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
SM	HB EEG AWAKE & DROWSY PORTABLE	95816	$870
SM	HB EEG COMA/SLEEP ONLY	95822	$740
SM	HB EEG DIGITAL ANALYSIS	95957	$1300
SM	HB EEG EXTENDED MONITORING TO 1HR	95812	$740
SM	HB EKG SIGNAL AVERAGED SAEKG	93278	$200
SM	HB FUNCT CORTICAL MAP-EACH ADDL HR	95962	$1700
SM	HB FUNCTIONAL CORTICAL MAP 1ST HR	95961	$2700
SM	HB OR EEG MONITORING NONINTRACRAN	95955	$710
SM	HB PULM FXN LAB EKG 12-LEAD	93005	$410
SM	HB ACT AMB TELEM 24HR SCAN ANALYS	93225	$2570
SM	HB ACT AMBUL CARD TELEMETR RECORD/HKUP/DISC	93229	$1100
SM	HB EEG & WADA ACTIVATION TEST	95958	$2700
SM	HB EEG AWAKE & ASLEEP	95819	$1200
SM	HB EEG AWAKE & DROWSY	95816	$1000
SM	HB EEG BRAIN DEATH EVALUATION	95824	$1300
SM	HB EEG DRUG ACTIVATION TEST	95954	$1300
SM	HB EEG EXTENDED MONITOR 61-119 MINS	95813	$1050
SM	HB EEG RECORDING >=8 CHANNEL TECH IN PERSON	95700	$1050
SM	HB EEG W VIDEO REVIEW DATA TECH 2-12HR CONT MONIT	95713	$1840
SM	HB EEG W VIDEO REVIEW DATA TECH 2-12HR INTERMIT MONIT	95712	$1050
SM	HB EEG W VIDEO REVIEW DATA TECH 2-12HR UNMONIT	95711	$1050
SM	HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR CONT MONIT	95716	$3440
SM	HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR INTERMIT MONIT	95715	$1840
SM	HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR UNMONIT	95714	$1840
SM	HB EEG WO VIDEO REVIEW DATA TECH 2-12HR CONT MONIT	95707	$1050
SM	HB EEG WO VIDEO REVIEW DATA TECH 2-12HR INTERMIT MONIT	95706	$960
SM	HB EEG WO VIDEO REVIEW DATA TECH 2-12HR UNMONIT	95705	$960
SM	HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR CONT MONIT	95710	$1840
SM	HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR INTERMIT MONIT	95709	$1840
SM	HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR UNMONIT	95708	$1840
SM	HB EKG 12-LEAD	93005	$410
SM	HB EKG 12-LEAD SM	93005	$410
SM	HB EKG RHYTHM STRIP	93041	$130
SM	HB ELECTROCORTICOGRAM AT SURGERY	95829	$2100
SM	HB HEART EVENT MONITORING /ANALYSIS	93271	$1859
SM	HB HEART EVENT RECORD/HOOKUP/DISCONTINUED	93270	$640
SM	HB HOLTER 24HR SCAN ANALYSIS	93226	$1040
SM	HB HOLTER 48HR SCAN ANALYSIS	93226	$1000
SM	HB HOLTER RECORD/HKUP/DISC UPTO 24HR	93225	$870
SM	HB HOLTER RECORD/HKUP/DISC UPTO 48HR	93225	$870

"FDA Investigational Medical / Surgical Supplies, Devices "

Hospital	Description	CPT Code	Standard Charge
SM	HB SYNCARDIA VAD SPARES KIT IDE G090221		$5830
SM	HB BERLIN VAD ACCESSORY SUPPL IDE G050262A3		$8000
SM	HB BERLIN VAD CANNULA APEX IDE G050262A3		$17080
SM	HB BERLIN VAD CANNULA ATR/ART IDE G050262A3		$13330
SM	HB BERLIN VAD VENT ASSIST IDE G050262A3		$124550
SM	HB BREAST PRSTH 410MF ALLERGAN IDE G000201	L8600	$3640
SM	HB CATH MICROCATH TREVO18 IDE G100056 CMED		$500
SM	HB DEBAKEY VAD VENT ASSIST DEVICE ADULT IDE		$117000
SM	HB DEVICE RETRV CLOT TREVO IDE G100056 CMED		$12330
SM	HB GRFT AAA ENDURANT AORTIC EXT MDTR G090239A001	C1768	$25200
SM	HB GRFT AAA ENDURANT BIFURCATED MDTR G090009S2	C1768	$33220
SM	HB GRFT AAA ENDURANT BIFURCATED MDTR G090239A001	C1768	$33220
SM	HB GRFT AAA ENDURANT CONTRALAT LIMB MDTR G090239A001	C1768	$16180
SM	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090009S2	C1768	$15300
SM	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090239A001	C1768	$15300
SM	HB GRFT AAA TRIVASCULAR IDE G090239A001	C1768	$44960
SM	HB IDE CATH THERAPY COOL FLEX ABLAT G1300132	C2630	$3340
SM	HB MFR DNTD HARMONY TPVR DELIV SYST MDTR IRB# 16-001710 NCT# 02979587 IDE# G120175		$1
SM	HB MFR DNTD HARMONY TRANSCATH PULM VALVE MDTR IRB# 16-001710 NCT# 02979587 IDE# G120175		$1

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

Hospital	Description	CPT Code	Standard Charge
SM	HB MR ANGIO HEAD +/- CONTRAST	70546	$7000
SM	HB MR ANGIO HEAD WO CONTRAST	70544	$4000
SM	HB MR ANGIO NECK + CONTRAST	70548	$5500
SM	HB MR ANGIO NECK +/- CONTRAST	70549	$7000
SM	HB MR ANGIO NECK WO CONTRAST	70547	$3000
SM	HB MR ANGIO SPINAL CANAL	72159	$2500
SM	HB MR ANGIO UPPER EXTREMITY	73225	$2000
SM	HB MR SPECTROSCOPY	76390	$1500
SM	HB MRI ABDOMEN + CONTRAST	74182	$3320
SM	HB MRI ABDOMEN WO CONTRAST	74181	$4000
SM	HB MRI BONE MARROW BLOOD SUPPLY	77084	$1180
SM	HB MRI BRAIN + CONTRAST	70552	$5500
SM	HB MRI BRAIN FUNCTIONAL BY TECH	70554	$1160
SM	HB MRI BRAIN WO CONTRAST	70551	$4000
SM	HB MRI C-SPINE + CONTRAST	72142	$5500
SM	HB MRI C-SPINE +/- CONTRAST	72156	$7000
SM	HB MRI C-SPINE WO CONTRAST	72141	$4000
SM	HB MRI CARDIAC MAPPING VELOCITY FLOW	75565	$1500
SM	HB MRI CARDIAC W+WO CONTR +STRESS	75563	$3230
SM	HB MRI CARDIAC WO CONTR	75557	$2000
SM	HB MRI CARDIAC WO CONTR +STRESS	75559	$2000
SM	HB MRI CHEST + CONTRAST	71551	$5500
SM	HB MRI CHEST +/- CONTRAST	71552	$7000
SM	HB MRI CHEST WO CONTRAST	71550	$4000
SM	HB MRI HEART MORPH +/- CONTRAST	75561	$4000
SM	HB MRI L-SPINE + CONTRAST	72149	$5500
SM	HB MRI L-SPINE +/- CONTRAST	72158	$7000
SM	HB MRI L-SPINE WO CONTRAST	72148	$4000
SM	HB MRI LE JOINT + CONTRAST UNILAT	73722	$5500
SM	HB MRI LE JOINT +/- CONTRAST UNI	73723	$7000
SM	HB MRI LE JOINT WO CONTRAST UNI	73721	$4000
SM	HB MRI LE NONJNT + CONTRAST UNI	73719	$5500
SM	HB MRI LE NONJNT +/-CONTRAST UNI	73720	$7000
SM	HB MRI LE NONJNT WO CONTRAST UNI	73718	$4000
SM	HB MRI ORBIT FACE NECK + CONTRAST	70542	$5500
SM	HB MRI ORBIT FACE NECK WO CONTR	70540	$4000
SM	HB MRI ORBIT FACE NECK+/-CONTRAST	70543	$7000
SM	HB MRI PELVIS + CONTRAST	72196	$5500
SM	HB MRI PELVIS +/- CONTRAST	72197	$7000
SM	HB MRI PELVIS WO CONTRAST	72195	$4000
SM	HB MRI T-SPINE + CONTRAST	72147	$5500
SM	HB MRI T-SPINE +/- CONTRAST	72157	$7000
SM	HB MRI T-SPINE WO CONTRAST	72146	$4000
SM	HB MRI TMJ	70336	$5500
SM	HB MRI UE JOINT + CONTRAST UNILAT	73222	$5500
SM	HB MRI UE JOINT +/- CONTRAST UNI	73223	$7000
SM	HB MRI UE JOINT WO CONTRAST UNI	73221	$4000
SM	HB MRI UE NONJNT + CONTRAST UNI	73219	$4000
SM	HB MRI UE NONJNT +/- CONTRAST UNI	73220	$5000
SM	HB MRI UE NONJNT WO CONTRAST UNI	73218	$3000
SM	HB COMPUTER-AIDED DETECTION CAD BREAST MRI	C8937	$1000
SM	HB FOCUSED US ABLAT/THERAPEUTIC W/ MR GUIDANCE	C9734	$40510
SM	HB HIFU ABLAT UTERINE <200CC	0071T	$16000
SM	HB HIFU ABLAT UTERINE >=200CC	0072T	$12810
SM	HB MR ABLATION IMAG GUIDANCE S&I	77022	$1500
SM	HB MR ANGIO ABDOMEN + CONTRAST	C8900	$1440
SM	HB MR ANGIO ABDOMEN +/- CONTRAST	C8902	$2280
SM	HB MR ANGIO ABDOMEN WO CONTRAST	C8901	$1180
SM	HB MR ANGIO CHEST + CONTRAST	C8909	$1440
SM	HB MR ANGIO CHEST +/- CONTRAST	C8911	$2280
SM	HB MR ANGIO CHEST WO CONTRAST	C8910	$1180
SM	HB MR ANGIO HEAD + CONTRAST	70545	$5500
SM	HB MR ANGIO LOWER EXT + CONTRAST	C8912	$1600
SM	HB MR ANGIO LOWER EXT +/- CONTR	C8914	$2280
SM	HB MR ANGIO LOWER EXT WO CONTRAST	C8913	$1180
SM	HB MR ANGIO PELVIS + CONTRAST	C8918	$1440
SM	HB MR ANGIO PELVIS +/- CONTRAST	C8920	$2280
SM	HB MR ANGIO PELVIS WO CONTRAST	C8919	$1180
SM	HB MR ANGIO SPINAL CANAL +/- CONTRAST	C8933	$2816
SM	HB MR ANGIO SPINAL CANAL WITH CONTRAST	C8931	$2816
SM	HB MR ANGIO SPINAL CANAL WO CONTRAST	C8932	$2816
SM	HB MR ANGIO UPPER EXTREMITY +/- CONTRAST	C8936	$3400
SM	HB MR ANGIO UPPER EXTREMITY WITH CONTRAST	C8934	$2720
SM	HB MR ANGIO UPPER EXTREMITY WO CONTRAST	C8935	$2720
SM	HB MR ELASTOGRAPHY	76391	$870
SM	HB MR NDL PLACE IMAG GUIDANCE S&I	77021	$1500
SM	HB MRGFUS STEREOTACTIC ABLATION LESION INTRACRANIAL	0398T	$47330
SM	HB MRI ABDOMEN + CONTRAST	74182	$3320
SM	HB MRI ABDOMEN +/- CONTRAST	74183	$7000
SM	HB MRI ABDOMEN WO CONTRAST	74181	$2810
SM	HB MRI BRAIN + CONTRAST	70552	$3390
SM	HB MRI BRAIN +/- CONTRAST	70553	$7000
SM	HB MRI BRAIN FUNCTIONAL BY MD	70555	$2000
SM	HB MRI BRAIN OPERATIVE + CONTRAST	70558	$1440
SM	HB MRI BRAIN OPERATIVE + CONTRAST	70558	$1440
SM	HB MRI BRAIN OPERATIVE +/- CONTR	70559	$1794
SM	HB MRI BRAIN OPERATIVE WO CONTRST	70557	$1150
SM	HB MRI BRAIN OPERATIVE WO CONTRST	70557	$1150
SM	HB MRI BRAIN WO CONTRAST	70551	$2830
SM	HB MRI BREAST + CONTRAST BILAT	C8906	$3288
SM	HB MRI BREAST + CONTRAST UNILAT	C8903	$1440
SM	HB MRI BREAST +/- CONTRAST BILAT	C8908	$5700
SM	HB MRI BREAST +/- CONTRAST UNILAT	C8905	$1820
SM	HB MRI BREAST WO CONTRAST BILAT	77047	$870
SM	HB MRI BREAST WO CONTRAST UNILAT	77046	$870
SM	HB MRI C-SPINE + CONTRAST	72142	$3390
SM	HB MRI C-SPINE WO CONTRAST	72141	$3080
SM	HB MRI CHEST + CONTRAST	71551	$3962
SM	HB MRI CHEST WO CONTRAST	71550	$2810
SM	HB MRI DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76498	$1500
SM	HB MRI DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76498	$1500
SM	HB MRI FETAL MATERNAL PELVIC IMAGE EA ADD GEST	74713	$730
SM	HB MRI FETAL MATERNAL PELVIC IMAGE SINGLE/1ST GEST	74712	$1500
SM	HB MRI HEART FUNCTION +/- LTD	75561	$1600
SM	HB MRI L-SPINE + CONTRAST	72149	$3390
SM	HB MRI L-SPINE WO CONTRAST	72148	$2683
SM	HB MRI LE JOINT + CONTRAST	73722	$3320
SM	HB MRI LE JOINT WO CONTRAST	73721	$2800
SM	HB MRI LE NONJNT + CONTRAST	73719	$2922
SM	HB MRI LE NONJNT WO CONTRAST	73718	$2770
SM	HB MRI ORBIT FACE NECK + CONTRAST	70542	$3320
SM	HB MRI ORBIT FACE NECK WO CONTRAST	70540	$2800
SM	HB MRI PELVIS + CONTRAST	72196	$3220
SM	HB MRI PELVIS WO CONTRAST	72195	$2780
SM	HB MRI T-SPINE + CONTRAST	72147	$3390
SM	HB MRI T-SPINE WO CONTRAST	72146	$3140
SM	HB MRI UE JOINT + CONTRAST	73222	$3320
SM	HB MRI UE JOINT WO CONTRAST	73221	$2758
SM	HB MRI UE NONJNT + CONTRAST	73219	$2844
SM	HB MRI UE NONJNT WO CONTRAST	73218	$1540
SM	HB OR MR GUIDANCE SERVICE		$1000

"Medical / Surgical Supplies, Devices"

Hospital	Description	CPT Code	Standard Charge
SM	"HB CAP GRAFTS TAA-$35,000 GORE"	C1768	$116560
SM	HB BIOMEDICUS CANNULA BLOODPUMP MDTR		$520
SM	HB BONE FIX CRANIAL LOOP SYN NEOS SURGERY		$620
SM	HB CATH VONSONNENBERG		$590
SM	HB COIL EMBO CONCERTO EV3		$1990
SM	HB COIL EMBO TARGET 360 HELX BSCI		$5500
SM	HB COIL EMBO TARGET 360 SOFT BSCI		$7300
SM	HB COIL EMBO TARGET 360 STD BSCI		$7300
SM	HB COIL EMBO TARGET 360 ULTR BSCI		$7300
SM	HB CONNECTING CABLE EPS CATH EXTENSION ST JUDE		$300
SM	HB DEVICE DETACHMENT CONTROLLER BARRICADE COIL BLOCKADE		$4170
SM	HB DIABETIC INSERT DENS CUSTOM EA	A5500	$220
SM	HB DIABETIC INSERT DENS PREFAB EA	A5500	$220
SM	HB ECMO DEVICE CIRCUIT COMPLETE REPLACE		$6050
SM	HB ECMO DEVICE CIRCUIT REPLACEMENT		$5200
SM	HB EEG ELECTRODE NEEDLE DISPOSABL		$20
SM	HB EEG ELECTRODE SUBDURAL 1X4		$1530
SM	HB EEG ELECTRODE SUBDURAL 1X8		$1530
SM	HB EEG ELECTRODE SUBDURAL 4X5		$1660
SM	HB FINGER SPLINT BASEBAL DJ ORTHO		$10
SM	HB HIP STEM ACCOLATE II STRYKER	C1776	$24550
SM	HB ICD DUAL EVERA S XT MDTR	C1721	$59950
SM	HB ICD DUAL INCEPTA DR BSCI	C1721	$68270
SM	HB ICD OTH CRT VIVA S XT MDTR	C1882	$76930
SM	HB ICD SGL EVERA S XT MDTR	C1722	$55220
SM	HB ICD SGL INCEPTA VR BSCI	C1722	$68270
SM	HB INZONE CABLE FOR TARGET COILS BSCI		$160
SM	HB INZONE CABLE FOR TARGET COILS BSCI		$160
SM	HB INZONE COIL DETACHMENT SYSTEM BSCI		$700
SM	HB INZONE COIL DETACHMENT SYSTEM BSCI		$600
SM	HB KO IMMOBILZR CANVAS PREFB+FIT DJ ORTHO	L1830	$330
SM	HB PCKMR ADVISA DR MRI MDTR	C1785	$17320
SM	HB PCMKR ADVANTIO DR BSCI	C1785	$14990
SM	HB PCMKR CONSULTA CRT-P OTH	C2621	$32640
SM	HB PCMKR INVIVE BIVALVE OTH BSCI	C2621	$25810
SM	HB PCMKR REPLY / RHAPSODY DR RESP SORIN	C1785	$17820
SM	HB PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330
SM	HB PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330
SM	HB PCMKR REVO MRI DUAL RATE MDTR	C1785	$17320
SM	HB PERFUSION DEVICE BIOPUMP CARDIO ASSIST DEVC DISP		$74930
SM	HB PESSARY NON RUBBER	A4562	$140
SM	HB REPR PNEUM WALK SPLNT PREFAB+FIT BOOT	L4360	$910
SM	HB REPR PNEUM WALK SPLNT PREFAB+FIT PNEUMATIC UNNA	L4360	$910
SM	HB RESP TRACH TUBE SPCH VALV-PASSYMUIR		$370
SM	HB SLING ARM UNIV	A4565	$30
SM	HB SO FIGURE8 ABDUCTN PREFAB+FIT DJ ORTHO	L3650	$220
SM	HB SO SHOULDER DESIGN WITHOUT JOINT CUSTOM	L3670	$410
SM	HB SPACER NANOKNIFE TISS ABLATION		$60
SM	HB STENT BILI WALL COVERED+DELIV SYST BSCI	C1874	$7700
SM	HB STENT ESOPH WALL COV+DELIV SYST BSCI	C1874	$9800
SM	HB STENT ESOPH WALL COV+DELIV SYST BSCI	C1874	$8500
SM	HB STENT PROMUS DRUG ELUT+DELV BSCI	C1874	$5170
SM	HB STENT RESOLUTE COV+DELV MDTR	C1874	$5000
SM	HB STENT XIENCE PRIME DRUG ELUT+DELV ABBOTT	C1874	$5420
SM	HB VAD DEVICE ABIOMED AB5000 VAD ASSIST DEVICE P900023		$124910
SM	HB VAD DEVICE ABIOMED BVS5000 VAD SYST P900023		$46640
SM	HB VAD DEVICE ABIOMED BVS5000 VAD SYST P900023 REPLACEMENT		$46640
SM	HB VAD DEVICE CENTRIMAG VAD PROBE REPLACEMENT	Q0508	$9000
SM	HB VAD DEVICE HEARTMATE ELECTRIC EMERG POWER PAC	Q0491	$300
SM	HB VAD DEVICE HEARTMATE ELECTRIC REPLACEMENT BATTERY	Q0496	$480
SM	HB VAD DEVICE HEARTMATE II BELT STABILIZATION	Q0499	$340
SM	HB VAD DEVICE HEARTMATE II CONTROLLER	Q0482	$11660
SM	HB VAD DEVICE HEARTMATE II PATIENT SUPPORT SUPPLY	Q0508	$30080
SM	HB VAD DEVICE HEARTMATE II VAD PT SUPPORT & SYST KIT	Q0508	$321470
SM	HB VAD DEVICE HEARTMATE II VAD PT SUPPORT KIT 12V NI	Q0508	$40270
SM	HB VAD DEVICE HEARTMATE II VAD PT SUPPORT KIT 14V LI	Q0508	$41050
SM	HB VAD DEVICE HEARTMATE VAD BTTRY CLIP 12V /14V REPLACEMENT	Q0497	$3670
SM	HB VAD DEVICE HEARTMATE VAD BAG CONSOLIDATED	Q0508	$1090
SM	HB VAD DEVICE HEARTMATE VAD BATTERY CLIP REPLACEMENT	Q0497	$600
SM	HB VAD DEVICE HEARTMATE VAD BATTERY CONTROLL REPLACEMENT	Q0508	$930
SM	HB VAD DEVICE HEARTMATE VAD BATTERY HOLSTER REPLACEMENT	Q0498	$660
SM	HB VAD DEVICE HEARTMATE VAD BATTERY REPLACEMENT	Q0496	$3000
SM	HB VAD DEVICE HEARTMATE VAD BELT MODULAR REPLACEMENT	Q0499	$1150
SM	HB VAD DEVICE HEARTMATE VAD BELT STABLIZER REPLACEMENT	Q0499	$340
SM	HB VAD DEVICE HEARTMATE VAD BTTRY SET 14V / 12V REPLACEMENT	Q0506	$8330
SM	HB VAD DEVICE HEARTMATE VAD CABLE EMERGENCY REPLACEMENT	Q0493	$650
SM	HB VAD DEVICE HEARTMATE VAD CABLE FOR CONTROLLER REPLACEMENT	Q0508	$1090
SM	HB VAD DEVICE HEARTMATE VAD CABLE PM MONITOR REPLACEMENT	Q0486	$1340
SM	HB VAD DEVICE HEARTMATE VAD DISPLAY MODULE REPLACEMENT	Q0484	$10150
SM	HB VAD DEVICE HEARTMATE VAD EMERG HAND PUMP REPLACEMENT	Q0494	$840
SM	HB VAD DEVICE HEARTMATE VAD EMERG PWR REPLACEMENT	Q0491	$2840
SM	HB VAD DEVICE HEARTMATE VAD FILTERS REPLACEMENT	Q0500	$100
SM	HB VAD DEVICE HEARTMATE VAD MICROPROC REPLACEMENT	Q0482	$3730
SM	HB VAD DEVICE HEARTMATE VAD NIGHT BELT	Q0499	$380
SM	HB VAD DEVICE HEARTMATE VAD PBU CABLE REPLACEMENT	Q0486	$840
SM	HB VAD DEVICE HEARTMATE VAD PM DC INPUT CABLE REPLACEMENT	Q0486	$750
SM	HB VAD DEVICE HEARTMATE VAD PM PT CABLE REPLACEMENT	Q0486	$3170
SM	HB VAD DEVICE HEARTMATE VAD POCKET PAK	Q0508	$300
SM	HB VAD DEVICE HEARTMATE VAD POWER CORD REPLACEMENT	Q0508	$180
SM	HB VAD DEVICE HEARTMATE VAD POWER MODULE REPLACEMENT	Q0489	$25980
SM	HB VAD DEVICE HEARTMATE VAD POWER PAC REPLACEMENT	Q0489	$41630
SM	HB VAD DEVICE HEARTMATE VAD POWER UNITS REPLACEMENT	Q0489	$267480
SM	HB VAD DEVICE HEARTMATE VAD SHOWER COVER REPLACEMENT	Q0501	$1420
SM	HB VAD DEVICE HEARTMATE VAD TRAVEL CASE	Q0508	$540
SM	HB VAD DEVICE HEARTMATE VAD UNIV BATTERY CHARGER REPLACEMENT	Q0495	$23980
SM	HB VAD DEVICE HEARTMATE VAD VEST REPLACEMENT	Q0499	$1320
SM	HB VAD DEVICE HEARTMATE XVE VAD ACCESSORY SUPPLY	Q0508	$3340
SM	HB VAD DEVICE HEARTMATE XVE VAD CABLE ADAPTOR DISPLAY	Q0508	$1000
SM	HB VAD DEVICE HEARTMATE XVE VAD CONDUIT REPLACEMENT	Q0508	$13990
SM	HB VAD DEVICE HEARTWARE HVAD ASSIST DEVICE P100047		$280400
SM	HB VAD DEVICE JARVIK HEART ARTIFICIAL		$249770
SM	HB VAD DEVICE THORATEC IVAD LEAD SIGNAL REPLACEMENT	Q0487	$990
SM	HB VAD DEVICE THORATEC VAD POWER ADAPTER REPLACEMENT	Q0504	$1000
SM	HB VAD DEVICE THORATEC VAD BATTERY CHARGER REPLACEMENT	Q0495	$10000
SM	HB VAD DEVICE THORATEC VAD BATTERY REPLACEMENT	Q0503	$3340
SM	HB VAD DEVICE THORATEC VAD DRIVER REPLACEMENT	Q0480	$249770
SM	HB VAD DEVICE THORATEC VAD DRIVER TLCII SYSTEM REPLACEMENT	Q0480	$316370
SM	HB VAD DEVICE THORATEC VAD DUAL LEAD ELECTRIC REPLACEMENT	Q0487	$820
SM	HB VAD DEVICE THORATEC VAD DUAL LEAD PNEUM REPLACEMENT	Q0487	$370
SM	HB VAD DEVICE THORATEC VAD EMERG HAND PUMP REPLACEMENT	Q0494	$270
SM	HB VAD DEVICE THORATEC VAD LEAD EXTENSION REPLACEMENT	Q0487	$990
SM	HB VAD DEVICE THORATEC VAD LEAD PNEUMATIC REPLACEMENT	Q0487	$920
SM	HB VAD DEVICE THORATEC VAD MOBILITY CART REPLACEMENT	Q0502	$1670
SM	HB VAD DEVICE THORATEC VAD PROGRAMMER REPLACEMENT	Q0508	$31640
SM	HB VAD DEVICE THORATEC VAD STROKE LIMITER REPLACEMENT	Q0508	$2270
SM	HB VAD DEVICE THORATEC VAD TLC CASE CARRYING	Q0508	$840
SM	HB VAD DEVICE THORATEC VAD TLC CASE SHIPPING	Q0508	$3000
SM	HB VAD DEVICE THORATEC VAD TLC LEAD ELECTRIC REPLACEMENT	Q0487	$950
SM	HB VAD DEVICE THORATEC VAD TLC LEAD PNEUM REPLACEMENT	Q0487	$840
SM	HB VAD HEARTWARE BATTER CHARGER REPLACEMENT P100047	Q0495	$20320
SM	HB VAD HEARTWARE BATTERY REPLACEMENT P100047	Q0506	$2500
SM	HB VAD HEARTWARE CONTROLLER KIT REPLACEMENT P100047	Q0481	$23820
SM	HB VAD HEARTWARE DC ADAPTER FOR CONTROLLER REPLACEMENT P100047	Q0478	$6670
SM	HB VAD HEARTWARE MONITOR KIT REPLACEMENT P100047	Q0483	$33140
SM	HB VAD HEARTWARE PATIENT PACK REPLACEMENT P100047	Q0498	$1420
SM	HB VAD HEARTWARE SHOWER BAG ACCESSORY REPLACEMENT P100047	Q0501	$1000
SM	HB VAD HEARTWAVE BATTERY REPLACEMENT P100047	Q0491	$1420
SM	HB VAD HEARTWAVE PATIENT PACK REPLACEMENT P100047	Q0508	$300
SM	HB WHFO RIGID WO JOINTS CUSTOM SHORT OPPONENS	L3808	$1210
SM	HB WHFO WRIST GAUNTLET MOLD CUSTOM ORTHO	L3906	$1450
SM	HB ABDOMINAL BINDER		$40
SM	HB ABIOMED CANNULA VENTRICLE/APICAL		$3630
SM	HB ABIOMED PVAD PERCUTAN VAD IMPELLA SYSTEM		$83260
SM	HB ABV ELBOW EXT POWER SWITCH CONTROL	L6950	$29860
SM	HB ACCESS SHEATH W DILATOR BSCI		$3330
SM	HB ADD ALL LE PROSTH SACH FOOT REPLACE ONLY	L5971	$760
SM	HB ADD ENDOSKELETAL ANKLE/FOOT SYST MICRO CNTRL DORSI/PLANTR FLEXN	L5973	$51670
SM	HB ADD EXOSKELETAL HIP DISART ULTRA LIGHT	L5795	$3340
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS EXT JTS FLUID SWING PHASE	L5726	$5900
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS FLUID SWING PHASE	L5724	$5770
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS MAN LACK ULTRA LIGHT	L5711	$2080
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS MAN LOCK	L5710	$1440
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS PNEUM SWING FRICT	L5722	$3250
SM	HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS PNEUM/HYDRA SWING PHASE	L5780	$4570
SM	HB ADD KNEE DISC OR DIAL LOCK ADJ FLEX EACH JT	L2425	$420
SM	HB ADD KNEE LIFT LOOP DROP LOCK RING	L2492	$330
SM	HB ADD KNEE RTCHT LOCK ACTV PROG KNEE EXT EACH JT	L2430	$420
SM	HB ADD LE BLW KNEE BACK CHECK	L5686	$190
SM	HB ADD LE BLW KNEE THIGH LACER NONMOLDED	L5680	$950
SM	HB ADD LE BLW KNEE WAIST BELT WEBBING	L5688	$240
SM	HB ADD LE KNEE DISART EXPAND WALL SCKT	L5653	$1950
SM	HB ADD LE PROSTH ENDOSKELETAL KNEE-SHIN SYST FLEX/EXT CNTRL	L5859	$42640
SM	HB ADD LE PROSTH ENDOSKELETAL KNEE-SHIN SYST MICRO CNTRL STANCE PHASE	L5858	$54620
SM	HB ADD LE SYMES POST OPEN SCKT	L5634	$1210
SM	HB ADD LE SYMES POST SCKT INSRT	L5654	$1220
SM	HB ADD LE SYMES SCKT INSRT MULTIDUROMETER	L5661	$2250
SM	HB ADD LWR EXT KNEE/ANKLE TORS MECHANISM CUST ONLY EA	L2861	$900
SM	HB ADD LWR EXT LACR MOLDED TO PT MODEL CUST ONLY	L2330	$1470
SM	HB ADD LWR EXT LMTD ANKLE MOT EACH JT	L2200	$180
SM	HB ADD LWR EXT LONG TONGUE STIRRUP	L2265	$440
SM	HB ADD LWR EXT MOLDED INNER BOOT	L2280	$1700
SM	HB ADD LWR EXT OFFSET KNEE EACH JT	L2390	$410
SM	HB ADD LWR EXT ORTC RCKR BTTM TTL CNCT AFO CUST ONLY	L2232	$290
SM	HB ADD LWR EXT PATTEN BTTM	L2370	$960
SM	HB ADD LWR EXT POLY KNEE CUST FAB KAFO EACH JT	L2387	$620
SM	HB ADD LWR EXT PROST PTB AFO SOCKET MOLDED TO PT MODEL	L2350	$3340
SM	HB ADD LWR EXT RND CLPR+PLATE	L2240	$310
SM	HB ADD LWR EXT SPLT FLT CALPR STIRRUPS+PLATE	L2230	$290
SM	HB ADD LWR EXT THIGH GLUTE/ISCHIAL WGT/BEARING	L2500	$1180
SM	HB ADD LWR EXT THIGH QUADLAT WGT BEARING CUST	L2520	$1730
SM	HB ADD LWR EXT THIGH WGT BEARING HIGH ROLL CUFF	L2550	$1080
SM	HB ADD LWR EXT THIGH WGT BEARING ISCHIAL CONT NRRW M-L BRIM CUST	L2526	$2380
SM	HB ADD LWR EXT THIGH WGT BEARING ISCHIAL CONT NRRW M-L BRIM PT MOLDED	L2525	$4260
SM	HB ADD LWR EXT THIGH WGT BEARING LACER PT MOLDED	L2540	$1580
SM	HB ADD LWR EXT TORS CONT STRT KNEE EACH JT	L2380	$460
SM	HB ADD TERM DEV MODIFIER WRIST UNIT	L6805	$1270
SM	HB ADD TERM DEV PRECISION PINCH DEVICE	L6810	$650
SM	HB ADD UE ELBOW LIFT ASSIST	L6635	$700
SM	HB ADD UE EXCURSION AMP LEVER	L6642	$780
SM	HB ADD UE EXCURSION AMP PULLEY	L6641	$600
SM	HB ADD UE FLEX METAL HINGE PAIR	L6610	$660
SM	HB ADD UE FLEX/EXT WRIST W WO FRICTION	L6620	$1140
SM	HB ADD UE FLEX/EXT/ROT WRIST UNIT	L6624	$11070
SM	HB ADD UE HARNESS TRIPLE CONTROL	L6677	$870
SM	HB ADD UE LATEX SUSP SLEEVE EACH	L6632	$190
SM	HB ADD UE NUDGE CNTRL ELBOW LOCK	L6637	$1280
SM	HB ADD UE PROSTH ELBOW SOCKET INSRT CONG/ATYPICAL CUST	L6696	$3870
SM	HB ADD UE PROSTH ELBOW SOCKET INSRT NOT CONG/ATYPICAL CUST	L6697	$3870
SM	HB ADD UE PROSTH ELBOW SOCKET INSRT W LOCK CUST/PREFAB	L6694	$2350
SM	HB ADD UE PROSTH ELBOW SOCKET INSRT WO LOCK CUST/PREFAB	L6695	$1950
SM	HB ADD UE PROSTH ELEC LOCK ONLY W MAN POWER ELBOW	L6638	$7350
SM	HB ADD UE PROSTH EXT POWER ADD SWITCH	L6611	$1210
SM	HB ADD UE PROSTH SHOULDER DISART/INTERSCAP THORACIC ACRYLIC	L7405	$2140
SM	HB ADD UE PROSTH SHOULDER DISART/INTERSCAP THORACIC ULTRALIGHT	L7402	$1090
SM	HB ADD UE ROT WRIST W CBL LOCK	L6625	$2120
SM	HB ADD UE SHOULDER ABD JT PAIR	L6640	$840
SM	HB ADD UE SHOULDER JT MULTIPOS LOCKING	L6646	$9270
SM	HB ADD UE SHOULDER LOCK BODY POWER ACTUATOR	L6647	$1530
SM	HB ADD UE SHOULDER LOCK EXT POWER ACTUATOR	L6648	$9560
SM	HB ADD UE SHOULDER UNIVERSAL JT EACH	L6650	$1350
SM	HB ADD UE SPRING ASST ROT WRIST W LATCH	L6623	$1920
SM	HB ADD UE STANLESS STEEL ANY WRIST	L6630	$650
SM	HB ADV BIONICS NEURSTIM PRECISION GNRTR+CHR	C1820	$42300
SM	HB AF ORTHOSIS WALKING BOOT ROCKER BOTTOM TIB SHELL ARCH+STRAP CUSTOM	L4631	$5520
SM	HB AFO ANKLE GAUNTLET PREFAB+FIT	L1902	$260
SM	HB AFO ANKLE GAUNTLET W WO JTS CUST	L1904	$1760
SM	HB AFO DBL UP STIRRUP BAR-BK CUST	L1990	$1670
SM	HB AFO FX TIB CAST SFT PREFAB+FIT	L2112	$1610
SM	HB AFO FX TIB CAST THERMPLST CUST	L2106	$2550
SM	HB AFO FX TIBIAL CAST CUSTOM	L2108	$3700
SM	HB AFO MOLDED PLAS RIGID ANT TIBIAL CUSTOM	L1945	$3470
SM	HB AFO PLAST POST SOLID ANKL CUST	L1960	$2080
SM	HB AFO PLASTIC CUSTOM	L1940	$1850
SM	HB AFO PLASTIC PREFAB+FIT	L1930	$890
SM	HB AFO PLASTIC+ANKLE JOINT CUSTOM	L1970	$2170
SM	HB AFO PLASTIC+ANKLE JOINT PREFAB+FIT	L1971	$1370
SM	HB AFO POST SGL BAR PREFAB+FIT	L1910	$1000
SM	HB AFO RIGID ANT TIB SECTION TOTAL CARBON FIBER PREFAB + FIT&ADJUST	L1932	$2620
SM	HB AFO SINGL SOLID STIRRUP CALF BND CUST	L1980	$1380
SM	HB AFO SPIRAL PLASTIC CUST	L1950	$2790
SM	HB AFO SPIRAL PLASTIC/OTHER PREFAB+FIT	L1951	$2460
SM	HB AFO SPRING WIR DRSFLX CLF BND CUST	L1900	$860
SM	HB AFO STATIC/DYNAMIC ADJ POSITION PREFAB	L4397	$480
SM	HB AFO SUPPRT MULTILIG PREFAB+FIT	L1906	$450
SM	HB AFO SUPRAMALLEOLAR+STRAP CUST	L1907	$1650
SM	HB AMPLATZ ASD CRIBIFORM SEPTALSYST AGA MED	C1817	$16660
SM	HB AMPLATZ ASD SEPTAL CLOS DEVICE AGA MED	C1817	$16660
SM	HB AMPLATZ BALLOON SIZING AGA MEDICAL		$1010
SM	HB AMPLATZ DELIV SYST TORQVUE STJUDE/ABBOTT		$2930
SM	HB AMPLATZ DELIVERY SYSTEM	C1893	$2420
SM	HB AMPLATZ EXCHANGE SYSTEM		$1340
SM	HB AMPLATZ PATENT DUCTUS ARTER SEPTAL SYST	C1817	$2760
SM	HB AMPLATZ PATENT FORAMEN OVALE SEPTAL SYST	C1817	$33300
SM	HB AMPLATZ PLUG ASD SEPTAL DEFECT SYST AGA	C1817	$1250
SM	HB AMPLATZ PLUG2 ASD SEPTAL DEFECT SYST AGA	C1817	$2670
SM	HB AMPLATZ VSD SEPTAL CLOS DEVICE AGA MED	C1817	$21650
SM	HB ANCHOR IMPLANT CASSETTE HELI-FX AAA ENDOANCHOR APTUS MDTR	C1713	$15820
SM	HB ANKLE SYMES MOLDED SOCKET WO CUSHION REPLACE ONLY	L5703	$7210
SM	HB AO ANKLE CONTROL LACE	L4350	$330
SM	HB AO ANKLE CONTROL SPLINT GEL DJ ORTHO	L4350	$330
SM	HB AO ELASTIC SUPPORT	A4467	$20
SM	HB ARCH ORTH SUPP-METATARSL ATTCH	L3080	$90
SM	HB AUD SPEECH BOOK SELF HELP LARYNG		$40
SM	HB AUD SPEECH LARYNGEAL MIRROR		$30
SM	HB AUDITORY OSSEOINTEG RECEIVER BAHA REPLACEMENT	L8693	$3090
SM	HB BAND TR STD W/INFLATOR		$590
SM	HB BAR ABDUCTN&ROTAT FOOT WO SHOE	L3150	$240
SM	HB BATTERY CHARGER TWELVE VOLT EACH	L7366	$1840
SM	HB BERLIN VAD ACCESSORY SUPPLY		$8000
SM	HB BERLIN VAD CANNULA APEX		$17080
SM	HB BERLIN VAD CANNULA ATR/ART		$13330
SM	HB BERLIN VAD CONNECT SUPPLY		$3000
SM	HB BERLIN VAD GRAFT ADAPTOR		$10660
SM	HB BERLIN VAD VENT ASSIST		$124550
SM	HB BIOMEDICUS CANNULA BLOODPUMP MDTR		$520
SM	HB BIOPSY BIPAL MYOCARD FORCEP 7F		$830
SM	HB BIOPUMP CARDIO ASSIST DEVC DISP		$74930
SM	HB BLW ELBOW EXT POWER SWITCH CONTROL	L6930	$20780
SM	HB BLW ELBOW MOLDED ACTVTD LOCK HINGE	L6130	$10330
SM	HB BOOT BUNNY ORTHOTIC		$80
SM	HB BOOT HEEL ORTHOTIC		$210
SM	HB BOOT NONPNEUM WALK W WO JTS/INTERFACE PREFAB	L4387	$470
SM	HB BOOT PNEUM WALK W WO JTS/INTERFACE PREFAB	L4361	$910
SM	HB BOOT ROOKE ORTHOTIC		$280
SM	HB BOOT SURGICAL AMBUL DJ ORTHO		$40
SM	HB BOOT SURGICAL AMBULATORY EA	L3260	$140
SM	HB BOOT TRACTION		$60
SM	HB BOOT UNNA ORTHOTIC		$20
SM	HB BRACE CLAVICLE SM	L3650	$220
SM	HB BRACE WRIST		$15
SM	HB BREAST PROSTHESIS IMPLANT SILICONE/EQUIV WO INTEGRAL ADHESIVE	L8030	$1140
SM	HB BURR CATH ATHERECTOMY SYS ROTAPRO BSCI	C1724	$5810
SM	HB CABLE ABL REP 4MM RED REDEL		$420
SM	HB CABLE CONNECTOR RFP-102		$30
SM	HB CABLE INTERFACE REP 85641		$270
SM	HB CABLE INTERFACE REP 8MM		$420
SM	HB CABLE INTERFACE REP C6MRMST10S		$120
SM	HB CABLE INTERFACE REP CB3410CT		$590
SM	HB CABLE INTERFACE REP CB3412CT		$590
SM	HB CABLE INTERFACE REP HEX OCT DE		$120
SM	HB CABLE INTERFACE REP QUAD BLACK		$120
SM	HB CABLE INTERFACE REP QUAD BLUE		$120
SM	HB CABLE INTERFACE REP QUAD GRAY		$120
SM	HB CABLE INTERFACE REP QUAD RED		$120
SM	HB CABLE NAVISTAR REP 8MM DS		$700
SM	HB CANE ALUMINUM		$40
SM	HB CANNULA OPTISITE BLOODPUMP EDWARDS		$820
SM	HB CANNULA RETROGRADE RESM/EDLIFE		$460
SM	HB CARDIAC EVENT RECORDER CONFIRM RX STJUDE	C1764	$15820
SM	HB CARDIAC EVENT RECORDER CONFIRM STJUDE	C1764	$14990
SM	HB CARDIAC EVENT RECORDER REVEAL LINQ MDTR	C1764	$17630
SM	HB CARDIAC EVENT RECORDER REVEAL MDTR	C1764	$14970
SM	HB CARDIOMEMS HF SYSTEM STJUDE/ABBO	C2624	$83090
SM	HB CARDIOSEAL OCCLUD IMPLANT SYST	C1817	$16660
SM	HB CAST SHOE		$50
SM	HB CATH / PROBE ABLATION NANOKNIFE TISSUE ANGIODYNAMIC	C1886	$6650
SM	HB CATH / PROBE ABLATION NANOKNIFE TISSUE ANGIODYNAMIC	C1886	$6650
SM	HB CATH ABLAT THERMOCOOL CELSIUS BIOSENSE	C2630	$5100
SM	HB CATH ABLAT THERMOCOOL RMT BIOSENSE	C2630	$10500
SM	HB CATH ABLATION RF ESOPH BARRX MED	C1886	$3250
SM	HB CATH ADP LOCKING LOOP		$570
SM	HB CATH ADVANCE ATB PTA DILATION COOK	C1725	$370
SM	HB CATH ANGIO ACCUVU ANGIODYNAMICS	C1887	$360
SM	HB CATH ANGIO ADVANCE MICRO 14 COOK	C1725	$1320
SM	HB CATH ANGIO BERMAN ARROW	C1725	$300
SM	HB CATH ANGIO CLOT BUSTER 7F 75CM	C1757	$2200
SM	HB CATH ANGIO CROSSER BARD FLOWCARDIA	C1725	$5580
SM	HB CATH ANGIO DIAG BSCI CORDIS MERIT		$300
SM	HB CATH ANGIO DIAG IMAGER II SELECT BSCI	C1887	$30
SM	HB CATH ANGIO DILAT VANANDEL COOK		$80
SM	HB CATH ANGIO LASER ELCA EXIMER SPECTRA	C1885	$7980
SM	HB CATH ANGIO LASER ELITE SPECTRANETICS	C1885	$9800
SM	HB CATH ANGIO LASER TURBO POWER SPECTRA	C1885	$11640
SM	HB CATH ANGIO LEVINE COOK		$60
SM	HB CATH ANGIO MARINER ANGIODYNAMICS	C1887	$320
SM	HB CATH ANGIO PED PEDIAVASCULUAR	C1725	$1250
SM	HB CATH ANGIO PED PIGTAIL PEDIAVASCULUAR	C1725	$2090
SM	HB CATH ANGIO POLYETHELYNE COOK		$300
SM	HB CATH ANGIO ROYAL FLUSH COOK	C1725	$200
SM	HB CATH ANGIO ROYAL FLUSH PLUS COOK	C1725	$160
SM	HB CATH ANGIO SILVERHAWK FOXHOLLOW EV3	C1724	$10980
SM	HB CATH ANGIO SIZING ACCU-VU ANGIODYNAMICS		$80
SM	HB CATH ANGIO SLIPCATH COOK	C1725	$200
SM	HB CATH ANGIO SLIPCATH SHUTTLE COOK		$250
SM	HB CATH ANGIO SLIPCATH SHUTTLE XL COOK		$160
SM	HB CATH ANGIO SOS OMNI ANGIODYNAMICS	C1887	$300
SM	HB CATH ANGIO TEMPO CORDIS		$200
SM	HB CATH ANGIO TORCON ADVANTAGE COOK		$200
SM	HB CATH ANGIO TORCON NB ADVANTAGE BEACON 5F 100CM COOK	C1725	$380
SM	HB CATH ANGIO TORCON NB ADVANTAGE BEACON COOK		$50
SM	HB CATH ANGIO TORNUS ASAHI ABBOTT	C1887	$1990
SM	HB CATH ANGIO TURBOHAWK EV3	C1724	$11350
SM	HB CATH ANGIO VCF COOK		$60
SM	HB CATH ANGIO WHITE SIZING COOK		$60
SM	HB CATH ANGIO XXXL	C1725	$1220
SM	HB CATH ANGIOGRAPHIC PIGTAIL	C1725	$60
SM	HB CATH ANGIOJET 110	C1757	$2540
SM	HB CATH ANGIOJET 60	C1757	$1500
SM	HB CATH ANGIOJET AVX POSSIS	C1757	$1340
SM	HB CATH ANGIOJET F105	C1757	$2540
SM	HB CATH ANGIOJET XMI POSSIS	C1757	$5730
SM	HB CATH ANGIOJET XVG POSSIS	C1757	$4420
SM	HB CATH ARROW BERMAN ANGIO 7F	C1725	$120
SM	HB CATH ARTHERECTOMY ATHEROCATH-BANTAM GUID	C1724	$4320
SM	HB CATH ARTHERECTOMY SCA-EX GRAFT GUIDANT	C1724	$4170
SM	HB CATH ATHERECTOMY CTO FRONTRUNNER	C1714	$3780
SM	HB CATH ATHERECTOMY CUTTER GTO	C1714	$4920
SM	HB CATH ATHERECTOMY FRONTRUNNER TRANSITIONL	C1714	$970
SM	HB CATH ATHERECTOMY HAWKONE EV3 COVD	C1724	$11200
SM	HB CATH ATHERECTOMY OAS ROTAT CSI	C1724	$11300
SM	HB CATH ATHERECTOMY ROTAT COAS DB360 CSI	C1724	$12640
SM	HB CATH AXS CATALYST DA STRY	C1887	$5490
SM	HB CATH BALL OCCLUS SCEPTER C MICV TERUMO	C2628	$3160
SM	HB CATH BALL OCCLUS SCEPTER XC MICV TERUMO	C2628	$3860
SM	HB CATH BALLN 120MMX130CM IN PACT ADMIRAL DCB MDTR	C1725	$5200
SM	HB CATH BALLN 150MMX130CM IN PACT ADMIRAL DCB MDTR	C1725	$5690
SM	HB CATH BALLN ACE	C1725	$1330
SM	HB CATH BALLN ACS	C1725	$1000
SM	HB CATH BALLN ANGIO AGILTRAC	C1725	$670
SM	HB CATH BALLN ANGIO BLUE MAX BOSTON SCI	C1725	$1200
SM	HB CATH BALLN ANGIO FASTEALTH BSCI	C1725	$2420
SM	HB CATH BALLN ANGIO LV 20 3 100 DC	C1725	$1890
SM	HB CATH BALLN ANGIO MAXI CORDIS	C1725	$1550
SM	HB CATH BALLN ANGIO MLD	C1725	$1200
SM	HB CATH BALLN ANGIO OLP	C1725	$710
SM	HB CATH BALLN ANGIO POLAR 0.014 BSCI	C1725	$2670
SM	HB CATH BALLN ANGIO POLAR 0.035 BSCI	C1725	$2000
SM	HB CATH BALLN ANGIO PTA AORTIC TRUE BARD	C1725	$2660
SM	HB CATH BALLN ANGIO PTA ATLAS GOLD OR PULM VIDA20-26 BARD	C1725	$2200
SM	HB CATH BALLN ANGIO PTA ATLAS OR PULM VIDA12-18 BARD	C1725	$1300
SM	HB CATH BALLN ANGIO PTA CONQUEST BARD	C1725	$700
SM	HB CATH BALLN ANGIO STERLING MONORAIL BSCI	C1725	$1300
SM	HB CATH BALLN ANGIO TRAPPER EXCHG DEVICE BSCI	C1725	$1650
SM	HB CATH BALLN ANGIO XXL BOSTON SCI	C1725	$1200
SM	HB CATH BALLN APEX BSCI	C1725	$1600
SM	HB CATH BALLN ATHERECTMY FLEXICUT	C1714	$6530
SM	HB CATH BALLN ATRIOSEPTOSTOMY BRAUN/BAXTER	C1725	$1000
SM	HB CATH BALLN BS	C1725	$1160
SM	HB CATH BALLN CELLO FUJI EV3	C1725	$3100
SM	HB CATH BALLN CERVICAL RIPENING COOK	C1726	$150
SM	HB CATH BALLN CORDIS	C1725	$840
SM	HB CATH BALLN CORONARY SINUS VENO ST JUDE	C1725	$330
SM	HB CATH BALLN CROSS SAIL GUIDANT	C1725	$770
SM	HB CATH BALLN CTO CROSSBOW BSCI	C1725	$3600
SM	HB CATH BALLN CTO STINGRAY BSCI	C1725	$4170
SM	HB CATH BALLN CUTTING ANGIOSOURCE	C1725	$2920
SM	HB CATH BALLN CUTTING ATHERTOME BSCI	C1725	$2670
SM	HB CATH BALLN CUTTING FLEXTOME BSCI	C1725	$3170
SM	HB CATH BALLN CUTTING WOLVERINE BSCI	C1725	$2660
SM	HB CATH BALLN DELIV GATEWAY BOSTON SCI	C1725	$4000
SM	HB CATH BALLN DILAT 1LUMEN 5F	C1726	$840
SM	HB CATH BALLN DILAT BILI ENDO COOK	C1726	$200
SM	HB CATH BALLN DILAT BILI MAXFORCE BSCI	C1726	$1000
SM	HB CATH BALLN DILAT CRE BSCI	C1726	$1200
SM	HB CATH BALLN DILAT EXPRESS ENTELLUS	C1726	$4170
SM	HB CATH BALLN DILAT GUID SINU RELIVA SPIN ACLA	C1726	$5580
SM	HB CATH BALLN DILAT GUID SINU RELIVA SPINPLUS ACLA	C1726	$6500
SM	HB CATH BALLN DILAT NEPHROMAX BSCI	C1726	$970
SM	HB CATH BALLN DILAT NEPHROSTOMY MICROVASIVE	C1726	$1300
SM	HB CATH BALLN DILAT RELIANT MDTR	C1726	$1490
SM	HB CATH BALLN DILAT RIGIFLEX BSCI	C1726	$2900
SM	HB CATH BALLN DILAT UROMAX BSCI	C1726	$1020
SM	HB CATH BALLN DILAT UROMAX ULTRA HP BSCI	C1726	$1450
SM	HB CATH BALLN DILATATION TYSHAK BRAUN	C1725	$1510
SM	HB CATH BALLN DILATATION ZMED/ZMED II BRAUN	C1725	$2400
SM	HB CATH BALLN DILATION COOK	C1726	$1000
SM	HB CATH BALLN DILATION DETACHABLE	C1726	$2410
SM	HB CATH BALLN ECLIPSE 2L BALT		$5490
SM	HB CATH BALLN ENDEAVOR	C1725	$2410
SM	HB CATH BALLN ESPIRIT RX GUIDANT	C1725	$2500
SM	HB CATH BALLN EUPHORA MDTR	C1725	$470
SM	HB CATH BALLN EXXL	C1725	$1290
SM	HB CATH BALLN FX MINIRAIL GUIDANT	C1725	$2600
SM	HB CATH BALLN GEMINI RX GUIDANT	C1725	$1420
SM	HB CATH BALLN GUIDANT	C1725	$2170
SM	HB CATH BALLN IN PACT ADMIRAL DCB MDTR	C1725	$4700
SM	HB CATH BALLN INFLAT DEV ENCORE BSCI		$400
SM	HB CATH BALLN INFLAT DEV POLARCATH BSCI		$3170
SM	HB CATH BALLN INOUE-BALLOON TORAY	C1725	$7330
SM	HB CATH BALLN LUTONIX 035 DCB PTA BARD BSCI	C2623	$5830
SM	HB CATH BALLN LUTONIX AV 035 DCB PTA MODEL 9010 BARD	C2623	$6490
SM	HB CATH BALLN MARSHALL	C1725	$750
SM	HB CATH BALLN MAVERICK BSCI	C1725	$1100
SM	HB CATH BALLN MEDTRONIC	C1725	$2170
SM	HB CATH BALLN MINI COMPRESSION	C1726	$600
SM	HB CATH BALLN NUCLEUS-X BRAUN	C1725	$2840
SM	HB CATH BALLN OCCLUS ENDOCATH SENTRE HEART SNTR	C2628	$21650
SM	HB CATH BALLN OCCLUS EQUINOX	C2628	$2440
SM	HB CATH BALLN OCCLUS EQUINOX MICRO	C2628	$2000
SM	HB CATH BALLN OCCLUS HYPERFORM EV3	C2628	$4400
SM	HB CATH BALLN OCCLUS HYPERGLIDE EV3	C2628	$3750
SM	HB CATH BALLN OCCLUS LARGE BOSTON SCI	C2628	$800
SM	HB CATH BALLN OCCLUS SNIPER EMBX	C2628	$1670
SM	HB CATH BALLN OCCLUS STANDARD BOSTON SCI	C2628	$170
SM	HB CATH BALLN OCCLUS SVC BRIDGE SPECT	C2628	$2830
SM	HB CATH BALLN OCCLUS TFSC STRYKER	C2628	$4500
SM	HB CATH BALLN OCCLUSION COMMODORE	C2628	$2910
SM	HB CATH BALLN OCCLUSION STRYKER TFSC	C1753	$5300
SM	HB CATH BALLN OLBERT	C1725	$800
SM	HB CATH BALLN OPEN SAIL GUIDANT	C1725	$770
SM	HB CATH BALLN PACK	C1725	$260
SM	HB CATH BALLN POWERSAIL GUIDANT	C1725	$770
SM	HB CATH BALLN PTA AMPHIRION EV3	C1725	$1140
SM	HB CATH BALLN PTA ARMADA18 ABBOTT	C1725	$730
SM	HB CATH BALLN PTA ARMADA35 ABBOTT	C1725	$250
SM	HB CATH BALLN PTA BIB NUMED	C1725	$2600
SM	HB CATH BALLN PTA BIB STENT PLACEMENT NUMED BRAUN	C1725	$3280
SM	HB CATH BALLN PTA CHAMELEON MDTR	C1725	$750
SM	HB CATH BALLN PTA DILAT PANTERA LEO NON-CMPLNT BIOTRONIK	C1725	$330
SM	HB CATH BALLN PTA DILAT PANTERA PRO SEMI-CMPLNT BIOTRONIK	C1725	$330
SM	HB CATH BALLN PTA DILAT R2P CROSSTELLA RX TERUMO	C1725	$870
SM	HB CATH BALLN PTA DILAT R2P METACROSS RX TERUMO	C1725	$870
SM	HB CATH BALLN PTA DILAT RX VIATRAC 14 PLUS ABBOTT	C1725	$530
SM	HB CATH BALLN PTA DILAT SAPPHIRE II PRO 1.0-1.25MM CSI	C1725	$750
SM	HB CATH BALLN PTA DILAT SAPPHIRE II PRO 1.5MM CSI	C1725	$330
SM	HB CATH BALLN PTA EVERCROSS EV3	C1725	$450
SM	HB CATH BALLN PTA NANOCROSS EV3	C1725	$1150
SM	HB CATH BALLN PTA OPTA PRO CORDIS	C1725	$1000
SM	HB CATH BALLN PTA POWERFLEX EXTREME CORDIS	C1725	$620
SM	HB CATH BALLN PTA POWERFLEX P3 CORDIS	C1725	$800
SM	HB CATH BALLN PTA PROFILER ANGIODYNAMICS	C1725	$980
SM	HB CATH BALLN PTA SABER CORDIS CADL	C1725	$1700
SM	HB CATH BALLN PTA SAVVY CORDIS	C1725	$2000
SM	HB CATH BALLN PTA SLALOM CORDIS	C1725	$1100
SM	HB CATH BALLN PTA WORKHORSE ANGIODYNAMICS	C1725	$390
SM	HB CATH BALLN PTCA DILAT OTW TAKERU TERUMO	C1725	$380
SM	HB CATH BALLN PTCA DILAT RX NC TAKERU TERUMO	C1726	$380
SM	HB CATH BALLN PTCA DILAT RX TAKERU TERUMO	C1726	$380
SM	HB CATH BALLN RECTAL PRESSURE	C1726	$110
SM	HB CATH BALLN RENAL AMPLATZ DILAT	C1726	$600
SM	HB CATH BALLN RX PTCA SCORING ANGIOSCULPT SPEC	C1725	$2660
SM	HB CATH BALLN SCIMED	C1725	$1300
SM	HB CATH BALLN SENTRY BOSTON SCI	C1725	$2570
SM	HB CATH BALLN SIZING CARDIOSEAL	C1725	$1200
SM	HB CATH BALLN SIZING ESOPH BARRX MED	C1725	$750
SM	HB CATH BALLN SIZING PTS-X BRAUN		$800
SM	HB CATH BALLN SPRINTER MDTR		$470
SM	HB CATH BALLN STENT DILAT TRILOBE GORE		$2040
SM	HB CATH BALLN STG	C1725	$790
SM	HB CATH BALLN SUBMARINE PTA GUIDANT	C1725	$1340
SM	HB CATH BALLN SYMMETRY BOSTON SCI	C1725	$1200
SM	HB CATH BALLN TAMPONADE BAKRI COOK		$690
SM	HB CATH BALLN THREADER MICRODILATOR BSCI	C1725	$1340
SM	HB CATH BALLN TPA SAILOR PLUS EV3	C1725	$500
SM	HB CATH BALLN TRIO 14	C1725	$1330
SM	HB CATH BALLN TRUE FLOW VALVULOPLASTY PERFUSION	C1725	$4000
SM	HB CATH BALLN TYSHACK II BRAUN	C1725	$1700
SM	HB CATH BALLN ULTRA THIN DIAMOND BSCI	C1725	$700
SM	HB CATH BALLN VIATRAC GUIDANT	C1725	$640
SM	HB CATH BALLN VIPER	C1725	$1530
SM	HB CATH BALLN VOYAGER ABBOTT GUIDANT	C1725	$770
SM	HB CATH BALLN XL PTA SCORING ANGIOSCULPT 100MM SPEC	C1725	$3830
SM	HB CATH BALLN XL PTA SCORING ANGIOSCULPT 20MM SPEC	C1725	$2660
SM	HB CATH BALLN XL PTA SCORING ANGIOSCULPT 40MM SPEC	C1725	$3250
SM	HB CATH BALLOON DILATATION NEPHROSTOMY	C1726	$990
SM	HB CATH BALLOON GOLD VALVE	C1725	$730
SM	HB CATH BALLOON OCCLUSION CODA COOK	C2628	$1500
SM	HB CATH BILI DILATION SOEHENDRA COOK	C1729	$400
SM	HB CATH BILIARY FOG DRAIN	C1729	$260
SM	HB CATH BILIARY SILICONE BENTEC	C1729	$240
SM	HB CATH BROVIAC	C1751	$700
SM	HB CATH CENTRAL VENOUS ARGON	C1751	$100
SM	HB CATH CLOSED SYST URETHRAL		$60
SM	HB CATH COBRA SOFT VU CORDIS		$50
SM	HB CATH CONDOM		$5
SM	HB CATH CORONARY ATHERECTOMY		$3780
SM	HB CATH CORONARY DILAT TREK ABBOTT	C1725	$570
SM	HB CATH CORONARY DILAT TREK ABBOTT NONLASER	C1725	$570
SM	HB CATH COUDE		$40
SM	HB CATH CSF DRAIN BECKER EDM SYST	C1729	$580
SM	HB CATH CSF DRAIN BECKER EDMS MDTR	C1729	$700
SM	HB CATH CSF DRAIN LUMBAR EDM MDTR	C1729	$700
SM	HB CATH CSF DRAIN TRAUMACATH VENTRICULAR CATH SET INTG	C1729	$370
SM	HB CATH CSF DRAIN VENTRIC EDM BECKER 20	C1729	$580
SM	HB CATH CSF DRAIN VENTRIC EDM BECKER 35	C1729	$1200
SM	HB CATH CSF DRAIN VENTRIC-PERITONEAL	C1729	$470
SM	HB CATH CSF LUMBAR EDM MEDTRONIC	C1729	$580
SM	HB CATH CSF VENTRICULAR EDM BECKER 20 MDTR	C1729	$580
SM	HB CATH CSF VENTRICULAR EDM BECKER 35 MDTR	C1729	$750
SM	HB CATH CV ALI KHAN	C1887	$120
SM	HB CATH CV BLADE SEPTO	C1757	$4000
SM	HB CATH CV CASTILLO	C1887	$60
SM	HB CATH CV DBL	C1751	$350
SM	HB CATH CV DBL COOK ARROW	C1751	$500
SM	HB CATH CV EP 2/2 <19ELECTRODES	C1730	$1710
SM	HB CATH CV EP 2/2 >20ELECTRODES	C1731	$1750
SM	HB CATH CV EP 2/8 <19ELECTRODES	C1730	$2500
SM	HB CATH CV EP 2/8 >20ELECTRODES	C1731	$4540
SM	HB CATH CV EP ADVISOR FL SENSOR ENABLED <19 STJUDE	C1730	$5990
SM	HB CATH CV EP CARTO NVSTR WBSTR<19 BIOSENSE	C1730	$900
SM	HB CATH CV EP DECA 6F<19ELECTRODES	C1730	$1460
SM	HB CATH CV EP DECA 7F<19ELECTRODES	C1730	$2200
SM	HB CATH CV EP HEX<19ELECTRODES	C1730	$550
SM	HB CATH CV EP LASSO 10POLE<19ELECT BIOSENSE	C1730	$4100
SM	HB CATH CV EP LASSO 20POLE >20ELEC BIOSENSE	C1731	$4700
SM	HB CATH CV EP LIVEWIRE CANNULATOR<19 STJUDE	C1730	$2990
SM	HB CATH CV EP LIVEWIRE DUO-DECA>20 STJUDE	C1731	$4500
SM	HB CATH CV EP LIVEWIRE STEERABLE <19 STJUDE	C1730	$2990
SM	HB CATH CV EP NVSTR WEBSTER<19 BIOSENSE	C1730	$1080
SM	HB CATH CV EP OCTA 6F<19ELECTRODES	C1730	$800
SM	HB CATH CV EP OPTIMA PLUS >20ELECTR STJUDE	C1731	$4660
SM	HB CATH CV EP PATHFINDER<19ELECTROD CARDIMA	C1730	$3420
SM	HB CATH CV EP QUAD <19ELECTRODES	C1730	$570
SM	HB CATH CV EP SPECIAL EP <19ELEC	C1730	$2030
SM	HB CATH CV EP SPIRAL<19ELECTRODE STJUDE	C1730	$2850
SM	HB CATH CV EP VECTORCATH<19 CATHEFFECTS	C1730	$5630
SM	HB CATH CV EP WEBSTER+CONNCTR<19 BIOSENSE	C1730	$2180
SM	HB CATH CV EP<19 INQUIRY LUMACATH BSCI	C1730	$2500
SM	HB CATH CV EP<19 POLARIS DX BSCI	C1730	$1090
SM	HB CATH CV EP<19ELECTR ACHIEVE ADVANCE MEDTRONIC	C1730	$2500
SM	HB CATH CV EP<19ELECTRODES ARROW	C1730	$2100
SM	HB CATH CV EPS DIAG ABLAT QUAD LGCRL 7F	C2630	$2450
SM	HB CATH CV EPS DIAG ABLAT QUAD MED 7F	C2630	$2450
SM	HB CATH CV EPS DIAG ABLAT QUAD XLSU CRL7F	C2630	$2470
SM	HB CATH CV GROSHONG	C1751	$1000
SM	HB CATH CV HANAFEE	C1887	$110
SM	HB CATH CV HICKMAN BARD	C1751	$900
SM	HB CATH CV INFUSION	C1725	$2140
SM	HB CATH CV JUDKINS COOK BARD		$160
SM	HB CATH CV LEONARD 2LUMEN	C1751	$470
SM	HB CATH CV PACING ATRIAL	C1756	$280
SM	HB CATH CV PACING ATRIAL OXIMETRY	C1756	$1020
SM	HB CATH CV PACING ATRIAL PROBE		$800
SM	HB CATH CV PACING TEMPORARY BARD	C1756	$500
SM	HB CATH CV PACING TEMPORARY DIAG AVE	C1756	$1100
SM	HB CATH CV PACING TEMPORARY EDWARDS BAXTER	C1756	$700
SM	HB CATH CV PACING TRANSESOPH	C1756	$1270
SM	HB CATH CV PACING VENTRIC PROBE	C1756	$400
SM	HB CATH CV QUAD ARROW	C1751	$260
SM	HB CATH CV QUINTON	C1751	$450
SM	HB CATH CV RAAF HEMODIALYSIS/PERITONEAL LONGTERM	C1750	$200
SM	HB CATH CV SGL COOK	C1751	$170
SM	HB CATH CV SGL COOK ARROW	C1751	$200
SM	HB CATH CVC SGL ARROW	C1751	$400
SM	HB CATH CVP CENTRAL VENOUS PRESS	C1751	$280
SM	HB CATH CVP COOLGUARD COOL-LINE ALSIUS	C1751	$1600
SM	HB CATH CVP COOLGUARD ICY ALSIUS	C1751	$3000
SM	HB CATH CVP POWER-HOHN BARD	C1751	$1220
SM	HB CATH CVP REPAIR COOK	C1751	$420
SM	HB CATH DBL PERIPHERAL		$30
SM	HB CATH DIAG ANGIO ROYAL FLUSH	C1725	$70
SM	HB CATH DIAG CABLE ADVISOR FL SENSOR ENABLED		$920
SM	HB CATH DIAG CORDIS	C1887	$150
SM	HB CATH DIAG EP REP 4F JOSEPH ID	C1730	$130
SM	HB CATH DIAG EP REP 4F JOSEPH PED	C1730	$130
SM	HB CATH DIAG IMPULSE		$150
SM	HB CATH DIAG INFINITI CORDIS	C1887	$400
SM	HB CATH DIAG PERFORMA BERENSTEIN MERT		$200
SM	HB CATH DIAG PERFORMA ULTIMATE MERT		$80
SM	HB CATH DIAG SIZING PIG COOK		$370
SM	HB CATH DIAG SPYGLASS		$80
SM	HB CATH DIALYSIS EQUISTREAM LONG TERM BARD	C1750	$1000
SM	HB CATH DIALYSIS GLIDEPATH LONG TERM BARD	C1750	$800
SM	HB CATH DIALYSIS LONG PALINDROME KENDALL	C1750	$2370
SM	HB CATH DIALYSIS PERMACATH KENDALL SHERWOOD	C1750	$600
SM	HB CATH DIALYSIS TEMP DUOGLIDE BARD	C1752	$490
SM	HB CATH DIALYSIS TEMP HEMO-CATH ST MEDCOMP	C1752	$450
SM	HB CATH DIALYSIS TEMP NIAGARA BARD	C1752	$600
SM	HB CATH DIALYSIS TEMP POWER TRIALYSIS BARD	C1752	$600
SM	HB CATH DRAIN APD J TIP	C1729	$270
SM	HB CATH DRAIN APD SKATER MDTECH	C1729	$200
SM	HB CATH DRAIN ASPIRA PERITONEAL BARD	C1752	$2410
SM	HB CATH DRAIN ASPIRA PLEURAL BARD	C1729	$2410
SM	HB CATH DRAIN BIL 12F 35CM REG	C1729	$290
SM	HB CATH DRAIN BILIARY AGDY	C1729	$210
SM	HB CATH DRAIN BILIARY FOG	C1729	$260
SM	HB CATH DRAIN BILIARY MACLOC COOK	C1729	$310
SM	HB CATH DRAIN CHEST	C1729	$200
SM	HB CATH DRAIN CHEST	C1729	$200
SM	HB CATH DRAIN DAWSON MUELLER/COPE COOK	C1729	$250
SM	HB CATH DRAIN DENVER SHUNT PVS CARF	C1729	$7160
SM	HB CATH DRAIN EXPEL BOSTON SCI	C1729	$530
SM	HB CATH DRAIN FLEXIMA APD BOSTON SCI	C1729	$250
SM	HB CATH DRAIN FLEXIMA APD BSCI	C1729	$1200
SM	HB CATH DRAIN FLEXIMA BILIARY BOSTON SCI	C1729	$270
SM	HB CATH DRAIN MALECOT COOK	C1729	$190
SM	HB CATH DRAIN MPA COOK	C1729	$300
SM	HB CATH DRAIN MULTIPURPOSE J TIP	C1729	$400
SM	HB CATH DRAIN MULTIPURPOSE MACLOC COOK	C1729	$300
SM	HB CATH DRAIN NEPHROSTOMY SKATER MDTECH	C1729	$290
SM	HB CATH DRAIN PIGTAIL MINI	C1729	$490
SM	HB CATH DRAIN PLEURAL WAYNE PNEUMOTHORAX COOK	C1729	$610
SM	HB CATH DRAIN PLEURX DENVER	C1729	$1800
SM	HB CATH DRAIN PLEURX DENVER	C1729	$1430
SM	HB CATH DRAIN SACKS	C1729	$1030
SM	HB CATH DRAIN SINU RELIVA VORTEX2 ACLA	C1729	$520
SM	HB CATH DRAIN SKATER ARGON	C1729	$310
SM	HB CATH DRAIN SUMP LOCKING LOOP COOK	C1729	$380
SM	HB CATH DRAIN THORACIC	C1729	$20
SM	HB CATH DRAIN THORACIC	C1729	$100
SM	HB CATH DRAIN TRUFLO URESIL	C1729	$270
SM	HB CATH DRAIN URESIL COOK	C1729	$300
SM	HB CATH DRAIN VANSONNENBERG SUMP BOSTON SCI	C1729	$550
SM	HB CATH EASY RIDER		$970
SM	HB CATH ECHO ACUNAV INTRACARD REPROC SIEMEN	C1759	$3320
SM	HB CATH ECHO ACUNAV INTRACARD SIEMEN BIOSEN	C1759	$9330
SM	HB CATH ECHO ICE INTRACARD BSCI	C1759	$3200
SM	HB CATH ECHO INTRACARD ULTRA ICE PLUS BSCI	C1759	$3510
SM	HB CATH ECHO INTRACARDIACC VIEWFLEX STJUDE	C1759	$6000
SM	HB CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$9500
SM	HB CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$4000
SM	HB CATH ECHO SOUNDSTAR 3D INTRACARD BWEB	C1759	$8720
SM	HB CATH EDDY		$1410
SM	HB CATH EMBOLECTOM FOGERTY EDWARDS BAXTER	C1757	$1140
SM	HB CATH EMBOLECTOMY	C1757	$300
SM	HB CATH EMBOLECTOMY FOGARTY BAXTER	C1757	$700
SM	HB CATH EMBOLECTOMY FOGERTY EDWARD	C1757	$1140
SM	HB CATH EMBOLECTOMY LEMAITRE	C1757	$300
SM	HB CATH ENDO AVF ELLIPSYS AVENU MED		$19980
SM	HB CATH ENDO AVF SYST WAVELINQ BARD		$23310
SM	HB CATH ENDO ERCP COOK		$200
SM	HB CATH ENDO SPYSCOPE ACCESS + DELIVERY SYSTEM BSCI		$2540
SM	HB CATH ENTEROCLYSIS MAGLINTE COOK		$800
SM	HB CATH EP ABLAT 8 MM INTELLANAV MIFI XP BSCI	C1732	$8990
SM	HB CATH EP ABLAT ARCTIC FRONT ADV PRO CRYOBALLN MDTR	C1733	$13990
SM	HB CATH EP ABLAT BLAZER II OTHER BSCI	C1733	$4300
SM	HB CATH EP ABLAT BLAZER STD OTHER BSCI	C1733	$3600
SM	HB CATH EP ABLAT CARTO NAVISTAR QWIKSTAR 4	C1732	$7660
SM	HB CATH EP ABLAT CARTO NAVISTAR QWIKSTAR 8	C1732	$8160
SM	HB CATH EP ABLAT CARTO NVSTR THERMISTORBWEB	C1732	$6000
SM	HB CATH EP ABLAT CELSIUS RMT OTHER BWEB	C1733	$4170
SM	HB CATH EP ABLAT CELSIUS THERMOCOUPLE BWEB	C1733	$2900
SM	HB CATH EP ABLAT CHILLI COOLED BSCI	C2630	$5630
SM	HB CATH EP ABLAT COOL TACTICATH SE ABBO	C2630	$9320
SM	HB CATH EP ABLAT EZ STEER BI-DIRCT OTH BWEB	C1733	$10000
SM	HB CATH EP ABLAT EZ STEER DS BI-DIR OTHBWEB	C1733	$9900
SM	HB CATH EP ABLAT FLEXABILITY STJUDE	C2630	$6200
SM	HB CATH EP ABLAT FREEZOR CRYOCATH	C1732	$8500
SM	HB CATH EP ABLAT FREEZOR MAX CRYOCATH	C1732	$8500
SM	HB CATH EP ABLAT FREEZOR XTRA CRYOCATH	C1732	$8500
SM	HB CATH EP ABLAT LIVEWIRE TC OTHER STJUDE	C1733	$1670
SM	HB CATH EP ABLAT NAVISTAR BIOSENSE	C1732	$7660
SM	HB CATH EP ABLAT NAVISTAR DS BIOSENSE	C1732	$8800
SM	HB CATH EP ABLAT NVSTR CELSIUS DF OTH BWEB	C1733	$2900
SM	HB CATH EP ABLAT NVSTR CELSIUS DS OTH BWEB	C1733	$4200
SM	HB CATH EP ABLAT STND/LRG INTELLANAV MIFI OI BSCI	C1732	$9490
SM	HB CATH EP ABLAT STND/LRG INTELLANAV OI BSCI	C1732	$7990
SM	HB CATH EP ABLAT STND/LRG INTELLANAV ST BSCI	C1732	$7160
SM	HB CATH EP ABLAT THERAPY COOL PATH STJUDE	C2630	$5400
SM	HB CATH EP ABLAT THERMOCOOL NVSTR BIOSENSE	C1732	$4170
SM	HB CATH EP ABLAT THERMOCOOL SMARTTOUCH BIOSENSE	C1732	$10740
SM	HB CATH EP ABLATION SAFIRE OTHER STJUDE	C1733	$2000
SM	HB CATH EP CARTO NVSTR CELSIUS II OTH BWEB	C1733	$2470
SM	HB CATH EP DIAG APT MAP-IT 10 ELECTROD	C1730	$2630
SM	HB CATH EP DIAG APT MAP-IT 20 ELECTROD	C1731	$3960
SM	HB CATH EP DIAG CARTO DECANAV BIOSENSE	C1732	$3900
SM	HB CATH EP INQUIRY AFOCUS II >20ELECTR STJUDE	C1731	$5000
SM	HB CATH EP MAPPING CONSTELLATION BSCI	C1732	$15000
SM	HB CATH EP MAPPING ENSITE ST JUDE	C1732	$8660
SM	HB CATH EP MAPPING HALO REPROCESSED	C1731	$4100
SM	HB CATH EP MAPPING HALO REPROCESSED	C1731	$970
SM	HB CATH EP MAPPING INTELLAMAP ORION BSCI	C1732	$9490
SM	HB CATH EP REP 110 4F M 3.2 2-5-2	C1730	$1010
SM	HB CATH EP REP 5F DECA FIX P-CRV	C1730	$180
SM	HB CATH EP REP 7F DUODEC M LIVEWI	C1731	$970
SM	HB CATH EP REP 7F DUODEC SUPERL	C1731	$970
SM	HB CATH EP REP DIAG 7F OPTIMA PLS	C1731	$1950
SM	HB CATH EP REP LIVEWIRE 6F QUADLG	C1730	$460
SM	HB CATH EP REP OCTA DEFL 6F D-CRV	C1730	$470
SM	HB CATH EP REP OCTAPOLAR D-TYPE	C1730	$470
SM	HB CATH EP REP SUPREME 4F CRD2	C1730	$130
SM	HB CATH EP REP SUPREME 6F CRD2	C1730	$130
SM	HB CATH EP STEERING DECAPOLAR INQUIRY ABBOT	C1730	$1590
SM	HB CATH EP WOVEN PENTAPOLAR JOSEPHSON BSCI	C1730	$750
SM	HB CATH EPIDURAL		$240
SM	HB CATH EPL REP 6F DEC 2/5 2M 115	C1730	$470
SM	HB CATH EPS CABLE CONNECTING		$590
SM	HB CATH EPS REP 4F DEC 2/8 65 CSL	C1730	$180
SM	HB CATH EPS REP 4F QUAD 5MM JSN	C1730	$130
SM	HB CATH EPS REP 5F HRRX UNI 120	C1730	$180
SM	HB CATH EPS REP 5F QUAD 5 120 CRD	C1730	$130
SM	HB CATH EPS REP 5F QUAD 5 120 JSN	C1730	$130
SM	HB CATH EPS REP 5F QUAD 5MM CRD	C1730	$130
SM	HB CATH EPS REP 6F DEC 2/8 65CM	C1730	$180
SM	HB CATH EPS REP 6F DEC LARGE CURL	C1730	$470
SM	HB CATH EXCELSIOR 1018 BSCI	C1887	$1490
SM	HB CATH EXCELSIOR SL10 BSCI	C1887	$2030
SM	HB CATH EXCELSIOR SL10 STRY	C1887	$7490
SM	HB CATH EXCELSIOR SL10 STRY	C1887	$3050
SM	HB CATH EXCELSIOR XT27 STRYKER	C1887	$2920
SM	HB CATH FASDASHER 14		$1030
SM	HB CATH FEMALE URETHRAL		$5
SM	HB CATH FILIFORM		$70
SM	HB CATH FINECROSS MG CORONARY MICRO-GUIDE TERU	C1725	$1420
SM	HB CATH FLOWRIDER PLUS		$3250
SM	HB CATH FOLEY		$100
SM	HB CATH FOLLOWER		$70
SM	HB CATH GLIDE IMPRESS BERENSTEIN HYDROPHIL MERIT	C1725	$650
SM	HB CATH GLIDEWIRE ZIPWIRE BSCI	C1887	$110
SM	HB CATH GLIDEX	C1887	$970
SM	HB CATH GROLLMAN PIGTAIL COOK		$60
SM	HB CATH GROSHONG	C1751	$780
SM	HB CATH GROSHONG REPAIR KIT		$100
SM	HB CATH GUIDE 5MAX DDC PENUMBRA	C1887	$8290
SM	HB CATH GUIDE ACS	C1887	$360
SM	HB CATH GUIDE ACUITY INNER BSCI	C1887	$650
SM	HB CATH GUIDE ACUITY INNER BSCI	C1887	$650
SM	HB CATH GUIDE ANGIODYNAMICS MDTR/MIS	C1887	$300
SM	HB CATH GUIDE APOLLO NEURO EV3 COVIDIEN	C1887	$5650
SM	HB CATH GUIDE ARC INTRACRANIAL EV3 MDTR COVD	C1887	$6640
SM	HB CATH GUIDE ATTAIN CRT LEAD DELIV MDTR	C1887	$2400
SM	HB CATH GUIDE AVE	C1887	$30
SM	HB CATH GUIDE AXIS COBRA1 SIMMONS1 SUREFIRE	C1887	$980
SM	HB CATH GUIDE AXS CATALYST 7 DA STRY	C1887	$7600
SM	HB CATH GUIDE BALLAST 088 LONG SHEATH BALT	C1887	$1530
SM	HB CATH GUIDE BALLN MERCI CONCENTRIC MED	C1887	$3600
SM	HB CATH GUIDE BALLN OUTREACH DAC CMED	C1887	$3150
SM	HB CATH GUIDE BALLOON CELLO	C1887	$2890
SM	HB CATH GUIDE BALLOON FLOWGATE STRY	C1887	$4160
SM	HB CATH GUIDE BALLOON TRAPLINER VASC	C1887	$2030
SM	HB CATH GUIDE BENCHMARK PENUMBRA	C1887	$3310
SM	HB CATH GUIDE BERENSTEIN	C1887	$700
SM	HB CATH GUIDE BMX COAXIAL BAYLIS	C1887	$600
SM	HB CATH GUIDE BSCI	C1887	$300
SM	HB CATH GUIDE CELIAC	C1887	$50
SM	HB CATH GUIDE CEREBRAL	C1887	$50
SM	HB CATH GUIDE CORDIS	C1887	$400
SM	HB CATH GUIDE CPS AIM ST JUDE	C1887	$890
SM	HB CATH GUIDE CPS LIVEWIRE LUMINARY STJUDE	C1887	$2990
SM	HB CATH GUIDE CV BERENSTEIN	C1887	$60
SM	HB CATH GUIDE CV BIOPSY	C1887	$340
SM	HB CATH GUIDE DELIV ATTAIN MDTR	C1887	$900
SM	HB CATH GUIDE DELIV C315 MDTR	C1887	$970
SM	HB CATH GUIDE ENTEER REENTRY EV3	C1887	$7980
SM	HB CATH GUIDE EXTENSION TELESCOPE MEDTRONIC	C1887	$1320
SM	HB CATH GUIDE FASTRACKER BSCI	C1887	$3200
SM	HB CATH GUIDE FL3.5 SIDEHOLES 9F		$160
SM	HB CATH GUIDE FLEX	C1887	$540
SM	HB CATH GUIDE GUIDELINER VASC SOLN	C1887	$1320
SM	HB CATH GUIDE HD	C1887	$90
SM	HB CATH GUIDE INDIGO CAT RX PENUMBRA	C1887	$6460
SM	HB CATH GUIDE INDIGO CAT6 PENUMBRA	C1887	$6630
SM	HB CATH GUIDE INDIGO CAT8 PENUMBRA	C1887	$9960
SM	HB CATH GUIDE INDIGO PENUMBRA	C1887	$4300
SM	HB CATH GUIDE LANTERN DELIVERY MICROCATH PENUMBRA	C1887	$2160
SM	HB CATH GUIDE LAUNCHER MDTR	C1887	$150
SM	HB CATH GUIDE LEAD DELIVERY SYSTEM ACUITY PRO BSCI	C1887	$3340
SM	HB CATH GUIDE MICRO MAMBA BSCI	C1887	$3980
SM	HB CATH GUIDE MICRO MAMBA FLEX BSCI	C1887	$4070
SM	HB CATH GUIDE MICROCATH CORSAIR ASAHI	C1887	$1840
SM	HB CATH GUIDE MICROCATH CORSAIR PRO ASAHI	C1887	$1830
SM	HB CATH GUIDE MICROCATH ECHELON EV3	C1887	$1800
SM	HB CATH GUIDE MORPH BIOCARDIA	C1887	$1250
SM	HB CATH GUIDE NAVICROSS PERIPH SUPPORT TERUMO	C1887	$570
SM	HB CATH GUIDE NEURON DELIVERY PENUMBRA	C1887	$2300
SM	HB CATH GUIDE NEURON MAX 088 PENUMBRA	C1887	$1650
SM	HB CATH GUIDE NEURON REPERFUSION PENUMBRA	C1887	$5600
SM	HB CATH GUIDE NEURON SELECT PENUMBRA	C1887	$1650
SM	HB CATH GUIDE NEURON SELECT PENUMBRA	C1887	$420
SM	HB CATH GUIDE NEUROVASC CHIKAI ASAHI	C1887	$1500
SM	HB CATH GUIDE NEUROVASC FUBUKI 043 ASAHI	C1887	$1580
SM	HB CATH GUIDE NEUROVASC FUBUKI ASAHI	C1887	$670
SM	HB CATH GUIDE OCELOT OCT AVINGER	C1887	$8310
SM	HB CATH GUIDE OUTBACK RE-ENTRY CORDISLUMEND	C1887	$6770
SM	HB CATH GUIDE PIONEER PLUS REENTRY VOLCANO	C1887	$9650
SM	HB CATH GUIDE PRECISION INFUSION SUREFIRE	C1887	$9990
SM	HB CATH GUIDE PX SLIM DELIVERY MICROCATH PENUMBRA	C1887	$1650
SM	HB CATH GUIDE QUICKCROSS SPECTRANTICS	C1887	$600
SM	HB CATH GUIDE REFLEX INTRACRANIAL EV3	C1887	$1570
SM	HB CATH GUIDE SELECT PENUMBRA	C1887	$420
SM	HB CATH GUIDE SELECTSITE MDTR	C1887	$2670
SM	HB CATH GUIDE SHEATH SUREFIRE	C1887	$8330
SM	HB CATH GUIDE SITE SELECTIVE PACING CATH BSCI	C1887	$1650
SM	HB CATH GUIDE SOFIA EX MICV TERUMO	C1887	$5660
SM	HB CATH GUIDE SOFTIP SENTRE HEART SNTR	C1887	$1000
SM	HB CATH GUIDE SUPPORT BARD	C1887	$870
SM	HB CATH GUIDE TOURGUIDE STEERABLE SHEATH OSCO MDTR	C1887	$1910
SM	HB CATH GUIDE TRACSTAR IMPERATIVE	C1887	$3980
SM	HB CATH GUIDE TRAILBLAZER ANGLED SUPT EV3 MDTR COVD	C1887	$700
SM	HB CATH GUIDE TURBO SPECTRANETICS	C1887	$5000
SM	HB CATH GUIDE TWIN PASS VASC SOLN	C1887	$1090
SM	HB CATH GUIDE VASC TURNPIKE LP TEFL	C1887	$2410
SM	HB CATH GUIDE VENTURE STJUDE	C1887	$2170
SM	HB CATH GUIDE VERIPATH ABBOTT	C1887	$300
SM	HB CATH GUIDE VIANCE EV3	C1887	$5980
SM	HB CATH GUIDE VIANCE EV3 COVIDIEN	C1887	$5980
SM	HB CATH GUIDE VIKING ABBOTT GUIDANT	C1887	$200
SM	HB CATH GUIDE VINUELA COOK	C1887	$400
SM	HB CATH GUIDE WEDGE MICV TERUMO	C1887	$8330
SM	HB CATH GUIDE ZUMA / LAUNCHER MDTR	C1887	$200
SM	HB CATH GUIDECATH CONTRALAT CORDIS	C1887	$220
SM	HB CATH GUIDECATH CXI COOK	C1887	$540
SM	HB CATH GUIDECATH ENVOY CORDIS	C1887	$1300
SM	HB CATH GUIDECATH ENVOY DA J&J CORDIS	C1887	$2200
SM	HB CATH GUIDECATH ENVOY RX CORDIS	C1887	$1230
SM	HB CATH GUIDECATH GLIDE ANGIODYNAMICS	C1725	$40
SM	HB CATH GUIDECATH GLIDE TERUMO BSCI	C1725	$600
SM	HB CATH GUIDECATH GUIDEZILLA BSCI	C1887	$1320
SM	HB CATH GUIDECATH LUMAX COOK	C1887	$800
SM	HB CATH GUIDECATH VISTA BRITE IG CORDIS	C1887	$390
SM	HB CATH GUIDECATH VISTA BRITE TIP CORDIS	C1887	$300
SM	HB CATH GUIDING PEDS	C1887	$330
SM	HB CATH GUIDING PERFORMA MERIT MEDICAL	C1887	$30
SM	HB CATH GUIDING PERFORMA MERIT MEDICAL	C1887	$70
SM	HB CATH GUIDING SINU RELIVA SPIN ACLA	C1887	$1070
SM	HB CATH GUIDING VESSEL ARROW	C1887	$60
SM	HB CATH GUIDING WORLEY VEIN SEL MERIT	C1887	$300
SM	HB CATH HEADHUNTER COOK		$40
SM	HB CATH HEMDIALYS R PORT PREMIER KIT	C1750	$2020
SM	HB CATH HEMDIALYS R PORT STANDARD KIT	C1750	$1640
SM	HB CATH HEMODIALYSIS	C1751	$290
SM	HB CATH HEMODIALYSIS DURAFLOW ANGIODYNAMICS	C1881	$4000
SM	HB CATH HEMODIALYSIS SCHON XL ANGIODYNAMICS	C1752	$370
SM	HB CATH HEMODIALYSIS TEMP ACCESS	C1751	$540
SM	HB CATH HEMODIALYSIS/PERITONEAL LONGTERM ARGYLE SWAN NECK CURL CATH KIT COVD	C1750	$820
SM	HB CATH HEMODIALYSIS/PERITONEAL LONGTERM ARGYLE SWAN NECK PRESTERNAL COVD	C1750	$1600
SM	HB CATH HEMODIALYSIS/PERITONEAL LONGTERM BIOFLO DURAMAX AGDY	C1750	$4160
SM	HB CATH HEMODIALYSIS/PERITONEAL LONGTERM KAND	C1750	$1190
SM	HB CATH HEMODIALYSIS/PERITONEAL SYMETREX LONGTERM MEDCOMP	C1750	$1010
SM	HB CATH HORSESHOE CONTRALAT		$90
SM	HB CATH HYDROPHILIC MARK 16		$910
SM	HB CATH INF CRAGG MCNAMARA <30CM EV3	C1887	$300
SM	HB CATH INF CRAGG MCNAMARA >=30CM EV3	C1887	$440
SM	HB CATH INF PULSE SPRAY ANGIODYNAMICS	C1757	$930
SM	HB CATH INFERIOR MESENTERIC	C1887	$50
SM	HB CATH INFUSION	C1751	$660
SM	HB CATH INFUSION AVALON ELITE 2LUMEN GETINGE	C1751	$7990
SM	HB CATH INFUSION BRAUN	C1751	$1300
SM	HB CATH INFUSION CORONARY AU MARK	C1751	$430
SM	HB CATH INFUSION CV 3LUMEN	C1751	$350
SM	HB CATH INFUSION CV 4LUMEN	C1751	$280
SM	HB CATH INFUSION CV QUINTON	C1751	$450
SM	HB CATH INFUSION CV QUINTON COOK	C1751	$420
SM	HB CATH INFUSION CV TRPL COOK ARROW	C1751	$400
SM	HB CATH INFUSION FOUNTAIN MERIT MEDICAL	C1725	$540
SM	HB CATH INFUSION LYSUS EKOS	C1751	$9500
SM	HB CATH INFUSION MAGIC BALT	C1751	$2500
SM	HB CATH INFUSION MAHURKAR	C1751	$1700
SM	HB CATH INFUSION PICC LINE MEDITECH MEDCOMP	C1751	$900
SM	HB CATH INFUSION SLIP COOK		$300
SM	HB CATH INFUSION TRACKER BSCI	C1887	$1200
SM	HB CATH INFUSION TRANSIT CORDIS	C1751	$1500
SM	HB CATH INFUSION TRAY SGL LUMEN COOK	C1751	$240
SM	HB CATH INFUSION TRULINE EV3	C1751	$390
SM	HB CATH INFUSION UNIFUSE	C1751	$660
SM	HB CATH INFUSION VALVED <40CM EV3	C1751	$270
SM	HB CATH INFUSION VALVED >40CM EV3	C1751	$270
SM	HB CATH INFUSION VALVED 4F	C1887	$300
SM	HB CATH INFUSION VALVED 5F	C1887	$300
SM	HB CATH INTRAVASC LITHOTRIPSY PERIPH SHOCKWAVE		$9820
SM	HB CATH IT ATHEROTOME CATHETER	C1714	$3010
SM	HB CATH IVUS 10MHZ VISIONS PV.035	C1753	$3340
SM	HB CATH IVUS ATLANTIS ULTRASOUND BSCI	C1753	$2400
SM	HB CATH IVUS DUALPRO IVUS+NIRS INFRAREDX	C1753	$3160
SM	HB CATH IVUS KODAMA HDI ACIST	C1753	$2410
SM	HB CATH IVUS LIPISCAN INFRAREDX	C1753	$2840
SM	HB CATH IVUS OPTICROSS 18 BSCI	C1753	$4000
SM	HB CATH IVUS OPTICROSS 6 BSCI	C1753	$2700
SM	HB CATH IVUS STJUDE	C1753	$2170
SM	HB CATH IVUS VOLCANO EAGLE EYE	C1753	$2250
SM	HB CATH IVUS VOLCANO VISIONS	C1753	$2920
SM	HB CATH KUMPE		$110
SM	HB CATH LANGSTON DUAL LMN VASC SOLN	C1725	$500
SM	HB CATH LITHOPLASTY PERIPH SHOCKWAVE		$9820
SM	HB CATH LOFRIC		$200
SM	HB CATH LONG PALINDROME HEMODIALYSIS/PERITONEAL LONGTERM	C1750	$2370
SM	HB CATH LUMBAR		$480
SM	HB CATH MAESTRO MICRO-GUIDE MERT	C1887	$1080
SM	HB CATH MAESTRO MICROCATH MERIT	C1887	$990
SM	HB CATH MAGIC		$1680
SM	HB CATH MAHURKAR TYCO	C1750	$2350
SM	HB CATH MAP REP 6F QUAD POLARISDX	C1730	$460
SM	HB CATH MARKER COOK		$220
SM	HB CATH MARKER CORDIS		$590
SM	HB CATH MARKER PIGTAIL		$920
SM	HB CATH MASSTRANSIT CORDIS	C1887	$950
SM	HB CATH MCNAMARA AL		$190
SM	HB CATH MCNAMARA CONTRALAT COOK		$700
SM	HB CATH MEDENA CURVE		$50
SM	HB CATH MEDENA STRAIGHT		$50
SM	HB CATH MICRO DIREXION TORQ BSCI	C1887	$2050
SM	HB CATH MICRO DIREXION TORQ PRELOAD W FATHOM GW BSCI	C1887	$3010
SM	HB CATH MICRO DIREXION TORQ PRELOAD W TRANSEND GW BSCI	C1887	$2640
SM	HB CATH MICRO HEADWAY DUO MICV MC162167S TERUMO	C1887	$3800
SM	HB CATH MICRO HEADWAY DUO MICV TERUMO	C1887	$2940
SM	HB CATH MICRO HEADWAY MICV TERUMO	C1887	$2630
SM	HB CATH MICRO INFUSION SUREFIRE	C1887	$8330
SM	HB CATH MICRO MAGIC		$1200
SM	HB CATH MICRO MARKSMAN EV3	C1887	$3990
SM	HB CATH MICRO MERCI CONCENTRIC MED	C1773	$1500
SM	HB CATH MICRO ORION EV3	C1887	$3610
SM	HB CATH MICRO PHENOM + MDTR	C1887	$6640
SM	HB CATH MICRO PHENOM MDTR	C1887	$4210
SM	HB CATH MICRO PROGREAT >=2.4F TERUMO	C1887	$1030
SM	HB CATH MICRO PROGREAT 2.0F TERUMO	C1887	$2170
SM	HB CATH MICRO PROGREAT COAXIAL TERUMO	C1887	$1730
SM	HB CATH MICRO REBAR EV3	C1887	$1500
SM	HB CATH MICRO SOFIA MICV TERUMO	C1887	$4050
SM	HB CATH MICRO SOFIA PLUS MICV TERUMO	C1887	$7700
SM	HB CATH MICRO VELOCITY PENU	C1887	$3630
SM	HB CATH MICRO VIA 21 SEQU	C1887	$3660
SM	HB CATH MICROCATH MARATHON EV3	C1887	$1770
SM	HB CATH MICROCATH MERCI X5		$1500
SM	HB CATH MICROCATH NAVVUS RAPID EXCH FFR ACIST	C1769	$2000
SM	HB CATH MICROCATH PROGREAT TERUMO		$1000
SM	HB CATH MICROCATH ULTRAFLOW EV3	C1887	$1420
SM	HB CATH MONITOR ART PRESS		$100
SM	HB CATH MPD		$590
SM	HB CATH MPD COOK	C1729	$360
SM	HB CATH MULTIMED ARROW		$540
SM	HB CATH MULTIPURPOSE 6F 90CM	C1887	$720
SM	HB CATH NAVARE		$1820
SM	HB CATH NEPHROSTOMY	C1729	$400
SM	HB CATH NEPHROSTOMY COPE	C1729	$600
SM	HB CATH NIH MARKER	C1887	$100
SM	HB CATH OASIS 6/100 46-877		$3070
SM	HB CATH OASIS 6/65 46-876		$2530
SM	HB CATH OCCLUSION	C2628	$800
SM	HB CATH OPTICATH / OPTI Q ABBOTT	C1751	$610
SM	HB CATH OPTITORQUE RADIFOCUS GLIDECATH TERU	C1725	$120
SM	HB CATH OXIMETRY		$1740
SM	HB CATH PACING TRANSESOPH TEMPORARY	C1756	$400
SM	HB CATH PACING TRANSESOPH TEMPORARY BXTR	C1756	$400
SM	HB CATH PEDS SPLIT XL MEDCOMP	C1750	$1330
SM	HB CATH PERFORMA MERIT MEDICAL	C1887	$600
SM	HB CATH PERICARDIAL		$60
SM	HB CATH PERICARDIOCENTESIS	C1729	$40
SM	HB CATH PERMACATH DECATHLON KENDALL	C1750	$1100
SM	HB CATH PICC 1 LUMEN ARROW	C1751	$560
SM	HB CATH PICC 1 LUMEN BARD	C1751	$480
SM	HB CATH PICC 1 LUMEN COOK	C1751	$280
SM	HB CATH PICC 2 LUMEN	C1751	$560
SM	HB CATH PICC 2 LUMEN ARROW	C1751	$560
SM	HB CATH PICC 2 LUMEN BARD	C1751	$1200
SM	HB CATH PICC ARGYLE 1LUMEN BECTON DICKINSON	C1751	$160
SM	HB CATH PICC ARGYLE 2LUMEN BECTON DICKINSON	C1751	$260
SM	HB CATH PICC BECTON DICKINSON	C1751	$290
SM	HB CATH PICC GROSHONG	C1751	$410
SM	HB CATH PICC MORPHEUS CT ANGIODYNAMICS	C1751	$900
SM	HB CATH PICC POWERPICC BARD	C1751	$700
SM	HB CATH PICC POWERPICC NAVILYST	C1751	$450
SM	HB CATH PICC UTAH MEDICAL	C1751	$160
SM	HB CATH PICC VAXCEL 1LUMEN BSCI	C1751	$220
SM	HB CATH PICC VAXCEL 2LUMEN BSCI	C1751	$400
SM	HB CATH PIGTAIL		$200
SM	HB CATH PIGTAIL CAVA SIZING		$180
SM	HB CATH PIGTAIL MARKER EV3		$400
SM	HB CATH PORT POWER TI BARD	C1788	$1750
SM	HB CATH PORT POWER XCELA POWER NAVILYST	C1788	$1100
SM	HB CATH PORT POWERFLOW APHERESIS IV PORT BARD	C1788	$3300
SM	HB CATH PORT SMART ANGIODYNAMICS	C1788	$1750
SM	HB CATH PORT SMART WITH VALVED INTRODUCER ANGIODYNAMICS	C1788	$4460
SM	HB CATH PORTACATH 1LUMEN BARD	C1788	$840
SM	HB CATH PORTACATH 2LUMEN BARD	C1788	$1570
SM	HB CATH PORTACATH MRI BARD	C1788	$2240
SM	HB CATH POSSIS THROMB EMBOLECTOMY	C1757	$4650
SM	HB CATH POWERHICKMAN BARD	C1751	$1200
SM	HB CATH POWERLINK ENDOLOGIX	C1725	$750
SM	HB CATH PROWLER CORDIS	C1887	$3000
SM	HB CATH PROWLER PLUS	C1757	$1200
SM	HB CATH PROWLER STRAIGHT CORDIS	C1887	$2070
SM	HB CATH PTA ABBOTT	C1725	$670
SM	HB CATH PTA ADMIRAL EXTREME EV3	C1725	$450
SM	HB CATH PTA BALLN RIVAL BARD	C1725	$500
SM	HB CATH PTA BALLOON CHOCOLATE TRIREME	C1725	$3090
SM	HB CATH PULMONARY ARTERIAL WEDGE PRESSURE MDTR	C1751	$190
SM	HB CATH PUSHER RADIOPAQUE COOK		$270
SM	HB CATH QUINTON	C1751	$450
SM	HB CATH RADIAL ARTERY	C1751	$500
SM	HB CATH RADIUS CURVE		$50
SM	HB CATH RAPIDTRANSIT 1 MARKER CORDIS	C1887	$2300
SM	HB CATH RAPIDTRANSIT 2 MARKERS CORDIS	C1887	$2600
SM	HB CATH REACT 68/71 MEDTRONIC	C1887	$7330
SM	HB CATH REFLEX INTRACRANIAL EV3	C1887	$3320
SM	HB CATH REGATTA		$1500
SM	HB CATH RENAL DOUBLE CURVE		$110
SM	HB CATH RENAL GUIDE		$710
SM	HB CATH RENEGADE FIBER BSCI	C1887	$1230
SM	HB CATH RENEGADE HIFLO BSCI	C1887	$1150
SM	HB CATH RENEGADE HIFLO NEURO BSCI	C1887	$2600
SM	HB CATH RENEGADE STC 18 ANGLED BSCI	C1887	$1320
SM	HB CATH RENEGADE STC 18 STRAIGHT BSCI	C1887	$1270
SM	HB CATH REPERFUSION 3MAX		$270
SM	HB CATH REPERFUSION 4MAX		$270
SM	HB CATH REPR EXTERNAL		$420
SM	HB CATH SEPTOSTOMY RASHKIND MDTR		$410
SM	HB CATH SEPTOSTOMY RF NYKANEN BAYLIS		$2840
SM	HB CATH SHEATH AMPLATZ COOK		$90
SM	HB CATH SHEATH TRANSSEPTAL TORFLEX BAYM	C1887	$520
SM	HB CATH SHEATHED		$300
SM	HB CATH SIMMONS HIGHFLOW BOSTON SCI		$140
SM	HB CATH SLIPCATH MULTI COOK		$100
SM	HB CATH SOFTOUCH. JUDKINS MERIT	C1887	$300
SM	HB CATH SPINNAKER ELITE BOSTON SCI	C1751	$1900
SM	HB CATH STRAIGHT	C1751	$50
SM	HB CATH STRAIGHT SELECTIVE		$110
SM	HB CATH SUB4		$990
SM	HB CATH SUCTION REPLOGLE		$50
SM	HB CATH SUPERTORQUE SELECTIVE CORDIS	C1887	$3570
SM	HB CATH SUPRAPUBIC/CYSTOSCOPIC	C2627	$90
SM	HB CATH SWAN GANZ HISHOR	C1751	$480
SM	HB CATH SWAN GANZ OXIMETRY	C1751	$570
SM	HB CATH SWAN GANZ VIP EDWARDS	C1751	$700
SM	HB CATH THAL QUICK		$220
SM	HB CATH THERMDIL SWNGNZ	C1751	$800
SM	HB CATH THERMDIL VIP CCO	C1751	$700
SM	HB CATH THOMBECTOMY SOLENT PROXI	C1757	$6070
SM	HB CATH THROMBECT BASHIR PLUS ENDOVASC THROMBOLEX	C1757	$9310
SM	HB CATH THROMBECT CLOT JETI 6FR WALK VASCULAR	C1757	$10890
SM	HB CATH THROMBECT CLOT JETI 8FR WALK VASCULAR	C1757	$16630
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO PENUMBRA	C1757	$2650
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEP6 PENUMBRA	C1757	$3980
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEP8 PENUMBRA	C1757	$6640
SM	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEPC4 PENUMBRA	C1757	$2930
SM	HB CATH THROMBECT CLOT SEPARATOR PENUMBRA	C1757	$7330
SM	HB CATH THROMBECT UNI FUSE ANGIODYNAMICS	C1757	$650
SM	HB CATH THROMBECTOMY ANGIOJET POSSIS	C1757	$5170
SM	HB CATH THROMBECTOMY ASAP MERIT MEDICAL	C1757	$1330
SM	HB CATH THROMBECTOMY CLOTTRIEVER INARI	C1757	$18320
SM	HB CATH THROMBECTOMY DIVER EV3	C1757	$1700
SM	HB CATH THROMBECTOMY EXPORT MEDTRONIC	C1757	$1670
SM	HB CATH THROMBECTOMY SYSTEM FLOWTRIEVER PPP INARI		$33300
SM	HB CATH THROMBECTOMY ZELANTE DVT BSCI	C1757	$9380
SM	HB CATH THROMBECTOMY/EMBOLECTOMY CLEANER ANGIOTECH	C1757	$2050
SM	HB CATH THROMBECTOMY/EMBOLECTOMY CLEANER15 ANGIOTECH ARGON	C1757	$5200
SM	HB CATH THROMBECTOMY/EMBOLECTOMY FOGERTY EDWARD	C1757	$1700
SM	HB CATH THROMBLYTIC TRELLIS BACCHUS	C1757	$5170
SM	HB CATH THROMECTOMY PRONTO VASC SOLN	C1757	$1540
SM	HB CATH TPN COOK	C1751	$500
SM	HB CATH TRACTMASTER		$1100
SM	HB CATH TRATTNER		$340
SM	HB CATH TROCAR		$100
SM	HB CATH TURNER PIGTAIL COOK		$250
SM	HB CATH ULTRASOUND REP 3D 10F VIV	C1759	$3090
SM	HB CATH ULTRASOUND REP 8F ACUNAV	C1759	$3090
SM	HB CATH ULTRATHIN		$910
SM	HB CATH UMBILICAL	C1751	$170
SM	HB CATH URETERAL	C1758	$100
SM	HB CATH URINARY INTMT VAPRO PLUS POCKET HOLL	A4353	$10
SM	HB CATH USN REP 3D 10F CARTOSOUND	C1759	$4500
SM	HB CATH VAN SCHIE SEEKING COOK		$90
SM	HB CATH VERTEBRAL ARTERY	C1887	$50
SM	HB CATH VESSEL ARROW	C1887	$60
SM	HB CATH VESSEL SIZING COOK	C1725	$100
SM	HB CATH VINUELA STRAIGHT		$140
SM	HB CATH YUEH CENTESIS COOK	C1729	$70
SM	HB CATH ZEPPELIN		$1270
SM	HB CEMENT BONE KYPHX HVR	C1763	$400
SM	HB CEMENT BONE KYPHX HVR +MIXTURE	C1763	$640
SM	HB CEMENT BONE KYPHX XPEDE +MIX+DELIV SYST KYPHON MDTR	C1763	$950
SM	HB CEMENT BONE SIMPLEX STRYKER	C1763	$290
SM	HB CEMENT BONE STABILIT 1ST FRACTURE KIT W/ POWERCURVE DFINE MERT	C1763	$11000
SM	HB CEMENT BONE VERTECEM II SYNT	C1763	$1200
SM	HB CEMENT DELIVERY SYSTEM EZ FLOW PARALLAX		$1100
SM	HB CENTRIMAG PED FLOW PROB VAD THOR STJU		$8990
SM	HB CENTRIMAG VENT ASSIST DEVC VAD		$39970
SM	HB CHEST TUBE		$500
SM	HB CIRCUMCISION CLAMP		$60
SM	HB CIRCUMCISION SUPPLY		$90
SM	HB CIRCUMCISION SUPPLY DISPOSABLE		$120
SM	HB CLOSURE DEVICE ANGIOSEAL STJUDE	C1760	$770
SM	HB CLOSURE DEVICE ARTERY PERCLOSE ABBOTT	C1760	$750
SM	HB CLOSURE DEVICE ARTERY PROSTAR XL ABBOTT	C1760	$1000
SM	HB CLOSURE DEVICE BOOMERANG CARDIVA MED	C1760	$4800
SM	HB CLOSURE DEVICE PERCLOSE ARTERY 6F ABBOTT	C1760	$700
SM	HB CLOSURE DEVICE PERCLOSE ARTERY 8F	C1760	$960
SM	HB CLOSURE DEVICE QUICKSEAL VASC SUBQ BSCI	C1760	$990
SM	HB CLOSURE DEVICE STARCLOSE ARTERY ABBOTT	C1760	$750
SM	HB CLOSURE DEVICE VASC MYNX ACCESSCLOSURE	C1760	$790
SM	HB CLOSURE DEVICE VASOSEAL ELITE DATASCOPE	C1760	$3580
SM	HB CO-PILOT KIT ABBOTT VASCULAR		$200
SM	HB COCHLEAR AMERICA SOFTBAND	V5267	$316.36
SM	HB COCHLEAR AMERICA SOFTBAND LONG	L9900	$420
SM	HB COIL BARRICADE COIL BLOCKADE		$1980
SM	HB COIL COIL EMBO NXT NEXUS TETRIS 3D EV3		$2720
SM	HB COIL EMBO AVENIR 10-SYST CMPLX FINISHING PHENOX		$5980
SM	HB COIL EMBO AVENIR 10-SYST CMPLX FRAMING PHENOX		$5980
SM	HB COIL EMBO AVENIR 10-SYST HELICAL FILLING PHENOX		$3150
SM	HB COIL EMBO AVENIR 18-SYST CMPLX FRAMING PHENOX		$6440
SM	HB COIL EMBO AXIUM 3D EV3		$2900
SM	HB COIL EMBO AXIUM HELIX EV3		$2350
SM	HB COIL EMBO AXIUM HELIX NYLON EV3		$3300
SM	HB COIL EMBO AXIUM MICROFX PGLA 3D MDTR		$4420
SM	HB COIL EMBO AXIUM MICROFX PGLA HELIX MDTR		$3300
SM	HB COIL EMBO AXIUM PGLA 3D EV3		$4400
SM	HB COIL EMBO AZUR 18D SYSTEM TERU		$3300
SM	HB COIL EMBO AZUR 18P SYSTEM TERU		$1000
SM	HB COIL EMBO AZUR 35D SYSTEM TERU		$4500
SM	HB COIL EMBO AZUR 35P SYSTEM TERU		$1200
SM	HB COIL EMBO HYDROCOIL 10 HYDROFRAME ADV TERU		$5830
SM	HB COIL EMBO HYDROCOIL 10 HYDROSOFT 3D ADV TERU		$5830
SM	HB COIL EMBO HYDROCOIL 10 HYDROSOFT ADV HELICAL TERU		$4320
SM	HB COIL EMBO HYDROCOIL 10 MICROVENT TERUMO		$4350
SM	HB COIL EMBO HYDROCOIL 10 MICRPLX MICV TERU		$3300
SM	HB COIL EMBO HYDROCOIL 14 MICROVENT TERUMO		$4950
SM	HB COIL EMBO HYDROCOIL 14 MICRPLX MICV TERU		$5100
SM	HB COIL EMBO HYDROCOIL 18 HYDROFRAME ADV TERU		$6880
SM	HB COIL EMBO HYDROCOIL 18 MICROVENT TERUMO		$5970
SM	HB COIL EMBO IMPLANT PERIPHERAL VASC <10CM RUBY PENU		$2660
SM	HB COIL EMBO IMPLANT PERIPHERAL VASC >= 30CM RUBY PENU		$4330
SM	HB COIL EMBO IMPLANT PERIPHERAL VASC >=10CM AND <30CM RUBY PENU		$3330
SM	HB COIL EMBO INTERLCK CUBE/HEL/DIA <15 BSCI		$1670
SM	HB COIL EMBO INTERLCK CUBE/HEL/DIA 40 BSCI		$3000
SM	HB COIL EMBO INTERLCK CUBE/HEL/DIA15-30BSCI		$2500
SM	HB COIL EMBO MATRIX 3D BSCI		$6350
SM	HB COIL EMBO MATRIX BSCI		$4000
SM	HB COIL EMBO MATRIX2 2D BSCI		$5100
SM	HB COIL EMBO MATRIX2 360 BSCI		$8100
SM	HB COIL EMBO MATRIX2 HELICAL BSCI		$6600
SM	HB COIL EMBO MICRO HILAL COOK		$270
SM	HB COIL EMBO MICRPLX HYPERSOFT 10 MICV TERUMO		$3420
SM	HB COIL EMBO MICRPLX HYPERSOFT 3D MICV TERU		$5200
SM	HB COIL EMBO MREYE MRI COOK		$340
SM	HB COIL EMBO NESTER PLAT COOK		$300
SM	HB COIL EMBO NEXUS HELIX SOFT EV3		$3030
SM	HB COIL EMBO NEXUS HELIX SUPRSFT EV3		$3110
SM	HB COIL EMBO NEXUS MORPHEUS 3D EV3		$4000
SM	HB COIL EMBO NEXUS MULTIDIAM CSR EV3		$3040
SM	HB COIL EMBO NEXUS TETRIS 3D CSR EV3		$3530
SM	HB COIL EMBO NXT HELIX STD 18 EV3		$2310
SM	HB COIL EMBO NXT HELIX STD FBR EV3		$2410
SM	HB COIL EMBO NXT HELIX SUPRSFT EV3		$2240
SM	HB COIL EMBO NXT MULTIDIAM EV3		$2210
SM	HB COIL EMBO OPTIMAX COMPLEX SOFT BALT		$7640
SM	HB COIL EMBO OPTIMAX COMPLEX SUPER SOFT BALT		$7640
SM	HB COIL EMBO OPTIMAX HELICAL SOFT BALT		$6160
SM	HB COIL EMBO OPTIMAX HELICAL SUPER SOFT BALT		$6160
SM	HB COIL EMBO RETRACTA PLAT COOK		$1620
SM	HB COIL EMBO RUBY LP <10CM PENU		$2630
SM	HB COIL EMBO RUBY LP >= 30CM PENU		$4300
SM	HB COIL EMBO RUBY LP >=10CM AND <30CM PENU		$3300
SM	HB COIL EMBO RUBY LP PACKING COIL <30CM PENU		$3300
SM	HB COIL EMBO RUBY LP PACKING COIL >= 30CM PENU		$4300
SM	HB COIL EMBO STAINLESS STEEL COOK		$300
SM	HB COIL EMBO TARGET NANO 3D STRYKER BSCI		$6640
SM	HB COIL EMBO TARGET XL 360 <50 STRYKER		$9700
SM	HB COIL EMBO TARGET XL 360 >50 STRYKER		$9700
SM	HB COIL EMBO TORNADO PLAT COOK		$600
SM	HB COIL EMBO TRUFILL DCS ORBIT COMPLX CORD		$4200
SM	HB COIL EMBO TRUFILL DCS ORBIT HELICAL CORD		$2000
SM	HB COIL EMBO TRUFILL DCS ORBIT MINI CORDIS		$3080
SM	HB COIL EMBOLIZ COMPLEX 10 BLOCKADE		$4980
SM	HB COIL EMBOLIZ GDC 10 2D BSCI		$3600
SM	HB COIL EMBOLIZ GDC 10 2D SOFT SR BSCI		$2840
SM	HB COIL EMBOLIZ GDC 10 360 SR BSCI		$6600
SM	HB COIL EMBOLIZ GDC 10 3D BSCI		$5500
SM	HB COIL EMBOLIZ GDC 10 SOFT BSCI		$3100
SM	HB COIL EMBOLIZ GDC 10 SOFT SR BSCI		$2590
SM	HB COIL EMBOLIZ GDC 10 STANDARD BSCI		$1900
SM	HB COIL EMBOLIZ GDC 10 ULTRASOFT BSCI		$5500
SM	HB COIL EMBOLIZ GDC 10-14 3D		$4700
SM	HB COIL EMBOLIZ GDC 16-20 3D		$4880
SM	HB COIL EMBOLIZ GDC 18 2D BSCI		$2230
SM	HB COIL EMBOLIZ GDC 18 360 BSCI		$7100
SM	HB COIL EMBOLIZ GDC 18 3D BSCI		$6300
SM	HB COIL EMBOLIZ GDC 18 BSCI		$2510
SM	HB COIL EMBOLIZ GDC 18 FIBERED BSCI		$7000
SM	HB COIL EMBOLIZ GDC 18 SOFT BSCI		$3600
SM	HB COIL EMBOLIZ GDC 4-5 3D		$4440
SM	HB COIL EMBOLIZ GDC TRACKER 10		$1660
SM	HB COIL EMBOLIZ GDC TRACKER 18		$1660
SM	HB COIL EMBOLIZ HELICAL 10 BLOCKADE		$4310
SM	HB COIL EMBOLIZ LIQUID BERENSTEIN BSCI		$1300
SM	HB COIL EMBOLIZ MICROPLEX 10 MICROVENT		$2840
SM	HB COIL EMBOLIZ ORBIT HELICAL FILL CORDIS		$1990
SM	HB COIL EMBOLIZ TARGET BSCI		$1100
SM	HB COIL EMBOLIZ TRUFILL COMPLEX		$4100
SM	HB COIL EMBOLIZ TRUFILL HELICAL		$1800
SM	HB COIL EMBOLIZ TRUFILL PUSHABLE CORDIS		$1700
SM	HB COIL EMBOLIZ VORTEX 18 BSCI		$1300
SM	HB COIL EMBOLIZ VORTEX 35 BSCI		$180
SM	HB COIL EMBOLIZ VORTEX DIAMOND BSCI		$310
SM	HB COIL IMPLANT PERIPHERAL VASC POD PENUMBRA		$6320
SM	HB COIL IMPLANT PERIPHERAL VASC POD PKG COIL PENU		$4300
SM	HB COIL IMPLANT PERIPHERAL VASC RUBY		$5070
SM	HB COIL OCCLUSIVE INTERLOCK BSCI		$1330
SM	HB COIL PLATINUM 18 TARGET BSCI		$970
SM	HB COIL SPHERICAL		$3270
SM	HB COIL SPRING		$270
SM	HB COIL TARGET 360 ULT		$7300
SM	HB COLLAGEN DRESSING <= 16 SQ IN ENDOFORM AROA BIO	A6021	$40
SM	HB COLLAGEN DRESSING 17-48 SQ IN ENDOFORM AROA BIO	A6022	$120
SM	HB COLLAR ASPEN	L0174	$1030
SM	HB COLOSTOMY SUPPLY		$50
SM	HB CONNECTING CABLE EP ABLAT FLEXIBILITY SENSOR ENABLED STJUDE		$1170
SM	HB CONNECTIVE TISS HUMAN AUTOLOGOUS SLING	C1762	$1
SM	HB CONNECTOR FOR GROSHONG CATH		$300
SM	HB COVER-AUTOMATC PULLBACK DEVICE		$120
SM	HB CPB CANNULA ANGIOVAC ANGIODYNAMICS		$34500
SM	HB CPB CIRCUIT ANGIOVAC ANGIODYNAMICS		$5000
SM	HB CRUTCHES		$40
SM	HB CSF CAMINO CATH		$1440
SM	HB CSF CAMINO MONITOR		$620
SM	HB CTLSO A-P-L CONTR MOLD+INTERFC	L0710	$7830
SM	HB CTLSO ADDN-AXILLA SLING	L1010	$210
SM	HB CTLSO ADDN-KYPHOSIS PAD	L1020	$320
SM	HB CTLSO ADDN-LUMBAR/L-RIB PAD	L1040	$290
SM	HB CTLSO ADDN-OUTRIGGER	L1080	$180
SM	HB CTLSO ADDN-STERNAL PAD	L1050	$310
SM	HB CTLSO ADDN-THORACIC PAD	L1060	$360
SM	HB CTLSO ADDN-TRAPEZIUS SLING	L1070	$340
SM	HB CTLSO ADDN-UPRIGHT COVER EACH	L1120	$150
SM	HB CTLSO INITIAL+MODEL-MILWAUKEE	L1000	$7610
SM	HB DCA MOTOR DRIVE-DISPOSABLE ACS		$330
SM	HB DEBAKEY VAD VENT ASSIST DEVICE CHILD		$199810
SM	HB DELIVERY DEVICE COIL DETACHMENT		$600
SM	HB DEVIC HYPOTHERM ARCTICGEL S/M/L MEDIVAN		$2840
SM	HB DEVIC HYPOTHERM ARCTICGEL UNIV MEDIVAN		$850
SM	HB DEVICE MRI IMAGE ENHANCE COIL MEDRAD	A4648	$580
SM	HB DEVICE EMBO CATERPILLAR BECTONDICKINSON		$3500
SM	HB DEVICE EMBO CATERPILLAR MICRO BECTONDICKINSON		$3830
SM	HB DEVICE EMBO PIPELINE FLOW REDRCT <=20 MDTR COVD		$45930
SM	HB DEVICE EMBO PIPELINE FLOW REDRCT >20 MDTR COVD		$50140
SM	HB DEVICE EMBO PIPELINE FLOW REDRCT<=20 EV3		$41630
SM	HB DEVICE EMBO PIPELINE FLOW REDRCT>20 EV3		$44630
SM	HB DEVICE EMBOLC ANGIOGUARD CORDIS	C1884	$6800
SM	HB DEVICE EMBOLC FILTERWIRE BSCI	C1884	$4900
SM	HB DEVICE EMBOLC MVP COVIDIEN EV3	C1884	$6310
SM	HB DEVICE EMBOLIC FLOW REVERSE GORE	C1884	$6270
SM	HB DEVICE EMBOLIC LIQUID ONYX EV3	C1884	$6600
SM	HB DEVICE EMBOLIC PROTECT AMPLATZER AGA	C1884	$3170
SM	HB DEVICE EMBOLIC PROTECT GUARDWIRE MDTR	C1884	$4080
SM	HB DEVICE EMBOLIC PROTECT PROXIS ST JUDE	C1884	$4650
SM	HB DEVICE EMBOLIC PROTECT SPIDERX EV3	C1884	$4080
SM	HB DEVICE EMBOLIZ WEB SL/SLS MICV TERUMO		$49790
SM	HB DEVICE FASTAC MYOCARDIAL LEAD TOOL STJU		$2700
SM	HB DEVICE HEMOSTATIS FISH	C1760	$840
SM	HB DEVICE IABP INTRAAORT BALLN PUMP ARROW		$2500
SM	HB DEVICE LARIAT SUTURE DELIVERY FOR TISS CLOSURE SNTR		$16490
SM	HB DEVICE LIVER ABLATN ELECTRSURG		$5180
SM	HB DEVICE LOCATOR PLUS STJUDE		$1050
SM	HB DEVICE LOCKING LEAD REMOVE SPECTRANECTIC	C1773	$1800
SM	HB DEVICE REMOV RECOVERYCONE SYST BARD		$1990
SM	HB DEVICE RETRIEV GOOSENECK MICROSNARE EV3	C1773	$1920
SM	HB DEVICE RETRIEV GOOSENECK SNARE EV3	C1773	$940
SM	HB DEVICE RETRIEVAL BULLDOG COOK		$860
SM	HB DEVICE RETRIEVAL CLOVERSNARE COOK	C1773	$2100
SM	HB DEVICE RETRIEVAL COOK		$600
SM	HB DEVICE RETRIEVAL EVOL RL CNTRL-ROTAT COOK	C1773	$5280
SM	HB DEVICE RETRIEVAL FB EN-SNARE MDTECH		$1500
SM	HB DEVICE RETRIEVAL FB PROVUE TREVO CMED STRYKER		$26600
SM	HB DEVICE RETRIEVAL FB/CLOT MERCI CMED	C1773	$10990
SM	HB DEVICE RETRIEVAL FB/CLOT MULTI-SNARE 30 BRAUN		$930
SM	HB DEVICE RETRIEVAL FB/CLOT MULTI-SNARE BRAUN		$1100
SM	HB DEVICE RETRIEVAL FB/CLOT MULTI-SNARE MICRO BRAUN		$1450
SM	HB DEVICE RETRIEVAL FB/CLOT V MERCI CMED	C1773	$10330
SM	HB DEVICE RETRIEVAL IVC FILTER ALN	C1773	$1170
SM	HB DEVICE RETRIEVAL IVC FILTER COOK	C1773	$900
SM	HB DEVICE RETRIEVAL LIBERATOR BEACON TIP LOCKING STYLET COOK		$1800
SM	HB DEVICE RETRIEVAL NEEDLES EYE COOK	C1773	$3610
SM	HB DEVICE RETRIEVAL NITINOL		$1130
SM	HB DEVICE RETRIEVAL ONE-TIE COMPRESSION COIL COOK		$670
SM	HB DEVICE RETRIEVER-FB ATTRACTOR		$460
SM	HB DEVICE SHEATH DILATOR LEAD/CATH/FB REMV TIGHTRAIL SPECTRONICS	C1773	$6320
SM	HB DEVICE SOLITAIRE RETRIEVER CLOT SOC		$21730
SM	HB DEVICE TENSURE TIGHTENER FOR LARIAT		$670
SM	HB DEVICE THROMBECTOMY CLOTBUSTER		$3380
SM	HB DEVICE THROMBECTOMY TEROTOLA ARROW	C1757	$1910
SM	HB DEVICE THROMBECTOMY TREROTOLA ARROW	C1757	$3400
SM	HB DEVICE TRANSVALV LEAD INSERTION TOOL PPI		$2700
SM	HB DEVICE TRAVERSER TUNNELER LEAD TOOL PPI		$290
SM	HB DEVICE VASCULAR CLOSURE VASCADE FEMORAL ARTERY CARDIVA	C1760	$3090
SM	HB DEVICE WOUND CLOSURE DERMACLOSE RC		$4300
SM	HB DIABETIC CUSTOM MOLDED SHOE	A5501	$660
SM	HB DIABETIC MULTI DEN INSERT MOLDED PREFAB	A5512	$90
SM	HB DIABETIC SHOE MOD W/ ROLLER/RIGID BTM	A5503	$110
SM	HB DILATOR RENAL AMPLATZ SET		$680
SM	HB DILATOR RENAL AMPLATZ SGL		$130
SM	HB DILATOR URETER STENT RETROGRAD	C1892	$170
SM	HB DUOSTAT WIDEBORE Y-CONNECTOR		$100
SM	HB EAR MOLD	V5264	$115
SM	HB ECMO DEVICE CIRCUIT & CANNULA ANGIOVAC ANGIODYNAMICS		$43300
SM	HB ELBOW DISART EXT POWER MYOELECTRONIC CONTROL	L6945	$30560
SM	HB ELBOW DISART EXT POWER SWITCH CONTROL	L6940	$26300
SM	HB ELBOW DISART MOLDED W EXPAND INTERFACE OUT LOCK HINGES	L6205	$13290
SM	HB ELECTRIC HAND ADULT	L7007	$10300
SM	HB ELECTRIC HOOK ADULT	L7009	$10510
SM	HB ELECTRODE ABLATN MONOPOLAR STAR RF STARMED		$5000
SM	HB ELECTRODE BIPOLAR PACING	C1756	$400
SM	HB ELECTRODE EEG DEPTH		$180
SM	HB ELECTRODE EEG GRID		$120
SM	HB ELECTRODE EEG INTRAOPERATIVE MONITORING 1X4		$1450
SM	HB ELECTRODE EEG INTRAOPERATIVE MONITORING 1X8		$2280
SM	HB ELECTRODE EEG INTRAOPERATIVE MONITORING 2X8		$2500
SM	HB ELECTRODE EEG INTRAOPERATIVE MONITORING 8X8		$4500
SM	HB ELECTRODE EEG NEEDLE DISPOSABL		$20
SM	HB ELECTRODE EEG SPHENOIDAL		$320
SM	HB ELECTRODE EEG SUBDERMAL DISP		$20
SM	HB ELECTRODE EEG SUBDURAL 1X4		$1530
SM	HB ELECTRODE EEG SUBDURAL 1X8		$1530
SM	HB ELECTRODE EEG SUBDURAL 4X5		$2160
SM	HB ELECTRODE EEG SUBDURAL 4X5		$2960
SM	HB ELECTRODE EPIDURAL SPINAL 3 CONTACT		$660
SM	HB ELECTRODE PACING QUIKPACE		$140
SM	HB ELECTRODE PATCH ENSITE ST JUDE		$5200
SM	HB ELECTRODE REFERENCE PATCH-CARTO CATH		$1400
SM	HB ELECTRODES MRI/CT QUICK CONNECT RHYTHMLINK		$330
SM	HB ELECTRONIC ELBOW HOSMER SWITCH CONTROL	L7170	$17550
SM	HB ELECTRONIC ELBOW MICROPROCESSOR SEQ CONTROL	L7180	$108480
SM	HB ELECTRONIC ELBOW MICROPROCESSOR SIMUL CONTROL	L7181	$117770
SM	HB ELECTRONIC WRIST ROTATOR ANY TYPE	L7259	$12080
SM	HB EMBO PARTICLES PVA COOK		$300
SM	HB EMBO COIL BLOCKADE MEDICAL		$1990
SM	HB EMBO LC BEAD TERUMO		$4500
SM	HB EMBO LC BEADM1 BSCI		$9320
SM	HB EMBO QUADRASPHERE BIOSPHERE MED		$3900
SM	HB EMBOLIZ EMBOSPHERE 1ML BIOSPHERE MED		$640
SM	HB EMBOLIZ EMBOSPHERE 2ML BIOSPHERE MED		$700
SM	HB EMBOLIZ MICROSPHERE 2ML EMBOZENE BSCI CELO		$580
SM	HB EMBOLIZ MICROSPHERE 2ML HYDROPEARL TERU		$830
SM	HB EMBOLIZ MICROSPHERE 2ML ONCOZENE CELO		$5000
SM	HB EMBOLIZ MICROSPHERE 3ML ONCOZENE CELO		$7490
SM	HB EMBOLIZ SPHERES BEAD BLOCK TERUMO		$1000
SM	HB EMBOLIZ SYST DR AMPLATZ MICRO PLUG KA MEDICAL		$4660
SM	HB ENDO POLY HIP PNEUM/HYDRAULIC/ROTATE	L5961	$15360
SM	HB ENDOLOGIX GRFT AAA AORTIC EXT 115	C1768	$11310
SM	HB ENDOLOGIX GRFT AAA AORTIC EXT 120	C1768	$14970
SM	HB ENDOLOGIX GRFT AAA AORTIC EXT INTUI100	C1768	$13640
SM	HB ENDOLOGIX GRFT AAA AORTIC EXT INTUI95	C1768	$9980
SM	HB ENDOLOGIX GRFT AAA INFRARENAL EXT 5.5	C1768	$7650
SM	HB ENDOLOGIX GRFT AAA LIMB EXT 5.5	C1768	$7810
SM	HB ENDOLOGIX GRFT AAA LIMB EXT 8.8	C1768	$9310
SM	HB ENDOLOGIX GRFT AAA LIMB EXT TAPER/STEP	C1768	$11200
SM	HB ENDOLOGIX GRFT AAA SUPRARENAL EXT 7.5	C1768	$8310
SM	HB ENDOLOGIX GRFT AAA SUPRARENAL EXT 9.5	C1768	$9310
SM	HB ENDOLOGIX GRFT AORTIC EXT A28 AFX	C1768	$16200
SM	HB ENDOLOGIX GRFT MAIN BODY BA 25 AFX	C1768	$37600
SM	HB ENDOLOGIX GRFT MAIN BODY BA 28 AFX	C1768	$37620
SM	HB ENDOLOGIX GRFT XL AAA AORTIC EXT 100	C1768	$15000
SM	HB ENDOLOGIX GRFT XL AAA AORTIC EXT RLE 100	C1768	$13980
SM	HB ENDOLOGIX GRFT XL AAA INFRARENAL EXT 80	C1768	$12310
SM	HB ENT PROPEL SINUS IMPLANT		$2800
SM	HB ENTERRA NEURSTM GENERATOR MDTR H990014	C1767	$28140
SM	HB ENTERRA NEURSTM LEAD MDTR H990014	C1778	$7330
SM	HB EO ADJ JOINT PREFAB W CUSTOM FIT	L3760	$1340
SM	HB EO ADJ LOCK JOINT PREFAB OTS	L3761	$1340
SM	HB EO ARMBAND	A4467	$30
SM	HB EO DBL UPRT EXT/FLX ASST CUST	L3730	$3310
SM	HB EO DBL UPRT+CUFF ADJ LOCK CUST	L3740	$3920
SM	HB EO DBL UPRT+CUFF FREE CUST	L3720	$2400
SM	HB EO ELASTIC SUPPORT	A4467	$20
SM	HB EO ELASTIC+METAL JOINTS PREFAB	L3710	$380
SM	HB EO ELASTIC+STAYS	A4467	$100
SM	HB EO ELASTIC+STAYS PREFAB+FIT		$140
SM	HB EO RIGID WO JOINTS PREFAB+FIT	L3762	$290
SM	HB EO WO JOINTS CUSTOM	L3702	$770
SM	HB EWHFO RIGID WO JOINTS CUSTOM	L3765	$3420
SM	HB EWHO +NONTORSION JOINTS CUST	L3764	$2590
SM	HB EWHO RIGID WO JOINTS CUSTOM	L3763	$2250
SM	HB FIDUCIAL MARKER IMPLANT EACH RAD ONC	A4648	$170
SM	HB FILTER CAROTID ACCUNET GUIDANT	C1880	$5170
SM	HB FILTER EMBOSHIELD EXACT STUDY ABBOTT	C1880	$5650
SM	HB FILTER EMBOSHIELD NAV6 ABBOTT	C1880	$6650
SM	HB FILTER VENA CAVA ANTECUBITAL	C1880	$4010
SM	HB FILTER VENA CAVA BIRDSNEST	C1880	$3900
SM	HB FILTER VENA CAVA CELECT PLATINUM COOK	C1880	$4080
SM	HB FILTER VENA CAVA ECLIPSE BARD / CRUX VOLCANO	C1880	$4330
SM	HB FILTER VENA CAVA FEMORAL OTW BSCI	C1880	$3620
SM	HB FILTER VENA CAVA G2 BARD	C1880	$3750
SM	HB FILTER VENA CAVA GREENFIELD	C1880	$3850
SM	HB FILTER VENA CAVA JUGULAR OTW BSCI	C1880	$3550
SM	HB FILTER VENA CAVA OPTEASE CORDIS	C1880	$5300
SM	HB FILTER VENA CAVA OPTION ANGIOTECH	C1880	$3400
SM	HB FILTER VENA CAVA OPTIONAL ALN	C1880	$2830
SM	HB FILTER VENA CAVA SIMON NITINOL BARD	C1880	$3750
SM	HB FILTER VENA CAVA TRAPEASE CORDIS	C1880	$3650
SM	HB FILTER VENA CAVA TULIP FEMORAL COOK	C1880	$3000
SM	HB FILTER VENA CAVA TULIP JUGULAR COOK	C1880	$3000
SM	HB FILTER VENA CAVA VENA TECH CNVTBL BRMD	C1880	$3730
SM	HB FILTER VENA CAVA VENATECH MDIT	C1880	$4200
SM	HB FINGER COT DJ ORTHO		$5
SM	HB FINGER ORTHOSIS PROX INTERPHA WO JOINT	L3927	$90
SM	HB FINGER SPLINT FROG DJ ORTHO		$6
SM	HB FINGER SPLINT MCP DJ ORTHO		$3
SM	HB FINGER SPLINT PLASTALUME DJ ORTHO		$7
SM	HB FINGER SPLINT STAXX DJ ORTHO		$10
SM	HB FO NONTORSION JT PREFAB+FIT	L3925	$180
SM	HB FO NONTSORSION JOINT CUSTOM	L3935	$590
SM	HB FO WO JOINTS CUSTOM	L3933	$570
SM	HB FOOT ABDCTN ROTATION BAR+SHOES	L3140	$260
SM	HB FOOT ADJ SHOE POSITIONING DEVICE	L3160	$270
SM	HB FX ORTH ADD-ADJ MOTION KNEE JT	L2186	$420
SM	HB FX ORTH ADD-DROP LOCK KNEE JNT	L2182	$300
SM	HB FX ORTH ADD-HIP/PELV/THGH BELT	L2192	$1340
SM	HB FX ORTH ADD-LE QUADRILAT BRIM	L2188	$840
SM	HB FX ORTH ADD-LIMIT MOTION KNEE	L2184	$350
SM	HB FX ORTH ADD-SHOE INSRT+ANKL JT	L2180	$440
SM	HB FX ORTH-COLLES CUSTOM	L3763	$2250
SM	HB FX ORTH-FOREARM+WRST HING CUST	L3764	$2590
SM	HB FX ORTH-HUMERAL PREFAB+FIT	L3980	$1130
SM	HB FX ORTH-RADIUS/ULNA PREFAB+FIT	L3982	$1370
SM	HB FX ORTH-WRIST PREFAB+FIT	L3984	$1260
SM	HB FX ORTHADD-UE SOCK FX/EQUAL EA	L3995	$100
SM	HB GASTRIC BUTTON		$50
SM	HB GEN ORTH ADD-AK SOFT INTERFACE	L2830	$350
SM	HB GEN ORTH ADD-ANY MATERIAL/BAR		$170
SM	HB GEN ORTH ADD-BAR DISCONNECT EA	L2768	$380
SM	HB GEN ORTH ADD-BK SOFT INTERFACE	L2820	$330
SM	HB GEN ORTH ADD-DROPLOC RETAIN EA	L2785	$120
SM	HB GEN ORTH ADD-EXTENSION/BAR	L2760	$230
SM	HB GEN ORTH ADD-FEMOR LENGTH SOCK	L2850	$210
SM	HB GEN ORTH ADD-KNECAP FULL CONTR	L2795	$320
SM	HB GEN ORTH ADD-KNECAP M-LAT PULL	L2800	$400
SM	HB GEN ORTH ADD-KNEE CONDYLAR PAD	L2810	$290
SM	HB GEN ORTH ADD-NONCORROSV FINISH	L2780	$250
SM	HB GEN ORTH ADD-TIBIA LENGTH SOCK	L2840	$120
SM	HB GLIDEWIRE ANGLED	C1769	$730
SM	HB GLIDEWIRE ANGLED STIFF	C1769	$870
SM	HB GLIDEWIRE SMALL VESSEL GOLD	C1769	$960
SM	HB GRAFT AAA ANEURX AORTA CUFF MDTR	C1768	$53700
SM	HB GRAFT AAA ENDURANT AORTIC EXT ETCF MDTR	C1768	$13850
SM	HB GRAFT AAA ENDURANT AORTIC EXT ETTF MDTR	C1768	$23940
SM	HB GRAFT AAA ENDURANT BIFURCATED ETBF MDTR	C1768	$31560
SM	HB GRAFT AAA ENDURANT CONT LMB<124 ETLW MDTR	C1768	$15370
SM	HB GRAFT AAA ENDURANT CONT LMB>150 ETLW MDTR	C1768	$21470
SM	HB GRAFT AAA ENDURANT ILIAC EXT ETEW MDTR	C1768	$15220
SM	HB GRAFT AAA ENDURANTII AORTIC EXT ETTF MDTR	C1768	$24500
SM	HB GRAFT AAA EXT INFRARENAL 34X34	C1768	$12310
SM	HB GRAFT AAA TALENT THORACIC STENT ABDOMINAL AORTIC	C1768	$12510
SM	HB GRAFT ARTEGRAFT COLLAGEN VASCULAR GRAFT	C1768	$3500
SM	HB GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 4X7	C1763	$1990
SM	HB GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 7X10	C1763	$3250
SM	HB GRAFT CONNECTIVE TISS PATCH PERICARD CORMATRIX 7X15	C1763	$4320
SM	HB GRAFT DURA 7X10 CM BIODESIGN COOK	C1763	$2130
SM	HB GRAFT DURA 7X20 CM BIODESIGN COOK	C1763	$2696
SM	HB GRAFT DURA 7X4 CM BIODESIGN COOK	C1763	$1400
SM	HB GRAFT ENDOPROSTHESIS AAA EXCLUDER CONTL LEG GORE	C1768	$13920
SM	HB GRAFT ENDOPROSTHESIS AAA EXCLUDER EXT GORE	C1768	$9800
SM	HB GRAFT ENDOPROSTHESIS AAA EXCLUDER EXT GORE	C1768	$35800
SM	HB GRAFT EXCLUDER AAA ENDOPROSTHESIS EXTENSION	C1768	$9800
SM	HB GRAFT EXCLUDER AAA ENDOPROSTHESIS GRAFT TRUNK	C1768	$33290
SM	HB GRAFT EXCLUDER AAA ENDOPROSTHESIS LEG	C1768	$13920
SM	HB GRAFT HEMASHIELD KNITTED DOUBLE VELOUR FABRIC CAROTID PATCH	C1763	$500
SM	HB GRAFT HEMASHIELD PLATINUM ANGLED FOUR BRANCH GRAFT	C1763	$5500
SM	HB GRAFT IMA SLEEVE 17MMXX15CM	C1768	$4390
SM	HB GRAFT INTERING 6MM 5X45CM	C1768	$2310
SM	HB GRAFT INTERING STR 4-6MMX45CM	C1768	$1930
SM	HB GRAFT INTERING STR 4-7MMX45CM	C1768	$1930
SM	HB GRAFT INTERING STR 6MM 10X20CM	C1768	$1240
SM	HB GRAFT INTERING STR 6MM 5X20CM	C1768	$1040
SM	HB GRAFT INTERING STR 6MM 5X45CM	C1768	$2310
SM	HB GRAFT INTERING STR 6MMX40CM	C1768	$1730
SM	HB GRAFT INTERING STR T6MM 40CM	C1768	$2460
SM	HB GRAFT INTERING STR T6MM 60CM	C1768	$4020
SM	HB GRAFT INTERING STR T6MM 80CM	C1768	$4590
SM	HB GRAFT INTERING STR T7MM 40CM	C1768	$2460
SM	HB GRAFT INTERING STR T7MM 60CM	C1768	$4020
SM	HB GRAFT INTERING STR T7MM 80CM	C1768	$4590
SM	HB GRAFT INTERING STR T8MM 40CM	C1768	$2460
SM	HB GRAFT INTERING STR T8MM 60CM	C1768	$4020
SM	HB GRAFT INTERING STR T8MM 80CM	C1768	$4590
SM	HB GRAFT MICRO THIN ORBITAL SPHERE	C1763	$3880
SM	HB GRAFT PATCH CV 10CMX15CMX0.6MM GORE	C1768	$3760
SM	HB GRAFT PATCH CV 5.0CM X 7.5CM X0.6MM GORE	C1768	$940
SM	HB GRAFT PATCH DURA 2CMX10CMX.3MM GORE	C1781	$1450
SM	HB GRAFT PATCH PERICARDIAL BOVINE	C1763	$700
SM	HB GRAFT PATCH SFT TISU GRTEX 20X30X1CM GORE	C1763	$4200
SM	HB GRAFT PERICARD PRECLUDE 15X20 GORE	C1781	$3500
SM	HB GRAFT PROPATEN VASCULAR STANDARD 10CM	C1768	$950
SM	HB GRAFT PROPATEN VASCULAR STANDARD 40CM	C1768	$4900
SM	HB GRAFT PROPATEN VASCULAR STANDARD 45CM	C1768	$4100
SM	HB GRAFT PROPATEN VASCULAR STANDARD 50CM	C1768	$5600
SM	HB GRAFT PROPATEN VASCULAR STANDARD 70CM	C1768	$8300
SM	HB GRAFT PROPATEN VASCULAR STANDARD 80CM	C1768	$9200
SM	HB GRAFT PTFE RING STD 8MMX30CM	C1768	$2140
SM	HB GRAFT PTFE RING STD 10MMX20CM	C1768	$2490
SM	HB GRAFT PTFE RING STD 12MMX20CM	C1768	$3420
SM	HB GRAFT PTFE RING STD 14MMX30CM	C1768	$3420
SM	HB GRAFT PTFE RING STD 16MMX30CM	C1768	$3420
SM	HB GRAFT PTFE RING STD 20MMX20CM	C1768	$2540
SM	HB GRAFT PTFE RING STD 6MMX20CM	C1768	$3420
SM	HB GRAFT PTFE STD 10MMX80CM GORE	C1768	$2320
SM	HB GRAFT PTFE STD 4-6MMX30CM GORE	C1768	$1100
SM	HB GRAFT PTFE STD 4-6MMX40CM GORE	C1768	$1450
SM	HB GRAFT PTFE STD 4-6MMX50CM GORE	C1768	$1450
SM	HB GRAFT PTFE STD 4-6MMX50CM GORE	C1768	$1790
SM	HB GRAFT PTFE STD 4.5-6.5MMX40CM	C1768	$1450
SM	HB GRAFT PTFE STD 4MMX40CM GORE	C1768	$1250
SM	HB GRAFT PTFE STD 5MMX10CM GORE	C1768	$420
SM	HB GRAFT PTFE STD 5MMX30CM GORE	C1768	$1100
SM	HB GRAFT PTFE STD 6MMX10CM GORE	C1768	$420
SM	HB GRAFT PTFE STD 6MMX20CM GORE	C1768	$670
SM	HB GRAFT PTFE STD 6MMX30CM GORE	C1768	$1100
SM	HB GRAFT PTFE STD 6MMX30CM GORE	C1768	$1100
SM	HB GRAFT PTFE STD 6MMX40CM GORE	C1768	$1250
SM	HB GRAFT PTFE STD 6MMX40CM GORE	C1768	$1250
SM	HB GRAFT PTFE STD 6MMX70CM GORE	C1768	$2030
SM	HB GRAFT PTFE STD 6MMX80CM GORE	C1768	$2320
SM	HB GRAFT PTFE STRCH SILK 4MMX10CM GORE	C1768	$1180
SM	HB GRAFT PTFE STRCH STD 12MMX40CM	C1768	$2700
SM	HB GRAFT PTFE STRCH STD 14MMX40CM	C1768	$2700
SM	HB GRAFT PTFE STRCH STD 16MMX30CM	C1768	$1830
SM	HB GRAFT PTFE STRCH STD 16MMX40CM	C1768	$2700
SM	HB GRAFT PTFE STRCH STD 18MMX20CM	C1768	$1280
SM	HB GRAFT PTFE STRCH STD 18MMX30CM	C1768	$1830
SM	HB GRAFT PTFE STRCH STD 20MMX40CM	C1768	$2700
SM	HB GRAFT PTFE STRCH STD 22MMX20CM GORE	C1768	$1280
SM	HB GRAFT PTFE STRCH STD 24MMX20CM	C1768	$1280
SM	HB GRAFT PTFE STRCH STD 24MMX20CM GORE	C1768	$2700
SM	HB GRAFT PTFE STRCH STD 3.5MM X 10CM	C1768	$1180
SM	HB GRAFT PTFE STRCH STD 4MMX10CM GORE	C1768	$1630
SM	HB GRAFT PTFE STRCH STD 6MMX40CM	C1768	$2700
SM	HB GRAFT PTFE STRCH STD 7MMX45CM	C1768	$1960
SM	HB GRAFT PTFE STRCH TW 2.0MMX20CM GORE	C1768	$1880
SM	HB GRAFT PTFE STRCH TW 3.5MMX.5CM	C1768	$930
SM	HB GRAFT PTFE STRCH TW 6.0MMX50CM	C1768	$2270
SM	HB GRAFT PTFE STRCH TW 6.0MMX70CM	C1768	$2980
SM	HB GRAFT PTFE STRCH TW 6.0MMX80CM	C1768	$3340
SM	HB GRAFT PTFE TQ 3MMX20CM SILK	C1768	$1480
SM	HB GRAFT PTFE TW 6MMX10CM GORE	C1768	$460
SM	HB GRAFT PTFE TW 6MMX10CM GORE	C1768	$460
SM	HB GRAFT PTFE TW 8MMX40CM GORE	C1768	$1450
SM	HB GRAFT PTFE TW 10MMX30CM GORE	C1768	$1720
SM	HB GRAFT PTFE TW 10MMX70CMX80CM GORE	C1768	$2181.15
SM	HB GRAFT PTFE TW 3.5MM X 5CM GORE	C1768	$740
SM	HB GRAFT PTFE TW 3.5MM X 5CM GORE	C1768	$740
SM	HB GRAFT PTFE TW 3.5MMX10CM GORE	C1768	$940
SM	HB GRAFT PTFE TW 3.5MMX15CM GORE	C1768	$1400
SM	HB GRAFT PTFE TW 4MMX10CM GORE	C1768	$940
SM	HB GRAFT PTFE TW 5MMX10CM SILK	C1768	$940
SM	HB GRAFT PTFE TW 5MMX30CM GORE	C1768	$1290
SM	HB GRAFT PTFE TW 6MM X 30CM GORE	C1768	$1290
SM	HB GRAFT PTFE TW 6MM X 40CM GORE	C1768	$1450
SM	HB GRAFT PTFE TW 6MM X 70CM GORE	C1768	$2380
SM	HB GRAFT PTFE TW 6MMX20CM GORE	C1768	$810
SM	HB GRAFT PTFE TW 6MMX80CM GORE	C1768	$2700
SM	HB GRAFT PTFE TW 8MMX10CM GORE	C1768	$460
SM	HB GRAFT RING STD 12MMX 30CMX30CM	C1768	$3420
SM	HB GRAFT RING STD 14MMX 30CMX30CM	C1768	$3420
SM	HB GRAFT RING STD 16MMX 20CMX20CM	C1768	$2540
SM	HB GRAFT RING STD 16MMX 30CMX30CM	C1768	$3420
SM	HB GRAFT RING STD 20MMX 20CMX20CM	C1768	$2540
SM	HB GRAFT RING STD 20MMX 30CMX30CM	C1768	$3420
SM	HB GRAFT RING STD 6MMX 5CM X 45CM	C1768	$2370
SM	HB GRAFT RING STD 6MMX 7CM X 50CM	C1768	$2820
SM	HB GRAFT RING STD 6MMX30CMX70CM	C1768	$3990
SM	HB GRAFT RING STD 6MMX50CMX70CM	C1768	$3990
SM	HB GRAFT RING STD 8MMX 5CMX45CM	C1768	$2370
SM	HB GRAFT RING STD 8MMX20CMX50CM	C1768	$2820
SM	HB GRAFT RING STD 8MMX50CMX80CM	C1768	$4350
SM	HB GRAFT RING TW 4MMX5CMX15CM	C1768	$2300
SM	HB GRAFT RING TW 5MMX2.5CMX10CM	C1768	$1400
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
SM	HB GRAFT RING TW 6MMX80CMX100CM	C1768	$5340
SM	HB GRAFT RING TW 8MMX100CMX100CM	C1768	$5340
SM	HB GRAFT SOFT TISSUE 10X15CMX1MM GORE	C1763	$1590
SM	HB GRAFT SOFT TISSUE 15X20CMX1MM	C1763	$3220
SM	HB GRAFT SOFT TISSUE 20X30CMX1MM	C1763	$5950
SM	HB GRAFT SOFT TISSUE 20X30CMX2MM	C1763	$9460
SM	HB GRAFT SOFT TISSUE 2MM 15X20 CM GORE	C1763	$1590
SM	HB GRAFT SOFT TISSUE 5X10CMX1MM GORE	C1763	$660
SM	HB GRAFT STENT ENDOPROSTHESIS AAA AORTIC EXT GORE	C1768	$9800
SM	HB GRAFT STENT ENDOPROSTHESIS AAA TRUNK / LEG GORE	C1768	$33290
SM	HB GRAFT STENT ENDOPROSTHESIS ABDOMINAL CONTRALATERAL	C1768	$15740
SM	HB GRAFT STENT ENDOPROSTHESIS ABDOMINAL EXTENSION	C1768	$14800
SM	HB GRAFT STENT ENDOPROSTHESIS BIFURCATED ABDOMINAL	C1768	$31560
SM	HB GRAFT TAA TAG ENDOPROSTHESIS GORE	C1768	$38300
SM	HB GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL CONTRALATERAL	C1768	$13520
SM	HB GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL DISTAL	C1768	$40850
SM	HB GRAFT TALENT THORACIC STENT GRAFT ABDOMINAL PROXIMAL	C1768	$45705
SM	HB GRAFT VASC 8MM X 40CM GORE	C1768	$6100
SM	HB GRAFT VASC ACUSEAL GORE	C1768	$4263
SM	HB GRAFT VASC DIASTAT 6MM X 25CM	C1768	$4390
SM	HB GRAFT VASC DIASTAT 6MM X 30CM	C1768	$4390
SM	HB GRAFT VASC DIASTAT 6MM X 40CM	C1768	$4390
SM	HB GRAFT VASC DIASTAT 6MM X 45CM	C1768	$4390
SM	HB GRAFT VASC VALIANT CAPTIVA SYST MDTR	C1768	$116560
SM	HB GRAFT VASC VALIANT DB CW 100 MDTR	C1768	$51400
SM	HB GRAFT VASC VALIANT DB CW150/200 MDTR	C1768	$56140
SM	HB GRAFT VASC VALIANT ENDURANT 4 SYST MDTR	C1768	$66610
SM	HB GRAFT VASC VALIANT ENDURANT 5+ SYST MDTR	C1768	$83260
SM	HB GRAFT VASC VALIANT FREEFLO 100 MDTR	C1768	$53770
SM	HB GRAFT VASC VALIANT FREEFLO 150 MDTR	C1768	$58520
SM	HB GRAFT VASC VALIANT FREEFLO 200 MDTR	C1768	$61680
SM	HB GRAFT VASCUTEK GELWEAVE BRANCHED GRAFT	C1768	$3340
SM	HB GRFT AAA ILIAC OVATION IX EXT LIMB ENGX	C1768	$13320
SM	HB GRFT AAA TALENT AORTIC EXT MDTR	C1768	$13520
SM	HB GRFT AAA TALENT CAPTIVA MDTR	C1768	$53700
SM	HB GRFT ENDPRSTH VALV CONTEGRA MDTR H020003	C1768	$13330
SM	HB GRFT HEMASHIELD DBLVELKNT HKDV	C1768	$360
SM	HB GRFT HEMASHIELD FINESSE BSCI	C1768	$500
SM	HB GRFT HEMASHIELD GOLD BIFURCATE	C1768	$2600
SM	HB GRFT HEMASHIELD GOLD STRT 15CM	C1768	$1400
SM	HB GRFT HEMASHIELD GOLD STRT 30CM	C1768	$2070
SM	HB GRFT HEMASHIELD GOLD STRT 40CM	C1768	$1580
SM	HB GRFT HEMASHIELD GOLD STRT 60CM	C1768	$1660
SM	HB GRFT HEMASHIELD PLATINUM 30CM	C1768	$2100
SM	HB GRFT HEMASHIELD PLATINUM 40CM	C1768	$2170
SM	HB GRFT HEMASHIELD PLATINUM 60CM	C1768	$2800
SM	HB GRFT HEMASHIELD PLATINUM BIFUR	C1768	$2670
SM	HB GRFT STENT AAA AFX2 BIFURCATED ENGX	C1768	$39960
SM	HB GRFT TAA CTAG CONFORM TGU GORE	C1768	$49120
SM	HB GRFT VALVE AORTIC MITROFLOW SORIN	C1768	$19970
SM	HB GRIFKA VASC OCCLUS DEVICE COIL SYST COOK	C1760	$3160
SM	HB GUIDE FEMORAL BIOPSY		$470
SM	HB GUIDEWIRE	C1769	$370
SM	HB GUIDEWIRE .014X300 FATHOM-14	C1769	$275
SM	HB GUIDEWIRE .017 VIPERWIRE CSI	C1769	$275
SM	HB GUIDEWIRE AGILITY10 CORDIS	C1769	$890
SM	HB GUIDEWIRE AGILITY14 CORDIS	C1769	$790
SM	HB GUIDEWIRE AMPLATZ COOK	C1769	$200
SM	HB GUIDEWIRE AMPLATZ SUPERSTIFF BOSTON SCI	C1769	$400
SM	HB GUIDEWIRE AMPLATZ SUPERSTIFF EX BSCI	C1769	$100
SM	HB GUIDEWIRE AMPLATZ SUPRSTF 180 BOSTON SCI	C1769	$120
SM	HB GUIDEWIRE AMPLATZ SUPRSTF 260 BOSTON SCI	C1769	$130
SM	HB GUIDEWIRE AMPLATZ SUPRSTF 75 BOSTON SCI	C1769	$580
SM	HB GUIDEWIRE AMPLATZ ULTRA STIFF	C1769	$100
SM	HB GUIDEWIRE AMPLTZ SUPRSTF 260 BOSTON SCI	C1769	$600
SM	HB GUIDEWIRE ANGIO	C1769	$60
SM	HB GUIDEWIRE ANGIODYNAMICS	C1769	$500
SM	HB GUIDEWIRE ARGON	C1769	$100
SM	HB GUIDEWIRE ARISTOTLE 14 SCIENTIA VASC	C1769	$1420
SM	HB GUIDEWIRE ARISTOTLE 18 SCIENTIA VASC	C1769	$1750
SM	HB GUIDEWIRE ASAHI ABBOTT	C1769	$600
SM	HB GUIDEWIRE ATTAIN MDTR	C1769	$670
SM	HB GUIDEWIRE AVE MEDITECH	C1769	$70
SM	HB GUIDEWIRE AVIGO EV3	C1769	$1320
SM	HB GUIDEWIRE BAREWIRE EXACT ABBOT	C1769	$500
SM	HB GUIDEWIRE BENTSON CEREBRAL	C1769	$1200
SM	HB GUIDEWIRE BENTSON COOK	C1769	$100
SM	HB GUIDEWIRE BENTSON COOK	C1769	$70
SM	HB GUIDEWIRE BENTSON EXCHANGE COOK	C1769	$70
SM	HB GUIDEWIRE BENTSON TSFB .035 145	C1769	$60
SM	HB GUIDEWIRE CARDIOMEMS TRITON .018X260CM ABBOT MED	C1769	$630
SM	HB GUIDEWIRE CHOICE 300 PT J	C1769	$490
SM	HB GUIDEWIRE CHOICE FLOPPY BOSTON SCI	C1769	$300
SM	HB GUIDEWIRE CHOICE PT	C1769	$1400
SM	HB GUIDEWIRE CHOICE PT BOSTON SCI	C1769	$330
SM	HB GUIDEWIRE COOK CORDIS	C1769	$70
SM	HB GUIDEWIRE COONS COPE COOK	C1769	$200
SM	HB GUIDEWIRE CPS COURIER STJUDE	C1769	$300
SM	HB GUIDEWIRE CRAGG	C1769	$480
SM	HB GUIDEWIRE CRAGG FX BOSTON SCI	C1769	$670
SM	HB GUIDEWIRE CROSSWIRE TERUMO BSCI	C1769	$290
SM	HB GUIDEWIRE CURVE	C1769	$50
SM	HB GUIDEWIRE CURVED COOK	C1769	$200
SM	HB GUIDEWIRE DASHER	C1769	$660
SM	HB GUIDEWIRE DATASCOPE	C1769	$140
SM	HB GUIDEWIRE DBL FLX	C1769	$100
SM	HB GUIDEWIRE DEFLECTING TIP .038	C1769	$190
SM	HB GUIDEWIRE DOC EXCHG .014 .018	C1769	$200
SM	HB GUIDEWIRE EMERALD CORDIS	C1769	$100
SM	HB GUIDEWIRE ENTEER EV3V3	C1769	$840
SM	HB GUIDEWIRE ENTEER REENTRY EV3 COVIDIEN	C1769	$840
SM	HB GUIDEWIRE EXT TRAXCESS DOCK WIRE MICV TERUMO	C1769	$500
SM	HB GUIDEWIRE EXTENSION ACS ABBOTT	C1769	$260
SM	HB GUIDEWIRE EXTENSION STRETCH BSCI	C1769	$380
SM	HB GUIDEWIRE FASDASHER14 BOSTON SCI	C1769	$1200
SM	HB GUIDEWIRE FILTER	C1769	$4420
SM	HB GUIDEWIRE FINDRWIRZ SENTRE HEART SNTR	C1769	$3670
SM	HB GUIDEWIRE FINISHING EASYTRAK	C1769	$470
SM	HB GUIDEWIRE FIXED CORE COOK	C1769	$100
SM	HB GUIDEWIRE FIXED-CORE SAFE-T-J CURVED COOK	C1769	$50
SM	HB GUIDEWIRE FLEXIBLE	C1769	$1340
SM	HB GUIDEWIRE FLEXIBLE DBL TIPPED COOK	C1769	$500
SM	HB GUIDEWIRE FLOPPY STJUDE	C1769	$230
SM	HB GUIDEWIRE FOUNTAIN MERIT MEDICAL	C1769	$170
SM	HB GUIDEWIRE GALEO PRO CORONARY EXTRA BIOTRONIK	C1769	$260
SM	HB GUIDEWIRE GALEO PRO CORONARY STND BIOTRONIK	C1769	$260
SM	HB GUIDEWIRE GLIDE ANGLE TERUMO	C1769	$100
SM	HB GUIDEWIRE GLIDE SHAPEABLE TIP	C1769	$190
SM	HB GUIDEWIRE GLIDEWIRE .020 BSCI	C1769	$690
SM	HB GUIDEWIRE GLIDEWIRE 260 MCRV BSCI	C1769	$700
SM	HB GUIDEWIRE GLIDEWIRE 450 MCRV BSCI	C1769	$800
SM	HB GUIDEWIRE GLIDEWIRE ADVANTAGE TERUMO	C1769	$600
SM	HB GUIDEWIRE GLIDEWIRE GOLD TERUMO	C1769	$500
SM	HB GUIDEWIRE GLIDEWIRE LONG TAPER TERUMO	C1769	$110
SM	HB GUIDEWIRE GLIDEWIRE SHAPEABLE TERUMO	C1769	$170
SM	HB GUIDEWIRE GLIDEWIRE STANDARD BSCI TERUMO	C1769	$600
SM	HB GUIDEWIRE GLIDEWIRE STIFFSHAFT BSCI TERU	C1769	$600
SM	HB GUIDEWIRE GLIDEWIRE ZIPWIRE BSCI MEDITCH	C1769	$800
SM	HB GUIDEWIRE GRADUATED COOK	C1769	$300
SM	HB GUIDEWIRE GUIDANT ABBOTT	C1769	$250
SM	HB GUIDEWIRE GUIDERIGHT ST JUDE	C1769	$100
SM	HB GUIDEWIRE GUIDEZILLA 2 EXT BOSTON SCI	C1769	$1420
SM	HB GUIDEWIRE HI-TORQUE VERSACORE ABBOTT	C1769	$500
SM	HB GUIDEWIRE HI-TORQUE WINN ABBOTT	C1769	$470
SM	HB GUIDEWIRE HIWIRE COOK	C1769	$600
SM	HB GUIDEWIRE HT FLOPPY STJUDE	C1769	$320
SM	HB GUIDEWIRE HYBRID 0.012 DOUBLE ANGLE BALT	C1769	$1270
SM	HB GUIDEWIRE HYBRID DOUBLE ANGLE BALT	C1769	$1840
SM	HB GUIDEWIRE HYBRID STRAIGHT BALT	C1769	$1200
SM	HB GUIDEWIRE HYBRID STRAIGHT BLOCKADE BALT	C1769	$1680
SM	HB GUIDEWIRE IMPELLA 5.5 ABIOMED	C1769	$1670
SM	HB GUIDEWIRE INFUSION PROSTREAM EV3	C1769	$620
SM	HB GUIDEWIRE INSTINCT CORDIS	C1769	$900
SM	HB GUIDEWIRE INTRDUCR ENDOLOGIX	C1769	$590
SM	HB GUIDEWIRE IRON MAN GUIDANT	C1769	$690
SM	HB GUIDEWIRE J .025X150CM	C1769	$80
SM	HB GUIDEWIRE J BSCI	C1769	$300
SM	HB GUIDEWIRE J LONG	C1769	$110
SM	HB GUIDEWIRE J SHORT COOK	C1769	$60
SM	HB GUIDEWIRE J STIFF LONG	C1769	$910
SM	HB GUIDEWIRE J STIFF SHORT	C1769	$110
SM	HB GUIDEWIRE JINDO CORDIS J&J	C1769	$500
SM	HB GUIDEWIRE KATZEN INFUSION BOSTON SCI	C1769	$630
SM	HB GUIDEWIRE LUBRICATED	C1769	$200
SM	HB GUIDEWIRE LUNDERQUIST EXTRA STIFF COOK	C1769	$1900
SM	HB GUIDEWIRE LUNDERQUIST RING TORQUE COOK	C1769	$250
SM	HB GUIDEWIRE MACNAMARA	C1769	$520
SM	HB GUIDEWIRE MALLENCKRODT GUIDANT ABBOTT	C1769	$500
SM	HB GUIDEWIRE MCNAMARA RENAL EXCHANGE COOK	C1769	$400
SM	HB GUIDEWIRE METRO COOK	C1769	$600
SM	HB GUIDEWIRE MIRAGE EV3	C1769	$1090
SM	HB GUIDEWIRE MIZZEN BOSTON SCI	C1769	$670
SM	HB GUIDEWIRE NITNOL ENDOVASC EV3	C1769	$1100
SM	HB GUIDEWIRE PED PEDIAVASCULUAR	C1769	$670
SM	HB GUIDEWIRE PLATINUM PLUS BSCI	C1769	$1500
SM	HB GUIDEWIRE PORTAL 14 EXTENSION PHENOX	C1769	$980
SM	HB GUIDEWIRE PORTAL 14 PHENOX	C1769	$1650
SM	HB GUIDEWIRE POWERWIRE RF BAYLIS	C1769	$5000
SM	HB GUIDEWIRE PRESSURE MONITOR COMET BSCI	C1769	$2230
SM	HB GUIDEWIRE PRESSURE RADI ST JUDE	C1769	$2250
SM	HB GUIDEWIRE PRESSURE VERRATA VOLCANO		$2250
SM	HB GUIDEWIRE PRIMEWIRE PRESTIGE VOLCANO	C1769	$2200
SM	HB GUIDEWIRE PROST ENDOVASC EV3	C1769	$620
SM	HB GUIDEWIRE PTCA ASAHI GAIA SION CONFIANZA MIRACLE FIELDER ABBOTT	C1769	$900
SM	HB GUIDEWIRE PTCA GLADIUS MONGO ASAHI	C1769	$420
SM	HB GUIDEWIRE PTCA MIRACLEBROS ASAHI	C1769	$420
SM	HB GUIDEWIRE PTCA SION BLACK ASAHI	C1769	$420
SM	HB GUIDEWIRE PTFE FIXED STRAIGHT HVY DUTY COOK	C1769	$30
SM	HB GUIDEWIRE PTFE FIXED-CORE HVY DUTY SAFE-T-J COOK	C1769	$150
SM	HB GUIDEWIRE QUICKSILVER	C1769	$630
SM	HB GUIDEWIRE REUTER DEFLECTING TIP COOK	C1769	$300
SM	HB GUIDEWIRE ROADRUNNER EXTRA SUPPORT COOK	C1769	$400
SM	HB GUIDEWIRE ROADRUNNER PC COOK	C1769	$500
SM	HB GUIDEWIRE ROSEN COOK	C1769	$70
SM	HB GUIDEWIRE ROTABLATOR ROTAWIRE	C1769	$1100
SM	HB GUIDEWIRE RUNTHROUGH TERU	C1769	$400
SM	HB GUIDEWIRE SAFARI CORONARY BOSTON SCI	C1769	$1000
SM	HB GUIDEWIRE SAFE-T-J CURVED COOK	C1769	$100
SM	HB GUIDEWIRE SCIMED	C1769	$610
SM	HB GUIDEWIRE SEEKER 14	C1769	$650
SM	HB GUIDEWIRE SENTAI HORNET BSCI	C1769	$430
SM	HB GUIDEWIRE SHINOBI CORDIS J&J	C1769	$370
SM	HB GUIDEWIRE SMALL VESSEL GOLD	C1769	$740
SM	HB GUIDEWIRE SORCERER ADVANCED TECH	C1769	$1170
SM	HB GUIDEWIRE SPARTACORE	C1769	$390
SM	HB GUIDEWIRE SPRING WIRE ARROW	C1769	$800
SM	HB GUIDEWIRE SS	C1769	$370
SM	HB GUIDEWIRE STIFF SHORT	C1769	$110
SM	HB GUIDEWIRE STINGRAY BSCI	C1769	$1100
SM	HB GUIDEWIRE STINGRAY EXTENSION BSCI	C1769	$270
SM	HB GUIDEWIRE STRAIGHT .038X150CM	C1769	$40
SM	HB GUIDEWIRE STRAIGHT .038X260CM	C1769	$40
SM	HB GUIDEWIRE STRAIGHT XTRA FIRM .035 260	C1769	$80
SM	HB GUIDEWIRE SUPER CORE GUIDANT	C1769	$390
SM	HB GUIDEWIRE SV STRAIGHT GLIDE BOSTON SCI	C1769	$230
SM	HB GUIDEWIRE SYNCHRO BOSTON SCI	C1769	$1800
SM	HB GUIDEWIRE SYNCHRO EXCHANGE	C1769	$1420
SM	HB GUIDEWIRE SYNCHRO2 STRYKER	C1769	$2080
SM	HB GUIDEWIRE TAPER 22	C1769	$600
SM	HB GUIDEWIRE TARGET	C1769	$370
SM	HB GUIDEWIRE TEFLON	C1769	$50
SM	HB GUIDEWIRE TERUMO EXCHANGE	C1769	$100
SM	HB GUIDEWIRE TERUMO STIF STRAIGHT	C1769	$140
SM	HB GUIDEWIRE THRUWAY BOSTON SCI	C1769	$340
SM	HB GUIDEWIRE THSCF .035 260	C1769	$110
SM	HB GUIDEWIRE TIP DEFLECTING	C1769	$230
SM	HB GUIDEWIRE TORAY	C1769	$500
SM	HB GUIDEWIRE TRACKWIRE IT	C1769	$380
SM	HB GUIDEWIRE TRANSEND EX BOSTON SCI	C1769	$1600
SM	HB GUIDEWIRE TRANSEND ICE BSCI STRY	C1769	$1900
SM	HB GUIDEWIRE TRANSSEPTAL ACCESS GW BAYM	C1769	$430
SM	HB GUIDEWIRE TRAVERSE .014X300	C1769	$310
SM	HB GUIDEWIRE TRIPLE J TIP	C1769	$110
SM	HB GUIDEWIRE TRUPUSH COIL EMBO		$1600
SM	HB GUIDEWIRE V18 CONTROL BOSTON SCI	C1769	$400
SM	HB GUIDEWIRE VASCUPUNCTURE HERAEUS MEDICAL	C1769	$110
SM	HB GUIDEWIRE VIPERWIRE ADVANCE FLEX TIP CSI	C1769	$680
SM	HB GUIDEWIRE VIPERWIRE CSI	C1769	$570
SM	HB GUIDEWIRE VIPERWIRE SCI DB360 COAS CSI	C1769	$650
SM	HB GUIDEWIRE VISIONWIRE BIOTRONIK	C1769	$440
SM	HB GUIDEWIRE WHOLEY EXCHANGE	C1769	$400
SM	HB GUIDEWIRE WHOLEY HI TORQUE.035	C1769	$330
SM	HB GUIDEWIRE WHOLEY MOD J.035X150	C1769	$170
SM	HB GUIDEWIRE XCELERATOR EV3	C1769	$970
SM	HB GUIDEWIRE XPEDION SILVERSPEED EV3	C1769	$670
SM	HB HALO ADD-REPLAC LINER/INTERFAC	L0861	$630
SM	HB HAND FINGER ORTHOSIS WO JOINTS	L3924	$240
SM	HB HDE STENT JOSTENT GRAFTMASTER + DELV H000001	C1874	$7980
SM	HB HDE STENT JOSTENT GRAFTMASTER WO DELV H000001	C1876	$7980
SM	HB HEADBAND EEG CERIBELL		$1960
SM	HB HEARTMATE ELECTRIC BATTRY CLIP SET		$600
SM	HB HEARTMATE ELECTRIC POCKT PAC/BATRY		$2840
SM	HB HEARTMATE ELECTRIC VENT ASSIST DEVIC VAD		$238110
SM	HB HEARTMATE II BATTERY CONTROLLER		$300
SM	HB HEARTMATE II VENT ASSIST DEVICE VAD		$291460
SM	HB HEEL CUP PLASTIC REINFORCED	L3430	$470
SM	HB HEEL CUP STABILIZ PR DJ ORTHO	L3170	$150
SM	HB HEEL PAD REMOVABLE HEELBO	L3485	$20
SM	HB HEEL PAD REMOVABLE TULI CUP	L3485	$40
SM	HB HEMOPERFUSION CLARK CARTRIDGE		$2150
SM	HB HEMOSTATIC FEMOSTOP IMPRA BARD STJUDE	C1763	$1400
SM	HB HEMOSTATIC SEALANT	C1763	$700
SM	HB HEMOSTATIC SEALANT FLOWABLE	C1763	$2800
SM	HB HFO +NONTORSION JOINTS CUSTOM	L3921	$860
SM	HB HFO GLOV FLEX+FINGER PREFB+FIT	L3912	$350
SM	HB HFO WO JOINTS CUSTOM	L3913	$720
SM	HB HFO WO JOINTS DJ ORTHO	L3923	$240
SM	HB HFO WO JOINTS PREFAB+FIT	L3923	$240
SM	HB HFO WO JOINTS UNIV DJ ORTHO	L3923	$240
SM	HB HFO1+NONTORSION JTS PREFAB+FIT	L3929	$290
SM	HB HIP TILT TBL LOCKING SGL AXIS SACH FOOT	L5270	$20530
SM	HB HKAFO TORS CONT BILAT ROT STRAPS PELV BND/BELT CUST	L2040	$500
SM	HB HKAFO TORS CONT BILAT TORS CBLS BLL BR HIP JT PELV BND/BELT CUST	L2060	$2180
SM	HB HKAFO TORS CONT BILAT TORS CBLS HIP JT PELV BND/BELT CUST	L2050	$1780
SM	HB HKAFO TORS CONT UNILAT ROT STRAPS PELV BND/BELT CUST	L2070	$420
SM	HB HKAFO TORS CONT UNILAT TORS CBLE BLL BR HIP JT PELV BND/BELT CUST	L2090	$1640
SM	HB HKAFO TORS CONT UNILAT TORS CBLE HIP JT PELV BND/BELT CUST	L2080	$1350
SM	HB HO ABDC CONTR- P-OP PREFAB+FIT	L1686	$3420
SM	HB HO ABDUC CONTR-ILFLED ADJ+FIT	L1650	$760
SM	HB HO ABDUC CONTR-PAVLKHARNES+FIT	L1620	$470
SM	HB HO ABDUC CONTR-PLAST ADJ+FIT	L1660	$480
SM	HB HO ABDUC CONTR-POSTOP HIP CUST	L1685	$4460
SM	HB HVY DUTY LOW LIMB PROS VACUUM PUMP	L5782	$12400
SM	HB IABP CATH FIDELITY DATASCOPE		$2690
SM	HB IABP CATH MEGA DATASCOPE		$3050
SM	HB IABP CATH SENSATION DATASCOPE		$3270
SM	HB IABP INTRAAORTIC BALLN PUMP ASSISTDEVICE		$2500
SM	HB ICD CONCERTO OTH SGL/DUAL MDTR	C1882	$84920
SM	HB ICD CRT-D INOGEN OTH THAN SGL/DUAL CHAMBER BSCI	C1882	$73270
SM	HB ICD CRT-D ITREVIA 7 HF-T BIOTRONIK	C1882	$73260
SM	HB ICD DUAL ATLAS+ / II DR STJU	C1721	$68270
SM	HB ICD DUAL CONFIENT RF HE BSCI	C1721	$67440
SM	HB ICD DUAL CURRENT RF DR STJU	C1721	$81590
SM	HB ICD DUAL CURRENT+ DR STJU	C1721	$75130
SM	HB ICD DUAL CURRENT+ RF / FORTIFY RF DR STJU	C1721	$75130
SM	HB ICD DUAL ENTRUST MDTR	C1721	$79930
SM	HB ICD DUAL EPIC / II /+ DR STJU	C1721	$66610
SM	HB ICD DUAL EVERA MRI XT DR SURESCAN MDTR	C1721	$62770
SM	HB ICD DUAL FORTIFY DR /FORTIY ASSURA/ ELLIPSE STJU	C1721	$57120
SM	HB ICD DUAL ILESTO DRT BIOTRONIK P050023/S074	C1721	$57110
SM	HB ICD DUAL ILIVIA MRI DR-T BIOTRONIK	C1721	$58940
SM	HB ICD DUAL INOGEN MINI BSCI	C1721	$57120
SM	HB ICD DUAL IPERIA MRI DR-T DF-1 BIOTRONIK	C1721	$58940
SM	HB ICD DUAL IPERIA MRI DR-T DF4 BIOTRONIK	C1721	$58940
SM	HB ICD DUAL ITREVIA 7 DR-T BIOTRONIK	C1721	$57110
SM	HB ICD DUAL KRONOS LVT BIOTRONIK	C1721	$74930
SM	HB ICD DUAL LUMAX 340 DRT BIOTRONIK	C1721	$79930
SM	HB ICD DUAL LUMAX 540 DRT BIOTRONIK	C1721	$81590
SM	HB ICD DUAL LUMOS DRT BIOTRONIK	C1721	$54290
SM	HB ICD DUAL MAXIMO MDTR	C1721	$61150
SM	HB ICD DUAL MOMENTUM EL DR BSCI	C1721	$54950
SM	HB ICD DUAL OVATIO DR ELA MED SORIN	C1721	$61780
SM	HB ICD DUAL PERCIVA DR BSCI	C1721	$54950
SM	HB ICD DUAL PLATINIUM DR DF-1/DF-4 MICROPORT	C1721	$57050
SM	HB ICD DUAL PROTECTA XT DR MDTR	C1721	$57120
SM	HB ICD DUAL RESONATE EL DR BSCI	C1721	$56610
SM	HB ICD DUAL RIVACOR PROMRI DR-T BIOTRONIK	C1721	$58940
SM	HB ICD DUAL SECURA DR MDTR	C1721	$60110
SM	HB ICD DUAL TELIGEN DR HE100 BSCI	C1721	$65180
SM	HB ICD DUAL VIGILANT EL DR BSCI	C1721	$54950
SM	HB ICD DUAL VIRTUOSO AWG MDTR	C1721	$78260
SM	HB ICD DUAL VITALITY DS BSCI	C1721	$59610
SM	HB ICD DUAL VITALITY ES BSCI	C1721	$62450
SM	HB ICD DUAL VITALITY2 DR BSCI	C1721	$64940
SM	HB ICD DUAL VITALITY2 EL BSCI	C1721	$68270
SM	HB ICD DUAL XELOS DRT BIOTRONIK	C1721	$76600
SM	HB ICD GENERATOR LUMAX 540 VRT BIOTRONIK	C1722	$58280
SM	HB ICD ILESTO7 DR-T DUAL BIOTRONIK	C1721	$57120
SM	HB ICD ILESTO7 VR-T DX SINGLE BIOTRONIK	C1722	$52390
SM	HB ICD LEAD OTH ENDOCARD SGL/DUAL SUBCUTANEOUS MDTR	C1896	$8300
SM	HB ICD LEAD OTH ENDOCARD SGL/DUAL TRANSVENE EPI PATCH MDTR P900061/S2	C1896	$2660
SM	HB ICD LEAD OTH ENDOCARD SGL/DUAL TRANSVENE MDTR	C1896	$4000
SM	HB ICD LUMAX 540 DR-T DUAL BIOTRONIK	C1721	$51960
SM	HB ICD LUMAX 740 DR-T DUAL BIOTRONIK	C1721	$57120
SM	HB ICD LUMAX 740 HF-T CRT-D BIOTRONIK	C1882	$73270
SM	HB ICD OTH BI-V COGNIS RF HE BSCI	C1882	$89920
SM	HB ICD OTH BI-V CONTAK RENEWAL3 BSCI	C1882	$71800
SM	HB ICD OTH BI-V CONTAK RENEWAL3 HE BSCI	C1882	$74430
SM	HB ICD OTH BI-V INSYNC SENTRY MDTR	C1882	$83260
SM	HB ICD OTH BI-V LIVIAN BSCI	C1882	$63280
SM	HB ICD OTH BI-V LIVIAN RF HE BSCI	C1882	$63280
SM	HB ICD OTH BI-V RENEWAL3 RF BSCI	C1882	$78330
SM	HB ICD OTH BI-V RENEWAL3 RF HE BSCI	C1882	$80940
SM	HB ICD OTH CRT AMPLIA MRI XT CRT-D SURESCAN MDTR	C1882	$72930
SM	HB ICD OTH CRT ATLAS +HF STJUDE	C1882	$104240
SM	HB ICD OTH CRT ATLAS II HF STJUDE	C1882	$92420
SM	HB ICD OTH CRT CLARIA MRI QUAD/CLARIA MRI CRT-D SURESCAN MDTR	C1882	$72930
SM	HB ICD OTH CRT COMPIA MRI CRT-D SURESCAN MDTR	C1882	$72930
SM	HB ICD OTH CRT CONSULTA MDTR	C1882	$84920
SM	HB ICD OTH CRT EPIC / II HF STJU	C1882	$78180
SM	HB ICD OTH CRT LUMAX 340 HFT BIOTRONIK	C1882	$66610
SM	HB ICD OTH CRT LUMAX 540 HFT BIOTRONIK	C1882	$81590
SM	HB ICD OTH CRT OVATIO ELA MED SORIN SORIN	C1882	$87920
SM	HB ICD OTH CRT PLATINIUM 4LV MICROPORT	C1882	$59530
SM	HB ICD OTH CRT PLATINIUM DF-1/DF-4 MICROPORT	C1882	$59530
SM	HB ICD OTH CRT PROMOTE RF STJU	C1882	$63280
SM	HB ICD OTH CRT PROTECTA XT CRT-D MDTR	C1882	$73270
SM	HB ICD OTH CRT UNIFY / UNIFY ASSURA / QUADRA STJU P030054	C1882	$83260
SM	HB ICD OTH CRT UNIFY / UNIFY ASSURA / QUADRA STJU P030054	C1882	$73260
SM	HB ICD OTH CRT+LEAD PLATINIUM SYST MICROPORT	C1882	$77200
SM	HB ICD OTH CRT-D ILIVIA MRI HFT BIOTRONIK	C1882	$72930
SM	HB ICD OTH CRT-D INTICA MRI HFT BIOTRONIK	C1882	$72930
SM	HB ICD OTH CRT-D INVENTRA HFT BIOTRONIK	C1882	$69270
SM	HB ICD OTH CRT-D SGL/DUAL ACTICOR PRO MRI HF-T QP BIOTRONIK	C1882	$76260
SM	HB ICD OTH CRT-D SGL/DUAL RIVACOR PROMRI HF-T QP BIOTRONIK	C1882	$76260
SM	HB ICD OTH SGL/DUAL ILESTO HFT BIOTRONIK P050023/S074	C1882	$73260
SM	HB ICD OTH SQ-RX & Q-TRAK SYSTEM BSCI	C1882	$78260
SM	HB ICD OTH SQ-RX GENERATOR ONLY BSCI	C1722	$63280
SM	HB ICD SGL ATLAS / +/ II VR STJU	C1722	$61610
SM	HB ICD SGL CURRENT VR RF STJU	C1722	$73270
SM	HB ICD SGL ACTICOR PROMRI DX BIOTRONIK	C1722	$58940
SM	HB ICD SGL CURRENT+ RF VR STJU	C1722	$47630
SM	HB ICD SGL EPIC / II /+ VR STJU	C1722	$61610
SM	HB ICD SGL ILIVIA MRI VR-T BIOTRONIK	C1722	$55610
SM	HB ICD SGL INTICA MRI VR-T DX BIOTRONIK	C1722	$58940
SM	HB ICD SGL INVENTRA 7 VR-T BIOTRONIK	C1722	$54050
SM	HB ICD SGL INVENTRA MRI VR-T DX DF-1 BIOTRONIK	C1722	$55610
SM	HB ICD SGL IPERIA MRI VR-T DX DF-1 BIOTRONIK	C1722	$55610
SM	HB ICD SGL ITREVIA 7 VR-T BIOTRONIK	C1722	$52380
SM	HB ICD SGL LEXOS VRT BIOTRONIK	C1722	$63280
SM	HB ICD SGL LUMAX 540 VRT BIOTRONIK	C1722	$81590
SM	HB ICD SGL LUMAX 340 VRT BIOTRONIKK	C1722	$59950
SM	HB ICD SGL LUMAX VRT BIOTRONIK	C1722	$69940
SM	HB ICD SGL MARQUISO DR MDTR	C1722	$51620
SM	HB ICD SGL MOMENTUM EL VR BSCI	C1722	$51620
SM	HB ICD SGL MRI S-ICD EMBLEM BSCI	C1722	$64940
SM	HB ICD SGL MRI S-ICD W/ LEADS EMBLEM BSCI	C1722	$78260
SM	HB ICD SGL OVATIO VR ELA MED SORIN	C1722	$61780
SM	HB ICD SGL PERCIVA VR BSCI	C1722	$51620
SM	HB ICD SGL PLATINIUM VR DF-1/DF-4 MICROPORT	C1722	$49300
SM	HB ICD SGL PROTECTA XT VR MDTR	C1722	$57120
SM	HB ICD SGL RESONATE EL VR BSCI	C1722	$53280
SM	HB ICD SGL RIVACOR PROMRI VR-T BIOTRONIK	C1722	$55610
SM	HB ICD SGL SECURA VR MDTR	C1722	$56450
SM	HB ICD SGL TELIGEN VR HE 100 BSCI	C1722	$65180
SM	HB ICD SGL VIGILANT EL VR BSCI	C1722	$51620
SM	HB ICD SGL VIRTUOSO VWC MDTR	C1722	$78260
SM	HB ICD SGL VITALITY DS VR BSCI	C1722	$52950
SM	HB ICD SGL VITALITY EL VR BSCI	C1722	$61610
SM	HB ICD SGL VITALITY VR BSCI	C1722	$59280
SM	HB ICD SINGLE FORTIFY VR RF36 STJU	C1722	$67410
SM	HB ICD SINGLE FORTIFY VR STJU	C1722	$52390
SM	HB ICD SINGLE INOGEN MINI BSCI	C1722	$52390
SM	HB ICD SINGLE VISIA AF MRI DR SURESCAN MDTR	C1722	$55610
SM	HB ICD VITALITY AVT DUAL BSCI	C1721	$72840
SM	HB ICD+LEAD DUAL PLATINIUM DR SYST MICROPORT	C1721	$69760
SM	HB ICD+LEAD SGL PLATINIUM VR SYST MICROPORT	C1722	$59220
SM	HB IMMOBILIZER KNEE	L1830	$330
SM	HB IMMOBILIZER KNEE DON JOY		$70
SM	HB IMMOBILIZER KNEE DON JOY ULTRA		$520
SM	HB IMMOBILIZER KNEE DON JOY ULTRA-SLING		$470
SM	HB INDEFLATOR MAP KIT MERIT		$270
SM	HB INSERT FOOT MOLDED REMOV CUSTOM EACH	L3020	$580
SM	HB INTERSCAP-THOR EXT POWER MYOELECTRONIC CONTROL	L6975	$55630
SM	HB INTERSCAP-THOR EXT POWER SWITCH CONTROL	L6970	$47050
SM	HB INTRDCR ARGON	C1769	$200
SM	HB INTRDCR GUIDE STEER AGILIS NXT ABBOT	C1766	$3320
SM	HB INTRDCR GUIDE STEER AGILIS STJUDE	C1766	$3170
SM	HB INTRDCR GUIDE STEER FATHOM BSCI	C1769	$970
SM	HB INTRDCR GUIDE STEER HELI-FX AAA ENDOANCHOR APTUS MDTR	C1766	$5860
SM	HB INTRDCR GUIDE STEER LT LATERAL	C1766	$1900
SM	HB INTRDCR GUIDE STEER MICROPUNCTURE COOK	C1766	$150
SM	HB INTRDCR GUIDE STEER RB COOK	C1766	$210
SM	HB INTRDCR KIT IMPELLA 5.5 ABIOMED		$2330
SM	HB INTRDCR SHEATH BRAUN	C1892	$700
SM	HB INTRDCR SHEATH BYRD DILATOR SHEATH TELESCOPING COOK	C1893	$730
SM	HB INTRDCR SHEATH CURVED FEMORAL 12FR COOK	C1893	$710
SM	HB INTRDCR SHEATH CURVED FEMORAL 16FR COOK	C1893	$1750
SM	HB INTRDCR SHEATH CV AVE	C1893	$430
SM	HB INTRDCR SHEATH CV EPS 45CM STJUDE	C1893	$290
SM	HB INTRDCR SHEATH CV EPS 60CM STJU DAIG AVE	C1893	$300
SM	HB INTRDCR SHEATH CV EPS GUIDE 6F	C1893	$610
SM	HB INTRDCR SHEATH CV EPS GUIDE 8.5F	C1893	$970
SM	HB INTRDCR SHEATH CV FASTCATH CSTA STJUDE	C1893	$540
SM	HB INTRDCR SHEATH CV FASTCATH DUO STJUDE	C1893	$540
SM	HB INTRDCR SHEATH CV FASTCATH RAMP STJUDE	C1893	$540
SM	HB INTRDCR SHEATH CV FASTCATH SAFL STJUDE	C1893	$540
SM	HB INTRDCR SHEATH CV FASTCATH SEPT STJUDE	C1893	$540
SM	HB INTRDCR SHEATH CV OTH FASTCATH STJUDE	C1893	$300
SM	HB INTRDCR SHEATH CV SOFT TIP	C1893	$700
SM	HB INTRDCR SHEATH CV SUPERFLX 6F	C1893	$230
SM	HB INTRDCR SHEATH CV SUPERFLX 7F	C1893	$230
SM	HB INTRDCR SHEATH CV SUPERFLX 9F	C1893	$170
SM	HB INTRDCR SHEATH CV SUPERFLX LONG	C1893	$430
SM	HB INTRDCR SHEATH CV SUPERFLX SHORT	C1893	$170
SM	HB INTRDCR SHEATH CV SWARTZ STJUDE	C1893	$900
SM	HB INTRDCR SHEATH DESILETS HOFFMAN COOK	C1892	$270
SM	HB INTRDCR SHEATH EP 8.5F STEERABLE STRYKER		$2650
SM	HB INTRDCR SHEATH GUIDING EP FIXCURVE OTHERTHAN PEEL-AWAY VISISHEATH SPECTRONICS	C1893	$900
SM	HB INTRDCR SHEATH LASER LEAD REMV SPECT	C2629	$9600
SM	HB INTRDCR SHEATH LASER PREFACE BIOSENSE	C2629	$600
SM	HB INTRDCR SHEATH MICRA MDTR	C1893	$2000
SM	HB INTRDCR SHEATH PEELAWAY AFX ENDOLOGIC	C1892	$1090
SM	HB INTRDCR SHEATH PEELAWAY COOK	C1892	$200
SM	HB INTRDCR SHEATH SELECTRA AMPLATZ BTNK	C1893	$710
SM	HB INTRDCR SHEATH SELECTRA BIO BTNK	C1893	$710
SM	HB INTRDCR SHEATH SELECTRA EXTENDED HOOK BTNK	C1893	$800
SM	HB INTRDCR SHEATH SELECTRA HOOK BTNK	C1893	$710
SM	HB INTRDCR SHEATH SELECTRA IC BTNK	C1893	$710
SM	HB INTRDCR SHEATH SELECTRA MPEP-45 BTNK	C1893	$710
SM	HB INTRDCR SHEATH SELECTRA MULTIPURPOSE HOOK MPH BTNK	C1893	$710
SM	HB INTRDCR SHEATH SELECTRA RIGHT BTNK	C1893	$710
SM	HB INTRDCR SHEATH STEADYSHEATH EVOL COOK	C1893	$890
SM	HB INTRDCR SHEATH STEER CARTO VIZIGO BIOSENSE	C1766	$3640
SM	HB INTRDCR SHEATH STEER DIREX BSCI	C1766	$2750
SM	HB INTRDCR SHEATH STEER ZURPAZ BSCI	C1766	$2750
SM	HB INTRDCR SHEATH WORLEY SAFESHEATH BTNK	C1893	$710
SM	HB INTRDCR SHEATH WORLEY SAFESHEATH II BTNK	C1893	$710
SM	HB INTRDCR SHEATHLESS ACCESS SYST RAILWAY CORDIS		$300
SM	HB INTRODUCER		$90
SM	HB INTRODUCER ACCUSTICK2 + 018 & 038 GW	C1769	$300
SM	HB INTRODUCER ACCUSTICK2 + 018 GW	C1769	$200
SM	HB INTRODUCER ACCUSTICK2 WO GUIDEWIRE	C1769	$220
SM	HB INTRODUCER CIAGLIA BLUE RHINO	C1769	$1100
SM	HB INTRODUCER DELIVERY COIL FLIPPER COOK		$580
SM	HB INTRODUCER EXPRESS TROC NDL		$1340
SM	HB INTRODUCER GUIDEWIRE METAL GUIDANT	C1769	$110
SM	HB INTRODUCER MICROPUNCTURE COOK	C1769	$100
SM	HB INTRODUCER MULTIPORT	C1769	$330
SM	HB INTRODUCER NEEDLE		$60
SM	HB INTRODUCER NEFF COOK	C1769	$220
SM	HB INTRODUCER PEELAWAY COOK	C1892	$200
SM	HB INTRODUCER SUPRAPUBIC CATH CHIOU		$270
SM	HB INTRODUCER SWARTZ	C1769	$480
SM	HB INTRODUCER TEMNO COAXIAL	C1769	$950
SM	HB INTRODUCER TRANS-SEPTAL MEDITECH STJU	C1769	$460
SM	HB KAFO DBL SOLID STIRRUP TGH+CLF BND WO KNEE CUST	L2030	$3800
SM	HB KAFO DBL STIRRUP FREE AK CUST	L2020	$4380
SM	HB KAFO FX FEMUR CAST CUSTOM	L2128	$6050
SM	HB KAFO FX FEMUR CAST RIDIGCUSTOM	L2126	$3850
SM	HB KAFO FX FEMUR RIGID PREFAB+FIT	L2136	$4430
SM	HB KAFO PLAST DBL UPRT FREE CUST	L2036	$6230
SM	HB KAFO PLAST MULTAXIS WO JT CUST	L2038	$4590
SM	HB KAFO SGL UPRT W WO FREE MOT KNEE W WO FREE MOT ANKLE CUST	L2037	$6240
SM	HB KAFO SGL W WO FREE MOT KNEE MED-LAT ROT CONT W WO FREE MOT ANKLE CUST	L2034	$5880
SM	HB KAFO SINGL FREE ANKLE TGH+CLF BND WO KNEE CUST	L2010	$3460
SM	HB KAFO SINGL FREE TGH+CLF BND CUST	L2000	$3800
SM	HB KAFO STANCE CONTROL CUSTOM	L2005	$12020
SM	HB KAFO STANCE MICROPROCESSOR CONTROL CUST	L2006	$140000
SM	HB KAFO STATIC PED WO FREE MOT ANKLE PREFAB+FIT	L2035	$510
SM	HB KIT CATH EPIDURAL		$100
SM	HB KNEE DISART MOLDED SCKT SACH FT ENDO SYS	L5312	$11800
SM	HB KNEE-SHIN EXO FRICT SWING & STANCE	L5718	$3640
SM	HB KNEE-SHIN EXO FRICT SWING & STANCE	L5712	$1720
SM	HB KNEE-SHIN EXO MECH STANCE PHASE LOCK	L5716	$2910
SM	HB KNEE-SHIN FLUID SWING & STANCE	L5728	$9500
SM	HB KO ADD-DROP LOCK EACH JOINT	L2405	$260
SM	HB KO ADD-KNEE CAM LOCK/JOINT	L2415	$360
SM	HB KO ADD-KNEE POLYCENTRIC/JNT		$230
SM	HB KO ADJ JNT POS RIGID SUP PREFAB OTS	L1833	$2040
SM	HB KO ADJST JNTS RIGID PREFAB+FIT	L1832	$2040
SM	HB KO DBL UPRT ADJST JNT PRE+FIT	L1845	$2300
SM	HB KO DEROTAT CRUCIAT CUST/LINNOX	L1840	$3450
SM	HB KO DOUBLE UPRIGHT PREFAB OTS	L1852	$2300
SM	HB KO ELAST+CONDYL PAD PREFAB+FIT		$190
SM	HB KO ELAST+CONDYL PAD&JT PRE+FIT	L1820	$440
SM	HB KO ELASTIC KNEE CAP	A4467	$20
SM	HB KO ELASTIC+JOINTS DJ ORTHO	L1810	$370
SM	HB KO ELASTIC+JOINTS PREFAB OTS	L1812	$370
SM	HB KO ELASTIC+STAYS PREFAB+FIT		$160
SM	HB KO IMMOBILZR CANVAS PREFB+FIT	L1830	$330
SM	HB KO LOCKING POSITIONAL W FIT+ADJ	L1831	$860
SM	HB KO PATELLA WRAP UNIV	A4467	$100
SM	HB KO PLAST DBL UPRT CUST/POLYPRO	L1846	$4190
SM	HB KO PLAST POLYCENTRC PNEUM CUST	L1846	$4190
SM	HB KO SGL UPRT ADJST JNT CUSTOM	L1844	$5960
SM	HB KO SGL UPRT TGH+CLF ADJST FLXION PREFAB TRMD BNT MLD	L1843	$2630
SM	HB KO SINGLE UPRIGHT PREFAB OTS	L1851	$2630
SM	HB KO SWEDISH CAGE PREFAB+FIT	L1850	$1080
SM	HB KYPHON VERTEBROPLASTY INTRODUCER		$1340
SM	HB KYPHX DEVICE BONE BIOPSY EXPRESS KYPHON		$440
SM	HB KYPHX DEVICE BONE BIOPSY KYPHON		$400
SM	HB KYPHX DEVICE BONE BIOPSY SYSTEM KYPHON		$4330
SM	HB LAA CLOSURE DEVICE WATCHMAN BSCI		$56610
SM	HB LARYNGECTMY TUBE		$630
SM	HB LARYNX ARTIFICIAL BLOMSINGER ELECTROLARYNX	L8500	$690
SM	HB LARYNX ARTIFICIAL COOPER RAND ELECTROLARYNX	L8500	$1590
SM	HB LARYNX ARTIFICIAL LIBERTY ELECTROLARYNX	L8500	$720
SM	HB LARYNX ARTIFICIAL NUVOICE ELECTROLARYNX	L8500	$2090
SM	HB LARYNX ARTIFICIAL SERVOX ELECTROLARYNX	L8500	$2090
SM	HB LARYNX ARTIFICIAL SOLATONE ELECTROLARYNX	L8500	$1650
SM	HB LE ADD-PELVC CONTROL BAND/BELT BILATERAL	L2640	$1260
SM	HB LEAD ATTAIN LV CORONARY SINUS MDTR	C1900	$9660
SM	HB LEAD CELERITY LV BIOTRONIK SORIN	C1900	$6660
SM	HB LEAD EASYTRAK LV SINUS BSCI	C1900	$10660
SM	HB LEAD ICD 2COIL SPRINT QUATTRO SECURE	C1895	$22320
SM	HB LEAD ICD ACUITY BSCI	C1900	$11990
SM	HB LEAD ICD COROX CORON SINUS LINOX BIOTRONIK	C1900	$19990
SM	HB LEAD ICD COROX CORON SINUS PAC BIOTRONIK	C1900	$6170
SM	HB LEAD ICD DURATA ENDOCARD DUAL ST JUDE	C1895	$17490
SM	HB LEAD ICD DURATA ENDOCARD SINGLE ST JUDE	C1777	$17490
SM	HB LEAD ICD DURATA SJ4 ENDOCARD DUAL STJUDE	C1895	$18360
SM	HB LEAD ICD DURATA SJ4 ENDOCARD SGL ST JUDE	C1777	$18360
SM	HB LEAD ICD FIDELIS 2COIL MDTR	C1895	$20810
SM	HB LEAD ICD ISOLINE DUAL COIL SORIN	C1895	$13330
SM	HB LEAD ICD KENTROX OTH THAN VDD SGL SORIN	C1895	$13330
SM	HB LEAD ICD LINOX SD 2COIL BIOTRONIK	C1895	$19320
SM	HB LEAD ICD PLEXA MRI SD DUAL COIL BIOTRONIK	C1895	$12490
SM	HB LEAD ICD PLEXA MRI SGL COIL BIOTRONIK	C1777	$12490
SM	HB LEAD ICD PROTEGO S SGL COIL BIOTRONIK	C1777	$12490
SM	HB LEAD ICD PROTEGO SD DUAL COIL BIOTRONIK	C1895	$12490
SM	HB LEAD ICD Q-TRAK SQ OTH ENDOCARD BSCI	C1896	$14990
SM	HB LEAD ICD QUARTET ST JUDE	C1900	$6670
SM	HB LEAD ICD QUARTET ST JUDE FOR USE WITH NON-STJUDE DEVICE	C1900	$16650
SM	HB LEAD ICD QUCKSITE/FLEX ST JUDE	C1900	$12830
SM	HB LEAD ICD RELIANCE 4FRONT DUAL COIL BSCI	C1895	$11490
SM	HB LEAD ICD RELIANCE 4FRONT SGL COIL BSCI	C1777	$11490
SM	HB LEAD ICD RELIANCE ENDO SINGLE BSCI	C1777	$18320
SM	HB LEAD ICD RELIANCE G ENDOCARD BSCI	C1895	$19990
SM	HB LEAD ICD RELIANCE SQ OTH ENDOCARD BSCI	C1896	$20150
SM	HB LEAD ICD RIATA DUAL COIL STJUDE	C1895	$16660
SM	HB LEAD ICD RIATA SGL COIL STJUDE	C1777	$16660
SM	HB LEAD ICD SELOX SR PERM 1COIL BIOTRONIK	C1777	$2340
SM	HB LEAD ICD SWIFT SGL COIL BIOTRONIK SORIN	C1777	$13330
SM	HB LEAD ICD TUNNELING TOOL MDTR GUID BSCI	C1769	$1670
SM	HB LEAD ICD VOLTA BIOTRONIK SORIN	C1777	$9990
SM	HB LEAD ICD VOLTA DUAL COIL BIOTRONIK	C1895	$9620
SM	HB LEAD LV CRT SENTUS OTW QP MRI CORON SINUS BIOTRONIK	C1900	$6330
SM	HB LEAD PCKMR EXTENSION GUIDANT BSCI	C1883	$1170
SM	HB LEAD PCKMR MYOPORE 35CM STJUDE	C1898	$1670
SM	HB LEAD PCKMR MYOPORE 54CM STJUDE	C1898	$2840
SM	HB LEAD PCKMR OPTISENSE STJUDE	C1898	$1670
SM	HB LEAD PCKMR PASSIVE + DX STJUDE	C1898	$2500
SM	HB LEAD PCMKR 4057M / 64126 NOT VDD MDTR	C1898	$14300
SM	HB LEAD PCMKR 6416 NOT VDD MDTR	C1898	$940
SM	HB LEAD PCMKR ADAPTOR SPLITTER HV MDTR	C1883	$14320
SM	HB LEAD PCMKR CAPSURE EPI NOT VDD MDTR	C1898	$3000
SM	HB LEAD PCMKR CAPSUREFIXNOVUS NOT VDD MDTR	C1898	$2500
SM	HB LEAD PCMKR DEXTRUS NOT VDD BSCI	C1898	$1670
SM	HB LEAD PCMKR ENPATH OTH VDD GUIDANT	C1898	$1670
SM	HB LEAD PCMKR EXTENSION STJUDE	C1883	$2990
SM	HB LEAD PCMKR FINELINE OTH VDD GUIDANT	C1898	$2420
SM	HB LEAD PCMKR FLEXION OTH VDD BSCI	C1898	$1670
SM	HB LEAD PCMKR FLEXTEND OTH VDD GUIDANT	C1898	$1670
SM	HB LEAD PCMKR INGEVITY MRI OTH VDD BSCI	C1898	$2330
SM	HB LEAD PCMKR ISOFLEX ENDOCARD ST JUDE	C1898	$2500
SM	HB LEAD PCMKR OTH THAN VDD ELA MED SORIN	C1898	$1670
SM	HB LEAD PCMKR OTH THAN VDD INGEVITY+ BSCI	C1898	$1330
SM	HB LEAD PCMKR OTH THAN VDD TILDA SORIN P950037/S099	C1898	$1670
SM	HB LEAD PCMKR SELECTSURE NOT VDD MDTR	C1898	$1670
SM	HB LEAD PCMKR SETROX S ENDOCARD BIOTRONIK	C1898	$2340
SM	HB LEAD PCMKR SOLIA S OTH VDD BIOTRONIK	C1898	$1580
SM	HB LEAD PCMKR TENDRIL DX ST JUDE	C1898	$2420
SM	HB LEAD PCMKR TENDRIL SDX ST JUDE	C1898	$2420
SM	HB LEAD PCMKR TENDRIL ST OPTIM ST JUDE	C1898	$2590
SM	HB LEAD PCMKR TENDRIL ST ST JUDE	C1898	$2500
SM	HB LEAD QUADRIPOLAR LV ACUITY X4 BSCI	C1900	$6330
SM	HB LEAD SITUS LV CORONARY SINUS OSCOR SORIN	C1900	$6670
SM	HB LIVER ACCESS TRANSJUGULAR COOK	C1887	$1500
SM	HB LO FLEX+LUMB SUPP DJ ORTHO	L0625	$160
SM	HB LO FLEX+LUMB SUPP PREFAB+FIT	L0625	$160
SM	HB LO RIGID ANT POS PNL L1 TO L5 VERT PREFAB OTS	L0642	$1210
SM	HB LO RIGID ANT-POST PANEL PREFAB	L0627	$1210
SM	HB LO RIGID POS PNL L1 TO L5 VERT PREFAB OTS	L0641	$230
SM	HB LO RIGID POST PANEL PREFAB+FIT	L0626	$230
SM	HB LSO A-P CONTROL+APRON FRONT		$810
SM	HB LSO A-P CONTROL+POST-PNL PREFB		$420
SM	HB LSO CORSET FULL	L0976	$460
SM	HB LSO FLEX+LUMBOSACR SUPP CUSTOM	L0629	$500
SM	HB LSO FLEX+LUMBOSACR SUPP PREFAB	L0628	$250
SM	HB LSO RIGID A-P FRAME+LAT CUSTOM	L0638	$3870
SM	HB LSO RIGID A-P FRAME+LAT PREFAB	L0637	$3550
SM	HB LSO RIGID ANT POS PNL SAC TO T9 VERT PREFAB OTS	L0648	$3010
SM	HB LSO RIGID ANT-POST PNL CUSTOM	L0632	$2500
SM	HB LSO RIGID ANT-POST PNL PREFAB	L0631	$3010
SM	HB LSO RIGID POS PNL SAC TO T9 VERT PREFAB OTS	L0643	$480
SM	HB LSO RIGID POST FRAME+LAT CUST	L0636	$5310
SM	HB LSO RIGID POST FRAME+LAT PREFB	L0635	$3590
SM	HB LSO RIGID POST FRAME/PNL CUST	L0634	$2500
SM	HB LSO RIGID POST FRAME/PNL PREFB	L0633	$840
SM	HB LSO RIGID POST PANEL PREFB+FIT	L0630	$480
SM	HB LSO RIGID POST SHELL CUSTOM	L0640	$3070
SM	HB LSO RIGID POST SHELL PREFB+FIT	L0639	$3550
SM	HB LSO RIGID SAG-COR CTRL ANT POS PNL SAC TO T9 VERT PREFAB OTS	L0650	$3550
SM	HB LSO RIGID SAG-COR CTRL POS LAT PNL SAC TO T9 VERT PREFAB OTS	L0649	$840
SM	HB LSO RIGID SAG-COR CTRL POS SHLL SAC TO T9 VERT PREFAB OTS	L0651	$3550
SM	HB LSO SUPPORT SURG FLEX-CUST FAB		$770
SM	HB LSO SUPPORT SURGICAL FLEXIBLE		$420
SM	HB LUBRICANT ATHERECTOMY CSI		$270
SM	HB LUMBAR PUNCTURE SUPPLY		$80
SM	HB MANIFOLD HEART CATH		$40
SM	HB MARKER BIOPSY BREAST TI	A4648	$2300
SM	HB MARKER BREAST NEEDLE		$640
SM	HB MEMBRANE SPINAL PRECLUDE 3X 3 GORE	C1781	$1270
SM	HB MEMBRANE SPINAL PRECLUDE 3X 6 GORE	C1781	$1270
SM	HB MEMBRANE SPINAL PRECLUDE 3X12 GORE	C1781	$1270
SM	HB MESH DUAL 10X15CMX2.0MM	C1781	$1970
SM	HB MESH DUAL 18X24CMX2.0MM	C1781	$6100
SM	HB MESH DUAL 20X30CMX2.0MM	C1781	$8080
SM	HB MESH DUAL 26X34CMX2.0MM	C1781	$10540
SM	HB MESH SEAMGUARD STRIP	C1781	$5800
SM	HB MFR DNTD CATH GUIDE DIREXION MICRO BSCI IRB#18-000560 NCT03491397	C1887	$1
SM	HB MFR DNTD CATH GUIDE WEDGE MICV TERUMO	C1887	$1
SM	HB MFR DNTD CATH THROMBECT BASHIR ENDOVASC THROMBOLEX	C1757	$1
SM	HB MFR DNTD CATH THROMBECT BASHIR N-X ENDOVASC THROMBOLEX	C1757	$1
SM	HB MFR DNTD CEMENT BONE OSTEOCRETE BSI	C1713	$1
SM	HB MFR DNTD DEVICE RETRIEV KIT SNGL/TRPL LOOP SNARE ARGON	C1773	$1
SM	HB MFR DNTD GUIDEWIRE FATHOM-14 BSCI IRB#18-000560 NCT03491397	C1769	$1
SM	HB MFR DNTD GUIDEWIRE JAGWIRE REVOLUTION BSCI	C1769	$1
SM	HB MFR DNTD INTRAOCULAR IMPLANT PORT DELIV SYST GENENTECH IND #113552 IRB #19-001687 NCT04108156		$1
SM	HB MFR DNTD OCUL IMPLT AQU DRAIN ASST HYDRUS MICSTNT IVANTIS	C1783	$1
SM	HB MFR DONATED IOL POSTERIOR CHAMBER ENVISTA BAUSCH & LOMB	V2632	$1
SM	HB MFR DONATED SNARE POLYPECTOMY CAPTIVATOR COLD BSCI		$1
SM	HB MFR DONATED STENT COATED+DELIVERY SYSTEM	C1874	$840
SM	HB MICROSNARE AMPLATZ GOOSENECK EV3	C1725	$390
SM	HB MITRACLIP SYS ABBOTT VASCULAR		$99900
SM	HB MRI ACTIVATOR PATIENT PROGRAMMER		$1000
SM	HB MRI HEAD TONGS OR RINGS		$670
SM	HB MULTI DEN INSERT CUSTOM MOLD	A5513	$130
SM	HB MUSICIAN EARPLUG FILTER ONLY EACH	V5265	$50
SM	HB MUSICIAN EARPLUG WITH FILTER EACH	V5264	$120
SM	HB NEUROVISION CLIP FOR PEDICLE SCREW	C1713	$770
SM	HB NEUROVISION EMG ELECTRODE HARN		$4500
SM	HB NEUROVISION K WIRE		$890
SM	HB NEUROVISION PROBE PEDICLE		$840
SM	HB NEURSTIM PATIENT PROGRAMMER PRECISION SPECTRA REMOTE	C1787	$2790
SM	HB NEWBORN SCRN-SPECIMEN COLLECT CARD		$1
SM	HB NITINOL OCCLUDER DEVICE LG	C1760	$3710
SM	HB NITINOL OCCLUDER DEVICE MED	C1760	$3020
SM	HB NITINOL OCCLUDER DEVICE SM	C1760	$2400
SM	HB OCCLUS DEVICE FLORESTER SYST IMPLANT	C1760	$200
SM	HB OCCLUS DEVICE NIT-OCCLUD COIL PFM MED	C1760	$5600
SM	HB OCCLUS DEVICE PDA AMPLATZER OCCLUDER II STJU	C1760	$13660
SM	HB OD CERV COLLAR FLEX NONADJ FOAM	L0120	$100
SM	HB OD CERV COLLAR MULTIPOST ADJST	L0180	$1330
SM	HB OD CERV COLLAR MULTIPOST+THOR	L0200	$1930
SM	HB OD CERV COLLAR MULTPOST+ADJBAR	L0190	$1860
SM	HB OD CERV COLLAR PLASTIC ADJUST	L0140	$180
SM	HB OD CERV COLLAR THERMOPLAST 2PC	L0172	$450
SM	HB OD CERV COLLAR THERMOPLASTIC	L0130	$500
SM	HB OD CERV COLLAR THERMPLAST+THOR	L0174	$1030
SM	HB OD CERV COLLAR+CHIN CUP/ASPEN	L0150	$400
SM	HB OD CERV COLLAR/PHILIDELPHIA	L0170	$2400
SM	HB OD CERV HALO+JACKET VEST	L0810	$9660
SM	HB OD CERV WIREFRAME+CHIN SUPPORT	L0160	$500
SM	HB OD CERVICAL ASPEN REPR PAD SET	L0172	$450
SM	HB OD CERVICAL COLLAR FOAM	L0120	$100
SM	HB OD LEGG PERTH SCOTT RITE CUST	L1730	$4240
SM	HB OD THORACIC RIB BELT		$90
SM	HB OD THORACIC RIB BELT CUST	L0220	$340
SM	HB OFF LOAD/SUPPORT DEVICE FOOT PRESSURE	A9283	$80
SM	HB ORTH REPAIR-LABOR PER 15MIN	L4205	$100
SM	HB ORTH REPAIR/REPLAC-MINOR PARTS	L4210	$60
SM	HB ORTH REPLAC CALF LACER NONMOLD	L4055	$1000
SM	HB ORTH REPLAC STRAP ANY ORTHOSIS	L4002	$150
SM	HB ORTH REPLAC THIGH LACER MOLDED	L4040	$1530
SM	HB ORTH REPLAC THIGH LACER NONMLD	L4045	$1230
SM	HB ORTH REPLACE CALF LACER MOLDED	L4050	$1550
SM	HB ORTH REPLACE CUFF-HIGH ROLL	L4060	$1190
SM	HB ORTH REPLACE GIRDLE CTLSO/SO	L4000	$4780
SM	HB ORTH REPLC INTERFACE STATC AFO	L4392	$70
SM	HB ORTH REPLC KAFO BANDS-PROXTHGH	L4080	$320
SM	HB ORTH REPLC KAFO LTHRCFF P-THGH	L4100	$390
SM	HB ORTH REPLC KAFO LTHRCUFF CALF	L4110	$320
SM	HB ORTH REPLC KAFO UPRT-PROX&DIST	L4070	$1050
SM	HB ORTH REPLC KAFO-AFO BANDS-CALF	L4090	$310
SM	HB ORTHOSIS MC-APPLY FT HEEL LIFT		$60
SM	HB ORTHOSIS MC-WALKING CAST/BOOT EACH		$40
SM	HB OSTOMY CREAM		$40
SM	HB OSTOMY NEO PACK		$30
SM	HB OSTOMY PASTE		$3
SM	HB OSTOMY POUCH		$200
SM	HB OSTOMY POWDER		$20
SM	HB OSTOMY SKIN CARE		$100
SM	HB OSTOMY SKIN CLEANSER		$20
SM	HB OSTOMY SKIN OINTMENT/CREAM		$20
SM	HB OSTOMY STOMAHESIVE		$100
SM	HB OSTOMY WAFER FLEX		$10
SM	HB PACK SEAMGUARD SINGLE GORE	C1781	$940
SM	HB PART HAND LITTLE/RING REMAINING	L6010	$5900
SM	HB PART HAND NO FINGERS REMAINING	L6020	$5500
SM	HB PART HAND THUMB REMAINING	L6000	$5300
SM	HB PARTICLES EMBOLIZ PVA BOSTON SCI		$400
SM	HB PARTICLES PVA TRUFILL		$570
SM	HB PATCH CV 100CMX15.0CMX0.6MM	C1768	$3760
SM	HB PATCH CV 2.5CMX15.0CMX0.6MM	C1768	$860
SM	HB PATCH CV 5.0CMX15.0CMX0.6MM	C1768	$3760
SM	HB PATCH CV GRAFT 10.0CM X 15.0CM X 0.8MM GORE	C1768	$3790
SM	HB PATCH CV GRAFT 5.0CM X 7.5CM X 0.8MM GORE	C1768	$940
SM	HB PATCH CV GRAFT 5.0CM X 7.5CM X 0.8MM GORE	C1768	$940
SM	HB PATCH DURA 2CMX 5CMX.3MM GORE	C1781	$1390
SM	HB PATCH DURA 4CMX4CMX.3MM GORE	C1781	$810
SM	HB PATCH DURA 5CMX 6CMX.3MM GORE	C1781	$1390
SM	HB PATCH DURA 6CMX10CMX.3MM GORE	C1781	$1390
SM	HB PATCH DURA MVP 10X12CM	C1781	$3990
SM	HB PATCH DURA MVP 2X10CM	C1781	$980
SM	HB PATCH DURA MVP 4X4CM	C1781	$1010
SM	HB PATCH DURA MVP 5X6CM	C1781	$1080
SM	HB PATCH DURA MVP 6X10CM	C1781	$3170
SM	HB PATCH FOR EXT REFERENCE 3D MAP		$1310
SM	HB PATCH MBRN NEO 6CMX8CMX.1MM	C1781	$1270
SM	HB PATCH MEMBR 4CMX6CMX.1MM GORE	C1781	$440
SM	HB PATCH PERICAR 12X12CMX.1MM GORE	C1781	$2280
SM	HB PATCH PERICAR 6CMX12CMX.1MM	C1781	$1140
SM	HB PCKR MICRONY SR SGL RATE RESP STJUDE	C1786	$17130
SM	HB PCMKR ACCOLADE MRI DUAL RATE RESP BSCI	C1785	$16320
SM	HB PCMKR ACCOLADE MRI SGL RATE RESP BSCI	C1786	$16320
SM	HB PCMKR ADAPTA /KAPPA/LEGACY/THERA SR SINGLE RATE RESP MDTR	C1786	$19990
SM	HB PCMKR ADAPTA DR DUAL RATE RESP MDTR	C1785	$21650
SM	HB PCMKR ADAPTA DUAL RATE LONG MDTR	C1785	$14990
SM	HB PCMKR ADVANTIO / INGENIO SR BSCI	C1786	$12330
SM	HB PCMKR ADVISA SR MRI SGL RESP MDTR	C1786	$13650
SM	HB PCMKR ALLURE BIV CRTP/QUADRA STJUDE	C2621	$25810
SM	HB PCMKR ALTRUA 20 DDDR DUAL RATE RESP BSCI	C1785	$16990
SM	HB PCMKR ALTRUA 20 EL DUAL RATE RESP BSCI	C1785	$17490
SM	HB PCMKR ALTRUA 20 SSIR SGL RATE RESP BSCI	C1786	$14540
SM	HB PCMKR ALTRUA 40 DDDR DUAL RATE RESP BSCI	C1785	$18950
SM	HB PCMKR ALTRUA 40 EL DUAL RATE RESP BSCI	C1785	$19320
SM	HB PCMKR ALTRUA 40 SSIR SGL RATE RESP BSCI	C1786	$16910
SM	HB PCMKR ALTRUA 60 DDDR /INGENIO DR /ADVANTIO DR BSCI	C1785	$21320
SM	HB PCMKR ALTRUA 60 EL DUAL RATE RESP BSCI	C1785	$21650
SM	HB PCMKR ALTRUA 60 SR SINGLE RATE RESP BSCI	C1786	$18420
SM	HB PCMKR ANTHEM RF CRT-P ST JUDE	C2621	$30810
SM	HB PCMKR ASSURITY / ENDURITY DR STJUDE	C1785	$14990
SM	HB PCMKR ASSURITY / ENDURITY SR STJUDE	C1786	$12330
SM	HB PCMKR AZURE XT MRI SURESCAN DUAL CHAMBER MDTR	C1785	$15680
SM	HB PCMKR AZURE XT MRI SURESCAN SGL CHAMBER MDTR	C1786	$13230
SM	HB PCMKR CONSULTA CRT-P OTHER MDTR	C2621	$32640
SM	HB PCMKR CONTAK RENEWAL TR CRT-P OTHER BSCI	C2621	$25810
SM	HB PCMKR CYLOS DR DUAL RATE RESP BIOTRONIK	C1785	$19320
SM	HB PCMKR CYLOS VR SGL RATE RESP BIOTRONIK	C1786	$17320
SM	HB PCMKR DUAL RATE RESP ENTOVIS PRO BIOTRONIK P950037/S132	C1785	$16650
SM	HB PCMKR DUAL RESP LEADLESS MICRA AV SYST MDTR	C1785	$40790
SM	HB PCMKR EDORA MRI DR-T DUAL RATE RESP BIOTRONIK	C1785	$16320
SM	HB PCMKR EDORA MRI SR-T SGL RATE RESP BIOTRONIK	C1786	$13650
SM	HB PCMKR ELUNA PROMRI DR-T DUAL RATE ADPT BIOTRONICK	C1785	$18320
SM	HB PCMKR ELUNA RATE ADPT PROMRI SR-T SINGLEBIOTRONICK	C1786	$15650
SM	HB PCMKR ENPULSE DR DUAL RATE RESP MDTR	C1785	$19990
SM	HB PCMKR ENPULSE SINGLE RATE RESP MDTR	C1786	$19990
SM	HB PCMKR ENRHYTHM DUAL RATE MDTR	C1785	$21650
SM	HB PCMKR ETRINSA DR-T DUAL RATE ADPT BIOTRONICK	C1785	$14990
SM	HB PCMKR ETRINSA HF-T CRT-P TRPL RATE ADPT BIOTRONICK	C2621	$25810
SM	HB PCMKR ETRINSA SR-T SNGL RATE ADPT BIOTRONICK	C1786	$12320
SM	HB PCMKR EVIA DR / DR-T DUAL RESP BIOTRONIK	C1785	$14990
SM	HB PCMKR EVIA SR / SR-T SGL RESP BIOTRONIK	C1786	$14990
SM	HB PCMKR FRONTIER 2 CRT-P ST JUDE	C2621	$30810
SM	HB PCMKR IDENTITY DUAL RATE RESP ST JUDE	C1785	$20520
SM	HB PCMKR IDENTITY SGL RATE RESP ST JUDE	C1786	$17130
SM	HB PCMKR INSIGNIA I SR SGL RATE GUIDANT	C1786	$18990
SM	HB PCMKR INSYNC III DUAL MDTR	C2621	$32640
SM	HB PCMKR INTEGRITY DUAL RATE RESP STJUDE	C1785	$17130
SM	HB PCMKR INTEGRITY SGL RATE RESP STJUDE	C1786	$17130
SM	HB PCMKR INTUA CRT-P OTH THAN SGL/DUAL CHAMBER BSCI	C2621	$25810
SM	HB PCMKR KAPPA DUAL RATE RESP MDTR	C1785	$188160
SM	HB PCMKR LEAD LEFT VENT CORON VEN SYSTEM ATTAIN PERFORMA MDTR P080006/S068	C1900	$12990
SM	HB PCMKR LEADLESS MICRA SGL RESP MDTR	C1786	$32470
SM	HB PCMKR OTH SGL/DUAL EDORA 8 PROMRI HF-T/QP BIOTRONIK	C2621	$25810
SM	HB PCMKR PHILOS DUAL RATE RESP BIOTRONIK	C1785	$17320
SM	HB PCMKR PHILOS II DR-T DUAL RATE BIOTRONIK	C1785	$20990
SM	HB PCMKR PHILOS II DUAL RATE BIOTRONIK	C1785	$18320
SM	HB PCMKR PHILOS II SR SGL RATE BIOTRONIK	C1786	$15990
SM	HB PCMKR REPLY / RHAPSODY SR RESP SORIN	C1786	$11330
SM	HB PCMKR REVO MRI OTH MDTR	C2621	$23980
SM	HB PCMKR SENSIA SGL RESP MDTR	C1786	$15700
SM	HB PCMKR SIGMA SDR DUAL RATE RESP MDTR	C1785	$16320
SM	HB PCMKR SINGLE RATE RESP ENTOVIS PRO BIOTRONIK P950037/S132	C1786	$14650
SM	HB PCMKR STRATOS / EVIA HF-T OTH BIOTRONIK	C2621	$25810
SM	HB PCMKR SYMPHONY DR RESP SORIN	C1785	$13330
SM	HB PCMKR SYMPHONY SR SGL RATE ELA MED SORIN	C1786	$18640
SM	HB PCMKR SYNCRA CRT-P OTH SGL/DUAL MDTR	C2621	$25810
SM	HB PCMKR TEMPORARY-BEDSIDE		$170
SM	HB PCMKR VALITUDE BIVENT OTH BSCI	C2621	$25810
SM	HB PCMKR VERITY ADX XL DR DUAL RESP STJUDE	C1785	$17130
SM	HB PCMKR VERITY ADX XL SR MS SGL RESP STJU	C1786	$17130
SM	HB PCMKR VERITYH ADX SR SGL RESP STJUDE	C2619	$20520
SM	HB PCMKR VERSA DDDR MDTR	C1785	$19990
SM	HB PCMKR VILTORY SR RESP STJU	C1786	$14000
SM	HB PCMKR VILTORY XL DR DUAL RATE ST JUDE	C1785	$20520
SM	HB PCMKR VISIONIST X4/NON-MRI CRT-P BSCI	C2621	$23310
SM	HB PCMKR VISTA DDD DUAL NONRATE STJUDE	C2619	$16660
SM	HB PCMKR ZEPHYR XL / ACCENT RF DR STJUDE	C1785	$21000
SM	HB PCMKR ZEPHYR XL / ACCENT RF SR STJUDE	C1786	$17610
SM	HB PCMKR+LEAD REPLY DR SYST MICROPORT	C1785	$17130
SM	HB PCMKR+LEAD REPLY SR SYST MICROPORT	C1786	$11420
SM	HB PDA OCCLUDER AMPLATZER PICCOLO ABBOTT	C1817	$28310
SM	HB PEDIMAG CARDIO BYPASS VAD SYST THOR STJU		$21650
SM	HB PEDIMAG VENT ASSIST DEVC VAD		$21650
SM	HB PELVTHOR CONTR ADD BELT UNILAT	L2630	$930
SM	HB PELVTHOR CONTR ADD HIP ADJ FEA	L2624	$1240
SM	HB PELVTHOR CONTR ADD HIP HVYDUTY	L2620	$1000
SM	HB PELVTHOR CONTR ADD HIP JT 2POS	L2570	$1780
SM	HB PELVTHOR CONTR ADD HIP JT FREE	L2600	$770
SM	HB PELVTHOR CONTR ADD HIP JT LOCK	L2610	$910
SM	HB PERICARDIOCENTISIS SUPPLY		$350
SM	HB PICC LINE BOSTON SCI 1LUMEN	C1751	$250
SM	HB PICC LINE BOSTON SCI 2LUMEN	C1751	$350
SM	HB PICC LINE PASV 1LUMEN	C1751	$420
SM	HB PICC LINE PASV 2LUMEN	C1751	$540
SM	HB PIPETTE FLUSH DEVICE-VOICE PROSTHESIS	L8513	$40
SM	HB PLUG VASCULAR 04X10.0 AVP4	C1817	$3200
SM	HB PLUG VASCULAR 06X11.0 AVP4	C1817	$3200
SM	HB PLUG VASCULAR 08X13.5 AVP4	C1817	$3200
SM	HB PNEUMOTHORAX LUNG BIOPSY PLUG W/ DELIVERY SYST BIOSENTRY	C2613	$830
SM	HB PNEUMOTHORAX SUPPLY COOK		$400
SM	HB PORT INDWELLING POWER TI BARD	C1788	$1750
SM	HB POSITIONER ELBOW ORTHOTIC		$100
SM	HB POST-OP SHOE		$30
SM	HB POSTOP APP NON-WGT BEAR RGD ABV KNEE	L5460	$1630
SM	HB PREP ABV KNEE ISCHIAL SACH FT PREFAB	L5585	$8290
SM	HB PREP ABV KNEE ISCHIAL SACH FT THERMOPLS FORMED	L5570	$7720
SM	HB PREP AK ISCHIAL LAMINATED MOLD	L5590	$9600
SM	HB PREP AK ISCHIAL THERMO MOLD	L5580	$9370
SM	HB PREP BK PTB LAMINAT SCK MOLDED	L5540	$7220
SM	HB PREP BK PTB THERMPLASTC MOLDED	L5530	$6890
SM	HB PREP BLW KNEE PTB SACH FT PREFAB	L5535	$6770
SM	HB PREP BLW KNEE PTB SACH FT THERMOPLS MOLDED	L5520	$5740
SM	HB PREP ELBOW FAIR LEAD CBL CNTRL DIR FORMED	L6586	$5690
SM	HB PREP ELBOW FAIR LEAD CBL CNTRL MOLDED	L6584	$6690
SM	HB PREP HIP DISART SACH FT LAMINATED MOLDED	L5600	$17750
SM	HB PREP HIP DISART SACH FT THERMOPLS MOLDED	L5595	$16070
SM	HB PREP SHOULDER FAIR LEAD CBL CNTRL DIR FORMED	L6590	$8510
SM	HB PREP SHOULDER FAIR LEAD CBL CNTRL MOLDED	L6588	$9680
SM	HB PREP WRIST OR BLW ELBOW BOWDEN CBL CNTRL DIR FORMED	L6582	$4120
SM	HB PREP WRIST OR BLW ELBOW BOWDEN CBL CNTRL MOLDED	L6580	$5350
SM	HB PROBE ABLAT MICROWAVE MEDWAVE		$7000
SM	HB PROBE ABLATION NUWV HSMD COVD	C1886	$7000
SM	HB PROBE ABLATION ROBOTIC MAZE	C1886	$7000
SM	HB PROBE ABLATION CERTUS NEUWAVE		$5280
SM	HB PROBE ABLATION COOL-TIP COVD	C1886	$1580
SM	HB PROBE ABLATION MICROWAVE EMPRINT COVD	C1886	$8330
SM	HB PROBE ABLATION MICROWAVE LONG EMPRINT COVD	C1886	$9970
SM	HB PROBE ARTHRO CARE DISPOSABLE		$1100
SM	HB PROBE CAPSURE ARTHROCARE		$1160
SM	HB PROBE CATH CRYOSPRAY CSA THORATEC	C2618	$6600
SM	HB PROBE COAG ARGONBEAM DISP		$800
SM	HB PROBE COBLATOR EVAC70		$660
SM	HB PROBE COBLATOR REFLEX45		$450
SM	HB PROBE COBLATOR REFLEX55		$900
SM	HB PROBE COVAC +SUCTN DISP		$520
SM	HB PROBE CRYO 2.4MM	C2618	$790
SM	HB PROBE CRYO ACCUPROBE	C2618	$1720
SM	HB PROBE CRYO DISPERSIVE ELECTRODE	C2618	$500
SM	HB PROBE CRYO I-THAW GALIL	C2618	$3830
SM	HB PROBE CRYO ICEFORCE GALIL	C2618	$9300
SM	HB PROBE CRYO ICEPEARL GALIL	C2618	$9300
SM	HB PROBE CRYO ICEROD GALIL	C2618	$3830
SM	HB PROBE CRYO ICESEED GALIL	C2618	$3830
SM	HB PROBE CRYO ICESPHERE GALIL	C2618	$4400
SM	HB PROBE CRYO PERCRYO ENDOCARE	C2618	$3670
SM	HB PROBE CRYO RENAL 1.7 ENDOCARE	C2618	$3670
SM	HB PROBE CRYO RENAL 1.7 ENDOCARE	C2618	$3670
SM	HB PROBE CRYO RENAL ICE ENDOCARE	C2618	$5330
SM	HB PROBE CRYO RIGHT_ANGLE V-PROB ENDOCARE	C2618	$4000
SM	HB PROBE CRYO RITA DISPERSIVE	C2618	$4320
SM	HB PROBE CRYO SURGIFROST ATS MEDICAL	C2618	$6980
SM	HB PROBE CRYO TEMPPROBE ENDOCARE	C2618	$1810
SM	HB PROBE CRYO UROLOGY	C2618	$790
SM	HB PROBE ELECTR RF COOLTIP CLUSTR VALLEYLAB	C2618	$3650
SM	HB PROBE ELECTR RF COOLTIP SGL VALLEYLAB	C2618	$5700
SM	HB PROBE ELECTR RF COOLTIP2+CONTR VALLEYLAB	C2618	$9400
SM	HB PROBE ELECTR RF COOLTIP3+CONTR VALLEYLAB	C2618	$7980
SM	HB PROBE ENDOLASER DISPOSABLE		$470
SM	HB PROBE EVIDENT MICROWAVE ABLAT COVIDIEN		$5000
SM	HB PROBE LEVEEN NEEDLE RADFREQ ABLAT BSCI	C2618	$3600
SM	HB PROBE MAMMOTOME MULTIPROBE		$1050
SM	HB PROBE NANOKINFE BIPOLAR	C1886	$7000
SM	HB PROBE NANOKNIFE 15CM	C1886	$7000
SM	HB PROBE NANOKNIFE 25CM	C1886	$7000
SM	HB PROBE NEPHROSTM ULTRASOUND UT2	C2628	$640
SM	HB PROBE RF ABLAT KIT OSTEOCOOL DUAL MEDTRONIC		$15610
SM	HB PROBE RF ABLAT KIT OSTEOCOOL MEDTRONIC		$11660
SM	HB PROBE SABER ARTHROCARE		$940
SM	HB PROBE SPINEWAND ARTHROCARE	C2614	$8000
SM	HB PROBE THERMAL UROLOGY		$790
SM	HB PROBE TISS ABLATION EXTRAVASCULAR RADFREQ NEUROTHERM	C1886	$1670
SM	HB PROBE TISS ABLATION EXTRAVASCULAR VISUALASE	C1886	$48280
SM	HB PROBE TOPAZ ARTHROCARE		$1100
SM	HB PROBE US 11G		$930
SM	HB PROCESR ESPRIT 3G REPLAC	L8619	$19990
SM	HB PROCESR ESPRIT FREEDOM REPLAC	L8619	$22820
SM	HB PROCESR NUCLEUS5 REPLAC COCHAM	L8619	$26650
SM	HB PROCESR SPRINT NUCLEUS 3 REPLACEMENT	L8619	$19990
SM	HB PROPATEN HELEX ASD OCCLUDER GORE P050006	C1817	$18360
SM	HB PROS SOC INSERT GASKET/SEAL EA	L7700	$370
SM	HB PROSTH ABOV ELBO INTERNAL LOCK	L6250	$10720
SM	HB PROSTH ABOV HAND GLOV-PRODUCTN	L6890	$680
SM	HB PROSTH ABOV HAND GLOV-SPECIAL	L6895	$1670
SM	HB PROSTH AK 1AXIS FRICTN SACH FT	L5200	$12020
SM	HB PROSTH AK PROX FEM FOCAL DEFIC	L5230	$15190
SM	HB PROSTH AK SHORT NO KNEE JT W ARTIC AF	L5220	$11010
SM	HB PROSTH AK STUBBIES+FT BLOCK-EA	L5210	$8860
SM	HB PROSTH ANKL SYMES-ARTIC FOOT	L5060	$11030
SM	HB PROSTH ANKL SYMES-SACH FOOT	L5050	$7970
SM	HB PROSTH B-LO WRIST MYOELEC SET	L6935	$24130
SM	HB PROSTH BATTERY 6V-CHARGER BOCK	L7362	$770
SM	HB PROSTH BATTERY 6V-OTTO BOCK	L7360	$730
SM	HB PROSTH BK M-SCKT SHIN SACH FT	L5100	$8050
SM	HB PROSTH BK PLASTIC SCKT SACH FT	L5105	$13870
SM	HB PROSTH D-KNE EXTRNL JT SACH FT	L5150	$14020
SM	HB PROSTH D-KNEE BENT JNT SACH FT	L5160	$15250
SM	HB PROSTH D-WRIST SOCKET+INTERFAC	L6055	$9690
SM	HB PROSTH DEVICE REPR-LABOR/15MIN	L7520	$100
SM	HB PROSTH DEVICE REPR-LABOR/15MIN COCHLEAR	L7520	$20
SM	HB PROSTH DISARTIC HIP-CANADIAN	L5250	$20710
SM	HB PROSTH DONNING SLEEVE EA	L7600	$120
SM	HB PROSTH EARLY FIT-BK ADDL CAST	L5410	$1250
SM	HB PROSTH EARLY FIT-BK+CAST CHNG	L5400	$4750
SM	HB PROSTH EARLYFIT-AK/KD ADD CAST	L5430	$1690
SM	HB PROSTH EARLYFIT-AK/KD+CAST CHG	L5420	$6070
SM	HB PROSTH EARLYFIT-BK NONWT DRESS	L5450	$1220
SM	HB PROSTH ELBO FLXHING TRICEP PAD	L6100	$6290
SM	HB PROSTH ELBO HINGE HALF-CUFF	L6120	$9250
SM	HB PROSTH ELBO MOLD-SOCKET SUSPEN	L6110	$8150
SM	HB PROSTH ELBO OUTSIDE LOCK HINGE	L6200	$10890
SM	HB PROSTH ENDOSKEL AK SYSTEM	L5321	$13120
SM	HB PROSTH ENDOSKEL BK SYSTEM	L5301	$9130
SM	HB PROSTH ENDOSKEL D-HIP SYSTEM	L5331	$17440
SM	HB PROSTH ENDOSKEL D-KNEE SYSTEM	L5301	$9130
SM	HB PROSTH ENDOSKEL HEMPELVCT SYST	L5341	$20170
SM	HB PROSTH ENDSKL AE SCKT+SFT SHAP	L6500	$10260
SM	HB PROSTH ENDSKL BE SCKT+SFT SHAP	L6400	$9260
SM	HB PROSTH ENDSKL ED SCKT+SFT SHAP	L6450	$11290
SM	HB PROSTH ENDSKL INTERSCAP THORACIC SOCKET	L6570	$17470
SM	HB PROSTH ENDSKL SHLDR DISARTIC SOCKET	L6550	$15220
SM	HB PROSTH HAND TERM DEV-MICROPROC	L6882	$9110
SM	HB PROSTH HAND TERM DEVIC-AUTOGRP	L6881	$12020
SM	HB PROSTH HEMIPELVECTOMY-CANADIAN	L5280	$20330
SM	HB PROSTH INTERSCAP HUMERAL SECTN	L6350	$15520
SM	HB PROSTH IT PASSIV RESTOR COMPLT	L6360	$12710
SM	HB PROSTH IT PASSVRESTOR CAP ONLY	L6370	$8110
SM	HB PROSTH KNEE SYSTEM GENIUM OTTOBOCK	L5999	$117540
SM	HB PROSTH LITHIUM BATTERY CHARGER	L7368	$1480
SM	HB PROSTH LITHIUM ION BATTERY REPLACEMENT	L7367	$1140
SM	HB PROSTH MOD-AK ULTRALT MATERIAL	L5790	$2650
SM	HB PROSTH MOD-BK ULTRALT MATERIAL	L5785	$1640
SM	HB PROSTH P-FT SHOE INSRT L-ARCH	L5000	$1800
SM	HB PROSTH PARTIAL-FT ANKLE HEIGHT	L5010	$4040
SM	HB PROSTH PARTIAL-FT TIBIA HEIGHT	L5020	$7910
SM	HB PROSTH PREHENSILE ACTUATOR SWITCH CONTROLLED	L7040	$8440
SM	HB PROSTH REPLAC AK PROTECT COVER	L5705	$3000
SM	HB PROSTH REPLAC AK/KD SCKT/PLATE	L5701	$13570
SM	HB PROSTH REPLAC BK SOCKET MOLDED	L5700	$10930
SM	HB PROSTH REPLAC HD PROTECT COVER	L5707	$4220
SM	HB PROSTH REPLAC KD PROTECT COVER	L5706	$2970
SM	HB PROSTH REPLC BK PROTECT COVER	L5704	$1830
SM	HB PROSTH REPLC HD SCKT+HIPMOLDED	L5702	$17340
SM	HB PROSTH SD HUMERAL SOCKED SECTN	L6300	$14870
SM	HB PROSTH SD PASSIV RESTOR COMPLT	L6310	$12110
SM	HB PROSTH SD PASSVRESTOR CAP ONLY	L6320	$6820
SM	HB PROSTH SHEATH ABOVE KNEE EACH	L8410	$80
SM	HB PROSTH SHEATH BELOW KNEE-EA	L8400	$60
SM	HB PROSTH SHEATH BK/AK+GEL CUSHN	L8417	$220
SM	HB PROSTH SHEATH UPPER LIMB EA	L8415	$70
SM	HB PROSTH SHRINKER ABOVE KNEE-EA	L8460	$270
SM	HB PROSTH SHRINKER BELOW KNEE-EA	L8440	$170
SM	HB PROSTH SHRINKER UPPER LIMB EA	L8465	$150
SM	HB PROSTH SOCK MULTIPLE PLY AK EA	L8430	$80
SM	HB PROSTH SOCK MULTIPLE PLY BK EA	L8420	$80
SM	HB PROSTH SOCK MULTIPLE PLY UPPER LMB	L8435	$80
SM	HB PROSTH SOCK SGL PLY ABOVE KNEE	L8480	$30
SM	HB PROSTH SOCK SGL PLY BELOW KNEE	L8470	$30
SM	HB PROSTH SOCK SGL PLY FIT UPPER LMB	L8485	$40
SM	HB PROSTH WRST FLXHING TRICEP PAD	L6050	$7560
SM	HB PROSTHETIC SOCK/SH ADD AIR SEA		$250
SM	HB PRSTH AD LOWER LIMB PROSTH MULTIAX ANKLE SWING PHASE+DORSI KINTERRA	L5968	$10680
SM	HB PRSTH AD LOWER LIMB PROSTH MULTIAXIAL ANKLE SWING PHASE+DORSIFLEX	L5968	$10680
SM	HB PRSTH ADD LE BELOW KNEE HI DEFN SILICONE COSMESIS	L2999	$28310
SM	HB PRSTH ADD LE ORTHOSIS HI STRENGTH LITEWT HYBRID COMPOSITE/SEG CUST	L2755	$380
SM	HB PRSTH ADD LE PARTIAL FOOT HI DEFN SILICONE CUSTOM	L2999	$28310
SM	HB PRSTH ADD LE THIGH/WEIGHT-BEAR QUADRILAT BRIM MOLDED PATIENT MODEL	L2510	$2720
SM	HB PRSTH ADD UE ABOVE ELBOW DISARTICULATION ACRYLIC MATL	L7404	$1630
SM	HB PRSTH ADD UE ABOVE ELBOW DISARTICULATION ULTRALIGHT L	L7401	$1010
SM	HB PRSTH ADD UE ABOVE ELBOW/WRIST DISARTICULATION ACRYLIC MATERIAL	L7403	$1080
SM	HB PRSTH ADD UE BELOW ELBOW/WRIST DISARTRICULATION ULTRALIGHT MATERIAL	L7400	$900
SM	HB PRSTH ADD UE EXTENDED WARRANTY	L7499	$6800
SM	HB PRSTH ADD UE FLEX/EXT WRIST USE WITH EXT POWERED TERM DEVICE	L6621	$6720
SM	HB PRSTH ADD UE LOCKING ELBOW FOREARM COUNTERBALANCE	L6693	$8340
SM	HB PRSTH ADD UE MOTORIZED ROTATING THUMB 110DEGREE ROTATION	L7499	$11500
SM	HB PRSTH ADD UE QUICK DISCONNECT HOOK ADAPTOR OTO BOCK L	L6628	$1430
SM	HB PRSTH ADD UE QUICK DISCONNECT LAMINAT COLLAR+COUPLING OTTOBOCK/EQUV	L6629	$520
SM	HB PRSTH ADD UE REFER L7274 PROPORTIONAL CONTROL 6-12VOLT UTAH/EQUIV	L7499	$6900
SM	HB PRSTH ADD UE TERMINAL DEVC USER ACTIVATE GRIP CONTROL PULSE MODULAT	L7499	$4700
SM	HB PRSTH ADD UE TERMINAL DEVC USER ACTIVATE GRIP VARIABLE	L7499	$4700
SM	HB PRSTH AE EXTERNAL POWER SYST MYOELECTRONIC CONTROL TE	L6955	$35760
SM	HB PRSTH CUSTOM ABOVE ELBOW PROECTOR SILICONE COVER	L7499	$12400
SM	HB PRSTH ELECTR HAND SWITCH/MYOELECTR CONTROL INDEP ARTIC DIGITS+MOTOR	L6880	$70220
SM	HB PRSTH FOOT OSSUR PRO-FLEX PIVOT	L5999	$31380
SM	HB PRSTH HAND INTEGRATED SYSTEM MICHELANGELO AXON BUS EC	L7499	$55000
SM	HB PRSTH HAND INTEGRATED SYSTEM MICHELANGELO AXON BUS ELECTR OTTOBOCK	L7499	$81060
SM	HB PRSTH WRST D-ARTC E-PWR MYOELC	L6925	$25480
SM	HB PRSTHADD-AK 4BAR PNEUM CONTR	L5614	$4960
SM	HB PRSTHADD-AK FLEX SOCKT EXFRM	L5651	$3600
SM	HB PRSTHADD-AK MLTPLX FRCTNCONT	L5616	$4230
SM	HB PRSTHADD-AK PELVCNTR NEOPREN	L5695	$650
SM	HB PRSTHADD-AK PELVIC BELT LIGH	L5692	$530
SM	HB PRSTHADD-AK PELVIC BELT PAD	L5694	$720
SM	HB PRSTHADD-AK PELVIC JOINT-HIP	L5696	$740
SM	HB PRSTHADD-AK PELVICBAND METAL	L5697	$320
SM	HB PRSTHADD-AK SILESIAN BANDAGE	L5698	$410
SM	HB PRSTHADD-AK SOCKT INSRT SILC		$1140
SM	HB PRSTHADD-AK SOCKT INSRT SOFT	L5658	$1130
SM	HB PRSTHADD-AK TEST SOCKET	L5624	$1240
SM	HB PRSTHADD-AK/BK QUICK CHNG UN	L5617	$1640
SM	HB PRSTHADD-AK/KD ACRYLIC SOCKT	L5631	$1320
SM	HB PRSTHADD-AK/KD SCTN SUSP SCKT	L5652	$1310
SM	HB PRSTHADD-AK/KD TOTAL CONTACT	L5650	$1950
SM	HB PRSTHADD-AK/KD4BAR HYDR-CONT	L5613	$9780
SM	HB PRSTHADD-AK/KD4BARFRCTNCONTR	L5611	$5930
SM	HB PRSTHADD-ARM HARNESS-FIG 8 D	L6676	$480
SM	HB PRSTHADD-ARM HARNESS-FIG 8 S	L6675	$460
SM	HB PRSTHADD-ARM-ADDL DISCNCT LOCWRST	L6616	$190
SM	HB PRSTHADD-ARM-CONTROL X-CABLE	L6655	$300
SM	HB PRSTHADD-ARM-DISCNCT LOCWRST	L6615	$550
SM	HB PRSTHADD-ARM-PLYCNTRC HNG/PR	L6600	$750
SM	HB PRSTHADD-ARM-SGL PIVOTHNG/PR	L6605	$740
SM	HB PRSTHADD-BE/D-WRST FRAM SCKT	L6687	$1750
SM	HB PRSTHADD-BK ACRYLIC/EPOXY	L5629	$950
SM	HB PRSTHADD-BK FLEX INNER SOCKT	L5645	$2700
SM	HB PRSTHADD-BK FORK STRAP	L5684	$190
SM	HB PRSTHADD-BK GLUT THGH LACER	L5682	$2500
SM	HB PRSTHADD-BK JOINT COVERS/PR	L5678	$160
SM	HB PRSTHADD-BK KNE JT SGL AX/PR	L5676	$1450
SM	HB PRSTHADD-BK MOLD DISTL CUSHN	L5668	$400
SM	HB PRSTHADD-BK POLYCENTR KNE/PR	L5677	$1970
SM	HB PRSTHADD-BK REMOVBL MED BRIM	L5672	$940
SM	HB PRSTHADD-BK SCKT INSRT CUFF	L5666	$280
SM	HB PRSTHADD-BK SCKTINSRT MLTDUR	L5665	$2040
SM	HB PRSTHADD-BK SOCKT INSRT SILC		$1780
SM	HB PRSTHADD-BK SOFT LINR KEMBLO	L5655	$1060
SM	HB PRSTHADD-BK SUCTION SOCKET	L5647	$3180
SM	HB PRSTHADD-BK SUPRACONDYL SUSP	L5670	$1080
SM	HB PRSTHADD-BK SUSPENSN SLEEVE		$140
SM	HB PRSTHADD-BK TEST SOCKET	L5620	$880
SM	HB PRSTHADD-BK TOTAL CONTACT	L5637	$1150
SM	HB PRSTHADD-BK WAIST BELT PAD	L5690	$390
SM	HB PRSTHADD-BK/AK SUSPENS LOCK	L5671	$1990
SM	HB PRSTHADD-CHEST/SHLDR HARNESS	L6672	$670
SM	HB PRSTHADD-D-ELBO/AE FRAM SCKT	L6688	$1890
SM	HB PRSTHADD-D-ELBO/AE TEST SCKT	L6682	$920
SM	HB PRSTHADD-D-SHLDR FRAME SCKT	L6689	$2160
SM	HB PRSTHADD-D-SHLDR/IT TEST SCK	L6684	$1390
SM	HB PRSTHADD-D-WRST/BE TEST SCKT	L6680	$930
SM	HB PRSTHADD-ELECT VARI POS LOCK	L5999	$1600
SM	HB PRSTHADD-EXSKL-LE AX ROTAT UN	L5982	$2310
SM	HB PRSTHADD-FOOT FLEXIBLE KEEL	L5972	$1410
SM	HB PRSTHADD-FOOT SGL AXIS ANKLE	L5974	$930
SM	HB PRSTHADD-FOOT SHANK SYSTEM	L5987	$21140
SM	HB PRSTHADD-FT COMBO ANKL+KEEL	L5975	$1360
SM	HB PRSTHADD-FT MULTAX ANK+DYN1PC	L5979	$9020
SM	HB PRSTHADD-FT MULTAXIAL ANKL/FT	L5978	$1160
SM	HB PRSTHADD-FT SEATTL ENERGY STO	L5976	$2240
SM	HB PRSTHADD-HD FLEX SOCKT EXFRAM	L5643	$4660
SM	HB PRSTHADD-HEMIPELVCTM TESTSCKT	L5628	$1450
SM	HB PRSTHADD-HIP DISARTC TESTSCKT	L5626	$1640
SM	HB PRSTHADD-HOOK-HND CABL ADAPT	L6670	$190
SM	HB PRSTHADD-INTERSCAP FRAM SCKT	L6690	$2500
SM	HB PRSTHADD-KD SOCKT INSRT SILC		$1300
SM	HB PRSTHADD-KD SOFT LINR KEMBLO	L5656	$1480
SM	HB PRSTHADD-KNE DISARTC TESTSCKT	L5622	$1130
SM	HB PRSTHADD-LE BK SUSPN/SEAL SLV	L5685	$380
SM	HB PRSTHADD-LE CUST INSRT CNG/ATY	L5681	$3870
SM	HB PRSTHADD-LE CUST INSRT LCKMECH	L5673	$2350
SM	HB PRSTHADD-LE CUST INSRT OTHER	L5683	$3870
SM	HB PRSTHADD-LE CUST INSRT WO LOCK	L5679	$1950
SM	HB PRSTHADD-LE FOOT FLEX SYSTEM	L5980	$12640
SM	HB PRSTHADD-LE ISCHIAL M-L SCKT	L5649	$5740
SM	HB PRSTHADD-LE MULTIAX ROTAT UN	L5986	$2530
SM	HB PRSTHADD-LE SYMES MEDIAL SCKT	L5636	$760
SM	HB PRSTHADD-LE SYMES PTB BRMSCKT	L5632	$710
SM	HB PRSTHADD-LE TEST SOCKT SYMES	L5618	$860
SM	HB PRSTHADD-LE WALK FLEX SYSTEM	L5981	$9810
SM	HB PRSTHADD-LE WALL SOCKET SYMES	L5630	$1650
SM	HB PRSTHADD-LO EXTR ADJ HEEL HGT	L5990	$5330
SM	HB PRSTHADD-LO LIMB VACUUM PUMP	L5781	$11760
SM	HB PRSTHADD-LO LIMB+V-SHCK REDUC	L5988	$5870
SM	HB PRSTHADD-SHLDR FLX-ABD JT/EA	L6645	$1270
SM	HB PRSTHADD-UE AE/BE LCK MEC EXCL SCKT INS	L6698	$1990
SM	HB PRSTHADD-UE CABL LINING TEFLN	L6665	$150
SM	HB PRSTHADD-UE HEAVY DUTY CABLE	L6660	$370
SM	HB PRSTHADD-UE REMOVBL INSRT EA	L6691	$1380
SM	HB PRSTHADD-UE SILICON INSRT EA	L6692	$2230
SM	HB PRSTHADD-UE SUCTION SOCKET	L6686	$2360
SM	HB PRSTHADENDSKL-AK MANL LOCK	L5925	$1310
SM	HB PRSTHADENDSKL-AK PROT COVR	L5964	$3380
SM	HB PRSTHADENDSKL-AK TITANIUM	L5950	$2330
SM	HB PRSTHADENDSKL-AK/HD ALGN SYST	L5920	$1590
SM	HB PRSTHADENDSKL-AK/HD KNE-ASST	L5850	$380
SM	HB PRSTHADENDSKL-BK ALIGN SYST	L5910	$1080
SM	HB PRSTHADENDSKL-BK PROT COVR	L5962	$2350
SM	HB PRSTHADENDSKL-BK TITANIUM	L5940	$1600
SM	HB PRSTHADENDSKL-FT KEEL SACH	L5970	$760
SM	HB PRSTHADENDSKL-HD MECH HIPASST	L5855	$1230
SM	HB PRSTHADENDSKL-HD PROT COVR	L5966	$4380
SM	HB PRSTHADENDSKL-HD ULTRALT	L5960	$2890
SM	HB PRSTHADENDSKL-HI ACT KNE CONTR	L5930	$9890
SM	HB PRSTHADENDSKL-KS 1AX MANUAL	L5810	$1940
SM	HB PRSTHADENDSKL-KS 4BAR LINK	L5840	$12080
SM	HB PRSTHADENDSKL-KS ADJ FLEX	L5845	$5270
SM	HB PRSTHADENDSKL-KS FLUID SW&ST	L5828	$10950
SM	HB PRSTHADENDSKL-KS FLUID SWING	L5824	$6120
SM	HB PRSTHADENDSKL-KS FRICT SW&ST	L5818	$3830
SM	HB PRSTHADENDSKL-KS HYDRL MINI	L5826	$9180
SM	HB PRSTHADENDSKL-KS MCRPRC SW	L5857	$25040
SM	HB PRSTHADENDSKL-KS MCRPRC SW&ST	L5856	$70560
SM	HB PRSTHADENDSKL-KS PNEUM SW&ST	L5822	$5100
SM	HB PRSTHADENDSKL-KS PNEUM SWING	L5830	$7570
SM	HB PRSTHADENDSKL-KS POLYC HYDR	L5814	$10920
SM	HB PRSTHADENDSKL-KS POLYC SYST	L5816	$3390
SM	HB PRSTHADENDSKL-KS SAFTYKNEE	L5812	$2260
SM	HB PRSTHADENDSKL-KS STANCE EXT	L5848	$3160
SM	HB PRSTHADENDSKL-KS U-LT MANL	L5811	$2910
SM	HB PRSTHADENDSKL-KS VARIFRCTN	L5714	$1490
SM	HB PRSTHADENDSKL-LE AX ROTAT UN	L5984	$2270
SM	HB PRSTHADENDSKL-LE DYNAM PYLON	L5985	$830
SM	HB PUMP ANGIOJET THROMBOLYSIS POSSIS		$750
SM	HB PUMP MITYVAC		$330
SM	HB PUMP PAIN ON-Q 12.5 4ML/HR DISPOSABLE		$1270
SM	HB PUMP PAIN ON-Q 6.5 2ML/HR DISPOSABLE		$620
SM	HB PUMP PAIN ON-Q 6.5 4ML/HR DISPOSABLE		$830
SM	HB PUMP SET POSSIE		$1430
SM	HB PVAD PERCUTAN VAD TANDEMHEART SYSTEM		$33000
SM	HB REFILL KIT FOR IMPLANT INFUSION PUMP	A4220	$70
SM	HB REPLC SOCKET ABV ELBOW/ELBOW DISART MOLDED	L6884	$8910
SM	HB REPLC SOCKET BLW ELBOW/WRIST DISART MOLDED	L6883	$5150
SM	HB REPLC SOCKET SHOULDER DISART/INTERSCAP THORACIC MOLDED	L6885	$12710
SM	HB REPR PNEUM ANKL SPLNT PRFB+FIT	L4350	$330
SM	HB REPR PNEUM LEG SPLNT PREFB+FIT	L4370	$530
SM	HB REPR PNEUM WALK SPLNT PRFB+FIT	L4360	$910
SM	HB REPR STATIC AFO POSITION/PRESS	L4396	$480
SM	HB REPR WALK BOOT NONPNEUM PREFB	L4386	$470
SM	HB RETRIEVER 4X15MM SOLITAIRE		$21730
SM	HB RETRIEVER 4X20MM SOLITAIRE		$21730
SM	HB RETRIEVER 6X20MM SOLITAIRE		$21730
SM	HB RETRIEVER CLOT CAPTURE LP EV3 COVD		$22850
SM	HB ROTALINK ATHERECTOMY ADVANCER	C1894	$670
SM	HB ROTALINK ATHERECTOMY CATH BURR	C1724	$3650
SM	HB SASK ADD-ANKL TORSCONTR+STIRUP	L2375	$420
SM	HB SASK ADD-BAR ABDUCTN JOINTED ADJ	L2300	$1010
SM	HB SASK ADD-DORSASSIST&PLNTRESIST	L2210	$250
SM	HB SASK ADD-FT PLATE MOLD+STIRRUP	L2250	$1330
SM	HB SASK ADD-KNE OFFSET HVYDUTY/JT	L2395	$540
SM	HB SASK ADD-KNEE STRAIT HEAVYDUTY	L2385	$500
SM	HB SASK ADD-PRETIBIAL SHELL MOLD	L2340	$1670
SM	HB SASK ADD-SOLID REINFOR STIRRUP	L2260	$750
SM	HB SASK ADD-VAR/VALGU PLASTIC+PAD	L2275	$440
SM	HB SASKADD-DORS&PLNT ADJ ANKL JNT	L2220	$310
SM	HB SASKADD-VAR/VALGUS T-STRAP+PAD	L2270	$200
SM	HB SCREW HEAD RING EACH RADIONICS		$700
SM	HB SELECTRA LEAD DELIVERY SYSTEM ACCESSORY KIT BTNK		$420
SM	HB SEPTAL OCCLUDER CARDIOFORM ASD GORE	C1817	$26340
SM	HB SEPTAL OCCLUDER CARDIOFORM GORE P050006	C1817	$23300
SM	HB SET MICROPUNCTURE 4F STIFF		$140
SM	HB SET PUMP ANGIOJET DISPOSABLE		$750
SM	HB SEWHO ABD AIRPLANE PREFAB+FIT	L3960	$2690
SM	HB SHEATH NAVIGATOR URETERAL ACCESS SET		$500
SM	HB SHEATH CHECK FLO		$200
SM	HB SHEATH CV COOK		$60
SM	HB SHEATH FIXCURVE 8.5FR NAVIEASE SYNAPTIC	C1893	$1910
SM	HB SHEATH GUIDE CPS OTHERTHAN PEEL STJUDE	C1893	$2090
SM	HB SHEATH GUIDE CPS PEELAWAY STJUDE	C1892	$2090
SM	HB SHEATH GUIDE PEELAWAY	C1892	$140
SM	HB SHEATH GUIDE PEELAWAY ALLIANCE STJUDE	C1892	$2100
SM	HB SHEATH GUIDE PEELAWAY APEEL STJUDE	C1892	$1580
SM	HB SHEATH GUIDE PEELAWAY BANANA PEEL BSCI	C1892	$360
SM	HB SHEATH GUIDE PEELAWAY INPUT BARD	C1892	$200
SM	HB SHEATH GUIDE PEELAWAY ONE STEP ARGON	C1892	$200
SM	HB SHEATH GUIDE PEELAWAY SEALAWAY STJUDE	C1892	$290
SM	HB SHEATH GUIDE PEELAWAY STJUDE	C1892	$170
SM	HB SHEATH GUIDE RAABE HAUSDORF COOK		$400
SM	HB SHEATH GUIDE SAFESHEATH OTHER ST JUDE	C1893	$290
SM	HB SHEATH GUIDE SAFESHEATH PEELAWAY PRESPRD	C1892	$500
SM	HB SHEATH GUIDE SAFESHEATH PEELAWAY ST JUDE	C1892	$900
SM	HB SHEATH GUIDE SSV PEELAWAY BARD	C1892	$200
SM	HB SHEATH GUIDE TRANSSEPTAL NRG BAYLIS	C1892	$2130
SM	HB SHEATH INTRDCR ACCESS SET NEFF COOK		$290
SM	HB SHEATH INTRDCR AMPLATZ	C1894	$30
SM	HB SHEATH INTRDCR APRIMA COOK	C1894	$260
SM	HB SHEATH INTRDCR AVANTI +GW CORDIS	C1894	$100
SM	HB SHEATH INTRDCR AVANTI WO GW CORDIS	C1894	$200
SM	HB SHEATH INTRDCR AXERA 280 ARST	C1760	$680
SM	HB SHEATH INTRDCR AXS INFINITY STRY	C1894	$1480
SM	HB SHEATH INTRDCR BALKAN CONTRALATERAL COOK	C1894	$190
SM	HB SHEATH INTRDCR BANANAPEEL BSCI	C1894	$150
SM	HB SHEATH INTRDCR BP SENSING KIT ENDOPHYS		$2660
SM	HB SHEATH INTRDCR CHECK-FLO PERFORMER COOK	C1894	$410
SM	HB SHEATH INTRDCR CHECKFLO COOK	C1894	$400
SM	HB SHEATH INTRDCR CLOTTRIEVER INARI	C1894	$5000
SM	HB SHEATH INTRDCR COOK-Z STENT COOK	C1894	$700
SM	HB SHEATH INTRDCR CV BALKIN COOK	C1894	$190
SM	HB SHEATH INTRDCR CV DIAG 5F-11F	C1894	$200
SM	HB SHEATH INTRDCR CV SUPERFLEX ARROW	C1894	$500
SM	HB SHEATH INTRDCR CV SUPERFLX 8F	C1894	$150
SM	HB SHEATH INTRDCR DAIG STJUDE	C1894	$500
SM	HB SHEATH INTRDCR DIAG 23CM	C1894	$80
SM	HB SHEATH INTRDCR DIAG CORDIS	C1894	$120
SM	HB SHEATH INTRDCR DIAG DILATOR	C1894	$60
SM	HB SHEATH INTRDCR DIAG EPS INTRACARD TRIO	C1894	$300
SM	HB SHEATH INTRDCR DIAG FASTCATH STJUDE	C1894	$700
SM	HB SHEATH INTRDCR DIAG MAXIMUM STJUDE	C1894	$290
SM	HB SHEATH INTRDCR DIAG MICROPUNCTURE COOK	C1894	$130
SM	HB SHEATH INTRDCR DIAG OBTURATOR	C1894	$80
SM	HB SHEATH INTRDCR DIAG SUPER ARROW 11CM	C1894	$70
SM	HB SHEATH INTRDCR DIAG SUPER ARROW 24CM	C1894	$150
SM	HB SHEATH INTRDCR DIAG SUPER ARROW 45CM	C1894	$100
SM	HB SHEATH INTRDCR DIAG SUPER ARROW 80CM	C1894	$190
SM	HB SHEATH INTRDCR DRYSEAL FLEX TAA AAA GORE	C1894	$1950
SM	HB SHEATH INTRDCR DRYSEAL TAA TAG GORE	C1894	$1200
SM	HB SHEATH INTRDCR DVILL BRAUN	C1894	$760
SM	HB SHEATH INTRDCR EDWARDS	C1894	$130
SM	HB SHEATH INTRDCR EDWARDS OTH THAN GUID/EP NONLASER	C1894	$400
SM	HB SHEATH INTRDCR ELITE HV GALT COMED	C1894	$157
SM	HB SHEATH INTRDCR ENGAGE 12CM STJUDE	C1894	$30
SM	HB SHEATH INTRDCR ENGAGE 24CM STJUDE	C1894	$70
SM	HB SHEATH INTRDCR EXLARGE CHECK-FLO PERFORMER COOK	C1894	$1090
SM	HB SHEATH INTRDCR FASTCATH 2PC STEER STJUDE	C1766	$540
SM	HB SHEATH INTRDCR FLEXOR RAABE COOK	C1894	$130
SM	HB SHEATH INTRDCR FLEXOR SHUTTLE SL COOK	C1894	$380
SM	HB SHEATH INTRDCR GLIDE NITINOL BSCI	C1894	$170
SM	HB SHEATH INTRDCR GLIDESHEATH SLENDER TERUMO	C1894	$230
SM	HB SHEATH INTRDCR HIFLO + GUIDEWIRE TERUMO	C1894	$80
SM	HB SHEATH INTRDCR HIFLO ANGIODYNAMICS	C1894	$90
SM	HB SHEATH INTRDCR HIFLO WO GUIDEWIRE TERUMO	C1894	$110
SM	HB SHEATH INTRDCR LEAD CRT DELIV BIOTRONIK	C1894	$2670
SM	HB SHEATH INTRDCR MICROEZ BARD	C1894	$120
SM	HB SHEATH INTRDCR MICROEZ BARD OTH THAN GUID/EP NONLASER	C1894	$120
SM	HB SHEATH INTRDCR OTH	C1894	$40
SM	HB SHEATH INTRDCR PERFORMER COOK	C1894	$300
SM	HB SHEATH INTRDCR PERFORMER MULLINS COOK	C1894	$340
SM	HB SHEATH INTRDCR PINNACLE RO HI TERU BSCI	C1894	$800
SM	HB SHEATH INTRDCR PINNACLE RO II TERU BSCI	C1894	$700
SM	HB SHEATH INTRDCR PINNACLE TERUMO BSCI	C1894	$40
SM	HB SHEATH INTRDCR POWERLOC BARD	C1894	$40
SM	HB SHEATH INTRDCR PRELUDE EASE OTH THAN GUID/EP NONLASER MERT	C1894	$150
SM	HB SHEATH INTRDCR PRELUDEIDEAL MERT	C1894	$170
SM	HB SHEATH INTRDCR PRELUDESNAP MERIT	C1894	$100
SM	HB SHEATH INTRDCR R2P DESTINATION SLENDER TERUMO	C1894	$1490
SM	HB SHEATH INTRDCR RADIOFOCUS TERU	C1894	$200
SM	HB SHEATH INTRDCR RENAL PINNACLE DEST BSCI	C1894	$300
SM	HB SHEATH INTRDCR SAFESHEATH II PEELAWAY BIOTRONIK	C1892	$220
SM	HB SHEATH INTRDCR SET TIPS GORE	C1894	$1580
SM	HB SHEATH INTRDCR SHUTTLE FLEXOR SELCT COOK	C1894	$700
SM	HB SHEATH INTRDCR SUPER SHEATH BSCI	C1894	$330
SM	HB SHEATH INTRDCR TAA AAA POWERLINK ENGX	C1894	$2500
SM	HB SHEATH INTRDCR TAA TAG GORE	C1894	$1050
SM	HB SHEATH INTRDCR TIPS GORE	C1894	$1050
SM	HB SHEATH INTRDCR TRIFORCE PREI COOK	C1894	$1080
SM	HB SHEATH INTRDCR WATCHMAN TRUSEAL BSCI	C1894	$4660
SM	HB SHEATH INTRDCR WORLEY ADV CSG MERIT	C1892	$1120
SM	HB SHEATH INTRDCR WORLEY ADV LVI MERIT	C1892	$1230
SM	HB SHEATH INTRODUCER BRITE TIP CORDIS	C1893	$340
SM	HB SHEATH INTRODUCER CARD DIAG		$50
SM	HB SHEATH INTRODUCER SUPER SHEATH PED PEDIAVASCULAR	C1894	$840
SM	HB SHEATH RETRIEVAL BENT TIP BOSTON SCI		$250
SM	HB SHEATH URETERAL ACCESS FORTE		$310
SM	HB SHIELD INTRDCR PERFORMER RADIOPAQUE TIP COOK	C1894	$310
SM	HB SHOE ADD-ORTHOPED VELCRO CLOS	L3580	$190
SM	HB SHOE ADDITION FULL SOLE	L3540	$150
SM	HB SHOE DEPTH INLAY CUSTOM	L3230	$640
SM	HB SHOE FULL SOLE HEEL WEDGE BETWEEN	L3420	$160
SM	HB SHOE LIFT HEEL TAPER TO METATARSAL	L3300	$150
SM	HB SHOE METATARSAL BAR WEDGE BETWEEN	L3410	$270
SM	HB SHOE MOD ADD TRANS NOS	L3649	$120
SM	HB SHOE MODIF-CLUBFOOT WEDGE	L3380	$150
SM	HB SHOE MODIF-HEEL NEW RUBBER	L3460	$100
SM	HB SHOE MODIF-HEEL SACH CUSHION	L3450	$310
SM	HB SHOE MODIF-HEEL&SOLE NEOPRN/IN	L3310	$240
SM	HB SHOE MODIF-LIFT HEEL PER INCH	L3334	$110
SM	HB SHOE MODIF-LIFT TAPER UPTO 1/2	L3332	$220
SM	HB SHOE MODIF-M-TARS BAR WDG RCKR	L3400	$120
SM	HB SHOE MODIF-WEDGE HEEL	L3350	$70
SM	HB SHOE MODIF-WEDGE SOLE OUTSIDE	L3360	$100
SM	HB SHOE ORTH INSRT-LONG ARCH SUPP	L3010	$510
SM	HB SHOE ORTH INSRT-PLASTOZOTE EA	L3002	$470
SM	HB SHOE ORTH INSRT-UCB MOLDED EA	L3000	$920
SM	HB SHOE ORTH INSRT/PLATE-FT REMOV	L3031	$360
SM	HB SHOE ORTH-INDEPTH LADIES	L3216	$150
SM	HB SHOE ORTH-INDEPTH MENS	L3221	$150
SM	HB SHOE ORTH-PLASTOZOTE CUST EA	L3253	$180
SM	HB SHOE ORTHO MAN OXFORD BRACE	L3225	$250
SM	HB SHOE ORTHO WOMAN OXFORD BRACE	L3224	$220
SM	HB SHOE ORTHO-LADIES OXFORD	L3215	$85
SM	HB SHOE ORTHO-MENS OXFORD	L3219	$85
SM	HB SHOE ORTHOPEDIC WOMEN		$20
SM	HB SHOE OUTFLARE WEDGE	L3390	$150
SM	HB SHOE SOLE WEDGE BETWEEN SOLE	L3370	$150
SM	HB SHOULDER DISART EXT POWER MYOELECTRONIC CONTROL	L6965	$44420
SM	HB SHOULDER DISART EXT POWER SWITCH CONTROL	L6960	$38260
SM	HB SHUNT FLO-COIL CTS GUIDANT ACS		$320
SM	HB SHUNT INTRAVASC ANASTAFLO EDWARDS BAXTER		$1400
SM	HB SLEEVE SWAN		$100
SM	HB SLEEVE SWAN 406501		$20
SM	HB SLING ARM		$10
SM	HB SLING ARM +IMMOBILIZER		$30
SM	HB SLING KNEE KODEL		$30
SM	HB SLING LEG		$170
SM	HB SLING POLYESTER		$330
SM	HB SNARE AMPLATZ MICRO RETRIEVE DEVICE	C1773	$2730
SM	HB SNARE AMPLATZ RETRIEVE MEDICAL DEVICE	C1773	$1670
SM	HB SNARE POLYPECTOMY MINI OVAL		$200
SM	HB SNARE TARGET		$620
SM	HB SO FIGURE8 ABDUCTN PREFAB+FIT	L3650	$220
SM	HB SO FLEX+PELV/SACR SUPP PREFAB OTS	L0621	$350
SM	HB SO RIG PELV/SACR SUPP PREFAB OTS	L0623	$520
SM	HB SO SHLDR SGL ELASTIC PREFB+FIT		$100
SM	HB SO SHOULDER DESIGN WITHOUT JOINT CUSTOM	L3670	$410
SM	HB SO SPINE ADD-PROTCT BODSOCK EA	L0984	$190
SM	HB SO STABIL HARD PLAST PREFB+FIT		$670
SM	HB SO TLSO A-P-L +INTERFACE NOT OTH SPEC	L1499	$2400
SM	HB SOFT PROTECT HELMET PREFAB	A8000	$530
SM	HB SOLARA CRT-P MRI SURESCAN NONQUAD PMA P010015 S317	C2621	$23310
SM	HB SOLARA CRT-P MRI SURESCAN QUAD PMA P010015 S317	C2621	$24980
SM	HB SPIRATION IBV VALVE HDE H060002		$9160
SM	HB SPLINT ELBOW	A4570	$30
SM	HB SPLINT FINGER ALUMINUM	A4570	$18
SM	HB SPLINT FOOT RECUMBENT POS DEV PREFAB	L4398	$220
SM	HB SPLINT KNEE		$50
SM	HB SPLINT WRIST	A4570	$15
SM	HB STABILIT FIRST FRACTURE KIT WITH BONE CEMENT		$9330
SM	HB STAR TUMOR ABLATION SYSTEM	C1886	$11660
SM	HB STENT <=4F TEMP NONCORON+DELIV SYSTEM BSCI	C2625	$800
SM	HB STENT >=5F TEMP NONCORON+DELIV SYSTEM BSCI	C2625	$800
SM	HB STENT 90 NONCORONARY TEMP WO DELIVERY	C1877	$660
SM	HB STENT ABSORB BVS DRUG ELUT+DELIV SYST ABBOTT	C1874	$5160
SM	HB STENT BILI WALL NONCOV+DELIV SYST BSCI	C1876	$7500
SM	HB STENT BILI WALLFLEX COVERED+DELIV SYST BSCI	C1874	$10000
SM	HB STENT BILIARY ABSOLUTE GUIDANT	C1876	$4030
SM	HB STENT BILIARY EPIC BSCI	C1876	$5980
SM	HB STENT BILIARY EXPRESS / LD BSCI	C1876	$4650
SM	HB STENT BILIARY EXPRESS LD BOSTON SCI	C1876	$4640
SM	HB STENT BILIARY EXPRESS MONORAIL RENAL	C1876	$4020
SM	HB STENT BILIARY EXPRESS SD MONORAIL BSCI	C1876	$4620
SM	HB STENT BILIARY FLEXSTAR	C1876	$4500
SM	HB STENT BILIARY FLEXSTAR 120 EDWARDS	C1876	$7330
SM	HB STENT BILIARY FLEXSTAR 150 EDWARDS	C1876	$8000
SM	HB STENT BILIARY LIFESTENT TURBO EDWARDS	C1876	$3670
SM	HB STENT BILIARY LIFESTENT VALEO EDWARDS	C1876	$3670
SM	HB STENT BILIARY LIFESTENT XL EDWARDS	C1876	$3670
SM	HB STENT BILIARY PRECISE CORDIS P030047	C1876	$5980
SM	HB STENT BILIARY SILICONE TEMP WO BENTEC	C1877	$2800
SM	HB STENT BILIARY SMART NITINOL CORDIS	C1876	$5820
SM	HB STENT BILIARY VALEO BARD	C1876	$3330
SM	HB STENT BILIARY XPERT ABBOTT	C1876	$4800
SM	HB STENT BILIARY ZILVER NONCOATED/NONCOVERED+DELIV SYSTEM COOK	C1876	$5500
SM	HB STENT BILIARY ZILVER PTX COATED/COVERED+DELIV SYSTEM COOK	C1874	$6600
SM	HB STENT CARDIAC ACS GUIDANT	C1876	$7580
SM	HB STENT CARDIAC AVE	C1876	$7230
SM	HB STENT CARDIAC CORDIS	C1876	$7580
SM	HB STENT CARDIAC DRUG ELUT ION / TAXUS BSCI	C1874	$8090
SM	HB STENT CARDIAC NIROYAL 9MM	C1874	$5680
SM	HB STENT CAROTID ACCULINK GUIDANT	C1876	$6830
SM	HB STENT CAROTID WALLMR P050019S01 BSCI	C1876	$9980
SM	HB STENT CAROTID XACT NONCOV+DELIV ABBOTT	C1876	$8150
SM	HB STENT CAROTID XACT PMA P040038 ABBOTT		$8150
SM	HB STENT COATED/COVERED WO DELIV SYS CP STENT BBRA	C1875	$22700
SM	HB STENT COMPLETE SE COV+DELV MDTR	C1874	$3160
SM	HB STENT CORONARY SYNERGY DRUG ELUT+DELV BSCI	C1874	$4500
SM	HB STENT COV WO DELIV SYST CP STENT 3.4CM BBRA	C1875	$18350
SM	HB STENT COV+DEL SYST COVEREDSEAL STRAIGHT VALIANT NAVION MDTR	C1874	$61830
SM	HB STENT COV+DEL SYST COVEREDSEAL TAPERED VALIANT NAVION MDTR	C1874	$67410
SM	HB STENT COV+DEL SYST FREEFLO STRAIGHT VALIANT NAVION MDTR	C1874	$61830
SM	HB STENT COV+DEL SYST FREEFLO TAPERED VALIANT NAVION MDTR	C1874	$63260
SM	HB STENT COV+DEL SYST PK PAPYRUS BTNK HDE #H170004	C1874	$9990
SM	HB STENT COV+DELIV SYST NUDEL CP STENT BRAUN	C1874	$24980
SM	HB STENT COV+DELIV SYST ORSIRO CORONARY STENT BIOTRONIK	C1874	$2830
SM	HB STENT COV+DELIV SYST TRACHEOBRONCH BONASTENT THORACENT	C1874	$8310
SM	HB STENT COVERED VIABAHN 10CM GORE	C1874	$10370
SM	HB STENT COVERED VIABAHN 15CM GORE	C1874	$12010
SM	HB STENT COVERED VIABAHN 2.5CM GORE	C1874	$9790
SM	HB STENT COVERED VIABAHN 25CM GORE	C1874	$20070
SM	HB STENT COVERED VIABAHN 5CM GORE	C1874	$9790
SM	HB STENT COVERED VIABAHN 7.5CM GORE	C1874	$10900
SM	HB STENT COVERED VIABAHN FEM-ILLIAC GORE	C1874	$10110
SM	HB STENT COVERED VIABAHN VBX BALLOON EXP <29 MM GORE	C1874	$8090
SM	HB STENT COVERED VIABAHN VBX BALLOON EXP >=29MM AND <79MM GORE	C1874	$9790
SM	HB STENT COVERED VIABAHN VBX BALLOON EXP >=79MM GORE	C1874	$10740
SM	HB STENT COVERED VIABAL BILI GORE	C1874	$8900
SM	HB STENT CYPHER RX-ELUTING CORDIS	C1874	$7330
SM	HB STENT ENDOPROSH UROLUME AMS	C1876	$14380
SM	HB STENT ENTERAL WALL NCV+DELIV SYST BSCI	C1876	$8750
SM	HB STENT ESOPH ULTRAFLEX COVERED+DELIV BSCI	C1874	$9000
SM	HB STENT ESOPH ULTRAFLEX NONCOV+DELIV BSCI	C1876	$5170
SM	HB STENT ESOPH WALL UNCOV+DELIV SYST BSCI	C1876	$6000
SM	HB STENT EVOLUTION ESOPHAGEAL DUODENAL NONCOV+DELIV SYST COOK	C1876	$7360
SM	HB STENT EXPRESS2 MONORAIL SCIMED BSCI	C1876	$3830
SM	HB STENT FLAIR FLARED COVERED+DELIVERY BARD	C1874	$8310
SM	HB STENT FLAIR STRAIT COVERED+DELIVERY BARD	C1874	$6800
SM	HB STENT GRAFT COV+DELIV LIFESTREAM BALLOON EXPANDABLE BARD	C1874	$8160
SM	HB STENT GRAFT COV+DELIV SYST <250MM RELAY PLUS ENDOVASC BOLTON	C1874	$54604
SM	HB STENT GRAFT COV+DELIV SYST >=250MM RELAY PLUS ENDOVASC BOLTON	C1874	$68720
SM	HB STENT GRAFT COV+DELIV SYST VALIANT CAPTIVIA TAA MDTR P100040	C1768	$58510
SM	HB STENT GRAFT COV+DELIV SYST ZEN ALPHA THORACIC COOK P140016	C1874	$51620
SM	HB STENT GRAFT COV+DELIV SYST ZEN ALPHA THORACIC DISTAL EXT COOK P140016	C1874	$31640
SM	HB STENT GRAFT COV+DELIV SYST ZEN FENSTRTD ENDO DISTAL COOK P020018	C1874	$35500
SM	HB STENT GRAFT COV+DELIV SYST ZEN FENSTRTD ENDO PROXIMAL COOK P020018	C1874	$35500
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO BIFURCATED COOK P020018	C1874	$27300
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO CONVT COOK P020018	C1874	$7300
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO ILIAC LEG EXT COOK P020018	C1874	$6300
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO ILIAC PLUG COOK P020018		$6100
SM	HB STENT GRAFT COV+DELIV SYST ZEN FLEX ENDO MB EXT COOK P020018	C1874	$6300
SM	HB STENT GRAFT COV+DELIV SYST ZEN RENU ANCIL CONVERTE COOK P020018	C1874	$21100
SM	HB STENT GRAFT COV+DELIV SYST ZEN RENU ANCIL MB EXT COOK P020018	C1874	$17400
SM	HB STENT GRAFT COV+DELIV SYST ZEN SPIRAL-Z ILIAC LEG COOK P020018	C1874	$10000
SM	HB STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL COMP COOK P070016	C1874	$16800
SM	HB STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL COMP COOK P070016	C1874	$21300
SM	HB STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO DISTAL EXT COOK P070016	C1874	$16800
SM	HB STENT GRAFT COV+DELIV SYST ZEN TX2 TAA ENDO PROXIMAL COMP COOK P070016	C1874	$39100
SM	HB STENT GRAFT COV+DELIV SYST ZENITH TX2 ENDO PROFORM STRAIGHT COOK	C1874	$55760
SM	HB STENT GRAFT COV+DELIV SYST ZENITH TX2 ENDO PROFORM TAPERED COOK	C1874	$55760
SM	HB STENT GRAFT VIATORR GORE	C1874	$13760
SM	HB STENT GRAFT+DELIV SYST ENDURANT II MDTR	C1874	$31560
SM	HB STENT HEPACOAT CORDIS	C1874	$5720
SM	HB STENT HERCULINK ELITE ABBOTT	C1876	$5320
SM	HB STENT HERCULINK GUIDANT	C1876	$5800
SM	HB STENT ICAST COVERED+DELIVERY ATRIUM	C1874	$9000
SM	HB STENT INTRACOIL 40MM EV3	C1877	$4670
SM	HB STENT INTRACOIL 60MM EV3	C1876	$5170
SM	HB STENT INTRASTENT MAX LD BILIARY EV3	C1877	$4500
SM	HB STENT INTRASTENT MEGA LD BILIARY EV3	C1877	$4500
SM	HB STENT LVIS JR MICV TERUMO	C1876	$22940
SM	HB STENT LVIS MICV TERUMO	C1876	$20560
SM	HB STENT MEDTRONIC	C1876	$6740
SM	HB STENT MULTILINK ML VISION ABBOTT GUIDANT	C1876	$3670
SM	HB STENT MULTILINK ML ZETA ABBOTT GUIDANT	C1876	$2840
SM	HB STENT MULTILINK ULTR PIX TETR ABBOTTGUID	C1876	$6000
SM	HB STENT NEPHROURETERAL IE BOSTON SCI	C2617	$460
SM	HB STENT NEURO ATLAS HDE H020002	C1876	$26630
SM	HB STENT NEURO ENTERPRISE CORDIS H060001	C1876	$17320
SM	HB STENT NEUROFORM 10MM BOSTONSCI H020002	C1876	$13210
SM	HB STENT NEUROFORM 15MM BOSTONSCI H020002	C1876	$13360
SM	HB STENT NEUROFORM 20MM BOSTONSCI H020002	C1876	$13950
SM	HB STENT NEUROFORM 30MM BOSTONSCI H020002	C1876	$14250
SM	HB STENT NIR ON RANGER+DELIV BSCI	C1876	$6920
SM	HB STENT NONCOATED/NONCOVERED+DELIV SYSTEM COOK	C1876	$200
SM	HB STENT NONCOV+DELIV ABBOTT	C1876	$7980
SM	HB STENT NONCOV+DELIV ABSOLUTE PRO ABBOTT	C1876	$1750
SM	HB STENT NONCOV+DELIV SYST PRECISE PRO RX CORDIS	C1876	$8990
SM	HB STENT NONCOV+DELIV SYST PRO-KINETIC CORONARY STENT BIOTRONIK	C1876	$1500
SM	HB STENT NONCOV+DELIV SYST VICI VENOUS BSCI	C1876	$5660
SM	HB STENT NONCOV+DELIV SYST ZENITH DISSECT ENDO COOK	C1876	$47480
SM	HB STENT NONCOV+DELIV VENOVO VENOUS SYST BARD	C1876	$5660
SM	HB STENT OMNILINK ABBOTT GUIDANT	C1876	$5470
SM	HB STENT PALMAZ CORINTHIAN IQ WO CORDIS	C1877	$2840
SM	HB STENT PALMAZ GENESIS WO DELIVERY CORDIS	C1877	$4500
SM	HB STENT PALMAZ GENESIS+DELIVERYSYST CORDIS	C1876	$3710
SM	HB STENT PALMAZ SCHATZ WO DELIVERY CORDIS	C1877	$5320
SM	HB STENT PALMAZ WO DELIVERY SYST CORDIS	C1877	$4500
SM	HB STENT PARAMOUNT MINI EV3	C1876	$3000
SM	HB STENT PIXEL CORONARY ABBOTT	C1876	$3410
SM	HB STENT POLYFLEX AIRWAY COVERED+DELIV BSCI	C1874	$8500
SM	HB STENT PROTEGE EV3	C1876	$5400
SM	HB STENT PROTEGE RX CAROTID EV3 COVIDIEN	C1876	$6200
SM	HB STENT REBEL NONCOV WITH MR DELIV BSCI	C1876	$2330
SM	HB STENT RESOLUTE ONYX < 4.5MM COV+DELV MDTR	C1874	$4050
SM	HB STENT RESOLUTE ONYX >= 4.5MM COV+DELV MDTR	C1874	$4300
SM	HB STENT SENTINOL BOSTON SCI	C1876	$3920
SM	HB STENT SMART CONTROL CORDIS	C1876	$6580
SM	HB STENT SYMPHONY LARGE NONCOV WO DELIV	C1877	$6260
SM	HB STENT SYMPHONY SMALL NONCOV WO DELIV	C1877	$6000
SM	HB STENT TEMP BILIARY WO DELIV SYSTEM BOSTON SCI	C2617	$300
SM	HB STENT TEMP NONCORON WO DELIV SYSTEM COOK	C2617	$200
SM	HB STENT TEMP PERCUFLEX TAIL PLUS	C2617	$540
SM	HB STENT TEMP URETER INLAYOPTIMA+DELIV BARD	C2625	$550
SM	HB STENT TEMP URETERAL +DELIVERY SYST COOK	C2625	$140
SM	HB STENT TEMP URETERAL DIVERSION BSCI	C2617	$370
SM	HB STENT TEMP URETERAL GYRUS	C2617	$800
SM	HB STENT TEMP URETERAL INLAY +DELIV BARD	C2625	$400
SM	HB STENT TEMP URETERAL RESONANCE+DELIV COOK	C2625	$3010
SM	HB STENT TEMP URETERAL UNIVERSA COOK	C2617	$300
SM	HB STENT TEMP URETHRAL TARKINGTON COOK	C2617	$350
SM	HB STENT TRACHBRNCH/ESOPH COVERED+DELIV SYST MERIT	C1874	$7950
SM	HB STENT TRACHEA/BRONCHUS COOK-Z STENT COOK	C1877	$2790
SM	HB STENT TRACHEOBRONCH FLUENCY BARD	C1874	$6170
SM	HB STENT TRACHEOBRONCH ULTRAFLEX COVERED+DELIV BSCI	C1874	$10300
SM	HB STENT TRACHEOBRONCH ULTRAFLEX NONCOV+DELIV BSCI	C1876	$9400
SM	HB STENT URETERAL BOSTON SCI	C2617	$500
SM	HB STENT URETERAL FLEXIMA BOSTON SCI	C2617	$380
SM	HB STENT VISIPRO PRIMUS EV3	C1876	$2700
SM	HB STENT WALL NONCOAT+DELIV MDIT	C1876	$3580
SM	HB STENT WALL SMALL NONCOV+DELIV	C1876	$5650
SM	HB STENT WALL STENT RP BILIARY BOSTON SCI	C1876	$6700
SM	HB STENT WALL STENT TRACHEOBRONCHIAL BSCI	C1874	$5650
SM	HB STENT WALLGRAFT 20-50MM BOSTON SCI	C1874	$6500
SM	HB STENT WALLGRAFT 70MM BOSTON SCI	C1874	$7500
SM	HB STENT WINGSPAN BOSTON SCI HDE H050001	C1876	$19970
SM	HB STENT XIENCE DRUG ELUT+DELIV SYST ABBOTT	C1874	$6830
SM	HB STENT XIENCE NANO DRUG ELUT+DELIV ABBOTT	C1874	$4320
SM	HB STENT XIENCE SIERRA CORONARY DRUG ELUT+DELIV SYST ABBOTT	C1874	$4160
SM	HB STOCKERT CONNECTING CABLE		$640
SM	HB STOCKING TED KNEE		$10
SM	HB STOCKING TED THIGH		$20
SM	HB STONE RETRIEV BASKET WITTICH COOK		$1360
SM	HB STONE RETRIEV DEVC MAHORNER		$1380
SM	HB SUPPORT AIRCAST ANKLE CONTROL SPLINT	L4350	$330
SM	HB SUPPORT LUMBAR FLEX + VELCRO		$162
SM	HB SUPPORT MALE		$15
SM	HB SUPPORT MAMMARY		$180
SM	HB SUPPORT SUSPENSORY		$30
SM	HB SUPPORT SWIM		$20
SM	HB SUPPORT WRIST ELASTIC		$20
SM	HB SUPRAPUBIC CATH STAMEY		$150
SM	HB SURGICAL IMPLANT LAMINARIA NATURAL	A4649	$40
SM	HB SURGICAL IMPLANT LAMINARIA SYNTHETIC	A4649	$30
SM	HB SWIM MOLDS (1)	V5264	$60
SM	HB SYSTEM BREAST MRKG SADOWSKY		$490
SM	HB SYSTEM DELIVERY BLLN 18MM ENSE MDTR H080002		$21650
SM	HB SYSTEM DELIVERY BLLN 20MM ENSE MDTR H080002		$21650
SM	HB SYSTEM DELIVERY BLLN 22MM ENSE MDTR H080002		$21650
SM	HB SYSTEM EMBOLC CYANOACRYLATE IMPL		$8210
SM	HB SYSTEM PEG GW INITIAL 20F PULL		$300
SM	HB SYSTEM PEG REPL TUBE NON-BALL USEN		$170
SM	HB TEP VOICE CLIN INSRT BLM-SINGER ADV INHEALTH	L8509	$830
SM	HB TEP VOICE CLIN INSRT BLM-SINGER ÊDUO INHEALTH	L8509	$1030
SM	HB TEP VOICE CLIN INSRT-DUCKBILL	L8509	$160
SM	HB TEP VOICE CLIN INSRT-DUCKBL SP	L8509	$330
SM	HB TEP VOICE CLIN INSRT-INDWEL	L8509	$660
SM	HB TEP VOICE CLIN INSRT-INDWEL SP	L8509	$730
SM	HB TEP VOICE CLIN INSRT-LOPRSS	L8509	$200
SM	HB TEP VOICE CLIN INSRT-LOPRSS SP	L8509	$300
SM	HB TEP VOICE CLIN INSRT-NID	L8509	$290
SM	HB TEP VOICE CLIN INSRT-PROVX2	L8509	$490
SM	HB TEP VOICE PT INSERTED-DUCKBILL	L8507	$130
SM	HB TEP VOICE PT INSERTED-LOPRESS	L8507	$200
SM	HB TEP VOICE PT INSERTED-PRVX NID	L8507	$290
SM	HB TERM DEV HAND MECHANICAL VOLUNTARY CLOSE	L6709	$4840
SM	HB TERM DEV HAND MECHANICAL VOLUNTARY CLOSE PEDS	L6714	$3890
SM	HB TERM DEV HAND MECHANICAL VOLUNTARY OPEN	L6708	$3340
SM	HB TERM DEV HAND MECHANICAL VOLUNTARY OPEN PEDS	L6713	$4590
SM	HB TERM DEV HOOK MECHANICAL VOLUNTARY CLOSE	L6707	$4930
SM	HB TERM DEV HOOK MECHANICAL VOLUNTARY CLOSE PEDS	L6712	$3640
SM	HB TERM DEV HOOK MECHANICAL VOLUNTARY OPEN	L6706	$1290
SM	HB TERM DEV HOOK MECHANICAL VOLUNTARY OPEN PEDS	L6711	$1980
SM	HB TERM DEV HOOK OR HAND HVY DTY VOLUNTARY CLOSE	L6722	$5960
SM	HB TERM DEV HOOK OR HAND HVY DTY VOLUNTARY OPEN	L6721	$6910
SM	HB TERM DEV MULTI ART DIGIT W MOTOR	L6715	$9280
SM	HB TERM DEV PASS HAND/MITT	L6703	$1080
SM	HB TERM DEV SPRT/REC/WORK ATTACH	L6704	$2340
SM	HB THORACENTESIS SUPPLY		$100
SM	HB THORACOSTOMY SUPPLY		$460
SM	HB THORATEC CANNULA ARTERIAL VAD		$12330
SM	HB THORATEC CANNULA ATRIAL IVAD		$9150
SM	HB THORATEC CANNULA VENTRIC IVAD		$9150
SM	HB THORATEC LEAD ELCTRD 5-7FT ADD		$990
SM	HB THORATEC VAD DRIVER TLCII SYSTEM		$316370
SM	HB THORATEC VAD TLC-II DRIVER SYST PORT		$249770
SM	HB THORATEC VENT ASSIST DEVICE IVAD		$183160
SM	HB TISSUE LOC&EXCIS SENOMARK SENORX	A4648	$2600
SM	HB TISSUE MARKER BREAST SENORX	C1819	$2800
SM	HB TISSUE MARKER IMPLANT BIOZORB FOCL	A4648	$3330
SM	HB TISSUE MARKER IMPLANT SAVI SCOUT CIANNA	A4648	$1470
SM	HB TISSUE MARKER ULTRACLIP II INRAD	C1819	$250
SM	HB TLSO 2 SHL SYMPHYSIS STERN PREFAB W CUSTOM FIT	L0460	$2940
SM	HB TLSO 3MOD SYMPHYSIS STERN PREFAB	L0462	$3660
SM	HB TLSO 4MOD SYMPHYSIS STERN PREFAB	L0464	$4360
SM	HB TLSO A-P-L CONTR+INTERFC/KYDEX	L0486	$6320
SM	HB TLSO A-P-L-ROTAT CONTR HYPERXT	L0472	$1520
SM	HB TLSO ADDN-ANT THOR DEROTAT PAD	L1260	$250
SM	HB TLSO ADDN-ANTERIOR ASIS PAD	L1250	$230
SM	HB TLSO ADDN-LAT TROCHANTERIC PAD	L1290	$290
SM	HB TLSO ADDN-LUMBAR DEROTATE PAD	L1240	$290
SM	HB TLSO ANT-POS CONTROL PREFB+FIT	L0468	$1700
SM	HB TLSO ANT-POST CONTROL/TAYLOR	L0466	$1400
SM	HB TLSO ANT-POST-LAT CONTR/KNIGHT	L0470	$2390
SM	HB TLSO CORSET FRONT	L0970	$430
SM	HB TLSO FLEX D-LUMBAR ELAST+PNL	L0454	$1020
SM	HB TLSO FLEX D-LUMBAR HYPEREXTNSN	L0456	$2920
SM	HB TLSO FLEX DORSOLUMBAR CUST FAB	L0452	$1050
SM	HB TLSO FLEX DORSOLUMBAR SUPPORT	L0450	$650
SM	HB TLSO INITIAL ORTHOSIS /BOSTON	L1200	$5870
SM	HB TLSO SPINE ADDN-FULL CORSET	L0974	$650
SM	HB TO ELASTIC SUPPORT	A4467	$40
SM	HB TORQUE DEVICE GUIDANT MALLINCKRODT		$200
SM	HB TRACH TUBE		$400
SM	HB TRACH TUBE +CANNULA		$20
SM	HB TRACH TUBE ENDO		$200
SM	HB TRACH TUBE SPEAKING VALVE PASSY-MUIR	L8501	$200
SM	HB TRACHEOSTOMY SUPPLY		$340
SM	HB TRANS/METACARPAL OR PART HAND PROSTH MYO CNTRL EXCL TERM DEVC	L6026	$13880
SM	HB TRANSDUCER EDWRD/NVLYST/HEMDYN		$1000
SM	HB TRANSFER CATHETER		$260
SM	HB TRANSJUGULAR ACCESS ANGIODYNAMICS	C1887	$1350
SM	HB TRCHTUBE STOMA FILTER HOLDER PROVOX ATOS	A7507	$300
SM	HB TRNSFR BTW SHOES CALIPER EXIST	L3600	$220
SM	HB TRNSFR BTW SHOES CALIPER NEW	L3610	$290
SM	HB TRNSFR BTW SHOES STIRRUP EXIST	L3620	$220
SM	HB TRNSFR BTW SHOES STIRRUP NEW	L3630	$290
SM	HB TRUFILL N-BCA EACH 1GRAM CORDIS		$15600
SM	HB TRUSS DOUBLE W STANDARD PAD	L8310	$520
SM	HB TRUSS SINGLE W STANDARD PAD	L8300	$330
SM	HB TUBE CIRCLE NEPHROSTOMY MENTOR	C1729	$590
SM	HB TUBE CONNECTING		$340
SM	HB TUBE ESOPHAGEAL BLAKEMORE		$900
SM	HB TUBE FEEDING FREDERICK MILLER		$240
SM	HB TUBE FEEDING JEJUNAL MIC KIMBERLY CLARK		$390
SM	HB TUBE FEEDING JEJUNAL MIC-KEY LOWPRO HALY		$570
SM	HB TUBE GASTRO-JEJUNAL G-JET LOW PRO APPLIED MED		$1490
SM	HB TUBE GASTROENTERIC MIC KIMBERLY CLARK		$600
SM	HB TUBE GASTROSTOMY MIC		$400
SM	HB TUBE GASTROSTOMY MIC KIMBERLY CLARK		$130
SM	HB TUBE GASTROSTOMY MIC-KEY LOWPRO KIMB HALY		$310
SM	HB TUBE GASTROSTOMY MINI BUTTON LOWPRO APPLIED MED		$330
SM	HB TUBE GASTROSTOMY PEG JEJUNAL		$1200
SM	HB TUBE GASTROSTOMY PEG MIC		$410
SM	HB TUBE JEJUNOSTOMY MIC KIMBERLY CLARK		$700
SM	HB TUBE LARYNGECTOMY ATOS	A7520	$260
SM	HB TUBE LARYNGECTOMY FENESTRATED INHEALTH	A7520	$450
SM	HB TUBE LARYNGECTOMY INHEALTH	A7520	$450
SM	HB TUBE LARYNGECTOMY PROVOX ATOS	A7520	$380
SM	HB TUBE MAX PEG RING PULL CORFLO CRPK		$420
SM	HB TUBE NASOJEJUNAL		$390
SM	HB TUBE PEG/PEJ BSCI CONMED		$270
SM	HB TUBE STOMACH ANDERSON		$15
SM	HB TUBE STOMACH BARD KIMB		$270
SM	HB TUBE STOMACH LEVINE		$60
SM	HB TUBE STOMACH LINTON		$1020
SM	HB TUBE STOMACH MILLER ABBOTT		$200
SM	HB TUBE TRANSGASTRIC JEJUNAL MIC KIMBERLY		$650
SM	HB TUBE TRANSGASTRIC JEJUNAL MIC-KEY LOWPRO KIMB HALY		$1120
SM	HB TUBE URODYNAMIC PUMP		$210
SM	HB TUMOR ABLAT KIT STAR MERIT		$11660
SM	HB TWELVE VOLT BATTERY EACH	L7364	$1420
SM	HB UE FRACTURE ORTH HUMERAL W SHLD CAP W WO JTS FOREARM PREFAB+FIT	L3981	$2690
SM	HB UNIV NEURO III PLATE SYST MESH STRY	C1781	$2540
SM	HB UROSTOMY DRAIN		$200
SM	HB UROSTOMY PACK		$120
SM	HB UROSTOMY POUCH		$40
SM	HB VAD CONTROLLER	Q0506	$2800
SM	HB VAD DEVICE ABIOMED IMPELLA 5.0		$93240
SM	HB VAD DEVICE HEARTMATE 3 LVAD CABLE CAP REPLACEMENT	Q0485	$1580
SM	HB VAD DEVICE HEARTMATE 3 LVAD CONTROLLER REPLACEMENT	Q0481	$18320
SM	HB VAD DEVICE HEARTMATE 3 LVAD MODULAR CABLE REPLACEMENT	Q0485	$16480
SM	HB VAD DEVICE HEARTMATE II LVAD POCKET CONTROLLER REPLACEMENT	Q0481	$18320
SM	HB VAD DEVICE HEARTMATE II VAD CONDUIT REPLACEMENT	Q0508	$19650
SM	HB VAD DEVICE HEARTMATE II VAD OUTFLOW REPLACEMENT	Q0508	$15990
SM	HB VAD DEVICE HEARTMATE VAD POWER CABLE REPLACEMENT	Q0508	$120
SM	HB VAD DEVICE HEARTMATE VAD POWER MODULE PATIENT CABLE	Q0508	$4160
SM	HB VAD DEVICE HEARTMATE VAD WEARABLE ACCESSORY STRAP BELT BAG	Q0508	$570
SM	HB VAD DEVICE IMPELLA 5.5 W/SMARTASSIST ABIOMED		$116560
SM	HB VAD DEVICE IMPELLA LD ABIOMED		$83250
SM	HB VAD DEVICE THORATEC CANNULA ARTERIAL IVAD		$8000
SM	HB VAD DEVICE THORATEC CANNULA ATRIAL		$8000
SM	HB VAD DEVICE THORATEC CANNULA VENTRIC VAD		$9330
SM	HB VAD DEVICE THORATEC VENT ASSIST DEVICE VAD		$188660
SM	HB VAD GRAFT HEARTMATE 3 SEALED OUTFLOW GRAFT WITH BEND RELIEF REPLACEMENT	C1768	$15980
SM	HB VAD HEARTMATE3 LVAD IMPLANT KIT W/ CONTROLLER		$332770
SM	HB VAD HEARTMATE3 LVAD SURGICAL ACCESSORIES SPARES REPLACEMENT	Q0508	$5540
SM	HB VAD HEARTWARE MONITOR KIT REPLACEMENT 1520US P100047	Q0483	$16650
SM	HB VAD HEARTWAVE PACK SHOULDER REPLACEMENT P100047	Q0498	$1500
SM	HB VAD HEARTWAVE PACK WAIST REPLACEMENT P100047	Q0498	$1500
SM	HB VAD IMPELLA RP RIGHT ABIOMED		$83250
SM	HB VAD TANDEMHEART HOLSTER	Q0498	$330
SM	HB VAD TANDEMHEART HOLSTER PATCH	Q0499	$80
SM	HB VAD TANDEMHEART PROC KIT CARDIAC ASSIST		$64940
SM	HB VAD TANDEMHEART PROC KIT CARDIO ASSIST		$74930
SM	HB VAD TANDEMHEART PROTEK ARTERIAL CANNULA		$1650
SM	HB VAD TANDEMHEART PROTEKDUO VENO-VENOUS CANNULA 29F		$31640
SM	HB VAD TANDEMHEART PROTEKDUO VENO-VENOUS CANNULA KIT		$83254
SM	HB VAD TANDEMHEART PUMP KIT		$58280
SM	HB VAD TANDEMHEART TRANSSEPTAL CANNULA SET		$6490
SM	HB VALVE AORTIC / MITRAL MOSAIC MEDR	C1763	$17670
SM	HB VALVE AORTIC STENTLESS	C1763	$20090
SM	HB VALVE DELTA LEVEL 2 SMALL		$4600
SM	HB VALVE GRFT AORTIC TAVR EDWARDS	C1763	$108240
SM	HB VALVE GRFT AORTIC TAVR SAPIEN 3 ULTRA SYST EDWARDS		$108230
SM	HB VALVE MITRAL BIOPROSTH	C1763	$8500
SM	HB VALVE MITRAL CARPENTIER	C1763	$10600
SM	HB VERT COMPRESFX DEVC KYPHX-1LVL		$11670
SM	HB VERT COMPRESFX DEVC KYPHX-ADDL		$7860
SM	HB VERTEBROPLSTY INTRODUCER SYSTEM KYPHX		$3620
SM	HB VERTEBROPLSTY TAMPDEVC ELEVATE KYPHX		$3900
SM	HB VERTEBROPLSTY TAMPDEVC EXACT KYPHX		$3850
SM	HB VERTEBROPLSTY TAMPDEVC EXPRESS KYPHX		$3660
SM	HB VERTEBROPLSTY TAMPDEVC XPANDER KYPHX		$3660
SM	HB WALK BOOT NEXTEP DJ ORTHO	L4386	$470
SM	HB WALK BOOT PNEUM SPLNT PREFAB+FIT DJORTHOTICS	L4360	$910
SM	HB WHFO +NONOTORSION JOINTS CUST	L3806	$1210
SM	HB WHFO ADD-S&L OPPON IP EXT+STOP	L3931	$640
SM	HB WHFO RIGID WO JOINTS CUSTOM	L3808	$1210
SM	HB WHFO WO JT PREFAB	L3809	$670
SM	HB WHFO WO JT PREFB+FIT ANY TYPE	L3807	$670
SM	HB WHFO WRIST DORSAL PREFAB+FIT	L3931	$640
SM	HB WHFO WRIST GAUNTLET MOLD CUST	L3906	$1450
SM	HB WHFO1+NONTORSION JTS PREFB+FIT	L3931	$640
SM	HB WHO +NONOTORSION JOINTS CUST	L3905	$2650
SM	HB WHO WRST E-COCKUP+JT PREFB+FIT	L3915	$1420
SM	HB WHO WRSTCONTR COCKUP DJ ORTHO	L3908	$220
SM	HB WHO WRSTCONTR COCKUP PREFB+FIT	L3908	$220
SM	HB WIRE TIP DEFLECTING		$120
SM	HB WO ELASTIC WRAP UNIV	A4467	$20
SM	HB WRIST DISART EXT POWER SWITCH CONTROL	L6920	$22320
SM	HB WT BEAR ADD-LACER NONMOLDED	L2530	$880
SM	NEURSTM GENERATOR ACTIVA PC P960009S052	C1767	$61580

"Physical, Occupational, Speech Therapies"

Hospital	Description	CPT Code	Standard Charge
SM	HB GI SPHINCTER GALVANIC STIMULATE	97032	$90
SM	HB OT BIOFEEDBACK M TRAIN RE-ED	90901	$340
SM	HB OT COMMUNITY TRAINING/15+ASST	97537	$150
SM	HB OT MANUAL THERAPY/15MIN+ASST	97140	$180
SM	HB OT NEUROMUSC RE-ED/15MIN+ASST	97112	$190
SM	HB OT PHYSICAL PERF TEST/15 +ASST	97750	$140
SM	HB OT SELFCARE/HOME TRAIN/15+ASST	97535	$140
SM	HB OT SENSORY INTEGRAT/15MIN+ASST	97533	$130
SM	HB OT THERAP ACTIVITY/15MIN+ASST	97530	$140
SM	HB OT THERAP EXERCISE/15MIN+ASST	97110	$180
SM	HB OT ULTRASOUND/15MIN+ICE/HEAT	97035	$130
SM	HB OT WHEELCHAIR MGMT/15MIN+ASST	97542	$150
SM	HB PT AQUATIC THERAPY/15MIN+ASST	97113	$203
SM	HB PT BIOFEEDBACK M TRAIN RE-ED	90901	$340
SM	HB PT COMMUNITY TRAINING/15+ASST	97537	$150
SM	HB PT GAIT TRAINING/15MIN+ASST	97116	$120
SM	HB PT HUBBARD TANK/15MIN+ASST	97036	$100
SM	HB PT NEUROMUSC RE-ED/15MIN+ASST	97112	$190
SM	HB PT PHYS PERFORM-ENVIRONMT EVAL	97750	$180
SM	HB PT PHYSICAL PERF TEST/15 +ASST	97750	$140
SM	HB PT SELFCARE/HOME TRAIN/15+ASST	97535	$140
SM	HB PT SENSORY INTEGRAT/15MIN+ASST	97533	$130
SM	HB PT THERAP EXERCISE/15MIN+ASST	97110	$180
SM	HB PT WHEELCHAIR MGMT/15MIN+ASST	97542	$150
SM	HB PT WOUND DEBRID LEVEL 1+ ASSIST <20CM SQ	97597	$590
SM	HB PT WOUND DEBRID LEVEL 2+ ASSIST <20CM SQ	97597	$590
SM	HB PT WOUND DEBRID LEVEL 3+ ASSIST >20CM SQ	97598	$440
SM	HB PT WOUND DEBRID LEVEL 4+ ASSIST >20CM SQ	97598	$590
SM	HB PT WOUND DEBRID NONSELECTIVE LEVEL 1+ ASSIST	97602	$590
SM	HB PT WOUND DEBRID NONSELECTIVE LEVEL 2+ ASSIST	97602	$590
SM	HB PT WOUND DEBRID NONSELECTIVE LEVEL 3+ ASSIST	97602	$590
SM	HB PT WOUND DEBRID NONSELECTIVE LEVEL 4+ ASSIST	97602	$590
SM	HB CANALITH REPOSITIONING PROC PER DAY	95992	$290
SM	HB CAST APPLY HAND&LO ARM GAUNTLET	29085	$510
SM	HB MANUAL THERAPY/15MIN	97140	$143
SM	HB NONTELEM EXERCISE MONTHLY FOR FAMILY MEMBER		$75
SM	HB OT BIOFEEDBACK M TRAIN RE-ED	90901	$340
SM	HB OT BIOFEEDBACK PERI/URO/RECTAL EA ADDL 15 MINS	90913	$240
SM	HB OT BIOFEEDBACK PERI/URO/RECTAL INIT 15 MINS	90912	$480
SM	HB OT COMMUNIITY TRAINING/15MIN	97537	$150
SM	HB OT COMMUNITY TRAINING/15+ASST	97537	$150
SM	HB OT CONTRAST BATH/15MIN	97034	$100
SM	HB OT ELCTRSTIM-ATTND/15+ICE/HEAT	97032	$120
SM	HB OT ELECTRICAL STIM-ATTENDED/15	97032	$120
SM	HB OT ELECTRICAL STIM-UNATTENDED	G0283	$150
SM	HB OT ELECTRSTIM-UNATTND+ICE/HEAT	G0283	$150
SM	HB OT EVALUATION HIGH COMPLEXITY	97167	$570
SM	HB OT EVALUATION LOW COMPLEXITY	97165	$350
SM	HB OT EVALUATION MOD COMPLEXITY	97166	$470
SM	HB OT IONTOPHORESIS/15+ICE/HEAT	97033	$140
SM	HB OT IONTOPHORESIS/15MIN	97033	$140
SM	HB OT MANUAL THERAPY/15+ICE/HEAT	97140	$180
SM	HB OT MANUAL THERAPY/15MIN	97140	$180
SM	HB OT MANUAL THERAPY/15MIN+ASST	97140	$180
SM	HB OT MASSAGE PER 15MIN	97124	$140
SM	HB OT MC CASE CONF REPORT-1ST 30		$46
SM	HB OT MC CASE CONF REPORT-ADD15		$36
SM	HB OT MC EVALUATION EA ADDL 15MIN		$80
SM	HB OT MC EVALUATION INITIAL 30MIN		$240
SM	HB OT MC TREATMENT-ONE AREA 30MIN		$250
SM	HB OT MC TREATMENT-ONE AREA/ADD15		$130
SM	HB OT NEUROMUSC RE-ED/15+ICE/HEAT	97112	$190
SM	HB OT NEUROMUSC RE-ED/15MIN+ASST	97112	$190
SM	HB OT NEUROMUSCULAR RE-ED/15MIN	97112	$190
SM	HB OT ORTHO MGMT/TRAINING 1ST ENC EA 15MIN	97760	$210
SM	HB OT PARAFFIN	97018	$150
SM	HB OT PHYSICAL PERF ENVIRONMT EVAL	97750	$140
SM	HB OT PHYSICAL PERF TEST/15 +ASST	97750	$140
SM	HB OT PHYSICAL PERF TEST/15MIN	97750	$180
SM	HB OT PROSTH MGMT/TRAINING EA 15MIN	97763	$240
SM	HB OT PROSTHETIC TRAINING 1ST ENC EA 15MIN	97761	$180
SM	HB OT RE-EVALUATION	97168	$210
SM	HB OT SELFCARE/HOME TRAIN/15+ASST	97535	$140
SM	HB OT SELFCARE/HOME TRAIN/15MIN	97535	$140
SM	HB OT SENSORY INTEGRAT/15MIN+ASST	97533	$130
SM	HB OT SENSORY INTEGRATION/15MIN	97533	$200
SM	HB OT SWALLOWING EVAL LVL1-BEDSID	92610	$560
SM	HB OT SWALLOWING EVAL LVL2-BEDSID	92610	$560
SM	HB OT SWALLOWING EVAL LVL3-BEDSID	92610	$560
SM	HB OT SWALLOWING EVAL LVL4-BEDSID	92610	$560
SM	HB OT SWALLOWING EVAL LVL5-BEDSID	92610	$406
SM	HB OT SWALLOWING EVAL LVL6-BEDSID	92610	$491
SM	HB OT SWALLOWING STUDY EVAL LVL1	92611	$610
SM	HB OT SWALLOWING STUDY EVAL LVL2	92611	$610
SM	HB OT SWALLOWING STUDY EVAL LVL3	92611	$488
SM	HB OT SWALLOWING STUDY EVAL LVL4	92611	$344
SM	HB OT SWALLOWING STUDY EVAL LVL5	92611	$488
SM	HB OT SWALLOWING STUDY EVAL LVL6	92611	$488
SM	HB OT SWALLOWING TREATMENT LVL1	92526	$200
SM	HB OT SWALLOWING TREATMENT LVL2	92526	$260
SM	HB OT SWALLOWING TREATMENT LVL3	92526	$420
SM	HB OT SWALLOWING TREATMENT LVL4	92526	$420
SM	HB OT THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT	97129	$132
SM	HB OT THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CONTACT	97130	$132
SM	HB OT THERAP ACTIVITY/15MIN+ASST	97530	$140
SM	HB OT THERAP EXERCISE/15+ICE/HEAT	97110	$180
SM	HB OT THERAP EXERCISE/15MIN+ASST	97110	$180
SM	HB OT THERAPEUTIC ACTIVITY/15MIN	97530	$140
SM	HB OT THERAPEUTIC EXERCISE/15MIN	97110	$180
SM	HB OT THERAPEUTIC PROC-GROUP LVL2	97150	$140
SM	HB OT ULTRASOUND/15MIN	97035	$150
SM	HB OT WHEELCHAIR MGMT/15MIN	97542	$150
SM	HB OT WHEELCHAIR MGMT/15MIN+ASST	97542	$150
SM	HB OT WHIRLPOOL/FLUIDOTHERAPY	97022	$180
SM	HB OT WORK HARDENING-1ST 2 HRS	97545	$280
SM	HB OT WORK HARDENING-EA ADD HR	97546	$80
SM	HB OT WOUND DEBRID L1+ASST<20CMSQ	97597	$670
SM	HB OT WOUND DEBRID L2+ASST<20CMSQ	97597	$590
SM	HB OT WOUND DEBRID L3+ASST>20CMSQ	97598	$440
SM	HB OT WOUND DEBRID L4+ASST>20CMSQ	97598	$590
SM	HB OT WOUND DEBRID LVL1 <20CM SQ	97597	$670
SM	HB OT WOUND DEBRID LVL2 <20CM SQ	97597	$590
SM	HB OT WOUND DEBRID LVL3 >20CM SQ	97598	$320
SM	HB OT WOUND DEBRID LVL4 >20CM SQ	97598	$420
SM	HB PT AQUATIC THERAPY/15MIN	97113	$203
SM	HB PT AQUATIC THERAPY/15MIN+ASST	97113	$203
SM	HB PT BIOFEEDBACK M TRAIN RE-ED	90901	$340
SM	HB PT BIOFEEDBACK PERI/URO/RECTAL EA ADDL 15 MINS	90913	$240
SM	HB PT BIOFEEDBACK PERI/URO/RECTAL INIT 15 MINS	90912	$480
SM	HB PT COMMUNITY TRAINING/15+ASST	97537	$150
SM	HB PT COMMUNITY TRAINING/15MIN	97537	$150
SM	HB PT CONTRAST BATH/15MIN	97034	$100
SM	HB PT ELECTRICAL STIM-ATTENDED/15	97032	$120
SM	HB PT ELECTRICAL STIM-UNATTENDED	G0283	$150
SM	HB PT ELECTRSTIM-UNATTND+ICE/HEAT	G0283	$150
SM	HB PT EVALUATION HIGH COMPLEXITY	97163	$510
SM	HB PT EVALUATION LOW COMPLEXITY	97161	$380
SM	HB PT EVALUATION MOD COMPLEXITY	97162	$470
SM	HB PT GAIT TRAINING/15MIN	97116	$140
SM	HB PT GAIT TRAINING/15MIN+ASST	97116	$140
SM	HB PT HUBBARD TANK/15MIN	97036	$100
SM	HB PT HUBBARD TANK/15MIN+ASST	97036	$100
SM	HB PT IONTOPHORESIS/15+ICE/HEAT	97032	$110
SM	HB PT IONTOPHORESIS/15+ICE/HEAT	97033	$140
SM	HB PT IONTOPHORESIS/15MIN	97033	$140
SM	HB PT MANUAL THERAPY/15+ICE/HEAT	97140	$180
SM	HB PT MANUAL THERAPY/15+ICE/HEAT	97140	$180
SM	HB PT MANUAL THERAPY/15MIN	97140	$180
SM	HB PT MANUAL THERAPY/15MIN+ASST	97140	$180
SM	HB PT MASSAGE PER 15MIN	97124	$140
SM	HB PT MC CASE CONF REPORT-1ST 30		$45
SM	HB PT MC CASE CONF REPORT-ADD15		$36
SM	HB PT MC EVALUATION EA ADDL 15MIN		$80
SM	HB PT MC EVALUATION INITIAL 30MIN		$240
SM	HB PT MC HUBBARD TANK-1ST 30MIN		$200
SM	HB PT MC HUBBARD TANK-EA ADD15MIN		$100
SM	HB PT MC MODALITY-ONE AREA 30MIN		$200
SM	HB PT MC MODALITY-ONE AREA/ADD15		$130
SM	HB PT MC POOL THERAPY-1ST 30MIN		$330
SM	HB PT MC POOL THERAPY-EA ADD15		$164
SM	HB PT MC TREATMENT+MODALITY 30MIN		$250
SM	HB PT MC TREATMENT-ONE AREA 30MIN		$250
SM	HB PT MC TREATMENT-ONE AREA/ADD15		$130
SM	HB PT MC TREATMNT+MODALITY ADD15		$130
SM	HB PT MECHANICAL TRACTION	97012	$180
SM	HB PT MECHANICAL TRACTN+ICE/HEAT	97012	$180
SM	HB PT NEUROMUSC RE-ED/15+ICE/HEAT	97112	$190
SM	HB PT NEUROMUSC RE-ED/15MIN+ASST	97112	$190
SM	HB PT NEUROMUSCULAR RE-ED/15MIN	97112	$190
SM	HB PT ORTHO MGMT/TRAINING 1ST ENC ÊEA 15MIN	97760	$210
SM	HB PT PARAFFIN	97018	$150
SM	HB PT PHYS PERFORM-ENVIRONMT EVAL	97750	$180
SM	HB PT PHYSICAL MED REHAB SERVICE UNLISTED	97799	$25
SM	HB PT PHYSICAL MED REHAB SERVICE UNLISTED	97799	$25
SM	HB PT PHYSICAL PERF TEST/15 +ASST	97750	$180
SM	HB PT PHYSICAL PERF TEST/15MIN	97750	$150
SM	HB PT PROSTH MGMT/TRAINING EA 15MIN	97763	$210
SM	HB PT PROSTHETIC TRAINING 1ST ENC EA 15MIN	97761	$180
SM	HB PT RE-EVALUATION	97164	$370
SM	HB PT SELFCARE/HOME TRAIN/15+ASST	97535	$140
SM	HB PT SELFCARE/HOME TRAIN/15MIN	97535	$140
SM	HB PT SENSORY INTEGRAT/15MIN+ASST	97533	$200
SM	HB PT SENSORY INTEGRATION/15MIN	97533	$200
SM	HB PT THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT	97129	$120
SM	HB PT THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CONTACT	97130	$120
SM	HB PT THERAP ACTIVITY/15MIN+ASST	97530	$140
SM	HB PT THERAP ACTIVITY/15MIN+ASST	97530	$140
SM	HB PT THERAP EXERCISE/15+ICE/HEAT	97110	$180
SM	HB PT THERAP EXERCISE/15MIN+ASST	97110	$180
SM	HB PT THERAPEUTIC ACTIVITY/15MIN	97530	$140
SM	HB PT THERAPEUTIC EXERCISE/15MIN	97110	$180
SM	HB PT THERAPEUTIC PROC-GROUP LVL2	97150	$140
SM	HB PT ULTRASOUND/15MIN	97035	$150
SM	HB PT ULTRASOUND/15MIN+ICE/HEAT	97035	$130
SM	HB PT WHEELCHAIR MGMT/15MIN	97542	$110
SM	HB PT WHEELCHAIR MGMT/15MIN+ASST	97542	$110
SM	HB PT WHIRLPOOL	97022	$130
SM	HB PT WOUND DEBRID L1+ASST<20CMSQ	97597	$590
SM	HB PT WOUND DEBRID L2+ASST<20CMSQ	97597	$590
SM	HB PT WOUND DEBRID LVL3 >20CM SQ	97598	$320
SM	HB PT WOUND DEBRID LVL4 >20CM SQ	97598	$420
SM	HB PT WOUND DEBRID NONSELECT LVL1	97602	$590
SM	HB PT WOUND DEBRID NONSELECT LVL2	97602	$590
SM	HB PT WOUND DEBRID NONSELECT LVL3	97602	$590
SM	HB PT WOUND DEBRID NONSELECT LVL4	97602	$590
SM	HB PULM REHAB EXERCISE MONTHLY FOR FAMILY MEMBER		$75
SM	HB SPCH MC LANGUAGE EVALUATION		$490
SM	HB SPCH MC SPEECH EVALUATION		$300
SM	HB SPCH MC SPEECH LANG THER INDIVID PER 1/2 HR		$240
SM	HB SPCH MC SPEECH LANG THER INDIVID PER HOUR		$540
SM	HB SPCH THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT	97129	$132
SM	HB SPCH THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CONTACT	97130	$132
SM	HB SPCH-LANG THERAPY INDIVIDUAL	92507	$540
SM	HB SPCH-ORAL STRUCTURE ASMNT SP PROGRAM	92522	$140
SM	HB SPEECH APHASIA ASSESSMENT PER HOUR	96105	$540
SM	HB SPEECH AUGMENT DEVICE COMMUN EVAL 1ST HOUR	92607	$390
SM	HB SPEECH AUGMENT DEVICE COMMUN EVAL ADDL30	92608	$220
SM	HB SPEECH AUGMENT DEVICE THERAP SVC	92609	$291
SM	HB SPEECH CLINICAL SWALLOW EXAM	92610	$560
SM	HB SPEECH COMMUN/COGNITIVE GROUP THERAPY	92508	$170
SM	HB SPEECH DYSPHAGIA THERAPY SPECIAL PROGRAM	92526	$380
SM	HB SPEECH ENDOSCOPIC SWALLOW EVALUATION	92612	$580
SM	HB SPEECH EVAL FLUENCY	92521	$290
SM	HB SPEECH EVAL SOUND PRODUCTION	92522	$450
SM	HB SPEECH EVAL SOUND PRODUCTION+LANGUAGE COMPREHENSION&EXPRESSION	92523	$660
SM	HB SPEECH MODIFIED BARIUM SWALLOW	92611	$600
SM	HB SPEECH NASOPHARYNGOSCOPY+ENDOSCOPE	92511	$550
SM	HB SPEECH VOICE PROSTHESIS EVALUATION/ASSESS	92597	$560
SM	HB STANDARD COGNITIVE PERFORMANCE TESTING + RESULTS & REPORT	96125	$440
SM	HB VOICE & RESONANCE BEHAVIORAL & QUALITATIVE ANALYSIS	92524	$380

"Radiology, Diagnostic"

Hospital	Description	CPT Code	Standard Charge
SM	HB ABSCESSOGRAM/SINOGRAM S&I	76080	$570
SM	HB AC JOINTS BILATERAL	73050	$590
SM	HB ANGIO ABDOMINOPELV + RUNOFF	75630	$7300
SM	HB ANGIO ADRENAL BILAT S&I	75733	$5820
SM	HB ANGIO ADRENAL UNILAT S&I	75731	$2500
SM	HB ANGIO EXTREMITY UNILAT S&I	75710	$5600
SM	HB ANGIO INTERNAL MAMMARY S&I	75756	$4400
SM	HB ANGIO PELVIC SELECTIVE S&I	75736	$7500
SM	HB ANGIO PULMNRY NONSELECT S&I	75746	$2300
SM	HB ANGIO PULMNRY SELECT BILAT S&I	75743	$5800
SM	HB ANGIO PULMNRY SELECT UNI S&I	75741	$4400
SM	HB ANGIO RENAL BILAT S&I	36252	$4360
SM	HB ANGIO SPINAL SELECTIVE S&I	75705	$7500
SM	HB ANGIO THOR AORTA + SERIAL S&I	75605	$7500
SM	HB ANGIO THOR AORTA WO SERIAL S&I	75600	$5600
SM	HB ANGIO VISCERAL ARTERY S&I	75726	$8300
SM	HB ANKLE 2 VIEWS	73600	$420
SM	HB ANKLE 3+ VIEWS	73610	$420
SM	HB ARTHROGRAM ANKLE S&I	73615	$1060
SM	HB ARTHROGRAM ELBOW S&I	73085	$1060
SM	HB ARTHROGRAM HIP S&I	73525	$1060
SM	HB ARTHROGRAM KNEE S&I	73580	$1060
SM	HB ARTHROGRAM SHOULDER S&I	73040	$1060
SM	HB ARTHROGRAM WRIST S&I	73115	$906
SM	HB BARIUM ENEMA THERAPEUTIC	74283	$660
SM	HB BONE AGE STUDY	77072	$420
SM	HB BONE DEXA DENSITY AXIAL	77080	$600
SM	HB BONE DEXA DENSITY PERIPH	77081	$300
SM	HB BONE SURVEY COMPLETE	77075	$530
SM	HB BONE SURVEY INFANT	77076	$350
SM	HB BONE SURVEY LTD	77074	$630
SM	HB BREAST DUCTOGRAM MULTIPLE S&I	77054	$1013
SM	HB BREAST DUCTOGRAM SINGLE S&I	77053	$1200
SM	HB C-SPINE + FLEXION-EXTENSION	72052	$730
SM	HB C-SPINE 2-3 VIEWS	72040	$470
SM	HB C-SPINE SERIES 4+ VIEWS	72050	$630
SM	HB CALCANEUS 2+ VIEWS	73650	$330
SM	HB CATH CHANGE GUIDE S&I	75984	$956
SM	HB CISTERNOGRAM S&I	70015	$1590
SM	HB CLAVICLE SERIES	73000	$550
SM	HB CV CATH FLUORO GUIDE S&I	77001	$1100
SM	HB CYSTOGRAM S&I	74430	$580
SM	HB CYSTOURETHROGRAM VOIDING S&I	74455	$1100
SM	HB DISKOGRAM CERV THOR S&I	72285	$3760
SM	HB DISKOGRAM LUMBAR S&I	72295	$3800
SM	HB ELBOW 2 VIEWS	73070	$330
SM	HB ELBOW 3+ VIEWS	73080	$420
SM	HB EPIDUROGRAM S&I	72275	$750
SM	HB EYE FOREIGN BODY DETECTION	70030	$220
SM	HB FACIAL BONES < 3 VIEWS	70140	$590
SM	HB FACIAL BONES 3+ VIEWS	70150	$830
SM	HB FINGER(S) 2+ VIEWS	73140	$380
SM	HB FLUORO FOR CT MR ARTHROGRM INJ	77002	$1060
SM	HB FLUORO NDL LOCALIZ SPINE S&I	77003	$850
SM	HB FLUORO NDL PLACEMENT S&I	77002	$1100
SM	HB FLUOROSCOPY SEPARATE PROCEDURE < 1 HR	76000	$870
SM	HB FOOT 2 VIEWS	73620	$420
SM	HB FOOT 3+ VIEWS	73630	$470
SM	HB FOREARM 2 VIEWS	73090	$420
SM	HB HAND 2 VIEWS	73120	$420
SM	HB HAND 3+ VIEWS	73130	$470
SM	HB HUMERUS 2+ VIEWS	73060	$420
SM	HB HYSTEROSALPINGOGRAM S&I	74740	$570
SM	HB INTRAVENOUS PYELOGRAM	74400	$880
SM	HB IVC FILTER PLACEMENT S&I	37191	$9950
SM	HB KNEE 1-2 VIEWS	73560	$420
SM	HB KNEE 3 VIEWS	73562	$440
SM	HB KNEE 4+ VIEWS	73564	$530
SM	HB KNEES AP STANDING BILATERAL	73565	$560
SM	HB L-SPINE 2-3 VIEWS	72100	$570
SM	HB L-SPINE 4+ VIEWS	72110	$630
SM	HB L-SPINE BENDING 4+ VIEWS	72120	$630
SM	HB L-SPINE COMPLETE + BENDING VWS	72114	$630
SM	HB LOWER EXTREMITY INFANT 2+VIEWS	73592	$220
SM	HB MANDIBLE < 4 VIEWS	70100	$330
SM	HB MANDIBLE 4+ VIEWS	70110	$420
SM	HB MASTOIDS 3+ VIEWS PER SIDE	70130	$420
SM	HB MIDDLE EAR (IAM)	70134	$430
SM	HB MYELOGRAM CERVICAL S&I	72240	$1590
SM	HB MYELOGRAM LUMBAR S&I	72265	$1590
SM	HB MYELOGRAM POSTERIOR FOSSA S&I	70010	$1060
SM	HB MYELOGRAM SPINE COMPLETE S&I	72270	$2449
SM	HB MYELOGRAM THORACIC S&I	72255	$1590
SM	HB NASAL BONES 3+ VIEWS	70160	$760
SM	HB NECK SOFT TISSUE	70360	$570
SM	HB ORAL CHOLECYSTOGRAM	74290	$440
SM	HB ORBITS 4+ VIEWS	70200	$800
SM	HB ORTHOPANTOGRAM (PANOREX)	70355	$220
SM	HB PCMKR INSERTION FLUORO S&I	33206	$22740
SM	HB PELVIMETRY	74710	$260
SM	HB PELVIS 1-2 VIEWS	72170	$420
SM	HB PELVIS 3+ VIEWS	72190	$530
SM	HB PERCUTANEOUS DRAIN GUIDE S&I	75989	$1500
SM	HB PHARYNX / LARYNX	70370	$290
SM	HB PLACE ENDOPRSTH TAA EA ADDL	33884	$1900
SM	HB PLACE ENDOPRSTH TAA INITIAL	33883	$5200
SM	HB PORTOGRAM + HEMODYNAMIC EVAL	75885	$5800
SM	HB PORTOGRAM WO HEMODYNAMIC EVAL	75887	$3400
SM	HB RADIOGRAPHIC ABSORPTIOMETRY	G0130	$210
SM	HB REPR ENDOVASC TAA +SUBCLAVIAN	33880	$10500
SM	HB REPR ENDOVASC TAA WO SUBCLAV	33881	$9000
SM	HB RIBS BILATERAL + PA CHEST	71111	$880
SM	HB RIBS BILATERAL 3 VIEWS	71110	$630
SM	HB RIBS UNILATERAL + PA CHEST	71101	$600
SM	HB RIBS UNILATERAL 2 VIEWS	71100	$420
SM	HB SACROILIAC JTS < 3 VIEWS	72200	$530
SM	HB SACROILIAC JTS 3+ VIEWS	72202	$360
SM	HB SACRUM / COCCYX 2+ VIEWS	72220	$420
SM	HB SALIVARY GLAND FOR STONE	70380	$220
SM	HB SCAPULA SERIES	73010	$700
SM	HB SELLA TURCICA SERIES	70240	$220
SM	HB SHOULDER 1 VIEW	73020	$330
SM	HB SHOULDER 2+ VIEWS	73030	$440
SM	HB SHUNTOGRAM PLACED NONVASC S&I	75809	$610
SM	HB SIALOGRAM S&I	70390	$570
SM	HB SINUSES 3+ VIEWS	70220	$600
SM	HB SKULL < 4 VIEWS	70250	$630
SM	HB SKULL 4+ VIEWS	70260	$420
SM	HB SPINE 1 VIEW	72020	$330
SM	HB STERNOCLAVICULAR JOINTS 3+ VWS	71130	$710
SM	HB STERNUM 2 VIEWS	71120	$600
SM	HB STRESS VW EXTREMITY JOINT	77071	$220
SM	HB SURGICAL SPECIMEN	76098	$1200
SM	HB T-SPINE 2 VIEWS	72070	$530
SM	HB T-SPINE 3 VIEWS	72072	$590
SM	HB T-SPINE 4+ VIEWS	72074	$420
SM	HB TEMPOROMANDIBULAR JOINT BILAT	70330	$310
SM	HB TEMPOROMANDIBULAR JOINT UNILAT	70328	$220
SM	HB THORACOLUMBAR SPINE 2 VIEWS	72080	$470
SM	HB TIBIA/FIBULA 2 VIEWS	73590	$420
SM	HB TOE(S) 2+ VIEWS	73660	$330
SM	HB TOMOGRAM COMPLEX MOTION BILAT	76102	$710
SM	HB TOMOGRAM COMPLEX MOTION UNILAT	76101	$420
SM	HB TOMOGRAM LINEAR	76100	$420
SM	HB UPPER EXTREMITY INFANT 2+ VWS	73092	$280
SM	HB UROGRAM INFUSION + TOMOGRAMS	74415	$930
SM	HB UROGRAM INFUSION WO TOMOGRAMS	74410	$880
SM	HB VASOGRAM S&I	74440	$570
SM	HB VENOGRM ADRENAL BILAT S&I	75842	$9950
SM	HB VENOGRM ADRENAL UNILAT S&I	75840	$5800
SM	HB VENOGRM EPIDURAL S&I	75872	$1430
SM	HB VENOGRM EXTREMITY BILAT S&I	75822	$2800
SM	HB VENOGRM EXTREMITY UNILAT S&I	75820	$1600
SM	HB VENOGRM HEPATIC + EVAL S&I	75889	$8400
SM	HB VENOGRM HEPATIC WO EVAL S&I	75891	$5820
SM	HB VENOGRM ORBITAL S&I	75880	$1430
SM	HB VENOGRM RENAL BILAT S&I	75833	$5800
SM	HB VENOGRM RENAL UNILAT S&I	75831	$5800
SM	HB VENOGRM SINUS/JUGULAR S&I	75860	$5800
SM	HB VENOGRM SUPERIOR SAGITTL SINUS	75870	$2100
SM	HB VENOGRM SUPERIOR VENACAVA S&I	75827	$4900
SM	HB VENOUS CATH STRIP DEVICE S&I	75902	$520
SM	HB VENOUS CATH STRIP SEP ACC S&I	75901	$650
SM	HB VENOUS ORGAN BLOOD SAMPLNG S&I	75893	$10000
SM	HB VIDEO SPEECH EVALUATION	70371	$430
SM	HB WRIST 2 VIEWS	73100	$330
SM	HB WRIST 3+ VIEWS	73110	$420
SM	HB ABDOMEN >= 3 VIEWS	74021	$680
SM	HB ABDOMEN 1 VIEW	74018	$410
SM	HB ABDOMEN 2 VIEWS	74019	$580
SM	HB ABDOMEN ACUTE 2+VWS + 1 VW CHEST	74022	$462
SM	HB ANGIO ABDOMINAL AORTA S&I	75625	$5800
SM	HB ANGIO EXTREMITY BILAT S&I	75716	$7200
SM	HB ANGIO RENAL UNILAT S&I	36251	$5820
SM	HB ANGIO SELECTIVE EA ADDL VESSEL	75774	$5000
SM	HB ANGIO TRANSCATH FOLLOW-UP	75898	$1700
SM	HB ATHERECTOMY RENAL ARTERY S&I	0234T	$24520
SM	HB ATHERECTOMY VISCERL ADD S&I	0235T	$1860
SM	HB ATHERECTOMY VISCERL ARTERY S&I	0235T	$1860
SM	HB BILIARY DILATION S&I	74363	$1720
SM	HB BONE DEXA DENSITY VERT FUNCTN	77086	$220
SM	HB BONE LENGTH STUDY / SCANOGRAM	77073	$420
SM	HB CHEST >= 4 VIEWS	71048	$610
SM	HB CHEST 2 VIEWS	71046	$410
SM	HB CHEST 3 VIEWS	71047	$410
SM	HB CHEST SINGLE VIEW	71045	$270
SM	HB CHOLANGIOGRAM OR ADDL SET	74301	$412
SM	HB CHOLANGIOGRAM OR OPERATIVE	74300	$647
SM	HB CINE/VIDEORADIOGRAPHY PRIMARY PROCEDURE	76120	$420
SM	HB CINE/VIDEORADIOGRAPHY TO COMPLEMENT ROUTINE IN ADD TO PRIMARY PROC	76125	$390
SM	HB COLON W DBL CONTRAST	74280	$759
SM	HB COLON W SGL CONTRAST	74270	$759
SM	HB CORPORA CAVERNOSOGRAM S&I	74445	$740
SM	HB DACRYOCYSTOGRAM S&I	70170	$570
SM	HB DILATION URETER/URETHRA S&I	74485	$6580
SM	HB ERCP BILIARY / PANCREATIC S&I	74330	$1065
SM	HB ERCP BILIARY DUCT S&I	74328	$1100
SM	HB ERCP PANCREATIC DUCT S&I	74329	$812
SM	HB ESOPHAGEAL DILATION S&I	74360	$1120
SM	HB ESOPHAGUS W DBL CONTRAST	74221	$690
SM	HB ESOPHAGUS W SGL CONTRAST	74220	$759
SM	HB EXTRA ORAL POST DENTAL RADIOGRAPHIC IMAGE	D0251	$215
SM	HB FALLOPIAN TUBE CATH S&I	74742	$316
SM	HB FEMUR 1 VIEW	73551	$270
SM	HB FEMUR MIN 2 VIEWS	73552	$410
SM	HB FLUORESCENCE VASCULAR ANGIOGRAPHY FVA NON-OPHTHALMIC	C9733	$1130
SM	HB FLUORO PROCEDURE DIAGNOSTIC OR INTERVENTIONAL UNLISTED	76496	$490
SM	HB HIP & PELVIS UNILATERAL 1 VIEW	73501	$410
SM	HB HIP & PELVIS UNILATERAL 2-3 VIEWS	73502	$410
SM	HB HIP & PELVIS UNILATERAL MIN 4 VIEWS	73503	$420
SM	HB HIPS & PELVIS BILATERAL 2 VIEWS	73521	$630
SM	HB HIPS & PELVIS BILATERAL 3-4 VIEWS	73522	$630
SM	HB HIPS & PELVIS BILATERAL MIN 5 VIEWS	73523	$690
SM	HB JOINT SURVEY 1 VIEW	77077	$280
SM	HB LONG GI TUBE PLACEMENT S&I	74340	$760
SM	HB LYMPHANGIOGRAM ABDOM-PELV BI	75807	$4400
SM	HB LYMPHANGIOGRAM ABDOM-PELV UNI	75805	$1700
SM	HB LYMPHANGIOGRAM EXTREM BI S&I	75803	$1400
SM	HB LYMPHANGIOGRAM EXTREM UNI S&I	75801	$1400
SM	HB MASTOIDS < 3 VIEWS PER SIDE	70120	$280
SM	HB MYELOGRAPHY VIA LUMBAR INJ 2 OR MORE REGIONS	62305	$3500
SM	HB MYELOGRAPHY VIA LUMBAR INJ CERVICAL	62302	$3500
SM	HB MYELOGRAPHY VIA LUMBAR INJ LUMBOSACRAL	62304	$3500
SM	HB MYELOGRAPHY VIA LUMBAR INJ THORACIC	62303	$3500
SM	HB OR FLUORO GUIDANCE SERVICE		$1000
SM	HB PERCUTAN DRAIN CATH CHANGE S&I	75984	$1100
SM	HB PERCUTANEOUS ENTEROCLYSIS S&I	74355	$699
SM	HB PERINEOGRAM	74775	$720
SM	HB PERITONEOGRAM S&I	74190	$1140
SM	HB PHARYNX/CERV ESOPHAGUS W CONTRAST	74210	$690
SM	HB PLACE ENDOPRSTH DISTAL TAA S&I	75958	$3000
SM	HB PLACE ENDOPRSTH PROX TAA S&I	75957	$3800
SM	HB RENAL CYST STUDY S&I	74470	$570
SM	HB REPR ENDOVASC TAA S&I	75956	$3800
SM	HB SINUSES < 3 VIEWS	70210	$400
SM	HB SMALL BOWEL FOLLOW-THRU W MULT SERIAL IMAG	74248	$407
SM	HB SMALL BOWEL W DBL CONTRAST	74251	$690
SM	HB SMALL BOWEL W SGL CONTRAST	74250	$759
SM	HB SPINE THORACIC LUMBAR EXAM 1 VIEW	72081	$270
SM	HB SPINE THORACIC LUMBAR EXAM 2 OR 3 VIEWS	72082	$630
SM	HB SPINE THORACIC LUMBAR EXAM 4 OR 5 VIEWS	72083	$850
SM	HB SPINE THORACIC LUMBAR EXAM MIN 6 VIEWS	72084	$850
SM	HB SPLENOPORTOGRAM S&I	75810	$2300
SM	HB SWALLOW FUNCTN W CONTRAST	74230	$690
SM	HB TRANSCATH BIOPSY S&I	75970	$4400
SM	HB TRANSCATH EMBOLIZATION S&I	75894	$6500
SM	HB UPPER GI W DBL CONTRAST	74246	$759
SM	HB UPPER GI W SGL CONTRAST	74240	$759
SM	HB URETHROCYSTOGRM RETROGRADE S&I	74450	$590
SM	HB UROGRAM RETROGRADE	74420	$1060
SM	HB VENOGRM INFERIOR VENA CAVA S&I	75825	$5800
SM	HB XR DIAGNOSTIC UNLISTED	76499	$220
SM	HB XRAY TEETH COMPLETE FULL MOUTH	70320	$430
SM	HB XRAY TEETH PARTIAL MOUTH	70310	$430

"Radiology, Therapeutic , Chemo"

Hospital	Description	CPT Code	Standard Charge
SM	HB CHEMO IM/SUBQ EACH HORMONAL	96402	$300
SM	HB CHEMO IM/SUBQ EACH NONHORMONAL	96401	$300
SM	HB CHEMO INFUSION PLEURAL	96440	$1040
SM	HB CHEMO INTRAARTERIAL INFUSION 1ST HOUR	96422	$670
SM	HB CHEMO INTRAARTERIAL INFUSION EA ADD HOUR	96423	$350
SM	HB CHEMO IV PUSH EACH ADDL DRUG	96411	$510
SM	HB CHEMO IV PUSH SINGLE /INTIAL DRUG	96409	$680
SM	HB REFILL & MAINTAIN PUMP IMPLANT	96522	$670
SM	HB 3D SIMULATION RECONSTRCT TUMOR	77295	$6200
SM	HB BASIC DOSIMETRY CALCULATION	77300	$800
SM	HB BIOPSY VAGINAL MUCOSA SIMPLE	57100	$2000
SM	HB BLADDER IRRIGATION LAVAGE SIMPLE	51700	$800
SM	HB BRACHY ECHO PROSTATE VOL STUDY TRANSRECT	76873	$820
SM	HB BRACHYTHER HI ENDORECTAL INTRACAV PLACE	C9725	$2490
SM	HB BRACHYTHER ISODOSE CALC COMPLEX>12SOURCE	77318	$1700
SM	HB BRACHYTHER ISODOSE CALC INTRMD9-12SOURCE	77317	$1700
SM	HB BRACHYTHER ISODOSE CALC SIMPLE1-8SOURCE	77316	$1700
SM	HB BREAST RAD THER APPLIC PLACE & REMOVAL	C9726	$5580
SM	HB BRONCH + PLACE FIDUCIAL MARKER	31626	$17020
SM	HB CATHETERIZATION BLADDER FOLEY COMPLEX	51703	$480
SM	HB CATHETERIZATION BLADDER FOLEY SIMPLE	51702	$370
SM	HB CATHETERIZATION BLADDER STRAIGHT	51701	$370
SM	HB CERVICAL BIOPSY	57500	$2010
SM	HB CERVICAL DILATE CANAL INSTRUMENT	57800	$7950
SM	HB CHEMO ADMIN INTRAARTERIAL PUSH	96420	$1200
SM	HB CHEMO INFUSION PERITONEAL	96446	$1040
SM	HB CHEMO INJ SUBARACH/INTRAVENTR VIA SUBQ RESRVR SINGL/MULT AGENTS	96542	$560
SM	HB CHEMO INTRATHECAL INFUSION	96450	$1300
SM	HB CHEMO IV INFUSION 1ST HOUR	96413	$1100
SM	HB CHEMO IV INFUSION BY PUMP >8HR	96416	$1100
SM	HB CHEMO IV INFUSION EA ADD SEQUENTIAL DRUG	96417	$500
SM	HB CHEMO IV INFUSION EACH ADDL HR	96415	$410
SM	HB COLPOSCOPY VULVA +BIOPSY	56821	$940
SM	HB CONTINUING PHYSICS CONSULT PER WEEK	77336	$900
SM	HB CYSTOURETHROSCOPY	52000	$2100
SM	HB CYSTOURETHROSCOPY+CALIBRATION+/-DILAT	52281	$5930
SM	HB CYSTOURETHROSCOPY+IRRIGATION+CLOT EXTRACTION	52001	$9440
SM	HB CYSTOURETHROSCOPY+URETER CATH	52005	$5930
SM	HB DESTRUCT LESION RETINA RADIOACTIVE IMPL	67218	$10330
SM	HB DILATE URETHRAL STRICTURE MALE INITIAL	53600	$800
SM	HB DILATE URETHRAL STRICTURE MALE SUBSQ	53601	$370
SM	HB ENDOMETRIAL SAMPLING BIOPSY	58100	$560
SM	HB EXPOSE PROSTATE INSERT RADIOACTIVE SUBST	55860	$12970
SM	HB FLUOROSCOPY SEPARATE PROCEDURE < 1 HR	76000	$660
SM	HB FNA WO IMAGING GUIDANCE	10021	$1090
SM	HB GUID LOCAL TARGET VOL RAD TRMNT DELIVERY	77387	$750
SM	HB HDR ELECTRONIC BRACHYTHERAPY INTERSTITAL PER FRACTION	0395T	$2500
SM	HB HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE PER FRACTION	0394T	$770
SM	HB HDR SURFACE BRACHY REMOTE AFTERLOAD >1 CHANNEL	77768	$1100
SM	HB HDR-REMOTE AFTERLOAD BRACHY >12 CHANNELS	77772	$4800
SM	HB HDR-REMOTE AFTERLOAD BRACHY 1 CHANNEL	77770	$4800
SM	HB HDR-REMOTE AFTERLOAD BRACHY 1CHANNEL OR UP TO 2 CM	77767	$900
SM	HB HDR-REMOTE AFTERLOAD BRACHY 2-12 CHANNELS	77771	$4800
SM	HB IMRT MLC DEVICE DESIGN CONSTRUCT / PLAN	77338	$6000
SM	HB IMRT-DELIVERY COMPLEX	77386	$4000
SM	HB IMRT-DELIVERY SIMPLE	77385	$3000
SM	HB IMRT-PLANNING MULT SETUP	77301	$4200
SM	HB INFUSION /INSTILLATION OF RADIOELEM SOLN	77750	$770
SM	HB INTRANASAL FB REMOVE + GEN ANESTH	30310	$7700
SM	HB INTRAOPERATIVE RADIATION TREATMENT DELIVERY ELECTRON SINGLE SESSION	77425	$26480
SM	HB INTRAOPERATIVE RADIATION TREATMENT DELIVERY XRAY SINGLE SESSION	77424	$26500
SM	HB IUD INSERTION	58300	$260
SM	HB IUD REMOVAL	58301	$560
SM	HB LAP URETERONEOCYSTOTOMY+ STENT	50947	$15710
SM	HB LARYNGOSCOPY DIRECT DIAGNOSTIC	31525	$4630
SM	HB LARYNGOSCOPY INDIRECT DIAGNOSTIC	31505	$550
SM	HB LYMPHANGIOTOMY	38308	$9550
SM	HB MED RADIATION PHYSICS DOSIMETRY/TRTMNT DEVICE/ SPECIAL SVC UNLISTED	77399	$440
SM	HB NASOGASTRIC TUBE PLACEMENT	43752	$1150
SM	HB NASOPHARYNG CONTROL BLEED SIMPLE	42970	$620
SM	HB NDL LOCALIZ SKIN MUCMEM SQ LSN	17999	$590
SM	HB NEEDLE BIOPSY LYMPH NODE	38505	$4720
SM	HB OROPHARYNG CONTROL BLEED SIMPLE	42960	$1610
SM	HB PELVIC EXAM UNDER ANESTHESIA	57410	$7950
SM	HB PLACE BRACH DEVICE AFTERLOAD VAGINAL	57156	$1200
SM	HB PLACE BRACH NDL BREAST AFTERLOAD	19298	$16850
SM	HB PLACE BRACH NDL BREAST RAD ONC	19499	$9550
SM	HB PLACE BRACH NDL/CATH GI ESOPHAGOSCOPY	43241	$5000
SM	HB PLACE BRACH NDL/CATH HEYMAN CAPSULE	58346	$7950
SM	HB PLACE BRACH NDL/CATH LUNG BRONCHOSCOPY	31643	$4640
SM	HB PLACE BRACH NDL/CATH OTHER FEMALE	58999	$570
SM	HB PLACE BRACH NDL/CATH PROSTATE TRANSPERIN	55875	$13000
SM	HB PLACE BRACH SOURCE UTERINE TANDEM	57155	$6500
SM	HB PLACE FIDUCIAL MARKER NOT PROSTATE	C9728	$4160
SM	HB PLACE RADTX CATH BREAST POSTMAST CONCURR	19297	$16850
SM	HB PLACE RADTX CATH BREAST POSTMAST SEPDATE	19296	$25860
SM	HB PLACE RADTX NDL/CATH HEAD &/ NECK	41019	$15190
SM	HB PLACE RADTX NDL/CATH MUSCLE TISSUE	20555	$9000
SM	HB PLACE RADTX NDL/CATH PELVIC &/ GENITAL	55920	$11400
SM	HB PLACE TRANSPERINEAL PERI-PROSTATIC INJ W IMAGE GUIDANCE	55874	$15200
SM	HB PROCTOSIGMOIDOSCOPY DIAGNOSTIC	45300	$2480
SM	HB PT SIMPULSE WOUND DEBRIDEMENT	97597	$590
SM	HB RAD APPLY INTERSTITIAL COMPLEX	77778	$3600
SM	HB RAD APPLY INTRACAVITARY COMPLX	77763	$2500
SM	HB RAD APPLY INTRACAVITARY INTRMD	77762	$1830
SM	HB RAD APPLY INTRACAVITARY SIMPLE	77761	$1830
SM	HB RAD PLACE ESOPH-GASTRIC BOUGI APPLICATOR	43499	$2600
SM	HB RAD TRMNT DELIVERY COMPLEX >=1MEV	77412	$1500
SM	HB RAD TRMNT DELIVERY INTERMEDIATE >=MEV	77407	$830
SM	HB RAD TRMNT DELIVERY SIMPLE >=MEV	77402	$440
SM	HB RADONC RESP MOTION MANAGEMENT SIMULATION FOR INTERNAL TUMOR VOLUME	77293	$950
SM	HB REFILL & MAINTAIN PUMP PORTABLE	96521	$710
SM	HB SPECIAL DOSIMETRY MEASUREMENT	77331	$800
SM	HB SPECIAL MED RAD PHYSCS CONSULT	77370	$900
SM	HB SPECIAL TELETHERAPY PORT PLAN	77321	$1700
SM	HB SPECIAL TREATMENT PROCEDURE RAD ONCOLOGY	77470	$2700
SM	HB STEREOTACTIC BODY RAD MNGT/COURSE 5FRACT	77435	$1500
SM	HB STEREOTACTIC RAD TRTMNT DELIVERY BODY PER FRACTION 1/MORE LSN MAX5	77373	$8800
SM	HB STEREOTACTIC RAD TRTMNT DELIVERY CRANIAL 1LSN LINEAR ACCELERATOR	77372	$26500
SM	HB STEREOTACTIC RAD TRTMNT DELIVERY CRANIAL 1LSN MULTI-SOURCE COBALT60	77371	$26480
SM	HB SUPERVIS/HANDLING/LOAD RADIATION SOURCE	77790	$1120
SM	HB SURFACE APPLICATION OF RADIATION SOURCE	77789	$440
SM	HB TELETHERAPY ISODOS PLAN SIMPLE	77306	$1700
SM	HB TELETHERAPY ISODOSE PLAN COMPLEX	77307	$1700
SM	HB THERAPEUTIC RAD PORT FILM	77417	$470
SM	HB THERAPEUTIC RAD SIMULAT FIELD SET CMPLX	77290	$2600
SM	HB THERAPEUTIC RAD SIMULAT FIELD SET INTRMD	77285	$1140
SM	HB THERAPEUTIC RAD SIMULAT FIELD SET SIMPLE	77280	$900
SM	HB TREATMENT DEVICE COMPLEX	77334	$1900
SM	HB TREATMENT DEVICE INTERMEDIATE	77333	$1000
SM	HB TREATMENT DEVICE SIMPLE	77332	$790
SM	HB UNLIST CLIN BRACHY PROC	77799	$1010
SM	HB VULVA PERINEUM BIOPSY 1ST LSN	56605	$2010
SM	HB VULVA PERINEUM BIOPSY EA ADDL	56606	$250
SM	HBÊCYSTOURETHROSCOPY+STENT	52332	$9440

Anesthesia

Hospital	Description	CPT Code	Standard Charge
SM	HB ANESTH COMPLICATED EMERG CONDITION	99140	$30
SM	HB ANESTHESIA HOURS 0.25		$160
SM	HB ANESTHESIA HOURS 0.50		$330
SM	HB ANESTHESIA HOURS 0.75		$490
SM	HB ANESTHESIA HOURS 1.00		$650
SM	HB ANESTHESIA HOURS 1.25		$810
SM	HB ANESTHESIA HOURS 1.50		$980
SM	HB ANESTHESIA HOURS 1.75		$1100
SM	HB ANESTHESIA HOURS 10.00		$6500
SM	HB ANESTHESIA HOURS 10.25		$6700
SM	HB ANESTHESIA HOURS 10.50		$6800
SM	HB ANESTHESIA HOURS 10.75		$7000
SM	HB ANESTHESIA HOURS 11.00		$7200
SM	HB ANESTHESIA HOURS 11.25		$7300
SM	HB ANESTHESIA HOURS 11.50		$7500
SM	HB ANESTHESIA HOURS 11.75		$7600
SM	HB ANESTHESIA HOURS 12.00		$7800
SM	HB ANESTHESIA HOURS 12.25		$8000
SM	HB ANESTHESIA HOURS 12.50		$8100
SM	HB ANESTHESIA HOURS 12.75		$8300
SM	HB ANESTHESIA HOURS 13.00		$8500
SM	HB ANESTHESIA HOURS 13.25		$8600
SM	HB ANESTHESIA HOURS 13.50		$8800
SM	HB ANESTHESIA HOURS 13.75		$8900
SM	HB ANESTHESIA HOURS 14.00		$9100
SM	HB ANESTHESIA HOURS 14.25		$9300
SM	HB ANESTHESIA HOURS 14.50		$9400
SM	HB ANESTHESIA HOURS 14.75		$9600
SM	HB ANESTHESIA HOURS 15.00		$9800
SM	HB ANESTHESIA HOURS 15.25		$9900
SM	HB ANESTHESIA HOURS 15.50		$10100
SM	HB ANESTHESIA HOURS 15.75		$10200
SM	HB ANESTHESIA HOURS 16.00		$10400
SM	HB ANESTHESIA HOURS 16.25		$10500
SM	HB ANESTHESIA HOURS 16.50		$8580
SM	HB ANESTHESIA HOURS 16.75		$8710
SM	HB ANESTHESIA HOURS 17.00		$11000
SM	HB ANESTHESIA HOURS 17.25		$8970
SM	HB ANESTHESIA HOURS 17.50		$9100
SM	HB ANESTHESIA HOURS 17.75		$9230
SM	HB ANESTHESIA HOURS 18.00		$11700
SM	HB ANESTHESIA HOURS 18.25		$11900
SM	HB ANESTHESIA HOURS 18.50		$12000
SM	HB ANESTHESIA HOURS 18.75		$12190
SM	HB ANESTHESIA HOURS 19.00		$12400
SM	HB ANESTHESIA HOURS 19.25		$10010
SM	HB ANESTHESIA HOURS 19.50		$12680
SM	HB ANESTHESIA HOURS 19.75		$12840
SM	HB ANESTHESIA HOURS 2.00		$1300
SM	HB ANESTHESIA HOURS 2.25		$1500
SM	HB ANESTHESIA HOURS 2.50		$1600
SM	HB ANESTHESIA HOURS 2.75		$1800
SM	HB ANESTHESIA HOURS 20.00		$10400
SM	HB ANESTHESIA HOURS 20.25		$13160
SM	HB ANESTHESIA HOURS 20.50		$10660
SM	HB ANESTHESIA HOURS 20.75		$10790
SM	HB ANESTHESIA HOURS 21.00		$10920
SM	HB ANESTHESIA HOURS 21.25		$11050
SM	HB ANESTHESIA HOURS 21.50		$14000
SM	HB ANESTHESIA HOURS 21.75		$11310
SM	HB ANESTHESIA HOURS 22.00		$11440
SM	HB ANESTHESIA HOURS 22.25		$11570
SM	HB ANESTHESIA HOURS 22.50		$11700
SM	HB ANESTHESIA HOURS 22.75		$11830
SM	HB ANESTHESIA HOURS 23.00		$11960
SM	HB ANESTHESIA HOURS 23.25		$12090
SM	HB ANESTHESIA HOURS 23.50		$12220
SM	HB ANESTHESIA HOURS 23.75		$12350
SM	HB ANESTHESIA HOURS 24.00		$15600
SM	HB ANESTHESIA HOURS 3.00		$2000
SM	HB ANESTHESIA HOURS 3.25		$2100
SM	HB ANESTHESIA HOURS 3.50		$2300
SM	HB ANESTHESIA HOURS 3.75		$2400
SM	HB ANESTHESIA HOURS 4.00		$2600
SM	HB ANESTHESIA HOURS 4.25		$2800
SM	HB ANESTHESIA HOURS 4.50		$2900
SM	HB ANESTHESIA HOURS 4.75		$3100
SM	HB ANESTHESIA HOURS 5.00		$3300
SM	HB ANESTHESIA HOURS 5.25		$3400
SM	HB ANESTHESIA HOURS 5.50		$3600
SM	HB ANESTHESIA HOURS 5.75		$3700
SM	HB ANESTHESIA HOURS 6.00		$3900
SM	HB ANESTHESIA HOURS 6.25		$4100
SM	HB ANESTHESIA HOURS 6.50		$4200
SM	HB ANESTHESIA HOURS 6.75		$4400
SM	HB ANESTHESIA HOURS 7.00		$4600
SM	HB ANESTHESIA HOURS 7.25		$4700
SM	HB ANESTHESIA HOURS 7.50		$4900
SM	HB ANESTHESIA HOURS 7.75		$5000
SM	HB ANESTHESIA HOURS 8.00		$5200
SM	HB ANESTHESIA HOURS 8.25		$5400
SM	HB ANESTHESIA HOURS 8.50		$5500
SM	HB ANESTHESIA HOURS 8.75		$5700
SM	HB ANESTHESIA HOURS 9.00		$5900
SM	HB ANESTHESIA HOURS 9.25		$6000
SM	HB ANESTHESIA HOURS 9.50		$6200
SM	HB ANESTHESIA HOURS 9.75		$6300
SM	HB CONSCIOUS SEDATION-IV/IM/INHAL		$150
SM	HB GI SEDATION >5YRS 1ST 15 SAME MD	G0500	$80
SM	HB SEDATION <5YRS 1ST 15 OTHER MD	99155	$50
SM	HB SEDATION <5YRS 1ST 15 SAME MD	99151	$80
SM	HB SEDATION >5YRS 1ST 15 OTHER MD	99156	$80
SM	HB SEDATION >5YRS 1ST 15 SAME MD	99152	$80
SM	HB SEDATION EA ADDL 15 OTHER MD	99157	$80
SM	HB SEDATION EA ADDL 15 SAME MD	99153	$80

Audiology

Hospital	Description	CPT Code	Standard Charge
SM	HB AUD ELECTROCOCHLEOGRAPHY	92584	$880
SM	HB AUD EVAL COMPRHN SPCH THRESH+RECOG	92557	$480
SM	HB AUD EVAL CONDITIONING PLAY	92582	$480
SM	HB AUD EVOK OTOACOUSTIC EMISSION EVAL EXTND	92588	$950
SM	HB AUD SPEECH THRESHOLD+RECOGNITION	92556	$240
SM	HB AUD TINNITUS ASSESSMENT	92625	$480
SM	HB AUDIOMETRY PURETONE THRESHOLD AIR ONLY	92552	$350
SM	HB AUDIOMETRY SELECT PICTURE	92583	$110
SM	HB CCS ALLIED PROF GROUP COUNSELING EA INDIV		$70
SM	HB CCS PRE-COCHLEAR EVAL 2ND AUDIOLOGIST		$330
SM	HB EEG AWAKE EMBOLIZATION	95816	$870
SM	HB EPSDT SPEECH THRESHOLD TEST		$120
SM	HB HEARING AID CHECK MONAURAL	92592	$90
SM	HB NHSP INFANT HEARING SCRN INPATIENT INITL		$510
SM	HB AUD ACOUSTIC IMMITT+REFLEX DECAY TEST BI	92570	$480
SM	HB AUD ACOUSTIC REFLEX TEST	92568	$110
SM	HB AUD COCHLEAR EVAL POST-LINGUAL HEAR LOSS	92633	$410
SM	HB AUD COCHLEAR EVAL PRE-LINGUAL HEAR LOSS	92630	$410
SM	HB AUD COCHLEAR REHAB POST-LINGUAL HEARLOSS	92633	$330
SM	HB AUD COCHLEAR REHAB PRE-LINGUAL HEAR LOSS	92630	$330
SM	HB AUD COCHLEAR TRAIN POST-LINGUAL HEARLOSS	92633	$330
SM	HB AUD COCHLEAR TRAIN PRE-LINGUAL HEAR LOSS	92630	$330
SM	HB AUD EAR PROTECTOR ATTEN MEAS	92596	$140
SM	HB AUD EVAL CENTRAL AUDITORY FUNCT EA ADD15	92621	$73
SM	HB AUD EVAL CENTRAL AUDITORY FUNCTION 1HR	92620	$480
SM	HB AUD EVAL SURG IMPLNT DEVC CANDIDATE/POST OP 1ST HOUR	92626	$520
SM	HB AUD EVAL SURG IMPLNT DEVC CANDIDT/POSTOP EA ADDL15MIN	92627	$130
SM	HB AUD EVOKED OTOACOUST EMISSION LIMITED	92587	$950
SM	HB AUD PROGRAMMING OSSEOINTEGRATED DEVICE	92700	$330
SM	HB AUD PURETONE AIR&BONE	92553	$500
SM	HB AUD SPCH THRESHLD+RECOG COCHLR	92556	$124
SM	HB AUD SPEECH TRMNT DISORDER INDIVID/DISABLED>7YO	92507	$380
SM	HB AUD STENGER TEST PURE TONE	92565	$130
SM	HB AUD STENGER TEST SPEECH	92577	$1600
SM	HB AUD TONE DECAY TEST	92563	$110
SM	HB AUD TYMPANOMETRY + REFLEX THRESHOLD BI	92550	$410
SM	HB AUD TYMPANOMETRY + REFLEX THRESHOLD UNI	92550	$205
SM	HB AUD TYMPANOMETRY IMPEDANCE TEST	92567	$180
SM	HB AUD TYMPANOMETRY IMPEDANCE TEST UNILAT	92567	$120
SM	HB AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNTN COMPREHENSIVE AUTOMATED	0212T	$480
SM	HB AUDIOMETRY THRESHOLD PURE TONE AIR & BONE AUTOMATED	0209T	$110
SM	HB AUDIOMETRY THRESHOLD PURE TONE AIR ONLY AUTOMATED	0208T	$110
SM	HB AUDIOMETRY THRESHOLD PURE TONE AUTOMATED	0210T	$110
SM	HB AUDIOMETRY THRESHOLD SPEECH WITH SPEECH RECOGNITION AUTOMATED	0211T	$110
SM	HB CCS ALLIED HEALTH CASE CONFERENCE EACH 15		$400
SM	HB CCS ALLIED HEALTH PHONE CONSULT EACH 15		$460
SM	HB CCS COORDINATOR CASE CONFERENCE		$460
SM	HB CCS INFANT HEARING INITIAL SCREENING OP		$346
SM	HB CCS INFANT HEARING RESCREENING OP		$510
SM	HB CCS SW CASE CONF REPORT EACH 15MIN		$36
SM	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM<7YRS	92601	$510
SM	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM>7YRS	92603	$510
SM	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM<7YRS	92602	$510
SM	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM>7YRS	92604	$510
SM	HB EPSDT ACOUSTIC IMMIT TEST-1EAR		$359
SM	HB EPSDT ACOUSTIC IMMITTANCE TEST-2EAR		$359
SM	HB EPSDT AUD ORIENTATION 60MIN		$250
SM	HB EPSDT AUDIO EVAL COMPLEX <7YRS		$500
SM	HB EPSDT AUDIO EVAL INITIAL 2-5YRS		$500
SM	HB EPSDT AUDIO EVAL INITIAL 6-20YR		$500
SM	HB EPSDT AUDIO EVAL INITIAL<2YRS		$500
SM	HB EPSDT AUDIO EVAL SUBSQ <2YRS		$500
SM	HB EPSDT AUDIO EVAL SUBSQ 2-5YRS		$500
SM	HB EPSDT AUDIO EVAL SUBSQ 6-20YRS		$500
SM	HB EPSDT AUDIOLOGY CONSULT 60MIN		$250
SM	HB EPSDT AUDIOMETRY BEHAVIOR OBS		$399
SM	HB EPSDT AURAL REHAB ALT HEARING DEVC		$500
SM	HB EPSDT AURAL REHAB FOLLOW COCHLEAR IMPLNT 30MIN		$500
SM	HB EPSDT AURAL REHAB HEARING AID 30MIN		$500
SM	HB EPSDT COCHLEAR IMPLANT RE-CHECK		$510
SM	HB EPSDT COCHLEAR IMPLNT PROGRM/MAPPING 60MIN		$480
SM	HB EPSDT COCHLEAR POST IMPL TEST 30		$480
SM	HB EPSDT EVKD OTOACOUST EMISS CMP		$592
SM	HB EPSDT EVOKED OTOACOUST EMISSION LIMITED		$302
SM	HB EPSDT FUNCTIONAL GAIN TEST		$540
SM	HB EPSDT PRE-COCHLEAR EVAL 2ND AUDIOLOGIST		$540
SM	HB EPSDT REAL EAR MEASURE-1EAR		$160
SM	HB EPSDT REAL EAR MEASURE-2EAR		$320
SM	HB EPSDT SPEECH PERCEPTION TEST PRE/POST		$410
SM	HB EPSDT SPEECH/WORD RECOGNITION TEST		$124
SM	HB HEAR AID CHECK BILAT	92593	$90
SM	HB HEAR AID ELECTROACOUST EVAL UNILATERAL	92594	$110
SM	HB HEAR AID ELECTROACOUSTIC EVAL BILAT	92595	$210
SM	HB SPEECH LANGUAGE THERAPY	92507	$95
SM	HB VISUAL REINFORCEMENT AUDIOMTRY VRA	92579	$480

Behavioral Health Services

Hospital	Description	CPT Code	Standard Charge
SM	HB ECT-CONVULSIVE THERAPY	90870	$2070
SM	HB BIOFEEDBACK PERI/URO/RECTAL EA ADDL 15 MINS	90913	$240
SM	HB BIOFEEDBACK PERI/URO/RECTAL INIT 15 MINS	90912	$480
SM	HB BRIEF EMOTIONAL BEHAV ASSESS PER INSTRUMNT	96127	$120

Blood And Blood Components

Hospital	Description	CPT Code	Standard Charge
SM	HB PERFUSION PLATELET GEL PROCESSING		$240
SM	HB TRANSFUSION BLOOD/BLOOD COMPONENTS	36430	$1600
SM	HB TRANSFUSION EXCHANGE	36455	$1310
SM	HB TRANSFUSION EXCHANGE NEWBORN	36450	$1310
SM	HB TRANSFUSION INTRAUTERINE FETAL	36460	$1400
SM	HB PLATELET RICH PLASMA INJECTION WITH IMAGE GUIDANCE	0232T	$1150
SM	HB TRANSFUSION PUSH <2YRS	36440	$1310

Cardiology Caths and Tests

Hospital	Description	CPT Code	Standard Charge
SM	HB CARDIOVERSION ELECTIVE EXTERNAL	92960	$2300
SM	HB ENDOMYOCARDIAL BIOPSY	93505	$3640
SM	HB LHC VIA TRANSSEPT/ATRIAL PUNCTURE	93462	$10100
SM	HB PERFUSION CATH LAB HOURS 1.00		$10390
SM	HB PERFUSION CATH LAB HOURS 2.0		$10780
SM	HB PERFUSION CATH LAB HOURS 3.0		$11170
SM	HB PERFUSION CATH LAB HOURS 4.0		$11560
SM	HB PERFUSION CATH LAB HOURS 5.0		$11950
SM	HB PERFUSION CATH LAB HOURS 6.0		$12340
SM	HB PERFUSION CATH LAB HOURS 7.0		$12730
SM	HB PERFUSION CATH LAB HOURS 8.0		$13120
SM	HB R&LHC VENTRICULOGRAPHY+INJ	93453	$9850
SM	HB VAD PERFUSION CATH LAB HOURS 1.00		$10390
SM	HB VAD PERFUSION CATH LAB HOURS 2.00		$10780
SM	HB VAD PERFUSION CATH LAB HOURS 3.00		$11170
SM	HB VAD PERFUSION CATH LAB HOURS 4.00		$11560
SM	HB VAD PERFUSION CATH LAB HOURS 5.00		$11950
SM	HB VAD PERFUSION CATH LAB HOURS 6.00		$12340
SM	HB VAD PERFUSION CATH LAB HOURS 7.00		$12730
SM	HB VAD PERFUSION CATH LAB HOURS 8.00		$13120
SM	HB CARDIO TILT TABLE EVAL+ECG MONITOR	93660	$1560
SM	HB CARDIOVERSION INTERNAL	92961	$2070
SM	HB CATH LAB IR HOURS 0.25		$6100
SM	HB CATH LAB IR HOURS 0.50		$7500
SM	HB CATH LAB IR HOURS 0.75		$8900
SM	HB CATH LAB IR HOURS 1.00		$10300
SM	HB CATH LAB IR HOURS 1.25		$11800
SM	HB CATH LAB IR HOURS 1.50		$13200
SM	HB CATH LAB IR HOURS 1.75		$14600
SM	HB CATH LAB IR HOURS 10.00		$61800
SM	HB CATH LAB IR HOURS 10.25		$63300
SM	HB CATH LAB IR HOURS 10.50		$85250
SM	HB CATH LAB IR HOURS 10.75		$60100
SM	HB CATH LAB IR HOURS 11.00		$61400
SM	HB CATH LAB IR HOURS 11.25		$69000
SM	HB CATH LAB IR HOURS 11.50		$64000
SM	HB CATH LAB IR HOURS 11.75		$71800
SM	HB CATH LAB IR HOURS 12.00		$73300
SM	HB CATH LAB IR HOURS 12.25		$67900
SM	HB CATH LAB IR HOURS 12.50		$69200
SM	HB CATH LAB IR HOURS 12.75		$85200
SM	HB CATH LAB IR HOURS 13.00		$78900
SM	HB CATH LAB IR HOURS 13.25		$73100
SM	HB CATH LAB IR HOURS 13.50		$74400
SM	HB CATH LAB IR HOURS 13.75		$83200
SM	HB CATH LAB IR HOURS 14.00		$89600
SM	HB CATH LAB IR HOURS 14.25		$78300
SM	HB CATH LAB IR HOURS 14.50		$79600
SM	HB CATH LAB IR HOURS 14.75		$80900
SM	HB CATH LAB IR HOURS 15.00		$82200
SM	HB CATH LAB IR HOURS 15.25		$83500
SM	HB CATH LAB IR HOURS 15.50		$93300
SM	HB CATH LAB IR HOURS 15.75		$86100
SM	HB CATH LAB IR HOURS 16.00		$87400
SM	HB CATH LAB IR HOURS 16.25		$88700
SM	HB CATH LAB IR HOURS 16.50		$90000
SM	HB CATH LAB IR HOURS 16.75		$91300
SM	HB CATH LAB IR HOURS 17.00		$92600
SM	HB CATH LAB IR HOURS 17.25		$93900
SM	HB CATH LAB IR HOURS 17.50		$95200
SM	HB CATH LAB IR HOURS 17.75		$96500
SM	HB CATH LAB IR HOURS 18.00		$97800
SM	HB CATH LAB IR HOURS 18.25		$99100
SM	HB CATH LAB IR HOURS 18.50		$100400
SM	HB CATH LAB IR HOURS 18.75		$101700
SM	HB CATH LAB IR HOURS 19.00		$103000
SM	HB CATH LAB IR HOURS 19.25		$114700
SM	HB CATH LAB IR HOURS 19.50		$105600
SM	HB CATH LAB IR HOURS 19.75		$106900
SM	HB CATH LAB IR HOURS 2.00		$16100
SM	HB CATH LAB IR HOURS 2.25		$17500
SM	HB CATH LAB IR HOURS 2.50		$18900
SM	HB CATH LAB IR HOURS 2.75		$20400
SM	HB CATH LAB IR HOURS 20.00		$108200
SM	HB CATH LAB IR HOURS 20.25		$109500
SM	HB CATH LAB IR HOURS 20.50		$110800
SM	HB CATH LAB IR HOURS 20.75		$112100
SM	HB CATH LAB IR HOURS 21.00		$113400
SM	HB CATH LAB IR HOURS 21.25		$114700
SM	HB CATH LAB IR HOURS 21.50		$116000
SM	HB CATH LAB IR HOURS 21.75		$117300
SM	HB CATH LAB IR HOURS 22.00		$118600
SM	HB CATH LAB IR HOURS 22.25		$119900
SM	HB CATH LAB IR HOURS 22.50		$121200
SM	HB CATH LAB IR HOURS 22.75		$122500
SM	HB CATH LAB IR HOURS 23.00		$123800
SM	HB CATH LAB IR HOURS 23.25		$125100
SM	HB CATH LAB IR HOURS 23.50		$126400
SM	HB CATH LAB IR HOURS 23.75		$127700
SM	HB CATH LAB IR HOURS 24.00		$141900
SM	HB CATH LAB IR HOURS 3.00		$21800
SM	HB CATH LAB IR HOURS 3.25		$23200
SM	HB CATH LAB IR HOURS 3.50		$24600
SM	HB CATH LAB IR HOURS 3.75		$26100
SM	HB CATH LAB IR HOURS 4.00		$27500
SM	HB CATH LAB IR HOURS 4.25		$28900
SM	HB CATH LAB IR HOURS 4.50		$30400
SM	HB CATH LAB IR HOURS 4.75		$31800
SM	HB CATH LAB IR HOURS 5.00		$33200
SM	HB CATH LAB IR HOURS 5.25		$34700
SM	HB CATH LAB IR HOURS 5.50		$36100
SM	HB CATH LAB IR HOURS 5.75		$37500
SM	HB CATH LAB IR HOURS 6.00		$38900
SM	HB CATH LAB IR HOURS 6.25		$40400
SM	HB CATH LAB IR HOURS 6.50		$41800
SM	HB CATH LAB IR HOURS 6.75		$43200
SM	HB CATH LAB IR HOURS 7.00		$44700
SM	HB CATH LAB IR HOURS 7.25		$46100
SM	HB CATH LAB IR HOURS 7.50		$47500
SM	HB CATH LAB IR HOURS 7.75		$49000
SM	HB CATH LAB IR HOURS 8.00		$50400
SM	HB CATH LAB IR HOURS 8.25		$51800
SM	HB CATH LAB IR HOURS 8.50		$53200
SM	HB CATH LAB IR HOURS 8.75		$54700
SM	HB CATH LAB IR HOURS 9.00		$56100
SM	HB CATH LAB IR HOURS 9.25		$58500
SM	HB CATH LAB IR HOURS 9.50		$58500
SM	HB CATH LAB IR HOURS 9.75		$60400
SM	HB CATHLAB IR RECOVERY UPTO HR 1.00		$612
SM	HB CATHLAB IR RECOVERY UPTO HR 1.50		$857
SM	HB CATHLAB IR RECOVERY UPTO HR 2.00		$1048
SM	HB CATHLAB IR RECOVERY UPTO HR 2.50		$1248
SM	HB CATHLAB IR RECOVERY UPTO HR 3.00		$1473
SM	HB CATHLAB IR RECOVERY UPTO HR 3.50		$1699
SM	HB CATHLAB IR RECOVERY UPTO HR 4.00		$1924
SM	HB CORONARY FFR CT+ANALYSIS+MODEL	0503T	$1100
SM	HB CV MONITOR SYSTEM IMPLANT INTERRROGATION	93290	$170
SM	HB DEFIB WEARABLE SYSTSEM INTERROGATION	93292	$230
SM	HB DOPPLER ECHO COLORFLO VELOCITY MAP	93325	$830
SM	HB DOPPLER ECHO COMPLETE	93320	$900
SM	HB DOPPLER ECHO LIMITED	93321	$500
SM	HB ECG EVENT RECORD WO 24HR ATTEND MONITOR	0497T	$132
SM	HB ECHO 2D COMPLETE WO COLORFLOW +/- FOLLOW WITH CONTRAST	C8923	$2600
SM	HB ECHO INTRAOPERATIVE	93662	$4608
SM	HB ECHO TEE 2D CONGEN ANOMLY+PROBE+MONITORING	93318	$1700
SM	HB ECHO TEE 2D PROBE PLACE ONLY	93313	$1300
SM	HB ECHO TEE 2D PROBE+IMAG+REPORT +/- FOLLOW W CONTRAST	C8925	$3600
SM	HB ECHO TEE 2D PROBE+MONITOR +/- FOLLOW W CONTRAST	C8927	$2390
SM	HB ECHO TEE 2D+IMAGE+REPORT	93314	$1288
SM	HB ECHO TEE 2D+PROBE+IMAG+REPORT COMPLETE	93312	$2600
SM	HB ECHO TEE CONGEN ANOMLY IMAGE ONLY+REPORT	93317	$842
SM	HB ECHO TEE CONGEN ANOMLY+PROBE PLACE ONLY	93316	$1700
SM	HB ECHO TEE CONGEN ANOMLY+PROBE+IMAG+REPORT	93315	$2600
SM	HB ECHO TEE GUIDANCE INTERVENTNL+IMAG+PROBE MANIP+REPORT	93355	$3600
SM	HB ECHO TRANSESOPH TEE CHD+PROBE+IMAG REPORT +/- FOLLOW WITH CONTRAST	C8926	$2390
SM	HB ECHO TTE 2D COMPLETE + COLORFLOW	93306	$1700
SM	HB ECHO TTE 2D COMPLETE +COLORFLOW +/- FOLLOW W CONTRAST	C8929	$2000
SM	HB ECHO TTE 2D COMPLETE WO COLORFLOW	93307	$1700
SM	HB ECHO TTE 2D LIMITED	93308	$1300
SM	HB ECHO TTE 2D LIMTED +/- FOLLOW W CONTRAST	C8924	$2400
SM	HB ECHO TTE CONGEN ANOMLY COMPL +/- FOLLOW W CONTRAST	C8921	$2600
SM	HB ECHO TTE CONGEN ANOMLY COMPLETE	93303	$2300
SM	HB ECHO TTE CONGEN ANOMLY F-UP/LTD	93304	$1700
SM	HB ECHO TTE CONGEN ANOMLY LIMTED +/- FOLLOW W CONTRAST	C8922	$2390
SM	HB EP EVAL SUBQ IMPLANT DEFIB	93644	$670
SM	HB ICD EVAL +/- REPROGRAM DUAL LEAD	93283	$420
SM	HB ICD EVAL +/- REPROGRAM MULTI LEAD	93284	$470
SM	HB ICD EVAL +/- REPROGRAM SGL LEAD	93282	$330
SM	HB ICD EVAL PERIPROCEDURE +/- REPROGRAM	93287	$140
SM	HB ICD INTERROGATION+/-REPROGRAM	93289	$430
SM	HB INTRACARD ISCHEMIA MONIT SYST EVAL +/- REPROG	0528T	$140
SM	HB INTRACARD ISCHEMIA MONIT SYST INTERROG EVAL	0529T	$140
SM	HB MYOCARDIAL STRAIN IMAG W SPECKLE TRACK ASSMT	93356	$1738
SM	HB PACEMAKER EVAL +/- REPROGRAM DUAL	93280	$300
SM	HB PACEMAKER EVAL +/- REPROGRAM MULTIPLE	93281	$300
SM	HB PACEMAKER EVAL PERIPROCED +/- REPROGRAM	93286	$110
SM	HB PACEMAKER TELE ANALYSIS SINGLE	93293	$265
SM	HB PCMKR EVAL +/- REPROG SGL/LEADLESS	93279	$270
SM	HB PCMKR INTERROG EVAL +/-REPROG SGL/MULT/LEADLESS	93288	$260
SM	HB PULMONARY STRESS TEST COMPLEX	94621	$2500
SM	HB REMOTE INTERROG CV/LOOP/SUBQ CARD MONIT 30DAY	G2066	$140
SM	HB REMOTE INTERROGATE PCMKR/ICD UPTO 90DAYS	93296	$470
SM	HB STRESS ECHO TTE 2D	93350	$3600
SM	HB STRESS ECHO TTE 2D + REPORT +/- FOLLOW W CONTRAST	C8928	$2000
SM	HB STRESS ECHO TTE 2D+ECG MONITOR	93351	$3150
SM	HB STRESS ECHO TTE 2D+ECG MONITOR+/-FOLLOW W CONTRAST	C8930	$2190
SM	HB STRESS TEST + EXERCISE +/-PHARM+ECG MONITOR	93017	$1800
SM	HB SUBQ CARD RHYTHM MONIT EVAL +/- REPROGRAM	93285	$180
SM	HB SUBQ CARD RHYTHM MONIT INTERROG EVAL	93291	$230
SM	HB VAD INTERROGATION+PROGRAMMING IN PERSON	93750	$440
SM	HB WIRELESS CARD STIM EVAL +/- REPROG	0522T	$140
SM	HB WIRELESS CARD STIM INTERROG EVAL	0521T	$65

Clinic

Hospital	Description	CPT Code	Standard Charge
SM	HB ACTINOTHERAPY UV LIGHT	96900	$110
SM	HB ANNUAL WELLNESS VISIT+PPPS INITIAL	G0438	$360
SM	HB ANNUAL WELLNESS VISIT+PPPS SUBSEQUENT	G0439	$360
SM	HB NEW PREVENTIVE EXAM MEDICARE	G0402	$440
SM	HB PERITONEAL-VENOUS SHUNT EVAL INJECTION	49427	$190
SM	HB PHOTOCHEMOTHERAPY GOEKERMAN	96910	$200
SM	HB PHOTOCHEMOTHERAPY PUVA	96912	$200
SM	HB PHOTOCHEMOTHERAPY SEVERE DERMATOSIS	96913	$1090
SM	HB ADVANCED CARE PLAN 30 MIN	99497	$260
SM	HB ADVANCED CARE PLAN ADDL 30 MIN	99498	$260
SM	HB ANNUAL BEHAV THER CARDIO DISEASE 15 MIN	G0446	$100
SM	HB ANNUAL DEPRESSSION SCRN 15 MIN	G0444	$110
SM	HB BRIEF ALCOHOL MISUSE COUNSEL	G0443	$310
SM	HB COUNSEL NEED FOR LUNG CANCER SCRN LOW DOSE CT	G0296	$310
SM	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP		$260
SM	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP HIRISK		$260
SM	HB CPSP OB ANTEPARTUM INITIAL		$260
SM	HB CPSP OB ANTEPARTUM INITIAL HIRISK		$260
SM	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 10+		$200
SM	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 2-9		$190
SM	HB CPSP OB ANTEPARTUM SUBSQ HIRISK		$190
SM	HB CPSP OB COMBINED ASSESSMENT INTIAL		$190
SM	HB CPSP OB POSTPARTUM VISIT		$190
SM	HB EST OUTPATIENT VISIT LEVEL 3	G0463	$220
SM	HB EST PREVENTIVE CARE >65YRS	G0463	$300
SM	HB EST PREVENTIVE CARE AGE 1-4YR	G0463	$320
SM	HB EST PREVENTIVE CARE AGE 12-17YR	G0463	$300
SM	HB EST PREVENTIVE CARE AGE 18-39YR	G0463	$300
SM	HB EST PREVENTIVE CARE AGE 40-64YR	G0463	$300
SM	HB EST PREVENTIVE CARE AGE 5-11YR	G0463	$320
SM	HB EST PT LVL1 ASSESSMENT POSTOP	G0463	$170
SM	HB FACE TO FACE BEHAV COUNSEL OBESITY 15 MIN	G0447	$310
SM	HB FAMILY PACT EST PT VISIT LEVEL 1		$130
SM	HB FAMILY PACT EST PT VISIT LEVEL 2		$159
SM	HB FAMILY PACT EST PT VISIT LEVEL 3		$190
SM	HB FAMILY PACT EST PT VISIT LEVEL 5		$279
SM	HB FAMILY PACT EST PT VISITLEVEL 4		$200
SM	HB FAMILY PACT NEW PT VISIT LEVEL 1		$130
SM	HB FAMILY PACT NEW PT VISIT LEVEL 2		$159
SM	HB FAMILY PACT NEW PT VISIT LEVEL 3		$190
SM	HB FAMILY PACT NEW PT VISIT LEVEL 4		$200
SM	HB FAMILY PACT NEW PT VISIT LEVEL 5		$279
SM	HB HEALTH BEHVR INTERVENTION FAMILY EA ADDL 15MIN	96168	$40
SM	HB HEALTH BEHVR INTERVENTION FAMILY INITL 30MIN	96167	$100
SM	HB HEALTH BEHVR INTERVENTION GROUP EA ADDL 15MINS	96165	$30
SM	HB HEALTH BEHVR INTERVENTION GROUP INITL 30MINS	96164	$100
SM	HB HEALTH BEHVR INTERVENTION INDIV EA ADDL 15MINS	96159	$100
SM	HB HEALTH BEHVR INTERVENTION INDIV INITL 30MINS	96158	$300
SM	HB MED TEAM CONFERENCE BY HEALTH PROF WITHOUT PATIENT 30MIN OR MORE	99368	$500
SM	HB MEDICAL GENETIC COUNSELING EACH 30MIN	96040	$330
SM	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITHOUT PATIENT 30MIN	99367	$500
SM	HB NEW PREVENTIVE CARE AGE >65YRS	G0463	$340
SM	HB NEW PREVENTIVE CARE AGE 1-4YR	G0463	$360
SM	HB NEW PREVENTIVE CARE AGE 12-17YR	G0463	$340
SM	HB NEW PREVENTIVE CARE AGE 18-39YR	G0463	$340
SM	HB NEW PREVENTIVE CARE AGE 40-64YR	G0463	$340
SM	HB NEW PREVENTIVE CARE AGE 5-11YR	G0463	$340
SM	HB NEW PREVENTIVE VISIT INITIAL	G0463	$360
SM	HB OR PROC ROOM EVAL NOT SURG DAY/CANCEL	G0463	$240
SM	HB OUTPATIENT CONSULT LEVEL 2	G0463	$190
SM	HB OUTPATIENT CONSULT LEVEL 3	G0463	$220
SM	HB OUTPATIENT CONSULT LEVEL 4	G0463	$250
SM	HB OUTPATIENT CONSULT LEVEL 5	G0463	$330
SM	HB PHOTOCHEMOTHERAPY PSORALEN BATH	96999	$250
SM	HB PREVENTIVE MED COUNSEL 15MIN	G0463	$300
SM	HB PREVENTIVE MED COUNSEL 30MIN	G0463	$320
SM	HB PREVENTIVE MED COUNSEL 45MIN	G0463	$340
SM	HB TRANSITIONAL CARE MANAGEMENT HIGH COMPLEX WITHIN 7DAYS DISCHARGE	99496	$440
SM	HB TRANSITIONAL CARE MANAGEMENT MOD COMPLEX WITHIN 14DAYS DISCHARGE	99495	$440

CT Scan

Hospital	Description	CPT Code	Standard Charge
SM	HB 3D CT MR US WO POST PROCESS	76376	$1200
SM	HB CT 3D RECONSTRCT AORTA SURGPLN	G0288	$830
SM	HB CT ABDOMEN + CONTRAST	74160	$3200
SM	HB CT ABDOMEN +/- CONTRAST	74170	$3800
SM	HB CT ABDOMEN WO CONTRAST	74150	$2600
SM	HB CT ABDOMEN&PELVIS WO CONTRAST	74176	$3000
SM	HB CT ABDOMEN&PELVIS WO+1SECTN/REGN W CONTR	74178	$4000
SM	HB CT ABDOMEN&PELVIS+CONTRAST	74177	$3500
SM	HB CT ANGIO ABD AORTA + RUNOFF	75635	$3200
SM	HB CT ANGIO ABD PELVIS+/-CONTRAST	74174	$3800
SM	HB CT ANGIOGRAM ABDOMEN	74175	$2500
SM	HB CT ANGIOGRAM CHEST	71275	$2500
SM	HB CT ANGIOGRAM HEAD +/- CONTRAST	70496	$2500
SM	HB CT ANGIOGRAM LOWER EXTREMITY	73706	$2500
SM	HB CT ANGIOGRAM NECK	70498	$2500
SM	HB CT ANGIOGRAM PELVIS	72191	$2500
SM	HB CT ANGIOGRAM UPPER EXTREMITY	73206	$2500
SM	HB CT BONE DENSITY AXIAL	77078	$250
SM	HB CT BONE DENSITY PERIPHERAL	77080	$420
SM	HB CT BRAIN + CONTRAST	70460	$3200
SM	HB CT BRAIN +/- CONTRAST	70470	$3800
SM	HB CT BRAIN WO CONTRAST	70450	$2600
SM	HB CT C-SPINE +/- CONTRAST	72127	$2230
SM	HB CT C-SPINE WO CONTRAST	72125	$2600
SM	HB CT CHEST + CONTRAST	71260	$3200
SM	HB CT CHEST +/- CONTRAST	71270	$3800
SM	HB CT CHEST WO CONTRAST	71250	$2600
SM	HB CT COLONOGRAPHY DIAGNOSTIC + CONTRAST	74262	$1200
SM	HB CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST	74261	$1200
SM	HB CT COLONOGRAPHY SCREENING MCN	74263	$1200
SM	HB CT FOLLOW-UP EXAM	76380	$360
SM	HB CT HEART FUNCTION EVAL 3D	75572	$1200
SM	HB CT HEART WO CONTRAST+CORONARY CALCIUM	75571	$500
SM	HB CT L-SPINE + CONTRAST	72132	$3200
SM	HB CT L-SPINE +/- CONTRAST	72133	$2950
SM	HB CT LOCALIZATION STEREOTACTIC	77011	$1960
SM	HB CT LOWER EXTREMITY + CONTRAST	73701	$3200
SM	HB CT LOWER EXTREMITY +/-CONTRAST	73702	$3800
SM	HB CT LOWER EXTREMITY WO CONTRAST	73700	$2600
SM	HB CT MAXILLOFACIAL + CONTRAST	70487	$3200
SM	HB CT MAXILLOFACIAL +/- CONTRAST	70488	$3800
SM	HB CT MAXILLOFACIAL WO CONTRAST	70486	$2600
SM	HB CT NDL PLACEMENT GUIDANCE S&I	77012	$2000
SM	HB CT ORBIT SELLA IAC +/-CONTRAST	70482	$3800
SM	HB CT ORBIT SELLA IAC WO CONTRAST	70480	$2600
SM	HB CT ORBIT/SELLA/IAC + CONTRAST	70481	$3200
SM	HB CT PELVIS + CONTRAST	72193	$3200
SM	HB CT PELVIS +/- CONTRAST	72194	$3800
SM	HB CT PELVIS WO CONTRAST	72192	$2600
SM	HB CT SOFT TISSUE NECK + CONTRAST	70491	$3200
SM	HB CT SOFT TISSUE NECK WO CONTR	70490	$2600
SM	HB CT SOFT TISSUE NECK+/-CONTRAST	70492	$3800
SM	HB CT T-SPINE + CONTRAST	72129	$3200
SM	HB CT T-SPINE +/- CONTRAST	72130	$2950
SM	HB CT UPPER EXTREMITY +/-CONTRAST	73202	$3800
SM	HB CT UPPER EXTREMITY WO CONTRAST	73200	$2600
SM	HB CTA CORONARY+/-GRAFT STRUCTURE & MORPH	75574	$1500
SM	HB CT ABLATION GUIDANCE S&I	77013	$1500
SM	HB CT C-SPINE + CONTRAST	72126	$3200
SM	HB CT CERBRAL CBF PERFUSION+CONTRAST	0042T	$2500
SM	HB CT HEART FUNCTION EVAL 3D CONGENITAL	75573	$1200
SM	HB CT L-SPINE WO CONTRAST	72131	$2600
SM	HB CT RADIATION RX FIELD GUIDANCE	77014	$1500
SM	HB CT T-SPINE WO CONTRAST	72128	$2600
SM	HB CT UPPER EXTREMITY + CONTRAST	73201	$3200
SM	HB OR CT GUIDANCE SERVICE		$1000

DME / Medical Equipment

Hospital	Description	CPT Code	Standard Charge
SM	HB CANE DJ ORTHO	E0100	$80
SM	HB CRUTCHES FOREARM ADJUST	E0114	$150
SM	HB CRUTCHES FOREARM ADJUST DJ ORTHO	E0114	$160
SM	HB HEARING AID DISPENSING FEE BILATERAL	V5110	$20
SM	HB HEARING AID DISPENSING FEE UNSPECIFIED	V5090	$20
SM	HB CANE	E0100	$22
SM	HB CATHETER TO STENT-LARYNGECTMY	A9999	$20
SM	HB HELMET PROTECTIVE HARD PREFAB WITH ALL COMPONENTS & ACCESSORIES	A8001	$530
SM	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED	E0471	$7430
SM	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED RNTL	E0471	$743
SM	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED	E0470	$2900
SM	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED RNTL	E0470	$291
SM	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED	E0471	$6900
SM	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED RNTL	E0471	$685
SM	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS	E0471	$6580
SM	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS RNTL	E0471	$658
SM	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS	E0470	$2300
SM	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS RNTL	E0470	$225
SM	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS	E0471	$6760
SM	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS RNTL	E0471	$676
SM	HB SLEEP LAB BIPAP HMDFR WATER CHAMBER REPLACE EA RESPIRONICS	A7046	$60
SM	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS	E0471	$6090
SM	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS RNTL	E0471	$609
SM	HB SLEEP LAB CPAP AEROSOL COMPRESSOR RESPIRONICS	E0572	$370
SM	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED	E0601	$1200
SM	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED RNTL	E0601	$124
SM	HB SLEEP LAB CPAP CHIN STRAP RESMED	A7036	$32
SM	HB SLEEP LAB CPAP CHIN STRAP RESPIRONICS	A7036	$40
SM	HB SLEEP LAB CPAP CUSHION REPLACE ONLY MIRAGE RESMED	A7032	$60
SM	HB SLEEP LAB CPAP CUSHION REPLACEMENT ONLY RESPIRONICS	A7032	$80
SM	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR VPAP ADAPT RESMED	E0471	$7350
SM	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP DS1160/DS960 RESPIRONICS	E0471	$10000
SM	HB SLEEP LAB CPAP DEVICE BI PRESS WO BACKUP AUTO DS760 RESPIRONICS	E0470	$3670
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP S9 VPAP ST RESMED	E0471	$5080
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP VPAP ADAPT RESMED	E0471	$7000
SM	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP AUTO RESMED	E0470	$2500
SM	HB SLEEP LAB CPAP DEVICE REMSTAR60 & HMDFR AUTO RESPIRONICS	E0601	$1610
SM	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & CLIMATE CONTROL RESMED	E0601	$1470
SM	HB SLEEP LAB CPAP DRMSTN RESPIRONICS	E0601	$980
SM	HB SLEEP LAB CPAP DRMSTN RESPIRONICS RNTL	E0601	$98
SM	HB SLEEP LAB CPAP FACE MASK INTERFACE REPLACE EA RESMED	A7031	$100
SM	HB SLEEP LAB CPAP FILTER 1PACK RESMED RESP	A7038	$10
SM	HB SLEEP LAB CPAP FILTER 2PACK OR 3PACK RESMED	A7038	$20
SM	HB SLEEP LAB CPAP FULL FACE MASK EA FFM RESMED	A7030	$320
SM	HB SLEEP LAB CPAP FULL FACE MASK EA FRAME RESMED	A7030	$260
SM	HB SLEEP LAB CPAP FULL FACE MASK EACH FFM AMARA RESPIRONICS	A7030	$300
SM	HB SLEEP LAB CPAP HEAD GEAR & CLIPS RESMED	A7035	$40
SM	HB SLEEP LAB CPAP HEAD GEAR MIRAGE RESMED	A7035	$50
SM	HB SLEEP LAB CPAP HEAD GEAR MIRAGE SWIFT RESMED	A7035	$60
SM	HB SLEEP LAB CPAP HEAD GEAR RESPIRONICS	A7035	$50
SM	HB SLEEP LAB CPAP HEAD GEAR STANDARD RESMED	A7035	$50
SM	HB SLEEP LAB CPAP HMDFR H5I RESMED	E0562	$350
SM	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA C-SERIES RESMED	A7046	$30
SM	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA H4I H5I 2IC RESMED	A7046	$80
SM	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA HUMIDAIRE RESMED	A7046	$130
SM	HB SLEEP LAB CPAP MONITGORING RESLINK MODULE RESMED	A9279	$610
SM	HB SLEEP LAB CPAP MONITGORING RESSCAN DATA CARD 10PK RESMED	A9279	$200
SM	HB SLEEP LAB CPAP MONITGORING S8 RESLINK MODULE RESMED	A9279	$730
SM	HB SLEEP LAB CPAP MONITGORING S9 WIRELESS MODULE RESMED	A9279	$620
SM	HB SLEEP LAB CPAP MONITGORING SD CARD 10 PACK RESMED	A9279	$290
SM	HB SLEEP LAB CPAP MONITGORING SMARTMEDIA CARDS 2PK RESMED	A9279	$60
SM	HB SLEEP LAB CPAP NASAL INTERFACE FRAME SYSTEM RESMED	A7034	$120
SM	HB SLEEP LAB CPAP NASAL INTERFACE MASK W OR WO STRAP RESPIRONICS	A7034	$190
SM	HB SLEEP LAB CPAP NASAL INTERFACE MASK/FRAME SYSTEM RESMED	A7034	$160
SM	HB SLEEP LAB CPAP NASAL INTERFACE PILLOWS SYSTEM RESMED	A7034	$210
SM	HB SLEEP LAB CPAP PILLOW FOR NASAL CANNULA INTERFACE REPLAC PAIR RESP	A7033	$80
SM	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR SWIFT RESMED	A7033	$50
SM	HB SLEEP LAB CPAP SD CARD 10 PACK RESPIRONICS	A9279	$270
SM	HB SLEEP LAB CPAP SD CARD MAILER 10 PACK RESPIRONICS	A9279	$170
SM	HB SLEEP LAB CPAP SD CARD READER RESPIRONICS	A9279	$100
SM	HB SLEEP LAB CPAP TUBING 6FT RESPIRONICS	A7037	$30
SM	HB SLEEP LAB CPAP TUBING AIR 6FT OR SLIMLINE RESMED	A7037	$30
SM	HB SLEEP LAB CPAP TUBING WITH INTEGRATED HEATING ELEMENT RESMED RESP	A4604	$120
SM	HB WALKER	E0130	$45

Emergency Room

Hospital	Description	CPT Code	Standard Charge
SM	HB ANOSCOPY DIAGNOSTIC RECTUM FB REMOVE	46608	$2500
SM	HB BRAIN VENTRIC PUNCT REMOVE FLUID	61020	$2350
SM	HB BRONCH +THERAPY ASPIRATION	31645	$4630
SM	HB CAST APPLY FINGER	29086	$470
SM	HB CAST APPLY SPICA HIP 1.5 /BOTH	29720	$540
SM	HB CAST REPR SPICA BODY CAST JACKET	29720	$470
SM	HB CLSD DISLOCTX ACROCLAV +MANIP	23545	$750
SM	HB CLSD DISLOCTX ACROCLAV WO MANIP	23540	$750
SM	HB CLSD DISLOCTX ANKLE +ANESTH	27842	$4720
SM	HB CLSD DISLOCTX ELBOW MONTEG+MANIP	24620	$4800
SM	HB CLSD DISLOCTX ELBOW WO ANESTH	24600	$760
SM	HB CLSD DISLOCTX FOOT IP JT+ANESTH	28665	$1202
SM	HB CLSD DISLOCTX FOOT MTP +ANESTH	28635	$4720
SM	HB CLSD DISLOCTX FOOT TALOTARSAL WO ANESTH	28570	$750
SM	HB CLSD DISLOCTX FOOT TARSAL WO ANESTHESIA	28540	$750
SM	HB CLSD DISLOCTX FOOT TARSOMETATARSAL	28600	$750
SM	HB CLSD DISLOCTX HAND CMC WO ANESTH	26670	$760
SM	HB CLSD DISLOCTX HAND IP +ANESTH	26775	$1580
SM	HB CLSD DISLOCTX HAND MCP +ANESTH	26705	$1970
SM	HB CLSD DISLOCTX HIP POST ARTHROPLASTY	27265	$760
SM	HB CLSD DISLOCTX HIP PROSTH +ANESTH	27266	$4720
SM	HB CLSD DISLOCTX KNEE WO ANESTH	27550	$760
SM	HB CLSD DISLOCTX LUNATE +MANIP	25690	$4800
SM	HB CLSD DISLOCTX RADIAL OR INTERCARPAL	25660	$750
SM	HB CLSD DISLOCTX SHOULDER+ FX HUM TUBER	23665	$2000
SM	HB CLSD DISLOCTX SHOULDER+FX HUMERAL NECK	23675	$2000
SM	HB CLSD DISLOCTX STERNOCLAVICLE +MANIP	23525	$750
SM	HB CLSD DISLOCTX STERNOCLAVICLE WO MANIP	23520	$1970
SM	HB CLSD DISLOCTX TIBIOFIB PROX JNT	27830	$750
SM	HB CLSD FXTX ANKLE BIMALLEOLAR	27808	$750
SM	HB CLSD FXTX ANKLE TRIMALLEOLAR	27816	$750
SM	HB CLSD FXTX BIG TOE WO MANIP	28490	$750
SM	HB CLSD FXTX CALCANEAL WO MANIP	28400	$750
SM	HB CLSD FXTX CARPAL +MANIP EA	25635	$2000
SM	HB CLSD FXTX CARPAL WO MANIP EA	25630	$750
SM	HB CLSD FXTX CLAVICLE WO MANIP	23500	$750
SM	HB CLSD FXTX COCCYGEAL	27200	$750
SM	HB CLSD FXTX DISTAL RADIUS WO MANIP	25600	$760
SM	HB CLSD FXTX FEM D L CONDL WO MANIP	27508	$760
SM	HB CLSD FXTX FEM D M L-CONDYL+MANIP	27510	$1970
SM	HB CLSD FXTX FEM GREAT TROCHANTER WO MANIP	27246	$750
SM	HB CLSD FXTX FEM PROX OR NECK WO MANIP	27230	$750
SM	HB CLSD FXTX FEM S T CONDL WO MANIP	27501	$750
SM	HB CLSD FXTX FEM S T-CONDYL+MANIP	27503	$1970
SM	HB CLSD FXTX FEM SHAFT WO MANIP	27500	$750
SM	HB CLSD FXTX FEM TROCHANTER WO MANIP	27238	$1970
SM	HB CLSD FXTX FIBULA DISTAL +MANIP	27788	$760
SM	HB CLSD FXTX FIBULA DISTAL WO MANIP	27786	$750
SM	HB CLSD FXTX FIBULA PROX SHAFT	27780	$750
SM	HB CLSD FXTX FIBULA PROX SHAFT +MANIP	27781	$4800
SM	HB CLSD FXTX HAND ARTIC MCP IP WO MANIP	26740	$750
SM	HB CLSD FXTX HAND DIP JT WO MANIP	26750	$750
SM	HB CLSD FXTX HAND DIP JT+MANIP	26755	$760
SM	HB CLSD FXTX HAND PIP MIP WO MANIP	26720	$760
SM	HB CLSD FXTX HIP ACETABULUM WO MANIP	27220	$750
SM	HB CLSD FXTX HUMERAL CONDYL WO MANIP	24576	$750
SM	HB CLSD FXTX HUMERAL E-CONDYL +MANIP	24565	$2000
SM	HB CLSD FXTX HUMERAL E-CONDYL WO MANIP	24560	$750
SM	HB CLSD FXTX HUMERAL GRT TUBER WO MANIP	23620	$750
SM	HB CLSD FXTX HUMERAL GRT TUBER+MANIP	23625	$4720
SM	HB CLSD FXTX HUMERAL PROX WO MANIP	23600	$750
SM	HB CLSD FXTX HUMERAL PROX+MANIP	23605	$4800
SM	HB CLSD FXTX HUMERAL S-CONDYL WO MANIP	24530	$750
SM	HB CLSD FXTX HUMERAL SHAFT WO MANIP	24500	$750
SM	HB CLSD FXTX KNEE INTERCONDYLAR +/-MANIP	27538	$750
SM	HB CLSD FXTX MANDIBLE+INTERDENTAL FIXATION	21453	$15300
SM	HB CLSD FXTX MANDIBULAR +MANIP	21451	$3980
SM	HB CLSD FXTX MANDIBULAR WO MANIP	21450	$1610
SM	HB CLSD FXTX MED MALLEOLUS WO MANIP	27760	$750
SM	HB CLSD FXTX METACARPAL WO MANIP EA	26600	$750
SM	HB CLSD FXTX METATARSAL +MANIP	28475	$760
SM	HB CLSD FXTX METATARSAL WO MANIP	28470	$750
SM	HB CLSD FXTX NASALBONE WO MANIP	21310	$750
SM	HB CLSD FXTX NAVICULAR CARPAL WO MANIP	25622	$750
SM	HB CLSD FXTX NAVICULAR CARPAL+MANIP	25624	$1970
SM	HB CLSD FXTX ORBIT +MANIP	21401	$3980
SM	HB CLSD FXTX ORBIT WO MANIP	21400	$1610
SM	HB CLSD FXTX OTHR TOE(S) WO MANIP EA	28510	$750
SM	HB CLSD FXTX PATELLA WO MANIP	27520	$750
SM	HB CLSD FXTX RADIAL HEAD NECK WO MANIP	24650	$750
SM	HB CLSD FXTX RADIAL SHAFT WO MANIP	25500	$750
SM	HB CLSD FXTX RADIAL ULNAR WO MANIP	25560	$750
SM	HB CLSD FXTX SCAPULA +MANIP	23575	$2000
SM	HB CLSD FXTX SCAPULA WO MANIP	23570	$750
SM	HB CLSD FXTX SESAMOID	28530	$750
SM	HB CLSD FXTX STERNUM	21820	$750
SM	HB CLSD FXTX TALUS WO MANIP	28430	$750
SM	HB CLSD FXTX TARSAL +MANIP	28455	$1970
SM	HB CLSD FXTX TARSAL WO MANIP	28450	$750
SM	HB CLSD FXTX TIBIA +/- FIBULA WO MANIP	27750	$760
SM	HB CLSD FXTX TIBIA DISTAL WT BEAR WO MANIP	27824	$750
SM	HB CLSD FXTX TIBIA DISTAL WT BEAR+MNP+TRCTN	27825	$4800
SM	HB CLSD FXTX TIBIA PROX PLATEAU WO MANIP	27530	$750
SM	HB CLSD FXTX TRANSSCAPHPERILUNAR+MANIP	25680	$750
SM	HB CLSD FXTX ULNAR PROX WO MANIP	24670	$750
SM	HB CLSD FXTX ULNAR SHAFT WO MANIP	25530	$750
SM	HB CLSD FXTX ULNAR STYLOID	25650	$760
SM	HB CLSDTX FEM DIST EPIPH SEPARATION	27516	$750
SM	HB CLSDTX FEM DIST EPIPH SEPARATN+MANIP	27517	$1970
SM	HB CORPORA CAVERNOSA PRIAPISM INJECTION	54235	$800
SM	HB CYSTOURETHEROSCOPY+FB REMOVE COMPLEX	52315	$5930
SM	HB DEBRIDE SKIN SUBQ MUSCLE BONE OPEN FRACT	11012	$8100
SM	HB DEBRIDE SKIN SUBQ OPEN FRACTURE	11010	$840
SM	HB EAR EXTERNAL AUDITORY CANAL ABSC DRAIN	69020	$850
SM	HB EPISIOTMY OR TEAR REPR ONLY	59300	$3310
SM	HB ESCHAROTOMY INITIAL INCISION	16035	$1090
SM	HB ESOPHAGOSCOPY FB REMOVE	43215	$5000
SM	HB EXCIS EXTN WRST F-ARM TNDN BURS SYNV RAD	25116	$9260
SM	HB EXPLOR POSTOP HEM THRMB INFECT EXTREMITY	35860	$8800
SM	HB EXPLOR WOUND PENETRATING ABD FLANK BACK	20102	$5490
SM	HB EXPLOR WOUND PENETRATING EXTREMITY	20103	$2000
SM	HB EYE ANTERIOR CHAMBER LENS FB REMOVE	65235	$2800
SM	HB EYE CONJUNCT EMBEDDED FB REMOVE	65210	$1150
SM	HB EYE FLUORESCEIN ANGIOSCOPY	92230	$650
SM	HB EYE INTRAVITREAL ANTIBOTIC INJ	67028	$1040
SM	HB EYE LID BLEPHAROPLASTY UPPER	15822	$5490
SM	HB EYE VITREAL ASPIRATION/RELEASE	67015	$9700
SM	HB FECAL IMPACTION REMOVE +ANESTH	45915	$3280
SM	HB FLEX SIGMOID DECOMPRESS VOLVUS	45337	$4140
SM	HB GASTRIC INTUB & ASPIR DIAG MULT SPEC+MED	43755	$480
SM	HB GASTRIC INTUB & ASPIR DIAG SGL SPECIMEN	43754	$360
SM	HB GASTROSCOPY +/- COLLECT SPECIMEN	43235	$3270
SM	HB I&D INTRAORAL SUBLING ABSCES SUPERFICIAL	41005	$830
SM	HB I&D PALATE UVULA ABSCESS	42000	$620
SM	HB I&D RECTUM SUBMUCOSAL ABSCESS	45005	$3280
SM	HB LARYNGOSCOPY DIRECT +FB REMOVE	31530	$4630
SM	HB LARYNGOSCOPY DIRECT FOR ASPIRATION	31515	$2730
SM	HB LARYNGOSCOPY INDIRECT +FB REMOVE	31511	$550
SM	HB LARYNGOSCPY FLEXIBLE +FB REMOVE	31577	$5600
SM	HB MUSCLE COMPARTMENT PRESS DETEC	20950	$2000
SM	HB NAIL BED REPR WITH GRAFT	11762	$2290
SM	HB NASAL ENDOSCOPY DIAG UNI/BI	31231	$560
SM	HB NERVE GRAFT ARM LEG SINGLE STRAND >4CM	64893	$16200
SM	HB NEWBORN MECONIUM ASPIRATION	31720	$270
SM	HB NOSEBLEED PACK POSTERIOR INITIAL	30905	$370
SM	HB OB CARE DELIVERY VAGINAL +POSTOP	59410	$982
SM	HB OB CARE VAGINAL ONLY	59409	$5300
SM	HB OPEN DISLOCTX INTERPHALANGEAL JOINT SGL	26785	$3860
SM	HB OPEN FXTX FINGER SHAFT	26735	$9260
SM	HB OPEN FXTX HAND DISTAL PHALANGE	26765	$9260
SM	HB OPEN FXTX PROX HUMERUS	23615	$35430
SM	HB PEDICLE FORMATION EYE NOSE LIP	15576	$5490
SM	HB PERCUTANEOUS FIX INTERPHALANGIAL DISLOC	28666	$9260
SM	HB PERCUTANEOUS FIX METATARSOPHLNG DISLOC	28636	$5190
SM	HB PERCUTANEOUS FIX TALOTARSAL DISLOC	28576	$5190
SM	HB PERCUTANEOUS FIX TARSOMETARSAL DISLOC	28606	$9260
SM	HB PERCUTANEOUS SKEL FIX CALCANEAL FX	28406	$19620
SM	HB PERCUTANEOUS SKEL FIX FEM DISTAL FX	27509	$19620
SM	HB PERCUTANEOUS SKEL FIX METATARSL FX	28476	$9260
SM	HB PERCUTANEOUS SKEL FIX RADIAL DISTAL FX	25606	$9260
SM	HB PERCUTANEOUS SKEL FIX TALUS FX	28436	$19620
SM	HB PERCUTANEOUS SKEL FIX TARSAL DISLOC	28546	$5190
SM	HB PERCUTANEOUS SKEL FIX TARSAL FX	28456	$19620
SM	HB PERCUTANEOUS SKEL FIX TOE(S) FX	28496	$9260
SM	HB PREPUCE SLITTING DORSAL/LAT NEWBORN	54000	$5930
SM	HB PREPUCE SLITTING DORSAL/LAT NOT NEWBORN	54001	$5930
SM	HB PROCTOPLEXY PERINEAL APPROACH	45541	$8100
SM	HB PROCTOSIGMOIDOSCOPY +FB REMOVE	45307	$8100
SM	HB REMOVE WIRE PIN ETC SUPERFICIAL	20670	$4720
SM	HB REPR ACHILLES OPEN OR PERCUTANEOUS	27650	$9400
SM	HB REPR BLOOD VESSEL DIRECT LOWER EXTREMITY	35226	$2074
SM	HB REPR EYE WOUND MUSC TENDON CAPSULE	65290	$10330
SM	HB REPR EYELID NEW WOUND SUPERFCIAL	67930	$2640
SM	HB REPR LIP FULL THICK VERMILION	40650	$1600
SM	HB REPR RADIUS UNLA NON MALUNION WO GRAFT	25400	$19620
SM	HB REPR TENDON FLEXOR FOOT EACH TENDON	28200	$9260
SM	HB REPR TENDON FLEXOR NO ZONE 2 WO GRAFT EA	26350	$9260
SM	HB REPR TONGUE LACERATION > 2.6 CM	41252	$1600
SM	HB STRAPPING ANKLE	29540	$470
SM	HB STRAPPING ELBOW OR WRIST	29260	$131
SM	HB STRAPPING HAND OR FINGER	29280	$126
SM	HB STRAPPING HIP	29520	$200
SM	HB STRAPPING KNEE	29530	$370
SM	HB STRAPPING SHOULDER	29240	$370
SM	HB STRAPPING TOES	29550	$200
SM	HB SUPRAPUBIC ASPIR BY NEEDLE	51100	$820
SM	HB TRACH TUBE CHANGE	31502	$620
SM	HB TRACHEOSTOMY CRICOTHYROID EMERG	31605	$1610
SM	HB TRACHEOSTOMY PLANNED	31600	$7700
SM	HB TRACHEOSTOMY TRANSTRACH EMERG	31603	$3980
SM	HB UPPER GI EDG(J) +BIOPSY SINGLE/MULTIPLE	43239	$3091
SM	HB VENIPUNCT REQ MD SKILL <=3Y/O	36406	$250
SM	HB BLEPHAROTOMY DRAIN ABSCESS EYELID	67700	$950
SM	HB BRAIN VENTRIC TWIST DRILL CATH INSERT	61107	$810
SM	HB BRAIN VENTRIC TWIST DRILL EVAC BLOOD	61108	$2260
SM	HB BRAIN VENTRIC TWIST DRILL PUNCT	61105	$1810
SM	HB BRONCH +REMOVE FOREIGN BODY	31635	$4630
SM	HB CAST APPLY HAND&LO ARM GAUNTLET	29085	$470
SM	HB CAST WINDOWING	29730	$470
SM	HB CATHETERIZATION ARTERIAL UMBILICAL	36660	$170
SM	HB CESAREAN DELIVERY ONLY	59514	$5470
SM	HB CLSD FXTX CALCANEAL +MANIP	28405	$1609
SM	HB CLSD FXTX FEM PROX OR NECK+MANIP	27232	$820
SM	HB CLSD FXTX FEM TROCHANTER	27240	$1165
SM	HB CLSD FXTX HAND ARTIC MCP IP+MANIP	26742	$2000
SM	HB CLSD FXTX HIP ACETABULUM+MANIP	27222	$1051
SM	HB CLSD FXTX HUMERAL CONDYL	24577	$4720
SM	HB CLSD FXTX HUMERAL S-CONDYL	24535	$4800
SM	HB CLSD FXTX HUMERAL SHAFT	24505	$4800
SM	HB CLSD FXTX MED MALLEOLUS +MANIP	27762	$4800
SM	HB CLSD FXTX RADIAL HEAD NECK	24655	$4800
SM	HB CLSD FXTX RADIAL SHAFT	25520	$4800
SM	HB CLSD FXTX TALUS	28435	$4800
SM	HB CLSD FXTX THUMB CMC BENNETTS	26645	$4700
SM	HB CRITICAL CARE 0.5-1.25HR	99291	$2500
SM	HB CRITICAL CARE 0.5-1.25HR TRAUMA	99291	$2500
SM	HB CRITICAL CARE EA ADD 30	99292	$1000
SM	HB CRITICAL CARE EA ADD 30 TRAUMA	99292	$1000
SM	HB EAR EXT DRAIN ABSC HEMATOMA COMPLICATED	69005	$4720
SM	HB EAR EXT DRAIN ABSCESS HEMATOMA	69000	$2000
SM	HB ER DEPT VISIT ACUITY 1	99281	$300
SM	HB ER DEPT VISIT ACUITY 2	99282	$500
SM	HB ER DEPT VISIT ACUITY 3	99283	$800
SM	HB ER DEPT VISIT ACUITY 4	99284	$1400
SM	HB ER DEPT VISIT ACUITY 5	99285	$1800
SM	HB ER DEPT VISIT ACUITY 5 TRAUMA	99285	$1800
SM	HB ER EXAM REQ BY POLICE ADULT	99285	$1800
SM	HB ESCHAROTOMY EACH ADDITIONAL INCISION	16036	$360
SM	HB EYE CANTHOTOMY	67715	$6400
SM	HB EYE CORNEA FB REMOVE WO SLITLAMP	65220	$1200
SM	HB GASTROSCOPY +CONTROL BLEEDING	43255	$5086
SM	HB GASTROSCOPY +FB REMOVE	43247	$4600
SM	HB HALO CRANIAL APPLY	20661	$530
SM	HB I&D BREAST ABSCESS	19020	$4700
SM	HB I&D ELBO+UPPER ARM BURSA	23931	$4800
SM	HB I&D SCROTAL WALL ABSCESS	55100	$4800
SM	HB ILEOSCOPY VIA STOMA DIAGNOSTIC	44380	$2600
SM	HB MUSCLE FB REMOVE DEEP COMPLEX	20525	$8140
SM	HB NASOGASTRIC INTUBATION LAVAGE	43753	$870
SM	HB OB CARE DELIVERY OF PLACENTA ONLY	59414	$8000
SM	HB OPEN FXTX KNEE INTERCONDYLAR	27540	$7500
SM	HB PERICARD DRAIN W CATH INSERT W WO CT GUIDANCE	33019	$5930
SM	HB PERICARD DRAIN W CATH INSRT W WO FLUORO/US >= 6YRS WO CONG CARD ANOMLY	33017	$6380
SM	HB PERICARD DRAIN W CATH INSRT W WO FLUORO/US W CONG CARD ANOMLY	33018	$7140
SM	HB REPR ELBO+UPPER ARM TENDON MUSCLE EACH	24341	$8180
SM	HB REPR HERNIA DIAPHRAGMATIC TRAUMA ACUTE	39540	$3310
SM	HB TEMPORARY PACING TRANSCUTANEOUS	92953	$1800
SM	HB TENOTOMY RELEAS LENGTH ABDUCTOR HALLUCIS	28240	$9260
SM	HB THORACOTOMY CARDIAC MASSAGE	32160	$2600
SM	HB THORACOTOMY CONTROL TRAUMA BLEED	32110	$2090
SM	HB THORACOTOMY FB REMOVE INTRAPLEURAL	32150	$1890
SM	HB THORACOTOMY FB REMOVE INTRAPULMONARY	32151	$1890
SM	HB THORACOTOMY POST OP COMPLICATION	32120	$1670
SM	HB VAGINAL FB REMOVE	57415	$8000
SM	HB VENIPUNCT FEM/JUG VEIN >=3Y/O	36400	$380

Gastro Intestinal Services

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

Inpatient Renal Dialysis

Hospital	Description	CPT Code	Standard Charge
SM	HB CAPD PER TRMT DAY	90945	$2700
SM	HB CCPD PER TRMT DAY	90945	$3100
SM	HB CRRT PER TRMT DAY	90945	$1670
SM	HB CVVH PER TRMT DAY	90947	$2970
SM	HB CVVHD PER TRMT DAY	90945	$4400
SM	HB HEMODIALYS INPT	90935	$3000
SM	HB HEMOPERFUSION	90997	$1670
SM	HB IP DECLOTTING PROCEDURE 1 HR		$150
SM	HB IP DECLOTTING PROCEDURE 2 HR		$300
SM	HB IP QUINTON CATHETER PROCEDURE		$300
SM	HB IP SHUNT INFUSION PROCEDURE		$150
SM	HB SCUF PER TRMT DAY	90945	$2970

IV Therapy

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

Labor Room / Delivery

Hospital	Description	CPT Code	Standard Charge
SM	HB AMNIOCENTESIS	59000	$1000
SM	HB APPLY CERCLAGE PREG-VAGINA	59320	$8000
SM	HB CHORIONIC VILLUS SAMPLING	59015	$2010
SM	HB CORDOCENTESIS/PERQ UMBIL BLOOD SAMPL	59012	$1769
SM	HB FETAL CONTRACTION STRESS TEST OXYTOCIN	59020	$927
SM	HB FETAL MONITOR DURING LABOR	59050	$500
SM	HB FETAL SCALP BLOOD SAMPLING	59030	$940
SM	HB L&D ASSESSMENT TRANSFERRED FROM ER		$160
SM	HB LABOR ROOM TIME EA ADD 15MIN		$130
SM	HB LABOR ROOM TIME EA ADD 15MIN		$98
SM	HB LABOR ROOM TIME EA ADD 15MIN		$98
SM	HB LABOR ROOM TIME EA ADD 15MIN		$98
SM	HB LABOR ROOM TIME EA ADD 15MIN		$98
SM	HB LABOR ROOM TIME PER 1 HOUR		$510
SM	HB NURSERY CIRCUMCISION		$170
SM	HB OB CARE C-SECTN DELVR ANTE&POST	59510	$2800
SM	HB OB CARE VAG DELIVERY ANTE&POST	59400	$2500
SM	HB REMOVE CERCLAGE	59871	$8000
SM	HB AMNIOCENTESIS THERAPEUTIC INCLUDES US GUIDANCE	59001	$940
SM	HB FETAL EXTERNAL CEPHALIC VERSION	59412	$4000
SM	HB FETAL NONSTRESS TEST	59025	$560
SM	HB L&D EST PT LVL1-ASSESSMENT	G0463	$310
SM	HB NEWBORN STABILIZATION ATTENDANCE AT DELIVERY	99464	$500
SM	HB OB CHECK	G0463	$310
SM	HB POSTPARTUM BLEED BLOOD PATCH	59899	$580

Laboratory

Hospital	Description	CPT Code	Standard Charge
SM	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT1-5 RAST	86005	$200
SM	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT6+ RAST	86005	$200
SM	HB ALLERGY LAB GAMMAGLOBULIN IGE TOTAL	82785	$70
SM	HB ALLERGY LAB SKIN TEST CANDIDA	86485	$70
SM	HB ALLERGY LAB SKIN TEST COCCIDIOIDOMYCOSIS	86490	$40
SM	HB ALLERGY LAB SKIN TEST HISTOPLASMOSIS	86510	$40
SM	HB ALLERGY LAB SKIN TEST MUMPS	86486	$50
SM	HB ALLERGY LAB SKIN TEST TB TUBERCULOSIS INTRADERMAL	86580	$32
SM	HB ALLERGY LAB SKIN TEST TETANUS	86486	$60
SM	HB ALLERGY LAB SKIN TEST TRYCHOPHYTON	86486	$60
SM	HB ARTERIAL PUNCTURE BLOOD DRAW	36600	$270
SM	HB MAP OCCULT BLOOD STOOL 1-3TESTS	82270	$40
SM	HB MAP PATH CONSULT IN-SURG 1BLOCK SGL	88331	$450
SM	HB MAP PATH CONSULT IN-SURG EA ADDL BLOCK	88332	$100
SM	HB MAP SKIN TEST CANDIDA	86485	$120
SM	HB MAP SKIN TEST COCCIDIOMYCOSIS	86490	$200
SM	HB MAP SKIN TEST HISTOPLASMOSIS	86510	$200
SM	HB MAP SKIN TEST MUMP ANTIGEN+CONTROL	86486	$60
SM	HB MAP SKIN TEST TB	86580	$60
SM	HB MAP SKIN TEST TB INTRADERMAL	86580	$60
SM	HB MAP SKIN TEST TB PPD PUR PROT DERV	86580	$60
SM	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86486	$60
SM	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86356	$50
SM	HB PULM FXN LAB ARTERIAL PUNCTURE BLOOD DRAW	36600	$270
SM	HB PULM FXN LAB BLOOD GASES	82803	$140
SM	HB PULM FXN LAB CALCIUM IONIZED	82330	$60
SM	HB PULM FXN LAB COHB & METHB-QUANT	82375	$90
SM	HB PULM FXN LAB VENIPUNCTURE BLOOD DRAW	36415	$15
SM	HB RESP BLOOD GAS *PC	82803	$140
SM	HB RESP BLOOD GAS *PC	82803	$140
SM	HB RESP CALCIUM IONIZED *PC	82330	$60
SM	HB RESP CAPILLARY BLOOD DRAW<3 YRS OLD	36416	$80
SM	HB RESP COOX PNL-HBCO QUANT *PC	82375	$70
SM	HB RESP COOX PNL-METHB QUANT *PC	83050	$64
SM	HB RESP COOX PNL-SULFHEMOGLOBIN QNT*PC	83060	$70
SM	HB RESP POTASSIUM SERUM *PC	84132	$20
SM	HB RESP VENIPUNCTURE BLOOD DRAW	36415	$15
SM	HB VENIPUNCTURE BLOOD DRAW	36415	$15
SM	HB VENIPUNCTURE BLOOD DRAW	36415	$10
SM	HB AB IDENTIFICATION LEUKOCYTE AB	86021	$100
SM	HB AB INDENTIFICATION PLT AB	86022	$140
SM	HB ACID FAST STAIN FUNGAL PARASITE	87206	$80
SM	HB ACTH	82024	$220
SM	HB ACUTE HEPATITIS PANEL	80074	$310
SM	HB ADENOVIRUS OPTIC OBSERV	87809	$170
SM	HB AEROBIC ID EA ISOLATE	87077	$80
SM	HB AFB DEFINITIVE ID EA ISOLATE	87118	$90
SM	HB ALANINE AMINO ALT SGPT	84460	$45
SM	HB ALBUMIN	82040	$60
SM	HB ALBUMIN MICRO URINE QUANT	82043	$60
SM	HB ALBUMIN URINE OR OTH SOURCE	82042	$110
SM	HB ALDOLASE	82085	$45
SM	HB ALKALINE PHOSPHATASE	84075	$60
SM	HB ALPHAFETOPROT TUMOR MRKR	82105	$120
SM	HB AMIKACIN	80150	$130
SM	HB AMMONIA	82140	$150
SM	HB AMYLASE	82150	$120
SM	HB ANAEROBE CULTURE	87075	$200
SM	HB ANAEROBE ISOLATE EA	87076	$120
SM	HB ANGIOTENSI CONVERTNG ENZYM	82164	$100
SM	HB ANTI THROMBIN III ACTIVITY	85300	$230
SM	HB ANTINUCLEAR AB	86038	$150
SM	HB ANTINUCLEAR AB TITER	86039	$300
SM	HB AP ABSOLUTE CD4 AND CD8 COUNT RATIO	86360	$290
SM	HB AP B CELLS TOTAL COUNT	86355	$190
SM	HB AP BCR-ABL GENE REARRANGEMENT	81170	$900
SM	HB AP BCR-ABL1 MAJOR BREAKPOINT ANAL	81206	$550
SM	HB AP BCR-ABL1 MINOR BREAKPOINT ANAL	81207	$540
SM	HB AP BLOOD COUNT MAN DIFF BUFFY COAT	85009	$20
SM	HB AP BRAF GENE ANAL NGS	81210	$600
SM	HB AP BRCA1 BRCA2 AJ GENE ANAL VARIANTS	81212	$499
SM	HB AP CALRETICULIN MUTA ANAL	81219	$410
SM	HB AP CALRETICULIN MUTA ANAL NGS	81219	$1190
SM	HB AP CEBPA MUTA ANALYSIS	81218	$800
SM	HB AP CEBPA MUTA ANALYSIS NGS	81218	$1190
SM	HB AP CELL COUNT DIFF MISC BODY FLUID	89051	$120
SM	HB AP CELL COUNT DIFF MISC BODY FLUID1	89051	$110
SM	HB AP CFTR GENE ANAL ACMG	81220	$1700
SM	HB AP CFTR KNWN FAM VARIANT	81221	$420
SM	HB AP CHROMOSOME ANAL 1-5 CELL	88261	$310
SM	HB AP CHROMOSOME ANAL 15-20 CELL	88262	$420
SM	HB AP CHROMOSOME ANAL 20-25 CELL	88264	$230
SM	HB AP CHROMOSOME ANAL ADD KAROTYPES EA SYUDY	88280	$170
SM	HB AP CHROMOSOME ANAL AMNIO 6-12 COLONIES	88269	$1117
SM	HB AP CHROMOSOME ANAL CVS 15 CELL	88267	$660
SM	HB AP CHROMOSOME ANAYLSIS ADD CELL COUNT EA STUDY	88285	$130
SM	HB AP CHROMOSOME ANAYLSIS ADD HI RES STUDY	88289	$150
SM	HB AP CHROMOSOME ANAYLSIS ADD SPECIAL BANDING	88283	$94
SM	HB AP COMPARATIVE ANAL STR MRKRS BMT PRE-TRANSPLANT EVAL	81265	$750
SM	HB AP COMPARATIVE ANAL STR MRKRS EA ADD SPEC	81266	$1100
SM	HB AP COMPARATIVE STR MRKRS FOR MCC	81265	$1900
SM	HB AP CONSULT IN SURG EA ADD BLOCK	88332	$180
SM	HB AP CONSULT REFER SLIDE PREP	88323	$240
SM	HB AP CRYOPRESERVATION EA CELL LINE	88240	$100
SM	HB AP CYTOPATH EXTENDED STUDY SMEAR ANY OTHR SOURCE	88162	$160
SM	HB AP CYTOPATH FISH URINE EA SPEC AUTO	88121	$750
SM	HB AP CYTOPATH FISH URINE EA SPEC MAN	88120	$470
SM	HB AP CYTOPATH FNA EA ADD EVAL SAME SITE	88177	$110
SM	HB AP CYTOPATH FNA EVAL INTERP AND REPORT	88173	$540
SM	HB AP CYTOPATH FNA EVAL INTERP AND REPORT1	88173	$540
SM	HB AP CYTOPATH FNA EVAL INTERP AND REPORT2	88173	$430
SM	HB AP CYTOPATH FNA FIRST EVAL EA SITE	88172	$300
SM	HB AP CYTOPATH GYN MAN SCRN BETHESDA SYSTEM	88164	$55
SM	HB AP CYTOPATH GYN THIN PREP MAN SCRN	88142	$120
SM	HB AP CYTOPATH MATURATION INDEX	88155	$20
SM	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$170
SM	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110
SM	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$350
SM	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$472.47
SM	HB AP CYTOPATH NONGYN W INTERP	88104	$170
SM	HB AP CYTOPATH SCRN CERV VAG THIN PREP	G0123	$300
SM	HB AP CYTOPATH SMEAR PREP SCRN INTERP ANY OTHR SOURCE	88161	$110
SM	HB AP DECALCIFICATION PROCEDURE	88311	$80
SM	HB AP DECALCIFICATION PROCEDURE	88311	$90
SM	HB AP DECALCIFICATION PROCEDURE	88311	$90
SM	HB AP EGFR GENE ANAL AMPLISEQ	81235	$390
SM	HB AP EGFR GENE ANAL NGS	81235	$1190
SM	HB AP EGFR GENE ANAL RT PCR	81235	$970
SM	HB AP EGFR GENE ANAL RT PCR	81235	$2500
SM	HB AP ELECTRON MICROSCOPY DIAGNOSTIC	88348	$1700
SM	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP	81267	$1600
SM	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP W CELL SELECTION	81268	$1600
SM	HB AP EXOME SEQ RE EVALUATION	81417	$960
SM	HB AP F2 GENE ANAL 20210A	81240	$360
SM	HB AP F5 GENE ANAL LEIDEN	81241	$410
SM	HB AP FLOW CYTO CELL MRKR TECH COMP EA ADD	88185	$150
SM	HB AP FLOW CYTO CELL MRKR TECH COMP FIRST	88184	$400
SM	HB AP FLOW CYTOMETRY DNA ANAL	88182	$193
SM	HB AP FLT3 ITD	81245	$500
SM	HB AP FMR1 GENE ANAL CHARACTER	81244	$146
SM	HB AP FMR1 GENE ANAL DETECTION	81243	$360
SM	HB AP GENE REARR IGH ANAL BLOT	81262	$348
SM	HB AP GENE REARR IGH ANAL PCR	81261	$980
SM	HB AP HFE GENE ANAL VARIANTS	81256	$420
SM	HB AP HISTOCHEMICAL STAIN FRZN SPEC	88314	$410
SM	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750
SM	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$550
SM	HB AP IMMUNOFLUORESCENT EA ADD AB	88350	$280
SM	HB AP IMMUNOFLUORESCENT EA ADD AB1	88350	$320
SM	HB AP IMMUNOGLOBULIN HEAVY CHAIN IGH	81261	$1100
SM	HB AP IMMUNOGLOBULIN KAPPA LIGHT CHAIN GENE IGK	81264	$810
SM	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$450
SM	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380
SM	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$450
SM	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$450
SM	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$240
SM	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160
SM	HB AP IN SITU HYBRIDIZATN EA MULTIPLEX STAIN	88366	$380
SM	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$450
SM	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$280
SM	HB AP JAK2 GENE ANAL V617F	81270	$430
SM	HB AP KIT ANALYSIS D816 VARIANTS	81273	$270
SM	HB AP KIT ANALYSIS TARGETED SEQ	81272	$270
SM	HB AP KRAS GENE ANALYSIS AMPLISEQ	81275	$310
SM	HB AP KRAS GENE ANALYSIS NGS	81275	$600
SM	HB AP KRAS GENE ANALYSIS RT PCR	81275	$700
SM	HB AP LEUKOCYTE ALK PHOS W COUNT	85540	$77
SM	HB AP MICROARRAY POSTNATAL	81229	$8400
SM	HB AP MICROARRAY PRENATAL	81229	$8400
SM	HB AP MICROSATELLITE INSTAB ANAL	81301	$1700
SM	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 10-30 CELL	88273	$180
SM	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 3-5 CELL	88272	$160
SM	HB AP MOLE CYTOGENETICS DNA PROBE EA	88271	$220
SM	HB AP MOLE CYTOGENETICS INTERPHASE ISH 100-300 CELL	88275	$204
SM	HB AP MOLE CYTOGENETICS INTERPHASE ISH 25-99 CELL	88274	$190
SM	HB AP MOPATH ASXL1 TARG SEQ ANAL	81176	$1240
SM	HB AP MOPATH HBA1/HBA2 GENE ANAL	81258	$160
SM	HB AP MOPATH HBB SGL GENE	81362	$160
SM	HB AP MOPATH IDH1 COMMON VAR	81120	$680
SM	HB AP MOPATH IDH2 COMMON VAR	81121	$890
SM	HB AP MOPATH LEV 4 KNOWN FAMILIAL VAR NOT SPEC 1 EXON	81403	$530
SM	HB AP MOPATH LEV1	81400	$410
SM	HB AP MOPATH LEV2 ABCC8 HTT	81401	$230
SM	HB AP MOPATH LEV2 FXN SMN1 SMN2	81401	$250
SM	HB AP MOPATH LEV3 KIT D816 VARIANTS	81402	$270
SM	HB AP MOPATH LEV4	81403	$800
SM	HB AP MOPATH LEV4 IDH1 COMMON EXON	81403	$530
SM	HB AP MOPATH LEV4 IDH2 COMMON EXON	81403	$530
SM	HB AP MOPATH LEV4 SGL GENE EXON NGS	81403	$1190
SM	HB AP MOPATH LEV5 KNOWN FAMILIAL VAR NOT SPEC 2 EXONS	81404	$470
SM	HB AP MOPATH LEV5 MEFV FAM VARIANTS	81402	$450
SM	HB AP MOPATH LEV5 MEFV KNWN FAM VAR	81402	$420
SM	HB AP MOPATH LEV5 PIK3CA NGS	81404	$1190
SM	HB AP MOPATH LEV5 SGL GENE NGS	81404	$1300
SM	HB AP MOPATH LEV6 NGS	81405	$1190
SM	HB AP MOPATH LEV7 MICROARRAY NEOPLASIA	81406	$7910
SM	HB AP MOPATH LEV7 NGS	81406	$1190
SM	HB AP MOPATH LEV8 NGS	81407	$1190
SM	HB AP MOPATH RUNX1 TARG SEQ ANAL	81334	$1240
SM	HB AP MOPATH UNLIST AKT1 NGS	81479	$1190
SM	HB AP MOPATH UNLIST BCL2 ANAL	81479	$622
SM	HB AP MOPATH UNLIST BMT	81479	$150
SM	HB AP MOPATH UNLIST DNA ISOLATION	81479	$150
SM	HB AP MOPATH UNLIST ERBB2 ION AMPLISEQ MUTATION	81479	$310
SM	HB AP MOPATH UNLIST FLT3 NGS	81479	$1190
SM	HB AP MOPATH UNLIST HIBM M712T	81479	$420
SM	HB AP MOPATH UNLIST HIBM M712T MUTATION	81479	$420
SM	HB AP MOPATH UNLIST PIK3CA ION AMPLISEQ MUTATION	81479	$310
SM	HB AP MOPATH UNLIST SGL GENE NGS	81479	$1190
SM	HB AP MORPHOMETR ANAL MAN EA MULITPLEX PROBE PER SPEC	88377	$1100
SM	HB AP MORPHOMETR ANAL TUMOR MAN EA AB	88360	$620
SM	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA ADD SGL PROBE	88373	$235
SM	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA MULTIPLEX PROBE	88374	$450
SM	HB AP MORPHOMETRIC ANAL AUTO PER SPEC INIT SINGLE PROBE	88367	$750
SM	HB AP MORPHOMETRIC ANAL MAN EA ADD SINGLE PROBE PER SPEC	88369	$330
SM	HB AP MORPHOMETRIC ANAL MAN PER SPEC INIT SINGLE PROBE	88368	$720
SM	HB AP MORPHOMETRY NERVE	88356	$480
SM	HB AP MORPHOMETRY TUMOR	88358	$380
SM	HB AP MTHFR GENE ANAL VARIANTS	81291	$420
SM	HB AP MYD88 GENE ANAL NGS	81305	$1200
SM	HB AP NERVE TEASING PREPARATION	88362	$1000
SM	HB AP NEXT GEN SEQ HEMATOLOGIC MALIGNANCY PNL	81450	$3630
SM	HB AP NEXT GENERATION SEQUEN NRAS	81311	$890
SM	HB AP NGS NPM1	81310	$1190
SM	HB AP NRAS ION AMPLISEQ MUTATION	81311	$310
SM	HB AP PAP SMEAR SCRN UP TO 3 SMEARS	P3000	$60
SM	HB AP PATH CONSULT IN SURG 1BLOCK SGL SPEC	88331	$400
SM	HB AP PMP22 GENE KNOWN FAM VARIANT	81326	$650
SM	HB AP PTEN FULL GENE SEQ ANAL	81321	$1860
SM	HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT	88312	$240
SM	HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT	88312	$160
SM	HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS	88319	$790
SM	HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS	88319	$1000
SM	HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR	88313	$210
SM	HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR	88313	$210
SM	HB AP STEM CELLS TOTAL COUNT	86367	$750
SM	HB AP STR MRKRS BMT POST TRANS	81265	$1110
SM	HB AP STR MRKRS GENETIC ID 2 SPECS	81265	$1288
SM	HB AP STR MRKRS GENETIC ID 3 SPECS	81265	$2300
SM	HB AP STR MRKRS PATERNITY 1SPEC	81265	$1920
SM	HB AP STR MRKRS TWIN ZYGOSITY	81265	$3200
SM	HB AP STR MRKRS TWIN ZYGOSITY NP	81265	$1818
SM	HB AP SURG CYTOLOGIC EXAM ADD SITE	88334	$200
SM	HB AP SURG CYTOLOGIC EXAM INITIAL SITE	88333	$480
SM	HB AP SURG CYTOLOGIC EXAM INITIAL SITE	88333	$950
SM	HB AP SURG PATH PROSTATE NEEDLE BIOPSY	G0416	$800
SM	HB AP SURGICAL PATH LEV1	88300	$60
SM	HB AP SURGICAL PATH LEV1	88300	$90
SM	HB AP SURGICAL PATH LEV2	88302	$240
SM	HB AP SURGICAL PATH LEV3	88304	$260
SM	HB AP SURGICAL PATH LEV4	88305	$310
SM	HB AP SURGICAL PATH LEV4-1	88305	$310
SM	HB AP SURGICAL PATH LEV4-2	88305	$310
SM	HB AP SURGICAL PATH LEV4-3	88305	$310
SM	HB AP SURGICAL PATH LEV5	88307	$750
SM	HB AP SURGICAL PATH LEV6	88309	$1100
SM	HB AP T CELLS TOTAL COUNT	86359	$240
SM	HB AP T-CELL RECEPTOR BETA TCRB	81340	$700
SM	HB AP T-CELL RECEPTOR GAMMA LOCUS TCRG	81342	$670
SM	HB AP TARGETED SEQ DNA ANAL 5-50 GENES	81445	$3500
SM	HB AP THAWING CELLS EA ALIQUOT	88241	$80
SM	HB AP TISSUE CULTURE AMNIOTIC OR CVS	88235	$540
SM	HB AP TISSUE CULTURE LYMPHOCYTE	88230	$420
SM	HB AP TISSUE CULTURE NEOPLASTIC BONE MARROW	88237	$500
SM	HB AP TISSUE CULTURE NEOPLASTIC SOLID TUMOR	88239	$490
SM	HB AP TISSUE CULTURE SKIN TISSUE BIOPSY	88233	$610
SM	HB AP TRB GENE ANAL BLOT	81341	$348
SM	HB AP TRG GENE ANAL	81342	$770
SM	HB APC RESISTANCE ASSAY	85307	$77
SM	HB APTT ACTIVATED PTT	85730	$110
SM	HB APTT CORRECTION EA FRACTION	85732	$80
SM	HB ASPARTATE AMINO AST SGOT	84450	$45
SM	HB ASPERGILLUS AG EIA	87305	$80
SM	HB BACT CULTURE BLOOD	87040	$300
SM	HB BACT CULTURE OTH SOURCE	87070	$220
SM	HB BACT CULTURE STOOL	87045	$120
SM	HB BACT CULTURE STOOL EA PLATE	87046	$120
SM	HB BACT CULTURE URINE QUANT	87086	$170
SM	HB BETA-HYDROXYBUTYRATE QUANT	82010	$41
SM	HB BETA2 MICROGLOBULIN	82232	$45
SM	HB BILIRUBIN DIRECT	82248	$60
SM	HB BILIRUBIN TOTAL	82247	$60
SM	HB BLEEDING TIME TEMPLATE	85002	$190
SM	HB BLOOD COUNT AUTO DIFF WBC	85004	$50
SM	HB BLOOD COUNT MAN DIFF WBC	85007	$45
SM	HB BLOOD CULTURE ID BY PCR	87150	$180
SM	HB BLOOD GASES	82805	$180
SM	HB BNP B TYPE NATRIURETIC PEPTID	83880	$210
SM	HB BODY FLUID COUNT	89050	$110
SM	HB C PEPTIDE	84681	$70
SM	HB C REACTIVE PROTEIN	86140	$110
SM	HB CAFFEINE QUANT	80299	$60
SM	HB CALCIUM IONIZED	82330	$80
SM	HB CALCIUM TOTAL	82310	$60
SM	HB CALCIUM URINE QUANT TIMED	82340	$70
SM	HB CAMPY STOOL EIA QUAL	87449	$100
SM	HB CANCER TUMOR AG 125 QUANT	86304	$230
SM	HB CANCER TUMOR AG 15 3 QUANT	86300	$140
SM	HB CANCER TUMOR AG 19 9 QUANT	86301	$140
SM	HB CAPILLARY BLOOD DRAW	36416	$80
SM	HB CARBAMAZEPINE TOTAL SER	80156	$170
SM	HB CARDIOLIPIN AB IG EA	86147	$100
SM	HB CATHERIZATION FOR SPECIMEN COLLECTION SINGLE PATIENT	P9612	$10
SM	HB CBC & PLATELET CT & DIFF	85025	$80
SM	HB CBC AND PLATELET COUNT	85027	$40
SM	HB CDC 2019 COVID-19-RT PCR PNL	U0001	$200
SM	HB CEA CARCINOEMBRYONIC AG	82378	$220
SM	HB CERULOPLASMIN	82390	$150
SM	HB CF SCRN	82438	$50
SM	HB CHLAMYDIA AG DIRECT FLUORESCNT	87270	$90
SM	HB CHLAMYDIA PNEUMONIAE AMP PROBE	87486	$200
SM	HB CHLAMYDIA TRACHOMATIS AMP PROBE	87491	$260
SM	HB CHLORIDE	82435	$45
SM	HB CHLORIDE URINE	82436	$60
SM	HB CHOLESTEROL HDL	83718	$80
SM	HB CHOLESTEROL LDL QUANT	83721	$50
SM	HB CHOLESTEROL TOTAL	82465	$45
SM	HB CLOST DIFFICILE AMP PROBE	87493	$210
SM	HB CLOSTRIDIUM DIFFICILE A&B AG	87324	$90
SM	HB CLOSTRIDM DIFFCILE TOXIN ASSAY	87230	$130
SM	HB CLOTTING FAC II PROTHR SPEC	85210	$370
SM	HB CLOTTING FACT IX	85250	$230
SM	HB CLOTTING FACT V	85220	$180
SM	HB CLOTTING FACT VII	85230	$180
SM	HB CLOTTING FACT VIII	85240	$200
SM	HB CLOTTING FACT X	85260	$250
SM	HB CLOTTING FACT XI	85270	$240
SM	HB CLOTTING FACT XII	85280	$250
SM	HB CMV AMP PROBE	87496	$200
SM	HB CMV QUANT	87497	$400
SM	HB CO2 BICARBONATE	82374	$60
SM	HB COAG ASSAY ROTEM WHOLE BLOOD PER DAY	85396	$120
SM	HB COCCIDIOIDES	86635	$30
SM	HB COMPLEMENT AG EA	86160	$150
SM	HB CONCENTRATION INFECT AGENT	87015	$70
SM	HB COOX PNL HBCO QUANT	82375	$90
SM	HB COOX PNL METHB QUANT	83050	$80
SM	HB COOX PNL SULFHEMOGLOBIN QNT	83060	$70
SM	HB CORTISOL TOTAL	82533	$190
SM	HB CREATINE KINASE MB FRACTION	82553	$120
SM	HB CREATINE KINASE TOTAL CK	82550	$80
SM	HB CREATININE BLOOD	82565	$60
SM	HB CREATININE CLEARANCE	82575	$70
SM	HB CREATININE OTH SOURCE	82570	$80
SM	HB CRYOGLOBULIN QUAL	82595	$110
SM	HB CRYPTOCOCCAL AG	87327	$120
SM	HB CRYPTOSPORIDIUM EXAM DFA	87272	$70
SM	HB CRYSTAL ID BODY FLUID	89060	$100
SM	HB CULTURE ADDL ID EA ISOLATE	87253	$60
SM	HB CULTURE AFB ISOLATION	87116	$150
SM	HB CULTURE FUNGI ID DEFINITIVE EA	87106	$80
SM	HB CULTURE INOCULATN & OBSERV	87252	$90
SM	HB CULTURE MOLD ID DEFINITIVE EA	87107	$90
SM	HB CULTURE MYCOPLASMA ANY SOURCE	87109	$80
SM	HB CULTURE PRESUMPTIVE SCRN	87081	$90
SM	HB CULTURE TYPING EA ANTISERA	87140	$48
SM	HB CYCLOSPORINE A MONOCLONAL	80158	$150
SM	HB CYTOMEGALOVIRUS	86644	$45
SM	HB CYTOMEGALOVIRUS IGM	86645	$45
SM	HB D DIMER QUANT	85379	$170
SM	HB DHEA SULFATE	82627	$120
SM	HB DIGOXIN	80162	$160
SM	HB DISK METH PER PLATE 12 OR FEWER AGENTS	87184	$110
SM	HB EBV EARLY AG	86663	$30
SM	HB EBV EARLY EBNA	86664	$45
SM	HB EBV EARLY VCA	86665	$45
SM	HB ELECTROLYTE PANEL	80051	$200
SM	HB ELECTROLYTES PNL POTASSIUM FECES	84999	$45
SM	HB ENTERIC PATHOGEN 3-5 TARGETS	87505	$450
SM	HB ENTEROVIRUS	87498	$140
SM	HB ENZYME DETECTION PER ENZYME	87185	$60
SM	HB ERYTHROPOIETIN	82668	$45
SM	HB ESTRADIOL DIRECT	82670	$200
SM	HB EVAL CERVICOVAG PAMG 1	84112	$350
SM	HB EVEROLIMUS	80169	$100
SM	HB EXAM EVIDENTRY BLOOD DRAW	36415	$70
SM	HB EXOME SEQ EA COMPARATOR EXOME	81416	$940
SM	HB EXOME SEQ PROBAND	81415	$10000
SM	HB FACT INHIBITOR TEST	85335	$190
SM	HB FAT STOOL QUAL	82705	$80
SM	HB FECAL IMMUNOCHEMICAL TEST	82274	$90
SM	HB FERRITIN	82728	$130
SM	HB FETAL FIBRONECTIN SEMIQUANT	82731	$740
SM	HB FIBRINOGEN ACTIVITY	85384	$140
SM	HB FLT3 ITD	81246	$325
SM	HB FLUORESCENT NONINFECTIOUS AB SCRN EA	86255	$140
SM	HB FLUORESCENT NONINFECTIOUS AB TITER EA	86256	$240
SM	HB FOLATE SER	82746	$120
SM	HB FOLLICLE STIMULATNG HORMONE	83001	$200
SM	HB FUNGAL CULTURE BLOOD	87103	$190
SM	HB FUNGAL CULTURE OTH SOURCE	87102	$190
SM	HB FUNGI CULT SKIN HAIR NAIL	87101	$170
SM	HB GC AMP PROBE	87591	$270
SM	HB GENERAL HEALTH PANEL	80050	$470
SM	HB GENITAL BETA STREP AMP PROBE	87653	$120
SM	HB GENTAMICIN QUANT	80170	$140
SM	HB GGT:GAMMA GLUTAMYLTRANSFERASE	82977	$90
SM	HB GIARDIA	87269	$80
SM	HB GLIADIN PNL IGA	83516	$80
SM	HB GLIADIN PNL IGA	83516	$80
SM	HB GLIADIN PNL IGG	83516	$80
SM	HB GLUCOSE CHECK GLUCOSCAN	82948	$40
SM	HB GLUCOSE OTH THAN BLOOD	82945	$110
SM	HB GLUCOSE POSTPRANDIAL GLUCOS	82950	$60
SM	HB GLUCOSE QUANT BLOOD	82947	$45
SM	HB GLUCOSE TOLERANCE 3 SPECS	82951	$240
SM	HB GLUCOSE TOLERANCE EA ADDL	82952	$42
SM	HB GRADIENT STRIP PER AGENT	87181	$45
SM	HB GRAM STAIN	87205	$80
SM	HB GROUP A STREP AG DIRECT OPTIC OBSERV	87880	$160
SM	HB HAPTOGLOBIN QUANT	83010	$140
SM	HB HBV QUANT	87517	$320
SM	HB HCG QUAL	84703	$200
SM	HB HCG QUAL URINE PREG TEST	81025	$90
SM	HB HCG QUANT	84702	$210
SM	HB HELICOBACT PYLORI STOOL AG	87338	$130
SM	HB HELICOBACTER PYLORI AB EIA	86677	$130
SM	HB HEMATOCRIT AUTO	85014	$45
SM	HB HEMOGLOBIN	85018	$42
SM	HB HEMOGLOBIN A1C	83036	$80
SM	HB HEPARIN ASSAY	85520	$330
SM	HB HEPARIN NEUTRALIZATION	85525	$110
SM	HB HEPATIC FUNCTION PANEL	80076	$240
SM	HB HEPATITIS A AB IGM	86709	$80
SM	HB HEPATITIS A AB TOTAL	86708	$160
SM	HB HEPATITIS B CORE AB IGM	86705	$90
SM	HB HEPATITIS B CORE AB TOTAL	86704	$120
SM	HB HEPATITIS B SURFACE AB	86706	$140
SM	HB HEPATITIS B SURFACE AG	87340	$90
SM	HB HEPATITIS B SURFACE AG NEUT	87341	$110
SM	HB HEPATITIS BE AB	86707	$48
SM	HB HEPATITIS BE AG	87350	$30
SM	HB HEPATITIS C AB	86803	$120
SM	HB HEPATITIS C GENOTYPE	87902	$680
SM	HB HEPATITIS C QUANT	87522	$320
SM	HB HERPES SIMPLEX	86694	$30
SM	HB HERPES SIMPLEX TYPE 1	86695	$150
SM	HB HERPES SIMPLEX TYPE 2	86696	$150
SM	HB HETEROPHILE AB SCRN	86308	$140
SM	HB HGB FRACTIONATION	83021	$45
SM	HB HIV1	86701	$130
SM	HB HIV1 & HIV2	86703	$110
SM	HB HIV1 & HIV2 AB AG COMBO 4TH GEN	87389	$160
SM	HB HIV1 & HIV2 ANTIBODY SCREEN	86703	$70
SM	HB HIV1 QUANT	87536	$320
SM	HB HIV2	86702	$150
SM	HB HOMOCYSTEINE TOTAL	83090	$160
SM	HB HPV HI RISK	87624	$300
SM	HB HSCRP CARDIO CRP & CV RISK	86141	$110
SM	HB HSV AMP PROBE	87529	$200
SM	HB HSV1 AG DIRECT FLUORESCENT	87274	$70
SM	HB HSV2 AG DIRECT FLUORESCENT	87273	$110
SM	HB HTLV OR HIV AB WESTERN BLOT	86689	$270
SM	HB ID BACTERIA SEROTYP EA AB	87147	$45
SM	HB ID NUC PROBE AMP PROBE EA ORG	87150	$270
SM	HB ID NUC PROBE EA	87149	$140
SM	HB ID NUC SEQ EA ISOLATE	87153	$350
SM	HB IMMUNOFIX ELECTROPHORES BLOOD	86334	$290
SM	HB IMMUNOFIX ELECTROPHORES OTH FLUID	86335	$320
SM	HB IMMUNOGLOBULIN A	82784	$110
SM	HB IMMUNOGLOBULIN E QUANT	82785	$130
SM	HB IMMUNOGLOBULIN G	82784	$110
SM	HB IMMUNOGLOBULIN M	82784	$110
SM	HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN	88341	$280
SM	HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN	88341	$280
SM	HB INFECT AGENT DNA RNA SAR COVID19 AMP PROBE	87635	$200
SM	HB INFECT AGNT DNA RNA SARS COV2 COVID19 AMP PROB HI-THRUPUT	U0003	$200
SM	HB INFECTIOUS AGENT AMP PROBE EA	87798	$120
SM	HB INFECTIOUS AGENT AMP PROBE EA1	87798	$200
SM	HB INFECTIOUS AGENT AMP PROBE EA2	87798	$180
SM	HB INFECTIOUS AGENT AMP PROBE EA3	87798	$130
SM	HB INFECTIOUS AGENT DIRECT OPTIC OBSERV	87899	$100
SM	HB INFECTIOUS AGENT QUANT EA	87799	$280
SM	HB INFLUENZA A AG	87276	$80
SM	HB INFLUENZA A B RESPIRATORY	87631	$350
SM	HB INFLUENZA A B RESPIRATORY1	87631	$710
SM	HB INFLUENZA AG DIRECT OPTIC	87804	$121
SM	HB INFLUENZA AMP PROBE	87502	$390
SM	HB INFLUENZA B AG	87275	$80
SM	HB INSULIN TOTAL	83525	$70
SM	HB IRON	83540	$80
SM	HB IRON BINDING CAPACITY	83550	$60
SM	HB KETONES QUAL	82009	$130
SM	HB LACTATE	83605	$140
SM	HB LACTATE DEHYDROGENASE LD	83615	$90
SM	HB LEAD BLOOD