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

"EKG, ECG, EEG"

Hospital	Description	CPT Code	Standard Charge
SM	HB EEG AWAKE & ASLEEP PORTABLE	95819	$870.00
SM	HB EEG AWAKE & DROWSY PORTABLE	95816	$870.00
SM	HB EEG COMA/SLEEP ONLY	95822	$870.00
SM	HB EEG DIGITAL ANALYSIS	95957	$1580.00
SM	HB EEG EXTENDED MONITORING TO 1HR	95812	$870.00
SM	HB EKG SIGNAL AVERAGED SAEKG	93278	$200.00
SM	HB FUNCT CORTICAL MAP-EACH ADDL HR	95962	$1980.00
SM	HB FUNCTIONAL CORTICAL MAP 1ST HR	95961	$3160.00
SM	HB OR EEG MONITORING NONINTRACRAN	95955	$710.00
SM	HB PULM FXN LAB EKG 12-LEAD	93005	$360.00
SM	HB ACT AMB TELEM 24HR SCAN ANALYS	93225	$2570.00
SM	HB ACT AMBUL CARD TELEMETR RECORD/HKUP/DISC	93229	$1100.00
SM	HB ECG EXT RECORD >48HR TO 21 DAYS	0296T	$400.00
SM	HB ECG EXT SCAN+REPORT >48HR TO 21 DAYS	0297T	$400.00
SM	HB EEG & WADA ACTIVATION TEST	95958	$3160.00
SM	HB EEG AWAKE & ASLEEP	95819	$1400.00
SM	HB EEG AWAKE & DROWSY	95816	$1230.00
SM	HB EEG BRAIN DEATH EVALUATION	95824	$1560.00
SM	HB EEG DRUG ACTIVATION TEST	95954	$1560.00
SM	HB EEG EXTENDED MONITOR 61-119 MINS	95813	$960.00
SM	HB EEG RECORDING >=8 CHANNEL TECH IN PERSON	95700	$960.00
SM	HB EEG W VIDEO REVIEW DATA TECH 2-12HR CONT MONIT	95713	$1840.00
SM	HB EEG W VIDEO REVIEW DATA TECH 2-12HR INTERMIT MONIT	95712	$960.00
SM	HB EEG W VIDEO REVIEW DATA TECH 2-12HR UNMONIT	95711	$960.00
SM	HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR CONT MONIT	95716	$3440.00
SM	HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR INTERMIT MONIT	95715	$1840.00
SM	HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR UNMONIT	95714	$1840.00
SM	HB EEG WO VIDEO REVIEW DATA TECH 2-12HR CONT MONIT	95707	$960.00
SM	HB EEG WO VIDEO REVIEW DATA TECH 2-12HR INTERMIT MONIT	95706	$960.00
SM	HB EEG WO VIDEO REVIEW DATA TECH 2-12HR UNMONIT	95705	$960.00
SM	HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR CONT MONIT	95710	$1840.00
SM	HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR INTERMIT MONIT	95709	$1840.00
SM	HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR UNMONIT	95708	$1840.00
SM	HB EKG 12-LEAD	93005	$360.00
SM	HB EKG 12-LEAD SM	93005	$360.00
SM	HB EKG RHYTHM STRIP	93041	$130.00
SM	HB ELECTROCORTICOGRAM AT SURGERY	95829	$2500.00
SM	HB HEART EVENT MONITORING /ANALYSIS	93271	$1859.00
SM	HB HEART EVENT RECORD/HOOKUP/DISCONTINUED	93270	$640.00
SM	HB HOLTER 24HR SCAN ANALYSIS	93226	$1040.00
SM	HB HOLTER 48HR SCAN ANALYSIS	93226	$1040.00
SM	HB HOLTER RECORD/HKUP/DISC UPTO 24HR	93225	$870.00
SM	HB HOLTER RECORD/HKUP/DISC UPTO 48HR	93225	$870.00

"FDA Investigational Medical / Surgical Supplies, Devices "

Hospital	Description	CPT Code	Standard Charge
SM	HB SYNCARDIA VAD SPARES KIT IDE G090221		$5830.00
SM	HB SYNCARDIA VAD STARTUP KIT IDE G090221		$195120.00
SM	HB SYNCARDIA VAD TAH-T DRIVER IDE G090221		$415280.00
SM	HB ACCESSORY KIT NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$1670.00
SM	HB BERLIN VAD ACCESSORY SUPPL IDE G050262A3		$8000.00
SM	HB BERLIN VAD CANNULA APEX IDE G050262A3		$17080.00
SM	HB BERLIN VAD CANNULA ATR/ART IDE G050262A3		$13330.00
SM	HB BERLIN VAD CONNECT SUPPLY IDE G050262A3		$3000.00
SM	HB BERLIN VAD GRAFT ADAPTOR IDE G050262A3		$10660.00
SM	HB BERLIN VAD VENT ASSIST IDE G050262A3		$124550.00
SM	HB BREAST PRSTH 410MF ALLERGAN IDE G000201	L8600	$3640.00
SM	HB CATH MICROCATH TREVO18 IDE G100056 CMED		$500.00
SM	HB CATH NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$27470.00
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEP8 PENUMBRA IDE G170064 IRB# 17-001515	C1757	$6260.00
SM	HB DEBAKEY VAD VENT ASSIST DEVICE ADULT IDE		$117000.00
SM	HB DEVICE RETRV CLOT TREVO IDE G100056 CMED		$12330.00
SM	HB ENDOLOGIX GRFT AAA BIFUR IDE G110067	C1768	$34960.00
SM	HB GRAFT ENDOPROSTHESIS AAA ILIAC BRANCH GORE G130038	C1768	$23320.00
SM	HB GRAFT ENDOPROSTHESIS AAA ILIAC INTERNAL GORE G130038	C1768	$11660.00
SM	HB GRFT AAA ENDURANT AORTIC EXT MDTR G090239A001	C1768	$25200.00
SM	HB GRFT AAA ENDURANT BIFURCATED MDTR G090009S2	C1768	$33220.00
SM	HB GRFT AAA ENDURANT BIFURCATED MDTR G090239A001	C1768	$33220.00
SM	HB GRFT AAA ENDURANT CONTRALAT LIMB MDTR G090239A001	C1768	$16180.00
SM	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090009S2	C1768	$15300.00
SM	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090239A001	C1768	$15300.00
SM	HB GRFT AAA TRIVASCULAR IDE G090239A001	C1768	$44960.00
SM	HB IDE CATH THERAPY COOL FLEX ABLAT G1300132	C2630	$3340.00
SM	HB MFR DNTD HARMONY TPVR DELIV SYST MDTR IRB# 16-001710 NCT# 02979587 IDE# G120175		$1.00
SM	HB MFR DNTD HARMONY TRANSCATH PULM VALVE MDTR IRB# 16-001710 NCT# 02979587 IDE# G120175		$1.00
SM	HB POLYMER CRTG NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$1350.00
SM	HB SURGICAL SPARES KIT FOR THE 50CC TAH-T NCT02459054 IRB#15-001670 IDE G140245		$6490.00
SM	HB SYNCARDIA TEMP TOTAL ARTIFICIAL HEART (TAH-T) 50CC NCT02459054 IRB#15-001670 IDE G140245		$432590.00

"Magnetic Resonance Technology (MRT, MRI, MRA)"

Hospital	Description	CPT Code	Standard Charge
SM	HB MR ANGIO HEAD +/- CONTRAST	70546	$5870.00
SM	HB MR ANGIO HEAD WO CONTRAST	70544	$3500.00
SM	HB MR ANGIO NECK + CONTRAST	70548	$3500.00
SM	HB MR ANGIO NECK +/- CONTRAST	70549	$5360.00
SM	HB MR ANGIO NECK WO CONTRAST	70547	$1890.00
SM	HB MR ANGIO SPINAL CANAL	72159	$1950.00
SM	HB MR ANGIO UPPER EXTREMITY	73225	$1950.00
SM	HB MR SPECTROSCOPY	76390	$1050.00
SM	HB MRI ABDOMEN + CONTRAST	74182	$3320.00
SM	HB MRI ABDOMEN WO CONTRAST	74181	$3510.00
SM	HB MRI BONE MARROW BLOOD SUPPLY	77084	$1180.00
SM	HB MRI BRAIN + CONTRAST	70552	$4240.00
SM	HB MRI BRAIN FUNCTIONAL BY TECH	70554	$1160.00
SM	HB MRI BRAIN WO CONTRAST	70551	$3540.00
SM	HB MRI C-SPINE + CONTRAST	72142	$4240.00
SM	HB MRI C-SPINE +/- CONTRAST	72156	$6660.00
SM	HB MRI C-SPINE WO CONTRAST	72141	$3850.00
SM	HB MRI CARDIAC MAPPING VELOCITY FLOW	75565	$1250.00
SM	HB MRI CARDIAC W+WO CONTR +STRESS	75563	$3230.00
SM	HB MRI CARDIAC WO CONTR	75557	$1430.00
SM	HB MRI CARDIAC WO CONTR +STRESS	75559	$1588.00
SM	HB MRI CHEST + CONTRAST	71551	$4950.00
SM	HB MRI CHEST +/- CONTRAST	71552	$5880.00
SM	HB MRI CHEST WO CONTRAST	71550	$3510.00
SM	HB MRI HEART MORPH +/- CONTRAST	75561	$2730.00
SM	HB MRI L-SPINE + CONTRAST	72149	$4240.00
SM	HB MRI L-SPINE +/- CONTRAST	72158	$6450.00
SM	HB MRI L-SPINE WO CONTRAST	72148	$3350.00
SM	HB MRI LE JOINT + CONTRAST UNILAT	73722	$4270.00
SM	HB MRI LE JOINT +/- CONTRAST UNI	73723	$5200.00
SM	HB MRI LE JOINT WO CONTRAST UNI	73721	$3500.00
SM	HB MRI LE NONJNT + CONTRAST UNI	73719	$3650.00
SM	HB MRI LE NONJNT +/-CONTRAST UNI	73720	$6680.00
SM	HB MRI LE NONJNT WO CONTRAST UNI	73718	$3460.00
SM	HB MRI ORBIT FACE NECK + CONTRAST	70542	$4150.00
SM	HB MRI ORBIT FACE NECK WO CONTR	70540	$3500.00
SM	HB MRI ORBIT FACE NECK+/-CONTRAST	70543	$6190.00
SM	HB MRI PELVIS + CONTRAST	72196	$4030.00
SM	HB MRI PELVIS +/- CONTRAST	72197	$6310.00
SM	HB MRI PELVIS WO CONTRAST	72195	$3480.00
SM	HB MRI T-SPINE + CONTRAST	72147	$4240.00
SM	HB MRI T-SPINE +/- CONTRAST	72157	$6360.00
SM	HB MRI T-SPINE WO CONTRAST	72146	$3930.00
SM	HB MRI TMJ	70336	$4130.00
SM	HB MRI UE JOINT + CONTRAST UNILAT	73222	$4150.00
SM	HB MRI UE JOINT +/- CONTRAST UNI	73223	$5020.00
SM	HB MRI UE JOINT WO CONTRAST UNI	73221	$3450.00
SM	HB MRI UE NONJNT + CONTRAST UNI	73219	$3560.00
SM	HB MRI UE NONJNT +/- CONTRAST UNI	73220	$4110.00
SM	HB MRI UE NONJNT WO CONTRAST UNI	73218	$1930.00
SM	HB COMPUTER-AIDED DETECTION CAD BREAST MRI	C8937	$1000.00
SM	HB FOCUSED US ABLAT/THERAPEUTIC W/ MR GUIDANCE	C9734	$40510.00
SM	HB HIFU ABLAT UTERINE <200CC	0071T	$16010.00
SM	HB HIFU ABLAT UTERINE >=200CC	0072T	$12810.00
SM	HB MR ABLATION IMAG GUIDANCE S&I	77022	$700.00
SM	HB MR ANGIO ABDOMEN + CONTRAST	C8900	$1440.00
SM	HB MR ANGIO ABDOMEN +/- CONTRAST	C8902	$2280.00
SM	HB MR ANGIO ABDOMEN WO CONTRAST	C8901	$1180.00
SM	HB MR ANGIO CHEST + CONTRAST	C8909	$1440.00
SM	HB MR ANGIO CHEST +/- CONTRAST	C8911	$2280.00
SM	HB MR ANGIO CHEST WO CONTRAST	C8910	$1180.00
SM	HB MR ANGIO HEAD + CONTRAST	70545	$3980.00
SM	HB MR ANGIO LOWER EXT + CONTRAST	C8912	$1600.00
SM	HB MR ANGIO LOWER EXT +/- CONTR	C8914	$2280.00
SM	HB MR ANGIO LOWER EXT WO CONTRAST	C8913	$1180.00
SM	HB MR ANGIO PELVIS + CONTRAST	C8918	$1440.00
SM	HB MR ANGIO PELVIS +/- CONTRAST	C8920	$2280.00
SM	HB MR ANGIO PELVIS WO CONTRAST	C8919	$1180.00
SM	HB MR ANGIO SPINAL CANAL +/- CONTRAST	C8933	$2816.00
SM	HB MR ANGIO SPINAL CANAL WITH CONTRAST	C8931	$2816.00
SM	HB MR ANGIO SPINAL CANAL WO CONTRAST	C8932	$2816.00
SM	HB MR ANGIO UPPER EXTREMITY +/- CONTRAST	C8936	$3400.00
SM	HB MR ANGIO UPPER EXTREMITY WITH CONTRAST	C8934	$2720.00
SM	HB MR ANGIO UPPER EXTREMITY WO CONTRAST	C8935	$2720.00
SM	HB MR ELASTOGRAPHY	76391	$870.00
SM	HB MR NDL PLACE IMAG GUIDANCE S&I	77021	$710.00
SM	HB MRGFUS STEREOTACTIC ABLATION LESION INTRACRANIAL	0398T	$47330.00
SM	HB MRI ABDOMEN + CONTRAST	74182	$3320.00
SM	HB MRI ABDOMEN +/- CONTRAST	74183	$7690.00
SM	HB MRI ABDOMEN WO CONTRAST	74181	$2810.00
SM	HB MRI BRAIN + CONTRAST	70552	$3390.00
SM	HB MRI BRAIN +/- CONTRAST	70553	$7840.00
SM	HB MRI BRAIN FUNCTIONAL BY MD	70555	$1630.00
SM	HB MRI BRAIN OPERATIVE + CONTRAST	70558	$1440.00
SM	HB MRI BRAIN OPERATIVE + CONTRAST	70558	$1440.00
SM	HB MRI BRAIN OPERATIVE +/- CONTR	70559	$1794.00
SM	HB MRI BRAIN OPERATIVE WO CONTRST	70557	$1150.00
SM	HB MRI BRAIN OPERATIVE WO CONTRST	70557	$1150.00
SM	HB MRI BRAIN WO CONTRAST	70551	$2830.00
SM	HB MRI BREAST + CONTRAST BILAT	C8906	$3288.00
SM	HB MRI BREAST + CONTRAST UNILAT	C8903	$1440.00
SM	HB MRI BREAST +/- CONTRAST BILAT	C8908	$5700.00
SM	HB MRI BREAST +/- CONTRAST UNILAT	C8905	$1820.00
SM	HB MRI BREAST WO CONTRAST BILAT	77047	$870.00
SM	HB MRI BREAST WO CONTRAST UNILAT	77046	$870.00
SM	HB MRI C-SPINE + CONTRAST	72142	$3390.00
SM	HB MRI C-SPINE WO CONTRAST	72141	$3080.00
SM	HB MRI CHEST + CONTRAST	71551	$3962.00
SM	HB MRI CHEST WO CONTRAST	71550	$2810.00
SM	HB MRI DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76498	$1450.00
SM	HB MRI DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76498	$1450.00
SM	HB MRI FETAL MATERNAL PELVIC IMAGE EA ADD GEST	74713	$730.00
SM	HB MRI FETAL MATERNAL PELVIC IMAGE SINGLE/1ST GEST	74712	$1210.00
SM	HB MRI HEART FUNCTION +/- LTD	75561	$1600.00
SM	HB MRI L-SPINE + CONTRAST	72149	$3390.00
SM	HB MRI L-SPINE WO CONTRAST	72148	$2683.00
SM	HB MRI LE JOINT + CONTRAST	73722	$3320.00
SM	HB MRI LE JOINT WO CONTRAST	73721	$2800.00
SM	HB MRI LE NONJNT + CONTRAST	73719	$2922.00
SM	HB MRI LE NONJNT WO CONTRAST	73718	$2770.00
SM	HB MRI ORBIT FACE NECK + CONTRAST	70542	$3320.00
SM	HB MRI ORBIT FACE NECK WO CONTRAST	70540	$2800.00
SM	HB MRI PELVIS + CONTRAST	72196	$3220.00
SM	HB MRI PELVIS WO CONTRAST	72195	$2780.00
SM	HB MRI T-SPINE + CONTRAST	72147	$3390.00
SM	HB MRI T-SPINE WO CONTRAST	72146	$3140.00
SM	HB MRI UE JOINT + CONTRAST	73222	$3320.00
SM	HB MRI UE JOINT WO CONTRAST	73221	$2758.00
SM	HB MRI UE NONJNT + CONTRAST	73219	$2844.00
SM	HB MRI UE NONJNT WO CONTRAST	73218	$1540.00
SM	HB OR MR GUIDANCE SERVICE		$1000.00

"Medical / Surgical Supplies, Devices"

Hospital	Description	CPT Code	Standard Charge
SM	"HB CAP GRAFTS TAA-$35,000 GORE"	C1768	$116560.00
SM	HB BIOMEDICUS CANNULA BLOODPUMP MDTR		$520.00
SM	HB BONE FIX CRANIAL LOOP SYN NEOS SURGERY		$620.00
SM	HB CATH VONSONNENBERG		$590.00
SM	HB COIL EMBO CONCERTO EV3		$1990.00
SM	HB COIL EMBO TARGET 360 HELX BSCI		$5500.00
SM	HB COIL EMBO TARGET 360 SOFT BSCI		$7300.00
SM	HB COIL EMBO TARGET 360 STD BSCI		$7300.00
SM	HB COIL EMBO TARGET 360 ULTR BSCI		$7300.00
SM	HB CONNECTING CABLE EPS CATH EXTENSION ST JUDE		$300.00
SM	HB DEVICE DETACHMENT CONTROLLER BARRICADE COIL BLOCKADE		$4170.00
SM	HB DIABETIC INSERT DENS CUSTOM EA	A5500	$220.00
SM	HB DIABETIC INSERT DENS PREFAB EA	A5500	$220.00
SM	HB ECMO DEVICE CIRCUIT COMPLETE REPLACE		$6050.00
SM	HB ECMO DEVICE CIRCUIT REPLACEMENT		$5200.00
SM	HB EEG ELECTRODE NEEDLE DISPOSABL		$20.00
SM	HB EEG ELECTRODE SUBDURAL 1X4		$1530.00
SM	HB EEG ELECTRODE SUBDURAL 1X8		$1530.00
SM	HB EEG ELECTRODE SUBDURAL 4X5		$1660.00
SM	HB EXTREMITY BINDER NONELASTIC	A4465	$10.00
SM	HB FINGER SPLINT BASEBAL DJ ORTHO		$10.00
SM	HB HIP STEM ACCOLATE II STRYKER	C1776	$24550.00
SM	HB ICD DUAL EVERA S XT MDTR	C1721	$59950.00
SM	HB ICD DUAL INCEPTA DR BSCI	C1721	$68270.00
SM	HB ICD OTH CRT VIVA S XT MDTR	C1882	$76930.00
SM	HB ICD SGL EVERA S XT MDTR	C1722	$55220.00
SM	HB ICD SGL INCEPTA VR BSCI	C1722	$68270.00
SM	HB INZONE CABLE FOR TARGET COILS BSCI		$160.00
SM	HB INZONE CABLE FOR TARGET COILS BSCI		$160.00
SM	HB INZONE COIL DETACHMENT SYSTEM BSCI		$700.00
SM	HB INZONE COIL DETACHMENT SYSTEM BSCI		$600.00
SM	HB KO IMMOBILZR CANVAS PREFB+FIT DJ ORTHO	L1830	$330.00
SM	HB NEURSTM LEAD TRIAL INFINION BSCI	C1897	$6670.00
SM	HB PCKMR ADVISA DR MRI MDTR	C1785	$17320.00
SM	HB PCMKR ADVANTIO DR BSCI	C1785	$14990.00
SM	HB PCMKR CONSULTA CRT-P OTH	C2621	$32640.00
SM	HB PCMKR INVIVE BIVALVE OTH BSCI	C2621	$25810.00
SM	HB PCMKR REPLY / RHAPSODY DR RESP SORIN	C1785	$17820.00
SM	HB PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330.00
SM	HB PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330.00
SM	HB PCMKR REVO MRI DUAL RATE MDTR	C1785	$17320.00
SM	HB PERFUSION DEVICE BIOPUMP CARDIO ASSIST DEVC DISP		$74930.00
SM	HB PESSARY NON RUBBER	A4562	$140.00
SM	HB PESSARY RUBBER	A4561	$89.00
SM	HB REPR PNEUM WALK SPLNT PREFAB+FIT BOOT	L4360	$910.00
SM	HB REPR PNEUM WALK SPLNT PREFAB+FIT PNEUMATIC UNNA	L4360	$910.00
SM	HB RESP TRACH TUBE SPCH VALV-PASSYMUIR		$370.00
SM	HB SLING ARM UNIV	A4565	$30.00
SM	HB SO FIGURE8 ABDUCTN PREFAB+FIT DJ ORTHO	L3650	$220.00
SM	HB SO SHOULDER DESIGN WITHOUT JOINT CUSTOM	L3670	$410.00
SM	HB SPACER NANOKNIFE TISS ABLATION		$60.00
SM	HB STEM CELL ISOLEX COLUMN		$5570.00
SM	HB STENT BILI WALL COVERED+DELIV SYST BSCI	C1874	$7700.00
SM	HB STENT ESOPH WALL COV+DELIV SYST BSCI	C1874	$9800.00
SM	HB STENT ESOPH WALL COV+DELIV SYST BSCI	C1874	$8500.00
SM	HB STENT PROMUS DRUG ELUT+DELV BSCI	C1874	$5170.00
SM	HB STENT RESOLUTE COV+DELV MDTR	C1874	$5000.00
SM	HB STENT XIENCE PRIME DRUG ELUT+DELV ABBOTT	C1874	$5420.00
SM	HB VAD DEVICE ABIOMED AB5000 VAD ASSIST DEVICE P900023		$124910.00
SM	HB VAD DEVICE ABIOMED BVS5000 VAD SYST P900023		$46640.00
SM	HB VAD DEVICE ABIOMED BVS5000 VAD SYST P900023 REPLACEMENT		$46640.00
SM	HB VAD DEVICE CENTRIMAG VAD PROBE REPLACEMENT	Q0508	$9000.00
SM	HB VAD DEVICE HEARTMATE ELECTRIC EMERG POWER PAC	Q0491	$300.00
SM	HB VAD DEVICE HEARTMATE ELECTRIC REPLACEMENT BATTERY	Q0496	$480.00
SM	HB VAD DEVICE HEARTMATE II BELT STABILIZATION	Q0499	$340.00
SM	HB VAD DEVICE HEARTMATE II CONTROLLER	Q0482	$11660.00
SM	HB VAD DEVICE HEARTMATE II PATIENT SUPPORT SUPPLY	Q0508	$30080.00
SM	HB VAD DEVICE HEARTMATE II VAD PT SUPPORT & SYST KIT	Q0508	$321470.00
SM	HB VAD DEVICE HEARTMATE II VAD PT SUPPORT KIT 12V NI	Q0508	$40270.00
SM	HB VAD DEVICE HEARTMATE II VAD PT SUPPORT KIT 14V LI	Q0508	$41050.00
SM	HB VAD DEVICE HEARTMATE VAD BTTRY CLIP 12V /14V REPLACEMENT	Q0497	$3670.00
SM	HB VAD DEVICE HEARTMATE VAD BAG CONSOLIDATED	Q0508	$1090.00
SM	HB VAD DEVICE HEARTMATE VAD BATTERY CLIP REPLACEMENT	Q0497	$600.00
SM	HB VAD DEVICE HEARTMATE VAD BATTERY CONTROLL REPLACEMENT	Q0508	$930.00
SM	HB VAD DEVICE HEARTMATE VAD BATTERY HOLSTER REPLACEMENT	Q0498	$660.00
SM	HB VAD DEVICE HEARTMATE VAD BATTERY REPLACEMENT	Q0496	$3000.00
SM	HB VAD DEVICE HEARTMATE VAD BELT MODULAR REPLACEMENT	Q0499	$1150.00
SM	HB VAD DEVICE HEARTMATE VAD BELT STABLIZER REPLACEMENT	Q0499	$340.00
SM	HB VAD DEVICE HEARTMATE VAD BTTRY SET 14V / 12V REPLACEMENT	Q0506	$8330.00
SM	HB VAD DEVICE HEARTMATE VAD CABLE EMERGENCY REPLACEMENT	Q0493	$650.00
SM	HB VAD DEVICE HEARTMATE VAD CABLE FOR CONTROLLER REPLACEMENT	Q0508	$1090.00
SM	HB VAD DEVICE HEARTMATE VAD CABLE PM MONITOR REPLACEMENT	Q0486	$1340.00
SM	HB VAD DEVICE HEARTMATE VAD DISPLAY MODULE REPLACEMENT	Q0484	$10150.00
SM	HB VAD DEVICE HEARTMATE VAD EMERG HAND PUMP REPLACEMENT	Q0494	$840.00
SM	HB VAD DEVICE HEARTMATE VAD EMERG PWR REPLACEMENT	Q0491	$2840.00
SM	HB VAD DEVICE HEARTMATE VAD FILTERS REPLACEMENT	Q0500	$100.00
SM	HB VAD DEVICE HEARTMATE VAD MICROPROC REPLACEMENT	Q0482	$3730.00
SM	HB VAD DEVICE HEARTMATE VAD NIGHT BELT	Q0499	$380.00
SM	HB VAD DEVICE HEARTMATE VAD PBU CABLE REPLACEMENT	Q0486	$840.00
SM	HB VAD DEVICE HEARTMATE VAD PM DC INPUT CABLE REPLACEMENT	Q0486	$750.00
SM	HB VAD DEVICE HEARTMATE VAD PM PT CABLE REPLACEMENT	Q0486	$3170.00
SM	HB VAD DEVICE HEARTMATE VAD POCKET PAK	Q0508	$300.00
SM	HB VAD DEVICE HEARTMATE VAD POWER CORD REPLACEMENT	Q0508	$180.00
SM	HB VAD DEVICE HEARTMATE VAD POWER MODULE REPLACEMENT	Q0489	$25980.00
SM	HB VAD DEVICE HEARTMATE VAD POWER PAC REPLACEMENT	Q0489	$41630.00
SM	HB VAD DEVICE HEARTMATE VAD POWER UNITS REPLACEMENT	Q0489	$267480.00
SM	HB VAD DEVICE HEARTMATE VAD SHOWER COVER REPLACEMENT	Q0501	$1420.00
SM	HB VAD DEVICE HEARTMATE VAD TRAVEL CASE	Q0508	$540.00
SM	HB VAD DEVICE HEARTMATE VAD UNIV BATTERY CHARGER REPLACEMENT	Q0495	$23980.00
SM	HB VAD DEVICE HEARTMATE VAD VEST REPLACEMENT	Q0499	$1320.00
SM	HB VAD DEVICE HEARTMATE XVE VAD ACCESSORY SUPPLY	Q0508	$3340.00
SM	HB VAD DEVICE HEARTMATE XVE VAD CABLE ADAPTOR DISPLAY	Q0508	$1000.00
SM	HB VAD DEVICE HEARTMATE XVE VAD CONDUIT REPLACEMENT	Q0508	$13990.00
SM	HB VAD DEVICE HEARTWARE HVAD ASSIST DEVICE P100047		$280400.00
SM	HB VAD DEVICE JARVIK HEART ARTIFICIAL		$249770.00
SM	HB VAD DEVICE THORATEC IVAD LEAD SIGNAL REPLACEMENT	Q0487	$990.00
SM	HB VAD DEVICE THORATEC VAD POWER ADAPTER REPLACEMENT	Q0504	$1000.00
SM	HB VAD DEVICE THORATEC VAD BATTERY CHARGER REPLACEMENT	Q0495	$10000.00
SM	HB VAD DEVICE THORATEC VAD BATTERY REPLACEMENT	Q0503	$3340.00
SM	HB VAD DEVICE THORATEC VAD DRIVER REPLACEMENT	Q0480	$249770.00
SM	HB VAD DEVICE THORATEC VAD DRIVER TLCII SYSTEM REPLACEMENT	Q0480	$316370.00
SM	HB VAD DEVICE THORATEC VAD DUAL LEAD ELECTRIC REPLACEMENT	Q0487	$820.00
SM	HB VAD DEVICE THORATEC VAD DUAL LEAD PNEUM REPLACEMENT	Q0487	$370.00
SM	HB VAD DEVICE THORATEC VAD EMERG HAND PUMP REPLACEMENT	Q0494	$270.00
SM	HB VAD DEVICE THORATEC VAD LEAD EXTENSION REPLACEMENT	Q0487	$990.00
SM	HB VAD DEVICE THORATEC VAD LEAD PNEUMATIC REPLACEMENT	Q0487	$920.00
SM	HB VAD DEVICE THORATEC VAD MOBILITY CART REPLACEMENT	Q0502	$1670.00
SM	HB VAD DEVICE THORATEC VAD POWER ADAPTER REPLACEMENT	Q0505	$330.00
SM	HB VAD DEVICE THORATEC VAD PROGRAMMER REPLACEMENT	Q0508	$31640.00
SM	HB VAD DEVICE THORATEC VAD STROKE LIMITER REPLACEMENT	Q0508	$2270.00
SM	HB VAD DEVICE THORATEC VAD TLC CASE CARRYING	Q0508	$840.00
SM	HB VAD DEVICE THORATEC VAD TLC CASE SHIPPING	Q0508	$3000.00
SM	HB VAD DEVICE THORATEC VAD TLC LEAD ELECTRIC REPLACEMENT	Q0487	$950.00
SM	HB VAD DEVICE THORATEC VAD TLC LEAD PNEUM REPLACEMENT	Q0487	$840.00
SM	HB VAD HEARTWARE BATTER CHARGER REPLACEMENT P100047	Q0495	$20320.00
SM	HB VAD HEARTWARE BATTERY REPLACEMENT P100047	Q0506	$2500.00
SM	HB VAD HEARTWARE CONTROLLER KIT REPLACEMENT P100047	Q0481	$23820.00
SM	HB VAD HEARTWARE DC ADAPTER FOR CONTROLLER REPLACEMENT P100047	Q0478	$6670.00
SM	HB VAD HEARTWARE MONITOR KIT REPLACEMENT P100047	Q0483	$33140.00
SM	HB VAD HEARTWARE PATIENT PACK REPLACEMENT P100047	Q0498	$1420.00
SM	HB VAD HEARTWARE SHOWER BAG ACCESSORY REPLACEMENT P100047	Q0501	$1000.00
SM	HB VAD HEARTWAVE BATTERY REPLACEMENT P100047	Q0491	$1420.00
SM	HB VAD HEARTWAVE PATIENT PACK REPLACEMENT P100047	Q0508	$300.00
SM	HB WHFO RIGID WO JOINTS CUSTOM SHORT OPPONENS	L3808	$1210.00
SM	HB WHFO WRIST GAUNTLET MOLD CUSTOM ORTHO	L3906	$1450.00
SM	HB ABDOMINAL BINDER		$40.00
SM	HB ABIOMED CANNULA VENTRICLE/APICAL		$3630.00
SM	HB ABIOMED PVAD PERCUTAN VAD IMPELLA SYSTEM		$83260.00
SM	HB ABV ELBOW EXT POWER SWITCH CONTROL	L6950	$29860.00
SM	HB ACCESS SHEATH W DILATOR BSCI		$3330.00
SM	HB ADD ALL LE PROSTH SACH FOOT REPLACE ONLY	L5971	$760.00
SM	HB ADD ENDOSKELETAL ANKLE/FOOT SYST MICRO CNTRL DORSI/PLANTR FLEXN	L5973	$51670.00
SM	HB ADD EXOSKELETAL HIP DISART ULTRA LIGHT	L5795	$3340.00
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS EXT JTS FLUID SWING PHASE	L5726	$5900.00
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS FLUID SWING PHASE	L5724	$5770.00
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS MAN LACK ULTRA LIGHT	L5711	$2080.00
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS MAN LOCK	L5710	$1440.00
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS PNEUM SWING FRICT	L5722	$3250.00
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS PNEUM/HYDRA SWING PHASE	L5780	$4570.00
SM	HB ADD KNEE DISC OR DIAL LOCK ADJ FLEX EACH JT	L2425	$420.00
SM	HB ADD KNEE LIFT LOOP DROP LOCK RING	L2492	$330.00
SM	HB ADD KNEE RTCHT LOCK ACTV PROG KNEE EXT EACH JT	L2430	$420.00
SM	HB ADD LE BLW KNEE BACK CHECK	L5686	$190.00
SM	HB ADD LE BLW KNEE THIGH LACER NONMOLDED	L5680	$950.00
SM	HB ADD LE BLW KNEE WAIST BELT WEBBING	L5688	$240.00
SM	HB ADD LE KNEE DISART EXPAND WALL SCKT	L5653	$1950.00
SM	HB ADD LE PROSTH ENDOSKELETAL KNEE-SHIN SYST FLEX/EXT CNTRL	L5859	$42640.00
SM	HB ADD LE PROSTH ENDOSKELETAL KNEE-SHIN SYST MICRO CNTRL STANCE PHASE	L5858	$54620.00
SM	HB ADD LE SYMES POST OPEN SCKT	L5634	$1210.00
SM	HB ADD LE SYMES POST SCKT INSRT	L5654	$1220.00
SM	HB ADD LE SYMES SCKT INSRT MULTIDUROMETER	L5661	$2250.00
SM	HB ADD LWR EXT KNEE/ANKLE TORS MECHANISM CUST ONLY EA	L2861	$900.00
SM	HB ADD LWR EXT LACR MOLDED TO PT MODEL CUST ONLY	L2330	$1470.00
SM	HB ADD LWR EXT LMTD ANKLE MOT EACH JT	L2200	$180.00
SM	HB ADD LWR EXT LONG TONGUE STIRRUP	L2265	$440.00
SM	HB ADD LWR EXT MOLDED INNER BOOT	L2280	$1700.00
SM	HB ADD LWR EXT OFFSET KNEE EACH JT	L2390	$410.00
SM	HB ADD LWR EXT ORTC RCKR BTTM TTL CNCT AFO CUST ONLY	L2232	$290.00
SM	HB ADD LWR EXT PATTEN BTTM	L2370	$960.00
SM	HB ADD LWR EXT POLY KNEE CUST FAB KAFO EACH JT	L2387	$620.00
SM	HB ADD LWR EXT PROST PTB AFO SOCKET MOLDED TO PT MODEL	L2350	$3340.00
SM	HB ADD LWR EXT RND CLPR+PLATE	L2240	$310.00
SM	HB ADD LWR EXT SPLT FLT CALPR STIRRUPS+PLATE	L2230	$290.00
SM	HB ADD LWR EXT THIGH GLUTE/ISCHIAL WGT/BEARING	L2500	$1180.00
SM	HB ADD LWR EXT THIGH QUADLAT WGT BEARING CUST	L2520	$1730.00
SM	HB ADD LWR EXT THIGH WGT BEARING HIGH ROLL CUFF	L2550	$1080.00
SM	HB ADD LWR EXT THIGH WGT BEARING ISCHIAL CONT NRRW M-L BRIM CUST	L2526	$2380.00
SM	HB ADD LWR EXT THIGH WGT BEARING ISCHIAL CONT NRRW M-L BRIM PT MOLDED	L2525	$4260.00
SM	HB ADD LWR EXT THIGH WGT BEARING LACER PT MOLDED	L2540	$1580.00
SM	HB ADD LWR EXT TORS CONT STRT KNEE EACH JT	L2380	$460.00
SM	HB ADD TERM DEV MODIFIER WRIST UNIT	L6805	$1270.00
SM	HB ADD TERM DEV PRECISION PINCH DEVICE	L6810	$650.00
SM	HB ADD UE ELBOW LIFT ASSIST	L6635	$700.00
SM	HB ADD UE EXCURSION AMP LEVER	L6642	$780.00
SM	HB ADD UE EXCURSION AMP PULLEY	L6641	$600.00
SM	HB ADD UE FLEX METAL HINGE PAIR	L6610	$660.00
SM	HB ADD UE FLEX/EXT WRIST W WO FRICTION	L6620	$1140.00
SM	HB ADD UE FLEX/EXT/ROT WRIST UNIT	L6624	$11070.00
SM	HB ADD UE HARNESS TRIPLE CONTROL	L6677	$870.00
SM	HB ADD UE LATEX SUSP SLEEVE EACH	L6632	$190.00
SM	HB ADD UE NUDGE CNTRL ELBOW LOCK	L6637	$1280.00
SM	HB ADD UE PROSTH ELBOW SOCKET INSRT CONG/ATYPICAL CUST	L6696	$3870.00
SM	HB ADD UE PROSTH ELBOW SOCKET INSRT NOT CONG/ATYPICAL CUST	L6697	$3870.00
SM	HB ADD UE PROSTH ELBOW SOCKET INSRT W LOCK CUST/PREFAB	L6694	$2350.00
SM	HB ADD UE PROSTH ELBOW SOCKET INSRT WO LOCK CUST/PREFAB	L6695	$1950.00
SM	HB ADD UE PROSTH ELEC LOCK ONLY W MAN POWER ELBOW	L6638	$7350.00
SM	HB ADD UE PROSTH EXT POWER ADD SWITCH	L6611	$1210.00
SM	HB ADD UE PROSTH SHOULDER DISART/INTERSCAP THORACIC ACRYLIC	L7405	$2140.00
SM	HB ADD UE PROSTH SHOULDER DISART/INTERSCAP THORACIC ULTRALIGHT	L7402	$1090.00
SM	HB ADD UE ROT WRIST W CBL LOCK	L6625	$2120.00
SM	HB ADD UE SHOULDER ABD JT PAIR	L6640	$840.00
SM	HB ADD UE SHOULDER JT MULTIPOS LOCKING	L6646	$9270.00
SM	HB ADD UE SHOULDER LOCK BODY POWER ACTUATOR	L6647	$1530.00
SM	HB ADD UE SHOULDER LOCK EXT POWER ACTUATOR	L6648	$9560.00
SM	HB ADD UE SHOULDER UNIVERSAL JT EACH	L6650	$1350.00
SM	HB ADD UE SPRING ASST ROT WRIST W LATCH	L6623	$1920.00
SM	HB ADD UE STANLESS STEEL ANY WRIST	L6630	$650.00
SM	HB ADV BIONICS NEURSTIM PRECISION GNRTR+CHR	C1820	$42300.00
SM	HB AF ORTHOSIS WALKING BOOT ROCKER BOTTOM TIB SHELL ARCH+STRAP CUSTOM	L4631	$5520.00
SM	HB AFO ANKLE GAUNTLET PREFAB+FIT	L1902	$260.00
SM	HB AFO ANKLE GAUNTLET W WO JTS CUST	L1904	$1760.00
SM	HB AFO DBL UP STIRRUP BAR-BK CUST	L1990	$1670.00
SM	HB AFO FX TIB CAST SFT PREFAB+FIT	L2112	$1610.00
SM	HB AFO FX TIB CAST THERMPLST CUST	L2106	$2550.00
SM	HB AFO FX TIBIAL CAST CUSTOM	L2108	$3700.00
SM	HB AFO MOLDED PLAS RIGID ANT TIBIAL CUSTOM	L1945	$3470.00
SM	HB AFO PLAST POST SOLID ANKL CUST	L1960	$2080.00
SM	HB AFO PLASTIC CUSTOM	L1940	$1850.00
SM	HB AFO PLASTIC PREFAB+FIT	L1930	$890.00
SM	HB AFO PLASTIC+ANKLE JOINT CUSTOM	L1970	$2170.00
SM	HB AFO PLASTIC+ANKLE JOINT PREFAB+FIT	L1971	$1370.00
SM	HB AFO POST SGL BAR PREFAB+FIT	L1910	$1000.00
SM	HB AFO RIGID ANT TIB SECTION TOTAL CARBON FIBER PREFAB + FIT&ADJUST	L1932	$2620.00
SM	HB AFO SINGL SOLID STIRRUP CALF BND CUST	L1980	$1380.00
SM	HB AFO SPIRAL PLASTIC CUST	L1950	$2790.00
SM	HB AFO SPIRAL PLASTIC/OTHER PREFAB+FIT	L1951	$2460.00
SM	HB AFO SPRING WIR DRSFLX CLF BND CUST	L1900	$860.00
SM	HB AFO STATIC/DYNAMIC ADJ POSITION PREFAB	L4397	$480.00
SM	HB AFO SUPPRT MULTILIG PREFAB+FIT	L1906	$450.00
SM	HB AFO SUPRAMALLEOLAR+STRAP CUST	L1907	$1650.00
SM	HB AIGISRX ICD MESH ENVELOP TYRX	C1781	$2990.00
SM	HB AIGISRX PCMK MESH ENVELOP TYRX	C1781	$2320.00
SM	HB AMPLATZ ASD CRIBIFORM SEPTALSYST AGA MED	C1817	$16660.00
SM	HB AMPLATZ ASD SEPTAL CLOS DEVICE AGA MED	C1817	$16660.00
SM	HB AMPLATZ BALLOON SIZING AGA MEDICAL		$1010.00
SM	HB AMPLATZ DELIV SYST TORQVUE STJUDE/ABBOTT		$2930.00
SM	HB AMPLATZ DELIVERY SYSTEM	C1893	$2420.00
SM	HB AMPLATZ EXCHANGE SYSTEM		$1340.00
SM	HB AMPLATZ PATENT DUCTUS ARTER SEPTAL SYST	C1817	$2760.00
SM	HB AMPLATZ PATENT FORAMEN OVALE SEPTAL SYST	C1817	$33300.00
SM	HB AMPLATZ PLUG ASD SEPTAL DEFECT SYST AGA	C1817	$1250.00
SM	HB AMPLATZ PLUG2 ASD SEPTAL DEFECT SYST AGA	C1817	$2670.00
SM	HB AMPLATZ VSD SEPTAL CLOS DEVICE AGA MED	C1817	$21650.00
SM	HB ANCHOR IMPLANT CASSETTE HELI-FX AAA ENDOANCHOR APTUS MDTR	C1713	$15820.00
SM	HB ANKLE SYMES MOLDED SOCKET WO CUSHION REPLACE ONLY	L5703	$7210.00
SM	HB AO ANKLE CONTROL LACE	L4350	$330.00
SM	HB AO ANKLE CONTROL SPLINT GEL DJ ORTHO	L4350	$330.00
SM	HB AO ELASTIC SUPPORT	A4467	$20.00
SM	HB ARCH ORTH SUPP-METATARSL ATTCH	L3080	$90.00
SM	HB AUD SPEECH BOOK SELF HELP LARYNG		$40.00
SM	HB AUD SPEECH LARYNGEAL MIRROR		$30.00
SM	HB AUDITORY OSSEOINTEG RECEIVER BAHA REPLACEMENT	L8693	$3090.00
SM	HB BAND TR STD W/INFLATOR		$590.00
SM	HB BAR ABDUCTN&ROTAT FOOT WO SHOE	L3150	$240.00
SM	HB BATTERY CHARGER TWELVE VOLT EACH	L7366	$1840.00
SM	HB BERLIN VAD ACCESSORY SUPPLY		$8000.00
SM	HB BERLIN VAD CANNULA APEX		$17080.00
SM	HB BERLIN VAD CANNULA ATR/ART		$13330.00
SM	HB BERLIN VAD CONNECT SUPPLY		$3000.00
SM	HB BERLIN VAD GRAFT ADAPTOR		$10660.00
SM	HB BERLIN VAD VENT ASSIST		$124550.00
SM	HB BIOMEDICUS CANNULA BLOODPUMP MDTR		$520.00
SM	HB BIOPSY BIPAL MYOCARD FORCEP 7F		$830.00
SM	HB BIOPUMP CARDIO ASSIST DEVC DISP		$74930.00
SM	HB BLW ELBOW EXT POWER SWITCH CONTROL	L6930	$20780.00
SM	HB BLW ELBOW MOLDED ACTVTD LOCK HINGE	L6130	$10330.00
SM	HB BOOT BUNNY ORTHOTIC		$80.00
SM	HB BOOT HEEL ORTHOTIC		$210.00
SM	HB BOOT NONPNEUM WALK W WO JTS/INTERFACE PREFAB	L4387	$470.00
SM	HB BOOT PNEUM WALK W WO JTS/INTERFACE PREFAB	L4361	$910.00
SM	HB BOOT ROOKE ORTHOTIC		$280.00
SM	HB BOOT SURGICAL AMBUL DJ ORTHO		$40.00
SM	HB BOOT SURGICAL AMBULATORY EA	L3260	$140.00
SM	HB BOOT TRACTION		$60.00
SM	HB BOOT UNNA ORTHOTIC		$20.00
SM	HB BRACE CLAVICLE SM	L3650	$220.00
SM	HB BRACE WRIST		$15.00
SM	HB BREAST PROSTHESIS IMPLANT SILICONE/EQUIV WO INTEGRAL ADHESIVE	L8030	$1140.00
SM	HB BREAST PUMP		$100.00
SM	HB BREAST SUPPORTBRA WO/CUP		$260.00
SM	HB BURR CATH ATHERECTOMY SYS ROTAPRO BSCI	C1724	$5810.00
SM	HB CABLE ABL REP 4MM RED REDEL		$420.00
SM	HB CABLE CONNECTOR RFP-102		$30.00
SM	HB CABLE INTERFACE REP 85641		$270.00
SM	HB CABLE INTERFACE REP 8MM		$420.00
SM	HB CABLE INTERFACE REP C6MRMST10S		$120.00
SM	HB CABLE INTERFACE REP CB3410CT		$590.00
SM	HB CABLE INTERFACE REP CB3412CT		$590.00
SM	HB CABLE INTERFACE REP HEX OCT DE		$120.00
SM	HB CABLE INTERFACE REP QUAD BLACK		$120.00
SM	HB CABLE INTERFACE REP QUAD BLUE		$120.00
SM	HB CABLE INTERFACE REP QUAD GRAY		$120.00
SM	HB CABLE INTERFACE REP QUAD RED		$120.00
SM	HB CABLE NAVISTAR REP 8MM DS		$700.00
SM	HB CANE ALUMINUM		$40.00
SM	HB CANNULA OPTISITE BLOODPUMP EDWARDS		$820.00
SM	HB CANNULA RETROGRADE RESM/EDLIFE		$460.00
SM	HB CARDIAC EVENT RECORDER CONFIRM RX STJUDE	C1764	$15820.00
SM	HB CARDIAC EVENT RECORDER CONFIRM STJUDE	C1764	$14990.00
SM	HB CARDIAC EVENT RECORDER REVEAL LINQ MDTR	C1764	$17630.00
SM	HB CARDIAC EVENT RECORDER REVEAL MDTR	C1764	$14970.00
SM	HB CARDIOMEMS HF SYSTEM STJUDE/ABBO	C2624	$83090.00
SM	HB CARDIOSEAL OCCLUD IMPLANT SYST	C1817	$16660.00
SM	HB CAST SHOE		$50.00
SM	HB CATH / PROBE ABLATION NANOKNIFE TISSUE ANGIODYNAMIC	C1886	$6650.00
SM	HB CATH / PROBE ABLATION NANOKNIFE TISSUE ANGIODYNAMIC	C1886	$6650.00
SM	HB CATH ABLAT THERMOCOOL CELSIUS BIOSENSE	C2630	$5100.00
SM	HB CATH ABLAT THERMOCOOL RMT BIOSENSE	C2630	$10500.00
SM	HB CATH ABLATION RF ESOPH BARRX MED	C1886	$3250.00
SM	HB CATH ADP LOCKING LOOP		$570.00
SM	HB CATH ADVANCE ATB PTA DILATION COOK	C1725	$370.00
SM	HB CATH ANGIO ACCUVU ANGIODYNAMICS	C1887	$360.00
SM	HB CATH ANGIO ADVANCE MICRO 14 COOK	C1725	$1320.00
SM	HB CATH ANGIO BERMAN ARROW	C1725	$300.00
SM	HB CATH ANGIO CLOT BUSTER 7F 75CM	C1757	$2200.00
SM	HB CATH ANGIO CROSSER BARD FLOWCARDIA	C1725	$5580.00
SM	HB CATH ANGIO DIAG BSCI CORDIS MERIT		$300.00
SM	HB CATH ANGIO DIAG IMAGER II SELECT BSCI	C1887	$30.00
SM	HB CATH ANGIO DILAT VANANDEL COOK		$80.00
SM	HB CATH ANGIO LASER ELCA EXIMER SPECTRA	C1885	$7980.00
SM	HB CATH ANGIO LASER ELITE SPECTRANETICS	C1885	$9800.00
SM	HB CATH ANGIO LASER TURBO POWER SPECTRA	C1885	$11640.00
SM	HB CATH ANGIO LEVINE COOK		$60.00
SM	HB CATH ANGIO MARINER ANGIODYNAMICS	C1887	$320.00
SM	HB CATH ANGIO PED PEDIAVASCULUAR	C1725	$1250.00
SM	HB CATH ANGIO PED PIGTAIL PEDIAVASCULUAR	C1725	$2090.00
SM	HB CATH ANGIO POLYETHELYNE COOK		$300.00
SM	HB CATH ANGIO ROYAL FLUSH COOK	C1725	$200.00
SM	HB CATH ANGIO ROYAL FLUSH PLUS COOK	C1725	$160.00
SM	HB CATH ANGIO SILVERHAWK FOXHOLLOW EV3	C1724	$10980.00
SM	HB CATH ANGIO SIZING ACCU-VU ANGIODYNAMICS		$80.00
SM	HB CATH ANGIO SLIPCATH COOK	C1725	$200.00
SM	HB CATH ANGIO SLIPCATH SHUTTLE COOK		$250.00
SM	HB CATH ANGIO SLIPCATH SHUTTLE XL COOK		$160.00
SM	HB CATH ANGIO SOS OMNI ANGIODYNAMICS	C1887	$300.00
SM	HB CATH ANGIO TEMPO CORDIS		$200.00
SM	HB CATH ANGIO TORCON ADVANTAGE COOK		$200.00
SM	HB CATH ANGIO TORCON NB ADVANTAGE BEACON 5F 100CM COOK	C1725	$380.00
SM	HB CATH ANGIO TORCON NB ADVANTAGE BEACON COOK		$50.00
SM	HB CATH ANGIO TORNUS ASAHI ABBOTT	C1887	$1990.00
SM	HB CATH ANGIO TURBOHAWK EV3	C1724	$11350.00
SM	HB CATH ANGIO VCF COOK		$60.00
SM	HB CATH ANGIO WHITE SIZING COOK		$60.00
SM	HB CATH ANGIO XXXL	C1725	$1220.00
SM	HB CATH ANGIOGRAPHIC MARKER PIGTAIL	C1725	$100.00
SM	HB CATH ANGIOGRAPHIC PIGTAIL	C1725	$60.00
SM	HB CATH ANGIOJET 110	C1757	$2540.00
SM	HB CATH ANGIOJET 60	C1757	$1500.00
SM	HB CATH ANGIOJET AVX POSSIS	C1757	$1340.00
SM	HB CATH ANGIOJET F105	C1757	$2540.00
SM	HB CATH ANGIOJET XMI POSSIS	C1757	$5730.00
SM	HB CATH ANGIOJET XVG POSSIS	C1757	$4420.00
SM	HB CATH ARROW BERMAN ANGIO 7F	C1725	$120.00
SM	HB CATH ARTHERECTOMY ATHEROCATH-BANTAM GUID	C1724	$4320.00
SM	HB CATH ARTHERECTOMY SCA-EX GRAFT GUIDANT	C1724	$4170.00
SM	HB CATH ATHERECTOMY CTO FRONTRUNNER	C1714	$3780.00
SM	HB CATH ATHERECTOMY CUTTER GTO	C1714	$4920.00
SM	HB CATH ATHERECTOMY FRONTRUNNER TRANSITIONL	C1714	$970.00
SM	HB CATH ATHERECTOMY HAWKONE EV3 COVD	C1724	$11200.00
SM	HB CATH ATHERECTOMY OAS ROTAT CSI	C1724	$11300.00
SM	HB CATH ATHERECTOMY ROTAT COAS DB360 CSI	C1724	$12640.00
SM	HB CATH AXS CATALYST DA STRY	C1887	$5490.00
SM	HB CATH BALL OCCLUS SCEPTER C MICV TERUMO	C2628	$3160.00
SM	HB CATH BALL OCCLUS SCEPTER XC MICV TERUMO	C2628	$3860.00
SM	HB CATH BALLN 120MMX130CM IN PACT ADMIRAL DCB MDTR	C1725	$5200.00
SM	HB CATH BALLN 150MMX130CM IN PACT ADMIRAL DCB MDTR	C1725	$5690.00
SM	HB CATH BALLN ACE	C1725	$1330.00
SM	HB CATH BALLN ACS	C1725	$1000.00
SM	HB CATH BALLN ANGIO AGILTRAC	C1725	$670.00
SM	HB CATH BALLN ANGIO BLUE MAX BOSTON SCI	C1725	$1200.00
SM	HB CATH BALLN ANGIO FASTEALTH BSCI	C1725	$2420.00
SM	HB CATH BALLN ANGIO LV 20 3 100 DC	C1725	$1890.00
SM	HB CATH BALLN ANGIO MAXI CORDIS	C1725	$1550.00
SM	HB CATH BALLN ANGIO MLD	C1725	$1200.00
SM	HB CATH BALLN ANGIO OLP	C1725	$710.00
SM	HB CATH BALLN ANGIO POLAR 0.014 BSCI	C1725	$2670.00
SM	HB CATH BALLN ANGIO POLAR 0.035 BSCI	C1725	$2000.00
SM	HB CATH BALLN ANGIO PTA AORTIC TRUE BARD	C1725	$2660.00
SM	HB CATH BALLN ANGIO PTA ATLAS GOLD OR PULM VIDA20-26 BARD	C1725	$2200.00
SM	HB CATH BALLN ANGIO PTA ATLAS OR PULM VIDA12-18 BARD	C1725	$1300.00
SM	HB CATH BALLN ANGIO PTA CONQUEST BARD	C1725	$700.00
SM	HB CATH BALLN ANGIO STERLING MONORAIL BSCI	C1725	$1300.00
SM	HB CATH BALLN ANGIO TRAPPER EXCHG DEVICE BSCI	C1725	$1650.00
SM	HB CATH BALLN ANGIO XXL BOSTON SCI	C1725	$1200.00
SM	HB CATH BALLN APEX BSCI	C1725	$1600.00
SM	HB CATH BALLN ATHERECTMY FLEXICUT	C1714	$6530.00
SM	HB CATH BALLN ATRIOSEPTOSTOMY BRAUN/BAXTER	C1725	$1000.00
SM	HB CATH BALLN BS	C1725	$1160.00
SM	HB CATH BALLN CELLO FUJI EV3	C1725	$3100.00
SM	HB CATH BALLN CERVICAL RIPENING COOK	C1726	$150.00
SM	HB CATH BALLN CORDIS	C1725	$840.00
SM	HB CATH BALLN CORONARY SINUS VENO ST JUDE	C1725	$330.00
SM	HB CATH BALLN CROSS SAIL GUIDANT	C1725	$770.00
SM	HB CATH BALLN CTO CROSSBOW BSCI	C1725	$3600.00
SM	HB CATH BALLN CTO STINGRAY BSCI	C1725	$4170.00
SM	HB CATH BALLN CUTTING ANGIOSOURCE	C1725	$2920.00
SM	HB CATH BALLN CUTTING ATHERTOME BSCI	C1725	$2670.00
SM	HB CATH BALLN CUTTING FLEXTOME BSCI	C1725	$3170.00
SM	HB CATH BALLN CUTTING WOLVERINE BSCI	C1725	$2660.00
SM	HB CATH BALLN DELIV GATEWAY BOSTON SCI	C1725	$4000.00
SM	HB CATH BALLN DILAT 1LUMEN 5F	C1726	$840.00
SM	HB CATH BALLN DILAT BILI ENDO COOK	C1726	$200.00
SM	HB CATH BALLN DILAT BILI MAXFORCE BSCI	C1726	$1000.00
SM	HB CATH BALLN DILAT CRE BSCI	C1726	$1200.00
SM	HB CATH BALLN DILAT EXPRESS ENTELLUS	C1726	$4170.00
SM	HB CATH BALLN DILAT GUID SINU RELIVA SPIN ACLA	C1726	$5580.00
SM	HB CATH BALLN DILAT GUID SINU RELIVA SPINPLUS ACLA	C1726	$6500.00
SM	HB CATH BALLN DILAT NEPHROMAX BSCI	C1726	$970.00
SM	HB CATH BALLN DILAT NEPHROSTOMY MICROVASIVE	C1726	$1300.00
SM	HB CATH BALLN DILAT RELIANT MDTR	C1726	$1490.00
SM	HB CATH BALLN DILAT RIGIFLEX BSCI	C1726	$2900.00
SM	HB CATH BALLN DILAT UROMAX BSCI	C1726	$1020.00
SM	HB CATH BALLN DILAT UROMAX ULTRA HP BSCI	C1726	$1450.00
SM	HB CATH BALLN DILATATION TYSHAK BRAUN	C1725	$1510.00
SM	HB CATH BALLN DILATATION ZMED/ZMED II BRAUN	C1725	$2400.00
SM	HB CATH BALLN DILATION COOK	C1726	$1000.00
SM	HB CATH BALLN DILATION DETACHABLE	C1726	$2410.00
SM	HB CATH BALLN ECLIPSE 2L BALT		$5490.00
SM	HB CATH BALLN ENDEAVOR	C1725	$2410.00
SM	HB CATH BALLN ESPIRIT RX GUIDANT	C1725	$2500.00
SM	HB CATH BALLN EUPHORA MDTR	C1725	$470.00
SM	HB CATH BALLN EXXL	C1725	$1290.00
SM	HB CATH BALLN FX MINIRAIL GUIDANT	C1725	$2600.00
SM	HB CATH BALLN GEMINI RX GUIDANT	C1725	$1420.00
SM	HB CATH BALLN GUIDANT	C1725	$2170.00
SM	HB CATH BALLN IN PACT ADMIRAL DCB MDTR	C1725	$4700.00
SM	HB CATH BALLN INFLAT DEV ENCORE BSCI		$400.00
SM	HB CATH BALLN INFLAT DEV POLARCATH BSCI		$3170.00
SM	HB CATH BALLN INOUE-BALLOON TORAY	C1725	$7330.00
SM	HB CATH BALLN LUTONIX 035 DCB PTA BARD BSCI	C2623	$5830.00
SM	HB CATH BALLN LUTONIX AV 035 DCB PTA MODEL 9010 BARD	C2623	$6490.00
SM	HB CATH BALLN MARSHALL	C1725	$750.00
SM	HB CATH BALLN MAVERICK BSCI	C1725	$1100.00
SM	HB CATH BALLN MEDTRONIC	C1725	$2170.00
SM	HB CATH BALLN MINI COMPRESSION	C1726	$600.00
SM	HB CATH BALLN NUCLEUS-X BRAUN	C1725	$2840.00
SM	HB CATH BALLN OCCLUS ENDOCATH SENTRE HEART SNTR	C2628	$21650.00
SM	HB CATH BALLN OCCLUS EQUINOX	C2628	$2440.00
SM	HB CATH BALLN OCCLUS EQUINOX MICRO	C2628	$2000.00
SM	HB CATH BALLN OCCLUS HYPERFORM EV3	C2628	$4400.00
SM	HB CATH BALLN OCCLUS HYPERGLIDE EV3	C2628	$3750.00
SM	HB CATH BALLN OCCLUS LARGE BOSTON SCI	C2628	$800.00
SM	HB CATH BALLN OCCLUS SNIPER EMBX	C2628	$1670.00
SM	HB CATH BALLN OCCLUS STANDARD BOSTON SCI	C2628	$170.00
SM	HB CATH BALLN OCCLUS SVC BRIDGE SPECT	C2628	$2830.00
SM	HB CATH BALLN OCCLUS TFSC STRYKER	C2628	$4500.00
SM	HB CATH BALLN OCCLUSION COMMODORE	C2628	$2910.00
SM	HB CATH BALLN OCCLUSION STRYKER TFSC	C1753	$5300.00
SM	HB CATH BALLN OLBERT	C1725	$800.00
SM	HB CATH BALLN OPEN SAIL GUIDANT	C1725	$770.00
SM	HB CATH BALLN PACK	C1725	$260.00
SM	HB CATH BALLN POWERSAIL GUIDANT	C1725	$770.00
SM	HB CATH BALLN PTA AMPHIRION EV3	C1725	$1140.00
SM	HB CATH BALLN PTA ARMADA18 ABBOTT	C1725	$730.00
SM	HB CATH BALLN PTA ARMADA35 ABBOTT	C1725	$900.00
SM	HB CATH BALLN PTA BIB NUMED	C1725	$2600.00
SM	HB CATH BALLN PTA BIB STENT PLACEMENT NUMED BRAUN	C1725	$3280.00
SM	HB CATH BALLN PTA CHAMELEON MDTR	C1725	$750.00
SM	HB CATH BALLN PTA DILAT PANTERA LEO NON-CMPLNT BIOTRONIK	C1725	$330.00
SM	HB CATH BALLN PTA DILAT PANTERA PRO SEMI-CMPLNT BIOTRONIK	C1725	$330.00
SM	HB CATH BALLN PTA DILAT R2P CROSSTELLA RX TERUMO	C1725	$870.00
SM	HB CATH BALLN PTA DILAT R2P METACROSS RX TERUMO	C1725	$870.00
SM	HB CATH BALLN PTA DILAT RX VIATRAC 14 PLUS ABBOTT	C1725	$530.00
SM	HB CATH BALLN PTA DILAT SAPPHIRE II PRO 1.0-1.25MM CSI	C1725	$750.00
SM	HB CATH BALLN PTA DILAT SAPPHIRE II PRO 1.5MM CSI	C1725	$330.00
SM	HB CATH BALLN PTA EVERCROSS EV3	C1725	$450.00
SM	HB CATH BALLN PTA NANOCROSS EV3	C1725	$1150.00
SM	HB CATH BALLN PTA OPTA PRO CORDIS	C1725	$1000.00
SM	HB CATH BALLN PTA POWERFLEX EXTREME CORDIS	C1725	$620.00
SM	HB CATH BALLN PTA POWERFLEX P3 CORDIS	C1725	$800.00
SM	HB CATH BALLN PTA PROFILER ANGIODYNAMICS	C1725	$980.00
SM	HB CATH BALLN PTA SABER CORDIS CADL	C1725	$1700.00
SM	HB CATH BALLN PTA SAVVY CORDIS	C1725	$2000.00
SM	HB CATH BALLN PTA SLALOM CORDIS	C1725	$1100.00
SM	HB CATH BALLN PTA WORKHORSE ANGIODYNAMICS	C1725	$390.00
SM	HB CATH BALLN PTCA DILAT OTW TAKERU TERUMO	C1725	$380.00
SM	HB CATH BALLN PTCA DILAT RX NC TAKERU TERUMO	C1726	$380.00
SM	HB CATH BALLN PTCA DILAT RX TAKERU TERUMO	C1726	$380.00
SM	HB CATH BALLN RECTAL PRESSURE	C1726	$110.00
SM	HB CATH BALLN RENAL AMPLATZ DILAT	C1726	$600.00
SM	HB CATH BALLN RX PTCA SCORING ANGIOSCULPT SPEC	C1725	$2660.00
SM	HB CATH BALLN SCIMED	C1725	$1300.00
SM	HB CATH BALLN SENTRY BOSTON SCI	C1725	$2570.00
SM	HB CATH BALLN SIZING CARDIOSEAL	C1725	$1200.00
SM	HB CATH BALLN SIZING ESOPH BARRX MED	C1725	$750.00
SM	HB CATH BALLN SIZING PTS-X BRAUN		$800.00
SM	HB CATH BALLN SPRINTER MDTR		$470.00
SM	HB CATH BALLN STENT DILAT TRILOBE GORE		$2040.00
SM	HB CATH BALLN STG	C1725	$790.00
SM	HB CATH BALLN SUBMARINE PTA GUIDANT	C1725	$1340.00
SM	HB CATH BALLN SYMMETRY BOSTON SCI	C1725	$1200.00
SM	HB CATH BALLN TAMPONADE BAKRI COOK		$690.00
SM	HB CATH BALLN THREADER MICRODILATOR BSCI	C1725	$1340.00
SM	HB CATH BALLN TPA SAILOR PLUS EV3	C1725	$500.00
SM	HB CATH BALLN TRIO 14	C1725	$1330.00
SM	HB CATH BALLN TRUE FLOW VALVULOPLASTY PERFUSION	C1725	$4000.00
SM	HB CATH BALLN TYSHACK II BRAUN	C1725	$1700.00
SM	HB CATH BALLN ULTRA THIN DIAMOND BSCI	C1725	$700.00
SM	HB CATH BALLN VIATRAC GUIDANT	C1725	$640.00
SM	HB CATH BALLN VIPER	C1725	$1530.00
SM	HB CATH BALLN VOYAGER ABBOTT GUIDANT	C1725	$770.00
SM	HB CATH BALLN XL PTA SCORING ANGIOSCULPT 100MM SPEC	C1725	$3830.00
SM	HB CATH BALLN XL PTA SCORING ANGIOSCULPT 20MM SPEC	C1725	$2660.00
SM	HB CATH BALLN XL PTA SCORING ANGIOSCULPT 40MM SPEC	C1725	$3250.00
SM	HB CATH BALLOON DILATATION NEPHROSTOMY	C1726	$990.00
SM	HB CATH BALLOON GOLD VALVE	C1725	$730.00
SM	HB CATH BALLOON OCCLUSION CODA COOK	C2628	$1500.00
SM	HB CATH BETA CATH BRACHYTHERAPY	C1728	$6960.00
SM	HB CATH BILI DILATION SOEHENDRA COOK	C1729	$400.00
SM	HB CATH BILIARY FOG DRAIN	C1729	$260.00
SM	HB CATH BILIARY SILICONE BENTEC	C1729	$240.00
SM	HB CATH BROVIAC	C1751	$700.00
SM	HB CATH CENTRAL VENOUS ARGON	C1751	$100.00
SM	HB CATH CLOSED SYST URETHRAL		$60.00
SM	HB CATH COBRA SOFT VU CORDIS		$50.00
SM	HB CATH CONDOM		$5.00
SM	HB CATH CORONARY ATHERECTOMY		$3780.00
SM	HB CATH CORONARY DILAT TREK ABBOTT	C1725	$570.00
SM	HB CATH CORONARY DILAT TREK ABBOTT NONLASER	C1725	$570.00
SM	HB CATH COUDE		$40.00
SM	HB CATH CSF DRAIN BECKER EDM SYST	C1729	$580.00
SM	HB CATH CSF DRAIN BECKER EDMS MDTR	C1729	$700.00
SM	HB CATH CSF DRAIN LUMBAR EDM MDTR	C1729	$700.00
SM	HB CATH CSF DRAIN TRAUMACATH VENTRICULAR CATH SET INTG	C1729	$370.00
SM	HB CATH CSF DRAIN VENTRIC EDM BECKER 20	C1729	$580.00
SM	HB CATH CSF DRAIN VENTRIC EDM BECKER 35	C1729	$1200.00
SM	HB CATH CSF DRAIN VENTRIC-PERITONEAL	C1729	$470.00
SM	HB CATH CSF LUMBAR EDM MEDTRONIC	C1729	$580.00
SM	HB CATH CSF VENTRICULAR EDM BECKER 20 MDTR	C1729	$580.00
SM	HB CATH CSF VENTRICULAR EDM BECKER 35 MDTR	C1729	$750.00
SM	HB CATH CV ALI KHAN	C1887	$120.00
SM	HB CATH CV BLADE SEPTO	C1757	$4000.00
SM	HB CATH CV CASTILLO	C1887	$60.00
SM	HB CATH CV DBL	C1751	$350.00
SM	HB CATH CV DBL COOK ARROW	C1751	$500.00
SM	HB CATH CV EP 2/2 <19ELECTRODES	C1730	$1710.00
SM	HB CATH CV EP 2/2 >20ELECTRODES	C1731	$1750.00
SM	HB CATH CV EP 2/8 <19ELECTRODES	C1730	$2500.00
SM	HB CATH CV EP 2/8 >20ELECTRODES	C1731	$4540.00
SM	HB CATH CV EP ADVISOR FL SENSOR ENABLED <19 STJUDE	C1730	$5990.00
SM	HB CATH CV EP CARTO NVSTR WBSTR<19 BIOSENSE	C1730	$900.00
SM	HB CATH CV EP DECA 6F<19ELECTRODES	C1730	$1460.00
SM	HB CATH CV EP DECA 7F<19ELECTRODES	C1730	$2200.00
SM	HB CATH CV EP HEX<19ELECTRODES	C1730	$550.00
SM	HB CATH CV EP LASSO 10POLE<19ELECT BIOSENSE	C1730	$4100.00
SM	HB CATH CV EP LASSO 20POLE >20ELEC BIOSENSE	C1731	$4700.00
SM	HB CATH CV EP LIVEWIRE CANNULATOR<19 STJUDE	C1730	$2990.00
SM	HB CATH CV EP LIVEWIRE DUO-DECA>20 STJUDE	C1731	$4500.00
SM	HB CATH CV EP LIVEWIRE STEERABLE <19 STJUDE	C1730	$2990.00
SM	HB CATH CV EP NVSTR WEBSTER<19 BIOSENSE	C1730	$1080.00
SM	HB CATH CV EP OCTA 6F<19ELECTRODES	C1730	$800.00
SM	HB CATH CV EP OPTIMA PLUS >20ELECTR STJUDE	C1731	$4660.00
SM	HB CATH CV EP PATHFINDER<19ELECTROD CARDIMA	C1730	$3420.00
SM	HB CATH CV EP QUAD <19ELECTRODES	C1730	$570.00
SM	HB CATH CV EP SPECIAL EP <19ELEC	C1730	$2030.00
SM	HB CATH CV EP SPIRAL<19ELECTRODE STJUDE	C1730	$2850.00
SM	HB CATH CV EP VECTORCATH<19 CATHEFFECTS	C1730	$5630.00
SM	HB CATH CV EP WEBSTER+CONNCTR<19 BIOSENSE	C1730	$2180.00
SM	HB CATH CV EP<19 INQUIRY LUMACATH BSCI	C1730	$2500.00
SM	HB CATH CV EP<19 POLARIS DX BSCI	C1730	$1090.00
SM	HB CATH CV EP<19ELECTR ACHIEVE ADVANCE MEDTRONIC	C1730	$2500.00
SM	HB CATH CV EP<19ELECTRODES ARROW	C1730	$2100.00
SM	HB CATH CV EPS DIAG ABLAT QUAD LGCRL 7F	C2630	$2450.00
SM	HB CATH CV EPS DIAG ABLAT QUAD MED 7F	C2630	$2450.00
SM	HB CATH CV EPS DIAG ABLAT QUAD XLSU CRL7F	C2630	$2470.00
SM	HB CATH CV GROSHONG	C1751	$1000.00
SM	HB CATH CV HANAFEE	C1887	$110.00
SM	HB CATH CV HICKMAN BARD	C1751	$900.00
SM	HB CATH CV INFUSION	C1725	$2140.00
SM	HB CATH CV JUDKINS COOK BARD		$160.00
SM	HB CATH CV LEONARD 2LUMEN	C1751	$470.00
SM	HB CATH CV PACING ATRIAL	C1756	$280.00
SM	HB CATH CV PACING ATRIAL OXIMETRY	C1756	$1020.00
SM	HB CATH CV PACING ATRIAL PROBE		$800.00
SM	HB CATH CV PACING TEMPORARY BARD	C1756	$500.00
SM	HB CATH CV PACING TEMPORARY DIAG AVE	C1756	$1100.00
SM	HB CATH CV PACING TEMPORARY EDWARDS BAXTER	C1756	$700.00
SM	HB CATH CV PACING TRANSESOPH	C1756	$1270.00
SM	HB CATH CV PACING VENTRIC PROBE	C1756	$400.00
SM	HB CATH CV QUAD ARROW	C1751	$260.00
SM	HB CATH CV QUINTON	C1751	$450.00
SM	HB CATH CV RAAF HEMODIALYSIS/PERITONEAL LONGTERM	C1750	$200.00
SM	HB CATH CV SGL COOK	C1751	$170.00
SM	HB CATH CV SGL COOK ARROW	C1751	$200.00
SM	HB CATH CVC SGL ARROW	C1751	$400.00
SM	HB CATH CVP CENTRAL VENOUS PRESS	C1751	$280.00
SM	HB CATH CVP COOLGUARD COOL-LINE ALSIUS	C1751	$1600.00
SM	HB CATH CVP COOLGUARD ICY ALSIUS	C1751	$3000.00
SM	HB CATH CVP POWER-HOHN BARD	C1751	$1220.00
SM	HB CATH CVP REPAIR COOK	C1751	$420.00
SM	HB CATH DBL PERIPHERAL		$30.00
SM	HB CATH DIAG ANGIO ROYAL FLUSH	C1725	$70.00
SM	HB CATH DIAG CABLE ADVISOR FL SENSOR ENABLED		$920.00
SM	HB CATH DIAG CORDIS	C1887	$150.00
SM	HB CATH DIAG EP REP 4F JOSEPH ID	C1730	$130.00
SM	HB CATH DIAG EP REP 4F JOSEPH PED	C1730	$130.00
SM	HB CATH DIAG IMPULSE		$150.00
SM	HB CATH DIAG INFINITI CORDIS	C1887	$400.00
SM	HB CATH DIAG PERFORMA BERENSTEIN MERT		$200.00
SM	HB CATH DIAG PERFORMA ULTIMATE MERT		$80.00
SM	HB CATH DIAG SIZING PIG COOK		$370.00
SM	HB CATH DIAG SPYGLASS		$80.00
SM	HB CATH DIALYSIS EQUISTREAM LONG TERM BARD	C1750	$1000.00
SM	HB CATH DIALYSIS GLIDEPATH LONG TERM BARD	C1750	$800.00
SM	HB CATH DIALYSIS LONG PALINDROME KENDALL	C1750	$2370.00
SM	HB CATH DIALYSIS PERMACATH KENDALL SHERWOOD	C1750	$600.00
SM	HB CATH DIALYSIS TEMP DUOGLIDE BARD	C1752	$490.00
SM	HB CATH DIALYSIS TEMP HEMO-CATH ST MEDCOMP	C1752	$450.00
SM	HB CATH DIALYSIS TEMP NIAGARA BARD	C1752	$600.00
SM	HB CATH DIALYSIS TEMP POWER TRIALYSIS BARD	C1752	$600.00
SM	HB CATH DRAIN APD J TIP	C1729	$270.00
SM	HB CATH DRAIN APD SKATER MDTECH	C1729	$200.00
SM	HB CATH DRAIN ASPIRA PERITONEAL BARD	C1752	$2410.00
SM	HB CATH DRAIN ASPIRA PLEURAL BARD	C1729	$2410.00
SM	HB CATH DRAIN BIL 12F 35CM REG	C1729	$290.00
SM	HB CATH DRAIN BILIARY AGDY	C1729	$210.00
SM	HB CATH DRAIN BILIARY FOG	C1729	$260.00
SM	HB CATH DRAIN BILIARY MACLOC COOK	C1729	$310.00
SM	HB CATH DRAIN CHEST	C1729	$200.00
SM	HB CATH DRAIN CHEST	C1729	$200.00
SM	HB CATH DRAIN DAWSON MUELLER/COPE COOK	C1729	$250.00
SM	HB CATH DRAIN DENVER SHUNT PVS CARF	C1729	$7160.00
SM	HB CATH DRAIN EXPEL BOSTON SCI	C1729	$530.00
SM	HB CATH DRAIN FLEXIMA APD BOSTON SCI	C1729	$250.00
SM	HB CATH DRAIN FLEXIMA APD BSCI	C1729	$1200.00
SM	HB CATH DRAIN FLEXIMA BILIARY BOSTON SCI	C1729	$270.00
SM	HB CATH DRAIN MALECOT COOK	C1729	$190.00
SM	HB CATH DRAIN MPA COOK	C1729	$300.00
SM	HB CATH DRAIN MULTIPURPOSE J TIP	C1729	$400.00
SM	HB CATH DRAIN MULTIPURPOSE MACLOC COOK	C1729	$300.00
SM	HB CATH DRAIN NEPHROSTOMY SKATER MDTECH	C1729	$290.00
SM	HB CATH DRAIN PIGTAIL MINI	C1729	$490.00
SM	HB CATH DRAIN PLEURAL WAYNE PNEUMOTHORAX COOK	C1729	$610.00
SM	HB CATH DRAIN PLEURX DENVER	C1729	$1800.00
SM	HB CATH DRAIN PLEURX DENVER	C1729	$1430.00
SM	HB CATH DRAIN SACKS	C1729	$1030.00
SM	HB CATH DRAIN SINU RELIVA VORTEX2 ACLA	C1729	$520.00
SM	HB CATH DRAIN SKATER ARGON	C1729	$310.00
SM	HB CATH DRAIN SUMP LOCKING LOOP COOK	C1729	$380.00
SM	HB CATH DRAIN THORACIC	C1729	$20.00
SM	HB CATH DRAIN THORACIC	C1729	$100.00
SM	HB CATH DRAIN TRUFLO URESIL	C1729	$270.00
SM	HB CATH DRAIN URESIL COOK	C1729	$300.00
SM	HB CATH DRAIN VANSONNENBERG SUMP BOSTON SCI	C1729	$550.00
SM	HB CATH EASY RIDER		$970.00
SM	HB CATH ECHO ACUNAV INTRACARD REPROC SIEMEN	C1759	$3320.00
SM	HB CATH ECHO ACUNAV INTRACARD SIEMEN BIOSEN	C1759	$9330.00
SM	HB CATH ECHO ICE INTRACARD BSCI	C1759	$3200.00
SM	HB CATH ECHO INTRACARD ULTRA ICE PLUS BSCI	C1759	$3510.00
SM	HB CATH ECHO INTRACARDIACC VIEWFLEX STJUDE	C1759	$6000.00
SM	HB CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$9500.00
SM	HB CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$4000.00
SM	HB CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$8720.00
SM	HB CATH EDDY		$1410.00
SM	HB CATH EMBOLECTOM FOGERTY EDWARDS BAXTER	C1757	$1140.00
SM	HB CATH EMBOLECTOMY	C1757	$300.00
SM	HB CATH EMBOLECTOMY FOGARTY BAXTER	C1757	$700.00
SM	HB CATH EMBOLECTOMY FOGERTY EDWARD	C1757	$1140.00
SM	HB CATH EMBOLECTOMY LEMAITRE	C1757	$300.00
SM	HB CATH ENDO AVF ELLIPSYS AVENU MED		$19980.00
SM	HB CATH ENDO AVF SYST WAVELINQ BARD		$23310.00
SM	HB CATH ENDO ERCP COOK		$200.00
SM	HB CATH ENDO SPYSCOPE ACCESS + DELIVERY SYSTEM BSCI		$2540.00
SM	HB CATH ENTEROCLYSIS MAGLINTE COOK		$800.00
SM	HB CATH EP ABLAT 8 MM INTELLANAV MIFI XP BSCI	C1732	$8990.00
SM	HB CATH EP ABLAT ARCTIC FRONT ADV PRO CRYOBALLN MDTR	C1733	$13990.00
SM	HB CATH EP ABLAT BLAZER II OTHER BSCI	C1733	$4300.00
SM	HB CATH EP ABLAT BLAZER STD OTHER BSCI	C1733	$3600.00
SM	HB CATH EP ABLAT CARTO NAVISTAR QWIKSTAR 4	C1732	$7660.00
SM	HB CATH EP ABLAT CARTO NAVISTAR QWIKSTAR 8	C1732	$8160.00
SM	HB CATH EP ABLAT CARTO NVSTR THERMISTORBWEB	C1732	$6000.00
SM	HB CATH EP ABLAT CELSIUS RMT OTHER BWEB	C1733	$4170.00
SM	HB CATH EP ABLAT CELSIUS THERMOCOUPLE BWEB	C1733	$2900.00
SM	HB CATH EP ABLAT CHILLI COOLED BSCI	C2630	$5630.00
SM	HB CATH EP ABLAT COOL TACTICATH SE ABBO	C2630	$9320.00
SM	HB CATH EP ABLAT EZ STEER BI-DIRCT OTH BWEB	C1733	$10000.00
SM	HB CATH EP ABLAT EZ STEER DS BI-DIR OTHBWEB	C1733	$9900.00
SM	HB CATH EP ABLAT FLEXABILITY STJUDE	C2630	$6200.00
SM	HB CATH EP ABLAT FREEZOR CRYOCATH	C1732	$8500.00
SM	HB CATH EP ABLAT FREEZOR MAX CRYOCATH	C1732	$8500.00
SM	HB CATH EP ABLAT FREEZOR XTRA CRYOCATH	C1732	$8500.00
SM	HB CATH EP ABLAT LIVEWIRE TC OTHER STJUDE	C1733	$1670.00
SM	HB CATH EP ABLAT NAVISTAR BIOSENSE	C1732	$7660.00
SM	HB CATH EP ABLAT NAVISTAR DS BIOSENSE	C1732	$8800.00
SM	HB CATH EP ABLAT NVSTR CELSIUS DF OTH BWEB	C1733	$2900.00
SM	HB CATH EP ABLAT NVSTR CELSIUS DS OTH BWEB	C1733	$4200.00
SM	HB CATH EP ABLAT STND/LRG INTELLANAV MIFI OI BSCI	C1732	$9490.00
SM	HB CATH EP ABLAT STND/LRG INTELLANAV OI BSCI	C1732	$7990.00
SM	HB CATH EP ABLAT STND/LRG INTELLANAV ST BSCI	C1732	$7160.00
SM	HB CATH EP ABLAT THERAPY COOL PATH STJUDE	C2630	$5400.00
SM	HB CATH EP ABLAT THERMOCOOL NVSTR BIOSENSE	C1732	$4170.00
SM	HB CATH EP ABLAT THERMOCOOL SMARTTOUCH BIOSENSE	C1732	$10740.00
SM	HB CATH EP ABLATION SAFIRE OTHER STJUDE	C1733	$2000.00
SM	HB CATH EP CARTO NVSTR CELSIUS II OTH BWEB	C1733	$2470.00
SM	HB CATH EP DIAG APT MAP-IT 10 ELECTROD	C1730	$2630.00
SM	HB CATH EP DIAG APT MAP-IT 20 ELECTROD	C1731	$3960.00
SM	HB CATH EP DIAG CARTO DECANAV BIOSENSE	C1732	$3900.00
SM	HB CATH EP INQUIRY AFOCUS II >20ELECTR STJUDE	C1731	$5000.00
SM	HB CATH EP MAPPING CONSTELLATION BSCI	C1732	$15000.00
SM	HB CATH EP MAPPING ENSITE ST JUDE	C1732	$8660.00
SM	HB CATH EP MAPPING HALO REPROCESSED	C1731	$4100.00
SM	HB CATH EP MAPPING HALO REPROCESSED	C1731	$970.00
SM	HB CATH EP MAPPING INTELLAMAP ORION BSCI	C1732	$9490.00
SM	HB CATH EP REP 110 4F M 3.2 2-5-2	C1730	$1010.00
SM	HB CATH EP REP 5F DECA FIX P-CRV	C1730	$180.00
SM	HB CATH EP REP 7F DUODEC M LIVEWI	C1731	$970.00
SM	HB CATH EP REP 7F DUODEC SUPERL	C1731	$970.00
SM	HB CATH EP REP DIAG 7F OPTIMA PLS	C1731	$1950.00
SM	HB CATH EP REP LIVEWIRE 6F QUADLG	C1730	$460.00
SM	HB CATH EP REP OCTA DEFL 6F D-CRV	C1730	$470.00
SM	HB CATH EP REP OCTAPOLAR D-TYPE	C1730	$470.00
SM	HB CATH EP REP SUPREME 4F CRD2	C1730	$130.00
SM	HB CATH EP REP SUPREME 6F CRD2	C1730	$130.00
SM	HB CATH EP STEERING DECAPOLAR INQUIRY ABBOT	C1730	$1590.00
SM	HB CATH EP WOVEN PENTAPOLAR JOSEPHSON BSCI	C1730	$750.00
SM	HB CATH EPIDURAL		$240.00
SM	HB CATH EPL REP 6F DEC 2/5 2M 115	C1730	$470.00
SM	HB CATH EPS CABLE CONNECTING		$590.00
SM	HB CATH EPS REP 4F DEC 2/8 65 CSL	C1730	$180.00
SM	HB CATH EPS REP 4F QUAD 5MM JSN	C1730	$130.00
SM	HB CATH EPS REP 5F HRRX UNI 120	C1730	$180.00
SM	HB CATH EPS REP 5F QUAD 5 120 CRD	C1730	$130.00
SM	HB CATH EPS REP 5F QUAD 5 120 JSN	C1730	$130.00
SM	HB CATH EPS REP 5F QUAD 5MM CRD	C1730	$130.00
SM	HB CATH EPS REP 6F DEC 2/8 65CM	C1730	$180.00
SM	HB CATH EPS REP 6F DEC LARGE CURL	C1730	$470.00
SM	HB CATH EXCELSIOR 1018 BSCI	C1887	$1490.00
SM	HB CATH EXCELSIOR SL10 BSCI	C1887	$2030.00
SM	HB CATH EXCELSIOR SL10 STRY	C1887	$3050.00
SM	HB CATH EXCELSIOR SL10 STRY	C1887	$7490.00
SM	HB CATH EXCELSIOR XT27 STRYKER	C1887	$2920.00
SM	HB CATH FASDASHER 14		$1030.00
SM	HB CATH FEMALE URETHRAL		$5.00
SM	HB CATH FILIFORM		$70.00
SM	HB CATH FINECROSS MG CORONARY MICRO-GUIDE TERU	C1725	$1420.00
SM	HB CATH FLOWRIDER PLUS		$3250.00
SM	HB CATH FOLEY		$100.00
SM	HB CATH FOLLOWER		$70.00
SM	HB CATH GLIDE IMPRESS BERENSTEIN HYDROPHIL MERIT	C1725	$650.00
SM	HB CATH GLIDEWIRE ZIPWIRE BSCI	C1887	$110.00
SM	HB CATH GLIDEX	C1887	$970.00
SM	HB CATH GROLLMAN PIGTAIL COOK		$60.00
SM	HB CATH GROSHONG	C1751	$780.00
SM	HB CATH GROSHONG REPAIR KIT		$100.00
SM	HB CATH GUIDE 5MAX DDC PENUMBRA	C1887	$8290.00
SM	HB CATH GUIDE ACS	C1887	$360.00
SM	HB CATH GUIDE ACUITY INNER BSCI	C1887	$650.00
SM	HB CATH GUIDE ACUITY INNER BSCI	C1887	$650.00
SM	HB CATH GUIDE ANGIODYNAMICS MDTR/MIS	C1887	$300.00
SM	HB CATH GUIDE APOLLO NEURO EV3 COVIDIEN	C1887	$5650.00
SM	HB CATH GUIDE ARC INTRACRANIAL EV3 MDTR COVD	C1887	$6640.00
SM	HB CATH GUIDE ATTAIN CRT LEAD DELIV MDTR	C1887	$2400.00
SM	HB CATH GUIDE AVE	C1887	$30.00
SM	HB CATH GUIDE AXIS COBRA1 SIMMONS1 SUREFIRE	C1887	$980.00
SM	HB CATH GUIDE AXS CATALYST 7 DA STRY	C1887	$7600.00
SM	HB CATH GUIDE BALLAST 088 LONG SHEATH BALT	C1887	$1530.00
SM	HB CATH GUIDE BALLN MERCI CONCENTRIC MED	C1887	$3600.00
SM	HB CATH GUIDE BALLN OUTREACH DAC CMED	C1887	$3150.00
SM	HB CATH GUIDE BALLOON CELLO	C1887	$2890.00
SM	HB CATH GUIDE BALLOON FLOWGATE STRY	C1887	$4160.00
SM	HB CATH GUIDE BALLOON TRAPLINER VASC	C1887	$2030.00
SM	HB CATH GUIDE BENCHMARK PENUMBRA	C1887	$3310.00
SM	HB CATH GUIDE BERENSTEIN	C1887	$700.00
SM	HB CATH GUIDE BMX COAXIAL BAYLIS	C1887	$600.00
SM	HB CATH GUIDE BSCI	C1887	$300.00
SM	HB CATH GUIDE CELIAC	C1887	$50.00
SM	HB CATH GUIDE CEREBRAL	C1887	$50.00
SM	HB CATH GUIDE CORDIS	C1887	$400.00
SM	HB CATH GUIDE CPS AIM ST JUDE	C1887	$890.00
SM	HB CATH GUIDE CPS LIVEWIRE LUMINARY STJUDE	C1887	$2990.00
SM	HB CATH GUIDE CV BERENSTEIN	C1887	$60.00
SM	HB CATH GUIDE CV BIOPSY	C1887	$340.00
SM	HB CATH GUIDE DELIV ATTAIN MDTR	C1887	$900.00
SM	HB CATH GUIDE DELIV C315 MDTR	C1887	$970.00
SM	HB CATH GUIDE ENTEER REENTRY EV3	C1887	$7980.00
SM	HB CATH GUIDE EXTENSION TELESCOPE MEDTRONIC	C1887	$1320.00
SM	HB CATH GUIDE FASTRACKER BSCI	C1887	$3200.00
SM	HB CATH GUIDE FL3.5 SIDEHOLES 9F		$160.00
SM	HB CATH GUIDE FLEX	C1887	$540.00
SM	HB CATH GUIDE GUIDELINER VASC SOLN	C1887	$1320.00
SM	HB CATH GUIDE HD	C1887	$90.00
SM	HB CATH GUIDE INDIGO CAT RX PENUMBRA	C1887	$6460.00
SM	HB CATH GUIDE INDIGO CAT6 PENUMBRA	C1887	$6630.00
SM	HB CATH GUIDE INDIGO CAT8 PENUMBRA	C1887	$9960.00
SM	HB CATH GUIDE INDIGO PENUMBRA	C1887	$4300.00
SM	HB CATH GUIDE LANTERN DELIVERY MICROCATH PENUMBRA	C1887	$2160.00
SM	HB CATH GUIDE LAUNCHER MDTR	C1887	$150.00
SM	HB CATH GUIDE LEAD DELIVERY SYSTEM ACUITY PRO BSCI	C1887	$3340.00
SM	HB CATH GUIDE MICRO MAMBA BSCI	C1887	$3980.00
SM	HB CATH GUIDE MICRO MAMBA FLEX BSCI	C1887	$4070.00
SM	HB CATH GUIDE MICROCATH CORSAIR ASAHI	C1887	$1840.00
SM	HB CATH GUIDE MICROCATH CORSAIR PRO ASAHI	C1887	$1830.00
SM	HB CATH GUIDE MICROCATH ECHELON EV3	C1887	$1800.00
SM	HB CATH GUIDE MORPH BIOCARDIA	C1887	$1250.00
SM	HB CATH GUIDE NAVICROSS PERIPH SUPPORT TERUMO	C1887	$570.00
SM	HB CATH GUIDE NEURON DELIVERY PENUMBRA	C1887	$2300.00
SM	HB CATH GUIDE NEURON MAX 088 PENUMBRA	C1887	$1650.00
SM	HB CATH GUIDE NEURON REPERFUSION PENUMBRA	C1887	$5600.00
SM	HB CATH GUIDE NEURON SELECT PENUMBRA	C1887	$1650.00
SM	HB CATH GUIDE NEURON SELECT PENUMBRA	C1887	$420.00
SM	HB CATH GUIDE NEUROVASC CHIKAI ASAHI	C1887	$1500.00
SM	HB CATH GUIDE NEUROVASC FUBUKI 043 ASAHI	C1887	$1580.00
SM	HB CATH GUIDE NEUROVASC FUBUKI ASAHI	C1887	$670.00
SM	HB CATH GUIDE OCELOT OCT AVINGER	C1887	$8310.00
SM	HB CATH GUIDE OUTBACK RE-ENTRY CORDISLUMEND	C1887	$6770.00
SM	HB CATH GUIDE PIONEER PLUS REENTRY VOLCANO	C1887	$9650.00
SM	HB CATH GUIDE PRECISION INFUSION SUREFIRE	C1887	$9990.00
SM	HB CATH GUIDE PX SLIM DELIVERY MICROCATH PENUMBRA	C1887	$1650.00
SM	HB CATH GUIDE QUICKCROSS SPECTRANTICS	C1887	$600.00
SM	HB CATH GUIDE REFLEX INTRACRANIAL EV3	C1887	$1570.00
SM	HB CATH GUIDE SELECT PENUMBRA	C1887	$420.00
SM	HB CATH GUIDE SELECTSITE MDTR	C1887	$2670.00
SM	HB CATH GUIDE SHEATH SUREFIRE	C1887	$8330.00
SM	HB CATH GUIDE SITE SELECTIVE PACING CATH BSCI	C1887	$1650.00
SM	HB CATH GUIDE SOFIA EX MICV TERUMO	C1887	$5660.00
SM	HB CATH GUIDE SOFTIP SENTRE HEART SNTR	C1887	$1000.00
SM	HB CATH GUIDE SUPPORT BARD	C1887	$870.00
SM	HB CATH GUIDE TOURGUIDE STEERABLE SHEATH OSCO MDTR	C1887	$1910.00
SM	HB CATH GUIDE TRACSTAR IMPERATIVE	C1887	$3980.00
SM	HB CATH GUIDE TRAILBLAZER ANGLED SUPT EV3 MDTR COVD	C1887	$700.00
SM	HB CATH GUIDE TURBO SPECTRANETICS	C1887	$5000.00
SM	HB CATH GUIDE TWIN PASS VASC SOLN	C1887	$1090.00
SM	HB CATH GUIDE VASC TURNPIKE LP TEFL	C1887	$2410.00
SM	HB CATH GUIDE VENTURE STJUDE	C1887	$2170.00
SM	HB CATH GUIDE VERIPATH ABBOTT	C1887	$300.00
SM	HB CATH GUIDE VIANCE EV3	C1887	$5980.00
SM	HB CATH GUIDE VIANCE EV3 COVIDIEN	C1887	$5980.00
SM	HB CATH GUIDE VIKING ABBOTT GUIDANT	C1887	$200.00
SM	HB CATH GUIDE VINUELA COOK	C1887	$400.00
SM	HB CATH GUIDE WEDGE MICV TERUMO	C1887	$8330.00
SM	HB CATH GUIDE ZUMA / LAUNCHER MDTR	C1887	$200.00
SM	HB CATH GUIDECATH CONTRALAT CORDIS	C1887	$220.00
SM	HB CATH GUIDECATH CXI COOK	C1887	$540.00
SM	HB CATH GUIDECATH ENVOY CORDIS	C1887	$1300.00
SM	HB CATH GUIDECATH ENVOY DA J&J CORDIS	C1887	$2200.00
SM	HB CATH GUIDECATH ENVOY RX CORDIS	C1887	$1230.00
SM	HB CATH GUIDECATH GLIDE ANGIODYNAMICS	C1725	$40.00
SM	HB CATH GUIDECATH GLIDE TERUMO BSCI	C1725	$600.00
SM	HB CATH GUIDECATH GUIDEZILLA BSCI	C1887	$1320.00
SM	HB CATH GUIDECATH LUMAX COOK	C1887	$800.00
SM	HB CATH GUIDECATH VISTA BRITE IG CORDIS	C1887	$390.00
SM	HB CATH GUIDECATH VISTA BRITE TIP CORDIS	C1887	$300.00
SM	HB CATH GUIDING PEDS	C1887	$330.00
SM	HB CATH GUIDING PERFORMA MERIT MEDICAL	C1887	$30.00
SM	HB CATH GUIDING PERFORMA MERIT MEDICAL	C1887	$70.00
SM	HB CATH GUIDING SINU RELIVA SPIN ACLA	C1887	$1070.00
SM	HB CATH GUIDING VESSEL ARROW	C1887	$60.00
SM	HB CATH GUIDING WORLEY VEIN SEL MERIT	C1887	$300.00
SM	HB CATH HEADHUNTER COOK		$40.00
SM	HB CATH HEMDIALYS R PORT PREMIER KIT	C1750	$2020.00
SM	HB CATH HEMDIALYS R PORT STANDARD KIT	C1750	$1640.00
SM	HB CATH HEMODIALYSIS	C1751	$290.00
SM	HB CATH HEMODIALYSIS DURAFLOW ANGIODYNAMICS	C1881	$4000.00
SM	HB CATH HEMODIALYSIS SCHON XL ANGIODYNAMICS	C1752	$370.00
SM	HB CATH HEMODIALYSIS TEMP ACCESS	C1751	$540.00
SM	HB CATH HEMODIALYSIS/PERITONEAL LONGTERM ARGYLE SWAN NECK CURL CATH KIT COVD	C1750	$820.00
SM	HB CATH HEMODIALYSIS/PERITONEAL LONGTERM ARGYLE SWAN NECK PRESTERNAL COVD	C1750	$1600.00
SM	HB CATH HEMODIALYSIS/PERITONEAL LONGTERM BIOFLO DURAMAX AGDY	C1750	$4160.00
SM	HB CATH HEMODIALYSIS/PERITONEAL LONGTERM KAND	C1750	$1190.00
SM	HB CATH HEMODIALYSIS/PERITONEAL SYMETREX LONGTERM MEDCOMP	C1750	$1010.00
SM	HB CATH HORSESHOE CONTRALAT		$90.00
SM	HB CATH HYDROPHILIC MARK 16		$910.00
SM	HB CATH INF CRAGG MCNAMARA <30CM EV3	C1887	$300.00
SM	HB CATH INF CRAGG MCNAMARA >=30CM EV3	C1887	$440.00
SM	HB CATH INF PULSE SPRAY ANGIODYNAMICS	C1757	$930.00
SM	HB CATH INFERIOR MESENTERIC	C1887	$50.00
SM	HB CATH INFUSION	C1751	$660.00
SM	HB CATH INFUSION AVALON ELITE 2LUMEN GETINGE	C1751	$7990.00
SM	HB CATH INFUSION BRAUN	C1751	$1300.00
SM	HB CATH INFUSION CORONARY AU MARK	C1751	$430.00
SM	HB CATH INFUSION CV 3LUMEN	C1751	$350.00
SM	HB CATH INFUSION CV 4LUMEN	C1751	$280.00
SM	HB CATH INFUSION CV QUINTON	C1751	$450.00
SM	HB CATH INFUSION CV QUINTON COOK	C1751	$420.00
SM	HB CATH INFUSION CV TRPL COOK ARROW	C1751	$400.00
SM	HB CATH INFUSION FOUNTAIN MERIT MEDICAL	C1725	$540.00
SM	HB CATH INFUSION LYSUS EKOS	C1751	$9500.00
SM	HB CATH INFUSION MAGIC BALT	C1751	$2500.00
SM	HB CATH INFUSION MAHURKAR	C1751	$1700.00
SM	HB CATH INFUSION PICC LINE MEDITECH MEDCOMP	C1751	$900.00
SM	HB CATH INFUSION SLIP COOK		$300.00
SM	HB CATH INFUSION TRACKER BSCI	C1887	$1200.00
SM	HB CATH INFUSION TRANSIT CORDIS	C1751	$1500.00
SM	HB CATH INFUSION TRAY SGL LUMEN COOK	C1751	$240.00
SM	HB CATH INFUSION TRULINE EV3	C1751	$390.00
SM	HB CATH INFUSION UNIFUSE	C1751	$660.00
SM	HB CATH INFUSION VALVED <40CM EV3	C1751	$270.00
SM	HB CATH INFUSION VALVED >40CM EV3	C1751	$270.00
SM	HB CATH INFUSION VALVED 4F	C1887	$300.00
SM	HB CATH INFUSION VALVED 5F	C1887	$300.00
SM	HB CATH INTRAVASC LITHOTRIPSY PERIPH SHOCKWAVE		$9820.00
SM	HB CATH IT ATHEROTOME CATHETER	C1714	$3010.00
SM	HB CATH IVUS 10MHZ VISIONS PV.035	C1753	$3340.00
SM	HB CATH IVUS ATLANTIS ULTRASOUND BSCI	C1753	$2400.00
SM	HB CATH IVUS DUALPRO IVUS+NIRS INFRAREDX	C1753	$3160.00
SM	HB CATH IVUS KODAMA HDI ACIST	C1753	$2410.00
SM	HB CATH IVUS LIPISCAN INFRAREDX	C1753	$2840.00
SM	HB CATH IVUS OPTICROSS 18 BSCI	C1753	$4000.00
SM	HB CATH IVUS OPTICROSS 6 BSCI	C1753	$2700.00
SM	HB CATH IVUS STJUDE	C1753	$2170.00
SM	HB CATH IVUS VOLCANO EAGLE EYE	C1753	$2250.00
SM	HB CATH IVUS VOLCANO VISIONS	C1753	$2920.00
SM	HB CATH KUMPE		$110.00
SM	HB CATH LANGSTON DUAL LMN VASC SOLN	C1725	$500.00
SM	HB CATH LITHOPLASTY PERIPH SHOCKWAVE		$9820.00
SM	HB CATH LOFRIC		$200.00
SM	HB CATH LONG PALINDROME HEMODIALYSIS/PERITONEAL LONGTERM	C1750	$2370.00
SM	HB CATH LUMBAR		$480.00
SM	HB CATH MAESTRO MICRO-GUIDE MERT	C1887	$1080.00
SM	HB CATH MAESTRO MICROCATH MERIT	C1887	$990.00
SM	HB CATH MAGIC		$1680.00
SM	HB CATH MAHURKAR TYCO	C1750	$2350.00
SM	HB CATH MAP REP 6F QUAD POLARISDX	C1730	$460.00
SM	HB CATH MARKER COOK		$220.00
SM	HB CATH MARKER CORDIS		$590.00
SM	HB CATH MARKER PIGTAIL		$920.00
SM	HB CATH MASSTRANSIT CORDIS	C1887	$950.00
SM	HB CATH MCNAMARA AL		$190.00
SM	HB CATH MCNAMARA CONTRALAT COOK		$700.00
SM	HB CATH MEDENA CURVE		$50.00
SM	HB CATH MEDENA STRAIGHT		$50.00
SM	HB CATH MICRO DIREXION TORQ BSCI	C1887	$2050.00
SM	HB CATH MICRO DIREXION TORQ PRELOAD W FATHOM GW BSCI	C1887	$3010.00
SM	HB CATH MICRO DIREXION TORQ PRELOAD W TRANSEND GW BSCI	C1887	$2640.00
SM	HB CATH MICRO HEADWAY DUO MICV MC162167S TERUMO	C1887	$3800.00
SM	HB CATH MICRO HEADWAY DUO MICV TERUMO	C1887	$2940.00
SM	HB CATH MICRO HEADWAY MICV TERUMO	C1887	$2630.00
SM	HB CATH MICRO INFUSION SUREFIRE	C1887	$8330.00
SM	HB CATH MICRO MAGIC		$1200.00
SM	HB CATH MICRO MARKSMAN EV3	C1887	$3990.00
SM	HB CATH MICRO MERCI CONCENTRIC MED	C1773	$1500.00
SM	HB CATH MICRO ORION EV3	C1887	$3610.00
SM	HB CATH MICRO PHENOM + MDTR	C1887	$6640.00
SM	HB CATH MICRO PHENOM MDTR	C1887	$4210.00
SM	HB CATH MICRO PROGREAT >=2.4F TERUMO	C1887	$1030.00
SM	HB CATH MICRO PROGREAT 2.0F TERUMO	C1887	$2170.00
SM	HB CATH MICRO PROGREAT COAXIAL TERUMO	C1887	$1730.00
SM	HB CATH MICRO REBAR EV3	C1887	$1500.00
SM	HB CATH MICRO SOFIA MICV TERUMO	C1887	$4050.00
SM	HB CATH MICRO SOFIA PLUS MICV TERUMO	C1887	$7700.00
SM	HB CATH MICRO VELOCITY PENU	C1887	$3630.00
SM	HB CATH MICRO VIA 21 SEQU	C1887	$3660.00
SM	HB CATH MICROCATH MARATHON EV3	C1887	$1770.00
SM	HB CATH MICROCATH MERCI X5		$1500.00
SM	HB CATH MICROCATH NAVVUS RAPID EXCH FFR ACIST	C1769	$2000.00
SM	HB CATH MICROCATH PROGREAT TERUMO		$1000.00
SM	HB CATH MICROCATH ULTRAFLOW EV3	C1887	$1420.00
SM	HB CATH MONITOR ART PRESS		$100.00
SM	HB CATH MPD		$590.00
SM	HB CATH MPD COOK	C1729	$360.00
SM	HB CATH MULTIMED ARROW		$540.00
SM	HB CATH MULTIPURPOSE 6F 90CM	C1887	$720.00
SM	HB CATH NAVARE		$1820.00
SM	HB CATH NEPHROSTOMY	C1729	$400.00
SM	HB CATH NEPHROSTOMY COPE	C1729	$600.00
SM	HB CATH NIH MARKER	C1887	$100.00
SM	HB CATH OASIS 6/100 46-877		$3070.00
SM	HB CATH OASIS 6/65 46-876		$2530.00
SM	HB CATH OCCLUSION	C2628	$800.00
SM	HB CATH OPTICATH / OPTI Q ABBOTT	C1751	$610.00
SM	HB CATH OPTITORQUE RADIFOCUS GLIDECATH TERU	C1725	$120.00
SM	HB CATH OXIMETRY		$1740.00
SM	HB CATH PACING TRANSESOPH TEMPORARY	C1756	$400.00
SM	HB CATH PACING TRANSESOPH TEMPORARY BXTR	C1756	$400.00
SM	HB CATH PEDS SPLIT XL MEDCOMP	C1750	$1330.00
SM	HB CATH PERFORMA MERIT MEDICAL	C1887	$600.00
SM	HB CATH PERICARDIAL		$60.00
SM	HB CATH PERICARDIOCENTESIS	C1729	$40.00
SM	HB CATH PERMACATH DECATHLON KENDALL	C1750	$1100.00
SM	HB CATH PICC 1 LUMEN ARROW	C1751	$560.00
SM	HB CATH PICC 1 LUMEN BARD	C1751	$480.00
SM	HB CATH PICC 1 LUMEN COOK	C1751	$280.00
SM	HB CATH PICC 2 LUMEN	C1751	$560.00
SM	HB CATH PICC 2 LUMEN ARROW	C1751	$560.00
SM	HB CATH PICC 2 LUMEN BARD	C1751	$1200.00
SM	HB CATH PICC ARGYLE 1LUMEN BECTON DICKINSON	C1751	$160.00
SM	HB CATH PICC ARGYLE 2LUMEN BECTON DICKINSON	C1751	$260.00
SM	HB CATH PICC BECTON DICKINSON	C1751	$290.00
SM	HB CATH PICC GROSHONG	C1751	$410.00
SM	HB CATH PICC MORPHEUS CT ANGIODYNAMICS	C1751	$900.00
SM	HB CATH PICC POWERPICC BARD	C1751	$700.00
SM	HB CATH PICC POWERPICC NAVILYST	C1751	$450.00
SM	HB CATH PICC UTAH MEDICAL	C1751	$160.00
SM	HB CATH PICC VAXCEL 1LUMEN BSCI	C1751	$220.00
SM	HB CATH PICC VAXCEL 2LUMEN BSCI	C1751	$400.00
SM	HB CATH PIGTAIL		$200.00
SM	HB CATH PIGTAIL CAVA SIZING		$180.00
SM	HB CATH PIGTAIL MARKER EV3		$400.00
SM	HB CATH PORT POWER TI BARD	C1788	$1750.00
SM	HB CATH PORT POWER XCELA POWER NAVILYST	C1788	$1100.00
SM	HB CATH PORT POWERFLOW APHERESIS IV PORT BARD	C1788	$3300.00
SM	HB CATH PORT SMART ANGIODYNAMICS	C1788	$1750.00
SM	HB CATH PORT SMART WITH VALVED INTRODUCER ANGIODYNAMICS	C1788	$4460.00
SM	HB CATH PORTACATH 1LUMEN BARD	C1788	$840.00
SM	HB CATH PORTACATH 2LUMEN BARD	C1788	$1570.00
SM	HB CATH PORTACATH MRI BARD	C1788	$2240.00
SM	HB CATH POSSIS THROMB EMBOLECTOMY	C1757	$4650.00
SM	HB CATH POWERHICKMAN BARD	C1751	$1200.00
SM	HB CATH POWERLINK ENDOLOGIX	C1725	$750.00
SM	HB CATH PROWLER CORDIS	C1887	$3000.00
SM	HB CATH PROWLER PLUS	C1757	$1200.00
SM	HB CATH PROWLER STRAIGHT CORDIS	C1887	$2070.00
SM	HB CATH PTA ABBOTT	C1725	$670.00
SM	HB CATH PTA ADMIRAL EXTREME EV3	C1725	$450.00
SM	HB CATH PTA BALLN RIVAL BARD	C1725	$500.00
SM	HB CATH PTA BALLOON CHOCOLATE TRIREME	C1725	$3090.00
SM	HB CATH PULMONARY ARTERIAL WEDGE PRESSURE MDTR	C1751	$190.00
SM	HB CATH PUSHER RADIOPAQUE COOK		$270.00
SM	HB CATH QUINTON	C1751	$450.00
SM	HB CATH RADIAL ARTERY	C1751	$500.00
SM	HB CATH RADIUS CURVE		$50.00
SM	HB CATH RAPIDTRANSIT 1 MARKER CORDIS	C1887	$2300.00
SM	HB CATH RAPIDTRANSIT 2 MARKERS CORDIS	C1887	$2600.00
SM	HB CATH REACT 68/71 MEDTRONIC	C1887	$7330.00
SM	HB CATH REFLEX INTRACRANIAL EV3	C1887	$3320.00
SM	HB CATH REGATTA		$1500.00
SM	HB CATH RENAL DOUBLE CURVE		$110.00
SM	HB CATH RENAL GUIDE		$710.00
SM	HB CATH RENEGADE FIBER BSCI	C1887	$1230.00
SM	HB CATH RENEGADE HIFLO BSCI	C1887	$1150.00
SM	HB CATH RENEGADE HIFLO NEURO BSCI	C1887	$2600.00
SM	HB CATH RENEGADE STC 18 ANGLED BSCI	C1887	$1320.00
SM	HB CATH RENEGADE STC 18 STRAIGHT BSCI	C1887	$1270.00
SM	HB CATH REPERFUSION 3MAX		$270.00
SM	HB CATH REPERFUSION 4MAX		$270.00
SM	HB CATH REPR EXTERNAL		$420.00
SM	HB CATH SEPTOSTOMY RASHKIND MDTR		$410.00
SM	HB CATH SEPTOSTOMY RF NYKANEN BAYLIS		$2840.00
SM	HB CATH SHEATH AMPLATZ COOK		$90.00
SM	HB CATH SHEATH TRANSSEPTAL TORFLEX BAYM	C1887	$520.00
SM	HB CATH SHEATHED		$300.00
SM	HB CATH SIMMONS HIGHFLOW BOSTON SCI		$140.00
SM	HB CATH SLIPCATH MULTI COOK		$100.00
SM	HB CATH SOFTOUCH. JUDKINS MERIT	C1887	$300.00
SM	HB CATH SPINNAKER ELITE BOSTON SCI	C1751	$1900.00
SM	HB CATH STRAIGHT	C1751	$50.00
SM	HB CATH STRAIGHT SELECTIVE		$110.00
SM	HB CATH SUB4		$990.00
SM	HB CATH SUCTION REPLOGLE		$50.00
SM	HB CATH SUPERTORQUE SELECTIVE CORDIS	C1887	$3570.00
SM	HB CATH SUPRAPUBIC/CYSTOSCOPIC	C2627	$90.00
SM	HB CATH SWAN GANZ HISHOR	C1751	$480.00
SM	HB CATH SWAN GANZ OXIMETRY	C1751	$570.00
SM	HB CATH SWAN GANZ VIP EDWARDS	C1751	$700.00
SM	HB CATH THAL QUICK		$220.00
SM	HB CATH THERMDIL SWNGNZ	C1751	$800.00
SM	HB CATH THERMDIL VIP CCO	C1751	$700.00
SM	HB CATH THOMBECTOMY SOLENT PROXI	C1757	$6070.00
SM	HB CATH THROMBECT BASHIR PLUS ENDOVASC THROMBOLEX	C1757	$9310.00
SM	HB CATH THROMBECT CLOT JETI 6FR WALK VASCULAR	C1757	$10890.00
SM	HB CATH THROMBECT CLOT JETI 8FR WALK VASCULAR	C1757	$16630.00
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO PENUMBRA	C1757	$2650.00
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEP6 PENUMBRA	C1757	$3980.00
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEP8 PENUMBRA	C1757	$6640.00
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEPC4 PENUMBRA	C1757	$2930.00
SM	HB CATH THROMBECT CLOT SEPARATOR PENUMBRA	C1757	$7330.00
SM	HB CATH THROMBECT UNI FUSE ANGIODYNAMICS	C1757	$650.00
SM	HB CATH THROMBECTOMY ANGIOJET POSSIS	C1757	$5170.00
SM	HB CATH THROMBECTOMY ASAP MERIT MEDICAL	C1757	$1330.00
SM	HB CATH THROMBECTOMY CLOTTRIEVER INARI	C1757	$18320.00
SM	HB CATH THROMBECTOMY DIVER EV3	C1757	$1700.00
SM	HB CATH THROMBECTOMY EXPORT MEDTRONIC	C1757	$1670.00
SM	HB CATH THROMBECTOMY SYSTEM FLOWTRIEVER PPP INARI		$33300.00
SM	HB CATH THROMBECTOMY ZELANTE DVT BSCI	C1757	$9380.00
SM	HB CATH THROMBECTOMY/EMBOLECTOMY CLEANER ANGIOTECH	C1757	$2050.00
SM	HB CATH THROMBECTOMY/EMBOLECTOMY CLEANER15 ANGIOTECH ARGON	C1757	$5200.00
SM	HB CATH THROMBECTOMY/EMBOLECTOMY FOGERTY EDWARD	C1757	$1700.00
SM	HB CATH THROMBLYTIC TRELLIS BACCHUS	C1757	$5170.00
SM	HB CATH THROMECTOMY PRONTO VASC SOLN	C1757	$1540.00
SM	HB CATH TPN COOK	C1751	$500.00
SM	HB CATH TRACTMASTER		$1100.00
SM	HB CATH TRATTNER		$340.00
SM	HB CATH TROCAR		$100.00
SM	HB CATH TURNER PIGTAIL COOK		$250.00
SM	HB CATH ULTRASOUND REP 3D 10F VIV	C1759	$3090.00
SM	HB CATH ULTRASOUND REP 8F ACUNAV	C1759	$3090.00
SM	HB CATH ULTRATHIN		$910.00
SM	HB CATH UMBILICAL	C1751	$170.00
SM	HB CATH URETERAL	C1758	$100.00
SM	HB CATH URINARY INTMT VAPRO PLUS POCKET HOLL	A4353	$10.00
SM	HB CATH USN REP 3D 10F CARTOSOUND	C1759	$4500.00
SM	HB CATH VAN SCHIE SEEKING COOK		$90.00
SM	HB CATH VERTEBRAL ARTERY	C1887	$50.00
SM	HB CATH VESSEL ARROW	C1887	$60.00
SM	HB CATH VESSEL SIZING COOK	C1725	$100.00
SM	HB CATH VINUELA STRAIGHT		$140.00
SM	HB CATH YUEH CENTESIS COOK	C1729	$70.00
SM	HB CATH ZEPPELIN		$1270.00
SM	HB CEMENT BONE KYPHX HVR	C1763	$400.00
SM	HB CEMENT BONE KYPHX HVR +MIXTURE	C1763	$640.00
SM	HB CEMENT BONE KYPHX XPEDE +MIX+DELIV SYST KYPHON MDTR	C1763	$950.00
SM	HB CEMENT BONE SIMPLEX STRYKER	C1763	$290.00
SM	HB CEMENT BONE STABILIT 1ST FRACTURE KIT W/ POWERCURVE DFINE MERT	C1763	$11000.00
SM	HB CEMENT BONE VERTECEM II SYNT	C1763	$1200.00
SM	HB CEMENT DELIVERY SYSTEM EZ FLOW PARALLAX		$1100.00
SM	HB CENTRIMAG PED FLOW PROB VAD THOR STJU		$8990.00
SM	HB CENTRIMAG VENT ASSIST DEVC VAD		$39970.00
SM	HB CHEST TUBE		$500.00
SM	HB CIRCUMCISION CLAMP		$60.00
SM	HB CIRCUMCISION SUPPLY		$90.00
SM	HB CIRCUMCISION SUPPLY DISPOSABLE		$120.00
SM	HB CLOSURE DEVICE ANGIOSEAL STJUDE	C1760	$770.00
SM	HB CLOSURE DEVICE ARTERY PERCLOSE ABBOTT	C1760	$750.00
SM	HB CLOSURE DEVICE ARTERY PROSTAR XL ABBOTT	C1760	$1000.00
SM	HB CLOSURE DEVICE BOOMERANG CARDIVA MED	C1760	$4800.00
SM	HB CLOSURE DEVICE PERCLOSE ARTERY 6F ABBOTT	C1760	$700.00
SM	HB CLOSURE DEVICE PERCLOSE ARTERY 8F	C1760	$960.00
SM	HB CLOSURE DEVICE QUICKSEAL VASC SUBQ BSCI	C1760	$990.00
SM	HB CLOSURE DEVICE STARCLOSE ARTERY ABBOTT	C1760	$750.00
SM	HB CLOSURE DEVICE VASC MYNX ACCESSCLOSURE	C1760	$790.00
SM	HB CLOSURE DEVICE VASOSEAL ELITE DATASCOPE	C1760	$3580.00
SM	HB CO-PILOT KIT ABBOTT VASCULAR		$200.00
SM	HB COCHLEAR AMERICA HEADSET REPLACEMENT	L8615	$1500.00
SM	HB COCHLEAR AMERICA SOFTBAND	V5267	$316.36
SM	HB COCHLEAR AMERICA SOFTBAND LONG	L9900	$420.00
SM	HB COCHLEAR CONTRLR FREEDOM REPLC	L8628	$4250.00
SM	HB COCHLEAR SPEECH PROCESSOR NUCLEUS6 REPLACEMENT COCH AM	L8627	$35290.00
SM	HB COIL BARRICADE COIL BLOCKADE		$1980.00
SM	HB COIL COIL EMBO NXT NEXUS TETRIS 3D EV3		$2720.00
SM	HB COIL EMBO AVENIR 10-SYST CMPLX FINISHING PHENOX		$5980.00
SM	HB COIL EMBO AVENIR 10-SYST CMPLX FRAMING PHENOX		$5980.00
SM	HB COIL EMBO AVENIR 10-SYST HELICAL FILLING PHENOX		$3150.00
SM	HB COIL EMBO AVENIR 18-SYST CMPLX FRAMING PHENOX		$6440.00
SM	HB COIL EMBO AXIUM 3D EV3		$2900.00
SM	HB COIL EMBO AXIUM HELIX EV3		$2350.00
SM	HB COIL EMBO AXIUM HELIX NYLON EV3		$3300.00
SM	HB COIL EMBO AXIUM MICROFX PGLA 3D MDTR		$4420.00
SM	HB COIL EMBO AXIUM MICROFX PGLA HELIX MDTR		$3300.00
SM	HB COIL EMBO AXIUM PGLA 3D EV3		$4400.00
SM	HB COIL EMBO AZUR 18D SYSTEM TERU		$3300.00
SM	HB COIL EMBO AZUR 18P SYSTEM TERU		$1000.00
SM	HB COIL EMBO AZUR 35D SYSTEM TERU		$4500.00
SM	HB COIL EMBO AZUR 35P SYSTEM TERU		$1200.00
SM	HB COIL EMBO HYDROCOIL 10 HYDROFRAME ADV TERU		$5830.00
SM	HB COIL EMBO HYDROCOIL 10 HYDROSOFT 3D ADV TERU		$5830.00
SM	HB COIL EMBO HYDROCOIL 10 HYDROSOFT ADV HELICAL TERU		$4320.00
SM	HB COIL EMBO HYDROCOIL 10 MICROVENT TERUMO		$4350.00
SM	HB COIL EMBO HYDROCOIL 10 MICRPLX MICV TERU		$3300.00
SM	HB COIL EMBO HYDROCOIL 14 MICROVENT TERUMO		$4950.00
SM	HB COIL EMBO HYDROCOIL 14 MICRPLX MICV TERU		$5100.00
SM	HB COIL EMBO HYDROCOIL 18 HYDROFRAME ADV TERU		$6880.00
SM	HB COIL EMBO HYDROCOIL 18 MICROVENT TERUMO		$5970.00
SM	HB COIL EMBO IMPLANT PERIPHERAL VASC <10CM RUBY PENU		$2660.00
SM	HB COIL EMBO IMPLANT PERIPHERAL VASC >= 30CM RUBY PENU		$4330.00
SM	HB COIL EMBO IMPLANT PERIPHERAL VASC >=10CM AND <30CM RUBY PENU		$3330.00
SM	HB COIL EMBO INTERLCK CUBE/HEL/DIA <15 BSCI		$1670.00
SM	HB COIL EMBO INTERLCK CUBE/HEL/DIA 40 BSCI		$3000.00
SM	HB COIL EMBO INTERLCK CUBE/HEL/DIA15-30BSCI		$2500.00
SM	HB COIL EMBO MATRIX 3D BSCI		$6350.00
SM	HB COIL EMBO MATRIX BSCI		$4000.00
SM	HB COIL EMBO MATRIX2 2D BSCI		$5100.00
SM	HB COIL EMBO MATRIX2 360 BSCI		$8100.00
SM	HB COIL EMBO MATRIX2 HELICAL BSCI		$6600.00
SM	HB COIL EMBO MICRO HILAL COOK		$270.00
SM	HB COIL EMBO MICRPLX HYPERSOFT 10 MICV TERUMO		$3420.00
SM	HB COIL EMBO MICRPLX HYPERSOFT 3D MICV TERU		$5200.00
SM	HB COIL EMBO MREYE MRI COOK		$340.00
SM	HB COIL EMBO NESTER PLAT COOK		$300.00
SM	HB COIL EMBO NEXUS HELIX SOFT EV3		$3030.00
SM	HB COIL EMBO NEXUS HELIX SUPRSFT EV3		$3110.00
SM	HB COIL EMBO NEXUS MORPHEUS 3D EV3		$4000.00
SM	HB COIL EMBO NEXUS MULTIDIAM CSR EV3		$3040.00
SM	HB COIL EMBO NEXUS TETRIS 3D CSR EV3		$3530.00
SM	HB COIL EMBO NXT HELIX STD 18 EV3		$2310.00
SM	HB COIL EMBO NXT HELIX STD FBR EV3		$2410.00
SM	HB COIL EMBO NXT HELIX SUPRSFT EV3		$2240.00
SM	HB COIL EMBO NXT MULTIDIAM EV3		$2210.00
SM	HB COIL EMBO OPTIMAX COMPLEX SOFT BALT		$7640.00
SM	HB COIL EMBO OPTIMAX COMPLEX SUPER SOFT BALT		$7640.00
SM	HB COIL EMBO OPTIMAX HELICAL SOFT BALT		$6160.00
SM	HB COIL EMBO OPTIMAX HELICAL SUPER SOFT BALT		$6160.00
SM	HB COIL EMBO RETRACTA PLAT COOK		$1620.00
SM	HB COIL EMBO RUBY LP <10CM PENU		$2630.00
SM	HB COIL EMBO RUBY LP >= 30CM PENU		$4300.00
SM	HB COIL EMBO RUBY LP >=10CM AND <30CM PENU		$3300.00
SM	HB COIL EMBO RUBY LP PACKING COIL <30CM PENU		$3300.00
SM	HB COIL EMBO RUBY LP PACKING COIL >= 30CM PENU		$4300.00
SM	HB COIL EMBO STAINLESS STEEL COOK		$300.00
SM	HB COIL EMBO TARGET NANO 3D STRYKER BSCI		$6640.00
SM	HB COIL EMBO TARGET XL 360 <50 STRYKER		$9700.00
SM	HB COIL EMBO TARGET XL 360 >50 STRYKER		$9700.00
SM	HB COIL EMBO TORNADO PLAT COOK		$600.00
SM	HB COIL EMBO TRUFILL DCS ORBIT COMPLX CORD		$4200.00
SM	HB COIL EMBO TRUFILL DCS ORBIT HELICAL CORD		$2000.00
SM	HB COIL EMBO TRUFILL DCS ORBIT MINI CORDIS		$3080.00
SM	HB COIL EMBOLIZ COMPLEX 10 BLOCKADE		$4980.00
SM	HB COIL EMBOLIZ GDC 10 2D BSCI		$3600.00
SM	HB COIL EMBOLIZ GDC 10 2D SOFT SR BSCI		$2840.00
SM	HB COIL EMBOLIZ GDC 10 360 SR BSCI		$6600.00
SM	HB COIL EMBOLIZ GDC 10 3D BSCI		$5500.00
SM	HB COIL EMBOLIZ GDC 10 SOFT BSCI		$3100.00
SM	HB COIL EMBOLIZ GDC 10 SOFT SR BSCI		$2590.00
SM	HB COIL EMBOLIZ GDC 10 STANDARD BSCI		$1900.00
SM	HB COIL EMBOLIZ GDC 10 ULTRASOFT BSCI		$5500.00
SM	HB COIL EMBOLIZ GDC 10-14 3D		$4700.00
SM	HB COIL EMBOLIZ GDC 16-20 3D		$4880.00
SM	HB COIL EMBOLIZ GDC 18 2D BSCI		$2230.00
SM	HB COIL EMBOLIZ GDC 18 360 BSCI		$7100.00
SM	HB COIL EMBOLIZ GDC 18 3D BSCI		$6300.00
SM	HB COIL EMBOLIZ GDC 18 BSCI		$2510.00
SM	HB COIL EMBOLIZ GDC 18 FIBERED BSCI		$7000.00
SM	HB COIL EMBOLIZ GDC 18 SOFT BSCI		$3600.00
SM	HB COIL EMBOLIZ GDC 4-5 3D		$4440.00
SM	HB COIL EMBOLIZ GDC TRACKER 10		$1660.00
SM	HB COIL EMBOLIZ GDC TRACKER 18		$1660.00
SM	HB COIL EMBOLIZ HELICAL 10 BLOCKADE		$4310.00
SM	HB COIL EMBOLIZ LIQUID BERENSTEIN BSCI		$1300.00
SM	HB COIL EMBOLIZ MICROPLEX 10 MICROVENT		$2840.00
SM	HB COIL EMBOLIZ ORBIT HELICAL FILL CORDIS		$1990.00
SM	HB COIL EMBOLIZ TARGET BSCI		$1100.00
SM	HB COIL EMBOLIZ TRUFILL COMPLEX		$4100.00
SM	HB COIL EMBOLIZ TRUFILL HELICAL		$1800.00
SM	HB COIL EMBOLIZ TRUFILL PUSHABLE CORDIS		$1700.00
SM	HB COIL EMBOLIZ VORTEX 18 BSCI		$1300.00
SM	HB COIL EMBOLIZ VORTEX 35 BSCI		$180.00
SM	HB COIL EMBOLIZ VORTEX DIAMOND BSCI		$310.00
SM	HB COIL IMPLANT PERIPHERAL VASC POD PENUMBRA		$6320.00
SM	HB COIL IMPLANT PERIPHERAL VASC POD PKG COIL PENU		$4300.00
SM	HB COIL IMPLANT PERIPHERAL VASC RUBY		$5070.00
SM	HB COIL OCCLUSIVE INTERLOCK BSCI		$1330.00
SM	HB COIL PLATINUM 18 TARGET BSCI		$970.00
SM	HB COIL SPHERICAL		$3270.00
SM	HB COIL SPRING		$270.00
SM	HB COIL TARGET 360 ULT		$7300.00
SM	HB COLLAGEN DRESSING <= 16 SQ IN ENDOFORM AROA BIO	A6021	$40.00
SM	HB COLLAGEN DRESSING 17-48 SQ IN ENDOFORM AROA BIO	A6022	$120.00
SM	HB COLLAR ASPEN	L0174	$1030.00
SM	HB COLOSTOMY SUPPLY		$50.00
SM	HB CONNECTING CABLE EP ABLAT FLEXIBILITY SENSOR ENABLED STJUDE		$1170.00
SM	HB CONNECTIVE TISS HUMAN AUTOLOGOUS SLING	C1762	$1.00
SM	HB CONNECTOR FOR GROSHONG CATH		$300.00
SM	HB COVER-AUTOMATC PULLBACK DEVICE		$120.00
SM	HB CPB CANNULA ANGIOVAC ANGIODYNAMICS		$34500.00
SM	HB CPB CIRCUIT ANGIOVAC ANGIODYNAMICS		$5000.00
SM	HB CRUTCHES		$40.00
SM	HB CSF CAMINO CATH		$1440.00
SM	HB CSF CAMINO MONITOR		$620.00
SM	HB CTLSO A-P-L CONTR MOLD+INTERFC	L0710	$7830.00
SM	HB CTLSO ADDN-AXILLA SLING	L1010	$210.00
SM	HB CTLSO ADDN-KYPHOSIS PAD	L1020	$320.00
SM	HB CTLSO ADDN-LUMBAR/L-RIB PAD	L1040	$290.00
SM	HB CTLSO ADDN-OUTRIGGER	L1080	$180.00
SM	HB CTLSO ADDN-STERNAL PAD	L1050	$310.00
SM	HB CTLSO ADDN-THORACIC PAD	L1060	$360.00
SM	HB CTLSO ADDN-TRAPEZIUS SLING	L1070	$340.00
SM	HB CTLSO ADDN-UPRIGHT COVER EACH	L1120	$150.00
SM	HB CTLSO INITIAL+MODEL-MILWAUKEE	L1000	$7610.00
SM	HB DCA MOTOR DRIVE-DISPOSABLE ACS		$330.00
SM	HB DEBAKEY VAD VENT ASSIST DEVICE CHILD		$199810.00
SM	HB DELIVERY DEVICE COIL DETACHMENT		$600.00
SM	HB DEVIC HYPOTHERM ARCTICGEL S/M/L MEDIVAN		$2840.00
SM	HB DEVIC HYPOTHERM ARCTICGEL UNIV MEDIVAN		$850.00
SM	HB DEVICE MRI IMAGE ENHANCE COIL MEDRAD	A4648	$580.00
SM	HB DEVICE EMBO CATERPILLAR BECTONDICKINSON		$3500.00
SM	HB DEVICE EMBO CATERPILLAR MICRO BECTONDICKINSON		$3830.00
SM	HB DEVICE EMBO PIPELINE FLOW REDRCT <=20 MDTR COVD		$45930.00
SM	HB DEVICE EMBO PIPELINE FLOW REDRCT >20 MDTR COVD		$50140.00
SM	HB DEVICE EMBO PIPELINE FLOW REDRCT<=20 EV3		$41630.00
SM	HB DEVICE EMBO PIPELINE FLOW REDRCT>20 EV3		$44630.00
SM	HB DEVICE EMBOLC ANGIOGUARD CORDIS	C1884	$6800.00
SM	HB DEVICE EMBOLC FILTERWIRE BSCI	C1884	$4900.00
SM	HB DEVICE EMBOLC MVP COVIDIEN EV3	C1884	$6310.00
SM	HB DEVICE EMBOLIC FLOW REVERSE GORE	C1884	$6270.00
SM	HB DEVICE EMBOLIC LIQUID ONYX EV3	C1884	$6600.00
SM	HB DEVICE EMBOLIC PROTECT AMPLATZER AGA	C1884	$3170.00
SM	HB DEVICE EMBOLIC PROTECT GUARDWIRE MDTR	C1884	$4080.00
SM	HB DEVICE EMBOLIC PROTECT PROXIS ST JUDE	C1884	$4650.00
SM	HB DEVICE EMBOLIC PROTECT SPIDERX EV3	C1884	$4080.00
SM	HB DEVICE EMBOLIZ WEB SL/SLS MICV TERUMO		$49790.00
SM	HB DEVICE FASTAC MYOCARDIAL LEAD TOOL STJU		$2700.00
SM	HB DEVICE HEMOSTATIS FISH	C1760	$840.00
SM	HB DEVICE IABP INTRAAORT BALLN PUMP ARROW		$2500.00
SM	HB DEVICE LARIAT SUTURE DELIVERY FOR TISS CLOSURE SNTR		$16490.00
SM	HB DEVICE LIVER ABLATN ELECTRSURG		$5180.00
SM	HB DEVICE LOCATOR PLUS STJUDE		$1050.00
SM	HB DEVICE LOCKING LEAD REMOVE SPECTRANECTIC	C1773	$1800.00
SM	HB DEVICE REMOV RECOVERYCONE SYST BARD		$1990.00
SM	HB DEVICE RETRIEV GOOSENECK MICROSNARE EV3	C1773	$1920.00
SM	HB DEVICE RETRIEV GOOSENECK SNARE EV3	C1773	$940.00
SM	HB DEVICE RETRIEVAL BULLDOG COOK		$860.00
SM	HB DEVICE RETRIEVAL CLOVERSNARE COOK	C1773	$2100.00
SM	HB DEVICE RETRIEVAL COOK		$600.00
SM	HB DEVICE RETRIEVAL EVOL RL CNTRL-ROTAT COOK	C1773	$5280.00
SM	HB DEVICE RETRIEVAL FB EN-SNARE MDTECH		$1500.00
SM	HB DEVICE RETRIEVAL FB PROVUE TREVO CMED STRYKER		$26600.00
SM	HB DEVICE RETRIEVAL FB/CLOT MERCI CMED	C1773	$10990.00
SM	HB DEVICE RETRIEVAL FB/CLOT MULTI-SNARE 30 BRAUN		$930.00
SM	HB DEVICE RETRIEVAL FB/CLOT MULTI-SNARE BRAUN		$1100.00
SM	HB DEVICE RETRIEVAL FB/CLOT MULTI-SNARE MICRO BRAUN		$1450.00
SM	HB DEVICE RETRIEVAL FB/CLOT V MERCI CMED	C1773	$10330.00
SM	HB DEVICE RETRIEVAL IVC FILTER ALN	C1773	$1170.00
SM	HB DEVICE RETRIEVAL IVC FILTER COOK	C1773	$900.00
SM	HB DEVICE RETRIEVAL LIBERATOR BEACON TIP LOCKING STYLET COOK		$1800.00
SM	HB DEVICE RETRIEVAL NEEDLES EYE COOK	C1773	$3610.00
SM	HB DEVICE RETRIEVAL NITINOL		$1130.00
SM	HB DEVICE RETRIEVAL ONE-TIE COMPRESSION COIL COOK		$670.00
SM	HB DEVICE RETRIEVER-FB ATTRACTOR		$460.00
SM	HB DEVICE SHEATH DILATOR LEAD/CATH/FB REMV TIGHTRAIL SPECTRONICS	C1773	$6320.00
SM	HB DEVICE SOLITAIRE RETRIEVER CLOT SOC		$21730.00
SM	HB DEVICE TENSURE TIGHTENER FOR LARIAT		$670.00
SM	HB DEVICE THROMBECTOMY CLOTBUSTER		$3380.00
SM	HB DEVICE THROMBECTOMY TEROTOLA		$1910.00
SM	HB DEVICE THROMBECTOMY TEROTOLA ARROW	C1757	$1910.00
SM	HB DEVICE THROMBECTOMY TREROTOLA ARROW	C1757	$3400.00
SM	HB DEVICE TRANSVALV LEAD INSERTION TOOL PPI		$2700.00
SM	HB DEVICE TRAVERSER TUNNELER LEAD TOOL PPI		$290.00
SM	HB DEVICE VASCULAR CLOSURE VASCADE FEMORAL ARTERY CARDIVA	C1760	$3090.00
SM	HB DEVICE WOUND CLOSURE DERMACLOSE RC		$4300.00
SM	HB DIABETIC CUSTOM MOLDED SHOE	A5501	$660.00
SM	HB DIABETIC MULTI DEN INSERT MOLDED PREFAB	A5512	$90.00
SM	HB DIABETIC SHOE MOD W/ ROLLER/RIGID BTM	A5503	$110.00
SM	HB DILATOR RENAL AMPLATZ SET		$680.00
SM	HB DILATOR RENAL AMPLATZ SGL		$130.00
SM	HB DILATOR URETER STENT RETROGRAD	C1892	$170.00
SM	HB DUOSTAT WIDEBORE Y-CONNECTOR		$100.00
SM	HB EAR MOLD	V5264	$115.00
SM	HB ECMO DEVICE CIRCUIT & CANNULA ANGIOVAC ANGIODYNAMICS		$43300.00
SM	HB ELBOW DISART EXT POWER MYOELECTRONIC CONTROL	L6945	$30560.00
SM	HB ELBOW DISART EXT POWER SWITCH CONTROL	L6940	$26300.00
SM	HB ELBOW DISART MOLDED W EXPAND INTERFACE OUT LOCK HINGES	L6205	$13290.00
SM	HB ELECTRIC HAND ADULT	L7007	$10300.00
SM	HB ELECTRIC HOOK ADULT	L7009	$10510.00
SM	HB ELECTRODE ABLATN MONOPOLAR STAR RF STARMED		$5000.00
SM	HB ELECTRODE BIPOLAR PACING	C1756	$400.00
SM	HB ELECTRODE EEG DEPTH		$180.00
SM	HB ELECTRODE EEG GRID		$120.00
SM	HB ELECTRODE EEG INTRAOPERATIVE MONITORING 1X4		$1450.00
SM	HB ELECTRODE EEG INTRAOPERATIVE MONITORING 1X8		$2280.00
SM	HB ELECTRODE EEG INTRAOPERATIVE MONITORING 2X8		$2500.00
SM	HB ELECTRODE EEG INTRAOPERATIVE MONITORING 8X8		$4500.00
SM	HB ELECTRODE EEG NEEDLE DISPOSABL		$20.00
SM	HB ELECTRODE EEG SPHENOIDAL		$320.00
SM	HB ELECTRODE EEG SUBDERMAL DISP		$20.00
SM	HB ELECTRODE EEG SUBDURAL 1X4		$1530.00
SM	HB ELECTRODE EEG SUBDURAL 1X8		$1530.00
SM	HB ELECTRODE EEG SUBDURAL 4X5		$2160.00
SM	HB ELECTRODE EEG SUBDURAL 4X5		$2960.00
SM	HB ELECTRODE EPIDURAL SPINAL 3 CONTACT		$660.00
SM	HB ELECTRODE PACING QUIKPACE		$140.00
SM	HB ELECTRODE PATCH ENSITE ST JUDE		$5200.00
SM	HB ELECTRODE REFERENCE PATCH-CARTO CATH		$1400.00
SM	HB ELECTRODES MRI/CT QUICK CONNECT RHYTHMLINK		$330.00
SM	HB ELECTRONIC ELBOW HOSMER SWITCH CONTROL	L7170	$17550.00
SM	HB ELECTRONIC ELBOW MICROPROCESSOR SEQ CONTROL	L7180	$108480.00
SM	HB ELECTRONIC ELBOW MICROPROCESSOR SIMUL CONTROL	L7181	$117770.00
SM	HB ELECTRONIC WRIST ROTATOR ANY TYPE	L7259	$12080.00
SM	HB EMBO PARTICLES PVA COOK		$300.00
SM	HB EMBO COIL BLOCKADE MEDICAL		$1990.00
SM	HB EMBO LC BEAD TERUMO		$4500.00
SM	HB EMBO LC BEADM1 BSCI		$9320.00
SM	HB EMBO QUADRASPHERE BIOSPHERE MED		$3900.00
SM	HB EMBOLIZ EMBOSPHERE 1ML BIOSPHERE MED		$640.00
SM	HB EMBOLIZ EMBOSPHERE 2ML BIOSPHERE MED		$700.00
SM	HB EMBOLIZ MICROSPHERE 2ML EMBOZENE BSCI CELO		$580.00
SM	HB EMBOLIZ MICROSPHERE 2ML HYDROPEARL TERU		$830.00
SM	HB EMBOLIZ MICROSPHERE 2ML ONCOZENE CELO		$5000.00
SM	HB EMBOLIZ MICROSPHERE 3ML ONCOZENE CELO		$7490.00
SM	HB EMBOLIZ SPHERES BEAD BLOCK TERUMO		$1000.00
SM	HB EMBOLIZ SYST DR AMPLATZ MICRO PLUG KA MEDICAL		$4660.00
SM	HB ENDO POLY HIP PNEUM/HYDRAULIC/ROTATE	L5961	$15360.00
SM	HB ENDOLOGIX GRFT AAA AORTIC EXT 115	C1768	$11310.00
SM	HB ENDOLOGIX GRFT AAA AORTIC EXT 120	C1768	$14970.00
SM	HB ENDOLOGIX GRFT AAA AORTIC EXT INTUI100	C1768	$13640.00
SM	HB ENDOLOGIX GRFT AAA AORTIC EXT INTUI95	C1768	$9980.00
SM	HB ENDOLOGIX GRFT AAA INFRARENAL EXT 5.5	C1768	$7650.00
SM	HB ENDOLOGIX GRFT AAA LIMB EXT 5.5	C1768	$7810.00
SM	HB ENDOLOGIX GRFT AAA LIMB EXT 8.8	C1768	$9310.00
SM	HB ENDOLOGIX GRFT AAA LIMB EXT TAPER/STEP	C1768	$11200.00
SM	HB ENDOLOGIX GRFT AAA SUPRARENAL EXT 7.5	C1768	$8310.00
SM	HB ENDOLOGIX GRFT AAA SUPRARENAL EXT 9.5	C1768	$9310.00
SM	HB ENDOLOGIX GRFT AORTIC EXT A28 AFX	C1768	$16200.00
SM	HB ENDOLOGIX GRFT MAIN BODY BA 25 AFX	C1768	$37600.00
SM	HB ENDOLOGIX GRFT MAIN BODY BA 28 AFX	C1768	$37620.00
SM	HB ENDOLOGIX GRFT XL AAA AORTIC EXT 100	C1768	$15000.00
SM	HB ENDOLOGIX GRFT XL AAA AORTIC EXT RLE 100	C1768	$13980.00
SM	HB ENDOLOGIX GRFT XL AAA INFRARENAL EXT 80	C1768	$12310.00
SM	HB ENT PROPEL SINUS IMPLANT		$2800.00
SM	HB ENTERRA NEURSTM GENERATOR MDTR H990014	C1767	$28140.00
SM	HB ENTERRA NEURSTM LEAD MDTR H990014	C1778	$7330.00
SM	HB EO ADJ JOINT PREFAB W CUSTOM FIT	L3760	$1340.00
SM	HB EO ADJ LOCK JOINT PREFAB OTS	L3761	$1340.00
SM	HB EO ARMBAND	A4467	$30.00
SM	HB EO DBL UPRT EXT/FLX ASST CUST	L3730	$3310.00
SM	HB EO DBL UPRT+CUFF ADJ LOCK CUST	L3740	$3920.00
SM	HB EO DBL UPRT+CUFF FREE CUST	L3720	$2400.00
SM	HB EO ELASTIC SUPPORT	A4467	$20.00
SM	HB EO ELASTIC+METAL JOINTS PREFAB	L3710	$380.00
SM	HB EO ELASTIC+STAYS	A4467	$100.00
SM	HB EO ELASTIC+STAYS PREFAB+FIT		$140.00
SM	HB EO RIGID WO JOINTS PREFAB+FIT	L3762	$290.00
SM	HB EO WO JOINTS CUSTOM	L3702	$770.00
SM	HB EREC AID		$450.00
SM	HB EWHFO RIGID WO JOINTS CUSTOM	L3765	$3420.00
SM	HB EWHO +NONTORSION JOINTS CUST	L3764	$2590.00
SM	HB EWHO RIGID WO JOINTS CUSTOM	L3763	$2250.00
SM	HB FIDUCIAL MARKER IMPLANT EACH RAD ONC	A4648	$170.00
SM	HB FILTER CAROTID ACCUNET GUIDANT	C1880	$5170.00
SM	HB FILTER EMBOSHIELD EXACT STUDY ABBOTT	C1880	$5650.00
SM	HB FILTER EMBOSHIELD NAV6 ABBOTT	C1880	$6650.00
SM	HB FILTER VENA CAVA ANTECUBITAL	C1880	$4010.00
SM	HB FILTER VENA CAVA BIRDSNEST	C1880	$3900.00
SM	HB FILTER VENA CAVA CELECT PLATINUM COOK	C1880	$4080.00
SM	HB FILTER VENA CAVA ECLIPSE BARD / CRUX VOLCANO	C1880	$4330.00
SM	HB FILTER VENA CAVA FEMORAL OTW BSCI	C1880	$3620.00
SM	HB FILTER VENA CAVA G2 BARD	C1880	$3750.00
SM	HB FILTER VENA CAVA GREENFIELD	C1880	$3850.00
SM	HB FILTER VENA CAVA JUGULAR OTW BSCI	C1880	$3550.00
SM	HB FILTER VENA CAVA OPTEASE CORDIS	C1880	$5300.00
SM	HB FILTER VENA CAVA OPTION ANGIOTECH	C1880	$3400.00
SM	HB FILTER VENA CAVA OPTIONAL ALN	C1880	$2830.00
SM	HB FILTER VENA CAVA SIMON NITINOL BARD	C1880	$3750.00
SM	HB FILTER VENA CAVA TRAPEASE CORDIS	C1880	$3650.00
SM	HB FILTER VENA CAVA TULIP FEMORAL COOK	C1880	$3000.00
SM	HB FILTER VENA CAVA TULIP JUGULAR COOK	C1880	$3000.00
SM	HB FILTER VENA CAVA VENA TECH CNVTBL BRMD	C1880	$3730.00
SM	HB FILTER VENA CAVA VENATECH MDIT	C1880	$4200.00
SM	HB FINGER COT DJ ORTHO		$5.00
SM	HB FINGER ORTHOSIS PROX INTERPHA WO JOINT	L3927	$90.00
SM	HB FINGER SPLINT FROG DJ ORTHO		$6.00
SM	HB FINGER SPLINT MCP DJ ORTHO		$3.00
SM	HB FINGER SPLINT PLASTALUME DJ ORTHO		$7.00
SM	HB FINGER SPLINT STAXX DJ ORTHO		$10.00
SM	HB FO NONTORSION JT PREFAB+FIT	L3925	$180.00
SM	HB FO NONTSORSION JOINT CUSTOM	L3935	$590.00
SM	HB FO WO JOINTS CUSTOM	L3933	$570.00
SM	HB FOOT ABDCTN ROTATION BAR+SHOES	L3140	$260.00
SM	HB FOOT ADJ SHOE POSITIONING DEVICE	L3160	$270.00
SM	HB FX ORTH ADD-ADJ MOTION KNEE JT	L2186	$420.00
SM	HB FX ORTH ADD-DROP LOCK KNEE JNT	L2182	$300.00
SM	HB FX ORTH ADD-HIP/PELV/THGH BELT	L2192	$1340.00
SM	HB FX ORTH ADD-LE QUADRILAT BRIM	L2188	$840.00
SM	HB FX ORTH ADD-LIMIT MOTION KNEE	L2184	$350.00
SM	HB FX ORTH ADD-SHOE INSRT+ANKL JT	L2180	$440.00
SM	HB FX ORTH-COLLES CUSTOM	L3763	$2250.00
SM	HB FX ORTH-FOREARM+WRST HING CUST	L3764	$2590.00
SM	HB FX ORTH-HUMERAL PREFAB+FIT	L3980	$1130.00
SM	HB FX ORTH-RADIUS/ULNA PREFAB+FIT	L3982	$1370.00
SM	HB FX ORTH-WRIST PREFAB+FIT	L3984	$1260.00
SM	HB FX ORTHADD-UE SOCK FX/EQUAL EA	L3995	$100.00
SM	HB GASTRIC BUTTON		$50.00
SM	HB GEN ORTH ADD-AK SOFT INTERFACE	L2830	$350.00
SM	HB GEN ORTH ADD-ANY MATERIAL/BAR		$170.00
SM	HB GEN ORTH ADD-BAR DISCONNECT EA	L2768	$380.00
SM	HB GEN ORTH ADD-BK SOFT INTERFACE	L2820	$330.00
SM	HB GEN ORTH ADD-DROPLOC RETAIN EA	L2785	$120.00
SM	HB GEN ORTH ADD-EXTENSION/BAR	L2760	$230.00
SM	HB GEN ORTH ADD-FEMOR LENGTH SOCK	L2850	$210.00
SM	HB GEN ORTH ADD-KNECAP FULL CONTR	L2795	$320.00
SM	HB GEN ORTH ADD-KNECAP M-LAT PULL	L2800	$400.00
SM	HB GEN ORTH ADD-KNEE CONDYLAR PAD	L2810	$290.00
SM	HB GEN ORTH ADD-NONCORROSV FINISH	L2780	$250.00
SM	HB GEN ORTH ADD-TIBIA LENGTH SOCK	L2840	$120.00
SM	HB GLIDEWIRE ANGLED	C1769	$730.00
SM	HB GLIDEWIRE ANGLED STIFF	C1769	$870.00
SM	HB GLIDEWIRE SMALL VESSEL GOLD	C1769	$960.00
SM	HB GRAFT AAA ANEURX AORTA CUFF MDTR	C1768	$53700.00
SM	HB GRAFT AAA ENDURANT AORTIC EXT ETCF MDTR	C1768	$13850.00
SM	HB GRAFT AAA ENDURANT AORTIC EXT ETTF MDTR	C1768	$23940.00
SM	HB GRAFT AAA ENDURANT BIFURCATED ETBF MDTR	C1768	$31560.00
SM	HB GRAFT AAA ENDURANT CONT LMB<124 ETLW MDTR	C1768	$15370.00
SM	HB GRAFT AAA ENDURANT CONT LMB>150 ETLW MDTR	C1768	$21470.00
SM	HB GRAFT AAA ENDURANT ILIAC EXT ETEW MDTR	C1768	$15220.00
SM	HB GRAFT AAA ENDURANTII AORTIC EXT ETTF MDTR	C1768	$24500.00
SM	HB GRAFT AAA EXT INFRARENAL 34X34	C1768	$12310.00
SM	HB GRAFT AAA TALENT THORACIC STENT ABDOMINAL AORTIC	C1768	$12510.00
SM	HB GRAFT ARTEGRAFT COLLAGEN VASCULAR GRAFT	C1768	$3500.00
SM	HB GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 4X7	C1763	$1990.00
SM	HB GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 7X10	C1763	$3250.00
SM	HB GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 7X15	C1763	$4320.00
SM	HB GRAFT DURA 7X10 CM BIODESIGN COOK	C1763	$2130.00
SM	HB GRAFT DURA 7X20 CM BIODESIGN COOK	C1763	$2696.00
SM	HB GRAFT DURA 7X4 CM BIODESIGN COOK	C1763	$1400.00
SM	HB GRAFT ENDOPROSTHESIS AAA EXCLUDER CONTL LEG GORE	C1768	$13920.00
SM	HB GRAFT ENDOPROSTHESIS AAA EXCLUDER EXT GORE	C1768	$9800.00
SM	HB GRAFT ENDOPROSTHESIS AAA EXCLUDER EXT GORE	C1768	$35800.00
SM	HB GRAFT EXCLUDER AAA ENDOPROSTHESIS EXTENSION	C1768	$9800.00
SM	HB GRAFT EXCLUDER AAA ENDOPROSTHESIS GRAFT TRUNK	C1768	$33290.00
SM	HB GRAFT EXCLUDER AAA ENDOPROSTHESIS LEG	C1768	$13920.00
SM	HB GRAFT HEMASHIELD KNITTED DOUBLE VELOUR FABRIC CAROTID PATCH	C1763	$500.00
SM	HB GRAFT HEMASHIELD PLATINUM ANGLED FOUR BRANCH GRAFT	C1763	$5500.00
SM	HB GRAFT IMA SLEEVE 17MMXX15CM	C1768	$4390.00
SM	HB GRAFT INTERING 6MM 5X45CM	C1768	$2310.00
SM	HB GRAFT INTERING STR 4-6MMX45CM	C1768	$1930.00
SM	HB GRAFT INTERING STR 4-7MMX45CM	C1768	$1930.00
SM	HB GRAFT INTERING STR 6MM 10X20CM	C1768	$1240.00
SM	HB GRAFT INTERING STR 6MM 5X20CM	C1768	$1040.00
SM	HB GRAFT INTERING STR 6MM 5X45CM	C1768	$2310.00
SM	HB GRAFT INTERING STR 6MMX40CM	C1768	$1730.00
SM	HB GRAFT INTERING STR T6MM 40CM	C1768	$2460.00
SM	HB GRAFT INTERING STR T6MM 60CM	C1768	$4020.00
SM	HB GRAFT INTERING STR T6MM 80CM	C1768	$4590.00
SM	HB GRAFT INTERING STR T7MM 40CM	C1768	$2460.00
SM	HB GRAFT INTERING STR T7MM 60CM	C1768	$4020.00
SM	HB GRAFT INTERING STR T7MM 80CM	C1768	$4590.00
SM	HB GRAFT INTERING STR T8MM 40CM	C1768	$2460.00
SM	HB GRAFT INTERING STR T8MM 60CM	C1768	$4020.00
SM	HB GRAFT INTERING STR T8MM 80CM	C1768	$4590.00
SM	HB GRAFT MICRO THIN ORBITAL SPHERE	C1763	$3880.00
SM	HB GRAFT PATCH CV 10CMX15CMX0.6MM GORE	C1768	$3760.00
SM	HB GRAFT PATCH CV 5.0CM X 7.5CM X0.6MM GORE	C1768	$940.00
SM	HB GRAFT PATCH DURA 2CMX10CMX.3MM GORE	C1781	$1450.00
SM	HB GRAFT PATCH PERICARDIAL BOVINE	C1763	$700.00
SM	HB GRAFT PATCH SFT TISU GRTEX 20X30X1CM GORE	C1763	$4200.00
SM	HB GRAFT PERICARD PRECLUDE 15X20 GORE	C1781	$3500.00
SM	HB GRAFT PROPATEN VASCULAR STANDARD 10CM	C1768	$950.00
SM	HB GRAFT PROPATEN VASCULAR STANDARD 40CM	C1768	$4900.00
SM	HB GRAFT PROPATEN VASCULAR STANDARD 45CM	C1768	$4100.00
SM	HB GRAFT PROPATEN VASCULAR STANDARD 50CM	C1768	$5600.00
SM	HB GRAFT PROPATEN VASCULAR STANDARD 70CM	C1768	$8300.00
SM	HB GRAFT PROPATEN VASCULAR STANDARD 80CM	C1768	$9200.00
SM	HB GRAFT PTFE RING STD 8MMX30CM	C1768	$2140.00
SM	HB GRAFT PTFE RING STD 10MMX20CM	C1768	$2490.00
SM	HB GRAFT PTFE RING STD 12MMX20CM	C1768	$3420.00
SM	HB GRAFT PTFE RING STD 14MMX30CM	C1768	$3420.00
SM	HB GRAFT PTFE RING STD 16MMX30CM	C1768	$3420.00
SM	HB GRAFT PTFE RING STD 20MMX20CM	C1768	$2540.00
SM	HB GRAFT PTFE RING STD 6MMX20CM	C1768	$3420.00
SM	HB GRAFT PTFE STD 10MMX80CM GORE	C1768	$2320.00
SM	HB GRAFT PTFE STD 4-6MMX30CM GORE	C1768	$1100.00
SM	HB GRAFT PTFE STD 4-6MMX40CM GORE	C1768	$1450.00
SM	HB GRAFT PTFE STD 4-6MMX50CM GORE	C1768	$1450.00
SM	HB GRAFT PTFE STD 4-6MMX50CM GORE	C1768	$1790.00
SM	HB GRAFT PTFE STD 4.5-6.5MMX40CM	C1768	$1450.00
SM	HB GRAFT PTFE STD 4MMX40CM GORE	C1768	$1250.00
SM	HB GRAFT PTFE STD 5MMX10CM GORE	C1768	$420.00
SM	HB GRAFT PTFE STD 5MMX30CM GORE	C1768	$1100.00
SM	HB GRAFT PTFE STD 6MMX10CM GORE	C1768	$420.00
SM	HB GRAFT PTFE STD 6MMX20CM GORE	C1768	$670.00
SM	HB GRAFT PTFE STD 6MMX30CM GORE	C1768	$1100.00
SM	HB GRAFT PTFE STD 6MMX30CM GORE	C1768	$1100.00
SM	HB GRAFT PTFE STD 6MMX40CM GORE	C1768	$1250.00
SM	HB GRAFT PTFE STD 6MMX40CM GORE	C1768	$1250.00
SM	HB GRAFT PTFE STD 6MMX70CM GORE	C1768	$2030.00
SM	HB GRAFT PTFE STD 6MMX80CM GORE	C1768	$2320.00
SM	HB GRAFT PTFE STRCH SILK 4MMX10CM GORE	C1768	$1180.00
SM	HB GRAFT PTFE STRCH STD 12MMX40CM	C1768	$2700.00
SM	HB GRAFT PTFE STRCH STD 14MMX40CM	C1768	$2700.00
SM	HB GRAFT PTFE STRCH STD 16MMX30CM	C1768	$1830.00
SM	HB GRAFT PTFE STRCH STD 16MMX40CM	C1768	$2700.00
SM	HB GRAFT PTFE STRCH STD 18MMX20CM	C1768	$1280.00
SM	HB GRAFT PTFE STRCH STD 18MMX30CM	C1768	$1830.00
SM	HB GRAFT PTFE STRCH STD 20MMX40CM	C1768	$2700.00
SM	HB GRAFT PTFE STRCH STD 22MMX20CM GORE	C1768	$1280.00
SM	HB GRAFT PTFE STRCH STD 24MMX20CM	C1768	$1280.00
SM	HB GRAFT PTFE STRCH STD 24MMX20CM GORE	C1768	$2700.00
SM	HB GRAFT PTFE STRCH STD 3.5MM X 10CM	C1768	$1180.00
SM	HB GRAFT PTFE STRCH STD 4MMX10CM GORE	C1768	$1630.00
SM	HB GRAFT PTFE STRCH STD 6MMX40CM	C1768	$2700.00
SM	HB GRAFT PTFE STRCH STD 7MMX45CM	C1768	$1960.00
SM	HB GRAFT PTFE STRCH TW 2.0MMX20CM GORE	C1768	$1880.00
SM	HB GRAFT PTFE STRCH TW 3.5MMX.5CM	C1768	$930.00
SM	HB GRAFT PTFE STRCH TW 6.0MMX50CM	C1768	$2270.00
SM	HB GRAFT PTFE STRCH TW 6.0MMX70CM	C1768	$2980.00
SM	HB GRAFT PTFE STRCH TW 6.0MMX80CM	C1768	$3340.00
SM	HB GRAFT PTFE TQ 3MMX20CM SILK	C1768	$1480.00
SM	HB GRAFT PTFE TW 6MMX10CM GORE	C1768	$460.00
SM	HB GRAFT PTFE TW 6MMX10CM GORE	C1768	$460.00
SM	HB GRAFT PTFE TW 8MMX40CM GORE	C1768	$1450.00
SM	HB GRAFT PTFE TW 10MMX30CM GORE	C1768	$1720.00
SM	HB GRAFT PTFE TW 10MMX70CMX80CM GORE	C1768	$2181.15
SM	HB GRAFT PTFE TW 3.5MM X 5CM GORE	C1768	$740.00
SM	HB GRAFT PTFE TW 3.5MM X 5CM GORE	C1768	$740.00
SM	HB GRAFT PTFE TW 3.5MMX10CM GORE	C1768	$940.00
SM	HB GRAFT PTFE TW 3.5MMX15CM GORE	C1768	$1400.00
SM	HB GRAFT PTFE TW 4MMX10CM GORE	C1768	$940.00
SM	HB GRAFT PTFE TW 5MMX10CM SILK	C1768	$940.00
SM	HB GRAFT PTFE TW 5MMX30CM GORE	C1768	$1290.00
SM	HB GRAFT PTFE TW 6MM X 30CM GORE	C1768	$1290.00
SM	HB GRAFT PTFE TW 6MM X 40CM GORE	C1768	$1450.00
SM	HB GRAFT PTFE TW 6MM X 70CM GORE	C1768	$2380.00
SM	HB GRAFT PTFE TW 6MMX20CM GORE	C1768	$810.00
SM	HB GRAFT PTFE TW 6MMX80CM GORE	C1768	$2700.00
SM	HB GRAFT PTFE TW 8MMX10CM GORE	C1768	$460.00
SM	HB GRAFT RING STD 12MMX 30CMX30CM	C1768	$3420.00
SM	HB GRAFT RING STD 14MMX 30CMX30CM	C1768	$3420.00
SM	HB GRAFT RING STD 16MMX 20CMX20CM	C1768	$2540.00
SM	HB GRAFT RING STD 16MMX 30CMX30CM	C1768	$3420.00
SM	HB GRAFT RING STD 20MMX 20CMX20CM	C1768	$2540.00
SM	HB GRAFT RING STD 20MMX 30CMX30CM	C1768	$3420.00
SM	HB GRAFT RING STD 6MMX 5CM X 45CM	C1768	$2370.00
SM	HB GRAFT RING STD 6MMX 7CM X 50CM	C1768	$2820.00
SM	HB GRAFT RING STD 6MMX30CMX70CM	C1768	$3990.00
SM	HB GRAFT RING STD 6MMX50CMX70CM	C1768	$3990.00
SM	HB GRAFT RING STD 8MMX 5CMX45CM	C1768	$2370.00
SM	HB GRAFT RING STD 8MMX20CMX50CM	C1768	$2820.00
SM	HB GRAFT RING STD 8MMX50CMX80CM	C1768	$4350.00
SM	HB GRAFT RING TW 4MMX5CMX15CM	C1768	$2300.00
SM	HB GRAFT RING TW 5MMX2.5CMX10CM	C1768	$1400.00
SM	HB GRAFT RING TW 5MMX5CMX15CM	C1768	$1511.82
SM	HB GRAFT RING TW 6MMX40CMX50CM	C1768	$2181.15
SM	HB GRAFT RING TW 6MMX50CMX70CM	C1768	$4390.00
SM	HB GRAFT RING TW 6MMX80CMX100CM	C1768	$5340.00
SM	HB GRAFT RING TW 8MMX100CMX100CM	C1768	$5340.00
SM	HB GRAFT SOFT TISSUE 10X15CMX1MM GORE	C1763	$1590.00
SM	HB GRAFT SOFT TISSUE 15X20CMX1MM	C1763	$3220.00
SM	HB GRAFT SOFT TISSUE 20X30CMX1MM	C1763	$5950.00
SM	HB GRAFT SOFT TISSUE 20X30CMX2MM	C1763	$9460.00
SM	HB GRAFT SOFT TISSUE 2MM 15X20 CM GORE	C1763	$1590.00
SM	HB GRAFT SOFT TISSUE 5X10CMX1MM GORE	C1763	$660.00
SM	HB GRAFT STENT ENDOPROSTHESIS AAA AORTIC EXT GORE	C1768	$9800.00
SM	HB GRAFT STENT ENDOPROSTHESIS AAA TRUNK / LEG GORE	C1768	$33290.00
SM	HB GRAFT STENT ENDOPROSTHESIS ABDOMINAL CONTRALATERAL	C1768	$15740.00
SM	HB GRAFT STENT ENDOPROSTHESIS ABDOMINAL EXTENSION	C1768	$14800.00
SM	HB GRAFT STENT ENDOPROSTHESIS BIFURCATED ABDOMINAL	C1768	$31560.00
SM	HB GRAFT TAA TAG ENDOPROSTHESIS GORE	C1768	$38300.00
SM	HB GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL CONTRALATERAL	C1768	$13520.00
SM	HB GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL DISTAL	C1768	$40850.00
SM	HB GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL PROXIMAL	C1768	$45705.00
SM	HB GRAFT VASC 8MM X 40CM GORE	C1768	$6100.00
SM	HB GRAFT VASC ACUSEAL GORE	C1768	$4263.00
SM	HB GRAFT VASC DIASTAT 6MM X 25CM	C1768	$4390.00
SM	HB GRAFT VASC DIASTAT 6MM X 30CM	C1768	$4390.00
SM	HB GRAFT VASC DIASTAT 6MM X 40CM	C1768	$4390.00
SM	HB GRAFT VASC DIASTAT 6MM X 45CM	C1768	$4390.00
SM	HB GRAFT VASC VALIANT CAPTIVA SYST MDTR	C1768	$116560.00
SM	HB GRAFT VASC VALIANT DB CW 100 MDTR	C1768	$51400.00
SM	HB GRAFT VASC VALIANT DB CW150/200 MDTR	C1768	$56140.00
SM	HB GRAFT VASC VALIANT ENDURANT 4 SYST MDTR	C1768	$66610.00
SM	HB GRAFT VASC VALIANT ENDURANT 5+ SYST MDTR	C1768	$83260.00
SM	HB GRAFT VASC VALIANT FREEFLO 100 MDTR	C1768	$53770.00
SM	HB GRAFT VASC VALIANT FREEFLO 150 MDTR	C1768	$58520.00
SM	HB GRAFT VASC VALIANT FREEFLO 200 MDTR	C1768	$61680.00
SM	HB GRAFT VASCUTEK GELWEAVE BRANCHED GRAFT	C1768	$3340.00
SM	HB GRFT AAA ILIAC OVATION IX EXT LIMB ENGX	C1768	$13320.00
SM	HB GRFT AAA TALENT AORTIC EXT MDTR	C1768	$13520.00
SM	HB GRFT AAA TALENT CAPTIVA MDTR	C1768	$53700.00
SM	HB GRFT ENDPRSTH VALV CONTEGRA MDTR H020003	C1768	$13330.00
SM	HB GRFT HEMASHIELD DBLVELKNT HKDV	C1768	$360.00
SM	HB GRFT HEMASHIELD FINESSE BSCI	C1768	$500.00
SM	HB GRFT HEMASHIELD GOLD BIFURCATE	C1768	$2600.00
SM	HB GRFT HEMASHIELD GOLD STRT 15CM	C1768	$1400.00
SM	HB GRFT HEMASHIELD GOLD STRT 30CM	C1768	$2070.00
SM	HB GRFT HEMASHIELD GOLD STRT 40CM	C1768	$1580.00
SM	HB GRFT HEMASHIELD GOLD STRT 60CM	C1768	$1660.00
SM	HB GRFT HEMASHIELD PLATINUM 30CM	C1768	$2100.00
SM	HB GRFT HEMASHIELD PLATINUM 40CM	C1768	$2170.00
SM	HB GRFT HEMASHIELD PLATINUM 60CM	C1768	$2800.00
SM	HB GRFT HEMASHIELD PLATINUM BIFUR	C1768	$2670.00
SM	HB GRFT STENT AAA AFX2 BIFURCATED ENGX	C1768	$39960.00
SM	HB GRFT TAA CTAG CONFORM TGU GORE	C1768	$49120.00
SM	HB GRFT VALVE AORTIC MITROFLOW SORIN	C1768	$19970.00
SM	HB GRIFKA VASC OCCLUS DEVICE COIL SYST COOK	C1760	$3160.00
SM	HB GUIDE FEMORAL BIOPSY		$470.00
SM	HB GUIDEWIRE	C1769	$370.00
SM	HB GUIDEWIRE .014X300 FATHOM-14	C1769	$275.00
SM	HB GUIDEWIRE .017 VIPERWIRE CSI	C1769	$275.00
SM	HB GUIDEWIRE AGILITY10 CORDIS	C1769	$890.00
SM	HB GUIDEWIRE AGILITY14 CORDIS	C1769	$790.00
SM	HB GUIDEWIRE AMPLATZ COOK	C1769	$200.00
SM	HB GUIDEWIRE AMPLATZ SUPERSTIFF BOSTON SCI	C1769	$400.00
SM	HB GUIDEWIRE AMPLATZ SUPERSTIFF EX BSCI	C1769	$100.00
SM	HB GUIDEWIRE AMPLATZ SUPRSTF 180 BOSTON SCI	C1769	$120.00
SM	HB GUIDEWIRE AMPLATZ SUPRSTF 260 BOSTON SCI	C1769	$130.00
SM	HB GUIDEWIRE AMPLATZ SUPRSTF 75 BOSTON SCI	C1769	$580.00
SM	HB GUIDEWIRE AMPLATZ ULTRA STIFF	C1769	$100.00
SM	HB GUIDEWIRE AMPLTZ SUPRSTF 260 BOSTON SCI	C1769	$600.00
SM	HB GUIDEWIRE ANGIO	C1769	$60.00
SM	HB GUIDEWIRE ANGIODYNAMICS	C1769	$500.00
SM	HB GUIDEWIRE ARGON	C1769	$100.00
SM	HB GUIDEWIRE ARISTOTLE 14 SCIENTIA VASC	C1769	$1420.00
SM	HB GUIDEWIRE ARISTOTLE 18 SCIENTIA VASC	C1769	$1750.00
SM	HB GUIDEWIRE ASAHI ABBOTT	C1769	$600.00
SM	HB GUIDEWIRE ATTAIN MDTR	C1769	$670.00
SM	HB GUIDEWIRE AVE MEDITECH	C1769	$70.00
SM	HB GUIDEWIRE AVIGO EV3	C1769	$1320.00
SM	HB GUIDEWIRE BAREWIRE EXACT ABBOT	C1769	$500.00
SM	HB GUIDEWIRE BENTSON CEREBRAL	C1769	$1200.00
SM	HB GUIDEWIRE BENTSON COOK	C1769	$100.00
SM	HB GUIDEWIRE BENTSON COOK	C1769	$70.00
SM	HB GUIDEWIRE BENTSON EXCHANGE COOK	C1769	$70.00
SM	HB GUIDEWIRE BENTSON TSFB .035 145	C1769	$60.00
SM	HB GUIDEWIRE CARDIOMEMS TRITON .018X260CM ABBOT MED	C1769	$630.00
SM	HB GUIDEWIRE CHOICE 300 PT J	C1769	$490.00
SM	HB GUIDEWIRE CHOICE FLOPPY BOSTON SCI	C1769	$300.00
SM	HB GUIDEWIRE CHOICE PT	C1769	$1400.00
SM	HB GUIDEWIRE CHOICE PT BOSTON SCI	C1769	$330.00
SM	HB GUIDEWIRE COOK CORDIS	C1769	$70.00
SM	HB GUIDEWIRE COONS COPE COOK	C1769	$200.00
SM	HB GUIDEWIRE CPS COURIER STJUDE	C1769	$300.00
SM	HB GUIDEWIRE CRAGG	C1769	$480.00
SM	HB GUIDEWIRE CRAGG FX BOSTON SCI	C1769	$670.00
SM	HB GUIDEWIRE CROSSWIRE TERUMO BSCI	C1769	$290.00
SM	HB GUIDEWIRE CURVE	C1769	$50.00
SM	HB GUIDEWIRE CURVED COOK	C1769	$200.00
SM	HB GUIDEWIRE DASHER	C1769	$660.00
SM	HB GUIDEWIRE DATASCOPE	C1769	$140.00
SM	HB GUIDEWIRE DBL FLX	C1769	$100.00
SM	HB GUIDEWIRE DEFLECTING TIP .038	C1769	$190.00
SM	HB GUIDEWIRE DOC EXCHG .014 .018	C1769	$200.00
SM	HB GUIDEWIRE EMERALD CORDIS	C1769	$100.00
SM	HB GUIDEWIRE ENTEER EV3V3	C1769	$840.00
SM	HB GUIDEWIRE ENTEER REENTRY EV3 COVIDIEN	C1769	$840.00
SM	HB GUIDEWIRE EXT TRAXCESS DOCK WIRE MICV TERUMO	C1769	$500.00
SM	HB GUIDEWIRE EXTENSION ACS ABBOTT	C1769	$260.00
SM	HB GUIDEWIRE EXTENSION STRETCH BSCI	C1769	$380.00
SM	HB GUIDEWIRE FASDASHER14 BOSTON SCI	C1769	$1200.00
SM	HB GUIDEWIRE FILTER	C1769	$4420.00
SM	HB GUIDEWIRE FINDRWIRZ SENTRE HEART SNTR	C1769	$3670.00
SM	HB GUIDEWIRE FINISHING EASYTRAK	C1769	$470.00
SM	HB GUIDEWIRE FIXED CORE COOK	C1769	$100.00
SM	HB GUIDEWIRE FIXED-CORE SAFE-T-J CURVED COOK	C1769	$50.00
SM	HB GUIDEWIRE FLEXIBLE	C1769	$1340.00
SM	HB GUIDEWIRE FLEXIBLE DBL TIPPED COOK	C1769	$500.00
SM	HB GUIDEWIRE FLOPPY STJUDE	C1769	$230.00
SM	HB GUIDEWIRE FOUNTAIN MERIT MEDICAL	C1769	$170.00
SM	HB GUIDEWIRE GALEO PRO CORONARY EXTRA BIOTRONIK	C1769	$260.00
SM	HB GUIDEWIRE GALEO PRO CORONARY STND BIOTRONIK	C1769	$260.00
SM	HB GUIDEWIRE GLIDE ANGLE TERUMO	C1769	$100.00
SM	HB GUIDEWIRE GLIDE SHAPEABLE TIP	C1769	$190.00
SM	HB GUIDEWIRE GLIDEWIRE .020 BSCI	C1769	$690.00
SM	HB GUIDEWIRE GLIDEWIRE 260 MCRV BSCI	C1769	$700.00
SM	HB GUIDEWIRE GLIDEWIRE 450 MCRV BSCI	C1769	$800.00
SM	HB GUIDEWIRE GLIDEWIRE ADVANTAGE TERUMO	C1769	$600.00
SM	HB GUIDEWIRE GLIDEWIRE GOLD TERUMO	C1769	$500.00
SM	HB GUIDEWIRE GLIDEWIRE LONG TAPER TERUMO	C1769	$110.00
SM	HB GUIDEWIRE GLIDEWIRE SHAPEABLE TERUMO	C1769	$170.00
SM	HB GUIDEWIRE GLIDEWIRE STANDARD BSCI TERUMO	C1769	$600.00
SM	HB GUIDEWIRE GLIDEWIRE STIFFSHAFT BSCI TERU	C1769	$600.00
SM	HB GUIDEWIRE GLIDEWIRE ZIPWIRE BSCI MEDITCH	C1769	$800.00
SM	HB GUIDEWIRE GRADUATED COOK	C1769	$300.00
SM	HB GUIDEWIRE GUIDANT ABBOTT	C1769	$250.00
SM	HB GUIDEWIRE GUIDERIGHT ST JUDE	C1769	$100.00
SM	HB GUIDEWIRE GUIDEZILLA 2 EXT BOSTON SCI	C1769	$1420.00
SM	HB GUIDEWIRE HI-TORQUE VERSACORE ABBOTT	C1769	$500.00
SM	HB GUIDEWIRE HI-TORQUE WINN ABBOTT	C1769	$470.00
SM	HB GUIDEWIRE HIWIRE COOK	C1769	$600.00
SM	HB GUIDEWIRE HT FLOPPY STJUDE	C1769	$320.00
SM	HB GUIDEWIRE HYBRID 0.012 DOUBLE ANGLE BALT	C1769	$1270.00
SM	HB GUIDEWIRE HYBRID DOUBLE ANGLE BALT	C1769	$1840.00
SM	HB GUIDEWIRE HYBRID STRAIGHT BALT	C1769	$1200.00
SM	HB GUIDEWIRE HYBRID STRAIGHT BLOCKADE BALT	C1769	$1680.00
SM	HB GUIDEWIRE IMPELLA 5.5 ABIOMED	C1769	$1670.00
SM	HB GUIDEWIRE INFUSION PROSTREAM EV3	C1769	$620.00
SM	HB GUIDEWIRE INSTINCT CORDIS	C1769	$900.00
SM	HB GUIDEWIRE INTRDUCR ENDOLOGIX	C1769	$590.00
SM	HB GUIDEWIRE IRON MAN GUIDANT	C1769	$690.00
SM	HB GUIDEWIRE J .025X150CM	C1769	$80.00
SM	HB GUIDEWIRE J BSCI	C1769	$300.00
SM	HB GUIDEWIRE J LONG	C1769	$110.00
SM	HB GUIDEWIRE J SHORT COOK	C1769	$60.00
SM	HB GUIDEWIRE J STIFF LONG	C1769	$910.00
SM	HB GUIDEWIRE J STIFF SHORT	C1769	$110.00
SM	HB GUIDEWIRE JINDO CORDIS J&J	C1769	$500.00
SM	HB GUIDEWIRE KATZEN INFUSION BOSTON SCI	C1769	$630.00
SM	HB GUIDEWIRE LUBRICATED	C1769	$200.00
SM	HB GUIDEWIRE LUNDERQUIST EXTRA STIFF COOK	C1769	$1900.00
SM	HB GUIDEWIRE LUNDERQUIST RING TORQUE COOK	C1769	$250.00
SM	HB GUIDEWIRE MACNAMARA	C1769	$520.00
SM	HB GUIDEWIRE MALLENCKRODT GUIDANT ABBOTT	C1769	$500.00
SM	HB GUIDEWIRE MCNAMARA RENAL EXCHANGE COOK	C1769	$400.00
SM	HB GUIDEWIRE METRO COOK	C1769	$600.00
SM	HB GUIDEWIRE MIRAGE EV3	C1769	$1090.00
SM	HB GUIDEWIRE MIZZEN BOSTON SCI	C1769	$670.00
SM	HB GUIDEWIRE NITNOL ENDOVASC EV3	C1769	$1100.00
SM	HB GUIDEWIRE PED PEDIAVASCULUAR	C1769	$670.00
SM	HB GUIDEWIRE PLATINUM PLUS BSCI	C1769	$1500.00
SM	HB GUIDEWIRE PORTAL 14 EXTENSION PHENOX	C1769	$980.00
SM	HB GUIDEWIRE PORTAL 14 PHENOX	C1769	$1650.00
SM	HB GUIDEWIRE POWERWIRE RF BAYLIS	C1769	$5000.00
SM	HB GUIDEWIRE PRESSURE MONITOR COMET BSCI	C1769	$2230.00
SM	HB GUIDEWIRE PRESSURE RADI ST JUDE	C1769	$2250.00
SM	HB GUIDEWIRE PRESSURE VERRATA VOLCANO		$2250.00
SM	HB GUIDEWIRE PRIMEWIRE PRESTIGE VOLCANO	C1769	$2200.00
SM	HB GUIDEWIRE PROST ENDOVASC EV3	C1769	$620.00
SM	HB GUIDEWIRE PTCA ASAHI GAIA SION CONFIANZA MIRACLE FIELDER ABBOTT	C1769	$900.00
SM	HB GUIDEWIRE PTCA GLADIUS MONGO ASAHI	C1769	$420.00
SM	HB GUIDEWIRE PTCA MIRACLEBROS ASAHI	C1769	$420.00
SM	HB GUIDEWIRE PTCA SION BLACK ASAHI	C1769	$420.00
SM	HB GUIDEWIRE PTFE FIXED STRAIGHT HVY DUTY COOK	C1769	$30.00
SM	HB GUIDEWIRE PTFE FIXED-CORE HVY DUTY SAFE-T-J COOK	C1769	$150.00
SM	HB GUIDEWIRE QUICKSILVER	C1769	$630.00
SM	HB GUIDEWIRE REUTER DEFLECTING TIP COOK	C1769	$300.00
SM	HB GUIDEWIRE ROADRUNNER EXTRA SUPPORT COOK	C1769	$400.00
SM	HB GUIDEWIRE ROADRUNNER PC COOK	C1769	$500.00
SM	HB GUIDEWIRE ROSEN COOK	C1769	$70.00
SM	HB GUIDEWIRE ROTABLATOR ROTAWIRE	C1769	$1100.00
SM	HB GUIDEWIRE RUNTHROUGH TERU	C1769	$400.00
SM	HB GUIDEWIRE SAFARI CORONARY BOSTON SCI	C1769	$1000.00
SM	HB GUIDEWIRE SAFE-T-J CURVED COOK	C1769	$100.00
SM	HB GUIDEWIRE SCIMED	C1769	$610.00
SM	HB GUIDEWIRE SEEKER 14	C1769	$650.00
SM	HB GUIDEWIRE SENTAI HORNET BSCI	C1769	$430.00
SM	HB GUIDEWIRE SHINOBI CORDIS J&J	C1769	$370.00
SM	HB GUIDEWIRE SMALL VESSEL GOLD	C1769	$740.00
SM	HB GUIDEWIRE SORCERER ADVANCED TECH	C1769	$1170.00
SM	HB GUIDEWIRE SPARTACORE	C1769	$390.00
SM	HB GUIDEWIRE SPRING WIRE ARROW	C1769	$800.00
SM	HB GUIDEWIRE SS	C1769	$370.00
SM	HB GUIDEWIRE STIFF SHORT	C1769	$110.00
SM	HB GUIDEWIRE STINGRAY BSCI	C1769	$1100.00
SM	HB GUIDEWIRE STINGRAY EXTENSION BSCI	C1769	$270.00
SM	HB GUIDEWIRE STRAIGHT .038X150CM	C1769	$40.00
SM	HB GUIDEWIRE STRAIGHT .038X260CM	C1769	$40.00
SM	HB GUIDEWIRE STRAIGHT XTRA FIRM .035 260	C1769	$80.00
SM	HB GUIDEWIRE SUPER CORE GUIDANT	C1769	$390.00
SM	HB GUIDEWIRE SV STRAIGHT GLIDE BOSTON SCI	C1769	$230.00
SM	HB GUIDEWIRE SYNCHRO BOSTON SCI	C1769	$1800.00
SM	HB GUIDEWIRE SYNCHRO EXCHANGE	C1769	$1420.00
SM	HB GUIDEWIRE SYNCHRO2 STRYKER	C1769	$2080.00
SM	HB GUIDEWIRE TAPER 22	C1769	$600.00
SM	HB GUIDEWIRE TARGET	C1769	$370.00
SM	HB GUIDEWIRE TEFLON	C1769	$50.00
SM	HB GUIDEWIRE TERUMO EXCHANGE	C1769	$100.00
SM	HB GUIDEWIRE TERUMO STIF STRAIGHT	C1769	$140.00
SM	HB GUIDEWIRE THRUWAY BOSTON SCI	C1769	$340.00
SM	HB GUIDEWIRE THSCF .035 260	C1769	$110.00
SM	HB GUIDEWIRE TIP DEFLECTING	C1769	$230.00
SM	HB GUIDEWIRE TORAY	C1769	$500.00
SM	HB GUIDEWIRE TRACKWIRE IT	C1769	$380.00
SM	HB GUIDEWIRE TRANSEND EX BOSTON SCI	C1769	$1600.00
SM	HB GUIDEWIRE TRANSEND ICE BSCI STRY	C1769	$1900.00
SM	HB GUIDEWIRE TRANSSEPTAL ACCESS GW BAYM	C1769	$430.00
SM	HB GUIDEWIRE TRAVERSE .014X300	C1769	$310.00
SM	HB GUIDEWIRE TRIPLE J TIP	C1769	$110.00
SM	HB GUIDEWIRE TRUPUSH COIL EMBO		$1600.00
SM	HB GUIDEWIRE V18 CONTROL BOSTON SCI	C1769	$400.00
SM	HB GUIDEWIRE VASCUPUNCTURE HERAEUS MEDICAL	C1769	$110.00
SM	HB GUIDEWIRE VIPERWIRE ADVANCE FLEX TIP CSI	C1769	$680.00
SM	HB GUIDEWIRE VIPERWIRE CSI	C1769	$570.00
SM	HB GUIDEWIRE VIPERWIRE SCI DB360 COAS CSI	C1769	$650.00
SM	HB GUIDEWIRE VISIONWIRE BIOTRONIK	C1769	$440.00
SM	HB GUIDEWIRE WHOLEY EXCHANGE	C1769	$400.00
SM	HB GUIDEWIRE WHOLEY HI TORQUE.035	C1769	$330.00
SM	HB GUIDEWIRE WHOLEY MOD J.035X150	C1769	$170.00
SM	HB GUIDEWIRE XCELERATOR EV3	C1769	$970.00
SM	HB GUIDEWIRE XPEDION SILVERSPEED EV3	C1769	$670.00
SM	HB HALO ADD-REPLAC LINER/INTERFAC	L0861	$630.00
SM	HB HAND FINGER ORTHOSIS WO JOINTS	L3924	$240.00
SM	HB HDE STENT JOSTENT GRAFTMASTER + DELV H000001	C1874	$7980.00
SM	HB HDE STENT JOSTENT GRAFTMASTER WO DELV H000001	C1876	$7980.00
SM	HB HEADBAND EEG CERIBELL		$1960.00
SM	HB HEARTMATE ELECTRIC BATTRY CLIP SET		$600.00
SM	HB HEARTMATE ELECTRIC POCKT PAC/BATRY		$2840.00
SM	HB HEARTMATE ELECTRIC VENT ASSIST DEVIC VAD		$238110.00
SM	HB HEARTMATE II BATTERY CONTROLLER		$300.00
SM	HB HEARTMATE II VENT ASSIST DEVICE VAD		$291460.00
SM	HB HEEL CUP PLASTIC REINFORCED	L3430	$470.00
SM	HB HEEL CUP STABILIZ PR DJ ORTHO	L3170	$150.00
SM	HB HEEL PAD REMOVABLE HEELBO	L3485	$20.00
SM	HB HEEL PAD REMOVABLE TULI CUP	L3485	$40.00
SM	HB HEMOPERFUSION CLARK CARTRIDGE		$2150.00
SM	HB HEMOSTATIC FEMOSTOP IMPRA BARD STJUDE	C1763	$1400.00
SM	HB HEMOSTATIC SEALANT	C1763	$700.00
SM	HB HEMOSTATIC SEALANT FLOWABLE	C1763	$2800.00
SM	HB HFO +NONTORSION JOINTS CUSTOM	L3921	$860.00
SM	HB HFO GLOV FLEX+FINGER PREFB+FIT	L3912	$350.00
SM	HB HFO WO JOINTS CUSTOM	L3913	$720.00
SM	HB HFO WO JOINTS DJ ORTHO	L3923	$240.00
SM	HB HFO WO JOINTS PREFAB+FIT	L3923	$240.00
SM	HB HFO WO JOINTS UNIV DJ ORTHO	L3923	$240.00
SM	HB HFO1+NONTORSION JTS PREFAB+FIT	L3929	$290.00
SM	HB HIP TILT TBL LOCKING SGL AXIS SACH FOOT	L5270	$20530.00
SM	HB HKAFO TORS CONT BILAT ROT STRAPS PELV BND/BELT CUST	L2040	$500.00
SM	HB HKAFO TORS CONT BILAT TORS CBLS BLL BR HIP JT PELV BND/BELT CUST	L2060	$2180.00
SM	HB HKAFO TORS CONT BILAT TORS CBLS HIP JT PELV BND/BELT CUST	L2050	$1780.00
SM	HB HKAFO TORS CONT UNILAT ROT STRAPS PELV BND/BELT CUST	L2070	$420.00
SM	HB HKAFO TORS CONT UNILAT TORS CBLE BLL BR HIP JT PELV BND/BELT CUST	L2090	$1640.00
SM	HB HKAFO TORS CONT UNILAT TORS CBLE HIP JT PELV BND/BELT CUST	L2080	$1350.00
SM	HB HO ABDC CONTR- P-OP PREFAB+FIT	L1686	$3420.00
SM	HB HO ABDUC CONTR-ILFLED ADJ+FIT	L1650	$760.00
SM	HB HO ABDUC CONTR-PAVLKHARNES+FIT	L1620	$470.00
SM	HB HO ABDUC CONTR-PLAST ADJ+FIT	L1660	$480.00
SM	HB HO ABDUC CONTR-POSTOP HIP CUST	L1685	$4460.00
SM	HB HVY DUTY LOW LIMB PROS VACUUM PUMP	L5782	$12400.00
SM	HB IABP CATH FIDELITY DATASCOPE		$2690.00
SM	HB IABP CATH MEGA DATASCOPE		$3050.00
SM	HB IABP CATH SENSATION DATASCOPE		$3270.00
SM	HB IABP INTRAAORTIC BALLN PUMP ASSISTDEVICE		$2500.00
SM	HB ICD CONCERTO OTH SGL/DUAL MDTR	C1882	$84920.00
SM	HB ICD CRT-D INOGEN OTH THAN SGL/DUAL CHAMBER BSCI	C1882	$73270.00
SM	HB ICD CRT-D ITREVIA 7 HF-T BIOTRONIK	C1882	$73260.00
SM	HB ICD DUAL ATLAS+ / II DR STJU	C1721	$68270.00
SM	HB ICD DUAL CONFIENT RF HE BSCI	C1721	$67440.00
SM	HB ICD DUAL CURRENT RF DR STJU	C1721	$81590.00
SM	HB ICD DUAL CURRENT+ DR STJU	C1721	$75130.00
SM	HB ICD DUAL CURRENT+ RF / FORTIFY RF DR STJU	C1721	$75130.00
SM	HB ICD DUAL ENTRUST MDTR	C1721	$79930.00
SM	HB ICD DUAL EPIC / II /+ DR STJU	C1721	$66610.00
SM	HB ICD DUAL EVERA MRI XT DR SURESCAN MDTR	C1721	$62770.00
SM	HB ICD DUAL FORTIFY DR /FORTIY ASSURA/ ELLIPSE STJU	C1721	$57120.00
SM	HB ICD DUAL ILESTO DRT BIOTRONIK P050023/S074	C1721	$57110.00
SM	HB ICD DUAL ILIVIA MRI DR-T BIOTRONIK	C1721	$58940.00
SM	HB ICD DUAL INOGEN MINI BSCI	C1721	$57120.00
SM	HB ICD DUAL IPERIA MRI DR-T DF-1 BIOTRONIK	C1721	$58940.00
SM	HB ICD DUAL IPERIA MRI DR-T DF4 BIOTRONIK	C1721	$58940.00
SM	HB ICD DUAL ITREVIA 7 DR-T BIOTRONIK	C1721	$57110.00
SM	HB ICD DUAL KRONOS LVT BIOTRONIK	C1721	$74930.00
SM	HB ICD DUAL LUMAX 340 DRT BIOTRONIK	C1721	$79930.00
SM	HB ICD DUAL LUMAX 540 DRT BIOTRONIK	C1721	$81590.00
SM	HB ICD DUAL LUMOS DRT BIOTRONIK	C1721	$54290.00
SM	HB ICD DUAL MAXIMO MDTR	C1721	$61150.00
SM	HB ICD DUAL MOMENTUM EL DR BSCI	C1721	$54950.00
SM	HB ICD DUAL OVATIO DR ELA MED SORIN	C1721	$61780.00
SM	HB ICD DUAL PERCIVA DR BSCI	C1721	$54950.00
SM	HB ICD DUAL PLATINIUM DR DF-1/DF-4 MICROPORT	C1721	$57050.00
SM	HB ICD DUAL PROTECTA XT DR MDTR	C1721	$57120.00
SM	HB ICD DUAL RESONATE EL DR BSCI	C1721	$56610.00
SM	HB ICD DUAL RIVACOR PROMRI DR-T BIOTRONIK	C1721	$58940.00
SM	HB ICD DUAL SECURA DR MDTR	C1721	$60110.00
SM	HB ICD DUAL TELIGEN DR HE100 BSCI	C1721	$65180.00
SM	HB ICD DUAL VIGILANT EL DR BSCI	C1721	$54950.00
SM	HB ICD DUAL VIRTUOSO AWG MDTR	C1721	$78260.00
SM	HB ICD DUAL VITALITY DS BSCI	C1721	$59610.00
SM	HB ICD DUAL VITALITY ES BSCI	C1721	$62450.00
SM	HB ICD DUAL VITALITY2 DR BSCI	C1721	$64940.00
SM	HB ICD DUAL VITALITY2 EL BSCI	C1721	$68270.00
SM	HB ICD DUAL XELOS DRT BIOTRONIK	C1721	$76600.00
SM	HB ICD GENERATOR LUMAX 540 VRT BIOTRONIK	C1722	$58280.00
SM	HB ICD ILESTO7 DR-T DUAL BIOTRONIK	C1721	$57120.00
SM	HB ICD ILESTO7 VR-T DX SINGLE BIOTRONIK	C1722	$52390.00
SM	HB ICD LEAD OTH ENDOCARD SGL/DUAL SUBCUTANEOUS MDTR	C1896	$8300.00
SM	HB ICD LEAD OTH ENDOCARD SGL/DUAL TRANSVENE EPI PATCH MDTR P900061/S2	C1896	$2660.00
SM	HB ICD LEAD OTH ENDOCARD SGL/DUAL TRANSVENE MDTR	C1896	$4000.00
SM	HB ICD LUMAX 540 DR-T DUAL BIOTRONIK	C1721	$51960.00
SM	HB ICD LUMAX 740 DR-T DUAL BIOTRONIK	C1721	$57120.00
SM	HB ICD LUMAX 740 HF-T CRT-D BIOTRONIK	C1882	$73270.00
SM	HB ICD OTH BI-V COGNIS RF HE BSCI	C1882	$89920.00
SM	HB ICD OTH BI-V CONTAK RENEWAL3 BSCI	C1882	$71800.00
SM	HB ICD OTH BI-V CONTAK RENEWAL3 HE BSCI	C1882	$74430.00
SM	HB ICD OTH BI-V INSYNC SENTRY MDTR	C1882	$83260.00
SM	HB ICD OTH BI-V LIVIAN BSCI	C1882	$63280.00
SM	HB ICD OTH BI-V LIVIAN RF HE BSCI	C1882	$63280.00
SM	HB ICD OTH BI-V RENEWAL3 RF BSCI	C1882	$78330.00
SM	HB ICD OTH BI-V RENEWAL3 RF HE BSCI	C1882	$80940.00
SM	HB ICD OTH CRT AMPLIA MRI XT CRT-D SURESCAN MDTR	C1882	$72930.00
SM	HB ICD OTH CRT ATLAS +HF STJUDE	C1882	$104240.00
SM	HB ICD OTH CRT ATLAS II HF STJUDE	C1882	$92420.00
SM	HB ICD OTH CRT CLARIA MRI QUAD/CLARIA MRI CRT-D SURESCAN MDTR	C1882	$72930.00
SM	HB ICD OTH CRT COMPIA MRI CRT-D SURESCAN MDTR	C1882	$72930.00
SM	HB ICD OTH CRT CONSULTA MDTR	C1882	$84920.00
SM	HB ICD OTH CRT EPIC / II HF STJU	C1882	$78180.00
SM	HB ICD OTH CRT LUMAX 340 HFT BIOTRONIK	C1882	$66610.00
SM	HB ICD OTH CRT LUMAX 540 HFT BIOTRONIK	C1882	$81590.00
SM	HB ICD OTH CRT OVATIO ELA MED SORIN SORIN	C1882	$87920.00
SM	HB ICD OTH CRT PLATINIUM 4LV MICROPORT	C1882	$59530.00
SM	HB ICD OTH CRT PLATINIUM DF-1/DF-4 MICROPORT	C1882	$59530.00
SM	HB ICD OTH CRT PROMOTE RF STJU	C1882	$63280.00
SM	HB ICD OTH CRT PROTECTA XT CRT-D MDTR	C1882	$73270.00
SM	HB ICD OTH CRT UNIFY / UNIFY ASSURA / QUADRA STJU P030054	C1882	$83260.00
SM	HB ICD OTH CRT UNIFY / UNIFY ASSURA / QUADRA STJU P030054	C1882	$73260.00
SM	HB ICD OTH CRT+LEAD PLATINIUM SYST MICROPORT	C1882	$77200.00
SM	HB ICD OTH CRT-D ILIVIA MRI HFT BIOTRONIK	C1882	$72930.00
SM	HB ICD OTH CRT-D INTICA MRI HFT BIOTRONIK	C1882	$72930.00
SM	HB ICD OTH CRT-D INVENTRA HFT BIOTRONIK	C1882	$69270.00
SM	HB ICD OTH CRT-D SGL/DUAL ACTICOR PRO MRI HF-T QP BIOTRONIK	C1882	$76260.00
SM	HB ICD OTH CRT-D SGL/DUAL RIVACOR PROMRI HF-T QP BIOTRONIK	C1882	$76260.00
SM	HB ICD OTH SGL/DUAL ILESTO HFT BIOTRONIK P050023/S074	C1882	$73260.00
SM	HB ICD OTH SQ-RX & Q-TRAK SYSTEM BSCI	C1882	$78260.00
SM	HB ICD OTH SQ-RX GENERATOR ONLY BSCI	C1722	$63280.00
SM	HB ICD SGL ATLAS / +/ II VR STJU	C1722	$61610.00
SM	HB ICD SGL CURRENT VR RF STJU	C1722	$73270.00
SM	HB ICD SGL ACTICOR PROMRI DX BIOTRONIK	C1722	$58940.00
SM	HB ICD SGL CURRENT+ RF VR STJU	C1722	$47630.00
SM	HB ICD SGL EPIC / II /+ VR STJU	C1722	$61610.00
SM	HB ICD SGL ILIVIA MRI VR-T BIOTRONIK	C1722	$55610.00
SM	HB ICD SGL INTICA MRI VR-T DX BIOTRONIK	C1722	$58940.00
SM	HB ICD SGL INVENTRA 7 VR-T BIOTRONIK	C1722	$54050.00
SM	HB ICD SGL INVENTRA MRI VR-T DX DF-1 BIOTRONIK	C1722	$55610.00
SM	HB ICD SGL IPERIA MRI VR-T DX DF-1 BIOTRONIK	C1722	$55610.00
SM	HB ICD SGL ITREVIA 7 VR-T BIOTRONIK	C1722	$52380.00
SM	HB ICD SGL LEXOS VRT BIOTRONIK	C1722	$63280.00
SM	HB ICD SGL LUMAX 540 VRT BIOTRONIK	C1722	$81590.00
SM	HB ICD SGL LUMAX 340 VRT BIOTRONIKK	C1722	$59950.00
SM	HB ICD SGL LUMAX VRT BIOTRONIK	C1722	$69940.00
SM	HB ICD SGL MARQUISO DR MDTR	C1722	$51620.00
SM	HB ICD SGL MOMENTUM EL VR BSCI	C1722	$51620.00
SM	HB ICD SGL MRI S-ICD EMBLEM BSCI	C1722	$64940.00
SM	HB ICD SGL MRI S-ICD W/ LEADS EMBLEM BSCI	C1722	$78260.00
SM	HB ICD SGL OVATIO VR ELA MED SORIN	C1722	$61780.00
SM	HB ICD SGL PERCIVA VR BSCI	C1722	$51620.00
SM	HB ICD SGL PLATINIUM VR DF-1/DF-4 MICROPORT	C1722	$49300.00
SM	HB ICD SGL PROTECTA XT VR MDTR	C1722	$57120.00
SM	HB ICD SGL RESONATE EL VR BSCI	C1722	$53280.00
SM	HB ICD SGL RIVACOR PROMRI VR-T BIOTRONIK	C1722	$55610.00
SM	HB ICD SGL SECURA VR MDTR	C1722	$56450.00
SM	HB ICD SGL TELIGEN VR HE 100 BSCI	C1722	$65180.00
SM	HB ICD SGL VIGILANT EL VR BSCI	C1722	$51620.00
SM	HB ICD SGL VIRTUOSO VWC MDTR	C1722	$78260.00
SM	HB ICD SGL VITALITY DS VR BSCI	C1722	$52950.00
SM	HB ICD SGL VITALITY EL VR BSCI	C1722	$61610.00
SM	HB ICD SGL VITALITY VR BSCI	C1722	$59280.00
SM	HB ICD SINGLE FORTIFY VR RF36 STJU	C1722	$67410.00
SM	HB ICD SINGLE FORTIFY VR STJU	C1722	$52390.00
SM	HB ICD SINGLE INOGEN MINI BSCI	C1722	$52390.00
SM	HB ICD SINGLE VISIA AF MRI DR SURESCAN MDTR	C1722	$55610.00
SM	HB ICD VITALITY AVT DUAL BSCI	C1721	$72840.00
SM	HB ICD+LEAD DUAL PLATINIUM DR SYST MICROPORT	C1721	$69760.00
SM	HB ICD+LEAD SGL PLATINIUM VR SYST MICROPORT	C1722	$59220.00
SM	HB IMMOBILIZER KNEE	L1830	$330.00
SM	HB IMMOBILIZER KNEE DON JOY		$70.00
SM	HB IMMOBILIZER KNEE DON JOY ULTRA		$520.00
SM	HB IMMOBILIZER KNEE DON JOY ULTRA-SLING		$470.00
SM	HB INDEFLATOR MAP KIT MERIT		$270.00
SM	HB INSERT FOOT MOLDED REMOV CUSTOM EACH	L3020	$580.00
SM	HB INTERSCAP-THOR EXT POWER MYOELECTRONIC CONTROL	L6975	$55630.00
SM	HB INTERSCAP-THOR EXT POWER SWITCH CONTROL	L6970	$47050.00
SM	HB INTRDCR ARGON	C1769	$200.00
SM	HB INTRDCR GUIDE STEER AGILIS NXT ABBOT	C1766	$3320.00
SM	HB INTRDCR GUIDE STEER AGILIS STJUDE	C1766	$3170.00
SM	HB INTRDCR GUIDE STEER FATHOM BSCI	C1769	$970.00
SM	HB INTRDCR GUIDE STEER HELI-FX AAA ENDOANCHOR APTUS MDTR	C1766	$5860.00
SM	HB INTRDCR GUIDE STEER LT LATERAL	C1766	$1900.00
SM	HB INTRDCR GUIDE STEER MICROPUNCTURE COOK	C1766	$150.00
SM	HB INTRDCR GUIDE STEER RB COOK	C1766	$210.00
SM	HB INTRDCR KIT IMPELLA 5.5 ABIOMED		$2330.00
SM	HB INTRDCR SHEATH BRAUN	C1892	$700.00
SM	HB INTRDCR SHEATH BYRD DILATOR SHEATH TELESCOPING COOK	C1893	$730.00
SM	HB INTRDCR SHEATH CURVED FEMORAL 12FR COOK	C1893	$710.00
SM	HB INTRDCR SHEATH CURVED FEMORAL 16FR COOK	C1893	$1750.00
SM	HB INTRDCR SHEATH CV AVE	C1893	$430.00
SM	HB INTRDCR SHEATH CV EPS 45CM STJUDE	C1893	$290.00
SM	HB INTRDCR SHEATH CV EPS 60CM STJU DAIG AVE	C1893	$300.00
SM	HB INTRDCR SHEATH CV EPS GUIDE 6F	C1893	$610.00
SM	HB INTRDCR SHEATH CV EPS GUIDE 8.5F	C1893	$970.00
SM	HB INTRDCR SHEATH CV FASTCATH CSTA STJUDE	C1893	$540.00
SM	HB INTRDCR SHEATH CV FASTCATH DUO STJUDE	C1893	$540.00
SM	HB INTRDCR SHEATH CV FASTCATH RAMP STJUDE	C1893	$540.00
SM	HB INTRDCR SHEATH CV FASTCATH SAFL STJUDE	C1893	$540.00
SM	HB INTRDCR SHEATH CV FASTCATH SEPT STJUDE	C1893	$540.00
SM	HB INTRDCR SHEATH CV OTH FASTCATH STJUDE	C1893	$300.00
SM	HB INTRDCR SHEATH CV SOFT TIP	C1893	$700.00
SM	HB INTRDCR SHEATH CV SUPERFLX 6F	C1893	$230.00
SM	HB INTRDCR SHEATH CV SUPERFLX 7F	C1893	$230.00
SM	HB INTRDCR SHEATH CV SUPERFLX 9F	C1893	$170.00
SM	HB INTRDCR SHEATH CV SUPERFLX LONG	C1893	$430.00
SM	HB INTRDCR SHEATH CV SUPERFLX SHORT	C1893	$170.00
SM	HB INTRDCR SHEATH CV SWARTZ STJUDE	C1893	$900.00
SM	HB INTRDCR SHEATH DESILETS HOFFMAN COOK	C1892	$270.00
SM	HB INTRDCR SHEATH EP 8.5F STEERABLE STRYKER		$2650.00
SM	HB INTRDCR SHEATH GUIDING EP FIXCURVE OTHERTHAN PEEL-AWAY VISISHEATH SPECTRONICS	C1893	$900.00
SM	HB INTRDCR SHEATH LASER LEAD REMV SPECT	C2629	$9600.00
SM	HB INTRDCR SHEATH LASER PREFACE BIOSENSE	C2629	$600.00
SM	HB INTRDCR SHEATH MICRA MDTR	C1893	$2000.00
SM	HB INTRDCR SHEATH PEELAWAY AFX ENDOLOGIC	C1892	$1090.00
SM	HB INTRDCR SHEATH PEELAWAY COOK	C1892	$200.00
SM	HB INTRDCR SHEATH SELECTRA AMPLATZ BTNK	C1893	$710.00
SM	HB INTRDCR SHEATH SELECTRA BIO BTNK	C1893	$710.00
SM	HB INTRDCR SHEATH SELECTRA EXTENDED HOOK BTNK	C1893	$800.00
SM	HB INTRDCR SHEATH SELECTRA HOOK BTNK	C1893	$710.00
SM	HB INTRDCR SHEATH SELECTRA IC BTNK	C1893	$710.00
SM	HB INTRDCR SHEATH SELECTRA MPEP-45 BTNK	C1893	$710.00
SM	HB INTRDCR SHEATH SELECTRA MULTIPURPOSE HOOK MPH BTNK	C1893	$710.00
SM	HB INTRDCR SHEATH SELECTRA RIGHT BTNK	C1893	$710.00
SM	HB INTRDCR SHEATH STEADYSHEATH EVOL COOK	C1893	$890.00
SM	HB INTRDCR SHEATH STEER CARTO VIZIGO BIOSENSE	C1766	$3640.00
SM	HB INTRDCR SHEATH STEER DIREX BSCI	C1766	$2750.00
SM	HB INTRDCR SHEATH STEER ZURPAZ BSCI	C1766	$2750.00
SM	HB INTRDCR SHEATH WORLEY SAFESHEATH BTNK	C1893	$710.00
SM	HB INTRDCR SHEATH WORLEY SAFESHEATH II BTNK	C1893	$710.00
SM	HB INTRDCR SHEATHLESS ACCESS SYST RAILWAY CORDIS		$300.00
SM	HB INTRODUCER		$90.00
SM	HB INTRODUCER ACCUSTICK2 + 018 & 038 GW	C1769	$300.00
SM	HB INTRODUCER ACCUSTICK2 + 018 GW	C1769	$200.00
SM	HB INTRODUCER ACCUSTICK2 WO GUIDEWIRE	C1769	$220.00
SM	HB INTRODUCER CIAGLIA BLUE RHINO	C1769	$1100.00
SM	HB INTRODUCER DELIVERY COIL FLIPPER COOK		$580.00
SM	HB INTRODUCER EXPRESS TROC NDL		$1340.00
SM	HB INTRODUCER GUIDEWIRE METAL GUIDANT	C1769	$110.00
SM	HB INTRODUCER MICROPUNCTURE COOK	C1769	$100.00
SM	HB INTRODUCER MULTIPORT	C1769	$330.00
SM	HB INTRODUCER NEEDLE		$60.00
SM	HB INTRODUCER NEFF COOK	C1769	$220.00
SM	HB INTRODUCER PEELAWAY COOK	C1892	$200.00
SM	HB INTRODUCER SUPRAPUBIC CATH CHIOU		$270.00
SM	HB INTRODUCER SWARTZ	C1769	$480.00
SM	HB INTRODUCER TEMNO COAXIAL	C1769	$950.00
SM	HB INTRODUCER TRANS-SEPTAL MEDITECH STJU	C1769	$460.00
SM	HB KAFO DBL SOLID STIRRUP TGH+CLF BND WO KNEE CUST	L2030	$3800.00
SM	HB KAFO DBL STIRRUP FREE AK CUST	L2020	$4380.00
SM	HB KAFO FX FEMUR CAST CUSTOM	L2128	$6050.00
SM	HB KAFO FX FEMUR CAST RIDIGCUSTOM	L2126	$3850.00
SM	HB KAFO FX FEMUR RIGID PREFAB+FIT	L2136	$4430.00
SM	HB KAFO PLAST DBL UPRT FREE CUST	L2036	$6230.00
SM	HB KAFO PLAST MULTAXIS WO JT CUST	L2038	$4590.00
SM	HB KAFO SGL UPRT W WO FREE MOT KNEE W WO FREE MOT ANKLE CUST	L2037	$6240.00
SM	HB KAFO SGL W WO FREE MOT KNEE MED-LAT ROT CONT W WO FREE MOT ANKLE CUST	L2034	$5880.00
SM	HB KAFO SINGL FREE ANKLE TGH+CLF BND WO KNEE CUST	L2010	$3460.00
SM	HB KAFO SINGL FREE TGH+CLF BND CUST	L2000	$3800.00
SM	HB KAFO STANCE CONTROL CUSTOM	L2005	$12020.00
SM	HB KAFO STANCE MICROPROCESSOR CONTROL CUST	L2006	$140000.00
SM	HB KAFO STATIC PED WO FREE MOT ANKLE PREFAB+FIT	L2035	$510.00
SM	HB KIT CATH EPIDURAL		$100.00
SM	HB KNEE DISART MOLDED SCKT SACH FT ENDO SYS	L5312	$11800.00
SM	HB KNEE-SHIN EXO FRICT SWING & STANCE	L5718	$3640.00
SM	HB KNEE-SHIN EXO FRICT SWING & STANCE	L5712	$1720.00
SM	HB KNEE-SHIN EXO MECH STANCE PHASE LOCK	L5716	$2910.00
SM	HB KNEE-SHIN FLUID SWING & STANCE	L5728	$9500.00
SM	HB KO ADD-DROP LOCK EACH JOINT	L2405	$260.00
SM	HB KO ADD-KNEE CAM LOCK/JOINT	L2415	$360.00
SM	HB KO ADD-KNEE POLYCENTRIC/JNT		$230.00
SM	HB KO ADJ JNT POS RIGID SUP PREFAB OTS	L1833	$2040.00
SM	HB KO ADJST JNTS RIGID PREFAB+FIT	L1832	$2040.00
SM	HB KO DBL UPRT ADJST JNT PRE+FIT	L1845	$2300.00
SM	HB KO DEROTAT CRUCIAT CUST/LINNOX	L1840	$3450.00
SM	HB KO DOUBLE UPRIGHT PREFAB OTS	L1852	$2300.00
SM	HB KO ELAST+CONDYL PAD PREFAB+FIT		$190.00
SM	HB KO ELAST+CONDYL PAD&JT PRE+FIT	L1820	$440.00
SM	HB KO ELASTIC KNEE CAP	A4467	$20.00
SM	HB KO ELASTIC+JOINTS DJ ORTHO	L1810	$370.00
SM	HB KO ELASTIC+JOINTS PREFAB OTS	L1812	$370.00
SM	HB KO ELASTIC+STAYS PREFAB+FIT		$160.00
SM	HB KO IMMOBILZR CANVAS PREFB+FIT	L1830	$330.00
SM	HB KO LOCKING POSITIONAL W FIT+ADJ	L1831	$860.00
SM	HB KO PATELLA WRAP UNIV	A4467	$100.00
SM	HB KO PLAST DBL UPRT CUST/POLYPRO	L1846	$4190.00
SM	HB KO PLAST POLYCENTRC PNEUM CUST	L1846	$4190.00
SM	HB KO SGL UPRT ADJST JNT CUSTOM	L1844	$5960.00
SM	HB KO SGL UPRT TGH+CLF ADJST FLXION PREFAB TRMD BNT MLD	L1843	$2630.00
SM	HB KO SINGLE UPRIGHT PREFAB OTS	L1851	$2630.00
SM	HB KO SWEDISH CAGE PREFAB+FIT	L1850	$1080.00
SM	HB KYPHON VERTEBROPLASTY INTRODUCER		$1340.00
SM	HB KYPHX DEVICE BONE BIOPSY EXPRESS KYPHON		$440.00
SM	HB KYPHX DEVICE BONE BIOPSY KYPHON		$400.00
SM	HB KYPHX DEVICE BONE BIOPSY SYSTEM KYPHON		$4330.00
SM	HB LAA CLOSURE DEVICE WATCHMAN BSCI		$56610.00
SM	HB LARYNGECTMY TUBE		$630.00
SM	HB LARYNX ARTIFICIAL BLOMSINGER ELECTROLARYNX	L8500	$690.00
SM	HB LARYNX ARTIFICIAL COOPER RAND ELECTROLARYNX	L8500	$1590.00
SM	HB LARYNX ARTIFICIAL GRIFFIN TRU TONE ELECTROLARYNX	L8500	$2000.00
SM	HB LARYNX ARTIFICIAL LIBERTY ELECTROLARYNX	L8500	$720.00
SM	HB LARYNX ARTIFICIAL NUVOICE ELECTROLARYNX	L8500	$2090.00
SM	HB LARYNX ARTIFICIAL SERVOX ELECTROLARYNX	L8500	$2090.00
SM	HB LARYNX ARTIFICIAL SOLATONE ELECTROLARYNX	L8500	$1650.00
SM	HB LARYNX ARTIFICIAL XTRAVOIS ELECTROLARYNX	L8500	$1500.00
SM	HB LE ADD-PELVC CONTROL BAND/BELT BILATERAL	L2640	$1260.00
SM	HB LEAD ATTAIN LV CORONARY SINUS MDTR	C1900	$9660.00
SM	HB LEAD CELERITY LV BIOTRONIK SORIN	C1900	$6660.00
SM	HB LEAD EASYTRAK LV SINUS BSCI	C1900	$10660.00
SM	HB LEAD ICD 2COIL SPRINT QUATTRO SECURE	C1895	$22320.00
SM	HB LEAD ICD ACUITY BSCI	C1900	$11990.00
SM	HB LEAD ICD COROX CORON SINUS LINOX BIOTRONIK	C1900	$19990.00
SM	HB LEAD ICD COROX CORON SINUS PAC BIOTRONIK	C1900	$6170.00
SM	HB LEAD ICD DURATA ENDOCARD DUAL ST JUDE	C1895	$17490.00
SM	HB LEAD ICD DURATA ENDOCARD SINGLE ST JUDE	C1777	$17490.00
SM	HB LEAD ICD DURATA SJ4 ENDOCARD DUAL STJUDE	C1895	$18360.00
SM	HB LEAD ICD DURATA SJ4 ENDOCARD SGL ST JUDE	C1777	$18360.00
SM	HB LEAD ICD FIDELIS 2COIL MDTR	C1895	$20810.00
SM	HB LEAD ICD ISOLINE DUAL COIL SORIN	C1895	$13330.00
SM	HB LEAD ICD KENTROX OTH THAN VDD SGL SORIN	C1895	$13330.00
SM	HB LEAD ICD LINOX SD 2COIL BIOTRONIK	C1895	$19320.00
SM	HB LEAD ICD PLEXA MRI SD DUAL COIL BIOTRONIK	C1895	$12490.00
SM	HB LEAD ICD PLEXA MRI SGL COIL BIOTRONIK	C1777	$12490.00
SM	HB LEAD ICD PROTEGO S SGL COIL BIOTRONIK	C1777	$12490.00
SM	HB LEAD ICD PROTEGO SD DUAL COIL BIOTRONIK	C1895	$12490.00
SM	HB LEAD ICD Q-TRAK SQ OTH ENDOCARD BSCI	C1896	$14990.00
SM	HB LEAD ICD QUARTET ST JUDE	C1900	$6670.00
SM	HB LEAD ICD QUARTET ST JUDE FOR USE WITH NON-STJUDE DEVICE	C1900	$16650.00
SM	HB LEAD ICD QUCKSITE/FLEX ST JUDE	C1900	$12830.00
SM	HB LEAD ICD RELIANCE 4FRONT DUAL COIL BSCI	C1895	$11490.00
SM	HB LEAD ICD RELIANCE 4FRONT SGL COIL BSCI	C1777	$11490.00
SM	HB LEAD ICD RELIANCE ENDO SINGLE BSCI	C1777	$18320.00
SM	HB LEAD ICD RELIANCE G ENDOCARD BSCI	C1895	$19990.00
SM	HB LEAD ICD RELIANCE SQ OTH ENDOCARD BSCI	C1896	$20150.00
SM	HB LEAD ICD RIATA DUAL COIL STJUDE	C1895	$16660.00
SM	HB LEAD ICD RIATA SGL COIL STJUDE	C1777	$16660.00
SM	HB LEAD ICD SELOX SR PERM 1COIL BIOTRONIK	C1777	$2340.00
SM	HB LEAD ICD SWIFT SGL COIL BIOTRONIK SORIN	C1777	$13330.00
SM	HB LEAD ICD TUNNELING TOOL MDTR GUID BSCI	C1769	$1670.00
SM	HB LEAD ICD VOLTA BIOTRONIK SORIN	C1777	$9990.00
SM	HB LEAD ICD VOLTA DUAL COIL BIOTRONIK	C1895	$9620.00
SM	HB LEAD LV CRT SENTUS OTW QP MRI CORON SINUS BIOTRONIK	C1900	$6330.00
SM	HB LEAD PCKMR EXTENSION GUIDANT BSCI	C1883	$1170.00
SM	HB LEAD PCKMR MYOPORE 35CM STJUDE	C1898	$1670.00
SM	HB LEAD PCKMR MYOPORE 54CM STJUDE	C1898	$2840.00
SM	HB LEAD PCKMR OPTISENSE STJUDE	C1898	$1670.00
SM	HB LEAD PCKMR PASSIVE + DX STJUDE	C1898	$2500.00
SM	HB LEAD PCMKR 4057M / 64126 NOT VDD MDTR	C1898	$14300.00
SM	HB LEAD PCMKR 6416 NOT VDD MDTR	C1898	$940.00
SM	HB LEAD PCMKR ADAPTOR SPLITTER HV MDTR	C1883	$14320.00
SM	HB LEAD PCMKR CAPSURE EPI NOT VDD MDTR	C1898	$3000.00
SM	HB LEAD PCMKR CAPSUREFIXNOVUS NOT VDD MDTR	C1898	$2500.00
SM	HB LEAD PCMKR DEXTRUS NOT VDD BSCI	C1898	$1670.00
SM	HB LEAD PCMKR ENPATH OTH VDD GUIDANT	C1898	$1670.00
SM	HB LEAD PCMKR EXTENSION STJUDE	C1883	$2990.00
SM	HB LEAD PCMKR FINELINE OTH VDD GUIDANT	C1898	$2420.00
SM	HB LEAD PCMKR FLEXION OTH VDD BSCI	C1898	$1670.00
SM	HB LEAD PCMKR FLEXTEND OTH VDD GUIDANT	C1898	$1670.00
SM	HB LEAD PCMKR INGEVITY MRI OTH VDD BSCI	C1898	$2330.00
SM	HB LEAD PCMKR ISOFLEX ENDOCARD ST JUDE	C1898	$2500.00
SM	HB LEAD PCMKR OTH THAN VDD ELA MED SORIN	C1898	$1670.00
SM	HB LEAD PCMKR OTH THAN VDD INGEVITY+ BSCI	C1898	$1330.00
SM	HB LEAD PCMKR OTH THAN VDD TILDA SORIN P950037/S099	C1898	$1670.00
SM	HB LEAD PCMKR SELECTSURE NOT VDD MDTR	C1898	$1670.00
SM	HB LEAD PCMKR SETROX S ENDOCARD BIOTRONIK	C1898	$2340.00
SM	HB LEAD PCMKR SOLIA S OTH VDD BIOTRONIK	C1898	$1580.00
SM	HB LEAD PCMKR TENDRIL DX ST JUDE	C1898	$2420.00
SM	HB LEAD PCMKR TENDRIL SDX ST JUDE	C1898	$2420.00
SM	HB LEAD PCMKR TENDRIL ST OPTIM ST JUDE	C1898	$2590.00
SM	HB LEAD PCMKR TENDRIL ST ST JUDE	C1898	$2500.00
SM	HB LEAD QUADRIPOLAR LV ACUITY X4 BSCI	C1900	$6330.00
SM	HB LEAD SITUS LV CORONARY SINUS OSCOR SORIN	C1900	$6670.00
SM	HB LIVER ACCESS TRANSJUGULAR COOK	C1887	$1500.00
SM	HB LO FLEX+LUMB SUPP DJ ORTHO	L0625	$160.00
SM	HB LO FLEX+LUMB SUPP PREFAB+FIT	L0625	$160.00
SM	HB LO RIGID ANT POS PNL L1 TO L5 VERT PREFAB OTS	L0642	$1210.00
SM	HB LO RIGID ANT-POST PANEL PREFAB	L0627	$1210.00
SM	HB LO RIGID POS PNL L1 TO L5 VERT PREFAB OTS	L0641	$230.00
SM	HB LO RIGID POST PANEL PREFAB+FIT	L0626	$230.00
SM	HB LSO A-P CONTROL+APRON FRONT		$810.00
SM	HB LSO A-P CONTROL+POST-PNL PREFB		$420.00
SM	HB LSO CORSET FULL	L0976	$460.00
SM	HB LSO FLEX+LUMBOSACR SUPP CUSTOM	L0629	$500.00
SM	HB LSO FLEX+LUMBOSACR SUPP PREFAB	L0628	$250.00
SM	HB LSO RIGID A-P FRAME+LAT CUSTOM	L0638	$3870.00
SM	HB LSO RIGID A-P FRAME+LAT PREFAB	L0637	$3550.00
SM	HB LSO RIGID ANT POS PNL SAC TO T9 VERT PREFAB OTS	L0648	$3010.00
SM	HB LSO RIGID ANT-POST PNL CUSTOM	L0632	$2500.00
SM	HB LSO RIGID ANT-POST PNL PREFAB	L0631	$3010.00
SM	HB LSO RIGID POS PNL SAC TO T9 VERT PREFAB OTS	L0643	$480.00
SM	HB LSO RIGID POST FRAME+LAT CUST	L0636	$5310.00
SM	HB LSO RIGID POST FRAME+LAT PREFB	L0635	$3590.00
SM	HB LSO RIGID POST FRAME/PNL CUST	L0634	$2500.00
SM	HB LSO RIGID POST FRAME/PNL PREFB	L0633	$840.00
SM	HB LSO RIGID POST PANEL PREFB+FIT	L0630	$480.00
SM	HB LSO RIGID POST SHELL CUSTOM	L0640	$3070.00
SM	HB LSO RIGID POST SHELL PREFB+FIT	L0639	$3550.00
SM	HB LSO RIGID SAG-COR CTRL ANT POS PNL SAC TO T9 VERT PREFAB OTS	L0650	$3550.00
SM	HB LSO RIGID SAG-COR CTRL POS LAT PNL SAC TO T9 VERT PREFAB OTS	L0649	$840.00
SM	HB LSO RIGID SAG-COR CTRL POS SHLL SAC TO T9 VERT PREFAB OTS	L0651	$3550.00
SM	HB LSO SUPPORT SURG FLEX-CUST FAB		$770.00
SM	HB LSO SUPPORT SURGICAL FLEXIBLE		$420.00
SM	HB LUBRICANT ATHERECTOMY CSI		$270.00
SM	HB LUMBAR PUNCTURE SUPPLY		$80.00
SM	HB MANIFOLD HEART CATH		$40.00
SM	HB MARKER BIOPSY BREAST TI	A4648	$2300.00
SM	HB MARKER BREAST NEEDLE		$640.00
SM	HB MEMBRANE SPINAL PRECLUDE 3X 3 GORE	C1781	$1270.00
SM	HB MEMBRANE SPINAL PRECLUDE 3X 6 GORE	C1781	$1270.00
SM	HB MEMBRANE SPINAL PRECLUDE 3X12 GORE	C1781	$1270.00
SM	HB MESH CARDIAC IED BIOENVELOPE BIOTRONIK	C1781	$3260.00
SM	HB MESH DUAL 10X15CMX2.0MM	C1781	$1970.00
SM	HB MESH DUAL 18X24CMX2.0MM	C1781	$6100.00
SM	HB MESH DUAL 20X30CMX2.0MM	C1781	$8080.00
SM	HB MESH DUAL 26X34CMX2.0MM	C1781	$10540.00
SM	HB MESH SEAMGUARD STRIP	C1781	$5800.00
SM	HB MFR DNTD CATH GUIDE DIREXION MICRO BSCI IRB#18-000560 NCT03491397	C1887	$1.00
SM	HB MFR DNTD CATH GUIDE WEDGE MICV TERUMO	C1887	$1.00
SM	HB MFR DNTD CATH THROMBECT BASHIR ENDOVASC THROMBOLEX	C1757	$1.00
SM	HB MFR DNTD CATH THROMBECT BASHIR N-X ENDOVASC THROMBOLEX	C1757	$1.00
SM	HB MFR DNTD CEMENT BONE OSTEOCRETE BSI	C1713	$1.00
SM	HB MFR DNTD DEVICE RETRIEV KIT SNGL/TRPL LOOP SNARE ARGON	C1773	$1.00
SM	HB MFR DNTD GUIDEWIRE FATHOM-14 BSCI IRB#18-000560 NCT03491397	C1769	$1.00
SM	HB MFR DNTD GUIDEWIRE JAGWIRE REVOLUTION BSCI	C1769	$1.00
SM	HB MFR DNTD INTRAOCULAR IMPLANT PORT DELIV SYST GENENTECH IND #113552 IRB #19-001687 NCT04108156		$1.00
SM	HB MFR DNTD OCUL IMPLT AQU DRAIN ASST HYDRUS MICSTNT IVANTIS	C1783	$1.00
SM	HB MFR DNTD TISSUE MARKER IMPLANT SAVI SCOUT CIAN IRB# 17-001864	A4648	$1.00
SM	HB MFR DONATED IOL POSTERIOR CHAMBER ENVISTA BAUSCH & LOMB	V2632	$1.00
SM	HB MFR DONATED SNARE POLYPECTOMY CAPTIVATOR COLD BSCI		$1.00
SM	HB MFR DONATED STENT COATED+DELIVERY SYSTEM	C1874	$840.00
SM	HB MICROSNARE AMPLATZ GOOSENECK EV3	C1725	$390.00
SM	HB MITRACLIP SYS ABBOTT VASCULAR		$99900.00
SM	HB MRI ACTIVATOR PATIENT PROGRAMMER		$1000.00
SM	HB MRI HEAD TONGS OR RINGS		$670.00
SM	HB MULTI DEN INSERT CUSTOM MOLD	A5513	$130.00
SM	HB MUSICIAN EARPLUG FILTER ONLY EACH	V5265	$50.00
SM	HB MUSICIAN EARPLUG WITH FILTER EACH	V5264	$120.00
SM	HB NEUROVISION CLIP FOR PEDICLE SCREW	C1713	$770.00
SM	HB NEUROVISION EMG ELECTRODE HARN		$4500.00
SM	HB NEUROVISION K WIRE		$890.00
SM	HB NEUROVISION PROBE PEDICLE		$840.00
SM	HB NEURSTIM PATIENT PROGRAMMER PRECISION SPECTRA REMOTE	C1787	$2790.00
SM	HB NEWBORN SCRN-SPECIMEN COLLECT CARD		$1.00
SM	HB NITINOL OCCLUDER DEVICE LG	C1760	$3710.00
SM	HB NITINOL OCCLUDER DEVICE MED	C1760	$3020.00
SM	HB NITINOL OCCLUDER DEVICE SM	C1760	$2400.00
SM	HB OCCLUS DEVICE FLORESTER SYST IMPLANT	C1760	$200.00
SM	HB OCCLUS DEVICE NIT-OCCLUD COIL PFM MED	C1760	$5600.00
SM	HB OCCLUS DEVICE PDA AMPLATZER OCCLUDER II STJU	C1760	$13660.00
SM	HB OD CERV COLLAR FLEX NONADJ FOAM	L0120	$100.00
SM	HB OD CERV COLLAR MULTIPOST ADJST	L0180	$1330.00
SM	HB OD CERV COLLAR MULTIPOST+THOR	L0200	$1930.00
SM	HB OD CERV COLLAR MULTPOST+ADJBAR	L0190	$1860.00
SM	HB OD CERV COLLAR PLASTIC ADJUST	L0140	$180.00
SM	HB OD CERV COLLAR THERMOPLAST 2PC	L0172	$450.00
SM	HB OD CERV COLLAR THERMOPLASTIC	L0130	$500.00
SM	HB OD CERV COLLAR THERMPLAST+THOR	L0174	$1030.00
SM	HB OD CERV COLLAR+CHIN CUP/ASPEN	L0150	$400.00
SM	HB OD CERV COLLAR/PHILIDELPHIA	L0170	$2400.00
SM	HB OD CERV HALO+JACKET VEST	L0810	$9660.00
SM	HB OD CERV WIREFRAME+CHIN SUPPORT	L0160	$500.00
SM	HB OD CERVICAL ASPEN REPR PAD SET	L0172	$450.00
SM	HB OD CERVICAL COLLAR FOAM	L0120	$100.00
SM	HB OD LEGG PERTH SCOTT RITE CUST	L1730	$4240.00
SM	HB OD THORACIC RIB BELT		$90.00
SM	HB OD THORACIC RIB BELT CUST	L0220	$340.00
SM	HB OFF LOAD/SUPPORT DEVICE FOOT PRESSURE	A9283	$80.00
SM	HB ORTH REPAIR-LABOR PER 15MIN	L4205	$100.00
SM	HB ORTH REPAIR/REPLAC-MINOR PARTS	L4210	$60.00
SM	HB ORTH REPLAC CALF LACER NONMOLD	L4055	$1000.00
SM	HB ORTH REPLAC STRAP ANY ORTHOSIS	L4002	$150.00
SM	HB ORTH REPLAC THIGH LACER MOLDED	L4040	$1530.00
SM	HB ORTH REPLAC THIGH LACER NONMLD	L4045	$1230.00
SM	HB ORTH REPLACE CALF LACER MOLDED	L4050	$1550.00
SM	HB ORTH REPLACE CUFF-HIGH ROLL	L4060	$1190.00
SM	HB ORTH REPLACE GIRDLE CTLSO/SO	L4000	$4780.00
SM	HB ORTH REPLC INTERFACE STATC AFO	L4392	$70.00
SM	HB ORTH REPLC KAFO BANDS-PROXTHGH	L4080	$320.00
SM	HB ORTH REPLC KAFO LTHRCFF P-THGH	L4100	$390.00
SM	HB ORTH REPLC KAFO LTHRCUFF CALF	L4110	$320.00
SM	HB ORTH REPLC KAFO UPRT-PROX&DIST	L4070	$1050.00
SM	HB ORTH REPLC KAFO-AFO BANDS-CALF	L4090	$310.00
SM	HB ORTHOSIS MC-APPLY FT HEEL LIFT		$60.00
SM	HB ORTHOSIS MC-WALKING CAST/BOOT EACH		$40.00
SM	HB OSTOMY CREAM		$40.00
SM	HB OSTOMY NEO PACK		$30.00
SM	HB OSTOMY PASTE		$3.00
SM	HB OSTOMY POUCH		$200.00
SM	HB OSTOMY POWDER		$20.00
SM	HB OSTOMY SKIN CARE		$100.00
SM	HB OSTOMY SKIN CLEANSER		$20.00
SM	HB OSTOMY SKIN OINTMENT/CREAM		$20.00
SM	HB OSTOMY STOMAHESIVE		$100.00
SM	HB OSTOMY WAFER FLEX		$10.00
SM	HB PACK SEAMGUARD SINGLE GORE	C1781	$940.00
SM	HB PART HAND LITTLE/RING REMAINING	L6010	$5900.00
SM	HB PART HAND NO FINGERS REMAINING	L6020	$5500.00
SM	HB PART HAND THUMB REMAINING	L6000	$5300.00
SM	HB PARTICLES EMBOLIZ PVA BOSTON SCI		$400.00
SM	HB PARTICLES PVA TRUFILL		$570.00
SM	HB PATCH CV 100CMX15.0CMX0.6MM	C1768	$3760.00
SM	HB PATCH CV 2.5CMX15.0CMX0.6MM	C1768	$860.00
SM	HB PATCH CV 5.0CMX15.0CMX0.6MM	C1768	$3760.00
SM	HB PATCH CV GRAFT 10.0CM X 15.0CM X 0.8MM GORE	C1768	$3790.00
SM	HB PATCH CV GRAFT 5.0CM X 7.5CM X 0.8MM GORE	C1768	$940.00
SM	HB PATCH CV GRAFT 5.0CM X 7.5CM X 0.8MM GORE	C1768	$940.00
SM	HB PATCH DURA 2CMX 5CMX.3MM GORE	C1781	$1390.00
SM	HB PATCH DURA 4CMX4CMX.3MM GORE	C1781	$810.00
SM	HB PATCH DURA 5CMX 6CMX.3MM GORE	C1781	$1390.00
SM	HB PATCH DURA 6CMX10CMX.3MM GORE	C1781	$1390.00
SM	HB PATCH DURA MVP 10X12CM	C1781	$3990.00
SM	HB PATCH DURA MVP 2X10CM	C1781	$980.00
SM	HB PATCH DURA MVP 4X4CM	C1781	$1010.00
SM	HB PATCH DURA MVP 5X6CM	C1781	$1080.00
SM	HB PATCH DURA MVP 6X10CM	C1781	$3170.00
SM	HB PATCH FOR EXT REFERENCE 3D MAP		$1310.00
SM	HB PATCH MBRN NEO 6CMX8CMX.1MM	C1781	$1270.00
SM	HB PATCH MEMBR 4CMX6CMX.1MM GORE	C1781	$440.00
SM	HB PATCH PERICAR 12X12CMX.1MM GORE	C1781	$2280.00
SM	HB PATCH PERICAR 6CMX12CMX.1MM	C1781	$1140.00
SM	HB PCKR MICRONY SR SGL RATE RESP STJUDE	C1786	$17130.00
SM	HB PCMKR ACCOLADE MRI DUAL RATE RESP BSCI	C1785	$16320.00
SM	HB PCMKR ACCOLADE MRI SGL RATE RESP BSCI	C1786	$16320.00
SM	HB PCMKR ADAPTA /KAPPA/LEGACY/THERA SR SINGLE RATE RESP MDTR	C1786	$19990.00
SM	HB PCMKR ADAPTA DR DUAL RATE RESP MDTR	C1785	$21650.00
SM	HB PCMKR ADAPTA DUAL RATE LONG MDTR	C1785	$14990.00
SM	HB PCMKR ADVANTIO / INGENIO SR BSCI	C1786	$12330.00
SM	HB PCMKR ADVISA SR MRI SGL RESP MDTR	C1786	$13650.00
SM	HB PCMKR ALLURE BIV CRTP/QUADRA STJUDE	C2621	$25810.00
SM	HB PCMKR ALTRUA 20 DDDR DUAL RATE RESP BSCI	C1785	$16990.00
SM	HB PCMKR ALTRUA 20 EL DUAL RATE RESP BSCI	C1785	$17490.00
SM	HB PCMKR ALTRUA 20 SSIR SGL RATE RESP BSCI	C1786	$14540.00
SM	HB PCMKR ALTRUA 40 DDDR DUAL RATE RESP BSCI	C1785	$18950.00
SM	HB PCMKR ALTRUA 40 EL DUAL RATE RESP BSCI	C1785	$19320.00
SM	HB PCMKR ALTRUA 40 SSIR SGL RATE RESP BSCI	C1786	$16910.00
SM	HB PCMKR ALTRUA 60 DDDR /INGENIO DR /ADVANTIO DR BSCI	C1785	$21320.00
SM	HB PCMKR ALTRUA 60 EL DUAL RATE RESP BSCI	C1785	$21650.00
SM	HB PCMKR ALTRUA 60 SR SINGLE RATE RESP BSCI	C1786	$18420.00
SM	HB PCMKR ANTHEM RF CRT-P ST JUDE	C2621	$30810.00
SM	HB PCMKR ASSURITY / ENDURITY DR STJUDE	C1785	$14990.00
SM	HB PCMKR ASSURITY / ENDURITY SR STJUDE	C1786	$12330.00
SM	HB PCMKR AZURE XT MRI SURESCAN DUAL CHAMBER MDTR	C1785	$15680.00
SM	HB PCMKR AZURE XT MRI SURESCAN SGL CHAMBER MDTR	C1786	$13230.00
SM	HB PCMKR CONSULTA CRT-P OTHER MDTR	C2621	$32640.00
SM	HB PCMKR CONTAK RENEWAL TR CRT-P OTHER BSCI	C2621	$25810.00
SM	HB PCMKR CYLOS DR DUAL RATE RESP BIOTRONIK	C1785	$19320.00
SM	HB PCMKR CYLOS VR SGL RATE RESP BIOTRONIK	C1786	$17320.00
SM	HB PCMKR DUAL RATE RESP ENTOVIS PRO BIOTRONIK P950037/S132	C1785	$16650.00
SM	HB PCMKR DUAL RESP LEADLESS MICRA AV SYST MDTR	C1785	$40790.00
SM	HB PCMKR EDORA MRI DR-T DUAL RATE RESP BIOTRONIK	C1785	$16320.00
SM	HB PCMKR EDORA MRI SR-T SGL RATE RESP BIOTRONIK	C1786	$13650.00
SM	HB PCMKR ELUNA PROMRI DR-T DUAL RATE ADPT BIOTRONICK	C1785	$18320.00
SM	HB PCMKR ELUNA RATE ADPT PROMRI SR-T SINGLEBIOTRONICK	C1786	$15650.00
SM	HB PCMKR ENPULSE DR DUAL RATE RESP MDTR	C1785	$19990.00
SM	HB PCMKR ENPULSE SINGLE RATE RESP MDTR	C1786	$19990.00
SM	HB PCMKR ENRHYTHM DUAL RATE MDTR	C1785	$21650.00
SM	HB PCMKR ETRINSA DR-T DUAL RATE ADPT BIOTRONICK	C1785	$14990.00
SM	HB PCMKR ETRINSA HF-T CRT-P TRPL RATE ADPT BIOTRONICK	C2621	$25810.00
SM	HB PCMKR ETRINSA SR-T SNGL RATE ADPT BIOTRONICK	C1786	$12320.00
SM	HB PCMKR EVIA DR / DR-T DUAL RESP BIOTRONIK	C1785	$14990.00
SM	HB PCMKR EVIA SR / SR-T SGL RESP BIOTRONIK	C1786	$14990.00
SM	HB PCMKR FRONTIER 2 CRT-P ST JUDE	C2621	$30810.00
SM	HB PCMKR IDENTITY DUAL RATE RESP ST JUDE	C1785	$20520.00
SM	HB PCMKR IDENTITY SGL RATE RESP ST JUDE	C1786	$17130.00
SM	HB PCMKR INSIGNIA I SR SGL RATE GUIDANT	C1786	$18990.00
SM	HB PCMKR INSYNC III DUAL MDTR	C2621	$32640.00
SM	HB PCMKR INTEGRITY DUAL RATE RESP STJUDE	C1785	$17130.00
SM	HB PCMKR INTEGRITY SGL RATE RESP STJUDE	C1786	$17130.00
SM	HB PCMKR INTUA CRT-P OTH THAN SGL/DUAL CHAMBER BSCI	C2621	$25810.00
SM	HB PCMKR KAPPA DUAL RATE RESP MDTR	C1785	$188160.00
SM	HB PCMKR LEAD LEFT VENT CORON VEN SYSTEM ATTAIN PERFORMA MDTR P080006/S068	C1900	$12990.00
SM	HB PCMKR LEADLESS MICRA SGL RESP MDTR	C1786	$32470.00
SM	HB PCMKR OTH SGL/DUAL EDORA 8 PROMRI HF-T/QP BIOTRONIK	C2621	$25810.00
SM	HB PCMKR PHILOS DUAL RATE RESP BIOTRONIK	C1785	$17320.00
SM	HB PCMKR PHILOS II DR-T DUAL RATE BIOTRONIK	C1785	$20990.00
SM	HB PCMKR PHILOS II DUAL RATE BIOTRONIK	C1785	$18320.00
SM	HB PCMKR PHILOS II SR SGL RATE BIOTRONIK	C1786	$15990.00
SM	HB PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330.00
SM	HB PCMKR REVO MRI OTH MDTR	C2621	$23980.00
SM	HB PCMKR SENSIA SGL RESP MDTR	C1786	$15700.00
SM	HB PCMKR SIGMA SDR DUAL RATE RESP MDTR	C1785	$16320.00
SM	HB PCMKR SINGLE RATE RESP ENTOVIS PRO BIOTRONIK P950037/S132	C1786	$14650.00
SM	HB PCMKR STRATOS / EVIA HF-T OTH BIOTRONIK	C2621	$25810.00
SM	HB PCMKR SYMPHONY DR RESP SORIN	C1785	$13330.00
SM	HB PCMKR SYMPHONY SR SGL RATE ELA MED SORIN	C1786	$18640.00
SM	HB PCMKR SYNCRA CRT-P OTH SGL/DUAL MDTR	C2621	$25810.00
SM	HB PCMKR TEMPORARY-BEDSIDE		$170.00
SM	HB PCMKR VALITUDE BIVENT OTH BSCI	C2621	$25810.00
SM	HB PCMKR VERITY ADX XL DR DUAL RESP STJUDE	C1785	$17130.00
SM	HB PCMKR VERITY ADX XL SR MS SGL RESP STJU	C1786	$17130.00
SM	HB PCMKR VERITYH ADX SR SGL RESP STJUDE	C2619	$20520.00
SM	HB PCMKR VERSA DDDR MDTR	C1785	$19990.00
SM	HB PCMKR VILTORY SR RESP STJU	C1786	$14000.00
SM	HB PCMKR VILTORY XL DR DUAL RATE ST JUDE	C1785	$20520.00
SM	HB PCMKR VISIONIST X4/NON-MRI CRT-P BSCI	C2621	$23310.00
SM	HB PCMKR VISTA DDD DUAL NONRATE STJUDE	C2619	$16660.00
SM	HB PCMKR ZEPHYR XL / ACCENT RF DR STJUDE	C1785	$21000.00
SM	HB PCMKR ZEPHYR XL / ACCENT RF SR STJUDE	C1786	$17610.00
SM	HB PCMKR+LEAD REPLY DR SYST MICROPORT	C1785	$17130.00
SM	HB PCMKR+LEAD REPLY SR SYST MICROPORT	C1786	$11420.00
SM	HB PDA OCCLUDER AMPLATZER PICCOLO ABBOTT	C1817	$28310.00
SM	HB PEDIMAG CARDIO BYPASS VAD SYST THOR STJU		$21650.00
SM	HB PEDIMAG VENT ASSIST DEVC VAD		$21650.00
SM	HB PELVTHOR CONTR ADD BELT UNILAT	L2630	$930.00
SM	HB PELVTHOR CONTR ADD HIP ADJ FEA	L2624	$1240.00
SM	HB PELVTHOR CONTR ADD HIP HVYDUTY	L2620	$1000.00
SM	HB PELVTHOR CONTR ADD HIP JT 2POS	L2570	$1780.00
SM	HB PELVTHOR CONTR ADD HIP JT FREE	L2600	$770.00
SM	HB PELVTHOR CONTR ADD HIP JT LOCK	L2610	$910.00
SM	HB PERICARDIOCENTISIS SUPPLY		$350.00
SM	HB PICC LINE BOSTON SCI 1LUMEN	C1751	$250.00
SM	HB PICC LINE BOSTON SCI 2LUMEN	C1751	$350.00
SM	HB PICC LINE PASV 1LUMEN	C1751	$420.00
SM	HB PICC LINE PASV 2LUMEN	C1751	$540.00
SM	HB PIPETTE FLUSH DEVICE-VOICE PROSTHESIS	L8513	$40.00
SM	HB PLUG VASCULAR 04X10.0 AVP4	C1817	$3200.00
SM	HB PLUG VASCULAR 06X11.0 AVP4	C1817	$3200.00
SM	HB PLUG VASCULAR 08X13.5 AVP4	C1817	$3200.00
SM	HB PNEUMOTHORAX LUNG BIOPSY PLUG W/ DELIVERY SYST BIOSENTRY	C2613	$830.00
SM	HB PNEUMOTHORAX SUPPLY COOK		$400.00
SM	HB PORT INDWELLING POWER TI BARD	C1788	$1750.00
SM	HB POSITIONER ELBOW ORTHOTIC		$100.00
SM	HB POST-OP SHOE		$30.00
SM	HB POSTOP APP NON-WGT BEAR RGD ABV KNEE	L5460	$1630.00
SM	HB PREP ABV KNEE ISCHIAL SACH FT PREFAB	L5585	$8290.00
SM	HB PREP ABV KNEE ISCHIAL SACH FT THERMOPLS FORMED	L5570	$7720.00
SM	HB PREP AK ISCHIAL LAMINATED MOLD	L5590	$9600.00
SM	HB PREP AK ISCHIAL THERMO MOLD	L5580	$9370.00
SM	HB PREP BK PTB LAMINAT SCK MOLDED	L5540	$7220.00
SM	HB PREP BK PTB THERMPLASTC MOLDED	L5530	$6890.00
SM	HB PREP BLW KNEE PTB SACH FT PREFAB	L5535	$6770.00
SM	HB PREP BLW KNEE PTB SACH FT THERMOPLS MOLDED	L5520	$5740.00
SM	HB PREP ELBOW FAIR LEAD CBL CNTRL DIR FORMED	L6586	$5690.00
SM	HB PREP ELBOW FAIR LEAD CBL CNTRL MOLDED	L6584	$6690.00
SM	HB PREP HIP DISART SACH FT LAMINATED MOLDED	L5600	$17750.00
SM	HB PREP HIP DISART SACH FT THERMOPLS MOLDED	L5595	$16070.00
SM	HB PREP SHOULDER FAIR LEAD CBL CNTRL DIR FORMED	L6590	$8510.00
SM	HB PREP SHOULDER FAIR LEAD CBL CNTRL MOLDED	L6588	$9680.00
SM	HB PREP WRIST OR BLW ELBOW BOWDEN CBL CNTRL DIR FORMED	L6582	$4120.00
SM	HB PREP WRIST OR BLW ELBOW BOWDEN CBL CNTRL MOLDED	L6580	$5350.00
SM	HB PROBE ABLAT MICROWAVE MEDWAVE		$7000.00
SM	HB PROBE ABLATION NUWV HSMD COVD	C1886	$7000.00
SM	HB PROBE ABLATION ROBOTIC MAZE	C1886	$7000.00
SM	HB PROBE ABLATION CERTUS NEUWAVE		$5280.00
SM	HB PROBE ABLATION COOL-TIP COVD	C1886	$1580.00
SM	HB PROBE ABLATION MICROWAVE EMPRINT COVD	C1886	$8330.00
SM	HB PROBE ABLATION MICROWAVE LONG EMPRINT COVD	C1886	$9970.00
SM	HB PROBE ARTHRO CARE DISPOSABLE		$1100.00
SM	HB PROBE CAPSURE ARTHROCARE		$1160.00
SM	HB PROBE CATH CRYOSPRAY CSA THORATEC	C2618	$6600.00
SM	HB PROBE COAG ARGONBEAM DISP		$800.00
SM	HB PROBE COBLATOR EVAC70		$660.00
SM	HB PROBE COBLATOR REFLEX45		$450.00
SM	HB PROBE COBLATOR REFLEX55		$900.00
SM	HB PROBE COVAC +SUCTN DISP		$520.00
SM	HB PROBE CRYO 2.4MM	C2618	$790.00
SM	HB PROBE CRYO ACCUPROBE	C2618	$1720.00
SM	HB PROBE CRYO DISPERSIVE ELECTRODE	C2618	$500.00
SM	HB PROBE CRYO I-THAW GALIL	C2618	$3830.00
SM	HB PROBE CRYO ICEFORCE GALIL	C2618	$9300.00
SM	HB PROBE CRYO ICEPEARL GALIL	C2618	$9300.00
SM	HB PROBE CRYO ICEROD GALIL	C2618	$3830.00
SM	HB PROBE CRYO ICESEED GALIL	C2618	$3830.00
SM	HB PROBE CRYO ICESPHERE GALIL	C2618	$4400.00
SM	HB PROBE CRYO PERCRYO ENDOCARE	C2618	$3670.00
SM	HB PROBE CRYO RENAL 1.7 ENDOCARE	C2618	$3670.00
SM	HB PROBE CRYO RENAL 1.7 ENDOCARE	C2618	$3670.00
SM	HB PROBE CRYO RENAL ICE ENDOCARE	C2618	$5330.00
SM	HB PROBE CRYO RIGHT_ANGLE V-PROB ENDOCARE	C2618	$4000.00
SM	HB PROBE CRYO RITA DISPERSIVE	C2618	$4320.00
SM	HB PROBE CRYO SURGIFROST ATS MEDICAL	C2618	$6980.00
SM	HB PROBE CRYO TEMPPROBE ENDOCARE	C2618	$1810.00
SM	HB PROBE CRYO UROLOGY	C2618	$790.00
SM	HB PROBE ELECTR RF COOLTIP CLUSTR VALLEYLAB	C2618	$3650.00
SM	HB PROBE ELECTR RF COOLTIP SGL VALLEYLAB	C2618	$5700.00
SM	HB PROBE ELECTR RF COOLTIP2+CONTR VALLEYLAB	C2618	$9400.00
SM	HB PROBE ELECTR RF COOLTIP3+CONTR VALLEYLAB	C2618	$7980.00
SM	HB PROBE ENDOLASER DISPOSABLE		$470.00
SM	HB PROBE EVIDENT MICROWAVE ABLAT COVIDIEN		$5000.00
SM	HB PROBE LEVEEN NEEDLE RADFREQ ABLAT BSCI	C2618	$3600.00
SM	HB PROBE MAMMOTOME MULTIPROBE		$1050.00
SM	HB PROBE NANOKINFE BIPOLAR	C1886	$7000.00
SM	HB PROBE NANOKNIFE 15CM	C1886	$7000.00
SM	HB PROBE NANOKNIFE 25CM	C1886	$7000.00
SM	HB PROBE NEPHROSTM ULTRASOUND UT2	C2628	$640.00
SM	HB PROBE RF ABLAT KIT OSTEOCOOL DUAL MEDTRONIC		$15610.00
SM	HB PROBE RF ABLAT KIT OSTEOCOOL MEDTRONIC		$11660.00
SM	HB PROBE SABER ARTHROCARE		$940.00
SM	HB PROBE SPINEWAND ARTHROCARE	C2614	$8000.00
SM	HB PROBE THERMAL UROLOGY		$790.00
SM	HB PROBE TISS ABLATION EXTRAVASCULAR RADFREQ NEUROTHERM	C1886	$1670.00
SM	HB PROBE TISS ABLATION EXTRAVASCULAR VISUALASE	C1886	$48280.00
SM	HB PROBE TOPAZ ARTHROCARE		$1100.00
SM	HB PROBE US 11G		$930.00
SM	HB PROCESR ESPRIT 3G REPLAC	L8619	$19990.00
SM	HB PROCESR ESPRIT FREEDOM REPLAC	L8619	$22820.00
SM	HB PROCESR EXT BAHA REPLACEMENT	L8691	$11100.00
SM	HB PROCESR NUCLEUS5 REPLAC COCHAM	L8619	$26650.00
SM	HB PROCESR SPRINT NUCLEUS 3 REPLACEMENT	L8619	$19990.00
SM	HB PROPATEN HELEX ASD OCCLUDER GORE P050006	C1817	$18360.00
SM	HB PROS SOC INSERT GASKET/SEAL EA	L7700	$370.00
SM	HB PROSTH ABOV ELBO INTERNAL LOCK	L6250	$10720.00
SM	HB PROSTH ABOV HAND GLOV-PRODUCTN	L6890	$680.00
SM	HB PROSTH ABOV HAND GLOV-SPECIAL	L6895	$1670.00
SM	HB PROSTH AK 1AXIS FRICTN SACH FT	L5200	$12020.00
SM	HB PROSTH AK PROX FEM FOCAL DEFIC	L5230	$15190.00
SM	HB PROSTH AK SHORT NO KNEE JT W ARTIC AF	L5220	$11010.00
SM	HB PROSTH AK STUBBIES+FT BLOCK-EA	L5210	$8860.00
SM	HB PROSTH ANKL SYMES-ARTIC FOOT	L5060	$11030.00
SM	HB PROSTH ANKL SYMES-SACH FOOT	L5050	$7970.00
SM	HB PROSTH B-LO WRIST MYOELEC SET	L6935	$24130.00
SM	HB PROSTH BATTERY 6V-CHARGER BOCK	L7362	$770.00
SM	HB PROSTH BATTERY 6V-OTTO BOCK	L7360	$730.00
SM	HB PROSTH BK M-SCKT SHIN SACH FT	L5100	$8050.00
SM	HB PROSTH BK PLASTIC SCKT SACH FT	L5105	$13870.00
SM	HB PROSTH D-KNE EXTRNL JT SACH FT	L5150	$14020.00
SM	HB PROSTH D-KNEE BENT JNT SACH FT	L5160	$15250.00
SM	HB PROSTH D-WRIST SOCKET+INTERFAC	L6055	$9690.00
SM	HB PROSTH DEVICE REPR-LABOR/15MIN	L7520	$100.00
SM	HB PROSTH DEVICE REPR-LABOR/15MIN COCHLEAR	L7520	$20.00
SM	HB PROSTH DEVICE REPR-LABOR/HOUR	L7500	$390.00
SM	HB PROSTH DISARTIC HIP-CANADIAN	L5250	$20710.00
SM	HB PROSTH DONNING SLEEVE EA	L7600	$120.00
SM	HB PROSTH EARLY FIT-BK ADDL CAST	L5410	$1250.00
SM	HB PROSTH EARLY FIT-BK+CAST CHNG	L5400	$4750.00
SM	HB PROSTH EARLYFIT-AK/KD ADD CAST	L5430	$1690.00
SM	HB PROSTH EARLYFIT-AK/KD+CAST CHG	L5420	$6070.00
SM	HB PROSTH EARLYFIT-BK NONWT DRESS	L5450	$1220.00
SM	HB PROSTH ELBO FLXHING TRICEP PAD	L6100	$6290.00
SM	HB PROSTH ELBO HINGE HALF-CUFF	L6120	$9250.00
SM	HB PROSTH ELBO MOLD-SOCKET SUSPEN	L6110	$8150.00
SM	HB PROSTH ELBO OUTSIDE LOCK HINGE	L6200	$10890.00
SM	HB PROSTH ELBO PROPRTNCONTRL UTAH	L7274	$10990.00
SM	HB PROSTH ENDOSKEL AK SYSTEM	L5321	$13120.00
SM	HB PROSTH ENDOSKEL BK SYSTEM	L5301	$9130.00
SM	HB PROSTH ENDOSKEL D-HIP SYSTEM	L5331	$17440.00
SM	HB PROSTH ENDOSKEL D-KNEE SYSTEM	L5301	$9130.00
SM	HB PROSTH ENDOSKEL HEMPELVCT SYST	L5341	$20170.00
SM	HB PROSTH ENDSKL AE SCKT+SFT SHAP	L6500	$10260.00
SM	HB PROSTH ENDSKL BE SCKT+SFT SHAP	L6400	$9260.00
SM	HB PROSTH ENDSKL ED SCKT+SFT SHAP	L6450	$11290.00
SM	HB PROSTH ENDSKL INTERSCAP THORACIC SOCKET	L6570	$17470.00
SM	HB PROSTH ENDSKL SHLDR DISARTIC SOCKET	L6550	$15220.00
SM	HB PROSTH HAND TERM DEV-MICROPROC	L6882	$9110.00
SM	HB PROSTH HAND TERM DEVIC-AUTOGRP	L6881	$12020.00
SM	HB PROSTH HEMIPELVECTOMY-CANADIAN	L5280	$20330.00
SM	HB PROSTH INTERSCAP HUMERAL SECTN	L6350	$15520.00
SM	HB PROSTH IT PASSIV RESTOR COMPLT	L6360	$12710.00
SM	HB PROSTH IT PASSVRESTOR CAP ONLY	L6370	$8110.00
SM	HB PROSTH KNEE SYSTEM GENIUM OTTOBOCK	L5999	$117540.00
SM	HB PROSTH LITHIUM BATTERY CHARGER	L7368	$1480.00
SM	HB PROSTH LITHIUM ION BATTERY REPLACEMENT	L7367	$1140.00
SM	HB PROSTH MOD-AK ULTRALT MATERIAL	L5790	$2650.00
SM	HB PROSTH MOD-BK ULTRALT MATERIAL	L5785	$1640.00
SM	HB PROSTH P-FT SHOE INSRT L-ARCH	L5000	$1800.00
SM	HB PROSTH PARTIAL-FT ANKLE HEIGHT	L5010	$4040.00
SM	HB PROSTH PARTIAL-FT TIBIA HEIGHT	L5020	$7910.00
SM	HB PROSTH PREHENSILE ACTUATOR SWITCH CONTROLLED	L7040	$8440.00
SM	HB PROSTH REPLAC AK PROTECT COVER	L5705	$3000.00
SM	HB PROSTH REPLAC AK/KD SCKT/PLATE	L5701	$13570.00
SM	HB PROSTH REPLAC BK SOCKET MOLDED	L5700	$10930.00
SM	HB PROSTH REPLAC HD PROTECT COVER	L5707	$4220.00
SM	HB PROSTH REPLAC KD PROTECT COVER	L5706	$2970.00
SM	HB PROSTH REPLC BK PROTECT COVER	L5704	$1830.00
SM	HB PROSTH REPLC HD SCKT+HIPMOLDED	L5702	$17340.00
SM	HB PROSTH SD HUMERAL SOCKED SECTN	L6300	$14870.00
SM	HB PROSTH SD PASSIV RESTOR COMPLT	L6310	$12110.00
SM	HB PROSTH SD PASSVRESTOR CAP ONLY	L6320	$6820.00
SM	HB PROSTH SHEATH ABOVE KNEE EACH	L8410	$80.00
SM	HB PROSTH SHEATH BELOW KNEE-EA	L8400	$60.00
SM	HB PROSTH SHEATH BK/AK+GEL CUSHN	L8417	$220.00
SM	HB PROSTH SHEATH UPPER LIMB EA	L8415	$70.00
SM	HB PROSTH SHRINKER ABOVE KNEE-EA	L8460	$270.00
SM	HB PROSTH SHRINKER BELOW KNEE-EA	L8440	$170.00
SM	HB PROSTH SHRINKER UPPER LIMB EA	L8465	$150.00
SM	HB PROSTH SOCK MULTIPLE PLY AK EA	L8430	$80.00
SM	HB PROSTH SOCK MULTIPLE PLY BK EA	L8420	$80.00
SM	HB PROSTH SOCK MULTIPLE PLY UPPER LMB	L8435	$80.00
SM	HB PROSTH SOCK SGL PLY ABOVE KNEE	L8480	$30.00
SM	HB PROSTH SOCK SGL PLY BELOW KNEE	L8470	$30.00
SM	HB PROSTH SOCK SGL PLY FIT UPPER LMB	L8485	$40.00
SM	HB PROSTH WRST FLXHING TRICEP PAD	L6050	$7560.00
SM	HB PROSTHETIC SOCK/SH ADD AIR SEA		$250.00
SM	HB PRSTH AD LOWER LIMB PROSTH MULTIAX ANKLE SWING PHASE+DORSI KINTERRA	L5968	$10680.00
SM	HB PRSTH AD LOWER LIMB PROSTH MULTIAXIAL ANKLE SWING PHASE+DORSIFLEX	L5968	$10680.00
SM	HB PRSTH ADD LE BELOW KNEE HI DEFN SILICONE COSMESIS	L2999	$28310.00
SM	HB PRSTH ADD LE ORTHOSIS HI STRENGTH LITEWT HYBRID COMPOSITE/SEG CUST	L2755	$380.00
SM	HB PRSTH ADD LE PARTIAL FOOT HI DEFN SILICONE CUSTOM	L2999	$28310.00
SM	HB PRSTH ADD LE THIGH/WEIGHT-BEAR QUADRILAT BRIM MOLDED PATIENT MODEL	L2510	$2720.00
SM	HB PRSTH ADD UE ABOVE ELBOW DISARTICULATION ACRYLIC MATL	L7404	$1630.00
SM	HB PRSTH ADD UE ABOVE ELBOW DISARTICULATION ULTRALIGHT L	L7401	$1010.00
SM	HB PRSTH ADD UE ABOVE ELBOW/WRIST DISARTICULATION ACRYLIC MATERIAL	L7403	$1080.00
SM	HB PRSTH ADD UE BELOW ELBOW/WRIST DISARTRICULATION ULTRALIGHT MATERIAL	L7400	$900.00
SM	HB PRSTH ADD UE EXTENDED WARRANTY	L7499	$6800.00
SM	HB PRSTH ADD UE FLEX/EXT WRIST USE WITH EXT POWERED TERM DEVICE	L6621	$6720.00
SM	HB PRSTH ADD UE LOCKING ELBOW FOREARM COUNTERBALANCE	L6693	$8340.00
SM	HB PRSTH ADD UE MOTORIZED ROTATING THUMB 110DEGREE ROTATION	L7499	$11500.00
SM	HB PRSTH ADD UE QUICK DISCONNECT HOOK ADAPTOR OTO BOCK L	L6628	$1430.00
SM	HB PRSTH ADD UE QUICK DISCONNECT LAMINAT COLLAR+COUPLING OTTOBOCK/EQUV	L6629	$520.00
SM	HB PRSTH ADD UE REFER L7274 PROPORTIONAL CONTROL 6-12VOLT UTAH/EQUIV	L7499	$6900.00
SM	HB PRSTH ADD UE TERMINAL DEVC USER ACTIVATE GRIP CONTROL PULSE MODULAT	L7499	$4700.00
SM	HB PRSTH ADD UE TERMINAL DEVC USER ACTIVATE GRIP VARIABLE	L7499	$4700.00
SM	HB PRSTH AE EXTERNAL POWER SYST MYOELECTRONIC CONTROL TE	L6955	$35760.00
SM	HB PRSTH CUSTOM ABOVE ELBOW PROECTOR SILICONE COVER	L7499	$12400.00
SM	HB PRSTH ELECTR HAND SWITCH/MYOELECTR CONTROL INDEP ARTIC DIGITS+MOTOR	L6880	$70220.00
SM	HB PRSTH FOOT OSSUR PRO-FLEX PIVOT	L5999	$31380.00
SM	HB PRSTH HAND INTEGRATED SYSTEM MICHELANGELO AXON BUS EC	L7499	$55000.00
SM	HB PRSTH HAND INTEGRATED SYSTEM MICHELANGELO AXON BUS ELECTR OTTOBOCK	L7499	$81060.00
SM	HB PRSTH WRST D-ARTC E-PWR MYOELC	L6925	$25480.00
SM	HB PRSTHADD-AK 4BAR PNEUM CONTR	L5614	$4960.00
SM	HB PRSTHADD-AK FLEX SOCKT EXFRM	L5651	$3600.00
SM	HB PRSTHADD-AK MLTPLX FRCTNCONT	L5616	$4230.00
SM	HB PRSTHADD-AK PELVCNTR NEOPREN	L5695	$650.00
SM	HB PRSTHADD-AK PELVIC BELT LIGH	L5692	$530.00
SM	HB PRSTHADD-AK PELVIC BELT PAD	L5694	$720.00
SM	HB PRSTHADD-AK PELVIC JOINT-HIP	L5696	$740.00
SM	HB PRSTHADD-AK PELVICBAND METAL	L5697	$320.00
SM	HB PRSTHADD-AK SILESIAN BANDAGE	L5698	$410.00
SM	HB PRSTHADD-AK SOCKT INSRT SILC		$1140.00
SM	HB PRSTHADD-AK SOCKT INSRT SOFT	L5658	$1130.00
SM	HB PRSTHADD-AK TEST SOCKET	L5624	$1240.00
SM	HB PRSTHADD-AK/BK QUICK CHNG UN	L5617	$1640.00
SM	HB PRSTHADD-AK/KD ACRYLIC SOCKT	L5631	$1320.00
SM	HB PRSTHADD-AK/KD SCTN SUSP SCKT	L5652	$1310.00
SM	HB PRSTHADD-AK/KD TOTAL CONTACT	L5650	$1950.00
SM	HB PRSTHADD-AK/KD4BAR HYDR-CONT	L5613	$9780.00
SM	HB PRSTHADD-AK/KD4BARFRCTNCONTR	L5611	$5930.00
SM	HB PRSTHADD-ARM HARNESS-FIG 8 D	L6676	$480.00
SM	HB PRSTHADD-ARM HARNESS-FIG 8 S	L6675	$460.00
SM	HB PRSTHADD-ARM-ADDL DISCNCT LOCWRST	L6616	$190.00
SM	HB PRSTHADD-ARM-CONTROL X-CABLE	L6655	$300.00
SM	HB PRSTHADD-ARM-DISCNCT LOCWRST	L6615	$550.00
SM	HB PRSTHADD-ARM-PLYCNTRC HNG/PR	L6600	$750.00
SM	HB PRSTHADD-ARM-SGL PIVOTHNG/PR	L6605	$740.00
SM	HB PRSTHADD-BE/D-WRST FRAM SCKT	L6687	$1750.00
SM	HB PRSTHADD-BK ACRYLIC/EPOXY	L5629	$950.00
SM	HB PRSTHADD-BK FLEX INNER SOCKT	L5645	$2700.00
SM	HB PRSTHADD-BK FORK STRAP	L5684	$190.00
SM	HB PRSTHADD-BK GLUT THGH LACER	L5682	$2500.00
SM	HB PRSTHADD-BK JOINT COVERS/PR	L5678	$160.00
SM	HB PRSTHADD-BK KNE JT SGL AX/PR	L5676	$1450.00
SM	HB PRSTHADD-BK MOLD DISTL CUSHN	L5668	$400.00
SM	HB PRSTHADD-BK POLYCENTR KNE/PR	L5677	$1970.00
SM	HB PRSTHADD-BK REMOVBL MED BRIM	L5672	$940.00
SM	HB PRSTHADD-BK SCKT INSRT CUFF	L5666	$280.00
SM	HB PRSTHADD-BK SCKTINSRT MLTDUR	L5665	$2040.00
SM	HB PRSTHADD-BK SOCKT INSRT SILC		$1780.00
SM	HB PRSTHADD-BK SOFT LINR KEMBLO	L5655	$1060.00
SM	HB PRSTHADD-BK SUCTION SOCKET	L5647	$3180.00
SM	HB PRSTHADD-BK SUPRACONDYL SUSP	L5670	$1080.00
SM	HB PRSTHADD-BK SUSPENSN SLEEVE		$140.00
SM	HB PRSTHADD-BK TEST SOCKET	L5620	$880.00
SM	HB PRSTHADD-BK TOTAL CONTACT	L5637	$1150.00
SM	HB PRSTHADD-BK WAIST BELT PAD	L5690	$390.00
SM	HB PRSTHADD-BK/AK SUSPENS LOCK	L5671	$1990.00
SM	HB PRSTHADD-CHEST/SHLDR HARNESS	L6672	$670.00
SM	HB PRSTHADD-D-ELBO/AE FRAM SCKT	L6688	$1890.00
SM	HB PRSTHADD-D-ELBO/AE TEST SCKT	L6682	$920.00
SM	HB PRSTHADD-D-SHLDR FRAME SCKT	L6689	$2160.00
SM	HB PRSTHADD-D-SHLDR/IT TEST SCK	L6684	$1390.00
SM	HB PRSTHADD-D-WRST/BE TEST SCKT	L6680	$930.00
SM	HB PRSTHADD-ELECT VARI POS LOCK	L5999	$1600.00
SM	HB PRSTHADD-EXSKL-LE AX ROTAT UN	L5982	$2310.00
SM	HB PRSTHADD-FOOT FLEXIBLE KEEL	L5972	$1410.00
SM	HB PRSTHADD-FOOT SGL AXIS ANKLE	L5974	$930.00
SM	HB PRSTHADD-FOOT SHANK SYSTEM	L5987	$21140.00
SM	HB PRSTHADD-FT COMBO ANKL+KEEL	L5975	$1360.00
SM	HB PRSTHADD-FT MULTAX ANK+DYN1PC	L5979	$9020.00
SM	HB PRSTHADD-FT MULTAXIAL ANKL/FT	L5978	$1160.00
SM	HB PRSTHADD-FT SEATTL ENERGY STO	L5976	$2240.00
SM	HB PRSTHADD-HD FLEX SOCKT EXFRAM	L5643	$4660.00
SM	HB PRSTHADD-HEMIPELVCTM TESTSCKT	L5628	$1450.00
SM	HB PRSTHADD-HIP DISARTC TESTSCKT	L5626	$1640.00
SM	HB PRSTHADD-HOOK-HND CABL ADAPT	L6670	$190.00
SM	HB PRSTHADD-INTERSCAP FRAM SCKT	L6690	$2500.00
SM	HB PRSTHADD-KD SOCKT INSRT SILC		$1300.00
SM	HB PRSTHADD-KD SOFT LINR KEMBLO	L5656	$1480.00
SM	HB PRSTHADD-KNE DISARTC TESTSCKT	L5622	$1130.00
SM	HB PRSTHADD-LE BK SUSPN/SEAL SLV	L5685	$380.00
SM	HB PRSTHADD-LE CUST INSRT CNG/ATY	L5681	$3870.00
SM	HB PRSTHADD-LE CUST INSRT LCKMECH	L5673	$2350.00
SM	HB PRSTHADD-LE CUST INSRT OTHER	L5683	$3870.00
SM	HB PRSTHADD-LE CUST INSRT WO LOCK	L5679	$1950.00
SM	HB PRSTHADD-LE FOOT FLEX SYSTEM	L5980	$12640.00
SM	HB PRSTHADD-LE ISCHIAL M-L SCKT	L5649	$5740.00
SM	HB PRSTHADD-LE MULTIAX ROTAT UN	L5986	$2530.00
SM	HB PRSTHADD-LE SYMES MEDIAL SCKT	L5636	$760.00
SM	HB PRSTHADD-LE SYMES PTB BRMSCKT	L5632	$710.00
SM	HB PRSTHADD-LE TEST SOCKT SYMES	L5618	$860.00
SM	HB PRSTHADD-LE WALK FLEX SYSTEM	L5981	$9810.00
SM	HB PRSTHADD-LE WALL SOCKET SYMES	L5630	$1650.00
SM	HB PRSTHADD-LO EXTR ADJ HEEL HGT	L5990	$5330.00
SM	HB PRSTHADD-LO LIMB VACUUM PUMP	L5781	$11760.00
SM	HB PRSTHADD-LO LIMB+V-SHCK REDUC	L5988	$5870.00
SM	HB PRSTHADD-SHLDR FLX-ABD JT/EA	L6645	$1270.00
SM	HB PRSTHADD-UE AE/BE LCK MEC EXCL SCKT INS	L6698	$1990.00
SM	HB PRSTHADD-UE CABL LINING TEFLN	L6665	$150.00
SM	HB PRSTHADD-UE HEAVY DUTY CABLE	L6660	$370.00
SM	HB PRSTHADD-UE REMOVBL INSRT EA	L6691	$1380.00
SM	HB PRSTHADD-UE SILICON INSRT EA	L6692	$2230.00
SM	HB PRSTHADD-UE SUCTION SOCKET	L6686	$2360.00
SM	HB PRSTHADENDSKL-AK MANL LOCK	L5925	$1310.00
SM	HB PRSTHADENDSKL-AK PROT COVR	L5964	$3380.00
SM	HB PRSTHADENDSKL-AK TITANIUM	L5950	$2330.00
SM	HB PRSTHADENDSKL-AK/HD ALGN SYST	L5920	$1590.00
SM	HB PRSTHADENDSKL-AK/HD KNE-ASST	L5850	$380.00
SM	HB PRSTHADENDSKL-BK ALIGN SYST	L5910	$1080.00
SM	HB PRSTHADENDSKL-BK PROT COVR	L5962	$2350.00
SM	HB PRSTHADENDSKL-BK TITANIUM	L5940	$1600.00
SM	HB PRSTHADENDSKL-FT KEEL SACH	L5970	$760.00
SM	HB PRSTHADENDSKL-HD MECH HIPASST	L5855	$1230.00
SM	HB PRSTHADENDSKL-HD PROT COVR	L5966	$4380.00
SM	HB PRSTHADENDSKL-HD ULTRALT	L5960	$2890.00
SM	HB PRSTHADENDSKL-HI ACT KNE CONTR	L5930	$9890.00
SM	HB PRSTHADENDSKL-KS 1AX MANUAL	L5810	$1940.00
SM	HB PRSTHADENDSKL-KS 4BAR LINK	L5840	$12080.00
SM	HB PRSTHADENDSKL-KS ADJ FLEX	L5845	$5270.00
SM	HB PRSTHADENDSKL-KS FLUID SW&ST	L5828	$10950.00
SM	HB PRSTHADENDSKL-KS FLUID SWING	L5824	$6120.00
SM	HB PRSTHADENDSKL-KS FRICT SW&ST	L5818	$3830.00
SM	HB PRSTHADENDSKL-KS HYDRL MINI	L5826	$9180.00
SM	HB PRSTHADENDSKL-KS MCRPRC SW	L5857	$25040.00
SM	HB PRSTHADENDSKL-KS MCRPRC SW&ST	L5856	$70560.00
SM	HB PRSTHADENDSKL-KS PNEUM SW&ST	L5822	$5100.00
SM	HB PRSTHADENDSKL-KS PNEUM SWING	L5830	$7570.00
SM	HB PRSTHADENDSKL-KS POLYC HYDR	L5814	$10920.00
SM	HB PRSTHADENDSKL-KS POLYC SYST	L5816	$3390.00
SM	HB PRSTHADENDSKL-KS SAFTYKNEE	L5812	$2260.00
SM	HB PRSTHADENDSKL-KS STANCE EXT	L5848	$3160.00
SM	HB PRSTHADENDSKL-KS U-LT MANL	L5811	$2910.00
SM	HB PRSTHADENDSKL-KS VARIFRCTN	L5714	$1490.00
SM	HB PRSTHADENDSKL-LE AX ROTAT UN	L5984	$2270.00
SM	HB PRSTHADENDSKL-LE DYNAM PYLON	L5985	$830.00
SM	HB PUMP ANGIOJET THROMBOLYSIS POSSIS		$750.00
SM	HB PUMP MITYVAC		$330.00
SM	HB PUMP PAIN ON-Q 12.5 4ML/HR DISPOSABLE		$1270.00
SM	HB PUMP PAIN ON-Q 6.5 2ML/HR DISPOSABLE		$620.00
SM	HB PUMP PAIN ON-Q 6.5 4ML/HR DISPOSABLE		$830.00
SM	HB PUMP SET POSSIE		$1430.00
SM	HB PVAD PERCUTAN VAD TANDEMHEART SYSTEM		$33000.00
SM	HB REFILL KIT FOR IMPLANT INFUSION PUMP	A4220	$70.00
SM	HB REFILL KIT FOR IMPLANT INFUSION PUMP	A4220	$70.00
SM	HB REPLC SOCKET ABV ELBOW/ELBOW DISART MOLDED	L6884	$8910.00
SM	HB REPLC SOCKET BLW ELBOW/WRIST DISART MOLDED	L6883	$5150.00
SM	HB REPLC SOCKET SHOULDER DISART/INTERSCAP THORACIC MOLDED	L6885	$12710.00
SM	HB REPR PNEUM ANKL SPLNT PRFB+FIT	L4350	$330.00
SM	HB REPR PNEUM LEG SPLNT PREFB+FIT	L4370	$530.00
SM	HB REPR PNEUM WALK SPLNT PRFB+FIT	L4360	$910.00
SM	HB REPR STATIC AFO POSITION/PRESS	L4396	$480.00
SM	HB REPR WALK BOOT NONPNEUM PREFB	L4386	$470.00
SM	HB RETRIEVER 4X15MM SOLITAIRE		$21730.00
SM	HB RETRIEVER 4X20MM SOLITAIRE		$21730.00
SM	HB RETRIEVER 6X20MM SOLITAIRE		$21730.00
SM	HB RETRIEVER CLOT CAPTURE LP EV3 COVD		$22850.00
SM	HB ROTALINK ATHERECTOMY ADVANCER	C1894	$670.00
SM	HB ROTALINK ATHERECTOMY CATH BURR	C1724	$3650.00
SM	HB SASK ADD-ANKL TORSCONTR+STIRUP	L2375	$420.00
SM	HB SASK ADD-BAR ABDUCTN JOINTED ADJ	L2300	$1010.00
SM	HB SASK ADD-DORSASSIST&PLNTRESIST	L2210	$250.00
SM	HB SASK ADD-FT PLATE MOLD+STIRRUP	L2250	$1330.00
SM	HB SASK ADD-KNE OFFSET HVYDUTY/JT	L2395	$540.00
SM	HB SASK ADD-KNEE STRAIT HEAVYDUTY	L2385	$500.00
SM	HB SASK ADD-PRETIBIAL SHELL MOLD	L2340	$1670.00
SM	HB SASK ADD-SOLID REINFOR STIRRUP	L2260	$750.00
SM	HB SASK ADD-VAR/VALGU PLASTIC+PAD	L2275	$440.00
SM	HB SASKADD-DORS&PLNT ADJ ANKL JNT	L2220	$310.00
SM	HB SASKADD-VAR/VALGUS T-STRAP+PAD	L2270	$200.00
SM	HB SCREW HEAD RING EACH RADIONICS		$700.00
SM	HB SELECTRA LEAD DELIVERY SYSTEM ACCESSORY KIT BTNK		$420.00
SM	HB SEPTAL OCCLUDER CARDIOFORM ASD GORE	C1817	$26340.00
SM	HB SEPTAL OCCLUDER CARDIOFORM GORE P050006	C1817	$23300.00
SM	HB SET MICROPUNCTURE 4F STIFF		$140.00
SM	HB SET PUMP ANGIOJET DISPOSABLE		$750.00
SM	HB SEWHO ABD AIRPLANE PREFAB+FIT	L3960	$2690.00
SM	HB SHEATH NAVIGATOR URETERAL ACCESS SET		$500.00
SM	HB SHEATH CHECK FLO		$200.00
SM	HB SHEATH CV COOK		$60.00
SM	HB SHEATH FIXCURVE 8.5FR NAVIEASE SYNAPTIC	C1893	$1910.00
SM	HB SHEATH GUIDE CPS OTHERTHAN PEEL STJUDE	C1893	$2090.00
SM	HB SHEATH GUIDE CPS PEELAWAY STJUDE	C1892	$2090.00
SM	HB SHEATH GUIDE PEELAWAY	C1892	$140.00
SM	HB SHEATH GUIDE PEELAWAY ALLIANCE STJUDE	C1892	$2100.00
SM	HB SHEATH GUIDE PEELAWAY APEEL STJUDE	C1892	$1580.00
SM	HB SHEATH GUIDE PEELAWAY BANANA PEEL BSCI	C1892	$360.00
SM	HB SHEATH GUIDE PEELAWAY INPUT BARD	C1892	$200.00
SM	HB SHEATH GUIDE PEELAWAY ONE STEP ARGON	C1892	$200.00
SM	HB SHEATH GUIDE PEELAWAY SEALAWAY STJUDE	C1892	$290.00
SM	HB SHEATH GUIDE PEELAWAY STJUDE	C1892	$170.00
SM	HB SHEATH GUIDE RAABE HAUSDORF COOK		$400.00
SM	HB SHEATH GUIDE SAFESHEATH OTHER ST JUDE	C1893	$290.00
SM	HB SHEATH GUIDE SAFESHEATH PEELAWAY PRESPRD	C1892	$500.00
SM	HB SHEATH GUIDE SAFESHEATH PEELAWAY ST JUDE	C1892	$900.00
SM	HB SHEATH GUIDE SSV PEELAWAY BARD	C1892	$200.00
SM	HB SHEATH GUIDE TRANSSEPTAL NRG BAYLIS	C1892	$2130.00
SM	HB SHEATH INTRDCR ACCESS SET NEFF COOK		$290.00
SM	HB SHEATH INTRDCR AMPLATZ	C1894	$30.00
SM	HB SHEATH INTRDCR APRIMA COOK	C1894	$260.00
SM	HB SHEATH INTRDCR AVANTI +GW CORDIS	C1894	$100.00
SM	HB SHEATH INTRDCR AVANTI WO GW CORDIS	C1894	$200.00
SM	HB SHEATH INTRDCR AXERA 280 ARST	C1760	$680.00
SM	HB SHEATH INTRDCR AXS INFINITY STRY	C1894	$1480.00
SM	HB SHEATH INTRDCR BALKAN CONTRALATERAL COOK	C1894	$190.00
SM	HB SHEATH INTRDCR BANANAPEEL BSCI	C1894	$150.00
SM	HB SHEATH INTRDCR BP SENSING KIT ENDOPHYS		$2660.00
SM	HB SHEATH INTRDCR CHECK-FLO PERFORMER COOK	C1894	$410.00
SM	HB SHEATH INTRDCR CHECKFLO COOK	C1894	$400.00
SM	HB SHEATH INTRDCR CLOTTRIEVER INARI	C1894	$5000.00
SM	HB SHEATH INTRDCR COOK-Z STENT COOK	C1894	$700.00
SM	HB SHEATH INTRDCR CV BALKIN COOK	C1894	$190.00
SM	HB SHEATH INTRDCR CV DIAG 5F-11F	C1894	$200.00
SM	HB SHEATH INTRDCR CV SUPERFLEX ARROW	C1894	$500.00
SM	HB SHEATH INTRDCR CV SUPERFLX 8F	C1894	$150.00
SM	HB SHEATH INTRDCR DAIG STJUDE	C1894	$500.00
SM	HB SHEATH INTRDCR DIAG 23CM	C1894	$80.00
SM	HB SHEATH INTRDCR DIAG CORDIS	C1894	$120.00
SM	HB SHEATH INTRDCR DIAG DILATOR	C1894	$60.00
SM	HB SHEATH INTRDCR DIAG EPS INTRACARD TRIO	C1894	$300.00
SM	HB SHEATH INTRDCR DIAG FASTCATH STJUDE	C1894	$700.00
SM	HB SHEATH INTRDCR DIAG MAXIMUM STJUDE	C1894	$290.00
SM	HB SHEATH INTRDCR DIAG MICROPUNCTURE COOK	C1894	$130.00
SM	HB SHEATH INTRDCR DIAG OBTURATOR	C1894	$80.00
SM	HB SHEATH INTRDCR DIAG SUPER ARROW 11CM	C1894	$70.00
SM	HB SHEATH INTRDCR DIAG SUPER ARROW 24CM	C1894	$150.00
SM	HB SHEATH INTRDCR DIAG SUPER ARROW 45CM	C1894	$100.00
SM	HB SHEATH INTRDCR DIAG SUPER ARROW 80CM	C1894	$190.00
SM	HB SHEATH INTRDCR DRYSEAL FLEX TAA AAA GORE	C1894	$1950.00
SM	HB SHEATH INTRDCR DRYSEAL TAA TAG GORE	C1894	$1200.00
SM	HB SHEATH INTRDCR DVILL BRAUN	C1894	$760.00
SM	HB SHEATH INTRDCR EDWARDS	C1894	$130.00
SM	HB SHEATH INTRDCR EDWARDS OTH THAN GUID/EP NONLASER	C1894	$400.00
SM	HB SHEATH INTRDCR ELITE HV GALT COMED	C1894	$157.00
SM	HB SHEATH INTRDCR ENGAGE 12CM STJUDE	C1894	$30.00
SM	HB SHEATH INTRDCR ENGAGE 24CM STJUDE	C1894	$70.00
SM	HB SHEATH INTRDCR EXLARGE CHECK-FLO PERFORMER COOK	C1894	$1090.00
SM	HB SHEATH INTRDCR FASTCATH 2PC STEER STJUDE	C1766	$540.00
SM	HB SHEATH INTRDCR FLEXOR RAABE COOK	C1894	$130.00
SM	HB SHEATH INTRDCR FLEXOR SHUTTLE SL COOK	C1894	$380.00
SM	HB SHEATH INTRDCR GLIDE NITINOL BSCI	C1894	$170.00
SM	HB SHEATH INTRDCR GLIDESHEATH SLENDER TERUMO	C1894	$230.00
SM	HB SHEATH INTRDCR HIFLO + GUIDEWIRE TERUMO	C1894	$80.00
SM	HB SHEATH INTRDCR HIFLO ANGIODYNAMICS	C1894	$90.00
SM	HB SHEATH INTRDCR HIFLO WO GUIDEWIRE TERUMO	C1894	$110.00
SM	HB SHEATH INTRDCR LEAD CRT DELIV BIOTRONIK	C1894	$2670.00
SM	HB SHEATH INTRDCR MICROEZ BARD	C1894	$120.00
SM	HB SHEATH INTRDCR MICROEZ BARD OTH THAN GUID/EP NONLASER	C1894	$120.00
SM	HB SHEATH INTRDCR OTH	C1894	$40.00
SM	HB SHEATH INTRDCR PERFORMER COOK	C1894	$300.00
SM	HB SHEATH INTRDCR PERFORMER MULLINS COOK	C1894	$340.00
SM	HB SHEATH INTRDCR PINNACLE RO HI TERU BSCI	C1894	$800.00
SM	HB SHEATH INTRDCR PINNACLE RO II TERU BSCI	C1894	$700.00
SM	HB SHEATH INTRDCR PINNACLE TERUMO BSCI	C1894	$40.00
SM	HB SHEATH INTRDCR POWERLOC BARD	C1894	$40.00
SM	HB SHEATH INTRDCR PRELUDE EASE OTH THAN GUID/EP NONLASER MERT	C1894	$150.00
SM	HB SHEATH INTRDCR PRELUDEIDEAL MERT	C1894	$170.00
SM	HB SHEATH INTRDCR PRELUDESNAP MERIT	C1894	$100.00
SM	HB SHEATH INTRDCR R2P DESTINATION SLENDER TERUMO	C1894	$1490.00
SM	HB SHEATH INTRDCR RADIOFOCUS TERU	C1894	$200.00
SM	HB SHEATH INTRDCR RENAL PINNACLE DEST BSCI	C1894	$300.00
SM	HB SHEATH INTRDCR SAFESHEATH II PEELAWAY BIOTRONIK	C1892	$220.00
SM	HB SHEATH INTRDCR SET TIPS GORE	C1894	$1580.00
SM	HB SHEATH INTRDCR SHUTTLE FLEXOR SELCT COOK	C1894	$700.00
SM	HB SHEATH INTRDCR SUPER SHEATH BSCI	C1894	$330.00
SM	HB SHEATH INTRDCR TAA AAA POWERLINK ENGX	C1894	$2500.00
SM	HB SHEATH INTRDCR TAA TAG GORE	C1894	$1050.00
SM	HB SHEATH INTRDCR TIPS GORE	C1894	$1050.00
SM	HB SHEATH INTRDCR TRIFORCE PREI COOK	C1894	$1080.00
SM	HB SHEATH INTRDCR WATCHMAN TRUSEAL BSCI	C1894	$4660.00
SM	HB SHEATH INTRDCR WORLEY ADV CSG MERIT	C1892	$1120.00
SM	HB SHEATH INTRDCR WORLEY ADV LVI MERIT	C1892	$1230.00
SM	HB SHEATH INTRODUCER BRITE TIP CORDIS	C1893	$340.00
SM	HB SHEATH INTRODUCER CARD DIAG		$50.00
SM	HB SHEATH INTRODUCER SUPER SHEATH PED PEDIAVASCULAR	C1894	$840.00
SM	HB SHEATH RETRIEVAL BENT TIP BOSTON SCI		$250.00
SM	HB SHEATH URETERAL ACCESS FORTE		$310.00
SM	HB SHIELD INTRDCR PERFORMER RADIOPAQUE TIP COOK	C1894	$310.00
SM	HB SHOE ADD-ORTHOPED VELCRO CLOS	L3580	$190.00
SM	HB SHOE ADDITION FULL SOLE	L3540	$150.00
SM	HB SHOE DEPTH INLAY CUSTOM	L3230	$640.00
SM	HB SHOE FULL SOLE HEEL WEDGE BETWEEN	L3420	$160.00
SM	HB SHOE LIFT HEEL TAPER TO METATARSAL	L3300	$150.00
SM	HB SHOE METATARSAL BAR WEDGE BETWEEN	L3410	$270.00
SM	HB SHOE MOD ADD TRANS NOS	L3649	$120.00
SM	HB SHOE MODIF-CLUBFOOT WEDGE	L3380	$150.00
SM	HB SHOE MODIF-HEEL NEW RUBBER	L3460	$100.00
SM	HB SHOE MODIF-HEEL SACH CUSHION	L3450	$310.00
SM	HB SHOE MODIF-HEEL&SOLE NEOPRN/IN	L3310	$240.00
SM	HB SHOE MODIF-LIFT HEEL PER INCH	L3334	$110.00
SM	HB SHOE MODIF-LIFT TAPER UPTO 1/2	L3332	$220.00
SM	HB SHOE MODIF-M-TARS BAR WDG RCKR	L3400	$120.00
SM	HB SHOE MODIF-WEDGE HEEL	L3350	$70.00
SM	HB SHOE MODIF-WEDGE SOLE OUTSIDE	L3360	$100.00
SM	HB SHOE ORTH INSRT-LONG ARCH SUPP	L3010	$510.00
SM	HB SHOE ORTH INSRT-PLASTOZOTE EA	L3002	$470.00
SM	HB SHOE ORTH INSRT-UCB MOLDED EA	L3000	$920.00
SM	HB SHOE ORTH INSRT/PLATE-FT REMOV	L3031	$360.00
SM	HB SHOE ORTH-INDEPTH LADIES	L3216	$150.00
SM	HB SHOE ORTH-INDEPTH MENS	L3221	$150.00
SM	HB SHOE ORTH-PLASTOZOTE CUST EA	L3253	$180.00
SM	HB SHOE ORTHO MAN OXFORD BRACE	L3225	$250.00
SM	HB SHOE ORTHO WOMAN OXFORD BRACE	L3224	$220.00
SM	HB SHOE ORTHO-LADIES OXFORD	L3215	$85.00
SM	HB SHOE ORTHO-MENS OXFORD	L3219	$85.00
SM	HB SHOE ORTHOPEDIC WOMEN		$20.00
SM	HB SHOE OUTFLARE WEDGE	L3390	$150.00
SM	HB SHOE SOLE WEDGE BETWEEN SOLE	L3370	$150.00
SM	HB SHOULDER DISART EXT POWER MYOELECTRONIC CONTROL	L6965	$44420.00
SM	HB SHOULDER DISART EXT POWER SWITCH CONTROL	L6960	$38260.00
SM	HB SHUNT FLO-COIL CTS GUIDANT ACS		$320.00
SM	HB SHUNT INTRAVASC ANASTAFLO EDWARDS BAXTER		$1400.00
SM	HB SLEEP LAB CPAP EXTERNAL POWER SUPPLY RESPIRONICS		$100.00
SM	HB SLEEP LAB CPAP HEADGEAR CLIPS RESPIRONICS		$20.00
SM	HB SLEEP LAB CPAP POWER CORD RESPIRONICS		$30.00
SM	HB SLEEP LAB CPAP TRAVEL BAG RESPIRONICS		$100.00
SM	HB SLEEP LAB CPAP/BIPAP FLEECE TUBING WARP RESPIRONICS		$30.00
SM	HB SLEEVE SWAN		$100.00
SM	HB SLEEVE SWAN 406501		$20.00
SM	HB SLING ARM		$10.00
SM	HB SLING ARM +IMMOBILIZER		$30.00
SM	HB SLING KNEE KODEL		$30.00
SM	HB SLING LEG		$170.00
SM	HB SLING POLYESTER		$330.00
SM	HB SNARE AMPLATZ MICRO RETRIEVE DEVICE	C1773	$2730.00
SM	HB SNARE AMPLATZ RETRIEVE MEDICAL DEVICE	C1773	$1670.00
SM	HB SNARE POLYPECTOMY MINI OVAL		$200.00
SM	HB SNARE TARGET		$620.00
SM	HB SO FIGURE8 ABDUCTN PREFAB+FIT	L3650	$220.00
SM	HB SO FLEX+PELV/SACR SUPP PREFAB OTS	L0621	$350.00
SM	HB SO RIG PELV/SACR SUPP PREFAB OTS	L0623	$520.00
SM	HB SO SHLDR SGL ELASTIC PREFB+FIT		$100.00
SM	HB SO SHOULDER DESIGN WITHOUT JOINT CUSTOM	L3670	$410.00
SM	HB SO SPINE ADD-PROTCT BODSOCK EA	L0984	$190.00
SM	HB SO STABIL HARD PLAST PREFB+FIT		$670.00
SM	HB SO TLSO A-P-L +INTERFACE NOT OTH SPEC	L1499	$2400.00
SM	HB SOFT PROTECT HELMET PREFAB	A8000	$530.00
SM	HB SOLARA CRT-P MRI SURESCAN NONQUAD PMA P010015 S317	C2621	$23310.00
SM	HB SOLARA CRT-P MRI SURESCAN QUAD PMA P010015 S317	C2621	$24980.00
SM	HB SPIRATION IBV VALVE HDE H060002		$9160.00
SM	HB SPLINT ARM		$75.00
SM	HB SPLINT ELBOW	A4570	$30.00
SM	HB SPLINT FINGER ALUMINUM	A4570	$18.00
SM	HB SPLINT FOOT RECUMBENT POS DEV PREFAB	L4398	$220.00
SM	HB SPLINT KNEE		$50.00
SM	HB SPLINT THUMB		$45.00
SM	HB SPLINT WRIST	A4570	$15.00
SM	HB STABILIT FIRST FRACTURE KIT WITH BONE CEMENT		$9330.00
SM	HB STAR TUMOR ABLATION SYSTEM	C1886	$11660.00
SM	HB STENT <=4F TEMP NONCORON+DELIV SYSTEM BSCI	C2625	$800.00
SM	HB STENT >=5F TEMP NONCORON+DELIV SYSTEM BSCI	C2625	$800.00
SM	HB STENT 90 NONCORONARY TEMP WO DELIVERY	C1877	$660.00
SM	HB STENT ABSORB BVS DRUG ELUT+DELIV SYST ABBOTT	C1874	$5160.00
SM	HB STENT BILI WALL NONCOV+DELIV SYST BSCI	C1876	$7500.00
SM	HB STENT BILI WALLFLEX COVERED+DELIV SYST BSCI	C1874	$10000.00
SM	HB STENT BILIARY ABSOLUTE GUIDANT	C1876	$4030.00
SM	HB STENT BILIARY EPIC BSCI	C1876	$5980.00
SM	HB STENT BILIARY EXPRESS / LD BSCI	C1876	$4650.00
SM	HB STENT BILIARY EXPRESS LD BOSTON SCI	C1876	$4640.00
SM	HB STENT BILIARY EXPRESS MONORAIL RENAL	C1876	$4020.00
SM	HB STENT BILIARY EXPRESS SD MONORAIL BSCI	C1876	$4620.00
SM	HB STENT BILIARY FLEXSTAR	C1876	$4500.00
SM	HB STENT BILIARY FLEXSTAR 120 EDWARDS	C1876	$7330.00
SM	HB STENT BILIARY FLEXSTAR 150 EDWARDS	C1876	$8000.00
SM	HB STENT BILIARY LIFESTENT TURBO EDWARDS	C1876	$3670.00
SM	HB STENT BILIARY LIFESTENT VALEO EDWARDS	C1876	$3670.00
SM	HB STENT BILIARY LIFESTENT XL EDWARDS	C1876	$3670.00
SM	HB STENT BILIARY PRECISE CORDIS P030047	C1876	$5980.00
SM	HB STENT BILIARY SILICONE TEMP WO BENTEC	C1877	$2800.00
SM	HB STENT BILIARY SMART NITINOL CORDIS	C1876	$5820.00
SM	HB STENT BILIARY VALEO BARD	C1876	$3330.00
SM	HB STENT BILIARY XPERT ABBOTT	C1876	$4800.00
SM	HB STENT BILIARY ZILVER NONCOATED/NONCOVERED+DELIV SYSTEM COOK	C1876	$5500.00
SM	HB STENT BILIARY ZILVER PTX COATED/COVERED+DELIV SYSTEM COOK	C1874	$6600.00
SM	HB STENT CARDIAC ACS GUIDANT	C1876	$7580.00
SM	HB STENT CARDIAC AVE	C1876	$7230.00
SM	HB STENT CARDIAC CORDIS	C1876	$7580.00
SM	HB STENT CARDIAC DRUG ELUT ION / TAXUS BSCI	C1874	$8090.00
SM	HB STENT CARDIAC NIROYAL 9MM	C1874	$5680.00
SM	HB STENT CAROTID ACCULINK GUIDANT	C1876	$6830.00
SM	HB STENT CAROTID WALLMR P050019S01 BSCI	C1876	$9980.00
SM	HB STENT CAROTID XACT NONCOV+DELIV ABBOTT	C1876	$8150.00
SM	HB STENT CAROTID XACT PMA P040038 ABBOTT		$8150.00
SM	HB STENT COATED/COVERED WO DELIV SYS CP STENT BBRA	C1875	$22700.00
SM	HB STENT COMPLETE SE COV+DELV MDTR	C1874	$3160.00
SM	HB STENT CORONARY SYNERGY DRUG ELUT+DELV BSCI	C1874	$4500.00
SM	HB STENT COV WO DELIV SYST CP STENT 3.4CM BBRA	C1875	$18350.00
SM	HB STENT COV+DEL SYST COVEREDSEAL STRAIGHT VALIANT NAVION MDTR	C1874	$61830.00
SM	HB STENT COV+DEL SYST COVEREDSEAL TAPERED VALIANT NAVION MDTR	C1874	$67410.00
SM	HB STENT COV+DEL SYST FREEFLO STRAIGHT VALIANT NAVION MDTR	C1874	$61830.00
SM	HB STENT COV+DEL SYST FREEFLO TAPERED VALIANT NAVION MDTR	C1874	$63260.00
SM	HB STENT COV+DEL SYST PK PAPYRUS BTNK HDE #H170004	C1874	$9990.00
SM	HB STENT COV+DELIV SYST NUDEL CP STENT BRAUN	C1874	$24980.00
SM	HB STENT COV+DELIV SYST ORSIRO CORONARY STENT BIOTRONIK	C1874	$2830.00
SM	HB STENT COV+DELIV SYST TRACHEOBRONCH BONASTENT THORACENT	C1874	$8310.00
SM	HB STENT COVERED VIABAHN 10CM GORE	C1874	$10370.00
SM	HB STENT COVERED VIABAHN 15CM GORE	C1874	$12010.00
SM	HB STENT COVERED VIABAHN 2.5CM GORE	C1874	$9790.00
SM	HB STENT COVERED VIABAHN 25CM GORE	C1874	$20070.00
SM	HB STENT COVERED VIABAHN 5CM GORE	C1874	$9790.00
SM	HB STENT COVERED VIABAHN 7.5CM GORE	C1874	$10900.00
SM	HB STENT COVERED VIABAHN FEM-ILLIAC GORE	C1874	$10110.00
SM	HB STENT COVERED VIABAHN VBX BALLOON EXP <29 MM GORE	C1874	$8090.00
SM	HB STENT COVERED VIABAHN VBX BALLOON EXP >=29MM AND <79MM GORE	C1874	$9790.00
SM	HB STENT COVERED VIABAHN VBX BALLOON EXP >=79MM GORE	C1874	$10740.00
SM	HB STENT COVERED VIABAL BILI GORE	C1874	$8900.00
SM	HB STENT CYPHER RX-ELUTING CORDIS	C1874	$7330.00
SM	HB STENT ENDOPROSH UROLUME AMS	C1876	$14380.00
SM	HB STENT ENTERAL WALL NCV+DELIV SYST BSCI	C1876	$8750.00
SM	HB STENT ESOPH ULTRAFLEX COVERED+DELIV BSCI	C1874	$9000.00
SM	HB STENT ESOPH ULTRAFLEX NONCOV+DELIV BSCI	C1876	$5170.00
SM	HB STENT ESOPH WALL UNCOV+DELIV SYST BSCI	C1876	$6000.00
SM	HB STENT EVOLUTION ESOPHAGEAL DUODENAL NONCOV+DELIV SYST COOK	C1876	$7360.00
SM	HB STENT EXPRESS2 MONORAIL SCIMED BSCI	C1876	$3830.00
SM	HB STENT FLAIR FLARED COVERED+DELIVERY BARD	C1874	$8310.00
SM	HB STENT FLAIR STRAIT COVERED+DELIVERY BARD	C1874	$6800.00
SM	HB STENT GRAFT COV+DELIV LIFESTREAM BALLOON EXPANDABLE BARD	C1874	$8160.00
SM	HB STENT GRAFT COV+DELIV SYST <250MM RELAY PLUS ENDOVASC BOLTON	C1874	$54604.00
SM	HB STENT GRAFT COV+DELIV SYST >=250MM RELAY PLUS ENDOVASC BOLTON	C1874	$68720.00
SM	HB STENT GRAFT COV+DELIV SYST VALIANT CAPTIVIA TAA MDTR P100040	C1768	$58510.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN ALPHA THORACIC COOK P140016	C1874	$51620.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN ALPHA THORACIC DISTAL EXT COOK P140016	C1874	$31640.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN FENSTRTD ENDO DISTAL COOK P020018	C1874	$35500.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN FENSTRTD ENDO PROXIMAL COOK P020018	C1874	$35500.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO BIFURCATED COOK P020018	C1874	$27300.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO CONVT COOK P020018	C1874	$7300.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO ILIAC LEG EXT COOK P020018	C1874	$6300.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO ILIAC PLUG COOK P020018		$6100.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO MB EXT COOK P020018	C1874	$6300.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN RENU ANCIL CONVERTE COOK P020018	C1874	$21100.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN RENU ANCIL MB EXT COOK P020018	C1874	$17400.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN SPIRAL-Z ILIAC LEG COOK P020018	C1874	$10000.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL COMP COOK P070016	C1874	$16800.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL COMP COOK P070016	C1874	$21300.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL EXT COOK P070016	C1874	$16800.00
SM	HB STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO PROXIMAL COMP COOK P070016	C1874	$39100.00
SM	HB STENT GRAFT COV+DELIV SYST ZENITH TX2 ENDO PROFORM STRAIGHT COOK	C1874	$55760.00
SM	HB STENT GRAFT COV+DELIV SYST ZENITH TX2 ENDO PROFORM TAPERED COOK	C1874	$55760.00
SM	HB STENT GRAFT VIATORR GORE	C1874	$13760.00
SM	HB STENT GRAFT+DELIV SYST ENDURANT II MDTR	C1874	$31560.00
SM	HB STENT HEPACOAT CORDIS	C1874	$5720.00
SM	HB STENT HERCULINK ELITE ABBOTT	C1876	$5320.00
SM	HB STENT HERCULINK GUIDANT	C1876	$5800.00
SM	HB STENT ICAST COVERED+DELIVERY ATRIUM	C1874	$9000.00
SM	HB STENT INTRACOIL 40MM EV3	C1877	$4670.00
SM	HB STENT INTRACOIL 60MM EV3	C1876	$5170.00
SM	HB STENT INTRASTENT MAX LD BILIARY EV3	C1877	$4500.00
SM	HB STENT INTRASTENT MEGA LD BILIARY EV3	C1877	$4500.00
SM	HB STENT LVIS JR MICV TERUMO	C1876	$22940.00
SM	HB STENT LVIS MICV TERUMO	C1876	$20560.00
SM	HB STENT MEDTRONIC	C1876	$6740.00
SM	HB STENT MULTILINK ML VISION ABBOTT GUIDANT	C1876	$3670.00
SM	HB STENT MULTILINK ML ZETA ABBOTT GUIDANT	C1876	$2840.00
SM	HB STENT MULTILINK ULTR PIX TETR ABBOTTGUID	C1876	$6000.00
SM	HB STENT NEPHROURETERAL IE BOSTON SCI	C2617	$460.00
SM	HB STENT NEURO ATLAS HDE H020002	C1876	$26630.00
SM	HB STENT NEURO ENTERPRISE CORDIS H060001	C1876	$17320.00
SM	HB STENT NEUROFORM 10MM BOSTONSCI H020002	C1876	$13210.00
SM	HB STENT NEUROFORM 15MM BOSTONSCI H020002	C1876	$13360.00
SM	HB STENT NEUROFORM 20MM BOSTONSCI H020002	C1876	$13950.00
SM	HB STENT NEUROFORM 30MM BOSTONSCI H020002	C1876	$14250.00
SM	HB STENT NIR ON RANGER+DELIV BSCI	C1876	$6920.00
SM	HB STENT NIR ON RANGER+DELIV BSCI	C1876	$6920.00
SM	HB STENT NONCOATED/NONCOVERED+DELIV SYSTEM COOK	C1876	$200.00
SM	HB STENT NONCOV+DELIV ABBOTT	C1876	$7980.00
SM	HB STENT NONCOV+DELIV ABSOLUTE PRO ABBOTT	C1876	$1750.00
SM	HB STENT NONCOV+DELIV SYST PRECISE PRO RX CORDIS	C1876	$8990.00
SM	HB STENT NONCOV+DELIV SYST PRO-KINETIC CORONARY STENT BIOTRONIK	C1876	$1500.00
SM	HB STENT NONCOV+DELIV SYST VICI VENOUS BSCI	C1876	$5660.00
SM	HB STENT NONCOV+DELIV SYST ZENITH DISSECT ENDO COOK	C1876	$47480.00
SM	HB STENT NONCOV+DELIV VENOVO VENOUS SYST BARD	C1876	$5660.00
SM	HB STENT OMNILINK ABBOTT GUIDANT	C1876	$5470.00
SM	HB STENT PALMAZ CORINTHIAN IQ WO CORDIS	C1877	$2840.00
SM	HB STENT PALMAZ GENESIS WO DELIVERY CORDIS	C1877	$4500.00
SM	HB STENT PALMAZ GENESIS+DELIVERYSYST CORDIS	C1876	$3710.00
SM	HB STENT PALMAZ SCHATZ WO DELIVERY CORDIS	C1877	$5320.00
SM	HB STENT PALMAZ WO DELIVERY SYST CORDIS	C1877	$4500.00
SM	HB STENT PARAMOUNT MINI EV3	C1876	$3000.00
SM	HB STENT PIXEL CORONARY ABBOTT	C1876	$3410.00
SM	HB STENT POLYFLEX AIRWAY COVERED+DELIV BSCI	C1874	$8500.00
SM	HB STENT PROTEGE EV3	C1876	$5400.00
SM	HB STENT PROTEGE RX CAROTID EV3 COVIDIEN	C1876	$6200.00
SM	HB STENT PULSERIDER COV+DELIV SYST H160002 IRB#17-001331 NCT02312856	C1874	$41630.00
SM	HB STENT REBEL NONCOV WITH MR DELIV BSCI	C1876	$2330.00
SM	HB STENT RESOLUTE ONYX < 4.5MM COV+DELV MDTR	C1874	$4050.00
SM	HB STENT RESOLUTE ONYX >= 4.5MM COV+DELV MDTR	C1874	$4300.00
SM	HB STENT SENTINOL BOSTON SCI	C1876	$3920.00
SM	HB STENT SMART CONTROL CORDIS	C1876	$6580.00
SM	HB STENT SYMPHONY LARGE NONCOV WO DELIV	C1877	$6260.00
SM	HB STENT SYMPHONY SMALL NONCOV WO DELIV	C1877	$6000.00
SM	HB STENT TEMP BILIARY WO DELIV SYSTEM BOSTON SCI	C2617	$300.00
SM	HB STENT TEMP NONCORON WO DELIV SYSTEM COOK	C2617	$200.00
SM	HB STENT TEMP PERCUFLEX TAIL PLUS	C2617	$540.00
SM	HB STENT TEMP URETER INLAYOPTIMA+DELIV BARD	C2625	$550.00
SM	HB STENT TEMP URETERAL +DELIVERY SYST COOK	C2625	$140.00
SM	HB STENT TEMP URETERAL DIVERSION BSCI	C2617	$370.00
SM	HB STENT TEMP URETERAL GYRUS	C2617	$800.00
SM	HB STENT TEMP URETERAL INLAY +DELIV BARD	C2625	$400.00
SM	HB STENT TEMP URETERAL RESONANCE+DELIV COOK	C2625	$3010.00
SM	HB STENT TEMP URETERAL UNIVERSA COOK	C2617	$300.00
SM	HB STENT TEMP URETHRAL TARKINGTON COOK	C2617	$350.00
SM	HB STENT TRACHBRNCH/ESOPH COVERED+DELIV SYST MERIT	C1874	$7950.00
SM	HB STENT TRACHEA/BRONCHUS COOK-Z STENT COOK	C1877	$2790.00
SM	HB STENT TRACHEOBRONCH FLUENCY BARD	C1874	$6170.00
SM	HB STENT TRACHEOBRONCH ULTRAFLEX COVERED+DELIV BSCI	C1874	$10300.00
SM	HB STENT TRACHEOBRONCH ULTRAFLEX NONCOV+DELIV BSCI	C1876	$9400.00
SM	HB STENT URETERAL BOSTON SCI	C2617	$500.00
SM	HB STENT URETERAL FLEXIMA BOSTON SCI	C2617	$380.00
SM	HB STENT VISIPRO PRIMUS EV3	C1876	$2700.00
SM	HB STENT WALL NONCOAT+DELIV MDIT	C1876	$3580.00
SM	HB STENT WALL SMALL NONCOV+DELIV	C1876	$5650.00
SM	HB STENT WALL STENT RP BILIARY BOSTON SCI	C1876	$6700.00
SM	HB STENT WALL STENT TRACHEOBRONCHIAL BSCI	C1874	$5650.00
SM	HB STENT WALLGRAFT 20-50MM BOSTON SCI	C1874	$6500.00
SM	HB STENT WALLGRAFT 70MM BOSTON SCI	C1874	$7500.00
SM	HB STENT WINGSPAN BOSTON SCI HDE H050001	C1876	$19970.00
SM	HB STENT XIENCE DRUG ELUT+DELIV SYST ABBOTT	C1874	$6830.00
SM	HB STENT XIENCE NANO DRUG ELUT+DELIV ABBOTT	C1874	$4320.00
SM	HB STENT XIENCE SIERRA CORONARY DRUG ELUT+DELIV SYST ABBOTT	C1874	$4160.00
SM	HB STOCKERT CONNECTING CABLE		$640.00
SM	HB STOCKING SURGICAL KNEE LENGTH EACH		$19.00
SM	HB STOCKING TED KNEE		$10.00
SM	HB STOCKING TED THIGH		$20.00
SM	HB STONE RETRIEV BASKET WITTICH COOK		$1360.00
SM	HB STONE RETRIEV DEVC MAHORNER		$1380.00
SM	HB SUPPORT AIRCAST ANKLE CONTROL SPLINT	L4350	$330.00
SM	HB SUPPORT LUMBAR FLEX + VELCRO		$162.00
SM	HB SUPPORT MALE		$15.00
SM	HB SUPPORT MAMMARY		$180.00
SM	HB SUPPORT SUSPENSORY		$30.00
SM	HB SUPPORT SWIM		$20.00
SM	HB SUPPORT WRIST ELASTIC		$20.00
SM	HB SUPRAPUBIC CATH STAMEY		$150.00
SM	HB SURGICAL IMPLANT LAMINARIA NATURAL	A4649	$40.00
SM	HB SURGICAL IMPLANT LAMINARIA SYNTHETIC	A4649	$30.00
SM	HB SWIM MOLDS (1)	V5264	$60.00
SM	HB SYSTEM BREAST MRKG SADOWSKY		$490.00
SM	HB SYSTEM DELIVERY BLLN 18MM ENSE MDTR H080002		$21650.00
SM	HB SYSTEM DELIVERY BLLN 20MM ENSE MDTR H080002		$21650.00
SM	HB SYSTEM DELIVERY BLLN 22MM ENSE MDTR H080002		$21650.00
SM	HB SYSTEM EMBOLC CYANOACRYLATE IMPL		$8210.00
SM	HB SYSTEM PEG GW INITIAL 20F PULL		$300.00
SM	HB SYSTEM PEG REPL TUBE NON-BALL USEN		$170.00
SM	HB TEP VOICE CLIN INSRT BLM-SINGER ADV INHEALTH	L8509	$830.00
SM	HB TEP VOICE CLIN INSRT BLM-SINGER ÊDUO INHEALTH	L8509	$1030.00
SM	HB TEP VOICE CLIN INSRT-DUCKBILL	L8509	$160.00
SM	HB TEP VOICE CLIN INSRT-DUCKBL SP	L8509	$330.00
SM	HB TEP VOICE CLIN INSRT-INDWEL	L8509	$660.00
SM	HB TEP VOICE CLIN INSRT-INDWEL SP	L8509	$730.00
SM	HB TEP VOICE CLIN INSRT-LOPRSS	L8509	$200.00
SM	HB TEP VOICE CLIN INSRT-LOPRSS SP	L8509	$300.00
SM	HB TEP VOICE CLIN INSRT-NID	L8509	$290.00
SM	HB TEP VOICE CLIN INSRT-PROVX2	L8509	$490.00
SM	HB TEP VOICE PT INSERTED-DUCKBILL	L8507	$130.00
SM	HB TEP VOICE PT INSERTED-LOPRESS	L8507	$200.00
SM	HB TEP VOICE PT INSERTED-PRVX NID	L8507	$290.00
SM	HB TERM DEV HAND MECHANICAL VOLUNTARY CLOSE	L6709	$4840.00
SM	HB TERM DEV HAND MECHANICAL VOLUNTARY CLOSE PEDS	L6714	$3890.00
SM	HB TERM DEV HAND MECHANICAL VOLUNTARY OPEN	L6708	$3340.00
SM	HB TERM DEV HAND MECHANICAL VOLUNTARY OPEN PEDS	L6713	$4590.00
SM	HB TERM DEV HOOK MECHANICAL VOLUNTARY CLOSE	L6707	$4930.00
SM	HB TERM DEV HOOK MECHANICAL VOLUNTARY CLOSE PEDS	L6712	$3640.00
SM	HB TERM DEV HOOK MECHANICAL VOLUNTARY OPEN	L6706	$1290.00
SM	HB TERM DEV HOOK MECHANICAL VOLUNTARY OPEN PEDS	L6711	$1980.00
SM	HB TERM DEV HOOK OR HAND HVY DTY VOLUNTARY CLOSE	L6722	$5960.00
SM	HB TERM DEV HOOK OR HAND HVY DTY VOLUNTARY OPEN	L6721	$6910.00
SM	HB TERM DEV MULTI ART DIGIT W MOTOR	L6715	$9280.00
SM	HB TERM DEV PASS HAND/MITT	L6703	$1080.00
SM	HB TERM DEV SPRT/REC/WORK ATTACH	L6704	$2340.00
SM	HB THORACENTESIS SUPPLY		$100.00
SM	HB THORACOSTOMY SUPPLY		$460.00
SM	HB THORATEC CANNULA ARTERIAL VAD		$12330.00
SM	HB THORATEC CANNULA ATRIAL IVAD		$9150.00
SM	HB THORATEC CANNULA VENTRIC IVAD		$9150.00
SM	HB THORATEC LEAD ELCTRD 5-7FT ADD		$990.00
SM	HB THORATEC VAD DRIVER TLCII SYSTEM		$316370.00
SM	HB THORATEC VAD TLC-II DRIVER SYST PORT		$249770.00
SM	HB THORATEC VENT ASSIST DEVICE IVAD		$183160.00
SM	HB TISSUE LOC&EXCIS SENOMARK SENORX	A4648	$2600.00
SM	HB TISSUE MARKER BREAST SENORX	C1819	$2800.00
SM	HB TISSUE MARKER IMPLANT BIOZORB FOCL	A4648	$3330.00
SM	HB TISSUE MARKER IMPLANT SAVI SCOUT CIANNA	A4648	$1470.00
SM	HB TISSUE MARKER MICROMARK II ETHICON	C1879	$410.00
SM	HB TISSUE MARKER ULTRACLIP II INRAD	C1819	$250.00
SM	HB TLSO 2 SHL SYMPHYSIS STERN PREFAB W CUSTOM FIT	L0460	$2940.00
SM	HB TLSO 3MOD SYMPHYSIS STERN PREFAB	L0462	$3660.00
SM	HB TLSO 4MOD SYMPHYSIS STERN PREFAB	L0464	$4360.00
SM	HB TLSO A-P-L CONTR+INTERFC/KYDEX	L0486	$6320.00
SM	HB TLSO A-P-L-ROTAT CONTR HYPERXT	L0472	$1520.00
SM	HB TLSO ADDN-ANT THOR DEROTAT PAD	L1260	$250.00
SM	HB TLSO ADDN-ANTERIOR ASIS PAD	L1250	$230.00
SM	HB TLSO ADDN-LAT TROCHANTERIC PAD	L1290	$290.00
SM	HB TLSO ADDN-LUMBAR DEROTATE PAD	L1240	$290.00
SM	HB TLSO ANT-POS CONTROL PREFB+FIT	L0468	$1700.00
SM	HB TLSO ANT-POST CONTROL/TAYLOR	L0466	$1400.00
SM	HB TLSO ANT-POST-LAT CONTR/KNIGHT	L0470	$2390.00
SM	HB TLSO CORSET FRONT	L0970	$430.00
SM	HB TLSO FLEX D-LUMBAR ELAST+PNL	L0454	$1020.00
SM	HB TLSO FLEX D-LUMBAR HYPEREXTNSN	L0456	$2920.00
SM	HB TLSO FLEX DORSOLUMBAR CUST FAB	L0452	$1050.00
SM	HB TLSO FLEX DORSOLUMBAR SUPPORT	L0450	$650.00
SM	HB TLSO INITIAL ORTHOSIS /BOSTON	L1200	$5870.00
SM	HB TLSO SPINE ADDN-FULL CORSET	L0974	$650.00
SM	HB TO ELASTIC SUPPORT	A4467	$40.00
SM	HB TORQUE DEVICE GUIDANT MALLINCKRODT		$200.00
SM	HB TRACH TUBE		$400.00
SM	HB TRACH TUBE +CANNULA		$20.00
SM	HB TRACH TUBE ENDO		$200.00
SM	HB TRACH TUBE SPEAKING VALVE PASSY-MUIR	L8501	$200.00
SM	HB TRACHEOSTOMY SHOWER PROTECTOR ATOS	A7523	$290.00
SM	HB TRACHEOSTOMY SUPPLY		$340.00
SM	HB TRANS/METACARPAL OR PART HAND PROSTH MYO CNTRL EXCL TERM DEVC	L6026	$13880.00
SM	HB TRANSDUCER EDWRD/NVLYST/HEMDYN		$1000.00
SM	HB TRANSFER CATHETER		$260.00
SM	HB TRANSJUGULAR ACCESS ANGIODYNAMICS	C1887	$1350.00
SM	HB TRAY PERICARDIOCENT PIGTAIL 7F		$740.00
SM	HB TRCHTUBE STOMA FILTER HOLDER PROVOX ATOS	A7507	$300.00
SM	HB TRNSFR BTW SHOES CALIPER EXIST	L3600	$220.00
SM	HB TRNSFR BTW SHOES CALIPER NEW	L3610	$290.00
SM	HB TRNSFR BTW SHOES STIRRUP EXIST	L3620	$220.00
SM	HB TRNSFR BTW SHOES STIRRUP NEW	L3630	$290.00
SM	HB TRUFILL N-BCA EACH 1GRAM CORDIS		$15600.00
SM	HB TRUSS DOUBLE W STANDARD PAD	L8310	$520.00
SM	HB TRUSS SINGLE W STANDARD PAD	L8300	$330.00
SM	HB TUBE CIRCLE NEPHROSTOMY MENTOR	C1729	$590.00
SM	HB TUBE CONNECTING		$340.00
SM	HB TUBE ESOPHAGEAL BLAKEMORE		$900.00
SM	HB TUBE FEEDING FREDERICK MILLER		$240.00
SM	HB TUBE FEEDING JEJUNAL MIC KIMBERLY CLARK		$390.00
SM	HB TUBE FEEDING JEJUNAL MIC-KEY LOWPRO HALY		$570.00
SM	HB TUBE GASTRO-JEJUNAL G-JET LOW PRO APPLIED MED		$1490.00
SM	HB TUBE GASTROENTERIC MIC KIMBERLY CLARK		$600.00
SM	HB TUBE GASTROSTOMY MIC		$400.00
SM	HB TUBE GASTROSTOMY MIC KIMBERLY CLARK		$130.00
SM	HB TUBE GASTROSTOMY MIC-KEY LOWPRO KIMB HALY		$310.00
SM	HB TUBE GASTROSTOMY MINI BUTTON LOWPRO APPLIED MED		$330.00
SM	HB TUBE GASTROSTOMY PEG JEJUNAL		$1200.00
SM	HB TUBE GASTROSTOMY PEG MIC		$410.00
SM	HB TUBE JEJUNOSTOMY MIC KIMBERLY CLARK		$700.00
SM	HB TUBE LARYNGECTOMY 5200 SAFE-T-TUBE MONTGOMERY BSTN	A7520	$620.00
SM	HB TUBE LARYNGECTOMY ATOS	A7520	$260.00
SM	HB TUBE LARYNGECTOMY FENESTRATED INHEALTH	A7520	$240.00
SM	HB TUBE LARYNGECTOMY INHEALTH	A7520	$190.00
SM	HB TUBE LARYNGECTOMY PROVOX ATOS	A7520	$380.00
SM	HB TUBE MAX PEG RING PULL CORFLO CRPK		$420.00
SM	HB TUBE NASOJEJUNAL		$390.00
SM	HB TUBE PEG/PEJ BSCI CONMED		$270.00
SM	HB TUBE STOMACH ANDERSON		$15.00
SM	HB TUBE STOMACH BARD KIMB		$270.00
SM	HB TUBE STOMACH LEVINE		$60.00
SM	HB TUBE STOMACH LINTON		$1020.00
SM	HB TUBE STOMACH MILLER ABBOTT		$200.00
SM	HB TUBE TRACHEOSTOMY BIVONA SMITH	A7520	$190.00
SM	HB TUBE TRANSGASTRIC JEJUNAL MIC KIMBERLY		$650.00
SM	HB TUBE TRANSGASTRIC JEJUNAL MIC-KEY LOWPRO KIMB HALY		$1120.00
SM	HB TUBE URODYNAMIC PUMP		$210.00
SM	HB TUMOR ABLAT KIT STAR MERIT		$11660.00
SM	HB TWELVE VOLT BATTERY EACH	L7364	$1420.00
SM	HB UE FRACTURE ORTH HUMERAL W SHLD CAP W WO JTS FOREARM PREFAB+FIT	L3981	$2690.00
SM	HB UNIV NEURO III PLATE SYST MESH STRY	C1781	$2540.00
SM	HB UROSTOMY DRAIN		$200.00
SM	HB UROSTOMY PACK		$120.00
SM	HB UROSTOMY POUCH		$40.00
SM	HB VAD CONTROLLER	Q0506	$2800.00
SM	HB VAD DEVICE ABIOMED IMPELLA 5.0		$93240.00
SM	HB VAD DEVICE HEARTMATE 3 LVAD CABLE CAP REPLACEMENT	Q0485	$1580.00
SM	HB VAD DEVICE HEARTMATE 3 LVAD CONTROLLER REPLACEMENT	Q0481	$18320.00
SM	HB VAD DEVICE HEARTMATE 3 LVAD MODULAR CABLE REPLACEMENT	Q0485	$16480.00
SM	HB VAD DEVICE HEARTMATE II LVAD POCKET CONTROLLER REPLACEMENT	Q0481	$18320.00
SM	HB VAD DEVICE HEARTMATE II VAD CONDUIT REPLACEMENT	Q0508	$19650.00
SM	HB VAD DEVICE HEARTMATE II VAD OUTFLOW REPLACEMENT	Q0508	$15990.00
SM	HB VAD DEVICE HEARTMATE VAD POWER CABLE REPLACEMENT	Q0508	$120.00
SM	HB VAD DEVICE HEARTMATE VAD POWER MODULE PATIENT CABLE	Q0508	$4160.00
SM	HB VAD DEVICE HEARTMATE VAD WEARABLE ACCESSORY STRAP BELT BAG	Q0508	$570.00
SM	HB VAD DEVICE IMPELLA 5.5 W/SMARTASSIST ABIOMED		$116560.00
SM	HB VAD DEVICE IMPELLA LD ABIOMED		$83250.00
SM	HB VAD DEVICE THORATEC CANNULA ARTERIAL IVAD		$8000.00
SM	HB VAD DEVICE THORATEC CANNULA ATRIAL		$8000.00
SM	HB VAD DEVICE THORATEC CANNULA VENTRIC VAD		$9330.00
SM	HB VAD DEVICE THORATEC VENT ASSIST DEVICE VAD		$188660.00
SM	HB VAD GRAFT HEARTMATE 3 SEALED OUTFLOW GRAFT WITH BEND RELIEF REPLACEMENT	C1768	$15980.00
SM	HB VAD HEARTMATE3 LVAD IMPLANT KIT W/ CONTROLLER		$332770.00
SM	HB VAD HEARTMATE3 LVAD SURGICAL ACCESSORIES SPARES REPLACEMENT	Q0508	$5540.00
SM	HB VAD HEARTWARE MONITOR KIT REPLACEMENT 1520US P100047	Q0483	$16650.00
SM	HB VAD HEARTWAVE PACK SHOULDER REPLACEMENT P100047	Q0498	$1500.00
SM	HB VAD HEARTWAVE PACK WAIST REPLACEMENT P100047	Q0498	$1500.00
SM	HB VAD IMPELLA RP RIGHT ABIOMED		$83250.00
SM	HB VAD TANDEMHEART HOLSTER	Q0498	$330.00
SM	HB VAD TANDEMHEART HOLSTER PATCH	Q0499	$80.00
SM	HB VAD TANDEMHEART PROC KIT CARDIAC ASSIST		$64940.00
SM	HB VAD TANDEMHEART PROC KIT CARDIO ASSIST		$74930.00
SM	HB VAD TANDEMHEART PROTEK ARTERIAL CANNULA		$1650.00
SM	HB VAD TANDEMHEART PROTEKDUO VENO-VENOUS CANNULA 29F		$31640.00
SM	HB VAD TANDEMHEART PROTEKDUO VENO-VENOUS CANNULA KIT		$83254.00
SM	HB VAD TANDEMHEART PUMP KIT		$58280.00
SM	HB VAD TANDEMHEART TRANSSEPTAL CANNULA SET		$6490.00
SM	HB VALVE AORTIC / MITRAL MOSAIC MEDR	C1763	$17670.00
SM	HB VALVE AORTIC STENTLESS	C1763	$20090.00
SM	HB VALVE DELTA LEVEL 2 SMALL		$4600.00
SM	HB VALVE GRFT AORTIC TAVR EDWARDS	C1763	$108240.00
SM	HB VALVE GRFT AORTIC TAVR SAPIEN 3 ULTRA SYST EDWARDS		$108230.00
SM	HB VALVE MITRAL BIOPROSTH	C1763	$8500.00
SM	HB VALVE MITRAL CARPENTIER	C1763	$10600.00
SM	HB VERT COMPRESFX DEVC KYPHX-1LVL		$11670.00
SM	HB VERT COMPRESFX DEVC KYPHX-ADDL		$7860.00
SM	HB VERTEBROPLSTY INTRODUCER SYSTEM KYPHX		$3620.00
SM	HB VERTEBROPLSTY TAMPDEVC ELEVATE KYPHX		$3900.00
SM	HB VERTEBROPLSTY TAMPDEVC EXACT KYPHX		$3850.00
SM	HB VERTEBROPLSTY TAMPDEVC EXPRESS KYPHX		$3660.00
SM	HB VERTEBROPLSTY TAMPDEVC XPANDER KYPHX		$3660.00
SM	HB WALK BOOT NEXTEP DJ ORTHO	L4386	$470.00
SM	HB WALK BOOT PNEUM SPLNT PREFAB+FIT DJORTHOTICS	L4360	$910.00
SM	HB WHFO +NONOTORSION JOINTS CUST	L3806	$1210.00
SM	HB WHFO ADD-S&L OPPON IP EXT+STOP	L3931	$640.00
SM	HB WHFO RIGID WO JOINTS CUSTOM	L3808	$1210.00
SM	HB WHFO WO JT PREFAB	L3809	$670.00
SM	HB WHFO WO JT PREFB+FIT ANY TYPE	L3807	$670.00
SM	HB WHFO WRIST DORSAL PREFAB+FIT	L3931	$640.00
SM	HB WHFO WRIST GAUNTLET MOLD CUST	L3906	$1450.00
SM	HB WHFO1+NONTORSION JTS PREFB+FIT	L3931	$640.00
SM	HB WHO +NONOTORSION JOINTS CUST	L3905	$2650.00
SM	HB WHO WRST E-COCKUP+JT PREFB+FIT	L3915	$1420.00
SM	HB WHO WRSTCONTR COCKUP DJ ORTHO	L3908	$220.00
SM	HB WHO WRSTCONTR COCKUP PREFB+FIT	L3908	$220.00
SM	HB WIRE TIP DEFLECTING		$120.00
SM	HB WO ELASTIC WRAP UNIV	A4467	$20.00
SM	HB WRIST DISART EXT POWER SWITCH CONTROL	L6920	$22320.00
SM	HB WT BEAR ADD-LACER NONMOLDED	L2530	$880.00
SM	NEURSTM GENERATOR ACTIVA PC P960009S052	C1767	$61580.00

"Physical, Occupational, Speech Therapies"

Hospital	Description	CPT Code	Standard Charge
SM	HB GI SPHINCTER GALVANIC STIMULATE	97032	$90.00
SM	HB OT BIOFEEDBACK M TRAIN RE-ED	90901	$340.00
SM	HB OT COMMUNITY TRAINING/15+ASST	97537	$150.00
SM	HB OT MANUAL THERAPY/15MIN+ASST	97140	$180.00
SM	HB OT NEUROMUSC RE-ED/15MIN+ASST	97112	$190.00
SM	HB OT PHYSICAL PERF TEST/15 +ASST	97750	$140.00
SM	HB OT SELFCARE/HOME TRAIN/15+ASST	97535	$140.00
SM	HB OT SENSORY INTEGRAT/15MIN+ASST	97533	$130.00
SM	HB OT THERAP ACTIVITY/15MIN+ASST	97530	$140.00
SM	HB OT THERAP EXERCISE/15MIN+ASST	97110	$180.00
SM	HB OT ULTRASOUND/15MIN+ICE/HEAT	97035	$130.00
SM	HB OT WHEELCHAIR MGMT/15MIN+ASST	97542	$150.00
SM	HB PT AQUATIC THERAPY/15MIN+ASST	97113	$203.00
SM	HB PT BIOFEEDBACK M TRAIN RE-ED	90901	$340.00
SM	HB PT COMMUNITY TRAINING/15+ASST	97537	$150.00
SM	HB PT GAIT TRAINING/15MIN+ASST	97116	$120.00
SM	HB PT HUBBARD TANK/15MIN+ASST	97036	$100.00
SM	HB PT NEUROMUSC RE-ED/15MIN+ASST	97112	$190.00
SM	HB PT PHYS PERFORM-ENVIRONMT EVAL	97750	$180.00
SM	HB PT PHYSICAL PERF TEST/15 +ASST	97750	$140.00
SM	HB PT SELFCARE/HOME TRAIN/15+ASST	97535	$140.00
SM	HB PT SENSORY INTEGRAT/15MIN+ASST	97533	$130.00
SM	HB PT THERAP EXERCISE/15MIN+ASST	97110	$180.00
SM	HB PT WHEELCHAIR MGMT/15MIN+ASST	97542	$150.00
SM	HB PT WOUND DEBRID LEVEL 1+ ASSIST <20CM SQ	97597	$590.00
SM	HB PT WOUND DEBRID LEVEL 2+ ASSIST <20CM SQ	97597	$590.00
SM	HB PT WOUND DEBRID LEVEL 3+ ASSIST >20CM SQ	97598	$440.00
SM	HB PT WOUND DEBRID LEVEL 4+ ASSIST >20CM SQ	97598	$590.00
SM	HB PT WOUND DEBRID NONSELECTIVE LEVEL 1+ ASSIST	97602	$590.00
SM	HB PT WOUND DEBRID NONSELECTIVE LEVEL 2+ ASSIST	97602	$590.00
SM	HB PT WOUND DEBRID NONSELECTIVE LEVEL 3+ ASSIST	97602	$590.00
SM	HB PT WOUND DEBRID NONSELECTIVE LEVEL 4+ ASSIST	97602	$590.00
SM	HB CANALITH REPOSITIONING PROC PER DAY	95992	$290.00
SM	HB CAST APPLY HAND&LO ARM GAUNTLET	29085	$470.00
SM	HB MANUAL THERAPY/15MIN	97140	$143.00
SM	HB NONTELEM EXERCISE MONTHLY FOR FAMILY MEMBER		$75.00
SM	HB OT BIOFEEDBACK M TRAIN RE-ED	90901	$340.00
SM	HB OT BIOFEEDBACK PERI/URO/RECTAL EA ADDL 15 MINS	90913	$240.00
SM	HB OT BIOFEEDBACK PERI/URO/RECTAL INIT 15 MINS	90912	$480.00
SM	HB OT COMMUNIITY TRAINING/15MIN	97537	$150.00
SM	HB OT COMMUNITY TRAINING/15+ASST	97537	$150.00
SM	HB OT CONTRAST BATH/15MIN	97034	$100.00
SM	HB OT ELCTRSTIM-ATTND/15+ICE/HEAT	97032	$110.00
SM	HB OT ELECTRICAL STIM-ATTENDED/15	97032	$110.00
SM	HB OT ELECTRICAL STIM-UNATTENDED	G0283	$110.00
SM	HB OT ELECTRSTIM-UNATTND+ICE/HEAT	G0283	$110.00
SM	HB OT EVALUATION HIGH COMPLEXITY	97167	$390.00
SM	HB OT EVALUATION LOW COMPLEXITY	97165	$250.00
SM	HB OT EVALUATION MOD COMPLEXITY	97166	$310.00
SM	HB OT IONTOPHORESIS/15+ICE/HEAT	97033	$130.00
SM	HB OT IONTOPHORESIS/15MIN	97033	$130.00
SM	HB OT MANUAL THERAPY/15+ICE/HEAT	97140	$180.00
SM	HB OT MANUAL THERAPY/15MIN	97140	$180.00
SM	HB OT MANUAL THERAPY/15MIN+ASST	97140	$180.00
SM	HB OT MASSAGE PER 15MIN	97124	$140.00
SM	HB OT MC CASE CONF REPORT-1ST 30		$46.00
SM	HB OT MC CASE CONF REPORT-ADD15		$36.00
SM	HB OT MC EVALUATION EA ADDL 15MIN		$80.00
SM	HB OT MC EVALUATION INITIAL 30MIN		$240.00
SM	HB OT MC TREATMENT-ONE AREA 30MIN		$250.00
SM	HB OT MC TREATMENT-ONE AREA/ADD15		$130.00
SM	HB OT NEUROMUSC RE-ED/15+ICE/HEAT	97112	$190.00
SM	HB OT NEUROMUSC RE-ED/15MIN+ASST	97112	$190.00
SM	HB OT NEUROMUSCULAR RE-ED/15MIN	97112	$190.00
SM	HB OT ORTHO MGMT/TRAINING 1ST ENC EA 15MIN	97760	$210.00
SM	HB OT PARAFFIN	97018	$100.00
SM	HB OT PHYSICAL PERF ENVIRONMT EVAL	97750	$140.00
SM	HB OT PHYSICAL PERF TEST/15 +ASST	97750	$140.00
SM	HB OT PHYSICAL PERF TEST/15MIN	97750	$130.00
SM	HB OT PROSTH MGMT/TRAINING EA 15MIN	97763	$210.00
SM	HB OT PROSTHETIC TRAINING 1ST ENC EA 15MIN	97761	$180.00
SM	HB OT RE-EVALUATION	97168	$390.00
SM	HB OT SELFCARE/HOME TRAIN/15+ASST	97535	$140.00
SM	HB OT SELFCARE/HOME TRAIN/15MIN	97535	$140.00
SM	HB OT SENSORY INTEGRAT/15MIN+ASST	97533	$130.00
SM	HB OT SENSORY INTEGRATION/15MIN	97533	$130.00
SM	HB OT SWALLOWING EVAL LVL1-BEDSID	92610	$610.00
SM	HB OT SWALLOWING EVAL LVL2-BEDSID	92610	$250.00
SM	HB OT SWALLOWING EVAL LVL3-BEDSID	92610	$310.00
SM	HB OT SWALLOWING EVAL LVL4-BEDSID	92610	$410.00
SM	HB OT SWALLOWING EVAL LVL5-BEDSID	92610	$406.00
SM	HB OT SWALLOWING EVAL LVL6-BEDSID	92610	$491.00
SM	HB OT SWALLOWING STUDY EVAL LVL1	92611	$610.00
SM	HB OT SWALLOWING STUDY EVAL LVL2	92611	$610.00
SM	HB OT SWALLOWING STUDY EVAL LVL3	92611	$488.00
SM	HB OT SWALLOWING STUDY EVAL LVL4	92611	$344.00
SM	HB OT SWALLOWING STUDY EVAL LVL5	92611	$488.00
SM	HB OT SWALLOWING STUDY EVAL LVL6	92611	$488.00
SM	HB OT SWALLOWING TREATMENT LVL1	92526	$130.00
SM	HB OT SWALLOWING TREATMENT LVL2	92526	$170.00
SM	HB OT SWALLOWING TREATMENT LVL3	92526	$330.00
SM	HB OT SWALLOWING TREATMENT LVL4	92526	$330.00
SM	HB OT THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT	97129	$120.00
SM	HB OT THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CONTACT	97130	$120.00
SM	HB OT THERAP ACTIVITY/15MIN+ASST	97530	$140.00
SM	HB OT THERAP EXERCISE/15+ICE/HEAT	97110	$180.00
SM	HB OT THERAP EXERCISE/15MIN+ASST	97110	$180.00
SM	HB OT THERAPEUTIC ACTIVITY/15MIN	97530	$140.00
SM	HB OT THERAPEUTIC EXERCISE/15MIN	97110	$180.00
SM	HB OT THERAPEUTIC PROC-GROUP LVL2	97150	$90.00
SM	HB OT ULTRASOUND/15MIN	97035	$130.00
SM	HB OT WHEELCHAIR MGMT/15MIN	97542	$150.00
SM	HB OT WHEELCHAIR MGMT/15MIN+ASST	97542	$150.00
SM	HB OT WHIRLPOOL/FLUIDOTHERAPY	97022	$130.00
SM	HB OT WORK HARDENING-1ST 2 HRS	97545	$280.00
SM	HB OT WORK HARDENING-EA ADD HR	97546	$80.00
SM	HB OT WOUND DEBRID L1+ASST<20CMSQ	97597	$590.00
SM	HB OT WOUND DEBRID L2+ASST<20CMSQ	97597	$590.00
SM	HB OT WOUND DEBRID L3+ASST>20CMSQ	97598	$440.00
SM	HB OT WOUND DEBRID L4+ASST>20CMSQ	97598	$590.00
SM	HB OT WOUND DEBRID LVL1 <20CM SQ	97597	$590.00
SM	HB OT WOUND DEBRID LVL2 <20CM SQ	97597	$590.00
SM	HB OT WOUND DEBRID LVL3 >20CM SQ	97598	$320.00
SM	HB OT WOUND DEBRID LVL4 >20CM SQ	97598	$420.00
SM	HB PT AQUATIC THERAPY/15MIN	97113	$203.00
SM	HB PT AQUATIC THERAPY/15MIN+ASST	97113	$203.00
SM	HB PT BIOFEEDBACK M TRAIN RE-ED	90901	$340.00
SM	HB PT BIOFEEDBACK PERI/URO/RECTAL EA ADDL 15 MINS	90913	$240.00
SM	HB PT BIOFEEDBACK PERI/URO/RECTAL INIT 15 MINS	90912	$480.00
SM	HB PT COMMUNITY TRAINING/15+ASST	97537	$150.00
SM	HB PT COMMUNITY TRAINING/15MIN	97537	$150.00
SM	HB PT CONTRAST BATH/15MIN	97034	$100.00
SM	HB PT ELECTRICAL STIM-ATTENDED/15	97032	$110.00
SM	HB PT ELECTRICAL STIM-UNATTENDED	G0283	$110.00
SM	HB PT ELECTRSTIM-UNATTND+ICE/HEAT	G0283	$110.00
SM	HB PT EVALUATION HIGH COMPLEXITY	97163	$390.00
SM	HB PT EVALUATION LOW COMPLEXITY	97161	$250.00
SM	HB PT EVALUATION MOD COMPLEXITY	97162	$310.00
SM	HB PT GAIT TRAINING/15MIN	97116	$120.00
SM	HB PT GAIT TRAINING/15MIN+ASST	97116	$120.00
SM	HB PT HUBBARD TANK/15MIN	97036	$100.00
SM	HB PT HUBBARD TANK/15MIN+ASST	97036	$100.00
SM	HB PT IONTOPHORESIS/15+ICE/HEAT	97032	$110.00
SM	HB PT IONTOPHORESIS/15+ICE/HEAT	97033	$130.00
SM	HB PT IONTOPHORESIS/15MIN	97033	$130.00
SM	HB PT MANUAL THERAPY/15+ICE/HEAT	97140	$180.00
SM	HB PT MANUAL THERAPY/15+ICE/HEAT	97140	$180.00
SM	HB PT MANUAL THERAPY/15MIN	97140	$180.00
SM	HB PT MANUAL THERAPY/15MIN+ASST	97140	$180.00
SM	HB PT MASSAGE PER 15MIN	97124	$140.00
SM	HB PT MC CASE CONF REPORT-1ST 30		$45.00
SM	HB PT MC CASE CONF REPORT-ADD15		$36.00
SM	HB PT MC EVALUATION EA ADDL 15MIN		$80.00
SM	HB PT MC EVALUATION INITIAL 30MIN		$240.00
SM	HB PT MC HUBBARD TANK-1ST 30MIN		$200.00
SM	HB PT MC HUBBARD TANK-EA ADD15MIN		$100.00
SM	HB PT MC MODALITY-ONE AREA 30MIN		$200.00
SM	HB PT MC MODALITY-ONE AREA/ADD15		$130.00
SM	HB PT MC POOL THERAPY-1ST 30MIN		$330.00
SM	HB PT MC POOL THERAPY-EA ADD15		$164.00
SM	HB PT MC TREATMENT+MODALITY 30MIN		$250.00
SM	HB PT MC TREATMENT-ONE AREA 30MIN		$250.00
SM	HB PT MC TREATMENT-ONE AREA/ADD15		$130.00
SM	HB PT MC TREATMNT+MODALITY ADD15		$130.00
SM	HB PT MECHANICAL TRACTION	97012	$130.00
SM	HB PT MECHANICAL TRACTN+ICE/HEAT	97012	$130.00
SM	HB PT NEUROMUSC RE-ED/15+ICE/HEAT	97112	$190.00
SM	HB PT NEUROMUSC RE-ED/15MIN+ASST	97112	$190.00
SM	HB PT NEUROMUSCULAR RE-ED/15MIN	97112	$190.00
SM	HB PT ORTHO MGMT/TRAINING 1ST ENC ÊEA 15MIN	97760	$210.00
SM	HB PT PARAFFIN	97018	$100.00
SM	HB PT PHYS PERFORM-ENVIRONMT EVAL	97750	$180.00
SM	HB PT PHYSICAL MED REHAB SERVICE UNLISTED	97799	$25.00
SM	HB PT PHYSICAL MED REHAB SERVICE UNLISTED	97799	$25.00
SM	HB PT PHYSICAL PERF TEST/15 +ASST	97750	$140.00
SM	HB PT PHYSICAL PERF TEST/15MIN	97750	$100.00
SM	HB PT PROSTH MGMT/TRAINING EA 15MIN	97763	$210.00
SM	HB PT PROSTHETIC TRAINING 1ST ENC EA 15MIN	97761	$180.00
SM	HB PT RE-EVALUATION	97164	$390.00
SM	HB PT SELFCARE/HOME TRAIN/15+ASST	97535	$140.00
SM	HB PT SELFCARE/HOME TRAIN/15MIN	97535	$140.00
SM	HB PT SENSORY INTEGRAT/15MIN+ASST	97533	$130.00
SM	HB PT SENSORY INTEGRATION/15MIN	97533	$130.00
SM	HB PT THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT	97129	$120.00
SM	HB PT THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CONTACT	97130	$120.00
SM	HB PT THERAP ACTIVITY/15MIN+ASST	97530	$140.00
SM	HB PT THERAP ACTIVITY/15MIN+ASST	97530	$140.00
SM	HB PT THERAP EXERCISE/15+ICE/HEAT	97110	$180.00
SM	HB PT THERAP EXERCISE/15MIN+ASST	97110	$180.00
SM	HB PT THERAPEUTIC ACTIVITY/15MIN	97530	$140.00
SM	HB PT THERAPEUTIC EXERCISE/15MIN	97110	$180.00
SM	HB PT THERAPEUTIC PROC-GROUP LVL2	97150	$90.00
SM	HB PT ULTRASOUND/15MIN	97035	$130.00
SM	HB PT ULTRASOUND/15MIN+ICE/HEAT	97035	$130.00
SM	HB PT WHEELCHAIR MGMT/15MIN	97542	$150.00
SM	HB PT WHEELCHAIR MGMT/15MIN+ASST	97542	$150.00
SM	HB PT WHIRLPOOL	97022	$130.00
SM	HB PT WOUND DEBRID L1+ASST<20CMSQ	97597	$590.00
SM	HB PT WOUND DEBRID L2+ASST<20CMSQ	97597	$590.00
SM	HB PT WOUND DEBRID LVL3 >20CM SQ	97598	$320.00
SM	HB PT WOUND DEBRID LVL4 >20CM SQ	97598	$420.00
SM	HB PT WOUND DEBRID NONSELECT LVL1	97602	$590.00
SM	HB PT WOUND DEBRID NONSELECT LVL2	97602	$590.00
SM	HB PT WOUND DEBRID NONSELECT LVL3	97602	$590.00
SM	HB PT WOUND DEBRID NONSELECT LVL4	97602	$590.00
SM	HB PULM REHAB EXERCISE MONTHLY FOR FAMILY MEMBER		$75.00
SM	HB SPCH LANG EVAL LEVEL 1	92506	$198.00
SM	HB SPCH LANG EVAL LEVEL 2	92506	$235.00
SM	HB SPCH LANG EVAL LEVEL 3	92506	$275.00
SM	HB SPCH LANG EVAL LEVEL 4	92506	$355.00
SM	HB SPCH LANG RE-EVAL LEVEL 1	92506	$198.00
SM	HB SPCH LANG RE-EVAL LEVEL 2	92506	$235.00
SM	HB SPCH LANG RE-EVAL LEVEL 3	92506	$275.00
SM	HB SPCH LANG RE-EVAL LEVEL 4	92506	$355.00
SM	HB SPCH MC LANGUAGE EVALUATION		$490.00
SM	HB SPCH MC SPEECH EVALUATION		$300.00
SM	HB SPCH MC SPEECH LANG THER INDIVID PER 1/2 HR		$240.00
SM	HB SPCH MC SPEECH LANG THER INDIVID PER HOUR		$480.00
SM	HB SPCH THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT	97129	$120.00
SM	HB SPCH THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CONTACT	97130	$120.00
SM	HB SPCH-LANG THERAPY INDIVIDUAL	92507	$480.00
SM	HB SPCH-ORAL STRUCTURE ASMNT SP PROGRAM	92522	$90.00
SM	HB SPEECH APHASIA ASSESSMENT PER HOUR	96105	$540.00
SM	HB SPEECH AUGMENT DEVICE COMMUN EVAL 1ST HOUR	92607	$390.00
SM	HB SPEECH AUGMENT DEVICE COMMUN EVAL ADDL30	92608	$220.00
SM	HB SPEECH AUGMENT DEVICE THERAP SVC	92609	$291.00
SM	HB SPEECH CLINICAL SWALLOW EXAM	92610	$510.00
SM	HB SPEECH COMMUN/COGNITIVE GROUP THERAPY	92508	$170.00
SM	HB SPEECH DYSPHAGIA THERAPY SPECIAL PROGRAM	92526	$250.00
SM	HB SPEECH ENDOSCOPIC SWALLOW EVALUATION	92612	$580.00
SM	HB SPEECH EVAL FLUENCY	92521	$290.00
SM	HB SPEECH EVAL SOUND PRODUCTION	92522	$300.00
SM	HB SPEECH EVAL SOUND PRODUCTION+LANGUAGE COMPREHENSION&EXPRESSION	92523	$490.00
SM	HB SPEECH MODIFIED BARIUM SWALLOW	92611	$610.00
SM	HB SPEECH NASOPHARYNGOSCOPY+ENDOSCOPE	92511	$550.00
SM	HB SPEECH VOICE PROSTHESIS EVALUATION/ASSESS	92597	$560.00
SM	HB STANDARD COGNITIVE PERFORMANCE TESTING + RESULTS & REPORT	96125	$290.00
SM	HB VOICE & RESONANCE BEHAVIORAL & QUALITATIVE ANALYSIS	92524	$250.00

"Radiology, Diagnostic"

Hospital	Description	CPT Code	Standard Charge
SM	HB ABSCESSOGRAM/SINOGRAM S&I	76080	$570.00
SM	HB AC JOINTS BILATERAL	73050	$590.00
SM	HB ANGIO ABDOMINOPELV + RUNOFF	75630	$7270.00
SM	HB ANGIO ADRENAL BILAT S&I	75733	$5820.00
SM	HB ANGIO ADRENAL UNILAT S&I	75731	$2524.00
SM	HB ANGIO EXTREMITY UNILAT S&I	75710	$4360.00
SM	HB ANGIO INTERNAL MAMMARY S&I	75756	$4360.00
SM	HB ANGIO PELVIC SELECTIVE S&I	75736	$7460.00
SM	HB ANGIO PULMNRY NONSELECT S&I	75746	$2290.00
SM	HB ANGIO PULMNRY SELECT BILAT S&I	75743	$5820.00
SM	HB ANGIO PULMNRY SELECT UNI S&I	75741	$4360.00
SM	HB ANGIO RENAL BILAT S&I	36252	$4360.00
SM	HB ANGIO SPINAL SELECTIVE S&I	75705	$7460.00
SM	HB ANGIO THOR AORTA + SERIAL S&I	75605	$7460.00
SM	HB ANGIO THOR AORTA WO SERIAL S&I	75600	$4360.00
SM	HB ANGIO VISCERAL ARTERY S&I	75726	$7460.00
SM	HB ANKLE 2 VIEWS	73600	$280.00
SM	HB ANKLE 3+ VIEWS	73610	$280.00
SM	HB ARTHROGRAM ANKLE S&I	73615	$1060.00
SM	HB ARTHROGRAM ELBOW S&I	73085	$1060.00
SM	HB ARTHROGRAM HIP S&I	73525	$1060.00
SM	HB ARTHROGRAM KNEE S&I	73580	$1060.00
SM	HB ARTHROGRAM SHOULDER S&I	73040	$1060.00
SM	HB ARTHROGRAM WRIST S&I	73115	$906.00
SM	HB BARIUM ENEMA THERAPEUTIC	74283	$440.00
SM	HB BONE AGE STUDY	77072	$420.00
SM	HB BONE DEXA DENSITY AXIAL	77080	$350.00
SM	HB BONE DEXA DENSITY PERIPH	77081	$140.00
SM	HB BONE SURVEY COMPLETE	77075	$350.00
SM	HB BONE SURVEY INFANT	77076	$350.00
SM	HB BONE SURVEY LTD	77074	$420.00
SM	HB BREAST DUCTOGRAM MULTIPLE S&I	77054	$1013.00
SM	HB BREAST DUCTOGRAM SINGLE S&I	77053	$1230.00
SM	HB C-SPINE + FLEXION-EXTENSION	72052	$510.00
SM	HB C-SPINE 2-3 VIEWS	72040	$310.00
SM	HB C-SPINE SERIES 4+ VIEWS	72050	$420.00
SM	HB CALCANEUS 2+ VIEWS	73650	$220.00
SM	HB CATH CHANGE GUIDE S&I	75984	$956.00
SM	HB CISTERNOGRAM S&I	70015	$1590.00
SM	HB CLAVICLE SERIES	73000	$550.00
SM	HB CV CATH FLUORO GUIDE S&I	77001	$1050.00
SM	HB CYSTOGRAM S&I	74430	$590.00
SM	HB CYSTOURETHROGRAM VOIDING S&I	74455	$1100.00
SM	HB DISKOGRAM CERV THOR S&I	72285	$3760.00
SM	HB DISKOGRAM LUMBAR S&I	72295	$3760.00
SM	HB ELBOW 2 VIEWS	73070	$220.00
SM	HB ELBOW 3+ VIEWS	73080	$280.00
SM	HB EPIDUROGRAM S&I	72275	$750.00
SM	HB EYE FOREIGN BODY DETECTION	70030	$220.00
SM	HB FACIAL BONES < 3 VIEWS	70140	$590.00
SM	HB FACIAL BONES 3+ VIEWS	70150	$830.00
SM	HB FINGER(S) 2+ VIEWS	73140	$280.00
SM	HB FLUORO FOR CT MR ARTHROGRM INJ	77002	$1060.00
SM	HB FLUORO NDL LOCALIZ SPINE S&I	77003	$570.00
SM	HB FLUORO NDL PLACEMENT S&I	77002	$1060.00
SM	HB FLUOROSCOPY SEPARATE PROCEDURE < 1 HR	76000	$660.00
SM	HB FOOT 2 VIEWS	73620	$280.00
SM	HB FOOT 3+ VIEWS	73630	$310.00
SM	HB FOREARM 2 VIEWS	73090	$280.00
SM	HB HAND 2 VIEWS	73120	$280.00
SM	HB HAND 3+ VIEWS	73130	$310.00
SM	HB HUMERUS 2+ VIEWS	73060	$280.00
SM	HB HYSTEROSALPINGOGRAM S&I	74740	$570.00
SM	HB INTRAVENOUS PYELOGRAM	74400	$880.00
SM	HB IVC FILTER PLACEMENT S&I	37191	$9950.00
SM	HB KNEE 1-2 VIEWS	73560	$290.00
SM	HB KNEE 3 VIEWS	73562	$290.00
SM	HB KNEE 4+ VIEWS	73564	$350.00
SM	HB KNEES AP STANDING BILATERAL	73565	$430.00
SM	HB L-SPINE 2-3 VIEWS	72100	$380.00
SM	HB L-SPINE 4+ VIEWS	72110	$420.00
SM	HB L-SPINE BENDING 4+ VIEWS	72120	$420.00
SM	HB L-SPINE COMPLETE + BENDING VWS	72114	$420.00
SM	HB LOWER EXTREMITY INFANT 2+VIEWS	73592	$220.00
SM	HB MANDIBLE < 4 VIEWS	70100	$220.00
SM	HB MANDIBLE 4+ VIEWS	70110	$420.00
SM	HB MASTOIDS 3+ VIEWS PER SIDE	70130	$420.00
SM	HB MIDDLE EAR (IAM)	70134	$430.00
SM	HB MYELOGRAM CERVICAL S&I	72240	$1590.00
SM	HB MYELOGRAM LUMBAR S&I	72265	$1590.00
SM	HB MYELOGRAM POSTERIOR FOSSA S&I	70010	$1060.00
SM	HB MYELOGRAM SPINE COMPLETE S&I	72270	$2449.00
SM	HB MYELOGRAM THORACIC S&I	72255	$1590.00
SM	HB NASAL BONES 3+ VIEWS	70160	$760.00
SM	HB NECK SOFT TISSUE	70360	$570.00
SM	HB ORAL CHOLECYSTOGRAM	74290	$440.00
SM	HB ORBITS 4+ VIEWS	70200	$800.00
SM	HB ORTHOPANTOGRAM (PANOREX)	70355	$220.00
SM	HB PCMKR INSERTION FLUORO S&I	33206	$22740.00
SM	HB PELVIMETRY	74710	$260.00
SM	HB PELVIS 1-2 VIEWS	72170	$280.00
SM	HB PELVIS 3+ VIEWS	72190	$350.00
SM	HB PERCUTANEOUS DRAIN GUIDE S&I	75989	$1000.00
SM	HB PHARYNX / LARYNX	70370	$290.00
SM	HB PLACE ENDOPRSTH TAA EA ADDL	33884	$1924.00
SM	HB PLACE ENDOPRSTH TAA INITIAL	33883	$5247.00
SM	HB PORTOGRAM + HEMODYNAMIC EVAL	75885	$5820.00
SM	HB PORTOGRAM WO HEMODYNAMIC EVAL	75887	$3440.00
SM	HB RADIOGRAPHIC ABSORPTIOMETRY	G0130	$210.00
SM	HB REPR ENDOVASC TAA +SUBCLAVIAN	33880	$10500.00
SM	HB REPR ENDOVASC TAA WO SUBCLAV	33881	$9040.00
SM	HB RIBS BILATERAL + PA CHEST	71111	$650.00
SM	HB RIBS BILATERAL 3 VIEWS	71110	$420.00
SM	HB RIBS UNILATERAL + PA CHEST	71101	$420.00
SM	HB RIBS UNILATERAL 2 VIEWS	71100	$280.00
SM	HB SACROILIAC JTS < 3 VIEWS	72200	$350.00
SM	HB SACROILIAC JTS 3+ VIEWS	72202	$350.00
SM	HB SACRUM / COCCYX 2+ VIEWS	72220	$280.00
SM	HB SALIVARY GLAND FOR STONE	70380	$220.00
SM	HB SCAPULA SERIES	73010	$600.00
SM	HB SELLA TURCICA SERIES	70240	$220.00
SM	HB SHOULDER 1 VIEW	73020	$220.00
SM	HB SHOULDER 2+ VIEWS	73030	$290.00
SM	HB SHUNTOGRAM PLACED NONVASC S&I	75809	$610.00
SM	HB SIALOGRAM S&I	70390	$570.00
SM	HB SINUSES 3+ VIEWS	70220	$500.00
SM	HB SKULL < 4 VIEWS	70250	$420.00
SM	HB SKULL 4+ VIEWS	70260	$420.00
SM	HB SPINE 1 VIEW	72020	$220.00
SM	HB STERNOCLAVICULAR JOINTS 3+ VWS	71130	$710.00
SM	HB STERNUM 2 VIEWS	71120	$600.00
SM	HB STRESS VW EXTREMITY JOINT	77071	$220.00
SM	HB SURGICAL SPECIMEN	76098	$1700.00
SM	HB T-SPINE 2 VIEWS	72070	$350.00
SM	HB T-SPINE 3 VIEWS	72072	$390.00
SM	HB T-SPINE 4+ VIEWS	72074	$420.00
SM	HB TEMPOROMANDIBULAR JOINT BILAT	70330	$310.00
SM	HB TEMPOROMANDIBULAR JOINT UNILAT	70328	$220.00
SM	HB THORACOLUMBAR SPINE 2 VIEWS	72080	$310.00
SM	HB TIBIA/FIBULA 2 VIEWS	73590	$280.00
SM	HB TOE(S) 2+ VIEWS	73660	$220.00
SM	HB TOMOGRAM COMPLEX MOTION BILAT	76102	$710.00
SM	HB TOMOGRAM COMPLEX MOTION UNILAT	76101	$420.00
SM	HB TOMOGRAM LINEAR	76100	$420.00
SM	HB UPPER EXTREMITY INFANT 2+ VWS	73092	$280.00
SM	HB UROGRAM INFUSION + TOMOGRAMS	74415	$930.00
SM	HB UROGRAM INFUSION WO TOMOGRAMS	74410	$880.00
SM	HB VASOGRAM S&I	74440	$570.00
SM	HB VENOGRM ADRENAL BILAT S&I	75842	$9950.00
SM	HB VENOGRM ADRENAL UNILAT S&I	75840	$5820.00
SM	HB VENOGRM EPIDURAL S&I	75872	$1430.00
SM	HB VENOGRM EXTREMITY BILAT S&I	75822	$2290.00
SM	HB VENOGRM EXTREMITY UNILAT S&I	75820	$1430.00
SM	HB VENOGRM HEPATIC + EVAL S&I	75889	$5820.00
SM	HB VENOGRM HEPATIC WO EVAL S&I	75891	$5820.00
SM	HB VENOGRM ORBITAL S&I	75880	$1430.00
SM	HB VENOGRM RENAL BILAT S&I	75833	$5820.00
SM	HB VENOGRM RENAL UNILAT S&I	75831	$5820.00
SM	HB VENOGRM SINUS/JUGULAR S&I	75860	$5820.00
SM	HB VENOGRM SUPERIOR SAGITTL SINUS	75870	$2140.00
SM	HB VENOGRM SUPERIOR VENACAVA S&I	75827	$5240.00
SM	HB VENOUS CATH STRIP DEVICE S&I	75902	$520.00
SM	HB VENOUS CATH STRIP SEP ACC S&I	75901	$650.00
SM	HB VENOUS ORGAN BLOOD SAMPLNG S&I	75893	$9950.00
SM	HB VIDEO SPEECH EVALUATION	70371	$430.00
SM	HB WRIST 2 VIEWS	73100	$220.00
SM	HB WRIST 3+ VIEWS	73110	$280.00
SM	HB ABDOMEN >= 3 VIEWS	74021	$520.00
SM	HB ABDOMEN 1 VIEW	74018	$270.00
SM	HB ABDOMEN 2 VIEWS	74019	$520.00
SM	HB ABDOMEN ACUTE 2+VWS + 1 VW CHEST	74022	$420.00
SM	HB ANGIO ABDOMINAL AORTA S&I	75625	$5820.00
SM	HB ANGIO EXTREMITY BILAT S&I	75716	$5820.00
SM	HB ANGIO RENAL UNILAT S&I	36251	$5820.00
SM	HB ANGIO SELECTIVE EA ADDL VESSEL	75774	$2880.00
SM	HB ANGIO TRANSCATH FOLLOW-UP	75898	$1720.00
SM	HB ATHERECTOMY RENAL ARTERY S&I	0234T	$24520.00
SM	HB ATHERECTOMY VISCERL ADD S&I	0235T	$1860.00
SM	HB ATHERECTOMY VISCERL ARTERY S&I	0235T	$1860.00
SM	HB BILIARY DILATION S&I	74363	$1720.00
SM	HB BONE DEXA DENSITY VERT FUNCTN	77086	$220.00
SM	HB BONE LENGTH STUDY / SCANOGRAM	77073	$280.00
SM	HB CHEST >= 4 VIEWS	71048	$520.00
SM	HB CHEST 2 VIEWS	71046	$270.00
SM	HB CHEST 3 VIEWS	71047	$270.00
SM	HB CHEST SINGLE VIEW	71045	$270.00
SM	HB CHOLANGIOGRAM OR ADDL SET	74301	$412.00
SM	HB CHOLANGIOGRAM OR OPERATIVE	74300	$647.00
SM	HB CINE/VIDEORADIOGRAPHY PRIMARY PROCEDURE	76120	$420.00
SM	HB CINE/VIDEORADIOGRAPHY TO COMPLEMENT ROUTINE IN ADD TO PRIMARY PROC	76125	$390.00
SM	HB COLON W DBL CONTRAST	74280	$690.00
SM	HB COLON W SGL CONTRAST	74270	$690.00
SM	HB CORPORA CAVERNOSOGRAM S&I	74445	$740.00
SM	HB DACRYOCYSTOGRAM S&I	70170	$570.00
SM	HB DILATION URETER/URETHRA S&I	74485	$6580.00
SM	HB ERCP BILIARY / PANCREATIC S&I	74330	$1065.00
SM	HB ERCP BILIARY DUCT S&I	74328	$1010.00
SM	HB ERCP PANCREATIC DUCT S&I	74329	$812.00
SM	HB ESOPHAGEAL DILATION S&I	74360	$1120.00
SM	HB ESOPHAGUS W DBL CONTRAST	74221	$690.00
SM	HB ESOPHAGUS W SGL CONTRAST	74220	$690.00
SM	HB EXTRA ORAL POST DENTAL RADIOGRAPHIC IMAGE	D0251	$215.00
SM	HB FALLOPIAN TUBE CATH S&I	74742	$316.00
SM	HB FEMUR 1 VIEW	73551	$270.00
SM	HB FEMUR MIN 2 VIEWS	73552	$270.00
SM	HB FLUORESCENCE VASCULAR ANGIOGRAPHY FVA NON-OPHTHALMIC	C9733	$1130.00
SM	HB FLUORO PROCEDURE DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76496	$490.00
SM	HB HIP & PELVIS UNILATERAL 1 VIEW	73501	$270.00
SM	HB HIP & PELVIS UNILATERAL 2-3 VIEWS	73502	$270.00
SM	HB HIP & PELVIS UNILATERAL MIN 4 VIEWS	73503	$420.00
SM	HB HIPS & PELVIS BILATERAL 2 VIEWS	73521	$420.00
SM	HB HIPS & PELVIS BILATERAL 3-4 VIEWS	73522	$420.00
SM	HB HIPS & PELVIS BILATERAL MIN 5 VIEWS	73523	$850.00
SM	HB JOINT SURVEY 1 VIEW	77077	$280.00
SM	HB LONG GI TUBE PLACEMENT S&I	74340	$760.00
SM	HB LYMPHANGIOGRAM ABDOM-PELV BI	75807	$4360.00
SM	HB LYMPHANGIOGRAM ABDOM-PELV UNI	75805	$1720.00
SM	HB LYMPHANGIOGRAM EXTREM BI S&I	75803	$1430.00
SM	HB LYMPHANGIOGRAM EXTREM UNI S&I	75801	$1430.00
SM	HB MASTOIDS < 3 VIEWS PER SIDE	70120	$280.00
SM	HB MYELOGRAPHY VIA LUMBAR INJ 2 OR MORE REGIONS	62305	$2390.00
SM	HB MYELOGRAPHY VIA LUMBAR INJ CERVICAL	62302	$2390.00
SM	HB MYELOGRAPHY VIA LUMBAR INJ LUMBOSACRAL	62304	$2390.00
SM	HB MYELOGRAPHY VIA LUMBAR INJ THORACIC	62303	$2390.00
SM	HB NEPHROSTOGRAM S&I	74425	$590.00
SM	HB OR FLUORO GUIDANCE SERVICE		$1000.00
SM	HB PERCUTAN DRAIN CATH CHANGE S&I	75984	$1200.00
SM	HB PERCUTANEOUS ENTEROCLYSIS S&I	74355	$699.00
SM	HB PERINEOGRAM	74775	$720.00
SM	HB PERITONEOGRAM S&I	74190	$1140.00
SM	HB PHARYNX/CERV ESOPHAGUS W CONTRAST	74210	$690.00
SM	HB PLACE ENDOPRSTH DISTAL TAA S&I	75958	$3000.00
SM	HB PLACE ENDOPRSTH PROX TAA S&I	75957	$3750.00
SM	HB RENAL CYST STUDY S&I	74470	$570.00
SM	HB REPR ENDOVASC TAA S&I	75956	$3750.00
SM	HB SINUSES < 3 VIEWS	70210	$400.00
SM	HB SMALL BOWEL FOLLOW-THRU W MULT SERIAL IMAG	74248	$370.00
SM	HB SMALL BOWEL W DBL CONTRAST	74251	$690.00
SM	HB SMALL BOWEL W SGL CONTRAST	74250	$690.00
SM	HB SPINE THORACIC LUMBAR EXAM 1 VIEW	72081	$270.00
SM	HB SPINE THORACIC LUMBAR EXAM 2 OR 3 VIEWS	72082	$420.00
SM	HB SPINE THORACIC LUMBAR EXAM 4 OR 5 VIEWS	72083	$850.00
SM	HB SPINE THORACIC LUMBAR EXAM MIN 6 VIEWS	72084	$850.00
SM	HB SPLENOPORTOGRAM S&I	75810	$2290.00
SM	HB SWALLOW FUNCTN W CONTRAST	74230	$690.00
SM	HB TRANSCATH BIOPSY S&I	75970	$3440.00
SM	HB TRANSCATH EMBOLIZATION S&I	75894	$6500.00
SM	HB UPPER GI W DBL CONTRAST	74246	$690.00
SM	HB UPPER GI W SGL CONTRAST	74240	$690.00
SM	HB URETHROCYSTOGRM RETROGRADE S&I	74450	$1100.00
SM	HB UROGRAM RETROGRADE	74420	$1060.00
SM	HB VENOGRM INFERIOR VENA CAVA S&I	75825	$5820.00
SM	HB XR DIAGNOSTIC UNLISTED	76499	$220.00
SM	HB XRAY TEETH COMPLETE FULL MOUTH	70320	$430.00
SM	HB XRAY TEETH PARTIAL MOUTH	70310	$430.00

"Radiology, Therapeutic , Chemo"

Hospital	Description	CPT Code	Standard Charge
SM	HB CHEMO IM/SUBQ EACH HORMONAL	96402	$200.00
SM	HB CHEMO IM/SUBQ EACH NONHORMONAL	96401	$200.00
SM	HB CHEMO INFUSION PLEURAL	96440	$1040.00
SM	HB CHEMO INTRAARTERIAL INFUSION 1ST HOUR	96422	$670.00
SM	HB CHEMO INTRAARTERIAL INFUSION EA ADD HOUR	96423	$350.00
SM	HB CHEMO IV PUSH EACH ADDL DRUG	96411	$340.00
SM	HB CHEMO IV PUSH SINGLE /INTIAL DRUG	96409	$450.00
SM	HB REFILL & MAINTAIN PUMP IMPLANT	96522	$670.00
SM	HB 3D SIMULATION RECONSTRCT TUMOR	77295	$4160.00
SM	HB BASIC DOSIMETRY CALCULATION	77300	$600.00
SM	HB BIOPSY VAGINAL MUCOSA SIMPLE	57100	$2010.00
SM	HB BLADDER IRRIGATION LAVAGE SIMPLE	51700	$800.00
SM	HB BRACHY ECHO PROSTATE VOL STUDY TRANSRECT	76873	$970.00
SM	HB BRACHYTHER HI ENDORECTAL INTRACAV PLACE	C9725	$2490.00
SM	HB BRACHYTHER ISODOSE CALC COMPLEX>12SOURCE	77318	$1140.00
SM	HB BRACHYTHER ISODOSE CALC INTRMD9-12SOURCE	77317	$1140.00
SM	HB BRACHYTHER ISODOSE CALC SIMPLE1-8SOURCE	77316	$1140.00
SM	HB BREAST RAD THER APPLIC PLACE & REMOVAL	C9726	$5580.00
SM	HB BRONCH + PLACE FIDUCIAL MARKER	31626	$17020.00
SM	HB CATHETERIZATION BLADDER FOLEY COMPLEX	51703	$480.00
SM	HB CATHETERIZATION BLADDER FOLEY SIMPLE	51702	$370.00
SM	HB CATHETERIZATION BLADDER STRAIGHT	51701	$370.00
SM	HB CERVICAL BIOPSY	57500	$2010.00
SM	HB CERVICAL DILATE CANAL INSTRUMENT	57800	$7950.00
SM	HB CHEMO ADMIN INTRAARTERIAL PUSH	96420	$1090.00
SM	HB CHEMO INFUSION PERITONEAL	96446	$1040.00
SM	HB CHEMO INJ SUBARACH/INTRAVENTR VIA SUBQ RESRVR SINGL/MULT AGENTS	96542	$560.00
SM	HB CHEMO INTRATHECAL INFUSION	96450	$870.00
SM	HB CHEMO IV INFUSION 1ST HOUR	96413	$870.00
SM	HB CHEMO IV INFUSION BY PUMP >8HR	96416	$870.00
SM	HB CHEMO IV INFUSION EA ADD SEQUENTIAL DRUG	96417	$330.00
SM	HB CHEMO IV INFUSION EACH ADDL HR	96415	$330.00
SM	HB COLPOSCOPY VULVA +BIOPSY	56821	$940.00
SM	HB CONTINUING PHYSICS CONSULT PER WEEK	77336	$600.00
SM	HB CYSTOURETHROSCOPY	52000	$1980.00
SM	HB CYSTOURETHROSCOPY+CALIBRATION+/-DILAT	52281	$5930.00
SM	HB CYSTOURETHROSCOPY+IRRIGATION+CLOT EXTRACTION	52001	$9440.00
SM	HB CYSTOURETHROSCOPY+URETER CATH	52005	$5930.00
SM	HB DESTRUCT LESION RETINA RADIOACTIVE IMPL	67218	$10330.00
SM	HB DILATE URETHRAL STRICTURE MALE INITIAL	53600	$800.00
SM	HB DILATE URETHRAL STRICTURE MALE SUBSQ	53601	$370.00
SM	HB ENDOMETRIAL SAMPLING BIOPSY	58100	$560.00
SM	HB EXPOSE PROSTATE INSERT RADIOACTIVE SUBST	55860	$12970.00
SM	HB FLUOROSCOPY SEPARATE PROCEDURE < 1 HR	76000	$660.00
SM	HB FNA WO IMAGING GUIDANCE	10021	$1090.00
SM	HB GUID LOCAL TARGET VOL RAD TRMNT DELIVERY	77387	$500.00
SM	HB HDR ELECTRONIC BRACHYTHERAPY INTERSTITAL PER FRACTION	0395T	$2500.00
SM	HB HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE PER FRACTION	0394T	$770.00
SM	HB HDR SURFACE BRACHY REMOTE AFTERLOAD >1 CHANNEL	77768	$1100.00
SM	HB HDR-REMOTE AFTERLOAD BRACHY >12 CHANNELS	77772	$3230.00
SM	HB HDR-REMOTE AFTERLOAD BRACHY 1 CHANNEL	77770	$3230.00
SM	HB HDR-REMOTE AFTERLOAD BRACHY 1CHANNEL OR UP TO 2 CM	77767	$900.00
SM	HB HDR-REMOTE AFTERLOAD BRACHY 2-12 CHANNELS	77771	$3230.00
SM	HB IMRT MLC DEVICE DESIGN CONSTRUCT / PLAN	77338	$12000.00
SM	HB IMRT-DELIVERY COMPLEX	77386	$2460.00
SM	HB IMRT-DELIVERY SIMPLE	77385	$1830.00
SM	HB IMRT-PLANNING MULT SETUP	77301	$4160.00
SM	HB INFUSION /INSTILLATION OF RADIOELEM SOLN	77750	$770.00
SM	HB INTRANASAL FB REMOVE + GEN ANESTH	30310	$7700.00
SM	HB INTRAOPERATIVE RADIATION TREATMENT DELIVERY ELECTRON SINGLE SESSION	77425	$26480.00
SM	HB INTRAOPERATIVE RADIATION TREATMENT DELIVERY XRAY SINGLE SESSION	77424	$26480.00
SM	HB IUD INSERTION	58300	$260.00
SM	HB IUD REMOVAL	58301	$560.00
SM	HB LAP URETERONEOCYSTOTOMY+ STENT	50947	$15710.00
SM	HB LARYNGOSCOPY DIRECT DIAGNOSTIC	31525	$4630.00
SM	HB LARYNGOSCOPY INDIRECT DIAGNOSTIC	31505	$550.00
SM	HB LYMPHANGIOTOMY	38308	$9550.00
SM	HB MED RADIATION PHYSICS DOSIMETRY/TRTMNT DEVICE/ SPECIAL SVC UNLISTED	77399	$440.00
SM	HB NASOGASTRIC TUBE PLACEMENT	43752	$1150.00
SM	HB NASOPHARYNG CONTROL BLEED SIMPLE	42970	$620.00
SM	HB NDL LOCALIZ SKIN MUCMEM SQ LSN	17999	$590.00
SM	HB NEEDLE BIOPSY LYMPH NODE	38505	$4720.00
SM	HB OROPHARYNG CONTROL BLEED SIMPLE	42960	$1610.00
SM	HB PELVIC EXAM UNDER ANESTHESIA	57410	$7950.00
SM	HB PLACE BRACH DEVICE AFTERLOAD VAGINAL	57156	$1200.00
SM	HB PLACE BRACH NDL BREAST AFTERLOAD	19298	$16850.00
SM	HB PLACE BRACH NDL BREAST RAD ONC	19499	$9550.00
SM	HB PLACE BRACH NDL/CATH GI ESOPHAGOSCOPY	43241	$5000.00
SM	HB PLACE BRACH NDL/CATH HEYMAN CAPSULE	58346	$7950.00
SM	HB PLACE BRACH NDL/CATH LUNG BRONCHOSCOPY	31643	$4640.00
SM	HB PLACE BRACH NDL/CATH OTHER FEMALE	58999	$570.00
SM	HB PLACE BRACH NDL/CATH PROSTATE TRANSPERIN	55875	$12980.00
SM	HB PLACE BRACH SOURCE UTERINE TANDEM	57155	$7960.00
SM	HB PLACE FIDUCIAL MARKER NOT PROSTATE	C9728	$4160.00
SM	HB PLACE RADTX CATH BREAST POSTMAST CONCURR	19297	$16850.00
SM	HB PLACE RADTX CATH BREAST POSTMAST SEPDATE	19296	$25860.00
SM	HB PLACE RADTX NDL/CATH HEAD &/ NECK	41019	$15190.00
SM	HB PLACE RADTX NDL/CATH MUSCLE TISSUE	20555	$8950.00
SM	HB PLACE RADTX NDL/CATH PELVIC &/ GENITAL	55920	$14400.00
SM	HB PLACE TRANSPERINEAL PERI-PROSTATIC INJ W IMAGE GUIDANCE	55874	$16210.00
SM	HB PROCTOSIGMOIDOSCOPY DIAGNOSTIC	45300	$2480.00
SM	HB PT SIMPULSE WOUND DEBRIDEMENT	97597	$590.00
SM	HB RAD APPLY INTERSTITIAL COMPLEX	77778	$3610.00
SM	HB RAD APPLY INTRACAVITARY COMPLX	77763	$2500.00
SM	HB RAD APPLY INTRACAVITARY INTRMD	77762	$1830.00
SM	HB RAD APPLY INTRACAVITARY SIMPLE	77761	$1830.00
SM	HB RAD PLACE ESOPH-GASTRIC BOUGI APPLICATOR	43499	$2600.00
SM	HB RAD TRMNT DELIVERY COMPLEX >=1MEV	77412	$770.00
SM	HB RAD TRMNT DELIVERY COMPLEX >=1MEV	77412	$770.00
SM	HB RAD TRMNT DELIVERY INTERMEDIATE >=1MEV	77407	$440.00
SM	HB RAD TRMNT DELIVERY INTERMEDIATE >=MEV	77407	$550.00
SM	HB RAD TRMNT DELIVERY SIMPLE >=1MEV	77402	$440.00
SM	HB RAD TRMNT DELIVERY SIMPLE >=MEV	77402	$440.00
SM	HB RADONC RESP MOTION MANAGEMENT SIMULATION FOR INTERNAL TUMOR VOLUME	77293	$630.00
SM	HB REFILL & MAINTAIN PUMP PORTABLE	96521	$670.00
SM	HB RSH CELLULAR INFUSION 1ST HOUR		$272.00
SM	HB SPECIAL DOSIMETRY MEASUREMENT	77331	$600.00
SM	HB SPECIAL MED RAD PHYSCS CONSULT	77370	$600.00
SM	HB SPECIAL TELETHERAPY PORT PLAN	77321	$1140.00
SM	HB SPECIAL TREATMENT PROCEDURE RAD ONCOLOGY	77470	$1830.00
SM	HB STEREOTACTIC BODY RAD MNGT/COURSE 5FRACT	77435	$1500.00
SM	HB STEREOTACTIC RAD TRTMNT DELIVERY BODY PER FRACTION 1/MORE LSN MAX5	77373	$5870.00
SM	HB STEREOTACTIC RAD TRTMNT DELIVERY CRANIAL 1LSN LINEAR ACCELERATOR	77372	$26480.00
SM	HB STEREOTACTIC RAD TRTMNT DELIVERY CRANIAL 1LSN MULTI-SOURCE COBALT60	77371	$26480.00
SM	HB SUPERVIS/HANDLING/LOAD RADIATION SOURCE	77790	$1120.00
SM	HB SURFACE APPLICATION OF RADIATION SOURCE	77789	$440.00
SM	HB TELETHERAPY ISODOS PLAN SIMPLE	77306	$1140.00
SM	HB TELETHERAPY ISODOSE PLAN COMPLEX	77307	$1140.00
SM	HB THERAPEUTIC RAD PORT FILM	77417	$500.00
SM	HB THERAPEUTIC RAD SIMULAT FIELD SET CMPLX	77290	$1760.00
SM	HB THERAPEUTIC RAD SIMULAT FIELD SET INTRMD	77285	$1140.00
SM	HB THERAPEUTIC RAD SIMULAT FIELD SET SIMPLE	77280	$600.00
SM	HB TREATMENT DEVICE COMPLEX	77334	$1850.00
SM	HB TREATMENT DEVICE INTERMEDIATE	77333	$1040.00
SM	HB TREATMENT DEVICE SIMPLE	77332	$790.00
SM	HB UNLIST CLIN BRACHY PROC	77799	$1010.00
SM	HB VULVA PERINEUM BIOPSY 1ST LSN	56605	$2010.00
SM	HB VULVA PERINEUM BIOPSY EA ADDL	56606	$250.00
SM	HBÊCYSTOURETHROSCOPY+STENT	52332	$9440.00

Anesthesia

Hospital	Description	CPT Code	Standard Charge
SM	HB ANESTH COMPLICATED EMERG CONDITION	99140	$30.00
SM	HB ANESTHESIA HOURS 0.25		$160.00
SM	HB ANESTHESIA HOURS 0.50		$330.00
SM	HB ANESTHESIA HOURS 0.75		$490.00
SM	HB ANESTHESIA HOURS 1.00		$650.00
SM	HB ANESTHESIA HOURS 1.25		$810.00
SM	HB ANESTHESIA HOURS 1.50		$980.00
SM	HB ANESTHESIA HOURS 1.75		$1140.00
SM	HB ANESTHESIA HOURS 10.00		$6500.00
SM	HB ANESTHESIA HOURS 10.25		$6660.00
SM	HB ANESTHESIA HOURS 10.50		$6830.00
SM	HB ANESTHESIA HOURS 10.75		$6990.00
SM	HB ANESTHESIA HOURS 11.00		$7150.00
SM	HB ANESTHESIA HOURS 11.25		$7310.00
SM	HB ANESTHESIA HOURS 11.50		$7480.00
SM	HB ANESTHESIA HOURS 11.75		$7640.00
SM	HB ANESTHESIA HOURS 12.00		$7800.00
SM	HB ANESTHESIA HOURS 12.25		$7960.00
SM	HB ANESTHESIA HOURS 12.50		$8130.00
SM	HB ANESTHESIA HOURS 12.75		$8290.00
SM	HB ANESTHESIA HOURS 13.00		$8450.00
SM	HB ANESTHESIA HOURS 13.25		$8610.00
SM	HB ANESTHESIA HOURS 13.50		$8780.00
SM	HB ANESTHESIA HOURS 13.75		$8940.00
SM	HB ANESTHESIA HOURS 14.00		$9100.00
SM	HB ANESTHESIA HOURS 14.25		$9260.00
SM	HB ANESTHESIA HOURS 14.50		$9430.00
SM	HB ANESTHESIA HOURS 14.75		$9590.00
SM	HB ANESTHESIA HOURS 15.00		$9750.00
SM	HB ANESTHESIA HOURS 15.25		$9910.00
SM	HB ANESTHESIA HOURS 15.50		$10080.00
SM	HB ANESTHESIA HOURS 15.75		$10240.00
SM	HB ANESTHESIA HOURS 16.00		$10400.00
SM	HB ANESTHESIA HOURS 16.25		$10560.00
SM	HB ANESTHESIA HOURS 16.50		$8580.00
SM	HB ANESTHESIA HOURS 16.75		$8710.00
SM	HB ANESTHESIA HOURS 17.00		$11050.00
SM	HB ANESTHESIA HOURS 17.25		$8970.00
SM	HB ANESTHESIA HOURS 17.50		$9100.00
SM	HB ANESTHESIA HOURS 17.75		$9230.00
SM	HB ANESTHESIA HOURS 18.00		$11700.00
SM	HB ANESTHESIA HOURS 18.25		$11860.00
SM	HB ANESTHESIA HOURS 18.50		$12030.00
SM	HB ANESTHESIA HOURS 18.75		$12190.00
SM	HB ANESTHESIA HOURS 19.00		$12350.00
SM	HB ANESTHESIA HOURS 19.25		$10010.00
SM	HB ANESTHESIA HOURS 19.50		$12680.00
SM	HB ANESTHESIA HOURS 19.75		$12840.00
SM	HB ANESTHESIA HOURS 2.00		$1300.00
SM	HB ANESTHESIA HOURS 2.25		$1460.00
SM	HB ANESTHESIA HOURS 2.50		$1630.00
SM	HB ANESTHESIA HOURS 2.75		$1790.00
SM	HB ANESTHESIA HOURS 20.00		$10400.00
SM	HB ANESTHESIA HOURS 20.25		$13160.00
SM	HB ANESTHESIA HOURS 20.50		$10660.00
SM	HB ANESTHESIA HOURS 20.75		$10790.00
SM	HB ANESTHESIA HOURS 21.00		$10920.00
SM	HB ANESTHESIA HOURS 21.25		$11050.00
SM	HB ANESTHESIA HOURS 21.50		$13980.00
SM	HB ANESTHESIA HOURS 21.75		$11310.00
SM	HB ANESTHESIA HOURS 22.00		$11440.00
SM	HB ANESTHESIA HOURS 22.25		$11570.00
SM	HB ANESTHESIA HOURS 22.50		$11700.00
SM	HB ANESTHESIA HOURS 22.75		$11830.00
SM	HB ANESTHESIA HOURS 23.00		$11960.00
SM	HB ANESTHESIA HOURS 23.25		$12090.00
SM	HB ANESTHESIA HOURS 23.50		$12220.00
SM	HB ANESTHESIA HOURS 23.75		$12350.00
SM	HB ANESTHESIA HOURS 24.00		$15600.00
SM	HB ANESTHESIA HOURS 3.00		$1950.00
SM	HB ANESTHESIA HOURS 3.25		$2110.00
SM	HB ANESTHESIA HOURS 3.50		$2280.00
SM	HB ANESTHESIA HOURS 3.75		$2440.00
SM	HB ANESTHESIA HOURS 4.00		$2600.00
SM	HB ANESTHESIA HOURS 4.25		$2760.00
SM	HB ANESTHESIA HOURS 4.50		$2930.00
SM	HB ANESTHESIA HOURS 4.75		$3090.00
SM	HB ANESTHESIA HOURS 5.00		$3250.00
SM	HB ANESTHESIA HOURS 5.25		$3410.00
SM	HB ANESTHESIA HOURS 5.50		$3580.00
SM	HB ANESTHESIA HOURS 5.75		$3740.00
SM	HB ANESTHESIA HOURS 6.00		$3900.00
SM	HB ANESTHESIA HOURS 6.25		$4060.00
SM	HB ANESTHESIA HOURS 6.50		$4230.00
SM	HB ANESTHESIA HOURS 6.75		$4390.00
SM	HB ANESTHESIA HOURS 7.00		$4550.00
SM	HB ANESTHESIA HOURS 7.25		$4710.00
SM	HB ANESTHESIA HOURS 7.50		$4880.00
SM	HB ANESTHESIA HOURS 7.75		$5040.00
SM	HB ANESTHESIA HOURS 8.00		$5200.00
SM	HB ANESTHESIA HOURS 8.25		$5360.00
SM	HB ANESTHESIA HOURS 8.50		$5530.00
SM	HB ANESTHESIA HOURS 8.75		$5690.00
SM	HB ANESTHESIA HOURS 9.00		$5850.00
SM	HB ANESTHESIA HOURS 9.25		$6010.00
SM	HB ANESTHESIA HOURS 9.50		$6180.00
SM	HB ANESTHESIA HOURS 9.75		$6340.00
SM	HB CONSCIOUS SEDATION-IV/IM/INHAL		$150.00
SM	HB GI SEDATION >5YRS 1ST 15 SAME MD	G0500	$50.00
SM	HB SEDATION <5YRS 1ST 15 OTHER MD	99155	$50.00
SM	HB SEDATION <5YRS 1ST 15 SAME MD	99151	$50.00
SM	HB SEDATION >5YRS 1ST 15 OTHER MD	99156	$50.00
SM	HB SEDATION >5YRS 1ST 15 SAME MD	99152	$50.00
SM	HB SEDATION EA ADDL 15 OTHER MD	99157	$50.00
SM	HB SEDATION EA ADDL 15 SAME MD	99153	$50.00

Audiology

Hospital	Description	CPT Code	Standard Charge
SM	HB AUD ELECTROCOCHLEOGRAPHY	92584	$880.00
SM	HB AUD EVAL COMPRHN SPCH THRESH+RECOG	92557	$480.00
SM	HB AUD EVAL CONDITIONING PLAY	92582	$480.00
SM	HB AUD EVOK OTOACOUSTIC EMISSION EVAL EXTND	92588	$870.00
SM	HB AUD SPEECH THRESHOLD+RECOGNITION	92556	$160.00
SM	HB AUD TINNITUS ASSESSMENT	92625	$480.00
SM	HB AUDIOMETRY PURETONE THRESHOLD AIR ONLY	92552	$370.00
SM	HB AUDIOMETRY SELECT PICTURE	92583	$110.00
SM	HB CCS ALLIED PROF GROUP COUNSELING EA INDIV		$70.00
SM	HB CCS PRE-COCHLEAR EVAL 2ND AUDIOLOGIST		$330.00
SM	HB EEG AWAKE EMBOLIZATION	95816	$870.00
SM	HB EPSDT SPEECH THRESHOLD TEST		$100.00
SM	HB HEARING AID CHECK MONAURAL	92592	$90.00
SM	HB NHSP INFANT HEARING SCRN INPATIENT INITL		$430.00
SM	HB AUD ABR EVOKED RESPONSE LIMITED	92586	$480.00
SM	HB AUD ACOUSTIC IMMITT+REFLEX DECAY TEST BI	92570	$480.00
SM	HB AUD ACOUSTIC REFLEX TEST	92568	$110.00
SM	HB AUD COCHLEAR EVAL POST-LINGUAL HEAR LOSS	92633	$410.00
SM	HB AUD COCHLEAR EVAL PRE-LINGUAL HEAR LOSS	92630	$410.00
SM	HB AUD COCHLEAR REHAB POST-LINGUAL HEARLOSS	92633	$330.00
SM	HB AUD COCHLEAR REHAB PRE-LINGUAL HEAR LOSS	92630	$330.00
SM	HB AUD COCHLEAR TRAIN POST-LINGUAL HEARLOSS	92633	$330.00
SM	HB AUD COCHLEAR TRAIN PRE-LINGUAL HEAR LOSS	92630	$330.00
SM	HB AUD EAR PROTECTOR ATTEN MEAS	92596	$140.00
SM	HB AUD EVAL CENTRAL AUDITORY FUNCT EA ADD15	92621	$73.00
SM	HB AUD EVAL CENTRAL AUDITORY FUNCTION 1HR	92620	$480.00
SM	HB AUD EVAL SURG IMPLNT DEVC CANDIDATE/POST OP 1ST HOUR	92626	$520.00
SM	HB AUD EVAL SURG IMPLNT DEVC CANDIDT/POSTOP EA ADDL15MIN	92627	$130.00
SM	HB AUD EVOK POTENTIAL DURING SURG/HR	92585	$870.00
SM	HB AUD EVOKED OTOACOUST EMISSION LIMITED	92587	$870.00
SM	HB AUD PROGRAMMING OSSEOINTEGRATED DEVICE	92700	$330.00
SM	HB AUD PURETONE AIR&BONE	92553	$480.00
SM	HB AUD SPCH THRESHLD+RECOG COCHLR	92556	$124.00
SM	HB AUD SPEECH TRMNT DISORDER INDIVID/DISABLED>7YO	92507	$380.00
SM	HB AUD STENGER TEST PURE TONE	92565	$110.00
SM	HB AUD STENGER TEST SPEECH	92577	$1560.00
SM	HB AUD TONE DECAY TEST	92563	$110.00
SM	HB AUD TYMPANOMETRY + REFLEX THRESHOLD BI	92550	$480.00
SM	HB AUD TYMPANOMETRY + REFLEX THRESHOLD UNI	92550	$480.00
SM	HB AUD TYMPANOMETRY IMPEDANCE TEST	92567	$160.00
SM	HB AUD TYMPANOMETRY IMPEDANCE TEST UNILAT	92567	$110.00
SM	HB AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNTN COMPREHENSIVE AUTOMATED	0212T	$480.00
SM	HB AUDIOMETRY THRESHOLD PURE TONE AIR & BONE AUTOMATED	0209T	$110.00
SM	HB AUDIOMETRY THRESHOLD PURE TONE AIR ONLY AUTOMATED	0208T	$110.00
SM	HB AUDIOMETRY THRESHOLD PURE TONE AUTOMATED	0210T	$110.00
SM	HB AUDIOMETRY THRESHOLD SPEECH WITH SPEECH RECOGNITION AUTOMATED	0211T	$110.00
SM	HB AUDITORY EVOK POTENTIAL	92585	$870.00
SM	HB CCS ALLIED HEALTH CASE CONFERENCE EACH 15		$460.00
SM	HB CCS ALLIED HEALTH PHONE CONSULT EACH 15		$460.00
SM	HB CCS COORDINATOR CASE CONFERENCE		$460.00
SM	HB CCS EVOKED POTENTIAL RESCREEN UNINSUR	92586	$346.00
SM	HB CCS INFANT HEARING INITIAL SCREENING OP		$346.00
SM	HB CCS INFANT HEARING RESCREENING OP		$430.00
SM	HB CCS SW CASE CONF REPORT EACH 15MIN		$36.00
SM	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM<7YRS	92601	$480.00
SM	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM>7YRS	92603	$480.00
SM	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM<7YRS	92602	$480.00
SM	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM>7YRS	92604	$480.00
SM	HB EPSDT ACOUSTIC IMMIT TEST-1EAR		$359.00
SM	HB EPSDT ACOUSTIC IMMITTANCE TEST-2EAR		$359.00
SM	HB EPSDT AUD ORIENTATION 60MIN		$300.00
SM	HB EPSDT AUDIO EVAL COMPLEX <7YRS		$500.00
SM	HB EPSDT AUDIO EVAL INITIAL 2-5YRS		$500.00
SM	HB EPSDT AUDIO EVAL INITIAL 6-20YR		$500.00
SM	HB EPSDT AUDIO EVAL INITIAL<2YRS		$500.00
SM	HB EPSDT AUDIO EVAL SUBSQ <2YRS		$500.00
SM	HB EPSDT AUDIO EVAL SUBSQ 2-5YRS		$500.00
SM	HB EPSDT AUDIO EVAL SUBSQ 6-20YRS		$500.00
SM	HB EPSDT AUDIOLOGY CONSULT 60MIN		$250.00
SM	HB EPSDT AUDIOMETRY BEHAVIOR OBS		$399.00
SM	HB EPSDT AURAL REHAB ALT HEARING DEVC		$500.00
SM	HB EPSDT AURAL REHAB FOLLOW COCHLEAR IMPLNT 30MIN		$500.00
SM	HB EPSDT AURAL REHAB HEARING AID 30MIN		$500.00
SM	HB EPSDT COCHLEAR IMPLANT RE-CHECK		$480.00
SM	HB EPSDT COCHLEAR IMPLNT PROGRM/MAPPING 60MIN		$480.00
SM	HB EPSDT COCHLEAR POST IMPL TEST 30		$480.00
SM	HB EPSDT EVKD OTOACOUST EMISS CMP		$592.00
SM	HB EPSDT EVOKED OTOACOUST EMISSION LIMITED		$302.00
SM	HB EPSDT FUNCTIONAL GAIN TEST		$540.00
SM	HB EPSDT PRE-COCHLEAR EVAL 2ND AUDIOLOGIST		$540.00
SM	HB EPSDT REAL EAR MEASURE-1EAR		$160.00
SM	HB EPSDT REAL EAR MEASURE-2EAR		$320.00
SM	HB EPSDT SPEECH PERCEPTION TEST PRE/POST		$410.00
SM	HB EPSDT SPEECH/WORD RECOGNITION TEST		$124.00
SM	HB HEAR AID CHECK BILAT	92593	$90.00
SM	HB HEAR AID ELECTROACOUST EVAL UNILATERAL	92594	$110.00
SM	HB HEAR AID ELECTROACOUSTIC EVAL BILAT	92595	$210.00
SM	HB HEAR AID EXAM+SELECT BILAT	92591	$258.00
SM	HB HEAR AID ORIENTATION	99211	$240.00
SM	HB SPEECH LANGUAGE THERAPY	92507	$95.00
SM	HB VISUAL REINFORCEMENT AUDIOMTRY VRA	92579	$480.00

Behavioral Health Services

Hospital	Description	CPT Code	Standard Charge
SM	HB ECT-CONVULSIVE THERAPY	90870	$1950.00
SM	HB BIOFEEDBACK PERI/URO/RECTAL EA ADDL 15 MINS	90913	$240.00
SM	HB BIOFEEDBACK PERI/URO/RECTAL INIT 15 MINS	90912	$480.00
SM	HB BRIEF EMOTIONAL BEHAV ASSESS PER INSTRUMNT	96127	$120.00

Blood And Blood Components

Hospital	Description	CPT Code	Standard Charge
SM	HB PERFUSION PLATELET GEL PROCESSING		$240.00
SM	HB TRANSFUSION BLOOD/BLOOD COMPONENTS	36430	$1310.00
SM	HB TRANSFUSION EXCHANGE	36455	$1310.00
SM	HB TRANSFUSION EXCHANGE NEWBORN	36450	$1310.00
SM	HB TRANSFUSION INTRAUTERINE FETAL	36460	$1310.00
SM	HB PLATELET RICH PLASMA INJECTION WITH IMAGE GUIDANCE	0232T	$1150.00
SM	HB TRANSFUSION PUSH <2YRS	36440	$1310.00

Cardiology Caths and Tests

Hospital	Description	CPT Code	Standard Charge
SM	HB CARDIOVERSION ELECTIVE EXTERNAL	92960	$1500.00
SM	HB ENDOMYOCARDIAL BIOPSY	93505	$3640.00
SM	HB LHC VIA TRANSSEPT/ATRIAL PUNCTURE	93462	$9170.00
SM	HB PERFUSION CATH LAB HOURS 1.00		$10390.00
SM	HB PERFUSION CATH LAB HOURS 2.0		$10780.00
SM	HB PERFUSION CATH LAB HOURS 3.0		$11170.00
SM	HB PERFUSION CATH LAB HOURS 4.0		$11560.00
SM	HB PERFUSION CATH LAB HOURS 5.0		$11950.00
SM	HB PERFUSION CATH LAB HOURS 6.0		$12340.00
SM	HB PERFUSION CATH LAB HOURS 7.0		$12730.00
SM	HB PERFUSION CATH LAB HOURS 8.0		$13120.00
SM	HB R&LHC VENTRICULOGRAPHY+INJ	93453	$9850.00
SM	HB VAD PERFUSION CATH LAB HOURS 1.00		$10390.00
SM	HB VAD PERFUSION CATH LAB HOURS 2.00		$10780.00
SM	HB VAD PERFUSION CATH LAB HOURS 3.00		$11170.00
SM	HB VAD PERFUSION CATH LAB HOURS 4.00		$11560.00
SM	HB VAD PERFUSION CATH LAB HOURS 5.00		$11950.00
SM	HB VAD PERFUSION CATH LAB HOURS 6.00		$12340.00
SM	HB VAD PERFUSION CATH LAB HOURS 7.00		$12730.00
SM	HB VAD PERFUSION CATH LAB HOURS 8.00		$13120.00
SM	HB CARDIO TILT TABLE EVAL+ECG MONITOR	93660	$1560.00
SM	HB CARDIOVERSION INTERNAL	92961	$2070.00
SM	HB CATH LAB IR HOURS 0.25		$5500.00
SM	HB CATH LAB IR HOURS 0.50		$6800.00
SM	HB CATH LAB IR HOURS 0.75		$8100.00
SM	HB CATH LAB IR HOURS 1.00		$9400.00
SM	HB CATH LAB IR HOURS 1.25		$10700.00
SM	HB CATH LAB IR HOURS 1.50		$12000.00
SM	HB CATH LAB IR HOURS 1.75		$13300.00
SM	HB CATH LAB IR HOURS 10.00		$56200.00
SM	HB CATH LAB IR HOURS 10.25		$57500.00
SM	HB CATH LAB IR HOURS 10.50		$58800.00
SM	HB CATH LAB IR HOURS 10.75		$60100.00
SM	HB CATH LAB IR HOURS 11.00		$61400.00
SM	HB CATH LAB IR HOURS 11.25		$62700.00
SM	HB CATH LAB IR HOURS 11.50		$64000.00
SM	HB CATH LAB IR HOURS 11.75		$65300.00
SM	HB CATH LAB IR HOURS 12.00		$66600.00
SM	HB CATH LAB IR HOURS 12.25		$67900.00
SM	HB CATH LAB IR HOURS 12.50		$69200.00
SM	HB CATH LAB IR HOURS 12.75		$70500.00
SM	HB CATH LAB IR HOURS 13.00		$71800.00
SM	HB CATH LAB IR HOURS 13.25		$73100.00
SM	HB CATH LAB IR HOURS 13.50		$74400.00
SM	HB CATH LAB IR HOURS 13.75		$75700.00
SM	HB CATH LAB IR HOURS 14.00		$77000.00
SM	HB CATH LAB IR HOURS 14.25		$78300.00
SM	HB CATH LAB IR HOURS 14.50		$79600.00
SM	HB CATH LAB IR HOURS 14.75		$80900.00
SM	HB CATH LAB IR HOURS 15.00		$82200.00
SM	HB CATH LAB IR HOURS 15.25		$83500.00
SM	HB CATH LAB IR HOURS 15.50		$84800.00
SM	HB CATH LAB IR HOURS 15.75		$86100.00
SM	HB CATH LAB IR HOURS 16.00		$87400.00
SM	HB CATH LAB IR HOURS 16.25		$88700.00
SM	HB CATH LAB IR HOURS 16.50		$90000.00
SM	HB CATH LAB IR HOURS 16.75		$91300.00
SM	HB CATH LAB IR HOURS 17.00		$92600.00
SM	HB CATH LAB IR HOURS 17.25		$93900.00
SM	HB CATH LAB IR HOURS 17.50		$95200.00
SM	HB CATH LAB IR HOURS 17.75		$96500.00
SM	HB CATH LAB IR HOURS 18.00		$97800.00
SM	HB CATH LAB IR HOURS 18.25		$99100.00
SM	HB CATH LAB IR HOURS 18.50		$100400.00
SM	HB CATH LAB IR HOURS 18.75		$101700.00
SM	HB CATH LAB IR HOURS 19.00		$103000.00
SM	HB CATH LAB IR HOURS 19.25		$104300.00
SM	HB CATH LAB IR HOURS 19.50		$105600.00
SM	HB CATH LAB IR HOURS 19.75		$106900.00
SM	HB CATH LAB IR HOURS 2.00		$14600.00
SM	HB CATH LAB IR HOURS 2.25		$15900.00
SM	HB CATH LAB IR HOURS 2.50		$17200.00
SM	HB CATH LAB IR HOURS 2.75		$18500.00
SM	HB CATH LAB IR HOURS 20.00		$108200.00
SM	HB CATH LAB IR HOURS 20.25		$109500.00
SM	HB CATH LAB IR HOURS 20.50		$110800.00
SM	HB CATH LAB IR HOURS 20.75		$112100.00
SM	HB CATH LAB IR HOURS 21.00		$113400.00
SM	HB CATH LAB IR HOURS 21.25		$114700.00
SM	HB CATH LAB IR HOURS 21.50		$116000.00
SM	HB CATH LAB IR HOURS 21.75		$117300.00
SM	HB CATH LAB IR HOURS 22.00		$118600.00
SM	HB CATH LAB IR HOURS 22.25		$119900.00
SM	HB CATH LAB IR HOURS 22.50		$121200.00
SM	HB CATH LAB IR HOURS 22.75		$122500.00
SM	HB CATH LAB IR HOURS 23.00		$123800.00
SM	HB CATH LAB IR HOURS 23.25		$125100.00
SM	HB CATH LAB IR HOURS 23.50		$126400.00
SM	HB CATH LAB IR HOURS 23.75		$127700.00
SM	HB CATH LAB IR HOURS 24.00		$129000.00
SM	HB CATH LAB IR HOURS 3.00		$19800.00
SM	HB CATH LAB IR HOURS 3.25		$21100.00
SM	HB CATH LAB IR HOURS 3.50		$22400.00
SM	HB CATH LAB IR HOURS 3.75		$23700.00
SM	HB CATH LAB IR HOURS 4.00		$25000.00
SM	HB CATH LAB IR HOURS 4.25		$26300.00
SM	HB CATH LAB IR HOURS 4.50		$27600.00
SM	HB CATH LAB IR HOURS 4.75		$28900.00
SM	HB CATH LAB IR HOURS 5.00		$30200.00
SM	HB CATH LAB IR HOURS 5.25		$31500.00
SM	HB CATH LAB IR HOURS 5.50		$32800.00
SM	HB CATH LAB IR HOURS 5.75		$34100.00
SM	HB CATH LAB IR HOURS 6.00		$35400.00
SM	HB CATH LAB IR HOURS 6.25		$36700.00
SM	HB CATH LAB IR HOURS 6.50		$38000.00
SM	HB CATH LAB IR HOURS 6.75		$39300.00
SM	HB CATH LAB IR HOURS 7.00		$40600.00
SM	HB CATH LAB IR HOURS 7.25		$41900.00
SM	HB CATH LAB IR HOURS 7.50		$43200.00
SM	HB CATH LAB IR HOURS 7.75		$44500.00
SM	HB CATH LAB IR HOURS 8.00		$45800.00
SM	HB CATH LAB IR HOURS 8.25		$47100.00
SM	HB CATH LAB IR HOURS 8.50		$48400.00
SM	HB CATH LAB IR HOURS 8.75		$49700.00
SM	HB CATH LAB IR HOURS 9.00		$51000.00
SM	HB CATH LAB IR HOURS 9.25		$52300.00
SM	HB CATH LAB IR HOURS 9.50		$53600.00
SM	HB CATH LAB IR HOURS 9.75		$54900.00
SM	HB CATHLAB IR RECOVERY UPTO HR 1.00		$612.00
SM	HB CATHLAB IR RECOVERY UPTO HR 1.50		$857.00
SM	HB CATHLAB IR RECOVERY UPTO HR 2.00		$1048.00
SM	HB CATHLAB IR RECOVERY UPTO HR 2.50		$1248.00
SM	HB CATHLAB IR RECOVERY UPTO HR 3.00		$1473.00
SM	HB CATHLAB IR RECOVERY UPTO HR 3.50		$1699.00
SM	HB CATHLAB IR RECOVERY UPTO HR 4.00		$1924.00
SM	HB CORONARY FFR CT+ANALYSIS+MODEL	0503T	$5480.00
SM	HB CV MONITOR SYSTEM IMPLANT INTERRROGATION	93290	$157.00
SM	HB DEFIB WEARABLE SYSTSEM INTERROGATION	93292	$210.00
SM	HB DOPPLER ECHO COLORFLO VELOCITY MAP	93325	$550.00
SM	HB DOPPLER ECHO COMPLETE	93320	$600.00
SM	HB DOPPLER ECHO LIMITED	93321	$330.00
SM	HB ECG EVENT RECORD WO 24HR ATTEND MONITOR	0497T	$132.00
SM	HB ECHO 2D COMPLETE WO COLORFLOW +/- FOLLOW WITH CONTRAST	C8923	$2390.00
SM	HB ECHO INTRAOPERATIVE	93662	$4608.00
SM	HB ECHO TEE 2D CONGEN ANOMLY+PROBE+MONITORING	93318	$1700.00
SM	HB ECHO TEE 2D PROBE PLACE ONLY	93313	$850.00
SM	HB ECHO TEE 2D PROBE+IMAG+REPORT +/- FOLLOW W CONTRAST	C8925	$2390.00
SM	HB ECHO TEE 2D PROBE+MONITOR +/- FOLLOW W CONTRAST	C8927	$2390.00
SM	HB ECHO TEE 2D+IMAGE+REPORT	93314	$1288.00
SM	HB ECHO TEE 2D+PROBE+IMAG+REPORT COMPLETE	93312	$1700.00
SM	HB ECHO TEE CONGEN ANOMLY IMAGE ONLY+REPORT	93317	$842.00
SM	HB ECHO TEE CONGEN ANOMLY+PROBE PLACE ONLY	93316	$1700.00
SM	HB ECHO TEE CONGEN ANOMLY+PROBE+IMAG+REPORT	93315	$1700.00
SM	HB ECHO TEE GUIDANCE INTERVENTNL+IMAG+PROBE MANIP+REPORT	93355	$2420.00
SM	HB ECHO TRANSESOPH TEE CHD+PROBE+IMAG REPORT +/- FOLLOW WITH CONTRAST	C8926	$2390.00
SM	HB ECHO TTE 2D COMPLETE + COLORFLOW	93306	$1700.00
SM	HB ECHO TTE 2D COMPLETE +COLORFLOW +/- FOLLOW W CONTRAST	C8929	$2390.00
SM	HB ECHO TTE 2D COMPLETE WO COLORFLOW	93307	$1700.00
SM	HB ECHO TTE 2D LIMITED	93308	$860.00
SM	HB ECHO TTE 2D LIMTED +/- FOLLOW W CONTRAST	C8924	$1600.00
SM	HB ECHO TTE CONGEN ANOMLY COMPL +/- FOLLOW W CONTRAST	C8921	$2390.00
SM	HB ECHO TTE CONGEN ANOMLY COMPLETE	93303	$1700.00
SM	HB ECHO TTE CONGEN ANOMLY F-UP/LTD	93304	$1140.00
SM	HB ECHO TTE CONGEN ANOMLY LIMTED +/- FOLLOW W CONTRAST	C8922	$2390.00
SM	HB EP EVAL SUBQ IMPLANT DEFIB	93644	$670.00
SM	HB ICD EVAL +/- REPROGRAM DUAL LEAD	93283	$280.00
SM	HB ICD EVAL +/- REPROGRAM MULTI LEAD	93284	$310.00
SM	HB ICD EVAL +/- REPROGRAM SGL LEAD	93282	$220.00
SM	HB ICD EVAL PERIPROCEDURE +/- REPROGRAM	93287	$130.00
SM	HB ICD INTERROGATION+/-REPROGRAM	93289	$420.00
SM	HB INTRACARD ISCHEMIA MONIT SYST EVAL +/- REPROG	0528T	$140.00
SM	HB INTRACARD ISCHEMIA MONIT SYST INTERROG EVAL	0529T	$140.00
SM	HB MYOCARDIAL STRAIN IMAG W SPECKLE TRACK ASSMT	93356	$1580.00
SM	HB PACEMAKER EVAL +/- REPROGRAM DUAL	93280	$200.00
SM	HB PACEMAKER EVAL +/- REPROGRAM MULTIPLE	93281	$230.00
SM	HB PACEMAKER EVAL PERIPROCED +/- REPROGRAM	93286	$100.00
SM	HB PACEMAKER TELE ANALYSIS SINGLE	93293	$265.00
SM	HB PCMKR EVAL +/- REPROG SGL/LEADLESS	93279	$180.00
SM	HB PCMKR INTERROG EVAL +/-REPROG SGL/MULT/LEADLESS	93288	$240.00
SM	HB PULMONARY STRESS TEST COMPLEX	94621	$1720.00
SM	HB REMOTE INTERROG CV/LOOP/SUBQ CARD MONIT 30DAY	G2066	$140.00
SM	HB REMOTE INTERROGATE PCMKR/ICD UPTO 90DAYS	93296	$310.00
SM	HB STRESS ECHO TTE 2D	93350	$2740.00
SM	HB STRESS ECHO TTE 2D + REPORT +/- FOLLOW W CONTRAST	C8928	$2390.00
SM	HB STRESS ECHO TTE 2D+ECG MONITOR	93351	$3150.00
SM	HB STRESS ECHO TTE 2D+ECG MONITOR+/-FOLLOW W CONTRAST	C8930	$2190.00
SM	HB STRESS TEST + EXERCISE +/-PHARM+ECG MONITOR	93017	$1500.00
SM	HB SUBQ CARD RHYTHM MONIT EVAL +/- REPROGRAM	93285	$140.00
SM	HB SUBQ CARD RHYTHM MONIT INTERROG EVAL	93291	$230.00
SM	HB VAD INTERROGATION+PROGRAMMING IN PERSON	93750	$400.00
SM	HB WIRELESS CARD STIM EVAL +/- REPROG	0522T	$140.00
SM	HB WIRELESS CARD STIM INTERROG EVAL	0521T	$65.00

Clinic

Hospital	Description	CPT Code	Standard Charge
SM	HB ACTINOTHERAPY UV LIGHT	96900	$110.00
SM	HB ANNUAL WELLNESS VISIT+PPPS INITIAL	G0438	$240.00
SM	HB ANNUAL WELLNESS VISIT+PPPS SUBSEQUENT	G0439	$240.00
SM	HB HRIF MED NUTRITION ASSESS INITIAL 1ST30MIN	97802	$50.00
SM	HB NEW PREVENTIVE EXAM MEDICARE	G0402	$360.00
SM	HB PERITONEAL-VENOUS SHUNT EVAL INJECTION	49427	$190.00
SM	HB PHOTOCHEMOTHERAPY GOEKERMAN	96910	$200.00
SM	HB PHOTOCHEMOTHERAPY PUVA	96912	$200.00
SM	HB PHOTOCHEMOTHERAPY SEVERE DERMATOSIS	96913	$1090.00
SM	HB PROLONGED PT VISIT FIRST HR	99354	$100.00
SM	HB ADVANCED CARE PLAN 30 MIN	99497	$260.00
SM	HB ADVANCED CARE PLAN ADDL 30 MIN	99498	$260.00
SM	HB ANNUAL ALCOHOL MISUSE SCRN 15 MIN	G0442	$110.00
SM	HB ANNUAL BEHAV THER CARDIO DISEASE 15 MIN	G0446	$100.00
SM	HB ANNUAL DEPRESSSION SCRN 15 MIN	G0444	$110.00
SM	HB BODY COMPOSITION ANALYSIS	G0463	$170.00
SM	HB BRIEF ALCOHOL MISUSE COUNSEL	G0443	$310.00
SM	HB COUNSEL NEED FOR LUNG CANCER SCRN LOW DOSE CT	G0296	$310.00
SM	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP		$279.00
SM	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP HIRISK		$279.00
SM	HB CPSP OB ANTEPARTUM INITIAL		$279.00
SM	HB CPSP OB ANTEPARTUM INITIAL HIRISK		$279.00
SM	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 10+		$200.00
SM	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 2-9		$200.00
SM	HB CPSP OB ANTEPARTUM SUBSQ HIRISK		$200.00
SM	HB CPSP OB COMBINED ASSESSMENT INTIAL		$200.00
SM	HB CPSP OB POSTPARTUM VISIT		$200.00
SM	HB EST OUTPATIENT VISIT LEVEL 3	G0463	$230.00
SM	HB EST PREVENTIVE CARE >65YRS	G0463	$320.00
SM	HB EST PREVENTIVE CARE AGE 1-4YR	G0463	$320.00
SM	HB EST PREVENTIVE CARE AGE 12-17YR	G0463	$320.00
SM	HB EST PREVENTIVE CARE AGE 18-39YR	G0463	$320.00
SM	HB EST PREVENTIVE CARE AGE 40-64YR	G0463	$320.00
SM	HB EST PREVENTIVE CARE AGE 5-11YR	G0463	$320.00
SM	HB EST PREVENTIVE CARE PERIODIC	G0463	$320.00
SM	HB EST PT LVL1 ASSESSMENT POSTOP	G0463	$170.00
SM	HB EXAM EVIDENTRY SEXUAL ASSAULT	G0463	$1029.00
SM	HB EXAM EVIDENTRY SEXUAL ASSAULT SUSPECT	G0463	$1029.00
SM	HB FACE TO FACE BEHAV COUNSEL OBESITY 15 MIN	G0447	$310.00
SM	HB FAMILY PACT EST PT VISIT LEVEL 1		$130.00
SM	HB FAMILY PACT EST PT VISIT LEVEL 2		$159.00
SM	HB FAMILY PACT EST PT VISIT LEVEL 3		$183.00
SM	HB FAMILY PACT EST PT VISIT LEVEL 5		$279.00
SM	HB FAMILY PACT EST PT VISITLEVEL 4		$200.00
SM	HB FAMILY PACT NEW PT VISIT LEVEL 1		$130.00
SM	HB FAMILY PACT NEW PT VISIT LEVEL 2		$159.00
SM	HB FAMILY PACT NEW PT VISIT LEVEL 3		$183.00
SM	HB FAMILY PACT NEW PT VISIT LEVEL 4		$200.00
SM	HB FAMILY PACT NEW PT VISIT LEVEL 5		$279.00
SM	HB HEALTH BEHVR INTERVENTION FAMILY EA ADDL 15MIN	96168	$40.00
SM	HB HEALTH BEHVR INTERVENTION FAMILY INITL 30MIN	96167	$100.00
SM	HB HEALTH BEHVR INTERVENTION GROUP EA ADDL 15MINS	96165	$30.00
SM	HB HEALTH BEHVR INTERVENTION GROUP INITL 30MINS	96164	$100.00
SM	HB HEALTH BEHVR INTERVENTION INDIV EA ADDL 15MINS	96159	$100.00
SM	HB HEALTH BEHVR INTERVENTION INDIV INITL 30MINS	96158	$300.00
SM	HB HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL4	G0463	$295.00
SM	HB HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL5	G0463	$317.00
SM	HB HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL4	G0463	$295.00
SM	HB HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL5	G0463	$317.00
SM	HB HRIF HI RISK INFANT F-UP NURSE COORDINATOR	G0463	$240.00
SM	HB HRIF MED NUTRITION ASSESS SUBSEQUENT 30MIN	97803	$43.00
SM	HB MED TEAM CONFERENCE BY HEALTH PROF WITHOUT PATIENT 30MIN OR MORE	99368	$500.00
SM	HB MEDICAL GENETIC COUNSELING EACH 30MIN	96040	$390.00
SM	HB MEDICAL GENETIC COUNSELING MCAL /15MIN		$150.00
SM	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITH PATIENT 30MIN	99366	$500.00
SM	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITHOUT PATIENT 30MIN	99367	$500.00
SM	HB NEW OUTPATIENT VISIT LEVEL 3	G0463	$230.00
SM	HB NEW PREVENTIVE CARE AGE >65YRS	G0463	$360.00
SM	HB NEW PREVENTIVE CARE AGE 1-4YR	G0463	$360.00
SM	HB NEW PREVENTIVE CARE AGE 12-17YR	G0463	$360.00
SM	HB NEW PREVENTIVE CARE AGE 18-39YR	G0463	$360.00
SM	HB NEW PREVENTIVE CARE AGE 40-64YR	G0463	$360.00
SM	HB NEW PREVENTIVE CARE AGE 5-11YR	G0463	$360.00
SM	HB NEW PREVENTIVE VISIT INITIAL	G0463	$360.00
SM	HB OR PROC ROOM EVAL NOT SURG DAY/CANCEL	G0463	$240.00
SM	HB OUTPATIENT CONSULT LEVEL 2	G0463	$200.00
SM	HB OUTPATIENT CONSULT LEVEL 3	G0463	$230.00
SM	HB OUTPATIENT CONSULT LEVEL 4	G0463	$260.00
SM	HB OUTPATIENT CONSULT LEVEL 5	G0463	$350.00
SM	HB PHOTOCHEMOTHERAPY PSORALEN BATH	96999	$250.00
SM	HB PREVENTIVE MED COUNSEL 15MIN	G0463	$320.00
SM	HB PREVENTIVE MED COUNSEL 30MIN	G0463	$340.00
SM	HB PREVENTIVE MED COUNSEL 45MIN	G0463	$360.00
SM	HB PREVENTIVE MED COUNSEL 60MIN	G0463	$380.00
SM	HB PROLONG PT VISIT EA ADDL 30 MINS	99355	$100.00
SM	HB TRANSITIONAL CARE MANAGEMENT HIGH COMPLEX WITHIN 7DAYS DISCHARGE	99496	$440.00
SM	HB TRANSITIONAL CARE MANAGEMENT MOD COMPLEX WITHIN 14DAYS DISCHARGE	99495	$400.00

CT Scan

Hospital	Description	CPT Code	Standard Charge
SM	HB 3D CT MR US WO POST PROCESS	76376	$850.00
SM	HB CT 3D RECONSTRCT AORTA SURGPLN	G0288	$830.00
SM	HB CT ABDOMEN + CONTRAST	74160	$2590.00
SM	HB CT ABDOMEN +/- CONTRAST	74170	$3060.00
SM	HB CT ABDOMEN WO CONTRAST	74150	$1850.00
SM	HB CT ABDOMEN&PELVIS WO CONTRAST	74176	$1850.00
SM	HB CT ABDOMEN&PELVIS WO+1SECTN/REGN W CONTR	74178	$3060.00
SM	HB CT ABDOMEN&PELVIS+CONTRAST	74177	$2590.00
SM	HB CT ANGIO ABD AORTA + RUNOFF	75635	$2040.00
SM	HB CT ANGIO ABD PELVIS+/-CONTRAST	74174	$3060.00
SM	HB CT ANGIOGRAM ABDOMEN	74175	$2040.00
SM	HB CT ANGIOGRAM CHEST	71275	$2110.00
SM	HB CT ANGIOGRAM HEAD +/- CONTRAST	70496	$1730.00
SM	HB CT ANGIOGRAM LOWER EXTREMITY	73706	$1790.00
SM	HB CT ANGIOGRAM NECK	70498	$1730.00
SM	HB CT ANGIOGRAM PELVIS	72191	$2040.00
SM	HB CT ANGIOGRAM UPPER EXTREMITY	73206	$1790.00
SM	HB CT BONE DENSITY AXIAL	77078	$250.00
SM	HB CT BONE DENSITY PERIPHERAL	77080	$420.00
SM	HB CT BRAIN + CONTRAST	70460	$2830.00
SM	HB CT BRAIN +/- CONTRAST	70470	$3610.00
SM	HB CT BRAIN WO CONTRAST	70450	$2500.00
SM	HB CT C-SPINE +/- CONTRAST	72127	$2230.00
SM	HB CT C-SPINE WO CONTRAST	72125	$1860.00
SM	HB CT CHEST + CONTRAST	71260	$2500.00
SM	HB CT CHEST +/- CONTRAST	71270	$3060.00
SM	HB CT CHEST WO CONTRAST	71250	$1860.00
SM	HB CT COLONOGRAPHY DIAGNOSTIC + CONTRAST	74262	$1250.00
SM	HB CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST	74261	$830.00
SM	HB CT COLONOGRAPHY SCREENING MCN	74263	$1250.00
SM	HB CT FOLLOW-UP EXAM	76380	$360.00
SM	HB CT HEART FUNCTION EVAL 3D	75572	$1130.00
SM	HB CT HEART WO CONTRAST+CORONARY CALCIUM	75571	$270.00
SM	HB CT L-SPINE + CONTRAST	72132	$2500.00
SM	HB CT L-SPINE +/- CONTRAST	72133	$2950.00
SM	HB CT LOCALIZATION STEREOTACTIC	77011	$1960.00
SM	HB CT LOWER EXTREMITY + CONTRAST	73701	$2500.00
SM	HB CT LOWER EXTREMITY +/-CONTRAST	73702	$2950.00
SM	HB CT LOWER EXTREMITY WO CONTRAST	73700	$1810.00
SM	HB CT MAXILLOFACIAL + CONTRAST	70487	$2210.00
SM	HB CT MAXILLOFACIAL +/- CONTRAST	70488	$3580.00
SM	HB CT MAXILLOFACIAL WO CONTRAST	70486	$1930.00
SM	HB CT NDL PLACEMENT GUIDANCE S&I	77012	$1360.00
SM	HB CT ORBIT SELLA IAC +/-CONTRAST	70482	$2600.00
SM	HB CT ORBIT SELLA IAC WO CONTRAST	70480	$1880.00
SM	HB CT ORBIT/SELLA/IAC + CONTRAST	70481	$2210.00
SM	HB CT PELVIS + CONTRAST	72193	$2160.00
SM	HB CT PELVIS +/- CONTRAST	72194	$2680.00
SM	HB CT PELVIS WO CONTRAST	72192	$1860.00
SM	HB CT SOFT TISSUE NECK + CONTRAST	70491	$2260.00
SM	HB CT SOFT TISSUE NECK WO CONTR	70490	$2100.00
SM	HB CT SOFT TISSUE NECK+/-CONTRAST	70492	$2730.00
SM	HB CT T-SPINE + CONTRAST	72129	$2500.00
SM	HB CT T-SPINE +/- CONTRAST	72130	$2950.00
SM	HB CT UPPER EXTREMITY +/-CONTRAST	73202	$3250.00
SM	HB CT UPPER EXTREMITY WO CONTRAST	73200	$1590.00
SM	HB CTA CORONARY+/-GRAFT STRUCTURE & MORPH	75574	$1500.00
SM	HB CT ABLATION GUIDANCE S&I	77013	$940.00
SM	HB CT C-SPINE + CONTRAST	72126	$2230.00
SM	HB CT CERBRAL CBF PERFUSION+CONTRAST	0042T	$3240.00
SM	HB CT HEART FUNCTION EVAL 3D CONGENITAL	75573	$1130.00
SM	HB CT L-SPINE WO CONTRAST	72131	$1860.00
SM	HB CT LOW DOSE LUNG CANCER SCREENING	G0297	$500.00
SM	HB CT RADIATION RX FIELD GUIDANCE	77014	$940.00
SM	HB CT T-SPINE WO CONTRAST	72128	$1860.00
SM	HB CT UPPER EXTREMITY + CONTRAST	73201	$2040.00
SM	HB OR CT GUIDANCE SERVICE		$1000.00

DME / Medical Equipment

Hospital	Description	CPT Code	Standard Charge
SM	HB CANE DJ ORTHO	E0100	$80.00
SM	HB CRUTCHES FOREARM ADJUST	E0114	$100.00
SM	HB CRUTCHES FOREARM ADJUST DJ ORTHO	E0114	$160.00
SM	HB HEARING AID DISPENSING FEE BILATERAL	V5110	$20.00
SM	HB HEARING AID DISPENSING FEE UNSPECIFIED	V5090	$20.00
SM	HB MAP CANE	E0100	$22.00
SM	HB MAP CRUTCHES FOREARM ADJUST	E0114	$77.00
SM	HB CANE	E0100	$22.00
SM	HB CATHETER TO STENT-LARYNGECTMY	A9999	$20.00
SM	HB HELMET PROTECTIVE HARD PREFAB WITH ALL COMPONENTS & ACCESSORIES	A8001	$530.00
SM	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED	E0471	$7430.00
SM	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED RNTL	E0471	$743.00
SM	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED	E0470	$2910.00
SM	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED RNTL	E0470	$291.00
SM	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED	E0471	$6850.00
SM	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED RNTL	E0471	$685.00
SM	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS	E0471	$6580.00
SM	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS RNTL	E0471	$658.00
SM	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS	E0470	$2250.00
SM	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS RNTL	E0470	$225.00
SM	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS	E0471	$6760.00
SM	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS RNTL	E0471	$676.00
SM	HB SLEEP LAB BIPAP CHIN STRAP RESPIRONICS	A7036	$50.00
SM	HB SLEEP LAB BIPAP HMDFR WATER CHAMBER REPLACE EA RESPIRONICS	A7046	$60.00
SM	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS	E0471	$6090.00
SM	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS RNTL	E0471	$609.00
SM	HB SLEEP LAB CPAP AEROSOL COMPRESSOR & TUBING RESPIRONICS	E0572	$500.00
SM	HB SLEEP LAB CPAP AEROSOL COMPRESSOR RESPIRONICS	E0572	$370.00
SM	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED	E0601	$1240.00
SM	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED RNTL	E0601	$124.00
SM	HB SLEEP LAB CPAP CHIN STRAP DELUX ADJUST RESPIRONICS	A7036	$70.00
SM	HB SLEEP LAB CPAP CHIN STRAP RESMED	A7036	$30.00
SM	HB SLEEP LAB CPAP CHIN STRAP RESPIRONICS	A7036	$40.00
SM	HB SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FFM RESMED	A7027	$320.00
SM	HB SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FRAME RESMED	A7027	$260.00
SM	HB SLEEP LAB CPAP CUSHION REPLACE ONLY GECKO RESMED	A7032	$270.00
SM	HB SLEEP LAB CPAP CUSHION REPLACE ONLY MIRAGE RESMED	A7032	$60.00
SM	HB SLEEP LAB CPAP CUSHION REPLACEMENT ONLY RESPIRONICS	A7032	$80.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR S9 VPAP ST-A RESMED	E0471	$6020.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR VPAP ADAPT RESMED	E0471	$7350.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP DS1160/DS960 RESPIRONICS	E0471	$10000.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS S9 VPAP ST & CLIMATE CONTROL RESMED	E0471	$5500.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS S9VPAP ST-A & CLIMATE CONTROL RESMED	E0471	$6120.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS VPAP ADAPT & CLIMATE CONTROL RESMED	E0471	$7430.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS WO BACKUP AUTO DS760 RESPIRONICS	E0470	$3670.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR & TUBING S9VPAP S RESMED	E0470	$2500.00
SM	HB SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR S9 VPAP AUTO RESMED	E0470	$2840.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP DS1060 RESPIRONICS	E0471	$7260.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP S9 VPAP ST RESMED	E0471	$5080.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 100 RESMED	E0471	$14970.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 150 RESMED	E0471	$15640.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP VPAP ADAPT RESMED	E0471	$7000.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & S9 VPAP ST-A BACKUP RESMED	E0471	$5670.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP AUTO RESMED	E0470	$2500.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP RESMED	E0470	$2420.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP S RESMED	E0470	$2090.00
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO S9 VPAP AUTO&CLIMATE RESMED	E0470	$2920.00
SM	HB SLEEP LAB CPAP DEVICE REMSTAR60 & HMDFR AUTO RESPIRONICS	E0601	$1610.00
SM	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & CLIMATE CONTROL RESMED	E0601	$1470.00
SM	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & H5I RESMED	E0601	$1390.00
SM	HB SLEEP LAB CPAP DEVICE S9 ELITE & CLIMATE CONTROL RESMED	E0601	$1320.00
SM	HB SLEEP LAB CPAP DEVICE S9 ELITE + H5I RESMED	E0601	$1240.00
SM	HB SLEEP LAB CPAP DEVICE S9 ELITE RESMED	E0601	$890.00
SM	HB SLEEP LAB CPAP DEVICE S9 ESCAPE & CLIMATE CONTRO RESMED	E0601	$1000.00
SM	HB SLEEP LAB CPAP DEVICE S9 ESCAPE + H5I RESMED	E0601	$920.00
SM	HB SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO & CLIMATE CONTROL RESMED	E0601	$1270.00
SM	HB SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO + H5I RESMED	E0601	$1190.00
SM	HB SLEEP LAB CPAP DEVICE S9 ESCAPE RESMED	E0601	$570.00
SM	HB SLEEP LAB CPAP DRMSTN RESPIRONICS	E0601	$980.00
SM	HB SLEEP LAB CPAP DRMSTN RESPIRONICS RNTL	E0601	$98.00
SM	HB SLEEP LAB CPAP FACE MASK INTERFACE REPLACE EA RESMED	A7031	$100.00
SM	HB SLEEP LAB CPAP FILTER 12PACK RESMED	A7038	$60.00
SM	HB SLEEP LAB CPAP FILTER 12PACK STELLAR RESMED	A7038	$140.00
SM	HB SLEEP LAB CPAP FILTER 1PACK RESMED RESP	A7038	$10.00
SM	HB SLEEP LAB CPAP FILTER 2PACK OR 3PACK RESMED	A7038	$20.00
SM	HB SLEEP LAB CPAP FILTER 50PACK RESMED	A7038	$200.00
SM	HB SLEEP LAB CPAP FULL FACE MASK EA FFM RESMED	A7030	$320.00
SM	HB SLEEP LAB CPAP FULL FACE MASK EA FRAME RESMED	A7030	$260.00
SM	HB SLEEP LAB CPAP FULL FACE MASK EACH COMGEL RESPIRONICS	A7030	$80.00
SM	HB SLEEP LAB CPAP FULL FACE MASK EACH FFM AMARA RESPIRONICS	A7030	$300.00
SM	HB SLEEP LAB CPAP HEAD GEAR & CLIPS RESMED	A7035	$40.00
SM	HB SLEEP LAB CPAP HEAD GEAR MIRAGE LIBERTY RESMED	A7035	$70.00
SM	HB SLEEP LAB CPAP HEAD GEAR MIRAGE RESMED	A7035	$50.00
SM	HB SLEEP LAB CPAP HEAD GEAR MIRAGE SWIFT RESMED	A7035	$60.00
SM	HB SLEEP LAB CPAP HEAD GEAR NUANCE RESPIRONICS	A7035	$50.00
SM	HB SLEEP LAB CPAP HEAD GEAR PIXI RESMED	A7035	$70.00
SM	HB SLEEP LAB CPAP HEAD GEAR QUATTRO FX RESMED	A7035	$70.00
SM	HB SLEEP LAB CPAP HEAD GEAR RESPIRONICS	A7035	$50.00
SM	HB SLEEP LAB CPAP HEAD GEAR STANDARD RESMED	A7035	$50.00
SM	HB SLEEP LAB CPAP HEAD STRAP DOWN VITALSIGNS	A7036	$60.00
SM	HB SLEEP LAB CPAP HMDFR H4I RESMED	E0562	$350.00
SM	HB SLEEP LAB CPAP HMDFR H5I RESMED	E0562	$350.00
SM	HB SLEEP LAB CPAP HMDFR S9 ESCAPE AUTO RESMED	E0601	$840.00
SM	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA C-SERIES RESMED	A7046	$30.00
SM	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA H4I H5I 2IC RESMED	A7046	$80.00
SM	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA HUMIDAIRE RESMED	A7046	$130.00
SM	HB SLEEP LAB CPAP MONITGORING RESLINK MODULE RESMED	A9279	$610.00
SM	HB SLEEP LAB CPAP MONITGORING RESSCAN DATA CARD 10PK RESMED	A9279	$200.00
SM	HB SLEEP LAB CPAP MONITGORING S8 RESLINK MODULE RESMED	A9279	$730.00
SM	HB SLEEP LAB CPAP MONITGORING S9 WIRELESS MODULE RESMED	A9279	$620.00
SM	HB SLEEP LAB CPAP MONITGORING SD CARD 10 PACK RESMED	A9279	$290.00
SM	HB SLEEP LAB CPAP MONITGORING SMARTMEDIA CARDS 2PK RESMED	A9279	$60.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE FRAME SYSTEM RESMED	A7034	$120.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE MASK W OR WO STRAP RESPIRONICS	A7034	$190.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE MASK/FRAME SYSTEM RESMED	A7034	$160.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE NUANCE RESPIRONICS	A7034	$180.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE PILLOWS SYSTEM RESMED	A7034	$210.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE PIXI FRAME RESMED	A7034	$270.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE PIXI NASAL RESMED	A7034	$190.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE SWIFT II MASK RESMED	A7034	$210.00
SM	HB SLEEP LAB CPAP NASAL INTERFACE VISTA/KIDSTA RESMED	A7035	$40.00
SM	HB SLEEP LAB CPAP ORAL CUSHION LIBERTY MOUTH REPLACE EA RESMED	A7028	$100.00
SM	HB SLEEP LAB CPAP PILLOW FOR NASAL CANNULA INTERFACE REPLAC PAIR RESP	A7033	$80.00
SM	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR MIRAGE RESMED	A7029	$50.00
SM	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR SWIFT RESMED	A7033	$50.00
SM	HB SLEEP LAB CPAP PILLOW NUANCE REPLACE RESPIRONICS	A7033	$50.00
SM	HB SLEEP LAB CPAP SD CARD 10 PACK RESPIRONICS	A9279	$270.00
SM	HB SLEEP LAB CPAP SD CARD MAILER 10 PACK RESPIRONICS	A9279	$170.00
SM	HB SLEEP LAB CPAP SD CARD READER RESPIRONICS	A9279	$100.00
SM	HB SLEEP LAB CPAP TUBING 6FT RESPIRONICS	A7037	$20.00
SM	HB SLEEP LAB CPAP TUBING AIR 6FT OR SLIMLINE RESMED	A7037	$20.00
SM	HB SLEEP LAB CPAP TUBING AIR 9FT RESMED	A7037	$60.00
SM	HB SLEEP LAB CPAP TUBING CUFFED RESMED	A7037	$40.00
SM	HB SLEEP LAB CPAP TUBING LABGEL RESPIRONICS	A7037	$40.00
SM	HB SLEEP LAB CPAP TUBING REMSTAR RESPIRONICS	A7037	$30.00
SM	HB SLEEP LAB CPAP TUBING WITH INTEGRATED HEATING ELEMENT RESMED RESP	A4604	$100.00
SM	HB SLEEP LAB HME FILTERS MEDLINE	A7505	$220.00
SM	HB WALKER	E0130	$45.00

Emergency Room

Hospital	Description	CPT Code	Standard Charge
SM	HB ANOSCOPY DIAGNOSTIC RECTUM FB REMOVE	46608	$2480.00
SM	HB BRAIN VENTRIC PUNCT REMOVE FLUID	61020	$2350.00
SM	HB BRONCH +THERAPY ASPIRATION	31645	$4630.00
SM	HB CAST APPLY FINGER	29086	$470.00
SM	HB CAST APPLY SPICA HIP 1.5 /BOTH	29720	$540.00
SM	HB CAST REPR SPICA BODY CAST JACKET	29720	$470.00
SM	HB CLSD DISLOCTX ACROCLAV +MANIP	23545	$750.00
SM	HB CLSD DISLOCTX ACROCLAV WO MANIP	23540	$750.00
SM	HB CLSD DISLOCTX ANKLE +ANESTH	27842	$4720.00
SM	HB CLSD DISLOCTX ELBOW MONTEG+MANIP	24620	$4720.00
SM	HB CLSD DISLOCTX ELBOW WO ANESTH	24600	$750.00
SM	HB CLSD DISLOCTX FOOT IP JT+ANESTH	28665	$1202.00
SM	HB CLSD DISLOCTX FOOT MTP +ANESTH	28635	$4720.00
SM	HB CLSD DISLOCTX FOOT TALOTARSAL WO ANESTH	28570	$750.00
SM	HB CLSD DISLOCTX FOOT TARSAL WO ANESTHESIA	28540	$750.00
SM	HB CLSD DISLOCTX FOOT TARSOMETATARSAL	28600	$750.00
SM	HB CLSD DISLOCTX HAND CMC WO ANESTH	26670	$750.00
SM	HB CLSD DISLOCTX HAND IP +ANESTH	26775	$1500.00
SM	HB CLSD DISLOCTX HAND MCP +ANESTH	26705	$1970.00
SM	HB CLSD DISLOCTX HIP POST ARTHROPLASTY	27265	$750.00
SM	HB CLSD DISLOCTX HIP PROSTH +ANESTH	27266	$4720.00
SM	HB CLSD DISLOCTX KNEE WO ANESTH	27550	$750.00
SM	HB CLSD DISLOCTX LUNATE +MANIP	25690	$4720.00
SM	HB CLSD DISLOCTX RADIAL OR INTERCARPAL	25660	$750.00
SM	HB CLSD DISLOCTX SHOULDER+ FX HUM TUBER	23665	$1970.00
SM	HB CLSD DISLOCTX SHOULDER+FX HUMERAL NECK	23675	$1970.00
SM	HB CLSD DISLOCTX STERNOCLAVICLE +MANIP	23525	$750.00
SM	HB CLSD DISLOCTX STERNOCLAVICLE WO MANIP	23520	$1970.00
SM	HB CLSD DISLOCTX TIBIOFIB PROX JNT	27830	$750.00
SM	HB CLSD FXTX ANKLE BIMALLEOLAR	27808	$750.00
SM	HB CLSD FXTX ANKLE TRIMALLEOLAR	27816	$750.00
SM	HB CLSD FXTX BIG TOE WO MANIP	28490	$750.00
SM	HB CLSD FXTX CALCANEAL WO MANIP	28400	$750.00
SM	HB CLSD FXTX CARPAL +MANIP EA	25635	$1970.00
SM	HB CLSD FXTX CARPAL WO MANIP EA	25630	$750.00
SM	HB CLSD FXTX CLAVICLE WO MANIP	23500	$750.00
SM	HB CLSD FXTX COCCYGEAL	27200	$750.00
SM	HB CLSD FXTX DISTAL RADIUS WO MANIP	25600	$750.00
SM	HB CLSD FXTX FEM D L CONDL WO MANIP	27508	$750.00
SM	HB CLSD FXTX FEM D M L-CONDYL+MANIP	27510	$1970.00
SM	HB CLSD FXTX FEM GREAT TROCHANTER WO MANIP	27246	$750.00
SM	HB CLSD FXTX FEM PROX OR NECK WO MANIP	27230	$750.00
SM	HB CLSD FXTX FEM S T CONDL WO MANIP	27501	$750.00
SM	HB CLSD FXTX FEM S T-CONDYL+MANIP	27503	$1970.00
SM	HB CLSD FXTX FEM SHAFT WO MANIP	27500	$750.00
SM	HB CLSD FXTX FEM TROCHANTER WO MANIP	27238	$1970.00
SM	HB CLSD FXTX FIBULA DISTAL +MANIP	27788	$750.00
SM	HB CLSD FXTX FIBULA DISTAL WO MANIP	27786	$750.00
SM	HB CLSD FXTX FIBULA PROX SHAFT	27780	$750.00
SM	HB CLSD FXTX FIBULA PROX SHAFT +MANIP	27781	$4720.00
SM	HB CLSD FXTX HAND ARTIC MCP IP WO MANIP	26740	$750.00
SM	HB CLSD FXTX HAND DIP JT WO MANIP	26750	$750.00
SM	HB CLSD FXTX HAND DIP JT+MANIP	26755	$750.00
SM	HB CLSD FXTX HAND PIP MIP WO MANIP	26720	$750.00
SM	HB CLSD FXTX HIP ACETABULUM WO MANIP	27220	$750.00
SM	HB CLSD FXTX HUMERAL CONDYL WO MANIP	24576	$750.00
SM	HB CLSD FXTX HUMERAL E-CONDYL +MANIP	24565	$1970.00
SM	HB CLSD FXTX HUMERAL E-CONDYL WO MANIP	24560	$750.00
SM	HB CLSD FXTX HUMERAL GRT TUBER WO MANIP	23620	$750.00
SM	HB CLSD FXTX HUMERAL GRT TUBER+MANIP	23625	$4720.00
SM	HB CLSD FXTX HUMERAL PROX WO MANIP	23600	$750.00
SM	HB CLSD FXTX HUMERAL PROX+MANIP	23605	$4720.00
SM	HB CLSD FXTX HUMERAL S-CONDYL WO MANIP	24530	$750.00
SM	HB CLSD FXTX HUMERAL SHAFT WO MANIP	24500	$750.00
SM	HB CLSD FXTX KNEE INTERCONDYLAR +/-MANIP	27538	$750.00
SM	HB CLSD FXTX MANDIBLE+INTERDENTAL FIXATION	21453	$15180.00
SM	HB CLSD FXTX MANDIBULAR +MANIP	21451	$3980.00
SM	HB CLSD FXTX MANDIBULAR WO MANIP	21450	$1610.00
SM	HB CLSD FXTX MED MALLEOLUS WO MANIP	27760	$750.00
SM	HB CLSD FXTX METACARPAL WO MANIP EA	26600	$750.00
SM	HB CLSD FXTX METATARSAL +MANIP	28475	$750.00
SM	HB CLSD FXTX METATARSAL WO MANIP	28470	$750.00
SM	HB CLSD FXTX NASALBONE WO MANIP	21310	$750.00
SM	HB CLSD FXTX NAVICULAR CARPAL WO MANIP	25622	$750.00
SM	HB CLSD FXTX NAVICULAR CARPAL+MANIP	25624	$1970.00
SM	HB CLSD FXTX ORBIT +MANIP	21401	$3980.00
SM	HB CLSD FXTX ORBIT WO MANIP	21400	$1610.00
SM	HB CLSD FXTX OTHR TOE(S) WO MANIP EA	28510	$750.00
SM	HB CLSD FXTX PATELLA WO MANIP	27520	$750.00
SM	HB CLSD FXTX RADIAL HEAD NECK WO MANIP	24650	$750.00
SM	HB CLSD FXTX RADIAL SHAFT WO MANIP	25500	$750.00
SM	HB CLSD FXTX RADIAL ULNAR WO MANIP	25560	$750.00
SM	HB CLSD FXTX SCAPULA +MANIP	23575	$1970.00
SM	HB CLSD FXTX SCAPULA WO MANIP	23570	$750.00
SM	HB CLSD FXTX SESAMOID	28530	$750.00
SM	HB CLSD FXTX STERNUM	21820	$750.00
SM	HB CLSD FXTX TALUS WO MANIP	28430	$750.00
SM	HB CLSD FXTX TARSAL +MANIP	28455	$1970.00
SM	HB CLSD FXTX TARSAL WO MANIP	28450	$750.00
SM	HB CLSD FXTX TIBIA +/- FIBULA WO MANIP	27750	$750.00
SM	HB CLSD FXTX TIBIA DISTAL WT BEAR WO MANIP	27824	$750.00
SM	HB CLSD FXTX TIBIA DISTAL WT BEAR+MNP+TRCTN	27825	$4720.00
SM	HB CLSD FXTX TIBIA PROX PLATEAU WO MANIP	27530	$750.00
SM	HB CLSD FXTX TRANSSCAPHPERILUNAR+MANIP	25680	$750.00
SM	HB CLSD FXTX ULNAR PROX WO MANIP	24670	$750.00
SM	HB CLSD FXTX ULNAR SHAFT WO MANIP	25530	$750.00
SM	HB CLSD FXTX ULNAR STYLOID	25650	$750.00
SM	HB CLSDTX FEM DIST EPIPH SEPARATION	27516	$750.00
SM	HB CLSDTX FEM DIST EPIPH SEPARATN+MANIP	27517	$1970.00
SM	HB CORPORA CAVERNOSA PRIAPISM INJECTION	54235	$800.00
SM	HB CYSTOURETHEROSCOPY+FB REMOVE COMPLEX	52315	$5930.00
SM	HB DEBRIDE SKIN SUBQ MUSCLE BONE OPEN FRACT	11012	$8140.00
SM	HB DEBRIDE SKIN SUBQ OPEN FRACTURE	11010	$840.00
SM	HB EAR EXTERNAL AUDITORY CANAL ABSC DRAIN	69020	$840.00
SM	HB EPISIOTMY OR TEAR REPR ONLY	59300	$3310.00
SM	HB ESCHAROTOMY INITIAL INCISION	16035	$1090.00
SM	HB ESOPHAGOSCOPY FB REMOVE	43215	$5000.00
SM	HB EXCIS EXTN WRST F-ARM TNDN BURS SYNV RAD	25116	$9260.00
SM	HB EXPLOR POSTOP HEM THRMB INFECT EXTREMITY	35860	$8720.00
SM	HB EXPLOR WOUND PENETRATING ABD FLANK BACK	20102	$5490.00
SM	HB EXPLOR WOUND PENETRATING EXTREMITY	20103	$2000.00
SM	HB EYE ANTERIOR CHAMBER LENS FB REMOVE	65235	$2800.00
SM	HB EYE CONJUNCT EMBEDDED FB REMOVE	65210	$1150.00
SM	HB EYE FLUORESCEIN ANGIOSCOPY	92230	$650.00
SM	HB EYE INTRAVITREAL ANTIBOTIC INJ	67028	$1040.00
SM	HB EYE LID BLEPHAROPLASTY UPPER	15822	$5490.00
SM	HB EYE VITREAL ASPIRATION/RELEASE	67015	$9700.00
SM	HB FECAL IMPACTION REMOVE +ANESTH	45915	$3280.00
SM	HB FLEX SIGMOID DECOMPRESS VOLVUS	45337	$4140.00
SM	HB GASTRIC INTUB & ASPIR DIAG MULT SPEC+MED	43755	$480.00
SM	HB GASTRIC INTUB & ASPIR DIAG SGL SPECIMEN	43754	$360.00
SM	HB GASTROSCOPY +/- COLLECT SPECIMEN	43235	$3270.00
SM	HB I&D INTRAORAL SUBLING ABSCES SUPERFICIAL	41005	$830.00
SM	HB I&D PALATE UVULA ABSCESS	42000	$620.00
SM	HB I&D RECTUM SUBMUCOSAL ABSCESS	45005	$3280.00
SM	HB LARYNGOSCOPY DIRECT +FB REMOVE	31530	$4630.00
SM	HB LARYNGOSCOPY DIRECT FOR ASPIRATION	31515	$2730.00
SM	HB LARYNGOSCOPY INDIRECT +FB REMOVE	31511	$550.00
SM	HB LARYNGOSCPY FLEXIBLE +FB REMOVE	31577	$5580.00
SM	HB MUSCLE COMPARTMENT PRESS DETEC	20950	$2000.00
SM	HB NAIL BED REPR WITH GRAFT	11762	$2290.00
SM	HB NASAL ENDOSCOPY DIAG UNI/BI	31231	$550.00
SM	HB NERVE GRAFT ARM LEG SINGLE STRAND >4CM	64893	$16200.00
SM	HB NEWBORN MECONIUM ASPIRATION	31720	$270.00
SM	HB NOSEBLEED PACK POSTERIOR INITIAL	30905	$370.00
SM	HB OB CARE DELIVERY VAGINAL +POSTOP	59410	$982.00
SM	HB OB CARE VAGINAL ONLY	59409	$5300.00
SM	HB OPEN DISLOCTX INTERPHALANGEAL JOINT SGL	26785	$3860.00
SM	HB OPEN FXTX FINGER SHAFT	26735	$9260.00
SM	HB OPEN FXTX HAND DISTAL PHALANGE	26765	$9260.00
SM	HB OPEN FXTX PROX HUMERUS	23615	$35430.00
SM	HB PEDICLE FORMATION EYE NOSE LIP	15576	$5490.00
SM	HB PERCUTANEOUS FIX INTERPHALANGIAL DISLOC	28666	$9260.00
SM	HB PERCUTANEOUS FIX METATARSOPHLNG DISLOC	28636	$5190.00
SM	HB PERCUTANEOUS FIX TALOTARSAL DISLOC	28576	$5190.00
SM	HB PERCUTANEOUS FIX TARSOMETARSAL DISLOC	28606	$9260.00
SM	HB PERCUTANEOUS SKEL FIX CALCANEAL FX	28406	$19620.00
SM	HB PERCUTANEOUS SKEL FIX FEM DISTAL FX	27509	$19620.00
SM	HB PERCUTANEOUS SKEL FIX METATARSL FX	28476	$9260.00
SM	HB PERCUTANEOUS SKEL FIX RADIAL DISTAL FX	25606	$9260.00
SM	HB PERCUTANEOUS SKEL FIX TALUS FX	28436	$19620.00
SM	HB PERCUTANEOUS SKEL FIX TARSAL DISLOC	28546	$5190.00
SM	HB PERCUTANEOUS SKEL FIX TARSAL FX	28456	$19620.00
SM	HB PERCUTANEOUS SKEL FIX TOE(S) FX	28496	$9260.00
SM	HB PREPUCE SLITTING DORSAL/LAT NEWBORN	54000	$5930.00
SM	HB PREPUCE SLITTING DORSAL/LAT NOT NEWBORN	54001	$5930.00
SM	HB PROCTOPLEXY PERINEAL APPROACH	45541	$8100.00
SM	HB PROCTOSIGMOIDOSCOPY +FB REMOVE	45307	$8100.00
SM	HB REMOVE WIRE PIN ETC SUPERFICIAL	20670	$4720.00
SM	HB REPR ACHILLES OPEN OR PERCUTANEOUS	27650	$9260.00
SM	HB REPR BLOOD VESSEL DIRECT LOWER EXTREMITY	35226	$2074.00
SM	HB REPR EYE WOUND MUSC TENDON CAPSULE	65290	$10330.00
SM	HB REPR EYELID NEW WOUND SUPERFCIAL	67930	$2640.00
SM	HB REPR LIP FULL THICK VERMILION	40650	$1610.00
SM	HB REPR RADIUS UNLA NON MALUNION WO GRAFT	25400	$19620.00
SM	HB REPR TENDON FLEXOR FOOT EACH TENDON	28200	$9260.00
SM	HB REPR TENDON FLEXOR NO ZONE 2 WO GRAFT EA	26350	$9260.00
SM	HB REPR TONGUE LACERATION > 2.6 CM	41252	$1610.00
SM	HB STRAPPING ANKLE	29540	$470.00
SM	HB STRAPPING ELBOW OR WRIST	29260	$131.00
SM	HB STRAPPING HAND OR FINGER	29280	$126.00
SM	HB STRAPPING HIP	29520	$200.00
SM	HB STRAPPING KNEE	29530	$370.00
SM	HB STRAPPING SHOULDER	29240	$370.00
SM	HB STRAPPING TOES	29550	$200.00
SM	HB SUPRAPUBIC ASPIR BY NEEDLE	51100	$820.00
SM	HB TRACH TUBE CHANGE	31502	$620.00
SM	HB TRACHEOSTOMY CRICOTHYROID EMERG	31605	$1610.00
SM	HB TRACHEOSTOMY PLANNED	31600	$7700.00
SM	HB TRACHEOSTOMY TRANSTRACH EMERG	31603	$3980.00
SM	HB UPPER GI EDG(J) +BIOPSY SINGLE/MULTIPLE	43239	$3091.00
SM	HB VENIPUNCT REQ MD SKILL <=3Y/O	36406	$250.00
SM	HB BLEPHAROTOMY DRAIN ABSCESS EYELID	67700	$940.00
SM	HB BRAIN VENTRIC TWIST DRILL CATH INSERT	61107	$800.00
SM	HB BRAIN VENTRIC TWIST DRILL EVAC BLOOD	61108	$2260.00
SM	HB BRAIN VENTRIC TWIST DRILL PUNCT	61105	$1810.00
SM	HB BRONCH +REMOVE FOREIGN BODY	31635	$4630.00
SM	HB CAST APPLY HAND&LO ARM GAUNTLET	29085	$470.00
SM	HB CAST WINDOWING	29730	$470.00
SM	HB CATHETERIZATION ARTERIAL UMBILICAL	36660	$170.00
SM	HB CESAREAN DELIVERY ONLY	59514	$5470.00
SM	HB CLSD FXTX CALCANEAL +MANIP	28405	$1609.00
SM	HB CLSD FXTX FEM PROX OR NECK+MANIP	27232	$820.00
SM	HB CLSD FXTX FEM TROCHANTER	27240	$1165.00
SM	HB CLSD FXTX HAND ARTIC MCP IP+MANIP	26742	$1970.00
SM	HB CLSD FXTX HIP ACETABULUM+MANIP	27222	$1051.00
SM	HB CLSD FXTX HUMERAL CONDYL	24577	$4720.00
SM	HB CLSD FXTX HUMERAL S-CONDYL	24535	$4720.00
SM	HB CLSD FXTX HUMERAL SHAFT	24505	$4720.00
SM	HB CLSD FXTX MED MALLEOLUS +MANIP	27762	$4720.00
SM	HB CLSD FXTX RADIAL HEAD NECK	24655	$4720.00
SM	HB CLSD FXTX RADIAL SHAFT	25520	$4720.00
SM	HB CLSD FXTX TALUS	28435	$4720.00
SM	HB CLSD FXTX THUMB CMC BENNETTS	26645	$4720.00
SM	HB CRITICAL CARE 0.5-1.25HR	99291	$2570.00
SM	HB CRITICAL CARE 0.5-1.25HR TRAUMA	99291	$2570.00
SM	HB CRITICAL CARE EA ADD 30	99292	$1000.00
SM	HB CRITICAL CARE EA ADD 30 TRAUMA	99292	$1000.00
SM	HB EAR EXT DRAIN ABSC HEMATOMA COMPLICATED	69005	$4720.00
SM	HB EAR EXT DRAIN ABSCESS HEMATOMA	69000	$2000.00
SM	HB ER DEPT VISIT ACUITY 1	99281	$290.00
SM	HB ER DEPT VISIT ACUITY 2	99282	$510.00
SM	HB ER DEPT VISIT ACUITY 3	99283	$780.00
SM	HB ER DEPT VISIT ACUITY 4	99284	$1310.00
SM	HB ER DEPT VISIT ACUITY 5	99285	$1870.00
SM	HB ER DEPT VISIT ACUITY 5 TRAUMA	99285	$1790.00
SM	HB ER EXAM REQ BY POLICE ADULT	99285	$1820.00
SM	HB ESCHAROTOMY EACH ADDITIONAL INCISION	16036	$360.00
SM	HB EYE CANTHOTOMY	67715	$6340.00
SM	HB EYE CORNEA FB REMOVE WO SLITLAMP	65220	$1150.00
SM	HB GASTROSCOPY +CONTROL BLEEDING	43255	$5086.00
SM	HB GASTROSCOPY +FB REMOVE	43247	$4520.00
SM	HB HALO CRANIAL APPLY	20661	$530.00
SM	HB I&D BREAST ABSCESS	19020	$4720.00
SM	HB I&D ELBO+UPPER ARM BURSA	23931	$4720.00
SM	HB I&D SCROTAL WALL ABSCESS	55100	$4720.00
SM	HB ILEOSCOPY VIA STOMA DIAGNOSTIC	44380	$2600.00
SM	HB MUSCLE FB REMOVE DEEP COMPLEX	20525	$8140.00
SM	HB NASOGASTRIC INTUBATION LAVAGE	43753	$870.00
SM	HB OB CARE DELIVERY OF PLACENTA ONLY	59414	$7950.00
SM	HB OPEN FXTX KNEE INTERCONDYLAR	27540	$7500.00
SM	HB PERICARD DRAIN W CATH INSERT W WO CT GUIDANCE	33019	$5930.00
SM	HB PERICARD DRAIN W CATH INSRT W WO FLUORO/US >= 6YRS WO CONG CARD ANOMLY	33017	$6380.00
SM	HB PERICARD DRAIN W CATH INSRT W WO FLUORO/US W CONG CARD ANOMLY	33018	$7140.00
SM	HB REPR ELBO+UPPER ARM TENDON MUSCLE EACH	24341	$8180.00
SM	HB REPR HERNIA DIAPHRAGMATIC TRAUMA ACUTE	39540	$3310.00
SM	HB TEMPORARY PACING TRANSCUTANEOUS	92953	$1790.00
SM	HB TENOTOMY RELEAS LENGTH ABDUCTOR HALLUCIS	28240	$9260.00
SM	HB THORACOTOMY CARDIAC MASSAGE	32160	$2610.00
SM	HB THORACOTOMY CONTROL TRAUMA BLEED	32110	$2090.00
SM	HB THORACOTOMY FB REMOVE INTRAPLEURAL	32150	$1890.00
SM	HB THORACOTOMY FB REMOVE INTRAPULMONARY	32151	$1890.00
SM	HB THORACOTOMY POST OP COMPLICATION	32120	$1670.00
SM	HB VAGINAL FB REMOVE	57415	$7950.00
SM	HB VENIPUNCT FEM/JUG VEIN >=3Y/O	36400	$380.00

Gastro Intestinal Services

Hospital	Description	CPT Code	Standard Charge
SM	HB ESOPHAGEAL MANOMETRIC	91020	$1560.00
SM	HB GI IMAG INTRALUM ESOPH TO ILEUM+CAPSULE		$5000.00
SM	HB GI TRANSIT&PRESS MEAS STOM TO COLON+CAPSULE		$6250.00

Inpatient Renal Dialysis

Hospital	Description	CPT Code	Standard Charge
SM	HB CAPD PER TRMT DAY	90945	$2680.00
SM	HB CCPD PER TRMT DAY	90945	$3130.00
SM	HB CRRT PER TRMT DAY	90945	$1670.00
SM	HB CVVH PER TRMT DAY	90947	$2970.00
SM	HB CVVHD PER TRMT DAY	90945	$4380.00
SM	HB HEMODIALYS INPT	90935	$3000.00
SM	HB HEMOPERFUSION	90997	$1670.00
SM	HB IP DECLOTTING PROCEDURE 1 HR		$150.00
SM	HB IP DECLOTTING PROCEDURE 2 HR		$300.00
SM	HB IP QUINTON CATHETER PROCEDURE		$300.00
SM	HB IP SHUNT INFUSION PROCEDURE		$150.00
SM	HB SCUF PER TRMT DAY	90945	$2970.00

IV Therapy

Hospital	Description	CPT Code	Standard Charge
SM	HB ANTIPLATELET INFU-EACH ADDL HR	90781	$182.00
SM	HB NONCHEMO IV HYDRATION 1ST HOUR	96360	$670.00
SM	HB NONCHEMO IV HYDRATION EACH ADDL HR	96361	$260.00
SM	HB NONCHEMO IV INFUSION 1ST HOUR	96365	$670.00
SM	HB NONCHEMO IV INFUSION BY PUMP >8HR	C8957	$1040.00
SM	HB NONCHEMO IV INFUSION CONCURRENT EA DRUG	96368	$260.00
SM	HB NONCHEMO IV INFUSION EACH ADDITIONAL HR	96366	$260.00
SM	HB NONCHEMO IV INFUSION SEQUENTIAL UPTO 1HR	96367	$260.00

Labor Room / Delivery

Hospital	Description	CPT Code	Standard Charge
SM	HB AMNIOCENTESIS	59000	$1010.00
SM	HB APPLY CERCLAGE PREG-VAGINA	59320	$7950.00
SM	HB CHORIONIC VILLUS SAMPLING	59015	$2010.00
SM	HB CORDOCENTESIS/PERQ UMBIL BLOOD SAMPL	59012	$1769.00
SM	HB FETAL CONTRACTION STRESS TEST OXYTOCIN	59020	$927.00
SM	HB FETAL MONITOR DURING LABOR	59050	$500.00
SM	HB FETAL SCALP BLOOD SAMPLING	59030	$940.00
SM	HB L&D ASSESSMENT TRANSFERRED FROM ER		$160.00
SM	HB L&D BREAST STIMULATION TEST		$210.00
SM	HB LABOR ROOM TIME EA ADD 15MIN		$130.00
SM	HB LABOR ROOM TIME EA ADD 15MIN		$98.00
SM	HB LABOR ROOM TIME EA ADD 15MIN		$98.00
SM	HB LABOR ROOM TIME EA ADD 15MIN		$98.00
SM	HB LABOR ROOM TIME EA ADD 15MIN		$98.00
SM	HB LABOR ROOM TIME PER 1 HOUR		$510.00
SM	HB NURSERY CIRCUMCISION		$170.00
SM	HB OB CARE C-SECTN DELVR ANTE&POST	59510	$2800.00
SM	HB OB CARE VAG DELIVERY ANTE&POST	59400	$2510.00
SM	HB REMOVE CERCLAGE	59871	$7950.00
SM	HB AMNIOCENTESIS THERAPEUTIC INCLUDES US GUIDANCE	59001	$940.00
SM	HB FETAL EXTERNAL CEPHALIC VERSION	59412	$3980.00
SM	HB FETAL NONSTRESS TEST	59025	$560.00
SM	HB L&D / PERINATAL ASSESSMENT	G0463	$330.00
SM	HB L&D EST PT LVL1-ASSESSMENT	G0463	$330.00
SM	HB NEWBORN STABILIZATION ATTENDANCE AT DELIVERY	99464	$500.00
SM	HB OB CHECK	G0463	$330.00
SM	HB POSTPARTUM BLEED BLOOD PATCH	59899	$580.00

Laboratory

Hospital	Description	CPT Code	Standard Charge
SM	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT1-5 RAST	86005	$200.00
SM	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT6+ RAST	86005	$200.00
SM	HB ALLERGY LAB GAMMAGLOBULIN IGE TOTAL	82785	$70.00
SM	HB ALLERGY LAB SKIN TEST CANDIDA	86485	$70.00
SM	HB ALLERGY LAB SKIN TEST COCCIDIOIDOMYCOSIS	86490	$40.00
SM	HB ALLERGY LAB SKIN TEST HISTOPLASMOSIS	86510	$40.00
SM	HB ALLERGY LAB SKIN TEST MUMPS	86486	$50.00
SM	HB ALLERGY LAB SKIN TEST TB TUBERCULOSIS INTRADERMAL	86580	$30.00
SM	HB ALLERGY LAB SKIN TEST TETANUS	86486	$60.00
SM	HB ALLERGY LAB SKIN TEST TRYCHOPHYTON	86486	$60.00
SM	HB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180.00
SM	HB MAP OCCULT BLOOD STOOL 1-3TESTS	82270	$40.00
SM	HB MAP PATH CONSULT IN-SURG 1BLOCK SGL	88331	$450.00
SM	HB MAP PATH CONSULT IN-SURG EA ADDL BLOCK	88332	$100.00
SM	HB MAP SKIN TEST CANDIDA	86485	$110.00
SM	HB MAP SKIN TEST COCCIDIOMYCOSIS	86490	$200.00
SM	HB MAP SKIN TEST HISTOPLASMOSIS	86510	$200.00
SM	HB MAP SKIN TEST MUMP ANTIGEN+CONTROL	86486	$60.00
SM	HB MAP SKIN TEST TB	86580	$60.00
SM	HB MAP SKIN TEST TB INTRADERMAL	86580	$60.00
SM	HB MAP SKIN TEST TB PPD PUR PROT DERV	86580	$60.00
SM	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86486	$60.00
SM	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86356	$50.00
SM	HB PULM FXN LAB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180.00
SM	HB PULM FXN LAB BLOOD GASES	82803	$140.00
SM	HB PULM FXN LAB CALCIUM IONIZED	82330	$60.00
SM	HB PULM FXN LAB COHB & METHB-QUANT	82375	$90.00
SM	HB PULM FXN LAB VENIPUNCTURE BLOOD DRAW	36415	$10.00
SM	HB RESP BLOOD GAS *PC	82803	$140.00
SM	HB RESP BLOOD GAS *PC	82803	$140.00
SM	HB RESP CALCIUM IONIZED *PC	82330	$60.00
SM	HB RESP CAPILLARY BLOOD DRAW<3 YRS OLD	36416	$50.00
SM	HB RESP COOX PNL-HBCO QUANT *PC	82375	$70.00
SM	HB RESP COOX PNL-METHB QUANT *PC	83050	$64.00
SM	HB RESP COOX PNL-SULFHEMOGLOBIN QNT*PC	83060	$70.00
SM	HB RESP POTASSIUM SERUM *PC	84132	$20.00
SM	HB RESP VENIPUNCTURE BLOOD DRAW	36415	$10.00
SM	HB VENIPUNCTURE BLOOD DRAW	36415	$10.00
SM	HB VENIPUNCTURE BLOOD DRAW	36415	$10.00
SM	HB VENIPUNCTURE BLOOD DRAW	36415	$10.00
SM	HB AB IDENTIFICATION LEUKOCYTE AB	86021	$100.00
SM	HB AB INDENTIFICATION PLT AB	86022	$130.00
SM	HB ACID FAST STAIN FUNGAL PARASITE	87206	$80.00
SM	HB ACTH	82024	$210.00
SM	HB ACUTE HEPATITIS PANEL	80074	$260.00
SM	HB ADENOVIRUS OPTIC OBSERV	87809	$170.00
SM	HB AEROBIC ID EA ISOLATE	87077	$80.00
SM	HB AFB DEFINITIVE ID EA ISOLATE	87118	$60.00
SM	HB ALANINE AMINO ALT SGPT	84460	$30.00
SM	HB ALBUMIN	82040	$40.00
SM	HB ALBUMIN MICRO URINE QUANT	82043	$100.00
SM	HB ALBUMIN URINE OR OTH SOURCE	82042	$100.00
SM	HB ALDOLASE	82085	$90.00
SM	HB ALKALINE PHOSPHATASE	84075	$40.00
SM	HB ALPHAFETOPROT TUMOR MRKR	82105	$80.00
SM	HB AMIKACIN	80150	$110.00
SM	HB AMMONIA	82140	$100.00
SM	HB AMYLASE	82150	$90.00
SM	HB ANAEROBE CULTURE	87075	$130.00
SM	HB ANAEROBE ISOLATE EA	87076	$110.00
SM	HB ANGIOTENSI CONVERTNG ENZYM	82164	$100.00
SM	HB ANTI THROMBIN III ACTIVITY	85300	$240.00
SM	HB ANTINUCLEAR AB	86038	$130.00
SM	HB ANTINUCLEAR AB TITER	86039	$300.00
SM	HB AP ABSOLUTE CD4 AND CD8 COUNT RATIO	86360	$380.00
SM	HB AP B CELLS TOTAL COUNT	86355	$160.00
SM	HB AP BCR-ABL GENE REARRANGEMENT	81170	$900.00
SM	HB AP BCR-ABL1 MAJOR BREAKPOINT ANAL	81206	$610.00
SM	HB AP BCR-ABL1 MINOR BREAKPOINT ANAL	81207	$540.00
SM	HB AP BLOOD COUNT MAN DIFF BUFFY COAT	85009	$20.00
SM	HB AP BRAF GENE ANAL NGS	81210	$1190.00
SM	HB AP BRCA1 BRCA2 AJ GENE ANAL VARIANTS	81212	$499.00
SM	HB AP CALRETICULIN MUTA ANAL	81219	$460.00
SM	HB AP CALRETICULIN MUTA ANAL NGS	81219	$1190.00
SM	HB AP CEBPA MUTA ANALYSIS	81218	$530.00
SM	HB AP CEBPA MUTA ANALYSIS NGS	81218	$1190.00
SM	HB AP CELL COUNT DIFF MISC BODY FLUID	89051	$110.00
SM	HB AP CELL COUNT DIFF MISC BODY FLUID1	89051	$110.00
SM	HB AP CFTR GENE ANAL ACMG	81220	$1270.00
SM	HB AP CFTR KNWN FAM VARIANT	81221	$420.00
SM	HB AP CHROMOSOME ANAL 1-5 CELL	88261	$310.00
SM	HB AP CHROMOSOME ANAL 15-20 CELL	88262	$350.00
SM	HB AP CHROMOSOME ANAL 20-25 CELL	88264	$230.00
SM	HB AP CHROMOSOME ANAL ADD KAROTYPES EA SYUDY	88280	$110.00
SM	HB AP CHROMOSOME ANAL AMNIO 6-12 COLONIES	88269	$1117.00
SM	HB AP CHROMOSOME ANAL CVS 15 CELL	88267	$630.00
SM	HB AP CHROMOSOME ANAYLSIS ADD CELL COUNT EA STUDY	88285	$240.00
SM	HB AP CHROMOSOME ANAYLSIS ADD HI RES STUDY	88289	$140.00
SM	HB AP CHROMOSOME ANAYLSIS ADD SPECIAL BANDING	88283	$94.00
SM	HB AP COMPARATIVE ANAL STR MRKRS BMT PRE-TRANSPLANT EVAL	81265	$800.00
SM	HB AP COMPARATIVE ANAL STR MRKRS EA ADD SPEC	81266	$1080.00
SM	HB AP COMPARATIVE STR MRKRS FOR MCC	81265	$2040.00
SM	HB AP CONSULT IN SURG EA ADD BLOCK	88332	$130.00
SM	HB AP CONSULT REFER SLIDE PREP	88323	$160.00
SM	HB AP CRYOPRESERVATION EA CELL LINE	88240	$100.00
SM	HB AP CYTOPATH EXTENDED STUDY SMEAR ANY OTHR SOURCE	88162	$160.00
SM	HB AP CYTOPATH FISH URINE EA SPEC AUTO	88121	$750.00
SM	HB AP CYTOPATH FISH URINE EA SPEC MAN	88120	$450.00
SM	HB AP CYTOPATH FNA EA ADD EVAL SAME SITE	88177	$90.00
SM	HB AP CYTOPATH FNA EVAL INTERP AND REPORT	88173	$430.00
SM	HB AP CYTOPATH FNA EVAL INTERP AND REPORT1	88173	$430.00
SM	HB AP CYTOPATH FNA EVAL INTERP AND REPORT2	88173	$430.00
SM	HB AP CYTOPATH FNA FIRST EVAL EA SITE	88172	$450.00
SM	HB AP CYTOPATH GYN MAN SCRN BETHESDA SYSTEM	88164	$55.00
SM	HB AP CYTOPATH GYN THIN PREP MAN SCRN	88142	$180.00
SM	HB AP CYTOPATH MATURATION INDEX	88155	$20.00
SM	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110.00
SM	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110.00
SM	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$230.00
SM	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$472.47
SM	HB AP CYTOPATH NONGYN W INTERP	88104	$110.00
SM	HB AP CYTOPATH SCRN CERV VAG THIN PREP	G0123	$110.00
SM	HB AP CYTOPATH SMEAR PREP SCRN INTERP ANY OTHR SOURCE	88161	$110.00
SM	HB AP DECALCIFICATION PROCEDURE	88311	$80.00
SM	HB AP DECALCIFICATION PROCEDURE	88311	$80.00
SM	HB AP DECALCIFICATION PROCEDURE	88311	$80.00
SM	HB AP EGFR GENE ANAL AMPLISEQ	81235	$390.00
SM	HB AP EGFR GENE ANAL NGS	81235	$1190.00
SM	HB AP EGFR GENE ANAL RT PCR	81235	$1400.00
SM	HB AP EGFR GENE ANAL RT PCR	81235	$2500.00
SM	HB AP ELECTRON MICROSCOPY DIAGNOSTIC	88348	$1580.00
SM	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP	81267	$1080.00
SM	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP W CELL SELECTION	81268	$1070.00
SM	HB AP EXOME SEQ RE EVALUATION	81417	$880.00
SM	HB AP F2 GENE ANAL 20210A	81240	$280.00
SM	HB AP F5 GENE ANAL LEIDEN	81241	$280.00
SM	HB AP FLOW CYTO CELL MRKR TECH COMP EA ADD	88185	$100.00
SM	HB AP FLOW CYTO CELL MRKR TECH COMP FIRST	88184	$380.00
SM	HB AP FLOW CYTOMETRY DNA ANAL	88182	$193.00
SM	HB AP FLT3 ITD	81245	$540.00
SM	HB AP FMR1 GENE ANAL CHARACTER	81244	$146.00
SM	HB AP FMR1 GENE ANAL DETECTION	81243	$340.00
SM	HB AP GENE REARR IGH ANAL BLOT	81262	$348.00
SM	HB AP GENE REARR IGH ANAL PCR	81261	$980.00
SM	HB AP HFE GENE ANAL VARIANTS	81256	$420.00
SM	HB AP HISTOCHEMICAL STAIN FRZN SPEC	88314	$390.00
SM	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750.00
SM	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750.00
SM	HB AP IMMUNOFLUORESCENT EA ADD AB	88350	$280.00
SM	HB AP IMMUNOFLUORESCENT EA ADD AB1	88350	$280.00
SM	HB AP IMMUNOFLUORSCNT INDIR EA AB	88347	$164.00
SM	HB AP IMMUNOGLOBULIN HEAVY CHAIN IGH	81261	$1020.00
SM	HB AP IMMUNOGLOBULIN KAPPA LIGHT CHAIN GENE IGK	81264	$770.00
SM	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380.00
SM	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380.00
SM	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$380.00
SM	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$380.00
SM	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160.00
SM	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160.00
SM	HB AP IN SITU HYBRIDIZATN EA MULTIPLEX STAIN	88366	$380.00
SM	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$450.00
SM	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$230.00
SM	HB AP JAK2 GENE ANAL V617F	81270	$400.00
SM	HB AP KIT ANALYSIS D816 VARIANTS	81273	$270.00
SM	HB AP KIT ANALYSIS TARGETED SEQ	81272	$270.00
SM	HB AP KRAS GENE ANALYSIS AMPLISEQ	81275	$310.00
SM	HB AP KRAS GENE ANALYSIS NGS	81275	$1190.00
SM	HB AP KRAS GENE ANALYSIS RT PCR	81275	$1400.00
SM	HB AP LEUKOCYTE ALK PHOS W COUNT	85540	$77.00
SM	HB AP MICROARRAY POSTNATAL	81229	$7960.00
SM	HB AP MICROARRAY PRENATAL	81229	$7960.00
SM	HB AP MICROSATELLITE INSTAB ANAL	81301	$1620.00
SM	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 10-30 CELL	88273	$240.00
SM	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 3-5 CELL	88272	$150.00
SM	HB AP MOLE CYTOGENETICS DNA PROBE EA	88271	$240.00
SM	HB AP MOLE CYTOGENETICS INTERPHASE ISH 100-300 CELL	88275	$204.00
SM	HB AP MOLE CYTOGENETICS INTERPHASE ISH 25-99 CELL	88274	$150.00
SM	HB AP MOPATH ASXL1 TARG SEQ ANAL	81176	$1240.00
SM	HB AP MOPATH HBA1/HBA2 GENE ANAL	81258	$160.00
SM	HB AP MOPATH HBB SGL GENE	81362	$160.00
SM	HB AP MOPATH IDH1 COMMON VAR	81120	$650.00
SM	HB AP MOPATH IDH2 COMMON VAR	81121	$650.00
SM	HB AP MOPATH LEV 4 KNOWN FAMILIAL VAR NOT SPEC 1 EXON	81403	$530.00
SM	HB AP MOPATH LEV1	81400	$410.00
SM	HB AP MOPATH LEV2 ABCC8 HTT	81401	$400.00
SM	HB AP MOPATH LEV2 FXN SMN1 SMN2	81401	$250.00
SM	HB AP MOPATH LEV3 KIT D816 VARIANTS	81402	$270.00
SM	HB AP MOPATH LEV4	81403	$530.00
SM	HB AP MOPATH LEV4 IDH1 COMMON EXON	81403	$530.00
SM	HB AP MOPATH LEV4 IDH2 COMMON EXON	81403	$530.00
SM	HB AP MOPATH LEV4 SGL GENE EXON NGS	81403	$1190.00
SM	HB AP MOPATH LEV5 KNOWN FAMILIAL VAR NOT SPEC 2 EXONS	81404	$420.00
SM	HB AP MOPATH LEV5 MEFV FAM VARIANTS	81402	$360.00
SM	HB AP MOPATH LEV5 MEFV KNWN FAM VAR	81402	$420.00
SM	HB AP MOPATH LEV5 PIK3CA NGS	81404	$1190.00
SM	HB AP MOPATH LEV5 SGL GENE NGS	81404	$1190.00
SM	HB AP MOPATH LEV6 NGS	81405	$1190.00
SM	HB AP MOPATH LEV7 MICROARRAY NEOPLASIA	81406	$7910.00
SM	HB AP MOPATH LEV7 NGS	81406	$1190.00
SM	HB AP MOPATH LEV8 NGS	81407	$1190.00
SM	HB AP MOPATH RUNX1 TARG SEQ ANAL	81334	$1240.00
SM	HB AP MOPATH UNLIST AKT1 NGS	81479	$1190.00
SM	HB AP MOPATH UNLIST BCL2 ANAL	81479	$622.00
SM	HB AP MOPATH UNLIST BMT	81479	$150.00
SM	HB AP MOPATH UNLIST DNA ISOLATION	81479	$100.00
SM	HB AP MOPATH UNLIST ERBB2 ION AMPLISEQ MUTATION	81479	$310.00
SM	HB AP MOPATH UNLIST FLT3 NGS	81479	$1190.00
SM	HB AP MOPATH UNLIST HIBM M712T	81479	$420.00
SM	HB AP MOPATH UNLIST HIBM M712T MUTATION	81479	$420.00
SM	HB AP MOPATH UNLIST PIK3CA ION AMPLISEQ MUTATION	81479	$310.00
SM	HB AP MOPATH UNLIST SGL GENE NGS	81479	$1190.00
SM	HB AP MORPHOMETR ANAL MAN EA MULITPLEX PROBE PER SPEC	88377	$810.00
SM	HB AP MORPHOMETR ANAL TUMOR MAN EA AB	88360	$750.00
SM	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA ADD SGL PROBE	88373	$235.00
SM	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA MULTIPLEX PROBE	88374	$450.00
SM	HB AP MORPHOMETRIC ANAL AUTO PER SPEC INIT SINGLE PROBE	88367	$750.00
SM	HB AP MORPHOMETRIC ANAL MAN EA ADD SINGLE PROBE PER SPEC	88369	$220.00
SM	HB AP MORPHOMETRIC ANAL MAN PER SPEC INIT SINGLE PROBE	88368	$750.00
SM	HB AP MORPHOMETRY NERVE	88356	$480.00
SM	HB AP MORPHOMETRY TUMOR	88358	$380.00
SM	HB AP MTHFR GENE ANAL VARIANTS	81291	$420.00
SM	HB AP MYD88 GENE ANAL NGS	81305	$1190.00
SM	HB AP NERVE TEASING PREPARATION	88362	$950.00
SM	HB AP NEXT GEN SEQ HEMATOLOGIC MALIGNANCY PNL	81450	$3630.00
SM	HB AP NEXT GENERATION SEQUEN NRAS	81311	$1190.00
SM	HB AP NGS NPM1