In 2017 the Senate spent a lot of time discussing ways to increase transparency in healthcare. Senate Bill (SB) 17-065 passed, which ensures that “self-pay” prices of common health care services are accessible to the public. We at Lincoln Health actively supported this bill because it aligns with our principle of providing the highest level of quality healthcare to our community at the lowest price possible.

 

 

IF YOU ARE COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONSULT WITH YOUR HEALTH INSURER TO DETERMINE ACCURATE INFORMATION ABOUT YOUR FINANCIAL RESPONSIBILITY FOR A PARTICULAR HEALTH CARE SERVICE PROVIDED AT LINCOLN COMMUNITY HOSPITAL, CLINICS OR CARE CENTER. IF YOU ARE NOT COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONTACT OUR BUSINESS OFFICE AT 719-743-2421 ext 3222 TO DISCUSS PAYMENT OPTIONS PRIOR TO RECEIVING A HEALTH CARE SERVICE FROM THIS HEALTH CARE FACILITY SINCE POSTED HEALTH CARE PRICES MAY NOT REFLECT THE ACTUAL AMOUNT OF YOUR FINANCIAL RESPONSIBILITY.

In-Patient Charges

36415Lab- Veinpuncture$20.00
85025Lab-Complete Blood Count$43.00
80048Lab-Basic Metabolic Panel$125.00
80053
Lab-Comprehensive Metabolic Panel
$145.00
97162Physical Therapy- PT Evaluation Moderate$150.00
71020Radiology- Chest 2 View X-Ray$295.00
97110Physical Therapy- Therapeutic Exercise 15 minute session$70.00
97530Physical Therapy- Functional Evaluation 15 minute session$70.00
83880
Lab-B Type Natriuretic Peptide (BNP)$85.00
81001Lab-Routine UA$18.00
93005Radiology-Electrocardiogram (EKG)$225.00
85610Lab-Protime$45.00
97116Physical Therapy-Gait Training (Complex) 15 minute session$70.00
97165Occupational Therapy-Evaluation Low Complexity$150.00
97166Occupational Therapy-Evaluation Moderate Complexity$150.00
97535Physical Therapy-Activites/ Daily Living Evaluation$70.00
84512Lab- Troponin$155.00
83735Lab- Magnesium Test$45.00
97161Physical Therapy- PT Evaluation Low Complexity$150.00
87086Lab-Urine Culture$29.70
84443Lab-Thyroid Stimulating Hormone (THS)$65.00
87040Lab-Aerobic/ Anaerobic Blood Culture$145.00
82270Lab-Hemoculture$30.00
80202Lab-Vancomycin Peak Test$0.00
36592Lab-IV PICC Line Insertion$125.00
83605Lab-Lactate$110.00
93307Radiology-Echocardiogram Complete$1575.00
94762Respiratory Therapy-Pulse Ox/O2 Saturation$21.60
85379Lab-D-Dimer$165.00
83036Lab-Hemoglobin A1c$125.00

Out-Patient Charges

99214Clinic – Office Visit Established Patient, Level 2$210.00
85025Lab-Complete Blood Count$43.00
80053Lab – Comprehensive Metabolic Panel$145.00
99213Clinic – Office Visit Established Patient, Level 3$135.00
99211Clinic – Office Visit Established Patient, Level 1$150.00
85610Lab – Protime$45.00
80061Lap Lipid Profile$65.00
96372ER Injection$27.00
99283ER Level 3 ER Visit$805.00
90471Clinic-Immunization Administration Fee$8.00
90832Behavioral Health- 30 minute Individual Session$70.00
93005Radiology- Diagnostic Electrocardiogram (EKG)$225.00
36592Lab- Blood Draw$125.00
71020Radiology- Chest Tube View X-Ray$295.00
99284ER- Level 4 ER Visit$1314.00
99201Clinic-Office Visit New Patient Level 1$100.00
90656Pharmacy- Flu Vaccination$25.00
96365ER-IV Infusion First Hour$343.00
97140Physical Therapy- Manual Therapeutic Exercise 15 minute session$70.00
96374ER-IV Push-initial$65.00
99080Clinic-Office Visit- CDL Physical$50.00
81003Lab-Dipstick-UA Only$8.00
99336Office Visit – Assisted Care Established Patient Moderate Complexity$80.00
97162Physical Therapy- Evaluation Moderate Complexity$150.00
99282ER-Level 2 ER Visit$404.00
90853Behavioral Health- Group Counseling Session$31.00
G0103Lab-Prostate Specific Antigen Screening (Annually)$62.00
87430Lab-Rapid Group A$18.00
96375ER-IV Infuison Additional After First Hour$27.00

Our goal is to provide meaningful and reliable information to help you understand prices in advance of your procedure. We have put together the top inpatient and outpatient procedure costs for self-pay individuals to give you an estimate of the expected pricing for commonly provided health care services at Lincoln Health.

Actual prices on your final bill may vary from this information based on the patient’s medical condition, unknown circumstances or complications, final diagnosis, and recommended treatment ordered by the attending physician(s). Please be advised that while the hospital/clinic attempts to estimate the prices of care as accurately as possible, there may be significant variations between the prices listed and the actual price reflected on your final bill.

 

Use the tool below to create an estimate

Chargemaster

CDM Item NumberRevenue CodeService IDService Mod1Service Mod2Service Mod3Service Mod4Service DescriptionGross ChargeDiscounted Cash PriceMinimum Negotiated ChargeMaximum Negotiated ChargePayer Negotiated Charge: Aetna (Plan: All)Payer Negotiated Charge: Blue Cross Blue Shield of CO (Plan: Default)Payer Negotiated Charge: Blue Cross Blue Shield of CO (Plan: Medicare Advantage)Payer Negotiated Charge: Bright Health Plan (Plan: Medicare Advantage)Payer Negotiated Charge: Cigna (Plan: All)Payer Negotiated Charge: Cigna (Plan: Default)Payer Negotiated Charge: Cofinity (Plan: All)Payer Negotiated Charge: First Health (Plan: All)Payer Negotiated Charge: Friday Health Plans of Colorado Inc (Plan: All)Payer Negotiated Charge: Great West Healthcare CO (Plan: All)Payer Negotiated Charge: Humana (Plan: All)Payer Negotiated Charge: Humana (Plan: Medicare Advantage)Payer Negotiated Charge: PacifiCare PPO All States (Plan: PPO)Payer Negotiated Charge: PHCS Savility Payers (Plan: All)Payer Negotiated Charge: Rocky Mountain Health Plan (Plan: All)Payer Negotiated Charge: United Healthcare (Plan: All)Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage)
30100070270TOURNIQUET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100080276INTRAOCULAR LENS (IOL)289.00289.00
30100090270CHEST TUBE INSERTION TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100100270BATH SPONGE W/HANDLE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100110270COMPRESSION DEVICE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100120270SEALEASY KIT91.0091.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100130270YANKAUER VENTED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100140270MEDSYSTEM TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100180270PROTIME STRIP48.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100190270A6456UNNA BOOT69.0069.00
30100200270PROBE DISP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100210270HYBRESIS PATCH90.0090.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100250270L4350AIR STIRRUP237.00237.00
30100290270A4565ARM SLING MD38.0038.00
30100300270MECONIUM ASPIRATOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100310270MASK C-PAP MD 1/2492.00492.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100330270THUMB SPICA RIGHT69.0069.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100340270DUPEL ELECTRODES0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100350270PEAK FLOW METER100.00100.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100360278C1751POWER PICC1279.001279.00
30100380270ENDO SPATULA0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100390270ENDO PISTOL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100400270THERACANE126.00126.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100410270THERABAND9.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100420270MAX CORE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100430270WAFFLE BOOT182.00182.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100440270DECLOGGER 18-24FR50.0050.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100450270DECLOGGER 20-22FR63.0063.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100460270DINAMAP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100470270BITE STICK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100480270TOURNIQUET/ 15 MINUTES0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100490270OSTOMY WAFER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100500279REACHER/ GRABBER74.0074.000.0018.340.0018.343.80
30100510270STOMAHESIVE PASTE [20 OZ]51.0051.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100520270POLYDERM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100530270EPISTAXIS KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100540270CERVICAL TRACTION UNIT226.00226.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100550271KNUCKLE BENDER223.00223.00
30100560270ACAPELLA0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100570270MEPILEX/BORDER 4X448.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100580270MEPILEX 4X444.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100590270PLEURX DRAIN447.00447.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100600270ENDO FAN 10MM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100610270PNEUMOTHORAX 14G88.0088.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100620270AED PED PAD466.00466.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100630270CPAP AMBULANCE265.00265.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100640270A4629TRACHEOSTOMY CARE KIT31.0031.00
30100650270DRAPE MINOR PROCEDURE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100660270A4649SUTURE CHROM 5-0 687G70.0070.000.0068.870.000.0068.8715.99
30100670270A4649SUTURE VICRYL O J97819.0019.000.0068.870.000.0068.8715.99
30100680270A4649SUTURE VICRYL 2-0 J269-8718.0018.000.0068.870.000.0068.8715.99
30100700270A4649SUTURE VICRYL 5-0 J49539.0039.000.0068.870.000.0068.8715.99
30100710270A4649SUTURE ETHILON 3-0 66919.0019.000.0068.870.000.0068.8715.99
30100720270A4649SUTURE ETHILON 3-0 66319.0019.000.0068.870.000.0068.8715.99
30100730270A4649SUTURE PROLENE 0 843423.0023.000.0068.870.000.0068.8715.99
30100740270A4649SUTURE PROLENE 5-0 860537.0037.000.0068.870.000.0068.8715.99
30100750270A4649SUTURE ETHILON 3-0 669H18.0018.000.0068.870.000.0068.8715.99
30100760270A4649SUTURE ETHILON 3-0 663H69.0069.000.0068.870.000.0068.8715.99
30100770270A4649SUTURE PROLENE 0 8434H24.0024.000.0068.870.000.0068.8715.99
30100780270A4649SUTURE VICRYL 0 J978H18.0018.000.0068.870.000.0068.8715.99
30100790270A4649SUTURE VICRYL 2-0 J269H17.0017.000.0068.870.000.0068.8715.99
30100810270A4649SUTURE CHROMIC 687G63.0063.000.0068.870.000.0068.8715.99
30100820270TOE CAP/ VISCO (GEL)29.0029.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100830270INSOLE/ FULL LENGTH GEL182.00182.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100840270EXTENSION SET (MICRO)0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100850270ELECTRODE/ STANDRD NEEDLE37.0037.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100860270DRAPE/ FENESTRATION0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100870270CATH CLEAN25.0025.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100880270TENDER GRIP14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100890270DEPENDS SLIP-ON MEDIUM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100900270CANNULA- ENDOBIOPSY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100910270EAKIN SEAL 4"40.0040.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100920270L3480TULLI HEEL CUP REG130.00130.00
30100930270STOMACH TUBE SUMP 10FR48.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100940270ALLEVYN 4X459.0059.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100950270A4649SUTURE ETHILON 5.0 166669.0069.000.0068.870.000.0068.8715.99
30100960270SAM PELVIC SLING486.00486.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100970270Q4051SAM SPLINT 36"191.00191.00
30100980270SAM SPLINT 18"158.00158.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30100990270MAXORB DRESSING 2X227.0027.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101000270A4649SUTURE PROLENE 4.0 863469.0069.000.0068.870.000.0068.8715.99
30101020270KATZ EXTRACTOR552.00552.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101030270COTTON TIP APPLICATOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101040270DEPENDS - INDIVIDUAL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101070270MEDIFIX (BOX)0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101160270CATH KIT UNIVERSAL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101170270ALLEVYN HEEL 9X9132.00132.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101180270A6212MEPILEX - SACRUM90.0090.00
30101190270MEPILEX/BORDER 3X348.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101200270ANTI REFLUX VALVE121.00121.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101210270URINAL/FEMALE4.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101220270A4649SUTURE VICRYL 4-0 J392H69.0069.000.0068.870.000.0068.8715.99
30101230270MEPILEX/BORDER 1.6X248.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101250270GLIDE SCOPE SZ 30.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101260270HEEL LIFT45.0045.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101270270ESMARK 3"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101280270OB INSTRUMENT TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101310270INFANT WARMER30.0030.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101320270MINOR CLINIC SET27.0027.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101330270LIMB HOLDER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101340270SLING & SWATH S/M110.00110.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101350270PRISMA97.0097.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101360270HEEL PROTECTOR - LARGE235.00235.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101370253E&D OINTMENT33.0033.007.077.077.07
30101380270SUB Q24.0024.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101430270CAST PADDING 3" ROLL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101440270EUCERIN CREAM 16 OZ72.0072.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101490270MEPILEX/BORDER 6X669.0069.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101500270POWDER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101540270COLOSTOMY BOX0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101550270E0570NASAL DELIVERY0.000.00
30101560279DEPENDS SLIP-ON X-LARGE0.000.000.0018.340.0018.343.80
30101580270CANVAS ANKLE BRACE SM84.0084.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101590270CANVAS ANKLE BRACE MD68.0068.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101600270L1902CANVAS ANKLE BRACE LG84.0084.00
30101610270CERVICAL COLLAR SM19.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101620270CERVICAL COLLAR LG42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101630270CLAVICAL BRACE SM69.0069.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101640270CLAVICAL BRACE LG72.0072.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101650270CLAVICAL BRACE X-LG61.0061.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101660270CRUTCHES CHILD63.0063.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101670270E0110CRUTCHES TALL84.0084.00
30101680270C-SECTION KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101760270BIOPSY PUNCH 3MM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101770270BIOPSY PUNCH 4MM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101790270BIOPSY PUNCH 6MM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101800270BIOPSY PUNCH 8MM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101810270LIVER BIOPSY KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101820270A6413NEEDLE BUTTERFLY 23G 3/4"0.000.00
30101830270A6413NEEDLE BUTTERFLY 25G 3/4"0.000.00
30101840270CATH MALE EXTERNAL SM4.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101850270CATH MALE EXTERNAL LG4.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101860270CATH COUDE 16FR 5-10CC37.0037.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101870270CATH COUDE 18FR 5-10CC37.0037.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101880270CATH COUDE 20FR 5-10CC29.0029.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101890279MASK C-PAP SM2.002.000.0018.340.0018.343.80
30101900270EZ-IO 15MM515.00515.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101910270MASK ANETH. SZ 20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101920270MASK ANETH. SZ 30.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101930270MASK ANETH. SZ 60.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101940270MASK ANETH. NEONATE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101950270GLIDE SCOPE SZ 40.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101960270INTROCAN 14G17.0017.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101970270INTROCAN 16G17.0017.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101980270INTROCAN 20G16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30101990270BED PAN0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102000270INTROCAN 22G24.0024.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102010270INTROCAN 24G0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102020270TRACH TUBE 4.012.0012.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102030270TRACH TUBE 4.5 UNCUFFED14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102040270TRACH TUBE 4.514.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102050270TRACH TUBE 3.0 UNCUFFED14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102060270TRACH TUBE 3.5 UNCUFFED14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102070270TRACH TUBE 5.0 UNCUFFED14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102080270TRACH TUBE 5.514.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102090270TRACH TUBE 6.0 UNCUFFED19.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102100270FRAZIER SUCTION 10FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102110270TRACH TUBE 6.513.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102120270TRACH TUBE 7.013.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102130270TRACH TUBE 7.513.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102140270TRACH TUBE 8.012.0012.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102150270TRACH TUBE 8.512.0012.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102160270FRAZIER SUCTION 8FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102170270L3480TULLI HEEL CUP LG113.00113.00
30102180270WONDERSORB SM137.00137.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102190270WONDERSORB LG137.00137.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102200270WONDERSORB XL133.00133.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102210270PROTECTOR HEEL OR ELB EA85.0085.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102220270SILIPOS HEEL SPUR LG85.0085.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102230270NEEDLE HUBER 20G 1/2"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102240270KNEE IMMOB SM121.00121.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102250270L1830KNEE IMMOB LG142.00142.00
30102260270KNEE IMMOB XL132.00132.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102270274KNEE SLEEVE OPEN PAT. SM183.00183.00
30102280274KNEE SLEEVE OPEN PAT. MD205.00205.00
30102290270A4467KNEE SLEEVE OPEN PAT. LG205.00205.00
30102300270KNEE SLEEVE OPEN PAT. XLG205.00205.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102310270L1836KNEE SLEEVE OPEN PAT. 2XL205.00205.00
30102320270A4467KNEE SLEEVE SM72.0072.00
30102330270KNEE SLEEVE LG72.0072.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102340270KNEE SLEEVE XL116.00116.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102350270KNEE SLEEVE 2XL121.00121.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102360270LEG WALKER SM184.00184.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102370270LEG WALKER LG237.00237.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102380270LEG WALKER XL202.00202.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102390270LMA SZ 20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102400270LMA SZ 2.50.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102410270LMA SZ 30.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102420270LMA SZ 40.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102490270NRB MASK PED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102500270NUGAUZE 1/4"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102510270NUGAUZE 1/2"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102520270A4565ARM SLING XS38.0038.00
30102530270A4565ARM SLING S38.0038.00
30102540270A4565ARM SLING LG24.0024.00
30102550270A4565ARM SLING XL38.0038.00
30102570279MASK AEROSOL PED0.000.000.0018.340.0018.343.80
30102580270SUCTION CATH N GLOVE 10FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102590270SUCTION CATH N GLOVE 18FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102600270SUCTION CATH N GLOVE 8FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102610270CATH SILICONE 24FR 10CC30.0030.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102620270CATH SILICONE 16FR 10CC30.0030.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102630270CATH SILICONE 12FR 5 CC30.0030.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102640270CATH 16FR 30CC 3-WAY23.0023.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102660270COMBI TUBE 41FR244.00244.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102670270CHAPSTICK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102680270CHAPSTICK NON PETRO0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102690270SCAPLE #110.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102700270POST-OP SHOE WOMEN SM42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102710270POST-OP SHOE WOMEN LG42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102720270L3260POST-OP SHOE MEN SM42.0042.00
30102730270L3260POST-OP SHOE MEN MD42.0042.00
30102740270L3260POST-OP SHOE MEN LG42.0042.00
30102750270L3260POST-OP SHOE MEN XL42.0042.00
30102760270DENTURE BRUSH0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102770270QUICK TRACH PED773.00773.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102780270REMEDY SKIN REPAIR WHITE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102790270REMEDY SKIN REPAIR ORANGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102800270SILVASORB 4X463.0063.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102810270SILVASORB CIRCLE25.0025.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102820270SHILEY TRACH 4.0 PED261.00261.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102830270SHILEY TRACH 8.0291.00291.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102840270SHOULDER IMMOB. SM71.0071.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102850270SHOULDER IMMOB. MD88.0088.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102860270SHOULDER IMMOB. LG88.0088.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102870270SHOULDER IMMOB. XL74.0074.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102880270L3908THUMB SPICA LEFT69.0069.0065.5565.5565.55
30102890270NEEDLE SPINAL 18G 3 1/20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102900270NEEDLE SPINAL 20G 3 1/20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102910270NEEDLE SPINAL 22G 3 1/20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102920270NEEDLE SPINAL 25G 3 1/20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102930270A4215NEEDLE SPINAL 25G 30.000.00
30102940270NEEDLE SPINAL 22G 1 1/20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102950270SPLINT DISP 18"21.0021.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102960270SPLINT DISP 24"34.0034.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102970270STETHOSCOPE DISP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102980270STYLETTE 6FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30102990270L1902SWEDE-O SM232.00232.00
30103000270L1902SWEDE-O LG185.00185.00
30103010270L1902SWEDE-O XL232.00232.00
30103020270THIGH HI MD/SH44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103030270THIGH HI MD/LONG44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103040270THIGH HI SM/SH43.0043.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103050270OR DRAPE SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103060270THIGH HI SM/RG43.0043.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103070270THIGH HI SM/LONG44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103080270THIGH HI LG/SH44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103090270THIGH HI LG/RG44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103100270THIGH HI LG/LONG44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103110270THIGH HI XLG/RG44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103120270RES-Q FILTER19.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103130271KNEE HI MD/LONG44.0044.00
30103140271KNEE HI SM/RG44.0044.00
30103150271KNEE HI SM/LONG44.0044.00
30103160271KNEE HI LG/RG44.0044.00
30103170271A6530KNEE HI LG/LONG44.0044.00
30103180271KNEE HI XLG/RG44.0044.00
30103190271KNEE HI XLG/LONG44.0044.00
30103210270U-BAG ADULT55.0055.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103230270VERTABRACE INFANT/PED84.0084.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103240270VERTABRACE TALL2.002.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103250270WOUND VAC DRESSING LG283.00283.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103260270WOUND VAC DRESSING SM174.00174.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103270270WRIST SPLINT UNI LEFT69.0069.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103280270WRIST SPLINT UNI RIGHT69.0069.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103290270A4570W/F SPLINT UNI LEFT60.0060.00
30103300270A4570W/ F SPLINT UNI RIGHT60.0060.00
30103310270TRACH TUBE 5.020.0020.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103320270SLING & SWATH L/XL71.0071.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103330270KNEE IMMOB UNI153.00153.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103340270SUCTION CATH N GLOVE 14FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103370270TRACH TUBE 9.043.0043.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103380270LINTON TUBE2213.002213.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103390270ILLINOIS NEEDLE151.00151.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103400270EXU-DRY DRESSING 3X510.0010.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103410270EXU-DRY DRESSING 20X2822.0022.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103420270OIL EMLSN 3X85.005.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103430278C1729CHEST TUBE 24FR44.0044.00
30103440278C1729CHEST TUBE 36FR44.0044.00
30103450278C1729CHEST TUBE 32FR44.0044.00
30103460278C1729CHEST TUBE 10FR44.0044.00
30103470278C1729CHEST TUBE 16FR44.0044.00
30103480270CHEST TUBE 40FR44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103490270SHILEY TRACH 8 DCT244.00244.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103500270SHILEY TRACH 5.0 PED221.00221.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103510270SHILEY TRACH 6 DFEN263.00263.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103520270SHILEY TRACH 6 DCT244.00244.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103530270SHILEY TRACH 6 CFS246.00246.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103540270PENROSE DRAIN 7/84.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103550270PENROSE DRAIN 1/24.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103560270MASK ANETH INFANT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103570270AQUA CELL AG 4X5139.00139.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103580270VASELINE 1X86.006.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103590279DEPENDS SLIP-ON 2X0.000.000.0018.340.0018.343.80
30103620270L1812KNEE BRACE HINGED SM492.00492.00
30103630270L1812KNEE BRACE HINGED LG492.00492.00
30103640274L1812KNEE BRACE HINGED XLG633.00633.00
30103660270A4649SUTURE ETHILON 5.0 690G69.0069.000.0068.870.000.0068.8715.99
30103670270A4649SUTURE MERSILENE 2.0 R66522.0022.000.0068.870.000.0068.8715.99
30103680270A4649SUTURE VIRCYL 4.0 VCP39224.0024.000.0068.870.000.0068.8715.99
30103690270A4649SUTURE SILK 4.0 781B31.0031.000.0068.870.000.0068.8715.99
30103700270A4649SUTURE POLYSIN 5.0 GD506N31.0031.000.0068.870.000.0068.8715.99
30103710270A4649SUTURE CHROMIC 4.0 79327.0027.000.0068.870.000.0068.8715.99
30103720270A4649SUTURE CHROMIC 4.0 U203H69.0069.000.0068.870.000.0068.8715.99
30103730270A4649SUTURE CHROMIC 5.0 CD687DA45.0045.000.0068.870.000.0068.8715.99
30103750270ORAL RAE 6.0 CUFFED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103760270ORAL RAE 3.0 UNCUFFED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103770270ORAL RAE 3.5 UNCUFFED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103780270ORAL RAE 5.0 CUFFED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103790270ORAL RAE 4.0 CUFFED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103800270ORAL RAE 5.5 CUFFED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103810270NASAL RAE 3.00.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103820270NASAL RAE 3.50.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103830270NASAL RAE 4.00.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103840270NASAL RAE 4.50.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103850270MAXORB ag 4X451.0051.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103870270REMEDY RED36.0036.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103880270CATH SILICONE 22fr 3 way50.0050.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103900270LYNARD SPLINT245.00245.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103910270LYNARD COVER134.00134.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103920270ORTHO GEL79.0079.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103930270CPAP ADULT MEDIUM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103940270CPAP ADULT LG269.00269.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103950270ORAL RAE 4.5 CUFFED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103960270SKINTEGRITY HYGEL42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103980270LONG-HANDLE SPONGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30103990270ELASTIC SHOELACES7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104000270OR TOWEL SET (4)0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104010270SOCK AID0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104020270TOILET AID51.0051.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104030270EQUAGEL PROTECTOR CUSION141.00141.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104040270PEEP 20 VALVE62.0062.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104050270LEG WALKER XS158.00158.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104060270BY-PAP SMALL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104070270BY-PAP MEDIUM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104080270BY-PAP LARGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104090270A4649SUTURE CHROMIC 4-0 G181H48.0048.000.0068.870.000.0068.8715.99
30104110270MEPLIX AG 4X8174.00174.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104120270SPIROMETER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104130270EPIDURAL TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104140270TRACH MASK13.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104150270TRANS CLEANING KIT88.0088.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104160279E-Z SLIDE SHOEHORN 18"6.006.000.0018.340.0018.343.80
30104170270ROLL-N-GO CUSHION0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104180270DRAIN BAG 4L0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104190270BIOTENE 2%0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104200270BIOPATCH90.0090.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104210270MEPLIX AG 6X6188.00188.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104220270PLEUR VALVE REPLACEMENT70.0070.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104230270TRACH TUBE 6.0 CUFFED9.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104240270BY-PAP MULTI ADAPTER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104250270BY-PAP ELBOW ADAPTER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104260270BY-PAP STEP DOWN ADAPTOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104270270STAT LOC FOLEY40.0040.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104280270NEEDLE HUBER 20G 3/4111.00111.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104300270DERMAGAUZE 2X212.0012.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104310278C1781COMPOSIX PATCH5704.005704.00
30104320270REDDIE KNEE BRACE233.00233.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104330270NASAL PACK SMALL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104340270NASAL PACK LARGE100.00100.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104350270LARYNARD SPLING264.00264.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104360270CATH 16FR 30CC SILVER61.0061.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104370270THIGH HI XL/L43.0043.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104380270FEEDING TUBE BUTTON KIT 2.5655.00655.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104390270WHITE FOAM156.00156.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104400270FEEDING TUBE BUTTON 2.5675.00675.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104410270MINI NEB PED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104420270SUCTION CATH & GLOVE 12FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104430270M-9 DEODORIZER20.0020.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104440270SUPRA PUBIC 12FR450.00450.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104460279HYMIDIFER/VAPORIZOR174.00174.000.0018.340.0018.343.80
30104470270PROFORE BANDAGE113.00113.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104480270SHILEY TRACH 6CFRS257.00257.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104500279BIOFLOTE MATTRESS65.0065.000.0018.340.0018.343.80
30104510270SHILEY CANNULA31.0031.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104520270TRACH HOLDER23.0023.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104530270TRACH FILTER24.0024.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104580270NEEDLE EPIDURAL TOUHY 20G 3.5"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104590270NEEDLE EPIURAL 20G 3.5"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104600270A4649SUTURE VICRYL 4-0 J422H69.0069.000.0068.870.000.0068.8715.99
30104620270NEEDLE EPIDURAL 17G 4.5"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104630270UNDERBUTTOCKS DRAPE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104640270LIFEBAND510.00510.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104650270CATH SILICONE 18FR 10CC31.0031.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104660270LUMBAR SUPPORT MEDIUM185.00185.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104670270CRICOTHYROTOMY CATH KIT2811.002811.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104680270VISCO TAPE CAP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104690270CANNULA POUCH0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104700270SKIN CARE PADS34.0034.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104720270UMBILICAL COTTON TAPE14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104730270OIL EMLSN 3X33.003.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104740270RETURN ELECTRODE PED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104770270L0140CERVICAL COLLAR XL18.0018.00
30104780270DRAINABLE POUCH14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104790270MEPILEX SACRUM 7X773.0073.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104800270THUMB SPICA UNIVERSAL64.0064.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104820270A7015V2 MASK0.000.00
30104830270A4618CIRCUIT62.0062.00
30104840270A4570SPLINT45.0045.00
30104850270DEPENDS SLIP ON - SMALL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104870270Depends Slip On 3X13.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104900270REMEDY PURPLE27.0027.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104910270LARYNGEAL TUBE SIZE 344.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104920270LARYNGEAL TUBE SIZE 444.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30104930270LARYNGEAL TUBE SIZE 544.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30105100270FEED TUBE ATTACH DEVICE17.0017.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30105120270CERVICAL COLLAR EX-LRG18.0018.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30105500270NEEDLE TIP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30105510270HOLSTER (DISPOSABLE)14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30106000270SPLIT SHEET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30106030270FRACTURE PAN0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30106040270TRANSTRACH CATH567.00567.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30106050270A4649SUTURE MERSILENE 4.0R691G69.0069.000.0068.870.000.0068.8715.99
30106060270A4649SUTURE PROLENE 863552.0052.000.0068.870.000.0068.8715.99
30106150270carrasyn hydrogel45.0045.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30106540270LITE HANDLE COVER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30106620270DUODERM 4X427.0027.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30107810270EMESIS BASIN0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30108100278C1781KUGLE PATCH SMALL2494.002494.00
30108150278C1781KUGLE PATCH MED2855.002855.00
30108380270ENTRAL FEED TUBE 8FR8.008.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30108580270FLEETS ENEMA8.008.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30110000270TRANSTRACH TUBING50.0050.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30110010270LIGATING CLIP MED82.0082.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30110520270INTROCAN 18G19.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30110530279MASK O2 PED0.000.000.0018.340.0018.343.80
30110540270IV PROTECTIVE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30110580270CATH FOLEY 22FR 30CC 3WAY16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30111000270IV START KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30111050279MASK AEROSOL9.009.000.0018.340.0018.343.80
30111100270KANGAROO PUMP TUBING42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30111110270FEEDING TUBE 12FR45.0045.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30111240270RAETUBE42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30111860272Q4186JWEPIFIX PER 1 SQUARE CM WASTED350.00350.00
30111870272Q4187JWEPICORD PER 1 CM WASTED340.00340.00
30112000270COMBITUBE 37FR244.00244.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30112500270TEGADERM 2X24.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30112510270NUGAUZE 1"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30113070270SHOULDER PULLEY90.0090.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30113420270THERAPUTTY7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30113430270THERATUBE9.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30113440270PUTTY CONTAINER3.003.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30113550270PATELLA BAND47.0047.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30115000270LMA SZ 50.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30115910270MESH PANTIES8.008.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30118630270SKIN GLUE23.0023.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120000270EXTENDED NEEDLE TIP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120010270EAR TUBE INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120020270INSERT ACCESS DEVICE342.00342.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120030270OR MAJOR INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120040270OR MINOR INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120050270OR POWER DRILL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120060270PODIATRY INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120070270RECTAL INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120080270SAGITAL SAW0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120090270T&A INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120100270NUTRAMIGEN6.006.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120110270WIRE DRIVER86.0086.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120120270CT TRIPACK48.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120130270TENSO FOOT34.0034.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120140270TENSO HAND19.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120150270KNEE SLEEVE MD116.00116.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120160270A4649SUTURE VIC J49536.0036.000.0068.870.000.0068.8715.99
30120230270TEGADERM 6X819.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120240270SUT VIC 4.0J39222.0022.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120250270FALL RISK KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120260279NEBULIZER - PED0.000.000.0018.340.0018.343.80
30120270270CATH KIT (INFANT)55.0055.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120290270EMESIS BAG0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120310270C/L DRIP TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120320270MASK C-PAP LG834.00834.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120330279MASK C-PAP MD FULL0.000.000.0018.340.0018.343.80
30120340270CATH TEMP105.00105.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120350270RESOLUTION CLIP1466.001466.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120360270CHLOR PREP 3ML0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120370270A4649SUTURE POLYSYN 6.0 GA570N124.00124.000.0068.870.000.0068.8715.99
30120380270A4649SUTURE POLYPROPYLENE 6.054.0054.000.0068.870.000.0068.8715.99
30120390270A4649SUTURE PLAIN GUT 6.0 BA2415N63.0063.000.0068.870.000.0068.8715.99
30120400270A4649SUTURE CHROMIC 5.069.0069.000.0068.870.000.0068.8715.99
30120410270A4649SUTURE CHROMIC 4.063.0063.000.0068.870.000.0068.8715.99
30120420270BURN KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30120430270A4649SUTURE SILK 4.00.000.000.0068.870.000.0068.8715.99
30123660270WOUND VAC SM DRESSING164.00164.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30123670270RAPID RHINO NASAL PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30123690270XEROFORM 5X99.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30125000270SCALPEL #150.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30125030270FETAL GRAPH PAPER21.0021.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30125050270OB PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30125090270MUCAID EXTRACTOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30125130270FETAL MON-INTRAN PLUS228.00228.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30125500270HUMI UTERINE MANIPULATOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30125600270INFANT TRANSWARMER66.0066.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30126000270SKINTEMP II0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30127000270SUCTION0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30127200270EASY CAP CO2 ADULT163.00163.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30127510270A4649SUTURE SILK 4.0 683H37.0037.000.0068.870.000.0068.8715.99
30129100270MIST TENT CANOPY DISP70.0070.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30129200279BUBBLE HUMIDIFIER48.0048.000.0018.340.0018.343.80
30129300270LARGE BORE TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30129700279MASK O20.000.000.0018.340.0018.343.80
30129710270OXYGEN OPERATING ROOM12.0012.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30129780279NASAL CANNULA PED0.000.000.0018.340.0018.343.80
30129790279NASAL CANNULA INFANT0.000.000.0018.340.0018.343.80
30129800279NASAL CANNULA ADULT0.000.000.0018.340.0018.343.80
30130000270BIOPSY FORCEP HOT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30130170270TENDER WET CAVITY40.0040.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30130200270MINI NEB W/MOUTH0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30131500270INFANT TEMP PROBE129.00129.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30131850270A7015MINI NEB W/MASK0.000.00
30134990270EASY CAP CO2 PED116.00116.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30135000270MASK ANETH SZ 50.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30135010270UMBILICAL TAPE U10T16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30135110270C SECTION PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30135300270OR BASIC PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30136500270DAVOL DRAIN 400 CC90.0090.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137010270C/L ADMINISTRATION0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137100270BIOPSY PUNCH 2MM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137120270ETCO2 CIRC H-SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137150270ETCO2 CANNULA ADULT121.00121.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137210270ETCO2 CANNULA PEDS87.0087.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137300270POLYUP SNARE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137400270IPPB MANIFOLD19.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137500279OXIMAX IINFANT0.000.000.0018.340.0018.343.80
30137620270L4386LEG WALKER MD210.00210.00
30137670270CAST FINGER 2"7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137700270MAXSORB DRESSING PER ROLL46.0046.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137730270CURLY SHOESTRINGS11.0011.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137760270NACL 100ML16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137800270CAUTERY DISPOSIBLE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137820270SCAPEL #100.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137890270DENTAL ROLLS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137900270COBAN 3'11.0011.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137940270COBAN 1'7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30137960270COBAN 2'9.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138050270SURGICAL SLEEVE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138130270CONFORM 4" NS5.005.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138140270COMFORT BATH7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138170270CONFORM 3" NS4.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138210270A4398PREP BOWL0.000.00
30138230270LACERATION TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138240270TEGADERM 4X411.0011.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138250270A6445CONFORM 1' STERILE4.004.00
30138260270CONFORM 2" NS3.003.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138270270CENTRAL LINE DRESSING42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138280270CONFORM 4' ST11.0011.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138290270A6445CONFORM 2' ST7.007.00
30138300270AQUA CELL 4X448.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138310270CONFORM 3' ST10.0010.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138320270NASAL SPLINT11.0011.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138340270NASAL FOLEY(EPISTAT)391.00391.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138360270A4649SUTURE VICRYL 2-0 J339H15.0015.000.0068.870.000.0068.8715.99
30138390270PERITONEAL LAVAGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138450270SPINAL TAP LUMBAR PUNTC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138500270TIELLE 4X425.0025.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138510270PED/INFANT OXYCLIQ0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138520270THORACENTESIS TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138530270DENTAL CEMENT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138560270CRICOTHYROTOMY TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138820270CIRC BELL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138840270CIRC STRAP DISP.0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138850270CIRC AID265.00265.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138860270CIRCUMCISION SET /INFANT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138870270CIRCUMCISION SET /ADULT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138890270LIVER BIOPSY KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138900270A4649SUTURE PROLENE 3.0 8558H127.00127.000.0068.870.000.0068.8715.99
30138910270L1902SWEDE-O MD185.00185.00
30138920270VACUUM DELIVERY SET239.00239.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138940279DEPENDS SLIP-ON LARGE0.000.000.0018.340.0018.343.80
30138950279DEPENDS BELTED121.00121.000.0018.340.0018.343.80
30138960270A4649SUTURE VICRYL 3-0 J311H69.0069.000.0068.870.000.0068.8715.99
30138980270HEAT LAMP HOURLY CHARGE18.0018.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30138990270TONSIL SPONGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
301390102704 SHOOTER LIGATOR870.00870.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30139140270ISOLATION SETUP142.00142.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30139150270ISOLATION / DAY67.0067.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30139190270LAP SHEET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30139410270GRAVITY + IRRIGATION SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30139420270WOUND VAC MD DRESSING399.00399.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30139580270E0114CRUTCHES REG0.000.00
30139600270PEG BRUSH0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30139680270CORD CLAMP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30140000270SUCTION COAGULATOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30140050270CHEMAPORT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30140600270TOE SEPARATOR3.003.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30140650270TOE CREST LEFT30.0030.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30140700270ANEST. BREATH CIRC ADULT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30140710270L1902CANVAS ANKLE BRACE X-LG84.0084.00
30140800270TOE CREST RIGHT30.0030.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30141510270D & C PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30141520270ALUMI-HAND69.0069.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30141550270PEANUT SPONGES PK OF 50.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30141600270ADAPTIC 3X34.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30141610270ADAPTIC 3X87.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30141860272Q4186EPIFIX PER 1 SQUARE CM STERILE350.00350.00
30141870272Q4187EPICORD PER 1 CM STERILE340.00340.00
30142150270ELECTRODE SERIES 900000.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30142250270MULTI BAND LIGATOR661.00661.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30142300270BREAST PAD7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30142500270BREAST PUMP59.0059.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30142700270COLONOSCOPE CYT KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30143100270QUICK SUITE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30143120270CATH FOLEY 10FR RR16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30143130270CERVICAL COLLAR MD37.0037.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30143500270FOUR SHOOTER BANDER63.0063.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30143600270C1726BALLOON DILATOR570.00570.00
30144100270CYSTO CATH 8FR16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30144300270VACUUM CURETTE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30144960270A4398ICE BAG0.000.00
30145100270DENTURE CUPS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30145290279DIAPERS EACH0.000.000.0018.340.0018.343.80
301453202706 SHOOTER LIGATOR1046.001046.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30145700270INFLATION SYRINGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30145800270A4649SUTURE VICRYL 0 J346H37.0037.000.0068.870.000.0068.8715.99
30145920270BOVIE GROUNDING PAD0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30146200270BULB SYRINGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30146210270BURN PACK SMALL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30146220270BURN PACK LARGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30146610270ELASTO-GEL 4X451.0051.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30146700270ENEMA SS BAG STYLE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30146750270TRACH TUBE 4.519.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30146790270TRACH TUBE 2.0 UNCUFFED19.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30147350270A4649SUTURE ETHILON 6-0 1698G69.0069.000.0068.870.000.0068.8715.99
30147360279STERI STRIP 1/80.000.000.0018.340.0018.343.80
30148100270ESMARK 4"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30148150270ESMARK 6"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30148200270EYE PADS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30148300270EGGCRATE184.00184.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30148800270BOVIE HAND PENCIL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30148900270HAND SPLINT63.0063.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30148920270HEAD BLOCK DISP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149200270SPIRAL ELECTRODE49.0049.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149300270RED DOT 3M 25700.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149350270GELFOAM SPONGE26.0026.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149370270HYTAPE 1/2 INCH9.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149380270HYTAPE 1 INCH0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149550270GLOVES STERILE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149810270L1812KNEE BRACE-HINGED MED237.00237.00
30149820270STATLOCK69.0069.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149830270SPLINT DISP 12"21.0021.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149840270A6456UNNA BOOT121.00121.00
30149850270A4649SUTURE ETHILON 3.0 1669H69.0069.000.0068.870.000.0068.8715.99
30149860270OPT LARYNGO 2-SM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149870270ENDO TRACH INTRO0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149880270C/L DUO-VENT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149890270DRESSING (STERILE)11.0011.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149970270GRIP LOK LG30.0030.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149980270ENDO TUBE HOLDER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30149990270SKIN STAPLER 15CT205.00205.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150000270MASSAGER125.00125.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150010270INTIMA SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150020270BLOOD WARMER BAG0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150030270COMFORT SHAMPOO CAP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150040270NEEDLE HUBER 20G 1"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150070270WONDERSORB MD116.00116.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150080270EZ-10 25MM454.00454.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150090270TEGADERM 8X1229.0029.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150100270EZ-10 45MM483.00483.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150150270ADHESIVE FOAM 1/4"/INCH0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150200270ADHESIVE FOAM 1/8" / INCH0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150400270METATARSAL ADH FELT2.002.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150450270U-PAD ADHESIVE FELT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150700270INSTANT HOT PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30150910270DISPOSABLE ILLUMINATOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30151520270DVT GARMENT THIGH289.00289.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30151620270FLEXI TUBE WITH SPIKE12.0012.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30151630270FLEXITAINER10.0010.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30151650270OPTIFOAM42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30152350270DYNAFLEX 4"32.0032.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30152600258J7030NS 1000 ML INJ [0.9%]8.008.00
30152750270BIOPSY FORCEP W/ NEEDLE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30152800258NS 120 ML48.0048.009.0045.8225.6517.8833.2233.2223.6313.509.0045.8218.32
30152820270DYNAFLEX 6"46.0046.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153120270CLEARLINK EXT STRAIGHT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153130270HEAD & NECK PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153150270SUBCLAVIAN CATH25.0025.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153160270CATH EXTENSION TUBE27.0027.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153170270A4649SUTURE ETHILON 6-0 660G63.0063.000.0068.870.000.0068.8715.99
30153180270CASTING TAPE 2"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153190270CASTING TAPE 3"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153200270CASTING TAPE 4"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153210270SPLINTING/CAST 2" PER FT4.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153220270SPLINTING/CAST 3" PER FT5.005.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153230270SPLINTING/CAST 4" PER FT5.005.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30153240270SPLINTING/CAST 6" PER FT6.006.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30154000270A9270TENNIS ELBOW SUPPORT32.0032.00
30154400270PRN ADAPTER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30154420270CLAVE LL ADAPTER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30154510270A7505CLEARLINK .22 CHECKVALVE0.000.00
30154520270CLEARLINK NITRO TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30154530270CLEARLINK BLOOD TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30154540270CLEARLINK PIGGYBACK TUBIN0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30154610270CLEARLINK EXT SET WITH Y0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30154650270TENDERWET45.0045.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30154750270A5055CLEARLINK BUFF CAP0.000.00
30154800270CLEARLINK BURETROL SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155000270MOLESKIN 2X3"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155010270MUCOUS TRAP 40 CC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155210270SPLASH GUARD0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155300270CATH RR 8FR9.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155310270STIMCARE ELECTRODES0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155500270NEEDLE BUTTERFLY 21G 3/4"0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155550270CATH MALE EXTERNAL MD10.0010.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155590270GROSHUNG CATH1501.001501.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155600270SUCTION CANISTER DISP0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155800270SUCTION TUB-OLYM0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155820270CYSTO IRRIGATION SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155830270IRRIGATION BULB0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30155900270BLOOD TRANS FILTER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30156000270SURGICAL STAPLER 35CT46.0046.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30156050270CYSTOSET W/Y0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30157190278EAR TUBES VENT--H128.00128.00
30157200270INFANT FEEDING TUBE 8FR17.0017.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30157220278EAR TUBES LONG TERM--H186.00186.00
30157230278EAR TUBES (T-TUBES)-S252.00252.00
30157250270FEEDING TUBE 16FR54.0054.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30157300270INFANT FEEDING TUBE 5FR11.0011.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30157350270INFANT FEEDING TUBE 3.57.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30157500279DOUGHNUT0.000.000.0018.340.0018.343.80
30157600270INTUBATION STYLETTE 14FR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30157610270INTUBATING STYLETTE 10F0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158000270KERLIX NON STERILE6.006.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158100270KERLIX STERILE6.006.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158300279K-PAD 18X240.000.000.0018.340.0018.343.80
30158400279K-PAD 12X170.000.000.0018.340.0018.343.80
30158490270KY 2020.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158500270HEM-O-LOK LG310.00310.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158520278C1713ORTHOSORB K-WIRE 2 MM225.00225.00
30158540270WRIST SUPPORT NEOPRENE26.0026.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158550270ELECTRO BRASIVE21.0021.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158580278C1713ORTHOSORB K-WIRE 1.3 MM225.00225.00
30158600270LEGGINGS STERILE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158800270LUMBAR TRAY - ADULT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158810270LUMBAR TRAY - PEDIATRIC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30158900270LUKENS SPECIMEN CONTAINER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159200270MAYO STAND COVERS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159210270GOWN DISPOSABLE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159220270MAGNETIC SHARPS CONTAINER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159300270MONTGOMERY STRAPS9.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159310270MORGAN MEDIFLOW LENS174.00174.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
301594502703M PLATE 1149-C0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159520270GERI GLOVE50.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159600270MILLER ABBOTT TUBE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159610270CATH FOLEY 24FR 5CC7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30159660270SINGLE INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30160000270EQUALIZER LEG WALKER189.00189.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30160100270NG TUBE GUARD0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30160220270DUO DERM X THIN21.0021.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30160250279NRB MASK ADULT0.000.000.0018.340.0018.343.80
30160400270A4649SUTURE VICRYL 5-0 J391H69.0069.000.0068.870.000.0068.8715.99
30161360270RETURN ELECTRODE PED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30166990270STOCKINETTE STERILE26.0026.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30169210270CONCHA CONNECTOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30170000270GI PHOTOS PER PAGE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30170400270ACROMIOCLAVICULAR SPLINT44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30171260270FINGER SPLINT7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30171360270FINGER TIP SPLINT7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30171380270FIXODENT21.0021.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30171460270FINGER FLEXIBLE STRIP7.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30171810270EZ WRAP CANNULA SUPPORT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30172000270CLAVICLE BRACE MD72.0072.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30172990270TRANSDUCER STRAPS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30173100270HEEL/ELBOW PROTECTORS (232.0032.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30173200270KNEE IMM MD0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30173250270A4649SUTURE VICRYL 0 J364H48.0048.000.0068.870.000.0068.8715.99
30173260270PARACERVICAL ANESTH KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30173900270SHOULDER IMMOB UNI82.0082.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30174000270A4649SUTURE MONOCRYL 4-0 Y426H69.0069.000.0068.870.000.0068.8715.99
30174100270L3908WRIST SPLINT69.0069.0065.5565.5565.55
30174110270WOUND VAC DAILY CHARGE105.00105.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30174210270BITE BLOCK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30174300270HAND & WRIST SUPPORT64.0064.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30174400270COLOSTOMY BAG SINGLE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30174450270GOLD PROBE1252.001252.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30174550270JAMSHIDI 15G ASPIRATOR129.00129.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30174570270QUICK COMBO ELECTRODE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30174580270QUICK COMBO PED188.00188.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30175000270A4649SUTURE CHROMIC 5-0 1636G69.0069.000.0068.870.000.0068.8715.99
30175100270IOBAN DRAPE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30175120279ELASTIKON TAPE 1"0.000.000.0018.340.0018.343.80
30175400270A4649SUTURE CHROMIC 0 802H63.0063.000.0068.870.000.0068.8715.99
30175500270A4649SUTURE ETHILON 2-0K833H48.0048.000.0068.870.000.0068.8715.99
30175510270A4649SUTURE ETHILON 2.0 1697H63.0063.000.0068.870.000.0068.8715.99
30175600270A4649SUTURE VICRYL 0 J370H37.0037.000.0068.870.000.0068.8715.99
30175800270OB PAD 12 PK10.0010.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30175810270OB PAD INDIVIDUAL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30176000270A4649SUTURE ETHICON 4-0 161170.0070.000.0068.870.000.0068.8715.99
30176300270PACIFIER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30176500270A4649SUTURE VICRYL 0 J946H17.0017.000.0068.870.000.0068.8715.99
30177800270PENROSE DRAIN 1/45.005.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30178000270C/L EPIDURAL SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30178150270PERCUSSIVE DEVICE276.00276.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30178160278C1751PICC LINE327.00327.00
30178190270PERI ICE PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30178200270RESTON FOAM PAD12.0012.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30178250270SACRAL PAD0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30178550270A4649SUTURE VICRYL J60369.0069.000.0068.870.000.0068.8715.99
30178800270SPINAL TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179100270STOMACH TUBE LAV 18FR100.00100.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179110270STOMACH TUBE SUMP 14FR48.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179120270STOMACH TUBE SUMP 18FR63.0063.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179130270STOMACH TUBE LAV 22FR100.00100.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179140270STOMACH TUBE LAV 28FR70.0070.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179150270STOMACH TUBE LAV 32FR84.0084.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179160270STOMACH TUBE SUMP 16FR63.0063.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179500270BIOPSY FORCEP SERRATED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179610270STOMACH TUBE SUMP 12FR48.0048.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179800270A4649SUTURE ETHILON 7.0 1696G63.0063.000.0068.870.000.0068.8715.99
30179900270PERI BOTTLE5.005.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30179920270A4649SUTURE CHROMIC 6.0 1635G29.0029.000.0068.870.000.0068.8715.99
30179930270A4649SUTURE CHROMIC 2-0 811H16.0016.000.0068.870.000.0068.8715.99
30179940270A4649SUTURE VICRYL 4-0 J337H63.0063.000.0068.870.000.0068.8715.99
30179950270A4649SUTURE VICRYL 4-0 J496G69.0069.000.0068.870.000.0068.8715.99
30179960270A4649SUTURE PROLENE 2-0 8523H37.0037.000.0068.870.000.0068.8715.99
30179970270A4649SUTURE CHROM GUT 3-0 636G37.0037.000.0068.870.000.0068.8715.99
30179980270A4649SUTURE PROLENE 3-0 8422H63.0063.000.0068.870.000.0068.8715.99
30179990270A4649SUTURE PROLENE 4-0 8683H63.0063.000.0068.870.000.0068.8715.99
30180000270A4649SUTURE PROLENE 5-0 8661G63.0063.000.0068.870.000.0068.8715.99
30180010270A4649SUTURE SILK 0 LA56G30.0030.000.0068.870.000.0068.8715.99
30180020270A4649SUTURE SILK2.0 K833H48.0048.000.0068.870.000.0068.8715.99
30180030270A4649SUTURE VICRYL 2-0 J333H48.0048.000.0068.870.000.0068.8715.99
30180040270A4649SUTURE VICRYL 3-0 J316H48.0048.000.0068.870.000.0068.8715.99
30180050270A4649SUTURE ETHILON 4-0 699G69.0069.000.0068.870.000.0068.8715.99
30180060270A4649SUTURE SILK4.0 K871H11.0011.000.0068.870.000.0068.8715.99
30180070270A4649SUTURE ETHILON 5-0 698G69.0069.000.0068.870.000.0068.8715.99
30180080270A4649SUTURE VICRYL 5-0 J493H69.0069.000.0068.870.000.0068.8715.99
30180090270A4649SUTURE SILK 6.0 681H24.0024.000.0068.870.000.0068.8715.99
30180100270A4649SUTURE PROLENE 0 8424H20.0020.000.0068.870.000.0068.8715.99
30180110270A4649SUTURE ETHILON 10.0 9000G80.0080.000.0068.870.000.0068.8715.99
30180120270A4649SUTURE CHROMIC 3-0 U204H69.0069.000.0068.870.000.0068.8715.99
30180130270A4649SUTURE CHROM GUT 4-0 635G63.0063.000.0068.870.000.0068.8715.99
30180140270A4649SUTURE PROLENE 7-0 8696G36.0036.000.0068.870.000.0068.8715.99
30180150270A4649SUTURE CHROMIC 2-0 883H37.0037.000.0068.870.000.0068.8715.99
30180160270A4649SUTURE ETHILON 4-0 161163.0063.000.0068.870.000.0068.8715.99
30180170270A4649SUTURE SILK 3-0 412H48.0048.000.0068.870.000.0068.8715.99
30180180270A4649SUTURE CHROMIC 3.0 G182H17.0017.000.0068.870.000.0068.8715.99
30180190270A4649SUTURE VICRYL 0 J340H17.0017.000.0068.870.000.0068.8715.99
30180200270A4649SUTURE VICRYL 4-0 J494H69.0069.000.0068.870.000.0068.8715.99
30180210270A4649SUTURE CHROMIC 5.0 G180H48.0048.000.0068.870.000.0068.8715.99
30180220270A4649SUTURE VICRYL 3.0 J944H22.0022.000.0068.870.000.0068.8715.99
30180230270A4649SUTURE PROLENE 5.0 8686H18.0018.000.0068.870.000.0068.8715.99
30180240270A4649SUTURE ETHILON 2.0 585H19.0019.000.0068.870.000.0068.8715.99
30180250270A4649SUTURE VICRYL 5-0 J421H48.0048.000.0068.870.000.0068.8715.99
30180260270A4649SUTURE ETHILON 4-0 662G69.0069.000.0068.870.000.0068.8715.99
30180270270A4649SUTURE PROLENE 3.0 8665G20.0020.000.0068.870.000.0068.8715.99
30180280270A4649SUTURE ETHILON 6-0 697G69.0069.000.0068.870.000.0068.8715.99
30180290270A4649SUTURE CHROMIC 4-0 G121H48.0048.000.0068.870.000.0068.8715.99
30180300270KNEE HI MD/RG44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30180310270A4649SUTURE PROLENE 0 8834H48.0048.000.0068.870.000.0068.8715.99
30180320270A4649SUTURE CHROM GUT 3-0 976H48.0048.000.0068.870.000.0068.8715.99
30180330270A4649SUTURE PROLENE 5-0 8681G27.0027.000.0068.870.000.0068.8715.99
30180340270A4649SUTURE VICRYL 6-0 J492G69.0069.000.0068.870.000.0068.8715.99
30180350270A4649SUTURE ETHILON 4-0 663H63.0063.000.0068.870.000.0068.8715.99
30180360270A4649SUTURE ETHILON 5.0 1668G69.0069.000.0068.870.000.0068.8715.99
30180370270A4649SUTURE ETHILON 4-01667G69.0069.000.0068.870.000.0068.8715.99
30180380270A4649SUTURE SILK 2.0 423H63.0063.000.0068.870.000.0068.8715.99
30180390270A4649SUTURE SILK 6.0 1675H48.0048.000.0068.870.000.0068.8715.99
30180400270A4649SUTURE PDS II 2-0 Z969H37.0037.000.0068.870.000.0068.8715.99
30180410270A4649SUTURE VICRYL 3-0 J344H37.0037.000.0068.870.000.0068.8715.99
30180420270A4649SUTURE VICRYL 3-0 J497H67.0067.000.0068.870.000.0068.8715.99
30180430270A4649SUTURE ETHILON 6.0 1665G62.0062.000.0068.870.000.0068.8715.99
30180440270A4649SUTURE ETHILON 5-0 860563.0063.000.0068.870.000.0068.8715.99
30180450270A4649SUTURE CHROMIC GUT 20REEL17.0017.000.0068.870.000.0068.8715.99
30180460270A4649SUTURE ETHILON 5-0 661G69.0069.000.0068.870.000.0068.8715.99
30180470270TEGAFOAM46.0046.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30180480270A4649SUTURE VICRYL 4.0 J441H28.0028.000.0068.870.000.0068.8715.99
30180490270A4649SUTURE VICRYL 8.0 J574G19.0019.000.0068.870.000.0068.8715.99
30180500270MAXORB AG ROPE54.0054.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30180550270A4649SUTURE VICRYL 3-0 J398H18.0018.000.0068.870.000.0068.8715.99
30180580270A4649SUTURE VICRYL 5-0 J463G33.0033.000.0068.870.000.0068.8715.99
30180600270THIGH HI MD/RG44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30180650270A4649SUTURE VICRYL 2.0 J286G20.0020.000.0068.870.000.0068.8715.99
30180700270A4649SUTURE VICRYL 3-0 J265H19.0019.000.0068.870.000.0068.8715.99
30180750270A4649SUTURE PROLENE 5-0 8698H63.0063.000.0068.870.000.0068.8715.99
30181600270SUCTION CATH & GLOVE 6F0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30181900270YANKAUER NON-VENTED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30182000270STYLETE 14FR19.0019.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30182400270STOP COCK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30183180270INSUFFLATION TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30183500270GAUZE 4X4 RAYTEC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30183700270GAUZE 4X4 PK OF 20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30183710270GAUZE 2X2 PK OF 20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30183750279DRAIN SPONGE 2X20.000.000.0018.340.0018.343.80
30183760279DRAIN SPONGE 4X40.000.000.0018.340.0018.343.80
30183900270UMBILICAL CATH 5FR108.00108.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30183910270URINE STRAINER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30184400270JACKSON PRATT SUCTION SET195.00195.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30185400279IN-LINE NEBULIZER99.0099.000.0018.340.0018.343.80
30185500270LAP SPONGES PK OF 50.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30185600279STERI STRIP 1/40.000.000.0018.340.0018.343.80
30185650270STERI STRIP 1/20.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30185700270POLYMEM 4X417.0017.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30185730270POLYWIC22.0022.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30185750270POLYMEM 3X313.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30185800270POLYMEM ROLL96.0096.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30185850270POST OP SURGICAL SHOE42.0042.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30186020270A4213CATH TIP SYRINGE 60CC0.000.000.000.000.000.00
30186100270STERILE H2O IRR [1000 ML]0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30186150270DRESSING CHANGE WOUND VAC158.00158.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30186200270A4714STERILE H2O IRR [500 ML]0.000.00
30186210270WOUND VAC TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30186300270WATER TRAP14.0014.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30186350270SUTURE REMOVAL SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30186400270A4649SUTURE VICRYL 4-0 J52248.0048.000.0068.870.000.0068.8715.99
30186500270SYRINGE CONTROL 10CC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30186840279OXIMAX PED0.000.000.0018.340.0018.343.80
30186850279OXIMAX ADULT0.000.000.0018.340.0018.343.80
30186900270TELFA STRIPS 4X82.002.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30187000270TELFA PADS 3X40.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30187400278C1781VENTRALIX PATCH MED2329.002329.00
30187410270TRACH TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30187600270TOOTHPASTE 1.5 OZ2.002.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30188000270HOLDTITE TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30188110270UTERINE BUSSE TUBING0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30188300270TISSUE3.003.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30188800270CHEST TUBE 8FR49.5649.569.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30188850278C1729CHEST TUBE 12FR141.00141.00
30188860278C1729CHEST TUBE 20FR141.00141.00
30188870278C1729CHEST TUBE 28FR141.00141.00
30189000270GRADUATE PLASTIC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30189010270FEMALE CATH KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30189100270A4649SUTURE ETHICON 4-0 166763.0063.000.0068.870.000.0068.8715.99
30189200270STAPLE EXTRACTOR0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30189300270UROMETER BAG94.0094.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30189400270DRAINAGE BAG/ CLOSED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30189550270URINAL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30189800270U-BAG PED0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30189850250UROJET /C LIDOCAINE48.0048.005.7171.3018.3071.307.547.547.747.127.1213.085.71
30189900270LEG BAG/CATH0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30189950279LEG STRAP CATH0.000.000.0018.340.0018.343.80
30190000270NACL 1000 cc0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190020270CHLORA PREP 26ML0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190030258NACL 500 cc16.0016.009.0045.8225.6517.8833.2233.2223.6313.509.0045.8218.32
30190060270NEB ADAPTER0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190070270ORAL CARE KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190300270CATH PLUG0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190400270CATH FOLEY 16FR 5CC16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190410270CATH FOLEY 16FR 30CC16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190420270CATH FOLEY 18FR 5CC16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190430270CATH FOLEY 18FR 30CC16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190440270CATH FOLEY 20FR 5CC16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190450270CATH FOLEY 20FR 30CC16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190460270CATH FOLEY 22FR 5CC13.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190470270CATH FOLEY 22FR 30CC22.0022.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190480270CATH INSERTION KIT /S BAG0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190490270CATH FOLEY 24 FR 30CC13.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190500270CATH TRAY 16FR 5CC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190600270CATH TRAY 14FR STRAIGHT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190700270CATH TRAY 18FR 5CC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190800270NOSE TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190850270CATH COUDE 14FR 5-10CC37.0037.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190900270CATH FOLEY 10FR 3CC /EACH13.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30190910270QUICK CATH ADULT773.00773.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30191000270CATH FOLEY 8FR 3CC SINGLE16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30191100270CATH FOLEY 12FR 5CC16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30191900270CATH FOLEY 18F 30CC 3-WAY16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30192000270CATH FOLEY 20F 30CC 3-WAY16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30192700270CATH FOLEY 14FR 5 CC16.0016.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30192800270U-BAG ADULT41.0041.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193000270CATH RR 14FR9.009.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193210270SURGICAL STAPLES #569.0069.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193410270CATH TRI-LIMEN450.00450.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193430270TWILL TAPE6.006.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193450278C1781VENTRALIX PATCH SML2331.002331.00
30193460270UMBILICAL CATH 3.5FR104.00104.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193500270WOUND VAC DRESSING CHANGE40.0040.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193510270SI BELT185.00185.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193520279UNDERPAD (1)0.000.000.0018.340.0018.343.80
30193530270WAFER COLOSTOMY44.0044.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193540270STOMA POUCH 2 1/4 INCH12.0012.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30193710270PLUER-VAC258.00258.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194000270VASELINE GAUZE 6X360.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194010270VITAL STIM ELECTRODE132.00132.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194050270EYE TRAY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194100270VASELINE GAUZE 3X184.004.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194200270VASELINE GAUZE 3X90.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194300270VASELINE GAUZE 1/2 X 720.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194400270VASELINE OINT6.006.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194500270WARMING COVER FULL0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194510270WARMING COVER HALF0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194550270VERTABRACE REG100.00100.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194600270WASH BASIN0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194700270WOUND VAC CANNISTER163.00163.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194710270DVT GARMENT CALF141.00141.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194720270KNEE BRACE HINGED 2XL191.00191.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194730270KNEE BRACE HINGED 3XL254.00254.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30194850270XEROFORM 1X87.007.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30195000270NASAL PACK0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30195060270COBAN 4" NON-STERILE13.0013.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30195070270HIP KIT0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30195080270IODOSORB 4X10 GR298.00298.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30195090270IODOSORB 40 GRM287.00287.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30196000270A4649SUTURE PROLENE 4.0 8871H48.0048.000.0068.870.000.0068.8715.99
30196400270INJECTOR NEEDLE0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30196500270SILVASORB 2X240.0040.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30196510270WHITE FOAM DRESSING241.00241.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30196520276STENT (VISION)2529.002529.00
30199900270SURGICAL MARKING PEN0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30199910270WRAPPED INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30199930270NASAL PACKING62.0062.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30199940270PLASTIC INSTRUMENT SET0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30199950270D&C INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30199970270BONE INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30199990270MISC0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30501050360G0105COLORECTAL CANCER SCREENING HIGH RISK0.010.01
30501210360G0121COLORECTAL SCREENING NOT HIGH RISK0.010.01
3050526036020526THER INJECTION CARP TUNNEL575.00575.00
3050551036120551INJECTION; SINGLE TENDON ORIGIN/INSERT785.00785.00
30508030270EAR TUBE INSTRUMENTS0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
30511000360SURGERY LEVEL 1 1ST 15 MINUTES1000.001000.00546.25567.90546.25567.90
30511100360SURGERY LEVEL 1 EA ADDTNL MIN10.0010.00546.25567.90546.25567.90
30521000360SURGERY LEVEL 2 1ST 15 MINUTES1500.001500.00546.25567.90546.25567.90
30521100360SURGERY LEVEL 2 EA ADDTNL MIN15.0015.00546.25567.90546.25567.90
3052270036062270DX LMBR SPI PNXR1205.001205.00
3052272036062272THER SPI PNXR DRG CST1354.001354.00
3052320036162320INJECTION; INTRLAMNR CRV/THRC W/O IMAGE1875.001875.00
3052321036062321INJECTION INTRLAMNR CRV/THRC W/ IMAGE2231.002231.001182.431182.431182.43
3052322036162322INJECTION INTRLAMNR LUMBAR/SAC W/O IMAGE1875.001875.00
3052323036062323nJX INTERLAMINAR LUMBER/SAC (TECHNICAL)1860.001860.00381.27381.27381.27
3052328036062328DX LUMBR SPI PNXR W/FLOUR/CT1309.001309.00
3052329036062329THER SPI PNXR CSF FLOUR/CT1488.001488.00
30531000360SURGERY LEVEL 3 1ST 15 MINUTES2500.002500.00546.25567.90546.25567.90
30531100360SURGERY LEVEL 3 EA ADDTNL MIN25.0025.00546.25567.90546.25567.90
3053410098223410ROTATOR CUFF REPAIR2583.002583.00
3053412098223412ROTATOR CUFF REPAIR2680.002680.00
30535010360Surgery Level II 1st Hr4738.004738.00546.25567.90546.25567.90
30535020360Surgery Level II Add 15 minutes1186.001186.00546.25567.90546.25567.90
30535040360Surgery Level I 1st 30 minutes1896.001896.00546.25567.90546.25567.90
30541000360SURGERY LEVEL 4 1ST 15 MINUTES3500.003500.00546.25567.90546.25567.90
30541010636Q4104INTEGRA WOUND MESH 8IN X 10IN (500 SQCM)75.0075.00259.85259.85259.85259.85
30541020636Q4104INTEGRA WOUND MESH 4IN X 5IN (125 SQ CM)121.00121.00259.85259.85259.85259.85
30541030636Q4104INTEGRA WOUND MESH 4IN X 10IN (250 SQCM)97.0097.00259.85259.85259.85259.85
30541040636Q4104INTEGRA WOUND MESH 2IN X 2IN (25 SQ CM)346.00346.00259.85259.85259.85259.85
30541100360SURGERY LEVEL 4 EA ADDTNL MIN35.0035.00546.25567.90546.25567.90
3054400036064400NJX AA&/STRD TRIGEMINAL NTV2550.002550.00
3054405036064405GREATER OCCIPITAL NERVE BLOCK PER SIDE1041.001041.00
3054417036064417NJX AA&/STRD AXILLARY NRV1041.001041.00
3054418036064418SUPRASCAPULAR NERVE1041.001041.00
3054420036064420INTERCOSTAL NERVE (SINGLE)1414.001414.00
3054421036064421NJX AA&/STRD NTRCOST NRV EA2009.002009.00
3054430036064430NJX AA&/STRD PUDENDAL NERVE1562.001562.00
3054445036064445SCIATIC NERVE BLOCK1414.001414.000.000.000.00
3054450036064450LESSER OCCIPITAL NERVE BLOCK575.00575.00
3054451036064451NJX AA&/STRD NRV NRVTG SI JT3868.003868.00
3054454036064454NJX AA&/STRD GNCLR NRV BRNCH2763.002763.002624.852624.852624.85
3054455036064455PLANTAR DIGITAL NERVE BLOCK819.00819.00
3054483036064483TRANSFORAMINAL-LUMBAR OR SACRAL (1ST LEV2752.002752.00
3054484036064484TRANSFORMINAL LUMBAR OR SACRAL (EACH ADD1376.001376.00
3054490036064490INTRAARTICULAR JOINT OR MBB CERV/THR 1ST2306.002306.00
3054491036064491INTRAARTICULAR JOINT OR MBB CERV/THR 2ND1153.001153.00
3054492036064492INTRAARTICULAR JOINT OR MBB CERV/THR 3RD1153.001153.00
3054493036064493INTRAARTICULAR UNI JT/MBB LUMB/SCR 1ST2055.002055.00
3054494036064494INTRAARTICULAR UNI JT/MBB LUM/SAC 2ND1028.001028.00
3054495036064495INTRAARTICULAR UNI JT/MBB LUM/SAC 3RD1028.001028.00
3054505036064505SPHENOPALATINE GANGLION TRANSNASAL1190.001190.00
3054510036064510STELLATE GANGLION CERV SYMPATHETIC2741.002741.00
3054517036064517SUPERIOR HYPOGASTRIC PLEXUS2741.002741.00
3054520036064520GANGLION IMPAR BLOCK1674.001674.00
3054530036064530CELIAC PLEXUS2741.002741.00
30545910270ELECTROCAUTERY0.000.009.4429.5816.3917.6329.5829.5826.5326.569.4421.8920.96
3054624036064624DSTRJ NULYT AGT GNCLR NRV3812.003812.00
3054633036064633RFA CERVICAL OR THORACIC 1ST JOINT2678.002678.00
3054634036064634RFA CERVICAL OR THORACIC EACH ADDITL1339.001339.00
3054635036064635RFA LUMBAR OR SACRAL 1ST JOINT2741.002741.001452.451452.451452.45
3054636036064636RFA LUMBAR OR SACRAL EACH ADDL1371.001371.00726.49726.49726.49
3054640036064640CONTINOUS ABLATION SUPRASCAPULAR2741.002741.00
30546490272A4649AVANOS RFA KIT2100.002100.000.000.000.000.00
30551000360SURGERY LEVEL 5 1ST 15 MINUTES8500.008500.00546.25567.90546.25567.90
30551100360SURGERY LEVEL 5 EA ADDTNL MIN50.0050.00546.25567.90546.25567.90
3055271036115271SKIN SUB TRNK/ARM/LEG =< 100SQC 1ST 25CM4868.004868.00
3055272036115272SKN SUB TRNK/ARM/LEG EA ADDNTL 25 SQ CM55.0055.00
3055275036115275SKN SUB FACE/SCALP/HAND/FEET =< 100SQ CM4868.004868.00
3055276036115276SKN SUB FACE/HANDS/FEET EA ADDL 25 SQ CM81.0081.00
305549303606449350INTRAARTICULAR BILAT JT/MBB LUMB/SCR 1ST3990.003990.001607.361607.361607.36
305549403606449450INTRAARTICULAR BILAT JT/MBB LUMB/SAC 2ND1996.001996.001057.681057.681057.68
305549503606449550INTRAARTICULAR BILAT JT/MBB LUM/SAC 3RD1996.001996.00
305644003606440550BIL NJX AA&/STRD GR OCPL (GON)1960.001960.00
305644103606441850BIL NJX AA&/STRD SPRSCAP NRV1960.001960.00
305644303606443050BIL NJX AA&/STRD PUDENAL NERVE2940.002940.00
305644803606448350BIL INJ FORAMEN EPIDURAL L/S (TFESI)5180.005180.002744.893297.772744.893297.77
305644903606449050BIL INJ PARAVERT FACET JNT C/T 1 LEV4340.004340.002299.762299.762299.76
305645003606450550BIL SPHENOPALATINE GANGLION TRANSNASAL2240.002240.00