Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

Full Price List

Access to csv file
https://www.elliothospital.org/website/price-lists/Hospital-CDM-Full-Charge.csv


ABCD
1
CategoryCharge CodeDescription 1/1/2019
Unit Charge
2
BREAST HEALTH3610019084BIOPSY BREAST INCS US GUIDANCE EA ADDL $ 1,821
3
BREAST HEALTH3610019083BIOPSY BREAST INCS US GUIDANCE INITIAL $ 5,765
4
BREAST HEALTH3610019081BX BREAST,W/LOCAL DEV,PERC W/STERO GUID, 1ST LES $ 6,015
5
BREAST HEALTH3610019085BX, BREAST,W/LOCAL DEV,PERC,W/MRI GUID, 1ST LES $ 8,020
6
BREAST HEALTH3610019082BX,BREAST,W/LOCAL DEV,PERC,W/STERO GUID,ADDL LES $ 2,276
7
BREAST HEALTH3610019086BX. BREAST, W/LOCAL DEV,PERC,W/MRI GUID, ADDL LES $ 2,883
8
BREAST HEALTH3610019000DRAINAGE OF BREAST LESION $ 654
9
BREAST HEALTH7610019283PERQ DEV BREAST 1ST STRTCTC $ 490
10
BREAST HEALTH7610019284PERQ DEV BREAST ADD STRTCTC $ 490
11
BREAST HEALTH7610019282PLCMT BREAST LOCL DEB, PERC, INCL MAM GUID, ADDL $ 776
12
BREAST HEALTH7610019281PLCMT BREAST LOCL DEV, PERC, INCL MAM GUID, 1ST LES $ 2,340
13
BREAST HEALTH4010077062TOMOSYNTHESIS DIAGNOSTIC BILATERAL $ 189
14
BREAST HEALTH4010077061TOMOSYNTHESIS DIAGNOSTIC UNILATERAL $ 189
15
BREAST HEALTH4030077063TOMOSYNTHESIS SCREENING BILATERAL $ 189
16
BREAST HEALTH4010077065MAMMOGRAM DIAG UNI LT INCL CAD $ 690
17
BREAST HEALTH4010077066BIL MAMMOGRAM DIAG INCL CAD $ 878
18
BREAST HEALTH4030077067MAMMOGRAM SCREENING BILATERAL INCL CAD $ 730
19
CARDIOVASCULAR36100362151ST ORDER ART THORAX CATH PLACE $ 7,460
20
CARDIOVASCULAR36100362451ST ORDER EXTREMITY W/CS $ 9,230
21
CARDIOVASCULAR36100362462ND ORDER EXTREMITY W/CS $ 2,718
22
CARDIOVASCULAR36100362473RD ORDER EXTREMITY CONTRALATERAL W/CS $ 3,044
23
CARDIOVASCULAR3610136620ARTERIAL LINE $ 300
24
CARDIOVASCULAR3090236600ARTERIAL PUNCTURE $ 78
25
CARDIOVASCULAR3610036252BIL SELEC CATH PLCMNT (1ST ORDER) RENAL ANGIO W/CS $ 10,871
26
CARDIOVASCULAR3610038505BIOPSY,LYMPH,NEEDLE,SUPER (38505) $ 1,635
27
CARDIOVASCULAR1300002BLD DRAW CAPILLARY $ 36
28
CARDIOVASCULAR3910236430BLOOD TRANSFUSION $ 810
29
CARDIOVASCULAR7310093225CARDIAC MONITOR UPTO 48HR CONT RHYTHM $ 350
30
CARDIOVASCULAR2701118CARDIOVERSION EXTERNAL W/CS $ 1,254
31
CARDIOVASCULAR3610036014CATH PLACE, PULMONARY $ 5,707
32
CARDIOVASCULAR3610036015CATH PLACE, PULMONARY SEGMENTAL SELECTIVE $ 6,226
33
CARDIOVASCULAR3610036011CATH PLACE,VENOUS,1ST ORDER $ 850
34
CARDIOVASCULAR3610036012CATH PLACE,VENOUS,2ND OR HIGHER $ 1,000
35
CARDIOVASCULAR3610036556CENTRAL LINE $ 1,937
36
CARDIOVASCULAR4800093653COMPRE ELEC INSERT/REPOSITION MULTI ELECTRODE CATH W/CS $ 18,000
37
CARDIOVASCULAR4800093620COMPREHENSIVE EP STUDY W/INDUCTION $ 9,000
38
CARDIOVASCULAR4800093619COMPREHENSIVE EP STUDY W/O INDUCTION $ 8,500
39
CARDIOVASCULAR4810093459COR ART ANGIO W/LT HT CATH/BYPASS GRFT/S&I W/CS $ 11,440
40
CARDIOVASCULAR4810093461
COR ART ANGIO W/LT&RT HT CATH/V-GRAM/BYPASS GRAFTS&I W/CS
$ 13,520
41
CARDIOVASCULAR4810093460COR ART ANGIO W/LT&RT HT CATH/V-GRAM/S&I W/CS $ 11,440
42
CARDIOVASCULAR4810093455CORONARY ART ANGIO W/BYPASS GRAFT/S&I W/CS $ 9,578
43
CARDIOVASCULAR4810093457CORONARY ART ANGIO W/BYPASS GRFT/RT HT CATH/S&I W/CS $ 11,526
44
CARDIOVASCULAR4810093458CORONARY ART ANGIO W/LT HT CATH/V-GRAM/S&I W/CS $ 10,920
45
CARDIOVASCULAR4810093456CORONARY ART ANGIO W/RT HT CATH/S&I W/CS $ 11,526
46
CARDIOVASCULAR4810093454CORONARY ART ANGIO W/S&I W/CS $ 8,320
47
CARDIOVASCULAR4500192950CPR $ 485
48
CARDIOVASCULAR4800093621CS RECORDING $ 4,000
49
CARDIOVASCULAR3610036593DECLOTTING $ 697
50
CARDIOVASCULAR3610034710DLYD PLMT XTN PROSTH 1ST VSL $ 8,250
51
CARDIOVASCULAR4830093321DOPPLER LIMITED $ 353
52
CARDIOVASCULAR3610038221DX BONE MARROW BIOPSIES $ 1,482
53
CARDIOVASCULAR9104030DX BONE MARROW BX & ASPIR $ 1,635
54
CARDIOVASCULAR4830093306ECHO CARD REALTIME COMPL W/DOPPLER (M-MODE) $ 1,391
55
CARDIOVASCULAR4830093303ECHO CONGENITAL COMPL W/WO FOL W/CONTRAST $ 1,284
56
CARDIOVASCULAR4830093325ECHO DOPPLER COLOR FLOW $ 535
57
CARDIOVASCULAR4830093320ECHO DOPPLER COMPLETE PULSE WAVE $ 551
58
CARDIOVASCULAR4830093350ECHO STRESS W/INTERP & REP (M-MODE) $ 1,284
59
CARDIOVASCULAR4830293308ECHOCARD REAL TIME LIMITED (FAST) $ 704
60
CARDIOVASCULAR4830093312ECHO-TRANSESOPHAGEAL INT/REP W/CS $ 1,926
61
CARDIOVASCULAR3650669EKG $ 183
62
CARDIOVASCULAR5800025ELECTROPHYSICOLOGICAL EVAL OF TRANSVENOUS CARDIO DEFIB $ 3,816
63
CARDIOVASCULAR4800093654EP & ABLATE VENTRIC TACHY $ 12,553
64
CARDIOVASCULAR4800093641EP EVALUATION SNGL/DUAL DEVICE AT IMPLANT $ 3,334
65
CARDIOVASCULAR3610034705EVAC RPR A-BIILIAC NDGFT $ 17,257
66
CARDIOVASCULAR3610037224FEM/POPL UNI W/ANGIOPL W/CS $ 11,000
67
CARDIOVASCULAR3610037226FEM/POPL UNI W/STNT/ANGIOPL W/CS $ 15,000
68
CARDIOVASCULAR3610036595FIBRIN SHEATH STRIPPING $ 3,270
69
CARDIOVASCULAR7310093226HOLTER MONITOR SCAN W/REPORT CONT RHYTHM $ 445
70
CARDIOVASCULAR3610033241ICD REMOVAL PULS GEN ONLY W/CS $ 2,800
71
CARDIOVASCULAR5907093ILIAC UNI INIT VSL W/ANGIOPL W/CS $ 10,000
72
CARDIOVASCULAR3610037221ILIAC UNI INIT VSL W/STNT W/ANGIOPL W/CS $ 15,000
73
CARDIOVASCULAR4810093567INJ CARD CATH SUPRVALVULAR AORTOGR W/S&I/CS $ 697
74
CARDIOVASCULAR7610036468INJ SPIDER VEINS SNGL/MULTI $ 285
75
CARDIOVASCULAR3610136005INJ VENOGRAM EXTREMITY $ 350
76
CARDIOVASCULAR7610036598INJ W/FLURO EVAL CV DEVICE $ 684
77
CARDIOVASCULAR6604329INJECT FOR LYMPHATIC X-RAY $ 759
78
CARDIOVASCULAR3610036002INJECT THROMBIN FOR PSEUDOANEURYSM $ 600
79
CARDIOVASCULAR5153160INJX SCLRSNT 1 INCMPTNT VEIN $ 270
80
CARDIOVASCULAR5755044INSERT/REPLACE SQ ICD SYSTEM W ALL PROGRAM/TESTING $ 12,000
81
CARDIOVASCULAR3610033282INSERTION OF IMPLANTED LOOP RECORDER W/CS $ 4,500
82
CARDIOVASCULAR3610037182INSRT HEPATIC SHUNTS(TIPS) $ 9,810
83
CARDIOVASCULAR3610033208
INSRT NEW/REPL PERM PACER TRANSVEN ELECT ART/VENTR LEAD ONLY W/CS
$ 8,000
84
CARDIOVASCULAR3610033207
INSRT NEW/REPL PERM PACER TRANSVEN ELECT VENTR LEAD ONLY W/CS
$ 6,500
85
CARDIOVASCULAR5918965INSRT NEW/REPL PERM PACER TRANSVENOUS ATRIAL LEAD ONLY $ 6,500
86
CARDIOVASCULAR3610033249
INSRT/REPLACE PERM PACING DEFIB SYSTM W/TRANSV LEAD SNGL/DUAL CHM W/CS
$ 10,000
87
CARDIOVASCULAR4830093291INTERROGATION DEV EVAL REVIEW & REPORT IMP LOOP REC SYS $ 350
88
CARDIOVASCULAR4800093650INTRA CATH CARDIAC ABLATION AV $ 10,500
89
CARDIOVASCULAR4800093613INTRACARDIAC ELECTRO 3D MAPPING $ 2,982
90
CARDIOVASCULAR4800093571INTRAVASCULAR PRESSURE MSMNT W/CS $ 2,796
91
CARDIOVASCULAR3610036200INTRO CATHETER INTO AORTA W/CS (36200) $ 4,216
92
CARDIOVASCULAR3610033215LEAD REPOSITION (RA/RV) $ 4,000
93
CARDIOVASCULAR7610037609LIGATION/BIOPSY, TEMPORAL ARTERY $ 3,500
94
CARDIOVASCULAR7310093271LONG TERM MONITOR/ANALYSIS (WEARABLE PT ACT) $ 760
95
CARDIOVASCULAR3610033225LV LEAD PLACEMENT (INCLD PCK REVISION) $ 7,000
96
CARDIOVASCULAR4800093609MAPPING OF TACHYCARDIA SITES $ 4,703
97
CARDIOVASCULAR7310093270MONITOR RECORDING EXT AUTO ACT 30 DAYS $ 264
98
CARDIOVASCULAR3610037236OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITAL ART $ 8,500
99
CARDIOVASCULAR3610037237OPEN/PERQ PLMT INTRAVASC STENT SAME 1ST, EA ADDL ART $ 4,500
100
CARDIOVASCULAR4810092941PERCU TRANSL REVASCUL ACUTE TOTL/SUBT SNT SNG W/CS $ 14,280
101
CARDIOVASCULAR4800092973PERCUT CORN THROMBECTOMY MECHANICAL W/CS $ 7,500
102
CARDIOVASCULAR4810092928PERCUTANEOUS TRANSCATH INTRACOR STNT W/ANGIO SNG W/CS $ 12,750
103
CARDIOVASCULAR4810092921PERCUTANEOUS TRANSLUMINAL COR ANGIO EA ADDL W/CS $ 9,180
104
CARDIOVASCULAR4810092920PERCUTANEOUS TRANSLUMINAL COR ANGIO SNG W/CS $ 9,180
105
CARDIOVASCULAR3610034713PERQ ACCESS & CLSR FEM ART $ 6,500
106
CARDIOVASCULAR3005712PICC LINE INSERT < 5 YRS W/CS $ 1,568
107
CARDIOVASCULAR4500236680PLACE NEEDLE,INTRAOSSEOUS INFUSION $ 371
108
CARDIOVASCULAR3610034709PLMT XTN PROSTH EVASC RPR $ 7,500
109
CARDIOVASCULAR4800093623PROG STIM/PACING AFTER IV DRUG $ 3,500
110
CARDIOVASCULAR4830093283
PROGRAM DEV EVAL DUAL LEAD TRNSVEN IMPLANTABLE DEFIB SYS
$ 250
111
CARDIOVASCULAR4830093280PROGRAMMING DEV EVAL DUAL LEAD PACEMAKER $ 137
112
CARDIOVASCULAR4830093281PROGRAMMING DEV EVAL MULTI LEAD PACEMAKER $ 153
113
CARDIOVASCULAR7390093279PROGRAMMING DEV EVAL SINGLE LEAD PACEMAKER $ 166
114
CARDIOVASCULAR3610033223RELOCATE SKIN POCKET CARDIOVERTER-DEFIB W/CS $ 4,139
115
CARDIOVASCULAR4830093299REMOTE ICM/ILR IMPLANT CARD MONITOR SYST/LOOP RECORDER $ 232
116
CARDIOVASCULAR3610033262
REMOV PACE CARDIO DEFIB PUL GEN W/REPLACE SNGL LEAD W/CS
$ 9,000
117
CARDIOVASCULAR3610033228REMOV PERM PACER PULS GEN W/REPL DUAL LEAD W/CS (33228) $ 9,000
118
CARDIOVASCULAR3610033229
REMOV PERM PACER PULS GEN W/REPLACE MULTI LEAD W/CS (33229)
$ 9,000
119
CARDIOVASCULAR3610033235REMOVAL OF DUAL LEAD PACEMAKER ELECTRODE W/CS (33235) $ 2,500
120
CARDIOVASCULAR3610033284REMOVAL OF IMPLANTED LOOP RECORDER W/CS $ 1,900
121
CARDIOVASCULAR3610033263REMOVE PACE CARDIO DEFIB PUL GEN W/REPLACE DUAL LD W/CS $ 10,000
122
CARDIOVASCULAR3610033264REMOVE PACE CARDIO DEFIB PUL GEN W/REPLACE MULTI LD W/CS $ 10,000
123
CARDIOVASCULAR3610033227
REMOVE PERM PACER PULSE GEN W/REPL SNGL LEAD W/CS (33227)
$ 8,000
124
CARDIOVASCULAR4500235226REPAIR BLOOD VSL,LWR EXTREMITY $ 1,700
125
CARDIOVASCULAR3610036576REPAIR TUNNELED CV CATH $ 3,069
126
CARDIOVASCULAR3610036580REPLACE/EXCHANGE CENTRAL LINE $ 2,071
127
CARDIOVASCULAR3610036584REPLACE/EXCHANGE PICC $ 1,308
128
CARDIOVASCULAR3610036581REPLC TUNNELED CV CATH W/O PORT/PMT W/CS $ 3,270
129
CARDIOVASCULAR3610036582REPLC TUNNELED CV CATH W/PORT/PMT W/CS $ 4,905
130
CARDIOVASCULAR3610033273REPOSITION SQ ICD LEAD $ 4,139
131
CARDIOVASCULAR3610036597REPOSITION, VENOUS CATH (SURGICAL) $ 1,417
132
CARDIOVASCULAR4500235206REPR BLD VSL DIRECT UPPER EXTREMITY $ 7,000
133
CARDIOVASCULAR3610033234RMVL TRANSV.PCMKR ELEC,SNGL LD W/CS $ 2,700
134
CARDIOVASCULAR3610036590RMVL TUNNELLED CV CATH W/PORT $ 2,071
135
CARDIOVASCULAR3610033233RMVL/PERM PCMKR PULSE GENERATOR (ONLY) W/CS $ 3,000
136
CARDIOVASCULAR4810093451RT HT CATH W/SATS/OUTPUT W/CS $ 7,448
137
CARDIOVASCULAR3610033216SINGLE CHAMBER LEAD PLCMT W/CS $ 5,000
138
CARDIOVASCULAR4830093296SINGLE, DUAL, OR MULT LEAD PACEMAKER SYSTEM $ 237
139
CARDIOVASCULAR4820093017STRESS TEST $ 630
140
CARDIOVASCULAR4830093351STRESS TTE COMPLETE W/CONT ECG $ 1,712
141
CARDIOVASCULAR4800093261SUBQ INTERROGATION $ 362
142
CARDIOVASCULAR4800093260SUBQ PROGRAMMING $ 362
143
CARDIOVASCULAR3610037228TIB/PERONEAL UNI INIT VSL W/ANGIOPL W/CS $ 8,000
144
CARDIOVASCULAR3610037230TIB/PERONEAL UNI INIT VSL W/STNT/ANGIOPL W/CS $ 15,000
145
CARDIOVASCULAR4800093660TILT TEST $ 1,827
146
CARDIOVASCULAR3610037183TIPS REVISION - RMVL HEPATIC SHUNTS $ 8,720
147
CARDIOVASCULAR4830093293TRANSTELEPHONIC PACEMKR EVAL REVIEW & REPORT $ 239
148
CARDIOVASCULAR3610036558TUNNELED CV CATH PLCMT W/CS $ 1,635
149
CARDIOVASCULAR3610037242VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I $ 21,239
150
CARDIOVASCULAR3610037241VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I $ 21,239
151
CARDIOVASCULAR3610037244VASCULAR EMBOLIZATION OR OCCULSION HEMORRHAGE $ 21,239
152
CARDIOVASCULAR3610037243VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT $ 21,239
153
DERMATOLOGY45002160001ST DGE BRN LOC RX ONLY $ 273
154
DERMATOLOGY45002120145.1-7.5CMFACE,EAR,EYELID,NOSE $ 570
155
DERMATOLOGY5101142ACNE SURG $ 485
156
DERMATOLOGY6855001APPL SKIN SUBST GFT FACE/NK/HF/G $ 986
157
DERMATOLOGY4500211000DEBRIDE EXTENSV INFECTED SKIN UPTO 10% BODY SURFC $ 784
158
DERMATOLOGY7610011721DEBRIDE NAIL, 6 OR MORE $ 156
159
DERMATOLOGY3610011043DEBRIDE SKIN SUBCUT TISSUE & MUSCLE $ 1,500
160
DERMATOLOGY4500211042DEBRIDE SUBCUT TISSUE 1ST 20 SQCM/LESS $ 1,254
161
DERMATOLOGY3610011047DEBRIDEMENT, BONE ADD ON TO 11044 $ 1,300
162
DERMATOLOGY7610017111DEST BEN LSN CUT VASC PROLIF LES 15+ $ 277
163
DERMATOLOGY7610017004DESTR LESIONS, 15 OR MORE $ 575
164
DERMATOLOGY5101921DESTR MALIG FACE,NOSE,LIP 1.1-2 CM $ 500
165
DERMATOLOGY7610017281DESTRCT MALIG LES FACE; 0.6-1.0 CM $ 370
166
DERMATOLOGY7610017271DESTRCT MALIG LES SCLP; 0.6-1.0 CM $ 388
167
DERMATOLOGY7610017262DESTRCT MALIG LES TRUNK; 1.1-2.0 CM $ 345
168
DERMATOLOGY7610017263DESTRCT MALIG LES TRUNK; 2.1-3.0CM $ 462
169
DERMATOLOGY7610017266DESTRCT MALIG LES TRUNK; OVER 4.0CM $ 620
170
DERMATOLOGY4500216020DRS/DEBRDMNT INIT/SUB SMALL $ 342
171
DERMATOLOGY7610017003DSTCRT BEN LESIONS 2-14 EA $ 55
172
DERMATOLOGY7610011442EXC BEN LES FACE; 1.1 TO 2.0 CM $ 1,400
173
DERMATOLOGY7610011443EXC BEN LES FACE; 2.1 TO 3 CM $ 1,700
174
DERMATOLOGY7610011403EXC BEN LES TRUNK; 2.1 TO 3.0 CM $ 1,400
175
DERMATOLOGY7610011641EXC MALIG LES FACE; 0.6 TO 1.0 CM $ 1,200
176
DERMATOLOGY7610011642EXC MALIG LES FACE; 1.1 TO 2.0 CM $ 1,500
177
DERMATOLOGY7610011626EXC MALIG LES SCLP; > 4.0 CM $ 3,000
178
DERMATOLOGY7610011620EXC MALIG LES SCLP; 0.5 CM/LESS $ 1,200
179
DERMATOLOGY5101157EXC MALIG LES SCLP; 0.6 TO 1.0 CM $ 1,500
180
DERMATOLOGY7610011622EXC MALIG LES SCLP; 1.1 TO 2.0 CM $ 1,500
181
DERMATOLOGY7610011623EXC MALIG LES SCLP; 2.1 TO 3 CM $ 2,000
182
DERMATOLOGY7610011606EXC MALIG LES TRUNK; > 4.0 CM $ 2,500
183
DERMATOLOGY7610011601EXC MALIG LES TRUNK; 0.6 TO 1.0 CM $ 1,000
184
DERMATOLOGY7610011603EXC MALIG LES TRUNK; 2.1 TO 3.0 CM $ 1,500
185
DERMATOLOGY7610011604EXC MALIG LES TRUNK; 3.1 TO 4.0 CM $ 1,600
186
DERMATOLOGY4500211750EXC NAIL MATRIX PART/COMP PERM RMVL $ 993
187
DERMATOLOGY7610011402EXC TR-EXT B9+MARG 1.1-2CM $ 1,100
188
DERMATOLOGY7610011602EXC TR-EXT MLG+MARG 1.1-2CM $ 1,100
189
DERMATOLOGY4500210121FB REMOVAL COMPLEX $ 2,822
190
DERMATOLOGY3610010022FNA W/IMAGE GUIDANCE $ 700
191
DERMATOLOGY4500210060I&D ABSCESS SIMPLE/SINGLE $ 507
192
DERMATOLOGY4500210180I&D CMPLX,POSTOP WOUND INFECT $ 2,822
193
DERMATOLOGY4500210080I&D PILONIDAL CYST SIMPLE $ 570
194
DERMATOLOGY3610010030IMG GUID FLUID COLL BY CATH, SOFT TISS, PERC $ 872
195
DERMATOLOGY4900011900INJ INTRALES; UP TO & INCL 7 LES $ 187
196
DERMATOLOGY4500211730NAILPLATE AVULDSION $ 302
197
DERMATOLOGY3610010035NEEDLE LOC/CLIP NON-BREAST 1ST LESION INCDS GUIDANCE $ 2,221
198
DERMATOLOGY3610011056PARE LESION 2-4 $ 177
199
DERMATOLOGY3610015050PINCH GRAFT SINGLE/MULTI 2CM OR LESS $ 1,308
200
DERMATOLOGY4500211760RECONSTRUCT NAIL BED $ 643
201
DERMATOLOGY4500210120REMOVAL FB SUBCUTANEOUS $ 570
202
DERMATOLOGY4500212051REPR INTERM < 2.5CM FACE EAR EYLD NSE LIP MCS M $ 1,139
203
DERMATOLOGY4500212041REPR INTERM < 2.5 CM NK HND FT EXT GEN $ 826
204
DERMATOLOGY4500212052REPR INTERM 2.5-5.0CM FACE EAR EYLD NSE LIP MCS M $ 1,367
205
DERMATOLOGY4500212042REPR INTERM 2.6-7.5 CM NK HND FT EXT GEN $ 940
206
DERMATOLOGY4500212053REPR INTERM 5.1-7.5CM FACE EAR EYLD NSE LIP MCS M $ 1,254
207
DERMATOLOGY4500212044REPR INTERM 7.6-12.5 CM NK HND FT EXT GEN $ 1,150
208
DERMATOLOGY4500212054REPR INTERM 7.6-12.5CM FACE EAR EYLD NSE LIP MCS M $ 1,367
209
DERMATOLOGY4500212031REPR INTERM WOUND < 2.5CM SCL TRK EXT $ 627
210
DERMATOLOGY4500212035REPR INTERM WOUND 12.6-20 CM SCL TRK EXT $ 1,367
211
DERMATOLOGY4500212032REPR INTERM WOUND 2.6-7.5 CM SCL TRK EXT $ 845
212
DERMATOLOGY4500212036REPR INTERM WOUND 20.1-30 CM SCL TRK EXT $ 1,595
213
DERMATOLOGY4500212034REPR INTERM WOUND 7.6-12.5 CM SCL TRK EXT $ 1,150
214
DERMATOLOGY7610011201RMVL SKIN TAGS ANY AREA EA ADDL 10 $ 118
215
DERMATOLOGY3610011307SHV LSN,SCLP/NK/HND1.1-2CM $ 320
216
DERMATOLOGY7610011310SHV LSN FC/EAR/EYE/NS 0.5CM/LESS $ 235
217
DERMATOLOGY7610011311SHV LSN,FC/EAR/EYE/NS.6-1CM $ 278
218
DERMATOLOGY5101027SHV LSN,FC/EAR/EYE/NS1.1-2CM $ 325
219
DERMATOLOGY7610011306SHV LSN,SCLP/NK/HND/FT.6-1CM $ 250
220
DERMATOLOGY7610011301SHV LSN,TRK/ARM/LG.6-1CM $ 226
221
DERMATOLOGY7610011302SHV LSN,TRK/ARM/LG1.1-2CM $ 280
222
DERMATOLOGY7610011300SHV SKN LSN TRK/AM/LG 0.5CM/LESS $ 195
223
DERMATOLOGY4500212013SIM-2.6-5CM EYELID,NOSE,LIP $ 480
224
DERMATOLOGY4500212002SIM-2.6-7.5CMSCL,NK,TRUNK,EX $ 480
225
DERMATOLOGY4500212004SIM-7.6-12.5CM SC,NK,TRK,EXT $ 540
226
DERMATOLOGY4500212015SIM-7.6-12.5CMEYELID,NOSE,LIP $ 655
227
DERMATOLOGY4500212011SIM-O-2.5CM FACE,EAR,NSE,LIP $ 420
228
DERMATOLOGY4500212005SIM-OV 12.6CM SCL,NK,TRNK,EX $ 683
229
DERMATOLOGY4500212007SMPL REP SUPERFCL WNDS >30.0CM $ 914
230
DERMATOLOGY4500211740SUBUNGUAL HEMATOMA EVAC $ 177
231
DERMATOLOGY7610014041TIS TRNFR REARAGMT 10.1-30.0 SQ CM $ 4,200
232
DERMATOLOGY4500214020TIS TRNFR S/A/L 10 SQ CM/< $ 1,112
233
DERMATOLOGY3703758TX SPRFCL WND DEHISCENCE;SIMPLE $ 1,045
234
DERMATOLOGY4500211765WEDGE EXCISION:SKN OF NAIL FOLD $ 456
235
DERMATOLOGY7610097598WOUND DEBRIDE SELECTIVE EA ADDL 20 SQCM $ 320
236
DERMATOLOGY7610029580STRAP UNNA BOOT COMPRESS (PASTE WRAP) $ 244
237
EAR PROCEDURES4500269200EAR FB REMOVAL $ 256
238
EAR PROCEDURES3707015REMOVE IMPACTED EAR WAX UNI $ 136
239
EAR PROCEDURES4500269210REMVL IMPACTED CERUMEN REQ INSTRUMENTATION UNILAT $ 148
240
EAR PROCEDURES4500269205RML FB,EXT AUDIT CANAL W/ANES $ 2,278
241
EMERGENCY ROOM VISIT
4500299291CRITICAL CARE 1ST HOUR $ 2,978
242
EMERGENCY ROOM VISIT
4500299292CRITICAL CARE EA ADD'L 30 MIN $ 1,192
243
EMERGENCY ROOM VISIT
4500299281E/R LEVEL 1/ REMVL SUT ELSEWHERE $ 284
244
EMERGENCY ROOM VISIT
4500299282E/R LEVEL 2 $ 455
245
EMERGENCY ROOM VISIT
4500299283E/R LEVEL 3 $ 815
246
EMERGENCY ROOM VISIT
4500299284E/R LEVEL 4 $ 1,663
247
EMERGENCY ROOM VISIT
4500299285E/R LEVEL 5 $ 2,512
248
EMERGENCY ROOM VISIT
4100099464NEO ATTENDANCE/DELIVERY $ 662
249
EMERGENCY ROOM VISIT
7200099465RESUSITATION $ 1,244
250
EMERGENCY ROOM VISIT
5160199202URGENT CARE NEW PT LVL 2 $ 180
251
EMERGENCY ROOM VISIT
5160199203URGENT CARE NEW PT LVL 3 $ 239
252
EMERGENCY ROOM VISIT
5160199204URGENT CARE NEW PT LVL 4 $ 360
253
EMERGENCY ROOM VISIT
5160199205URGENT CARE NEW PT LVL 5 $ 598
254
EMERGENCY ROOM VISIT
5160199211URGENT CARE LEVEL 1 $ 137
255
EMERGENCY ROOM VISIT
5160199201URGENT CARE NEW PT LVL 1 $ 137
256
EMERGENCY ROOM VISIT
5160199212URGENT CARE LEVEL 2 $ 180
257
EMERGENCY ROOM VISIT
5160199213URGENT CARE LEVEL 3 $ 239
258
EMERGENCY ROOM VISIT
5160199214URGENT CARE LEVEL 4 $ 360
259
EMERGENCY ROOM VISIT
5160199215URGENT CARE LEVEL 5 $ 598
260
EVALUATION & MANAGEMENT7610099497ADVNCD CARE PLAN 30 MIN $ 77
261
EVALUATION & MANAGEMENT7610096127BRIEF EMOTIONAL/BEH ASSMT $ 35
262
EVALUATION & MANAGEMENT9420097803F/U NUTR 15 MIN-UNIT $ 71
263
EVALUATION & MANAGEMENT9420097802INITIAL NUTR 15 MI-UNIT $ 90
264
EVALUATION & MANAGEMENT5300098925OSTEOPATHIC MANIPULATION 1-2 $ 51
265
EVALUATION & MANAGEMENT5300098926OSTEOPATHIC MANIPULATION 3-4 $ 55
266
EVALUATION & MANAGEMENT5300098927OSTEOPATHIC MANIPULATION 5-6 $ 60
267
EVALUATION & MANAGEMENT5300198928OSTEOPATHIC MANIPULATION 7-8 $ 61
268
EVALUATION & MANAGEMENT4200097750PT FCE VARIABLE UNIT $ 105
269
EVALUATION & MANAGEMENT4200097760PT ORTHOTIC FIT/TRN-UNIT $ 117
270
EVALUATION & MANAGEMENT9420199406SMOKING CESSATION ASYMPTOMATIC INTERMEDIATE 3-10MIN $ 66
271
EVALUATION & MANAGEMENT7610099496TRANSITIONAL CARE MANAGEMENT, MDM HIGH COMPLEX $ 255
272
EVALUATION & MANAGEMENT5160099213CLINIC VISIT $ 125
273
EVALUATION & MANAGEMENT7610099495TRANSITIONAL CARE MANAGEMENT, MDM MOD COMPLEX $ 223
274
EVALUATION & MANAGEMENT
5160099213FACILITY CLINIC ASSESS/MGMT SERVICES $ 125
275
EVALUATION & MANAGEMENT
9400096372INJ DRUG/ANTIB SC/IM ADMIN $ 136
276
FEMALE SURGERY4500258100BIOPSY OF UTERUS LINING $ 409
277
FEMALE SURGERY7610057500BX OF CERVIX SNGL/MULT W/WO FULG $ 1,100
278
FEMALE SURGERY5101193COLPOSCOPY $ 300
279
FEMALE SURGERY7610057454COLPOSCOPY W BIOPSY & ECC $ 450
280
FEMALE SURGERY5101197ENDOCERVICAL CURETTAGE $ 1,000
281
FEMALE SURGERY4500256405I & D ABSCESS VULVA $ 541
282
FEMALE SURGERY3610057156INSRT VAGNL RAD AFTERLOADING APP BRACHYTHERAPY $ 1,330
283
FUNCTION SCANNING3410078806ABCESS LOC WHOLE BODY $ 2,412
284
FUNCTION SCANNING3410078315BONE SCAN 3 PHASE $ 2,317
285
FUNCTION SCANNING3410078306BONE SCAN WHOLE BODY $ 1,689
286
FUNCTION SCANNING3410078320BONE SPECT 3D $ 1,430
287
FUNCTION SCANNING3410078606BRAIN SCAN W/VASC FLOW MIN 4 STATIC VIEWS $ 2,483
288
FUNCTION SCANNING3410078607BRAIN SPECT 3D $ 2,424
289
FUNCTION SCANNING3410078451CARD IMAGE SNGL SPECT 3D $ 2,275
290
FUNCTION SCANNING3410078452CARD IMAG-MULTI SPECT 3D $ 3,599
291
FUNCTION SCANNING3410078472CARDIAC BLOOD POOL MUGA $ 1,703
292
FUNCTION SCANNING3410078630CISTERNOGRAM $ 2,528
293
FUNCTION SCANNING3410078264GASTRIC EMPTYING STUDY $ 2,385
294
FUNCTION SCANNING3410078278GI BLEEDNG STDY $ 2,488
295
FUNCTION SCANNING3410078804IMAGING TUMOR WHOLE BODY 2+DAYS $ 4,021
296
FUNCTION SCANNING3410078226LIVER FUNCTION $ 2,490
297
FUNCTION SCANNING3410078227LIVER FUNCTION W&W/O PHARM $ 3,303
298
FUNCTION SCANNING3410078205LIVER SPECT $ 1,550
299
FUNCTION SCANNING3410078597LUNG PERFUSION $ 1,382
300
FUNCTION SCANNING3410078580LUNG PERFUSION IMAGING $ 1,904
301
FUNCTION SCANNING3410078195LYMPHATIC/LYMPH GLANDS IMAGING $ 2,330
302
FUNCTION SCANNING3410078290MECKEL'S BOWEL IMAGE $ 2,486
303
FUNCTION SCANNING3420079445NUCLEAR RX INTRAARTERIAL $ 753
304
FUNCTION SCANNING3410078072PARATHYROID PLANAR IMG W/SPECT-CT (78072) $ 2,713
305
FUNCTION SCANNING3410078582PULM VENT (E.G. AEROSOL OR GAS) & PERFUSION IMAGE $ 2,343
306
FUNCTION SCANNING3420079101RADIOPHARM THERAPY INFUSION $ 900
307
FUNCTION SCANNING1905199RADIOPHARM THRPY ORAL ADMIN $ 850
308
FUNCTION SCANNING3410078708RENAL FLOW W/DRUG INTERVEN $ 1,541
309
FUNCTION SCANNING3410078707RENAL SCAN FLOW & FUNCTION $ 1,589
310
FUNCTION SCANNING3410078802TUMOR LOC WHOLE BODY $ 2,349
311
FUNCTION SCANNING3410078801TUMOR LOC-MULTIPLE $ 1,744
312
FUNCTION SCANNING3410078803TUMOR SPECT $ 2,327
313
GASTROLOGY/ENDOSCOPY
75000G0121SCREENING COLONSCOPY NON-RISK $ 3,326
314
GASTROLOGY/ENDOSCOPY
7500091034ACID REFLUX TEST $ 1,008
315
GASTROLOGY/ENDOSCOPY
7500091122ANORECTAL MANOMETRY $ 1,177
316
GASTROLOGY/ENDOSCOPY
7610046600ANOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS $ 225
317
GASTROLOGY/ENDOSCOPY
7500043244BAND OF VARICES-EGD W/CS $ 3,028
318
GASTROLOGY/ENDOSCOPY
9104012BILILARY DRAIN CATH CHANGE $ 4,366
319
GASTROLOGY/ENDOSCOPY
3610049180BIOPSY ABD/RETRO PERC NDL $ 1,635
320
GASTROLOGY/ENDOSCOPY
7610040490BIOPSY OF LIP $ 407
321
GASTROLOGY/ENDOSCOPY
3610042400BIOPSY OF SALIVARY GLAND $ 1,090
322
GASTROLOGY/ENDOSCOPY
3610047000BIOPSY,LIVER,PERC NEEDLE W/CS $ 1,635
323
GASTROLOGY/ENDOSCOPY
3610048102BIOPSY,PANCREAS,PERC NEEDLE $ 3,504
324
GASTROLOGY/ENDOSCOPY
4886098BREATH HYDROGEN/METHANE TEST $ 480
325
GASTROLOGY/ENDOSCOPY
7500049446CHANGE G TUBE TO G-J PERC $ 2,180
326
GASTROLOGY/ENDOSCOPY
9103197CHG PERC TUBE/DRAIN CATH W CONTRAST $ 1,110
327
GASTROLOGY/ENDOSCOPY
3610047531CHOLANGIOGRAM THRU EXISTING TUBE $ 1,007
328
GASTROLOGY/ENDOSCOPY
7500044389COLON THRU STOMA/BIOP/SNG/MULTI W/CS $ 3,024
329
GASTROLOGY/ENDOSCOPY
7500044394COLON/COLOSTOMY/POLYPECTOMY W/CS $ 2,873
330
GASTROLOGY/ENDOSCOPY
7500045378COLONOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS $ 3,024
331
GASTROLOGY/ENDOSCOPY
7500044388
COLONOSCOPY VIA STOMA INCL SPEC COLL BRUSH/WASHING W/CS
$ 2,420
332
GASTROLOGY/ENDOSCOPY
7500045382COLONOSCOPY W/ CONTROL BLEEDING W/CS $ 5,523
333
GASTROLOGY/ENDOSCOPY
7500045388COLONOSCOPY W/ABLAT TUMOR/POLYP/LESN $ 4,536
334
GASTROLOGY/ENDOSCOPY
7500045398COLONOSCOPY W/BAND LIGATION $ 3,315
335
GASTROLOGY/ENDOSCOPY
7500045380COLONOSCOPY W/BIOPSY SNGL/MULTI W/CS $ 3,300
336
GASTROLOGY/ENDOSCOPY
7500045381COLONOSCOPY W/INJ ANY SUBSTANCE W/CS $ 3,780
337
GASTROLOGY/ENDOSCOPY
7500045379COLONOSCOPY W/RMVL FB(S) W/CS $ 3,780
338
GASTROLOGY/ENDOSCOPY
7500045385COLONOSCOPY W/RMVL TMR/POLYP/LSN SNARE W/CS $ 4,536
339
GASTROLOGY/ENDOSCOPY
7500045386COLONOSCOPY W/TRANENDO BALLOON DILATION W/CS $ 3,780
340
GASTROLOGY/ENDOSCOPY
7500045390COLONOSCOPY WITH ENDO MUCOSAL RESECTION $ 3,808
341
GASTROLOGY/ENDOSCOPY
3610047542DILATE BILIARY DUCT/AMPULLA $ 5,328
342
GASTROLOGY/ENDOSCOPY
3610047490DRAINAGE GALLBLADDER $ 6,596
343
GASTROLOGY/ENDOSCOPY
7500043254EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION $ 3,133
344
GASTROLOGY/ENDOSCOPY
7500043235EGD W/CS $ 2,089
345
GASTROLOGY/ENDOSCOPY
7500043266EGD W/ENDO STENT PLACEMENT $ 2,924
346
GASTROLOGY/ENDOSCOPY
7500043236EGD W/INJ ANY SUBSTANCE W/CS $ 2,846
347
GASTROLOGY/ENDOSCOPY
7500043270EGD, TRNSORAL W/TUMOR ABLATION $ 3,133
348
GASTROLOGY/ENDOSCOPY
7500043253EGD,TRNSORAL W/ENDO US GUID TRNSMURL INJ DX/THER $ 3,028
349
GASTROLOGY/ENDOSCOPY
7500043255EGD/BICAP CONTROL BLEED W/CS $ 3,655
350
GASTROLOGY/ENDOSCOPY
7500043239EGD/BIOPSY/SNGL/MULTI W/CS $ 2,846
351
GASTROLOGY/ENDOSCOPY
7500043249EGD/DIL BALLOON W/CS $ 2,611
352
GASTROLOGY/ENDOSCOPY
7500043248EGD/DIL OVER WIRE ESOPH W/CS $ 2,846
353
GASTROLOGY/ENDOSCOPY
7500043245EGD/DILATION/PYLORUS W/CS $ 2,611
354
GASTROLOGY/ENDOSCOPY
7500043251EGD/POLYPECTOMY W/CS $ 3,241
355
GASTROLOGY/ENDOSCOPY
4500043247EGD/TRNSORAL FB(S) REMOVAL W/CS $ 2,820
356
GASTROLOGY/ENDOSCOPY
7500043246EGDE PEG TUBE INSERTION W/CS $ 2,820
357
GASTROLOGY/ENDOSCOPY
7500043273
ENDO CANNULATION OF PAPILLA W/DIRECT VIS OF PANCREATIC/BILE DUCT(S)
$ 1,313
358
GASTROLOGY/ENDOSCOPY
7500044386ENDOSCOPY BOWEL POUCH (KOCH, ILEAL S/J RESV) W/BX(S) $ 1,800
359
GASTROLOGY/ENDOSCOPY
7500043277ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA $ 4,139
360
GASTROLOGY/ENDOSCOPY
7500043276ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE $ 4,715
361
GASTROLOGY/ENDOSCOPY
7500043274ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT $ 4,715
362
GASTROLOGY/ENDOSCOPY
7500043261ERCP W/BIOPSY SNGL/MULTI W/CS $ 3,603
363
GASTROLOGY/ENDOSCOPY
7500043260ERCP W/CS $ 2,089
364
GASTROLOGY/ENDOSCOPY
7500043275ERCP W/REMVL OF FB(S)/STENT(S) BILRY/PNCRTC DUCT $ 4,139
365
GASTROLOGY/ENDOSCOPY
7500043265ERCP/LITHOTRIPSY W/CS $ 2,611
366
GASTROLOGY/ENDOSCOPY
7500043262ERCP/SPHINCTEROTOMY W/CS $ 3,603
367
GASTROLOGY/ENDOSCOPY
7500043264ERCP/STONE REMOVAL W/CS $ 3,603
368
GASTROLOGY/ENDOSCOPY
4500241800ER-DRNG ABSCS CYST,HEMATMA-DENTLVLR $ 420
369
GASTROLOGY/ENDOSCOPY
7500043460ESOPG/GSTR TAMPONADE W/BALO $ 1,200
370
GASTROLOGY/ENDOSCOPY
7500043231ESOPH ENDOSCOPY W/ US EXAM $ 2,611
371
GASTROLOGY/ENDOSCOPY
7500043232ESOPH ENDOSCOPY W/ US EXAM FN NDL BX $ 2,924
372
GASTROLOGY/ENDOSCOPY
7500091037ESOPH FUNC TEST W/ INTERP $ 845
373
GASTROLOGY/ENDOSCOPY
7500091038ESOPH FUNC TEST W/INTERP UPTO 24HRS $ 1,352
374
GASTROLOGY/ENDOSCOPY
3602869ESOPH W/BAND LIG (VARIC) W/CS $ 2,089
375
GASTROLOGY/ENDOSCOPY
7500043197ESOPHAGOSCOP FLES DX BRUSH $ 2,043
376
GASTROLOGY/ENDOSCOPY
4500043200ESOPHAGUS DX W/CS $ 1,462
377
GASTROLOGY/ENDOSCOPY
7500091010ESOPHAGUS MOTILITY STUDY $ 2,000
378
GASTROLOGY/ENDOSCOPY
7500043220ESOPHAGUS W/BALLOON DIL W/CS $ 2,089
379
GASTROLOGY/ENDOSCOPY
3610049423EXCHANGE ABSCESS/CYST DRAINAGE CATH W/RAD GUIDANCE $ 3,504
380
GASTROLOGY/ENDOSCOPY
4500246320EXT THROMBOSED HEMORRHOID EXCISION $ 3,135
381
GASTROLOGY/ENDOSCOPY
7500045331FLEX SIGMOID W/BIOPSY SNGL/MULTI $ 2,435
382
GASTROLOGY/ENDOSCOPY
7500045338FLEX. SIGMOIDOSCOPY/POLYPECTOMY W/CS $ 3,204
383
GASTROLOGY/ENDOSCOPY
4500243753GASTR INTUBATION/ASP THERAP INCL LAVAGE $ 199
384
GASTROLOGY/ENDOSCOPY
6303528GASTR TUBE FLUORO EXAM $ 512
385
GASTROLOGY/ENDOSCOPY
7500091110
GASTRO TRACT IMAGING, INTRAMINAL ESOPHAGUS W/INTERP AND REPORT
$ 4,361
386
GASTROLOGY/ENDOSCOPY
3610049440GASTROSTOMY TUBE PLACEMENT W/CS $ 1,635
387
GASTROLOGY/ENDOSCOPY
6303527GASTROSTOMY TUBE REPLCMT PERC $ 1,090
388
GASTROLOGY/ENDOSCOPY
4500242720I&D ABSCESS, PARAPHARYNGEAL $ 2,050
389
GASTROLOGY/ENDOSCOPY
4500246050I&D PERIANAL ABSCESS $ 1,254
390
GASTROLOGY/ENDOSCOPY
4500246040I&D PERIRECTAL ABSCESS $ 3,417
391
GASTROLOGY/ENDOSCOPY
4500242700I&D PERITONSILLAR ABSCESS $ 826
392
GASTROLOGY/ENDOSCOPY
7500044380ILEOSCOPY VIA STOMA INCL SPEC COLL W/CS $ 1,800
393
GASTROLOGY/ENDOSCOPY
7500044381ILLEOSCOPY THRU STOMA WITH DILATION $ 2,400
394
GASTROLOGY/ENDOSCOPY
3610049406IMG GD PERC PERI/RETRPERI FLUID COLL/DRAIN BY CATH $ 5,564
395
GASTROLOGY/ENDOSCOPY
3610049405IMG GD PERC VISCERA FLUID COLL/DRAIN BY CATH $ 5,564
396
GASTROLOGY/ENDOSCOPY
3610049418INSRT TUNNELED INTRPERITNL CATH PERC COMPLETE W/CS $ 5,450
397
GASTROLOGY/ENDOSCOPY
3703303LAC 2.5CM/< ANTERIOR 2/3 TONGUE $ 261
398
GASTROLOGY/ENDOSCOPY
4500249083PERITONEOCENTESIS W/IMAGE GUIDE $ 1,978
399
GASTROLOGY/ENDOSCOPY
3610047533PLACE EXTERNAL BILIARY CATH COMPLETE $ 9,980
400
GASTROLOGY/ENDOSCOPY
3610047534PLACE LNTERNAL & EXTERNAL BILIARY CATH COMPLETE $ 10,738
401
GASTROLOGY/ENDOSCOPY
7500049441PLCMT DUODENOSTOMY/JEJ TUBE PERC W/CS $ 2,180
402
GASTROLOGY/ENDOSCOPY
7500091120RECTAL SENSATION TEST $ 2,816
403
GASTROLOGY/ENDOSCOPY
4500045915REM OF FECAL IMPACTION OF FB UNDER ANESTHESIA $ 3,417
404
GASTROLOGY/ENDOSCOPY
4500242809REMOVAL FB PHARYNX $ 342
405
GASTROLOGY/ENDOSCOPY
7610049422REMOVAL OF TUNNELED INTRAPERITONEAL CATHETER $ 2,800
406
GASTROLOGY/ENDOSCOPY
4500240650REPAIR LIP, FULL THICK, VERMILION $ 1,481
407
GASTROLOGY/ENDOSCOPY
7500049451REPLACE DUOD/JEJ TUBE PERC $ 1,308
408
GASTROLOGY/ENDOSCOPY
7500049452REPLACE G-J TUBE PERC $ 1,308
409
GASTROLOGY/ENDOSCOPY
75000G0104SCREENING FLEX SIG ROUTINE(MDCR,TRICARE,MP) $ 1,814
410
GASTROLOGY/ENDOSCOPY
75000G0105SCRN COLONOSCOPY HI RISK(F/H)(MDCR,TRI,MP) $ 3,024
411
GASTROLOGY/ENDOSCOPY
7500045350SGMDSC W/BAND LIGATION $ 2,283
412
GASTROLOGY/ENDOSCOPY
7500045335SIGMOID W/INJ ANY SUBSTANCE W/CS $ 2,435
413
GASTROLOGY/ENDOSCOPY
3602588
SIGMOIDOSCOPY DECOMP VOLVULUS INCL PLCMNT OF DECOMP TUBE
$ 3,204
414
GASTROLOGY/ENDOSCOPY
7500045330SIGMOIDOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING $ 1,922
415
GASTROLOGY/ENDOSCOPY
7500045341SIGMOIDOSCOPY FLEX W/ US EXAM $ 3,204
416
GASTROLOGY/ENDOSCOPY
7500045334SIGMOIDOSCOPY INCL CONTROL OF BLEEDING W/CS $ 3,204
417
GASTROLOGY/ENDOSCOPY
3604767SIGMOIDOSCOPY W/ABLAT TUMOR/POLYP/LESN $ 3,331
418
GASTROLOGY/ENDOSCOPY
7500045340SIGMOIDOSCOPY W/TRANENDO BALLOON DILATION W/CS $ 2,234
419
GASTROLOGY/ENDOSCOPY
7500044366SM BOWEL CONTROL BLEED W/CS $ 2,500
420
GASTROLOGY/ENDOSCOPY
7500044382SM BOWEL ILEOSCOPY VIA STOMA W/BX W/CS $ 2,200
421
GASTROLOGY/ENDOSCOPY
7500044361SM BOWEL W/BIOPSY W/CS $ 1,900
422
GASTROLOGY/ENDOSCOPY
7500044364SM BOWEL W/REMOVAL SNARE W/CS $ 2,349
423
GASTROLOGY/ENDOSCOPY
7500044360SMALL BOWEL ENDOSCOPY INCL SPEC COLL W/CS $ 1,400
424
GASTROLOGY/ENDOSCOPY
3604756SMALL BOWEL ENDO W/O ILEUM, W/CS $ 1,900
425
GASTROLOGY/ENDOSCOPY
7500044369SMALL BOWEL W/ABLATION OF LESION $ 2,000
426
GASTROLOGY/ENDOSCOPY
4500246083THROMBOSED HEMORRHOID INCIS EXT $ 444
427
GASTROLOGY/ENDOSCOPY
7500043238UPPER GI ENDOSC W/ US FN NDL BX ESOPH $ 2,924
428
GASTROLOGY/ENDOSCOPY
7500043237UPPER GI ENDOSC W/US EXAM ESOPH $ 2,715
429
GASTROLOGY/ENDOSCOPY
7500043259UPPER GI ENDOSCOPIC US EXAM $ 2,924
430
GASTROLOGY/ENDOSCOPY
7500043242UPPER GI ENDOSCOPY W/US FINE NDL BX $ 3,028
431
IMMUNIZATIONS5102361FLUARIX QUADRIVALENT PRESERV FREE 0.5ML $ 45
432
IMMUNIZATIONS5102360FLUZONE QUADRIVALENT PRESERV FREE 0.25ML $ 45
433
IMMUNIZATIONS5100045HEP A VACCINE ADULT IM (PHARM) $ 110
434
IMMUNIZATIONS5101139HEP A VACCINE PED/ADOL2DOSE IM $ 88
435
IMMUNIZATIONS5100599HEP B VACCINE (PHARM) $ 157
436
IMMUNIZATIONS5101213HEPA/HEPB VACCINE ADULT IM $ 292
437
IMMUNIZATIONS5101132HEPATITIS B VACCINE (PED/ADOL) $ 39
438
IMMUNIZATIONS5101120INF VAC,SPLIT 0.5ML(PRESERVATIVE FREE) $ 45
439
IMMUNIZATIONS5101131MENING VAC - GRP A, C,Y, W-135 $ 144
440
IMMUNIZATIONS5100078MMR VIRUS IMMUN (PHARM) $ 110
441
IMMUNIZATIONS5100096PNEUMOCOCCAL IMMUN 13 VALENT $ 438
442
IMMUNIZATIONS5100094PNEUMOCOCCAL IMMUN 23 VALENT $ 64
443
IMMUNIZATIONS5106761SHINGRIX VACC RECOMBINANT IM $ 257
444
IMMUNIZATIONS5100086TD IMMUN/VAC PRSRV FREE INDIV AGE 7+IM (PHA $ 57
445
IMMUNIZATIONS5101130TDAP INDIV AGE 7+ IM $ 80
446
IMMUNIZATIONS5101420VACCINE FLUZONE AGE 3+ (PHARM) $ 24
447
IMMUNIZATIONS5101219ZOSTER(SHINGLES)VACC, SUBCU $ 266
448
IMMUNIZATIONS7710090471ADMINISTRATION VACCINE SINGLE INJECTION $ 22
449
IMMUNIZATIONS7710190472ADMINISTRATION VACCINE EA ADDL INJECTION $ 22
450
IMMUNIZATIONS77100G0008ADMINISTRATION VACCINE INFLUENZA VIRUS (FLU) $ 66
451
IMMUNIZATIONS77100G0009ADMINISTRATION VACCINE PNEUMOCOCCAL $ 85
452
IMMUNIZATIONS77100G0010ADMINISTRATION VACCINE HEPATITIS B $ 85
453
LABORATORY488543017-HYDROXYPREGNENOLONE $ 136
454
LABORATORY488607945,XY DISORDER OF SEX DEVELOPMENT SEQ PANEL $ 6,000
455
LABORATORY4809091AB CMV IGM $ 233
456
LABORATORY4809117AB EPST-BARR VIR CAPSID-VIRAL $ 284
457
LABORATORY4809109AB EPSTEIN-BARR NUCLEAR AG $ 284
458
LABORATORY4807866AB ID WEST NILE VIRUS $ 109
459
LABORATORY4807865AB ID WEST NILE VIRUS IGM $ 172
460
LABORATORY7801962ABG ANALYSIS/A LINE $ 210
461
LABORATORY4886005ABL1 GENE $ 506
462
LABORATORY5210604ABO BLOOD TYPING, SEROLOGIC $ 22
463
LABORATORY4808326ACETYLCHOLINESTERASE ASSAY $ 100
464
LABORATORY4853057ACT PROTEIN C,RESIST ASSAY $ 143
465
LABORATORY4832110ACTIVATED CLOTTING TIME $ 26
466
LABORATORY4800579ACTIVATED PTT $ 69
467
LABORATORY4820015ACYLCARMITINES,QUANT EACH $ 136
468
LABORATORY4820208ADENOVIRUS ENTERIC TYPE 40/41 AG IA $ 80
469
LABORATORY4803227ADRENOCORTICOTROPHIC HORMONE $ 325
470
LABORATORY4802294AEROBIC ISOLATE-ID $ 84
471
LABORATORY4803193AG DETECT NOS IA MULT $ 135
472
LABORATORY4810355AGENT NOS ASSAY W/OPTIC $ 80
473
LABORATORY4885059ALBUMIN OTHER QUANT EA $ 44
474
LABORATORY4801635ALBUMIN SERUM PLASMA OR WHOLE BLD $ 52
475
LABORATORY4803367ALDOLASE $ 90
476
LABORATORY4803540ALDOSTERONE $ 310
477
LABORATORY4800413ALKALINE PHOSPHATASE $ 45
478
LABORATORY4803573ALKALINE PHOSPHATASE ISOENZYME $ 133
479
LABORATORY4820341ALKALOIDS, NOT OTHERWISE SPECIFIED $ 164
480
LABORATORY4805925ALLERGEN SPEC IGE CRUDE EXTRCT EACH $ 54
481
LABORATORY4887004ALLERGEN SPEC IGE RECOMB/CMPT EACH $ 109
482
LABORATORY4810511ALLERGEN SPEC IGG Q/S EA. $ 63
483
LABORATORY4800785ALPHA 1 ANTITRYPSIN $ 129
484
LABORATORY4885323ALPHA 1 ANTITRYPSIN PHENOTYPE $ 89
485
LABORATORY4806600ALPHA FETA PROT AMNIOTIC FLD $ 115
486
LABORATORY4803243ALPHA FETOPROTEIN,SERUM $ 167
487
LABORATORY4800302ALPHA-1 ANTITRYPSIN ENZYME CONCEN/2 MUTATIONS W/REFLEX $ 540
488
LABORATORY4800884ALT (GPT) $ 48
489
LABORATORY4805461ALUMINUM SERUM $ 154
490
LABORATORY4803581AMIKACIN $ 114
491
LABORATORY4853164AMINO ACID QUANT 6 OR MORE EA $ 387
492
LABORATORY4820332AMITRIPTYLINE $ 144
493
LABORATORY4800728AMMONIA $ 125
494
LABORATORY4809208AMNIOTIC FLU/CHORIONIC VILLUS $ 601
495
LABORATORY4800421AMYLASE $ 103
496
LABORATORY4801601ANA TITER AND PATTERN $ 222
497
LABORATORY4812038ANAEROBIC ISDOLATE-ID $ 78
498
LABORATORY4809174ANAL BONE MARROW(MYELOID)CELLS $ 1,004
499
LABORATORY4804910ANDROSTENEDIONE $ 285
500
LABORATORY4803508ANGIOTENSIN CONVERTING ENZ $ 125
501
LABORATORY4804670ANTI DNA AB DOUBLE STRAND $ 184
502
LABORATORY5201603ANTIBODY ID (EA,PANEL) RBC $ 206
503
LABORATORY4885952ANTIBODY ID HIV-1 $ 187
504
LABORATORY5200159ANTIBODY SCREEN RBC $ 98
505
LABORATORY5200175ANTIBODY TITER INDIRECT COOMBS $ 37
506
LABORATORY4885463ANTIBODY VIRUS OTHER $ 161
507
LABORATORY4805040ANTI-CARDIOLIPIN SO $ 223
508
LABORATORY4803623ANTI-ENA(SM/RNP) ANTIBODIES $ 213
509
LABORATORY4820343ANTIEPILEPTICS, NOS; 1-3 $ 115
510
LABORATORY5200697ANTIGLOBULIN COMPATIBILITY EA UNIT $ 171
511
LABORATORY4800538ANTINUCLEAR ANTIBODIES $ 144
512
LABORATORY4820344ANTIPSYCHOTICS, NOS; 1-3 $ 311
513
LABORATORY4800512ANTISTREPTOLYSIN O TITER $ 96
514
LABORATORY4800504ANTISTREPTOLYSIN SCREEN $ 89
515
LABORATORY4803631ANTITHROMBIN III FUNCT $ 170
516
LABORATORY4804431ANTITHROMBIN III(AGN) $ 147
517
LABORATORY4805362APOLIPOPROTEIN A-1 $ 129
518
LABORATORY4803656ARSENIC $ 190
519
LABORATORY4800306ARUP REFLEX FOR FRAGX $ 1,145
520
LABORATORY4804755ASPERGILLUS AG IA $ 316
521
LABORATORY4807848ASPERGILLUS ANTIBODY $ 145
522
LABORATORY4810495ASSAY CARBAMAZEPINE FREE $ 75
523
LABORATORY4810750ASSAY FLUID CHLORIDES $ 39
524
LABORATORY4807954ASSAY OF TACROLIMUS $ 86
525
LABORATORY4801221ASSAY SERUM PROTEINS $ 100
526
LABORATORY4818019ASSAY VASOPRESSIN $ 246
527
LABORATORY4800876AST (GOT) $ 59
528
LABORATORY2129765AUTOLOGOUS BLD INTRA/POSTOP SALVAGE $ 419
529
LABORATORY4885810B CELL TOTAL COUNT $ 156
530
LABORATORY5400056B12 $ 147
531
LABORATORY4885331BARTONELLA ANTIBODY $ 105
532
LABORATORY4853099BARTONELLA DNA AMPLIFIED PROBE $ 298
533
LABORATORY4808515BASIC METABOLIC PANEL (CALC TOT) $ 86
534
LABORATORY4802079BCR/ABL 1 TRANSLOC ANALYSIS INOR BREAK POINT $ 697
535
LABORATORY4802078BCR/ABL 1 TRANSLOC ANALYSIS MAJOR BREAK POINT $ 495
536
LABORATORY4820345BENZODIAZEPINES; 1-12 $ 115
537
LABORATORY4820317BENZODIAZEPINES; 13 OR MORE $ 174
538
LABORATORY4885638BETA 2 GLYCORPROTEN AB $ 173
539
LABORATORY4808085BETA 2 MICROGLOBULIN $ 131
540
LABORATORY4803045BILIRUBIN DIRECT $ 47
541
LABORATORY4806766BLASTOMYCES ANTIBODY $ 117
542
LABORATORY5210331BLD TYPE RBC ANTIGENS, SEROLOGIC $ 26
543
LABORATORY4800695BLOOD COUNT AUTOMATED DIFF WBC COUNT $ 39
544
LABORATORY4811006BLOOD SMEAR, MANUAL $ 35
545
LABORATORY4832080BMP W/CAL-ION / POC CHEMISTRY $ 86
546
LABORATORY4801668BODY FLUID CELL COUNT $ 97
547
LABORATORY5000633BODY FLUID CYTOLOGY $ 209
548
LABORATORY4800300BRAF GENE ANALYSIS V600 VARIANT(S) $ 1,145
549
LABORATORY4886073BRCA1&2 FULL SEQUENTIAL ANALYSIS $ 3,788
550
LABORATORY4806774BRUCELLA ANTIBODY $ 93
551
LABORATORY4809806C DIFF TOXIN AMPL PROBE TECH $ 205
552
LABORATORY4852968CA 15-3 QUANT $ 203
553
LABORATORY4807897CADMIUM $ 200
554
LABORATORY4805453CALCIFEDIOL(25-OH VITAMIN D-3) $ 275
555
LABORATORY4803680CALCITONIN $ 295
556
LABORATORY4801239CALCIUM $ 45
557
LABORATORY4804688CALCIUM IONIZED $ 133
558
LABORATORY4807087CALIFORNIA VIRUS AB $ 83
559
LABORATORY4807302CALPROTECTIN, FECAL $ 441
560
LABORATORY4886006CALR GENE COM VARIANTS $ 795
561
LABORATORY4806782CANDIDA ANTIBODY $ 126
562
LABORATORY4820346CANNABINOIDS, NATURAL $ 223
563
LABORATORY4801585CARBAMAZEPHINE $ 112
564
LABORATORY4853016CARBOHYDRATE DEF TRANSFERRIN $ 200
565
LABORATORY4800215CARBON DIOXIDE $ 43
566
LABORATORY4804936CARBOXYHEMOGLOBIN $ 115
567
LABORATORY5400312CARCINOEMBRYONIC ANTIGEN $ 150
568
LABORATORY4810453CARNITINE, BILE $ 195
569
LABORATORY4803706CAROTENE $ 93
570
LABORATORY4804944CATECHOLAMINES FRACT $ 300
571
LABORATORY4800611CBC WITH DIFFERENTIAL $ 76
572
LABORATORY4801643CBC WITHOUT DIFFERENTIAL $ 49
573
LABORATORY4885942CELIAC HLA DQ3 $ 659
574
LABORATORY4803730CERULOPLASMIN $ 90
575
LABORATORY4800106CFTR GENE ANALYSIS, FULL SEQUENCE $ 3,815
576
LABORATORY4818084CHEMILLUM ASSAY $ 197
577
LABORATORY4807830CHLAMYDIA IGM ANTIBODY $ 184
578
LABORATORY4805990CHLAMYDIA SCREEN $ 166
579
LABORATORY4800207CHLORIDE $ 40
580
LABORATORY4801205CHOLESTEROL $ 46
581
LABORATORY4803441CHROMIUM $ 123
582
LABORATORY4809190CHROMO ANAL ADD'L KARYOTYPES $ 305
583
LABORATORY4809216CHROMO ANALY AMNIOTIC $ 1,042
584
LABORATORY4809158CHROMO ANALYSIS 15-20 CELLS $ 1,024
585
LABORATORY4852919CHROMOGENIC SUBSTRATE ASSAY $ 55
586
LABORATORY4886067CHROMOSOME ANALYSIS FOR MOSAICISM $ 1,053
587
LABORATORY4886078CIRCULATING TUMOR CELL COUNT $ 1,375
588
LABORATORY4806816CITRATE EXCRETION URINE $ 278
589
LABORATORY4810677CLOSTRIDIUM DIFFICILE TOXIN(S) AG IA $ 80
590
LABORATORY4809299CLOT FACTOR II PROTHROMBIN SPECIFIC $ 200
591
LABORATORY4809307CLOT INHIB OR ANTICOAG PROTEIN C ACTIVITY $ 240
592
LABORATORY4809802CLOT INHIB OR ANTICOAG PROTEIN S FREE $ 182
593
LABORATORY4800006CLOTTING FACTORS, HIGH MOLECULAR WEIGH KININOGEN $ 450
594
LABORATORY4820200CLOZAPINE $ 136
595
LABORATORY4885653CMV QUANT $ 427
596
LABORATORY4820360CNS DNA AMP PROBE TYPE 12-25 $ 923
597
LABORATORY4806790COCCIDIODES ANTIBODY $ 143
598
LABORATORY4885224COL CHROMOTOGRAPHY NES EA SPECIMEN LEVEL 4 $ 205
599
LABORATORY4800488COLD AGGLUTIN $ 112
600
LABORATORY4810065COLLAGEN CROSS LINKS ANY METH $ 185
601
LABORATORY4806188COMP ANTIGEN FUNCT ACTIVITY $ 151
602
LABORATORY5200696COMPATIBILITY TEST EACH UNIT $ 106
603
LABORATORY4801403COMPLEMENT ANTIGEN $ 223
604
LABORATORY4803763COMPLEMENT TOTAL $ 326
605
LABORATORY4808523COMPREHENSIVE METABOLIC PANEL $ 94
606
LABORATORY4803235COPPER $ 134
607
LABORATORY4805107CORTISOL FREE URINE $ 178
608
LABORATORY5400114CORTISOL TOTAL $ 138
609
LABORATORY4806170C-PEPTIDE $ 147
610
LABORATORY4800439CPK $ 86
611
LABORATORY4803003CPK-MB CHEM/SPECIFIC $ 93
612
LABORATORY4853073C-REACTIVE PROT,HIGHLY SENS $ 134
613
LABORATORY4800470C-REACTIVE PROTEIN $ 111
614
LABORATORY4800793CREATININE $ 38
615
LABORATORY4801031CREATININE CLEAR $ 113
616
LABORATORY4801098CREATININE URINE $ 53
617
LABORATORY4807723CRYOFIBRINOGEN $ 99
618
LABORATORY4803789CRYOGLOBULIN $ 70
619
LABORATORY4885423CRYPTOCOCCUS NEOFORM AG IA $ 96
620
LABORATORY4870036CRYPTOSPORIDIUM AG IA $ 94
621
LABORATORY4801965CRYSTALS,FLUID $ 116
622
LABORATORY4801106CSF CELL COUNT/DIFF $ 97
623
LABORATORY4804100CSF MYELIN BASIC PROTEIN $ 124
624
LABORATORY4802823CULTURE AEROBIC $ 103
625
LABORATORY4806030CULTURE ANAEROBIC $ 131
626
LABORATORY4800371CULTURE BLOOD $ 107
627
LABORATORY4812004CULTURE DERMATOPHYTE $ 109
628
LABORATORY4800280CULTURE FUNGUS $ 153
629
LABORATORY4802955CULTURE SCREENING $ 81
630
LABORATORY4870002CULTURE STOOL ADDL PATHOGEN $ 62
631
LABORATORY4870003CULTURE STOOL W/ID SALMONELLA & SHINGELLA $ 95
632
LABORATORY4809001CULTURE TYPING ADDED METHOD $ 46
633
LABORATORY4807863CULTURE TYPING FLUORESCENT $ 86
634
LABORATORY4809000CULTURE TYPING, DNA AMPLIFIED PROBE $ 198
635
LABORATORY4808185CULTURE TYPING, ID BY DNA, EACH $ 675
636
LABORATORY4800322CULTURE URINE $ 81
637
LABORATORY4803821CYANIDE $ 107
638
LABORATORY4885415CYCLIC CITR PEPTIDE ANTIBODY $ 181
639
LABORATORY4806550CYCLOSPORIN $ 185
640
LABORATORY4802081CYSTIC FIBROSIS TRANSMEM CONDUCT REG GENE ANALYSIS $ 597
641
LABORATORY4885034CYSTIC LGG AB,WSTRN BLOT $ 249
642
LABORATORY5000872CYTO,THINPREP GYN AUTOMATED/REVIEW $ 192
643
LABORATORY5000880CYTO,THINPREP NON-GYN $ 363
644
LABORATORY4806960CYTOGENICS & MOLECULAT CYTOGENICS - INTERP & REPORT $ 159
645
LABORATORY4802082
CYTOGENOMIC CONSTIT MICROARRAY ANALY INTERRO GENOMIC REG
$ 5,084
646
LABORATORY4804704CYTOMEGALOVIRUS IGG $ 243
647
LABORATORY4885067CYTOMEGALOVIRUS,AMP PROBE $ 304
648
LABORATORY4853149D-DIMER (QUANTITATIVE) $ 106
649
LABORATORY5000716DECALCIFICATION-T $ 84
650
LABORATORY4806808DEOXYRIBONUCLEASE ANTIBODY $ 196
651
LABORATORY4810388DETECT AGENT AMP PROBE $ 157
652
LABORATORY4853156DETECT AGNT MULT,DNA,AMPLIFIED $ 356
653
LABORATORY4804712DHEA $ 250
654
LABORATORY4803839DHEAS $ 200
655
LABORATORY4802724DIGOXIN; TOTAL $ 119
656
LABORATORY4803425DIHYDROXYVITAMIN D-1,25 $ 330
657
LABORATORY4802732DILANTIN $ 97
658
LABORATORY4810073DIPTHERIA ANTITOXOID $ 156
659
LABORATORY5200183DIRECT COOMBS (AHG)TEST $ 41
660
LABORATORY4800204DNA ANTIBODY SNG STRANDED $ 158
661
LABORATORY4809002DNA/RNA DIRECT PROBE $ 178
662
LABORATORY4805164DRUG QUANTITATION THERAPEUTIC NOS $ 154
663
LABORATORY4886001DRUG SCREEN AMPHETAMINES 1-2 $ 115
664
LABORATORY4820352
DRUG SCREEN CLASS A (9 PANEL) BY IMMUNO/ENZYME ASSAY; PER DOS
$ 72
665
LABORATORY4820213DRUG SCREEN QUANT ALCOHOLS $ 113
666
LABORATORY4820316DRUG SCREENING BARBITURATES $ 100
667
LABORATORY4820318DRUG SCREENING BUPRENORPHINE $ 162
668
LABORATORY4820319DRUG SCREENING COCAINE $ 112
669
LABORATORY4820320DRUG SCREENING FENTANYL $ 55
670
LABORATORY4820323DRUG SCREENING METHADONE $ 143
671
LABORATORY4820325DRUG SCREENING OXYCODONE TYPE A $ 164
672
LABORATORY4820326DRUG SCREENING TRAMADOL $ 168
673
LABORATORY4886003DRUG/SUBSTANCE NOS 7/MORE $ 165
674
LABORATORY4885422E HISTOLYTICA AG IA $ 107
675
LABORATORY4800320EGFR GENE ANALYSIS COMMON VARIANTS $ 1,462
676
LABORATORY4852935EHRLICHIA ANTIBODY $ 161
677
LABORATORY4805594ELECTROLYTES $ 87
678
LABORATORY4806006ELECTRON MICROSCOPY $ 2,912
679
LABORATORY5200698ELECTRONIC COMPATIBILITY EA UNIT $ 128
680
LABORATORY4810057ELECTROPHORETIC TECHNIQUE $ 197
681
LABORATORY5210638ELUTION ANTIBODY RBC $ 163
682
LABORATORY4807517ENCEPHALITIS EASTERN EQUINE $ 149
683
LABORATORY4804605ENTEROVIRUS ANTIBODY (COXSACKE, ECHOVIRUS, POLIO VIRUS) $ 92
684
LABORATORY4885654ENTEROVIRUS, AMPL PROBE $ 283
685
LABORATORY4885208ENZYME CELL ACTIVITY (ADDEA) $ 252
686
LABORATORY4812081ENZYME DETECTION, PER ENZYME $ 32
687
LABORATORY4801932EOSINOPHIL NASAL SMEAR $ 58
688
LABORATORY4804720ERYTHROPORETIN $ 185
689
LABORATORY4886031ESCITALOPRAM QUANTITATIVE, SERUM OR PLASMA $ 403
690
LABORATORY4830006ESR AUTOMATED $ 32
691
LABORATORY4803292ESTRADIOL $ 215
692
LABORATORY4806980ESTRIOL UNCONJUGATED $ 146
693
LABORATORY4885380ESTRONE $ 151
694
LABORATORY4806394ETHYLENE GLYCOL $ 958
695
LABORATORY4802083F2 GENE ANALYSIS 20210G>A VARIANT $ 414
696
LABORATORY4802084F5 GENE ANALYS EVAL DETECT ABNORMAL ALLELES $ 370
697
LABORATORY4810123FACTOR 11 $ 200
698
LABORATORY4810131FACTOR 12 $ 210
699
LABORATORY4809804FACTOR 13 FIBRIN STABILIZING $ 419
700
LABORATORY4810107FACTOR 5 $ 206
701
LABORATORY4810115FACTOR 7 $ 198
702
LABORATORY4806246FACTOR B $ 124
703
LABORATORY4803888FACTOR IX $ 236
704
LABORATORY4804449FACTOR VIII (COAG) $ 203
705
LABORATORY4818001FATS/LIPIDS,FECES QUAL $ 39
706
LABORATORY4806238FATTY ACIDS FREE $ 129
707
LABORATORY4885158FATTY ACIDS, LONG CHAIN $ 144
708
LABORATORY4885953FECAL ELECTROLYTE & OSMOLALITY PROFILE $ 165
709
LABORATORY4806915FECES QUANT FAT $ 189
710
LABORATORY4805669FERRITIN SERUM $ 129
711
LABORATORY5200605FETAL BLEED SCREEN $ 47
712
LABORATORY4802075FETAL CONGEN ABNORMAL BIOCHEM ASSAYS OF 2 PROTEINS $ 233
713
LABORATORY4810602FETAL FIBROECTIN $ 530
714
LABORATORY4804757FETAL HGB $ 48
715
LABORATORY4800587FIBRINOGEN ACTIVITY $ 83
716
LABORATORY4885778FLOW CELL SUR EA ADD'L MARK $ 175
717
LABORATORY4885760FLOW CELL SURFACE FIRST MARK $ 409
718
LABORATORY4802930FLUORESCENT ACID FAST STAIN $ 52
719
LABORATORY4802351FLUORESCENT ANTIBODY SCREEN $ 274
720
LABORATORY4802369FLUORESCENT ANTIBODY TITER $ 270
721
LABORATORY4802085FMR1 GENE ANALY EVAL DETECT ABNORM ALLELES $ 859
722
LABORATORY4806121FNA (INTERP & REPORT)-T $ 377
723
LABORATORY4806113FNA ADEQUACY/PRELIMINARY-T $ 181
724
LABORATORY4808333FOLATE RED CELL $ 165
725
LABORATORY4803300FOLIC ACID (FOLATE) $ 125
726
LABORATORY4803284FOLLICLE STIMULATING HORMONE $ 151
727
LABORATORY4810420FRANCISELLA TULARENSIS $ 101
728
LABORATORY4807012FREE DILANTIN (PHENYTON) $ 157
729
LABORATORY4804209FREE ERYTHROCYTE PROTOPORP $ 134
730
LABORATORY4805404FREE T3 $ 147
731
LABORATORY4804282FREE T4 THYROXINE FREE $ 77
732
LABORATORY4807822FREE TESTOSTERONE $ 182
733
LABORATORY4805065FRUCTOSAMINE $ 91
734
LABORATORY5000724FRZ SECTION 1 W/ADD'L-T $ 254
735
LABORATORY5000732FRZ SECTION 2 W/ADD'L-T $ 96
736
LABORATORY4820202GABAPENTIN WHOLE BLOOD/SERUM/PLASMA $ 136
737
LABORATORY4886030GABAPENTIN, URINE $ 122
738
LABORATORY4807772GAMMA GLOBULIN SUBCLASSES EA. $ 140
739
LABORATORY4800918GAMMA GLUTAMYL TRANSPEPTID $ 66
740
LABORATORY4803359GASTRIN $ 153
741
LABORATORY4800206GEL DIFFUSION QUAL EACH ANTIGEN OR ANTIBODY $ 158
742
LABORATORY4810362GENERAL LAB/SEROLOGY $ 264
743
LABORATORY4850004GENERAL LAB/SEROLOGY $ 170
744
LABORATORY4804522GENERAL LAB/SEROLOGY $ 165
745
LABORATORY4852992GENERAL LAB/SEROLOGY $ 58
746
LABORATORY4885018GENERAL LAB/SEROLOGY $ 223
747
LABORATORY4809513GENERAL LAB/SEROLOGY $ 535
748
LABORATORY4809125GENERAL LAB/SEROLOGY $ 153
749
LABORATORY4810537GENERAL LAB/SEROLOGY $ 264
750
LABORATORY5400734GENERAL LAB/SEROLOGY $ 137
751
LABORATORY4805636GENERAL LAB/SEROLOGY $ 218
752
LABORATORY5400361GENERAL LAB/SEROLOGY $ 181
753
LABORATORY4802062GENERAL LAB/SEROLOGY $ 222
754
LABORATORY4810370GENERAL LAB/SEROLOGY $ 185
755
LABORATORY4800108GENERAL LAB/SEROLOGY $ 48
756
LABORATORY4810347GENERAL LAB/SEROLOGY $ 217
757
LABORATORY4810354GENERAL LAB/SEROLOGY $ 217
758
LABORATORY4810685GENERAL LAB/SEROLOGY (SCR) HIV $ 166
759
LABORATORY4810230GENERAL LAB/SEROLOGY AHP $ 420
760
LABORATORY5400759GENERAL LAB/SEROLOGY HAVGM $ 190
761
LABORATORY4810248GENERAL LAB/SEROLOGY HBCGM $ 123
762
LABORATORY5400742GENERAL LAB/SEROLOGY HBSAB $ 120
763
LABORATORY4804423GENERAL LAB/SEROLOGY HCG $ 103
764
LABORATORY4810255GENERAL LAB/SEROLOGY OBSP $ 289
765
LABORATORY5211130GENERAL LAB/SEROLOGY OBSP $ 458
766
LABORATORY4800454GENERAL LAB/SEROLOGY RPR $ 74
767
LABORATORY4885240GENOTYPE,DNA REV TRANSCRIPT $ 880
768
LABORATORY4801528GENTAMYCIN LEVEL $ 155
769
LABORATORY4802824GIARDIA AG IA $ 94
770
LABORATORY4810503GLU-BDY FLU OTH/BLD $ 47
771
LABORATORY4806253GLUCAGON $ 114
772
LABORATORY4803920GLUCOSE 6PHOS DEHYDROGENASE $ 119
773
LABORATORY4802187GLUCOSE ADD'L $ 31
774
LABORATORY4800801GLUCOSE QUANTITATIVE $ 37
775
LABORATORY4802260GLUCOSE TOLERANT (GTT) (1ST 3) $ 119
776
LABORATORY4806261GROWTH HORMONE $ 121
777
LABORATORY5000690GYN CYTO THIN PREP-T $ 185
778
LABORATORY4810198H PYLORI STOOL IA $ 221
779
LABORATORY4810800HALOPERIDOL $ 104
780
LABORATORY4801015HAPTOGLOBIN $ 123
781
LABORATORY4802087HBA1/HBA2 GENE ANALYSIS COMMON DELE/VARIANTS $ 1,145
782
LABORATORY4886091HBA1/HBA2 GHOST ALPHA GLOBIN $ 1,078
783
LABORATORY4886084HBB FULL GENE SEQUENCE $ 1,209
784
LABORATORY4802591HDL CHOLESTEROL $ 72
785
LABORATORY4803953HEAVY METAL QUANT EA NES $ 237
786
LABORATORY4800629HEMATOCRIT $ 35
787
LABORATORY4802963HEMOGLBN GLYCOSYLATED (A1C) $ 75
788
LABORATORY4800637HEMOGLOBIN $ 35
789
LABORATORY4885133HEMOGLOBIN CHROMATOGRAPHY $ 109
790
LABORATORY4807111HEMOGLOBIN ELECTROPHORESIS $ 147
791
LABORATORY4886018HEMOGLOBIN, URINE $ 44
792
LABORATORY5210695HEMOLYSINS/AGGL AUTO EACH $ 59
793
LABORATORY5210703HEMOLYSINS/AGGL INCUBATED $ 86
794
LABORATORY4852984HEMOSIDERIN QUAL $ 37
795
LABORATORY4810636HEP ANTIBODY, DELTA AGENT $ 177
796
LABORATORY5400353HEP B SURFACE AG IA $ 108
797
LABORATORY5401070HEP B SURFACE AG IA NEUT $ 99
798
LABORATORY4885687HEP C GENOTYPE, DNA $ 638
799
LABORATORY4809521HEP C VIRUS QUANT HCV-RNA $ 520
800
LABORATORY4885372HEPARIN ASSAY $ 101
801
LABORATORY4805628HEPATIC FUNCTION $ 93
802
LABORATORY4886077HEPATITIS B VIRUS GENOTYPE $ 828
803
LABORATORY4885216HEPATITIS B, DNA, QUANT $ 347
804
LABORATORY4806675HEPATITIS BE AB $ 122
805
LABORATORY4805214HEPATITIS BE AG IA $ 102
806
LABORATORY4805115HEPATITIS C ANTIBODY $ 169
807
LABORATORY4820321HEROIN METABOLITE $ 171
808
LABORATORY4885711HERPES 6 PCR AMPLIFIED $ 280
809
LABORATORY4800202HERPES VIRUS 6 QUANT $ 573
810
LABORATORY4802086HFE GENE ANALYSIS COMMON VARIANTS $ 395
811
LABORATORY4804738HIAA-F SEROTONIN URINE $ 132
812
LABORATORY4806295HISTAMINE BLOOD $ 235
813
LABORATORY4806824HISTOPLASMA ANTIBODY $ 109
814
LABORATORY4852943HISTOPLASMA CAPSULATUM AG IA $ 226
815
LABORATORY4885947HIV2 - SINGLE RESULT $ 212
816
LABORATORY4885938HLA CLASS I TYPING ONE AG EQUIV $ 440
817
LABORATORY4802094HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS $ 986
818
LABORATORY4800301HLA-B*5701 $ 572
819
LABORATORY4804746HLA-B27 $ 290
820
LABORATORY4810693HOMOCYSTINE $ 167
821
LABORATORY4807780HOMOVANILLIC ACID (HVA) $ 185
822
LABORATORY4885655HPV HIGH RISK TYPES $ 181
823
LABORATORY4885656HPV TYPES 16 & 18 ONLY $ 198
824
LABORATORY4886048HUMAN EPIDIDYMIS PROTEIN 4 $ 265
825
LABORATORY4806725HYDROXYPROGESTETONE $ 196
826
LABORATORY4886086IDH1 COMMON VARIANTS $ 573
827
LABORATORY4886087IDH2 COMMON VARIANTS $ 573
828
LABORATORY4885941IGHV MUTATION ANALYSIS $ 1,780
829
LABORATORY4820410IMHTSCHM/IMCYTOCHM STAIN, PER SPEC, EA ADDL ANTIBODY $ 344
830
LABORATORY4804613IMMUMO TUMOR ANTIGEN EA $ 353
831
LABORATORY4806311IMMUNE COMPLEX ASSAY $ 447
832
LABORATORY4810412IMMUNO ANALYTE QUANT UNSP $ 155
833
LABORATORY4806758IMMUNOASSAY INFECTIOUS AGENT $ 249
834
LABORATORY4810081IMMUNOASSAY QUALIT/SEMI $ 123
835
LABORATORY4810180IMMUNOASSAY RIA $ 210
836
LABORATORY4886043IMMUNOASSAY TUMOR CA 19-9 $ 144
837
LABORATORY4800892IMMUNOELECTROP SERUM $ 215
838
LABORATORY4885802IMMUNOELECTROPHORESIS URINE $ 233
839
LABORATORY5000720IMMUNOFLUOR ANTB 1ST STAIN PER SPECIMEN $ 334
840
LABORATORY4886010IMMUNOFLUOR ANTB ADDL STAIN $ 301
841
LABORATORY4800104
IMMUNOFLUORESCENT TECHNIQUE, INFECTIOUS AGENT, EACH ORG
$ 107
842
LABORATORY4800100IMMUNOFLUORESCENT TECHNIQUE, INFLUENZA B $ 107
843
LABORATORY4800101IMMUNOFLUORESCENT TECHNIQUE, PARAINFLUENZA $ 107
844
LABORATORY4800103IMMUNOFLUORESCENT TECHNIQUE, RSV $ 107
845
LABORATORY4804753IMMUNOGLOBULIN E $ 129
846
LABORATORY4801247IMMUNOGLOBULINS QUANT EA $ 104
847
LABORATORY4886044IMMUNOHISTOCHEMISTRY STAIN,PER SPEC, INIT SNGL $ 388
848
LABORATORY4820411IN SITU HYBDZN (FISH), PER SPEC, EA ADDL SNGL PROBE' $ 604
849
LABORATORY4885182IN SITU HYBRID (FISH) INIT SINGLE PROBE STAIN $ 619
850
LABORATORY4886016IN SITU HYBRIDIZATION (FISH) $ 1,024
851
LABORATORY5210802INDIRECT QUAL COOMBS TST EA REAGNT RED CELL $ 43
852
LABORATORY4853172INFECT AGENT DETECT BY NUC $ 421
853
LABORATORY4800496INFECTOUS MONO $ 96
854
LABORATORY4808150INFLUENZA A ANTIBODY $ 166
855
LABORATORY4870028INFLUENZA A/B ANTIGEN $ 107
856
LABORATORY4885646INHIBIN A $ 161
857
LABORATORY5000767INSITU HYBRIDIZATION AUTO SPEC INIT SINGLE PROBE STAIN $ 899
858
LABORATORY4886028
INSITU HYBRIDIZATION MANUAL SPEC EACH ADDL SINGLE PROBE STAIN
$ 460
859
LABORATORY4885180INSITU HYBRIDIZATION MANUAL SPEC INIT SINGLE PROBE STAIN $ 909
860
LABORATORY4804019INSULIN ASSAY FASTING $ 99
861
LABORATORY4806337INTRINSIC FACTOR ANTIBODIES $ 215
862
LABORATORY5211123INVIVO CROSSMATCH $ 358
863
LABORATORY4801429IRON BINDING CAPACITY $ 87
864
LABORATORY4800107IRON, LEVEL II (TISSUE) $ 92
865
LABORATORY5200910IRRADIATED BLD PROD EA UNIT $ 190
866
LABORATORY4806667ISLET CELL AB $ 326
867
LABORATORY4802088JAK2 GENE ANALYSIS V617 F VARIANT $ 920
868
LABORATORY4820322KETAMINE AND NORKETAMINE $ 165
869
LABORATORY4886065KEYTRUDA $ 750
870
LABORATORY5200266KLEIHAUER-BETKE $ 55
871
LABORATORY4886004KRAS GENE ADDL VARIANTS $ 365
872
LABORATORY4802089KRAS GENE ANALYSIS VARIANTS EXON 2 $ 1,399
873
LABORATORY4800710LACTATE DEHYDROGENASE $ 52
874
LABORATORY4808093LACTIC ACID $ 122
875
LABORATORY4804622LACTOFERRIN FECAL QUAL $ 167
876
LABORATORY4887005LACTOFERRIN FECAL QUANTITATIVE $ 407
877
LABORATORY4820203LAMOTRIGINE $ 168
878
LABORATORY4801445LDH ISO ELECTROPHOESIS $ 170
879
LABORATORY4885547LDL CHOLESTEROL,DIRECT MEASURE $ 83
880
LABORATORY4809042LDL PROFILE $ 123
881
LABORATORY4804035LEAD $ 108
882
LABORATORY4806832LEPTOSPIROSIS $ 136
883
LABORATORY4820204LEVETIRACETAM $ 168
884
LABORATORY4800868LIPASE $ 75
885
LABORATORY4885412LIPOPROTEIN (A) $ 134
886
LABORATORY4809068LIPOPROTEIN BLD QUANT PART $ 191
887
LABORATORY4800777LITHIUM $ 80
888
LABORATORY4804050LUTENIZING HORMONE $ 142
889
LABORATORY4885596LYME DIS,DNA AMPLIFIED PROBE $ 427
890
LABORATORY4806618LYME WESTERN BLOT $ 240
891
LABORATORY4802625LYMES ANTIBODY SCREEN $ 190
892
LABORATORY4803632LYMPHOCYTE TRANSFORM:MITO/ANTI $ 493
893
LABORATORY4802123M TUBERCULOSIS BY QUANTIFERON $ 464
894
LABORATORY4885738MACROSCOPIC EXAM ARTHROPOD $ 310
895
LABORATORY4801155MAGNESIUM $ 72
896
LABORATORY4801346MALARIAL SMEAR $ 136
897
LABORATORY4806410MANGANESE $ 116
898
LABORATORY4885042MEAT FIBERS, FECES $ 38
899
LABORATORY4804076MERCURY $ 134
900
LABORATORY4809257MERETECK BREATH H-PYLORI $ 436
901
LABORATORY4803383METANEPHRINES $ 215
902
LABORATORY4886029METHYLPHENIDATE AND METABOLITES, URINE $ 182
903
LABORATORY4886035MGMT METHYLATION, PCR $ 531
904
LABORATORY4803318MICOSOMAL ANTIBODY $ 223
905
LABORATORY4807756MICROABLUMIN URINE $ 84
906
LABORATORY4800303MICROARRAY AT ARUP $ 3,138
907
LABORATORY4802105MICRODILUTION (MCL) EA PLATE $ 92
908
LABORATORY4806240MICRODISSECTION MANUAL $ 449
909
LABORATORY4802091MICROSATELLITE INSTAB ANALYSIS INC AMPLIF METHODOLOGY $ 1,751
910
LABORATORY4803037MIXING APT SCREEN $ 71
911
LABORATORY4803029MIXING PT SCREEN $ 59
912
LABORATORY4885970MLH1 PROMOTER METHYLATION ANALYSIS $ 708
913
LABORATORY4885109MOL CYTO,INT SIT HYB 100-300CLS $ 339
914
LABORATORY4885364MOL CYTO,INT SIT HYB 10-30CELLS $ 361
915
LABORATORY4885174MOL CYTO,INT SIT HYB 25-99CELLS $ 298
916
LABORATORY4885356MOL CYTO,INT SIT HYB 3-5CELLS $ 295
917
LABORATORY4885091MOL CYTOG,DNA PROBE $ 261
918
LABORATORY4812087MOLD ISOLATE-ID $ 97
919
LABORATORY4802106MOLECULAR PATHOLOGY, LEVEL 3 $ 953
920
LABORATORY4802095MOLECULAR PROCEDURE LEVEL 1 $ 986
921
LABORATORY4802096MOLECULAR PROCEDURE LEVEL 2A $ 1,115
922
LABORATORY4802098MOLECULAR PROCEDURE LEVEL 4 $ 365
923
LABORATORY4802099MOLECULAR PROCEDURE LEVEL 5 $ 3,204
924
LABORATORY4802100MOLECULAR PROCEDURE LEVEL 6 $ 2,035
925
LABORATORY4804623MONONUCLEAR QUANT EA AG $ 117
926
LABORATORY4885960MORPHOMETRIC INSIGHT MULTIPLX AHER2, EA $ 1,181
927
LABORATORY4809807MR STAPH DNA AMP PROBE $ 205
928
LABORATORY4802090MTHFR MUTATION COMMON VARIANTS $ 526
929
LABORATORY4885961MULT ANALYTE ASSAY W-ALGORITHMIC ANALYSIS $ 623
930
LABORATORY4805156MUMPS ANTIBODY IGG $ 136
931
LABORATORY4806378MURAMIDASE $ 113
932
LABORATORY4820023MYCOBACTERIUM, AMPLIFIED PROBE $ 397
933
LABORATORY4885949MYCOPHENOLIC ACID AND METABOLITES $ 117
934
LABORATORY4804498MYCOPLASMA TITER $ 131
935
LABORATORY4804126MYOGLOBIN $ 123
936
LABORATORY4886095NATREXONE, URINE $ 365
937
LABORATORY4885703NATRIURETIC PEPTIDE $ 215
938
LABORATORY4885828NATURAL KILLER CELLS TOTAL CT $ 155
939
LABORATORY4885969NEISSERIA MENINGITIDES TREVALENT ANTIBODIES $ 151
940
LABORATORY4885965NEUROFIBROMATOSIS TYPE 1, SEQ. DEL/DUPL $ 2,435
941
LABORATORY4886009NRAS GENE VARIANTS EXON 2&3 $ 3,204
942
LABORATORY4806386NUCLEOTIDASE-5% $ 81
943
LABORATORY4800124OCCULT BLOOD STOOL SNGL SCREEN $ 37
944
LABORATORY4802989OCCULT BLOOD VOMITUS QUAL $ 24
945
LABORATORY4804514OLIGOCLONAL BAND $ 145
946
LABORATORY4885987OPIATES, 1 OR MORE $ 115
947
LABORATORY4885471ORGANIC ACID,SINGLE QUANT $ 132
948
LABORATORY4810313ORGANIC ACIDS-QUANTITATIVE $ 215
949
LABORATORY4800819OSMOLALITY BLOOD $ 84
950
LABORATORY4800173OSMOLALITY URINE $ 77
951
LABORATORY4800165OVA&PARASITES $ 100
952
LABORATORY4804159OXALATE $ 147
953
LABORATORY4820205OXCARBAZINE $ 168
954
LABORATORY5907456OXYHEMOGLOBIN $ 70
955
LABORATORY4801222PAPPA SERUM $ 91
956
LABORATORY4805081PARATHYROID HORM INTACT SO $ 290
957
LABORATORY4802799PART AGGLUTINATION SCR EA ANTI $ 105
958
LABORATORY4809613PARTICLE AGGLUTINATION TITER EA $ 75
959
LABORATORY4810875PARVOVIRUS ANTIBODY $ 156
960
LABORATORY5000883PATH CONSULT DURING SURG EA ADDL SITE $ 401
961
LABORATORY5000882PATH CONSULT DURING SURG INIT SITE $ 191
962
LABORATORY4805586PH BODY FLUID $ 38
963
LABORATORY4801544PHENOBARBITAL LEVEL $ 107
964
LABORATORY4808341PHOSPHATASE PROSTATIC $ 81
965
LABORATORY4800827PHOSPHORUS INORGANIC $ 47
966
LABORATORY4801742PHOSPHORUS URINE $ 45
967
LABORATORY4806710PHOSPOLIPID NEUTRALIZATION $ 127
968
LABORATORY4802906PINWORM PREP $ 43
969
LABORATORY4801908PKU $ 197
970
LABORATORY5201017PLA FRESH FRZ/THAWING EA UNIT $ 60
971
LABORATORY4806717PLASMINOGEN $ 92
972
LABORATORY4807053PLATELET AB DIRECT $ 431
973
LABORATORY4800660PLATELET AUTOMATED $ 36
974
LABORATORY4806709PLATELET NEUT PROC $ 125
975
LABORATORY4885729PLT AGGREGATION EA AGENT $ 136
976
LABORATORY4800105PML/RARALPHA T (15;17) TRANSLOCATION ANALYSIS $ 1,253
977
LABORATORY4832045POC DX OCCULT BLD SNGL (DIG RECT) $ 24
978
LABORATORY4832183POC STREP PCR $ 147
979
LABORATORY5100631POC TB TEST (INTRADERMAL) $ 55
980
LABORATORY4832002POC URINE DIP NON AUTO W/O MICRO $ 18
981
LABORATORY4832036POC-GLUCOSE $ 33
982
LABORATORY4832098POC-INFLUENZA A+B $ 111
983
LABORATORY4832077POC-RAPID STREP A $ 96
984
LABORATORY4832097POC-RSV $ 107
985
LABORATORY5210869POOLING BLD PLATELETS $ 98
986
LABORATORY4818167PORPHOBILINOGEN QUANT URINE $ 73
987
LABORATORY4806907PORPHOBILINOGEN-QUAN $ 142
988
LABORATORY4809240POST GLUCOSE DOSE $ 40
989
LABORATORY4800199POTASSIUM SERUM PLASMA OR WHOLE BLD $ 38
990
LABORATORY4801064POTASSIUM URINE $ 43
991
LABORATORY4807608PREABLUMIN SERUM $ 119
992
LABORATORY4803633PREGNINOLONE $ 190
993
LABORATORY4819025PREKALLIKREIN ASSAY $ 135
994
LABORATORY4804175PRIMIDONE $ 115
995
LABORATORY4806900PROCALCITONIN $ 215
996
LABORATORY4803334PROGESTERONE $ 141
997
LABORATORY4885489PRO-INSULIN $ 136
998
LABORATORY4803326PROLACTIN $ 156
999
LABORATORY4804754PROSTAGLANDIN EA $ 650
1000
LABORATORY4804464PROTEIN C ANTIGEN $ 166
1001
LABORATORY4885794PROTEIN ELECTROPHORESIS URINE $ 119
1002
LABORATORY4801114PROTEIN TL EXC REFRAC SERUM PLASMA OR WHOLE BLD $ 42
1003
LABORATORY4801115PROTEIN TOTAL OTH SOURCE $ 26
1004
LABORATORY4885786PROTEIN TOTAL URINE $ 26
1005
LABORATORY4810008PROTEIN-S TOTAL $ 190
1006
LABORATORY4800561PROTHROMBIN TIME $ 49
1007
LABORATORY4853065PROTOZOA ANTIBODY $ 130
1008
LABORATORY4812129PSA COMPLEXED (DX) $ 132
1009
LABORATORY5401054PSA FREE $ 113
1010
LABORATORY5400668PSA TOTAL $ 145
1011
LABORATORY4886096PSA, 4KSCORE $ 1,925
1012
LABORATORY4806451PYRUVIC ACID PYRUVATE $ 92
1013
LABORATORY4806840Q FEVER ANTIBODIES $ 126
1014
LABORATORY4809612RABIES ANTIBODY TITER $ 328
1015
LABORATORY4800652RBC COUNT BLOOD, AUTO $ 23
1016
LABORATORY5210646RBC PRETREATMENT $ 87
1017
LABORATORY5210687RBC PRETX DENSITY GRAD SPER $ 122
1018
LABORATORY5210661RBC PRETX SERUM ASORPTION EA $ 250
1019
LABORATORY5201058RBC PRETX SERUM INCUBATION EA $ 117
1020
LABORATORY5201033RBC PRETX/ENZYME EACH $ 107
1021
LABORATORY4805644REDUCING SUBSTANCE URINE $ 25
1022
LABORATORY4887006REDUCING SUBSTANCES, FECAL $ 29
1023
LABORATORY4810263RENAL FUNCTION PANEL $ 72
1024
LABORATORY4804225RENIN $ 178
1025
LABORATORY4807657REPTILASE TIME $ 84
1026
LABORATORY4802986RESP VIRUS 3-4 TARGETS XPRESS FLU AB/RSV $ 458
1027
LABORATORY4885027RESP VIRUS XPRESS - RSV BY PCR $ 155
1028
LABORATORY4802987RESP VIRUS XPRESS INFLUENZA A/B $ 340
1029
LABORATORY4802670RETICULOCYTE COUNT,AUTO W/1 CELL PAR $ 52
1030
LABORATORY5210612RH (D) TYPE, SEROLOGIC $ 51
1031
LABORATORY5210620RH COMPLETE TYPE, SEROLOGIC $ 55
1032
LABORATORY4800462RHEUMATOID FACTOR $ 87
1033
LABORATORY4810768RHEUMATOID FACTOR QUANT $ 89
1034
LABORATORY4810545RICKETTSIA ANTIBODY $ 137
1035
LABORATORY4806634RISTOCETIN COF ACTIVE $ 188
1036
LABORATORY4804233RISTOCETIN,VONWILLEBRAND $ 200
1037
LABORATORY4886074ROMPLUS $ 374
1038
LABORATORY4810271ROTAVIRUS AG IA $ 126
1039
LABORATORY4801023RUBELLA $ 160
1040
LABORATORY4804597RUBEOLA SCREEN $ 115
1041
LABORATORY4885521RUSSELL VIPER VENOM TIME DIL $ 82
1042
LABORATORY4807061SALMONELLA TYPING $ 127
1043
LABORATORY4806444SELENIUM $ 155
1044
LABORATORY4803128SENSITIVITIES-DISK METHOD $ 86
1045
LABORATORY4802104SENSITIVITIES-MIC METHOD $ 106
1046
LABORATORY4820357SEPT9 METHYLATION ANALYSIS $ 657
1047
LABORATORY4804563SEROTONIN $ 345
1048
LABORATORY4885398SEX HORMONE BINDING GLOBULIN $ 131
1049
LABORATORY4803635SHIGA-LIKE TOXIN AG IA $ 107
1050
LABORATORY4804258SICKLING OF RBC REDUCTION $ 118
1051
LABORATORY4886064SILICA $ 260
1052
LABORATORY4801512SIROLIMUS $ 140
1053
LABORATORY4803205SMEAR FOR OVA & PARASITES $ 131
1054
LABORATORY4800231SMEAR GRAM STAIN $ 49
1055
LABORATORY5000393SMEARS/CYTOSPINS $ 261
1056
LABORATORY4807329SNRPN/UBE3A GENE $ 674
1057
LABORATORY4810909SODIUM OTHER SOURCE $ 43
1058
LABORATORY4800181SODIUM SERUM PLASMA OR WHOLE BLD $ 43
1059
LABORATORY4801056SODIUM URINE $ 43
1060
LABORATORY4806469SOMATOMEDIN-C $ 147
1061
LABORATORY5000757SPECIAL STAIN GRP 1 $ 364
1062
LABORATORY5000765SPECIAL STAIN GRP 2 $ 292
1063
LABORATORY4818035SPECIMEN CONCENTRATION $ 60
1064
LABORATORY4810552SPECTROPHOTOMETRY ANALYTE NES $ 90
1065
LABORATORY5210794SPLIT BLOOD/PRODUCTS EACH $ 93
1066
LABORATORY4806865SPOROTHRIX ANTIBODY $ 117
1067
LABORATORY4806857ST LOUIS ENCPH AB $ 136
1068
LABORATORY4802985STAPH AUREUS DETECTION BY NUCLEIC ACID (PCR) $ 310
1069
LABORATORY4819041STONE CAL,INFARED SPEC,QUAL $ 103
1070
LABORATORY4810172STREP A AG IA $ 89
1071
LABORATORY4809808STREPTOCOCCUS GROUP B AMP PROBE $ 206
1072
LABORATORY4885966STRICT SPERM MORPHOLOGY $ 341
1073
LABORATORY4804125SUGARS SNGL QUANT EA SPECIMEN $ 168
1074
LABORATORY4809273SULFATE URINE $ 56
1075
LABORATORY5000781SURGICAL PATH LEVEL 1-T $ 128
1076
LABORATORY5000799SURGICAL PATH LEVEL 2-T $ 255
1077
LABORATORY5000807SURGICAL PATH LEVEL 3-T $ 381
1078
LABORATORY5000815SURGICAL PATH LEVEL 4-T $ 445
1079
LABORATORY5000823SURGICAL PATH LEVEL 5-T $ 950
1080
LABORATORY5000831SURGICAL PATH LEVEL 6-T $ 1,349
1081
LABORATORY4885505SUSCEPT STUDIES,AGAR DIFFUSION $ 41
1082
LABORATORY4885026T CELL ABSOLUTE COUNT/RATIO $ 231
1083
LABORATORY5400122T UPTAKE $ 83
1084
LABORATORY4885976TAPENTADOL, URINE $ 99
1085
LABORATORY4810818TAY SACHS (HEXOSAMINIDASE) $ 380
1086
LABORATORY4800314TAYSACHS 7 MUTATION SCREEN $ 1,081
1087
LABORATORY4886069TB AG RESPONSE T-CELL SUSP $ 257
1088
LABORATORY4800256TB CULTURE $ 153
1089
LABORATORY4820361TESTOSTERONE BIOAVAILABLE $ 163
1090
LABORATORY4801502THEOPHYLLIN $ 107
1091
LABORATORY4802419THROMBIN TIME $ 60
1092
LABORATORY4805222THYROGLOBILIN ANTIBODY $ 217
1093
LABORATORY4809281THYROGLOBULIN LEVEL $ 136
1094
LABORATORY4808507THYROID IMMUNOGLOBULINS (TSI) $ 440
1095
LABORATORY4885117THYROXINE BIND GLOBULIN (TBG) $ 119
1096
LABORATORY5400130THYROXINE TOTAL $ 85
1097
LABORATORY4809166TIS CUL CHROMO ANALYSIS-SKIN $ 1,079
1098
LABORATORY4809141TIS CUL/CHROMOSOME ANALYSIS $ 770
1099
LABORATORY4812080TISSUE HOMOGENIZATION FOR CULTURE $ 45
1100
LABORATORY4804365TOBRAMYCIN $ 175
1101
LABORATORY4810164TOPIRAMATE $ 118
1102
LABORATORY4800744TOTAL BILIRUBIN $ 39
1103
LABORATORY4801910TOTAL PROTEIN BY REFRACTOMETER $ 31
1104
LABORATORY4803342TOTAL TESTOSTERONE $ 182
1105
LABORATORY4818175TOXIN ASSAY TISSUE CULTURE $ 175
1106
LABORATORY4804308TOXOPLASMA IGM ANTIBODY $ 237
1107
LABORATORY4806659TOXOPLASMOSIS IGM $ 166
1108
LABORATORY4804316TRANSFERRIN $ 108
1109
LABORATORY5201512TRANSFUSION REACTION WORKUP $ 364
1110
LABORATORY4805198TREPONEMA PALLIDUM ANTIBODY $ 105
1111
LABORATORY4806873TRICHINELLA ANTIBODY $ 131
1112
LABORATORY4804417TRICHOMONAS VAGINALIS $ 217
1113
LABORATORY4801213TRIGLYCERIDE $ 44
1114
LABORATORY5400031TRIIODOTHYRONINE T3 TOTAL $ 114
1115
LABORATORY4810628TRIIODOTHYRONINE T3/REVERSE $ 111
1116
LABORATORY4805750TROPONIN QUANTITATIVE $ 119
1117
LABORATORY5400049TSH SENSITIVE $ 125
1118
LABORATORY4810529TUMOR ANTIGEN QUANT CA125 $ 215
1119
LABORATORY5000864TUMOR IMMUNOHISTOCHEMISTRY SPEC, EA SNGL ANTIBD STAIN $ 731
1120
LABORATORY4809067ULTRACENTRIFUGATION/QUANT $ 160
1121
LABORATORY5200340UNIT ANTIGEN TYPE, SEROLOGIC $ 26
1122
LABORATORY4802101UNLISTED PATHOLOGY PROCEDURE LEVEL I $ 184
1123
LABORATORY4800751UREA NITROGEN (BUN) $ 45
1124
LABORATORY4806477UREA NITROGEN (URINE) $ 40
1125
LABORATORY4800900URIC ACID (BLOOD) $ 36
1126
LABORATORY4804324URIC ACID URINE OTHER $ 48
1127
LABORATORY4885939URIN TRCT W/MORPHO ANALY INSITU HYBRID 3-5 COMP ASST $ 2,255
1128
LABORATORY4800017URINALYSIS W/O MICROSCOPY $ 33
1129
LABORATORY4802658URINALYSIS WITH MICROSCOPY $ 60
1130
LABORATORY4803060URINE CALCIUM 24 HOUR $ 50
1131
LABORATORY4801072URINE CHLORIDE $ 55
1132
LABORATORY4800116URINE MICROSCOPIC $ 26
1133
LABORATORY4820351URINE TRICYCLIC SCREEN $ 171
1134
LABORATORY4805206VALPROIC ACID/DEPAKENE; TOTAL $ 116
1135
LABORATORY4805149VANCOMYCIN $ 115
1136
LABORATORY4805321VANILLYLMANDELIC ACID $ 165
1137
LABORATORY4804878VARICELLA ZOSTER ICG AB $ 134
1138
LABORATORY4806493VASOACTIVE INTESTINAL PEPTIDE $ 300
1139
LABORATORY4807889VIRAL ISOLATE CULTURE $ 178
1140
LABORATORY4802054VIRUS ID TISSUE CULTURE $ 243
1141
LABORATORY4885281VIRUS INOCULATION,SHELL VIA $ 180
1142
LABORATORY4801684VISCOSITY $ 152
1143
LABORATORY4803433VITAMIN A $ 158
1144
LABORATORY4804621VITAMIN B1 THIAMINE $ 210
1145
LABORATORY4806584VITAMIN B2 $ 190
1146
LABORATORY4804589VITAMIN B6 SO $ 260
1147
LABORATORY4806147VITAMIN C $ 85
1148
LABORATORY4804340VITAMIN E $ 121
1149
LABORATORY4885695VITAMIN K $ 154
1150
LABORATORY4885513VITAMIN,NOT OTERWISE SPECIFIED $ 115
1151
LABORATORY4802765VOL MEASURMNT FOR TIME COLLECT $ 21
1152
LABORATORY4853107VW FACTOR, MULTIMETRIC ANAL $ 205
1153
LABORATORY4805958WBC ANTIBODY ID $ 161
1154
LABORATORY4800645WBC, AUTO $ 33
1155
LABORATORY4807079WEST EQUINE ENCEPHAL $ 103
1156
LABORATORY4810305WESTERN BLOT W/INTERP $ 420
1157
LABORATORY4800264WET MOUNT (INDIA INK, KOH) $ 57
1158
LABORATORY4812103YEAST ISOLATE-ID $ 99
1159
LABORATORY4804357ZARONTIN ETHOSUXIMIDE $ 141
1160
LABORATORY4803391ZINC $ 147
1161
LABORATORY4820207ZONISAMIDE $ 168
1162
LABORATORY5100044BLD DRAW ROUTINE $ 15
1163
LABORATORY4832108#ERROR! $ 86
1164
LABORATORY4832109#ERROR! $ 94
1165
LABORATORY4832082#ERROR! $ 93
1166
LABORATORY4820353#ERROR! $ 36
1167
LABORATORY4820356#ERROR! $ 206
1168
LABORATORY4820355#ERROR!#ERROR!
1169
LABORATORY4820362#ERROR! $ 72
1170
LABORATORY4820363#ERROR! $ 36
1171
LABORATORY4820365#ERROR! $ 157
1172
LABORATORY4820369#ERROR! $ 72
1173
LABORATORY4820331#ERROR! $ 55
1174
LABORATORY4832010#ERROR! $ 33
1175
LABORATORY4832028#ERROR! $ 48
1176
LABORATORY4886025#ERROR!#ERROR!
1177
LABORATORY4803221#ERROR! $ 85
1178
LABORATORY4832104#ERROR! $ 38
1179
LABORATORY7801988#ERROR! $ 144
1180
LABORATORY4832095#ERROR! $ 75
1181
LABORATORY4802153#ERROR! $ 62
1182
LABORATORY4832107#ERROR! $ 52
1183
LABORATORY4832106#ERROR! $ 72
1184
LABORATORY4885657#ERROR! $ 139
1185
LABORATORY4832105#ERROR! $ 45
1186
LABORATORY4832085#ERROR! $ 60
1187
LABORATORY4832081#ERROR! $ 76
1188
LABORATORY4832069#ERROR! $ 49
1189
LABORATORY4832092#ERROR! $ 51
1190
LABORATORY4832181#ERROR! $ 340
1191
LABORATORY5000816#ERROR! $ 445
1192
LABORATORY5000740#ERROR! $ 354
1193
LABORATORY4886011#ERROR! $ 301
1194
LABORATORY4810289#ERROR! $ 145
1195
LABORATORY5401071HEP B SURFACE AG IA NEUT $ 99
1196
MALE SURGERY7230054160CIRCUM SURG NON-CLAMP<28DAYS MOGAN/GOMCO (54160) $ 1,090
1197
MALE SURGERY3610054161CIRCUM SURG NON-CLAMP>28DAYS OLD(54161) $ 1,744
1198
MALE SURGERY7610054056CRYOSURGERY,PENIS LESIONS(S) $ 217
1199
MALE SURGERY4500254700I&D SCROTAL ABSCESS $ 2,278
1200
MALE SURGERY4500255100INC/DRAIN SCROTAL ABSCESS WALL $ 1,709
1201
MALE SURGERY4500254220PENIS LESION TREATMENT $ 484
1202
MATERNITY3610059000AMNIOCENTESIS (SURG)(59000) $ 697
1203
MATERNITY7220059620ATTEMPT VBAC DELIVERY $ 7,586
1204
MATERNITY7200059320CERCLAGE OF CERVIX VAGINAL $ 3,270
1205
MATERNITY7220059514CESAREAN DELIVERY W/LABOR $ 6,827
1206
MATERNITY3610059160CURETTAGE, POSTPARTUM $ 5,310
1207
MATERNITY4500059414DELIVERY OF PLACENTA (SEPARATE PROC) $ 5,126
1208
MATERNITY7220059412EXTERNAL CEPHALIC VERSION $ 1,821
1209
MATERNITY4500059200INSRT CERVICAL DILATOR FOR INDUCTION $ 697
1210
MATERNITY9200059025NON STRESS TEST $ 284
1211
MATERNITY3610059871RMVL CERCLAGE SUTURE W/ANESTESIA $ 1,090
1212
MATERNITY3005707TRMNT INCOMPL ABORTION SURGICALLY $ 2,822
1213
MATERNITY4500059409VAGINAL LABOR & DELIVERY $ 6,827
1214
MATERNITY4500059612VBAC DELIVERY $ 7,586
1215
MATERNITY9200059020FETAL MONITOR $ 408
1216
MEDICAL & SURGICAL SUPPLIES36012007 BAND LIGATOR MV:4225 $ 1,700
1217
MEDICAL & SURGICAL SUPPLIES5918501ANGIOPLASTY PACK MERIT $ 84
1218
MEDICAL & SURGICAL SUPPLIES6601298BIOPSY SET,TRANSJUGULAR $ 1,100
1219
MEDICAL & SURGICAL SUPPLIES2190124BIOZORB DEVICE $ 3,125
1220
MEDICAL & SURGICAL SUPPLIES6604302BRACHYTHERAPY SRC NON STRD YTTRIUM90 $ 40,000
1221
MEDICAL & SURGICAL SUPPLIES1500531BRACHYTX SRC NON STRNDED HDR IR-192 PER SRC $ 1,100
1222
MEDICAL & SURGICAL SUPPLIES2070191BREAST PUMP $ 250
1223
MEDICAL & SURGICAL SUPPLIES6601092CATH 5FR PIGTAIL FLUSH $ 154
1224
MEDICAL & SURGICAL SUPPLIES5908324CATH ANGIO FLUSH NON BRD OMNI 5F 035INX65CM $ 81
1225
MEDICAL & SURGICAL SUPPLIES5908327CATH ANGIO LANGSTON DUAL LUMEN PIG 6F 8CM 145DEG $ 185
1226
MEDICAL & SURGICAL SUPPLIES5908306CATH COOK ANGIOGRAPHIC 4,5,6FR VTK $ 163
1227
MEDICAL & SURGICAL SUPPLIES5906391CATH PACK $ 271
1228
MEDICAL & SURGICAL SUPPLIES6601356CATH STR FLUSH 5FR 65CM $ 82
1229
MEDICAL & SURGICAL SUPPLIES6601355CATHETER,FLUSH $ 86
1230
MEDICAL & SURGICAL SUPPLIES6601389CATHETER,GLIDE $ 142
1231
MEDICAL & SURGICAL SUPPLIES6600095COIL EMBOL (BS) 10/15/20X40-36-380,82,83 $ 2,765
1232
MEDICAL & SURGICAL SUPPLIES6601604COON DILATORS 20F/22F G04264/G04443 $ 42
1233
MEDICAL & SURGICAL SUPPLIES6604314CORTOSS CEMENT 10CC $ 3,000
1234
MEDICAL & SURGICAL SUPPLIES6604313CORTOSS GUN W/MIXTIPS $ 1,400
1235
MEDICAL & SURGICAL SUPPLIES6601405DILATOR VESSEL JCD 10.0-35-10 $ 41
1236
MEDICAL & SURGICAL SUPPLIES5906466ELECTRODE PACING WIRE $ 405
1237
MEDICAL & SURGICAL SUPPLIES6601421EMBOLIZATION,COIL $ 160
1238
MEDICAL & SURGICAL SUPPLIES6601439EMBOLIZATION,PVA $ 464
1239
MEDICAL & SURGICAL SUPPLIES9100278EOVIST CONTRAST (GADOXETATE DISSODIUM) 1 ML $ 41
1240
MEDICAL & SURGICAL SUPPLIES6603116EXPRESS 1ST FX KIT 10/2 #KPE1001 $ 8,000
1241
MEDICAL & SURGICAL SUPPLIES6603115EXPRESS BONE BIOPSY DEVICE #F07A $ 417
1242
MEDICAL & SURGICAL SUPPLIES6603113EXPRESS CURRETE 7MM #A13A $ 1,300
1243
MEDICAL & SURGICAL SUPPLIES6601586FLUID MANAGEMENT SYSTEM $ 180
1244
MEDICAL & SURGICAL SUPPLIES7801566FLUTTER VALVE $ 550
1245
MEDICAL & SURGICAL SUPPLIES6601638GJ TUBE SYSTEM KIMBERLY CLARK $ 500
1246
MEDICAL & SURGICAL SUPPLIES34400A9517I-131 CAPSULE (THERAP) PER MCI $ 121
1247
MEDICAL & SURGICAL SUPPLIES5907399INDAFLATOR $ 182
1248
MEDICAL & SURGICAL SUPPLIES6603377INFLATION DEVICE $ 114
1249
MEDICAL & SURGICAL SUPPLIES5906581INTRA AORTIC BALLOON CATH $ 2,000
1250
MEDICAL & SURGICAL SUPPLIES5906433KIT CUSTOM PRESSURE MONITORING RT HEART $ 43
1251
MEDICAL & SURGICAL SUPPLIES6202027KYPHON CEMENT COMBO PACK C01B $ 361
1252
MEDICAL & SURGICAL SUPPLIES6603740KYPHON CEMENT COMBO PACK C01B $ 361
1253
MEDICAL & SURGICAL SUPPLIES6202029KYPHON EXP OSTEO INTRO SYS T34A $ 2,500
1254
MEDICAL & SURGICAL SUPPLIES6603732KYPHON FX 1ST ADDL 10-15-20/3 $ 3,000
1255
MEDICAL & SURGICAL SUPPLIES6603725KYPHON KPT 1005/1505/2005 $ 8,000
1256
MEDICAL & SURGICAL SUPPLIES6601601KYPHON OSTEO INTRO/GUIDEPINS/DRILL T05D $ 2,500
1257
MEDICAL & SURGICAL SUPPLIES6603111KYPHOPAK KPX103/153/203PB $ 5,000
1258
MEDICAL & SURGICAL SUPPLIES6603634KYPHOPLASTY TRAY ELKY01A $ 122
1259
MEDICAL & SURGICAL SUPPLIES6603468KYPHX BONE BIOPSY DEVICE $ 220
1260
MEDICAL & SURGICAL SUPPLIES6603070KYPHX INFLATION SYRINGE $ 235
1261
MEDICAL & SURGICAL SUPPLIES6603633KYPHX LATITUDE CURETTE CAT #A11B/D/E $ 401
1262
MEDICAL & SURGICAL SUPPLIES5918511LEFT HEART ANGIO CUSTOM KIT MERIT K09-05229P $ 153
1263
MEDICAL & SURGICAL SUPPLIES9103185MAX-CORE BIOPSY NEEDLE BARD $ 155
1264
MEDICAL & SURGICAL SUPPLIES6604206MEDRAD HAND CONTROLLER $ 52
1265
MEDICAL & SURGICAL SUPPLIES6604204MEDRAD INJ TUBING & BARRELL $ 92
1266
MEDICAL & SURGICAL SUPPLIES6604205MEDRAD STERILE TUBING AVA 500 SPAT E/L $ 100
1267
MEDICAL & SURGICAL SUPPLIES5918115MICRO PUNCTURE SET 4/5FR $ 105
1268
MEDICAL & SURGICAL SUPPLIES9100450MULTIHANCE 5/10ML SNGL VIAL PER ML $ 11
1269
MEDICAL & SURGICAL SUPPLIES6601538NDL CHIBA 18G $ 39
1270
MEDICAL & SURGICAL SUPPLIES6601583NERVE BLOCK TRAY $ 40
1271
MEDICAL & SURGICAL SUPPLIES6202514NEUWAVE ABLATION PROBE $ 4,950
1272
MEDICAL & SURGICAL SUPPLIES32000C9733NON OPHTALMIC FLUOR VASC ANGIO (C9733) $ 993
1273
MEDICAL & SURGICAL SUPPLIES5900024OPTITORQUE VARIOUS SIZES (406011/12/21/22) $ 168
1274
MEDICAL & SURGICAL SUPPLIES5903836PACEMAKER/ICD PACK $ 205
1275
MEDICAL & SURGICAL SUPPLIES5906599PERICARDIOCENTESIS TRAY $ 325
1276
MEDICAL & SURGICAL SUPPLIES5918967PTA DRUG ELUTING BALLOON $ 1,565
1277
MEDICAL & SURGICAL SUPPLIES34400A9606RADIUM RA223 DICHLORIDE (THERAP) PER UCI $ 320
1278
MEDICAL & SURGICAL SUPPLIES3654779RESOLUTION 360 CLIP 2.8MM $ 547
1279
MEDICAL & SURGICAL SUPPLIES3604792RESOLUTION 360 CLIP 2.8MM $ 547
1280
MEDICAL & SURGICAL SUPPLIES3654600RESOLUTION CLIP MV: 2261FR $ 450
1281
MEDICAL & SURGICAL SUPPLIES3604600RESOLUTION CLIP MV: 2261FR $ 450
1282
MEDICAL & SURGICAL SUPPLIES2855147RF COOLING PROBE $ 1,750
1283
MEDICAL & SURGICAL SUPPLIES34300A9528RP I 131 DX CAP PER MCI $ 25
1284
MEDICAL & SURGICAL SUPPLIES34300A9584RP I-123 IOFLUPANE PER 5 MCI $ 7,572
1285
MEDICAL & SURGICAL SUPPLIES34300A9516RP I-123 PER 100 UCI UP TO 999 UCI $ 113
1286
MEDICAL & SURGICAL SUPPLIES34300A9547RP IN111 OXYQUINOLINE PER 0.5 MCI $ 1,362
1287
MEDICAL & SURGICAL SUPPLIES34300A9548RP IN111 PENTETATE PER 0.5 MCI $ 1,703
1288
MEDICAL & SURGICAL SUPPLIES34300A9572RP IN111 PENTETREOTIDE PER DOSE UPTO 6 MCI $ 1,703
1289
MEDICAL & SURGICAL SUPPLIES34300A9503RP MEDRONATE PER DOSE $ 87
1290
MEDICAL & SURGICAL SUPPLIES34300A9562RP MERTIATIDE PER VIA/STDY DOSE UPTO 15 MCI $ 419
1291
MEDICAL & SURGICAL SUPPLIES34300A9541RP SULFUR COLLOID PER STDY DOSE UPTO 20 MCI $ 182
1292
MEDICAL & SURGICAL SUPPLIES34300A9540RP TC ALBUMIN AGG PER STDY DOSE UPTO 10 MCI $ 69
1293
MEDICAL & SURGICAL SUPPLIES34300A9560RP TC LABELED RBC PER STDY DOSE UPTO 30 MCI $ 97
1294
MEDICAL & SURGICAL SUPPLIES34300A9512RP TC-99MM PER MCI $ 60
1295
MEDICAL & SURGICAL SUPPLIES34300A9521RP TC-EXAMETAZIME PER DOSE $ 2,270
1296
MEDICAL & SURGICAL SUPPLIES34300A9537RP TC-MEBROFENIN PER STDY DOSE UP TO 15MCI $ 162
1297
MEDICAL & SURGICAL SUPPLIES34300A9500RP TC-SESTAMIBI PER DOSE $ 398
1298
MEDICAL & SURGICAL SUPPLIES34300A9505RP TL-201 PER MCI $ 80
1299
MEDICAL & SURGICAL SUPPLIES34300A9558RP XE 133 PER 10 MCR $ 75
1300
MEDICAL & SURGICAL SUPPLIES6603032SERIAL DILATORS (98704) $ 190
1301
MEDICAL & SURGICAL SUPPLIES6604004SMART NEEDLE 18G #75010 $ 195
1302
MEDICAL & SURGICAL SUPPLIES5900028STANDARD TR BAND W/INFLATOR $ 113
1303
MEDICAL & SURGICAL SUPPLIES6601582STATLOCK 6-8/10-12/VPPCSP $ 43
1304
MEDICAL & SURGICAL SUPPLIES5904529STYLET KIT-6052/6048 $ 155
1305
MEDICAL & SURGICAL SUPPLIES3400010STYLET VPS ARROW $ 350
1306
MEDICAL & SURGICAL SUPPLIES5906805SWAN-GANZ S-TIP $ 105
1307
MEDICAL & SURGICAL SUPPLIES34300A9569TECHNELIUM TC 99M AUTO WBC $ 2,000
1308
MEDICAL & SURGICAL SUPPLIES94800G0424THER AEROBIC EXER W/MONITOR PER HR/SESSION $ 153
1309
MEDICAL & SURGICAL SUPPLIES2138056TRAY KYPHOPAK $ 13,037
1310
MEDICAL & SURGICAL SUPPLIES6600010TUBE KIT 'MIC' TRANSGASTRIC JEJUNAL $ 650
1311
MEDICAL & SURGICAL SUPPLIES2137041URETERAL BALLOON DILATATION CATH $ 900
1312
MEDICAL & SURGICAL SUPPLIES5907241VENOGRAM BALLOON #6215 $ 400
1313
MISCELLANEOUS77102G0010ADMIN IMMUN HEP B (MDCR) $ 23
1314
MISCELLANEOUS9210093788AMBULATORY BP ANALYSIS 24 HRS/LONGER $ 382
1315
MISCELLANEOUS9210093786AMBULATORY BP RECORDING 24 HRS/LONGER $ 382
1316
MISCELLANEOUS77001G0444ANNUAL DEPRESSION SCREEN $ 168
1317
MISCELLANEOUS3310096409BIO/CHEM/COMPLEX IV DRUG PUSH SNGL $ 544
1318
MISCELLANEOUS3350096415BIO/CHEM/COMPLEX IV INF ADDL HR $ 310
1319
MISCELLANEOUS3350096413BIO/CHEM/COMPLEX IV INFUSED 1ST HR $ 843
1320
MISCELLANEOUS77000G0101CA SCREEN,PELVIC/BREAST EXAM $ 95
1321
MISCELLANEOUS9100371CELERO VACUUM SPRING LOAD BX $ 563
1322
MISCELLANEOUS5101225COLOR VISION EXTENDED EXAM $ 176
1323
MISCELLANEOUS8020000001CRRT DAILY (CONT RENAL REPLMNT THERAPY)(MULTIPLE EVALS) $ 4,485
1324
MISCELLANEOUS35000G0297CT LOW DOSE LUNG SCREENING $ 2,021
1325
MISCELLANEOUS94200G0109DIAB MANAGE TRN/GRP 30 MIN $ 96
1326
MISCELLANEOUS76200G0379DIRECT REFERRAL TO OBSERVATION $ 252
1327
MISCELLANEOUS73000G0404EKG COMP IPPE PBB/MEDICARE $ 82
1328
MISCELLANEOUS9200092225EYE EXAM INITIAL $ 131
1329
MISCELLANEOUS9200092226EYE EXAM SUBSEQUENT $ 114
1330
MISCELLANEOUS5401071GENERAL LAB/SEROLOGY HIV COMBO $ 207
1331
MISCELLANEOUS41300G0277HBOT, FULL BODY CHAMBER, 30M $ 705
1332
MISCELLANEOUS9400000003HYPOTHERMIA THERAPY - ADULT $ 4,545
1333
MISCELLANEOUS9400000004HYPOTHERMIA THERAPY-CHILD/INFANT $ 2,392
1334
MISCELLANEOUS51000G0402IPPE VISIT $ 137
1335
MISCELLANEOUS2600296368IV DRUG INF CONCURRENT ADD NEW DRUG $ 125
1336
MISCELLANEOUS2600296366IV DRUG INF EA ADDL HR $ 140
1337
MISCELLANEOUS2600096365IV DRUG INF INITIAL UP TO 1 HR $ 438
1338
MISCELLANEOUS2600296367IV DRUG INF SEQ ADD NEW DRUG $ 214
1339
MISCELLANEOUS2600296375IV DRUG PUSH ADD NEW DRUG $ 129
1340
MISCELLANEOUS2600296376IV DRUG PUSH SAME DRUG EA ADDL PUSH $ 121
1341
MISCELLANEOUS2600296361IV HYDRATION EA ADDL HR $ 136
1342
MISCELLANEOUS2600296360IV HYDRATION INITIAL UP TO 1HR $ 327
1343
MISCELLANEOUS7610096920LASER TX SKIN <250 SQCM $ 274
1344
MISCELLANEOUS7610096921LASER TX SKIN 250-500 SQCM $ 379
1345
MISCELLANEOUS48100G0278M'DCRE ILIAC ART ANGIO CARD CATH $ 2,850
1346
MISCELLANEOUS9400299156MOD SED OTH PHYS/QHP 5/>YRS $ 552
1347
MISCELLANEOUS5100391OBTAIN SCREEN PAP SMEAR(MDCR) $ 107
1348
MISCELLANEOUS41000G0238OTHER THERAPEUTIC RESP PROC EA 15 MIN $ 124
1349
MISCELLANEOUS7610096567PHOTODYNAMIC TX SKIN $ 364
1350
MISCELLANEOUS7802646PHP, PEER SUPPORT (MCAID ONLY), PER 15 MIN $ 25
1351
MISCELLANEOUS7802644PHP, TRAINING & EDUC SVCS $ 100
1352
MISCELLANEOUS9400196523PORT FLUSH $ 220
1353
MISCELLANEOUS4810289PSA SCREENING $ 145
1354
MISCELLANEOUS5000873SCR C/V CYTO THINLAYER RESCR (MDCR,TRI,MP) $ 244
1355
MISCELLANEOUS5000856SCR GYN CYTO THIN PREP (M'CRE) $ 160
1356
MISCELLANEOUS4808004SELF PAY PHLEB DRAW HANDLING & SHIPPING ($50.00) $ 50
1357
MISCELLANEOUS4808003SELF PAY PHLEB DRAW ONLY FOR KITS ($25.00) $ 25
1358
MISCELLANEOUS4808005SELF PAY PHLEB HANDLING & SHIPPING ($25.00) $ 25
1359
MISCELLANEOUS9400099195THERAPEUTIC PHLEBOTOMY $ 234
1360
MISCELLANEOUS41000G0239THERAPEUTIC PROC STRG ENDUR RESP MUSC PER HR/SESSION $ 153
1361
MISCELLANEOUS41000G0237THEREAPEUTIC PROCD STRG ENDUR RESP MUSCLES EA 15 MIN $ 124
1362
MISCELLANEOUS4100000001TRANSITIONAL CARE $ 500
1363
MISCELLANEOUS68302G0390TRAUMA RESPONSE TEAM $ 3,178
1364
MISCELLANEOUS4400092507TX SPEECH LANG VOICE COMM & AUDITORY PROC IND $ 264
1365
MISCELLANEOUS92100G0365USV PRE-OP MAPPING AV FISTULA CREATION $ 1,150
1366
MISCELLANEOUS77000G0296VISIT TO DETERM LDCT ELIG $ 96
1367
MISCELLANEOUS4820371VOLUNTARY BLOOD ALCOHOL $ 200
1368
MISCELLANEOUS3203064BED AIR FLOTATION KINAIR III DAILY $ 108
1369
MISCELLANEOUS3241205BED BARI AIR THERAPY DAILY $ 550
1370
MISCELLANEOUS3214244BED BARI MAXX II DAILY $ 260
1371
MISCELLANEOUS13391PRIV ROOM $ 1,639
1372
MISCELLANEOUS1200000001SEMI PEDI $ 1,504
1373
MISCELLANEOUS3210503TRAPEZE SW DAILY $ 28
1374
MISCELLANEOUS3211208VAC KCI ATS DAILY $ 195
1375
MISCELLANEOUS2330099467AMBULANCE ESC EA ADDL 30 MIN (NICU/PEDI) $ 815
1376
MISCELLANEOUS2330099466AMBULANCE ESCORT 1ST HR (NICU/PEDI) $ 1,630
1377
NEUROLOGY74000958112ND POLYSOMNOGRAPHY $ 8,176
1378
NEUROLOGY7610095044ALLERGY PATCH TESTS $ 89
1379
NEUROLOGY2850330ANALYSIS W/REPROGRAM PUMP $ 515
1380
NEUROLOGY9200095971ANALYZE NEUROSTIM SIMPLE $ 1,216
1381
NEUROLOGY3610060300ASPIRATION THYROID CYST $ 638
1382
NEUROLOGY3610064492BIL INJ DX/THERA AGENT JT CERV/THOR 3RD LVL> W/FLUORO $ 1,821
1383
NEUROLOGY3610064493BIL INJ DX/THERA AGENT JT LUMB/SACR SNGL W/FLUORO $ 3,270
1384
NEUROLOGY4900064612BLEPHAROSPASM/BOTOX $ 467
1385
NEUROLOGY7400095933BLINK REFLEX TEST $ 344
1386
NEUROLOGY9220095929C MOTOR EVOKED LWR LIMBS $ 2,455
1387
NEUROLOGY9220095928C MOTOR EVOKED UPPR LIMBS $ 2,302
1388
NEUROLOGY9200095939C MOTOR EVOKED UPR & LWR LIMBS $ 801
1389
NEUROLOGY4900064644CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES $ 800
1390
NEUROLOGY4900064645CHEMODENERVATION 1 EXTREMITY EA ADDL 5OR > MUSCLES $ 654
1391
NEUROLOGY3610064616CHEMODENERVATION NECK MUSCLE $ 818
1392
NEUROLOGY4900064646CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES $ 899
1393
NEUROLOGY4900064642CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE $ 1,313
1394
NEUROLOGY7400095940CONTIN INTRAOP NEURO MONITOR PERS ATTN IN OR EA 15 MINS $ 910
1395
NEUROLOGY3610064448CONTINOUS FEMORAL NRV CATH $ 872
1396
NEUROLOGY3610064636DEST PARAVERTEBRAL ADDL FACET JT NVS W/IMAGE LUMB/SAC $ 3,338
1397
NEUROLOGY3610064633DEST PARAVERTEBRAL SNGL FACET JT NERVES W/IMAGE CER/THOR $ 4,400
1398
NEUROLOGY3610064635DEST PARAVERTEBRAL SNGL FACET JT NRV W/IMAGE LUM/SACR $ 3,793
1399
NEUROLOGY7400095957DIGITAL ANALYSIS OF EEG $ 910
1400
NEUROLOGY2701084DRN CEREBRO SPINAL FLUID $ 1,214
1401
NEUROLOGY9220095955EEG DURING SURGERY $ 950
1402
NEUROLOGY7400095951EEG VIDEO MONITOR (UNATTENDED) PER 24HRS $ 6,358
1403
NEUROLOGY7400095819EEG,AWAKE/ASLEEP, W/STIMULAT $ 2,000
1404
NEUROLOGY7400095816EEG,AWAKE/DROWSY, W/STIM $ 1,500
1405
NEUROLOGY4900062370ELEC ANALYSIS PROGRAM IMP PUMP W/REPROGRAM,REFILL $ 979
1406
NEUROLOGY9220095861EMG/ 2 EXTREM $ 407
1407
NEUROLOGY2701119ERECTOR SPINAE BLOCK $ 973
1408
NEUROLOGY9200095250GLUCOSE MONITOR CONT (MIN 72 HRS) $ 510
1409
NEUROLOGY9220095874GUIDE NERV DESTR, NEEDLE EMG $ 160
1410
NEUROLOGY7400095806HOME SLEEP TEST W/PORTABLE MONITOR $ 1,092
1411
NEUROLOGY4900064425ILIONIGUINAL $ 740
1412
NEUROLOGY9240095079INGESTION CHALLENGE TEST EA ADDL 60 MINS $ 718
1413
NEUROLOGY9240095076INGESTION CHALLENGE TEST INITIAL 120 MINS $ 1,364
1414
NEUROLOGY3610064491INJ DX/THERA AGENT JT CERV/THOR 2ND LVL W/FLUORO $ 697
1415
NEUROLOGY3610064494INJ DX/THERA AGENT JT LUMB/SACR 2ND LVL W/FLUORO $ 1,308
1416
NEUROLOGY3610064495INJ DX/THERA AGENT JT LUMB/SACR 3RD LVL> W/FLUORO $ 1,308
1417
NEUROLOGY3610064490INJ DX/THERAP AGENT JT CERV/THOR SNGL W/FLUORO $ 1,635
1418
NEUROLOGY3610062273INJ EPIDURAL BLOOD PATCH $ 1,254
1419
NEUROLOGY3610062284INJ FOR MYELOGRAM/CT LUMBAR $ 1,297
1420
NEUROLOGY3610064417INJ NERVE BLOCK AXILLARY $ 655
1421
NEUROLOGY3610164447INJ NERVE BLOCK FEMORAL SNGL $ 763
1422
NEUROLOGY3610064415INJ NERVE BLOCK INTERSCALENE $ 697
1423
NEUROLOGY3610064450INJ NERVE BLOCK PERIPHERAL $ 683
1424
NEUROLOGY3610064413INJ NERVE BLOCKS CERVICAL PLEXUS $ 763
1425
NEUROLOGY3610064640INJ OTH PERIPH NRVE BRANCH (NEUROLYTIC) $ 1,417
1426
NEUROLOGY4900064430INJ PUDENDAL NERVE $ 1,308
1427
NEUROLOGY3610064445INJ SCIATIC NERVE BLOCK $ 981
1428
NEUROLOGY4500064400INJ TRIGEMINAL\DIV\BRANCH $ 512
1429
NEUROLOGY4500064418INJECTION ANESTHETIC SUPRASCAPULAR NERVE $ 798
1430
NEUROLOGY3610061055INJECTION FOR CISTERNOGRAM $ 1,253
1431
NEUROLOGY4500064421INTERCOSTAL MULTIPLE $ 1,481
1432
NEUROLOGY4500064420INTERCOSTAL SNGL $ 911
1433
NEUROLOGY3610162270LUMBAR PUNCTURE $ 839
1434
NEUROLOGY4900064520LUMBAR SYMPATHETIC BLOCK $ 1,417
1435
NEUROLOGY4900062264LYSIS OF EPIDURAL ADHESIONS 1DAY $ 2,349
1436
NEUROLOGY7400095805MSLT $ 4,542
1437
NEUROLOGY9220095886MUSC TEST W/NERVE TEST COMP $ 822
1438
NEUROLOGY9220095885MUSC TST W/NERVE TST LIMIT $ 528
1439
NEUROLOGY2200839MUSCLE TEST CRAN NERVE BILAT $ 340
1440
NEUROLOGY9220195870MUSCLE TEST NONPARASPINAL UNI/BIL $ 169
1441
NEUROLOGY9220095860MUSCLE TEST, ONE LIMB $ 310
1442
NEUROLOGY3610062302MYELOGRAM CERVICAL INC GUIDANCE $ 3,148
1443
NEUROLOGY3610062304MYELOGRAM LUMBAR INC GUIDANCE $ 3,148
1444
NEUROLOGY3610062303MYELOGRAM THORACIC INC GUIDANCE $ 3,148
1445
NEUROLOGY3610064484NERVE RT L/S-TRANSFORM ADD'L INCL FLUORO LUMB/SACRAL $ 790
1446
NEUROLOGY2851049NERVE RT/TRANSF C/T ADD'L INCL FLUORO CERV/THORAC $ 845
1447
NEUROLOGY3610064479NERVE RT/TRANSF C/T SNGL INCL FLUORO CERV/THORAC $ 1,635
1448
NEUROLOGY9220195937NEUROMUSCULAR JUNCTION TEST EA NERVE $ 385
1449
NEUROLOGY3610062320NJX INTERLAMINAR CRV/THRC $ 1,635
1450
NEUROLOGY3610062324NJX INTERLAMINAR CRV/THRC CATHETER $ 1,417
1451
NEUROLOGY3610162322NJX INTERLAMINAR LMBR/SAC $ 1,635
1452
NEUROLOGY3610062326NJX INTERLAMINAR LMBR/SAC CATHETER $ 1,635
1453
NEUROLOGY2701108NJX INTERLAMINAR LMBR/SAC W/IMG GDN $ 2,437
1454
NEUROLOGY4900064405OCCIPITAL NERVE BLOCK $ 768
1455
NEUROLOGY3610064634PARAVERTEBRAL C/T ADD'L W/IMAGE GUIDE $ 1,290
1456
NEUROLOGY4900063650PERC IMPL NEUROELECTRODES $ 11,379
1457
NEUROLOGY7400095782POLYSOM 4+ ADD'L PARAM (YOUNGER THAN 6) $ 9,561
1458
NEUROLOGY7400095783POLYSOM 4+ ADD'L PARAM W/CPAP (YOUNGER THAN 6) $ 10,358
1459
NEUROLOGY7400095808POLYSOMNOGRAPHY 1-3 ADD'L PARAM (ANY AGE) $ 3,634
1460
NEUROLOGY3610064462PVB THORACIC 2ND+ INJ SITE $ 517
1461
NEUROLOGY3610064461PVB THOSRACIC SINGLE INJ SITE $ 973
1462
NEUROLOGY9200095991REFILL/MAINT IMP PUMP(PHYS)INCLUDE ELECT ANALYSIS $ 435
1463
NEUROLOGY3610064483SNGL NVR RT L/S TRANSFRMNL INCL FLUORO LUMB/SACRAL $ 2,180
1464
NEUROLOGY9220195926SOMATOSENSORY STUDY/LOWER LIMBS $ 1,496
1465
NEUROLOGY9200195938SOMATOSENSORY TESTING $ 3,178
1466
NEUROLOGY4900064510STELLATE GANGLION BLOCK $ 1,417
1467
NEUROLOGY2851737TAP BLOCK UNIL BY INJECTION $ 759
1468
NEUROLOGY3702755TWIST DRILL HOLE FOR VENTRICULAR PUNCTURE, W/CATH $ 3,034
1469
ONCOLOGY VISIT1500420RO-EST OP VISIT LEVEL 1 $ 126
1470
ONCOLOGY VISIT1500453RO-EST OP VISIT LEVEL 4 $ 175
1471
ONCOLOGY VISIT1500461RO-EST OP VISIT LEVEL 5 $ 225
1472
ONCOLOGY VISIT1501113RO-F/U OP VISIT LEV 2 $ 150
1473
ONCOLOGY VISIT1501121RO-F/U OP VISIT LEV 3 $ 135
1474
ONCOLOGY VISIT1500792RO-NEW OP VISIT LEVEL 3 $ 147
1475
ONCOLOGY VISIT1500800RO-NEW OP VISIT LEVEL 4 $ 191
1476
OPERATING ROOM3700000001ANESTH 1/2HR $ 792
1477
OPERATING ROOM3700000002ANESTHESIA PER MIN $ 22
1478
OPERATING ROOM3600000011CAT 1 LASER PER MIN $ 22
1479
OPERATING ROOM3005048CAT II PER MIN (OR) $ 38
1480
OPERATING ROOM7100000009CATEGORY A PACU PER MIN -RECOVERY ROOM $ 21
1481
OPERATING ROOM7100000003CATEGORY B PACU PER MIN- RECOVERY ROOM $ 20
1482
OPERATING ROOM7100000004CATEGORY C PACU PER MIN- RECOVERY ROOM $ 27
1483
OPERATING ROOM7100000005CATEGORY D PACU PER MIN $ 35
1484
OPERATING ROOM3600000006CATEGORY I PER MINUTE $ 30
1485
OPERATING ROOM3600000007CATEGORY II PER MINUTE $ 38
1486
OPERATING ROOM3600000008CATEGORY III PER MINUTE $ 44
1487
OPERATING ROOM3600000009CATEGORY IV PER MINUTE $ 51
1488
OPERATING ROOM3600000010MINOR OR 1ST 1/2 HR $ 936
1489
OPERATING ROOM3600000005MINOR OR-ADDL' 15MIN $ 504
1490
OPERATING ROOM3600000001OR LEVEL I, INITIAL MINUTE $ 2,903
1491
OPERATING ROOM3600000002OR LEVEL II, INITIAL MINUTE $ 5,807
1492
OPERATING ROOM3600000003OR LEVEL III, INITIAL MINUTE $ 7,259
1493
OPERATING ROOM3600000004OR LEVEL IV, INITIAL MINUTE $ 8,710
1494
OPERATING ROOM7100000011RECOVERY ADD'L 1/2 HR $ 141
1495
OPERATING ROOM7100000007RECOVERY ADDL PER 15MIN $ 70
1496
OPERATING ROOM7100000010RECOVERY PER HR $ 296
1497
OPERATING ROOM7100000006RECOVERY ROOM LEVEL 2 PER MINUTE $ 8
1498
OPTHALMOLOGY4500265210CONJ FB REMOVAL $ 341
1499
OPTHALMOLOGY4500265205CONJ FB SIMPLE REMOVAL $ 310
1500
OPTHALMOLOGY4500265220CORNEAL FB REMOVAL $ 279
1501
OPTHALMOLOGY4500265222CORNEAL FB REMOVAL W/SL $ 402
1502
OPTHALMOLOGY4500269000DRAIN EXTERNAL EAR,ABSCESS/HEMA $ 399
1503
OPTHALMOLOGY4500267700DRAINAGE EYELID ABSCESS $ 598
1504
OPTHALMOLOGY7610067810INCISIONAL BIOPSY OF EYELID $ 550
1505
OPTHALMOLOGY7610067900REPAIR BROW DEFECT $ 3,200
1506
ORTHOPEDICS4500227840ANKLE DISLOCATION $ 598
1507
ORTHOPEDICS3610020605ASP/INJ INTERMEDIATE JOINT/BURSA WO US GUIDANCE $ 524
1508
ORTHOPEDICS7610020611ASP/INJ MAJOR JOINT/BURSA W/US GUIDANCE $ 658
1509
ORTHOPEDICS7610220610ASP/INJ MAJOR JOINT/BURSA WO US GUIDANCE $ 543
1510
ORTHOPEDICS3610020600ASP/INJ SMALL JOINT/BURSA WO US GUIDANCE $ 512
1511
ORTHOPEDICS3610020615ASPIRATION & INJ TX BONE CYST $ 1,990
1512
ORTHOPEDICS3610020206BIOPSY MUSCLE PERC NEEDLE $ 1,635
1513
ORTHOPEDICS7610021552BIOPSY SOFT TISSUE OF NECK OR THORAX >3CM $ 3,500
1514
ORTHOPEDICS3610020225BIOPSY,BONE,DEEP $ 2,725
1515
ORTHOPEDICS3610020220BIOPSY,BONE,SUPERFICIAL $ 1,308
1516
ORTHOPEDICS3610020245BONE BIOPSY OPEN DEEP $ 1,827
1517
ORTHOPEDICS4500227508CLD TX FML FX DIST END W/O MAN $ 399
1518
ORTHOPEDICS4500221310CLD TX NASAL BONE FX W/O MANIP $ 284
1519
ORTHOPEDICS4500223600CLD TX PROXI HUM FX W/O MAN $ 570
1520
ORTHOPEDICS4500227808CLD TX,BIM ANKLE FX W/O MANIP $ 570
1521
ORTHOPEDICS4500227520CLD TX,PATELLAR FX W/O MANIP $ 427
1522
ORTHOPEDICS4500227530CLD TX,TIBIAL FX PROX W/O MANIP $ 399
1523
ORTHOPEDICS4500227816CLD TX,TRIM ANKLE FX W/O MANIP $ 512
1524
ORTHOPEDICS4500227810CLO TX BIMALLEO ANK FX W/MANIP $ 1,024
1525
ORTHOPEDICS3703600CLO TX CARPOMTACRPL DIS W/M NO THMB $ 444
1526
ORTHOPEDICS3703337CLO TX FEMORAL SHFT W/MANIP $ 4,551
1527
ORTHOPEDICS3703634CLO TX RAD SHAFT FX W/MANIP $ 1,026
1528
ORTHOPEDICS4500227818CLO TX TRIMALLEO FX W/MANIP $ 986
1529
ORTHOPEDICS3703378CLO TX,FX PHALANX,PHALANG W/MAN $ 470
1530
ORTHOPEDICS4500225630CLOSED TX CARPAL BONE FX W/O MANIP EACH $ 658
1531
ORTHOPEDICS4500224530CLOSED TX OF SUPRACONDYLAR HUMERAL FX W/O MANIP $ 740
1532
ORTHOPEDICS4500227767CLOSED TX POST ANKLE FX $ 604
1533
ORTHOPEDICS4500225565CLSD RDCTN RAD/ULNAR SHFT W/MAN $ 1,054
1534
ORTHOPEDICS4500223620CLSD TX > HUMRL TUBEY FX W/O MA $ 314
1535
ORTHOPEDICS4500223500CLSD TX CLAVICULAR FX W/O MANIP $ 456
1536
ORTHOPEDICS4500228435CLSD TX FX TALUS W/MANIP $ 1,937
1537
ORTHOPEDICS4500223570CLSD TX SCAPULAR FX W/O MANIP $ 399
1538
ORTHOPEDICS4500227760CLSD TX,ANKLE FX W/O MANIP $ 427
1539
ORTHOPEDICS4500225622CLSD TX,CRPL SCAPHD FX W/O MANIP $ 427
1540
ORTHOPEDICS4500227786CLSD TX,DISTAL FIB FX W/O MANIP $ 541
1541
ORTHOPEDICS3704525CLSD TX,DISTL RADIOULNR DIS W/MANIP $ 911
1542
ORTHOPEDICS4500228490CLSD TX,FX GREAT TOE W/O MANIP $ 399
1543
ORTHOPEDICS4500228510CLSD TX,FX TOE W/O MANIP EA $ 399
1544
ORTHOPEDICS4500228400CLSD TX,HEEL FX W/O MANIP $ 371
1545
ORTHOPEDICS4500227252CLSD TX,HIP DISLOC,TRAUMA W/ANES $ 2,848
1546
ORTHOPEDICS4500224576CLSD TX,HUMRL CNDYLR FX W/O MANIP $ 371
1547
ORTHOPEDICS4500225690CLSD TX,LUNATE DISLOC W/MANIP $ 2,278
1548
ORTHOPEDICS4500227824CLSD TX,LWR LEG FX W/O MANIP $ 797
1549
ORTHOPEDICS3705134CLSD TX,METARSAL FX W/MANIP EA $ 456
1550
ORTHOPEDICS4500228470CLSD TX,METRSAL FX W/O MANIP EA $ 399
1551
ORTHOPEDICS4500226720CLSD TX,PHALANGEAL SHFT FX W/O MANI $ 399
1552
ORTHOPEDICS4500227780CLSD TX,PROX FIBULA/SHFT FX W/O MAN $ 1,595
1553
ORTHOPEDICS4500224650CLSD TX,RAD HEAD/NCK FX W/O MANI $ 627
1554
ORTHOPEDICS4500225500CLSD TX,RADIAL SHFT FX W/O MANIP $ 371
1555
ORTHOPEDICS4500225560CLSD TX,RDL&ULNR SHFT FX W/O MANIP $ 427
1556
ORTHOPEDICS4500228430CLSD TX,TALUS FX W/O MANIP $ 399
1557
ORTHOPEDICS4500227750CLSD TX,TIBIAL SHFT FX W/O MANIP $ 607
1558
ORTHOPEDICS4500225650CLSD TX,ULNAR STYLOID FX $ 826
1559
ORTHOPEDICS4500224670CLSD TX,ULNR FX,PROX END W/O MANIP $ 399
1560
ORTHOPEDICS4500225535CLSD TX,ULNR SHFT FX W/MANIP $ 484
1561
ORTHOPEDICS4500225530CLSD TX,ULNR SHFT FX W/O MANIP $ 427
1562
ORTHOPEDICS4500224600DISLOC ELBW W/MANIPULATION $ 598
1563
ORTHOPEDICS4500225605DISTAL RADIAL FX W/MANIPULATION $ 1,026
1564
ORTHOPEDICS4500225600DISTAL RADIAL FX W/O MANIPULATION $ 427
1565
ORTHOPEDICS4500226010DRNGE,FINGER ABSCESS;SIMPLE $ 399
1566
ORTHOPEDICS7610025071EXC FOREARM LES SC 3CM/> $ 3,200
1567
ORTHOPEDICS7610027043EXC TUMOR PELVIS/HIP SUBCU 3.0 CM OR > $ 4,500
1568
ORTHOPEDICS7610023075EXC TUMOR SOFT TISS SHOULDER SUBCU < 3.0 CM $ 2,500
1569
ORTHOPEDICS7610021555EXCISE LESN NECK/CHEST,SUBCUTAN $ 2,800
1570
ORTHOPEDICS7610022902EXCISE TUMR SFT TISSUE ABDOMINAL WALL SUBQ <3CM $ 2,000
1571
ORTHOPEDICS7610024071EXCISE TUMR SFT TISSUE UPPER ARM/ELBOW >3CM $ 3,500
1572
ORTHOPEDICS7610024075EXCISE TUMR SFT TISSUE UPPR ARM/ELBOW SUBQ <3CM $ 2,000
1573
ORTHOPEDICS4500220103EXPLORE PENETR.WND EXTREMITY $ 4,556
1574
ORTHOPEDICS4500226011FELON I&D $ 1,937
1575
ORTHOPEDICS4500226755FINGER FX EA W/MANIP $ 392
1576
ORTHOPEDICS4500226750FINGER FX EA W/O MANIP $ 371
1577
ORTHOPEDICS3610027266HIP ARTHROPLASTY DISLOCATION $ 4,097
1578
ORTHOPEDICS4500227250HIP DISLOCATION $ 512
1579
ORTHOPEDICS4500224500HUMERAL SHAFT FX W/O MANIP $ 399
1580
ORTHOPEDICS3610027093INJ ARTHROGRAM HIP $ 1,249
1581
ORTHOPEDICS3610023350INJ ARTHROGRAM SHOULDER $ 867
1582
ORTHOPEDICS3610025246INJ ARTHROGRAM WRIST $ 1,081
1583
ORTHOPEDICS3610020501INJ FISTULA/SINUS TRACT $ 789
1584
ORTHOPEDICS3610027096INJ SI JOINT W/IMAGE GUIDANCE $ 815
1585
ORTHOPEDICS3610020550INJ TENDON LIG GANGLION CYST $ 444
1586
ORTHOPEDICS3610020551INJ TENDON ORIGIN/INSERT $ 400
1587
ORTHOPEDICS3610020552INJ TRIG PTS, 1/2 MUSC GRPS $ 399
1588
ORTHOPEDICS3610020553INJ TRIG PTS, 3/+ MUSC GRPS $ 424
1589
ORTHOPEDICS7610020526INJ, THER, CARPAL TUNNEL $ 435
1590
ORTHOPEDICS4500226770INTERPHALANGEAL DISLOC TX $ 427
1591
ORTHOPEDICS4500227550KNEE DISLOCATION $ 484
1592
ORTHOPEDICS3610027570KNEE MANIP W/ANESTHESIA $ 3,270
1593
ORTHOPEDICS3610022515KYPHOPLASTY EA ADDL VERTEBRAL BDY $ 8,772
1594
ORTHOPEDICS3610022514KYPHOPLASTY LUMBAR $ 21,015
1595
ORTHOPEDICS3610022513KYPHOPLASTY THORACIC $ 21,015
1596
ORTHOPEDICS3610024300MANIP ELBOW UNDER ANESTHESIA $ 2,278
1597
ORTHOPEDICS3610026340MANIP, FINGER JOINT W/ANES EA $ 941
1598
ORTHOPEDICS4500226605MATACARPAL FX W/MANIP EA $ 512
1599
ORTHOPEDICS4500226600METACARPAL FRACTURE EA $ 427
1600
ORTHOPEDICS4500226700METACARPOPHALANG DISLOC $ 484
1601
ORTHOPEDICS4500228630METATARSOPHALANGEAL DISLOC $ 392
1602
ORTHOPEDICS3706885MONITOR INTERST FLUID PRESSURE $ 460
1603
ORTHOPEDICS4500227560PATELLAR DISLOCATION $ 512
1604
ORTHOPEDICS6202031PERQ VERTEBROPLASTY UNI IJX CERIVCOTHROACIC $ 17,352
1605
ORTHOPEDICS4500224640RADIAL HEAD SUBLUXATION CHIL $ 518
1606
ORTHOPEDICS4500225260REPAIR FOREARM TENDON/MUSCLE $ 2,307
1607
ORTHOPEDICS6604252RF ABLATION BONE TOMUR(S) INC GUIDANCE $ 2,795
1608
ORTHOPEDICS4500228190RMVL FB, FOOT;SUBCUT $ 1,139
1609
ORTHOPEDICS4500229125SHORT ARM SPLINT $ 284
1610
ORTHOPEDICS4500223650SHOULDER DISLOC/MANIPULATION $ 540
1611
ORTHOPEDICS4500229130SPLINT-FINGER (STATIC) $ 199
1612
ORTHOPEDICS4500229105SPLINT-LONG ARM $ 371
1613
ORTHOPEDICS4500229505SPLINT-LONG LEG $ 427
1614
ORTHOPEDICS4500229515SPLINT-SHORT LEG $ 409
1615
ORTHOPEDICS4500221480TMJ DISLOCATION $ 427
1616
ORTHOPEDICS4500228660TOE DISLOCATION EX $ 399
1617
ORTHOPEDICS3703071TREAT HUMERUS W/O MANIPULATN $ 366
1618
ORTHOPEDICS4500228450TX OF TARSAL BONE FRACTURE; W/O MANIP, EACH $ 350
1619
PHARMACY76301ABACAVIR SULFATE-LAMIVUDINE 600-300 MG PO TABS $ 123.60
1620
PHARMACY80762ABATACEPT 250 MG IV SOLR $ 2,301.04
1621
PHARMACY76725ACAMPROSATE CALCIUM 333 MG $ 2.05
1622
PHARMACY41760ACEBUTOLOL HCL 200 MG $ 0.58
1623
PHARMACY152645ACETAMINOPHEN 10 MG $ 1.18
1624
PHARMACY31005ACETAMINOPHEN 120 MG RE SUPP $ 0.48
1625
PHARMACY41764ACETAMINOPHEN 160 MG $ 2.01
1626
PHARMACY178732ACETAMINOPHEN 325 MG PO CAPS $ 0.33
1627
PHARMACY31002ACETAMINOPHEN 325 MG PO TABS $ 0.25
1628
PHARMACY31006ACETAMINOPHEN 325 MG RE SUPP $ 1.80
1629
PHARMACY31003ACETAMINOPHEN 500 MG PO TABS $ 0.25
1630
PHARMACY31007ACETAMINOPHEN 650 MG RE SUPP $ 0.47
1631
PHARMACY30999ACETAMINOPHEN 80 MG PO CHEW $ 0.25
1632
PHARMACY41767ACETAMINOPHEN 80 MG RE SUPP $ 2.35
1633
PHARMACY47855ACETAMINOPHEN-CODEINE #3 300-30 MG PO TABS $ 0.50
1634
PHARMACY31015ACETAZOLAMIDE 250 MG PO TABS $ 6.77
1635
PHARMACY31016ACETAZOLAMIDE SODIUM 500 MG $ 40.88
1636
PHARMACY41795ACETIC ACID 0.25 % IR SOLN $ 10.50
1637
PHARMACY52512ACETIC ACID 2 % OT SOLN $ 67.88
1638
PHARMACY49401ACETIC ACID 3 % $ 66.15
1639
PHARMACY177597ACETYLCHOLINE CHLORIDE 20 MG $ 238.32
1640
PHARMACY31024ACETYLCYSTEINE $ 25.52
1641
PHARMACY8200311ACETYLCYSTEINE 10 % ORAL SYRINGE $ 15.00
1642
PHARMACY8200314ACETYLCYSTEINE 2 % $ 15.00
1643
PHARMACY75325ACETYLCYSTEINE 200 MG/ML IV SOLN $ 211.16
1644
PHARMACY41803ACYCLOVIR 200 MG $ 61.11
1645
PHARMACY41802ACYCLOVIR 200 MG $ 0.40
1646
PHARMACY41801ACYCLOVIR 5 % EX OINT $ 1,014.46
1647
PHARMACY134383ACYCLOVIR ORAL SYR $ 15.00
1648
PHARMACY58609ACYCLOVIR SODIUM 50 MG/ML IV SOLN $ 13.09
1649
PHARMACY173397ADALIMUMAB 40 MG/0.8ML SC PNKT $ 6,875.91
1650
PHARMACY8200006ADEK ORAL SYRINGE $ 15.00
1651
PHARMACY49667ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN $ 679.35
1652
PHARMACY75732ADENOSINE 6 MG/2ML IV SOLN $ 8.39
1653
PHARMACY72626AGALSIDASE BETA 35 MG IV SOLR $ 19,820.50
1654
PHARMACY75523AGALSIDASE BETA 5 MG IV SOLR $ 3,033.75
1655
PHARMACY41812ALBENDAZOLE 200 MG PO TABS $ 562.98
1656
PHARMACY41814ALBUMIN 25% 50 ML $ 161.25
1657
PHARMACY41815ALBUMIN HUMAN 5 % IV SOLN $ 281.25
1658
PHARMACY8200757ALBUTEROL ORAL SYRINGE $ 15.00
1659
PHARMACY31187ALBUTEROL SULFATE 2 MG $ 1.26
1660
PHARMACY31184ALBUTEROL SULFATE 2.5 MG $ 0.56
1661
PHARMACY31185ALBUTEROL SULFATE 5 MG $ 47.04
1662
PHARMACY70857ALBUTEROL SULFATE ER 4 MG $ 4.28
1663
PHARMACY52551ALBUTEROL SULFATE HFA 108 MCG $ 64.40
1664
PHARMACY41829ALDESLEUKIN 22000000 UNITS IV SOLR $ 2,826.50
1665
PHARMACY65278ALENDRONATE SODIUM 70 MG PO TABS $ 1.62
1666
PHARMACY41830ALFENTANIL 500 MCG $ 87.35
1667
PHARMACY31253ALLOPURINOL 300 MG PO TABS $ 0.64
1668
PHARMACY73463ALPHA1-PROTEINASE INHIBITOR 1000 MG IV SOLR $ 2,048.63
1669
PHARMACY31266ALPRAZOLAM 0.25 MG PO TABS $ 0.25
1670
PHARMACY31267ALPRAZOLAM 0.5 MG PO TABS $ 0.25
1671
PHARMACY41838ALPROSTADIL 500 MCG/ML IJ SOLN $ 109.90
1672
PHARMACY41839ALTEPLASE 100 MG IV SOLR $ 31,777.13
1673
PHARMACY67786ALTEPLASE 2 MG IJ SOLR $ 536.44
1674
PHARMACY41840ALTEPLASE 50 MG IV SOLR $ 16,680.15
1675
PHARMACY41849ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG $ 1.89
1676
PHARMACY31291ALUM AMMONIUM $ 53.96
1677
PHARMACY41862ALUM SULFATE $ 2.06
1678
PHARMACY74504ALUMINUM & MAGNESIUM HYDROXIDE 200-200 MG $ 1.79
1679
PHARMACY41870ALUMINUM ACETATE $ 149.52
1680
PHARMACY134384ALUMINUM HYDROXIDE $ 15.00
1681
PHARMACY138689ALVIMOPAN 12 MG $ 400.11
1682
PHARMACY31313AMANTADINE 100 MG $ 2.45
1683
PHARMACY8200007AMANTADINE ORAL SYRINGE $ 15.00
1684
PHARMACY153421AMIKACIN SULFATE 500 MG/2ML IJ SOLN $ 9.91
1685
PHARMACY31344AMILORIDE HCL 5 MG PO TABS $ 1.65
1686
PHARMACY41912AMINOCAPROIC ACID 25 % PO SYRP $ 636.30
1687
PHARMACY31359AMINOCAPROIC ACID 250 MG $ 2.52
1688
PHARMACY5101951AMINOLEVULINIC ACID 20% $ 467.00
1689
PHARMACY31363AMINOPHYLLINE 25 MG/ML IV SOLN $ 30.21
1690
PHARMACY139260AMIODARONE HCL 150 MG/3ML IV SOLN $ 2.42
1691
PHARMACY41917AMIODARONE HCL 200 MG PO TABS $ 0.46
1692
PHARMACY154916AMIODARONE HCL IN DEXTROSE 150-4.21 MG/100ML-% IV SOLN $ 109.90
1693
PHARMACY154917AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN $ 147.00
1694
PHARMACY31394AMITRIPTYLINE HCL 10 MG PO TABS $ 0.35
1695
PHARMACY31397AMITRIPTYLINE HCL 25 MG PO TABS $ 0.25
1696
PHARMACY31398AMITRIPTYLINE HCL 50 MG PO TABS $ 1.55
1697
PHARMACY41920AMLODIPINE BESYLATE 10 MG PO TABS $ 0.25
1698
PHARMACY41921AMLODIPINE BESYLATE 2.5 MG PO TABS $ 0.25
1699
PHARMACY41922AMLODIPINE BESYLATE 5 MG PO TABS $ 0.25
1700
PHARMACY8200292AMLODIPNE $ 15.00
1701
PHARMACY52750AMMONIUM LACTATE 12 % EX CREA $ 11.27
1702
PHARMACY43375AMMONIUM LACTATE 12 % EX LOTN $ 10.24
1703
PHARMACY31413AMOXICILLIN 250 MG $ 0.25
1704
PHARMACY31414AMOXICILLIN 500 MG $ 0.38
1705
PHARMACY8200241AMOXICILLIN ORAL $ 15.00
1706
PHARMACY69918AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS $ 1.68
1707
PHARMACY69919AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS $ 0.82
1708
PHARMACY68118AMPHETAMINE-DEXTROAMPHET ER 10 MG $ 9.91
1709
PHARMACY69635AMPHETAMINE-DEXTROAMPHET ER 15 MG $ 8.67
1710
PHARMACY41934AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS $ 2.43
1711
PHARMACY31430AMPHOTERICIN B 50 MG $ 114.45
1712
PHARMACY57188AMPHOTERICIN B LIPOSOME 50 MG IV SUSR $ 344.85
1713
PHARMACY31432AMPICILLIN 500 MG PO CAPS $ 1.05
1714
PHARMACY31435AMPICILLIN SODIUM 1 G IJ SOLR $ 5.83
1715
PHARMACY41936AMPICILLIN-SULBACTAM 1.5 G $ 8.86
1716
PHARMACY31444AMYL NITRITE 0.3 ML $ 1.76
1717
PHARMACY50703ANASTROZOLE 1 MG PO TABS $ 1.43
1718
PHARMACY147580ANTICOAGULANT SODIUM CITRATE IV SYRINGE $ 15.00
1719
PHARMACY164575APIXABAN 2.5 MG PO TABS $ 17.13
1720
PHARMACY164608APIXABAN 5 MG PO TABS $ 17.13
1721
PHARMACY41977APRACLONIDINE HCL 0.5 % OP SOLN $ 150.19
1722
PHARMACY110489AQUADEKS PO LIQD $ 70.35
1723
PHARMACY31631AQUAPHOR EX OINT $ 11.90
1724
PHARMACY65155ARGATROBAN 250 MG/2.5ML IV SOLN $ 942.52
1725
PHARMACY41981ARGININE HCL (DIAGNOSTIC) 10 % $ 107.10
1726
PHARMACY77464ARIPIPRAZOLE 1 MG $ 525.53
1727
PHARMACY71142ARIPIPRAZOLE 10 MG PO TABS $ 1.09
1728
PHARMACY71143ARIPIPRAZOLE 15 MG PO TABS $ 0.98
1729
PHARMACY80781ARIPIPRAZOLE 2 MG PO TABS $ 0.98
1730
PHARMACY71144ARIPIPRAZOLE 20 MG PO TABS $ 5.68
1731
PHARMACY73324ARIPIPRAZOLE 5 MG PO TABS $ 6.38
1732
PHARMACY65305ARSENIC TRIOXIDE 10 MG/10ML IV SOLN $ 1,385.65
1733
PHARMACY8200217ASCORBIC ACID $ 15.00
1734
PHARMACY31739ASPIRIN 300 MG RE SUPP $ 4.90
1735
PHARMACY31726ASPIRIN 325 MG PO TABS $ 0.25
1736
PHARMACY31725ASPIRIN 81 MG PO CHEW $ 0.25
1737
PHARMACY47316ASPIRIN EC 325 MG $ 0.25
1738
PHARMACY47912ASPIRIN EC 81 MG $ 0.25
1739
PHARMACY8200410ASPIRIN ORAL SYRINGE $ 15.00
1740
PHARMACY42023ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG PO TABS $ 0.25
1741
PHARMACY63624ASPIRIN-DIPYRIDAMOLE ER 25-200 MG $ 13.47
1742
PHARMACY31767ATENOLOL 100 MG PO TABS $ 0.75
1743
PHARMACY31768ATENOLOL 25 MG PO TABS $ 0.25
1744
PHARMACY31769ATENOLOL 50 MG PO TABS $ 0.25
1745
PHARMACY8200756ATENOLOL ORAL SYRINGE $ 15.00
1746
PHARMACY54059ATORVASTATIN CALCIUM 10 MG PO TABS $ 0.46
1747
PHARMACY54061ATORVASTATIN CALCIUM 20 MG PO TABS $ 0.25
1748
PHARMACY54060ATORVASTATIN CALCIUM 40 MG PO TABS $ 0.44
1749
PHARMACY8200085ATOVAQUONE ORAL SYRINGE $ 15.00
1750
PHARMACY59449ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS $ 20.43
1751
PHARMACY31790ATROPINE SULFATE 0.4 MG/ML IJ SOLN $ 2.22
1752
PHARMACY31794ATROPINE SULFATE 1 % OP OINT $ 37.98
1753
PHARMACY31795ATROPINE SULFATE 1 % OP SOLN $ 156.77
1754
PHARMACY181818ATROPINE SULFATE 1 MG/10ML IJ SOSY $ 29.51
1755
PHARMACY31793ATROPINE SULFATE 1 MG/ML IJ SOLN $ 17.44
1756
PHARMACY132247AZACITIDINE 100 MG IJ SUSR $ 704.87
1757
PHARMACY8200652AZATHIOPRINE 50 MG $ 15.00
1758
PHARMACY42052AZATHIOPRINE 50 MG PO TABS $ 0.65
1759
PHARMACY72009AZELAIC ACID 15 % $ 443.80
1760
PHARMACY54062AZELASTINE HCL 0.1 % NA SOLN $ 32.03
1761
PHARMACY154447AZITHROMYCIN 40 MG $ 15.00
1762
PHARMACY56063AZITHROMYCIN 250 MG PO TABS $ 3.42
1763
PHARMACY56194AZITHROMYCIN 500 MG $ 7.95
1764
PHARMACY42055AZTREONAM 1 G $ 88.45
1765
PHARMACY42056AZTREONAM 2 G $ 176.90
1766
PHARMACY66319B COMPLEX $ 0.31
1767
PHARMACY75971B COMPLEX-C-FOLIC ACID 1 MG $ 0.34
1768
PHARMACY42076BACIT-POLY-NEO HC 1 % EX OINT $ 270.38
1769
PHARMACY31939BACITRACIN 500 UNIT/GM OP OINT $ 194.04
1770
PHARMACY31938BACITRACIN 50000 UNITS $ 13.62
1771
PHARMACY47505BACITRACIN ZINC 500 UNIT/GM EX OINT $ 7.14
1772
PHARMACY31941BACITRACIN-NEOMYCIN-POLYMYXIN 400-5-5000 EX OINT $ 7.06
1773
PHARMACY31942BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM EX OINT $ 8.75
1774
PHARMACY54540BACITRACIN-POLYMYXIN B OP OINT $ 25.65
1775
PHARMACY31947BACLOFEN 10 MG PO TABS $ 0.29
1776
PHARMACY153440BACLOFEN 10 MG/20ML IT SOLN $ 752.50
1777
PHARMACY31948BACLOFEN 20 MG PO TABS $ 1.58
1778
PHARMACY152381BACLOFEN 40000 MCG/20ML IT SOLN $ 2,247.00
1779
PHARMACY134386BACLOFEN ORAL SYR $ 15.00
1780
PHARMACY152600BACLOFEN PF 2000 MCG/ML COMPOUND FOR INTRATHECAL $ 712.50
1781
PHARMACY152601BACLOFEN PF 3000 MCG/ML COMPOUND FOR INTRATHECAL $ 896.25
1782
PHARMACY152602BACLOFEN PF 4000 MCG/ML COMPOUND FOR INTRATHECAL $ 3,131.25
1783
PHARMACY8200275BACLOFEN PF 500 MCG/ML COMPOUND FOR INTRATHECAL $ 206.50
1784
PHARMACY74006BASIS ALL CLEAR $ 5.50
1785
PHARMACY56791BCG Live 50 MG $ 813.83
1786
PHARMACY57617BECAPLERMIN 0.01 % EX GEL $ 1,991.59
1787
PHARMACY42093BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG RE SUPP $ 69.12
1788
PHARMACY60428BELLADONNA ALKALOIDS-OPIUM 16.2-60 MG RE SUPP $ 61.22
1789
PHARMACY42095BENAZEPRIL HCL 20 MG PO TABS $ 0.25
1790
PHARMACY42097BENAZEPRIL HCL 5 MG PO TABS $ 0.29
1791
PHARMACY176457BENDAMUSTINE HCL 100 MG/4ML IV SOLN $ 2,255.56
1792
PHARMACY54658BENZOCAINE 10 % $ 9.65
1793
PHARMACY54659BENZOCAINE 20 % $ 13.06
1794
PHARMACY144848BENZOCAINE-MENTHOL 15-4 MG MT LOZG $ 0.35
1795
PHARMACY64050BENZOCAINE-MENTHOL 20-0.5 % EX AERO $ 13.33
1796
PHARMACY32102BENZOIN COMPOUND $ 18.48
1797
PHARMACY32103BENZONATATE 100 MG $ 0.30
1798
PHARMACY62847BENZONATATE 200 MG $ 0.87
1799
PHARMACY32113BENZTROPINE MESYLATE 0.5 MG PO TABS $ 0.35
1800
PHARMACY32114BENZTROPINE MESYLATE 1 MG PO TABS $ 0.32
1801
PHARMACY42138BENZTROPINE MESYLATE 1 MG/ML IJ SOLN $ 98.11
1802
PHARMACY32122BETA CAROTENE 25000 UNITS $ 0.25
1803
PHARMACY42147BETAMETHASONE 3/3 MG $ 22.52
1804
PHARMACY54673BETAXOLOL HCL 0.25 % OP SUSP $ 1,001.04
1805
PHARMACY42149BETAXOLOL HCL 0.5 % OP SOLN $ 88.59
1806
PHARMACY134387BETHANECHOL $ 15.00
1807
PHARMACY32165BETHANECHOL CHLORIDE 25 MG PO TABS $ 0.47
1808
PHARMACY153357BEVACIZUMAB 100 MG/4ML IV SOLN $ 2,539.36
1809
PHARMACY153358BEVACIZUMAB 400 MG/16ML IV SOLN $ 10,157.45
1810
PHARMACY32211BISACODYL 10 MG RE SUPP $ 0.28
1811
PHARMACY47293BISACODYL EC 5 MG $ 0.25
1812
PHARMACY32219BISMUTH SUBGALLATE $ 6.30
1813
PHARMACY42166BISMUTH SUBSALICYLATE 262 MG PO CHEW $ 0.25
1814
PHARMACY32221BISMUTH SUBSALICYLATE 262 MG/15ML PO SUSP $ 5.04
1815
PHARMACY53094BISOPROLOL FUMARATE 5 MG PO TABS $ 0.84
1816
PHARMACY65653BIVALIRUDIN 250 MG IV SOLR $ 837.03
1817
PHARMACY42171BLEOMYCIN SULFATE 15 UNITS $ 111.16
1818
PHARMACY68910BLISTEX LIP EX OINT $ 5.22
1819
PHARMACY168224BORTEZOMIB 3.5 MG IJ SOLR $ 6,011.25
1820
PHARMACY5101326BOTULINUM TOXIN TYPE A PER UNIT $ 24.00
1821
PHARMACY8200369BRILLIANT BLUE 0.025% $ 95.55
1822
PHARMACY77666BRILLIANT GREEN 1 % $ 15.00
1823
PHARMACY52610BRIMONIDINE TARTRATE 0.2 % OP SOLN $ 23.17
1824
PHARMACY58410BRINZOLAMIDE 1 % OP SUSP $ 668.50
1825
PHARMACY42180BROMOCRIPTINE MESYLATE 2.5 MG PO TABS $ 9.26
1826
PHARMACY74474BSS $ 8.51
1827
PHARMACY74473BSS PLUS $ 180.25
1828
PHARMACY64857BUDESONIDE 0.25 MG $ 19.30
1829
PHARMACY64858BUDESONIDE 0.5 MG $ 18.08
1830
PHARMACY177179BUDESONIDE 3 MG $ 2.71
1831
PHARMACY42192BUMETANIDE 0.25 MG $ 3.02
1832
PHARMACY42194BUMETANIDE 1 MG PO TABS $ 1.72
1833
PHARMACY151748BUMETANIDE IV SYRINGE 0.25 MG $ 15.50
1834
PHARMACY168004BUPIVACAINE HCL (PF) 0.75 % $ 5.01
1835
PHARMACY32389BUPIVACAINE HCL 0.25 % $ 4.20
1836
PHARMACY32390BUPIVACAINE HCL 0.5 % $ 7.53
1837
PHARMACY42200BUPIVACAINE IN DEXTROSE 0.75-8.25 % $ 13.61
1838
PHARMACY157472BUPIVACAINE LIPOSOME 1.3 % IJ SUSP $ 595.00
1839
PHARMACY49233BUPIVACAINE-EPINEPHRINE $ 4.03
1840
PHARMACY151017BUPIVACAINE-EPINEPHRINE (PF) 0.25% $ 8.19
1841
PHARMACY151018BUPIVACAINE-EPINEPHRINE (PF) 0.5% $ 6.51
1842
PHARMACY72333BUPRENORPHINE HCL 2 MG $ 1.61
1843
PHARMACY72334BUPRENORPHINE HCL 8 MG $ 4.36
1844
PHARMACY42205BUPROPION HCL 100 MG PO TABS $ 0.38
1845
PHARMACY42206BUPROPION HCL 75 MG PO TABS $ 0.62
1846
PHARMACY74161BUPROPION HCL ER (SR) 100 MG $ 9.80
1847
PHARMACY74162BUPROPION HCL ER (SR) 150 MG $ 0.42
1848
PHARMACY73661BUPROPION HCL ER (XL) 150 MG $ 1.46
1849
PHARMACY73662BUPROPION HCL ER (XL) 300 MG $ 1.83
1850
PHARMACY42207BUSPIRONE HCL 10 MG PO TABS $ 0.36
1851
PHARMACY42208BUSPIRONE HCL 5 MG PO TABS $ 0.49
1852
PHARMACY66273BUSPIRONE HCL 7.5 MG PO TABS $ 1.59
1853
PHARMACY55061BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS $ 2.34
1854
PHARMACY146992C1 ESTERASE INHIBITOR (HUMAN) 500 UNITS IV KIT $ 8,617.14
1855
PHARMACY46275CADEXOMER IODINE 0.9 % $ 229.32
1856
PHARMACY32440CAFFEINE 200 MG PO TABS $ 0.45
1857
PHARMACY62664CAFFEINE CITRATE 60 MG/3ML IV SOLN $ 8.84
1858
PHARMACY134454CAFFEINE CITRATE IV SYRINGE (20 MG/ML) $ 134.40
1859
PHARMACY134388CAFFEINE CITRATE ORAL SYR $ 15.00
1860
PHARMACY32443CAFFEINE-SODIUM BENZOATE 125-125 MG $ 47.04
1861
PHARMACY32449CALAMINE $ 4.34
1862
PHARMACY50123CALCITONIN (SALMON) 200 UNIT/ACT NA SOLN $ 146.85
1863
PHARMACY42241CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN $ 9,883.09
1864
PHARMACY42244CALCITRIOL 0.25 MCG $ 3.09
1865
PHARMACY42242CALCITRIOL 1 MCG/ML IV SOLN $ 11.15
1866
PHARMACY134389CALCITRIOL ORAL SYRINGE $ 15.00
1867
PHARMACY67420CALCIUM ACETATE 667 MG $ 1.85
1868
PHARMACY42284CALCIUM CARBONATE ANTACID 500 MG $ 0.25
1869
PHARMACY134391CALCIUM CARBONATE ORAL SYR $ 15.00
1870
PHARMACY63986CALCIUM CARBONATE-VITAMIN D 500-200 MG-UNIT PO TABS $ 0.25
1871
PHARMACY32496CALCIUM CHLORIDE 10 % $ 10.05
1872
PHARMACY143676CALCIUM CITRATE-VITAMIN D 315-250 MG-UNIT PO TABS $ 0.25
1873
PHARMACY134390CALCIUM GLUCONATE $ 15.00
1874
PHARMACY32502CALCIUM GLUCONATE 10 ML $ 26.95
1875
PHARMACY156722CALCIUM GLUCONATE IN SURGILUBE $ 24.75
1876
PHARMACY44127CALCIUM POLYCARBOPHIL 625 MG PO TABS $ 0.25
1877
PHARMACY181597CALFACTANT IN NACL 35-0.9 MG $ 957.08
1878
PHARMACY58528CAMPHOR-MENTHOL 0.5-0.5 % $ 1.65
1879
PHARMACY58724CANDESARTAN CILEXETIL 16 MG PO TABS $ 7.11
1880
PHARMACY174818CANGRELOR TETRASODIUM 50 MG IV SOLR $ 2,449.53
1881
PHARMACY32550CAPSAICIN 0.025 % $ 9.45
1882
PHARMACY42301CAPTOPRIL 12.5 MG PO TABS $ 2.02
1883
PHARMACY42302CAPTOPRIL 25 MG PO TABS $ 2.99
1884
PHARMACY134392CAPTOPRIL ORAL SYR $ 15.00
1885
PHARMACY54674CARBACHOL 0.01 % $ 43.54
1886
PHARMACY32555CARBAMAZEPINE 100 MG PO CHEW $ 0.46
1887
PHARMACY32556CARBAMAZEPINE 100 MG/5ML PO SUSP $ 10.69
1888
PHARMACY32557CARBAMAZEPINE 200 MG PO TABS $ 1.66
1889
PHARMACY74456CARBAMAZEPINE ER 100 MG CAP $ 0.80
1890
PHARMACY63614CARBAMAZEPINE ER 100 MG TAB $ 2.49
1891
PHARMACY63615CARBAMAZEPINE ER 200 MG TAB $ 2.75
1892
PHARMACY8200086CARBAMAZEPINE ORAL SYRINGE $ 15.00
1893
PHARMACY32559CARBAMIDE PEROXIDE 6.5 % OT SOLN $ 4.25
1894
PHARMACY42306CARBIDOPA-LEVODOPA 10-100 MG PO TABS $ 0.45
1895
PHARMACY42307CARBIDOPA-LEVODOPA 25-100 MG PO TABS $ 0.44
1896
PHARMACY42308CARBIDOPA-LEVODOPA 25-250 MG PO TABS $ 0.65
1897
PHARMACY64275CARBIDOPA-LEVODOPA ER 25-100 MG $ 0.48
1898
PHARMACY62225CARBIDOPA-LEVODOPA ER 50-200 MG $ 0.66
1899
PHARMACY73600CARBOPLATIN 10 MG/ML IV SOLN $ 33.95
1900
PHARMACY42313CARBOPROST TROMETHAMINE 250 MCG $ 307.87
1901
PHARMACY184004CARBOXYMETHYLCELLULOSE SOD PF 1 % $ 1.08
1902
PHARMACY63991CARBOXYMETHYLCELLULOSE SODIUM 0.25 % OP SOLN $ 22.63
1903
PHARMACY32604CARISOPRODOL 350 MG PO TABS $ 0.25
1904
PHARMACY50134CARVEDILOL 12.5 MG PO TABS $ 0.25
1905
PHARMACY50133CARVEDILOL 25 MG PO TABS $ 0.25
1906
PHARMACY53389CARVEDILOL 3.125 MG PO TABS $ 0.25
1907
PHARMACY65844CASPOFUNGIN ACETATE 50 MG IV SOLR $ 1,133.37
1908
PHARMACY65845CASPOFUNGIN ACETATE 70 MG IV SOLR $ 1,177.58
1909
PHARMACY134818CEFAZOLIN IN DEXTROSE 2-5% IV SOLN $ 21.35
1910
PHARMACY32657CEFAZOLIN SODIUM 1 G IJ SOLR $ 4.63
1911
PHARMACY32658CEFAZOLIN SODIUM 10 G IJ SOLR $ 1.95
1912
PHARMACY61151CEFAZOLIN SODIUM 1-5 GM-% IV SOLN $ 24.50
1913
PHARMACY57690CEFDINIR 300 MG $ 2.92
1914
PHARMACY8200010CEFDINIR ORAL SYRINGE $ 15.00
1915
PHARMACY140394CEFEPIME HCL 1 GM/50ML IV SOLN $ 33.25
1916
PHARMACY50885CEFEPIME HCL 2 G IJ SOLR $ 25.71
1917
PHARMACY8200011CEFIXIME $ 15.00
1918
PHARMACY42355CEFOTAXIME SODIUM 1 G IJ SOLR $ 4.91
1919
PHARMACY42358CEFOTAXIME SODIUM 500 MG IJ SOLR $ 22.31
1920
PHARMACY42359CEFOTAXIME SODIUM IN D5W 1 GM/50ML IV SOLN $ 50.05
1921
PHARMACY42360CEFOTAXIME SODIUM IN D5W 2 GM/50ML IV SOLN $ 88.55
1922
PHARMACY42364CEFOXITIN SODIUM 1 G $ 9.31
1923
PHARMACY152252CEFTAROLINE FOSAMIL 600 MG IV SOLR $ 529.75
1924
PHARMACY42377CEFTAZIDIME 1 G IJ SOLR $ 12.84
1925
PHARMACY42379CEFTAZIDIME 2 G IJ SOLR $ 24.83
1926
PHARMACY42381CEFTAZIDIME 6 G IJ SOLR $ 20.06
1927
PHARMACY172686CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G IV SOLR $ 395.29
1928
PHARMACY42395CEFTRIAXONE SODIUM IN DEXTROSE 20 MG/ML IV SOLN $ 30.98
1929
PHARMACY42396CEFTRIAXONE SODIUM IN DEXTROSE 40 MG/ML IV SOLN $ 60.03
1930
PHARMACY42398CEFUROXIME AXETIL 250 MG PO TABS $ 3.02
1931
PHARMACY60185CELECOXIB 100 MG $ 1.36
1932
PHARMACY60186CELECOXIB 200 MG $ 1.77
1933
PHARMACY42402CEPHALEXIN 250 MG $ 0.25
1934
PHARMACY42403CEPHALEXIN 500 MG $ 0.29
1935
PHARMACY134393CEPHALEXIN ORAL SYR $ 15.00
1936
PHARMACY52300CETAPHIL GENTLE CLEANSER $ 17.64
1937
PHARMACY131962CHARCOAL ACTIVATED-SORBITOL $ 51.24
1938
PHARMACY32863CHLORDIAZEPOXIDE HCL 25 MG $ 0.25
1939
PHARMACY32864CHLORDIAZEPOXIDE HCL 5 MG $ 0.29
1940
PHARMACY42424CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN $ 5.15
1941
PHARMACY179143CHLOROPROCAINE 2% 30 ML $ 62.44
1942
PHARMACY179144CHLOROPROCAINE 3 % $ 51.10
1943
PHARMACY32885CHLOROTHIAZIDE 500 MG PO TABS $ 0.32
1944
PHARMACY134394CHLOROTHIAZIDE ORAL SYR $ 15.00
1945
PHARMACY42434CHLOROTHIAZIDE SODIUM 500 MG $ 1,148.74
1946
PHARMACY32895CHLORPROMAZINE 50 MG INJ $ 42.99
1947
PHARMACY32901CHLORPROMAZINE HCL 200 MG PO TABS $ 28.95
1948
PHARMACY32902CHLORPROMAZINE HCL 25 MG PO TABS $ 3.04
1949
PHARMACY32903CHLORPROMAZINE HCL 50 MG PO TABS $ 4.33
1950
PHARMACY32907CHLORTHALIDONE 25 MG PO TABS $ 0.33
1951
PHARMACY60248CHOLECALCIFEROL 400 UNITS PO TABS $ 0.25
1952
PHARMACY74371CHOLESTYRAMINE LIGHT $ 5.45
1953
PHARMACY32940CHROMIUM CHLORIDE 4 MCG $ 1.70
1954
PHARMACY72050CICLOPIROX 1 % $ 643.86
1955
PHARMACY60154CILOSTAZOL 100 MG PO TABS $ 0.28
1956
PHARMACY42529CIPROFLOXACIN 1 % IV SOLN $ 0.36
1957
PHARMACY42531CIPROFLOXACIN HCL 0.3 % OP SOLN $ 41.48
1958
PHARMACY60873CIPROFLOXACIN HCL 250 MG PO TABS $ 0.36
1959
PHARMACY60874CIPROFLOXACIN HCL 500 MG PO TABS $ 0.44
1960
PHARMACY153420CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN $ 5.95
1961
PHARMACY137470CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN $ 6.30
1962
PHARMACY8200082CIPROFLOXACIN ORAL SYRINGE $ 15.00
1963
PHARMACY58445CIPROFLOXACIN-HYDROCORTISONE 0.2-1 % OT SUSP $ 357.88
1964
PHARMACY165380CISATRACURIUM BESYLATE (PF) 10 MG $ 25.31
1965
PHARMACY165381CISATRACURIUM BESYLATE 20 MG $ 51.87
1966
PHARMACY131662CISPLATIN 100 MG/100ML IV SOLN $ 59.85
1967
PHARMACY66641CITALOPRAM HYDROBROMIDE 10 MG PO TABS $ 0.25
1968
PHARMACY56193CITALOPRAM HYDROBROMIDE 20 MG PO TABS $ 0.25
1969
PHARMACY8200013CITALOPRAM ORAL SYRINGE $ 15.00
1970
PHARMACY42536CITRIC ACID-D GLUCONIC ACID $ 17.12
1971
PHARMACY50087CITRIC ACID-SODIUM CITRATE 334-500 MG $ 5.88
1972
PHARMACY177183CLADRIBINE 10 MG/10ML IV SOLN $ 927.50
1973
PHARMACY42540CLARITHROMYCIN 500 MG PO TABS $ 3.20
1974
PHARMACY33002CLINDAMYCIN HCL 150 MG $ 0.25
1975
PHARMACY149735CLINDAMYCIN ORAL SYRINGE $ 15.00
1976
PHARMACY130308CLINDAMYCIN PHOSPHATE 600 MG $ 7.01
1977
PHARMACY42548CLINDAMYCIN PHOSPHATE IN D5W 300 MG $ 27.48
1978
PHARMACY42549CLINDAMYCIN PHOSPHATE IN D5W 600 MG $ 14.53
1979
PHARMACY42550CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML $ 18.03
1980
PHARMACY58533CLINISOL SF 15 % IV SOLN $ 0.25
1981
PHARMACY42554CLOBETASOL PROPIONATE 0.05 % $ 192.68
1982
PHARMACY42555CLOBETASOL PROPIONATE 0.05 % EX OINT $ 243.92
1983
PHARMACY42559CLOMIPRAMINE HCL 25 MG $ 1.16
1984
PHARMACY33018CLOMIPRAMINE HCL 50 MG $ 24.17
1985
PHARMACY42561CLONAZEPAM 0.5 MG PO TABS $ 0.25
1986
PHARMACY42562CLONAZEPAM 1 MG PO TABS $ 0.25
1987
PHARMACY134397CLONAZEPAM ORAL SYRINGE $ 15.00
1988
PHARMACY147929CLONIDINE 100 MCG $ 15.00
1989
PHARMACY147930CLONIDINE 10 MCG $ 15.00
1990
PHARMACY54239CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN $ 34.79
1991
PHARMACY33019CLONIDINE HCL 0.1 MG PO TABS $ 0.25
1992
PHARMACY63473CLONIDINE HCL 0.1 MG PO TABS PTWK $ 55.30
1993
PHARMACY33020CLONIDINE HCL 0.2 MG PO TABS $ 0.25
1994
PHARMACY63474CLONIDINE HCL 0.2 MG PTWK $ 78.37
1995
PHARMACY63475CLONIDINE HCL 0.3 MG PTWK $ 111.08
1996
PHARMACY152608CLONIDINE/BUPIVACAINE PF 0.5 $ 273.00
1997
PHARMACY136449CLOPIDOGREL BISULFATE 300 MG PO TABS $ 31.03
1998
PHARMACY57520CLOPIDOGREL BISULFATE 75 MG PO TABS $ 0.73
1999
PHARMACY8200244CLOPIDOGREL ORAL SYRINGE $ 15.00
2000
PHARMACY33023CLORAZEPATE DIPOTASSIUM 3.75 MG PO TABS $ 2.92
2001
PHARMACY33032CLOTRIMAZOLE 1 % $ 3.52
2002
PHARMACY42568CLOTRIMAZOLE 10 MG $ 1.00
2003
PHARMACY65689CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA $ 36.38
2004
PHARMACY65701CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX LOTN $ 299.67
2005
PHARMACY42572CLOZAPINE 100 MG PO TABS $ 2.60
2006
PHARMACY42573CLOZAPINE 25 MG PO TABS $ 1.11
2007
PHARMACY54796COAGULATION FACTOR IX (RECOMB) 500 UNITS IV SOLR $ 2,108.40
2008
PHARMACY139036COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR $ 5,215.00
2009
PHARMACY33061COCAINE HCL 4 % $ 575.02
2010
PHARMACY33098COLCHICINE 0.6 MG PO TABS $ 19.24
2011
PHARMACY42612COLISTIMETHATE SODIUM 150 MG IJ SOLR $ 33.60
2012
PHARMACY42613COLLAGENASE 250 UNIT/GM EX OINT $ 687.33
2013
PHARMACY5800156CONTRAST PERFLUTREN LIPID PER ML $ 578.00
2014
PHARMACY33204COPPER CHLORIDE 0.4 MG $ 1.70
2015
PHARMACY42618COSYNTROPIN 0.25 MG $ 121.20
2016
PHARMACY5210919CRYO EACH UNIT $ 136.00
2017
PHARMACY33340CYCLOBENZAPRINE HCL 10 MG PO TABS $ 0.25
2018
PHARMACY33348CYCLOPENTOLATE HCL 1 % OP SOLN $ 37.43
2019
PHARMACY42634CYCLOPENTOLATE HCL 2 % OP SOLN $ 65.98
2020
PHARMACY42635CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OP SOLN $ 21.21
2021
PHARMACY75301CYCLOPHOSPHAMIDE 1 G IJ SOLR $ 1,676.50
2022
PHARMACY4200018CYCLOPHOSPHAMIDE 100 MG $ 15.00
2023
PHARMACY170956CYCLOPHOSPHAMIDE 25 MG $ 17.66
2024
PHARMACY75302CYCLOPHOSPHAMIDE 500 MG IJ SOLR $ 898.13
2025
PHARMACY42639CYCLOSPORIN 250 MG $ 66.89
2026
PHARMACY42642CYCLOSPORINE 100 MG/ML PO SOLN $ 781.73
2027
PHARMACY65140CYCLOSPORINE MODIFIED 25 MG $ 4.81
2028
PHARMACY8200250CYPROHEPTADINE $ 15.00
2029
PHARMACY33361CYPROHEPTADINE HCL 4 MG PO TABS $ 1.18
2030
PHARMACY55215CYTARABINE (PF) 100 MG/ML IJ SOLN $ 52.01
2031
PHARMACY42644CYTARABINE 1 G IJ SOLR $ 35.88
2032
PHARMACY42643CYTARABINE 20 MG/ML IJ SOLN $ 15.19
2033
PHARMACY50707CYTRA-2 500-334 MG $ 1.37
2034
PHARMACY8200014CYTRA-2 ORAL SYRINGE $ 15.00
2035
PHARMACY3400066D5LR 1000--3581 $ 60.00
2036
PHARMACY151561DABIGATRAN ETEXILATE MESYLATE 150 MG $ 19.66
2037
PHARMACY151771DABIGATRAN ETEXILATE MESYLATE 75 MG $ 14.84
2038
PHARMACY33422DACARBAZINE 200 MG IV SOLR $ 33.92
2039
PHARMACY64983DACTINOMYCIN 0.5 MG $ 3,909.50
2040
PHARMACY42650DANTROLENE SODIUM 20 MG $ 1,365.00
2041
PHARMACY42652DANTROLENE SODIUM 25 MG $ 1.37
2042
PHARMACY171190DANTROLENE SODIUM 250 MG $ 4,825.98
2043
PHARMACY33467DAPSONE 100 MG PO TABS $ 1.11
2044
PHARMACY73858DAPTOMYCIN 500 MG IV SOLR $ 543.23
2045
PHARMACY58084DAUNORUBICIN HCL 5 MG/ML IV INJ $ 383.91
2046
PHARMACY81360DECITABINE 50 MG IV SOLR $ 3,532.87
2047
PHARMACY42656DEFEROXAMINE MESYLATE 2 G IJ SOLR $ 103.09
2048
PHARMACY42657DEFEROXAMINE MESYLATE 500 MG IJ SOLR $ 36.58
2049
PHARMACY149832DENOSUMAB 60 MG/ML SC SOLN $ 4,327.35
2050
PHARMACY5101265DEPO MEDROL INJ 80 MG $ 75.00
2051
PHARMACY33650DESIPRAMINE HCL 10 MG PO TABS $ 3.08
2052
PHARMACY33653DESIPRAMINE HCL 25 MG PO TABS $ 3.70
2053
PHARMACY58747DESMOPRESSIN ACE RHINAL TUBE 0.01 % $ 396.34
2054
PHARMACY50532DESMOPRESSIN ACETATE 0.2 MG PO TABS $ 3.29
2055
PHARMACY42682DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN $ 139.72
2056
PHARMACY64640DESMOPRESSIN ACETATE SPRAY 0.01 % $ 290.96
2057
PHARMACY33692DEXAMETHASONE 0.5 MG PO TABS $ 0.25
2058
PHARMACY33689DEXAMETHASONE 0.5 MG/5ML PO ELIX $ 42.63
2059
PHARMACY33697DEXAMETHASONE 4 MG PO TABS $ 2.77
2060
PHARMACY151426DEXAMETHASONE IV SYRINGE 4 MG $ 15.50
2061
PHARMACY134399DEXAMETHASONE ORAL SYR $ 15.00
2062
PHARMACY134400DEXAMETHASONE ORAL SYR 1 MG/ML $ 15.00
2063
PHARMACY146108DEXAMETHASONE ORAL SYR 10 MG/ML $ 15.00
2064
PHARMACY33701DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN $ 4.55
2065
PHARMACY33702DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN $ 2.00
2066
PHARMACY168203DEXMEDETOMIDINE HCL 200 MCG $ 17.00
2067
PHARMACY166016DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML $ 261.80
2068
PHARMACY8200075DEXMEDETOMIDINE ORAL SYRINGE $ 15.00
2069
PHARMACY49473DEXRAZOXANE 500 MG IV SOLR $ 1,132.95
2070
PHARMACY33731DEXTROAMPHETAMINE SULFATE 10 MG PO TABS $ 0.47
2071
PHARMACY8200750DEXTROMETHORPHAN ORAL SYRINGE $ 15.00
2072
PHARMACY177189DEXTROMETHORPHAN POLISTIREX ER 30 MG $ 21.18
2073
PHARMACY42710DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG $ 6.20
2074
PHARMACY33739DEXTROSE 250 MG $ 10.96
2075
PHARMACY33743DEXTROSE 50 % $ 18.20
2076
PHARMACY33745DEXTROSE 70 % $ 35.00
2077
PHARMACY171355DEXTROSE 77.4 % PO GEL $ 12.50
2078
PHARMACY33801DIAZEPAM 2 MG PO TABS $ 0.25
2079
PHARMACY33802DIAZEPAM 5 MG PO TABS $ 0.25
2080
PHARMACY33798DIAZEPAM 5 MG/ML IJ SOLN $ 35.36
2081
PHARMACY8200636DIAZEPAM ORAL SYRINGE $ 15.00
2082
PHARMACY154052DIAZOXIDE ORAL SYRINGE $ 26.00
2083
PHARMACY63649DIBUCAINE 1 % RE OINT $ 11.96
2084
PHARMACY33814DICLOXACILLIN SODIUM 250 MG $ 1.73
2085
PHARMACY33819DICYCLOMINE HCL 10 MG $ 0.25
2086
PHARMACY33818DICYCLOMINE HCL 20 MG $ 135.45
2087
PHARMACY8200015DICYCLOMINE ORAL SYRINGE $ 15.00
2088
PHARMACY42797DIGOXIN 0.1 MG $ 18.79
2089
PHARMACY33846DIGOXIN 0.5 MG $ 4.10
2090
PHARMACY33848DIGOXIN 125 MCG PO TABS $ 1.90
2091
PHARMACY33849DIGOXIN 250 MCG PO TABS $ 3.15
2092
PHARMACY68601DIGOXIN IMMUNE FAB 40 MG $ 10,556.00
2093
PHARMACY134398DIGOXIN ORAL SYR $ 15.00
2094
PHARMACY42803DIHYDROERGOTAMINE MESYLATE 1 MG $ 359.82
2095
PHARMACY109446DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN $ 13,122.53
2096
PHARMACY134820DILTIAZEM (ADULT) INFUSION $ 57.75
2097
PHARMACY144251DILTIAZEM HCL 125 MG $ 12.43
2098
PHARMACY144250DILTIAZEM HCL 25 MG $ 5.43
2099
PHARMACY33883DILTIAZEM HCL 30 MG PO TABS $ 0.33
2100
PHARMACY42813DILTIAZEM HCL 5 MG $ 8.16
2101
PHARMACY33884DILTIAZEM HCL 60 MG PO TABS $ 0.31
2102
PHARMACY65515DILTIAZEM HCL ER COATED BEADS 120 MG $ 0.97
2103
PHARMACY65517DILTIAZEM HCL ER COATED BEADS 180 MG $ 1.06
2104
PHARMACY65519DILTIAZEM HCL ER COATED BEADS 240 MG $ 1.25
2105
PHARMACY65521DILTIAZEM HCL ER COATED BEADS 300 MG $ 2.58
2106
PHARMACY63433DINOPROSTONE 10 MG $ 1,195.67
2107
PHARMACY33924DIPHENHYDRAMINE HCL 12.5 MG $ 4.99
2108
PHARMACY33922DIPHENHYDRAMINE HCL 25 MG $ 0.25
2109
PHARMACY33921DIPHENHYDRAMINE HCL 50 MG $ 2.24
2110
PHARMACY33923DIPHENHYDRAMINE HCL 50 MG $ 0.25
2111
PHARMACY50803DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % $ 4.21
2112
PHARMACY33929DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS $ 0.97
2113
PHARMACY33932DIPHTHERIA-TETANUS TOXOIDS 0.5ML $ 103.88
2114
PHARMACY33943DIPYRIDAMOLE 25 MG PO TABS $ 1.23
2115
PHARMACY33958DISULFIRAM 250 MG PO TABS $ 2.26
2116
PHARMACY177218DIVALPROEX SODIUM 125 MG $ 1.17
2117
PHARMACY33972DIVALPROEX SODIUM 250 MG $ 0.30
2118
PHARMACY33973DIVALPROEX SODIUM 500 MG $ 0.37
2119
PHARMACY71191DIVALPROEX SODIUM ER 250 MG $ 5.21
2120
PHARMACY131534DIVALPROEX SODIUM ER 500 MG $ 4.34
2121
PHARMACY63517DM-GUAIFENESIN ER 30-600 MG $ 1.35
2122
PHARMACY147567DOBUTAMINE (PEDI) 1 MG/ML-50 ML $ 17.50
2123
PHARMACY42842DOBUTAMINE HCL 12.5 MG/ML IV SOLN $ 18.13
2124
PHARMACY53121DOBUTAMINE IN D5W 1 MG/ML IV SOLN $ 28.00
2125
PHARMACY151515DOCETAXEL 20 MG/ML IV CONC $ 348.67
2126
PHARMACY150582DOCUSATE ORAL SYRINGE $ 15.00
2127
PHARMACY33989DOCUSATE SODIUM 100 MG PO CAPS $ 0.25
2128
PHARMACY33991DOCUSATE SODIUM 50 MG $ 0.80
2129
PHARMACY73841DOCUSATE SODIUM 50 MG/5ML PO LIQD $ 0.98
2130
PHARMACY62859DOFETILIDE 125 MCG $ 16.13
2131
PHARMACY53636DONEPEZIL HCL 10 MG PO TABS $ 0.53
2132
PHARMACY53635DONEPEZIL HCL 5 MG PO TABS $ 0.25
2133
PHARMACY134602DOPAMINE (PEDI)-50 ML $ 40.25
2134
PHARMACY34024DOPAMINE HCL 40 MG/ML IV SOLN $ 5.85
2135
PHARMACY49027DOPAMINE IN D5W 1.6-5 MG/ML-% IV SOLN $ 24.50
2136
PHARMACY45501DORNASE ALFA 1 MG $ 210.72
2137
PHARMACY48456DORZOLAMIDE HCL 2 % OP SOLN $ 30.77
2138
PHARMACY58441DORZOLAMIDE HCL-TIMOLOL MAL 22.3-6.8 MG/ML OP SOLN $ 40.15
2139
PHARMACY42845DOXAZOSIN MESYLATE 2 MG PO TABS $ 0.91
2140
PHARMACY42846DOXAZOSIN MESYLATE 4 MG PO TABS $ 2.46
2141
PHARMACY34037DOXEPIN HCL 10 MG $ 1.33
2142
PHARMACY34040DOXEPIN HCL 25 MG $ 0.54
2143
PHARMACY34045DOXORUBICIN HCL 2 MG/ML IV SOLN $ 81.55
2144
PHARMACY63390DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ $ 3,659.60
2145
PHARMACY34053DOXYCYCLINE HYCLATE 100 MG IV SOLR $ 60.52
2146
PHARMACY34054DOXYCYCLINE HYCLATE 100 MG PO CAPS $ 1.12
2147
PHARMACY34055DOXYCYCLINE HYCLATE 50 MG $ 3.25
2148
PHARMACY8200677DOXYCYCLINE ORAL SYRINGE $ 15.00
2149
PHARMACY49029DOXYLAMINE SUCCINATE (SLEEP) 25 MG PO TABS $ 0.67
2150
PHARMACY42853DRONABINOL 10 MG $ 20.69
2151
PHARMACY42854DRONABINOL 2.5 MG PO CAPS $ 14.24
2152
PHARMACY42855DRONABINOL 5 MG $ 25.52
2153
PHARMACY8200623DRONABINOL ORAL SYRINGE $ 15.00
2154
PHARMACY145333DRONEDARONE HCL 400 MG PO TABS $ 23.45
2155
PHARMACY34089DROPERIDOL 5 MG $ 2.70
2156
PHARMACY5100070DRUGS UNCLASSIFIED INJ/BUPIVACAINE $ 2.00
2157
PHARMACY76274DULOXETINE HCL 20 MG $ 0.28
2158
PHARMACY76275DULOXETINE HCL 30 MG $ 1.46
2159
PHARMACY70856DUTASTERIDE 0.5 MG $ 0.92
2160
PHARMACY42872EDROPHONIUM CHLORIDE 10 MG $ 0.82
2161
PHARMACY68881EFAVIRENZ 600 MG PO TABS $ 57.06
2162
PHARMACY8200696EFAVIRENZ ORAL SYRINGE $ 6.56
2163
PHARMACY76254EMTRICITABINE-TENOFOVIR DF 200-300 MG PO TABS $ 191.25
2164
PHARMACY42879ENALAPRIL MALEATE 10 MG PO TABS $ 0.25
2165
PHARMACY42882ENALAPRIL MALEATE 5 MG PO TABS $ 0.48
2166
PHARMACY134401ENALAPRIL ORAL SYRINGE $ 15.00
2167
PHARMACY42884ENALAPRILAT 1.25 MG $ 3.85
2168
PHARMACY149747ENOXAPARIN 10 MG $ 1.52
2169
PHARMACY150405ENOXAPARIN SODIUM 100 MG/ML SC SOLN $ 25.70
2170
PHARMACY150406ENOXAPARIN SODIUM 120 MG/0.8ML SC SOLN $ 30.06
2171
PHARMACY68452ENOXAPARIN SODIUM 150 MG/ML SC SOLN $ 38.38
2172
PHARMACY150401ENOXAPARIN SODIUM 30 MG/0.3ML SC SOLN $ 7.39
2173
PHARMACY150402ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN $ 10.00
2174
PHARMACY150403ENOXAPARIN SODIUM 60 MG/0.6ML SC SOLN $ 15.46
2175
PHARMACY150404ENOXAPARIN SODIUM 80 MG/0.8ML SC SOLN $ 19.78
2176
PHARMACY62404ENTACAPONE 200 MG PO TABS $ 6.35
2177
PHARMACY157204E-OIL 100 UNIT/5DROP EX OIL $ 18.39
2178
PHARMACY34324EPHEDRINE SULFATE 50 MG $ 52.34
2179
PHARMACY8200246EPINEPHRINE 1 MG/ML (1:1000) CIRC $ 621.50
2180
PHARMACY170215EPINEPHRINE 30 MG/30ML IJ SOLN $ 335.69
2181
PHARMACY184013EPINEPHRINE PF 1 MG/10ML IJ SOSY $ 14.60
2182
PHARMACY184014EPINEPHRINE PF 1 MG/ML IJ SOLN $ 29.37
2183
PHARMACY73852EPLERENONE 25 MG PO TABS $ 5.56
2184
PHARMACY42899EPOETIN ALFA 1000 UNITS $ 180.05
2185
PHARMACY42897EPOETIN ALFA 10000 UNIT/ML IJ SOLN $ 507.85
2186
PHARMACY42898EPOETIN ALFA 2000 UNIT/ML IJ SOLN $ 99.24
2187
PHARMACY48756EPOETIN ALFA 20000 UNIT/ML IJ SOLN $ 1,015.68
2188
PHARMACY42900EPOETIN ALFA 4000 UNIT/ML IJ SOLN $ 240.04
2189
PHARMACY60200EPOETIN ALFA 40000 UNIT/ML IJ SOLN $ 1,309.35
2190
PHARMACY134444EPOETIN SYRINGE $ 1,272.60
2191
PHARMACY58602EPTIFIBATIDE 2 MG/ML IV SOLN $ 402.38
2192
PHARMACY58601EPTIFIBATIDE 75 MG/100ML IV SOLN $ 424.88
2193
PHARMACY140944ERGOCALCIFEROL $ 15.00
2194
PHARMACY151993ERIBULIN MESYLATE 1 MG/2ML IV SOLN $ 3,251.50
2195
PHARMACY153351ERTAPENEM SODIUM 1 G IV SOLR $ 263.49
2196
PHARMACY34394ERYTHROMYCIN 5 MG/GM OP OINT $ 6.14
2197
PHARMACY134402ERYTHROMYCIN ES ORAL SYR $ 15.00
2198
PHARMACY34410ERYTHROMYCIN LACTOBIONATE 500 MG $ 166.32
2199
PHARMACY8200023ESCITALOPRAM ORAL SYRINGE $ 15.00
2200
PHARMACY70204ESCITALOPRAM OXALATE 10 MG PO TABS $ 0.25
2201
PHARMACY70205ESCITALOPRAM OXALATE 20 MG PO TABS $ 0.38
2202
PHARMACY74526ESCITALOPRAM OXALATE 5 MG PO TABS $ 0.30
2203
PHARMACY124476ESMOLOL HCL 100 MG $ 7.77
2204
PHARMACY66100ESMOLOL HCL-SODIUM CHLORIDE 2500 MG $ 378.88
2205
PHARMACY8200205ESMOLOL PEDI INFUSION $ 10.99
2206
PHARMACY63426ESTRADIOL 0.025 MG $ 39.80
2207
PHARMACY64443ESTRADIOL 0.05 MG $ 39.80
2208
PHARMACY64444ESTRADIOL 0.1 MG/24HR TD PTWK $ 40.84
2209
PHARMACY42929ESTRADIOL 0.1 MG/GM VA CREA $ 550.82
2210
PHARMACY42927ESTRADIOL 1 MG PO TABS $ 0.64
2211
PHARMACY34442ESTRADIOL VALERATE 10 MG $ 404.04
2212
PHARMACY42932ESTROGENS CONJUGATED 25 MG IJ SOLR $ 313.67
2213
PHARMACY42937ESTROGENS, CONJUGATED 0.625 MG $ 830.03
2214
PHARMACY59939ETANERCEPT 25 MG $ 757.40
2215
PHARMACY42940ETHACRYNATE SODIUM 50 MG $ 10,707.24
2216
PHARMACY42941ETHACRYNIC ACID 25 MG PO TABS $ 58.76
2217
PHARMACY42944ETHAMBUTOL HCL 400 MG PO TABS $ 3.25
2218
PHARMACY55552ETOMIDATE 2 MG $ 10.08
2219
PHARMACY169727ETOPOSIDE 100 MG/5ML IV SOLN $ 17.75
2220
PHARMACY42966ETOPOSIDE 50 MG $ 263.65
2221
PHARMACY52106ETOPOSIDE PHOSPHATE 100 MG IV SOLR $ 480.97
2222
PHARMACY5101721EUFLEXXA PER DOSE $ 165.00
2223
PHARMACY34552EYE STREAM OP SOLN $ 4.52
2224
PHARMACY70920EZETIMIBE 10 MG PO TABS $ 0.49
2225
PHARMACY34569FACTOR IX COMPLEX 500 UNITS IV SOLR $ 1,743.75
2226
PHARMACY46933FAMCICLOVIR 500 MG PO TABS $ 1.63
2227
PHARMACY169765FAMOTIDINE 20 MG $ 2.35
2228
PHARMACY42976FAMOTIDINE 20 MG PO TABS $ 0.25
2229
PHARMACY134403FAMOTIDINE ORAL SYRINGE $ 15.00
2230
PHARMACY66832FAMOTIDINE PREMIXED 20-0.9 MG $ 13.65
2231
PHARMACY42979FAT EMULSION 20 % IV EMUL $ 0.25
2232
PHARMACY179206FAT EMULSION FISH OIL BASED 20 % $ 0.32
2233
PHARMACY63458FELODIPINE ER 5 MG $ 1.51
2234
PHARMACY77017FENOFIBRATE 145 MG PO TABS $ 1.51
2235
PHARMACY77016FENOFIBRATE 48 MG PO TABS $ 1.79
2236
PHARMACY147910FENTANYL (PEDI) INFUSION $ 50.00
2237
PHARMACY147911FENTANYL (PEDI) INFUSION 50 MCG $ 30.28
2238
PHARMACY63904FENTANYL 100 MCG $ 12.75
2239
PHARMACY78388FENTANYL 12 MCG $ 11.36
2240
PHARMACY63901FENTANYL 25 MCG $ 5.94
2241
PHARMACY63902FENTANYL 50 MCG $ 9.76
2242
PHARMACY63903FENTANYL 75 MCG $ 15.18
2243
PHARMACY34603FENTANYL CITRATE 0.05 MG/ML IJ SOLN $ 11.97
2244
PHARMACY134626FENTANYL INFUSION $ 65.10
2245
PHARMACY146105FENTANYL IV SOLUTION RX (5 MCG/ML) $ 15.50
2246
PHARMACY8200587FENTANYL PCA - ADULT $ 50.51
2247
PHARMACY8200589FENTANYL PCA - PEDIATRIC $ 50.51
2248
PHARMACY8200588FENTANYL PCA- FRAIL/ELDERLY $ 50.51
2249
PHARMACY178775FENTANYL-BUPIVACAINE-NACL 0.2-0.125-0.9 MG $ 47.25
2250
PHARMACY134823FENTANYL-ROPIVACAINE 2-0.2% $ 167.83
2251
PHARMACY64385FERRIC SUBSULFATE 259 MG $ 37.77
2252
PHARMACY34640FERROUS GLUCONATE 324 (38 FE) MG PO TABS $ 0.25
2253
PHARMACY8200033FERROUS SULFATE (NICU/PEDI) $ 15.00
2254
PHARMACY34648FERROUS SULFATE 300 (60 FE) MG $ 0.93
2255
PHARMACY34652FERROUS SULFATE 325 (65 FE) MG PO TABS $ 0.25
2256
PHARMACY145316FERUMOXYTOL 510 MG/17ML IV SOLN $ 2,480.79
2257
PHARMACY143663FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR $ 3,272.85
2258
PHARMACY43007FILGRASTIM 300 MCG/ML IJ SOLN $ 1,093.55
2259
PHARMACY153366FILGRASTIM 480 MCG/1.6ML IJ SOLN $ 1,664.49
2260
PHARMACY43008FINASTERIDE 5 MG PO TABS $ 0.31
2261
PHARMACY153042FISH OIL 1000 MG $ 0.50
2262
PHARMACY8200277FISH OIL ORAL SYRINGE $ 15.00
2263
PHARMACY143642FLECAINIDE $ 15.00
2264
PHARMACY43012FLECAINIDE ACETATE 100 MG PO TABS $ 1.95
2265
PHARMACY43014FLECAINIDE ACETATE 50 MG PO TABS $ 0.54
2266
PHARMACY34703FLEET ENEMA 7-19 GM $ 3.26
2267
PHARMACY34708FLEET PEDIATRIC 3.5-9.5 GM $ 5.31
2268
PHARMACY43015FLUCONAZOLE 100 MG PO TABS $ 2.12
2269
PHARMACY47241FLUCONAZOLE 150 MG PO TABS $ 5.57
2270
PHARMACY43020FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG $ 9.45
2271
PHARMACY134404FLUCONAZOLE ORAL SYR $ 15.00
2272
PHARMACY78300FLUDARABINE PHOSPHATE 50 MG $ 863.52
2273
PHARMACY43025FLUDROCORTISONE ACETATE 0.1 MG PO TABS $ 2.35
2274
PHARMACY76749FLUMAZENIL 0.5 MG $ 11.34
2275
PHARMACY43028FLUOCINOLONE ACETONIDE 0.01 % EX OIL $ 101.43
2276
PHARMACY43029FLUOCINOLONE ACETONIDE 0.01 % EX SHAM $ 515.76
2277
PHARMACY34787FLUOCINONIDE 0.05 % EX CREA $ 46.36
2278
PHARMACY34788FLUOCINONIDE 0.05 % EX GEL $ 27.46
2279
PHARMACY34789FLUOCINONIDE 0.05 % EX OINT $ 53.34
2280
PHARMACY34790FLUOCINONIDE 0.05 % EX SOLN $ 227.22
2281
PHARMACY63644FLUORESCEIN SODIUM 1 MG $ 0.25
2282
PHARMACY182119FLUORESCEIN SODIUM 10 % $ 13.58
2283
PHARMACY43033FLUORESCEIN-PROPARACAINE 0.25-0.5 % OP SOLN $ 68.18
2284
PHARMACY130208FLUOROURACIL 500 MG $ 7.77
2285
PHARMACY43040FLUOXETINE HCL 10 MG $ 0.25
2286
PHARMACY43041FLUOXETINE HCL 20 MG $ 0.25
2287
PHARMACY8200016FLUOXETINE ORAL SYRINGE $ 15.00
2288
PHARMACY34816FLUPHENAZINE DECANOATE 25 MG $ 38.42
2289
PHARMACY34819FLUPHENAZINE HCL 1 MG PO TABS $ 0.32
2290
PHARMACY34817FLUPHENAZINE HCL 2.5 MG $ 198.31
2291
PHARMACY34822FLUPHENAZINE HCL 5 MG PO TABS $ 1.37
2292
PHARMACY43052FLURBIPROFEN SODIUM 0.03 % OP SOLN $ 117.78
2293
PHARMACY167165FLUTICASONE FUROATE-VILANTEROL 100-25 MCG $ 381.22
2294
PHARMACY174551FLUTICASONE FUROATE-VILANTEROL 200-25 MCG $ 381.22
2295
PHARMACY67247FLUTICASONE PROPIONATE 50 MCG $ 11.82
2296
PHARMACY77716FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO $ 611.27
2297
PHARMACY77717FLUTICASONE PROPIONATE HFA 220 MCG $ 939.12
2298
PHARMACY77715FLUTICASONE PROPIONATE HFA 44 MCG $ 426.65
2299
PHARMACY109630FLUTICASONE-SALMETEROL 115-21 MCG $ 508.76
2300
PHARMACY109631FLUTICASONE-SALMETEROL 230-21 MCG $ 889.50
2301
PHARMACY109629FLUTICASONE-SALMETEROL 45-21 MCG/ACT IN AERO $ 599.76
2302
PHARMACY43057FLUVOXAMINE MALEATE 50 MG PO TABS $ 0.50
2303
PHARMACY34835FOLIC ACID 1 MG PO TABS $ 0.25
2304
PHARMACY34836FOLIC ACID 400 MCG PO TABS $ 0.25
2305
PHARMACY34834FOLIC ACID 5 MG $ 7.18
2306
PHARMACY134405FOLIC ACID ORAL SYR $ 15.00
2307
PHARMACY57572FOMEPIZOLE 1 GM/ML IV SOLN $ 1,966.58
2308
PHARMACY153322FONDAPARINUX 0.5 MG $ 108.49
2309
PHARMACY153323FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN $ 133.60
2310
PHARMACY68797FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN $ 33.63
2311
PHARMACY152003FOSAPREPITANT DIMEGLUMINE 150 MG $ 847.84
2312
PHARMACY43066FOSINOPRIL SODIUM 10 MG PO TABS $ 0.41
2313
PHARMACY43067FOSINOPRIL SODIUM 20 MG PO TABS $ 0.45
2314
PHARMACY131028FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN $ 15.47
2315
PHARMACY131027FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN $ 128.91
2316
PHARMACY5210935FROZEN PLASMA EA UNIT $ 300.00
2317
PHARMACY34901FUROSEMIDE 10 MG/ML IJ SOLN $ 10.92
2318
PHARMACY34904FUROSEMIDE 20 MG PO TABS $ 0.25
2319
PHARMACY34905FUROSEMIDE 40 MG PO TABS $ 0.25
2320
PHARMACY34906FUROSEMIDE 80 MG PO TABS $ 0.25
2321
PHARMACY151427FUROSEMIDE IV SYRINGE 10 MG $ 15.50
2322
PHARMACY134406FUROSEMIDE ORAL SYR $ 15.00
2323
PHARMACY53116GABAPENTIN 100 MG $ 0.25
2324
PHARMACY53115GABAPENTIN 300 MG $ 0.42
2325
PHARMACY53114GABAPENTIN 400 MG $ 0.25
2326
PHARMACY61676GABAPENTIN 600 MG PO TABS $ 0.35
2327
PHARMACY146511GABAPENTIN ORAL SYR $ 15.00
2328
PHARMACY66338GALANTAMINE HYDROBROMIDE 4 MG PO TABS $ 8.82
2329
PHARMACY78145GALANTAMINE HYDROBROMIDE ER 16 MG $ 4.35
2330
PHARMACY78144GALANTAMINE HYDROBROMIDE ER 8 MG $ 7.86
2331
PHARMACY9100809GASTROGRAFIN (40) 120ML BTL $ 82.00
2332
PHARMACY149572GATIFLOXACIN 0.5 % OP SOLN $ 314.27
2333
PHARMACY51749GEMCITABINE HCL 200 MG $ 168.00
2334
PHARMACY51750GEMCITAMINE HCL 200 MG $ 63.39
2335
PHARMACY35001GEMFIBROZIL 600 MG PO TABS $ 0.29
2336
PHARMACY134442GENTAMICIN IM SYRINGE $ 15.00
2337
PHARMACY50345GENTAMICIN IN SALINE 0.8-0.9 MG $ 5.60
2338
PHARMACY50351GENTAMICIN IN SALINE 2-0.9 MG $ 5.60
2339
PHARMACY35067GENTAMICIN SULFATE 0.3 % OP OINT $ 29.47
2340
PHARMACY35068GENTAMICIN SULFATE 0.3 % OP SOLN $ 11.90
2341
PHARMACY35065GENTAMICIN SULFATE 10 MG $ 4.89
2342
PHARMACY35066GENTAMICIN SULFATE 40 MG $ 2.09
2343
PHARMACY35070GENTIAN VIOLET 1 % $ 3.57
2344
PHARMACY50865GLIMEPIRIDE 1 MG PO TABS $ 0.25
2345
PHARMACY50866GLIMEPIRIDE 2 MG PO TABS $ 0.25
2346
PHARMACY43090GLIPIZIDE 5 MG PO TABS $ 0.25
2347
PHARMACY74540GLIPIZIDE ER 10 MG $ 0.85
2348
PHARMACY74538GLIPIZIDE ER 2.5 MG $ 0.42
2349
PHARMACY74539GLIPIZIDE ER 5 MG $ 0.36
2350
PHARMACY78575GLUCAGON 1 MG $ 298.20
2351
PHARMACY50526GLUCOSE 4 G PO CHEW $ 5.74
2352
PHARMACY56611GLUTAMINE 10 G $ 11.38
2353
PHARMACY43099GLYBURIDE 2.5 MG PO TABS $ 0.41
2354
PHARMACY35164GLYBURIDE 5 MG PO TABS $ 0.25
2355
PHARMACY147936GLYCERIN (LAXATIVE) 1 G RE SUPP $ 4.07
2356
PHARMACY78021GLYCERIN (LAXATIVE) 2 G RE SUPP $ 0.86
2357
PHARMACY165376GLYCOPYRROLATE 0.4 MG $ 49.84
2358
PHARMACY43104GLYCOPYRROLATE 1 MG PO TABS $ 0.50
2359
PHARMACY134408GLYCOPYRROLATE ORAL SYR $ 15.00
2360
PHARMACY167406GOLIMUMAB 50 MG/4ML IV SOLN $ 5,964.45
2361
PHARMACY50757GOSERELIN ACETATE 10.8 MG SC IMPL $ 1,831.59
2362
PHARMACY154152GRX ANALGESIC BALM EX OINT $ 3.14
2363
PHARMACY109408GUAIFENESIN 100 MG $ 1.93
2364
PHARMACY74561GUAIFENESIN ER 600 MG $ 1.18
2365
PHARMACY109952GUAIFENESIN-CODEINE 100-10 MG $ 1.89
2366
PHARMACY50235GUAIFENESIN-DM 100-10 MG $ 4.80
2367
PHARMACY43137HALOBETASOL PROPIONATE 0.05 % EX OINT $ 441.00
2368
PHARMACY35288HALOPERIDOL 0.5 MG PO TABS $ 0.28
2369
PHARMACY35289HALOPERIDOL 1 MG PO TABS $ 0.29
2370
PHARMACY35293HALOPERIDOL 5 MG PO TABS $ 0.81
2371
PHARMACY43140HALOPERIDOL DECANOATE 50 MG $ 70.46
2372
PHARMACY35295HALOPERIDOL LACTATE 2 MG $ 12.18
2373
PHARMACY35294HALOPERIDOL LACTATE 5 MG $ 0.83
2374
PHARMACY50267HEPARIN (PORCINE) IN D5W 50-5 UNIT $ 24.50
2375
PHARMACY50269HEPARIN (PORCINE) IN NACL 2-0.9 UNIT-% $ 14.00
2376
PHARMACY64425HEPARIN (PORCINE) LOCK FLUSH 10 UNIT $ 1.32
2377
PHARMACY8200733HEPARIN 100 UNITS/ML IV SYRINGE (NICU) $ 1.44
2378
PHARMACY8200089HEPARIN 1000 UNIT/ML - PEDI CRRT FLUSH ONLY $ 11.41
2379
PHARMACY8200087HEPARIN 1000 UNITS/ML - ADULT CRRT $ 11.41
2380
PHARMACY8200616HEPARIN 30000 UNITS IN NACL 0.9 % $ 66.50
2381
PHARMACY8200752HEPARIN 50 UNITS/ML IN D5W 500 ML $ 24.50
2382
PHARMACY8200090HEPARIN 5000 UNITS/ML - ADULT CRRT $ 3.29
2383
PHARMACY134824HEPARIN IN NACL 1-0.9 $ 34.83
2384
PHARMACY132764HEPARIN LOCK FLUSH 1 UNIT/ML IV SOLN $ 2.52
2385
PHARMACY64426HEPARIN LOCK FLUSH 100 UNIT/ML IV SOLN $ 1.21
2386
PHARMACY43153HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN $ 40.81
2387
PHARMACY43154HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN $ 4.34
2388
PHARMACY43158HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN $ 2.30
2389
PHARMACY137289HEPATITIS B IMMUNE GLOBULIN IM 1 ML $ 243.38
2390
PHARMACY63272HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP $ 142.46
2391
PHARMACY60933HETASTARCH-NACL 6-0.9 % $ 42.00
2392
PHARMACY76979HISTRELIN ACETATE 50 MG SC KIT $ 62,271.83
2393
PHARMACY5101722HYALGAN $ 149.00
2394
PHARMACY137280HYALURONIDASE BOVINE 150 UNIT $ 58.89
2395
PHARMACY81234HYALURONIDASE HUMAN 150 UNIT/ML IJ SOLN $ 166.94
2396
PHARMACY35446HYDRALAZINE HCL 10 MG PO TABS $ 0.25
2397
PHARMACY35445HYDRALAZINE HCL 20 MG $ 7.53
2398
PHARMACY35448HYDRALAZINE HCL 25 MG PO TABS $ 0.25
2399
PHARMACY134410HYDRALAZINE ORAL SYRINGE $ 15.00
2400
PHARMACY55159HYDROCERIN EX CREA $ 10.68
2401
PHARMACY54028HYDROCHLOROTHIAZIDE 12.5 MG $ 0.25
2402
PHARMACY35474HYDROCHLOROTHIAZIDE 25 MG PO TABS $ 0.25
2403
PHARMACY8200400HYDROCHLOROTHIAZIDE ORAL SYRINGE $ 15.00
2404
PHARMACY64414HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS $ 0.70
2405
PHARMACY71276HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS $ 0.55
2406
PHARMACY74801HYDROCODONE-ACETAMINOPHEN 7.5-325 MG $ 6.25
2407
PHARMACY49210HYDROCODONE-ACETAMINOPHEN 7.5-750 MG PO TABS $ 0.25
2408
PHARMACY35478HYDROCODONE-HOMATROPINE 5-1.5 MG $ 10.50
2409
PHARMACY35479HYDROCORTISONE 0.5 % EX CREA $ 6.96
2410
PHARMACY35485HYDROCORTISONE 0.5 % EX OINT $ 3.57
2411
PHARMACY35480HYDROCORTISONE 1 % EX CREA $ 3.82
2412
PHARMACY35483HYDROCORTISONE 1 % EX LOTN $ 27.26
2413
PHARMACY35486HYDROCORTISONE 1 % EX OINT $ 4.61
2414
PHARMACY35488HYDROCORTISONE 10 MG PO TABS $ 1.39
2415
PHARMACY43189HYDROCORTISONE 100 MG $ 16.17
2416
PHARMACY65625HYDROCORTISONE 2.5 % CREAM $ 96.50
2417
PHARMACY35487HYDROCORTISONE 2.5 % EX OINT $ 6.72
2418
PHARMACY43188HYDROCORTISONE 5 MG PO TABS $ 0.74
2419
PHARMACY65145HYDROCORTISONE ACE $ 191.63
2420
PHARMACY35495HYDROCORTISONE ACETATE 25 MG RE SUPP $ 20.44
2421
PHARMACY169761HYDROCORTISONE NA SUCCINATE PF 100 MG $ 16.29
2422
PHARMACY134409HYDROCORTISONE ORAL SYR $ 15.00
2423
PHARMACY43198HYDROCORTISONE VALERATE 0.2 % EX CREA $ 127.89
2424
PHARMACY43199HYDROCORTISONE VALERATE 0.2 % EX OINT $ 273.84
2425
PHARMACY35515HYDROMORPHONE HCL 1 MG/ML IJ SOLN $ 10.21
2426
PHARMACY35518HYDROMORPHONE HCL 2 MG PO TABS $ 0.54
2427
PHARMACY35516HYDROMORPHONE HCL 2 MG/ML IJ SOLN $ 10.96
2428
PHARMACY43208HYDROMORPHONE HCL 3 MG RE SUPP $ 34.99
2429
PHARMACY35519HYDROMORPHONE HCL 4 MG PO TABS $ 0.59
2430
PHARMACY35517HYDROMORPHONE HCL 4 MG/ML IJ SOLN $ 6.11
2431
PHARMACY162755HYDROMORPHONE HCL PF 1 MG/ML IJ SOLN $ 7.39
2432
PHARMACY162758HYDROMORPHONE HCL PF 10 MG/ML IJ SOLN $ 6.83
2433
PHARMACY8200590HYDROMORPHONE PCA - ADULT $ 42.00
2434
PHARMACY8200591HYDROMORPHONE PCA - FRAIL/ELDERLY $ 42.00
2435
PHARMACY8200592HYDROMORPHONE PCA - PEDIATRIC $ 42.00
2436
PHARMACY8200617HYDROMORPHONE PF 10 MG $ 980.00
2437
PHARMACY152606HYDROMORPHONE PF 30 MG $ 700.00
2438
PHARMACY152605HYDROMORPHONE PF 8 MG $ 980.00
2439
PHARMACY157418HYDROMORPHONE/BUPIVACAINE PF 10/30 MG/ML IT COMPOUND $ 1,522.50
2440
PHARMACY158317HYDROMORPHONE/BUPIVACAINE PF 30/40 MG $ 2,292.50
2441
PHARMACY152607HYDROMORPHONE/BUPIVACAINE PF 7/35 MG $ 1,225.00
2442
PHARMACY156767HYDROXOCOBALAMIN 5 G $ 2,625.00
2443
PHARMACY8200622HYDROXYCHLOROQUINE $ 15.00
2444
PHARMACY43216HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS $ 1.57
2445
PHARMACY35529HYDROXYPROGESTERONE CAPROATE 250 MG/ML IM OIL $ 2,052.75
2446
PHARMACY43217HYDROXYUREA 500 MG $ 3.16
2447
PHARMACY35535HYDROXYZINE HCL 10 MG PO TABS $ 0.25
2448
PHARMACY35537HYDROXYZINE HCL 25 MG PO TABS $ 0.25
2449
PHARMACY35538HYDROXYZINE HCL 50 MG PO TABS $ 0.26
2450
PHARMACY35533HYDROXYZINE HCL 50 MG/ML IM SOLN $ 13.93
2451
PHARMACY8200092HYDROXYZINE ORAL SYRINGE $ 15.00
2452
PHARMACY52033HYLAN 1 MG $ 1,963.50
2453
PHARMACY51643HYOSCYAMINE SULFATE 0.125 MG SL SUBL $ 0.82
2454
PHARMACY35550HYOSCYAMINE SULFATE 0.125 MG/ML PO SOLN $ 13.13
2455
PHARMACY43220HYOSCYAMINE SULFATE 0.5 MG/ML IJ SOLN $ 178.44
2456
PHARMACY63979HYPROMELLOSE 0.3 % OP SOLN $ 20.11
2457
PHARMACY66126HYPROMELLOSE 2 % $ 96.15
2458
PHARMACY109620HYPROMELLOSE 2.5 % OP SOLN $ 21.47
2459
PHARMACY156727IBANDRONATE SODIUM 3 MG/3ML IV SOLN $ 334.35
2460
PHARMACY43227IBUPROFEN 100 MG $ 3.40
2461
PHARMACY35612IBUPROFEN 200 MG PO TABS $ 0.25
2462
PHARMACY35614IBUPROFEN 400 MG PO TABS $ 0.25
2463
PHARMACY35615IBUPROFEN 600 MG PO TABS $ 0.25
2464
PHARMACY35616IBUPROFEN 800 MG PO TABS $ 0.25
2465
PHARMACY109359IBUPROFEN LYSINE 10 MG $ 818.93
2466
PHARMACY147704IBUTILIDE 1 MG $ 196.35
2467
PHARMACY175898IDARUCIZUMAB 2.5 GM $ 6,094.38
2468
PHARMACY43232IFOSFAMIDE 1 GM $ 331.69
2469
PHARMACY75967IMIPENEM-CILASTATIN 500 MG $ 31.61
2470
PHARMACY35637IMIPRAMINE HCL 10 MG PO TABS $ 0.61
2471
PHARMACY35638IMIPRAMINE HCL 25 MG PO TABS $ 0.43
2472
PHARMACY65061IMMUNE GLOBULIN 500 MG $ 26.00
2473
PHARMACY152331IMMUNE GLOBULIN (HUMAN) 1 GM/10ML IJ SOLN $ 255.68
2474
PHARMACY43242IMMUNE GLOBULIN (HUMAN) 10 G IV SOLR $ 4,284.00
2475
PHARMACY152334IMMUNE GLOBULIN (HUMAN) 10 GM/100ML IJ SOLN $ 2,556.75
2476
PHARMACY152332IMMUNE GLOBULIN (HUMAN) 2.5 GM/25ML IJ SOLN $ 639.19
2477
PHARMACY152335IMMUNE GLOBULIN (HUMAN) 20 GM/200ML IJ SOLN $ 5,113.50
2478
PHARMACY156354IMMUNE GLOBULIN (HUMAN) 30 GM/300ML IJ SOLN $ 7,670.25
2479
PHARMACY172231IMMUNE GLOBULIN (HUMAN) 40 GM/400ML IJ SOLN $ 10,162.50
2480
PHARMACY43245IMMUNE GLOBULIN (HUMAN) 5 G IV SOLR $ 2,142.00
2481
PHARMACY152333IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IJ SOLN $ 1,278.38
2482
PHARMACY153379IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IV SOLN $ 1,091.13
2483
PHARMACY49678IMMUNE GLOBULIN (HUMAN) IM INJ $ 87.57
2484
PHARMACY43250INDIGOTINDISULFONATE SODIUM 8 MG $ 472.22
2485
PHARMACY43251INDOCYANINE GREEN 25 MG $ 1,408.26
2486
PHARMACY35675INDOMETHACIN 25 MG $ 0.44
2487
PHARMACY35679INDOMETHACIN 50 MG RE SUPP $ 45.15
2488
PHARMACY43252INDOMETHACIN SODIUM 1 MG $ 1,200.33
2489
PHARMACY59429INFLIXIMAB 100 MG IV SOLR $ 4,267.73
2490
PHARMACY173409INFLUENZA VAC SPLIT QUAD 0.5 ML $ 58.63
2491
PHARMACY66683INFUVITE IV INJ $ 23.91
2492
PHARMACY179844INFUVITE PEDIATRIC $ 38.15
2493
PHARMACY5100367INJ B12 UP TO 1000MCG $ 16.00
2494
PHARMACY5100342INJ GOLD SODIUM 50MG $ 47.00
2495
PHARMACY5408035INJ SINCALIDE 5MCG $ 78.00
2496
PHARMACY5801105INJ SULF HEXA LIPID MICROSPH PER ML $ 265.00
2497
PHARMACY5155043INJ TESTOSTERONE CYPIONATE $ 56.00
2498
PHARMACY5100277INJ THYROTOPIN ALPHA 0.9MG (1.1MG) $ 5,400.00
2499
PHARMACY70353INSULIN ASPART PROT & ASPART (70-30) 100 UNIT $ 169.96
2500
PHARMACY169747INSULIN GLARGINE 100 UNIT $ 87.91
2501
PHARMACY52057INSULIN LISPRO 100 UNIT $ 57.33
2502
PHARMACY81145INSULIN LISPRO PROT & LISPRO (50-50) 100 UNIT/ML SC SUSP $ 157.92
2503
PHARMACY81144INSULIN LISPRO PROT & LISPRO (75-25) 100 UNIT/ML SC SUSP $ 157.92
2504
PHARMACY43270INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT $ 15.78
2505
PHARMACY43272INSULIN NPH ISOPHANE & REGULAR (70-30) 100 UNIT/ML $ 19.00
2506
PHARMACY54063INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SC SOLN $ 3,682.07
2507
PHARMACY177753INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SC SOPN $ 954.01
2508
PHARMACY158331INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SYRINGE $ 154.13
2509
PHARMACY43275INSULIN REGULAR HUMAN 100 UNIT $ 15.78
2510
PHARMACY68595INTERFERON BETA-1A 44 MCG/0.5ML SC SOLN $ 739.88
2511
PHARMACY35750IODINE STRONG 5 % PO SOLN $ 65.32
2512
PHARMACY45942IPRATROPIUM BROMIDE 0.02 % $ 0.58
2513
PHARMACY50558IPRATROPIUM BROMIDE 0.03 % NA SOLN $ 60.38
2514
PHARMACY50559IPRATROPIUM BROMIDE 0.06 % NA SOLN $ 106.94
2515
PHARMACY66896IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG $ 0.62
2516
PHARMACY161622IPRATROPIUM-ALBUTEROL 20-100 MCG $ 1,218.25
2517
PHARMACY57121IRBESARTAN 150 MG PO TABS $ 0.61
2518
PHARMACY137293IRINOTECAN 20 MG $ 8.58
2519
PHARMACY35786IRON DEXTRAN 50 MG/ML IJ SOLN $ 82.22
2520
PHARMACY65369IRON SUCROSE 20 MG/ML IV SOLN $ 104.11
2521
PHARMACY35830ISONIAZID 300 MG PO TABS $ 1.03
2522
PHARMACY149357ISONIAZID ORAL SYRINGE $ 15.00
2523
PHARMACY35838ISOPROTERENOL HCL 0.2 MG $ 3,221.35
2524
PHARMACY35879ISOSORBIDE DINITRATE 10 MG PO TABS $ 1.82
2525
PHARMACY35880ISOSORBIDE DINITRATE 20 MG PO TABS $ 0.25
2526
PHARMACY43352ISOSORBIDE MONONITRATE 20 MG PO TABS $ 1.25
2527
PHARMACY60208ISOSORBIDE MONONITRATE ER 30 MG $ 0.61
2528
PHARMACY59930ISOSORBIDE MONONITRATE ER 60 MG $ 0.56
2529
PHARMACY43353ISOSULFAN BLUE 1 % SOLN $ 2,432.73
2530
PHARMACY2115955ISOVUE 300-399MG 50ML BTL PER ML $ 2.00
2531
PHARMACY43360K PHOS MONO-SOD PHOS DI & MONO 155-852-130 MG PO TABS $ 0.31
2532
PHARMACY42738KCL IN DEXTROSE-NACL 10-5-0.45 $ 14.00
2533
PHARMACY42739KCL IN DEXTROSE-NACL 20-5-0.2 MEQ $ 14.00
2534
PHARMACY42740KCL IN DEXTROSE-NACL 20-5-0.45 $ 7.00
2535
PHARMACY42734KCL IN DEXTROSE-NACL 20-5-0.9 $ 7.00
2536
PHARMACY42746KCL IN DEXTROSE-NACL 40-5-0.45 $ 7.00
2537
PHARMACY50475KCL-LACTATED RINGERS-D5W 20 MEQ/L $ 10.50
2538
PHARMACY5101270KENALOG/TRIAMCINOLONE INJ-10MG $ 17.00
2539
PHARMACY36077KETAMINE HCL 10 MG $ 61.88
2540
PHARMACY36078KETAMINE HCL 100 MG $ 23.82
2541
PHARMACY8200274KETAMINE ORAL SYRINGE $ 15.00
2542
PHARMACY134825KETAMINE SYRINGE $ 17.50
2543
PHARMACY43364KETOCONAZOLE 2 % $ 56.54
2544
PHARMACY74507KETOCONAZOLE 2 % $ 44.94
2545
PHARMACY43365KETOCONAZOLE 200 MG PO TABS $ 6.57
2546
PHARMACY54708KETOROLAC TROMETHAMINE 0.5 % OP SOLN $ 10.50
2547
PHARMACY43366KETOROLAC TROMETHAMINE 10 MG PO TABS $ 0.43
2548
PHARMACY61271KETOTIFEN FUMARATE 0.025 % OP SOLN $ 23.84
2549
PHARMACY43368LABETALOL HCL 100 MG PO TABS $ 0.72
2550
PHARMACY43367LABETALOL HCL 5 MG $ 7.49
2551
PHARMACY153318LABETALOL ORAL SYRINGE $ 15.00
2552
PHARMACY143659LACOSAMIDE 100 MG PO TABS $ 38.50
2553
PHARMACY143662LACOSAMIDE 200 MG/20ML IV SOLN $ 161.77
2554
PHARMACY143658LACOSAMIDE 50 MG PO TABS $ 23.04
2555
PHARMACY57880LACTASE 3000 UNITS PO TABS $ 0.25
2556
PHARMACY134826LACTATED RINGERS IV BOLUS $ 31.50
2557
PHARMACY109373LACTOBACILLUS BIFIDUS $ 2.63
2558
PHARMACY75268LACTULOSE 10 GM $ 1.68
2559
PHARMACY147297LACTULOSE ORAL SYRINGE $ 15.00
2560
PHARMACY50317LAMIVUDINE 10 MG/ML PO SOLN $ 15.54
2561
PHARMACY60094LAMIVUDINE 100 MG PO TABS $ 37.01
2562
PHARMACY47722LAMOTRIGINE 100 MG PO TABS $ 0.25
2563
PHARMACY47721LAMOTRIGINE 25 MG PO TABS $ 0.25
2564
PHARMACY36219LANOLIN EX OINT $ 7.98
2565
PHARMACY53462LATANOPROST 0.005 % OP SOLN $ 20.06
2566
PHARMACY36154L-CYSTEINE HCL 50 MG $ 47.57
2567
PHARMACY164299LETS KIT $ 2.59
2568
PHARMACY36277LEUCOVORIN 50 MG $ 26.88
2569
PHARMACY49708LEUCOVORIN CALCIUM 10 MG/ML IV SOLN $ 33.25
2570
PHARMACY36283LEUCOVORIN CALCIUM 5 MG PO TABS $ 2.20
2571
PHARMACY36279LEUCOVORIN CALCIUM 50 MG $ 16.11
2572
PHARMACY149748LEUCOVORIN ORAL SYRINGE $ 15.00
2573
PHARMACY5211065LEUKO IRR PLT PHERESIS EA UNIT $ 3,250.00
2574
PHARMACY5211057LEUKO IRR RBC EA UNIT $ 1,414.00
2575
PHARMACY5210927LEUKOREDUCED RBC EA UNIT $ 910.00
2576
PHARMACY56172LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT $ 10,542.91
2577
PHARMACY56173LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT $ 8,328.99
2578
PHARMACY70356LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT $ 1,449.70
2579
PHARMACY56242LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT $ 8,523.48
2580
PHARMACY47360LEUPROLIDE ACETATE 3.75 MG $ 2,329.99
2581
PHARMACY43388LEUPROLIDE ACETATE 7.5 MG IM KIT $ 3,431.72
2582
PHARMACY69526LEUPROLIDE ACETATE 7.5 MG SC KIT $ 724.50
2583
PHARMACY62687LEVETIRACETAM 250 MG PO TABS $ 0.26
2584
PHARMACY62688LEVETIRACETAM 500 MG PO TABS $ 0.41
2585
PHARMACY109651LEVETIRACETAM 500 MG/5ML IV SOLN $ 5.57
2586
PHARMACY158500LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN $ 68.95
2587
PHARMACY158499LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN $ 42.35
2588
PHARMACY152609LEVETIRACETAM ORAL SYRINGE $ 15.00
2589
PHARMACY43391LEVOBUNOLOL HCL 0.5 % OP SOLN $ 4.76
2590
PHARMACY56075LEVOCARNITINE 1 G $ 111.28
2591
PHARMACY8200018LEVOCARNITINE ORAL SYRINGE $ 15.00
2592
PHARMACY53791LEVOFLOXACIN 25 MG/ML IV SOLN $ 156.59
2593
PHARMACY153410LEVOFLOXACIN 250 MG $ 15.93
2594
PHARMACY53784LEVOFLOXACIN 250 MG PO TABS $ 0.46
2595
PHARMACY53785LEVOFLOXACIN 500 MG PO TABS $ 0.50
2596
PHARMACY153411LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN $ 6.30
2597
PHARMACY153412LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN $ 17.85
2598
PHARMACY145648LEVONORGESTREL 1.5 MG PO TABS $ 102.38
2599
PHARMACY134412LEVOTHYROXINE ORAL SYRINGE $ 15.00
2600
PHARMACY157684LEVOTHYROXINE SODIUM 100 MCG $ 233.56
2601
PHARMACY36311LEVOTHYROXINE SODIUM 100 MCG PO TABS $ 2.07
2602
PHARMACY43402LEVOTHYROXINE SODIUM 112 MCG PO TABS $ 2.07
2603
PHARMACY36312LEVOTHYROXINE SODIUM 125 MCG PO TABS $ 2.07
2604
PHARMACY36313LEVOTHYROXINE SODIUM 150 MCG PO TABS $ 2.07
2605
PHARMACY43404LEVOTHYROXINE SODIUM 175 MCG PO TABS $ 2.07
2606
PHARMACY36308LEVOTHYROXINE SODIUM 25 MCG PO TABS $ 2.07
2607
PHARMACY36309LEVOTHYROXINE SODIUM 50 MCG PO TABS $ 2.07
2608
PHARMACY36310LEVOTHYROXINE SODIUM 75 MCG PO TABS $ 2.07
2609
PHARMACY43401LEVOTHYROXINE SODIUM 88 MCG PO TABS $ 2.07
2610
PHARMACY8200711LIDOCAINE 1 % WITH EPI NA BICARBONATE IN NS $ 5.00
2611
PHARMACY146972LIDOCAINE 2 % JEL $ 18.90
2612
PHARMACY59056LIDOCAINE 4 % EX CREA $ 9.12
2613
PHARMACY64212LIDOCAINE 4 % EX PTCH $ 3.86
2614
PHARMACY78831LIDOCAINE 5 % EX OINT $ 155.92
2615
PHARMACY134673LIDOCAINE GARGLE $ 26.00
2616
PHARMACY36352LIDOCAINE HCL (CARDIAC) 20 MG/ML IV SOLN $ 9.31
2617
PHARMACY177203LIDOCAINE HCL (PF) 4 % IJ SOLN $ 11.73
2618
PHARMACY36344LIDOCAINE HCL 0.5 % IJ SOLN $ 5.60
2619
PHARMACY36345LIDOCAINE HCL 1 % IJ SOLN $ 4.91
2620
PHARMACY36341LIDOCAINE HCL 2 % EX GEL $ 15.94
2621
PHARMACY36347LIDOCAINE HCL 2 % IJ SOLN $ 7.07
2622
PHARMACY36343LIDOCAINE HCL 4 % EX SOLN $ 101.15
2623
PHARMACY49057LIDOCAINE IN D5W 4-5 MG/ML-% IV SOLN $ 10.50
2624
PHARMACY63349LIDOCAINE IN DEXTROSE 5-7.5 % IV SOLN $ 23.23
2625
PHARMACY36355LIDOCAINE VISCOUS 2 % MT SOLN $ 2.68
2626
PHARMACY134674LIDOCAINE-BICARB $ 1.82
2627
PHARMACY43426LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN $ 7.00
2628
PHARMACY43428LIDOCAINE-EPINEPHRINE 1 %-1:200000 IJ SOLN $ 19.11
2629
PHARMACY50402LIDOCAINE-EPINEPHRINE 1-1:100000 % IJ SOLN $ 6.65
2630
PHARMACY43431LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN $ 21.91
2631
PHARMACY50401LIDOCAINE-EPINEPHRINE 2-1:100000 % IJ SOLN $ 9.45
2632
PHARMACY50404LIDOCAINE-EPINEPHRINE 2-1:50000 % IJ SOLN $ 1.30
2633
PHARMACY64235LINEZOLID 600 MG PO TABS $ 16.90
2634
PHARMACY177181LINEZOLID 600 MG/300ML IV SOLN $ 63.00
2635
PHARMACY154435LINEZOLID ORAL SYR $ 12.18
2636
PHARMACY43445LIOTHYRONINE SODIUM 5 MCG PO TABS $ 2.23
2637
PHARMACY43451LISINOPRIL 10 MG PO TABS $ 0.25
2638
PHARMACY46549LISINOPRIL 2.5 MG PO TABS $ 0.25
2639
PHARMACY36430LISINOPRIL 20 MG PO TABS $ 0.25
2640
PHARMACY43453LISINOPRIL 5 MG PO TABS $ 0.25
2641
PHARMACY36433LITHIUM CARBONATE 150 MG $ 0.25
2642
PHARMACY36434LITHIUM CARBONATE 300 MG $ 0.51
2643
PHARMACY43456LITHIUM CARBONATE ER 300 MG $ 0.50
2644
PHARMACY43457LITHIUM CARBONATE ER 450 MG $ 0.70
2645
PHARMACY8200045LITHIUM ORAL SYRINGE $ 15.00
2646
PHARMACY74260L-METHYLFOLATE-B12-B6-B2 6-1-50-5 MG PO TABS $ 4.66
2647
PHARMACY36478LOPERAMIDE HCL 1 MG $ 4.34
2648
PHARMACY36477LOPERAMIDE HCL 2 MG $ 0.92
2649
PHARMACY80388LOPINAVIR-RITONAVIR 200-50 MG PO TABS $ 23.04
2650
PHARMACY65001LOPINAVIR-RITONAVIR 400-100 MG/5ML PO SOLN $ 72.14
2651
PHARMACY43468LORATADINE 10 MG PO TABS $ 0.25
2652
PHARMACY8200022LORATADINE ORAL SYRINGE $ 15.00
2653
PHARMACY63491LORATADINE-PSEUDOEPHEDRINE ER 10-240 MG $ 0.82
2654
PHARMACY36491LORAZEPAM 0.5 MG PO TABS $ 0.25
2655
PHARMACY36492LORAZEPAM 1 MG PO TABS $ 0.25
2656
PHARMACY43469LORAZEPAM 2 MG $ 3.13
2657
PHARMACY36490LORAZEPAM 2 MG/ML PO CONC $ 5.44
2658
PHARMACY134413LORAZEPAM ORAL SYR $ 15.00
2659
PHARMACY48995LOSARTAN POTASSIUM 25 MG PO TABS $ 0.25
2660
PHARMACY48996LOSARTAN POTASSIUM 50 MG PO TABS $ 0.25
2661
PHARMACY58137LOTEPREDNOL ETABONATE 0.5 % OP SUSP $ 185.68
2662
PHARMACY43477LYMPHOCYTE IMMUNE GLOBULIN 250 MG $ 1,525.55
2663
PHARMACY8200000MAALOX $ 1.79
2664
PHARMACY36647MAGNESIUM CITRATE $ 3.11
2665
PHARMACY8200305MAGNESIUM GLUCONATE $ 15.00
2666
PHARMACY8200048MAGNESIUM HYDROXIDE $ 15.00
2667
PHARMACY65134MAGNESIUM HYDROXIDE 400 MG $ 5.15
2668
PHARMACY36650MAGNESIUM LACTATE 84 MG (7MEQ) $ 0.88
2669
PHARMACY63268MAGNESIUM SULFATE (LAXATIVE) PO GRAN $ 4.77
2670
PHARMACY175353MAGNESIUM SULFATE 2 GM/50ML IV SOLN $ 31.15
2671
PHARMACY175355MAGNESIUM SULFATE 20 GM/500ML IV SOLN $ 12.25
2672
PHARMACY175357MAGNESIUM SULFATE 4 GM/50ML IV SOLN $ 18.03
2673
PHARMACY36656MAGNESIUM SULFATE 50 % IJ SOLN $ 1.88
2674
PHARMACY181804MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN $ 15.75
2675
PHARMACY134415MAGNESIUM SULFATE ORAL SYRINGE $ 15.00
2676
PHARMACY43506MALATHION 0.5 % EX LOTN $ 632.51
2677
PHARMACY36684MANGANESE CHLORIDE 0.1 MG $ 1.70
2678
PHARMACY36689MANNITOL 20 % $ 57.75
2679
PHARMACY36690MANNITOL 25 % - 50 ML $ 4.90
2680
PHARMACY43516MEASLES, MUMPS & RUBELLA VAC $ 176.52
2681
PHARMACY45283MECLIZINE HCL 12.5 MG PO TABS $ 0.25
2682
PHARMACY36769MECLIZINE HCL 25 MG $ 0.25
2683
PHARMACY54712MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP $ 126.60
2684
PHARMACY36809MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS $ 0.54
2685
PHARMACY36830MEGESTROL ACETATE 40 MG PO TABS $ 0.51
2686
PHARMACY109403MEGESTROL ACETATE 400 MG $ 11.06
2687
PHARMACY152214MEGESTROL ORAL SYRINGE $ 15.00
2688
PHARMACY51421MELATONIN 3 MG PO TABS $ 0.25
2689
PHARMACY8200340MELATONIN ORAL SYRINGE $ 15.00
2690
PHARMACY55657MELOXICAM 7.5 MG PO TABS $ 0.25
2691
PHARMACY74047MEMANTINE HCL 5 MG PO TABS $ 1.11
2692
PHARMACY77558MENINGOCOCCAL VACCINE 0.5 ML $ 352.89
2693
PHARMACY138108MENTHOL-ZINC OXIDE 0.44-20.625 % EX OINT $ 11.07
2694
PHARMACY36873MEPERIDINE 100 MG $ 15.14
2695
PHARMACY135425MEPIVACAINE 1.8ML $ 1.56
2696
PHARMACY151020MEPIVACAINE HCL (PF) 1 % $ 20.58
2697
PHARMACY43537MEPIVACAINE HCL 1.5 % $ 14.18
2698
PHARMACY36884MEPIVACAINE HCL 2 % $ 22.12
2699
PHARMACY43540MERCAPTOPURINE 50 MG PO TABS $ 3.61
2700
PHARMACY52032MEROPENEM 1 G IV SOLR $ 19.54
2701
PHARMACY52031MEROPENEM 500 MG IV SOLR $ 9.81
2702
PHARMACY77390MESALAMINE 1000 MG RE SUPP $ 88.96
2703
PHARMACY43544MESALAMINE 4 G $ 25.41
2704
PHARMACY164910MESALAMINE 400 MG $ 9.80
2705
PHARMACY43542MESALAMINE ER 250 MG $ 3.67
2706
PHARMACY8200544MESNA $ 15.00
2707
PHARMACY70729METAXALONE 800 MG PO TABS $ 11.33
2708
PHARMACY60073METFORMIN HCL 1000 MG PO TABS $ 0.25
2709
PHARMACY43554METFORMIN HCL 500 MG PO TABS $ 0.25
2710
PHARMACY48851METFORMIN HCL 850 MG PO TABS $ 0.25
2711
PHARMACY65224METFORMIN HCL ER 500 MG $ 0.25
2712
PHARMACY72622METFORMIN HCL ER 750 MG $ 0.27
2713
PHARMACY62934METHACHOLINE CHLORIDE 100 MG $ 163.87
2714
PHARMACY36925METHADONE HCL 10 MG PO TABS $ 0.65
2715
PHARMACY43556METHADONE HCL 10 MG/ML IJ SOLN $ 65.28
2716
PHARMACY36926METHADONE HCL 5 MG PO TABS $ 0.77
2717
PHARMACY8200381METHADONE INJ SYRINGE - ADULT $ 65.28
2718
PHARMACY8200390METHADONE ORAL SYRINGE 10 MG/ML $ 15.00
2719
PHARMACY43566METHIMAZOLE 5 MG PO TABS $ 0.25
2720
PHARMACY8200695METHIMAZOLE ORAL SYRINGE $ 15.00
2721
PHARMACY36945METHOCARBAMOL 500 MG PO TABS $ 0.38
2722
PHARMACY8200276METHOHEXITAL 10 % (PEDI) SOLUTION $ 154.42
2723
PHARMACY8200347METHOHEXITAL 10 MG $ 15.00
2724
PHARMACY43571METHOHEXITAL SODIUM 0.5 G $ 263.69
2725
PHARMACY36947METHOTREXATE 2.5 MG PO TABS $ 9.09
2726
PHARMACY162092METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN $ 71.54
2727
PHARMACY162091METHOTREXATE SODIUM (PF) 250 MG/10ML IJ SOLN $ 31.61
2728
PHARMACY162090METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN $ 6.87
2729
PHARMACY54715METHYLCELLULOSE $ 17.48
2730
PHARMACY36959METHYLDOPA 250 MG PO TABS $ 0.49
2731
PHARMACY36962METHYLENE BLUE 1 % $ 600.74
2732
PHARMACY179209METHYLENE BLUE 50 MG $ 543.97
2733
PHARMACY43587METHYLERGONOVINE MALEATE 0.2 MG $ 36.92
2734
PHARMACY43588METHYLERGONOVINE MALEATE 0.2 MG PO TABS $ 130.24
2735
PHARMACY138224METHYLNALTREXONE BROMIDE 12 MG $ 356.46
2736
PHARMACY158816METHYLNALTREXONE BROMIDE 8 MG $ 356.55
2737
PHARMACY36965METHYLPHENIDATE HCL 10 MG PO TABS $ 0.98
2738
PHARMACY36967METHYLPHENIDATE HCL 5 MG PO TABS $ 3.79
2739
PHARMACY64832METHYLPHENIDATE HCL ER 18 MG $ 13.23
2740
PHARMACY49076METHYLPREDNISOLONE (PAK) 4 MG PO TABS $ 27.64
2741
PHARMACY36973METHYLPREDNISOLONE 4 MG PO TABS $ 1.12
2742
PHARMACY36975METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP $ 22.87
2743
PHARMACY36976METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP $ 47.81
2744
PHARMACY43593METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR $ 78.44
2745
PHARMACY43594METHYLPREDNISOLONE SODIUM SUCC 125 MG $ 15.26
2746
PHARMACY43595METHYLPREDNISOLONE SODIUM SUCC 2000 MG IJ SOLR $ 148.23
2747
PHARMACY43596METHYLPREDNISOLONE SODIUM SUCC 40 MG $ 15.93
2748
PHARMACY43597METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR $ 57.02
2749
PHARMACY36984METOCLOPRAMIDE 10 MG $ 2.54
2750
PHARMACY110179METOCLOPRAMIDE HCL 10 MG $ 1.33
2751
PHARMACY36987METOCLOPRAMIDE HCL 10 MG PO TABS $ 0.25
2752
PHARMACY36988METOCLOPRAMIDE HCL 5 MG PO TABS $ 0.25
2753
PHARMACY134417METOCLOPRAMIDE ORAL SYR $ 15.00
2754
PHARMACY43603METOLAZONE 2.5 MG PO TABS $ 3.75
2755
PHARMACY43604METOLAZONE 5 MG PO TABS $ 4.34
2756
PHARMACY4200027METOLAZONE ORAL SYRINGE $ 15.00
2757
PHARMACY67242METOPROLOL SUCCINATE ER 100 MG $ 1.98
2758
PHARMACY66151METOPROLOL SUCCINATE ER 25 MG $ 1.03
2759
PHARMACY67241METOPROLOL SUCCINATE ER 50 MG $ 1.17
2760
PHARMACY36990METOPROLOL TARTRATE 100 MG PO TABS $ 0.25
2761
PHARMACY74527METOPROLOL TARTRATE 25 MG PO TABS $ 0.25
2762
PHARMACY138825METOPROLOL TARTRATE 5 MG $ 9.43
2763
PHARMACY36991METOPROLOL TARTRATE 50 MG PO TABS $ 0.25
2764
PHARMACY43613METRONIDAZOLE 0.75 % $ 191.84
2765
PHARMACY36997METRONIDAZOLE 250 MG PO TABS $ 1.00
2766
PHARMACY37000METRONIDAZOLE IN NACL 5-0.79 MG $ 7.70
2767
PHARMACY134418METRONIDAZOLE ORAL SYRINGE $ 15.00
2768
PHARMACY78150MICAFUNGIN SODIUM 50 MG IV SOLR $ 108.54
2769
PHARMACY69454MICONAZOLE NITRATE 100 MG VA SUPP $ 10.02
2770
PHARMACY37030MICONAZOLE NITRATE 2 % EX CREA $ 8.92
2771
PHARMACY47313MICONAZOLE NITRATE 2 % EX OINT $ 8.04
2772
PHARMACY37031MICONAZOLE NITRATE 2 % VA CREA $ 10.71
2773
PHARMACY60567MICONAZOLE NITRATE 200 & 2 MG $ 22.82
2774
PHARMACY8200047MIDAZOLAM (PEDI) 1 MG $ 129.00
2775
PHARMACY147924MIDAZOLAM (PEDI) 5 MG $ 58.45
2776
PHARMACY134689MIDAZOLAM 1 MG/ML INFUSION $ 129.00
2777
PHARMACY43632MIDAZOLAM HCL 1 MG/ML IJ SOLN $ 3.65
2778
PHARMACY59826MIDAZOLAM HCL 2 MG $ 17.22
2779
PHARMACY43633MIDAZOLAM HCL 5 MG/ML IJ SOLN $ 6.13
2780
PHARMACY8200285MIDAZOLAM IV SOLUTION RX $ 15.00
2781
PHARMACY136384MIDAZOLAM ORAL SYRINGE $ 15.00
2782
PHARMACY43634MIDODRINE HCL 2.5 MG PO TABS $ 1.35
2783
PHARMACY43635MIDODRINE HCL 5 MG PO TABS $ 1.74
2784
PHARMACY168007MILRINONE LACTATE 10 MG/10ML IV SOLN $ 13.69
2785
PHARMACY63339MINERAL OIL LIGHT OIL $ 35.91
2786
PHARMACY37088MINERAL OIL RE ENEM $ 7.45
2787
PHARMACY37114MINOXIDIL 10 MG PO TABS $ 0.72
2788
PHARMACY37115MINOXIDIL 2.5 MG PO TABS $ 0.43
2789
PHARMACY65801MIRTAZAPINE 15 MG $ 2.30
2790
PHARMACY52121MIRTAZAPINE 15 MG PO TABS $ 0.25
2791
PHARMACY60675MIRTAZAPINE 45 MG PO TABS $ 0.56
2792
PHARMACY43655MISOPROSTOL 100 MCG PO TABS $ 2.29
2793
PHARMACY43656MISOPROSTOL 200 MCG PO TABS $ 2.57
2794
PHARMACY8200398MISOPROSTOL 50 MCG $ 1.52
2795
PHARMACY8200633MITOMYCIN 0.2 MG (0.4 MG/ML) OP KIT $ 521.50
2796
PHARMACY161417MITOMYCIN 0.2 MG OP KIT $ 521.50
2797
PHARMACY43657MITOMYCIN 20 MG IV SOLR $ 1,179.71
2798
PHARMACY43658MITOMYCIN 40 MG IV SOLR $ 4,166.74
2799
PHARMACY43659MITOMYCIN 5 MG $ 778.13
2800
PHARMACY140308MITOXANTRONE HCL 20 MG/10ML IV CONC $ 972.13
2801
PHARMACY60398MODAFINIL 200 MG PO TABS $ 0.93
2802
PHARMACY57920MONTELUKAST SODIUM 10 MG PO TABS $ 0.97
2803
PHARMACY63158MONTELUKAST SODIUM 4 MG $ 0.95
2804
PHARMACY57921MONTELUKAST SODIUM 5 MG $ 0.73
2805
PHARMACY150610MORPHINE (CONCENTRATED) ORAL SYRINGE $ 15.00
2806
PHARMACY134443MORPHINE IM SYRINGE $ 15.00
2807
PHARMACY8200288MORPHINE IV SOLUTION RX $ 15.00
2808
PHARMACY134419MORPHINE ORAL SYR $ 15.00
2809
PHARMACY8200593MORPHINE PCA - ADULT $ 22.37
2810
PHARMACY8200594MORPHINE PCA - ELDERLY $ 22.37
2811
PHARMACY8200595MORPHINE PCA - PEDIATRIC $ 22.37
2812
PHARMACY8200327MORPHINE PF 10 MG/ML COMPOUND FOR INTRATHECAL - 20ML $ 385.00
2813
PHARMACY8200343MORPHINE PF 10 MG/ML COMPOUND FOR INTRATHECAL - 40ML $ 175.00
2814
PHARMACY4200032MORPHINE PF 25 MG/ML COMPOUND FOR INTRATHECAL - 20ML $ 412.00
2815
PHARMACY152604MORPHINE PF 25 MG/ML COMPOUND FOR INTRATHECAL- 40ML $ 525.00
2816
PHARMACY8200223MORPHINE PF 5 MG/ML COMPOUND FOR INTRATHECAL - 20ML $ 385.00
2817
PHARMACY152603MORPHINE PF 50 MG/ML COMPOUND FOR INTRATHECAL $ 455.00
2818
PHARMACY43682MORPHINE SULFATE (CONCENTRATE) 20 MG/ML PO SOLN $ 11.68
2819
PHARMACY65730MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN $ 64.72
2820
PHARMACY163940MORPHINE SULFATE (PF) 8 MG/ML IV SOLN $ 3.63
2821
PHARMACY37184MORPHINE SULFATE 10 MG/5ML PO SOLN $ 3.83
2822
PHARMACY37176MORPHINE SULFATE 10 MG/ML IJ SOLN $ 3.38
2823
PHARMACY37186MORPHINE SULFATE 15 MG PO TABS $ 1.27
2824
PHARMACY37177MORPHINE SULFATE 15 MG/ML IJ SOLN $ 3.24
2825
PHARMACY37178MORPHINE SULFATE 2 MG/ML IJ SOLN $ 6.88
2826
PHARMACY37187MORPHINE SULFATE 30 MG PO TABS $ 0.33
2827
PHARMACY37180MORPHINE SULFATE 4 MG/ML IJ SOLN $ 3.10
2828
PHARMACY165389MORPHINE SULFATE ER 100 MG $ 10.57
2829
PHARMACY165387MORPHINE SULFATE ER 15 MG $ 2.09
2830
PHARMACY165365MORPHINE SULFATE ER 30 MG $ 2.44
2831
PHARMACY165388MORPHINE SULFATE ER 60 MG $ 10.37
2832
PHARMACY50277MORPHINE SULFATE PF 10 MG $ 20.90
2833
PHARMACY37193MORRHUATE SODIUM 5 % $ 219.03
2834
PHARMACY72549MOXIFLOXACIN HCL 0.5 % OP SOLN $ 88.83
2835
PHARMACY139593MS/BUPIV/BACLOFEN COMPOUND PAIN MED $ 658.00
2836
PHARMACY63129MULTI-DELYN PO LIQD $ 21.84
2837
PHARMACY8200021MULTIVITAMIN (ADULT) $ 15.00
2838
PHARMACY8200031MULTI-VITAMIN (NICU/PEDI) $ 15.00
2839
PHARMACY8200032MULTI-VITAMIN/FE (NICU/PEDI) $ 15.00
2840
PHARMACY43703MUPIROCIN 2 % EX OINT $ 21.95
2841
PHARMACY51562MUPIROCIN CALCIUM 2 % NA OINT $ 47.34
2842
PHARMACY8200026MYCOPHENOLATE 250 MG $ 26.00
2843
PHARMACY49423MYCOPHENOLATE MOFETIL 250 MG $ 0.61
2844
PHARMACY64994NA CHONDROIT SULF-NA HYALURON 40-30 MG $ 207.94
2845
PHARMACY64988NA HYALUR & NA CHOND-NA HYALUR 0.55-0.5 ML $ 602.28
2846
PHARMACY37370NADOLOL 20 MG PO TABS $ 9.29
2847
PHARMACY37371NADOLOL 40 MG PO TABS $ 5.55
2848
PHARMACY37374NAFCILLIN SODIUM 1 G $ 16.29
2849
PHARMACY185724NAFCILLIN SODIUM 10 G $ 208.22
2850
PHARMACY37376NAFCILLIN SODIUM 2 G $ 26.22
2851
PHARMACY37420NALOXONE 1 MG $ 43.59
2852
PHARMACY8200692NALOXONE HCL 2 MG/2 ML IJ SOSY WITH ATOMIZER $ 89.79
2853
PHARMACY179151NALOXONE HCL 2 MG/2ML IJ SOSY $ 89.79
2854
PHARMACY81523NALTREXONE 380 MG IM SUSR $ 4,950.00
2855
PHARMACY43715NALTREXONE HCL 50 MG PO TABS $ 8.79
2856
PHARMACY37443NAPROXEN 500 MG PO TABS $ 0.25
2857
PHARMACY77132NATALIZUMAB 300 MG/15ML IV CONC $ 22,500.00
2858
PHARMACY37540NEOMYCIN SULFATE 500 MG PO TABS $ 2.17
2859
PHARMACY151125NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 $ 4.80
2860
PHARMACY54595NEOMYCIN-POLYMYXIN-HC 1 % OT SOLN $ 91.56
2861
PHARMACY64870NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP $ 77.04
2862
PHARMACY54594NEOMYCIN-POLYMYXIN-HC OP SUSP $ 190.26
2863
PHARMACY166988NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN $ 52.33
2864
PHARMACY8200259NEVIRAPINE $ 15.00
2865
PHARMACY37621NIACIN ER 500 MG $ 0.25
2866
PHARMACY45683NICARDIPINE HCL 2.5 MG $ 52.29
2867
PHARMACY43745NICARDIPINE HCL 20 MG $ 1.45
2868
PHARMACY63857NICOTINE 14 MG $ 4.75
2869
PHARMACY63858NICOTINE 21 MG $ 4.75
2870
PHARMACY63855NICOTINE 7 MG $ 4.75
2871
PHARMACY43750NICOTINE POLACRILEX 2 MG $ 0.68
2872
PHARMACY37637NIFEDIPINE 10 MG $ 2.00
2873
PHARMACY74591NIFEDIPINE ER 30 MG $ 0.94
2874
PHARMACY43756NIMODIPINE 30 MG $ 24.60
2875
PHARMACY135795NIMODIPINE ORAL 30 MG $ 15.00
2876
PHARMACY37685NITROFURANTOIN MACROCRYSTAL 50 MG $ 2.31
2877
PHARMACY43758NITROFURANTOIN MONOHYD MACRO 100 MG $ 3.92
2878
PHARMACY134420NITROFURANTOIN ORAL SYRINGE $ 15.00
2879
PHARMACY63437NITROGLYCERIN 0.1 MG/HR TD PT24 $ 1.63
2880
PHARMACY63438NITROGLYCERIN 0.2 MG/HR TD PT24 $ 1.28
2881
PHARMACY63439NITROGLYCERIN 0.3 MG/HR TD PT24 $ 10.99
2882
PHARMACY37698NITROGLYCERIN 0.4 MG SL SUBL $ 26.51
2883
PHARMACY63440NITROGLYCERIN 0.4 MG/HR TD PT24 $ 1.52
2884
PHARMACY63001NITROGLYCERIN 0.4 MG/SPRAY TL SOLN $ 91.46
2885
PHARMACY37700NITROGLYCERIN 2 % TD OINT $ 2.21
2886
PHARMACY37691NITROGLYCERIN 5 MG/ML IV SOLN $ 21.14
2887
PHARMACY37692NITROGLYCERIN ER 2.5 MG PO CPCR $ 0.25
2888
PHARMACY50285NITROGLYCERIN IN D5W 100-5 MCG-% $ 18.38
2889
PHARMACY50286NITROGLYCERIN IN D5W 200-5 MCG $ 15.75
2890
PHARMACY173601NOREPINEPHRINE BITARTRATE 1 MG $ 18.83
2891
PHARMACY134828NOREPINEPHRINE IN D5W 8-5 MG $ 131.64
2892
PHARMACY43786
NORGESTIM-ETH ESTRAD TRIPHASIC 0.18/0.215/0.25 MG-35 MCG PO TABS
$ 132.10
2893
PHARMACY37776NORTRIPTYLINE HCL 10 MG $ 0.33
2894
PHARMACY37777NORTRIPTYLINE HCL 25 MG $ 0.43
2895
PHARMACY37874NYSTATIN 100000 UNIT/GM EX CREA $ 23.05
2896
PHARMACY37875NYSTATIN 100000 UNIT/GM EX OINT $ 10.45
2897
PHARMACY76134NYSTATIN 100000 UNIT/GM EX POWD $ 16.85
2898
PHARMACY37876NYSTATIN 100000 UNIT/ML MT SUSP $ 2.78
2899
PHARMACY37881NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX CREA $ 12.29
2900
PHARMACY37882NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX OINT $ 12.29
2901
PHARMACY60877OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN $ 13.77
2902
PHARMACY60112OCTREOTIDE ACETATE 20 MG IM KIT $ 13,337.51
2903
PHARMACY60878OCTREOTIDE ACETATE 200 MCG/ML IJ SOLN $ 95.24
2904
PHARMACY54721OFLOXACIN 0.3 % OP SOLN $ 21.60
2905
PHARMACY57656OFLOXACIN 0.3 % OT SOLN $ 302.58
2906
PHARMACY75287OLANZAPINE 10 MG IM SOLR $ 93.24
2907
PHARMACY52677OLANZAPINE 10 MG PO TABS $ 0.44
2908
PHARMACY64168OLANZAPINE 10 MG PO TBDP $ 3.27
2909
PHARMACY62846OLANZAPINE 15 MG PO TABS $ 0.70
2910
PHARMACY56188OLANZAPINE 2.5 MG PO TABS $ 0.42
2911
PHARMACY52676OLANZAPINE 5 MG PO TABS $ 0.72
2912
PHARMACY64167OLANZAPINE 5 MG PO TBDP $ 2.18
2913
PHARMACY52678OLANZAPINE 7.5 MG PO TABS $ 1.58
2914
PHARMACY72987OMALIZUMAB 150 MG SC SOLR $ 3,834.34
2915
PHARMACY134421OMEPRAZOLE ORAL SYR $ 15.00
2916
PHARMACY63683ONDANSETRON 4 MG $ 0.60
2917
PHARMACY63684ONDANSETRON 8 MG $ 1.96
2918
PHARMACY43819ONDANSETRON HCL 4 MG PO TABS $ 1.32
2919
PHARMACY141034ONDANSETRON HCL 4 MG/2ML IJ SOLN $ 1.88
2920
PHARMACY53740ONDANSETRON HCL 4 MG/5ML $ 49.18
2921
PHARMACY147927ONDANSETRON ORAL SYRINGE $ 15.00
2922
PHARMACY134422OPIUM TINC $ 15.00
2923
PHARMACY57546OPRELVEKIN 5 MG $ 85.68
2924
PHARMACY162016OPTI-FREE PUREMOIST $ 17.98
2925
PHARMACY37996ORA-PLUS PO LIQD $ 0.25
2926
PHARMACY134423OSELTAMIVIR ORAL SYRINGE $ 3.50
2927
PHARMACY133025OSELTAMIVIR PHOSPHATE 30 MG $ 28.71
2928
PHARMACY155929OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR $ 295.05
2929
PHARMACY62403OSELTAMIVIR PHOSPHATE 75 MG $ 2.41
2930
PHARMACY145787OXALIPLATIN 100 MG/20ML IV SOLN $ 7.47
2931
PHARMACY69817OXALIPLATIN 50 MG IV SOLR $ 210.49
2932
PHARMACY38105OXAZEPAM 15 MG PO CAPS $ 1.85
2933
PHARMACY62951OXCARBAZEPINE 150 MG PO TABS $ 0.35
2934
PHARMACY56192OXCARBAZEPINE 300 MG PO TABS $ 0.63
2935
PHARMACY134425OXCARBAZEPINE ORAL SYR $ 15.00
2936
PHARMACY38112OXYBUTYNIN CHLORIDE 5 MG PO TABS $ 0.25
2937
PHARMACY43854OXYBUTYNIN CHLORIDE 5 MG SYRP $ 23.10
2938
PHARMACY74565OXYBUTYNIN CHLORIDE ER 5 MG $ 7.74
2939
PHARMACY64953OXYCODONE HCL 15 MG PO TABS $ 1.96
2940
PHARMACY64954OXYCODONE HCL 30 MG PO TABS $ 0.69
2941
PHARMACY43857OXYCODONE HCL 5 MG $ 20.65
2942
PHARMACY43858OXYCODONE HCL 5 MG PO TABS $ 0.57
2943
PHARMACY168019OXYCODONE HCL ER 10 MG $ 7.05
2944
PHARMACY168021OXYCODONE HCL ER 15 MG $ 10.54
2945
PHARMACY168022OXYCODONE HCL ER 20 MG $ 13.48
2946
PHARMACY168024OXYCODONE HCL ER 40 MG $ 23.88
2947
PHARMACY168026OXYCODONE HCL ER 80 MG $ 52.49
2948
PHARMACY38114OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS $ 0.67
2949
PHARMACY38115OXYCODONE-ASPIRIN 4.5-0.38-325 MG PO TABS $ 2.48
2950
PHARMACY38117OXYMETAZOLINE HCL 0.05 % NA SOLN $ 3.31
2951
PHARMACY38119OXYTOCIN 10 UNIT/ML IJ SOLN $ 3.96
2952
PHARMACY134829OXYTOCIN IN NACL 30-0.9% IV SOLN $ 40.25
2953
PHARMACY43894PACLITAXEL 6 MG/ML IV CONC $ 110.65
2954
PHARMACY77493PACLITAXEL PROTEIN-BOUND PART 100 MG IV SUSR $ 3,089.52
2955
PHARMACY78681PALIVIZUMAB 100 MG/ML IM SOLN $ 9,975.11
2956
PHARMACY153352PALIVIZUMAB 50 MG $ 5,282.59
2957
PHARMACY73477PALONOSETRON HCL 0.25 MG $ 696.47
2958
PHARMACY69179PAMIDRONATE DISODIUM 30 MG $ 27.79
2959
PHARMACY69488PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN $ 84.28
2960
PHARMACY149770PANCRELIPASE 21000 UNITS $ 18.51
2961
PHARMACY144711PANCRELIPASE 6000 UNITS $ 4.60
2962
PHARMACY146528PANCRELIPASE (LIP-PROT-AMYL) 5000 UNITS $ 4.31
2963
PHARMACY144712PANCRELIPASE 12000 UNITS $ 4.93
2964
PHARMACY156072PANCRELIPASE 3000-9500 $ 3.34
2965
PHARMACY149733PANTOPRAZOLE IV VIAL $ 21.00
2966
PHARMACY62061PANTOPRAZOLE SODIUM 40 MG $ 0.44
2967
PHARMACY65069PANTOPRAZOLE SODIUM per vial $ 9.89
2968
PHARMACY38222PAPAVERINE HCL 30 MG $ 34.03
2969
PHARMACY68225PARICALCITOL 2 MCG/ML IV SOLN $ 20.49
2970
PHARMACY51187PAROXETINE HCL 10 MG PO TABS $ 0.29
2971
PHARMACY43909PAROXETINE HCL 20 MG PO TABS $ 0.28
2972
PHARMACY75953PEG 3350-KCL-NABCB-NACL-NASULF 236 G = $ 28.00
2973
PHARMACY175358PEGFILGRASTIM 6 MG $ 19,228.23
2974
PHARMACY109852PEG-KCL-NACL-NASULF-NA ASC-C 100 G $ 163.03
2975
PHARMACY135445PENICILLIN 5MU-NS 100ML $ 31.00
2976
PHARMACY153343PENICILLIN G BENZATHINE & PROC 1200000 UNIT/2ML IM SUSP $ 412.13
2977
PHARMACY153341PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSP $ 431.63
2978
PHARMACY153342PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSP $ 884.55
2979
PHARMACY43952PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSP $ 249.19
2980
PHARMACY38296PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR $ 110.25
2981
PHARMACY38297PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR $ 19.77
2982
PHARMACY43959PENICILLIN G PROCAINE 600000 UNIT $ 38.24
2983
PHARMACY38304PENICILLIN V POTASSIUM 250 MG PO TABS $ 0.43
2984
PHARMACY8200231PENICILLIN VK ORAL SYRINGE $ 15.00
2985
PHARMACY76808PENTAFLUOROPROP-TETRAFLUOROETH EX AERO $ 31.00
2986
PHARMACY64246PENTAMIDINE ISETHIONATE 300 MG $ 268.17
2987
PHARMACY38311PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN $ 3,853.50
2988
PHARMACY56483PENTOXIFYLLINE ER 400 MG $ 0.47
2989
PHARMACY64215PEPPERMINT SPIRIT SPRT $ 13.13
2990
PHARMACY8200077PERFLUORO-N-OCTANE LIQUID $ 1,529.50
2991
PHARMACY55737PERMETHRIN 1 % $ 21.68
2992
PHARMACY43976PERMETHRIN 5 % $ 174.30
2993
PHARMACY38376PERPHENAZINE 16 MG PO TABS $ 3.55
2994
PHARMACY38378PERPHENAZINE 4 MG PO TABS $ 3.21
2995
PHARMACY38379PERPHENAZINE 8 MG PO TABS $ 1.52
2996
PHARMACY64562PETROLATUM WHITE GEL $ 8.28
2997
PHARMACY38426PHENAZOPYRIDINE HCL 100 MG PO TABS $ 1.50
2998
PHARMACY43992PHENELZINE SULFATE 15 MG PO TABS $ 1.82
2999
PHARMACY38462PHENOBARBITAL 120 MG $ 60.71
3000
PHARMACY38453PHENOBARBITAL 16.2 MG PO TABS $ 1.17
3001
PHARMACY38455PHENOBARBITAL 32.4 MG PO TABS $ 0.82
3002
PHARMACY134424PHENOBARBITAL ORAL SYR $ 15.00
3003
PHARMACY38459PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN $ 157.56
3004
PHARMACY73847PHENOL 1.4 % $ 4.96
3005
PHARMACY76592PHENOL 89 % $ 15.27
3006
PHARMACY44016PHENTOLAMINE MESYLATE 5 MG $ 1,292.27
3007
PHARMACY172074PHENYLEPHRINE 10 MG $ 10.44
3008
PHARMACY38484PHENYLEPHRINE HCL 0.25 % NA SOLN $ 10.34
3009
PHARMACY38485PHENYLEPHRINE HCL 0.5 % $ 10.66
3010
PHARMACY38487PHENYLEPHRINE HCL 10 % OP SOLN $ 26.88
3011
PHARMACY38488PHENYLEPHRINE HCL 2.5 % OP SOLN $ 100.87
3012
PHARMACY44033PHENYLEPHRINE IN HARD FAT 0.25 % RE SUPP $ 0.32
3013
PHARMACY50997PHENYLEPH-SHARK LIV OIL-MO-PET 0.25-3-14-71.9 % RE OINT $ 7.38
3014
PHARMACY44093PHENYTOIN 50 MG CHEW $ 1.73
3015
PHARMACY8200059PHENYTOIN ORAL SYRINGE $ 15.00
3016
PHARMACY38498PHENYTOIN SODIUM 50 MG/ML IJ SOLN $ 10.54
3017
PHARMACY38500PHENYTOIN SODIUM EXTENDED 100 MG $ 0.69
3018
PHARMACY44094PHENYTOIN SODIUM EXTENDED 30 MG $ 1.16
3019
PHARMACY38518PHYSOSTIGMINE SALICYLATE 1 MG $ 14.37
3020
PHARMACY44099PHYTONADIONE 5 MG PO TABS $ 131.68
3021
PHARMACY134450PHYTONADIONE ORAL SYR $ 15.00
3022
PHARMACY38529PILOCARPINE HCL 0.5 % OP SOLN $ 8.51
3023
PHARMACY38530PILOCARPINE HCL 1 % OP SOLN $ 269.85
3024
PHARMACY38531PILOCARPINE HCL 2 % OP SOLN $ 201.76
3025
PHARMACY38533PILOCARPINE HCL 4 % OP SOLN $ 213.83
3026
PHARMACY38547PINDOLOL 10 MG PO TABS $ 3.77
3027
PHARMACY61329PIOGLITAZONE HCL 15 MG PO TABS $ 0.64
3028
PHARMACY53111PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR $ 9.32
3029
PHARMACY53109PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR $ 18.67
3030
PHARMACY45949PIPERACILLIN SOD-TAZOBACTAM SO 40.5 (36-4.5) G IV SOLR $ 236.04
3031
PHARMACY71404PIPERACILLIN-TAZOBACTAM IN DEX 2-0.25 GM/50ML IV SOLN $ 49.28
3032
PHARMACY5211129PLASMA $ 300.00
3033
PHARMACY44118PNEUMOCOCCAL 25-VAL CONJ VACC 1 EACH $ 299.89
3034
PHARMACY38624PODOPHYLLUM RESIN 25 % $ 358.84
3035
PHARMACY44123POLIOVIRUS VACCINE INACTIVATED 1 VIAL $ 84.32
3036
PHARMACY166460POLY VITAMIN $ 0.25
3037
PHARMACY8200076POLYDIMETHYLSILOXANE PURIFIED $ 2,003.13
3038
PHARMACY68599POLYETHYLENE GLYCOL 3350 PO PACK $ 2.61
3039
PHARMACY60716POLYETHYLENE GLYCOL 3350 PO POWD $ 15.83
3040
PHARMACY38668POLYMYXIN B SULFATE 500000 UNITS $ 24.24
3041
PHARMACY44739POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN $ 12.81
3042
PHARMACY44131POLYSACCHARIDE IRON COMPLEX 150 MG $ 0.30
3043
PHARMACY49311PONARIS NA $ 29.30
3044
PHARMACY80759POTASSIUM & SODIUM PHOSPHATES 280-160-250 MG $ 0.74
3045
PHARMACY38707POTASSIUM ACETATE 2 MEQ $ 8.82
3046
PHARMACY44157POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN $ 6.30
3047
PHARMACY38716POTASSIUM CHLORIDE 2 MEQ $ 5.99
3048
PHARMACY38721POTASSIUM CHLORIDE 20 MEQ $ 12.66
3049
PHARMACY44159POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN $ 8.05
3050
PHARMACY44160POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN $ 6.30
3051
PHARMACY44162POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN $ 6.30
3052
PHARMACY73080POTASSIUM CHLORIDE CRYS ER 10 MEQ $ 0.93
3053
PHARMACY73081POTASSIUM CHLORIDE CRYS ER 20 MEQ $ 0.84
3054
PHARMACY72891POTASSIUM CHLORIDE IN NACL 20-0.45 $ 7.00
3055
PHARMACY44165POTASSIUM CHLORIDE IN NACL 20-0.9 $ 7.00
3056
PHARMACY44166POTASSIUM CHLORIDE IN NACL 40-0.9 MEQ $ 10.50
3057
PHARMACY134426POTASSIUM CHLORIDE ORAL SYR $ 15.00
3058
PHARMACY38732POTASSIUM IODIDE 1 GM $ 964.74
3059
PHARMACY8200638POTASSIUM PHOSPHATE 3 $ 46.46
3060
PHARMACY134427POTASSIUM PHOSPHATE ORAL SYRINGE $ 15.00
3061
PHARMACY56466PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS $ 0.25
3062
PHARMACY56465PRAMIPEXOLE DIHYDROCHLORIDE 1.5 MG PO TABS $ 0.33
3063
PHARMACY145377PRASUGREL HCL 10 MG PO TABS $ 1.96
3064
PHARMACY38757PRAZOSIN HCL 1 MG $ 0.70
3065
PHARMACY38758PRAZOSIN HCL 2 MG $ 0.98
3066
PHARMACY38778PREDNISOLONE ACETATE 1 % $ 112.32
3067
PHARMACY134428PREDNISOLONE ORAL SYRINGE $ 15.00
3068
PHARMACY65546PREDNISOLONE SODIUM PHOSPHATE 15 MG $ 15.00
3069
PHARMACY38787PREDNISONE 1 MG PO TABS $ 0.41
3070
PHARMACY38788PREDNISONE 10 MG PO TABS $ 0.61
3071
PHARMACY79162PREGABALIN 25 MG $ 21.12
3072
PHARMACY79163PREGABALIN 50 MG $ 16.20
3073
PHARMACY79164PREGABALIN 75 MG $ 16.19
3074
PHARMACY164921PRENATAL VITAMINS 28-0.8 MG PO TABS $ 0.25
3075
PHARMACY44216PRILOCAINE HCL 4 % $ 1.75
3076
PHARMACY44217PRILOCAINE-EPINEPHRINE 4% $ 1.75
3077
PHARMACY38849PRIMIDONE 250 MG PO TABS $ 1.11
3078
PHARMACY44219PRIMIDONE 50 MG PO TABS $ 0.32
3079
PHARMACY146740PRISMASOL BGK MEQ SOLN $ 350.00
3080
PHARMACY38870PROCAINAMIDE 1 GM $ 225.30
3081
PHARMACY38888PROCHLORPERAZINE 10 MG $ 40.28
3082
PHARMACY44229PROCHLORPERAZINE 25 MG RE SUPP $ 21.91
3083
PHARMACY38890PROCHLORPERAZINE MALEATE 10 MG PO TABS $ 0.25
3084
PHARMACY38891PROCHLORPERAZINE MALEATE 5 MG PO TABS $ 0.25
3085
PHARMACY58599PROGESTERONE MICRONIZED 100 MG $ 3.68
3086
PHARMACY44234PROMETHAZINE HCL 12.5 MG RE SUPP $ 19.67
3087
PHARMACY38939PROMETHAZINE HCL 25 MG $ 3.61
3088
PHARMACY38944PROMETHAZINE HCL 25 MG PO TABS $ 0.25
3089
PHARMACY44235PROMETHAZINE HCL 25 MG RE SUPP $ 24.07
3090
PHARMACY38942PROMETHAZINE HCL 6.25 MG $ 13.02
3091
PHARMACY8200348PROMETHAZINE ORAL SYRINGE $ 15.00
3092
PHARMACY44238PROPAFENONE HCL 150 MG PO TABS $ 0.52
3093
PHARMACY44239PROPAFENONE HCL 225 MG PO TABS $ 0.77
3094
PHARMACY74534PROPAFENONE HCL ER 325 MG $ 22.74
3095
PHARMACY74535PROPAFENONE HCL ER 425 MG $ 18.87
3096
PHARMACY38972PROPARACAINE HCL 0.5 % OP SOLN $ 110.72
3097
PHARMACY152599PROPOFOL (PEDI) INFUSION $ 19.60
3098
PHARMACY44242PROPOFOL 10 MG/ML IV EMUL $ 39.20
3099
PHARMACY8200761PROPRANOLOL 1 MG $ 15.00
3100
PHARMACY65582PROPRANOLOL HCL 1 MG $ 6.11
3101
PHARMACY38985PROPRANOLOL HCL 10 MG PO TABS $ 0.80
3102
PHARMACY38987PROPRANOLOL HCL 40 MG PO TABS $ 1.19
3103
PHARMACY75201PROPRANOLOL HCL ER 60 MG $ 1.15
3104
PHARMACY75202PROPRANOLOL HCL ER 80 MG $ 1.63
3105
PHARMACY38993PROPYLTHIOURACIL 50 MG PO TABS $ 2.07
3106
PHARMACY39009PROTAMINE SULFATE 10 MG $ 27.83
3107
PHARMACY169920PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS $ 5,887.50
3108
PHARMACY166582PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS $ 2,943.75
3109
PHARMACY8200353PSEUDODEPHEDRINE ORAL SYRINGE $ 15.00
3110
PHARMACY44272PSEUDOEPH-CHLORPHEN-DM 15-1-5 MG $ 6.72
3111
PHARMACY39049PSEUDOEPHEDRINE HCL 30 MG $ 10.08
3112
PHARMACY39050PSEUDOEPHEDRINE HCL 30 MG PO TABS $ 0.25
3113
PHARMACY153587PSYLLIUM 58.12 % PO PACK $ 1.07
3114
PHARMACY39076PYRAZINAMIDE 500 MG PO TABS $ 6.55
3115
PHARMACY149356PYRAZINAMIDE ORAL SYRINGE $ 15.00
3116
PHARMACY44338PYRIDOSTIGMINE BROMIDE 5 MG $ 56.76
3117
PHARMACY44340PYRIDOSTIGMINE BROMIDE 60 MG PO TABS $ 0.72
3118
PHARMACY44341PYRIDOSTIGMINE BROMIDE ER 180 MG $ 35.25
3119
PHARMACY39082PYRIDOXINE HCL 100 MG $ 27.46
3120
PHARMACY149358PYRIDOXINE ORAL SYRINGE $ 15.00
3121
PHARMACY57083QUETIAPINE FUMARATE 100 MG PO TABS $ 0.39
3122
PHARMACY57084QUETIAPINE FUMARATE 200 MG PO TABS $ 0.42
3123
PHARMACY57082QUETIAPINE FUMARATE 25 MG PO TABS $ 0.25
3124
PHARMACY80863QUETIAPINE FUMARATE 50 MG PO TABS $ 0.25
3125
PHARMACY142660QUETIAPINE FUMARATE ER 150 MG $ 24.72
3126
PHARMACY130102QUETIAPINE FUMARATE ER 200 MG $ 0.87
3127
PHARMACY130103QUETIAPINE FUMARATE ER 300 MG $ 1.75
3128
PHARMACY142400QUETIAPINE FUMARATE ER 50 MG $ 0.46
3129
PHARMACY44354QUINAPRIL HCL 20 MG PO TABS $ 0.49
3130
PHARMACY44356QUINAPRIL HCL 5 MG PO TABS $ 0.25
3131
PHARMACY39122QUINIDINE GLUCONATE 80 MG $ 58.77
3132
PHARMACY8200749QUINIDINE SULFATE ORAL SYRINGE $ 15.00
3133
PHARMACY39128QUININE SULFATE 324 MG $ 7.36
3134
PHARMACY62189QUINUPRISTIN-DALFOPRISTIN 500 MG $ 493.54
3135
PHARMACY44359RABIES IMMUNE GLOBULIN 150 UNIT/ML IM INJ $ 2,214.75
3136
PHARMACY186139RABIES IMMUNE GLOBULIN 300 UNIT/ML IJ SOLN $ 1,993.28
3137
PHARMACY57491RABIES VACCINE 1 ML $ 1,033.35
3138
PHARMACY159518RACEPINEPHRINE HCL 2.25 % $ 2.73
3139
PHARMACY57521RALOXIFENE HCL 60 MG PO TABS $ 2.80
3140
PHARMACY162730RALTEGRAVIR POTASSIUM 100 MG $ 15.77
3141
PHARMACY132928RALTEGRAVIR POTASSIUM 400 MG PO TABS $ 85.31
3142
PHARMACY44362RAMIPRIL 10 MG $ 0.68
3143
PHARMACY44363RAMIPRIL 2.5 MG $ 0.25
3144
PHARMACY182111RANIBIZUMAB 0.1 MG $ 6,825.00
3145
PHARMACY134431RANITIDINE ORAL SYR $ 15.00
3146
PHARMACY80900RANOLAZINE ER 500 MG $ 13.69
3147
PHARMACY70284RASBURICASE 0.5 mg $ 2,710.43
3148
PHARMACY39187REFRESH P.M. OP OINT $ 22.18
3149
PHARMACY138687REGADENOSON 0.4 MG/5ML IV SOLN $ 721.84
3150
PHARMACY53220REMIFENTANIL HCL 1 MG $ 192.99
3151
PHARMACY53222REMIFENTANIL HCL 2 MG $ 420.32
3152
PHARMACY58003REPAGLINIDE 1 MG PO TABS $ 0.25
3153
PHARMACY81035RHO D IMMUNE GLOBULIN 100 IU $ 3,009.82
3154
PHARMACY5211115RHOGAM 300 MICROGRAMS $ 198.00
3155
PHARMACY44395RIFAMPIN 150 MG $ 2.71
3156
PHARMACY44396RIFAMPIN 300 MG $ 1.58
3157
PHARMACY44394RIFAMPIN 600 MG $ 477.05
3158
PHARMACY134433RIFAMPIN ORAL SYR $ 15.00
3159
PHARMACY148998RIFAXIMIN 550 MG PO TABS $ 115.60
3160
PHARMACY44398RINGERS $ 10.50
3161
PHARMACY8200019RISPERIDONE $ 15.00
3162
PHARMACY61320RISPERIDONE 0.25 MG PO TABS $ 0.58
3163
PHARMACY72536RISPERIDONE 0.5 MG $ 1.18
3164
PHARMACY61321RISPERIDONE 0.5 MG PO TABS $ 0.25
3165
PHARMACY52029RISPERIDONE 1 MG $ 508.41
3166
PHARMACY53120RISPERIDONE 1 MG PO TABS $ 0.25
3167
PHARMACY72538RISPERIDONE 2 MG $ 2.76
3168
PHARMACY53118RISPERIDONE 2 MG PO TABS $ 0.25
3169
PHARMACY124241RISPERIDONE MICROSPHERES 12.5 MG IM SUSR $ 490.74
3170
PHARMACY74115RISPERIDONE MICROSPHERES 25 MG IM SUSR $ 1,484.40
3171
PHARMACY74116RISPERIDONE MICROSPHERES 37.5 MG IM SUSR $ 2,027.85
3172
PHARMACY74117RISPERIDONE MICROSPHERES 50 MG IM SUSR $ 2,103.15
3173
PHARMACY175350RITUXIMAB 100 MG $ 3,011.25
3174
PHARMACY175351RITUXIMAB 500 MG/50ML IV SOLN $ 15,056.25
3175
PHARMACY155759RIVAROXABAN 10 MG PO TABS $ 28.20
3176
PHARMACY157525RIVAROXABAN 15 MG PO TABS $ 28.20
3177
PHARMACY157526RIVAROXABAN 20 MG PO TABS $ 34.26
3178
PHARMACY132680RIVASTIGMINE 4.6 MG $ 23.66
3179
PHARMACY132681RIVASTIGMINE 9.5 MG $ 9.57
3180
PHARMACY64289RIVASTIGMINE TARTRATE 1.5 MG $ 2.16
3181
PHARMACY64290RIVASTIGMINE TARTRATE 3 MG $ 2.17
3182
PHARMACY5101264ROCEPHIN 250 MG INJ $ 72.00
3183
PHARMACY142033ROCURONIUM BROMIDE 100 MG $ 14.70
3184
PHARMACY142032ROCURONIUM BROMIDE 50 MG $ 6.53
3185
PHARMACY139893ROMIPLOSTIM 250 MCG SC SOLR $ 6,450.60
3186
PHARMACY56919ROPINIROLE HCL 0.25 MG PO TABS $ 0.35
3187
PHARMACY57059ROPINIROLE HCL 0.5 MG PO TABS $ 0.30
3188
PHARMACY56920ROPINIROLE HCL 1 MG PO TABS $ 0.25
3189
PHARMACY56921ROPINIROLE HCL 2 MG PO TABS $ 0.30
3190
PHARMACY8200543ROPIVACAINE 0.2% INFUSION $ 100.80
3191
PHARMACY52979ROPIVACAINE HCL 2 MG/ML IJ SOLN $ 236.60
3192
PHARMACY52982ROPIVACAINE HCL 5 MG/ML IJ SOLN $ 20.48
3193
PHARMACY74229SACCHAROMYCES BOULARDII 250 MG $ 1.93
3194
PHARMACY174869SACUBITRIL-VALSARTAN 24-26 MG PO TABS $ 20.77
3195
PHARMACY174870SACUBITRIL-VALSARTAN 49-51 MG PO TABS $ 20.77
3196
PHARMACY174871SACUBITRIL-VALSARTAN 97-103 MG PO TABS $ 20.77
3197
PHARMACY44426SALICYLIC ACID 3 % $ 18.90
3198
PHARMACY39433SALINE NASAL SPRAY 0.65 % SOLN $ 2.31
3199
PHARMACY64257SALMETEROL XINAFOATE 50 MCG $ 292.14
3200
PHARMACY63682SCOPOLAMINE 1 MG $ 64.34
3201
PHARMACY109763SELENIUM 40 MCG $ 0.75
3202
PHARMACY74521SELENIUM SULFIDE 2.5 % $ 13.02
3203
PHARMACY77488SENNA 176 MG $ 3.78
3204
PHARMACY8200049SENNA ORAL SYRINGE $ 15.00
3205
PHARMACY44462SENNOSIDES 8.6 MG PO TABS $ 0.25
3206
PHARMACY59871SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS $ 0.25
3207
PHARMACY44463SERTRALINE HCL 100 MG PO TABS $ 0.25
3208
PHARMACY54878SERTRALINE HCL 25 MG PO TABS $ 0.25
3209
PHARMACY44464SERTRALINE HCL 50 MG PO TABS $ 0.25
3210
PHARMACY8200081SERTRALINE ORAL SYRINGE $ 15.00
3211
PHARMACY135544SEVELAMER CARBONATE 800 MG PO TABS $ 4.38
3212
PHARMACY78832SILDENAFIL CITRATE 20 MG PO TABS $ 1.49
3213
PHARMACY4200033SILDENAFIL ORAL SYRINGE $ 15.00
3214
PHARMACY64002SILVER NITRATE 0.5 % $ 33.60
3215
PHARMACY44472SILVER NITRATE-POT NITRATE 75-25 % $ 0.84
3216
PHARMACY39677SILVER SULFADIAZINE 1 % $ 23.63
3217
PHARMACY39681SIMETHICONE 40 MG $ 5.78
3218
PHARMACY39680SIMETHICONE 80 MG $ 0.25
3219
PHARMACY44479SIMVASTATIN 10 MG PO TABS $ 0.25
3220
PHARMACY44480SIMVASTATIN 20 MG PO TABS $ 0.25
3221
PHARMACY44481SIMVASTATIN 40 MG PO TABS $ 0.25
3222
PHARMACY8200238SIROLIMUS ORAL SYRINGE $ 49.06
3223
PHARMACY39769SODIUM ACETATE 2 MEQ $ 0.32
3224
PHARMACY134434SODIUM BICARB ORAL SYR $ 15.00
3225
PHARMACY8200035SODIUM BICARBONATE 2% $ 15.00
3226
PHARMACY39774SODIUM BICARBONATE 4.2 % $ 7.32
3227
PHARMACY39781SODIUM BICARBONATE 650 MG PO TABS $ 0.25
3228
PHARMACY39777SODIUM BICARBONATE 8.4 % $ 25.20
3229
PHARMACY39800SODIUM CHLORIDE (HYPERTONIC) 5 % OP OINT $ 49.91
3230
PHARMACY39801SODIUM CHLORIDE (HYPERTONIC) 5 % OP SOLN $ 22.68
3231
PHARMACY39793SODIUM CHLORIDE 0.9 % IN NEBU $ 0.30
3232
PHARMACY44517SODIUM CHLORIDE 0.9 % IR SOLN $ 21.00
3233
PHARMACY39796SODIUM CHLORIDE 1 G PO TABS $ 0.25
3234
PHARMACY8200295SODIUM CHLORIDE 23.4 % SOLUTION $ 8.75
3235
PHARMACY39795SODIUM CHLORIDE 3 % IN NEBU $ 0.84
3236
PHARMACY39789SODIUM CHLORIDE 3 % IV SOLN $ 10.50
3237
PHARMACY