The "Charge Master" is a complete list of prices for all hospital services. This is the most comprehensive and detailed picture of hospital charges. However, it would be a challenge to use this to estimate charges for a hospitalization or outpatient surgery since there will be multiple services provided on a given day. For example, there will be a room and board charge for each day in the hospital. There will also be lab charges, pharmacy charges, respiratory therapies, imaging, etc. To make this research more user-friendly, we have created a charge category field that allows you to filter on certain types of charges (ie the room and board vs the lab charges) so you don't have to look at all 25,000 lines of the Charge Master.

In all cases except where noted, this does not include the prices for physician services — this is for hospital services only.

Back to Charge List Search

Anesthesia

Description	CPT Code	Standard Charge
ANESTH COMPLICATED EMERG CONDITION	99140	$30
ANESTHESIA HOURS 0.25		$160
ANESTHESIA HOURS 0.50		$330
ANESTHESIA HOURS 0.75		$490
ANESTHESIA HOURS 1.00		$650
ANESTHESIA HOURS 1.25		$810
ANESTHESIA HOURS 1.50		$980
ANESTHESIA HOURS 1.75		$1140
ANESTHESIA HOURS 10.00		$6500
ANESTHESIA HOURS 10.25		$6660
ANESTHESIA HOURS 10.50		$6830
ANESTHESIA HOURS 10.75		$6990
ANESTHESIA HOURS 11.00		$7150
ANESTHESIA HOURS 11.25		$7310
ANESTHESIA HOURS 11.50		$7480
ANESTHESIA HOURS 11.75		$7640
ANESTHESIA HOURS 12.00		$7800
ANESTHESIA HOURS 12.25		$7960
ANESTHESIA HOURS 12.50		$8130
ANESTHESIA HOURS 12.75		$8290
ANESTHESIA HOURS 13.00		$8450
ANESTHESIA HOURS 13.25		$8610
ANESTHESIA HOURS 13.50		$8780
ANESTHESIA HOURS 13.75		$8940
ANESTHESIA HOURS 14.00		$9100
ANESTHESIA HOURS 14.25		$9260
ANESTHESIA HOURS 14.50		$9430
ANESTHESIA HOURS 14.75		$9590
ANESTHESIA HOURS 15.00		$9750
ANESTHESIA HOURS 15.25		$9910
ANESTHESIA HOURS 15.50		$10080
ANESTHESIA HOURS 15.75		$10240
ANESTHESIA HOURS 16.00		$10400
ANESTHESIA HOURS 16.25		$10560
ANESTHESIA HOURS 16.50		$8580
ANESTHESIA HOURS 16.75		$8710
ANESTHESIA HOURS 17.00		$11050
ANESTHESIA HOURS 17.25		$8970
ANESTHESIA HOURS 17.50		$9100
ANESTHESIA HOURS 17.75		$9230
ANESTHESIA HOURS 18.00		$11700
ANESTHESIA HOURS 18.25		$11860
ANESTHESIA HOURS 18.50		$12030
ANESTHESIA HOURS 18.75		$12190
ANESTHESIA HOURS 19.00		$12350
ANESTHESIA HOURS 19.25		$10010
ANESTHESIA HOURS 19.50		$12680
ANESTHESIA HOURS 19.75		$12840
ANESTHESIA HOURS 2.00		$1300
ANESTHESIA HOURS 2.25		$1460
ANESTHESIA HOURS 2.50		$1630
ANESTHESIA HOURS 2.75		$1790
ANESTHESIA HOURS 20.00		$10400
ANESTHESIA HOURS 20.25		$13160
ANESTHESIA HOURS 20.50		$10660
ANESTHESIA HOURS 20.75		$10790
ANESTHESIA HOURS 21.00		$10920
ANESTHESIA HOURS 21.25		$11050
ANESTHESIA HOURS 21.50		$13980
ANESTHESIA HOURS 21.75		$11310
ANESTHESIA HOURS 22.00		$11440
ANESTHESIA HOURS 22.25		$11570
ANESTHESIA HOURS 22.50		$11700
ANESTHESIA HOURS 22.75		$11830
ANESTHESIA HOURS 23.00		$11960
ANESTHESIA HOURS 23.25		$12090
ANESTHESIA HOURS 23.50		$12220
ANESTHESIA HOURS 23.75		$12350
ANESTHESIA HOURS 24.00		$15600
ANESTHESIA HOURS 3.00		$1950
ANESTHESIA HOURS 3.25		$2110
ANESTHESIA HOURS 3.50		$2280
ANESTHESIA HOURS 3.75		$2440
ANESTHESIA HOURS 4.00		$2600
ANESTHESIA HOURS 4.25		$2760
ANESTHESIA HOURS 4.50		$2930
ANESTHESIA HOURS 4.75		$3090
ANESTHESIA HOURS 5.00		$3250
ANESTHESIA HOURS 5.25		$3410
ANESTHESIA HOURS 5.50		$3580
ANESTHESIA HOURS 5.75		$3740
ANESTHESIA HOURS 6.00		$3900
ANESTHESIA HOURS 6.25		$4060
ANESTHESIA HOURS 6.50		$4230
ANESTHESIA HOURS 6.75		$4390
ANESTHESIA HOURS 7.00		$4550
ANESTHESIA HOURS 7.25		$4710
ANESTHESIA HOURS 7.50		$4880
ANESTHESIA HOURS 7.75		$5040
ANESTHESIA HOURS 8.00		$5200
ANESTHESIA HOURS 8.25		$5360
ANESTHESIA HOURS 8.50		$5530
ANESTHESIA HOURS 8.75		$5690
ANESTHESIA HOURS 9.00		$5850
ANESTHESIA HOURS 9.25		$6010
ANESTHESIA HOURS 9.50		$6180
ANESTHESIA HOURS 9.75		$6340
CONSCIOUS SEDATION-IV/IM/INHAL		$150
GI SEDATION >5YRS 1ST 15 SAME MD	G0500	$50
SEDATION <5YRS 1ST 15 OTHER MD	99155	$50
SEDATION <5YRS 1ST 15 SAME MD	99151	$50
SEDATION >5YRS 1ST 15 OTHER MD	99156	$50
SEDATION >5YRS 1ST 15 SAME MD	99152	$50
SEDATION EA ADDL 15 OTHER MD	99157	$50
SEDATION EA ADDL 15 SAME MD	99153	$50

Audiology

Description	CPT Code	Standard Charge
AUD ABR EVOKED RESPONSE LIMITED	92586	$480
AUD ACOUSTIC IMMITT+REFLEX DECAY TEST BI	92570	$480
AUD ACOUSTIC REFLEX TEST	92568	$110
AUD COCHLEAR EVAL POST-LINGUAL HEAR LOSS	92633	$410
AUD COCHLEAR EVAL PRE-LINGUAL HEAR LOSS	92630	$410
AUD COCHLEAR REHAB POST-LINGUAL HEARLOSS	92633	$330
AUD COCHLEAR REHAB PRE-LINGUAL HEAR LOSS	92630	$330
AUD COCHLEAR TRAIN POST-LINGUAL HEARLOSS	92633	$330
AUD COCHLEAR TRAIN PRE-LINGUAL HEAR LOSS	92630	$330
AUD EAR PROTECTOR ATTEN MEAS	92596	$140
AUD ELECTROCOCHLEOGRAPHY	92584	$880
AUD EVAL CENTRAL AUDITORY FUNCT EA ADD15	92621	$73
AUD EVAL CENTRAL AUDITORY FUNCTION 1HR	92620	$480
AUD EVAL COMPRHN SPCH THRESH+RECOG	92557	$480
AUD EVAL CONDITIONING PLAY	92582	$480
AUD EVAL REHAB STATUS 1ST HOUR	92626	$480
AUD EVAL REHAB STATUS 1ST HOUR	92626	$480
AUD EVAL REHAB STATUS EA ADDL 15MIN	92627	$120
AUD EVOK OTOACOUSTIC EMISSION EVAL EXTND	92588	$870
AUD EVOK POTENTIAL DURING SURG/HR	92585	$870
AUD EVOKED OTOACOUST EMISSION LIMITED	92587	$870
AUD PROGRAMMING OSSEOINTEGRATED DEVICE	92700	$330
AUD PURETONE AIR&BONE	92553	$480
AUD SPCH THRESHLD+RECOG COCHLR	92556	$124
AUD SPEECH THRESHOLD+RECOGNITION	92556	$160
AUD SPEECH TRMNT DISORDER INDIVID/DISABLED>7YO	92507	$380
AUD STENGER TEST PURE TONE	92565	$110
AUD STENGER TEST SPEECH	92577	$1560
AUD TINNITUS ASSESSMENT	92625	$480
AUD TONE DECAY TEST	92563	$110
AUD TYMPANOMETRY + REFLEX THRESHOLD BI	92550	$480
AUD TYMPANOMETRY + REFLEX THRESHOLD UNI	92550	$480
AUD TYMPANOMETRY IMPEDANCE TEST	92567	$160
AUD TYMPANOMETRY IMPEDANCE TEST UNILAT	92567	$110
AUDIOMETRY PURETONE THRESHOLD AIR ONLY	92552	$370
AUDIOMETRY SELECT PICTURE	92583	$110
AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNTN COMPREHENSIVE AUTOMATED	0212T	$480
AUDIOMETRY THRESHOLD PURE TONE AIR & BONE AUTOMATED	0209T	$110
AUDIOMETRY THRESHOLD PURE TONE AIR ONLY AUTOMATED	0208T	$110
AUDIOMETRY THRESHOLD PURE TONE AUTOMATED	0210T	$110
AUDIOMETRY THRESHOLD SPEECH WITH SPEECH RECOGNITION AUTOMATED	0211T	$110
AUDITORY EVOK POTENTIAL	92585	$870
CCS ALLIED HEALTH CASE CONFERENCE EACH 15	99368	$460
CCS ALLIED HEALTH PHONE CONSULT EACH 15		$460
CCS ALLIED PROF GROUP COUNSELING EA INDIV	99211	$70
CCS COORDINATOR CASE CONFERENCE	99368	$460
CCS EVOKED POTENTIAL RESCREEN UNINSUR	92586	$346
CCS INFANT HEARING INITIAL SCREENING OP	92586	$346
CCS INFANT HEARING RESCREENING OP	92586	$430
CCS PRE-COCHLEAR EVAL 2ND AUDIOLOGIST	92601	$330
CCS SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$174
CCS SW CASE CONF REPORT EACH 15MIN	G0463	$36
DIAG EVAL COCHLEAR IMPLANT+PROGRAM<7YRS	92601	$480
DIAG EVAL COCHLEAR IMPLANT+PROGRAM>7YRS	92603	$480
DIAG EVAL COCHLEAR IMPLANT+REPROGRM<7YRS	92602	$480
DIAG EVAL COCHLEAR IMPLANT+REPROGRM>7YRS	92604	$480
EEG AWAKE EMBOLIZATION	95816	$870
EPSDT ACOUSTIC IMMIT TEST-1EAR	92567	$359
EPSDT ACOUSTIC IMMITTANCE TEST-2EAR	92567	$359
EPSDT AUD ORIENTATION 60MIN	G0463	$300
EPSDT AUD SPEECH REHAB 30MIN	92626	$399
EPSDT AUDIO EVAL COMPLEX>7YRS	92626	$500
EPSDT AUDIO EVAL INITIAL 2-5YRS	92626	$500
EPSDT AUDIO EVAL INITIAL 6-20YR	92626	$500
EPSDT AUDIO EVAL INITIAL<2YRS	92626	$500
EPSDT AUDIO EVAL SUBSQ 2-5YRS	92626	$500
EPSDT AUDIO EVAL SUBSQ 6-20YRS	92626	$500
EPSDT AUDIO EVAL SUBSQ<2YRS	92626	$500
EPSDT AUDIOLOGY CONSULT 60MIN	G0463	$250
EPSDT AUDIOMETRY BEHAVIOR OBS	92626	$399
EPSDT AURAL REHAB ALT HEAR DEVICE	92626	$500
EPSDT AURAL REHAB COCHLEAR DEV 30MIN	92626	$500
EPSDT AURAL REHAB HEARING AID 30MIN	92626	$500
EPSDT COCHLEAR ASSISTED PRE-EVAL	92626	$540
EPSDT COCHLEAR IMPLANT 60MIN	92626	$480
EPSDT COCHLEAR IMPLANT RE-CHECK	92602	$480
EPSDT COCHLEAR POST IMPL TEST 30	92552	$480
EPSDT EVKD OTOACOUST EMISS CMP	92588	$592
EPSDT EVOKED OTOACOUST EMISSION LIMITED	92587	$302
EPSDT FUNCTIONAL GAIN TEST	92521	$540
EPSDT REAL EAR MEASURE-1EAR	92592	$160
EPSDT REAL EAR MEASURE-2EAR	92593	$320
EPSDT SPEECH PERCEPTION TEST PRE/POST	92633	$410
EPSDT SPEECH THRESHOLD TEST	92555	$100
EPSDT SPEECH/WORD RECOGNITION TEST	92556	$124
HEAR AID CHECK BILAT	92593	$90
HEAR AID ELECTROACOUST EVAL UNILATERAL	92594	$110
HEAR AID ELECTROACOUSTIC EVAL BILAT	92595	$210
HEAR AID EXAM+SELECT BILAT	92591	$258
HEAR AID ORIENTATION	99211	$240
HEARING AID CHECK MONAURAL	92592	$90
NHSP INFANT HEARING SCRN INPATIENT INITL	92586	$430
SPEECH LANGUAGE THERAPY	92507	$95
VISUAL REINFORCEMENT AUDIOMTRY VRA	92579	$480

Behavioral Health Services

Description	CPT Code	Standard Charge
BIOFEEDBACK ANAL SPHINCTER+EMG PEDS	90911	$480
BRIEF EMOTIONAL BEHAV ASSESS PER INSTRUMNT	96127	$120
DEVELOPMENTAL TESTING EXTENDED	96111	$699
ECT-CONVULSIVE THERAPY	90870	$1950
ORGAN ACQ-COMPOSITE FACE CADAVER DONOR		$62230

Blood And Blood Components

Description	CPT Code	Standard Charge
AUTO BLOOD WHOLE TRANSFUSED UNIT	P9010	$1380
AUTO CRYOPPT TRANSFUSED UNIT	P9012	$500
AUTO FFP PLASMA TRANSFUSED UNIT	P9017	$610
AUTO RBC DEGLYC SPLIT UNIT	P9011	$1260
AUTO RBC DEGLYC UNIT	P9039	$2520
AUTO RBC TRANSFUSED SPLIT UNIT	P9011	$600
AUTO RBC TRANSFUSED UNIT	P9021	$1200
AUTO RBC WASHED SPLIT UNIT	P9011	$600
AUTO RBC WASHED UNIT	P9022	$1340
CRYOPRECIPITATE UNIT	P9012	$230
CRYOPRECIPITATE UNIT POOLED EA	P9012	$180
GRANULOCYTES PHERESIS UNIT	P9050	$7040
PERFUSION PLATELET GEL PROCESSING		$240
PLASMA CRYO POOR SPLIT UNIT	P9011	$360
PLASMA CRYO POOR UNIT	P9044	$370
PLASMA FR FROZ APHERES SPLT UNIT	P9011	$360
PLASMA FR FROZ APHERES UNIT	P9017	$260
PLASMA FR FROZ SPLIT UNIT	P9011	$270
PLASMA FR FROZ UNIT	P9017	$330
PLASMA FROZ POOLED SOLV DETERGNT TREATED UNIT *UB	P9023	$115
PLASMA FROZEN W/IN24HR SPLT UNIT	P9011	$360
PLASMA FROZEN W/IN24HR UNIT	P9059	$260
PLASMA LIQUID UNIT	P9059	$260
PLATELET CONCENTRATE UNIT	P9019	$400
PLATELET IRRADIATED UNIT	P9032	$630
PLATELET LEUKORED IRRAD UNIT	P9033	$590
PLATELET LEUKORED UNIT	P9031	$410
PLATELET RICH PLASMA INJECTION WITH IMAGE GUIDANCE	0232T	$1150
PLATELETPHERESIS IRRAD SPLIT UNIT	P9011	$800
PLATELETPHERESIS IRRAD UNIT	P9036	$1940
PLATELETPHERESIS LEUKRED CMVNEG IRRAD SPLT UNIT	P9011	$1100
PLATELETPHERESIS LEUKRED CMVNEG IRRAD UNIT	P9053	$2200
PLATELETPHERESIS LEUKRED CMVNEG UNIT	P9055	$1620
PLATELETPHERESIS LEUKRED HLA IRRAD UNIT	P9052	$2690
PLATELETPHERESIS LEUKRED HLA UNIT	P9052	$2690
PLATELETPHERESIS LEUKRED IRRAD SPLT UNIT	P9011	$1380
PLATELETPHERESIS LEUKRED IRRAD UNIT	P9037	$2750
PLATELETPHERESIS LEUKRED SPLIT UNIT	P9011	$870
PLATELETPHERESIS LEUKRED UNIT	P9035	$1740
PLATELETPHERESIS SPLIT UNIT	P9011	$790
PLATELETPHERESIS UNIT	P9034	$1580
RBC DEGLYCEROLIZED SPLIT UNIT	P9011	$1070
RBC DEGLYCEROLIZED UNIT	P9039	$2140
RBC FROZEN WASHED UNIT	P9039	$2140
RBC IRRADIATED DEGLYCEROLIZED SPLIT UNIT	P9011	$1070
RBC IRRADIATED DEGLYCEROLIZED UNIT	P9039	$2140
RBC IRRADIATED SPLIT UNIT	P9011	$500
RBC IRRADIATED UNIT	P9038	$1000
RBC LEUKRED CMVNEG UNIT	P9051	$1000
RBC LEUKRED FROZEN DEGLYC SPLIT UNIT	P9011	$1070
RBC LEUKRED FROZEN DEGLYC UNIT	P9039	$2140
RBC LEUKRED IRRAD CMVNEG SPLIT UNIT	P9011	$500
RBC LEUKRED IRRAD DEGLYCEROLIZED SPLT UNIT	P9011	$1070
RBC LEUKRED IRRAD DEGLYCEROLIZED UNIT	P9057	$2140
RBC LEUKRED IRRAD UNIT	P9040	$1000
RBC LEUKRED IRRADIATED SPLIT UNIT	P9011	$500
RBC LEUKRED MODIFIED WASH IRRAD SPLIT UNIT	P9011	$680
RBC LEUKRED MODIFIED WASH IRRAD UNIT	P9057	$1360
RBC LEUKRED MODIFIED WASH SPLIT UNIT	P9011	$680
RBC LEUKRED MODIFIED WASH UNIT	P9022	$1360
RBC LEUKRED SPLIT UNIT	P9011	$500
RBC LEUKRED UNIT	P9016	$1000
RBC LEUKRED WASHED IRRAD SPLT UNIT	P9011	$680
RBC LEUKRED WASHED IRRAD UNIT	P9057	$1360
RBC LEUKRED WASHED SPLIT UNIT	P9011	$680
RBC LEUKRED WASHED UNIT	P9022	$1360
RBC LEUKREDIRRADCMVNEG UNIT	P9058	$1000
RBC MODIFIED WASHED SPLIT UNIT	P9011	$680
RBC MODIFIED WASHED UNIT	P9022	$1360
RBC SPLIT UNIT	P9011	$500
RBC UNIT	P9021	$1000
RBC WASHED IRRAD SPLIT UNIT	P9011	$680
RBC WASHED IRRAD UNIT	P9022	$1360
RBC WASHED SPLIT UNIT	P9011	$680
RBC WASHED UNIT	P9022	$1360
TRANSFUSION BLOOD/BLOOD COMPONENTS	36430	$1310
TRANSFUSION EXCHANGE	36455	$1310
TRANSFUSION EXCHANGE NEWBORN	36450	$1310
TRANSFUSION INTRAUTERINE FETAL	36460	$1310
TRANSFUSION PUSH <2YRS	36440	$1310
WHITE BLOOD CELLS PEDS UNIT	89999	$190
WHOLE BLOOD IRRADIATED UNIT	P9010	$780
WHOLE BLOOD SPLIT UNIT	P9011	$390
WHOLE BLOOD UNIT	P9010	$980

Cardiology Caths and Tests

Description	CPT Code	Standard Charge
CARDIO TILT TABLE EVAL+ECG MONITOR	93660	$1560
CARDIOVERSION ELECTIVE EXTERNAL	92960	$1500
CARDIOVERSION INTERNAL	92961	$2070
CATH LAB IR HOURS 0.25		$5500
CATH LAB IR HOURS 0.50		$6800
CATH LAB IR HOURS 0.75		$8100
CATH LAB IR HOURS 1.00		$9400
CATH LAB IR HOURS 1.25		$10700
CATH LAB IR HOURS 1.50		$12000
CATH LAB IR HOURS 1.75		$13300
CATH LAB IR HOURS 10.00		$56200
CATH LAB IR HOURS 10.25		$57500
CATH LAB IR HOURS 10.50		$58800
CATH LAB IR HOURS 10.75		$60100
CATH LAB IR HOURS 11.00		$61400
CATH LAB IR HOURS 11.25		$62700
CATH LAB IR HOURS 11.50		$64000
CATH LAB IR HOURS 11.75		$65300
CATH LAB IR HOURS 12.00		$66600
CATH LAB IR HOURS 12.25		$67900
CATH LAB IR HOURS 12.50		$69200
CATH LAB IR HOURS 12.75		$70500
CATH LAB IR HOURS 13.00		$71800
CATH LAB IR HOURS 13.25		$73100
CATH LAB IR HOURS 13.50		$74400
CATH LAB IR HOURS 13.75		$75700
CATH LAB IR HOURS 14.00		$77000
CATH LAB IR HOURS 14.25		$78300
CATH LAB IR HOURS 14.50		$79600
CATH LAB IR HOURS 14.75		$80900
CATH LAB IR HOURS 15.00		$82200
CATH LAB IR HOURS 15.25		$83500
CATH LAB IR HOURS 15.50		$84800
CATH LAB IR HOURS 15.75		$86100
CATH LAB IR HOURS 16.00		$87400
CATH LAB IR HOURS 16.25		$88700
CATH LAB IR HOURS 16.50		$90000
CATH LAB IR HOURS 16.75		$91300
CATH LAB IR HOURS 17.00		$92600
CATH LAB IR HOURS 17.25		$93900
CATH LAB IR HOURS 17.50		$95200
CATH LAB IR HOURS 17.75		$96500
CATH LAB IR HOURS 18.00		$97800
CATH LAB IR HOURS 18.25		$99100
CATH LAB IR HOURS 18.50		$100400
CATH LAB IR HOURS 18.75		$101700
CATH LAB IR HOURS 19.00		$103000
CATH LAB IR HOURS 19.25		$104300
CATH LAB IR HOURS 19.50		$105600
CATH LAB IR HOURS 19.75		$106900
CATH LAB IR HOURS 2.00		$14600
CATH LAB IR HOURS 2.25		$15900
CATH LAB IR HOURS 2.50		$17200
CATH LAB IR HOURS 2.75		$18500
CATH LAB IR HOURS 20.00		$108200
CATH LAB IR HOURS 20.25		$109500
CATH LAB IR HOURS 20.50		$110800
CATH LAB IR HOURS 20.75		$112100
CATH LAB IR HOURS 21.00		$113400
CATH LAB IR HOURS 21.25		$114700
CATH LAB IR HOURS 21.50		$116000
CATH LAB IR HOURS 21.75		$117300
CATH LAB IR HOURS 22.00		$118600
CATH LAB IR HOURS 22.25		$119900
CATH LAB IR HOURS 22.50		$121200
CATH LAB IR HOURS 22.75		$122500
CATH LAB IR HOURS 23.00		$123800
CATH LAB IR HOURS 23.25		$125100
CATH LAB IR HOURS 23.50		$126400
CATH LAB IR HOURS 23.75		$127700
CATH LAB IR HOURS 24.00		$129000
CATH LAB IR HOURS 3.00		$19800
CATH LAB IR HOURS 3.25		$21100
CATH LAB IR HOURS 3.50		$22400
CATH LAB IR HOURS 3.75		$23700
CATH LAB IR HOURS 4.00		$25000
CATH LAB IR HOURS 4.25		$26300
CATH LAB IR HOURS 4.50		$27600
CATH LAB IR HOURS 4.75		$28900
CATH LAB IR HOURS 5.00		$30200
CATH LAB IR HOURS 5.25		$31500
CATH LAB IR HOURS 5.50		$32800
CATH LAB IR HOURS 5.75		$34100
CATH LAB IR HOURS 6.00		$35400
CATH LAB IR HOURS 6.25		$36700
CATH LAB IR HOURS 6.50		$38000
CATH LAB IR HOURS 6.75		$39300
CATH LAB IR HOURS 7.00		$40600
CATH LAB IR HOURS 7.25		$41900
CATH LAB IR HOURS 7.50		$43200
CATH LAB IR HOURS 7.75		$44500
CATH LAB IR HOURS 8.00		$45800
CATH LAB IR HOURS 8.25		$47100
CATH LAB IR HOURS 8.50		$48400
CATH LAB IR HOURS 8.75		$49700
CATH LAB IR HOURS 9.00		$51000
CATH LAB IR HOURS 9.25		$52300
CATH LAB IR HOURS 9.50		$53600
CATH LAB IR HOURS 9.75		$54900
CATHLAB IR RECOVERY UPTO HR 1.00		$612
CATHLAB IR RECOVERY UPTO HR 1.50		$857
CATHLAB IR RECOVERY UPTO HR 2.00		$1048
CATHLAB IR RECOVERY UPTO HR 2.50		$1248
CATHLAB IR RECOVERY UPTO HR 3.00		$1473
CATHLAB IR RECOVERY UPTO HR 3.50		$1699
CATHLAB IR RECOVERY UPTO HR 4.00		$1924
CV MONITOR SYSTEM IMPLANT INTERRROGATION	93290	$157
DEFIB WEARABLE SYSTSEM INTERROGATION	93292	$210
DOPPLER ECHO COLORFLO VELOCITY MAP	93325	$550
DOPPLER ECHO COMPLETE	93320	$600
DOPPLER ECHO LIMITED	93321	$330
ECG EVENT RECORD WO 24HR ATTEND MONITOR	0497T	$132
ECHO 2D COMPLETE WO COLORFLOW +/- FOLLOW WITH CONTRAST	C8923	$2390
ECHO INTRAOPERATIVE	93662	$4608
ECHO TEE 2D CONGEN ANOMLY+PROBE+MONITORING	93318	$1700
ECHO TEE 2D PROBE PLACE ONLY	93313	$850
ECHO TEE 2D PROBE+IMAG+REPORT +/- FOLLOW W CONTRAST	C8925	$2390
ECHO TEE 2D PROBE+MONITOR +/- FOLLOW W CONTRAST	C8927	$2390
ECHO TEE 2D+IMAGE+REPORT	93314	$1288
ECHO TEE 2D+PROBE+IMAG+REPORT COMPLETE	93312	$1700
ECHO TEE CONGEN ANOMLY IMAGE ONLY+REPORT	93317	$842
ECHO TEE CONGEN ANOMLY+PROBE PLACE ONLY	93316	$1700
ECHO TEE CONGEN ANOMLY+PROBE+IMAG+REPORT	93315	$1700
ECHO TEE GUIDANCE INTERVENTNL+IMAG+PROBE MANIP+REPORT	93355	$2420
ECHO TRANSESOPH TEE CHD+PROBE+IMAG REPORT +/- FOLLOW WITH CONTRAST	C8926	$2390
ECHO TTE 2D COMPLETE + COLORFLOW	93306	$1700
ECHO TTE 2D COMPLETE +COLORFLOW +/- FOLLOW W CONTRAST	C8929	$2390
ECHO TTE 2D COMPLETE WO COLORFLOW	93307	$1700
ECHO TTE 2D LIMITED	93308	$860
ECHO TTE 2D LIMTED +/- FOLLOW W CONTRAST	C8924	$1600
ECHO TTE CONGEN ANOMLY COMPL +/- FOLLOW W CONTRAST	C8921	$2390
ECHO TTE CONGEN ANOMLY COMPLETE	93303	$1700
ECHO TTE CONGEN ANOMLY F-UP/LTD	93304	$1140
ECHO TTE CONGEN ANOMLY LIMTED +/- FOLLOW W CONTRAST	C8922	$2390
ENDOMYOCARDIAL BIOPSY	93505	$3640
ICD EVAL +/- REPROGRAM DUAL LEAD	93283	$280
ICD EVAL +/- REPROGRAM MULTI LEAD	93284	$310
ICD EVAL +/- REPROGRAM SGL LEAD	93282	$220
ICD EVAL PERIPROCEDURE +/- REPROGRAM	93287	$130
ICD INTERROGATION+/-REPROGRAM	93289	$420
LHC VIA TRANSSEPT/ATRIAL PUNCTURE	93462	$9170
LOOP RECORDER IMPLANT EVAL +/- REPROGRAM	93285	$130
LOOP RECORDER IMPLANT INTERRROGATION	93291	$230
MYOCARDIAL STRAIN IMAGING QUAN ASSMT	0399T	$1580
PACEMAKER EVAL +/- REPROGRAM DUAL	93280	$200
PACEMAKER EVAL +/- REPROGRAM MULTIPLE	93281	$230
PACEMAKER EVAL +/- REPROGRAM SINGLE	93279	$180
PACEMAKER EVAL PERIPROCED +/- REPROGRAM	93286	$100
PACEMAKER INTERROGATION+/-REPROGRAM SGL	93288	$240
PACEMAKER TELE ANALYSIS SINGLE	93293	$265
PERFUSION CATH LAB HOURS 1.00		$10390
PERFUSION CATH LAB HOURS 2.0		$10780
PERFUSION CATH LAB HOURS 3.0		$11170
PERFUSION CATH LAB HOURS 4.0		$11560
PERFUSION CATH LAB HOURS 5.0		$11950
PERFUSION CATH LAB HOURS 6.0		$12340
PERFUSION CATH LAB HOURS 7.0		$12730
PERFUSION CATH LAB HOURS 8.0		$13120
PULMONARY STRESS TEST COMPLEX	94621	$1720
R&LHC VENTRICULOGRAPHY+INJ	93453	$9850
REMOTE INTERROGATE CV MONITOR/LOOP 30DAY	93299	$160
REMOTE INTERROGATE PCMKR/ICD UPTO 90DAYS	93296	$310
STRESS ECHO TTE 2D	93350	$2740
STRESS ECHO TTE 2D + REPORT +/- FOLLOW W CONTRAST	C8928	$2390
STRESS ECHO TTE 2D+ECG MONITOR	93351	$3150
STRESS ECHO TTE 2D+ECG MONITOR+/-FOLLOW W CONTRAST	C8930	$2190
STRESS TEST + EXERCISE +/-PHARM+ECG MONITOR	93017	$1500
VAD INTERROGATION+PROGRAMMING IN PERSON	93750	$400
VAD PERFUSION CATH LAB HOURS 1.00		$10390
VAD PERFUSION CATH LAB HOURS 2.00		$10780
VAD PERFUSION CATH LAB HOURS 3.00		$11170
VAD PERFUSION CATH LAB HOURS 4.00		$11560
VAD PERFUSION CATH LAB HOURS 5.00		$11950
VAD PERFUSION CATH LAB HOURS 6.00		$12340
VAD PERFUSION CATH LAB HOURS 7.00		$12730
VAD PERFUSION CATH LAB HOURS 8.00		$13120

Clinic

Description	CPT Code	Standard Charge
ACTINOTHERAPY UV LIGHT	96900	$110
ADVANCED CARE PLAN 30 MIN	99497	$260
ADVANCED CARE PLAN ADDL 30 MIN	99498	$260
ANNUAL ALCOHOL MISUSE SCRN 15 MIN	G0442	$110
ANNUAL DEPRESSSION SCRN 15 MIN	G0444	$110
ANNUAL WELLNESS VISIT+PPPS INITIAL	G0438	$240
ANNUAL WELLNESS VISIT+PPPS SUBSEQUENT	G0439	$240
BODY COMPOSITION ANALYSIS	G0463	$170
BRIEF ALCOHOL MISUSE COUNSEL	G0443	$310
CCS SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$220
COUNSEL NEED FOR LUNG CANCER SCRN LOW DOSE CT	G0296	$310
CPSP OB ANTEPARTUM 1ST= <16WK LMP	G0463	$279
CPSP OB ANTEPARTUM 1ST= <16WK LMP HIRISK	G0463	$279
CPSP OB ANTEPARTUM INITIAL	G0463	$279
CPSP OB ANTEPARTUM INITIAL HIRISK	G0463	$279
CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 10+	G0463	$200
CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 2-9	G0463	$200
CPSP OB ANTEPARTUM SUBSQ HIRISK	G0463	$200
CPSP OB COMBINED ASSESSMENT INTIAL	G0463	$200
CPSP OB POSTPARTUM VISIT	G0463	$200
EPSDT PHYSICIAN PARENT CONFERENCT PER 30MINUTES	99211	$130
EST OUTPATIENT VISIT LEVEL 3	G0463	$230
EST PREVENTIVE CARE >65YRS	G0463	$320
EST PREVENTIVE CARE AGE 1-4YR	G0463	$320
EST PREVENTIVE CARE AGE 12-17YR	G0463	$320
EST PREVENTIVE CARE AGE 18-39YR	G0463	$320
EST PREVENTIVE CARE AGE 40-64YR	G0463	$320
EST PREVENTIVE CARE AGE 5-11YR	G0463	$320
EST PREVENTIVE CARE PERIODIC	G0463	$320
EST PT LVL1 ASSESSMENT POSTOP	G0463	$170
EXAM EVIDENTRY SEXUAL ASSAULT	G0463	$730
EXAM EVIDENTRY SEXUAL ASSAULT SUSPECT	G0463	$365
FACE TO FACE BEHAV COUNSEL OBESITY 15 MIN	G0447	$310
FAMILY PACT EST PT VISIT LEVEL 1	G0463	$130
FAMILY PACT EST PT VISIT LEVEL 2	G0463	$159
FAMILY PACT EST PT VISIT LEVEL 3	G0463	$183
FAMILY PACT EST PT VISIT LEVEL 5	G0463	$279
FAMILY PACT EST PT VISITLEVEL 4	G0463	$200
FAMILY PACT NEW PT VISIT LEVEL 1	G0463	$130
FAMILY PACT NEW PT VISIT LEVEL 2	G0463	$159
FAMILY PACT NEW PT VISIT LEVEL 3	G0463	$183
FAMILY PACT NEW PT VISIT LEVEL 4	G0463	$200
FAMILY PACT NEW PT VISIT LEVEL 5	G0463	$279
HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL4	G0463	$295
HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL5	G0463	$317
HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL4	G0463	$295
HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL5	G0463	$317
HRIF HI RISK INFANT F-UP NURSE COORDINATOR	G0463	$240
HRIF MED NUTRITION ASSESS INITIAL 1ST30MIN	97802	$50
HRIF MED NUTRITION ASSESS SUBSEQUENT 30MIN	97803	$43
HRIF OT DEVELOP ASSESS BAYLEY SCORE	96111	$699
HRIF SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$174
MAP PROCEDURE ROOM HOURS 1.00	99211	$93
MED TEAM CONFERENCE BY HEALTH PROF WITHOUT PATIENT 30MIN OR MORE	99368	$500
MEDICAL GENETIC COUNSELING EACH 30MIN	96040	$390
MEDICAL GENETIC COUNSELING MCAL /15MIN		$150
MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITH PATIENT 30MIN	99366	$500
MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITHOUT PATIENT 30MIN	99367	$500
NEW OUTPATIENT VISIT LEVEL 3	G0463	$230
NEW PREVENTIVE CARE AGE >65YRS	G0463	$360
NEW PREVENTIVE CARE AGE 1-4YR	G0463	$360
NEW PREVENTIVE CARE AGE 12-17YR	G0463	$360
NEW PREVENTIVE CARE AGE 18-39YR	G0463	$360
NEW PREVENTIVE CARE AGE 40-64YR	G0463	$360
NEW PREVENTIVE CARE AGE 5-11YR	G0463	$360
NEW PREVENTIVE EXAM MEDICARE	G0402	$360
NEW PREVENTIVE VISIT INITIAL	G0463	$360
OR PROC ROOM EVAL NOT SURG DAY/CANCEL	G0463	$240
OUTPATIENT CONSULT LEVEL 2	G0463	$200
OUTPATIENT CONSULT LEVEL 3	G0463	$230
OUTPATIENT CONSULT LEVEL 4	G0463	$260
OUTPATIENT CONSULT LEVEL 5	G0463	$350
PERITONEAL-VENOUS SHUNT EVAL INJECTION	49427	$190
PHOTOCHEMOTHERAPY GOEKERMAN	96910	$200
PHOTOCHEMOTHERAPY PSORALEN BATH	96999	$250
PHOTOCHEMOTHERAPY PUVA	96912	$200
PHOTOCHEMOTHERAPY SEVERE DERMATOSIS	96913	$1090
PREVENTIVE MED COUNSEL 15MIN	G0463	$320
PREVENTIVE MED COUNSEL 30MIN	G0463	$340
PREVENTIVE MED COUNSEL 45MIN	G0463	$360
PREVENTIVE MED COUNSEL 60MIN	G0463	$380
PROLONG PT VISIT EA ADDL 30 MINS	99355	$100
PROLONGED PT VISIT FIRST HR	99354	$100
PSYCHOSOCIAL ASSESSMENT GROUP F-UP EA 15	96153	$240
PSYCHOSOCIAL ASSESSMENT INDIV F-UP EA 15	96151	$240
PSYCHOSOCIAL ASSESSMENT INITL 1ST30MIN	96150	$240
PSYCHOSOCIAL ASSESSMENT INTL EA ADDL 15	96150	$240
PSYCHOSOCIAL ASSESSMENT POSTPARTUM EA 15	96150	$240
RESEARCH GRANT-CHARGE PER HOUR 2007		$150
TRANSITIONAL CARE MANAGEMENT HIGH COMPLEX WITHIN 7DAYS DISCHARGE	99496	$440
TRANSITIONAL CARE MANAGEMENT MOD COMPLEX WITHIN 14DAYS DISCHARGE	99495	$400

CT Scan

Description	CPT Code	Standard Charge
3D CT MR US WO POST PROCESS	76376	$850
CT 3D RECONSTRCT AORTA SURGPLN	G0288	$830
CT ABDOMEN + CONTRAST	74160	$2590
CT ABDOMEN +/- CONTRAST	74170	$3060
CT ABDOMEN WO CONTRAST	74150	$1850
CT ABDOMEN&PELVIS WO CONTRAST	74176	$1850
CT ABDOMEN&PELVIS WO+1SECTN/REGN W CONTR	74178	$3060
CT ABDOMEN&PELVIS+CONTRAST	74177	$2590
CT ABLATION GUIDANCE S&I	77013	$940
CT ANGIO ABD AORTA + RUNOFF	75635	$2040
CT ANGIO ABD PELVIS+/-CONTRAST	74174	$3060
CT ANGIOGRAM ABDOMEN	74175	$2040
CT ANGIOGRAM CHEST	71275	$2110
CT ANGIOGRAM HEAD +/- CONTRAST	70496	$1730
CT ANGIOGRAM LOWER EXTREMITY	73706	$1790
CT ANGIOGRAM NECK	70498	$1730
CT ANGIOGRAM PELVIS	72191	$2040
CT ANGIOGRAM UPPER EXTREMITY	73206	$1790
CT BONE DENSITY AXIAL	77078	$250
CT BONE DENSITY PERIPHERAL	77080	$420
CT BRAIN + CONTRAST	70460	$2830
CT BRAIN +/- CONTRAST	70470	$3610
CT BRAIN WO CONTRAST	70450	$2500
CT C-SPINE + CONTRAST	72126	$2230
CT C-SPINE +/- CONTRAST	72127	$2230
CT C-SPINE WO CONTRAST	72125	$1860
CT CERBRAL CBF PERFUSION+CONTRAST	0042T	$3240
CT CHEST + CONTRAST	71260	$2500
CT CHEST +/- CONTRAST	71270	$3060
CT CHEST WO CONTRAST	71250	$1860
CT COLONOGRAPHY DIAGNOSTIC + CONTRAST	74262	$1250
CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST	74261	$830
CT COLONOGRAPHY SCREENING MCN	74263	$1250
CT FOLLOW-UP EXAM	76380	$360
CT HEART FUNCTION EVAL 3D	75572	$1130
CT HEART FUNCTION EVAL 3D CONGENITAL	75573	$1130
CT HEART WO CONTRAST+CORONARY CALCIUM	75571	$270
CT KUB	74150	$740
CT L-SPINE + CONTRAST	72132	$2500
CT L-SPINE +/- CONTRAST	72133	$2950
CT L-SPINE WO CONTRAST	72131	$1860
CT LOCALIZATION STEREOTACTIC	77011	$1960
CT LOW DOSE LUNG CANCER SCREENING	G0297	$500
CT LOWER EXTREMITY + CONTRAST	73701	$2500
CT LOWER EXTREMITY +/-CONTRAST	73702	$2950
CT LOWER EXTREMITY WO CONTRAST	73700	$1810
CT LOWER EXTREMITY WO CONTRAST BILATERAL	73700	$2900
CT LUNG CANCER SCREENING	71250	$745
CT MAXILLOFACIAL + CONTRAST	70487	$2210
CT MAXILLOFACIAL +/- CONTRAST	70488	$3580
CT MAXILLOFACIAL WO CONTRAST	70486	$1930
CT NDL PLACEMENT GUIDANCE S&I	77012	$1360
CT ORBIT SELLA IAC +/-CONTRAST	70482	$2600
CT ORBIT SELLA IAC WO CONTRAST	70480	$1880
CT ORBIT/SELLA/IAC + CONTRAST	70481	$2210
CT PELVIS + CONTRAST	72193	$2160
CT PELVIS +/- CONTRAST	72194	$2680
CT PELVIS WO CONTRAST	72192	$1860
CT RADIATION RX FIELD GUIDANCE	77014	$940
CT RESEARCH EXAM LEVEL 1		$100
CT RESEARCH EXAM LEVEL 2		$200
CT RESEARCH EXAM LEVEL 3		$300
CT RESEARCH EXAM LEVEL 4		$400
CT SOFT TISSUE NECK + CONTRAST	70491	$2260
CT SOFT TISSUE NECK WO CONTR	70490	$2100
CT SOFT TISSUE NECK+/-CONTRAST	70492	$2730
CT T-SPINE + CONTRAST	72129	$2500
CT T-SPINE +/- CONTRAST	72130	$2950
CT T-SPINE WO CONTRAST	72128	$1860
CT UPPER EXTREMITY + CONTRAST	73201	$2040
CT UPPER EXTREMITY +/-CONTRAST	73202	$3250
CT UPPER EXTREMITY WO CONTRAST	73200	$1590
CT UPPER EXTREMITY WO CONTRAST BILATERAL	73200	$2540
CT UROGRAM + CONTRAST	74160	$1035
CT UROGRAM +/- CONTRAST	74170	$1225
CTA CORONARY+/-GRAFT STRUCTURE & MORPH	75574	$1500
OR CT GUIDANCE SERVICE		$1000

DME / Medical Equipment

Description	CPT Code	Standard Charge
CANE	E0100	$22
CANE DJ ORTHO	E0100	$80
CRUTCHES FOREARM ADJUST	E0114	$100
CRUTCHES FOREARM ADJUST DJ ORTHO	E0114	$160
HEARING AID DISPENSING FEE BILATERAL	V5110	$20
HEARING AID DISPENSING FEE UNSPECIFIED	V5090	$20
HELMET PROTECTIVE HARD PREFAB WITH ALL COMPONENTS & ACCESSORIES	A8001	$380
MAP CANE	E0100	$22
MAP CRUTCHES FOREARM ADJUST	E0114	$77
SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED	E0471	$7430
SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED RNTL	E0471	$743
SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED	E0470	$2910
SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED RNTL	E0470	$291
SLEEP LAB BIPAP AIRCURVE ST-A RESMED	E0471	$6850
SLEEP LAB BIPAP AIRCURVE ST-A RESMED RNTL	E0471	$685
SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS	E0471	$6580
SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS RNTL	E0471	$658
SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS	E0470	$2250
SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS RNTL	E0470	$225
SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS	E0471	$6760
SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS RNTL	E0471	$676
SLEEP LAB BIPAP CHIN STRAP RESPIRONICS	A7036	$50
SLEEP LAB BIPAP HMDFR WATER CHAMBER REPLACE EA RESPIRONICS	A7046	$60
SLEEP LAB BIPAP ST DRMSTN RESPIRONICS	E0471	$6090
SLEEP LAB BIPAP ST DRMSTN RESPIRONICS RNTL	E0471	$609
SLEEP LAB CPAP AEROSOL COMPRESSOR & TUBING RESPIRONICS	E0572	$500
SLEEP LAB CPAP AEROSOL COMPRESSOR RESPIRONICS	E0572	$370
SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED	E0601	$1240
SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED RNTL	E0601	$124
SLEEP LAB CPAP CHIN STRAP DELUX ADJUST RESPIRONICS	A7036	$70
SLEEP LAB CPAP CHIN STRAP RESMED	A7036	$30
SLEEP LAB CPAP CHIN STRAP RESPIRONICS	A7036	$40
SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FFM RESMED	A7027	$320
SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FRAME RESMED	A7027	$260
SLEEP LAB CPAP CUSHION REPLACE ONLY GECKO RESMED	A7032	$270
SLEEP LAB CPAP CUSHION REPLACE ONLY MIRAGE RESMED	A7032	$60
SLEEP LAB CPAP CUSHION REPLACEMENT ONLY RESPIRONICS	A7032	$80
SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR S9 VPAP ST-A RESMED	E0471	$6020
SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR VPAP ADAPT RESMED	E0471	$7350
SLEEP LAB CPAP DEVICE BI PRESS & BACKUP DS1160/DS960 RESPIRONICS	E0471	$10000
SLEEP LAB CPAP DEVICE BI PRESS S9 VPAP ST & CLIMATE CONTROL RESMED	E0471	$5500
SLEEP LAB CPAP DEVICE BI PRESS S9VPAP ST-A & CLIMATE CONTROL RESMED	E0471	$6120
SLEEP LAB CPAP DEVICE BI PRESS VPAP ADAPT & CLIMATE CONTROL RESMED	E0471	$7430
SLEEP LAB CPAP DEVICE BI PRESS WO BACKUP AUTO DS760 RESPIRONICS	E0470	$3670
SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR & TUBING S9VPAP S RESMED	E0470	$2500
SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR S9 VPAP AUTO RESMED	E0470	$2840
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP DS1060 RESPIRONICS	E0471	$7260
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP S9 VPAP ST RESMED	E0471	$5080
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 100 RESMED	E0471	$14970
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 150 RESMED	E0471	$15640
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP VPAP ADAPT RESMED	E0471	$7000
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & S9 VPAP ST-A BACKUP RESMED	E0471	$5670
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP AUTO RESMED	E0470	$2500
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP RESMED	E0470	$2420
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP S RESMED	E0470	$2090
SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO S9 VPAP AUTO&CLIMATE RESMED	E0470	$2920
SLEEP LAB CPAP DEVICE REMSTAR60 & HMDFR AUTO RESPIRONICS	E0601	$1610
SLEEP LAB CPAP DEVICE S9 AUTOSET & CLIMATE CONTROL RESMED	E0601	$1470
SLEEP LAB CPAP DEVICE S9 AUTOSET & H5I RESMED	E0601	$1390
SLEEP LAB CPAP DEVICE S9 ELITE & CLIMATE CONTROL RESMED	E0601	$1320
SLEEP LAB CPAP DEVICE S9 ELITE + H5I RESMED	E0601	$1240
SLEEP LAB CPAP DEVICE S9 ELITE RESMED	E0601	$890
SLEEP LAB CPAP DEVICE S9 ESCAPE & CLIMATE CONTRO RESMED	E0601	$1000
SLEEP LAB CPAP DEVICE S9 ESCAPE + H5I RESMED	E0601	$920
SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO & CLIMATE CONTROL RESMED	E0601	$1270
SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO + H5I RESMED	E0601	$1190
SLEEP LAB CPAP DEVICE S9 ESCAPE RESMED	E0601	$570
SLEEP LAB CPAP DRMSTN RESPIRONICS	E0601	$980
SLEEP LAB CPAP DRMSTN RESPIRONICS RNTL	E0601	$98
SLEEP LAB CPAP FACE MASK INTERFACE REPLACE EA RESMED	A7031	$100
SLEEP LAB CPAP FILTER 12PACK RESMED	A7038	$60
SLEEP LAB CPAP FILTER 12PACK STELLAR RESMED	A7038	$140
SLEEP LAB CPAP FILTER 1PACK RESMED RESP	A7038	$10
SLEEP LAB CPAP FILTER 2PACK OR 3PACK RESMED	A7038	$20
SLEEP LAB CPAP FILTER 50PACK RESMED	A7038	$200
SLEEP LAB CPAP FULL FACE MASK EA FFM RESMED	A7030	$320
SLEEP LAB CPAP FULL FACE MASK EA FRAME RESMED	A7030	$260
SLEEP LAB CPAP FULL FACE MASK EACH COMGEL RESPIRONICS	A7030	$80
SLEEP LAB CPAP FULL FACE MASK EACH FFM AMARA RESPIRONICS	A7030	$300
SLEEP LAB CPAP HEAD GEAR & CLIPS RESMED	A7035	$40
SLEEP LAB CPAP HEAD GEAR MIRAGE LIBERTY RESMED	A7035	$70
SLEEP LAB CPAP HEAD GEAR MIRAGE RESMED	A7035	$50
SLEEP LAB CPAP HEAD GEAR MIRAGE SWIFT RESMED	A7035	$60
SLEEP LAB CPAP HEAD GEAR NUANCE RESPIRONICS	A7035	$50
SLEEP LAB CPAP HEAD GEAR PIXI RESMED	A7035	$70
SLEEP LAB CPAP HEAD GEAR QUATTRO FX RESMED	A7035	$70
SLEEP LAB CPAP HEAD GEAR RESPIRONICS	A7035	$50
SLEEP LAB CPAP HEAD GEAR STANDARD RESMED	A7035	$50
SLEEP LAB CPAP HEAD STRAP DOWN VITALSIGNS	A7036	$60
SLEEP LAB CPAP HMDFR H4I RESMED	E0562	$350
SLEEP LAB CPAP HMDFR H5I RESMED	E0562	$350
SLEEP LAB CPAP HMDFR S9 ESCAPE AUTO RESMED	E0601	$840
SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA C-SERIES RESMED	A7046	$30
SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA H4I H5I 2IC RESMED	A7046	$80
SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA HUMIDAIRE RESMED	A7046	$130
SLEEP LAB CPAP MONITGORING RESLINK MODULE RESMED	A9279	$610
SLEEP LAB CPAP MONITGORING RESSCAN DATA CARD 10PK RESMED	A9279	$200
SLEEP LAB CPAP MONITGORING S8 RESLINK MODULE RESMED	A9279	$730
SLEEP LAB CPAP MONITGORING S9 WIRELESS MODULE RESMED	A9279	$620
SLEEP LAB CPAP MONITGORING SD CARD 10 PACK RESMED	A9279	$290
SLEEP LAB CPAP MONITGORING SMARTMEDIA CARDS 2PK RESMED	A9279	$60
SLEEP LAB CPAP NASAL INTERFACE FRAME SYSTEM RESMED	A7034	$120
SLEEP LAB CPAP NASAL INTERFACE MASK W OR WO STRAP RESPIRONICS	A7034	$190
SLEEP LAB CPAP NASAL INTERFACE MASK/FRAME SYSTEM RESMED	A7034	$160
SLEEP LAB CPAP NASAL INTERFACE NUANCE RESPIRONICS	A7034	$180
SLEEP LAB CPAP NASAL INTERFACE PILLOWS SYSTEM RESMED	A7034	$210
SLEEP LAB CPAP NASAL INTERFACE PIXI FRAME RESMED	A7034	$270
SLEEP LAB CPAP NASAL INTERFACE PIXI NASAL RESMED	A7034	$190
SLEEP LAB CPAP NASAL INTERFACE SWIFT II MASK RESMED	A7034	$210
SLEEP LAB CPAP NASAL INTERFACE VISTA/KIDSTA RESMED	A7035	$40
SLEEP LAB CPAP ORAL CUSHION LIBERTY MOUTH REPLACE EA RESMED	A7028	$100
SLEEP LAB CPAP PILLOW FOR NASAL CANNULA INTERFACE REPLAC PAIR RESP	A7033	$80
SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR MIRAGE RESMED	A7029	$50
SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR SWIFT RESMED	A7033	$50
SLEEP LAB CPAP PILLOW NUANCE REPLACE RESPIRONICS	A7033	$50
SLEEP LAB CPAP SD CARD 10 PACK RESPIRONICS	A9279	$270
SLEEP LAB CPAP SD CARD MAILER 10 PACK RESPIRONICS	A9279	$170
SLEEP LAB CPAP SD CARD READER RESPIRONICS	A9279	$100
SLEEP LAB CPAP TUBING 6FT RESPIRONICS	A7037	$20
SLEEP LAB CPAP TUBING AIR 6FT OR SLIMLINE RESMED	A7037	$20
SLEEP LAB CPAP TUBING AIR 9FT RESMED	A7037	$60
SLEEP LAB CPAP TUBING CUFFED RESMED	A7037	$40
SLEEP LAB CPAP TUBING LABGEL RESPIRONICS	A7037	$40
SLEEP LAB CPAP TUBING REMSTAR RESPIRONICS	A7037	$30
SLEEP LAB CPAP TUBING WITH INTEGRATED HEATING ELEMENT RESMED RESP	A4604	$100
SLEEP LAB HME FILTERS MEDLINE	A7505	$220
WALKER	E0130	$45

EKG, ECG, EEG

Description	CPT Code	Standard Charge
ACT AMB TELEM 24HR SCAN ANALYS	93225	$2570
ACT AMBUL CARD TELEMETR RECORD/HKUP/DISC	93229	$1100
AMBULATORY EEG MONITORING PER 24 HOURS	95953	$3130
EEG & WADA ACTIVATION TEST	95958	$3160
EEG AMBULATORY MONITOR ID&LAT CEREBRAL SEIZURE RECORD&INTERPRET/24	95950	$2760
EEG AWAKE & ASLEEP	95819	$1400
EEG AWAKE & ASLEEP PORTABLE	95819	$870
EEG AWAKE & DROWSY	95816	$1230
EEG AWAKE & DROWSY PORTABLE	95816	$870
EEG BRAIN DEATH EVALUATION	95824	$1560
EEG COMA/SLEEP ONLY	95822	$870
EEG DIGITAL ANALYSIS	95957	$1580
EEG DRUG ACTIVATION TEST	95954	$1560
EEG EXTENDED MONITORING >1HR	95813	$1200
EEG EXTENDED MONITORING TO 1HR	95812	$870
EEG ICU MONITORING EA 24HR RN/TECH	95956	$3290
EEG ICU MONITORING PARTIAL DAY RN/TECH	95956	$1886
EKG 12-LEAD	93005	$360
EKG 12-LEAD SM	93005	$360
EKG RHYTHM STRIP	93041	$130
EKG SIGNAL AVERAGED SAEKG	93278	$200
ELECTROCORTICOGRAM AT SURGERY	95829	$2500
FUNCT CORTICAL MAP-EACH ADDL HR	95962	$1980
FUNCTIONAL CORTICAL MAP 1ST HR	95961	$3160
HEART EVENT MONITORING /ANALYSIS	93271	$1859
HEART EVENT RECORD/HOOKUP/DISCONTINUED	93270	$640
HOLTER 24HR SCAN ANALYSIS	93226	$1040
HOLTER 48HR SCAN ANALYSIS	93226	$1040
HOLTER RECORD/HKUP/DISC UPTO 24HR	93225	$870
HOLTER RECORD/HKUP/DISC UPTO 48HR	93225	$870
OR EEG MONITORING NONINTRACRAN	95955	$710
PULM FXN LAB EKG 12-LEAD	93005	$360
VIDEO EEG MONITORING PARTIAL DAY	95951	$2630
VIDEO EEG MONITORING PER 24 HOURS	95951	$5000

Emergency Room

Description	CPT Code	Standard Charge
AMPUTAT FNGR THMB SGL DIRCT CLOS	26951	$9260
ANOSCOPY DIAGNOSTIC RECTUM FB REMOVE	46608	$2480
BLEPHAROTOMY DRAIN ABSCESS EYELID	67700	$940
BONE PIN INSERTION STEINMAN	20650	$9260
BRAIN VENTRIC PUNCT REMOVE FLUID	61020	$2350
BRAIN VENTRIC TWIST DRILL CATH INSERT	61107	$800
BRAIN VENTRIC TWIST DRILL EVAC BLOOD	61108	$2260
BRAIN VENTRIC TWIST DRILL PUNCT	61105	$1810
BRONCH +REMOVE FOREIGN BODY	31635	$4630
BRONCH +THERAPY ASPIRATION	31645	$4630
CAST APPLY FINGER	29086	$470
CAST APPLY HAND&LO ARM GAUNTLET	29085	$470
CAST APPLY SPICA HIP 1.5 /BOTH	29720	$540
CAST REPR SPICA BODY CAST JACKET	29720	$470
CAST WINDOWING	29730	$470
CATHETERIZATION ARTERIAL UMBILICAL	36660	$170
CESAREAN DELIVERY ONLY	59514	$5470
CLSD DISLOCTX ACROCLAV +MANIP	23545	$750
CLSD DISLOCTX ACROCLAV WO MANIP	23540	$750
CLSD DISLOCTX ANKLE +ANESTH	27842	$4720
CLSD DISLOCTX ELBOW +ANESTH	24605	$4720
CLSD DISLOCTX ELBOW MONTEG+MANIP	24620	$4720
CLSD DISLOCTX ELBOW WO ANESTH	24600	$750
CLSD DISLOCTX FOOT IP JT WO ANESTH	28660	$980
CLSD DISLOCTX FOOT IP JT+ANESTH	28665	$1202
CLSD DISLOCTX FOOT MTP +ANESTH	28635	$4720
CLSD DISLOCTX FOOT TALOTARSAL WO ANESTH	28570	$750
CLSD DISLOCTX FOOT TARSAL WO ANESTHESIA	28540	$750
CLSD DISLOCTX FOOT TARSOMETATARSAL	28600	$750
CLSD DISLOCTX HAND CMC WO ANESTH	26670	$750
CLSD DISLOCTX HAND IP +ANESTH	26775	$1500
CLSD DISLOCTX HAND MCP +ANESTH	26705	$1970
CLSD DISLOCTX HIP POST ARTHROPLASTY	27265	$750
CLSD DISLOCTX HIP PROSTH +ANESTH	27266	$4720
CLSD DISLOCTX HIP SPON+MANIP+ANESTH	27257	$4720
CLSD DISLOCTX HIP SPONTANEOUS	27256	$750
CLSD DISLOCTX HIP TRAUMA +ANESTH	27252	$4720
CLSD DISLOCTX HIP TRAUMA WO ANESTHESIA	27250	$750
CLSD DISLOCTX KNEE WO ANESTH	27550	$750
CLSD DISLOCTX LUNATE +MANIP	25690	$4720
CLSD DISLOCTX RADIAL OR INTERCARPAL	25660	$750
CLSD DISLOCTX RADIOULNAR DIST	25675	$750
CLSD DISLOCTX SHOULDER +ANESTH	23655	$4720
CLSD DISLOCTX SHOULDER WO ANESTH	23650	$750
CLSD DISLOCTX SHOULDER+ FX HUM TUBER	23665	$1970
CLSD DISLOCTX SHOULDER+FX HUMERAL NECK	23675	$1970
CLSD DISLOCTX STERNOCLAVICLE +MANIP	23525	$750
CLSD DISLOCTX STERNOCLAVICLE WO MANIP	23520	$1970
CLSD DISLOCTX THUMB +MANIP	26641	$750
CLSD DISLOCTX TIBIOFIB PROX JNT	27830	$750
CLSD FXTX ANKLE BIMALLEOLAR	27810	$4720
CLSD FXTX ANKLE BIMALLEOLAR	27808	$750
CLSD FXTX ANKLE TRIMALLEOLAR	27816	$750
CLSD FXTX ANKLE TRIMALLEOLAR	27818	$4720
CLSD FXTX BIG TOE WO MANIP	28490	$750
CLSD FXTX CALCANEAL +MANIP	28405	$1609
CLSD FXTX CALCANEAL WO MANIP	28400	$750
CLSD FXTX CARPAL +MANIP EA	25635	$1970
CLSD FXTX CARPAL WO MANIP EA	25630	$750
CLSD FXTX CLAVICLE WO MANIP	23500	$750
CLSD FXTX COCCYGEAL	27200	$750
CLSD FXTX COLLES D-RAD	25605	$4720
CLSD FXTX DISTAL RADIUS WO MANIP	25600	$750
CLSD FXTX FEM D L CONDL WO MANIP	27508	$750
CLSD FXTX FEM D M L-CONDYL+MANIP	27510	$1970
CLSD FXTX FEM GREAT TROCHANTER WO MANIP	27246	$750
CLSD FXTX FEM PROX OR NECK WO MANIP	27230	$750
CLSD FXTX FEM PROX OR NECK+MANIP	27232	$820
CLSD FXTX FEM S T CONDL WO MANIP	27501	$750
CLSD FXTX FEM S T-CONDYL+MANIP	27503	$1970
CLSD FXTX FEM SHAFT WO MANIP	27500	$750
CLSD FXTX FEM SHAFT+MANIP	27502	$4720
CLSD FXTX FEM TROCHANTER	27240	$1165
CLSD FXTX FEM TROCHANTER WO MANIP	27238	$1970
CLSD FXTX FIBULA DISTAL +MANIP	27788	$750
CLSD FXTX FIBULA DISTAL WO MANIP	27786	$750
CLSD FXTX FIBULA PROX SHAFT	27780	$750
CLSD FXTX FIBULA PROX SHAFT +MANIP	27781	$4720
CLSD FXTX HAND ARTIC MCP IP WO MANIP	26740	$750
CLSD FXTX HAND ARTIC MCP IP+MANIP	26742	$1970
CLSD FXTX HAND DIP JT WO MANIP	26750	$750
CLSD FXTX HAND DIP JT+MANIP	26755	$750
CLSD FXTX HAND PIP MIP WO MANIP	26720	$750
CLSD FXTX HIP ACETABULUM WO MANIP	27220	$750
CLSD FXTX HIP ACETABULUM+MANIP	27222	$1051
CLSD FXTX HUMERAL CONDYL	24577	$4720
CLSD FXTX HUMERAL CONDYL WO MANIP	24576	$750
CLSD FXTX HUMERAL E-CONDYL +MANIP	24565	$1970
CLSD FXTX HUMERAL E-CONDYL WO MANIP	24560	$750
CLSD FXTX HUMERAL GRT TUBER WO MANIP	23620	$750
CLSD FXTX HUMERAL GRT TUBER+MANIP	23625	$4720
CLSD FXTX HUMERAL PROX WO MANIP	23600	$750
CLSD FXTX HUMERAL PROX+MANIP	23605	$4720
CLSD FXTX HUMERAL S-CONDYL	24535	$4720
CLSD FXTX HUMERAL S-CONDYL WO MANIP	24530	$750
CLSD FXTX HUMERAL SHAFT	24505	$4720
CLSD FXTX HUMERAL SHAFT WO MANIP	24500	$750
CLSD FXTX KNEE INTERCONDYLAR +/-MANIP	27538	$750
CLSD FXTX MANDIBLE+INTERDENTAL FIXATION	21453	$15180
CLSD FXTX MANDIBULAR +MANIP	21451	$3980
CLSD FXTX MANDIBULAR WO MANIP	21450	$1610
CLSD FXTX MED MALLEOLUS +MANIP	27762	$4720
CLSD FXTX MED MALLEOLUS WO MANIP	27760	$750
CLSD FXTX METACARPAL +MANIP	26605	$1300
CLSD FXTX METACARPAL WO MANIP EA	26600	$750
CLSD FXTX METATARSAL +MANIP	28475	$750
CLSD FXTX METATARSAL WO MANIP	28470	$750
CLSD FXTX NASALBONE WO MANIP	21310	$750
CLSD FXTX NASALBONE WO STABILZ	21315	$3980
CLSD FXTX NASALBONE+STABILZATN	21320	$7700
CLSD FXTX NAVICULAR CARPAL WO MANIP	25622	$750
CLSD FXTX NAVICULAR CARPAL+MANIP	25624	$1970
CLSD FXTX ORBIT +MANIP	21401	$3980
CLSD FXTX ORBIT WO MANIP	21400	$1610
CLSD FXTX OTHR TOE(S) WO MANIP EA	28510	$750
CLSD FXTX PATELLA WO MANIP	27520	$750
CLSD FXTX RADIAL HEAD NECK	24655	$4720
CLSD FXTX RADIAL HEAD NECK WO MANIP	24650	$750
CLSD FXTX RADIAL SHAFT	25520	$4720
CLSD FXTX RADIAL SHAFT	25505	$4720
CLSD FXTX RADIAL SHAFT WO MANIP	25500	$750
CLSD FXTX RADIAL ULNAR	25565	$4720
CLSD FXTX RADIAL ULNAR WO MANIP	25560	$750
CLSD FXTX SCAPULA +MANIP	23575	$1970
CLSD FXTX SCAPULA WO MANIP	23570	$750
CLSD FXTX SESAMOID	28530	$750
CLSD FXTX STERNUM	21820	$750
CLSD FXTX TALUS	28435	$4720
CLSD FXTX TALUS WO MANIP	28430	$750
CLSD FXTX TARSAL +MANIP	28455	$1970
CLSD FXTX TARSAL WO MANIP	28450	$750
CLSD FXTX THUMB CMC BENNETTS	26645	$4720
CLSD FXTX TIBIA +/- FIBULA +MANIP	27752	$4720
CLSD FXTX TIBIA +/- FIBULA WO MANIP	27750	$750
CLSD FXTX TIBIA DISTAL WT BEAR WO MANIP	27824	$750
CLSD FXTX TIBIA DISTAL WT BEAR+MNP+TRCTN	27825	$4720
CLSD FXTX TIBIA PROX PLATEAU W&WO MANIP	27532	$3860
CLSD FXTX TIBIA PROX PLATEAU WO MANIP	27530	$750
CLSD FXTX TRANSSCAPHPERILUNAR+MANIP	25680	$750
CLSD FXTX ULNAR PROX	24675	$4720
CLSD FXTX ULNAR PROX WO MANIP	24670	$750
CLSD FXTX ULNAR SHAFT +MANIP	25535	$750
CLSD FXTX ULNAR SHAFT WO MANIP	25530	$750
CLSD FXTX ULNAR STYLOID	25650	$750
CLSDTX FEM DIST EPIPH SEPARATION	27516	$750
CLSDTX FEM DIST EPIPH SEPARATN+MANIP	27517	$1970
CORPORA CAVERNOSA PRIAPISM INJECTION	54235	$800
CORPORA CAVERNOSA PRIAPISM IRRIGATION	54220	$800
CRITICAL CARE 0.5-1.25HR	99291	$2570
CRITICAL CARE 0.5-1.25HR TRAUMA	99291	$2570
CRITICAL CARE EA ADD 30	99292	$1000
CRITICAL CARE EA ADD 30 TRAUMA	99292	$1000
CYSTOURETHEROSCOPY+FB REMOVE COMPLEX	52315	$5930
DEBRIDE SKIN SUBQ MUSCLE BONE OPEN FRACT	11012	$8140
DEBRIDE SKIN SUBQ OPEN FRACTURE	11010	$840
DENTOALVEOLAR STRUCTURE SERVICE UNLISTED	41899	$620
EAR EXT DRAIN ABSC HEMATOMA COMPLICATED	69005	$4720
EAR EXT DRAIN ABSCESS HEMATOMA	69000	$2000
EAR EXTERNAL AUDITORY CANAL ABSC DRAIN	69020	$840
EPISIOTMY OR TEAR REPR ONLY	59300	$3310
ER DEPT VISIT ACUITY 1	99281	$290
ER DEPT VISIT ACUITY 2	99282	$510
ER DEPT VISIT ACUITY 3	99283	$780
ER DEPT VISIT ACUITY 4	99284	$1310
ER DEPT VISIT ACUITY 5	99285	$1870
ER DEPT VISIT ACUITY 5 TRAUMA	99285	$1790
ER EXAM REQ BY POLICE ADULT	99285	$1820
ESCHAROTOMY EACH ADDITIONAL INCISION	16036	$360
ESCHAROTOMY INITIAL INCISION	16035	$1090
ESOPHAGOSCOPY FB REMOVE	43215	$5000
EXCIS EXTN WRST F-ARM TNDN BURS SYNV RAD	25116	$9260
EXPLOR POSTOP HEM THRMB INFECT EXTREMITY	35860	$8720
EXPLOR WOUND PENETRATING ABD FLANK BACK	20102	$5490
EXPLOR WOUND PENETRATING EXTREMITY	20103	$2000
EYE ANTERIOR CHAMBER LENS FB REMOVE	65235	$2800
EYE CANTHOTOMY	67715	$6340
EYE CONJUNCT EMBEDDED FB REMOVE	65210	$1150
EYE CORNEA FB REMOVE WO SLITLAMP	65220	$1150
EYE FLUORESCEIN ANGIOSCOPY	92230	$650
EYE INTRAVITREAL ANTIBOTIC INJ	67028	$1040
EYE LID BLEPHAROPLASTY UPPER	15822	$5490
EYE VITREAL ASPIRATION/RELEASE	67015	$9700
FECAL IMPACTION REMOVE +ANESTH	45915	$3280
FLEX SIGMOID DECOMPRESS VOLVUS	45337	$4140
GASTRIC INTUB & ASPIR DIAG MULT SPEC+MED	43755	$480
GASTRIC INTUB & ASPIR DIAG SGL SPECIMEN	43754	$360
GASTROSCOPY +/- COLLECT SPECIMEN	43235	$3270
GASTROSCOPY +CONTROL BLEEDING	43255	$5086
GASTROSCOPY +FB REMOVE	43247	$4520
HALO CRANIAL APPLY	20661	$530
I&D BREAST ABSCESS	19020	$4720
I&D ELBO+UPPER ARM BURSA	23931	$4720
I&D INTRAORAL SUBLING ABSCES SUPERFICIAL	41005	$830
I&D PALATE UVULA ABSCESS	42000	$620
I&D RECTUM SUBMUCOSAL ABSCESS	45005	$3280
I&D SCROTAL WALL ABSCESS	55100	$4720
ILEOSCOPY VIA STOMA DIAGNOSTIC	44380	$2600
IV PLACEMENT INTRAOSSEOUS INFUSION	36680	$1150
LARYNGOSCOPY DIRECT +FB REMOVE	31530	$4630
LARYNGOSCOPY DIRECT FOR ASPIRATION	31515	$2730
LARYNGOSCOPY INDIRECT +FB REMOVE	31511	$550
LARYNGOSCPY FLEXIBLE +FB REMOVE	31577	$5580
MUSCLE COMPARTMENT PRESS DETEC	20950	$2000
MUSCLE FB REMOVE DEEP COMPLEX	20525	$8140
NAIL BED REPR	11760	$1710
NAIL BED REPR WITH GRAFT	11762	$2290
NASAL ENDOSCOPY DIAG UNI/BI	31231	$550
NASOGASTRIC INTUBATION LAVAGE	43753	$870
NERVE GRAFT ARM LEG SINGLE STRAND >4CM	64893	$16200
NEWBORN MECONIUM ASPIRATION	31720	$270
NOSEBLEED PACK ANTERIOR COMPLEX	30903	$680
NOSEBLEED PACK ANTERIOR SIMPLE	30901	$470
NOSEBLEED PACK POSTERIOR INITIAL	30905	$370
NOSEBLEED PACK POSTERIOR SUBSQ	30906	$620
OB CARE DELIVERY OF PLACENTA ONLY	59414	$7950
OB CARE DELIVERY VAGINAL +POSTOP	59410	$982
OB CARE VAGINAL ONLY	59409	$5300
OPEN DISLOCTX INTERPHALANGEAL JOINT SGL	26785	$3860
OPEN FXTX FINGER SHAFT	26735	$9260
OPEN FXTX HAND DISTAL PHALANGE	26765	$9260
OPEN FXTX KNEE INTERCONDYLAR	27540	$7500
OPEN FXTX PROX HUMERUS	23615	$35430
PEDICLE FORMATION EYE NOSE LIP	15576	$5490
PERCUTANEOUS FIX INTERPHALANGIAL DISLOC	28666	$9260
PERCUTANEOUS FIX METATARSOPHLNG DISLOC	28636	$5190
PERCUTANEOUS FIX TALOTARSAL DISLOC	28576	$5190
PERCUTANEOUS FIX TARSOMETARSAL DISLOC	28606	$9260
PERCUTANEOUS SKEL FIX CALCANEAL FX	28406	$19620
PERCUTANEOUS SKEL FIX FEM DISTAL FX	27509	$19620
PERCUTANEOUS SKEL FIX METATARSL FX	28476	$9260
PERCUTANEOUS SKEL FIX RADIAL DISTAL FX	25606	$9260
PERCUTANEOUS SKEL FIX TALUS FX	28436	$19620
PERCUTANEOUS SKEL FIX TARSAL DISLOC	28546	$5190
PERCUTANEOUS SKEL FIX TARSAL FX	28456	$19620
PERCUTANEOUS SKEL FIX TOE(S) FX	28496	$9260
PERICARDIOCENTESIS INITIAL	33010	$3440
PERICARDIOCENTESIS SUBSEQUENT	33011	$3440
PREPUCE SLITTING DORSAL/LAT NEWBORN	54000	$5930
PREPUCE SLITTING DORSAL/LAT NOT NEWBORN	54001	$5930
PROCTOPLEXY PERINEAL APPROACH	45541	$8100
PROCTOSIGMOIDOSCOPY +FB REMOVE	45307	$8100
REMOVE WIRE PIN ETC SUPERFICIAL	20670	$4720
REPR ACHILLES OPEN OR PERCUTANEOUS	27650	$9260
REPR BLOOD VESSEL DIRECT LOWER EXTREMITY	35226	$2074
REPR ELBO+UPPER ARM TENDON MUSCLE EACH	24341	$8180
REPR EYE WOUND MUSC TENDON CAPSULE	65290	$10330
REPR EYELID NEW WOUND SUPERFCIAL	67930	$2640
REPR HERNIA DIAPHRAGMATIC TRAUMA ACUTE	39540	$3310
REPR LIP FULL THICK VERMILION	40650	$1610
REPR RADIUS UNLA NON MALUNION WO GRAFT	25400	$19620
REPR TENDON FLEXOR FOOT EACH TENDON	28200	$9260
REPR TENDON FLEXOR NO ZONE 2 WO GRAFT EA	26350	$9260
REPR TONGUE LACERATION > 2.6 CM	41252	$1610
STRAPPING ANKLE	29540	$470
STRAPPING ELBOW OR WRIST	29260	$131
STRAPPING HAND OR FINGER	29280	$126
STRAPPING HIP	29520	$200
STRAPPING KNEE	29530	$370
STRAPPING SHOULDER	29240	$370
STRAPPING TOES	29550	$200
SUPRAPUBIC ASPIR BY NEEDLE	51100	$820
TEMPORARY PACING TRANSCUTANEOUS	92953	$1790
TENOTOMY RELEAS LENGTH ABDUCTOR HALLUCIS	28240	$9260
THORACOTOMY CARDIAC MASSAGE	32160	$2610
THORACOTOMY CONTROL TRAUMA BLEED	32110	$2090
THORACOTOMY FB REMOVE INTRAPLEURAL	32150	$1890
THORACOTOMY FB REMOVE INTRAPULMONARY	32151	$1890
THORACOTOMY POST OP COMPLICATION	32120	$1670
TRACH TUBE CHANGE	31502	$620
TRACHEOSTOMY CRICOTHYROID EMERG	31605	$1610
TRACHEOSTOMY PLANNED	31600	$7700
TRACHEOSTOMY TRANSTRACH EMERG	31603	$3980
UPPER GI EDG(J) +BIOPSY SINGLE/MULTIPLE	43239	$3091
VAGINAL FB REMOVE	57415	$7950
VENIPUNCT FEM/JUG VEIN >=3Y/O	36400	$380
VENIPUNCT REQ MD SKILL <=3Y/O	36406	$250

FDA Investigational Medical / Surgical Supplies

Description	CPT Code	Standard Charge
BERLIN VAD ACCESSORY SUPPL IDE G050262A3		$8000
BERLIN VAD CANNULA APEX IDE G050262A3		$17080
BERLIN VAD CANNULA ATR/ART IDE G050262A3		$13330
BERLIN VAD CONNECT SUPPLY IDE G050262A3		$3000
BERLIN VAD GRAFT ADAPTOR IDE G050262A3		$10660
BERLIN VAD VENT ASSIST IDE G050262A3		$124550
BREAST PRSTH 410MF ALLERGAN IDE G000201	L8600	$3640
CATH GUIDE INDIGO CAT8 PENUMBRA IDE G170064 IRB# 17-001515	C1757	$9620
CATH MICROCATH TREVO18 IDE G100056 CMED		$500
CATH THROMBECT CLOT SEPARATOR INDIGO SEP8 PENUMBRA IDE G170064 IRB# 17-001515	C1757	$6260
DEBAKEY VAD VENT ASSIST DEVICE ADULT IDE		$117000
DEVICE EMBOLC HDE EV3 H060003 HUD02-0096	C1884	$19820
DEVICE RETRV CLOT TREVO IDE G100056 CMED		$12330
DEVICE RETRVSWIFT IDE G090082NCT01054560	C1773	$16640
ENDOLOGIX GRFT AAA BIFUR IDE G110067	C1768	$34960
GRAFT ENDOPROSTHESIS AAA ILIAC BRANCH GORE G130038	C1768	$23320
GRAFT ENDOPROSTHESIS AAA ILIAC INTERNAL GORE G130038	C1768	$11660
GRFT AAA ENDURANT AORTIC EXT MDTR G090239A001	C1768	$25200
GRFT AAA ENDURANT BIFURCATED MDTR G090009S2	C1768	$33220
GRFT AAA ENDURANT BIFURCATED MDTR G090239A001	C1768	$33220
GRFT AAA ENDURANT CONTRALAT LIMB MDTR G090239A001	C1768	$16180
GRFT AAA ENDURANT ILIAC EXT MDTR G090009S2	C1768	$15300
GRFT AAA ENDURANT ILIAC EXT MDTR G090239A001	C1768	$15300
GRFT AAA TRIVASCULAR IDE G090239A001	C1768	$44960
IDE CATH THERAPY COOL FLEX ABLAT G1300132	C2630	$3340
RESEARCH GRANT AAA EXT ENDOLOGIX 34 G9900139	C1768	$34960
RESEARCH GRANT IMPL NEUROSTM KINETRA	C1767	$15370
RESEARCH GRANT IOL HOYA	C1780	$555
RESEARCH LEUKAPHERESIS CATH PLACEMENT	36556	$500
RESEARCH LEUKAPHERESIS FULL COLLECTION	P9034	$1000
RESEARCH LEUKAPHERESIS PARTIAL COLLECTION	P9011	$600
RESEARCH RETHINQ ICD ATLAS+HF IDE STJUDE	C1882	$104240
RESEARCH RETHINQ LEAD QUICKSITE IDE STJU	C1900	$12830
RESEARCH RETHINQ LEAD TENDRLSDX IDE STJU	C1898	$2500
RESEARCH RETHINQ RIATA LEAD ICD IDE STJU	C1895	$16660
RESEARCH STENT ACCULINK IDE P040012	C1876	$6830
RESEARCH VALVE INTUITY EDWARDS G110189	C1763	$52040
STENT PRECISE SAPPHIRE IDE P030047 CORD	C1876	$8340
SYNCARDIA VAD SPARES KIT IDE G090221		$5830
SYNCARDIA VAD STARTUP KIT IDE G090221		$195120
SYNCARDIA VAD TAH-T DRIVER IDE G090221		$415280
TRANSMEDICS HEART CARE IDE G060127		$37500
TRANSMEDICS LUNG CARE IDE G100310		$45000

Gastro Intestinal Services

Description	CPT Code	Standard Charge
ESOPHAGEAL MANOMETRIC	91020	$1560
GI IMAG INTRALUM ESOPH TO ILEUM+CAPSULE		$5000
GI TRANSIT&PRESS MEAS STOM TO COLON+CAPSULE		$6250

Inpatient Renal Dialysis

Description	CPT Code	Standard Charge
CAPD PER TRMT DAY	90945	$2680
CCPD PER TRMT DAY	90945	$3130
CRRT PER TRMT DAY	90945	$1670
CVVH PER TRMT DAY	90947	$2970
CVVHD PER TRMT DAY	90945	$4380
HEMODIALYS INPT	90935	$3000
HEMOPERFUSION	90997	$1670
IP DECLOTTING PROCEDURE 1 HR		$150
IP DECLOTTING PROCEDURE 2 HR		$300
IP QUINTON CATHETER PROCEDURE		$300
IP SHUNT INFUSION PROCEDURE		$150
SCUF PER TRMT DAY	90945	$2970

IV Therapy

Description	CPT Code	Standard Charge
ANTIPLATELET INFU-EACH ADDL HR	90781	$182
NONCHEMO IV HYDRATION 1ST HOUR	96360	$670
NONCHEMO IV HYDRATION EACH ADDL HR	96361	$260
NONCHEMO IV INFUSION 1ST HOUR	96365	$670
NONCHEMO IV INFUSION BY PUMP >8HR	C8957	$1040
NONCHEMO IV INFUSION CONCURRENT EA DRUG	96368	$260
NONCHEMO IV INFUSION EACH ADDITIONAL HR	96366	$260
NONCHEMO IV INFUSION SEQUENTIAL UPTO 1HR	96367	$260

Labor Room / Delivery

Description	CPT Code	Standard Charge
AMNIOCENTESIS	59000	$1010
AMNIOCENTESIS THERAPEUTIC INCLUDES US GUIDANCE	59001	$940
APPLY CERCLAGE PREG-VAGINA	59320	$7950
CHORIONIC VILLUS SAMPLING	59015	$2010
CORDOCENTESIS/PERQ UMBIL BLOOD SAMPL	59012	$1769
FETAL CONTRACTION STRESS TEST OXYTOCIN	59020	$927
FETAL EXTERNAL CEPHALIC VERSION	59412	$3980
FETAL MONITOR DURING LABOR	59050	$500
FETAL NONSTRESS TEST	59025	$560
FETAL SCALP BLOOD SAMPLING	59030	$940
L&D / PERINATAL ASSESSMENT	G0463	$330
L&D ASSESSMENT TRANSFERRED FROM ER		$160
L&D BREAST STIMULATION TEST		$210
L&D EST PT LVL1-ASSESSMENT	G0463	$330
LABOR ROOM TIME EA ADD 15MIN		$98
LABOR ROOM TIME EA ADD 15MIN		$98
LABOR ROOM TIME EA ADD 15MIN		$130
LABOR ROOM TIME EA ADD 15MIN		$98
LABOR ROOM TIME EA ADD 15MIN		$98
LABOR ROOM TIME PER 1 HOUR		$510
NEWBORN STABILIZATION ATTENDANCE AT DELIVERY	99464	$500
NURSERY CIRCUMCISION		$170
OB CARE C-SECTN DELVR ANTE&POST	59510	$2800
OB CARE VAG DELIVERY ANTE&POST	59400	$2510
OB CHECK	G0463	$330
POSTPARTUM BLEED BLOOD PATCH	59899	$580
REMOVE CERCLAGE	59871	$7950

Laboratory

Description	CPT Code	Standard Charge
AB ID PLATELET COMPNT CROSSMATCH *RC	86022	$150
AB ID PRETREAT SERUM ABSORPTION	86978	$110
AB ID PRETREAT SERUM DILUTION	86976	$60
AB ID PRETREAT SERUM INHIBITOR	86977	$450
AB ID PRETREAT SERUM WITH DRUGS	86975	$110
AB ID RBC CONCENTRATN	86972	$450
AB ID RBC EA PANEL	86870	$750
AB ID RBC EA PANEL6-8 CELLS *RC	86870	$50
AB ID RBC EACH ELUTION	86860	$230
AB ID RBC EACH ELUTION *RC	86860	$72
AB ID RBC ENZYME EACH	86870	$380
AB ID RBC INDIRECT QUAL EA REAGENT	86885	$560
AB ID RBC INDIRECT QUAL EA REAGENT *RC	86885	$10
AB ID RBC PNL&SER CMPLX	86870	$750
AB ID RBC PNL&SERUM EA	86870	$750
AB ID RBC RETICULOCYTE SEPARATION *RC	86972	$110
AB ID RBC TITER INDIR SALINE	86886	$230
AB ID RBC TITER INDIRECT EA	86886	$230
AB ID RBC TITER INDIRECT EA *RC	86886	$72
AB ID RBC- CONCENTRATION	86972	$450
AB ID RBC-INCUB CHM/DRUG EA	86970	$60
AB ID RBC-INCUB CHM/DRUG EA *RC	86970	$37
AB ID RBC-PRETRT ENZYMES EA *RC	86971	$21
AB ID RBC-SER DIFF ADSRP EA	86978	$60
AB ID RBC-SER DIFF ADSRP EA *RC	86978	$55
AB ID RBC-SER INCUB DRUG EA	86975	$110
AB ID RBC-SER INCUB DRUG EA *RC	86975	$140
AB ID RBC-SER MISC ADSRP EA *RC	86978	$70
AB ID RBC-SERUM BY DILUTION	86976	$60
AB ID RBC-SERUM BY DILUTION *RC	86976	$30
AB ID RBC-SERUM INHIBITR EA	86977	$450
AB ID RBC-SERUM INHIBITR EA *RC	86977	$42
AB SCREEN RBC EA TECHNIQUE	86850	$80
AB SCREEN RBC EA TECHNIQUE *RC	86850	$35
AB SCRN PNL-1ST MARKER *IG	88184	$103
AB SCRN PNL-EA ADDL MRKR *IG	88185	$80
AB SPECIFICITY PREDICTION *IG	86807	$275
ABO BLOOD TYPING	86900	$180
ABO BLOOD TYPING *RC	86900	$21
AG SCREEN COMPATIBLE DONOR UNIT	86902	$380
AG SCREEN COMPATIBLE PT SERUM	86904	$110
AG TYPING AG NEG/UNIT *RC	86902	$80
AG TYPING CLASS 1 AG/UNIT *LS	86902	$70
AG TYPING CLASS 2 AG/UNIT *LS	86902	$120
AG TYPING PER AG /UNIT *RC	86902	$64
AG TYPING RARE AG/UNIT *LS	86902	$200
AG TYPING RARE ARDP HIGH AG/UNIT *RC	86902	$350
AG TYPING RBC RECIPIENT	86905	$380
ALIQUOT SPLIT BLOOD/BLOOD PROD	86985	$230
ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT1-5 RAST	86005	$200
ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT6+ RAST	86005	$200
ALLERGY LAB GAMMAGLOBULIN IGE TOTAL	82785	$70
ALLERGY LAB SKIN TEST CANDIDA	86485	$70
ALLERGY LAB SKIN TEST COCCIDIOIDOMYCOSIS	86490	$40
ALLERGY LAB SKIN TEST HISTOPLASMOSIS	86510	$40
ALLERGY LAB SKIN TEST MUMPS	86486	$50
ALLERGY LAB SKIN TEST TB TUBERCULOSIS INTRADERMAL	86580	$30
ALLERGY LAB SKIN TEST TETANUS	86486	$60
ALLERGY LAB SKIN TEST TRYCHOPHYTON	86486	$60
ANTI-ANGIOTENSIN I RECP QNT *IG	86316	$170
ANTIBODY ID ENZYME	86870	$750
ANTIBODY ID IRREG CROSS + EVAL	86077	$110
ANTIBODY ID-RBC PRETREATMNT EA	86970	$110
AP BCR-ABL1 MAJOR BREAKPOINT ANAL	81206	$610
AP BCR-ABL1 MINOR BREAKPOINT ANAL	81207	$540
AP CALRETICULIN MUTA ANAL NGS	81219	$1190
AP CEBPA MUTA ANALYSIS NGS	81218	$1190
AP COMPARATIVE ANAL STR MRKRS BMT PRE-TRANSPLANT EVAL	81265	$800
AP MOPATH LEV5 KNOWN FAMILIAL VAR NOT SPEC 2 EXONS	81404	$420
ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
AUTO BLD/RBC/PLSM/CRYO COLLECT/STORE UN	86890	$750
AUTO BLOOD INTRA/POSTOP SALVG	86891	$1890
AUTO PRONASE FLOW XMATCH *IG	86825	$138
AUTOLOGOUS EC XM-1ST MARKER*IG	88184	$121
AUTOLOGOUS EC XM-EA AD MRKR*IG	88185	$71
B CELL CYTO THYMO DEPLET XM*IG	86806	$100
B CELL FACS CROSSMATCH FLOW*IG	86825	$138
B CELL FLOW THYMO DEPLET XM*IG	86806	$100
BM TRANSPLANT PREP-CRYOPRESERVE&STORE	38207	$3190
BM TRANSPLANT PREP-HARVESTED THAW	38208	$1310
BM TRANSPLANT PREP-PLASMA DEPLETION	38214	$1310
BM TRANSPLANT PREP-RBC REMOVAL	38212	$1310
BM TRNSP PREP-PLASMA CELL CONCENTRATION	38215	$2176
BM TRNSP PREP-WASHING HARVEST	38209	$1310
CATHERIZATION FOR SPECIMEN COLLECTION SINGLE PATIENT	P9612	$10
CELIAC GENETIC DQB1/DQA1 EA*IG	81382	$110
CELL FUNCTION ASSAY *IG	86352	$373
CHLAMYDIA PNEUMONIAE AMP PROBE	87486	$130
CLASS I A LOCUS HR TYPING *IG	86813	$82
CLASS I A LOCUS IR TYPING *IG	86813	$82
CLASS I B LOCUS HR TYPING *IG	86813	$82
CLASS I B LOCUS IR TYPING *IG	86813	$82
CLASS I C LOCUS HR TYPING *IG	86813	$82
CLASS I C LOCUS IR TYPING *IG	86813	$82
CLASS II DP LOCUS LR TYPING*IG	86817	$91
COLD AGGLUTININ SCREEN	86156	$10
COLD AGGLUTININ TITER	86157	$10
COOMB DIRECT/DAT EA ANTISER *RC	86880	$20
CORDBLOOD STEMCELL TRANSPLANT PREP-THAW	38208	$1310
CORDBLOOD STEMCELL TRNSP PREP-CRYO&STORE	38207	$2548
CROSSMATCH EA UN ELECTRONIC	86923	$230
CROSSMATCH-ANTIGLOBULIN	86922	$230
CROSSMATCH-COMPAT IMMED SPIN	86920	$230
CROSSMATCH-INCUBATION TECH	86921	$450
CYLEX-CELL FUNCTION ASSAY *IG	86352	$200
CYTOTOX AB SCRN MIC-A AB *IG	86807	$150
DIRECT ANTIGLOBULIN TEST	86880	$60
DIRECT ANTIGLOBULIN TEST-C3	86880	$60
DIRECT ANTIGLOBULIN TEST-IGG	86880	$60
DRUG SCRN QUAL MULTI HI COMPLEX METH	G0431	$180
ELISA OKT*3 ANTIBODY QUANT *IG	83520	$93
ENDO CELL XM-1ST MARKER *IG	88184	$103
ENDO CELL XM-EA ADDL MARKER*IG	88185	$80
ENDO CELL XM-LYMPH XM TITR *IG	86805	$285
EXAM EVIDENTRY BLOOD DRAW	36415	$70
FETAL SCREENING TEST	85461	$10
FLOW AB ID PRA CLASS 1 *IG	86807	$275
FLOW AB ID PRA CLASS 2 *IG	86807	$275
FLOW AB ID PRA CLASS1 THYMO*IG	86807	$275
FLOW AB ID PRA CLASS2 THYMO*IG	86807	$275
FLOW CYTO CELL MRKR TECH COMP EA ADD1 *IG	88185	$90
FLOW CYTO CELL MRKR TECH COMP FIRST4 *IG	88184	$150
FLOW PRA CL I-1ST MARKER *IG	88184	$103
FLOW PRA CL I-EA ADDL MRKR *IG	88185	$80
FLOW PRA CL II-1ST MARKER *IG	88184	$103
FLOW PRA CL II-EA ADDL MRKR*IG	88185	$80
FLOW PRA CLI THYMO-1ST MRKR*IG	88184	$103
FLOW PRA CLI THYMO-EA ADDL *IG	88185	$80
FLOW PRA CLII THYMO-1STMRKR*IG	88184	$103
FLOW PRA CLII THYMO-EA ADDL*IG	88185	$80
FREEZE AUTOLOGOUS	86930	$750
FREEZE&THAW/DEGLYC AUTOLOGOUS	86932	$110
GLUCOSE CHECK GLUCOSCAN	82948	$40
HEMOGLOBIN S TEST PER UNIT *RC	85660	$41
HEMOLYS&AGGLUTININ AUTO EA *RC	86940	$42
HEMOLYSIN INCUB DONATHLANDSTNR	86941	$20
HEMOLYSINS AGGLUT INCUBATED *RC	86941	$90
HIV1 & HIV2 ANTIBODY SCREEN	86703	$140
HIV1&2 AB PHERES/STEM/BON/D*BL	86703	$140
HLA A HI RES PNL *IG	81380	$350
HLA A IR PNL *IG	81373	$165
HLA A/B IR PNL EACH *IG	81373	$157.5
HLA A/B/C IR PNL *IG	81372	$350
HLA A/B/DRB1 PNL *IG	81371	$445
HLA A2 SUBTYPE *IG	86812	$63
HLA A2 SUBTYPE PNL *IG	81381	$165
HLA B CELL CROSSMATCH *IG	86806	$100
HLA B CELL FLOW CXM EA ADDL*IG	86826	$43
HLA B CELL FLOW XM CX TITER*IG	86825	$138
HLA B CELL LYMPH XM CX TITR*IG	86805	$285
HLA B HI RES PNL *IG	81380	$350
HLA B IR PNL *IG	81373	$165
HLA B1502 TYPING *IG	81381	$350
HLA B1502 TYPING-MULT AG *IG	86813	$82
HLA B27 PNL *IG	81373	$36
HLA B27 TYPING SINGLE AG *IG	86812	$63
HLA B5701 TYPING *IG	81381	$167
HLA B5801 TYPING *IG	81381	$167
HLA C HI RES PNL *IG	81380	$350
HLA C IR PNL *IG	81373	$165
HLA CLASS II PHENOTYPE QUAL*IG	86831	$175
HLA DONOR SEARCH *LS	86999	$160
HLA DP HIGH RES *IG	86817	$91
HLA DPA1 HI RES PNL *IG	81382	$300
HLA DPA1 IR PNL *IG	81376	$165
HLA DPB1 HI RES PNL *IG	81382	$300
HLA DPB1 IR PNL *IG	81376	$130
HLA DPB1 MULT AG LOW RES *IG	86817	$91
HLA DQA1 HI RES PNL *IG	81382	$300
HLA DQA1 IR PNL *IG	81376	$130
HLA DQA1 MULT AG HI RES *IG	86817	$91
HLA DQA1 MULT AG LOW RES *IG	86817	$91
HLA DQB/DQA MULT AG *IG	86817	$91
HLA DQB1 HI RES PNL *IG	81382	$300
HLA DQB1 IR PNL *IG	81376	$130
HLA DQB1 MULT AG HI RES *IG	86817	$91
HLA DQB1 MULT AG LOW RES *IG	86817	$91
HLA DR MULT AG HI RES *IG	86817	$91
HLA DR/DQ MUL AG-NARCOLEPSY*IG	86817	$91
HLA DRB 3/4/5 MULTAG HI RES*IG	86817	$91
HLA DRB DQB1 MULT AG LOWRES*IG	86817	$91
HLA DRB1 HI RES PNL *IG	81382	$300
HLA DRB1 MULT AG IR *IG	86817	$91
HLA DRB1/3-5 DQB/A1 DPB1 IR*IG	81379	$300
HLA DRB1/3-5 IR PNL EACH *IG	81376	$170
HLA DRB1/3-5 MULT AG LOWRES*IG	86817	$91
HLA DRB1/3-5/DQB1 IR PNL *IG	81375	$250
HLA DRB1/DQB1 MULTAG HI RES*IG	86817	$91
HLA DRB3-5 HI RES PNL *IG	81382	$300
HLA PHEN QUAL FLOW PRA CLI *IG	86830	$275
HLA PHEN QUAL FLOW PRA CLII*IG	86831	$275
HLA PHEN QUAL LMNX PRA CLI *IG	86830	$175
HLA PHEN QUAL PRA CLI THYM *IG	86830	$310
HLA PHEN QUAL PRA CLII THYM*IG	86831	$310
HLA QUAL HD SGL AG CLI C1Q *IG	86832	$350
HLA QUAL HD SGL AG CLII C1Q*IG	86833	$375
HLA QUAL HD SINGLE AG CLI *IG	86832	$350
HLA QUAL HD SINGLE AG CLII *IG	86833	$375
HLA SGL AG CLI TITRA PNL *IG	86834	$350
HLA SGL AG CLII TITRA *IG	86835	$375
HLA T CELL CROSSMATCH *IG	86806	$100
HLA T CELL FLOW CXM EA ADDL*IG	86826	$43
HLA T CELL FLOW XM CX TITER*IG	86825	$138
HLA T CELL LYMPH XM CX TITR*IG	86805	$285
HLA TYPING B5701 SINGLE AG*IG	86812	$63
HLA-DRB1/DQB1 IR PNL EACH *IG	81376	$110
INFECTIOUS AGENT AMP PROBE EA3	87798	$130
INFLUENZA A B RESPIRATORY1	87631	$476
IRRADIATION BLOOD ORBLOOD PROD	86945	$110
IVIG CROSSMATCH INHIBITION *IG	86805	$285
KIR GENOTYPE *IG	81380	$167
LEUKOCYTE AB ID *RC	86021	$281
LEUKOCYTE TRANSFUSION	86950	$450
LUMINEX PRA CLI-1ST MARKER *IG	88184	$103
LUMINEX PRA CLI-EA ADDL *IG	88185	$80
LUMINEX PRA CLII-1ST MARKER*IG	88184	$103
LUMINEX PRA CLII-EA ADDL *IG	88185	$80
LYMPH TRANSFORM MITOGEN OR AG1 *IG	86353	$465
LYMPH TRANSFORM MITOGEN OR AG2 *IG	86353	$774
LYMPH TRANSFORM MITOGEN OR AG3 *IG	86353	$361
LYMPHO ASSAY XM TITR *IG	86805	$430
MAP SKIN TEST CANDIDA	86485	$110
MAP SKIN TEST COCCIDIOMYCOSIS	86490	$200
MAP SKIN TEST HISTOPLASMOSIS	86510	$200
MAP SKIN TEST MUMP ANTIGEN+CONTROL	86486	$60
MAP SKIN TEST TB	86580	$60
MAP SKIN TEST TB INTRADERMAL	86580	$60
MAP SKIN TEST TB PPD PUR PROT DERV	86580	$60
MAP SKIN TEST UNSP ANTIGEN+CONTROL	86486	$60
MAP SKIN TEST UNSP ANTIGEN+CONTROL	86356	$50
MEASLES/RUBEOLA IMMUNE STATUS/TITER	86765	$102
MIC-A AB *IG	86807	$275
MICA GENOTYPE *IG	81380	$168
MOPATH LEV4 LICENSED RBC PANEL *RC	81403	$325
MOPATH LEV4 RHD ZYGOSITY *RC	81403	$250
NARCOLEPSY DRB1/DQB1 PNL EA*IG	81376	$92.5
NEWBORN SCRN-BIOTINIDASE EA *LB	82261	$20
NEWBORN SCRN-CAPILLARY BLOOD DRAW	36416	$6
NEWBORN SCRN-HGB CHROMATOG *LB	83021	$20
NEWBORN SCRN-HYDROXYPROGEST *LB	83498	$20
NEWBORN SCRN-IRT *LB	83516	$20
NEWBORN SCRN-TAND MASS SPEC *LB	83789	$21.25
NEWBORN SCRN-TRANSFERASE *LB	82776	$20
NEWBORN SCRN-TSH *LB	84443	$20
OHF SKIN TEST TB INTRADERMAL	86580	$60
P-REHAB GLUCOSE BLOOD-FDA APPRV DEVICE	82962	$10
PARATHYROID CRYO & PRESERV FOR TRANSPLANT	88399	$1550
PLATELET AG NEG COMPNENT EA(2) *RC	86902	$130
PLATELET ANTIBODY SCREEN *RC	86022	$254
PLATELET ASSOCIATED IGG *RC	86023	$138
PLTLT NEG HPA1A/PLA1 EA (2) *RC	86902	$200
POOL/COMBINE CRYO&PLASMA	86965	$230
PRA SCREEN CLASS 1&2 *IG	86807	$275
PRA SCRN CYTOTOXIC-STANDARD*IG	86807	$275
PRA SCRN SPECIFICTY CLASS 1*IG	86807	$275
PRA SCRN SPECIFICTY CLASS 2*IG	86807	$275
PRA SINGLE AG ID CLASS 1 *IG	86807	$275
PRA SINGLE AG ID CLASS 2 *IG	86807	$275
PRESCREEN PT SERUM PER UNIT *RC	86904	$43
PRONASE B CELL FLOW XMATCH *IG	86825	$138
PRONASE T CELL FLOW XMATCH *IG	86825	$138
PT RBC PHENOTYPE NOT ABO/D *RC	86905	$20
PULM FXN LAB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
PULM FXN LAB ARTERIAL PUNCTURE BLOOD DRAW RESEARCH	36600	$30
PULM FXN LAB ARTERIAL PUNCTURE BLOOD DRAW RESEARCH INTERMUNE 002	36600	$21
PULM FXN LAB BLOOD GASES	82803	$140
PULM FXN LAB CALCIUM IONIZED	82330	$60
PULM FXN LAB CO& METHB-QUANT	82375	$90
PULM FXN LAB RESEARCH GRANT CO-OX		$65
PULM FXN LAB RESEARCH GRANT CO-OX INTERMUNE 002		$18
PULM FXN LAB RESEARCH GRANT CO-OX ROCHE		$40
PULM FXN LAB VENIPUNCTURE BLOOD DRAW	36415	$10
RESEARCH VENIPUNCTURE BLOOD DRAW		$45
RESP ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
RESP BLOOD GAS *PC	82803	$140
RESP BLOOD GAS *PC	82803	$140
RESP CALCIUM IONIZED *PC	82330	$60
RESP CAPILLARY BLOOD DRAW<3 YRS OLD	36416	$50
RESP COOX PNL-HBCO QUANT *PC	82375	$70
RESP COOX PNL-METQUANT *PC	83050	$64
RESP COOX PNL-SULFHEMOGLOBIN QNT*PC	83060	$70
RESP POTASSIUM SERUM *PC	84132	$20
RESP VENIPUNCTURE BLOOD DRAW	36415	$10
RH BLOOD TYPING	86901	$60
RH BLOOD TYPING *RC	86901	$10
RH PHENOTYPE COMPLETE *RC	86906	$40
RUBELLA ANTIBODY IMMUNE STATUS/TITER	86762	$70
SGL AG CLI C1Q-1ST MARKER *IG	88184	$80
SGL AG CLI C1Q-EA ADD MRKR *IG	88185	$45
SGL AG CLI TITR-1ST MARKER *IG	88184	$80
SGL AG CLI TITR-EA ADD MRKR*IG	88185	$45
SGL AG CLII C1Q-1ST MARKER *IG	88184	$80
SGL AG CLII C1Q-EA ADD MRKR*IG	88185	$45
SGL AG CLII TITR-1ST MARKER*IG	88184	$80
SGL AG CLII TITR-EA AD MRKR*IG	88185	$45
SINGLE AG CL I-1ST MARKER *IG	88184	$103
SINGLE AG CL I-EA ADDL MRKR*IG	88185	$80
SINGLE AG CL II-1ST MARKER *IG	88184	$103
SINGLE AG CL II-EA ADD MRKR*IG	88185	$80
SINGLE ANTIGEN PNL-CLASS I *IG	86832	$250
SINGLE ANTIGEN PNL-CLASS II*IG	86833	$250
SP COMBS DAT NEG UN/ANTISER *RC	86880	$800
STEMCELL ENRICHED PREP-THAWING	38208	$1310
STEMCELL ENRICHED PREP-TUMOR DEPLETE	38211	$5290
STEMCELL TRANSPLANT PREP- T-CELL DEPLETE	38210	$2780
STEMCELL TRANSPLANT PREP-CRYOPRSRV&STORE	38207	$4780
STEMCELL TRANSPLANT PREP-HARVESTED THAW	38208	$2270
STEMCELL TRANSPLANT PREP-PLASMA DEPLETE	38214	$1310
STEMCELL TRANSPLANT PREP-WASHING HARVEST	38209	$1310
T CELL CYTO THYMO DEPLET XM*IG	86806	$100
T CELL FACS CROSSMATCH FLOW*IG	86825	$138
T CELL FLOW THYMO DEPLET XM*IG	86806	$100
T MEMORY PNL-1ST MRKR *IG	88184	$710
T MEMORY PNL-EA ADD MRKR *IG	88185	$80
T MEMORY PNL-T CELLS TOTAL COUNT *IG	86359	$191
THAW AUTOLOGOUS	86931	$750
THAW BLOOD / BLOOD PRODUCT	86931	$380
THAW FRESH FROZEN PLASMA	86927	$380
THERMAL AMPLITUDE ALB- 4C	86941	$20
THERMAL AMPLITUDE ALB-30C	86941	$20
THERMAL AMPLITUDE ALB-37C	86941	$20
THERMAL AMPLITUDE ALB-RTEMP	86941	$20
THERMAL AMPLITUDE PNL- 4C	86941	$20
THERMAL AMPLITUDE PNL-30C	86941	$20
THERMAL AMPLITUDE PNL-37C	86941	$20
THERMAL AMPLITUDE PNL-RTEMP	86941	$20
TRANSFUSION REACTION STUDY	86078	$230
UREASE C-13 ACTIVITY HELICOBACTER PYLORI BREATH TEST ANALYSIS	83013	$40
UREASE C-13 HELICOBACTER PYLORI BREATH TEST DRUG ADMIN	83014	$40
VARICELLA AB IMMUNE STATUS	86787	$97
VENIPUNCTURE BLOOD DRAW	36415	$10
VENIPUNCTURE BLOOD DRAW	36415	$10
VOL REDUCTION BLOOD/BL PROD	86960	$450
VOL REDUCTION BLOOD/BLOOD PROD	86960	$450
XM CXM FLOW CYTO-1ST MRKR *IG	88184	$121
XM CXM FLOW CYTO-ADD MRKR *IG	88185	$71

Magnetic Resonance Technology (MRT, MRI, MRA)

Description	CPT Code	Standard Charge
HIFU ABLAT UTERINE <200CC	0071T	$16010
HIFU ABLAT UTERINE >=200CC	0072T	$12810
MAGNETOENCEPHALOGRAPHY MEG EVOKED FIELDS MODALITY EACH ADDL	95967	$3340
MAGNETOENCEPHALOGRAPHY MEG EVOKED FIELDS MODALITY SINGLE	95966	$3340
MAGNETOENCEPHALOGRAPHY MEG SPONTANEOUS ACTIVITY RECORD&ANALYSIS	95965	$8040
MR ABLATION GUIDANCE S&I	77022	$700
MR ANGIO ABDOMEN + CONTRAST	C8900	$1440
MR ANGIO ABDOMEN +/- CONTRAST	C8902	$2280
MR ANGIO ABDOMEN WO CONTRAST	C8901	$1180
MR ANGIO CHEST + CONTRAST	C8909	$1440
MR ANGIO CHEST +/- CONTRAST	C8911	$2280
MR ANGIO CHEST WO CONTRAST	C8910	$1180
MR ANGIO HEAD + CONTRAST	70545	$3980
MR ANGIO HEAD +/- CONTRAST	70546	$5870
MR ANGIO HEAD WO CONTRAST	70544	$3500
MR ANGIO LOWER EXT + CONTRAST	C8912	$1600
MR ANGIO LOWER EXT +/- CONTR	C8914	$2280
MR ANGIO LOWER EXT WO CONTRAST	C8913	$1180
MR ANGIO NECK + CONTRAST	70548	$3500
MR ANGIO NECK +/- CONTRAST	70549	$5360
MR ANGIO NECK WO CONTRAST	70547	$1890
MR ANGIO PELVIS + CONTRAST	C8918	$1440
MR ANGIO PELVIS +/- CONTRAST	C8920	$2280
MR ANGIO PELVIS WO CONTRAST	C8919	$1180
MR ANGIO SPINAL CANAL	72159	$1950
MR ANGIO SPINAL CANAL +/- CONTRAST	C8933	$2816
MR ANGIO SPINAL CANAL WITH CONTRAST	C8931	$2816
MR ANGIO SPINAL CANAL WO CONTRAST	C8932	$2816
MR ANGIO UPPER EXTREMITY	73225	$1950
MR ANGIO UPPER EXTREMITY +/- CONTRAST	C8936	$3400
MR ANGIO UPPER EXTREMITY WITH CONTRAST	C8934	$2720
MR ANGIO UPPER EXTREMITY WO CONTRAST	C8935	$2720
MR NDL PLACEMENT GUIDANCE S&I	77021	$560
MR SPECTROSCOPY	76390	$1050
MR UROGRAM	74181	$1405
MRGFUS STEREOTACTIC ABLATION LESION INTRACRANIAL	0398T	$30630
MRI ABDOMEN + CONTRAST	74182	$3320
MRI ABDOMEN + CONTRAST	74182	$3320
MRI ABDOMEN +/- CONTRAST	74183	$7690
MRI ABDOMEN WO CONTRAST	74181	$3510
MRI ABDOMEN WO CONTRAST	74181	$2810
MRI BONE MARROW BLOOD SUPPLY	77084	$1180
MRI BRAIN + CONTRAST	70552	$3390
MRI BRAIN + CONTRAST	70552	$4240
MRI BRAIN +/- CONTRAST	70553	$7840
MRI BRAIN FUNCTIONAL BY MD	70555	$1630
MRI BRAIN FUNCTIONAL BY TECH	70554	$1160
MRI BRAIN OPERATIVE + CONTRAST	70558	$1440
MRI BRAIN OPERATIVE + CONTRAST	70558	$1440
MRI BRAIN OPERATIVE +/- CONTR	70559	$1794
MRI BRAIN OPERATIVE WO CONTRST	70557	$1150
MRI BRAIN OPERATIVE WO CONTRST	70557	$1150
MRI BRAIN WO CONTRAST	70551	$3540
MRI BRAIN WO CONTRAST	70551	$2830
MRI BREAST + CONTRAST BILAT	C8906	$3288
MRI BREAST + CONTRAST UNILAT	C8903	$1440
MRI BREAST +/- CONTRAST BILAT	C8908	$5700
MRI BREAST +/- CONTRAST UNILAT	C8905	$1820
MRI BREAST WO CONTRAST BILAT	C8907	$3121
MRI BREAST WO CONTRAST UNILAT	C8904	$1180
MRI C-SPINE + CONTRAST	72142	$4240
MRI C-SPINE + CONTRAST	72142	$3390
MRI C-SPINE +/- CONTRAST	72156	$6660
MRI C-SPINE WO CONTRAST	72141	$3080
MRI C-SPINE WO CONTRAST	72141	$3850
MRI CARDIAC MAPPING VELOCITY FLOW	75565	$1250
MRI CARDIAC W+WO CONTR +STRESS	75563	$3230
MRI CARDIAC WO CONTR	75557	$1430
MRI CARDIAC WO CONTR +STRESS	75559	$1588
MRI CHEST + CONTRAST	71551	$4950
MRI CHEST + CONTRAST	71551	$3962
MRI CHEST +/- CONTRAST	71552	$5880
MRI CHEST WO CONTRAST	71550	$2810
MRI CHEST WO CONTRAST	71550	$3510
MRI DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76498	$1450
MRI DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76498	$1450
MRI FETAL MATERNAL PELVIC IMAGE EA ADD GEST	74713	$730
MRI FETAL MATERNAL PELVIC IMAGE SINGLE/1ST GEST	74712	$1210
MRI HEART FUNCTION +/- LTD	75561	$1600
MRI HEART MORPH +/- CONTRAST	75561	$2730
MRI L-SPINE + CONTRAST	72149	$3390
MRI L-SPINE + CONTRAST	72149	$4240
MRI L-SPINE +/- CONTRAST	72158	$6450
MRI L-SPINE WO CONTRAST	72148	$3350
MRI L-SPINE WO CONTRAST	72148	$2683
MRI LE JOINT + CONTRAST	73722	$3320
MRI LE JOINT + CONTRAST BILATERAL	73722	$6640
MRI LE JOINT + CONTRAST UNILAT	73722	$4270
MRI LE JOINT +/- CONTRAST UNI	73723	$5200
MRI LE JOINT +/-CONTRAST BILAT	73723	$8313
MRI LE JOINT +CONTRAST BILAT	73722	$6640
MRI LE JOINT WO CONTRAST	73721	$2800
MRI LE JOINT WO CONTRAST BILAT	73721	$5600
MRI LE JOINT WO CONTRAST BILATERAL	73721	$5600
MRI LE JOINT WO CONTRAST UNI	73721	$3500
MRI LE NONJNT + CONTRAST	73719	$2922
MRI LE NONJNT + CONTRAST BILATERAL	73719	$5844
MRI LE NONJNT + CONTRAST UNI	73719	$3650
MRI LE NONJNT +/-CONTRAST BI	73720	$10680
MRI LE NONJNT +/-CONTRAST UNI	73720	$6680
MRI LE NONJNT +CONTRAST BILAT	73719	$5844
MRI LE NONJNT WO CONTRAST	73718	$2770
MRI LE NONJNT WO CONTRAST BI	73718	$5540
MRI LE NONJNT WO CONTRAST BILATERAL	73718	$5540
MRI LE NONJNT WO CONTRAST UNI	73718	$3460
MRI ORBIT FACE NECK + CONTRAST	70542	$4150
MRI ORBIT FACE NECK + CONTRAST	70542	$3320
MRI ORBIT FACE NECK WO CONTR	70540	$3500
MRI ORBIT FACE NECK WO CONTRAST	70540	$2800
MRI ORBIT FACE NECK+/-CONTRAST	70543	$6190
MRI PELVIS + CONTRAST	72196	$4030
MRI PELVIS + CONTRAST	72196	$3220
MRI PELVIS +/- CONTRAST	72197	$6310
MRI PELVIS PROLAPSE	72195	$1390
MRI PELVIS WO CONTRAST	72195	$3480
MRI PELVIS WO CONTRAST	72195	$2780
MRI RESEARCH EXAM 1		$125
MRI RESEARCH EXAM 2		$250
MRI RESEARCH EXAM 3		$375
MRI RESEARCH EXAM 4		$500
MRI T-SPINE + CONTRAST	72147	$3390
MRI T-SPINE + CONTRAST	72147	$4240
MRI T-SPINE +/- CONTRAST	72157	$6360
MRI T-SPINE WO CONTRAST	72146	$3930
MRI T-SPINE WO CONTRAST	72146	$3140
MRI TMJ	70336	$4130
MRI UE JOINT + CONTRAST	73222	$3320
MRI UE JOINT + CONTRAST BILATERAL	73222	$6640
MRI UE JOINT + CONTRAST UNILAT	73222	$4150
MRI UE JOINT +/- CONTRAST BI	73223	$8026
MRI UE JOINT +/- CONTRAST UNI	73223	$5020
MRI UE JOINT +CONTRAST BILAT	73222	$6640
MRI UE JOINT WO CONTRAST	73221	$2758
MRI UE JOINT WO CONTRAST BILAT	73221	$5516
MRI UE JOINT WO CONTRAST BILATERAL	73221	$5516
MRI UE JOINT WO CONTRAST UNI	73221	$3450
MRI UE NONJNT + CONTRAST	73219	$2844
MRI UE NONJNT + CONTRAST BILAT	73219	$5688
MRI UE NONJNT + CONTRAST BILATERAL	73219	$5688
MRI UE NONJNT + CONTRAST UNI	73219	$3560
MRI UE NONJNT +/- CONTRAST BI	73220	$6580
MRI UE NONJNT +/- CONTRAST UNI	73220	$4110
MRI UE NONJNT WO CONTRAST	73218	$1540
MRI UE NONJNT WO CONTRAST BI	73218	$3080
MRI UE NONJNT WO CONTRAST BILATERAL	73218	$3080
MRI UE NONJNT WO CONTRAST UNI	73218	$1930
OR MR GUIDANCE SERVICE		$1000

Medical / Surgical Supplies, Devices

Description	CPT Code	Standard Charge
ABDOMINAL BINDER		$40
ABIOMED CANNULA VENTRICLE/APICAL		$3630
ABIOMED PVAD PERCUTAN VAD IMPELLA SYSTEM		$83260
ABV ELBOW EXT POWER SWITCH CONTROL	L6950	$28930
ACCESS SHEATH W DILATOR BSCI		$3330
ADD ALL LE PROSTH SACH FOOT REPLACE ONLY	L5971	$740
ADD ENDOSKELETAL ANKLE/FOOT SYST MICRO CNTRL DORSI/PLANTR FLEXN	L5973	$50060
ADD EXOSKELETAL HIP DISART ULTRA LIGHT	L5795	$3240
ADD EXOSKELETAL KNEE-SHIN SNGL AXIS EXT JTS FLUID SWING PHASE	L5726	$5720
ADD EXOSKELETAL KNEE-SHIN SNGL AXIS FLUID SWING PHASE	L5724	$5590
ADD EXOSKELETAL KNEE-SHIN SNGL AXIS MAN LACK ULTRA LIGHT	L5711	$2020
ADD EXOSKELETAL KNEE-SHIN SNGL AXIS MAN LOCK	L5710	$1390
ADD EXOSKELETAL KNEE-SHIN SNGL AXIS PNEUM SWING FRICT	L5722	$3150
ADD EXOSKELETAL KNEE-SHIN SNGL AXIS PNEUM/HYDRA SWING PHASE	L5780	$4430
ADD KNEE DISC OR DIAL LOCK ADJ FLEX EACH JT	L2425	$410
ADD KNEE LIFT LOOP DROP LOCK RING	L2492	$320
ADD KNEE RTCHT LOCK ACTV PROG KNEE EXT EACH JT	L2430	$410
ADD LE BLW KNEE BACK CHECK	L5686	$180
ADD LE BLW KNEE THIGH LACER NONMOLDED	L5680	$920
ADD LE BLW KNEE WAIST BELT WEBBING	L5688	$240
ADD LE KNEE DISART EXPAND WALL SCKT	L5653	$1890
ADD LE PROSTH ENDOSKELETAL KNEE-SHIN SYST FLEX/EXT CNTRL	L5859	$41310
ADD LE PROSTH ENDOSKELETAL KNEE-SHIN SYST MICRO CNTRL STANCE PHASE	L5858	$52920
ADD LE SYMES POST OPEN SCKT	L5634	$1180
ADD LE SYMES POST SCKT INSRT	L5654	$1180
ADD LE SYMES SCKT INSRT MULTIDUROMETER	L5661	$2180
ADD LWR EXT KNEE/ANKLE TORS MECHANISM CUST ONLY EA	L2861	$900
ADD LWR EXT LACR MOLDED TO PT MODEL CUST ONLY	L2330	$1430
ADD LWR EXT LMTD ANKLE MOT EACH JT	L2200	$170
ADD LWR EXT LONG TONGUE STIRRUP	L2265	$430
ADD LWR EXT MOLDED INNER BOOT	L2280	$1640
ADD LWR EXT OFFSET KNEE EACH JT	L2390	$400
ADD LWR EXT ORTC RCKR BTTM TTL CNCT AFO CUST ONLY	L2232	$280
ADD LWR EXT PATTEN BTTM	L2370	$930
ADD LWR EXT POLY KNEE CUST FAB KAFO EACH JT	L2387	$600
ADD LWR EXT PROST PTB AFO SOCKET MOLDED TO PT MODEL	L2350	$3230
ADD LWR EXT RND CLPR+PLATE	L2240	$300
ADD LWR EXT SPLT FLT CALPR STIRRUPS+PLATE	L2230	$280
ADD LWR EXT THIGH GLUTE/ISCHIAL WGT/BEARING	L2500	$1150
ADD LWR EXT THIGH QUADLAT WGT BEARING CUST	L2520	$1670
ADD LWR EXT THIGH WGT BEARING HIGH ROLL CUFF	L2550	$1040
ADD LWR EXT THIGH WGT BEARING ISCHIAL CONT NRRW M-L BRIM CUST	L2526	$2310
ADD LWR EXT THIGH WGT BEARING ISCHIAL CONT NRRW M-L BRIM PT MOLDED	L2525	$4130
ADD LWR EXT THIGH WGT BEARING LACER PT MOLDED	L2540	$1530
ADD LWR EXT TORS CONT STRT KNEE EACH JT	L2380	$450
ADD TERM DEV MODIFIER WRIST UNIT	L6805	$1230
ADD TERM DEV PRECISION PINCH DEVICE	L6810	$630
ADD UE ELBOW LIFT ASSIST	L6635	$680
ADD UE EXCURSION AMP LEVER	L6642	$760
ADD UE EXCURSION AMP PULLEY	L6641	$580
ADD UE FLEX METAL HINGE PAIR	L6610	$640
ADD UE FLEX/EXT WRIST W WO FRICTION	L6620	$1110
ADD UE FLEX/EXT/ROT WRIST UNIT	L6624	$10720
ADD UE HARNESS TRIPLE CONTROL	L6677	$840
ADD UE LATEX SUSP SLEEVE EACH	L6632	$190
ADD UE NUDGE CNTRL ELBOW LOCK	L6637	$1240
ADD UE PROSTH ELBOW SOCKET INSRT CONG/ATYPICAL CUST	L6696	$3750
ADD UE PROSTH ELBOW SOCKET INSRT NOT CONG/ATYPICAL CUST	L6697	$3750
ADD UE PROSTH ELBOW SOCKET INSRT W LOCK CUST/PREFAB	L6694	$2270
ADD UE PROSTH ELBOW SOCKET INSRT WO LOCK CUST/PREFAB	L6695	$1890
ADD UE PROSTH ELEC LOCK ONLY W MAN POWER ELBOW	L6638	$7120
ADD UE PROSTH EXT POWER ADD SWITCH	L6611	$1170
ADD UE PROSTH SHOULDER DISART/INTERSCAP THORACIC ACRYLIC	L7405	$2070
ADD UE PROSTH SHOULDER DISART/INTERSCAP THORACIC ULTRALIGHT	L7402	$1060
ADD UE ROT WRIST W CBL LOCK	L6625	$2060
ADD UE SHOULDER ABD JT PAIR	L6640	$810
ADD UE SHOULDER JT MULTIPOS LOCKING	L6646	$8980
ADD UE SHOULDER LOCK BODY POWER ACTUATOR	L6647	$1480
ADD UE SHOULDER LOCK EXT POWER ACTUATOR	L6648	$9260
ADD UE SHOULDER UNIVERSAL JT EACH	L6650	$1310
ADD UE SPRING ASST ROT WRIST W LATCH	L6623	$1860
ADD UE STANLESS STEEL ANY WRIST	L6630	$630
ADV BIONICS NEURSTIM PRECISION GNRTR+CHR	C1820	$42300
AF ORTHOSIS WALKING BOOT ROCKER BOTTOM TIB SHELL ARCH+STRAP CUSTOM	L4631	$5150
AFO ANKLE GAUNTLET PREFAB+FIT	L1902	$150
AFO ANKLE GAUNTLET W WO JTS CUST	L1904	$1710
AFO DBL UP STIRRUP BAR-BK CUST	L1990	$1770
AFO FX TIB CAST SFT PREFAB+FIT	L2112	$910
AFO FX TIB CAST THERMPLST CUST	L2106	$1370
AFO FX TIBIAL CAST CUSTOM	L2108	$2180
AFO MOLDED PLAS RIGID ANT TIBIAL CUSTOM	L1945	$3320
AFO PLAST POST SOLID ANKL CUST	L1960	$1070
AFO PLASTIC CUSTOM	L1940	$900
AFO PLASTIC PREFAB+FIT	L1930	$420
AFO PLASTIC+ANKLE JOINT CUSTOM	L1970	$1680
AFO PLASTIC+ANKLE JOINT PREFAB+FIT	L1971	$550
AFO POST SGL BAR PREFAB+FIT	L1910	$530
AFO RIGID ANT TIB SECTION TOTAL CARBON FIBER PREFAB + FIT&ADJUST	L1932	$2440
AFO SINGL SOLID STIRRUP CALF BND CUST	L1980	$1330
AFO SPIRAL PLASTIC CUST	L1950	$2700
AFO SPIRAL PLASTIC/OTHER PREFAB+FIT	L1951	$2390
AFO SPRING WIR DRSFLX CLF BND CUST	L1900	$830
AFO STATIC/DYNAMIC ADJ POSITION PREFAB	L4397	$470
AFO SUPPRT MULTILIG PREFAB+FIT	L1906	$220
AFO SUPRAMALLEOLAR+STRAP CUST	L1907	$900
AIGISRX ICD MESH ENVELOP TYRX	C1781	$2990
AIGISRX PCMK MESH ENVELOP TYRX	C1781	$2320
AMNIOTIC MEMBRANE PER PROCEDURE	V2790	$1648.35 - 2314.35
AMPLATZ ASD CRIBIFORM SEPTALSYST AGA MED	C1817	$16660
AMPLATZ ASD SEPTAL CLOS DEVICE AGA MED	C1817	$16660
AMPLATZ BALLOON SIZING AGA MEDICAL		$1010
AMPLATZ DELIVERY SYSTEM		$2420
AMPLATZ DELIVERY SYSTEM TORQVUE STJUDE P000039	C1817	$2930
AMPLATZ EXCHANGE SYSTEM		$1340
AMPLATZ PATENT DUCTUS ARTER SEPTAL SYST	C1817	$2760
AMPLATZ PATENT FORAMEN OVALE SEPTAL SYST	C1817	$33300
AMPLATZ PLUG ASD SEPTAL DEFECT SYST AGA	C1817	$1250
AMPLATZ PLUG2 ASD SEPTAL DEFECT SYST AGA	C1817	$2670
AMPLATZ VSD SEPTAL CLOS DEVICE AGA MED	C1817	$21650
ANCHOR IMPLANT CASSETTE HELI-FX AAA ENDOANCHOR APTUS MDTR	C1713	$15820
ANCHOR/SCREW IMPLANT	C1713	$8.42 - 86473.44
ANKLE SYMES MOLDED SOCKET WO CUSHION REPLACE ONLY	L5703	$6980
AO ANKLE CONTROL LACE	L4350	$120
AO ANKLE CONTROL SPLINT GEL DJ ORTHO	L4350	$90
AO ELASTIC SUPPORT	A4467	$20
ARCH ORTH SUPP-METATARSL ATTCH	L3080	$60
AUDITORY NON-OSSEOINTEG SPEECH PROCESSOR+SOFTBND REPLACE	L8692	$6260 - 12525
AUDITORY OSSEOINTEG RECEIVER BAHA REPLACEMENT	L8693	$3090
AUDITORY OSSEOINTEGRATED SPEECH PROCESSOR EXT BAHA REPLACE	L8691	$90 - 12550
BAHA SYST SCRW FLANG/COUPL+ABUT+PRCSR	L8690	$5042.79 - 23061.92
BAND TR STD W/INFLATOR		$590
BAR ABDUCTN&ROTAT FOOT WO SHOE	L3150	$200
BATTERY CHARGER TWELVE VOLT EACH	L7366	$1780
BATTERY FOR USE IN COCHLEAR IMPLANT ZN-AIR REPLACEMENT	L8621	$135 - 135
BATTERY FOR USE IN HEARING DEVICE	V5266	$May-00
BIOMEDICUS CANNULA BLOODPUMP MDTR		$520
BIOMEDICUS CANNULA BLOODPUMP MDTR		$520
BIOPSY BIPAL MYOCARD FORCEP 7F		$830
BIOPUMP CARDIO ASSIST DEVC DISP		$74930
BLW ELBOW EXT POWER SWITCH CONTROL	L6930	$20130
BLW ELBOW MOLDED ACTVTD LOCK HINGE	L6130	$10010
BONE FIX CRANIAL LOOP SYN NEOS SURGERY		$620
BOOT BUNNY ORTHOTIC		$80
BOOT HEEL ORTHOTIC		$210
BOOT NONPNEUM WALK W WO JTS/INTERFACE PREFAB	L4387	$450
BOOT PNEUM WALK W WO JTS/INTERFACE PREFAB	L4361	$880
BOOT ROOKE ORTHOTIC		$280
BOOT SURGICAL AMBUL DJ ORTHO		$40
BOOT SURGICAL AMBULATORY EA	L3260	$140
BOOT TRACTION		$60
BOOT UNNA ORTHOTIC		$20
BRACE CLAVICLE SM	L3650	$30
BRACE WRIST		$15
BREAST PROSTHESIS IMPLANT SILICONE/EQUIV	L8600	$259.74 - 9973.35
BREAST PUMP		$100
BREAST SUPPORTBRA WO/CUP		$260
BULKING AGENT DEXTRANOMER HYALURONIC ACID URINARY TRACT 1ML IMPLT	L8604	$6950.21 - 7360.27
CABLE ABL REP 4MM RED REDEL		$420
CABLE CONNECTOR RFP-102		$30
CABLE INTERFACE REP 85641		$270
CABLE INTERFACE REP 8MM		$420
CABLE INTERFACE REP C6MRMST10S		$120
CABLE INTERFACE REP CB3410CT		$590
CABLE INTERFACE REP CB3412CT		$590
CABLE INTERFACE REP HEX OCT DE		$120
CABLE INTERFACE REP QUAD BLACK		$120
CABLE INTERFACE REP QUAD BLUE		$120
CABLE INTERFACE REP QUAD GRAY		$120
CABLE INTERFACE REP QUAD RED		$120
CABLE NAVISTAR REP 8MM DS		$700
CANE ALUMINUM		$40
CANNULA OPTISITE BLOODPUMP EDWARDS		$820
CANNULA RETROGRADE RESM/EDLIFE		$460
CAP GRAFTS TAA-$35,000 GORE	C1768	$116560
CARD REHAB HOME TRAININGPACKET		$40
CARD REHAB TRAINING PACKET		$20
CARDIAC EVENT RECORDER CONFIRM RX STJUDE	C1764	$15820
CARDIAC EVENT RECORDER CONFIRM STJUDE	C1764	$14990
CARDIAC EVENT RECORDER IMPLANT	C1764	$15817.5 - 16133.85
CARDIAC EVENT RECORDER REVEAL LINQ MDTR	C1764	$17630
CARDIAC EVENT RECORDER REVEAL MDTR	C1764	$14970
CARDIOMEMS HF SYSTEM STJUDE	C2624	$83090
CARDIOSEAL OCCLUD IMPLANT SYST	C1817	$16660
CAST SHOE		$50
CATH BALLN PTA ARMADA35 ABBOTT	C1725	$900
CATH DRAIN THORACIC	C1729	$100
CATH / PROBE ABLATION EXTRAVASCULAR TISSUE	C1886	$19.58 - 93206.7
CATH / PROBE ABLATION NANOKNIFE TISSUE ANGIODYNAMIC	C1886	$6650
CATH / PROBE ABLATION NANOKNIFE TISSUE ANGIODYNAMIC	C1886	$6650
CATH ABLAT THERMOCOOL CELSIUS BIOSENSE	C2630	$5100
CATH ABLAT THERMOCOOL RMT BIOSENSE	C2630	$10500
CATH ABLATION RF ESOPH BARRX MED	C1886	$3250
CATH ADP LOCKING LOOP		$570
CATH ADVANCE ATB PTA DILATION COOK	C1725	$370
CATH ANGIO ADVANCE MICRO 14 COOK	C1725	$1320
CATH ANGIO BERMAN ARROW	C1725	$300
CATH ANGIO CLOT BUSTER 7F 75CM	C1757	$2200
CATH ANGIO CROSSER BARD FLOWCARDIA	C1725	$5580
CATH ANGIO DIAG BSCI CORDIS MERIT		$300
CATH ANGIO DILAT VANANDEL COOK		$80
CATH ANGIO LASER ELCA EXIMER SPECTRA	C1885	$7980
CATH ANGIO LASER ELITE SPECTRANETICS	C1885	$9800
CATH ANGIO LASER TURBO POWER SPECTRA	C1885	$11640
CATH ANGIO LEVINE COOK		$60
CATH ANGIO MARINER ANGIODYNAMICS	C1887	$320
CATH ANGIO PED PEDIAVASCULUAR	C1725	$1250
CATH ANGIO PED PIGTAIL PEDIAVASCULUAR	C1725	$2090
CATH ANGIO POLYETHELYNE COOK		$300
CATH ANGIO ROYAL FLUSH COOK	C1725	$200
CATH ANGIO ROYAL FLUSH PLUS COOK	C1725	$160
CATH ANGIO SILVERHAWK FOXHOLLOW EV3	C1724	$10980
CATH ANGIO SIZING ACCU-VU ANGIODYNAMICS		$80
CATH ANGIO SLIPCATH COOK	C1725	$200
CATH ANGIO SLIPCATH SHUTTLE COOK		$250
CATH ANGIO SLIPCATH SHUTTLE XL COOK		$160
CATH ANGIO SOS OMNI ANGIODYNAMICS	C1887	$300
CATH ANGIO TEMPO CORDIS		$200
CATH ANGIO TORCON ADVANTAGE COOK		$200
CATH ANGIO TORCON NB ADVANTAGE BEACON 5F 100CM COOK		$380
CATH ANGIO TORCON NB ADVANTAGE BEACON COOK		$50
CATH ANGIO TORNUS ASAHI ABBOTT	C1887	$1990
CATH ANGIO TURBOHAWK EV3	C1724	$11350
CATH ANGIO VCF COOK		$60
CATH ANGIO WHITE SIZING COOK		$60
CATH ANGIO XXXL	C1725	$1220
CATH ANGIOGRAPHIC MARKER PIGTAIL	C1725	$100
CATH ANGIOGRAPHIC PIGTAIL	C1725	$60
CATH ANGIOJET 110	C1757	$2540
CATH ANGIOJET 60	C1757	$1500
CATH ANGIOJET AVX POSSIS	C1757	$1340
CATH ANGIOJET F105	C1757	$2540
CATH ANGIOJET XMI POSSIS	C1757	$5730
CATH ANGIOJET XVG POSSIS	C1757	$4420
CATH ARROW BERMAN ANGIO 7F	C1725	$120
CATH ARTHERECTOMY ATHEROCATH-BANTAM GUID	C1724	$4320
CATH ARTHERECTOMY SCA-EX GRAFT GUIDANT	C1724	$4170
CATH ATHERECTOMY CTO FRONTRUNNER	C1714	$3780
CATH ATHERECTOMY CUTTER GTO	C1714	$4920
CATH ATHERECTOMY FRONTRUNNER TRANSITIONL	C1714	$970
CATH ATHERECTOMY HAWKONE EV3 COVD	C1724	$11200
CATH ATHERECTOMY OAS ROTAT CSI	C1724	$11300
CATH ATHERECTOMY ROTAT COAS DB360 CSI	C1724	$12640
CATH AXS CATALYST DA STRY	C1887	$5490
CATH BALL OCCLUS SCEPTER C MICV TERUMO	C2628	$3160
CATH BALL OCCLUS SCEPTER XC MICV TERUMO	C2628	$3860
CATH BALLN XL PTA SCORING ANGIOSCULPT 100MM SPEC	C1725	$3830
CATH BALLN XL PTA SCORING ANGIOSCULPT 20MM SPEC	C1725	$2660
CATH BALLN XL PTA SCORING ANGIOSCULPT 40MM SPEC	C1725	$3250
CATH BALLN 120MMX130CM IN PACT ADMIRAL DCB MDTR	C1725	$5200
CATH BALLN 150MMX130CM IN PACT ADMIRAL DCB MDTR	C1725	$5690
CATH BALLN ACE	C1725	$1330
CATH BALLN ACS	C1725	$1000
CATH BALLN ANGIO AGILTRAC	C1725	$670
CATH BALLN ANGIO BLUE MAX BOSTON SCI	C1725	$1200
CATH BALLN ANGIO FASTEALTH BSCI	C1725	$2420
CATH BALLN ANGIO LV 20 3 100 DC	C1725	$1890
CATH BALLN ANGIO MAXI CORDIS	C1725	$1550
CATH BALLN ANGIO MLD	C1725	$1200
CATH BALLN ANGIO OLP	C1725	$710
CATH BALLN ANGIO POLAR 0.014 BSCI	C1725	$2670
CATH BALLN ANGIO POLAR 0.035 BSCI	C1725	$2000
CATH BALLN ANGIO PTA AORTIC TRUE BARD	C1725	$2660
CATH BALLN ANGIO PTA ATLAS GOLD OR PULM VIDA20-26 BARD	C1725	$2200
CATH BALLN ANGIO PTA ATLAS OR PULM VIDA12-18 BARD	C1725	$1300
CATH BALLN ANGIO PTA CONQUEST BARD	C1725	$700
CATH BALLN ANGIO STERLING MONORAIL BSCI	C1725	$1300
CATH BALLN ANGIO TRAPPER EXCHG DEVICE BSCI	C1725	$1650
CATH BALLN ANGIO XXL BOSTON SCI	C1725	$1200
CATH BALLN APEX BSCI	C1725	$1600
CATH BALLN ATHERECTMY FLEXICUT	C1714	$6530
CATH BALLN ATRIOSEPTOSTOMY BRAUN/BAXTER	C1725	$1000
CATH BALLN BS	C1725	$1160
CATH BALLN CELLO FUJI EV3	C1725	$3100
CATH BALLN CERVICAL RIPENING COOK	C1726	$150
CATH BALLN CORDIS	C1725	$840
CATH BALLN CORONARY SINUS VENO ST JUDE	C1725	$330
CATH BALLN CROSS SAIL GUIDANT	C1725	$770
CATH BALLN CTO CROSSBOW BSCI	C1725	$3600
CATH BALLN CTO STINGRAY BSCI	C1725	$4170
CATH BALLN CUTTING ANGIOSOURCE	C1725	$2920
CATH BALLN CUTTING ATHERTOME BSCI	C1725	$2670
CATH BALLN CUTTING FLEXTOME BSCI	C1725	$3170
CATH BALLN CUTTING WOLVERINE BSCI	C1725	$2660
CATH BALLN DELIV GATEWAY BOSTON SCI	C1725	$4000
CATH BALLN DILAT 1LUMEN 5F	C1726	$840
CATH BALLN DILAT BILI ENDO COOK	C1726	$200
CATH BALLN DILAT BILI MAXFORCE BSCI	C1726	$1000
CATH BALLN DILAT CRE BSCI	C1726	$1200
CATH BALLN DILAT EXPRESS ENTELLUS	C1726	$4170
CATH BALLN DILAT GUID SINU RELIVA SPIN ACLA	C1726	$5580
CATH BALLN DILAT GUID SINU RELIVA SPINPLUS ACLA	C1726	$6500
CATH BALLN DILAT NEPHROMAX BSCI	C1726	$970
CATH BALLN DILAT NEPHROSTOMY MICROVASIVE	C1726	$1300
CATH BALLN DILAT RELIANT MDTR	C1726	$1490
CATH BALLN DILAT RIGIFLEX BSCI	C1726	$2900
CATH BALLN DILAT UROMAX BSCI	C1726	$1020
CATH BALLN DILAT UROMAX ULTRA HP BSCI	C1726	$1450
CATH BALLN DILATATION TYSHAK BRAUN	C1725	$1510
CATH BALLN DILATATION ZMED/ZMED II BRAUN	C1725	$2400
CATH BALLN DILATION COOK	C1726	$1000
CATH BALLN DILATION DETACHABLE	C1726	$2410
CATH BALLN DILATION NONVASC	C1726	$1 - 6493.5
CATH BALLN ENDEAVOR	C1725	$2410
CATH BALLN ESPIRIT RX GUIDANT	C1725	$2500
CATH BALLN EUPHORA MDTR	C1725	$470
CATH BALLN EXXL	C1725	$1290
CATH BALLN FX MINIRAIL GUIDANT	C1725	$2600
CATH BALLN GEMINI RX GUIDANT	C1725	$1420
CATH BALLN GUIDANT	C1725	$2170
CATH BALLN IN PACT ADMIRAL DCB MDTR	C1725	$4700
CATH BALLN INFLAT DEV ENCORE BSCI		$400
CATH BALLN INFLAT DEV POLARCATH BSCI		$3170
CATH BALLN INOUE-BALLOON TORAY	C1725	$7330
CATH BALLN LUTONIX 035 DCB PTA BARD BSCI	C2623	$5830
CATH BALLN LUTONIX AV 035 DCB PTA MODEL 9010 BARD	C2623	$6490
CATH BALLN MARSHALL	C1725	$750
CATH BALLN MAVERICK BSCI	C1725	$1100
CATH BALLN MEDTRONIC	C1725	$2170
CATH BALLN MINI COMPRESSION	C1726	$600
CATH BALLN NUCLEUS-X BRAUN	C1725	$2840
CATH BALLN OCCLUS ENDOCATH SENTRE HEART SNTR	C2628	$21650
CATH BALLN OCCLUS EQUINOX	C2628	$2440
CATH BALLN OCCLUS EQUINOX MICRO	C2628	$2000
CATH BALLN OCCLUS HYPERFORM EV3	C2628	$4400
CATH BALLN OCCLUS HYPERGLIDE EV3	C2628	$3750
CATH BALLN OCCLUS LARGE BOSTON SCI	C2628	$800
CATH BALLN OCCLUS SNIPER EMBX	C2628	$1670
CATH BALLN OCCLUS STANDARD BOSTON SCI	C2628	$170
CATH BALLN OCCLUS SVC BRIDGE SPECT	C2628	$2830
CATH BALLN OCCLUS TFSC STRYKER	C2628	$4500
CATH BALLN OCCLUSION COMMODORE	C2628	$2910
CATH BALLN OCCLUSION STRYKER TFSC	C1753	$5300
CATH BALLN OLBERT	C1725	$800
CATH BALLN OPEN SAIL GUIDANT	C1725	$770
CATH BALLN PACK	C1725	$260
CATH BALLN POWERSAIL GUIDANT	C1725	$770
CATH BALLN PTA AMPHIRION EV3	C1725	$1140
CATH BALLN PTA ARMADA18 ABBOTT	C1725	$730
CATH BALLN PTA BIB NUMED	C1725	$2600
CATH BALLN PTA BIB STENT PLACEMENT NUMED BRAUN	C1725	$3280
CATH BALLN PTA EVERCROSS EV3	C1725	$450
CATH BALLN PTA NANOCROSS EV3	C1725	$1150
CATH BALLN PTA OPTA PRO CORDIS	C1725	$1000
CATH BALLN PTA POWERFLEX EXTREME CORDIS	C1725	$620
CATH BALLN PTA POWERFLEX P3 CORDIS	C1725	$800
CATH BALLN PTA PROFILER ANGIODYNAMICS	C1725	$980
CATH BALLN PTA SABER CORDIS CADL	C1725	$1700
CATH BALLN PTA SAVVY CORDIS	C1725	$2000
CATH BALLN PTA SLALOM CORDIS	C1725	$1100
CATH BALLN PTA WORKHORSE ANGIODYNAMICS	C1725	$390
CATH BALLN RECTAL PRESSURE	C1726	$110
CATH BALLN RENAL AMPLATZ DILAT	C1726	$600
CATH BALLN RX PTCA SCORING ANGIOSCULPT SPEC	C1725	$2660
CATH BALLN SCIMED	C1725	$1300
CATH BALLN SENTRY BOSTON SCI	C1725	$2570
CATH BALLN SIZING CARDIOSEAL	C1725	$1200
CATH BALLN SIZING ESOPH BARRX MED	C1725	$750
CATH BALLN SIZING PTS-X BRAUN		$800
CATH BALLN SPRINTER MDTR		$470
CATH BALLN STENT DILAT TRILOBE GORE		$2040
CATH BALLN STG	C1725	$790
CATH BALLN SUBMARINE PTA GUIDANT	C1725	$1340
CATH BALLN SYMMETRY BOSTON SCI	C1725	$1200
CATH BALLN TAMPONADE BAKRI COOK		$690
CATH BALLN THREADER MICRODILATOR BSCI	C1725	$1340
CATH BALLN TPA SAILOR PLUS EV3	C1725	$500
CATH BALLN TRIO 14	C1725	$1330
CATH BALLN TRUE FLOW VALVULOPLASTY PERFUSION	C1725	$4000
CATH BALLN TYSHACK II BRAUN	C1725	$1700
CATH BALLN ULTRA THIN DIAMOND BSCI	C1725	$700
CATH BALLN VIATRAC GUIDANT	C1725	$640
CATH BALLN VIPER	C1725	$1530
CATH BALLN VOYAGER ABBOTT GUIDANT	C1725	$770
CATH BALLOON DILATATION NEPHROSTOMY	C1726	$990
CATH BALLOON GOLD VALVE	C1725	$730
CATH BALLOON OCCLUSION CODA COOK	C2628	$1500
CATH BETA CATH BRACHYTHERAPY	C1728	$6960
CATH BILI DILATION SOEHENDRA COOK	C1729	$400
CATH BILIARY FOG DRAIN	C1729	$260
CATH BILIARY SILICONE BENTEC	C1729	$240
CATH BRACHYTHER SEED ADMIN	C1728	$0 - 0
CATH BROVIAC	C1751	$700
CATH CENTRAL VENOUS ARGON	C1751	$100
CATH CLOSED SYST URETHRAL		$60
CATH COBRA SOFT VU CORDIS		$50
CATH CONDOM		$5
CATH CORONARY ATHERECTOMY		$3780
CATH CORONARY DILAT TREK ABBOTT	C1725	$570
CATH CORONARY DILAT TREK ABBOTT NONLASER	C1725	$570
CATH COUDE		$40
CATH CSF DRAIN BECKER EDM SYST	C1729	$580
CATH CSF DRAIN BECKER EDMS MDTR	C1729	$700
CATH CSF DRAIN LUMBAR EDM MDTR	C1729	$700
CATH CSF DRAIN TRAUMACATH VENTRICULAR CATH SET INTG	C1729	$370
CATH CSF DRAIN VENTRIC EDM BECKER 20	C1729	$580
CATH CSF DRAIN VENTRIC EDM BECKER 35	C1729	$1200
CATH CSF DRAIN VENTRIC-PERITONEAL	C1729	$470
CATH CSF LUMBAR EDM MEDTRONIC	C1729	$580
CATH CSF VENTRICULAR EDM BECKER 20 MDTR	C1729	$580
CATH CSF VENTRICULAR EDM BECKER 35 MDTR	C1729	$750
CATH CV ALI KHAN	C1887	$120
CATH CV BLADE SEPTO	C1757	$4000
CATH CV CASTILLO	C1887	$60
CATH CV DBL	C1751	$350
CATH CV DBL COOK ARROW	C1751	$500
CATH CV EP 2/2 <19ELECTRODES	C1730	$1710
CATH CV EP 2/2 >20ELECTRODES	C1731	$1750
CATH CV EP 2/8 <19ELECTRODES	C1730	$2500
CATH CV EP 2/8 >20ELECTRODES	C1731	$4540
CATH CV EP ADVISOR FL SENSOR ENABLED <19 STJUDE	C1730	$5990
CATH CV EP CARTO NVSTR WBSTR<19 BIOSENSE	C1730	$900
CATH CV EP DECA 6F<19ELECTRODES	C1730	$1460
CATH CV EP DECA 7F<19ELECTRODES	C1730	$2200
CATH CV EP DIAGNOSTIC /ABLATION OTHERTHAN 3D /VECTOR MAP/COOLTIP	C1733	$1665 - 27972
CATH CV EP DIAGNOSTIC >20ELECTRODES OTHERTHAN 3D MAPPING	C1731	$792.54 - 8841.15
CATH CV EP HEX<19ELECTRODES	C1730	$550
CATH CV EP LASSO 10POLE<19ELECT BIOSENSE	C1730	$4100
CATH CV EP LASSO 20POLE >20ELEC BIOSENSE	C1731	$4700
CATH CV EP LIVEWIRE CANNULATOR<19 STJUDE	C1730	$2990
CATH CV EP LIVEWIRE DUO-DECA>20 STJUDE	C1731	$4500
CATH CV EP LIVEWIRE STEERABLE <19 STJUDE	C1730	$2990
CATH CV EP NVSTR WEBSTER<19 BIOSENSE	C1730	$1080
CATH CV EP OCTA 6F<19ELECTRODES	C1730	$800
CATH CV EP OPTIMA PLUS >20ELECTR STJUDE	C1731	$4660
CATH CV EP PATHFINDER<19ELECTROD CARDIMA	C1730	$3420
CATH CV EP QUAD <19ELECTRODES	C1730	$570
CATH CV EP SPECIAL EP <19ELEC	C1730	$2030
CATH CV EP SPIRAL<19ELECTRODE STJUDE	C1730	$2850
CATH CV EP VECTORCATH<19 CATHEFFECTS	C1730	$5630
CATH CV EP WEBSTER+CONNCTR<19 BIOSENSE	C1730	$2180
CATH CV EP<19 INQUIRY LUMACATH BSCI	C1730	$2500
CATH CV EP<19 POLARIS DX BSCI	C1730	$1090
CATH CV EP<19ELECTRODES ARROW	C1730	$2100
CATH CV EPS DIAG ABLAT QUAD LGCRL 7F	C2630	$2450
CATH CV EPS DIAG ABLAT QUAD MED 7F	C2630	$2450
CATH CV EPS DIAG ABLAT QUAD XLSU CRL7F	C2630	$2470
CATH CV GROSHONG	C1751	$1000
CATH CV HANAFEE	C1887	$110
CATH CV HICKMAN BARD	C1751	$900
CATH CV INFUSION	C1725	$2140
CATH CV JUDKINS COOK BARD		$160
CATH CV LEONARD 2LUMEN	C1751	$470
CATH CV PACING ATRIAL	C1756	$280
CATH CV PACING ATRIAL OXIMETRY	C1756	$1020
CATH CV PACING ATRIAL PROBE		$800
CATH CV PACING TEMPORARY BARD	C1756	$500
CATH CV PACING TEMPORARY DIAG AVE	C1756	$1100
CATH CV PACING TEMPORARY EDWARDS BAXTER	C1756	$700
CATH CV PACING TRANSESOPH	C1756	$1270
CATH CV PACING VENTRIC PROBE	C1756	$400
CATH CV QUAD ARROW	C1751	$260
CATH CV QUINTON	C1751	$450
CATH CV RAAF HEMODIALYSIS/PERITONEAL LONGTERM	C1750	$200
CATH CV SGL COOK	C1751	$170
CATH CV SGL COOK ARROW	C1751	$200
CATH CVC SGL ARROW	C1751	$400
CATH CVP CENTRAL VENOUS PRESS	C1751	$280
CATH CVP COOLGUARD COOL-LINE ALSIUS	C1751	$1600
CATH CVP COOLGUARD ICY ALSIUS	C1751	$3000
CATH CVP POWER-HOHN BARD	C1751	$1220
CATH CVP REPAIR COOK	C1751	$420
CATH DBL PERIPHERAL		$30
CATH DIAG ANGIO ROYAL FLUSH	C1725	$70
CATH DIAG CABLE ADVISOR FL SENSOR ENABLED		$920
CATH DIAG CORDIS	C1887	$150
CATH DIAG EP REP 4F JOSEPH ID	C1730	$130
CATH DIAG EP REP 4F JOSEPH PED	C1730	$130
CATH DIAG IMPULSE		$150
CATH DIAG INFINITI CORDIS	C1887	$400
CATH DIAG PERFORMA BERENSTEIN MERT		$200
CATH DIAG PERFORMA ULTIMATE MERT		$80
CATH DIAG SIZING PIG COOK		$370
CATH DIAG SPYGLASS		$80
CATH DIALYSIS EQUISTREAM LONG TERM BARD	C1750	$1000
CATH DIALYSIS GLIDEPATH LONG TERM BARD	C1750	$800
CATH DIALYSIS LONG PALINDROME KENDALL	C1750	$2370
CATH DIALYSIS PERMACATH KENDALL SHERWOOD	C1750	$600
CATH DIALYSIS TEMP DUOGLIDE BARD	C1752	$490
CATH DIALYSIS TEMP NIAGARA BARD	C1752	$600
CATH DIALYSIS TEMP POWER TRIALYSIS BARD	C1752	$600
CATH DRAIN	C1729	$12.15 - 8241.75
CATH DRAIN APD J TIP	C1729	$270
CATH DRAIN APD SKATER MDTECH	C1729	$200
CATH DRAIN ASPIRA PERITONEAL BARD	C1752	$2410
CATH DRAIN ASPIRA PLEURAL BARD	C1729	$2410
CATH DRAIN BIL 12F 35CM REG	C1729	$290
CATH DRAIN BILIARY AGDY	C1729	$210
CATH DRAIN BILIARY FOG	C1729	$260
CATH DRAIN BILIARY MACLOC COOK	C1729	$310
CATH DRAIN CHEST	C1729	$200
CATH DRAIN CHEST	C1729	$200
CATH DRAIN DAWSON MUELLER/COPE COOK	C1729	$250
CATH DRAIN DENVER SHUNT PVS CARF	C1729	$7160
CATH DRAIN EXPEL BOSTON SCI	C1729	$530
CATH DRAIN FLEXIMA APD BOSTON SCI	C1729	$250
CATH DRAIN FLEXIMA APD BSCI	C1729	$1200
CATH DRAIN FLEXIMA BILIARY BOSTON SCI	C1729	$270
CATH DRAIN MALECOT COOK	C1729	$190
CATH DRAIN MPA COOK	C1729	$300
CATH DRAIN MULTIPURPOSE J TIP	C1729	$400
CATH DRAIN MULTIPURPOSE MACLOC COOK	C1729	$300
CATH DRAIN NEPHROSTOMY SKATER MDTECH	C1729	$290
CATH DRAIN PIGTAIL MINI	C1729	$490
CATH DRAIN PLEURAL WAYNE PNEUMOTHORAX COOK	C1729	$610
CATH DRAIN PLEURX DENVER	C1729	$1800
CATH DRAIN PLEURX DENVER	C1729	$1430
CATH DRAIN SACKS	C1729	$1030
CATH DRAIN SINU RELIVA VORTEX2 ACLA	C1729	$520
CATH DRAIN SKATER ARGON	C1729	$310
CATH DRAIN SUMP LOCKING LOOP COOK	C1729	$380
CATH DRAIN THORACIC	C1729	$20
CATH DRAIN TRUFLO URESIL	C1729	$270
CATH DRAIN URESIL COOK	C1729	$300
CATH DRAIN VANSONNENBERG SUMP BOSTON SCI	C1729	$550
CATH EASY RIDER		$970
CATH ECHO ACUNAV INTRACARD REPROC SIEMEN	C1759	$3320
CATH ECHO ACUNAV INTRACARD SIEMEN BIOSEN	C1759	$9330
CATH ECHO ICE INTRACARD BSCI	C1759	$3200
CATH ECHO INTRACARDIAC	C1759	$3080.25 - 19613.7
CATH ECHO INTRACARDIACC VIEWFLEX STJUDE	C1759	$6000
CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$8720
CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$9500
CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$4000
CATH EDDY		$1410
CATH EMBOLECTOM FOGERTY EDWARDS BAXTER	C1757	$1140
CATH EMBOLECTOMY	C1757	$300
CATH EMBOLECTOMY FOGARTY BAXTER	C1757	$700
CATH EMBOLECTOMY FOGERTY EDWARD	C1757	$1140
CATH EMBOLECTOMY LEMAITRE	C1757	$300
CATH ENDO ERCP COOK		$200
CATH ENDO SPYSCOPE ACCESS + DELIVERY SYSTEM BSCI		$2540
CATH ENTEROCLYSIS MAGLINTE COOK		$800
CATH EP INQUIRY AFOCUS II >20ELECTR STJUDE	C1731	$5000
CATH EP ABLAT 8 MM INTELLANAV MIFI XP BSCI	C1732	$8990
CATH EP ABLAT BLAZER II OTHER BSCI	C1733	$4300
CATH EP ABLAT BLAZER STD OTHER BSCI	C1733	$3600
CATH EP ABLAT CARTO NAVISTAR QWIKSTAR 4	C1732	$7660
CATH EP ABLAT CARTO NAVISTAR QWIKSTAR 8	C1732	$8160
CATH EP ABLAT CARTO NVSTR THERMISTORBWEB	C1732	$6000
CATH EP ABLAT CELSIUS RMT OTHER BWEB	C1733	$4170
CATH EP ABLAT CELSIUS THERMOCOUPLE BWEB	C1733	$2900
CATH EP ABLAT CHILLI COOLED BSCI	C2630	$5630
CATH EP ABLAT EZ STEER BI-DIRCT OTH BWEB	C1733	$10000
CATH EP ABLAT EZ STEER DS BI-DIR OTHBWEB	C1733	$9900
CATH EP ABLAT FLEXABILITY STJUDE	C2630	$6200
CATH EP ABLAT FREEZOR CRYOCATH	C1732	$8500
CATH EP ABLAT FREEZOR MAX CRYOCATH	C1732	$8500
CATH EP ABLAT FREEZOR XTRA CRYOCATH	C1732	$8500
CATH EP ABLAT LIVEWIRE TC OTHER STJUDE	C1733	$1670
CATH EP ABLAT NAVISTAR BIOSENSE	C1732	$7660
CATH EP ABLAT NAVISTAR DS BIOSENSE	C1732	$8800
CATH EP ABLAT NVSTR CELSIUS DF OTH BWEB	C1733	$2900
CATH EP ABLAT NVSTR CELSIUS DS OTH BWEB	C1733	$4200
CATH EP ABLAT STND/LRG INTELLANAV MIFI OI BSCI	C1732	$9490
CATH EP ABLAT STND/LRG INTELLANAV OI BSCI	C1732	$7990
CATH EP ABLAT STND/LRG INTELLANAV ST BSCI	C1732	$7160
CATH EP ABLAT THERAPY COOL PATH STJUDE	C2630	$5400
CATH EP ABLAT THERMOCOOL NVSTR BIOSENSE	C1732	$4170
CATH EP ABLAT THERMOCOOL SMARTTOUCH BIOSENSE	C1732	$10740
CATH EP ABLATION SAFIRE OTHER STJUDE	C1733	$2000
CATH EP CARTO NVSTR CELSIUS II OTH BWEB	C1733	$2470
CATH EP DIAG <19 ELECTRODES	C1730	$127.91 - 6493.5
CATH EP DIAG APT MAP-IT 10 ELECTROD	C1730	$2630
CATH EP DIAG APT MAP-IT 20 ELECTROD	C1731	$3960
CATH EP DIAG/ABLAT/3D/VECTOR MAP	C1732	$3896.1 - 23669.64
CATH EP DIAGNOTIC OR ABLATION COOL-TIP OTHER THAN 3DP	C2630	$3330 - 20945.7
CATH EP MAPPING CONSTELLATION BSCI	C1732	$15000
CATH EP MAPPING ENSITE ST JUDE	C1732	$8660
CATH EP MAPPING HALO REPROCESSED	C1731	$4100
CATH EP MAPPING HALO REPROCESSED	C1731	$970
CATH EP MAPPING INTELLAMAP ORION BSCI	C1732	$9490
CATH EP REP 110 4F M 3.2 2-5-2	C1730	$1010
CATH EP REP 5F DECA FIX P-CRV	C1730	$180
CATH EP REP 7F DUODEC M LIVEWI	C1731	$970
CATH EP REP 7F DUODEC SUPERL	C1731	$970
CATH EP REP DIAG 7F OPTIMA PLS	C1731	$1950
CATH EP REP LIVEWIRE 6F QUADLG	C1730	$460
CATH EP REP OCTA DEFL 6F D-CRV	C1730	$470
CATH EP REP OCTAPOLAR D-TYPE	C1730	$470
CATH EP REP SUPREME 4F CRD2	C1730	$130
CATH EP REP SUPREME 6F CRD2	C1730	$130
CATH EP STEERING DECAPOLAR INQUIRY ABBOT	C1730	$1590
CATH EP WOVEN PENTAPOLAR JOSEPHSON BSCI	C1730	$750
CATH EPIDURAL		$240
CATH EPL REP 6F DEC 2/5 2M 115	C1730	$470
CATH EPS CABLE CONNECTING		$590
CATH EPS REP 4F DEC 2/8 65 CSL	C1730	$180
CATH EPS REP 4F QUAD 5MM JSN	C1730	$130
CATH EPS REP 5F HRRX UNI 120	C1730	$180
CATH EPS REP 5F QUAD 5 120 CRD	C1730	$130
CATH EPS REP 5F QUAD 5 120 JSN	C1730	$130
CATH EPS REP 5F QUAD 5MM CRD	C1730	$130
CATH EPS REP 6F DEC 2/8 65CM	C1730	$180
CATH EPS REP 6F DEC LARGE CURL	C1730	$470
CATH EXCELSIOR 1018 BSCI	C1887	$1490
CATH EXCELSIOR SL10 BSCI	C1887	$2030
CATH EXCELSIOR SL10 STRY	C1887	$7490
CATH EXCELSIOR SL10 STRY	C1887	$3050
CATH EXCELSIOR XT27 STRYKER	C1887	$2920
CATH FASDASHER 14		$1030
CATH FEMALE URETHRAL		$5
CATH FILIFORM		$70
CATH FINECROSS MG CORONARY MICRO-GUIDE TERU	C1725	$1420
CATH FLOWRIDER PLUS		$3250
CATH FOLEY		$100
CATH FOLLOWER		$70
CATH GLIDE IMPRESS BERENSTEIN HYDROPHIL MERIT	C1725	$650
CATH GLIDEWIRE ZIPWIRE BSCI	C1887	$110
CATH GLIDEX	C1887	$970
CATH GROLLMAN PIGTAIL COOK		$60
CATH GROSHONG	C1751	$780
CATH GROSHONG REPAIR KIT		$100
CATH GUIDE 5MAX DDC PENUMBRA	C1887	$8290
CATH GUIDE ACS	C1887	$360
CATH GUIDE ACUITY INNER BSCI	C1887	$650
CATH GUIDE ACUITY INNER BSCI	C1887	$650
CATH GUIDE ANGIODYNAMICS MDTR/MIS	C1887	$300
CATH GUIDE APOLLO NEURO EV3 COVIDIEN	C1887	$5650
CATH GUIDE ARC INTRACRANIAL EV3 MDTR COVD	C1887	$6640
CATH GUIDE ATTAIN CRT LEAD DELIV MDTR	C1887	$2400
CATH GUIDE AVE	C1887	$30
CATH GUIDE AXIS COBRA1 SIMMONS1 SUREFIRE	C1887	$980
CATH GUIDE BALLN MERCI CONCENTRIC MED	C1887	$3600
CATH GUIDE BALLN OUTREACH DAC CMED	C1887	$3150
CATH GUIDE BALLOON CELLO	C1887	$2890
CATH GUIDE BALLOON FLOWGATE STRY	C1887	$4160
CATH GUIDE BALLOON TRAPLINER VASC	C1887	$2030
CATH GUIDE BENCHMARK PENUMBRA	C1887	$3310
CATH GUIDE BERENSTEIN	C1887	$700
CATH GUIDE BMX COAXIAL BAYLIS	C1887	$600
CATH GUIDE BSCI	C1887	$300
CATH GUIDE CELIAC	C1887	$50
CATH GUIDE CEREBRAL	C1887	$50
CATH GUIDE CORDIS	C1887	$400
CATH GUIDE CPS AIM ST JUDE	C1887	$890
CATH GUIDE CPS LIVEWIRE LUMINARY STJUDE	C1887	$2990
CATH GUIDE CV BERENSTEIN	C1887	$60
CATH GUIDE CV BIOPSY	C1887	$340
CATH GUIDE DELIV ATTAIN MDTR	C1887	$900
CATH GUIDE DELIV C315 MDTR	C1887	$970
CATH GUIDE ENTEER REENTRY EV3	C1887	$7980
CATH GUIDE FASTRACKER BSCI	C1887	$3200
CATH GUIDE FL3.5 SIDEHOLES 9F		$160
CATH GUIDE FLEX	C1887	$540
CATH GUIDE GUIDELINER VASC SOLN	C1887	$1320
CATH GUIDE HD	C1887	$90
CATH GUIDE INDIGO CAT6 PENUMBRA	C1887	$6630
CATH GUIDE INDIGO CAT8 PENUMBRA	C1887	$9960
CATH GUIDE INDIGO PENUMBRA	C1887	$4300
CATH GUIDE LANTERN DELIVERY MICROCATH PENUMBRA	C1887	$2160
CATH GUIDE LAUNCHER MDTR	C1887	$150
CATH GUIDE LEAD DELIVERY SYSTEM ACUITY PRO BSCI	C1887	$3340
CATH GUIDE MICROCATH CORSAIR ASAHI	C1887	$1840
CATH GUIDE MICROCATH ECHELON EV3	C1887	$1800
CATH GUIDE MORPH BIOCARDIA	C1887	$1250
CATH GUIDE NAVICROSS PERIPH SUPPORT TERUMO	C1887	$570
CATH GUIDE NEURON DELIVERY PENUMBRA	C1887	$2300
CATH GUIDE NEURON MAX 088 PENUMBRA	C1887	$1650
CATH GUIDE NEURON REPERFUSION PENUMBRA	C1887	$5600
CATH GUIDE NEURON SELECT PENUMBRA	C1887	$1650
CATH GUIDE NEURON SELECT PENUMBRA	C1887	$420
CATH GUIDE NEUROVASC CHIKAI ASAHI	C1887	$1500
CATH GUIDE NEUROVASC FUBUKI 043 ASAHI	C1887	$1580
CATH GUIDE NEUROVASC FUBUKI ASAHI	C1887	$670
CATH GUIDE OCELOT OCT AVINGER	C1887	$8310
CATH GUIDE OUTBACK RE-ENTRY CORDISLUMEND	C1887	$6770
CATH GUIDE PIONEER PLUS REENTRY VOLCANO	C1887	$9650
CATH GUIDE POWERWIRE RF BAYM	C1887	$5000
CATH GUIDE PRECISION INFUSION SUREFIRE	C1887	$9990
CATH GUIDE PX SLIM DELIVERY MICROCATH PENUMBRA	C1887	$1650
CATH GUIDE QUICKCROSS SPECTRANTICS	C1887	$600
CATH GUIDE REFLEX INTRACRANIAL EV3	C1887	$1570
CATH GUIDE SELECTSITE MDTR	C1887	$2670
CATH GUIDE SHEATH SUREFIRE	C1887	$8330
CATH GUIDE SOFTIP SENTRE HEART SNTR	C1887	$1000
CATH GUIDE SUPPORT BARD	C1887	$870
CATH GUIDE TOURGUIDE STEERABLE SHEATH OSCO MDTR	C1887	$1910
CATH GUIDE TRAILBLAZER ANGLED SUPT EV3 MDTR COVD	C1887	$700
CATH GUIDE TURBO SPECTRANETICS	C1887	$5000
CATH GUIDE TWIN PASS VASC SOLN	C1887	$1090
CATH GUIDE VASC TURNPIKE LP TEFL	C1887	$2410
CATH GUIDE VENTURE STJUDE	C1887	$2170
CATH GUIDE VERIPATH ABBOTT	C1887	$300
CATH GUIDE VIANCE EV3	C1887	$5980
CATH GUIDE VIANCE EV3 COVIDIEN	C1887	$5980
CATH GUIDE VIKING ABBOTT GUIDANT	C1887	$200
CATH GUIDE VINUELA COOK	C1887	$400
CATH GUIDE ZUMA / LAUNCHER MDTR	C1887	$200
CATH GUIDECATH CONTRALAT CORDIS	C1887	$220
CATH GUIDECATH CXI COOK	C1887	$540
CATH GUIDECATH ENVOY CORDIS	C1887	$1300
CATH GUIDECATH ENVOY DA J&J CORDIS	C1887	$2200
CATH GUIDECATH ENVOY RX CORDIS	C1887	$1230
CATH GUIDECATH GLIDE ANGIODYNAMICS	C1725	$40
CATH GUIDECATH GLIDE TERUMO BSCI	C1725	$600
CATH GUIDECATH GUIDEZILLA BSCI	C1887	$1320
CATH GUIDECATH LUMAX COOK	C1887	$800
CATH GUIDECATH VISTA BRITE IG CORDIS	C1887	$390
CATH GUIDECATH VISTA BRITE TIP CORDIS	C1887	$300
CATH GUIDING	C1887	$29.14 - 9623.7
CATH GUIDING PEDS	C1887	$330
CATH GUIDING PERFORMA MERIT MEDICAL	C1887	$30
CATH GUIDING PERFORMA MERIT MEDICAL	C1887	$70
CATH GUIDING SINU RELIVA SPIN ACLA	C1887	$1070
CATH GUIDING VESSEL ARROW	C1887	$60
CATH GUIDING WORLEY VEIN SEL MERIT	C1887	$300
CATH HEADHUNTER COOK		$40
CATH HEMDIALYS R PORT PREMIER KIT	C1750	$2020
CATH HEMDIALYS R PORT STANDARD KIT	C1750	$1640
CATH HEMODIALYSIS	C1751	$290
CATH HEMODIALYSIS DURAFLOW ANGIODYNAMICS	C1881	$4000
CATH HEMODIALYSIS SCHON XL ANGIODYNAMICS	C1752	$370
CATH HEMODIALYSIS TEMP ACCESS	C1751	$540
CATH HEMODIALYSIS/PERITONEAL LONGTERM	C1750	$37.3 - 7992
CATH HEMODIALYSIS/PERITONEAL LONGTERM ARGYLE SWAN NECK CURL CATH KIT COVD	C1750	$820
CATH HEMODIALYSIS/PERITONEAL LONGTERM BIOFLO DURAMAX AGDY	C1750	$4160
CATH HEMODIALYSIS/PERITONEAL LONGTERM KAND	C1750	$1190
CATH HEMODIALYSIS/PERITONEAL SHORTTERM	C1752	$372.96 - 1144.52
CATH HEMODIALYSIS/PERITONEAL SYMETREX LONGTERM MEDCOMP	C1750	$1010
CATH HORSESHOE CONTRALAT		$90
CATH HYDROPHILIC MARK 16		$910
CATH INF CRAGG MCNAMARA <30CM EV3	C1887	$300
CATH INF CRAGG MCNAMARA >=30CM EV3	C1887	$440
CATH INF PULSE SPRAY ANGIODYNAMICS	C1757	$930
CATH INFERIOR MESENTERIC	C1887	$50
CATH INFUSION	C1751	$660
CATH INFUSION	C1751	$45.16 - 1512.19
CATH INFUSION BRAUN	C1751	$1300
CATH INFUSION CORONARY AU MARK	C1751	$430
CATH INFUSION CV 3LUMEN	C1751	$350
CATH INFUSION CV 4LUMEN	C1751	$280
CATH INFUSION CV QUINTON	C1751	$450
CATH INFUSION CV QUINTON COOK	C1751	$420
CATH INFUSION CV TRPL COOK ARROW	C1751	$400
CATH INFUSION FOUNTAIN MERIT MEDICAL	C1725	$540
CATH INFUSION LYSUS EKOS	C1751	$9500
CATH INFUSION MAGIC BALT	C1751	$2500
CATH INFUSION MAHURKAR	C1751	$1700
CATH INFUSION PICC LINE MEDITECH MEDCOMP	C1751	$900
CATH INFUSION SLIP COOK		$300
CATH INFUSION TRACKER BSCI	C1887	$1200
CATH INFUSION TRANSIT CORDIS	C1751	$1500
CATH INFUSION TRULINE EV3	C1751	$390
CATH INFUSION UNIFUSE	C1751	$660
CATH INFUSION VALVED <40CM EV3	C1751	$270
CATH INFUSION VALVED >40CM EV3	C1751	$270
CATH INFUSION VALVED 4F	C1887	$300
CATH INFUSION VALVED 5F	C1887	$300
CATH INTRASPINAL	C1755	$1332 - 3296.7
CATH IT ATHEROTOME CATHETER	C1714	$3010
CATH IVUS	C1753	$1914.75 - 7226.1
CATH IVUS 10MHZ VISIONS PV.035	C1753	$3340
CATH IVUS ATLANTIS ULTRASOUND BSCI	C1753	$2400
CATH IVUS KODAMA HDI ACIST	C1753	$2410
CATH IVUS LIPISCAN INFRAREDX	C1753	$2840
CATH IVUS OPTICROSS 6 BSCI	C1753	$2700
CATH IVUS STJUDE	C1753	$2170
CATH IVUS VOLCANO EAGLE EYE	C1753	$2250
CATH IVUS VOLCANO VISIONS	C1753	$2920
CATH KUMPE		$110
CATH LANGSTON DUAL LMN VASC SOLN	C1725	$500
CATH LOFRIC		$200
CATH LONG PALINDROME HEMODIALYSIS/PERITONEAL LONGTERM	C1750	$2370
CATH LUMBAR		$480
CATH MAESTRO MICRO-GUIDE MERT	C1887	$1080
CATH MAESTRO MICROCATH MERIT	C1887	$990
CATH MAGIC		$1680
CATH MAHURKAR TYCO	C1750	$2350
CATH MAP REP 6F QUAD POLARISDX	C1730	$460
CATH MARKER COOK		$220
CATH MARKER CORDIS		$590
CATH MARKER PIGTAIL		$920
CATH MASSTRANSIT CORDIS	C1887	$950
CATH MCNAMARA AL		$190
CATH MCNAMARA CONTRALAT COOK		$700
CATH MEDENA CURVE		$50
CATH MEDENA STRAIGHT		$50
CATH MICRO DIREXION TORQ BSCI	C1887	$2050
CATH MICRO DIREXION TORQ PRELOAD W FATHOM GW BSCI	C1887	$3010
CATH MICRO DIREXION TORQ PRELOAD W TRANSEND GW BSCI	C1887	$2640
CATH MICRO HEADWAY DUO MICV MC162167S TERUMO	C1887	$3800
CATH MICRO HEADWAY DUO MICV TERUMO	C1887	$2940
CATH MICRO HEADWAY MICV TERUMO	C1887	$2630
CATH MICRO INFUSION SUREFIRE	C1887	$8330
CATH MICRO MAGIC		$1200
CATH MICRO MARKSMAN EV3	C1887	$3990
CATH MICRO MERCI CONCENTRIC MED	C1773	$1500
CATH MICRO ORION EV3	C1887	$3610
CATH MICRO PHENOM + MDTR	C1887	$6640
CATH MICRO PHENOM MDTR	C1887	$4210
CATH MICRO PROGREAT >=2.4F TERUMO	C1887	$1030
CATH MICRO PROGREAT 2.0F TERUMO	C1887	$2170
CATH MICRO PROGREAT COAXIAL TERUMO	C1887	$1730
CATH MICRO REBAR EV3	C1887	$1500
CATH MICRO SOFIA MICV TERUMO	C1887	$4050
CATH MICRO SOFIA PLUS MICV TERUMO	C1887	$7700
CATH MICRO VELOCITY PENU	C1887	$3630
CATH MICRO VIA 21 SEQU	C1887	$3660
CATH MICROCATH MARATHON EV3	C1887	$1770
CATH MICROCATH MERCI X5		$1500
CATH MICROCATH NAVVUS RAPID EXCH FFR ACIST	C1769	$2000
CATH MICROCATH PROGREAT TERUMO		$1000
CATH MICROCATH ULTRAFLOW EV3	C1887	$1420
CATH MONITOR ART PRESS		$100
CATH MPD		$590
CATH MPD COOK	C1729	$360
CATH MULTIMED ARROW		$540
CATH MULTIPURPOSE 6F 90CM	C1887	$720
CATH NAVARE		$1820
CATH NEPHROSTOMY	C1729	$400
CATH NEPHROSTOMY COPE	C1729	$600
CATH NIH MARKER	C1887	$100
CATH OASIS 6/100 46-877		$3070
CATH OASIS 6/65 46-876		$2530
CATH OCCLUSION	C2628	$126.54 - 4425.57
CATH OCCLUSION	C2628	$800
CATH OPTICATH / OPTI Q ABBOTT	C1751	$610
CATH OPTITORQUE RADIFOCUS GLIDECATH TERU	C1725	$120
CATH OXIMETRY		$1740
CATH PACING TRANSESOPH	C1756	$37.07 - 832.5
CATH PACING TRANSESOPH TEMPORARY	C1756	$400
CATH PACING TRANSESOPH TEMPORARY BXTR	C1756	$400
CATH PEDS SPLIT XL MEDCOMP	C1750	$1330
CATH PERFORMA MERIT MEDICAL	C1887	$600
CATH PERFUSN NEUROFLO COAXIA HDE H030005		$4970
CATH PERICARDIAL		$60
CATH PERICARDIOCENTESIS	C1729	$40
CATH PERMACATH DECATHLON KENDALL	C1750	$1100
CATH PICC 1 LUMEN ARROW	C1751	$560
CATH PICC 1 LUMEN BARD	C1751	$480
CATH PICC 1 LUMEN COOK	C1751	$280
CATH PICC 2 LUMEN	C1751	$560
CATH PICC 2 LUMEN ARROW	C1751	$560
CATH PICC 2 LUMEN BARD	C1751	$1200
CATH PICC ARGYLE 1LUMEN BECTON DICKINSON	C1751	$160
CATH PICC ARGYLE 2LUMEN BECTON DICKINSON	C1751	$260
CATH PICC BECTON DICKINSON	C1751	$290
CATH PICC GROSHONG	C1751	$410
CATH PICC MORPHEUS CT ANGIODYNAMICS	C1751	$900
CATH PICC POWERPICC BARD	C1751	$700
CATH PICC POWERPICC NAVILYST	C1751	$450
CATH PICC UTAH MEDICAL	C1751	$160
CATH PICC VAXCEL 1LUMEN BSCI	C1751	$220
CATH PICC VAXCEL 2LUMEN BSCI	C1751	$400
CATH PIGTAIL		$200
CATH PIGTAIL CAVA SIZING		$180
CATH PIGTAIL MARKER EV3		$400
CATH PORT POWER TI BARD	C1788	$1750
CATH PORT POWER XCELA POWER NAVILYST	C1788	$1100
CATH PORT POWERFLOW APHERESIS IV PORT BARD	C1788	$3300
CATH PORT SMART ANGIODYNAMICS	C1788	$1750
CATH PORT SMART WITH VALVED INTRODUCER ANGIODYNAMICS	C1788	$4460
CATH PORTACATH 1LUMEN BARD	C1788	$840
CATH PORTACATH 2LUMEN BARD	C1788	$1570
CATH PORTACATH MRI BARD	C1788	$2240
CATH POSSIS THROMB EMBOLECTOMY	C1757	$4650
CATH POWERHICKMAN BARD	C1751	$1200
CATH POWERLINK ENDOLOGIX	C1725	$750
CATH PROWLER CORDIS	C1887	$3000
CATH PROWLER PLUS	C1757	$1200
CATH PROWLER STRAIGHT CORDIS	C1887	$2070
CATH PTA ABBOTT	C1725	$670
CATH PTA ADMIRAL EXTREME EV3	C1725	$450
CATH PTA BALLN RIVAL BARD	C1725	$500
CATH PTA BALLOON CHOCOLATE TRIREME	C1725	$3090
CATH PUSHER RADIOPAQUE COOK		$270
CATH QUINTON	C1751	$450
CATH RADIAL ARTERY	C1751	$500
CATH RADIUS CURVE		$50
CATH RAPIDTRANSIT 1 MARKER CORDIS	C1887	$2300
CATH RAPIDTRANSIT 2 MARKERS CORDIS	C1887	$2600
CATH REFLEX INTRACRANIAL EV3	C1887	$3320
CATH REGATTA		$1500
CATH RENAL DOUBLE CURVE		$110
CATH RENAL GUIDE		$710
CATH RENEGADE FIBER BSCI	C1887	$1230
CATH RENEGADE HIFLO BSCI	C1887	$1150
CATH RENEGADE HIFLO NEURO BSCI	C1887	$2600
CATH RENEGADE STC 18 ANGLED BSCI	C1887	$1320
CATH RENEGADE STC 18 STRAIGHT BSCI	C1887	$1270
CATH REPERFUSION 3MAX		$270
CATH REPERFUSION 4MAX		$270
CATH REPR EXTERNAL		$420
CATH SEPTOSTOMY RASHKIND MDTR		$410
CATH SEPTOSTOMY RF NYKANEN BAYLIS		$2840
CATH SHEATH AMPLATZ COOK		$90
CATH SHEATH TRANSSEPTAL TORFLEX BAYM	C1887	$520
CATH SHEATHED		$300
CATH SIMMONS HIGHFLOW BOSTON SCI		$140
CATH SLIPCATH MULTI COOK		$100
CATH SOFTOUCH. JUDKINS MERIT	C1887	$300
CATH SPINNAKER ELITE BOSTON SCI	C1751	$1900
CATH STRAIGHT	C1751	$50
CATH STRAIGHT SELECTIVE		$110
CATH SUB4		$990
CATH SUCTION REPLOGLE		$50
CATH SUPERTORQUE SELECTIVE CORDIS	C1887	$3570
CATH SUPRAPUBIC/CYSTOSCOPIC	C2627	$90
CATH SUPRAPUBIC/CYSTOSCOPIC	C2627	$131.87 - 263.74
CATH SWAN GANZ HISHOR	C1751	$480
CATH SWAN GANZ OXIMETRY	C1751	$570
CATH SWAN GANZ VIP EDWARDS	C1751	$700
CATH THAL QUICK		$220
CATH THERMDIL SWNGNZ	C1751	$800
CATH THERMDIL VIP CCO	C1751	$700
CATH THOMBECTOMY SOLENT PROXI	C1757	$6070
CATH THROMBECT CLOT SEPARATOR INDIGO PENUMBRA	C1757	$2650
CATH THROMBECT CLOT SEPARATOR INDIGO SEP6 PENUMBRA	C1757	$3980
CATH THROMBECT CLOT SEPARATOR INDIGO SEP8 PENUMBRA	C1757	$6640
CATH THROMBECT CLOT SEPARATOR PENUMBRA	C1757	$7330
CATH THROMBECT UNI FUSE ANGIODYNAMICS	C1757	$650
CATH THROMBECTOMY ANGIOJET POSSIS	C1757	$5170
CATH THROMBECTOMY ASAP MERIT MEDICAL	C1757	$1330
CATH THROMBECTOMY DIVER EV3	C1757	$1700
CATH THROMBECTOMY EXPORT MEDTRONIC	C1757	$1670
CATH THROMBECTOMY ZELANTE DVT BSCI	C1757	$9380
CATH THROMBECTOMY/EMBOLECTOMY	C1757	$192.74 - 9373.95
CATH THROMBECTOMY/EMBOLECTOMY CLEANER ANGIOTECH	C1757	$2050
CATH THROMBECTOMY/EMBOLECTOMY CLEANER15 ANGIOTECH ARGON	C1757	$5200
CATH THROMBECTOMY/EMBOLECTOMY FOGERTY EDWARD	C1757	$1700
CATH THROMBLYTIC TRELLIS BACCHUS	C1757	$5170
CATH THROMECTOMY PRONTO VASC SOLN	C1757	$1540
CATH TPN COOK	C1751	$500
CATH TRACTMASTER		$1100
CATH TRANSLUM ANGIOPLASTY LASER	C1885	$8175.15 - 12304.35
CATH TRANSLUM ANGIOPLASTY NONLASER	C1725	$38.76 - 11388.6
CATH TRANSLUM ATHERECTOMY ROTATIONAL	C1724	$2980.35 - 25274.7
CATH TRATTNER		$340
CATH TROCAR		$100
CATH TURNER PIGTAIL COOK		$250
CATH ULTRASOUND REP 3D 10F VIV	C1759	$3090
CATH ULTRASOUND REP 8F ACUNAV	C1759	$3090
CATH ULTRATHIN		$910
CATH UMBILICAL	C1751	$170
CATH URETERAL	C1758	$31.14 - 566.1
CATH URETERAL ANGLED TIP COOK	C1758	$110
CATH URETERAL URODYNAMIC	C1758	$80
CATH URETERAL URODYNAMIC 2LUMEN	C1758	$90
CATH URETHRAL		$100
CATH URODYNAMIC JOSEPH 2LUMEN COOK	C1758	$100
CATH USN REP 3D 10F CARTOSOUND	C1759	$4500
CATH VAN SCHIE SEEKING COOK		$90
CATH VERTEBRAL ARTERY	C1887	$50
CATH VESSEL ARROW	C1887	$60
CATH VESSEL SIZING COOK	C1725	$100
CATH VINUELA STRAIGHT		$140
CATH VONSONNENBERG		$590
CATH YUEH CENTESIS COOK	C1729	$70
CATH ZEPPELIN		$1270
CATHETER TO STENT-LARYNGECTMY	A9999	$20
CEMENT BONE KYPHX HVR	C1763	$400
CEMENT BONE KYPHX HVR +MIXTURE	C1763	$640
CEMENT BONE KYPHX XPEDE +MIX+DELIV SYST KYPHON MDTR	C1763	$950
CEMENT BONE SIMPLEX STRYKER	C1763	$290
CEMENT BONE STABILIT 1ST FRACTURE KIT W/ POWERCURVE DFINE MERT	C1763	$11000
CEMENT BONE VERTECEM II SYNT	C1763	$1200
CEMENT DELIVERY SYSTEM EZ FLOW PARALLAX		$1100
CENTRIMAG PED FLOW PROB VAD THOR STJU		$8990
CENTRIMAG RVAS VAD SYST H07004S002		$39970
CENTRIMAG VENT ASSIST DEVC VAD		$39970
CHEST TUBE		$500
CIRCUMCISION CLAMP		$60
CIRCUMCISION SUPPLY		$90
CIRCUMCISION SUPPLY DISPOSABLE		$120
CLOSURE DEVICE ANGIOSEAL STJUDE	C1760	$770
CLOSURE DEVICE ARTERY PERCLOSE ABBOTT	C1760	$750
CLOSURE DEVICE ARTERY PROSTAR XL ABBOTT	C1760	$1000
CLOSURE DEVICE BOOMERANG CARDIVA MED	C1760	$4800
CLOSURE DEVICE PERCLOSE ARTERY 6F ABBOTT	C1760	$700
CLOSURE DEVICE PERCLOSE ARTERY 8F	C1760	$960
CLOSURE DEVICE QUICKSEAL VASC SUBQ BSCI	C1760	$990
CLOSURE DEVICE STARCLOSE ARTERY ABBOTT	C1760	$750
CLOSURE DEVICE VASC MYNX ACCESSCLOSURE	C1760	$790
CLOSURE DEVICE VASOSEAL ELITE DATASCOPE	C1760	$3580
CO-PILOT KIT ABBOTT VASCULAR		$200
COCHLEAR ACCESSORY NOT LISTED	L9900	$60 - 180
COCHLEAR AMERICA HEADSET REPLACEMENT	L8615	$1500
COCHLEAR AMERICA SOFTBAND	V5267	$316.36
COCHLEAR AMERICA SOFTBAND LONG	L9900	$420
COCHLEAR CONTRLR FREEDOM REPLC	L8628	$4250
COCHLEAR DEVICE SYST INTERNAL&EXTERNAL	L8614	$7276.05 - 108811.08
COCHLEAR REPAIR/REPLACE PARTS	L7510	$925 - 958
COCHLEAR SPEECH PROCESSOR NUCLEUS6 REPLACEMENT COCH AM	L8627	$35290
COIL BARRICADE COIL BLOCKADE		$1980
COIL COIL EMBO NXT NEXUS TETRIS 3D EV3		$2720
COIL EMBO AXIUM 3D EV3		$2900
COIL EMBO AXIUM HELIX EV3		$2350
COIL EMBO AXIUM HELIX NYLON EV3		$3300
COIL EMBO AXIUM PGLA 3D EV3		$4400
COIL EMBO AZUR 18D SYSTEM TERU		$3300
COIL EMBO AZUR 18P SYSTEM TERU		$1000
COIL EMBO AZUR 35D SYSTEM TERU		$4500
COIL EMBO AZUR 35P SYSTEM TERU		$1200
COIL EMBO CONCERTO EV3		$1990
COIL EMBO HYDROCOIL 10 HYDROFRAME ADV TERU		$5830
COIL EMBO HYDROCOIL 10 HYDROSOFT 3D ADV TERU		$5830
COIL EMBO HYDROCOIL 10 HYDROSOFT ADV HELICAL TERU		$4320
COIL EMBO HYDROCOIL 10 MICROVENT TERUMO		$4350
COIL EMBO HYDROCOIL 10 MICRPLX MICV TERU		$3300
COIL EMBO HYDROCOIL 14 MICROVENT TERUMO		$4950
COIL EMBO HYDROCOIL 14 MICRPLX MICV TERU		$5100
COIL EMBO HYDROCOIL 18 HYDROFRAME ADV TERU		$6880
COIL EMBO HYDROCOIL 18 MICROVENT TERUMO		$5970
COIL EMBO IMPLANT PERIPHERAL VASC <10CM RUBY PENU		$2660
COIL EMBO IMPLANT PERIPHERAL VASC >= 30CM RUBY PENU		$4330
COIL EMBO IMPLANT PERIPHERAL VASC >=10CM AND <30CM RUBY PENU		$3330
COIL EMBO INTERLCK CUBE/HEL/DIA <15 BSCI		$1670
COIL EMBO INTERLCK CUBE/HEL/DIA 40 BSCI		$3000
COIL EMBO INTERLCK CUBE/HEL/DIA15-30BSCI		$2500
COIL EMBO MATRIX 3D BSCI		$6350
COIL EMBO MATRIX BSCI		$4000
COIL EMBO MATRIX2 2D BSCI		$5100
COIL EMBO MATRIX2 360 BSCI		$8100
COIL EMBO MATRIX2 HELICAL BSCI		$6600
COIL EMBO MICRO HILAL COOK		$270
COIL EMBO MICRPLX HYPERSOFT 10 MICV TERUMO		$3420
COIL EMBO MICRPLX HYPERSOFT 3D MICV TERU		$5200
COIL EMBO MREYE MRI COOK		$340
COIL EMBO NESTER PLAT COOK		$300
COIL EMBO NEXUS HELIX SOFT EV3		$3030
COIL EMBO NEXUS HELIX SUPRSFT EV3		$3110
COIL EMBO NEXUS MORPHEUS 3D EV3		$4000
COIL EMBO NEXUS MULTIDIAM CSR EV3		$3040
COIL EMBO NEXUS TETRIS 3D CSR EV3		$3530
COIL EMBO NXT HELIX STD 18 EV3		$2310
COIL EMBO NXT HELIX STD FBR EV3		$2410
COIL EMBO NXT HELIX SUPRSFT EV3		$2240
COIL EMBO NXT MULTIDIAM EV3		$2210
COIL EMBO RETRACTA PLAT COOK		$1620
COIL EMBO STAINLESS STEEL COOK		$300
COIL EMBO TARGET 360 HELX BSCI		$5500
COIL EMBO TARGET 360 SOFT BSCI		$7300
COIL EMBO TARGET 360 STD BSCI		$7300
COIL EMBO TARGET 360 ULTR BSCI		$7300
COIL EMBO TARGET NANO 3D STRYKER BSCI		$6640
COIL EMBO TARGET XL 360 <50 STRYKER		$9700
COIL EMBO TARGET XL 360 >50 STRYKER		$9700
COIL EMBO TORNADO PLAT COOK		$600
COIL EMBO TRUFILL DCS ORBIT COMPLX CORD		$4200
COIL EMBO TRUFILL DCS ORBIT HELICAL CORD		$2000
COIL EMBO TRUFILL DCS ORBIT MINI CORDIS		$3080
COIL EMBOLIZ COMPLEX 10 BLOCKADE		$4980
COIL EMBOLIZ GDC 10 2D BSCI		$3600
COIL EMBOLIZ GDC 10 2D SOFT SR BSCI		$2840
COIL EMBOLIZ GDC 10 360 SR BSCI		$6600
COIL EMBOLIZ GDC 10 3D BSCI		$5500
COIL EMBOLIZ GDC 10 SOFT BSCI		$3100
COIL EMBOLIZ GDC 10 SOFT SR BSCI		$2590
COIL EMBOLIZ GDC 10 STANDARD BSCI		$1900
COIL EMBOLIZ GDC 10 ULTRASOFT BSCI		$5500
COIL EMBOLIZ GDC 10-14 3D		$4700
COIL EMBOLIZ GDC 16-20 3D		$4880
COIL EMBOLIZ GDC 18 2D BSCI		$2230
COIL EMBOLIZ GDC 18 360 BSCI		$7100
COIL EMBOLIZ GDC 18 3D BSCI		$6300
COIL EMBOLIZ GDC 18 BSCI		$2510
COIL EMBOLIZ GDC 18 FIBERED BSCI		$7000
COIL EMBOLIZ GDC 18 SOFT BSCI		$3600
COIL EMBOLIZ GDC 4-5 3D		$4440
COIL EMBOLIZ GDC TRACKER 10		$1660
COIL EMBOLIZ GDC TRACKER 18		$1660
COIL EMBOLIZ HELICAL 10 BLOCKADE		$4310
COIL EMBOLIZ LIQUID BERENSTEIN BSCI		$1300
COIL EMBOLIZ MICROPLEX 10 MICROVENT		$2840
COIL EMBOLIZ ORBIT HELICAL FILL CORDIS		$1990
COIL EMBOLIZ TARGET BSCI		$1100
COIL EMBOLIZ TRUFILL COMPLEX		$4100
COIL EMBOLIZ TRUFILL HELICAL		$1800
COIL EMBOLIZ TRUFILL PUSHABLE CORDIS		$1700
COIL EMBOLIZ VORTEX 18 BSCI		$1300
COIL EMBOLIZ VORTEX 35 BSCI		$180
COIL EMBOLIZ VORTEX DIAMOND BSCI		$310
COIL IMPLANT PERIPHERAL VASC POD PENUMBRA		$6320
COIL IMPLANT PERIPHERAL VASC POD PKG COIL PENU		$4300
COIL IMPLANT PERIPHERAL VASC RUBY		$5070
COIL OCCLUSIVE INTERLOCK BSCI		$1330
COIL PLATINUM 18 TARGET BSCI		$970
COIL SPHERICAL		$3270
COIL SPRING		$270
COIL TARGET 360 ULT		$7300
COLLAR ASPEN	L0174	$120
COLOSTOMY SUPPLY		$50
CONNECTING CABLE EP ABLAT FLEXIBILITY SENSOR ENABLED STJUDE		$1170
CONNECTING CABLE EPS CATH EXTENSION ST JUDE		$300
CONNECTIVE TISS HUMAN	C1762	$575.42 - 67599
CONNECTIVE TISS NONHUMAN	C1763	$61.61 - 108225
CONNECTOR FOR GROSHONG CATH		$300
CORNEAL TISSUE PROCESS PRESERV&TRNSPORT	V2785	$882.45 - 14518.8
COVER-AUTOMATC PULLBACK DEVICE		$120
CPB CANNULA ANGIOVAC ANGIODYNAMICS		$34500
CPB CIRCUIT ANGIOVAC ANGIODYNAMICS		$5000
CRUTCHES		$40
CSF CAMINO CATH		$1440
CSF CAMINO MONITOR		$620
CTLSO A-P-L CONTR MOLD+INTERFC	L0710	$3870
CTLSO ADDN-AXILLA SLING	L1010	$120
CTLSO ADDN-KYPHOSIS PAD	L1020	$250
CTLSO ADDN-LUMBAR/L-RIB PAD	L1040	$240
CTLSO ADDN-OUTRIGGER	L1080	$140
CTLSO ADDN-STERNAL PAD	L1050	$240
CTLSO ADDN-THORACIC PAD	L1060	$240
CTLSO ADDN-TRAPEZIUS SLING	L1070	$470
CTLSO ADDN-UPRIGHT COVER EACH	L1120	$200
CTLSO INITIAL+MODEL-MILWAUKEE	L1000	$4170
DCA MOTOR DRIVE-DISPOSABLE ACS		$330
DEBAKEY VAD VENT ASSIST DEVICE CHILD		$199810
DELIVERY DEVICE COIL DETACHMENT		$600
DEVIC HYPOTHERM ARCTICGEL S/M/L MEDIVAN		$2840
DEVIC HYPOTHERM ARCTICGEL UNIV MEDIVAN		$850
DEVICE MRI IMAGE ENHANCE COIL MEDRAD	C1879	$580
DEVICE ADHESION BARRIER IMPLANT	C1765	$304.32 - 39860.1
DEVICE CLOSURE VASC IMPLANT	C1760	$582.75 - 13653
DEVICE DETACHMENT CONTROLLER BARRICADE COIL BLOCKADE		$4170
DEVICE EMBO PIPELINE FLOW REDRCT <=20 MDTR COVD		$45930
DEVICE EMBO PIPELINE FLOW REDRCT >20 MDTR COVD		$50140
DEVICE EMBO PIPELINE FLOW REDRCT<=20 EV3		$41630
DEVICE EMBO PIPELINE FLOW REDRCT>20 EV3		$44630
DEVICE EMBOLC ANGIOGUARD CORDIS	C1884	$6800
DEVICE EMBOLC FILTERWIRE BSCI	C1884	$4900
DEVICE EMBOLC MVP COVIDIEN EV3	C1884	$6310
DEVICE EMBOLIC FLOW REVERSE GORE	C1884	$6270
DEVICE EMBOLIC LIQUID ONYX EV3	C1884	$6600
DEVICE EMBOLIC PROTECT AMPLATZER AGA	C1884	$3170
DEVICE EMBOLIC PROTECT GUARDWIRE MDTR	C1884	$4080
DEVICE EMBOLIC PROTECT PROXIS ST JUDE	C1884	$4650
DEVICE EMBOLIC PROTECT SPIDERX EV3	C1884	$4080
DEVICE ESSURE STERLIZATION CONCEPTUS	L8699	$5000
DEVICE FASTAC MYOCARDIAL LEAD TOOL STJU		$2700
DEVICE HEMOSTATIS FISH	C1760	$840
DEVICE IABP INTRAAORT BALLN PUMP ARROW		$2500
DEVICE INFLAT NEUROFLO COAXIA H030005		$650
DEVICE LARIAT SUTURE DELIVERY FOR TISS CLOSURE SNTR		$16490
DEVICE LIVER ABLATN ELECTRSURG		$5180
DEVICE LOCATOR PLUS STJUDE		$1050
DEVICE LOCKING LEAD REMOVE SPECTRANECTIC	C1773	$1800
DEVICE REMOV RECOVERYCONE SYST BARD		$1990
DEVICE RETRIEV GOOSENECK MICROSNARE EV3	C1773	$1920
DEVICE RETRIEV GOOSENECK SNARE EV3	C1773	$940
DEVICE RETRIEVAL BULLDOG COOK		$860
DEVICE RETRIEVAL CLOVERSNARE COOK	C1773	$2100
DEVICE RETRIEVAL COOK		$600
DEVICE RETRIEVAL EVOL RL CNTRL-ROTAT COOK	C1773	$5280
DEVICE RETRIEVAL FB EN-SNARE MDTECH		$1500
DEVICE RETRIEVAL FB PROVUE TREVO CMED STRYKER		$26600
DEVICE RETRIEVAL FB/CLOT MERCI CMED	C1773	$10990
DEVICE RETRIEVAL FB/CLOT MULTI-SNARE 30 BRAUN		$930
DEVICE RETRIEVAL FB/CLOT MULTI-SNARE BRAUN		$1100
DEVICE RETRIEVAL FB/CLOT MULTI-SNARE MICRO BRAUN		$1450
DEVICE RETRIEVAL FB/CLOT V MERCI CMED	C1773	$10330
DEVICE RETRIEVAL FOR FRACTURED MED DEVC	C1773	$382.95 - 7326
DEVICE RETRIEVAL IVC FILTER ALN	C1773	$1170
DEVICE RETRIEVAL IVC FILTER COOK	C1773	$900
DEVICE RETRIEVAL LIBERATOR BEACON TIP LOCKING STYLET COOK		$1800
DEVICE RETRIEVAL NEEDLES EYE COOK	C1773	$3610
DEVICE RETRIEVAL NITINOL		$1130
DEVICE RETRIEVAL ONE-TIE COMPRESSION COIL COOK		$670
DEVICE RETRIEVER-FB ATTRACTOR		$460
DEVICE SHEATH DILATOR LEAD/CATH/FB REMV TIGHTRAIL SPECTRONICS		$6320
DEVICE SOLITAIRE RETRIEVER CLOT SOC		$21730
DEVICE TENSURE TIGHTENER FOR LARIAT		$670
DEVICE THROMBECTOMY CLOTBUSTER		$3380
DEVICE THROMBECTOMY TEROTOLA		$1910
DEVICE THROMBECTOMY TEROTOLA ARROW	C1757	$1910
DEVICE THROMBECTOMY TREROTOLA ARROW	C1757	$3400
DEVICE TRANSVALV LEAD INSERTION TOOL PPI		$2700
DEVICE TRAVERSER TUNNELER LEAD TOOL PPI		$290
DEVICE VASCULAR CLOSURE VASCADE FEMORAL ARTERY CARDIVA	C1760	$3090
DEVICE WOUND CLOSURE DERMACLOSE RC		$4300
DIABETIC CUSTOM MOLDED SHOE	A5501	$640
DIABETIC INSERT DENS CUSTOM EA	A5500	$380
DIABETIC INSERT DENS PREFAB EA	A5500	$130
DIABETIC MULTI DEN INSERT MOLDED PREFAB	A5512	$90
DIABETIC SHOE MOD W/ ROLLER/RIGID BTM	A5503	$110
DILATOR RENAL AMPLATZ SET		$680
DILATOR RENAL AMPLATZ SGL		$130
DILATOR URETER STENT RETROGRAD	C1892	$170
DUOSTAT WIDEBORE Y-CONNECTOR		$100
EAR MOLD	V5264	$115
ECMO DEVICE CIRCUIT & CANNULA ANGIOVAC ANGIODYNAMICS		$43300
ECMO DEVICE CIRCUIT COMPLETE REPLACE		$6050
ECMO DEVICE CIRCUIT REPLACEMENT		$5200
EEG ELECTRODE NEEDLE DISPOSABL		$20
EEG ELECTRODE SUBDURAL 1X4		$1530
EEG ELECTRODE SUBDURAL 1X8		$1530
EEG ELECTRODE SUBDURAL 4X5		$1660
ELBOW DISART EXT POWER MYOELECTRONIC CONTROL	L6945	$29610
ELBOW DISART EXT POWER SWITCH CONTROL	L6940	$25480
ELBOW DISART MOLDED W EXPAND INTERFACE OUT LOCK HINGES	L6205	$12880
ELECTRIC HAND ADULT	L7007	$9980
ELECTRIC HOOK ADULT	L7009	$10180
ELECTRODE BIPOLAR PACING	C1756	$400
ELECTRODE EEG DEPTH		$180
ELECTRODE EEG GRID		$120
ELECTRODE EEG INTRAOPERATIVE MONITORING 1X4		$1450
ELECTRODE EEG INTRAOPERATIVE MONITORING 1X8		$2280
ELECTRODE EEG INTRAOPERATIVE MONITORING 2X8		$2500
ELECTRODE EEG INTRAOPERATIVE MONITORING 8X8		$4500
ELECTRODE EEG NEEDLE DISPOSABL		$20
ELECTRODE EEG SPHENOIDAL		$320
ELECTRODE EEG SUBDERMAL DISP		$20
ELECTRODE EEG SUBDURAL 1X4		$1530
ELECTRODE EEG SUBDURAL 1X8		$1530
ELECTRODE EEG SUBDURAL 4X5		$2160
ELECTRODE EEG SUBDURAL 4X5		$2960
ELECTRODE EPIDURAL SPINAL 3 CONTACT		$660
ELECTRODE PACING QUIKPACE		$140
ELECTRODE PATCH ENSITE ST JUDE		$5200
ELECTRODE REFERENCE PATCH-CARTO CATH		$1400
ELECTRONIC ELBOW HOSMER SWITCH CONTROL	L7170	$17010
ELECTRONIC ELBOW MICROPROCESSOR SEQ CONTROL	L7180	$105090
ELECTRONIC ELBOW MICROPROCESSOR SIMUL CONTROL	L7181	$114090
ELECTRONIC WRIST ROTATOR ANY TYPE	L7259	$11700
EMBO PARTICLES PVA COOK		$300
EMBO COIL BLOCKADE MEDICAL		$1990
EMBO LC BEAD TERUMO		$4500
EMBO QUADRASPHERE BIOSPHERE MED		$3900
EMBOLIZ EMBOSPHERE 1ML BIOSPHERE MED		$640
EMBOLIZ EMBOSPHERE 2ML BIOSPHERE MED		$700
EMBOLIZ MICROSPHERE 2ML EMBOZENE BSCI CELO		$580
EMBOLIZ MICROSPHERE 2ML ONCOZENE CELO		$5000
EMBOLIZ MICROSPHERE 3ML ONCOZENE CELO		$7490
EMBOLIZ SPHERES BEAD BLOCK TERUMO		$1000
EMBOLIZATION PROTECTIVE SYSTEM	C1884	$3796.2 - 20979
ENDO POLY HIP PNEUM/HYDRAULIC/ROTATE	L5961	$14720
ENDOLOGIX GRFT AAA AORTIC EXT 115	C1768	$11310
ENDOLOGIX GRFT AAA AORTIC EXT 120	C1768	$14970
ENDOLOGIX GRFT AAA AORTIC EXT INTUI100	C1768	$13640
ENDOLOGIX GRFT AAA AORTIC EXT INTUI95	C1768	$9980
ENDOLOGIX GRFT AAA INFRARENAL EXT 5.5	C1768	$7650
ENDOLOGIX GRFT AAA LIMB EXT 5.5	C1768	$7810
ENDOLOGIX GRFT AAA LIMB EXT 8.8	C1768	$9310
ENDOLOGIX GRFT AAA LIMB EXT TAPER/STEP	C1768	$11200
ENDOLOGIX GRFT AAA SUPRARENAL EXT 7.5	C1768	$8310
ENDOLOGIX GRFT AAA SUPRARENAL EXT 9.5	C1768	$9310
ENDOLOGIX GRFT AORTIC EXT A28 AFX	C1768	$16200
ENDOLOGIX GRFT MAIN BODY BA 25 AFX	C1768	$37600
ENDOLOGIX GRFT MAIN BODY BA 28 AFX	C1768	$37620
ENDOLOGIX GRFT XL AAA AORTIC EXT 100	C1768	$15000
ENDOLOGIX GRFT XL AAA AORTIC EXT RLE 100	C1768	$13980
ENDOLOGIX GRFT XL AAA INFRARENAL EXT 80	C1768	$12310
ENSEMBLE T-CATH DELIV SYST MDTR H080002		$21650
ENT PROPEL SINUS IMPLANT		$2800
ENTERRA NEURSTM GENERATOR MDTR H990014	C1767	$28140
ENTERRA NEURSTM LEAD MDTR H990014	C1778	$7330
EO ADJ JOINT PREFAB W CUSTOM FIT	L3760	$800
EO ADJ LOCK JOINT PREFAB OTS	L3761	$800
EO ARMBAND	A4467	$30
EO DBL UPRT EXT/FLX ASST CUST	L3730	$950
EO DBL UPRT+CUFF ADJ LOCK CUST	L3740	$950
EO DBL UPRT+CUFF FREE CUST	L3720	$2300
EO ELASTIC SUPPORT	A4467	$20
EO ELASTIC+METAL JOINTS PREFAB	L3710	$225
EO ELASTIC+STAYS	A4467	$100
EO ELASTIC+STAYS PREFAB+FIT		$140
EO RIGID WO JOINTS PREFAB+FIT	L3762	$200
EO WO JOINTS CUSTOM	L3702	$450
EPSDT SUPPLEMENTAL SERVICE-HEARING AID	Z5946	$1450 - 14800
EREC AID		$450
EWHFO RIGID WO JOINTS CUSTOM	L3765	$450
EWHO +NONTORSION JOINTS CUST	L3764	$800
EWHO RIGID WO JOINTS CUSTOM	L3763	$450
EXTREMITY BINDER NONELASTIC	A4465	$10
EYE RETINAL TAMPONADE DEVC SILICONE OIL	C1814	$1328.67 - 4384.61
FILTER CAROTID ACCUNET GUIDANT	C1880	$5170
FILTER EMBOSHIELD EXACT STUDY ABBOTT	C1880	$5650
FILTER EMBOSHIELD NAV6 ABBOTT	C1880	$6650
FILTER VENA CAVA ANTECUBITAL	C1880	$4010
FILTER VENA CAVA BIRDSNEST	C1880	$3900
FILTER VENA CAVA CELECT PLATINUM COOK	C1880	$4080
FILTER VENA CAVA ECLIPSE BARD / CRUX VOLCANO	C1880	$4330
FILTER VENA CAVA FEMORAL OTW BSCI	C1880	$3620
FILTER VENA CAVA G2 BARD	C1880	$3750
FILTER VENA CAVA GREENFIELD	C1880	$3850
FILTER VENA CAVA JUGULAR OTW BSCI	C1880	$3550
FILTER VENA CAVA OPTEASE CORDIS	C1880	$5300
FILTER VENA CAVA OPTION ANGIOTECH	C1880	$3400
FILTER VENA CAVA OPTIONAL ALN	C1880	$2830
FILTER VENA CAVA SIMON NITINOL BARD	C1880	$3750
FILTER VENA CAVA TRAPEASE CORDIS	C1880	$3650
FILTER VENA CAVA TULIP FEMORAL COOK	C1880	$3000
FILTER VENA CAVA TULIP JUGULAR COOK	C1880	$3000
FILTER VENA CAVA VENA TECH CNVTBL BRMD	C1880	$3730
FILTER VENA CAVA VENATECH MDIT	C1880	$4200
FINGER COT DJ ORTHO		$5
FINGER ORTHOSIS PROX INTERPHA WO JOINT	L3927	$14
FINGER SPLINT BASEBAL DJ ORTHO		$10
FINGER SPLINT FROG DJ ORTHO		$6
FINGER SPLINT MCP DJ ORTHO		$3
FINGER SPLINT PLASTALUME DJ ORTHO		$7
FINGER SPLINT STAXX DJ ORTHO		$10
FO NONTORSION JT PREFAB+FIT	L3925	$90
FO NONTSORSION JOINT CUSTOM	L3935	$350
FO WO JOINTS CUSTOM	L3933	$250
FOOT ABDCTN ROTATION BAR+SHOES	L3140	$250
FOOT ADJ SHOE POSITIONING DEVICE	L3160	$270
FX ORTH ADD-ADJ MOTION KNEE JT	L2186	$230
FX ORTH ADD-DROP LOCK KNEE JNT	L2182	$180
FX ORTH ADD-HIP/PELV/THGH BELT	L2192	$700
FX ORTH ADD-LE QUADRILAT BRIM	L2188	$310
FX ORTH ADD-LIMIT MOTION KNEE	L2184	$230
FX ORTH ADD-SHOE INSRT+ANKL JT	L2180	$210
FX ORTH-COLLES CUSTOM	L3763	$1540
FX ORTH-FOREARM+WRST HING CUST	L3764	$1330
FX ORTH-HUMERAL PREFAB+FIT	L3980	$880
FX ORTH-RADIUS/ULNA PREFAB+FIT	L3982	$1170
FX ORTH-WRIST PREFAB+FIT	L3984	$620
FX ORTHADD-UE SOCK FX/EQUAL EA	L3995	$50
GASTRIC BUTTON		$50
GEN ORTH ADD-AK SOFT INTERFACE	L2830	$340
GEN ORTH ADD-ANY MATERIAL/BAR		$170
GEN ORTH ADD-BAR DISCONNECT EA	L2768	$180
GEN ORTH ADD-BK SOFT INTERFACE	L2820	$390
GEN ORTH ADD-DROPLOC RETAIN EA	L2785	$60
GEN ORTH ADD-EXTENSION/BAR	L2760	$240
GEN ORTH ADD-FEMOR LENGTH SOCK	L2850	$90
GEN ORTH ADD-KNECAP FULL CONTR	L2795	$130
GEN ORTH ADD-KNECAP M-LAT PULL	L2800	$240
GEN ORTH ADD-KNEE CONDYLAR PAD	L2810	$320
GEN ORTH ADD-NONCORROSV FINISH	L2780	$280
GEN ORTH ADD-TIBIA LENGTH SOCK	L2840	$60
GLIDEWIRE ANGLED	C1769	$730
GLIDEWIRE ANGLED STIFF	C1769	$870
GLIDEWIRE SMALL VESSEL GOLD	C1769	$960
GRAFT AAA ANEURX AORTA CUFF MDTR	C1768	$53700
GRAFT AAA ENDURANT BIFURCATED ETBF MDTR	C1768	$31560
GRAFT AAA ENDURANT AORTIC EXT ETCF MDTR	C1768	$13850
GRAFT AAA ENDURANT AORTIC EXT ETTF MDTR	C1768	$23940
GRAFT AAA ENDURANT CONT LMB<124 ETLW MDTR	C1768	$15370
GRAFT AAA ENDURANT CONT LMB>150 ETLW MDTR	C1768	$21470
GRAFT AAA ENDURANT ILIAC EXT ETEW MDTR	C1768	$15220
GRAFT AAA ENDURANTII AORTIC EXT ETTF MDTR	C1768	$24500
GRAFT AAA EXT INFRARENAL 34X34	C1768	$12310
GRAFT AAA TALENT THORACIC STENT ABDOMINAL AORTIC	C1768	$12510
GRAFT ARTEGRAFT COLLAGEN VASCULAR GRAFT	C1768	$3500
GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 4X7	C1763	$1990
GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 7X10	C1763	$3250
GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 7X15	C1763	$4320
GRAFT DURA 7X10 CM BIODESIGN COOK	C1763	$2130
GRAFT DURA 7X20 CM BIODESIGN COOK	C1763	$2696
GRAFT DURA 7X4 CM BIODESIGN COOK	C1763	$1400
GRAFT ENDOPROSTHESIS AAA EXCLUDER CONTL LEG GORE	C1768	$13920
GRAFT ENDOPROSTHESIS AAA EXCLUDER EXT GORE	C1768	$9800
GRAFT ENDOPROSTHESIS AAA EXCLUDER EXT GORE	C1768	$35800
GRAFT EXCLUDER AAA ENDOPROSTHESIS EXTENSION	C1768	$9800
GRAFT EXCLUDER AAA ENDOPROSTHESIS GRAFT TRUNK	C1768	$33290
GRAFT EXCLUDER AAA ENDOPROSTHESIS LEG	C1768	$13920
GRAFT HEMASHIELD KNITTED DOUBLE VELOUR FABRIC CAROTID PATCH	C1763	$500
GRAFT HEMASHIELD PLATINUM ANGLED FOUR BRANCH GRAFT	C1763	$5500
GRAFT IMA SLEEVE 17MMXX15CM	C1768	$4390
GRAFT INTERING 6MM 5X45CM	C1768	$2310
GRAFT INTERING STR 4-6MMX45CM	C1768	$1930
GRAFT INTERING STR 4-7MMX45CM	C1768	$1930
GRAFT INTERING STR 6MM 10X20CM	C1768	$1240
GRAFT INTERING STR 6MM 5X20CM	C1768	$1040
GRAFT INTERING STR 6MM 5X45CM	C1768	$2310
GRAFT INTERING STR 6MMX40CM	C1768	$1730
GRAFT INTERING STR T6MM 40CM	C1768	$2460
GRAFT INTERING STR T6MM 60CM	C1768	$4020
GRAFT INTERING STR T6MM 80CM	C1768	$4590
GRAFT INTERING STR T7MM 40CM	C1768	$2460
GRAFT INTERING STR T7MM 60CM	C1768	$4020
GRAFT INTERING STR T7MM 80CM	C1768	$4590
GRAFT INTERING STR T8MM 40CM	C1768	$2460
GRAFT INTERING STR T8MM 60CM	C1768	$4020
GRAFT INTERING STR T8MM 80CM	C1768	$4590
GRAFT MICRO THIN ORBITAL SPHERE	C1763	$3880
GRAFT PATCH CV 10CMX15CMX0.6MM GORE	C1768	$3760
GRAFT PATCH CV 5.0CM X 7.5CM X0.6MM GORE	C1768	$940
GRAFT PATCH DURA 2CMX10CMX.3MM GORE	C1781	$1450
GRAFT PATCH PERICARDIAL BOVINE	C1763	$700
GRAFT PATCH SFT TISU GRTEX 20X30X1CM GORE	C1763	$4200
GRAFT PERICARD PRECLUDE 15X20 GORE	C1781	$3500
GRAFT PROPATEN VASCULAR STANDARD 10CM	C1768	$950
GRAFT PROPATEN VASCULAR STANDARD 40CM	C1768	$4900
GRAFT PROPATEN VASCULAR STANDARD 45CM	C1768	$4100
GRAFT PROPATEN VASCULAR STANDARD 50CM	C1768	$5600
GRAFT PROPATEN VASCULAR STANDARD 70CM	C1768	$8300
GRAFT PROPATEN VASCULAR STANDARD 80CM	C1768	$9200
GRAFT PTFE RING STD 8MMX30CM	C1768	$2140
GRAFT PTFE RING STD 10MMX20CM	C1768	$2490
GRAFT PTFE RING STD 12MMX20CM	C1768	$3420
GRAFT PTFE RING STD 14MMX30CM	C1768	$3420
GRAFT PTFE RING STD 16MMX30CM	C1768	$3420
GRAFT PTFE RING STD 20MMX20CM	C1768	$2540
GRAFT PTFE RING STD 6MMX20CM	C1768	$3420
GRAFT PTFE STD 10MMX80CM GORE	C1768	$2320
GRAFT PTFE STD 4-6MMX30CM GORE	C1768	$1100
GRAFT PTFE STD 4-6MMX40CM GORE	C1768	$1450
GRAFT PTFE STD 4-6MMX50CM GORE	C1768	$1790
GRAFT PTFE STD 4-6MMX50CM GORE	C1768	$1450
GRAFT PTFE STD 4.5-6.5MMX40CM	C1768	$1450
GRAFT PTFE STD 4MMX40CM GORE	C1768	$1250
GRAFT PTFE STD 5MMX10CM GORE	C1768	$420
GRAFT PTFE STD 5MMX30CM GORE	C1768	$1100
GRAFT PTFE STD 6MMX10CM GORE	C1768	$420
GRAFT PTFE STD 6MMX20CM GORE	C1768	$670
GRAFT PTFE STD 6MMX30CM GORE	C1768	$1100
GRAFT PTFE STD 6MMX30CM GORE	C1768	$1100
GRAFT PTFE STD 6MMX40CM GORE	C1768	$1250
GRAFT PTFE STD 6MMX40CM GORE	C1768	$1250
GRAFT PTFE STD 6MMX70CM GORE	C1768	$2030
GRAFT PTFE STD 6MMX80CM GORE	C1768	$2320
GRAFT PTFE STRCH SILK 4MMX10CM GORE	C1768	$1180
GRAFT PTFE STRCH STD 12MMX40CM	C1768	$2700
GRAFT PTFE STRCH STD 14MMX40CM	C1768	$2700
GRAFT PTFE STRCH STD 16MMX30CM	C1768	$1830
GRAFT PTFE STRCH STD 16MMX40CM	C1768	$2700
GRAFT PTFE STRCH STD 18MMX20CM	C1768	$1280
GRAFT PTFE STRCH STD 18MMX30CM	C1768	$1830
GRAFT PTFE STRCH STD 20MMX40CM	C1768	$2700
GRAFT PTFE STRCH STD 22MMX20CM GORE	C1768	$1280
GRAFT PTFE STRCH STD 24MMX20CM	C1768	$1280
GRAFT PTFE STRCH STD 24MMX20CM GORE	C1768	$2700
GRAFT PTFE STRCH STD 3.5MM X 10CM	C1768	$1180
GRAFT PTFE STRCH STD 4MMX10CM GORE	C1768	$1630
GRAFT PTFE STRCH STD 6MMX40CM	C1768	$2700
GRAFT PTFE STRCH STD 7MMX45CM	C1768	$1960
GRAFT PTFE STRCH TW 2.0MMX20CM GORE	C1768	$1880
GRAFT PTFE STRCH TW 3.5MMX.5CM	C1768	$930
GRAFT PTFE STRCH TW 6.0MMX50CM	C1768	$2270
GRAFT PTFE STRCH TW 6.0MMX70CM	C1768	$2980
GRAFT PTFE STRCH TW 6.0MMX80CM	C1768	$3340
GRAFT PTFE TQ 3MMX20CM SILK	C1768	$1480
GRAFT PTFE TW 6MMX10CM GORE	C1768	$460
GRAFT PTFE TW 6MMX10CM GORE	C1768	$460
GRAFT PTFE TW 8MMX40CM GORE	C1768	$1450
GRAFT PTFE TW 10MMX30CM GORE	C1768	$1720
GRAFT PTFE TW 10MMX70CMX80CM GORE	C1768	$2181.15
GRAFT PTFE TW 3.5MM X 5CM GORE	C1768	$740
GRAFT PTFE TW 3.5MM X 5CM GORE	C1768	$740
GRAFT PTFE TW 3.5MMX10CM GORE	C1768	$940
GRAFT PTFE TW 3.5MMX15CM GORE	C1768	$1400
GRAFT PTFE TW 4MMX10CM GORE	C1768	$940
GRAFT PTFE TW 5MMX10CM SILK	C1768	$940
GRAFT PTFE TW 5MMX30CM GORE	C1768	$1290
GRAFT PTFE TW 6MM X 30CM GORE	C1768	$1290
GRAFT PTFE TW 6MM X 40CM GORE	C1768	$1450
GRAFT PTFE TW 6MM X 70CM GORE	C1768	$2380
GRAFT PTFE TW 6MMX20CM GORE	C1768	$810
GRAFT PTFE TW 6MMX80CM GORE	C1768	$2700
GRAFT PTFE TW 8MMX10CM GORE	C1768	$460
GRAFT RING STD 12MMX 30CMX30CM	C1768	$3420
GRAFT RING STD 14MMX 30CMX30CM	C1768	$3420
GRAFT RING STD 16MMX 20CMX20CM	C1768	$2540
GRAFT RING STD 16MMX 30CMX30CM	C1768	$3420
GRAFT RING STD 20MMX 20CMX20CM	C1768	$2540
GRAFT RING STD 20MMX 30CMX30CM	C1768	$3420
GRAFT RING STD 6MMX 5CM X 45CM	C1768	$2370
GRAFT RING STD 6MMX 7CM X 50CM	C1768	$2820
GRAFT RING STD 6MMX30CMX70CM	C1768	$3990
GRAFT RING STD 6MMX50CMX70CM	C1768	$3990
GRAFT RING STD 8MMX 5CMX45CM	C1768	$2370
GRAFT RING STD 8MMX20CMX50CM	C1768	$2820
GRAFT RING STD 8MMX50CMX80CM	C1768	$4350
GRAFT RING TW 4MMX5CMX15CM	C1768	$2300
GRAFT RING TW 5MMX2.5CMX10CM	C1768	$1400
GRAFT RING TW 5MMX5CMX15CM	C1768	$1511.82
GRAFT RING TW 6MMX40CMX50CM	C1768	$2181.15
GRAFT RING TW 6MMX50CMX70CM	C1768	$4390
GRAFT RING TW 6MMX80CMX100CM	C1768	$5340
GRAFT RING TW 8MMX100CMX100CM	C1768	$5340
GRAFT SOFT TISSUE 10X15CMX1MM GORE	C1763	$1590
GRAFT SOFT TISSUE 15X20CMX1MM	C1763	$3220
GRAFT SOFT TISSUE 20X30CMX1MM	C1763	$5950
GRAFT SOFT TISSUE 20X30CMX2MM	C1763	$9460
GRAFT SOFT TISSUE 2MM 15X20 CM GORE	C1763	$1590
GRAFT SOFT TISSUE 5X10CMX1MM GORE	C1763	$660
GRAFT STENT ENDOPROSTHESIS AAA AORTIC EXT GORE	C1768	$9800
GRAFT STENT ENDOPROSTHESIS AAA TRUNK / LEG GORE	C1768	$33290
GRAFT STENT ENDOPROSTHESIS ABDOMINAL CONTRALATERAL	C1768	$15740
GRAFT STENT ENDOPROSTHESIS ABDOMINAL EXTENSION	C1768	$14800
GRAFT STENT ENDOPROSTHESIS BIFURCATED ABDOMINAL	C1768	$31560
GRAFT TAA TAG ENDOPROSTHESIS GORE	C1768	$38300
GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL CONTRALATERAL	C1768	$13520
GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL DISTAL	C1768	$40850
GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL PROXIMAL	C1768	$45705
GRAFT VASC 8MM X 40CM GORE	C1768	$6100
GRAFT VASC ACUSEAL GORE	C1768	$4263
GRAFT VASC DIASTAT 6MM X 25CM	C1768	$4390
GRAFT VASC DIASTAT 6MM X 30CM	C1768	$4390
GRAFT VASC DIASTAT 6MM X 40CM	C1768	$4390
GRAFT VASC DIASTAT 6MM X 45CM	C1768	$4390
GRAFT VASC VALIANT CAPTIVA SYST MDTR	C1768	$116560
GRAFT VASC VALIANT DB CW 100 MDTR	C1768	$51400
GRAFT VASC VALIANT DB CW150/200 MDTR	C1768	$56140
GRAFT VASC VALIANT ENDURANT 4 SYST MDTR	C1768	$66610
GRAFT VASC VALIANT ENDURANT 5+ SYST MDTR	C1768	$83260
GRAFT VASC VALIANT FREEFLO 100 MDTR	C1768	$53770
GRAFT VASC VALIANT FREEFLO 150 MDTR	C1768	$58520
GRAFT VASC VALIANT FREEFLO 200 MDTR	C1768	$61680
GRAFT VASCULAR IMPLANT	C1768	$385.05 - 119880
GRAFT VASCUTEK GELWEAVE BRANCHED GRAFT	C1768	$3340
GRFT AAA ILIAC OVATION IX EXT LIMB ENGX	C1768	$13320
GRFT AAA TALENT AORTIC EXT MDTR	C1768	$13520
GRFT AAA TALENT CAPTIVA MDTR	C1768	$53700
GRFT ENDPRSTH VALV CONTEGRA MDTR H020003	C1768	$13330
GRFT HEMASHIELD DBLVELKNT HKDV	C1768	$360
GRFT HEMASHIELD FINESSE BSCI	C1768	$500
GRFT HEMASHIELD GOLD BIFURCATE	C1768	$2600
GRFT HEMASHIELD GOLD STRT 15CM	C1768	$1400
GRFT HEMASHIELD GOLD STRT 30CM	C1768	$2070
GRFT HEMASHIELD GOLD STRT 40CM	C1768	$1580
GRFT HEMASHIELD GOLD STRT 60CM	C1768	$1660
GRFT HEMASHIELD PLATINUM 30CM	C1768	$2100
GRFT HEMASHIELD PLATINUM 40CM	C1768	$2170
GRFT HEMASHIELD PLATINUM 60CM	C1768	$2800
GRFT HEMASHIELD PLATINUM BIFUR	C1768	$2670
GRFT STENT AAA AFX2 BIFURCATED ENGX	C1768	$39960
GRFT TAA CTAG CONFORM TGU GORE	C1768	$49120
GRFT VALVE AORTIC MITROFLOW SORIN	C1768	$19970
GRIFKA VASC OCCLUS DEVICE COIL SYST COOK	C1760	$3160
GUIDE FEMORAL BIOPSY		$470
GUIDEWIRE	C1769	$9.99 - 7908.75
GUIDEWIRE	C1769	$370
GUIDEWIRE .014X300 FATHOM-14	C1769	$275
GUIDEWIRE .017 VIPERWIRE	C1769	$275
GUIDEWIRE AGILITY10 CORDIS	C1769	$890
GUIDEWIRE AGILITY14 CORDIS	C1769	$790
GUIDEWIRE AMPLATZ COOK	C1769	$200
GUIDEWIRE AMPLATZ SUPERSTIFF BOSTON SCI	C1769	$400
GUIDEWIRE AMPLATZ SUPERSTIFF EX BSCI	C1769	$100
GUIDEWIRE AMPLATZ SUPRSTF 180 BOSTON SCI	C1769	$120
GUIDEWIRE AMPLATZ SUPRSTF 260 BOSTON SCI	C1769	$130
GUIDEWIRE AMPLATZ SUPRSTF 75 BOSTON SCI	C1769	$580
GUIDEWIRE AMPLATZ ULTRA STIFF	C1769	$100
GUIDEWIRE AMPLTZ SUPRSTF 260 BOSTON SCI	C1769	$600
GUIDEWIRE ANGIO	C1769	$60
GUIDEWIRE ANGIODYNAMICS	C1769	$500
GUIDEWIRE ARGON	C1769	$100
GUIDEWIRE ASAHI ABBOTT	C1769	$600
GUIDEWIRE ATTAIN MDTR	C1769	$670
GUIDEWIRE AVE MEDITECH	C1769	$70
GUIDEWIRE AVIGO EV3	C1769	$1320
GUIDEWIRE BAREWIRE EXACT ABBOT	C1769	$500
GUIDEWIRE BENTSON CEREBRAL	C1769	$1200
GUIDEWIRE BENTSON COOK	C1769	$70
GUIDEWIRE BENTSON COOK	C1769	$100
GUIDEWIRE BENTSON EXCHANGE COOK	C1769	$70
GUIDEWIRE BENTSON TSFB .035 145	C1769	$60
GUIDEWIRE CARDIOMEMS TRITON .018X260CM ABBOT MED	C1769	$630
GUIDEWIRE CHOICE 300 PT J	C1769	$490
GUIDEWIRE CHOICE FLOPPY BOSTON SCI	C1769	$300
GUIDEWIRE CHOICE PT	C1769	$1400
GUIDEWIRE CHOICE PT BOSTON SCI	C1769	$330
GUIDEWIRE COOK CORDIS	C1769	$70
GUIDEWIRE COONS COPE COOK	C1769	$200
GUIDEWIRE CPS COURIER STJUDE	C1769	$300
GUIDEWIRE CRAGG	C1769	$480
GUIDEWIRE CRAGG FX BOSTON SCI	C1769	$670
GUIDEWIRE CROSSWIRE TERUMO BSCI	C1769	$290
GUIDEWIRE CURVE	C1769	$50
GUIDEWIRE CURVED COOK	C1769	$200
GUIDEWIRE DASHER	C1769	$660
GUIDEWIRE DATASCOPE	C1769	$140
GUIDEWIRE DBL FLX	C1769	$100
GUIDEWIRE DEFLECTING TIP .038	C1769	$190
GUIDEWIRE DOC EXCHG .014 .018	C1769	$200
GUIDEWIRE EMERALD CORDIS	C1769	$100
GUIDEWIRE ENTEER EV3V3	C1769	$840
GUIDEWIRE ENTEER REENTRY EV3 COVIDIEN	C1769	$840
GUIDEWIRE EXTENSION ACS ABBOTT	C1769	$260
GUIDEWIRE EXTENSION STRETCH BSCI	C1769	$380
GUIDEWIRE FASDASHER14 BOSTON SCI	C1769	$1200
GUIDEWIRE FILTER	C1769	$4420
GUIDEWIRE FINDRWIRZ SENTRE HEART SNTR	C1769	$3670
GUIDEWIRE FINISHING EASYTRAK	C1769	$470
GUIDEWIRE FIXED CORE COOK	C1769	$100
GUIDEWIRE FLEXIBLE	C1769	$1340
GUIDEWIRE FLEXIBLE DBL TIPPED COOK	C1769	$500
GUIDEWIRE FLOPPY STJUDE	C1769	$230
GUIDEWIRE FOUNTAIN MERIT MEDICAL	C1769	$170
GUIDEWIRE GLIDE ANGLE TERUMO	C1769	$100
GUIDEWIRE GLIDE SHAPEABLE TIP	C1769	$190
GUIDEWIRE GLIDEWIRE .020 BSCI	C1769	$690
GUIDEWIRE GLIDEWIRE 260 MCRV BSCI	C1769	$700
GUIDEWIRE GLIDEWIRE 450 MCRV BSCI	C1769	$800
GUIDEWIRE GLIDEWIRE ADVANTAGE TERUMO	C1769	$600
GUIDEWIRE GLIDEWIRE GOLD TERUMO	C1769	$500
GUIDEWIRE GLIDEWIRE LONG TAPER TERUMO	C1769	$110
GUIDEWIRE GLIDEWIRE SHAPEABLE TERUMO	C1769	$170
GUIDEWIRE GLIDEWIRE STANDARD BSCI TERUMO	C1769	$600
GUIDEWIRE GLIDEWIRE STIFFSHAFT BSCI TERU	C1769	$600
GUIDEWIRE GLIDEWIRE ZIPWIRE BSCI MEDITCH	C1769	$800
GUIDEWIRE GRADUATED COOK	C1769	$300
GUIDEWIRE GUIDANT ABBOTT	C1769	$250
GUIDEWIRE GUIDERIGHT ST JUDE	C1769	$100
GUIDEWIRE GUIDEZILLA 2 EXT BOSTON SCI	C1769	$1420
GUIDEWIRE HI-TORQUE VERSACORE ABBOTT	C1769	$500
GUIDEWIRE HIWIRE COOK	C1769	$600
GUIDEWIRE HT FLOPPY STJUDE	C1769	$320
GUIDEWIRE INFUSION PROSTREAM EV3	C1769	$620
GUIDEWIRE INSTINCT CORDIS	C1769	$900
GUIDEWIRE INTRDUCR ENDOLOGIX	C1769	$590
GUIDEWIRE IRON MAN GUIDANT	C1769	$690
GUIDEWIRE J .025X150CM	C1769	$80
GUIDEWIRE J BSCI	C1769	$300
GUIDEWIRE J LONG	C1769	$110
GUIDEWIRE J SHORT COOK	C1769	$60
GUIDEWIRE J STIFF LONG	C1769	$910
GUIDEWIRE J STIFF SHORT	C1769	$110
GUIDEWIRE JINDO CORDIS J&J	C1769	$500
GUIDEWIRE KATZEN INFUSION BOSTON SCI	C1769	$630
GUIDEWIRE LUBRICATED	C1769	$200
GUIDEWIRE LUNDERQUIST EXTRA STIFF COOK	C1769	$1900
GUIDEWIRE LUNDERQUIST RING TORQUE COOK	C1769	$250
GUIDEWIRE MACNAMARA	C1769	$520
GUIDEWIRE MALLENCKRODT GUIDANT ABBOTT	C1769	$500
GUIDEWIRE MCNAMARA RENAL EXCHANGE COOK	C1769	$400
GUIDEWIRE METRO COOK	C1769	$600
GUIDEWIRE MIRAGE EV3	C1769	$1090
GUIDEWIRE MIZZEN BOSTON SCI	C1769	$670
GUIDEWIRE NITNOL ENDOVASC EV3	C1769	$1100
GUIDEWIRE PED PEDIAVASCULUAR	C1769	$670
GUIDEWIRE PLATINUM PLUS BSCI	C1769	$1500
GUIDEWIRE PRESSURE MONITOR COMET BSCI	C1769	$2230
GUIDEWIRE PRESSURE RADI ST JUDE	C1769	$2250
GUIDEWIRE PRIMEWIRE PRESTIGE VOLCANO	C1769	$2200
GUIDEWIRE PROST ENDOVASC EV3	C1769	$620
GUIDEWIRE PTCA ASAHI GAIA SION CONFIANZA MIRACLE FIELDER ABBOTT	C1769	$900
GUIDEWIRE PTFE FIXED STRAIGHT HVY DUTY COOK	C1769	$30
GUIDEWIRE PTFE FIXED-CORE HVY DUTY SAFE-T-J COOK	C1769	$150
GUIDEWIRE QUICKSILVER	C1769	$630
GUIDEWIRE REUTER DEFLECTING TIP COOK	C1769	$300
GUIDEWIRE ROADRUNNER EXTRA SUPPORT COOK	C1769	$400
GUIDEWIRE ROADRUNNER PC COOK	C1769	$500
GUIDEWIRE ROSEN COOK	C1769	$70
GUIDEWIRE ROTABLATOR ROTAWIRE	C1769	$1100
GUIDEWIRE RUNTHROUGH TERU	C1769	$400
GUIDEWIRE SAFARI CORONARY BOSTON SCI	C1769	$1000
GUIDEWIRE SAFE-T-J CURVED COOK	C1769	$100
GUIDEWIRE SCIMED	C1769	$610
GUIDEWIRE SEEKER 14	C1769	$650
GUIDEWIRE SENTAI HORNET BSCI	C1769	$430
GUIDEWIRE SHINOBI CORDIS J&J	C1769	$370
GUIDEWIRE SMALL VESSEL GOLD	C1769	$740
GUIDEWIRE SORCERER ADVANCED TECH	C1769	$1170
GUIDEWIRE SPARTACORE	C1769	$390
GUIDEWIRE SPRING WIRE ARROW	C1769	$800
GUIDEWIRE SS	C1769	$370
GUIDEWIRE STIFF SHORT	C1769	$110
GUIDEWIRE STINGRAY BSCI	C1769	$1100
GUIDEWIRE STINGRAY EXTENSION BSCI	C1769	$270
GUIDEWIRE STRAIGHT .038X150CM	C1769	$40
GUIDEWIRE STRAIGHT .038X260CM	C1769	$40
GUIDEWIRE STRAIGHT XTRA FIRM .035 260	C1769	$80
GUIDEWIRE SUPER CORE GUIDANT	C1769	$390
GUIDEWIRE SV STRAIGHT GLIDE BOSTON SCI	C1769	$230
GUIDEWIRE SYNCHRO BOSTON SCI	C1769	$1800
GUIDEWIRE SYNCHRO EXCHANGE	C1769	$1420
GUIDEWIRE TAPER 22	C1769	$600
GUIDEWIRE TARGET	C1769	$370
GUIDEWIRE TEFLON	C1769	$50
GUIDEWIRE TERUMO EXCHANGE	C1769	$100
GUIDEWIRE TERUMO STIF STRAIGHT	C1769	$140
GUIDEWIRE THRUWAY BOSTON SCI	C1769	$340
GUIDEWIRE THSCF .035 260	C1769	$110
GUIDEWIRE TIP DEFLECTING	C1769	$230
GUIDEWIRE TORAY	C1769	$500
GUIDEWIRE TRACKWIRE IT	C1769	$380
GUIDEWIRE TRANSEND EX BOSTON SCI	C1769	$1600
GUIDEWIRE TRANSEND ICE BSCI STRY	C1769	$1900
GUIDEWIRE TRANSSEPTAL ACCESS GW BAYM	C1769	$430
GUIDEWIRE TRAVERSE .014X300	C1769	$310
GUIDEWIRE TRIPLE J TIP	C1769	$110
GUIDEWIRE TRUPUSH COIL EMBO		$1600
GUIDEWIRE V18 CONTROL BOSTON SCI	C1769	$400
GUIDEWIRE VIPERWIRE CSI	C1769	$570
GUIDEWIRE VIPERWIRE SCI FOR DB360 COAS	C1769	$650
GUIDEWIRE VISIONWIRE BIOTRONIK	C1769	$440
GUIDEWIRE WHOLEY EXCHANGE	C1769	$400
GUIDEWIRE WHOLEY HI TORQUE.035	C1769	$330
GUIDEWIRE WHOLEY MOD J.035X150	C1769	$170
GUIDEWIRE XCELERATOR EV3	C1769	$970
GUIDEWIRE XPEDION SILVERSPEED EV3	C1769	$670
HALLUX IMPLANT	L8642	$3646.35 - 3646.35
HALO ADD-REPLAC LINER/INTERFAC	L0861	$400
HAND FINGER ORTHOSIS WO JOINTS	L3924	$185
HDE STENT JOSTENT GRAFTMASTER + DELV H000001	C1874	$7980
HDE STENT JOSTENT GRAFTMASTER WO DELV H000001	C1876	$7980
HEARING AID DIGIT BI BTE	V5298	$3200 - 3200
HEARING AID NOS	V5298	$0 - 8805
HEARING AID SUPPLIES / ACCESSORIES	V5267	$Mar-00
HEARTMATE ELECTRIC BATTRY CLIP SET		$600
HEARTMATE ELECTRIC POCKT PAC/BATRY		$2840
HEARTMATE ELECTRIC VENT ASSIST DEVIC VAD		$238110
HEARTMATE II BATTERY CONTROLLER		$300
HEARTMATE II VENT ASSIST DEVICE VAD		$291460
HEEL CUP PLASTIC REINFORCED	L3430	$32
HEEL CUP STABILIZ PR DJ ORTHO	L3170	$60
HEEL PAD REMOVABLE HEELBO	L3485	$20
HEEL PAD REMOVABLE TULI CUP	L3485	$40
HEMOPERFUSION CLARK CARTRIDGE		$2150
HEMOSTATIC FEMOSTOP IMPRA BARD STJUDE	C1763	$1400
HEMOSTATIC SEALANT	C1763	$700
HEMOSTATIC SEALANT FLOWABLE	C1763	$2800
HFO +NONTORSION JOINTS CUSTOM	L3921	$280
HFO GLOV FLEX+FINGER PREFB+FIT	L3912	$190
HFO WO JOINTS CUSTOM	L3913	$280
HFO WO JOINTS DJ ORTHO	L3923	$20
HFO WO JOINTS PREFAB+FIT	L3923	$170
HFO WO JOINTS UNIV DJ ORTHO	L3923	$40
HFO1+NONTORSION JTS PREFAB+FIT	L3929	$160
HIP STEM ACCOLATE II STRYKER	C1776	$24550
HIP TILT TBL LOCKING SGL AXIS SACH FOOT	L5270	$19890
HKAFO TORS CONT BILAT ROT STRAPS PELV BND/BELT CUST	L2040	$480
HKAFO TORS CONT BILAT TORS CBLS BLL BR HIP JT PELV BND/BELT CUST	L2060	$2110
HKAFO TORS CONT BILAT TORS CBLS HIP JT PELV BND/BELT CUST	L2050	$1730
HKAFO TORS CONT UNILAT ROT STRAPS PELV BND/BELT CUST	L2070	$400
HKAFO TORS CONT UNILAT TORS CBLE BLL BR HIP JT PELV BND/BELT CUST	L2090	$1590
HKAFO TORS CONT UNILAT TORS CBLE HIP JT PELV BND/BELT CUST	L2080	$1310
HO ABDC CONTR- P-OP PREFAB+FIT	L1686	$2530
HO ABDUC CONTR-ILFLED ADJ+FIT	L1650	$620
HO ABDUC CONTR-PAVLKHARNES+FIT	L1620	$500
HO ABDUC CONTR-PLAST ADJ+FIT	L1660	$400
HO ABDUC CONTR-POSTOP HIP CUST	L1685	$2340
HVY DUTY LOW LIMB PROS VACUUM PUMP	L5782	$11880
IABP CATH FIDELITY DATASCOPE		$2690
IABP CATH MEGA DATASCOPE		$3050
IABP CATH SENSATION DATASCOPE		$3270
IABP INTRAAORTIC BALLN PUMP ASSISTDEVICE		$2500
ICD CONCERTO OTH SGL/DUAL MDTR	C1882	$84920
ICD CRT-D INOGEN OTH THAN SGL/DUAL CHAMBER BSCI	C1882	$73270
ICD CRT-D ITREVIA 7 HF-T BIOTRONIK	C1882	$73260
ICD DUAL ATLAS+ / II DR STJU	C1721	$68270
ICD DUAL CHAMBER IMPLANT	C1721	$45321.3 - 58941
ICD DUAL CONFIENT RF HE BSCI	C1721	$67440
ICD DUAL CURRENT RF DR STJU	C1721	$81590
ICD DUAL CURRENT+ DR STJU	C1721	$75130
ICD DUAL CURRENT+ RF / FORTIFY RF DR STJU	C1721	$75130
ICD DUAL ENTRUST MDTR	C1721	$79930
ICD DUAL EPIC / II /+ DR STJU	C1721	$66610
ICD DUAL EVERA MRI XT DR SURESCAN MDTR	C1721	$62770
ICD DUAL EVERA S XT MDTR	C1721	$59950
ICD DUAL FORTIFY DR /FORTIY ASSURA/ ELLIPSE STJU	C1721	$57120
ICD DUAL ILESTO DRT BIOTRONIK P050023/S074	C1721	$57110
ICD DUAL ILIVIA MRI DR-T BIOTRONIK	C1721	$58940
ICD DUAL INCEPTA DR BSCI	C1721	$68270
ICD DUAL INOGEN MINI BSCI	C1721	$57120
ICD DUAL IPERIA MRI DR-T DF-1 BIOTRONIK	C1721	$58940
ICD DUAL IPERIA MRI DR-T DF4 BIOTRONIK	C1721	$58940
ICD DUAL ITREVIA 7 DR-T BIOTRONIK	C1721	$57110
ICD DUAL KRONOS LVT BIOTRONIK	C1721	$74930
ICD DUAL LUMAX 340 DRT BIOTRONIK	C1721	$79930
ICD DUAL LUMAX 540 DRT BIOTRONIK	C1721	$81590
ICD DUAL LUMOS DRT BIOTRONIK	C1721	$54290
ICD DUAL MAXIMO MDTR	C1721	$61150
ICD DUAL MOMENTUM EL DR BSCI	C1721	$54950
ICD DUAL OVATIO DR ELA MED SORIN	C1721	$61780
ICD DUAL PERCIVA DR BSCI	C1721	$54950
ICD DUAL PROTECTA XT DR MDTR	C1721	$57120
ICD DUAL RESONATE EL DR BSCI	C1721	$56610
ICD DUAL SECURA DR MDTR	C1721	$60110
ICD DUAL TELIGEN DR HE100 BSCI	C1721	$65180
ICD DUAL VIGILANT EL DR BSCI	C1721	$54950
ICD DUAL VIRTUOSO AWG MDTR	C1721	$78260
ICD DUAL VITALITY DS BSCI	C1721	$59610
ICD DUAL VITALITY ES BSCI	C1721	$62450
ICD DUAL VITALITY2 DR BSCI	C1721	$64940
ICD DUAL VITALITY2 EL BSCI	C1721	$68270
ICD DUAL XELOS DRT BIOTRONIK	C1721	$76600
ICD GENERATOR LUMAX 540 VRT BIOTRONIK	C1722	$58280
ICD ILESTO7 DR-T DUAL BIOTRONIK	C1721	$57120
ICD ILESTO7 VR-T DX SINGLE BIOTRONIK	C1722	$52390
ICD LEAD ENDOCARDIAL DUAL COIL IMPLANT	C1895	$12487.5 - 12487.5
ICD LEAD ENDOCARDIAL SGL COIL	C1777	$11488.5 - 13320
ICD LEAD OTH ENDOCARD SGL/DUAL SUBCUTANEOUS MDTR	C1896	$8300
ICD LEAD OTH ENDOCARD SGL/DUAL TRANSVENE EPI PATCH MDTR P900061/S2	C1896	$2660
ICD LEAD OTH ENDOCARD SGL/DUAL TRANSVENE MDTR	C1896	$4000
ICD LEAD OTHER THAN ENDOCARD SGL/DUAL	C1896	$6660 - 13320
ICD LUMAX 540 DR-T DUAL BIOTRONIK	C1721	$51960
ICD LUMAX 740 DR-T DUAL BIOTRONIK	C1721	$57120
ICD LUMAX 740 HF-T CRT-D BIOTRONIK	C1882	$73270
ICD OTH BI-V COGNIS RF HE BSCI	C1882	$89920
ICD OTH BI-V CONTAK RENEWAL3 BSCI	C1882	$71800
ICD OTH BI-V CONTAK RENEWAL3 HE BSCI	C1882	$74430
ICD OTH BI-V INSYNC SENTRY MDTR	C1882	$83260
ICD OTH BI-V LIVIAN BSCI	C1882	$63280
ICD OTH BI-V LIVIAN RF HE BSCI	C1882	$63280
ICD OTH BI-V RENEWAL3 RF BSCI	C1882	$78330
ICD OTH BI-V RENEWAL3 RF HE BSCI	C1882	$80940
ICD OTH CRT AMPLIA MRI XT CRT-D SURESCAN MDTR	C1882	$72930
ICD OTH CRT ATLAS +HF STJUDE	C1882	$104240
ICD OTH CRT ATLAS II HF STJUDE	C1882	$92420
ICD OTH CRT CLARIA MRI QUAD/CLARIA MRI CRT-D SURESCAN MDTR	C1882	$72930
ICD OTH CRT COMPIA MRI CRT-D SURESCAN MDTR	C1882	$72930
ICD OTH CRT CONSULTA MDTR	C1882	$84920
ICD OTH CRT EPIC / II HF STJU	C1882	$78180
ICD OTH CRT LUMAX 340 HFT BIOTRONIK	C1882	$66610
ICD OTH CRT LUMAX 540 HFT BIOTRONIK	C1882	$81590
ICD OTH CRT OVATIO ELA MED SORIN SORIN	C1882	$87920
ICD OTH CRT PROMOTE RF STJU	C1882	$63280
ICD OTH CRT PROTECTA XT CRT-D MDTR	C1882	$73270
ICD OTH CRT UNIFY / UNIFY ASSURA / QUADRA STJU P030054	C1882	$83260
ICD OTH CRT UNIFY / UNIFY ASSURA / QUADRA STJU P030054	C1882	$73260
ICD OTH CRT VIVA S XT MDTR	C1882	$76930
ICD OTH CRT-D ILIVIA MRI HFT BIOTRONIK	C1882	$72930
ICD OTH CRT-D INTICA MRI HFT BIOTRONIK	C1882	$72930
ICD OTH CRT-D INVENTRA HFT BIOTRONIK	C1882	$69270
ICD OTH SGL/DUAL ILESTO HFT BIOTRONIK P050023/S074	C1882	$73260
ICD OTH SQ-RX & Q-TRAK SYSTEM BSCI	C1882	$78260
ICD OTH SQ-RX GENERATOR ONLY BSCI	C1722	$63280
ICD OTHER THAN SGL/DUAL CHAMBER IMPLANT	C1882	$51931.35 - 73260
ICD SGL ATLAS / +/ II VR STJU	C1722	$61610
ICD SGL CURRENT VR RF STJU	C1722	$73270
ICD SGL CHAMBER IMPLANT	C1722	$44422.2 - 64935
ICD SGL CURRENT+ RF VR STJU	C1722	$47630
ICD SGL EPIC / II /+ VR STJU	C1722	$61610
ICD SGL EVERA S XT MDTR	C1722	$55220
ICD SGL ILIVIA MRI VR-T BIOTRONIK	C1722	$55610
ICD SGL INCEPTA VR BSCI	C1722	$68270
ICD SGL INTICA MRI VR-T DX BIOTRONIK	C1722	$58940
ICD SGL INVENTRA 7 VR-T BIOTRONIK	C1722	$54050
ICD SGL INVENTRA MRI VR-T DX DF-1 BIOTRONIK	C1722	$55610
ICD SGL IPERIA MRI VR-T DX DF-1 BIOTRONIK	C1722	$55610
ICD SGL ITREVIA 7 VR-T BIOTRONIK	C1722	$52380
ICD SGL LEXOS VRT BIOTRONIK	C1722	$63280
ICD SGL LUMAX 540 VRT BIOTRONIK	C1722	$81590
ICD SGL LUMAX 340 VRT BIOTRONIKK	C1722	$59950
ICD SGL LUMAX VRT BIOTRONIK	C1722	$69940
ICD SGL MARQUISO DR MDTR	C1722	$51620
ICD SGL MOMENTUM EL VR BSCI	C1722	$51620
ICD SGL MRI S-ICD EMBLEM BSCI	C1722	$64940
ICD SGL MRI S-ICD W/ LEADS EMBLEM BSCI	C1722	$78260
ICD SGL OVATIO VR ELA MED SORIN	C1722	$61780
ICD SGL PERCIVA VR BSCI	C1722	$51620
ICD SGL PROTECTA XT VR MDTR	C1722	$57120
ICD SGL RESONATE EL VR BSCI	C1722	$53280
ICD SGL SECURA VR MDTR	C1722	$56450
ICD SGL TELIGEN VR HE 100 BSCI	C1722	$65180
ICD SGL VIGILANT EL VR BSCI	C1722	$51620
ICD SGL VIRTUOSO VWC MDTR	C1722	$78260
ICD SGL VITALITY DS VR BSCI	C1722	$52950
ICD SGL VITALITY EL VR BSCI	C1722	$61610
ICD SGL VITALITY VR BSCI	C1722	$59280
ICD SINGLE FORTIFY VR RF36 STJU	C1722	$67410
ICD SINGLE FORTIFY VR STJU	C1722	$52390
ICD SINGLE INOGEN MINI BSCI	C1722	$52390
ICD SINGLE VISIA AF MRI DR SURESCAN MDTR	C1722	$55610
ICD VITALITY AVT DUAL BSCI	C1721	$72840
IMMOBILIZER KNEE	L1830	$50
IMMOBILIZER KNEE DON JOY		$70
IMMOBILIZER KNEE DON JOY ULTRA		$520
IMMOBILIZER KNEE DON JOY ULTRA-SLING		$470
IMPLANT WIRELESS PA PRESSURE SENSOR+DELIV CATH+ALL SYS COMP	C2624	$83083.5 - 83083.5
INDEFLATOR MAP KIT MERIT		$270
INFUSION PUMP PROGRAMMABLE IMPLANT	C1772	$33300 - 33300
INTERSCAP-THOR EXT POWER MYOELECTRONIC CONTROL	L6975	$53890
INTERSCAP-THOR EXT POWER SWITCH CONTROL	L6970	$45580
INTRACARDIAC SEPTAL DEFECT SYST IMPLANT	C1817	$1998 - 33283.35
INTRDCR ARGON	C1769	$200
INTRDCR GUIDE STEER AGILIS NXT ABBOT	C1766	$3320
INTRDCR GUIDE STEER AGILIS STJUDE	C1766	$3170
INTRDCR GUIDE STEER FATHOM BSCI	C1769	$970
INTRDCR GUIDE STEER HELI-FX AAA ENDOANCHOR APTUS MDTR	C1766	$5860
INTRDCR GUIDE STEER LT LATERAL	C1766	$1900
INTRDCR GUIDE STEER MICROPUNCTURE COOK	C1766	$150
INTRDCR GUIDE STEER RB COOK	C1766	$210
INTRDCR SHEATH BRAUN	C1892	$700
INTRDCR SHEATH BYRD DILATOR SHEATH TELESCOPING COOK	C1893	$730
INTRDCR SHEATH CURVED FEMORAL 12FR COOK	C1893	$710
INTRDCR SHEATH CURVED FEMORAL 16FR COOK	C1893	$1750
INTRDCR SHEATH CV AVE	C1893	$430
INTRDCR SHEATH CV EPS 45CM STJUDE	C1893	$290
INTRDCR SHEATH CV EPS 60CM STJU DAIG AVE	C1893	$300
INTRDCR SHEATH CV EPS GUIDE 6F	C1893	$610
INTRDCR SHEATH CV EPS GUIDE 8.5F	C1893	$970
INTRDCR SHEATH CV FASTCATH CSTA STJUDE	C1893	$540
INTRDCR SHEATH CV FASTCATH DUO STJUDE	C1893	$540
INTRDCR SHEATH CV FASTCATH RAMP STJUDE	C1893	$540
INTRDCR SHEATH CV FASTCATH SAFL STJUDE	C1893	$540
INTRDCR SHEATH CV FASTCATH SEPT STJUDE	C1893	$540
INTRDCR SHEATH CV OTH FASTCATH STJUDE	C1893	$300
INTRDCR SHEATH CV SOFT TIP	C1893	$700
INTRDCR SHEATH CV SUPERFLX 6F	C1893	$230
INTRDCR SHEATH CV SUPERFLX 7F	C1893	$230
INTRDCR SHEATH CV SUPERFLX 9F	C1893	$170
INTRDCR SHEATH CV SUPERFLX LONG	C1893	$430
INTRDCR SHEATH CV SUPERFLX SHORT	C1893	$170
INTRDCR SHEATH CV SWARTZ STJUDE	C1893	$900
INTRDCR SHEATH DESILETS HOFFMAN COOK	C1892	$270
INTRDCR SHEATH GUID EP FIXCURVE OTH PEEL	C1893	$189.81 - 2997
INTRDCR SHEATH GUID EP FIXCURVE PEELAWAY	C1892	$111.52 - 2231.1
INTRDCR SHEATH GUIDE EP STEER NOT PEEL	C1766	$2647.35 - 6660
INTRDCR SHEATH GUIDING EP FIXCURVE OTHERTHAN PEEL-AWAY VISISHEATH SPECTRONICS	C1893	$900
INTRDCR SHEATH LASER LEAD REMV SPECT	C2629	$9600
INTRDCR SHEATH LASER PREFACE BIOSENSE	C2629	$600
INTRDCR SHEATH MICRA MDTR	C1893	$2000
INTRDCR SHEATH OTH THAN GUID/EP NONLASER	C1894	$20.81 - 2830.5
INTRDCR SHEATH OTH THAN GUID/EP/LASER	C2629	$9640.35 - 19280.7
INTRDCR SHEATH PEELAWAY AFX ENDOLOGIC	C1892	$1090
INTRDCR SHEATH PEELAWAY COOK	C1892	$200
INTRDCR SHEATH SELECTRA AMPLATZ BTNK	C1893	$710
INTRDCR SHEATH SELECTRA BIO BTNK	C1893	$710
INTRDCR SHEATH SELECTRA EXTENDED HOOK BTNK	C1893	$800
INTRDCR SHEATH SELECTRA HOOK BTNK	C1893	$710
INTRDCR SHEATH SELECTRA IC BTNK	C1893	$710
INTRDCR SHEATH SELECTRA MULTIPURPOSE HOOK MPH BTNK	C1893	$710
INTRDCR SHEATH SELECTRA RIGHT BTNK	C1893	$710
INTRDCR SHEATH STEADYSHEATH EVOL COOK	C1893	$890
INTRDCR SHEATH STEER DIREX BSCI	C1766	$2750
INTRDCR SHEATH STEER ZURPAZ BSCI	C1766	$2750
INTRODUCER		$90
INTRODUCER ACCUSTICK2 + 018 & 038 GW	C1769	$300
INTRODUCER ACCUSTICK2 + 018 GW	C1769	$200
INTRODUCER ACCUSTICK2 WO GUIDEWIRE	C1769	$220
INTRODUCER CIAGLIA BLUE RHINO	C1769	$1100
INTRODUCER DELIVERY COIL FLIPPER COOK		$580
INTRODUCER EXPRESS TROC NDL		$1340
INTRODUCER GUIDEWIRE METAL GUIDANT	C1769	$110
INTRODUCER MICROPUNCTURE COOK	C1769	$100
INTRODUCER MULTIPORT	C1769	$330
INTRODUCER NEEDLE		$60
INTRODUCER NEFF COOK	C1769	$220
INTRODUCER PEELAWAY COOK	C1892	$200
INTRODUCER SUPRAPUBIC CATH CHIOU		$270
INTRODUCER SWARTZ	C1769	$480
INTRODUCER TEMNO COAXIAL	C1769	$950
INTRODUCER TRANS-SEPTAL MEDITECH STJU	C1769	$460
INZONE CABLE FOR TARGET COILS BSCI		$160
INZONE CABLE FOR TARGET COILS BSCI		$160
INZONE COIL DETACHMENT SYSTEM BSCI		$700
INZONE COIL DETACHMENT SYSTEM BSCI		$600
IOL	C1780	$96.57 - 526.14
IOL ANTERIOR CHAMBER	V2630	$499.5 - 2827.17
IOL POSTERIOR CHAMBER	V2632	$432.9 - 3163.5
IOL PRESBYOPIA CORRECTING FUNCITON	V2788	$582.75 - 582.75
JOINT DEVICE IMPLANT	C1776	$14.79 - 99733.5
KAFO DBL SOLID STIRRUP TGH+CLF BND WO KNEE CUST	L2030	$3680
KAFO DBL STIRRUP FREE AK CUST	L2020	$2870
KAFO FX FEMUR CAST CUSTOM	L2128	$3340
KAFO FX FEMUR CAST RIDIGCUSTOM	L2126	$1600
KAFO FX FEMUR RIGID PREFAB+FIT	L2136	$1750
KAFO PLAST DBL UPRT FREE CUST	L2036	$3060
KAFO PLAST MULTAXIS WO JT CUST	L2038	$1540
KAFO SGL UPRT W WO FREE MOT KNEE W WO FREE MOT ANKLE CUST	L2037	$6050
KAFO SGL W WO FREE MOT KNEE MED-LAT ROT CONT W WO FREE MOT ANKLE CUST	L2034	$5690
KAFO SINGL FREE ANKLE TGH+CLF BND WO KNEE CUST	L2010	$3360
KAFO SINGL FREE TGH+CLF BND CUST	L2000	$3680
KAFO STANCE CONTROL CUSTOM	L2005	$5600
KAFO STATIC PED WO FREE MOT ANKLE PREFAB+FIT	L2035	$490
KERATOPROSTHESIS INTEGRATED IMPLANT	C1818	$16650 - 19980
KIT CATH EPIDURAL		$100
KNEE DISART MOLDED SCKT SACH FT ENDO SYS	L5312	$11430
KNEE-SHIN EXO FRICT SWING & STANCE	L5712	$1640
KNEE-SHIN EXO FRICT SWING & STANCE	L5718	$3480
KNEE-SHIN EXO MECH STANCE PHASE LOCK	L5716	$2790
KNEE-SHIN FLUID SWING & STANCE	L5728	$9100
KO ADD-DROP LOCK EACH JOINT	L2405	$140
KO ADD-KNEE CAM LOCK/JOINT	L2415	$290
KO ADD-KNEE POLYCENTRIC/JNT		$230
KO ADJ JNT POS RIGID SUP PREFAB OTS	L1833	$1950
KO ADJST JNTS RIGID PREFAB+FIT	L1832	$1330
KO DBL UPRT ADJST JNT PRE+FIT	L1845	$910
KO DEROTAT CRUCIAT CUST/LINNOX	L1840	$2390
KO DOUBLE UPRIGHT PREFAB OTS	L1852	$2200
KO ELAST+CONDYL PAD PREFAB+FIT		$190
KO ELAST+CONDYL PAD&JT PRE+FIT	L1820	$210
KO ELASTIC KNEE CAP	A4467	$20
KO ELASTIC+JOINTS DJ ORTHO	L1810	$130
KO ELASTIC+JOINTS PREFAB OTS	L1812	$350
KO ELASTIC+STAYS PREFAB+FIT		$160
KO IMMOBILZR CANVAS PREFB+FIT	L1830	$180
KO IMMOBILZR CANVAS PREFB+FIT DJ ORTHO	L1830	$90
KO LOCKING POSITIONAL W FIT+ADJ	L1831	$840
KO PATELLA WRAP UNIV	A4467	$100
KO PLAST DBL UPRT CUST/POLYPRO	L1846	$2900
KO PLAST POLYCENTRC PNEUM CUST	L1846	$1670
KO SGL UPRT ADJST JNT CUSTOM	L1844	$2160
KO SGL UPRT TGH+CLF ADJST FLXION PREFAB TRMD BNT MLD	L1843	$2550
KO SINGLE UPRIGHT PREFAB OTS	L1851	$2520
KO SWEDISH CAGE PREFAB+FIT	L1850	$360
KYPHON VERTEBROPLASTY INTRODUCER		$1340
KYPHX DEVICE BONE BIOPSY EXPRESS KYPHON		$440
KYPHX DEVICE BONE BIOPSY KYPHON		$400
KYPHX DEVICE BONE BIOPSY SYSTEM KYPHON		$4330
LAA CLOSURE DEVICE WATCHMAN BSCI		$56610
LARYNGECTMY TUBE		$630
LARYNX ARTIFICIAL BLOMSINGER ELECTROLARYNX	L8500	$690
LARYNX ARTIFICIAL COOPER RAND	L8500	$1590
LARYNX ARTIFICIAL LIBERTY ELECTROLARYNX	L8500	$720
LARYNX ARTIFICIAL NUVOICE ELECTRLRYNX	L8500	$2090
LARYNX ARTIFICIAL OPTIVOX ELECTROLARYNX	L8500	$2000
LARYNX ARTIFICIAL SERVOX	L8500	$2090
LARYNX ARTIFICIAL SOLATONE	L8500	$1650
LARYNX ARTIFICIAL XTRAVOIS ELECTROLARYNX	L8500	$2000
LARYNX ARTIFICIAL XTRAVOIS ELECTROLARYNX	L8500	$1500
LE ADD-PELVC CONTROL BAND/BELT BILATERAL	L2640	$840
LEAD ATTAIN LV CORONARY SINUS MDTR	C1900	$9660
LEAD CELERITY LV BIOTRONIK SORIN	C1900	$6660
LEAD EASYTRAK LV SINUS BSCI	C1900	$10660
LEAD ICD 2COIL SPRINT QUATTRO SECURE	C1895	$22320
LEAD ICD ACUITY BSCI	C1900	$11990
LEAD ICD COROX CORON SINUS LINOX BIOTRONIK	C1900	$19990
LEAD ICD COROX CORON SINUS PAC BIOTRONIK	C1900	$6170
LEAD ICD DURATA ENDOCARD DUAL ST JUDE	C1895	$17490
LEAD ICD DURATA ENDOCARD SINGLE ST JUDE	C1777	$17490
LEAD ICD DURATA SJ4 ENDOCARD DUAL STJUDE	C1895	$18360
LEAD ICD DURATA SJ4 ENDOCARD SGL ST JUDE	C1777	$18360
LEAD ICD FIDELIS 2COIL MDTR	C1895	$20810
LEAD ICD ISOLINE DUAL COIL SORIN	C1895	$13330
LEAD ICD KENTROX OTH THAN VDD SGL SORIN	C1895	$13330
LEAD ICD LINOX SD 2COIL BIOTRONIK	C1895	$19320
LEAD ICD PLEXA MRI SD DUAL COIL BIOTRONIK	C1895	$12490
LEAD ICD PLEXA MRI SGL COIL BIOTRONIK	C1777	$12490
LEAD ICD PROTEGO S SGL COIL BIOTRONIK	C1777	$12490
LEAD ICD PROTEGO SD DUAL COIL BIOTRONIK	C1895	$12490
LEAD ICD Q-TRAK SQ OTH ENDOCARD BSCI	C1896	$14990
LEAD ICD QUARTET ST JUDE	C1900	$6670
LEAD ICD QUARTET ST JUDE FOR USE WITH NON-STJUDE DEVICE	C1900	$16650
LEAD ICD QUCKSITE/FLEX ST JUDE	C1900	$12830
LEAD ICD RELIANCE ENDO SINGLE BSCI	C1777	$18320
LEAD ICD RELIANCE G ENDOCARD BSCI	C1895	$19990
LEAD ICD RELIANCE SQ OTH ENDOCARD BSCI	C1896	$20150
LEAD ICD RIATA DUAL COIL STJUDE	C1895	$16660
LEAD ICD RIATA SGL COIL STJUDE	C1777	$16660
LEAD ICD SELOX SR PERM 1COIL BIOTRONIK	C1777	$2340
LEAD ICD SWIFT SGL COIL BIOTRONIK SORIN	C1777	$13330
LEAD ICD TUNNELING TOOL MDTR GUID BSCI	C1769	$1670
LEAD ICD VOLTA BIOTRONIK SORIN	C1777	$9990
LEAD LV CRT SENTUS OTW QP MRI CORON SINUS BIOTRONIK	C1900	$6330
LEAD PCKMR EXTENSION GUIDANT BSCI	C1883	$1170
LEAD PCKMR MYOPORE 35CM STJUDE	C1898	$1670
LEAD PCKMR MYOPORE 54CM STJUDE	C1898	$2840
LEAD PCKMR OPTISENSE STJUDE	C1898	$1670
LEAD PCKMR PASSIVE + DX STJUDE	C1898	$2500
LEAD PCMKR 4057M / 64126 NOT VDD MDTR	C1898	$14300
LEAD PCMKR 6416 NOT VDD MDTR	C1898	$940
LEAD PCMKR ADAPTOR SPLITTER HV MDTR	C1883	$14320
LEAD PCMKR CAPSURE EPI NOT VDD MDTR	C1898	$3000
LEAD PCMKR CAPSUREFIXNOVUS NOT VDD MDTR	C1898	$2500
LEAD PCMKR DEXTRUS NOT VDD BSCI	C1898	$1670
LEAD PCMKR ENPATH OTH VDD GUIDANT	C1898	$1670
LEAD PCMKR EXTENSION STJUDE	C1883	$2990
LEAD PCMKR FINELINE OTH VDD GUIDANT	C1898	$2420
LEAD PCMKR FLEXION OTH VDD BSCI	C1898	$1670
LEAD PCMKR FLEXTEND OTH VDD GUIDANT	C1898	$1670
LEAD PCMKR INGEVITY MRI OTH VDD BSCI	C1898	$2330
LEAD PCMKR ISOFLEX ENDOCARD ST JUDE	C1898	$2500
LEAD PCMKR OTH THAN VDD ELA MED SORIN	C1898	$1670
LEAD PCMKR OTH THAN VDD TILDA SORIN P950037/S099	C1898	$1670
LEAD PCMKR SELECTSURE NOT VDD MDTR	C1898	$1670
LEAD PCMKR SETROX S ENDOCARD BIOTRONIK	C1898	$2340
LEAD PCMKR SOLIA S OTH VDD BIOTRONIK	C1898	$1580
LEAD PCMKR TENDRIL DX ST JUDE	C1898	$2420
LEAD PCMKR TENDRIL SDX ST JUDE	C1898	$2420
LEAD PCMKR TENDRIL ST OPTIM ST JUDE	C1898	$2590
LEAD PCMKR TENDRIL ST ST JUDE	C1898	$2500
LEAD QUADRIPOLAR LV ACUITY X4 BSCI	C1900	$6330
LEAD SITUS LV CORONARY SINUS OSCOR SORIN	C1900	$6670
LIVER ACCESS TRANSJUGULAR COOK	C1887	$1500
LO FLEX+LUMB SUPP DJ ORTHO	L0625	$90
LO FLEX+LUMB SUPP PREFAB+FIT	L0625	$250
LO RIGID ANT POS PNL L1 TO L5 VERT PREFAB OTS	L0642	$1170
LO RIGID ANT-POST PANEL PREFAB	L0627	$650
LO RIGID POS PNL L1 TO L5 VERT PREFAB OTS	L0641	$220
LO RIGID POST PANEL PREFAB+FIT	L0626	$275
LSO A-P CONTROL+APRON FRONT		$810
LSO A-P CONTROL+POST-PNL PREFB		$420
LSO CORSET FULL	L0976	$450
LSO FLEX+LUMBOSACR SUPP CUSTOM	L0629	$500
LSO FLEX+LUMBOSACR SUPP PREFAB	L0628	$250
LSO RIGID A-P FRAME+LAT CUSTOM	L0638	$2900
LSO RIGID A-P FRAME+LAT PREFAB	L0637	$2000
LSO RIGID ANT POS PNL SAC TO T9 VERT PREFAB OTS	L0648	$2920
LSO RIGID ANT-POST PNL CUSTOM	L0632	$2500
LSO RIGID ANT-POST PNL PREFAB	L0631	$2890
LSO RIGID POS PNL SAC TO T9 VERT PREFAB OTS	L0643	$460
LSO RIGID POST FRAME+LAT CUST	L0636	$2900
LSO RIGID POST FRAME+LAT PREFB	L0635	$2000
LSO RIGID POST FRAME/PNL CUST	L0634	$2500
LSO RIGID POST FRAME/PNL PREFB	L0633	$500
LSO RIGID POST PANEL PREFB+FIT	L0630	$275
LSO RIGID POST SHELL CUSTOM	L0640	$2900
LSO RIGID POST SHELL PREFB+FIT	L0639	$2000
LSO RIGID SAG-COR CTRL ANT POS PNL SAC TO T9 VERT PREFAB OTS	L0650	$3440
LSO RIGID SAG-COR CTRL POS LAT PNL SAC TO T9 VERT PREFAB OTS	L0649	$810
LSO RIGID SAG-COR CTRL POS SHLL SAC TO T9 VERT PREFAB OTS	L0651	$3440
LSO SUPPORT SURG FLEX-CUST FAB		$770
LSO SUPPORT SURGICAL FLEXIBLE		$420
LUBRICANT ATHERECTOMY CSI		$270
LUMBAR PUNCTURE SUPPLY		$80
MANIFOLD HEART CATH		$40
MARKER BIOPSY BREAST TI	C1879	$2300
MARKER BREAST NEEDLE		$640
MEDICAL SURGICAL SUPPLIES		$2.08 - 19960.02
MEMBRANE SPINAL PRECLUDE 3X 3 GORE	C1781	$1270
MEMBRANE SPINAL PRECLUDE 3X 6 GORE	C1781	$1270
MEMBRANE SPINAL PRECLUDE 3X12 GORE	C1781	$1270
MESH DUAL 10X15CMX2.0MM	C1781	$1970
MESH DUAL 18X24CMX2.0MM	C1781	$6100
MESH DUAL 20X30CMX2.0MM	C1781	$8080
MESH DUAL 26X34CMX2.0MM	C1781	$10540
MESH IMPLANT	C1781	$41.29 - 71065.53
MESH SEAMGUARD STRIP	C1781	$5800
METACARPOPHALANGEAL JOINT IMPLANT	L8630	$2544.12 - 2544.12
METATARSAL JOINT IMPLANT	L8641	$2997 - 2997
MFR DONATED STENT COATED+DELIVERY SYSTEM	C1874	$840
MICROSNARE AMPLATZ GOOSENECK EV3	C1725	$390
MITRACLIP SYS ABBOTT VASCULAR		$99900
MORCELLATOR	C1782	$1633.56 - 8167.82
MRI ACTIVATOR PATIENT PROGRAMMER		$1000
MRI HEAD TONGS OR RINGS		$670
MULTI DEN INSERT CUSTOM MOLD	A5513	$130
MUSICIAN EARPLUG FILTER ONLY EACH	V5265	$50
MUSICIAN EARPLUG WITH FILTER EACH	V5264	$120
NEUROVISION CLIP FOR PEDICLE SCREW	C1713	$770
NEUROVISION EMG ELECTRODE HARN		$4500
NEUROVISION K WIRE		$890
NEUROVISION PROBE PEDICLE		$840
NEURSTIM GENARATOR IMPLANT	C1767	$666 - 109646.91
NEURSTIM GENERATOR HI-FREQ RECHRG BTTRY&CHG SYST	C1822	$51688.26 - 51688.26
NEURSTIM GENERATOR RECHRG BTTRY&CHG SYST	C1820	$40875.75 - 73260
NEURSTIM INTERNAL BATTERY EXTERNAL RECHARGEABLE SYSTEM REPLACEMENT	L8689	$5617.71 - 5617.71
NEURSTIM LEAD IMPLANT	C1778	$1 - 24841.8
NEURSTIM LEAD TEST KIT	C1897	$108.23 - 5328
NEURSTIM PATIENT PROGRAMMER PRECISION SPECTRA REMOTE	C1787	$2790
NEURSTIM PT PROGRAMMER	C1787	$333 - 54945
NEURSTIM RECHARGE SYSTEM FOR INTERNAL BATTERY		$4995 - 4995
NEURSTM GENERATOR ACTIVA PC P960009S052	C1767	$61580
NEURSTM LEAD RECLAIM MDTR H050003S021	L8680	$9710
NEURSTM LEAD TRIAL INFINION BSCI	C1897	$6670
NEURSTM PATIENT PROGRAMMER	L8681	$4045.95 - 4045.95
NEWBORN SCRN-SPECIMEN COLLECT CARD		$1
NITINOL OCCLUDER DEVICE LG	C1760	$3710
NITINOL OCCLUDER DEVICE MED	C1760	$3020
NITINOL OCCLUDER DEVICE SM	C1760	$2400
OCCLUS DEVICE FLORESTER SYST IMPLANT	C1760	$200
OCCLUS DEVICE NIT-OCCLUD COIL PFM MED	C1760	$5600
OCCLUS DEVICE PDA AMPLATZER OCCLUDER II STJU	C1760	$13660
OCULAR DEVICE DETACHED RETINA INTRAOP	C1784	$1426.11 - 7326
OCULAR IMPLANT	L8610	$33.3 - 2037.96
OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST	L8612	$156.51 - 6826.5
OD CERV COLLAR FLEX NONADJ FOAM	L0120	$15
OD CERV COLLAR MULTIPOST ADJST	L0180	$560
OD CERV COLLAR MULTIPOST+THOR	L0200	$1680
OD CERV COLLAR MULTPOST+ADJBAR	L0190	$1180
OD CERV COLLAR PLASTIC ADJUST	L0140	$140
OD CERV COLLAR THERMOPLAST 2PC	L0172	$220
OD CERV COLLAR THERMOPLASTIC	L0130	$350
OD CERV COLLAR THERMPLAST+THOR	L0174	$490
OD CERV COLLAR+CHIN CUP/ASPEN	L0150	$450
OD CERV COLLAR/PHILIDELPHIA	L0170	$1630
OD CERV HALO+JACKET VEST	L0810	$3700
OD CERV WIREFRAME+CHIN SUPPORT	L0160	$200
OD CERVICAL ASPEN REPR PAD SET	L0172	$50
OD CERVICAL COLLAR FOAM	L0120	$30
OD LEGG PERTH SCOTT RITE CUST	L1730	$2430
OD THORACIC RIB BELT		$90
OD THORACIC RIB BELT CUST	L0220	$180
ORTH REPAIR-LABOR PER 15MIN	L4205	$100
ORTH REPAIR/REPLAC-MINOR PARTS	L4210	$60
ORTH REPLAC CALF LACER NONMOLD	L4055	$1300
ORTH REPLAC STRAP ANY ORTHOSIS	L4002	$75
ORTH REPLAC THIGH LACER MOLDED	L4040	$1480
ORTH REPLAC THIGH LACER NONMLD	L4045	$290
ORTH REPLACE CALF LACER MOLDED	L4050	$700
ORTH REPLACE CUFF-HIGH ROLL	L4060	$700
ORTH REPLACE GIRDLE CTLSO/SO	L4000	$2220
ORTH REPLC INTERFACE STATC AFO	L4392	$45
ORTH REPLC KAFO BANDS-PROXTHGH	L4080	$220
ORTH REPLC KAFO LTHRCFF P-THGH	L4100	$250
ORTH REPLC KAFO LTHRCUFF CALF	L4110	$180
ORTH REPLC KAFO UPRT-PROX&DIST	L4070	$630
ORTH REPLC KAFO-AFO BANDS-CALF	L4090	$170
ORTHOPEDIC SURGICAL IMPLANT	L8699	$1 - 58275
ORTHOSIS MC-APPLY FT HEEL LIFT		$60
ORTHOSIS MC-WALKING CAST/BOOT EACH		$40
OSSICULA IMPLANT	L8613	$59.56 - 1078.92
OSTOMY CREAM		$40
OSTOMY NEO PACK		$30
OSTOMY PASTE		$3
OSTOMY POUCH		$200
OSTOMY POWDER		$20
OSTOMY SKIN CARE		$100
OSTOMY SKIN CLEANSER		$20
OSTOMY SKIN OINTMENT/CREAM		$20
OSTOMY STOMAHESIVE		$100
OSTOMY WAFER FLEX		$10
PACK SEAMGUARD SINGLE GORE	C1781	$940
PART HAND LITTLE/RING REMAINING	L6010	$23700
PART HAND NO FINGERS REMAINING	L6020	$23700
PART HAND THUMB REMAINING	L6000	$23700
PARTICLES EMBOLIZ PVA BOSTON SCI		$400
PARTICLES PVA TRUFILL		$570
PATCH CV 100CMX15.0CMX0.6MM	C1768	$3760
PATCH CV 2.5CMX15.0CMX0.6MM	C1768	$860
PATCH CV 5.0CMX15.0CMX0.6MM	C1768	$3760
PATCH CV GRAFT 10.0CM X 15.0CM X 0.8MM GORE	C1768	$3790
PATCH CV GRAFT 5.0CM X 7.5CM X 0.8MM GORE	C1768	$940
PATCH CV GRAFT 5.0CM X 7.5CM X 0.8MM GORE	C1768	$940
PATCH DURA 2CMX 5CMX.3MM GORE	C1781	$1390
PATCH DURA 4CMX4CMX.3MM GORE	C1781	$810
PATCH DURA 5CMX 6CMX.3MM GORE	C1781	$1390
PATCH DURA 6CMX10CMX.3MM GORE	C1781	$1390
PATCH DURA MVP 10X12CM	C1781	$3990
PATCH DURA MVP 2X10CM	C1781	$980
PATCH DURA MVP 4X4CM	C1781	$1010
PATCH DURA MVP 5X6CM	C1781	$1080
PATCH DURA MVP 6X10CM	C1781	$3170
PATCH FOR EXT REFERENCE 3D MAP		$1310
PATCH MBRN NEO 6CMX8CMX.1MM	C1781	$1270
PATCH MEMBR 4CMX6CMX.1MM GORE	C1781	$440
PATCH PERICAR 12X12CMX.1MM GORE	C1781	$2280
PATCH PERICAR 6CMX12CMX.1MM	C1781	$1140
PCKMR ADVISA DR MRI MDTR	C1785	$17320
PCKR MICRONY SR SGL RATE RESP STJUDE	C1786	$17130
PCMKR ACCOLADE MRI DUAL RATE RESP BSCI	C1785	$16320
PCMKR ACCOLADE MRI SGL RATE RESP BSCI	C1786	$16320
PCMKR ADAPTA /KAPPA/LEGACY/THERA SR SINGLE RATE RESP MDTR	C1786	$19990
PCMKR ADAPTA DR DUAL RATE RESP MDTR	C1785	$21650
PCMKR ADAPTA DUAL RATE LONG MDTR	C1785	$14990
PCMKR ADVANTIO / INGENIO SR BSCI	C1786	$12330
PCMKR ADVANTIO DR BSCI	C1785	$14990
PCMKR ADVISA SR MRI SGL RESP MDTR	C1786	$13650
PCMKR ALLURE BIV CRTP/QUADRA STJUDE	C2621	$25810
PCMKR ALTRUA 20 DDDR DUAL RATE RESP BSCI	C1785	$16990
PCMKR ALTRUA 20 EL DUAL RATE RESP BSCI	C1785	$17490
PCMKR ALTRUA 20 SSIR SGL RATE RESP BSCI	C1786	$14540
PCMKR ALTRUA 40 DDDR DUAL RATE RESP BSCI	C1785	$18950
PCMKR ALTRUA 40 EL DUAL RATE RESP BSCI	C1785	$19320
PCMKR ALTRUA 40 SSIR SGL RATE RESP BSCI	C1786	$16910
PCMKR ALTRUA 60 DDDR /INGENIO DR /ADVANTIO DR BSCI	C1785	$21320
PCMKR ALTRUA 60 EL DUAL RATE RESP BSCI	C1785	$21650
PCMKR ALTRUA 60 SR SINGLE RATE RESP BSCI	C1786	$18420
PCMKR ANTHEM RF CRT-P ST JUDE	C2621	$30810
PCMKR ASSURITY / ENDURITY DR STJUDE	C1785	$14990
PCMKR ASSURITY / ENDURITY SR STJUDE	C1786	$12330
PCMKR AZURE XT MRI SURESCAN DUAL CHAMBER MDTR	C1785	$15680
PCMKR AZURE XT MRI SURESCAN SGL CHAMBER MDTR	C1786	$13230
PCMKR CONSULTA CRT-P OTH	C2621	$32640
PCMKR CONSULTA CRT-P OTHER MDTR	C2621	$32640
PCMKR CONTAK RENEWAL TR CRT-P OTHER BSCI	C2621	$25810
PCMKR CYLOS DR DUAL RATE RESP BIOTRONIK	C1785	$19320
PCMKR CYLOS VR SGL RATE RESP BIOTRONIK	C1786	$17320
PCMKR DUAL CHAMBER RATE RESPONSIVE	C1785	$12407.58 - 17815.5
PCMKR DUAL RATE RESP ENTOVIS PRO BIOTRONIK P950037/S132	C1785	$16650
PCMKR EDORA MRI DR-T DUAL RATE RESP BIOTRONIK	C1785	$16320
PCMKR EDORA MRI SR-T SGL RATE RESP BIOTRONIK	C1786	$13650
PCMKR ELUNA PROMRI DR-T DUAL RATE ADPT BIOTRONICK	C1785	$18320
PCMKR ELUNA RATE ADPT PROMRI SR-T SINGLEBIOTRONICK	C1786	$15650
PCMKR ENPULSE DR DUAL RATE RESP MDTR	C1785	$19990
PCMKR ENPULSE SINGLE RATE RESP MDTR	C1786	$19990
PCMKR ENRHYTHM DUAL RATE MDTR	C1785	$21650
PCMKR ETRINSA DR-T DUAL RATE ADPT BIOTRONICK	C1785	$14990
PCMKR ETRINSA HF-T CRT-P TRPL RATE ADPT BIOTRONICK	C2621	$25810
PCMKR ETRINSA SR-T SNGL RATE ADPT BIOTRONICK	C1786	$12320
PCMKR EVIA DR / DR-T DUAL RESP BIOTRONIK	C1785	$14990
PCMKR EVIA SR / SR-T SGL RESP BIOTRONIK	C1786	$14990
PCMKR FRONTIER 2 CRT-P ST JUDE	C2621	$30810
PCMKR IDENTITY DUAL RATE RESP ST JUDE	C1785	$20520
PCMKR IDENTITY SGL RATE RESP ST JUDE	C1786	$17130
PCMKR INSIGNIA I SR SGL RATE GUIDANT	C1786	$18990
PCMKR INSYNC III DUAL MDTR	C2621	$32640
PCMKR INTEGRITY DUAL RATE RESP STJUDE	C1785	$17130
PCMKR INTEGRITY SGL RATE RESP STJUDE	C1786	$17130
PCMKR INTUA CRT-P OTH THAN SGL/DUAL CHAMBER BSCI	C2621	$25810
PCMKR INVIVE BIVALVE OTH BSCI	C2621	$25810
PCMKR KAPPA DUAL RATE RESP MDTR	C1785	$188160
PCMKR LEAD LEFT VENT CORON VEN SYSTEM	C1900	$6327 - 12987
PCMKR LEAD LEFT VENT CORON VEN SYSTEM ATTAIN PERFORMA MDTR P080006/S068	C1900	$12990
PCMKR LEAD OTH THAN TRANSVEN VDD SGLPASS	C1898	$1455.21 - 2331
PCMKR LEADLESS MICRA SGL RESP MDTR	C1786	$32470
PCMKR OTH THAN SGL/DUAL CHAMBER IMPLANT	C2621	$15677.64 - 25807.5
PCMKR PHILOS DUAL RATE RESP BIOTRONIK	C1785	$17320
PCMKR PHILOS II DR-T DUAL RATE BIOTRONIK	C1785	$20990
PCMKR PHILOS II DUAL RATE BIOTRONIK	C1785	$18320
PCMKR PHILOS II SR SGL RATE BIOTRONIK	C1786	$15990
PCMKR REPLY / RHAPSODY DR RESP SORIN	C1785	$17820
PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330
PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330
PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330
PCMKR REVO MRI DUAL RATE MDTR	C1785	$17320
PCMKR REVO MRI OTH MDTR	C2621	$23980
PCMKR SENSIA DUAL RESP MDTR	C1785	$17870
PCMKR SENSIA SGL RESP MDTR	C1786	$15700
PCMKR SGL CHAMBER RATE RESPONSIVE	C1786	$10989 - 32467.5
PCMKR SIGMA SDR DUAL RATE RESP MDTR	C1785	$16320
PCMKR SINGLE RATE RESP ENTOVIS PRO BIOTRONIK P950037/S132	C1786	$14650
PCMKR STRATOS / EVIA HF-T OTH BIOTRONIK	C2621	$25810
PCMKR SYMPHONY DR RESP SORIN	C1785	$13330
PCMKR SYMPHONY SR SGL RATE ELA MED SORIN	C1786	$18640
PCMKR SYNCRA CRT-P OTH SGL/DUAL MDTR	C2621	$25810
PCMKR TEMPORARY-BEDSIDE		$170
PCMKR VALITUDE BIVENT OTH BSCI	C2621	$25810
PCMKR VERITY ADX XL DC DUAL NONRESP STJU	C2619	$17130
PCMKR VERITY ADX XL DR DUAL RESP STJUDE	C1785	$17130
PCMKR VERITY ADX XL SC SGL STJUDE	C2620	$17130
PCMKR VERITY ADX XL SR MS SGL RESP STJU	C1786	$17130
PCMKR VERITYH ADX SR SGL RESP STJUDE	C2619	$20520
PCMKR VERSA DDDR MDTR	C1785	$19990
PCMKR VILTORY SR RESP STJU	C1786	$14000
PCMKR VILTORY XL DR DUAL RATE ST JUDE	C1785	$20520
PCMKR VISTA DDD DUAL NONRATE STJUDE	C2619	$16660
PCMKR ZEPHYR XL / ACCENT RF DR STJUDE	C1785	$21000
PCMKR ZEPHYR XL / ACCENT RF SR STJUDE	C1786	$17610
PCMKR/NEURSTIM ADAPTOR/EXTENSION LEAD	C1883	$499.5 - 23976
PEDIMAG CARDIO BYPASS VAD SYST THOR STJU		$21650
PEDIMAG VENT ASSIST DEVC VAD		$21650
PELVTHOR CONTR ADD BELT UNILAT	L2630	$360
PELVTHOR CONTR ADD HIP ADJ FEA	L2624	$630
PELVTHOR CONTR ADD HIP HVYDUTY	L2620	$490
PELVTHOR CONTR ADD HIP JT 2POS	L2570	$640
PELVTHOR CONTR ADD HIP JT FREE	L2600	$490
PELVTHOR CONTR ADD HIP JT LOCK	L2610	$630
PERFUSION DEVICE BIOPUMP CARDIO ASSIST DEVC DISP		$74930
PERICARDIOCENTISIS SUPPLY		$350
PESSARY NON RUBBER	A4562	$140
PESSARY RUBBER	A4561	$89
PICC LINE PASV 1LUMEN	C1751	$420
PICC LINE PASV 2LUMEN	C1751	$540
PICC LINE BOSTON SCI 1LUMEN	C1751	$250
PICC LINE BOSTON SCI 2LUMEN	C1751	$350
PIPETTE FLUSH DEVICE-VOICE PROSTHESIS	L8513	$40
PLUG VASCULAR 04X10.0 AVP4	C1817	$3200
PLUG VASCULAR 06X11.0 AVP4	C1817	$3200
PLUG VASCULAR 08X13.5 AVP4	C1817	$3200
PNEUMOTHORAX LUNG BIOPSY PLUG W/ DELIVERY SYST	C2613	$830 - 830
PNEUMOTHORAX LUNG BIOPSY PLUG W/ DELIVERY SYST BIOSENTRY	C2613	$830
PNEUMOTHORAX SUPPLY COOK		$400
PORT INDWELLING IMPLANT	C1788	$626.04 - 1206.06
PORT INDWELLING POWER TI BARD	C1788	$1750
POSITIONER ELBOW ORTHOTIC		$100
POST-OP SHOE		$30
POSTOP APP NON-WGT BEAR RGD ABV KNEE	L5460	$1580
PREP ABV KNEE ISCHIAL SACH FT PREFAB	L5585	$8040
PREP ABV KNEE ISCHIAL SACH FT THERMOPLS FORMED	L5570	$7480
PREP AK ISCHIAL LAMINATED MOLD	L5590	$9200
PREP AK ISCHIAL THERMO MOLD	L5580	$8970
PREP BK PTB LAMINAT SCK MOLDED	L5540	$10670
PREP BK PTB THERMPLASTC MOLDED	L5530	$10440
PREP BLW KNEE PTB SACH FT PREFAB	L5535	$6560
PREP BLW KNEE PTB SACH FT THERMOPLS MOLDED	L5520	$5560
PREP ELBOW FAIR LEAD CBL CNTRL DIR FORMED	L6586	$5510
PREP ELBOW FAIR LEAD CBL CNTRL MOLDED	L6584	$6480
PREP HIP DISART SACH FT LAMINATED MOLDED	L5600	$17200
PREP HIP DISART SACH FT THERMOPLS MOLDED	L5595	$15570
PREP SHOULDER FAIR LEAD CBL CNTRL DIR FORMED	L6590	$8240
PREP SHOULDER FAIR LEAD CBL CNTRL MOLDED	L6588	$9380
PREP WRIST OR BLW ELBOW BOWDEN CBL CNTRL DIR FORMED	L6582	$3990
PREP WRIST OR BLW ELBOW BOWDEN CBL CNTRL MOLDED	L6580	$5180
PROBE ABLAT MICROWAVE MEDWAVE		$7000
PROBE ABLATION NUWV HSMD COVD	C1886	$7000
PROBE ABLATION ROBOTIC MAZE	C1886	$7000
PROBE ABLATION CERTUS NEUWAVE		$5280
PROBE ABLATION COOL-TIP COVD	C1886	$1580
PROBE ABLATION MICROWAVE EMPRINT COVD	C1886	$8330
PROBE ABLATION MICROWAVE LONG EMPRINT COVD	C1886	$9970
PROBE ARTHRO CARE DISPOSABLE		$1100
PROBE CAPSURE ARTHROCARE		$1160
PROBE CATH CRYOSPRAY CSA THORATEC	C2618	$6600
PROBE COAG ARGONBEAM DISP		$800
PROBE COBLATOR EVAC70		$660
PROBE COBLATOR REFLEX45		$450
PROBE COBLATOR REFLEX55		$900
PROBE COVAC +SUCTN DISP		$520
PROBE CRYO 2.4MM	C2618	$790
PROBE CRYO ACCUPROBE	C2618	$1720
PROBE CRYO DISPERSIVE ELECTRODE	C2618	$500
PROBE CRYO I-THAW GALIL	C2618	$3830
PROBE CRYO ICEFORCE GALIL	C2618	$9300
PROBE CRYO ICEPEARL GALIL	C2618	$9300
PROBE CRYO ICEROD GALIL	C2618	$3830
PROBE CRYO ICESEED GALIL	C2618	$3830
PROBE CRYO ICESPHERE GALIL	C2618	$4400
PROBE CRYO PERCRYO ENDOCARE	C2618	$3670
PROBE CRYO RENAL 1.7 ENDOCARE	C2618	$3670
PROBE CRYO RENAL 1.7 ENDOCARE	C2618	$3670
PROBE CRYO RENAL ICE ENDOCARE	C2618	$5330
PROBE CRYO RIGHT_ANGLE V-PROB ENDOCARE	C2618	$4000
PROBE CRYO RITA DISPERSIVE	C2618	$4320
PROBE CRYO SURGIFROST ATS MEDICAL	C2618	$6980
PROBE CRYO TEMPPROBE ENDOCARE	C2618	$1810
PROBE CRYO UROLOGY	C2618	$790
PROBE CRYOABLATION	C2618	$3108 - 17982
PROBE ELECTR RF COOLTIP CLUSTR VALLEYLAB	C2618	$3650
PROBE ELECTR RF COOLTIP SGL VALLEYLAB	C2618	$5700
PROBE ELECTR RF COOLTIP2+CONTR VALLEYLAB	C2618	$9400
PROBE ELECTR RF COOLTIP3+CONTR VALLEYLAB	C2618	$7980
PROBE ENDOLASER DISPOSABLE		$470
PROBE EVIDENT MICROWAVE ABLAT COVIDIEN		$5000
PROBE LEVEEN NEEDLE RADFREQ ABLAT BSCI	C2618	$3600
PROBE MAMMOTOME MULTIPROBE		$1050
PROBE NANOKINFE BIPOLAR	C1886	$7000
PROBE NANOKNIFE 15CM	C1886	$7000
PROBE NANOKNIFE 25CM	C1886	$7000
PROBE NEPHROSTM ULTRASOUND UT2	C2628	$640
PROBE SABER ARTHROCARE		$940
PROBE SPINEWAND ARTHROCARE	C2614	$8000
PROBE THERMAL UROLOGY		$790
PROBE TISS ABLATION EXTRAVASCULAR RADFREQ NEUROTHERM	C1886	$1670
PROBE TISS ABLATION EXTRAVASCULAR VISUALASE	C1886	$48280
PROBE TOPAZ ARTHROCARE		$1100
PROBE US 11G		$930
PROCESR AUDITORY OSSEOINTEG DEVICE PONTO EXTERNAL REPLACEMENT	L8691	$6275 - 14800
PROCESR ESPRIT 3G REPLAC	L8619	$19990
PROCESR ESPRIT FREEDOM REPLAC	L8619	$22820
PROCESR EXT BAHA REPLACEMENT	L8691	$11100
PROCESR NUCLEUS5 REPLAC COCHAM	L8619	$26650
PROCESR SPRINT NUCLEUS 3 REPLACEMENT	L8619	$19990
PROPATEN HELEX ASD OCCLUDER GORE P050006	C1817	$18360
PROS SOC INSERT GASKET/SEAL EA	L7700	$1260
PROSTH ABOV ELBO INTERNAL LOCK	L6250	$5180
PROSTH ABOV HAND GLOV-PRODUCTN	L6890	$570
PROSTH ABOV HAND GLOV-SPECIAL	L6895	$1360
PROSTH AK 1AXIS FRICTN SACH FT	L5200	$11590
PROSTH AK PROX FEM FOCAL DEFIC	L5230	$9360
PROSTH AK SHORT NO KNEE JT W ARTIC AF	L5220	$10670
PROSTH AK STUBBIES+FT BLOCK-EA	L5210	$4240
PROSTH ANKL SYMES-ARTIC FOOT	L5060	$4210
PROSTH ANKL SYMES-SACH FOOT	L5050	$4240
PROSTH B-LO WRIST MYOELEC SET	L6935	$18690
PROSTH BATTERY 6V-CHARGER BOCK	L7362	$410
PROSTH BATTERY 6V-OTTO BOCK	L7360	$390
PROSTH BK M-SCKT SHIN SACH FT	L5100	$6600
PROSTH BK PLASTIC SCKT SACH FT	L5105	$7330
PROSTH D-KNE EXTRNL JT SACH FT	L5150	$10940
PROSTH D-KNEE BENT JNT SACH FT	L5160	$12360
PROSTH D-WRIST SOCKET+INTERFAC	L6055	$5120
PROSTH DEVICE REPR-LABOR/15MIN	L7520	$100
PROSTH DEVICE REPR-LABOR/15MIN COCHLEAR	L7520	$20
PROSTH DEVICE REPR-LABOR/HOUR	L7500	$390
PROSTH DISARTIC HIP-CANADIAN	L5250	$13970
PROSTH DONNING SLEEVE EA	L7600	$120
PROSTH EARLY FIT-BK ADDL CAST	L5410	$820
PROSTH EARLY FIT-BK+CAST CHNG	L5400	$3040
PROSTH EARLYFIT-AK/KD ADD CAST	L5430	$570
PROSTH EARLYFIT-AK/KD+CAST CHG	L5420	$2340
PROSTH EARLYFIT-BK NONWT DRESS	L5450	$740
PROSTH ELBO FLXHING TRICEP PAD	L6100	$3150
PROSTH ELBO HINGE HALF-CUFF	L6120	$3780
PROSTH ELBO MOLD-SOCKET SUSPEN	L6110	$3900
PROSTH ELBO OUTSIDE LOCK HINGE	L6200	$5180
PROSTH ELBO PROPRTNCONTRL UTAH	L7274	$10990
PROSTH ENDOSKEL AK SYSTEM	L5321	$8050
PROSTH ENDOSKEL BK SYSTEM	L5301	$9220
PROSTH ENDOSKEL D-HIP SYSTEM	L5331	$15750
PROSTH ENDOSKEL D-KNEE SYSTEM	L5301	$11000
PROSTH ENDOSKEL HEMPELVCT SYST	L5341	$570
PROSTH ENDSKL AE SCKT+SFT SHAP	L6500	$5420
PROSTH ENDSKL BE SCKT+SFT SHAP	L6400	$4570
PROSTH ENDSKL ED SCKT+SFT SHAP	L6450	$5570
PROSTH ENDSKL INTERSCAP THORACIC SOCKET	L6570	$9230
PROSTH ENDSKL SHLDR DISARTIC SOCKET	L6550	$8040
PROSTH HAND TERM DEV-MICROPROC	L6882	$800
PROSTH HAND TERM DEVIC-AUTOGRP	L6881	$5760
PROSTH HEMIPELVECTOMY-CANADIAN	L5280	$15140
PROSTH INTERSCAP HUMERAL SECTN	L6350	$5180
PROSTH IT PASSIV RESTOR COMPLT	L6360	$6270
PROSTH IT PASSVRESTOR CAP ONLY	L6370	$4000
PROSTH LITHIUM BATTERY CHARGER	L7368	$800
PROSTH LITHIUM ION BATTERY REPLACEMENT	L7367	$1070
PROSTH MOD-AK ULTRALT MATERIAL	L5790	$1310
PROSTH MOD-BK ULTRALT MATERIAL	L5785	$1010
PROSTH P-FT SHOE INSRT L-ARCH	L5000	$710
PROSTH PARTIAL-FT ANKLE HEIGHT	L5010	$2260
PROSTH PARTIAL-FT TIBIA HEIGHT	L5020	$4420
PROSTH PENILE NON-INFLATABLE	C2622	$25777.53 - 26293.68
PROSTH PREHENSILE ACTUATOR SWITCH CONTROLLED	L7040	$4600
PROSTH REPLAC AK PROTECT COVER	L5705	$1850
PROSTH REPLAC AK/KD SCKT/PLATE	L5701	$7170
PROSTH REPLAC BK SOCKET MOLDED	L5700	$5580
PROSTH REPLAC HD PROTECT COVER	L5707	$2680
PROSTH REPLAC KD PROTECT COVER	L5706	$1840
PROSTH REPLC BK PROTECT COVER	L5704	$1500
PROSTH REPLC HD SCKT+HIPMOLDED	L5702	$10050
PROSTH SD HUMERAL SOCKED SECTN	L6300	$5180
PROSTH SD PASSIV RESTOR COMPLT	L6310	$5970
PROSTH SD PASSVRESTOR CAP ONLY	L6320	$3370
PROSTH SHEATH ABOVE KNEE EACH	L8410	$60
PROSTH SHEATH BELOW KNEE-EA	L8400	$60
PROSTH SHEATH BK/AK+GEL CUSHN	L8417	$110
PROSTH SHEATH UPPER LIMB EA	L8415	$70
PROSTH SHRINKER ABOVE KNEE-EA	L8460	$200
PROSTH SHRINKER BELOW KNEE-EA	L8440	$150
PROSTH SHRINKER UPPER LIMB EA	L8465	$140
PROSTH SOCK MULTIPLE PLY AK EA	L8430	$70
PROSTH SOCK MULTIPLE PLY BK EA	L8420	$60
PROSTH SOCK MULTIPLE PLY UPPER LMB	L8435	$70
PROSTH SOCK SGL PLY ABOVE KNEE	L8480	$50
PROSTH SOCK SGL PLY BELOW KNEE	L8470	$40
PROSTH SOCK SGL PLY FIT UPPER LMB	L8485	$40
PROSTH URINARY SPHINCTER IMPLANT	C1815	$8614.71 - 18834.48
PROSTH WRST FLXHING TRICEP PAD	L6050	$4000
PROSTHETIC PENILE INFLATABLE IMPLANT	C1813	$1764.9 - 32354.28
PROSTHETIC SOCK/SH ADD AIR SEA		$250
PRSTH AD LOWER LIMB PROSTH MULTIAX ANKLE SWING PHASE+DORSI KINTERRA	L5968	$9960
PRSTH AD LOWER LIMB PROSTH MULTIAXIAL ANKLE SWING PHASE+DORSIFLEX	L5968	$0 - 0
PRSTH ADD LE BELOW KNEE HI DEFN SILICONE COSMESIS	L2999	$28310
PRSTH ADD LE ORTHOSIS HI STRENGTH LITEWT HYBRID COMPOSITE/SEG CUST	L2755	$360
PRSTH ADD LE PARTIAL FOOT HI DEFN SILICONE CUSTOM	L2999	$28310
PRSTH ADD LE THIGH/WEIGHT-BEAR QUADRILAT BRIM MOLDED PATIENT MODEL	L2510	$2540
PRSTH ADD UE ABOVE ELBOW DISARTICULATION ACRYLIC MATL	L7404	$890
PRSTH ADD UE ABOVE ELBOW DISARTICULATION ULTRALIGHT L	L7401	$280
PRSTH ADD UE ABOVE ELBOW/WRIST DISARTICULATION ACRYLIC MATERIAL	L7403	$1010
PRSTH ADD UE BELOW ELBOW/WRIST DISARTRICULATION ULTRALIGHT MATERIAL	L7400	$840
PRSTH ADD UE EXTENDED WARRANTY	L7499	$6800
PRSTH ADD UE FLEX/EXT WRIST USE WITH EXT POWERED TERM DEVICE	L6621	$6270
PRSTH ADD UE LOCKING ELBOW FOREARM COUNTERBALANCE	L6693	$4290
PRSTH ADD UE MOTORIZED ROTATING THUMB 110DEGREE ROTATION	L7499	$11500
PRSTH ADD UE QUICK DISCONNECT HOOK ADAPTOR OTO BOCK L	L6628	$3600
PRSTH ADD UE QUICK DISCONNECT LAMINAT COLLAR+COUPLING OTTOBOCK/EQUV	L6629	$490
PRSTH ADD UE REFER L7274 PROPORTIONAL CONTROL 6-12VOLT UTAH/EQUIV	L7499	$6900
PRSTH ADD UE TERMINAL DEVC USER ACTIVATE GRIP CONTROL PULSE MODULAT	L7499	$4700
PRSTH ADD UE TERMINAL DEVC USER ACTIVATE GRIP VARIABLE	L7499	$4700
PRSTH AE EXTERNAL POWER SYST MYOELECTRONIC CONTROL TE	L6955	$18000
PRSTH CUSTOM ABOVE ELBOW PROECTOR SILICONE COVER	L7499	$12400
PRSTH ELECTR HAND SWITCH/MYOELECTR CONTROL INDEP ARTIC DIGITS+MOTOR	L6880	$65450
PRSTH HAND INTEGRATED SYSTEM MICHELANGELO AXON BUS EC	L7499	$55000
PRSTH HAND INTEGRATED SYSTEM MICHELANGELO AXON BUS ELECTR OTTOBOCK	L7499	$81060
PRSTH WRST D-ARTC E-PWR MYOELC	L6925	$12560
PRSTHADD-AK 4BAR PNEUM CONTR	L5614	$7480
PRSTHADD-AK FLEX SOCKT EXFRM	L5651	$2680
PRSTHADD-AK MLTPLX FRCTNCONT	L5616	$2020
PRSTHADD-AK PELVCNTR NEOPREN	L5695	$350
PRSTHADD-AK PELVIC BELT LIGH	L5692	$460
PRSTHADD-AK PELVIC BELT PAD	L5694	$550
PRSTHADD-AK PELVIC JOINT-HIP	L5696	$570
PRSTHADD-AK PELVICBAND METAL	L5697	$240
PRSTHADD-AK SILESIAN BANDAGE	L5698	$500
PRSTHADD-AK SOCKT INSRT SILC		$1140
PRSTHADD-AK SOCKT INSRT SOFT	L5658	$770
PRSTHADD-AK TEST SOCKET	L5624	$810
PRSTHADD-AK/BK QUICK CHNG UN	L5617	$960
PRSTHADD-AK/KD ACRYLIC SOCKT	L5631	$590
PRSTHADD-AK/KD SCTN SUSP SCKT	L5652	$900
PRSTHADD-AK/KD TOTAL CONTACT	L5650	$770
PRSTHADD-AK/KD4BAR HYDR-CONT	L5613	$5470
PRSTHADD-AK/KD4BARFRCTNCONTR	L5611	$2840
PRSTHADD-ARM HARNESS-FIG 8 D	L6676	$980
PRSTHADD-ARM HARNESS-FIG 8 S	L6675	$850
PRSTHADD-ARM-ADDL DISCNCT LOCWRST	L6616	$190
PRSTHADD-ARM-CONTROL X-CABLE	L6655	$460
PRSTHADD-ARM-DISCNCT LOCWRST	L6615	$370
PRSTHADD-ARM-PLYCNTRC HNG/PR	L6600	$290
PRSTHADD-ARM-SGL PIVOTHNG/PR	L6605	$290
PRSTHADD-BE/D-WRST FRAM SCKT	L6687	$930
PRSTHADD-BK ACRYLIC/EPOXY	L5629	$690
PRSTHADD-BK FLEX INNER SOCKT	L5645	$1340
PRSTHADD-BK FORK STRAP	L5684	$140
PRSTHADD-BK GLUT THGH LACER	L5682	$110
PRSTHADD-BK JOINT COVERS/PR	L5678	$110
PRSTHADD-BK KNE JT SGL AX/PR	L5676	$580
PRSTHADD-BK MOLD DISTL CUSHN	L5668	$200
PRSTHADD-BK POLYCENTR KNE/PR	L5677	$980
PRSTHADD-BK REMOVBL MED BRIM	L5672	$550
PRSTHADD-BK SCKT INSRT CUFF	L5666	$140
PRSTHADD-BK SCKTINSRT MLTDUR	L5665	$1520
PRSTHADD-BK SOCKT INSRT SILC		$1780
PRSTHADD-BK SOFT LINR KEMBLO	L5655	$1260
PRSTHADD-BK SUCTION SOCKET	L5647	$1560
PRSTHADD-BK SUPRACONDYL SUSP	L5670	$810
PRSTHADD-BK SUSPENSN SLEEVE		$140
PRSTHADD-BK TEST SOCKET	L5620	$1210
PRSTHADD-BK TOTAL CONTACT	L5637	$840
PRSTHADD-BK WAIST BELT PAD	L5690	$240
PRSTHADD-BK/AK SUSPENS LOCK	L5671	$1860
PRSTHADD-CHEST/SHLDR HARNESS	L6672	$350
PRSTHADD-D-ELBO/AE FRAM SCKT	L6688	$1000
PRSTHADD-D-ELBO/AE TEST SCKT	L6682	$490
PRSTHADD-D-SHLDR FRAME SCKT	L6689	$1140
PRSTHADD-D-SHLDR/IT TEST SCK	L6684	$740
PRSTHADD-D-WRST/BE TEST SCKT	L6680	$490
PRSTHADD-ELECT VARI POS LOCK	L5999	$1600
PRSTHADD-EXSKL-LE AX ROTAT UN	L5982	$1370
PRSTHADD-FOOT FLEXIBLE KEEL	L5972	$740
PRSTHADD-FOOT SGL AXIS ANKLE	L5974	$900
PRSTHADD-FOOT SHANK SYSTEM	L5987	$11820
PRSTHADD-FT COMBO ANKL+KEEL	L5975	$800
PRSTHADD-FT MULTAX ANK+DYN1PC	L5979	$6560
PRSTHADD-FT MULTAXIAL ANKL/FT	L5978	$1160
PRSTHADD-FT SEATTL ENERGY STO	L5976	$1600
PRSTHADD-HD FLEX SOCKT EXFRAM	L5643	$2390
PRSTHADD-HEMIPELVCTM TESTSCKT	L5628	$1200
PRSTHADD-HIP DISARTC TESTSCKT	L5626	$1370
PRSTHADD-HOOK-HND CABL ADAPT	L6670	$200
PRSTHADD-INTERSCAP FRAM SCKT	L6690	$1340
PRSTHADD-KD SOCKT INSRT SILC		$1300
PRSTHADD-KD SOFT LINR KEMBLO	L5656	$760
PRSTHADD-KNE DISARTC TESTSCKT	L5622	$940
PRSTHADD-LE BK SUSPN/SEAL SLV	L5685	$175
PRSTHADD-LE CUST INSRT CNG/ATY	L5681	$2100
PRSTHADD-LE CUST INSRT LCKMECH	L5673	$1300
PRSTHADD-LE CUST INSRT OTHER	L5683	$2100
PRSTHADD-LE CUST INSRT WO LOCK	L5679	$1100
PRSTHADD-LE FOOT FLEX SYSTEM	L5980	$9560
PRSTHADD-LE ISCHIAL M-L SCKT	L5649	$2830
PRSTHADD-LE MULTIAX ROTAT UN	L5986	$1560
PRSTHADD-LE SYMES MEDIAL SCKT	L5636	$400
PRSTHADD-LE SYMES PTB BRMSCKT	L5632	$350
PRSTHADD-LE TEST SOCKT SYMES	L5618	$510
PRSTHADD-LE WALK FLEX SYSTEM	L5981	$5700
PRSTHADD-LE WALL SOCKET SYMES	L5630	$1250
PRSTHADD-LO EXTR ADJ HEEL HGT	L5990	$2500
PRSTHADD-LO LIMB VACUUM PUMP	L5781	$5355
PRSTHADD-LO LIMB+V-SHCK REDUC	L5988	$2900
PRSTHADD-SHLDR FLX-ABD JT/EA	L6645	$680
PRSTHADD-UE AE/BE LCK MEC EXCL SCKT INS	L6698	$1920
PRSTHADD-UE CABL LINING TEFLN	L6665	$80
PRSTHADD-UE HEAVY DUTY CABLE	L6660	$190
PRSTHADD-UE REMOVBL INSRT EA	L6691	$730
PRSTHADD-UE SILICON INSRT EA	L6692	$1190
PRSTHADD-UE SUCTION SOCKET	L6686	$1250
PRSTHADENDSKL-AK MANL LOCK	L5925	$730
PRSTHADENDSKL-AK PROT COVR	L5964	$2120
PRSTHADENDSKL-AK TITANIUM	L5950	$1960
PRSTHADENDSKL-AK/HD ALGN SYST	L5920	$840
PRSTHADENDSKL-AK/HD KNE-ASST	L5850	$230
PRSTHADENDSKL-BK ALIGN SYST	L5910	$730
PRSTHADENDSKL-BK PROT COVR	L5962	$1590
PRSTHADENDSKL-BK TITANIUM	L5940	$1390
PRSTHADENDSKL-FT KEEL SACH	L5970	$450
PRSTHADENDSKL-HD MECH HIPASST	L5855	$910
PRSTHADENDSKL-HD PROT COVR	L5966	$2680
PRSTHADENDSKL-HD ULTRALT	L5960	$1680
PRSTHADENDSKL-HI ACT KNE CONTR	L5930	$5750
PRSTHADENDSKL-KS 1AX MANUAL	L5810	$1030
PRSTHADENDSKL-KS 4BAR LINK	L5840	$2810
PRSTHADENDSKL-KS ADJ FLEX	L5845	$2600
PRSTHADENDSKL-KS FLUID SW&ST	L5828	$8780
PRSTHADENDSKL-KS FLUID SWING	L5824	$3240
PRSTHADENDSKL-KS FRICT SW&ST	L5818	$2030
PRSTHADENDSKL-KS HYDRL MINI	L5826	$4850
PRSTHADENDSKL-KS MCRPRC SW	L5857	$11401
PRSTHADENDSKL-KS MCRPRC SW&ST	L5856	$32129
PRSTHADENDSKL-KS PNEUM SW&ST	L5822	$2520
PRSTHADENDSKL-KS PNEUM SWING	L5830	$4010
PRSTHADENDSKL-KS POLYC HYDR	L5814	$5380
PRSTHADENDSKL-KS POLYC SYST	L5816	$1800
PRSTHADENDSKL-KS SAFTYKNEE	L5812	$1380
PRSTHADENDSKL-KS STANCE EXT	L5848	$1700
PRSTHADENDSKL-KS U-LT MANL	L5811	$1540
PRSTHADENDSKL-KS VARIFRCTN	L5714	$810
PRSTHADENDSKL-LE AX ROTAT UN	L5984	$1700
PRSTHADENDSKL-LE DYNAM PYLON	L5985	$620
PUMP ANGIOJET THROMBOLYSIS POSSIS		$750
PUMP MITYVAC		$330
PUMP PAIN ON-Q 12.5 4ML/HR DISPOSABLE		$1270
PUMP PAIN ON-Q 6.5 2ML/HR DISPOSABLE		$620
PUMP PAIN ON-Q 6.5 4ML/HR DISPOSABLE		$830
PUMP SET POSSIE		$1430
PVAD PERCUTAN VAD TANDEMHEART SYSTEM		$33000
REFILL KIT FOR IMPLANT INFUSION PUMP	A4220	$70
REFILL KIT FOR IMPLANT INFUSION PUMP	A4220	$70
REPLC SOCKET ABV ELBOW/ELBOW DISART MOLDED	L6884	$8630
REPLC SOCKET BLW ELBOW/WRIST DISART MOLDED	L6883	$4990
REPLC SOCKET SHOULDER DISART/INTERSCAP THORACIC MOLDED	L6885	$12320
REPR PNEUM ANKL SPLNT PRFB+FIT	L4350	$220
REPR PNEUM LEG SPLNT PREFB+FIT	L4370	$220
REPR PNEUM WALK SPLNT PREFAB+FIT BOOT	L4360	$320
REPR PNEUM WALK SPLNT PREFAB+FIT PNEUMATIC UNNA	L4360	$700
REPR PNEUM WALK SPLNT PRFB+FIT	L4360	$890
REPR STATIC AFO POSITION/PRESS	L4396	$420
REPR WALK BOOT NONPNEUM PREFB	L4386	$275
RESEARCH GRANT FILTER EMBOL PROT ACCUNET	C1880	$5170
RESEARCH GRANT IMPL NEUROSTM KINETRA	C1767	$15370
RESP TRACH TUBE SPCH VALV-PASSYMUIR		$370
RETRIEVER 4X15MM SOLITAIRE		$21730
RETRIEVER 4X20MM SOLITAIRE		$21730
RETRIEVER 6X20MM SOLITAIRE		$21730
RETRIEVER CLOT CAPTURE LP EV3 COVD		$22850
ROTALINK ATHERECTOMY ADVANCER	C1894	$670
ROTALINK ATHERECTOMY CATH BURR	C1724	$3650
SASK ADD-ANKL TORSCONTR+STIRUP	L2375	$250
SASK ADD-BAR ABDUCTN JOINTED ADJ	L2300	$470
SASK ADD-DORSASSIST&PLNTRESIST	L2210	$370
SASK ADD-FT PLATE MOLD+STIRRUP	L2250	$1310
SASK ADD-KNE OFFSET HVYDUTY/JT	L2395	$350
SASK ADD-KNEE STRAIT HEAVYDUTY	L2385	$300
SASK ADD-PRETIBIAL SHELL MOLD	L2340	$1000
SASK ADD-SOLID REINFOR STIRRUP	L2260	$840
SASK ADD-VAR/VALGU PLASTIC+PAD	L2275	$250
SASKADD-DORS&PLNT ADJ ANKL JNT	L2220	$330
SASKADD-VAR/VALGUS T-STRAP+PAD	L2270	$230
SCREW HEAD RING EACH RADIONICS		$700
SELECTRA LEAD DELIVERY SYSTEM ACCESSORY KIT BTNK		$420
SEPTAL OCCLUDER CARDIOFORM GORE P050006	C1817	$23300
SET MICROPUNCTURE 4F STIFF		$140
SET PUMP ANGIOJET DISPOSABLE		$750
SEWHO ABD AIRPLANE PREFAB+FIT	L3960	$1030
SHEATH NAVIGATOR URETERAL ACCESS SET		$500
SHEATH CHECK FLO		$200
SHEATH CV COOK		$60
SHEATH FIXCURVE 8.5FR NAVIEASE SYNAPTIC	C1893	$1910
SHEATH GUIDE CPS OTHERTHAN PEEL STJUDE	C1893	$2090
SHEATH GUIDE CPS PEELAWAY STJUDE	C1892	$2090
SHEATH GUIDE PEELAWAY	C1892	$140
SHEATH GUIDE PEELAWAY ALLIANCE STJUDE	C1892	$2100
SHEATH GUIDE PEELAWAY APEEL STJUDE	C1892	$1580
SHEATH GUIDE PEELAWAY BANANA PEEL BSCI	C1892	$360
SHEATH GUIDE PEELAWAY INPUT BARD	C1892	$200
SHEATH GUIDE PEELAWAY ONE STEP ARGON	C1892	$200
SHEATH GUIDE PEELAWAY SEALAWAY STJUDE	C1892	$290
SHEATH GUIDE PEELAWAY STJUDE	C1892	$170
SHEATH GUIDE RAABE HAUSDORF COOK		$400
SHEATH GUIDE SAFESHEATH OTHER ST JUDE	C1893	$290
SHEATH GUIDE SAFESHEATH PEELAWAY PRESPRD	C1892	$500
SHEATH GUIDE SAFESHEATH PEELAWAY ST JUDE	C1892	$900
SHEATH GUIDE SSV PEELAWAY BARD	C1892	$200
SHEATH GUIDE TRANSSEPTAL NRG BAYLIS	C1892	$2130
SHEATH INTRDCR DRYSEAL TAA TAG GORE	C1894	$1200
SHEATH INTRDCR PINNACLE RO HI TERU BSCI	C1894	$800
SHEATH INTRDCR PINNACLE RO II TERU BSCI	C1894	$700
SHEATH INTRDCR AMPLATZ	C1894	$30
SHEATH INTRDCR APRIMA COOK	C1894	$260
SHEATH INTRDCR AVANTI WO GW CORDIS	C1894	$200
SHEATH INTRDCR AVANTI +GW CORDIS	C1894	$100
SHEATH INTRDCR AXERA 280 ARST	C1760	$680
SHEATH INTRDCR AXS INFINITY STRY	C1894	$1480
SHEATH INTRDCR BALKAN CONTRALATERAL COOK	C1894	$190
SHEATH INTRDCR BANANAPEEL BSCI	C1894	$150
SHEATH INTRDCR CHECK-FLO PERFORMER COOK	C1894	$410
SHEATH INTRDCR CHECKFLO COOK	C1894	$400
SHEATH INTRDCR COOK-Z STENT COOK	C1894	$700
SHEATH INTRDCR CV BALKIN COOK	C1894	$190
SHEATH INTRDCR CV DIAG 5F-11F	C1894	$200
SHEATH INTRDCR CV SUPERFLEX ARROW	C1894	$500
SHEATH INTRDCR CV SUPERFLX 8F	C1894	$150
SHEATH INTRDCR DAIG STJUDE	C1894	$500
SHEATH INTRDCR DIAG 23CM	C1894	$80
SHEATH INTRDCR DIAG CORDIS	C1894	$120
SHEATH INTRDCR DIAG DILATOR	C1894	$60
SHEATH INTRDCR DIAG EPS INTRACARD TRIO	C1894	$300
SHEATH INTRDCR DIAG FASTCATH STJUDE	C1894	$700
SHEATH INTRDCR DIAG MAXIMUM STJUDE	C1894	$290
SHEATH INTRDCR DIAG MICROPUNCTURE COOK	C1894	$130
SHEATH INTRDCR DIAG OBTURATOR	C1894	$80
SHEATH INTRDCR DIAG SUPER ARROW 11CM	C1894	$70
SHEATH INTRDCR DIAG SUPER ARROW 24CM	C1894	$150
SHEATH INTRDCR DIAG SUPER ARROW 45CM	C1894	$100
SHEATH INTRDCR DIAG SUPER ARROW 80CM	C1894	$190
SHEATH INTRDCR DRYSEAL FLEX TAA AAA GORE	C1894	$1950
SHEATH INTRDCR DVILL BRAUN	C1894	$760
SHEATH INTRDCR EDWARDS	C1894	$130
SHEATH INTRDCR EDWARDS OTH THAN GUID/EP NONLASER	C1894	$400
SHEATH INTRDCR ELITE HV GALT COMED	C1894	$157
SHEATH INTRDCR ENGAGE 12CM STJUDE	C1894	$30
SHEATH INTRDCR ENGAGE 24CM STJUDE	C1894	$70
SHEATH INTRDCR EXLARGE CHECK-FLO PERFORMER COOK	C1894	$1090
SHEATH INTRDCR FASTCATH 2PC STEER STJUDE	C1766	$540
SHEATH INTRDCR FLEXOR RAABE COOK	C1894	$130
SHEATH INTRDCR GLIDE NITINOL BSCI	C1894	$170
SHEATH INTRDCR GLIDESHEATH SLENDER TERUMO	C1894	$230
SHEATH INTRDCR HIFLO ANGIODYNAMICS	C1894	$90
SHEATH INTRDCR HIFLO + GUIDEWIRE TERUMO	C1894	$80
SHEATH INTRDCR HIFLO WO GUIDEWIRE TERUMO	C1894	$110
SHEATH INTRDCR LEAD CRT DELIV BIOTRONIK	C1894	$2670
SHEATH INTRDCR MICROEZ BARD	C1894	$120
SHEATH INTRDCR MICROEZ BARD OTH THAN GUID/EP NONLASER	C1894	$120
SHEATH INTRDCR OTH	C1894	$40
SHEATH INTRDCR PERFORMER COOK	C1894	$300
SHEATH INTRDCR PERFORMER MULLINS COOK	C1894	$340
SHEATH INTRDCR PINNACLE TERUMO BSCI	C1894	$500
SHEATH INTRDCR POWERLOC BARD	C1894	$40
SHEATH INTRDCR PRELUDE EASE OTH THAN GUID/EP NONLASER MERT	C1894	$150
SHEATH INTRDCR PRELUDESNAP MERIT	C1894	$100
SHEATH INTRDCR RADIOFOCUS TERU	C1894	$200
SHEATH INTRDCR RENAL PINNACLE DEST BSCI	C1894	$300
SHEATH INTRDCR SET TIPS GORE	C1894	$1580
SHEATH INTRDCR SHUTTLE FLEXOR SELCT COOK	C1894	$700
SHEATH INTRDCR SUPER SHEATH BSCI	C1894	$330
SHEATH INTRDCR TAA AAA POWERLINK ENGX	C1894	$2500
SHEATH INTRDCR TAA TAG GORE	C1894	$1050
SHEATH INTRDCR TIPS GORE	C1894	$1050
SHEATH INTRDCR TRIFORCE PREI COOK	C1894	$1080
SHEATH INTRDCR WORLEY ADV CSG MERIT	C1892	$1120
SHEATH INTRDCR WORLEY ADV LVI MERIT	C1892	$1230
SHEATH INTRODUCER BRITE TIP CORDIS	C1893	$340
SHEATH INTRODUCER CARD DIAG		$50
SHEATH INTRODUCER SUPER SHEATH PED PEDIAVASCULAR	C1894	$840
SHEATH RETRIEVAL BENT TIP BOSTON SCI		$250
SHEATH URETERAL ACCESS FORTE		$310
SHIELD INTRDCR PERFORMER RADIOPAQUE TIP COOK	C1894	$310
SHOE ADD-ORTHOPED VELCRO CLOS	L3580	$60
SHOE ADDITION FULL SOLE	L3540	$140
SHOE DEPTH INLAY CUSTOM	L3230	$640
SHOE FULL SOLE HEEL WEDGE BETWEEN	L3420	$160
SHOE LIFT HEEL TAPER TO METATARSAL	L3300	$150
SHOE METATARSAL BAR WEDGE BETWEEN	L3410	$260
SHOE MOD ADD TRANS NOS	L3649	$120
SHOE MODIF-CLUBFOOT WEDGE	L3380	$60
SHOE MODIF-HEEL NEW RUBBER	L3460	$50
SHOE MODIF-HEEL SACH CUSHION	L3450	$370
SHOE MODIF-HEEL&SOLE NEOPRN/IN	L3310	$200
SHOE MODIF-LIFT HEEL PER INCH	L3334	$60
SHOE MODIF-LIFT TAPER UPTO 1/2	L3332	$130
SHOE MODIF-M-TARS BAR WDG RCKR	L3400	$80
SHOE MODIF-WEDGE HEEL	L3350	$70
SHOE MODIF-WEDGE SOLE OUTSIDE	L3360	$60
SHOE ORTH INSRT-LONG ARCH SUPP	L3010	$340
SHOE ORTH INSRT-PLASTOZOTE EA	L3002	$180
SHOE ORTH INSRT-UCB MOLDED EA	L3000	$430
SHOE ORTH INSRT/PLATE-FT REMOV	L3031	$120
SHOE ORTH-INDEPTH LADIES	L3216	$150
SHOE ORTH-INDEPTH MENS	L3221	$150
SHOE ORTH-PLASTOZOTE CUST EA	L3253	$180
SHOE ORTHO MAN OXFORD BRACE	L3225	$250
SHOE ORTHO WOMAN OXFORD BRACE	L3224	$210
SHOE ORTHO-LADIES OXFORD	L3215	$85
SHOE ORTHO-MENS OXFORD	L3219	$85
SHOE ORTHOPEDIC WOMEN		$20
SHOE OUTFLARE WEDGE	L3390	$140
SHOE SOLE WEDGE BETWEEN SOLE	L3370	$140
SHOULDER DISART EXT POWER MYOELECTRONIC CONTROL	L6965	$43040
SHOULDER DISART EXT POWER SWITCH CONTROL	L6960	$37060
SHUNT FLO-COIL CTS GUIDANT ACS		$320
SHUNT INTRAVASC ANASTAFLO EDWARDS BAXTER		$1400
SLEEP LAB CPAP EXTERNAL POWER SUPPLY RESPIRONICS		$100
SLEEP LAB CPAP HEADGEAR CLIPS RESPIRONICS		$20
SLEEP LAB CPAP POWER CORD RESPIRONICS		$30
SLEEP LAB CPAP TRAVEL BAG RESPIRONICS		$100
SLEEP LAB CPAP/BIPAP FLEECE TUBING WARP RESPIRONICS		$30
SLEEVE SWAN		$100
SLEEVE SWAN 406501		$20
SLING ARM		$10
SLING ARM +IMMOBILIZER		$30
SLING ARM UNIV	A4565	$30
SLING KNEE KODEL		$30
SLING LEG		$170
SLING POLYESTER		$330
SLING URINARY REPAIR DEVICE+GRAFT IMPLNT	C1771	$3030.3 - 21062.25
SNARE AMPLATZ MICRO RETRIEVE DEVICE	C1773	$2730
SNARE AMPLATZ RETRIEVE MEDICAL DEVICE	C1773	$1670
SNARE POLYPECTOMY MINI OVAL		$200
SNARE TARGET		$620
SO FIGURE8 ABDUCTN PREFAB+FIT	L3650	$150
SO FIGURE8 ABDUCTN PREFAB+FIT DJ ORTHO	L3650	$50
SO FLEX+PELV/SACR SUPP PREFAB OTS	L0621	$330
SO RIG PELV/SACR SUPP PREFAB OTS	L0623	$500
SO SHLDR SGL ELASTIC PREFB+FIT		$100
SO SHOULDER DESIGN WITHOUT JOINT CUSTOM	L3670	$10
SO SHOULDER DESIGN WITHOUT JOINT CUSTOM	L3670	$10
SO SPINE ADD-PROTCT BODSOCK EA	L0984	$100
SO STABIL HARD PLAST PREFB+FIT		$670
SO TLSO A-P-L +INTERFACE NOT OTH SPEC	L1499	$2400
SOFT PROTECT HELMET PREFAB	A8000	$510
SOLARA CRT-P MRI SURESCAN NONQUAD PMA P010015 S317	C2621	$23310
SOLARA CRT-P MRI SURESCAN QUAD PMA P010015 S317	C2621	$24980
SPACER NANOKNIFE TISS ABLATION		$60
SPEECH BOOK SELF HELP LARYNG		$30
SPINE DEVICE INTERSPIN PROC DISTRCT IMPL	C1821	$18315 - 43290
SPIRATION IBV VALVE HDE H060002		$9160
SPLINT ARM		$75
SPLINT ELBOW		$30
SPLINT FINGER ALUMINUM		$18
SPLINT FOOT RECUMBENT POS DEV PREFAB	L4398	$460
SPLINT KNEE		$50
SPLINT THUMB		$45
SPLINT WRIST		$15
STABILIT FIRST FRACTURE KIT WITH BONE CEMENT		$9330
STAR TUMOR ABLATION SYSTEM	C1886	$11660
STEM CELL ISOLEX COLUMN		$5570
STENT <=4F TEMP NONCORON+DELIV SYSTEM BSCI	C2625	$800
STENT >=5F TEMP NONCORON+DELIV SYSTEM BSCI	C2625	$800
STENT 90 NONCORONARY TEMP WO DELIVERY	C1877	$660
STENT ABSORB BVS DRUG ELUT+DELIV SYST ABBOTT	C1874	$5160
STENT BILI WALL COVERED+DELIV SYST BSCI	C1874	$7700
STENT BILI WALL NONCOV+DELIV SYST BSCI	C1876	$7500
STENT BILI WALLFLEX COVERED+DELIV SYST BSCI	C1874	$10000
STENT BILIARY ABSOLUTE GUIDANT	C1876	$4030
STENT BILIARY EPIC BSCI	C1876	$5980
STENT BILIARY EXPRESS / LD BSCI	C1876	$4650
STENT BILIARY EXPRESS LD BOSTON SCI	C1876	$4640
STENT BILIARY EXPRESS MONORAIL RENAL	C1876	$4020
STENT BILIARY EXPRESS SD MONORAIL BSCI	C1876	$4620
STENT BILIARY FLEXSTAR	C1876	$4500
STENT BILIARY FLEXSTAR 120 EDWARDS	C1876	$7330
STENT BILIARY FLEXSTAR 150 EDWARDS	C1876	$8000
STENT BILIARY LIFESTENT TURBO EDWARDS	C1876	$3670
STENT BILIARY LIFESTENT VALEO EDWARDS	C1876	$3670
STENT BILIARY LIFESTENT XL EDWARDS	C1876	$3670
STENT BILIARY PRECISE CORDIS P030047	C1876	$5980
STENT BILIARY SILICONE TEMP WO BENTEC	C1877	$2800
STENT BILIARY SMART NITINOL CORDIS	C1876	$5820
STENT BILIARY VALEO BARD	C1876	$3330
STENT BILIARY XPERT ABBOTT	C1876	$4800
STENT BILIARY ZILVER NONCOATED/NONCOVERED+DELIV SYSTEM COOK	C1876	$5500
STENT BILIARY ZILVER PTX COATED/COVERED+DELIV SYSTEM COOK	C1874	$6600
STENT CARDIAC ACS GUIDANT	C1876	$7580
STENT CARDIAC AVE	C1876	$7230
STENT CARDIAC CORDIS	C1876	$7580
STENT CARDIAC DRUG ELUT ION / TAXUS BSCI	C1874	$8090
STENT CARDIAC NIROYAL 9MM	C1874	$5680
STENT CAROTID ACCULINK GUIDANT	C1876	$6830
STENT CAROTID WALLMR IDE P050019S01 BSCI	C1876	$9980
STENT CAROTID XACT NONCOV+DELIV ABBOTT	C1876	$8150
STENT CAROTID XACT PMA P040038 ABBOTT		$8150
STENT COATED/COVERED WO DELIV SYS CP STENT BBRA	C1875	$22700
STENT COATED/COVERED WO DELIVERY SYSTEM	C1875	$17815.5 - 22977
STENT COATED/COVERED+DELIVERY SYSTEM	C1874	$3912.75 - 58508.93
STENT COMPLETE SE COV+DELV MDTR	C1874	$3160
STENT CORONARY SYNERGY DRUG ELUT+DELV BSCI	C1874	$4500
STENT COVERED VIABAHN 10CM GORE	C1874	$10370
STENT COVERED VIABAHN 15CM GORE	C1874	$12010
STENT COVERED VIABAHN 2.5CM GORE	C1874	$9790
STENT COVERED VIABAHN 25CM GORE	C1874	$20070
STENT COVERED VIABAHN 5CM GORE	C1874	$9790
STENT COVERED VIABAHN 7.5CM GORE	C1874	$10900
STENT COVERED VIABAHN FEM-ILLIAC GORE	C1874	$10110
STENT COVERED VIABAHN VBX BALLOON EXP <29 MM GORE	C1874	$8090
STENT COVERED VIABAHN VBX BALLOON EXP >=29MM AND <79MM GORE	C1874	$9790
STENT COVERED VIABAHN VBX BALLOON EXP >=79MM GORE	C1874	$10740
STENT COVERED VIABAL BILI GORE	C1874	$8900
STENT CYPHER RX-ELUTING CORDIS	C1874	$7330
STENT ENDOPROSH UROLUME AMS	C1876	$14380
STENT ENTERAL WALL NCV+DELIV SYST BSCI	C1876	$8750
STENT ESOPH ULTRAFLEX COVERED+DELIV BSCI	C1874	$9000
STENT ESOPH ULTRAFLEX NONCOV+DELIV BSCI	C1876	$5170
STENT ESOPH WALL COV+DELIV SYST BSCI	C1874	$9800
STENT ESOPH WALL COV+DELIV SYST BSCI	C1874	$8500
STENT ESOPH WALL UNCOV+DELIV SYST BSCI	C1876	$6000
STENT EVOLUTION ESOPHAGEAL DUODENAL NONCOV+DELIV SYST COOK	C1876	$7360
STENT EXPRESS2 MONORAIL SCIMED BSCI	C1876	$3830
STENT FLAIR FLARED COVERED+DELIVERY BARD	C1874	$8310
STENT FLAIR STRAIT COVERED+DELIVERY BARD	C1874	$6800
STENT GRAFT COV+DELIV LIFESTREAM BALLOON EXPANDABLE BARD	C1874	$8160
STENT GRAFT COV+DELIV SYST <250MM RELAY PLUS ENDOVASC BOLTON	C1874	$54604
STENT GRAFT COV+DELIV SYST >=250MM RELAY PLUS ENDOVASC BOLTON	C1874	$68720
STENT GRAFT COV+DELIV SYST VALIANT CAPTIVIA TAA MDTR P100040	C1768	$58510
STENT GRAFT COV+DELIV SYST ZEN ALPHA THORACIC COOK P140016	C1874	$51620
STENT GRAFT COV+DELIV SYST ZEN ALPHA THORACIC DISTAL EXT COOK P140016	C1874	$31640
STENT GRAFT COV+DELIV SYST ZEN FENSTRTD ENDO DISTAL COOK P020018	C1874	$35500
STENT GRAFT COV+DELIV SYST ZEN FENSTRTD ENDO PROXIMAL COOK P020018	C1874	$35500
STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO BIFURCATED COOK P020018	C1874	$27300
STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO CONVT COOK P020018	C1874	$7300
STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO ILIAC LEG EXT COOK P020018	C1874	$6300
STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO ILIAC PLUG COOK P020018		$6100
STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO MB EXT COOK P020018	C1874	$6300
STENT GRAFT COV+DELIV SYST ZEN RENU ANCIL CONVERTE COOK P020018	C1874	$21100
STENT GRAFT COV+DELIV SYST ZEN RENU ANCIL MB EXT COOK P020018	C1874	$17400
STENT GRAFT COV+DELIV SYST ZEN SPIRAL-Z ILIAC LEG COOK P020018	C1874	$10000
STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL COMP COOK P070016	C1874	$21300
STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL COMP COOK P070016	C1874	$16800
STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL EXT COOK P070016	C1874	$16800
STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO PROXIMAL COMP COOK P070016	C1874	$39100
STENT GRAFT VIATORR GORE	C1874	$13760
STENT HEPACOAT CORDIS	C1874	$5720
STENT HERCULINK ELITE ABBOTT	C1876	$5320
STENT HERCULINK GUIDANT	C1876	$5800
STENT ICAST COVERED+DELIVERY ATRIUM	C1874	$9000
STENT INTRACOIL 40MM EV3	C1877	$4670
STENT INTRACOIL 60MM EV3	C1876	$5170
STENT INTRASTENT MAX LD BILIARY EV3	C1877	$4500
STENT INTRASTENT MEGA LD BILIARY EV3	C1877	$4500
STENT MEDTRONIC	C1876	$6740
STENT MULTILINK ML VISION ABBOTT GUIDANT	C1876	$3670
STENT MULTILINK ML ZETA ABBOTT GUIDANT	C1876	$2840
STENT MULTILINK ULTR PIX TETR ABBOTTGUID	C1876	$6000
STENT NEPHROURETERAL IE BOSTON SCI	C2617	$460
STENT NEURO ATLAS HDE H020002	C1876	$26630
STENT NEURO ENTERPRISE CORDIS H060001	C1876	$17320
STENT NEUROFORM 10MM BOSTONSCI H020002	C1876	$13210
STENT NEUROFORM 15MM BOSTONSCI H020002	C1876	$13360
STENT NEUROFORM 20MM BOSTONSCI H020002	C1876	$13950
STENT NEUROFORM 30MM BOSTONSCI H020002	C1876	$14250
STENT NIR ON RANGER+DELIV BSCI	C1876	$6920
STENT NIR ON RANGER+DELIV BSCI	C1876	$6920
STENT NONCOATED/NONCOVERED WO DELIV SYST	C1877	$276.39 - 6725.27
STENT NONCOATED/NONCOVERED+DELIV SYSTEM	C1876	$208.13 - 8158.5
STENT NONCOATED/NONCOVERED+DELIV SYSTEM COOK	C1876	$200
STENT NONCOV+DELIV ABBOTT	C1876	$7980
STENT OMNILINK ABBOTT GUIDANT	C1876	$5470
STENT PALMAZ CORINTHIAN IQ WO CORDIS	C1877	$2840
STENT PALMAZ GENESIS WO DELIVERY CORDIS	C1877	$4500
STENT PALMAZ GENESIS+DELIVERYSYST CORDIS	C1876	$3710
STENT PALMAZ SCHATZ WO DELIVERY CORDIS	C1877	$5320
STENT PALMAZ WO DELIVERY SYST CORDIS	C1877	$4500
STENT PARAMOUNT MINI EV3	C1876	$3000
STENT PIXEL CORONARY ABBOTT	C1876	$3410
STENT POLYFLEX AIRWAY COVERED+DELIV BSCI	C1874	$8500
STENT PROMUS DRUG ELUT+DELV BSCI	C1874	$5170
STENT PROTEGE EV3	C1876	$5400
STENT PROTEGE RX CAROTID EV3 COVIDIEN	C1876	$6200
STENT PULSERIDER COV+DELIV SYST H160002 IRB#17-001331 NCT02312856	C1874	$41630
STENT REBEL NONCOV WITH MR DELIV BSCI	C1876	$2330
STENT RESOLUTE COV+DELV MDTR	C1874	$5000
STENT RESOLUTE ONYX < 4.5MM COV+DELV MDTR	C1874	$4050
STENT RESOLUTE ONYX >= 4.5MM COV+DELV MDTR	C1874	$4300
STENT SENTINOL BOSTON SCI	C1876	$3920
STENT SMART CONTROL CORDIS	C1876	$6580
STENT SYMPHONY LARGE NONCOV WO DELIV	C1877	$6260
STENT SYMPHONY SMALL NONCOV WO DELIV	C1877	$6000
STENT TEMP BILIARY WO DELIV SYSTEM BOSTON SCI	C2617	$300
STENT TEMP NONCORON WO DELIV SYSTEM	C2617	$164.84 - 1563.5
STENT TEMP NONCORON WO DELIV SYSTEM COOK	C2617	$200
STENT TEMP NONCORON+DELIV SYSTEM	C2625	$289.71 - 3003.66
STENT TEMP PERCUFLEX TAIL PLUS	C2617	$540
STENT TEMP URETER INLAYOPTIMA+DELIV BARD	C2625	$550
STENT TEMP URETERAL +DELIVERY SYST COOK	C2625	$140
STENT TEMP URETERAL DIVERSION BSCI	C2617	$370
STENT TEMP URETERAL GYRUS	C2617	$800
STENT TEMP URETERAL INLAY +DELIV BARD	C2625	$400
STENT TEMP URETERAL RESONANCE+DELIV COOK	C2625	$3010
STENT TEMP URETERAL UNIVERSA COOK	C2617	$300
STENT TEMP URETHRAL TARKINGTON COOK	C2617	$350
STENT TRACHBRNCH/ESOPH COVERED+DELIV SYST MERIT	C1874	$7950
STENT TRACHEA/BRONCHUS COOK-Z STENT COOK	C1877	$2790
STENT TRACHEOBRONCH FLUENCY BARD	C1874	$6170
STENT TRACHEOBRONCH ULTRAFLEX COVERED+DELIV BSCI	C1874	$10300
STENT TRACHEOBRONCH ULTRAFLEX NONCOV+DELIV BSCI	C1876	$9400
STENT URETERAL BOSTON SCI	C2617	$500
STENT URETERAL FLEXIMA BOSTON SCI	C2617	$380
STENT VISIPRO PRIMUS EV3	C1876	$2700
STENT WALL NONCOAT+DELIV MDIT	C1876	$3580
STENT WALL SMALL NONCOV+DELIV	C1876	$5650
STENT WALL STENT RP BILIARY BOSTON SCI	C1876	$6700
STENT WALL STENT TRACHEOBRONCHIAL BSCI	C1874	$5650
STENT WALLGRAFT 20-50MM BOSTON SCI	C1874	$6500
STENT WALLGRAFT 70MM BOSTON SCI	C1874	$7500
STENT WINGSPAN BOSTON SCI HDE H050001	C1876	$19970
STENT XIENCE DRUG ELUT+DELIV SYST ABBOTT	C1874	$6830
STENT XIENCE NANO DRUG ELUT+DELIV ABBOTT	C1874	$4320
STENT XIENCE PRIME DRUG ELUT+DELV ABBOTT	C1874	$5420
STENT XIENCE SIERRA CORONARY DRUG ELUT+DELIV SYST ABBOTT	C1874	$4160
STOCKERT CONNECTING CABLE	C1732	$640
STOCKING SURGICAL KNEE LENGTH EACH		$19
STOCKING TED KNEE		$10
STOCKING TED THIGH		$20
STONE RETRIEV BASKET WITTICH COOK		$1360
STONE RETRIEV DEVC MAHORNER		$1380
SUPPORT AIRCAST ANKLE CONTROL SPLINT	L4350	$130
SUPPORT LUMBAR FLEX + VELCRO		$162
SUPPORT MALE		$15
SUPPORT MAMMARY		$180
SUPPORT SUSPENSORY		$30
SUPPORT SWIM		$20
SUPPORT WRIST ELASTIC		$20
SUPRAPUBIC CATH STAMEY		$150
SURGICAL IMPLANT		$1 - 99900
SURGICAL IMPLANT LAMINARIA NATURAL	A4649	$40
SURGICAL IMPLANT LAMINARIA SYNTHETIC	A4649	$30
SWIM MOLDS (1)	V5264	$60
SYSTEM BREAST MRKG SADOWSKY		$490
SYSTEM DELIVERY BLLN 18MM ENSE MDTR H080002		$21650
SYSTEM DELIVERY BLLN 20MM ENSE MDTR H080002		$21650
SYSTEM DELIVERY BLLN 22MM ENSE MDTR H080002		$21650
SYSTEM EMBOLC CYANOACRYLATE IMPL		$8210
SYSTEM PEG GW INITIAL 20F PULL		$300
SYSTEM PEG REPL TUBE NON-BALL USEN		$170
TEP VOICE CLIN INSRT-DUCKBILL	L8509	$160
TEP VOICE CLIN INSRT-DUCKBL SP	L8509	$330
TEP VOICE CLIN INSRT-INDWEL	L8509	$660
TEP VOICE CLIN INSRT-INDWEL SP	L8509	$730
TEP VOICE CLIN INSRT-LOPRSS	L8509	$200
TEP VOICE CLIN INSRT-LOPRSS SP	L8509	$300
TEP VOICE CLIN INSRT-NID	L8509	$290
TEP VOICE CLIN INSRT-PROVX2	L8509	$490
TEP VOICE PT INSERTED-DUCKBILL	L8507	$130
TEP VOICE PT INSERTED-LOPRESS	L8507	$200
TEP VOICE PT INSERTED-PRVX NID	L8507	$290
TERM DEV HAND MECHANICAL VOLUNTARY CLOSE	L6709	$4690
TERM DEV HAND MECHANICAL VOLUNTARY CLOSE PEDS	L6714	$3770
TERM DEV HAND MECHANICAL VOLUNTARY OPEN	L6708	$3230
TERM DEV HAND MECHANICAL VOLUNTARY OPEN PEDS	L6713	$4450
TERM DEV HOOK MECHANICAL VOLUNTARY CLOSE	L6707	$4780
TERM DEV HOOK MECHANICAL VOLUNTARY CLOSE PEDS	L6712	$3520
TERM DEV HOOK MECHANICAL VOLUNTARY OPEN	L6706	$1250
TERM DEV HOOK MECHANICAL VOLUNTARY OPEN PEDS	L6711	$1910
TERM DEV HOOK OR HAND HVY DTY VOLUNTARY CLOSE	L6722	$5770
TERM DEV HOOK OR HAND HVY DTY VOLUNTARY OPEN	L6721	$6700
TERM DEV MULTI ART DIGIT W MOTOR	L6715	$8990
TERM DEV PASS HAND/MITT	L6703	$2620
TERM DEV SPRT/REC/WORK ATTACH	L6704	$2260
THERASPOONS SET		$160
THORACENTESIS SUPPLY		$100
THORACOSTOMY SUPPLY		$460
THORATEC CANNULA ARTERIAL VAD		$12330
THORATEC CANNULA ATRIAL IVAD		$9150
THORATEC CANNULA VENTRIC IVAD		$9150
THORATEC LEAD ELCTRD 5-7FT ADD		$990
THORATEC VAD DRIVER TLCII SYSTEM		$316370
THORATEC VAD TLC-II DRIVER SYST PORT		$249770
THORATEC VENT ASSIST DEVICE IVAD		$183160
TISSUE LOC&EXCIS SENOMARK SENORX	C1879	$2600
TISSUE MARKER BREAST SENORX	C1819	$2800
TISSUE MARKER IMPLANT	A4648	$3330 - 3330
TISSUE MARKER IMPLANT BIOZORB FOCL	A4648	$3330
TISSUE MARKER IMPLANT RAD ONC	A4648	$36.63 - 616.05
TISSUE MARKER MICROMARK II ETHICON	C1879	$410
TISSUE MARKER ULTRACLIP II INRAD	C1819	$250
TLSO 2 SHL SYMPHYSIS STERN PREFAB W CUSTOM FIT	L0460	$2820
TLSO 3MOD SYMPHYSIS STERN PREFAB	L0462	$3510
TLSO 4MOD SYMPHYSIS STERN PREFAB	L0464	$4180
TLSO A-P-L CONTR+INTERFC/KYDEX	L0486	$4890
TLSO A-P-L-ROTAT CONTR HYPERXT	L0472	$590
TLSO ADDN-ANT THOR DEROTAT PAD	L1260	$240
TLSO ADDN-ANTERIOR ASIS PAD	L1250	$240
TLSO ADDN-LAT TROCHANTERIC PAD	L1290	$240
TLSO ADDN-LUMBAR DEROTATE PAD	L1240	$240
TLSO ANT-POS CONTROL PREFB+FIT	L0468	$810
TLSO ANT-POST CONTROL/TAYLOR	L0466	$770
TLSO ANT-POST-LAT CONTR/KNIGHT	L0470	$840
TLSO CORSET FRONT	L0970	$420
TLSO FLEX D-LUMBAR ELAST+PNL	L0454	$490
TLSO FLEX D-LUMBAR HYPEREXTNSN	L0456	$530
TLSO FLEX DORSOLUMBAR CUST FAB	L0452	$1050
TLSO FLEX DORSOLUMBAR SUPPORT	L0450	$460
TLSO INITIAL ORTHOSIS /BOSTON	L1200	$4840
TLSO SPINE ADDN-FULL CORSET	L0974	$450
TO ELASTIC SUPPORT	A4467	$40
TORQUE DEVICE GUIDANT MALLINCKRODT		$200
TRACH TUBE		$400
TRACH TUBE +CANNULA		$20
TRACH TUBE ENDO		$200
TRACH TUBE SPEAKING VALVE PASSY-MUIR	L8501	$200
TRACHEOSTOMY SHOWER PROTECTOR ATOS	A7523	$290
TRACHEOSTOMY SUPPLY		$340
TRANS/METACARPAL OR PART HAND PROSTH MYO CNTRL EXCL TERM DEVC	L6026	$13440
TRANSDUCER EDWRD/NVLYST/HEMDYN		$1000
TRANSFER CATHETER		$260
TRANSJUGULAR ACCESS ANGIODYNAMICS	C1887	$1350
TRAY PERICARDIOCENT PIGTAIL 7F		$740
TRCHTUBE STOMA FILTER HOLDER PROVOX ATOS	A7507	$300
TRNSFR BTW SHOES CALIPER EXIST	L3600	$100
TRNSFR BTW SHOES CALIPER NEW	L3610	$280
TRNSFR BTW SHOES STIRRUP EXIST	L3620	$170
TRNSFR BTW SHOES STIRRUP NEW	L3630	$50
TRUFILL N-BCA EACH 1GRAM CORDIS		$15600
TRUSS DOUBLE W STANDARD PAD	L8310	$520
TRUSS SINGLE W STANDARD PAD	L8300	$330
TUBE CIRCLE NEPHROSTOMY MENTOR	C1729	$590
TUBE CONNECTING		$340
TUBE ESOPHAGEAL BLAKEMORE		$900
TUBE FEEDING FREDERICK MILLER		$240
TUBE FEEDING JEJUNAL MIC KIMBERLY CLARK		$390
TUBE GASTROENTERIC MIC KIMBERLY CLARK		$600
TUBE GASTROSTOMY MIC		$400
TUBE GASTROSTOMY MIC KIMBERLY CLARK		$130
TUBE GASTROSTOMY MIC-KEY LOWPRO KIMB HALY	B4088	$310
TUBE GASTROSTOMY PEG JEJUNAL		$1200
TUBE GASTROSTOMY PEG MIC		$410
TUBE JEJUNOSTOMY MIC KIMBERLY CLARK		$700
TUBE LARYNGECTOMY 5200 SAFE-T-TUBE MONTGOMERY BSTN	A7520	$620
TUBE LARYNGECTOMY ATOS	A7520	$260
TUBE LARYNGECTOMY FENESTRATED INHEALTH	A7520	$240
TUBE LARYNGECTOMY INHEALTH	A7520	$190
TUBE LARYNGECTOMY PROVOX ATOS	A7520	$380
TUBE MAX PEG RING PULL CORFLO CRPK		$420
TUBE NASOJEJUNAL		$390
TUBE PEG/PEJ BSCI CONMED		$270
TUBE STOMACH ANDERSON		$15
TUBE STOMACH BARD KIMB		$270
TUBE STOMACH LEVINE		$60
TUBE STOMACH LINTON		$1020
TUBE STOMACH MILLER ABBOTT		$200
TUBE TRACHEOSTOMY BIVONA SMITH	A7520	$190
TUBE TRANSGASTRIC JEJUNAL MIC KIMBERLY		$650
TUBE TRANSGASTRIC JEJUNAL MIC-KEY LOWPRO KIMB HALY	B4088	$1120
TUBE URODYNAMIC PUMP		$210
TWELVE VOLT BATTERY EACH	L7364	$1380
UE FRACTURE ORTH HUMERAL W SHLD CAP W WO JTS FOREARM PREFAB+FIT	L3981	$2600
UNIV NEURO III PLATE SYST MESH STRY	C1781	$2540
UNLISTED PROC FOR MISC PROSTHETIC SVCS	L8499	$2664 - 34840.72
URINARY INCONTIENCE REPAIR DEVICE WO SLING	C2631	$1493.17 - 5538.46
URINARY TRACT BULK AGENT SYNTHETIC 1ML	L8606	$1054.94 - 1170.5
UROSTOMY DRAIN		$200
UROSTOMY PACK		$120
UROSTOMY POUCH		$40
VAD CONTROLLER	Q0506	$2800
VAD DEVICE ABIOMED AB5000 VAD ASSIST DEVICE P900023		$124910
VAD DEVICE ABIOMED BVS5000 VAD SYST P900023		$46640
VAD DEVICE ABIOMED BVS5000 VAD SYST P900023 REPLACEMENT		$46640
VAD DEVICE ABIOMED IMPELLA 5.0		$93240
VAD DEVICE CENTRIMAG VAD PROBE REPLACEMENT	Q0505	$9000
VAD DEVICE HEARTMATE 3 LVAD CABLE CAP REPLACEMENT	Q0485	$1580
VAD DEVICE HEARTMATE 3 LVAD CONTROLLER REPLACEMENT	Q0481	$18320
VAD DEVICE HEARTMATE 3 LVAD MODULAR CABLE REPLACEMENT	Q0485	$16480
VAD DEVICE HEARTMATE ELECTRIC EMERG POWER PAC	Q0491	$300
VAD DEVICE HEARTMATE ELECTRIC REPLACEMENT BATTERY	Q0496	$480
VAD DEVICE HEARTMATE II BELT STABILIZATION	Q0499	$340
VAD DEVICE HEARTMATE II CONTROLLER	Q0482	$11660
VAD DEVICE HEARTMATE II LVAD POCKET CONTROLLER REPLACEMENT	Q0481	$18320
VAD DEVICE HEARTMATE II PATIENT SUPPORT SUPPLY	Q0505	$30080
VAD DEVICE HEARTMATE II VAD CONDUIT REPLACEMENT	Q0508	$19650
VAD DEVICE HEARTMATE II VAD OUTFLOW REPLACEMENT	Q0508	$15990
VAD DEVICE HEARTMATE II VAD PT SUPPORT & SYST KIT	Q0505	$321470
VAD DEVICE HEARTMATE II VAD PT SUPPORT KIT 12V NI	Q0505	$40270
VAD DEVICE HEARTMATE II VAD PT SUPPORT KIT 14V LI	Q0505	$41050
VAD DEVICE HEARTMATE VAD BTTRY CLIP 12V /14V REPLACEMENT	Q0497	$3670
VAD DEVICE HEARTMATE VAD BAG CONSOLIDATED	Q0505	$1090
VAD DEVICE HEARTMATE VAD BATTERY CLIP REPLACEMENT	Q0497	$600
VAD DEVICE HEARTMATE VAD BATTERY CONTROLL REPLACEMENT	Q0505	$930
VAD DEVICE HEARTMATE VAD BATTERY HOLSTER REPLACEMENT	Q0498	$660
VAD DEVICE HEARTMATE VAD BATTERY REPLACEMENT	Q0496	$3000
VAD DEVICE HEARTMATE VAD BELT MODULAR REPLACEMENT	Q0499	$1150
VAD DEVICE HEARTMATE VAD BELT STABLIZER REPLACEMENT	Q0499	$340
VAD DEVICE HEARTMATE VAD BTTRY SET 14V / 12V REPLACEMENT	Q0506	$8330
VAD DEVICE HEARTMATE VAD CABLE EMERGENCY REPLACEMENT	Q0493	$650
VAD DEVICE HEARTMATE VAD CABLE FOR CONTROLLER REPLACEMENT	Q0505	$1090
VAD DEVICE HEARTMATE VAD CABLE PM MONITOR REPLACEMENT	Q0486	$1340
VAD DEVICE HEARTMATE VAD DISPLAY MODULE REPLACEMENT	Q0484	$10150
VAD DEVICE HEARTMATE VAD EMERG HAND PUMP REPLACEMENT	Q0494	$840
VAD DEVICE HEARTMATE VAD EMERG PWR REPLACEMENT	Q0491	$2840
VAD DEVICE HEARTMATE VAD FILTERS REPLACEMENT	Q0500	$100
VAD DEVICE HEARTMATE VAD MICROPROC REPLACEMENT	Q0482	$3730
VAD DEVICE HEARTMATE VAD NIGHT BELT	Q0499	$380
VAD DEVICE HEARTMATE VAD PBU CABLE REPLACEMENT	Q0486	$840
VAD DEVICE HEARTMATE VAD PM DC INPUT CABLE REPLACEMENT	Q0486	$750
VAD DEVICE HEARTMATE VAD PM PT CABLE REPLACEMENT	Q0486	$3170
VAD DEVICE HEARTMATE VAD POCKET PAK	Q0505	$300
VAD DEVICE HEARTMATE VAD POWER CABLE REPLACEMENT	Q0505	$120
VAD DEVICE HEARTMATE VAD POWER CORD REPLACEMENT	Q0505	$180
VAD DEVICE HEARTMATE VAD POWER MODULE PATIENT CABLE	Q0508	$4160
VAD DEVICE HEARTMATE VAD POWER MODULE REPLACEMENT	Q0489	$25980
VAD DEVICE HEARTMATE VAD POWER PAC REPLACEMENT	Q0489	$41630
VAD DEVICE HEARTMATE VAD POWER UNITS REPLACEMENT	Q0489	$267480
VAD DEVICE HEARTMATE VAD SHOWER COVER REPLACEMENT	Q0501	$1420
VAD DEVICE HEARTMATE VAD TRAVEL CASE	Q0505	$540
VAD DEVICE HEARTMATE VAD UNIV BATTERY CHARGER REPLACEMENT	Q0495	$23980
VAD DEVICE HEARTMATE VAD VEST REPLACEMENT	Q0499	$1320
VAD DEVICE HEARTMATE VAD WEARABLE ACCESSORY STRAP BELT BAG	Q0508	$570
VAD DEVICE HEARTMATE XVE VAD ACCESSORY SUPPLY	Q0505	$3340
VAD DEVICE HEARTMATE XVE VAD CABLE ADAPTOR DISPLAY	Q0505	$1000
VAD DEVICE HEARTMATE XVE VAD CONDUIT REPLACEMENT	Q0505	$13990
VAD DEVICE HEARTWARE HVAD ASSIST DEVICE P100047		$280400
VAD DEVICE JARVIK HEART ARTIFICIAL		$249770
VAD DEVICE THORATEC CANNULA ARTERIAL IVAD		$8000
VAD DEVICE THORATEC CANNULA ATRIAL		$8000
VAD DEVICE THORATEC CANNULA VENTRIC VAD		$9330
VAD DEVICE THORATEC IVAD LEAD SIGNAL REPLACEMENT	Q0487	$990
VAD DEVICE THORATEC VAD POWER ADAPTER REPLACEMENT	Q0504	$1000
VAD DEVICE THORATEC VAD BATTERY CHARGER REPLACEMENT	Q0495	$10000
VAD DEVICE THORATEC VAD BATTERY REPLACEMENT	Q0503	$3340
VAD DEVICE THORATEC VAD DRIVER REPLACEMENT	Q0480	$249770
VAD DEVICE THORATEC VAD DRIVER TLCII SYSTEM REPLACEMENT	Q0480	$316370
VAD DEVICE THORATEC VAD DUAL LEAD ELECTRIC REPLACEMENT	Q0487	$820
VAD DEVICE THORATEC VAD DUAL LEAD PNEUM REPLACEMENT	Q0487	$370
VAD DEVICE THORATEC VAD EMERG HAND PUMP REPLACEMENT	Q0494	$270
VAD DEVICE THORATEC VAD LEAD EXTENSION REPLACEMENT	Q0487	$990
VAD DEVICE THORATEC VAD LEAD PNEUMATIC REPLACEMENT	Q0487	$920
VAD DEVICE THORATEC VAD MOBILITY CART REPLACEMENT	Q0502	$1670
VAD DEVICE THORATEC VAD POWER ADAPTER REPLACEMENT	Q0505	$330
VAD DEVICE THORATEC VAD PROGRAMMER REPLACEMENT	Q0505	$31640
VAD DEVICE THORATEC VAD STROKE LIMITER REPLACEMENT	Q0505	$2270
VAD DEVICE THORATEC VAD TLC CASE CARRYING	Q0505	$840
VAD DEVICE THORATEC VAD TLC CASE SHIPPING	Q0505	$3000
VAD DEVICE THORATEC VAD TLC LEAD ELECTRIC REPLACEMENT	Q0487	$950
VAD DEVICE THORATEC VAD TLC LEAD PNEUM REPLACEMENT	Q0487	$840
VAD DEVICE THORATEC VENT ASSIST DEVICE VAD		$188660
VAD GRAFT HEARTMATE 3 SEALED OUTFLOW GRAFT WITH BEND RELIEF REPLACEMENT	C1768	$15980
VAD HEARTMATE3 LVAD IMPLANT KIT W/ CONTROLLER		$332770
VAD HEARTMATE3 LVAD SURGICAL ACCESSORIES SPARES REPLACEMENT	Q0508	$5540
VAD HEARTWARE BATTER CHARGER REPLACEMENT P100047	Q0495	$20320
VAD HEARTWARE BATTERY REPLACEMENT P100047	Q0506	$2500
VAD HEARTWARE CONTROLLER KIT REPLACEMENT P100047	Q0481	$23820
VAD HEARTWARE DC ADAPTER FOR CONTROLLER REPLACEMENT P100047	Q0478	$6670
VAD HEARTWARE MONITOR KIT REPLACEMENT 1520US P100047	Q0483	$16650
VAD HEARTWARE MONITOR KIT REPLACEMENT P100047	Q0483	$33140
VAD HEARTWARE PATIENT PACK REPLACEMENT P100047	Q0498	$1420
VAD HEARTWARE SHOWER BAG ACCESSORY REPLACEMENT P100047	Q0501	$1000
VAD HEARTWAVE BATTERY REPLACEMENT P100047	Q0491	$1420
VAD HEARTWAVE PACK SHOULDER REPLACEMENT P100047	Q0498	$1500
VAD HEARTWAVE PACK WAIST REPLACEMENT P100047	Q0498	$1500
VAD HEARTWAVE PATIENT PACK REPLACEMENT P100047	Q0508	$300
VAD IMPELLA RP RIGHT ABIOMED		$83250
VAD TANDEMHEART HOLSTER	Q0498	$330
VAD TANDEMHEART HOLSTER PATCH	Q0499	$80
VAD TANDEMHEART PROC KIT CARDIO ASSIST		$74930
VAD TANDEMHEART PROTEK ARTERIAL CANNULA		$1650
VAD TANDEMHEART PROTEKDUO VENO-VENOUS CANNULA 29F		$31640
VAD TANDEMHEART PROTEKDUO VENO-VENOUS CANNULA KIT		$83254
VAD TANDEMHEART PUMP KIT		$58280
VAD TANDEMHEART TRANSSEPTAL CANNULA SET		$6490
VALVE AORTIC / MITRAL MOSAIC MEDR	C1763	$17670
VALVE AORTIC STENTLESS	C1763	$20090
VALVE DELTA LEVEL 2 SMALL		$4600
VALVE GRFT AORTIC TAVR EDWARDS	C1763	$108240
VALVE MITRAL BIOPROSTH	C1763	$8500
VALVE MITRAL CARPENTIER	C1763	$10600
VENA CAVA FILTER	C1880	$3030.3 - 4828.5
VERT COMPRESFX DEVC KYPHX-1LVL		$11670
VERT COMPRESFX DEVC KYPHX-ADDL		$7860
VERTEBROPLSTY INTRODUCER SYSTEM KYPHX		$3620
VERTEBROPLSTY TAMPDEVC ELEVATE KYPHX		$3900
VERTEBROPLSTY TAMPDEVC EXACT KYPHX		$3850
VERTEBROPLSTY TAMPDEVC EXPRESS KYPHX		$3660
VERTEBROPLSTY TAMPDEVC XPANDER KYPHX		$3660
VOCAL CORD MEDIALIZATION SYNTHETIC	C1878	$1914.75 - 2081.25
WALK BOOT NEXTEP DJ ORTHO	L4386	$170
WALK BOOT PNEUM SPLNT PREFAB+FIT DJORTHOTICS	L4360	$160
WHFO +NONOTORSION JOINTS CUST	L3806	$510
WHFO ADD-S&L OPPON IP EXT+STOP	L3931	$170
WHFO RIGID WO JOINTS CUSTOM	L3808	$610
WHFO RIGID WO JOINTS CUSTOM SHORT OPPONENS	L3808	$260
WHFO WO JT PREFAB	L3809	$650
WHFO WO JT PREFB+FIT ANY TYPE	L3807	$360
WHFO WRIST DORSAL PREFAB+FIT	L3931	$180
WHFO WRIST GAUNTLET MOLD CUST	L3906	$970
WHFO WRIST GAUNTLET MOLD CUSTOM ORTHO	L3906	$20
WHFO1+NONTORSION JTS PREFB+FIT	L3931	$160
WHO +NONOTORSION JOINTS CUST	L3905	$650
WHO WRST E-COCKUP+JT PREFB+FIT	L3915	$220
WHO WRSTCONTR COCKUP DJ ORTHO	L3908	$50
WHO WRSTCONTR COCKUP PREFB+FIT	L3908	$160
WIRE TIP DEFLECTING		$120
WO ELASTIC WRAP UNIV	A4467	$20
WRIST DISART EXT POWER SWITCH CONTROL	L6920	$21630
WT BEAR ADD-LACER NONMOLDED	L2530	$380

Neonatal Transport

Description	CPT Code	Standard Charge
NEONATAL-PED INTERFAC TRNSPRT CRITICAL CARE BY PHYSICIAN 30-74MIN	99466	$2160
NEONATAL-PED INTERFAC TRNSPRT CRITICAL CARE BY PHYSICIAN EA ADDL 30	99467	$1080
NEONATAL-PED TRNSPRT AFTER HRS		$60
NEONATAL-PED TRNSPRT EQUIPMENT		$250
NEONATAL-PED TRNSPRT MED SUPPL		$250
NEONATAL-PED TRNSPRT TIME 10HR		$2110
NEONATAL-PED TRNSPRT TIME 11HR		$2321
NEONATAL-PED TRNSPRT TIME 12HR		$3170
NEONATAL-PED TRNSPRT TIME 13HR		$2743
NEONATAL-PED TRNSPRT TIME 14HR		$2954
NEONATAL-PED TRNSPRT TIME 15HR		$3165
NEONATAL-PED TRNSPRT TIME 16HR		$3376
NEONATAL-PED TRNSPRT TIME 17HR		$3587
NEONATAL-PED TRNSPRT TIME 18HR		$3798
NEONATAL-PED TRNSPRT TIME 19HR		$4009
NEONATAL-PED TRNSPRT TIME 1HR		$211
NEONATAL-PED TRNSPRT TIME 20HR		$4220
NEONATAL-PED TRNSPRT TIME 2HR		$530
NEONATAL-PED TRNSPRT TIME 3HR		$790
NEONATAL-PED TRNSPRT TIME 4HR		$1060
NEONATAL-PED TRNSPRT TIME 5HR		$1320
NEONATAL-PED TRNSPRT TIME 6HR		$1580
NEONATAL-PED TRNSPRT TIME 7HR		$1850
NEONATAL-PED TRNSPRT TIME 8HR		$2110
NEONATAL-PED TRNSPRT TIME 9HR		$2370

Nuclear Medicine

Description	CPT Code	Standard Charge
ABSCESS RADIOPHARM LOCALIZ LIMITED	78805	$2810
ABSCESS RADIOPHARM LOCALIZ SPECT	78807	$3990
ABSCESS RADIOPHARM LOCALIZ WHOLE BODY	78806	$2810
ADMIN RADPHARM IV I131 THYROID CA ABLAT	79101	$830
ADMIN RADPHARM IV RADIUM223 THERAPEUTIC	79101	$830
ADMIN RADPHARM IV THERAPEUTIC	79101	$830
ADMIN RADPHARM ORAL I131 THYROID ABLAT	79005	$830
ADRENAL IMAGE CORTX+/- MEDULLA	78075	$2810
BONE IMAGING LIMITED VIEW	78300	$1220
BONE IMAGING SPECT	78320	$3180
BONE IMAGING THREE PHASE	78315	$3130
BONE IMAGING WHOLE BODY	78306	$2190
BONE JOINT IMAGING MULTI AREAS	78305	$1352
BONE MARROW IMAGE LIMITED AREA	78102	$1220
BONE MARROW IMAGE MULTI AREAS	78103	$1220
BONE MARROW IMAGE WHOLE BODY	78104	$1590
BRAIN IMAGING + VASCULAR FLOW	78606	$1590
BRAIN IMAGING COMPLETE SPECT	78607	$2810
BRAIN IMAGING COMPLETE STATIC	78605	$1590
BRAIN IMAGING LIMITED VASCULAR FLOW	78601	$1413
CARDIAC GATED STRESS & REST MULTI	78473	$1640
CARDIAC GATED STRESS & REST SINGLE	78472	$1220
CARDIAC GATED WALL MOTION SPECT	78494	$1220
CARDIAC MI IMAGING PLANAR	78466	$1220
CARDIAC MI IMAGING PLANAR SPECT	78469	$2810
CARDIAC POOLING 1ST PASS (RV-LV) EF	78481	$1590
CARDIAC SHUNT DETECTION	78428	$1220
CARDIAC STRESS/REST PLANAR MULTI	78454	$2810
CARDIAC STRESS/REST PLANAR SINGLE	78453	$2810
CARDIAC STRESS/REST SPECT MULTI	78452	$2810
CARDIAC STRESS/REST SPECT SINGLE	78451	$2810
CISTERNOGRAM CSF FLOW IMAGING	78630	$1940
CSF LEAK DETECTION & LOCALIZATION	78650	$2810
ESOPHAGEAL TRANSIT STUDY	78258	$1220
GASTRIC EMPTYING STUDY	78264	$1220
GASTROESOPHOGEAL REFLUX STUDY	78262	$1220
GI BLEED ACUTE IMAGING	78278	$1220
GI BLEED ACUTE IMAGING POST24	78278	$1220
HEPATOBILIARY SYSTEM IMAGE WITH PHARMACOLOGIC INTERVENTION	78227	$4030
HEPATOBILIDUCTAL SYSTEM +/-PHARM GBEF	78226	$1220
KIDNEY FNCT STUDY NON-IMAGING	78725	$1220
KIDNEY IMAGING FNCT&FLO MULT+/-RX	78709	$1590
KIDNEY IMAGING FNCT&FLO SGL	78708	$1590
KIDNEY IMAGING FNCT&FLO SGL WO RX	78707	$1590
KIDNEY IMAGING MORPHOLOGY STATIC	78700	$1220
LIVER FXN+HEPTBILI AGENT SERIAL	78226	$1220
LIVER IMAGING SPECT	78205	$2810
LIVER IMAGING VASCULAR FLOW	78202	$2810
LIVER SPECT+VASCULAR FLOW	78206	$2000
LIVER&SPLEEN IMAGING STATIC ONLY	78215	$1220
LIVER&SPLEEN IMAGING WITH VASCULAR FLOW USING RADIO-LABEL RBC	78216	$1220
LUNG PERFUSION IMAGE PARTICULATE	78580	$1220
LUNG QUANT DIFFERENTIAL STUDY	78597	$1220
LUNG VENTILATION & PERFUSION IMAGING	78579	$1220
LUNG VENTILATION IMAGING MULT VIEWS	78579	$1220
LUNG VENTILATION IMAGING SINGLE GASEOUS	78579	$1220
LYMPH DRAINAGE IMAGING	78195	$1590
MECKELS DIVERTICULM IMAGING	78290	$1220
PARATHYROID IMAGING	78070	$1220
PARATHYROID IMAGING+SPECT	78071	$1220
PARATHYROID IMAGING+SPECT & CT	78072	$1590
PLASMA VOLUME MULTI SAMPLINGS	78111	$2810
PULM VENT & PERF IMG	78582	$1590
RADIOPHARM THERAPY INTRA-ARTICULAR	79440	$1480
RADPHARM THER INTRA-ART PARTICULAT ADMIN	79445	$830
RADPHARM THERAPY IV MONOCLONAL ANTIBODY	79403	$1480
RBC LIVER IMAGING SPECT	78205	$2810
RBC LIVER IMAGING STATIC ONLY	78201	$2810
RBC SURVIVAL STUDY ONLY	78130	$1220
RBC SURVIVAL STUDY+HEP SEQUSTR	78135	$1310
SALIVARY GLAND FUNCTION STUDY	78232	$1220
SALIVARY GLAND IMAGING	78230	$1220
SALIVARY GLAND IMAGING+SERIAL IMAGING	78231	$1220
SCHILLING VITAMIN B12 ABSORPTION + IF	78271	$1220
SCHILLING VITAMIN B12 ABSORPTION +/-IF	78272	$1220
SCHILLING VITAMIN B12 ABSORPTION WO IF	78270	$1220
SHUNT CSF EVALUATION IMAGING	78645	$1590
SHUNT LEVEEN PATENCY TEST IMAGING	78291	$1220
SPLEEN IMAGE ONLY +/-VASC FLOW	78185	$1220
TESTICULAR IMAGING +VASC FLOW	78761	$1220
THYROID CA METASTATES UPTAKE	78020	$480
THYROID CA METS I131 LIMITED	78015	$1220
THYROID CA METS I131 WHOLE BODY	78018	$1590
THYROID IMAGE ONLY	78013	$1220
THYROID IMAGING SGL DETERMINATION	78014	$1220
THYROID UPTAKE SINGLE OR MULTIPLE DETERMINATION	78012	$1530
TUMOR RADIOPHARM LOC WHOLEBODY 2/+DAYS	78804	$4210
TUMOR RADIOPHARM LOCALIZ LIMITED	78800	$1220
TUMOR RADIOPHARM LOCALIZ MULTIPLE	78801	$1220
TUMOR RADIOPHARM LOCALIZ SPECT	78803	$3390
TUMOR RADIOPHARM LOCALIZ WHOLE BODY	78802	$2810
UREA C-14 BREATH TEST ACQUISITION FOR ANALYSIS	78267	$280
UREA C-14 BREATH TEST ANALYSIS	78268	$280
VASCULAR FLOW IMAGE NONCARDIAC	78445	$1220
VENOGRAM BILATERAL	78458	$1220
VENOGRAM UNILATERAL	78457	$2810
VOIDING CYSTOGRAM RADIOPHARM	78740	$1314
WHOLE BLOOD VOL+RBC&PLASMA VOL	78122	$1590
XENON CBF IMAGING STUDY	78610	$1590

Operating Room

Description	CPT Code	Standard Charge
ABDOMEN MUSCULOSKELETAL LOC	22999	$4960
ABLAT ADB PERITONEUM OMENT LSN	49999	$3250
ABLAT PERC CRYOABLATION NERVE PLEX TRNCL NERVE W IMAGE GUIDE	0442T	$20250
ABLATE LEFT / RIGHT ATRIAL FIB	93657	$13390
ABLATE SPONT / INDUCE ARRHYTHM	93655	$13390
ABLATION LUNG LESION	32999	$2140
ABLATION RF PULMONARY UNILAT	32998	$15710
ABSCESS DRAIN GALLBLADDER	47490	$4250
ABSCESS DRAIN LOWER EXTREMITY	27603	$3390
ABSCESS DRAIN LYMPH NODE EXTN	38305	$4720
ABSCESS DRAIN NECK	21501	$3390
ABSCESS DRAIN OVARIAN ABDOMINAL APPROACH	58822	$4400
ABSCESS DRAIN OVARIAN VAGINAL APPROACH	58820	$7950
ABSCESS DRAIN PAROTID COMPLEX	42305	$7700
ABSCESS DRAIN PAROTID SIMPLE	42300	$3980
ABSCESS DRAIN PELVIS TRANSRECT	45000	$3280
ABSCESS DRAIN PNEUMONOSTOMY	32200	$668
ABSCESS DRAIN SUBMAXILLARY	42320	$670
ABSCESSOGRAM INJECTION	49424	$540
ANGIO CORON PERQ MAJOR SGL	92920	$17800
ARTHERCT CORON PERQ MAJ SGL	92924	$36780
ARTHERCT&STENT CORON PERQ SGL	92933	$56070
ARTHRODESIS PRESACRAL WITH GRAFT L5-S1	22586	$32760
ARTHROGRAM ANKLE INJECTION	27648	$150
ARTHROGRAM ELBOW INJECTION	24220	$270
ARTHROGRAM HIP INJECT + ANESTH	27095	$630
ARTHROGRAM HIP INJECTION	27093	$670
ARTHROGRAM KNEE INJECTION	27370	$540
ARTHROGRAM SHOULDER INJECTION	23350	$740
ARTHROGRAM WRIST INJECTION	25246	$560
ARTHROPLASTY REVISE HUMERAL & GLENOID COMPARTMENT	23474	$32760
ARTHROPLASTY REVISE HUMERAL & ULNAR COMPARTMENT	24371	$53800
ARTHROPLASTY REVISE HUMERAL / GLENOID COMPARTMENT	23473	$35430
ARTHROPLASTY REVISE HUMERAL / ULNAR COMPARTMENT	24370	$35430
ATHERECTOMY AORTA	0236T	$36780
ATHERECTOMY BRACHIOCEPHALIC	0237T	$36780
ATHERECTOMY ILIAC	0238T	$56070
BILIARY DILATION WITH IMAGE GUIDANCE S&I	47542	$1075
BILIARY DILATION WITH STENT	47556	$15710
BILIARY DILATION WITHOUT STENT	47555	$10190
BILIARY ENDOSCOPY+ BIOPSY	47553	$4250
BILIARY ENDOSCOPY+ BRUSH BX	47552	$10190
BILIARY ENDOSCOPY+STONE REMOVE	47554	$6550
BILIARY TREE ENDOLUMINAL BIOSPY WITH IMAGE GUIDANCE S&I	47543	$1320
BIOPSY BREAST VAC/ROTAT DEV BI	19103	$6020
BIOPSY SALIVARY GLAND NEEDLE	42400	$2000
BONE MARROW LAB HPC HEMATOPOIETIC PROGEN BOOST	38243	$3250
BONE MARROW/STEMCELL TRANSPLANT ALLOGEN	38240	$7190
BONE MARROW/STEMCELL TRANSPLANT AUTOLOG	38241	$7190
BREAST DUCTOGRAM INJECTION	19030	$190
CACULI REMOVAL WITH IMAGE GUIDANCE	47544	$5440
CATH ABD/PELVIC/LE ADD 2ND/3RD	36248	$336
CATH ABD/PELVIC/LE ART 1ST ORD	36245	$1606
CATH ABD/PELVIC/LE ART 2ND ORD	36246	$1795
CATH ABD/PELVIC/LE ART 3RD ORD	36247	$2139
CATH BRACHIOCEPH/THOR ADD 2/3	36218	$244
CATH BRACHIOCEPH/THOR ART 1ST	36215	$1133
CATH BRACHIOCEPH/THOR ART 2ND	36216	$1287
CATH BRACHIOCEPH/THOR ART 3RD	36217	$1536
CATH CHANGE ABSCESS DRAIN	49423	$5000
CATH INTRO AORTA	36200	$500
CATH INTRO SVC/IVC	36010	$1371
CATH LEFT/RIGHT PULMONARY ART	36014	$1914
CATH MAIN PULMONARY ARTERY	36013	$695
CATH PLACE AORTA THORACIC	36221	$8720
CATH PLACE CAROTID/INNOM+INTRA	36223	$14930
CATH PLACE CAROTID/INNOM+XCRAN	36222	$8720
CATH PLACE CAROTID/VERT INTRA	36228	$12390
CATH PLACE EXTERNAL CAROTID	36227	$4913
CATH PLACE INTERNAL CAROTID	36224	$14930
CATH PLACE INTRAPERITONL PERM	49421	$10190
CATH PLACE PLEURAL TUNNELLED	32550	$10190
CATH PLACE SUBCLAVORINNOMINAT	36225	$8720
CATH PLACE VERTEBRAL ARTERY	36226	$14930
CATH PLACEMENT PORTAL VEIN	36481	$1700
CATH REMOVE INTRAPERITONL PERM	49422	$3640
CATH SEGMENTAL PULMONARY ART	36015	$400
CATH SELECT RENAL 1ST ORDER	36253	$6220
CATH SELECT RENAL 2ND/> ORDER	36254	$8720
CATH SELECT RENAL MAIN 1ST ORD	36251	$8720
CATH SELECT RENAL MAIN 2ND/>	36252	$8720
CATH VEIN 2ND ORDER	36012	$1245
CCS AUD DURING SURGERY PER HOUR		$130
CECOSTOMY/COLON TUB PERQ+FLUOR	49442	$3280
CELIAC PLEXUS DESTRCT NEURAGNT	64680	$2350
CERV CAROTID IMT EVAL CHD RISK	0126T	$190
CERV CAROTID STENT + EMB	37215	$5263
CERV CAROTID STENT WO EMB	37216	$4872
CHANGE CYSTOSTOMY TUBE COMPLEX	51710	$1980
CHANGE URETER STENT TRANSURETH	50385	$5930
CHEMICAL PLEURODESIS	32560	$2140
CHEMODENERV SALIVARY GLANDS BILAT	64611	$860
CHEMODENERVATION OF ECCRINE GLANDS BOTH AXILLAE	64650	$860
CHOLANGIOGRAM ACCESS PLACEMENT BILIARY WITH IMAGE GUIDANCE	47541	$10190
CHOLANGIOGRAM BILIARY DRAINAGE EXCHANGE WITH IMAGE GUIDANCE	47536	$10190
CHOLANGIOGRAM BILIARY DRAINAGE REMOVAL WITH IMAGE GUIDANCE	47537	$2600
CHOLANGIOGRAM BILIARY DRAINAGE WITH IMAGE GUIDANCE S&I EXTERNAL	47533	$10190
CHOLANGIOGRAM BILIARY DRAINAGE WITH IMAGE GUIDANCE S&I INTERNAL-EXTERNAL	47534	$10190
CHOLANGIOGRAM CONVERSION BILIARY DRAINAGE WITH IMAGE GUIDANCE S&I	47535	$10190
CHOLANGIOGRAM INJECTION WITH IMAGE GUIDANCE S&I EXISTING ACCESS	47531	$4250
CHOLANGIOGRAM INJECTION WITH NEW ACCESS	47532	$10190
CHOLANGIOGRAM STENT PLACEMENT WITH IMAGE GUIDANCE EXISTING ACCESS	47538	$15710
CHOLANGIOGRAM STENT PLACEMENT WITH IMAGE GUIDANCE NEW ACCESS WO SEP	47539	$15710
CHOLANGIOGRAM STENT PLACEMENT WITH IMAGE GUIDANCE W SEP	47540	$15710
CISTERNA/LAT CERV PUNCT WO INJ	61050	$1218
COLLECT BLOOD SPECIMEN FROM COMPLETELY IMPLANTABLE VC	36591	$370
CONVERT G-TUBE TO GJ-TUBE +FL	49446	$5000
CORPORA CAVERNOSOGRAM INJECTN	54230	$240
CRYO BREAST FIBROADENOMA EACH	19105	$9550
CRYOABLATION >= 1 PULM TUMOR PERQ UNI WITH IMAGE GUIDANCE	32994	$19640
CRYOABLATION BONE TUMOR(S) PERCUTANEOUS	20983	$19620
CRYOABLATION LIVER	47381	$3690
CRYOABLATION LIVER TUMOR(S) PERCUTANEOUS	47383	$15710
CRYOABLATION RENAL TUMOR BI	50593	$26580
CRYOABLATION RENAL TUMOR UNI	50593	$26580
CV CATH CHECK INJECTION	36299	$150
CV CATH REPLAC CENTR SAME ACC	36580	$3440
CV CATH REPLAC TUNNEL SAME ACC	36581	$8720
CV CATH REPOSITION	36597	$3440
CYST ASPIRATION BONE	20615	$2000
CYST ASPIRATION BREAST BILAT	19000	$2000
CYSTO + BIOPSY URETER	52354	$5400
CYSTOGRAM / VCUG INJECTION	51600	$820
CYSTOURETHROSCOPY+BIOPSY	52204	$5930
DACRYOCYSTOGRAM INJECTION	68850	$150
DESTRUCT C/THOR FACET ADD+IMAG	64634	$1060
DESTRUCT C/THOR FACET SGL+IMAG	64633	$5640
DESTRUCT L/S FACET ADDL+IMAG	64636	$1060
DILAT&CATH SALIV DUCT W WO INJ	42660	$1610
DRAIN OVARIAN CYST(S) VAGINAL	58800	$7950
DUODEN/JEJUNOSTOMY CHG+FLUORO	49451	$2600
DUODEN/JEJUNOSTOMY PERQ+FLUORO	49441	$2080
ECMO SUPPORT INSERT PERIPH CANNULA >= 6 Y/O	33952	$10675
ECMO SUPPORT VENOVENOUS INITIATION	33946	$8960
ENDOCRINE ETHANOL ABLAT / OTH	60699	$15710
ENDOUMINAL BIOPSY WITH IMAGE GUIDANCE S&I	50606	$5340
ENDOVASC INTRACRANIAL PROLNG ADMIN RX AGENT ART 1ST	61650	$12090
ENDOVASC INTRACRANIAL PROLNG ADMIN RX AGENT ART EA ADD	61651	$5140
ENDOVASC TEMP BALLN OCCLUSION	61623	$36780
ENDOVENOUS ABL VEIN LASER 1ST	36478	$8720
ENDOVENOUS ABL VEIN LASER ADDL	36479	$3340
ENDOVENOUS ABL VEIN RADIOFREQUENCY INCOMPETENT EXTREI	36476	$6690
ENDOVENOUS ABL VEIN RADIOFREQUENCY INCOMPETENT EXTREI	36475	$10320
ESOPHAGUS DILATION < 30 MM	43220	$5000
ETHANOL ABLATION LIVER	47399	$2000
EXTRACRAN STENT PLAC ADD+S&I	0076T	$690
EXTRACRAN STENT PLAC INTL+S&I	0075T	$1270
FACET JT INJ CERV/THOR 1 LVL	64490	$2350
FACET JT INJ CERV/THOR 3+LVL	64492	$956
FACET JT INJ LUMBAR/SACR 2 LVL	64494	$730
FACET JT INJ LUMBAR/SACR 3+LVL	64495	$580
FALLOPIAN TUBE CATH	58345	$3310
FLUID COLLECT SCLEROTHERAPY WITH IMAGE GUIDANCE S&I	49185	$4180
GASTROSTOMY /CECOSTMY CHG +FL	49450	$2600
GASTROSTOMY TUBE PLACE +FLUORO	49440	$5000
GASTROSTOMY TUBE REPOSITIONING	43761	$800
GI TUBE CHECK	49465	$420
GJ TUBE CHANGE +FLUORO	49452	$2600
HEMIC/LYMPH/PLASMID PROC UNSP	38999	$1310
HIFU PROSTATE		$18750
I&D SUBFASCIAL ABSCESS	20005	$4720
INJ / ASPIR RENAL CYST /PELVIS	50390	$2660
INSERT INTRAPERITONL CATH+PORT	49419	$6220
INSTIL FBRLYTC CHESTTUBE 1ST DAY	32561	$2390
INSTIL FBRLYTC CHESTTUBE SUBSQ	32562	$2140
INTRAOP RF ABLATION LIVER TUMR	47380	$4760
INTRO NDL AORTA TRANSLUMBAR	36160	$250
INTRO NDL CAROTID/VERTEBRAL	36100	$200
INTRO NEEDLE EXTREMITY ARTERY	36140	$205
IP CATH TUNNELLED PERQ INSERT	49418	$10190
IR BASE NEURO PROCEDURE		$20000
IVC FILTER PLACEMENT	37191	$14930
JSEI OPSURG EVAL BASIC		$210
L&D OPERATING RM TIME EA ADD15		$732
L&D OPERATING ROOM TIME PER HOUR		$2935
LIVER BIOPSY INTRAOPERATIVE	47001	$2910
LONG GI TUBE PLACEMENT	44500	$1080
LOOPOGRAM INJECTION	50690	$190
LVL 1 OR 1ST 15 MINS		$2000
LVL 1 OR EA ADD 15 MINS		$700
LVL 1 PROC ROOM 1ST 15 MINS		$1480
LVL 1 PROC ROOM EA ADD 15 MINS		$280
LVL 2 OR 1ST 15 MINS		$3000
LVL 2 OR EA ADD 15 MINS		$950
LVL 2 PROC ROOM 1ST 15 MINS		$1480
LVL 2 PROC ROOM EA ADD 15 MINS		$280
LVL 3 OR 1ST 15 MINS		$4000
LVL 3 OR EA ADD 15 MINS		$1200
LVL 3 PROC ROOM 1ST 15 MINS		$1480
LVL 3 PROC ROOM EA ADD 15 MINS		$280
LVL 4 OR 1ST 15 MINS		$5000
LVL 4 OR EA ADD 15 MINS		$1450
LVL 4 PROC ROOM 1ST 15 MINS		$1480
LVL 4 PROC ROOM EA ADD 15 MINS		$280
LVL 5 OR 1ST 15 MINS		$6000
LVL 5 OR EA ADD 15 MINS		$1700
LVL 5 PROC ROOM 1ST 15 MINS		$1480
LVL 5 PROC ROOM EA ADD 15 MINS		$280
LYMPHANGIOGRAM INJECTION	38790	$290
LYMPHANGIOGRAM INJECTION BILAT	38790	$461
MANOMETRIC STUDY NEPHROSTOMY	50396	$2470
MANOMETRIC STUDY URETEROSTOMY	50686	$480
MEDIASTINUM INPATIENT PROCEDUR	39499	$7660
MICRO-DISECTOMY	63030	$19620
MUSCULOSKEL PROC GEN/CRYOABLAT	20999	$1775
MYELOGRAM CERVICAL PUNCTUR INJ	61055	$1600
NASOGASTRIC TUBE PLACEMENT	43752	$1150
NEEDLE BIOPS TESTIS SEP PROC	54450	$2068
NEEDLE BIOPSY KIDNEY	50200	$3930
NEEDLE BIOPSY LUNG/MEDIASTINUM	32405	$3930
NEEDLE BIOPSY PANCREAS	48102	$2750
NEEDLE BIOPSY PLEURA	32400	$2750
NEEDLE BIOPSY PROSTATE	55700	$3960
NEEDLE BIOPSY SOFT TISSUE	20206	$3150
NEPHROSTOGRAM INJECTION WITH IMAGE GUIDANCE EXISTING ACCESS	50431	$1980
NEPHROSTOGRAM INJECTION WITH IMAGE GUIDANCE NEW ACCESS	50430	$1980
NEPHROSTOMY CONVERT WITH IMAGE GUIDANCE S&I	50434	$5930
NEPHROSTOMY DILATION	50395	$3930
NEPHROSTOMY DILATION BILAT	50395	$9440
NEPHROSTOMY EXCHANGE WITH IMAGE GUIDANCE S&I	50435	$5930
NEPHROSTOMY PLACEMENT WITH IMAGE GUIDANCE S&I	50432	$5930
NEPHROSTOMY PLACEMENT WITH IMAGE GUIDANCE S&I NEW ACCESS	50433	$5930
OCCLUSION CEREBRAL AVM	61710	$2602
OPEN ENDOPRSTH ILIAC EXPOS UNI	34820	$538
OR EVAL TX CANDIDATE		$560
OR L&D 1ST 15 MINS		$3000
OR L&D EA ADD 15 MINS		$950
OR PROC ROOM EVAL		$700
OR PROC ROOM EVAL		$700
OR PROC ROOM EVAL COMPLEX DAY OF SURG		$320
OR PROC ROOM EVAL RADIOLOGY		$560
PANCREAS UNLISTED / ABLATION	48999	$2000
PERCUTANEOUS ENTEROCLYSIS	44015	$383
PERFUSION HOURS 1.00		$12990
PERFUSION HOURS 10.00		$17380
PERFUSION HOURS 11.00		$17860
PERFUSION HOURS 12.00		$18350
PERFUSION HOURS 13.00		$18840
PERFUSION HOURS 14.00		$19330
PERFUSION HOURS 15.00		$19810
PERFUSION HOURS 16.00		$20300
PERFUSION HOURS 17.00		$20790
PERFUSION HOURS 18.00		$17020
PERFUSION HOURS 19.00		$21760
PERFUSION HOURS 2.00		$13480
PERFUSION HOURS 20.00		$22250
PERFUSION HOURS 21.00		$22740
PERFUSION HOURS 22.00		$18580
PERFUSION HOURS 23.00		$23710
PERFUSION HOURS 24.00		$24200
PERFUSION HOURS 3.00		$13960
PERFUSION HOURS 4.00		$14450
PERFUSION HOURS 5.00		$14940
PERFUSION HOURS 6.00		$15430
PERFUSION HOURS 7.00		$15910
PERFUSION HOURS 8.00		$16400
PERFUSION HOURS 9.00		$16890
PERITONEOGRAM INJECTION	49400	$150
PERQ ART TRLUML MECH THROMBEC &/INFUSION INTRACRANIAL	61645	$18140
PHLEBECTOMY STAB 10-20 STABS	37765	$8720
PHLEBECTOMY STAB 20+ STABS	37766	$8720
PLACE BRACH CATH BREAST AFTRLD	19298	$16850
PLACE CORON STENT PERQ SGL	92928	$36780
PLACE ENDOPRSTH D-EXT DELAYED	33886	$1087
PLACE ENDOPRSTH D-EXT DELAYS&I	75959	$370
PLACE FIDUCIAL MARKER NOT PRST	C9728	$4160
PLACE OCCLUSIVE DEVC POST PROC	G0269	$630
PLACE RAD CATH P-MASTCT CONCUR	19297	$5188
PLACE RAD CATH P-MASTCT SEP DT	19296	$25860
PLACE SOFT TISSUE LOCALIZATION DEVICE LESION IMAGE GUIDANCE 1ST	10035	$2000
PLACE SOFT TISSUE LOCALIZATION DEVICE LESION IMAGE GUIDANCE EACH ADD	10036	$855
PROCEDURE GUIDED WITH FLUOROSCOPY < 1 HR		$360
PROCEDURE ROOM HOURS 0.25		$1480
PROCEDURE ROOM HOURS 0.50		$1700
PROCEDURE ROOM HOURS 0.75		$1920
PROCEDURE ROOM HOURS 1.00		$2140
PROCEDURE ROOM HOURS 1.25		$2360
PROCEDURE ROOM HOURS 1.50		$2580
PROCEDURE ROOM HOURS 1.75		$2800
PROCEDURE ROOM HOURS 2.00		$3020
PROCEDURE ROOM HOURS 2.25		$3240
PROCEDURE ROOM HOURS 2.50		$3460
PROCEDURE ROOM HOURS 2.75		$3680
PROCEDURE ROOM HOURS 3.00		$3900
PROCEDURE ROOM HOURS 3.25		$4120
PROCEDURE ROOM HOURS 3.50		$4340
PROCEDURE ROOM HOURS 3.75		$4560
PROCEDURE ROOM HOURS 4.00		$4780
PROCEDURE ROOM HOURS 4.25		$5000
PROCEDURE ROOM HOURS 4.50		$5220
PROCEDURE ROOM HOURS 4.75		$5440
PROCEDURE ROOM HOURS 5.00		$5660
PROCEDURE ROOM HOURS 5.25		$5880
PROCEDURE ROOM HOURS 5.50		$6100
PROCEDURE ROOM HOURS 5.75		$6320
PROCEDURE ROOM HOURS 6.00		$6540
PROCEDURE ROOM USE		$780
PSEUDOANEURYSM INJ THROMBIN	36002	$2140
PTA INTRACRANIAL	61630	$3786
PTA VASOSPASM 1ST VESSEL	61640	$3786
PTA VASOSPASM ADDL DIFF FAMILY	61642	$2886
PTA VASOSPASM ADDL SAME FAMILY	61641	$2886
PULM ART ANGIO ADD	92998	$5720
PULM ART ANGIOPLAS	92997	$15330
PVB THORACIC CONT CATHETER INFUSION WITH IMAGE GUIDANCE	64463	$2075
PVB THORACIC INJECTION SITE WITH IMAGE GUIDANCE 2ND & ADD	64462	$1305
PVB THORACIC INJECTION SITE WITH IMAGE GUIDANCE SINGLE	64461	$2075
PYELOGRAM ANTEGRADE BILAT INJ	50390	$4260
REMOV GI OBSTRC BY MECH FLUORO	49460	$1080
REMOV INDWELL TUN PLEURAL CATH	32552	$890
REMOV/REPLC URETERAL STENT	50382	$5930
REMOV/REPLC URETERAL STENT EXT	50387	$2470
REMOVE FB UPPER ARM/ELBOW SUBQ	24200	$1970
REMOVE NEPHROSTOMY TUBE	50389	$1980
REMOVE URETER STENT TRANSURETH	50386	$5930
REMOVE URETERAL STENT	50384	$5930
RENAL ABLATION PROCEDURE	53899	$800
RESEARCH HIFU ABLAT BONE METS		$1433.8
RETRIEVAL INTRAVASCULAR FB	37197	$8720
RETROGRADE URETHROCYSTOGRM INJ	51610	$680
REVASC CORON GRAFT SGL VESSEL	92937	$36780
REVASC CORON OCCLUS ACUTE SGL	92941	$20850
REVASC CORON OCCLUS CHRONC SGL	92943	$36780
REVASC FEM-POP UNI+ATHER+STENT	37227	$56070
REVASC FEM-POP UNI+ATHERC+SI	37225	$36780
REVASC FEM-POP UNI+SI	37224	$17800
REVASC FEM-POP UNI+STENT+SI	37226	$36780
REVASC ILIAC IPSI ADD+SI	37222	$12720
REVASC ILIAC IPSI ADD+STENT+SI	37223	$12720
REVASC ILIAC UNI 1ST +SI	37220	$17800
REVASC ILIAC UNI 1ST +STENT+SI	37221	$36780
REVASC TIB-PER UNI +ATHERC ADD	37233	$26990
REVASC TIB-PER UNI +STENT ADD	37234	$12720
REVASC TIB-PER UNI +STENT+SI	37230	$56070
REVASC TIB-PER UNI 1ST+SI	37228	$36780
REVASC TIB-PER UNI EA ADD+SI	37232	$12720
REVASC TIB-PER UNI+ATH+STNTADD	37235	$12720
REVASC TIB-PER UNI+ATHER+STENT	37231	$56070
REVASC TIB-PER UNI+ATHERC+SI	37229	$56070
RF ABLATION BONE TUMOR(S)	20982	$19620
RF ABLATION LIVER TUMOR(S)	47382	$15710
RF ABLATION RENAL TUMOR(S)	50592	$15710
SACROILIAC JT INJECTION	G0259	$280
SACROILIAC JT INJECTION BILAT	G0259	$560
SACROILIAC JT INJECTION S&I	G0260	$1900
SACROPLASTY BI INJ	0201T	$19620
SACROPLASTY UNI INJ	0200T	$8180
SCLEROTHER/THRMBCT UNSPECIFIED	37799	$3500
SENTINEL NODE INJECTION	38792	$1220
SIALOGRAM INJECTION	42550	$150
SINOGRAM INJECTION	20501	$190
SPINAL DISK PERQ ASPIR DIAG	62267	$2000
SPINE CRYOABLATION/UNLISTED	22899	$6200
SPLENOPORTOGRAM INJECTION	38200	$158
STENT PLACE INTRACRAN INC PTA	61635	$6084
SWAN GANZ CATH PLACEMENT	93503	$3440
TAVR/TAVI AORTVALV AXILRY OPEN	33363	$12390
TAVR/TAVI AORTVALV FEM OPEN	33362	$12390
TAVR/TAVI AORTVALV FEM PERCUTN	33361	$12390
TAVR/TAVI AORTVALV ILIAC OPEN	33364	$12390
TAVR/TAVI AORTVALV TRANSAORTIC	33365	$12390
TAVR/TAVI BYPASS SUPP CENTRAL	33369	$12390
TAVR/TAVI BYPASS SUPP OPEN	33368	$12390
TAVR/TAVI BYPASS SUPP PERCUTN	33367	$12390
THORACIC DUCT CANNULATION	38794	$150
THROMBECTOMY ART 1ST VESSEL	37184	$17800
THROMBECTOMY ART 2ND VESSEL	37185	$8970
THROMBECTOMY ART SECONDARY	37186	$8970
THROMBECTOMY VEINS INITIAL	37187	$7420
THROMBECTOMY VEINS REPEAT	37188	$8720
TIPS INSERTION	37182	$2501
TIPS REVISION	37183	$17800
TRANSCATH EMBOLIZATION CNS	61624	$10000
TRANSCATH EMBOLIZATN HEAD/NECK	61626	$36780
TRANSCATH INTRATHORACIC CAROTID STENT ANTEGRADE	37218	$4872
TRANSCATH INTRATHORACIC CAROTID STENT RETROGRADE	37217	$5263
TRANSCATH OCCLUSION SPINAL AVM	62294	$2350
TRANSCATH THROMBOLYS CESSATION	37214	$5990
TRANSCATH THROMBOLYS SUBQ DAY CONTINUED TREATMENT	37213	$3440
TRANSCATH THROMBOLYSIS ART 1ST	37211	$6220
TRANSCATH THROMBOLYSIS VEN 1ST	37212	$8720
TRANSFORAMINL INJ C/T ADD BI	64480	$1080
TRANSFORAMINL INJ C/T SGL BI	64479	$3200
TRANSFORAMINL INJ LUMB ADD BI	64484	$1152
TRANSFORAMINL INJ LUMB SGL BI	64483	$3200
TUBE PLACEMENT PERICARDIUM	33015	$575
URETERAL BALLN DILATION WITH IMAGE GUIDANCE S&I	50706	$5740
URETERAL EMBOLIZATION WITH IMAGE GUIDANCE S&I	50705	$4875
URETERAL STENT PLACEMENT WITH IMAGE GUIDANCE S&I	50693	$9440
URETERAL STENT PLACEMENT WITH IMAGE GUIDANCE S&I NEW ACCESS W SEP	50695	$9440
URETERAL STENT PLACEMENT WITH IMAGE GUIDANCE S&I NEW ACCESS WO SEP	50694	$9440
URETEROGRAM BILAT INJECTION	50684	$300
URETEROGRAM INJECTION	50684	$150
URETEROSTOMY TUBE CHANGE BILAT	50688	$5930
URINARY TRACT UNLIST/EMBOLIZAT	47999	$8630
US FOR INTRVSC NONCOR EVAL S&I 1ST	37252	$520
US FOR INTRVSC NONCOR EVAL S&I ADD	37253	$690
VAD INSERT PERQ ARTERIAL	33990	$12390
VAD INSERT PERQ TRANSSEPTAL	33991	$12390
VAD PERFUSION HOURS 1.00		$10390
VAD PERFUSION HOURS 10.00		$13900
VAD PERFUSION HOURS 10.00		$13900
VAD PERFUSION HOURS 11.00		$14290
VAD PERFUSION HOURS 11.00		$14290
VAD PERFUSION HOURS 12.00		$14680
VAD PERFUSION HOURS 12.00		$14680
VAD PERFUSION HOURS 13.00		$15070
VAD PERFUSION HOURS 13.00		$15070
VAD PERFUSION HOURS 14.00		$15460
VAD PERFUSION HOURS 14.00		$15460
VAD PERFUSION HOURS 15.00		$15850
VAD PERFUSION HOURS 15.00		$15850
VAD PERFUSION HOURS 16.00		$16240
VAD PERFUSION HOURS 16.00		$16240
VAD PERFUSION HOURS 17.00		$16630
VAD PERFUSION HOURS 17.00		$16630
VAD PERFUSION HOURS 18.00		$17020
VAD PERFUSION HOURS 18.00		$17020
VAD PERFUSION HOURS 19.00		$17410
VAD PERFUSION HOURS 19.00		$17410
VAD PERFUSION HOURS 2.00		$10780
VAD PERFUSION HOURS 20.00		$17800
VAD PERFUSION HOURS 20.00		$17800
VAD PERFUSION HOURS 21.00		$18190
VAD PERFUSION HOURS 21.00		$18190
VAD PERFUSION HOURS 22.00		$18580
VAD PERFUSION HOURS 22.00		$18580
VAD PERFUSION HOURS 23.00		$18970
VAD PERFUSION HOURS 23.00		$18970
VAD PERFUSION HOURS 24.00		$19360
VAD PERFUSION HOURS 24.00		$19360
VAD PERFUSION HOURS 3.00		$11170
VAD PERFUSION HOURS 4.00		$11560
VAD PERFUSION HOURS 5.00		$11950
VAD PERFUSION HOURS 6.00		$12340
VAD PERFUSION HOURS 7.00		$12730
VAD PERFUSION HOURS 8.00		$13120
VAD PERFUSION HOURS 9.00		$13510
VAD PERFUSION HOURS 9.00		$13510
VAD REMOVE SEP SESSION	33992	$12390
VAD REPOSITION SEP SESSION	33993	$12390
VASOGRAM INJECT + CYSTOSCOPY	52010	$1980
VEN ACC 2CATH TUNNL PLC WO	36565	$8720
VEN ACC 2CATH TUNNL PLC+SQPORT	36566	$14930
VEN ACC 2CATH TUNNL PLC+SQPUMP	36563	$14930
VEN ACC CATH REPLC+SQPORT/PUMP	36578	$3640
VEN ACC DEVC CHECK+FLUORO	36598	$1170
VEN ACC DEVC PERIPH REPLC SAME	36585	$3640
VEN ACC DEVC PERIPH+SQPORT<5YR	36570	$8720
VEN ACC DEVC PERIPH+SQPORT>5YR	36571	$3640
VEN ACC DEVC REPLC SQPORT SAME	36582	$8720
VEN ACC DEVC REPLC SQPUMP SAME	36583	$6220
VEN ACC DEVC TUNNEL+SQPORT<5YR	36560	$8720
VEN ACC DEVC TUNNEL+SQPORT>5YR	36561	$8720
VEN ACC REMOVE OBSTRC BY LUMEN	36596	$3440
VEN ACC REMOVE OBSTRC SEP ACC	36595	$3640
VENA CAVA FILTER INSERT +IMAG	37191	$14930
VENA CAVA FILTER REDO +IMAG	37192	$9740
VENA CAVA FILTER REMOVE +IMAG	37193	$9740
VENOGRM INJECTION	36005	$190
VENOUS ORGAN BLOOD SAMPLING	36500	$811
VERTEBROPLSTY AUGMENT LUMBAR SGL	22514	$22240
VERTEBROPLSTY AUGMENT THORACIC LUMBAR EA ADDL	22515	$15568
VERTEBROPLSTY AUGMENT THORACIC SGL	22513	$22240
VERTEBROPLSTY INJ CERVICOTHORACIC LUMBOSACRAL EA ADDL	22512	$6412
VERTEBROPLSTY INJ CERVICOTHORACIC SGL	22510	$9260
VERTEBROPLSTY INJ LUMBOSACRAL SGL	22511	$9260

Organ Acquisition

Description	CPT Code	Standard Charge
DLI DONOR LYMPHOCYTE INFUSION BMT	38242	$2250
DLI UNRELATED STIMULATED GO	38242	$59160
DLI UNRELATED STIMULATED US	38242	$41010
DLI UNRELATED UNSTIMULATED GO	38242	$27735
DLI UNRELATED UNSTIMULATED US	38242	$20240
ORGAN ACQ-BONEMARROW ALLO RELATED MEDICARE	38204	$4800
ORGAN ACQ-BONEMARROW ALLO RELATED OTHER NMDP	38204	$35800
ORGAN ACQ-BONEMARROW ALLO RELATED OTHER PAYER	38204	$21700
ORGAN ACQ-BONEMARROW ALLO UNRELATED MEDICARE	38204	$49100
ORGAN ACQ-BONEMARROW ALLO UNRELATED OTHER PAYER	38204	$64630
ORGAN ACQ-CORD BLOOD ALLO RELAT MEDICARE	38204	$4500
ORGAN ACQ-CORD BLOOD ALLO RELATED OTHER PAYER	38204	$5630
ORGAN ACQ-CORD BLOOD ALLO UNRELATED MEDICARE	38204	$51700
ORGAN ACQ-CORD BLOOD ALLO UNRELATED OTHER PAYER	38204	$64630
ORGAN ACQ-HEART CADAVER DONOR		$143690
ORGAN ACQ-HEART&LUNG CADAVER		$198900
ORGAN ACQ-KIDNEY CADAVER DONOR		$77840
ORGAN ACQ-KIDNEY LIVING		$77840
ORGAN ACQ-LIMB LEFT HAND CADAVER DONOR		$62230
ORGAN ACQ-LIMB R&L HAND CADAVER DONOR		$124460
ORGAN ACQ-LIMB RIGHT HAND CADAVER DONOR		$62330
ORGAN ACQ-LIVER CADAVER DONOR		$142530
ORGAN ACQ-LIVER LIVING /RELATED		$142530
ORGAN ACQ-LIVER SPLIT CADAVER		$142530
ORGAN ACQ-LUNG DOUBLE		$110400
ORGAN ACQ-LUNG SINGLE		$55200
ORGAN ACQ-PANCREAS CADAVER DONOR		$64960
ORGAN ACQ-PANCREAS ISLET AUTO		$34000
ORGAN ACQ-SMALL BOWEL		$273870
ORGAN ACQ-SMALL BOWEL W ABDOMINAL WALL		$273870
ORGAN ACQ-STEMCELL ALLO RELATED MEDICARE	38204	$27130
ORGAN ACQ-STEMCELL ALLO RELATED OTHER PAYER	38204	$27130
ORGAN ACQ-STEMCELL ALLO UNRELATED MEDICARE	38204	$64630
ORGAN ACQ-STEMCELL ALLO UNRELATED OTHER PAYER	38204	$64630
ORGAN PROCR KIDNEY PAIRED EXCHNG UNRELAT		$14472
STEMCELL LAB STORAGE PER YEAR		$191
TRANSPLANT HPC HEMATOPOIETIC PROGEN BOOST	38243	$3250

Other Diagnostic Services

Description	CPT Code	Standard Charge
ACTIGRAPHY TESTING MIN 72HRS TO 14 DAYS	95803	$410
ACTIWATCH NOCTURNAL MOVEMENT DISORDER		$2500
ALLERGTEST INGESTION CHALLENGE 1ST 120MIN	95076	$740
ALLERGTEST INGESTION CHALLENGE EA ADDL 60MIN	95079	$740
ALLERGTEST INTRADERMAL MEDS BIOL 1-5	95018	$400
ALLERGTEST INTRADERMAL MEDS BIOL 11-15	95018	$400
ALLERGTEST INTRADERMAL MEDS BIOL 16+	95018	$400
ALLERGTEST INTRADERMAL MEDS BIOL 6-10	95018	$400
ALLERGTEST INTRADRM+EXTRCT 1-10	95024	$400
ALLERGY IMMUNOTHERAPY +2 >DOSE WO PREP	95117	$102
ALLERGY IMMUNOTHERAPY SGL INSECT VENOM	95145	$140
ALLERGY IMMUNOTHERAPY+PREP SGL AG VIAL	95165	$300
ALLERGY IMMUNOTHERAPY+SGL DOSE WO PREP	95115	$80
ALLERGY LAB ALLERGYTEST INGESTION CHALLENGE 1ST 120MIN	95076	$591
ALLERGY LAB ALLERGYTEST INGESTION CHALLENGE EA ADDL 60MIN	95079	$591
ALLERGY LAB ALLERGYTEST INTRADERMAL MEDS BIOL 1-5	95018	$260
ALLERGY LAB ALLERGYTEST INTRADERMAL MEDS BIOL 11-15	95018	$400
ALLERGY LAB ALLERGYTEST INTRADERMAL MEDS BIOL 16+	95018	$400
ALLERGY LAB ALLERGYTEST INTRADERMAL MEDS BIOL 6-10	95018	$500
ALLERGY LAB ALLERGYTEST INTRADRM DELAY 9+	95028	$39
ALLERGY LAB ALLERGYTEST INTRADRM DELAY 9+	95028	$39
ALLERGY LAB ALLERGYTEST INTRADRM DELAY 9+	95028	$39
ALLERGY LAB ALLERGYTEST INTRADRM DELAY 9+	95028	$39
ALLERGY LAB ALLERGYTEST INTRADRM DELAY 9+	95028	$39
ALLERGY LAB ALLERGYTEST INTRADRM+EXTRACT 1-10	95024	$110
ALLERGY LAB ALLERGYTEST INTRADRM+EXTRACT 11-20	95024	$400
ALLERGY LAB ALLERGYTEST INTRADRM+EXTRACT 21-30	95024	$400
ALLERGY LAB ALLERGYTEST INTRADRM+EXTRCT 1-10	95024	$400
ALLERGY LAB ANTIGEN THER SVC-5 INSECT VIAL	95149	$110
ALLERGY LAB IMMUNOTHERAPY+PREP MULT AG VIAL	95165	$300
ALLERGY LAB IMMUNOTHERAPY+PREP SGL AG VIAL	95165	$170
ALLERGY LAB IMMUNOTHERAPY+SGL DOSE WO PREP	95115	$60
ALLERGY LAB PATCH OR APPLICATION TEST(S) EACH 1-10	95044	$140
ALLERGY LAB RAPID DESENSITZ PROCEDURE/HOUR	95180	$600
ALLERGY LAB SCRATCH TEST ALLERGENS 1-30	95004	$300
ALLERGY LAB SCRATCH TEST ALLERGENS 31-60	95004	$200
ALLERGY LAB SCRATCH TEST ALLERGENS 61-90	95004	$300
ALLERGY LAB SCRATCH TEST ALLERGENS 90+	95004	$400
ALLERGY LAB SCRATCH TEST MEDS BIOL 1-5	95018	$160
ALLERGY LAB SCRATCH TEST MEDS BIOL 11-15	95018	$160
ALLERGY LAB SCRATCH TEST MEDS BIOL 16+	95018	$160
ALLERGY LAB SCRATCH TEST MEDS BIOL 6-10	95018	$260
ALLERGY LAB TEST VENOM 1-5	95017	$160
ALLERGY LAB TEST VENOM 11-15	95017	$160
ALLERGY LAB TEST VENOM 16+	95017	$160
ALLERGY LAB TEST VENOM 6-10	95017	$210
ALLERGY RAPID DESENSITZ PROCEDURE/HOUR	95180	$600
ALLERGY SCRATCH TEST ALLERGENS	95004	$60
ALLERGY SCRATCH TEST MEDS BIOL 1-5	95018	$57
ALLERGY SCRATCH TEST MEDS BIOL 1-5	95018	$57
ALLERGY SCRATCH TEST MEDS BIOL 6-10	95018	$57
ALLERGY SCRATCH TEST MEDS BIOL 6-10	95018	$57
ALLERGY TEST MEDS BIOL	95018	$57
ALLERGY TEST VENOM	95017	$57
AMBULAT BP MONIT TAPE/DISK >= 24HR SCAN&REPRT	93788	$370
AMBULATORY BLOOD PRESSURE MONITOR 24HRS	93786	$370
AMBULATORY SUBQ SENSOR CONT GLUCOSE MONITOR INTERSTIAL FLUID 72HRS	95250	$400
AUD ELECTRONEURONOGRAPHY	92516	$480
AUDITORY EVOK POTENTIAL REQ ANESTH	92585	$870
AUTONOMIC PARASYMPATHETIC	95921	$480
AUTONOMIC SUDOMOTOR	95923	$453
AUTONOMIC SYMPATHETIC	95922	$370
AUTONOMIC TEST SYMPATHETIC & PARASYMPATHETIC WITH TILT TEST	95924	$480
BLADDER VOIDING PRESSURE TEST	51728	$1980
BREATH HYDROGEN TEST LACTASE DEFICIENCY	91065	$688
COLPOSCOPIC MAGNIFIER EXAM ANGOGENITAL CHILDHOOD SUSPECTED TRAUMA	99170	$230
CPAP ACLIMATION EVALUATION WITH TRAINING	G0463	$330
CV SLEEP STUDY COMPLEX	93799	$480
CYSTOMETROGRAM COMPLEX	51726	$1980
DOPPLER AAI WO TREADMLL 1 LVL	93922	$570
DOPPLER ABI TREADMLREST COMPLT	93924	$916
DOPPLER INTRACRANL ART COMPLET	93886	$1150
DOPPLER INTRACRANL ART LTD	93888	$690
DOPPLER SEGMENTAL PRESSURES	93923	$1150
DUPLEX ABD/PEL VESSELS COMPLETE	93975	$2030
DUPLEX ABD/PELV VESSELS LTD	93976	$1160
DUPLEX AORTA/IVC/ILIAC COMPLETE	93978	$1180
DUPLEX AORTA/IVC/ILIAC LTD	93979	$820
DUPLEX CAROTID UNILAT / LTD	93882	$760
DUPLEX CAROTIDS BILAT	93880	$1040
DUPLEX EXTREM VEINS BILAT	93970	$1210
DUPLEX EXTREM VEINS UNILAT	93971	$790
DUPLEX HEMODIALYSIS ACCESS	93990	$860
DUPLEX LE ARTERIES BILAT	93925	$1270
DUPLEX LE ARTERIES UNILAT	93926	$770
DUPLEX NEW HEMODIALY PREOP MAP	G0365	$685
DUPLEX PENILE VESSELS COMPLETE	93980	$1106
DUPLEX PENILE VESSELS LTD	93981	$910
DUPLEX UE ARTERIES BILAT	93930	$1360
DUPLEX UE ARTERIES UNILAT	93931	$640
DUPLEX UE ARTERIES UNILAT LIMITED	93931	$515
DYNAMIC SURFACE ELECTROMYOGRAPHY WALK/FXN ACTIVITY 1 MUSCLE	96003	$870
DYNAMIC SURFACE ELECTROMYOGRAPHY WALK/FXN ACTIVITY 1-12 MUSCLES	96002	$480
ELCTR ANALYSIS NEURSTIM PULSE GEN SYSTEM	95972	$400
ELCTR ANLAYSIS NEURSTIM COMPLEX 1ST HR	95974	$1910
ELCTR ANLAYSIS NEURSTIM COMPLEX ADD30	95975	$1180
ELCTR ANLAYSIS NEURSTIM IMPL 1HR+PRG	95978	$400
ELCTR ANLAYSIS NEURSTIM MPL AD30+PR	95979	$160
ELCTR ANLAYSIS NEURSTIM SIMPLE 1ST HR	95972	$1050
ELCTR ANLAYSIS NEURSTIM SIMPLE COMPLEX	95970	$370
ELCTR ANLAYSIS NEURSTIM SIMPLE+REPROG	95971	$400
ELECTRICAL STIM FOR GUIDANCE IN CONJUNCTION WITH CHEN	95873	$230
EMG 1 EXTREMITY	95860	$370
EMG 2 EXTREMITIES	95861	$600
EMG 2 EXTREMITIES BILATERAL	95861	$964
EMG 3 EXTREMITIES	95863	$589
EMG ANAL SPHINCTER	51785	$800
EMG BLINK REFLEX	95933	$370
EMG CRANIAL N BILATERAL	95868	$480
EMG CRANIAL N UNILATERAL	95867	$400
EMG MUSCLE OTHER LIMITED	95870	$290
EMG MUSCLE OTHER LIMITED BILATERAL	95870	$456
EMG NEEDLE EACH EXTREM+NERVE CONDUCT AMPLITUD LAT/VED	95885	$280
EMG NEEDLE EACH EXTREM+NERVE CONDUCT AMPLITUD LAT/VES	95886	$280
EMG NEEDLE FOR GUIDANCE IN CONJUNCTION WITH CHEMODENN	95874	$230
EMG NEEDLE HEMIDIAPHRAGM	95866	$480
EMG NEEDLE LARYNX	95865	$370
EMG NEEDLE NON-EXTREMITY+NERVE CONDUCT AMPLITUD LAT/Y	95887	$150
EMG REPETITIVE STIMULATION	95937	$480
EMG SINGLE FIBER	95872	$480
EMG THORACIC PARASPINAL MUSCLE	95869	$320
EP SOMATOSENSORY 4LIMB	95938	$1560
EP SOMATOSENSORY STUDY LEGS CMPLX	95926	$1250
GASTRIC NEURSTM ANALYS + PROG	95982	$500
GASTRIC NEURSTM ANALYS NO PROG	95981	$370
HEART RATE PARASYMPATHETIC & SYMPATHETIC TESTING	95943	$480
INHAL BRONCH CHALLENG+HISTAMINE	95070	$760
INTRAOP NEUROTESTING 1-ON-1 PER 15MIN	95940	$681
INTRAOP NEUROTESTING CONTINUOUS PER 15MIN	G0453	$171
INTRAOP NEUROTESTING MULTIPLE CASE PER 1HR	95941	$850
INTRAOP NEUROTESTING PER 1HR	95941	$850
ISCHEMIC LIMB EXERCISE TEST SERIAL SPECIMEN MUSCLE MQ	95875	$480
LEADLESS PACEMAKER EVAL +/- REPROGRAM	0389T	$130
LEADLESS PACEMAKER EVAL PERIPROCED +/- REPROGRAM	0390T	$120
LEADLESS PACEMAKER INTERROGATION+/-REPROGRAM	0391T	$130
MEP CENTRAL MOTOR EVKPOT 4LIMB	95939	$3950
MEP CENTRAL MOTOR EVOK POTENTIAL LOWER	95929	$3160
MEP CENTRAL MOTOR EVOK POTENTIAL UPPER	95928	$3160
MOTION ANALYSIS COMPREHENSIVE COMPUTER-BASE VIDEO TAPE&3D KINEMATIC	96000	$1560
MOTION ANALYSIS COMPREHENSIVE WITH WALK DYNAMIC PLANTAR PRESS MEAS	96001	$3160
MULTIPLE SLEEP WAKEFULNESS LATENCY TEST	95805	$3160
NERVE CONDUCTION MOTOR &/OR SENSORY EACH LIMB + REPORT	95905	$370
NERVE CONDUCTION STUDIES 1-2	95907	$480
NERVE CONDUCTION STUDIES 11-12	95912	$1560
NERVE CONDUCTION STUDIES 13+	95913	$1560
NERVE CONDUCTION STUDIES 3-4	95908	$870
NERVE CONDUCTION STUDIES 5-6	95909	$870
NERVE CONDUCTION STUDIES 7-8	95910	$870
NERVE CONDUCTION STUDIES 9-10	95911	$1560
NEURO OR NEUROMUSC DIAGNOSTIC PROCEDURE UNLISTED	95999	$480
NEUROFUNCTIONAL TEST DURING NONINVASIVE FUNCT BRAIN MAP IMAGING	96020	$790
NOCT POLYSOMNOGRAM REDUCED	95810	$5310
NONINVASIVE VASC DIAGN STUDY UNLISTED	93998	$80
OR DIAGNOSTIC SERVICE		$1000
OR SOMATOSENSORY STUDY ARMS	95925	$870
PACEMAKER ELEC ANALYSIS- ANTI TACHY	93724	$1230
PATCH APPLY TEST(S) EACH	95044	$38
PHOTO PATCH TEST(S) EACH	95052	$60
PHOTO TESTS	95056	$220
PULM FXN LAB INHAL BRONCH CHALLENG+HISTAMINE	95070	$1040
QUANTITATIVE SENSORY TESTING QST COOLING STIMULI	0108T	$200
QUANTITATIVE SENSORY TESTING QST HEAT-PAIN STIMULI	0109T	$110
QUANTITATIVE SENSORY TESTING QST OTHER STIMULI	0110T	$370
QUANTITATIVE SENSORY TESTING QST TOUCH PRESSURE	0106T	$110
QUANTITATIVE SENSORY TESTING QST VIBRATION STIMULI	0107T	$110
RANGE OF MOTION MEASURE & REPORT EA EXCLUDE HANDS	95851	$50
RECORD EVOKED POTENTIAL SHORT-LATENCY SOMATOSENSORY CNS TRUNK/HEAD	95927	$630
REFILL SPINE BRAIN DRUG PUMP RESERV	95990	$1040
RESP INHAL BRONCH CHALLENG+HISTAMINE	95070	$1040
SLEEP STAGE PAPNAP PNEUMOGRAM SCREEN	95811	$3160
SLEEP STAGE PNEUMOGRAM <6 YEARS OLD WITH CPAP	95783	$3160
SLEEP STAGE PNEUMOGRAM <6 YEARS OLD	95782	$3160
SLEEP STAGE PNEUMOGRAM >6 YEARS OLD	95810	$6050
SLEEP STAGE PNEUMOGRAM >6 YEARS OLD	95810	$4838
SLEEP STAGE PNEUMOGRAM PAPNAP >6 YEARS OLD	95811	$6350
SLEEP STAGE PNEUMOGRAM PAPNAP>6 Y/O	95811	$5076
SLEEP STAGE PNEUMOGRAM SCREEN	95810	$3160
SLEEP STUDY UNATTEND+RESP HOME	G0399	$1120
TRANSCRAN DOPPLER CO2 REACTIVITY STUDY	93890	$860
TRANSCRAN DOPPLER EMBOLI DETECT + BUBBLE	93893	$1210
TRANSCRAN DOPPLER EMBOLI DETECT WO BUBBL	93892	$1120
URETHRAL CLOSURE PRESSURE PROFILE	51727	$1980
URETHRAL PRESSURE PROFILE	51729	$1980
UROFLOWMETRY COMPLEX	51741	$480
US SEG PRESSURES L-EXT SINGLE LEVEL	93922	$456
US SEG PRESSURES U-EXT SINGLE LEVEL	93922	$456
VISUAL EVOKED POTENTIAL	95930	$1300
WEARBLE CARDIOVRT-DEFIB SETUP & PROGR W PT ED	93745	$920

Other Imaging

Description	CPT Code	Standard Charge
3D RENDER W IMAGE POST PROCESS	76377	$850
ABSOLUTE QUAN MYOCARD BLD FLO PET STRESS & REST	0482T	$250
CARD PERF REST/STRESS PET	78491	$6210
COMPUTER-AIDED DETECTION CAD MRI BREAST	0159T	$1000
DIAG CAD MAMMOGRAM BILAT	77066	$730
DIAG CAD MAMMOGRAM UNILAT	77065	$420
DIAG DIGITAL BREAST TOMOSYNTHESIS UNILAT OR BILAT	G0279	$120
DOPPLER ECHO FETAL COMPLETE	76827	$710
DOPPLER ECHO FETAL F-UP/LTD	76828	$530
DOPPLER FETAL CEREBRAL ART	76821	$420
DOPPLER FETAL UMBILICAL ART	76820	$420
ECHO 2D FETAL CARDIOVASC F-UP	76826	$860
ECHO 2D FETAL CARDIOVASCULAR	76825	$1700
HYSTEROSONOGRAM S&I	76831	$860
MAMMO CAD SCREENING BILAT	77067	$450
MAMMO CAD SCREENING UNILAT	77067	$220
OR ULTRASOUND GUIDANCE SERVICE		$1000
PERCUTANEOUS DRAIN GUIDE S&I	75989	$800
PET ANY SITE NONCVR	G0235	$3470
PET BRAIN IMAGE METABOLIC EVAL	78608	$7830
PET BRAIN IMAGE PERFUSION EVAL	78609	$3698
PET CARD PERF REST&STRESS	78492	$7500
PET HEART METABOLIC EVAL	78459	$6730
PET TUMOR IMAGE LIMITED	78811	$8180
PET TUMOR IMAGE SKULL-THIGH	78812	$6370
PET TUMOR IMAGE WHOLE BODY	78813	$5400
PETCT TUMOR IMAGE LIMITED	78814	$6540
PETCT TUMOR IMAGE SKULL-THIGH	78815	$8210
PETCT TUMOR IMAGE WHOLE BODY	78816	$8230
RESEARCH DATA MANAGEMENT		$75
SCREENING DIGITAL BREAST TOMOSYNTHESIS BILATERAL	77063	$120
US ABDOMEN COMPLETE	76700	$810
US ABDOMEN LTD	76705	$620
US ABDOMIN AORTIC ANEURYS SCRN	76706	$420
US ABDOMINAL W CONTRAST	C9744	$1160
US ABLATION GUIDANCE S&I	76940	$400
US BREAST COMPLETE	76641	$420
US BREAST LIMITED	76642	$410
US CHEST	76604	$670
US ELASTOGRAPHY	0346T	$410
US ENDOMYOCARDIAL BIOPSY S&I	76932	$380
US EXTREMITY NONVASCULAR CMPLT	76881	$590
US EXTREMITY NONVASCULAR LTD	76882	$420
US EYE B-SCAN	76512	$420
US EYE FOR FOREIGN BODY	76529	$220
US FETAL BIOPHYS PROFILE WO	76819	$420
US FETAL BIOPHYS PROFILE+NONST	76818	$990
US FETL/MTRNL 1ST TRI 1 GEST	76801	$420
US FETL/MTRNL<1ST TRI ADD GEST	76802	$280
US FETL/MTRNL<1ST TRI SGL GEST	76801	$420
US FETL/MTRNL>1ST TRI 1 GEST	76805	$1300
US FETL/MTRNL>1ST TRI SGL GEST	76805	$1300
US FOLLOW-UP EXAM	76970	$420
US GI ENDOSCOPIC S&I	76975	$860
US GUID EXT CEPHAL VERSION	76999	$280
US GUID INTERSTITIAL RADIOELEM	76965	$430
US GUIDANCE AMNIOCENTESIS	76946	$690
US GUIDANCE CHORION VILL SAMPL	76945	$120
US GUIDANCE CORDOCENT/PUBS	76941	$120
US GUIDE VASCULAR ACCESS S&I	76937	$400
US HEAD	76506	$420
US INFANT HIPS DYNAMIC	76885	$990
US INFANT HIPS STATIC	76886	$562
US INTRAOPERATIVE	76998	$400
US INTRAVASCULAR CORONARY VESSEL OR GRAFT INITIAL VESSEL	92978	$340
US NDL PLACEMENT GUIDANCE S&I	76942	$450
US NDL PLACEMENT MARK	76942	$90
US OB TRANSVAGINAL	76817	$420
US OPHTHALMIC BIOMETRY ECHOGRAPHY A-SCAN	76516	$420
US OPHTHALMIC BIOMETRY ECHOGRAPHY A-SCAN WITH IOL POWER CALCULATION	76519	$420
US OPHTHALMIC DIAG A-SCAN ONLY	76511	$420
US OPHTHALMIC DIAG ANTERIOR B-SCAN SEGMENT IMMERSIONH	76513	$420
US OPHTHALMIC DIAG B & A-SCAN	76510	$930
US OPHTHALMIC DIAGNOSTIC CORNEAL PACHYMETRY UNI/BILAL	76514	$80
US PELVIS LIMITED	76857	$720
US PELVIS NONOBSTETRIC	76856	$940
US PELVIS TRANSVAGINAL	76830	$1170
US PERICARDCENT S&I	76930	$480
US PREG UTER FETAL NUCHAL 1ST	76813	$420
US PREG UTER FETAL NUCHAL ADDL	76814	$280
US PREG UTER+DETAIL 1 GEST	76811	$1340
US PREG UTER+DETAIL ADDL	76812	$960
US PREG UTER>1ST TRI ADDL GEST	76810	$1050
US PREG UTERUS FOLLOWUP REPEAT	76816	$420
US PREG UTERUS LTD	76815	$420
US PSEUDOANEURYSM ABLATION	76936	$1420
US PSEUDOANEURYSM REPAIR	76936	$1132
US RENAL TRANSPLANT	76776	$760
US RETROPERITONEAL COMPLETE	76770	$810
US RETROPERITONEAL LTD	76775	$660
US SCROTUM/TESTICLES	76870	$1490
US SOFT TISSUE	76999	$280
US SOFT TISSUE HEAD & NECK	76536	$420
US SPINAL CANAL	76800	$420
US TRANSRECTAL	76872	$420

Other Therapeutic Services

Description	CPT Code	Standard Charge
ADL AND HOME INSTRUCT/15 MIN	97535	$140
CARD REHAB FOLLOWUP EXERCISE	G0463	$30
CARDIAC REHAB INTENSIVE WITH EXERCISE PER SESSION	G0422	$270
CARDIAC REHAB INTENSIVE WITHOUT EXERCISE PER SESSION	G0423	$270
CARDIAC REHAB NON-MD PER DIEM	S9472	$1090
CARDIAC REHAB PH2 SESSION WITH EKG	93798	$340
CARDIAC REHAB PH2 SESSION WO	93797	$270
DIABETES INTERVENTION-INITIAL	G0463	$240
DIABETES INTERVENTN-EA SUBSEQ	G0463	$240
DIABETES SELF-MANAGEMENT GROUP PER 30	G0109	$40
DIABETES SELF-MANAGEMENT INDIVIDUAL PER 30	G0108	$130
FAMILY PACT EDUCATION GROUP	G0463	$240
FAMILY PACT EDUCATION INDIVIDUAL 10MIN	G0463	$240
FAMILY PACT EDUCATION INDIVIDUAL 15MIN	G0463	$240
FAMILY PACT EDUCATION INDIVIDUAL 30MIN	G0463	$240
FAMILY PACT EDUCATION INDIVIDUAL 45MIN	G0463	$240
HEALTH ED ASMNT GROUP F-UP EACH 15MIN	96153	$240
HEALTH ED ASMNT INDIV F-UP EACH 15MIN	96150	$240
HEALTH ED ASMNT INTL 1ST 30MIN	96150	$240
HEALTH ED ASMNT INTL-EA ADDITIONAL 15MIN	96150	$240
HEALTH ED ASMNT POSTPARTUM EACH 15MIN	96151	$240
HEALTH ED CLIENT ORIENTATION EACH 15MIN	G0463	$240
INJECTION INTRA-ARTICULAR		$40
IV START	36000	$200
MAP TOBACCO & SMOKING CESSATION COUNSELING >10MIN	99407	$110
MAP TOBACCO & SMOKING CESSATION COUNSELING 3-10MIN	99406	$110
MEDICAL NUTRITION THERAPY ASSESS PER 15	97802	$90
MEDICAL NUTRITION THERAPY RE-ASSESS PER 15	97803	$80
MEDICAL NUTRITION THERAPY REASSESSMENT CHANGE IN DIAGNOSIS PER 15	G0271	$30
MEDICAL NUTRITION THERAPY REASSESSMENT SAME DIAGNOSIS PER /15	G0270	$60
NONCHEMO IM /SUBQ INJECTION EACH	96372	$200
NONCHEMO INTRAARTERTIAL INJECTION EACH	96373	$670
NONCHEMO IV PUSH EACH ADDL SUSEQUENTIAL	96375	$130
NONCHEMO IV PUSH SAME EACH ADDL SEQUENTL	96376	$150
NONCHEMO IV PUSH SINGLE INITIAL	96374	$450
NONTELEM EXERCISE MONTH		$100
NUTRITION ASMNT GROUP F-UP 30	97804	$23
NUTRITION ASMNT INDIV F-UP 15	97802	$60
NUTRITION ASMNT INITL 1ST30MIN	97802	$60
NUTRITION ASMNT INITL EA ADD15	97802	$60
NUTRITION ASMNT POSTPARTUM 15	97802	$60
P-REHAB BRONCH EXERCISE TEST	94617	$368
P-REHAB STRESS TESTING	94618	$460
P-REHAB WITH EXERCISE&MONITORING 1HR/SESSION UPTO 2SESSIONS PER DAY	G0424	$340
PERINATAL ED GROUP EACH 15MIN	96150	$240
PERINATAL ED INDIVIDUAL EACH 15MIN	96150	$240
PHLEBOTOMY THERAPEUTIC+TRAY	99195	$370
REFILL SPINE BRAIN DRUG PUMP RESERV MD	95991	$360
TELEMETRY EXERCISE	93798	$340

Outpatient Hemodialysis

Description	CPT Code	Standard Charge
DIALYSIS OP UNSCHEDULED DCU	G0257	$2840
HEMODIALYS OP PER TRMT DAY	90935	$3600

Patient Convenience Items

Description	CPT Code	Standard Charge
ADDITIONAL ROOM FULL DAY		$4000
CLAREMONT 2DBL BEDS FULL NIGHT		$70.68
CLAREMONT FULL BED FULL NIGHT		$60.42
CLAREMONT SGL BED FULL NIGHT		$53.58
DELUXE SUITE PACKAGE		$330
DESSERT & BEVERAGE		$10
GONDA BREAKFAST		$10
GONDA LUNCH / DINNER		$10
MINERAL WATER PERRIER		$10
PREMIUM SUITE PACKAGE		$500
SIGNATURE BREAKFAST		$20
SIGNATURE DINNER		$40
SIGNATURE LUNCH		$30
STANDARD BREAKFAST		$10
STANDARD LUNCH / DINNER		$20
TIVERTON DOUBLE DOUBLE FULL NIGHT	Z5414	$105
TIVERTON STUDIO FULL NIGHT	Z5414	$110
TIVERTON SUITE GRAND FULL NIGHT	Z5414	$140
TIVERTON SUITE JUNIOR FULL NIGHT	Z5414	$120
VIP BREAKFAST		$25
VIP DINNER		$45
VIP LUNCH		$45
VIP SUITE PACKAGE		$800

Physical, Occupational, Speech Therapies

Description	CPT Code	Standard Charge
AUD SPEECH BOOK SELF HELP LARYNG		$40
BODY COMP+PHYS PERFORM EVAL	97750	$100
C-REHAB PACED WALK OXIMETRY/15	97750	$100
C-REHAB PHYSICAL PERFORM TEST	97750	$100
CANALITH REPOSITIONING PROC PER DAY	95992	$290
CAST APPLY HAND&LO ARM GAUNTLET	29085	$470
GI SPHINCTER GALVANIC STIMULATE	97032	$90
MANUAL THERAPY/15MIN	97140	$143
MPU GI SPHINCTER GALVANIC STIMULATE	97032	$90
NONTELEM EXERCISE MONTHLY FOR FAMILY MEMBER		$75
OT BIOFEEDBACK M TRAIN RE-ED	90901	$340
OT BIOFEEDBACK M TRAIN RE-ED	90901	$340
OT BIOFEEDBACK PERI/URO/RECTAL	90911	$480
OT BIOFEEDBACK PERI/URO/RECTAL	90911	$480
OT COGNITIVE DEVELOP EA 15MIN CONTACT	G0515	$120
OT COMMUNIITY TRAINING/15MIN	97537	$150
OT COMMUNITY TRAINING/15+ASST	97537	$150
OT COMMUNITY TRAINING/15+ASST	97537	$150
OT CONTRAST BATH/15MIN	97034	$100
OT ELCTRSTIM-ATTND/15+ICE/HEAT	97032	$110
OT ELECTRICAL STIM-ATTENDED/15	97032	$110
OT ELECTRICAL STIM-UNATTENDED	G0283	$110
OT ELECTRSTIM-UNATTND+ICE/HEAT	G0283	$110
OT EVALUATION HIGH COMPLEXITY	97167	$390
OT EVALUATION LOW COMPLEXITY	97165	$250
OT EVALUATION MOD COMPLEXITY	97166	$310
OT IONTOPHORESIS/15+ICE/HEAT	97033	$130
OT IONTOPHORESIS/15MIN	97033	$130
OT MANUAL THERAPY/15+ICE/HEAT	97140	$180
OT MANUAL THERAPY/15MIN	97140	$180
OT MANUAL THERAPY/15MIN+ASST	97140	$180
OT MANUAL THERAPY/15MIN+ASST	97140	$180
OT MASSAGE PER 15MIN	97124	$140
OT MC CASE CONF REPORT-1ST 30		$46
OT MC CASE CONF REPORT-ADD15		$36
OT MC EVALUATION EA ADDL 15MIN		$80
OT MC EVALUATION INITIAL 30MIN		$240
OT MC TREATMENT-ONE AREA 30MIN		$250
OT MC TREATMENT-ONE AREA/ADD15		$130
OT NEUROMUSC RE-ED/15+ICE/HEAT	97112	$190
OT NEUROMUSC RE-ED/15MIN+ASST	97112	$190
OT NEUROMUSC RE-ED/15MIN+ASST	97112	$190
OT NEUROMUSCULAR RE-ED/15MIN	97112	$190
OT ORTHO MGMT/TRAINING 1ST ENC EA 15MIN	97760	$210
OT PARAFFIN	97018	$100
OT PHYSICAL PERF ENVIRONMT EVAL	97750	$140
OT PHYSICAL PERF TEST/15 +ASST	97750	$140
OT PHYSICAL PERF TEST/15 +ASST	97750	$140
OT PHYSICAL PERF TEST/15MIN	97750	$130
OT PROSTH MGMT/TRAINING EA 15MIN	97763	$210
OT PROSTHETIC TRAINING 1ST ENC EA 15MIN	97761	$180
OT RE-EVALUATION	97168	$390
OT SELFCARE/HOME TRAIN/15+ASST	97535	$140
OT SELFCARE/HOME TRAIN/15+ASST	97535	$140
OT SELFCARE/HOME TRAIN/15MIN	97535	$140
OT SENSORY INTEGRAT/15MIN+ASST	97533	$130
OT SENSORY INTEGRAT/15MIN+ASST	97533	$130
OT SENSORY INTEGRATION/15MIN	97533	$130
OT SWALLOWING EVAL LVL1-BEDSID	92610	$610
OT SWALLOWING EVAL LVL2-BEDSID	92610	$250
OT SWALLOWING EVAL LVL3-BEDSID	92610	$310
OT SWALLOWING EVAL LVL4-BEDSID	92610	$410
OT SWALLOWING EVAL LVL5-BEDSID	92610	$406
OT SWALLOWING EVAL LVL6-BEDSID	92610	$491
OT SWALLOWING STUDY EVAL LVL1	92611	$610
OT SWALLOWING STUDY EVAL LVL2	92611	$610
OT SWALLOWING STUDY EVAL LVL3	92611	$488
OT SWALLOWING STUDY EVAL LVL4	92611	$344
OT SWALLOWING STUDY EVAL LVL5	92611	$488
OT SWALLOWING STUDY EVAL LVL6	92611	$488
OT SWALLOWING TREATMENT LVL1	92526	$130
OT SWALLOWING TREATMENT LVL2	92526	$170
OT SWALLOWING TREATMENT LVL3	92526	$330
OT SWALLOWING TREATMENT LVL4	92526	$330
OT THERAP ACTIVITY/15MIN+ASST	97530	$140
OT THERAP ACTIVITY/15MIN+ASST	97530	$140
OT THERAP EXERCISE/15+ICE/HEAT	97110	$180
OT THERAP EXERCISE/15MIN+ASST	97110	$180
OT THERAP EXERCISE/15MIN+ASST	97110	$180
OT THERAPEUTIC ACTIVITY/15MIN	97530	$140
OT THERAPEUTIC EXERCISE/15MIN	97110	$180
OT THERAPEUTIC PROC-GROUP LVL2	97150	$90
OT ULTRASOUND/15MIN	97035	$130
OT ULTRASOUND/15MIN+ICE/HEAT	97035	$130
OT WHEELCHAIR MGMT/15MIN	97542	$150
OT WHEELCHAIR MGMT/15MIN+ASST	97542	$150
OT WHEELCHAIR MGMT/15MIN+ASST	97542	$150
OT WHIRLPOOL/FLUIDOTHERAPY	97022	$130
OT WORK HARDENING-1ST 2 HRS	97545	$280
OT WORK HARDENING-EA ADD HR	97546	$80
OT WOUND DEBRID L1+ASST<20CMSQ	97597	$590
OT WOUND DEBRID L2+ASST<20CMSQ	97597	$590
OT WOUND DEBRID L3+ASST>20CMSQ	97598	$440
OT WOUND DEBRID L4+ASST>20CMSQ	97598	$590
OT WOUND DEBRID LVL1 <20CM SQ	97597	$590
OT WOUND DEBRID LVL2 <20CM SQ	97597	$590
OT WOUND DEBRID LVL3 >20CM SQ	97598	$320
OT WOUND DEBRID LVL4 >20CM SQ	97598	$420
P-REHAB BODY COMP EVAL /15MIN	97750	$100
P-REHAB NUTRITION 1 THER GROUP PER 30MIN	97804	$23
P-REHAB NUTRITION 2 THER GROUP PER 30MIN	97804	$23
P-REHAB PEAKFLOW THER INDIV/15	97750	$100
P-REHAB PHYS PERFORM TEST/15	97750	$100
P-REHAB PROGRAM THERAPY INDIV	94799	$130
P-REHAB PT EVALUATION HIGH COMPLEXITY	97163	$390
P-REHAB PT EVALUATION LOW COMPLEXITY	97161	$250
P-REHAB PT EVALUATION MOD COMPLEXITY	97162	$310
P-REHAB PT GAIT TRAINING /15	97116	$120
P-REHAB PT NEUROMUSC RE-ED /15	97112	$190
P-REHAB PT PHYS PERF TEST /15	97750	$100
P-REHAB PT RE-EVALUATION	97164	$390
P-REHAB PT SELFCARE/HOME /15	97535	$140
P-REHAB PT THERAPY ACTIVITY/15	97530	$140
P-REHAB PT THERAPY EXERCISE/15	97110	$180
P-REHAB THERAPY GROUP	97150	$90
PT AQUATIC THERAPY/15MIN	97113	$203
PT AQUATIC THERAPY/15MIN+ASST	97113	$203
PT AQUATIC THERAPY/15MIN+ASST	97113	$203
PT BIOFEEDBACK M TRAIN RE-ED	90901	$340
PT BIOFEEDBACK M TRAIN RE-ED	90901	$340
PT BIOFEEDBACK PERI/URO/RECTAL	90911	$480
PT BIOFEEDBACK PERI/URO/RECTAL	90911	$480
PT COGNITIVE DEVELOP EA 15MIN CONTACT	G0515	$120
PT COMMUNITY TRAINING/15+ASST	97537	$150
PT COMMUNITY TRAINING/15+ASST	97537	$150
PT COMMUNITY TRAINING/15MIN	97537	$150
PT CONTRAST BATH/15MIN	97034	$100
PT ELECTRICAL STIM-ATTENDED/15	97032	$110
PT ELECTRICAL STIM-UNATTENDED	G0283	$110
PT ELECTRSTIM-UNATTND+ICE/HEAT	G0283	$110
PT EVALUATION HIGH COMPLEXITY	97163	$390
PT EVALUATION LOW COMPLEXITY	97161	$250
PT EVALUATION MOD COMPLEXITY	97162	$310
PT GAIT TRAINING/15MIN	97116	$120
PT GAIT TRAINING/15MIN+ASST	97116	$120
PT GAIT TRAINING/15MIN+ASST	97116	$120
PT HUBBARD TANK/15MIN	97036	$100
PT HUBBARD TANK/15MIN+ASST	97036	$100
PT HUBBARD TANK/15MIN+ASST	97036	$100
PT IONTOPHORESIS/15+ICE/HEAT	97032	$110
PT IONTOPHORESIS/15+ICE/HEAT	97033	$130
PT IONTOPHORESIS/15MIN	97033	$130
PT MANUAL THERAPY/15+ICE/HEAT	97140	$180
PT MANUAL THERAPY/15+ICE/HEAT	97140	$180
PT MANUAL THERAPY/15MIN	97140	$180
PT MANUAL THERAPY/15MIN+ASST	97140	$180
PT MASSAGE PER 15MIN	97124	$140
PT MC CASE CONF REPORT-1ST 30		$45
PT MC CASE CONF REPORT-ADD15		$36
PT MC EVALUATION EA ADDL 15MIN		$80
PT MC EVALUATION INITIAL 30MIN		$240
PT MC HUBBARD TANK-1ST 30MIN		$200
PT MC HUBBARD TANK-EA ADD15MIN		$100
PT MC MODALITY-ONE AREA 30MIN		$200
PT MC MODALITY-ONE AREA/ADD15		$130
PT MC POOL THERAPY-1ST 30MIN		$330
PT MC POOL THERAPY-EA ADD15		$164
PT MC TREATMENT+MODALITY 30MIN		$250
PT MC TREATMENT-ONE AREA 30MIN		$250
PT MC TREATMENT-ONE AREA/ADD15		$130
PT MC TREATMNT+MODALITY ADD15		$130
PT MECHANICAL TRACTION	97012	$130
PT MECHANICAL TRACTN+ICE/HEAT	97012	$130
PT NEUROMUSC RE-ED/15+ICE/HEAT	97112	$190
PT NEUROMUSC RE-ED/15MIN+ASST	97112	$190
PT NEUROMUSC RE-ED/15MIN+ASST	97112	$190
PT NEUROMUSCULAR RE-ED/15MIN	97112	$190
PT ORTHO MGMT/TRAINING 1ST ENC ßEA 15MIN	97760	$210
PT PARAFFIN	97018	$100
PT PHYS PERFORM-ENVIRONMT EVAL	97750	$180
PT PHYS PERFORM-ENVIRONMT EVAL	97750	$180
PT PHYSICAL MED REHAB SERVICE UNLISTED	97799	$25
PT PHYSICAL MED REHAB SERVICE UNLISTED	97799	$25
PT PHYSICAL PERF TEST/15 +ASST	97750	$140
PT PHYSICAL PERF TEST/15 +ASST	97750	$140
PT PHYSICAL PERF TEST/15MIN	97750	$100
PT PROSTH MGMT/TRAINING EA 15MIN	97763	$210
PT PROSTHETIC TRAINING 1ST ENC EA 15MIN	97761	$180
PT RE-EVALUATION	97164	$390
PT SELFCARE/HOME TRAIN/15+ASST	97535	$140
PT SELFCARE/HOME TRAIN/15+ASST	97535	$140
PT SELFCARE/HOME TRAIN/15MIN	97535	$140
PT SENSORY INTEGRAT/15MIN+ASST	97533	$130
PT SENSORY INTEGRAT/15MIN+ASST	97533	$130
PT SENSORY INTEGRATION/15MIN	97533	$130
PT THERAP ACTIVITY/15MIN+ASST	97530	$140
PT THERAP ACTIVITY/15MIN+ASST	97530	$140
PT THERAP EXERCISE/15+ICE/HEAT	97110	$180
PT THERAP EXERCISE/15MIN+ASST	97110	$180
PT THERAP EXERCISE/15MIN+ASST	97110	$180
PT THERAPEUTIC ACTIVITY/15MIN	97530	$140
PT THERAPEUTIC EXERCISE/15MIN	97110	$180
PT THERAPEUTIC PROC-GROUP LVL2	97150	$90
PT ULTRASOUND/15MIN	97035	$130
PT ULTRASOUND/15MIN+ICE/HEAT	97035	$130
PT WHEELCHAIR MGMT/15MIN	97542	$150
PT WHEELCHAIR MGMT/15MIN+ASST	97542	$150
PT WHEELCHAIR MGMT/15MIN+ASST	97542	$150
PT WHIRLPOOL	97022	$130
PT WOUND DEBRID L1+ASST<20CMSQ	97597	$590
PT WOUND DEBRID L2+ASST<20CMSQ	97597	$590
PT WOUND DEBRID LEVEL 1+ ASSIST <20CM SQ	97597	$590
PT WOUND DEBRID LEVEL 2+ ASSIST <20CM SQ	97597	$590
PT WOUND DEBRID LEVEL 3+ ASSIST >20CM SQ	97598	$440
PT WOUND DEBRID LEVEL 4+ ASSIST >20CM SQ	97598	$590
PT WOUND DEBRID LVL3 >20CM SQ	97598	$320
PT WOUND DEBRID LVL4 >20CM SQ	97598	$420
PT WOUND DEBRID NONSELECT LVL1	97602	$590
PT WOUND DEBRID NONSELECT LVL2	97602	$590
PT WOUND DEBRID NONSELECT LVL3	97602	$590
PT WOUND DEBRID NONSELECT LVL4	97602	$590
PT WOUND DEBRID NONSELECTIVE LEVEL 1+ ASSIST	97602	$590
PT WOUND DEBRID NONSELECTIVE LEVEL 2+ ASSIST	97602	$590
PT WOUND DEBRID NONSELECTIVE LEVEL 3+ ASSIST	97602	$590
PT WOUND DEBRID NONSELECTIVE LEVEL 4+ ASSIST	97602	$590
PULM REHAB EXERCISE MONTHLY FOR FAMILY MEMBER		$75
PULM REHAB EXERCISE-1 VISIT		$12
PULM REHAB EXERCISE-24 VISITS		$240
PULM REHAB EXERCISE-38 VISITS		$360
PULM REHAB EXERCISE-8 VISITS		$88
PULM REHAB EXERCISE-MONTH		$100
PULM REHAB FOLLOWUP EXERCISE	G0463	$240
SPCH COGNITIVE DEVELOP EA 15MIN CONTACT	G0515	$120
SPCH LANG EVAL LEVEL 1	92506	$198
SPCH LANG EVAL LEVEL 2	92506	$235
SPCH LANG EVAL LEVEL 3	92506	$275
SPCH LANG EVAL LEVEL 4	92506	$355
SPCH LANG RE-EVAL LEVEL 1	92506	$198
SPCH LANG RE-EVAL LEVEL 2	92506	$235
SPCH LANG RE-EVAL LEVEL 3	92506	$275
SPCH LANG RE-EVAL LEVEL 4	92506	$355
SPCH MC LANGUAGE EVALUATION	92523	$490
SPCH MC SPEECH EVALUATION	92522	$300
SPCH MC SPEECH LANG THER INDIVID PER 1/2 HR	92507	$240
SPCH MC SPEECH LANG THER INDIVID PER HOUR	92507	$480
SPCH-LANG THERAPY INDIVIDUAL	92507	$480
SPCH-ORAL STRUCTURE ASMNT SP PROGRAM	92522	$90
SPEECH APHASIA ASSESSMENT PER HOUR	96105	$540
SPEECH AUGMENT DEVICE COMMUN EVAL 1ST HOUR	92607	$390
SPEECH AUGMENT DEVICE COMMUN EVAL ADDL30	92608	$220
SPEECH AUGMENT DEVICE THERAP SVC	92609	$291
SPEECH CLINICAL SWALLOW EXAM	92610	$510
SPEECH COMMUN/COGNITIVE GROUP THERAPY	92508	$170
SPEECH COMMUNICATION ASSESSMENT/EVAL	92506	$355
SPEECH COMMUNICATION SCREEN	92506	$355
SPEECH DYSPHAGIA THERAPY SPECIAL PROGRAM	92526	$250
SPEECH ENDOSCOPIC SWALLOW EVALUATION	92612	$580
SPEECH EVAL FLUENCY	92521	$290
SPEECH EVAL SOUND PRODUCTION	92522	$300
SPEECH EVAL SOUND PRODUCTION+LANGUAGE COMPREHENSION&EXPRESSION	92523	$490
SPEECH MODIFIED BARIUM SWALLOW	92611	$610
SPEECH NASOPHARYNGOSCOPY+ENDOSCOPE	92511	$550
SPEECH VOICE PROSTHESIS EVALUATION/ASSESS	92597	$560
STANDARD COGNITIVE PERFORMANCE TESTING + RESULTS & REPORT	96125	$290
VOICE & RESONANCE BEHAVIORAL & QUALITATIVE ANALYSIS	92524	$250

Pulmonary Function

Description	CPT Code	Standard Charge
CO2 EXPIR BY INFRARED ANALYZR	94770	$290
O2 CONSUMPTION /UPTAKE EXPIR GAS+CO2	94681	$580
O2 UPTAK&EXPIRED GAS-INDIRECT	94690	$444
O2 UPTAK&EXPIRED GAS-INDIRECT	94690	$444
PULM FXN BRONCH EXERCISE TEST	94617	$460
PULM FXN LAB AIRFLOW RESISTANCE-PLETHYSMGRPH/OSCILLAT	94728	$870
PULM FXN LAB BREATHING CAPACITY MAXIMUM	94200	$250
PULM FXN LAB BREATHING RESPONSE TO CO2-SPEC GAS	94400	$480
PULM FXN LAB BREATHING RESPONSE TO HYPOXIA-SGL HAST	94450	$730
PULM FXN LAB CARBON MONOXIDE DIFFUSING CAPACITY	94729	$480
PULM FXN LAB FRC GAS DILUTION OR NITROGEN WASHOUT	94727	$480
PULM FXN LAB FUNCTIONAL RESIDUAL CAPACITY-FRC	94727	$320
PULM FXN LAB O2 UPTAK&EXPIRED GAS-INDIRECT	94690	$560
PULM FXN LAB PULMONARY COMPLIANCE STUDY	94750	$480
PULM FXN LAB PULMONARY STRESS TEST COMPLEX	94621	$1720
PULM FXN LAB RECORD O2SAT&HEARTRATE UPTO 24HR AMBULAT	94799	$320
PULM FXN LAB RESEARCH GRANT ABG CAPACITY		$65
PULM FXN LAB RESEARCH GRANT DLCO BLADR		$77
PULM FXN LAB RESEARCH GRANT DLCO CAPACITY		$80
PULM FXN LAB RESEARCH GRANT NO SHOW		$50
PULM FXN LAB RESEARCH GRANT PULSE OX		$16
PULM FXN LAB RESEARCH GRANT PULSE OX MULT		$40
PULM FXN LAB RESEARCH GRANT QC CAPACITY		$600
PULM FXN LAB RESEARCH GRANT SETUP FEE/VISIT		$67
PULM FXN LAB RESEARCH GRANT SPIRO CAPACITY		$160
PULM FXN LAB RESEARCH GRANT TLC CAPACITY		$70
PULM FXN LAB SPIROMETRY	94010	$320
PULM FXN LAB SPIROMETRY PRE&POST DILATOR	94060	$580
PULM FXN LAB SPIROMETRY PROLONGED POSTEXPOSURE	94070	$580
PULM FXN LAB SPIROMETRY VITAL CAP FEV1	94150	$320
PULM FXN LAB THORACIC GAS VOLUME	94726	$580
PULM FXN STRESS TESTING	94618	$460
PULSE OXIMETRY MULTIPLE	94761	$190
PULSE OXIMETRY MULTIPLE	94761	$150
PULSE OXIMETRY SPOT CHECK	94760	$130
RECORD O2SAT&HEARTRATE UPTO 24HR AMBULAT	94799	$480
RESP BREATHING CAPACITY MAXIMUM	94200	$370
RESP BREATHING RESPONSE TO CO2-SPEC GAS	94400	$480
RESP CARBON MONOXIDE DIFFUSING CAPACITY	94729	$382
RESP CARBON MONOXIDE DIFFUSING CAPACITY	94729	$480
RESP FUNCTIONAL RESIDUAL CAPACITY-FRC	94726	$870
RESP PULMONARY COMPLIANCE STUDY	94750	$480
RESP SPIROMETRY	94010	$320
RESP SPIROMETRY PROLONGED POSTEXPOSURE	94070	$580
RESP THORACIC GAS VOLUME	94726	$580
SPIROMETRY	94010	$320
SPIROMETRY PRE&POST DILATOR	94060	$580
SPIROMETRY VITAL CAP FEV1	94150	$320

Radiology, Diagnostic

Description	CPT Code	Standard Charge
ABDOMEN >= 3 VIEWS	74021	$520
ABDOMEN 1 VIEW	74018	$270
ABDOMEN 2 VIEWS	74019	$520
ABDOMEN ACUTE + PA CHEST	74022	$350
ABSCESSOGRAM/SINOGRAM S&I	76080	$570
AC JOINT UNILATERAL	73050	$236
AC JOINTS BILATERAL	73050	$590
ANGIO ABDOMINAL AORTA S&I	75625	$5820
ANGIO ABDOMINOPELV + RUNOFF	75630	$7270
ANGIO ADRENAL BILAT S&I	75733	$5820
ANGIO ADRENAL UNILAT S&I	75731	$2524
ANGIO EXT CAROTID BILAT S&I	36227	$4913
ANGIO EXT CAROTID UNILAT S&I	36227	$3687
ANGIO EXTREMITY BILAT S&I	75716	$5820
ANGIO EXTREMITY UNILAT S&I	75710	$4360
ANGIO INTERNAL MAMMARY S&I	75756	$4360
ANGIO PELVIC SELECTIVE S&I	75736	$7460
ANGIO PULMNRY NONSELECT S&I	75746	$2290
ANGIO PULMNRY SELECT BILAT S&I	75743	$5820
ANGIO PULMNRY SELECT UNI S&I	75741	$4360
ANGIO RENAL BILAT S&I	36252	$4360
ANGIO RENAL UNILAT S&I	36251	$5820
ANGIO SELECTIVE EA ADDL VESSEL	75774	$2880
ANGIO SPINAL SELECTIVE S&I	75705	$7460
ANGIO THOR AORTA + SERIAL S&I	75605	$7460
ANGIO THOR AORTA WO SERIAL S&I	75600	$4360
ANGIO TRANSCATH FOLLOW-UP	75898	$1720
ANGIO VISCERAL ARTERY S&I	75726	$7460
ANKLE 1 VIEW	73600	$220
ANKLE 2 VIEWS	73600	$280
ANKLE 2 VIEWS BILATERAL	73600	$320
ANKLE 3+ VIEWS	73610	$280
ANKLE 3+ VIEWS BILATERAL	73610	$320
ARTHROGRAM ANKLE S&I	73615	$1060
ARTHROGRAM ELBOW S&I	73085	$1060
ARTHROGRAM HIP S&I	73525	$1060
ARTHROGRAM KNEE S&I	73580	$1060
ARTHROGRAM SHOULDER S&I	73040	$1060
ARTHROGRAM WRIST S&I	73115	$906
ATHERECTOMY RENAL ARTERY S&I	0234T	$24520
ATHERECTOMY VISCERL ADD S&I	0235T	$1860
ATHERECTOMY VISCERL ARTERY S&I	0235T	$1860
BARIUM ENEMA	74270	$440
BARIUM ENEMA AIR	74280	$590
BARIUM ENEMA THERAPEUTIC	74283	$440
BILIARY DILATION S&I	74363	$1720
BONE AGE STUDY	77072	$420
BONE DEXA DENSITY AXIAL	77080	$350
BONE DEXA DENSITY AXIAL SCREEN	77080	$210
BONE DEXA DENSITY PERIPH	77081	$140
BONE DEXA DENSITY VERT FUNCTN	77086	$220
BONE LENGTH STUDY / SCANOGRAM	77073	$280
BONE SURVEY COMPLETE	77075	$350
BONE SURVEY INFANT	77076	$350
BONE SURVEY LTD	77074	$420
BREAST DUCTOGRAM MULTIPLE S&I	77054	$1013
BREAST DUCTOGRAM SINGLE S&I	77053	$1230
C-SPINE + FLEXION-EXTENSION	72052	$510
C-SPINE 2-3 VIEWS	72040	$310
C-SPINE SERIES 4+ VIEWS	72050	$420
CALCANEUS 1 VIEW	73650	$140
CALCANEUS 2+ VIEWS	73650	$220
CALCANEUS 2+ VIEWS BILATERAL	73650	$320
CATH CHANGE GUIDE S&I	75984	$956
CHEST >= 4 VIEWS	71048	$520
CHEST 2 VIEWS	71046	$270
CHEST 3 VIEWS	71047	$270
CHEST SINGLE VIEW	71045	$270
CHOLANGIOGRAM OR ADDL SET	74301	$412
CHOLANGIOGRAM OR OPERATIVE	74300	$647
CINE/VIDEORADIOGRAPHY PRIMARY PROCEDURE	76120	$420
CINE/VIDEORADIOGRAPHY TO COMPLEMENT ROUTINE IN ADD TO PRIMARY PROC	76125	$390
CISTERNOGRAM S&I	70015	$1590
CLAVICLE 1 VIEW	73000	$304
CLAVICLE SERIES	73000	$550
CLAVICLE SERIES BILATERAL	73000	$884
CORPORA CAVERNOSOGRAM S&I	74445	$740
CV CATH FLUORO GUIDE S&I	77001	$1050
CYSTOGRAM S&I	74430	$590
CYSTOURETHROGRAM VOIDING S&I	74455	$1100
DACRYOCYSTOGRAM S&I	70170	$570
DEFECOGRAM	74270	$440
DISKOGRAM CERV THOR S&I	72285	$3760
DISKOGRAM LUMBAR S&I	72295	$3760
ELBOW 1 VIEW	73070	$220
ELBOW 2 VIEWS	73070	$220
ELBOW 2 VIEWS BILATERAL	73070	$320
ELBOW 3+ VIEWS	73080	$280
ELBOW 3+ VIEWS BILATERAL	73080	$320
EPIDUROGRAM S&I	72275	$750
ERCP BILIARY / PANCREATIC S&I	74330	$1065
ERCP BILIARY DUCT S&I	74328	$1010
ERCP PANCREATIC DUCT S&I	74329	$812
ESOPHAGEAL DILATION S&I	74360	$1120
ESOPHAGUS BARIUM SWALLOW	74220	$440
EXTRA ORAL POST DENTAL RADIOGRAPHIC IMAGE	D0251	$215
EYE FOREIGN BODY DETECTION	70030	$220
FACIAL BONES < 3 VIEWS	70140	$590
FACIAL BONES 3+ VIEWS	70150	$830
FALLOPIAN TUBE CATH S&I	74742	$316
FEMUR 1 VIEW	73551	$270
FEMUR MIN 2 VIEWS	73552	$270
FINGER(S) 1 VIEW	73140	$140
FINGER(S) 2+ VIEWS	73140	$280
FINGER(S) 2+ VIEWS BILATERAL	73140	$320
FLUORESCENCE VASCULAR ANGIOGRAPHY FVA NON-OPHTHALMIC	C9733	$1130
FLUORO FOR CT MR ARTHROGRM INJ	77002	$1060
FLUORO NDL LOCALIZ SPINE S&I	77003	$570
FLUORO NDL PLACEMENT S&I	77002	$1060
FLUORO PROCEDURE DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76496	$490
FLUOROSCOPY > 1 HR	76001	$630
FLUOROSCOPY SEPARATE PROCEDURE < 1 HR	76000	$660
FOOT 1 VIEW	73620	$140
FOOT 2 VIEWS	73620	$280
FOOT 2 VIEWS BILATERAL	73620	$320
FOOT 3+ VIEWS	73630	$310
FOOT 3+ VIEWS BILATERAL	73630	$320
FOREARM 1 VIEW	73090	$140
FOREARM 2 VIEWS	73090	$280
FOREARM 2 VIEWS BILATERAL	73090	$320
HAND 1 VIEW	73120	$210
HAND 2 VIEWS	73120	$280
HAND 2 VIEWS BILATERAL	73120	$420
HAND 3+ VIEWS	73130	$310
HAND 3+ VIEWS BILATERAL	73130	$320
HIP & PELVIS UNILATERAL 1 VIEW	73501	$270
HIP & PELVIS UNILATERAL 2-3 VIEWS	73502	$270
HIP & PELVIS UNILATERAL MIN 4 VIEWS	73503	$420
HIPS & PELVIS BILATERAL 2 VIEWS	73521	$420
HIPS & PELVIS BILATERAL 3-4 VIEWS	73522	$420
HIPS & PELVIS BILATERAL MIN 5 VIEWS	73523	$850
HUMERUS 1 VIEW	73060	$140
HUMERUS 2+ VIEWS	73060	$280
HUMERUS 2+ VIEWS BILATERAL	73060	$320
HYSTEROSALPINGOGRAM S&I	74740	$570
INTRAVENOUS PYELOGRAM	74400	$880
IVC FILTER PLACEMENT S&I	37191	$9950
JOINT SURVEY 1 VIEW	77077	$280
KNEE 1-2 VIEWS	73560	$290
KNEE 1-2 VIEWS BILATERAL	73560	$460
KNEE 3 VIEWS	73562	$290
KNEE 3 VIEWS BILATERAL	73562	$460
KNEE 4+ VIEWS	73564	$350
KNEE 4+ VIEWS BILATERAL	73564	$528
KNEES AP STANDING BILATERAL	73565	$430
KOCH'S POUCHOGRAM	74250	$210
L-SPINE 2-3 VIEWS	72100	$380
L-SPINE 4+ VIEWS	72110	$420
L-SPINE BENDING 4+ VIEWS	72120	$420
L-SPINE COMPLETE + BENDING VWS	72114	$420
LONG GI TUBE PLACEMENT S&I	74340	$760
LOWER EXTREMITY INFANT 2+VIEWS	73592	$220
LYMPHANGIOGRAM ABDOM-PELV BI	75807	$4360
LYMPHANGIOGRAM ABDOM-PELV UNI	75805	$1720
LYMPHANGIOGRAM EXTREM BI S&I	75803	$1430
LYMPHANGIOGRAM EXTREM UNI S&I	75801	$1430
MANDIBLE < 4 VIEWS	70100	$220
MANDIBLE 4+ VIEWS	70110	$420
MASTOIDS < 3 VIEWS PER SIDE	70120	$280
MASTOIDS 3+ VIEWS PER SIDE	70130	$420
MIDDLE EAR (IAM)	70134	$430
MYELOGRAM CERVICAL S&I	72240	$1590
MYELOGRAM LUMBAR S&I	72265	$1590
MYELOGRAM POSTERIOR FOSSA S&I	70010	$1060
MYELOGRAM SPINE COMPLETE S&I	72270	$2449
MYELOGRAM THORACIC S&I	72255	$1590
MYELOGRAPHY VIA LUMBAR INJ 2 OR MORE REGIONS	62305	$2390
MYELOGRAPHY VIA LUMBAR INJ CERVICAL	62302	$2390
MYELOGRAPHY VIA LUMBAR INJ LUMBOSACRAL	62304	$2390
MYELOGRAPHY VIA LUMBAR INJ THORACIC	62303	$2390
NASAL BONES 3+ VIEWS	70160	$760
NECK SOFT TISSUE	70360	$570
NEPHROSTOGRAM S&I	74425	$590
NEPHROSTOMY DILATION S&I	74485	$3960
OR FLUORO GUIDANCE SERVICE		$1000
ORAL CHOLECYSTOGRAM	74290	$440
ORBITS < 4 VIEWS	70200	$420
ORBITS 4+ VIEWS	70200	$800
ORTHOPANTOGRAM (PANOREX)	70355	$220
PCMKR INSERTION FLUORO S&I	33206	$22740
PELVIMETRY	74710	$260
PELVIS 1-2 VIEWS	72170	$280
PELVIS 3+ VIEWS	72190	$350
PERCUTAN DRAIN CATH CHANGE S&I	75984	$1200
PERCUTANEOUS DRAIN GUIDE S&I	75989	$1000
PERCUTANEOUS ENTEROCLYSIS S&I	74355	$699
PERINEOGRAM	74775	$720
PERITONEOGRAM S&I	74190	$1140
PHARYNX / CERVICAL ESOPHAGUS	74210	$440
PHARYNX / LARYNX	70370	$290
PLACE ENDOPRSTH DISTAL TAA S&I	75958	$3000
PLACE ENDOPRSTH PROX TAA S&I	75957	$3750
PLACE ENDOPRSTH TAA EA ADDL	33884	$1924
PLACE ENDOPRSTH TAA INITIAL	33883	$5247
PORTOGRAM + HEMODYNAMIC EVAL	75885	$5820
PORTOGRAM WO HEMODYNAMIC EVAL	75887	$3440
RADIOGRAPHIC ABSORPTIOMETRY	G0130	$210
RENAL CYST STUDY S&I	74470	$570
REPR ENDOVASC TAA +SUBCLAVIAN	33880	$10500
REPR ENDOVASC TAA S&I	75956	$3750
REPR ENDOVASC TAA WO SUBCLAV	33881	$9040
RETRIEVAL INTRAVASCULAR FB S&I	37197	$5820
RIBS BILATERAL + PA CHEST	71111	$650
RIBS BILATERAL 3 VIEWS	71110	$420
RIBS UNILATERAL + PA CHEST	71101	$420
RIBS UNILATERAL 2 VIEWS	71100	$280
SACROILIAC JT ARTHROGRM S&I	27096	$800
SACROILIAC JTS < 3 VIEWS	72200	$350
SACROILIAC JTS 3+ VIEWS	72202	$350
SACRUM / COCCYX 2+ VIEWS	72220	$280
SALIVARY GLAND FOR STONE	70380	$220
SCAPULA 1 VIEW	73010	$420
SCAPULA SERIES	73010	$600
SCAPULA SERIES BILATERAL	73010	$958
SELLA TURCICA SERIES	70240	$220
SHOULDER 1 VIEW	73020	$220
SHOULDER 1 VIEW BILATERAL	73020	$320
SHOULDER 2+ VIEWS	73030	$290
SHOULDER 2+ VIEWS BILATERAL	73030	$460
SHUNTOGRAM PLACED NONVASC S&I	75809	$610
SIALOGRAM S&I	70390	$570
SINUSES < 3 VIEWS	70210	$400
SINUSES 3+ VIEWS	70220	$500
SKULL < 4 VIEWS	70250	$420
SKULL 4+ VIEWS	70260	$420
SMALL BOWEL	74250	$420
SMALL BOWEL ENTEROCLYSIS TUBE	74251	$490
SPINE 1 VIEW	72020	$220
SPINE THORACIC LUMBAR EXAM 1 VIEW	72081	$270
SPINE THORACIC LUMBAR EXAM 2 OR 3 VIEWS	72082	$420
SPINE THORACIC LUMBAR EXAM 4 OR 5 VIEWS	72083	$850
SPINE THORACIC LUMBAR EXAM MIN 6 VIEWS	72084	$850
SPLENOPORTOGRAM S&I	75810	$2290
STERNOCLAVICULAR JOINTS 3+ VWS	71130	$710
STERNUM 2 VIEWS	71120	$600
STRESS VW EXTREMITY JOINT	77071	$220
SURGICAL SPECIMEN	76098	$1700
T-SPINE 2 VIEWS	72070	$350
T-SPINE 3 VIEWS	72072	$390
T-SPINE 4+ VIEWS	72074	$420
TEMPOROMANDIBULAR JOINT BILAT	70330	$310
TEMPOROMANDIBULAR JOINT UNILAT	70328	$220
THORACOLUMBAR SPINE 2 VIEWS	72080	$310
TIBIA/FIBULA 1 VIEW	73590	$220
TIBIA/FIBULA 2 VIEWS	73590	$280
TIBIA/FIBULA 2 VIEWS BILATERAL	73590	$320
TOE(S) 2+ VIEWS	73660	$220
TOE(S) 2+ VIEWS BILATERAL	73660	$320
TOMOGRAM COMPLEX MOTION BILAT	76102	$710
TOMOGRAM COMPLEX MOTION UNILAT	76101	$420
TOMOGRAM LINEAR	76100	$420
TRANSCATH BIOPSY S&I	75970	$3440
TRANSCATH EMBOLIZATION S&I	75894	$6500
UPPER EXTREMITY INFANT 2+ VWS	73092	$280
UPPER GI SERIES + KUB	74241	$590
UPPER GI SERIES + SMALL BOWEL	74245	$610
UPPER GI SERIES AIR + KUB	74247	$590
UPPER GI SERIES AIR + SM BOWEL	74249	$590
UPPER GI SERIES AIR WO KUB	74246	$590
UPPER GI SERIES WO KUB	74240	$440
URETHROCYSTOGRM RETROGRADE S&I	74450	$1100
UROGRAM INFUSION + TOMOGRAMS	74415	$930
UROGRAM INFUSION WO TOMOGRAMS	74410	$880
UROGRAM RETROGRADE	74420	$1060
VASOGRAM S&I	74440	$570
VENOGRM ADRENAL BILAT S&I	75842	$9950
VENOGRM ADRENAL UNILAT S&I	75840	$5820
VENOGRM EPIDURAL S&I	75872	$1430
VENOGRM EXTREMITY BILAT S&I	75822	$2290
VENOGRM EXTREMITY UNILAT S&I	75820	$1430
VENOGRM HEPATIC + EVAL S&I	75889	$5820
VENOGRM HEPATIC WO EVAL S&I	75891	$5820
VENOGRM INFERIOR VENA CAVA S&I	75825	$5820
VENOGRM ORBITAL S&I	75880	$1430
VENOGRM RENAL BILAT S&I	75833	$5820
VENOGRM RENAL UNILAT S&I	75831	$5820
VENOGRM SINUS/JUGULAR S&I	75860	$5820
VENOGRM SUPERIOR SAGITTL SINUS	75870	$2140
VENOGRM SUPERIOR VENACAVA S&I	75827	$5240
VENOUS CATH STRIP DEVICE S&I	75902	$520
VENOUS CATH STRIP SEP ACC S&I	75901	$650
VENOUS ORGAN BLOOD SAMPLNG S&I	75893	$9950
VIDEO ESOPHAGRAM	74230	$420
VIDEO SPEECH EVALUATION	70371	$430
WRIST 1 VIEW	73100	$220
WRIST 2 VIEWS	73100	$220
WRIST 2 VIEWS BILATERAL	73100	$320
WRIST 3+ VIEWS	73110	$280
WRIST 3+ VIEWS BILATERAL	73110	$320
XR DIAGNOSTIC UNLISTED	76499	$220
XRAY TEETH COMPLETE FULL MOUTH	70320	$430
XRAY TEETH PARTIAL MOUTH	70310	$430

Radiology, Therapeutic , Chemo

Description	CPT Code	Standard Charge
3D SIMULATION RECONSTRCT TUMOR	77295	$4160
BASIC DOSIMETRY CALCULATION	77300	$600
BIOPSY VAGINAL MUCOSA SIMPLE	57100	$2010
BLADDER IRRIGATION LAVAGE SIMPLE	51700	$800
BRACHY ECHO PROSTATE VOL STUDY TRANSRECT	76873	$970
BRACHYTHER HI ENDORECTAL INTRACAV PLACE	C9725	$2490
BRACHYTHER ISODOSE CALC COMPLEX>12SOURCE	77318	$1140
BRACHYTHER ISODOSE CALC INTRMD9-12SOURCE	77317	$1140
BRACHYTHER ISODOSE CALC SIMPLE1-8SOURCE	77316	$1140
BREAST RAD THER APPLIC PLACE & REMOVAL	C9726	$5580
BRONCH + PLACE FIDUCIAL MARKER	31626	$17020
CATHETERIZATION BLADDER FOLEY COMPLEX	51703	$600
CATHETERIZATION BLADDER FOLEY COMPLEX	51703	$480
CATHETERIZATION BLADDER FOLEY SIMPLE	51702	$370
CATHETERIZATION BLADDER FOLEY SIMPLE	51702	$370
CATHETERIZATION BLADDER STRAIGHT	51701	$370