HCPCS Code Description UB04 Revenue Code  Gross Charges   Discounted Cash Price   De-identified Minimum Negotiated Charge   De-identified Maximum Negotiated Charge   Aetna   BCBS TX Trad   BCBS TX PPO   BCBS TX HMO   Cigna   Humana   United (IP)   United (Outpatient Services)   Medicaid and Medicaid Advantage Plans (STAR, STAR + PLUS, STAR Kids, First Care and Superior Medicaid)   Medicare and Medicare Advanatge Plans (Humana Medicare, Aetna Medicare, United Healthcare Medicare Solutions, BCBS Medicare, Superior Medicare)   Worker's Compensation Plans 
  Swingbed - Private 110  $    1,045.80  $       732.06  $       585.65  $       836.64  $                752.98        $                805.27  $                836.64  $    585.65  $      697.20  $                407.86  $                700.69  $                700.69
72125 CT CERVICAL SPINE WO 352  $    1,205.40  $       843.78  $       402.90  $       964.32  $                867.89  $                453.26  $                453.26  $                402.90  $                928.16  $                964.32    $      696.50  $                470.11  $                807.62  $                807.62
72131 CT LUMBER SPINE WO 352  $    1,248.98  $       874.28  $       402.90  $       999.18  $                899.26  $                453.26  $                453.26  $                402.90  $                961.71  $                999.18    $      696.50  $                487.10  $                836.81  $                836.81
  MESH, VENTRALIGHT 6CMX8CM 278  $    1,044.75  $       731.33  $       696.50  $       835.80  $                752.22        $                804.46  $                835.80    $      696.50  $                407.45  $                699.98  $                699.98
  STATE LICENSE 270  $    1,044.75  $       731.33  $       696.50  $       835.80  $                752.22        $                804.46  $                835.80    $      696.50  $                407.45  $                699.98  $                699.98
  STETHOSCOPES AND LICENSING 270  $    1,044.75  $       731.33  $       696.50  $       835.80  $                752.22        $                804.46  $                835.80    $      696.50  $                407.45  $                699.98  $                699.98
26705 Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia 981  $    1,044.20  $       730.94  $       696.14  $    1,417.44  $                751.83  $             1,417.44  $             1,417.44  $             1,349.94  $                804.04  $                835.36    $      696.14  $                407.24  $                699.62  $                699.62
  CAL VERIFICATION KIT, CVM 270  $       104.99  $         73.49  $         69.99  $         83.99  $                  75.59        $                  80.84  $                  83.99    $        69.99  $                  40.95  $                  70.34  $                  70.34
  FAX MACHINE, PLAIN PAPER 270  $       104.99  $         73.49  $         69.99  $         83.99  $                  75.59        $                  80.84  $                  83.99    $        69.99  $                  40.95  $                  70.34  $                  70.34
  720P HD TVI DOME CAMERA DAY/NIGHT INDOOR 270  $       104.99  $         73.49  $         69.99  $         83.99  $                  75.59        $                  80.84  $                  83.99    $        69.99  $                  40.95  $                  70.34  $                  70.34
76942 US GUIDANCE FOR NEEDLE PLACEMENT 402  $    1,350.30  $       945.21  $         34.71  $    1,080.24  $                972.22  $                  40.87  $                  40.87  $                  34.71  $             1,039.73  $             1,080.24    $        69.93  $                526.62  $                904.70  $                904.70
  MEDIUM TRANSFER BOARD COVER 270  $       104.74  $         73.32  $         69.83  $         83.79  $                  75.41        $                  80.65  $                  83.79    $        69.83  $                  40.85  $                  70.17  $                  70.17
  REF 280ML/EA RGT ABX 270  $       104.25  $         72.98  $         69.50  $         83.40  $                  75.06        $                  80.28  $                  83.40    $        69.50  $                  40.66  $                  69.85  $                  69.85
  ECLIPSE PROBE COVERS 2 1/2 X 9 1/2 270  $       104.98  $         73.49  $         69.50  $         83.98  $                  75.58        $                  80.83  $                  83.98    $        69.50  $                  40.94  $                  70.34  $                  70.34
99433 FOLLOWUP CARE NORMAL NEWBOR 521  $       103.95  $         72.77  $         69.30  $         83.16  $                  74.84  See Packaged Services   See Packaged Services   See Packaged Services   $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
86735 AB; MUMPS 300  $       103.95  $         72.77  $         47.52  $         83.16  $                  74.84  $                  55.90  $                  55.90  $                  47.52  $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
  N-SPOT MAMMO STICKER 270  $       103.95  $         72.77  $         69.30  $         83.16  $                  74.84        $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
  O-SPOT MAMMO STICKER 270  $       103.95  $         72.77  $         69.30  $         83.16  $                  74.84        $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
  S-SPOT MAMMO STICKER 270  $       103.95  $         72.77  $         69.30  $         83.16  $                  74.84        $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
86157 COLD AGGLUTINING; TITER 302  $       103.95  $         72.77  $         29.35  $         83.16  $                  74.84  $                  34.53  $                  34.53  $                  29.35  $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
86156 COLD AGGLUTININ; SCREEN 302  $       103.95  $         72.77  $         24.40  $         83.16  $                  74.84  $                  28.70  $                  28.70  $                  24.40  $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
85540 LEUKOCYTE ALK PHOS W COUNT 305  $       103.95  $         72.77  $         31.33  $         83.16  $                  74.84  $                  36.85  $                  36.85  $                  31.33  $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
99462 SUBSEQUENT NEWBORN EVALUATION 521  $       117.60  $         82.32  $         69.30  $         97.83  $                  84.67  $                  97.83  $                  97.83  $                  97.83  $                  90.55  $                  94.08    $        69.30  $                  45.86  $                  78.79  $                  78.79
99433 FOLLOWUP CARE NORMAL NEWBOR 521  $       103.95  $         72.77  $         69.30  $         83.16  $                  74.84  See Packaged Services   See Packaged Services   See Packaged Services   $                  80.04  $                  83.16    $        69.30  $                  40.54  $                  69.65  $                  69.65
99462 SUBSEQUENT NEWBORN EVALUATION 521  $       117.60  $         82.32  $         69.30  $         97.83  $                  84.67  $                  97.83  $                  97.83  $                  97.83  $                  90.55  $                  94.08    $        69.30  $                  45.86  $                  78.79  $                  78.79
  INSTRUMENT RECALIBRATION 270  $    1,029.95  $       720.96  $       686.63  $       823.96  $                741.56        $                793.06  $                823.96    $      686.63  $                401.68  $                690.06  $                690.06
  OMNIPAQUE 300, 100ML 270  $    1,029.56  $       720.69  $       686.37  $       823.65  $                741.28        $                792.76  $                823.65    $      686.37  $                401.53  $                689.80  $                689.80
  FOLEY CATHETER, INFECTION CONTROL 8 FR 270  $       103.82  $         72.68  $         69.22  $         83.06  $                  74.75        $                  79.94  $                  83.06    $        69.22  $                  40.49  $                  69.56  $                  69.56
88311 Decalcification 310  $       103.74  $         72.62  $         27.52  $         82.99  $                  74.69  $                  32.38  $                  32.38  $                  27.52  $                  79.88  $                  82.99    $        69.16  $                  40.46  $                  69.51  $                  69.51
86140 C-REACTIVE PROTEIN 302  $         58.80  $         41.16  $         18.85  $         69.16  $                  42.34  $                  22.17  $                  22.17  $                  18.85  $                  45.28  $                  47.04    $        69.16  $                  22.93  $                  39.40  $                  39.40
  A-SPOT MAMMO STICKER 270  $       103.43  $         72.40  $         68.95  $         82.74  $                  74.47        $                  79.64  $                  82.74    $        68.95  $                  40.34  $                  69.29  $                  69.29
  ALTUS LIGHT IMAGE 270  $       103.43  $         72.40  $         68.95  $         82.74  $                  74.47        $                  79.64  $                  82.74    $        68.95  $                  40.34  $                  69.29  $                  69.29
  ALTUS - AREA OF CONCERN / PAIN MARKER 654 270  $       103.43  $         72.40  $         68.95  $         82.74  $                  74.47        $                  79.64  $                  82.74    $        68.95  $                  40.34  $                  69.29  $                  69.29
  FULL BODY MESH SLING W/COMMODE - MEDIUM 270  $       103.41  $         72.39  $         68.94  $         82.73  $                  74.46        $                  79.63  $                  82.73    $        68.94  $                  40.33  $                  69.29  $                  69.29
  ARCH SAMPLE CUPS 270  $       103.24  $         72.27  $         68.82  $         82.59  $                  74.33        $                  79.49  $                  82.59    $        68.82  $                  40.26  $                  69.17  $                  69.17
  ARCH PROBE COND. SOLUTION 270  $       103.24  $         72.27  $         68.82  $         82.59  $                  74.33        $                  79.49  $                  82.59    $        68.82  $                  40.26  $                  69.17  $                  69.17
  DEVELOPER, KDK RP 10 GAL 270  $       102.97  $         72.08  $         68.65  $         82.38  $                  74.14        $                  79.29  $                  82.38    $        68.65  $                  40.16  $                  68.99  $                  68.99
29105 APPLICATION OF LONG ARM SPLI 521  $       102.90  $         72.03  $         54.72  $         82.32  $                  74.09  $                  57.46  $                  57.46  $                  54.72  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
29705 REMOVE/REVISE CAST FULL ARM 521  $       102.90  $         72.03  $         36.36  $         82.32  $                  74.09  $                  38.18  $                  38.18  $                  36.36  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
99382 PREVENTATIVE CHECKUP NEW 1-4 521  $       102.90  $         72.03  $         68.60  $       192.33  $                  74.09  $                192.33  $                192.33  $                192.33  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
84443 THYROID PROFILE W/TSH 521  $       102.90  $         72.03  $         61.21  $         82.32  $                  74.09  $                  72.00  $                  72.00  $                  61.21  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
99382 NEW PATIENT EARLY CHILDHOOD 521  $       102.90  $         72.03  $         68.60  $       192.33  $                  74.09  $                192.33  $                192.33  $                192.33  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
  Punch Biopsy; Scalp, neck, hands, feet, genitals; 0.5 cm or less 521  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
  Punch Biopsy; Scalp, neck, hands, feet, genitals; 0.5 cm or less 521  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
  ELECTRODE, ECL 5400 ECG RESTING 270  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
99308 SUBSEQUENT NURSING CARE 983  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
  2.2MM CANNULATED DRILL BIT 270  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
  DRILL BIT NEXFIX 2.2MM 270  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
  ARCH FT3 REAGENT KIT 270  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
85385 FIBRINOGEN; ANTIGEN 300  $       102.90  $         72.03  $         42.66  $         82.32  $                  74.09  $                  50.18  $                  50.18  $                  42.66  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
  LOOP OSTOMY KIT 270  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
11041 SURGICAL CLEANSING OF SKIN 521  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
11305 SHAVE LESION SCALP/NECK/HAN 521  $       102.90  $         72.03  $         68.60  $       177.40  $                  74.09  $                177.40  $                177.40  $                168.95  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
13122 EA ADDITIONAL 5CM OF LESS 521  $       102.90  $         72.03  $              -    $         82.32  $                  74.09  $                        -    $                        -    $                        -    $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
29105 APPLICATION OF LONG ARM SPLI 521  $       102.90  $         72.03  $         54.72  $         82.32  $                  74.09  $                  57.46  $                  57.46  $                  54.72  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
29705 REMOVE/REVISE CAST FULL ARM 521  $       102.90  $         72.03  $         36.36  $         82.32  $                  74.09  $                  38.18  $                  38.18  $                  36.36  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
99382 PREVENTATIVE CHECKUP NEW 1-4 521  $       102.90  $         72.03  $         68.60  $       192.33  $                  74.09  $                192.33  $                192.33  $                192.33  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
84443 THYROID PROFILE W/TSH 521  $       102.90  $         72.03  $         61.21  $         82.32  $                  74.09  $                  72.00  $                  72.00  $                  61.21  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
99382 NEW PATIENT EARLY CHILDHOOD 521  $       102.90  $         72.03  $         68.60  $       192.33  $                  74.09  $                192.33  $                192.33  $                192.33  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
11041 SURGICAL CLEANSING OF SKIN 521  $       102.90  $         72.03  $         68.60  $         82.32  $                  74.09        $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
11305 SHAVE LESION SCALP/NECK/HAN 521  $       102.90  $         72.03  $         68.60  $       177.40  $                  74.09  $                177.40  $                177.40  $                168.95  $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
13122 EA ADDITIONAL 5CM OF LESS 521  $       102.90  $         72.03  $              -    $         82.32  $                  74.09  $                        -    $                        -    $                        -    $                  79.23  $                  82.32    $        68.60  $                  40.13  $                  68.94  $                  68.94
  ORTHO SCREWS 278  $    1,025.85  $       718.10  $       683.90  $       820.68  $                738.61        $                789.90  $                820.68    $      683.90  $                400.08  $                687.32  $                687.32
J7307 Nexplanon 521  $    1,021.65  $       715.16  $       683.20  $       817.32  $                735.59        $                786.67  $                817.32    $      683.20  $                398.44  $                684.51  $                684.51
27840 Closed treatment of ankle dislocation; without anesthesia 981  $    1,023.78  $       716.65  $       214.90  $       819.03  $                737.12  $                225.65  $                225.65  $                214.90  $                788.31  $                819.03    $      682.52  $                399.27  $                685.93  $                685.93
  GNS II 7.5MM RESURE PAT 32MM 270  $    1,023.75  $       716.63  $       682.50  $       819.00  $                737.10        $                788.29  $                819.00    $      682.50  $                399.26  $                685.91  $                685.91
P9035 PLATLETS PHERESIS LR EA UNIT 390  $    1,022.70  $       715.89  $       681.80  $       818.16  $                736.34        $                787.48  $                818.16    $      681.80  $                398.85  $                685.21  $                685.21
J7307 Nexplanon 960  $    1,021.65  $       715.16  $       681.10  $       817.32  $                735.59        $                786.67  $                817.32    $      681.10  $                398.44  $                684.51  $                684.51
  C-ARM BATTERY 270  $    1,021.65  $       715.16  $       681.10  $       817.32  $                735.59        $                786.67  $                817.32    $      681.10  $                398.44  $                684.51  $                684.51
59426 ANTEPARTUM CARE ONLY 7+ VIS 521  $    1,020.60  $       714.42  $       647.07  $       816.48  $                734.83  $                679.42  $                679.42  $                647.07  $                785.86  $                816.48    $      680.40  $                398.03  $                683.80  $                683.80
11044 SURG CLEANSING TISSUE/MUSCL 521  $    1,020.60  $       714.42  $       680.40  $    1,415.43  $                734.83  $             1,415.43  $             1,415.43  $             1,348.03  $                785.86  $                816.48    $      680.40  $                398.03  $                683.80  $                683.80
59426 ANTEPARTUM CARE ONLY 7+ VIS 521  $    1,020.60  $       714.42  $       647.07  $       816.48  $                734.83  $                679.42  $                679.42  $                647.07  $                785.86  $                816.48    $      680.40  $                398.03  $                683.80  $                683.80
11044 SURG CLEANSING TISSUE/MUSCL 521  $    1,020.60  $       714.42  $       680.40  $    1,415.43  $                734.83  $             1,415.43  $             1,415.43  $             1,348.03  $                785.86  $                816.48    $      680.40  $                398.03  $                683.80  $                683.80
28193 Removal of foreign body, foot; complicated 981  $    1,019.45  $       713.61  $       679.63  $    1,415.43  $                734.00  $             1,415.43  $             1,415.43  $             1,348.03  $                784.97  $                815.56    $      679.63  $                397.58  $                683.03  $                683.03
  HORIBA HGBA1C REAGENT 270  $    1,069.93  $       748.95  $       679.32  $       855.94  $                770.35        $                823.85  $                855.94    $      679.32  $                417.27  $                716.85  $                716.85
  CIDEX OPA SOLUTION TEST STRIPS 270  $         88.98  $         62.28  $         64.06  $         71.18  $                  64.06        $                  68.51  $                  71.18    $        68.32  $                  34.70  $                  59.61  $                  59.61
87077 BC-AEROBIC-ADDTL ID 300  $       102.38  $         71.66  $         29.41  $         81.90  $                  73.71  $                  34.60  $                  34.60  $                  29.41  $                  78.83  $                  81.90    $        68.25  $                  39.93  $                  68.59  $                  68.59
20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance 981  $       102.38  $         71.66  $         24.48  $         81.90  $                  73.71  $                  25.70  $                  25.70  $                  24.48  $                  78.83  $                  81.90    $        68.25  $                  39.93  $                  68.59  $                  68.59
82010 QUANT SERUM ACETONE/KETONES 301  $       137.03  $         95.92  $         29.77  $       109.62  $                  98.66  $                  35.01  $                  35.01  $                  29.77  $                105.51  $                109.62    $        68.25  $                  53.44  $                  91.81  $                  91.81
86735 ANTIBODY MUMPS 521  $               -    $              -    $              -    $         68.08  $                        -    $                  55.90  $                  55.90  $                  47.52  $                        -    $                        -      $        68.08  $                        -    $                        -    $                        -  
  DILUENT CNCTRATE AIA-PAK 4/PK 270  $       107.22  $         75.05  $         68.07  $         85.77  $                  77.20        $                  82.56  $                  85.77    $        68.07  $                  41.81  $                  71.83  $                  71.83
  PSA AIA LINEARITY SET 270  $       102.10  $         71.47  $         68.07  $         81.68  $                  73.51        $                  78.62  $                  81.68    $        68.07  $                  39.82  $                  68.41  $                  68.41
  GLOVE BIOGEL ORTHOPRO UNDERGLOVE GR 270  $       102.08  $         71.46  $         68.05  $         81.66  $                  73.50        $                  78.60  $                  81.66    $        68.05  $                  39.81  $                  68.39  $                  68.39
  EKG CHART PAPER ROLL 270  $       102.00  $         71.40  $         68.00  $         81.60  $                  73.44        $                  78.54  $                  81.60    $        68.00  $                  39.78  $                  68.34  $                  68.34
46606 ANOSCOPY W/BIOPSY 521  $       101.85  $         71.30  $         67.90  $       193.91  $                  73.33  $                193.91  $                193.91  $                184.68  $                  78.42  $                  81.48    $        67.90  $                  39.72  $                  68.24  $                  68.24
84704 Gonadotropin chorionic HCG free beta chain 301  $       101.85  $         71.30  $         54.84  $         81.48  $                  73.33  $                  64.51  $                  64.51  $                  54.84  $                  78.42  $                  81.48    $        67.90  $                  39.72  $                  68.24  $                  68.24
86765 AB; RUBEOLA 300  $       101.85  $         71.30  $         46.91  $         81.48  $                  73.33  $                  55.17  $                  55.17  $                  46.91  $                  78.42  $                  81.48    $        67.90  $                  39.72  $                  68.24  $                  68.24
86800 AB; THYROGLOBULIN 302  $         77.70  $         54.39  $         55.94  $         68.15  $                  55.94  $                  68.15  $                  68.15  $                  57.94  $                  59.83  $                  62.16    $        67.90  $                  30.30  $                  52.06  $                  52.06
86654 AB; ENCHEPHALITIS W EQUINE 302  $       101.85  $         71.30  $         48.03  $         81.48  $                  73.33  $                  56.49  $                  56.49  $                  48.03  $                  78.42  $                  81.48    $        67.90  $                  39.72  $                  68.24  $                  68.24
  SEVOFLURANE 30 MINS. 370  $       101.85  $         71.30  $         67.90  $         81.48  $                  73.33        $                  78.42  $                  81.48    $        67.90  $                  39.72  $                  68.24  $                  68.24
46606 ANOSCOPY W/BIOPSY 521  $       101.85  $         71.30  $         67.90  $       193.91  $                  73.33  $                193.91  $                193.91  $                184.68  $                  78.42  $                  81.48    $        67.90  $                  39.72  $                  68.24  $                  68.24
59820 TREAT MISSED ABORTION 1ST 521  $    1,016.40  $       711.48  $       677.60  $    2,386.41  $                731.81  $             2,386.41  $             2,386.41  $             2,272.77  $                782.63  $                813.12    $      677.60  $                396.40  $                680.99  $                680.99
59820 TREAT MISSED ABORTION 1ST 521  $    1,016.40  $       711.48  $       677.60  $    2,386.41  $                731.81  $             2,386.41  $             2,386.41  $             2,272.77  $                782.63  $                813.12    $      677.60  $                396.40  $                680.99  $                680.99
70450 CT BRAIN/HEAD WO 351  $    1,267.35  $       887.15  $       402.90  $    1,013.88  $                912.49  $                453.26  $                453.26  $                402.90  $                975.86  $             1,013.88    $      675.50  $                494.27  $                849.12  $                849.12
38221 BONE MARROW NEEDLE BIOPSY 310  $    1,011.47  $       708.03  $       107.64  $       809.17  $                728.25  $                113.02  $                113.02  $                107.64  $                778.83  $                809.17    $      674.31  $                394.47  $                677.68  $                677.68
  SERVICE CONTRACT 2009DB1118A 270  $    1,009.84  $       706.89  $       673.23  $       807.87  $                727.08        $                777.57  $                807.87    $      673.23  $                393.84  $                676.59  $                676.59
  MONTHLY BIO MED CONTRACT 270  $    1,009.84  $       706.89  $       673.23  $       807.87  $                727.08        $                777.57  $                807.87    $      673.23  $                393.84  $                676.59  $                676.59
  POWER SUPPLY FOR CR READER 270  $    1,008.00  $       705.60  $       672.00  $       806.40  $                725.76        $                776.16  $                806.40    $      672.00  $                393.12  $                675.36  $                675.36
  MULTIQUAL ASSAYED 1 LIQ 12X3ML 270  $       101.64  $         71.15  $         67.76  $         81.31  $                  73.18        $                  78.26  $                  81.31    $        67.76  $                  39.64  $                  68.10  $                  68.10
  MULTIQUAL ASSAYED3 LIQ 12X3ML 270  $       101.64  $         71.15  $         67.76  $         81.31  $                  73.18        $                  78.26  $                  81.31    $        67.76  $                  39.64  $                  68.10  $                  68.10
  MASK, BILI EYE REGULAR 270  $       106.41  $         74.48  $         67.65  $         85.13  $                  76.61        $                  81.93  $                  85.13    $        67.65  $                  41.50  $                  71.29  $                  71.29
  GIA 55MM STAPLER 270  $       101.38  $         70.96  $         67.59  $         81.10  $                  72.99        $                  78.06  $                  81.10    $        67.59  $                  39.54  $                  67.92  $                  67.92
  PHONE SERVICE 270  $    2,872.74  $    2,010.92  $         67.55  $    2,298.19  $             2,068.37        $             2,212.01  $             2,298.19    $        67.55  $             1,120.37  $             1,924.73  $             1,924.73
  CARDEX, DIET CARD HOLDER 270  $       101.17  $         70.82  $         67.45  $         80.93  $                  72.84        $                  77.90  $                  80.93    $        67.45  $                  39.46  $                  67.78  $                  67.78
83690 LIPASE 301  $       101.01  $         70.71  $         25.10  $         80.81  $                  72.73  $                  29.53  $                  29.53  $                  25.10  $                  77.78  $                  80.81    $        67.34  $                  39.39  $                  67.68  $                  67.68
86225 DNA AB; NATIVE OR DS 302  $       101.01  $         70.71  $         50.06  $         80.81  $                  72.73  $                  58.89  $                  58.89  $                  50.06  $                  77.78  $                  80.81    $        67.34  $                  39.39  $                  67.68  $                  67.68
87184 SENSITIVITY-DISK PER PLATE 306  $       101.01  $         70.71  $         25.10  $         80.81  $                  72.73  $                  29.53  $                  29.53  $                  25.10  $                  77.78  $                  80.81    $        67.34  $                  39.39  $                  67.68  $                  67.68
51700 IRRIGATION OF BLADDER SIMPL 521  $       100.80  $         70.56  $         52.20  $         80.64  $                  72.58  $                  54.81  $                  54.81  $                  52.20  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
99394 PREVENTATIVE CHECKUP EST ( 521  $         91.35  $         63.95  $         65.77  $       203.95  $                  65.77  $                203.95  $                203.95  $                203.95  $                  70.34  $                  73.08    $        67.20  $                  35.63  $                  61.20  $                  61.20
99394 PREVENTATIVE CHECKUP EST 12- 521  $       100.80  $         70.56  $         67.20  $       203.95  $                  72.58  $                203.95  $                203.95  $                203.95  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
92526 Treatment of swallowing dysfunction or oral function for feeding 440  $       100.80  $         70.56  $         67.20  $       201.46  $                  72.58  $                201.46  $                201.46  $                201.46  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
92507 Treatment of speech, language, voice, communication or auditory 440  $       100.80  $         70.56  $         67.20  $       184.04  $                  72.58  $                184.04  $                184.04  $                184.04  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
86747 AB; PARVOVIRUS 302  $       100.80  $         70.56  $         54.75  $         80.64  $                  72.58  $                  64.40  $                  64.40  $                  54.75  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
86316 IA; OTHER TUMOR AG QUAN EA 300  $       100.80  $         70.56  $         67.20  $         89.18  $                  72.58  $                  89.18  $                  89.18  $                  75.82  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
84590 VITAMIN A 301  $       100.80  $         70.56  $         42.27  $         80.64  $                  72.58  $                  49.73  $                  49.73  $                  42.27  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
84466 TRANSFERRIN 301  $       100.80  $         70.56  $         46.49  $         80.64  $                  72.58  $                  54.69  $                  54.69  $                  46.49  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
J2791 RHO (D) IMMUNE GLOBULIN SYRINGE 636  $       100.80  $         70.56  $         67.20  $         80.64  $                  72.58        $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
86970 PRETREAT RBC; CHEM OR DRUGS 302  $       100.80  $         70.56  $         67.20  $       110.35  $                  72.58  $                110.35  $                110.35  $                  93.81  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
86000 AGGLUTININS FEBRILE 302  $       100.80  $         70.56  $         25.43  $         80.64  $                  72.58  $                  29.91  $                  29.91  $                  25.43  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
86709 AB; HAAB-IGM 302  $       164.85  $       115.40  $         41.01  $       131.88  $                118.69  $                  48.23  $                  48.23  $                  41.01  $                126.93  $                131.88    $        67.20  $                  64.29  $                110.45  $                110.45
85732 PTT; SUBTITUTION PLASMA FRACTIONS EA 305  $       100.80  $         70.56  $         23.54  $         80.64  $                  72.58  $                  27.69  $                  27.69  $                  23.54  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
20550 INJECT TENDON / LIGAMENT / GANGL 521  $       100.80  $         70.56  $         24.12  $         80.64  $                  72.58  $                  25.33  $                  25.33  $                  24.12  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
  INTERPULSE IRRIGATOR 270  $       100.80  $         70.56  $         67.20  $         80.64  $                  72.58        $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
51700 IRRIGATION OF BLADDER SIMPL 521  $       100.80  $         70.56  $         52.20  $         80.64  $                  72.58  $                  54.81  $                  54.81  $                  52.20  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
99394 PREVENTATIVE CHECKUP EST ( 521  $         91.35  $         63.95  $         65.77  $       203.95  $                  65.77  $                203.95  $                203.95  $                203.95  $                  70.34  $                  73.08    $        67.20  $                  35.63  $                  61.20  $                  61.20
99394 PREVENTATIVE CHECKUP EST 12- 521  $       100.80  $         70.56  $         67.20  $       203.95  $                  72.58  $                203.95  $                203.95  $                203.95  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
20550 INJECT TENDON / LIGAMENT / GANGL 521  $       100.80  $         70.56  $         24.12  $         80.64  $                  72.58  $                  25.33  $                  25.33  $                  24.12  $                  77.62  $                  80.64    $        67.20  $                  39.31  $                  67.54  $                  67.54
  OR TIME 211-240 MAJOR 360  $  10,056.90  $    7,039.83  $    6,704.60  $    8,045.52  $             7,240.97        $             7,743.81  $             8,045.52    $   6,704.60  $             3,922.19  $             6,738.12  $             6,738.12
  5 DRAWWER FILE CABINET 270  $    1,003.79  $       702.65  $       669.19  $       803.03  $                722.73        $                772.92  $                803.03    $      669.19  $                391.48  $                672.54  $                672.54
27257 Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia 981  $       997.74  $       698.42  $       665.16  $    1,417.44  $                718.37  $             1,417.44  $             1,417.44  $             1,349.94  $                768.26  $                798.19    $      665.16  $                389.12  $                668.49  $                668.49
  BROSELOW PROCEDURAL MODULES 270  $       997.50  $       698.25  $       665.00  $       798.00  $                718.20        $                768.08  $                798.00    $      665.00  $                389.03  $                668.33  $                668.33
  REPAIR - AIR/WATER CYKLINDER REPLACEMENT 270  $       997.50  $       698.25  $       665.00  $       798.00  $                718.20        $                768.08  $                798.00    $      665.00  $                389.03  $                668.33  $                668.33
99292 Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes 450  $    1,412.25  $       988.58  $       261.98  $    1,129.80  $             1,016.82  $                261.98  $                261.98  $                261.98  $             1,087.43  $             1,129.80    $      665.00  $                550.78  $                946.21  $                946.21
  BROTHER TONER, TN650 270  $       100.79  $         70.55  $         67.19  $         80.63  $                  72.57        $                  77.61  $                  80.63    $        67.19  $                  39.31  $                  67.53  $                  67.53
  GRAM STAIN KIT 250 ML 270  $       100.66  $         70.46  $         67.11  $         80.53  $                  72.48        $                  77.51  $                  80.53    $        67.11  $                  39.26  $                  67.44  $                  67.44
  REAGENT, REFERENCE 280 ML 270  $       100.66  $         70.46  $         67.11  $         80.53  $                  72.48        $                  77.51  $                  80.53    $        67.11  $                  39.26  $                  67.44  $                  67.44
  IMMOBILIZER J-SPLINT 3X20FT PLASTER 270  $         60.54  $         42.38  $         43.59  $         67.06  $                  43.59        $                  46.62  $                  48.43    $        67.06  $                  23.61  $                  40.56  $                  40.56
  CABLE, EXTENSION 10 270  $       100.58  $         70.41  $         67.05  $         80.46  $                  72.42        $                  77.45  $                  80.46    $        67.05  $                  39.23  $                  67.39  $                  67.39
17250 Chemical cauterization of granulation tissue (ie, proud flesh) 981  $       100.41  $         70.29  $         66.94  $       177.40  $                  72.30  $                177.40  $                177.40  $                168.95  $                  77.32  $                  80.33    $        66.94  $                  39.16  $                  67.28  $                  67.28
86705 HEP B CORE ANTIBODY IGM ANT 521  $               -    $              -    $              -    $         66.85  $                        -    $                  50.45  $                  50.45  $                  42.89  $                        -    $                        -      $        66.85  $                        -    $                        -    $                        -  
86765 ANTIBODY RUBEOLA 521  $               -    $              -    $              -    $         66.85  $                        -    $                  55.17  $                  55.17  $                  46.91  $                        -    $                        -      $        66.85  $                        -    $                        -    $                        -  
  ISE LINEARITY SET 5X5ML/PK 270  $       100.04  $         70.03  $         66.70  $         80.04  $                  72.03        $                  77.03  $                  80.04    $        66.70  $                  39.02  $                  67.03  $                  67.03
  DILUENT 500ML BOTTLE W/CAP 270  $         99.83  $         69.88  $         66.56  $         79.87  $                  71.88        $                  76.87  $                  79.87    $        66.56  $                  38.94  $                  66.89  $                  66.89
83945 OXALATE 301  $         99.75  $         69.83  $         46.88  $         79.80  $                  71.82  $                  55.14  $                  55.14  $                  46.88  $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
  BOILER FEE 270  $         99.75  $         69.83  $         66.50  $         79.80  $                  71.82        $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
99225 SUBSEQUENT OBSERVATION CARE LEVEL II 987  $         99.75  $         69.83  $         66.50  $       171.61  $                  71.82  $                171.61  $                171.61  $                171.61  $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
  INSTALLLATION AND CONFIGURATION OF CAMERAS AND DVR 270  $         99.75  $         69.83  $         66.50  $         79.80  $                  71.82        $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
  ADIPO GEN GITOXIN 5MG 270  $         99.75  $         69.83  $         66.50  $         79.80  $                  71.82        $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
  BIPAP SET-UP W/CIRCUITRY 270  $         99.75  $         69.83  $         66.50  $         79.80  $                  71.82        $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
  CIRCUIT-DISP BI PAP 270  $         99.75  $         69.83  $         66.50  $         79.80  $                  71.82        $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
  VOLUME VENTILATOR CIRCUIT 270  $         99.75  $         69.83  $         66.50  $         79.80  $                  71.82        $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
  AIRWAY MANAGEMENT & NEWBO 410  $         99.75  $         69.83  $         66.50  $         79.80  $                  71.82        $                  76.81  $                  79.80    $        66.50  $                  38.90  $                  66.83  $                  66.83
76700 ABDOMEN COMPLETE 402  $       996.45  $       697.52  $       141.93  $       797.16  $                717.44  $                167.11  $                167.11  $                141.93  $                767.27  $                797.16    $      664.30  $                388.62  $                667.62  $                667.62
72052 CERVICAL SPINE CMPLT. W/FELXION EXTENTIO 320  $    1,918.35  $    1,342.85  $       141.93  $    1,534.68  $             1,381.21  $                167.11  $                167.11  $                141.93  $             1,477.13  $             1,534.68    $      661.57  $                748.16  $             1,285.29  $             1,285.29
10160 PUNCTURE ASPIRATION OF ABCESS, HEMATOMA, BULLA/CYST 361  $    2,126.25  $    1,488.38  $         82.80  $    1,701.00  $             1,530.90  $                  86.94  $                  86.94  $                  82.80  $             1,637.21  $             1,701.00    $      659.57  $                829.24  $             1,424.59  $             1,424.59
  MESH,PARRIETANE 15X10 270  $         99.74  $         69.82  $         66.49  $         79.79  $                  71.81        $                  76.80  $                  79.79    $        66.49  $                  38.90  $                  66.83  $                  66.83
  ABX BASOLYSE 270  $         99.62  $         69.74  $         66.42  $         79.70  $                  71.73        $                  76.71  $                  79.70    $        66.42  $                  38.85  $                  66.75  $                  66.75
  CATHETER, UMBILICAL 5FR 270  $         99.58  $         69.71  $         66.39  $         79.67  $                  71.70        $                  76.68  $                  79.67    $        66.39  $                  38.84  $                  66.72  $                  66.72
96375 IV INJECTION/PUSH EA ADD NEW DRUG 260  $         99.45  $         69.61  $         42.27  $         79.56  $                  71.60  $                  42.27  $                  42.27  $                  42.27  $                  76.57  $                  79.56    $        66.30  $                  38.78  $                  66.63  $                  66.63
96366 IV THERAPY EACH ADD HOUR 260  $       119.18  $         83.42  $         51.40  $         95.34  $                  85.81  $                  51.40  $                  51.40  $                  51.40  $                  91.76  $                  95.34    $        66.30  $                  46.48  $                  79.85  $                  79.85
96361 HYDRATION THERAPY EACH AD HOUR 260  $         99.45  $         69.61  $         32.34  $         79.56  $                  71.60  $                  32.34  $                  32.34  $                  32.34  $                  76.57  $                  79.56    $        66.30  $                  38.78  $                  66.63  $                  66.63
  DUMPSTER SERVICE 270  $         99.23  $         69.46  $         66.15  $         79.38  $                  71.44        $                  76.40  $                  79.38    $        66.15  $                  38.70  $                  66.48  $                  66.48
  ELECTRODE, TEFLON 2 1/2 BLADE 270  $         98.78  $         69.15  $         65.86  $         79.03  $                  71.12        $                  76.06  $                  79.03    $        65.86  $                  38.53  $                  66.19  $                  66.19
84443 ASSAY THYROID STIMULATING HO 521  $         98.70  $         69.09  $         61.21  $         78.96  $                  71.06  $                  72.00  $                  72.00  $                  61.21  $                  76.00  $                  78.96    $        65.80  $                  38.49  $                  66.13  $                  66.13
90716 VARICELLA VIRUS VAC LIVE S 521  $         98.70  $         69.09  $         65.80  $         78.96  $                  71.06        $                  76.00  $                  78.96    $        65.80  $                  38.49  $                  66.13  $                  66.13
17250 CHEM CAUT GRANULATION TISS    $       615.30  $       430.71  $         65.80  $       492.24  $                443.02  $                177.40  $                177.40  $                168.95  $                473.78  $                492.24    $        65.80  $                239.97  $                412.25  $                412.25
86902 BLOOD TYPE ANTIGEN DONOR EA 302  $         98.70  $         69.09  $         65.80  $       747.54  $                  71.06  $                747.54  $                747.54  $                635.52  $                  76.00  $                  78.96    $        65.80  $                  38.49  $                  66.13  $                  66.13
86664 AB; EBNA 302  $         98.70  $         69.09  $         55.70  $         78.96  $                  71.06  $                  65.51  $                  65.51  $                  55.70  $                  76.00  $                  78.96    $        65.80  $                  38.49  $                  66.13  $                  66.13
  FLEXIFLO GASTROSTOMY TUBE 270  $         98.70  $         69.09  $         65.80  $         78.96  $                  71.06        $                  76.00  $                  78.96    $        65.80  $                  38.49  $                  66.13  $                  66.13
84443 ASSAY THYROID STIMULATING HO 521  $         98.70  $         69.09  $         61.21  $         78.96  $                  71.06  $                  72.00  $                  72.00  $                  61.21  $                  76.00  $                  78.96    $        65.80  $                  38.49  $                  66.13  $                  66.13
90716 VARICELLA VIRUS VAC LIVE S 521  $         98.70  $         69.09  $         65.80  $         78.96  $                  71.06        $                  76.00  $                  78.96    $        65.80  $                  38.49  $                  66.13  $                  66.13
  ALERE I INFLUENZA A&B TEST KIT 270  $       982.80  $       687.96  $       655.20  $       786.24  $                707.62        $                756.76  $                786.24    $      655.20  $                383.29  $                658.48  $                658.48
76080 ABCESS/ FISTULA/ SINUS TRACT EXAM 320  $       982.80  $       687.96  $       288.06  $       786.24  $                707.62  $                339.17  $                339.17  $                288.06  $                756.76  $                786.24    $      655.20  $                383.29  $                658.48  $                658.48
20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance 981  $         98.54  $         68.98  $         23.04  $         78.83  $                  70.95  $                  24.19  $                  24.19  $                  23.04  $                  75.88  $                  78.83    $        65.70  $                  38.43  $                  66.02  $                  66.02
  SUPER SANI=CLOTH GERMICIDAL WIPES 6PK 270  $         98.50  $         68.95  $         65.67  $         78.80  $                  70.92        $                  75.85  $                  78.80    $        65.67  $                  38.42  $                  66.00  $                  66.00
  ABX DILUENT 270  $         98.37  $         68.86  $         65.58  $         78.70  $                  70.83        $                  75.75  $                  78.70    $        65.58  $                  38.37  $                  65.91  $                  65.91
  REAGENT, ABX DILUENT 20 L 270  $         98.37  $         68.86  $         65.58  $         78.70  $                  70.83        $                  75.75  $                  78.70    $        65.58  $                  38.37  $                  65.91  $                  65.91
88341 IMMUNOHISTO ANTIBODY SLIDE 310  $       296.21  $       207.34  $         65.52  $       236.96  $                213.27  $                224.16  $                224.16  $                190.57  $                228.08  $                236.96    $        65.52  $                115.52  $                198.46  $                198.46
82945 GLUCOSE BODY FLUID NOT BLOOD 301  $       151.20  $       105.84  $         14.31  $       120.96  $                108.86  $                  16.83  $                  16.83  $                  14.31  $                116.42  $                120.96    $        65.52  $                  58.97  $                101.30  $                101.30
65205 Removal of foreign body, external eye; conjunctival superficial 981  $         97.81  $         68.47  $         65.21  $       110.29  $                  70.42  $                110.29  $                110.29  $                105.04  $                  75.31  $                  78.25    $        65.21  $                  38.14  $                  65.53  $                  65.53
  PRESCRIPTION PADS, RMC 270  $         97.78  $         68.44  $         65.18  $         78.22  $                  70.40        $                  75.29  $                  78.22    $        65.18  $                  38.13  $                  65.51  $                  65.51
80185 ASSAY PHENYTOIN TOTAL 521  $         97.65  $         68.36  $         48.26  $         78.12  $                  70.31  $                  56.77  $                  56.77  $                  48.26  $                  75.19  $                  78.12    $        65.10  $                  38.08  $                  65.43  $                  65.43
82552 ASSAY CPK ISOENZYMES IN BLOO 521  $         97.65  $         68.36  $         48.76  $         78.12  $                  70.31  $                  57.36  $                  57.36  $                  48.76  $                  75.19  $                  78.12    $        65.10  $                  38.08  $                  65.43  $                  65.43
88302 TISSUE EXAM BY PATHOLOGIST 521  $               -    $              -    $              -    $       110.35  $                        -    $                110.35  $                110.35  $                  93.81  $                        -    $                        -      $        65.10  $                        -    $                        -    $                        -  
82608 Cyanocobalamin (Vitamin B-12); Unsaturated Binding Capacity 301  $         97.65  $         68.36  $         52.16  $         78.12  $                  70.31  $                  61.35  $                  61.35  $                  52.16  $                  75.19  $                  78.12    $        65.10  $                  38.08  $                  65.43  $                  65.43
86708 AB; HAAB-TOTAL 302  $       254.10  $       177.87  $         45.11  $       203.28  $                182.95  $                  53.06  $                  53.06  $                  45.11  $                195.66  $                203.28    $        65.10  $                  99.10  $                170.25  $                170.25
16000 LOCAL BURN TREATMENT 1ST DE 521  $         97.65  $         68.36  $         65.10  $       177.40  $                  70.31  $                177.40  $                177.40  $                168.95  $                  75.19  $                  78.12    $        65.10  $                  38.08  $                  65.43  $                  65.43
80185 ASSAY PHENYTOIN TOTAL 521  $         97.65  $         68.36  $         48.26  $         78.12  $                  70.31  $                  56.77  $                  56.77  $                  48.26  $                  75.19  $                  78.12    $        65.10  $                  38.08  $                  65.43  $                  65.43
82552 ASSAY CPK ISOENZYMES IN BLOO 521  $         97.65  $         68.36  $         48.76  $         78.12  $                  70.31  $                  57.36  $                  57.36  $                  48.76  $                  75.19  $                  78.12    $        65.10  $                  38.08  $                  65.43  $                  65.43
88302 TISSUE EXAM BY PATHOLOGIST 521  $               -    $              -    $              -    $       110.35  $                        -    $                110.35  $                110.35  $                  93.81  $                        -    $                        -      $        65.10  $                        -    $                        -    $                        -  
16000 LOCAL BURN TREATMENT 1ST DE 521  $         97.65  $         68.36  $         65.10  $       177.40  $                  70.31  $                177.40  $                177.40  $                168.95  $                  75.19  $                  78.12    $        65.10  $                  38.08  $                  65.43  $                  65.43
  SEPROFILM 270  $       975.45  $       682.82  $       650.30  $       780.36  $                702.32        $                751.10  $                780.36    $      650.30  $                380.43  $                653.55  $                653.55
93307 ECHO WITHOUT DOPPLER COMPLETE 483  $       973.35  $       681.35  $       228.81  $       778.68  $                700.81  $                228.81  $                228.81  $                228.81  $                749.48  $                778.68    $      648.90  $                379.61  $                652.14  $                652.14
40652 Repair lip, full thickness; up to half vertical height 981  $       971.99  $       680.39  $       459.87  $       777.59  $                699.83  $                482.86  $                482.86  $                459.87  $                748.43  $                777.59    $      647.99  $                379.07  $                651.23  $                651.23
  ULTRA SHEARS 5MM 270  $       968.10  $       677.67  $       645.40  $       774.48  $                697.03        $                745.44  $                774.48    $      645.40  $                377.56  $                648.63  $                648.63
  TSH REAGENT KIT 100T, ARCH 270  $         97.52  $         68.27  $         65.02  $         78.02  $                  70.22        $                  75.09  $                  78.02    $        65.02  $                  38.03  $                  65.34  $                  65.34
  CO2 270  $         97.52  $         68.27  $         65.02  $         78.02  $                  70.22        $                  75.09  $                  78.02    $        65.02  $                  38.03  $                  65.34  $                  65.34
  GLUC 270  $         97.52  $         68.27  $         65.02  $         78.02  $                  70.22        $                  75.09  $                  78.02    $        65.02  $                  38.03  $                  65.34  $                  65.34
  UREA NITROGEN 270  $         97.52  $         68.27  $         65.02  $         78.02  $                  70.22        $                  75.09  $                  78.02    $        65.02  $                  38.03  $                  65.34  $                  65.34
  CALCIUM CLIN CHEM 1500TST/EA 270  $         97.52  $         68.27  $         65.02  $         78.02  $                  70.22        $                  75.09  $                  78.02    $        65.02  $                  38.03  $                  65.34  $                  65.34
  CO2 CONCENTRTD CC 1500TST/EA 270  $         97.52  $         68.27  $         65.02  $         78.02  $                  70.22        $                  75.09  $                  78.02    $        65.02  $                  38.03  $                  65.34  $                  65.34
  LMA UNIQUE SZ 5 270  $         97.34  $         68.13  $         64.89  $         77.87  $                  70.08        $                  74.95  $                  77.87    $        64.89  $                  37.96  $                  65.21  $                  65.21
  BHCG LINEARITY SET 270  $         97.24  $         68.07  $         64.83  $         77.79  $                  70.01        $                  74.88  $                  77.79    $        64.83  $                  37.92  $                  65.15  $                  65.15
  READI CAT723 270  $         97.22  $         68.05  $         64.81  $         77.78  $                  70.00        $                  74.86  $                  77.78    $        64.81  $                  37.92  $                  65.14  $                  65.14
  NASAL CANNULA, PEDI 270  $         96.97  $         67.88  $         64.65  $         77.57  $                  69.82        $                  74.66  $                  77.57    $        64.65  $                  37.82  $                  64.97  $                  64.97
87076 BC-ANAEROBE-ADDTL ID 306  $       181.65  $       127.16  $         29.41  $       145.32  $                130.79  $                  34.60  $                  34.60  $                  29.41  $                139.87  $                145.32    $        64.61  $                  70.84  $                121.71  $                121.71
29505 APPLICATION OF LONG LEG SPLI 521  $         96.60  $         67.62  $         59.76  $         77.28  $                  69.55  $                  62.75  $                  62.75  $                  59.76  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
90733 MENINGOCOCCAL VAC SUBCUT JE 521  $         96.60  $         67.62  $         64.40  $         77.28  $                  69.55        $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
96105 EVAL APHASIA PER HR 444  $         96.60  $         67.62  $         64.40  $         77.28  $                  69.55        $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
  JP DRAIN 270  $         96.60  $         67.62  $         64.40  $         77.28  $                  69.55        $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
99282 EMERGENCY DEPT VISIT LOW MODERATE 983  $         96.60  $         67.62  $         64.40  $       287.94  $                  69.55  $                287.94  $                287.94  $                287.94  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
99282 EMERGENCY DEPT VISIT MODERATE 983  $       128.10  $         89.67  $         64.40  $       287.94  $                  92.23  $                287.94  $                287.94  $                287.94  $                  98.64  $                102.48    $        64.40  $                  49.96  $                  85.83  $                  85.83
65205 Removal of corneal foreign body 521  $         96.60  $         67.62  $         64.40  $       110.29  $                  69.55  $                110.29  $                110.29  $                105.04  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
65205 Excision corneal foreign body 521  $         96.60  $         67.62  $         64.40  $       110.29  $                  69.55  $                110.29  $                110.29  $                105.04  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
  ACAPELLA W/INITIAL INSTRUCTION 270  $         96.60  $         67.62  $         64.40  $         77.28  $                  69.55        $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
65205 Removal of a Foreign Body 521  $         96.60  $         67.62  $         64.40  $       110.29  $                  69.55  $                110.29  $                110.29  $                105.04  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
65205 Removal of a Foreign Body 521  $         96.60  $         67.62  $         64.40  $       110.29  $                  69.55  $                110.29  $                110.29  $                105.04  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
65205 Removal of Foreign Body 521  $         96.60  $         67.62  $         64.40  $       110.29  $                  69.55  $                110.29  $                110.29  $                105.04  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
65205 REMOVE OBJECT FROM EXTERNAL 521  $         96.60  $         67.62  $         64.40  $       110.29  $                  69.55  $                110.29  $                110.29  $                105.04  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
99282 Emergency Dept Visit Low Moderate 983  $         96.60  $         67.62  $         64.40  $       287.94  $                  69.55  $                287.94  $                287.94  $                287.94  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
83695 ASSAY OF LIPOPROTEIN (A) 301  $         96.60  $         67.62  $         47.14  $         77.28  $                  69.55  $                  55.45  $                  55.45  $                  47.14  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
S3620 NB METABOLIC SCRN PANEL 300  $         96.60  $         67.62  $         64.40  $         77.28  $                  69.55        $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
31502 Tracheotomy tube change prior to establishment of fistula tract 981  $         96.60  $         67.62  $         64.40  $       187.43  $                  69.55  $                187.43  $                187.43  $                178.50  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
29505 APPLICATION OF LONG LEG SPLI 521  $         96.60  $         67.62  $         59.76  $         77.28  $                  69.55  $                  62.75  $                  62.75  $                  59.76  $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
90733 MENINGOCOCCAL VAC SUBCUT JE 521  $         96.60  $         67.62  $         64.40  $         77.28  $                  69.55        $                  74.38  $                  77.28    $        64.40  $                  37.67  $                  64.72  $                  64.72
C1781 Perfix Plug (X-Large) 278  $       963.90  $       674.73  $       642.60  $       771.12  $                694.01        $                742.20  $                771.12    $      642.60  $                375.92  $                645.81  $                645.81
  MOTOR REPLACEMENT TOOL KIT 270  $       963.66  $       674.56  $       642.44  $       770.93  $                693.83        $                742.02  $                770.93    $      642.44  $                375.83  $                645.65  $                645.65
26990 DRAIN PELVIC HIP JOINT LESIO 521  $       961.80  $       673.26  $       641.20  $    2,777.49  $                692.50  $             2,777.49  $             2,777.49  $             2,645.23  $                740.59  $                769.44    $      641.20  $                375.10  $                644.41  $                644.41
26990 DRAIN PELVIC HIP JOINT LESIO 521  $       961.80  $       673.26  $       641.20  $    2,777.49  $                692.50  $             2,777.49  $             2,777.49  $             2,645.23  $                740.59  $                769.44    $      641.20  $                375.10  $                644.41  $                644.41
  MINOCLAIR CALIBRATOR 270  $         96.58  $         67.61  $         64.39  $         77.26  $                  69.54        $                  74.37  $                  77.26    $        64.39  $                  37.67  $                  64.71  $                  64.71
  CARDS, SPECIAL DIET 270  $         96.00  $         67.20  $         64.00  $         76.80  $                  69.12        $                  73.92  $                  76.80    $        64.00  $                  37.44  $                  64.32  $                  64.32
  MONOFILAMENT, DISPOSABLE, 5.07, 10GRM, 40PK 270  $         95.95  $         67.16  $         63.97  $         76.76  $                  69.08        $                  73.88  $                  76.76    $        63.97  $                  37.42  $                  64.29  $                  64.29
  PILL CRUSHER, STAINLESS 270  $         95.87  $         67.11  $         63.91  $         76.69  $                  69.02        $                  73.82  $                  76.69    $        63.91  $                  37.39  $                  64.23  $                  64.23
  GE DATEX-OHMEDA 10 PIN TO OXITIP SPO2 EXTENSION CABLE 270  $         95.82  $         67.08  $         63.88  $         76.66  $                  68.99        $                  73.78  $                  76.66    $        63.88  $                  37.37  $                  64.20  $                  64.20
  PIGGYBACK LASER SHEET 1 3/4 X 3/4 YELLOW 44 LABEL SHEET 270  $         95.57  $         66.90  $         63.71  $         76.46  $                  68.81        $                  73.59  $                  76.46    $        63.71  $                  37.27  $                  64.03  $                  64.03
80156 ASSAY CARBAMAZEPINE 521  $         95.55  $         66.89  $         53.04  $         76.44  $                  68.80  $                  62.39  $                  62.39  $                  53.04  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
  Cryocautery of Lesion, 1st 521  $         95.55  $         66.89  $         63.70  $         76.44  $                  68.80        $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
  Cryocautery of Lesion, 1st 521  $         95.55  $         66.89  $         63.70  $         76.44  $                  68.80        $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
82239 BILE ACIDS; TOTAL 301  $         95.55  $         66.89  $         62.36  $         76.44  $                  68.80  $                  73.36  $                  73.36  $                  62.36  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
86696 HSV 2 Herpeselect 309  $         95.55  $         66.89  $         63.70  $         82.93  $                  68.80  $                  82.93  $                  82.93  $                  70.51  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
86696 HSV 2 Herpeselect 309  $         95.55  $         66.89  $         63.70  $         82.93  $                  68.80  $                  82.93  $                  82.93  $                  70.51  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
87329 GARDIA AG EIA:Infectious Agent Antigen Detection By Enzyme Immunoassay Technique, Qualitative Or Semiqua... 300  $         95.55  $         66.89  $         43.66  $         76.44  $                  68.80  $                  51.36  $                  51.36  $                  43.66  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
82955 GLUCOSE 6-PHOSPHATE DEHYDROGEBASE (G6PD); QUANTITATIVE 301  $         95.55  $         66.89  $         35.31  $         76.44  $                  68.80  $                  41.54  $                  41.54  $                  35.31  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
86762 AB;  RUBELLA 301  $         95.55  $         66.89  $         52.42  $         76.44  $                  68.80  $                  61.66  $                  61.66  $                  52.42  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
96368 INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS 260  $         95.55  $         66.89  $         48.90  $         76.44  $                  68.80  $                  48.90  $                  48.90  $                  48.90  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
17000 DESTROY BENIGN PREMALIG LESI 975  $         95.55  $         66.89  $         63.70  $       177.40  $                  68.80  $                177.40  $                177.40  $                168.95  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
19000 PUNCTURE  DRAINAGE OF BREAST 521  $         95.55  $         66.89  $         63.70  $         85.05  $                  68.80  $                  85.05  $                  85.05  $                  81.00  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
  EPIDURAL 370  $         95.55  $         66.89  $         63.70  $         76.44  $                  68.80        $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
80156 ASSAY CARBAMAZEPINE 521  $         95.55  $         66.89  $         53.04  $         76.44  $                  68.80  $                  62.39  $                  62.39  $                  53.04  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
82607 ASSAY  VITAMIN B-12 521  $               -    $              -    $              -    $         64.58  $                        -    $                  64.58  $                  64.58  $                  54.90  $                        -    $                        -      $        63.70  $                        -    $                        -    $                        -  
17000 DESTROY BENIGN PREMALIG LESI 521  $         95.55  $         66.89  $         63.70  $       177.40  $                  68.80  $                177.40  $                177.40  $                168.95  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
19000 PUNCTURE  DRAINAGE OF BREAST 521  $         95.55  $         66.89  $         63.70  $         85.05  $                  68.80  $                  85.05  $                  85.05  $                  81.00  $                  73.57  $                  76.44    $        63.70  $                  37.26  $                  64.02  $                  64.02
13152 Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm 981  $       954.71  $       668.30  $       488.20  $       763.77  $                687.39  $                512.61  $                512.61  $                488.20  $                735.13  $                763.77    $      636.48  $                372.34  $                639.66  $                639.66
  SONIC WALL CONTENT FILTERING FOR NSA3600 X 12 270  $       954.59  $       668.21  $       636.39  $       763.67  $                687.30        $                735.03  $                763.67    $      636.39  $                372.29  $                639.57  $                639.57
  IUD, MIRENA 270  $       954.42  $       668.09  $       636.28  $       763.53  $                687.18        $                734.90  $                763.53    $      636.28  $                372.22  $                639.46  $                639.46
20103 Exploration of penetrating wound (separate procedure); extremity 981  $       953.72  $       667.60  $       572.85  $       762.97  $                686.67  $                601.49  $                601.49  $                572.85  $                734.36  $                762.97    $      635.81  $                371.95  $                638.99  $                638.99
12047 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm 981  $       951.98  $       666.39  $       634.66  $    1,646.85  $                685.43  $             1,646.85  $             1,646.85  $             1,568.43  $                733.03  $                761.59    $      634.66  $                371.27  $                637.83  $                637.83
J7307 Nexplanon 636  $    1,021.65  $       715.16  $       630.70  $       817.32  $                735.59        $                786.67  $                817.32    $      630.70  $                398.44  $                684.51  $                684.51
  MASK, ANESTHESIA ADULT SIZE 5 270  $         95.52  $         66.86  $         63.68  $         76.41  $                  68.77        $                  73.55  $                  76.41    $        63.68  $                  37.25  $                  64.00  $                  64.00
  MASK, ANESTHESIA CHILD/SMALL SIZE 4 270  $         95.52  $         66.86  $         63.68  $         76.41  $                  68.77        $                  73.55  $                  76.41    $        63.68  $                  37.25  $                  64.00  $                  64.00
  MASK, ANESTHESIA EXTRA LARGE  SIZE 6 270  $         95.52  $         66.86  $         63.68  $         76.41  $                  68.77        $                  73.55  $                  76.41    $        63.68  $                  37.25  $                  64.00  $                  64.00
  MASK, ANESTHESIA CHILD/SMALL SIZE 3 270  $         95.52  $         66.86  $         63.68  $         76.41  $                  68.77        $                  73.55  $                  76.41    $        63.68  $                  37.25  $                  64.00  $                  64.00
  BONE CEMENT 270  $         95.39  $         66.77  $         63.60  $         76.31  $                  68.68        $                  73.45  $                  76.31    $        63.60  $                  37.20  $                  63.91  $                  63.91
  LIGACLIP, 10MM 270  $         84.35  $         59.04  $         60.73  $         67.48  $                  60.73        $                  64.95  $                  67.48    $        63.40  $                  32.90  $                  56.51  $                  56.51
  CONCHAPAK, STERILE WATER 1650MLS 270  $         95.06  $         66.54  $         63.37  $         76.05  $                  68.44        $                  73.19  $                  76.05    $        63.37  $                  37.07  $                  63.69  $                  63.69
  PATIENT REFUND 270  $         94.75  $         66.33  $         63.17  $         75.80  $                  68.22        $                  72.96  $                  75.80    $        63.17  $                  36.95  $                  63.48  $                  63.48
81291 MTHFR GENE ANALYSIS, COMMON VARIANTS 305  $         94.50  $         66.15  $         63.00  $       226.73  $                  68.04  $                226.73  $                226.73  $                192.75  $                  72.77  $                  75.60    $        63.00  $                  36.86  $                  63.32  $                  63.32
83021 HGB CHROMATOGRAPHY 301  $         94.50  $         66.15  $         63.00  $         77.35  $                  68.04  $                  77.35  $                  77.35  $                  65.76  $                  72.77  $                  75.60    $        63.00  $                  36.86  $                  63.32  $                  63.32
86707 AB; HBEAB 300  $         94.50  $         66.15  $         42.13  $         75.60  $                  68.04  $                  49.55  $                  49.55  $                  42.13  $                  72.77  $                  75.60    $        63.00  $                  36.86  $                  63.32  $                  63.32
80051 ELECTROLYTE PANEL 301  $         66.15  $         46.31  $         25.55  $         63.00  $                  47.63  $                  30.05  $                  30.05  $                  25.55  $                  50.94  $                  52.92    $        63.00  $                  25.80  $                  44.32  $                  44.32
86694 AB; HSV NON-SPECIFIC 302  $         94.50  $         66.15  $         52.42  $         75.60  $                  68.04  $                  61.66  $                  61.66  $                  52.42  $                  72.77  $                  75.60    $        63.00  $                  36.86  $                  63.32  $                  63.32
86663 AB; EB EARLY AG VIRUS 302  $         94.50  $         66.15  $         47.79  $         75.60  $                  68.04  $                  56.21  $                  56.21  $                  47.79  $                  72.77  $                  75.60    $        63.00  $                  36.86  $                  63.32  $                  63.32
  CLEANING TIP AND SUCTION TUBE 270  $         94.50  $         66.15  $         63.00  $         75.60  $                  68.04        $                  72.77  $                  75.60    $        63.00  $                  36.86  $                  63.32  $                  63.32
20610 DRAIN INJECT MAJOR JOINT 521  $         94.50  $         66.15  $         29.16  $         75.60  $                  68.04  $                  30.62  $                  30.62  $                  29.16  $                  72.77  $                  75.60    $        63.00  $                  36.86  $                  63.32  $                  63.32
20610 DRAIN INJECT MAJOR JOINT 521  $         94.50  $         66.15  $         29.16  $         75.60  $                  68.04  $                  30.62  $                  30.62  $                  29.16  $                  72.77  $                  75.60    $        63.00  $                  36.86  $                  63.32  $                  63.32
  SUTURE, ETHIBOND 2-0 CR/CT-2 270  $         10.49  $           7.34  $           6.99  $           8.39  $                    7.55        $                    8.08  $                    8.39    $          6.99  $                    4.09  $                    7.03  $                    7.03
  FLAT SCREEN CLEANER 270  $         10.49  $           7.34  $           6.99  $           8.39  $                    7.55        $                    8.08  $                    8.39    $          6.99  $                    4.09  $                    7.03  $                    7.03
  SUTURE, ETHIBOND 0 CR/CT-1 270  $         10.48  $           7.34  $           6.99  $           8.38  $                    7.54        $                    8.07  $                    8.38    $          6.99  $                    4.09  $                    7.02  $                    7.02
  SOCK, SLIPPER NON SKID LG BEIGE 270  $         10.47  $           7.33  $           6.98  $           8.37  $                    7.54        $                    8.06  $                    8.37    $          6.98  $                    4.08  $                    7.01  $                    7.01
  POVIDINE ONE OUNCE SOLUTION 270  $           0.86  $           0.60  $           0.62  $           6.97  $                    0.62        $                    0.66  $                    0.69    $          6.97  $                    0.34  $                    0.58  $                    0.58
  CRILE FORCEP 270  $         10.40  $           7.28  $           6.93  $           8.32  $                    7.48        $                    8.00  $                    8.32    $          6.93  $                    4.05  $                    6.96  $                    6.96
  MASK, FLUID SHIELD WITH TIES 270  $         10.40  $           7.28  $           6.93  $           8.32  $                    7.48        $                    8.00  $                    8.32    $          6.93  $                    4.05  $                    6.96  $                    6.96
  HP INK CARTRIDGE PHOTO BLACK 564 270  $         10.38  $           7.27  $           6.92  $           8.31  $                    7.48        $                    8.00  $                    8.31    $          6.92  $                    4.05  $                    6.96  $                    6.96
  STAMP  "FAXED" 270  $         10.38  $           7.27  $           6.92  $           8.31  $                    7.48        $                    8.00  $                    8.31    $          6.92  $                    4.05  $                    6.96  $                    6.96
  SUTURE, 0 ETHIBOND 270  $           4.65  $           3.26  $           3.35  $           6.92  $                    3.35        $                    3.58  $                    3.72    $          6.92  $                    1.81  $                    3.12  $                    3.12
  FOLDERS, 2 POCKET PURPLE 270  $         10.38  $           7.27  $           6.92  $           8.31  $                    7.48        $                    8.00  $                    8.31    $          6.92  $                    4.05  $                    6.96  $                    6.96
  DRESSING, DUODERM  4X4 270  $         10.33  $           7.23  $           6.89  $           8.27  $                    7.44        $                    7.96  $                    8.27    $          6.89  $                    4.03  $                    6.92  $                    6.92
  SUTURE, VICRYL 2-0 CR/CT-2 270  $         10.30  $           7.21  $           6.87  $           8.24  $                    7.42        $                    7.93  $                    8.24    $          6.87  $                    4.02  $                    6.90  $                    6.90
  SPLINT LOOP LOCK COCUP 8 IN RIGHT SMALL 270  $         10.29  $           7.20  $           6.86  $           8.23  $                    7.41        $                    7.92  $                    8.23    $          6.86  $                    4.01  $                    6.89  $                    6.89
  SPLINT LOOP LOCK COCUP 8 IN RIGHT MEDIUM 270  $         10.29  $           7.20  $           6.86  $           8.23  $                    7.41        $                    7.92  $                    8.23    $          6.86  $                    4.01  $                    6.89  $                    6.89
  SPLINT LOOP LOCK COCUP 8 IN RIGHT X-LARGE 270  $         10.29  $           7.20  $           6.86  $           8.23  $                    7.41        $                    7.92  $                    8.23    $          6.86  $                    4.01  $                    6.89  $                    6.89
  SPLINT LOOP LOCK COCUP 8 IN LEFT SMALL 270  $         10.29  $           7.20  $           6.86  $           8.23  $                    7.41        $                    7.92  $                    8.23    $          6.86  $                    4.01  $                    6.89  $                    6.89
  SPLINT LOOP LOCK COCUP 8 IN LEFT MEDIUM 270  $         10.29  $           7.20  $           6.86  $           8.23  $                    7.41        $                    7.92  $                    8.23    $          6.86  $                    4.01  $                    6.89  $                    6.89
  SPLINT LOOP LOCK COCUP 8 IN LEFT LARGE 270  $         10.29  $           7.20  $           6.86  $           8.23  $                    7.41        $                    7.92  $                    8.23    $          6.86  $                    4.01  $                    6.89  $                    6.89
  SPLINT LOOP LOCK COCUP 8 IN LEFT X-LARGE 270  $         10.29  $           7.20  $           6.86  $           8.23  $                    7.41        $                    7.92  $                    8.23    $          6.86  $                    4.01  $                    6.89  $                    6.89
  INSUFFLATION BULF W/TIP 270  $         10.29  $           7.20  $           6.86  $           8.23  $                    7.41        $                    7.92  $                    8.23    $          6.86  $                    4.01  $                    6.89  $                    6.89
  ENVELOPE, CD BUBBLE MAILER 270  $         10.28  $           7.20  $           6.85  $           8.22  $                    7.40        $                    7.92  $                    8.22    $          6.85  $                    4.01  $                    6.89  $                    6.89
  INFUVITE ADULT VIAL 250  $         10.28  $           7.20  $           6.85  $           8.22  $                    7.40        $                    7.92  $                    8.22    $          6.85  $                    4.01  $                    6.89  $                    6.89
  CATAPRES TTS-1 ADH PATCH 250  $         10.24  $           7.17  $           6.83  $           8.19  $                    7.37        $                    7.88  $                    8.19    $          6.83  $                    3.99  $                    6.86  $                    6.86
  DRESSING, PRISMA 4.75 270  $         10.21  $           7.14  $           6.80  $           8.16  $                    7.35        $                    7.86  $                    8.16    $          6.80  $                    3.98  $                    6.84  $                    6.84
  ARM SLING, CLINIC MEDIUM 270  $         10.19  $           7.13  $           6.79  $           8.15  $                    7.33        $                    7.84  $                    8.15    $          6.79  $                    3.97  $                    6.82  $                    6.82
  PULMICORT(BUDESONIDE) DOSE 250  $         10.19  $           7.13  $           6.79  $           8.15  $                    7.33        $                    7.84  $                    8.15    $          6.79  $                    3.97  $                    6.82  $                    6.82
  D5NS W/KCL 20MEQ 1000ML 258  $         10.13  $           7.09  $           6.76  $           8.11  $                    7.30        $                    7.80  $                    8.11    $          6.76  $                    3.95  $                    6.79  $                    6.79
  ELECTRODES, EKG RED DOT PEDI 270  $           9.35  $           6.54  $           6.73  $           7.48  $                    6.73        $                    7.20  $                    7.48    $          6.75  $                    3.64  $                    6.26  $                    6.26
  POWER STRIP CORD 270  $         10.08  $           7.06  $           6.72  $           8.06  $                    7.26        $                    7.76  $                    8.06    $          6.72  $                    3.93  $                    6.75  $                    6.75
  Y-TYPE BLOOD/SOLUTION SET WITH CLOSE SLIDE CLAMP 270  $         10.08  $           7.06  $           6.72  $           8.06  $                    7.26        $                    7.76  $                    8.06    $          6.72  $                    3.93  $                    6.75  $                    6.75
  SANI-CLOTH GERMICIDIAL WIPES GREY LID 270  $           9.74  $           6.82  $           6.69  $           7.80  $                    7.02        $                    7.50  $                    7.80    $          6.69  $                    3.80  $                    6.53  $                    6.53
  POUCH, 3 1/2X9 STERILIZATION 270  $           9.98  $           6.98  $           6.65  $           7.98  $                    7.18        $                    7.68  $                    7.98    $          6.65  $                    3.89  $                    6.68  $                    6.68
J1030 METHYLPREDNISOLONE ACETATE 40MG/ML 636  $           9.98  $           6.98  $           6.65  $           7.98  $                    7.18        $                    7.68  $                    7.98    $          6.65  $                    3.89  $                    6.68  $                    6.68
  WALL POCKET FILE 270  $           9.96  $           6.98  $           6.64  $           7.97  $                    7.17        $                    7.67  $                    7.97    $          6.64  $                    3.89  $                    6.68  $                    6.68
  LABELS, A RED 270  $           9.95  $           6.97  $           6.64  $           7.96  $                    7.17        $                    7.66  $                    7.96    $          6.64  $                    3.88  $                    6.67  $                    6.67
  BOOT, STA-DRI KNEE HIGH NON SKID 270  $           9.90  $           6.93  $           6.60  $           7.92  $                    7.13        $                    7.62  $                    7.92    $          6.60  $                    3.86  $                    6.63  $                    6.63
  SPINAL NEEDLE 25GX4 11/16 WHITACRE 270  $         16.34  $         11.44  $           6.60  $         13.07  $                  11.76        $                  12.58  $                  13.07    $          6.60  $                    6.37  $                  10.95  $                  10.95
J2930 SOLU MEDOL VIAL 125MG 636  $           9.82  $           6.87  $           6.55  $           7.85  $                    7.07        $                    7.56  $                    7.85    $          6.55  $                    3.83  $                    6.58  $                    6.58
  SPLINT, BASEBALL MEDIIUM 270  $           9.81  $           6.86  $           6.54  $           7.85  $                    7.06        $                    7.55  $                    7.85    $          6.54  $                    3.82  $                    6.57  $                    6.57
  SPLINT, BASEBALL SMALL 270  $           9.81  $           6.86  $           6.54  $           7.85  $                    7.06        $                    7.55  $                    7.85    $          6.54  $                    3.82  $                    6.57  $                    6.57
  RUBBER BANDS 1/16 270  $           9.79  $           6.85  $           6.52  $           7.83  $                    7.05        $                    7.54  $                    7.83    $          6.52  $                    3.82  $                    6.56  $                    6.56
  COTTON BALLS 270  $           9.78  $           6.84  $           6.52  $           7.82  $                    7.04        $                    7.53  $                    7.82    $          6.52  $                    3.81  $                    6.55  $                    6.55
  FOLEY CATHETER, 3-WAY 16 FR 270  $           9.78  $           6.84  $           6.52  $           7.82  $                    7.04        $                    7.53  $                    7.82    $          6.52  $                    3.81  $                    6.55  $                    6.55
  FOLEY CATHETER, 3-WAY 18 FR 270  $           9.78  $           6.84  $           6.52  $           7.82  $                    7.04        $                    7.53  $                    7.82    $          6.52  $                    3.81  $                    6.55  $                    6.55
  LMA UNIQUE SZ 4 270  $           9.74  $           6.82  $           6.50  $           7.80  $                    7.02        $                    7.50  $                    7.80    $          6.50  $                    3.80  $                    6.53  $                    6.53
  LMA UNIQUE SZ 3 270  $           9.73  $           6.81  $           6.49  $           7.79  $                    7.01        $                    7.49  $                    7.79    $          6.49  $                    3.80  $                    6.52  $                    6.52
  SPLINT, METACARPAL LEFT MEDIUM 270  $           9.71  $           6.80  $           6.48  $           7.77  $                    6.99        $                    7.48  $                    7.77    $          6.48  $                    3.79  $                    6.51  $                    6.51
  PACK, UNIVERAL EXTREMITY 270  $           9.67  $           6.77  $           6.45  $           7.74  $                    6.96        $                    7.45  $                    7.74    $          6.45  $                    3.77  $                    6.48  $                    6.48
  RUBBERBANDS 1/8 270  $           9.64  $           6.75  $           6.43  $           7.71  $                    6.94        $                    7.42  $                    7.71    $          6.43  $                    3.76  $                    6.46  $                    6.46
  ENDOTRACHEAEL TUBE INTRODUCER (BOUGIE) 10FR 270  $           7.98  $           5.59  $           5.75  $           6.41  $                    5.75        $                    6.14  $                    6.38    $          6.41  $                    3.11  $                    5.35  $                    5.35
  CAST PADDING 2X4YD 270  $           9.61  $           6.73  $           6.41  $           7.69  $                    6.92        $                    7.40  $                    7.69    $          6.41  $                    3.75  $                    6.44  $                    6.44
  SODIUM PHOSPHATE 45MMOL/15ML 250  $           9.56  $           6.69  $           6.37  $           7.64  $                    6.88        $                    7.36  $                    7.64    $          6.37  $                    3.73  $                    6.40  $                    6.40
  SHILEY TUBE TRACH XLT INSERTS 270  $           9.49  $           6.64  $           6.33  $           7.59  $                    6.83        $                    7.31  $                    7.59    $          6.33  $                    3.70  $                    6.36  $                    6.36
  SUTURE,CHR GUT 0 CT-1 36 INCH 270  $           8.94  $           6.25  $           6.31  $           7.15  $                    6.43        $                    6.88  $                    7.15    $          6.31  $                    3.48  $                    5.99  $                    5.99
  ACCU-CHECK INFORM II CONTROLS 270  $           9.47  $           6.63  $           6.31  $           7.58  $                    6.82        $                    7.29  $                    7.58    $          6.31  $                    3.69  $                    6.35  $                    6.35
A4629 TRACH CLEAN & CARE TRAY-ESTABLISHED TRACH 272  $           9.45  $           6.62  $           6.30  $           7.56  $                    6.80        $                    7.28  $                    7.56    $          6.30  $                    3.69  $                    6.33  $                    6.33
  DUSTER, COMPRESSED GAS 7OZ 270  $           9.45  $           6.62  $           6.30  $           7.56  $                    6.80        $                    7.28  $                    7.56    $          6.30  $                    3.69  $                    6.33  $                    6.33
82044 MICROABLUMIN; URINE SEMI QUAN 301  $         19.95  $         13.97  $           6.30  $         21.62  $                  14.36  $                  21.62  $                  21.62  $                  18.38  $                  15.36  $                  15.96    $          6.30  $                    7.78  $                  13.37  $                  13.37
  SPINAL NDL 270  $           9.45  $           6.62  $           6.30  $           7.56  $                    6.80        $                    7.28  $                    7.56    $          6.30  $                    3.69  $                    6.33  $                    6.33
  TRANSF DEVICE 270  $           9.45  $           6.62  $           6.30  $           7.56  $                    6.80        $                    7.28  $                    7.56    $          6.30  $                    3.69  $                    6.33  $                    6.33
86430 QUAL RHEUM FACTOR 302  $         45.15  $         31.61  $           6.30  $         36.12  $                  32.51  $                  24.29  $                  24.29  $                  20.65  $                  34.77  $                  36.12    $          6.30  $                  17.61  $                  30.25  $                  30.25
  BOWEL 1 QT. DISPOSAL 270  $           9.45  $           6.62  $           6.30  $           7.56  $                    6.80        $                    7.28  $                    7.56    $          6.30  $                    3.69  $                    6.33  $                    6.33
A4625 TRACHEOHOMY CLEAN & CARE TRAY 272  $           9.45  $           6.62  $           6.30  $           7.56  $                    6.80        $                    7.28  $                    7.56    $          6.30  $                    3.69  $                    6.33  $                    6.33
  BITE BLOCK 270  $           1.35  $           0.95  $           0.98  $           6.30  $                    0.98        $                    1.04  $                    1.08    $          6.30  $                    0.53  $                    0.91  $                    0.91
11046 DEB MUS/FASCIA ADD -ON =<20 SQ CM 761  $       943.95  $       660.77  $              -    $       755.16  $                679.64  $                        -    $                        -    $                        -    $                726.84  $                755.16    $      629.30  $                368.14  $                632.45  $                632.45
11055 PARING/CUT BENIGN SKIN LESION 761  $       943.95  $       660.77  $       168.95  $       755.16  $                679.64  $                177.40  $                177.40  $                168.95  $                726.84  $                755.16    $      629.30  $                368.14  $                632.45  $                632.45
  INDUSTRIAL PATFORM SCALE 500 LB CAPACITY 270  $       943.95  $       660.77  $       629.30  $       755.16  $                679.64        $                726.84  $                755.16    $      629.30  $                368.14  $                632.45  $                632.45
  Post-Partum Room Private 112  $       942.90  $       660.03  $       628.60  $    3,100.00  $                678.89        $                726.03  $                754.32  $ 3,100.00  $      628.60  $                367.73  $                631.74  $                631.74
  Post-Partum Room 112  $       942.90  $       660.03  $       628.60  $    3,100.00  $                678.89        $                726.03  $                754.32  $ 3,100.00  $      628.60  $                367.73  $                631.74  $                631.74
  HARMONIC HAND PEICE 270  $       939.75  $       657.83  $       626.50  $       751.80  $                676.62        $                723.61  $                751.80    $      626.50  $                366.50  $                629.63  $                629.63
  IUD, NEXPLANON 68MG 270  $       981.56  $       687.09  $       623.21  $       785.25  $                706.72        $                755.80  $                785.25    $      623.21  $                382.81  $                657.65  $                657.65
  EXPANDING FILE 270  $         19.94  $         13.96  $         14.36  $         62.99  $                  14.36        $                  15.35  $                  15.95    $        62.99  $                    7.78  $                  13.36  $                  13.36
  OTOSCOPE DIAG W/SPECULA 3.5V 270  $         94.26  $         65.98  $         62.84  $         75.41  $                  67.87        $                  72.58  $                  75.41    $        62.84  $                  36.76  $                  63.15  $                  63.15
82977 GLUTAMYLTRASFERASE GAMMA 301  $         94.19  $         65.93  $         26.23  $         75.35  $                  67.81  $                  30.85  $                  30.85  $                  26.23  $                  72.52  $                  75.35    $        62.79  $                  36.73  $                  63.10  $                  63.10
  DIAPER SCALE 270  $         93.99  $         65.79  $         62.66  $         75.19  $                  67.67        $                  72.37  $                  75.19    $        62.66  $                  36.65  $                  62.97  $                  62.97
  DEFIBRILLATION AED ELECTRODE ADULT 270  $         93.90  $         65.73  $         62.60  $         75.12  $                  67.61        $                  72.30  $                  75.12    $        62.60  $                  36.62  $                  62.91  $                  62.91
82728 ASSAY FERRITIN 521  $         93.45  $         65.42  $         49.65  $         74.76  $                  67.28  $                  58.40  $                  58.40  $                  49.65  $                  71.96  $                  74.76    $        62.30  $                  36.45  $                  62.61  $                  62.61
86603 ANTIBODY HEPATITIS C 521  $         93.45  $         65.42  $         46.88  $         74.76  $                  67.28  $                  55.14  $                  55.14  $                  46.88  $                  71.96  $                  74.76    $        62.30  $                  36.45  $                  62.61  $                  62.61
82482 CHOLINESTERASE RBC 301  $         93.45  $         65.42  $         28.94  $         74.76  $                  67.28  $                  34.04  $                  34.04  $                  28.94  $                  71.96  $                  74.76    $        62.30  $                  36.45  $                  62.61  $                  62.61
  EGG BUR (4.0MM) 270  $         93.45  $         65.42  $         62.30  $         74.76  $                  67.28        $                  71.96  $                  74.76    $        62.30  $                  36.45  $                  62.61  $                  62.61
  WIRE PASS DRILL (1.5MM) 270  $         93.45  $         65.42  $         62.30  $         74.76  $                  67.28        $                  71.96  $                  74.76    $        62.30  $                  36.45  $                  62.61  $                  62.61
82728 ASSAY FERRITIN 521  $         93.45  $         65.42  $         49.65  $         74.76  $                  67.28  $                  58.40  $                  58.40  $                  49.65  $                  71.96  $                  74.76    $        62.30  $                  36.45  $                  62.61  $                  62.61
86603 ANTIBODY HEPATITIS C 521  $         93.45  $         65.42  $         46.88  $         74.76  $                  67.28  $                  55.14  $                  55.14  $                  46.88  $                  71.96  $                  74.76    $        62.30  $                  36.45  $                  62.61  $                  62.61
76775 AORTA 402  $       933.66  $       653.56  $       141.93  $       746.93