421.00$

MID LVL- ER VISIT MOD CL 190.00$

MID LVL-ER C.C. ADD 30MIN CL 290.00$

MID LVL-ER VISIT LOW CL 125.00$

MID LVL-ER VISIT MIN CL 94.00$

MID LVL-OBS ADMIT/HIGH CL 315.00$

MID LVL-OBS ADMIT/LOW CL 183.00$

MID LVL-OBS ADMIT/MOD CL 250.00$

MID LVL-OBS DISCH CL 178.00$


MID LVL-OBS DISCH / HIGH CL 484.00$

MID LVL-OBS DISCH/ MOD CL 386.00$

MID LVL-OBS XRTA DAY/LOW CL 65.00$

MID LVL-OBS XTRA DAY/HIGH CL 168.00$

MID LVL-OBS XTRA DAY/MOD CL 130.00$

MIDAZOLAM HCL IVP [2 MG/2 PHAR 20.00$

MIDAZOLAM HCL VL [10 MG/2 PHAR 40.00$

MIDAZOLAM HCL VL [5 MG/ML PHAR 44.00$

MIDAZOLAM VIAL [5 MG/ 5 M PHAR 20.00$

MID-LVL ER MOD TO HIGH CL 283.00$

MIDODRINE TAB [5 MG] PHAR 5.00$

MINERAL OIL/ PETROLATUM O PHAR 7.15$

MINI TRACH KIT II CS 107.00$

MINIDRIP SET CS 17.00$

MINOR ROOM 31-45 MIN SUR 658.00$




MINOR SURGERY SUR -$

MIRABEGRON EXTENDED-RELEA PHAR 48.65$

MIRTAZAPINE TAB [30 MG] PHAR 12.00$




MIRTAZAPINE TAB [7.5 MG] PHAR 13.00$

MISOPROSTOL TAB [100 MCG] PHAR 5.00$

MITOCHONDRIAL M2 AB, IGG LAB 150.00$

MMC ALBUTEROL INH PHAR 28.60$

MMC BACTROBAN OINT [1 GM] CL 8.00$

MMC EPINEPHrine AUTO-INJECT [0.15MG] CL 598.00$

MMC EPINEPHrine AUTO-INJECT[0.3MG] CL 581.00$

MMC FLUBLOK (180MCG/.05ML) SYR CL 37.00$

MMC FLUCAINE OPTH DROPS[0.25-0.5%] CL 14.00$

MMC FLUZONE PEDS 6-35MO CL 19.82$

MMC FLUZONE QUAD (36MO+) CL 19.82$

MMC HEPATITIS A VACCINE ADULT CL 93.00$

MMC LIQUID ACETAMINOPHEN 160MG/5ML CL 3.00$

MMC MENINGOCOCCAL GROUP B VAC[0.5ML] SYR CL 229.00$

MMC MUPIROCIN 2% CREAM CL 9.00$

MMC VFC DIPHTH PERTUSS(ACELL) TET PED PHAR 31.00$

MMC ZOSTER VACCINE [0.5ML] CL 268.00$

MMR CL 105.00$

MMR MEDICAID CL 19.82$


MOBILITY: CURRENT STATUS PT -$

MOBILITY: DC STATUS PT -$

MOBILITY: GOAL STATUS PT -$

MODIFIED AB SCREEN LAB 68.00$

MOLECULAR DIAGNOSTICS LAB 12.00$

MOMETASONE FUROATE CREAM PHAR 535.00$

MOMETASONE FUROATE INH [5 PHAR 603.45$

mometasone furoate inh powder PHAR 177.50$

MONO SPOT, LAB LAB 81.00$

MONTELUKAST SODIUM CHEWAB PHAR 18.90$

MONTELUKAST SODIUM TAB [1 PHAR 19.95$

MORGAN LENS, MEDI-FLOW CS 146.00$

MORPHINE 15MG TABS PHAR 3.00$

morphine sulfate 10mg/10ml(1mg/ml) PHAR 89.50$

MORPHINE SULFATE 4 MG VIALS PHAR 28.20$

MORPHINE SULFATE CARP 4 mg PHAR 26.80$

MORPHINE SULFATE EXTENDED PHAR 22.95$

MORPHINE SULFATE ORAL CON PHAR 4.00$




MORPHINE SULFATE SR TAB [ PHAR 5.50$




MORPHINE SULFATE TAB [15 PHAR 3.00$

MORPHINE SULFATE TAB [30 PHAR 6.20$

MORPHINE SULFATE VIAL [15 PHAR 48.00$

MORPHINE SULFATE VIAL [50 PHAR 61.00$

MORPHINE SULFATE VL [5 MG PHAR 23.60$

MOTION FLUOR EVAL SWLNG FUNCJ C/V REC ST 372.00$

MOXIFLOXACIN HCL OPTH SOL PHAR 417.90$

MOXIFLOXACIN HYDROCHLORID PHAR 112.00$

MRA ABDOMEN W OR W/0 CNTR MRI 3,483.00$

MRA CHEST W OR W/O CNTRST MRI 3,293.00$

MRA HEAD W/CNTRST MRI 2,977.00$

MRA HEAD W/O CNTRST MRI 3,164.00$

MRA HEAD W/WO CNTRST MRI 3,164.00$

MRA LWR EXTR W OR W/0 CNT MRI 2,280.00$

MRA NECK W CONTRST MRI 2,786.00$

MRA NECK W/O CNTRST MRI 2,596.00$

MRA NECK W/WO CONTRAST MRI 2,977.00$

MRA PELVIS W OR W/O CNTRS MRI 2,977.00$


MRA UP EXTR W OR W/O CNTR MRI 2,596.00$

MRI BREAST BILATERAL MRI 3,357.00$

MRI BREAST UNILATERAL MRI 2,977.00$

MRI UPPER EXTR W/JNT W/CT MRI 2,407.00$

MRI UPPER EXTR W/JNT W/WO MRI 2,596.00$

MRI/ABDOMEN W CNTRST MRI 3,164.00$

MRI/ABDOMEN W/O CNTRST MRI 2,977.00$

MRI/ABDOMEN W/W0 CNTRST MRI 3,403.00$

MRI/BRAIN W/O CNTRST MRI 3,310.00$

MRI/BRAIN W/WO CNTRS MRI 3,738.00$

MRI/BRAIN WITH CONTRAST MRI 2,977.00$

MRI/CERVICAL SPINE W CNTR MRI 2,977.00$

MRI/CERVICAL SPINE W/O C MRI 3,255.00$

MRI/CHEST W CNTRST MRI 2,977.00$

MRI/CHEST W/O CNTRST MRI 2,786.00$

MRI/CHEST W/WO CNTRST MRI 3,164.00$

MRI/C-SPINE,WO/W CNTRST MRI 3,164.00$

MRI/L-SPINE, WO/W CNTRST MRI 3,547.00$

MRI/LUMBAR SPINE W CNTRST MRI 3,357.00$

MRI/LUMBAR SPINE W/O CNTR MRI 3,164.00$

MRI/LW EXT W/JNT, W CNTRS MRI 2,596.00$

MRI/LW EXT W/JNT, W/WO CN MRI 2,596.00$

MRI/LW EXTR W/OJNT,W CNTR MRI 2,407.00$

MRI/LWR EXT W/JNT W/O CNT MRI 2,471.00$

MRI/LWR EXT W/OJNT W/WO C MRI 2,596.00$

MRI/LWR EXT W/OJNT,W/OCNT MRI 2,407.00$

MRI/ORBIT, FACE, NECK W C MRI 2,977.00$

MRI/ORBIT,FACE,NCK W/WO C MRI 3,176.00$

MRI/ORBIT,FACE,NECK W/OC MRI 2,786.00$

MRI/PELVIS W CNTRST MRI 2,977.00$

MRI/PELVIS W/O CNTRST MRI 2,985.00$

MRI/PEVIS W/WO CNTRST MRI 3,164.00$

MRI/TEMPORAMANDIBULAR JNT MRI 2,217.00$

MRI/THORACIC SPINE W CNTR MRI 2,977.00$

MRI/THORACIC SPINE W/O C MRI 2,786.00$

MRI/T-SPINE,WO/W CNTRST MRI 3,164.00$

MRI/UP EXT W JOINT W/O C MRI 2,443.00$

MRI/UP EXT W/0JNT,W/O CNT MRI 2,049.00$

MRI/UP EXT W/OJNT W/WO C MRI 2,596.00$

MRI/UP EXT W/OJNT, W CNTR MRI 2,407.00$

MRSA SCREEN LAB 164.00$

MULTIPLE ALLERGY CL 37.00$

MULTIVIT/FE/MIN TAB PHAR 2.50$


MULTIVIT/MINERALS WOMEN'S PHAR 3.00$

MULTIVITAMIN SYRUP PHAR 3.00$

MULTIVITAMIN TAB PHAR 2.50$

MULTIVITAMIN/MULTIMINERAL PHAR 3.00$

MUMPS IGG SCREEN LAB 98.00$

MUPIROCIN OINT [2%] 22 G PHAR 5.00$

MUPIRONCIN OINT 1 GM PHAR 15.40$

MYCOBACTERIUM DNA OR PCR LAB 307.00$

MYCOPHENOLATE MOFETIL CAP PHAR 15.85$

MYCOPHENOLATE MOFETIL TAB PHAR 58.00$

MYCOPLASMA AB, IGG LAB 114.00$

MYCOPLASMA IGM LAB 50.00$

MYCOPLASNA PNEUMONIAE, AMPLIFIED PROBE LAB 91.00$

MYDFRIN 2/5% GTT/CATARCT PHAR 16.00$

MYDRIACYL 1% OPTH SOLUTIO PHAR 37.00$

MYELOGRAPHY VIA LUMBAR INJ RS&I CERVICAL CL 1,099.00$

MYELOGRAPHY VIA LUMBAR INJ RS&I THORACIC CL 1,133.00$

MYELOGRAPHY VIA LUMBAR INJECT RS&I CL 1,083.00$

MYELOPRAPHY VIA LUMBAR INJ RS&I 2+ REGIO CL 1,165.00$

MYOFACIAL RELEASE PT 94.00$

MYOGLOBIN LAB 119.00$

MYOGLOBIN, URINE LAB 84.00$

N GONORRHOEAE LAB 92.00$

NACL [0.45% - 1000 ML] PHAR 60.00$

NACL [0.9% - 100 ML] PHAR 35.00$

NACL [0.9% -1000 ML] PHAR 78.75$

NACL [0.9% -250 ML] PHAR 40.00$

NACL [0.9% -500 ML] PHAR 75.00$

NADOLOL TAB [20 MG] PHAR 16.00$

NAIL DEBRIDEMNT/1 TO 5 TR 68.00$

NAIL DEBRIDEMNT/6 OR MORE TR 90.00$

NALBUPHINE HCL INJ [10 MG PHAR 33.05$

NALOXONE HCL CARP [0.4 MG PHAR 66.35$

NALOXONE HCL SYR [2 MG/2 PHAR 69.50$

NALOXONE VIAL [0.4 MG/ML] PHAR 79.35$

NALTREXONE HCL TAB [50 MG PHAR 21.00$

NALTREXONE, DEPOT FORM INJ, 1MG CL -$

NAPROXEN EC TAB [500 MG] PHAR 6.00$

NAPROXEN SODIUM TABS [220 PHAR 3.00$

NAPROXEN TAB [375 MG] PHAR 5.00$

NAPROXEN TAB [500 MG] PHAR 5.40$

NAPRROXEN DR TAB 500MG PHAR 6.00$

NASAL ADDIMISATION DEVICE CS 38.00$


NASAL CANNULA, PEDI CS 6.00$

NASAL DECONGESTANT SPRAY CL 8.00$

NASAL PAC RAPID RHINO CS 187.00$

Nasal Pac Rapid Rhino 9.0 CS 325.00$

NASAL PACKING W/STRING CS 24.00$

NASO-GASTERIC TUBE PLACEMENT CL 95.00$

NASO-GASTRIC TUBE PLACEMENT CL 96.00$

NATURA SUR-FIT WAFERS[1 3/4 IN] PHAR 103.00$

NEBIVOLOL [5 MG] TAB PHAR 18.05$

NEBIVOLOL TAB [10 MG] PHAR 18.05$

NEBULIZER TUBING CS 7.00$

NEEDLE 21GA 90MM STIMULATING NERVE BLOCK CS 59.00$

NEEDLE 22GA 50MM STIMULATING NERVE BLOCK CS 58.00$

NEEDLE, SCORPION MULTIFIRE CS 613.00$

NEEDLE, SPINAL, 18GA X 3.5IN, STERILE CS 9.00$

NEEDLE, VERRES INSUFFLATION, 120MM CS 120.00$

NEOMYCIN&POLY-BFULFATES PHAR 27.00$

NEOMYCIN/BACITRACIN/POLYM PHAR 4.00$

NEOMYCIN/POLYMYXIN/DEXAME PHAR 49.00$

NEOMYCIN/POLYMYXIN/DEXAME PHAR 39.75$

NEOMYCIN/POLYMYXIN/HC OTI PHAR 418.85$

NEO-POLY-HC OTIC SOLUTION PHAR 30.20$

NEOSTIGMINE METHYLSULFATE PHAR 75.10$

NEPHELOMETRY - PANEL PRICING LAB 75.00$

NEPHELOMETRY, EACH ANALYT LAB 165.00$

NEPRO CARB STEADY RTH CS 25.00$

NEPTUNE 2 4-PORT MANIFOLD CS 82.00$

NEULASTA ON-BODY KIT PHAR 10,049.00$

NEUROMUSCULAR REDUCTION PT 77.00$

NEUROMUSCULAR RE-ED/OT OT 78.00$

NIACIN CAP ER [250MG] PHAR 2.50$

NIACIN EXTENDED-RELEASE T PHAR 4.00$

NIACIN EXTENDED-RELEASE T PHAR 31.00$

NICOTINE LOZENGE PHAR 2.50$

NICOTINE PAT [21 MG/24 HR PHAR 8.60$

NICOTINE PAT[14 MG/24HR] PHAR 7.60$

NICOTINE PATCH [ 7 MG/24 HR] PHAR 11.15$

NICOTINE/URINE LAB 204.00$

NIFEDIPINE CAP [10 MG] PHAR 5.00$

NIFEDIPINE ER TAB [30 MG] PHAR 5.25$

NISOLDIPINE ER TAB [8.5 M PHAR 23.00$

NISOLDIPINE TAB [10 MG] PHAR 11.00$

NITROFURAN/NITROFURAN MAC PHAR 13.55$


NITROFURANTOIN CAPS(MACRO PHAR 10.00$

NITROGLYCERIN DRIP [100 M PHAR 30.20$

NITROGLYCERIN LINGUAL SPR PHAR 24.00$

NITROGLYCERIN OINT PKT [2 PHAR 11.05$

NITROGLYCERIN PAT [0.2 MG PHAR 8.00$




NITROGLYCERIN SET CS 33.00$

NITROGLYCERIN SL TAB [0.4 PHAR 5.00$

NITROGLYCERIN TAB [0.4 M PHAR 708.00$

NITROGLYCERIN VL [50 MG/1 PHAR 40.00$

NITROGLYCERINE IN DEXTROS PHAR 40.00$

NIZATIDINE CAPS [150 MG] PHAR 11.00$

NJX ANES TRIGEMINAL NRV DIV/BRANCH CL 399.00$

NJX DX/THER SBST INTRLMNR CRV/THRC ANES 876.00$

NJX DX/THER SBST INTRLMNR LMBR/SAC W/O I ANES 753.00$

NK TOTAL COUNT LAB 75.00$

NMO IgG LAB 721.00$

NON-FORMULARY DRUG PHAR -$

NORCO 10/325 MG PHAR 5.00$

NOREPINEPHRINE 4 MG/ 4 ML PHAR 35.20$

NORETHINDRONE (0.35 MG) TABLET PHAR 110.80$

NOROVIRUS, STOOL LAB 181.00$

NORTRIPTYLINE LAB 134.00$

NORTRIPTYLINE HCL CAP (25 PHAR 4.00$

NOZIN NASAL SANITIZER BLISTER PACK CS 13.00$

NOZIN, 12ML BOTTLE, 30 SWABS, POST-OP TA CS 94.00$

NUBAIN (NAL BUPHINE) 10MG CL 11.00$

NUCLEIC ACID/AMP. OF PT LAB 107.00$

NURSE BLADDER SCAN NUR 171.00$

NURSE BLADDER SCAN ER 171.00$

NURSING FACILITY DISCHARGE CL 170.00$

NURSING FACILITY DISCHARGE CL 210.00$

NURSING HOME VISIT CL 125.00$

NURSING HOME VISIT CL 178.00$

NURSING HOME VISIT MINIMAL CL 93.00$

NURSING HOME VISIT/HIGH CL 244.00$

NUTRASHIELD SKIN PROT CS 6.00$

NYSTATIN - TRIAMCINOLONE PHAR 276.00$

NYSTATIN ORAL SUSP [500 PHAR 6.60$

NYSTATIN TOP POWDER [100 PHAR 5.00$

OB PANEL LAB 220.00$


OB US TRANSVAGINAL US 507.00$

OBS - BLOOD TRANSFUSION 1 - 4 HOURS OBS 169.00$

OBS ROOM NON COVERED OBS 103.00$

OBS/INP DISCHARGE/MODERATE SAME DAY CL 386.00$

OBSERVATION CARE/DSCHG/LO CL 272.00$

OBSERVATION CARE/INITIAL/HIGH CL 315.00$

OBSERVATION CARE/INITIAL/LOW CL 183.00$

OBSERVATION CARE/INITIAL/MODERATE CL 250.00$

OBSERVATION UP TO 1 HR OBS 1,024.00$

OBSERVATION UP TO 10 HRS OBS 103.00$
















































OBSERVATION/DISCHARGE CL 178.00$

OBSERVATION/DISCHARGE/HIGH CL 484.00$

OBSERVATION/DISCHARGE/LOW CL 272.00$

OBSERVATION/DISCHG/HIGH CL 484.00$

OBSERVATION/DSCHG/MODERAT CL 386.00$

OBSTETRICAL CARE/ROUTINE/VAG DELIVERY CL 3,579.00$

OCCULT BLD, SCREEN LAB 46.00$

OCCULT BLOOD (DIAGNOSTIC) LAB 35.00$

OCCULT BLOOD (OTR SOURCE) LAB 32.00$

OCTREOTIDE ACETATE KIT (2 PHAR 7,204.00$

OCTREOTIDE ACETATE KIT [1 PHAR 5,503.00$

OCTREOTIDE ACETATE KIT [3 PHAR 10,778.00$

OFFICE VISIT/EST/BRIEF CL 106.00$

OFFICE VISIT/EST/COMPREHENSIVE CL 315.00$

OFFICE VISIT/EST/DETAILED CL 197.00$

OFFICE VISIT/EST/LIMITED CL 136.00$

OFFICE VISIT/EST/MINIMAL CL 74.00$

OFFICE VISIT/NEW/BRIEF CL 125.00$

OFFICE VISIT/NEW/COMPREHENSIVE CL 387.00$

OFFICE VISIT/NEW/DETAILED CL 289.00$

OFFICE VISIT/NEW/EXPANDED CL 202.00$

OFFICE VISIT/NEW/LIMITED CL 153.00$

OFFICE/OP VISIT, EST SPEC 59.00$

OFFICE/OP VISIT, NEW SPEC 48.00$




OFLOXACIN OPTH SOL 0.3% [ PHAR 32.75$

OLANZAPINE 15 MG TAB PHAR 4.00$

OLANZAPINE TAB [10 MG] PHAR 81.00$


OLANZAPINE TAB [2.5 MG] PHAR 33.60$

OLANZAPINE TAB [5 MG] PHAR 55.00$

OLMESARTAN MEDOXOMIL TAB PHAR 18.85$

OMEGA-3 CAP [1200 MG] PHAR 3.00$

OMEGA-3 CAP [1200 MG] PHAR 3.00$

OMEGA-3 CAP FISH OIL [120 PHAR 3.00$

OMEGA-3-ACID ETHYL ESTERS PHAR 10.00$

ONDANSETRON HCL VL [4 MG/ PHAR 24.35$

ONDANSETRON ODT TAB [4 MG PHAR 69.35$

ONDANSETRON ODT TAB [8 MG PHAR 111.40$

ONDANSETRON TAB [8 MG] PHAR 155.00$

ONDANSETRON VL [4 MG/2ML] PHAR 4.00$

ONDANSETRON VL [40 MG/ 2O PHAR 28.00$

OP- TELEMTRY PER HOUR MON 20.00$

OPERATING ROOM(UNLISTED) SUR -$

ORAL RINSE SYSTEM, CONTINUE CARE WITH CO CS 48.00$

ORTHO GALSS SPLINT RL 3 IN CS 20.00$

ORTHOTICS FITTING & TRAIN OT 78.00$

Oseltamivir 30mg Cap PHAR 50.20$

OSELTAMIVIR CAP [45 MG] PHAR 50.20$

OSELTAMIVIR PHOSPHATE CAP PHAR 54.70$

OSELTAMIVIR PHOSPHATE SUS PHAR 11.00$

OSMOLARITY LAB 106.00$

OSTOMY THERAPY PER MIN TR 11.00$

OT EVAL (15 MIN) OT 186.00$

OT EVAL HIGH COMPLEX OT 126.00$

OT EVAL LOW COMPLEX OT 70.00$

OT EVAL MODERATE COMPLEX OT 103.00$

OT RE EVAL OT 74.00$

OTHER PRIMARY: CURRENT STATUS PT -$

OTHER PRIMARY: DC STATUS PT -$

OTHER PRIMARY: GOAL STATUS PT -$

OVA & PARASITE SMEARS LAB 97.00$

OXCARBAZEPIN LAB 199.00$

OXCARBAZEPINE TAB [300 MG PHAR 5.75$

OXYBUTYNIN CHLORIDE ER TA PHAR 16.00$

OXYBUTYNIN CHLORIDE ER TA PHAR 13.15$

OXYBUTYNIN CHLORIDE ER TAB [5 MG] PHAR 246.95$

OXYBUTYNIN TAB [5 MG] PHAR 4.00$

OXYBUTYNIN XL TAB [5 MG] PHAR 22.90$

OXYCODONE HCL CR TAB [10 PHAR 15.65$





OXYCODONE HCL TAB [5 MG] PHAR 4.00$

OXYCODONE/ APAP ORAL SOL PHAR 9.00$

OXYCODONE/ACETAMIN TAB [5 PHAR 5.50$

OXYGEN CANNULA/INFANT CS 8.00$

OXYGEN CANNULA/PED CS 7.00$

OXYGEN CONCENTRATOR/DAILY OXY 25.00$

OXYGEN MASK CS 7.00$

OXYGEN MASK ADULT/NRB CS 6.00$

OXYGEN MASK INFANT NRB CS 28.00$

OXYGEN MASK, PED. CS 10.00$

OXYGEN MASK/INFANT CS 14.00$

OXYGEN TUBING/50FT CS 10.00$

OXYGEN/HOUR OXY 23.00$

OXYMETAZOLINE HCL [0.05% PHAR 5.00$

OXYTOCIN VL [10 U/ML] PHAR 25.40$

OXYTOTE CYLINDER OXY 34.00$

OXYTOTE CYLINDER CS 28.00$

OYSTER SHELL CALCIUM TAB PHAR 3.00$

P T EVALUATION INITIAL PT 167.00$

P T RE-EVALUATION PT 74.00$

PACEMAKER EVAL DUAL ECHO 121.00$

PACEMAKER EVAL MULTI ECHO 132.00$

PACEMAKER EVAL SINGLE ECHO 94.00$

PACEMAKER INTEROGATION ECHO 40.00$

PACKING STRIP IODOFORM 2 INCH CS 28.00$

PACKING STRIP, IODOFORM 1/2 INCH CS 11.00$

PACKING STRIP, LODO 1" CS 21.00$

PACKING STRIP, LODO 1/4" CS 11.00$

PACKING STRIP, PLAIN 1" CS 12.00$

PACKING STRIP, PLAIN 1/2" CS 10.00$

PACKING STRIP, PLAIN 2" CS 16.00$

PACKING STRIPS, PLAIN, 1/4 INCH CS 10.00$

PALIPERIDONE PALMITATE TA PHAR 216.40$

PALONOSETRON HCL VL [0.25 PHAR 452.00$

PANCREALIPASE DELAYED-REL PHAR 24.00$

PANCREATIC ELASTASE, FECAL LAB 233.00$

PANCRELIPASE DELAYED-RELE PHAR 7.00$

PANEL PRICING - CLOSTRID DIFF, STOOL LAB 33.00$

PANEL PRICING - FLORESCENT AB, TITE LAB 50.00$

PANEL PRICING - HEPATITIS C RNA/QUANT LAB 90.00$

PANEL PRICING - SJOGREN'S SYNDROME AB LAB 22.00$

PANEL PRICING - SMOOTH MUSCLE AB LAB 50.00$


PANEL PRICING - THYROID PROX ANTIBOD LAB 40.00$

PANTOPRAZOLE SODIUM TAB [ PHAR 16.35$

PANTOPRAZOLE SODIUM VL [4 PHAR 32.25$

PAP SMEAR - NO CHARGE LAB -$

PAP TEST - THIN LAYER PRE LAB 75.00$

PARACENTESIS TRAY CS 310.00$

PARAFFIN 1 PT 60.00$

PARAFFIN WAX/OT OT 60.00$

PARATHYROID IMAGING NM 1,268.00$

PARING/CUTTING BENIGN LESINON/SINGLE CL 93.00$

PARING/CUTTING BENIGN LESIONS/2 TO 4 CL 144.00$

PAROXETINE HCL TAB [20 MG PHAR 11.75$

PAROXETINE TAB [40 MG] PHAR 14.00$

PARTIAL THROBOPLASTIN APT LAB 94.00$

PARVOVIRUS B19 DNA DETECT, BLOOD LAB 275.00$

PARVOVIRUS B-19 IgG/IgM LAB 130.00$

PATHOLOGIST REVIEW LAB 95.00$

PEAK FLOW METER CS 43.00$

PED CO2 CANNULA CS 17.00$

PEDIAPRED 15 MG/CC PHAR 16.00$

PEDIARIX VACCINE CL 114.00$

PEDIARIX VACCINE MEDICAID CL 19.82$

PediavaxHIB CL 42.00$

PEG TUBE, 18FR. 20CC CS 250.00$

PEGFILGRASTIM SYR [6 MG/0 PHAR 10,049.00$

PELVIC-BREAST EXAM M/C CL 84.00$

PEMBROLIZUMAB [100MG/4ML] PHAR 7,698.55$

PENICILLIN G BENZATHINE [ PHAR 391.90$

PENICILLIN V K 500 MG TAB PHAR 4.00$

PENROSE DRAIN 3/8" CS 8.00$

PENTACEL (HIP, DTAP, POLIO) MEDICAID CL 19.82$

PERCUTANEOUS TESTS W/ALLERGENIC/ SCTRACH CL 13.00$

PERCUTANEOUS TESTS W/ALLERGENIC/ SCTRACH SPEC 13.00$

Perforomist neb solution PHAR 21.25$

PERFUSION LUNG IMAGE/PRTC NM 1,268.00$

PERINDOPRIL ERBUMINE TAB PHAR 11.00$

PERINDOPRIL ERBUMINE TAB PHAR 16.00$

PERI-PAD VERSALON CS 11.00$

PH LAB 80.00$

PHENAZOPYRIDINE HCL TAB [ PHAR 16.00$

PHENAZOPYRIDINE HCL TAB [ PHAR 10.00$

PHENERGAN INJ-UP TO 50 MG CL 3.00$

PHENOBARBITAL LEVEL, BLOO LAB 126.00$


PHENOBARBITOL TABS [30 MG PHAR 4.00$

PHENOL LOZENGE [14.5 MG] PHAR 3.00$

PHENYLEPHRINE HCL [2.5% - PHAR 34.00$

PHENYLEPHRINE HCL OPTH [2 PHAR 81.30$

PHENYLEPHRINE HCL OPTH SO PHAR 20.00$

Phenylephrine VL 1% (10 mg/ 1 mL) PHAR 32.90$

phenylephrine/ketorolac [1%/0.3%] inje PHAR 279.00$

PHENYTOIN LAB 134.00$

PHENYTOIN ORAL SUSP BLT [ PHAR 4.00$

PHENYTOIN SOD EXTENDED CA PHAR 4.00$

PHENYTOIN SODIUM VL [250 PHAR 25.90$

PHENYTOIN, FREE LAB 132.00$

PHNEUMO THORAX SET X 8FR CS 480.00$

PHOSPHATIDYL GLYCEROL LAB 150.00$

PHOSPHOLIPID NEUTALIZATION PLATELET LAB 69.00$

PHOSPHOLIPID NEUTRALIZATION HEXAGONAL LAB 138.00$

PHOSPHOLIPID/CARDIOLIPIN LAB 185.00$

PHOSPHOROUS LAB 56.00$

PHOSPHO-SODA ORAL SOLUTIO PHAR 19.00$

PICC PLUS STAT LOCK CS 23.00$

PILOCARPINE HCL 5 MG PHAR 12.05$

PILOCARPINE HCL OPTH GEL PHAR 270.00$

PILOPINE OPTH GEL/CATARCT PHAR 20.00$

PINPOINT ICG PAQ CS 662.00$

PIOGLITAZONE HCL TAB [30 PHAR 32.15$

PIOGLITAZONE HCL TAB [45 PHAR 34.85$

PIOGLITAZONE TAB [15 MG] PHAR 38.00$

PIPERACILLIN/TAZOBACTAM V PHAR 75.10$



PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INF CL 293.00$

PLASMA FREE HEMOGLOBIN LAB 77.00$

PLASMA, FRESH FROZEN LAB 155.00$

PLATE TACK SUR 215.00$

PLATELET AUTOMATED LAB 47.00$

PLATELET FENROAL FILTER LAB 19.00$

PLATELET POOLING BAG LAB 13.00$

PLATELET PROCESSING LAB 1,095.00$

PLATELETS APHERESIS/WHITE LAB 910.00$

PLEUR-EVAC CHEST DRAINAGE CS 163.00$

PLEURX DRAINAGE KIT CS 405.00$

PLEURX DRAINAGE KIT CS 309.00$

PLEURX VAVLE CAP CS 54.00$


PNEUMO THORAX SET 6CMX8FR CS 587.00$

PNEUMOCCAL IMMUN. MEDICAID CL 19.82$

PNEUMOCCAL IMMUNIZATION CL 136.00$

PNEUMOCOCCAL (PREVNAR 13) MEDICAID CL 19.82$

Pneumococcal (Prevnar 13)vaccine CL 265.00$

PNEUMOCOCCAL 23 VAL PSAC PHAR 474.45$

PNEUMOCOCCAL CONJUGATE VAC/CHILDREN CL 152.00$

POLIO, ORAL CL 57.00$

POLIO, ORAL VFC CL 19.82$

POLIO, SUBCUTANEOUS CL 49.00$

POLIO/NEUTRALIZATON TEST LAB 545.00$

POLIOVIRUS VACCINE, MEDICARE CL 19.82$

POLOCAINE 2% PHAR 20.00$

POLYETHYLENE GLYCOL [17GM PHAR 11.15$

POLYETHYLENE GLYCOL OPTH PHAR 17.10$

POLYETHYLENE GLYCOL PKT [ PHAR 6.00$

POLYETHYLENE GLYCOL POWDE PHAR 5.00$

POLYMEM DRESSING CS 8.00$

POLYMEM DRESSING 5733 CS 23.00$

POLYMEM SHAPES TUBE CS 35.00$

POLYMYXIN B VL [500,000 U PHAR 54.15$

POLYTRIM OPTH SOLU PHAR 5.00$

POLYVINAL ALCOHOL OPTH GT PHAR 22.00$

POM PROCEDURAL OXYGEN MASK CS 38.00$

PORT REMOVAL SUR 711.00$

POST OP SHOE FEMALE LARGE CS 44.00$

POST OP SHOE FEMALE MEDIUM CS 44.00$

POST OP SHOE FEMALE SMALL CS 47.00$

POST OP SHOE MALE CS 32.00$

POST OP SHOE MALE Large CS 44.00$

POST OP SHOE MALE MEDIUM CS 44.00$

POST OP SHOE MALE SMALL CS 44.00$

POST OP SHOE MALE XTRA LARGE CS 44.00$

POSTPARTUM CARE CL 246.00$

POTASSIUM LAB 54.00$

POTASSIUM CHLORIDE CAP [1 PHAR 4.00$

POTASSIUM CHLORIDE IVF PHAR 30.10$

POTASSIUM CHLORIDE PKT [ PHAR 4.00$

POTASSIUM CHLORIDE PKT [2 PHAR 25.00$

Potassium Chloride Pkt [20 MEQ] PHAR 4.00$

POTASSIUM CHLORIDE TAB [1 PHAR 4.00$

POTASSIUM CHLORIDE TAB [2 PHAR 4.00$

POTASSIUM CHLORIDE VIAL PHAR 28.15$


POTASSIUM CHLORIDE VIAL PHAR 31.70$

POVIDONE IODINE OINTMENT 10%, 1 OZ. CS 16.00$

POVIDONE-IODINE LIQ BTL PHAR 52.00$

POVIDONE-IODINE OPTH SOL PHAR 34.00$

POWERLOC INFUSION SET CS 54.00$

POWERLOC SAFETY INFUSION SET CS 43.00$

PRAMIPEXOLE DIHYDROCHLORI PHAR 5.00$

PRAMIPEXOLE TAB [0.25 MG] PHAR 13.00$

PRAMIPEXOLE TAB [0.5 MG] PHAR 22.00$

PRAMIPEXOLE TAB [1 MG] PHAR 23.00$

PRASUGREL 10 MG PHAR 55.10$

PRAVASTATIN SODIUM TAB [4 PHAR 19.20$

PRAVASTATIN TAB [20 MG] PHAR 22.00$

PRAZOSIN [1MG] CAP PHAR 3.00$

PRE-ALBUMIN LAB 39.00$

PRECISION THIN AVERAGE MEDIUM BLADE (9.0 CS 172.00$

PRECISION THIN MEDIUM NARROW BLADE (7.0 CS 176.00$

PRED FORTE [1%] PHAR 349.20$

PREDNISOLONE ORAL SOL BT PHAR 21.00$

PREDNISOLONE ACETATE PHAR 22.15$

PREDNISOLONE SYRUP BTL [1 PHAR 4.00$

PREDNISONE TAB [1 MG] PHAR 4.00$






PREGABALIN CAP [100 MG] PHAR 24.00$




PREGNANCY TEST SERUM LAB 128.00$

PREGNENOLONE LAB 250.00$

PREMIX POTASSIUM [20 MEQ PHAR 60.00$

PREMIX POTASSIUM [20 MEQ PHAR 60.00$

PRESERVISION WITH LUTEIN PHAR 2.50$

PRETREAMENT ENZYMES,CEL LAB 96.00$

PREVENTATIVE EXAM/ 12 THROUGH 17 YEARS CL 225.00$

PREVENTATIVE EXAM/1 THROUGH 4 YEARS CL 197.00$

PREVENTATIVE EXAM/5 THROUGH 11 YEARS CL 211.00$

PREVENTATIVE MEDICINE-12-17 YEARS CL 186.00$






PREVENTATIVE MEDICINE-65 YEARS OVER CL 314.00$

PREVENTATIVE MEDICINE-UNDER 1 YEAR CL 149.00$

PREVENTIVE MED COUNSEL/RISH FACTOR 15 MI CL 91.00$

Preventive Medicine Counseling CL 146.00$

PREVENTIVE MEDICINE NEW PATIENTS 65+ CL 391.00$

PREVNAR 13 VACCINE PHAR 919.40$

PRILOSEC CAP [20 MG] PHAR 5.00$

PRIMARY IV TUBING SET, NO FILTER, ANESTH CS 18.00$

PRIMARY PUMP TUBING CS 26.00$

PRIMARY SET 3 SITES CS 22.00$

PRIMIDONE LAB 166.00$

PRIMIDONE TAB [250 MG] PHAR 4.00$

PRIMIDONE TAB [50 MG] PHAR 4.00$

PRISTIQ 50 MG TAB PHAR 49.55$

PRIVATE ROOM CHARGE NUR 938.00$

PRO BNP, N-TERMINAL LAB 192.00$

PRO FEE - APRATION/INJ GANGLION CYST CL 152.00$

PRO FEE - ARTHRP INTERPOS INTERCARPAL CL 3,433.00$

PRO FEE - ARTHRS KNEE SURG W/ MENISCT CL 2,487.00$

PRO FEE - BURN SMALL CL 186.00$

PRO FEE - CARPAL TUNNEL RELEASE CL 1,167.00$

PRO FEE - DISLOCATED FINGER CL 896.00$

PRO FEE - ESTABLISH PATIENT CL 136.00$

PRO FEE - ESTABLISHED 5 MINUTES CL 74.00$

PRO FEE - ESTABLISHED PATIENT 10 MIN CL 106.00$

PRO FEE - EXC LESION TDN SHTH HAND/FNGR CL 1,803.00$

PRO FEE - EXCISION GANGLION WRIST PRIM CL 1,213.00$

PRO FEE - EXCISION LESION TENDON SHEATH/ CL 1,643.00$

PRO FEE - EXCISION OLECRANON BURSA CL 1,153.00$

PRO FEE - i&D CL 985.00$

PRO FEE - INJECTION 1 TENDON SHEATH/LIGA CL 148.00$

PRO FEE - INJECTION MAJOR JOINT CL 187.00$

PRO FEE - INJECTION SMALL JOINT CL 152.00$

PRO FEE - MOTION FLUOR EVAL SWLNG FUNCJ CL 341.00$

PRO FEE - N/T ULNAR NERVE BELO ELBOW CL 1,585.00$

PRO FEE - NEW PATIENT 10 MIN CL 125.00$



PRO FEE - PARTIAL EXCISION BONE CLAVICLE CL 3,070.00$

PRO FEE - PUNCTURE ASPIRATION ABSCESS HE CL 260.00$

PRO FEE - RPR 1ST FEM HERNIA ANY AGE INC CL 1,504.00$


PRO FEE - TENDON SHEATH INCISION CL 2,038.00$

PRO FEE- ARTHROPLASTY PATELLA W/PROSTHES CL 2,441.00$

PRO FEE ESOPH FLEXIBLE REMOVAL FOREIGN B CL 1,246.00$

PRO FEE INJECT HIP ARTHROGRAPHY W/ANES CL 818.00$

PRO FEE RAD ABSCESS/FISTULA/SINUS TRACT CL 84.00$

PRO FEEARTH SHOULDER SURG DEBRIDEMENT LI CL 2,219.00$

PRO FEE-ARTHRP KNEE CONDYLE/PLATU MEDIAL CL 5,408.00$

PROCAINAMIDE LAB 114.00$

PROCAINAMIDE WITH METABOL LAB 114.00$

PROCALCITONIN LAB 288.00$

PROCHLORPERAZINE EDISYLAT PHAR 75.50$

PROCHLORPERAZINE SUPP [25 PHAR 36.80$

PROCHLORPERAZINE TAB [10 PHAR 4.00$

PROCHLORPERAZINE TAB [5 M PHAR 5.00$

PRO-FEE ANOSCOPY/DIAGNOSTIC CL 107.00$

PRO-FEE ARHRT ACROMCLAV/STRNCLAV JT CL 1,465.00$

PRO-FEE ARTHO SCHOULD ROTATOR CUFF CL 3,529.00$

PRO-FEE ARTHO SHOULD W/ LIGMNT RELEASE CL 2,621.00$

PRO-FEE ARTHO SHOULFER DISTAL CALVICULET CL 2,184.00$

PRO-FEE ATHRO SHOULDER BECEPS TENODESIS CL 3,090.00$

PRO-FEE DECOMPRESSION UNSPECIDIED NERVE CL 923.00$

PRO-FEE DILITATION OF ESOPHAGUS CL 1,124.00$

PRO-FEE ENUCLEATION THROM HEMORR CL 289.00$

PRO-FEE EXCISION NAIL MATRIX PERM REMOVA CL 492.00$

PRO-FEE FLEXIBLE SIGMOID CL 296.00$

PRO-FEE INCISE EXTERNAL HEMORRHOI CL 165.00$

PRO-FEE INCISION/DRNG/TONSIL ABCE CL 457.00$

PRO-FEE REMOCAL FOREIGN BODY NASAL CL 219.00$

PRO-FEE REPAIR >30CM S/N/AX/G/T CL 743.00$

PROGESTERONE LAB 106.00$

PROLACTIN, ASSAY OF LAB 148.00$

PROLENE 3-0 8665-G CS 34.00$

PROMETHAZINE 25 MG VL CL 4.00$

PROMETHAZINE HCL SUPP [12 PHAR 53.15$



PROMETHAZINE HCL TAB [25 PHAR 4.00$

PROMETHAZINE HCL VL [25 M PHAR 23.10$

PROMETHAZINE HCL VL [50 M PHAR 29.35$

PROMETHAZINE SUPP [12.5 M PHAR 66.00$

PROMETHAZINE/CODEINE SYRP PHAR 4.00$

PROMETHEUS THIO METAB LAB 414.00$

PROMOGRAN PRISMA MATRIX, 4.34" SQ. CS 45.00$


PRONESTYL 500mg TAB PHAR 8.00$

PROPAFENONE HCL TAB [150 PHAR 6.55$

PROPARACAINE HCL OPTH 0.5% PHAR 17.55$

PROPOFOL VL [10 MG/ML - 2 PHAR 20.00$

PROPOXY HCL TAB [65 MG] PHAR 3.00$

PROPOXYPHENE NAPS/ACETAMI PHAR 5.00$

PROPRANOL ER PHAR 4.00$

PROPRANOLOL CAP [60 MG] PHAR 8.25$

PROPRANOLOL HCL VL [1 MG/ PHAR 50.25$

PROPRANOLOL TAB [10 MG] PHAR 3.00$

PROPRANOLOL TAB [40 MG] PHAR 5.25$

PROQUAD (MMRV)VACCINE CL 295.00$

PROSOURCE GELATEIN 20/PLUS CS 4.00$

PROSTHETIC TRAINING,15MIN PT 77.00$

PROTAMINE VL [10 MG/ML] PHAR 85.00$

PROTAMINE VL [10 MG/ML] PHAR 53.00$

PROTECTIVE DISK WITH CHG, BIOPATCH, PICC CS 54.00$

PROTEIN C ANTIGEN LAB 260.00$

PROTEIN C, ACTIVITY LAB 217.00$

PROTEIN ELECTROPLORESIS LAB 117.00$

PROTEIN S AG LAB 99.00$

PROTEIN S ANTIGEN LAB 235.00$

PROTEIN S, ANTIGEN LAB 235.00$

PROTEIN, OTHER SOURCE LAB 58.00$

PROTEIN, TOTAL QUANT, 24 HR URINE LAB 21.00$

PROTHROM NUC GENE MUTATION LAB 579.00$

PROTHROMBIN TIME LAB 61.00$

PROTOPORPHYIN RBC QUAN LAB 94.00$

PROVODINE-IODINE OPTH SOL PHAR 6.70$

PROZAC CAP [10 MG] PHAR 16.00$

PSA FREE LAB 107.00$

PSA LEVEL,TOTAL DIAGNOSTIC LAB 118.00$

PSA, SCREENING LAB 114.00$

PSEUDOEPHED/FEXOFENADINE PHAR 9.00$

PSEUDOEPHEDRINE HCL TAB [ PHAR 3.00$

PSYLLIUM SUGAR FREE PKT PHAR 2.50$

PSYLLIUM/SUCROSE PKT PHAR 2.50$

PT EVAL HIGH COMPLEX PT 189.00$

PT EVAL LOW COMPLEXITY PT 142.00$

PT EVAL MODERATE COMPLEX PT 166.00$

PTH ASSAY N-TERMINAL LAB 229.00$

PTH RELATED PEPTIDE LAB 243.00$

PULMONARY STRESS TESTINGS PD 424.00$


PULMONARY VENTILATION IMG NM 1,268.00$

PULSE OXIMETRY/SINGLE CL 56.00$

PUNCH BIOPSY, 2MM CS 15.00$

PUNCH BIOSPY SKIN EACH ADDITION CL 79.00$

PUNCH BIOSPY SKIN SINGLE LESION CL 133.00$

PYRIDOSTIGMINE BROMIDE 60 MG TAB PHAR 5.95$

Q FEVER/COXIELLA BUNRNETI LAB 335.00$

QUAD SCREEN LAB 171.00$

QUALAQUIN SULFATE TABS [3 PHAR 29.00$

QUALITATIVE, MULTIALLERGEN SCREEN LAB 55.00$

QUALITY - INFLUENZA NOT RCVD MED REASON CL -$

QUALITY - NORMAL BMI CL -$

QUALITY A1C >9.0 CL -$

QUALITY A1C <7.0 CL -$

QUALITY A1C 7.0 - 9.0 CL -$

QUALITY A1C NOT PERFORMED CL -$

QUALITY ASPRIN OR ANOTHER THEREPY USED CL -$

QUALITY BMI ABOVE NORMAL WITH PLAN CL -$

QUALITY BMI NOT CALCULATED CL -$

QUALITY BMI OBESITY 15 MIN CL -$

QUALITY BMI UNDERWEIGHT CL -$

QUALITY COLORECTAL SCREEN COMPLETED CL -$

QUALITY COLORECTAL SCREEN NOT COMPLETED CL -$

QUALITY DEPRES. SCREENING NOT COMPLETE CL -$

QUALITY DEPRESS SCREEN REMISSION CL -$

QUALITY DEPRESSION NO SCRREN NO REASON CL -$

QUALITY DEPRESSION SCREEN - FOLLOWUP CL -$

QUALITY DIASTOLIC >90 CL -$

QUALITY DISCHARGE MEDS RECONCILED CL -$

QUALITY FALL SCREEN COMPLETED CL -$

QUALITY FALL SCREEN NOT COMP. MED REAS CL -$

QUALITY FALL SCREEN NOT DONE/NO REASON CL -$

QUALITY FLU NOT ADMIN -REFUSAL- NOT AVAI CL -$

QUALITY INFLUENZA RECEIVED CL -$

QUALITY MAMMO COMPLETED CL -$

QUALITY MAMMO NOT COMPLETED CL -$

QUALITY MED REC NOT COMPLETED CL -$

QUALITY NEGATIVE DEPRESS SCREEN CL -$

QUALITY NO ASPRIN THEREPY NO REASON CL -$

QUALITY NO BP PERFORMED CL -$

QUALITY NO ORDER PRESCRIPTION CL -$

QUALITY NO STATIN MEDICAL REASON CL -$

QUALITY NON TABACCO USER CL -$


QUALITY NORMAL BLOOD PRESSURE CL -$

QUALITY NORMAL DIASTOLIC CL -$

QUALITY NORMAL SYSTOLIC CL -$

QUALITY OUTSIDE NORMAL NO FOLLOW UP CL -$

QUALITY PNEUMONIA NOT RCVD CL -$

QUALITY PNEUMONIA RCVD CL -$

QUALITY POSTIVE SCREEN NO PLAN DOCUMENTE CL -$

QUALITY REMIS 12M NOT PHQ SCORE <5 CL -$

QUALITY SYSTOLIC >140 CL -$

QUALITY TABACCO NOT COMPLETED CL -$

QUALITY TABACCO USER W/ COUNSELING CL -$

QUALITY TAKING STATIN OR REC'D ORDER CL -$

QUALITY TOBACCO NO SCREEN W/ MED REASON CL -$

QUANTIFERON TB LAB 199.00$

QUANTITATION OF DRUG LAB 191.00$

QUANTITATIVE, SINGLE LAB 208.00$

QUESTRAN PKT (4 GM) PHAR 13.50$

QUESTRAN SUGAR-FREE PKT PHAR 13.40$

QUETIAPINE FUMARATE TAB [ PHAR 14.90$

QUETIAPINE FUMARATE TAB [ PHAR 56.00$

QUINAPRIL HCL TABS [20 MG PHAR 5.00$

QUINIDINE GLUCOANTE TAB [ PHAR 34.00$

R ANGLE HUBER 19 G CS 23.00$

RABEPRAZOLE SODIUM TABS [ PHAR 63.00$

RABIES, NUTRILAZATION TES LAB 216.00$

RACEPINEPHRINE INH SOL [2 PHAR 5.00$

RADIOLUCENT ELECTRODE CS 6.00$

RALOXIFENE HCL TAB [60 MG PHAR 24.05$

RAMELTEON TAB [8 MG] PHAR 46.70$

RAMIPRIL CAP [1O MG] PHAR 22.00$

RAMIPRIL CAP [2.5 MG] PHAR 7.25$

RAMIPRIL CAP [5 MG] PHAR 4.00$

RANITIDINE HCL SYRUP [15 PHAR 27.00$

RANITIDINE HCL TAB [150 M PHAR 3.17$

RANITIDINE VL 150MG/6ML PHAR 112.85$

RANOLAZINE TAB 500 MG PHAR 6.75$

RAPID STREP A LAB 88.00$

RASAGILINE (1 MG TAB) PHAR 75.00$

RASP, LARGE TEAR CROSS CUT, 7.0MM X 14.0 CS 456.00$

REACH TOOL CS 32.00$

REACH TOOL CS 32.00$

RECIPROCATING BLADE, DOUBLE SIDED, OFFSE CS 196.00$

RECOVERY UP TO 1 HR REC 165.00$


RECOVERY UP TO 1-30 MIN REC 82.00$



RECTAL TUBE CS 14.00$

RECTAL TUBE CS 12.00$

REGADENOSON SYR [0.4 MG/5 PHAR 544.80$

REMDESIVIR 100 MG/20 ML VIAL PHAR 520.00$

REMEDY CLEAR AID OINT CS 20.00$

REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS CL 585.00$

REMOVAL FOREIGN BODY, FOOT, DEEP CL 968.00$

REMOVAL FOREIGN BODY, SIMPLE ER 270.00$

REMOVAL FOREIGN BODY-COMPLICATED CL 143.00$

REMOVAL FOREIGN BODY-CORNEA CL 261.00$

REMOVAL FOREIGN BODY-INTRANASAL CL 219.00$

REMOVAL IMPACTED CERUMEN CL 109.00$

REMOVAL IMPACTED CERUMEN IRRIGATION/LVG CL 50.00$

REMOVAL LESION(S) HOT BIOPSY FORCEPS SUR 1,169.00$

REMOVAL OF CENTRAL LINE CL 473.00$

REMOVAL OF EMBEDDED FOREIGN BODY/EYELID CL 215.00$

REMOVAL OF FOREIGN BODY NO SPLIT LIGHT CL 272.00$

REMOVAL OF FOREIGN BODY, SUBCUTANEOUS CL 529.00$

Removal of Foreign body/deep, comp CL 977.00$

REMOVAL OF FOREIGN BODY-SIMPLE CL 280.00$

REMOVAL OF INTRAUTERINE DIVICE CL 142.00$

REMOVAL OF NAIL BED CL 447.00$

REMOVAL OF NAIL PLAT TR 205.00$

REMOVAL OF NAIL PLATE CL 212.00$

REMOVAL OF SKIN TAG CL 172.00$

REMOVAL OF SKIN TAGS FIBRQ TAGS ANY AREA SUR 171.00$

REMOVAL OF SKIN TAGS-UP TO 15 CL 172.00$

REMOVAL SKIN TAGS-EACH ADD'L 10 LESIONS CL 62.00$

RENAL FUNCTION PANEL LAB 141.00$

RENNIN LAB 104.00$

REPAIR - INTERMEDIATE CL 417.00$

REPAIR - INTERMEDIATE TO 2.6 CM 7.5CM CL 591.00$

REPAIR - SIMPLE 7.6CM-12. CL 457.00$

REPAIR / COMPLEX / 2.6 TO 7.5 CM, FACE CL 1,336.00$

Repair Complex Trunk 1.1 Cm-2.5 Cm CL 330.00$

REPAIR OF NAIL BED CL 454.00$

REPAIR OF WOUNDS OF FACE,12.6 CM TO 20.0 CL 398.00$

REPAIR OVER 30CM, EXTREMES, TRUNK, NECK CL 577.00$

REPAIR RECURRENT HERNIA/ANY AGE CL 320.00$

REPAIR SIMPLE 2.5CM OR LESS CL 330.00$


REPAIR SIMPLE 2.6 TO 7.5 CL 375.00$

REPAIR SIMPLE 5.1CM TO 7.5CM CL 461.00$

REPAIR SUPERFICIAL WOUND CL 436.00$

REPAIR-COMPLEX 1.1 CM TO 2.5 CM CL 551.00$

REPAIR-COMPLEX 2.6 CM TO 7.5 CM CL 879.00$

REPAIR-INTERMEDIATE 12.6 CM TO 20.0 CM CL 604.00$

REPAIR-INTERMEDIATE 2.5 CM OR LESS CL 417.00$




REPAIR-INTERMEDIATE,2.6cm to 7.5cm CL 538.00$

REPAIR-SIMPLE 2.5 CM OR LESS CL 372.00$

REPAIR-SIMPLE 2.5 CM OR LESS CL 321.00$

REPAIR-SIMPLE 2.5 OR LESS CL 372.00$

REPAIR-SIMPLE 2.6 CM TO 5.0 CM CL 436.00$


REPAIR-SIMPLE 2.6CM - 7.5CM TR 378.00$


REPAIR-SIMPLE 7.6 CM TO 12.5 CL 460.00$


REPAIR-WOUND H,F,N <2.5 CM CL 499.00$

RESPIRATORY VIRUS, 12-25 TARGETS LAB 523.00$

RESTING MUGA,BLD POOL IMG NM 1,710.00$

RETAPAMULIN TUBE [1% - 5 PHAR 160.00$

RETICULOCYTE COUNT LAB 60.00$

RETICULOCYTES,CHR LAB 66.00$

REVERSE T3 LAB 206.00$

RH LAB 64.00$

RH PHENOTYPING LAB -$

RHEUMOTOID FACTOR QUALIT LAB 79.00$

RHEUMOTOID FACTOR/QUANTIT LAB 66.00$

RHO(D) IMMUNE GLOBULIN CL 247.05$

RHO(D) IMMUNE GLOBULIN SY PHAR 299.00$

RHOGAM INJ-ONE DOSE CL 305.00$

RIB BELT UNI 6" CS 27.00$

RIB BELT UNIVERSAL 6" MENS CS 28.00$

RIB BELT UNIVERSAL 6" WOMENS CS 27.00$

RIB BELT, UNI 8" FEMALE CS 38.00$

RIB BELT, UNI 8" MALE CS 38.00$

RIB BELT, UNIV. 8 IN DJO CS 38.00$

RIFAMPIN CAP [300 MG] PHAR 21.00$

RISPERIDONE TAB [0.5 MG] PHAR 15.75$

RITUXIMAB 500MG/50ML PHAR 7,328.30$


RIVAROXABAN 15 MG TAB PHAR 56.40$

RIVAROXABAN 2.5 MG PHAR 9.00$

RIVAROXABAN TAB [10 MG] PHAR 56.40$

RIVASTIGMINE CAP [3 MG] PHAR 18.65$

RIVASTIGMINE TRANSDERMAL PHAR 48.65$

RIVASTIGMINE TRANSDERMAL PHAR 82.35$

RIZATRIPTAN [10 MG] ODT PHAR 99.75$

ROCEPHIN INJ-PER 250 MG CL 21.00$

ROCURONIUM BROMIDE [50 MG PHAR 23.40$

ROFLUMILAST 500 MCG TAB PHAR 43.35$

ROLYAN PRE-FORMED RESTING PAN MITT SPLIN CS 160.00$






ROPINIROLE HYDROCHLORIDE PHAR 10.00$

ROPINIROLE TAB [0.5 MG] PHAR 10.00$

rOPINIRole TAB [1 MG] PHAR 4.00$

ROPIVACAINE HCL INJ(150MG/30ML) PHAR 24.55$

ROSIGLITAZONE MALEATE TAB PHAR 15.00$

ROSIGLITAZONE MALEATE TAB PHAR 19.00$

ROSUVASTATIN CALCIUM TAB PHAR 5.50$

ROTAVIRUS LAB 126.00$

ROTHNET POLYP REMOVAL CS 367.00$

ROTOTEQ CL 245.00$

ROTOTEQ (MEDICAID) CL 19.82$

ROTOVIRUS LAB 41.00$

ROUND DRAIN FULL FLUTED, 19FR WITH TROCA CS 83.00$

RSV, RAPID LAB 139.00$

RUBELLA Ab LAB 20.00$

RUBEOLA ANITBODY IGG LAB 94.00$

Saccharomyces boulardii (Florastor) PHAR 5.00$

sacubitril/valsartan 24mg/26mg PHAR 1,307.45$

SAFCLENS AF WOUND CLNR CS 32.00$

SAF-CLENS WOUND CLNR CS 37.00$

SALEM SUMP 12 FR REFLUX CS 29.00$



SALEM SUMP 16 FR. CS 29.00$


SALEM SUMP GI PORT, 10FR CS 29.00$

SALICYLATES LAB 239.00$


SALINE FOR NEB TREATMENT CL 3.00$

SALINE LOCK FLUSH PHAR 10.00$

SANTYL OINTMENT 30GM PHAR 195.00$

SANTYL OINTMENT TUBE 15GM PHAR 146.00$

SARS-COV2 AB IGA LAB 103.00$

SARS-COV2 AB IGG LAB 103.00$

SARS-COV2 AB, IGM LAB 103.00$

SAXAGLIPTIN 2.5 MG TAB PHAR 53.05$

SAXAGLIPTIN TAB [5 MG] PHAR 53.05$

SC THER INF, 1ST HR TR 314.00$

SC THER INF, ADD ON 8HRMX TR 81.00$

SC THER INF, RSET PUMP1UN TR 115.00$

SCHEDULE A 1-15 MIN SUR 1,269.00$





SCHEDULE A 16-30MIN SUR 1,506.00$





SCHEDULE A 31-45MIN SUR 1,718.00$





SCHEDULE B 106-120 MIN SUR 3,451.00$











SCHEDULE C 106-120 MIN SUR 4,660.00$


SCHEDULE C 46 - 60 MIN SUR 4,028.00$




SCHEDULE D 106-120 MIN SUR 6,845.00$


SCHEDULE D 136 -150 MIN SUR 7,293.00$



SCOTCHCAST , 2IN, ASSORTED CS 20.00$

SECOND ADMINISTRATION (MEDICAID) CL 19.82$

SECONDARY MEDICATION SET CS 7.00$

SECURA OINTMENT 2.4 OZ CS 8.00$

SED-RATE (WESTERGREN) LAB 48.00$

SEGMETAL ARTERIAL PRESSUR VASC 593.00$

SEGMNTL PRESS.W/EXERCISE VASC 824.00$

SELF CARE: CURRENT STATUS PT -$

SEMEN ANALY POST-VAC LAB 98.00$

SEMEN ANALYSIS LAB 139.00$

SEMI-PRIVATE ROOM CHARGE NUR 1,034.00$

SENNOSIDES SYRUP [8.8 MG/ PHAR 3.00$

SENNOSIDES TAB [8.6 MG] PHAR 2.50$

SENNOSIDES/DOCUSATE SOD T PHAR 2.50$

SENSOR MASIMO LNOP CS 57.00$

SEROTYPING LAB 66.00$

SERTRALINE HCL TAB [25 MG PHAR 24.00$

SERTRALINE HCL TAB [50 MG PHAR 4.00$

Sevelamer Hcl. 800 mg tab PHAR 13.85$

SEVOFLURANE BLT PHAR 5.00$

SEX HORMONE BIND, PANEL LAB 127.00$

SGOT/AST LAB 61.00$

SGPT/ALT LAB 45.00$

SHARED MEDICAL APPOINTMENT FSC 103.00$

SHAVING OF LESION 1.1 TO 2.0 CM CL 239.00$

SHAVING OF LESION 1.1 TO 2.0 CM. CL 254.00$

SHAVING OF LESION, 0.6 TO 1.0 CM CL 251.00$

SHAVING OF SKIN LESION >2 CM CL 283.00$

SHAVING SKIN LESION 1.1-2.0CM CL 263.00$

SHAVING SKIN LESION-0.5 CM OR LESS CL 151.00$



SHAVING SKIN LESION-0.6 TO 1.0 CM CL 214.00$

SHAVING SKIN LESION-0.6 TO 1.0 CM CL 187.00$

SHEET DRAPE, THREE QUARTER, STERILE SUR 13.00$

SHINGRIX ZOSTER VACCINE 50+ YRS CL 213.00$

SHORT ARM FRC CS 705.00$

SHORT WALKING BOOT LARGE CS 153.00$


SHORT WALKING BOOT MEDIUM CS 153.00$

SHORT WALKING BOOT SMALL CS 153.00$

SHORT WALKING BOOT XL CS 153.00$

SHORT WALKING BOOT XS CS 153.00$

Shoulder Fluid Control Pack CS 158.00$

SHOULDER IMMOBILIZER CS 25.00$

SHOULDER IMMOBILIZER CL 12.00$

SHOULDER IMMOBILIZER, UNI CS 26.35$

SHOULDER IMMOBILIZER, VAL CS 59.00$

SHOULER PACK, BEACH CHAIR CS 76.00$

SICKLE CELL SCREEN LAB 75.00$

SIGMOIDOSCOPY FLX WITH WITH BAND LIGATIO SUR 610.00$

SILVER NITRATE APPLICATOR PHAR 5.00$

SILVER NITRATE STICK EACH PHAR 12.00$

SILVER SULFADIAZINE 1% TUBE CL 13.00$

SILVER SULFADIAZINE CREAM PHAR 29.95$




SIMBRINZA OPTH 1-0.2% PHAR 51.50$

SIMETHICONE CHEW TAB [80 PHAR 2.50$

SIMETHICONE INFANT DROPS PHAR 3.00$

SIMVASTATIN TAB [10 MG] PHAR 21.00$





SINGLE NERVE BLOCK INJECTION ARM NERVE ANES 387.00$

SINGLE OR MULTIPLE TRIGGER POINTS CL 152.00$

SINGLE/INITIAL DRUG OBS 186.00$

SIROLIMUS 1MG PHAR 105.30$

SIROLIMUS, WHOLE BLOOD LAB 161.00$

SITAGLIPTIN METFORMIN TAB PHAR 28.40$

SITAGLIPTIN TAB [100 MG] PHAR 56.85$



SJOGREN'S AB SSA SSB X2 LAB 247.00$

SJOGREN'S SYNDROME ANTOBODY LAB 121.00$

Skin Marker, Fine tip sterile with ruler CS 7.00$

SKIN SLEEVE CS 36.00$

SKIN SLEEVE ARM LEFT YELLOW PR CS 41.00$

SKIN SLEEVE, ARM, SMALL CS 44.00$

SKIN SLEEVE, ARM/LEG CS 41.00$


SKIN SLEEVE, LEG, LARGE CS 77.00$

Skin Sleeve, Leg, Medium CS 41.00$

SKIN STAPLE REMOVAL K CS 10.00$

SKIN STAPLE REMOVAL KIT CS 11.00$

SKIN STAPLER/DEROYAL 35R CS 45.00$

SKIN STAPLER/DISP MLTISHT CS 23.00$

SKIN STAPLER/ROYAL 35W CS 41.00$

SL NITROSTAT CLINIC CL 3.00$

SLEEP STDY/CPAP TITRATION PD 3,966.00$

SLEEP STUDY/PSG PD 3,557.00$

SLING, ARM ENV CS 19.00$

Slingshot Shoulder brace large CS 269.00$

Slingshot Shoulder brace MEDIUM CS 269.00$

Slingshot Shoulder brace SMALL CS 269.00$

Slingshot Shoulder brace XL CS 269.00$

SLOW-MAG 535mg TABS PHAR 7.00$

SLOWMAG 71.5 MG PHAR 2.50$

SM INTESTINAL ENDOSCOPY/CONTROL BLEEDING CL 1,073.00$

SMALL DOWNSET RASP (21.5 X 5.5 MM) CS 456.00$

SMOKE EVACUATION CAUTERY PENCIL, COATED CS 148.00$

SMPL RPR SCALP.NECK.AS.GEN.TRUNK 12.6-20 CL 472.00$

SO2 SENSORS PEDIATRIC CS 55.00$

SOD CHLOR PART-FILL 100ml PHAR 75.00$

SODIUM LAB 40.00$

SODIUM BICARBINATE TAB [6 PHAR 4.00$

SODIUM BICARBONATE SYR [0 PHAR 49.00$



SODIUM BICARBONATE VIAL ( PHAR 84.95$

SODIUM CHLORIDE [1 GM] TAB PHAR 4.00$

SODIUM CHLORIDE BAG [3% - PHAR 30.00$

SODIUM CHLORIDE GEL [14 G PHAR 6.20$

SODIUM CHLORIDE INH [0.9% PHAR 5.00$

SODIUM CHLORIDE SYR [0.9% PHAR 10.00$



SODIUM CHLORIDE VIAL [0. PHAR 10.00$

SODIUM CHLORIDE VIAL [23. PHAR 28.00$

SODIUM CIT/CITRIC ACID PO PHAR 3.00$

SODIUM PHOS MB/SODIUM PHO PHAR 2.50$

SODIUM PHOS MB/SODIUM PHO PHAR 4.00$

SODIUM POLYST SULF SUSP [ PHAR 65.80$

SODIUM, URINE LAB 54.00$


Solifenacin succinate 5 mg tab PHAR 7.60$

SOLIFENACIN TAB [10 MG] PHAR 46.30$

SOLUBLE TRANSFERRIN RECEPTOR LAB 110.00$

SOTALOL HCL TABS [80 MG] PHAR 10.25$

SPEC DOC OFFICE, NEW CON 48.00$

SPEC DOC, EST CON 70.00$

SPEC DOC, ESTABLISHED CON 59.00$

SPEC DOC, ESTABLISHED CON 63.00$

SPEC DOC, NEW CON 60.00$

SPEC DOC, NEW CON 74.00$

SPECIAL STAIN FOR INCLUSION BODIES LAB 55.00$

SPECIAL STAIN GROUP 1 MICROORGANISMS I&R LAB 212.00$

SPECIMEN BAG, ENDO CATCH GOLD CS 312.00$

SPEECH EVALUATION ST 277.00$

SPERM, QUALITATIVE LAB 52.00$

SPINAL NEEDLE, QUINCKE 22GA X 5IN CS 17.00$

SPINAL NEEDLE, SPROTTE/ PENCIL POINT, 24 CS 54.00$

SPINAL NEEDLE, TUOHY THIN WALL, 18G X 5" CS 52.00$

SPINAL PUNCTURE THER DRAIN CERE FLUID CL 540.00$

SPINAL PUNCTURE-DIAGNOSTIC CL 484.00$

SPINAL TRAY CS 13.00$

SPIROMETRY TR 281.00$

SPIROMETRY VITAL CAPACITY TR 44.00$

SPIROMETRY/PRE & POST BREATHING TX TR 573.00$

SPIRONOLACTONE TAB [25 MG PHAR 4.00$

SPIRONOLACTONE TAB [50 MG PHAR 5.00$

SPLINT OCL PER FT(4") CS 23.00$

SPLINT, FINGER TIP PADDED CS 6.00$

SPLINT, PREFABICATED, ELBOW CL 6.00$

SPLINT, THUMB S/M RIGHT CS 83.00$

SPLINT, THUMB SPICA LEFT LARGE CS 98.00$

SPLINT, THUMB SPICA LEFT MEDIUM CS 98.00$

SPLINT, THUMB SPICA LEFT SMALL CS 91.00$

SPLINT, THUMB SPICA LEFT X-SMALL CS 109.00$

SPLINT, THUMB SPICA LEFT XTR-LARGE CS 90.00$

SPLINT, THUMB SPICA RIGHT LARGE CS 98.00$

SPLINT, THUMB SPICA RIGHT MEDIUM CS 98.00$

SPLINT, THUMB SPICA RIGHT SMALL CS 98.00$

SPLINT, THUMB SPICA RIGHT XTRA-LARGE CS 90.00$

SPLINT, THUMB SPICA RIGHT XTRA-SMALL CS 91.00$

SPLINT, WRIST, ELASTIC LEFT LARGE CS 31.00$

SPLINT, WRIST, ELASTIC LEFT MEDIUM CS 31.00$

SPLINT, WRIST, ELASTIC LEFT PEDS CS 31.00$


SPLINT, WRIST, ELASTIC LEFT SMALL CS 32.00$

SPLINT, WRIST, ELASTIC LEFT XTRA-LARGE CS 31.00$

SPLINT, WRIST, ELASTIC RIGHT LARGE CS 31.00$

SPLINT, WRIST, ELASTIC RIGHT MEDIUM CS 31.00$

SPLINT, WRIST, ELASTIC RIGHT PEDS CS 32.00$

SPLINT, WRIST, ELASTIC RIGHT SMALL CS 32.00$

SPLINT, WRIST, ELASTIC RIGHT XTRA-LARGE CS 45.00$

SPLINT,PREFAB,WRIST OR ANKLE CL -$

SPLIT NIGHT STUDY PD 3,928.00$

SPONGE, LAP, 4X18, XR, STERILE CS 8.00$

SPOTTED FEVER AB IgG&IGM LAB 243.00$

SPOTTED FEVER PANEL PRICE LAB 122.00$

SPOUSE PROG INITL/ 1ST 3 CR 88.00$

STAIN - COMPLEX LAB 90.00$

STAIN- FLUORESCENT AND OR ACID FAST LAB 67.00$

STATICS ADM / ALLERGY CL -$

STER H20 IRR 1000ml PLAST CS 10.00$

STERILE INSTRUMENT CS 20.00$

Sterile Water 1000 mL bag PHAR 60.00$

STOCKINETTE IMPERVIOUS LG CS 16.00$

STOCKINETTE IMPERVIOUS MD CS 28.00$

STOCKINETTE, XL CS 110.00$

STOMA WAFER SKIN BARRIER, 2.25FLG, 1.75 CS 6.00$

STOOL FOR FAT LAB 178.00$

STREP A, CULTURE LAB 93.00$

STREP B, CULTURE LAB 64.00$

STREP PNEUMO Ag - URINE LAB 150.00$

STRESS ECHO ECHO 1,372.00$

STRESS ECHO CONT ECG ECHO 1,411.00$

STRESS TEST/TREADMILL CR 1,064.00$

Subcutaneous Injection Filling Matrl > 1 CL 166.00$

SUBLUXATION - ELBOW (MANIPULATION) CL 369.00$

SUBLUXATION-ELBOW (MANIPULATION) CL 369.00$

SUBSEQUENT ANNUAL WELLNESS VISIT CL 190.00$

SUBSEQUENT OBSERVATION CARE CL 65.00$

SUBSEQUENT OBSERVATION/EXPANDED CL 130.00$

SUCCINYLCHOLINE CHLORIDE PHAR 26.90$

SUCRALFATE SUSP [1 GM/1O PHAR 33.90$

SUCRALFATE TAB [1 GRAM] PHAR 4.00$

SUCTION CANNISTER, 1200CC CS 19.00$



SUCTION CATH 10 FR CS 13.00$


SUCTION CATH 12 FR CS 18.00$

SUCTION RING WITH TUBING, NEPTUNE CS 152.00$

SUCTION TIP HOLSTER/WRIGH CS 6.00$

SUGAMMADEX INJ 200 MG/ 2 ML PHAR 145.70$

SULFAMETHOXAZOLE/TRIME SU PHAR 3.00$

SULFAMETHOXAZOLE/TRIMETH PHAR 5.00$

SULFAMETHOXAZOLE/TRIMETHO PHAR 4.00$

SULFASALAZINE DELAYED-REL PHAR 4.00$

SUMATRIPTAN SUCCINATE TAB PHAR 75.45$

SUMATRIPTAN SUCCINATE VL PHAR 326.00$

SUPPLIES CL -$

SUPPLIES - SHOULDER ARTHROSCOPY CS 2,099.00$

SUPPLIES - ARTHRODESIS OF TOE CS 417.00$

SUPPLIES - CARPAL METACARPAL ARTHOPLASTY CS 995.00$

SUPPLIES - CARPAL/CUBITAL/TRIGGER CS 272.00$

SUPPLIES - CHEILECTOMY SUPPLY CS 502.00$

SUPPLIES - COLONSCOPY CS 38.00$

SUPPLIES - EGD CS 78.00$

SUPPLIES - HAMMER TOE CS 503.00$

SUPPLIES - HINZE PRE-OP CS 309.00$

SUPPLIES - KNEE ARTHROSCOPY CS 1,167.00$

SUPPLIES - LIPOMA CS 341.00$

SUPPLIES - OPEN VENTRAL HERNIA REPAIR CS 2,050.00$

SUPPLIES - SINUS TARSI PLUG CS 357.00$

SUPPLIES - TOE AMPUTATION CS 215.00$

SUPPLIES - TOE ARTHROPLASTY CS 323.00$

SUPPLIES - TOTAL KNEE CS 1,140.00$

SUPPLIES - WEIL OSTEOTOMY CS 616.00$

SUPPLIES-PLANTAR FASC/BONE SPUR RESECTIO CS 640.00$

SUPRACONDYLAR FRACTURE CARE CL 914.00$

SUPREP ORAL BOWEL PREP KIT PHAR 183.25$

SUREPRESS BANDAGE CS 55.00$

SURG PATH- DECALCIFICATION LAB 22.00$

SURG PATH LEV IV GROS MIC LAB 179.00$

SURG PATH/FINE NEEDLE INT LAB 171.00$

SURG PATH-SPECIAL STAIN LAB 119.00$

SURGICAL PATHOLOGY LAB 67.00$

SURGICAL SUCTION SUR 82.00$

SURGICEL ORIGINAL, ABSORBABLE HEMOSTAT, CS 489.00$

SURGIFOAM SPONGE, 2CM X 6CM CS 35.00$

SUSCEPTIBILITY LAB 112.00$

Suture 3-0 Vicryl SH J416 SUR 9.00$

SUTURE 4/0 PLAIN GUT CS 19.00$


Suture 4-0 Ethilon FS-1 1629 (1) SUR 10.00$

Suture 4-0 Ethilon PS-2 1667 SUR 18.00$

Suture 4-0 Monocryl PS-1 Y935 (1) SUR 26.00$

Suture 4-0 monocryl PS-2 MCP496 (1) SUR 26.00$

SUTURE CHROMIC 0 812H CS 17.00$

SUTURE CHROMIC 3-0 810H CS 17.00$

Suture PDS II CS 79.00$

SUTURE REMOVAL TRAY CS 6.00$

SUTURE REMOVAL TRAY CS 7.00$

SUTURE RETRIEVER, STERILE HEWSON CS 287.00$

SUTURE SURGILON 0 1993-62 CS 60.00$

SUTURE, 2-0 FS (AKA C-15), 18" BLACK CS 10.00$

SUTURE, 2-0 VICRYL, CT-1, UNDYED CS 10.00$

SUTURE, CTD VICRYL, 2-0, 27", VIOLET, SH CS 9.00$

SUTURE, ETHIBOND 0, 30IN, GREEN, MO-6 HG CS 61.00$

SUTURE, ETHILON 3-0 FS-1 CS 10.00$

SUTURE, FIBERWIRE 2-0 CS 102.00$

SUTURE, MONCRYL 4-0, 27", UNDYED, P-2 P- CS 25.00$

SUTURE, MONOCRYL 3-0 PS-1 CS 66.00$

SUTURE, PDS II 2-0 ABSORBABLE, SH, CR CS 122.00$

SUTURE, PDS II, 0, MONO VL, Z990G CS 42.00$

SUTURE, PROLENE 0 8424H CS 13.00$

SUTURE, PROLENE 0 FSLX 8690H CS 14.00$

SUTURE, PROLENE 0, 30" BLUE, MO-6 NEEDLE CS 16.00$

SUTURE, PROLENE 1-0, CT-1 CS 12.00$

SUTURE, PROLENE 2-0 8423H CS 13.00$

SUTURE, PROLENE 2-0 FS CS 37.00$

SUTURE, PROLENE 3-0 SH 8832H CS 14.00$

SUTURE, PROLENE 3-0, PS-2, 8687H CS 41.00$

SUTURE, PROLENE 4-0 8871H CS 15.00$

SUTURE, SILK, 2-0, 30" BLACK, SH V-20, K CS 7.00$

SUTURE, SILK, 590H CS 20.00$

SUTURE, STRATAFIX SPIRAL CS 108.00$

SUTURE, TIES ONLY, 2-0 SILK 18" BLACK CS 12.00$

SUTURE, VICRYL 0, J270H CS 12.00$

SUTURE, VICRYL -0-, UR-5, VCP376H CS 20.00$

SUTURE, VICRYL 2-0 CT-3 CS 10.00$

SUTURE, VICRYL 2-0, CT-1, 27" CS 9.00$

SUTURE, VICRYL 2-0, CT-2 CS 10.00$

SUTURE, VICRYL 2-0, NEEDLELESS CS 52.00$

SUTURE, VICRYL 3-0 PS-2 CS 20.00$

SUTURE, VICRYL 3-0 SH-1, 27" CS 31.00$

SUTURE, VICRYL 3-0, FS-1 NEEDLE CS 16.00$


SUTURE, VICRYL 4-0 P3 CS 21.00$

SUTURE, VICRYL 4-0 PS-2 J496H CS 19.00$

SUTURE, VICRYL 4-0 RB-1 CS 12.00$

SUTURE, VICRYL 4-0 RB-1 VR214 CS 16.00$

SUTURE, VICRYL 4-0, PS-2, VCP426H CS 33.00$

SUTURE, VICRYL 5-0, TF, J433H CS 11.00$

SUTURE, VICRYL, 1 CT-1 CS 9.00$

SWALLOWING FUNC W/ CINERADIOGRAPHY ST 581.00$

SWING BED SEMI-PRIV RM SB 827.00$

SYPHILIS TEST, NON-TREPONEMAL ANTIBODY LAB 49.00$

SYPHILIS, IGG LAB 103.00$

SYRINGE BULB 2 OZ BLUE CS 8.00$

T CELL ABSOLUTE CD4/CD8 LAB 249.00$

T CELL TOTAL COUNT LAB 75.00$

T-3 LAB 132.00$

T-3 FREE LAB 202.00$

T-3 UPTAKE LAB 69.00$

T-4 FREE LAB 102.00$

T-4 TOTAL LAB 68.00$

TACROLIMUS CAP [0.5 MG] PHAR 6.25$

TACROLIMUS LEVEL LAB 149.00$

TAMSULOSIN HCL CAP [0.4 M PHAR 16.85$

TANGENITAL BIOSPSY SKIN EA ADDITIONAL CL 54.00$

TANGENTIAL BIOPSY SKIN SINGLE LESION CL 212.00$

TAPENTADOL TAB [50 MG] PHAR 19.00$

TB INTRADERMAL TEST CL 29.00$

tbo-filgrastim[480mcg/0.8ml] inj PHAR 1,099.75$

TC99M MEDRONATE UP TO 30M NM 106.00$

TC99M SESTAMIVI P/SYRINGE NM 508.00$

T-CELL SUSPENSION LAB -$

Tdap 7-64 yrs CL 54.00$

TEGADERM DRESSING (1625) CS 8.00$

TEGADERM DRESSING 6X8 CS 7.00$

TEGADERM HYDROCOLLOID DRESSING, SACRAL 6 CS 43.00$

TEGADERM HYDROCOLLOID THIN SACROID 4X4.7 CS 12.00$

TEGADERM SILVER CS 17.00$

TEGADERM SILVER CS 14.00$

TEGADERM, SILVER 4X5 CS 35.00$

TEGASEROD MALMGTE TAB [6 PHAR 19.00$

TEGASORB HYDROCOLLOID DRESSING, 2.75 X 3 CS 13.00$

TEGEDERM DRESSING 6X8 CS 8.00$

TELEHEALTH FACILITY FEE SPEC 52.00$

Telehealth Facility Fee SLS 56.00$


TELEMETRY POUCH CS 12.00$

TELMISARTAN TAB [40 MG] PHAR 16.60$

TELMISARTAN TAB [80 MG] PHAR 22.00$

TEMAZEPAM CAP [15 MG] PHAR 4.00$

TENECTEPLASE KIT [50 MG] PHAR 9,701.45$

TENNIS ELBOW CS 31.00$

TEQ-PAQ ORAL PHAR 172.00$

TERAZOSIN HCL CAP [1 MG] PHAR 7.00$

TERAZOSIN HCL CAP [5 MG] PHAR 6.45$

TERBINAFINE CREAM 1% [30 PHAR 24.10$

TERBINAFINE HCL CREAM TUB PHAR 32.00$

TERBUTALINE SULFATE TAB [ PHAR 5.00$

TERIPARATIDE INJ [20 MCG PHAR 3,791.00$

TESTOSTERONE FREE LAB 187.00$

TESTOSTERONE TOTAL LAB 143.00$

TESTOSTERONE, UP TO 200MG CL 30.00$

TETANUS LAB 144.00$

TETANUS AND DIPHTHER MEDICAID CL 19.82$

TETANUS AND DIPTHERIA TOXOIDS Td/ABSORBE CL 32.00$

TETANUS DIPHTHER TOXOID A PHAR 185.85$

TETANUS TOX DIPHTHERIAM T PHAR 220.55$

TETANUS TOXOID ABSORBED V PHAR 138.00$

TETANUS TOXOID INJ-UP TO 1ML CL 28.00$

TETRACAINE 0.5% DRPS/CATR PHAR 39.00$

TETRACAINE 0.5% OPTH DROPS CL 14.00$

TETRACAINE HCL OPTH SOL [ PHAR 26.00$

TETRACAINE HCL VISCOUS 0. PHAR 60.35$

TETRACAINE HYDROCHLORIDE PHAR 6.35$

THALLIUM 201PER MCI NM 130.00$

THEOPHYLINE LEVEL, BLOOD LAB 132.00$

THEOPHYLLINE ANHYDROUS TA PHAR 3.00$

THEOPHYLLINE ER TAB [300 PHAR 5.00$

THER/DIAG CONCURRENT INF ER 98.00$

THER/PROP/DG INJ, IV PUSH ER 198.00$

THER/PROP/DG INJ, SC/IM ER 119.00$

THER/PROP/DG INJ, SC/IM OBS 113.00$

THER/PROP/DIAG IV INF ADD ER 102.00$

THER/PROP/DIAG IV INF,INT ER 334.00$

THER/PROPH/DIAG INJ, SC/I TR 119.00$

THER/PROPH/DIAG IV ADD'L TR 102.00$

THER/PROPH/DIAGIV TR 334.00$

THERAPEUTIC ACTIVITIES (15 MIN) OT 92.00$

THERAPEUTIC EXERCISE PT 90.00$


THERAPEUTIC EXERCISES/OT (15 MIN) OT 90.00$

THERAPEUTIC INJECTION CL 24.00$

THERAWORX SPECIALTY CARE PACK CS 14.00$

THERMAL ANGEL CS 450.00$

THIAMINE B 1 LAB 205.00$

THIAMINE HCL (VITA B1) VL PHAR 40.80$

THIAMINE HCL VIT B1 TAB [ PHAR 2.50$

THIOPENTAL SODIUM SYR [50 PHAR 142.00$

THORACENTESIS TRAY CS 295.00$

THORACIC CATH FOR CHEST CS 31.00$

THORACIC CATHETER 16FR CS 31.00$



THORANCENTESES CL 852.00$

THROMBIN TIME PLASMA LAB 70.00$

THYROGLOBULIN AB LAB 132.00$

THYROGLOBULIN AB PANEL PRICING LAB 66.00$

THYROGLOBULIN TUMOR MARKE LAB 128.00$

THYROGLOBULIN TUMOR MARKE PANEL PRICING LAB 64.00$

THYROID PROXIDASE ANTIBOD LAB 113.00$

THYROID TAB [60 MG] PHAR 3.00$

THYROID TAB [65 MG] PHAR 3.00$

THYROTROPIN RECEPTOR AB LAB 234.00$

THYROXINE BINDING GLB LAB 172.00$

ticagrelor 60 mg PHAR 23.60$

TICAGRELOR TAB [90 MG] PHAR 23.60$

TIMOLOL MALEATE OPTH GEL PHAR 249.60$

TIMOLOL MALEATE OPTH SOL PHAR 5.00$

TIMOPTIC X E 0.5% OPTH PHAR 43.00$

TIOTROPIUM BROMIDE INH [1 PHAR 64.95$

TISSUE EXAM FOR FUNGI CL 29.00$

TISSUE TRANSGLUT AB IGG LAB 158.00$

TIZANIDINE HCL TAB [4 MG] PHAR 6.10$

TOBACCO USE CESSATION INTENSIVE >10 MINU CL 99.00$

TOBRADEX OPTH OINT PHAR 63.00$

TOBRAMYCIN LEVEL, BLOOD LAB 139.00$

TOBRAMYCIN SULFATE OPTH O PHAR 514.50$

TOBRAMYCIN SULFATE OPTH S PHAR 45.35$

TOBRAMYCIN SULFATE VL 80 MG/ 2 ML PHAR 20.00$

TOBRAMYCIN/DEXAMETH OPTH PHAR 243.40$

TOBRAMYCIN/DEXAMETH OPTH PHAR 547.70$

TOE CAP CUSHION CS 15.00$

TOE CAP CUSHION L CS 37.00$


TOE CAP CUSHION M CS 30.00$

TOE CAP CUSHION M CS 13.00$

TOLTERODINE TARTRATE CAP PHAR 36.40$

TOPIRAMATE 200 MG TAB PHAR 24.50$

TOPIRAMATE TAB [25 MG] PHAR 8.40$

TORADOL 60 MG CL 8.00$

TORSEMIDE 100 MG TAB PHAR 11.60$

TORSEMIDE TAB [10 MG] PHAR 4.00$



TOTAL PROTEIN LAB 48.00$

TOXIN OR ANTITOXIN ASSAY LAB 254.00$

TOXOCARA LAB 1,271.00$

TOXOPLASMA ANTIBODY LAB 107.00$

TR - BLOOD ADMIN 1 -4 HOURS TR 169.00$

TRAC BLK DRS/WOUND VAC CS 150.00$

TRACH DRESSING TRAY CS 12.00$

TRACH TUBE HOLDER ADULT CS 28.00$

TRACH TUBE HOLDER PEDS CS 9.00$

TRACH TUBE HOLDER PEDS CS 17.00$

TRAMADOL HCL TAB [50MG] PHAR 4.00$

TRAMADOL HCL/ACETAMINOPHE PHAR 5.00$

TRAMADOL METABOLITE, URINE LAB 177.00$

TRAMADOL TAB [200 MG] PHAR 41.00$

TRAMADOL TAB [300 MG] PHAR 58.00$

TRANDOLAPRIL TAB [1 MG] PHAR 5.00$

TRANDOLAPRIL TAB [4 MG] PHAR 5.00$

TRANEXAMIC ACID VL [1000 PHAR 95.00$

TRANSFERRIN LAB 108.00$

TRANSITIONAL CARE 14 DAY DISCHARGE CL 176.00$

TRANSITIONAL CARE 7 DAY DISCHARGE CL 543.00$

TRANYLCYPROMINE SULFATE T PHAR 18.00$

TRAVOPROST OPTH SOL [0.0 PHAR 189.00$

TRAY, WET SKIN-PREP CS 23.00$

TRAZADONE TAB [50 MG] PHAR 4.00$

TRAZODONE TAB [100 MG] PHAR 5.00$

TREAT FRAC. RADIAL/CLOSED ER 685.00$

TREATMENT FOR ACUTE AIRWAY OBSTRUCTION CL 49.00$

TREATMENT OF INTERPHALANGEAL JT/ANESTH CL 1,033.00$

TREATMENT OF INTERPHALANGEAL JT/ANESTH CL 1,033.00$

TREATMENT OF SPEECH,LANG ST 267.00$

TREATMENT OF SWALLOWING ST 256.00$

TREATMENT SHOULDER DISLOCATION W/O ANES CL 677.00$


TREATMENT SHOULDER DISLOCATION W/O ANES CL 677.00$

TREATMENT-WARTS CL 177.00$

TRIAMCINOLONE ACETONIDE C PHAR 23.75$



TRIAMCINOLONE ACETONIDE VL[400MG/10ML] PHAR 41.30$

TRIAMCINOLONE CREAM [0.1% PHAR 19.00$

Triamcinolone Cream 0.5% PHAR 22.70$

TRIAMTERENE/HCTZ TAB [37. PHAR 4.00$

TRIAMTERENE/HCTZ TAB [75 PHAR 4.00$

TRIGLYCERIDE LAB 62.00$

TRIHEXYPHENIDYL 2 MG PHAR 5.00$

TRIM NONDYSTROPHIC NAIL ANY # TR 49.00$

TRI-MAXI PHAR 96.80$

TRIMETHOBENZAMIDE HCL CAR PHAR 30.00$

TRIMETHOBENZAMIDE HCL SUP PHAR 7.00$

TRIMETHOBENZAMIDE HCL TAB PHAR 5.00$

TRIMETHOBENZAMIDE/BCAINE PHAR 7.00$

TRIMETHOBENZAMIDE/BCAINE PHAR 7.00$

TRIMETHOPRIM TAB [100 MG] PHAR 4.00$

TRIPLE ANTIBIOTIC/PKT PHAR 5.00$

TRIPOTASSIUM CITRATE ER PHAR 11.60$

TROCAR, CANNULA/SEAL 5MM CS 277.00$

TROCAR, KII FIOS Z-THREAD, 12MM X 100MM CS 336.00$

TROCAR, KII FIOS Z-THREAD, 5MM-100MM CS 468.00$

TROPICAMIDE OPTH [15ML BT PHAR 21.30$

TROPICAMIDE OPTH SOL [1% PHAR 8.00$

TROPICAMIDE OPTH SOL BTL PHAR 20.00$

TROPONIN, QUANTITATIVE LAB 209.00$

Trospium PHAR 11.35$

TRYPAN BLUE 0.06% SYR [2. PHAR 187.55$

TRYPTASE LAB 138.00$

TS/PRO/DX PUSH ADD DRG ER 164.00$

TSH LAB 116.00$

TSI LAB 412.00$

TUBE FEEDING #10 FRENCH CS 82.00$

TUBE THORACOSTOMY CL 677.00$

TUBE, FEEDING #5 CS 10.00$

TUBE, FEEDING #8 CS 10.00$

TUBERCULIN PPD VL PHAR 39.90$

TUBERCULIN PURIF PROT DER PHAR 37.00$

TUBING CONNECTOR CS 6.00$

TUBING STERILE CONNECTING CS 7.00$


TUBING, SMOKE EVACUATION, HUMIDIFIED, CO CS 501.00$

TUBING, STRYKEFLOW2 WITHOUT TIP CS 285.00$

TUMOR LOCALIZATION LIMITD NM 1,648.00$

TUMOR LOCALIZTN/MULTPLEAR NM 2,282.00$

TUMS PHAR 2.00$

TX TARSAL BONE FX XCP TALUSCALCN W/O MAN CL 746.00$

TX/PRO/DX PUSH SAME DRG ER 144.00$

TX/PROP/DG ADDL SEQ IVINF ER 97.00$

TYLENOL 500 MG TAB- CLINIC CL 3.00$

TYPHOID VACCINE (ViCPs), INTRAMUSCULAR CL 143.00$

ULTRASOUND PELVIC LIMITED US 266.00$

UNA BOOT (DOME PASTE) CS 64.00$

UNA BOOT W/ ZINC OXIDE 3" CS 28.00$

UNA BOOT W/CALAMINE 4" CS 30.00$

UNA BOOT W/O CALAMINE 4" CS 23.00$

UNA BOOT W/O ZINC OX 3" CS 22.00$

UNIVERSAL CERVICAL COLLAR CS 25.00$

UNIVERSAL PACKING 1 YD CS 8.00$

UNLISTED CENTRAL SUPPLY CS -$

UNLISTED IMPLANTABLE SUR -$

UNLISTED LAB LAB -$

UNLISTED MRI SERVICE MRI -$

UNLISTED ORAL PHAR -$

UNNA BOOT APPLICATION TR 184.00$

UNNA BOOT APPLICATION CL 121.00$

UPPER GASTRO ENDOSCOPY SUR 858.00$

UPPER GASTRONINTESTINAL ENDOSCOPY CL 824.00$

UREA 15G PHAR 16.80$

UREA NITROGEN CLEARANCE LAB 69.00$

URI METER CS 32.00$

URIC ACID LEVEL LAB 61.00$

URIC ACID/24 HR URINE LAB 69.00$

URINALYSIS WITH MICRO LAB 44.00$

URINALYSIS, MICRO ONLY LAB 28.00$

URINALYSIS-DIP LAB 30.00$

URINARY DRAIN BAG CS 20.00$

URINARY DRAIN BAG CS 16.00$

URINARY LEG BAG CS 22.00$

URINARY LEG BAG CS 22.00$

URINE 24 HR PORPHYRINS LAB 183.00$

URINE 5 HIAA 24 HR LAB 137.00$

URINE BAG HOLDER CS 38.00$

URINE CALCIUM 24 HR LAB 65.00$


URINE CYTOLOGY LAB 98.00$

URINE DRAINAGE BAG HOLDER CS 49.00$

URINE DRAINAGE BELLY BAG CS 158.00$

URINE DRUG SCREEN CL 33.00$

URINE HISTOPLASMA LAB 153.00$

URINE LEG BAG HOLLIST CS 32.00$

URINE OR OTHER SOURCE EA LAB 61.00$

URINE OSMOLALITY LAB 95.00$

URINE OXALATE LAB 132.00$

URINE PREGNANCY TEST LAB 80.00$

URINE, 24 HR. IODINE LAB 153.00$

URINE, 24HR HEAVY METAL LAB 485.00$

URINE, CHLORIDE LAB 48.00$

URINE, CULTURED CATHERIZE LAB 81.00$

URINE, METABOLIC SCREEN LAB 32.00$

URINE, MICROALBUMIN, QUANTITATIVE LAB 107.00$

URINE, TOTAL PROTEIN LAB 101.00$

URINE,CHAIN OF CUST. LAB 33.00$

URSODEOXYCHOLIC ACID CAP PHAR 11.00$

US ABD COMP US 819.00$

US ABD LIMITED US 633.00$

US BLADDER POST VOID US 184.00$

US BREAST US 388.00$

US CHEST US 549.00$

US EPPER EXTREMITY US 594.00$

US GUIDANCE, NEEDLE GUIDANCE US 696.00$

US OB 1ST TRIM US 666.00$

US OB COMP US 621.00$

US OB LIMITED US 361.00$

US PELVIC US 745.00$

US RETROPERINTEAL LIMITED US 520.00$

US RETROPERITONEAL US 754.00$

US SCROTUM US 623.00$

US THYROID US 557.00$

US TRANVAGINAL US 614.00$

US-NON VAS EXTREMITIES US 489.00$

Vaginal Delivery only CL 1,773.00$

VAGINAL PACK CS 39.00$

VALACYCLOVIR HCL 500MG PHAR 45.60$

VALCYCLOVIR HCL TAB [1 GM PHAR 52.00$

VALIUM INJ-UP TO 5 MG CL 31.00$

VALPROATE SODIUM INJ [500 PHAR 71.90$

VALPROIC ACID LIQ [250 MG PHAR 3.00$


VALSARTAN TAB [160 MG] PHAR 30.40$



VANCO CAP 125 PHAR 3.00$

VANCOCIN HCL CAP [250 MG] PHAR 237.00$

VANCOMYCIN [2GM] PHAR 97.00$

VANCOMYCIN HCL CAP [250 M PHAR 237.00$

VANCOMYCIN HCL VL [1 GM] PHAR 80.15$

VANCOMYCIN HCL VL [1 GM] PHAR 81.95$

VANCOMYCIN HCL VL [500 MG PHAR 44.15$

VANCOMYCIN INJ 2000MG/NACL 500ML IVPB PHAR 83.00$

VANCOMYCIN ORAL SOL. 50 MG/ML PHAR 217.45$

VANCOMYCIN, TROUGH LAB 156.00$

VANCOMYCIN, TROUGH LAB 156.00$

VARENICLINE STARTER PACK PHAR 24.00$

VARIBAR HONEY LIQUID (29%) PHAR 26.00$

VARIBAR NECTAR SUSP (40%) PHAR 26.00$

VARIBAR PUDDING PASTE (30%) PHAR 26.00$

VARIBAR THIN LIQUID (40%) PHAR 26.00$

VARICELLA ZOSTER VIRUS AB LAB 142.00$

VARICELLA/ VARIVAX CL 298.00$

VARICELLA/ VARIVAX MEDICAID CL 19.82$

VASECTOMY CL 1,023.00$

VASOPRESSIN ANTI-DIURETIC HORMONE LAB 212.00$

VASOPRESSIN VL [20 U/ML] PHAR 446.75$

VECURONIUM BROMIDE VL [10 PHAR 38.00$

VENELEX OINT PHAR 4.00$

VENIPUCTURE, CORPORATE LAB -$

VENIPUNCTU, KC LEGAL BALC LAB 56.00$

VENIPUNCTURE/DRAWING CHG LAB 28.00$

VENLAFAXINE [75 MG] TAB PHAR 8.75$

VENLAFAXINE HCL CAP [37.5 PHAR 4.00$

VENLAFAXINE HCL CAP [75 M PHAR 4.00$

VENLAFAXINE XR CAP [150 M PHAR 4.00$

VENOUS DUPLEX LIMITED VASC 985.00$

VENOUS DUPLEX SCAN/VDSLT VASC 990.00$

VENOUS DUPLEX SCAN/VDSRT VASC 990.00$

VENOUS DUPLEX SCAN/VDSRT VASC 891.00$

VENTED IV SET CS 18.00$

VENUS COLOR SCAN, DUPLEX VASC 1,253.00$

VERAPAMIL ER TAB [240 MG] PHAR 6.00$

VERAPAMIL HCL ER 120MG PHAR 16.10$

VERAPAMIL HCL ER TAB [180 PHAR 6.00$


VERAPAMIL HCL VL [5 MG/ 2 PHAR 68.25$

VERCURONIUM BROMIDE VL [ PHAR 36.50$

VESICARE TAB [10 MG] PHAR 46.30$

VFC PEDVAX CL 19.82$

VFC PROQUAD CL 19.82$

VIGAMOX EYE DROPS/EACH PHAR 26.00$

VILAZODONE HCL TAB [40 MG PHAR 34.30$

VIP LAB 444.00$

VISCOUS LIDOCAINE TSP CL 3.00$

VISION BLUE PREFILLED SYR PHAR 47.00$

VISTARIL 50 MG CL 33.00$

VITA B COMPLEX/C/FA/FE/DO PHAR 3.00$

VITAMIN A LAB 145.00$

VITAMIN B12 TAB [500 MCG PHAR 3.00$

VITAMIN B12 INJ-UP TO 1000 MCG CL 6.00$

VITAMIN B-12 LEVEL LAB 140.00$

VITAMIN B-6 LAB 249.00$

VITAMIN C TAB [500 MG] PHAR 2.50$

VITAMIN D 25-HYDROXY SERU LAB 177.00$

VITAMIN D,1,25:DIHYDROXY LAB 103.00$

VITAMIN E [400 IU] PHAR 2.50$

VITAMIN K (PHYTONADIONE) PHAR 58.00$

VITAMIN K (PHYTONADIONE) PHAR 135.80$

VITAMIN K1 LAB 261.00$

VOLUME EXERCISER CS 15.00$

VOLUME EXERCISER CS 12.00$

VORICONAZOLE LAB 213.00$

VORTIOXETINE 10MG PHAR 48.35$

VORTIOXETINE 5 MG PHAR 48.35$

WALKING BOOT LARGE CS 188.00$

WALKING BOOT MEDIUM CS 188.00$

WALKING BOOT PNEUMATIC OR VACUUM PREFAB CS 321.00$

WALKING BOOT SMALL CS 188.00$

WALKING BOOT XTRA LARGE CS 188.00$

WALKING BOOT/NON PNEUMATIC CL 91.00$

WARFARIN SODIUM TAB [1 MG PHAR 7.00$


WARFARIN SODIUM TAB [2.5 PHAR 5.00$




WARFARIN SODIUM TAB [7.5 PHAR 4.00$

WARFARIN TAB [6 MG] PHAR 10.00$


WATER BACTERIOSTATIC - IN PHAR 24.65$

WATER, STERILE 10 ML PHAR 20.00$

WATER, STERILE VL [5 ML] PHAR 31.00$

WAX, BONE, 2.5 GRAMS CS 22.00$

WBC LAB 40.00$

WECK HORIZON TITANIUM LIGATING CLIPS, LA CS 71.00$

WECK HORIZON TITANIUM LIGATING CLIPS, ME CS 52.00$

WECK HORIZON TITANIUM LIGATING CLIPS, SM CS 44.00$

WEDGE EXCISION/SKIN OF NAIL FOLD CL 437.00$

WEE BAG CS 8.00$

WEEKLY WEIGHT PHAR -$

WEEKLY BRADEN SCALE PHAR -$

WEIGHT, RECORDED CL -$

WELLNESS LAB #1 LAB 206.00$

WELLNESS LAB #2/NO CHG LAB -$

WEST NILE VIRUS IgM LAB 102.00$

WEST NILE VIRUS, IGG IGM LAB 97.00$

WET PREP CL 25.00$

WET PREP LAB 62.00$

WHEELCHAIR MANAGEMENT OT 78.00$

WHOLE BODY BONE SCAN NM 1,773.00$

WOUND CARE DRESSING CS 134.00$

WOUND DRAPE CS 9.00$

WOUND WASH CS 40.00$

WRAP, KNEE, COLD THERAPY, 4 COLD PACKS CS 104.00$

WRIST SPLINT, COCK UP CL -$

WRIST/FOREARM LEFT LARGE CS 51.00$

WRIST/FOREARM LEFT XTRA-LARGE CS 53.00$

WRIST/FOREARM LFT MEDIUM CS 51.00$

WRIST/FOREARM LFT SMALL CS 53.00$

WRIST/FOREARM RIGHT LEFT PEDS CS 53.00$

WRIST/FOREARM RIGHT MEDIUM CS 53.00$

WRIST/FOREARM RIGHT XTRA-LARGE CS 52.00$

WRIST/FOREARM RT LARGE CS 51.00$

WRIST/FOREARM RT SMALL CS 52.00$

WRIST/FOREARM- RT-LG-ABCO CS 41.00$

WRIST/FOREARM, DELUXE RT-MED CS 42.00$

WRIST/FOREARM, RT-RED CS 53.00$

XGEVA injection PHAR 3,951.80$

xifaxan [550mg] PHAR 153.35$

XR - EXAMINATION LESS THEN FULL MOUTH RAD 67.00$

XR - EXAMINATION THEETH 1 VIEW RAD 25.00$

XR SINUSES RAD 335.00$


XR ABDOMEN 2V FLAT/UPR RAD 363.00$

XR ABDOMEN KUB IV RAD 275.00$

XR ABDOMEN SERIES W CHEST RAD 500.00$

XR AC JOINTS RAD 247.00$

XR ANKLE 1V RAD 155.00$



XR BONE AGE RAD 134.00$

XR CHEST 1V RAD 246.00$

XR CHEST 2 V RAD 311.00$

XR CHEST 4V RAD 354.00$

XR CHEST W DECUB RAD 247.00$

XR CHEST/LORDOTIC RAD 234.00$

XR CLAVICLE RAD 275.00$

XR COMPLETE SPINE 2 OR 3V RAD 245.00$

XR ELBOW 1V RAD 239.00$

XR ELBOW 2V RAD 253.00$

XR ELBOW 3+V RAD 312.00$

XR EXAM OF FEMUR 2V RAD 307.00$

XR FACIAL BONES RAD 344.00$

XR FEMUR 1V RAD 300.00$

XR FINGER RAD 217.00$

XR FOOT 3+V RAD 308.00$

XR FOOT 2V RAD 234.00$

XR FOREARM 2V RAD 268.00$

XR HAND 3+V RAD 303.00$

XR HAND X-RAY 2V RAD 227.00$

XR HEEL RAD 212.00$

XR HIP 1V RAD 191.00$

XR HIP 2V RAD 317.00$

XR HUMERUS 2V RAD 283.00$

XR KNEE 1-2V RAD 283.00$

XR KNEE 3+V RAD 339.00$

XR KNEE 4 + VIEWS RAD 340.00$

XR MANDIBLE RAD 302.00$

XR MASTOIDS RAD 317.00$

XR NASAL BONES RAD 238.00$

XR PELVIS 1-2V RAD 281.00$

XR PELVIS MIN 3V RAD 289.00$

XR RIBS BILAT NO CHEST RAD 370.00$

XR RIBS UNILAT RAD 300.00$

XR SACROILIAC JOINTS RAD 309.00$

XR SACRUM -CORCCYX RAD 295.00$


XR SCAPULA RAD 301.00$

XR SCOLIOSIS SERIES RAD 252.00$

XR SCOLIOSIS SERIES 2-3 VIEWS RAD 216.00$

XR SHOULDER 2+V RAD 329.00$

XR SHOULDER 1V RAD 225.00$

XR SKELETAL SURVEY LTD RAD 769.00$

XR SKELETAL SURVEY METS RAD 685.00$

XR SKULL LESS 4V RAD 231.00$

XR SKULL MIN 4 V RAD 423.00$

XR SOFT TISS NECK RAD 226.00$

XR SPINE (ANY) 1V RAD 193.00$

XR SPINE CERVICAL 2-3V RAD 320.00$

XR SPINE CERVICAL MIN 4V RAD 486.00$

XR SPINE FLEX-EXT RAD 483.00$

XR SPINE LUMBAR 2-3V RAD 403.00$

XR SPINE LUMBAR MIN 4V RAD 479.00$

XR SPINE THORACIC 2V RAD 347.00$

XR SPINE THORACIC MIN 4V RAD 281.00$

XR STERUM RAD 236.00$

XR TIB-FIB 2V RAD 288.00$

XR TIB-FIB IV RAD 209.00$

XR TMJ JNTS BILAT RAD 284.00$

XR TOES RAD 208.00$

XR UNILAT RIBS INC PA CXR RAD 372.00$

XR WATERS VIEW 1V RAD 251.00$

XR WRIST 1V RAD 153.00$

XR WRIST 2V RAD 214.00$

XR WRIST 3+V RAD 286.00$

XYLOCAINE 4% MPF/EPI PHAR 20.00$

XYLOCAINE GEL"COCKTAIL" PHAR 62.00$

XYLOCAINE MPF 1% PHAR 32.00$

YAG LASER SURGERY SUR 846.00$

Y-TYPE BLOOD SET CS 34.00$

Y-TYPE EXTENSION SET CS 14.00$

ZAFIRLUKAST TAB [20 MG] PHAR 12.00$

ZANAMIVIR INH [5 MG] PHAR 141.60$

ZINC SULFATE CAP [220 MG] PHAR 2.50$

ZOLEDRONIC ACID VL [4 MG PHAR 2,402.00$

ZOLEDRONIC ACID VL [5 MG/ PHAR 1,809.35$

ZOLPIDEM TARTRATE TAB [10 PHAR 20.00$

ZOLPIDEM TARTRATE TAB [5 PHAR 18.50$

ZONISAMIDE CAP [100 MG] PHAR 11.00$

ZOSTAVAX CL 329.00$


ZYMAR GTT/CATRCT DRPS EA PHAR 21.00$

ZYVOX 600 MG IVPB PHAR 20.00$

ZYVOX 600 MG TAB PHAR 367.35$

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