Chargemaster Fee Schedule
This site meets the Centers for Medicare and Medicaid Services (CMS) requirement that went into effect Jan. 1, 2019 to provide the Chargemaster Fee Schedule. The content on this page takes time to fully load. The Google Chrome browser is suggested to view the content of this page and to access the fee schedule.
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| Description | Charge |
|---|---|
| AFP, Serum (QST) | $89.00 |
| Bone Marrow Harvest For Transplantation (Autologous) | $17,561.00 |
| CAGE 10MM EXPANDABLE 10 X 24M 8-11MM HEIGHT 6 DEG ELITE SPINEOLOGY 541-0004 | $17,216.00 |
| CAGE 10MM EXPANDABLE 10 X 28M 9-13MM HEIGHT 6 DEG ELITE SPINEOLOGY 541-0008 | $17,216.00 |
| Indwelling Simp Bladder Cath | $503.00 |
| Non-Dwelling Simp Bladder Cath | $503.00 |
| Unl Placemt Internal Distractn Dev | $923.00 |
| # of Panel Cells -> >33 cells | $1,130.00 |
| # of Panel Cells -> 1-11 cells | $1,130.00 |
| # of Panel Cells -> 12-22 cells | $1,130.00 |
| # of Panel Cells -> 23 -33 cells | $1,130.00 |
| #6 FR Angio-Seal | $718.00 |
| #7 FR 30 cc IABP cath | $2,765.00 |
| #8 FR 40 cc IABP cath | $3,476.00 |
| (f27) Beef IgE - Quest | $23.00 |
| (f284) Turkey Meat IgE - Quest | $23.00 |
| (m14) Epicoccum purpurascens IgE - Qst | $23.00 |
| (m4) Mucor racemosus IgE - Quest | $23.00 |
| .ADAMTS13 Inhibitor -Quest | $68.00 |
| .ANA Scr,IFA,w/Refl Titer/Pattern-Quest | $59.00 |
| .ANA Titer. | $59.00 |
| .Antinuclear Ab Titer And Pattern -Quest | $59.00 |
| .Anti-Xa Heparin -Quest | $69.00 |
| .Aquaporin 4 Ab (IgG), CBA -Quest | $64.00 |
| .B Henselae IgG Titer-Quest | $86.00 |
| .B Henselae IgM Titer-Quest | $86.00 |
| .Blood Culture ID. | $125.00 |
| .BO ABL Mutation Gleevec Resistance | $1,425.00 |
| .BO AFB Sequencing | $609.00 |
| .BO AML 1 ETO | $651.00 |
| .BO B Cell IGH Gene Rearrangement | $1,045.00 |
| .BO B Cell Kappa Light Chain | $820.00 |
| .BO BCL1 T(11 14) Quant PCR | $651.00 |
| .BO BCL2 T(14 18) Quant PCR | $714.00 |
| .BO BCR ABL Major BP | $865.00 |
| .BO BCR ABL Minor BP | $764.00 |
| .BO C Difficile by PCR | $185.00 |
| .BO CALR Mutation Analysis | $1,353.00 |
| .BO CBGB MYH11 | $651.00 |
| .BO CEBP Alpha Mutation | $636.00 |
| .BO CEP8 | $1,296.00 |
| .BO Chlam Rapid DNA. | $155.00 |
| .BO Chrom Anal FISH Band | $362.00 |
| .BO CLL IGVH Mutation Analysis | $1,554.00 |
| .BO Culture Typing GLC or HPLC | $66.00 |
| .BO Culture Typing Other Method | $37.00 |
| .BO Cytogen Analyze 20-25 Cells | $631.00 |
| .BO Cytogen Chromosome Analysis | $120.00 |
| .BO Cytogen Select Enrichment | $241.00 |
| .BO Cytogen Tissue Culture | $652.00 |
| .BO DNA Diagnostics Handling Fee | $75.00 |
| .BO DNA MA (ISO/EXT) | $89.00 |
| .BO Drug Coll Legal | $122.00 |
| .BO Drug Coll Post 7PM | $76.00 |
| .BO Drug Coll Urine | $66.00 |
| .BO DUI Handling Fee | $100.00 |
| .BO Evaluation | $524.00 |
| .BO Evaluation Modified Barium Swallow | $1,384.00 |
| .BO Evaluation Swallowing | $695.00 |
| .BO FIL1P1L1-PDGFRA PCR | $651.00 |
| .BO FISH Band Chromosome Anal | $362.00 |
| .BO FISH Comp Anal Additional | $677.00 |
| .BO FISH Comp Morphomeric Anal | $677.00 |
| .BO FISH MP TC | $621.00 |
| .BO FISH SG TC | $300.00 |
| .BO Flow Cytometry Marker | $1,296.00 |
| .BO Flow Cytometry Marker Additional | $62.00 |
| .BO FMS Mutation | $786.00 |
| .BO Fungal ID Direct Probe | $106.00 |
| .BO Fungal ID GLC/HPLC | $66.00 |
| .BO Fungal ID Mold | $54.00 |
| .BO Fungal ID Nucleic Acid Testing | $609.00 |
| .BO Fungal ID Yeast | $54.00 |
| .BO GC Rapid DNA. | $155.00 |
| .BO Handling Fee | $66.00 |
| .BO HPV Genotype 16/18 | $110.00 |
| .BO JAK2 Exon12 PCR | $880.00 |
| .BO JAK2 Point Mutation Detection | $484.00 |
| .BO LLE Additional Flow Cyto Marker QST | $18.00 |
| .BO MDS Panel | $684.00 |
| .BO Microarray Sequencing | $859.00 |
| .BO MPL(W515L/K) Point Mut Det PCR | $714.00 |
| .BO MRSA Screen Blood PCR | $185.00 |
| .BO MRSA Screen PCR | $185.00 |
| .BO Mycobacteria ID Biochemical | $69.00 |
| .BO Mycobacteria ID DNA Probe | $106.00 |
| .BO MYD-88 | $853.00 |
| .BO Next Generation | $2,646.00 |
| .BO NPM1 Mutation PCR | $691.00 |
| .BO Organism ID by DNA Probe | $106.00 |
| .BO OT Initial Evaluation Low | $384.00 |
| .BO OT Initial Evaluation Moderate | $384.00 |
| .BO OT Re Evaluation | $252.00 |
| .BO PML RARA T(15 17) Quant | $1,094.00 |
| .BO Quest | $14.00 |
| .BO Stat Lab Charge After Hours | $32.00 |
| .BO Stat Lab Service Charge | $16.00 |
| .BO T Cell Beta | $1,118.00 |
| .BO T Cell Gamma Gene Rearrange | $1,118.00 |
| .BO Travel Fee Flat Rate | $11.00 |
| .BO Travel Fee Per Mile | $13.00 |
| .BO Treatment Swallowing Dysfunction | $226.00 |
| .BO Unlisted Cytopathology | $241.00 |
| .BO Venipuncture Charge | $14.00 |
| .Brazil Nut Component-Quest | $26.00 |
| .C. Diff Cult w/Refl Toxin B,PCR -Quest | $35.00 |
| .C. Diff Toxin B, Ql RT PCR -Quest | $185.00 |
| .Cashew Nut Component-Quest | $26.00 |
| .Creatinine, Random Urine -Quest | $27.00 |
| .Cryoglobulin Reflex -Quest | $30.00 |
| .Cryptococcal Ag Latex Titer -Quest | $56.00 |
| .DNA (ds) Antibody -Quest | $46.00 |
| .DRVVT 1:1 Mix -Quest | $51.00 |
| .DRVVT Confirm -Quest | $95.00 |
| .Echinococcus Ab (IgG), WB -Quest | $69.00 |
| .Estradiol-Quest | $147.00 |
| .Factor V HR2 Allele-Quest | $304.00 |
| .Free PSA-Quest. | $60.00 |
| .Glucose 2 Hour. | $45.00 |
| .Glucose 3 Hour (OB). | $21.00 |
| .Glucose Baseline (OB). | $68.00 |
| .Glucose, Synovial Fluid -Quest | $15.00 |
| .Hazelnut Component Panel-Quest | $95.00 |
| .Hexagonal Phase Confirm -Quest | $95.00 |
| .HIV 1/2 Ag/Ab, 4th Gen w/Rfl -Quest | $127.00 |
| .HPV Genotypes 16 and 18 -Quest | $193.00 |
| .HSV 1 IgM Titer -Quest | $70.00 |
| .HSV 2 IgM Titer -Quest | $102.00 |
| .HSV2 IgG Inhibition,Elisa-Quest | $102.00 |
| .HTLV I/II Confirmation-Quest | $170.00 |
| .HU Ab Titer, Serum -Quest | $64.00 |
| .HU Ab,Western Blot,Serum -Quest | $90.00 |
| .Immunoglobulin A -Quest | $49.00 |
| .Influenza Virus A/B RNA, Ql RT PCR -Quest | $455.00 |
| .Lactic Acid Sepsis Reflex. | $56.00 |
| .Lead, Blood -Quest | $64.00 |
| .Lyme Ab Scr w/Rflx to Blot -Quest | $90.00 |
| .Lyme Ab Screen -Quest | $90.00 |
| .Mitochondrial Ab Titer -Quest | $64.00 |
| .Neuronal Nuclear Ab Type 3 (Anna 3), Titer -Quest | $64.00 |
| .Ova and Parasite Direct. | $47.00 |
| .Paraneoplastic Ab Eval w/Rflx CSF-Quest | $500.00 |
| .Paraneoplastic Ab,CBA/IFA -Quest | $64.00 |
| .Parietal Cell Ab Titer -Quest | $64.00 |
| .Partial Thromboplastin Time, Activated -Quest | $32.00 |
| .Post TXN ABO/Rh. | $16.00 |
| .Post TXN Antibody Screen Gel. | $46.00 |
| .Post TXN DAT. | $28.00 |
| .Protein,Total,Synovial Fluid -Quest | $19.00 |
| .Purkinje Cell Cyto Ab Type 2 Titer -Quest | $64.00 |
| .R. Typhi IgG Titer -Quest | $102.00 |
| .R. Typhi IgM Titer -Quest | $102.00 |
| .Reflex Sickle Cell Screen-Quest. | $20.00 |
| .Rheumatoid Factor Titer. | $30.00 |
| .RMSF IgG Titer -Quest | $102.00 |
| .RMSF IgM Titer -Quest | $102.00 |
| .Serum Immunofixation-Quest | $95.00 |
| .Smooth Muscle Ab Titer -Quest | $64.00 |
| .Stratify JCV Inhibition Assay (QST) | $1,343.00 |
| .Striated Muscle Ab Titer -Quest | $56.00 |
| .Thrombin Clotting Time -Quest | $30.00 |
| .Troponin-I. | $59.00 |
| .Viral ID, Respiratory (QST) | $42.00 |
| .Vit B12 Binding Capacity, Unsat -Quest | $76.00 |
| 020292301 Sep Pressure Monit Dome | $110.00 |
| 0238t Transluminal Perip Athrc Iliac Art | $72,562.00 |
| 10MM TI CANN TIBIAL NAIL WITH SYNTHES TRAUMA 04.034.437S | $5,417.00 |
| 10MM TI CANN TIBIAL NAIL WITH SYNTHES TRAUMA 04.034.458S | $5,417.00 |
| 11100 Biopsy of skin, subcutaneous tissue and/or mucous membrane, single lesion | $248.00 |
| 11-Deoxycortisol,LC/MS/MS -Quest | $161.00 |
| 12 LEAD EKG-TRACING ONLY | $501.00 |
| 14.3.3 ETA Protein -Quest | $82.00 |
| 17 Hydroxypregnenolone, LC/MS/MS -Quest | $120.00 |
| 17 Hydroxyprogesterone, LC/MS/MS -Quest | $143.00 |
| 17 Ketosteroids w/Creat 24hr Urine-Quest | $68.00 |
| 17-D HYDROXYPROGESTERONE | $143.00 |
| 17-Hydroxycort w/Creat 24Hr Urine -Quest | $92.00 |
| 1St Inc/Vent Hernia Incarcerated | $13,928.00 |
| 1St Inc/Vent Hernia Reducible | $13,928.00 |
| 1St Tri Nuchal Translucen | $504.00 |
| 200120 Estech Venous 29Fr | $110.00 |
| 21 Hydroxylase Antibody -Quest | $87.00 |
| 23mm TA | $137,800.00 |
| 23mm TF | $137,800.00 |
| 24 Hr 16Ch EEG Cereb Seiz | $2,152.00 |
| 26mm TA | $137,800.00 |
| 26mm TF | $137,800.00 |
| 29mm TA | $137,800.00 |
| 29mm TF | $137,800.00 |
| 2D/M-Mode ECHO; Comp | $1,032.00 |
| 2D/M-Mode ECHO; Limit | $1,090.00 |
| 3.7MM CANNULATED CONICAL SCREW 25MM THREAD/85MM SYNTHES TRAUMA 02.240.285 | $583.00 |
| 3/8 8Ft Tubing (Caps) | $110.00 |
| 34711 Each additional vessel multi -> Access closure femoral artery | $2,520.00 |
| 34711 Each additional vessel multi -> aorto-bifemoral prosthesis | $7,766.00 |
| 34711 Each additional vessel multi -> aorto-bi-iliac prosthesis | $7,549.00 |
| 34711 Each additional vessel multi -> Expose brachial artery for endograft | $5,517.00 |
| 34711 Each additional vessel multi -> Expose fem artery for endograft | $5,517.00 |
| 34711 Each additional vessel multi -> Fem-Fem bypass during endo AAA repair | $8,540.00 |
| 34711 Each additional vessel multi -> Open femoral create conduit | $7,480.00 |
| 34711 Each additional vessel multi -> Open iliac by abd incision, unilat. | $7,115.00 |
| 34711 Each additional vessel multi -> Open iliac/create conduit/by unilat. by abd. Incision | $9,111.00 |
| 34711 Each additional vessel multi -> Open repair aneurysm/dissection - using tube prosthesi | $7,332.00 |
| 34711 Each additional vessel multi -> Placement of iliac artery occlusive device | $3,491.00 |
| 37 PHASE | $46.00 |
| 415804 4mm RA Cor Perf | $110.00 |
| 415805 5mm RA Cor Perf | $110.00 |
| 415806 6mm RA Cor Perf | $110.00 |
| 415807 7mm RA Cor Perf | $110.00 |
| 52 IFR additional | $1,477.00 |
| 52 IFR Initial Vessel | $1,847.00 |
| 5-HIAA 24 Hour Urine -Quest | $68.00 |
| 5-HIAA 24 Hour Urine w/Creat-Quest | $68.00 |
| 5'Nucleotidase -Quest | $59.00 |
| 6 MMPN | $114.00 |
| 6 MTGN | $114.00 |
| 71020 Chest 2 Views Frontal And Lateral | $294.00 |
| 85374 Activated clotting time | $22.00 |
| 93294 Pm Dev Interrog Remote 90 Days | $166.00 |
| 93295 Icd Dev Interrog Remote 90 Days | $166.00 |
| 93297 Icm Dev Interog Remote 30 Days | $166.00 |
| 93298 Irl Dev Interog Remote 30 Days | $166.00 |
| 97014 PT E Stim Unattended -> Yes | $187.00 |
| 97127 OT Cognitive Therapy 15 Min | $155.00 |
| 97762 OT Ortho/Prostethic Check 15 Min | $155.00 |
| 97762 PT Orth/Prosth Check Out (15 Min) | $169.00 |
| A 2 MACROGLOBULIN | $72.00 |
| A. Phagocytophilum IgG (QST) | $54.00 |
| A. Phagocytophilum IgG (QST) | $54.00 |
| A. Phagocytophilum IgM (QST) | $54.00 |
| A. Phagocytophilum IgM (QST) | $54.00 |
| A. Pullulans IgG (QST) | $37.00 |
| A.Phagocytophilum PCR-QST | $384.60 |
| A4 FLA2 IgG AB | $82.00 |
| AAL S&S Line | $110.00 |
| Abd Hyster W/Wo Rem Tube Ovary | $4,084.00 |
| ABD PAD | $111.00 |
| ABD PARACENTESIS | $3,599.00 |
| Abd Paracentesis | $3,599.00 |
| Abd Paracentesis W/Guidance | $3,599.00 |
| ABD PARACENTESIS W/IMAGIN | $3,599.00 |
| Abdomen Limited Or Follow-Up | $532.00 |
| Abdominal Endovascular -> Addtl extension to initial | $3,724.00 |
| Abdominal Endovascular -> Aortic bi iliac endograft | $10,171.00 |
| Abdominal Endovascular -> Aortic bi iliac endograft with rupture | $13,388.00 |
| Abdominal Endovascular -> Aortic uni iliac endograft | $9,647.00 |
| Abdominal Endovascular -> Aortic uni iliac endograft with rupture | $12,864.00 |
| Abdominal Endovascular -> Endarterectomy with patch angioplasty | $5,517.00 |
| Abdominal Endovascular -> Endograft aortic aortic | $9,423.00 |
| Abdominal Endovascular -> Endograft aortic aortic with rupture | $12,641.00 |
| Abdominal Endovascular -> Fem-Fem bypass graft w/other than vein | $8,540.00 |
| Abdominal Endovascular -> Ilio iliac endograft | $9,647.00 |
| Abdominal Endovascular -> Ilio iliac endograft with rupture | $12,863.00 |
| Abdominal Endovascular -> Prox distal extension graft | $8,817.00 |
| Abdominal paracentesis (diagnostic or therapeutic) with image guidance | $3,599.00 |
| Abdominal paracentesis (diagnostic or therapeutic) without image guidance | $3,599.00 |
| ABG Draw Attempted -> Yes | $503.00 |
| ABG Sample Collected -> Yes | $124.00 |
| Ablate Atria W/Bypass Add On | $3,630.00 |
| Ablate Atria, Lmtd Add On | $2,570.00 |
| Ablate Renal Tumor Uni Perc Cryotherapy | $36,585.00 |
| Ablation -> 2nd Pathway SVT/A-flutter/VT (+ for 93653,93654, | $18,501.00 |
| Ablation -> Additional A-fib (with isolation of pulm. vein) | $26,441.00 |
| Ablation -> A-fib | $90,800.00 |
| Ablation -> AV node (cannot bill for mapping) | $24,089.00 |
| Ablation -> SVT/A-flutter | $90,800.00 |
| Ablation -> VT | $90,800.00 |
| Ablation Bone Tumors W/Ct | $25,517.00 |
| Ablation Liver | $21,719.00 |
| Ablation Liver Tumor by Ethanol Injection (w/EUS) | $2,594.00 |
| Ablation, One Or More Ren | $21,719.00 |
| Ablation,Cryosurg,Of Fibroadenoma | $12,607.00 |
| Ablative fractionated laser resurfacing w/Cortex C02 laser | $834.00 |
| Ablative fractionated laser resurfacing w/Ultrapulse C02 laser | $834.00 |
| Ablative laser resurfacing | $834.00 |
| Abortion Missed Comp Surgical 1St Trim | $11,159.00 |
| ABSC Method -> AHG | $46.00 |
| ABSC Method -> IS | $46.00 |
| ABSC Method -> IS and AHG | $46.00 |
| ABSC Method -> IS, 37, and AHG | $46.00 |
| Absolute CD4 CD8 | $229.00 |
| ABSORB CTR-Abbott Tr Xience Device | $2,485.00 |
| ABSORB STR-Abbott Tr BVS Device | $3,727.00 |
| ABTHERA OPEN ABDOMEN DRESSING NEGATIVE PRESSURE THERAPY KCI KINETIC CONCEPTS INC M8275026/5.S | $1,472.00 |
| AC Seperation splint- Large | $146.00 |
| AC Seperation splint- Medium | $95.00 |
| AC Seperation splint- Small | $76.00 |
| Accutype(R) IL28B -Quest | $393.00 |
| Acetaminophen Level. | $184.00 |
| Acetone. | $43.00 |
| Acetylchol Receptor Ganglionic Ab -Quest | $87.00 |
| Acetylchol Receptor Modulating Ab -Quest | $87.00 |
| Acetylcholine Receptor Binding Ab -Quest | $87.00 |
| Acetylcholine Receptor Blocking Ab-Quest | $87.00 |
| Achieve Mapping Cath | $2,576.00 |
| AChR Binding Ab (QST) | $87.00 |
| AChR Binding Ab (QST) | $87.00 |
| AChR Binding Ab (QST) | $87.00 |
| AChR Binding Ab (QST) | $87.00 |
| AChR Blocking Ab (QST) | $87.00 |
| AChR Blocking Ab (QST) | $87.00 |
| AChR Ganglionic Ab (QST) | $87.00 |
| AChR Modulating Ab (QST) | $87.00 |
| AChR Modulating Ab (QST) | $87.00 |
| Acid Fast Stain Report | $28.00 |
| Acne Surgery | $790.00 |
| Acoustic Reflex | $144.00 |
| Acromiectomy Total | $11,745.00 |
| Acromioclav Jts Bilat Xray | $294.00 |
| ACTH, Plasma -Quest | $138.00 |
| Actigraphy Testing Interp & Report | $250.00 |
| Actin (Smooth Muscle) Ab (IgG) (QST) | $42.00 |
| Actin (Smooth Muscle) Ab (IgG) -Quest | $42.00 |
| Actinotherapy | $144.00 |
| Activated clotting time | $22.00 |
| Acute Hepatitis Panel Reflex HCV RNA. | $549.00 |
| Acute Hepatitis Panel. | $251.00 |
| Acylcarnitine Plasma-Quest | $89.00 |
| Adalimumab ADA-IBD-QST | $82.00 |
| Adalimumab Level (IBD)-Quest | $89.00 |
| Adalimumab Level (Rheum)-Quest | $89.00 |
| Adalimumab lvl-IBD-QST | $89.00 |
| Adalimumab lvl-Rheum-QST | $89.00 |
| ADAMTS13 Activity w/ Reflex Inhib -Quest | $147.00 |
| ADAPTER PD TITANIUM BAXTER INTERNATIONAL INC 5C4129 | $779.00 |
| Adaptic Dressing | $136.00 |
| Add 2nd or 3rd order w/in vasc fam | $1,391.00 |
| Add 2nd or 3rd order w/in vasc fam | $1,391.00 |
| Additional 2nd or 3rd | $1,391.00 |
| Additional PTA artery open or perc | $12,663.00 |
| Additional PTA open or perc. | $12,663.00 |
| Additional selective angiography | $1,650.00 |
| Additional venous PTA | $11,305.00 |
| Additional Visualizations -> Abdominal angiogram | $12,891.00 |
| Additional Visualizations -> Abdominal angiogram w run-off | $13,078.00 |
| Additional Visualizations -> Angio extremity unilateral LEFT | $12,483.00 |
| Additional Visualizations -> Angio extremity unilateral RIGHT | $12,483.00 |
| Additional Visualizations -> Angio, extremity bilateral | $12,891.00 |
| Additional Visualizations -> Bilateral renal angio 1st order | $12,483.00 |
| Additional Visualizations -> Bilateral renal angio 2nd/3rd order | $12,483.00 |
| Additional Visualizations -> Iliac angio with cardiac cath | $6,324.00 |
| Additional Visualizations -> Pelvic angiogram | $20,682.00 |
| Additional Visualizations -> Renal angio with cardiac cath | $691.00 |
| Additional Visualizations -> Thoracic aortogram | $20,682.00 |
| Additional Visualizations -> Unilatateral renal angio 1st order | $12,483.00 |
| Additional Visualizations -> Unilateral renal angio 2nd/3rd order | $20,682.00 |
| Adenoidectomy Primar Over 12 | $9,990.00 |
| Adenoidectomy Primar Under 12 | $10,544.00 |
| Adenoidectomy Second Over 12 | $9,990.00 |
| Adenoidectomy Second Under 12 | $9,990.00 |
| Adenosine Deaminase Pleural Fl -Quest | $38.00 |
| Adenovirus Ag Detect Gastro EIA -Quest | $63.00 |
| Adenovirus Antibody,Serum -Quest | $68.00 |
| Adenovirus Antigen, DFA -Quest | $69.00 |
| Adenovirus DNA, Ql Real Time PCR -Quest | $185.00 |
| ADH SKIN CLSR 2 OCTYL CYNCRLT ETHICON INC CLR222US | $416.00 |
| ADH SKIN CLSR 2 OCTYL CYNCRLT ETHICON INC CLR602US | $416.00 |
| Adj Tis Tra Fc Nk Hd Ft 10 cm< | $6,935.00 |
| Adj Tis Tran Ey Nd Lp 10.1-30 cm | $6,935.00 |
| Adj Tis Tran Scl Ar Lg 10 cm< | $6,935.00 |
| Adj Tis Trans Ey Nd Lp 10 cm< | $6,935.00 |
| Adj Tis Trans Fc Nk Hd Ft 10.0-30 cm | $6,935.00 |
| Adj Tis Trans Scl Ar Lg 10.1-30 cm | $6,935.00 |
| Adj Tis Trans Trk 10.1-30 cm | $6,935.00 |
| Adj Tis Trans Trk 10cm Or Less | $6,935.00 |
| Adj Tiss Trnsfr 30.1-60 sq cm | $12,384.00 |
| Adj/Rev Ext Fix Sys W Anes | $25,517.00 |
| Adm Flu Vaccine | $179.00 |
| ADM IMMUNIZATION;EA ADDL ( | $41.00 |
| Adm Pneumococcal Vaccine | $190.00 |
| ADmark ApoE Genotype and Interp -Quest | $623.00 |
| ADMIN FLU VACCINE | $179.00 |
| Admin Hep B Vaccine | $179.00 |
| ADMIN IMMUNIZATN EA ADD'L | $41.00 |
| Admin Rhogam Injection | $282.00 |
| ADMIN VACCINE SINGLE | $282.00 |
| ADPTR CATH 15CM 14FR FL DRN COOK GROUP INC G15030 | $112.00 |
| Adrenal Ab Titer-QST | $64.00 |
| Adrenal Ab-QST | $64.00 |
| Adv Post Tib Tend W Exc Nav Bo | $25,517.00 |
| AEROSOL/VAPOR INHALATION | $278.00 |
| Aerosol/Vapor Inhalation | $278.00 |
| AEROSOL/VAPOR INHALATION ( | $278.00 |
| AFP amniotic | $46.00 |
| Afterhours/ED Dialyzed Charge -> Yes | $2,891.00 |
| AG040108005 A 8 M-F Line | $110.00 |
| AG04018000a M-M Connector | $110.00 |
| AG041210002A Stopcock | $110.00 |
| AG041500503A Transducer | $110.00 |
| Agile Patency Test | $609.00 |
| AGNA/SOX1 Ab, IFA (QST) | $64.00 |
| AHG PHASE | $46.00 |
| AIPL Nerve Morph Analysis (TECH) | $241.00 |
| AIPL SS Histochem Frozen (TECH) | $505.00 |
| AIR AMBULANCE MILEAGE | $277.00 |
| AIR AMBULANCE TRANSPORT | $22,203.00 |
| Air And Bone | $609.00 |
| Air Cast Splint | $369.00 |
| Air conduction | $503.00 |
| Air Mask | $90.00 |
| Alanine Aminotransferase | $28.00 |
| Alanine Aminotransferase | $28.00 |
| Alanine aminotransferase. | $28.00 |
| Albumin Level | $26.00 |
| Albumin Level | $26.00 |
| Albumin Level | $26.00 |
| Albumin Level | $26.00 |
| Albumin Level 24 Hour Urine. | $30.00 |
| Albumin Level Body Fluid. | $37.00 |
| Albumin Level. | $26.00 |
| Albumin, Fluid | $37.00 |
| Albumin, Pleural Fluid -Quest | $37.00 |
| Albumin, Serum | $26.00 |
| Albumin, Serum (QST) | $26.00 |
| Alcohol Level, Legal. | $202.00 |
| Alcohol Level. | $184.00 |
| Alcohol, Isopropyl (Bld)-Quest | $106.00 |
| Aldolase -Quest | $51.00 |
| Aldosterone, 24-Hour (U) -Quest | $215.00 |
| Aldosterone, LC/MS/MS (QST) | $215.00 |
| Aldosterone, LC/MS/MS -Quest | $215.00 |
| Alere pbp2 | $27.00 |
| A-Line Kit | $106.00 |
| A-Line Kit, Femoral | $98.00 |
| Alk Phos, Bone Specific -Quest | $27.00 |
| Alkaline Phosphatase | $27.00 |
| Alkaline Phosphatase | $27.00 |
| Alkaline Phosphatase Isoenzymes | $78.00 |
| Alkaline Phosphatase Isoenzymes -Quest | $27.00 |
| Alkaline Phosphatase. | $27.00 |
| All Medtronic pacing leads | $1,552.00 |
| All Medtronic Performa Quadpole Lead | $7,200.00 |
| All Medtronic RV defibrillation leads | $11,000.00 |
| All Medtronic RV defibrillator leads | $11,000.00 |
| All Medtronic Star Fix LV Leads | $5,580.00 |
| All St Jude Pacing Leads | $1,728.00 |
| All St Jude RV defibrillation leads | $18,000.00 |
| All St. Jude LV Leads | $6,800.00 |
| All St. Jude RV Defib Leads | $18,000.00 |
| Allergen (IgG) EIA-Watermelon-QST | $28.00 |
| Allergen Gluten IgG-Quest | $85.00 |
| Allergen Immunoassay | $28.00 |
| Allergen Melon IgG-Quest | $85.00 |
| Allergen Mulberry Red Tree IgE-QST | $74.00 |
| Allergen Panel Nut Mix | $25.00 |
| Allergen Pepper Jalpeno IgE-Quest | $90.00 |
| Allergen Specific IgE Annatto Seed-Quest | $90.00 |
| Allergen Specific IgE Bay Leaf-Quest | $90.00 |
| Allergen Specific Ige Bran Wheat-Quest | $28.00 |
| Allergen Specific IgE Haddock -Quest | $28.00 |
| Allergen Specific IgE Pinto Bean -Quest | $28.00 |
| Allergen Specific IgE Sugar Cane - QST | $74.11 |
| Allergen Specific IgE Tilapia-Quest | $90.00 |
| Allergen Specific IgE W. Hickory-Quest | $91.00 |
| Allergen Specific IgE Whitefish -Quest | $28.00 |
| Allergen Specific IgG Latex -Quest | $37.00 |
| Allergen Walnut Food English IgE-QST | $74.00 |
| Allergens Child Panel | $17.00 |
| Allergens Food Panel | $22.00 |
| Allergens Regional Panel | $17.00 |
| Allergy Evaluation 1, Northeast-Quest | $24.00 |
| Allergy FOOD Profile | $23.16 |
| Allergy Intra Test Immed Reaction | $250.00 |
| Allergy Mold Panel | $23.00 |
| Allergy Mold Pnl, Complete-Quest | $23.00 |
| Allergy Panel 11, Mold Group -Quest | $28.00 |
| Allergy Panel 14, Pediatric Group -Quest | $28.00 |
| Allergy Panel 15 Cereal Group | $24.00 |
| Allergy Panel 15, Cereal Group-Quest | $24.00 |
| Allergy Panel 16 Veg Group | $24.00 |
| Allergy Panel 16, Vegetable Group-Quest | $24.00 |
| Allergy Panel 17 Salad Group | $23.00 |
| Allergy Panel 17, Salad Group-Quest | $23.00 |
| Allergy Panel 18, Nut Mix Group-Quest | $25.00 |
| Allergy Panel 19, Seafood Group -Quest | $28.00 |
| Allergy Panel Each Allergen | $27.00 |
| Allergy Panel Northeast | $24.00 |
| Allergy Panel, Animal Group -Quest | $28.00 |
| Allergy Panel, Region 1, Grasses -Quest | $28.00 |
| Allergy Panel, Region 1, Trees -Quest | $28.00 |
| Allergy Panel, Region 1, Weeds -Quest | $28.00 |
| Allergy Panel, Tree Nut-Quest | $27.00 |
| ALLODERM TISS 20X16CM 4-1.6MM ALLERGAN INC 1518320 | $131.00 |
| ALLOGRAFT BONE MATRIX 5CC BIO4 STRYKER ORTHOPEDICS 3102-2105 | $12,120.00 |
| ALLOGRAFT LEFT TALUS FRESH NEEDS REFRIGERATION LIFENET NWATL80 | $25,600.00 |
| Allograft/Spine Sur Struc | $3,287.00 |
| ALLOPATCH HD THICK 5X5CM HYDRATED MUSCULOSKELETAL TRANSPLANT FOU 471505 | $230.00 |
| ALLOPATCH HD THIN 5X5CM HYDRATED MUSCULOSKELETAL TRANSPLANT FOU 470505 | $191.00 |
| Allspice (f339) IgE-Quest | $23.00 |
| Almond (f20) IgE -Quest | $28.00 |
| Alpha Fetoprotein, Tumor Marker -Quest | $89.00 |
| Alpha Galactosidase,S -Quest | $105.00 |
| Alpha Glob Common Mutat Analysis -Quest | $486.00 |
| Alpha Subunit-Quest | $75.00 |
| Alpha-1 Antitrypsin Mut Analysis -Quest | $230.00 |
| Alpha-1 Antitrypsin Phenotype -Quest | $76.00 |
| Alpha-1 Antitrypsin Qn -Quest | $71.00 |
| Alpha-1 Antitrypsin, Feces Random-Quest | $71.00 |
| Alpha-Fetoprotein and AFP-L3 -Quest | $340.00 |
| Alpha-Fetoprotein,CSF-Quest | $106.00 |
| Alpha-Lactalbumin (f76) IgE-Quest | $95.00 |
| ALS EMERGENCY TRANSPORT | $2,266.00 |
| ALS INTERCEPT NON TRANSP | $249.00 |
| ALS LEVEL 2 TRANSPORT | $2,489.00 |
| ALS NON-EMERGENCY TRANSPT | $2,062.00 |
| Alternaria Alternata (m6) IgE -Quest | $28.00 |
| Alternaria Tenuis IgG (QST) | $37.00 |
| Aluminum Splint | $76.00 |
| Alvoelectomy Inc Cur Osteitis | $9,990.00 |
| Alys Cplx Cn Npgt Prgrmg | $526.00 |
| AMBULANCE RESPONSE & TX | $216.00 |
| AMBULATORY SURGICAL BOOT | $92.00 |
| AMI Intervention | $55,840.00 |
| Amikacin Level Peak-RHMC. | $66.00 |
| Amikacin Level Trough-RHMC. | $66.00 |
| Amikacin Level-RHMC. | $66.00 |
| Amino Acid Analysis, LC/MS Plasma -Quest | $89.00 |
| Aminocentesis, Reduction | $1,222.00 |
| Amiodarone -Quest | $52.00 |
| Amitriptyline -Quest | $58.00 |
| Ammonia Level. | $77.00 |
| Amniocentesis Any Method | $2,498.00 |
| Amniotic membrane placed with tissue glue | $8,583.00 |
| Amoxicillin (c6) IgE -Quest | $28.00 |
| Amp Ft Transmetatarsal | $11,745.00 |
| Amphetamine Screen Urine. | $307.00 |
| Amphiphysin Ab, IFA (QST) | $64.00 |
| Ampicillin | $25.00 |
| Ampicillin | $25.00 |
| Amplatzer PFO occluder | $39,980.00 |
| Amplatzer sizing occluder (St. Jude) | $39,980.00 |
| Amplatzer vascular plug | $3,392.00 |
| Amputate Arm/Humer 2Ndry Close | $11,745.00 |
| Amputate Leg Thru Tib & Fibula | $3,903.00 |
| Amputate Metacarp W Phal Sngl | $11,745.00 |
| Amputate Metatarsal W Toe Sing | $12,397.00 |
| Amputate Thigh Thru Femur | $4,030.00 |
| Amputate Tib-Fib 2Ndry Closure | $11,745.00 |
| Amputate Toe Interphalangeal | $12,397.00 |
| Amputate Toe Metatar- Sophlangeal Jt | $12,397.00 |
| AMPUTATION FGR/TMB DIR CL | $12,397.00 |
| Amputation Finger Sing With Flaps | $11,745.00 |
| Amputation Finger Single | $12,397.00 |
| Amputation Penis Partial | $13,104.00 |
| Amputation Secondary Closure | $11,745.00 |
| Amputation Thigh Sec Closure | $11,745.00 |
| AMPUTATION;TOE;MP JOINT | $12,397.00 |
| Amylase Level Body Fluid. | $34.00 |
| Amylase Level Urine. | $34.00 |
| Amylase Level. | $34.00 |
| ANA Multiplex w/rflx Cascade-Quest | $64.00 |
| ANA Screen with reflex to Titer. | $64.00 |
| ANA Screen, IFA (QST) | $64.00 |
| ANA Titer (QST) | $59.00 |
| ANA Titer (QST) | $59.00 |
| Anachoice Scr-QST | $64.00 |
| Analysis Of Neuroreceiver | $477.00 |
| Analysis Sp Inf Pmp W/Reprg&Fill | $1,255.00 |
| Analyze Spine Infus Pump | $1,255.00 |
| Analyze Spine Infus Pump | $1,255.00 |
| Anaplasma Phagocytophilum Ql PCR-QST | $485.00 |
| Anastomosis Intes Ip | $1,749.00 |
| ANC SUT CRKSCREW 4.5X14.3MM | $792.00 |
| ANC SUT CRKSCREW 5.5X16.3MM | $1,080.00 |
| ANCA Screen (QST) | $79.00 |
| ANCA Screen (QST) | $79.00 |
| ANCA Screen (QST) | $79.00 |
| ANCH SUT 2.9MM 2 BIORAPTOR SMITH & NEPHEW PLC 72200775 | $1,035.00 |
| ANCH SUT 4.75MM SWIVLCK CLS | $1,447.00 |
| ANCH SUT 5.5MM 2 FTHRD CRKSCRW ARTHREX INC AR-1927BCF | $1,447.00 |
| ANCH SUT 5MM 2 TFX AB ULBRD SMITH & NEPHEW PLC 72200777 | $1,035.00 |
| ANCH SUT 6.5MM 2 TFX ULBRD ABS SMITH & NEPHEW PLC 72200779 | $1,035.00 |
| ANCHOR MINI CORKSCREW SUTURE WITH #2 FIBERWIRE ARTHREX INC AR-1319FT | $1,035.00 |
| ANCHOR SUT PEEK TRI PLAY ARTHREX INC AR-1927PSF-3 | $1,080.00 |
| ANCHOR SUT ULTRAFIX 1.5MM LINVATEC LINVATEC CORP 10301 | $1,133.00 |
| ANCHOR SUT W/ WIRE NO 2 5.5X15 BIOCORKSCREW ARTHREX INC AR-1927BF | $1,140.00 |
| ANCHOR SUT W/NEEDLE 3.5X12MM CORKSCREW SZ 0 FIBERWIRE ARTHREX INC AR-1915SNF | $792.00 |
| ANCHOR SUTURE 3.5X14.8MM BIOCOMPOSITE SWIVELOCK ARTHREX INC AR-2325BCC | $1,447.00 |
| ANCHOR SUTURE 4.75X19.1MM SWIVELOCK ARTHREX ARTHREX INC AR-2324BCC | $1,447.00 |
| ANCHOR SUTURE 4.75X19.1MM W/FIBER TAPE C VENTED ARTHREX INC AR-2324BCCT | $1,786.67 |
| ANCHOR SUTURE 4.75X19.1MM WHITE STRIPED TIGER TAPE LOOP ARTHREX INC AR-2324BCCTT | $1,851.00 |
| ANCHOR SUTURE 4.75X22MM SZ2 | $1,447.00 |
| ANCHOR SUTURE BIOCOMPOSITE 2#0 SMALL JOINT SUTURETAK ARTHREX INC AR-8934BCNF-00 | $1,447.00 |
| ANCHOR SUTURE PEEK CORKSCREW 4.5MM ARTHREX INC AR-1927PSF-45 | $1,080.00 |
| ANCHOR SUTURE PUSHLOCK 2.9MM BIOCOMPOSITE ARTHREX INC AR-1923BC | $1,447.00 |
| ANCHOR SUTURE PUSHLOCK 8MM BIOCOMPOSITE 2.5 ARTHREX INC AR-8825B | $1,447.00 |
| Androstenedione, LC/MS/MS -Quest | $155.00 |
| Anesthesia Service Site -> ASA | $791.00 |
| Anesthesia Time Base Manual Entry | $2,000.00 |
| Angio Etremity Bilater Super & Interp | $12,891.00 |
| Angio Pelvis Selec Super & Interp | $20,682.00 |
| Angio Pulm Rad S&I Bilateral | $13,078.00 |
| Angio Pulm Rad S&I Unilat | $13,078.00 |
| Angio Pulmonary Nonselect Super & Interp | $5,168.00 |
| Angio Selec Each Add Vessel | $1,650.00 |
| Angio Selec Each Add Vessel | $1,650.00 |
| Angio Thru Existing Cath For F/U Study | $5,168.00 |
| Angiography Visceral | $20,682.00 |
| Angiography, Exttrem Unilat S&I | $12,483.00 |
| Angiography/Spinal, Selective | $19,594.00 |
| AngioGuard | $9,531.00 |
| Angioguard 6x180 R C2R | $5,590.00 |
| Angioguard 7 x 180 R C2R | $5,590.00 |
| Angioguard Crest 2 | $6,520.00 |
| Angiojet AVX OTW | $1,872.00 |
| Angiojet Omni | $5,658.00 |
| Angiojet Proxy | $5,331.00 |
| Angiojet Spiroflex RX | $6,999.00 |
| Angiojet Spiroflex VG | $7,468.00 |
| Angiojet XMI OTW | $6,205.00 |
| AngioScore balloon | $4,343.00 |
| AngioScore balloon cat 1 | $3,535.00 |
| AngioScore balloon cat 2 | $3,867.00 |
| Angiotensin-1-Converting Enzyme -Quest | $77.00 |
| Ank Dsl Op W/Rep Internal Exter Fixation | $25,517.00 |
| Ankle Complete Minimum 3 Views | $294.00 |
| Ankle Disarticulation | $25,517.00 |
| Ankle Limited Fewer Than 3 Views | $294.00 |
| ANKLE SUPPORT | $188.00 |
| Anl Sp Inf Pmp W/Mdreprg&Fil | $1,255.00 |
| ANNA1 (Hu) Ab, IFA (QST) | $64.00 |
| ANNA2 (Ri) Ab, IFA (QST) | $64.00 |
| ANNA3 Ab, IFA (QST) | $64.00 |
| Anoplasty, plastic operation for stricture; adult | $10,452.00 |
| Anorectal Exam | $10,452.00 |
| Anorectal Myomectomy | $10,452.00 |
| Anoscopy | $503.00 |
| Anoscopy | $10,452.00 |
| ANOSCOPY DIAGNOSTIC | $503.00 |
| Anoscopy For Biopsy | $4,387.00 |
| Anoscopy For Hemmor/Fulgur Lesion | $4,387.00 |
| Anoscopy performed | $503.00 |
| Anoscopy Removal Foreign Body | $3,335.00 |
| Anoscopy W Dilation | $4,387.00 |
| Anoscopy W/Rem Mult Tumor | $10,452.00 |
| Anoscopy/Remov Of Polyp | $10,452.00 |
| Anoscpy Inj Bulking Agent For Fecal Incont | $10,452.00 |
| Ant Tibial Tub Plasty Chond Pa | $26,935.00 |
| Anterior Instrumentation | $3,668.00 |
| Anterior Vitrectomy Manual | $8,583.00 |
| Anterior Vitrectomy Mechanical | $8,583.00 |
| ANTIBODY IDENTIFICATION | $1,130.00 |
| Antibody Screen. | $46.00 |
| Antibody Titer. | $27.00 |
| Anti-IgE IgG-Quest | $86.00 |
| Antimicrobial Combination Synergy 2 Drugs - QST | $25.00 |
| Anti-Mullerian Hormone,Female-Quest | $75.00 |
| Anti-Mullerian Hormone,Male-Quest | $75.00 |
| Antimyocardial Antibody Screen (QST) | $46.00 |
| Antimyocardial Antibody Titer (QST) | $38.00 |
| Antistreptolysin O Screen. | $30.00 |
| Antithrombin III Activity -Quest | $63.00 |
| Antithrombin III Activity. | $63.00 |
| Antithrombin III Antigen -Quest | $184.25 |
| ANTOURA TISSUE EXPANDER 600CC | $8,000.00 |
| Antrum Punc Maxillar Sinus | $923.00 |
| Aortic Valvplasty By Rplcmnt | $15,307.00 |
| Aorto Abdom W/Bil Iliofemoral Interp | $13,078.00 |
| Aortography Abdominal Super & Interp | $12,891.00 |
| Aortography Thoracic Sup & Interp | $20,682.00 |
| Aph ARBC ACDA AS1 LR | $684.00 |
| Aph ARBC ACDA AS1 LR 1 | $684.00 |
| Aph ARBC ACDA AS1 LR 2 | $684.00 |
| Aph ARBC ACDA AS1 LR Irr | $684.00 |
| Aph ARBC ACDA AS1 LR Irr 1 | $684.00 |
| Aph ARBC ACDA AS1 LR Irr 2 | $684.00 |
| Aph ARBC ACDA AS3 | $684.00 |
| Aph ARBC ACDA AS3 1 | $684.00 |
| Aph ARBC ACDA AS3 2 | $684.00 |
| Aph ARBC ACDA AS3 LR | $684.00 |
| Aph ARBC ACDA AS3 LR 1 | $684.00 |
| Aph ARBC ACDA AS3 LR 2 | $684.00 |
| Aph ARBC ACDA AS3 LR Irr | $684.00 |
| Aph ARBC ACDA AS3 LR Irr 1 | $684.00 |
| Aph ARBC ACDA AS3 LR Irr 2 | $684.00 |
| Aph ARBC ACDA AS3 LR Irr PlasAdd | $525.00 |
| Aph ARBC ACDA AS3 LR Irr PlasAdd 1 | $525.00 |
| Aph ARBC ACDA AS3 LR Irr PlasAdd 2 | $525.00 |
| Aph ARBC ACDA LR Irr PlasAdd | $525.00 |
| Aph ARBC ACDA LR Irr PlasAdd 1 | $525.00 |
| Aph ARBC ACDA LR Irr PlasAdd 2 | $525.00 |
| Aph ARBC CP2D AS3 1 | $684.00 |
| Aph ARBC CP2D AS3 2 | $684.00 |
| Aph ARBC CP2D AS3 LR 1 | $684.00 |
| Aph ARBC CP2D AS3 LR 2 | $684.00 |
| Aph ARBC CP2D AS3 LR Irr 1 | $684.00 |
| Aph ARBC CP2D AS3 LR Irr 2 | $684.00 |
| Aph DRBC ACDA AS1 LR | $2,953.00 |
| Aph DRBC ACDA AS1 LR 1 | $2,953.00 |
| Aph DRBC ACDA AS1 LR 2 | $2,953.00 |
| Aph DRBC ACDA AS1 LR Irr | $1,208.00 |
| Aph DRBC ACDA AS1 LR Irr 1 | $1,208.00 |
| Aph DRBC ACDA AS1 LR Irr 2 | $1,208.00 |
| Aph DRBC ACDA AS3 | $662.00 |
| Aph DRBC ACDA AS3 1 | $662.00 |
| Aph DRBC ACDA AS3 2 | $662.00 |
| Aph DRBC ACDA AS3 LR | $2,953.00 |
| Aph DRBC ACDA AS3 LR 1 | $2,953.00 |
| Aph DRBC ACDA AS3 LR 2 | $2,953.00 |
| Aph DRBC ACDA AS3 LR Irr | $1,208.00 |
| Aph DRBC ACDA AS3 LR Irr 1 | $1,208.00 |
| Aph DRBC ACDA AS3 LR Irr 2 | $1,208.00 |
| Aph DRBC ACDA AS3 LR Irr PlasAdd | $525.00 |
| Aph DRBC ACDA AS3 LR Irr PlasAdd 1 | $525.00 |
| Aph DRBC ACDA AS3 LR Irr PlasAdd 2 | $525.00 |
| Aph DRBC ACDA LR Irr PlasAdd | $525.00 |
| Aph DRBC ACDA LR Irr PlasAdd 1 | $525.00 |
| Aph DRBC ACDA LR Irr PlasAdd 2 | $525.00 |
| Aph DRBC CP2D AS3 1 | $662.00 |
| Aph DRBC CP2D AS3 2 | $662.00 |
| Aph DRBC CP2D AS3 LR 1 | $2,953.00 |
| Aph DRBC CP2D AS3 LR 2 | $2,953.00 |
| Aph DRBC CP2D AS3 LR Irr 1 | $1,208.00 |
| Aph DRBC CP2D AS3 LR Irr 2 | $1,208.00 |
| Aph Dv RBC ACDA AS1 LR | $596.00 |
| Aph Dv RBC ACDA AS1 LR 1 | $596.00 |
| Aph Dv RBC ACDA AS1 LR 2 | $596.00 |
| Aph Dv RBC ACDA AS1 LR Irr | $596.00 |
| Aph Dv RBC ACDA AS1 LR Irr 1 | $596.00 |
| Aph Dv RBC ACDA AS1 LR Irr 2 | $596.00 |
| Aph Dv RBC ACDA AS3 | $596.00 |
| Aph Dv RBC ACDA AS3 1 | $596.00 |
| Aph Dv RBC ACDA AS3 2 | $596.00 |
| Aph Dv RBC ACDA AS3 LR | $596.00 |
| Aph Dv RBC ACDA AS3 LR 1 | $596.00 |
| Aph Dv RBC ACDA AS3 LR 2 | $596.00 |
| Aph Dv RBC ACDA AS3 LR Irr | $596.00 |
| Aph Dv RBC ACDA AS3 LR Irr 1 | $596.00 |
| Aph Dv RBC ACDA AS3 LR Irr 2 | $596.00 |
| Aph Dv RBC ACDA AS3 LR Irr PlaAdd1 | $525.00 |
| Aph Dv RBC ACDA AS3 LR Irr PlaAdd2 | $525.00 |
| Aph Dv RBC ACDA AS3 LR Irr PlasAdd | $525.00 |
| Aph Dv RBC ACDA LR Irr PlasAdd | $525.00 |
| Aph Dv RBC ACDA LR Irr PlasAdd 1 | $525.00 |
| Aph Dv RBC ACDA LR Irr PlasAdd 2 | $525.00 |
| Aph Dv RBC CP2D AS3 1 | $596.00 |
| Aph Dv RBC CP2D AS3 2 | $596.00 |
| Aph Dv RBC CP2D AS3 LR 1 | $596.00 |
| Aph Dv RBC CP2D AS3 LR 2 | $596.00 |
| Aph Dv RBC CP2D AS3 LR Irr 1 | $596.00 |
| Aph Dv RBC CP2D AS3 LR Irr 2 | $596.00 |
| Aph Plt ACDA LR | $2,298.00 |
| Aph Plt ACDA LR <3 X log 11 | $2,298.00 |
| Aph Plt ACDA LR <3 X log 11 1 | $2,298.00 |
| Aph Plt ACDA LR <3 X log 11 2 | $2,298.00 |
| Aph Plt ACDA LR 1 | $2,298.00 |
| Aph Plt ACDA LR 2 | $2,298.00 |
| Aph Plt ACDA LR 3 | $2,298.00 |
| Aph Plt ACDA LR Irr | $2,953.00 |
| Aph Plt ACDA LR Irr <3 X log 11 | $2,953.00 |
| Aph Plt ACDA LR Irr <3 X log 11 1 | $2,953.00 |
| Aph Plt ACDA LR Irr <3 X log 11 2 | $2,953.00 |
| Aph Plt ACDA LR Irr 1 | $2,953.00 |
| Aph Plt ACDA LR Irr 2 | $2,953.00 |
| Aph Plt ACDA LR Irr 3 | $2,953.00 |
| Aph Plt ACDA LR Irr PlasRed | $2,953.00 |
| Aph Plt ACDA LR Irr PlasRed 1 | $2,953.00 |
| Aph Plt ACDA LR Irr PlasRed 2 | $2,953.00 |
| Aph Plt ACDA LR Irr PlasRed 3 | $2,953.00 |
| Aph Plt ACDA LR PlasRed | $2,298.00 |
| Aph Plt ACDA LR PlasRed 1 | $2,298.00 |
| Aph Plt ACDA LR PlasRed 2 | $2,298.00 |
| Aph Plt ACDA LR PlasRed 3 | $2,298.00 |
| Aph Plt ACDB LR | $2,298.00 |
| Aph Plt ACDB LR 1 | $2,298.00 |
| Aph Plt ACDB LR 2 | $2,298.00 |
| Aph Plt ACDB LR Irr | $2,953.00 |
| Aph Plt ACDB LR Irr 1 | $2,953.00 |
| Aph Plt ACDB LR Irr 2 | $2,953.00 |
| Aph Plt Washed LR | $2,298.00 |
| Aph Plt Washed LR 1 | $2,298.00 |
| Aph Plt Washed LR 2 | $2,298.00 |
| Aph Plt Washed LR Irr | $2,953.00 |
| Aph Plt Washed LR Irr 1 | $2,953.00 |
| Aph Plt Washed LR Irr 2 | $2,953.00 |
| Aph RBC ACDA AS1 LR | $2,953.00 |
| Aph RBC ACDA AS1 LR 1 | $2,953.00 |
| Aph RBC ACDA AS1 LR 2 | $2,953.00 |
| Aph RBC ACDA AS1 LR Irr | $1,208.00 |
| Aph RBC ACDA AS1 LR Irr 1 | $1,208.00 |
| Aph RBC ACDA AS1 LR Irr 2 | $1,208.00 |
| Aph RBC ACDA AS3 | $662.00 |
| Aph RBC ACDA AS3 1 | $662.00 |
| Aph RBC ACDA AS3 2 | $662.00 |
| Aph RBC ACDA AS3 LR | $2,953.00 |
| Aph RBC ACDA AS3 LR 1 | $2,953.00 |
| Aph RBC ACDA AS3 LR 2 | $2,953.00 |
| Aph RBC ACDA AS3 LR Irr | $1,208.00 |
| Aph RBC ACDA AS3 LR Irr 1 | $1,208.00 |
| Aph RBC ACDA AS3 LR Irr 2 | $1,208.00 |
| Aph RBC ACDA AS3 LR Irr PlasAdd | $525.00 |
| Aph RBC ACDA AS3 LR Irr PlasAdd 1 | $525.00 |
| Aph RBC ACDA AS3 LR Irr PlasAdd 2 | $525.00 |
| Aph RBC ACDA LR Irr PlasAdd | $525.00 |
| Aph RBC ACDA LR Irr PlasAdd 1 | $525.00 |
| Aph RBC ACDA LR Irr PlasAdd 2 | $525.00 |
| Aph RBC CP2D AS3 1 | $662.00 |
| Aph RBC CP2D AS3 2 | $662.00 |
| Aph RBC CP2D AS3 LR 1 | $2,953.00 |
| Aph RBC CP2D AS3 LR 2 | $2,953.00 |
| Aph RBC CP2D AS3 LR Irr 1 | $1,208.00 |
| Aph RBC CP2D AS3 LR Irr 2 | $1,208.00 |
| Aphakic Hard Lens Monocular | $1,559.00 |
| API Gram Negative Identification | $43.00 |
| Apicetomy Petrous Inc Rad Mast | $19,807.00 |
| Apixaban level -Quest | $403.00 |
| Apolipoprotein A1 (QST) | $100.00 |
| Apolipoprotein A1 -Quest | $100.00 |
| Apolipoprotein B (QST) | $100.00 |
| Apolipoprotein B (QST) | $96.00 |
| Apolipoprotein B -Quest | $100.00 |
| APP LL CAST WALK/AMBU | $1,113.00 |
| APP LL CAST BRACE | $1,113.00 |
| APP LONG LEG CAST | $1,113.00 |
| APP LONG LEG SPLINT | $636.00 |
| App Multiplane Unilater External Fixation | $5,880.00 |
| App Multiplane W Stereota | $68,958.00 |
| App Of Shrt Arm Splt, Dynamic | $477.00 |
| App Of Vasopneumatic Device | $419.00 |
| App Rigd Tot Cont Leg Cst | $1,113.00 |
| APP SHORT LEG CAST | $1,113.00 |
| APP SHORT LEG SPLINT | $636.00 |
| APP SL CAST WALK/AMBU | $1,113.00 |
| Appendectomy | $13,928.00 |
| Appendectomy W Other Maj Proc | $3,998.00 |
| APPL FINGER SPLINT STATIC | $264.00 |
| Appl Interdental Fixation Dev | $5,727.00 |
| Appl Multiplane Uni Ext Fix System | $50,631.00 |
| Appl Uniplane Uni Ext Fixation System | $26,935.00 |
| Apple (f49) IgE -Quest | $28.00 |
| APPLICAT LONG ARM SPLINT | $650.00 |
| APPLICAT SHORT ARM SPLINT | $503.00 |
| Application Halo Incl Rem Femoral | $11,745.00 |
| Application Of Tissue Glue | $8,583.00 |
| Application Removal Caliper/Tongs Ip | $5,880.00 |
| APPLIER CLIP 5MMX35CM WECK AUTO ENDO5 TELEFLEX INC AE05ML | $446.00 |
| APPLIER CLIP ERCA 20MED/LG ETHICON ETHICON INC ER320 | $446.00 |
| APPLIER CLIP LG ETHICON ENDO-SURGERY INC MCL20 | $216.00 |
| APPLIER CLIP MULTIPLE MD 11.5 ETHICON ENDO-SURGERY INC MCM20 | $216.00 |
| APPLIER CLIP MULTIPLE SM 23.8CM ETHICON ENDO-SURGERY INC MCS20 | $216.00 |
| APPLIER CLP LIG MED SH 9 3/8IN ETHICON ENDO-SURGERY INC MSM20 | $216.00 |
| APPLIER LIG ROT ENDOSCP 12MM ETHICON ENDO-SURGERY INC ER420 | $376.00 |
| APPLIER LIGAMAX ENDOCLIP 5MM ETHICON ENDO-SURGERY INC EL5ML | $652.00 |
| Apply Finger Splint Dynamic | $250.00 |
| Apply Interst Radiat Comp | $4,456.00 |
| Apricot (f237) IgE -QST | $28.00 |
| APTT (QST) | $32.00 |
| APTT (QST) | $60.00 |
| AQP4 (NMO- IgG) Autoantibody Test -Quest | $61.00 |
| Aqueous Shunt Extrac Reservoir | $16,298.00 |
| Ara h 1 (f422) (QST) | $95.00 |
| Ara h 2 (f423) (QST) | $95.00 |
| Ara h 3 (f424) (QST) | $95.00 |
| Ara h 8 (f352) (QST) | $95.00 |
| Ara h 9 (f427) (QST) | $95.00 |
| Arachidonic Acid (RHMC) | $118.00 |
| ARBC AS3 Deglyc LR | $1,248.00 |
| ARBC CP2D AS3 450 | $684.00 |
| ARBC CP2D AS3 450 LR | $684.00 |
| ARBC CP2D AS3 450 LR Irr | $684.00 |
| ARBC CP2D AS3 500 | $684.00 |
| ARBC CP2D AS3 500 LR | $684.00 |
| ARBC CP2D AS3 500 LR Irr | $684.00 |
| ARBC CP2D AS3 LR Irr PlasAdd | $525.00 |
| ARBC CPD 450 | $684.00 |
| ARBC CPD 450 LR | $684.00 |
| ARBC CPD 450 LR Irr | $684.00 |
| ARBC CPD 500 | $684.00 |
| ARBC CPD 500 LR | $684.00 |
| ARBC CPD 500 LR Irr | $684.00 |
| ARBC CPD 500 LR Irr PlasAdd | $525.00 |
| ARBC CPD 500 LR Irr PlasRed | $1,338.00 |
| ARBC CPD 500 LR PlasRed | $1,338.00 |
| ARBC CPD AS1 450 | $684.00 |
| ARBC CPD AS1 450 LR | $684.00 |
| ARBC CPD AS1 450 LR Irr | $684.00 |
| ARBC CPD AS1 500 | $684.00 |
| ARBC CPD AS1 500 LR | $684.00 |
| ARBC CPD AS1 500 LR Irr | $684.00 |
| ARBC CPD AS1 500 LR Irr PlasAdd | $525.00 |
| ARBC CPD AS5 450 | $684.00 |
| ARBC CPD AS5 450 LR | $684.00 |
| ARBC CPD AS5 450 LR Irr | $684.00 |
| ARBC CPD AS5 500 | $684.00 |
| ARBC CPD AS5 500 LR | $684.00 |
| ARBC CPD AS5 500 LR Irr | $684.00 |
| ARBC CPD AS5 500 LR Irr PlasAdd | $525.00 |
| ARBC CPD AS5 500 LR Irr PlasAdd | $525.00 |
| ARBC CPD AS5 Irr LV | $684.00 |
| ARBC CPD AS5 LR Irr LV | $684.00 |
| ARBC CPD AS5 LR LV | $684.00 |
| ARBC CPD AS5 LV | $684.00 |
| ARBC CPD LR Irr LV | $684.00 |
| ARBC CPD LR LV | $684.00 |
| ARBC CPD LR PlasAdd | $525.00 |
| ARBC CPD LV | $684.00 |
| ARBC CPDA1 450 | $684.00 |
| ARBC CPDA1 450 LR | $684.00 |
| ARBC CPDA1 450 LR Irr | $684.00 |
| ARBC CPDA1 450 LR Irr PlasAdd | $525.00 |
| ARBC CPDA1 450 PlasAdd | $525.00 |
| ARBC CPDA1 450 PlasRed | $684.00 |
| ARBC CPDA1 500 | $684.00 |
| ARBC CPDA1 500 LR | $684.00 |
| ARBC CPDA1 500 LR Irr | $684.00 |
| ARBC CPDA1 500 LR Irr PlasRed | $684.00 |
| ARBC CPDA1 500 LR PlasAdd | $525.00 |
| ARBC CPDA1 500 LR PlasRed | $684.00 |
| ARBC CPDA1 LR Irr LV | $684.00 |
| ARBC CPDA1 LR LV | $684.00 |
| ARBC CPDA1 LV | $684.00 |
| ARBC Deglyc | $1,248.00 |
| ARBC Deglyc Irr | $1,248.00 |
| ARBC Deglyc Rej | $1,248.00 |
| ARBC Washed | $684.00 |
| ARBC Washed LR | $684.00 |
| ARBC Washed LR Irr | $684.00 |
| Arhtrodesis Triple | $50,631.00 |
| Arista Powder | $323.00 |
| Arsenic, 24 Hour Urine -Quest | $100.00 |
| Arsenic, Blood (QST) | $100.00 |
| Arsenic, Blood -Quest | $100.00 |
| Arsenic, Urine 1 | $61.00 |
| Arsenic, Urine 2 | $61.00 |
| Arterial Blood Gases (POCT). | $374.00 |
| ARTERIAL CATH/CANNU PERC | $360.00 |
| Arterial Catheter Percutaneous | $360.00 |
| Arterial Line Activity. DG -> Inserted by RT | $360.00 |
| Arterial Line Kit | $286.00 |
| Arterial line placement | $360.00 |
| ARTERIAL PUNCTURE | $503.00 |
| Arterial Puncture Blood Gas | $503.00 |
| Arterioven Anasto,Open,Up | $20,682.00 |
| Arterioven Anastomos Open Forearm Veitran | $20,682.00 |
| Arteriovenous Anast Dir Any Site | $12,483.00 |
| Arteriovenous Anastomosis Open Basilic Vei | $20,682.00 |
| Arteriovenous Fist Nonauto Grf | $19,594.00 |
| Arteriovenous Fistula W Graft | $20,682.00 |
| Artery X-Rays Abdomen | $20,682.00 |
| Arth Knee Med & Lat Comp Total Knee | $50,631.00 |
| Arth Knee Med Or Lat Compartment | $47,967.00 |
| Arth Sternoclavicular Jnt | $11,745.00 |
| Arth/Dril/Osteo/Diss W Bne Grft | $25,517.00 |
| Arthod Druj W/W/O Bn Gft | $25,517.00 |
| Arthorscopy Ankle Arthode | $25,517.00 |
| Arthr Ankle Surg Exc Tibi | $12,397.00 |
| Arthr Knee Drill Ost Les W Fix | $25,517.00 |
| Arthr Knee Sug W/Lateral Release | $11,745.00 |
| Arthr Tibial Fx Prox Bicondylar | $47,967.00 |
| Arthro Anter Cruc Ligament Rep Recon | $26,935.00 |
| Arthro Hip W Or W/O Biopsy | $25,517.00 |
| Arthro Hip W/Debrid&Shaviving | $25,517.00 |
| Arthro Knee Meniscec Medial & Lateral | $12,397.00 |
| Arthro Knee Menisec Medial Or Lateral | $12,397.00 |
| Arthro Knee Menisec Repair Med & Lat | $11,745.00 |
| Arthro Knee W Joint Exploration | $11,745.00 |
| Arthro Midtarsal Navicular-Cuneiform | $47,967.00 |
| Arthro Post Cruc Ligamnt Repair Recon | $47,967.00 |
| Arthro Shld Jnt Wwo Loc Bn Grf | $25,517.00 |
| Arthro W Exploration | $11,745.00 |
| Arthro,Post,Atlasaxis/Bn Graft | $1,141.00 |
| Arthro,Post/Postla Bn Grft Thor | $713.00 |
| ARTHROCENTESIS MAJOR JT | $1,170.00 |
| Arthrocentesis Int Joint | $1,170.00 |
| Arthrocentesis Inter Joint Or Bursa; W/ Us | $2,830.00 |
| ARTHROCENTESIS INTRMED JT | $1,170.00 |
| Arthrocentesis Maj Joint | $1,170.00 |
| Arthrocentesis Major Joint Or Bursa; W/ Us | $1,170.00 |
| ARTHROCENTESIS SM JOINT | $1,170.00 |
| Arthrocentesis Small Joint | $1,170.00 |
| Arthrocentesis Small Joint Or Bursa; W/ Us | $1,170.00 |
| Arthrod Ant/Inter Cervcl W Bone Grft | $50,631.00 |
| Arthrod Carp Jnt Dig Not Thumb | $25,517.00 |
| Arthrod Carp Jnt No Thumb W Gr | $25,517.00 |
| Arthrod Elbow Jt W Pri Auto Gr | $47,967.00 |
| Arthrod Elbow Jt W/Wo Bone Graft | $25,517.00 |
| Arthrod Post Intbdy Bn Gft Lum | $1,400.00 |
| Arthrod Post/Postlat Bngft Lum | $47,967.00 |
| Arthrodes Cerv Pstapp Lcl Grft | $680.00 |
| Arthrodes Interpha- Langeal Jnt | $11,745.00 |
| Arthrodes Interphal W Graft | $11,745.00 |
| Arthrodes Metcrp-Phal W Graft | $25,517.00 |
| Arthrodesis Ankle Any Method | $50,631.00 |
| Arthrodesis Carpometacarpal | $25,517.00 |
| Arthrodesis Crp-Metacrpl/Graft | $25,517.00 |
| Arthrodesis Great Toe | $26,935.00 |
| Arthrodesis Interphal Jones Pr | $25,517.00 |
| Arthrodesis Metcrp-Phalang Jnt | $25,517.00 |
| Arthrodesis Midtar Tarso Ostet | $50,631.00 |
| Arthrodesis Midtar Tarsomet | $50,631.00 |
| Arthrodesis Pantalar | $68,958.00 |
| Arthrodesis Subtalar | $47,967.00 |
| Arthrodesis Tarsometars Sgl Jt | $26,935.00 |
| Arthrodesis Wrist Auto Bone Graft | $47,967.00 |
| Arthrodesis Wrist W Sliding Graft | $25,517.00 |
| Arthrodesis Wrist W/O Bone Graft | $25,517.00 |
| Arthrodesis, Glenohumeral Joint; With Auto | $47,967.00 |
| Arthrodesis,Interphalangeal Joint | $25,517.00 |
| Arthrodesis,Sacroiliac Joint W/Image Guida | $68,958.00 |
| Arthrodesis;Cervical Below C2 | $50,631.00 |
| Arthrodesis;Cervical Below C2 Ea Addtl | $3,123.00 |
| Arthrodesus Tibiofib Jnt | $47,967.00 |
| Arthroplast,Patel W/O Pro | $25,517.00 |
| Arthroplasty (Total Elbow) | $68,958.00 |
| Arthroplasty Ankle | $25,517.00 |
| Arthroplasty Elbow W Membrane | $25,517.00 |
| Arthroplasty Fing Inter W Impl | $25,517.00 |
| Arthroplasty Finger Interph Jt | $11,745.00 |
| Arthroplasty Mandible Extr W Bone Plate | $19,807.00 |
| Arthroplasty Metacrp-Phal Sngl | $11,745.00 |
| Arthroplasty Patella W/Prosth | $50,631.00 |
| Arthroplasty Rad Head W Implan | $47,967.00 |
| Arthroplasty Shlder W Prosthesis | $47,967.00 |
| Arthroplasty Total Shoulder | $4,064.00 |
| Arthroplasty Total Wrist | $68,958.00 |
| Arthroplasty W Pro Repl Distal Ulna | $68,958.00 |
| Arthroplasty W Pro Repl Wrist Joint | $47,967.00 |
| Arthroplasty W Prost Repl | $47,967.00 |
| Arthroplasty W/Prosthesis Impl | $25,517.00 |
| Arthroplasty, Ankle:Revis | $1,189.00 |
| Arthros W/Release/Transverse Carp Lig | $5,880.00 |
| Arthrosco Meniscal Tsplnt | $25,517.00 |
| Arthrosco Osteonchon Autogrf | $25,517.00 |
| Arthrosco Osteonchon Autogrf | $47,967.00 |
| arthroscopic Iliopsoas release | $1,064.00 |
| arthroscopic lat meniscus w/trephanation evacuation | $1,064.00 |
| Arthroscopy Ankle Bebrid Ext | $12,397.00 |
| Arthroscopy Ankle Bebrid Limit | $11,745.00 |
| Arthroscopy Ankle Rem Loose Body | $11,745.00 |
| Arthroscopy Ankle Synov Par | $12,397.00 |
| Arthroscopy Elbow Debri Limit | $11,745.00 |
| Arthroscopy Elbow Debrid Exten | $11,745.00 |
| Arthroscopy Elbow Diagnostic | $11,745.00 |
| Arthroscopy Elbow Rem Loose Body | $12,397.00 |
| Arthroscopy Elbow Synov Comp | $25,517.00 |
| Arthroscopy Elbow Synov Part | $12,397.00 |
| Arthroscopy Hip Surg Reml Lo/Forn | $11,745.00 |
| Arthroscopy Hip W/Femoroplasty | $25,517.00 |
| Arthroscopy Hip W/Labral Repair | $25,517.00 |
| Arthroscopy Hip W/Synovec | $11,745.00 |
| Arthroscopy Knee Abras Arthrop | $11,745.00 |
| Arthroscopy Knee Debrid Chondr | $12,397.00 |
| Arthroscopy Knee Diagnostic | $12,397.00 |
| Arthroscopy Knee Drill Ost Les | $11,745.00 |
| Arthroscopy Knee Inf Lav & Drainage | $11,745.00 |
| Arthroscopy Knee Lysis Adhes | $11,745.00 |
| Arthroscopy Knee Rem Loose Body | $12,397.00 |
| Arthroscopy Knee Synovec Limit | $12,397.00 |
| Arthroscopy Knee Synovec Major | $12,397.00 |
| Arthroscopy Should W Lys & Res | $12,397.00 |
| Arthroscopy Shoulder Debri Ext | $12,397.00 |
| Arthroscopy Shoulder Debri Lim | $12,397.00 |
| Arthroscopy Shoulder Rem Loose Body | $11,745.00 |
| Arthroscopy Shoulder Synov Com | $11,745.00 |
| Arthroscopy Shoulder Synov Par | $25,517.00 |
| Arthroscopy Shoulder W Par Acromoplasty | $9,066.00 |
| Arthroscopy W/ Tenodesis | $26,935.00 |
| Arthroscopy W/Rotator Cuff Repair | $26,935.00 |
| Arthroscopy Wrist Diagnostic | $11,745.00 |
| Arthroscopy Wrist Exc Cart/Debreidment | $11,745.00 |
| Arthroscopy Wrist Int Fixation | $25,517.00 |
| Arthroscopy Wrist Synovec Complete | $11,745.00 |
| Arthroscopy Wrist Synovec Part | $11,745.00 |
| Arthroscopy, Hip, Surgical; W/Acetabulopla | $25,517.00 |
| Arthroscopy, Metacarpophalangeal Joint, Bx | $11,745.00 |
| Arthrot Biopsy Inter Tarsomet | $11,745.00 |
| Arthrot Knee Synov Anterior Or Posterior | $12,397.00 |
| Arthrot Sacroiliac For Biopsy | $5,880.00 |
| Arthrotomy Ankle For Biopsy | $11,745.00 |
| Arthrotomy Ankle Post Caps Rel | $11,745.00 |
| Arthrotomy Ankle Synovectomy | $12,397.00 |
| Arthrotomy Ankle W Exploration | $11,745.00 |
| Arthrotomy Carpomet Synov Biop | $11,745.00 |
| Arthrotomy Carpometacar W Expl | $5,880.00 |
| Arthrotomy Distal Radio Joint | $11,745.00 |
| Arthrotomy Elbow Synovectomy | $11,745.00 |
| Arthrotomy Elbow W Exploration | $11,745.00 |
| Arthrotomy Elbow W Joint Explo | $11,745.00 |
| Arthrotomy Hip For Exploration | $11,745.00 |
| Arthrotomy Int Or Tars W Expl | $11,745.00 |
| Arthrotomy Inter Phalang W Expl | $6,207.00 |
| Arthrotomy Interpha Synov Biop | $5,880.00 |
| ARTHROTOMY INTERPHALANG | $6,207.00 |
| Arthrotomy Interpha-Langl Joint | $5,880.00 |
| Arthrotomy Knee Expldrain Removl Forin Bdy | $12,397.00 |
| Arthrotomy Knee For Synovial Biopsy Only | $11,745.00 |
| Arthrotomy Metacar- Popha W Expl | $11,745.00 |
| Arthrotomy Metacarp Synov Biop | $11,745.00 |
| Arthrotomy Metatarsophalng Jnt | $12,397.00 |
| Arthrotomy Of Elbow | $11,745.00 |
| Arthrotomy W Exploration | $11,745.00 |
| Arthrotomy W Jt Expl W/Wo Bio | $11,745.00 |
| Arthrotomy W Open Meniscus Repair | $12,397.00 |
| Arthrotomy Wrist Joint Biopsy | $11,745.00 |
| Arthrotomy Wrist Joint Synovec | $11,745.00 |
| Arthrpolasty Wrist W Int Fixation | $11,745.00 |
| Arthrt W Synvect Gelnohum | $25,517.00 |
| Arthrtmy W/Synovect W Ten | $12,397.00 |
| Arthry Knee Menisec Repair Med Or Lat | $12,397.00 |
| ArticFront Cryo Cath | $13,628.00 |
| Artificial Insemination | $1,222.00 |
| Artificial Insemination | $743.00 |
| ASA Bedside | $0.00 |
| Asahi guidewire | $770.00 |
| Asc Aorta Grf W Cardio Bypass | $3,596.00 |
| ASCA IgG SPECIFIC | $82.00 |
| Aspartate Aminotransferase | $27.00 |
| Aspartate Aminotransferase | $27.00 |
| Aspartate aminotransferase. | $27.00 |
| ASPEN BULLBACK COLLAR | $303.00 |
| Aspergillus Antibody Scr-Quest | $79.00 |
| Aspergillus Antigen, EIA, Serum -Quest | $63.00 |
| Aspergillus Flavus Ab (QST) | $79.00 |
| Aspergillus Fumigatus (QST) | $79.00 |
| Aspergillus Fumigatus (QST) | $79.00 |
| Aspergillus Fumigatus Ab (QST) | $79.00 |
| Aspergillus fumigatus IgG Ab-Quest | $37.00 |
| Aspergillus Fumigatus(m3) IgE -Quest | $28.00 |
| Aspergillus Niger Ab (QST) | $79.00 |
| Aspir Proc Perc/Np&I Disk | $20,442.00 |
| Aspirate Abscess Hematoma Cyst | $1,484.00 |
| Aspirate Bladder Suprapubic Catheter | $8,222.00 |
| Aspirate Bladder, Trocar Or Intracatheter | $4,087.00 |
| ASPIRATE PLEURA W/O IMAGI | $2,930.00 |
| Aspirate/Inject Thyroid Cyst | $2,738.00 |
| Aspiration & Inj Treatment Bone Cyst | $2,594.00 |
| Aspiration Catheter | $1,709.00 |
| Aspiration Cyst Each Addition | $718.00 |
| Aspiration Cyst Single | $2,738.00 |
| Aspiration Lens One More Stage | $8,583.00 |
| Aspiration Or Release Vitreous | $8,583.00 |
| Aspiration Phacoe- Mulsification | $8,583.00 |
| Aspirin Resistance. | $118.00 |
| ASSEMBLY GAUGE BOSTON SCIENTIFIC CORP M00550601 | $121.00 |
| ASSISTANT PORTION OF RESECTION NEUROBLASTOMA ADRENAL AND LIVER | $3,762.00 |
| ATG16L1 SNP | $137.00 |
| Ather. each add. tib/per vessel (+/- PTA) | $20,774.00 |
| Atherectomy Procedures -> Athrectomy Brachiocephalic | $45,694.00 |
| Atherectomy Procedures -> Athrectomy Iliac | $72,562.00 |
| Atopobium Vaginae (QST) | $226.00 |
| Atrhrot Knee Synovec Ant & Pos | $25,517.00 |
| Atrium Bag | $247.00 |
| Atrium System | $247.00 |
| Atypical P-Anca Titer (QST) | $79.00 |
| Atypical P-Anca Titer (QST) | $79.00 |
| Atypical P-Anca Titer (QST) | $79.00 |
| Aud Brainstem Resp;Ltd | $609.00 |
| Audiometry Assesment | $609.00 |
| AUG FEM VNGRD 360 LG KNEE ZIMMER KNEE 185651 | $4,190.00 |
| AUG TIB TRTHLN B CONE STRYKER KNEE 5549-A-120 | $2,800.00 |
| AUGMENT FEMORAL 4MM KNEE RIGHT STRYKER KNEE 5540-A-402 | $4,190.00 |
| AUGMENT FEMORAL POST 5MM KNEE STRYKER KNEE 5543-A-400 | $4,190.00 |
| AUGMENT TIB 79MMX5MM 360 UNV VANGUARD ZIMMER KNEE 185225 | $4,309.00 |
| Aureobasidium pullulans (m12) IgE-Quest | $23.00 |
| Autogenous Vein Grft Nerv | $20,442.00 |
| Autogrft/Spn Surg Morseli | $2,365.00 |
| Autologous Chondroc Implt Knee | $25,517.00 |
| AV Fistula -> Access/imaging peripheral circuit | $5,168.00 |
| AV Fistula -> Embolization of circuit | $6,585.00 |
| AV Fistula -> PTA central circuit | $13,876.00 |
| AV Fistula -> PTA peripheral circuit | $22,110.00 |
| AV Fistula -> PTA/throm. peripheral circuit | $45,694.00 |
| AV Fistula -> Stent central circuit | $14,422.00 |
| AV Fistula -> Stent peripheral circuit | $45,694.00 |
| AV Fistula -> Stent/throm. peripheral circuit | $72,562.00 |
| AV Fistula -> Throm. peripheral circuit | $22,110.00 |
| AVEA Ventilation Charge -> Initial charge | $2,410.00 |
| AVEA Ventilation Charge -> Subsequent Charge | $2,410.00 |
| Avocado (f96) IgE-Quest | $24.00 |
| Avulsion Each Addit Nail Plate | $136.00 |
| Avulsion Nail Plate Par Comp Sim Sing | $834.00 |
| AXLE MRH KNEE STRYKER KNEE 6481-2-120 | $3,482.00 |
| Azur coil | $3,180.00 |
| B Cells | $199.00 |
| B. Pertussis IgG Abs MAID -Quest | $70.00 |
| B. Pertussis IgG and IgA Abs, MAID -Quest | $70.00 |
| B. Pertussis/ Parapertussis -Quest | $185.00 |
| B. Pertussis/Parapertussis Smr DFA-Quest | $63.00 |
| B. quintana Ab IgG Scrn-QST | $86.00 |
| B. quintana Ab IgM Scrn-QST | $86.00 |
| B.Henselae Ab IgG Scr-QST | $54.00 |
| B.Henselae Ab IgG Scr-QST | $86.00 |
| B.Henselae Ab IgM Scr-QST | $54.00 |
| B.Henselae Ab IgM Scr-QST | $86.00 |
| B2 Glycoprotein I (IgA)Ab (QST) | $134.00 |
| B2 Glycoprotein I (IgA)Ab (QST) | $134.00 |
| B2 Glycoprotein I (IgA)Ab -Quest | $134.00 |
| B2 Glycoprotein I (IgG)Ab (QST) | $134.00 |
| B2 Glycoprotein I (IgG)Ab (QST) | $134.00 |
| B2 Glycoprotein I (IgG)Ab -Quest | $134.00 |
| B2 Glycoprotein I (IgM)Ab (QST) | $134.00 |
| B2 Glycoprotein I (IgM)Ab (QST) | $134.00 |
| B2 Glycoprotein I (IgM)Ab -Quest | $134.00 |
| Babesia Ab IgM | $65.00 |
| Babesia Microti (IgG,IgM) -Quest | $65.00 |
| Babesia Microti DNA Real Time PCR -Quest | $185.00 |
| Babesia Microti DNA, RT PCR (QST) | $384.60 |
| Bacterial 16S RDNA Sequencing-Quest. | $609.00 |
| BAG DRN 700ML BCKR EDMS XTRN MEDTRON SURGICAL TECH 46124 | $186.00 |
| Bahia Grass (g17) IgE-Quest | $25.00 |
| BAIR HUGGER BLANKET | $105.00 |
| Bair Hugger Blanket | $98.00 |
| BALLOON PTA 75X8X40MM CONQUEST BARD PERIPHERAL VASCULAR INC CQ7584 | $920.00 |
| Banana (f92) IgE -QST | $28.00 |
| Bandage, Plaster Rolls 2 inch | $77.00 |
| Bandage, Plaster Rolls 3 inch | $77.00 |
| Bandage, Plaster Rolls 4 inch | $77.00 |
| Bandage, Plaster Rolls 6 inch | $95.00 |
| Bandage, Plaster Rolls 8 inch | $102.00 |
| Bandage, Webril 12 inch | $56.00 |
| Bandage, Webril 3 inch | $60.00 |
| Bandage, Webril 4 inch | $72.00 |
| Bandage, Webril 6 inch | $76.00 |
| Banked Human Milk / 3Oz Bottle | $71.00 |
| BAR CONN EXT-FX 5.0X100 NS DEPUY ORTHOPAEDICS INC 393.90 | $112.00 |
| Barbiturate Screen Serum.. | $307.00 |
| Barbiturate Screen Urine. | $307.00 |
| Barley (f6) IgE -Quest | $28.00 |
| BARRIER ADH INTERCEED 3X4IN ADHESION ABSORBABLE 3X4 ETHICON INC 4350 | $910.00 |
| Bartonella DNA, Ql Real Time PCR -Quest | $185.00 |
| BASEPLATE SZ3 STRYKER KNEE 5536-B-300 | $4,080.00 |
| BASEPLATE TIBAL 77X52MM KNEE STRYKER KNEE 5536-B-600 | $5,700.00 |
| BASEPLATE TIBIAL MRH MED 2 STRYKER KNEE 6481-3-112 | $11,238.00 |
| BASEPLATE TIBIAL SZ 6 COCR UNIVERSAL KNEE TRIATHLON STRYKER KNEE 5521-B-600 | $4,600.00 |
| Basic Metabolic Panel. | $45.00 |
| Basic Vestibular Eval | $609.00 |
| BASKET RET 230CM X 26MM OD2.5 | $340.00 |
| BASKET RETRIEVAL STONE ZEROTIP 2.4F BOSTON SCIENTIFIC CORP M0063901010 | $744.00 |
| BASPLT GLND CMPRH 25MM MINI ZIMMER SHOULDER 010000589 | $5,800.00 |
| BASPLT TIB LFT C PERSONA ZIMMER KNEE 42532006401 | $4,080.00 |
| BASPLT TIB LFT E PERSONA ZIMMER KNEE 42532007101 | $4,080.00 |
| BASPLT TIB LFT F PERSONA ZIMMER KNEE 42532007501 | $4,080.00 |
| BASPLT TIB LFT G PERSONA ZIMMER KNEE 42532007901 | $4,080.00 |
| BASPLT TIB LFT H PERSONA ZIMMER KNEE 42532008301 | $4,080.00 |
| BASPLT TIB RT D PERSONA ZIMMER KNEE 42532006702 | $4,080.00 |
| BASPLT TIB RT F PERSONA ZIMMER KNEE 42532007502 | $4,080.00 |
| BASPLT TIB RT G PERSONA ZIMMER KNEE 42532007902 | $3,950.00 |
| BASPLT TIB 7 STRYKER KNEE 5536-B-700 | $4,080.00 |
| BASPLT TIB 8 TRIATHLON TRITANIUM | $5,700.00 |
| BASPLT TIB CMNT TL 7 UNIV STRYKER KNEE 5521-B-700 | $4,600.00 |
| BASPLT TIB COAT 4 STRYKER KNEE 5536-B-400 | $5,700.00 |
| BASPLT TIB TRTHLN 3 UNV KNEE EA1 STRYKER KNEE 5521-B-300 | $4,600.00 |
| BASPLT TIB TRTHLN 4 UNV KNEE EA1 STRYKER KNEE 5521-B-400 | $4,080.00 |
| BASPLT TIB TRTHLN 5 UNV KNEE STRYKER KNEE 5521-B-500 | $4,600.00 |
| BASPLT TIB VNGRD 360 KNEE MDLR ZIMMER KNEE 185205 | $11,227.00 |
| BASPLT TIBIAL PSL TIV 5D E RT | $4,080.00 |
| BATT SURG DRVR 1.5MM IQ ZIMMER (BIOMET) CMF 72-1010 | $325.00 |
| BATTERY POWER DRIVER BIOMET 50-1010 | $376.00 |
| BATTERY Z-DRIVE | $328.00 |
| Baylis RF transeptal needle | $1,502.00 |
| BCR ABL1/ABL1 % (IS) -QST | $865.00 |
| BCR ABL1/ABL1 % -QST | $764.00 |
| BD Bone Density DEXA App Skeleton | $294.00 |
| BD Bone Density DEXA Axial Skeleton | $532.00 |
| BD Bone Density DEXA Axial w/Frac Assess | $532.00 |
| BD Bone Density DEXA Vertebral Frac Only | $294.00 |
| BD Bone Density US Peripheral Site | $532.00 |
| beads | $990.00 |
| BEARING 44-36MM CMPRH +3MM HUMERAL ZIMMER SHOULDER EP-115395 | $6,000.00 |
| BEARING 71MMX10MM E1 VANGUARD ZIMMER KNEE EP-189060 | $5,800.00 |
| BEARING 75MMX10MM E1 VANGUARD ZIMMER KNEE EP-189080 | $5,800.00 |
| BEARING 75MMX12MM E1 VANGUARD ZIMMER KNEE EP-189082 | $5,800.00 |
| BEARING 79MMX14MM E1 VANGUARD ZIMMER KNEE EP-189104 | $5,800.00 |
| BEARING TIBIAL 71X10MM KNEE ZIMMER KNEE 189060 | $3,200.00 |
| BEARING TIBIAL KNEE ZIMMER KNEE EP-189102 | $5,800.00 |
| Beech (t5) IgE-Quest | $23.00 |
| Bennett Frac Man Red Dsl Thumb | $5,880.00 |
| Bennett Frac Mani Red Skel Fix | $11,745.00 |
| Bennett Frac Simp/Comp Op Red | $11,745.00 |
| Bennett Frac W/O Red Dsl Thumb | $1,125.00 |
| Benzodiazephine Screen Serum.. | $307.00 |
| Benzodiazepine Screen Urine. | $307.00 |
| Bermuda Grass (g2) IgE-Quest | $25.00 |
| Beryllium (B) -Quest | $116.00 |
| Beta 2 Transferrin -Quest | $155.00 |
| Beta Globin Complete -Quest | $1,560.00 |
| Beta hCG Qualitative Urine. | $41.00 |
| Beta hCG Quantitative. | $79.00 |
| Beta Lactamase | $25.00 |
| Beta-2-Microglobulin -Quest | $90.00 |
| Beta-Hydroxybutyrate-Quest | $43.00 |
| Beta-Lactoglobulin (F77) IgE | $43.00 |
| BI96530017 17Fr Perc Fem Art | $110.00 |
| BI96530019 19Fr Perc Fem Art | $110.00 |
| BI96600019 19Fr Perc Fem Ven | $110.00 |
| Bicarbonate Level. | $28.00 |
| Bile Acids Fract and Total, Preg -Quest | $114.00 |
| Bile Acids, Fraction and Total -Quest | $114.00 |
| Bile Acids, Total -Quest | $90.00 |
| Biliary Endoscopy Percut Via Tube Diag | $13,195.00 |
| Biliary Intraluminal Strict Interp | $796.00 |
| Bilirubin Blanket -> On | $174.00 |
| Bilirubin Direct | $26.00 |
| Bilirubin Direct | $26.00 |
| Bilirubin Direct. | $26.00 |
| Bilirubin Light Teat/Supply | $174.00 |
| Bilirubin Total | $26.00 |
| Bilirubin Total | $26.00 |
| Bilirubin Total | $26.00 |
| Bilirubin Total. | $26.00 |
| Bilirubin, Cord. | $26.00 |
| Bio Breast Incisinal | $13,308.00 |
| Biofeedback Anorectal | $609.00 |
| Biop Abd Retrop Mass Perc Need | $6,500.00 |
| Biop Dp Cer Node Ex Sca Fat Pd | $12,607.00 |
| Biop Liver W/ Major Procedure | $3,073.00 |
| Biop/Vulva Or Perineum 1 Lesion | $2,637.00 |
| Biopsies,Prostate,Ndl,Ste | $7,789.00 |
| Biopsy Anorectal Wall Anal App | $10,452.00 |
| Biopsy Bone Excision Deep | $11,239.00 |
| Biopsy Bone Excision Superf | $11,239.00 |
| Biopsy Bone Trochar Deep | $6,500.00 |
| Biopsy Bone Trochar Superificial | $6,500.00 |
| Biopsy Breast Needle | $6,500.00 |
| Biopsy Conjunctiva | $8,115.00 |
| Biopsy Cornea | $8,115.00 |
| Biopsy Deep Axillary Node(S) | $13,308.00 |
| Biopsy Deep Cervical Node | $13,308.00 |
| Biopsy Epididymis Needle | $6,158.00 |
| Biopsy External Auditory Canal | $5,727.00 |
| Biopsy External Ear | $923.00 |
| Biopsy Eyelid | $1,269.00 |
| Biopsy Floor Of Mouth | $6,158.00 |
| Biopsy Internal Mammary Node | $12,607.00 |
| Biopsy Intestine Perora; | $3,409.00 |
| Biopsy Lip | $923.00 |
| Biopsy Liver Percut Needle | $6,500.00 |
| Biopsy Lung Percutaneous Needl | $6,500.00 |
| Biopsy Lymph Node Superficial | $13,308.00 |
| Biopsy Muscle Deep | $10,648.00 |
| Biopsy Muscle Percut Needle | $6,500.00 |
| Biopsy Muscle Superficial | $6,158.00 |
| Biopsy Nasopharynx | $9,990.00 |
| Biopsy Nasopharynx Unkn Pri Le | $9,990.00 |
| Biopsy Needle Lymphn Node Superficial | $6,500.00 |
| Biopsy Of Extraocular Muscle | $13,320.00 |
| Biopsy Of Lacrimal Sac | $8,115.00 |
| Biopsy Of Nail Unit | $2,594.00 |
| Biopsy Of Nerve +/- Muscle | $7,304.00 |
| Biopsy Of Penis Deep Structures | $10,648.00 |
| Biopsy Of Tear Gland | $8,115.00 |
| Biopsy Of Testis Incisional | $13,104.00 |
| Biopsy Of Testis Needle | $10,648.00 |
| Biopsy Oropharynx | $9,990.00 |
| Biopsy Ovary Uni-Bil | $11,159.00 |
| Biopsy Palate Uvula | $5,727.00 |
| Biopsy Pancreas Perc Needle | $6,500.00 |
| Biopsy Penis Cutaneous Ind Pro | $6,158.00 |
| Biopsy Prostate Inc Any Appr | $8,222.00 |
| Biopsy Prostate Needle Or Puncture | $8,222.00 |
| Biopsy Renal Percutan | $6,500.00 |
| Biopsy Salivary Gland Incision | $9,990.00 |
| Biopsy Salivary Gland Needle | $2,594.00 |
| Biopsy Soft Tiss Leg Ankle Deep | $10,648.00 |
| Biopsy Soft Tiss Lg/Ankle | $6,158.00 |
| Biopsy Soft Tiss T/Kn Dep | $10,648.00 |
| Biopsy Soft Tissue Deep | $10,648.00 |
| Biopsy Soft Tissue Deep | $10,648.00 |
| Biopsy Soft Tissue Deep | $6,158.00 |
| Biopsy Soft Tissue Deep Arm | $10,648.00 |
| Biopsy Soft Tissue Knee Thigh Superfic | $6,158.00 |
| Biopsy Soft Tissue Neck Thorax | $6,158.00 |
| Biopsy Soft Tissue Nose | $5,727.00 |
| Biopsy Soft Tissue Super Arm | $6,158.00 |
| Biopsy Soft Tissue Superficial | $6,158.00 |
| Biopsy Soft Tissue Superficial | $6,158.00 |
| Biopsy Soft Tissue Superficial | $6,158.00 |
| Biopsy Thyroid Needle | $2,738.00 |
| Biopsy Tongue Anterior 2/3Rds | $2,181.00 |
| Biopsy Tongue Posterior 1/3Rd | $9,990.00 |
| Biopsy Urethra | $7,789.00 |
| Biopsy Vagina | $2,637.00 |
| Biopsy Vagina Inc Cysts Ext | $10,572.00 |
| Biopsy Vestibule Mouth | $2,181.00 |
| BIOTINIDASE | $89.00 |
| Biotinidase -Quest | $89.00 |
| BIOXPRESS GRAFT DELVRY DEV ARTHREX KNEE ABS-10053-10 | $600.00 |
| Birch (t3) IgE -Quest | $28.00 |
| Birch Silver IgG-Quest | $85.00 |
| Bird and Mold Precipitin Panel II-Quest | $63.00 |
| BIT AO DRILL 2MM ARTHREX INC AR-8944-22 | $263.00 |
| BIT CALIBRATED DRILL 3.2MM SYNTHES TRAUMA 03.010.060 | $856.00 |
| BIT CANN AO DRILL 2MM ARTHREX INC AR-8933-20C | $681.00 |
| BIT CANN DRILL 1.7MM SYNTHES TRAUMA 310.215 | $1,863.00 |
| BIT DDRILL 3MM ARTHREX INC AR-8950-05 | $325.00 |
| BIT DRILL 02.4MM WRIGHT MEDICAL ANKLE MFT-072-24 | $573.00 |
| BIT DRILL 1.5 16MM SYNTHES CMF 03.501.016 | $681.00 |
| BIT DRILL 1.5 18MM SYNTHES CMF 03.501.018 | $681.00 |
| BIT DRILL 1.6MM ORTHOLOC 3DI WRIGHT MEDICAL TECHNOLOGY 52031630 | $704.00 |
| BIT DRILL 1.6MM ORTHOLOC WRIGHT MEDICAL TECHNOLOGY 52021160 | $704.00 |
| BIT DRILL 1.7MM ARTHREX INC AR-8916-14 | $443.00 |
| BIT DRILL 1.7MM QFIX CANN ARTHREX INC AR-8737-17 | $681.00 |
| BIT DRILL 10MM SYNTHES TRAUMA 03.037.021 | $1,863.00 |
| BIT DRILL 125MM 1.8MM QCUP LAG SYNTHES 310.520 | $573.00 |
| BIT DRILL 190MM 10MM LG QCUP EA1 SYNTHES TRAUMA 360.05 | $1,863.00 |
| BIT DRILL 2.0MM CANNULATED WRIGHT MEDICAL ANKLE HCS-072-20 | $548.00 |
| BIT DRILL 2.2MM STRGHT CANN ARTHREX INC AR-8737-35 | $704.00 |
| BIT DRILL 2.4MM ARTHREX INC AR-4160-24 | $325.00 |
| BIT DRILL 2.5MM ARTHREX INC AR-8943-30 | $325.00 |
| BIT DRILL 2.5MM ARTHREX INC AR-8943-42 | $325.00 |
| BIT DRILL 2.5X60MM WRIGHT MEDICAL TECHNOLOGY 58850025 | $681.00 |
| BIT DRILL 2.7MM CMPRH PERIF ZIMMER SHOULDER 405889 | $681.00 |
| BIT DRILL 2.8MM LCP QCUP CLBRT EA1 SYNTHES TRAUMA 03.122.002 | $573.00 |
| BIT DRILL 2.8X60MM WRIGHT MEDICAL TECHNOLOGY 58850028 | $704.00 |
| BIT DRILL 20MM WRIGHT MEDICAL TECHNOLOGY DSDS0020 | $856.00 |
| BIT DRILL 248MM 3.3MM QCUP SYNTHES SPINE 389.808 | $573.00 |
| BIT DRILL 270MM 12MM NAILEX LG SYNTHES TRAUMA 03.010.439 | $1,863.00 |
| BIT DRILL 2MM ARTHREX INC AR-8943-16 | $325.00 |
| BIT DRILL 2MM WRIGHT MEDICAL TECHNOLOGY 52032030 | $681.00 |
| BIT DRILL 2X24MM WRIGHT MEDICAL TECHNOLOGY 58850020 | $681.00 |
| BIT DRILL 2X3.1MM NEURO TPS ELITE STRYKER ORTHOPEDICS 5820107020 | $325.00 |
| BIT DRILL 2X30MM WRIGHT MEDICAL TECHNOLOGY 58880020 | $704.00 |
| BIT DRILL 3 FLUTE 2.7X125MM SYNTHES TRAUMA 315.28 | $443.00 |
| BIT DRILL 3 FLUTE 3.2X195MM SYNTHES TRAUMA 315.29 | $573.00 |
| BIT DRILL 3 FLUTE 4.2X145MM SYNTHES TRAUMA 03.010.104 | $573.00 |
| BIT DRILL 3 FLUTE 4X215MM SYNTHES TRAUMA 356.982 | $856.00 |
| BIT DRILL 3 FLUTE 4X260MM SYNTHES TRAUMA 357.407 | $681.00 |
| BIT DRILL 3.2MM CMPRH CNTR ZIMMER SHOULDER 405883 | $573.00 |
| BIT DRILL 3.2MM LISFRANC SYSTEM WRIGHT MEDICAL TECHNOLOGY 43513200 | $681.00 |
| BIT DRILL 3.2X300MM QUICK COUPLING PERCUTANEOUS SYNTHES TRAUMA 324.212 | $681.00 |
| BIT DRILL 3.5MM ARTHREX INC AR-4160-35 | $325.00 |
| BIT DRILL 3.5X60MM WRIGHT MEDICAL TECHNOLOGY 58850035 | $573.00 |
| BIT DRILL 3MM WRIGHT MEDICAL TECHNOLOGY 58850030 | $971.00 |
| BIT DRILL 4.3MM ORTHOFIX INC 177286 | $971.00 |
| BIT DRILL 4.5/3.2MM SALVATION WRIGHT MEDICAL ANKLE SB080045 | $1,863.00 |
| BIT DRILL 4MM X 44.5MM SYNTHES 317.04 | $573.00 |
| BIT DRILL 4X255MM SPINEOLOGY 315-0015 | $1,863.00 |
| BIT DRILL 52MM 1.1MM HEX CPLNG SYNTHES 316.626 | $573.00 |
| BIT DRILL 5MM CANNUL 7MM SCREW ARTHREX INC FOOT AND ANKLE AR-8770-02 | $681.00 |
| BIT DRILL 5MM SALVATION WRIGHT MEDICAL ANKLE SB080050 | $1,309.00 |
| BIT DRILL 6.0MM WRIGHT MEDICAL TECHNOLOGY SB080060 | $1,863.00 |
| BIT DRILL 6MM/9MM SYNTHES TRAUMA 03.037.022 | $2,304.00 |
| BIT DRILL 90MM 1.8MM JLTCH SYNTHES TRAUMA 317.867 | $263.00 |
| BIT DRILL ARTHREX INC AR-1201.7D | $443.00 |
| BIT DRILL BONE G7 POLY LINER REM BIOMET 010002746 | $1,309.00 |
| BIT DRILL CALIBRATED 2.8X250MM QC 95MM SYNTHES TRAUMA 03.113.024 | $573.00 |
| BIT DRILL CANN MINI 2.6MM WRIGHT MEDICAL ANKLE HCS-072-26 | $681.00 |
| BIT DRILL CANN QC 17X300MM LRG SYNTHES TRAUMA 357.394 | $2,767.00 |
| BIT DRILL CANNLTD 13X300MM DRILL BIT CANN 13 X 300MM SYNTHES TRAUMA 351.27 | $2,061.00 |
| BIT DRILL CANNLTD 2.7MMX6.25IN SYNTHES TRAUMA 310.67 | $1,863.00 |
| BIT DRILL CANNLTD 2X150MM SYNTHES TRAUMA 310.221 | $1,863.00 |
| BIT DRILL CANNLTD 3.2X170MM SYNTHES TRAUMA 310.65 | $1,863.00 |
| BIT DRILL CANNLTD 4.5MM SYNTHES TRAUMA 03.010.089 | $971.00 |
| BIT DRILL CANNLTD 4.5X170MM SYNTHES TRAUMA 310.66 | $1,863.00 |
| BIT DRILL CANNLTD 5MM 2.9X300 SYNTHES TRAUMA 310.63 | $1,863.00 |
| BIT DRILL CANNLTD QC 4.3X200MM SYNTHES TRAUMA 310.634 | $1,309.00 |
| BIT DRILL CANNLTD QC 5X200MM SYNTHES TRAUMA 310.632 | $1,309.00 |
| BIT DRILL CANNLTD QC L 7.3X300 SYNTHES TRAUMA 310.495 | $1,863.00 |
| BIT DRILL CANNULATED 1.7MM WRIGHT MEDICAL TECHNOLOGY DSDS0017 | $856.00 |
| BIT DRILL CANNULATED 2.0MM ARTHREX INC AR-8610DB-30C | $681.00 |
| BIT DRILL CANNULATED 2.0MM ARTHREX INC AR-8737-34 | $704.00 |
| BIT DRILL CANNULATED 2.5MM WRIGHT MEDICAL TECHNOLOGY DSDS0025 | $1,079.00 |
| BIT DRILL CANNULATED 2.6MM CHARLOTTE LISFRANC SYS WRIGHT MEDICAL TECHNOLOGY 43512600 | $856.00 |
| BIT DRILL CANNULATED 2.8MM WRIGHT MEDICAL TECHNOLOGY 40250028 | $704.00 |
| BIT DRILL CANNULATED 2MM WRIGHT MEDICAL TECHNOLOGY 40250020 | $704.00 |
| BIT DRILL CANNULATED 3.7MM LISFRANC SYSTEM WRIGHT MEDICAL TECHNOLOGY 43513700 | $971.00 |
| BIT DRILL DART FIRE 2.2MM WRIGHT MEDICAL TECHNOLOGY DSDS0022 | $856.00 |
| BIT DRILL DART FIRE 3MM WRIGHT MEDICAL TECHNOLOGY DSDS0030 | $681.00 |
| BIT DRILL DEPTH MARK 1.8X110 SYNTHES TRAUMA 310.509 | $573.00 |
| BIT DRILL FOR 3.5MM SWIVELOCK ANCHOR ARTHREX INC AR-1678-05 | $573.00 |
| BIT DRILL FOR SWIVELOCK ANCHOR ARTHREX INC AR-1678-02 | $573.00 |
| BIT DRILL J LATCH 1.1X65MM SYNTHES TRAUMA 310.113 | $263.00 |
| BIT DRILL JACOB 3.2X130MM BIT DRILL 3.2MM 130MM/115MM SYNTHES TRAUMA 310.32 | $263.00 |
| BIT DRILL OD1.3 MM 2MM SCREW WRIGHT MEDICAL TECHNOLOGY 52031330 | $704.00 |
| BIT DRILL OD2MM CHARLOTTE FLUTE PLATE WRIGHT MEDICAL TECHNOLOGY DC6106 | $573.00 |
| BIT DRILL PERCUTANEOUS 2.8X200 SYNTHES TRAUMA 324.214 | $681.00 |
| BIT DRILL PRECISON 3X3.8MM STRYKER CORP 5820107530 | $443.00 |
| BIT DRILL QC 1.1X45MM SYNTHES TRAUMA 310.10 | $263.00 |
| BIT DRILL QC 1.1X60MM SYNTHES TRAUMA 310.11 | $263.00 |
| BIT DRILL QC 1.5MMX2.5IN SYNTHES TRAUMA 310.141 | $263.00 |
| BIT DRILL QC 1.8MMX3IN SYNTHES TRAUMA 317.861 | $263.00 |
| BIT DRILL QC 2.4 X 100MM SYNTHES CMF 310.530 | $573.00 |
| BIT DRILL QC 4.3 X 180MM SYNTHES TRAUMA 310.431 | $443.00 |
| BIT DRILL QC 4.3X300MM SYNTHES TRAUMA 324.213 | $681.00 |
| BIT DRILL QC 4.5X145MM SYNTHES TRAUMA 310.44 | $263.00 |
| BIT DRILL QUICK COUPLE 1.1X55 SYNTHES TRAUMA 310.111 | $263.00 |
| BIT DRILL QUICK COUPLE 1.3X55 SYNTHES TRAUMA 316.402 | $263.00 |
| BIT DRILL QUICK COUPLE 1.5X110 DRILL BIT 1.5MM LONG SYNT SYNTHES TRAUMA 310.16 | $263.00 |
| BIT DRILL QUICK COUPLE 1X50MM SYNTHES TRAUMA 316.396 | $263.00 |
| BIT DRILL QUICK COUPLE 2.5X110 SYNTHES TRAUMA 310.25 | $263.00 |
| BIT DRILL QUICK COUPLE 2.5X180 SYNTHES TRAUMA 310.23 | $325.00 |
| BIT DRILL QUICK COUPLE 2.7X100 SYNTHES TRAUMA 310.26 | $263.00 |
| BIT DRILL QUICK COUPLE 2.8X165 SYNTHES TRAUMA 310.288 | $325.00 |
| BIT DRILL QUICK COUPLE 2X100MM DRILL BIT 2MM SYNT SYNTHES TRAUMA 310.19 | $263.00 |
| BIT DRILL QUICK COUPLE 2X125MM BIT DRILL 2MM LONG SYNTHES TRAUMA 310.21 | $325.00 |
| BIT DRILL QUICK COUPLE 2X65MM SYNTHES TRAUMA 310.201 | $263.00 |
| BIT DRILL QUICK COUPLE 3.2X145 SYNTHES TRAUMA 310.31 | $263.00 |
| BIT DRILL QUICK COUPLE 3.5X110 SYNTHES TRAUMA 310.35 | $263.00 |
| BIT DRILL QUICK COUPLE 3.5X195 SYNTHES TRAUMA 310.37 | $325.33 |
| BIT DRILL QUICK COUPLE 4.5X195 BIT DRILL 4.5MM DIA 195MM/170 SYNTHES TRAUMA 310.48 | $443.00 |
| BIT DRILL QUICK RELEASE 1/8IN ZIMMER HIP 32-486265 | $325.00 |
| BIT DRILL SKYLINE 12MM DEPUY SPINE INC 286820012 | $971.00 |
| BIT DRILL SKYLINE 14MM WITH FLAT CHUCK DEPUY SPINE INC 286820014 | $2,048.00 |
| BIT DRILL STD 2.7MM WRIGHT MEDICAL ANKLE MFT-072-27 | $573.00 |
| BIT DRILL STEPPED QC 6X10X435 SYNTHES TRAUMA 357.403 | $2,061.00 |
| BIT DRILL STRGHT 3.2MM CANN ARTHREX INC AR-8750-04 | $681.00 |
| BIT DRILL VIRAGE 2.3MM BIOMET SPINE 07.01757.001 | $443.00 |
| BIT DRILL W/ STOP 3X14MM SYNTHES SPINE 324.14 | $971.00 |
| BIT DRL CANN QC 11.0X190 NS SYNTHES TRAUMA 360.06 | $2,304.00 |
| BIT DRL U/H STP-6 1.5MM NS SYNTHES 317.56 | $573.00 |
| BIT MAXTORQUE DRILL 2.7MM ORTHOHELIX SURG DESIGNS CSS-072-27 | $573.00 |
| BIT MAXTORQUE DRILL 4.7 ORTHOHELIX SURG DESIGNS CSS-072-47-SQ | $681.00 |
| BIT MAXTORQUE DRILL SQ DR 3.7 ORTHOHELIX SURG DESIGNS CSS-072-37-SQ | $681.00 |
| BIT QC CANN DRILL 12X190MM SYNTHES TRAUMA 03.010.036 | $1,863.00 |
| BIT QC DRILL 2.9 150MM SYNTHES TRAUMA 310.229 | $325.00 |
| BIT QC DRILL 3X30MM ZIMMER HIP 31-323230 | $325.00 |
| BiV Procedure Charges -> Cardioversion | $2,488.00 |
| BiV Procedure Charges -> Gen. change Bi-V ICD | $144,875.00 |
| BiV Procedure Charges -> Gen. change Bi-V pacer | $83,547.00 |
| BiV Procedure Charges -> Generator replace dual | $46,688.00 |
| BiV Procedure Charges -> Generator replace single | $34,990.00 |
| BiV Procedure Charges -> Hematoma evacuation | $11,239.00 |
| BiV Procedure Charges -> ICD, revision of skin pocket | $7,320.00 |
| BiV Procedure Charges -> Insert ICD gen. to existing DL | $144,875.00 |
| BiV Procedure Charges -> Insert ICD only to existing leads (no removal of can) | $103,950.00 |
| BiV Procedure Charges -> Insert or replace gen. and lead(s) | $144,875.00 |
| BiV Procedure Charges -> Insert pacer gen. to existing ML | $83,547.00 |
| BiV Procedure Charges -> Insertion dual pacer and lead (new or replacement) | $46,688.00 |
| BiV Procedure Charges -> Insertion of single lead (pacer or defib) | $34,990.00 |
| BiV Procedure Charges -> Insertion of two leads (pacer or defib) | $34,990.00 |
| BiV Procedure Charges -> Insertion single pacer and lead (new or replacement) | $46,688.00 |
| BiV Procedure Charges -> Lead repositioning (RA or RV) | $12,483.00 |
| BiV Procedure Charges -> LV lead placement w/ existing device | $46,688.00 |
| BiV Procedure Charges -> Pacemaker, revised skin pocket | $7,320.00 |
| BiV Procedure Charges -> Placement of LV lead (new device) | $9,367.00 |
| BiV Procedure Charges -> Removal of dual chamber pacer leads | $14,794.00 |
| BiV Procedure Charges -> Removal of ICD (don't use with gen. change) | $14,794.00 |
| BiV Procedure Charges -> Removal of ICD electrode/s | $14,794.00 |
| BiV Procedure Charges -> Removal of permanent pacemaker (don't use with gen. ch | $34,990.00 |
| BiV Procedure Charges -> Removal of single chamber pacer lead | $14,794.00 |
| BiV Procedure Charges -> Repair of one or two leads for dual chamber device | $14,794.00 |
| BiV Procedure Charges -> Repair one lead for single chamber device | $14,794.00 |
| BiV Procedure Charges -> Repositioning of previously placed LV lead | $12,483.00 |
| BiV Procedure Charges -> Testing ICD generator | $1,766.00 |
| BiV Procedure Charges -> Upgrade single to dual pacer | $46,688.00 |
| BIVALV/REM GAUNT/BOOT/BDY | $1,113.00 |
| Bivalv/Rem Gaunt/Boot/Bdy | $1,113.00 |
| BK Virus DNA, Qn RT PCR, Plasma -Quest | $226.00 |
| Bk Virus DNA, Qn RT PCR, Urine -Quest | $226.00 |
| Black Pepper (f280) IgE -Quest | $28.00 |
| Blackberry (f211) IgE-Quest | $28.00 |
| BLADDER CATH COMP | $642.00 |
| BLADDER CATH URINE SAMPLE | $14.00 |
| Bladder Instill Anticarcinogen | $1,036.00 |
| BLADDER IRRIGATION SIMPLE | $984.00 |
| Bladder Irrigation/instillation | $984.00 |
| BLADE BONE MILL MD STRYKER CORP 5400-701-000 | $971.00 |
| BLADE DRMTM 1.25-4.25IN STRL DUP - USE 205203 ZIMMER HOLDINGS INC 00-8800-000-10 | $136.00 |
| BLADE HELICAL TITAN 11X100MM SYNTHES TRAUMA 456.305S | $2,385.00 |
| BLADE IM FIX GLD 105MM 11MM SYNTHES TRAUMA 456.306S | $2,385.00 |
| BLADE IM FIX GLD 110MM 11MM SYNTHES TRAUMA 456.307S | $2,385.00 |
| BLADE IM FIX GLD 115MM 11MM EA1 SYNTHES TRAUMA 456.308S | $2,385.00 |
| BLADE IM FIX GLD 80MM 11MM HLX SYNTHES TRAUMA 456.301S | $2,385.00 |
| BLADE IM FIX GLD 85MM 11MM HLX SYNTHES TRAUMA 456.302S | $2,385.00 |
| BLADE IM FIX GLD 90MM 11MM HLX SYNTHES TRAUMA 456.303S | $2,385.00 |
| BLADE IM FIX GLD 95MM 11MM HLX EA1 SYNTHES TRAUMA 456.304S | $2,385.00 |
| BLADE OSTEOTOME LONG 10MM ZIMMER HIP 47998602126 | $448.00 |
| BLADE RADIAL OSTEOTOME 10MM ZIMMER HIP 47998602128 | $448.00 |
| BLADE SAW 105X19.5MM PRCS | $1,836.00 |
| BLADE SAW 12.5MM 90MM THK1.37 BRASSELER USA DENTAL:MED BR1-1290-54 | $136.00 |
| BLADE SAW 2.07X.025MM | $136.00 |
| BLADE SAW 2.4X1.9IN THK.025IN STRYKER INSTRUMENTS 2108197000 | $136.00 |
| BLADE SAW 2.88X.49IN THK.049IN STRYKER INSTRUMENTS 2108155000 | $136.00 |
| BLADE SAW 30.5X6.5X1.02MM STRYKER INSTRUMENTS 6207097101 | $136.00 |
| BLADE SAW 4X.7X.05IN SYS6 SGTL STRYKER CORP 6118-127-100 | $136.00 |
| BLADE SAW 60X6.4X.64MM SHRT SS STRYKER INSTRUMENTS 0277096250 | $136.00 |
| BLADE SAW 70X12.5X1MM LNG STRYKER CORP 0277-096-278 | $136.00 |
| BLADE SAW 73X12.5MM THK.64MM DUP - USE 203096 STRYKER CORP 2108-150-000 | $136.00 |
| BLADE SAW 75X12X.8MM LNG SS STRYKER CORP 277-096-325 | $136.00 |
| BLADE SAW 77.5X11X1.23MM STRYKER CORP 0277-096-326 | $136.00 |
| BLADE SAW 85X21X.9MM MED LNG STRYKER CORP 2108-109-000S9 | $136.00 |
| BLADE SAW 85X25MM THK1.19MM W STRYKER CORP 2108-151-000 | $136.00 |
| BLADE SAW 85X25X1.19MM SGTL STRYKER CORP 2108-351-002 | $136.00 |
| BLADE SAW 90MM PRCS FLCN CRTDG STRYKER CORP 6625-127-090 | $1,027.00 |
| BLADE SAW 90X18X1.27MM SYS6 EA1 STRYKER INSTRUMENTS 6118127090 | $235.00 |
| BLADE SAW 90X21MM SYS6 THK1.37 STRYKER CORP 6221-137-090 | $235.00 |
| BLADE SAW 90X21X1.47MM SGTL STRYKER CORP 6221-147-090 | $235.00 |
| BLADE SAW L58XW29XTHK0.64MM SAGITTAL XTRA WIDE SHORT THIN STRYKER CORP 2108140000 | $136.00 |
| BLADE SAW SYSTEM 7 NARROW WRIGHT MEDICAL ANKLE 200138107S | $1,027.00 |
| BLADE SAW SYSTEM 7 WIDE WRIGHT MEDICAL ANKLE 200138108S | $1,027.00 |
| BLADE SHVR 11CM 2.9MM XPS 60-3 EA1/BX5/PK5 MEDTRON SURGICAL TECH 1882940 | $1,027.00 |
| BLADE SHVR 11CM 4MM K RAD 60 MEDTRON SURGICAL TECH 1884016 | $752.00 |
| BLADE SHVR 11CM 4MM RAD 40 XPS MEDTRON SURGICAL TECH 1884006 | $752.00 |
| BLADE SHVR 11CM 4MM XPS TRCT 5 MEDTRON SURGICAL TECH 1884004 | $752.00 |
| BLADE SHVR AQ 4MM DYNC ABRDR SMITH & NEPHEW PLC 7205324 | $136.00 |
| BLADE SHVR AQ 70MM 3.5MM DYNC SMITH & NEPHEW ENDOSCOPY 3819 | $136.00 |
| BLADE SHVR MRN 4.5MM DYNC ELT SMITH & NEPHEW ENDOSCOPY 7210719 | $235.00 |
| BLADE SHVR NVY BLU 4.5MM SMITH & NEPHEW PLC 7205316 | $136.00 |
| BLADE SHVR ORNG 5.5MM DYNC SMITH & NEPHEW PLC 7205307 | $136.00 |
| BLADE SHVR ORNG 5.5MM DYNC SMITH & NEPHEW PLC 7206010 | $235.00 |
| BLADE SHVR RED 7CM 2.9MM DYNC SMITH & NEPHEW ENDOSCOPY 3419 | $136.00 |
| BLADE SHVR WHT 4.5MM STRGHT SMITH & NEPHEW PLC 7209335 | $136.00 |
| BLADE SPIRAL 46MM SYNTHES TRAUMA 462.646 | $2,061.00 |
| BLADE SPIRAL TI 75MM SYNTHES TRAUMA 04.013.047 | $2,061.00 |
| Blastomyces Ab, Immunodiffusion -Quest | $68.00 |
| Blazer catheter | $5,193.00 |
| BLD COLL FING HEEL EAR | $40.00 |
| Bld Coll Fing Heel Ear | $40.00 |
| BLDE LARYNSCP PED 60DEG 3.5MM MEDTRONIC INC 1883516 | $1,091.00 |
| BLDE SAW FULL RAD ELITE 4.5MM SMITH & NEPHEW PLC 7210499 | $136.00 |
| BLDE SAW GIGLI RND 510MM | $752.00 |
| BLDE SHV CUT EP-1 3.5MM RED SMITH & NEPHEW PLC 7205308 | $136.00 |
| BLDE SHV CUT FULL RAD EP-1 4.5 SMITH & NEPHEW PLC 7205306 | $136.00 |
| BLDE SHV CUT NOTCHBLASTER 4MMX SMITH & NEPHEW PLC 7205328 | $136.00 |
| BLDE SHV INCIS STR EP-1 3.5MM SMITH & NEPHEW PLC 7205312 | $136.00 |
| BLDE SHV INCIS STR EP-1 4.5MMX SMITH & NEPHEW PLC 7205313 | $136.00 |
| BLDE SHV NOTCH BLAST EP-1 5.5 SMITH & NEPHEW PLC 7205329 | $136.00 |
| BLDE SHV RAZ CUT EP-1 4.5MM SMITH & NEPHEW PLC 7205318 | $136.00 |
| BLDE SHV STONECUTTER EP-1 4MM SMITH & NEPHEW PLC 7205330 | $136.00 |
| BLDE SHV STONECUTTER EP-1 5.5 SMITH & NEPHEW PLC 7205331 | $136.00 |
| BLDE SHV SYNOVATOR STR 4.5MM SMITH & NEPHEW PLC 7205310 | $136.00 |
| BLDE SHV TURBOWHISKER 4.5 PWD SMITH & NEPHEW PLC 7205315 | $136.00 |
| Blepharoplasty Ext Hern Fatpad | $7,320.00 |
| Blepharoplasty Lower Eyelids | $6,935.00 |
| Blepharoplasty Upper Lids | $6,935.00 |
| Blepharoplasty W Exc Skin Lids | $6,935.00 |
| Blepharopt Frontal Muscle W Suture | $8,115.00 |
| Blepharoptosis Tarso Res Exter | $8,115.00 |
| Blepharoptosis Tarso Res Inter | $8,115.00 |
| Blepharoptosis W Fascial Sling | $13,320.00 |
| Blepharotomy Drain Absc Eyelid | $973.00 |
| BLEPHARTMY DRN ABSC EYEL | $973.00 |
| Blk Nrv Brachial Plexus | $3,424.00 |
| BLK NRV ILLION ILIOHYPOG | $2,830.00 |
| BLN DSCT LAPSCP SPCMKR + SBT MEDTRONIC INC SMSBTOVLX | $1,458.00 |
| BLNKT 60X36IN ADLT PLMR 3M BR DUP ITEM USE 221968 3M HEALTHCARE 63000 | $109.00 |
| BLOCK AUG 57.5MMX15MM KNEE FEM ZIMMER KNEE 184261 | $7,220.00 |
| BLOCK AUG 67.5MMX10MM FEM VANGUARD ZIMMER KNEE 185425 | $4,190.00 |
| Block Nerve Axillary | $3,424.00 |
| Block Nerve Cervial Plexus | $2,830.00 |
| Block Nerve Facial | $503.00 |
| Block Nerve Greater Occip | $1,108.00 |
| Block Nerve Illionig Iliohypog | $2,830.00 |
| Block Nerve Intercostal Mult | $3,424.00 |
| Block Nerve Intercostal Single | $2,681.00 |
| Block Nerve Lumb/ Thor/Symp | $3,614.00 |
| Block Nerve Other Perip Branch | $2,830.00 |
| Block Nerve Paracervic Uterine | $2,830.00 |
| Block Nerve Pudendal | $3,614.00 |
| Block Nerve Sciatic | $2,681.00 |
| Block Nerve Stell Gang Cer Sym | $3,424.00 |
| Block Nerve Suprascapular | $2,681.00 |
| Block Nerve Trigeminal Any | $837.00 |
| Blood Gas Arterial. | $124.00 |
| Blood Gas Capillary. | $124.00 |
| Blood Gas Cord Blood Arterial. | $124.00 |
| Blood Gas Cord Blood Venous. | $124.00 |
| Blood Gas Venous. | $124.00 |
| BLOOD OCCULT NON SCRN POC | $20.00 |
| Blood Type (ABO/Rh). | $16.00 |
| Blood Urea Nitrogen | $21.00 |
| Blood Urea Nitrogen | $21.00 |
| Blood Urea Nitrogen | $21.00 |
| Blood Urea Nitrogen | $21.00 |
| Blood Urea Nitrogen. | $21.00 |
| Blood Warmer | $497.00 |
| BLS EMERGENCY TRANSPORT | $1,446.00 |
| BLS NON-EMERGENCY TRANSPT | $1,311.00 |
| Blue Mussel (f37) IgE -Quest | $28.00 |
| Blueberry (f288) IgE -QST | $28.00 |
| Bmt Perph S/C Allo Lymph | $5,583.00 |
| BO Ag Type Patient. | $20.00 |
| BO Ag Type Unit. | $30.00 |
| BO Aliquot/Split Fee. | $684.00 |
| BO Antibody Neutralization. | $677.00 |
| BO CMV Neg Charge. | $76.00 |
| BO Complete Rh Phenotype. | $41.00 |
| BO Donor Fee. | $321.00 |
| BO Extended Phenotype. | $20.00 |
| BO Hgb S Unit Fee. | $29.00 |
| BO Process Fee HLA Platelets. | $3,992.00 |
| BO Ref Ag Type Unit. | $30.00 |
| BO Ref Basic Workup. | $16.00 |
| BO Ref Basic Workup. - ANTIBODY SCREEN | $46.00 |
| BO Ref Basic Workup. - DAT | $28.00 |
| BO Ref Basic Workup. - LISS ANTIBODY PANEL | $1,296.00 |
| BO Ref Basic Workup. - PEG ANTIBODY PANEL | $1,296.00 |
| BO Ref Basic Workup. - RH | $16.00 |
| BO Ref Basic Workup. - SELECTED CELL PANEL | $1,296.00 |
| BO Ref DAT. | $28.00 |
| BO Ref Elution. | $684.00 |
| BO Ref Extended Workup. | $16.00 |
| BO Ref Extended Workup. - ABSORPTION | $152.00 |
| BO Ref Extended Workup. - ALLOGENIC ADSORPTION | $152.00 |
| BO Ref Extended Workup. - ANTIBODY PANEL | $1,296.00 |
| BO Ref Extended Workup. - ANTIBODY SCREEN | $46.00 |
| BO Ref Extended Workup. - DAT | $28.00 |
| BO Ref Extended Workup. - ENZYME TREATMENT | $1,296.00 |
| BO Ref Extended Workup. - LISS ANTIBODY PANEL | $1,296.00 |
| BO Ref Extended Workup. - PEG ANTIBODY PANEL | $1,296.00 |
| BO Ref Extended Workup. - RH | $16.00 |
| BO Ref Extended Workup. - SELECTED CELL PANEL | $1,296.00 |
| BO Ref Intermediate Workup. | $16.00 |
| BO Ref Intermediate Workup. - ABSORPTION | $152.00 |
| BO Ref Intermediate Workup. - ANTIBODY PANEL | $1,296.00 |
| BO Ref Intermediate Workup. - ANTIBODY SCREEN | $46.00 |
| BO Ref Intermediate Workup. - DAT | $28.00 |
| BO Ref Intermediate Workup. - ENZYME TREATMENT | $1,296.00 |
| BO Ref Intermediate Workup. - LISS ANTIBODY PANEL | $1,296.00 |
| BO Ref Intermediate Workup. - PEG ANTIBODY PANEL | $1,296.00 |
| BO Ref Intermediate Workup. - RH | $16.00 |
| BO Ref Intermediate Workup. - SELECTED CELL PANEL | $1,296.00 |
| BO Ref PLT ABSC. | $97.00 |
| BO Ref PLT XM. | $97.00 |
| BO Ref Titer. | $27.00 |
| BODY CLCR 60MM ARCOS +20MM C ZIMMER HIP 11-301243 | $27,516.00 |
| BODY CONE 60MM ARCOS A STD ZIMMER HIP 11-301301 | $27,516.00 |
| BODY CONE 70MM ARCOS C STD ZIMMER HIP 11-301323 | $27,516.00 |
| BOLT 5X80MM FOOT/ANK WRIGHT MEDICAL ANKLE SB005080 | $7,096.00 |
| BOLT XTRT 3.5 MM CORT 3.5 MM SYNTHES TRAUMA 309.039 | $382.00 |
| Bone Age Studies | $532.00 |
| BONE GRAFT ISOTIS PUTTY S1 SPINE LLC PTY10155 | $2,966.00 |
| Bone Graft Nasal Septum | $12,384.00 |
| Bone Length Studies | $532.00 |
| Bone Marrow Aspiration | $6,500.00 |
| Bone Marrow Aspiration & Biopsy | $6,500.00 |
| Bone Marrow Biopsy | $6,500.00 |
| BONE PLATE( TTC) LATERALTIB | $8,700.00 |
| BONE SCREW L45XD7MM MAXTORQUE SHRT THRD CANNULATED SELF DRIL WRIGHT MEDICAL TECHNOLOGY MSD-010-70-04 | $1,217.00 |
| BONEPLAST MOLD ZIMMER (BIOMET) CMF 92-2010 | $1,760.00 |
| Borrelia miyamotoi DNA PCR-QST | $233.00 |
| Borrelia Miyamotoi PCR-QST | $233.00 |
| Boston Heart. | $14.00 |
| Boston Sci Dual ICD Generator -> BS Dynagen EL DR | $43,096.00 |
| Boston Sci Dual ICD Generator -> BS Dynagen EL DR Primary | $43,096.00 |
| Boston Sci Dual ICD Generator -> BS Dynagen Mini DR | $42,380.00 |
| Boston Sci Dual ICD Generator -> BS Dynagen Mini DR Primary | $42,380.00 |
| Boston Sci Dual ICD Generator -> BS Inogen EL DR | $43,096.00 |
| Boston Sci Dual ICD Generator -> BS Inogen EL DR Primary | $43,096.00 |
| Boston Sci Dual ICD Generator -> BS Inogen Mini DR | $42,380.00 |
| Boston Sci Dual ICD Generator -> BS Inogen Mini DR Primary | $42,380.00 |
| Boston Sci Dual ICD Generator -> BS Momentum EL DR DF1 | $43,952.00 |
| Boston Sci Dual ICD Generator -> BS Momentum EL DR DF1 Primary | $43,952.00 |
| Boston Sci Dual ICD Generator -> BS Perciva Mini DR DF1 | $43,952.00 |
| Boston Sci Dual ICD Generator -> BS Perciva Mini DR DF1 Primary | $43,952.00 |
| Boston Sci Dual ICD Generator -> BS Perciva Mini DR DF4 | $51,648.00 |
| Boston Sci Dual ICD Generator -> BS Perciva Mini DR DF4 Primary | $51,648.00 |
| Boston Sci Dual ICD Generator -> BS Vigilant EL DR DF4 | $51,648.00 |
| Boston Sci Dual ICD Generator -> BS Vigilant EL DR DF4 Primary | $51,648.00 |
| Boston Sci filter wire | $7,497.00 |
| Boston Sci Single ICD Generator -> BS Dynagen EL VR | $37,820.00 |
| Boston Sci Single ICD Generator -> BS Dynagen EL VR Primary | $37,820.00 |
| Boston Sci Single ICD Generator -> BS Dynagen Mini VR | $36,828.00 |
| Boston Sci Single ICD Generator -> BS Dynagen Mini VR Primary | $36,828.00 |
| Boston Sci Single ICD Generator -> BS Inogen EL VR | $37,820.00 |
| Boston Sci Single ICD Generator -> BS Inogen EL VR Primary | $37,820.00 |
| Boston Sci Single ICD Generator -> BS Inogen Mini VR | $36,828.00 |
| Boston Sci Single ICD Generator -> BS Inogen Mini VR Primary | $36,828.00 |
| Boston Sci Single ICD Generator -> BS Momentum EL VR DF1 | $39,140.00 |
| Boston Sci Single ICD Generator -> BS Momentum EL VR DF1 Primary | $39,140.00 |
| Boston Sci Single ICD Generator -> BS Perciva Mini VR DF1 | $39,140.00 |
| Boston Sci Single ICD Generator -> BS Perciva Mini VR DF1 Primary | $39,140.00 |
| Boston Sci Single ICD Generator -> BS Perciva Mini VR DF4 | $46,564.00 |
| Boston Sci Single ICD Generator -> BS Perciva Mini VR DF4 Primary | $46,564.00 |
| Boston Sci Single ICD Generator -> BS Vigilant EL VR DF4 | $46,564.00 |
| Boston Sci Single ICD Generator -> BS Vigilant EL VR DF4 Primary | $46,564.00 |
| Boston Scientific CRT ICD -> BS Dynagen | $57,676.00 |
| Boston Scientific CRT ICD -> BS Dynagen Primary | $57,676.00 |
| Boston Scientific CRT ICD -> BS Inogen | $54,876.00 |
| Boston Scientific CRT ICD -> BS Inogen Primary | $54,876.00 |
| Boston Scientific CRT ICD -> BS Momentum | $61,668.00 |
| Boston Scientific CRT ICD -> BS Momentum Primary | $61,688.00 |
| Boston Scientific CRT ICD -> BS Vigilant X4 | $70,228.00 |
| Boston Scientific CRT ICD -> BS Vigilant X4 Primary | $70,228.00 |
| Boston Scientific CRT Leads -> BS Acuity Lead | $5,352.00 |
| Boston Scientific CRT Leads -> BS Acuity X4 Lead | $7,200.00 |
| Boston Scientific CRT Pacer -> BS Valitude IS1 | $19,716.00 |
| Boston Scientific CRT Pacer -> BS Valitude X4 | $22,292.00 |
| Boston Scientific Dual Pacer -> BS Accolade DR | $11,424.00 |
| Boston Scientific Dual Pacer -> BS Accolade EL DR | $12,180.00 |
| Boston Scientific Dual Pacer -> BS Accolade MRI DR | $14,696.00 |
| Boston Scientific Dual Pacer -> BS Essentio DR | $8,772.00 |
| Boston Scientific Dual Pacer -> BS Essentio EL DR | $9,748.00 |
| Boston Scientific Pacing Leads | $1,552.00 |
| Boston Scientific Single Pacer -> BS Accolade MRI SR | $12,004.00 |
| Boston Scientific Single Pacer -> BS Accolade SR | $8,860.00 |
| Boston Scientific Single Pacer -> BS Essentio MRI SR | $10,040.00 |
| Boston Scientific Single Pacer -> BS Essentio SR | $8,296.00 |
| Botox Injections | $1,108.00 |
| BRA SURGI LG W/ZIPPER LATEX FR EMSS 958-LRG-LF | $184.00 |
| BRA SURGI MED W/ZIPPER LF EMSS 958-MED-LF | $184.00 |
| BRA SURGI QUEEN W/ZIPPER LF EMSS 958-QUEEN-LF | $184.00 |
| BRA SURGI SM W/ZIPPER LF EMSS 958-SMALL-LF | $184.00 |
| BRA SURGI SUPER QUEEN W/ZIPPER EMSS 958-SUPERQUEEN-LF | $184.00 |
| BRA SURGI X-LRG LF W/ZIPPER EMSS 958-XLG-LF | $184.00 |
| BRA SURGI XX-LRG LF W/ZIPPER EMSS 958-XXLRG-LF | $184.00 |
| BRACE ORTH LNG KNEE PS CL IROM EA1 | $417.00 |
| BRACE ORTH UNV STD KNEE FLXN DJO GLOBAL / DJ ORTHO 11-9114-9 | $417.00 |
| Brachy Source Hdr-192 | $1,374.00 |
| BRAF SJR (TECH) | $833.00 |
| Brazil Nut (f18) IgE -Quest | $28.00 |
| Brazil Nut (f18) Ige w/Rflx-Quest | $28.00 |
| Breast Kit | $155.00 |
| Breast Kit, Double Adapter | $133.00 |
| Breast Pump Kit | $155.00 |
| Breast Recon W/Tis Expander | $57,310.00 |
| Breast Shells | $71.00 |
| Breath Alcohol. | $93.00 |
| Breath Hydrogen Test | $609.00 |
| BRK Transeptal Needle | $703.00 |
| BRNG 79-83MMX10MM VNGRD 360 ZIMMER KNEE 183900 | $9,028.00 |
| BRNG HUM 36-44MM +3MM ACROMXL ZIMMER SHOULDER XL-115365 | $4,000.00 |
| BRNG HUM 36-44MM CMPRH +3MM ZIMMER SHOULDER EP-115394 | $6,000.00 |
| BRNG HUM 36-44MM CMPRH ARCOMXL ZIMMER SHOULDER XL-115363 | $4,000.00 |
| BRNG HUM 36-44MM E1 CMPRH STD ZIMMER SHOULDER EP-115393 | $6,000.00 |
| Broch-Ebus For Navigation | $10,206.00 |
| Bron W/Cath Plac Radioele | $6,130.00 |
| Bron W/Excision Of Tumor | $12,270.00 |
| Bron W/Need Asp Bx Addl L | $100.00 |
| Bron W/Trach Or Bronch Di | $12,270.00 |
| Bronc Revise Prv Plcd Stent | $23,046.00 |
| Bronc W Balloon Occlusion | $23,046.00 |
| Bronch Ebus Sample 1/2 Nd | $12,952.00 |
| Bronch Ebus Sample 3/> Nd | $12,952.00 |
| Bronch Flex/Rigid W/Brush | $6,471.00 |
| Bronch Plcmt Fiduc Mrkrs | $23,046.00 |
| Bronch Thermoplasty 2 + Lobes | $24,326.00 |
| Bronch Valve Insert Initl | $23,046.00 |
| Bronch W Aspir Bronc Tree Init | $6,130.00 |
| Bronch W Aspira Bronc Tree Sub | $1,730.00 |
| Bronch W/Brush | $6,471.00 |
| Bronch W/Destr Tumor Lase | $12,270.00 |
| Bronch W/Lung Bx Ea Addtl Lobe | $188.00 |
| BRONCH W/REMOVAL FB | $6,471.00 |
| Bronch W/Thermo 1 Lobe | $24,326.00 |
| Bronch W/Trach Dilation | $23,046.00 |
| Bronch W/Transbronc Bx | $12,952.00 |
| Bronch W/Transbronch Need | $12,952.00 |
| Bronchial Blocker | $780.00 |
| Bronchial Challenge (Methocholine) | $1,192.00 |
| Bronchial Valve Remov Add | $6,130.00 |
| Bronchial Valve Remov Ini | $12,270.00 |
| Bronchodilator Spir | $1,192.00 |
| Bronchoscopy Diagflexible/Rigid | $6,471.00 |
| Bronchoscopy W Rem Foreign Body | $6,471.00 |
| Bronchoscopy W/Bronc Bx | $6,471.00 |
| BRONCHOSOPY DIAG | $6,471.00 |
| BRST PUNCT 1ST CYST | $2,738.00 |
| Brucella Ab IgM | $47.00 |
| Brucella Ab w/Refl To Agglut -Quest | $47.00 |
| Brucella Antibody, Agglutination -Quest | $47.00 |
| BRUSH CYTO 3FR 115CM STRL DISP | $445.00 |
| BRUSH TISSUE EXTRACTOR POWERED BENT SPINEOLOGY 315-0025 | $1,000.00 |
| BSKT SPEC RTRVL 115CM 2.4FR 10 BARD EP-MEDICAL-UROLOGICAL 042310 | $771.00 |
| BSKT SPEC RTRVL 115CM 3FR 11MM BARD EP-MEDICAL-UROLOGICAL 040415 | $771.00 |
| BSKT SPEC RTRVL 115CM 3FR STON BARD EP-MEDICAL-UROLOGICAL 045315 | $771.00 |
| bsnare | $868.00 |
| B-Type Natriuretic Peptide. | $75.00 |
| Buckwheat (f11) IgE - Quest | $23.00 |
| Bulb Syringe Tray | $102.00 |
| Bulky Dressing | $136.00 |
| Buma Stent Pioneer Trial | $1.00 |
| Bumble Bee Venom (i205) IgE -Quest | $28.00 |
| Bunion By Double Osteotomy | $12,397.00 |
| Buprenorphine Quant U-Quest | $239.00 |
| BUR ACORN FLUTED 5MM ELITE STRYKER CORP 5820-030-050 | $325.00 |
| BUR CARBIDE OVAL 4X8MM LONG LINVATEC CORP 00509223600 | $263.00 |
| BUR CARBIDE ROUND LONG 2MM LINVATEC LINVATEC CORP 00509222400 | $263.00 |
| BUR CARBIDE ROUND LONG 4MM LINVATEC LINVATEC CORP 00509222800 | $236.00 |
| BUR ENT COARSE 3MM | $704.00 |
| BUR ENT CUTTING 5MM | $325.00 |
| BUR FLUTED RND 5.0MM STRYKER CORP 5820-010-150 | $443.00 |
| BUR FLUTED RND 6.0MM STRYKER CORP 5820-010-160 | $443.00 |
| BUR HI SPEED CVD 55DEG 3.6MM MEDTRON SURGICAL TECH 1883670HS | $971.00 |
| BUR LEGEND 8CM TAPER 2.3MM MEDTRONIC INC F2/8TA23 | $573.00 |
| BUR LEGEND MATCH 14CM 3MM MEDTRONIC INC 14MH30 | $681.00 |
| BUR LESS AGGR 3MM ELITE STRYKER CORP 5820-107-430 | $325.00 |
| BUR SURGIAIRTOME ROUND CUTTING LINVATEC CORP 00509223000 | $216.00 |
| BUR XCUT CUST 3.2MM STRYKER ORTHOPEDICS 5120-66-21S1 | $681.00 |
| BURN DEBR W/O ANES MEDIUM | $834.00 |
| BURN DEBR W/O ANES SMALL | $834.00 |
| Burn Pack | $137.00 |
| BURN TREAT > 1 EXT LARGE | $1,484.00 |
| BURN TREAT 1ST DEG W/LOCA | $834.00 |
| Burn Treat Wo Anes Large | $1,484.00 |
| Burn Treat Wo Anes Medium | $834.00 |
| Burn Treat Wo Anes Small | $834.00 |
| Burn Treatment Local | $834.00 |
| Burr Holes Dr Hem Epi/Subd | $2,882.00 |
| Burr Holes Impl Cath/Rsrv/Bolt | $2,286.00 |
| Burr Holes Trep Biop Brain Les | $1,248.00 |
| BURR PRECISION NEURO 3.0 STRYKER CORP 5820-107-530 | $443.00 |
| BURR SURG 5.5MM MED RND FLUT STRYKER CORP 5220010055 | $263.00 |
| BUSHING MRH FEMORAL STRYKER KNEE 6481-2-110 | $1,017.00 |
| BUTTON FIX TR 12MM CONCAVE ARTHREX INC AR-1588TB-3 | $824.00 |
| BUTTON FIXATION 14MM CONCAVE ARTHREX INC AR-1588TN | $824.00 |
| BUTTON HEX CERCLAGE T25 3.5MM SYNTHES TRAUMA 02.221.003S | $597.00 |
| Bx Breast Stereo 1St Les | $6,500.00 |
| Bx Breast Stereo Each Add | $682.00 |
| Bx Breast U/S 1St Les | $6,500.00 |
| Bx Breast U/S Each Add | $682.00 |
| Bx Soft Tissue Back Flank Deep | $6,158.00 |
| Bx-Soft Tissue Back Flank Superficial | $6,158.00 |
| Byp Grf Not Vein Femoral-Femor | $8,540.00 |
| Byp Grf Not Vein Femoral-Popli | $2,069.00 |
| Byp Grf Vein Femoral -Popliteal | $2,507.00 |
| Byp Grf Vein Femorl -Tibial | $3,340.00 |
| Byp Grf Vein Popliteal-Tibial | $3,500.00 |
| Bypass Graft Composite | $3,500.00 |
| Bypass Graft Intervention | $45,694.00 |
| Bypass Graft Intervention addl. | $18,868.00 |
| Bypass Other Than Vein | $2,912.00 |
| C Diff Ag EIA -> Not present | $63.00 |
| C Diff Ag EIA -> Present | $63.00 |
| C Diff Ag EIA -> See PCR Result | $63.00 |
| C Diff DNA by PCR -> Negative | $185.00 |
| C Diff DNA by PCR -> Positive | $185.00 |
| C Diff Toxin EIA -> Negative | $63.00 |
| C Diff Toxin EIA -> Not present | $63.00 |
| C Diff Toxin EIA -> Positive | $63.00 |
| C Diff Toxin EIA -> Present | $63.00 |
| C Psittaci Ab IgA | $62.00 |
| C Psittaci Ab IgG | $62.00 |
| C Telopeptide (Ctx) -Quest | $99.00 |
| C Trachomatis Ab IgA | $62.00 |
| C Trachomatis Ab IgM | $61.00 |
| C. Diff Cytotoxicity Assay-Quest | $104.00 |
| C. Pneumoniae IgA-QST | $25.00 |
| C. Pneumoniae IgG-QST | $25.00 |
| C. Pneumoniae IgM-QST | $25.00 |
| C. Psittaci IgA (QST) | $62.00 |
| C. Psittaci IgA (QST) | $62.00 |
| C. Psittaci IgG (QST) | $62.00 |
| C. Psittaci IgG (QST) | $62.00 |
| C. Psittaci IgM (QST) | $62.00 |
| C. Psittaci IgM (QST) | $62.00 |
| C. Trachomatis IgA (QST) | $62.00 |
| C. Trachomatis IgA (QST) | $62.00 |
| C. Trachomatis IgG (QST) | $62.00 |
| C. Trachomatis IgG (QST) | $62.00 |
| C. Trachomatis IgM (QST) | $61.00 |
| C. Trachomatis IgM (QST) | $61.00 |
| C1 Esterase Inhibitor, Protein -Quest | $63.00 |
| C1 Inhibitor, Functional -Quest | $63.00 |
| C2 Complement Component -Quest | $63.00 |
| C2R Carotid Stent w/Prot | $27,343.00 |
| C3 Complement (QST) | $63.00 |
| C3 Complement (QST) | $63.00 |
| C4 Complement (QST) | $63.00 |
| C4 Complement (QST) | $63.00 |
| CA 19-9 -Quest | $64.00 |
| CA 27.29 -Quest | $78.00 |
| Ca Scrn;Flex Sigmoidoscop | $3,520.00 |
| Cabg Dbl | $4,166.00 |
| Cabg, Art/Graft, 1 Graft | $12,911.00 |
| Cabg, Art/Graft, 2 Graft | $3,867.00 |
| Cabg, Art/Graft, 3 Graft | $3,500.00 |
| Cabg,Ven/Art Graft 1 Vein | $3,235.00 |
| Cabg,Ven/Art Graft 2 Vein | $3,052.00 |
| Cabg,Ven/Art Graft 3 Vein | $3,499.00 |
| CABLE AND CRIMP 1.7X750MM SYNTHES TRAUMA 298.801.01S | $1,779.00 |
| CABLE INTERSTIM TEST MINI HOOK GLOBAL MEDTRON NEUROLOGICAL 357501 | $520.00 |
| CABLE TRIAL MULTILEAD ST JUDE NEUROMODULATION 3013 | $520.00 |
| CABLEREADY CABLE ASSY CERCLAGE ZIMMER TRAUMA 00223200418 | $1,085.00 |
| cadaveric costal graft | $1,064.00 |
| Cadmium, 24-Hour Urine -Quest | $122.00 |
| Cadmium, Blood -Quest | $122.00 |
| Caffeine Level Neonatal-RHMC. | $183.00 |
| CAGE CAMBER 22X10X8 S1 SPINE LLC CX-221008 | $10,136.00 |
| CAGE CERVICAL 14X17 H6MM ROI-C LORDOTIC | $4,916.00 |
| CAGE CERVICAL 14X17 H7MM ROI-C LORDOTIC ZIMMER SPINE MC1433P | $4,916.00 |
| CAGE CERVICAL ROI 6X14X15.5MM ZIMMER SPINE MC1322P | $4,916.00 |
| CAGE CERVICAL ROI 7X14X15.5MM ZIMMER SPINE MC1323P | $4,916.00 |
| CAGE CERVICAL ROI 7X14X15.5MM ZIMMER SPINE MC1423P | $4,916.00 |
| CAGE CONCORDE 9X7X23MM DEPUY SPINE INC 187823107 | $10,136.00 |
| CAGE CONCORDE 9X8X23MM DEPUY SPINE INC 187823108 | $10,136.00 |
| CAGE SPINAL 22X10X11MM CAMBER S1 SPINE LLC CX-221011 | $10,136.00 |
| CAGE SPINAL 9X10X22MM CHAMBER S1 SPINE LLC CX-221009 | $10,136.00 |
| CAGE SPINAL L11XW14XH8MM TM-S IORDITIC TRAPEZOIDAL IMPLANT ZIMMER SPINE 06-101-02081 | $11,500.00 |
| CALCANEAL FX (CLOSED) | $1,064.00 |
| Calcaneous Min 2 Views | $294.00 |
| Calcitonin -Quest | $141.00 |
| Calcium Level | $27.00 |
| Calcium Level | $27.00 |
| Calcium Level | $27.00 |
| Calcium Level | $27.00 |
| Calcium Level 24 Hour Urine. | $32.00 |
| Calcium Level Ionized | $72.00 |
| Calcium Level Ionized (POCT). | $72.00 |
| Calcium Level Ionized. | $72.00 |
| Calcium Level Total. | $27.00 |
| Calcium Level Urine. | $27.00 |
| California IgG CSF-QST | $100.75 |
| California IgM CSF-QST | $100.75 |
| Calmed 18Fr Vent | $110.00 |
| Caloric Vstblr Monothermal | $609.00 |
| Caloric Vstblr Test Bithermal | $609.00 |
| Calprotectin, Stool -Quest | $104.00 |
| Camitz Tendon Transfer/Transplant, Palmar | $11,745.00 |
| Campy Ag -> Negative | $76.00 |
| Campy Ag -> Positive | $76.00 |
| CANALITH REPOS EPLEY | $157.00 |
| Canalith Repositioning Proc Epley | $157.00 |
| C-Anca Titer (QST) | $79.00 |
| C-Anca Titer (QST) | $79.00 |
| C-Anca Titer (QST) | $79.00 |
| Cancer Antigen 125. | $110.00 |
| Cancer Antigen 15-3. | $110.00 |
| Candida Ab IgA | $63.00 |
| Candida Ab IgM | $63.00 |
| Candida albicans (m5) IgE-Quest | $24.00 |
| Candida Albicans Ab (IgG,IgA,IgM) -Quest | $63.00 |
| Candida DNA -> Detected | $106.00 |
| Candida DNA -> Not detected | $106.00 |
| Cannabinoids - Quest | $161.00 |
| Cannula | $76.00 |
| CANNULA BIOMEDICUS 17FR 18 CANNULA FEM ART PERCUT 17FR MEDTRON CARDIAC SURGERY 96530-017 | $1,015.00 |
| CANNULA BUTTON 8MMX4CM PASSPORT ARTHREX INC AR-6592-08-40 | $128.00 |
| Cannula Declotting W Bal Cath | $19,594.00 |
| Cannula Declotting Wo Bal Cath | $2,776.00 |
| Cannula Insert Art-Ven Revison | $19,594.00 |
| Cannula Insert Vein To Vein | $20,682.00 |
| CANNULA THREADED 5.75MMX7CM ARTHREX INC AR-6564 | $100.00 |
| CANNULA TWIST IN 8.25MM ARTHREX INC AR-6540 | $100.00 |
| CANNULA TWIST IN 8.25MMX7CM ARTHREX INC AR-6530 | $100.00 |
| CANNULA TWIST IN KT 7MMX7CM ARTHREX INC AR-6570 | $100.00 |
| Canthoplasty | $8,115.00 |
| CAP END 0MM TI STRL GRN SYNTHES TRAUMA 456.311S | $748.00 |
| CAP END 0MM TIB T40 STARDR RCS EA1 SYNTHES TRAUMA 04.004.008S | $717.00 |
| CAP END NAIL FEMORAL TITAN SYNTHES TRAUMA 04.003.000 | $717.00 |
| CAP END NAIL TIB GRAY 10MM SYS DEPUY ORTHOPAEDICS INC 04.004.010S | $847.00 |
| CAP FEM NAIL TI END T40 0MM SYNTHES TRAUMA 04.013.000 | $690.00 |
| CAP FEM NAIL TI END T40 0MM SYNTHES TRAUMA 04.013.000S | $690.00 |
| CAP LOCKING GLOBUS SPINE 124.000 | $280.00 |
| CAP LOCKING THREADED 5.5MM GLOBUS SPINE 1119.0010 | $280.00 |
| CAP LOCKING WITHOUT SADDLE MATRIX SYNTHES SPINE 09.632.099 | $690.00 |
| CAP NAIL END 0MM ORTHOFIX INC 99-T770000 | $847.00 |
| CAPD Daily Charge | $657.00 |
| Capsul M-P Jnt Stab 3 Or 4 Dig | $11,745.00 |
| Capsul M-P Jnt Stab Sing Digit | $11,745.00 |
| Capsular Contracture Release | $11,745.00 |
| Capsulectomy Interphalangeal | $5,880.00 |
| Capsulectomy Metacarpopha Sing | $11,745.00 |
| Capsulor Recur Dsl Shoulder Posterior | $25,517.00 |
| Capsulor W Caracoid Process Trasfer | $25,517.00 |
| Capsulor W Mult Dir Instb | $25,517.00 |
| Capsulorrhaphy Rec Disc Ant Bankhart Proc | $25,517.00 |
| Capsulorrhaphy Rec Discl Ant/Bone Block | $25,517.00 |
| Capsulorrhaphy Rec Disloc Ant Putti-Plat | $25,517.00 |
| Capsulotomy Exten- Sive Clubfoot | $25,517.00 |
| Capsulotomy Knee | $11,745.00 |
| Capsulotomy Midfoot | $11,745.00 |
| Capsulotomy Midfoot W Tnd Leng | $5,880.00 |
| Capsulotomy Midtar- Sal | $5,880.00 |
| Capsulotomy Open Interphalang | $5,880.00 |
| Capsulotomy Open Metatarsophal | $11,745.00 |
| Capsulotomy Wrist | $11,745.00 |
| Capsulr Wrist Carpl Instb | $25,517.00 |
| CAR TRANSPORT | $104.00 |
| Carbamazepine and Metab Free/Bound-Quest | $70.00 |
| Carbamazepine Level. | $77.00 |
| Carbamazepine, Free, LC/MS/MS -Quest | $70.00 |
| Carbamazepine, Total | $77.00 |
| Carbon Dioxide | $28.00 |
| Carbon Dioxide | $28.00 |
| Carbon Dioxide | $28.00 |
| Carbon Dioxide | $28.00 |
| Carboxyhemoglobin. | $65.00 |
| Carcinoembryonic Antigen. | $100.00 |
| Card Rehab Maint Package - Annual -> Yes | $432.00 |
| Card Rehab Maint Package - Disc Annual -> Yes | $378.00 |
| Card Rehab Maint Package - Disc Monthly -> Yes | $38.00 |
| Card Rehab Maint Package - Eval -> Yes | $32.00 |
| Card Rehab Maint Package - Monthly -> Yes | $49.00 |
| Card Rehab Maint Package - Prorated -> Yes | $24.00 |
| Card Rehab Non-Monitored Cardiac Rehab -> Yes | $558.00 |
| Card Rehab OP Cardiac Rehabilitation -> Yes | $558.00 |
| Cardio IQ Lipoprotein Subfract -Quest | $167.00 |
| Cardio IQ Myeloperoxidase (MPO) - Quest | $229.00 |
| Cardio IQ(R) Lipoprotein (a) -Quest | $68.00 |
| Cardioform (Gore) | $27,988.00 |
| Cardiolipin Ab (IgA) (QST) | $134.00 |
| Cardiolipin Ab (IgA) (QST) | $134.00 |
| Cardiolipin Ab (IgA) -Quest | $134.00 |
| Cardiolipin Ab (IgG) (QST) | $134.00 |
| Cardiolipin Ab (IgG) (QST) | $134.00 |
| Cardiolipin Ab (IgG) -Quest | $134.00 |
| Cardiolipin Ab (IgM) (QST) | $134.00 |
| Cardiolipin Ab (IgM) (QST) | $134.00 |
| Cardiolipin Ab (IgM) -Quest | $134.00 |
| Cardiopulmonary Resuscitation | $1,192.00 |
| Cardioversion | $2,488.00 |
| CARDIOVERSION EXTERNAL | $2,488.00 |
| CARDIOVERSION INTERNAL | $2,488.00 |
| Cardioversion Electric Ext | $2,488.00 |
| Cardioversion, external | $2,488.00 |
| Careless Weed IgE-Quest | $90.87 |
| Carnitine, LC/MS/MS -Quest | $89.00 |
| Carotene -Quest | $49.00 |
| Carpal Bone Shortening | $11,745.00 |
| Carpectomy All Bones | $11,745.00 |
| Carpectomy One Bone | $11,745.00 |
| Carrot (f31) IgE -Quest | $28.00 |
| CART REMUV CEGA MV510-2 | $971.00 |
| Casein (F78) IgE | $43.00 |
| Casein (f78) IgE-Quest | $24.00 |
| Cashew Nut (f202) IgE -Quest | $28.00 |
| Cashew Nut (f202) w/Rflx-Quest | $28.00 |
| CASPR2 Ab | $64.00 |
| CAST LONG ARM | $1,113.00 |
| CAST SHORT ARM | $1,113.00 |
| Cast Clubfoot Long Or Short Leg | $603.00 |
| Cast Gauntlet | $603.00 |
| Cast Hip Spica 1 1/2 Spica Or Both Legs | $1,055.00 |
| Cast Hip Spica 1 Leg | $1,055.00 |
| Cast Long Arm | $1,113.00 |
| Cast Long Leg | $1,113.00 |
| Cast Long Leg Walking | $1,113.00 |
| Cast Removal ED Supply | $136.00 |
| Cast Shoe | $149.00 |
| Cast Short Arm | $1,113.00 |
| Cast Short Leg | $1,113.00 |
| Cast Short Leg Walk-Ing | $1,113.00 |
| Cast Thigh To Ankle Cylinder | $1,055.00 |
| Cat Dander (e1) IgE -Quest | $28.00 |
| Catecholamines Fract Plasma -Quest | $133.00 |
| Catecholamines Fract, 24 Hr w/Creat-QST | $133.00 |
| Catecholamines Fract, 24 Hr Ur -Quest | $133.00 |
| Catecholamines, Frac Urine -Quest | $133.00 |
| Catfish (f369) IgE -Quest | $28.00 |
| CATH 30 ATM STRGHT 7FR 10MM 15 BARD PERIPHERAL VASCULAR INC 996101 | $1,111.00 |
| CATH 50CM 33FR PALINDROME CV KENDALL HEALTHCARE PRODUCTS 8888145065P | $1,833.00 |
| CATH 6FR 5MM 4CM 2 LUM 2 BARD EP-MEDICAL-UROLOGICAL 888504 | $793.00 |
| CATH 6FR 6MM 4CM 2 LUM RADOPQ BARD C R INC 888604 | $793.00 |
| cath biliary drain flexima | $411.00 |
| CATH BLNDIL 200CM 7-6FR 9-12MM BOSTON SCI:ENDO M00547000 | $738.00 |
| CATH CHLGM 18IN 4.5FR 6.5FR TELEFLEX INC 20018-M57 | $129.00 |
| CATH CHLGM 19GA PRVW KUMAR EA1/BX20 NASHVILLE SURG INSTR CC-019 | $129.00 |
| Cath coronary | $43.00 |
| CATH CV 9.6FR 1 LUM SRCF TISS BARD ACCESS SYSTEMS INC 0600564 | $588.00 |
| Cath diagnostic cat 1 | $93.00 |
| cath diagnostic cath 1 | $93.00 |
| CATH DLYS 62CM QNTN CRLCATH | $564.00 |
| CATH EMBL 40CM 3FR 6MM FGRTY LEMAITRE VASCULAR INC E1651-34 | $260.00 |
| CATH EMBL 40CM 4FR 10MM LMTR LEMAITRE VASCULAR INC E1651-44 | $260.00 |
| CATH EMBL 80CM 3FR 6MM LMTR EA1 LEMAITRE VASCULAR INC E1651-38 | $414.00 |
| CATH EMBL RED 80CM 4FR 10MM EA1 LEMAITRE VASCULAR INC E1651-48 | $260.00 |
| CATH NEPHSTMY RE-ENTRY 20FRX35 BOSTON SCI:PERIPHERAL INTERV 410-106 | $312.00 |
| CATH PALNDRME DUAL LUM 55/72 KENDALL HEALTHCARE PRODUCTS 8888145018P | $1,518.00 |
| cath peripheral diag. | $164.00 |
| Cath peripheral diag. cat 1 | $246.00 |
| Cath peripheral diag. cat 2 | $422.00 |
| Cath peripheral diag. cat 3 | $562.00 |
| Cath peripheral diagnostic | $164.00 |
| Cath placement, vein 2nd order | $538.00 |
| CATH PULM ART 8.3FR ENDOVENT EA1 | $6,134.00 |
| CATH SCT 5FR 60CM 1 PC MLD FLX DUP - USE 659832 KARL STORZ ENDOSCOPY AMERICA I 10468A-5 | $129.00 |
| CATH URET 10FR 50CM .038IN 2 BARD EP-MEDICAL-UROLOGICAL 130200 | $160.00 |
| CATH XTRN DRN 35CM 2.8MM 1.5MM MEDTRON SURGICAL TECH 46118 | $657.00 |
| Cath, coronary | $43.00 |
| Cath, diagnostic cat 1 | $93.00 |
| Cath, peripheral diagnostic cat 1 | $246.00 |
| Catherization Umbilical Vein | $6,468.00 |
| CATHETER 5F PLUS 40CM OTW LEMAITRE VASCULAR INC E1651-84 | $272.00 |
| CATHETER 9.6FR SINGLE LUMEN BARD ACCESS SYSTEMS INC 0600560 | $464.00 |
| CATHETER FOLEY COUNCIL 16F 5CC SILICONE 2 WAY LATEX FREE CARDINAL HEALTH INC 40516L | $116.00 |
| CATHETER FOLEY COUNCIL 18F 5CC SILICONE 2 WAY LATEX FREE CARDINAL HEALTH INC 40518L | $116.00 |
| CATHETER FOLEY COUNCIL 20F 5CC SILICONE 2 WAY LATEX FREE CARDINAL HEALTH INC 40520L | $116.00 |
| CATHETER GLIDEPATH 14.5F 19CM HEMODIALYSIS LONGTERM BARD PERIPHERAL VASCULAR INC 5393190 | $1,000.00 |
| CATHETER GLIDEPATH 14.5F 23CM HEMODIALYSIS LONGTERM BARD PERIPHERAL VASCULAR INC 5393230 | $1,000.00 |
| CATHETER HICKMAN 2 LUMEN 9FR CATHETER HICKMAN DUAL 9FR BARD ACCESS SYSTEMS INC 0600600 | $502.00 |
| Catheter Irrigation Set | $213.00 |
| CATHETER NASAL EPISTAXIS SILI SPLINT NASAL EPISTAT MEDTRON SURGICAL TECH 1527031 | $457.00 |
| CATHETER OCCLUSION 14FR 80CM CATHETER OCCLUSION 8-14FR EDWARDS LIFESCIENCES CORP 62080814F | $272.00 |
| CATHETER OCCLUSION PRUITT 4FR CATH EMBOLECTOMY 4FR 40CM LEMAITRE VASCULAR INC E2013-46 | $296.00 |
| Catheter Plug | $76.00 |
| CATHETER VENT STD BARIUM RT MEDTRON SURGICAL TECH 41101 | $456.00 |
| CATHETER VENTRIC HAKIM 14CM INTEGRA NEUROSCIENCES INC 82-3041 | $456.00 |
| CATHETER VENTRIC HAKIM INTEGRA NEUROSCIENCES INC 823073 | $1,320.00 |
| CAUT ANT NOSEBLEED SIMP | $503.00 |
| CAUT NOSEBLEED POST;INIT | $503.00 |
| CAUT POST NOSEBLEED COMP | $503.00 |
| CAUT POST NOSEBLEED;SUBS | $974.00 |
| Cauterization Anal Fissure Init | $10,452.00 |
| Cauterize Turbin Uni/Bil Super | $5,727.00 |
| Cauterize Turbinate Intramural | $5,727.00 |
| Cautery Closure Of Punctum | $1,269.00 |
| CBC w/ Differential. | $41.00 |
| CBC w/ Manual Differential. | $34.00 |
| CBC without Differential. | $34.00 |
| CBIR 1 AB | $82.00 |
| CCP Ab IgG (QST) | $68.00 |
| CD57+/CD3- Absolute (QST) | $134.00 |
| CD57+/CD3-/CD8- Absolute (QST) | $183.00 |
| CD57+/CD8- Absolute (QST) | $134.00 |
| Ceftolozane/Tazobactam | $25.00 |
| Ceftriaxone | $25.00 |
| Ceftriaxone | $25.00 |
| Ceftriaxone | $25.00 |
| Ceftriaxone | $25.00 |
| Ceftriaxone (meningitis) | $25.00 |
| Cefuroxime | $25.00 |
| Cefuroxime | $25.00 |
| Celiac Genetics-Prometheus. | $653.00 |
| Celiac Plus-Prometheus. | $82.00 |
| Celiac Serology-Prometheus. | $82.00 |
| Cell Count with Differential Body Fluid. | $29.00 |
| Cell Count with Differential CSF. | $29.00 |
| Cell Saver per Hour | $922.00 |
| CEMENT BONE 10CC STRYKER CMF 79-45910 | $15,297.00 |
| CEMENT BONE 1X40 ZIMMER KNEE 110035368 | $240.00 |
| CEMENT BONE 40G 20ML SIMPLEX STRYKER CORP 6191-1-010 | $240.00 |
| CEMENT BONE 40GM W/GENTAMICIN RADIOPAQUE PALACOS ZIMMER HIP 00111314001 | $1,116.00 |
| CEMENT BONE CALCIGEN 25ML PASTE ZIMMER (BIOMET) CMF 348014 | $2,924.00 |
| CEMENT BONE KYPHX HV-R AND MIX MEDTRON SPINAL AND BIOLOGICS C01B | $516.00 |
| CEMENT BONE SMPLX HV W GENTAM STRYKER ORTHOPEDICS 6195-1-010 | $860.00 |
| CEMENT BONE SMPLX FULL DOSE STRYKER ORTHOPEDICS 6194-1-010 | $240.00 |
| CEMENT BONE W/ TOBRAMYCIN BONE CEMENT SIMPLEX W/TOBRAMYC STRYKER CORP 6197-9-010 | $1,116.00 |
| CEMENT HV US SIMPLEX 1PK STRYKER HIP 6194-1-001 | $240.00 |
| CEMENT HV WITH GENTAMICIN US SIMPLEX 1PK STRYKER HIP 6195-1-001 | $860.00 |
| CEMENT P FULL DOSE SIMPLEX 1PK STRYKER HIP 6191-1-001 | $240.00 |
| CEMENT P WITH TOBRAMYCIN SIMPLEX 1PK STRYKER HIP 6197-9-001 | $1,116.00 |
| CENTRAL AXIS DEPTH DOSE CALC | $585.00 |
| Central Line Insertion Charge -> CVP Line Placement Percut < 5 years old | $5,168.00 |
| Central Line Insertion Charge -> CVP Line Placement Percut 5 and older | $5,168.00 |
| Central Line Kit | $432.00 |
| Central Venous Catheter | $228.00 |
| CENTRALIZER HIP STEM 11MM BIOMET JOINT ORTHOPEDICS 162657 | $336.00 |
| CENTRALIZER HIP STEM 9MM BIOMET JOINT ORTHOPEDICS 162656 | $336.00 |
| Centrilization Of Wrist On Ulna | $11,745.00 |
| Centromere B Antibody (QST) | $95.00 |
| Centromere B Antibody -Quest | $95.00 |
| Cerclage Of Cerv/During Pregnency | $11,159.00 |
| Cerclage Of Uterine Cervix, Nonobstetrical | $10,572.00 |
| Cerebral Oximeter (Foresight) | $164.00 |
| Ceruloplasmin -Quest | $57.00 |
| Cerv Stump Excis Vag W Repair | $18,472.00 |
| Cerv Stump Excis Vaginal | $10,572.00 |
| Cervical Amputation | $10,572.00 |
| CERVICAL COLLAR (SOFT) | $228.00 |
| Cervical Collar- Rigid | $187.00 |
| Cervical Collar- Soft | $215.00 |
| Cervix Biopsy | $2,637.00 |
| Cervix Cauterization Cryocautery | $1,222.00 |
| Cervix Cauterization Elctro | $10,572.00 |
| Cervix Cauterization Laser | $11,159.00 |
| Cervix Plst Rpr,Trachelorrhaphy | $11,159.00 |
| Cesarean Delivery | $10,000.00 |
| Cesarean Delivery Only | $1,003.00 |
| Cesarean Delivery W Ant/Post Care | $2,492.00 |
| Cessj Therapy Cath Removal | $5,168.00 |
| CHANGE CYSTO TUBE SIMP | $783.00 |
| Change G Tube To G J Perc | $6,641.00 |
| Change Gastrostomy Tube | $606.00 |
| Change Of Cystostomy Tube Complicated | $2,517.00 |
| Change Of Cystostomy Tube Simp | $783.00 |
| Cheddar Cheese (f81) Ige-Quest. | $23.00 |
| Cheese Mold Type (f82) IgE -Quest | $28.00 |
| Chem Cauter Granula Tissue | $632.00 |
| Chem Peel Nonfacial Dermal | $1,406.00 |
| Chemical Peel, Dermal | $2,162.00 |
| Chemical Peel, Facial | $790.00 |
| Chemical Peel,Non Facial | $1,406.00 |
| Chemical Pleurodesis | $2,776.00 |
| CHEMO ADM IM NON HORM ( | $282.00 |
| CHEMO HORMN ANTINEO SQ/IM () | $282.00 |
| CHEMO INF EACH ADDL HOUR ( | $282.00 |
| CHEMO INF TO 1HR;ADD SEQ ( | $282.00 |
| CHEMO IV SINGLE PUSH ADDL ( | $282.00 |
| Chemodener Muscle Larynx Emg | $1,108.00 |
| Chemodenerv 1 Extrem 5/> Mus | $2,681.00 |
| Chemodenerv 1 Extremity 1-4 | $2,681.00 |
| Chemodenerv Musc Migraine | $1,108.00 |
| Chemodenerv Musc Neck Dystonia | $1,108.00 |
| Chemodenerv muscle(s); facial nerve | $1,108.00 |
| Chemodenervation Both Axillae | $1,108.00 |
| Chemodenervation Eccrine Gland; Other Area | $1,108.00 |
| Chemodenervation Int Anal | $4,630.00 |
| Chemodenervation Of Extraocular Muscle | $1,269.00 |
| Chemodenervation Salivary Glands,Bilateral | $1,108.00 |
| Chemodenervation Trunk Muscle 1-5 | $2,681.00 |
| Chemodenervation Trunk Muscle 6 Or More | $2,681.00 |
| Cherry (f242) IgE -Quest | $28.00 |
| Chest Cuirass Charge -> Initial charge | $2,410.00 |
| Chest Cuirass Charge -> Subsequent Charge | $2,410.00 |
| CHEST DRAIN DRY SUCTION ATRIUM ATRIUM MEDICAL CORP 3600-100 | $120.00 |
| Chest Tube Drainage Kit | $369.00 |
| Chest Wall Manipulat Init | $503.00 |
| Chicken Feathers (e85) IgE-Quest. | $23.00 |
| Chicken Meat (f83) IgE-Quest | $23.00 |
| Chikungunya Virus RNA, Ql RT PCR -Quest | $185.00 |
| Childhood Allergy Food And Environ-Quest | $87.00 |
| Chili Pepper (f279) IgE-Quest | $23.00 |
| CHISEL FLEX 10MM SYNTHES SYNTHES TRAUMA 399.55 | $263.00 |
| CHISEL FLEX 16MM SYNTHES SYNTHES TRAUMA 399.56 | $263.00 |
| CHISEL FLEX 25MM SYNTHES SYNTHES TRAUMA 399.57 | $244.00 |
| CHISEL FLEX 5MM SYNTHES SYNTHES TRAUMA 399.58 | $144.00 |
| Chlamydia Trachomatis Culture -Quest | $29.00 |
| Chlamydia Trachomatis IgM Ab -Quest | $67.00 |
| Chlamydia Trachomatis Rapid DNA -> Detected | $155.00 |
| Chlamydia Trachomatis Rapid DNA -> Not detected | $155.00 |
| Chlamydia/N. Gonorrhoeae RNA, TMA -Quest | $185.00 |
| Chloride | $24.00 |
| Chloride | $24.00 |
| Chloride | $24.00 |
| Chloride | $24.00 |
| Chloride Level 24 Hour Urine. | $27.00 |
| Chloride Level Body Fluid. | $26.00 |
| Chloride Level Urine. | $27.00 |
| Chloride Level. | $24.00 |
| Chloride, Feces | $16.00 |
| Chng Ureterostomy Tube | $7,789.00 |
| Cholangiography Operative | $968.00 |
| Cholecystectomy | $5,214.00 |
| Cholesterol HDL. | $43.00 |
| Cholesterol Total | $23.00 |
| Cholesterol Total. | $23.00 |
| Cholesterol, Pleural Fluid -Quest | $38.00 |
| Cholesterol-QST | $68.00 |
| Cholinesterase Plasma | $42.00 |
| Cholinesterase Serum-QST | $43.00 |
| Cholinesterase, Plasma -Quest | $42.00 |
| Cholinesterase, RBC and Plasma -Quest | $43.00 |
| Chorionic Villus Sampling | $2,498.00 |
| Chrom analysis amniotic | $459.76 |
| Chrom karyotype study | $83.27 |
| Chromatin (Nucleosomal) Antibody (QST) | $95.00 |
| Chromatin (Nucleosomal) Antibody -Quest | $95.00 |
| Chromium, Blood -Quest | $107.00 |
| Chromium, Plasma -Quest | $107.00 |
| Chromium, Serum -Quest | $107.00 |
| Chromogranin A, Ecl -Quest | $110.00 |
| Chromos Micro, Postnatal Oligo SNP -Quest | $5,260.00 |
| Chromos,HR w/Rfl Postnatal, Oligo SNP -Quest | $182.00 |
| Chromosome Anal, Alpha-Feto w/Rflx-QST | $407.07 |
| Chromosome Analysis, Blood -Quest | $658.00 |
| Chromosome Analysis, Tissue -Quest | $743.00 |
| Chromsomal Microarry Oligo-SNP-QST | $3,220.00 |
| Chronic Total Occlusion | $45,694.00 |
| Chymotrypsin, Stool -Quest | $39.00 |
| Cil Bod Dest/Cyclophotocoagulation | $8,115.00 |
| Ciliary Bod Dest/Cryotherapy | $8,115.00 |
| Cinnamon (f220) IgE - Quest | $23.00 |
| Circad Resp Pat Record 12/24 Hrs | $2,038.00 |
| Circumcision Male Newborn | $8,222.00 |
| Circumcision Surg Dors Slit Newborn | $2,657.00 |
| Circumcision Surg non Newborn | $8,222.00 |
| Circumcision Tray | $161.00 |
| Citrate, 24Hr Ur | $118.00 |
| CK Reflex CKMB. | $34.00 |
| CK Total-QST | $19.00 |
| CK-MB Isoenzyme. | $61.00 |
| CK-MM (QST) | $71.00 |
| Cl Lip Rep W Cross Lip Inc Ped | $19,807.00 |
| CL TX CRPMT DIS SIN W/MAN | $1,067.00 |
| CL TX CRPMT DIS THB W/MAN | $1,125.00 |
| CL TX CRPMT DIS W/MAN/ANE | $22,110.00 |
| CL TX DIS PHAL FX EA | $1,064.00 |
| CL TX DIS PHL FX W/MAN EA | $725.00 |
| Cl Tx Gr Hum Tbrsty Fx W/ | $5,880.00 |
| CL TX INTPH JT DIS W/MAN | $1,067.00 |
| CL TX INTPH JT W/MAN/ANES | $1,113.00 |
| Cl Tx Metacarpophalangeal Dislc | $1,008.00 |
| CL TX METCRP FX SINGLE EA | $1,067.00 |
| CL TX METCRPHL DIS W/MAN | $1,067.00 |
| CL TX MTCP FX MANIP/FIXAT | $12,397.00 |
| CL TX MTCP FX SN W/MAN EA | $1,067.00 |
| CL TX PHAL FX W/MAN EA | $1,067.00 |
| CL TX PHAL SHFT FX EA | $1,064.00 |
| CL TX PROX HUM FX W MANIP | $6,207.00 |
| CL TX PROX HUM FX WO MANI | $1,067.00 |
| CL TX SHLDR DISLOC W ANES | $6,207.00 |
| CL TX SHLDR DISLOC W/MANI | $6,207.00 |
| CL TX SHLDR DISLOC WO ANE | $1,064.00 |
| Cladosporium Herbarum (m2) IgE -Quest | $28.00 |
| Cladosporium Herbarum IgG (QST) | $37.00 |
| Clam (F207) IgE (QST) | $28.00 |
| Clam (f207) IgE -Quest | $28.00 |
| CLAMP 4.0/2.5 EXT-FX SM NS SYNTHES TRAUMA 395.56 | $1,270.00 |
| CLAMP 4.0/4.0 EXT-FX SM NS SYNTHES TRAUMA 395.57 | $1,270.00 |
| CLAMP ADJ FIXATOR MR SAFE 4MM SYNTHES TRAUMA 390.051 | $3,014.00 |
| CLAMP ADJ OPEN MR SAFE L SYNTHES TRAUMA 390.008 | $1,910.00 |
| CLAMP COMBO MR SAFE L SYNTHES TRAUMA 390.005 | $2,679.00 |
| CLAMP MULTI-PIN 4 POSTN L MR SYNTHES TRAUMA 390.004 | $3,014.00 |
| CLAMP MULTI-PIN 6 POSTN L SYNTHES TRAUMA 390.002 | $3,014.00 |
| CLAMP OPEN 4.0 X 2.5MM SYNTHES TRAUMA 395.54 | $1,270.00 |
| CLAMP OPN EXT-FX LG NS SYNTHES TRAUMA 393.69 | $975.00 |
| CLAMP UNIV FIXATOR EXTERNAL L SYNTHES TRAUMA 393.75 | $2,679.00 |
| CLAVICLE STRAP | $228.00 |
| Clavicle X Ray | $294.00 |
| Claviculectomy Partial | $12,397.00 |
| Claviculectomy; Total | $11,745.00 |
| CLD TX OF TARSAL BONE DIS | $829.00 |
| Clearance Of Tear Duct | $1,269.00 |
| Cleft Lip Repair Bil One Stage | $19,807.00 |
| Cleft Lip Repair Bil Two Stage | $19,807.00 |
| Cleft Lip Repair Secondary | $9,990.00 |
| Cleft Lip/Nasal Rep Unil | $19,807.00 |
| Clindamycin | $25.00 |
| Clindamycin | $25.00 |
| Clinical Research Charge | $0.00 |
| CLIP HEMOSTATIC 235CM BOSTON SCIENTIFIC CORP M00522611 | $389.00 |
| CLIP SURG GUN KIT DISCONTINUED MEDTRON SURGICAL TECH CG8900 | $324.00 |
| Clitoroplasty F/Adrenogential Syndrome | $10,572.00 |
| Clo Vesic Fist Transv & Vag Ap | $28,404.00 |
| Clobazam -Quest | $403.00 |
| Clomipramine-Quest | $154.00 |
| Clonazepam/7-amino Clonazepam, Urine-QST | $339.00 |
| Clos Of Lac Punct;By Plug | $1,269.00 |
| Clos Vesicovaginal Fistula Vaginal Appr | $18,472.00 |
| Close Esophagos/Fistula Cervcl | $9,990.00 |
| Close Tracheostomy Or Fistula | $9,990.00 |
| Close Tracheostomy W Plast Rep | $9,990.00 |
| CLOSED FX DISTAL TIBIA | $6,207.00 |
| CLOSED MALLEOLUS FX MANIP | $6,207.00 |
| Closed Tracheal Suction System | $55.00 |
| Closed Treatmnt Mandib Fracture W/Fixation | $19,807.00 |
| Closed Tx Fem Fx,Prox W/O | $11,745.00 |
| CLOSED TX FIB/SHAFT FX | $6,207.00 |
| CLOSED TX HUMERUS FRACTUR | $6,207.00 |
| Closed Tx Of Post Malleol | $6,207.00 |
| CLOSED TX PELVIC RING FX | $1,064.00 |
| CLOSED TX POST MALLEOLUS | $923.00 |
| Closed Tx Post Malleolus | $923.00 |
| Closed Tx Supracondylar Fracture | $1,008.00 |
| CLOSED TX TIBIAL FX | $12,397.00 |
| Closure Cystostomy Independt | $13,104.00 |
| Closure Fistula Salivary | $9,990.00 |
| Closure Gastrostomy Surgical | $12,646.00 |
| Closure of lacrimal fistula (separate procedure) | $8,115.00 |
| CLOSURE SURG SKIN ZIP24 ZIPLINE MEDICAL PS1240 | $440.00 |
| CLOSURE SYSTEM SUTURE 6F MEDICATED PERCLOSE PROGLIDE ABBOTT CARDIOVASCULAR INC 12673-03 | $900.00 |
| Closure Urethostomy Urethrocut | $18,000.00 |
| Closuurethrovaginal Fistula | $28,404.00 |
| clover | $1,731.00 |
| Clozapine -Quest | $98.00 |
| Cls Enterov Fist W Bowel/Bladder Resect | $2,154.00 |
| Cls Entros Sm/Lg Intest W Anas | $3,577.00 |
| CLSD POST MALL FX W MANIP | $6,207.00 |
| CLSD TMT MONTEGGIA FX/DSL | $6,207.00 |
| CLSD TR NOSE FX W/O MANIP | $725.00 |
| CLSD TR NOSE FX W/O STABI | $6,045.00 |
| Clsd Trtmnt Rad Shft Frac | $5,880.00 |
| Clsd Trtmt Sesamoid Fract | $1,008.00 |
| CLSD TX CLAV FX W MANIPUL | $6,207.00 |
| CLSD TX CLAV FX W/O MANIP | $1,067.00 |
| CLSD TX NOSE FX W/STABIL | $10,544.00 |
| Clsd Tx Pelvic Ring Fx W/Manip W/An | $1,064.00 |
| Clsd Tx Pelvic Ring Fx W/Manipulation W/An | $1,008.00 |
| CLSD TX RAD HD/NK FX MANI | $6,207.00 |
| CLSD TX SCAPULA FX WO MAN | $1,088.00 |
| CLSD TX TM DISLOCATION | $725.00 |
| Clsr/Anal Fist/W/Rec Flap | $11,033.00 |
| Clsr/Sternot Sep W/Wo Debrid | $3,847.00 |
| CLU OXD 4X2IN ABS HMST SNOW JOHNSON & JOHNSON 2082 | $684.00 |
| CLU OXD ABS HMST BIONERT BARD DAVOL INC SM0005USA | $784.00 |
| cmg W/Upp & Press Flow | $2,517.00 |
| cmg With Pressure Flow | $2,517.00 |
| cmg With Upp | $2,517.00 |
| CMPNT FEM 10 NAR RT CRCTE PERSONA ZIMMER KNEE 42502006802 | $7,220.00 |
| CMPNT FEM 11 STD LFT PERSONA ZIMMER KNEE 42502607001 | $7,220.00 |
| CMPNT FEM 11 STD RT CRCTE PERSONA ZIMMER KNEE 42502607002 | $7,220.00 |
| CMPNT FEM 3 RT CMNT POST STRYKER KNEE 5515-F-302 | $6,600.00 |
| CMPNT FEM 3 RT POST STAB BEAD STRYKER KNEE 5516-F-302 | $7,120.00 |
| CMPNT FEM 4 LFT CMNT POST STRYKER KNEE 5515-F-401 | $6,600.00 |
| CMPNT FEM 5 LFT CMNT POST STRYKER KNEE 5515-F-501 | $6,000.00 |
| CMPNT FEM 5 LFT POST STAB BEAD STRYKER KNEE 5516-F-501 | $7,220.00 |
| CMPNT FEM 5 RT POST STAB STRYKER KNEE 5516-F-502 | $7,220.00 |
| CMPNT FEM 5 STD LFT CRCTE PERSONA ZIMMER KNEE 42502605801 | $7,220.00 |
| CMPNT FEM 5 STD RT CMNT PERSONA ZIMMER KNEE 42500605802 | $7,220.00 |
| CMPNT FEM 5 STD RT CRCTE PERSONA ZIMMER KNEE 42502605802 | $7,220.00 |
| CMPNT FEM 6 LFT CMNT POST STRYKER KNEE 5515-F-601 | $6,600.00 |
| CMPNT FEM 6 LFT POST STAB BEAD STRYKER KNEE 5516-F-601 | $7,220.00 |
| CMPNT FEM 6 NAR LFT CMNT PERSONA ZIMMER KNEE 42502006001 | $7,220.00 |
| CMPNT FEM 6 RT CMNT POST STRYKER KNEE 5515-F-602 | $6,600.00 |
| CMPNT FEM 65MM KNEE RIGHT COCR ZIMMER KNEE 183008 | $7,348.00 |
| CMPNT FEM 67.5MM KNEE RT REV ZIMMER KNEE 185265 | $27,588.00 |
| CMPNT FEM 7 RT CMNT POST STRYKER KNEE 5515-F-702 | $6,600.00 |
| CMPNT FEM 7 STD RT CMNT PERSONA ZIMMER KNEE 42500606202 | $7,220.00 |
| CMPNT FEM 7 STD RT CRCTE PERSONA ZIMMER KNEE 42502606202 | $7,120.00 |
| CMPNT FEM 8 LFT POST STAB BEAD TRIATHLON | $7,220.00 |
| CMPNT FEM 8 NAR LFT CRCTE PERSONA ZIMMER KNEE 42502006401 | $7,220.00 |
| CMPNT FEM 8 NAR RT CR PERSONA ZIMMER KNEE 42502006402 | $7,220.00 |
| CMPNT FEM 8 STD LFT CRCTE PERSONA ZIMMER KNEE 42502606401 | $7,220.00 |
| CMPNT FEM 8 STD RT CRCTE PERSONA ZIMMER KNEE 42502606402 | $7,220.00 |
| CMPNT FEM 9 NAR LFT CMNT PERSONA ZIMMER KNEE 42500006601 | $7,220.00 |
| CMPNT FEM 9 NAR LFT CRCTE PERSONA ZIMMER KNEE 42502006601 | $7,220.00 |
| CMPNT GLND 36MM +3MM REVRS ZIMMER SHOULDER 115313 | $6,400.00 |
| CMPNT GLND 36MM STD ZIMMER SHOULDER 115310 | $6,400.00 |
| CMPNT PAT PSN STD PLY 32MM ZIMMER HOLDINGS INC 42540000032 | $1,500.00 |
| CMPNT PTLR 10MM 32MM ASYM STRYKER KNEE 5552-L-320 | $2,800.00 |
| CMPNT PTLR 10MM 35MM ASYM STRYKER KNEE 5551-L-350 | $1,500.00 |
| CMPNT PTLR 11MM 38MM ASYM MTL STRYKER KNEE 5552-L-381 | $2,800.00 |
| CMPNT PTLR 11MM 38MM ASYM PEEK STRYKER KNEE 5551-L-381 | $1,500.00 |
| CMPNT PTLR 11MM 38MM ASYM TRIATHLON STRYKER KNEE 5551-G-381 | $2,800.00 |
| CMPNT PTLR 26MM ALPLY PSN PERSONA ZIMMER KNEE 42540000026 | $1,500.00 |
| CMPNT PTLR 38MM KNEE PERSONA ZIMMER HOLDINGS INC 42540000038 | $1,500.00 |
| CMPNT PTLR STD 8MM 31MM 3 PEG EA1 ZIMMER KNEE 184764 | $1,500.00 |
| CMPT PTLR POLY 29MM KNEE ZIMMER KNEE 42540000029 | $3,596.00 |
| CNSTR WND DRN INFOVAC C500ML EA1/CA10 KINETIC CONCEPTS INC M8275063/10.S | $149.00 |
| CO02935000 VRV | $110.00 |
| Coag Factor II Activity -Quest | $69.00 |
| Coag Factor IX Activity -Quest | $101.00 |
| Coag Factor V Activity -Quest | $93.00 |
| Coag Factor VII Activity -Quest | $94.00 |
| Coag Factor X Activity -Quest | $94.00 |
| Coag Factor XI Activity -Quest | $94.00 |
| Coag Factor XII Activity -Quest | $102.00 |
| Cobalt, Blood -Quest | $116.00 |
| Cobalt, Serum/Plasma -Quest | $116.00 |
| Cocaine Screen Urine. | $307.00 |
| Cocaine, Confirm By GC/MS Meconium -Quest | $35.00 |
| Coccidioides Antibody, CF -Quest | $61.00 |
| Coccidioides Antibody, ID -Quest | $61.00 |
| Coccygectomy | $11,745.00 |
| Cochineal Extract (f340) IgE-Quest | $23.00 |
| Cochlear Dev Impl W/Wo Mastoid | $143,121.00 |
| Cock Up Splint | $34.00 |
| Cocklebur (w13) IgE-Quest | $25.00 |
| Cockroach (i6) IgE -Quest | $28.00 |
| Cockroach,American (i206) IgE-Quest. | $23.00 |
| Cockroach,German IgG4-Quest. | $93.00 |
| Coconut (f36) IgE -Quest | $28.00 |
| Coda aortic occlusion balloon | $1,695.00 |
| Codfish (f3) IgE -Quest | $28.00 |
| Coenzyme Q10 - QST | $129.00 |
| Cofflator Tx Subsequent | $503.00 |
| Cognitive Skills Development -> Yes | $151.00 |
| Cognitive Skills Development 15 MIN | $143.00 |
| coils | $227.00 |
| COL BLD CTL PRPHL CATH | $503.00 |
| Cold Agglutinin Titer. | $43.00 |
| Colectomy Partial W Colostomy | $6,290.00 |
| Colectomy Right W Ileoclostomy | $4,223.00 |
| Colectomy W Colos Hartmann Closure | $4,776.00 |
| Colectomy W Low Pelv Anastomosis | $2,076.00 |
| Colectomy W Res Colos Ileos | $1,613.00 |
| Colistin | $25.00 |
| Collagen (RHMC) | $118.00 |
| Collagen Cross-Linked N-Telopep 24Hr U -Quest | $99.00 |
| Collagen Cross-Linked N-Telopep U -Quest | $99.00 |
| COLLAR CERVICAL UNIV VISTA POLYETHYLENE FOAM 2 PC DJO GLOBAL / DJ ORTHO 79-83380 | $177.00 |
| COLLAR LCK 55MM OSS 7D DPHSL ZIMMER KNEE CP260602 | $16,750.00 |
| COLLAR RIGID (ASPEN) | $198.00 |
| Collect Bld Via Line | $503.00 |
| Collect Bld Via Port | $503.00 |
| COLLECT BLD VIA PORT/LINE | $503.00 |
| COLLECTION: Venous Draw | $14.00 |
| Colon Barium Enema | $953.00 |
| Colonosc Stoma Ctrl Bleed | $4,387.00 |
| Colonoscopy For For Body | $4,387.00 |
| Colonoscopy Past Splen Flexure | $3,520.00 |
| Colonoscopy Right W/Biops | $4,630.00 |
| Colonoscopy Snare Techniq | $4,630.00 |
| Colonoscopy Stoma W/Bx | $4,630.00 |
| Colonoscopy Stoma W/Snare | $4,387.00 |
| Colonoscopy Stoma W/Wo Br | $3,520.00 |
| Colonoscopy Through Stoma; With Submuc Inj | $4,387.00 |
| Colonoscopy Thru Stoma; With Decompression | $3,335.00 |
| Colonoscopy Thru Stoma; With Dilation | $4,387.00 |
| Colonoscopy Thru Stoma; With Ultrasound | $4,387.00 |
| Colonoscopy W/ Bal Dil 1> | $4,387.00 |
| Colonoscopy W/ Tumor Abla | $4,387.00 |
| Colonoscopy W/Decompressi | $4,387.00 |
| Colonoscopy W/Endo U/S Em | $4,387.00 |
| Colonoscopy w/Endoscopic Submucosal Dissection | $3,335.00 |
| Colonoscopy W/Hot Biopsy | $4,387.00 |
| Colonoscopy W/Resection | $4,387.00 |
| Colonoscopy W/Resection | $4,387.00 |
| Colonoscopy W/Stent Placm | $20,129.00 |
| Colonoscopy W/Submuc Inj | $4,630.00 |
| Colonoscopy Withu/S Bx/Ap | $4,387.00 |
| Colonoscopy, Flexible; With Band Ligation | $4,387.00 |
| Colonoscopy/W/Rem For Bdy | $4,387.00 |
| Colonoscopy-Treat Bleedin | $4,630.00 |
| Colon-Stoma W/Ablation Including Dilation | $4,387.00 |
| Colon-Stoma W/Stent Placement Inc Dilation | $20,129.00 |
| COLOR FLOW DOPPLER | $352.00 |
| Color Vision Exam Extended | $477.00 |
| Colostomy Revision Simple | $12,384.00 |
| Colostomy/Cecostomy | $3,000.00 |
| Colp Cervx W/Loop Elect Con | $10,572.00 |
| Colpo w cervical Bx & Ecc | $1,222.00 |
| Colpocentesis | $10,572.00 |
| Colpocleisis-Lefort | $19,498.00 |
| Colpoperineorrhaphy Rep Injur | $10,572.00 |
| Colporrhaphy Ant Rep Cystpcele | $19,498.00 |
| Colporrhaphy Ant/ Post W Entero | $18,472.00 |
| Colporrhaphy Anter- Ior Poster | $19,498.00 |
| Colporrhaphy Post W/Wo Perineo | $19,498.00 |
| Colporrhaphy Repair Injury | $10,572.00 |
| Colposcopy | $743.00 |
| Colposcopy Leep Procedure | $10,572.00 |
| Colposcopy Of Cervix W/Biopsy | $1,222.00 |
| Colposcopy Of Cervix W/Ecc | $1,222.00 |
| Colposcopy Of Vagina | $1,222.00 |
| Colposcopy Of Vagina W/Biopsy | $2,498.00 |
| Colposcopy Of Vulva | $743.00 |
| Colposcopy Of Vulva W/Biopsy | $1,222.00 |
| Colpotomy W Drain Pelvic Absc | $10,572.00 |
| Colpotomy W Exploration | $11,159.00 |
| Colpxy,Vag;Inta-Peritoneal | $29,982.00 |
| Com Rep Eye Nose Ear 1.1-2.5cm | $2,282.00 |
| Com Rep Fc Nk Hd Ft 1.1-2.5cm | $1,484.00 |
| Com Rep Fc Nk Hd Ft 2.6-7.5cm | $2,282.00 |
| Com Rep Fc Nk Hd Ft Ea Addt 5 cm Or Less | $627.00 |
| Com Rep Scl Arm Leg 1.1-2.5cm | $2,282.00 |
| Com Rep Scl Arm Leg 2.6-7.5cm | $2,282.00 |
| Com Rep Scl Arm Leg Each Addl 5 cm Or Less | $652.00 |
| Comb Ercp"S Of Bil & Panc Dct Sys | $1,199.00 |
| Common Ragweed (Short) (w1) IgE -Quest | $28.00 |
| Comp Ep W/La Rec. | $4,453.00 |
| COMPATIBILITY TEST, COOMBS | $677.00 |
| COMPATIBILITY TEST, INCUBATED | $677.00 |
| COMPATIBILITY,IMMEDIATE | $684.00 |
| Complement Alternate Pathway (Ah50)-Quest | $63.00 |
| Complement Component C1q -Quest | $63.00 |
| Complement Component C3C (QST) | $63.00 |
| Complement Component C3c -Quest | $63.00 |
| Complement Component C4C (QST) | $63.00 |
| Complement Component C4c -Quest | $63.00 |
| Complement, Total (Ch50) (QST) | $107.00 |
| Complement, Total (CH50) -Quest | $107.00 |
| Complex Ectropion Rep | $8,115.00 |
| Complex Repair Trnk 2.6-7.5cm | $2,162.00 |
| Complex Repair Trunk 1.1-2.5cm | $2,162.00 |
| COMPONENT FEM 4 KNEE RGHT TTL STRYKER KNEE 5512-F-402 | $23,770.00 |
| COMPONENT FEM 57.5MM RT CR ZIMMER KNEE 183002 | $7,220.00 |
| COMPONENT FEM 67.5MM LFT CR ZIMMER KNEE 183030 | $7,220.00 |
| COMPONENT FEM 67.5MM RT CR ZIMMER KNEE 183010 | $7,220.00 |
| COMPONENT FEM 70MM RT CR CMNT ZIMMER KNEE 183012 | $7,120.00 |
| COMPONENT FEM 72.5MM LFT CR ZIMMER KNEE 183033 | $7,220.00 |
| COMPONENT FEM COCR LEFT ZIMMER KNEE 183028 | $7,120.00 |
| COMPONENT FEMORAL 4 KNEE RT STRYKER KNEE 5515-F-402 | $6,600.00 |
| COMPONENT FEMORAL 6 KNEE RIGHT STRYKER KNEE 5516-F-602 | $7,220.00 |
| COMPONENT FEMORAL SZ3 PS CEMENTED EXACTECH KNEE 204-01-03 | $400.00 |
| COMPONENT MODULAR HEAD 28MM NO SKIRT PLUS 6MM NECK ZIMMER HIP 163638 | $1,600.00 |
| COMPONENT MODULAR HEAD 28MM STANDARD NECK ZIMMER HIP 163662 | $1,643.00 |
| COMPONENT MODULAR HEAD 32MM +6 MM NECK ZIMMER HIP 163674 | $1,600.00 |
| COMPONENT MRH TIBIAL XS-XL STRYKER KNEE 6481-2-100 | $10,057.00 |
| COMPONENT PATELLA 29MM E VITALIZE ORTHO DEVELOPMENT KNEE 164-5029 | $1,500.00 |
| COMPONENT PATELLA 32MM E VITALIZE ORTHO DEVELOPMENT KNEE 164-5032 | $1,212.00 |
| COMPONENT PATELLA A29X9 STRYKER KNEE 5552-L-299 | $2,800.00 |
| COMPONENT PATELLA A35X10 STRYKER KNEE 5552-L-350 | $2,800.00 |
| COMPONENT PATELLA A40X11 TRITANIUM ASYMM METAL BACKED | $2,800.00 |
| COMPONENT PATELLAR TRIATHLON X STRYKER KNEE 5551-L-320 | $1,500.00 |
| COMPONENT PS FMRL LT SIZE 3 NONPOROUS BKS TRIMAX ORTHO DEVELOPMENT KNEE 165-1301 | $5,360.00 |
| COMPONENT PS FMRL LT SIZE 4 NONPOROUS BKS TRIMAX ORTHO DEVELOPMENT KNEE 165-1401 | $5,360.00 |
| COMPONENT PS FMRL LT SIZE 6 NONPOROUS BKS TRIMAX ORTHO DEVELOPMENT KNEE 165-1601 | $5,360.00 |
| COMPONENT TALAR INVISION PLATE 3 LONG 43MM ANKLE LEFT ANT WRIGHT MEDICAL TECHNOLOGY 6000513L | $10,424.00 |
| Comprehensive Metabolic Panel. | $56.00 |
| Computer Crossmatch Interp -> Computer XM OK | $684.00 |
| Concentrated | $35.00 |
| Conditioning Play Audmtry | $609.00 |
| Condylectomy Temporomand Joint | $19,807.00 |
| Condylomata Destr Extensive Any Meth | $10,452.00 |
| Condylomata Simple Electrodesiccation | $6,935.00 |
| Confidence Trial - Nanoparasol | $4,800.00 |
| Confidence Trial - Roadsaver stent | $7,200.00 |
| Congenital ECHO; Comp | $2,351.00 |
| Congenital ECHO; Limit | $2,351.00 |
| Coniz. Cerv Leep Procedur | $11,159.00 |
| Conization Of Cervix | $11,159.00 |
| Conjunctiovoplasty Recons Cul-De-Sac | $13,320.00 |
| Conjunctival Flap Bridge Total | $8,115.00 |
| conjunctival peritomy | $77.00 |
| Conjunctivaplasty Using Conjun | $8,115.00 |
| Conjunctivorhinostomy W Tube | $13,320.00 |
| Conjuntiva, By Mobilation | $8,115.00 |
| CONN BAR EXT-FX SM 4.0X160 SYNTHES TRAUMA 395.75 | $143.00 |
| CONN BAR EXT-FX SM 4.0X200 SYNTHES TRAUMA 395.77 | $143.00 |
| CONN BAR EXT-FX SM 4.0X60 SYNTHES 395.70 | $143.00 |
| CONN ROD 16MM CONNEX OFFSET | $2,496.00 |
| CONN ROD 35MM VIRAGE SM SV ROD TO ROD NSTRL BIOMET SPINE 07.01721.003 | $2,496.00 |
| CONN ROD 40MM VIRAGE SPINE TI ADJ HD TO HD TRNSV OCT FIX SYS BIOMET SPINE 07.01717.004 | $2,496.00 |
| CONN ROD 46MM CONNEX SPINE SPINEOLOGY 680-4652 | $2,496.00 |
| CONN ROD 52MM CONNEX SPINE | $2,496.00 |
| CONN ROD VIRAGE MED SV ROD TO ROD NSTRL BIOMET SPINE 07.01721.004 | $2,496.00 |
| CONNECTOR 1CM OSS ELIP MDLR ZIMMER KNEE CP260606 | $14,472.00 |
| CONNECTOR CATH CSF STR CONNECTOR SHUNT STR MEDTRONIC INC 45103 | $308.00 |
| CONNECTOR LOW PROFILE MED SPINE WAVE INC 11-3021 | $2,496.00 |
| CONNECTOR SPINAL TOP 5.5X5.5MM DEPUY SPINE INC 179771555 | $3,800.00 |
| Conscious Sedation | $0.00 |
| Const Tracheosophageal Fistula Ins Sp Pros | $9,990.00 |
| Construc Artif Vagina W Graft | $18,472.00 |
| Construc Artifical Vagina W/O Graft | $10,572.00 |
| Cont Nasoph Hemo W Sec Sur Int | $9,990.00 |
| Cont Nasopharyngeal Hemor Simp | $923.00 |
| Cont Oroph Hemor W Sec Sur Int | $9,990.00 |
| Cont Oropharyngeal Hemor Simpl | $2,181.00 |
| Cont&App/Prost Mat/Bne Gf | $19,807.00 |
| Contd Rad Physcs Suppt Ra | $585.00 |
| Continuous Flow Pa Catheter | $662.00 |
| Continuous Glucose Monitoring Personal | $250.00 |
| Continuous Neb Subsequent Bill Units | $175.00 |
| Continuous Nebulizer Subsequent Time | $0.00 |
| Contraction Stress Test -> Yes | $784.00 |
| CONTRAST GASTROVIEW PER ML | $1.00 |
| Contrast Inj Of G/Colon T | $632.00 |
| Control Nasal Hemor Ant Complex | $503.00 |
| Control Nasal Hemor Ant Simple | $503.00 |
| Convert Nephrostomy Cath, Perq, Pre-Existi | $8,222.00 |
| Cool Path Ablation Catheter | $4,629.00 |
| Coombs, Direct C3 | $28.00 |
| Copper -Quest | $66.00 |
| Copper, 24 Hour Urine -Quest | $66.00 |
| Copper, RBC -Quest | $66.00 |
| Coracocromial Ligament Release | $25,517.00 |
| Cord DAT. | $28.00 |
| Cord Type. | $16.00 |
| Coriander/Cilantro (f317) IgE-Quest | $23.00 |
| CORING REAMER 9MM PIN SET ARTHREX KNEE AR-1223S | $820.00 |
| CORKSCREW 4.5X14MM DISPOS ARTHREX INC AR-8927DSC | $737.00 |
| Corneal Pachymetry | $77.00 |
| Corneal Relaxing Inc Corr Surg Ind Astig | $3,614.00 |
| Corneal relaxing incision for correction of not surgically induced astigmatism | $8,583.00 |
| Corneal Topography | $250.00 |
| Corneoscleral Lens | $477.00 |
| Cornual Resection of Eptopic Preg. | $20,576.00 |
| Coronary balloon | $1,418.00 |
| Coronary catheter, cat 1 | $515.00 |
| Coronary guide | $295.00 |
| Coronary guide wire | $486.00 |
| Coronary snare | $3,432.00 |
| Coronary Thrombolysis -> Coronary Thrombolysis | $4,112.00 |
| coronary wire | $486.00 |
| Coronectomy-Partial Tooth Removal | $544.00 |
| Coronoidectomy | $19,807.00 |
| Corpora Cavernosa Glans Penis Fist/Priapis | $7,789.00 |
| Corpora Cavernosogram Interp | $504.00 |
| Correc Claw Finger , Other Method | $11,745.00 |
| Correct Lagophtalmos,W/Im | $8,115.00 |
| Correction Inverted Nippl | $12,607.00 |
| Correction Of Everted Punctum, Cautery | $1,269.00 |
| Correction Of Lid Retract | $8,115.00 |
| Correction Urinary Male Incon | $34,252.00 |
| Corrj Hallux Valgus W/Sesmdc W/Prox Metar | $11,745.00 |
| Cortisol 30 Minutes Post ACTH. | $86.00 |
| Cortisol 60 Minutes Post ACTH. | $86.00 |
| Cortisol 90 Minutes Post ACTH. | $86.00 |
| Cortisol AM. | $86.00 |
| Cortisol PM. | $86.00 |
| Cortisol, Free 24 Hour Urine -Quest | $88.00 |
| Cortisol, Free and Cortisone 24Hr Urine -Quest | $88.00 |
| Cortisol, Free LC/MS/MS -Quest | $88.00 |
| Cortisol, Free w Creatinine 24hr U-Quest | $88.00 |
| Cortisol, Free, LC/MS/MS (QST) | $88.00 |
| Cortisol, LC/MS/MS,Saliva -Quest | $88.00 |
| Cortisol, Total LC/MS/MS (QST) | $86.00 |
| Cortisol. | $86.00 |
| Cortisone, 24 Hour Urine -Quest | $115.00 |
| Cortisone, 24Hr Ur | $115.00 |
| Cortisone, Serum -Quest | $88.00 |
| Costovertebral Hern Disc Thor | $25,517.00 |
| Cottonwood (t14) IgE-Quest | $25.00 |
| Cough Induced By -> Respiratory treatment | $278.00 |
| Count 15-20 Cells | $658.00 |
| Count Fifteen to Twenty Cells | $658.00 |
| COUNTERSINK 3.5 X 4.0MM SYNTHES TRAUMA 310.89 | $583.00 |
| COUNTERSINK CANNLTD 3.5/4MM SYNTHES TRAUMA 310.86 | $1,426.00 |
| COUNTERSINK FOR 4.5 CANNULATED SCREW SYNTHES TRAUMA 310.85 | $1,426.00 |
| Cow Dander (e4) IgE -Quest | $28.00 |
| Cow's Milk (f2) IgE -Quest | $28.00 |
| Coxsackie A10 Ab (QST) | $69.00 |
| Coxsackie A16 Ab (QST) | $69.00 |
| Coxsackie A2 Ab (QST) | $69.00 |
| Coxsackie A4 Ab (QST) | $69.00 |
| Coxsackie A7 Ab (QST) | $69.00 |
| Coxsackie A9 Ab (QST) | $69.00 |
| Coxsackie B1 Ab (QST) | $65.00 |
| Coxsackie B2 Ab (QST) | $65.00 |
| Coxsackie B3 Ab (QST) | $65.00 |
| Coxsackie B4 Ab (QST) | $65.00 |
| Coxsackie B5 Ab (QST) | $65.00 |
| Coxsackie B6 Ab (QST) | $65.00 |
| C-Peptide -Quest | $103.00 |
| CPG Octopus Multi Adapter | $110.00 |
| CPR -> CPR | $1,192.00 |
| CPR FOR CARDIAC ARREST | $1,192.00 |
| Crab (F23) IgE (QST) | $28.00 |
| Crab (f23) IgE -Quest | $28.00 |
| Crani Evac Hematoma Suprat Epi/Subd | $3,530.00 |
| Crani Exc Br Tum Supra (Not Mng) | $1,833.00 |
| Crani For Skull Tumor/Les | $2,538.00 |
| CRANIAL ACCESS KIT | $944.00 |
| Craniect Exc Menigoma Suprat | $2,045.00 |
| Cranioplasty Sk Def >5cm Diam | $4,666.00 |
| Cre Pericard Wind Par Res Drai | $3,063.00 |
| C-Reactive Protein High Sensitivity. | $68.00 |
| C-Reactive Protein. | $27.00 |
| Creat Shnt/Perc Not Requir Laminec | $20,442.00 |
| Creatine 24 Hr Ur-Quest | $24.00 |
| Creatine Kinase Isoenzymes w/o Total -Quest | $71.00 |
| Creatine Kinase. | $34.00 |
| Creatine, Serum -Quest | $24.00 |
| Creatinine | $27.00 |
| Creatinine | $27.00 |
| Creatinine | $27.00 |
| Creatinine | $27.00 |
| Creatinine 24 Hour Urine. | $27.00 |
| Creatinine Body Fluid. | $27.00 |
| Creatinine Clearance -SJR | $50.00 |
| Creatinine Urine. | $27.00 |
| Creatinine, 24Hr Ur | $27.00 |
| Creatinine, Random Urine (QST) | $27.00 |
| Creatinine, Urine | $27.00 |
| Creatinine. | $27.00 |
| Cricopharyngeal Myotomy | $19,807.00 |
| Cricotracheal Resection | $19,807.00 |
| CRMP5/CV2 Ab, IFA (QST) | $64.00 |
| Crohns Prognostic-Prometheus. | $82.00 |
| Crosser catheter 0.014s | $7,400.00 |
| Crosser catheter 0.018 | $7,400.00 |
| Crosser catheter S6 | $5,740.00 |
| CRP | $27.00 |
| CRR GRFT 8X3IN 1.5 1 PLATEAU ZIMMER HOLDINGS INC 00-2195-012-00 | $139.00 |
| CRRT (Nx Stage) -> Bedside | $1,280.00 |
| CRT-D UNIFY ASSURA NEXT GEN CRT-D 40 DF40 CONNECTOR ST JUDE CRM CD3357-40Q | $54,876.00 |
| Cryo Retraction Kit | $455.00 |
| CRYO SAPHENOUS VEIN 72 CM LIFENET CV71-80 | $32,589.00 |
| Cryocrit Immunodiffusion | $74.00 |
| Cryocrit Immunofixation | $125.00 |
| Cryofibrinogen -Quest | $67.00 |
| Cryoglobulin Scr w/Refl Profile, S -Quest | $34.00 |
| Cryoglobulin, Qualitative. | $34.00 |
| Cryosurg Ablation Of Prostate | $34,252.00 |
| Cryosurgery, Trichiasis | $1,269.00 |
| Cryotherapy;Retinal Detachment | $8,583.00 |
| Cryptococcus Ab IFA (CSF) -Quest | $76.00 |
| Cryptococcus Ag w/Refl -Quest | $55.00 |
| Cryptosporidium Ag DFA (QST) | $63.00 |
| Cryptosporidium Ag, stool (QST) | $35.00 |
| Cryptosporidium Antigen 87238 | $66.00 |
| Cryptosporidium Antigen. | $66.00 |
| Cryptosporidium Exam. | $47.00 |
| Crystal Exam Body Fluid | $38.00 |
| Csf Shunt Reprogram | $1,255.00 |
| CT 3D Image Recon Indep Wkstation | $473.00 |
| CT Abdomen and Pelvis w/ + w/o Contrast | $3,455.00 |
| CT Abdomen and Pelvis w/ Contrast | $3,455.00 |
| CT Abdomen and Pelvis w/o Contrast | $2,064.00 |
| CT Abdomen w/ + w/o + Pelvis w/ Contrast | $3,455.00 |
| CT Abdomen w/ + w/o Contrast | $953.00 |
| CT Abdomen w/ Contrast | $953.00 |
| CT Abdomen w/o Contrast | $532.00 |
| CT Ablation Microwave Liver 1+ | $21,719.00 |
| CT Ablation Microwave Lung Left 1+ | $21,719.00 |
| CT Ablation Microwave Lung Right 1+ | $21,719.00 |
| CT Ablation Microwave Renal Left 1+ | $21,719.00 |
| CT Ablation Microwave Renal Right 1+ | $21,719.00 |
| CT Ablation Renal Perc Cryo Left | $36,585.00 |
| CT Ablation Renal Perc Cryo Right | $36,585.00 |
| CT Acute Hepatitis Panel | $251.00 |
| CT Angio Abdomen | $953.00 |
| CT Angio Abdomen and Pelvis | $1,824.00 |
| CT Angio Abdomen Aorta + Iliofemoral | $953.00 |
| CT Angio Brain/Head | $953.00 |
| CT Angio Chest | $1,806.00 |
| CT Angio Lower Extremity Left | $953.00 |
| CT Angio Lower Extremity Right | $953.00 |
| CT Angio Neck | $953.00 |
| CT Angio Pelvis | $953.00 |
| CT Angio Pulmonary | $1,806.00 |
| CT Angio Upper Extremity Left | $953.00 |
| CT Angio Upper Extremity Right | $953.00 |
| CT Ankle w/ Contrast Left | $953.00 |
| CT Ankle w/ Contrast Right | $953.00 |
| CT Ankle w/o Contrast Left | $532.00 |
| CT Ankle w/o Contrast Right | $532.00 |
| CT Basic Metabolic Panel | $45.00 |
| CT Biopsy Bone Deep | $6,500.00 |
| CT Biopsy Bone Superficial | $6,500.00 |
| CT Biopsy Liver | $6,500.00 |
| CT Biopsy Lung/Mediastinum | $6,500.00 |
| CT Biopsy Lymph Node | $6,500.00 |
| CT Biopsy Muscle | $6,500.00 |
| CT Biopsy Pancreas | $6,500.00 |
| CT Biopsy Pleura | $6,500.00 |
| CT Biopsy Renal | $6,500.00 |
| CT Biopsy Retroperitoneal Abdomen | $6,500.00 |
| CT Bone Marrow Aspiration | $6,500.00 |
| CT Bone Marrow Aspiration and Biopsy | $6,500.00 |
| CT Bone Marrow Biopsy | $6,500.00 |
| CT Brain/Head w/ + w/o Contrast | $953.00 |
| CT Brain/Head w/ Contrast | $953.00 |
| CT Brain/Head w/o Contrast | $1,007.00 |
| CT Calcium Score (CASH) | $294.00 |
| CT Cath Exchange Abscess/Cyst | $467.00 |
| CT Cecostomy Tube Insert Perc | $4,630.00 |
| CT Change Gastrostomy Tube | $606.00 |
| CT Chest High Resolution | $532.00 |
| CT Comprehensive Metabolic Panel | $56.00 |
| CT Drain Per/Retr Fld w/Cath Perc | $6,500.00 |
| CT Drain Per/Retr Fld w/Cath TrnsVag/Rec | $6,500.00 |
| CT Drain Pleura w Cath w CT Guidance | $5,168.00 |
| CT Drain Soft Tissue Fluid w/Cath Perc | $2,738.00 |
| CT Drain Visceral Fluid w/Cath Perc | $6,500.00 |
| CT Elbow w/ Contrast Left | $1,824.00 |
| CT Elbow w/ Contrast Right | $1,824.00 |
| CT Elbow w/o Contrast Left | $532.00 |
| CT Elbow w/o Contrast Right | $532.00 |
| CT Electrolytes | $37.00 |
| CT Enterography w/ Contrast | $3,455.00 |
| CT Fine Needle Aspiration w/ Guidance | $2,738.00 |
| CT Foot w/ Contrast Left | $953.00 |
| CT Foot w/ Contrast Right | $953.00 |
| CT Foot w/o Contrast Left | $532.00 |
| CT Foot w/o Contrast Right | $532.00 |
| CT General Health Panel | $383.00 |
| Ct Guidance Needle Biopsy Super & Interp | $2,032.00 |
| CT Hand w/ Contrast Left | $1,824.00 |
| CT Hand w/ Contrast Right | $1,824.00 |
| CT Hand w/o Contrast Left | $532.00 |
| CT Hand w/o Contrast Right | $532.00 |
| CT Heart + Eval w/ Contrast | $953.00 |
| CT Heart Calcium Scoring | $294.00 |
| CT Heart Coronary Artery Eval | $953.00 |
| CT Hepatic Function Panel | $43.00 |
| CT Hip w/ Contrast Left | $953.00 |
| CT Hip w/ Contrast Right | $953.00 |
| CT Hip w/o Contrast Left | $532.00 |
| CT Hip w/o Contrast Right | $532.00 |
| CT Inj Contrast - Drainage Cath | $438.00 |
| CT Insert Suprapubic Catheter | $8,222.00 |
| CT Insert Tunneled IP Cath Percutaneous | $4,932.00 |
| CT Introduction Catheter Renal Pelvis | $4,280.00 |
| CT Knee w/ Contrast Left | $953.00 |
| CT Knee w/ Contrast Right | $953.00 |
| CT Knee w/o Contrast Left | $532.00 |
| CT Knee w/o Contrast Right | $532.00 |
| CT Low Dose Lung Screen Annual Follow up | $294.00 |
| CT Low Dose Lung Screen Initial | $294.00 |
| CT Lower Extremity w/ Contrast Left | $953.00 |
| CT Lower Extremity w/ Contrast Right | $953.00 |
| CT Lower Extremity w/+w/o Contrast Left | $953.00 |
| CT Lower Extremity w/+w/o Contrast Right | $953.00 |
| CT Lower Extremity w/o Contrast Left | $532.00 |
| CT Lower Extremity w/o Contrast Right | $532.00 |
| CT Lung Cancer Screening | $294.00 |
| CT Maxillofacial w/ + w/o Contrast | $953.00 |
| CT Maxillofacial w/ Contrast | $953.00 |
| CT Maxillofacial w/o Contrast | $532.00 |
| CT MODERATE SED EA ADD 15 MIN | $173.00 |
| CT Myelogram Cervical Spine | $1,824.00 |
| CT Myelogram Lumbar Spine | $1,824.00 |
| CT NDL Bx Thyroid | $2,738.00 |
| CT Neck Soft Tissue w/ + w/o Contrast | $953.00 |
| CT Neck Soft Tissue w/ Contrast | $953.00 |
| CT Neck Soft Tissue w/o Contrast | $532.00 |
| CT Nephrostomy Cath Exchange | $8,222.00 |
| CT Obstetric Panel | $252.00 |
| CT Obstetric Panel with HIV | $395.00 |
| CT Orbits Sella w/ + w/o Contrast | $953.00 |
| CT Orbits Sella w/ Contrast | $953.00 |
| CT Orbits Sella w/o Contrast | $532.00 |
| CT Paracentesis Abdominal w/ CT Guidance | $3,599.00 |
| CT Pelvis w/ + w/o Contrast | $953.00 |
| CT Pelvis w/ Contrast | $953.00 |
| CT Pelvis w/o Contrast | $532.00 |
| CT Perc Aspiration of Nuc Pulp | $1,716.00 |
| CT Percutaneous Choelcystostomy | $13,928.00 |
| CT Remove Chest Catheter | $2,930.00 |
| CT Renal Function Panel | $46.00 |
| CT Sedation Moderate > 5 years | $684.00 |
| CT Shoulder w/ Contrast Left | $1,824.00 |
| CT Shoulder w/ Contrast Right | $1,824.00 |
| CT Shoulder w/o Contrast Left | $532.00 |
| CT Shoulder w/o Contrast Right | $532.00 |
| CT Sinus w/o Contrast | $532.00 |
| CT Spine Cervical w/ + w/o Contrast | $953.00 |
| CT Spine Cervical w/ Contrast | $1,824.00 |
| CT Spine Cervical w/o Contrast | $1,007.00 |
| CT Spine Lumbar w/ + w/o Contrast | $953.00 |
| CT Spine Lumbar w/ Contrast | $1,824.00 |
| CT Spine Lumbar w/o Contrast | $532.00 |
| CT Spine Thoracic w/ + w/o Contrast | $953.00 |
| CT Spine Thoracic w/ Contrast | $953.00 |
| CT Spine Thoracic w/o Contrast | $532.00 |
| CT Thoracentesis w/ CT Guidance | $2,930.00 |
| CT Thoracostomy w/ Drainage | $5,168.00 |
| CT Thorax w/ + w/o Contrast | $953.00 |
| CT Thorax w/ Contrast | $1,806.00 |
| CT Thorax w/o Contrast | $532.00 |
| Ct Tissue Ablation | $2,032.00 |
| Ct Tomo Limit Local Super & Interp | $279.00 |
| CT Tunnelled Catheter Insert Perc | $13,928.00 |
| CT Upper Extremity w/ Contrast Left | $1,824.00 |
| CT Upper Extremity w/ Contrast Right | $1,824.00 |
| CT Upper Extremity w/+w/o Contrast Left | $953.00 |
| CT Upper Extremity w/+w/o Contrast Right | $953.00 |
| CT Upper Extremity w/o Contrast Left | $532.00 |
| CT Upper Extremity w/o Contrast Right | $532.00 |
| CT Wrist w/ Contrast Left | $1,824.00 |
| CT Wrist w/ Contrast Right | $1,824.00 |
| CT Wrist w/o Contrast Left | $532.00 |
| CT Wrist w/o Contrast Right | $532.00 |
| CTO Additional vessel | $18,868.00 |
| CUFF TRNQT 2P/1B LL 34X4.0IN ZIMMER HOLDINGS INC 60707000600 | $111.00 |
| CUFF TRNQT 2P/1B LL 42X4.0IN ZIMMER HOLDINGS INC 60707000700 | $124.00 |
| CUFF TRNQT 2PRT 1BLDR 24X4.0 R ZIMMER HOLDINGS INC 60-7500-004-00 | $854.00 |
| CUFF TRNQT 2PRT 1BLDR 34X4.0 R | $854.00 |
| CUFF TRNQT 2PRT 1BLDR 42X4.0 R ZIMMER HOLDINGS INC 60-7500-007-00 | $854.00 |
| CUFF TRNQT CYL 12X3.5IN 2 PORT ZIMMER HOLDINGS INC 60-7500-002-00 | $854.00 |
| CUFF TRNQT CYL 18X4IN 2 PORT 1 | $854.00 |
| CUFF TRNQT CYL 30X4IN 2 PORT 1 | $854.00 |
| CUFF TRNQT DUAL REUSE 2.25 BLU DELFI MED INNOVATIONS 9-7800-002 | $854.00 |
| CUFF TRNQT DUAL REUSE 3.5 GRN DELFI MED INNOVATIONS 9-7800-004 | $854.00 |
| Cultivated Rye Grass (g12) IgE-Quest | $23.00 |
| Culture Acid Fast Bacilli. | $57.00 |
| Culture Acid Fast Blood. | $57.00 |
| Culture Anaerobic. | $50.00 |
| Culture Blood. | $54.00 |
| Culture Body Fluid. | $45.00 |
| Culture Bone. | $45.00 |
| Culture Bronch Brush. | $45.00 |
| Culture Campylobacter. | $50.00 |
| Culture Catheter Tip. | $45.00 |
| Culture Cerebrospinal Fluid. | $45.00 |
| Culture Drainage. | $45.00 |
| Culture Ear. | $45.00 |
| Culture Eye. | $45.00 |
| Culture Fungus Blood. | $97.00 |
| Culture Fungus Skin,Hair,Nails. | $41.00 |
| Culture Fungus. | $44.00 |
| Culture GC. | $35.00 |
| Culture Genital. | $45.00 |
| Culture MRSA Screen. | $35.00 |
| Culture Mycoplasma Hominis/ Ureaplasma-Quest 871. | $191.00 |
| Culture Nasal. | $45.00 |
| Culture Respiratory. | $45.00 |
| Culture Stool. | $50.00 |
| Culture Strep A Screen. | $45.00 |
| Culture Strep B. | $35.00 |
| Culture Throat. | $45.00 |
| Culture Tissue. | $45.00 |
| Culture Urine. | $43.00 |
| Culture Vibrio. | $46.00 |
| Culture Viral Respiratory Rap w rflx-QST | $103.00 |
| Culture Wound. | $45.00 |
| Culture Yeast. | $35.00 |
| Culture Yersinia. | $50.00 |
| Culture,Viral,BF,Tissues -Quest | $138.00 |
| CUP ACETABULAR BIPOLR 28X46MM RINGLOC ZIMMER HIP 11-165216 | $2,800.00 |
| CUP ACETABULAR BIPOLAR 28X44MM ZIMMER HIP 11-165212 | $2,800.00 |
| CUP ACETABULAR HIP 28X41MM RINGLOC BIPOLAR ZIMMER HIP 11-165206 | $2,800.00 |
| CUP ACETABULAR RINGLOC 28X50MM BIPOLAR ZIMMER HIP 11-165224 | $2,800.00 |
| CUP ACETABULAR RINGLOC 28X54MM BI POLAR ZIMMER HIP 11-165228 | $2,800.00 |
| CUP ACETABULAR RINGLOC 28X58MM BIPOLAR ZIMMER HIP 11-165240 | $2,800.00 |
| CUTTER ECHELON FLEX 60 LONG ETHICON ENDO-SURGERY INC LONG60A | $1,363.00 |
| CUTTER FLIP II 6MM ARTHREX INC AR-1204AF-60 | $1,309.00 |
| CUTTER FLIP SHT 9.5MM ARTHREX INC AR-1204AS-90 | $1,309.00 |
| CUTTER WHEEL METAL 25.4MM MEDTRONIC INC MC254 | $704.00 |
| CUTTER/PUSHER CURVED KNOT FAST FIX 360 SLOTTED CANNULA SMITH & NEPHEW PLC 72202675 | $526.00 |
| Cutting balloon | $4,919.00 |
| CV2 Ab | $82.00 |
| CVP Procedures -> Fluoro only | $1,090.00 |
| CVP Procedures -> Guidance for central venous access | $720.00 |
| CVP Procedures -> Insert tunneled cath with port | $12,483.00 |
| CVP Procedures -> Insert tunneled cath without port | $12,483.00 |
| CVP Procedures -> Insertion central venous cath | $5,168.00 |
| CVP Procedures -> Portacath check | $522.00 |
| CVP Procedures -> Removal fibrin sheath | $12,483.00 |
| CVP Procedures -> Removal fibrin sheath | $161.00 |
| CVP Procedures -> Removal of tunneled cath without port | $2,930.00 |
| CVP Procedures -> Replace CV cath, same access | $5,168.00 |
| CVP Procedures -> Replace tunneled cath with port | $12,483.00 |
| CVP Procedures -> Replace tunneled cath without port | $12,483.00 |
| CVP Procedures -> Repositioning of CV catheter | $5,168.00 |
| CVP Triple Lumen | $123.00 |
| Cyanide (B) -Quest | $102.00 |
| Cyclic C. Peptide (CCP)Ab (IgG) -Quest | $68.00 |
| Cyclosporine A Tr,LC/MS/MS, Blood -Quest | $95.00 |
| Cyclosporine A Trough, Blood-Quest | $95.00 |
| Cys W Fulg Or Resec Sm Bla Tum | $13,832.00 |
| Cys W Fulg Rx Minor W/Wo Biops | $8,222.00 |
| Cys W Fulg Trig-Blad Pros Uret | $7,789.00 |
| Cys W/Resec Large Bladder Tumor | $19,000.00 |
| Cys W/Resec Medium Bladder Tumor | $13,832.00 |
| Cystatin C w/eGFR-Quest | $88.00 |
| CYSTIC FIBROSIS | $61.00 |
| Cystic Fibrosis Expanded Scr -Quest | $2,644.00 |
| Cystic Fibrosis Screen -Quest | $2,644.00 |
| Cysticercus IgG Ab, WB (Serum) -Quest | $69.00 |
| Cystine, 24-Hour Urine -Quest | $109.00 |
| Cysto Calibration Dil Urethreal Struct | $7,789.00 |
| Cysto Dilation Bladder Gen Ane | $8,222.00 |
| Cysto Dilation Bladder Local Anesthesia | $7,789.00 |
| Cysto External Sphincterotomy | $13,104.00 |
| Cysto Inc/Res Post Urethr | $13,104.00 |
| Cysto Inser Ureth Stent | $13,104.00 |
| Cysto Manip W Rem Ureter Calculus | $13,104.00 |
| Cysto Rem Forgn Body Calculus Comp | $7,789.00 |
| Cysto Rem Ureteral Calculus | $13,104.00 |
| Cysto Remove FB, Stent, or Calculus | $8,222.00 |
| Cysto Treat Female Urethral Syndrome | $2,517.00 |
| Cysto Ureter Tx Intrarenl | $18,000.00 |
| Cysto Ureter Tx Ureteral | $13,832.00 |
| Cysto Ureter Tx Uret-Pelv | $13,104.00 |
| Cysto Uretscp Pyel Calc | $13,832.00 |
| Cysto Uretscp Pyel Litho | $19,000.00 |
| Cysto Vision Int Urethrotomy | $7,789.00 |
| Cysto W Brush Biopsy Of Ureter | $13,104.00 |
| Cysto W Isertion Ureteral Stent | $13,832.00 |
| Cysto W Resection Ureterocele Uni/Bil | $13,104.00 |
| Cysto W Steroid Inj Into Stricture | $7,789.00 |
| Cysto W Ureteral Cat | $7,789.00 |
| Cysto W Ureteroscopy/Pyel | $7,789.00 |
| Cysto W/ Resc Ful Uni/Bil | $13,104.00 |
| Cysto W/Irrigation/Evac Of Clots | $13,104.00 |
| Cysto W/Subureteric Injection | $18,000.00 |
| Cysto W/Treatmt Uret Stri | $7,789.00 |
| Cysto W/Tx Ureteropelvic | $13,832.00 |
| Cysto W/Uret Pyel Biopsy | $18,000.00 |
| Cysto W/Uret Pyel Tumor | $18,000.00 |
| Cystography Minimum 3 Views Interp | $1,326.00 |
| Cystolithotomy | $18,000.00 |
| Cystometrogram Complex | $1,036.00 |
| Cystometrogram Simple | $1,036.00 |
| Cystorrhaphy Simple | $18,000.00 |
| Cystoscopy Chemodenervation | $8,222.00 |
| Cystostomy/Cystotomy W Drain | $7,789.00 |
| Cystotomy Excision Ureterocele | $13,104.00 |
| Cystotomy W Insert Ureteral Catheter | $7,789.00 |
| Cystourethoscopy W Int Urethr Male | $7,789.00 |
| Cystourethroscopy | $2,657.00 |
| Cystourethroscopy W Biopsy | $8,222.00 |
| Cystourethroscopy With Lithotripsy | $19,000.00 |
| CYTO DIRECT SMEAR (TECH) | $105.00 |
| CYTO OTH PREP SCN & INT (TECH) | $152.00 |
| CYTO OTHR SCRN & INTERP (TECH) | $81.00 |
| Cytomegalovirus Antibody (IgG) (QST) | $71.00 |
| Cytomegalovirus Antibody (IgG) (QST) | $71.00 |
| Cytomegalovirus Antibody (IgG) -Quest | $71.00 |
| Cytomegalovirus Antibody (IgM) (QST) | $71.00 |
| Cytomegalovirus Antibody (IgM) (QST) | $71.00 |
| Cytomegalovirus Antibody (IgM) -Quest | $71.00 |
| Cytomegalovirus DNA, Ql RT PCR -Quest | $185.00 |
| Cytomegalovirus DNA, Qn, RT PCR -Quest | $226.00 |
| Cytomegalovirus IgM | $89.00 |
| D&C Nonobsterrical | $11,159.00 |
| D/C Postpartum Hemorrage | $11,159.00 |
| Dacryocystorhinostomy | $13,320.00 |
| Dandelion (w8) IgE -Quest | $28.00 |
| Daptomycin | $25.00 |
| DCP (Des Gamma Carboxy Prothrombin) -Quest | $340.00 |
| D-Dimer. | $46.00 |
| DEBR NAIL ANY METHOD 1-5 | $264.00 |
| DEBR SKIN SUBC TISS EA AD | $165.00 |
| Debrid 1-5 Nails Any Meth | $264.00 |
| Debrid Mastoid Cavity Comp | $2,181.00 |
| Debrid Nails 6 Or More | $264.00 |
| DEBRID;SKIN SUBQ MUS BONE | $6,500.00 |
| Debride Mastoid Cavity Sim | $790.00 |
| Debride Skin, Fx | $2,738.00 |
| Debride Skin,Muscle, Fx | $2,738.00 |
| Debride Skin/Musc/Bone,Fx | $10,648.00 |
| DEBRIDE;SKIN/SUBQ TISSUE | $1,484.00 |
| Debridement Skin And Subcutaneous Tiss | $1,484.00 |
| Debridement Skin Sub Tissue Musc Bone | $6,500.00 |
| Debridement Skin Sub Tissue Muscle | $2,282.00 |
| Debridement Up To 10% Body Surface | $2,282.00 |
| Debridemnt Bone Each Addtl 20 sq cm | $2,324.00 |
| Debridemnt Musc/Fascia Ea Addtl 20 sq cm | $165.00 |
| Debridemnt Skin Sub Tiss Ea Addtl 20 sq cm | $165.00 |
| Dec Fac Nrv Intrt Lat Gen Gang | $19,807.00 |
| Deca deflectable | $3,960.00 |
| DECALCIFICATION (TECH) | $127.00 |
| Decom Fas Leg Ant,Lat,Post Compart | $12,397.00 |
| Decom Fasc Leg Ant & Or Lat Compart | $11,745.00 |
| Decom Fasci Leg Posterior Compart Only | $25,517.00 |
| Decom Fasciotomy W/Debr Nvia Msc/Nrv | $11,745.00 |
| Decomp Fasc Forearm W Brac Art | $25,517.00 |
| Decomp Fasc Forearm/Wrist | $11,745.00 |
| Decomp Fasc W Debr Nonvia Musc | $11,745.00 |
| Decomp Fasc,Pelvic,Debrid | $5,880.00 |
| Decomp Fasciot Flex & Exten | $5,880.00 |
| Decomp Fasio Fore/Wrst W/Debrid | $5,880.00 |
| Decomp Finger/Hand Inj Injury | $11,745.00 |
| Decompres Fasciotomy Mult Compartmnts | $5,880.00 |
| Decompress Fasciotomy 1 Compartment | $11,745.00 |
| Decompress internal auditory canal | $19,807.00 |
| Decompression Plantar Ne | $7,304.00 |
| Decompression Unspecif Nerve | $7,304.00 |
| Decompressive Fasciot Hand | $11,745.00 |
| Decortication Pulmonary Total | $2,765.00 |
| Deep Inf Below Fascia Mul Area | $11,745.00 |
| Deep Inf Below Fascia Sin Burs | $5,880.00 |
| Deflectable quad & Deca open pacing cath | $2,481.00 |
| Del Insert Breast Prothesis | $33,349.00 |
| Del Ped Flap Lid Nose Ear Lip | $6,935.00 |
| Delay Flap (Div&Inset) Trnk | $12,384.00 |
| Delay Ped Flap Hd Nk Gen Hd Ft | $6,935.00 |
| Delay Pedicle Flap Scl Arm Leg | $6,935.00 |
| Delayed Creation Of Exit | $6,641.00 |
| Delivery -> Vaginal | $1,719.00 |
| DELIVERY OF PLACENTA | $11,159.00 |
| Delivery of Placenta | $11,159.00 |
| Delivery Tray | $215.00 |
| Delta Aminolevulinic Acid Urine -Quest | $87.00 |
| Demo/Eval Use Of Device | $905.00 |
| Dengue Fever Antibody (IgG) -Quest | $68.00 |
| Dengue Fever Antibody (IgM) -Quest | $68.00 |
| Dental Extraction | $4,249.00 |
| Department of Transportation. | $143.00 |
| Derm Autograft, First 100 | $12,384.00 |
| Dermabrasion Regional Not Face | $6,158.00 |
| Dermabrasion Skin Segmental Face | $2,594.00 |
| Dermabrasion Total Face | $10,648.00 |
| Dermatophagoides Farinae (d2) IgE -Quest | $28.00 |
| Dermatophagoides Pteronyssinus (d1) IgE -Quest | $28.00 |
| DES | $45,694.00 |
| DES | $13,528.00 |
| DES | $72,562.00 |
| DES | $18,868.00 |
| DES | $45,694.00 |
| DES | $18,868.00 |
| DES | $55,840.00 |
| DES | $72,562.00 |
| DES | $18,868.00 |
| Des Any Meth Benign Lesion >= 15 | $790.00 |
| Des Any Meth Benign Lesion 1-14 | $834.00 |
| Des Cut Vas Pro Les<10sqc | $1,406.00 |
| Des Cut Vasc Pro Les>50 | $6,935.00 |
| Des Ext Prog Retin Pathy Photogoag Laser | $2,221.00 |
| Des Ext Progressive Retinopathy Cryo | $13,320.00 |
| Des Les Any Meth. 15 > | $1,406.00 |
| Des Les Ret Photo Coagulation Laser | $2,221.00 |
| Des Les Vulva Exten Any Method | $6,935.00 |
| Des Lesion Electrode Simple | $6,935.00 |
| Des Lesions Vulva Simp Any Meth | $6,935.00 |
| Des Rectal Tumor Any Meth | $10,452.00 |
| Des Vaginal Les Extn Any Meth | $10,572.00 |
| Des Vaginal Les Simp Any Meth | $10,572.00 |
| Des Vas Pro Les 10.0-50.0 sq cm | $2,162.00 |
| Desipramine -Quest | $136.00 |
| Dest Les Anus Surg Excisi | $11,033.00 |
| Dest Lesion Any Method Ext | $6,935.00 |
| Dest Lesion Penis Simp Surgical Excis | $6,935.00 |
| Dest Lesion, Penis, Simple; Chemical | $1,406.00 |
| Dest Lithotripsy Of Stone | $20,129.00 |
| Dest Of Internal Hem Ther | $4,387.00 |
| Dest Of Lesion/Conjunctiva | $8,115.00 |
| Dest Penile Lesions Cryosurgery | $790.00 |
| Dest Penile Lesions Laser | $6,935.00 |
| Destr Neuroly Super Hypop | $3,424.00 |
| DESTROY MUSCLE PERIPHERAL | $3,614.00 |
| Destruct Premalg Lesion, First Lesion | $790.00 |
| Destruction Lesion Anus Laser | $10,452.00 |
| Destruction Of Cyst/Lesion Iris Ciliary Bo | $2,221.00 |
| Destruction Of Les Of Lid Margin <1 cm | $3,614.00 |
| Destruction Of Lesion, Anus; Simple Chem | $1,406.00 |
| Destruction Of Lesions Simple Cryosurgery | $790.00 |
| DEV LIGASURE TIS FUS IMPACT DUPLICATE ITEM USE 602283 | $2,475.00 |
| DEVICE BONE BIOPSY SZ 3 MEDTRON SPINAL AND BIOLOGICS F05A | $367.00 |
| DEVICE CLSR TROCAR ENDO CLOSE US SURGICAL 173022 | $246.00 |
| DEVICE COR KNOT MIS LSI SOLUTIONS INC 030800 | $1,829.00 |
| DEVICE CORKNOT MINI 4MM FOR CK ELITE LSI SOLUTIONS INC 031350 | $2,800.00 |
| DEVICE FIX ABSORB SECURE STRAP ETHICON INC OPSTRAP20 | $2,057.00 |
| DEVICE FIX TIGHTROPE BTB 10MM ARTHREX INC AR-1588BTB-J | $5,980.00 |
| DEVICE FIXATION TIGHTROPE ACL ARTHREX INC AR-1588RT-J | $1,800.00 |
| DEVICE GELPORT LAPAR HAND GELPORT HAND ACCESS LAP APPLIED MEDICAL C8XX2 | $2,300.00 |
| DEVICE INFLATION ENCORE 26 3IN 12FR 20ML PRESSURE GAUGE BOSTON SCI:PERIPHERAL INTERV M001151050 | $136.00 |
| DEVICE MYOSURE TISSUE REMVL EX REACH HOLOGIC 10-403FC | $4,197.00 |
| Device Plcmnt,Perc Intraa | $5,336.00 |
| DEVICE REATTACH TROCHANTERIC SYNTHES TRAUMA 498.806S | $7,011.00 |
| DEVICE REDUCTION FOR 4.5 PLATE SYNTHES TRAUMA 311.449 | $971.00 |
| DEVICE SECURESTRAP 5MM ABSORBABLE 25 STRAPS/DEVICE ETHICON INC STRAP25 | $2,172.00 |
| DEVICE SHUNT NON-INVASIVE AXIEM STEALTH MEDTRON SURGICAL TECH EM-NIPT-STYLET | $2,603.00 |
| DEVICE TISSUE REMOVAL MYOSURE LITE HOLOGIC 30-403LITE | $1,695.00 |
| DEVICE TISSUE REMOVAL MYOSURE XL HOLOGIC 50-503XL | $4,197.00 |
| Dexamethasone -Quest | $89.00 |
| DHEA Sulfate -Quest | $117.00 |
| DHEA, LC/MS/MS -Quest | $133.00 |
| Diabetes Mgmt Comprehensive Class -> Yes | $63.00 |
| Diabetes Mgmt OP Consult (30 Min) | $110.00 |
| Diabetes Mgmt Wellness English Class -> Yes | $63.00 |
| Diabetes Mgmt Wellness Spanish Class -> Yes | $63.00 |
| Diag sheath | $922.00 |
| Diagnostic Anoscopy W/Hra & Biopsy | $4,387.00 |
| Diagnostic Anoscopy W/Hra & Chem Agnt | $477.00 |
| Diagnostic Bone Marrow, aspiration(s) | $1,864.00 |
| Diagnostic Bone Marrow; biopsy(ies) | $6,500.00 |
| Diagnostic Bone Marrow; biopsy(ies) and aspiration(s) | $6,500.00 |
| Diagnostic Coronary Procedures -> Coro and RHC | $13,281.00 |
| Diagnostic Coronary Procedures -> Coro LHC LV | $13,281.00 |
| Diagnostic Coronary Procedures -> Coro LHC LV Graft AV | $13,281.00 |
| Diagnostic Coronary Procedures -> Coro LHC LV Graft AV | $13,281.00 |
| Diagnostic Coronary Procedures -> Coro RHC Graft AV LV | $13,281.00 |
| Diagnostic Coronary Procedures -> Coro/Grafts Ven/Art & RHC | $13,281.00 |
| Diagnostic Coronary Procedures -> Coro/Grafts Ven/Arterial | $13,281.00 |
| Diagnostic Coronary Procedures -> Coronaries | $13,281.00 |
| Diagnostic Coronary Procedures -> Endomyocardial Biopsy | $12,483.00 |
| Diagnostic Coronary Procedures -> L Heart Cath | $13,281.00 |
| Diagnostic Coronary Procedures -> Pharmacological challenge w/Hemodynamic Challenge | $1,987.00 |
| Diagnostic Coronary Procedures -> Pulmonary Angiography | $4,835.00 |
| Diagnostic Coronary Procedures -> R Heart Cath | $13,281.00 |
| Diagnostic Coronary Procedures -> R/L Heart Cath | $13,281.00 |
| Diagnostic Coronary Procedures -> RA or RV Angiography | $981.00 |
| Diagnostic Coronary Procedures -> Supravalvular AO (check AI) | $1,234.00 |
| Diagnostic Coronary Procedures -> Swan Ganz Insertion for Hemo Monitoring | $5,168.00 |
| Diagnostic Coronary Procedures -> Thermo | $1,519.00 |
| Diagnostic guide wire | $22.00 |
| diagnostic guidewire | $22.00 |
| Diagnostic Mammography Incl Cad Unilateral | $632.00 |
| Diagnostic wire | $22.00 |
| DiagnosticABR | $1,192.00 |
| DIALYSIS PROCEDURE ER | $1,703.00 |
| Diamondback | $13,088.00 |
| Diaphragm Fitting W Instruc | $743.00 |
| Dibucaine Number-QST | $67.00 |
| Diffusion Capacity | $387.00 |
| Digoxin Level. | $70.00 |
| Dihydrotestosterone, LC/MS/MS -Quest | $504.00 |
| Dil & Cath Saliv Duct W/Wo Inj | $2,181.00 |
| DIL ENDO CRE 180CM 5.5CM 7.5FR BOSTON SCI:ENDO 5863 | $1,100.00 |
| Dil Esophagus Indir Initial | $3,599.00 |
| Dil Esophagus Over Guide Wire | $6,641.00 |
| DIL SURG NTNGHM 1STP HDR+ TPR EA1 BOSTON SCI:UROLOGY/GYNECOLOGY 230-101 | $488.00 |
| Dilat Xst Trc Ndurlgc Px W/Img | $7,789.00 |
| Dilat Xst Trc New Access Rcs | $13,104.00 |
| Dilation & Currettage | $3,914.00 |
| Dilation Anal Sphincter | $4,387.00 |
| Dilation Cervical Canal | $10,572.00 |
| Dilation Male Urethral Stricture | $7,789.00 |
| Dilation Nephro Urethra Interp | $7,789.00 |
| DILATION OF ACE CONDIUT | $20,576.00 |
| Dilation Of Female Urethr Subseq | $477.00 |
| Dilation Of Female Urethra | $609.00 |
| Dilation Of Lacrimal Duct | $1,559.00 |
| Dilation Of Urethra | $7,789.00 |
| Dilation Salivary Duct | $5,727.00 |
| Dilation Urethral Stricture Filifm | $2,517.00 |
| Dilation Urethral Stricture Passage | $1,036.00 |
| Dilation Urethral Stricture Subsequent | $477.00 |
| Dilation Vagina Under Anesth | $10,572.00 |
| DILATOR EPC BALLOON 18-19-20 BOSTON SCIENTIFIC CORP M00558500 | $1,176.00 |
| Diphtheria Antitoxoid -Quest | $80.00 |
| Dir Rep Aneurysm Occlusive Axill/Brach | $20,682.00 |
| Dir Rep Aneurysm Occlusive Radial Ulnar | $19,594.00 |
| Direct Antiglobulin Test. | $28.00 |
| DISC CERVICAL 13X17MM H5 ZIMMER SPINE MB3375 | $20,000.00 |
| DISC CERVICAL 15X15 H5 US MOBI-C LDR SPINE MB3555 | $20,000.00 |
| DISC CERVICAL 15X15 H6 US MOBI-C ZIMMER SPINE MB3556 | $20,000.00 |
| DISC CERVICAL MOBI-C 13X15X5 ZIMMER HOLDINGS INC MB3555 | $20,000.00 |
| DISC CERVICAL MOBI-C 6MM 15X17CM ZIMMER SPINE MB3576 | $20,000.00 |
| Diskectomy Ant 1 Lvl Cerv | $26,935.00 |
| Diskogram Cervical | $7,304.00 |
| Diskogram Lumbar | $7,304.00 |
| Dislocation Shoulder W Anesesthesia | $6,207.00 |
| Dislocation Shoulder W/O Anesthesia | $1,064.00 |
| Disposable Cautery | $103.00 |
| Dissection Deep Jugular Node | $20,576.00 |
| DISSECTOR 3.5MMX13CM ARTHREX INC AR-8350DS | $144.00 |
| DISSECTOR BLLN PREPERITONEAL US SURGICAL OMSPDBS2 | $1,590.00 |
| Distal Rev/Intr Lig(Dril) | $20,682.00 |
| Diuretics Screen, Urine -Quest | $115.00 |
| Div Plantar Fascia & Muscle | $12,397.00 |
| Division Scalenus Anterior | $11,745.00 |
| Division Stricture Rectum | $4,387.00 |
| DL 12001 13Fr Pedi LA Vent | $110.00 |
| DL 12012 Floppy Sucker Plastic Tip | $110.00 |
| DL10007 1/4 - Male Perfusion Adapter | $110.00 |
| DL11014L Antegrade 1Ft | $110.00 |
| DL12010 Floppy Sucker Metal Tip | $110.00 |
| DL31001 IMA Needle | $110.00 |
| DL67528 Ven RA Short 28Fr | $110.00 |
| DL67530 Ven RA Short 30Fr | $110.00 |
| DL67532 Ven RA Short 32Fr | $110.00 |
| DL68124 Ven Mal 24Fr Str | $110.00 |
| DL68126 Ven Mal 26Fr Str | $110.00 |
| Dlyd Plmt Xtn Prosth 1St Vsl | $8,817.00 |
| Dlyd Plmt Xtn Prosth Ea Addl | $8,817.00 |
| DMPK DNA (DM1) -Quest | $651.00 |
| DNA (ds) Ab,Crithidia,IFA w/Refl -Quest | $55.00 |
| DNA (Ds) Antibody (QST) | $73.00 |
| DNA Ab (Ds) Crithidia Titer (QST) | $36.00 |
| DNA Ab (Ds) Crithidia Titer (QST) | $36.00 |
| DNA Ab (Ds) Crithidia Titer (QST) | $36.00 |
| DNA Ab (DS) Crithidia,IFA (QST) | $46.00 |
| DNA Ab (DS) Crithidia,IFA (QST) | $46.00 |
| DNA Ab (DS) Titer. | $29.00 |
| DNA Ab Double Strand. | $73.00 |
| DNASE B Antibody -Quest | $70.00 |
| DNASE SENSITIVITY IgG | $197.00 |
| Dog Dander (e5) IgE -Quest | $28.00 |
| Dop Velocim,Fet;Umbil Artery | $532.00 |
| Doppler | $165.00 |
| DOPPLER COMPLETE | $352.00 |
| Doppler Flowing Test | $532.00 |
| DOPPLER FOLLOW-UP LIMITED | $352.00 |
| Doppler/Fetal Middle Cerebral Artery | $532.00 |
| Double Lumen Tube 35F | $196.00 |
| Double Lumen Tube 37F | $196.00 |
| Double Lumen Tube 39F | $196.00 |
| Doxepin -Quest | $252.00 |
| Doxycycline | $25.00 |
| Dr Abs Cyst Hem Vest Mouth Com | $2,181.00 |
| Dr Abs Cyst Hem Vest Mouth Sim | $2,594.00 |
| Dr Absc Hema Auricle Simple | $1,954.00 |
| Dr Pharyngeal Abs Ext Approach | $19,807.00 |
| Dr Pharyngeal Abs Intraoral | $9,990.00 |
| DRAIN ABSC EXT AUDITORY | $2,738.00 |
| Drain Absc Hema Auricle Compl | $6,158.00 |
| Drain Absc Isch W Fistulectomy | $11,033.00 |
| Drain Absc Perianal Superfic | $3,520.00 |
| Drain Absc Thorax Part Ost Rib | $11,745.00 |
| Drain Abscess Ext Auditory Can | $2,738.00 |
| Drain Abscess Hematoma Intrana | $923.00 |
| Drain Abscess Or Hematoma, Nasal Septum | $2,181.00 |
| Drain Abscess Parotid Complica | $9,990.00 |
| Drain Abscess Parotid Simple | $5,727.00 |
| Drain Abscess Peritonsillar | $974.00 |
| Drain Abscess Periurethral Dp | $7,789.00 |
| DRAIN ABSCESS SCROTAL WAL | $6,500.00 |
| Drain Abscess Scrotal Wall | $6,500.00 |
| Drain Abscess Skene"S Gland | $7,789.00 |
| Drain Abscess Submaxill Duct | $2,181.00 |
| Drain Abscess Submaxill Extern | $2,181.00 |
| Drain Abscess Supr Pelv Retror | $11,033.00 |
| Drain Abscess Thorax Deep | $11,239.00 |
| DRAIN CHANNEL HUBLESS ROUND 28F BARD C R INC 072290 | $120.00 |
| DRAIN CHEST DRY SEAL 500ML MINI 500 ONE WAY VALVE CNNECTR GETINGE ATRIUM 16400 | $250.00 |
| Drain Dressing | $111.00 |
| DRAIN EXT EAR ABS/HEM SIM | $1,954.00 |
| DRAIN FINGER ABSCESS COMP | $6,500.00 |
| DRAIN FINGER ABSCESS SIMP | $834.00 |
| DRAIN INCS 6.5MM 18IN SIL SUMP OWENS & MINOR INC 111189AT | $120.00 |
| Drain Lac Sac Dacryocystotomy | $8,115.00 |
| Drain Lymph Node Abscess Ext | $6,158.00 |
| Drain Lymph Node Abscess Simp | $6,158.00 |
| Drain Of Lymphocele | $20,576.00 |
| Drain Of Perirenal / Renal Abscess | $7,789.00 |
| Drain Ovarian Cyst Abdominal | $10,572.00 |
| Drain Palmar Bursa Ul/Rad Mult | $11,745.00 |
| Drain Palmar Bursa Ul/Rad Sing | $11,745.00 |
| Drain Shoulder Bone Les | $5,880.00 |
| Drainage Absc Cyst Hematoma | $503.00 |
| Drainage Abscess Finger Comp | $6,500.00 |
| Drainage Abscess Finger Simple | $834.00 |
| Drainage Of Kidney Lesion | $2,594.00 |
| Drainage Of Mouth Lesion | $923.00 |
| Drainage Periv/Prev Space Abscess | $10,648.00 |
| Drainage Soft Tissue | $2,738.00 |
| Drainage Tendon Sheath 1 Digit | $12,397.00 |
| DRBC AS3 Deglyc LR | $1,248.00 |
| DRBC CP2D AS3 450 | $662.00 |
| DRBC CP2D AS3 450 LR | $2,953.00 |
| DRBC CP2D AS3 450 LR Irr | $1,208.00 |
| DRBC CP2D AS3 500 | $662.00 |
| DRBC CP2D AS3 500 LR | $2,953.00 |
| DRBC CP2D AS3 500 LR Irr | $1,208.00 |
| DRBC CP2D AS3 LR Irr PlasAdd | $525.00 |
| DRBC CPD 450 | $662.00 |
| DRBC CPD 450 LR | $2,953.00 |
| DRBC CPD 450 LR Irr | $1,208.00 |
| DRBC CPD 500 | $662.00 |
| DRBC CPD 500 LR | $2,953.00 |
| DRBC CPD 500 LR Irr | $1,208.00 |
| DRBC CPD 500 LR Irr PlasAdd | $525.00 |
| DRBC CPD 500 LR Irr PlasRed | $1,041.00 |
| DRBC CPD 500 LR PlasRed | $957.00 |
| DRBC CPD AS1 450 | $662.00 |
| DRBC CPD AS1 450 LR | $2,953.00 |
| DRBC CPD AS1 450 LR Irr | $1,208.00 |
| DRBC CPD AS1 500 | $662.00 |
| DRBC CPD AS1 500 LR | $2,953.00 |
| DRBC CPD AS1 500 LR Irr | $1,208.00 |
| DRBC CPD AS1 500 LR Irr PlasAdd | $525.00 |
| DRBC CPD AS5 450 | $662.00 |
| DRBC CPD AS5 450 LR | $2,953.00 |
| DRBC CPD AS5 450 LR Irr | $1,208.00 |
| DRBC CPD AS5 500 | $662.00 |
| DRBC CPD AS5 500 LR | $2,953.00 |
| DRBC CPD AS5 500 LR Irr | $1,208.00 |
| DRBC CPD AS5 500 LR Irr PlasAdd | $525.00 |
| DRBC CPD AS5 500 LR Irr PlasAdd | $525.00 |
| DRBC CPD AS5 Irr LV | $1,208.00 |
| DRBC CPD AS5 LR Irr LV | $1,208.00 |
| DRBC CPD AS5 LR LV | $2,953.00 |
| DRBC CPD AS5 LV | $662.00 |
| DRBC CPD LR Irr LV | $1,208.00 |
| DRBC CPD LR LV | $2,953.00 |
| DRBC CPD LR PlasAdd | $525.00 |
| DRBC CPD LV | $662.00 |
| DRBC CPDA1 450 | $662.00 |
| DRBC CPDA1 450 LR | $2,953.00 |
| DRBC CPDA1 450 LR Irr | $596.00 |
| DRBC CPDA1 450 LR Irr PlasAdd | $525.00 |
| DRBC CPDA1 450 PlasAdd | $525.00 |
| DRBC CPDA1 450 PlasRed | $662.00 |
| DRBC CPDA1 500 | $662.00 |
| DRBC CPDA1 500 LR | $2,953.00 |
| DRBC CPDA1 500 LR Irr | $1,208.00 |
| DRBC CPDA1 500 LR Irr PlasRed | $1,208.00 |
| DRBC CPDA1 500 LR PlasAdd | $525.00 |
| DRBC CPDA1 500 LR PlasRed | $2,953.00 |
| DRBC CPDA1 LR Irr LV | $1,208.00 |
| DRBC CPDA1 LR LV | $2,953.00 |
| DRBC CPDA1 LV | $662.00 |
| DRBC Deglyc | $1,248.00 |
| DRBC Deglyc Irr | $1,248.00 |
| DRBC Deglyc Rej | $1,248.00 |
| DRBC Washed | $1,682.00 |
| DRBC Washed LR | $1,682.00 |
| DRBC Washed LR Irr | $1,682.00 |
| Dressing Change | $2,162.00 |
| DRILL BIT CALIBRATED 3.2MM SYNTHES TRAUMA 03.010.103 | $573.00 |
| DRILL BIT DEPUY SPINE INC 288301114 | $971.00 |
| DRILL BIT QC 2.0 X 110MM SYNTHES TRAUMA 323.062 | $573.00 |
| DRILL BIT QC 4.2 X 330MM SYNTHES TRAUMA 03.010.061 | $856.00 |
| DRILL BT QC STP-45 3.0X190 SYNTHES SPINE 387.604 | $971.00 |
| DRILL FLEX 16MM SYNTHES TRAUMA 03.037.002 | $3,606.00 |
| DRILL PROFILE 7.0MM CMPR FT ARTHREX INC AR-8770-03 | $856.00 |
| DRILL SURG 10MM KNEE CANN ARTHREX INC AR-1214L | $681.00 |
| DRILL SURG 14MM CERV ANT STOP | $573.00 |
| DRILL SURG CANN 3.5MM FIFTH ARTHREX INC AR-8956C-35PD | $681.00 |
| Drml Autogft Trk Arm Leg | $6,935.00 |
| DRN CYST DENTOALVEOLAR ST | $503.00 |
| Drug Collection Urine 7pm. | $76.00 |
| Drug Collection Urine. | $66.00 |
| Drug Screen Comp, Umbilical Cord. | $307.00 |
| Drug Screen Comprehensive Urine.. | $307.00 |
| Drug Screen Comprehensive. | $307.00 |
| Drug Screen Panel 5, Meconium -Quest | $609.00 |
| Drug Screen Panel 9, Meconium -Quest | $307.00 |
| Drug Screen Urine 10 Panel. | $307.00 |
| Drug Screen Urine 12 Panel. | $307.00 |
| Drug Screen Urine 3 Panel. | $307.00 |
| Drug Screen Urine 4 Panel without THC. | $307.00 |
| Drug Screen Urine 4 Panel. | $307.00 |
| Drug Screen Urine 5 Panel Modified. | $307.00 |
| Drug Screen Urine 5 Panel Non Nida. | $307.00 |
| Drug Screen Urine 5 Panel. | $307.00 |
| Drug Screen Urine 6 Panel. | $307.00 |
| Drug Screen Urine 9 Panel. | $307.00 |
| Drug Screen Urine. | $307.00 |
| Drug Screen. | $307.00 |
| DRVVT Screen (QST) | $51.00 |
| DRVVT Screen w/Refl Conf and 1:1 Mix -Quest | $53.00 |
| DSCT GLIDEPATH KIT SURG ATRICURE INC GPS1 | $10,740.00 |
| DSCT GLIDEPATH TAPE SURG DSCT ATRICURE INC GPT300 | $1,458.00 |
| DSCT LAPSCP 2 JAW CORD BP COAG ACMI CORP 970010PC | $1,458.00 |
| Dsl Acromclavicular Simple/Compound Open | $25,517.00 |
| Dsl Acromclavicular W Fascial Graft | $25,517.00 |
| Dsl Acromioclavicul Disc Wo Manipulation | $1,064.00 |
| Dsl Ankle Cls/Opn Open Reduction | $25,517.00 |
| Dsl Ankle Smp Manip Re Wo Anes | $1,067.00 |
| Dsl Ankle Smp Manip Red W Anes | $6,207.00 |
| Dsl Crp Metcrp Smp/Cmp Complex | $11,745.00 |
| Dsl Crp-Metcrp Smp Red W Anes | $5,880.00 |
| Dsl Crp-Metcrp Smp Red W Perc Pinning | $11,745.00 |
| Dsl Crp-Metcrp Smp Red Wo Anes | $1,067.00 |
| Dsl Crp-Metcrp Smp/Cmp Op Red | $11,745.00 |
| Dsl Elbow Clsd W Anesthesia | $6,207.00 |
| Dsl Elbow Clsd Wo Anestheisa | $1,067.00 |
| Dsl Elbow Smp/Cmp Open Reduc | $25,517.00 |
| Dsl Hip Congenital Splnt Trac | $1,008.00 |
| Dsl Hip Congential W Man& Anes | $6,207.00 |
| Dsl Hip Trauma Manip Req Anes | $6,207.00 |
| Dsl Hip Trauma Manip Wo Anes | $1,064.00 |
| Dsl Interphal Smp Red Wo Anes | $1,067.00 |
| Dsl Interphal Smp/ Cmp Open Red | $11,745.00 |
| Dsl Interphal W Perc Pinning | $11,745.00 |
| Dsl Interphalang Cls/Opn Op Re | $11,745.00 |
| Dsl Interphalang Manip W Anes | $1,113.00 |
| Dsl Interphalangeal Man W/O An | $725.00 |
| Dsl Knee Smp Manip Red W Anes | $6,207.00 |
| Dsl Knee Smp Manip Red Wo Anes | $801.00 |
| Dsl Metarsophal Cls/Opn Op Red | $12,397.00 |
| DSL METARSOPHAL MANIP | $566.00 |
| Dsl Metarsophal Manip Wo Anes | $566.00 |
| Dsl Metars-Phal Manip W Anes | $6,207.00 |
| Dsl Metcrp-Phal Smp Red W Anes | $5,880.00 |
| Dsl Metcrp-Phal Smp/Cmp Op Red | $11,745.00 |
| Dsl Patela Smp Man Red W/O Ans | $1,067.00 |
| Dsl Patela Smp/Cmp Open Reduc | $25,517.00 |
| Dsl Prx Tib-Fib Jnt Open W Fix | $26,935.00 |
| Dsl Radial Head Child Manipulation | $1,067.00 |
| Dsl Shoulder Fx Tubros Open | $25,517.00 |
| Dsl Shouldr Fx Surg Nck Op | $47,967.00 |
| Dsl Shouldr Fx Tubros Manp | $6,207.00 |
| Dsl Shouldr Smp/Cmp Open | $25,517.00 |
| Dsl Sternclavical Simp/Comp Open | $25,517.00 |
| Dsl Sternoclavcl Simp W Manipulation | $1,008.00 |
| Dsl Sternoclavcular Wo Manipulation | $6,207.00 |
| Dsl Sternoclavical W Fascial Graft | $25,517.00 |
| Dsl Talotarasal Cls/Opn W/Wo Fixation | $26,935.00 |
| Dsl Talotarasal Manip W Anes | $11,745.00 |
| Dsl Tarsal Clo W Per Skel Fix | $5,880.00 |
| Dsl Tarsal Cls/Opn W/Wo Fixation | $25,517.00 |
| Dsl Tarsal Manip Red Wo Anesth | $829.00 |
| Dsl Tarsometars Cls/Opn W/Wo Fixation | $26,935.00 |
| Dsl Tarsometars Manip W Anes | $1,008.00 |
| Dsl Tarsometars Manip Wo Anes | $1,008.00 |
| Dsl Tarsometars W Per Ske Fix | $11,745.00 |
| Duck Feathers (e86) IgE-Quest. | $23.00 |
| DUI Drug Screen. | $307.00 |
| Duodeca catheter | $5,213.00 |
| Dup Scan Art Inflow/Venous Outflow | $1,090.00 |
| Dup Scan Extrcranial Art/Comp Bil | $1,090.00 |
| Duplex Scan Ext Veins/Includ Response | $1,090.00 |
| Duplex Scan Uea - Limited | $504.00 |
| Duplex Scan Upper Ext Art | $532.00 |
| Duplex Scan Vav Limited | $532.00 |
| Duplex Scn Ev-Limited | $532.00 |
| Duplexscan Lea-Complete | $1,090.00 |
| Duplexscan Lea-Limited | $532.00 |
| Dv Aph Plt ACDA LR | $2,298.00 |
| Dv Aph Plt ACDA LR <3 X log 11 | $2,298.00 |
| Dv Aph Plt ACDA LR <3 X log 11 1 | $2,298.00 |
| Dv Aph Plt ACDA LR <3 X log 11 2 | $2,298.00 |
| Dv Aph Plt ACDA LR 1 | $2,298.00 |
| Dv Aph Plt ACDA LR 2 | $2,298.00 |
| Dv Aph Plt ACDA LR 3 | $2,298.00 |
| Dv Aph Plt ACDA LR Irr | $2,953.00 |
| Dv Aph Plt ACDA LR Irr <3 X log 11 | $2,953.00 |
| Dv Aph Plt ACDA LR Irr <3X log11 1 | $2,953.00 |
| Dv Aph Plt ACDA LR Irr <3X log11 2 | $2,953.00 |
| Dv Aph Plt ACDA LR Irr 1 | $2,953.00 |
| Dv Aph Plt ACDA LR Irr 2 | $2,953.00 |
| Dv Aph Plt ACDA LR Irr 3 | $2,953.00 |
| Dv Aph Plt ACDA LR Irr PlasRed | $2,953.00 |
| Dv Aph Plt ACDA LR Irr PlasRed 1 | $2,953.00 |
| Dv Aph Plt ACDA LR Irr PlasRed 2 | $2,953.00 |
| Dv Aph Plt ACDA LR Irr PlasRed 3 | $2,953.00 |
| Dv Aph Plt ACDA LR PlasRed | $2,298.00 |
| Dv Aph Plt ACDA LR PlasRed 1 | $2,298.00 |
| Dv Aph Plt ACDA LR PlasRed 2 | $2,298.00 |
| Dv Aph Plt ACDA LR PlasRed 3 | $2,298.00 |
| Dv Aph Plt ACDB LR | $2,298.00 |
| Dv Aph Plt ACDB LR 1 | $2,298.00 |
| Dv Aph Plt ACDB LR 2 | $2,298.00 |
| Dv Aph Plt ACDB LR Irr | $2,953.00 |
| Dv Aph Plt ACDB LR Irr 1 | $2,953.00 |
| Dv Aph Plt ACDB LR Irr 2 | $2,953.00 |
| Dv Aph Plt Washed LR | $2,298.00 |
| Dv Aph Plt Washed LR 1 | $2,298.00 |
| Dv Aph Plt Washed LR 2 | $2,298.00 |
| Dv Aph Plt Washed LR Irr | $2,953.00 |
| Dv Aph Plt Washed LR Irr 1 | $2,953.00 |
| Dv Aph Plt Washed LR Irr 2 | $2,953.00 |
| Dv RBC AS3 Deglyc LR | $1,248.00 |
| Dv RBC CP2D AS3 450 | $596.00 |
| Dv RBC CP2D AS3 450 LR | $596.00 |
| Dv RBC CP2D AS3 450 LR Irr | $596.00 |
| Dv RBC CP2D AS3 500 | $596.00 |
| Dv RBC CP2D AS3 500 LR | $596.00 |
| Dv RBC CP2D AS3 500 LR Irr | $596.00 |
| Dv RBC CP2D AS3 LR Irr PlasAdd | $525.00 |
| Dv RBC CPD 450 | $596.00 |
| Dv RBC CPD 450 LR | $596.00 |
| Dv RBC CPD 450 LR Irr | $596.00 |
| Dv RBC CPD 500 | $596.00 |
| Dv RBC CPD 500 LR | $596.00 |
| Dv RBC CPD 500 LR Irr | $596.00 |
| Dv RBC CPD 500 LR Irr PlasAdd | $525.00 |
| Dv RBC CPD 500 LR Irr PlasRed | $680.00 |
| Dv RBC CPD 500 LR PlasRed | $680.00 |
| Dv RBC CPD AS1 450 | $596.00 |
| Dv RBC CPD AS1 450 LR | $596.00 |
| Dv RBC CPD AS1 450 LR Irr | $596.00 |
| Dv RBC CPD AS1 500 | $596.00 |
| Dv RBC CPD AS1 500 LR | $596.00 |
| Dv RBC CPD AS1 500 LR Irr | $596.00 |
| Dv RBC CPD AS1 500 LR Irr PlasAdd | $525.00 |
| Dv RBC CPD AS5 450 | $596.00 |
| Dv RBC CPD AS5 450 LR | $596.00 |
| Dv RBC CPD AS5 450 LR Irr | $596.00 |
| Dv RBC CPD AS5 500 | $596.00 |
| Dv RBC CPD AS5 500 LR | $596.00 |
| Dv RBC CPD AS5 500 LR Irr | $596.00 |
| Dv RBC CPD AS5 500 LR Irr PlasAdd | $525.00 |
| Dv RBC CPD AS5 500 LR Irr PlasAdd | $525.00 |
| Dv RBC CPD AS5 Irr LV | $596.00 |
| Dv RBC CPD AS5 LR Irr LV | $596.00 |
| Dv RBC CPD AS5 LR LV | $596.00 |
| Dv RBC CPD AS5 LV | $596.00 |
| Dv RBC CPD LR Irr LV | $596.00 |
| Dv RBC CPD LR LV | $596.00 |
| Dv RBC CPD LR PlasAdd | $525.00 |
| Dv RBC CPD LV | $596.00 |
| Dv RBC CPDA1 450 | $596.00 |
| Dv RBC CPDA1 450 LR | $596.00 |
| Dv RBC CPDA1 450 LR Irr | $1,208.00 |
| Dv RBC CPDA1 450 LR Irr PlasAdd | $525.00 |
| Dv RBC CPDA1 450 PlasAdd | $525.00 |
| Dv RBC CPDA1 450 PlasRed | $596.00 |
| Dv RBC CPDA1 500 | $596.00 |
| Dv RBC CPDA1 500 LR | $596.00 |
| Dv RBC CPDA1 500 LR Irr | $596.00 |
| Dv RBC CPDA1 500 LR Irr PlasRed | $596.00 |
| Dv RBC CPDA1 500 LR PlasAdd | $525.00 |
| Dv RBC CPDA1 500 LR PlasRed | $596.00 |
| Dv RBC CPDA1 LR Irr LV | $596.00 |
| Dv RBC CPDA1 LR LV | $596.00 |
| Dv RBC CPDA1 LV | $596.00 |
| Dv RBC Deglyc | $1,248.00 |
| Dv RBC Deglyc Irr | $1,248.00 |
| Dv RBC Deglyc Rej | $1,248.00 |
| Dv RBC Washed | $1,682.00 |
| Dv RBC Washed LR | $1,682.00 |
| Dv RBC Washed LR Irr | $1,682.00 |
| Dv Thawed Aph Plas ACDA 200-400 mL | $338.00 |
| Dv Thawed Aph Plas ACDA 400-600 mL | $338.00 |
| Dv Thawed Aph Plas CP2D 200-400 mL | $338.00 |
| Dv Thawed Aph Plas CP2D 400-600 mL | $338.00 |
| Dv Thawed Aph Plas NaCit <200 mL | $338.00 |
| Dv Thawed Aph Plas NaCit >600 mL | $338.00 |
| Dv Thawed Aph Plas NaCit 200-400mL | $338.00 |
| Dv Thawed Aph Plas NaCit 400-600mL | $338.00 |
| Dv Thawed Aph Plasma ACDA | $338.00 |
| Dv Thawed Aph Plasma ACDA <200 mL | $338.00 |
| Dv Thawed Aph Plasma ACDA >600 mL | $338.00 |
| Dv Thawed Aph Plasma ACDA 1 | $338.00 |
| Dv Thawed Aph Plasma ACDA 2 | $338.00 |
| Dv Thawed Aph Plasma CP2D | $338.00 |
| Dv Thawed Aph Plasma NaCitrate | $338.00 |
| Dv Thawed Plasma CP2D | $338.00 |
| Dv Thawed Plasma CPD | $338.00 |
| Dv Thawed Plasma CPD <24h | $362.00 |
| Dv Thawed Plasma CPDA1 | $338.00 |
| DVC 10MM TGHTRP SM ACL BONE ARTHREX INC AR-1588BTB | $1,700.00 |
| DVC 180D LNG 35MM CLSR ATRICURE INC LAA035 | $4,780.00 |
| DVC 180D LNG LOPRFL 40MM TISS ATRICURE INC LAA040 | $4,780.00 |
| DVC 180D LNG LOPRFL 45MM TISS ATRICURE INC LAA045 | $4,780.00 |
| DVC 180D LNG LOPRFL 50MM TISS ATRICURE INC LAA050 | $4,780.00 |
| DVC EGL 10CC LMSCNT DIAL QLCK BARD EP-MEDICAL-UROLOGICAL 325110 | $225.00 |
| DVC FIX 5MM SECURESTRAP ABS ETHICON ENDO-SURGERY INC STRAP12 | $1,725.00 |
| DVC PSTN THE SEC AST 2 ADJ BIOMET 740026 | $750.00 |
| DVC REM 10FT 25.25IN FLX DRV HOLOGIC 30-401LITE | $1,695.00 |
| DVC SPEC RTRVL TISS REM HOLOGIC 10-401 | $1,695.00 |
| Dx Analysis Coch Imp<7Yrs Ini | $609.00 |
| Dx Analysis Coch Imp<7Yrs Sub | $609.00 |
| Dx Analysis Coch Imp>7Yrs Ini | $609.00 |
| Dx Analysis Coch Imp>7Yrs Sub | $609.00 |
| Dx Angrph DialCircuit | $5,168.00 |
| Dynamic XT Quad 1 mm | $1,861.00 |
| E Stim Unattended | $606.00 |
| E U/S W/Fna &/Or Biopsy | $6,641.00 |
| E. Chaffeensis Ab IgG (QST) | $54.00 |
| E. Chaffeensis Ab IgG (QST) | $54.00 |
| E. Chaffeensis Ab IgM (QST) | $54.00 |
| E. Chaffeensis Ab IgM (QST) | $54.00 |
| E. Chaffeensis DNA PCR (QST) | $384.60 |
| Ea 1St Order Branch Vein | $571.00 |
| Ea Add 2Nd Or 3Rd Branch | $1,391.00 |
| Ea Add 2Nd/3Rd Order Branch | $1,391.00 |
| EA ADDT SEQ IVP OF SAME | $252.00 |
| Ea First Order Branch | $1,413.00 |
| Each 1St Order Branch | $1,413.00 |
| EACH ADD IVPUSH SAME DRUG ( | $252.00 |
| Each Additional 30 minutes of Critical Care | $745.00 |
| Each additional vessel | $8,817.00 |
| Ear Wick (pope) | $37.00 |
| Eastern Equine IgG CSF-QST | $100.75 |
| Eastern Equine IgM CSF-QST | $100.75 |
| Ebus W/Place Of Bronch St | $23,046.00 |
| EBV Early Antigen D Ab (IgG) -Quest | $69.00 |
| EBV Nuclear Ag (Ebna) Ab (IgG) (QST) | $81.00 |
| EBV Nuclear Ag (EBNA) Ab (IgG) -Quest | $81.00 |
| EBV Viral Capsid Ag (Vca) Ab (IgG) (QST) | $96.00 |
| EBV Viral Capsid Ag (VCA) Ab (IgG) -Quest | $96.00 |
| EBV Viral Capsid Ag (Vca) Ab (IgM) (QST) | $96.00 |
| EBV Viral Capsid Ag (VCA) Ab (IgM) -Quest | $96.00 |
| EC2101S 3/16 Y | $110.00 |
| ECG | $501.00 |
| ECG (ED) | $501.00 |
| Echinococcus Ab EIA w/Rflx WB -Quest | $69.00 |
| ECHO Exam Of Pelvis | $532.00 |
| Echo Intracardiac | $3,061.00 |
| ECHO Oph A-Mode &/Or Oph Biom | $504.00 |
| Echo Stress, Exercise | $2,351.00 |
| Echo Stress, Exercise w/ Contrast | $2,351.00 |
| Echo Stress, Pharmacologic | $2,351.00 |
| Echo Stress, Pharmacologic w/ Contrast | $2,351.00 |
| ECHO Trans,Pros Vol Study | $504.00 |
| Echo TransESOPHageal TEE | $4,455.00 |
| Echo TransESOPHageal TEE Congntl w/ Cont | $4,455.00 |
| Echo TransESOPHageal TEE Congntl w/ Cont | $4,455.00 |
| Echo TransESOPHageal TEE IntraOp | $4,455.00 |
| Echo TransESOPHageal TEE w/ Contrast | $4,455.00 |
| Echo TransTHORacic TTE Complete | $2,351.00 |
| Echo TransTHORacic TTE Complete w/ Cont | $2,351.00 |
| Echo TransTHORacic TTE Congntl Com w/Con | $2,351.00 |
| Echo TransTHORacic TTE Congntl Complete | $2,351.00 |
| Echo TransTHORacic TTE Congntl Limited | $2,351.00 |
| Echo TransTHORacic TTE Limited | $1,090.00 |
| Echo TransTHORacic TTE Limited w/ Cont | $1,090.00 |
| ECHO,Complete Mult Gestation | $1,071.00 |
| ECHO,Transthoracic Compl | $2,351.00 |
| ECHOcardiography Fetal Heart | $2,227.00 |
| ECHOgraphy Abdomen Complete | $532.00 |
| ECHOgraphy Follow-Up Or Repeat | $532.00 |
| ECHOgraphy Oph Con Scan B-Mode | $504.00 |
| ECHOgraphy Pregnant Uterus Complete | $532.00 |
| ECHOgraphy Pregnant Uterus Limited | $532.00 |
| ECHOgraphy Retroperitoneal Limited | $532.00 |
| ECM 1 SNP | $137.00 |
| ECMO Initial Day | $642.00 |
| ECMO Monitor per Hour | $223.00 |
| ECMO Subsequent Day | $642.00 |
| ECMO/ECLS Initiation Arterial | $3,339.00 |
| Ecyclophotocoagulat, Endos | $8,583.00 |
| ED Aftercare PRO ONLY | $1,008.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,088.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $6,207.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $5,880.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $725.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,008.00 |
| ED Aftercare PRO ONLY | $6,500.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,008.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $6,207.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $1,023.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| ED Aftercare PRO ONLY | $725.00 |
| ED Aftercare PRO ONLY | $1,067.00 |
| ED Aftercare PRO ONLY | $1,064.00 |
| Educ/Traing Sess Grp | $149.00 |
| EEG Awake & Asleep | $1,192.00 |
| EEG Awake & Drowsy | $1,130.00 |
| EEG Digital EEG EA 24 Hour | $2,152.00 |
| EEG Electrocerebral Silence | $2,152.00 |
| EEG Ext. Mon. Greater 1 HR | $1,192.00 |
| EEG Ext. Monitor. Up to 1 HR | $1,192.00 |
| EEG Extended 41 - 60Min | $1,192.00 |
| EEG Extended, > 1 Hr | $1,192.00 |
| EEG Record In Coma/Sleep | $1,192.00 |
| EEG, All Night Recording | $2,038.00 |
| EEG, SLEEP | $1,192.00 |
| EGD Esoph W/Eus | $6,641.00 |
| EGD Esoph W/Eus & Fna | $6,641.00 |
| Egd Esophagogastrc Fndoplsty | $34,660.00 |
| EGD Thrml Energy Rflx Trtmt | $12,646.00 |
| EGD Transoral W/Ablate Tumor Polyp Lesion | $6,641.00 |
| EGD Transoral W/Endoscopic Mucosal Resect | $6,641.00 |
| EGD Transoral W/Endoscopic Stent Placement | $20,129.00 |
| EGD Us Transmural Inject | $6,641.00 |
| EGD W Band Varices | $7,010.00 |
| EGD W Dil Balloon < 30 | $7,010.00 |
| EGD W Hot Bx | $6,641.00 |
| EGD W Snare | $7,010.00 |
| EGD W/Dil Esoph Balloon > | $6,641.00 |
| EGD W/Dir Submucous Inj | $3,409.00 |
| EGD w/Endoscopic Submucosal Dissection, Duodenum | $3,599.00 |
| EGD w/Endoscopic Submucosal Dissection, Esophagus | $3,409.00 |
| EGD w/Endoscopic Submucosal Dissection, Stomach | $3,409.00 |
| EGD W/Endoscopic U/S | $6,641.00 |
| EGD W/Sclerosis Varicies | $6,641.00 |
| EGFR (TECH) | $1,547.00 |
| Egg Component Panel -Quest | $28.00 |
| Egg Mix (Yolk/White)(f245) IgE-Quest | $24.00 |
| Egg White (f1) IgE -Quest | $28.00 |
| Egg Yolk (f75) IgE -Quest | $28.00 |
| Ehrlichia Chaffeensis DNA RT PCR -Quest | $185.00 |
| EJ Ab-QST | $199.00 |
| EKG Electrods Tab Set | $37.00 |
| Elastoplast | $111.00 |
| Elbow 1-2 Views Xray | $294.00 |
| Elbow 3+ Views Xray | $294.00 |
| ELCTRD ESURG BLK 24-26FR ELT EA1/BX6/PK6 | $397.00 |
| Elec Analy/Impln Neurstim | $526.00 |
| Electrocochleography | $609.00 |
| ELECTRODE BALL ENDO 5FR 65CM STRYKER CORP 0504-861-065 | $449.00 |
| ELECTRODE CUTTING LOOP KARL STORZ ENDOSCOPY AMERICA I 27050G/6 | $449.00 |
| Electrolyte Panel. | $37.00 |
| Electrolytes, Feces -Quest | $26.00 |
| Electromyography Any Technique | $1,036.00 |
| Electron Microscp Diag (TECH) | $2,638.00 |
| Electroneuronography | $609.00 |
| Electronic Analysis Of Implanted Neurostim | $555.00 |
| Electro-Oculography | $477.00 |
| Electroschock (Ect)-Outpt | $2,038.00 |
| Elevate Depres Skull Fx Simple | $9,990.00 |
| ELEVATOR CREGO 13.5MMX8 INTEGRA LIFESCIENCES HOLDINGS 250472 | $229.00 |
| ELEVATOR CREGO 7.2MMX8 INTEGRA LIFESCIENCES HOLDINGS 250471 | $229.00 |
| ELEVATOR CREGO 7MMX8 INTEGRA LIFESCIENCES HOLDINGS 250470 | $229.00 |
| ELEVATOR PASSING NEEDLE BOSTON SCIENTIFIC CORP M365SC42300 | $201.00 |
| Elm (t8) IgE-Quest | $25.00 |
| Elm,American IgG4-Quest. | $93.00 |
| Eluate. | $677.00 |
| EM DIAGNOSTIC (TECH) | $2,638.00 |
| EMA Ab IgG | $1,130.00 |
| Embolectomy Art Axl Brac Inno | $19,594.00 |
| Embolectomy Art Popli-Tib-Pero | $19,594.00 |
| Embolectomy Radial Or Ulnar | $19,594.00 |
| Embolization -> Follow-up angiogram | $5,168.00 |
| Embolization -> Vasc. embolization for hemorrhage | $45,694.00 |
| Embolization -> Vasc. embolization/occlusion vein | $45,694.00 |
| Embolization -> Vascular embolization artery | $45,694.00 |
| Embolization -> Vascular embolization/occlusion | $45,694.00 |
| Embolization coils | $227.00 |
| Embolization/External Carotid | $43,289.00 |
| Emboshield | $8,191.00 |
| Emboshield C2R | $6,342.00 |
| Emboshield Crest 2 | $7,398.00 |
| Embryo Transfer Any Method | $2,498.00 |
| EMERGENCY VISIT LEVEL 1 | $330.00 |
| EMERGENCY VISIT LEVEL 2 | $605.00 |
| EMERGENCY VISIT LEVEL 3 | $1,054.00 |
| EMERGENCY VISIT LEVEL 4 | $1,703.00 |
| EMERGENCY VISIT LEVEL 5 | $2,482.00 |
| Emg 1 Extremity | $477.00 |
| Emg 2 Extremities | $477.00 |
| Emg 3 Extremities | $609.00 |
| Emg Anal Sphincter | $609.00 |
| Emg Cranial Bilateral | $609.00 |
| Emg Cranial Unilateral | $609.00 |
| Emg Other Than Paraspinal | $250.00 |
| Emg Single Fiber | $609.00 |
| Emg Thora Paraspinal Musc | $609.00 |
| EMS Air Ambulance | $277.00 |
| EMS Base Rate Service Charge -> AIR AMBULANCE TRANSPORT | $22,203.00 |
| EMS Base Rate Service Charge -> ALS EMERGENCY TRANSPORT | $2,266.00 |
| EMS Base Rate Service Charge -> ALS INTERCEPT NON TRANSP | $249.00 |
| EMS Base Rate Service Charge -> ALS LEVEL 2 TRANSPORT | $2,489.00 |
| EMS Base Rate Service Charge -> ALS NON-EMERGENCY TRANSPT | $2,062.00 |
| EMS Base Rate Service Charge -> AMBULANCE RESPONSE & TX | $216.00 |
| EMS Base Rate Service Charge -> BLS EMERGENCY TRANSPORT | $1,446.00 |
| EMS Base Rate Service Charge -> BLS NON-EMERGENCY TRANSPT | $1,311.00 |
| EMS Base Rate Service Charge -> CAR TRANSPORT- A0999 | $104.00 |
| EMS Base Rate Service Charge -> L.L. ALS NON-EMERG TRANSP | $1,945.00 |
| EMS Base Rate Service Charge -> L.L. SPEC CARE TRANSPORT | $6,779.00 |
| EMS Base Rate Service Charge -> LL BLS NON-EMERG TRANSPT | $1,311.00 |
| EMS Base Rate Service Charge -> NON-EMERG TRANSP WHEELCHR | $82.00 |
| EMS Base Rate Service Charge -> PUBLIC ASSIST | $72.00 |
| EMS Base Rate Service Charge -> SPECIALTY CARE TRANSPORT | $5,186.00 |
| EMS Car Transport | $7.00 |
| EMS Ground Mileage | $16.00 |
| EMS Noncovered Ambulance | $18.00 |
| EMS Wheelchair Van | $8.00 |
| End Rpr Des Tho A; Not Invol | $8,694.00 |
| Endarterectomy of Aorta | $2,930.00 |
| ENDCAP HUMERAL NAIL 0MM SYNTHES TRAUMA 04.001.000 | $690.00 |
| endo closure bowel leak | $3,599.00 |
| endo closure gc fistula | $3,409.00 |
| Endo Decompression Spinal | $25,517.00 |
| Endo Eval Sm Intestinal Pouch | $3,335.00 |
| Endo Plcmt Iliac Art Occ | $3,491.00 |
| endo revision gj bypass | $3,409.00 |
| ENDO STITCH US SURGICAL 173016 | $1,372.00 |
| Endo Tube (NIMS) | $1,660.00 |
| Endo W/Rec Of Renal Tumor | $34,252.00 |
| ENDOBLADE PLANT FASCIA REL SYS ARTHREX INC AR-8856DS | $4,300.00 |
| Endocervical Curettage | $2,498.00 |
| EndoLock | $95.00 |
| Endolymphatic Sac Op Wo Shunt | $19,807.00 |
| Endolymphatic Sac Operation W/ Shunt | $19,807.00 |
| Endometrial Biopsy | $784.00 |
| Endometrial Thermal Ablat | $19,498.00 |
| Endomysial Ab Titer-QST | $64.00 |
| Endomysial IgA Scr-QST | $64.00 |
| Endomysial IgG (QST) | $64.00 |
| Endomysial Titer (QST) | $64.00 |
| Endos Papill W Rem Of Calculus | $13,349.00 |
| Endos Retro Cholangiopancreat (Ercp) | $12,646.00 |
| Endoscop Papillotomy | $13,349.00 |
| Endoscopic closure of small bowel cutaneous fistula. | $3,599.00 |
| Endoscopic Fistula Repair Clipping, Intestines | $3,599.00 |
| Endoscopic Injec Of Ureth | $13,832.00 |
| Endoscopic Pancreatic Necrosectomy | $2,594.00 |
| Endoscopic Plantar Fasciotomy | $11,745.00 |
| endoscopic rt knee prepatellar bursectomy | $1,064.00 |
| Endoscopic Stricturoplasty Esophagus | $3,409.00 |
| Endoscopic Stricturoplasty Intestines | $3,599.00 |
| Endoscopic Suture Duodenal Perforation | $3,599.00 |
| Endoscopic Transanal Resection Rectal Polyp/Tumor | $3,335.00 |
| Endoscopic Zenker's Diverticulotomy | $3,409.00 |
| Endoscopy Surg Vein Harvst | $9,300.00 |
| Endotracheal Tube | $174.00 |
| Endotracheal Tube ED Supply | $215.00 |
| Endovas Rpr Descnd Thor A | $11,088.00 |
| Endovas Temp Bal Art Occ | $43,289.00 |
| Endoven Radiofreq 1St Vein Treated | $11,826.00 |
| Endoven Ther Chem Adhes 1St | $19,594.00 |
| Endovenvenous Laser, 1St Vein | $11,826.00 |
| English Plantain (w9) IgE -Quest | $28.00 |
| Enog | $609.00 |
| Ensite Array Non-Contact | $14,728.00 |
| Ensite Navx Surface Electrode | $4,523.00 |
| Entamoeba Histolytica Antigen, EIA -Quest | $63.00 |
| Entamoeba Histolytica IgG Elisa -Quest | $65.00 |
| Enterocele Vaginal Repair | $10,572.00 |
| Enterolysis W Bowel Obstruc | $3,818.00 |
| Enterovirus RNA, Ql Real-Time PCR -Quest | $185.00 |
| Entropion Rep Excis Tarsal Wedge | $8,115.00 |
| Enuc Eye W Implant Muscle Att | $13,320.00 |
| Enuc/Exc Ext Thrombotic Hemorr | $4,630.00 |
| Enucleation Eye W Implant | $13,320.00 |
| Enucleation Eye Wo Implant | $13,320.00 |
| EOPA 20Fr Arterial | $110.00 |
| Eosinophils Nasal Smear. | $28.00 |
| EP Echo -> Echo Add On | $3,061.00 |
| EP Mapping -> 2D pace mapping | $16,175.00 |
| EP Mapping -> 3D mapping system | $16,175.00 |
| EP Miscellaneous Procedure Charges -> Cardioversion ELECTIVE, ext | $2,488.00 |
| EP Miscellaneous Procedure Charges -> Cardioversion, elective, int | $2,488.00 |
| EP Miscellaneous Procedure Charges -> Coagulation time; activated | $22.00 |
| EP Miscellaneous Procedure Charges -> Fluoroscopy | $1,090.00 |
| Epiderm Autograft, 1st 100 Cm | $6,935.00 |
| Epidermal Autogrft,Face | $6,935.00 |
| Epididymectomy Unil | $7,789.00 |
| Epididymovasostomy Bilateral | $13,104.00 |
| Epididymovasostomy Unilateral | $7,789.00 |
| Epiglottidectomy | $19,807.00 |
| Epilation Eyelid Forceps Only | $477.00 |
| Epilation Incision Of Lid Margin | $3,614.00 |
| Epinephrine (RHMC) | $118.00 |
| Epiphyseal Arrest Distal Femur | $25,517.00 |
| Epiphyseal Arrest Dstl Fibula | $11,745.00 |
| Epiphyseal Arrest Dstl Tib&Fib | $11,745.00 |
| Epiphyseal Arrest Dstl Tibia | $11,745.00 |
| Epiphyseal Arrest Rad Or Ulna | $11,745.00 |
| Epiphyseal Arst Prx&Dst Tb&Fib | $11,745.00 |
| Epiphysl Arst Comb Femur Knee | $25,517.00 |
| Epiphysl Arst Tib & Fib Proxml | $11,745.00 |
| Episotomy Or Vaginal Rep Simpl | $11,159.00 |
| Epistaxis Packing | $136.00 |
| Epitaxis Tray | $137.00 |
| Epley Per 15 Min | $77.00 |
| EPS Invasive -> Comprehensive EPS with attempted induction | $24,089.00 |
| EPS Invasive -> Comprehensive EPS without attempted induction | $24,089.00 |
| EPS Non Invasive -> NIEPS | $4,345.00 |
| Epstein Barr Virus DNA, Ql RT PCR -Quest | $185.00 |
| Epstein Barr Virus DNA, Qn RT PCR -Quest | $226.00 |
| ERCP Duct Stent Placement | $21,247.00 |
| ERCP Ea Duct/Ampulla Dil | $12,646.00 |
| ERCP Lesion Ablate W/Dila | $12,646.00 |
| ERCP Remove Forgn Body | $13,349.00 |
| ERCP Stent Exchange W/Dil | $20,129.00 |
| Ercp W/Biliary Manometry | $12,646.00 |
| ERCP W/Bx | $12,646.00 |
| Erythrocyte Sedimentation Rate. | $20.00 |
| Erythromycin | $25.00 |
| Erythromycin | $25.00 |
| Erythropoietin -Quest | $99.00 |
| Esc Bone Cyst Prox Humerus | $25,517.00 |
| Escharotomy | $1,406.00 |
| Eso Capsule Endoscopy | $609.00 |
| Esop Motility Study | $2,038.00 |
| Esoph Flex/Trans-Nasal W/ | $3,409.00 |
| Esoph Optical Endomicroscopy | $6,641.00 |
| Esoph Rec Atrial Electrogram | $4,116.00 |
| Esoph Scope W/Submuc Inj | $6,641.00 |
| Esoph W/Transend Fna/Biop | $6,641.00 |
| Esophago W/Band Varies-Pe | $6,641.00 |
| Esophagogast Dir Place Gastric Tube | $7,010.00 |
| Esophagogastro Duodenoscopy | $3,599.00 |
| Esophagogastro Duodenoscopy W Biop | $3,599.00 |
| Esophagogastro Duodenoscopy W Cath | $6,641.00 |
| Esophagogastroduoden W Rem Fb | $3,599.00 |
| Esophagos W/Endoscop U/S | $6,641.00 |
| ESOPHAGOSCOPY DIAGNOSTIC | $2,538.00 |
| Esophagoscopy Diag | $2,538.00 |
| Esophagoscopy Flex Transnasal Biopsy | $3,409.00 |
| Esophagoscopy Flex Transnasal Diagnostic | $3,409.00 |
| Esophagoscopy Flex Transoral Ablation | $12,646.00 |
| Esophagoscopy Flex Transoral Balloon 30Mm | $6,641.00 |
| Esophagoscopy Flex Transoral Balloon Dilat | $7,010.00 |
| Esophagoscopy Flex Transoral Stent Place | $20,129.00 |
| Esophagoscopy Lesion Removal | $6,641.00 |
| Esophagoscopy Mucosal Resect | $6,641.00 |
| Esophagoscopy Rigid Transoral Biopsy | $7,010.00 |
| Esophagoscopy Rigid Transoral Diagnostic | $6,641.00 |
| Esophagoscopy Rigid Transoral Injection | $6,641.00 |
| Esophagoscopy Rigid Transoral Remove Fb | $6,641.00 |
| Esophagoscopy Rigid Transoral W/Diverticul | $19,807.00 |
| Esophagoscopy W Dilation Dirct | $7,010.00 |
| Esophagoscopy W Inj Scl Eso Va | $6,641.00 |
| Esophagoscopy W Ins Wire Gu Di | $6,641.00 |
| Esophagoscopy W Removal Polyps | $6,641.00 |
| ESOPHAGOSCOPY W/REMOV FB | $7,010.00 |
| Esophagoscopy With Biopsy | $7,010.00 |
| Esophagoscopy With Fb Removal | $7,010.00 |
| Esophagoscp Guide Wire Di | $12,646.00 |
| Esophagoscp Rgd Balloon | $12,646.00 |
| Esophagostomy Cervical Appr | $8,779.00 |
| Essure | $18,472.00 |
| Estradiol | $147.00 |
| Estradiol Level Sens. | $147.00 |
| Estradiol, Free, LC/MS/MS -Quest | $147.00 |
| Estradiol, Ultrasensitive LC/MS/MS -Quest | $147.00 |
| Estriol, Free | $87.00 |
| Estriol, Free (QST) | $87.00 |
| Estriol, LC/MS/MS, Serum -Quest | $128.00 |
| Estrogen, Total, Serum -Quest | $115.00 |
| Estrone, LC/MS/MS -Quest | $116.00 |
| Ethambutol Lvl - Quest | $189.00 |
| Ethanol Level Urine. | $166.00 |
| Ethmoidectomy Extranasal Total | $9,990.00 |
| Ethmoidectomy Intranasal Anter | $19,807.00 |
| Ethmoidectomy Total Intranasal | $9,990.00 |
| Ethosuximide -Quest | $86.00 |
| Eus Pancreatic Stim Test | $3,409.00 |
| Evac Rpr A-Biiliac Ndgft | $10,171.00 |
| Evac Subungual Hemat | $503.00 |
| EVAC SUBUNGUAL HEMATOMA | $503.00 |
| Eval Swallowing Function | $695.00 |
| Evaluation -> Yes | $524.00 |
| Evaluation CI/BAHA Initial | $609.00 |
| Evaluation Fluency -> Yes | $525.00 |
| Evaluation Modified Barium Swallow -> Yes | $1,384.00 |
| Evaluation Speech Production -> Yes | $524.00 |
| Evaluation Swallowing -> Yes | $695.00 |
| Evaluation Voice -> Yes | $524.00 |
| Evasc Rpr A-Ao Ndgft | $9,423.00 |
| Evasc Rpr A-Ao Ndgft Rpt | $12,641.00 |
| Evasc Rpr A-Biiliac Rpt | $13,388.00 |
| Evasc Rpr A-Unilac Ndgft | $9,647.00 |
| Evasc Rpr A-Unilac Ndgft Rpt | $12,864.00 |
| Evasc Rpr Ilio-Iliac Ndgft | $9,647.00 |
| Evasc Rpr Ilio-Iliac Rpt | $12,863.00 |
| Everolimus, Blood-Quest | $72.00 |
| Evisceration/Ocular Cont W/Implant | $13,320.00 |
| Evoked Resp Audiometry | $1,192.00 |
| Ex Arm Elbow Tum Deep >5cm | $11,239.00 |
| Ex Les Tumr Dentoalveolar Cplx Rep | $19,807.00 |
| Ex Les Tumr Dentoalveolar Sim Repair | $9,990.00 |
| Ex Of Lesion Meniscus Cap,Knee | $12,397.00 |
| Ex/Cut Bone Cyt Bein W Allgrft | $11,745.00 |
| Exam Esophagus | $953.00 |
| Exam Of Ear Under Anesthesia | $2,181.00 |
| Exc & Rep Eyelid >1/4 Lid Marg | $8,115.00 |
| Exc Abd Tum Cyst Endometrioma 5 cm Or Less | $5,501.00 |
| Exc Abdominal Wall Tumor Subfascial | $10,648.00 |
| Exc Aural Glomus Tum Transcana | $19,807.00 |
| Exc Aural Glomus Tumor Transma | $19,807.00 |
| Exc Bartholin Gland Or Cyst | $11,159.00 |
| Exc Ben Cyst Tumor Mandib Sim | $9,990.00 |
| EXC BEN LES TRK 0.6-1.0 | $1,484.00 |
| Exc Ben Tum Fac Bone Not Mandi | $19,807.00 |
| Exc Benign Tum/Cyst Of Maxilla | $19,807.00 |
| Exc Benign Tumor, Manible | $19,807.00 |
| Exc Bone Cyst Tar/Meta W | $25,517.00 |
| Exc Bone Part Olecranon Proc | $11,745.00 |
| Exc Bone Part Osteomy Radius | $11,745.00 |
| Exc Bone Partial Calcaneus | $12,397.00 |
| Exc Bone Partial Fibula | $11,745.00 |
| Exc Bone Partial For Osteomyel | $11,745.00 |
| Exc Bone Partial Osteomy Ulna | $11,745.00 |
| Exc Bone Partial Osteomyelitis Clavicle | $11,745.00 |
| Exc Bone Partial Phalanx | $12,397.00 |
| Exc Bone Partial Rad Head Neck | $25,517.00 |
| Exc Bone Partial Tarsal/Metat | $12,397.00 |
| Exc Branchial Cleft Cyst Deep | $19,807.00 |
| Exc Branchial Cleft Cyst Subcu | $9,990.00 |
| Exc Chalazion Gen Anes Sin/Mul | $8,115.00 |
| Exc Chalazion Multip Diff Lids | $1,269.00 |
| Exc Chalazion Multip Same Lid | $3,614.00 |
| Exc Chest Wall Tumor W Ribs | $11,239.00 |
| Exc Cyst Benign Tumor Finger W Grf | $11,745.00 |
| Exc Cyst Benign Tumor Humerus | $11,745.00 |
| Exc Cyst Benign Tumor Metacarpal | $5,880.00 |
| Exc Cyst Benign Tumor Radius | $11,745.00 |
| Exc Cyst Benign Tumor Talus Calcaneus | $11,745.00 |
| Exc Cyst Benign Tumor Tibia/Fibula | $11,745.00 |
| Exc Cyst Bgn Tumor Breast | $13,308.00 |
| Exc Cyst Ganglion Tend Sheath | $6,207.00 |
| Exc Cyst Humerus W Allograft | $25,517.00 |
| Exc Cyst Humerus W Autog Graft | $25,517.00 |
| Exc Cyst Hygroma Simple | $12,607.00 |
| Exc Cyst Metacarpal W Auto Gft | $25,517.00 |
| Exc Cyst Tumfemur W/Allograft | $47,967.00 |
| Exc Cyst Tumor Carpal Bones | $11,745.00 |
| Exc Cyst Tumor Femur W Graft | $25,517.00 |
| Exc Cyst Tumor Ilium Etc Deep | $11,745.00 |
| Exc Cyst Tumor Ilium Etc Spfic | $11,745.00 |
| Exc Cyst Tumor Phalanges | $6,207.00 |
| Exc Cyst Tumor Talus Calc W Gr | $25,517.00 |
| Exc Cyst Tumor Tars/Metat W Gr | $25,517.00 |
| Exc Cyst Tumor Tars/Metatarsls | $11,745.00 |
| Exc Cyst/Adenoma Thyroid | $20,576.00 |
| Exc Cystic Hygroma Complex | $23,228.00 |
| Exc Def Place Flap Fc Nk Hd Ft | $6,935.00 |
| Exc Dermoid Cyst Nose Complex | $19,807.00 |
| Exc Dermoid Cyst Nose Simple | $5,727.00 |
| Exc Distal Ulna Darrach Type | $11,745.00 |
| Exc Esophago Divertic Cerv App | $19,807.00 |
| Exc Excess Skin & Tiss Arms | $10,648.00 |
| Exc Excess Skin & Tiss Buttock | $10,648.00 |
| Exc Excess Skin & Tiss Forearm | $10,648.00 |
| Exc Excess Skin & Tiss Legs | $10,648.00 |
| Exc Excess Skin & Tiss Other Area | $11,239.00 |
| Exc Excess Skin & Tiss Subment | $10,648.00 |
| Exc Excess Skin & Tiss Thighs | $10,648.00 |
| Exc Excess Skin And Tissue Hips | $10,648.00 |
| Exc Exos Ext Auditory Canal | $19,807.00 |
| Exc Ext Ear Compl Amputation | $19,807.00 |
| Exc Ext Hemorrhoid Tabs | $10,452.00 |
| Exc External Ear Part Sim Rep | $10,648.00 |
| Exc Forearm Tumor >=3cm | $11,239.00 |
| Exc Frenum Labial Or Buccal | $6,045.00 |
| Exc Hidradentis W/Comp Cl | $10,648.00 |
| Exc Hidradinitis Axillary Prim Sut | $10,648.00 |
| Exc Hidradinitis Inguinal Prim Sut | $10,648.00 |
| Exc Hidradinitis Perianal Oth Clos | $10,648.00 |
| Exc Hidradinitis Perianal Pri Clos | $11,239.00 |
| Exc Hidradinitis With Complex Closure | $10,648.00 |
| Exc Hip Pelvis Les Sc >3 cm | $11,239.00 |
| Exc Intracardiac Tumor W Bypass | $3,652.00 |
| Exc Intranasal Les Ext Appr | $9,990.00 |
| Exc Isc Pres Ulc W Sk Fl Clos | $12,384.00 |
| Exc Isc Pres Ulcer W Ostect | $6,935.00 |
| Exc Isc Pres Ulcer W Ostectomy | $6,935.00 |
| Exc Isc Press Ulcer W Ostectom | $10,648.00 |
| Exc Isc Press Ulcer W Pri Sut | $10,648.00 |
| Exc Les Cornea Keratlamel Par | $3,614.00 |
| Exc Les Muc & Submuc W Com Rep | $9,990.00 |
| Exc Les Muc & Submuc W Sim Rep | $9,990.00 |
| Exc Les Muc Submuc & Und Muscl | $9,990.00 |
| Exc Les Mucosa & Submuc Wo Rep | $9,990.00 |
| Exc Les Tend/Sheath Capsl Toes | $6,207.00 |
| Exc Les Tend/Sheath/Capsl Foot | $6,207.00 |
| Exc Les Tongue W Clos Ant 2/3 | $9,990.00 |
| Exc Les Tongue W Clos Post 1/3 | $9,990.00 |
| Exc Lesion Conjunct Up To 1cm | $8,115.00 |
| Exc Lesion Palate Uvula W Clos | $9,990.00 |
| Exc Lesion Palate Uvula Wo Clo | $9,990.00 |
| Exc Lingual Frenolum Frenectom | $5,727.00 |
| Exc Lip Fulltk Rec W Cross Flp | $19,807.00 |
| Exc Mal Tum Fac Bone Not Mandi | $19,807.00 |
| Exc Mal Tumor Mand Rad Res | $19,807.00 |
| Exc Malignant Tumor Mandible | $19,807.00 |
| Exc Maxillary Torus Palatinus | $10,544.00 |
| Exc Meckels Diverticulum | $4,172.00 |
| Exc Mortons Neuroma Single | $6,207.00 |
| Exc Mucosa As Donor Graft | $2,181.00 |
| Exc Nasal Polyps Extended | $9,990.00 |
| Exc Nasal Polyps Simple | $5,727.00 |
| Exc Neurofibroma Cutaneous Nrv | $7,710.00 |
| Exc Neurofibroma Extensive | $20,442.00 |
| Exc Neurofibroma Maj Perif Nrv | $7,304.00 |
| Exc Neuroma Cutaneous Nerve | $7,304.00 |
| Exc Neuroma Digital Nerve(S) | $7,304.00 |
| Exc Neuroma Hand Or Foot | $7,710.00 |
| Exc Of Bone Facial Bones | $19,807.00 |
| Exc Of Lactiferous Duct Fistula | $12,607.00 |
| Exc Of Spermatocele Epididymect | $8,222.00 |
| Exc Or Fulg Urethral Caruncle | $7,789.00 |
| Exc Or Fulg Urethral Polyps | $7,789.00 |
| Exc Or Fulg Urethral Prolapse | $7,789.00 |
| Exc Parot Gland Preserve Fcl N | $20,908.00 |
| Exc Parot Gland Sacrif Fcl Nrv | $19,807.00 |
| Exc Parot Tumor W/O Nrv Dissec | $19,807.00 |
| Exc Parotid Tumor W Nrv Dissec | $20,908.00 |
| Exc Penile Plaque | $13,104.00 |
| Exc Penile Plaque W/Graph | $34,252.00 |
| Exc Penile Plaque W/Grft Up To 5cm | $18,000.00 |
| Exc Rect Tumor Transanal | $20,129.00 |
| Exc Sac Decub Ulcer W Pri Sut | $6,158.00 |
| Exc Sac Pres Ulc W/O Stectomy | $6,935.00 |
| Exc Sac Press Ulc W Ost&Pr Sut | $10,648.00 |
| Exc Sac Press Ulc W Sk Fl Clos | $12,384.00 |
| Exc Sacral Press Ulcer W Ostectomy | $12,384.00 |
| Exc Soft Tis Les Ext Audit Can | $10,648.00 |
| Exc Sublingual Salivary Cyst | $9,990.00 |
| Exc Submaxillary Gland | $19,807.00 |
| Exc Tags Up To 15 | $834.00 |
| Exc Tendon Palm Flexor Single | $5,880.00 |
| Exc Tendon,Forearm,Wrst,F | $11,745.00 |
| Exc Thyroglossal Duct Cyst/Sns | $20,576.00 |
| Exc Thyroglossal Duct Cyst/Sns Rec | $20,576.00 |
| Exc Trach Tumor Or Carc Cervic | $19,807.00 |
| Exc Traum Neuroma Maj Peri Nrv | $7,304.00 |
| Exc Traum Neuroma Sciatic Nerv | $20,442.00 |
| Exc Tro Press Ulc W Sk Fl Clos | $6,935.00 |
| Exc Tro Press Ulcer W Mus Myo Flap Clos | $6,935.00 |
| Exc Tro Press Ulcer W Ostectom | $10,648.00 |
| Exc Tro Press Ulcer W Primary Suture | $6,158.00 |
| Exc Troch Pres Ulcer W/ Ostectomy | $12,384.00 |
| Exc Tumor Carpal Bone W Graft | $11,745.00 |
| Exc Tumor Deep Subf/Int Upp Arm/Elbow | $11,239.00 |
| Exc Tumor Foot Deep | $10,648.00 |
| Exc Tumor Forearm Wrist Deep | $6,158.00 |
| Exc Tumor Forearm/Wrist Subcutaneous | $6,500.00 |
| Exc Tumor Leg/Ankle Subcutaneous | $6,158.00 |
| Exc Tumor Pelvis Hip >=5C | $10,648.00 |
| Exc Tumor Shoulder Deep Sub/Intr | $10,648.00 |
| Exc Tumor Shoulder Subcutaneous | $6,158.00 |
| Exc Tumor Soft Tiss Back/Flank | $6,500.00 |
| Exc Tumor Soft Tissue Neck/Thorax Sub<5cm | $10,648.00 |
| Exc Tumor Soft Tissue Neck/Thorax Suq<3 cm | $6,500.00 |
| Exc Tumor Subcutaneous Upper Arm/Elbow | $6,500.00 |
| Exc Tumor Thigh Knee Deep | $10,648.00 |
| Exc Tumor Thigh/Knee Subcutaneous | $6,500.00 |
| Exc Tumor Vasc Malfor Subcutaneous | $6,158.00 |
| Exc Tumor, Or Vasc Malformation | $6,158.00 |
| Exc Tumor,Back Or Flank >5cm | $11,239.00 |
| Exc Tumor,Foot Or Toe >=1.5cm | $10,648.00 |
| Exc Tumor,Leg Or Ankle | $10,648.00 |
| Exc Tumor,Leg Or Ankle >=5cm | $10,648.00 |
| Exc Tumor,Shoulder Subfascial >5cm | $11,239.00 |
| Exc Tumor,Thigh Or Knee | $11,239.00 |
| Exc Tumor,Thigh Or Knee >=5cm | $10,648.00 |
| Exc Turbinate Part Complete | $9,990.00 |
| Exc, Tumor Of Abd Wall 5cm > | $11,239.00 |
| Exc, Tumor, Back Or Flank, Subq; 3 cm Or > | $6,500.00 |
| Exc, Tumor, Face Or Scalp, Subq; 2 cm Or > | $6,158.00 |
| Exc, Tumor, Shoulder Area, Subq; 3 cm Or > | $6,158.00 |
| Exc,Tumor Neck Or Thorax >5cm | $11,239.00 |
| Exc,Tumor, Abdominal Wall, Subq; 3 cm Or > | $11,239.00 |
| Exc,Tumor, Face Or Scalp, Subq;< Than 2 cm | $6,158.00 |
| Exc,Tumor, Forearm/Wrist Area, Subq; 3 cm | $6,500.00 |
| Exc,Tumor,Abdominal Wall,Subq;< Than 3 cm | $6,500.00 |
| Exc,Tumor,Back Or Flank Subfascial | $11,239.00 |
| Exc,Tumor,Face & Scalp <2 cm | $6,158.00 |
| Exc,Tumor,Face & Scalp >2 cm | $11,239.00 |
| Exc,Tumor,Foot Or Toe | $11,239.00 |
| Exc,Tumor,Hand Or Finger,Subq;1.5 cm Or > | $6,500.00 |
| Exc,Tumor,Neck Or Thorax, Subq;3cm Or > | $11,239.00 |
| Exc,Tumor,Upper Arm/Elbow,Subq; 3 cm Or > | $11,239.00 |
| Exc/Cur Bone Cyst Or Bgn Tumor | $25,517.00 |
| Exc/Cur Bone Les Tal/Calc | $25,517.00 |
| Exc/Curet Bone Syst/Benig | $11,745.00 |
| Exc/Dest Intranas Les Internal Appr | $9,990.00 |
| Exc/Les/Tum Dentoalveolar Structures | $9,990.00 |
| Exc/Trans Pteryguim W Graft | $8,115.00 |
| Exc/Trans Pteryguim Wo Graft | $8,115.00 |
| Exch Prev Placed Abscess Cath | $7,010.00 |
| Exchange Biliary Drainage Catheter | $13,928.00 |
| EXCHANGE NEPHROSTOMY CATH | $8,222.00 |
| Exchange Nephrostomy Cath, Percutaneous | $8,222.00 |
| Exchange/Intraocular Lens | $8,583.00 |
| Excis Deep Suprf Intramuscular | $10,648.00 |
| Excis Hydrocele Spermatic Cord | $7,789.00 |
| Excis Lac Sac Dac- Ryocystectomy | $13,320.00 |
| Excis Mullerian Duct Cyst | $13,104.00 |
| Excis Of Varicocele Abdominal Approach | $13,195.00 |
| Excis Or Curtage Of Cyst Beng Tumr Of Femr | $11,745.00 |
| Excis Urethral Divert Male | $18,000.00 |
| Excis Varicocele W Hernia Rep | $13,195.00 |
| Excis Varicocele/Ligation Spem | $13,104.00 |
| Excis/Fulguration Carcinoma | $13,104.00 |
| Excise Epiphyseal Bar | $11,745.00 |
| Excise Lesion Testes | $13,104.00 |
| Excision Aural Polyp | $5,727.00 |
| Excision Bone Partial Distal Phalanx | $5,880.00 |
| Excision Bone Partial Finger | $5,880.00 |
| Excision Bone Partial Humerus | $11,745.00 |
| Excision Bone Partial Metacarp | $11,745.00 |
| Excision Bursa Extensors | $11,745.00 |
| Excision Bursa Flexors | $5,880.00 |
| Excision Bursa Olecranon | $12,397.00 |
| Excision Bursa Trochanteric | $11,745.00 |
| Excision Chalazion Single | $1,269.00 |
| Excision Cyst Radius Ulna | $11,745.00 |
| Excision Cyst Scapula | $11,745.00 |
| Excision Cyst Scapula W Allograft | $25,517.00 |
| Excision Cyst Tibia Fibia W Allograft | $26,935.00 |
| Excision Cyst Tibia/Fib W Graf | $25,517.00 |
| Excision Deposits Subdeltoid | $10,648.00 |
| Excision Excess Skin Abdomen | $22,006.00 |
| Excision Ganglion Wrist Primar | $6,207.00 |
| Excision Ganglion Wrist Recur | $5,880.00 |
| Excision Gum Lesion | $9,990.00 |
| Excision Hand/Finger Tendon | $11,745.00 |
| Excision Hydrocele Bilateral | $13,195.00 |
| Excision Hydrocele Unilateral | $13,928.00 |
| Excision Ischial Bursa | $11,745.00 |
| Excision Lesion Conjunctiva >1cm | $8,115.00 |
| Excision Lesion Eyelid | $3,614.00 |
| Excision Lesion Floor Of Mouth | $9,990.00 |
| Excision Lesion Tendon Sheath | $5,880.00 |
| Excision Lesion Ten-Don Sheath | $12,397.00 |
| Excision Lesion Tongue Wo Clos | $9,990.00 |
| Excision Lesion, Conjunct W Sclera | $8,115.00 |
| Excision Nail Matrix | $1,484.00 |
| Excision Of Bone Mandible | $19,807.00 |
| Excision Of Breast Lesion | $13,308.00 |
| Excision Of Infected Grft | $11,826.00 |
| Excision Of Lesion Spermatic Cord | $7,789.00 |
| Excision Of Local Lesion Epididymis | $7,789.00 |
| Excision Of Rectal Tumor | $11,033.00 |
| Excision Of Rectal Tumor,Transanal | $11,033.00 |
| Excision Of Skene"S Gland | $7,789.00 |
| Excision Of Urethra Gland | $13,104.00 |
| Excision Pilonidal Cyst Sinus Compl | $10,648.00 |
| Excision Pilonidal Cyst Sinus Exten | $11,239.00 |
| Excision Pilonidal Cyst Sinus Simple | $11,239.00 |
| Excision Planing Skin | $9,990.00 |
| Excision Post Veterb Lumb | $25,517.00 |
| Excision Prepatelar Bursa | $11,745.00 |
| Excision Radial Head | $11,745.00 |
| Excision Rib Partial | $25,517.00 |
| Excision Sublingual Gland | $19,807.00 |
| Excision Synovial Cyst Baker"S Cyst | $11,745.00 |
| Excision Tendon Finger Flexor | $5,880.00 |
| EXCISION THROMBOTIC HEMOR | $4,630.00 |
| Excision Tonsil Tags | $9,990.00 |
| Excision Tumor Hand Finger Deep | $6,158.00 |
| Excision Tumor Lac Gland | $8,115.00 |
| Excision Tumor Leg Ankle Deep | $10,648.00 |
| Excision Tumor Rectum | $10,452.00 |
| Excision Tumor Subcutaneous Foot | $6,500.00 |
| Excision Urachal Cyst O/Sinus | $20,576.00 |
| Excision Urethral Diverticulum Female | $19,000.00 |
| Excision Vaginal Cyst/Tumor | $11,159.00 |
| Excision Vaginal Septum | $10,572.00 |
| Excision/Destr Lesion Pharynx | $9,990.00 |
| Excision/Destr Lingual Tonsil | $19,807.00 |
| Excsn AV Fist/Grft Othr Thn Infect | $2,776.00 |
| Excsn Bone Cyst/Ben Tumor Finger | $5,880.00 |
| Exent Of Orbit Rem Orbit Cont | $13,320.00 |
| Exercise Bronchial Challenge | $1,192.00 |
| Exercise Induced Bronchial Challenge | $503.00 |
| Exercise Testing | $503.00 |
| Exhaled Nitric Oxide | $144.00 |
| Exp Undes Testis Abdom Exp | $7,789.00 |
| EXPANDER TISS 300CC 11X11X6.0 | $8,000.00 |
| EXPANDER TISSUE 375CC MENTOR CORP TEXP120RH | $8,000.00 |
| EXPANDER TISSUE 475CC MENTOR CORP TEXP130RH | $8,000.00 |
| EXPANDER TISSUE 500CC MENTOR CORP TEXP135RH | $8,000.00 |
| Expl Of Penet Wound Nk | $2,181.00 |
| Expl Po-Op Hem Or Throm Extrem | $12,483.00 |
| Expl Po-Op Hemm Or Throm Abdom | $4,100.00 |
| Expl Po-Op Hemm Or Throm Chest | $3,938.00 |
| Expl/Decomp Orb Transcran | $9,990.00 |
| Explor Laparatomy Celiotomy W/Wo Biop | $2,649.00 |
| EXPLOR PENETRAT WND ABD | $7,320.00 |
| EXPLOR PENETRATING WOUND | $2,738.00 |
| Explor W Rem Deep For Bod | $5,880.00 |
| Exploration Of Epididymis | $7,789.00 |
| Exploration Other Vessels | $11,826.00 |
| Explore Wound, Abdomen | $7,320.00 |
| Explore Wound, Chest | $6,935.00 |
| Explore Wound, Extremity | $2,738.00 |
| Explore, Treat Should Jnt | $25,517.00 |
| Ext Tendon Realigment Hand | $11,745.00 |
| Extener/Orb/Rem Cnts W Mu | $13,320.00 |
| Extener/Orb/W/Therap Rem Of Bone | $13,320.00 |
| EXTENSION STEM 40MM STRYKER KNEE 6476-8-250 | $3,143.00 |
| EXTENSION STR STEM 12MM ZIMMER KNEE 00598801012 | $4,478.00 |
| Exterior reinforcement of aorta with graft | $2,930.00 |
| External Cephalic (Breech) Version | $11,159.00 |
| External Cephalic Version | $11,159.00 |
| External pacing | $2,488.00 |
| External Photos | $250.00 |
| Extracap Cat Remv Complex | $8,583.00 |
| Extracp Cataract Extr W Iol | $8,583.00 |
| Extraction Coronal Remnants | $76.00 |
| Extraction Erupted Tooth/Exr | $178.00 |
| Extremity Arterial Study | $503.00 |
| Eye Exam Under Anes Complete | $8,115.00 |
| Eye Exam Under Anes Limit | $8,115.00 |
| Eye Pad | $174.00 |
| Eye Shield | $82.00 |
| EZ Scrub | $103.00 |
| F/Dir/Tub Ped Elids,Ns,Ers,Lps Intoraoral | $6,935.00 |
| Fac Paraly Region Muscle Trans | $12,384.00 |
| Fac Paraly Strip Fr Mus Gr Mic | $6,935.00 |
| Facet C/T 3Rd & Ea Additional | $1,053.00 |
| Facet Cerv/Thor 1St Level | $3,614.00 |
| Facet Cerv/Thor 2Nd Level | $1,053.00 |
| Facet L/S 3Rd & Each Additional | $840.00 |
| Facet Lumb/Sac 1St Level | $3,614.00 |
| Facet Lumb/Sac 2Nd Level | $732.00 |
| Facial Bones >3 View | $532.00 |
| Facial Paralysis Strips | $12,384.00 |
| Factor V (Leiden) Mut Anal rflx HR2-QST | $349.00 |
| Factor V (Leiden) Mutation Analysis-Quest | $349.00 |
| Factor VIII Activity, Clotting (QST) | $94.00 |
| Factor VIII Activity, Clotting (QST) | $94.00 |
| Factor VIII Activity, Clotting (QST) | $94.00 |
| Factor VIII Activity, Clotting -Quest | $94.00 |
| Factor VIII Inhib Scr-QST | $68.00 |
| Factor XI Act, Clotting - QST | $60.00 |
| Factor XI Human Inhib - QST | $501.00 |
| Factor XIII Functional -Quest | $86.00 |
| False Ragweed (w4) IgE-Quest. | $23.00 |
| Fasciectomy Exc Plantar Part | $11,745.00 |
| Fasciectomy Exc Plantar Radic | $11,745.00 |
| Fasciectomy Palmar | $11,745.00 |
| Fasciectomy Palmar Part Exc Finger | $12,397.00 |
| Fasciotomy Iliotibia Tenotom | $11,745.00 |
| Fasciotomy Leg Ant/ Post Compar | $12,397.00 |
| Fasciotomy Leg Anterior Compar | $12,397.00 |
| Fasciotomy Leg Posterior Compt | $11,745.00 |
| Fasciotomy Palmar Op Partial | $11,745.00 |
| Fasciotomy Palmer Subcutaneous | $5,880.00 |
| Fasciotomy Pelvic,Unilate | $25,517.00 |
| Fasciotomy Plantar/Toe Subcut | $12,397.00 |
| fathom | $711.00 |
| FBC Phase I Each Addtl 1/2 Hour | $336.00 |
| FBC Phase I First 1/2 Hour -> Yes | $1,053.00 |
| FCP ENDO NDL 240CM RJ 4 LG CPC EA1/BX40 | $4,380.00 |
| FCP SPEC RTRVL 115CM 3.3FR EA1 COOK MEDICAL INC G15211 | $1,016.00 |
| FCP SPEC RTRVL 120CM 2.4FR 16 OLYMPUS AMERICA INC 5720001 | $490.00 |
| FDG PER DOSE(4-40 MCI/ML) | $1,597.00 |
| Feather Mix IgE-Quest | $90.00 |
| Fecal Fat, Qualitative-Quest 3967. | $45.00 |
| Fecal Globin FIT-Quest 11290. | $125.00 |
| Fecal Lipids, Total -Quest | $89.00 |
| Feeding Tube | $35.00 |
| FELT PTFE 15X15X0.165MM BARD PERIPHERAL VASCULAR INC 7837 | $380.00 |
| Fem Pros Grft Endo Aa Rp | $8,540.00 |
| FEMII014AT FemFlex 14Fr | $110.00 |
| FEMII016AT FemFlex 16Fr | $110.00 |
| FEMII018AT FemFlex 18Fr | $110.00 |
| Femoral Kit (long) | $160.00 |
| FEMORAL NERVE - SINGLE | $2,830.00 |
| Femoral Nerve - Single | $2,830.00 |
| Femoral Nerve,Cont Infusi | $3,424.00 |
| Femstop | $406.00 |
| Fentanyl and Norfentanyl, Urine -Quest | $257.00 |
| Ferritin (QST) | $124.00 |
| Ferritin. | $72.00 |
| Fetal Biophysical Profile | $504.00 |
| Fetal Biophysical Profile W/O Nst | $532.00 |
| Fetal Contraction Stress Test | $784.00 |
| Fetal Doppler Comp. | $504.00 |
| Fetal Doppler F/U | $504.00 |
| Fetal ECHO F/U/Limited | $1,032.00 |
| Fetal Fibronectin-RHMC. | $340.00 |
| Fetal Fluid Drainage Incl Us Guidance | $1,222.00 |
| Fetal Hemoglobin. | $41.00 |
| Fetal Non-Stress Testing | $784.00 |
| Fetal Screen. | $16.00 |
| FFR additional | $1,477.00 |
| FFR Initial Vessel | $1,847.00 |
| FFR Wire | $2,708.00 |
| FIBER LINK | $340.00 |
| Fibercolonoscopy Colos Rem Pol | $4,630.00 |
| Fiberglass Webril Cast | $56.00 |
| Fiberileoscopy W Biopsy | $3,409.00 |
| Fiberoptic Eval Sm Intest W/Biopsy | $3,335.00 |
| Fiberoptic Ileoscopy Thr Stoma | $3,409.00 |
| Fiberoptic Laryngoscope | $648.00 |
| FIBERTAPE 2MM 7IN BLUE ARTHREX INC AR-7237-7 | $188.00 |
| FIBERWIRE SUT NO 2 38IN ARTHREX INC AR-7201 | $140.00 |
| FIBERWIRE SUT NO 5 38IN ARTHREX INC AR-7211 | $192.00 |
| FIBERWIRE TIGER STICK NO2 ARTHREX INC AR-7209T | $160.00 |
| Fibrin Split Products. | $36.00 |
| Fibrinogen Level. | $46.00 |
| Fibroblast Growth Factor 23-Quest | $82.00 |
| Fibrospect II-Prometheus. | $82.00 |
| FIL BONE VOID 1ML CANN DBM ARTHREX INC ABS-2015-01 | $796.00 |
| FIL BONE VOID 1ML DBM DBX EA1 MUSCULOSKELETAL TRANSPLANT FOU 038010 | $1,041.00 |
| FIL BONE VOID 8ML CANN DBM ARTHREX INC ABS-2015-08 | $3,980.00 |
| Filamentous Hemagglutinin Ag IgA | $70.00 |
| Filamentous Hemagglutinin Ag IgG | $70.00 |
| Filaria Antibody (IgG4) -Quest | $69.00 |
| FILIFORM COUDE WVN 3FRX12.5IN BARD C R INC 022303 | $263.00 |
| FILIFORM COUDE WVN 4FRX12.5IN BARD EP-MEDICAL-UROLOGICAL 022304 | $263.00 |
| FILIFORM COUDE WVN 6FRX12.5IN BARD EP-MEDICAL-UROLOGICAL 022306 | $263.00 |
| FILLER BONE MORSEL VITOSS 30ML FILLER BONE VOID MORSELS 30CC STRYKER TRAUMA 2102-0033 | $7,468.00 |
| FILLER BONE VOID 10CC NORIAN DRILL INJECT CALCIUM PHOSPHATE SYNTHES TRAUMA 07.704.010S | $10,866.00 |
| FILLER BONE VOID 3CC CANN DBM ALLOSYNC | $2,100.00 |
| FILLER BONE VOID DBM HUMAN STR TUBE 1/2 FILLED SPINEOLOGY 227010 | $796.00 |
| Fillet Fing Toe Flap Prep Site | $6,935.00 |
| Filt Proc W Anti Metab | $8,583.00 |
| FILTER FINE REDI FLOW BIOMET 631040 | $325.00 |
| Filter Needle | $30.00 |
| FILTER SMOKE EVAC PASSIVE LAP COOPER SURGICAL INC SC082500 | $113.00 |
| Fine Needle Aspir W/O Image | $1,484.00 |
| FINE TIP SCREW 2PCS 20MM SYNFIX EVOLUTION SYNTHES SPINE 04.835.120.02S | $2,660.00 |
| Finger Feeding Tube | $113.00 |
| Finger Splint | $82.00 |
| Fingers | $294.00 |
| First 30-74 Minutes of Critical Care | $3,497.00 |
| FISH, CML/ALL, BCR/ABL Transloc 9,22 -Quest | $658.00 |
| Fissurectomy | $10,452.00 |
| Fist Sclera Glacoma Trabeculectomy | $8,583.00 |
| Fistula Closure R/V Vaginal | $10,572.00 |
| Fistulectomy Complex | $11,033.00 |
| Fistulectomy Second Stage | $10,452.00 |
| Fistulectomy Subcutaneous | $11,033.00 |
| Fistulectomy Submuscular | $10,452.00 |
| Fittin Aphakic Lens 2 Eye | $477.00 |
| Fixation Contralateral Testis | $13,104.00 |
| Fla X IgG AB | $82.00 |
| Flap; Island Pedicle | $6,935.00 |
| Flap; Neurovascular Ped | $12,384.00 |
| Flecainide -Quest | $89.00 |
| Flex Origin Slide Forearm Tend Trans | $25,517.00 |
| Flex Sig Balloon Dilate 1/More | $4,387.00 |
| Flex Sig w/Endoscopic Submucosal Dissection | $3,335.00 |
| Flex Sig W/Stent Placement Inc. Dilation | $20,129.00 |
| Flex Sig W/Submucosal Inj | $3,335.00 |
| Flex Sig W/Tumor Ablation Incl Dilation | $4,630.00 |
| Flex Sig W/U/S Examinatio | $4,387.00 |
| Flex Sig W/U/S Fna/Biopsy | $4,387.00 |
| Flex Tend Exc Imp Plas Tube | $25,517.00 |
| Flexability Ablation Catheter | $4,628.00 |
| Flexor Origin Slide Forearm And/Or Wrist | $25,517.00 |
| FLIPCUTTER II SHORT 10MM ARTHREX KNEE AR-1204AS-100 | $1,309.00 |
| FLIPCUTTER II SHORT 8.5MM ARTHREX INC AR-1204AS-85 | $1,309.00 |
| FLIPCUTTER II SHORT 8MM ARTHREX INC AR-1204AS-80 | $1,309.00 |
| Flo-Trac Sensor (Vigileo) | $1,146.00 |
| Flow Cytometry Additional Marker | $95.00 |
| Flow Cytometry, Addtl Markers | $131.00 |
| Flow Volume Loop | $1,192.00 |
| FLTR SCT RDFLO REG SYS 14FT BIOMET 631030 | $325.00 |
| Fluconazole | $25.00 |
| Flucytosine | $25.00 |
| Fluid Dock Kit | $113.00 |
| Fluor Guid Cv Acc Dev Plc | $720.00 |
| Fluorescein Angio Graphy | $1,130.00 |
| Fluorescent Ab Screen, each | $535.00 |
| Fluoro Guid Needle Plcmnt | $1,199.00 |
| Fluoroscopy | $447.00 |
| Fluoroscopy | $1,090.00 |
| FMR1 Methylation Anal-QST | $660.00 |
| FNA ADEQ 1ST EPI/EA SITE (TECH) | $314.00 |
| FNA ADEQ EA ADDL EPI (TECH) | $71.00 |
| FNA Bx W/Ct Gdn 1st Lesion | $2,738.00 |
| FNA Bx W/Fluor Gdn 1st Lesion | $2,594.00 |
| FNA Bx W/Us Gdn 1st Lesion | $2,738.00 |
| FNA SUPERFICIAL TISSUE | $1,484.00 |
| FNA-INTERPRETATION REPORT (TECH) | $234.00 |
| FOAM VITOSS BONEGRAFT PACK 5CC STRYKER SPINAL 2102-1405 | $3,240.00 |
| FOGARTY ART EMB CATH 2F 60CM * EDWARDS LIFESCIENCES CORP 120602F | $312.00 |
| Fogarty embolectomy catheter | $139.00 |
| Folate Level | $90.00 |
| Folate Level. | $78.00 |
| Folate, RBC -Quest | $91.00 |
| Foley Catheter | $90.00 |
| Foley Insertion Tray | $146.00 |
| Follicle Puncture For Oocyte Retrieval | $2,498.00 |
| Follicle Stimulating Hormone Level. | $98.00 |
| Food Allergy Profile -Quest | $22.00 |
| Food Allergy Profile w/Rflx-Quest | $23.16 |
| Foot Complete Minimum 3 Views | $294.00 |
| FORCEP BIPOLAR 7 3/4IN INTEGRA LIFESCIENCES HOLDINGS 286106 | $169.00 |
| FORCEP BIPOLAR 8 1/2IN 0.5MM INTEGRA LIFESCIENCES HOLDINGS 286110 | $169.00 |
| FORCEP BIPOLAR 8 1/2IN 1.5MM INTEGRA LIFESCIENCES HOLDINGS 286108 | $169.00 |
| FORCEP HALO PKS CUTTING GYRUS GROUP PLC HACF0533 | $2,720.00 |
| FORCEP PIRANHA BOSTON SCIENTIFIC CORP M0065051600 | $2,068.00 |
| FORCEP REDUCTION W/JAW RATCHET 144MM SYNTHES TRAUMA 399.99 | $1,863.00 |
| FORCEPS BIPOLAR BAYONETTED STR GLOBUS MEDICAL INC 675.170S | $4,932.00 |
| Forearm Ap&Lat Views | $294.00 |
| Forearm Splint | $136.00 |
| Forehead Flap W/ Vas Pedicle | $12,384.00 |
| FOREIGN BODY FOOT SUBQ | $2,738.00 |
| Foreign Body Rem Lid | $784.00 |
| Form/Dir/Tub Ped Scl,Arm,Leg | $12,384.00 |
| Form/Dir/Tub Ped/W/W/O Trnk | $6,935.00 |
| Fosfomycin | $25.00 |
| Frac Alveolar Ridge Manipul | $9,990.00 |
| Frac Alveolar Ridge Open Treat | $19,807.00 |
| Frac Malar Zygomatic Comp | $19,807.00 |
| Frac Malar Zygomatic Manipulative | $9,990.00 |
| Frac Malar Zygomatic Open Red | $19,807.00 |
| Frac Mand Open Treat W Ext Fix | $19,807.00 |
| Frac Mand Open W Inter Fixat | $19,807.00 |
| Frac Mand Open Wo Inter Fixat | $19,807.00 |
| Frac Mandibular Comp Open Red | $19,807.00 |
| Frac Mandibular W Manipulation | $5,727.00 |
| Frac Mandibular W/O Reduction | $2,181.00 |
| Frac Nasal Manip W Stabilization | $10,544.00 |
| Frac Nasal Manip Wo Stabilazat | $6,045.00 |
| Frac Nasal Open Red Complicate | $19,807.00 |
| Frac Nasal Open Red Frac Sept | $9,990.00 |
| Frac Nasal Open Red Uncomplic | $10,544.00 |
| Frac Nasal Open/Clo Wo Manipulation | $725.00 |
| FRAC NASAL SEPTAL CLOSED | $10,544.00 |
| Frac Nasal Septal Closed | $10,544.00 |
| Frac Nasal Turbinates Therap | $9,990.00 |
| Frac Nasoeth Clos Open Complex | $9,990.00 |
| Frac Nasoeth Open W Ext Fix | $19,807.00 |
| Frac Nasoeth Open Wo Ext Fix | $19,807.00 |
| Frac Nasomaxillary Complex | $5,727.00 |
| Frac Nasomaxillary Open Compl | $19,807.00 |
| Frac Orbit Fl Periob W Allop | $19,807.00 |
| Frac Orbit Fl Perior W Bone Gr | $19,807.00 |
| Frac Orbit Open W Implant | $19,807.00 |
| Frac Orbit Open Wo Implant | $19,807.00 |
| Frac Orbit Wo Manipulation | $2,181.00 |
| Frac Orbital Floor Periorbital | $19,807.00 |
| Frac Orbital Floor Transantral | $19,807.00 |
| Frac Palatal Alv Rdg Clos Mani | $9,990.00 |
| Fract Clavicular W Manipulation | $6,207.00 |
| Fract Clavicular W/O Manipulation | $1,067.00 |
| Fract Ulnar Closed W Manipulation | $6,207.00 |
| Fract Ulnar Open W/Wo Fixation | $26,935.00 |
| Fract Ulnar W/O Manipulation | $1,064.00 |
| Fracture Clavicle Simple/Compound Open | $26,935.00 |
| Fracture Humeral Neck W Manipulation | $6,207.00 |
| Fracture Humeral Neck W/O Manipulation | $1,067.00 |
| Fragile X PCR-QST | $660.00 |
| Frasier Suction Tip | $35.00 |
| FRCP BPLR 5.5IN DISP NOT N/STK KIRWAN SURGICAL PRODUCTS INC 14-2401 | $133.00 |
| FRCP BPLR COAPTATION KIRWAN SURGICAL PRODUCTS INC 14-1090 | $133.00 |
| Free Lambda Light Chains Ur | $72.00 |
| Free T4 Level. | $48.00 |
| Free Testosterone (QST) | $134.00 |
| Freezor 307F3/401983 | $2,739.00 |
| Freezor 307F5/401984 | $2,739.00 |
| Frenoplasty | $9,990.00 |
| Frenulotomy Of The Penis | $7,789.00 |
| Frontrunner | $4,942.00 |
| FROZEN SECTION-TISSUE (TECH) | $677.00 |
| FROZEN SECT-TISSUE ADDL (TECH) | $88.00 |
| Fructosamine -Quest | $80.00 |
| FSH Pediatric -Quest | $98.00 |
| FTA-ABS IgG (QST) | $70.00 |
| FTA-ABS IgM (QST) | $70.00 |
| FTA-ABS -Quest | $70.00 |
| Ftf Interrogation Cardiov | $166.00 |
| FULL BLK TIBIAL AGMT 10MM SZ4 ZIMMER KNEE 00598800410 | $5,171.00 |
| Full Field ERG W/I&R | $1,130.00 |
| Full Mouth Debridement | $151.00 |
| FULL TH GRAFT FC NK GN HD | $7,320.00 |
| Func Cortical Map Init Hr | $4,314.00 |
| Fundus Photography Limited | $477.00 |
| Fungal Identification, Mold Only-Quest 39489. | $144.00 |
| Fungitell(R) (1-3) B D Glucan Assay -Quest | $63.00 |
| Fusarium moniliforme (m9) IgE-Quest | $23.00 |
| Fx Articular Op/Cl Met Prox In | $11,745.00 |
| Fx Articular W Manip Each | $5,880.00 |
| Fx Articular Wo Manip Each | $1,008.00 |
| FX BIG TOE | $725.00 |
| FX BIG TOE W/MANIPULATION | $1,067.00 |
| Fx Bi-Malleolar Smp Manip Red | $6,207.00 |
| Fx Bi-Malleolar Smp Wo Reduc | $1,067.00 |
| Fx Bi-Malleolar Smp/Cmp Open R | $26,935.00 |
| Fx Carpal Manip Reduct | $6,207.00 |
| Fx Carpal Open Reduction | $11,745.00 |
| Fx Carpal W/O Reduction | $1,064.00 |
| Fx Closed Ulnar Styloid | $1,064.00 |
| Fx Condylar Cl Med/ Lat W Manip | $6,207.00 |
| Fx Condylar Cl Med/ Lat Wo Manip | $1,064.00 |
| Fx Distal Femoral W Manipulation | $5,880.00 |
| Fx Distal Radius Colles Wo Reduction | $1,064.00 |
| FX DISTAL RADIUS MANIP/RE | $6,207.00 |
| FX DISTAL RADIUS W/O RED | $1,064.00 |
| Fx Dstl Radius Simp Manip Red | $6,207.00 |
| Fx Femor Neck Cl Op Pinn Frac | $26,935.00 |
| Fx Femur Distal End Smp W Red | $5,880.00 |
| Fx Femur Distal End Smp Wo Red | $1,067.00 |
| Fx Femur Neck Smp Manip Reduc | $1,937.00 |
| Fx Femur Neck Smp Wo Reduction | $1,064.00 |
| Fx Femur Neck Smp/Cmp Open Reduc | $4,385.00 |
| FX FEMUR SHAFT SMP MANIP | $6,207.00 |
| Fx Femur Shaft Smp Manip Reduction | $6,207.00 |
| Fx Femur Shaft Smp Wo Reduction | $1,064.00 |
| Fx Femur Shaft Smp/ Cmp Opn Reduction | $4,325.00 |
| Fx Fib Prox/Shft Smp Wo Red | $1,064.00 |
| Fx Fibula Distal Smp Manip Red | $1,067.00 |
| Fx Fibula Distal Smp Wo Red | $1,067.00 |
| Fx Great Toe Clsd Manip Perc Pinning | $11,745.00 |
| Fx Great Toe Clsd Manip Reduction | $1,067.00 |
| Fx Great Toe Wo Reduction | $725.00 |
| Fx Great Trochan Smp Wo Reduc | $1,008.00 |
| Fx Intercondylar Spine Closed | $1,008.00 |
| Fx Metacarpal Manip W Fix | $12,397.00 |
| Fx Metacarpal Smpl Manip Reduc | $1,067.00 |
| Fx Metacarpal Smpl W/O Reduct | $1,067.00 |
| Fx Metatarsal Manip Perc Pin | $11,745.00 |
| Fx Metatarsal Wo Re-Duction | $1,064.00 |
| Fx Navicular Closed Wo Manip | $1,064.00 |
| Fx Navicular Op/Cl W/Wo Sk Fix | $25,517.00 |
| Fx Patella Simple Wo Reduc | $1,064.00 |
| Fx Patella Smp/Cmp Open Reduction | $26,935.00 |
| FX PATELLAR SIMP W/O REDU | $1,064.00 |
| Fx Phal Distal Open Red | $12,397.00 |
| Fx Phal Distal Perc Pinning | $11,745.00 |
| Fx Phal Distal Simp Manip Red | $725.00 |
| Fx Phal Distal Simp W/O Red | $1,064.00 |
| Fx Phal Prox Open Red W/Wo Fix | $12,397.00 |
| Fx Phalanx Manip Reduction | $1,067.00 |
| Fx Phalanx W/O Reduction | $1,064.00 |
| FX PHALANX/PHALANGES EA | $1,064.00 |
| FX PHALX/PHALG W/MAN EA | $1,067.00 |
| Fx Prx-Mid Phal Smp Manip Red | $1,067.00 |
| Fx Prx-Mid Phal W Manip/Trac | $11,745.00 |
| Fx Prx-Mid Phalang Smp Wo Red | $1,064.00 |
| Fx Rad & Uln Shaft Manip Red | $6,207.00 |
| Fx Rad & Uln Shaft Smp Wo Red | $1,064.00 |
| Fx Rad&Uln Shaft Smp/Cmp Op Reduction | $25,517.00 |
| Fx Radial Shaft Man Reduction | $6,207.00 |
| Fx Radial Shaft Smp/Cmp Op Red | $26,935.00 |
| Fx Radial Shaft W/O Reduction | $1,067.00 |
| Fx Sup/Trnscond W Perc Sk Fix | $26,935.00 |
| Fx Tarsal Bones Smp Wo Reduc | $1,023.00 |
| Fx Tibia Distal Smp Manip Red | $6,207.00 |
| Fx Tibia Distal Smp Wo Red | $1,067.00 |
| Fx Tibia Distal Smp/Cmp Opn Re | $26,935.00 |
| Fx Tibia Proxml Smp Manip Red | $12,397.00 |
| Fx Tibia Proxml Smp Wo Reduc | $1,067.00 |
| Fx Tibia Shaft Close/Open Comp | $47,967.00 |
| Fx Tibia Shaft Smp Manip Reduc | $6,207.00 |
| Fx Tibia Shaft Smp Wo Reduc | $1,067.00 |
| Fx Tri-Malleol Smp/ Cmp Open Re | $26,935.00 |
| Fx Tri-Malleolar Smp Manip Red | $6,207.00 |
| Fx Tri-Malleolar Smp Wo Reduc | $1,064.00 |
| Fx Tuberosity C/S W/O Man | $1,067.00 |
| Fx Tuberosity Op/Cl W/Wo Fixation | $25,517.00 |
| Fx Ulnar Shaft Simp Manip Red | $1,064.00 |
| Fx Ulnar Shaft Simple Wo Red | $1,064.00 |
| Fx Ulnar Shaft Smp/Cmp Op Red | $25,517.00 |
| Fx/Dsl Montegia Cmp W/Wo Fixation | $25,517.00 |
| Fx/Dsl Montegia Smp | $6,207.00 |
| Fx/Dsl Vertebral Body W Manip | $11,745.00 |
| Fx/Dsl Vertebral Body Wo Manipulation | $1,008.00 |
| Fx-Calcaneal Closed Wo Manipulation | $1,064.00 |
| Fx-Calcaneal Closed Wo Manipulation | $1,008.00 |
| Fx-Calcaneal Cls/Open W Graft | $47,967.00 |
| Fx-Calcaneal Cls/Opn W/Wo Fixation | $26,935.00 |
| Fx-Closed Coccygeal | $983.00 |
| Fx-Closed Talus W Manipulation | $5,880.00 |
| Fx-Closed Talus Wo Manipulation | $1,064.00 |
| Fx-Cls/Open Talus W/Wo Int Fix | $26,935.00 |
| Fx-Condylar Cl Open W/Wo Fixat | $47,967.00 |
| Fx-Dislo Trans-Scaphoperil Open Red | $11,745.00 |
| Fx-Dislo Trans-Scaphoperilunar W Manip | $1,008.00 |
| Fx-Distal Femor Clos Wo Manip | $1,008.00 |
| Fx-Epicondyl Closed Manip | $6,207.00 |
| Fx-Epicondyl Closed Wo Manip | $1,067.00 |
| Fx-Epicondyl Cls Open W/Wo Fix | $47,967.00 |
| Fx-Femur Intr/Pertr Smp Wo Red | $5,880.00 |
| Fx-Fib Prox/Shft Cls/Cmp W/Wo Fixation | $26,935.00 |
| Fx-Fibula Distal Cls/Opn W Fixation | $26,935.00 |
| Fx-Great Toe Close/Open W/Wo Fixation | $11,745.00 |
| Fx-Humer Shaft Clsd Manip | $6,207.00 |
| Fx-Humer Shaft Clsd Open Fixat | $47,967.00 |
| Fx-Humer Shaft Clsd Wo Manip | $1,067.00 |
| Fx-Metacarpal Smp/ Cmp W/Wo Fix | $12,397.00 |
| Fx-Metatarsal Cls/Open W/Wo Fixation | $26,935.00 |
| Fx-Metatarsal Manip Reduction | $1,064.00 |
| Fx-Phalanx Cls/Opn W/Wo Fixation | $11,745.00 |
| Fx-Radial Hd/Nk Clsd Manip | $6,207.00 |
| Fx-Radial Hd/Nk Smp/Cmp Open | $25,517.00 |
| Fx-Radial Head/Neck Smp Wo Man | $1,067.00 |
| Fx-Scapula Closed Wo Manipulation | $1,088.00 |
| Fx-Scapula Smpl/Comp Open | $25,517.00 |
| Fx-Sup/Trnscond Clsd Manip | $6,207.00 |
| Fx-Sup/Trnscond Clsd Open Fixa | $47,967.00 |
| Fx-Sup/Trnscond Clsd Wo Manip | $1,067.00 |
| Fx-Surg Neck Simple Coumpound Open | $50,631.00 |
| Fx-Tarsal Bones Manip Red | $5,880.00 |
| Fx-Tarsal Bones Open W/Wo Fix | $26,935.00 |
| Fx-Tibia Shaft Cls/ Opn Smp W Int Fixation | $25,517.00 |
| G0364 Bone Marrow Aspirate W/Biopsy | $6,500.00 |
| G0389 U/S Aaa Screen Medicare | $532.00 |
| g2rc | $2,956.00 |
| G6PD (NB SCRN) | $2.00 |
| Gabapentin -Quest | $103.00 |
| GAD65 Ab Assay | $112.00 |
| GALACT-1-PHOSPHATE | $56.00 |
| Galactokinase Blood - Quest | $1,030.00 |
| GALACTOSE | $59.00 |
| Galactose 1 Phosphate Uridyltransferase, RBC -Quest | $111.00 |
| Galactosemia Mutation Analysis -Quest | $651.00 |
| Galctose-Alpha-1,3-Galactose IgE-Quest | $28.00 |
| Gamma Glutamyl Transferase. | $38.00 |
| Ganglion Cyst Inj,Any Site | $1,108.00 |
| Ganglioside GM 1 Ab IgG-QST | $76.00 |
| Ganglioside GM 1 Ab IgM-QST | $76.00 |
| Ganglioside GQ1b Ab (IgG), EIA -Quest | $82.00 |
| Gardnerella DNA -> Detected | $106.00 |
| Gardnerella DNA -> Not detected | $106.00 |
| Gardnerella Vaginalis (QST) | $220.00 |
| Garlic (f47) IgE - Quest | $24.00 |
| Gas Res Proc, Open; Rev | $12,384.00 |
| Gas Res Proc, Rem & Rep | $12,384.00 |
| Gas Res Proc, Rem Subcut | $6,935.00 |
| GASTRIC INTUB ASPIR/LAVG | $1,192.00 |
| GASTRIC OCCULT BLOOD POC | $25.00 |
| Gastric Parietal Cell Ab (QST) | $42.00 |
| Gastrin -Quest | $93.00 |
| Gastrorrhaphy Duod Gastric Ulc | $1,303.00 |
| Gastrostomy Neonatal For Feed | $3,409.00 |
| Gastrostomy Temp Tube Ip | $7,010.00 |
| GASTROSTOMY TUBE 18F OD MIC 7-10ML BALLOON AVANOS MEDICAL INC 0100-18 | $148.00 |
| GASTROSTOMY TUBE CHANGE | $783.00 |
| GAUGE DPTH SCR 2.7MM SM NS SYNTHES TRAUMA 319.04 | $1,458.00 |
| GC Rapid DNA -> Detected | $155.00 |
| GC Rapid DNA -> Not detected | $155.00 |
| Gel Pads | $56.00 |
| GEL-FLOW NT KIT 6X6 PFIZER INC. 0009-1040-06 | $684.00 |
| Gelfoam Dressing | $76.00 |
| General | $0.00 |
| General and Regional | $0.00 |
| GENERATION IMPLANTABLE PULSE | $77,420.00 |
| GENERATOR NEUROSTIM IMPLANT PROCLAIM ELITE ST JUDE NEUROMODULATION 3660 | $130,340.00 |
| GENERATOR NEUROSTM PRODIGY MRI IPG BURST ST JUDE MEDICAL INC 3772 | $114,930.00 |
| Genioplasty Sliding 2 | $19,807.00 |
| Genioplasty, Augmentation | $19,807.00 |
| Genioplsty/Sldng Osteotomy Sin Piece | $9,990.00 |
| Genioplsty/Sldng W/Bone Graft | $9,990.00 |
| Gentamicin Level Peak. | $86.00 |
| Gentamicin Level Trough. | $86.00 |
| Gentamicin Level. | $86.00 |
| Gestational Diabetes Screen (Glucose). | $25.00 |
| Gft Full Free Trunk 20sqcm | $6,935.00 |
| Gi Endoscopic Ultrasound | $1,032.00 |
| Gi Image Intraluminal Capsule | $3,409.00 |
| Gi Wireless Capsule Measure | $3,409.00 |
| Giant Ragweed (Tall) (w3) IgE -Quest | $28.00 |
| GIARDIA ANTIGEN ASSAY | $63.00 |
| Giardia Antigen. | $63.00 |
| GIEC2100S 1/4 Y | $110.00 |
| GIEC2105S 3/8 Y | $110.00 |
| GIEC2115S 1/4x1/4x3/8 | $110.00 |
| GIEC2118S 1/2x1/2x3/8 | $110.00 |
| GIEC2120S 3/8x3/8x1/2 | $110.00 |
| GIEC2125S 1/4x1/4 | $110.00 |
| GIEC2130S 3/8x3/8 | $110.00 |
| GIEC2135S 1/2x1/2 | $110.00 |
| GIEC2140S 1/4x38 | $110.00 |
| GIEC2145S 3/8x1/2 | $110.00 |
| GIEC2160S 3/8 LL | $110.00 |
| GIEC2196S 1/2x3/8x1/2 LL | $110.00 |
| Ginger (f270) IgE - Quest | $23.00 |
| Gingivectomy, Exc Gingiva, Ea Quadrant | $9,990.00 |
| Gingivoplasty Ea Quadrant Specify | $10,544.00 |
| GISL5040 1/4x1/16x10Ft Tubing | $110.00 |
| GISL8140 1/2x3/32x10Ft Tubing | $110.00 |
| Gliadin (Deamidated) Ab (IgA) -Quest | $61.00 |
| Gliadin (Deamidated) Ab (IgG) -Quest | $61.00 |
| Gliadin IgA (QST) | $61.00 |
| Gliadin IgA (QST) | $61.00 |
| Gliadin IgA (QST) | $61.00 |
| Gliadin IgA (QST) | $53.00 |
| Gliadin IgG (QST) | $53.00 |
| Gliadin IgG (QST) | $61.00 |
| Gliadin IgG (QST) | $53.00 |
| Gliadin Peptide Ab IgG | $82.00 |
| GLIDEWIRE .035 X 150 CM TERUMO MEDICAL CORP GR3501 | $137.00 |
| GLIDEWIRE .035X260 X ANGLE TERUMO MEDICAL CORP GR3509 | $184.00 |
| GLIDEWIRE 035/150 3CM TP ANGLD TERUMO MEDICAL CORP GR3506 | $153.00 |
| Glomerular Bsmnt Membrane Ab(IgG) -Quest | $82.00 |
| Glossectomy Partial | $19,807.00 |
| Gluc baseline (OBs) | $68.00 |
| Glucagon-Quest | $77.00 |
| Glucose (POCT). | $16.00 |
| Glucose 2 Hour Post Prandial. | $21.00 |
| Glucose Body Fluid. | $21.00 |
| Glucose CSF. | $21.00 |
| Glucose Dialysate. | $21.00 |
| Glucose Level | $21.00 |
| Glucose Level | $21.00 |
| Glucose Level | $21.00 |
| Glucose Level (POCT) | $21.00 |
| Glucose Level. | $21.00 |
| Glucose Monitor To 72 Hrs Professional | $519.00 |
| Glucose Urine. | $12.00 |
| Glucose-6-Phos Dehydrogenase, Qn -Quest | $32.00 |
| gluing of corneal ulcer | $8,583.00 |
| Glutamic Acid Decarboxylase 65 Ab (QST) | $112.00 |
| Glutamic Acid Decarboxylase 65 Ab -Quest | $112.00 |
| Gluten (f79) IgE -Quest | $28.00 |
| Glycomark (R) -Quest | $61.00 |
| GN broth | $35.00 |
| Goniontomy | $16,298.00 |
| Gonioscopy Adult | $477.00 |
| Goose Feathers (e70) IgE-Quest. | $23.00 |
| GRAFT AORTIC VALVED GEL 25MM W/GRAFT ST JUDE STRUCTURAL HEART 25VAVGJ-515 | $22,062.00 |
| GRAFT AORTIC VALVED GEL 29MM W/CONDUIT ST JUDE ST JUDE STRUCTURAL HEART 29VAVGJ-515 | $22,062.00 |
| GRAFT BONE 25MM TRICORTAL ILIAC CREST MATRIGRAFT WEDGE LIFENET PICW2.5 | $4,343.00 |
| GRAFT BONE 6MM ALLOPURE WRIGHT MEDICAL TECHNOLOGY 86LL0006 | $10,660.00 |
| GRAFT BONE ARTHROCELL 5.0CC ARTHREX INC ABS-2009-05 | $14,000.00 |
| GRAFT BONE AUGMENT 3CC WRIGHT MEDICAL TECHNOLOGY K20003010 | $14,030.00 |
| GRAFT BONE BICORTICAL 8MM WEDG ALLOPURE WRIGHT MEDICAL TECHNOLOGY 86LL0800 | $10,660.00 |
| GRAFT BONE BMP INFUSE SM MEDTRON SPINAL AND BIOLOGICS 7510200 | $14,780.00 |
| GRAFT BONE CANCELL 0.1-2MM LIFENET PCAN512 | $796.00 |
| Graft Bone Major | $25,517.00 |
| Graft Bone Mandible | $19,807.00 |
| GRAFT BONE MD CANCELLOUS FRZ TRINITY ELITE ALLOGRAFT MUSCULOSKELETAL TRANSPLANT FOU 410002 | $12,120.00 |
| Graft Bone Minor | $26,935.00 |
| GRAFT BONE MTRGRFT FEMHD FRZN LIFENET FFH | $4,631.20 |
| Graft Bone Nasal Maxilla Malar | $19,807.00 |
| GRAFT BONE OPTM DBM FBR GLYC 1 LIFENET TPUT01 | $1,377.00 |
| GRAFT BONE SM CANCELLOUS FRZ TRINITY ELITE ALLOGRAFT MUSCULOSKELETAL TRANSPLANT FOU 410001 | $4,420.00 |
| GRAFT BONE TRINITY ELITE LARGE FROZEN MUSCULOSKELETAL TRANSPLANT FOU 410003 | $21,420.00 |
| GRAFT BONE VG2 PRESERVON LIFENET VG2C-T57P | $4,420.00 |
| GRAFT BONE VG2 PRESERVON LIFENET VG2C-T68P | $4,420.00 |
| GRAFT BONE VG2 PRESERVON LIFENET VG2C-T79P | $4,209.00 |
| GRAFT BONE VRTGRFT CANN DBM 40 LIFENET DCAN40 | $1,377.00 |
| GRAFT BONE VRTGRFT CANN DBM 5 LIFENET DCAN5 | $1,377.00 |
| GRAFT BONE VRTGRFT ILC CRST EA1 LIFENET ICW5 | $1,377.00 |
| GRAFT CAROTID ARTERY 6MMX15CM BOVINE ARTEGRAFT ARTEGRAFT INC AG715 | $3,356.00 |
| Graft Cartilage Costochondral | $2,162.00 |
| GRAFT CERVICAL TRAPEZOID SZ 8 LIFENET VG2C T810 | $4,701.00 |
| Graft Composite Full Ear Nasal | $6,935.00 |
| GRAFT CV 30CM 10MM THOR WVN | $2,464.00 |
| GRAFT CV 30CM 12MM STRGHT EA1 | $2,444.00 |
| GRAFT CV 30CM 14MM THOR FLX EA1 | $2,464.00 |
| GRAFT CV 30CM 16MM THOR WVN EA1 | $2,464.00 |
| GRAFT CV 30CM 18MM THRX SFT EA1 | $1,630.00 |
| GRAFT CV 30CM 20MM THRX SFT EA1 | $2,464.00 |
| GRAFT CV 30CM 24MM THOR 2 EA1 | $2,464.00 |
| GRAFT CV 30CM 26MM THOR 2 EA1 ATRIUM MEDICAL, A MAQUET CO M00202175426P0 | $2,464.00 |
| GRAFT CV 30CM 28MM THOR 2 EA1 | $2,464.00 |
| GRAFT CV 30CM 8MM STRGHT DUPLICATE ITEM USE 243381 | $2,444.00 |
| GRAFT CV 40CM 12/6MM 2 VLR MAQUET CARDIOVASCULAR 085126 | $2,216.00 |
| Graft Derma-Fat-Fascia | $12,384.00 |
| GRAFT DURAGEN SUTURABLE 3X3IN INTEGRA NEUROSCIENCES INC DURS3391 | $2,835.00 |
| Graft Ear Cart To Nose Or Ear | $19,807.00 |
| Graft Fascia Lata | $6,935.00 |
| Graft Fascia Lata Complex | $6,935.00 |
| Graft Full Scalp Limbs 20 sq cm | $7,320.00 |
| GRAFT HEMASHIELD 14 X 7 MEADOX MEDICAL 85147 | $3,094.00 |
| GRAFT HEMASHIELD 16 X 8 MEADOX MEDICAL 85168 | $2,216.00 |
| GRAFT HEMASHIELD 18 X 9 MEADOX MEDICAL 85189 | $3,094.00 |
| GRAFT HEMASHIELD 22 X 11 MEADOX MEDICAL 85221 | $3,094.00 |
| GRAFT MATRIX DURA 1X3 MEDTRON NEUROLOGICAL 62106 | $1,110.00 |
| GRAFT PROPATEN RINGED 6MMX80CM WL GORE & ASSOCIATES INC HT066080A | $9,004.00 |
| GRAFT PROPATEN RINGED 8MMX50MM WL GORE & ASSOCIATES INC HT084050A | $9,004.00 |
| Graft Rib Cart Autogen Face | $19,807.00 |
| GRAFT RINGED THIN 8MMX80X80CM OBSOLETE WL GORE & ASSOCIATES INC RRT08080080L | $5,128.00 |
| GRAFT SFT TISS 10MM FLXGRFT AT LIFENET FATB10 | $10,421.00 |
| GRAFT SFT TISS 230MM 7.5MM EA1 LIFENET FPOST.TIBIAL | $6,299.00 |
| GRAFT SFT TISS 3X3IN DRGN + INTEGRA NEUROSCIENCES INC DP1033 | $2,835.00 |
| GRAFT SFT TISS 46-60CM 0-3MM LIFENET CV46-60 | $27,523.00 |
| GRAFT SFT TISS 61-70CM 3MM LIFENET CV61-70 | $30,593.00 |
| GRAFT SFT TISS 70X40X1MM DERM ARTHROFLEX | $37.00 |
| GRAFT SKIN FLEXHD 8X16CM DERM | $19,684.00 |
| Graft Skin Small Ulcer Except Face | $2,162.00 |
| GRAFT STRETCH AXCIFEM 8MMX70CM GRAFT AXILLOBIFEMORAL 70 X 40 WL GORE & ASSOCIATES INC SAX01D | $8,384.00 |
| GRAFT SYN PRO DENSE | $25,568.00 |
| GRAFT SYNTH TISSUE 10CC CALCIUM PHOS SULFATE INJECT | $14,760.00 |
| GRAFT TISSUE ALLODERM 6X16CM RTU THICK ALLERGAN INC 1520616 | $131.00 |
| GRAFT TISSUE ALLODERM 8X16CM THICK READY TO USE ALLERGAN INC 1520128 | $132.00 |
| GRAFT TNDN GRACILIS 4.5X300MM FROZEN LIFENET FGRACILIS | $4,410.00 |
| GRAFT VASC 30CM 10MM THNWL DISCONTINUED WL GORE & ASSOCIATES INC RRT10030030L | $2,384.00 |
| GRAFT VASC 40CM 8MM GORE THNWL WL GORE & ASSOCIATES INC HT083040A | $5,684.00 |
| GRAFT VASC 45CM 4-7MM GORE STD WL GORE & ASSOCIATES INC H470045A | $5,316.00 |
| GRAFT VASC 60CM 7MM DYNAFLO BARD C R INC DNF6007SC | $5,316.00 |
| GRAFT VASC 70CM 6MM GORE THNWL WL GORE & ASSOCIATES INC HT066070A | $9,980.00 |
| Graft(Thiersch Op)Rectal Incontinence | $10,452.00 |
| Graftmaster stent | $9,580.00 |
| Gram negative identification (Vitek) | $43.00 |
| Gram positive identification (Vitek) | $43.00 |
| Gram Stain Report | $23.00 |
| GRANULE BONE FILLER L 5ML GRANULES TRICAL PHOSPHATE 5CC SYNTHES SPINE 710.025.99S | $2,100.00 |
| GRANULES TRICAL PHOSPHATE 10CC SYNTHES SPINE 710.019.99S | $3,116.00 |
| Grape (f259) IgE-Quest | $28.00 |
| Grapefruit (f209) IgE-Quest | $23.00 |
| Grf Full Face Hd Ft Gen 20sqcm | $7,320.00 |
| Grf Full Lid Ns Ear Lip 20sqcm | $6,935.00 |
| Grf Split Face Neck Gen 100sqc | $12,384.00 |
| GRFT DECELL DERMIS 4X7X1MM DUPLICATE ITEM USE 663754 | $7,650.00 |
| Grft Skin Split Trk Arms Legs | $6,935.00 |
| GRFT VASC LN REM 4-7MMX10X45CM WL GORE & ASSOCIATES INC RR47010045L | $5,316.00 |
| GRFT VASC WVN PLAT 22MMX30CM | $2,464.00 |
| GRFT VASC WVN PLAT 34MMX30CM | $2,464.00 |
| GROUND MILEAGEPER MILE | $16.00 |
| Growth Hormone (GH) -Quest | $85.00 |
| GRP1 Stain Micro Sendout (TECH) | $234.00 |
| GRP1 STAIN-MICRO (TECH) | $234.00 |
| GRP2 Stain Histo Sendout (TECH) | $152.00 |
| GRP2 STAIN-HISTO (TECH) | $152.00 |
| Guidance For Radiat Tx Deliv | $320.00 |
| GUIDE DRILL 2.5X300MM SYNTHES TRAUMA 03.120.026 | $263.00 |
| GUIDE DRILL 3.2MM THREADED SYNTHES TRAUMA 312.445 | $573.00 |
| GUIDE ROD ORTHO 8MM SUTURE LP WRIGHT MEDICAL ANKLE 86PS1000 | $736.00 |
| GUIDE SUTURE GABBAY FRATER TELEFLEX INC GFS-10A | $300.00 |
| GUIDE WIRE 3.2 X 290MM SYNTHES TRAUMA 03.010.115 | $284.00 |
| Guideliner | $1,240.00 |
| GUIDEPIN 2.4X508MM SPINEOLOGY 300-1011 | $156.00 |
| GUIDEPIN 23.4X508MM TROCAR/ROUND ENDS SPINEOLOGY 300-1010 | $156.00 |
| GUIDEPIN NEXA 9MM TORNIER INC CSI-GP09 | $156.00 |
| GUIDEWIRE .035/150 STIFF SHAFT STRAIGHT TIP BOSTON SCIENTIFIC CORP M006630222B1 | $153.00 |
| GUIDEWIRE 0.062X7IN LONG GLENOID SHOULDER SET ARTHREX INC AR-8941-7 | $153.00 |
| GUIDEWIRE 25MM WRIGHT MEDICAL TECHNOLOGY 58862515 | $153.00 |
| GUIDEWIRE BB TAK THREADED ARTHREX INC AR-13226T | $320.00 |
| GUIDEWIRE BILIARY .035X260CM STRAIGHT TIP JAGWIRE BOSTON SCIENTIFIC CORP M00556641 | $391.00 |
| GUIDEWIRE CANNLTD 1.1X150MM GUIDEWIRE NONTHRD 1.1 X 150MM SYNTHES TRAUMA 292.623 | $153.00 |
| GUIDEWIRE DRILL TIP 1.6X150MM SYNTHES TRAUMA 900.601 | $153.00 |
| GUIDEWIRE DRILLTIP 2.5MMX7.87I SYNTHES TRAUMA 310.243 | $316.00 |
| GUIDEWIRE ENTRY 3.2X400MM ORTHOFIX INC 177290 | $810.00 |
| GUIDEWIRE FLUTE 2.8X300X150MM SYNTHES TRAUMA 292.81 | $316.00 |
| GUIDEWIRE ORTHO 2X240MM SYNTHES TRAUMA 03.010.025 | $153.00 |
| GUIDEWIRE ORTHOPEDIC 2.5X800MM STRAIGHT ORTHOFIX INC 99-177282 | $388.00 |
| GUIDEWIRE ORTHOPEDIC 3X800MM BALL TIP ORTHOFIX INC 99-177281 | $388.00 |
| GUIDEWIRE SKELETAL 3.2X400MM SYNTHES TRAUMA 357.399 | $316.00 |
| GUIDEWIRE SPADE NO COLOR 2X230 GUIDEWIRE THREADED 2MM SYNTHES TRAUMA 292.652 | $120.00 |
| GUIDEWIRE SPADE POINT 2X230MM SYNTHES TRAUMA 292.656 | $153.00 |
| GUIDEWIRE THREADED .045 W/TROCAR TIP ARTHREX INC AR-8737-04 | $60.00 |
| GUIDEWIRE THREADED 1.1X150MM SYNTHES TRAUMA 292.622 | $153.00 |
| GUIDEWIRE THREADED 1.25X150MM SYNTHES TRAUMA 900.722 | $153.00 |
| GUIDEWIRE THREADED 1.6X150MM SYNTHES TRAUMA 292.72 | $153.00 |
| GUIDEWIRE THREADED 2.5X230MM SYNTHES TRAUMA 900.723 | $153.00 |
| GUIDEWIRE THREADED 2.8X300MM SYNTHES TRAUMA 292.68 | $153.00 |
| GUIDEWIRE THREADED 2.8X450MM SYNTHES TRAUMA 900.726 | $316.32 |
| Guiding sheath | $282.00 |
| guiding sheath A | $515.00 |
| guiding sheath B | $656.00 |
| Guiding sheath category A | $515.00 |
| Guiding sheath category B | $656.00 |
| Gulf Flounder (F147) IgE -Quest | $28.00 |
| GW ENDO .035IN 150CM BNTSN TIP BARD EP-MEDICAL-UROLOGICAL 150NFS35 | $120.00 |
| GW ENDO .038IN 150CM BNTSN TIP BARD EP-MEDICAL-UROLOGICAL 150NSA38 | $1,161.59 |
| GW ORTH 150MM 1.25MM CBLT EA1 SYNTHES TRAUMA 900.721 | $120.00 |
| GW ORTH 150MM 1.6MM NTHRD SPD SYNTHES TRAUMA 292.727 | $120.00 |
| GW ORTH 350MM 2.8MM THRD TROC SYNTHES TRAUMA 357.039 | $153.00 |
| GW VASC 180CM .035IN SUP ELAS BOSTON 46-156B | $153.00 |
| GW VASC 180CM .035IN SUP ELAS EA1/BX5 | $153.00 |
| H Influenza Type B Ab (IgG) -Quest | $84.00 |
| H Influenzae Type B Ag, Latex Agglutination -Quest | $35.00 |
| H Pylori, Urea Breath Test Pediatric-QST | $465.00 |
| H Pylori, Urea Breath Test -Quest | $355.00 |
| HA1200 CardioPAT RBC Bag | $110.00 |
| Haberman Feeder | $88.00 |
| Haberman Feeder (IP) | $88.00 |
| Haberman, Extra Nipple | $55.00 |
| Haem SQ40S Blood Filter | $110.00 |
| Hal Valgus Cor Lapidus | $26,935.00 |
| Halibut (f303) IgE -Quest | $28.00 |
| Hallux Rigidus W/Cheilectomy 1St Mp Jt W/I | $26,935.00 |
| Hallux Valg Keller Mcbrid Mayo | $11,745.00 |
| Hallux Valg W Metata Osteotomy | $12,397.00 |
| Hallux Valgus Corr Phal Osteot | $26,935.00 |
| Haloperidol -Quest | $77.00 |
| Hammer Toe Operation One Toe | $12,397.00 |
| Hand >3 Views | $294.00 |
| Hand 2 Views | $532.00 |
| HANDPIECE NOVASURE DISP HOLOGIC NS2000US | $4,136.00 |
| Hantavirus IgG-QST | $70.00 |
| Hantavirus IgM-QST | $70.00 |
| Haptoglobin. | $66.00 |
| Hare Traction | $165.00 |
| Harvest Bone Marrow | $5,583.00 |
| Harvest Conjunctival Allograft, Living Don | $8,115.00 |
| Harvest Up Ext Art 1 Segm | $2,736.00 |
| Harvest Vein For Bypass | $10,000.00 |
| Hazelnut (f17) IgE -Quest | $28.00 |
| Hazelnut (f17) IgE w/rflx Component Pnl-Qst | $28.00 |
| Hazelnut Component | $95.00 |
| HBV Drug Resis, Geno, and Mut-Quest | $71.00 |
| hCG, Serum | $79.00 |
| hCG, Serum (QST) | $79.00 |
| HCG, Tumor Mark, Qn -Quest | $79.00 |
| HCV RNA Geno 1 NS3 Drug Resist -Quest | $1,359.00 |
| HCV RNA Geno 1 NS5a Drug Resist -Quest | $1,359.00 |
| HCV RNA Geno rflx NS5a Drug Resist-QST | $1,359.00 |
| HCV RNA Qn PCR W/Refl To Geno -Quest | $226.00 |
| HCV RNA Qnt w/Rflx Qual TMA-Quest | $226.00 |
| HCV RNA, Qualitative TMA -Quest | $185.00 |
| HCV RNA, Quant RT PCR -Quest | $226.00 |
| HCV RNA, Quant RT PCR w reflexes-Quest | $226.00 |
| HDL Cholesterol | $43.00 |
| HDR INTERST OR INTRACAV BRACHTHERAPY; 1 CH | $3,330.00 |
| HDR INTERST OR INTRACAV BRACHTHX; > 12 CHA | $3,330.00 |
| HDR INTERST OR INTRACAV BRACHTHX; 2-12 CHA | $3,330.00 |
| HEAD BIOLOX CERAMIC HIP 32MM 16/18 TAPER BIOMET JOINT ORTHOPEDICS 650-1056 | $9,678.00 |
| HEAD BIO-MOORE II HIP SYS ENDO ZIMMER HIP 12-139008 | $1,643.00 |
| HEAD EXPLOR RADIAL 16X22MM BIOMET 11-210034 | $8,000.00 |
| HEAD FEM +2.5MM OFFSET TPR 36 STRYKER HIP 6570-0-536 | $3,200.00 |
| HEAD FEM +5MM OFFSET TPR 36MM V40 STRYKER HIP 6570-0-236 | $3,200.00 |
| HEAD FEM -2.5MM OFFSET TPR 36 STRYKER HIP 6570-0-436 | $3,200.00 |
| HEAD FEM -5MM OFFSET TPR 36MM V40 | $3,200.00 |
| HEAD FEMORAL 32MM 3MM NECK ZIMMER HIP 163668 | $1,600.00 |
| HEAD FEMORAL G7 40MM BIOMET JOINT ORTHOPEDICS 650-1058 | $9,576.00 |
| HEAD FEMORAL MODULAR 28MM MINUS 3MM NECK ZIMMER HIP 163661 | $1,600.00 |
| HEAD FEMORAL V40 36MM STRYKER HIP 6570-0-136 | $3,200.00 |
| HEAD HUMERAL OFFSET 21X46 HEAD HUMERAL SHOULDER 21 X 46M ZIMMER SHOULDER 00430204621 | $5,400.00 |
| HEAD MODULAR 36MM +3MM ZIMMER HIP 11-363663 | $1,600.00 |
| HEAD MODULAR 36MM +6MM ZIMMER HIP 11-363664 | $1,600.00 |
| HEAD MODULAR COCR 36MM +9MM ZIMMER HIP 11-363665 | $1,600.00 |
| HEAD MODULAR COCR 36MM ZIMMER HIP 11-363662 | $1,600.00 |
| HEAD MODULAR COCR 36MM-3MM ZIMMER HIP 11-363661 | $1,600.00 |
| HEAD MODULAR COCR 36MM-6MM ZIMMER HIP 11-363660 | $1,600.00 |
| HEAD MOLD WITH INSERT 52MM BIOMET JOINT ORTHOPEDICS 431182 | $4,408.00 |
| HEAD PRECISION MATCH 3MMX16CM STRYKER INSTRUMENTS 8470107530 | $573.00 |
| HEAD UNPLR 41MM E-2 HIP ACTB ZIMMER HIP 12-139006 | $1,643.00 |
| HEAD UNPLR 43MM E-2 HIP ACTB ZIMMER HIP 12-139010 | $1,600.00 |
| HEAD UNPLR 44MM E-2 HIP ACTB ZIMMER HIP 12-139012 | $1,600.00 |
| HEAD UNPLR 45MM E-2 HIP ACTB ZIMMER HIP 12-139014 | $1,643.00 |
| HEAD UNPLR 47MM BIOM EN2 HIP ZIMMER HIP 12-139018 | $1,643.00 |
| HEAD UNPLR 48MM BIOM EN2 HIP ZIMMER HIP 12-139020 | $1,600.00 |
| HEAD UNPLR 49MM E-2 HIP ACTB ZIMMER HIP 12-139022 | $1,700.00 |
| HEAD UNPLR 50MM E-2 HIP ACTB ZIMMER HIP 12-139024 | $1,600.00 |
| HEAD UNPLR 51MM E-2 HIP ACTB ZIMMER HIP 12-139026 | $1,643.00 |
| HEAD UNPLR 54MM E-2 HIP ACTB ZIMMER HIP 12-139032 | $1,643.00 |
| HEAD UNPLR 55MM BIOM EN2 HIP ZIMMER HIP 12-139034 | $1,643.00 |
| Heavy Metals Panel, 24 Hour Urine -Quest | $61.00 |
| Heavy Metals Panel, Random Urine -Quest | $61.00 |
| Helicobacter pylori Stool Antigen -> Negative | $76.00 |
| Helicobacter pylori Stool Antigen -> Positive | $76.00 |
| Helicoil | $835.00 |
| Helminthosporium Halodes (m8) IgE -Quest | $28.00 |
| Helminthosporium sativum IgE-Quest. | $91.00 |
| Hematocrit | $12.00 |
| Hematocrit (QST) | $18.00 |
| Hematocrit. | $12.00 |
| Hematopoetic Cell (HPC) Boost | $5,583.00 |
| Hemiepiphysl Arst Distal Femur | $11,745.00 |
| Hemiphalangectomy Single Each | $11,745.00 |
| Hemo Proc W Single Physician Evaluation | $2,739.00 |
| Hemoccult | $42.00 |
| HEMOCCULT STOOL | $21.00 |
| Hemodialysis Catheter | $752.00 |
| Hemoglobin | $12.00 |
| Hemoglobin (QST) | $18.00 |
| Hemoglobin A1c -SJR | $51.00 |
| Hemoglobin A1c w/Refl To Glycomark(R) -Quest | $51.00 |
| Hemoglobin A1c with eAG -Quest | $51.00 |
| Hemoglobin A2 (Quant) -Quest | $95.00 |
| Hemoglobin Electrophoresis Interpretation | $68.00 |
| Hemoglobin, Free, Plasma -Quest | $39.00 |
| Hemoglobin. | $12.00 |
| Hemoglobinopathy Evaluation -Quest | $95.00 |
| Hemoglobinopathy HCT | $36.00 |
| Hemoglobinopathy HGB | $36.00 |
| Hemoglobinopathy RBC | $323.00 |
| Hemorrhoid Inj Sclerosing Soln | $3,335.00 |
| Hemorrhoidec W/W/O Fissur | $10,452.00 |
| Hemorrhoidect Rubber Band Lig | $3,335.00 |
| Hemorrhoidectomy External Comp | $10,452.00 |
| Hemorrhoidectomy Int & External | $11,033.00 |
| Hemorrhoidectomy Rad | $11,033.00 |
| Hemorrhoidopexy By Stapeling | $11,033.00 |
| Hemosiderin Stain, Urine -Quest | $25.00 |
| Hemostasis Plug | $1,455.00 |
| Hemostasis Procedure | $1,351.00 |
| HEMOSTAT ABSORBABLE 2X3IN SURGICEL J&J ETHICON INC 1953 | $138.00 |
| HEMOSTAT ABSORBABLE 4X8IN SURGICEL ETHICON INC 1952 | $253.00 |
| HEMOSTAT SURGIFLO 6ML PORCINE WITH 2ML EVITHROM ETHICON INC 2994 | $730.00 |
| Hempstatic Pack Non-Obs Hem | $743.00 |
| Hep B Virus DNA, Qn, RT PCR -Quest | $226.00 |
| Hep C Viral RNA Genotype, LiPA(R) -Quest | $1,359.00 |
| Heparin Anti-Xa Low Molecular Weight. | $65.00 |
| Heparin Anti-Xa Unfractionated. | $69.00 |
| Heparin Induced Platelet Antibody (QST) | $97.00 |
| Heparin Induced Platelet Antibody -Quest | $97.00 |
| Hepatic Function Panel. | $43.00 |
| Hepatitis A Antibody IgM -> Non-Reactive | $59.00 |
| Hepatitis A Antibody IgM -> Reactive | $59.00 |
| Hepatitis A Antibody Total rflx IgM. | $65.00 |
| Hepatitis A Antibody Total. | $65.00 |
| Hepatitis B Core Antibody IgM -> Non-Reactive | $62.00 |
| Hepatitis B Core Antibody IgM -> Reactive | $62.00 |
| Hepatitis B Core Antibody Tot rflx IgM. | $64.00 |
| Hepatitis B Core Antibody Total. | $64.00 |
| Hepatitis B Surface Antibody. | $57.00 |
| Hepatitis B Surface Antigen. | $55.00 |
| Hepatitis Be Antibody -Quest | $61.00 |
| Hepatitis Be Antigen -Quest | $61.00 |
| Hepatitis C Antibody rflx HCV RNA Qnt. | $75.00 |
| Hepatitis C Antibody. | $75.00 |
| Hepatitis D Virus Ab, Total-Quest. | $62.00 |
| Hepatitis D Virus RNA, Ql, RT PCR -Quest | $185.00 |
| Hepatits B Surface Antigen Confirmation | $55.00 |
| HER2 BY FISH (TECH) | $677.00 |
| HER2 by FISH SJR (TECH) | $677.00 |
| Hereditary Hemochromatosis DNA Mut -Quest | $345.00 |
| Hernia Epigastric Simple | $13,195.00 |
| Hernia Femoral | $13,195.00 |
| Hernia Femoral Recurrent | $13,195.00 |
| Hernia Inguinal Over5 | $13,928.00 |
| Hernia Inguinal Recur | $13,195.00 |
| Hernia Inguinal Sliding | $13,195.00 |
| Hernia Inguinal Under 5 | $13,195.00 |
| Hernia Lumbar | $20,576.00 |
| Hernia Umbilical Under 5 | $13,195.00 |
| Herpes 6 IgM | $68.00 |
| Herpesvirus 6 Ab (IgG,IgM) -Quest | $68.00 |
| Herpesvirus 6 DNA, Qn, RT PCR -Quest | $220.00 |
| Hexapolar pacing catheter | $1,862.00 |
| HFJV Ventilator Charge (7am) -> Initial charge | $2,410.00 |
| HFJV Ventilator Charge (7am) -> Subsequent Charge | $2,410.00 |
| HFOV Ventilator Charge (7am) -> Initial charge | $2,410.00 |
| HFOV Ventilator Charge (7am) -> Subsequent Charge | $2,410.00 |
| HGB FRACTIONATION | $68.00 |
| Hickory, White IgG4 -Quest | $28.00 |
| Hickory/Pecan Tree (t22) IgE-Quest | $24.00 |
| HIP ADAPTER +6MM BIOMET JOINT ORTHOPEDICS 431187 | $1,104.00 |
| HIP MOLD STEM 11X135MM | $5,496.00 |
| Hip Reconstruction Girdlestone | $3,585.00 |
| HI-PERF S/S XCH/035/180 (BX/5) BOSTON SCI:PERIPHERAL INTERV M001465251 | $153.00 |
| Histamine Release -Quest | $66.00 |
| Histamine, Plasma -Quest | $134.00 |
| Histo Galactomannan antigen, Urine -Quest | $63.00 |
| Histone Antibodies -Quest | $61.00 |
| Histoplasma Antibody, ID -Quest | $43.00 |
| HIV 1 Ab (QST) | $47.00 |
| HIV 1 DNA, Qual, PCR -Quest | $185.00 |
| HIV 1 Genotype -Quest | $1,359.00 |
| HIV 1 Integrase Genotype -Quest | $679.00 |
| HIV 1 RNA, Ql TMA -Quest | $185.00 |
| HIV 1 RNA, Qn PCR w/Reflx Genotype -Quest | $449.00 |
| HIV 1 RNA, Quant RT PCR -Quest | $449.00 |
| HIV 2 Ab (QST) | $71.00 |
| HIV Ag/Ab Combo 1/2 Screen. | $72.00 |
| HIV Antibody 1/2 (exposure only). | $72.00 |
| HLA B51 Behcet's Disease-Quest | $184.00 |
| HLA DBQ1 | $653.00 |
| HLA DQ2 (QST) | $120.00 |
| HLA DQ8 (QST) | $120.00 |
| HLA DQA1 | $653.00 |
| HLA DQA1 (QST) | $120.00 |
| HLA DQB1 #1 (QST) | $645.00 |
| HLA II Typing High Resolution | $311.00 |
| HLA-B 5701 Typing -Quest | $858.00 |
| HLA-B27 Antigen -Quest | $136.00 |
| HLA-B27 DNA Typing -Quest | $247.00 |
| HLA-DR4, Flow Cytometry -Quest | $147.00 |
| HNDL SZR CRP-ED PRIMNT MG MTRL | $117.00 |
| HNDPC US ASP SLCTR LNG 24 KHZ INTEGRA LIFESCIENCES HOLDINGS 152-3049 | $572.00 |
| Homocysteine Total. | $89.00 |
| Honey Bee (i1) IgE -Quest | $28.00 |
| Hop (Fruit Cone)(Humulus lupulus)(f324) IgE-Qst | $23.00 |
| Horse Dander (e3) IgE -Quest | $28.00 |
| House Dust (Greer) (h1) IgE -Quest | $28.00 |
| House Dust (h2) IgE -Quest | $28.00 |
| HSP 70 Ab (Anti 68 Kd Antigen) -Quest | $90.00 |
| HSV 1 DNA (QST) | $185.00 |
| HSV 1 IgG Index (QST) | $70.00 |
| HSV 1 IgG Index CSF-QST | $100.75 |
| HSV 1 IgG Type Specific Ab (QST) | $70.00 |
| HSV 1 IgG Type Specific Ab (QST) | $69.00 |
| HSV 1 IgG Type Specific Ab (QST) | $65.00 |
| HSV 1 IgG, Type Specific Ab -Quest | $69.00 |
| HSV 1 IgM Screen (QST) | $70.00 |
| HSV 1 IgM Screen (QST) | $89.00 |
| HSV 1 IgM Scrn CSF (QST) | $70.00 |
| HSV 1 IgM Scrn CSF (QST) | $100.75 |
| HSV 1/2 IgM Index (QST) | $76.00 |
| HSV 2 (IgG) w/Rflx HSV-2 Inhibition-Quest | $50.00 |
| HSV 2 DNA (QST) | $185.00 |
| HSV 2 IgG Index (QST) | $102.00 |
| HSV 2 IgG Index CSF-QST | $147.93 |
| HSV 2 IgG Type Specific Ab (QST) | $102.00 |
| HSV 2 IgG Type Specific Ab (QST) | $102.00 |
| HSV 2 IgG Type Specific Ab (QST) | $102.00 |
| HSV 2 IgG, Type Specific Ab -Quest | $102.00 |
| HSV 2 IgM Screen (QST) | $102.00 |
| HSV 2 IgM Screen (QST) | $89.00 |
| HSV 2 IgM Scrn CSF (QST) | $102.00 |
| HSV 2 IgM Scrn CSF (QST) | $147.93 |
| HSV Culture (QST) | $179.00 |
| HSV Culture -Quest | $179.00 |
| HSV Type 1: (QST) | $29.00 |
| HSV Type 2: (QST) | $29.00 |
| HTLV-I/II Ab w/Rflx Confirm-Quest | $130.00 |
| HU Ab Scr w/Refl To Titer and WB -Quest | $64.00 |
| HU Anna-1 Ab | $82.00 |
| Hughes Proc Stage 1 | $8,115.00 |
| Human Metapneumo RNA Ql RT PCR -Quest | $185.00 |
| Human Papilloma Virus -> Detected | $185.00 |
| Human Papilloma Virus -> Not detected | $185.00 |
| Human TTG Ab IgA | $82.00 |
| Humerus >2 Views | $294.00 |
| Hydrotubation Of Oviduct | $19,498.00 |
| Hydroxychloroquine (Bld)-Quest | $89.00 |
| Hymenectomy Par Exc Hymen | $11,159.00 |
| Hymenotomy Sim Inc | $10,572.00 |
| Hyoid Myotomy And Suspension | $19,807.00 |
| Hyperthermia Ext Deep | $3,155.00 |
| Hyperthermia Ext Superficial | $1,005.00 |
| Hyposadias Rep W Ureth & Mobil | $7,789.00 |
| Hyposadias Repair W Urethroplasty | $13,104.00 |
| Hypospadias Repair W Extensive Dissection | $13,104.00 |
| Hypothermia Blanket | $570.00 |
| Hyster Vag W Rep Enterocele | $19,498.00 |
| Hyster W Rem Foreign Body | $11,159.00 |
| Hyster W/Lysis Of Adhesions | $19,498.00 |
| Hysteroscopy W Endomet Ablation | $19,498.00 |
| Hysteroscopy W Remov Leiomyomata | $19,498.00 |
| Hysteroscopy, Diagnostic | $11,159.00 |
| Hysteroscopy; Surg W/Samp Endometrium | $11,159.00 |
| Hysteroson W/Wo C F Doppl | $1,090.00 |
| Hysterscopy W/Div Or Resect Of Intrauterin | $18,472.00 |
| I & D RECTAL ABCESS | $4,630.00 |
| I STAT GASES | $124.00 |
| I STAT TOTAL B-HCG | $79.00 |
| I&D Abs Transanal W Anes | $11,033.00 |
| I&D Abscess Cyst Comp Multiple | $1,484.00 |
| I&D Abscess Cyst Simp Single | $834.00 |
| I&D ABSCESS PERITONSILAR | $974.00 |
| I&D ABSCESS;COMPLEX/MULTI | $1,484.00 |
| I&D ABSCESS;SIMPLE/SINGLE | $834.00 |
| I&D BARTHOLIN GLND ABSCES | $784.00 |
| I&D Bartholin's Gland Abscess | $784.00 |
| I&D Complex Post Op Wound Infection | $11,239.00 |
| I&D COMPLEX POST-OP WOUND | $11,239.00 |
| I&D EPIDIDYM/TESTIS/SCROT | $8,222.00 |
| I&D HEMATOMA SEROMA FLUID | $6,500.00 |
| I&D Hematoma Simple | $6,500.00 |
| I&D INFECTED THYROGLOSSAL | $6,045.00 |
| I&D Infected Thyroglossal Duct Cyst | $5,727.00 |
| I&D PERIANAL ABSCESS SUPR | $3,520.00 |
| I&D Perirectal Ischior Abscess | $4,630.00 |
| I&D Pilonidal Cyst Complicated | $2,738.00 |
| I&D Pilonidal Cyst Simple | $2,738.00 |
| I&D PILONIDAL CYST;COMPLX | $2,738.00 |
| I&D PILONIDAL CYST;SIMPLE | $2,738.00 |
| I&D Shldr Infect Bursa | $6,158.00 |
| I&D Vaginal Hemato;Non-Obstr | $10,648.00 |
| I&D Vaginal Hemato;Post-O | $6,158.00 |
| I&D VULVA/PERINEAL ABSCES | $1,290.00 |
| I2 AB 1 | $82.00 |
| I2 AB 2 | $1,296.00 |
| Ia For Xr Needle Extrem Artery | $1,279.00 |
| IA-2 Antibody (QST) | $112.00 |
| IA-2 Antibody -Quest | $112.00 |
| IABP Cath w/Conn | $3,512.00 |
| IABP Insertion | $1,535.00 |
| IABP Monitor per Hour | $157.00 |
| IBD sgi Diagnostics-Prometheus. | $82.00 |
| ICAM | $47.00 |
| Icd Dev Prog Subq Lead Defib System | $166.00 |
| Icd Device Interog In Person | $166.00 |
| Icd Device Prog Eval Dual | $166.00 |
| Icd Device Prog Eval Mult | $166.00 |
| Icd Device Prog Eval Sing | $166.00 |
| Icd Interrog Subq Device | $166.00 |
| ICD Procedure Charges -> Cardioversion | $2,488.00 |
| ICD Procedure Charges -> Defibrillator, revision of skin pocket | $7,320.00 |
| ICD Procedure Charges -> Gen. change dual ICD | $103,950.00 |
| ICD Procedure Charges -> Gen. change single ICD | $103,950.00 |
| ICD Procedure Charges -> Hematoma evacuation | $11,239.00 |
| ICD Procedure Charges -> Insert defib generator only to existing leads | $103,950.00 |
| ICD Procedure Charges -> Insert ICD gen. to existing DL | $103,950.00 |
| ICD Procedure Charges -> Insert or replace gen. and leads | $144,875.00 |
| ICD Procedure Charges -> Insertion of single lead (pacer or defib) | $34,990.00 |
| ICD Procedure Charges -> Insertion of SubQ defib with electrode | $144,875.00 |
| ICD Procedure Charges -> Insertion of two leads (pacer or defib) | $34,990.00 |
| ICD Procedure Charges -> Lead repositioning (RA or RV) | $12,483.00 |
| ICD Procedure Charges -> Removal of defibrillator (don't use with gen. change) | $14,794.00 |
| ICD Procedure Charges -> Removal of defibrillator lead/s | $14,794.00 |
| ICD Procedure Charges -> Repair of one or two leads for dual chamber device | $14,794.00 |
| ICD Procedure Charges -> Repair one lead for single chamber device | $14,794.00 |
| ICD Procedure Charges -> Testing ICD at insertion | $1,766.00 |
| ICD Procedure Charges -> Testing SID at insertion - Rep - F/U | $1,766.00 |
| Icm/Ilr Remote Tech Svc | $166.00 |
| ID by nucleic acid probe (Biofire) | $125.00 |
| Identification Of Sentinel Node | $1,671.00 |
| IgA | $42.00 |
| IgA | $49.00 |
| IgA (QST) | $49.00 |
| IgA (QST) | $49.00 |
| IgA (QST) | $49.00 |
| IgA (QST) | $86.00 |
| IgA (QST) | $86.00 |
| IgA Subclasses -Quest | $49.00 |
| IgD, Serum -Quest | $49.00 |
| IGF 1, LC/MS -Quest | $112.00 |
| IGF Binding Protein 1 (IGFBP 1) -Quest | $87.00 |
| IGF Binding Protein 2 (IGFBP 2) -Quest | $87.00 |
| IGF Binding Protein 3 (IGFBP 3) -Quest | $75.00 |
| IgG | $49.00 |
| IgG (Dye Test) - QST | $186.00 |
| IgG (Dye Test) - QST | $186.00 |
| IgG (QST) | $49.00 |
| IgG Avidity - QST | $1,244.00 |
| IgG Subclass 1 (QST) | $42.00 |
| IgG Subclass 2 (QST) | $42.00 |
| IgG Subclass 3 (QST) | $42.00 |
| IgG Subclass 4 (QST) | $42.00 |
| IgG Synthesis Rate -Quest | $49.00 |
| IgG, CSF -Quest | $49.00 |
| IgM | $49.00 |
| IgM-ELISA - QST | $69.00 |
| IgM-ELISA - QST | $69.00 |
| IHC ADDTL SINGLE STAIN (TECH) | $246.00 |
| IHC MULTIPLEX STAIN PROC (TECH) | $1,296.00 |
| Ileoscopy - Stoma W/Stent Placmnt Inc Dila | $12,646.00 |
| Ileostomy Revision Simple | $12,384.00 |
| Ileostomy/Jejunostomy Non Tube | $4,669.00 |
| ILLUMINATOR SURGICAL LIGHTMAT DEEP CAVITY 2X5CM ULTRATHIN BOSS INSTRUMENTS LTD UA2550 | $298.00 |
| Ilr Device Eval Progr | $166.00 |
| Ilr Device Interog In Per | $77.00 |
| ILUM EXM VERSALGHT MLFNC INTGR BOSS INSTRUMENTS LTD VSG311 | $540.00 |
| Image Cath Fluid Colxn Visc | $6,500.00 |
| Image Cath Fluid Drainage Peri/Retro | $6,500.00 |
| Image Cath Fluid Trns/Vgnl | $6,500.00 |
| Image Fusion | $585.00 |
| Imipramine -Quest | $75.00 |
| Imm Complex Detect by C1q Binding -Quest | $129.00 |
| Immed Ins Breast Prost Fol Mas | $22,006.00 |
| Immersion Biometry | $504.00 |
| IMMOBILIZER HAND ALUMINUM LG ISI MEDICAL 760 | $116.00 |
| IMMOBILIZER HAND ALUMINUM XL ISI MEDICAL 761 | $116.00 |
| Immune Cell Function -Quest | $717.00 |
| Immunodiffusion precipitins panel | $63.00 |
| Immunofixation Electrophoresis. | $118.00 |
| IMMUNOFLUO ANTB EA ADDL (TECH) | $125.00 |
| Immunofluorescence (TECH) | $1,296.00 |
| IMMUNOFLUORESCENCE @ (TECH) | $1,296.00 |
| Immunofluorescence, add (TECH) | $203.00 |
| Immunoglobulin A. | $49.00 |
| Immunoglobulin E -Quest | $87.00 |
| Immunoglobulin G Subclass 4 -Quest | $45.00 |
| Immunoglobulin G, Serum | $49.00 |
| Immunoglobulin G. | $49.00 |
| Immunoglobulin M. | $49.00 |
| IMMUNOPEROXIDASE (TECH) | $684.00 |
| Imp Artific Urethral Sphincter | $73,063.00 |
| Impl Neuroelectrode-Sacral Nerve | $26,771.00 |
| IMPLANT BREAST 300CC MOD + SMOOTH RND MEMORY GEL MENTOR BREAST IMPLANTS 350-3001BC | $3,400.00 |
| IMPLANT COAPTITE 1ML SYRINGE BOSTON SCI:UROLOGY/GYNECOLOGY M0068903000 | $1,632.00 |
| IMPLANT CONICAL SUBTALAR 10MM TORNIER INC CSI-10 | $5,563.00 |
| IMPLANT CUSTOM CRANIAL PEEK SYNTHES TRAUMA SD800.518 | $24,585.00 |
| Implant Electrodes,Sacra | $26,771.00 |
| IMPLANT FOOT WEDGE PLANAR PATIENT CUSTOM MEDIAL COLUMN ADDITIVE DEVICE INC 9000-0006-A | $42,000.00 |
| IMPLANT HYPROCURE SIZE 7 | $6,800.00 |
| IMPLANT KNEE MRH BMPR 3 DEG STRYKER KNEE 6481-2-133 | $2,090.00 |
| IMPLANT KNEE MRH FEMORAL LT M STRYKER KNEE 6481-1-120 | $18,346.00 |
| IMPLANT LORDOTIC H 14X14.5MM ROI-C ZIMMER SPINE MC1424P | $4,916.00 |
| IMPLANT MENISCAL ULTRA FASTFIX AB CVD SMITH & NEPHEW ENDOSCOPY 72201494 | $1,051.00 |
| IMPLANT MENISCAL ULTRA FASTFIX AB REVERSE SMITH & NEPHEW ENDOSCOPY 72201495 | $1,051.00 |
| IMPLANT MGEL HI PRO RND 490CC | $3,400.00 |
| Implant Osseoin Impl Temp | $47,967.00 |
| IMPLANT PLUG BONE S 9-12MM STRYKER HIP 6215-5-001 | $416.00 |
| Implant Removal Elbow Joint | $11,745.00 |
| Implant Removal Radial H | $11,745.00 |
| IMPLANT SALINE BREAST 375CC MENTOR CORP 350-1660 | $1,320.00 |
| Implant Spinal Catheter | $20,442.00 |
| Implant Spinal Catheter | $25,517.00 |
| Implant Spine Inf Pump | $71,935.00 |
| Implant Spine Infus Pump | $71,935.00 |
| IMPLANT STERILE RAMPART O 12X25MM SPINEOLOGY 380-2512 | $10,136.00 |
| IMPLANT STERILE RAMPART O 9X25MM SPINEOLOGY 380-2509 | $10,136.00 |
| IMPLANT SYSTEM PROX TENODESIS ARTHREX INC AR-2290 | $1,800.00 |
| IMPLT SPNL VIRAGE CLSR TOP HD TO HD TRNSV BIOMET SPINE 07.01719.001 | $228.00 |
| IMPLT SPNL VIRAGE DOME NUT HD TO HD TRNSV BIOMET SPINE 07.01720.001 | $228.00 |
| Impress & Custm Prep Oral Surg Splint | $923.00 |
| IMRT Complex | $2,457.00 |
| IMRT Simple | $2,457.00 |
| In.Pact balloon 120 | $3,739.00 |
| In.Pact balloon 40, 60, 80 | $3,339.00 |
| INBONE POLY INSERT SIZE 4 WRIGHT MEDICAL ANKLE 220224411E | $8,404.00 |
| INBONE TALAR DOME SULCUS WRIGHT MEDICAL TECHNOLOGY 220220904 | $20,852.00 |
| Inc & Dr Epipidymis Testis/Scrotal | $8,222.00 |
| Inc & Drain Abscess Linqual | $2,181.00 |
| Inc & Drain Abscess Masticator | $2,181.00 |
| Inc & Drain Abscess Subli Deep | $5,727.00 |
| Inc & Drain Abscess Submandib | $9,990.00 |
| Inc & Drain Abscess Submental | $5,727.00 |
| Inc & Drain Deep Abs Or Hemat | $6,158.00 |
| Inc & Drain Deep Abs Or Hemat | $12,397.00 |
| Inc & Drain Deep Abs Or Hemat | $10,648.00 |
| Inc & Drain Deep Absc Hematoma | $12,397.00 |
| Inc & Drain Deep Abshematoma | $10,648.00 |
| Inc & Drain Extr Abs Submandib | $9,990.00 |
| Inc & Drain Extr Absc Masticat | $5,727.00 |
| Inc & Drain Extra Absc Subment | $19,807.00 |
| Inc & Drain Inf Bursa Arm | $6,158.00 |
| Inc & Drain Infect Bursa Foot | $6,158.00 |
| Inc & Drain Infected Bursa | $5,880.00 |
| Inc & Drain Infected Bursa Hip | $5,880.00 |
| Inc & Drain Sub Rectal Abscess | $4,630.00 |
| Inc Deep W Open Bone Cortex | $12,397.00 |
| Inc Deep W Open Cortex Humerus/Elbow | $11,745.00 |
| Inc Deep W Open Cortex Osteomy | $25,517.00 |
| Inc Deep W Open Cortex Osteomy | $11,745.00 |
| Inc Deep W Opening Cortex Hand Finger | $5,880.00 |
| Inc Drng Lg/Ank Inf Bursa | $11,745.00 |
| Inc Implnt Cranial Nerve Neurostimulator | $124,005.00 |
| Inc Labial Frenum Frenotomy | $2,181.00 |
| Inc Lingual Frenum Frenotomy | $5,727.00 |
| Inc Sub Plac Neurost Rec Perip | $83,753.00 |
| Inc Thrombosed Hemorrhoid External | $1,094.00 |
| Inc To Impl Neuro Ele Peri Nerve | $83,753.00 |
| Inc&Drnage/Vulva/Perineal Abscess | $1,290.00 |
| Inc/Draninage Lacrimal Gland | $3,614.00 |
| Incise Inner Eye Adhesions | $8,583.00 |
| Incision & Drainage Deep Abscess | $11,239.00 |
| Incision and Drainage Tray | $250.00 |
| Incision Drainage Of Penis | $6,158.00 |
| Incision For Implantation | $83,753.00 |
| INCISION THROMBOS HEM EXT | $1,094.00 |
| Incision, Flexor Tend Sheath,Wrist | $11,745.00 |
| Incisional Biopsy Skin Single Les | $1,406.00 |
| India Ink Stain. | $28.00 |
| Induced Abortion 1/> Amniotic Injx | $2,870.00 |
| Induced Abortion D&C | $10,572.00 |
| Induced Abortion D&E | $10,572.00 |
| Induction Of Arrhy By Pacing | $4,345.00 |
| Infant SiPAP Charge -> Initial charge | $905.00 |
| Infant SiPAP Charge -> Subsequent Charge | $905.00 |
| Inflix Ada,Rheum(QST) | $89.00 |
| Inflix Lvl,Rheum (QST) | $82.00 |
| Influenza A Ag | $53.00 |
| Influenza A DNA -> Negative | $677.00 |
| Influenza A DNA -> Positive | $677.00 |
| Influenza B Ag | $53.00 |
| Influenza Type A and B Ab Serum -Quest | $72.00 |
| Influenza Type B Ab | $72.00 |
| Infusion Billing Procedures -> COLLECT BLD VIA LINE ( | $503.00 |
| Infusion Billing Procedures -> COLLECT BLD VIA PORT ( | $503.00 |
| Infusion Billing Procedures -> DELCOT CATH BY THROMBOLYT ( | $1,363.00 |
| Infusion Billing Procedures -> PORT/IV FLUSH ( | $264.00 |
| Infusion Billing Theraputic -> IV INF THER PROPH DX TO R ( | $885.00 |
| Infusion Billing Theraputic -> THERA/DIAG INJECTION IV ( | $885.00 |
| Infusion Billing Transfusion -> TRANSFUSION BLOOD/COMPON ( | $1,809.00 |
| Infusion Billing Vaccines -> ADM IMMUNIZATION; 1ST ( | $282.00 |
| Infusion Billing Vaccines -> ADM PNEUMOCOCCAL VACCINE ( | $190.00 |
| Infusion Billing Vaccines -> ADMIN FLU VACCINE ( | $179.00 |
| Infusion Billing Vaccines -> ADMIN HEPATITIS B VACCINE ( | $179.00 |
| Infusion cath/balloon | $531.00 |
| Infusion catheter 40 cm | $781.00 |
| Infusion core wire | $184.00 |
| Infusion Pump | $111.00 |
| Infusion/Installation Radioelement Solution | $1,061.00 |
| Ingestion Challenge Test Init 120 Min | $2,038.00 |
| Inhibin A - Quest | $192.00 |
| Inhibin A, Dimeric (QST) | $82.00 |
| Inhibin B -Quest | $75.00 |
| Initial 2Nd Order Branch | $1,458.00 |
| Initial 2Nd Order Branch | $1,458.00 |
| Initial 3Rd Order Branch | $1,663.00 |
| Initial 3Rd Order Branch | $1,663.00 |
| Initial Chemo -> CHEMO INF UP TO 1 HR () | $1,363.00 |
| Initial Chemo -> CHEMO IV PUSH ( | $885.00 |
| Inj 1 Or 1+ Trgr Pt 1 Or 2 Muscl | $1,170.00 |
| INJ 1 OR 1+TRGR 1 2 MUSCL | $1,170.00 |
| INJ 1/1+ TRGR PT 3 > MUSC | $1,170.00 |
| Inj Anes Agent Sphen Ganglion | $1,108.00 |
| INJ ANES FACIAL NERVE | $503.00 |
| INJ ANEST TRIGEM NRV | $837.00 |
| Inj Anesth;Brach Plex | $3,424.00 |
| Inj Anter Chamb Air/Liquid | $8,583.00 |
| Inj Anter Chamb Medication | $8,583.00 |
| Inj Corpora Cavernosa | $1,036.00 |
| Inj Dx/Ther Sbst Intrlmnr Crv/Thrc W/Image | $2,830.00 |
| Inj Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img | $2,830.00 |
| Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Image | $2,830.00 |
| Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img | $2,830.00 |
| INJ EPIDURAL BLOOD PATCH | $2,830.00 |
| Inj Intralesional More Than 7 | $790.00 |
| Inj Intralesional Up To 7 | $790.00 |
| Inj Intrlmnr Crv/Thr Indwellng Cath W/Imag | $3,424.00 |
| Inj Intrlmnr Crv/Thr Indwellng Cath W/O | $3,424.00 |
| Inj Intrlmnr Lmb/Sac Indwellng Cath W/Imag | $3,424.00 |
| Inj Intrlmnr Lmb/Sac Indwellng Cath W/O | $3,424.00 |
| Inj Lumb Epidural Blood Patch | $2,830.00 |
| Inj Nephrostogrm And/Or Ureterogrm,New Acc | $2,657.00 |
| Inj Neurolytic Cerv/Thora | $7,710.00 |
| Inj Neurolytic Intercostal Nerve | $3,424.00 |
| Inj Neurolytic Lumb/Sacra | $7,710.00 |
| Inj Neurolytic Other Periph Nv | $3,614.00 |
| Inj Neurolytic Trigeminal | $3,424.00 |
| INJ OTHER PERIPHER NERVE | $2,830.00 |
| Inj Proc For Elbow Arthrograph | $210.00 |
| Inj Proc/Contrast Venography | $196.00 |
| Inj Procedure Hysterosalpingraphy | $845.00 |
| Inj Sclerosing Solut Mult Vein | $1,406.00 |
| Inj Sclerosing Solut One Vein | $1,406.00 |
| INJ TENDON ORIGIN/INSERT | $1,170.00 |
| Inj Tendon Origin/Inserti | $1,170.00 |
| INJ TENDON SHEATH | $1,170.00 |
| Inj Thera Carpal Tunnel | $1,108.00 |
| Inj Therpeutic Agent Tenon Ca | $1,269.00 |
| Inj Trig Nrv 2&3 Foramen Ovale | $7,304.00 |
| Inj Viterous Subs W/Wo Aspiration | $8,583.00 |
| Inj,Plantr Digtl Nerve | $1,108.00 |
| Inj,Sup Hypogastric Plexus | $3,424.00 |
| Inject Sinus Tract Therap | $6,045.00 |
| Inject Tendon Lig | $1,170.00 |
| Injectable Bulking Agent | $1,632.00 |
| Injection Dupuytren Cord W/Enzyme | $1,108.00 |
| Injection Nfrosgrm &/Urtrgrm; Exist Access | $2,657.00 |
| Injection Peyroine'S Disease | $1,036.00 |
| Injection Procedure For Cystography | $642.00 |
| Injection Urethrocystography | $642.00 |
| INS ACTB +6MM HIP TPR E-2 ZIMMER HIP 139249 | $400.00 |
| INS ACTB -3MM HIP TPR E-2 EA1 ZIMMER HIP 139248 | $400.00 |
| INS ACTB -3MM TPR HIP E-2 ZIMMER HIP 139246 | $400.00 |
| INS ACTB E-2 -6MM TPR HIP ZIMMER HIP 139245 | $400.00 |
| INS ACTB STD HIP TPR E-2 ZIMMER HIP 139247 | $400.00 |
| INS ARTC 16MM VIVACIT-E PERSONA ZIMMER KNEE 42522100816 | $4,717.00 |
| INS ARTC 3-11 EF 10MM LFT PERSONA ZIMMER KNEE 42512000510 | $4,717.00 |
| INS ARTC 3-11 E-F 11MM PERSONA ZIMMER KNEE 42511000511 | $4,717.00 |
| INS ARTC 3-11 EF 12MM LFT PERSONA ZIMMER KNEE 42512000512 | $4,717.00 |
| INS ARTC 3-11 E-F 12MM PERSONA ZIMMER KNEE 42511000512 | $4,717.00 |
| INS ARTC 3-11 E-F 12MM RT PERSONA ZIMMER KNEE 42521000512 | $4,717.00 |
| INS ARTC 3-11 E-F 12MM RT VIVA PERSONA ZIMMER KNEE 42522000512 | $4,717.00 |
| INS ARTC 3-11 E-F 14MM PERSONA ZIMMER KNEE 42511000514 | $4,717.00 |
| INS ARTC 3-5 C-D 18MM RT VIVA PERSONA ZIMMER KNEE 42522400410 | $4,500.00 |
| INS ARTC 3-9 CD 10MM LFT PERSONA ZIMMER KNEE 42511000410 | $4,717.00 |
| INS ARTC 3-9 C-D 11MM RT PERSONA ZIMMER KNEE 42521000411 | $4,500.00 |
| INS ARTC 3-9 CD 11MM RT PERSONA ZIMMER KNEE 42522000411 | $4,717.00 |
| INS ARTC 3-9 CD 12MM LFT PERSONA ZIMMER KNEE 42512000412 | $4,717.00 |
| INS ARTC 3-9 C-D 12MM RT PERSONA ZIMMER KNEE 42521000412 | $4,717.00 |
| INS ARTC 3-9 CD 12MM RT PERSONA ZIMMER KNEE 42522000412 | $4,500.00 |
| INS ARTC 3-9 C-D 14MM LFT PERSONA ZIMMER KNEE 42511000414 | $4,717.00 |
| INS ARTC 6-7 EF 12MM RT PERSONA ZIMMER KNEE 42522100712 | $4,717.00 |
| INS ARTC 6-9 E-F 10MM LFT PERSONA ZIMMER KNEE 42511400710 | $4,717.00 |
| INS ARTC 6-9 EF 10MM RT PERSONA ZIMMER KNEE 42521400710 | $4,717.00 |
| INS ARTC 7-12 GH 10MM LFT PERSONA ZIMMER KNEE 42512000610 | $4,717.00 |
| INS ARTC 7-12 GH 12MM LFT PERSONA ZIMMER KNEE 42512000612 | $4,717.00 |
| INS ARTC 7-12 GH 12MM RT PERSONA ZIMMER KNEE 42522000612 | $4,717.00 |
| Ins Biomchn Dev Intervertebral Dsc Spc W/ | $2,838.00 |
| Ins Cath Ren Art 1St Bilateral | $12,483.00 |
| Ins Cath Ren Art 1St Unilat | $12,483.00 |
| Ins Cath Ren Art 2Nd+ Bilateral | $12,483.00 |
| Ins Cath Ren Art 2Nd+ Unilateral | $20,682.00 |
| Ins Endovas Vena Cava Fil | $20,682.00 |
| Ins Implant Intra Art Infusion Pump | $19,594.00 |
| Ins Iol Prost W/O Cataract Rem | $8,583.00 |
| Ins Nasal Septal Prost (Button | $5,727.00 |
| INS PICC LINE>=5YRS | $5,168.00 |
| Ins Replc Electrodes Dual Chamber | $33,149.00 |
| Ins Subcut Reservoir Pump | $21,578.00 |
| INS SUT RTNT SLOT NDLHLDR MEDTRON CARDIAC SURGERY 28707 | $201.00 |
| INS TIB 5 9MM KNEE PSTSTAB STRYKER KNEE 5532-P-509 | $2,800.00 |
| INS TIB 6 9IN KNEE X3 PSTSTAB EA1 STRYKER KNEE 5532-P-609 | $2,800.00 |
| Ins Tissue Expand Subsq Expan | $12,384.00 |
| Insert Ant Drainage Device | $16,298.00 |
| Insert Ant Segment Drain Int | $8,149.00 |
| Insert Ant Segment Drain W/O Resrvr;Int | $16,298.00 |
| INSERT ARTC PSN 10MM VE 3-11EF ZIMMER HOLDINGS INC 42522000510 | $4,717.00 |
| INSERT CANNULA VEIN-VEIN | $20,682.00 |
| INSERT CVP<5 YRS | $5,168.00 |
| INSERT CVP>=5YRS | $5,168.00 |
| Insert Epicard Eltrd,Endo | $3,500.00 |
| Insert Inflatable Penile Prosthesis | $73,063.00 |
| Insert Intraperiton Cannula W/Sub | $19,594.00 |
| Insert Non-Indw Blad Cath | $503.00 |
| Insert Non-Tunnel CV Cath | $5,168.00 |
| Insert Non-Tunnel CV Cath, 5Yrs Or Older | $5,168.00 |
| Insert Of Intraperitoneal Catheter;Permane | $13,195.00 |
| Insert Penile Pros/Inflat | $73,063.00 |
| Insert Periph Cv Cath W/O Pump <5 | $2,930.00 |
| Insert Periph Cv Cath W/O Pump 5 Or Older | $5,168.00 |
| Insert Periph Cv Cath W/Port <5 Yrs | $11,826.00 |
| Insert Periph Cv Cath W/Port 5 Yr, Older | $11,826.00 |
| Insert Picc W/Imag <5 Yr | $2,776.00 |
| Insert Picc W/Imag 5 Yr+ | $4,896.00 |
| INSERT PS TIBIAL SZ2 7MM E VITALIZE | $3,744.00 |
| INSERT PS TIBIAL SZ2 8MM E VITALIZE ORTHO DEVELOPMENT KNEE 166-5208 | $3,596.00 |
| Insert Spine Infusion Dev | $71,935.00 |
| Insert Tandem/Ovoids | $2,327.00 |
| Insert Temp Blad Cath;Complic | $642.00 |
| Insert Temp Blad Cath;Simple | $503.00 |
| Insert Testicular Prosthesis | $18,000.00 |
| INSERT TIB 3 9MM PEEK POST STRYKER KNEE 5532-P-309 | $2,800.00 |
| INSERT TIB 5 11MM X3 POST TRIATHLON STRYKER KNEE 5532-G-511 | $3,596.00 |
| INSERT TIB 6 11MM PEEK POST STRYKER KNEE 5532-P-611 | $2,800.00 |
| INSERT TIB 6 16MM PEEK POST TRIATHLON STRYKER KNEE 5532-P-616 | $2,800.00 |
| INSERT TIB 6 9MM X3 POST TRIATHLON STRYKER KNEE 5532-G-609 | $3,744.00 |
| INSERT TIB 7 11MM X3 POST TRIATHLON STRYKER KNEE 5532-G-711 | $3,596.00 |
| INSERT TIB 8 13MM PEEK POST TRIATHLON | $2,800.00 |
| INSERT TIB SZ3 14MM TOTAL JOINT ORTHOPEDICS INC 5301.03.014 | $2,772.00 |
| INSERT TIBAL INBONE 3H 8MM ANKLE SULCUS WRIGHT MEDICAL ANKLE 220223308E | $8,196.00 |
| INSERT TIBIAL 20MM MED M2/L2 STRYKER KNEE 6481-3-320 | $3,744.00 |
| INSERT TIBIAL 9MM KNEE TOTAL STRYKER KNEE 5537-G-409 | $8,196.00 |
| INSERT TIBIAL 9MM POST STAB STRYKER KNEE 5532-P-709 | $2,800.00 |
| INSERT TIBIAL 9MM PS BEARING STRYKER KNEE 5532-P-409 | $2,800.00 |
| INSERT TIBIAL POSTERIOR SZ 6 10MM FIXED BEARING ATTUNE TR DEPUY ORTHOPAEDICS INC 151640610 | $4,600.00 |
| INSERT TIBIAL SZ 4 11MM STRYKER KNEE 5532-P-411 | $2,800.00 |
| INSERT TIBIAL TRIATHLON X3 4 H STRYKER KNEE 5537-G-411 | $8,196.00 |
| INSERT TIBIAL XXSM 16MM RT DEPUY ORTHOPAEDICS INC 198727016 | $11,227.00 |
| INSERT TRIDENT 0 DEGREE 36MM POLY STRYKER HIP 623-00-36E | $3,400.00 |
| Insert Tun Ip Cath Perc | $13,928.00 |
| Insert Tunneled Cv Cath W/Sub Port | $19,594.00 |
| Insert Tunneled Cv Cath W/Sub Pump | $19,594.00 |
| Insert Tunneled Cv Cath, <5 Yrs | $19,594.00 |
| Insert Tunneled Cv Cath, 5 Yrs & Older | $12,483.00 |
| Insert Tunneled Cv Cath, 5 Yrs Or Older | $12,483.00 |
| Insert Tunneled Cv Cath, Under 5 Yrs | $11,826.00 |
| Insert Uteri Tandems/Ovoids | $10,572.00 |
| Insert Vag Radiation Brachytherapy | $1,290.00 |
| Insert Vag Radiation Brachytherapy - Tech | $1,290.00 |
| Insert Vaginal Radiation | $1,290.00 |
| Insert/Pin Retained Palatal Prosthesis | $19,807.00 |
| Insert/Rem Wire/ Pin | $12,397.00 |
| INSERT/REMOVE WIRE PIN | $12,397.00 |
| Insertion Antibiotic Beads | $477.00 |
| Insertion Cervical Dilato | $1,290.00 |
| Insertion Of Tandem Cuff | $73,063.00 |
| Insertion Penile Prosthesis Non-Infl | $73,063.00 |
| Insertion Pessary | $784.00 |
| Insertion Vascular Pedicle | $11,745.00 |
| In-Situ Ve Bypass Fen/Tib Pero | $2,663.00 |
| In-Situ Vein Bypass Femoral Popliteal | $2,771.00 |
| Insj Stablj Dev W/DCmprn Lumbar Single Lev | $68,958.00 |
| Insj Stablj Dev W/O DCmprn Lumbar Single L | $68,958.00 |
| Insr Tunl Pleur Cath W/Cuff | $13,928.00 |
| Instill Agnt For Fibrinolysis, Inital Day | $2,776.00 |
| Instill Agnt For Fibrinolysis, Subq Day | $2,776.00 |
| Instill Ther Agnt Ren Pelvis | $1,036.00 |
| INSTRUMENT FIXATION TITAN 5MM PRO TACK 5MM US SURGICAL 174006 | $2,365.00 |
| Insulin 120 Minutes. | $60.00 |
| Insulin 150 Minutes. | $60.00 |
| Insulin 180 Minutes. | $60.00 |
| Insulin 30 Minutes. | $60.00 |
| Insulin 60 Minutes. | $60.00 |
| Insulin 90 Minutes. | $60.00 |
| Insulin Autoantibody (QST) | $113.00 |
| Insulin Autoantibody -Quest | $113.00 |
| Insulin Baseline. | $60.00 |
| Insulin Level Total. | $60.00 |
| Insulin, Free (Bioactive) -Quest | $68.00 |
| INT REP FACE EAR EYE 2.5 | $1,484.00 |
| INT REP FACE EAR EYE 2.6- | $1,484.00 |
| INT REP FACE EAR EYE 5.1- | $1,484.00 |
| Int Rep Face Ear Lip Ld Nose 12.6-20cm | $1,484.00 |
| Int Rep Face Ear Lip Lid No 7.6-12.5cm | $1,484.00 |
| Int Rep Face Ear Lip Lid Nos 5.1-7.5cm | $1,484.00 |
| Int Rep Face Ear Lip Lid Nose 2.6-5cm | $1,484.00 |
| Int Rep Fc Er Ld Lp >30.0cm | $1,406.00 |
| Int Rep Fc Er Ld Lp 20.1-30.0 | $1,406.00 |
| Int Rep Fc Er Lid Lp No 2.5cm | $1,484.00 |
| Int Rep Neck Hands Feet Genit >30cm | $6,935.00 |
| Int Rep Neck Hands Feet Genit 2.5cm | $1,484.00 |
| Int Rep Neck Hands Ft Gen 7.6-12.5cm | $2,282.00 |
| Int Rep Neck Hands Ft Gent 12.6-20cm | $2,162.00 |
| Int Rep Neck Hands Ft Gent 2.6-7.5cm | $1,484.00 |
| Int Rep Neck Hands Ft Gent 20.1-30cm | $1,406.00 |
| INT REP NK HN FT GEN 2.5 | $1,484.00 |
| INT REP NK HN FT GEN 2.6- | $1,484.00 |
| INT REP NK HN FT GEN 7.6- | $2,282.00 |
| INT REP SC TK HD FT 12.6- | $1,484.00 |
| INT REP SC TK HD FT 20.1- | $2,282.00 |
| INT REP SC TK HD FT>30.0 | $7,320.00 |
| INT REP SCL TK HD FT 2.6- | $1,484.00 |
| INT REP SCL TK HD FT 7.6- | $1,484.00 |
| Int Rep Trunk Limb Neck Sc 12.6-20cm | $1,484.00 |
| Int Rep Trunk Limb Neck Scalp 0-2.5cm | $1,484.00 |
| Int Rep Trunk Limb Nk Sc 2.6-7.5cm | $1,484.00 |
| Int Rep Trunk Limb Nk Sc 7.6-12.5cm | $1,484.00 |
| Int Rep Trunk Limb Scalp >30cm | $7,320.00 |
| Int Rep Trunk Limb Scalp 20.1-30cm | $2,282.00 |
| INT RPR FACE EAR 12.6-20C | $1,484.00 |
| INT RPR FACE EAR EYE 7.6- | $1,484.00 |
| INT RPR SCL TRK HD FT 2.5 | $1,484.00 |
| Intens EEG Monitor W Video | $4,087.00 |
| INTENSE RADIOTHERAPY PLAN | $5,633.00 |
| Inter Part Comp Femor Vein | $11,826.00 |
| Intercarpal Fusion W/O Bone Graft | $25,517.00 |
| Interdental Wiring Not Fracture | $5,727.00 |
| Interlock coils | $1,603.00 |
| Interp Thal/Hgb (QST) | $163.00 |
| Interp-Organic Acids Pattern-QST | $843.00 |
| Interposition Arthrop Inter Or Carp Jts | $11,745.00 |
| Interpretation,Organic Acids U-QST | $1,330.00 |
| Interrogate Vad In Person | $526.00 |
| INTRA OP CONS CYTO ADDL (TECH) | $306.00 |
| INTRA OP CONS CYTO INITL (TECH) | $2,638.00 |
| Intra-aortic balloon Pump -> Insert IABP | $1,535.00 |
| Intra-aortic balloon Pump -> Remove IABP | $769.00 |
| Intracarp Inf W/Autograft | $25,517.00 |
| Intracoronary US Additional Vessel | $2,192.00 |
| Intracoronary US Procedure | $3,061.00 |
| Intralum Impedance > 1 Hr | $2,038.00 |
| Intralum Impedance Test | $1,130.00 |
| Intraoperative bleeding control requested by other service | $2,930.00 |
| Intraoral Complete Film Series | $170.00 |
| Intravasc Us; Each Add Noncoronary Vessel | $2,678.00 |
| Intravasc Us; Initial Noncoronary Vessel | $3,350.00 |
| Intravitreal Inj Of Pharmac Agent | $1,291.00 |
| Intrinsic Factor Blocking Ab -Quest | $80.00 |
| Intro cath aorta | $1,975.00 |
| Intro Cath Main Pul Artery | $616.00 |
| Intro cath R heart or main pulm. artery | $616.00 |
| Intro Cath Sup/Inf Vena Cav | $1,020.00 |
| Intro Catheter Aorta | $1,975.00 |
| INTRO NEEDLE/CATH VEIN | $416.00 |
| Intro needle/catheter, vein | $416.00 |
| Intro Needle/Intraca Vein | $416.00 |
| Intro needle/intracath extremity | $1,279.00 |
| INTRO SHTH 20FR 56CM 40CM VLV EA1 COOK GROUP INC G12830 | $1,356.00 |
| Intro Windpipe Wire/Tube | $6,130.00 |
| Intro,Gastrointest Tube | $3,527.00 |
| Introducer catheter SVC/IVC | $1,020.00 |
| INTRODUCER HICKMAN PTFE 10F BARD ACCESS SYSTEMS INC 0601110 | $298.00 |
| INTRODUCER SHEATH 12FR 30CM RADIOPAQUE TIP COOK GROUP INC G08956 | $260.00 |
| INTRODUCER SHEATH 16FX30CM COOK MEDICAL INC G09691 | $396.00 |
| INTRODUCER SHEATH 18F 30CM COOK MEDICAL INC G11672 | $396.00 |
| INTUBATE ENDOTRACH EMERG | $974.00 |
| Intubation Endotracheal | $974.00 |
| INTUBATOR LACRAMAL W/O SUT JEDMED INSTRUMENT COMPANY 28-0185 | $328.00 |
| Iodine, Random Urine -Quest | $115.00 |
| Iodine, Serum/Plasma -Quest | $114.00 |
| Iodoform packing | $215.00 |
| IOL Master | $477.00 |
| IOP Fam Psytx W/Pt 50 Min | $571.00 |
| IOP Group Therapy | $342.00 |
| IOP Indiv Therapy 45 Min | $571.00 |
| IOP Indiv Therpy 20-30Min | $571.00 |
| IR Abdominal Abscess Drain Removal | $3,762.00 |
| IR Abscess Drainage Tube Change | $7,010.00 |
| IR Abscess Drainage Tube Injection | $438.00 |
| IR Arterial Embolization Not Otherwise | $45,694.00 |
| IR Arterial Foreign Body Retrieval | $10,302.98 |
| IR Biliary Drain Convert Ex to Int/Ext | $13,928.00 |
| IR Biliary Drain Exchange any to Ext | $13,928.00 |
| IR Biliary Drain Placement External | $13,928.00 |
| IR Biliary Drain Placement Int / Ext | $13,928.00 |
| IR Biliary Drain Removal | $3,599.00 |
| IR Biliary Internal Stent Placement | $21,719.00 |
| IR Billiary Procedures -> (+) PTA biliary duct | $9,180.00 |
| IR Billiary Procedures -> Biliary stent-existing site | $21,719.00 |
| IR Billiary Procedures -> Biliary stent-new access and drain | $21,719.00 |
| IR Billiary Procedures -> Biliary stent-new site | $21,719.00 |
| IR Billiary Procedures -> Cholang. through existing cath | $13,928.00 |
| IR Billiary Procedures -> Cholang. through new access | $13,928.00 |
| IR Billiary Procedures -> Convert ext. drain to int/ext. | $13,928.00 |
| IR Billiary Procedures -> Exchange biliary Drain | $13,928.00 |
| IR Billiary Procedures -> Place biliary drain - int/ext. | $13,928.00 |
| IR Billiary Procedures -> Place biliary drain-external | $13,928.00 |
| IR Billiary Procedures -> Removal of drain under fluoro | $3,599.00 |
| IR Biopsy Bone Deep Percutaneous | $6,500.00 |
| IR Biopsy of Liver | $6,500.00 |
| IR Biopsy of Superficial Lymph Node | $6,500.00 |
| IR Chest Tube Repostion | $13,928.00 |
| IR Cholangogram Via Existing Tube | $13,928.00 |
| IR Cholangogram Via New Access (PTC) | $13,928.00 |
| IR Cholecystostomy Tube Change | $13,928.00 |
| IR Cholecystostomy Tube Placement | $13,928.00 |
| IR Drainage Peri/ Retroperitoneal | $6,500.00 |
| IR Drainage Soft Tissue | $2,738.00 |
| IR Drainage Visceral | $6,500.00 |
| IR Embolization Procedures -> Chemo administration | $1,363.00 |
| IR Embolization Procedures -> Vasc. embolization/occlusion vein | $45,694.00 |
| IR Embolization Procedures -> Vascular embolization for hemorrhage | $45,694.00 |
| IR Embolization Procedures -> Vascular embolization/occlusion to interv. | $45,694.00 |
| IR Embolization Procedures -> Vascular embolization/occlusion-artery | $45,694.00 |
| IR Extremity Venogram Left | $2,930.00 |
| IR Extremity Venogram Right | $2,930.00 |
| IR Fine Needle Aspiration w/ Guidance | $6,500.00 |
| IR Fluoro < =1 hr with Radiologist | $1,090.00 |
| IR Fluoro Guide Spine Therapy INJ | $447.00 |
| IR G , J, or G-J Tube Inject w/ Fluoro | $632.00 |
| IR G Tube Change | $3,599.00 |
| IR G Tube Placement | $7,010.00 |
| IR GI Tube Placement | $691.00 |
| IR GJ Tube Change | $3,599.00 |
| IR GJ Tube Placement | $3,599.00 |
| IR Insert Tun IP Cath Percut | $4,932.00 |
| IR Jejunostomy Tube Change | $2,394.00 |
| IR Joint, Intermed LT Drain or Inj w/US | $2,830.00 |
| IR Joint, Intermed RT Drain or Inj w/US | $2,830.00 |
| IR Joint, Major LT Drain or Inj w/US | $1,170.00 |
| IR Joint, Major RT Drain or Inj w/US | $1,170.00 |
| IR Joint, Small LT Drain or Inj w/US | $1,170.00 |
| IR Joint, Small RT Drain or Inj w/US | $1,170.00 |
| IR Kyphoplasty Lumbar 1 Region | $26,935.00 |
| IR Kyphoplasty Thoracic 1 Region | $26,935.00 |
| IR Lower Extremity Venogram Unilat LT | $2,930.00 |
| IR Lower Extremity Venogram Unilat RT | $2,930.00 |
| IR Myelogram 2 + Regions, incl inject | $3,269.00 |
| IR Myelogram, Cervical w/ Injection | $3,269.00 |
| IR Myelogram, Lumbar w/ Injection | $3,269.00 |
| IR Myelogram, Thoracic w/ injection | $3,269.00 |
| IR Neph Tube Change | $8,222.00 |
| IR Neph Tube Chg to Int Nephroureteral | $8,222.00 |
| IR Neph Tube Inj / Nephrostogra New Acc | $2,657.00 |
| IR Neph Tube Inj /Nephrostogr Exist Acc | $2,657.00 |
| IR Neph Tube Placement | $8,222.00 |
| IR Nephroureteral Drain Place Unilateral | $8,222.00 |
| IR Nephroureteral Stent Placement | $8,222.00 |
| IR Nontunneled Venous Catheter Placement | $5,168.00 |
| IR Nontunneled Venous Catheter Replace | $5,168.00 |
| IR PICC Insert Less than 5 Years | $2,930.00 |
| IR PICC Insert 5 Years or Greater | $5,168.00 |
| IR PICC Replacement Same Vein | $5,168.00 |
| IR PICC Reposition with Fluoro | $5,168.00 |
| IR PICC Tunelled, Removal | $2,930.00 |
| IR PICC Tunnelled, Placement | $5,168.00 |
| IR Removal Chest Tube | $2,930.00 |
| IR Remove Obstruction G Tube | $1,791.00 |
| IR Sedation Moderate > 5 years | $684.00 |
| IR Sedation, Moderate < 5 years | $684.00 |
| IR Spinal Puncture Lumbar w/o injection | $2,830.00 |
| IR Suprapubic Catheter Placement | $8,222.00 |
| IR Thrombolytic Declot Device or Cath | $1,363.00 |
| IR Tunnel Cath w/ Port Removal | $2,930.00 |
| IR Tunneled Catheter Exchange | $12,483.00 |
| IR Tunneled Catheter Removal | $2,930.00 |
| IR Tunneled Dial (Apheresis) Cath Place | $12,483.00 |
| IR Tunneled Infusion Catheter Placement | $12,483.00 |
| IR Tunneled Peritoneal (Ascites) Drain | $13,195.00 |
| IR Tunnelled Pleural Cath Insert Perc | $3,448.00 |
| IR Upper Extremity Venogram Unilat | $2,930.00 |
| IR Vena Cava Filter Placement | $20,682.00 |
| IR Venous Access w/ INJ | $196.00 |
| IR Venous Access w/o INJ | $416.00 |
| IR Venous Catheter Check | $522.00 |
| IR Venous Catheter Reposition w/ Fluoro | $5,168.00 |
| IR Venous Foreign Body Retrieval | $10,303.00 |
| IR Venous Port Placement | $12,483.00 |
| IR Venous Port Removal | $2,930.00 |
| IR Venous Port Revision | $5,168.00 |
| IR Vertebroplasty Cerv or Thoracic 1 Reg | $12,397.00 |
| IR Vertebroplasty Lumbar 1 Region | $12,397.00 |
| IR* SEDATION MOD > 5 YEARS | $684.00 |
| Iridectomy Peripheral (Glaucoma) | $8,583.00 |
| Iridectomy; Optical | $8,583.00 |
| Iridoplasty By Photo | $2,221.00 |
| Iridotomy/Iridectomy By Laser | $2,221.00 |
| Iron Level | $34.00 |
| Iron Level. | $34.00 |
| Iron stain.. | $152.00 |
| IRRIG OF CORPORA CAVERNOS | $499.00 |
| Irrigation Of Corpora Cavernosa | $499.00 |
| Islet Cell Antibody Screen (QST) | $112.00 |
| Islet Cell Antibody Titer (QST) | $112.00 |
| ISODOSE PLAN COMPLEX | $1,521.00 |
| ISODOSE PLAN SIMPLE | $1,521.00 |
| Isoniazid Lvl - Quest | $189.00 |
| ITCPL2 Wet QC | $110.00 |
| ITFTCA510 Celife Tubes | $110.00 |
| IUD REMOVAL | $784.00 |
| IUD Removal performed | $784.00 |
| IV Catheter | $187.00 |
| IV INF ADD SEQ INFUS TO R | $282.00 |
| IV INF ADD SEQ INFUS UP TO 1HR ( | $282.00 |
| IV INF CONCURR INFUSION | $356.00 |
| IV INF CONCURR INFUSION ( | $356.00 |
| IV INF HYDRAT UP TO 1HR | $885.00 |
| IV Inf Hydration | $885.00 |
| IV INF THER PROPH DX TO R | $885.00 |
| IV INF THER PROPH DX TO S | $179.00 |
| IV INF THER PROPH EA ADDL HR ( | $179.00 |
| IV INFU HYDRAT;EACH HOUR | $179.00 |
| IV INFU HYDRAT;EACH HOUR ( | $179.00 |
| Iv Inj To Test Vasc Flow In Flap Or Graft | $1,559.00 |
| IV Primary Tubing | $215.00 |
| IV PUMP SINGLE LINE | $3.00 |
| IV Secondary Tubing | $187.00 |
| IV Twin Catheter | $165.00 |
| IVC Filter Procedure -> Insertion IVC Filter | $20,682.00 |
| IVC Filter Procedure -> Retrieval IVC Filter | $12,483.00 |
| IVC Filter Procedures -> Insertion IVC Filter | $20,682.00 |
| IVC Filter Procedures -> Retrieval IVC Filter | $12,483.00 |
| J Splint | $298.00 |
| JAK2 Exons 12,13 Mutations,Ql-Quest | $750.00 |
| JAK2 V617F Mutation Analysis-Quest. | $750.00 |
| JAK2 V617F Ql Leum rflx Exons 12,13-QST | $484.00 |
| Jamshidi Needle | $570.00 |
| JC Polyoma Virus DNA Qn RT PCR CSF -Quest | $226.00 |
| JC Polyoma Virus DNA Qn RT PCR Plasma -Quest | $226.00 |
| JC Polyoma Virus DNA Qnt Urine-Quest | $966.00 |
| Jo-1 Antibody (QST) | $95.00 |
| Jo-1 Antibody (QST) | $199.00 |
| Jo-1 Antibody -Quest | $95.00 |
| Johnson Grass (g10) IgE-Quest | $25.00 |
| JOINT TOE FLEXIBLE HINGE WRIGHT MEDICAL ANKLE G4260101 | $3,852.00 |
| June Grass(Kentucky Blue)(g8) IgE -Quest | $28.00 |
| K WIRE 0.9MM WRIGHT MEDICAL TECHNOLOGY DSDS1009 | $137.00 |
| K WIRE 1.1X150MM WRIGHT MEDICAL TECHNOLOGY DSDS1011 | $137.00 |
| K WIRE 1.4X150MM WRIGHT MEDICAL TECHNOLOGY DSDS1014 | $137.00 |
| Kappa Lambda LC Total w/Calc 24 Hr Ur -Quest | $72.00 |
| Kappa Light Chain, Free, Serum (QST) | $72.00 |
| Kappa Light Chain, Free, Serum (QST) | $72.00 |
| Kappa/Lambda LC Free w/Ratio, Urine -Quest | $72.00 |
| Kappa/Lambda LC Total, Random Urine -Quest | $72.00 |
| Kappa-QST | $55.00 |
| Katzen wire | $532.00 |
| Keratoplasty Lamellar | $16,298.00 |
| Keratoplasty Penetra Aphakia | $16,298.00 |
| Keratoplasty Penetrat | $17,203.00 |
| Keratoplasty(Corneal Tx);Endothelial | $16,298.00 |
| Keratoprothesis | $44,038.00 |
| Kerlix | $82.00 |
| Keroplas Penetrating In Pseudophakia | $16,298.00 |
| Kirby-Bauer | $36.00 |
| KIT 2 PORT HEADER ST JUDE NEUROMODULATION 3032 | $2,200.00 |
| KIT ACCESS SUPRAPUBIC 18F CUSTOM 4-6 WEEKS COOK GROUP INC G16120 | $311.00 |
| KIT ART LINE 5IN 20GA INDWL TELEFLEX INC AK-04510-S | $160.00 |
| KIT ARTHRO INTERNAL BRACE ARTHREX INC AR-1688-CP | $4,300.00 |
| KIT BACTISEAL CATHETER INTEGRA NEUROSCIENCES INC 823072 | $2,496.00 |
| KIT BIO CART SMALL ARTHREX INC ABS-1000-S | $980.00 |
| KIT BIOPSY INTERNAL NAVIGUS MEDTRON SURGICAL TECH 9733066 | $4,803.00 |
| KIT BIO-SUTURETAK INSTRUMENT SMALL JOINT ARTHREX INC AR-8934DSC | $700.00 |
| KIT BIOTENODESIS IMPLANT ARTHREX INC AR-1676DS | $780.00 |
| KIT BLOWER MISTER CLEARVIEW MEDTRON CARDIAC SURGERY 22150 | $211.00 |
| KIT BONE ACCESS 10G 95MM OSTEOCOOL MEDTRON SPINAL AND BIOLOGICS OCN004 | $2,061.00 |
| KIT BONE ACCESS MEDTRON SPINE OCN003 | $2,061.00 |
| KIT BONE CEMENT VERTAPLEX STRYKER INSTRUMENTS 0607687000 | $3,399.00 |
| KIT BUTTON LARGE PEC ARTHREX INC AR-2269 | $6,600.00 |
| KIT CATH 40CM 14FR .038IN 11 KENDALL HEALTHCARE PRODUCTS 8888145063P | $1,833.00 |
| KIT CATH 45CM 11 SLVR ION 12ML KENDALL HEALTHCARE PRODUCTS 8888145064P | $1,833.00 |
| KIT DCMPRS PUR 175CM 14FR 6FR COOK GROUP INC G22181 | $657.00 |
| KIT DISP TRANSTIBIAL ACL W/SAW BLADE ARTHREX INC AR-1897S | $900.00 |
| KIT DISTAL BICEP REP IMPLNT BC ARTHREX INC AR-2260BC | $4,400.00 |
| KIT DLYS 36CM 14FR .038IN 11 KENDALL HEALTHCARE PRODUCTS 8888145062P | $1,518.00 |
| KIT DRN CYL LUMB CSF EDM 120ML MEDTRON SURGICAL TECH 27302 | $1,309.00 |
| KIT DRSG 14.5X11.5CM SENSATRAC KINETIC CONCEPTS INC M8275040/10.S | $166.00 |
| KIT DUAL PROBE 20X2MM MEDTRON SPINE OCP220 | $20,828.00 |
| KIT DX FIBERRTAK DISPOSABLE ARTHREX INC AR-8990DS | $762.00 |
| KIT ENDOSCOPIC HARVESTING VASOVIEW HEMOPRO 2 MAQUET VH-4000 | $5,115.00 |
| KIT FIXATION SPIN PIN 2X100MM TRIM-IT ARTHREX INC AR-4156DS | $971.00 |
| KIT FRACT ELITE 10G 15MM STRYKER INSTRUMENTS 0808015800 | $9,646.00 |
| KIT FRACTURE ADTNL 15/3 TRAY KYPHOPAK 15/3 ADD FRACTUR MEDTRON SPINAL AND BIOLOGICS KPT1504 | $9,646.00 |
| KIT IMPLANT PARS W/SUT TAPE | $6,960.00 |
| KIT INSTRUMENT DISP SUTURETAK MINI BIO COMP ARTHREX INC AR-1322DSC | $700.00 |
| KIT INTRO 14CM 10FR 18GA PLWY | $112.00 |
| KIT LEAD 32 CONTACT PADDLE 50CM TIGHT BOSTON SCIENTIFIC CORP M365SC8336500 | $26,603.00 |
| KIT LEAD 32 CONTACT PADDLE 70CM TIGHT BOSTON SCI:CARDIAC RHYTHM MNGT M365SC8336700 | $26,603.00 |
| KIT LEAD INTRODUCER MEDTRON NEUROLOGICAL 3550-18 | $1,120.00 |
| KIT LINEAR LEAD 16 CONTRACT 50 BOSTON SCIENTIFIC CORP M365SC2316500 | $14,700.00 |
| KIT MARROW MINI CONCENTRATION BIOMET PLASMA PSP BIO 800-0610A | $4,800.00 |
| KIT OATS HARVESTING SML JT 8MM ARTHREX INC AR-8981-08S | $1,980.00 |
| KIT OCTRODE TRIAL LEAD ST JUDE NEUROMODULATION 3086 | $6,500.00 |
| KIT PEG 20FR SIL GW PLCMNT BARD ACCESS SYSTEMS INC 000793 | $920.00 |
| KIT PEG 20FR SIL SF PUL XLCN BOSTON SCI:ENDO 6646 | $484.00 |
| KIT PLATELET CONCENTRATION GPS III BIOMET PLASMA PSP BIO 800-1003A | $1,604.00 |
| KIT PRICRDCTS PERIVC STRGHT BOSTON SCI:ELECTROPHYSIOLOGY M00443151 | $669.00 |
| KIT PROCEDURE HOLOGIC FLT-112 | $1,436.00 |
| KIT PSTN TRIMANO BEACH CHAIR ARTHREX INC AR-1644 | $750.00 |
| KIT PULSAVAC PLUS FAN ZIMMER HOLDINGS INC 00515047500 | $144.00 |
| KIT REMOTE CONTROL FREE LINK BOSTON SCIENTIFIC CORP SC-5562-1 | $3,600.00 |
| KIT REMOTE CONTROL FREELINK BOSTON SCIENTIFIC CORP M365SC555210 | $3,800.00 |
| KIT REPAIR SYNDEMOSIS SS KNOTLESS ARTHREX INC AR-8926SS | $3,520.00 |
| KIT SHOULDER STABILIZATION SMITH & NEPHEW ENDOSCOPY 7210573 | $202.00 |
| KIT SIMPLC GRNFM VAC DRSG SPRL KINETIC CONCEPTS INC M8275041/5 | $166.00 |
| KIT SURG INST KELLER FUNNEL2 5 KELLER HA-005 | $573.00 |
| KIT TRIAL CABLE AND LEAD ID SPINAL CORD STIM ALGOVITA NUVECTRA CORP 5000 | $400.00 |
| KIT TRIAL LEAD 1X16IN CONTACT BOSTON SCIENTIFIC BOSTON SCIENTIFIC CORP M365SC231650E0 | $8,000.00 |
| KIT TRIAL SPECTRA WAVEWRITER BOSTON SCIENTIFIC CORP SC-6500-62 | $400.00 |
| KIT XPANDER 15/3 FIRST FRACTUR W KYPHX ONE STEP OSTEO INTRO MEDTRON SPINAL AND BIOLOGICS KPT1505 | $9,646.00 |
| Kiwi Fruit (f84) IgE -QST | $28.00 |
| Kling | $77.00 |
| Knee Arthr/W/Int/Ext Fix | $5,880.00 |
| Knee Arthro Fx W/o Fixj | $5,880.00 |
| Knee Immobilizer - Large | $500.00 |
| Knee Immobilizer - Small | $500.00 |
| Knee Limited Fewer Than 3 Views | $294.00 |
| Knee Minimum 3 Views | $294.00 |
| KNEE SPLINT | $349.00 |
| KNIFE BAYONETTED ANNULOTOMY GLOBUS MEDICAL INC 675.405S | $2,767.00 |
| KNIFE ENDO CLD BLADE URTHM ELT EA1/PK3/BX3 | $752.00 |
| KOH Smear. | $23.00 |
| KRAS Variant 1 (TECH) | $566.00 |
| KRAS Variant 2 (TECH) | $566.00 |
| Kronlein Orbitotomy | $13,320.00 |
| KT TABLE JACKSON PRONE VIEW MIZUHO AMERICA INC 5808PV | $162.00 |
| KWIRE THREADED BLUNT GLOBUS MEDICAL INC 6133.0399S | $184.00 |
| L. Pneumophila Type 1 IgG (QST) | $81.00 |
| L. Pneumophila Type 1 IgM (QST) | $81.00 |
| L. Pneumophila Type 2 IgG (QST) | $81.00 |
| L. Pneumophila Type 2 IgM (QST) | $81.00 |
| L. Pneumophila Type 3 IgG (QST) | $81.00 |
| L. Pneumophila Type 3 IgM (QST) | $81.00 |
| L. Pneumophila Type 4 IgG (QST) | $81.00 |
| L. Pneumophila Type 4 IgM (QST) | $81.00 |
| L. Pneumophila Type 5 IgG (QST) | $81.00 |
| L. Pneumophila Type 5 IgM (QST) | $81.00 |
| L. Pneumophila Type 6 IgG (QST) | $81.00 |
| L. Pneumophila Type 6 IgM (QST) | $81.00 |
| L.L. SPECIALTY CARE TRANSPORT | $6,779.00 |
| LAA Closure System | $76,320.00 |
| LabCorp. | $14.00 |
| Labor Services 0-4 Hr -> Yes | $1,535.00 |
| Labor Services 5+ Hr -> Yes | $2,206.00 |
| Labyrinthectomy W Mastoidectom | $19,807.00 |
| Labyrinthotomy Transcanal | $5,727.00 |
| Lacosamide, LC/MS/MS -Quest | $89.00 |
| Lactate Dehydrogenase Body Fluid. | $32.00 |
| Lactate Dehydrogenase CSF. | $32.00 |
| Lactate Dehydrogenase. | $32.00 |
| Lactic Acid CSF. | $56.00 |
| Lactic Acid. | $56.00 |
| Lactobacillus Spp (QST) | $226.00 |
| Lactoferrin,Ql,Stool -Quest | $104.00 |
| Lactose 120 Minutes. | $21.00 |
| Lactose 60 Minutes. | $21.00 |
| Lactose Baseline. | $68.00 |
| Lactotype-Prometheus. | $304.00 |
| Lambda Light Chain, Free, Serum (QST) | $72.00 |
| Lambda Light Chain, Free, Serum (QST) | $72.00 |
| Lambda Light Chains 24Hr Ur | $72.00 |
| Lambda Light Chains Ur | $111.00 |
| Lambda-QST | $55.00 |
| Lamb's Quarters(Goose Foot)(w10)IgE-Quest | $28.00 |
| Laminec Dec 1-2 Lumb Exc Spond | $25,517.00 |
| Laminec Decom >2 Segment Cerv | $25,517.00 |
| Laminec Decom >2 Segment Lumb | $25,517.00 |
| Laminec Decom >2 Segment Thor | $25,517.00 |
| Laminec Decom 1-2 Segment Cerv | $26,935.00 |
| Laminec Decom 1-2 Segment Sacr | $25,517.00 |
| Laminec Decom 1-2 Segment Thoracic | $25,517.00 |
| Laminec Impl Neur Ele Epidural | $88,406.00 |
| Laminec Rem Abnor Facets Spond Lumbar | $25,517.00 |
| Laminot Addtnl Disk Cer/Lum | $10,000.00 |
| Laminot Dsk/Facet Extn Ea | $10,000.00 |
| Laminot Dsk/Facet Extnsv/Cerv | $25,517.00 |
| Laminot Dsk/Facet Extnsv/Lumb | $26,935.00 |
| Laminot Hern Disc Cerv | $25,517.00 |
| Laminot Hern Disc Lumbar | $26,935.00 |
| Lamotrigine -Quest | $70.00 |
| Lap Ablat Uterine Fibroids W/Intraop Us Gd | $34,660.00 |
| Lap Ablation Renal Cyst | $20,576.00 |
| lap bariatric revision | $20,576.00 |
| lap bariatric revision w/ band removal | $20,576.00 |
| Lap Ectopic Preg W/Salpin | $21,719.00 |
| lap hepatic lobectomy | $20,576.00 |
| Lap Isert Intraperiton Ca | $21,719.00 |
| lap lesion excision lg intestine | $20,576.00 |
| lap liver wedge excision | $20,576.00 |
| Lap Orchiopexy Intra Abd | $20,576.00 |
| lap pancreatectomy | $2,594.00 |
| lap partial gastrectomy | $20,576.00 |
| lap partial hepatectomy | $20,576.00 |
| Lap Pectus Excavatum W/O Scope | $11,745.00 |
| Lap Pectus Excavatum W/Scope | $11,745.00 |
| Lap Pelvic Node Dissectio | $36,585.00 |
| lap peritoneal resection | $21,719.00 |
| Lap Radical Prostatectomy | $36,585.00 |
| Lap Repair Paraseoph Hernia W Mesh | $36,585.00 |
| Lap Repair Paraseoph Hernia W/Out Mesh | $36,585.00 |
| Lap Repr,Incrcrt Or Strng | $21,719.00 |
| Lap Rev Prost Vag Graft | $28,404.00 |
| lap revision bariatric surgery | $3,409.00 |
| Lap Sleeve Gastrectomy | $7,018.00 |
| Lap Sup Hyster Tubes&Ova | $34,660.00 |
| Lap Sup Hyster Tubes&Ova | $34,660.00 |
| Lap Surg, Colectomy W/Anastomis | $8,475.00 |
| Lap Surg; Choley W/Exp Com Duct | $20,576.00 |
| Lap Surgic;Abl Renal Mass | $34,660.00 |
| Lap Surgic;Partial Nephrectomy | $34,660.00 |
| lap total gastrectomy w/ roux-en-y | $20,576.00 |
| Lap Total Hyster Uterus 250G Or Less | $36,585.00 |
| Lap Total Hyster Uterus 250G Or Less | $34,660.00 |
| Lap Uret W/ Cyst/Stent | $20,576.00 |
| Lap Uret W/O Cyst/Stent | $34,660.00 |
| Lap Ureterolithotomy | $20,576.00 |
| Lap W/Imbrioplasty | $20,576.00 |
| Lap W/Legation Veins For Varicocele | $20,576.00 |
| Lap W/Lymph&Sampling | $34,660.00 |
| Lap W/Salpingostomy | $20,576.00 |
| Lap W/Vag Hystw/W/O Rem Of Tubes | $20,576.00 |
| Lap, Surg, Clos Enterstom | $2,220.00 |
| Lap, Surg, Mobil Of Splen | $2,296.00 |
| Lap,Recr Inc Hernia,Incar | $36,585.00 |
| Lap,Rep,Rec Incis Hernia, | $36,585.00 |
| Lap,Repr,Ventral,Umb,Spig | $21,719.00 |
| Lap,Sup Hyster Uterus | $20,576.00 |
| Lap,Sup Hyster Uterus>250 | $34,660.00 |
| Lap,Sur,Gas Re Pr,Rem Adj | $12,646.00 |
| Lap,Sur,Gas Re Pr,Rem&Rep | $20,576.00 |
| Lap,Surg W/ Rev Intraperi | $20,576.00 |
| Lap,Surg,Incis W/ Mesh,Re | $36,585.00 |
| Lap,Surg,Incisional,Incar | $36,585.00 |
| Lap/Thor Ivor Lewis | $21,719.00 |
| Lapar, Surg, Gas Rest Pro | $36,585.00 |
| Lapar,Surg,Gas Re Pr,Rem | $13,349.00 |
| Laparo Colect,Part W/Anastomosis | $5,369.00 |
| Laparo, Surg, Colo Or Ski | $4,006.00 |
| LAPAROSCOPIC CECOSTOMY TUBE PLACEMENT | $3,335.00 |
| Laparoscopic Colec,Partial & Closure | $5,565.00 |
| Laparoscopic Colectomy | $4,372.00 |
| LAPAROSCOPIC DETORSION OVARY | $20,576.00 |
| LAPAROSCOPIC DISTAL PANCREATECTOMY | $2,594.00 |
| LAPAROSCOPIC EXCISION LIVER MASS | $20,576.00 |
| Laparoscopic Gastrostomy | $20,576.00 |
| Laparoscopic internal hernia repair | $20,576.00 |
| LAPAROSCOPIC PARTIAL SPLENECTOMY | $20,576.00 |
| LAPAROSCOPIC PYLOROMYOTOMY | $20,576.00 |
| LAPAROSCOPIC REDUCTION INTUSSUSCEPTION/LAPAROSCOPIC LADD'S PROCEDURE | $20,576.00 |
| laparoscopic stoma pexy | $20,576.00 |
| Laparoscopic Treat Of Ectopic Pregnancy | $20,576.00 |
| Laparoscopy | $20,576.00 |
| Laparoscopy Cholecystectomy W/Cholangio | $21,719.00 |
| Laparoscopy Diagnostic | $21,719.00 |
| Laparoscopy Repair Initial Hernia | $21,719.00 |
| Laparoscopy Repair Recurrent Hernia | $21,719.00 |
| Laparoscopy Surg W Fulg Ovid | $20,576.00 |
| Laparoscopy Surgical Appendectomy | $21,719.00 |
| Laparoscopy Surgical Cholecystectomy | $21,719.00 |
| Laparoscopy Surgical Splenectomy | $34,660.00 |
| Laparoscopy W Biopsy Sin/Mul | $21,719.00 |
| Laparoscopy W Fulg Ova Per Lesion | $21,719.00 |
| Laparoscopy W Occlus Oviducts | $20,576.00 |
| Laparoscopy W/Rem Adnexal Sutures | $21,719.00 |
| Laparoscopy, Fundoplasty | $34,660.00 |
| Laparoscopy, Pyeloplasty | $34,660.00 |
| Laparoscopy, Surg, Entero | $21,719.00 |
| Laparoscopy, Surg, Jejunostomy | $20,576.00 |
| Laparoscopy, Surgical; Sling Operation | $21,719.00 |
| Laparoscopy,Orchiectomy | $20,576.00 |
| Laparoscopy,Surg,Abl 1 Or More Liv Tumor | $34,660.00 |
| Laparoscopy,Surg,Colpopexy | $36,585.00 |
| Laparoscopy,W/Lysis/Adhes | $21,719.00 |
| Laparoscopy/Aspirat Sin/Mul | $21,719.00 |
| Lapor, W/Total Hyster | $36,585.00 |
| Laporo-Myomectomy,Complx | $34,660.00 |
| Laporoscopic,Myomectomy | $21,719.00 |
| Laporo-Vag Hyst Incl T/O | $36,585.00 |
| Laproscopic Appendix | $20,576.00 |
| Laproscopic Colporrhaphy | $784.00 |
| Laproscopic Corneal Resection | $20,576.00 |
| Laproscopic Cystorrhapy | $20,576.00 |
| Laproscopic Omentectomy | $21,719.00 |
| Laproscopic removal of Retroperitoneal Tumor | $784.00 |
| Laproscopic Removal of Vaginal Cyst | $20,576.00 |
| Laproscopic Trachelectomy | $20,576.00 |
| Laproscopic Uterine Suspension | $20,576.00 |
| Laproscopic Vaginectomy | $784.00 |
| Lapro-Vag Hyst W/T/O,Comp | $34,660.00 |
| Lapro-Vag Hyst, Complex | $34,660.00 |
| Large Bowel Lesion Removal | $20,576.00 |
| Largsc Flex W/Injx Augmntj Uni | $6,130.00 |
| Largyngoscopy Flex Diag | $775.00 |
| Laryng Dir Oper Exc Tumor Micr | $12,270.00 |
| Laryng Dir Oper Fb Rem W Micro | $12,270.00 |
| Laryng Dir Oper W Aryten Micro | $23,046.00 |
| Laryng Dir Oper W Biop W Micro | $12,270.00 |
| Laryng Dir Oper W Exc Tumor | $12,270.00 |
| Laryng Dir Oper W Opr Micros | $12,270.00 |
| Laryng Dir W Inj Voc Cor Micro | $12,270.00 |
| Laryng Dir W Inj Voc Cor Thera | $12,270.00 |
| Laryng Flex Fiber W Rem Lesion | $12,270.00 |
| Laryngoplasty Cricoid Split | $19,807.00 |
| Laryngoplasty Laryn Web W/ Stent Insrt | $19,807.00 |
| Laryngoplasty Medialization Unliateral | $19,807.00 |
| Laryngoplasty W Op Red Of Frac | $19,807.00 |
| LARYNGOSC DIR DIAG EXC NB | $6,471.00 |
| Laryngoscopy Dir Diag Newborn | $1,730.00 |
| Laryngoscopy Dir Diag W Op Mic | $6,130.00 |
| Laryngoscopy Dir Dx Exc Nbrn | $6,471.00 |
| Laryngoscopy Dir Ope W Biopsy | $12,270.00 |
| Laryngoscopy Dir Oper Fb Rem | $6,130.00 |
| Laryngoscopy Dir Oper W Arytenoidectomy | $23,046.00 |
| Laryngoscopy Dir W Dilat Subs | $12,270.00 |
| Laryngoscopy Dir W Dilat Uni | $12,270.00 |
| Laryngoscopy Dir W Inser Obtur | $12,270.00 |
| Laryngoscopy Direct For Aspir | $1,730.00 |
| Laryngoscopy Felx Fiberoptic Foreign Body | $1,730.00 |
| Laryngoscopy Flex Diagnostic | $775.00 |
| LARYNGOSCOPY FLEX DX | $775.00 |
| Laryngoscopy Flex Fiber W Biop | $6,130.00 |
| Laryngoscopy Flex W/Tx Injection Unilat | $6,130.00 |
| Laryngoscopy Flexible Ablatj Destj Lesions | $12,270.00 |
| Laryngoscopy Indir Diagnostic | $775.00 |
| LARYNGOSCOPY INDIRECT DX | $775.00 |
| Laryngoscopy Indirect W Biopsy | $12,270.00 |
| Laryngoscopy Indirect W Rem Fb | $734.00 |
| Laryngoscopy laser stenosis | $923.00 |
| Laryngoscopy w laser ablation | $923.00 |
| Laryngotomy W Removal Tumor | $9,990.00 |
| Laser Capsulotomy (Yag) | $2,221.00 |
| Laser Charges -> CO2 Laser | $1,802.00 |
| Laser Charges -> Holmium Laser | $954.00 |
| Laser Charges -> Laser Fiber | $380.00 |
| Laser Charges -> YAG Laser | $1,802.00 |
| Laser Enucleation Prostate | $18,000.00 |
| Laser Genesis 1 treatment | $834.00 |
| Laser Genesis 5 treatments | $834.00 |
| Laser Hair Removal 120 min | $834.00 |
| Laser Hair Removal 180 min | $834.00 |
| Laser Hair Removal 30 min | $834.00 |
| Laser Hair Removal 60 min | $834.00 |
| Laser Hair Removal 90 min | $834.00 |
| Laser Psor 250-500 sq cm | $790.00 |
| Laser Psoriasis <250 sqcm | $790.00 |
| Laser Psoriasis >500 sqcm | $1,406.00 |
| Laser Surgery Of Prostate | $18,000.00 |
| Laser Surgery Of Prostate | $18,000.00 |
| Lateral Canthopexy | $9,990.00 |
| Lateral Canthotomy | $8,115.00 |
| Lateral Retinacular Release | $11,745.00 |
| Latex (k82) IgE -Quest | $28.00 |
| Lavage By Cannulation Sphenoid Sinus | $5,727.00 |
| Lavage Kit | $304.00 |
| LC beads | $8,217.00 |
| LD 1 (QST) | $68.00 |
| LDH Isoenzymes w/o Total LDH-Quest | $68.00 |
| LDH Total (QST) | $16.00 |
| LDL Direct. | $50.00 |
| LDL Small (QST) | $160.00 |
| LEAD 2X6 PADDE 60 CM NUVECTRA CORP 3101-60 | $14,700.00 |
| LEAD 5 COLUMN PADDLE PENTA 3MMX60CM ST JUDE NEUROMODULATION 3228 | $31,400.00 |
| LEAD INTERSTIM 28CM MEDTRON NEUROLOGICAL 3889-28 | $14,200.00 |
| Lead introducer | $388.00 |
| Lead Level. | $64.00 |
| LEAD PACING EPICARDIAL BIPOLAR VENTRICULAR MYOPORE 511212 ST JUDE CRM 511212 | $1,552.00 |
| LEAD PADDLE 60CM FOR SPINAL CORD STIMULATOR ALGOVITA | $14,700.00 |
| Lead, Blood (OSHA) (QST) | $64.00 |
| Lead, Blood (Osha) -Quest | $64.00 |
| Lead, Blood (QST) | $64.00 |
| LEADERS-Leaders BioFreedom Stent | $1.00 |
| Leflunomide Metabolite -Quest | $89.00 |
| Left Atrial Appendage Ligation | $2,776.00 |
| LEFT PAR MESH SURG 0.6MM ZIMMER (BIOMET) CMF 01-9521 | $18,144.00 |
| Legionella Culture -Quest | $35.00 |
| Lemon (f208) IgE -Quest | $28.00 |
| Leng/Shortng Tendon Multiple | $11,745.00 |
| Length Flex/Ten Frarm/Wrst Ea Ten | $11,745.00 |
| Lengthen Or Shorten Tendon Sin | $12,397.00 |
| Lengthening Hamstr Ten Mul Bil | $11,745.00 |
| Lengthening Hamstring Ten Sing | $12,397.00 |
| Lengthening Hamstring Tend Mul | $25,517.00 |
| Lengthening Tendon, Extensor, Hand Or Fing | $11,745.00 |
| Lengthng Palate/Pharyngeal Flap | $19,807.00 |
| Leptin -Quest | $75.00 |
| Les Ben Face Ear Lip Lid Nos 0.5cm | $2,594.00 |
| Les Ben Face Ear Lip Lid Nos 0.6-1.0cm | $2,738.00 |
| Les Ben Face Ear Lip Lid Nos 1.1-2.0cm | $2,738.00 |
| Les Ben Face Ear Lip Lid Nos 2.1-3.0cm | $6,500.00 |
| Les Ben Face Ear Lip Lid Nos 3.1-4.0cm | $6,158.00 |
| Les Ben Face Ear Lip Lid Nos 4.0cm Lge | $10,648.00 |
| Les Ben Scalp Nk Hd Ft Gent 0.5cm | $6,500.00 |
| Les Ben Scalp Nk Hd Ft Gent 0.6-1.0cm | $2,738.00 |
| Les Ben Scalp Nk Hd Ft Gent 1.1-2.0cm | $6,500.00 |
| Les Ben Scalp Nk Hd Ft Gent 2.1-3.0cm | $6,500.00 |
| Les Ben Scalp Nk Hd Ft Gent 3.1-4.0cm | $6,500.00 |
| Les Ben Scalp Nk Hd Ft Gent 4.0cm Lge | $11,239.00 |
| Les Mal Face Ear Lip Lid Nos 0.5cm | $790.00 |
| Les Mal Face Ear Lip Lid Nos 0.5cm | $2,594.00 |
| Les Mal Face Ear Lip Lid Nos 0.6-1.0cm | $1,406.00 |
| Les Mal Face Ear Lip Lid Nos 0.6-1.0cm | $2,594.00 |
| Les Mal Face Ear Lip Lid Nos 1.1-2.0cm | $1,406.00 |
| Les Mal Face Ear Lip Lid Nos 1.1-2.0cm | $2,738.00 |
| Les Mal Face Ear Lip Lid Nos 2.1-3.0cm | $1,406.00 |
| Les Mal Face Ear Lip Lid Nos 2.1-3.0cm | $6,158.00 |
| Les Mal Face Ear Lip Lid Nos 3.1-4.0cm | $2,162.00 |
| Les Mal Face Ear Lip Lid Nos 3.1-4.0cm | $6,158.00 |
| Les Mal Face Ear Lip Lid Nos 4.0cm Lge | $2,162.00 |
| Les Mal Face Ear Lip Lid Nos 4.0cm Lge | $10,648.00 |
| Les Mal Sc Hd Ft 4.0cm Lge | $1,406.00 |
| Les Mal Scalp Nk Hd F1 Gent 2.1-3.0cm | $1,406.00 |
| Les Mal Scalp Nk Hd Ft Gent .06-1.0 cm | $790.00 |
| Les Mal Scalp Nk Hd Ft Gent 0.5 cm | $790.00 |
| Les Mal Scalp Nk Hd Ft Gent 0.5cm | $6,158.00 |
| Les Mal Scalp Nk Hd Ft Gent 0.6-1.0cm | $2,594.00 |
| Les Mal Scalp Nk Hd Ft Gent 1.1-2.0 cm | $790.00 |
| Les Mal Scalp Nk Hd Ft Gent 1.1-2.0cm | $2,738.00 |
| Les Mal Scalp Nk Hd Ft Gent 2.1-3.0cm | $6,158.00 |
| Les Mal Scalp Nk Hd Ft Gent 3.1-4.0 cm | $1,406.00 |
| Les Mal Scalp Nk Hd Ft Gent 3.1-4.0cm | $6,500.00 |
| Les Mal Scalp Nk Hd Ft Gent 4.0cm Lge | $10,648.00 |
| Les Mal Tr Ar Lg 0.5 cm | $790.00 |
| Les Mal Tr Ar Lg 0.6-1.0cm | $790.00 |
| Les Mal Tr Ar Lg 1.1-2.0 cm | $790.00 |
| Les Mal Tr Ar Lg 2.1-3.0 cm | $790.00 |
| Les Mal Tr Ar Lg 3.1-4.0 cm | $1,406.00 |
| Les Mal Tr Ar Lg 4.0 cm Lge | $1,406.00 |
| Lesion Benign Trunk Arm Leg 0.6-1.0cm | $1,484.00 |
| Lesion Benign Trunk Arm Leg 1.1-2.0cm | $2,738.00 |
| Lesion Benign Trunk Arm Leg 2.1-3.0cm | $2,738.00 |
| Lesion Benign Trunk Arm Leg 3.1-4.0cm | $6,500.00 |
| Lesion Benign Trunk Arm Leg 4.0cm Lge | $6,500.00 |
| Lesion Benign Trunkarm Leg 0.5cm | $2,738.00 |
| Lesion Malign Trunk Arm Leg 0.5cm | $2,738.00 |
| Lesion Malign Trunk Arm Leg 0.6-1.0cm | $2,594.00 |
| Lesion Malign Trunk Arm Leg 1.1-2.0cm | $1,484.00 |
| Lesion Malign Trunk Arm Leg 2.1-3.0cm | $2,738.00 |
| Lesion Malign Trunk Arm Leg 3.1-4.0cm | $2,738.00 |
| Lesion Malign Trunk Arm Leg 4.0cm Lge | $6,500.00 |
| Leukens Trap | $111.00 |
| Level 1 Rapid Infuser | $107.00 |
| Levetiracetam -Quest | $70.00 |
| Levin Tube | $71.00 |
| Levofloxacin | $25.00 |
| Levofloxacin | $25.00 |
| Levofloxacin | $25.00 |
| Levofloxacin | $25.00 |
| LGI 1 Ab | $64.00 |
| LGTR 2.8MM 8.6-11.5MM SSS7 1 | $1,172.00 |
| LH, Pediatrics -Quest | $98.00 |
| Lidocaine -Quest | $52.00 |
| Lig & Div Short Saphen Vein | $4,896.00 |
| Lig Division Of Long Saphenous Vein | $11,826.00 |
| Lig Int Cart Art W Grad Occlus | $11,826.00 |
| Lig Rec,Knee,Int/Ext-Articular | $50,631.00 |
| Lig Recons,Knee,Intr-Articular | $47,967.00 |
| Lig Reconst,Knee,Ex-Articular | $26,935.00 |
| Ligat Int Hemorrhoids Multiple Proc | $11,033.00 |
| Ligat Perf Subf Rad W/Wo Grf | $11,826.00 |
| Ligat Perf Vein W/Graft | $4,896.00 |
| Ligat, Div Stp Lng Saph V | $11,826.00 |
| Ligat, Div Stp Sht Saph V | $11,826.00 |
| Ligation Biopsy Temporal Artery | $6,500.00 |
| Ligation External Carotid Artery | $11,826.00 |
| Ligation Inf Vena Cava | $19,594.00 |
| Ligation Int Max Art Trans | $11,826.00 |
| Ligation Internal Cartoid Art | $11,826.00 |
| Ligation Maj Artery Extremity | $772.00 |
| Ligation Major Artery Neck | $4,896.00 |
| Ligation Of Hemorrhoids | $10,452.00 |
| Ligation Salivary Duct Intraor | $9,990.00 |
| Ligation/Banding/A-V Fist | $12,483.00 |
| Ligation/Int Jugular Vein | $4,896.00 |
| Lime (f306) IgE -Quest | $28.00 |
| Limited Studies -> Add-on drug infusion stimulate and pace after | $5,502.00 |
| Limited Studies -> Add-on LA recording and pacing | $4,453.00 |
| Limited Studies -> Add-on LV pacing and recording | $4,453.00 |
| Limited Studies -> Arrhythmia induction | $4,345.00 |
| Limited Studies -> Bundle of His recording | $24,089.00 |
| Limited Studies -> Intra-atrial pacing | $24,089.00 |
| Limited Studies -> Intra-atrial recording | $24,089.00 |
| Limited Studies -> Intraventricular pacing | $24,089.00 |
| Limited Studies -> Right ventricular recording | $4,345.00 |
| Limited Studies -> Transeptal puncture | $2,435.00 |
| LINER ACETABULAR G7 36MM HIP HIGH WALL ARCOMXL ZIMMER HIP 010000819 | $3,000.00 |
| LINER ACETABULAR G7 HIGH WALL ZIMMER HIP 010000820 | $3,000.00 |
| LINER ACETABULAR G7 ZIMMER HIP 010000936 | $6,000.00 |
| LINER ACETABULAR POLY 32MM ZIMMER HIP 00875200932 | $3,000.00 |
| LINER ACETABULAR XLINKED 36MM SIZE KK ZIMMER HIP 00875201236 | $3,000.00 |
| LINER ACTB 0D D 3.9MM 36MM X3 STRYKER HIP 623-00-36D | $3,400.00 |
| LINER ACTB 0D F 7.9MM 36MM X3 STRYKER HIP 623-00-36F | $3,400.00 |
| LINER ACTB G7 ARCOMXL 36MM ZIMMER HIP 010000818 | $3,000.00 |
| LINER ACTB G7 C 32MM E1 HIP ZIMMER HIP 010000925 | $4,000.00 |
| LINER ACTB G7 D 36MM ARCOMXL ZIMMER HIP 010000817 | $3,000.00 |
| LINER ACTB G7 D 36MM E1 HIP ZIMMER HIP 010000934 | $6,000.00 |
| LINER ACTB G7 E 36MM E1 HIP ZIMMER HIP 010000935 | $6,000.00 |
| LINER ACTB G7 E1 36MM HI-WALL ZIMMER HIP 010000937 | $6,000.00 |
| LINER ACTB G7 H 36MM E1 HIP ZIMMER HIP 010000938 | $3,400.00 |
| LINER ACTB II ELEV 52MM 36MM ZIMMER HIP 00875201036 | $3,000.00 |
| LINER ACTB JJ ELEV 54MM 36MM ZIMMER HIP 00875201136 | $3,000.00 |
| LINER ACTB LL ELEV 58MM 36MM ZIMMER HIP 00875201336 | $3,000.00 |
| LINER ELEVATED HH 32 X 50 CONTINUUM VIVACIT-E ZIMMER HIP 00885200932 | $6,000.00 |
| LINER ELEVATED II 36 X 52 CONTINUUM VIVACIT-E ZIMMER HIP 00885201036 | $6,000.00 |
| LINER ELEVATED KK 36 X 56 CONTINUUM VIVACIT-E ZIMMER HIP 00885201236 | $6,000.00 |
| LINER ELEVATED LL 36 X 58 CONTINUUM VIVACIT-E ZIMMER HIP 00885201336 | $6,000.00 |
| LINER NEUTRAL HH 32 X 50 CONTINUUM VIVACIT-E ZIMMER HIP 00885100932 | $6,000.00 |
| LINER NEUTRAL LL 40 X 58 CONTINUUM VIVACIT-E ZIMMER HIP 00885101340 | $6,000.00 |
| Lipase Level. | $36.00 |
| Lipase, Peritoneal Fluid -Quest | $36.00 |
| Lipid Panel w/ Reflex. | $71.00 |
| Lipid Panel. | $71.00 |
| Lipoprotein (A) (QST) | $66.00 |
| Lipoprotein (a) -Quest | $68.00 |
| Lipoprotein Fraction Ion Mobility -Quest | $165.00 |
| Lithium Level. | $35.00 |
| Litholapaxy Large | $13,104.00 |
| Litholapaxy Small | $13,104.00 |
| Lithotripsy Ex-Corp Schock Wave | $13,832.00 |
| Liver Fibrosis, Fibrotest Actitest Panel -Quest | $665.00 |
| Liver Kidney Microsome (LKM-1) Ab (IgG) -Quest | $77.00 |
| LLE Additional Markers | $17.37 |
| Lmnx Ea Add C-T-L Lvl Decomp | $2,587.00 |
| Lmnx W Facet/Foram 1 Lvl Cerv | $26,935.00 |
| Lmnx W Facetx/Foram I Lvl Lumb | $26,935.00 |
| Lmnx W Factx/Foram 1 Lvl Thor | $25,517.00 |
| Lmt/Followup Aor Inferior Vena Cava | $532.00 |
| Lmt/Followup Extrcranial Art Comp Bil | $532.00 |
| Lmx Exc Les Not Neopl Ext | $1,224.00 |
| Lobectomy | $2,306.00 |
| Lobster (F80) IgE (QST) | $28.00 |
| Lobster (f80) IgE -Quest | $28.00 |
| Lobster Spiny (f304) IgE -Quest | $28.00 |
| Locator implant tool | $1,172.00 |
| LOCATOR NERVE MEDTRON SURGICAL TECH 8562010 | $261.00 |
| LOCKING BONE SCREW L32XD5.5MM THREAD FUSION PLATING SYSTEM WRIGHT MEDICAL TECHNOLOGY 59215532 | $400.00 |
| LOCKING BONE SCREW L45XD5.5MM THREAD FUSION PLATING SYSTEM WRIGHT MEDICAL TECHNOLOGY 59215545 | $969.00 |
| LOOP ENDO WHT 26FR ELT SYS USA | $523.00 |
| LOOP ENDO YLW 24FR ELT SYS USA EA1/PK12/BX12 | $262.00 |
| LOOP PRENDIVILLE 15MMX12MM D UTAH MEDICAL PRODUCTS INC DLP-M11 | $573.00 |
| LOOP PRENDIVILLE 20MMX12MM D UTAH MEDICAL PRODUCTS INC DLP-W11 | $573.00 |
| Low Frequency Ultrasound Wound Treatment | $834.00 |
| LOWER LEG WALKER BRACE | $283.00 |
| Lp-PLA2 Activity-Quest | $60.00 |
| Lpsc Pelv Lymphadec & Omntc | $34,660.00 |
| Lpsc Total Hyster >250G | $36,585.00 |
| Ltd Pharyngectomy | $19,807.00 |
| LUB INST DFSR MDSRX MR7 MEDTRON NEUROLOGICAL PA700 | $117.00 |
| Lumbar Plex Block Continuous | $3,614.00 |
| LUMBAR PUNCTURE ED | $2,830.00 |
| Lumbar Puncture Kit | $133.00 |
| Lumbar Puncture Performed | $2,830.00 |
| Lumbar Puncture Tray | $298.00 |
| Lumbar Spine Fusion | $1,206.00 |
| Lumbar Spine Fusion Combined | $1,018.00 |
| Lumbar Spine Fusion Ea Addl | $1,009.00 |
| Lunate Disloc Open Treatment | $25,517.00 |
| Lunate Disloc W Manipulation | $6,207.00 |
| Lung Volume Plethsmography | $1,130.00 |
| Lung Volume Washout | $642.00 |
| Luteinizing Hormone. | $98.00 |
| Lutonix balloon 4 x 40 | $3,652.00 |
| Lutonix balloon 5 x 100 | $3,652.00 |
| Lutonix balloon 5 x 80 | $3,652.00 |
| Lutonix balloon 6 x 100 | $3,652.00 |
| Lutonix balloon 6 x 80 | $3,652.00 |
| LVAD revision procedure (not replacement) | $2,776.00 |
| LVL1 SURGICAL PATHOLOGY (TECH) | $81.00 |
| LVL2 SURGICAL PATHOLOGY (TECH) | $152.00 |
| LVL3 SURGICAL PATHOLOGY (TECH) | $241.00 |
| LVL4 SURG PATH CYTO (TECH) | $241.00 |
| LVL4 SURGICAL PATHOLOGY (TECH) | $241.00 |
| LVL5 SURGICAL PATHOLOGY (TECH) | $1,296.00 |
| LVL6 SURGICAL PATHOLOGY (TECH) | $2,638.00 |
| Lyme Disease (Borrelia Spp) DNA, Ql, Blood -Quest | $370.00 |
| Lyme Disease Ab (IgG),Immunoblot-Quest | $82.00 |
| Lyme Disease Ab(IgG),Blot (QST) | $82.00 |
| Lyme Disease Ab(IgM),Blot (QST) | $82.00 |
| Lyme Disease Antibody IgG | $90.00 |
| Lyme Disease Antibody IgM | $90.00 |
| Lyme Disease DNA Ql, CSF/SF -Quest | $370.00 |
| Lyme Disease DNA, Ql (QST) | $769.30 |
| Lymphadenec Rad Axillary Comp | $20,576.00 |
| Lymphadenec Rad Axillary Super | $21,719.00 |
| Lymphadenectomy Cervical Complete | $33,349.00 |
| Lymphadenectomy Inguinofemoral | $22,006.00 |
| Lymphadenectomy Suprahoid | $22,006.00 |
| Lymphangiogram Extrem Bilat Rs&I | $4,896.00 |
| Lymphangiogram Extrem Unil Rs&I | $2,776.00 |
| Lymphangiotomy | $12,607.00 |
| Lymphocyte Subset Panel 1 -Quest | $199.00 |
| Lymphocyte Subset Panel 4 -Quest | $120.00 |
| Lymphocyte Subset Panel 5 -Quest | $141.00 |
| Lymphocyte trans | $368.58 |
| Lymphocytic Choriomeninfitis Virus IgG CSF-QST | $98.34 |
| Lymphocytic Choriomeningitis Virus IgM CSF-QST | $98.34 |
| Lysis Intranasal Synechia | $2,181.00 |
| Lysis Of Labial Adhesion | $10,572.00 |
| Lysis Penil Circumcis Les | $7,789.00 |
| Lysosomal Acid Lipase Activity-Quest. | $667.00 |
| Lysozyme (Muramidase) -Quest | $90.00 |
| M. Tuberculosis Susceptibility Panel-Quest 7950 | $35.00 |
| MAC | $0.00 |
| Macadamia Nut (rf345) IgE -Quest | $28.00 |
| Magnesium Level 24 Hour Urine. | $35.00 |
| Magnesium Level Urine. | $35.00 |
| Magnesium Level. | $35.00 |
| Magnesium, 24Hr Ur | $35.00 |
| Magnesium, RBC -Quest | $35.00 |
| MAGNET FOR SPINAL CORD STIM ALGOVITA | $340.00 |
| Mahurkar dialysis cath | $401.00 |
| Maize/Corn (f8) IgE -Quest | $28.00 |
| Malar Augmentation Prosthetic Mat | $19,807.00 |
| Malaria Smear. | $32.00 |
| Malt (f90) IgE - Quest | $23.00 |
| Mammaplasty Aug W Pros Implant | $33,349.00 |
| Man Fish Multiplex Stain ALK (TECH) | $677.00 |
| Mandarin (f302) IgE -QST | $28.00 |
| Manganese, Blood -Quest | $130.00 |
| Mango Fruit (f91) IgE-Quest | $23.00 |
| Manip Hip Joint Req Gen Anes | $5,880.00 |
| Manip Knee Under Gen Anes | $6,207.00 |
| Manip Shoulder Gen Anes | $5,880.00 |
| Manip, Finger Joint Under/Anes | $6,207.00 |
| Manip. Elbow Under Anesth | $5,880.00 |
| Manipulat Foreskin Inc Lysis & Stretch | $1,036.00 |
| Manipulation Ankle Gen Anes | $11,745.00 |
| Manipulation Of Spine Req Anesthesia | $5,880.00 |
| Manipulation Palm Cord Post Injection | $1,008.00 |
| Manipulation Tmj Theraputic | $5,727.00 |
| Manipulation,Wrist/Anesth | $6,207.00 |
| Manual App Of Stress For Joint Rad | $279.00 |
| Manual Differential. | $18.00 |
| Maple (Box Elder) (t1) IgE -Quest | $28.00 |
| Maquet Fem Venous 29Fr | $110.00 |
| Maquet Hershey ECMO Kit | $110.00 |
| Maquet Rotaflow | $110.00 |
| Maquet Vasc Dilator Kit | $110.00 |
| MARKER SPHERE STEALTH 5/TY MEDTRON SURGICAL TECH 8801075 | $120.00 |
| Marrow S/C Trnsplant Allo | $169,648.00 |
| Marrow S/C Trnsplant Auto | $5,583.00 |
| Marsupialization Bartholin Gld | $10,572.00 |
| Marsupialization Subl Sal Cyst | $9,990.00 |
| MASK FACE SPIDER SHOULDER EXTREMITY SYS SMITH & NEPHEW ENDOSCOPY 7210559 | $179.00 |
| Massage | $214.00 |
| Mast Trousers | $344.00 |
| Mastectomy For Gynecomast | $12,607.00 |
| Mastectomy Modified Rad | $23,228.00 |
| Mastectomy Part W Axill Lymphadenectomy | $23,228.00 |
| Mastectomy Simple Complete | $23,228.00 |
| Mastectomy Subcutaneous | $12,607.00 |
| Mastectomy, Partial | $13,308.00 |
| Mastoid Obliteration | $19,807.00 |
| Mastoidectomy Comp | $19,807.00 |
| Mastoidectomy Mod Radical | $19,807.00 |
| Mastoidectomy Rad | $19,807.00 |
| Mastopexy | $22,006.00 |
| Mastotomy Abscess Drain Deep | $6,500.00 |
| MaTa Ab | $82.00 |
| MATERIAL BONE OSTENE 3.5GM BAXTER INTERNATIONAL INC 1503831 | $370.00 |
| Maternal Serum AFP -Quest | $89.00 |
| MATRIX BONE GRAFT 2.5 PUTTY S1 SPINE LLC PTY10125 | $1,760.00 |
| MATRIX OSTEOCEL CELLULAR 5CC NUVASIVE 5013005 | $8,480.00 |
| Mattress Waffle Overlay | $94.00 |
| Mattress, Waffle overlay | $87.00 |
| Max Voluntary Ventilation | $477.00 |
| Maxill Sinus Endos W Rem Polyp-Muc Mem | $24,326.00 |
| MDA-5 Ab-QST | $139.00 |
| Measles Antibody (IgG) (QST) | $68.00 |
| Measles Antibody (IgG) (QST) | $68.00 |
| Measles Antibody (IgG) -Quest | $68.00 |
| Measles Antibody (IgM) (QST) | $68.00 |
| Measles Antibody (IgM) -Quest | $68.00 |
| Meatotomy Exc Infant | $7,789.00 |
| Meatotomy Infant | $7,789.00 |
| Mechanical Ventilation Charge -> Initial charge | $2,410.00 |
| Mechanical Ventilation Charge -> Subsequent Charge | $2,410.00 |
| Med Radiation Physics Con | $585.00 |
| Medial Canthopexy | $9,990.00 |
| Mediastinoscpy W/Lmph Nod Bx | $20,576.00 |
| Mediastinoscpy W/Medstnl Bx | $21,719.00 |
| Medical Visit L&D -> Yes | $167.00 |
| Medication Therapy -> Aerosol Treatment Initial | $278.00 |
| Medication Therapy -> Aerosol Treatment Subsequent | $278.00 |
| Medication Therapy -> Continuous Nebulizer Initial Hour | $503.00 |
| Medication Therapy -> Continuous Nebulizer Subsequent Hour | $447.00 |
| Medication Therapy -> DPI Initial | $278.00 |
| Medication Therapy -> DPI Subsequent | $278.00 |
| Medication Therapy -> EZPAP Initial | $278.00 |
| Medication Therapy -> EZPAP Subsequent | $278.00 |
| Medication Therapy -> IPPB Initial | $278.00 |
| Medication Therapy -> IPPB Subsequent | $278.00 |
| Medication Therapy -> IPV Initial | $278.00 |
| Medication Therapy -> IPV Subsequent | $278.00 |
| Medication Therapy -> MDI Initial | $278.00 |
| Medication Therapy -> MDI Subsequent | $278.00 |
| Medication Therapy -> Pari Neb Treatment Initial | $278.00 |
| Medication Therapy -> Pari Neb Treatment Subsequent | $278.00 |
| Medtronic CRT - ICD -> Amplia MRI CRT-D Primary | $70,228.00 |
| Medtronic CRT - ICD -> Amplia MRI CRT-D Secondary | $70,228.00 |
| Medtronic CRT - ICD -> Claria CRT | $70,228.00 |
| Medtronic CRT - ICD -> Claria CRT Primary | $70,228.00 |
| Medtronic CRT - ICD -> Compia MRI CRT-D Primary | $66,980.00 |
| Medtronic CRT - ICD -> Compia MRI CRT-D Secondary | $66,980.00 |
| Medtronic CRT - ICD -> Viva Quad S | $58,440.00 |
| Medtronic CRT - ICD -> Viva Quad S Primary | $58,440.00 |
| Medtronic CRT - ICD -> Viva Quad XT | $61,688.00 |
| Medtronic CRT - ICD -> Viva Quad XT Primary | $61,688.00 |
| Medtronic CRT - ICD -> Viva S CRT-D | $57,276.00 |
| Medtronic CRT - ICD -> Viva S CRT-D Primary | $57,276.00 |
| Medtronic CRT Pacer -> Consulta CRT-P | $21,200.00 |
| Medtronic CRT Pacer -> Percepta MRI | $24,800.00 |
| Medtronic CRT Pacer -> Serena MRI | $24,000.00 |
| Medtronic CRT Pacer -> Solara MRI | $22,800.00 |
| Medtronic CRT Pacer -> Syncra CRT-P | $19,620.00 |
| Medtronic CRT Pacer -> Viva CRT-P | $21,600.00 |
| Medtronic Dual Chamber Generator -> Adapta DR | $11,424.00 |
| Medtronic Dual Chamber Generator -> Advisa DR MRI | $14,696.00 |
| Medtronic Dual Chamber Generator -> Azure S DR MRI | $14,696.00 |
| Medtronic Dual Chamber Generator -> Azure XT DR MRI | $15,096.00 |
| Medtronic Dual Chamber Generator -> Revo DR MRI | $14,600.00 |
| Medtronic Dual Chamber Generator -> Versa DR | $9,652.00 |
| Medtronic Dual Chamber ICD -> Evera XTDR MRI Primary | $51,648.00 |
| Medtronic Dual Chamber ICD -> Evera XTDR MRI Secondary | $51,648.00 |
| Medtronic Dual Chamber ICD -> Evera-SDR MRI Primary | $48,800.00 |
| Medtronic Dual Chamber ICD -> Evera-SDR MRI Secondary | $48,800.00 |
| Medtronic Dual Chamber ICD -> Evera-SDR Primary | $41,104.00 |
| Medtronic Dual Chamber ICD -> Evera-SDR Secondary | $41,104.00 |
| Medtronic Dual Chamber ICD -> Evera-XTDR ICD Generator | $43,952.00 |
| Medtronic Dual Chamber ICD -> Evera-XTDR Primary | $43,952.00 |
| Medtronic Single Chamber Generator -> Adapta SR | $9,992.00 |
| Medtronic Single Chamber Generator -> Advisa SR MRI | $11,956.00 |
| Medtronic Single Chamber Generator -> Azure S SR MRI | $11,956.00 |
| Medtronic Single Chamber Generator -> Sensia SR | $8,248.00 |
| Medtronic Single Chamber ICD -> Evera-SVR Primary | $36,340.00 |
| Medtronic Single Chamber ICD -> Evera-SVR Secondary | $36,340.00 |
| Medtronic Single Chamber ICD -> Evera-XTVR Gen. Primary | $39,140.00 |
| Medtronic Single Chamber ICD -> Evera-XTVR MRI Primary | $46,564.00 |
| Medtronic Single Chamber ICD -> Evera-XTVR MRI Secondary | $46,564.00 |
| Medtronic Single Chamber ICD -> Evera-XTVR Secondary | $39,140.00 |
| Medtronic Single Chamber ICD -> Visia AF MRI S VR | $43,764.00 |
| Medtronic Single Chamber ICD -> Visia AF MRI S VR Primary | $43,764.00 |
| Medtronic Single Chamber ICD -> Visia AF MRI Surescan Primary | $46,564.00 |
| Medtronic Single Chamber ICD -> Visia AF MRI Surescan Secondary | $46,564.00 |
| Medtronic Single Chamber ICD -> Visia AF VR Primary | $39,140.00 |
| Medtronic Single Chamber ICD -> Visia AF VR Secondary | $39,140.00 |
| Megasphaera Spp (QST) | $226.00 |
| Melons (f87) IgE -QST | $28.00 |
| MENSICAL CINCH II W/DEPTH STOP ARTHREX INC AR-4501 | $1,580.00 |
| Mercury, Blood (QST) | $53.00 |
| Mercury, Blood -Quest | $53.00 |
| Mercury, Urine 1 | $61.00 |
| Mercury, Urine 2 | $61.00 |
| MESH BIOLOGIC 10X16MM FIRM STRATTICE PORCINE DERMIS ALLERGAN INC 1016002 | $111.00 |
| MESH BIOLOGIC 16X20MM FIRM STRATTICE PORCINE DERMIS ALLERGAN INC 1620002 | $111.00 |
| MESH BIOLOGIC 20X30MM FIRM STRATTICE PORCINE DERMIS ALLERGAN INC 2030002 | $111.00 |
| Mesh For Hernia Repair | $4,407.00 |
| MESH HERNIA CIRCLE 2.5IN DIA MEDIUM W STRAP VENTRALEX BARD DAVOL INC 5950008 | $1,725.00 |
| MESH KNITED MONO POLYPROP 10X14IN DAVOL BARD DAVOL INC 0112660 | $388.00 |
| MESH PHISIO OPEN SKIRTED 12X15 ETHICON INC OPHY1215 | $2,170.00 |
| MESH PROCEED 10X15 JOHNSON & JOHNSON PCDN1 | $1,725.00 |
| MESH PROCEED 15X20 JOHNSON & JOHNSON PCDG1 | $3,649.00 |
| MESH PROCEED 20X25 JOHNSON & JOHNSON PCDH1 | $5,533.00 |
| MESH RESTORELL Y 24X3CM | $5,533.00 |
| MESH SKIRTED PHYSIO 10X10 ETHICON INC OPHY1010 | $1,725.00 |
| MESH SKIRTED PHYSIO 15X20 ETHICON INC OPHY1520 | $3,649.00 |
| MESH SKIRTED PHYSIO 20X30 ETHICON INC OPHY2030 | $6,567.00 |
| MESH STRATTICE FIRM 6X16 ALLERGAN INC 0616002 | $111.00 |
| MESH SURG 3DMAX 5X3IN GROIN BARD DAVOL INC 0115310 | $689.00 |
| MESH SURG 3DMAX 5X3IN GROIN RT BARD DAVOL INC 0115320 | $689.00 |
| MESH SURG 3DMAX 6X4IN GROIN BARD DAVOL INC 0115311 | $689.00 |
| MESH SURG 3DMAX 6X4IN GROIN RT BARD DAVOL INC 0115321 | $689.00 |
| MESH SURG BARD 3DMAX 7X5IN BARD DAVOL INC 0115312 | $689.00 |
| MESH SURG L20XW15CM ST ECHO VENTRALIGHT 2 ELLIPSE BARD DAVOL INC 5991520 | $3,580.00 |
| MESH SURG L25XW15CM ST ECHO VENTRALIGHT 2 OVAL BARD DAVOL INC 5991525 | $5,533.00 |
| MESH SURG L25XW20CM ST ECHO VENTRALIGHT 2 ELLIPSE BARD DAVOL INC 5992025 | $5,533.00 |
| MESH SURG PARIETEX PROGRIP 6 US SURGICAL TEM1509G | $1,187.00 |
| MESH SURG PARIETEX PROGRIP 6X6 US SURGICAL TEM1515G | $1,187.00 |
| MESH SURG PRC 4.3X4.3CM FSCA ETHICON INC PVPS | $1,187.00 |
| MESH SURG PRLN 3 15/16INX1.75 ETHICON INC PHSL | $1,187.00 |
| MESH SURG PRLN 3 15/16INX1.75 JOHNSON & JOHNSON PHSM | $1,187.00 |
| MESH SURG PRLN 4X1IN KNIT ETHICON INC PMXS | $141.00 |
| MESH SURG PRLN 6X3IN KNIT ETHICON INC PMII | $141.00 |
| MESH SURG VENTRALIGHT OD11CM ST ECHO 2 CIRCLE BARD DAVOL INC 5990011 | $2,170.00 |
| MESH SURGICAL 25X36CM JOHNSON & JOHNSON OPHY2536 | $8,918.00 |
| MESH SURGICAL PHYSIOMESH 15X25 ETHICON INC OPHY1525 | $6,567.00 |
| MESH VENTRALEX HERNIA 8 CM 3.2 BARD DAVOL INC 0010303 | $2,170.00 |
| MESH VENTRALIGHT 4.5 CIRCLE BARD DAVOL INC 5954450 | $1,725.00 |
| MESH VENTRALIGHT 4X6 ELLIPSE BARD DAVOL INC 5954460 | $1,187.00 |
| Metacarpal Splint | $71.00 |
| Metanephrines, Fract, Free, Plasma -Quest | $89.00 |
| Metanephrines, Fract. 24 Hr Urine -Quest | $89.00 |
| Metanephrines, Fract. Random Urine -Quest | $89.00 |
| METATARSAL FX EACH | $1,064.00 |
| METATARSAL FX W/MAN EA | $1,064.00 |
| Methadone Screen Urine. | $307.00 |
| Methaqualone Screen Urine. | $307.00 |
| Methemoglobin. | $23.00 |
| Methotrexate -Quest | $89.00 |
| Methyl Alcohol (Bld)-Quest | $106.00 |
| Methylmalonic Acid -Quest | $101.00 |
| Mexiletine, Serum/Plasma-Quest | $89.00 |
| MG Breast Biopsy w/ Stereo Guide Left | $6,500.00 |
| MG Breast Biopsy w/ Stereo Guide Right | $6,500.00 |
| MG Breast Tissue Specimen Surgical Left | $2,351.00 |
| MG Breast Tissue Specimen Surgical Right | $2,351.00 |
| MG Device Plcmnt w/ Mammo Guide Left | $2,738.00 |
| MG Device Plcmnt w/ Mammo Guide Right | $2,738.00 |
| MG Device Plcmnt w/ Stereo Guide Left | $2,738.00 |
| MG Device Plcmnt w/ Stereo Guide Right | $2,738.00 |
| MG Ductogram or Galactogram Mult Ducts L | $1,090.00 |
| MG Ductogram or Galactogram Mult Ducts R | $1,090.00 |
| MG Mammo Digital Diagnostic Bilat | $632.00 |
| MG Mammo Digital Diagnostic Left | $632.00 |
| MG Mammo Digital Diagnostic Right | $632.00 |
| MG Mammo Digital Screening Bilateral | $625.00 |
| MG Mammo Digital Screening Left | $625.00 |
| MG Mammo Digital Screening Right | $625.00 |
| MG Mammo Post Clip Placement Left | $632.00 |
| MG Mammo Post Clip Placement Right | $632.00 |
| MHH Setup/O2 Setup -> High Flow Daily Charge | $738.00 |
| MHH Setup/O2 Setup -> O2 Therapy Charge | $168.00 |
| MI-2 Alpha Ab-QST | $199.00 |
| MI-2 Autoantibodies -Quest | $95.00 |
| MI-2 Beta Ab-QST | $199.00 |
| Micra Leadless PPM | $39,000.00 |
| Micra Sheath | $1,290.00 |
| Micro guide catheter | $1,240.00 |
| MICROBE SUSCEPTIBLE DIFFUSE | $37.00 |
| Microcatheter | $1,709.00 |
| Micropolyspora Faeni (QST) | $63.00 |
| micropuncture | $228.00 |
| Microsphere beads | $990.00 |
| Microwave ablation of vascular malformation | $2,930.00 |
| Mid Ear Exp Thru Ear Can Incis | $9,990.00 |
| Middle Turbinectomy | $923.00 |
| Midface Flap W/ Vasc Pedicle | $12,384.00 |
| Milk Component Panel -Quest | $43.00 |
| Minimum Inhibitory Concentration | $46.00 |
| Minor Surgery Tray | $298.00 |
| Mip/Mep - Completed | $642.00 |
| Missed Abortion 2Nd Trim Comp Surg | $11,159.00 |
| Mitochondria M2 Ab (IgG), EIA -Quest | $82.00 |
| Mitochondrial Ab Scr (QST) | $46.00 |
| Mitochondrial Ab Titer (QST) | $64.00 |
| Mitochondrial Ab w/Refl Titer -Quest | $43.00 |
| Mitogen-induced Lymph Pnl-QST | $368.58 |
| Mitral Valve Replace W Bypass | $4,200.00 |
| Mitrofanoff created by monti procedure assistant | $3,599.00 |
| Mitrofanoff created by monti procedure primary | $3,599.00 |
| MLC DEVICE FOR IMRT | $1,521.00 |
| MNPLT SURG 4.5MM ZUMI-ZIN UT EA1/BX12 COOPER SURGICAL INC ZSI1151 | $128.00 |
| Mob Of Splen Flex W Colec | $1,579.00 |
| Mod Of Oclar Imp W/Wo Peg | $8,115.00 |
| MOD SED < 5YRS 1ST 15 MIN | $684.00 |
| Mod Sed > 5YRS 1ST 15 MIN | $684.00 |
| MOD SED > 5YRS 1ST 15 MIN | $684.00 |
| MOD SED EA ADDTL 15 MIN | $188.00 |
| Mod Sed Each Addl 15 MIN | $188.00 |
| MOD SED OTH <5YR 1ST 15M | $227.00 |
| MOD SED OTH >5YR 1ST 15M | $684.00 |
| MOD SED OTH EA ADDTL 15M | $188.00 |
| Modalities Monitored SJR Invoiced -> - EMG - 4 Limbs | $642.00 |
| Modalities Monitored SJR Invoiced -> - SSEP Upper & Lower Limb | $2,152.00 |
| Moderate Sedation Other Physician -> Other physician, initial 15min, <5years | $227.00 |
| Moderate Sedation Other Physician -> Other physician, initial 15min, >=5years | $684.00 |
| Moderate Sedation Same Physician -> Same physician, initial 15min, <5 years | $684.00 |
| Moderate Sedation Same Physician -> Same physician, initial 15min, >=5 years | $684.00 |
| Moderate sedation> 5 years Add 15 minutes | $684.00 |
| Moderate sedation>5 years Initial 15 minutes | $188.00 |
| Mohs 1St Stage | $2,162.00 |
| Mohs Trunk/Arms First Stage | $2,162.00 |
| MOLD CEMENT CEMENTATION OD75MM COPOLYESTER SILICONE TIBIAL ZIMMER (BIOMET) CMF 431375 | $1,580.00 |
| MOLD CMNT STG1 0 HIP SIL SPCR | $1,104.00 |
| Monitor Interstitial Fluid Pressure | $2,594.00 |
| Monitoring Line Single w/o Transducer | $176.00 |
| Monitoring Line Single w/Transducer | $253.00 |
| Monitoring, Cardio Respiratory | $143.00 |
| Monitoring, Internal Pressure | $546.00 |
| Mononucleosis Screen. | $27.00 |
| Morgan Lens | $93.00 |
| Mosaiq New OP 2 - Med Onc | $283.00 |
| Mosaiq New OP 2 - Rad Onc | $283.00 |
| Mosaiq Established OP 1 - Med Onc | $201.00 |
| Mosaiq Established OP 1 - Rad Onc | $201.00 |
| Mosaiq Established OP 2 - Med Onc | $248.00 |
| Mosaiq Established OP 2 - Rad Onc | $248.00 |
| Mosaiq Established OP 3 - Med Onc | $285.00 |
| Mosaiq Established OP 3 - Rad Onc | $285.00 |
| Mosaiq Established OP 4 - Med Onc | $385.00 |
| Mosaiq New OP 1 - Med Onc | $246.00 |
| Mosaiq New OP 1 - Rad Onc | $246.00 |
| Mosaiq New OP 3 - Med Onc | $385.00 |
| Mosaiq New OP 3 - Rad Onc | $385.00 |
| Mouse Epithelia (E71) IgE-Quest | $23.00 |
| Moxifloxacin | $25.00 |
| Moxifloxacin | $25.00 |
| MPO Ab (QST) | $79.00 |
| MPO Ab (QST) | $79.00 |
| MPO Ab (QST) | $79.00 |
| MRA Abdomen w/ + w/o Contrast | $3,445.00 |
| MRA Abdomen w/ Contrast | $3,445.00 |
| MRA Abdomen w/o Contrast | $3,445.00 |
| MRA Brain/Head w/ + w/o Contrast | $1,824.00 |
| MRA Brain/Head w/o Contrast | $1,090.00 |
| MRA Chest w/ + w/o Contrast | $2,417.00 |
| MRA Chest w/o Contrast | $2,417.00 |
| MRA Lower Extremity w/ + w/o Cnt Left | $3,445.00 |
| MRA Lower Extremity w/ + w/o Cnt Right | $3,445.00 |
| MRA Lower Extremity w/ Contrast Left | $3,036.00 |
| MRA Lower Extremity w/ Contrast Right | $3,036.00 |
| MRA Lower Extremity w/o Contrast Left | $2,654.00 |
| MRA Lower Extremity w/o Contrast Right | $2,654.00 |
| MRA Neck w/ + w/o Contrast | $1,824.00 |
| MRA Neck w/o Contrast | $1,090.00 |
| MRA Pelvis w/ + w/o Contrast | $2,654.00 |
| MRA Pelvis w/ Contrast | $2,654.00 |
| MRA Pelvis w/o Contrast | $2,654.00 |
| MRA Upper Extremity w/ + w/o Cnt Left | $3,175.00 |
| MRA Upper Extremity w/ + w/o Cnt Right | $3,175.00 |
| MRA Upper Extremity w/ Contrast Left | $3,175.00 |
| MRA Upper Extremity w/ Contrast Right | $3,175.00 |
| MRA Upper Extremity w/o Contrast Left | $3,175.00 |
| MRA Upper Extremity w/o Contrast Right | $3,175.00 |
| MRI Abdomen w/ + w/o Contrast | $1,824.00 |
| MRI Abdomen w/ Contrast | $1,824.00 |
| MRI Abdomen w/o Contrast | $1,090.00 |
| MRI Ankle w/ + w/o Contrast Left | $1,824.00 |
| MRI Ankle w/ + w/o Contrast Right | $1,824.00 |
| MRI Ankle w/ Contrast Left | $3,269.00 |
| MRI Ankle w/ Contrast Right | $3,269.00 |
| MRI Ankle w/o Contrast Left | $1,090.00 |
| MRI Ankle w/o Contrast Right | $1,090.00 |
| MRI Brachial Plexus w/ + w/o Contrast | $1,824.00 |
| MRI Brachial Plexus w/o Contrast | $1,090.00 |
| Mri Brain Opn Intr Proc | $2,227.00 |
| MRI Brain w/ + w/o Contrast | $3,455.00 |
| MRI Brain w/ Contrast | $1,824.00 |
| Mri Brain W/Cont Inraop | $903.00 |
| MRI Brain w/o Contrast | $2,064.00 |
| MRI Breast Biopsy w/ MRI Guide Left | $6,500.00 |
| MRI Breast Biopsy w/ MRI Guide Right | $6,500.00 |
| MRI Breast w/ + w/o Contrast Bilateral | $1,090.00 |
| MRI Breast w/o Contrast Bilateral | $1,090.00 |
| MRI Chest w/ + w/o Contrast | $1,824.00 |
| MRI Chest w/ Contrast | $3,269.00 |
| MRI Chest w/o Contrast | $1,090.00 |
| MRI Elbow w/ + w/o Contrast Left | $1,824.00 |
| MRI Elbow w/ + w/o Contrast Right | $1,824.00 |
| MRI Elbow w/ Contrast Left | $3,269.00 |
| MRI Elbow w/ Contrast Right | $3,269.00 |
| MRI Elbow w/o Contrast Left | $1,090.00 |
| MRI Elbow w/o Contrast Right | $1,090.00 |
| MRI Face Neck Orbit w/ + w/o Contrast | $1,824.00 |
| MRI Face Neck Orbit w/ Contrast | $1,824.00 |
| MRI Face Neck Orbit w/o Contrast | $1,090.00 |
| MRI Foot w/ + w/o Contrast Left | $1,824.00 |
| MRI Foot w/ + w/o Contrast Right | $1,824.00 |
| MRI Foot w/ Contrast Left | $1,824.00 |
| MRI Foot w/ Contrast Right | $1,824.00 |
| MRI Foot w/o Contrast Left | $1,090.00 |
| MRI Foot w/o Contrast Right | $1,090.00 |
| MRI Hand w/ + w/o Contrast Left | $1,824.00 |
| MRI Hand w/ + w/o Contrast Right | $1,824.00 |
| MRI Hand w/ Contrast Right | $1,728.00 |
| MRI Hand w/o Contrast Left | $1,090.00 |
| MRI Hand w/o Contrast Right | $1,090.00 |
| MRI Hip w/ + w/o Contrast Left | $1,824.00 |
| MRI Hip w/ + w/o Contrast Right | $1,824.00 |
| MRI Hip w/ Contrast Left | $3,269.00 |
| MRI Hip w/ Contrast Right | $3,269.00 |
| MRI Hip w/o Contrast Left | $1,090.00 |
| MRI Hip w/o Contrast Right | $1,090.00 |
| MRI Image Reconstruction | $473.00 |
| MRI Knee w/ + w/o Contrast Left | $1,824.00 |
| MRI Knee w/ + w/o Contrast Right | $1,824.00 |
| MRI Knee w/ Contrast Left | $3,269.00 |
| MRI Knee w/ Contrast Right | $3,269.00 |
| MRI Knee w/o Contrast Left | $1,090.00 |
| MRI Knee w/o Contrast Right | $1,090.00 |
| MRI Lower Extremity w/ + w/o Cnt Left | $1,824.00 |
| MRI Lower Extremity w/ + w/o Cnt Right | $1,824.00 |
| MRI Lower Extremity w/ Contrast Left | $1,824.00 |
| MRI Lower Extremity w/ Contrast Right | $1,824.00 |
| MRI Lower Extremity w/o Contrast Left | $1,090.00 |
| MRI Lower Extremity w/o Contrast Right | $1,090.00 |
| MRI Pelvis w/ + w/o Contrast | $1,824.00 |
| MRI Pelvis w/ Contrast | $1,693.00 |
| MRI Pelvis w/o Contrast | $1,090.00 |
| MRI Prostate w/ + w/o Contrast | $1,824.00 |
| MRI Prostate w/o Contrast | $1,090.00 |
| MRI Shoulder w/ + w/o Contrast Left | $1,824.00 |
| MRI Shoulder w/ + w/o Contrast Right | $1,824.00 |
| MRI Shoulder w/ Contrast Left | $3,269.00 |
| MRI Shoulder w/ Contrast Right | $3,269.00 |
| MRI Shoulder w/o Contrast Left | $1,090.00 |
| MRI Shoulder w/o Contrast Right | $1,090.00 |
| MRI Spine Cervical w/ + w/o Contrast | $1,824.00 |
| MRI Spine Cervical w/ Contrast | $1,824.00 |
| MRI Spine Cervical w/o Contrast | $2,064.00 |
| MRI Spine Lumbar w/ + w/o Contrast | $1,824.00 |
| MRI Spine Lumbar w/ Contrast | $1,824.00 |
| MRI Spine Lumbar w/o Contrast | $2,064.00 |
| MRI Spine Thoracic w/ + w/o Contrast | $1,824.00 |
| MRI Spine Thoracic w/ Contrast | $1,824.00 |
| MRI Spine Thoracic w/o Contrast | $1,090.00 |
| MRI TMJ | $1,090.00 |
| MRI Upper Extremity w/ + w/o Cnt Left | $1,824.00 |
| MRI Upper Extremity w/ + w/o Cnt Right | $1,824.00 |
| MRI Upper Extremity w/o Contrast Left | $1,090.00 |
| MRI Upper Extremity w/o Contrast Right | $1,090.00 |
| MRI Wrist w/ + w/o Contrast Left | $1,824.00 |
| MRI Wrist w/ + w/o Contrast Right | $1,824.00 |
| MRI Wrist w/ Contrast Left | $3,269.00 |
| MRI Wrist w/ Contrast Right | $3,269.00 |
| MRI Wrist w/o Contrast Left | $1,090.00 |
| MRI Wrist w/o Contrast Right | $1,090.00 |
| MRSA (Meth Res S. aureus) -> Detected | $185.00 |
| MRSA (Meth Res S. aureus) -> Not Detected | $185.00 |
| MRSA screen (blood) -> Detected | $185.00 |
| MRSA screen (blood) -> Not Detected | $185.00 |
| MTHFR DNA -Quest | $310.00 |
| Mucos Telmtry Ph Probe It | $2,038.00 |
| Mugwort (w6) IgE-Quest | $25.00 |
| Mult Punc/Anterior Cornea | $8,115.00 |
| Mult Sleep Latency Test | $2,038.00 |
| Multi Lumen Access | $440.00 |
| Multiflo adapter | $155.00 |
| Multifocal ERG W/I&R | $609.00 |
| Multi-lumen Catheter | $570.00 |
| Mumps Antibody IgG CSF-QST | $99.72 |
| Mumps IgM CSF-QST | $99.72 |
| Mumps Virus Antibody (IgG) (QST) | $69.00 |
| Mumps Virus Antibody (IgG) (QST) | $69.00 |
| Mumps Virus Antibody (IgG) -Quest | $69.00 |
| Mumps Virus Antibody (IgM) (QST) | $69.00 |
| Mumps Virus Antibody (IgM) -Quest | $69.00 |
| Mumps Virus RNA, Ql Real Time PCR -Quest | $185.00 |
| Musc Myoq/Fscq Flap Hd&Nk W/Named Pedicle | $12,384.00 |
| Muscle Myocut/Fascio Flap Trunk | $12,384.00 |
| Muscle Myocut/Fascioc Flap Upper Extremity | $6,935.00 |
| Muscle Myocutaneous Lwr Extremity | $13,072.00 |
| Muscle Tendon Trans Any Ty Sin | $25,517.00 |
| Muscle Tran Any Shoul/Up Arm | $25,517.00 |
| Muscle Tran Shoulder Upper Arm Single | $25,517.00 |
| Mushroom (f212) IgE-Quest | $24.00 |
| MuSK Antibody Test -Quest | $87.00 |
| Mustard (f89) IgE - Quest | $24.00 |
| MVista(R) Blastomyces Qn Ag EIA -Quest | $63.00 |
| Mycelial Phase Ab (QST) | $67.00 |
| Mycobacterium Avium Complex MIC Panel-Quest 19796 | $46.00 |
| Mycophenolic Acid -Quest | $95.00 |
| Mycoplasma Pneumoniae Ab (IgG) (QST) | $70.00 |
| Mycoplasma Pneumoniae Ab (IgG) -Quest | $70.00 |
| Mycoplasma Pneumoniae Ab (IgM) (QST) | $63.00 |
| Mycoplasma Pneumoniae Ab (IgM) -Quest | $63.00 |
| Mycoplasma Pneumoniae Ab CF (CSF) -Quest | $70.00 |
| Mycoplasma pneumoniae DNA RT PCR - QST | $743.00 |
| Myelin Assoc Glycoprotein (MAG) IgM, EIA -Quest | $82.00 |
| Myelin Basic Protein -Quest | $45.00 |
| Myelin Oligodendrocyte Glycoprotein-QST | $1,214.00 |
| MYELOGRAPHY LUMB INJ;CERV | $3,269.00 |
| Myelography Lumbar Interp | $3,269.00 |
| Myeloperoxidase Antibody -Quest | $79.00 |
| Mynx | $535.00 |
| Myoglobin, Serum -Quest | $68.00 |
| Myoglobin, Urine -Quest | $68.00 |
| Myomectomy Vaginal | $10,572.00 |
| Myringoplasty | $9,990.00 |
| Myringotomy | $923.00 |
| Myringotomy W/ Gen Anes | $9,990.00 |
| N Gonorrhoeae DNA Probe | $185.00 |
| N Meningitidis Ag Addtl | $53.00 |
| N. meningitidis Ag, Latex Agglut -Quest | $53.00 |
| N/Inv Phys Ea Mult W/Ex | $642.00 |
| N/Inv Phys Ea Mult W/O Ex | $642.00 |
| NAIL 11MM 170MM TROCH FEM IM SYNTHES TRAUMA 456.317S | $5,019.00 |
| NAIL 11MM 170MM TROCH FEM IM SYNTHES TRAUMA 456.319S | $5,019.00 |
| NAIL 11MM 36CM FEM LFT PROX IM SYNTHES TRAUMA 04.037.157S | $10,122.00 |
| NAIL 12MMX320MM LEFT TFN SYNTHES 04.037.253S | $10,122.00 |
| NAIL ANKLE COMPRESSION 11X150 ORTHOFIX INC 99-T771150 | $12,848.00 |
| NAIL AVULSION SIMPLE;SING | $834.00 |
| NAIL CANN FEMORAL EX 11X340MM RETRO/ANTEGRADE STERILE SYNTHES TRAUMA 04.013.548S | $6,185.00 |
| NAIL CANN FEMORAL EX 12X380MM RETRO/ANTEGRADE STERILE SYNTHES TRAUMA 04.013.656S | $6,185.00 |
| NAIL CANNULATED 11X420MM 130 D SYNTHES TRAUMA 04.037.163S | $10,122.00 |
| NAIL EX FEMORAL CANNLTD 10X360 RETROGRADE/ANTEGRADE SYNTHES TRAUMA 04.013.452S | $6,185.00 |
| NAIL EX TIBIAL CANNLTD 8X345MM SYNTHES TRAUMA 04.004.249S | $5,417.00 |
| NAIL EX TIBIAL CANNLTD 9X330MM SYNTHES TRAUMA 04.034.346S | $5,417.00 |
| NAIL EXCISION | $1,484.00 |
| NAIL FIXATION 11X110MM TROCHANTERIC SYNTHES TRAUMA 04.032.110S | $2,061.00 |
| NAIL FIXATION 11X320MM LT 130D SYNTHES TRAUMA 456.413S | $6,606.00 |
| NAIL FIXATION 11X400MM LT 130D SYNTHES TRAUMA 456.421S | $6,606.00 |
| NAIL FIXATION 11X400MM RT 130D SYNTHES TRAUMA 456.420S | $6,606.00 |
| NAIL FIXATION 11X420MM LT 130D SYNTHES TRAUMA 456.423S | $6,606.00 |
| NAIL FIXATION 11X90MM TROCHANTERIC SYNTHES TRAUMA 04.032.090S | $2,061.00 |
| NAIL FIXATION CANNLTD 10X170MM NAIL FIXATION 10 X 170MM 130 D SYNTHES TRAUMA 456.315S | $5,019.00 |
| NAIL FIXATION CANNLTD 11X170MM NAIL FIXATION 11 X 170MM 130 D SYNTHES TRAUMA 456.318S | $5,019.00 |
| NAIL FIXATION CANNLTD 12X170MM NAIL FIXATION 12 X 170MM 130 D SYNTHES TRAUMA 456.322S | $5,019.00 |
| NAIL FIXATION LT 130DEG 11X340 SYNTHES TRAUMA 456.415S | $6,606.00 |
| NAIL FIXATION LT 130DEG 11X380 SYNTHES TRAUMA 456.419S | $6,606.00 |
| NAIL FIXATION LT 360MM SYNTHES TRAUMA 456.417S | $6,606.00 |
| NAIL FIXATION RT 130DEG 11X320 NAIL TROCH 11X320MM RT 130D SYNTHES TRAUMA 456.412S | $6,606.00 |
| NAIL FIXATION RT 130DEG 11X340 SYNTHES TRAUMA 456.414S | $6,606.00 |
| NAIL FIXATION RT 130DEG 11X360 SYNTHES TRAUMA 456.416S | $6,606.00 |
| NAIL FIXATION RT 130DEG 11X380 SYNTHES TRAUMA 456.418S | $6,606.00 |
| NAIL FIXATION RT 130DEG 11X420 SYNTHES TRAUMA 456.422S | $6,606.00 |
| NAIL HUMERAL TITAN 7X270MM SYNTHES TRAUMA 04.001.234S | $5,639.00 |
| NAIL INTRA TFNA 10X170MM 130D SYNTHES TRAUMA 04.037.042S | $7,222.00 |
| NAIL INTRAMED 11X440MM TI TFNA SYNTHES TRAUMA 04.037.165S | $10,122.00 |
| NAIL INTRAMED 12X420MM 130D TI CANN TFNA SYNTHES 04.037.263S | $10,122.00 |
| NAIL INTRAMED LAT 12MM 130DEG SYNTHES CMF 04.037.242S | $7,222.00 |
| NAIL LINVATEC SMARTNAIL 1.5X16 LINVATEC CORP 531516 | $717.00 |
| NAIL LINVATEC SMARTNAIL 1.5X20 LINVATEC CORP 531520 | $717.00 |
| NAIL LONG 11X170MM TFNA RIGHT SYNTHES TRAUMA 04.037.142S | $7,222.00 |
| NAIL LONG 11X340MM TFNA LEFT SYNTHES TRAUMA 04.037.155S | $10,122.00 |
| NAIL LONG 11X340MM TFNA RIGHT SYNTHES TRAUMA 04.037.154S | $10,122.00 |
| NAIL LONG 11X360MM RIGHT TFNA 130 DEG SYNTHES TRAUMA 04.037.156S | $10,122.00 |
| NAIL LONG 11X380MM LEFT TFNA SYNTHES TRAUMA 04.037.159S | $10,122.00 |
| NAIL LONG 11X380MM RIGHT TFNA 130 DEG SYNTHES TRAUMA 04.037.158S | $10,122.00 |
| NAIL LONG 11X400MM LEFT TFNA 130 DEG SYNTHES TRAUMA 04.037.161S | $10,122.00 |
| NAIL LONG 11X400MM RT TFNA SYNTHES TRAUMA 04.037.160S | $10,122.00 |
| NAIL LONG 11X420MM RIGHT TFNA 130 DEG SYNTHES TRAUMA 04.037.162S | $10,122.00 |
| NAIL LONG 12MMX130DEG TI CANN SYNTHES TRAUMA 04.037.260S | $10,122.00 |
| NAIL LONG 12X420MM RT 130 DEG TFNA SYNTHES TRAUMA 04.037.262S | $10,122.00 |
| NAIL RETROGRADE FEM 11X320MM RETRO/ANTEGRADE STERILE SYNTHES TRAUMA 04.013.544S | $5,639.00 |
| NAIL TFN RT 12MM 130D L340MM SYNTHES TRAUMA 04.037.254S | $10,122.00 |
| NAIL TFNA LT 12MM 130D L360MM CANN SYNTHES TRAUMA 04.037.256S | $10,122.00 |
| NAIL TFNA LT 12MM 130D L360MM SYNTHES TRAUMA 04.037.257S | $10,122.00 |
| NAIL TFN-ADV 12MM 130 D LONG SYNTHES TRAUMA 04.037.261S | $10,122.00 |
| NAIL TFN-ADV 12MM 130D L38MM SYNTHES TRAUMA 04.037.259S | $10,122.00 |
| NAIL TIBIAL CANNULATED 10X360MM SYNTHES TRAUMA 04.034.452S | $5,417.00 |
| NAIL TIBIAL CANNULATED 11X375 MM SYNTHES TRAUMA 04.034.555S | $5,417.00 |
| NAIL TIBIAL CANNULATED STERILE 10X375MM SYNTHES TRAUMA 04.034.455S | $5,417.00 |
| NAIL TROCHANTERIC FIXATION 11X75MM TITANIUM SYNTHES TRAUMA 04.032.075S | $2,061.00 |
| NAIL TROCHANTERIC FIXATION 11X80MM TITANIUM SYNTHES TRAUMA 04.032.080S | $2,061.00 |
| NAIL TROCHANTERIC FIXATION 11X85MM TITANIUM SYNTHES TRAUMA 04.032.085S | $2,061.00 |
| NAIL12MM 130 DEG TI CANN TFNA SYNTHES TRAUMA 04.037.255S | $10,122.00 |
| Nasal Bones | $294.00 |
| Nasal Cautery | $56.00 |
| Nasal endo, w/ bx or debrib | $6,130.00 |
| Nasal endo, w/ ctl of epistaxis | $6,130.00 |
| Nasal Endoscopy Diag | $625.00 |
| Nasal Endoscopy W Ant/Post Ethmoidect | $23,046.00 |
| Nasal Endoscopy W Maxillary Antrostomy | $12,270.00 |
| Nasal Endoscopy W Partial Ethmoidectomy | $23,046.00 |
| nasal endoscopy, dx; uni or bil | $625.00 |
| Nasal Hemor Post Pack Ini | $503.00 |
| Nasal Hemor Posterior Pack Sub | $974.00 |
| Nasal IMV Charge -> Initial charge | $905.00 |
| Nasal IMV Charge -> Subsequent Charge | $905.00 |
| Nasal Splint | $344.00 |
| Nasal Tampon | $82.00 |
| Nasal/Sinus Endo W/Dila Frontal Sinus Osti | $23,046.00 |
| Nasal/Sinus Endoscopy | $1,730.00 |
| Nasal/Sinus Endoscopy | $6,130.00 |
| Nasal/Sinus Endoscopy | $12,270.00 |
| Nasal/Sinus Endoscopy | $6,130.00 |
| Nasal/Sinus Endoscopy | $23,046.00 |
| Nasal/Sinus Endoscopy | $23,046.00 |
| Nasal/Sinus Endoscopy | $24,326.00 |
| Nasal/Sinus Endoscopy | $23,046.00 |
| Nasal/Sinus Endoscopy | $23,046.00 |
| Nasal/Sinus Endoscopy | $23,046.00 |
| Nasal/Sinus Endoscopy W/Dil Maxillary Sinu | $23,046.00 |
| Nasal/Sinus Endoscopy W/Dil Sphenoid Sinus | $23,046.00 |
| Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss | $23,046.00 |
| Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tis | $23,046.00 |
| Nasal/Sinus Ndsc Total With Sphenoidotomy | $23,046.00 |
| NASO-GASTRIC TUBE PLACMT | $1,645.00 |
| Naso-Gastric Tube Placmt | $1,645.00 |
| Nasopharyngoscopy performed | $775.00 |
| Nasopharyngoscopy W Endoscope | $775.00 |
| NASOPHARYNGOSCOPY W/ENDO | $775.00 |
| Nasostat | $600.00 |
| Natural Killer Cells | $199.00 |
| NC0097 Fiducial Implant | $1,170.00 |
| NDL BPSY 22GA 3/8-1 7/8IN ASP EA1 ZIMMER HOLDINGS INC 00-1103-007-00 | $536.00 |
| NDL SCLRTX 23GA 2.3MM .32MM | $246.00 |
| NDL SUT 35MM ARTHROTEK RC NDL BIOMET 902964 | $246.00 |
| NDL SUT REPR EYLT ZN SPC II LINVATEC CORP 8570 | $111.00 |
| Neck Soft Tissue | $294.00 |
| NEEDLE 4CM COLORADO MICRO STR STRYKER CMF N104A | $246.00 |
| Needle Aspirate Of Bladder | $1,036.00 |
| NEEDLE BIOPSY PASSIVE 2.2MM MEDTRON SURGICAL TECH 9733068 | $2,550.00 |
| NEEDLE COAPTITE SIDEKICK 21GGE BOSTON SCI:UROLOGY/GYNECOLOGY M0068903040 | $246.00 |
| NEEDLE CURVED SPEEDCINCH ARTHREX INC AR-4502 | $1,580.00 |
| NEEDLE DELIVERY 12GGEX7.5CM SYNTHES TRAUMA DLS-7122-01S | $246.00 |
| Needle Emg Larynx | $477.00 |
| NEEDLE EPIDURAL 14 GA 6IN ST JUDE NEUROMODULATION 1116 | $246.00 |
| NEEDLE EPIDURAL RX COUDE 14G 4IN EPIMED INTERNATIONAL INC 105-1314 | $246.00 |
| NEEDLE FOR SUTURE PASSER KNEE SCORPION ARTHREX INC AR-12990N | $780.00 |
| Needle Intraosseous Infusion | $1,645.00 |
| NEEDLE SCORPION MULTIFIRE ARTHREX INC AR-13995N | $560.00 |
| NEEDLE SCORPION SHOULDER 16MM SURE-FIRE ARTHREX INC AR-13991N | $560.00 |
| NEEDLE SPINAL PENCIL PT 22G WITACRE 3.5IN | $184.00 |
| Neisseria gonorrhoeae Ab, CF (Serum) -Quest | $68.00 |
| Neoencephalitis Paraneo Plastic Prof w/Recombx -Quest | $82.00 |
| Neonatal Antibody Screen Gel. | $46.00 |
| Neonatal DAT. | $28.00 |
| Neonatal Type. | $16.00 |
| Nephrost Nephrot W Drain | $4,280.00 |
| NERVE BIOPSY TEASE PREP (TECH) | $2,638.00 |
| Nerve Biopsy, Tease Prep (TECH) | $2,638.00 |
| Nerve Block Celiac Plexus | $3,424.00 |
| Nerve Conduction Studies; 1-2 Studies | $609.00 |
| Nerve Conduction Studies; 13 Or More Studi | $2,038.00 |
| Nerve Conduction Studies; 3-4 Studies | $1,130.00 |
| Nerve Conduction Studies; 5-6 Studies | $1,130.00 |
| Nerve Conduction Studies; 7-8 Studies | $1,130.00 |
| Nerve Conduction Studies; 9-10 Studies | $2,038.00 |
| Nerve Conduction Studies;11-12 Studies | $2,038.00 |
| Nerve Graft Hd,Nk Up To 4cm | $20,442.00 |
| NERVE MORPH ANALYSIS (TECH) | $241.00 |
| Nerve Pedical Transfer 2nd Stage | $20,442.00 |
| Nerve Pedicle Transfer, First Stage | $20,442.00 |
| Nerve Repair W/Nerve Allograft First Stran | $20,442.00 |
| Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve | $1,170.00 |
| Nerve Repr,W/Synthetic Co | $20,442.00 |
| Neurectomy Intrinsic Foot | $7,304.00 |
| Neurectomy,Hamstring Musc | $7,304.00 |
| Neurectomy,Popliteal | $7,304.00 |
| Neuro Tech Time Billing in OR 15 min | $135.00 |
| Neurolysis Digital 1 Or Both | $7,304.00 |
| Neurolysis Hand/Foot | $7,304.00 |
| Neurolysis Ulnar At Elbow | $7,710.00 |
| Neurolysis Ulnar At Wrist | $7,304.00 |
| Neuromuscular Reeducation | $301.00 |
| Neuron Specific Enolase (NSE) -Quest | $110.00 |
| Neuroplasty And/Or Transposition | $7,304.00 |
| Neuroplasty Lumbar Plexus | $7,304.00 |
| Neuroplasty Maj Periph Nerve;Brachial Plex | $7,304.00 |
| Neuroplasty Maj Peripheral Nerve; Sciatic | $7,304.00 |
| Neuroplasty Med Nrv At Carpal Tunnel | $7,710.00 |
| Neuroplasty Periphrl Nerve, Arm Or Leg | $7,304.00 |
| Neurorrhaphy Arm/Leg Mult <4cm | $20,442.00 |
| Neurorrhaphy Arm/Leg Mult >4cm | $20,442.00 |
| Neurorrhaphy Arm/Leg Not Sciat | $20,442.00 |
| Neurorrhaphy Arm/Leg Sing <4cm | $20,442.00 |
| Neurorrhaphy Arm/Leg Sing >4cm | $20,442.00 |
| Neurorrhaphy Arm/Leg Wo Transp | $20,442.00 |
| Neurorrhaphy Brachial Plexus | $20,442.00 |
| Neurorrhaphy Digital 1 Nerve | $20,442.00 |
| Neurorrhaphy Facial Extracran | $20,442.00 |
| Neurorrhaphy Hand/Foot Med Mtr | $20,442.00 |
| Neurorrhaphy Hand/Foot Ulnar | $20,442.00 |
| Neurorrhaphy Hand/Ft Sens Nv | $20,442.00 |
| Neurorrhaphy Hd/Ft Mult <4cm | $20,442.00 |
| Neurorrhaphy Hd/Ft Mult >4cm | $20,442.00 |
| Neurorrhaphy Hd/Ft Sing <4cm | $20,442.00 |
| Neurorrhaphy Hd/Ft Sing >4cm | $20,442.00 |
| Neurorrhaphy Lumbar Plexus | $20,442.00 |
| Neurorrhaphy Post Tibial Nerve | $20,442.00 |
| NEUROSTIMULATOR MEDTRON NEUROLOGICAL 3058 | $46,720.00 |
| Newborn Hearing Scrn Both Ears -> Yes | $1,192.00 |
| Newborn Screen Initial (PE). | $115.00 |
| NEXGEN ALL POLY PATELLA 32MM ZIMMER HOLDINGS INC 00597206532 | $1,500.00 |
| NEXGEN LPS FLEX FIXED NSM ART ZIMMER ZIMMER HOLDINGS INC 00596403214 | $3,960.00 |
| Nickel, Blood-Quest | $135.00 |
| Nicotine and Cotinine, LC/MS/MS -Quest | $204.00 |
| Nicotine and Cotinine, LC/MS/MS, Urine -Quest | $268.00 |
| NIEPS | $4,345.00 |
| Nipple Explor W/Wo Duct Excision | $12,607.00 |
| Nipple/Areola Reconstruction | $12,607.00 |
| Nippv Charge -> Initial Charge | $905.00 |
| Nippv Charge -> Subsequent Charge | $905.00 |
| NIPPV Machine -> CPAP | $278.00 |
| NIVC Electrocardiogram | $501.00 |
| NIVC Electrocardiogram No Charge | $0.00 |
| NIVC Evaluation, Tilt Table | $2,152.00 |
| NIVC Holter Monitor, 24 Hours | $503.00 |
| NIVC Stress Test | $1,192.00 |
| Njx NonCmpnd Sclrsnt 1 Vein | $6,935.00 |
| Njx NonCmpnd Sclrsnt Mlt Vn | $6,935.00 |
| NKX2 3 SNP | $137.00 |
| NM Bone Imaging Limited Delay 1 | $1,671.00 |
| NM Bone Imaging Multiple Areas Delay 1 | $1,671.00 |
| NM Bone Imaging Whole Body Delay 1 | $1,671.00 |
| NM Bone Imaging Whole Body Delay 2 | $1,909.00 |
| NM Bone Imaging Whole Body Injection | $1,909.00 |
| NM Bone Marrow Imaging Limited | $1,671.00 |
| NM Bone Marrow Imaging Whole Body | $1,671.00 |
| NM Bone Spect | $2,153.00 |
| NM Bone Three Phase Study Injection/Scan | $1,671.00 |
| NM Brain Imaging Vascular Flow Only | $2,153.00 |
| NM Brain Spect | $5,810.00 |
| NM Cardiac MUGA | $1,671.00 |
| NM Cisternography Delay 1 | $2,153.00 |
| NM Gastric Emptying Study | $1,671.00 |
| NM Gastroesophageal Reflux Study | $1,671.00 |
| NM Gastrointestinal Blood Loss Imaging | $1,671.00 |
| NM Hepatobiliary Imaging Injection/Scan | $2,153.00 |
| NM HIDA w/ Drug Injection/Scan | $2,153.00 |
| NM Inflmtn Loc Ltd - Ceretec Blood Draw | $5,810.00 |
| NM Inflmtn Loc Ltd - Ceretec Delay 1 | $5,810.00 |
| NM Inflmtn Loc Ltd - Ceretec Delay 2 | $5,810.00 |
| NM Inflmtn Loc Ltd - Ceretec Delay 3 | $5,810.00 |
| NM Inflmtn Loc Ltd - Ceretec WBC Inject | $5,810.00 |
| NM Inflmtn Loc Ltd - Gallium Injection | $5,810.00 |
| NM Inflmtn Loc Ltd - Indium Delay 1 | $5,810.00 |
| NM Inflmtn Loc Ltd Blood Draw | $5,810.00 |
| NM Inflmtn Loc Ltd Delay 1 | $5,810.00 |
| NM Inflmtn Loc Ltd Delay 2 | $5,810.00 |
| NM Inflmtn Loc Ltd Delay 3 | $5,810.00 |
| NM Inflmtn Loc Ltd WBC Inject | $5,810.00 |
| NM Inflmtn Loc WB - Ceretec WBC Inject | $5,810.00 |
| NM Inflmtn Loc WB - Gallium Injection | $5,810.00 |
| NM Inflmtn Loc WB - Indium WBC Inject | $5,810.00 |
| NM Inflmtn Loc WB WBC Injection | $5,810.00 |
| NM Intestine Imaging Meckels | $1,671.00 |
| NM Kidney Imaging Multiple w/+w/o Pharm | $2,344.00 |
| NM Kidney Imaging Single w/ Pharm | $2,153.00 |
| NM Kidney Imaging Single w/o Pharm | $2,153.00 |
| NM Liver Imaging Spect | $5,810.00 |
| NM Liver Imaging Spect w/ VF Inj/Scan | $2,153.00 |
| NM Liver Imaging Static | $5,810.00 |
| NM Liver/Spleen Imaging Injection/Scan | $5,810.00 |
| NM Liver/Spleen Imaging w/ VF Inj/Scan | $2,153.00 |
| NM Lung Perfusion Differential Imaging | $1,671.00 |
| NM Lung Perfusion Imaging | $1,671.00 |
| NM Lung Vent/Perf Imaging | $2,153.00 |
| NM Lung Ventilation Imaging | $1,676.00 |
| NM Lutathera Therapy | $1,091.00 |
| NM Lymphoscintigraphy Injection/Scan | $2,153.00 |
| NM Myocardial SPECT Rest and Stress | $5,810.00 |
| NM Myocardial SPECT Single Study | $5,394.00 |
| NM Parathyroid Imaging Delay 1 | $1,671.00 |
| NM Parathyroid Imaging w/ Spect Delay 1 | $1,818.00 |
| NM Radiopharm Therapy Oral Admin | $1,091.00 |
| NM Salivary Gland w/ Serial | $1,671.00 |
| NM Sentinel Node | $2,153.00 |
| NM Shunt Evaluation CSF Inj/Scan | $2,153.00 |
| NM Thyroid Cancer Dosimetry | $2,243.00 |
| NM Thyroid Cancer Imaging Whole Body | $2,153.00 |
| NM Thyroid Image w/Uptk Sng/Mlt Scan | $2,024.00 |
| NM Thyroid Imaging | $1,671.00 |
| NM Thyroid Uptake Only | $1,671.00 |
| NM Tumor Loc Limited Delay 1 | $1,671.00 |
| NM Tumor Loc Multiple Areas Delay 1 | $1,671.00 |
| NM Tumor Loc Spect | $2,153.00 |
| NM Tumor Loc WB 1 Day Delay 1 | $5,810.00 |
| NM Tumor Loc WB 2+ Days Delay 1 | $5,810.00 |
| NM Tumor Loc WB 2+ Days Gallium Delay 1 | $5,810.00 |
| NM Tumor Loc WB 2+ Days Octreo Delay 1 | $5,810.00 |
| NM Tumor Octreo w SPECT 24 hr | $2,153.00 |
| NM Ureteral Reflux Study | $1,671.00 |
| NM Xofigo Administration | $1,091.00 |
| NMDA Receptor Ab | $64.00 |
| Nocturnal Oximetry | $642.00 |
| NOD2 SNPB SNP12 SNP13 | $651.00 |
| NON EMER VISIT BRIEF EST | $178.00 |
| NON EMER VISIT MINIM EST | $178.00 |
| Non Select Cath Placemnt, Thoracic Aorta | $12,643.00 |
| Non Stress Test -> Yes | $784.00 |
| NONCOVERED MILEAGE AMBULANCE | $16.00 |
| NONEMERG TRANSP MILEAGE | $7.00 |
| Nonesterified Fatty Acids (Free Fatty Acids) -Quest | $89.00 |
| NONINVAS PULSE OX MULTI | $369.00 |
| NONINVAS PULSE OX SINGLE | $193.00 |
| Non-Invas Pulse Oxim Sing | $193.00 |
| Noninvasive Pulse Ox Mult | $369.00 |
| Noninvasive Pulse Ox Sing | $193.00 |
| NONLOCK BONE SCREW L26XD4.5MM THREAD FUSION PLATING SYSTEM WRIGHT MEDICAL TECHNOLOGY 59214526 | $969.00 |
| NONLOCK BONE SCREW L28XD4.5MM THREAD FUSION PLATING SYSTEM WRIGHT MEDICAL TECHNOLOGY 59224528 | $430.00 |
| NONLOCK BONE SCREW L32XD5.5MM THREAD FUSION PLATING SYSTEM WRIGHT MEDICAL TECHNOLOGY 59225532 | $430.00 |
| NONLOCK BONE SCREW L50XD5.5MM THREAD FUSION PLATING SYSTEM WRIGHT MEDICAL TECHNOLOGY 59225550 | $400.00 |
| Non-Select Debridement | $834.00 |
| Nonselective vein | $196.00 |
| Norovirus RNA, Ql Real Time PCR -Quest | $185.00 |
| Norovirus, EIA (Stool) -Quest | $63.00 |
| Nortriptyline -Quest | $98.00 |
| Noseguard | $76.00 |
| NOZ BONE CMNT OPTVC HIP SLIM DJO GLOBAL / DJ ORTHO 600-55-305 | $240.00 |
| NRAS TECH) | $1,405.00 |
| Nrv Graft Hd,Nk >4 cm | $20,442.00 |
| Nrv Rpr W/Nrv Algrft Addl Strand | $10,221.00 |
| Nt/Trach Suctioning | $858.00 |
| NT-proBNP -Quest | $186.00 |
| Nutmeg (f282) IgE - Quest | $23.00 |
| NUTR Diabetes Ed Group 30 Min OP | $72.00 |
| NUTR Diabetes Ed Individual 30 Min OP | $110.00 |
| NUTR Nutrition Therapy Group 30 Min OP | $72.00 |
| NUTR Nutrition Therapy Initial | $64.00 |
| NUTR Nutrition Therapy Reassessment | $64.00 |
| NVI Fine Needle Aspiration | $2,542.00 |
| NXP-2 Ab-QST | $199.00 |
| O.R. Time Base Manual Entry | $10,000.00 |
| O2 Uptake,Exp Gas Analysis R & E | $609.00 |
| Oak (t7) IgE -Quest | $28.00 |
| Oak, White IgG4 -Quest | $37.00 |
| Obstetrical Pack | $60.00 |
| Occult Blood Diagnostic. | $20.00 |
| Occult Blood Screen. | $20.00 |
| Occult Blood, Fluid. | $25.00 |
| Octopus (f59) IgE -Quest | $28.00 |
| Ocular Photodynamic Thera | $2,221.00 |
| Ocular Reconst Transplant | $16,298.00 |
| Ocular Surface Reconstruction | $13,320.00 |
| Ocular Surfc Reconst Limbal Autogr | $13,320.00 |
| OJ Ab-QST | $199.00 |
| Olanzapine Level-Quest | $170.00 |
| Oligoclonal Bands, CSF -Quest | $130.00 |
| OM Immunizations and Medications -> Administration of Injection | $282.00 |
| OM Immunizations and Medications -> Administration of Vaccine | $282.00 |
| OM Immunizations and Medications -> Dt Vaccine | $20.00 |
| OM Immunizations and Medications -> DtaP Vaccine | $47.00 |
| OM Immunizations and Medications -> Hepatitis B Vaccine | $90.00 |
| OM Immunizations and Medications -> Influenza Vaccine | $21.00 |
| OM Immunizations and Medications -> PPD / Mantoux | $81.00 |
| OM Physical Exams -> Brief Physical Exam | $32.00 |
| OM Physical Exams -> DOT Physical Exam | $69.00 |
| OM Physical Exams -> Extended Physical Exam | $69.00 |
| OM Physical Exams -> Standard Physical Exam | $48.00 |
| OM Reports -> Form Fee (FORM) | $16.00 |
| OM Reports -> OSHA Questionnaire | $16.00 |
| OM Reports -> Respiratory Clearance (CLEAR) | $16.00 |
| OM Testing -> Audiology | $503.00 |
| OM Testing -> Breath Alcohol Test | $143.00 |
| OM Testing -> Confirmation Breath Alcohol Test | $143.00 |
| OM Testing -> Pulmonary Function Test | $642.00 |
| OM Testing -> Respiratory Fit Test | $16.00 |
| OM Urine Collections -> Drug Screen Collection | $19.00 |
| OM Urine Collections -> Rapid Drug Screen POC | $19.00 |
| OM Urine Collections -> Urinalysis w/o Microscopic POC | $12.00 |
| Omega-3 and -6 Fatty Acids-Quest | $115.00 |
| Omental Flap | $1,507.00 |
| OMPC AB IgA SPECIFIC | $82.00 |
| On body Injector ( | $179.00 |
| One Stage Distal Hypospadias Rep | $13,104.00 |
| One Stg Perineal Hypospad Rep | $13,104.00 |
| One Stg Prox/Penos Hyposp Rep | $13,104.00 |
| Onion (f48) IgE - Quest | $23.00 |
| Op Trt Hum S,Tcond W/Icond Exten | $68,958.00 |
| Op Trt Rd Shft Frc/Int/Ext Fix Cls Trt | $25,517.00 |
| Op Trt/I,P,Stroch Frc W/ Intra Implnt | $3,985.00 |
| Op Trt/Rad Shft Frc/W/Int Ex Fx Op Trt | $25,517.00 |
| Op Tx Periart Fx Elb W Imp Arthro | $47,967.00 |
| Op Tx Periart Fx/Osl Elbo | $47,967.00 |
| OP TX PHALANG FX EACH | $12,397.00 |
| Op Tx Tib Shaft W Im Rod | $50,631.00 |
| Open Biopsy/Ex Inguinofem Nodes | $12,607.00 |
| Open Bone Biopsy | $25,517.00 |
| Open Bx Vertebral Body, Thoracic | $11,745.00 |
| Open Fem Art Aortic Endo | $5,517.00 |
| Open Ili Art Exp W Cr Con | $9,111.00 |
| Open Iliac Art Endo Pros | $7,115.00 |
| Open Osteochondral Autograph, Talus | $25,517.00 |
| Open Periprosthetic Cap Breast | $12,607.00 |
| Open Rep Of Aa Fol Endo R | $7,549.00 |
| Open Rep of AA With Aorto Bifem | $7,766.00 |
| Open right gluteus medius repair | $1,064.00 |
| Open right hip anterior arthrotomy, hip,cam,pincer resection, labral repair | $1,064.00 |
| Open Rx Rad Head/Neck Fx | $47,967.00 |
| OPEN TREAT NOSE FX;UNCOMP | $10,544.00 |
| Open Treatment Of Coccyge | $11,745.00 |
| Open Treatmnt Rib Fracture; 1-3 Ribs | $11,745.00 |
| Open Treatmnt Rib Fracture; 4-6 Ribs | $11,745.00 |
| Open Treatmnt Rib Fracture; 7 Or More Ribs | $5,880.00 |
| Open Trtmt Sesamoid Fract | $25,517.00 |
| Open Trtmt Ulnar Styloid Fx | $25,517.00 |
| Open/Perq Place Stent 1St | $45,694.00 |
| Open/Perq Place Stent Ea Add | $9,961.00 |
| Open/Perq Place Stent Ea Add | $9,040.00 |
| Open/Perq Place Stent Same | $45,694.00 |
| Ophthalmoscopy Entended Subseq | $477.00 |
| Ophthscopy Ext W Ret Draw | $250.00 |
| Opiate 2000 Screen Urine. | $307.00 |
| Opiate Screen Urine. | $307.00 |
| Opn Bra Art Exp Ao Il End | $5,517.00 |
| Opn Fem Art Expos Cndt Crtj | $7,480.00 |
| Opn Trt Prox.Hum Frc W/ Prosthetic | $68,958.00 |
| Opn Trt/Depres Zygo Arch Fracture | $19,807.00 |
| Opn Trtment Manib Cond Fr | $19,807.00 |
| Opn Trtmnt Frac Of Orbit W/Bne Graft | $19,807.00 |
| Opn Trtmnt Hum Shft Fracture | $47,967.00 |
| Opn Trtmnt Rad & Ulnar Shaft Frac | $25,517.00 |
| Opn Trtmnt/Nasal Septum Fracture | $11,745.00 |
| Opn Trtmnt/Trimal Ank Fra | $25,517.00 |
| Opponensplasty Muscle Transfer | $11,745.00 |
| Opponensplasty Other Methods | $11,745.00 |
| Opponensplasty W/O Graft | $11,745.00 |
| Opth Us Immerse Bscan | $504.00 |
| OPTI16 Opti 16Fr Arterial | $110.00 |
| OPTI18 Opti 18Fr Arterial | $110.00 |
| OPTI20 Opti 20Fr Arterial | $110.00 |
| OPTI22 Opti 22Fr Arterial | $110.00 |
| Optic Nerve Decompression | $13,320.00 |
| OPTIMESH SYNTHETIC SM 1500 MICRON PORE SIZE SPINEOLOGY 330-2005 | $14,892.00 |
| Optokinetic Nystagmus Test | $609.00 |
| Orange (f33) IgE -Quest | $28.00 |
| Orbit Fron W Reml Lesion | $8,115.00 |
| Orbit Front W Drainage Only | $8,115.00 |
| Orbit Front W Rem Froeign Body | $8,115.00 |
| Orbital Implant Insertion | $13,320.00 |
| Orbital Repos W Bn Gr Extr App | $19,807.00 |
| Orbitial Implant Remov Or Revi | $13,320.00 |
| Orbitotomy For Exploratio | $13,320.00 |
| Orbitotomy Frontal W Exploration | $13,320.00 |
| Orbitotomy W/Bone Flap Or Window | $14,060.00 |
| Orbitotomy W/O Bone Flap | $13,320.00 |
| Orchard Grass (Cocksfoot) (g3) IgE -Quest | $28.00 |
| Orchiectomy Radical Tumor Ingu | $13,195.00 |
| Orchiectomy Simple | $8,222.00 |
| Orchiectomy W Abdom Exploration | $13,104.00 |
| Orchiectomy, Partial | $7,789.00 |
| Orchiopexy | $13,195.00 |
| Orchiopexy Any Type | $13,195.00 |
| Oregano (f283) IgE -Quest | $28.00 |
| Organism ID. | $43.00 |
| Orif Of Distal Radial >=3 | $26,935.00 |
| Orif Of Distal Radial Int | $26,935.00 |
| Orif Of Distal Radius | $26,935.00 |
| Orif Posterior Malleolus | $25,517.00 |
| ORNG LGTR MCGIVNEY HEMORROID INTEGRA LIFESCIENCES HOLDINGS 28-155 | $115.00 |
| ORTHO GLASS 3 IN BSN MEDICAL INC OG-3L2 | $214.00 |
| ORTHO GLASS 4 IN BSN MEDICAL INC OG-4L2 | $214.00 |
| Oscillating Tracking Test | $609.00 |
| Osmolality Urine. | $36.00 |
| Osmolality, Feces -Quest | $85.00 |
| Osmolality. | $35.00 |
| Ostectomy Bunionette Operation | $12,397.00 |
| Ostectomy Cal; Spur, W/Wo Release | $12,397.00 |
| Ostectomy Calcaneus Partial | $12,397.00 |
| Ostectomy Comp 1St Metat Head | $11,745.00 |
| Ostectomy Comp 2Nd 3Rd 4Th Met | $11,745.00 |
| Ostectomy Comp 5Th Metat Head | $11,745.00 |
| Ostectomy Exc Tarsal Coalition | $11,745.00 |
| Ostectomy Metatrs Head All Par | $11,745.00 |
| Ostectomy Scapula Partial | $11,745.00 |
| Osteochond Allogrft, Knee Opn | $47,967.00 |
| Osteochond Autogrft, Knee Open | $25,517.00 |
| Osteoplas Humerus Short Or Lng | $25,517.00 |
| Osteoplasty Facial Bns Augment | $19,807.00 |
| Osteoplasty Facial Bones Reduct | $19,807.00 |
| Osteoplasty Radius Ulna Length Autogrf | $47,967.00 |
| Osteoplasty Radius/Ulna Short | $25,517.00 |
| Osteoplasty Radius/Ulna Short | $11,745.00 |
| Osteoplsty/Length Met/Pha | $25,517.00 |
| Osteotomy Calcaneous | $26,935.00 |
| Osteotomy Clavicl W/Wo Internal Fixation | $25,517.00 |
| Osteotomy Clavicle W Bone Graft | $47,967.00 |
| Osteotomy Fibula | $11,745.00 |
| Osteotomy First Met-Atarsal | $26,935.00 |
| Osteotomy Humerus W/W Int Fixa | $25,517.00 |
| Osteotomy Mandible Segmental | $19,807.00 |
| Osteotomy Maxilla Segmental | $19,807.00 |
| Osteotomy Metacarpal Deformity | $11,745.00 |
| Osteotomy Metatarsals Multiple | $25,517.00 |
| Osteotomy Other Metatarsals | $12,397.00 |
| Osteotomy Other Midtarsal Bone | $25,517.00 |
| Osteotomy Other Phalanges | $12,397.00 |
| Osteotomy Phalanax Proximal | $11,745.00 |
| Osteotomy Phalanx Deformity | $11,745.00 |
| Osteotomy Radius And Ulna | $47,967.00 |
| Osteotomy Radius Distal Third | $25,517.00 |
| Osteotomy Radius Mid/Prox Thrd | $11,745.00 |
| Osteotomy Talus | $25,517.00 |
| Osteotomy Tibia | $25,517.00 |
| Osteotomy Tibia And Fibula | $47,967.00 |
| Osteotomy Ulna | $25,517.00 |
| Osteotomy W Or W/O Length | $11,745.00 |
| Osteotomy W/Autograft | $25,517.00 |
| OT Activity Daily Living 15 Min | $164.00 |
| OT E Stim Unattended -> Yes | $606.00 |
| OT Funct Therapy Act 15 Min | $195.00 |
| OT Initial Evaluation High -> Yes | $384.00 |
| OT Initial Evaluation Low -> Yes | $384.00 |
| OT Initial Evaluation Moderate -> Yes | $384.00 |
| OT Manual Therapy 15 Min | $281.00 |
| OT Massage 15 Min | $214.00 |
| OT Neuromuscular Re-ED 15 Min | $301.00 |
| OT Orth Fab/Fit/Trn 15 Min | $361.00 |
| OT Parrafin Bath | $214.00 |
| OT Re Evaluation -> Yes | $252.00 |
| OT Therapeutic Exercise 15 Min | $227.00 |
| OT Ultrasound 15 Min | $281.00 |
| OT Whirlpool Extremity | $481.00 |
| Other Chemo -> CHEMO PROLONGED INFUSION ( | $1,363.00 |
| Otoaccoustic comprehensive | $1,130.00 |
| Otoacoustic Emission | $1,130.00 |
| Otoplasty Of Cartilage | $9,990.00 |
| Otoscopy Rem Fb Compl Gen Anes | $6,500.00 |
| Otoscopy Rem Fb Ext Aud Canal | $503.00 |
| Outback | $9,408.00 |
| Ovarian Cystectomy Unilat Or Bilat | $19,498.00 |
| Ovary Wedge Resection Uni/Bil | $28,404.00 |
| Ovomucoid IgE | $28.00 |
| Oxalate, 24Hr Ur | $63.00 |
| Oxalic Acid 24 Hr Urine w/o Creat - QST | $44.18 |
| Oxcarbazepine Metabolite -Quest | $70.00 |
| Oximetry (direct measurement) | $46.00 |
| Oxisensor Adult Transducer | $177.00 |
| Oxisensor Peds Transducer | $177.00 |
| Oxycodone Screen Urine. | $307.00 |
| Oyster (f290) IgE -Quest | $28.00 |
| P ANCA IgG SPECIFIC | $1,296.00 |
| P2y12 Platelet Inhibition. | $118.00 |
| Pacemaker Replacement Kit | $199.00 |
| Pacer/Defib wire | $623.00 |
| Pacific Squid (F58) IgE -Quest | $28.00 |
| pacing catheter | $5,932.00 |
| PACK SURG LPCHOL TUBE CARDINAL HEALTH INC SLC7ALCXXA | $189.00 |
| PACK SURG MAJ CARD A EA1/CA1 CARDINAL HEALTH INC SCV11CVXX3 | $1,008.00 |
| PACK SURG STD CSECT OPTN 2 CARDINAL HEALTH INC SMA7ACSXXA | $230.00 |
| PACK VASOVIEW ACCESSORY MAQUET VH2004 | $513.00 |
| Palatopharyngoplasty | $19,807.00 |
| Palatoplasty 2Ndary Lngth Proc | $19,807.00 |
| Palatoplasty Attach Phary Flap | $19,807.00 |
| Palatoplasty Cleft Hard/Soft | $20,908.00 |
| Palatoplasty Major Revision | $19,807.00 |
| Palatoplasty W Clos Alveo Rdge | $9,990.00 |
| Palatoplasty W Closure Inc Gft | $19,807.00 |
| Palindrome dialysis cath | $1,307.00 |
| PAMG-1 Protein. | $466.00 |
| P-Anca Titer (QST) | $79.00 |
| P-Anca Titer (QST) | $79.00 |
| P-Anca Titer (QST) | $79.00 |
| Pancreatic Elastase-1 -Quest | $61.00 |
| Pancreatic Polypeptide -Quest | $87.00 |
| Panorama. | $14.00 |
| PAP SMEAR DIAGNOSTIC (TECH) | $71.00 |
| Paper Wasp (i4) IgE -Quest | $28.00 |
| Papillectomy Exc Sing Tab Anus | $4,630.00 |
| Paprika/Sweet Pepper (f218) IgE-Quest | $23.00 |
| Paracent Ant Chamber Eye W Removal Blood | $8,583.00 |
| Paracentesis Remove Viterousin | $8,583.00 |
| Paracentesis Tray | $350.00 |
| Paracentesis W Diag Aspir Aqueous | $8,583.00 |
| Parainflu Virus 1,2,3 4 RNA, Ql RT PCR -Quest | $677.00 |
| Parameter Charge | $642.00 |
| Paraneoplastic Antibody, WB -Quest | $139.00 |
| Parapertussis DFA | $63.00 |
| Parapertussis PCR | $185.00 |
| Parasitology Concentrate | $35.00 |
| Parasitology Concentrate. | $35.00 |
| Parathyroid Hormone Intact | $218.00 |
| Parathyroid Hormone Intact Intraoperative/Post Operative. | $218.00 |
| Parathyroid Hormone Intact w/out Calcium. | $218.00 |
| Parathyroid Plana Img W/Spect | $1,818.00 |
| Parathyroidectomy | $19,807.00 |
| Parathyroidectomy Re-Exploration | $19,807.00 |
| Paravag Defect Repair, Vaginal Approach | $28,404.00 |
| Paraverteb Block, Thoracic; Cont Infusion | $2,681.00 |
| Paraverteb Block, Thoracic;Single Inj Site | $2,681.00 |
| Pare/Cut Benign Les >4 | $790.00 |
| Parietal Cell Ab w/Refl Titer -Quest | $64.00 |
| Paring/Cut Benign Les 1 | $790.00 |
| Paring/Cut Benign Les 2-4 | $790.00 |
| Parotid Duct Diversion Bil | $19,807.00 |
| Parrot/Parakeet Droppings (e77) IgE -Quest | $28.00 |
| Part Exc Femur Prox Tibi Osteo | $11,745.00 |
| Part Removal Of Foot Bone | $12,397.00 |
| Part Thyroid Lobect , Uni | $21,719.00 |
| Partial Excision Bone Proxmial Humerus | $25,517.00 |
| Partial Excision Bone Scapula | $11,745.00 |
| Partial Hip Replacement Prosth | $5,486.00 |
| Partial Resection Vertebral Spinous Proc | $25,517.00 |
| Partial Resection Vertebral Spinous Proc | $12,397.00 |
| Partial Thromboplastin Time | $32.00 |
| Partial Thromboplastin Time Mix Study. | $34.00 |
| Partial Thromboplastin Time Ratio. | $32.00 |
| Partial Thromboplastin Time. | $32.00 |
| Partial Thyroid Lobectomy | $20,576.00 |
| Parvovirus B19 Antibody (IgG) (QST) | $79.00 |
| Parvovirus B19 Antibody (IgM) (QST) | $79.00 |
| Parvovirus B19 Antibody (IgM) -Quest | $82.00 |
| Parvovirus B19 DNA, Ql RT PCR -Quest | $185.00 |
| PASTE STIMUBLAST 3CC | $2,100.00 |
| PATCH CARDIOVASCULAR 10.0X15 WL GORE & ASSOCIATES INC 1710015006 | $4,620.00 |
| PATCH CARDIOVASCULAR 5X7.5CM 0.6MM WL GORE & ASSOCIATES INC 1705007506 | $1,760.00 |
| PATCH DURA 2X2IN DUREPAIR CRNL EA1 MEDTRON SURGICAL TECH 62100 | $1,296.00 |
| PATCH DURA 2X2IN DUREPAIR CRNL MEDTRONIC SURGICAL TECH 62100 | $1,296.00 |
| PATCH DURA 5X4IN DUREPAIR CRNL EA1 MEDTRON SURGICAL TECH 62110 | $4,584.00 |
| PATCH HEMASHIELD CV 8X75MM FINESSE ULTRA THIN KNITTED MAQUET CARDIOVASCULAR M00202019579P0 | $538.00 |
| PATCH SFT TISS 15X10CM SFT EA1 | $3,772.00 |
| PATCH SFT TISS 30X20CM CNFRM WL GORE & ASSOCIATES INC 1320030020 | $13,012.00 |
| PATCH SURG SLF XPND FLX LMNT ETHICON INC PVPM | $1,777.00 |
| PATCH VASC FELT 1.65MM 4X4IN BARD PERIPHERAL VASCULAR INC 007836 | $280.00 |
| PATCH VASC XENOSURE 16X10CM LEMAITRE VASCULAR INC E10P16 | $1,760.00 |
| PATCH XENOSURE BIOLOGIC VASCLR BOVINE PERICARDIUM LEMAITRE VASCULAR INC E0.8P8 | $796.00 |
| PATELLA MEDIALIZED DOME 35MM CEMENTED AOX ATTUNE TRIAL DEPUY ORTHOPAEDICS INC 151820035 | $1,124.00 |
| PATELLA STANDARD 28X8MM 3 PEGGED ZIMMER KNEE 184762 | $1,500.00 |
| PATELLA STD 3 PEG 8.5X34MM ZIMMER KNEE 184766 | $1,500.00 |
| PATELLA STD 3 PEG 37X10MM ZIMMER KNEE 184768 | $1,500.00 |
| PATELLA SYMMETRIC 33X9MM STRYKER KNEE 5550-G-339 | $2,800.00 |
| PATELLAR COMPONENT 35MM KNEE ZIMMER HOLDINGS INC 42540000035 | $2,800.00 |
| Patellectomy Or Hemipatellectomy | $11,745.00 |
| Patient Extubated by RT -> Yes | $259.00 |
| Patient Intubation RT -> RT Performed | $254.00 |
| PCA Tr (Dner) Ab, IFA (QST) | $64.00 |
| PCA1 (Yo) Ab, IFA (QST) | $64.00 |
| PCA2 Ab, IFA (QST) | $64.00 |
| PCP Screen Urine. | $307.00 |
| Peach (f95) IgE -Quest | $28.00 |
| Peak Flow Test;Vital Capa | $642.00 |
| Peanut (f13) IgE -Quest | $28.00 |
| Peanut w/Rflx to Component Pnl-Quest | $41.00 |
| Pecan Nut (f201) IgE -Quest | $28.00 |
| Pelvic Exam Under Anesthesia | $11,159.00 |
| Pelvic Tray | $177.00 |
| Pelvis 3 Or More Views | $532.00 |
| Pelvis Anterposter | $532.00 |
| Penicillin | $25.00 |
| Penicillin | $25.00 |
| Penicillin | $25.00 |
| Penicillin (meningitis) | $25.00 |
| Penicillin (meningitis) | $25.00 |
| Penicillium Chrysogenum IgG-Quest. | $135.00 |
| Penicillium notatum (m1) IgE-Quest | $25.00 |
| Penicillium Notatum IgG (QST) | $37.00 |
| Penicilloyl G and V Profile -Quest | $25.00 |
| Penicilloyl V (C2) IgE | $25.00 |
| Penrose Drain | $90.00 |
| Penta Wedge Resec 1/4 Lid | $8,115.00 |
| Pentamine Treatment | $858.00 |
| Pep Laceration Mouth >2.5cm Complex | $2,302.00 |
| Pepsinogen II -Quest | $87.00 |
| per bal XXL/Submarine/PTS | $1,858.00 |
| per bal, Amphirion/Admiral | $2,236.00 |
| Per bal, Boston Sci XXL | $1,858.00 |
| per bal, Conquest | $1,218.00 |
| per bal, Dorado/Mustang | $915.00 |
| per bal, Maverick | $1,337.00 |
| per bal, Nucleus | $2,877.00 |
| per bal, OptiPro | $844.00 |
| per bal, Savvy | $1,738.00 |
| per bal, Sterling | $1,810.00 |
| per bal, Symmetry/Atlas | $1,792.00 |
| per bal, Symmetry/Atlas/Amplatzer sizing | $1,792.00 |
| Per bal, True | $2,006.00 |
| Per bal, True Flow | $3,762.00 |
| per bal, XXL/Submarine | $1,858.00 |
| Per bal, ZMED | $2,787.00 |
| Per Tra Me Thr V Inc Intr | $12,483.00 |
| Perc Asp W/In Nucleus Pul | $1,716.00 |
| Perc Cholecystistomy | $13,928.00 |
| Perc Drain Cath Chng Super & Interp | $467.00 |
| Perc Skel Fix Cal Fx W/Man | $25,517.00 |
| Perc Skel Fix Hum Epicon | $5,880.00 |
| Perc Skel Fix Of Dist Radio Disloc | $11,745.00 |
| Perc Skel Fix Tarsl Bone | $25,517.00 |
| Perc Skel Fix Unia Styloid | $11,745.00 |
| Perc Skel Fix/Metacar Fra | $12,397.00 |
| Perc Skel Fx Intphal Jnt Disloc | $12,397.00 |
| Perc Skeletal Fix Of Dist | $12,397.00 |
| Perc Skeletal Fixation Of Metacarpophalang | $11,745.00 |
| Perc Tran Mech Throm Vein | $22,110.00 |
| Perc Tx Mandib Fx W/Ext Fixation | $19,807.00 |
| Perclose | $592.00 |
| Percut Asp Sp Cprd Cyst/Syrinx | $3,424.00 |
| Percut Electrode; Peripheral Nerve | $26,771.00 |
| Percut Impl Epid Electrodes | $28,258.00 |
| Percut Impl Neuro Ele Cran Nerve | $26,771.00 |
| Percut Nephrostolithotomy <2cm | $36,155.00 |
| Percut Nephrostolithotomy >2cm | $36,155.00 |
| Percutaneous Introducer Kit | $291.00 |
| Percutaneous Vertebroplasty; Cervicothorac | $12,397.00 |
| Percutaneous Vertebroplasty; Lumbosacral | $12,397.00 |
| Perennial Rye Grass (g5) IgE -Quest | $28.00 |
| Pereyra Pro Inc Ant Colporrhap | $28,404.00 |
| Perfusion Technical Procedure Charges -> Cell Saver Procedure Service | $1,077.00 |
| Perfusion Technical Procedure Charges -> ECMO Set-Up | $2,957.00 |
| Perfusion Technical Procedure Charges -> Open Heart CAB Procedure Service | $4,022.00 |
| Perfusion Technical Procedure Charges -> Open Heart Procedure Service | $4,022.00 |
| Perfusion Technical Procedure Charges -> Open Heart Standby | $939.00 |
| Perfusion Technical Procedure Charges -> Platlete Rich Plasma Bundle | $110.00 |
| Perfusion Technical Procedure Charges -> Platlete Rich Plasma Service | $1,645.00 |
| Perfusion Technical Procedure Charges -> VAD Set-Up in OR | $1,541.00 |
| Perfusion Technical Procedure Charges -> VAD Set-Up o/s OR | $1,541.00 |
| Peri Pad | $35.00 |
| Pericardiocentesis -> Creation of pericardial window | $3,063.00 |
| Pericardiocentesis -> Pericardiocentesis - initial | $5,168.00 |
| Pericardiocentesis -> Pericardiocentesis - subsequent | $5,168.00 |
| Pericardiocentesis Initial | $5,168.00 |
| Pericardiocentesis Performed | $5,168.00 |
| Pericardiocentesis Subsequent | $5,168.00 |
| Pericardiocentesis supply | $632.00 |
| Pericardiocentesis tray | $1,022.00 |
| PERICARDIOCENTESIS;INITIL | $5,168.00 |
| Perineogram | $1,032.00 |
| Perineoplasty, Repaeir Of Perineum | $10,572.00 |
| Peripheral Angio/PTA -> Abd. Aortogram with runoff | $13,078.00 |
| Peripheral Angio/PTA -> Abdominal aortogram | $12,891.00 |
| Peripheral Angio/PTA -> Angio, extremity bilateral | $12,891.00 |
| Peripheral Angio/PTA -> Angio, extremity unilateral LEFT | $12,483.00 |
| Peripheral Angio/PTA -> Angio, extremity unilateral RIGHT | $12,483.00 |
| Peripheral Angio/PTA -> Ather. fem/pop (+/- PTA) | $45,694.00 |
| Peripheral Angio/PTA -> Pelvic angiogram | $20,682.00 |
| Peripheral Angio/PTA -> Peripheral IVUS | $3,350.00 |
| Peripheral Angio/PTA -> PTA artery open or perc. | $22,110.00 |
| Peripheral Angio/PTA -> PTA fem/pop | $22,110.00 |
| Peripheral Angio/PTA -> PTA iliac artery | $22,110.00 |
| Peripheral Angio/PTA -> Retrieval of foreign body | $12,483.00 |
| Peripheral Angio/PTA -> Stent fem/pop (+/- PTA) | $45,694.00 |
| Peripheral Angio/PTA -> Stent iliac artery (+/- PTA) | $45,694.00 |
| Peripheral Angio/PTA -> Stent open/perc - initial artery | $45,694.00 |
| Peripheral Angio/PTA -> Stent w/ather. fem/pop (+/- PTA) | $72,562.00 |
| Peripheral Angio/PTA -> Thoracic aortogram | $20,682.00 |
| Peripheral Angio/PTA -> Venous PTA | $22,110.00 |
| Peripheral Angiograms - Arterial -> 3D post processing | $473.00 |
| Peripheral Angiograms - Arterial -> Abd. Aortogram with runoff | $13,078.00 |
| Peripheral Angiograms - Arterial -> Abdominal aortogram | $12,891.00 |
| Peripheral Angiograms - Arterial -> Angio, extremity bilateral | $12,891.00 |
| Peripheral Angiograms - Arterial -> Angio, visceral w/ or w/out flush | $20,682.00 |
| Peripheral Angiograms - Arterial -> Arch only | $12,643.00 |
| Peripheral Angiograms - Arterial -> Bilateral renal angio 1st order | $12,483.00 |
| Peripheral Angiograms - Arterial -> Bilateral renal angio 2nd/3rd order | $12,483.00 |
| Peripheral Angiograms - Arterial -> Cath intracranial branch carotid or vertebral | $3,066.00 |
| Peripheral Angiograms - Arterial -> LEFT Angio, extremity unilateral left | $12,483.00 |
| Peripheral Angiograms - Arterial -> LEFT Cath com. carotid or innom.-cereb. Images | $20,682.00 |
| Peripheral Angiograms - Arterial -> LEFT Cath com. carotid or innom.-cervical images | $12,483.00 |
| Peripheral Angiograms - Arterial -> LEFT Cath external carotid images | $3,049.00 |
| Peripheral Angiograms - Arterial -> LEFT Cath internal carotid-cerebral images | $20,682.00 |
| Peripheral Angiograms - Arterial -> LEFT Cath subclavian or innom.-vertebral images | $12,483.00 |
| Peripheral Angiograms - Arterial -> LEFT Sel. unilateral vertebral | $20,682.00 |
| Peripheral Angiograms - Arterial -> Pelvic angiogram | $20,682.00 |
| Peripheral Angiograms - Arterial -> RIGHT Angio, extremity unilateral right | $12,483.00 |
| Peripheral Angiograms - Arterial -> RIGHT Cath com. carotid or innom.-cereb. images | $20,682.00 |
| Peripheral Angiograms - Arterial -> RIGHT Cath com. carotid or innom.-cervical images | $12,483.00 |
| Peripheral Angiograms - Arterial -> RIGHT Cath external carotid images | $3,049.00 |
| Peripheral Angiograms - Arterial -> RIGHT Cath internal carotid-cerebral images | $20,682.00 |
| Peripheral Angiograms - Arterial -> RIGHT Cath subclavian or innom.-vertebral images | $12,483.00 |
| Peripheral Angiograms - Arterial -> RIGHT Sel. unilateral vertebral | $20,682.00 |
| Peripheral Angiograms - Arterial -> Thoracic aortogram | $20,682.00 |
| Peripheral Angiograms - Arterial -> Unilateral renal angio 1st order | $12,483.00 |
| Peripheral Angiograms - Arterial -> Unilateral renal angio 2nd/3rd order | $20,682.00 |
| Peripheral Angiograms - Venous -> Angio, pulmonary bilateral | $13,078.00 |
| Peripheral Angiograms - Venous -> Angio, pulmonary non-selective | $5,168.00 |
| Peripheral Angiograms - Venous -> Angio, pulmonary unilateral | $13,078.00 |
| Peripheral Angiograms - Venous -> Inferior Vena Cava gram | $12,891.00 |
| Peripheral Angiograms - Venous -> LEFT Veno, extremity unilateral left | $2,930.00 |
| Peripheral Angiograms - Venous -> LEFT Venogram, renal unilateral left | $12,891.00 |
| Peripheral Angiograms - Venous -> RIGHT Veno, extremity unilateral right | $2,930.00 |
| Peripheral Angiograms - Venous -> RIGHT Venogram, renal unilateral right | $12,891.00 |
| Peripheral Angiograms - Venous -> Veno, extremity bilateral | $5,168.00 |
| Peripheral Angiograms - Venous -> Veno, jugular | $13,078.00 |
| Peripheral Angiograms - Venous -> Veno, superior vena cava | $2,930.00 |
| Peripheral Angiograms - Venous -> Venogram, renal bilateral | $13,078.00 |
| Peripheral guide | $648.00 |
| Peripheral guide cat 1 | $515.00 |
| Peripheral guide wire | $522.00 |
| Peripheral guidewire | $522.00 |
| Peripheral guidewire cat 1 | $152.00 |
| Peripheral guidewire cat 2 | $233.00 |
| Peripheral guidewire cat 3 | $282.00 |
| Peripheral guidewire cat 4 | $376.00 |
| Peripheral Hemostasis Plug | $1,351.00 |
| Peripheral IVUS | $3,350.00 |
| peripheral wire | $522.00 |
| Periprosthetic Capsulec Breast | $12,607.00 |
| Perit Pro W Sing Phy Evaluation | $1,703.00 |
| Peritoneal Dialysis Tray | $286.00 |
| Peritoneal Lavage Kit | $885.00 |
| Peritoneal Lavage W/Image Guidance | $3,409.00 |
| Peroral Endoscopic Myotomy (POEM) | $3,409.00 |
| Perq & Icut Allg Test Venoms | $144.00 |
| Perq Access & Clsr Fem Art | $2,520.00 |
| Perq Vertebral Aug Each Addtl Thora/Lumbar | $13,660.00 |
| Perq Vertebral Augmentation; Lumbar | $26,935.00 |
| Perq Vertebral Augmentation; Thoracic | $26,935.00 |
| Perq Vertebroplasty Each Additional | $11,177.00 |
| Perq&Ic Allg Test Drugs/Biol | $144.00 |
| Pertussis Toxin IgA | $70.00 |
| PET Brain Imaging Meta Inj | $6,500.00 |
| PET Brain Imaging Meta Scan | $6,500.00 |
| PET CT Limited Scan | $6,500.00 |
| PET CT Limited Inj | $6,500.00 |
| PET CT Myocardial Perfusion Multiple | $6,371.00 |
| PET CT Myocardial Perfusion Single | $6,371.00 |
| PET CT Skull to Midthigh Scan | $6,500.00 |
| PET CT Whole Body Inj | $6,500.00 |
| PET CT Whole Body Scan | $6,500.00 |
| PET FDG Viability Study | $5,694.00 |
| PFT 6 min. walk Distance/Desaturation | $503.00 |
| PFT Blood Draw ABG | $503.00 |
| PFT Bronch Challenge (Methacholine) | $1,192.00 |
| PFT Bronch W/TB Biopsy | $12,952.00 |
| PFT Bronchial Thermoplasty 1 Lobe | $24,326.00 |
| PFT Bronchial Thermosplasty>1 Lobe -> Yes | $24,326.00 |
| PFT Bronchodilator Flow/Volume Loop | $1,192.00 |
| PFT Demo/Eval Use of Device | $905.00 |
| PFT Diffusion Capacity Carbon | $387.00 |
| PFT Education 30 Min | $63.00 |
| PFT Endo Bronchial Ultrasound 1/2 Nodes -> Yes | $12,952.00 |
| PFT Endo Bronchial Ultrasound 3+ Nodes | $12,952.00 |
| PFT Exercise Test for Brochospasm | $503.00 |
| PFT Fiberoptic Bronch Service -> Yes | $6,471.00 |
| PFT Lung Volume Washout | $642.00 |
| PFT MIP/MEP | $642.00 |
| PFT Pulm. Stress Test Exercise | $1,192.00 |
| PFT Radial Endo Bronchial Us -> Yes | $10,206.00 |
| PFT Smoking Cessation 3-10 Min | $158.00 |
| PFT Smoking Cessation>10 Min | $158.00 |
| PFT Spirometry | $642.00 |
| PFT Trans Bronch Add Lobe -> Yes | $188.00 |
| PFT Trans Bronch Need Add Lobe -> Yes | $100.00 |
| PFT Transbron Needle Aspiration -> Yes | $12,952.00 |
| PFT Vital Capacity Test | $642.00 |
| pH (POCT) Collect | $374.00 |
| pH Body Fluid. | $19.00 |
| Ph Probe | $2,038.00 |
| pH Urine (QST) | $17.00 |
| pH, 24Hr Ur | $17.00 |
| pH, Feces -Quest | $19.00 |
| Phalangectomy Single Each | $11,745.00 |
| Pharyngoplasty | $19,807.00 |
| Pharyngostomy | $5,727.00 |
| Phenobarbital | $45.00 |
| Phenobarbital Level. | $73.00 |
| Phenosense Additional Drugs Tested | $90.00 |
| PhenoSense(R) -Quest | $2,579.00 |
| Phenylalanine - Quest | $202.00 |
| Phenytoin Level Total. | $70.00 |
| Phenytoin, Free -Quest | $73.00 |
| Phoma betae (m13) IgE-Quest. | $23.00 |
| Phoma Spp IgG (QST) | $37.00 |
| Phosphate w/o Creat 24hr Ur-Quest | $40.00 |
| Phosphatidylserine Ab (IgA) (QST) | $85.00 |
| Phosphatidylserine Ab (IgA) (QST) | $85.00 |
| Phosphatidylserine Ab (IgG) (QST) | $85.00 |
| Phosphatidylserine Ab (IgG) (QST) | $85.00 |
| Phosphatidylserine Ab (IgM) (QST) | $85.00 |
| Phosphatidylserine Ab (IgM) (QST) | $85.00 |
| Phosphorous, 24Hr Ur | $27.00 |
| Phosphorus | $25.00 |
| Phosphorus Level. | $25.00 |
| Photocoagulation (Xenon) | $2,221.00 |
| PHP Fam Psytx W/O Pt 50 Min | $571.00 |
| PHP Fam Psytx W/Pt 50 Min | $571.00 |
| PHP Group Therapy | $342.00 |
| PHP Indiv Therapy 20-30 Min | $571.00 |
| PHP Indiv Therapy 45 Min | $571.00 |
| Phrophylac Trtmnt Prox Hum,Hum Hd | $47,967.00 |
| Pigeon Serum (QST) | $68.00 |
| PIN 2.5IN 1/8IN STNM SS THRD BIOMET JOINT ORTHOPEDICS 406669 | $888.00 |
| PIN 225MM 6MM STNM SS TRNSFIX SYNTHES 294.950 | $512.00 |
| PIN 9IN 3.2MM STNM CMPRH SS ZIMMER SHOULDER 405800 | $480.00 |
| PIN DRILL 4MM RETRBTN TGHTRP ARTHREX INC AR-1595TC | $500.00 |
| PIN DRILL HEADLESS 3.2X75MM TROCAR ZIMMER HOLDINGS INC 00590102000 | $1,309.00 |
| PIN EXT FIXATION 20MM 4/3X80MM SCREW SCHANZ 4.0/3.0 X 80MM SYNTHES TRAUMA 294.771 | $512.00 |
| PIN EXT FIXATION 20MM SCREW SCHANZ 4.0/2.5 X 80MM SYNTHES TRAUMA 294.769 | $512.00 |
| PIN FIXATION CERVICAL PLATE STRAIGHT TEMPORARY SKYLINE DEPUY SPINE INC 286850100 | $488.00 |
| PIN FIXATION THREADED SPINE | $200.00 |
| PIN GUIDE 1.4X610 BLUNT | $444.00 |
| PIN INBONE 2.4MM WRIGHT MEDICAL TECHNOLOGY 200072 | $196.00 |
| PIN SCHANZ 5MM WRIGHT MEDICAL ANKLE CAT-040-50 | $196.00 |
| PIN STEINMANN 5X250MM CEN THRD SYNTHES TRAUMA 293.840 | $480.00 |
| PIN TEMPORARY FIXATION 1.4MM WRIGHT MEDICAL TECHNOLOGY 58820024 | $487.00 |
| PIN TEMPORARY FIXATION WRIGHT MEDICAL TECHNOLOGY 58820006 | $480.00 |
| PIN TEMPORARY FIXED THREADED DEPUY SPINE INC 286850200 | $487.00 |
| PIN THREADED CERCLAGE 4.5MM SYNTHES TRAUMA 298.803S | $596.00 |
| Pine Nut (f253) IgE -Quest | $28.00 |
| Pineapple (f210) IgE-Quest | $24.00 |
| Pinworm Prep. | $23.00 |
| Piperacillin Tazobac | $25.00 |
| Piperacillin Tazobac | $25.00 |
| Pistachio (f203) IgE -Quest | $28.00 |
| PIVUS additional vessel | $2,678.00 |
| PK 10CMX2.5CM THK1.5CM NSL HI MEDTRON SURGICAL TECH 440406 | $111.00 |
| PK KNEE ARTH OPT1 NO BASIN CARDINAL HEALTH INC SOP7AKAXXA | $567.00 |
| Pl Rep Canaliculi Lacrimal | $8,115.00 |
| PL-12 Ab-QST | $199.00 |
| PL-7 Ab-QST | $199.00 |
| Place Cecostomy Tube Percutaneous | $4,630.00 |
| Place Duod/Jej Tube Perc | $6,641.00 |
| Place Gastrostomy Tube Perc | $7,010.00 |
| PLACE NEEDLE INTRAOS INFU | $1,645.00 |
| Place Needle Pelvic For Radioelement Appli | $18,472.00 |
| Placement Nephrostomy Catheter, Percutaneo | $8,222.00 |
| Placement of Balkri Balloon | $784.00 |
| Placement Of Seton | $11,033.00 |
| Placement prox. extension | $1,487.00 |
| Placement Ureteral Stent, Perq; Pre-Existi | $8,222.00 |
| Placement Ureteral Stent, W/ Nephrost Cath | $13,104.00 |
| Placement Ureteral Stent, W/Out Nephro Cat | $13,104.00 |
| Placmnt Rad Tx Device,Pro | $5,633.00 |
| PLANTAR PLATE IMPLANT SET WRIGHT MEDICAL TECHNOLOGY 86PPS1N0 | $3,809.00 |
| Plas Rep Penis Episp W Inconti | $7,789.00 |
| Plasma Renin Activity, LC/MS/MS (QST) | $116.00 |
| Plasma Renin Activity, LC/MS/MS -Quest | $116.00 |
| Plasminogen Activator Inhib-1-Quest | $314.00 |
| Plast Op Ureth Sphin Vag Appr | $18,472.00 |
| Plaster Splint | $111.00 |
| Plastic Oper Penis Correct Angulation | $13,104.00 |
| Plastic Oper Penis Straight Chorde | $13,104.00 |
| Plastic Rep Penis Epispadias | $7,789.00 |
| Plastic Rep Penis For Injury | $13,104.00 |
| Plastic Repair Of Introitus | $10,572.00 |
| Plastic Repair Urethrocele | $11,159.00 |
| Plastics Tray | $344.00 |
| PLATE 1 LEVEL 14MM S1 SPINE LLC 20001-014 | $2,693.00 |
| PLATE 1 LEVEL 16MM S1 SPINE LLC 20001-016 | $2,693.00 |
| PLATE 1 LEVEL 18MM S1 SPINE LLC 20001-018 | $2,693.00 |
| PLATE 1.5 18.5MM BURR HOLE ZIMMER (BIOMET) CMF 01-7137 | $965.00 |
| PLATE 103MM SS 2.7/3.5MM SCRW SYNTHES TRAUMA 02.112.111 | $2,342.00 |
| PLATE 105MM SS 2.7MM SCRW 5 SYNTHES TRAUMA 02.118.404 | $3,607.00 |
| PLATE 105MM SS 2.7MM SCRW 5 SYNTHES TRAUMA 02.118.405 | $3,607.00 |
| PLATE 10H 4.5MM/167MM | $743.00 |
| PLATE 112MM SS 2.7/3.5MM SCRW SYNTHES TRAUMA 02.112.112 | $2,342.00 |
| PLATE 11H 4.5MMX183MM | $743.00 |
| PLATE 135D SHRT BRL 94MM SS 1 SYNTHES 281.550 | $1,898.00 |
| PLATE 14MM 64X16X2.5MM TI 4 L VL PREBNT SKYLINE BONE SPINE DEPUY SPINE INC 186804064 | $3,607.00 |
| PLATE 2 HOLE TI | $3,200.00 |
| PLATE 2 LEVEL 28MM S1 SPINE LLC 20002-028 | $2,971.00 |
| PLATE 2 LEVEL 32MM S1 SPINE LLC 20002-032 | $2,971.00 |
| PLATE 2 LEVEL 34MM S1 SPINE LLC 20002-034 | $2,971.00 |
| PLATE 2 LEVEL 36MM S1 SPINE LLC 20002-036 | $2,971.00 |
| PLATE 2 LEVEL 38MM S1 SPINE LLC 20002-038 | $2,971.00 |
| PLATE 2.0MM LCP 6 HL 45MM SYNTHES TRAUMA 247.346 | $965.00 |
| PLATE 2.4MM 6H LOW PROF | $2,693.00 |
| PLATE 2.4MM VA-LCP 2-COL DSTL SYNTHES 02.111.551 | $3,370.00 |
| PLATE 27MMX1.2MM SS 2MM SCRW 4 SYNTHES TRAUMA 243.584 | $743.00 |
| PLATE 3 LEVEL 46MM S1 SPINE LLC 20003-046 | $3,200.00 |
| PLATE 3 LEVEL 58MM S1 SPINE LLC 20003-058 | $3,200.00 |
| PLATE 33X9X1MM SS 3.5MM SCRW EA1 SYNTHES TRAUMA 241.331 | $560.00 |
| PLATE 4.5MM TIB MED 8 HOLE RT ZIMMER TRAUMA 00234701308 | $3,236.00 |
| PLATE 45MM SS 2.4MM SCRW 6X3 SYNTHES TRAUMA 02.110.730 | $3,200.00 |
| PLATE 45MM SS 2.4MM SCRW 7X3 SYNTHES TRAUMA 02.110.831 | $3,200.00 |
| PLATE 4H 35MM/2.4MM SYNTHES TRAUMA 249.924 | $1,064.00 |
| PLATE 4H TI LOCKING ARTHREX INC FOOT AND ANKLE AR-9943T-04 | $965.00 |
| PLATE 54MM SS 2.4MM SCRW 6X4 SYNTHES TRAUMA 02.110.740 | $3,200.00 |
| PLATE 54MM SS 2.4MM SCRW 6X4 SYNTHES TRAUMA 02.110.741 | $3,200.00 |
| PLATE 54MM SS 2.4MM SCRW 7X4 SYNTHES TRAUMA 02.110.840 | $3,200.00 |
| PLATE 54MM SS 2.4MM SCRW 7X4 SYNTHES TRAUMA 02.110.841 | $3,200.00 |
| PLATE 6 HOLE LOCKING DISTAL ARTHREX INC AR-9943BR-06 | $3,200.00 |
| PLATE 63MM SS 2.4MM SCRW 6X5 SYNTHES TRAUMA 02.110.750 | $3,370.00 |
| PLATE 63MM SS 2.4MM SCRW 7X5 SYNTHES TRAUMA 02.110.851 | $3,370.00 |
| PLATE 68.5MM SS RIGHT 5 HOLE SYNTHES TRAUMA 02.110.850 | $3,370.00 |
| PLATE 6H 2.0X39MM SYNTHES TRAUMA 243.586 | $965.00 |
| PLATE 6H 4.5MM/103MM | $560.00 |
| PLATE 7H 4.5MM/119MM | $560.00 |
| PLATE 8H 4.5MM/135MM | $560.00 |
| PLATE 92MM SS 2.7/3.5MM SCRW 4 SYNTHES TRAUMA 02.118.403 | $3,370.00 |
| PLATE 9H 4.5MM/151MM | $560.00 |
| PLATE ADAPTION 20H 1.5X90X0.6 SYNTHES CMF 446.101 | $1,064.00 |
| PLATE ANK SZ 3 DOME TALAR WRIGHT MEDICAL ANKLE 60002003 | $20,852.00 |
| PLATE ANKLE 4 HOLE LISFRANC LISFRANC ANKLE SYSTEM WRIGHT MEDICAL TECHNOLOGY 43500022 | $3,607.00 |
| PLATE ANT LAT DISTAL 3.5 9HOLE SYNTHES TRAUMA 241.447 | $5,265.00 |
| PLATE ANTEROLATERAL 2.7/3.5MM LCP 6 HOLE DISTAL TIBIA SYNTHES TRAUMA 02.118.204 | $5,811.00 |
| PLATE BARREL STD 8H 38X142MM SYNTHES TRAUMA 281.180 | $2,505.00 |
| PLATE BONE 5.5X1.3MM 4H WRIGHT MEDICAL TECHNOLOGY 52020304 | $2,505.00 |
| PLATE BONE TI LEFT 8H LOCK | $3,607.00 |
| PLATE BONE TI RIGHT 8H LOCK ARTHREX INC FOOT AND ANKLE AR-9943BR-08 | $3,370.00 |
| PLATE BONE .5MM 18.5MM LORENZ ZIMMER (BIOMET) CMF 01-7306 | $743.00 |
| PLATE BONE .5MM 22MM LORENZ ZIMMER (BIOMET) CMF 01-7309 | $743.00 |
| PLATE BONE 1.5MM 6 HL LG DBL Y ZIMMER (BIOMET) CMF 01-7112 | $743.00 |
| PLATE BONE 12 HOLE STERNUM ZIMMER (BIOMET) CMF 73-2634 | $2,971.00 |
| PLATE BONE 15MM PLAPLE SYSTEM ARTHREX INC AR-8715 | $1,554.00 |
| PLATE BONE 168X11X3.7MM 8H SS DEPUY ORTHOPAEDICS INC 239.908 | $5,811.00 |
| PLATE BONE 2.4X63MM 6X4 HL LT VARIABLE ANGLE LOCK DISTAL SYNTHES TRAUMA 02.111.541 | $3,834.00 |
| PLATE BONE 25MMX.5M LORENZ ZIMMER (BIOMET) CMF 01-7310 | $743.00 |
| PLATE BONE 2H 5.5X1.3MM STR WRIGHT MEDICAL TECHNOLOGY 52020302 | $1,898.00 |
| PLATE BONE 2HL TITANTIUM STER ARTHREX INC AR-8958-02S | $3,370.00 |
| PLATE BONE 2X3 HOLE 18MM MIDFC ZIMMER (BIOMET) CMF 01-7136 | $965.00 |
| PLATE BONE 3.5MM SCREW TIGHTROPE ANKLE 2 HOLE ARTHREX INC AR-8958-01S | $3,370.00 |
| PLATE BONE 4 HOLE L STERNUM ZIMMER (BIOMET) CMF 73-2643 | $2,342.00 |
| PLATE BONE 4 HOLE LOCK TITANIUM FIBULA DISTAL ARTHREX INC AR-9943BR-04 | $2,342.00 |
| PLATE BONE 4 HOLE SQ STERNUM BIOMET 73-2622 | $2,078.00 |
| PLATE BONE 42MM SKYLINE DEPUY SPINE INC 186803042 | $3,370.00 |
| PLATE BONE 5 HOLE BRIDGE SYSTEM LISFRANC SS WRIGHT MEDICAL TECHNOLOGY 43500023 | $3,607.00 |
| PLATE BONE 5.5X1.3MM 6HOLE WRIGHT MEDICAL TECHNOLOGY 52020206 | $3,607.00 |
| PLATE BONE 6 HOLE STERNUM BLU BIOMET SP-2890 | $2,432.00 |
| PLATE BONE 6HL STERNUM PRIMARY STERNALOCK BLU ZIMMER (BIOMET) CMF SP-2899 | $3,370.00 |
| PLATE BONE 8 H STRAIGHT WRIGHT MEDICAL TECHNOLOGY 52020308 | $3,834.00 |
| PLATE BONE 8 HOLE STERNUM BIOMET 73-2623 | $2,342.00 |
| PLATE BONE 8 HOLE STR STERNUM ZIMMER (BIOMET) CMF 73-1952 | $3,607.00 |
| PLATE BONE FIB 77MM LT WRIGHT MEDICAL ANKLE 5888401L | $5,811.00 |
| PLATE BONE JL STERNUM ZIMMER (BIOMET) CMF 73-2645 | $2,693.00 |
| PLATE BONE LAT FIB 89MM WRIGHT MEDICAL ANKLE 5888402L | $5,265.00 |
| PLATE BONE LONG 5TH MET LEFT | $5,265.00 |
| PLATE BONE LORENZ H0.5MM SHUNT 1.5MM SCREW CRANIOMAXILLIFACIA BIOMET 017305 | $743.00 |
| PLATE BONE ORTHOLOC 3DI T 8 HOLE POLYAXIAL LOCK WRIGHT MEDICAL TECHNOLOGY 52020208 | $3,607.00 |
| PLATE BONE ORTHOLOC SMALL FIRST RAY LOW PROFILE RECON SY WRIGHT MEDICAL TECHNOLOGY 58410001 | $5,265.00 |
| PLATE BONE RIGHT PLANTAR LAPID ARTHREX INC AR-8941PR | $5,811.00 |
| PLATE BONE SS 19.5X105MM XLONG SYNTHES TRAUMA 02.111.571S | $2,496.00 |
| PLATE BONE SS 45M CONTOUR SYNTHES TRAUMA 02.110.830 | $2,693.00 |
| PLATE BONE TI LOPRO 5MM LOCKIN | $3,607.00 |
| PLATE BONE TI STRGHT 6H LOCK ARTHREX INC AR-9943C-06 | $1,898.00 |
| PLATE BONE TIBIOTALAR ORTHOL ANTEROLATERAL FUSION PLATE SYS WRIGHT MEDICAL TECHNOLOGY 59206020 | $8,700.00 |
| PLATE BONE TITAN FIB 6H LEFT ARTHREX INC AR-9943BL-06 | $3,200.00 |
| PLATE BONE U MIDFOOT RIGHT 3DI ORTHOLOC WRIGHT MEDICAL ANKLE 5817001R | $8,700.00 |
| PLATE BONE XL LONG LEFT ORTHOHELIX SURG DESIGNS CAT-002-XLL | $2,971.00 |
| PLATE BROAD CURVED 4.5X265MM 14 HOLE LCP SYNTHES TRAUMA 226.642 | $2,971.00 |
| PLATE BROAD LC DCP 4.5MM 22HO SYNTHES TRAUMA 226.72 | $2,342.00 |
| PLATE CALCANEAL Y 87MM SYNTHES TRAUMA 241.65 | $2,276.64 |
| PLATE CALCLOCK EXTREME LG RT WRIGHT MEDICAL ANKLE CAT-002-LR | $2,971.00 |
| PLATE CERV 5H 23 SS | $1,064.00 |
| PLATE CERV 8H 41 SS | $1,064.00 |
| PLATE CERVICAL 16MM MAXAN BIOMET SPINE 14-522116 | $2,693.00 |
| PLATE CERVICAL ANTERIOR 14MM TITANIUM SKYLINE DEPUY SPINE INC 186801014 | $2,693.00 |
| PLATE CERVICAL ANTERIOR 16MM DEPUY SPINE INC 186801016 | $2,684.00 |
| PLATE CERVICAL ANTERIOR 2LEVEL HYBRID TITANIUM SKYLINE 32MM DEPUY SPINE INC 186802032 | $2,971.00 |
| PLATE CERVICAL ANTERIOR 2LEVEL HYBRID TITANIUM SKYLINE 34MM DEPUY SPINE INC 186802034 | $3,200.00 |
| PLATE CLAW 2 HOLE 20MM CLAW FOOT SYS WRIGHT MEDICAL TECHNOLOGY 40240220 | $7,011.00 |
| PLATE CLAW 4 HOLE 20MM CLAW SYS WRIGHT MEDICAL TECHNOLOGY 40240420 | $7,011.00 |
| PLATE CLAW II WRIGHT MEDICAL TECHNOLOGY 40240215 | $5,476.00 |
| PLATE CLP VOLAR DISTAL 4HL RT SYNTHES TRAUMA 242.464 | $2,971.00 |
| PLATE CONDULAR 7 HOLES 2.4MM SYNTHES TRAUMA 249.679 | $2,342.00 |
| PLATE CONDYLAR CURVED 10 HOLE RIGHT 4.5X230MM SYNTHES TRAUMA 02.124.410 | $7,011.00 |
| PLATE CONDYLAR CURVED 6 HOLE RIGHT 4.5X159MM RIGHT SYNTHES TRAUMA 02.124.406 | $5,811.00 |
| PLATE CONDYLAR CVD 10H LT SYNTHES TRAUMA 02.124.411 | $6,124.00 |
| PLATE CONDYLAR LT 6H 4.5X170MM SYNTHES TRAUMA 222.657 | $5,811.00 |
| PLATE CONDYLAR LT 8H 4.5X206MM SYNTHES TRAUMA 222.659 | $5,811.00 |
| PLATE CONDYLAR RT 8H 4.5X206MM SYNTHES TRAUMA 222.658 | $5,811.00 |
| PLATE CRV 242MM SS 4.5MM SCRW EA1 SYNTHES TRAUMA 02.001.320 | $6,124.00 |
| PLATE CRV 242X17.5X5.2MM SS EA1 SYNTHES TRAUMA 02.001.300 | $6,124.00 |
| PLATE CURVED BROAD 12 HOLES 4. SYNTHES TRAUMA 226.622 | $2,693.00 |
| PLATE DCP DHS STD 5H 38MM SYNTHES TRAUMA 281.150 | $1,898.00 |
| PLATE DCP NARROW 4.5MM 3 HOLE SYNTHES 224.03 | $560.00 |
| PLATE DCP NRW 2H 4.5X39MM SYNTHES TRAUMA 224.02 | $560.00 |
| PLATE DHS DCP 135DEG 10H 38MM SYNTHES TRAUMA 281.100 | $2,487.51 |
| PLATE DHS STD 130DEG 4H 78MM SYNTHES TRAUMA 281.040 | $1,898.00 |
| PLATE DHS STD 135DEG 2H 46MM SYNTHES TRAUMA 281.102 | $1,898.00 |
| PLATE DHS STD 135DEG 4H 78MM SYNTHES TRAUMA 281.140 | $1,898.00 |
| PLATE DHS STD 135DEG 6H 38X110 SYNTHES TRAUMA 281.160 | $1,898.00 |
| PLATE DHS STD 150DEG 6H 38X110 SYNTHES TRAUMA 281.460 | $1,898.00 |
| PLATE DISTAL FIBULA 2.7MM LCP 4 HOLE RIGHT VARIABLE ANGLE SYNTHES TRAUMA 02.118.402 | $3,370.00 |
| PLATE DISTAL RADIUS LEFT SHORT VOLAR LCP SYNTHES TRAUMA 242.491 | $2,971.00 |
| PLATE DISTAL RADIUS RT LONG VOLAR LCP SYNTHES TRAUMA 242.494 | $3,200.00 |
| PLATE DISTAL RADIUS RT SHORT VOLAR LCP SYNTHES TRAUMA 242.493 | $2,971.00 |
| PLATE DISTAL TIBIAL 6 HOLE SYNTHES TRAUMA 238.702 | $5,265.00 |
| PLATE EDGE LOCK WRIGHT MEDICAL ANKLE EDL-001-00 | $3,809.00 |
| PLATE FIBULA 2.7/3.5MM 3 HOLE RIGHT POSTERIOR LATERAL 77MM SYNTHES TRAUMA 02.112.106 | $2,342.00 |
| PLATE FUSION MTP NARROW LT WRIGHT MEDICAL ANKLE MTP-002-SLN | $4,380.00 |
| PLATE L 4X6 HOLE L SYNTHES CMF 04.503.394 | $965.00 |
| PLATE L BUTTRESS 4HOLE SYNTHES TRAUMA 240.44 | $1,554.00 |
| PLATE L BUTTRESS RT 4H 86MM SYNTHES TRAUMA 240.54 | $1,554.00 |
| PLATE L133XW9XH1.5XW15XH1.3MM BONE STRAIGHT RIGHT FIBULA WRIGHT MEDICAL TECHNOLOGY 5888404R | $5,476.00 |
| PLATE LC DCP 5H 3.5X64MM SYNTHES TRAUMA 223.55 | $560.00 |
| PLATE LC DCP 6H 2X36MM SYNTHES TRAUMA 449.936 | $1,064.00 |
| PLATE LC DCP 8H 2X48MM SYNTHES TRAUMA 449.938 | $1,064.00 |
| PLATE LC DCP TITAN 4H 2.4X31MM SYNTHES TRAUMA 449.924 | $1,300.00 |
| PLATE LC DCP TITAN 4H 2X24MM SYNTHES TRAUMA 449.931 | $965.00 |
| PLATE LCP 12H 3.5X155MM SYNTHES TRAUMA 223.621 | $1,554.00 |
| PLATE LCP 2.7 3.5X90MM 4 HL LT SYNTHES TRAUMA 02.112.109 | $2,342.00 |
| PLATE LCP 3.5X194MM 8H RT EXTRA ARTICULAR DISTAL HUMERUS SYNTHES TRAUMA 02.104.008 | $4,553.00 |
| PLATE LCP 5H 3.5X64MM SYNTHES TRAUMA 223.551 | $1,064.00 |
| PLATE LCP 6 HOLE 2.4X52MM SYNTHES TRAUMA 249.676 | $965.00 |
| PLATE LCP 6H 3.5X77MM SYNTHES TRAUMA 223.561 | $1,064.00 |
| PLATE LCP 7H 3.5X98MM SYNTHES TRAUMA 223.571 | $1,300.00 |
| PLATE LCP 8H 3.5X103MM SYNTHES TRAUMA 223.581 | $1,300.00 |
| PLATE LCP 9H 3.5X116MM SYNTHES TRAUMA 223.591 | $1,300.00 |
| PLATE LCP BROAD 8H 4.5X152 SYNTHES TRAUMA 226.581 | $2,078.00 |
| PLATE LCP CLAV 6H 3.5X108MM LT SYNTHES TRAUMA 02.112.009 | $3,607.00 |
| PLATE LCP CLAV 6H 3.5X85MM RT SYNTHES TRAUMA 02.112.080 | $3,196.00 |
| PLATE LCP CLAV 6H 3.5X94MM LT SYNTHES TRAUMA 02.112.027 | $2,971.00 |
| PLATE LCP CLAV 6H 3.5X94MM RT SYNTHES TRAUMA 02.112.026 | $3,370.00 |
| PLATE LCP DIST FIB 2.7X3.5MM POST 4H RT SYNTHES TRAUMA 02.112.108 | $2,342.00 |
| PLATE LCP DIST RAD 4 HL HD LT LONG SYNTHES TRAUMA 242.468 | $3,200.00 |
| PLATE LCP DISTAL FIBULA RT 5H 2.7/3.5/10.3MM SYNTHES TRAUMA 02.112.110 | $2,342.00 |
| PLATE LCP DISTAL FIBULA RT POSTERIOLATERAL SYNTHES TRAUMA 02.112.114 | $2,096.50 |
| PLATE LCP FIBULA 2.7/3.5MM 8 HOLE RIGHT POSTERIOR LATERAL SYNTHES TRAUMA 02.112.122 | $2,505.00 |
| PLATE LCP FIBULA 3H LT 73MM 2.7MM/3.5MM SYNTHES TRAUMA 02.112.137 | $2,342.00 |
| PLATE LCP FIBULA 3H RT 73MM 2.7MM/3.5MM SYNTHES TRAUMA 02.112.136 | $2,342.00 |
| PLATE LCP FIBULA 4H LT 86MM 2.7MM/3.5MM SYNTHES TRAUMA 02.112.139 | $2,342.00 |
| PLATE LCP FIBULA 4H RT 86MM 2.7MM/3.5MM SYNTHES TRAUMA 02.112.138 | $2,342.00 |
| PLATE LCP FIBULA 5H RT 99MM 2.7MM/3.5MM SYNTHES TRAUMA 02.112.140 | $2,342.00 |
| PLATE LCP FIBULA 9H LT 151MM 2.7MM/3.5MM SYNTHES TRAUMA 02.112.149 | $2,505.00 |
| PLATE LCP LAT DIST FIB 3.5MM 5HL LT SYNTHES TRAUMA 02.112.141 | $2,342.00 |
| PLATE LCP LATERAL DISTAL 6 HOLE LEFT SYNTHES TRAUMA 02.112.143 | $2,342.00 |
| PLATE LCP LOCKING 2.4MM LT 6X3 HOLE VARIABLE ANGLE SYNTHES TRAUMA 02.111.531 | $3,607.00 |
| PLATE LCP NRW 5H 4.5X98MM SYNTHES TRAUMA 224.551 | $1,300.00 |
| PLATE LCP NRW 9H 4.5X170MM SYNTHES TRAUMA 224.591 | $1,898.00 |
| PLATE LCP OCLECRANON 2H RT 2.7/3.5X90MM SYNTHES TRAUMA 02.107.302 | $3,607.00 |
| PLATE LCP PROX HUM 3H LT 3.5X109MM SYNTHES TRAUMA 02.123.041 | $5,265.00 |
| PLATE LCP PROX HUMERUS 2H LT 3.5X91MM SYNTHES TRAUMA 02.123.021 | $5,811.00 |
| PLATE LCP PROX HUMERUS 2H RT 3.5X91MM SYNTHES TRAUMA 02.123.020 | $5,811.00 |
| PLATE LCP PROX HUMERUS 3H RT 3.5X109MM SYNTHES TRAUMA 02.123.040 | $5,265.00 |
| PLATE LCP PROX TIB 6H LT 3.5X102MM SYNTHES TRAUMA 02.124.205 | $4,553.00 |
| PLATE LCP RECON 10H 3.5X140MM SYNTHES TRAUMA 245.101 | $2,078.00 |
| PLATE LCP RECON 3.5X112MM SYNTHES TRAUMA 245.081 | $2,078.00 |
| PLATE LCP RECON 3.5X98MM SYNTHES TRAUMA 245.071 | $2,078.00 |
| PLATE LCP RECON 5H 3.5X70MM SYNTHES TRAUMA 245.051 | $1,554.00 |
| PLATE LCP RECON 6H 3.5X84MM SYNTHES TRAUMA 245.061 | $1,898.00 |
| PLATE LCP TUBR 1/3 10H 117MM SYNTHES TRAUMA 241.401 | $743.00 |
| PLATE LCP TUBR 1/3 12H 141MM SYNTHES TRAUMA 241.421 | $743.00 |
| PLATE LCP TUBR 1/3 5H 57MM SYNTHES TRAUMA 241.351 | $743.00 |
| PLATE LCP TUBR 1/3 6H 69MM SYNTHES TRAUMA 241.361 | $743.00 |
| PLATE LCP TUBR 1/3 7H 81MM SYNTHES TRAUMA 241.371 | $743.00 |
| PLATE LCP TUBR 1/3 8H 93MM SYNTHES TRAUMA 241.381 | $743.00 |
| PLATE LCP ULNA 2MM 7 HOLE SYNTHES TRAUMA 242.531S | $2,505.00 |
| PLATE LCP VOLAR 8H/3H LT 2.4X50.5MM SYNTHES TRAUMA 02.110.431 | $3,200.00 |
| PLATE LCP VOLAR 8H/4H RT 2.4X68.5MM SYNTHES TRAUMA 02.110.440 | $3,200.00 |
| PLATE LCP VOLAR 8H/5H LT 2.4X68.5MM SYNTHES TRAUMA 02.110.451 | $3,370.00 |
| PLATE LCP VOLAR 9H/3H RT 2.4X50.5MM SYNTHES TRAUMA 02.110.330 | $3,200.00 |
| PLATE LCP VOLAR 9H/4H LT 2.4X59.5MM SYNTHES TRAUMA 02.110.341 | $3,200.00 |
| PLATE LCP VOLAR DIST EX ART RT SYNTHES TRAUMA 242.458 | $2,971.00 |
| PLATE LCP VOLAR DISTAL 2.4MM L SYNTHES TRAUMA 242.492 | $3,200.00 |
| PLATE LCP VOLAR DISTAL 3HOLE L SYNTHES TRAUMA 242.461 | $2,971.00 |
| PLATE LCP VOLAR DISTAL 4HOLE L SYNTHES TRAUMA 242.462 | $3,200.00 |
| PLATE LCP VOLAR DISTAL 5HOLE R SYNTHES TRAUMA 242.459 | $3,200.00 |
| PLATE LOCKING MESH 2.4/2.7MM 5X12 HOLE SYNTHES TRAUMA 02.211.224 | $7,011.00 |
| PLATE LOCKING THIRD 4 HOLE TUBULAR ARTHREX INC AR-8943T-04 | $965.00 |
| PLATE MAXIM TIBIAL 71MM ZIMMER KNEE 141213 | $3,370.00 |
| PLATE MAXLOCK LPS 2 SLOT ALPHA WRIGHT MEDICAL ANKLE MXL-002-2A | $3,834.00 |
| PLATE MAXLOCK LPS 3 SLOT ALPHA WRIGHT MEDICAL ANKLE MXL-002-3A | $4,380.00 |
| PLATE MAXLOCK Y WRIGHT MEDICAL ANKLE MFT-002-Y | $4,380.00 |
| PLATE MDFC BURR HOLE 1.5MM ZIMMER (BIOMET) CMF 01-7308 | $743.00 |
| PLATE MIDFOOT STRAIGHT WRIGHT MEDICAL TECHNOLOGY 58180000 | $4,380.00 |
| PLATE MTP CONTOURED SHORT LOW PROFILE RIGHT ARTHREX INC AR-8944CR-P | $3,200.00 |
| PLATE MTP FOOT 0 DEG RT WRIGHT MEDICAL TECHNOLOGY 587220RT | $8,700.00 |
| PLATE NAR 51MM SS 2.4MM SCRW 6 SYNTHES TRAUMA 02.111.530 | $3,607.00 |
| PLATE NARROW 2 HOLE 4.5MMX44 SYNTHES TRAUMA 224.521 | $1,064.00 |
| PLATE NARROW 3 HOLES 4.5MMX62 SYNTHES TRAUMA 224.531 | $1,064.00 |
| PLATE OLECRANON 2 HOLE RIGHT 73MM VARIABLE ANGLE 2.7/3.5MM SYNTHES TRAUMA 02.107.002 | $3,834.00 |
| PLATE OLECRANON 4 HOLE LEFT 2.7/3.5X116MM VARIABLE ANGLE SYNTHES TRAUMA 02.107.304 | $4,380.00 |
| PLATE OLECRANON LCP 2 HOLE LEFT VARIABLE ANGLE 2.7/3.5MM SYNTHES TRAUMA 02.107.102 | $3,370.00 |
| PLATE ORTHOLINK PEANUT LG WRIGHT MEDICAL ANKLE MFT-002-PL | $3,804.00 |
| PLATE ORTHOLINK PEANUT SM WRIGHT MEDICAL ANKLE MFT-002-PS | $3,809.00 |
| PLATE ORTHOLINK PEANUT STD WRIGHT MEDICAL ANKLE MFT-002-PM | $3,809.00 |
| PLATE PROX TIBIA 3.5X237MM 14H RT SMALL BEND VARIABLE ANGLE SYNTHES TRAUMA 02.127.260 | $8,700.00 |
| PLATE SEMI TUBULAR 10HOLE SYNTHES TRAUMA 222.10 | $389.00 |
| PLATE SEMI TUBULAR 11HOLE SYNTHES TRAUMA 222.11 | $389.00 |
| PLATE SEMI TUBULAR 12HOLE SYNTHES TRAUMA 222.12 | $338.83 |
| PLATE SEMI TUBULAR 2HOLE SYNTHES TRAUMA 222.02 | $266.00 |
| PLATE SEMI TUBULAR 3HOLE SYNTHES TRAUMA 222.03 | $266.00 |
| PLATE SEMI TUBULAR 4HOLE SYNTHES TRAUMA 222.04 | $266.00 |
| PLATE SEMI TUBULAR 5HOLE SYNTHES TRAUMA 222.05 | $266.00 |
| PLATE SEMI TUBULAR 6HOLE SYNTHES TRAUMA 222.06 | $266.00 |
| PLATE SEMI TUBULAR 7HOLE SYNTHES TRAUMA 222.07 | $389.00 |
| PLATE SEMI TUBULAR 8HOLE SYNTHES TRAUMA 222.08 | $389.00 |
| PLATE SEMI TUBULAR 9HOLE SYNTHES TRAUMA 222.09 | $389.00 |
| PLATE SHT BARREL 25MM 4HOLE SYNTHES TRAUMA 281.540 | $1,898.00 |
| PLATE SKYLINE 2 LEVEL 30MM TITANIUM DEPUY SPINE INC 186802030 | $3,196.00 |
| PLATE SPINAL ANCHORING ROI-C LONG ZIMMER SPINE MC1006T | $5,265.00 |
| PLATE SPINAL ANCHORING ROI-C ZIMMER SPINE MC1005T | $5,265.00 |
| PLATE SQ MDFC 1.5MM SCRW BONE ZIMMER (BIOMET) CMF 01-7131 | $743.00 |
| PLATE STD BARREL 38MM 16HOLE SYNTHES TRAUMA 281.170 | $3,370.00 |
| PLATE STD BARREL 38MM 4HOLE SYNTHES TRAUMA 281.240 | $1,898.00 |
| PLATE STD BARREL 38MM 4HOLE SYNTHES TRAUMA 281.340 | $1,898.00 |
| PLATE STD BARREL 38MM 5HOLE SYNTHES TRAUMA 281.250 | $1,898.00 |
| PLATE STD BARREL 38MM 5HOLE SYNTHES TRAUMA 281.350 | $1,898.00 |
| PLATE STD BARREL 38MM 5HOLE SYNTHES TRAUMA 281.450 | $1,898.00 |
| PLATE STD BARREL 38MM 6HOLE SYNTHES TRAUMA 281.260 | $1,898.00 |
| PLATE STD BARREL 38MM 6HOLE SYNTHES TRAUMA 281.360 | $1,898.00 |
| PLATE STD CNTR TI FSN MOD EA1 ARTHREX INC AR-8944CL-S | $3,200.00 |
| PLATE STR 3H 2X17MMM SYNTHES TRAUMA 243.13 | $266.00 |
| PLATE STR 6H 1.5X29MM SYNTHES TRAUMA 446.031 | $743.00 |
| PLATE STR TITAN 12H 1.5X59MM SYNTHES TRAUMA 446.032 | $965.00 |
| PLATE STR TITAN 12H 2.4X72MM SYNTHES TRAUMA 449.912 | $1,064.00 |
| PLATE STR TITAN 20H 2X100MM SYNTHES TRAUMA 443.19 | $560.00 |
| PLATE STR TITAN 6H 2X35MM SYNTHES TRAUMA 447.031 | $743.00 |
| PLATE STRGHT TUBULAR 10 HOLE WRIGHT MEDICAL TECHNOLOGY 58880110 | $2,078.00 |
| PLATE T 3HOLE SYNTHES TRAUMA 240.13 | $965.00 |
| PLATE T 5HOLE SYNTHES TRAUMA 240.15 | $1,064.00 |
| PLATE T L 4H 4.5X84MM SYNTHES TRAUMA 240.14 | $1,064.00 |
| PLATE T LCP RT 4H 3.5X56MM SYNTHES TRAUMA 241.141 | $1,300.00 |
| PLATE T LCP RT ANGLE 3H 3.5X50 SYNTHES TRAUMA 241.131 | $1,064.00 |
| PLATE T LCP RT ANGLE 3H 3.5X67 SYNTHES TRAUMA 241.151 | $1,300.00 |
| PLATE T LCP RT ANGLE 4H 3.5X78 SYNTHES TRAUMA 241.161 | $1,554.00 |
| PLATE T LOPRFL 2.4MM 5 HOLE ARTHREX INC AR-8952MT-05 | $2,693.00 |
| PLATE T OBLIQUE LT 3H 3.5X52 SYNTHES TRAUMA 241.931 | $1,064.00 |
| PLATE T TITAN 2H 2X53MM SYNTHES TRAUMA 447.232 | $965.00 |
| PLATE T TITAN 4X8H 1.3X32MM SYNTHES TRAUMA 421.334 | $965.00 |
| PLATE TIB YLW YLW STRP 66X46MM ZIMMER KNEE 00598800400 | $8,835.00 |
| PLATE TIBIAL CRUCIATE 79MM ZIMMER KNEE 141235 | $3,370.00 |
| PLATE TIBIAL INTERLOK 71MM WITH LOCKING BAR ZIMMER KNEE 141233 | $3,370.00 |
| PLATE TIBIAL W LOCKING BAR ZIMMER KNEE 141234 | $3,834.00 |
| PLATE TITA STERNAL STAR 6 HL SYNTHES CMF 460.035 | $2,971.00 |
| PLATE TITA STERNAL STR 20 HL SYNTHES CMF 460.023 | $7,011.00 |
| PLATE TUBR 1/3 5H 61MM SYNTHES TRAUMA 241.35 | $266.00 |
| PLATE TUBR 1/3 SS 10H 121MM SYNTHES TRAUMA 241.40 | $266.00 |
| PLATE TUBR QTR COLLAR 3H 23MM SYNTHES TRAUMA 242.03 | $266.00 |
| PLATE TUBR QTR COLLAR 4H 31MM SYNTHES TRAUMA 242.04 | $317.52 |
| PLATE TWO HOLE SS ARTHREX INC AR-8958-01 | $3,200.00 |
| PLATE UNV FIFTH MTRSL FX SYS ARTHREX INC AR-8956-01 | $3,607.00 |
| PLATE VA LCP 6H/2H LT 2.4MM SYNTHES TRAUMA 02.111.621 | $2,253.02 |
| PLATE VA LCP 6H/3H LT 2.4MM SYNTHES TRAUMA 02.111.631 | $3,607.00 |
| PLATE VA LCP 6H/3H RT 2.4MM SYNTHES TRAUMA 02.111.630 | $3,607.00 |
| PLATE VA LCP 6H/4H LT 2.4MM SYNTHES TRAUMA 02.111.641 | $3,834.00 |
| PLATE VA LCP 6H/4H RT 2.4MM SYNTHES TRAUMA 02.111.640 | $3,834.00 |
| PLATE VA LCP 7H/3H LT 2.4MM SYNTHES TRAUMA 02.111.731 | $3,607.00 |
| PLATE VARIABLE ANGLE 2.7/3.5MM 3 HOLE LEFT POSTERIOR 75MM SYNTHES TRAUMA 02.117.103 | $4,380.00 |
| PLATE VARIABLE ANGLE 2.7/3.5MM 4 HOLE LEFT LATERAL 88MM MD SYNTHES TRAUMA 02.117.304 | $3,607.00 |
| PLATE VARIABLE ANGLE 2.7/3.5MM 4 HOLE LEFT MEDIAL 108MM SYNTHES TRAUMA 02.117.504 | $3,809.00 |
| PLATE VOLAR 5 HOLE SHAFT RIGHT LCP DISTAL RADIUS SYNTHES TRAUMA 02.110.005S | $6,124.00 |
| PLATE VOLAR DISTAL 2.4 4H L SYNTHES TRAUMA 242.467 | $2,971.00 |
| PLATE Y TITAN 1.3X37MM SYNTHES TRAUMA 421.335 | $965.00 |
| Platelet Ab Scrn (Indirect) | $90.00 |
| Platelet Ab, Direct, Flow Cytometry -Quest | $66.00 |
| Platelet Ab,Indirect(IgG) (QST) | $97.00 |
| Platelet Ab,Indirect(IgM) (QST) | $98.00 |
| Platelet Aggregation Interp (RHMC) | $118.00 |
| Platelet Count. | $24.00 |
| Platelet Function Analysis-RHMC. | $118.00 |
| Plc Cath/Vein 2Nd Or/Higher | $538.00 |
| Plc Dstl Ext Prost Delay | $6,521.00 |
| Plc Pr Ext Pro En R, Ea A | $2,174.00 |
| Plcmnt Amniotic Membrane Ocular Surface | $3,614.00 |
| Plcmnt Clip 1St Les Mammo Guidance | $2,738.00 |
| Plcmnt Clip 1St Les Stereo Guidance | $2,738.00 |
| Plcmnt Clip 1St Lesion U/S Guidance | $2,738.00 |
| Plcmnt Clip Each Add Les Stereo Guidance | $1,021.00 |
| Plcmt Biliary Drain Cath; Internal-Externa | $13,928.00 |
| Plcmt Dstl Ext Pros Aft E | $1,487.00 |
| Plcmt Neurostm Puls Gener, 2 Or More | $124,005.00 |
| Plcmt Of Radiotherapy Aft Load | $33,349.00 |
| Plcmt Prox Ext Pros End R | $2,174.00 |
| Plcmt Prox Ext Prost End | $1,487.00 |
| Pleural Drainage W/O Imaging Guidance | $6,641.00 |
| Pleural Drainage With Imaging Guidance | $5,168.00 |
| Pleuravac | $93.00 |
| Pleur-evac System A-6000 | $313.00 |
| Plmt Xtn Prosth Evasc Rpr | $3,724.00 |
| PLT 2H SHRT BAR 25MM 135D SYNTHES 281.520 | $938.23 |
| PLT 3RD-TB CLLR LCP 4H 45 NS SYNTHES TRAUMA 241.341 | $743.00 |
| PLT BRD DCP 10H 4,5X167 NS SYNTHES 226.10 | $965.00 |
| PLT BRD DCP 12H 4.5X199 NS SYNTHES TRAUMA 226.12 | $1,064.00 |
| PLT BRD DCP 14H 4.5X231 NS SYNTHES TRAUMA 226.14 | $1,064.00 |
| PLT BRD DCP 16H 4.5X263 NS SYNTHES 226.16 | $1,064.00 |
| PLT BRD DCP 18H 4.5X295 NS SYNTHES 226.18 | $1,064.00 |
| PLT BRD DCP 6H 4.5X103 NS SYNTHES TRAUMA 226.06 | $743.00 |
| PLT BRD DCP 7H 4.5X119 NS SYNTHES TRAUMA 226.07 | $743.00 |
| PLT BRD DCP 8H 4.5X135 NS SYNTHES TRAUMA 226.08 | $965.00 |
| PLT BRD DCP 9H 4.5X151 NS SYNTHES TRAUMA 226.09 | $965.00 |
| PLT BRL DHS 135D 14H 238MM NS SYNTHES 281.130 | $3,370.00 |
| PLT CLVRLF THN BLDE 4H 104 SS SYNTHES 240.24 | $743.00 |
| PLT DST-RAD VOLR R TI NS SYNTHES 442.473 | $2,693.00 |
| PLT NAR DCP 12H 4.5X199 NS SYNTHES TRAUMA 224.12 | $743.00 |
| PLT NAR DCP 13H 4.5X215 NS SYNTHES 224.13 | $743.00 |
| PLT NAR DCP 14H 4.5X231 NS SYNTHES 224.14 | $965.00 |
| PLT NAR DCP 15H 4.5X247 NS SYNTHES 224.15 | $965.00 |
| PLT NAR DCP 16H 4.5X263 NS SYNTHES 224.16 | $965.00 |
| PLT NAR DCP 4H 4.5X71 NS SYNTHES TRAUMA 224.04 | $560.00 |
| PLT NAR DCP 5H 4.5X87 NS SYNTHES TRAUMA 224.05 | $560.00 |
| PLT RECON LCP 9H 3.5X126 NS SYNTHES TRAUMA 245.091 | $2,078.00 |
| PLT S-FRG LCP 4H 3.5X59 NS SYNTHES TRAUMA 223.541 | $1,064.00 |
| PLUG ACETUBULR CUP SCREW | $400.00 |
| PLUG BONE CMNT SM 12MM ELB | $732.00 |
| PLUG BONE MED 25MM STRYKER HIP 6215-5-011 | $416.00 |
| PLUG DOME HOLE ACETUBLR CONT ZIMMER KNEE 00875700001 | $223.00 |
| PLUG INTRAMEDULLARY BONE 19MM LARGE ZIMMER HIP 130613 | $720.00 |
| PLUG PERFIX L 1.6X1.9IN BARD DAVOL INC 0112770 | $689.00 |
| PLUG PERFIX MEDIUM BARD DAVOL INC 0112760 | $689.00 |
| PLUG PERFIX X-LARGE BARD DAVOL INC 0112780 | $689.00 |
| Plum (f255) IgE -Quest | $28.00 |
| Plysom,< 6 Yrs,4+Par W/Cpap | $4,087.00 |
| Plysom,> 6 Yrs,4+Par W/Cpap | $4,087.00 |
| PM Base Profile Ur w/conf,medMatch-QST | $312.00 |
| PM Buprenorphine Quant Ur medMatch-QST | $239.00 |
| Pm Device Interog In Person | $166.00 |
| Pm Device Prog Eval Dual | $166.00 |
| Pm Device Prog Eval Multi | $166.00 |
| Pm Device Prog Eval Singl | $166.00 |
| PM Fentanyl Quant Ur w medMatch-QST | $95.00 |
| PM Fentanyl Quant Ur-Quest | $95.00 |
| PM Gabapentin Quant Ur w medMatch-QST | $226.00 |
| PM Gabapentin Quant Ur-Quest | $226.00 |
| PM Heroine Metab Ur w/conf, medmatch-QST | $307.00 |
| PM Methylphenidate MetabU Qt,medMat-QST | $239.00 |
| PM Profile 1 w/Confirm Ur-Quest | $307.00 |
| PM Profile 6 w/Confirm Ur-Quest | $307.00 |
| PM Tramadol Quant Ur-Quest | $226.00 |
| PM U Buprenorphine -Quest | $239.00 |
| Pm/Icd Remote Tech Svc | $166.00 |
| Polio 1 Titer (QST) | $69.00 |
| Polio 3 Titer (QST) | $69.00 |
| Pollicization Of Finger | $11,745.00 |
| Polysomn, < 6 Yrs, 4+Para | $4,087.00 |
| Polysomn, > 6 Yrs, 4+Para | $4,087.00 |
| Polysomnogram | $4,087.00 |
| Poppy Seed (f224) IgE -Quest | $28.00 |
| Porphobilinogen, Qn, Random Urine -Quest | $45.00 |
| Porphyrins Frac QN 24 Hr Urine - Quest | $80.85 |
| Porphyrins Fractionated Qn Urine -Quest | $78.00 |
| Porphyrins, Fractionated, Plasma -Quest | $114.00 |
| PORT IMPLTINF POWERPORT ISP BARD ACCESS SYSTEMS INC 1809661 | $1,847.00 |
| PORT IMPLTINF POWERPORT ISP BARD ACCESS SYSTEMS INC 1859661 | $1,847.00 |
| PORT IMPLTINF POWERPORT MRI BARD PERIPHERAL VASCULAR INC 1808000 | $1,847.00 |
| PORT POWER DUO DL 9.5F BARD ACCESS SYSTEMS INC 1829500 | $1,920.00 |
| Port/Iv Flush | $264.00 |
| Portal vein thrombectomy | $2,930.00 |
| POSITIONER IMPLANT TORQUE SLV | $3,606.00 |
| POSITIONER STEM DISTAL HIP 13MM ARTHROPLASTY ANSWER BIOMET JOINT ORTHOPEDICS 162658 | $336.00 |
| POST RESIDUAL VOID U/S | $264.00 |
| Post Residual Void U/S | $264.00 |
| Post Seg Inst Fix 7-12 Se | $802.00 |
| Post Tibial Neurostim Perc Needle Single Tx | $1,108.00 |
| Posterior Instr Segmental Fix | $2,416.00 |
| Posterior Viterectmy | $16,298.00 |
| Postional Nystagmus Test | $477.00 |
| POTASSIUM HYDROXIDE PREP | $28.00 |
| Potassium Level | $24.00 |
| Potassium Level | $24.00 |
| Potassium Level | $24.00 |
| Potassium Level | $24.00 |
| Potassium Level (POCT) Collect | $24.00 |
| Potassium Level 24 Hour Urine. | $23.00 |
| Potassium Level Body Fluid. | $23.00 |
| Potassium Level Urine. | $23.00 |
| Potassium Level. | $24.00 |
| Potassium, 24Hr Ur | $23.00 |
| Potassium, Feces | $106.00 |
| POUCH ENDO FINGER CTRL 1.5CM US SURGICAL 173049 | $1,003.00 |
| POUCH SPEC 10MM ENDOPOUCH RETRIEVAL POUCH ETHICON ENDO-SURGERY INC POUCH | $200.00 |
| POWDER SURGICAL ABSB HEMOSTAT JOHNSON & JOHNSON 3013SP | $684.00 |
| PPM Procedure Charges -> Cardioversion | $2,488.00 |
| PPM Procedure Charges -> Gen. change dual pacer | $46,688.00 |
| PPM Procedure Charges -> Gen. change single pacer | $34,990.00 |
| PPM Procedure Charges -> Incision and drainage, deep abscess or hematoma, soft | $11,239.00 |
| PPM Procedure Charges -> Insert generator to existing dual leads | $46,688.00 |
| PPM Procedure Charges -> Insert generator to existing single lead | $34,990.00 |
| PPM Procedure Charges -> Insert Subq Cardiac Rhythm Mntr w/Prg | $34,990.00 |
| PPM Procedure Charges -> Insertion dual pacer (includes device AND leads) | $46,688.00 |
| PPM Procedure Charges -> Insertion loop recorder | $10,020.00 |
| PPM Procedure Charges -> Insertion of Leadless PPM | $72,562.00 |
| PPM Procedure Charges -> Insertion of single lead (pacer or defib) | $34,990.00 |
| PPM Procedure Charges -> Insertion of two leads (pacer or defib) | $34,990.00 |
| PPM Procedure Charges -> Insertion single pacer (includes device AND leads) | $46,688.00 |
| PPM Procedure Charges -> Lead repositioning (RA or RV) | $12,483.00 |
| PPM Procedure Charges -> Medtronic LINQ11 | $19,380.00 |
| PPM Procedure Charges -> New/replaced single pacer atrial | $46,688.00 |
| PPM Procedure Charges -> Pacemaker, revision skin pocket | $7,320.00 |
| PPM Procedure Charges -> Removal loop recorder | $6,794.00 |
| PPM Procedure Charges -> Removal of dual chamber pacer leads | $14,794.00 |
| PPM Procedure Charges -> Removal of Leadless PPM | $12,483.00 |
| PPM Procedure Charges -> Removal of permanent pacer (don't use with gen. change | $34,990.00 |
| PPM Procedure Charges -> Removal of single chamber pacer lead | $14,794.00 |
| PPM Procedure Charges -> Removal Subq Cardiac Rhythm Mntr | $2,738.00 |
| PPM Procedure Charges -> Repair of one or two leads for dual chamber device | $14,794.00 |
| PPM Procedure Charges -> Repair one lead for single chamber device | $14,794.00 |
| PPM Procedure Charges -> Upgrade single to dual pacer | $46,688.00 |
| Prealbumin. | $77.00 |
| Precise Rx Crest 2 | $7,523.00 |
| Precise RX Stent C2R | $6,450.00 |
| Predictive Marker Sendout (TECH) | $684.00 |
| Prefab Stnlss Steel Crown Pe | $404.00 |
| Pregnenolone, LC/MS -Quest | $109.00 |
| Presumptive id | $43.00 |
| PRFR CRNL 14MM 11MM SM STAT ACRA-CUT INC 200-241 | $728.00 |
| Priapism Operation Uni/Bil | $7,789.00 |
| Prim Per Tra Me Thr, Seco | $3,950.00 |
| Prim Percut Trans Mech Tr | $22,110.00 |
| Primidone -Quest | $52.00 |
| PRN Adaptor | $71.00 |
| Prob Lacrimal Canal W/Wo Irrig | $1,269.00 |
| Prob Nasolac Balloon Cath | $8,115.00 |
| Prob Nasolac Ins Tube/Stn | $8,115.00 |
| Prob Nasolac Req Gen Anes | $8,566.00 |
| PROBE 3500MM 7FR 2.8MM BICOAG OLYMPUS AMERICA INC CD-B620LA | $569.00 |
| PROBE APOLLO RF 90 MULTIPORT ARTHREX INC AR-9811 | $876.00 |
| PROBE CIRCUMFERENTIAL 10/BX ERBE USA INC 20132-218 | $700.00 |
| PROBE CRYABL 10CM CRYOICE MLBL ATRICURE INC CRYO2 | $10,400.00 |
| PROBE ESURG 3MM COOLCUT 90D ARTHREX INC AR-9803A-90 | $700.00 |
| PROBE IO FLEX IPSI | $876.00 |
| PROBE LTHTRP 120CM 1.9FR ELHDR | $800.00 |
| PROBE LTHTRP 60CM 9FR ELHDR ACMI CORP E-9F | $800.00 |
| PROBE STRAIGHT ERBE USA INC 20132-214 | $700.00 |
| Probing Nasolacrimal Duct | $1,269.00 |
| Procainamide -Quest | $88.00 |
| Procalcitonin -Quest | $141.00 |
| Procedure arterial/graft addt | $3,950.00 |
| Procedure arterial/graft rescue | $9,876.00 |
| Proctopexy Perineal Approach | $10,452.00 |
| Proctoplasty Prolaps Muc/Membn | $10,452.00 |
| Proctosigmoid Mult Pap/Polyps | $4,387.00 |
| Proctosigmoid Sing Pap/Po | $10,452.00 |
| Proctosigmoidoscopy | $4,387.00 |
| Proctosigmoidoscopy Cont Hemor | $4,387.00 |
| Proctosigmoidoscopy Diagnostic | $3,520.00 |
| Proctosigmoidoscopy Dilat Direct Instrum | $4,387.00 |
| Proctosigmoidoscopy Rem Fb | $10,452.00 |
| Proctosigmoidoscopy W Biopsy | $4,387.00 |
| Proctosigmoidoscopy/Ablation | $10,452.00 |
| PRODIGY MRI PATIENT PROGRAMMER ST JUDE MEDICAL INC 3856 | $5,850.00 |
| Profore Dressing Application | $636.00 |
| Profore-Upper Arm, Forearm, Hand, Fingers | $603.00 |
| Profundus Tend Rep Sec Wo Graft | $11,745.00 |
| Profundus Tendon Rep Primary | $11,745.00 |
| Progensa PCA3-Quest | $1,211.00 |
| Progesterone -Quest | $110.00 |
| Progesterone, LC/MS/MS -Quest | $110.00 |
| PROGRAMMER CHARGER FOR SPINAL CORD STIM ALGOVITA | $4,000.00 |
| PROGRAMMER PROCLAIM 7 ELITE ST JUDE CARDIAC RHYTHM MGMT 3883 | $5,850.00 |
| PROGRAMMER PT POCKET SPINAL CORD STIM ALGOVITA | $2,000.00 |
| Progreat catheter | $778.00 |
| Proinsulin -Quest | $127.00 |
| Prolactin Diluted-QST | $68.00 |
| Prolactin Level. | $102.00 |
| Prolactin Monomeric-QST | $352.00 |
| Prolactin Total-QST | $352.00 |
| Prolactin Undiluted-QST | $68.00 |
| Prometheus. | $14.00 |
| Pronto catheter | $815.00 |
| Prophylac Trtmnt ; Tibia | $25,517.00 |
| Prophylac Trtmnt ; Ulna | $47,967.00 |
| Prophylac Trtmnt Clavicle | $25,517.00 |
| Prophylac Trtmnt; Radius | $25,517.00 |
| Prophylact Tx W/Wo Mwthyl Humr | $47,967.00 |
| Prophylaxis Ret Det Cryotherapy | $1,269.00 |
| Prophylaxis Ret Det Photocoag Laser | $2,221.00 |
| Propoxyphene Screen Urine. | $307.00 |
| Prostaglandin E2 Serum/Plasma-Quest | $380.00 |
| PROSTATE BIOPSY 10-20 SPE (TECH) | $1,130.00 |
| Prostatic Acid Phosphatase (PAP) -Quest | $51.00 |
| Protege Rx Crest 2 | $7,272.00 |
| Protege RX Stent C2R | $6,234.00 |
| Protein 24 Hour Urine. | $19.00 |
| Protein Body Fluid. | $19.00 |
| Protein C Activity. | $63.00 |
| Protein C, Antigen -Quest | $63.00 |
| Protein Cerebrospinal Fluid. | $19.00 |
| Protein Electrophoresis 24 Hour Urine. | $94.00 |
| Protein Electrophoresis Interpretation | $57.00 |
| Protein S Activity. | $81.00 |
| Protein S Antigen, Free -Quest | $81.00 |
| Protein S Antigen, Total -Quest | $63.00 |
| Protein Total | $19.00 |
| Protein Total | $19.00 |
| Protein Total | $19.00 |
| Protein Total. | $19.00 |
| Protein Urine. | $19.00 |
| Proteinase-3 Antibody (QST) | $79.00 |
| Proteinase-3 Antibody (QST) | $79.00 |
| Proteinase-3 Antibody (QST) | $79.00 |
| Proteinase-3 Antibody -Quest | $79.00 |
| Proteins, Western Blot | $139.00 |
| Prothrombin 20210 Mutation -Quest | $312.00 |
| Prothrombin Time | $21.00 |
| Prothrombin Time and INR. | $21.00 |
| Prothrombin Time Mixing Studies. | $21.00 |
| Protrack Wire | $652.00 |
| Provider's City-QST | $50.00 |
| Prox Fibula Fx W Reductio | $6,207.00 |
| PS US Fine Needle Asp w/ Guidance | $2,218.00 |
| PSA Diagnostic. | $97.00 |
| PSA Screening. | $97.00 |
| PSA Total, Reflex PSA Free-Quest | $52.00 |
| PSA, Free (QST) | $97.00 |
| PSA, Post-Prostatectomy -Quest | $97.00 |
| PSA, Post-Prostatectomy w HAMA-Quest | $97.00 |
| PSA, Total (QST) | $97.00 |
| PSR SUTLAS 45D CRV SUT NTNL | $460.00 |
| Pst Instr Harrington Rod Tech | $3,042.00 |
| PT E-Stim Manual (15 Min) | $248.00 |
| PT Funct Capacity Eval (15 Min) | $137.00 |
| PT Gait Training (15 Min) | $284.00 |
| PT Gait Training (15 Min) | $284.00 |
| PT Group Treatment -> Yes | $87.00 |
| PT Initial Evaluation High -> Yes | $393.00 |
| PT Initial Evaluation Low -> Yes | $393.00 |
| PT Initial Evaluation Moderate -> Yes | $393.00 |
| PT Man Ther 1 Plus Region (15 Min) | $281.00 |
| PT Massage (15 Min) | $214.00 |
| PT Neuromuscular Re-Education (15 Min) | $301.00 |
| PT Orth Fab/Fit/Trn (15 Min) | $169.00 |
| PT Parrafin Bath -> Yes | $214.00 |
| PT Prosthetic Training (15 Min) | $162.00 |
| PT Re-Evaluation -> Yes | $267.00 |
| PT Self Care/Home Training (15 Min) | $77.00 |
| PT Therapeutic Activity (15 Min) | $195.00 |
| PT Therapeutic Exercises (15 Min) | $227.00 |
| PT Traction Mech Unattended -> Yes | $214.00 |
| PT Ultrasound (15 Min) | $281.00 |
| PT/INR | $21.00 |
| PTA artery open or perc. | $22,110.00 |
| PTA each add. iliac vessel | $11,502.00 |
| PTA each add. tib/per vessel | $13,962.00 |
| PTCA | $22,110.00 |
| PTCA add branch | $3,443.00 |
| PTCA Atherectomy | $45,694.00 |
| PTCA Atherectomy add branch | $8,785.00 |
| PTCA Stent BMS | $45,694.00 |
| PTCA Stent BMS add branch | $13,528.00 |
| PTCA Stent BMS w/Ather addl branch | $18,868.00 |
| PTCA Stent BMS w/Atherectomy | $72,562.00 |
| PTH-Related Protein (PTH-RP) -Quest | $87.00 |
| PTT-LA Screen (QST) | $32.00 |
| PTT-LA w/rflx Hexagonal Phase Conf-Qst | $32.00 |
| PUBLIC ASSIST | $72.00 |
| Pulmonary Compliance | $609.00 |
| Pulse Ox Charges -> Pulse Ox Continuous/night | $642.00 |
| Pulse Ox Charges -> Pulse Ox Spot Check | $193.00 |
| Pulse Ox Charges -> Pulse Ox w/Exercise Multiple | $642.00 |
| Pulse Ox Charges -> Pulse ox w/Sleep | $369.00 |
| Pulse Ox with Exercise | $369.00 |
| Pulse Oximetry Charge | $193.00 |
| Pump Refill By Physician | $1,108.00 |
| Punc Ventricular W Inj | $2,681.00 |
| Punch Biopsy Skin Ea Sep/Addl | $132.00 |
| Punch Biopsy Skin Single Lesion | $834.00 |
| Punch Graft Hair Trans >15 | $1,406.00 |
| Punctum Snip | $1,269.00 |
| PUNCTURE ASPIRATION CYST | $1,484.00 |
| Puncture Aspiration Hydrocele W/Wo Inj | $2,594.00 |
| Puncture Ventricular Wo Inj | $3,424.00 |
| Pupiloplasty | $8,583.00 |
| PUSHER 360 KNOT SLOTTED CANNULA SUB FOR 229039 SMITH & NEPHEW ENDOSCOPY 72202674 | $526.00 |
| PUSHER TITANIUM KNOT CK QUICK LOAD COREKNOT LSI SOLUTIONS INC 030850 | $169.00 |
| PUTTY BONE 2.5ML PUTTY OPTIUM 2.5CC LIFENET TPUT02 | $1,041.00 |
| PUTTY DBX 10CC MUSCULOSKELETAL TRANSPLANT FOU 038100 | $4,600.00 |
| PUTTY DBX 2.5CC MUSCULOSKELETAL TRANSPLANT FOU 038025 | $1,760.00 |
| PUTTY DBX 5CC MUSCULOSKELETAL TRANSPLANT FOU 038050 | $3,240.00 |
| PUTTY SURG FREEZE DRY 5ML PUTTY OPTIUM 5CC LIFENET TPUT05 | $2,100.00 |
| Puva | $250.00 |
| PY22133007 Red Bag | $110.00 |
| Pyloric botox inject | $20,576.00 |
| Pyrazinamide Level-Quest | $189.00 |
| Pyruvate Kinase, RBC -Quest | $50.00 |
| Qn Thyroglobulin w/o TGAB -Quest | $85.00 |
| Quadricepsplasty Thompson Type | $25,517.00 |
| Quadriploar pacing catheter | $824.00 |
| QuantiFERON TB Gold -Quest | $327.00 |
| Quest. | $14.00 |
| QuestAssureD 25-OH Vit D, (D2,D3) -Quest | $156.00 |
| QuestAssureD For Infants, 25-Hydroxyvitamin D -Quest | $156.00 |
| Quetiapine, Serum/Plasma -Quest | $89.00 |
| Quick cross 0.014, 0.018 | $649.00 |
| Quick cross 0.035 | $699.00 |
| Quinidine. -Quest | $77.00 |
| R. Typhi IgG (QST) | $102.00 |
| R. Typhi IgG (QST) | $102.00 |
| R. Typhi IgM (QST) | $102.00 |
| R. Typhi IgM (QST) | $102.00 |
| Rabies Vaccine Response End Titer -Quest | $68.00 |
| Rad Exam Elbow Artho Interp | $1,728.00 |
| Rad Exam Fistula/Sins Tract Super & Interp | $2,351.00 |
| Rad Exam Hip Artho Sup & Interp | $1,681.00 |
| Rad Exam Knee Complete Interp | $532.00 |
| Rad Exam, Ribs, Unilateral, 2 Views | $294.00 |
| Rad Exc Aud Can Les Wo Nk Dis | $19,807.00 |
| Rad Guidance/Perc Drain Super & Interp | $3,843.00 |
| Rad Res Tumor Finger Hand >=3Mc | $10,648.00 |
| Rad Res Tumor Leg Or Ankle >=5cm | $10,648.00 |
| Rad Res Tumor Radius Ulna | $25,517.00 |
| Rad Res Tumor Shaft Dist Humer | $25,517.00 |
| Rad Resc Tumor Forearm/Wrist Area | $6,158.00 |
| Rad Resec Tonsil Clos W Local Flap | $19,807.00 |
| Rad Resec Tumor Pelvis Hip>=5cm | $10,648.00 |
| Rad Resec Tumor Soft Tis Upp Arm/Elbow | $10,648.00 |
| Rad Resec Tumr, Abd Wall <5cm | $10,648.00 |
| Rad Resec Tumr, Abd Wall 5cm > | $11,239.00 |
| Rad Resec/Tum Bck Or Flnk | $10,648.00 |
| Rad Resec/Tumor Sof Tiss Fc/Scalp | $10,648.00 |
| Rad Resect Tumor Thigh Or Knee | $10,648.00 |
| Rad Resection Of Tonsil | $19,807.00 |
| Rad Resection Tumor Soft Tis Thigh Knee | $10,648.00 |
| Rad, Exam Breast Specimen | $2,351.00 |
| RADIAL HEAD SUB CHLD MANI | $1,067.00 |
| Radial Styloidectomy | $11,745.00 |
| Radical Resec Tumor Back/Flank 5cm > | $10,648.00 |
| Radical Resec Tumor Soft Tis Nk Thorax | $10,648.00 |
| Radical Resect Of Tumor | $10,648.00 |
| Radical Resection Elbow | $25,517.00 |
| Radical Resection For Tumor Tarsal | $11,745.00 |
| Radical Resection Of Tumor | $10,648.00 |
| Radiocarpal Manipulative Red | $1,008.00 |
| Radiocarpal Open Reduction | $11,745.00 |
| Radioelement Application | $11,745.00 |
| Radioelement Hand & Load | $1,367.00 |
| Radiofrequency ablation of nonhepatic mass/tumor | $3,409.00 |
| RADIOPHARM/INTRA-ART ADMIN | $1,091.00 |
| Radioulnar Disloc Acute Chron | $25,517.00 |
| Radioulnar Dsl W Manip | $689.00 |
| RADIOULNAR DSL W MANIPULA | $689.00 |
| RAMPART ASM 30X8MM SPINEOLOGY 380-3008 | $10,136.00 |
| Rapid ANAII | $43.00 |
| Rapid Desenitization/Hour | $1,559.00 |
| Rapid NH | $43.00 |
| Rapid Plasma Reagin Titer. | $23.00 |
| Rapid Plasma Reagin w/ reflex. | $23.00 |
| RASP HELO COIDAL MED 3.2MM STRYKER CORP 5120-080-030 | $443.00 |
| Raspberry (rf343) IgE -Quest | $28.00 |
| RBC AS3 Deglyc LR | $1,248.00 |
| RBC Count (QST) | $32.00 |
| RBC CP2D AS3 450 | $662.00 |
| RBC CP2D AS3 450 LR | $2,953.00 |
| RBC CP2D AS3 450 LR Irr | $1,208.00 |
| RBC CP2D AS3 500 | $662.00 |
| RBC CP2D AS3 500 LR | $2,953.00 |
| RBC CP2D AS3 500 LR Irr | $1,208.00 |
| RBC CP2D AS3 LR Irr PlasAdd | $525.00 |
| RBC CPD 450 | $662.00 |
| RBC CPD 450 LR | $2,953.00 |
| RBC CPD 450 LR Irr | $1,208.00 |
| RBC CPD 500 | $662.00 |
| RBC CPD 500 LR | $2,953.00 |
| RBC CPD 500 LR Irr | $1,208.00 |
| RBC CPD 500 LR Irr PlasAdd | $525.00 |
| RBC CPD 500 LR Irr PlasRed | $1,041.00 |
| RBC CPD 500 LR PlasRed | $957.00 |
| RBC CPD AS1 450 | $662.00 |
| RBC CPD AS1 450 LR | $2,953.00 |
| RBC CPD AS1 450 LR Irr | $1,208.00 |
| RBC CPD AS1 500 | $662.00 |
| RBC CPD AS1 500 LR | $2,953.00 |
| RBC CPD AS1 500 LR Irr | $1,208.00 |
| RBC CPD AS1 500 LR Irr PlasAdd | $525.00 |
| RBC CPD AS5 450 | $662.00 |
| RBC CPD AS5 450 LR | $2,953.00 |
| RBC CPD AS5 450 LR Irr | $1,208.00 |
| RBC CPD AS5 500 | $662.00 |
| RBC CPD AS5 500 LR | $2,953.00 |
| RBC CPD AS5 500 LR Irr | $1,208.00 |
| RBC CPD AS5 500 LR Irr PlasAdd | $525.00 |
| RBC CPD AS5 500 LR Irr PlasAdd | $525.00 |
| RBC CPD AS5 Irr LV | $1,208.00 |
| RBC CPD AS5 LR Irr LV | $1,208.00 |
| RBC CPD AS5 LR LV | $2,953.00 |
| RBC CPD AS5 LV | $662.00 |
| RBC CPD LR Irr LV | $1,208.00 |
| RBC CPD LR LV | $2,953.00 |
| RBC CPD LR PlasAdd | $525.00 |
| RBC CPD LV | $662.00 |
| RBC CPDA1 450 | $662.00 |
| RBC CPDA1 450 LR | $2,953.00 |
| RBC CPDA1 450 LR Irr | $1,208.00 |
| RBC CPDA1 450 LR Irr PlasAdd | $525.00 |
| RBC CPDA1 450 PlasAdd | $525.00 |
| RBC CPDA1 450 PlasRed | $662.00 |
| RBC CPDA1 500 | $662.00 |
| RBC CPDA1 500 LR | $2,953.00 |
| RBC CPDA1 500 LR Irr | $1,208.00 |
| RBC CPDA1 500 LR Irr PlasRed | $1,208.00 |
| RBC CPDA1 500 LR PlasAdd | $525.00 |
| RBC CPDA1 500 LR PlasRed | $2,953.00 |
| RBC CPDA1 500 PlasRed | $662.00 |
| RBC CPDA1 LR Irr LV | $1,208.00 |
| RBC CPDA1 LR LV | $2,953.00 |
| RBC CPDA1 LV | $662.00 |
| RBC Deglyc | $1,248.00 |
| RBC Deglyc Irr | $1,248.00 |
| RBC Deglyc Rej | $1,248.00 |
| RBC Washed | $1,682.00 |
| RBC Washed LR | $1,682.00 |
| RBC Washed LR Irr | $1,682.00 |
| REAM SURG 10MM CANN ACL LOPRFL ARTHREX INC AR-1410LP | $820.00 |
| REAMER PHALANGEAL 18MM ARTHREX INC AR-8944PR-18 | $1,800.00 |
| REAMER SURG 10MM CANN ARTHREX KNEE AR-1224S | $820.00 |
| REAMER SURG LOW PROF 9MM | $820.00 |
| Re-Amputation Forearm | $11,745.00 |
| Reapir Epigastric Hernia | $13,195.00 |
| Rec Ext Aud Canal Meatoplasty | $19,807.00 |
| Rec Stabl Druj W/W/O Orif | $25,517.00 |
| Recall - No Device Charge CCLS -> Recall dual chamber ICD Primary | $1.00 |
| Recall - No Device Charge CCLS -> Recall dual chamber ICD Secondary | $1.00 |
| Recall - No Device Charge CCLS -> Recall RV lead ICD | $1.00 |
| Recall - No Device Charge CCLS -> Recall single chamber ICD Primary | $1.00 |
| Recall - No Device Charge CCLS -> Recall single chamber ICD Secondary | $1.00 |
| Recall BIV ICD -> Recall BIV ICD Primary | $1.00 |
| Recall BIV ICD -> Recall BIV ICD Secondary | $1.00 |
| Recall Pacemakers -> Recall dual chamber pacer | $1.00 |
| Recall Pacemakers -> Recall single chamber pacer | $1.00 |
| Recon Ang Deform/Toe | $11,745.00 |
| Recon Bifront W/Wo Grafts | $19,807.00 |
| Recon Coll Lig Inter Fing Sing | $11,745.00 |
| Recon Coll Lig Thum W Tend/Grf | $11,745.00 |
| Recon Coll Lig W/Loc Tiss | $11,745.00 |
| Recon Contour/Begn Tumor/Cranial Bones | $19,807.00 |
| Recon Lat Coll Lig,Elb W/Tendon Grf | $25,517.00 |
| Recon Mandible Max Subper | $19,807.00 |
| Recon Mandible Max Subper Complete | $19,807.00 |
| Recon Med/Coll Lig Elbow W/Grft | $47,967.00 |
| Recon Midfce Anterior Intrusion | $19,807.00 |
| Recon Of Lid 2/3 Stage 1 | $8,115.00 |
| Recon Orbit/W/Osteotomies | $19,807.00 |
| Recon Super-Lateral Orbital Rim | $19,807.00 |
| Recon Supernumerary Digit | $11,745.00 |
| Recon Toe Req Bone Resec | $11,745.00 |
| Recons Of Nail Bed W Graft | $6,935.00 |
| Reconst Lower Jaw Bone | $19,807.00 |
| Reconstr Colltrl Ligament Thum | $11,745.00 |
| Reconstr Eyelid 2Nd Stg | $8,115.00 |
| Reconstruct Ext Auditory Canal | $19,807.00 |
| Reconstruct Lip W/Flap | $9,990.00 |
| Reconstruct Urethra/Bladd | $18,000.00 |
| Reconstruction Cleft Foot | $25,517.00 |
| Reconstruction Of Jaw | $19,807.00 |
| Reconstruction Of Jaw Partial | $19,807.00 |
| Reconstruction Toes Polydactyly | $11,745.00 |
| Reconstruction Toes Syndactyly W/Wo Grf | $5,880.00 |
| Rectal Manometry | $1,036.00 |
| Rectal Sens Tone Complian | $609.00 |
| Rectal Stricture Dilation | $4,387.00 |
| Recur Dsl Patella Hauser Type | $25,517.00 |
| Recur Dsl Patella W Extn Align | $25,517.00 |
| Recur Dsl Patella W Patellectm | $25,517.00 |
| Recur Inc/Vent Hern Incarcerated | $21,719.00 |
| Recur Inc/Vent Hern Reducible | $21,719.00 |
| Reducing Substances, Feces -Quest | $29.00 |
| Reduct Overcorrection Ptosis | $8,115.00 |
| Reduction Forehead,Contou | $9,990.00 |
| Reduction Mammaplasty | $23,228.00 |
| Reduction Procedentia | $3,520.00 |
| Reduction Torsion Testis Surgical | $8,222.00 |
| Reflexion Spiral X-Deca | $6,143.00 |
| Regional | $0.00 |
| Reimplantation Digit Excl Thumb Comp Amp | $5,880.00 |
| Rein Of Spinal Fixation Device | $5,050.00 |
| REINFORCEMENT TISSUE BIO-A 7CMX10CM GORE WL GORE & ASSOCIATES INC HH0710 | $1,725.00 |
| Reinsert Ocular Insert Use Of Foreign Mate | $13,320.00 |
| Reinsert Rup Bic Ten W/Wo Grf | $26,935.00 |
| Reinsertion Ocular Implant | $13,320.00 |
| Rejuvenize Peel | $834.00 |
| Rel Intrinsic Muscle Hand | $11,745.00 |
| Release Of Extensive Scar Tissue | $8,115.00 |
| Release Or Recession,Hamstring Proximal | $11,745.00 |
| RELOAD STAPLER SUREFORM 60 BL ROBOTIC INTUITIVE SURGICAL INC 48360B | $920.00 |
| RELOAD STAPLER SUREFORM 60 GR ROBOTIC INTUITIVE SURGICAL INC 48360G | $920.00 |
| RELOAD GREY FOR 45MM 2.5 ETHICON INC GST45W | $560.00 |
| RELOAD STAPLER ENDO GIA 60 ARTICULATING MEDIUM THICK US SURGICAL EGIA60AMT | $1,665.00 |
| RELOAD STAPLER ENDO GIA 60 EXTRA THICK CURVED TIP US SURGICAL SIG60AXT | $2,120.00 |
| Rem All Comp,Penile Prosthesis | $13,104.00 |
| Rem Bivalve Spica Risser Etc | $1,055.00 |
| Rem Blood Clot Anter Segment Eye | $8,583.00 |
| Rem By Cont Beg Tum Fac/B | $9,990.00 |
| Rem Corneal Epithel W App Chelat | $8,115.00 |
| Rem Corneal Epithel W/Wo Chemocaut | $3,815.00 |
| Rem Devitalized Tis Wound | $109.00 |
| Rem Embedded Fb From Bone | $5,727.00 |
| Rem Embedded Fb From Soft Tiss | $5,727.00 |
| Rem Embedded For Body Complic | $2,181.00 |
| Rem Embedded For Body Simple | $3,409.00 |
| Rem Entire Lumbos Shunt Wo Rep | $7,304.00 |
| Rem Fb Cornea Wo Sl Lamp | $1,645.00 |
| REM FB INTRANASAL | $503.00 |
| Rem For Bod Pel/Hip Deep | $11,745.00 |
| Rem For Bod/Deep Peni Tis | $10,648.00 |
| Rem For Body Corneal W Sl Lamp | $503.00 |
| Rem Foreign Body Anterior Chamber | $8,583.00 |
| Rem Foreign Body Deep Conj | $1,645.00 |
| Rem Foreign Body Foot Deep | $6,158.00 |
| Rem Foreign Body Foot Subcut | $2,738.00 |
| Rem Forgn Body Intranasal W Anes | $9,990.00 |
| Rem Forgn Body Pel/Hip | $6,158.00 |
| Rem Imag Active Retinal | $1,559.00 |
| Rem Imp Cont Dev | $2,594.00 |
| Rem Imp Mat Anterior Segm Eye | $8,583.00 |
| Rem Imp Tooth W Mucoper Flp | $337.00 |
| Rem Impact Cerumen Uni or bil | $264.00 |
| Rem Impacted Vaginal F/B | $10,572.00 |
| Rem Impl Material Extraocular | $8,583.00 |
| Rem Infl Ureth/Blad Nck Sphnctr,Pump, | $18,000.00 |
| Rem Lens Material Extracapsular | $8,583.00 |
| Rem Multi Comp Pros Penile | $18,000.00 |
| Rem Nephrostmy Tube | $2,517.00 |
| Rem Non/Inf,Inf Pen Prosthesis | $13,104.00 |
| Rem Of Ocular Implant | $13,320.00 |
| Rem Of Pacer Gen | $34,990.00 |
| Rem Of Peritoneal Foreign Body | $13,928.00 |
| Rem Of Sutures,Under Anes | $2,282.00 |
| Rem Or Rev Sling Male Urin Continence | $18,000.00 |
| Rem Perm Cannula Or Cath | $11,826.00 |
| Rem Rep Inflatable Sphincter Inc Pump | $73,063.00 |
| Rem Sut W Anes, Other Surgeon | $6,935.00 |
| Rem Synth Rod/Insert Extensor | $11,745.00 |
| REM TISS FROM WOUND<20SCM | $834.00 |
| REM TISS FROM WOUND>20SCM | $229.00 |
| Rem Tissue Expander W/O Insert Prosthesis | $10,648.00 |
| Rem Tube/Rod Insert Tend Graft | $25,517.00 |
| Rem Under Anes Exter Fixation System | $6,207.00 |
| Rem. Foreign Body Muscle Deep/Compl | $10,648.00 |
| Rem. Foreign Body Muscle Simple | $6,158.00 |
| Rem/Implnt Intr/Art Inf Pump | $14,016.00 |
| Rem/Repl Penile Prosthesis | $73,063.00 |
| Rem/Rpl Ext Acc Trans Ure | $7,789.00 |
| Rem/Rpl Inter Dwel Ur St | $7,789.00 |
| Rem/Rplc Of Inter Dwel Ur | $7,789.00 |
| Remote Imaging Retinal | $144.00 |
| Removal Cerclage Suture | $10,572.00 |
| Removal Dev Tiss<20cm Pt | $834.00 |
| Removal Fecal Impaction/Foreign Body | $4,630.00 |
| Removal Foreign Body Deep | $6,158.00 |
| Removal Foreign Body Deep | $10,648.00 |
| Removal Foreign Body Intranasl | $503.00 |
| Removal Foreign Body Pharynx | $1,645.00 |
| Removal Foreign Body Rhinotomy | $5,727.00 |
| Removal Foreign Body Scrotum | $7,789.00 |
| Removal Foreign Body Subcutan | $6,158.00 |
| Removal Foreign Body Subcutan Complic | $6,500.00 |
| Removal Foreign Body Subcutan Simple | $1,484.00 |
| Removal Foreign Body, Foot; Complicated | $6,158.00 |
| REMOVAL FOREIGN BODY;COMP | $6,500.00 |
| REMOVAL FOREIGN BODY;SIMP | $1,484.00 |
| Removal Hip Pro- Thesis Ind Pro | $574.00 |
| Removal Implant Deep | $11,239.00 |
| Removal Implant Fng Or Hand | $6,158.00 |
| Removal Implant Superficial | $6,500.00 |
| Removal Intra-Aortic Balloon Pump | $769.00 |
| Removal Mammary Implant Material | $12,607.00 |
| Removal Of Anal Seton Other Marker | $4,387.00 |
| Removal Of Ankle Implant | $11,745.00 |
| Removal Of Antibiotc Beads | $1,645.00 |
| Removal Of Cranial Nerve Neurostimulator | $20,442.00 |
| Removal Of Intact Mammary Implant | $12,607.00 |
| Removal Of IUD | $784.00 |
| Removal of Pacemaker | $14,794.00 |
| Removal Of Peritoneal-Venous Shunt | $11,826.00 |
| Removal Of Residual Tooth Roots | $342.00 |
| Removal Of Tumor Temporal Bone | $19,807.00 |
| Removal Of Wrist Prosthesis | $11,745.00 |
| Removal Prostesis Shoulder Humeral Or Glen | $11,239.00 |
| Removal Secondary Cataract | $8,583.00 |
| Removal Tun Cv Cath W/O Pump | $2,930.00 |
| Removal Tun Cv Cath W/Pump | $2,930.00 |
| Removal Wrist Prosthesis | $5,880.00 |
| Removal/Implanted Mat | $8,583.00 |
| Removal/Repair Electromag Hearing Device | $9,990.00 |
| Remove Caliper/Tongs 2Nd Physn | $1,559.00 |
| Remove Colon Tube Obstruction | $1,791.00 |
| REMOVE FB EXT AUDIT CANAL | $503.00 |
| REMOVE FB EYELID EMBEDDED | $784.00 |
| REMOVE FOREIGN BDY PHARYX | $1,645.00 |
| Remove Foreign Body Shoulder Subcu | $2,594.00 |
| Remove Foreign Body Sur Conjun | $503.00 |
| REMOVE FRN BDY EYE EMBED | $1,645.00 |
| REMOVE FRN BDY EYE SUPERF | $503.00 |
| Remove Hip/Pelvis Lesion | $11,239.00 |
| Remove Impact Cerumen Irrig/Lavage; Unilat | $264.00 |
| REMOVE IMPACT CERUMN EARS | $264.00 |
| REMOVE IMPACTED EAR WAX | $264.00 |
| Remove Indwell Tun Cath | $2,930.00 |
| Remove Intrvas Foreign Body | $12,483.00 |
| Remove Sacrum Pres Sore | $6,935.00 |
| Remove Spinal Canal Cath | $7,304.00 |
| Remove Spine Infus Device | $20,442.00 |
| Remove Stent Transurethral Inc Rad S&I | $7,789.00 |
| Remove Tumor Hand/Finger | $10,648.00 |
| Remove Tumor Of Shoulder | $10,648.00 |
| Remove Uro Sphincter | $18,000.00 |
| Remove/Replace Penis Prosth | $73,063.00 |
| Remove/Replace Penis Prosth | $73,063.00 |
| REMOVER BONE SCREW INBONE ANKLE SYSTEM WRIGHT MEDICAL ANKLE IB200051 | $681.00 |
| REMV FB CORNEA W/SLIT LMP | $503.00 |
| REMV FRN BDY CORNEA | $1,645.00 |
| REMV/BIV FULL ARM/LEG CST | $1,113.00 |
| Remval W/Insertion Beads | $1,559.00 |
| Remvl Forgin Body Deep Thigh Or Knee | $10,648.00 |
| renagade catheter | $1,739.00 |
| Renal End Est Tube W/Wo Irr | $18,000.00 |
| Renal End W Fulg W/Wo Biop | $34,252.00 |
| Renal Endo W/Removal Of Foregin Body | $18,000.00 |
| Renal Endos Removal Foreign Body | $18,000.00 |
| Renal Endos W Uret Cath | $18,000.00 |
| Renal Endoscopy | $18,000.00 |
| Renal Endoscopy W Biopsy | $18,000.00 |
| Renal Function Panel. | $46.00 |
| Reop Coronary Art Bypass Proc | $3,611.00 |
| Reopening Of Recent Laparotomy | $2,759.00 |
| Reoperation Of Bypass Grf | $2,686.00 |
| Rep 2Ndry Rup Achill Tend | $26,935.00 |
| Rep Acq Traumatic A/V Fist Extrem | $19,594.00 |
| Rep Acquired Traum A/V Fistula Head Neck | $19,594.00 |
| Rep Anorectal Fistula With Plug | $10,452.00 |
| Rep Ant Palate Inc Vomer Flap | $19,807.00 |
| Rep Bl Ves W Graft Not Vein Low Extr | $20,682.00 |
| Rep Bl Ves W Graft Not Vein Upper Ext | $19,594.00 |
| Rep Bl Ves W Vein Graft Up Ext | $19,594.00 |
| Rep Blo Vesel Direct Upper Ext | $11,826.00 |
| Rep Blood Ves Direct Lower Extrem | $2,738.00 |
| Rep Blood Ves Direct Neck | $20,682.00 |
| Rep Blood Vessel Direct Hand Finger | $11,826.00 |
| Rep Blood Vessel W Grf N Vein Neck | $11,826.00 |
| Rep Blood Vessel W Vein Grft Neck | $11,826.00 |
| Rep Coll & Cruci Lig Knee Prim | $25,517.00 |
| Rep Collateral Lig Knee Prim | $26,935.00 |
| Rep Com Lids Nose Ears Lips 2.6-7.5cm | $2,282.00 |
| Rep Cruciate Lig Kne Primary | $25,517.00 |
| Rep Def W/Autogft Rad/Uln | $25,517.00 |
| Rep Dsl Peroneal Ten W/O Fib Ost | $12,397.00 |
| Rep Dsl Peronl Tend W/Fib | $25,517.00 |
| Rep Extensor Muscle Laceration | $11,745.00 |
| Rep Flex Ten Nomansland Sec Gr | $11,745.00 |
| Rep Flex Tend In Nomansland Pr | $11,745.00 |
| Rep Flex Tend In Nomansland Sec | $11,745.00 |
| Rep Flex Tend Scnd W Grf Eac | $11,745.00 |
| Rep Flexor Forarm Second | $11,745.00 |
| Rep Flexor Muscle Laceration | $11,745.00 |
| Rep Hyposadias Compli By Closure Simple | $13,104.00 |
| Rep Hyposadias Compli W Flap Or Patch Grf | $18,000.00 |
| Rep Irrig Rev Lumbosub Shunt | $20,442.00 |
| Rep Lac 2.5cm Anter 2/3 Tongue | $503.00 |
| Rep Lac Tongue >2.6cm Complex | $923.00 |
| REP LAC TONGUE/MOUTH <2.5 | $503.00 |
| REP LACERAT MOUTH <=2.5CM | $974.00 |
| Rep Lacerat Palate >2cm Compl | $19,807.00 |
| Rep Lacerat Palate Up To 2cm | $2,181.00 |
| Rep Laceration Mouth Up To 2.5cm | $974.00 |
| Rep Lip Over 1/2 Vert Height | $5,727.00 |
| REP LIP UP TO 1/2 VERT HE | $2,302.00 |
| Rep Lip Up To 1/2 Vert Height | $2,302.00 |
| Rep Lip Vermilion Only | $2,302.00 |
| REP MOUTH LAC >2.5CM | $2,302.00 |
| Rep Musculoten Cuff Acute | $26,935.00 |
| Rep Musculoten Cuff Chron | $26,935.00 |
| Rep Nasal Septal Perforations | $10,544.00 |
| Rep Non/Malunion Humers Wo Gft | $47,967.00 |
| Rep Non/Malunion Humerus W Gft | $47,967.00 |
| Rep Nonunion Tibia Wo Graft | $25,517.00 |
| Rep N-Union Navic Bone W Graft | $25,517.00 |
| Rep N-Union Rad & Uln Wo Graft | $25,517.00 |
| Rep Omphalocele Small W Closure | $13,195.00 |
| Rep Penis Chor W/Wo Trans Pred | $13,104.00 |
| Rep Prolapsed Iris Sut Scl Cor | $16,298.00 |
| Rep Radius & Ulna Auto Bone Gr | $25,517.00 |
| Rep Radius Or Ulna Auto Bonegr | $25,517.00 |
| Rep Radius Or Ulna Comp Tech | $25,517.00 |
| Rep Ret Detach W Vitrectomy | $16,298.00 |
| Rep Ret Detach/Inj Of Air/Gas | $8,583.00 |
| Rep Salivary Duct Prim Simp | $19,807.00 |
| Rep Salivary Duct Second Compl | $19,807.00 |
| Rep Shoulder Cuff Avuls Complete | $25,517.00 |
| Rep Symblepharon Conj W Free Graft | $13,320.00 |
| Rep Syndactyly W Sk Flap Graft | $11,745.00 |
| Rep Tend Ext Dist Clo W/Wo Pin | $5,880.00 |
| REP TEND EXT HND SING PRM | $6,207.00 |
| Rep Tend Musc Exten Prim Secon | $11,745.00 |
| Rep Tend Musc Flexor Secon W Free Graft | $11,745.00 |
| Rep Tend Open Prim Sec Wo Grf | $11,745.00 |
| Rep Tendn Ext Figr Sin Prin | $6,207.00 |
| Rep Tendon Ext Finger W Grf | $11,745.00 |
| Rep Tendon Ext Hand Sing Prim | $6,207.00 |
| Rep Tendon Ext Hand W Grf Ea | $11,745.00 |
| Rep Tendon Ext Sec Local Tissu | $11,745.00 |
| Rep Tendon Ext Sec Local Tissu | $11,745.00 |
| Rep Tendon Extens Pri W Grf Ea | $25,517.00 |
| Rep Tendon Extens Sec W/Wo Graft | $25,517.00 |
| Rep Tendon Extensor Leg Sin Pr | $12,397.00 |
| Rep Tendon Extensor Single | $12,397.00 |
| Rep Tendon Extsr Sin Free Gft | $25,517.00 |
| Rep Tendon Flexor Leg Sing Sec | $25,517.00 |
| Rep Tendon Flexor Single | $12,397.00 |
| Rep Tendon Flexor Single Prim | $12,397.00 |
| Rep Tissue Expander W Perm Prosthesis | $25,517.00 |
| REP TUNNELD CVC W/O PUMP | $2,930.00 |
| Rep Vessel w/wo patch angio -> Direct repair lower ext. artery | $2,738.00 |
| Rep Vessel w/wo patch angio -> Repair lower ext. artery with graft other than vein | $20,682.00 |
| Rep Vessel w/wo patch angio -> Vascular embolization artery | $45,694.00 |
| Rep/Hypospadias Cripple | $18,000.00 |
| Rep/Reco Fing Volar Plate | $11,745.00 |
| Repair Blood Vessel Lesion; Lower Extremit | $19,594.00 |
| Repair Bowel Opening | $4,374.00 |
| Repair Choanal Atresia Intrana | $19,807.00 |
| Repair Cleft Hand | $11,745.00 |
| Repair Ectropin Suture | $8,115.00 |
| Repair Entropion Suture | $8,115.00 |
| Repair Entropion Wheeler Type | $8,115.00 |
| Repair Fascial Defect Leg | $11,745.00 |
| Repair Fem Hern Recur | $13,928.00 |
| Repair Fem Hernia Recur | $13,928.00 |
| Repair Forearm/Tendon Mus | $11,745.00 |
| Repair Hallux Rigidus | $12,397.00 |
| Repair Incomplete Circumcision | $7,789.00 |
| Repair Inguinal Hern, Rec | $13,195.00 |
| Repair Inguinal Hernia,In | $13,195.00 |
| Repair Inguinal Hernia,In | $13,195.00 |
| Repair Inguinal Hernia,In | $13,195.00 |
| Repair Inguinal Hernia,In | $13,928.00 |
| Repair Intrinsic Muscles Hand | $11,745.00 |
| Repair Iris & Ciliary Body | $8,583.00 |
| Repair Macrodactylia Ea Digit | $5,880.00 |
| Repair Metatar Bones W/Wo Grf | $26,935.00 |
| REPAIR NAIL BED | $2,282.00 |
| Repair Nasolabial Fistula | $19,807.00 |
| Repair Nonuion Carpal Bone | $25,517.00 |
| Repair of Blepharoptosis Muellers Muscle Resec | $8,115.00 |
| Repair Of Brow Ptosis | $8,115.00 |
| Repair Of Extensor Tendon | $11,745.00 |
| Repair Of Hammer Toe | $11,745.00 |
| Repair Of Hydrocele | $7,789.00 |
| Repair Of Nail Bed | $2,282.00 |
| Repair Of Symblepharon | $8,115.00 |
| Repair Of Urethra | $18,000.00 |
| Repair Of Urethra Injury | $18,000.00 |
| Repair Oromaxillary Fistula | $19,807.00 |
| Repair Oronasal Fistula | $19,807.00 |
| Repair Oval Window Fistula | $9,990.00 |
| Repair Round Window Fistula | $9,990.00 |
| Repair Spigelian Hernia | $13,195.00 |
| Repair Syndactyly Complex | $11,745.00 |
| Repair Syndactyly W Skin Flaps | $5,880.00 |
| Repair Tarsal Bones | $50,631.00 |
| Repair Tend Sheath,Extensor | $11,745.00 |
| REPAIR TENDON EXTENS FOOT | $12,397.00 |
| Repair Traumatic Corporeal Tear(S) | $13,104.00 |
| Repair Tunneld Cv Cath W/O Pump | $2,930.00 |
| Repair Umbilical Hernia | $13,195.00 |
| Repair Umbilical Hernia | $13,928.00 |
| Repair Umbilical Hernia | $13,928.00 |
| Repair/Graft Hand Tend | $25,517.00 |
| Repair;Paraesoph Hiatal Hernia W/O Mesh | $1,105.00 |
| Repetitive Nerve Testing Each Nerve | $609.00 |
| Repl/Irrig Subd/Arac Cath | $7,304.00 |
| Repl/Irrig Vent Cath | $21,578.00 |
| Repl/Revise Valve/ Distal Shunt | $21,578.00 |
| Replace Aortic Valve W/By | $8,616.00 |
| Replace Duod Jej Tube Percutaneous | $2,538.00 |
| REPLACE DUOD/JEJ TUBE PER | $2,538.00 |
| Replace G Or C Tube Perc | $3,599.00 |
| Replace Gastro-J Tube Percutaneous | $3,599.00 |
| Replace Tunld Cv Cath W/Pump | $11,826.00 |
| Replc Aortic Vlv W/By Cen | $11,362.00 |
| Replc Non-Tun CV Cath W/O Pump | $5,168.00 |
| Replc Tunneled Cv Cath W/O Pump | $12,483.00 |
| Replc Tunneled Cv Cath W/Port | $12,483.00 |
| Replc Tunneled Cv Cath W/Pump | $19,594.00 |
| REPOSIT GASTRIC FEED TUBE | $1,094.00 |
| Reposition Gast Feed Tube | $1,094.00 |
| Reposition of peritoneal dialysis catheter | $3,762.00 |
| Reposition Venous Catheter | $5,168.00 |
| Repositioning Of Iol Req Incision | $8,583.00 |
| Repr Cv Access Devise W/Pump | $4,896.00 |
| Repr Nasal Vestibular Stenosis | $19,807.00 |
| Repr Of Anal Fistula W/Glue | $10,452.00 |
| Repr Talar/Tibial Fx W/Scope | $25,517.00 |
| Req Extensive Diss/Ureth | $18,000.00 |
| Res Lateral Pharyngeal Wall | $19,807.00 |
| Res Par/Com Phal Sing Toe | $11,745.00 |
| Resec Over 1/4 Lip W/O Reconst | $9,990.00 |
| Resec Sm Intes W Dbl-Bar Enter | $1,228.00 |
| Resec Sm Intestine W Anastomos | $4,709.00 |
| Resec Tumor,Neck Or Thorx>5cm | $10,648.00 |
| Resect Arm/Elbow Tum >5cm | $10,648.00 |
| Resect Foot,Toe Tumor >3C | $10,648.00 |
| Resect Forearm/Wrist Tumor >=3cm | $10,648.00 |
| Resect Shoulder Tumor >5 cm | $10,648.00 |
| Resect Tumor,Face Or Scalp >2cm | $10,648.00 |
| RESECTION NEUROBLASTOMA ADRENAL AND LIVER | $3,762.00 |
| Resection Of Tumor, Foot | $10,648.00 |
| Resection Palate Or Ext Lesion | $19,807.00 |
| Resection Scrotum | $7,789.00 |
| Resection Transplant Long Biceps Tendon | $11,745.00 |
| Resection Tumor Rad-Ical Talus/Calcaneus | $11,745.00 |
| Resection, Humeral Head | $25,517.00 |
| Resin Two Surfaces-Anterior | $236.00 |
| RESP MOTION MANAGE SIMULATION | $1,628.00 |
| Respiratory Allergy Profile Reg I -Quest | $87.00 |
| Respiratory Syncitial Virus EIA. | $63.00 |
| Respiratory Virus PCR Panel I -Quest | $1,126.00 |
| RETAINER FISH GLSMN MED ORN CARDINAL HEALTH INC HS3204-1 | $229.00 |
| Reticulin IgA Screen (QST) | $46.00 |
| Reticulin IgA Titer (QST) | $64.00 |
| Reticulocyte Count with Immature Reticulocyte Fraction. | $29.00 |
| Retinopex W Scleral Buckling | $16,298.00 |
| Retracta 14 | $1,355.00 |
| Retracta 7 | $1,242.00 |
| RETRACTOR MED LONE STAR MEDICAL PRODUCTS INC 3302 | $229.00 |
| RETRACTOR WOUND SM 2.5X6CM APPLIED MEDICAL C8301 | $229.00 |
| Retrbulbar Inj Med | $1,269.00 |
| Retrieval foreign body | $12,483.00 |
| Retrieval Foreign Body -> Retrieval of foreign body | $12,483.00 |
| RETRIEVER SURGICAL 1.3MM NDL TAPER SUTURETAPE BLUE WHITE ARTHREX INC AR-7500 | $112.00 |
| RETRIEVER SUTURE HEWSON SMITH & NEPHEW ORTHOPAEDICS 71111579 | $658.00 |
| Retrobulbar Inj Alcohol | $1,269.00 |
| Retrograde Enteroscopy Lower Device Assisted (Double Balloon) | $3,599.00 |
| Rev Arteriovenous Fistula | $20,682.00 |
| Rev Arthroplasty W Rem Implant | $25,517.00 |
| Rev Av Fist W/Thrombect | $20,682.00 |
| Rev Lwr Extr Art Byp Wo Thromb Open | $19,594.00 |
| Rev Mastoid Modif Radical Mast | $19,807.00 |
| Rev Mastoid Result In Com Mast | $19,807.00 |
| Rev Mastoid Result In Rad Mast | $19,807.00 |
| Rev Mastoid Result In Tympanop | $19,807.00 |
| Rev Or Rep Oper Wnd Ant Segm | $8,115.00 |
| Rev Prosthetic Vag Graft | $11,159.00 |
| Rev W/Thromb W/Segm Vein | $20,682.00 |
| Rev/Rem Peripher Neuro Electrode | $12,893.00 |
| Rev/Rem Peripheral Neuro Rec | $12,893.00 |
| Rev/Replcmt Cranial Nerve Neurostimulator | $26,771.00 |
| Rev/Unir-Cutaneous Anastomosis | $13,104.00 |
| Revas Fempop Uni St & Ath +-Pta | $72,562.00 |
| Revas Fempop Uni Stent +-Pta | $45,694.00 |
| Revas Iliac Vess Init Pta | $22,110.00 |
| Revas Iliac Vess St +-Pta | $45,694.00 |
| Revas Tib/Per Un Ea Addl Vessel Pta | $13,962.00 |
| Revas Tib/Per Un St & Ather +-Pta | $72,562.00 |
| Revas Tib/Per Un Stent +- Pta | $72,562.00 |
| Revas Tib/Per Uni Addtl Vsl St & Ather +-P | $25,504.00 |
| Revas Tib/Per Uni Ea Addtl Ves Stent +-Pta | $15,568.00 |
| Revas Tib/Per Unilat Addtl Vsl Atherectomy | $20,774.00 |
| Revas Tib/Per Unilat Init Ather +-Pta | $72,562.00 |
| Revasc Fempop Art Uni Atherectomy +/-Pta | $45,694.00 |
| Revasc Fempop Art Unilateral Pta | $22,110.00 |
| Revasc Iliac Vessel, Addtl, Stent +/- Pta | $14,156.00 |
| Revasc Iliac, Addtl Pta | $11,502.00 |
| Revasc Tib/Per. Unilat Init Vessel Pta | $45,694.00 |
| Revis Recon Breast | $22,006.00 |
| Revis Reconst Shoulder Joint Hum Or Glenoi | $47,967.00 |
| Revise Grft W/Nonauto Grf | $19,594.00 |
| Revise Grft W/Vein Grft | $19,594.00 |
| Revise Reconst Elbow Joint | $47,967.00 |
| Revise Reconst Elbow Joint Humeral & Ulnar | $68,958.00 |
| Revise Remove Sling Rep | $10,572.00 |
| Revise Secondary Varicosity | $11,826.00 |
| Revision Of Aqueous Shunt; Without Graft | $8,583.00 |
| Revision Of Calf Tendon | $11,745.00 |
| Revision Of Jaw Muscle/Bone | $5,727.00 |
| Revision Of Shunt | $8,583.00 |
| Revision Of Tips Shunt | $20,946.00 |
| Revision Stapedectomy Or Stapedotomy | $19,807.00 |
| Revision Tracheostomy Scar | $9,990.00 |
| Revisn/Rmvl Intrac Stim Recvr | $26,771.00 |
| Revisn/Rmvl Intracr Stim Elect | $12,893.00 |
| Revsn Incld Plcmnt Electr | $88,406.00 |
| Revsn/Rmvl Stimulator Receiver | $12,893.00 |
| Rh Type | $16.00 |
| Rheum Factor (QST) | $22.00 |
| Rheum Factor (QST) | $23.00 |
| Rheum Factor (QST) | $22.00 |
| Rheumatoid Factor (IgA) -Quest | $82.00 |
| Rheumatoid Factor (IgG) -Quest | $82.00 |
| Rheumatoid Factor (IgM) -Quest | $82.00 |
| Rheumatoid Factor -Quest | $23.00 |
| Rheumatoid Factor. | $30.00 |
| Rhinectomy Partial | $19,807.00 |
| Rhinectomy Total | $19,807.00 |
| Rhino/Nas Deform Secndary To Cleft Lp | $19,807.00 |
| Rhinoplasty 2D Minor Rev | $19,807.00 |
| Rhinoplasty Comp/ Septial Repair | $19,807.00 |
| Rhinoplasty Complete | $19,807.00 |
| Rhinoplasty Intermed Revision | $19,807.00 |
| Rhinoplasty Major Revision | $19,807.00 |
| Rhinoplasty Primary | $20,908.00 |
| Rhinovirus RNA, Real Time PCR -Quest | $185.00 |
| Rhizopus nigricans (m11) IgE-Quest. | $23.00 |
| RHYTHM EKG 1-3 LD TRACING | $264.00 |
| Rhytidectomy Cheek Chin & Neck | $12,384.00 |
| Rhytidectomy Forehead | $6,935.00 |
| Rhytidectomy Neck With P Tightening | $12,384.00 |
| Ribosomal P Antibody (QST) | $42.00 |
| Ribosomal P Antibody (QST) | $61.00 |
| Ribosomal P Antibody -Quest | $42.00 |
| Ribs Uni Post/Ant Chest <3 Views | $532.00 |
| Rice (f9) IgE - Quest | $24.00 |
| Rifampin Lvl - Quest | $189.00 |
| RING ANLPLS 24MM MTRL C-E PH | $9,580.00 |
| RING ANLPLS 28MM MTRL C-E PH | $9,580.00 |
| RING ANLPLS 30MM MTRL C-E PH | $9,580.00 |
| RING ANLPLS 32MM MTRL C-E PH | $9,580.00 |
| RING ANLPLS 34MM MTRL C-E PH | $9,580.00 |
| RING ANLPLS 36MM MTRL C-E PH | $9,580.00 |
| RING ANLPLS 38MM MTRL C-E PH | $9,580.00 |
| RING ANNPLSTY C-E PHYSIO II 26MM EDWARDS LIFESCIENCES CORP 5200M26 | $9,580.00 |
| RING ANNULOPLASTY 28MM TRICUSP EDWARDS MC3 EDWARDS LIFESCIENCES CORP 4900T28 | $9,580.00 |
| RING ANNULOPLASTY TRICUSPID 26 EDWARDS LIFESCIENCES CORP 4900T26 | $9,580.00 |
| RING ANNULOPLASTY TRICUSPID 30 EDWARDS LIFESCIENCES CORP 4900T30 | $9,580.00 |
| RING ANNULOPLASTY TRICUSPID 32 EDWARDS LIFESCIENCES CORP 4900T32 | $9,580.00 |
| RING PHYSIO II EDWARDS M-40 EDWARDS LIFESCIENCES CORP 5200M40 | $9,580.00 |
| RING TRAY RNGLCK+ 21 SHLDR ZIMMER SHOULDER 106021 | $570.00 |
| Rino/Nsl Defrm Clf Lp; Tip Septum | $19,807.00 |
| Risperidone -Quest | $359.00 |
| Risser Jacket Body Only | $1,055.00 |
| Ristocetin (RHMC) | $118.00 |
| Ristocetin 15N (RHMC) | $118.00 |
| Ristocetin Cofactor Activity (QST) | $121.00 |
| Ristocetin Cofactor Activity (QST) | $121.00 |
| Ristocetin Cofactor -Quest | $121.00 |
| RLD STPLR 30MMX2.5MM PRX TX TI ETHICON ENDO-SURGERY INC XR30V | $206.00 |
| RLD STPLR 30MMX3.5MM PRX TX TI ETHICON ENDO-SURGERY INC XR30B | $206.00 |
| RLD STPLR 30MMX4.8MM PRX TX TI ETHICON ENDO-SURGERY INC XR30G | $206.00 |
| RLD STPLR 35MM ECHLN EPTH VASC ETHICON ENDO-SURGERY INC VASECR35 | $643.00 |
| RLD STPLR 45MMX3.5MM ECHLN FL EA1/BX12 ETHICON ENDO-SURGERY INC 2299GST45B | $560.00 |
| RLD STPLR 45MMX4.1MM ECHLN FL EA1/BX12 ETHICON ENDO-SURGERY INC ECR45G | $560.00 |
| RLD STPLR 55MMX4.5MM PRX TI ETHICON ENDO-SURGERY INC TRT55 | $206.00 |
| RLD SUT ASST 10MM 0 ES-9 7IN US SURGICAL 170050 | $201.00 |
| RMPIKA Femoral Insertion Kit | $110.00 |
| RMPIKV Femoral Insertion Kit | $110.00 |
| RMRC2014MIBB Retro CPG | $110.00 |
| RMSF IgG (QST) | $102.00 |
| RMSF IgG (QST) | $102.00 |
| RMSF IgM (QST) | $102.00 |
| RMSF IgM (QST) | $102.00 |
| RMTF030L Straight Venous | $110.00 |
| RMTF032L Venous 32Fr | $110.00 |
| RMTF034L Straight Venous | $110.00 |
| RMTF29370 Venous | $110.00 |
| RMTF293737 3 STG Venous | $110.00 |
| RMTF3240O STG Venous | $110.00 |
| RMTF36460 Venous | $110.00 |
| RMTF364646 3 STG Venous | $110.00 |
| Rmvl Nstim Apnea Pls Gen | $13,338.00 |
| Rmvl Spinal Electro Array | $28,258.00 |
| Rmvl Spinal Electro Fluor | $7,304.00 |
| Rmvl Spinal Electro Plate | $12,893.00 |
| RNA Polymerase III Ab -Quest | $82.00 |
| RNP Antibody (QST) | $95.00 |
| RNP Antibody -Quest | $95.00 |
| Robotic bronchoplasty w/ pleural flap | $734.00 |
| robotic cystectomy | $20,576.00 |
| ROBOTIC OBTURATOR 8MM BLADELS STANDARD LENGTH INTUITIVE SURGICAL INC 470359 | $120.00 |
| Robotic rib resection | $923.00 |
| ROBOTIC XI ENDOWRIST STAPLER 45 BLUE RELOAD INTUITIVE SURGICAL INC 48645B | $720.00 |
| ROBOTIC XI ENDOWRIST STAPLER 45 INSTRUMENT INTUITIVE SURGICAL INC 470298 | $560.00 |
| ROBOTIC XI ENDOWRIST STAPLER 45 WHITE RELOAD INTUITIVE SURGICAL INC 48645W | $720.00 |
| ROBOTIC XI VESSEL SEALER INTUITIVE SURGICAL INC 480322 | $2,376.00 |
| ROD CURVED 100MM, SPINEOLOGY 530-2100 | $711.00 |
| ROD CURVED 110MM, SPINEOLOGY 530-2110 | $711.00 |
| ROD CURVED 30MM, SPINEOLOGY 530-2030 | $711.00 |
| ROD CURVED 40MM, SPINEOLOGY 530-2040 | $711.00 |
| ROD CURVED 45MM, SPINEOLOGY 530-2045 | $711.00 |
| ROD CURVED 50MM, SPINEOLOGY 530-2050 | $711.00 |
| ROD 3.5X60MM MOUNTAINEER SYSTM DEPUY SPINE INC 188316060 | $470.00 |
| ROD 3500 SERIES PRE-BENT WITH LINE S1 SPINE LLC R3502-035 | $711.00 |
| ROD 3500 SERIES PRE-BENT WITH LINE S1 SPINE LLC R3502-040 | $711.00 |
| ROD 3500 SERIES PRE-BENT WITH LINE S1 SPINE LLC R3502-045 | $711.00 |
| ROD 3500 SERIES PRE-BENT WITH LINE S1 SPINE LLC R3502-050 | $711.00 |
| ROD 3500 SERIES PRE-BENT WITH LINE S1 SPINE LLC R3502-055 | $711.00 |
| ROD 3500 SERIES PRE-BENT WITH LINE S1 SPINE LLC R3502-060 | $711.00 |
| ROD 3500 SERIES PRE-BENT WITH LINE S1 SPINE LLC R3502-065 | $711.00 |
| ROD 3500 SERIES PRE-BENT WITH LINE S1 SPINE LLC R3502-070 | $711.00 |
| ROD 3500 SERIES STRAIGHT WITH LINE S1 SPINE LLC R3512-040 | $711.00 |
| ROD 3500 SERIES STRAIGHT WITH LINE S1 SPINE LLC R3512-080 | $711.00 |
| ROD 4.5X40 VIT PREBENT PRECUT XIA WITHOUT HEX STRYKER SPINAL 481322040 | $1,280.00 |
| ROD 45MM FIXED PERCUTANEOUS SPINEOLOGY 670-4045 | $711.00 |
| ROD 50MM FIXED PERCUTANEOUS SPINEOLOGY 670-4050 | $711.00 |
| ROD ATTACHMENT CLAMP L MR SAFE SYNTHES TRAUMA 390.003 | $1,704.00 |
| ROD CRBN FIBER 11X250MM SYNTHES TRAUMA 394.84 | $975.00 |
| ROD CRBN FIBER 11X300MM SYNTHES TRAUMA 394.85 | $975.00 |
| ROD CRBN FIBER 11X350MM SYNTHES TRAUMA 394.86 | $975.00 |
| ROD CRBN FIBER 11X400MM SYNTHES TRAUMA 394.87 | $1,072.00 |
| ROD CRBN FIBER 4X140MM SYNTHES TRAUMA 395.64 | $174.00 |
| ROD CRBN FIBER 4X60MM SYNTHES TRAUMA 395.60 | $174.00 |
| ROD CRBN FIBER 4X80MM SYNTHES TRAUMA 395.61 | $174.00 |
| ROD CRBN FIBER DISTAL 8X220MM SYNTHES TRAUMA 395.784 | $612.00 |
| ROD CRBN FIBER DITSAL 8X200MM SYNTHES TRAUMA 395.782 | $612.00 |
| ROD CRBN FIBER STR 11X200MM SYNTHES TRAUMA 394.83 | $851.00 |
| ROD CRBN RADIUS 8X240MM SYNTHES TRAUMA 395.786 | $478.97 |
| ROD CURVED 120MM SPINEOLOGY 530-2120 | $711.00 |
| ROD CURVED 5.5X40MM GLOBUS SPINE 124.640 | $711.00 |
| ROD CURVED 5.5X40MM TITANIUM ALLOY GLOBUS SPINE 1119.7040 | $711.00 |
| ROD CURVED 5.5X45MM TITANIUM ALLOY GLOBUS SPINE 1119.7045 | $711.00 |
| ROD CURVED 5.5X65MM TITANIUM ALLOY GLOBUS SPINE 1119.7065 | $711.00 |
| ROD DUAL DIA 3.5X5.5X600MM DEPUY SPINE INC 188311012 | $736.00 |
| ROD GUIDE RIA 2.5MM 950MM SYNTHES TRAUMA 351.706S | $424.00 |
| ROD LORDOTIC 25MM SPINEOLOGY 640-0025 | $711.00 |
| ROD PREBENT 5.5X45MM DEPUY SPINE INC 179771045 | $711.00 |
| ROD PREBENT 5.5X95MM DEPUY SPINE INC 179771095 | $711.00 |
| ROD PREBENT LORDOTIC 5.5X35MM DEPUY SPINE INC 179771035 | $711.00 |
| ROD REAMING 2.5X650MM WITH BALL TIP SYNTHES TRAUMA 351.709S | $424.00 |
| ROD SPINAL 300MM SPINE WAVE INC 11-3301 | $692.00 |
| ROD SPINAL CURVED 5.5X45MM SYNTHES SPINE 04.636.045 | $470.00 |
| ROD SPINAL CURVED 5.5X55MM SYNTHES SPINE 04.636.055 | $711.00 |
| ROD SPINAL CURVED 5.5X65MM SYNTHES SPINE 04.636.065 | $1,072.00 |
| ROD SPINAL CVD 5.5X60MM SYNTHES SPINE 04.636.060 | $470.00 |
| ROD SPINAL LORDOTIC 110MM SPINEOLOGY 640-0110 | $711.00 |
| ROD SPINAL LORDOTIC 35MM SPINEOLOGY 640-0035 | $711.00 |
| ROD SPINAL LORDOTIC 40MM SPINEOLOGY 640-0040 | $711.00 |
| ROD SPNL 45MM 3.5MM VIRAGE TI NSTRL BIOMET SPINE 07.01710.002 | $711.00 |
| ROD SPNL 50MM 3.5MM VIRAGE CRV TI NSTRL BIOMET SPINE 07.01710.003 | $711.00 |
| ROD SPNL 60MM 3.5MM VIRAGE TI NSTRL BIOMET SPINE 07.01710.005 | $711.00 |
| ROD SPNL 70MM 3.5MM VIRAGE TI NSTRL BIOMET SPINE 07.01710.007 | $711.00 |
| ROD SPNL BLU 100MM 3.5MM E CRV SPINE TI OCT FIX SYS BIOMET SPINE 07.01710.012 | $711.00 |
| ROD SPNL BLU 110MM 3.5MM E CRV SPINE TI OCT FIX SYS BIOMET SPINE 07.01710.013 | $711.00 |
| ROD SPNL BLU 30MM 3.5MM VIRAGE STRGHT SPINE TI OCT FIX SYS BIOMET SPINE 07.01709.003 | $711.00 |
| ROD SPNL BLU 80MM 3.5MM VIRAGE CRV SPINE TI OCT FIX SYS BIOMET SPINE 07.01710.009 | $711.00 |
| ROD SPNL BLU 90MM 3.5MM VIRAGE CRV SPINE TI OCT FIX SYS BIOMET SPINE 07.01710.011 | $692.00 |
| ROD STRAIGHT 5.5X100MM GLOBUS SPINE 124.510 | $711.00 |
| ROD STRAIGHT 5.5X125MM GLOBUS SPINE 124.512 | $1,072.00 |
| ROD TI 5.5 X 65MM CURVED BIOMET SPINE 07.02015.010 | $711.00 |
| ROD TI 5.5 X 70MM CURVED BIOMET SPINE 07.02015.011 | $711.00 |
| ROOM/BED: Hospice | $2,086.00 |
| ROOM/BED: Intensive Care - Adult | $4,636.00 |
| ROOM/BED: Intensive Care - Neonatal | $4,636.00 |
| ROOM/BED: Intensive Care - Pediatric | $4,636.00 |
| ROOM/BED: Intensive Care - Trauma | $4,636.00 |
| ROOM/BED: Intermediate Care - Adult | $3,677.00 |
| ROOM/BED: Intermediate Care - Neonatal | $4,636.00 |
| ROOM/BED: Intermediate Care - Nursery | $1,409.00 |
| ROOM/BED: Intermediate Care - Pediatric | $3,677.00 |
| ROOM/BED: Isolation - Adult | $2,579.00 |
| ROOM/BED: Isolation - Pediatric | $2,579.00 |
| ROOM/BED: Maternity | $2,086.00 |
| ROOM/BED: Monitor Care - Adult | $3,677.00 |
| ROOM/BED: Monitor Care - Pediatric | $3,677.00 |
| ROOM/BED: Nursery | $1,409.00 |
| ROOM/BED: Observation | $86.00 |
| ROOM/BED: One to One Floor - Adult | $2,086.00 |
| ROOM/BED: One to One Floor - Pediatric | $2,086.00 |
| ROOM/BED: Private - Adult | $2,086.00 |
| ROOM/BED: Private - Pediatric | $2,086.00 |
| ROOM/BED: SemiPrivate - Adult | $2,086.00 |
| ROOM/BED: SemiPrivate - Pediatric | $2,086.00 |
| Ros1 (TECH) | $908.00 |
| Rotavirus Antigen Stool -> Negative | $63.00 |
| Rotavirus Antigen Stool -> Positive | $63.00 |
| Rotoblation burr (1.75, 2.0) | $4,215.00 |
| Rotoblation guidewire | $834.00 |
| Rotoglide | $562.00 |
| Rotolink (1.25, 1.5) | $5,154.00 |
| Rough Pigweed (w14) IgE -Quest | $28.00 |
| ROUTER TAPERED 1.5MM ELITE STRYKER CORP 5820-071-015 | $325.00 |
| Routine EEG Charge | $1,192.00 |
| Rplc Gtube No Revj Trc | $783.00 |
| Rplc Gtube Revj Gstrst Trc | $1,036.00 |
| Rplce Aortic Vlv W/By Ope | $10,628.00 |
| RPR COM EY NS ER 1.1-2.5C | $2,282.00 |
| RPR COM EY NS ER 2.6-7.5C | $2,282.00 |
| RPR COM FOREHEAD 1.1-2.5C | $1,484.00 |
| RPR COM FOREHEAD 2.6-7.5C | $2,282.00 |
| RPR COM FORHEAD EA AD 5CM | $627.00 |
| RPR COMP SC ARM 1.1-2.5CM | $2,282.00 |
| RPR COMP SC ARM 2.6-7.5CM | $2,282.00 |
| RPR COMP SC ARM EA AD 5CM | $652.00 |
| Rpr Fibula Nonunion W/Internal Fixation | $25,517.00 |
| Rpr Ing Hernia Premie Blocked | $13,195.00 |
| Rpr Ing Hernia Premie Reduc | $20,576.00 |
| Rpr Lateral Col Lig Elbow | $12,397.00 |
| RPR LIP VERMILLION ONLY | $2,302.00 |
| Rpr Medial Coll Lig Elb W/Graft | $25,517.00 |
| Rpr Non-Union Metcr W Grf | $26,935.00 |
| Rpr Retina Detach Complex | $16,298.00 |
| Rpr Tendon/Muscle;Arm/Elb | $26,935.00 |
| RPR TRK LM NK SC 20.1-30C | $1,484.00 |
| RSRV SHNT OMYA CSF STD 2.5CM EA1 NATUS NEUROLOGY NL8501211 | $2,304.00 |
| RSTRC CMNT BUCK 18.5 18.5MM SMITH & NEPHEW PLC 12-9418 | $720.00 |
| RSV RNA, Ql Real Time PCR -Quest | $370.00 |
| RT CT SIMULATION | $5,633.00 |
| RT Group instruction 2-4 Pts Time | $63.00 |
| RT Group instruction 5-8 Pts Time | $63.00 |
| RT Maintenance Program Daily with O2 | $69.00 |
| RT Maintenance Program Monthly SP | $55.00 |
| RT Patient Instruction Time | $63.00 |
| RT Peakflow | $40.00 |
| RT Pulmonary Rehab Exercise | $264.00 |
| RT Pulmonary Rehab Session Group | $152.00 |
| RT Pulmonary Rehab Session Individual | $152.00 |
| RT Respiratory Therapist Assessment | $81.00 |
| RTD =>1Mev Complex | $1,061.00 |
| RTD =>1Mev Intermediate | $1,061.00 |
| RTD =>1Mev Simple | $553.00 |
| RTRCTR 1 1/8IN PSNT SM EPCRD INTEGRA LIFESCIENCES HOLDINGS 310-507 | $325.32 |
| RTRV SUT STRGHT ISOTAC SMITH & NEPHEW PLC 013593 | $112.00 |
| Rubella Antibody (IgG) (QST) | $76.00 |
| Rubella Antibody (IgG) (QST) | $100.00 |
| Rubella Antibody (IgM) (QST) | $76.00 |
| Rubella Antibody (IgM) -Quest | $76.00 |
| Rubella Antibody Screen IgG. | $76.00 |
| Rubella Immune Status -Quest | $76.00 |
| RUBIDIUM 82 PER DOSE | $1,181.00 |
| Russian Thistle (w11) IgE -Quest | $28.00 |
| Rye (f5) IgE -Quest | $28.00 |
| Rytidectomy Smas Flap | $12,384.00 |
| S Cerevisiae Ab (IgA) (QST) | $65.00 |
| S Cerevisiae Ab (IgG) (QST) | $65.00 |
| S. Rectivirgula (QST) | $54.00 |
| S. Viridis (QST) | $68.00 |
| SA4300 Terumo Ridge Sucker | $110.00 |
| SA4300 Terumo Rigid Sucker | $110.00 |
| SAA ASSAY | $47.00 |
| Saccharomonospora Viridis (QST) | $54.00 |
| Saccharomyces cerevisiae Ab IgA -Quest | $65.00 |
| Saccharomyces cerevisiae Ab IgG -Quest | $65.00 |
| Sacroiliac Joints <3 View | $504.00 |
| Sacroiliac Joints >3 Views | $532.00 |
| Sacrospinous Ligament Fix Fol Hysterectomy | $29,982.00 |
| Sacrum & Coccyx | $294.00 |
| Saecg | $250.00 |
| Safire Ablation 7 FR x 4 mm | $2,530.00 |
| Safire TX Ablation 8 mm | $3,996.00 |
| Salem Sump Tube | $215.00 |
| Salicylate Level. | $85.00 |
| Salmon (F41) IgE -Quest | $28.00 |
| Salmonella Ab, EIA -Quest | $38.00 |
| Salmonella Abs Additional | $70.00 |
| SALMONELLA AND SHIGELLA CULT | $50.00 |
| Salpingectomy Comp Par Uni/Bilat | $2,501.00 |
| SBRT 1-5 Fractions | $7,569.00 |
| Sbrt 1-5 Fractions - Tech | $7,418.00 |
| Scallop (F338) IgE -Quest | $28.00 |
| Scanning Oct: Anterior | $250.00 |
| Scanning Oct: Optic Nerve | $250.00 |
| Scanning Oct: Retina | $250.00 |
| Scapula | $532.00 |
| Scapulopexy | $25,517.00 |
| Schirmer Test | $477.00 |
| Schistosoma IgG Antibody, FMI -Quest | $69.00 |
| Sciatic Nerve,Cont.Infusion | $3,424.00 |
| SCISSOR L-SCOPE CURVED 5MM 21 SCISSOR W/CAUTERY 5MM ETHICON ENDO-SURGERY INC 5DCS | $262.00 |
| Scl Post W Rem Fb Non-Mag Extr | $8,583.00 |
| Scl-70 Antibody (QST) | $95.00 |
| Scl-70 Antibody (QST) | $95.00 |
| Scl-70 Antibody (QST) | $95.00 |
| SCL-70 Antibody -Quest | $95.00 |
| Scler Post W Rem Fb By Magnet | $8,583.00 |
| Sclera; Reinforce W/Graft | $8,583.00 |
| Sclerotherapy Fluid Collection, Percutaneo | $2,594.00 |
| Scope Shldr Dstl Clav Mum | $12,397.00 |
| Scope Shldr Surg Capsulorrh | $26,935.00 |
| Scope Shldr Surg Rpr Slap | $26,935.00 |
| Scope Shldr W/Wo Syn Bx D | $11,745.00 |
| Scope Subtalar Joint | $11,745.00 |
| SCR CANC DCP FT 6.5X100 SYNTHES 218.100 | $133.00 |
| SCR CANC DCP FT 6.5X110 DEPUY ORTHOPAEDICS INC 218.110 | $133.00 |
| SCR CANC DCP FT 6.5X45 NS SYNTHES 218.45 | $133.00 |
| SCR CANC DCP FT 6.5X55 NS SYNTHES 218.55 | $133.00 |
| SCR CANC DCP FT 6.5X60 NS SYNTHES 218.60 | $133.00 |
| SCR CANC DCP FT 6.5X65 NS SYNTHES 218.65 | $133.00 |
| SCR CANC DCP FT 6.5X70 SYNTHES 218.70 | $133.00 |
| SCR CANC DCP FT 6.5X80 SYNTHES 218.80 | $133.00 |
| SCR CANC DCP FT 6.5X85 SYNTHES 218.85 | $133.00 |
| SCR CANC DCP FT 6.5X90 SYNTHES 218.90 | $133.00 |
| SCR CANC DCP FT 6.5X95 SYNTHES 218.95 | $133.00 |
| SCR CANN 4.0X50MM PT 16MM SYNTHES TRAUMA 207.075 | $84.00 |
| SCR CANN ACUTRK + 40MM TI STX1 ACUTRAK AP-0040-S | $1,696.00 |
| SCR CANN INT FULL THD 10X25 ARTHREX INC AR-1401T | $400.00 |
| SCR CORTICAL 3.5X50MM ARTHREX INC AR-8935-50 | $262.00 |
| SCR CRTX DCP 2.7X20 TI NS SYNTHES 402.020 | $133.00 |
| SCR CRTX MHS ST 2.0X24 NS SYNTHES TRAUMA 201.824 | $133.00 |
| SCR CRTX MHS ST 2.0X8 NS SYNTHES TRAUMA 201.808 | $133.00 |
| SCR CRTX ST 4.0X48 NS SYNTHES TRAUMA 206.448 | $155.62 |
| SCR FEM NECK TFN 11.0X125MM SYNTHES TRAUMA 04.032.125S | $2,061.00 |
| SCR FIX ACUTRK 17.5MM TI STRL ACUTRAK AT-1175 | $1,426.00 |
| SCR LCK IM-NAIL 5.0X30 TI SYNTHES TRAUMA 458.930S | $836.00 |
| SCR LCK T25 5.0X58 TI SYNTHES TRAUMA 04.005.548S | $827.00 |
| SCR LCK T25 5.0X64 TI SYNTHES TRAUMA 04.005.554S | $827.00 |
| SCR LCK T25 5.0X70 TI SYNTHES TRAUMA 04.005.560S | $827.00 |
| SCR LCK T25 5.0X72 TI SYNTHES TRAUMA 04.005.562S | $827.00 |
| SCR LCK T25 5.0X76 TI SYNTHES TRAUMA 04.005.566S | $827.00 |
| SCR LCK T25 5.0X78 TI SYNTHES TRAUMA 04.005.568S | $827.00 |
| SCR SCHNZ BLNT TRCR 4.5X150 NS SYNTHES TRAUMA 294.74 | $305.00 |
| SCR SCHNZ PT-20 4/3X80 NS SYNTHES 294.30 | $305.00 |
| SCR SCHNZ SD PT-20 4.0X60 NS SYNTHES TRAUMA 294.774 | $543.00 |
| SCR SCHNZ SD PT-80 6.0X200 NS SYNTHES TRAUMA 294.796 | $660.00 |
| SCR SCHNZ SPDE-1E 4.0X100 NS SYNTHES TRAUMA 294.45 | $305.00 |
| SCR SCHNZ SPDE-1E 4.0X60 NS SYNTHES TRAUMA 294.43 | $305.00 |
| SCR TITANIUM LOW PRO 3.5X48MM ARTHREX INC AR-8935-48 | $262.00 |
| SCR TROCH FIXATION NAIL 11X70 SYNTHES TRAUMA 04.032.070S | $2,061.00 |
| Scrap Cornea Diag Smear Cult | $1,559.00 |
| Screening Colonoscopy | $3,520.00 |
| Screening Colonoscpy H/R | $3,520.00 |
| SCREW 2.4X18MM COMPRESSION HEADLESS SHORT THREAD SYNTHES TRAUMA 02.226.218 | $1,217.00 |
| SCREW 20.0MM ACUTRAK ACUMED LLC AT-1200-S | $1,217.00 |
| SCREW 22.5MM ACUTRAK ACUMED LLC AT-1225-S | $1,426.00 |
| SCREW 2X12MM LOCKING SELFTAP STARDRIVE RECESS SYNTHES TRAUMA 201.882 | $430.00 |
| SCREW 3.5X16MM SELF TAP VARIABLE ANGLE SYNTHES TRAUMA 02.127.116 | $583.00 |
| SCREW 3500 SERIES LONG SHANK S1 SPINE LLC 35935-24 | $2,372.00 |
| SCREW 3500 SERIES LONG SHANK S1 SPINE LLC 35935-26 | $2,372.00 |
| SCREW 3500 SERIES BIASED ANGLE CEPHALAD/CAUDAL S1 SPINE LLC 35735-12 | $2,372.00 |
| SCREW 3500 SERIES BIASED ANGLE CEPHALAD/CAUDAL S1 SPINE LLC 35735-14 | $2,372.00 |
| SCREW 3500 SERIES BIASED ANGLE CEPHALAD/CAUDAL S1 SPINE LLC 35735-16 | $2,372.00 |
| SCREW 3500 SERIES BIASED ANGLE CEPHALAD/CAUDAL S1 SPINE LLC 35740-12 | $2,372.00 |
| SCREW 3500 SERIES BIASED ANGLE CEPHALAD/CAUDAL S1 SPINE LLC 35740-14 | $2,372.00 |
| SCREW 3500 SERIES BIASED ANGLE CEPHALAD/CAUDAL S1 SPINE LLC 35740-16 | $2,372.00 |
| SCREW 3500 SERIES BIASED ANGLE CEPHALAD/CAUDAL S1 SPINE LLC 35740-18 | $2,372.00 |
| SCREW 3500 SERIES POLYAXIAL 3.5MM X 12MM S1 SPINE LLC 35035-12 | $2,372.00 |
| SCREW 3500 SERIES POLYAXIAL 3.5MM X 14MM S1 SPINE LLC 35035-14 | $2,372.00 |
| SCREW 3500 SERIES SET ADJUST ROD S1 SPINE LLC 35635-00 | $280.00 |
| SCREW 3500 SERIES SET S1 SPINE LLC 35635-35 | $280.00 |
| SCREW 3X14MM VAL ARTHREX INC AR-8933V-14 | $543.00 |
| SCREW 3X16MM VAL ARTHREX INC AR-8933V-16 | $543.00 |
| SCREW 3X18MM VAL ARTHREX INC AR-8933V-18 | $543.00 |
| SCREW 4.0X44 CAN WRIGHT MEDICAL ANKLE D1N40044S | $952.00 |
| SCREW 5.5MM POLYAXIAL TULIP C REO AMP GLOBUS SPINE 1119.0100 | $1,696.00 |
| SCREW 6.0MM 40MM THREAD LEN TI MATRIX REDUCTION SYNTHES SPINE 04.634.640 | $2,061.00 |
| SCREW 6.0MM 45MM THREAD LEN TI MATRIX REDUCTION SYNTHES SPINE 04.634.645 | $2,061.00 |
| SCREW 6.0MM 50MM THREAD LEN TI MATRIX REDUCTION SYNTHES SPINE 04.634.650 | $2,061.00 |
| SCREW 7.0MM 35MM THREAD LEN TI MATRIX REDUCTION SYNTHES SPINE 04.634.735 | $2,061.00 |
| SCREW 7X50MM WRIGHT MEDICAL TECHNOLOGY MSD-010-70-050P | $1,102.00 |
| SCREW ACETABULAR 6.5X15MM G7 DOME LOW PROFILE ZIMMER HIP 010000996 | $305.00 |
| SCREW ACETABULAR 6.5X35MM ZIMMER HIP 010001000 | $305.00 |
| SCREW BC IF 8X20MM VENTED ARTHREX INC AR-4020C-08 | $1,102.00 |
| SCREW BC IF 9X20MM VENTED ARTHREX INC AR-4020C-09 | $1,102.00 |
| SCREW BIOCOMPOSITE 10X23MM ARTHREX INC AR-1400C | $952.00 |
| SCREW BIOCOMPOSITE 4X10MM TENODESIS ARTHREX INC AR-1540BC | $1,426.00 |
| SCREW BIOCOMPOSITE 8X19.5MM SWIVELOCK TENODESIS ARTHREX INC AR-1662BC-8 | $1,696.00 |
| SCREW BONE 1.5MM 3MM 10MM DCP SYNTHES TRAUMA 200.810 | $118.00 |
| SCREW BONE 1.5MM 3MM 7MM DCP SYNTHES TRAUMA 200.807 | $118.00 |
| SCREW BONE 1.5MM 3MM 8MM DCP SYNTHES TRAUMA 200.808 | $118.00 |
| SCREW BONE 10.35X105MM TFNA SYNTHES TRAUMA 04.038.205S | $3,271.00 |
| SCREW BONE 10.35X110MM TFNA SYNTHES TRAUMA 04.038.210S | $2,660.00 |
| SCREW BONE 10.35X85MM TFNA SYNTHES TRAUMA 04.038.180S | $3,289.00 |
| SCREW BONE 10X30MM | $1,217.00 |
| SCREW BONE 11MM 130MM TI FEM SYNTHES TRAUMA 04.032.130S | $2,061.00 |
| SCREW BONE 11X30MM FAST THRD | $1,217.00 |
| SCREW BONE 12.7MM 80MM DHS/DCS SYNTHES 280.280 | $1,217.00 |
| SCREW BONE 2.3MM 12MM LOPRFL ARTHREX INC AR-13120T-12C | $479.00 |
| SCREW BONE 2.3MM 14MM LOPRFL ARTHREX INC AR-13120T-14C | $479.00 |
| SCREW BONE 2.3MM 16MM LOPRFL ARTHREX INC AR-13120T-16C | $479.00 |
| SCREW BONE 2.3MM 18MM LOPRFL ARTHREX INC AR-13120T-18C | $479.00 |
| SCREW BONE 2.4MM 10MM QFIX TI ARTHREX INC AR-8724-10 | $430.00 |
| SCREW BONE 2.4MM 12MM QFIX TI ARTHREX INC AR-8724-12 | $430.00 |
| SCREW BONE 2.4MM 12MM TI ARTHREX INC AR-8724V-12 | $543.00 |
| SCREW BONE 2.4MM 14MM QFIX TI ARTHREX INC AR-8724-14 | $430.00 |
| SCREW BONE 2.4MM 14MM TI ARTHREX INC AR-8724V-14 | $543.00 |
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| SCREW CANC PART THREAD 4X22MM SYNTHES SYNTHES TRAUMA 207.022 | $84.00 |
| SCREW CANC PART THREAD 4X24MM SYNTHES SYNTHES TRAUMA 207.024 | $84.00 |
| SCREW CANC PART THREAD 4X26MM SYNTHES SYNTHES TRAUMA 207.026 | $84.00 |
| SCREW CANC PART THREAD 4X28MM SYNTHES SYNTHES TRAUMA 207.028 | $84.00 |
| SCREW CANC PART THREAD 4X30MM SYNTHES SYNTHES TRAUMA 207.030 | $84.00 |
| SCREW CANC PART THREAD 4X35MM SYNTHES SYNTHES TRAUMA 207.035 | $84.00 |
| SCREW CANC PART THREAD 4X40MM SYNTHES SYNTHES TRAUMA 207.040 | $84.00 |
| SCREW CANC PART THREAD 4X45MM SYNTHES SYNTHES TRAUMA 207.045 | $84.00 |
| SCREW CANC PART THREAD 4X50MM SYNTHES SYNTHES TRAUMA 207.050 | $84.00 |
| SCREW CANCELLOUS 3X34MM QUICKFIX PARTIAL THREAD ARTHREX INC AR-8730-34PT | $583.00 |
| SCREW CANN LNG THRD 3.0 X30MM SYNTHES TRAUMA 202.730 | $737.00 |
| SCREW CANN LOCKING 3.7X80MM SYNTHES TRAUMA 02.240.080 | $737.00 |
| SCREW CANNLTD 16MM 6.5X100MM SYNTHES TRAUMA 208.415 | $969.00 |
| SCREW CANNLTD 16MM 6.5X55MM SYNTHES TRAUMA 208.406 | $827.00 |
| SCREW CANNLTD 16MM 6.5X60MM SYNTHES TRAUMA 208.407 | $827.00 |
| SCREW CANNLTD 16MM 6.5X70MM SYNTHES TRAUMA 208.409 | $969.00 |
| SCREW CANNLTD 16MM 6.5X75MM SYNTHES TRAUMA 208.410 | $969.00 |
| SCREW CANNLTD 16MM 6.5X80MM SYNTHES TRAUMA 208.411 | $969.00 |
| SCREW CANNLTD 16MM 6.5X85MM SYNTHES TRAUMA 208.412 | $969.00 |
| SCREW CANNLTD 16MM 6.5X90MM SYNTHES TRAUMA 208.413 | $969.00 |
| SCREW CANNLTD 16MM 6.5X95MM SYNTHES TRAUMA 208.414 | $969.00 |
| SCREW CANNLTD 16MM 7.3X100MM SYNTHES TRAUMA 208.900 | $969.00 |
| SCREW CANNLTD 16MM 7.3X105MM SYNTHES TRAUMA 208.905 | $969.00 |
| SCREW CANNLTD 16MM 7.3X110MM SYNTHES TRAUMA 208.910 | $969.00 |
| SCREW CANNLTD 16MM 7.3X40MM SYNTHES TRAUMA 208.840 | $969.00 |
| SCREW CANNLTD 16MM 7.3X50MM SYNTHES TRAUMA 208.850 | $969.00 |
| SCREW CANNLTD 16MM 7.3X55MM SYNTHES TRAUMA 208.855 | $969.00 |
| SCREW CANNLTD 16MM 7.3X60MM SYNTHES TRAUMA 208.860 | $969.00 |
| SCREW CANNLTD 16MM 7.3X65MM SYNTHES TRAUMA 208.865 | $969.00 |
| SCREW CANNLTD 16MM 7.3X70MM SYNTHES TRAUMA 208.870 | $969.00 |
| SCREW CANNLTD 16MM 7.3X75MM SYNTHES TRAUMA 208.875 | $969.00 |
| SCREW CANNLTD 16MM 7.3X80MM SYNTHES TRAUMA 208.880 | $969.00 |
| SCREW CANNLTD 16MM 7.3X85MM SYNTHES TRAUMA 208.885 | $969.00 |
| SCREW CANNLTD 16MM 7.3X90MM SYNTHES TRAUMA 208.890 | $969.00 |
| SCREW CANNLTD 16MM 7.3X95MM SYNTHES TRAUMA 208.895 | $969.00 |
| SCREW CANNLTD 32MM 6.5X100MM SYNTHES TRAUMA 208.442 | $969.00 |
| SCREW CANNLTD 32MM 6.5X105MM SYNTHES TRAUMA 208.443 | $969.00 |
| SCREW CANNLTD 32MM 6.5X55MM SYNTHES TRAUMA 208.433 | $827.00 |
| SCREW CANNLTD 32MM 6.5X60MM SYNTHES TRAUMA 208.434 | $827.00 |
| SCREW CANNLTD 32MM 6.5X65MM LONG THREAD SYNTHES TRAUMA 208.435 | $969.00 |
| SCREW CANNLTD 32MM 6.5X70MM SYNTHES TRAUMA 208.436 | $827.00 |
| SCREW CANNLTD 32MM 6.5X75MM SYNTHES TRAUMA 208.437 | $969.00 |
| SCREW CANNLTD 32MM 6.5X80MM SYNTHES TRAUMA 208.438 | $969.00 |
| SCREW CANNLTD 32MM 6.5X85MM SYNTHES TRAUMA 208.439 | $969.00 |
| SCREW CANNLTD 32MM 6.5X90MM SYNTHES TRAUMA 208.440 | $969.00 |
| SCREW CANNLTD 32MM 6.5X95MM SYNTHES TRAUMA 208.441 | $969.00 |
| SCREW CANNLTD 32MM 7.3X100MM SYNTHES TRAUMA 209.900 | $969.00 |
| SCREW CANNLTD 32MM 7.3X105MM SYNTHES TRAUMA 209.905 | $969.00 |
| SCREW CANNLTD 32MM 7.3X110MM SYNTHES TRAUMA 209.910 | $969.00 |
| SCREW CANNLTD 32MM 7.3X65MM SYNTHES TRAUMA 209.865 | $969.00 |
| SCREW CANNLTD 32MM 7.3X80MM SYNTHES TRAUMA 209.880 | $969.00 |
| SCREW CANNLTD 32MM 7.3X85MM SYNTHES TRAUMA 209.885 | $969.00 |
| SCREW CANNLTD 32MM 7.3X90MM SYNTHES TRAUMA 209.890 | $969.00 |
| SCREW CANNLTD 32MM 7.3X95MM SYNTHES TRAUMA 209.895 | $969.00 |
| SCREW CANNLTD FULL 4.5X34MM SYNTHES TRAUMA 214.734 | $748.00 |
| SCREW CANNLTD FULL 4.5X38MM SYNTHES TRAUMA 214.738 | $748.00 |
| SCREW CANNLTD FULL 4.5X44MM SYNTHES TRAUMA 214.744 | $748.00 |
| SCREW CANNLTD FULL 4.5X46MM SYNTHES TRAUMA 214.746 | $748.00 |
| SCREW CANNLTD LOCKING 3.7X60MM SYNTHES TRAUMA 02.240.060 | $737.00 |
| SCREW CANNLTD LOCKING 3.7X75MM SYNTHES TRAUMA 02.240.075 | $737.00 |
| SCREW CANNLTD LONG 3X40MM SYNTHES TRAUMA 202.740 | $748.00 |
| SCREW CANNLTD LONG 4X28MM SYNTHES TRAUMA 207.728 | $737.00 |
| SCREW CANNLTD LONG 4X34MM SYNTHES TRAUMA 207.734 | $737.00 |
| SCREW CANNLTD LONG 4X36MM SYNTHES TRAUMA 207.736 | $737.00 |
| SCREW CANNLTD LONG 4X40MM SYNTHES TRAUMA 207.740 | $737.00 |
| SCREW CANNLTD LONG 4X42MM SYNTHES TRAUMA 207.742 | $737.00 |
| SCREW CANNLTD LONG 4X44MM SYNTHES TRAUMA 207.744 | $737.00 |
| SCREW CANNLTD LONG 4X46MM SYNTHES TRAUMA 207.746 | $737.00 |
| SCREW CANNLTD LONG 4X50MM SYNTHES TRAUMA 207.750 | $737.00 |
| SCREW CANNLTD PARTIAL 4.5X32MM SYNTHES TRAUMA 214.532 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X34MM SYNTHES TRAUMA 214.534 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X36MM SYNTHES TRAUMA 214.536 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X38MM SYNTHES TRAUMA 214.538 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X40MM SYNTHES TRAUMA 214.540 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X42MM SYNTHES TRAUMA 214.542 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X46MM SYNTHES TRAUMA 214.546 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X50MM SYNTHES TRAUMA 214.550 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X52MM SYNTHES TRAUMA 214.552 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X54MM SYNTHES TRAUMA 214.554 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X56MM SYNTHES TRAUMA 214.556 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X60MM SYNTHES TRAUMA 214.560 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X64MM SYNTHES TRAUMA 214.564 | $748.00 |
| SCREW CANNLTD PARTIAL 4.5X72MM SYNTHES TRAUMA 214.572 | $748.00 |
| SCREW CANNLTD PARTIAL 4X10MM SYNTHES TRAUMA 207.610 | $737.00 |
| SCREW CANNLTD PARTIAL 4X12MM SYNTHES TRAUMA 207.612 | $737.00 |
| SCREW CANNLTD PARTIAL 4X14MM SYNTHES TRAUMA 207.614 | $737.00 |
| SCREW CANNLTD PARTIAL 4X16MM SYNTHES TRAUMA 207.616 | $737.00 |
| SCREW CANNLTD PARTIAL 4X18MM SYNTHES TRAUMA 207.618 | $737.00 |
| SCREW CANNLTD PARTIAL 4X20MM SYNTHES TRAUMA 207.620 | $737.00 |
| SCREW CANNLTD PARTIAL 4X22MM SYNTHES TRAUMA 207.622 | $737.00 |
| SCREW CANNLTD PARTIAL 4X24MM SYNTHES TRAUMA 207.624 | $737.00 |
| SCREW CANNLTD PARTIAL 4X26MM SYNTHES TRAUMA 207.626 | $737.00 |
| SCREW CANNLTD PARTIAL 4X28MM SYNTHES TRAUMA 207.628 | $738.00 |
| SCREW CANNLTD PARTIAL 4X30MM SYNTHES TRAUMA 207.630 | $737.00 |
| SCREW CANNLTD PARTIAL 4X32MM SYNTHES TRAUMA 207.632 | $737.00 |
| SCREW CANNLTD PARTIAL 4X34MM SYNTHES TRAUMA 207.634 | $737.00 |
| SCREW CANNLTD PARTIAL 4X36MM SYNTHES TRAUMA 207.636 | $737.00 |
| SCREW CANNLTD PARTIAL 4X38MM SYNTHES TRAUMA 207.638 | $737.00 |
| SCREW CANNLTD PARTIAL 4X40MM SYNTHES TRAUMA 207.640 | $737.00 |
| SCREW CANNLTD PARTIAL 4X42MM SYNTHES TRAUMA 207.642 | $737.00 |
| SCREW CANNLTD PARTIAL 4X44MM SYNTHES TRAUMA 207.644 | $737.00 |
| SCREW CANNLTD PARTIAL 4X46MM SYNTHES TRAUMA 207.646 | $737.00 |
| SCREW CANNLTD PARTIAL 4X48MM SYNTHES TRAUMA 207.648 | $737.00 |
| SCREW CANNLTD PARTIAL 4X50MM SYNTHES TRAUMA 207.650 | $737.00 |
| SCREW CANNULATED 4.5MM X 22MM SYNTHES TRAUMA 214.522 | $748.00 |
| SCREW CANNULATED 4.5MM X 24MM SYNTHES TRAUMA 214.524 | $748.00 |
| SCREW CANNULATED 4.5MM X 26MM SYNTHES TRAUMA 214.526 | $748.00 |
| SCREW CANNULATED 4.5MM X 44MM SYNTHES TRAUMA 214.544 | $748.00 |
| SCREW CANNULATED 4.5MM X 48MM SYNTHES TRAUMA 214.548 | $748.00 |
| SCREW CANNULATED 4.5MM X 68MM SYNTHES TRAUMA 214.568 | $748.00 |
| SCREW CANNULATED 7.3MMX50MM SYNTHES TRAUMA 209.850 | $969.00 |
| SCREW CANNULATED 7.3MMX70MM SYNTHES TRAUMA 209.870 | $969.00 |
| SCREW CANNULATED 7.3MMX75MM SYNTHES TRAUMA 209.875 | $969.00 |
| SCREW CANNULATED PARTIAL THREAD 7X75MM MAXTORQUE WRIGHT MEDICAL ANKLE MSD-010-70-075P | $1,064.00 |
| SCREW CANNULATED POLY AXIAL 6.5X40MMBREAK-OFFEXTENSION SPINEOLOGY 670-6540 | $2,660.00 |
| SCREW CERVICAL SELF TAP 4X14MM DEPUY SPINE INC 186854014 | $1,102.00 |
| SCREW CHARLOTTE 2.7X14MM WRIGHT MEDICAL TECHNOLOGY 40122714 | $660.00 |
| SCREW CHARLOTTE 2.7X20MM WRIGHT MEDICAL TECHNOLOGY 40122720 | $660.00 |
| SCREW CHARLOTTE 2.7X22MM WRIGHT MEDICAL TECHNOLOGY 40122722 | $660.00 |
| SCREW CHARLOTTE 2.7X26MM WRIGHT MEDICAL TECHNOLOGY 40122726 | $748.00 |
| SCREW CHARLOTTE 2.7X28MM WRIGHT MEDICAL TECHNOLOGY 40122728 | $748.00 |
| SCREW CHARLOTTE 2.7X30MM WRIGHT MEDICAL TECHNOLOGY 40122730 | $660.00 |
| SCREW CMPR LG FTHRD 5.0X40MM | $2,061.00 |
| SCREW COMPR FT 7.0 XL 80MM ARTHREX INC AR-8770-80H | $2,660.00 |
| SCREW COMPRESSION 2.5X30MM MICRO FULL THREAD ARTHREX INC AR-8725-30H | $1,102.00 |
| SCREW COMPRESSION 2.8X28MM MICRO FULL THREAD ARTHREX INC AR-8725-28H | $1,102.00 |
| SCREW COMPRESSION 25X16MM ARTHREX INC AR-8725-16H | $1,217.00 |
| SCREW COMPRESSION 3.0X34MM ARTHREX INC AR-8630-34 | $1,217.00 |
| SCREW COMPRESSION 3.8X28MM SHORT THREAD MINI MAXTORQUE ORTHOHELIX SURG DESIGNS HCS-010-38-28S | $748.00 |
| SCREW COMPRESSION 3.8X30MM SHORT THREAD MINI MAXTORQUE WRIGHT MEDICAL ANKLE HCS-010-38-30S | $748.00 |
| SCREW COMPRESSION 3X38MM WRIGHT MEDICAL TECHNOLOGY D1N30038S | $952.00 |
| SCREW COMPRESSION 4.0X38MM STD FULL THREAD ARTHREX INC AR-8740-38H | $1,219.00 |
| SCREW COMPRESSION 4X40MM HEADED WRIGHT MEDICAL TECHNOLOGY D1N40044S | $1,102.00 |
| SCREW COMPRESSION 4X46MM HEADED WRIGHT MEDICAL TECHNOLOGY D1N40046S | $1,102.00 |
| SCREW COMPRESSION DHS DCS 36MM SYNTHES TRAUMA 280.990 | $133.00 |
| SCREW COMPRESSION LONG 3X18MM SYNTHES TRAUMA 02.226.118 | $1,102.00 |
| SCREW COMPRESSION LONG 3X20MM SYNTHES TRAUMA 02.226.120 | $1,102.00 |
| SCREW COMPRESSION LONG 3X24MM SYNTHES TRAUMA 02.226.124 | $1,102.00 |
| SCREW COMPRESSION LONG 3X26MM SYNTHES TRAUMA 02.226.126 | $1,102.00 |
| SCREW COMPRESSION SHORT 3X14MM SYNTHES TRAUMA 02.226.014 | $1,102.00 |
| SCREW COMPRESSION SHORT 3X16MM SYNTHES TRAUMA 02.226.016 | $1,217.00 |
| SCREW COMPRESSION SHORT 3X20MM SYNTHES TRAUMA 02.226.020 | $1,217.00 |
| SCREW COMPRESSION SHORT 3X22MM SYNTHES TRAUMA 02.226.022 | $1,217.00 |
| SCREW CONCH LARGE-D 12MM DEPUY SPINE INC 186864012 | $100.00 |
| SCREW CONICAL 3.7X25MM 75MM THREAD SYNTHES TRAUMA 02.240.275 | $583.00 |
| SCREW CONICAL CANN 5.0 X 55MM SYNTHES TRAUMA 02.205.255 | $660.00 |
| SCREW CONICAL CANN 5.0 X 70MM SYNTHES TRAUMA 02.205.275 | $660.00 |
| SCREW CONICAL CANN 7.3 X 60MM SYNTHES TRAUMA 02.207.460 | $969.00 |
| SCREW CONICAL CANNLTD 5X70MM SYNTHES TRAUMA 02.205.270 | $660.00 |
| SCREW CONICAL CANNLTD 5X85MM SYNTHES TRAUMA 02.205.285 | $660.00 |
| SCREW CONICAL CANNLTD 7.3X80MM SYNTHES TRAUMA 02.207.280 | $969.00 |
| SCREW CONICAL FULL THRD 3.5X 70MM SYNTHES TRAUMA 212.326 | $736.00 |
| SCREW CONICAL FULL THRD 3.5X 85MM SYNTHES TRAUMA 212.329 | $430.00 |
| SCREW CONSTRAIND SELFTAP 14MM SKYLINE ANTERIOR PLATE SYS DEPUY SPINE INC 186862014 | $543.00 |
| SCREW CONSTRAINED 12MM SELF TAP DEPUY SPINE INC 186862012 | $430.00 |
| SCREW CORT SELF TAP 3.5X10MM SYNTHES SYNTHES TRAUMA 204.810 | $84.00 |
| SCREW CORT SELF TAP 3.5X12MM SYNTHES SYNTHES TRAUMA 204.812 | $84.00 |
| SCREW CORT SELF TAP 3.5X14MM SYNTHES SYNTHES TRAUMA 204.814 | $84.00 |
| SCREW CORT SELF TAP 3.5X16MM SYNTHES SYNTHES TRAUMA 204.816 | $84.00 |
| SCREW CORT SELF TAP 3.5X18MM SYNTHES SYNTHES TRAUMA 204.818 | $84.00 |
| SCREW CORT SELF TAP 3.5X20MM SYNTHES SYNTHES TRAUMA 204.820 | $84.00 |
| SCREW CORT SELF TAP 3.5X22MM SYNTHES SYNTHES TRAUMA 204.822 | $84.00 |
| SCREW CORT SELF TAP 3.5X24MM SYNTHES SYNTHES TRAUMA 204.824 | $84.00 |
| SCREW CORT SELF TAP 3.5X26MM SYNTHES SYNTHES TRAUMA 204.826 | $84.00 |
| SCREW CORT SELF TAP 3.5X28MM SYNTHES SYNTHES TRAUMA 204.828 | $84.00 |
| SCREW CORT SELF TAP 3.5X30MM SYNTHES SYNTHES TRAUMA 204.830 | $84.00 |
| SCREW CORT SELF TAP 3.5X32MM SYNTHES SYNTHES TRAUMA 204.832 | $84.00 |
| SCREW CORT SELF TAP 3.5X34MM SYNTHES SYNTHES TRAUMA 204.834 | $84.00 |
| SCREW CORT SELF TAP 3.5X36MM SYNTHES SYNTHES TRAUMA 204.836 | $84.00 |
| SCREW CORT SELF TAP 3.5X38MM SYNTHES SYNTHES TRAUMA 204.838 | $84.00 |
| SCREW CORT SELF TAP 3.5X40MM SYNTHES SYNTHES TRAUMA 204.840 | $84.00 |
| SCREW CORT SELF TAP 3.5X45MM SYNTHES SYNTHES TRAUMA 204.845 | $84.00 |
| SCREW CORT SELF TAP 3.5X50MM SYNTHES SYNTHES TRAUMA 204.850 | $84.00 |
| SCREW CORT SELF TAP 3.5X55MM SYNTHES SYNTHES TRAUMA 204.855 | $84.00 |
| SCREW CORT SELF TAP 3.5X60MM SYNTHES SYNTHES TRAUMA 204.860 | $84.00 |
| SCREW CORT SELF TAP 3.5X65MM SYNTHES SYNTHES TRAUMA 204.865 | $84.00 |
| SCREW CORT SELF TAP 3.5X75MM SYNTHES SYNTHES TRAUMA 204.875 | $84.00 |
| SCREW CORTEX 2.4MM X 9MM SYNTHES TRAUMA 401.509.96 | $305.00 |
| SCREW CORTEX 2.4X8MM SYNTHES TRAUMA 201.758 | $193.00 |
| SCREW CORTEX 2.7X12MM SYNTHES TRAUMA 202.872 | $133.00 |
| SCREW CORTEX 2.7X14MM SYNTHES TRAUMA 202.874 | $133.00 |
| SCREW CORTEX 2.7X16MM SYNTHES TRAUMA 202.876 | $133.00 |
| SCREW CORTEX 2.7X18MM SYNTHES TRAUMA 202.878 | $133.00 |
| SCREW CORTEX 2.7X20MM SYNTHES TRAUMA 202.880 | $133.00 |
| SCREW CORTEX 2.7X22MM SYNTHES TRAUMA 202.882 | $133.00 |
| SCREW CORTEX 2MM X 16MM SYNTHES TRAUMA 401.816.96 | $133.00 |
| SCREW CORTEX 2MM X 8MM SYNTHES TRAUMA 401.808.96 | $133.00 |
| SCREW CORTEX 2X16MM SYNTHES TRAUMA 201.366.97 | $133.00 |
| SCREW CORTEX 3.5X14MM SELFTAP LOW PROFILE STARDRIVE RECESS SYNTHES TRAUMA 02.206.214 | $133.00 |
| SCREW CORTEX 3.5X18MM SELFTAP SYNTHES TRAUMA 02.206.218 | $133.00 |
| SCREW CORTEX 3.5X20MM SELFTAP LOW PROFILE STARDRIVE RECESS SYNTHES TRAUMA 02.206.220 | $133.00 |
| SCREW CORTEX FULL 2X18MM SYNTHES TRAUMA 401.818.96 | $133.00 |
| SCREW CORTEX FULL 4.5X30MM SYNTHES TRAUMA 214.830 | $84.00 |
| SCREW CORTEX FULL 4.5X32MM SYNTHES TRAUMA 214.832 | $84.00 |
| SCREW CORTEX FULL 4.5X34MM SYNTHES TRAUMA 214.834 | $84.00 |
| SCREW CORTEX FULL 4.5X36MM SYNTHES TRAUMA 214.836 | $84.00 |
| SCREW CORTEX FULL 4.5X38MM SYNTHES TRAUMA 214.838 | $84.00 |
| SCREW CORTEX FULL 4.5X40MM SYNTHES TRAUMA 214.840 | $84.00 |
| SCREW CORTEX FULL 4.5X42MM SYNTHES TRAUMA 214.842 | $84.00 |
| SCREW CORTEX FULL 4.5X44MM SYNTHES TRAUMA 214.844 | $84.00 |
| SCREW CORTEX FULL 4.5X48MM SYNTHES TRAUMA 214.848 | $84.00 |
| SCREW CORTEX FULL 4.5X50MM SYNTHES TRAUMA 214.850 | $84.00 |
| SCREW CORTEX FULL 4.5X52MM SYNTHES TRAUMA 214.852 | $84.00 |
| SCREW CORTEX FULL 4.5X54MM SYNTHES TRAUMA 214.854 | $84.00 |
| SCREW CORTEX FULL TITAN 1.3X10 SYNTHES TRAUMA 400.690 | $305.00 |
| SCREW CORTEX FULL TITAN 1.5X10 SYNTHES TRAUMA 400.810.96 | $193.00 |
| SCREW CORTEX FULL TITAN 1.5X8 SYNTHES TRAUMA 400.808.96 | $193.00 |
| SCREW CORTEX FULL TITAN 2X10MM SYNTHES TRAUMA 401.810.96 | $133.00 |
| SCREW CORTEX FULL TITAN 2X12MM SYNTHES TRAUMA 401.812.96 | $133.00 |
| SCREW CORTEX FULL TITAN 2X14MM SYNTHES TRAUMA 401.814.96 | $133.00 |
| SCREW CORTEX FULL TITAN 2X20MM SYNTHES TRAUMA 401.820.96 | $133.00 |
| SCREW CORTEX HEX SOCKET 2.7X40 SYNTHES TRAUMA 202.840 | $133.00 |
| SCREW CORTEX SELF TAP 2.4X10MM SYNTHES TRAUMA 201.760 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X12MM SYNTHES TRAUMA 201.762 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X12MM SYNTHES TRAUMA 401.512.96 | $305.00 |
| SCREW CORTEX SELF TAP 2.4X14MM SYNTHES TRAUMA 201.764 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X16MM SYNTHES TRAUMA 201.766 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X18MM SYNTHES TRAUMA 201.768 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X18MM SYNTHES TRAUMA 401.518.96 | $305.00 |
| SCREW CORTEX SELF TAP 2.4X20MM SYNTHES TRAUMA 201.770 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X22MM SYNTHES TRAUMA 201.772 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X26MM SYNTHES TRAUMA 201.776 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X28MM SYNTHES TRAUMA 401.528.96 | $305.00 |
| SCREW CORTEX SELF TAP 2.4X30MM SYNTHES TRAUMA 201.780 | $193.00 |
| SCREW CORTEX SELF TAP 2.4X7MM SYNTHES TRAUMA 401.507.96 | $305.00 |
| SCREW CORTEX SELF TAP 2.7X10MM SYNTHES TRAUMA 202.870 | $133.00 |
| SCREW CORTEX SELF TAP 2.7X12MM SYNTHES TRAUMA 202.812 | $133.00 |
| SCREW CORTEX SELF TAP 2.7X18MM SYNTHES TRAUMA 202.818 | $133.00 |
| SCREW CORTEX SELF TAP 2.7X20MM SYNTHES TRAUMA 202.820 | $133.00 |
| SCREW CORTEX SELF TAP 2.7X24MM SYNTHES TRAUMA 202.824 | $133.00 |
| SCREW CORTEX SELF TAP 2.7X24MM SYNTHES TRAUMA 202.884 | $133.00 |
| SCREW CORTEX SELF TAP 2.7X26MM SYNTHES TRAUMA 202.886 | $133.00 |
| SCREW CORTEX SELF TAP 2.7X28MM SYNTHES TRAUMA 202.888 | $133.00 |
| SCREW CORTEX SELF TAP 2.7X30MM STARDRIVE RECESS SYNTHES TRAUMA 202.890 | $133.00 |
| SCREW CORTEX SELF TAP 2X10MM SYNTHES TRAUMA 201.360.97 | $133.00 |
| SCREW CORTEX SELF TAP 2X11MM SYNTHES TRAUMA 401.811.96 | $133.00 |
| SCREW CORTEX SELF TAP 2X12MM SYNTHES TRAUMA 201.362.97 | $133.00 |
| SCREW CORTEX SELF TAP 2X14MM SYNTHES TRAUMA 201.364.97 | $133.00 |
| SCREW CORTEX SELF TAP 2X28MM SYNTHES TRAUMA 401.828.96 | $133.00 |
| SCREW CORTEX SELF TAP 2X30MM SYNTHES TRAUMA 401.830.96 | $133.00 |
| SCREW CORTEX SELF TAP 2X32MM SYNTHES TRAUMA 401.832.96 | $133.00 |
| SCREW CORTEX SELF TAP 2X40MM SYNTHES TRAUMA 201.382.97 | $133.00 |
| SCREW CORTEX SELF TAP 2X8MM SYNTHES TRAUMA 201.358.97 | $133.00 |
| SCREW CORTEX SELF TAP 4.5X14MM SYNTHES TRAUMA 214.814 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X18MM SYNTHES TRAUMA 214.818 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X20MM SYNTHES TRAUMA 214.820 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X22MM SYNTHES TRAUMA 214.822 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X24MM SYNTHES TRAUMA 214.824 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X26MM SYNTHES TRAUMA 214.826 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X28MM SYNTHES TRAUMA 214.828 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X46MM SYNTHES TRAUMA 214.846 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X56MM SYNTHES TRAUMA 214.856 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X58MM SYNTHES TRAUMA 214.858 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X60MM SYNTHES TRAUMA 214.860 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X62MM SYNTHES TRAUMA 214.862 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X64MM SYNTHES TRAUMA 214.864 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X66MM SYNTHES TRAUMA 214.866 | $84.00 |
| SCREW CORTEX SELF TAP 4.5X70MM SYNTHES TRAUMA 214.870 | $84.00 |
| SCREW CORTEX SELF TAPPING 2.7X32MM SYNTHES TRAUMA 202.892 | $133.00 |
| SCREW CORTEX SLF-T 3.5MMX44 SYNTHES TRAUMA 204.844 | $84.00 |
| SCREW CORTEX SLF-T 4.0MMX52 SYNTHES TRAUMA 206.452 | $133.00 |
| SCREW CORTEX STARDRIVE 2.4X16 SYNTHES TRAUMA 401.766 | $262.00 |
| SCREW CORTEX STARDRIVE 2.7X18 SYNTHES TRAUMA 402.878 | $193.00 |
| SCREW CORTICAL 2.3X12MM ARTHREX INC AR-13123-12 | $262.00 |
| SCREW CORTICAL 2.3X16MM STAINLESS STEEL ARTHREX INC AR-13123-16 | $305.00 |
| SCREW CORTICAL 2.7X10MM WRIGHT MEDICAL TECHNOLOGY 58802710 | $969.00 |
| SCREW CORTICAL 2.7X12MM WRIGHT MEDICAL TECHNOLOGY 58812712 | $479.00 |
| SCREW CORTICAL 2.7X14MM WRIGHT MEDICAL TECHNOLOGY 58812714 | $479.00 |
| SCREW CORTICAL 2.7X16MM WRIGHT MEDICAL TECHNOLOGY 58812716 | $479.00 |
| SCREW CORTICAL 2X13MM QUICKFIX TITANIUM ARTHREX INC AR-8930-13 | $969.00 |
| SCREW CORTICAL 3.5X10MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58813510 | $479.00 |
| SCREW CORTICAL 3.5X12MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58803512 | $969.00 |
| SCREW CORTICAL 3.5X12MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58813512 | $479.00 |
| SCREW CORTICAL 3.5X14MM LOW PROFILE SYNTHES TRAUMA 02.206.014 | $133.00 |
| SCREW CORTICAL 3.5X14MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58803514 | $932.00 |
| SCREW CORTICAL 3.5X14MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58813514 | $479.00 |
| SCREW CORTICAL 3.5X16MM LOW PROF WRIGHT MEDICAL TECHNOLOGY 58813516 | $479.00 |
| SCREW CORTICAL 3.5X16MM LOW PROFILE TITANIUM ARTHREX INC AR-8935-16 | $262.00 |
| SCREW CORTICAL 3.5X16MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58803516 | $932.00 |
| SCREW CORTICAL 3.5X18MM LOW PROF WRIGHT MEDICAL TECHNOLOGY 58813518 | $479.00 |
| SCREW CORTICAL 3.5X18MM LOW PROFILE TITANIUM ARTHREX INC AR-8935-18 | $262.00 |
| SCREW CORTICAL 3.5X20MM LOW PROFILE ARTHREX INC AR-8835-20 | $216.00 |
| SCREW CORTICAL 3.5X20MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58813520 | $479.00 |
| SCREW CORTICAL 3.5X22MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58813522 | $479.00 |
| SCREW CORTICAL 3.5X22MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58913522 | $430.00 |
| SCREW CORTICAL 3.5X24MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58813524 | $479.00 |
| SCREW CORTICAL 3.5X26MM ARTHREX INC AR-8835-26 | $133.00 |
| SCREW CORTICAL 3.5X28MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58803528 | $932.00 |
| SCREW CORTICAL 3.5X30MM ARTHREX INC AR-8835-30 | $133.00 |
| SCREW CORTICAL 3.5X30MM ARTHREX INC AR-8935-30 | $262.00 |
| SCREW CORTICAL 3.5X30MM LOW PROFILE WRIGHT MEDICAL TECHNOLOGY 58813530 | $543.00 |
| SCREW CORTICAL 3.5X35MM ARTHREX INC AR-8835-35 | $140.00 |
| SCREW CORTICAL 3X14MM LOW PROFILE ARTHREX INC AR-8933-14 | $430.00 |
| SCREW CORTICAL 3X16MM LOW PROFILE ARTHREX INC AR-8933-16 | $430.00 |
| SCREW CORTICAL 3X18MM LOW PROFILE TITANIUM ARTHREX INC AR-8933-18 | $430.00 |
| SCREW CORTICAL 3X20MM ARTHREX INC AR-8933-20 | $430.00 |
| SCREW CORTICAL LOCKING 3.5X20 CLAW FOOT SYSTEM WRIGHT MEDICAL TECHNOLOGY 40233520 | $952.00 |
| SCREW CORTICAL LOCKING 3.5X22 CLAW FOOT SYS WRIGHT MEDICAL TECHNOLOGY 40233522 | $969.00 |
| SCREW CORTICAL LOCKING3.5X28MM CLAW FOOT SYSTEM WRIGHT MEDICAL TECHNOLOGY 40233528 | $969.00 |
| SCREW COUNTERSINK 2.7MM CORTEX SYNTHES TRAUMA 310.87 | $592.00 |
| SCREW DHS DCS LAG 12.7X55MM SYNTHES TRAUMA 280.550 | $1,217.00 |
| SCREW DHS/DCS COUPLING SYNTHES TRAUMA 338.20 | $543.00 |
| SCREW EMERG 1.2MM REC 8MM SYNTHES 400.468 | $1,696.44 |
| SCREW EMERGENCY 1.2 X 14MM SYNTHES 400.614 | $305.00 |
| SCREW EXTRACTION CONICAL 2.7MM SYNTHES TRAUMA 309.520 | $262.00 |
| SCREW FIX 200MM 5MM SCHNZ SS SYNTHES TRAUMA 294.786 | $583.00 |
| SCREW G7 6.5X20MM ZIMMER HIP 010000997 | $305.00 |
| SCREW G7 6.5X30MM ZIMMER HIP 010000999 | $305.00 |
| SCREW HEADLESS COMPRESS 3X19 SYNTHES TRAUMA 02.226.119 | $1,102.00 |
| SCREW HEX 2.7X28MM MTF LISFRANC ANKLE SYSTEM WRIGHT MEDICAL TECHNOLOGY 41122728 | $430.00 |
| SCREW HEX 2.7X30MM MTF LISFRANC ANKLE SYSTEM WRIGHT MEDICAL TECHNOLOGY 41122730 | $400.00 |
| SCREW INT 2MM CANN DISP SHEATH ARTHREX KNEE AR-1391E | $479.00 |
| SCREW INTER 5X20MM GFORCE | $1,217.00 |
| SCREW INTERF TI 8X20MM | $479.00 |
| SCREW INTERF TI 9X20MM | $479.00 |
| SCREW INTERFERENCE 9X25MM FULL ARTHREX INC AR-1391T | $400.00 |
| SCREW INTFR TI 20MM 7MM ACL ARTHREX INC AR-1370E | $479.00 |
| SCREW INTFR TI 20MM 8MM FTHRD ARTHREX INC AR-1380T | $400.00 |
| SCREW LAG 12.7MM/85MM SYNTHES TRAUMA 280.285 | $1,217.00 |
| SCREW LAG DHS 12.7MM/65MM | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X100MM SYNTHES TRAUMA 280.000 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X110MM SYNTHES TRAUMA 280.100 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X115MM SYNTHES TRAUMA 280.150 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X120MM SYNTHES TRAUMA 280.200 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X50MM SYNTHES TRAUMA 280.050 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X75MM SYNTHES TRAUMA 280.750 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X80MM SYNTHES TRAUMA 280.800 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X85MM SYNTHES TRAUMA 280.850 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X90MM SYNTHES TRAUMA 280.900 | $1,217.00 |
| SCREW LAG DHS/DCS 12.7X95MM SYNTHES TRAUMA 280.950 | $1,217.00 |
| SCREW LARGE DHS/DCS 12.7X60 SYNTHES 280.600 | $1,217.00 |
| SCREW LOCK 3.5X14MM WRIGHT MEDICAL TECHNOLOGY 40233514 | $932.00 |
| SCREW LOCK CORT 2.7X12MM WRIGHT MEDICAL TECHNOLOGY 40232712 | $748.00 |
| SCREW LOCK CORT 2.7X14MM WRIGHT MEDICAL TECHNOLOGY 40232714 | $748.00 |
| SCREW LOCKING 2.4X10MM LOW PROFILE VARIABLE ANGLE ARTHREX INC AR-8724V-10 | $543.00 |
| SCREW LOCKING 2.4X12MM WRIGHT MEDICAL TECHNOLOGY 5201024012 | $952.00 |
| SCREW LOCKING 2.4X18MM LOW PROFILE VARIABLE ANGLE ARTHREX INC AR-8724V-18 | $543.00 |
| SCREW LOCKING 2.7X12MM WRIGHT MEDICAL TECHNOLOGY 58802712 | $969.00 |
| SCREW LOCKING 2.7X14MM WRIGHT MEDICAL TECHNOLOGY 58802714 | $884.00 |
| SCREW LOCKING 2.7X24MM SELF TAP VARIABE ANGLE T8 STAR SYNTHES TRAUMA 02.211.024 | $479.00 |
| SCREW LOCKING 2.7X26MM SELF TAP SYNTHES TRAUMA 02.211.026 | $479.00 |
| SCREW LOCKING 2.7X28MM SELF TAP SYNTHES TRAUMA 02.211.028 | $479.00 |
| SCREW LOCKING 2.7X44MM VAR ANGLE T8 STARDRV RECESS SYNTHES TRAUMA 02.211.044 | $479.00 |
| SCREW LOCKING 3.5X10MM ARTHREX INC AR-8935L-10 | $305.00 |
| SCREW LOCKING 3.5X10MM WRIGHT MEDICAL TECHNOLOGY 58803510 | $884.00 |
| SCREW LOCKING 3.5X18MM SELFTAP VARIABLE ANGLE STARDRIVE RECES SYNTHES TRAUMA 02.127.118 | $583.00 |
| SCREW LOCKING 3.5X18MM WRIGHT MEDICAL TECHNOLOGY 58803518 | $884.00 |
| SCREW LOCKING 3.5X20MM ARTHREX INC AR-8935L-20 | $305.00 |
| SCREW LOCKING 3.5X20MM STAINLESS STEEL ARTHREX INC AR-8835L-20 | $479.00 |
| SCREW LOCKING 3.5X20MM WRIGHT MEDICAL TECHNOLOGY 58803520 | $952.00 |
| SCREW LOCKING 3.5X22MM SELFTAP VAR ANGLE STARDRIVE RECESS SYNTHES TRAUMA 02.127.122 | $479.00 |
| SCREW LOCKING 3.5X22MM WRIGHT MEDICAL TECHNOLOGY 58803522 | $969.00 |
| SCREW LOCKING 3.5X24MM WRIGHT MEDICAL TECHNOLOGY 40233524 | $969.00 |
| SCREW LOCKING 3.5X26MM SELFTAP VAR ANGLE STARDRIVE RECESS SYNTHES TRAUMA 02.127.126 | $583.00 |
| SCREW LOCKING 3.5X26MM WRIGHT MEDICAL ANKLE MFT-021-35-26 | $592.00 |
| SCREW LOCKING 3.5X26MM WRIGHT MEDICAL TECHNOLOGY 58803526 | $952.00 |
| SCREW LOCKING 3.5X28MM SELFTAP VAR ANGLE STARDRIVE RECESS SYNTHES TRAUMA 02.127.128 | $583.00 |
| SCREW LOCKING 3.5X30MM ARTHREX INC AR-8935L-30 | $305.00 |
| SCREW LOCKING 3.5X30MM WRIGHT MEDICAL TECHNOLOGY 58803530 | $952.00 |
| SCREW LOCKING 3.5X32MM ARTHREX INC AR-8935L-32 | $305.00 |
| SCREW LOCKING 3.5X34MM WRIGHT MEDICAL TECHNOLOGY 58803534 | $969.00 |
| SCREW LOCKING 3.5X36MM WRIGHT MEDICAL TECHNOLOGY 58803536 | $969.00 |
| SCREW LOCKING 3X12MM LOW PROFILE ARTHREX INC AR-8933L-12 | $430.00 |
| SCREW LOCKING 4.0 X 50MM SYNTHES TRAUMA 222.590 | $543.00 |
| SCREW LOCKING 4X18MM SYNTHES TRAUMA 222.582 | $543.00 |
| SCREW LOCKING 4X38MM SYNTHES TRAUMA 222.587 | $543.00 |
| SCREW LOCKING 4X42MM SYNTHES TRAUMA 222.588 | $543.00 |
| SCREW LOCKING 4X46MM SYNTHES TRAUMA 222.589 | $543.00 |
| SCREW LOCKING 5.0 X 60MM SYNTHES TRAUMA 02.205.060 | $748.00 |
| SCREW LOCKING 5X50MM VARIABLE ANGLE CANNULATED SYNTHES TRAUMA 02.231.650 | $827.00 |
| SCREW LOCKING 5X70MM VARIABLE ANGLE CANNULATED SYNTHES TRAUMA 02.231.670 | $827.00 |
| SCREW LOCKING 5X75MM VARIABLE ANGLE CANNULATED SYNTHES TRAUMA 02.231.675 | $827.00 |
| SCREW LOCKING CANN 7.3 X 85 MM SYNTHES TRAUMA 02.207.085 | $1,102.00 |
| SCREW LOCKING CANN 7.3X75MM SYNTHES TRAUMA 02.207.075 | $1,102.00 |
| SCREW LOCKING CANNLTD 5X35MM SYNTHES TRAUMA 02.205.035 | $748.00 |
| SCREW LOCKING CANNLTD 5X45MM SYNTHES TRAUMA 02.205.045 | $748.00 |
| SCREW LOCKING CANNLTD 5X55MM SYNTHES TRAUMA 02.205.055 | $748.00 |
| SCREW LOCKING CANNLTD 5X65MM SYNTHES TRAUMA 02.205.065 | $748.00 |
| SCREW LOCKING CANNLTD 5X70MM SYNTHES TRAUMA 02.205.070 | $748.00 |
| SCREW LOCKING CANNLTD 5X75MM SYNTHES TRAUMA 02.205.075 | $748.00 |
| SCREW LOCKING CANNLTD 5X80MM SYNTHES TRAUMA 02.205.080 | $748.00 |
| SCREW LOCKING CANNLTD 7.3X80MM SYNTHES TRAUMA 02.207.080 | $1,102.00 |
| SCREW LOCKING SELF TAP 2.4X14 SYNTHES TRAUMA 212.814 | $430.00 |
| SCREW LOCKING SELF TAP 2.4X26 SYNTHES TRAUMA 212.826 | $430.00 |
| SCREW LOCKING SELF TAP 2.4X28 SYNTHES TRAUMA 212.828 | $430.00 |
| SCREW LOCKING SELF TAP 2.4X30 SYNTHES TRAUMA 212.830 | $430.00 |
| SCREW LOCKING SELF TAP 2.7X14M SYNTHES TRAUMA 202.214 | $430.00 |
| SCREW LOCKING SELF TAP 2.7X16 SYNTHES TRAUMA 202.216 | $430.00 |
| SCREW LOCKING SELF TAP 2.7X18M SYNTHES TRAUMA 202.218 | $430.00 |
| SCREW LOCKING SELF TAP 2.7X22 SYNTHES TRAUMA 202.222 | $430.00 |
| SCREW LOCKING SELF TAP 2.7X26 SYNTHES TRAUMA 202.226 | $430.00 |
| SCREW LOCKING SELF TAP 2.7X42M T8 STARDRIVE RECESS SYNTHES TRAUMA 02.211.042 | $479.00 |
| SCREW LOCKING SELF TAP 2.7X8MM SYNTHES TRAUMA 202.208 | $430.00 |
| SCREW LOCKING SELF TAP 2X10MM SYNTHES TRAUMA 201.880 | $430.00 |
| SCREW LOCKING SELF TAP 3.5X10 SYNTHES TRAUMA 212.101 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X12 SYNTHES TRAUMA 212.102 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X14 SYNTHES TRAUMA 212.103 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X18 SYNTHES TRAUMA 212.105 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X20 SYNTHES TRAUMA 212.106 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X22 SYNTHES TRAUMA 212.107 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X24 SYNTHES TRAUMA 212.108 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X26 SYNTHES TRAUMA 212.109 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X28 SYNTHES TRAUMA 212.110 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X30 SYNTHES TRAUMA 212.111 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X32 SYNTHES TRAUMA 212.112 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X34 SYNTHES TRAUMA 212.113 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X36 SYNTHES TRAUMA 212.115 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X38 SYNTHES TRAUMA 212.116 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X40 SYNTHES TRAUMA 212.117 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X45 SYNTHES TRAUMA 212.119 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X50 SYNTHES TRAUMA 212.121 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X55 SYNTHES TRAUMA 212.123 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X60 SYNTHES TRAUMA 212.124 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X65 SYNTHES TRAUMA 212.125 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X70 SYNTHES TRAUMA 212.126 | $543.00 |
| SCREW LOCKING SELF TAP 3.5X75 SYNTHES TRAUMA 212.127 | $479.00 |
| SCREW LOCKING SELF TAP 3.5X80 SYNTHES TRAUMA 212.128 | $400.00 |
| SCREW LOCKING SELF TAP 3.5X85 SYNTHES TRAUMA 212.129 | $430.00 |
| SCREW LOCKING SELF TAP 4X38MM SYNTHES TRAUMA 02.204.038 | $543.00 |
| SCREW LOCKING SELF TAP 5X14MM SYNTHES TRAUMA 212.201 | $543.00 |
| SCREW LOCKING SELF TAP 5X24MM SYNTHES TRAUMA 212.206 | $543.00 |
| SCREW LOCKING SELF TAP 5X26MM SYNTHES TRAUMA 212.207 | $543.00 |
| SCREW LOCKING SELF TAP 5X28MM SYNTHES TRAUMA 212.208 | $543.00 |
| SCREW LOCKING SELF TAP 5X30MM SYNTHES TRAUMA 212.209 | $543.00 |
| SCREW LOCKING SELF TAP 5X32MM SYNTHES TRAUMA 212.210 | $543.00 |
| SCREW LOCKING SELF TAP 5X34MM SYNTHES TRAUMA 212.211 | $543.00 |
| SCREW LOCKING SELF TAP 5X36MM SYNTHES TRAUMA 212.212 | $543.00 |
| SCREW LOCKING SELF TAP 5X38MM SYNTHES TRAUMA 212.213 | $543.00 |
| SCREW LOCKING SELF TAP 5X40MM VARIABLE ANGLE STARDRIVE SYNTHES TRAUMA 02.231.240 | $583.00 |
| SCREW LOCKING SELF TAP 5X42MM SYNTHES TRAUMA 212.215 | $543.00 |
| SCREW LOCKING SELF TAP 5X44MM SYNTHES TRAUMA 212.216 | $543.00 |
| SCREW LOCKING SELF TAP 5X4MM VARIABLE ANGLE SYNTHES TRAUMA 02.231.246 | $583.00 |
| SCREW LOCKING SELF TAP 5X60MM SYNTHES TRAUMA 212.221 | $543.00 |
| SCREW LOCKING SELF TAP 5X65MM VARIABLE ANGLE CANNULATED SYNTHES TRAUMA 02.231.665 | $827.00 |
| SCREW LOCKING SELFTAP 2.7X10MM VARIABLE ANGLE T8 STARDRIVE SYNTHES TRAUMA 02.211.010 | $479.00 |
| SCREW LOCKING SELFTAP 2.7X12MM SYNTHES TRAUMA 02.211.012 | $479.00 |
| SCREW LOCKING SELFTAP 2.7X14MM SYNTHES TRAUMA 02.211.014 | $479.00 |
| SCREW LOCKING SELFTAP 2.7X16MM SYNTHES TRAUMA 02.211.016 | $479.00 |
| SCREW LOCKING SELFTAP 2.7X18MM VARIABLE ANGLE T8 STARDRV SYNTHES TRAUMA 02.211.018 | $479.00 |
| SCREW LOCKING SELFTAP 2.7X20MM VARIABLE ANGLE T8 STARDRV RECE SYNTHES TRAUMA 02.211.020 | $479.00 |
| SCREW LOCKING SELFTAP 2.7X22MM VARIABLE ANGLE T8 STARDRV RECE SYNTHES TRAUMA 02.211.022 | $475.11 |
| SCREW LOCKING SELFTAP 2.7X34MM SYNTHES TRAUMA 02.211.034 | $479.00 |
| SCREW LOCKING SELFTAP 2.7X36MM SYNTHES TRAUMA 02.211.036 | $479.00 |
| SCREW LOCKING SELFTAP 2.7X38MM SYNTHES TRAUMA 02.211.038 | $543.00 |
| SCREW LOCKING SELFTAP 2.7X40MM SYNTHES TRAUMA 02.211.040 | $543.00 |
| SCREW LOCKING SELFTAP 3.5X48MM SYNTHES TRAUMA 212.120 | $430.00 |
| SCREW LOCKING SLF 3.5 X 16MM SYNTHES TRAUMA 212.104 | $479.00 |
| SCREW LOCKING STARDRIVE 2.4X16 SYNTHES TRAUMA 02.210.116 | $479.00 |
| SCREW LOCKING STARDRIVE 2.4X18 SYNTHES TRAUMA 02.210.118 | $479.00 |
| SCREW LOCKING STARDRIVE 2.4X20 SYNTHES TRAUMA 02.210.120 | $479.00 |
| SCREW LOCKING STARDRIVE 2.4X22 SYNTHES TRAUMA 02.210.122 | $479.00 |
| SCREW LOCKING STARDRIVE 2.4X24 SYNTHES TRAUMA 02.210.124 | $479.00 |
| SCREW LOCKING T25 5X40MM SYNTHES TRAUMA 212.214 | $543.00 |
| SCREW LOCKING T25 5X50MM SYNTHES TRAUMA 212.219 | $543.00 |
| SCREW LONG THREAD 7.0X80MM WRIGHT MEDICAL ANKLE MSD-010-70-080L | $1,102.00 |
| SCREW LO-PRO LOCK SS 4.5X 5MM ARTHREX INC AR-9045-55PT | $3,271.00 |
| SCREW LOW PROF TI 3.5X28MM ARTHREX INC AR-8935-28 | $262.00 |
| SCREW LOW PROF TI BONE 4X40MM ARTHREX INC AR-8940-40 | $262.00 |
| SCREW LOW PROFILE 3.5X32MM WRIGHT MEDICAL TECHNOLOGY 58813532 | $479.00 |
| SCREW LOW PROFILE 5X22.5MM ORTHOFIX INC 99-T774022 | $1,102.00 |
| SCREW LOW PROFILE 5X25MM ORTHOFIX INC 99-T774025 | $1,102.00 |
| SCREW LOW PROFILE 5X27.5MM ORTHOFIX INC 99-T774027 | $1,102.00 |
| SCREW LOW PROFILE 5X40MM ORTHOFIX INC 99-T774040 | $1,102.00 |
| SCREW LOW PROFILE 5X45MM THREADED ORTHOFIX INC 99-T774045 | $1,102.00 |
| SCREW LOW PROFILE 5X55MM ORTHOFIX INC 99-T774055 | $1,102.00 |
| SCREW LOW PROFILE 5X65MM TITANIUM THREADED ORTHOFIX INC 99-T774065 | $1,102.00 |
| SCREW MAXLOCK LOCKING 3.5X12MM WRIGHT MEDICAL ANKLE MFT-021-35-12 | $583.00 |
| SCREW MAXLOCK LOCKING 3.5X16MM ORTHOHELIX SURG DESIGNS MFT-021-35-16 | $583.00 |
| SCREW MAXLOCK LOCKING 3.5X18MM WRIGHT MEDICAL ANKLE MFT-021-35-18 | $583.00 |
| SCREW MAXLOCK LOCKING 3.5X20MM WRIGHT MEDICAL ANKLE MFT-021-35-20 | $583.00 |
| SCREW MAXLOCK LOCKING 3.5X22MM WRIGHT MEDICAL ANKLE MFT-021-35-22 | $592.00 |
| SCREW MAXLOCK LOCKING 3.5X24MM WRIGHT MEDICAL ANKLE MFT-021-35-24 | $583.00 |
| SCREW MAXLOCK LOCKING 3.5X28MM WRIGHT MEDICAL ANKLE MFT-021-35-28 | $583.00 |
| SCREW MAXLOCK LOCKING 3.5X30MM WRIGHT MEDICAL ANKLE MFT-021-35-30 | $592.00 |
| SCREW MAXLOCK LOCKING 3.5X32.5 MM WRIGHT MEDICAL ANKLE MFT-021-35-325 | $592.00 |
| SCREW MAXLOCK LOCKING 3.5X35MM WRIGHT MEDICAL ANKLE MFT-021-35-35 | $592.00 |
| SCREW MAXLOCK LOCKING 3.5X37.5 WRIGHT MEDICAL ANKLE MFT-021-35-375 | $592.00 |
| SCREW MAXLOCK LOCKING 3.5X8MM WRIGHT MEDICAL ANKLE MFT-021-35-08 | $583.00 |
| SCREW MAXLOCK LOCKING 3X45MM ORTHOHELIX SURG DESIGNS MFT-021-35-45 | $592.00 |
| SCREW MAXLOCK NON LOCK 3.5X22 WRIGHT MEDICAL ANKLE MFT-011-35-22 | $583.00 |
| SCREW MAXLOCK NON LOCK 3.5X24 ORTHOHELIX SURG DESIGNS MFT-011-35-24 | $592.00 |
| SCREW MAXLOCK NON LOCK 3.5X28 WRIGHT MEDICAL ANKLE MFT-011-35-28 | $592.00 |
| SCREW MAXLOCK NON LOCK 4X14MM WRIGHT MEDICAL ANKLE MFT-011-40-14 | $583.00 |
| SCREW MAXLOCK NON LOCK 4X18MM WRIGHT MEDICAL ANKLE MFT-011-40-18 | $583.00 |
| SCREW MAXLOCK NON LOCK 4X20MM WRIGHT MEDICAL ANKLE MFT-011-40-20 | $583.00 |
| SCREW MAXLOCK NON LOCK 4X24MM WRIGHT MEDICAL ANKLE MFT-011-40-24 | $583.00 |
| SCREW MAXLOCK NON LOCK 4X26MM WRIGHT MEDICAL ANKLE MFT-011-40-26 | $592.00 |
| SCREW MAXLOCK NON LOCK 4X28MM WRIGHT MEDICAL ANKLE MFT-011-40-28 | $583.00 |
| SCREW MAXLOCK NON LOCK 4X35MM ORTHOHELIX SURG DESIGNS MFT-011-40-35 | $592.00 |
| SCREW MAXLOCK NON LOCK 4X45MM WRIGHT MEDICAL ANKLE MFT-011-40-45 | $592.00 |
| SCREW MAXLOCK NONLK 3.5X37.5MM WRIGHT MEDICAL ANKLE MFT-011-35-375 | $592.00 |
| SCREW MAXLOCK NONLOCK 3.5X16MM WRIGHT MEDICAL ANKLE MFT-011-35-16 | $583.00 |
| SCREW MAXLOCK NONLOCK 3.5X20MM WRIGHT MEDICAL ANKLE MFT-011-35-20 | $583.00 |
| SCREW MAXLOCK NONLOCK 3.5X26MM WRIGHT MEDICAL ANKLE MFT-011-35-26 | $592.00 |
| SCREW MAXLOCK NONLOCK 3.5X30MM ORTHOHELIX SURG DESIGNS MFT-011-35-30 | $592.00 |
| SCREW MAXLOCK NONLOCK 3.5X35 ORTHOHELIX SURG DESIGNS MFT-011-35-35 | $592.00 |
| SCREW MAXLOCK NONLOCK 3.5X45MM WRIGHT MEDICAL ANKLE MFT-011-35-45 | $592.00 |
| SCREW MAXLOCK NONLOCK 3.5X50MM WRIGHT MEDICAL ANKLE MFT-011-35-50 | $592.00 |
| SCREW MAXLOCK NONLOCK 4X37.5MM WRIGHT MEDICAL ANKLE MFT-011-40-375 | $592.00 |
| SCREW MAXLOCK NONLOCK 4X42.5MM WRIGHT MEDICAL ANKLE MFT-011-40-425 | $583.00 |
| SCREW MAXTORQUE 4X37.5MM LONG WRIGHT MEDICAL ANKLE MSD-010-40-375S | $660.00 |
| SCREW MAXTORQUE 5.5X35MM ORTHOHELIX SURG DESIGNS MSD-010-55-035S | $827.00 |
| SCREW MAXTORQUE 5.5X47.5MM WRIGHT MEDICAL ANKLE MSD-010-55-475S | $884.00 |
| SCREW MAXTORQUE 7X75MM WRIGHT MEDICAL ANKLE MSD-010-70-075S | $1,217.00 |
| SCREW MAXTORQUE LONG 4X35MM WRIGHT MEDICAL ANKLE MSD-010-40-035L | $737.00 |
| SCREW MAXTORQUE LONG 4X40MM ORTHOHELIX SURG DESIGNS MSD-010-40-040L | $737.00 |
| SCREW MAXTORQUE LONG 4X42.5MM WRIGHT MEDICAL ANKLE MSD-010-40-425L | $660.00 |
| SCREW MAXTORQUE LONG 4X45MM WRIGHT MEDICAL ANKLE MSD-010-40-045L | $660.00 |
| SCREW MAXTORQUE LONG 4X47.5MM WRIGHT MEDICAL ANKLE MSD-010-40-475L | $660.00 |
| SCREW MAXTORQUE LONG 7X65MM WRIGHT MEDICAL ANKLE MSD-010-70-065L | $1,102.00 |
| SCREW MAXTORQUE LONG 7X70MM WRIGHT MEDICAL ANKLE MSD-010-70-070L | $1,102.00 |
| SCREW MAXTORQUE LONG 7X85MM WRIGHT MEDICAL ANKLE MSD-010-70-085L | $1,102.00 |
| SCREW MAXTORQUE SHORT 4X28MM WRIGHT MEDICAL ANKLE MSD-010-40-028S | $737.00 |
| SCREW MAXTORQUE SHORT 5.5X42.5 ORTHOHELIX SURG DESIGNS MSD-010-55-425S | $827.00 |
| SCREW MAXTORQUE SHORT 7X42.5MM WRIGHT MEDICAL ANKLE MSD-010-70-425S | $1,064.00 |
| SCREW MAXTORQUE SHORT 7X50MM WRIGHT MEDICAL ANKLE MSD-010-70-050S | $1,102.00 |
| SCREW MAXTORQUE SHORT 7X55MM WRIGHT MEDICAL ANKLE MSD-010-70-055S | $1,102.00 |
| SCREW MEDIAL LATERAL 3.5X18MM DEPUY SPINE INC 188319318 | $2,061.00 |
| SCREW METAPHYSEAL 2.7X10MM SELF TAP STARDRIVE RECESS SYNTHES TRAUMA 02.118.510 | $193.00 |
| SCREW METAPHYSEAL 2.7X12MM SELF TAP SYNTHES TRAUMA 02.118.512 | $193.00 |
| SCREW METAPHYSEAL 2.7X14MM SELF TAP STARDRIVE RECESS SYNTHES TRAUMA 02.118.514 | $193.00 |
| SCREW METAPHYSEAL 2.7X16MM SELF TAP SYNTHES TRAUMA 02.118.516 | $193.00 |
| SCREW METAPHYSEAL 2.7X18MM SELF TAP SYNTHES TRAUMA 02.118.518 | $193.00 |
| SCREW METAPHYSEAL 2.7X20MM SYNTHES TRAUMA 02.118.520 | $193.00 |
| SCREW METAPHYSEAL 2.7X22MM SELF TAP SYNTHES TRAUMA 02.118.522 | $193.00 |
| SCREW METAPHYSEAL 2.7X24MM SELF TAP SYNTHES TRAUMA 02.118.524 | $193.00 |
| SCREW METAPHYSEAL 2.7X26MM SYNTHES TRAUMA 02.118.526 | $193.00 |
| SCREW METAPHYSEAL 2.7X28MM SYNTHES TRAUMA 02.118.528 | $193.00 |
| SCREW METAPHYSEAL 2.7X30MM SYNTHES TRAUMA 02.118.530 | $193.00 |
| SCREW METAPHYSEAL 2.7X40MM SYNTHES TRAUMA 02.118.540 | $193.00 |
| SCREW NONLOCKING 2.4X12MM WRIGHT MEDICAL TECHNOLOGY 5201124012 | $430.00 |
| SCREW NONLOCKING 4.5X30MM LOW PROFILE TITANIUM ARTHREX INC AR-8545-30 | $305.00 |
| SCREW NONLOCKING 4.5X45MM WRIGHT MEDICAL TECHNOLOGY 59224545 | $430.00 |
| SCREW NONLOCKING 4.5X55MM ARTHREX INC AR-8545-55 | $305.00 |
| SCREW PARTIAL THREAD 7X120MM WRIGHT MEDICAL ANKLE MSD-010-70-090P | $1,102.00 |
| SCREW PARTIAL THREAD 7X60MM MAXTORQUE WRIGHT MEDICAL ANKLE MSD-010-70-060P | $1,102.00 |
| SCREW PARTIAL THREAD 7X80MM MAXTORQUE WRIGHT MEDICAL ANKLE MSD-010-70-080P | $1,102.00 |
| SCREW PEDICLE 5.5X35MM GLOBUS SPINE 124.453 | $2,660.00 |
| SCREW PEDICLE 5.5X35MM SPINEOLOGY 640-5535 | $2,660.00 |
| SCREW PEDICLE 5.5X40MM GLOBUS SPINE 124.454 | $2,660.00 |
| SCREW PEDICLE 5.5X40MM SPINEOLOGY 640-5540 | $2,660.00 |
| SCREW PEDICLE 5.5X45MM GLOBUS SPINE 124.455 | $2,660.00 |
| SCREW PEDICLE 6.5X30MM GLOBUS SPINE 124.462 | $2,660.00 |
| SCREW PEDICLE 6.5X35 SPINEOLOGY 550-6535 | $2,660.00 |
| SCREW PEDICLE 6.5X40 SPINEOLOGY 550-6540 | $2,660.00 |
| SCREW PEDICLE 6.5X40MM GLOBUS SPINE 124.464 | $2,660.00 |
| SCREW PEDICLE 6.5X40MM SPINEOLOGY 640-6540 | $2,660.00 |
| SCREW PEDICLE 6.5X45 SPINEOLOGY 550-6545 | $2,660.00 |
| SCREW PEDICLE 6.5X45MM GLOBUS SPINE 124.465 | $2,660.00 |
| SCREW PEDICLE 6.5X45MM SPINEOLOGY 640-6545 | $2,660.00 |
| SCREW PEDICLE 6.5X55MM SPINEOLOGY 530-6555 | $2,660.00 |
| SCREW POLY AXIAL 25MMX4.5MM SPINEOLOGY 640-4525 | $2,660.00 |
| SCREW POLY AXIAL 35MMX4.5MM SPINEOLOGY 640-4535 | $2,660.00 |
| SCREW POLY AXIAL 40MMX4.5MM SPINEOLOGY 640-4540 | $2,660.00 |
| SCREW POLYAXIAL 4.5X45MM DOUBLE LEAD | $2,660.00 |
| SCREW POLYAXIAL 5.5MM X 40MM Threshold V2 Poly Axial Screw SPINEOLOGY 550-5540 | $2,660.00 |
| SCREW POLYAXIAL 5.5MM X 45MM Threshold V2 Poly Axial Screw SPINEOLOGY 550-5545 | $2,660.00 |
| SCREW POLYAXIAL 5.5MM X 50MM Threshold V2 Poly Axial Screw SPINEOLOGY 550-5550 | $2,660.00 |
| SCREW POLYAXIAL 5.5MM X 55MM Threshold V2 Poly Axial Screw SPINEOLOGY 550-5555 | $2,660.00 |
| SCREW POLYAXIAL 5.5X45MM TITANIUM MATRIX SYNTHES SPINE 04.632.545 | $2,061.00 |
| SCREW POLYAXIAL 5.5X55MM DOUBLE LEAD | $2,660.00 |
| SCREW POLYAXIAL 6.5MM X 50MM Threshold V2 Poly Axial Screw SPINEOLOGY 550-6550 | $2,660.00 |
| SCREW POLYAXIAL 6.5MM X 55MM Threshold V2 Poly Axial Screw SPINEOLOGY 550-6555 | $2,660.00 |
| SCREW POLYAXIAL 6X40MM EXPEDIUM DEPUY SPINE INC 179712640 | $2,660.00 |
| SCREW POLYAXIAL 7X30MM EXPEDIUM DEPUY SPINE INC 179712730 | $2,660.00 |
| SCREW POLYAXIAL 7X40MM EXPEDIUM DEPUY SPINE INC 179712740 | $2,660.00 |
| SCREW POLYAXIAL 7X40MM SYNTHES SPINE 04.632.740 | $2,032.00 |
| SCREW POLYAXIAL 7X45MM EXPEDIUM DEPUY SPINE INC 179712745 | $2,660.00 |
| SCREW POLYAXIAL 7X45MM SYNTHES SPINE 04.632.745 | $2,061.00 |
| SCREW POLYAXIAL 7X50MM SYNTHES SPINE 04.632.750 | $2,061.00 |
| SCREW POLYAXIAL 8.5MM X 35MM Threshold V2 Poly Axial Screw SPINEOLOGY 550-8535 | $2,660.00 |
| SCREW POLYAXIAL MATRIX 6X40MM SYNTHES SPINE 04.632.640 | $2,061.00 |
| SCREW POLYAXIAN 5.5X50 SPINE WAVE INC 11-3552 | $2,660.00 |
| SCREW RESTORE GAP PLATE 6.5X25 STRYKER HIP 2080-0025 | $479.00 |
| SCREW S TAP LOCKING 2.4X12MM SYNTHES TRAUMA 212.812 | $430.00 |
| SCREW S TAP LOCKING 2.4X16MM SYNTHES TRAUMA 212.816 | $430.00 |
| SCREW S TAP LOCKING 2.4X18MM SYNTHES TRAUMA 212.818 | $430.00 |
| SCREW S TAP LOCKING 2.4X20MM SYNTHES TRAUMA 212.820 | $430.00 |
| SCREW S TAP LOCKING 2.4X22MM SYNTHES TRAUMA 212.822 | $430.00 |
| SCREW SCHANZ 30MM 4X100 SYNTHES TRAUMA 294.776 | $377.00 |
| SCREW SCHANZ 5.0MM X 150MM SYNTHES TRAUMA 294.54 | $377.00 |
| SCREW SCHANZ 5X125MM TROCAR POINT SYNTHES TRAUMA 294.53 | $377.00 |
| SCREW SCHANZ SPADE POINT 4.0MM SYNTHES TRAUMA 294.44 | $377.00 |
| SCREW SCHANZ TROCAR 5X170MM SYNTHES TRAUMA 294.55 | $377.00 |
| SCREW SCHANZ TROCAR 5X200MM SYNTHES TRAUMA 294.56 | $305.00 |
| SCREW SELF CORTEX 2.0MM SYNTHES TRAUMA 201.822 | $133.00 |
| SCREW SELF DRILL 4MM TITANIUM MATRIX NEURO SYNTHES CMF 04.503.104.01 | $133.00 |
| SCREW SELF DRILL BONE 5.5X32.5 WRIGHT MEDICAL ANKLE MSD-010-55-325S | $827.00 |
| SCREW SELF DRILL BONE 5.5X37.5 WRIGHT MEDICAL ANKLE MSD-010-55-375S | $1,217.00 |
| SCREW SELF DRILL BONE 7X80MM ORTHOHELIX SURG DESIGNS MSD-010-70-080S | $1,102.00 |
| SCREW SELF TAP 2.7/32MM SYNTHES TRAUMA 402.832 | $133.00 |
| SCREW SELF TAP 6.5X20MM ZIMMER HOLDINGS INC 00625006520 | $305.00 |
| SCREW SELF TAP LOCKING 2.4X8MM WITH STARDRIVE RECESS SYNTHES TRAUMA 212.808 | $430.00 |
| SCREW SELF TAP LOCKNG 2.4X10MM SYNTHES TRAUMA 212.810 | $430.00 |
| SCREW SELF TAP LOCKNG 2.7X30MM T8 STARDRIVE RECESS SYNTHES TRAUMA 02.211.030 | $543.00 |
| SCREW SELFTAP LOCKING 2.4X24MM SYNTHES TRAUMA 212.824 | $430.00 |
| SCREW SET 130D IM TI TROCH SYNTHES TRAUMA 04.032.001S | $515.00 |
| SCREW SET FORTRESS SPINEOLOGY 640-1005 | $280.00 |
| SCREW SET SINGLE INNER CLOSURE EXPEDIUM DEPUY SPINE INC 179702000 | $280.00 |
| SCREW SET SPINEOLOGY 530-0001 | $280.00 |
| SCREW SET SPINEOLOGY 670-0007 | $280.00 |
| SCREW SHORT THREAD 4.0X35MM ORTHOHELIX SURG DESIGNS MSD-010-40-035S | $660.00 |
| SCREW SHORT THREAD 7X70MM WRIGHT MEDICAL ANKLE MSD-010-70-070S | $1,102.00 |
| SCREW SLFTAP LCK 3.5X52CM SYNTHES 212.122 | $400.00 |
| SCREW SLF-TAPPNG LOCKING 2.7MM T8 STARDRIVE RECESS 32MM SYNTHES TRAUMA 02.211.032 | $543.00 |
| SCREW SMOOTH SHANK 3.5MMX32MM BIOMET SPINE 07.01707.011 | $2,372.00 |
| SCREW SMOOTH SHANK 3.5MMX34MM BIOMET SPINE 07.01707.013 | $2,372.00 |
| SCREW SNAPOFF 2.0X11MM WRIGHT MEDICAL TECHNOLOGY 45110001 | $884.00 |
| SCREW SNAPOFF 2.0X12MM WRIGHT MEDICAL TECHNOLOGY 45110002 | $884.00 |
| SCREW SPINAL POLYAXIAL 6X45MM SYNTHES SPINE 04.632.645 | $2,061.00 |
| SCREW SPINAL POLYAXIAL 6X50MM SYNTHES SPINE 04.632.650 | $2,061.00 |
| SCREW STERNAL SELFDRILL 3X18MM SYNTHES CMF 04.501.118.01 | $660.00 |
| SCREW STERNAL SLF DRILL 3X10MM SYNTHES CMF 04.501.110.01 | $660.00 |
| SCREW STERNAL SLF DRILL 3X14MM SYNTHES CMF 04.501.114.01 | $660.00 |
| SCREW TENODESIS 4.75X15MM BIOCOMPOSITE ARTHREX INC AR-1547BC | $1,426.00 |
| SCREW TENODESIS 5.5X15MM BIOCOMPOSITE ARTHREX INC AR-1555BC | $1,426.00 |
| SCREW TENODESIS 6.25X15MM BIOCOMPOSITE ARTHREX INC AR-1562BC | $1,426.00 |
| SCREW TENODESIS 7X23MM BIOCOMPOSITE ARTHREX INC AR-1570BC | $1,426.00 |
| SCREW TENODESIS 8X23MM BIOCOMPOSITE ARTHREX INC AR-1580BC | $1,426.00 |
| SCREW THRESHOLD SET W/PEDICLE SPINEOLOGY 530-0007 | $305.00 |
| SCREW TI 4MM 1.5MM MDFC SLF ZIMMER (BIOMET) CMF 91-6104 | $262.00 |
| SCREW TI LOCKING 3.5X28MM ARTHREX INC AR-8935L-28 | $305.00 |
| SCREW TI LOCKING 4.0 X 50MM SYNTHES TRAUMA 04.005.440 | $583.00 |
| SCREW TI LOCKING 4.0X26MM SYNTHES TRAUMA 04.005.416 | $592.00 |
| SCREW TI LOCKING 5.0 X 32MM SYNTHES TRAUMA 04.005.522 | $660.00 |
| SCREW TI LOCKING 5.0 X 48MM SYNTHES TRAUMA 04.005.538 | $660.00 |
| SCREW TI LOCKING 5.0 X 58MM SYNTHES TRAUMA 04.005.548 | $592.00 |
| SCREW TI LOCKING 5.0 X 68MM SYNTHES TRAUMA 04.005.558 | $592.00 |
| SCREW TI LOCKING 5.0 X 74MM SYNTHES TRAUMA 04.005.564S | $827.00 |
| SCREW TI LOCKING 5.0 X 85MM SYNTHES TRAUMA 04.005.575 | $592.00 |
| SCREW TITANIUM QUICKFIX 2X11MM ARTHREX INC AR-8930-11 | $969.00 |
| SCREW TORQUE SELF DRILL 5.5X40 WRIGHT MEDICAL ANKLE MSD-010-55-040S | $827.00 |
| SCREW TORQUE SELF DRILL 5.5X45 ORTHOHELIX SURG DESIGNS MSD-010-55-045S | $969.00 |
| SCREW TROCH NAIL FIX 11X95MM SYNTHES TRAUMA 04.032.095S | $2,061.00 |
| SCREW TROCH NAIL LAG 11X100MM SYNTHES TRAUMA 04.032.100S | $2,061.00 |
| SCREW TROCH NAIL LAG 11X105MM SYNTHES TRAUMA 04.032.105S | $2,061.00 |
| SCREW TROCHANTERIC NAIL 11X115MM TITANIUM SYNTHES TRAUMA 04.032.115S | $2,061.00 |
| SCREW TROCHANTERIC NAIL 11X120MM TITANIUM SYNTHES TRAUMA 04.032.120S | $2,061.00 |
| SCREW V A LOCKING 2.4X10MM WITH STARDRIVE RECESS SYNTHES TRAUMA 02.210.110 | $479.00 |
| SCREW V A LOCKING 2.4X12MM WITH STARDRIVE RECESS SYNTHES TRAUMA 02.210.112 | $479.00 |
| SCREW V A LOCKING 2.4X26MM WITH STARDRIVE RECESS SYNTHES TRAUMA 02.210.126 | $479.00 |
| SCREW VARIABLE ANGLE 4X12MM SELF TAP TITANIUM SKYLINE SYS DEPUY SPINE INC 186852012 | $748.00 |
| SCREW VARIABLE ANGLE 4X14MM SELF TAP TITANIUM SKYLINE SYS DEPUY SPINE INC 186852014 | $827.00 |
| SCREW VARIABLE BONE 4MM BIOMET SPINE 14-521614 | $543.00 |
| SCREW VARIABLE LOCKNG 2.4X14MM SYNTHES TRAUMA 02.210.114 | $479.00 |
| SCREW VARIABLE SELF DRILLING 4 .0MM X 14MM S1 SPINE LLC 20140-14 | $543.00 |
| SCREW VARIABLE SELF DRILLING 4 .0MM X 16MM S1 SPINE LLC 20140-16 | $543.00 |
| SCREW VARIABLE SELF TAPPING 4. 0MM X 14MM S1 SPINE LLC 20240-14 | $543.00 |
| SCREW VARIABLE SELF TAPPING 4. 0MM X 16MM S1 SPINE LLC 20240-16 | $543.00 |
| SCREW XIA 4.5 DIA 7.5X40MM POLYAXIAL STRYKER SPINAL 48147540 | $4,376.00 |
| SCREWDRIVER HEX S SYNTHES TRAUMA 314.03 | $193.00 |
| Scrotal Exploration | $13,104.00 |
| Scrotoplasty Complicated | $18,000.00 |
| Scrotoplasty Simple | $13,104.00 |
| SEAL KT PROX HEARTSTRING 4.3MM MAQUET HSK3043 | $2,108.00 |
| SEAL PROX HEARTSTRING II SEAL SYS HEARTSTRING PROXIMAL MAQUET HSK3038 | $2,108.00 |
| SEAL SCR PLST TMPR BLU | $633.00 |
| SEALANT EVICEL FIBRIN 2ML ETHICON INC 3902 | $932.00 |
| SEALANT HEMOSTATIC FLOSEAL 5ML WITH NEEDLEFREE ADAPTER BAXTER INTERNATIONAL INC 1505288 | $641.00 |
| SEALANT HUMAN FIBRIN 5.0ML ETHICON INC 3905 | $2,578.00 |
| SEALANT KT CRANIAL DURAL 5ML INTEGRA NEUROSCIENCES INC 202050 | $2,758.00 |
| SEALANT KT SURG COSEAL 8ML BAXTER INTERNATIONAL INC 934072 | $3,502.00 |
| SEALANT PROGEL PLEURAL AIR LEAK HUMAN PROTEIN ALBUMIN NEOMEND PGPS002 | $3,700.00 |
| SEALER LIGASURE BLUNT TIP 5MM LAPROSCOPIC DEVICE US SURGICAL LF1837 | $2,475.00 |
| SEAMGUARD BIOABSORBABLE FOR FOR EC60A STAPLER WL GORE & ASSOCIATES INC 12BSGEC60A | $645.00 |
| Sec Perc Trans Throm Nonp | $9,876.00 |
| Second Rev Orbitocraniof Recon | $19,807.00 |
| Secondary Clos Surg Wound Ext Comp | $7,320.00 |
| Secretion Management -> Acapella Therapy, Initial | $503.00 |
| Secretion Management -> Acapella Therapy, Subsequent | $503.00 |
| Secretion Management -> CF CPT (initial) | $503.00 |
| Secretion Management -> CF CPT (subsequent) | $503.00 |
| Secretion Management -> Cough Assist device (Initial) | $905.00 |
| Secretion Management -> Cough Assist device (subsequent) | $905.00 |
| Secretion Management -> CPT (initial) | $503.00 |
| Secretion Management -> CPT (subsequent) | $503.00 |
| See Anesthesia Record | $0.00 |
| Sel cath placement R or L pulm. artery | $853.00 |
| Sel cath placement vein 1st order | $571.00 |
| Sel cath plcmt 1st order T/B | $1,413.00 |
| Sel cath plcmt 2nd order T/B | $1,458.00 |
| Sel cath plcmt art 2nd A/P/LE | $1,458.00 |
| Sel cath plcmt art 3rd A/P/LE | $1,663.00 |
| Sel cath plcmt art 3rd ord T/B | $1,663.00 |
| Sel cath plcmt art lst A/P/LE | $1,413.00 |
| Sel. cath placement 1st | $1,413.00 |
| Sel. cath placement 2nd | $1,458.00 |
| Sel. cath placement 3rd | $1,663.00 |
| SELECT CELL ENHANCEMENT (TECH) | $241.00 |
| Select Picture Audiometry | $144.00 |
| Selective Cath Placement, Common Carotid | $20,682.00 |
| Selective Cath Placemnt, Common Carotid | $12,483.00 |
| Selective Cath Plcmnt, External Carotid Ar | $3,049.00 |
| Selective Cath Plcmnt, Internal Carotid Ar | $20,682.00 |
| Selective Cath Plcmnt, Intracranial Branch | $3,066.00 |
| Selective Cath Plcmnt, Subclavian Or Innom | $12,483.00 |
| Selective Cath Plcmnt, Vertebral Artery | $20,682.00 |
| Selective Photothermolysis with Q-switched laser/YAG | $834.00 |
| Selenium -Quest | $134.00 |
| Selenium Whole Blood -Quest | $135.00 |
| SELF DRILL CANNULA ?7.0X42MM WRIGHT MEDICAL TECHNOLOGY MSD-010-70-425P | $1,102.00 |
| SENDOUT IHC ADDTL STAIN (TECH) | $164.00 |
| SENDOUT IHC EA ANTIBODY (TECH) | $684.00 |
| SENDOUT IN SITU HYBRID EA (TECH) | $312.00 |
| Sendout in situ hybridization add (TECH) | $285.00 |
| SENSOR DUAL FLEX .035 STRAIGHT BOSTON SCIENTIFIC CORP M0066703081 | $121.00 |
| Sensory-Motor Exam | $250.00 |
| Septal Dermatoplasty | $19,807.00 |
| Septoplasty W/Wo Cart Impl | $10,544.00 |
| Sequestrectomy | $11,745.00 |
| Sequestrectomy Clavicle | $11,745.00 |
| Sequestrectomy Hum Head-Sur Nk | $11,745.00 |
| Sequestrectomy Shaft Dist Hum | $25,517.00 |
| Ser Lower Limbs | $1,192.00 |
| Ser Upper Limbs | $1,130.00 |
| SERIAL TRANSVERSE ENTEROPLASTY | $3,599.00 |
| Serotonin Release,Unfract Heparin -Quest | $97.00 |
| Serotonin, Blood -Quest | $164.00 |
| Serotonin, Serum -Quest | $164.00 |
| Sesame Seed (f10) IgE -Quest | $28.00 |
| Sesamoidectomy 1St Toe | $12,397.00 |
| Sesamoidectomy, Thumb Or Finger | $5,880.00 |
| SET BLADE 6.5MM SPINEOLOGY 315-0014 | $3,000.00 |
| SET CANNULA BLADDER SPINEOLOGY 315-0006 | $1,800.00 |
| SET CATH 12FR 25CM OBT CNCT | $153.00 |
| SET LOCKING SCREW SPINE WAVE INC 11-3000 | $280.00 |
| SET PROC PPH 33MM STAPLER PPH 33MM ETHICON INC PPH03 | $1,665.00 |
| SET SEQUENTIAL DILATOR SPINEOLOGY 315-0012 | $1,600.00 |
| SET SUPRAPUBIC ACCESS 18FR 12 COOK UROLOGICAL G15089 | $311.00 |
| SET SUT MNDR II MNSCL DISP SMITH & NEPHEW PLC 7209485 | $425.00 |
| SET TUBE FLOSTEADY IRR LTXFR STRYKER CORP 350800006 | $180.00 |
| SET TUBE INDIGO IRRIGATION | $341.00 |
| Sever Adhesions Ant Segment Eye Inc Tech | $8,583.00 |
| SEVERE COMBINED IMMUNO | $2.00 |
| Severing Adhes/Anterior Segmnt;Lasar Tech | $2,221.00 |
| Severing Tarsorrhaphy | $3,614.00 |
| Sex Hormone Binding Globulin (QST) | $115.00 |
| Sex Hormone Binding Globulin -Quest | $115.00 |
| SHAFT DHS/DCS GUIDE WITH FLATS SYNTHES TRAUMA 338.23 | $681.00 |
| SHAFT SCREWDRIVER 1.0MM SELF RET SYNTHES TRAUMA 313.991 | $1,863.00 |
| SHAFT TGHT SCRWDRV EA1 DEPUY SPINE INC 2868-40-000 | $2,048.00 |
| SHEAR HARMONIC 36MM CURVED ACE +7 ETHICON ENDO-SURGERY INC HARH36 | $1,902.00 |
| SHEAR HARMONIC 9MM CURVED ETHICON ENDO-SURGERY INC HAR9F | $1,902.00 |
| SHEAR HARMONIC CURVED 5MMX14CM ACE PLUS 7 ADV HEMOSTASIS ETHICON ENDO-SURGERY INC HARH45 | $1,563.00 |
| SHEARS HARMONIC LAP 5MM CURVED 23MM TAPERED BLADE ACE PLUS ETHICON INC HAR23 | $1,563.00 |
| SHEARS HARMONIC LAP 5MM CURVED 36MM TAPERED BLADE ACE PLUS ETHICON ENDO-SURGERY INC HAR36 | $1,902.00 |
| Sheath Flex Cath | $3,634.00 |
| Sheep Sorrel (w18) IgE -Quest | $28.00 |
| SHEET SIL REINF 14X180.010IN | $1,309.00 |
| SHELL ACETABULAR CLUSTER HOLES 54MM CONTINUUM SIZE JJ ZIMMER HIP 00875705401 | $5,333.00 |
| SHELL ACETABULAR CLUSTER HOLES 58MM CONTINUUM ZIMMER HIP 00875705801 | $5,333.00 |
| SHELL ACETABULAR G7 3 HOLE ZIMMER HIP 010000662 | $3,600.00 |
| SHELL ACETABULAR G7 54MM ZIMMER HIP 010000664 | $3,600.00 |
| SHELL ACETABULAR G7 POROUS 3H ZIMMER HIP 010000666 | $5,000.00 |
| SHELL ACETABULAR W HOLES 50MM ZIMMER HIP 00875705001 | $5,333.00 |
| SHELL ACETABULAR W/HOLES 52MM CONTINUUM SZ II ZIMMER HIP 00875705201 | $5,333.00 |
| SHELL ACETABULAR W/HOLES 56MM ZIMMER HIP 00875705601 | $5,333.00 |
| SHELL ACTB 48MM 3 SCRW TRIDENT II STRYKER HIP 702-04-48D | $4,400.00 |
| SHELL ACTB 48MM HIP MULHOLE ZIMMER HIP 110010262 | $16,964.00 |
| SHELL ACTB 52MM 5 SCRW HA STRYKER HIP 502-11-52E | $3,600.00 |
| SHELL ACTB 52MM 5 SCRW TRIDENT II | $4,400.00 |
| SHELL ACTB 52MM HIP LMT HOLE ZIMMER HIP 010000663 | $3,600.00 |
| SHELL ACTB 54MM 5 SCRW TRIDENT II | $3,600.00 |
| SHELL ACTB 54MM CLSTR HOLE HA TRIDENT | $3,600.00 |
| SHELL ACTB 56MM 5 SCRW TRIDENT II STRYKER HIP 702-04-56F | $4,400.00 |
| SHELL ACTB 56MM HIP LMT HOLE ZIMMER HIP 010000665 | $3,600.00 |
| SHELL ACTB 58MM 5 SCRW TRIDENT II STRYKER HIP 702-04-58F | $4,400.00 |
| SHELL ACTB 58MM CLSTR HA TRDNT STRYKER HIP 502-11-58F | $3,600.00 |
| SHELL ACTB 58MM HIP MULHOLE ZIMMER HIP 110010267 | $16,964.00 |
| SHELL ACTB 62MM HIP MULHOLE ZIMMER HIP 110010269 | $16,964.00 |
| SHELL BP BLU 42MM 28MM RNGLCK ZIMMER HIP 11-165208 | $3,600.00 |
| SHELL HIP HEMISPHERICAL 56MM STRYKER HIP 509-02-56E | $11,334.00 |
| Shiga Toxin 1 | $63.00 |
| Shiga Toxin 1 | $63.00 |
| Shiga Toxin 2 | $63.00 |
| Shiga Toxin 2 | $63.00 |
| SHIM ALUMINUM DISC GLOBUS SPINE 6133.0325S | $3,606.00 |
| Shntgrm/Invest Prev Indwel Novasc Shnt S&I | $504.00 |
| Shoulder 1 View | $294.00 |
| Shoulder Comp >2View | $294.00 |
| SHOULDER IMMOBILIZER ED | $175.00 |
| Shoulder Immobilizer- L | $165.00 |
| Shoulder Immobilizer- M | $165.00 |
| SHR ESURG 23CM 5MM HRMN ACE +7 ETHICON ENDO-SURGERY INC HARH23 | $1,753.00 |
| Shrimp (F24) IgE (QST) | $28.00 |
| Shrimp (f24) IgE -Quest | $28.00 |
| SHTH ACC 6-12FR 14FR 12FR 1 | $456.00 |
| SHTH ENDO OLV OBT HNDL STRL SMITH & NEPHEW PLC 7205470 | $148.00 |
| SHUNT CV 12MM 1.75MM SFL CHASE MED SHT-1218S | $3,200.00 |
| SHUNT CV 12MM 1.75MM SFL COR CHASE MED SHT-1225S | $378.00 |
| SHUNT CV 30CM 9FR VASC SHNT EDWARDS LIFESCIENCES CORP T39F30 | $1,836.00 |
| SHUNT CV 12MM 2.0MM SFL COR CHASE MED SHT-1220S | $3,200.00 |
| SHUNT INTRACORONARY 2.225MM MEDTRONIC INC 31225 | $378.00 |
| SHUNT NEUSURG FLEXCEL CRTD ART EA1/BX5 LEMAITRE VASCULAR INC 2020-05 | $378.00 |
| Shunt Tap/Punct/Aspi | $2,681.00 |
| Shv Ep/Drm F/E/Lp 0.5cm Or Less | $790.00 |
| Shv Ep/Drm F/E/Lp 0.6-1.0 cm | $834.00 |
| Shv Ep/Drm F/E/Lp 1.1-2.0 cm | $1,406.00 |
| Shv Ep/Drm F/E/Lp Over 2.0 cm | $1,484.00 |
| Shv Ep/Drm S/N/Hn > 2.0cm | $1,406.00 |
| Shv Ep/Drm S/N/Hn 0.5cm Or Less | $790.00 |
| Shv Ep/Drm S/N/Hn 0.6-1.0cm | $834.00 |
| Shv Ep/Drm S/N/Hn 1.1-2.0 cm | $790.00 |
| Shv Ep/Drm T/A/L 0.5cm Or Less | $790.00 |
| Shv Ep/Drm T/A/L 0.6-1.0 cm | $834.00 |
| Shv Ep/Drm T/A/L 1.1-2.0cm | $790.00 |
| Shv Ep/Drm T/A/L Over 2.0 cm | $1,406.00 |
| Sialendoscopy scope w laser | $923.00 |
| Sialendoscopy scope w/o laser | $923.00 |
| Sialolithot Parotid Complicatd | $9,990.00 |
| Sialolithot Submax/Parot Comp | $10,544.00 |
| Sialolithot Submax/Parot UnCmp | $9,990.00 |
| Sickle Cell. | $29.00 |
| Sigmodioscopy Flex Rem Of Poly | $3,335.00 |
| Sigmoid Flex For Bod Rmv | $4,387.00 |
| Sigmoidoscopy | $4,630.00 |
| Sigmoidoscopy Flex | $3,520.00 |
| Sigmoidoscopy Flex W Biopsy | $3,520.00 |
| Sigmoidoscopy For Decompress Volvulus | $4,387.00 |
| Sigmoidoscopy W/Control Of Hemorrhage | $4,630.00 |
| Sigmoidoscopy W/Resection | $4,387.00 |
| Sigmoidoscopy, Flexible; With Band Ligatio | $4,387.00 |
| SILVER FIT ANNUAL DUES -> Yes | $25.00 |
| SIM REP FACE EAR EYE 12.6 | $1,484.00 |
| SIM REP FACE EAR EYE 2.5 | $650.00 |
| SIM REP FACE EAR EYE 2.6- | $650.00 |
| SIM REP FACE EAR EYE 20.1 | $1,484.00 |
| SIM REP FACE EAR EYE 5.1- | $650.00 |
| SIM REP FACE EAR EYE 7.6- | $834.00 |
| Sim Rep Face Ear Lip Ld Nose 20.1-30cm | $1,484.00 |
| Sim Rep Face Ear Lip Lid No 5.1-7.5cm | $650.00 |
| Sim Rep Face Ear Lip Lid No 7.6-12.5cm | $834.00 |
| Sim Rep Face Ear Lip Lid Nos 2.6-5.0cm | $650.00 |
| Sim Rep Face Ear Lip Lid Nose >30.0cm | $790.00 |
| Sim Rep Face Ear Lip Lid Nose 2.5cm | $650.00 |
| SIM REP TR LM >30.0 | $882.00 |
| SIM REP TRK/LMB 12.6-20.0 | $1,484.00 |
| SIM REP TRK/LMB 2.6-7.5 | $834.00 |
| SIM REP TRK/LMB 7.6-12.5 | $650.00 |
| Sim Rep Trunk Limb Neck Sc 12.6-20cm | $1,484.00 |
| Sim Rep Trunk Limb Neck Sc 20.1-30cm | $1,484.00 |
| Sim Rep Trunk Limb Neck Scalp >30cm | $882.00 |
| Sim Rep Trunk Limb Neck Scalp 2.5cm | $834.00 |
| Sim Rep Trunk Limb Nk Sc 7.6-12.5cm | $650.00 |
| Sim Rep Trunk Lmb Nk Sc 2.6-7.5cm | $834.00 |
| SIM RPR TRK UP TO 2.5 CM | $834.00 |
| Simple Ectropion Rep | $8,115.00 |
| SIMULATOR AIDED FIELD SET COMPLEX | $1,521.00 |
| SIMULATOR AIDED FIELD SET INTERMEDIATE | $1,521.00 |
| SIMULATOR AIDED FIELD SET SIMPLE | $585.00 |
| Sing/Mult Injec/Sclerosing Solution | $790.00 |
| Single line | $386.00 |
| Sinus Fr Nonoblit W Ost Fl Bro | $19,807.00 |
| Sinus Fr Nonoblit W Ost Fl Cor | $19,807.00 |
| Sinus Fr Oblit W Oste Fl Coron | $19,807.00 |
| Sinus Fr Oblit Wo Ost Fl Brow | $19,807.00 |
| Sinus Fr Oblit Wo Ost Fl Coron | $19,807.00 |
| Sinusot Antrotomy Intranasal | $9,990.00 |
| Sinusot Fr Oblit W Ost Fl Brow Inc | $19,807.00 |
| Sinusot Rad W Rem Ant Poly | $19,807.00 |
| Sinusotomy Caldwell-Luc | $19,807.00 |
| Sinusotomy Comb 3/More Sinsus | $19,807.00 |
| Sinusotomy Frontal External | $20,908.00 |
| Sinusotomy Frontal Transorb Un | $19,807.00 |
| Sinusotomy Sphenoid W Muscosal Strip | $19,807.00 |
| Sirolimus, LC/MS/MS -Quest | $72.00 |
| SIZER BREAST IMPLANT 320-340ML HIGH PROFILE ALLERGAN INC SZHP68320 | $180.00 |
| SIZER BREAST IMPLANT 425-455CC ALLERGAN INC SZHP68425 | $180.00 |
| Sjogren's Antibody (SS-A) (QST) | $95.00 |
| Sjogren's Antibody (SS-A) (QST) | $95.00 |
| Sjogren's Antibody (SS-A) (QST) | $95.00 |
| Sjogren's Antibody (SS-A) (QST) | $95.00 |
| Sjogren's Antibody (SS-A) -Quest | $95.00 |
| Sjogren's Antibody (SS-B) (QST) | $95.00 |
| Sjogren's Antibody (SS-B) (QST) | $95.00 |
| Sjogren's Antibody (SS-B) (QST) | $95.00 |
| Sjogren's Antibody (SS-B) (QST) | $95.00 |
| Sjogren's Antibody (SS-B) -Quest | $95.00 |
| SJR 10 FRENCH APD | $321.00 |
| SJR 10FR NEPHRO STENT 24CM INT | $382.00 |
| SJR 10FR NEPHRO STENT 26CM INT | $382.00 |
| SJR 10FR NEPHROURET STENT 24CM | $382.00 |
| SJR 10FR NEPHROURET STENT 26CM | $382.00 |
| SJR 12 FRENCH APD | $321.00 |
| SJR 14 FRENCH APD | $321.00 |
| SJR 18FR DILAT PEELAWAY SHEATH | $395.00 |
| SJR 20FR DILAT PEELAWAY SHEATH | $395.00 |
| SJR 24FR DILAT PEELAWAY SHEATH | $395.00 |
| SJR 3-WAY ROTATING STOPCOCK | $10.00 |
| SJR 4 FR ANGLED GLIDE CATHETER | $203.00 |
| SJR 5 FR ANGLED BERN CATHETER | $32.00 |
| SJR 5FR STRAIGHT DIAGNOST CATH | $107.00 |
| SJR 8 FR NEPHRO STENT 24CM INT | $382.00 |
| SJR 8 FR NEPHRO STENT 26CM INT | $382.00 |
| SJR 8 FR NEPHROURET STENT 24CM | $382.00 |
| SJR 8 FRENCH APD | $321.00 |
| SJR 8FR NEPHROURET STENT 26CM | $214.00 |
| SJR ACCUSTICK | $176.00 |
| SJR ADVANTAGE GLIDEWIRE | $376.00 |
| SJR AMPLATZ .035X260CM | $71.00 |
| SJR AMPLATZ SUPER STIFF .035X180CM | $173.00 |
| SJR AMPLATZ ULTRA STIFF .035x145CM | $77.00 |
| SJR AMPLATZ WIRE 145 CM | $56.00 |
| SJR AMPLATZ WIRE 75 CM | $56.00 |
| SJR ANGLED GLIDE WIRE .018x150CM | $223.00 |
| SJR ANGLED GLIDE WIRE 150 CM | $65.00 |
| SJR ANTIBIOTIC DISC | $18.00 |
| SJR ASPIRA DRAIN BOTTLES | $64.00 |
| SJR ASPIRA STARTER KIT | $2,000.00 |
| SJR ATRIUM (PLEUROVAC) | $125.00 |
| SJR BEACON TISSUE MARKER | $4,800.00 |
| SJR BENTSON WIRE .018x180CM | $52.00 |
| SJR BENTSON WIRE .035x145CM | $58.00 |
| SJR BILIARY DRAIN CATHETER 10Fx35CM | $351.00 |
| SJR BILIARY DRAIN CATHETER 8Fx35CM | $351.00 |
| SJR BIOPINCE FULL CORE BIOPSY 16Gx10cm | $219.00 |
| SJR BIOPINCE FULL CORE BIOPSY 16GX15CM | $152.00 |
| SJR BIOPINCE FULL CORE BIOPSY 18Gx15cm | $219.00 |
| SJR BRACHYTHERAPY SOURCE Y-90 | $78,570.00 |
| SJR BREAST BIOPSY CLIP | $264.00 |
| SJR BREAST CLIPS | $380.00 |
| SJR BREAST TOMO 3D DIAG BILAT | $144.00 |
| SJR BREAST TOMO 3D DIAG UNILAT | $144.00 |
| SJR BREAST TOMO 3D DIGITAL BILAT | $144.00 |
| SJR BREAST TOMO 3D SCRN BILAT | $144.00 |
| SJR CATHETER MARKER PIGTAIL 5Fx65CM | $362.00 |
| SJR CELERO INTRO-12 BX KT 12G CELEROMARK | $68.00 |
| SJR CELERO-12 BREAST BX DEVICE VAC | $900.00 |
| SJR CELEROMARK BX SITE IDENTIFIER | $300.00 |
| SJR CELEROMARK-2S BX SITE IDENTIFIER | $3,000.00 |
| SJR CO-AXIAL INTRO NEEDLE 16GX10CM | $40.00 |
| SJR CO-AXIAL INTRO NEEDLE 16GX15CM | $40.00 |
| SJR CO-AXIAL INTRO NEEDLE 18GX10CM | $40.00 |
| SJR CO-AXIAL INTRO NEEDLE 18GX15CM | $40.00 |
| SJR CRYOABLATION PROBE | $9,600.00 |
| SJR CT 3D RENDER W/ POST PROC | $473.00 |
| SJR CT ABLATION PROBE EACH | $5,411.00 |
| SJR CT BONE MARROW ASPIRATION | $6,500.00 |
| SJR CT BONE MARROW BIOPSY | $6,500.00 |
| SJR CT CATH DRAINAGE | $62.00 |
| SJR CT CATH PARA KIT | $156.00 |
| SJR CT CATH PARA/THORA KIT | $49.00 |
| SJR CT GUID PERC DRAIN W CATH | $3,843.00 |
| SJR CT GUIDE TISSUE ABLATION | $2,032.00 |
| SJR CT GUIDE, NEEDLE PLACEMENT | $2,032.00 |
| SJR DERMABOND | $44.00 |
| SJR DIALYSIS CATHETER | $568.00 |
| SJR DILATOR 10FR | $30.00 |
| SJR DILATOR 12FR | $30.00 |
| SJR DILATOR 14FR | $30.00 |
| SJR DILATOR 16FR | $30.00 |
| SJR DILATOR 18FR | $23.00 |
| SJR DILATOR 20FR | $46.00 |
| SJR DILATOR 22FR | $46.00 |
| SJR DILATOR 8FR | $30.00 |
| SJR DRAIN BAG JACKSON-PRATT | $50.00 |
| SJR DRAINAGE BAG (GRAVITY) | $29.00 |
| SJR FATHOM WIRE .016X180CM | $4,600.00 |
| SJR FDG DOSE | $1,597.00 |
| SJR FLUORO MORE THAN ONE HOUR | $1,090.00 |
| SJR FLUOROSCOPY UP TO 1 HR | $1,090.00 |
| SJR GALLIUM GA-67 | $1,025.00 |
| SJR GASTRIC DILATOR/SHEATH 18FR | $395.00 |
| SJR GASTRIC DILATOR/SHEATH 20FR | $395.00 |
| SJR GASTRIC DILATOR/SHEATH 22FR | $395.00 |
| SJR GASTRIC DILATOR/SHEATH 24FR | $395.00 |
| SJR GASTROINTESTINL ANCHOR SET | $240.00 |
| SJR G-J TUBE 18 FRENCH | $474.00 |
| SJR G-J TUBE 20FR | $540.00 |
| SJR G-J TUBE 22 FRENCH | $474.00 |
| SJR GLIDEPATH 23CM | $1,000.00 |
| SJR G-TUBE 14 FRENCH | $78.00 |
| SJR G-TUBE 16 FRENCH | $78.00 |
| SJR G-TUBE 18 FRENCH | $78.00 |
| SJR G-TUBE 20 FRENCH | $78.00 |
| SJR G-TUBE 22 FRENCH | $78.00 |
| SJR G-TUBE ACCESS KITS 18 FR | $447.00 |
| SJR G-TUBE ACCESS KITS 20 FR | $447.00 |
| SJR HICKMAN DUAL | $568.00 |
| SJR IN-111 OXQUINOLINE | $3,344.00 |
| SJR IN-111 PENETETATE (DTPA) | $2,612.00 |
| SJR IN-111 PENETETATE OCTRESCN | $9,715.00 |
| SJR IN-111 ZEVALIN DOSE | $11,365.00 |
| SJR INTRO NEEDLE | $58.00 |
| SJR IODINE-123 200 THY PIL DIA | $251.00 |
| SJR IODINE-131 CAP DIAG/mCi | $40.00 |
| SJR IODINE-131 CAP THERAP/ mCi | $98.00 |
| SJR IR CATH DRAIN | $62.00 |
| SJR IR CATH PARA KIT | $156.00 |
| SJR IR CATH PARA/THORA KIT | $49.00 |
| SJR IR FL GUIDE SPINE THER INJ | $447.00 |
| SJR IR GUIDE CENTR VEN CATH PL | $720.00 |
| SJR IR GUIDE PERC DRAIN W CATH | $3,843.00 |
| SJR IR GUIDE, NEEDLE PLACEMENT | $1,199.00 |
| SJR IR INJECT FOR EXTREM VENO | $2,930.00 |
| SJR IR INSERT TUN IP CATH PERC | $13,928.00 |
| SJR IR KYPHOPLASTY EA ADD | $13,660.00 |
| SJR IR REMOVE CATH OBST MAT SI | $161.00 |
| SJR IR- TRAYS | $64.00 |
| SJR IR VERTEBROPLASTY EA ADD | $11,177.00 |
| SJR IVC FILTER | $4,600.00 |
| SJR J-TUBE 20 FRENCH | $474.00 |
| SJR MEDIPORT REGULAR | $882.00 |
| SJR MEDIPORT SLIM | $882.00 |
| SJR MG BREAST NEEDLE WIRE 10CM | $158.00 |
| SJR MG BREAST NEEDLE WIRE 5CM | $158.00 |
| SJR MG BX W STEREO GUID LT ADD | $682.00 |
| SJR MG BX W STEREO GUID RT ADD | $682.00 |
| SJR MG DEV STER GUID LT EA ADD | $1,021.00 |
| SJR MG DEV STER GUID RT EA ADD | $1,021.00 |
| SJR MG DUCT/GALACTO INJECT LT | $433.00 |
| SJR MG DUCT/GALACTO INJECT RT | $433.00 |
| SJR MG TEMNO BIOPSY NEEDLE | $324.00 |
| SJR MG TONE ELITE NEEDLE 10G | $1,359.00 |
| SJR MG TONE ELITE NEEDLE 13G | $1,405.00 |
| SJR MICRO PUNCTURE 5FR (RADIOLOGY | $126.00 |
| SJR MICRO- PUNCTURE SET | $42.00 |
| SJR MRI BREAST BIOPSY LT EACH | $591.00 |
| SJR MRI BREAST BIOPSY RT EACH | $6,500.00 |
| SJR MRI GUID FOR NEEDLE PLACE | $2,011.00 |
| SJR ONESTEP (PARA) | $101.00 |
| SJR PARA MINI KIT 8F | $113.00 |
| SJR PAT | $0.00 |
| SJR PET CT LIMIT AREA SUBSEQU | $6,500.00 |
| SJR PET CT SKULL-MDTHIGH SUBSQ | $6,500.00 |
| SJR PET CT WHOLE BODY SUBSEQUT | $6,500.00 |
| SJR PICC 4FR SINGLE LUMEN | $340.00 |
| SJR PICC DUAL LUMEN | $196.00 |
| SJR PICC TRIPLE LUMEN | $329.00 |
| SJR PICC TUNNEL DUAL LUMEN | $705.00 |
| SJR PICC TUNNEL TRIPLE LUMEN | $705.00 |
| SJR PROSTATE BIOPSY GUN | $202.00 |
| SJR PYROPHOSPAH-PYROLIT | $190.00 |
| SJR RB-82 RADIOISOTOPE | $525.00 |
| SJR RED RUBBER CATHETER | $82.00 |
| SJR SEDATIO MODERATE ADD15 MIN | $188.00 |
| SJR SERTERA INTRO-14G | $52.00 |
| SJR SERTERA-14 DEVICE 14G SPRING LOAD | $380.00 |
| SJR SM-153 QUADRAMET | $62,956.00 |
| SJR STIFF ANGLED GLIDEWIRE 150 | $113.00 |
| SJR SUPER CORE 18Gx6cm | $181.00 |
| SJR SUPERCORE 18X15 | $175.00 |
| SJR SUPERCORE 18X20 | $175.00 |
| SJR SUPERCORE 20X20 | $175.00 |
| SJR TC-99M ALBUMIN AGGREG MAA | $173.00 |
| SJR TC-99M EXAMETAZI (CERETEC) | $3,344.00 |
| SJR TC-99M FILTERED SC .8 McI | $1,244.00 |
| SJR TC-99M FILTERED SC 1.6 McI | $2,489.00 |
| SJR TC-99M LABEL RBC ULTRATAG | $284.00 |
| SJR TC-99M MEBROFE (CHOLETEC) | $284.00 |
| SJR TC-99M MEDRONATE (MDP) | $144.00 |
| SJR TC-99M MERITIATIDE (MAG-3) | $953.00 |
| SJR TC-99M PENETATE (DTPA) | $190.00 |
| SJR TC-99M PERTECHNETATE | $144.00 |
| SJR TC-99M SESTAMIBI | $1,025.00 |
| SJR TC-99M SULPHUR COLLOID | $310.00 |
| SJR TC-99M TETROFOSMIN | $471.00 |
| SJR TEMNO 18GX15CM | $188.00 |
| SJR TEMNO 18GX20CM | $206.00 |
| SJR TEMNO 18X11 | $183.00 |
| SJR TEMNO 20GX11CM | $214.00 |
| SJR TEMNO 20GX15CM | $225.00 |
| SJR TL-201 (THALLIUM) | $183.00 |
| SJR TORQUE DEVICE | $25.00 |
| SJR TRACT SEALANT | $342.00 |
| SJR URETERAL STENT 8.5FRX24CM | $502.00 |
| SJR URETERAL STENT 8.5FRX26CM | $502.00 |
| SJR US ASPIRAT BREAST CYST ADD | $718.00 |
| SJR US BIOPSY TRAY | $32.00 |
| SJR US BREAST BIOPSY LT ADDL | $723.00 |
| SJR US BREAST BIOPSY RT ADDL | $682.00 |
| SJR US CATH DRAINAGE | $62.00 |
| SJR US CATH INJ SONOHYST/ HSG | $1,090.00 |
| SJR US CATH PARA KIT | $156.00 |
| SJR US CATH PARA/THORA KIT | $49.00 |
| SJR US GUIDE FOR AMNIOCENTESIS | $548.00 |
| SJR US GUIDED NEEDLE PLACEMENT | $579.00 |
| SJR US GUIDED VASCULAR ACCESS | $310.00 |
| SJR US NEEDLE LOC ADDL LT | $713.00 |
| SJR US NEEDLE LOC ADDL RT | $713.00 |
| SJR US PELVIS PREG< 14 WKS ADD | $842.00 |
| SJR US PELVIS PREG> 14 WKS ADD | $1,071.00 |
| SJR US VISICOIL MARKER EACH | $375.00 |
| SJR V-18 WIRE | $358.00 |
| SJR VERT BONE BIOPSY KIT | $330.00 |
| SJR VERTEBRO-AUTO WO NDL W/CEM | $1,825.00 |
| SJR VERTEBROPL TRO FLX CUR NDL | $903.00 |
| SJR VERTEBROPLAST 11G BEVL STY | $153.00 |
| SJR VERTEBROPLASTY 11G ACC CAN | $118.00 |
| SJR XOFIGO RA-223 PER mCi | $646.00 |
| SJR XR ABDOMEN KUB 1 VIEW | $294.00 |
| SJR XR ARTHRO INJ SHOULDER LT | $254.00 |
| SJR XR ARTHRO INJ SHOULDER RT | $254.00 |
| SJR XR ARTHROGRAM INJ ELBOW LT | $210.00 |
| SJR XR ARTHROGRAM INJ ELBOW RT | $210.00 |
| SJR XR ARTHROGRAM INJ HIP LT | $277.00 |
| SJR XR ARTHROGRAM INJ HIP RT | $277.00 |
| SJR XR ARTHROGRAM INJ KNEE LT | $269.00 |
| SJR XR ARTHROGRAM INJ KNEE RT | $269.00 |
| SJR XR ARTHROGRAM INJ WRIST LT | $254.00 |
| SJR XR ARTHROGRAM INJ WRIST RT | $254.00 |
| SJR XR CATH DRAIN | $62.00 |
| SJR XR CATH INTRO CONTRAST HSG | $845.00 |
| SJR XR CHEST 1 VIEW FRONTAL | $294.00 |
| SJR XR FL GUID NEEDL LOC SPINE | $447.00 |
| SJR XR FLUORO GUID NEEDL PLACE | $1,199.00 |
| SJR XR GUIDE CENTR VEN CATH PL | $720.00 |
| SJR XR INJECT DACROCYSTO DSG | $593.00 |
| SJR XR INJECT FOR SIALOGRAPHY | $429.00 |
| SJR XR INJECT PROC CYSTOGRAM | $642.00 |
| SJR XR INJECT PROC RETROCYSTO | $642.00 |
| SJR XR SKULL < 4 VIEWS | $551.00 |
| SJR Y-90 MICROSPHERES | $16,500.00 |
| SJR Y-90 ZEVALIN DOSE | $225,296.00 |
| SJR YUEH NEEDLE 5 FRENCH | $34.00 |
| SJRASA - OISU Post | $0.00 |
| SJRASA - PACU | $0.00 |
| SJRASA - PACU II | $0.00 |
| SJRASA - SPU Post | $0.00 |
| SJRASA - SPU Pre | $0.00 |
| SJRCL - Holding Room | $0.00 |
| SJRCL - PACU | $0.00 |
| SJRCL - PACU II | $0.00 |
| SJRCL - SPU Post | $0.00 |
| SJRCL - SPU Pre | $0.00 |
| SJRFBC - Recovery I | $0.00 |
| SJRFBC - Recovery II | $0.00 |
| SJRGI - OISU Post | $0.00 |
| SJRGI - PACU I | $0.00 |
| SJRGI - PACU II | $0.00 |
| SJRGI - SPU Post | $0.00 |
| SJROR - IntraOp | $0.00 |
| SJROR - OISU Post | $0.00 |
| SJROR - PACU I | $0.00 |
| SJROR - PACU II | $0.00 |
| SJROR - SPU Post | $0.00 |
| SKIN DEBRIDE TO 10% BODY | $2,282.00 |
| Skin Stapler | $177.00 |
| Skin Sub Each Addl 25sqcm | $342.00 |
| Skin Sub Graft F/N/Hf/G Addl | $660.00 |
| Skin Sub Graft Face Neck | $2,162.00 |
| Skin Sub Graft Face/Nk/Hf/G | $7,320.00 |
| Skin Sub Grft T/Arm/Lg Child | $13,072.00 |
| Skin Sub Trnk Arms Legs 100 sq cm | $7,320.00 |
| Skn Sub Grft F/N/Hf/G Child | $6,935.00 |
| Skn Sub Grft T/A/L Child Add | $92.00 |
| Skull Base Surgery | $1,638.00 |
| SL4030 3/16x1/16x8 Tubing | $110.00 |
| Sleep Study Unatt&Resp Effort, Type 3 | $609.00 |
| SLEEVE BIOLOX HIP HEAD +3 TYPE 1 TAPER BIOMET JOINT ORTHOPEDICS 650-1067 | $816.00 |
| SLEEVE CENT G7 TI TYPE1 ZIMMER HIP 6501066 | $400.00 |
| SLEEVE COMPR BARIATRIC CALF HUNTLEIGH HEALTHCARE DVT60L | $263.00 |
| SLEEVE DRILL INSERT 3.5/2.5MM SYNTHES TRAUMA 312.30 | $443.00 |
| SLEEVE DRL-2E 1.5/1.2 NS SYNTHES TRAUMA 312.14 | $1,079.39 |
| SLEEVE TIBIAL MRH KNEE STRYKER KNEE 6481-2-140 | $1,747.00 |
| SLEEVE UNIVERSAL ETHICON ENDO-SURGERY INC ESCB12LT | $132.00 |
| SLING | $95.00 |
| Sling | $95.00 |
| SLING ALTIS SINGLE INCISION TRIAL #TOR895 COLOPLAST A/S 519650 | $5,910.00 |
| SLING AND SWARTH | $101.00 |
| Sling Oper Stress Incontinence | $19,498.00 |
| SLING ORTH LG 13+ IN ARM DRT DJO GLOBAL / DJ ORTHO 11-0449-4-06000 | $164.00 |
| SLING TRANSVAGINAL ADVANTAGE FIT CLEAR BOSTON SCI:UROLOGY/GYNECOLOGY M0068502110 | $5,910.00 |
| SLING TRANSVAGINAL SYSTEM ADVANTAGE FIT BLUE MESH BOSTON SCI:UROLOGY/GYNECOLOGY M0068502120 | $5,910.00 |
| Slippd Femrl Epiphys Osteoplas | $25,517.00 |
| Slit Lamp | $165.00 |
| Slit Prepuce Dor Lat Exc Nwbrn | $7,789.00 |
| SLR/DIVR MNPLR 18.8CM LGSR US SURGICAL LF1212A | $1,960.00 |
| SLV HUM CMPRH 8MM PSTN BIOMET 113576 | $1,416.00 |
| SLV PRTC 12MM SUPRAPATELLAR SYNTHES TRAUMA 03.010.437S | $361.00 |
| SM Antibody (QST) | $95.00 |
| SM Antibody (QST) | $95.00 |
| SM Antibody (QST) | $95.00 |
| SM Antibody (QST) | $95.00 |
| Sm Antibody -Quest | $139.00 |
| Sm Bowel Endo Hemorrhage | $7,010.00 |
| Sm Bowel Endo W Ablat Tum | $6,641.00 |
| Sm Bowel Endo W For Bod Rem | $6,641.00 |
| Sm Bowel Endo W Jejun Tube | $6,641.00 |
| Sm Bowel Endo W Snare | $6,641.00 |
| Sm Bowel Endoscopy W Biop | $7,010.00 |
| SM BOWEL RESECTION W/ ILEOSTOMY AND MUCOUS FISTULA | $3,599.00 |
| Sm Int Endo W/Con Pgt/Pjt | $6,641.00 |
| Sm Intes Endo Ileum Stent | $20,129.00 |
| Sm Intes Endo W Stent Plc | $20,129.00 |
| SM/RNP Ab (QST) | $95.00 |
| SM/RNP Ab (QST) | $95.00 |
| SM/RNP Ab (QST) | $95.00 |
| Sm/RNP Antibody (QST) | $95.00 |
| Sm/RNP Antibody -Quest | $95.00 |
| Small Bowel Endoscopy Br/ | $6,641.00 |
| Small Intest Endoscopy Diagnostic | $6,641.00 |
| Small Intestine Endoscopy | $6,641.00 |
| Small Intestine Endoscopy | $6,641.00 |
| Small Intestine Endoscopy W/ Biopsy | $6,641.00 |
| SMEARS CONCENTR INTERPRET (TECH) | $152.00 |
| Smoking Cessation >10 Min | $158.00 |
| Smoking Cessation 3-10 Min | $158.00 |
| Smoking Cessation Counseling Charge -> 512969-Smoking Cessation Counseling-Intermediate; >3 min but | $158.00 |
| Smoking Cessation Counseling Charge -> 512970-Smoking Cessation Counseling-Intensive; >10 min | $158.00 |
| Smooth Muscle Ab w/Refl Titer -Quest | $39.00 |
| SNARE POLYP OVAL SMALL 11MM | $116.00 |
| Snare SK 200 | $2,645.00 |
| Snare SK 400 | $3,045.00 |
| Sodium Level | $25.00 |
| Sodium Level | $25.00 |
| Sodium Level | $25.00 |
| Sodium Level | $25.00 |
| Sodium Level (POCT) Collect | $25.00 |
| Sodium Level 24 Hour Urine. | $26.00 |
| Sodium Level Body Fluid. | $26.00 |
| Sodium Level Urine. | $26.00 |
| Sodium Level. | $25.00 |
| Sodium, 24Hr Ur | $27.00 |
| Solar Genesis - 1 treatment | $834.00 |
| Solar Genesis - 5 treatments | $834.00 |
| Soluble Liver Antigen -Quest | $82.00 |
| Soluble Transferrin Receptor -Quest | $193.00 |
| SOLUTION WOUND CLEANSING BACTISURE ZIMMER - MED SURG 00888700100 | $2,400.00 |
| Somatosensory Testing | $2,152.00 |
| Sorin 14 Fr Antegrade CPG | $223.00 |
| Sorin 14 Fr Antegrade CPG | $110.00 |
| Sorin 14Fr Antegrade CPG | $110.00 |
| Sorin B-Care5 Cuvette | $110.00 |
| Sorin CPG Line | $110.00 |
| Sorin CPG Y Red and Blue | $110.00 |
| Sorin Level Sensor Pads | $110.00 |
| Sorin Mini CPG Line | $110.00 |
| Sorin OH Kit and Inspire 6F Oxy | $110.00 |
| Sorin Rapid Prime Line | $110.00 |
| Sorin Sample Adapter | $110.00 |
| Sorin Vaccuum Extention Line | $110.00 |
| Sorin XTRA 125 Bowl | $110.00 |
| Sorin XTRA 225 Kit | $110.00 |
| Sorin XTRA Reservoir | $110.00 |
| Sotalol, Serum/Plasma -Quest | $89.00 |
| Soybean (f14) IgE -Quest | $28.00 |
| SPACER 12.5MM X 16MM LORDOTIC 7DEG 10MM PEEK S1 SPINE LLC CS-001-110 | $2,948.00 |
| SPACER 12.5MM X 16MM LORDOTIC 7DEG 6MM PEEK S1 SPINE LLC CS-001-106 | $2,948.00 |
| SPACER 12.5MM X 16MM LORDOTIC 7DEG 7MM PEEK S1 SPINE LLC CS-001-107 | $2,948.00 |
| SPACER 12.5MM X 16MM LORDOTIC 7DEG 8MM PEEK S1 SPINE LLC CS-001-108 | $2,948.00 |
| SPACER 12.5MM X 16MM LORDOTIC 7DEG 9MM PEEK S1 SPINE LLC CS-001-109 | $2,948.00 |
| SPACER 12.5MM X 16MM PARALLEL 8MM PEEK S1 SPINE LLC CS-001-012 | $2,948.00 |
| SPACER 12MM X 14.5MM LORDOTIC 7DEG 10MM PEEK S1 SPINE LLC CS-001-102 | $2,948.00 |
| SPACER 12MM X 14.5MM LORDOTIC 7DEG 8MM PEEK S1 SPINE LLC CS-001-100 | $2,948.00 |
| SPACER 13MM X 18MM LORDOTIC 7D EG 10MM PEEK S1 SPINE LLC CS-001-118 | $2,948.00 |
| SPACER 13MM X 18MM LORDOTIC 7D EG 8MM PEEK S1 SPINE LLC CS-001-116 | $2,948.00 |
| SPACER 13MM X 18MM LORDOTIC 7D EG 9MM PEEK S1 SPINE LLC CS-001-117 | $2,948.00 |
| SPACER HIP SELECT 56MM HEAD MOLD WITH INSERT BIOMET JOINT ORTHOPEDICS 431183 | $4,392.00 |
| SPACER INTERBODY FUSION 8X25MM SPINEOLOGY 380-2508 | $10,136.00 |
| SPACER SM 10.5MM HT 10DEG SYNFIX EVOLUTION SYNTHES SPINE 08.815.111S | $25,397.00 |
| SPACER SPINAL 10X26MM 8 DEG 8-12MM ALTERA GLOBUS MEDICAL INC 1124.1011 | $20,800.00 |
| SPACER SPINAL TI SMALL 8MM GLOBUS MEDICAL INC 168.248 | $12,996.00 |
| SPATULA PLASMA PKS 33CM PLASMA KINETICS ACMI CORP 952005PK | $1,863.00 |
| Speaking Valve Device Charge | $246.00 |
| SPEC STAIN ENZYME HISTOCH (TECH) | $2,638.00 |
| Special Stain Enzyme Histochem (TECH) | $2,638.00 |
| SPECIAL STAIN FROZ TISSUE (TECH) | $505.00 |
| SPECIAL THERAPY PORT PLAN | $1,521.00 |
| SPECIAL TREATMENT PROCEDURE ORAL,VAG,CON | $2,457.00 |
| SPECIALTY CARE TRANSPORT | $5,186.00 |
| Specific Gravity Body Fluid. | $10.00 |
| Specific Gravity Urine. | $17.00 |
| Specular Microscopy | $477.00 |
| Speech reception threshold | $144.00 |
| Speech-Air | $144.00 |
| Sperm aspirataion | $1,094.00 |
| Sperm Washing | $743.00 |
| Spermatozoa, Post Vasectomy -Quest | $64.00 |
| Sphincteroplasty Anal Adult | $10,452.00 |
| Sphincterotomy Anal Ind Proc | $10,452.00 |
| Spider Crest 2 | $4,864.00 |
| Spider FX Filter 6x18 C2R | $4,170.00 |
| Spider FX Filter 7x18 C2R | $4,170.00 |
| Spider FX filter wire | $6,063.00 |
| Spin/Brain Pump Refil/Mai | $1,291.00 |
| Spinal Bone Allograft | $2,606.00 |
| Spinal Bone Autograft | $2,687.00 |
| Spinal Punc Ther Dr Spinal Fluid | $2,830.00 |
| Spinal Puncture Lumbar Diag | $2,830.00 |
| Spinal puncture, lumbar, diagnostic | $2,830.00 |
| Spine Cervical Anter Post Later >4View | $532.00 |
| Spine Cervical Anter Posterior Lateral | $294.00 |
| Spine Cervical Inc Obliq Flex Ext St | $532.00 |
| Spine Fusion Extra Segmnt | $1,345.00 |
| Spine Fusion,Extra Segmen | $2,028.00 |
| Spine Lumbosacral Anteropos Lateral | $532.00 |
| Spine Lumbosacral Comp W Obliq View | $532.00 |
| Spine Thoracic Anter Post Lateral | $532.00 |
| Spine Thoracolumbar Anterpos Lateral | $294.00 |
| Spirometry | $642.00 |
| Splanhnic Nerve Block | $3,424.00 |
| Splint Finger Static | $264.00 |
| Splint Long Arm | $650.00 |
| Splint Long Leg | $636.00 |
| Splint Short Arm Over 10 Years | $503.00 |
| Splint Short Leg | $636.00 |
| SPLNT NSL 65X35MM SM MEDUM AL SUMMIT MEDICAL INC SP-1500-S/M | $229.00 |
| SPLNT NSL SIL DYLE II SPT CMPR MEDTRON SURGICAL TECH 1524055 | $229.00 |
| SPNG ABS HMST MTRX SURGIFLO 8 | $316.00 |
| Spontaneous Abortion Any Trim Comp Surg | $11,159.00 |
| Spontaneous Nystagmus Test | $477.00 |
| SPY angiography | $294.00 |
| SRP Ab-QST | $199.00 |
| ssDNA IgG Antibody -Quest | $64.00 |
| St Jude CRT ICD -> St Jude CRTD BiV Defib Quadra Assura | $68,000.00 |
| St Jude CRT ICD -> St Jude CRTD BiV Defib Quadra Assura Primary | $68,000.00 |
| St Jude CRT ICD -> St Jude CRTD BiV Unify Assura | $68,000.00 |
| St Jude CRT ICD -> St Jude CRTD BiV Unify Assura Primary | $68,000.00 |
| St Jude CRT Pacer -> St Jude Allure | $28,228.00 |
| St Jude CRT Pacer -> St Jude Allure Quadra | $32,228.00 |
| St Jude CRT Pacer -> St Jude CRT-P Anthem | $28,228.00 |
| St Jude Dual Chamber Generator -> Accent RF DR | $12,800.00 |
| St Jude Dual Chamber Generator -> Assurity DR | $12,800.00 |
| St Jude Dual Chamber Generator -> Endurity DR | $12,800.00 |
| St Jude Dual ICD Generator -> Ellipse DR Primary | $47,200.00 |
| St Jude Dual ICD Generator -> Ellipse DR Secondary | $47,200.00 |
| St Jude Dual ICD Generator -> Fortify Assura DR Primary | $47,200.00 |
| St Jude Dual ICD Generator -> Fortify Assura DR Secondary | $47,200.00 |
| St Jude Single Chamber Generator -> Accent RF SR | $11,600.00 |
| St Jude Single Chamber Generator -> Assurity SR | $11,600.00 |
| St Jude Single Chamber Generator -> Endurity SR | $11,600.00 |
| St Jude Single ICD Generator -> Ellipse VR Primary | $47,200.00 |
| St Jude Single ICD Generator -> Ellipse VR Secondary | $47,200.00 |
| St Jude Single ICD Generator -> Fortify Assura VR Primary | $47,200.00 |
| St Jude Single ICD Generator -> Fortify Assura VR Secondary | $47,200.00 |
| ST.Louis IgG CSF-QST | $100.75 |
| ST.Louis IgM CSF-QST | $100.75 |
| Stab Phlebectomy > 20 Stabs | $11,826.00 |
| Stab Phlebectomy 10-20 Stabs | $11,826.00 |
| Staggrd Spondiac Wrd Test | $609.00 |
| Standard pacing | $1,293.00 |
| Stap W Inser Pros Stap W Fenes | $19,807.00 |
| Stapedectomy W Foodplate Drill | $19,807.00 |
| Stapes Mobilization | $9,990.00 |
| Staph Latex Test | $27.00 |
| STAPLE BONE FUSEFORCE 15X15MM WRIGHT MEDICAL TECHNOLOGY FFNS1515 | $5,000.00 |
| STAPLE BONE FUSEFORCE 20X20MM WRIGHT MEDICAL TECHNOLOGY FFNS2020 | $5,000.00 |
| STAPLE BONE NITINOL 15X18MM ARTHREX INC AR-8719DS-1815 | $9,180.00 |
| STAPLE BONE NITONOL 15MMX15MM ARTHREX KNEE AR-8719DS-1515 | $9,180.00 |
| STAPLE NITINOL 18X18X15MM 2MM DIA METRIC CLASSIC METRIC METRIC MEDICAL DEVICES INC 17301 | $5,000.00 |
| STAPLE RELOAD 60MM GST WHITE 6 ROW ETHICON ENDO-SURGERY INC GST60W | $560.00 |
| STAPLE RELOAD ECHELON 60 GD ETHICON ENDO-SURGERY INC ECR60D | $560.00 |
| STAPLE RELOAD ECHELON 60MM BL 6 ROW GST ETHICON ENDO-SURGERY INC GST60B | $560.00 |
| STAPLE RELOAD UNIT THICK ETHICON | $206.00 |
| STAPLER CARTRIDGE GIA 60-3.5 US SURGICAL EGIA45AMT | $1,665.00 |
| STAPLER CARTRIDGE RELOAD 55MM RELOAD LINEAR CUTTER ETHICON ENDO-SURGERY INC TCR55 | $206.00 |
| STAPLER CARTRIDGE RELOAD 75MM RELOAD LINEAR CUTTER 75MM ETHICON ENDO-SURGERY INC TCR75 | $206.00 |
| STAPLER CONTOUR CURVED BL 1.5 ETHICON ENDO-SURGERY INC CR40B | $988.00 |
| STAPLER CONTOUR CURVED CUTTER BLUE RELOAD ETHICON ENDO-SURGERY INC CS40B | $1,665.00 |
| STAPLER CONTOUR CURVED GN 2MM ETHICON ENDO-SURGERY INC CR40G | $988.00 |
| STAPLER ENDO ECHELON ARTCNG 60 ETHICON ENDO-SURGERY INC EC60A | $1,351.00 |
| STAPLER ENDO INTERNAL ILS 25MM ETHICON ENDO-SURGERY INC ECS25A | $1,351.00 |
| STAPLER ENDO INTERNAL ILS 29MM ETHICON ENDO-SURGERY INC ESECS29A | $1,351.00 |
| STAPLER GIA 45 CURVED MED VASCULAR US SURGICAL SIG45CTAVM | $2,120.00 |
| STAPLER GRIPPING RELOAD 60MM USE 221549 INSTEAD ETHICON ENDO-SURGERY INC GST60G | $676.00 |
| STAPLER HANDLE ENDO GIA 4 STANDARD STERILE US SURGICAL EGIAUSTND | $1,365.00 |
| STAPLER INTERNAL CEEA 28 US SURGICAL EEA28 | $3,086.00 |
| STAPLER INTERNAL PURSTRING 65 US SURGICAL 020242 | $643.00 |
| STAPLER LINEAR 60MM REG ETHICON INC TX60B | $394.00 |
| STAPLER LINEAR 60MM RELOAD ETHICON ENDO-SURGERY INC XR60B | $206.00 |
| STAPLER LINEAR ARCING 60MM ENDO CUTTER ECHELON FLEX 60 ETHICON ENDO-SURGERY INC PSEE60A | $1,665.00 |
| STAPLER LINEAR ARTCNG LONG 45 CUTTER ART LINEAR 45MM 6 ROW ETHICON ENDO-SURGERY INC ATS45 | $988.00 |
| STAPLER LINEAR ECHELON 45MM FLEX POWERED PLUS ETHICON INC PSEE45A | $1,351.00 |
| STAPLER LINEAR INTERNAL 55MM ETHICON ENDO-SURGERY INC TLC55 | $394.00 |
| STAPLER LINEAR INTERNAL 75MM ETHICON ENDO-SURGERY INC TLC75 | $625.00 |
| STAPLER LINEAR RELOAD 45 RELOAD THIN/MESENETERIC GRAY ETHICON ENDO-SURGERY INC 6R45M | $742.00 |
| STAPLER LINEAR RELOAD 45MM RELOAD FOR LINEAR CUTTERS ETHICON ENDO-SURGERY INC 6R45B | $560.00 |
| STAPLER LINEAR RELOAD GN 45MM RELOAD ETS45 4.1MM THICK ETHICON ENDO-SURGERY INC TR45G | $560.00 |
| STAPLER LINEAR THICK TISSUE 75 STAPLER DISPO LINEAR THICK ETHICON ENDO-SURGERY INC TCT75 | $625.00 |
| STAPLER SKIN INSORB 30 INCISIVE SURGICAL 2030 | $988.00 |
| STAPLER SUREFORM 60 12 MM ROBOTIC INTUITIVE SURGICAL INC 480460 | $2,120.00 |
| Starclose | $700.00 |
| Starter SNS Kit | $60.00 |
| Stat3 SNP | $137.00 |
| STAY ELAS SHARP HOOK 5MM LONE STAR RET STAYS LG-5MM COOPER SURGICAL INC 3311 8G | $239.00 |
| STEM 133 FP TYPE1 PPS SO 4.0 TAPERLOC ZIMMER HIP 51-100040 | $10,000.00 |
| STEM 133 FP TYPE1 PPS SO 5.0 TAPERLOC ZIMMER HIP 51-100050 | $10,000.00 |
| STEM 133 FP TYPE1 PPS SO 6.0 TAPERLOC ZIMMER HIP 51-100060 | $10,000.00 |
| STEM 133 FP TYPE1 PPS SO 7.0 TAPERLOC ZIMMER HIP 51-100070 | $10,000.00 |
| STEM 133 MP TYPE1 PPS HO 15.0 TAPERLOC ZIMMER HIP 51-107150 | $10,000.00 |
| STEM 133 TYPE1 PPS HO 15.0 TAPERLOC ZIMMER HIP 51-104150 | $10,000.00 |
| STEM 133 TYPE1 PPS HO 9.0 TAPERLOC ZIMMER HIP 51-104090 | $10,000.00 |
| STEM 133 TYPE1 PPS SO 10.0 TAPERLOC ZIMMER HIP 51-103100 | $10,000.00 |
| STEM 133 TYPE1 PPS SO 11.0 ZIMMER HIP 51-103110 | $10,000.00 |
| STEM 133 TYPE1 PPS SO 16.0 TAPERLOC ZIMMER HIP 51-103160 | $10,000.00 |
| STEM 133 TYPE1 PPS SO 17.0 TAPERLOC ZIMMER HIP 51-103170 | $10,000.00 |
| STEM 133 TYPE1 PPS SO 18.0 TAPERLOC ZIMMER HIP 51-103180 | $10,000.00 |
| STEM 133 TYPE1 PPS SO 9.0 TAPERLOC ZIMMER HIP 51-103090 | $10,000.00 |
| STEM FEM 102MM MOD 127D STRYKER HIP 6721-0330 | $8,000.00 |
| STEM FEM 105MM MOD 127D ACCOLADE | $8,000.00 |
| STEM FEM 105MM MOD II ACCOLADE | $8,000.00 |
| STEM FEM 108MM MOD II STRYKER HIP 6721-0535 | $8,000.00 |
| STEM FEM 111MM MOD 132D STRYKER HIP 6720-0635 | $8,000.00 |
| STEM FEM 114MM MOD 132D STRYKER HIP 6720-0737 | $8,000.00 |
| STEM FEM 117MM MOD 127D STRYKER HIP 6721-0837 | $8,000.00 |
| STEM FEM 120MM II V40 127DEG ACCOLADE STRYKER HIP 6721-0937 | $8,000.00 |
| STEM FEM 150MM 13MM PRFT ZIMMER HIP 11-300813 | $14,180.00 |
| STEM FEM 150MM 15MM MDLR REV ZIMMER HIP 11-300815 | $14,180.00 |
| STEM FEM 150MM TY 1 CMPLT ZIMMER HIP 51-103150 | $10,000.00 |
| STEM FEM 50MM 12MM CMNT TL STRYKER KNEE 5560-S-112 | $4,345.00 |
| STEM FEMORAL 11X140MM STANDARD OFFSET ZIMMER HIP 12-151311 | $4,000.00 |
| STEM FEMORAL 14X148MM STD PRIMARY POROUS COATED ZIMMER HIP 51-103140 | $10,000.00 |
| STEM FEMORAL 8X136MM TAPERLOC ZIMMER HIP 51-100080 | $10,000.00 |
| STEM FEMORAL HIP 5X130MM ZIMMER HIP 51-101050 | $10,000.00 |
| STEM FEMORAL HIP 7X129MM ECHO FX COBALT CHROME ZIMMER HIP 12-151307 | $5,760.00 |
| STEM FEMORAL HIP 9X130MM ECHO STD OFFSET COBALT CHROME ZIMMER HIP 12-151309 | $4,000.00 |
| STEM FEMORAL KNEE SZ 6 RIGHT POSTERIOR ATTUNE TRIAL DEPUY ORTHOPAEDICS INC 150410206 | $5,760.00 |
| STEM FEMORAL PPS 133 154MM HIP TAPERLOC ZIMMER HIP 51-104170 | $10,000.00 |
| STEM FEMORAL SZ8 STRYKER HIP 6720-0837 | $8,000.00 |
| STEM FEMORAL TAPER COMP PRIM ZIMMER HIP 51-103130 | $10,000.00 |
| STEM FEMORAL TAPERLOC 12X144MM BIOMET 51-103120 | $10,000.00 |
| STEM HUM 11MM REVRS CMPRH TI BIOMET 113631 | $23,596.00 |
| STEM HUM 12MM PRIM CMPRH MINI BIOMET JOINT ORTHOPEDICS 113632 | $16,000.00 |
| STEM HUM 83MM 13MM PRIM REVRS BIOMET 113633 | $16,000.00 |
| STEM HUM 8MM REVRS CMPRH TI BIOMET 113628 | $23,596.00 |
| STEM HUM 9MM REVRS CMPRH TI BIOMET 113629 | $23,596.00 |
| STEM HUMERAL 6MM 122MM ZIMMER SHOULDER 12-113556 | $10,000.00 |
| STEM MOLD W REINFORCEMENT 9X200 BIOMET JOINT ORTHOPEDICS 431195 | $4,416.00 |
| STEM PRESS FIT FEM HIP STRYKER HIP 6720-0535 | $8,000.00 |
| STEM STR DISTAL 16X115MM BULLET TIP WITH LOCKING SCREW ZIMMER HIP 11-301416 | $14,182.00 |
| STEM TALAR LARGE SZ1 10MM IN BONE SYS WRIGHT MEDICAL TECHNOLOGY 200347901 | $5,960.00 |
| STEM TIB 150MM 14.5MM PROX OSS ZIMMER KNEE 150450 | $9,085.00 |
| STEM TIB 40MM MXM KNEE PRIM ZIMMER KNEE 141314 | $4,000.00 |
| STEM TIB 80MM 22MM VANGUARD 360 ZIMMER KNEE 148312 | $6,817.00 |
| STEM TIBIAL BASE SZ 16 INBONE ANKLE SYSTEM WRIGHT MEDICAL TECHNOLOGY 200009901 | $2,991.00 |
| STEM TIBIAL MIDDLE 14MM INBONE ANKLE SYSTEM WRIGHT MEDICAL TECHNOLOGY 200010901 | $2,991.00 |
| STEM TIBIAL MODULAR RT 18MM WRIGHT MEDICAL TECHNOLOGY 200009902 | $3,164.00 |
| STEM TIBIAL MODULAR RT/LT 16MM WRIGHT MEDICAL TECHNOLOGY 200010902 | $2,904.00 |
| STEM TIBIAL TOP 14MM INBONE ANKLE SYSTEM WRIGHT MEDICAL TECHNOLOGY 200011901 | $2,991.00 |
| STEM TOP SECTION 16MM WRIGHT MEDICAL TECHNOLOGY 200011902 | $2,904.00 |
| Stenger Test Pure Tone | $144.00 |
| Stenger Test Speech | $2,038.00 |
| STENT BIL 10FR 5CM DDNL BEND | $698.00 |
| STENT BIL 10FR 9CM DDNL BEND | $698.00 |
| STENT BIL 7FR 7CM DDNL BEND | $698.00 |
| STENT BIL 7MM 6FR 60MM 80CM BARD PERIPHERAL VASCULAR INC ZBM07060 | $2,800.00 |
| STENT BILIARY 10X80MM WALLFEX PLATINOL RX | $6,894.00 |
| STENT BILIARY ESOPHAGEAL WALLFLEX 23/28MMX15CM BOSTON SCIENTIFIC CORP M00516750 | $9,000.00 |
| Stent each add. iliac vessel (+/- PTA) | $14,156.00 |
| Stent each add. tib/per vessel (+/- PTA) | $15,568.00 |
| Stent open/perc - addt'l artery | $9,961.00 |
| Stent open/perc - addt'l vein | $9,040.00 |
| Stent open/perc - initial artery | $45,694.00 |
| Stent open/perc - initial vein | $45,694.00 |
| Stent open/perc -additional artery | $9,961.00 |
| STENT PERCUFLEX 6X24 .038 WIRE BOSTON SCIENTIFIC CORP M006145361010 | $489.00 |
| STENT PERCUFLEX 6X26 .038 WIRE BOSTON SCIENTIFIC CORP M006145362010 | $489.00 |
| Stent Procedures All Inclusive -> Carotid stent placed w/embolic protection | $27,343.00 |
| Stent Procedures All Inclusive -> Carotid stent placed w/o embolic protection | $27,343.00 |
| Stent Procedures All Inclusive -> Common carotid/innominate stent | $27,343.00 |
| Stent Procedures All Inclusive -> Stent ext vert/inthor carotid add. | $11,631.00 |
| Stent Procedures All Inclusive -> Stent ext vert/inthor carotid initial | $11,631.00 |
| STENT URET 4.7FR 22-32CM 2 BARD EP-MEDICAL-UROLOGICAL 778400 | $398.00 |
| STENT URET 6FR 22-32CM 2 PGTL BARD EP-MEDICAL-UROLOGICAL 778600 | $398.00 |
| STENT URET 6FR 24CM 2 PGTL CRV BARD EP-MEDICAL-UROLOGICAL 090624SL | $398.00 |
| STENT URET 6FR 24CM 2 PGTL CRV BARD EP-MEDICAL-UROLOGICAL 778624 | $398.00 |
| STENT URET 6FR 26CM 2 PGTL CRV BARD EP-MEDICAL-UROLOGICAL 090626SL | $398.00 |
| STENT URET 7FR 90CM LUB GW BARD EP-MEDICAL-UROLOGICAL 089007 | $398.00 |
| STENT URET 8FR 22-32CM 2 PGTL BARD EP-MEDICAL-UROLOGICAL 778800 | $398.00 |
| STENT URET 8FR 24CM 2 PGTL CRV BARD EP-MEDICAL-UROLOGICAL 778824 | $398.00 |
| STENT URET 8FR 26CM 2 PGTL CRV BARD EP-MEDICAL-UROLOGICAL 778826 | $398.00 |
| STENT URET INLAY 2 PGTL 6FRX26 BARD EP-MEDICAL-UROLOGICAL 778626 | $398.00 |
| STENT URETERAL 6FR 22/32CM INLAY BARD BARD EP-MEDICAL-UROLOGICAL 777600 | $489.00 |
| STENT VASC 6MM 6FR 120MM 125CM COOK MEDICAL INC G38482 | $7,980.00 |
| STENT VASC 6MM 6FR 40MM 125CM COOK MEDICAL INC G38463 | $4,700.00 |
| Stent Viabahn stent Heparin coated 10 cm | $12,780.00 |
| Stent Viabahn stent Heparin coated 15 cm | $14,780.00 |
| Stent Viabahn stent Heparin coated 5 cm | $11,180.00 |
| Stent w/ather ea add tib/per vessel (+/-PTA) | $25,504.00 |
| Stent, Rebel | $2,200.00 |
| Stent, Veriflex | $2,480.00 |
| Stent, Xience | $4,000.00 |
| Stereo Bx/Asp/Exc Intrcr Les | $3,219.00 |
| Stereotactic Proc;Cranial, Extradural | $3,768.00 |
| Stereotactic Proc;Cranial, Intradural | $4,495.00 |
| Stereotactic Radiosurgery | $34,224.00 |
| Steri Strips | $103.00 |
| Sternal Debridement | $2,683.00 |
| Sternoclavicular Jts | $294.00 |
| Sternum | $294.00 |
| Stero Lesion (Trig, Othr) | $7,304.00 |
| Stero Trig Med Tract | $7,304.00 |
| STIMULAN RAPID CURE KIT 10CC BIOCOMPOSITES 620-010 | $5,744.00 |
| STIMULAN RAPID CURE KIT 5CC BIOCOMPOSITES 620-005 | $4,600.00 |
| STIMULATOR 2X12 IPG FOR SPINAL CORD STIM ALGOVITA | $72,000.00 |
| Stockingette 10 inch | $103.00 |
| Stockingette 12 inch | $103.00 |
| Stockingette 2 inch | $71.00 |
| Stockingette 3 inch | $71.00 |
| Stockingette 4 inch | $72.00 |
| Stockingette 6 inch | $76.00 |
| Stone Analysis -Quest | $68.00 |
| STPLR INTNL 30MMX2.5MM TI VASC ETHICON ENDO-SURGERY INC TX30V | $394.00 |
| STPLR INTNL 30MMX3.5MM TI REG ETHICON ENDO-SURGERY INC TX30B | $347.00 |
| STPLR INTNL 30MMX4.8MM TI THCK ETHICON ENDO-SURGERY INC TX30G | $347.00 |
| STPLR INTNL 320MM VASC TISS ETHICON ENDO-SURGERY INC PVE35A | $1,096.02 |
| STPLR INTNL 5.5MM CRV CRC DUPLICATE ITEM USE 220625 ETHICON ENDO-SURGERY INC ECS33A | $1,351.00 |
| STPLR INTNL 5.5MM CRV CRC ETHICON ENDO-SURGERY INC ECS29A | $1,351.00 |
| STPLR INTNL 55MMX4.5MM TI THCK ETHICON ENDO-SURGERY INC TCT55 | $347.00 |
| STPLR INTNL 60MMX4.8MM TI THCK ETHICON ENDO-SURGERY INC TX60G | $347.00 |
| Strab Sur >2 Vertical Muscle | $8,115.00 |
| Strab Sur One Horizon Muscle | $8,566.00 |
| Strab Sur One Superior Oblique | $8,115.00 |
| Strab Sur One Vertical Muscle | $8,566.00 |
| Strab Sur Two Horizon Muscle | $14,060.00 |
| Straight Urinary Catheter | $146.00 |
| STRAP ARTHROSCOPY DISTRACTOR ANKLE ARTHREX INC AR-1712 | $180.00 |
| STRAP GUHL ANKLE DISTRACTOR SMITH&NEPHEW SMITH & NEPHEW ENDOSCOPY 014407 | $125.00 |
| Strapping Hip | $250.00 |
| Strapping Shoulder | $503.00 |
| STRAPPING TOES | $269.00 |
| Strapping Unna Boot | $636.00 |
| Stratify JCV Ab w/index w/Inhib-Quest | $3,475.00 |
| Strawberry (f44) IgE -Quest | $28.00 |
| Strep A latex | $27.00 |
| Strep A latex | $27.00 |
| Strep B latex | $27.00 |
| Strep B latex | $27.00 |
| Strep C latex | $27.00 |
| Strep C latex | $27.00 |
| Strep D latex | $27.00 |
| Strep D latex | $27.00 |
| Strep F latex | $27.00 |
| Strep F latex | $27.00 |
| Strep G latex | $27.00 |
| Strep G latex | $27.00 |
| Strep Group B PCR. | $185.00 |
| Strep Pneumo IgG Serotype, Addtl | $79.00 |
| Strep Pneumo Serotype, Additional | $79.00 |
| STREP TEST GROUP A POC | $69.00 |
| Streptococcus Grp B Ag Latex Agglut -Quest | $35.00 |
| Streptococcus Pneumo Ab IgG (14 Serotypes) -Quest | $79.00 |
| Streptococcus Pneumo Ab IgG (23 Serotypes) -Quest | $79.00 |
| Streptococcus Pneumo Ag Detect LA -Quest | $55.00 |
| Streptococcus Pneumonia Antigen -> Negative | $63.00 |
| Streptococcus Pneumonia Antigen -> Positive | $63.00 |
| Streptozyme. | $55.00 |
| Stress ECHO | $2,351.00 |
| Stress Tte Complete | $2,227.00 |
| Striated Muscle Ab Screen (QST) | $46.00 |
| Striated Muscle Ab Screen (QST) | $82.00 |
| Striated Muscle Ab Screen (QST) | $64.00 |
| Striated Muscle Ab Screen (QST) | $64.00 |
| Striated Muscle Ab Titer (QST) | $64.00 |
| Striated Muscle Ab Titer (QST) | $56.00 |
| Striated Muscle Ab Titer (QST) | $56.00 |
| Striated Muscle Ab w/Refl Titer -Quest | $64.00 |
| Strongyloides Ab IgG -Quest | $69.00 |
| Structural Heart Procedures -> ASD/PFO Closure | $72,562.00 |
| Structural Heart Procedures2 -> CPB (open central access) | $11,362.00 |
| Structural Heart Procedures2 -> CPB (open) | $10,628.00 |
| Structural Heart Procedures2 -> CPB (percutaneous) | $8,616.00 |
| Structural Heart Procedures2 -> LAAC | $25,469.00 |
| Structural Heart Procedures2 -> TAVR (open femoral) | $36,462.00 |
| Structural Heart Procedures2 -> TAVR (percutaneous) | $16,755.00 |
| Structural Heart Procedures2 -> TAVR (transaortic) | $20,528.00 |
| Structural Heart Procedures2 -> TAVR (transapical) | $21,340.00 |
| Structural Heart Procedures2 -> TAVR (transaxillary) | $20,038.00 |
| STRUT CORT 1.5CMX15CM TISSUENET - ALLOGRFT TISS SPEC FD65615 | $2,100.00 |
| Stump Elongation, Upper Extremity | $25,517.00 |
| SUB BNGRFT VITOSS BTCP CLGN EA1 | $1,760.00 |
| SUB BNGRFT VITOSS BTCP CLGN STRYKER ORTHOPEDICS 2102-1401 | $1,041.00 |
| SUB BONE GRAFT SCP 11GA 120MM KNEE KIT SIDE DELIVERY | $14,000.00 |
| Sub Resect Turbinate Part/Comp | $10,544.00 |
| Subcision | $834.00 |
| Subclavian Catheter | $328.00 |
| Subconjunctival Injection | $477.00 |
| Subcut Inj Filling Material <= 1 cc | $790.00 |
| Subcut Inj Filling Material >10Cc | $1,406.00 |
| Subcut Inj Filling Material 1.1-5Cc | $2,162.00 |
| Subcut Inj Filling Material 5.1-10Cc | $2,162.00 |
| Subcut Insert Stim Receiver | $83,753.00 |
| Subcut Placement Nrostim Rcvr | $130,894.00 |
| Subdural Tap Font Infant Un/Bi | $2,681.00 |
| Submucosal Ablation Tongue | $9,990.00 |
| SubQ ICD -> BS Emblem S ICD | $39,980.00 |
| SubQ ICD -> BS Emblem S ICD Primary | $76,000.00 |
| SubQ ICD -> BS Emblem SICD Lead | $16,000.00 |
| Suct Assist Lipectomy Head And Neck | $12,384.00 |
| Suct Assist Lipectomy Low Extrem | $12,384.00 |
| Suct Assist Lipectomy Trunk | $12,384.00 |
| Suct Assist Lipectomy Upper Extremity | $6,935.00 |
| Suction and Liner Tube | $311.00 |
| Suction Catheter | $421.00 |
| Suction Catheter, Argyle | $60.00 |
| Suction Catheter, Delee | $76.00 |
| Suction Kit | $95.00 |
| Sulfate, 24Hr Ur | $25.00 |
| Sunflower Seed (k84) IgE-Quest | $23.00 |
| Supera Peripheral Stent System | $6,000.00 |
| Superficial Derabrasion | $790.00 |
| Superficial Derabrasion | $1,406.00 |
| Supr Hyster W/Wo Rem Tube/Ovary | $1,604.00 |
| Sur Pterygomax Fossa Con Tran | $19,807.00 |
| Surg Prep Of Recip Site Face,Scalp | $2,282.00 |
| Surg Prep Of Recip Site First 100 | $6,935.00 |
| Surgical Shoe | $187.00 |
| Surpraglottoplasty | $923.00 |
| Susceptibility | $35.00 |
| SUT 9-0 PROLENE TG140-8 6IN ETHICON INC 1754G | $635.00 |
| Sut Collat Lig Ankle 2Ndry Rep | $26,935.00 |
| Sut Collat Lig Ankle Prim Both | $25,517.00 |
| Sut Collat Lig Ankle Primary | $26,935.00 |
| SUT EBND EXC 2-0 V-5 30IN 2 | $169.00 |
| SUT EBND EXC 2-0 V-5 30IN 2 ETHICON INC SXP52 | $265.00 |
| SUT EBND EXC THK1.5MM 2-0 V-7 ETHICON INC SXP77 | $265.32 |
| SUT ETHIBOND 2-0 V-5 10X52 MP | $169.00 |
| SUT ETHIBOND 2-0 V-7 10X72 DA GNWH 30IN ETHICON INC 10X72 | $169.00 |
| SUT FBSTK TIGERSTICK 2 50IN 1 ARTHREX INC AR-7209 | $160.00 |
| SUT GORTEX CV-5 TTC-13 5N02A DA WH 36IN | $1,043.00 |
| SUT GRTX CV-6 TH-18 36IN 2 ARM PK1/BX12 | $102.00 |
| SUT GUT CHROMIC 0 18IN 12PK ETHICON | $1,043.00 |
| SUT GUT CHROMIC 2-0 18IN 12PK ETHICON | $1,043.00 |
| SUT MERSILENE 5 CTX RS22 DA WH 12IN ETHICON INC RS22 | $102.00 |
| Sut Nerve Facial Intrtempular W/Wo Graft | $19,807.00 |
| SUT NONABSB 36X1.5IN FIBERLK ARTHREX INC AR-7258 | $265.00 |
| SUT PDS II 0 EZ10G VIO 18IN ENDOLOOP ETHICON INC EZ10G | $169.00 |
| Sut Perfor Wound Cornea/Sclera | $16,298.00 |
| SUT POLYPRO BL MONO 3-0 V-7 NDLS36IN CV ETHICON | $1,043.00 |
| SUT PRLN 6-0 C-1 18IN 2 ARM PK1/BX12 ETHICON INC M8718 | $135.00 |
| SUT PRLN 7-0 BV-1 18IN 2 ARM PK1/BX12 ETHICON INC M8701 | $169.00 |
| SUT PRLN 8-0 BV175-6 24IN 2 | $169.00 |
| SUT PROLENE 6-0 C-1 M8726 MP BLU 24IN ETHICON INC M8726 | $135.00 |
| SUT PROLENE 7-0 BV-1 M8702 DA MP BLU 24IN ETHICON INC M8702 | $169.00 |
| Sut Quadcep/Hamstrg Muscle Rupture Primary | $26,935.00 |
| Sut Rec Wound Eyelid Full Thic | $8,115.00 |
| SUT SS 7 18IN NABSRB JOHNSON & JOHNSON D10135 | $635.00 |
| SUT STEEL MONO 6 V-40 NDL 19G 18IN4PK CV ETHIC | $635.00 |
| Sut Tongue To Lip Micrognathia | $9,990.00 |
| SUT VCL 0 UR-6 36IN BRD UD ABS ETHICON INC D9706 | $135.00 |
| SUT VLOC 18IN ABS 21G COVIDIEN VLOCN0327 | $102.00 |
| SUT V-LOC 90 UD 18 GS-21 COVIDIEN VLOCM3225 | $102.00 |
| Sut/Quaricep/H/S Musc Rup | $25,517.00 |
| Sutr Infrapat Tend Second Recon | $25,517.00 |
| Sutur Infrapatellar Tendon Primary | $25,517.00 |
| SUTURE ANCH GRAV 2.7MM PEEK | $1,080.00 |
| SUTURE ANCH LOCK PEEK PUSH | $1,447.00 |
| SUTURE BANANA ROTATOR CUFF LASSO SUTURE BANANA ARTHREX INC AR-4065B | $550.00 |
| SUTURE CHROMIC 1 ETHICON INC 48G | $265.32 |
| Suture Conjunctiva Indep Proc | $8,115.00 |
| SUTURE FIBERLOOP WH/BL ARTHREX INC AR-7534 | $280.00 |
| SUTURE FIBERTAK ANCHOR FW | $1,447.00 |
| Suture Iris Ciliary | $8,583.00 |
| SUTURE LASSO 25 LEFT ARTHREX INC AR-4068-25TL | $550.00 |
| SUTURE LASSO 25 RIGHT ARTHREX INC AR-4068-25TR | $550.00 |
| SUTURE LASSO 90 ARTHREX INC AR-4068-90 | $550.00 |
| Suture Lid Part Thick | $8,115.00 |
| SUTURE NABSB TIGRLNK 1.5X36IN ARTHREX INC AR-7258T | $265.00 |
| SUTURE NONABSORB 1.5MM 36IN WH LABRALTAPE ARTHREX INC AR-7276 | $265.00 |
| SUTURE NONABSORBABLE FIBERLOOP ARTHREX INC AR-7234C | $194.00 |
| Suture of facial nerve; infratemporal, with or without grafting | $20,442.00 |
| Suture Plcmnet Amniotic Membrane | $13,320.00 |
| SUTURE POLYGLAC VIO CT BR 4-0 RB-1 NDL 27IN URL ETHICON | $194.00 |
| SUTURE REMOVAL KIT | $42.00 |
| Suture Removal Kit | $71.00 |
| SUTURE SURGIDAC 0 48IN 12BX GN ENDO STITCH SURGIDAC 0 ES 9 US SURGICAL 173024 | $215.00 |
| SUTURE SURGIDAC 2-0 48IN 12BX US SURGICAL 173023 | $215.00 |
| SUTURE SYNETURE V-LOC GS-21 MEDTRONIC INC VLOCN0347 | $102.00 |
| Suture Tendon Rup Achil W Grft | $25,517.00 |
| Suture Tendon Rup Achilles | $12,397.00 |
| Suture Tray | $228.00 |
| Suture Wound/Injury Pharynx | $5,727.00 |
| Suture/Repair Testicular Injur | $7,789.00 |
| SUTURETAK MINI BIO-COMP W NEEDLES ARTHREX INC AR-1322BCNF | $1,447.00 |
| Swan- Ganz and introducer | $824.00 |
| Swan Ganz Catheter | $5,168.00 |
| Swan-Ganz catheter | $282.00 |
| Swan-Ganz Catheter Complete | $2,010.00 |
| Sycamore (t11) IgE -Quest | $28.00 |
| Symblepharon Repair Wo Graft | $8,583.00 |
| Sympathectom Digit Arteri,Ea Digit | $7,304.00 |
| Sympathectomy; Radial Art | $11,745.00 |
| Sympathectomy; Superficia | $11,745.00 |
| Sympathectomy; Ulnar Arte | $11,745.00 |
| SYNDESMOSIS KNTLS TGHTRP XP ARTHREX INC FOOT AND ANKLE AR-8925SS | $5,980.00 |
| Synovec,Tend Sheath Foot | $12,397.00 |
| Synovectomy Carpometacarp Jnt | $11,745.00 |
| Synovectomy Ext Wrist | $5,880.00 |
| Synovectomy Int Or Tarsometat | $11,745.00 |
| Synovectomy Metacarpophal Jnt | $11,745.00 |
| Synovectomy Metatarsoph Joint | $11,745.00 |
| Synovectomy Wrist W Res Dis Ul | $11,745.00 |
| Synth Cannabinoids Scr w/Conf Urine -Quest | $307.00 |
| SYR IRR 4K ATO REFL UNV CONN BARD EP-MEDICAL-UROLOGICAL 160130 | $112.00 |
| SYRINGE 10ML BIOGLUE CRYOLIFE INC BG3510-5-US | $3,708.00 |
| SYRINGE CANNULA WITH STOPCOCK SPINEOLOGY 315-0005 | $246.00 |
| SYRINGE INFLATION MEDTRON SPINAL AND BIOLOGICS A08A | $367.00 |
| SYS 1.75IN SMPLS SU RTRCT BARD DAVOL INC 0067700 | $144.00 |
| SYS BIO COMP ACHILLES MID SUB ARTHREX INC AR-8929BC-CP | $3,900.00 |
| SYS BONE CMNT GRY MXVC3 UNV HI | $304.00 |
| SYS BONE CMNT MX KIT BRKWY NOZ STRYKER CORP 0606-563-000 | $304.00 |
| SYS PREVENA INCISION MGMT 13CM KINETIC CONCEPTS INC PRE1101US.S | $1,980.00 |
| SYS STRTC AXIEM PNTR TRCR MEDTRON SURGICAL TECH 9733367 | $2,033.00 |
| SYS VN DSTN GRFT TNL EA1 MAQUET CARDIOVASCULAR 26050 | $518.00 |
| SYS VN HRVT VSVW HEMOPRO 2 MAQUET CARDIOVASCULAR VH-4001 | $6,340.00 |
| SYSTEM CHARGING IPG PROTEGE ST JUDE CARDIAC RHYTHM MGMT 3730 | $14,360.00 |
| SYSTEM COMPACT CEMENT MIXING ZIMMER HOLDINGS INC 00504903501 | $304.00 |
| SYSTEM DELIVERY CURVED NEEDLE FAST FIX 360 SMITH & NEPHEW PLC 72202468 | $1,772.00 |
| SYSTEM DELIVERY STR NEEDLE SMITH & NEPHEW ENDOSCOPY 72202467 | $1,772.00 |
| SYSTEM DRNG MONITORING EXTERNAL DRAINAGE & MONITORING MEDTRONIC INC 46128 | $851.00 |
| SYSTEM FIXATION ACL ARTHREX INC AR-1593 | $2,172.00 |
| SYSTEM IMPLANT BIO-COM ACHILLES ARTHREX INC AR-8928BC-CP | $6,960.00 |
| SYSTEM IMPLANT KNEE LIGAMENT AUGMENTATION REPAIR ARTHREX INC AR-5511-CP | $4,780.00 |
| SYSTEM IMPLANT MINI SCORPION COMPLETE PLANTAR PLATE REPAIR ARTHREX INC AR-8690DS | $3,834.00 |
| SYSTEM IMPLANT MPFL BIOCOMPOSI ARTHREX INC AR-1360C-CP | $5,948.00 |
| SYSTEM MARS 3V ILLUMINATION GLOBUS MEDICAL INC 698.605S | $8,044.00 |
| SYSTEM PATIENT IPG CHARGING SC-6412-3 BOSTON SCIENTIFIC CORP M365SC641230 | $14,360.00 |
| SYSTEM SPINAL CORD STIM 1X12 ALGOVITA NUVECTRA CORP 5212-60 | $4,780.00 |
| SYSTEM SPINE TRUSS POSTERIOR 9W X 26L X 8H | $10,136.00 |
| SYSTEM SPINE TRUSS POSTERIOR 9W X 26L X 9H | $10,136.00 |
| SYSTEM VALVE INTUITY 19MM EDWARDS LIFESCIENCES CORP 8300KITB19A | $48,000.00 |
| SYSTEM VALVE INTUITY 21MM EDWARDS LIFESCIENCES CORP 8300KITB21A | $48,000.00 |
| SYSTEM VALVE INTUITY 23MM EDWARDS LIFESCIENCES CORP 8300KITB23A | $48,000.00 |
| SYSTEM VALVE INTUITY 25MM EDWARDS LIFESCIENCES CORP 8300KITB25A | $48,000.00 |
| SYSTEM VALVE INTUITY 27MM EDWARDS LIFESCIENCES CORP 8300KITB27A | $48,000.00 |
| T & A Tray | $181.00 |
| T. Candidus (QST) | $54.00 |
| T. Candidus (QST) | $68.00 |
| T. Sacchari (QST) | $54.00 |
| T. Vulgaris (QST) | $54.00 |
| T. Vulgaris (QST) | $68.00 |
| T3 Reverse, LC/MS/MS -Quest | $83.00 |
| T3 Total. | $75.00 |
| T3 Uptake -Quest | $34.00 |
| T3, Free -Quest | $89.00 |
| T4, Free, Direct Dialysis -Quest | $48.00 |
| TACK PLATE WRIGHT MEDICAL TECHNOLOGY 40250010 | $560.00 |
| Tacrolimus, High Sens, LC/MS/MS -Quest | $72.00 |
| Talectomy (Astragalectomy) | $11,745.00 |
| TALUS FX (CLOSED) | $1,064.00 |
| TAMP 10CM 10GA DLVRY CANN SURG SYNTHES TRAUMA 03.702.401.97S | $263.00 |
| TAMP SURG 10CM 10GA SYNTHES TRAUMA 03.702.401.97S | $263.00 |
| Tangntl Biopsy Skin Single Les | $790.00 |
| Tansfer Hamsrings To Femur | $25,517.00 |
| TAP 7MM DUAL CORE SCREW SYNTHES SPINE 03.632.107 | $1,596.00 |
| TAP 7MM DUAL CORE SCREW SYNTHES SPINE 04.632.840 | $2,061.00 |
| TAP CANN SURG 4.5 MM SCRW ARTHREX INC AR-8956C-45T | $660.00 |
| TAP DUAL LEAD 5MM DEPUY SPINE INC 279702500 | $1,102.00 |
| TAP DUAL LEAD 6MM DEPUY SPINE INC 279702600 | $1,102.00 |
| TAP FOR 4MM DUAL CORE SCREW SYNTHES SPINE 03.632.104 | $1,596.00 |
| TAP FOR 5MM SCREW SYNTHES SPINE 03.632.105 | $1,596.00 |
| TAP FOR 6MM SCREW SYNTHES SPINE 03.632.106 | $1,596.00 |
| TAP SCREW CANC 4X111/46MM SYNTHES TRAUMA 311.34 | $430.00 |
| TAP SCREW CANC 6.5X197/150MM SYNTHES TRAUMA 311.66 | $969.00 |
| TAP SCREW CANNLTD 4X147MM SYNTHES TRAUMA 311.63 | $1,696.44 |
| TAP SCREW CORTEX 2.7X100/34MM SYNTHES TRAUMA 311.26 | $430.00 |
| TAP SCREW CORTEX GD 3.5X110MM SYNTHES TRAUMA 311.32 | $430.00 |
| Tape, Fiberglass Cast 2 inch | $149.00 |
| Tape, Fiberglass Cast 3 inch | $155.00 |
| Tape, Fiberglass Cast 4 inch | $199.00 |
| Tape, Fiberglass Cast 5 inch | $222.00 |
| TAPE/WRAP/SLING ANKLE | $636.00 |
| TAPE/WRAP/SLING SHOULDER | $503.00 |
| TAPE/WRP/SLNG HAND/FINGER | $152.00 |
| Taped visual field Level I | $77.00 |
| Taped visual field Level II | $1,170.00 |
| Tarragon (f272) IgE-Quest | $23.00 |
| TARSAL BONE FX EACH | $1,023.00 |
| Tarsal Tunnel Release | $7,710.00 |
| Tarsorrhaphy Cons Inter Adhes | $8,115.00 |
| Tarsorrhaphy W Transposition | $8,115.00 |
| Tattoo Cor Col Def 6.0sq cm Or Less | $2,162.00 |
| Tattooing Color Def6.1-20 Provider | $2,162.00 |
| TB INTRADERMAL PPD | $81.00 |
| TB LARYNCTMY UNCUF 8 7.6MM COVIDIEN 8LGT | $156.00 |
| TBG (Thyroxine Binding Globulin) -Quest | $78.00 |
| TBG IRR AHTO LGHTWT LTXFR DISP EA1/CA6 | $180.00 |
| TBII (Thyrotropin Binding Inhibit Immuno) -Quest | $87.00 |
| Tcd Monitoring W/ Inject | $504.00 |
| Tcd Monitoring W/O Inject | $504.00 |
| T-cell Receptor Beta Gene Rearrange-QST | $861.00 |
| Tegaderm | $71.00 |
| Telfa | $56.00 |
| Temp Clsr/Eyelids By Suture | $3,614.00 |
| TEMPLATE BENDING 37 HOLES SYNTHES CMF 329.40.98 | $171.00 |
| TEMPLATE BENDING PLATE 22H 3.5 SYNTHES TRAUMA 329.64 | $318.00 |
| Temple Bone Implant Revision | $25,517.00 |
| Temporamandibular Closed Reduction | $725.00 |
| Temporamandibular Comp Open Re | $9,990.00 |
| Temporary pacing | $34,990.00 |
| TEMPORARY TRANSCUT PACING | $2,488.00 |
| Temporomandibular Dislocation; Complicated | $5,727.00 |
| Tend Sheath Inc Rad Styld | $6,207.00 |
| Tendon Graft From A Distance | $25,517.00 |
| TENDON LATERAL ANKLE PRESUTURE LIFENET FPSST | $5,316.00 |
| Tendon Length Flexor Sing Each | $11,745.00 |
| Tendon Lengthening Single Each | $11,745.00 |
| Tendon Puley Recon- Struction | $25,517.00 |
| Tendon Pulley Rec W/Graft | $11,745.00 |
| Tendon Sheath Inc For Trigger Finger | $6,207.00 |
| Tendon Shorten Exten Sing Each | $11,745.00 |
| Tendon Trans/Restr Intrin | $11,745.00 |
| Tendon Transfer Flex/Exten | $11,745.00 |
| Tendon Transfer W Grf Ea Tend | $11,745.00 |
| Tendon Transfer/ 4 Fingers | $11,745.00 |
| Teno Op Flex/Ext Endon For Wrist | $11,745.00 |
| Tenodesis At Wrist-Extens | $11,745.00 |
| Tenodesis Bicep At Elbow | $25,517.00 |
| Tenodesis Interphalangeal | $11,745.00 |
| Tenodesis Rupt Long Biceps Tendon | $26,935.00 |
| Tenodesis Wrist Flex Of Finger | $11,745.00 |
| Tenolysis Finger Complex | $11,745.00 |
| Tenolysis Finger Single | $11,745.00 |
| Tenolysis Flex Ext Tend Each | $11,745.00 |
| Tenolysis Foot Extensor Multi | $11,745.00 |
| Tenolysis Foot Extensor Single | $11,745.00 |
| Tenolysis Foot Flexor Single | $5,880.00 |
| Tenolysis Palm & Finger | $11,745.00 |
| Tenolysis Palm Single | $5,880.00 |
| Tenolysis Single | $11,745.00 |
| Tenolysis, Triceps | $11,745.00 |
| Tenolysis/Tib/Fib Ank Fle | $11,745.00 |
| Tenosynovectomy Flexor Single | $6,207.00 |
| Tenotomy Abductors Hip Open | $11,745.00 |
| Tenotomy Achilles Gen Anes | $12,397.00 |
| Tenotomy Achilles Local Anes | $5,880.00 |
| Tenotomy Adductor Closed | $5,880.00 |
| Tenotomy Adductor Open | $11,745.00 |
| Tenotomy Adductor Sub Open W Obtur Neurec | $25,517.00 |
| Tenotomy Elbow To Shoulder | $12,397.00 |
| Tenotomy Elbow W/Debridement, Open | $11,745.00 |
| Tenotomy Elbow W/Debridement, Open | $11,745.00 |
| Tenotomy Extensor Foot Or Toe | $5,880.00 |
| Tenotomy Extensor Hand/Finger | $5,880.00 |
| Tenotomy Flexor Finger Single | $5,880.00 |
| Tenotomy Flexor Palm Open Sing | $11,745.00 |
| Tenotomy Flexor Toe Single | $6,207.00 |
| Tenotomy Op Hamst Kn/Hip Mu Bi | $11,745.00 |
| Tenotomy Op Hamstr Kn/Hip Mult | $11,745.00 |
| Tenotomy Op Hamstr Kn/Hip Sing | $11,745.00 |
| Tenotomy Open Flexor Foot Single/Multip | $5,880.00 |
| Tenotomy Release Abductor Hallucis Musc | $11,745.00 |
| Tenotomy Shoulder Area Multiple Tendons | $11,745.00 |
| Tenotomy Shoulder Area Single Tendon | $25,517.00 |
| Tenotomy Sub Cl Add Hamst Sing | $11,745.00 |
| Tenotomy Sub Closed Adductor Hamst Multi | $11,745.00 |
| Tenotomy Toe Subcutan Mult | $5,880.00 |
| Tenotomy Toe Subcutan Single | $6,207.00 |
| Tensilon Test | $1,130.00 |
| Terumo T600 Transfer Bag | $110.00 |
| Test Autonmc Nervs Ansar | $609.00 |
| Test Autonmc Nervs Qsart | $477.00 |
| Test Autonmc Nervs Vm | $477.00 |
| Testosterone, Free -Quest | $134.00 |
| Testosterone, Total, LC/MS/MS (QST) | $136.00 |
| Testosterone, Total, LC/MS/MS (QST) | $136.00 |
| Testosterone, Total, LC/MS/MS -Quest | $136.00 |
| TestosteroneTotal, Adult Male IA-QST | $136.00 |
| Tetanus Antitoxoid -Quest | $78.00 |
| T-Extension Set | $42.00 |
| Thallium, Blood -Quest | $79.00 |
| Thawed Aph Plasma ACDA | $338.00 |
| Thawed Aph Plasma ACDA <200 mL | $338.00 |
| Thawed Aph Plasma ACDA >600 mL | $338.00 |
| Thawed Aph Plasma ACDA 1 | $338.00 |
| Thawed Aph Plasma ACDA 2 | $338.00 |
| Thawed Aph Plasma ACDA 200-400 mL | $338.00 |
| Thawed Aph Plasma ACDA 400-600 mL | $338.00 |
| Thawed Aph Plasma CP2D | $338.00 |
| Thawed Aph Plasma CP2D 200-400 mL | $338.00 |
| Thawed Aph Plasma CP2D 400-600 mL | $338.00 |
| Thawed Aph Plasma NaCit 200-400 mL | $338.00 |
| Thawed Aph Plasma NaCit 400-600 mL | $338.00 |
| Thawed Aph Plasma NaCitrate | $338.00 |
| Thawed Aph Plasma NaCitrate <200mL | $338.00 |
| Thawed Aph Plasma NaCitrate >600mL | $338.00 |
| Thawed Plasma CP2D | $338.00 |
| Thawed Plasma CPD | $338.00 |
| Thawed Plasma CPD <24h | $362.00 |
| Thawed Plasma CPDA1 | $338.00 |
| Thawed Pooled Cryo | $233.00 |
| Thawed Pooled Cryo | $233.00 |
| Thawed Pooled Cryo | $233.00 |
| Thawed Pooled Cryo Open | $233.00 |
| Thawed Pooled Cryo Open | $233.00 |
| THC Screen Urine. | $307.00 |
| Thenar Muscle Rel Thumb Contr | $11,745.00 |
| Theophylline Level. | $75.00 |
| THER IV PUSH EA ADDL SEQ | $179.00 |
| THER IV PUSH EA ADDL SEQ DRUG ( | $179.00 |
| Ther Phleb. | $503.00 |
| Thera Aphresis Selective | $17,561.00 |
| THERA/DIAG INJ SUBCU/IM | $282.00 |
| THERA/DIAG INJ SUBCU/IM ( | $282.00 |
| THERA/DIAG INJECTION IV | $885.00 |
| Therapeutic Mask CPAP Charge -> Initial charge | $278.00 |
| Therapeutic Pulpotomy | $226.00 |
| Therapist Activity RT -> Code Blue | $1,192.00 |
| Therapist Activity RT -> Labor & Delivery | $154.00 |
| Therapist Activity RT -> Surfactant Administration | $905.00 |
| THIN PREP PAP DIAGNOSTIC (TECH) | $107.00 |
| THIN PREP PAP SCREENING (TECH) | $107.00 |
| Thiopurine Metabolites -Quest | $498.00 |
| Thiopurine Metabolites-Prometheus. | $114.00 |
| Thoracentesis W/O Imaging Guidance | $2,930.00 |
| THORACENTESIS WITH GUIDAN | $2,930.00 |
| Thoracentesis With Imaging Guidance | $2,930.00 |
| Thoracic Aortic Aneurysm | $5,621.00 |
| Thoracic Endovascular -> Endovasc repair descending thoracic with sub | $11,088.00 |
| Thoracic Endovascular -> Endovasc repair descending thoracic with sub | $1,613.00 |
| Thoracic Endovascular -> Endovasc repair descending thoracic w/o sub | $8,694.00 |
| Thoracic Endovascular -> Endovasc repair descending thoracic w/o sub | $1,531.00 |
| Thoracic Endovascular -> Placement additional prox. Extension | $2,174.00 |
| Thoracic Endovascular -> Placement distal extension (separate procedure) | $6,521.00 |
| Thoracic Endovascular -> Placement distal extension (separate procedure) | $1,487.00 |
| Thoracic Endovascular -> Placement initial prox. Extension | $2,174.00 |
| Thoracic Lymphaden Region | $2,133.00 |
| Thoracoscopy Lymph Node Exc | $2,212.00 |
| Thoracoscopy W/Bx Infiltrate | $21,719.00 |
| Thoracoscopy W/Bx Nodule | $21,719.00 |
| Thoracoscopy W/Bx Pleura | $20,576.00 |
| Thoracoscopy, Diagnostic | $20,576.00 |
| Thoracoscopy, Diagnostic | $20,576.00 |
| Thoracoscopy, Surgical | $3,053.00 |
| Thoracoscopy, Surgical | $1,605.00 |
| Thoracoscopy, Surgical | $4,347.00 |
| Thoracoscopy, Surgical | $6,740.00 |
| Thoracostomy Tube | $5,168.00 |
| Thoracotomy Control Hemorrhag | $2,462.00 |
| Thoracotomy Tray | $991.00 |
| Thoracotomy W Cardc Massage | $1,603.00 |
| Thoracotomy W Exc- Plica Bullae | $301.00 |
| THORACOTOMY W/CARDI MASSG | $1,603.00 |
| THORACOTOMY WITH EXPLORAT | $1,603.00 |
| Thoracotomy With Exploratation | $1,603.00 |
| THORACOTOMY;CONTRL HEMORR | $2,462.00 |
| Thorocentesis Disposable Tray | $265.00 |
| Thorotracheal Tray | $328.00 |
| Thromb Arter W/O Revision | $19,594.00 |
| Thromb Axil & Subcl Ve Arm Inc | $11,826.00 |
| Thromb Vena Cava Iliac Fem Leg | $11,826.00 |
| Thrombectomy / Embolectomy -> Procedure arterial/graft initial | $22,110.00 |
| Thrombectomy / Embolectomy -> Procedure venous follow-up | $12,483.00 |
| Thrombectomy / Embolectomy -> Procedure venous initial | $22,110.00 |
| Thrombectomy -> Percut Coronary thrombectomy | $12,678.00 |
| Thrombectomy cleaner device | $1,817.00 |
| Thrombectomy Rep Art Venous Graft | $19,594.00 |
| Thrombectomy Subcl Ve Neck Inc | $2,776.00 |
| Thrombectomy W/Rev Of Grf | $20,682.00 |
| Thromben Tib/Pero Int Ves | $435.00 |
| Thrombin Time -SJR | $30.00 |
| Thromblytic Art/Ven Therapy | $5,168.00 |
| Thromboendarec Popl Arter | $3,500.00 |
| Thromboendarectomy Sfa | $1,053.00 |
| Thromboendarterec Axill/Brachial | $19,594.00 |
| Thromboendarterec Carot/Verteb | $5,095.00 |
| Thromboendarterec Com/Deep Fem | $5,517.00 |
| Thromboendarterec Deep Femoral | $2,785.00 |
| THROMBOLYSIS IV INFUS | $1,363.00 |
| Thrombolysis -> Cessation of thrombolysis (incl. PLUG) | $5,168.00 |
| Thrombolysis -> Trans cath ther., thrombo, initial (arterial) | $20,682.00 |
| Thrombolysis -> Trans cath ther., thrombo, initial (venous) | $12,483.00 |
| Thrombolysis -> Trans cath ther., thrombo, subseq. day | $5,168.00 |
| Thrombolytic Venous Therapy | $12,483.00 |
| Thymectomy Part/Total Ind Proc | $19,807.00 |
| Thyroglobulin (QST) | $77.00 |
| Thyroglobulin (QST) | $85.00 |
| Thyroglobulin Antibodies (QST) | $85.00 |
| Thyroglobulin Antibodies (QST) | $77.00 |
| Thyroglobulin Antibodies -Quest | $77.00 |
| Thyroglobulin LC/MS/MS -(QST) | $85.00 |
| Thyroid Cancer (Thyroglob) Monitor -Quest | $84.00 |
| Thyroid Imaging Incl Vascular Flow | $1,671.00 |
| Thyroid Lobec W Cont Sub Lobec | $20,576.00 |
| Thyroid Lobectomy Unil | $20,576.00 |
| Thyroid Peroxidase Antibodies (QST) | $55.00 |
| Thyroid Peroxidase Antibodies (QST) | $77.00 |
| Thyroid Peroxidase Antibodies -Quest | $77.00 |
| Thyroid Stimulating Hormone. | $89.00 |
| Thyroidec Malig Lim Neck Disec | $19,807.00 |
| Thyroidectomy Cervical Approach | $19,807.00 |
| Thyroidectomy Secondary Uni | $19,807.00 |
| Thyroidectomy Total/Complete | $21,719.00 |
| Tibia & Fibula Ap&Lat | $294.00 |
| Tibial Arthroscopy/Unicondylar | $25,517.00 |
| Ticarcillin/Clavu | $25.00 |
| Ticarcillin/Clavu | $25.00 |
| TIF-1y Ab-QST | $199.00 |
| Tigecycline | $25.00 |
| TIGHTROPE XP TITANIUM ARTHREX INC AR-8925T | $5,980.00 |
| Timothy Grass (g6) IgE -Quest | $28.00 |
| TIMP 1 | $82.00 |
| TIP APPLICATOR SYRINGE STD CRYOLIFE INC BGAT-SY | $168.00 |
| TIP ASP 35KHZ MIC SET FLUE US EA1/BX5 INTEGRA NEUROSCIENCES INC 1523235 | $3,310.00 |
| TIP ASPIRATOR 36KHZ CRV SHEART CUSA CLARITY INTEGRA NEUROSCIENCES INC C7417S | $3,310.00 |
| TIP EVICEL FLEXIBLE 45CM ETHICON INC 3909 | $105.00 |
| TIP EVICEL RIGID 35CM ETHICON INC 3908 | $144.00 |
| TIP EXTENDED APPLICATOR 8CM INTEGRA NEUROSCIENCES INC 205108 | $351.00 |
| TIP UTERINE MANIPULATOR 8CM COOPER SURGICAL INC UMB678 | $203.00 |
| TISS FIBERS FLEXIGRAFT 10CC LIFENET ABS2008-04 | $4,600.00 |
| TISS LIVE BIOCARTILAGE .75CC ARTHREX INC ABS-1007-BC | $3,000.00 |
| TISS LIVE CHIP BIO 15CC 1-4MM STRYKER SPINAL 7770215 | $1,377.00 |
| TISS LIVE CHIP BIO 15CC 1-8MM | $1,377.00 |
| TISSUE 8CMX16CM THIN RTU | $132.00 |
| TISSUE 8X16CM THIN ALLODERM SELECT DUO | $34,516.00 |
| Tissue Cult Non Neoplastic Dis | $615.00 |
| TISSUE CULTURE, LYMPHOCYTES | $615.00 |
| Tissue Graft Oth, IE., Fat Graft | $13,072.00 |
| Tissue IFA Observation(S) (QST) | $64.00 |
| Tissue Plasminogen Activator EIA -Quest | $91.00 |
| Tissue Transglutaminase Ab, IgA -Quest | $61.00 |
| Tissue Transglutaminase Ab, IgG -Quest | $61.00 |
| TITANIUM BONE PLATE 114MM RGHT ANTEROLATERAL 4X2 HOLE COMPRSN WRIGHT MEDICAL TECHNOLOGY 5920103R | $10,076.00 |
| TLD OR MICRO DOSIMETRY | $585.00 |
| TNLR SURG MLBL SHNT 65CM 3.5MM NATUS NEUROLOGY 990010 | $605.00 |
| Tobramycin Level Peak-RHMC. | $85.00 |
| Tobramycin Level Trough-RHMC. | $85.00 |
| Tobramycin Level-RHMC. | $85.00 |
| Toe X-Ray Min 2 Views | $294.00 |
| TOGA SURG STR-SHLD T4 T5 XL STRYKER CORP 0400850000 | $263.00 |
| TOGA SURG T4 LG ZP STRL STRYKER CORP 0400-840-000 | $263.00 |
| Tomato (F25) IgE -Quest | $28.00 |
| Tongue Base Suspension, Permanent Suture | $19,807.00 |
| Tonsillectomy And Adenoid Adult | $9,990.00 |
| Tonsillectomy And Adenoid Child | $20,908.00 |
| Tonsillectomy Pri/Sec Over 12 | $10,544.00 |
| Tonsillectomy Pri/Sec Und 12 | $20,908.00 |
| TOOL DSCT 14CM 3MM LGND BALL MEDTRON SURGICAL TECH 14BA30 | $1,458.00 |
| TOOL DSCT 14CM 5MM MDSRX LGN MEDTRON SURGICAL TECH 14BA50D | $1,458.00 |
| TOOL DSCT 7.6CM 3MM LGND CRB MEDTRON SURGICAL TECH MC30 | $971.00 |
| TOOL DSCT 9CM 6MM MDSRX LGN MEDTRON SURGICAL TECH 9AC60 | $681.00 |
| TOOL TUNNELING 20IN SPINAL CORD STIM ALGOVITA | $632.00 |
| TOP STANDARD CLOSURE BIOMET SPINE 07.01728.001 | $280.00 |
| TOP TORQUE CLOSURE 5.5-6 BIOMET SPINE 07.02010.001 | $280.00 |
| Topiramate -Quest | $63.00 |
| Torqvue delivery/exchange system | $1,705.00 |
| Torsion Swing Test | $609.00 |
| Torticollis Open Operation Wo Cast | $11,745.00 |
| Tot Fac Nerv Decomp And/Or Rep | $19,807.00 |
| Total Dis Arthroplasty,Si | $72,789.00 |
| Total Glutathione - QST | $71.00 |
| Total Glycohemoglobin -Quest | $51.00 |
| Total Hip Replacemnt | $3,944.00 |
| Total IgA | $49.00 |
| Total T4 Level. | $36.00 |
| Totl Disc Arthroplsty Cervical | $8,042.00 |
| Toxo Preg >16 weeks Panel-QST | $286.00 |
| Toxoplasma AC/HS - QST | $639.00 |
| Toxoplasma Antibody (IgG) (QST) | $76.00 |
| Toxoplasma Antibody (IgG) (QST) | $76.00 |
| Toxoplasma Antibody (IgG) (QST) | $128.00 |
| Toxoplasma Antibody (IgG) -Quest | $76.00 |
| Toxoplasma Antibody (IgM) (QST) | $76.00 |
| Toxoplasma Antibody (IgM) (QST) | $76.00 |
| Toxoplasma Antibody (IgM) (QST) | $128.00 |
| Toxoplasma Antibody (IgM) -Quest | $76.00 |
| Toxoplasma IgM-ELISA - QST | $226.00 |
| TPMT Activity -Quest | $115.00 |
| TPMT Enzyme-Prometheus. | $105.00 |
| TPMT Genetics-Promethus. | $651.00 |
| TR Band | $166.00 |
| Trabeculop Laser Sur 1 Or More | $2,221.00 |
| Trabeculotomy Ab Externo | $8,583.00 |
| TRACH 105MM CUFFED DISTAL 8ID 13.3OD SHILEY NELLCOR NELLCOR PURITAN BENNETT INC 80XLTCD | $248.00 |
| TRACH 105MM CUFFED PROXIMAL 8ID 13.3OD SHILEY NELLCOR NELLCOR PURITAN BENNETT INC 80XLTCP | $248.00 |
| TRACH 105MM CUFFLESS PROXIMAL 8ID 13.3OD SHILEY NELLCOR COVIDIEN 80XLTUP | $248.00 |
| TRACH 95MM CUFFED DISTAL 6.0ID 11OD SHILEY NELLCOR NELLCOR PURITAN BENNETT INC 60XLTCD | $248.00 |
| TRACH 95MM CUFFED PROXIMAL 6.0ID 11OD SHILEY NELLCOR NELLCOR PURITAN BENNETT INC 60XLTCP | $248.00 |
| TRACH 95MM CUFFLESS PROXIMAL 6.0ID 11OD SHILEY NELLCOR NELLCOR PURITAN BENNETT INC 60XLTUP | $248.00 |
| TRACH CUFF LO PRES #10 DISP 8.9X13.8X79MM SHILEY NELLCOR PURITAN BENNETT INC 10DCT | $142.00 |
| TRACH CUFF LO PRES #4 DISP 5.0X9.4X62MM SHILEY NELLCOR PURITAN BENNETT INC 4DCT | $142.00 |
| TRACH CUFF LO PRES #6 DISP 6.4X10.8X74MM SHILEY NELLCOR PURITAN BENNETT INC 6DCT | $142.00 |
| TRACH CUFF LO PRES #8 DISP 7.6X12.2X79MM SHILEY NELLCOR PURITAN BENNETT INC 8DCT | $142.00 |
| TRACH CUFFLESS #4 DISP 5.0X9.4X62MM SHILEY NELLCOR PURITAN BENNETT INC 4DCFS | $142.00 |
| TRACH CUFFLESS #6 DISP 6.4X10.8X74MM SHILEY NELLCOR PURITAN BENNETT INC 6DCFS | $142.00 |
| TRACH CUFFLESS #8 DISP NELLCOR PURITAN BENNETT INC 8DCFS | $142.00 |
| TRACH EMERG CRICOTHYROID | $974.00 |
| TRACH FEN CUFF LO PRES#4 DISP 5.0X9.4X62MM SHILEY NELLCOR PURITAN BENNETT INC 4DFEN | $142.00 |
| TRACH FEN CUFF LO PRES#6 DISP 6.4X10.8X74MM SHILEY NELLCOR PURITAN BENNETT INC 6DFEN | $142.00 |
| TRACH FEN CUFF LO PRES#8 DISP 7.6X12.2X79MM SHILEY NELLCOR PURITAN BENNETT INC 8DFEN | $142.00 |
| Trach Gauze | $72.00 |
| TRACH PED 4.0ID 5.9OD 41MM SHILEY NELLCOR PURITAN BENNETT INC 4.0PED | $132.44 |
| TRACH PED 5.5ID 7.7OD 46MM SHILEY NELLCOR PURITAN BENNETT INC 5.5PED | $132.44 |
| Trach Tray | $876.00 |
| Trach Tube | $344.00 |
| TRACH TUBE CHANGE | $974.00 |
| Tracheoplasty Cervical | $19,807.00 |
| Tracheostoma Rev Complex W Flap | $19,807.00 |
| Tracheostoma Revision Simple | $9,990.00 |
| Tracheostomy Cricothyroid Membrane | $974.00 |
| Tracheostomy Emer Proc Transtracheal | $6,045.00 |
| TRACHEOSTOMY EMERG TRNSTR | $6,045.00 |
| Tracheostomy Fenes W Skin Flap | $19,807.00 |
| Tracheostomy Over 2Years Ind Proc | $9,990.00 |
| Tracheostomy Tube Activity -> Tube changed | $974.00 |
| Tracheostomy Under 2Yrs Ind Pr | $19,807.00 |
| Tracheotomy Tube Change | $974.00 |
| TRACKER NAVIGATION POINTER AXIEM MEDTRON SURGICAL TECH 9735317 | $2,033.00 |
| Traction Mech Unattended | $214.00 |
| Tran Pedicle Flap Any Location | $6,935.00 |
| Tran Tendon Carp Dorsum W Grft | $11,745.00 |
| Tran Tendon Carpom Dorsum Sing | $11,745.00 |
| Tran Tendon Carpom Dorsum Sing | $11,745.00 |
| Tran Tendon Palmar Single | $11,745.00 |
| Trans Angioplast Dial S | $22,110.00 |
| Trans Cath Dop Fol-Up L/S | $532.00 |
| Trans Cath Placemnt Ivstent | $27,343.00 |
| Trans Epid Cerv/Thor Sing | $3,614.00 |
| Trans Epid Lumbar/Sacral Sing | $3,614.00 |
| Trans Hamstr Tend To Pat Sing | $25,517.00 |
| Trans Resec Regr Obst Tiss 1Yr | $18,000.00 |
| Transcat Plcm/Perc W/O Distal | $27,343.00 |
| Transcath Plcm/Percu W/Di | $27,343.00 |
| Transcath Therapy Atrial Infusion Initial | $20,682.00 |
| Transcatheter Biopsy | $19,594.00 |
| Transconjunctival Or Aspirational Biopsy | $8,115.00 |
| Transcran Doppler Study/Intrcrnl Arteies | $1,032.00 |
| Transec/Avuls Great Occip Nerv | $7,304.00 |
| Transec/Avuls Infraorbit Nerve | $7,304.00 |
| Transection Facial Nerve | $7,304.00 |
| Transfer Tendon In- Teros Memb | $26,935.00 |
| Transfer Tendon Su- Perfi Sing | $25,517.00 |
| Transferrin | $67.00 |
| Transferrin. | $67.00 |
| TRANSFUSION BLOOD/COMPON | $1,809.00 |
| Transfusion Blood/Blood Component Charge | $1,809.00 |
| Transfusion Exchange Newborn | $1,714.00 |
| Transfusion Exchange Not Nborn | $1,714.00 |
| Transfusion Intrau- Terine Fetal | $1,714.00 |
| Transfusion, Blood Or Blood Components | $1,809.00 |
| Translum Angioplasty Ea Addl Artery | $12,663.00 |
| Translum Angioplasty Ea Addl Vein | $11,305.00 |
| Translum Angioplasty Initial Artery | $22,110.00 |
| Translum Angioplasty Initial Vein | $22,110.00 |
| Transluminal PTA/Atherectomy/Stent -> Ather. fem/pop (+/- PTA) | $45,694.00 |
| Transluminal PTA/Atherectomy/Stent -> Ather. tib/per (+/- PTA) | $72,562.00 |
| Transluminal PTA/Atherectomy/Stent -> PTA fem/pop | $22,110.00 |
| Transluminal PTA/Atherectomy/Stent -> PTA iliac artery | $22,110.00 |
| Transluminal PTA/Atherectomy/Stent -> PTA tib/peroneal | $45,694.00 |
| Transluminal PTA/Atherectomy/Stent -> Stent fem/pop (+/- PTA) | $45,694.00 |
| Transluminal PTA/Atherectomy/Stent -> Stent iliac artery (+/- PTA) | $45,694.00 |
| Transluminal PTA/Atherectomy/Stent -> Stent tib/peroneal (+/- PTA) | $72,562.00 |
| Transluminal PTA/Atherectomy/Stent -> Stent w/ather. fem/pop (+/- PTA) | $72,562.00 |
| Transluminal PTA/Atherectomy/Stent -> Stent w/ather. tib/per (+/- PTA) | $72,562.00 |
| Transmastoid Antrotomy | $19,807.00 |
| Transparent Large Dressing | $35.00 |
| Transped Decomp 1 Lvl Lumb | $25,517.00 |
| Transped Decomp 1 Lvl Thor | $25,517.00 |
| Transperineal Plcmt Prost | $18,000.00 |
| Transplant Testis To Thigh | $7,789.00 |
| Transrect Drain Pelvic Abscess | $4,387.00 |
| Transrectal ECHOgraphy | $532.00 |
| Transtracheal Aspiration | $9,990.00 |
| Transur Resec/Pstop Blad | $13,104.00 |
| Transureth Dest Prost Radiofreq Therm Tx | $13,104.00 |
| Transurethal Drain Prost Abces | $13,104.00 |
| Transurethral Incis/Prost | $13,104.00 |
| Transurethral Resec Bladder Neck | $13,104.00 |
| Transurethral Resec Prostate | $19,000.00 |
| Transvaginal ECHOgraphy | $532.00 |
| Transverse Wedge Resection Lip | $9,990.00 |
| TRAP FINGER SMALL LINVATEC CORP 9906 | $113.00 |
| TRAY DRN 41CM 28FR THRX 4 COOK GROUP INC G04226 | $605.00 |
| TRAY FOLEY TEMPERATURE SENSING BARD C R INC 319516AM | $116.00 |
| TRAY HUM 44MM CMPRH STD COCR ZIMMER SHOULDER 115370 | $6,000.00 |
| TRAY KYPHOPLASTY 20/3 FIRST FRACTURE W KYPHX ONESTEP OSTEO MEDTRON SPINAL AND BIOLOGICS KPT2005 | $9,646.00 |
| TRAY SURGICAL PROCEDURE CABG EA1/CA10 CARDINAL HEALTH INC SCV11ATXXD | $522.00 |
| TRAY TIB INBONE 4LONG RGT WRIGHT MEDICAL TECH KNEE 220222904 | $8,196.00 |
| TRAY TIBIAL INBONE 3LONG LEFT WRIGHT MEDICAL TECH KNEE 220252903 | $8,196.00 |
| TRAY TIBIAL NONPOROUS A SZ2 ORTHO DEVELOPMENT KNEE 162-1200A | $4,600.00 |
| TRAY TIBIAL NONPOROUS A SZ5 ORTHO DEVELOPMENT KNEE 162-1500A | $3,164.00 |
| Treat Hip Socket Fracture | $1,937.00 |
| TREAT KNEE DISLOCATION | $801.00 |
| Treat Super Wound W Pack | $1,484.00 |
| Treat Superficial Wound Dehis Simp Clos | $2,282.00 |
| Treatment -> Yes | $243.00 |
| TREATMENT DEVICES COMPLEX | $1,521.00 |
| TREATMENT DEVICES INTERMEDIATE | $585.00 |
| TREATMENT DEVICES SIMPLE | $585.00 |
| Treatment Of Ankle Fract | $25,517.00 |
| Treatment Of Fracture | $11,745.00 |
| Treatment Of Mouth Lesion | $9,990.00 |
| Treatment Of Vaginal Infection | $477.00 |
| Treatment Port Verific Fi | $524.00 |
| Treatment Swallowing Dysfunction -> Yes | $226.00 |
| Treponema Pallidum Ab Agglutination -Quest | $46.00 |
| Trichinella IgG Antibody, Elisa -Quest | $66.00 |
| Trichoderma Viride IgG (QST) | $37.00 |
| Trichomonas DNA -> Detected | $106.00 |
| Trichomonas DNA -> Not detected | $106.00 |
| Trichomonas Vaginalis RNA Ql TMA, Males -Quest | $185.00 |
| Trichophyton rubrum IgG-Quest. | $135.00 |
| Trichrome Stain | $95.00 |
| Tricyclic Screen Serum. | $307.00 |
| Trifurcated Monitoring Kit | $210.00 |
| Trigeminal Eye Blink | $477.00 |
| Trigger Point Inj-3+Mscl | $1,170.00 |
| Triglyceride Body Fluid. | $30.00 |
| Triglycerides. | $30.00 |
| TRIM NONDYSTROPHIC NAILS | $264.00 |
| Trimeth-Sulfamethoxazole | $25.00 |
| Trimeth-Sulfamethoxazole | $25.00 |
| Trimming Of Nail | $264.00 |
| Triple Lumen CVC | $152.00 |
| Triple Screen -Quest | $89.00 |
| Trnsec Obturator Intrapelv | $20,442.00 |
| Trnsec Other Spinal Nerve Extr | $7,304.00 |
| Trnsfer Ext Obliq To Grt Troch | $25,517.00 |
| Trnslum Dil Eye Canal W/Stnt | $16,298.00 |
| TROC LAPSCP 150MM 12MM EPTH EA1/BX6 ETHICON ENDO-SURGERY INC B12XT | $109.00 |
| TROC LAPSCP 150MM 5MM XCEL EA1/BX6 ETHICON ENDO-SURGERY INC B5XT | $109.00 |
| TROC LAPSCP 75MM 5MM XCEL EPTH EA1/BX6 ETHICON ENDO-SURGERY INC B5ST | $109.00 |
| TROCAR 12MM ENDOPATH BLADELESS ETHICON ENDO-SURGERY INC 2B12LT | $109.00 |
| TROCAR BLADELESS W/ SLV 11X100 ETHICON ENDO-SURGERY INC B11LT | $109.00 |
| TROCAR ENDO DISPO W/ SLV 11.5 THORACOPORT 11.5MM US SURGICAL 179303 | $250.00 |
| TROCAR HERNIA BLLN 10MM US SURGICAL OMST10SB | $714.00 |
| TROCAR SPLIT DISP INTEGRA NEUROSCIENCES INC 824095 | $714.00 |
| TROCAR XCEL DILATING TIP 11MM ETHICON ENDO-SURGERY INC D11LT | $109.00 |
| TROCAR XCEL DILATING TIP 12MM ETHICON ENDO-SURGERY INC D12LT | $109.00 |
| Tropheryma Whipplei DNA Ql RT PCR -Quest | $185.00 |
| Troponin I hs. | $59.00 |
| Troponin T -Quest | $59.00 |
| TROPONIN TEST | $59.00 |
| Trt Foot Disloc W/Manip | $11,745.00 |
| Trt Ler Lg Jnt W/W/O Int/Ext Fix | $26,935.00 |
| Trt Lw Lg Fr/W/Int/Ext Fix Fibia Only | $25,517.00 |
| Trt Lwr Leg Frac/Tib & Fib | $47,967.00 |
| Trt Lwr Leg Frac/Tibia Only | $47,967.00 |
| Trt Lwr Leg Frc W/W/O Anes W/O Manip | $1,067.00 |
| Trt Lwr Leg Frc/W/Skel Traction | $6,207.00 |
| Trt Thigh Fr W/W/O Int/Ext Fix | $6,064.00 |
| Trt Thigh Fr/W/W/O Intercon Extension | $25,517.00 |
| Trt Thigh Frc W/Man/W/W/O Skel Tract | $6,207.00 |
| Trt Toe Dislocat W/Manip | $11,745.00 |
| Trtment Of Anal Fissure | $3,335.00 |
| Trtmnt/Atraumatic Hip Disloca Gen Anes | $6,207.00 |
| Trtmt Retinop Preterm Inf | $2,221.00 |
| Trurl Dstrj Prst8 Tiss Rf Wv | $7,789.00 |
| Tryptase -Quest | $82.00 |
| TSH (NEWBORN Scrn) | $89.00 |
| TSH Antibody -Quest | $87.00 |
| TSH Neonatal-Quest | $136.00 |
| TSH Reflex Cascade. | $192.00 |
| TSH Reflex T4F FT3. | $89.00 |
| TSH Reflex T4F. | $89.00 |
| TSH Ultra Sensitive | $89.00 |
| TSH with HAMA Treatment -Quest | $89.00 |
| TSI (Thyroid Stimulating Immunoglobulin) -Quest | $268.00 |
| TTG Ab IgA (QST) | $61.00 |
| TTG Ab IgA (QST) | $61.00 |
| TTG Ab IgA (QST) | $61.00 |
| TTG Ab IgA (QST) | $61.00 |
| TTG Ab IgA (QST) | $100.00 |
| TTG Ab IgA (QST) | $100.00 |
| TTG Ab IgG (QST) | $61.00 |
| TTG Ab IgG (QST) | $61.00 |
| Ttm W/In 90 Days | $166.00 |
| TUBE 130MM 12.9MM 9MM CLIP IN SMITH MEDICAL ASD INC 75FHXL90 | $467.00 |
| TUBE 18MMX40MM SOAR SOAR SPINEOLOGY 304-1804 | $2,040.00 |
| TUBE 26MMX100MM SOAR SOAR SPINEOLOGY 304-2610 | $2,040.00 |
| TUBE 79MM 13.8MM 8.9MM CUFLS NELLCOR PURITAN BENNETT INC 10DCFS | $132.42 |
| TUBE GASTROSTOMY 24F 7-10ML AVANOS MEDICAL INC 0100-24 | $148.00 |
| Tube Gauze | $82.00 |
| TUBE IRR 100CM 8FR SIL SMTH BENTEC MEDICAL INC GS75160-08 | $340.80 |
| TUBE JJNSTM 20FR SIL STD J MC AVANOS MEDICAL INC 0200-20 | $540.00 |
| TUBE MYRINGOTOMY STER 1.14MM TUBE GROMMET BEVELED ARMSTRG MEDTRON SURGICAL TECH 1030170 | $112.00 |
| TUBE PORTAL 22X50MM SOAR SPINEOLOGY 304-2205 | $2,040.00 |
| TUBE PORTAL 22X80MM SOAR SPINEOLOGY 304-2208 | $2,040.00 |
| TUBE PORTAL SPINEOLOGY 315-0016 | $1,600.00 |
| TUBE SUCT KAMVAC MINI CURVE 10 TUBING SUCTION CVD KAMVAC DEPUY ORTHOPAEDICS INC 530020500 | $166.00 |
| TUBE THORACOSTOMY | $5,168.00 |
| TUBE VENT T TUBE GOODE 9MM MEDTRON SURGICAL TECH 1056019 | $112.00 |
| TUBE VNT 1MM .76IN MRTZ EAR MEDTRONIC INC 1056108 | $182.00 |
| TUBE VNT 1MM 1.02MM 2.5MM EA1/BX5/PK5 MEDTRONIC INC 24441 | $112.00 |
| TUBING INFLOW/OUTFLOW Y AQULIEX HOLOGIC AQL-112 | $338.00 |
| TUBING IRRIGATION BIPOLAR CORD STRYKER INSTRUMENTS 6790100001 | $240.00 |
| TUBING IRRIGN 1 LVL SMITHS GROUP PLC IR-600 | $166.00 |
| TUBING QUICK CONNECT CUSA CLAR UN1/EA5 INTEGRA NEUROSCIENCES INC C7300 | $1,360.00 |
| TUMOR IHC MANUAL EA AB (TECH) | $684.00 |
| Tuna (f40) IgE -Quest | $28.00 |
| TWIST DRILL HOLE IMPLANT | $1,336.00 |
| Twist Drill Hole Implant | $1,336.00 |
| TX ACROMIOCLV DIS W/O MAN | $1,064.00 |
| TX ANKLE DISLOC W/ANESTH | $6,207.00 |
| TX ANKLE DISLOCATION | $1,067.00 |
| TX BIMALL ANKLE FX W/MAN | $6,207.00 |
| TX BIMALLEOLAR ANKLE FX | $1,067.00 |
| TX CARP BONE FX W/MAN EA | $6,207.00 |
| TX CARPAL BONE FX EA BONE | $1,064.00 |
| TX CARPAL SCAPHOID FX | $1,064.00 |
| TX CLSD ELBOW DISL W/ANES | $6,207.00 |
| TX CLSD ELBOW DISLOCATION | $1,067.00 |
| TX COCCYGEAL FX (CLOSED) | $983.00 |
| TX DIS FIBULAR FX W/MANIP | $1,067.00 |
| TX DISTAL FIBULAR FX | $1,067.00 |
| TX DISTAL HUMERL FX W/MAN | $6,207.00 |
| TX FEMORAL FX DISTAL END | $1,067.00 |
| TX FEMORAL FX (CLOSED) | $1,064.00 |
| TX FEMORAL FX W/MANIPULAT | $1,937.00 |
| TX FEMORAL SHAFT FX | $1,064.00 |
| TX FX DISTAL TIBIA | $1,067.00 |
| TX GR HUMRL TB FX W/O MAN | $1,067.00 |
| TX HIP DISLOC W/ANESTHES | $6,207.00 |
| TX HIP DISLOCAT W/ANESTH | $6,207.00 |
| TX HIP DISLOCATION CLOSED | $1,064.00 |
| TX HIP SOCK FX W/MANIP | $1,937.00 |
| TX HIP SOCKET FX (CLOSED) | $1,064.00 |
| TX HUMERAL CONDYLAR FX | $1,064.00 |
| TX HUMERAL EPI FX W/MANIP | $6,207.00 |
| TX HUMERAL EPICONDYLAR FX | $1,067.00 |
| TX HUMERAL SHAFT FX | $1,067.00 |
| TX HUMERL SHFT FX W/MANIP | $6,207.00 |
| TX INTERPHALANG JT DISLOC | $725.00 |
| TX INTRPHAL JT DIS W/ANES | $1,113.00 |
| TX LUNATE DISLOCAT W/MAN | $6,207.00 |
| TX MEDIAL MALLEOLUS FX | $1,067.00 |
| TX METAPHAL JT DIS W/ANES | $6,207.00 |
| TX PATELLAR DISLOC W/ANES | $1,064.00 |
| TX PATELLAR DISLOCATION | $1,067.00 |
| TX POST HIP ARTHRO DISLOC | $1,067.00 |
| TX POST HIP ARTHRO W/ANES | $6,207.00 |
| TX PROXIMAL/SHAFT FX | $1,064.00 |
| TX RAD&ULN SHFT FX W/MAN | $6,207.00 |
| TX RADIAL HEAD/NECK FX | $1,067.00 |
| TX RADIAL SHAFT FX | $1,067.00 |
| TX RADIAL SHAFT FX W/MAN | $6,207.00 |
| TX RADIAL&ULNAR SHAFT FX | $1,064.00 |
| TX STERNOCLAV DIS W/O MAN | $6,207.00 |
| TX SUPRA/TRA FEM FX;W/MAN | $6,207.00 |
| TX SUPRA/TRANS HUMERAL FX | $1,067.00 |
| TX TIBIAL FX PROXIMAL | $1,067.00 |
| TX TIBIAL SHAFT FX | $1,067.00 |
| TX TIBIAL SHAFT FX W/MAN | $6,207.00 |
| TX TRIMALL ANKLE FX W/MAN | $6,207.00 |
| TX TRIMALLEOLAR ANKLE FX | $1,064.00 |
| TX ULNAR FX PROX W/MANIP | $6,207.00 |
| TX ULNAR FX PROXIMAL END | $1,064.00 |
| TX ULNAR SHAFT FX | $1,064.00 |
| TX ULNAR SHFT FX W/MANIP | $1,064.00 |
| TX ULNAR STYLOID FX | $1,064.00 |
| TX WOUND DEHIS; W/PACKING | $1,484.00 |
| TX WOUND DEHISCENCE; SIMP | $2,282.00 |
| TXN XM Method -> IS | $684.00 |
| TXN XM Method -> PW Gel | $677.00 |
| TXN XM Method -> PW Tube | $677.00 |
| TXN XM Method -> PW Tube AHG | $677.00 |
| TXN XM Method -> PW Tube IS | $684.00 |
| TXN XM Method -> Tube | $684.00 |
| Tym Mast Rad Com W Oss Ch Rec | $19,807.00 |
| Tym Mast Rad Com Wo Oss Ch Rec | $19,807.00 |
| Tym W Mast Rec Wa Wo Ch Re | $19,807.00 |
| Tym W Mast Rec Wa Wo Oss Ch Re | $19,807.00 |
| Tympanic Mem Patch W/Wo Patch | $9,990.00 |
| Tympanolysis Transcanal | $9,990.00 |
| Tympanometry | $144.00 |
| Tympanoplasty W Mastoidectomy | $19,807.00 |
| Tympanoplasty W Oss Ch Rec Pro | $19,807.00 |
| Tympanoplasty W Oss Ch Rec Pro | $19,807.00 |
| Tympanoplasty W Oss Ch Recon | $19,807.00 |
| Tympanoplasty W Oss Chain Reco | $19,807.00 |
| Tympanoplasty W Ossic Ch Recon | $19,807.00 |
| Tympanoplasty Wo Mastoidectomy | $20,908.00 |
| Tympanoplasty Wo Oss Chain Rec | $19,807.00 |
| Tympanostomy Gen Anes | $6,045.00 |
| Tympanostomy Local Anes | $2,181.00 |
| U Arsenic (QST) | $105.00 |
| U Buprenorphine -QST | $239.00 |
| U Cadmium (QST) | $122.00 |
| U Cortisol Free-QST | $88.00 |
| U Creatinine (QST) | $27.00 |
| U Creatinine (QST) | $27.00 |
| U Creatinine (QST) | $27.00 |
| U Creatinine (QST) | $27.00 |
| U Naloxone -QST | $106.00 |
| U Phosphate-QST | $27.00 |
| U Phosphate-QST | $307.00 |
| U/S Pelvic, Non Ob Comp | $532.00 |
| U/S, Preg. Transvaginal | $532.00 |
| U/S,1St Trimst,Add Gest | $842.00 |
| U/S,1St Trimst,Sing/1St Gest | $532.00 |
| U/S,Fetal/Mat Eval/Trnsab,Sing | $1,090.00 |
| U24 Ammonium (QST) | $58.00 |
| U24 Calcium (QST) | $32.00 |
| U24 Calculated Total (E+NE) (QST) | $133.00 |
| U24 Citrate (QST) | $147.00 |
| U24 Creatinine (QST) | $27.00 |
| U24 Creatinine (QST) | $28.00 |
| U24 Creatinine (QST) | $28.00 |
| U24 Cystine (QST) | $138.00 |
| U24 Magnesium (QST) | $35.00 |
| U24 Oxalate (QST) | $69.00 |
| U24 Phosphorus (QST) | $27.00 |
| U24 Potassium (QST) | $23.00 |
| U24 Sodium (QST) | $26.00 |
| U24 Sulfate (QST) | $26.00 |
| U24 Uric Acid (QST) | $25.00 |
| U24 VMA (QST) | $87.00 |
| UFH Sra Result (QST) | $97.00 |
| Ugi Endo W/Tran Dr Pseudc | $12,646.00 |
| UGT1A1 Gene Polymorphism-Quest | $483.00 |
| Ultra Guide/Needle Biopsy Sup & Interp | $579.00 |
| Ultra Ice Catheter | $3,617.00 |
| Ultrafiltration w/o Dialysis -> Yes | $816.00 |
| Ultrasound Breast, Unilateral; Complete | $532.00 |
| Ultrasound Breast, Unilateral; Limited | $303.00 |
| Ultrasound Chest | $532.00 |
| Ultrasound For Amniocentestis | $548.00 |
| Ultrasound Guide For Vasc Access | $310.00 |
| Ultrasound Renal Transplant | $504.00 |
| Umbilec Omphal Exc Umbilicus | $13,195.00 |
| Umbilical Vessel Catheter Supplies | $814.00 |
| Under Routine Electroencephalography | $2,152.00 |
| Undescend Testicle Exploration | $13,195.00 |
| UNIT THRP PREVENA INCS MGMT KINETIC CONCEPTS INC PRE1001US.S | $1,900.00 |
| Unl Lap Removal Deep Implant | $20,576.00 |
| Unl Laparoscopic Liver Biopsy | $20,576.00 |
| Unl Ant Appr Ndsc Rpr Encephalocel | $923.00 |
| Unl Cervical Stump Removal | $11,159.00 |
| Unl Closure Of Omentum | $3,409.00 |
| UNL Create Monti W/Us Of Lg Bowel | $1,094.00 |
| Unl Crvl Lam Spinal Cord Untether | $1,108.00 |
| Unl Ear Reconstr Medpor Implant | $923.00 |
| Unl Endo Clip Close Esoph Perf | $3,409.00 |
| Unl Endo Clos Esoph-Gastric Fist | $10,544.00 |
| Unl Endo Perc Place Abd Drain Cath | $3,409.00 |
| Unl Endo Plication Gastric Conduit | $3,409.00 |
| Unl Endo reduction gastric volv | $20,576.00 |
| Unl Endosc Closure Gastro Fistula | $3,409.00 |
| Unl Entero Via Jtube W Replacement | $3,599.00 |
| Unl Eustachian Tube Balloon Dilatn | $923.00 |
| Unl Exc Perihilar Lymph Node | $1,714.00 |
| Unl Excision of Ankyloblepharon | $3,614.00 |
| Unl Excision Vaginal Wall | $743.00 |
| Unl Flex Sig Close Ana Leak W Clip | $3,335.00 |
| Unl Groin Cutdown Eval Tiss Infect | $2,776.00 |
| Unl Hepatic Artery Endarterectomy | $2,594.00 |
| Unl Hip Core Decompression | $1,064.00 |
| Unl Ilioinguinal Neurectomy | $1,170.00 |
| Unl Intersti Radiation Source Appl; Simple | $524.00 |
| Unl Lap Ab Lymphadenectomy | $20,576.00 |
| Unl Lap Cls Enterov w Bwl/Blad Res | $20,576.00 |
| Unl Lap Component Separation | $1,008.00 |
| Unl Lap Excision Splenic Cyst | $20,576.00 |
| Unl Lap Femoral Hernia Repair | $20,576.00 |
| Unl Lap Release Median Arcuate Lig | $20,576.00 |
| Unl Lap Resect GJ Ulcer W Anastam | $20,576.00 |
| Unl Lap Resection Gastric Mass | $20,576.00 |
| Unl Lap Salpingotomy Detors Tube | $20,576.00 |
| Unl Lap Stump Appendectomy | $20,576.00 |
| Unl Laser Cricopharyngeal Myotomy | $3,409.00 |
| Unl Laser Lithotripsy of Bile Duct | $3,409.00 |
| Unl Latera Nasal Implant | $923.00 |
| Unl Latl Orbitotomy W/O Window | $1,269.00 |
| Unl Lpsc Essure Rmv W Utrn Cornual | $20,576.00 |
| Unl Lpsc Tubotubal Anastomosis | $20,576.00 |
| Unl Lumicell Angiography | $279.00 |
| Unl Lysis of Adhesion Scrotum | $1,036.00 |
| Unl Mediastnscp W/Debrid Posterior | $20,576.00 |
| Unl Micro-needling | $834.00 |
| Unl Middle Turbinate Excsn | $923.00 |
| Unl Midface Suspension Lift | $790.00 |
| Unl Mini Abdominoplasty | $790.00 |
| Unl Ommaya Reservoir Removal | $1,108.00 |
| Unl Open Tx Hand Fx Dsloc Not Thmb | $1,008.00 |
| Unl Otoplasty for Microtia Rpr | $923.00 |
| Unl Pulsed-Dye Laser/YAG <10 cm | $834.00 |
| Unl Pulsed-Dye Laser/YAG 10-50 cm | $834.00 |
| Unl Pulsed-Dye Laser/YAG over 50cm | $834.00 |
| UNL Rem Of Impl Material In Eyelid | $1,269.00 |
| Unl Remv Nodules Exstrophy Bladder | $1,036.00 |
| Unl Resection Liver Cyst | $2,594.00 |
| Unl Resectn Prolapsed Orbital Fat | $1,269.00 |
| UNL Robotic Excs Rec Tum Transanl | $3,335.00 |
| Unl Robotic Partial Cystectomy | $20,576.00 |
| Unl Salpingectomy Vaginal Approach | $21,719.00 |
| Unl Semicircular Canal Dehiscence | $923.00 |
| Unl Sialo Scope W/Stent Plmt | $923.00 |
| Unl Sialo Scp W/Laser & Stent Plmt | $923.00 |
| Unl Sm Bowel Enteroscopy Via ECF | $3,599.00 |
| Unl Small Bowel Pexy | $3,409.00 |
| Unl Snoreplasty | $822.00 |
| Unl Stab Phlebectmy <10 Stabs | $2,930.00 |
| Unl Subcut Inj Material | $834.00 |
| Unl Tracheostomy Stoma Dilation | $923.00 |
| Unl Transgast Endo W Gtube Replace | $3,409.00 |
| Unlisted Kybella Injection | $834.00 |
| Unlisted Limbal Relaxing Incision | $8,583.00 |
| Unlisted Nasoseptal Flap | $923.00 |
| Unlisted Ophthalmological Service | $77.00 |
| Unlisted Procedure | $3,409.00 |
| Unlisted Salivary Bypass Stent | $923.00 |
| Unlisted Vasodilation Test | $609.00 |
| UPEP. | $94.00 |
| Upper Endoscopy Hemmorhage | $7,010.00 |
| Upper Gastro Endo Dil/Gastric Outlet | $6,641.00 |
| Upper Gastrointest Endosc | $3,599.00 |
| Uppr Gi Opticl Endomicrscopy | $12,646.00 |
| Ur Creatinine-QST | $26.00 |
| Ur Creatinine-QST | $26.00 |
| Urea Nitrogen 24 Hour Urine. | $26.00 |
| Urea Nitrogen Body Fluid. | $21.00 |
| Urea Nitrogen Urine. | $26.00 |
| Urease Test for H. pylori. | $43.00 |
| Uret Endos Est Uterostomy | $7,789.00 |
| Uret Endos Uteros W Biopsy | $18,000.00 |
| Uret Endos Uterosco Removal Foreign Body | $18,000.00 |
| Ureteral Endoscopy W Rem Foreign Body | $19,000.00 |
| Ureteral Endoscopy W Uretral Cath | $13,104.00 |
| Ureteral Endoscopy W/Dest&/Inc W/Wo Biopsy | $18,000.00 |
| Ureteral Reflex Study | $1,671.00 |
| Ureth 1Stg Recn Male Urethra | $18,000.00 |
| Ureth 2Nd Stage Hypos Rep <3cm | $18,000.00 |
| Ureth 2Nd Stage Hypos Rep >3cm | $13,104.00 |
| Ureth 2nd Stage Hypos Rep Skin Graft | $18,000.00 |
| Ureth 2Stg Recn/Repr 2Nd Stg | $18,000.00 |
| Ureth 2Stg Recns/Repr 1St Stg | $18,000.00 |
| Urethral Meatoplasty W/Mucosal | $7,789.00 |
| Urethrectomy Total Cystos Male | $18,000.00 |
| Urethrectomy Total/Cystos Feml | $13,104.00 |
| Urethrocystography Retrograde | $1,090.00 |
| Urethrocystography Voiding | $1,090.00 |
| Urethrolysis | $13,104.00 |
| Urethromeatplas W/Partial Excision | $7,789.00 |
| Urethropexy (Stamey) | $18,472.00 |
| Urethroplasty Fis/Div/Str 2Stg | $18,000.00 |
| Urethroplasty Fist Divert Stric 1Stg | $18,000.00 |
| Urethroplasty Recon Fem Urethr | $18,000.00 |
| Urethrorr/Wound/Inj Femal | $13,104.00 |
| Urethrorrhaphy, Suture O | $18,000.00 |
| Urethrot/Urethros Ext Pen Uret | $7,789.00 |
| Urethrot/Urethros Perineal External | $18,000.00 |
| Uric Acid 24 Hour Urine. | $25.00 |
| Uric Acid Body Fluid. | $25.00 |
| Uric Acid Urine. | $25.00 |
| Uric Acid, 24Hr Ur | $25.00 |
| Uric Acid. | $24.00 |
| Urimeter | $187.00 |
| URINALYSIS DIP PROCED POC | $17.00 |
| Urinalysis without Microscopic. | $12.00 |
| Urine Albumin | $30.00 |
| Urine Amphetamine Screen | $307.00 |
| Urine Creatinine | $27.00 |
| Urine Creatinine | $27.00 |
| Urine Eosinophil. | $25.00 |
| Urine Ethanol | $166.00 |
| URINE HCG POC | $41.00 |
| Urine Immunofixation Electrophoresis Interp | $118.00 |
| Urine Leg Strap Bag | $90.00 |
| Urine Legionella Antigen -> Negative | $63.00 |
| Urine Legionella Antigen -> Positive | $63.00 |
| Urine Microscopic Complete? -> Done | $17.00 |
| Urine Microscopic Complete? -> Not Done | $12.00 |
| Urine pH. | $12.00 |
| Urine Protein Level | $19.00 |
| Urine Trichomonas. | $28.00 |
| Uroflowmetry Complex | $609.00 |
| Urography (Ivp) | $903.00 |
| Urography Antegrade Super & Interp | $1,824.00 |
| Urography Retrograde | $1,728.00 |
| Uro-Risk(R) Diagnostic Profile -Quest | $33.00 |
| US 1ST TRIM ABD ADDL GEST | $842.00 |
| US Abdomen Complete | $532.00 |
| US Abdomen Limited | $532.00 |
| Us Abdominal Aorta Real Time Screen Study | $532.00 |
| US Amniocentesis | $548.00 |
| US Art/Vein Abd/Pelvis/Scrotal Complete | $1,090.00 |
| US Art/Vein Abd/Pelvis/Scrotal Limited | $532.00 |
| US Asp/Inj Intermediate Joint | $1,170.00 |
| US Asp/Inj Major Joint | $1,170.00 |
| US Aspiration Abscess/Hematoma/Cyst | $2,738.00 |
| US Biopsy Liver | $6,500.00 |
| US Biopsy Lymph Node | $2,738.00 |
| US Biopsy Muscle | $6,500.00 |
| US Biopsy Prostate | $8,222.00 |
| US Biopsy Renal Left | $6,500.00 |
| US Biopsy Renal Right | $6,500.00 |
| US Breast Asp Subcutaneous Fluid Lt | $1,215.00 |
| US Breast Biopsy w/ US Guide Left | $6,500.00 |
| US Breast Biopsy w/ US Guide Right | $6,500.00 |
| US Breast Complete Left | $532.00 |
| US Breast Complete Right | $532.00 |
| US Breast Cyst Aspiration Left | $2,738.00 |
| US Breast Cyst Aspiration Right | $2,738.00 |
| US Breast Device Plcmnt w/US Guide Left | $2,738.00 |
| US Breast Device Plcmnt w/US Guide Right | $2,738.00 |
| US Breast Limited Left | $303.00 |
| US Breast Limited Right | $303.00 |
| US Breast Tissue Specimen Surgical Left | $2,351.00 |
| US Breast Tissue Specimen Surgical Right | $2,351.00 |
| US Catheter and Inj Cont SONOHYST or HSG | $1,090.00 |
| US Chest | $532.00 |
| US Device Placement Rad TX Marker | $5,633.00 |
| US Doppler Fetal Umbilical Artery | $532.00 |
| US Doppler Middle Cerebral Artery | $532.00 |
| US Drainage Peritoneal Retroperitoneal | $6,500.00 |
| US Drainage Peritoneal TV/Transrectal | $6,500.00 |
| US Drainage Soft Tissue | $2,738.00 |
| US ED Extremity Limited POC | $532.00 |
| US ED Abdomen Limited POC | $532.00 |
| US ED Echo Limited POC | $1,090.00 |
| US ED Extremity Duplex POC | $532.00 |
| US ED Guided Drainage POC | $2,830.00 |
| US ED Head Neck Soft Tissue Limited POC | $532.00 |
| US ED Pelvic Limited POC | $532.00 |
| US ED Pregnancy Transabdominal POC | $532.00 |
| US ED Pregnancy Transvaginal Limited POC | $532.00 |
| US ED Renal Limited POC | $532.00 |
| US ED Vascular Access POC | $310.00 |
| US Encephalogram | $532.00 |
| US Examination Surgical Specimen | $2,351.00 |
| US Extremity Non Vascular | $532.00 |
| Us Extremity Nonvas Complete | $532.00 |
| Us Extremity Nonvas Limited | $532.00 |
| US Fetal Biophysical Profile | $532.00 |
| US Fetal Biophysical Profile w/ Non-Str | $504.00 |
| US Fetal Biophysical Profile w/o N-Str | $532.00 |
| US Fine Needle Aspiration Thyroid Gland | $2,218.00 |
| US Fine Needle Aspiration w/ Guidance | $2,218.00 |
| US Guided Needle Placement | $579.00 |
| US Guided Vascular Access | $310.00 |
| US Head/Neck Soft Tissue | $532.00 |
| US Hips Infant Dynamic | $294.00 |
| US Hips Infant Static Limited | $294.00 |
| US Hysterosonogram | $1,090.00 |
| US Injection Tendon Sheath Ligament | $1,170.00 |
| US Insert Tunneled IP Cath Percutaneous | $4,932.00 |
| US Intraoperative | $361.00 |
| US Joint/Bursa Lw Int Arth/Asp/Inj Left | $1,170.00 |
| US Joint/Bursa Lw Int Arth/Asp/Inj Right | $1,170.00 |
| US Joint/Bursa Lw Maj Arth/Asp/Inj Left | $1,170.00 |
| US Joint/Bursa Lw Maj Arth/Asp/Inj Right | $1,170.00 |
| US Joint/Bursa Up Int Arth/Asp/Inj Left | $1,170.00 |
| US Joint/Bursa Up Int Arth/Asp/Inj Right | $1,170.00 |
| US Joint/Bursa Up Maj Arth/Asp/Inj Left | $1,170.00 |
| US Joint/Bursa Up Maj Arth/Asp/Inj Right | $1,170.00 |
| US Joint/Bursa Up Sm Arth/Asp/Inj Right | $1,170.00 |
| US Lower Extremity Nonvascula Complete L | $532.00 |
| US Lower Extremity Nonvascula Complete R | $532.00 |
| US Lower Extremity Nonvascular Limited L | $532.00 |
| US Lower Extremity Nonvascular Limited R | $532.00 |
| US Marker Tissue Implant Each | $375.00 |
| US Neck Soft Tissue Thyroid | $532.00 |
| US Needle Biopsy Abdomen Retroperitoneal | $6,500.00 |
| US Needle Biopsy Thyroid | $2,738.00 |
| US Needle BX Renal Left | $6,500.00 |
| US Needle BX Renal Right | $6,500.00 |
| US OB Follow Up | $532.00 |
| US OB Greater Than 14 Weeks | $532.00 |
| US OB Less Thn 14 wks w/TVS if indicated | $532.00 |
| US OB Limited | $532.00 |
| US OB Transvaginal | $532.00 |
| US Ortho Arthrocentesis Inter Joint POC | $2,830.00 |
| US Ortho Arthrocentesis Major Joint POC | $1,170.00 |
| US Ortho Arthrocentesis Small Inj POC | $1,170.00 |
| US Ortho Fluoroscopic Guided Inj POC | $1,199.00 |
| Us Ortho Gang Cyst, Any Site POC | $1,108.00 |
| Us Ortho Inj Tendon Origin/Ins POC | $1,170.00 |
| Us Ortho Inj Tendon/Ligament POC | $1,170.00 |
| Us Ortho N Blk Inj Plantar Dgt POC | $1,108.00 |
| Us Ortho N Blk Other Perif POC | $2,830.00 |
| US Ortho NC0099 New Plate Rich Plasma POC | $1,645.00 |
| US Ortho Ultra Guide Needle Biopsy POC | $579.00 |
| Us Ortho Us Ext Non-Vasc Cmplt POC | $532.00 |
| US Paracentesis | $3,599.00 |
| US Pelvis Comp w/Transvag if indicated | $532.00 |
| US Pelvis Ltd w/Transvag if indicated | $532.00 |
| US Pelvis-Male Limited | $532.00 |
| US Pregnancy Comp Level 2 1st Gestation | $1,090.00 |
| US Prostate Transrectal | $532.00 |
| US Puncture Aspiration Skin Subcutaneous | $1,484.00 |
| US Radiation Therapy Marker Pl Prostate | $5,633.00 |
| US Removal of IUD | $784.00 |
| US Retroperitoneal Complete | $532.00 |
| US Retroperitoneal Limited | $532.00 |
| US Screening Aorta for Aneurysm | $532.00 |
| US Scrotum (Contents) w/ Doppler if ind | $532.00 |
| US Sedation Moderate > 5 years | $684.00 |
| Us Soft Tissue Head/Neck | $532.00 |
| US Spinal Canal | $532.00 |
| US Thoracentesis | $2,930.00 |
| US Thoracentesis And Tube Insertion | $5,168.00 |
| US Transperineal Placement Biodegradable | $17,642.00 |
| US TRANSVAGINAL NON PREG | $532.00 |
| US Transvaginal Non-OB | $532.00 |
| US Tunnel Cath For Dialysis Percutaneous | $5,168.00 |
| US Tunnelled Catheter Insert Perc | $3,448.00 |
| US Tunnelled Pleural Cath Insert Perc | $3,448.00 |
| US Ultra Guide Needle Biopsy POC | $579.00 |
| US Upper Extremity Nonvascula Complete L | $532.00 |
| US Upper Extremity Nonvascula Complete R | $532.00 |
| US Upper Extremity Nonvascular Limited L | $532.00 |
| US Upper Extremity Nonvascular Limited R | $532.00 |
| Usher/Sidekick catheter | $966.00 |
| Uterine Evacuation For Hydatidiform Mole | $11,159.00 |
| Uvulectomy Excision Of Uvula | $9,990.00 |
| VAC <= 50 sq cm | $834.00 |
| VAC >50sq cm | $1,484.00 |
| VAC DRESSING 18X12.5CM BLACK MD SENSATRAC KCI KINETIC CONCEPTS INC M8275052/10.S | $166.00 |
| VAC DRESSING 26X15CM BLACK LG SENSATRAC KCI KINETIC CONCEPTS INC M8275053/10.S | $212.00 |
| Vacuum Bottle | $146.00 |
| VAD Monitor per Hour | $157.00 |
| Vag Delivery Ob Care | $3,120.00 |
| Vag Hyst Incl T/O, Complex | $18,472.00 |
| Vag Hyst Uterus <250 Gram | $28,404.00 |
| Vag Hyst W/Enterocele,Uterus > 250 G | $18,472.00 |
| Vag Hyst W/T/O & Vag Repair Uterus <=250Gm | $18,472.00 |
| Vag Hyster W Rem Of Tubes/Ovary(S) | $19,498.00 |
| Vag Hyster W/Wo Rem Tube Ovary | $19,498.00 |
| Vag Par W/Rem Paravag Tis | $10,572.00 |
| VAGINAL DELIVERY ONLY | $11,159.00 |
| Vaginal Delivery Only | $11,159.00 |
| Vaginal Delivery Only | $10,000.00 |
| Vaginal Packing Tray | $60.00 |
| Vaginectomy | $10,572.00 |
| Vaginectomy Partial Rem Vag Wall | $11,159.00 |
| Vaginoplasty/Adrenogenital Syndrome | $10,572.00 |
| Valproic Acid (QST) | $71.00 |
| Valproic Acid Level. | $71.00 |
| Valproic Acid, Free (QST) | $71.00 |
| Valproic Acid, Free -Quest | $71.00 |
| VALVE AOR 24MM 31MM CRP-ED EDWARDS LIFESCIENCES CORP 2625-31 | $12,800.00 |
| VALVE AORTIC FLEX CUFF 21MM ST JUDE STRUCTURAL HEART 21AGFN-756 | $15,541.00 |
| VALVE HEART MITRAL MAGNA 27MM EDWARDS LIFESCIENCES CORP 7300TFX27 | $22,600.00 |
| VALVE HEART MITRAL MAGNA 29MM EDWARDS LIFESCIENCES CORP 7300TFX29 | $22,600.00 |
| VALVE HEART MITRAL MAGNA 33MM EDWARDS LIFESCIENCES CORP 7300TFX33 | $22,600.00 |
| VALVE HEART MTRL TFX 25MM LIVE EDWARDS LIFESCIENCES CORP 7300TFX25 | $22,600.00 |
| VALVE HEART PERIMOUNT 25MM EDWARDS LIFESCIENCES CORP 280025MM | $18,780.00 |
| VALVE HEART PERIMOUNT 27MM EDWARDS LIFESCIENCES CORP 280027MM | $18,780.00 |
| VALVE HEART PERIMOUNT 29MM EDWARDS LIFESCIENCES CORP 280029MM | $18,780.00 |
| VALVE LUMB SHUNT 125/205-285MM NATUS NEUROLOGY 903335A | $5,847.00 |
| VALVE MAGNA AORTIC HRT 19MM MAGNA EASE BOVINE TISSUE EDWARDS LIFESCIENCES CORP 3300TFX19MM | $23,060.00 |
| VALVE MAGNA AORTIC HRT 21MM MAGNA EASE BOVINE TISSUE EDWARDS LIFESCIENCES CORP 3300TFX21MM | $27,580.00 |
| VALVE MAGNA AORTIC HRT 23MM MAGNA EASE BOVINE TISSUE EDWARDS LIFESCIENCES CORP 3300TFX23MM | $23,060.00 |
| VALVE MAGNA AORTIC HRT 25MM MAGNA EASE BOVINE TISSUE EDWARDS LIFESCIENCES CORP 3300TFX25MM | $39,600.00 |
| VALVE MAGNA AORTIC HRT 27MM MAGNA EASE BOVINE TISSUE EDWARDS LIFESCIENCES CORP 3300TFX27MM | $23,060.00 |
| VALVE MAGNA AORTIC HRT 29MM MAGNA EASE BOVINE TISSUE EDWARDS LIFESCIENCES CORP 3300TFX29 | $23,060.00 |
| VALVE MITRAL EPIC 27MM | $14,822.00 |
| VALVE MITRAL MAGNA 31MM PERIMOUNT CARPENTIER-EDWARDS EDWARDS LIFESCIENCES CORP 7300TFX31 | $23,060.00 |
| VALVE MITRAL ROTATABLE STD 31 ST JUDE STRUCTURAL HEART 31MJ-501 | $14,834.00 |
| VALVE SHNT INLINE SIPHONGUARD INTEGRA NEUROSCIENCES INC 828806PL | $15,972.00 |
| VALVE SHUNT INLINE SIPHONGUARD INTEGRA NEUROSCIENCES INC 828804PL | $15,972.00 |
| VALVE SHUNT PROG SM SIPHONGUARD CERTAS INTEGRA NEUROSCIENCES INC 828814PL | $15,972.00 |
| Valvot Clsd W/Prosth Ring | $16,861.00 |
| Valvuloplasty | $3,185.00 |
| Valvuloplasty Procedure -> Valvuloplasty | $22,110.00 |
| VALVULTOME EXP 1.5MMX98CM LEMAITRE VASCULAR INC 1009-00 | $8,050.00 |
| Vancomycin | $25.00 |
| Vancomycin | $25.00 |
| Vancomycin | $25.00 |
| Vancomycin Level Peak. | $71.00 |
| Vancomycin Level Trough. | $71.00 |
| Vancomycin Level. | $71.00 |
| Vanillylmandelic Acid Urine -Quest | $87.00 |
| Varicella Zoster Antibody IgG. | $68.00 |
| Varicella Zoster Virus Ab (IgM) -Quest | $68.00 |
| Varicella Zoster Virus Ab IgG -Quest | $68.00 |
| Varicella Zoster Virus Antibody (IgM) (QST) | $68.00 |
| Varicella Zoster Virus DNA Ql RT PCR -Quest | $185.00 |
| Varicella Zoster Virus DNA Qn RT PCR -Quest | $226.00 |
| vas stent Viabahn Heparin coated 10 cm | $12,780.00 |
| vas stent Viabahn Heparin coated 15 cm | $14,780.00 |
| vas stent Viabahn Heparin coated 5 cm | $11,180.00 |
| Vas stent, protege 100 mm | $4,900.00 |
| Vas stent, protege 120 mm | $5,040.00 |
| Vas stent, protege 150 mm | $5,300.00 |
| Vas stent, protege 20-80 mm | $3,700.00 |
| Vas stent, protege RX | $7,400.00 |
| Vas stent, Express LD 17/20/25 | $3,996.00 |
| Vas stent, Express LD 27/37 | $3,996.00 |
| Vas stent, Express LD 57 | $3,996.00 |
| Vas stent, Express SD 0.014 | $3,996.00 |
| Vas stent, Fluency SE Bard | $7,200.00 |
| Vas stent, Genesis | $3,960.00 |
| Vas stent, Genesis 29, 0.035 | $3,816.00 |
| Vas stent, Genesis 39, 0.035 | $3,816.00 |
| Vas stent, Genesis unmounted 29 | $4,224.00 |
| Vas stent, Genesis unmounted 39 | $4,224.00 |
| Vas stent, ICAST 16 | $9,640.00 |
| Vas stent, ICAST 22 | $9,758.00 |
| Vas stent, ICAST 38 | $9,991.00 |
| Vas stent, ICAST 59 | $11,100.00 |
| Vas stent, Luminexx | $3,500.00 |
| Vas stent, Palmaz Blue | $4,216.00 |
| Vas stent, Precise Rx | $7,912.00 |
| Vas stent, SMART Control 100 | $4,116.00 |
| Vas stent, SMART Control 120 | $5,200.00 |
| Vas stent, SMART Control 150 | $5,600.00 |
| Vas stent, SMART Control 30, 40, 60 | $3,724.00 |
| Vas stent, SMART Control 80 | $3,876.00 |
| Vas stent, Wallstent | $4,256.00 |
| Vasc Embolize/Occlude Artery | $45,694.00 |
| Vasc Embolize/Occlude Bleed | $45,694.00 |
| Vasc Embolize/Occlude Organ | $45,694.00 |
| Vasc Embolize/Occlude Venous | $45,694.00 |
| Vascular DES Zilver 120 | $7,980.00 |
| Vascular DES Zilver 40 | $4,230.00 |
| Vascular DES Zilver 80-100 | $6,460.00 |
| Vascular Therapy | $834.00 |
| Vasectomy Unilateral/Bilateral | $7,789.00 |
| Vaseline Gauze | $127.00 |
| Vaseline Nasal Gauze | $103.00 |
| Vasoactive Intestinal Polypeptide -Quest | $186.00 |
| Vasotomy | $7,789.00 |
| Vasovasostomy, Vasovasorr | $13,104.00 |
| VATS chest wall resection | $923.00 |
| VATS rib plating | $923.00 |
| Vbac Global | $10,000.00 |
| Vbac Only | $11,159.00 |
| Vbac W/Pp Care | $10,000.00 |
| VCAM | $47.00 |
| VDRL, CSF -Quest | $23.00 |
| VDRL, Serum -Quest | $23.00 |
| VEGF | $47.00 |
| Vein X-Ray Arms/Legs | $5,168.00 |
| Vein X-Ray Kidney | $12,891.00 |
| Vein X-Ray Kidneys | $13,078.00 |
| Vena Sins/Jugl Cath Super & Interp | $13,078.00 |
| VENIPUNCTURE | $14.00 |
| Venipuncture | $14.00 |
| VENIPUNCTURE ( | $14.00 |
| VENIPUNCTURE LT 3YR SCALP | $123.00 |
| VENIPUNCTURE OVER 3 PHYS | $123.00 |
| Venogram Extrem Unil Super & Interp | $2,930.00 |
| Venogram Hepat Wedged W Hemo Sup & Interp | $11,826.00 |
| Venogram Ivc Super & Interp | $12,891.00 |
| Venogram Superior Sag Sins Sup & Interp | $4,896.00 |
| Venogram Svc Sup & Interp | $2,930.00 |
| Venous Patch/Cuff Placement | $6,161.00 |
| Venous PTA | $22,110.00 |
| Vent Mgmt Inpat. Init Day | $2,410.00 |
| Vent Mgmt Inpat. Subq Day | $2,410.00 |
| Vent Tube Rem Ins Other Phy | $9,990.00 |
| Ventric Catheter | $2,513.00 |
| Ventric Drainage System | $839.00 |
| Ventric Drill Kit | $1,116.00 |
| Ventric/Perit/Pleur/ Othr Shunt | $4,175.00 |
| Vermilionectomy Lip Peel | $9,990.00 |
| Verrata pressure wire | $1,631.00 |
| Vertebroplasty -> Guide, needle placement | $1,199.00 |
| Vertebroplasty -> Perc Vertebroplasty; Cervicothorac | $12,397.00 |
| Vertebroplasty -> Perc Vertebroplasty; Lumbosacral | $12,397.00 |
| Vertebroplasty -> Percutaneous bone biopsy | $6,500.00 |
| Vertebroplasty -> PercVertebroplasty Each Addl | $11,177.00 |
| Very Long Chain Fatty Acids -Quest | $95.00 |
| Vestibular nerve section, translabyrinthine approach | $9,990.00 |
| Vestibuloplasty Anterior | $19,807.00 |
| Vestibuloplasty Complex | $19,807.00 |
| Vestibuloplasty Entire Arch | $19,807.00 |
| Vestibuloplasty Posterior Uni | $19,807.00 |
| V-Exc Lesion Lip Primary Closr | $9,990.00 |
| vf celect | $3,800.00 |
| vf denali | $3,800.00 |
| Vicryl mesh | $834.00 |
| Videostroboscopy | $1,730.00 |
| Viper wire | $350.00 |
| Viral ID, Respiratory (QST) | $42.00 |
| Virect W/Focal Endolasar Photocoagulation | $16,298.00 |
| Virectomy Macular Hole | $16,298.00 |
| Virectomy Macular Pucker | $16,298.00 |
| Viscosity Serum. | $62.00 |
| Visions 0.018 | $1,756.00 |
| Visions 0.035 | $2,320.00 |
| Visual Audiometry (Vra) | $609.00 |
| Visual Evoked Potential | $609.00 |
| VISUAL FIELD EXAM LIMITED | $264.00 |
| Visual Field Exam Limited | $264.00 |
| Visual Fields Extended | $477.00 |
| Visual Fields Inter | $250.00 |
| Vit D, 1,25 Dihydroxy LC/MS/MS -Quest | $203.00 |
| Vitamin A (Retinol) -Quest | $61.00 |
| Vitamin B1 (Thiamine), Blood,,LC/MS/MS -Quest | $112.00 |
| Vitamin B1 (Thiamine), Serum/Plasma, LC/MS/MS -Quest | $112.00 |
| Vitamin B12 Level | $80.00 |
| Vitamin B12 Level. | $80.00 |
| Vitamin B2 (Riboflavin), Plasma -Quest | $107.00 |
| Vitamin B3 -Quest | $81.00 |
| Vitamin B6, Plasma -Quest | $148.00 |
| Vitamin B7 (Biotin) -Quest | $81.00 |
| Vitamin C, LC/MS/MS -Quest | $52.00 |
| Vitamin D 25 Hydroxy Level. | $156.00 |
| Vitamin D, 1,25 (OH)2, Total (QST) | $203.00 |
| Vitamin D, 25 OH, Total (QST) | $156.00 |
| Vitamin E (Tocopherol) -Quest | $75.00 |
| Vitamin K -Quest | $72.00 |
| Vitrectomy/Endolaser Panretinal Photoco | $16,298.00 |
| VL Adsons | $642.00 |
| VL Ankle-Brachial Index- Limited | $503.00 |
| VL Ankle-Brachial Index-Complete | $503.00 |
| VL Aortoiliac Duplex Limited | $532.00 |
| VL Arterial PPG Lower Extremities | $642.00 |
| VL Arterial PPG Upper Extremity | $642.00 |
| VL Arterial-Brachial Index Complete | $642.00 |
| VL AV Fistula or Dialysis Duplex | $532.00 |
| VL Carotid Duplex Bilateral | $1,090.00 |
| VL Carotid Duplex Unilat/Limited | $532.00 |
| VL Cold Stress | $642.00 |
| VL Guided Vascular Access | $310.00 |
| VL Hepato-Portal Duplex | $1,090.00 |
| VL Intraoperative | $579.00 |
| VL IVC Iliac Duplex Limited | $532.00 |
| VL Lower Ext Arterial Duplex Bilateral | $1,090.00 |
| VL Lower Ext Arterial Duplex Limited | $532.00 |
| VL Lower Ext Doppler w/ Stress Test | $642.00 |
| VL Lower Ext Venous Duplex Bilateral | $1,090.00 |
| VL Lower Ext Venous Duplex Left | $532.00 |
| VL Lower Ext Venous Duplex Right | $532.00 |
| VL Pre-Access Graft Duplex | $532.00 |
| VL Pre-Post Prandial SMA Duplex | $532.00 |
| VL Pseudoaneurysm Injection | $579.00 |
| VL Radial Ulnar Preop Duplex For CABG | $532.00 |
| VL Renal Artery Duplex Bilateral | $1,090.00 |
| VL Renal Artery Duplex Left | $532.00 |
| VL Renal Artery Duplex Right | $532.00 |
| VL Screening Aorta for Aneurysm | $532.00 |
| VL Segmental Press Lower w/ Ice Immers | $642.00 |