"Charge Data for Spencer Municipal Hospital, 1200 First Avenue East, Spencer, Iowa, 51301, Iowa Hospital License 210037H, Data Effective November 1, 2023" CPT Code Charge Code Price per Unit Charge Code Description HCPCS Rev Code IP/OP Amerigroup Medicaid Amerigroup Medicare Advantage Avera Health Coventry - Commercial HMO Coventry - Commercial PPO Coventry Medicare Advantage (HMO and PPO) First Choice of Midwest Health Partners Humana Commercial "Humana Medicare Advantage  (PPO, HMO, PFFS)" Iowa Total Care Midlands Choice (All Others) Midlands Choice  (Morton Bldg) Midlands Choice (ILCC) Molina Healthcare Medicaid Sanford UHC Commercial UHC Medicare Advantage Wellmark HMO Wellmark Medicare Advantage Wellmark PPO De-identified Minimum Negotiated Charge across all payors De-identified Maximum Negotiated Charge across all payors Discounted Cash Price 100009 " 1,250 " Room BHS Adult Unit Semi 124 IP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 100017 420 Room Hospice Respite Care 115 IP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 100020 " 2,250 " Room ICU 200 IP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 100025 " 1,250 " Room Medical Unit Semi Private 120 IP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 100033 " 1,250 " Room Nursery 170 IP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 100041 420 Room Respite 110 IP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 100048 625 Room Swing Bed Skilled 129 IP N/A N/A 594 563 563 N/A 594 500 594 N/A N/A 594 531 531 N/A 594 563 N/A N/A N/A N/A 500 594 469 100052 " 1,250 " Room Womens Ctr Semi Private 122 IP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 100058 " 1,250 " Room Progressive Unit 121 IP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 100060 895 Room Hospice Semi Private 125 IP N/A N/A 850 806 806 N/A 850 716 850 N/A N/A 850 761 761 N/A 850 806 N/A N/A N/A N/A 716 850 671 100201 547 Observation Assess Direct Adm G0379 762 OP 534 477 520 492 492 477 520 438 520 482 534 520 465 465 534 520 492 477 N/A 482 N/A 438 534 410 100202 500 Observation 1st Hour G0378 762 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 100203 33 Observation Each Addl Hour G0378 762 OP N/A N/A 31 29 29 N/A 31 26 31 N/A N/A 31 28 28 N/A 31 29 N/A N/A N/A N/A 26 31 24 100204 52 Observation > 24 Hours G0378 762 OP N/A N/A 49 47 47 N/A 49 42 49 N/A N/A 49 44 44 N/A 49 47 N/A N/A N/A N/A 42 49 39 200002 372 Cath Insert Bladder Spec P9612 300 OP N/A N/A 353 335 335 N/A 353 297 353 N/A N/A 353 316 316 N/A 353 335 N/A N/A N/A N/A 297 353 279 200003 " 1,486 " Labor I Per Hour 720 OP N/A N/A " 1,412 " " 1,337 " " 1,337 " N/A " 1,412 " " 1,189 " " 1,412 " N/A N/A " 1,412 " " 1,263 " " 1,263 " N/A " 1,412 " " 1,337 " N/A N/A N/A N/A " 1,189 " " 1,412 " " 1,114 " 200004 " 3,141 " Labor II Per Hour 720 OP N/A N/A " 2,984 " " 2,827 " " 2,827 " N/A " 2,984 " " 2,513 " " 2,984 " N/A N/A " 2,984 " " 2,670 " " 2,670 " N/A " 2,984 " " 2,827 " N/A N/A N/A N/A " 2,513 " " 2,984 " " 2,356 " 200005 " 4,317 " Delivery Charge 720 OP N/A N/A " 4,101 " " 3,885 " " 3,885 " N/A " 4,101 " " 3,453 " " 4,101 " N/A N/A " 4,101 " " 3,669 " " 3,669 " N/A " 4,101 " " 3,885 " N/A N/A N/A N/A " 3,453 " " 4,101 " " 3,237 " 54160 200007 " 2,561 " ` 723 OP 609 544 " 2,433 " " 2,305 " " 2,305 " 544 " 2,433 " " 2,049 " " 2,433 " 550 609 " 2,433 " " 2,177 " " 2,177 " 609 " 2,433 " " 2,305 " 544 " 3,302 " 550 " 3,625 " 544 " 3,625 " " 1,921 " 200009 142 Telehealth Facility Fee Q3014 780 OP N/A N/A 135 128 128 N/A 135 114 135 N/A N/A 135 121 121 N/A 135 128 N/A 72 N/A 79 72 135 107 36415 200011 41 Venipuncture 300 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 15 N/A 16 15 39 31 36430 200012 425 Blood Administration 391 OP 397 355 404 383 383 355 404 340 404 359 397 404 361 361 397 404 383 355 451 359 495 340 495 319 36591 200013 110 Blood Draw Implanted VAD 761 OP 113 101 105 99 99 101 105 88 105 102 113 105 94 94 113 105 99 101 387 102 424 88 424 83 36592 200014 110 Blood Draw Cent/Periph Cath 761 OP 113 101 105 99 99 101 105 88 105 102 113 105 94 94 113 105 99 101 387 102 424 88 424 83 36593 200015 443 Declot/Thrombo Impl VAD 761 OP 324 290 421 399 399 290 421 355 421 292 324 421 377 377 324 421 399 290 539 292 592 290 592 333 51700 200016 671 Irrigation Bladder Simple 761 OP 209 187 638 604 604 187 638 537 638 189 209 638 571 571 209 638 604 187 321 189 353 187 638 504 51701 200017 372 Cath Insert Straight Non-Indwe 761 OP 113 101 353 335 335 101 353 297 353 102 113 353 316 316 113 353 335 101 321 102 353 101 353 279 51702 200018 372 Cath Insert Simple Indwelling 761 OP 113 101 353 335 335 101 353 297 353 102 113 353 316 316 113 353 335 101 321 102 353 101 353 279 51703 200019 372 Cath Insert Compl Indwelling 761 OP 142 127 353 335 335 127 353 297 353 128 142 353 316 316 142 353 335 127 321 128 353 127 353 279 51720 200021 " 2,343 " Bladder Instillation Chemo 761 OP 609 544 " 2,226 " " 2,109 " " 2,109 " 544 " 2,226 " " 1,875 " " 2,226 " 550 609 " 2,226 " " 1,992 " " 1,992 " 609 " 2,226 " " 2,109 " 544 489 550 537 489 " 2,226 " " 1,757 " 51798 200022 401 Bladder Scan 761 OP 56 50 381 361 361 50 381 321 381 51 56 381 341 341 56 381 361 50 321 51 353 50 381 301 86580 200023 58 TB Skin Test 302 OP 24 22 55 52 52 22 55 46 55 22 24 55 49 49 24 55 52 22 43 22 47 22 55 43 90471 200024 143 Immunization Admin Hepatitis G0010 771 OP 41 59 136 129 129 59 136 115 136 59 41 136 122 122 41 136 129 59 32 59 35 32 136 108 90471 200025 143 Immunization Admin Influenza G0008 771 OP 41 59 136 129 129 59 136 115 136 59 41 136 122 122 41 136 129 59 32 59 35 32 136 108 90471 200026 143 Immunization Admin Pneumo G0009 771 OP 41 59 136 129 129 59 136 115 136 59 41 136 122 122 41 136 129 59 32 59 35 32 136 108 90471 200027 143 Immunization Administration 771 OP 66 59 136 129 129 59 136 115 136 59 66 136 122 122 66 136 129 59 32 59 35 32 136 108 96360 200029 300 Inf Therapy Hyd Initial 260 OP 201 180 285 270 270 180 285 240 285 182 201 285 255 255 201 285 270 180 539 182 592 180 592 225 96361 200030 584 Inf Therapy Hyd Ea Addl Hour 260 OP 41 37 555 525 525 37 555 467 555 37 41 555 496 496 41 555 525 37 618 37 678 37 678 438 96365 200031 570 Inf Therapy Med Initial 260 OP 201 180 542 513 513 180 542 456 542 182 201 542 485 485 201 542 513 180 539 182 592 180 592 428 96366 200032 584 Inf Therapy Med Ea Addl Hr 260 OP 41 37 555 525 525 37 555 467 555 37 41 555 496 496 41 555 525 37 618 37 678 37 678 438 96367 200033 536 Inf Therapy Med Sequential 260 OP 66 59 509 483 483 59 509 429 509 59 66 509 456 456 66 509 483 59 539 59 592 59 592 402 96368 200034 536 Inf Therapy Med Concurrent 260 OP N/A N/A 509 483 483 N/A 509 429 509 N/A N/A 509 456 456 N/A 509 483 N/A 539 N/A 592 429 592 402 96372 200036 143 Subq IM Injection 260 OP 66 59 136 129 129 59 136 115 136 59 66 136 122 122 66 136 129 59 32 59 35 32 136 108 96374 200038 201 IV Push Injection Initial 260 OP 201 180 191 181 181 180 191 161 191 182 201 191 171 171 201 191 181 180 32 182 35 32 201 150 96375 200039 143 IV Injection Subsequent 260 OP 41 37 136 129 129 37 136 115 136 37 41 136 122 122 41 136 129 37 32 37 35 32 136 108 96376 200040 143 IV Injection Ea Addl Same Drug 260 OP N/A N/A 136 129 129 N/A 136 115 136 N/A N/A 136 122 122 N/A 136 129 N/A 32 N/A 35 32 136 108 96401 200041 552 Injection Chemo Sq/IM Nonhorm 331 OP 66 59 525 497 497 59 525 442 525 59 66 525 469 469 66 525 497 59 32 59 35 32 525 414 96402 200042 552 Injection Chemo Sq/IM Hormonal 331 OP 66 59 525 497 497 59 525 442 525 59 66 525 469 469 66 525 497 59 32 59 35 32 525 414 96409 200043 623 Chemotherapy IV Push 331 OP 201 180 592 561 561 180 592 499 592 182 201 592 530 530 201 592 561 180 32 182 35 32 592 467 96411 200044 71 Chemotherapy IV Push Addl 331 OP 66 59 67 64 64 59 67 57 67 59 66 67 60 60 66 67 64 59 32 59 35 32 67 53 96413 200045 693 Chemotherapy Inf Initial 335 OP 324 290 658 623 623 290 658 554 658 292 324 658 589 589 324 658 623 290 539 292 592 290 658 519 96415 200046 584 Chemotherapy Inf Ea Addl Hr 335 OP 66 59 555 525 525 59 555 467 555 59 66 555 496 496 66 555 525 59 618 59 678 59 678 438 96417 200047 661 Chemotherapy Inf Sequential 335 OP 66 59 628 595 595 59 628 529 628 59 66 628 562 562 66 628 595 59 539 59 592 59 628 496 96416 200049 737 Chemo Prolong Infuse W Pump 335 OP 324 290 701 664 664 290 701 590 701 292 324 701 627 627 324 701 664 290 618 292 678 290 701 553 96523 200053 166 Implanted VAD Flush 761 OP 56 50 158 149 149 50 158 133 158 51 56 158 141 141 56 158 149 50 32 51 35 32 158 125 99211 200054 226 Enema Procedure G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99211 200055 416 Flush Port Or Cath Non Implant G0463 761 OP 118 N/A 396 375 375 N/A 396 333 396 N/A 118 396 354 354 118 396 375 N/A N/A N/A N/A 118 396 312 99214 200058 226 OB Outpatient Visit A G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 59025 200060 632 Fetal Non Stress 920 OP 174 155 600 568 568 155 600 505 600 157 174 600 537 537 174 600 568 155 446 157 490 155 600 474 29580 200064 826 Apply Unna Boot 761 OP 142 127 785 743 743 127 785 661 785 128 142 785 702 702 142 785 743 127 372 128 409 127 785 619 97605 200066 776 Neg Pressure Wound DME <50 CM 761 OP 176 157 737 699 699 157 737 621 737 159 176 737 660 660 176 737 699 157 594 159 652 157 737 582 99211 200076 226 Est Patient Level 1 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99212 200077 226 Est Patient Level 2 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99213 200078 226 Est Patient Level 3 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99214 200079 226 Est Patient Level 4 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99215 200080 226 Est Patient Level 5 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99211 200081 226 Dressing Change Only G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99212 200083 226 Est Patient Level 2 G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99202 200088 226 New Patient Level 2 G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 11721 200103 65 Debride Nails 6-10 761 OP 56 50 62 59 59 50 62 52 62 51 56 62 55 55 56 62 59 50 366 51 402 50 402 49 94780 200119 265 Car Seat Challenge 60 Min 460 OP 33 30 252 239 239 30 252 212 252 30 33 252 225 225 33 252 239 30 186 30 204 30 252 199 G0277 200124 448 "Hyperbaric Oxygen Therapy, 30M" 413 OP 122 109 425 403 403 109 425 358 425 110 122 425 381 381 122 425 403 109 " 1,132 " 110 " 1,243 " 109 " 1,243 " 336 10060 200125 " 1,233 " I&D Abscess or Cyst 761 OP 176 157 " 1,171 " " 1,110 " " 1,110 " 157 " 1,171 " 986 " 1,171 " 159 176 " 1,171 " " 1,048 " " 1,048 " 176 " 1,171 " " 1,110 " 157 316 159 347 157 " 1,171 " 925 10140 200129 " 2,283 " I&D Hematoma Seroma 761 OP " 1,461 " " 1,305 " " 2,169 " " 2,055 " " 2,055 " " 1,305 " " 2,169 " " 1,826 " " 2,169 " " 1,319 " " 1,461 " " 2,169 " " 1,941 " " 1,941 " " 1,461 " " 2,169 " " 2,055 " " 1,305 " " 2,092 " " 1,319 " " 2,297 " " 1,305 " " 2,297 " " 1,712 " 10160 200130 " 1,233 " Punc Asp Abscess Hematoma Cyst 761 OP 364 325 " 1,171 " " 1,110 " " 1,110 " 325 " 1,171 " 986 " 1,171 " 328 364 " 1,171 " " 1,048 " " 1,048 " 364 " 1,171 " " 1,110 " 325 316 328 347 316 " 1,171 " 925 11042 200132 " 1,688 " Debride Skin Subq 20 CM 761 OP 364 325 " 1,604 " " 1,519 " " 1,519 " 325 " 1,604 " " 1,351 " " 1,604 " 328 364 " 1,604 " " 1,435 " " 1,435 " 364 " 1,604 " " 1,519 " 325 " 1,132 " 328 " 1,243 " 325 " 1,604 " " 1,266 " 11045 200133 844 Debride Skin Subq Addl 20 CM 761 OP N/A N/A 802 760 760 N/A 802 675 802 N/A N/A 802 717 717 N/A 802 760 N/A " 3,528 " N/A " 3,874 " 675 " 3,874 " 633 11044 200136 " 4,719 " Debride Bone 20 CM 761 OP " 1,461 " " 1,305 " " 4,483 " " 4,247 " " 4,247 " " 1,305 " " 4,483 " " 3,776 " " 4,483 " " 1,319 " " 1,461 " " 4,483 " " 4,012 " " 4,012 " " 1,461 " " 4,483 " " 4,247 " " 1,305 " " 3,528 " " 1,319 " " 3,874 " " 1,305 " " 4,483 " " 3,540 " 11055 200138 475 Pare 1 Benign Lesion 761 OP 176 157 451 428 428 157 451 380 451 159 176 451 404 404 176 451 428 157 316 159 347 157 451 356 11056 200139 475 Pare 2-4 Benign Lesions 761 OP 176 157 451 428 428 157 451 380 451 159 176 451 404 404 176 451 428 157 316 159 347 157 451 356 G0127 200144 50 Trim Nail(s) 761 OP 56 50 48 45 45 50 48 40 48 51 56 48 43 43 56 48 45 50 366 51 402 40 402 38 16020 200160 394 Dress/Debride Small Burn 761 OP 176 157 374 354 354 157 374 315 374 159 176 374 335 335 176 374 354 157 594 159 652 157 652 295 16025 200161 862 Dress/Debride Medium Burn 761 OP 176 157 819 776 776 157 819 689 819 159 176 819 733 733 176 819 776 157 594 159 652 157 819 646 17250 200163 696 Chemical Cauterization Tissue 761 OP 176 157 662 627 627 157 662 557 662 159 176 662 592 592 176 662 627 157 316 159 347 157 662 522 29445 200171 550 Rigid Total Contact Leg Cast 761 OP 234 209 523 495 495 209 523 440 523 211 234 523 468 468 234 523 495 209 372 211 409 209 523 413 29581 200172 826 Appl Multi Layer Ven Wnd Compr 761 OP 142 127 785 743 743 127 785 661 785 128 142 785 702 702 142 785 743 127 372 128 409 127 785 619 97597 200176 748 Debride Wound 1st 20 CM 761 OP 176 157 710 673 673 157 710 598 710 159 176 710 635 635 176 710 673 157 594 159 652 157 710 561 97598 200177 466 Debride Wound Addl 20 CM 761 OP N/A N/A 443 419 419 N/A 443 373 443 N/A N/A 443 396 396 N/A 443 419 N/A " 3,528 " N/A " 3,874 " 373 " 3,874 " 349 15271 200181 " 4,707 " Skin Substitute Graft 25 Sq CM 761 OP " 1,682 " " 1,502 " " 4,471 " " 4,236 " " 4,236 " " 1,502 " " 4,471 " " 3,765 " " 4,471 " " 1,518 " " 1,682 " " 4,471 " " 4,001 " " 4,001 " " 1,682 " " 4,471 " " 4,236 " " 1,502 " " 2,928 " " 1,518 " " 3,215 " " 1,502 " " 4,471 " " 3,530 " 15272 200182 " 1,734 " Skin Substitute Graft Addl 25 761 OP N/A N/A " 1,647 " " 1,560 " " 1,560 " N/A " 1,647 " " 1,387 " " 1,647 " N/A N/A " 1,647 " " 1,474 " " 1,474 " N/A " 1,647 " " 1,560 " N/A " 2,928 " N/A " 3,215 " " 1,387 " " 3,215 " " 1,300 " 15275 200185 " 4,707 " Skin Substitute Graft 25 Sq CM 761 OP " 1,682 " " 1,502 " " 4,471 " " 4,236 " " 4,236 " " 1,502 " " 4,471 " " 3,765 " " 4,471 " " 1,518 " " 1,682 " " 4,471 " " 4,001 " " 4,001 " " 1,682 " " 4,471 " " 4,236 " " 1,502 " " 2,928 " " 1,518 " " 3,215 " " 1,502 " " 4,471 " " 3,530 " 99211 200192 226 Pain Clinic Consult G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99211 200195 226 PICC/CADD/IV Line Removal G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99215 200200 226 OB Outpatient Visit B G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 36410 200201 78 Insertion MidLine Catheter 761 OP N/A N/A 74 70 70 N/A 74 63 74 N/A N/A 74 66 66 N/A 74 70 N/A 387 N/A 424 63 424 59 11104 200210 " 1,764 " Punch Biopsy 1st Lesion 761 OP 364 325 " 1,676 " " 1,588 " " 1,588 " 325 " 1,676 " " 1,411 " " 1,676 " 328 364 " 1,676 " " 1,499 " " 1,499 " 364 " 1,676 " " 1,588 " 325 729 328 801 325 " 1,676 " " 1,323 " 36573 200213 " 1,426 " Insert PICC >5 yrs w Img Gde 761 OP " 1,450 " " 1,295 " " 1,355 " " 1,284 " " 1,284 " " 1,295 " " 1,355 " " 1,141 " " 1,355 " " 1,308 " " 1,450 " " 1,355 " " 1,212 " " 1,212 " " 1,450 " " 1,355 " " 1,284 " " 1,295 " " 2,205 " " 1,308 " " 2,421 " " 1,141 " " 2,421 " " 1,070 " 92558 200216 " 1,011 " Newborn OP Hearing Screening 761 OP N/A N/A 960 910 910 N/A 960 809 960 N/A N/A 960 859 859 N/A 960 910 N/A 122 N/A 134 122 960 758 200236 " 2,226 " Chest Tube Insertion 761 OP N/A N/A " 2,115 " " 2,004 " " 2,004 " N/A " 2,115 " " 1,781 " " 2,115 " N/A N/A " 2,115 " " 1,892 " " 1,892 " N/A " 2,115 " " 2,004 " N/A N/A N/A N/A " 1,781 " " 2,115 " " 1,670 " 200245 " 3,831 " Frenulotomy/Frenotomy 761 OP N/A N/A " 3,640 " " 3,448 " " 3,448 " N/A " 3,640 " " 3,065 " " 3,640 " N/A N/A " 3,640 " " 3,257 " " 3,257 " N/A " 3,640 " " 3,448 " N/A N/A N/A N/A " 3,065 " " 3,640 " " 2,873 " 88720 200247 99 Bilirubin Transcutaneous 300 OP N/A N/A 94 89 89 N/A 94 80 94 N/A N/A 94 85 85 N/A 94 89 N/A 27 N/A 30 27 94 75 94781 200248 277 Car Seat Challenge Ea Add 30 460 OP N/A N/A 263 249 249 N/A 263 221 263 N/A N/A 263 235 235 N/A 263 249 N/A 186 N/A 204 186 263 208 0002A 200252 74 Imm Admin Covid Pfizer 2nd Dse 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 0011A 200253 74 Imm Admin Covid Moderna 1st Ds 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 0012A 200254 74 Imm Admin Covid Moderna 2nd Ds 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 58300 200257 286 IUD Insertion 510 OP N/A N/A 272 258 258 N/A 272 229 272 N/A N/A 272 243 243 N/A 272 258 N/A 255 N/A 280 229 280 215 99152 200267 310 Mod Sedation Same MD >5 YRS 360 OP N/A N/A 295 279 279 N/A 295 248 295 N/A N/A 295 264 264 N/A 295 279 N/A 51 N/A 56 51 295 233 M0243 200276 693 IV Infus Casirivimab/Imdevimab 771 OP N/A 392 658 623 623 392 658 554 658 396 N/A 658 589 589 N/A 658 623 392 539 396 592 392 658 519 36620 200282 " 2,177 " Insertion Arterial Line 761 OP N/A N/A " 2,068 " " 1,959 " " 1,959 " N/A " 2,068 " " 1,742 " " 2,068 " N/A N/A " 2,068 " " 1,850 " " 1,850 " N/A " 2,068 " " 1,959 " N/A " 1,353 " N/A " 1,486 " " 1,353 " " 2,068 " " 1,633 " M0245 200283 693 IV Infus Bamlan/Etesevim w/Mon 771 OP N/A 392 658 623 623 392 658 554 658 396 N/A 658 589 589 N/A 658 623 392 539 396 592 392 658 519 36600 200284 131 Arterial Puncture 761 OP 113 101 125 118 118 101 125 105 125 102 113 125 112 112 113 125 118 101 387 102 424 101 424 98 99202 200287 226 New Patient Level 2 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99203 200288 226 New Patient Level 3 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99204 200289 226 New Patient Level 4 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99205 200290 226 New Patient Level 5 Wound Care G0463 761 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 11300 200304 706 Shave Lesion <0.5 Trunk Limbs 761 OP 364 325 671 636 636 325 671 565 671 328 364 671 600 600 364 671 636 325 316 328 347 316 671 530 0013A 200355 74 Immnzatn Admin 3rd dose 30 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 31500 200358 " 2,435 " Intubation 360 OP 203 181 " 2,314 " " 2,192 " " 2,192 " 181 " 2,314 " " 1,948 " " 2,314 " 183 203 " 2,314 " " 2,070 " " 2,070 " 203 " 2,314 " " 2,192 " 181 " 1,821 " 183 " 2,000 " 181 " 2,314 " " 1,827 " 92650 200363 200 "AEP, Screening Broad Stimuli" 761 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A 122 N/A 134 122 190 150 0004A 200369 74 Immnzatn Admin Booster 30 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 97610 200371 712 Low Freq Non-Thermal US 761 OP 176 157 676 641 641 157 676 569 676 159 176 676 605 605 176 676 641 157 594 159 652 157 676 534 92950 200373 " 2,896 " Heart/Lung Resuscitation CPR 480 OP 273 244 " 2,751 " " 2,607 " " 2,607 " 244 " 2,751 " " 2,317 " " 2,751 " 246 273 " 2,751 " " 2,462 " " 2,462 " 273 " 2,751 " " 2,607 " 244 " 1,821 " 246 " 2,000 " 244 " 2,751 " " 2,172 " M0247 200375 713 Sotrovimab Infusion 771 OP N/A 392 677 642 642 392 677 570 677 396 N/A 677 606 606 N/A 677 642 392 539 396 592 392 677 535 M0220 200384 45 "Injection, Tixagev/Cilgavimab" 771 OP N/A N/A 43 41 41 N/A 43 36 43 N/A N/A 43 38 38 N/A 43 41 N/A 32 N/A 35 32 43 34 M0222 200388 45 Injection Bebtelovimab 771 OP N/A 305 43 41 41 305 43 36 43 308 N/A 43 38 38 N/A 43 41 305 32 308 35 32 308 34 0054A 200393 74 Immnzatn Admin Booster 30 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 200397 341 Nasopharyngoscopy 761 OP N/A N/A 324 307 307 N/A 324 273 324 N/A N/A 324 290 290 N/A 324 307 N/A N/A N/A N/A 273 324 256 99465 203020 " 1,907 " Neonatal Resuscitation 720 OP 573 512 " 1,811 " " 1,716 " " 1,716 " 512 " 1,811 " " 1,525 " " 1,811 " 517 573 " 1,811 " " 1,621 " " 1,621 " 573 " 1,811 " " 1,716 " 512 " 1,821 " 517 " 2,000 " 512 " 2,000 " " 1,430 " 205209 74 Immnzatn Admin Booster 50 mcg 771 OP N/A N/A 70 67 67 N/A 70 59 70 N/A N/A 70 63 63 N/A 70 67 N/A N/A N/A N/A 59 70 56 29580 220064 " 1,239 " Apply Unna Boot BI 761 OP 142 127 " 1,177 " " 1,115 " " 1,115 " 127 " 1,177 " 991 " 1,177 " 128 142 " 1,177 " " 1,053 " " 1,053 " 142 " 1,177 " " 1,115 " 127 372 128 409 127 " 1,177 " 929 400002 " 4,500 " OR Level 1 360 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 400003 500 OR Level 1 Ea Addl 15 Min 360 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 400004 " 5,500 " OR Level 2 360 OP N/A N/A " 5,225 " " 4,950 " " 4,950 " N/A " 5,225 " " 4,400 " " 5,225 " N/A N/A " 5,225 " " 4,675 " " 4,675 " N/A " 5,225 " " 4,950 " N/A N/A N/A N/A " 4,400 " " 5,225 " " 4,125 " 400005 500 OR Level 2 Ea Addl 15 Min 360 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 400006 " 8,500 " OR Level 3 360 OP N/A N/A " 8,075 " " 7,650 " " 7,650 " N/A " 8,075 " " 6,800 " " 8,075 " N/A N/A " 8,075 " " 7,225 " " 7,225 " N/A " 8,075 " " 7,650 " N/A N/A N/A N/A " 6,800 " " 8,075 " " 6,375 " 400007 750 OR Level 3 Ea Addl 15 Min 360 OP N/A N/A 713 675 675 N/A 713 600 713 N/A N/A 713 638 638 N/A 713 675 N/A N/A N/A N/A 600 713 563 400008 " 10,000 " OR Level 4 360 OP N/A N/A " 9,500 " " 9,000 " " 9,000 " N/A " 9,500 " " 8,000 " " 9,500 " N/A N/A " 9,500 " " 8,500 " " 8,500 " N/A " 9,500 " " 9,000 " N/A N/A N/A N/A " 8,000 " " 9,500 " " 7,500 " 400009 " 1,000 " OR Level 4 Ea Addl 15 Min 360 OP N/A N/A 950 900 900 N/A 950 800 950 N/A N/A 950 850 850 N/A 950 900 N/A N/A N/A N/A 800 950 750 400010 " 11,000 " OR Level 5 360 OP N/A N/A " 10,450 " " 9,900 " " 9,900 " N/A " 10,450 " " 8,800 " " 10,450 " N/A N/A " 10,450 " " 9,350 " " 9,350 " N/A " 10,450 " " 9,900 " N/A N/A N/A N/A " 8,800 " " 10,450 " " 8,250 " 400011 " 1,000 " OR Level 5 Ea Addl 15 Min 360 OP N/A N/A 950 900 900 N/A 950 800 950 N/A N/A 950 850 850 N/A 950 900 N/A N/A N/A N/A 800 950 750 400012 " 11,000 " OR Level 6 360 OP N/A N/A " 10,450 " " 9,900 " " 9,900 " N/A " 10,450 " " 8,800 " " 10,450 " N/A N/A " 10,450 " " 9,350 " " 9,350 " N/A " 10,450 " " 9,900 " N/A N/A N/A N/A " 8,800 " " 10,450 " " 8,250 " 400013 500 OR Level 6 Ea Addl 15 Min 360 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 400026 " 5,800 " Cataract 360 OP N/A N/A " 5,510 " " 5,220 " " 5,220 " N/A " 5,510 " " 4,640 " " 5,510 " N/A N/A " 5,510 " " 4,930 " " 4,930 " N/A " 5,510 " " 5,220 " N/A N/A N/A N/A " 4,640 " " 5,510 " " 4,350 " 400027 " 3,350 " EGD 750 OP N/A N/A " 3,183 " " 3,015 " " 3,015 " N/A " 3,183 " " 2,680 " " 3,183 " N/A N/A " 3,183 " " 2,848 " " 2,848 " N/A " 3,183 " " 3,015 " N/A N/A N/A N/A " 2,680 " " 3,183 " " 2,513 " 400028 " 3,700 " Colonoscopy 750 OP N/A N/A " 3,515 " " 3,330 " " 3,330 " N/A " 3,515 " " 2,960 " " 3,515 " N/A N/A " 3,515 " " 3,145 " " 3,145 " N/A " 3,515 " " 3,330 " N/A N/A N/A N/A " 2,960 " " 3,515 " " 2,775 " 400029 " 7,325 " EGD/Colonoscopy 750 OP N/A N/A " 6,959 " " 6,593 " " 6,593 " N/A " 6,959 " " 5,860 " " 6,959 " N/A N/A " 6,959 " " 6,226 " " 6,226 " N/A " 6,959 " " 6,593 " N/A N/A N/A N/A " 5,860 " " 6,959 " " 5,494 " 400031 " 4,025 " EGD w/Biopsy 750 OP N/A N/A " 3,824 " " 3,623 " " 3,623 " N/A " 3,824 " " 3,220 " " 3,824 " N/A N/A " 3,824 " " 3,421 " " 3,421 " N/A " 3,824 " " 3,623 " N/A N/A N/A N/A " 3,220 " " 3,824 " " 3,019 " 400032 " 3,700 " Colonoscopy w/ Biopsy 750 OP N/A N/A " 3,515 " " 3,330 " " 3,330 " N/A " 3,515 " " 2,960 " " 3,515 " N/A N/A " 3,515 " " 3,145 " " 3,145 " N/A " 3,515 " " 3,330 " N/A N/A N/A N/A " 2,960 " " 3,515 " " 2,775 " 400033 " 7,325 " EGD/Colonoscopy w/ Bx 750 OP N/A N/A " 6,959 " " 6,593 " " 6,593 " N/A " 6,959 " " 5,860 " " 6,959 " N/A N/A " 6,959 " " 6,226 " " 6,226 " N/A " 6,959 " " 6,593 " N/A N/A N/A N/A " 5,860 " " 6,959 " " 5,494 " 400035 " 1,394 " Pain Procedure 360 OP N/A N/A " 1,325 " " 1,255 " " 1,255 " N/A " 1,325 " " 1,115 " " 1,325 " N/A N/A " 1,325 " " 1,185 " " 1,185 " N/A " 1,325 " " 1,255 " N/A N/A N/A N/A " 1,115 " " 1,325 " " 1,046 " 400036 " 4,025 " EGD with Dilatation 750 OP N/A N/A " 3,824 " " 3,623 " " 3,623 " N/A " 3,824 " " 3,220 " " 3,824 " N/A N/A " 3,824 " " 3,421 " " 3,421 " N/A " 3,824 " " 3,623 " N/A N/A N/A N/A " 3,220 " " 3,824 " " 3,019 " 400037 " 2,900 " EGD with PEG Placement 750 OP N/A N/A " 2,755 " " 2,610 " " 2,610 " N/A " 2,755 " " 2,320 " " 2,755 " N/A N/A " 2,755 " " 2,465 " " 2,465 " N/A " 2,755 " " 2,610 " N/A N/A N/A N/A " 2,320 " " 2,755 " " 2,175 " 400038 " 4,025 " EGD with Foreign Body Removal 750 OP N/A N/A " 3,824 " " 3,623 " " 3,623 " N/A " 3,824 " " 3,220 " " 3,824 " N/A N/A " 3,824 " " 3,421 " " 3,421 " N/A " 3,824 " " 3,623 " N/A N/A N/A N/A " 3,220 " " 3,824 " " 3,019 " 400047 " 2,092 " Pain Injection Bilat or Mult 360 OP N/A N/A " 1,987 " " 1,882 " " 1,882 " N/A " 1,987 " " 1,673 " " 1,987 " N/A N/A " 1,987 " " 1,778 " " 1,778 " N/A " 1,987 " " 1,882 " N/A N/A N/A N/A " 1,673 " " 1,987 " " 1,569 " 400048 " 19,000 " Arthroscopy Shoulder 360 OP N/A N/A " 18,050 " " 17,100 " " 17,100 " N/A " 18,050 " " 15,200 " " 18,050 " N/A N/A " 18,050 " " 16,150 " " 16,150 " N/A " 18,050 " " 17,100 " N/A N/A N/A N/A " 15,200 " " 18,050 " " 14,250 " 400049 " 3,700 " Circumcision 360 OP N/A N/A " 3,515 " " 3,330 " " 3,330 " N/A " 3,515 " " 2,960 " " 3,515 " N/A N/A " 3,515 " " 3,145 " " 3,145 " N/A " 3,515 " " 3,330 " N/A N/A N/A N/A " 2,960 " " 3,515 " " 2,775 " 400050 " 10,000 " Glaucome Stent Valve Placement 360 OP N/A N/A " 9,500 " " 9,000 " " 9,000 " N/A " 9,500 " " 8,000 " " 9,500 " N/A N/A " 9,500 " " 8,500 " " 8,500 " N/A " 9,500 " " 9,000 " N/A N/A N/A N/A " 8,000 " " 9,500 " " 7,500 " 400051 " 10,000 " Kyphoplasty 360 OP N/A N/A " 9,500 " " 9,000 " " 9,000 " N/A " 9,500 " " 8,000 " " 9,500 " N/A N/A " 9,500 " " 8,500 " " 8,500 " N/A " 9,500 " " 9,000 " N/A N/A N/A N/A " 8,000 " " 9,500 " " 7,500 " 400052 " 2,800 " Sigmoidoscopy 360 OP N/A N/A " 2,660 " " 2,520 " " 2,520 " N/A " 2,660 " " 2,240 " " 2,660 " N/A N/A " 2,660 " " 2,380 " " 2,380 " N/A " 2,660 " " 2,520 " N/A N/A N/A N/A " 2,240 " " 2,660 " " 2,100 " 400053 " 3,500 " Dental Extractions 360 OP N/A N/A " 3,325 " " 3,150 " " 3,150 " N/A " 3,325 " " 2,800 " " 3,325 " N/A N/A " 3,325 " " 2,975 " " 2,975 " N/A " 3,325 " " 3,150 " N/A N/A N/A N/A " 2,800 " " 3,325 " " 2,625 " 400054 " 15,150 " ESWL 790 OP N/A N/A " 14,393 " " 13,635 " " 13,635 " N/A " 14,393 " " 12,120 " " 14,393 " N/A N/A " 14,393 " " 12,878 " " 12,878 " N/A " 14,393 " " 13,635 " N/A N/A N/A N/A " 12,120 " " 14,393 " " 11,363 " 400055 " 17,080 " Prostate Brachytherapy 360 OP N/A N/A " 16,226 " " 15,372 " " 15,372 " N/A " 16,226 " " 13,664 " " 16,226 " N/A N/A " 16,226 " " 14,518 " " 14,518 " N/A " 16,226 " " 15,372 " N/A N/A N/A N/A " 13,664 " " 16,226 " " 12,810 " 76873 400056 " 3,750 " Prostate Volume Study 402 OP 104 93 " 3,563 " " 3,375 " " 3,375 " 93 " 3,563 " " 3,000 " " 3,563 " 94 104 " 3,563 " " 3,188 " " 3,188 " 104 " 3,563 " " 3,375 " 93 383 94 420 93 " 3,563 " " 2,813 " 400057 " 6,900 " Hysteroscopy 360 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 400058 " 4,500 " D&C 360 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 76942 400061 701 US Guide for Needle Placement 402 OP N/A N/A 666 631 631 N/A 666 561 666 N/A N/A 666 596 596 N/A 666 631 N/A 304 N/A 334 304 666 526 76000 400062 604 Mini C Arm Fluoro 320 OP 228 203 574 544 544 203 574 483 574 205 228 574 513 513 228 574 544 203 296 205 325 203 574 453 400063 " 3,012 " Cystoscopy w Stent Placement 360 OP N/A N/A " 2,861 " " 2,711 " " 2,711 " N/A " 2,861 " " 2,410 " " 2,861 " N/A N/A " 2,861 " " 2,560 " " 2,560 " N/A " 2,861 " " 2,711 " N/A N/A N/A N/A " 2,410 " " 2,861 " " 2,259 " 400064 " 3,012 " Cystoscopy w Stent Removal 360 OP N/A N/A " 2,861 " " 2,711 " " 2,711 " N/A " 2,861 " " 2,410 " " 2,861 " N/A N/A " 2,861 " " 2,560 " " 2,560 " N/A " 2,861 " " 2,711 " N/A N/A N/A N/A " 2,410 " " 2,861 " " 2,259 " 400065 " 11,141 " Goniotomy 360 OP N/A N/A " 10,584 " " 10,027 " " 10,027 " N/A " 10,584 " " 8,913 " " 10,584 " N/A N/A " 10,584 " " 9,470 " " 9,470 " N/A " 10,584 " " 10,027 " N/A N/A N/A N/A " 8,913 " " 10,584 " " 8,356 " 400068 " 2,391 " Cystoscopy 360 OP N/A N/A " 2,271 " " 2,152 " " 2,152 " N/A " 2,271 " " 1,913 " " 2,271 " N/A N/A " 2,271 " " 2,032 " " 2,032 " N/A " 2,271 " " 2,152 " N/A N/A N/A N/A " 1,913 " " 2,271 " " 1,793 " 77778 400069 " 1,461 " Interstitial Radiation Complex 333 OP 703 628 " 1,388 " " 1,315 " " 1,315 " 628 " 1,388 " " 1,169 " " 1,388 " 635 703 " 1,388 " " 1,242 " " 1,242 " 703 " 1,388 " " 1,315 " 628 " 2,478 " 635 " 2,721 " 628 " 2,721 " " 1,096 " 400073 " 4,025 " EGD with Bravo 750 OP N/A N/A " 3,824 " " 3,623 " " 3,623 " N/A " 3,824 " " 3,220 " " 3,824 " N/A N/A " 3,824 " " 3,421 " " 3,421 " N/A " 3,824 " " 3,623 " N/A N/A N/A N/A " 3,220 " " 3,824 " " 3,019 " 600005 625 Recovery Phase II 0-2 Hours 710 OP N/A N/A 594 563 563 N/A 594 500 594 N/A N/A 594 531 531 N/A 594 563 N/A N/A N/A N/A 500 594 469 600006 " 1,250 " Recovery Phase II 2-4 Hours 710 OP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 600007 " 1,250 " Recovery Phase II 4-6 Hours 710 OP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 600008 " 1,250 " Recovery Phase II 6-8 Hours 710 OP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 600009 " 1,250 " Recovery Phase II 8-10 Hours 710 OP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 600010 " 1,250 " Recovery Phase II 10-12 Hours 710 OP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 600011 " 1,250 " Recovery Phase II > 12 Hours 710 OP N/A N/A " 1,188 " " 1,125 " " 1,125 " N/A " 1,188 " " 1,000 " " 1,188 " N/A N/A " 1,188 " " 1,063 " " 1,063 " N/A " 1,188 " " 1,125 " N/A N/A N/A N/A " 1,000 " " 1,188 " 938 62273 600022 " 1,655 " Epidural Blood Patch 360 OP 628 561 " 1,572 " " 1,489 " " 1,489 " 561 " 1,572 " " 1,324 " " 1,572 " 567 628 " 1,572 " " 1,407 " " 1,407 " 628 " 1,572 " " 1,489 " 561 " 1,462 " 567 " 1,605 " 561 " 1,605 " " 1,241 " 64450 600026 " 1,394 " Nerve Block Popliteal Nerve 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 658 567 722 561 " 1,325 " " 1,046 " 62270 600046 " 1,245 " Lumbar Puncture Dx w/o Gde 360 OP 628 561 " 1,183 " " 1,120 " " 1,120 " 561 " 1,183 " 996 " 1,183 " 567 628 " 1,183 " " 1,058 " " 1,058 " 628 " 1,183 " " 1,120 " 561 " 1,462 " 567 " 1,605 " 561 " 1,605 " 934 36620 600048 " 1,749 " Insertion Catheter Artery 360 OP N/A N/A " 1,661 " " 1,574 " " 1,574 " N/A " 1,661 " " 1,399 " " 1,661 " N/A N/A " 1,661 " " 1,487 " " 1,487 " N/A " 1,661 " " 1,574 " N/A " 1,353 " N/A " 1,486 " " 1,353 " " 1,661 " " 1,312 " 600064 225 Recovery Phase 1 Per 15 Min 710 OP N/A N/A 214 203 203 N/A 214 180 214 N/A N/A 214 191 191 N/A 214 203 N/A N/A N/A N/A 180 214 169 600074 392 I&D 360 OP N/A N/A 373 353 353 N/A 373 314 373 N/A N/A 373 333 333 N/A 373 353 N/A N/A N/A N/A 314 373 294 600082 " 1,278 " G-Tube Replacement 360 OP N/A N/A " 1,214 " " 1,150 " " 1,150 " N/A " 1,214 " " 1,022 " " 1,214 " N/A N/A " 1,214 " " 1,086 " " 1,086 " N/A " 1,214 " " 1,150 " N/A N/A N/A N/A " 1,022 " " 1,214 " 958 51720 600090 " 2,343 " Bladder Instillation Chemo 360 OP 609 544 " 2,226 " " 2,109 " " 2,109 " 544 " 2,226 " " 1,875 " " 2,226 " 550 609 " 2,226 " " 1,992 " " 1,992 " 609 " 2,226 " " 2,109 " 544 489 550 537 489 " 2,226 " " 1,757 " 76937 600092 426 US Guide Vascular Access 402 OP N/A N/A 404 383 383 N/A 404 341 404 N/A N/A 404 362 362 N/A 404 383 N/A 304 N/A 334 304 404 319 36410 600093 78 Insertion MidLine Catheter 360 OP N/A N/A 74 70 70 N/A 74 63 74 N/A N/A 74 66 66 N/A 74 70 N/A 387 N/A 424 63 424 59 99211 600096 226 PICC Removal/Repair G0463 360 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 99211 600097 226 Dressing Change G0463 360 OP 118 N/A 215 203 203 N/A 215 181 215 N/A 118 215 192 192 118 215 203 N/A N/A N/A N/A 118 215 169 36573 600098 " 1,426 " Insert PICC >5 yrs w Img Gde 360 OP " 1,450 " " 1,295 " " 1,355 " " 1,284 " " 1,284 " " 1,295 " " 1,355 " " 1,141 " " 1,355 " " 1,308 " " 1,450 " " 1,355 " " 1,212 " " 1,212 " " 1,450 " " 1,355 " " 1,284 " " 1,295 " " 2,205 " " 1,308 " " 2,421 " " 1,141 " " 2,421 " " 1,070 " 99153 600099 187 Mod Sedation Same MD Add 15 360 OP N/A N/A 178 169 169 N/A 178 150 178 N/A N/A 178 159 159 N/A 178 169 N/A 51 N/A 56 51 178 141 36589 600100 643 Remove Central Venous Cath Tun 360 OP 564 504 611 579 579 504 611 515 611 509 564 611 547 547 564 611 579 504 " 2,001 " 509 " 2,197 " 504 " 2,197 " 482 99152 600101 310 Mod Sedation Same MD >5 YRS 360 OP N/A N/A 295 279 279 N/A 295 248 295 N/A N/A 295 264 264 N/A 295 279 N/A 51 N/A 56 51 295 233 600102 " 3,732 " Closed Reduction 360 OP N/A N/A " 3,546 " " 3,359 " " 3,359 " N/A " 3,546 " " 2,986 " " 3,546 " N/A N/A " 3,546 " " 3,172 " " 3,172 " N/A " 3,546 " " 3,359 " N/A N/A N/A N/A " 2,986 " " 3,546 " " 2,799 " 620020 " 1,394 " Inj Transverse Abd Single BI 360 OP N/A N/A " 1,325 " " 1,255 " " 1,255 " N/A " 1,325 " " 1,115 " " 1,325 " N/A N/A " 1,325 " " 1,185 " " 1,185 " N/A " 1,325 " " 1,255 " N/A N/A N/A N/A " 1,115 " " 1,325 " " 1,046 " 64417 670024 " 1,394 " Inj Axillary Nerve LT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 64415 670036 " 1,394 " Inj Brachial Plexus N Block LT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 64416 670037 " 1,394 " Inj Brac Plex Cont Inf Cath LT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 670038 " 1,394 " Inj Axillary Nerve LT 360 OP N/A N/A " 1,325 " " 1,255 " " 1,255 " N/A " 1,325 " " 1,115 " " 1,325 " N/A N/A " 1,325 " " 1,185 " " 1,185 " N/A " 1,325 " " 1,255 " N/A N/A N/A N/A " 1,115 " " 1,325 " " 1,046 " 64445 670040 " 1,394 " Inj Sciatic Single N Block LT 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 658 567 722 561 " 1,325 " " 1,046 " 64446 670041 " 1,394 " Inj Sciatic Nerve Inf Cath LT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 64447 670042 " 1,394 " Inj Femoral Nerve Single LT 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 658 567 722 561 " 1,325 " " 1,046 " 64448 670043 " 1,394 " Inj Femoral Nerve Inf Cath LT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 64450 670044 " 1,394 " Inject Anes Agent Oth Nerve LT 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 658 567 722 561 " 1,325 " " 1,046 " 64486 670045 " 1,394 " Inj Transverse Abd Single LT 360 OP N/A N/A " 1,325 " " 1,255 " " 1,255 " N/A " 1,325 " " 1,115 " " 1,325 " N/A N/A " 1,325 " " 1,185 " " 1,185 " N/A " 1,325 " " 1,255 " N/A 658 N/A 722 658 " 1,325 " " 1,046 " 64417 680024 " 1,394 " Inj Axillary Nerve RT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 64420 680027 " 1,394 " Inj Intercostal Nerve Sngl RT 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 658 567 722 561 " 1,325 " " 1,046 " 64415 680036 " 1,394 " Inj Brachial Plexus N Block RT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 64416 680037 " 1,394 " Inj Brac Plex Cont Inf Cath RT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 680038 " 1,394 " Inj Axillary Nerve RT 360 OP N/A N/A " 1,325 " " 1,255 " " 1,255 " N/A " 1,325 " " 1,115 " " 1,325 " N/A N/A " 1,325 " " 1,185 " " 1,185 " N/A " 1,325 " " 1,255 " N/A N/A N/A N/A " 1,115 " " 1,325 " " 1,046 " 64445 680040 " 1,394 " Inj Sciatic Single N Block RT 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 658 567 722 561 " 1,325 " " 1,046 " 64446 680041 " 1,394 " Inj Sciatic Nerve Inf Cath RT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 64447 680042 " 1,394 " Inj Femoral Nerve Single RT 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 658 567 722 561 " 1,325 " " 1,046 " 64448 680043 " 1,394 " Inj Femoral Nerve Inf Cath RT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 2,314 " 749 " 2,541 " 742 " 2,541 " " 1,046 " 64450 680044 " 1,394 " Inject Anes Agent Oth Nerve RT 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 658 567 722 561 " 1,325 " " 1,046 " 64486 680045 " 1,394 " Inj Transverse Abd Single RT 360 OP N/A N/A " 1,325 " " 1,255 " " 1,255 " N/A " 1,325 " " 1,115 " " 1,325 " N/A N/A " 1,325 " " 1,185 " " 1,185 " N/A " 1,325 " " 1,255 " N/A 658 N/A 722 658 " 1,325 " " 1,046 " 700570 21 Anesthesia Gas Per 15 Min 370 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 36415 1000010 41 Blood Alcohol Venipuncture 300 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 15 N/A 16 15 39 31 36415 1000011 41 Venipuncture 300 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 15 N/A 16 15 39 31 36415 1000012 41 Draw & Process Specimen 300 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 15 N/A 16 15 39 31 36416 1000013 16 Capillary Stick 300 OP N/A N/A 15 14 14 N/A 15 13 15 N/A N/A 15 14 14 N/A 15 14 N/A 15 N/A 16 13 16 12 80048 1000018 111 Basic Metabolic Panel 301 OP N/A 7 105 100 100 7 105 89 105 7 N/A 105 94 94 N/A 105 100 7 54 7 59 7 105 83 80051 1000020 108 Electrolyte Panel 301 OP N/A N/A 103 97 97 N/A 103 87 103 N/A N/A 103 92 92 N/A 103 97 N/A 54 N/A 59 54 103 81 80053 1000021 140 Comprehensive Metabolic Panel 301 OP N/A N/A 133 126 126 N/A 133 112 133 N/A N/A 133 119 119 N/A 133 126 N/A 54 N/A 59 54 133 105 80061 1000023 119 Lipid Panel 301 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A 54 N/A 59 54 113 89 80069 1000024 117 Renal Function Panel 301 OP N/A 7 111 105 105 7 111 93 111 7 N/A 111 99 99 N/A 111 105 7 54 7 59 7 111 88 80074 1000025 214 Acute Hepatitis Panel 301 OP N/A N/A 204 193 193 N/A 204 171 204 N/A N/A 204 182 182 N/A 204 193 N/A 54 N/A 59 54 204 161 80076 1000026 107 Hepatic Function Panel 301 OP N/A N/A 102 96 96 N/A 102 86 102 N/A N/A 102 91 91 N/A 102 96 N/A 54 N/A 59 54 102 80 80156 1000030 126 Carbamazepine 301 OP N/A N/A 120 114 114 N/A 120 101 120 N/A N/A 120 107 107 N/A 120 114 N/A 50 N/A 55 50 120 95 80159 1000032 76 Clozapine 301 OP N/A N/A 72 68 68 N/A 72 61 72 N/A N/A 72 65 65 N/A 72 68 N/A 50 N/A 55 50 72 57 80162 1000033 114 Digoxin 301 OP N/A N/A 108 103 103 N/A 108 91 108 N/A N/A 108 97 97 N/A 108 103 N/A 50 N/A 55 50 108 86 80164 1000035 106 Valproic Acid 301 OP N/A N/A 101 96 96 N/A 101 85 101 N/A N/A 101 90 90 N/A 101 96 N/A 50 N/A 55 50 101 80 80165 1000036 145 Valproic Acid Free 301 OP N/A N/A 137 130 130 N/A 137 116 137 N/A N/A 137 123 123 N/A 137 130 N/A 50 N/A 55 50 137 109 80169 1000038 145 Everolimus 301 OP N/A N/A 137 130 130 N/A 137 116 137 N/A N/A 137 123 123 N/A 137 130 N/A 50 N/A 55 50 137 109 80170 1000039 66 Gentamicin 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 50 N/A 55 50 63 50 80175 1000040 104 Lamotrigine 301 OP N/A N/A 98 93 93 N/A 98 83 98 N/A N/A 98 88 88 N/A 98 93 N/A 50 N/A 55 50 98 78 80177 1000041 150 Levetiracetam 301 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A 50 N/A 55 50 143 113 80178 1000042 76 Lithium 301 OP N/A N/A 72 68 68 N/A 72 61 72 N/A N/A 72 65 65 N/A 72 68 N/A 50 N/A 55 50 72 57 80180 1000043 145 Mycophenolic Acid 301 OP N/A N/A 137 130 130 N/A 137 116 137 N/A N/A 137 123 123 N/A 137 130 N/A 50 N/A 55 50 137 109 80183 1000044 145 Oxcarbazepine 301 OP N/A N/A 137 130 130 N/A 137 116 137 N/A N/A 137 123 123 N/A 137 130 N/A 50 N/A 55 50 137 109 80185 1000048 107 Phenytoin Total 301 OP N/A N/A 101 96 96 N/A 101 85 101 N/A N/A 101 91 91 N/A 101 96 N/A 50 N/A 55 50 101 80 80195 1000052 145 Sirolimus 301 OP N/A N/A 137 130 130 N/A 137 116 137 N/A N/A 137 123 123 N/A 137 130 N/A 50 N/A 55 50 137 109 80197 1000053 150 Tacrolimus 301 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A 50 N/A 55 50 143 113 80198 1000054 66 Theophylline 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 50 N/A 55 50 63 50 80201 1000057 82 Topiramate 301 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 50 N/A 55 50 78 61 80202 1000058 150 Vancomycin 301 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A 50 N/A 55 50 143 113 80203 1000059 145 Zonisamide 301 OP N/A N/A 137 130 130 N/A 137 116 137 N/A N/A 137 123 123 N/A 137 130 N/A 50 N/A 55 50 137 109 80299 1000061 66 Quant Assay Therapeutic Drug 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 50 N/A 55 50 63 50 80285 1000063 66 Voriconazole 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 50 N/A 55 50 63 50 80189 1000066 66 Itraconazole 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 50 N/A 55 50 63 50 80299 1000067 66 Dexamethasone 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 50 N/A 55 50 63 50 80151 1000070 66 Amiodarone 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 50 N/A 55 50 63 50 82693 1000073 93 Ethylene Glycol 301 OP N/A N/A 88 84 84 N/A 88 74 88 N/A N/A 88 79 79 N/A 88 84 N/A 35 N/A 39 35 88 70 81001 1000086 69 Urinalysis Auto W Micro 301 OP N/A N/A 66 63 63 N/A 66 56 66 N/A N/A 66 59 59 N/A 66 63 N/A 22 N/A 24 22 66 52 81003 1000089 39 Urinalysis Auto WO Scope 301 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A 22 N/A 24 22 37 29 81003 1000092 53 Protein Urine Auto 301 OP N/A N/A 50 48 48 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 48 N/A 22 N/A 24 22 50 40 81015 1000094 44 Urinalysis Micro Only 301 OP N/A N/A 42 40 40 N/A 42 35 42 N/A N/A 42 37 37 N/A 42 40 N/A 22 N/A 24 22 42 33 81025 1000095 73 Hcg Beta Qual Urine 301 OP N/A N/A 69 65 65 N/A 69 58 69 N/A N/A 69 62 62 N/A 69 65 N/A 22 N/A 24 22 69 54 81240 1000113 455 Prothrombin Mutation Ref 309 OP N/A N/A 432 409 409 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 409 N/A 115 N/A 126 115 432 341 81240 1000114 455 Prothrombin Mutation 309 OP N/A N/A 432 409 409 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 409 N/A 115 N/A 126 115 432 341 81241 1000115 455 Factor V Leiden Mutation Ref 309 OP N/A N/A 432 409 409 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 409 N/A 115 N/A 126 115 432 341 81241 1000116 455 Factor V Leiden Mutation 309 OP N/A N/A 432 409 409 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 409 N/A 115 N/A 126 115 432 341 81256 1000120 455 Hemochromat Mutation 309 OP N/A N/A 432 409 409 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 409 N/A 115 N/A 126 115 432 341 81270 1000126 910 JAK2 Mutation 309 OP N/A N/A 864 819 819 N/A 864 728 864 N/A N/A 864 773 773 N/A 864 819 N/A 115 N/A 126 115 864 682 81291 1000130 455 MTHFR Mutation 309 OP N/A N/A 432 409 409 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 409 N/A 115 N/A 126 115 432 341 81335 1000157 266 TPMT Mutation 309 OP N/A N/A 253 240 240 N/A 253 213 253 N/A N/A 253 226 226 N/A 253 240 N/A 272 N/A 298 213 298 200 81479 1000179 455 Scid Mutation 309 OP N/A N/A 432 410 410 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 410 N/A 115 N/A 126 115 432 341 81511 1000190 455 Maternal Ser Scrn 4 Anal 301 OP N/A N/A 432 409 409 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 409 N/A 272 N/A 298 272 432 341 82010 1000192 97 Beta Hydroxybuterate 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 82024 1000195 233 Acth Adrenocorticotropic Hor 301 OP N/A N/A 221 210 210 N/A 221 186 221 N/A N/A 221 198 198 N/A 221 210 N/A 97 N/A 106 97 221 175 82040 1000197 83 Albumin Serum 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82042 1000199 83 Albumin Oth Source 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82043 1000200 65 Microalbumin Quant 301 OP N/A N/A 62 58 58 N/A 62 52 62 N/A N/A 62 55 55 N/A 62 58 N/A 22 N/A 24 22 62 49 82085 1000202 97 Aldolase 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 82088 1000203 182 Aldosterone 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 97 N/A 106 97 172 136 82103 1000205 186 Alpha 1 Antitrypsin Total 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82104 1000206 186 Alpha 1 Antitrypsin Pheno 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82105 1000208 193 AFP Tm 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 82139 1000213 186 Amino Acid Quant 6 Or More 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82140 1000214 97 Ammonia 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 55 N/A 60 55 93 73 82150 1000217 97 Amylase Serum 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 82157 1000218 175 Androstenedione 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 50 N/A 54 50 166 131 82164 1000219 193 Angiotensin Conv Enzyme 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 82175 1000222 80 Arsenic Urine 301 OP N/A N/A 76 72 72 N/A 76 64 76 N/A N/A 76 68 68 N/A 76 72 N/A 35 N/A 39 35 76 60 82175 1000223 80 Arsenic 301 OP N/A N/A 76 72 72 N/A 76 64 76 N/A N/A 76 68 68 N/A 76 72 N/A 35 N/A 39 35 76 60 82232 1000225 131 Beta 2 Microglobulin 301 OP N/A N/A 125 118 118 N/A 125 105 125 N/A N/A 125 111 111 N/A 125 118 N/A 50 N/A 54 50 125 98 82239 1000226 186 Bile Acids Total 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82247 1000227 89 Bilirubin Total 301 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 29 N/A 32 29 85 67 82248 1000228 89 Bilirubin Direct 301 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 29 N/A 32 29 85 67 82261 1000229 119 Biontinidase Deficiency Screen 301 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A 55 N/A 60 55 113 89 82270 1000230 22 Occult Bld Colorectal Scr 301 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A 29 N/A 32 18 32 17 82272 1000232 42 Occult Blood Diagnostic 301 OP N/A N/A 40 38 38 N/A 40 34 40 N/A N/A 40 36 36 N/A 40 38 N/A 29 N/A 32 29 40 32 82274 1000233 97 IFOB 300 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 55 N/A 60 55 93 73 82300 1000234 93 Cadmium 301 OP N/A N/A 88 84 84 N/A 88 74 88 N/A N/A 88 79 79 N/A 88 84 N/A 35 N/A 39 35 88 70 82306 1000235 165 25 Hydvit D2 And D3 301 OP N/A N/A 157 149 149 N/A 157 132 157 N/A N/A 157 140 140 N/A 157 149 N/A 93 N/A 103 93 157 124 82306 1000236 165 Vitamin D 25 Oh 301 OP N/A N/A 157 149 149 N/A 157 132 157 N/A N/A 157 140 140 N/A 157 149 N/A 93 N/A 103 93 157 124 82310 1000238 83 Calcium Total Fluid 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82310 1000239 83 Calcium Total 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82330 1000240 97 Ionized Calcium 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 55 N/A 60 55 93 73 82330 1000241 97 Calcium Total Ionized POCT 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 55 N/A 60 55 93 73 82340 1000242 97 Calcium 24 Hour Urine 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 82365 1000243 193 Stone Analysis 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 82374 1000246 83 Bicarbonate 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82375 1000247 108 Carbon Monoxide Blood 301 OP N/A N/A 102 97 97 N/A 102 86 102 N/A N/A 102 92 92 N/A 102 97 N/A 55 N/A 60 55 102 81 82378 1000248 159 CEA 301 OP N/A N/A 151 143 143 N/A 151 127 151 N/A N/A 151 135 135 N/A 151 143 N/A 55 N/A 60 55 151 119 82384 1000251 92 Catecholamines Fract 301 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A 50 N/A 54 50 87 69 82390 1000252 186 Cerulaplasmin 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 29 N/A 32 29 176 139 82397 1000258 66 Igf Binding Protein 3 301 OP N/A N/A 63 60 60 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 60 N/A 55 N/A 60 53 63 50 82435 1000259 83 Chloride Blood 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82436 1000260 83 Chloride Urine 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82438 1000263 59 Chloride Other Source 301 OP N/A N/A 56 53 53 N/A 56 47 56 N/A N/A 56 50 50 N/A 56 53 N/A 29 N/A 32 29 56 44 82465 1000264 83 Cholesterol Blood 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82495 1000266 54 Chromium 301 OP N/A N/A 51 49 49 N/A 51 43 51 N/A N/A 51 46 46 N/A 51 49 N/A 35 N/A 39 35 51 40 82507 1000267 186 Citric Acid Urine 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 93 N/A 103 93 176 139 82523 1000268 104 Cross Linked C Teleop 301 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 55 N/A 60 55 99 78 82525 1000270 56 Copper Urine 301 OP N/A N/A 53 51 51 N/A 53 45 53 N/A N/A 53 48 48 N/A 53 51 N/A 35 N/A 39 35 53 42 82525 1000271 56 Copper Serum 301 OP N/A N/A 53 51 51 N/A 53 45 53 N/A N/A 53 48 48 N/A 53 51 N/A 35 N/A 39 35 53 42 82530 1000272 136 Cortisol Free Urine 301 OP N/A N/A 129 123 123 N/A 129 109 129 N/A N/A 129 116 116 N/A 129 123 N/A 55 N/A 60 55 129 102 82533 1000273 82 Cortisol Total Salivary 301 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 50 N/A 54 50 78 61 82533 1000274 82 Cortisol Total 301 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 50 N/A 54 50 78 61 82542 1000279 186 Pth Like Protein 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82550 1000282 62 CPK Total 301 OP N/A N/A 58 55 55 N/A 58 49 58 N/A N/A 58 52 52 N/A 58 55 N/A 29 N/A 32 29 58 46 82552 1000283 69 CPK Isoenzymes 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 82553 1000284 193 CPK Mb Fraction 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 82565 1000286 53 Creatinine Blood 301 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 29 N/A 32 29 50 39 82570 1000287 53 Creatinine Oth Source 301 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 29 N/A 32 29 50 39 82570 1000288 58 Creatinine Urine 301 OP N/A N/A 55 52 52 N/A 55 46 55 N/A N/A 55 49 49 N/A 55 52 N/A 29 N/A 32 29 55 43 82575 1000289 97 Creatinine Clearance 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 82607 1000292 149 B12 301 OP N/A N/A 141 134 134 N/A 141 119 141 N/A N/A 141 126 126 N/A 141 134 N/A 50 N/A 54 50 141 112 82626 1000293 186 Dhea 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82627 1000294 96 Dheas 301 OP N/A N/A 91 86 86 N/A 91 77 91 N/A N/A 91 81 81 N/A 91 86 N/A 50 N/A 54 50 91 72 82652 1000295 318 Vitamin D 125 Dihydroxy 301 OP N/A N/A 302 286 286 N/A 302 254 302 N/A N/A 302 270 270 N/A 302 286 N/A 93 N/A 103 93 302 238 82657 1000296 186 Thiopurine Methyltransfer Rbc 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82668 1000297 186 Erythropoietin 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82670 1000298 182 Estradiol Total 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 82671 1000299 175 Estrogen Fractionated 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 97 N/A 106 97 166 131 82679 1000301 97 Estrone 301 OP N/A N/A 92 87 87 N/A 92 78 92 N/A N/A 92 83 83 N/A 92 87 N/A 50 N/A 54 50 92 73 82705 1000302 49 Fats/Lipids Feces Qual 301 OP N/A N/A 47 44 44 N/A 47 39 47 N/A N/A 47 42 42 N/A 47 44 N/A 29 N/A 32 29 47 37 82710 1000303 186 Fats/Lipids Feces Quant 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 82728 1000304 120 Ferritin 301 OP N/A N/A 114 108 108 N/A 114 96 114 N/A N/A 114 102 102 N/A 114 108 N/A 55 N/A 60 55 114 90 82731 1000305 330 Fetal Fibronectin 301 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A 263 N/A 288 263 314 248 82746 1000306 126 Folic Acid Blood 301 OP N/A N/A 120 114 114 N/A 120 101 120 N/A N/A 120 107 107 N/A 120 114 N/A 55 N/A 60 55 120 95 82747 1000307 102 Rbc Folic Acid 301 OP N/A N/A 97 92 92 N/A 97 82 97 N/A N/A 97 87 87 N/A 97 92 N/A 55 N/A 60 55 97 77 82776 1000309 193 Galactose Screen NBS 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 82784 1000313 193 Immunoglobulin IgG 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 29 N/A 32 29 183 145 82784 1000316 193 Immunoglobulin IgA 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 29 N/A 32 29 183 145 82784 1000317 193 Immunoglobulin IgD 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 29 N/A 32 29 183 145 82784 1000318 193 Immunoglobulin IgM 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 29 N/A 32 29 183 145 82785 1000320 193 Immunoglobulin E 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 82787 1000321 93 Immunoglobulin IgG Sub 1 301 OP N/A N/A 89 84 84 N/A 89 75 89 N/A N/A 89 79 79 N/A 89 84 N/A 29 N/A 32 29 89 70 82787 1000322 93 Immunoglobulin IgG Sub 2 301 OP N/A N/A 89 84 84 N/A 89 75 89 N/A N/A 89 79 79 N/A 89 84 N/A 29 N/A 32 29 89 70 82787 1000323 93 Immunoglobulin IgG Sub 3 301 OP N/A N/A 89 84 84 N/A 89 75 89 N/A N/A 89 79 79 N/A 89 84 N/A 29 N/A 32 29 89 70 82787 1000324 93 Immunoglobulin IgG Sub 4 301 OP N/A N/A 89 84 84 N/A 89 75 89 N/A N/A 89 79 79 N/A 89 84 N/A 29 N/A 32 29 89 70 82800 1000325 66 pH Blood 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 55 N/A 60 53 63 50 82805 1000327 183 Blood Gases W O2 Saturation 301 OP N/A N/A 174 165 165 N/A 174 146 174 N/A N/A 174 156 156 N/A 174 165 N/A 263 N/A 288 146 288 137 82941 1000329 175 Gastrin 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 50 N/A 54 50 166 131 82945 1000330 89 Glucose Body Fluids 301 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 29 N/A 32 29 85 67 82947 1000333 83 Glucose Blood 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 82950 1000334 80 Glucose Post Dose 301 OP N/A N/A 76 72 72 N/A 76 64 76 N/A N/A 76 68 68 N/A 76 72 N/A 29 N/A 32 29 76 60 82951 1000335 163 Glucose Tol 1st 3 Specimens 301 OP N/A N/A 155 147 147 N/A 155 131 155 N/A N/A 155 139 139 N/A 155 147 N/A 55 N/A 60 55 155 123 82952 1000336 78 Glucose Tol Addl Spec #1 301 OP N/A N/A 74 70 70 N/A 74 62 74 N/A N/A 74 66 66 N/A 74 70 N/A 29 N/A 32 29 74 58 82955 1000337 186 Glucose G6Pd Quant 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 29 N/A 32 29 176 139 82962 1000338 42 Glucose Bedside POCT 301 OP N/A N/A 40 38 38 N/A 40 34 40 N/A N/A 40 36 36 N/A 40 38 N/A 29 N/A 32 29 40 32 82977 1000339 83 Ggt 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 83001 1000341 182 Fsh 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 83002 1000342 182 Lh 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 83010 1000344 186 Haptoglobin Quant 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 83018 1000345 55 Colbalt Serum 301 OP N/A N/A 52 49 49 N/A 52 44 52 N/A N/A 52 46 46 N/A 52 49 N/A 35 N/A 39 35 52 41 83020 1000347 193 Hemoglobin Electroph Capillar 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 83020 1000348 193 Hemoglobin Screen Newborn 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 83021 1000349 77 Hemoglobin Chrom A2 S C &Or F 301 OP N/A N/A 74 70 70 N/A 74 62 74 N/A N/A 74 66 66 N/A 74 70 N/A 27 N/A 30 27 74 58 83036 1000352 97 Hemoglobin A1C 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 83050 1000353 193 Methemoglobin Quant 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 29 N/A 32 29 183 145 83090 1000357 92 Homocystine 301 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A 50 N/A 54 50 87 69 83498 1000360 75 Congenital Adr Hyperplasia 301 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 50 N/A 54 50 71 56 83498 1000361 175 17Oh Progesterone 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 50 N/A 54 50 166 131 83516 1000363 63 Titin Antibody 301 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 55 N/A 60 51 60 48 83516 1000367 69 Mag Ab IgM 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 86015 1000368 69 Smooth Muscle Antibody 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86341 1000370 83 Glutmic Acid Decarbox Aby 301 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 83516 1000371 69 Cystic Fibrosis Screen 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 86381 1000373 69 Mitochondrial Antibody 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 83516 1000374 63 Acetylcholine Mod Aby 301 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 55 N/A 60 51 60 48 83516 1000375 63 Acetylcholine Block Aby 301 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 55 N/A 60 51 60 48 83516 1000377 69 Glom Base Membrane Aby 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 86364 1000378 69 Tissue Transglutaminase 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86258 1000379 69 Gliadin 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 83516 1000380 69 Protease 3 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 83519 1000382 63 Musk Antibody Ref 301 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 55 N/A 60 51 60 48 83519 1000386 119 Acetylcholine Binding Aby 301 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A 55 N/A 60 55 113 89 83529 1000391 69 Interleukin 6 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 82653 1000398 69 Pancreatic Elastase 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 83520 1000399 63 Immunoassay NOS 301 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 55 N/A 60 51 60 48 83520 1000400 69 Mullerian Inhib Hormone 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 83520 1000401 69 Thyrotropin Recept Aby 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 83520 1000405 69 Tryptase 301 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 55 N/A 60 55 66 52 83525 1000408 100 Insulin 301 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A 50 N/A 54 50 95 75 83540 1000410 56 Iron Serum 301 OP N/A N/A 53 50 50 N/A 53 45 53 N/A N/A 53 48 48 N/A 53 50 N/A 29 N/A 32 29 53 42 83550 1000411 97 Iron Binding Capacity 301 OP N/A 7 93 88 88 7 93 78 93 8 N/A 93 83 83 N/A 93 88 7 29 8 32 7 93 73 83605 1000413 193 Lactic Acid 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 83615 1000414 83 Ldh Ref 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 83615 1000415 83 Ldh Body Fluids 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 83615 1000416 83 Ldh 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 83625 1000417 186 Ldh Isoenzymes 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 83630 1000418 186 Lactoferrin Fecal Qualitative 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 83655 1000420 96 Lead Urine 301 OP N/A N/A 92 87 87 N/A 92 77 92 N/A N/A 92 82 82 N/A 92 87 N/A 35 N/A 39 35 92 72 83655 1000421 96 Lead Blood Ref 301 OP N/A N/A 92 87 87 N/A 92 77 92 N/A N/A 92 82 82 N/A 92 87 N/A 35 N/A 39 35 92 72 83690 1000423 83 Lipase 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 83695 1000424 193 Lipoprotein A 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 83718 1000429 97 Hdl Cholesterol 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 83721 1000430 97 Ldl Cholesterol Direct 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 83735 1000432 64 Magnesium 301 OP N/A N/A 61 57 57 N/A 61 51 61 N/A N/A 61 54 54 N/A 61 57 N/A 29 N/A 32 29 61 48 83735 1000433 64 Magnesium 24 Hr Urine 301 OP N/A N/A 61 57 57 N/A 61 51 61 N/A N/A 61 54 54 N/A 61 57 N/A 29 N/A 32 29 61 48 83018 1000434 55 Iodine 301 OP N/A N/A 52 49 49 N/A 52 44 52 N/A N/A 52 46 46 N/A 52 49 N/A 35 N/A 39 35 52 41 83789 1000436 193 Amino Acid/Acylcarnitine Scr 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 83825 1000437 67 Mercury Urine 301 OP N/A N/A 64 60 60 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 60 N/A 35 N/A 39 35 64 50 83825 1000438 67 Mercury Blood 301 OP N/A N/A 64 60 60 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 60 N/A 35 N/A 39 35 64 50 83835 1000439 92 Metanephrines Urine 301 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A 50 N/A 54 50 87 69 83835 1000440 92 Metanephrines 301 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A 50 N/A 54 50 87 69 83874 1000442 186 Myoglobin Urine 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 83874 1000443 186 Myoglobin 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 83516 1000444 167 Myeloperoxidase 301 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 142 142 N/A 158 150 N/A 55 N/A 60 55 158 125 83880 1000445 182 Pro-B Type Natriuretic Peptide 301 OP N/A N/A 173 164 164 N/A 173 145 173 N/A N/A 173 154 154 N/A 173 164 N/A 93 N/A 103 93 173 136 83880 1000447 182 B Type Natriuretic Peptide 301 OP N/A N/A 173 164 164 N/A 173 145 173 N/A N/A 173 154 154 N/A 173 164 N/A 93 N/A 103 93 173 136 83521 1000449 83 Lambda Light Chain 301 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 55 N/A 60 55 79 62 83521 1000450 83 Kappa Light Chain 301 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 55 N/A 60 55 79 62 83930 1000454 64 Osmolality Blood 301 OP N/A N/A 61 57 57 N/A 61 51 61 N/A N/A 61 54 54 N/A 61 57 N/A 29 N/A 32 29 61 48 83935 1000455 64 Osmolality Urine 301 OP N/A N/A 61 57 57 N/A 61 51 61 N/A N/A 61 54 54 N/A 61 57 N/A 29 N/A 32 29 61 48 83945 1000456 186 Oxalate 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 83970 1000457 182 Pth 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 97 N/A 106 97 172 136 83986 1000458 53 pH Body Fluid Except Blood 301 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 29 N/A 32 29 50 39 83993 1000459 186 Calprotectin 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 84075 1000460 83 Alkaline Phosphatase Ref 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84075 1000461 83 Alkaline Phosphatase 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84080 1000463 186 Alkaline Phos Isoenzymes 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 84100 1000464 83 Phosphorus Serum 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84112 1000467 190 Pamg 1 Cerv/Vag Secretion 301 OP N/A N/A 180 171 171 N/A 180 152 180 N/A N/A 180 161 161 N/A 180 171 N/A 263 N/A 288 152 288 142 84132 1000471 83 Potassium Blood 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84133 1000472 53 Potassium Urine 301 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 29 N/A 32 29 50 39 84134 1000473 101 Prealbumin 301 OP N/A N/A 96 91 91 N/A 96 80 96 N/A N/A 96 85 85 N/A 96 91 N/A 55 N/A 60 55 96 75 84144 1000474 75 Progesterone 301 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 50 N/A 54 50 71 56 84145 1000475 182 Procalcitonin 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 84146 1000476 182 Prolactin 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 84153 1000477 97 PSA Total 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 55 N/A 60 55 93 73 84154 1000478 117 PSA Free 301 OP N/A N/A 111 105 105 N/A 111 94 111 N/A N/A 111 99 99 N/A 111 105 N/A 55 N/A 60 55 111 88 84155 1000479 44 Protein Blood 301 OP N/A N/A 42 40 40 N/A 42 35 42 N/A N/A 42 37 37 N/A 42 40 N/A 29 N/A 32 29 42 33 84156 1000480 53 Protein Urine 301 OP N/A N/A 50 48 48 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 48 N/A 29 N/A 32 29 50 40 84157 1000481 53 Protein Body Fluids 301 OP N/A N/A 50 48 48 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 48 N/A 29 N/A 32 29 50 40 84165 1000483 100 Protein Electrophoresis 301 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A 29 N/A 32 29 95 75 84166 1000484 127 Protein Electrophoresis Urine 301 OP N/A N/A 121 115 115 N/A 121 102 121 N/A N/A 121 108 108 N/A 121 115 N/A 55 N/A 60 55 121 95 84207 1000489 186 Vitamin B6 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 93 N/A 103 93 176 139 84244 1000492 182 Renin 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 84255 1000494 186 Selenium 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 35 N/A 39 35 176 139 84270 1000496 186 Sex Hormone Binding Globulin 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 84295 1000498 83 Sodium Blood 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84300 1000499 53 Sodium Urine 301 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 29 N/A 32 29 50 39 84302 1000500 41 Sodium Oth Source 301 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 29 N/A 32 29 39 30 84305 1000501 175 Somatomedin 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 50 N/A 54 50 166 131 84311 1000504 25 Cholesterol Fluid 301 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 23 N/A 29 N/A 32 20 32 19 84402 1000510 175 Testosterone Fre Female/Child 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 50 N/A 54 50 166 131 84402 1000511 175 Testosterone Free 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 50 N/A 54 50 166 131 84403 1000512 182 Testosterone Total Ref 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 84403 1000514 182 Testosterone Total 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 84425 1000515 193 Vitamin B1 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 84432 1000518 92 Thyroglobulin 301 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A 50 N/A 54 50 87 69 84436 1000519 78 T4 Total 301 OP N/A N/A 74 70 70 N/A 74 63 74 N/A N/A 74 67 67 N/A 74 70 N/A 50 N/A 54 50 74 59 84439 1000521 102 T4 Free 301 OP N/A N/A 96 91 91 N/A 96 81 96 N/A N/A 96 86 86 N/A 96 91 N/A 50 N/A 54 50 96 76 84443 1000523 149 TSH Neonatal 301 OP N/A N/A 141 134 134 N/A 141 119 141 N/A N/A 141 126 126 N/A 141 134 N/A 50 N/A 54 50 141 112 84443 1000524 149 TSH 301 OP N/A N/A 141 134 134 N/A 141 119 141 N/A N/A 141 126 126 N/A 141 134 N/A 50 N/A 54 50 141 112 84445 1000525 175 TSI 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 97 N/A 106 97 166 131 84446 1000526 186 Vitamin E 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 84450 1000527 44 AST SGoT 301 OP N/A N/A 42 40 40 N/A 42 35 42 N/A N/A 42 37 37 N/A 42 40 N/A 29 N/A 32 29 42 33 84460 1000528 83 ALT SGpT 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84466 1000529 102 Transferrin 301 OP N/A N/A 97 91 91 N/A 97 81 97 N/A N/A 97 86 86 N/A 97 91 N/A 55 N/A 60 55 97 76 84478 1000530 83 Triglycerides 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84478 1000531 83 Triglyceride Fluid 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84480 1000533 77 T3 Total 301 OP N/A N/A 73 69 69 N/A 73 62 73 N/A N/A 73 66 66 N/A 73 69 N/A 50 N/A 54 50 73 58 84481 1000534 149 T3 Free 301 OP N/A N/A 141 134 134 N/A 141 119 141 N/A N/A 141 126 126 N/A 141 134 N/A 50 N/A 54 50 141 112 84482 1000535 79 Reverse T3 301 OP N/A N/A 75 71 71 N/A 75 63 75 N/A N/A 75 67 67 N/A 75 71 N/A 50 N/A 54 50 75 59 84484 1000536 193 Troponin Quant 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 84520 1000537 83 Urea Nitrogen Blood 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84540 1000538 45 Urea Nitrogen Urine 301 OP N/A N/A 43 41 41 N/A 43 36 43 N/A N/A 43 38 38 N/A 43 41 N/A 29 N/A 32 29 43 34 84550 1000539 83 Uric Acid Blood 301 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A 29 N/A 32 29 79 63 84560 1000541 89 Uric Acid Oth Source 301 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 29 N/A 32 29 85 67 84585 1000542 175 VMA 301 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A 50 N/A 54 50 166 131 84590 1000545 186 Vitamin A 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 84630 1000548 93 Zinc 301 OP N/A N/A 88 84 84 N/A 88 74 88 N/A N/A 88 79 79 N/A 88 84 N/A 35 N/A 39 35 88 70 84630 1000549 93 Zinc Urine 301 OP N/A N/A 88 84 84 N/A 88 74 88 N/A N/A 88 79 79 N/A 88 84 N/A 35 N/A 39 35 88 70 84681 1000550 186 C Peptide 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 84702 1000551 75 Hcg Tumor Marker 301 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 50 N/A 54 50 71 56 84702 1000552 75 Hcg Beta Quan Serum 301 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 50 N/A 54 50 71 56 84703 1000553 114 Hcg Beta Qual 301 OP N/A N/A 108 103 103 N/A 108 91 108 N/A N/A 108 97 97 N/A 108 103 N/A 29 N/A 32 29 108 86 84999 1000556 82 Osmolality Fecal 301 OP N/A N/A 78 74 74 N/A 78 65 78 N/A N/A 78 70 70 N/A 78 74 N/A 55 N/A 60 55 78 61 85004 1000558 56 WBC Auto Diff 305 OP N/A N/A 53 50 50 N/A 53 45 53 N/A N/A 53 48 48 N/A 53 50 N/A 27 N/A 30 27 53 42 85007 1000559 53 WBC Manual Diff 305 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 27 N/A 30 27 50 39 85008 1000560 30 Bl Smear WO Diff WBC Count 305 OP N/A N/A 29 27 27 N/A 29 24 29 N/A N/A 29 26 26 N/A 29 27 N/A 27 N/A 30 24 30 23 85014 1000562 53 Hematocrit 305 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 27 N/A 30 27 50 39 85018 1000563 62 Hemoglobin 305 OP N/A N/A 59 56 56 N/A 59 50 59 N/A N/A 59 53 53 N/A 59 56 N/A 27 N/A 30 27 59 46 85025 1000564 106 CBC W Auto Diff 305 OP N/A N/A 101 96 96 N/A 101 85 101 N/A N/A 101 90 90 N/A 101 96 N/A 27 N/A 30 27 101 80 85027 1000565 65 CBC WO Auto Diff 305 OP N/A N/A 62 59 59 N/A 62 52 62 N/A N/A 62 55 55 N/A 62 59 N/A 27 N/A 30 27 62 49 85045 1000567 62 Reticulocyte Count Automated 305 OP N/A N/A 59 56 56 N/A 59 50 59 N/A N/A 59 53 53 N/A 59 56 N/A 27 N/A 30 27 59 46 85046 1000568 106 Reticulocyte Hemoglobin 305 OP N/A N/A 101 96 96 N/A 101 85 101 N/A N/A 101 90 90 N/A 101 96 N/A 27 N/A 30 27 101 80 85048 1000569 62 WBC Automated 305 OP N/A N/A 59 56 56 N/A 59 50 59 N/A N/A 59 53 53 N/A 59 56 N/A 27 N/A 30 27 59 46 85049 1000570 53 Platelet Count Automated 305 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 27 N/A 30 27 50 39 85055 1000571 106 Reticulated Platelet Assay 305 OP N/A N/A 101 96 96 N/A 101 85 101 N/A N/A 101 90 90 N/A 101 96 N/A 73 N/A 80 73 101 80 85210 1000572 106 Factor 2 Activity 305 OP N/A N/A 101 96 96 N/A 101 85 101 N/A N/A 101 90 90 N/A 101 96 N/A 25 N/A 28 25 101 80 85240 1000575 162 Factor 8 Ref 305 OP N/A N/A 154 146 146 N/A 154 130 154 N/A N/A 154 138 138 N/A 154 146 N/A 25 N/A 28 25 154 121 85245 1000577 221 Ristocetin CoFactor 305 OP N/A N/A 210 199 199 N/A 210 177 210 N/A N/A 210 188 188 N/A 210 199 N/A 73 N/A 80 73 210 166 85246 1000578 91 Factor VIII Rel Agn 305 OP N/A N/A 86 81 81 N/A 86 72 86 N/A N/A 86 77 77 N/A 86 81 N/A 73 N/A 80 72 86 68 85247 1000579 168 Von Willeb Multimer 305 OP N/A N/A 160 152 152 N/A 160 135 160 N/A N/A 160 143 143 N/A 160 152 N/A 73 N/A 80 73 160 126 85300 1000586 95 Antithrombin Activity 305 OP N/A N/A 90 86 86 N/A 90 76 90 N/A N/A 90 81 81 N/A 90 86 N/A 25 N/A 28 25 90 71 85301 1000587 98 Antithrombin III Antigen 305 OP N/A N/A 93 88 88 N/A 93 79 93 N/A N/A 93 84 84 N/A 93 88 N/A 25 N/A 28 25 93 74 85302 1000588 114 Protein C Antigen 305 OP N/A N/A 108 103 103 N/A 108 91 108 N/A N/A 108 97 97 N/A 108 103 N/A 25 N/A 28 25 108 85 85303 1000589 162 Protein C Activity 305 OP N/A N/A 154 146 146 N/A 154 130 154 N/A N/A 154 138 138 N/A 154 146 N/A 25 N/A 28 25 154 121 85305 1000590 162 Protein S Total 305 OP N/A N/A 154 146 146 N/A 154 130 154 N/A N/A 154 138 138 N/A 154 146 N/A 25 N/A 28 25 154 121 85306 1000592 70 Protein S Functional 305 OP N/A N/A 66 63 63 N/A 66 56 66 N/A N/A 66 59 59 N/A 66 63 N/A 25 N/A 28 25 66 52 85307 1000593 186 Protein C Resistance 305 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 27 N/A 30 27 176 139 85379 1000597 185 D-Dimer Quant 305 OP N/A N/A 176 166 166 N/A 176 148 176 N/A N/A 176 157 157 N/A 176 166 N/A 25 N/A 28 25 176 139 85384 1000598 77 Fibrinogen 305 OP N/A N/A 73 69 69 N/A 73 61 73 N/A N/A 73 65 65 N/A 73 69 N/A 25 N/A 28 25 73 58 85460 1000601 91 Kleihauer Stain 305 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A 27 N/A 30 27 87 69 85461 1000602 40 Rhogam Fetal Screen 305 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A 27 N/A 30 27 38 30 85520 1000603 70 Heparin Xa 305 OP N/A N/A 66 63 63 N/A 66 56 66 N/A N/A 66 59 59 N/A 66 63 N/A 25 N/A 28 25 66 52 85610 1000609 39 Prothrombin Time Ref 305 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A 25 N/A 28 25 37 29 85610 1000610 39 Prothrombin Time PoCT 305 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A 25 N/A 28 25 37 29 85610 1000612 39 Prothrombin Time 305 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A 25 N/A 28 25 37 29 85613 1000614 95 DRVVT 305 OP N/A N/A 90 86 86 N/A 90 76 90 N/A N/A 90 81 81 N/A 90 86 N/A 25 N/A 28 25 90 71 85651 1000619 54 Sedimentation Rate Non Auto 305 OP N/A N/A 51 48 48 N/A 51 43 51 N/A N/A 51 46 46 N/A 51 48 N/A 27 N/A 30 27 51 40 85652 1000620 53 Sedimentation Rate Automated 305 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 27 N/A 30 27 50 39 85705 1000625 86 Lupus Anticoagulant 305 OP N/A N/A 82 77 77 N/A 82 69 82 N/A N/A 82 73 73 N/A 82 77 N/A 25 N/A 28 25 82 65 85730 1000626 34 Aptt Ref 305 OP N/A N/A 32 31 31 N/A 32 27 32 N/A N/A 32 29 29 N/A 32 31 N/A 25 N/A 28 25 32 26 85730 1000628 34 Aptt 305 OP N/A N/A 32 31 31 N/A 32 27 32 N/A N/A 32 29 29 N/A 32 31 N/A 25 N/A 28 25 32 26 85732 1000630 40 Aptt Substitution 305 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A 25 N/A 28 25 38 30 85810 1000631 96 Viscosity 305 OP N/A N/A 91 87 87 N/A 91 77 91 N/A N/A 91 82 82 N/A 91 87 N/A 27 N/A 30 27 91 72 86003 1000635 71 Allergens Ibt Ige 302 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 60 60 N/A 68 64 N/A 43 N/A 47 43 68 53 86003 1000636 71 Farmer Lung Allergen 302 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 60 60 N/A 68 64 N/A 43 N/A 47 43 68 53 86003 1000637 71 Allergen Spec Ige 302 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 60 60 N/A 68 64 N/A 43 N/A 47 43 68 53 86005 1000638 78 Farmer Lung Multi Allerg Scr 302 OP N/A N/A 74 70 70 N/A 74 62 74 N/A N/A 74 66 66 N/A 74 70 N/A 43 N/A 47 43 74 59 86022 1000641 132 Heparin Assoc Platelet Aby Scr 302 OP N/A N/A 125 119 119 N/A 125 106 125 N/A N/A 125 112 112 N/A 125 119 N/A 43 N/A 47 43 125 99 86039 1000647 60 ANA by IFA Titer 302 OP N/A N/A 57 54 54 N/A 57 48 57 N/A N/A 57 51 51 N/A 57 54 N/A 43 N/A 47 43 57 45 86060 1000648 68 Antistreptolysin O Titer 302 OP N/A N/A 65 61 61 N/A 65 55 65 N/A N/A 65 58 58 N/A 65 61 N/A 43 N/A 47 43 65 51 86078 1000650 68 Tranfusion Reaction Workup 305 OP 153 137 64 61 61 137 64 54 64 138 153 64 57 57 153 64 61 137 101 138 111 54 153 51 86140 1000652 92 C-Reactive Protein 302 OP N/A N/A 87 83 83 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 83 N/A 43 N/A 47 43 87 69 86141 1000653 80 C-Reactive Protein High Sens 302 OP N/A N/A 76 72 72 N/A 76 64 76 N/A N/A 76 68 68 N/A 76 72 N/A 43 N/A 47 43 76 60 86146 1000654 66 Beta 2 Glycoprotein Iga 302 OP N/A N/A 63 60 60 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 60 N/A 43 N/A 47 43 63 50 86146 1000655 186 Beta-2-Glycoprotein IgG 302 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 43 N/A 47 43 176 139 86146 1000656 186 Beta-2-Glycoprotein IgM 302 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 43 N/A 47 43 176 139 86147 1000657 104 Cardiolipin Antibody 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86160 1000662 69 C4 Complement 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86160 1000663 69 C3 Complement 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86162 1000665 137 Complement Total 302 OP N/A N/A 131 124 124 N/A 131 110 131 N/A N/A 131 117 117 N/A 131 124 N/A 43 N/A 47 43 131 103 86200 1000666 111 Citrulline Antibody 302 OP N/A N/A 105 100 100 N/A 105 89 105 N/A N/A 105 94 94 N/A 105 100 N/A 43 N/A 47 43 105 83 86225 1000668 120 DNA Double Strand Antibody 302 OP N/A N/A 114 108 108 N/A 114 96 114 N/A N/A 114 102 102 N/A 114 108 N/A 43 N/A 47 43 114 90 86235 1000670 103 Ssb Ena Antibody 302 OP N/A N/A 98 93 93 N/A 98 82 98 N/A N/A 98 88 88 N/A 98 93 N/A 43 N/A 47 43 98 77 86235 1000671 103 Ssa Ena Antibody 302 OP N/A N/A 98 93 93 N/A 98 82 98 N/A N/A 98 88 88 N/A 98 93 N/A 43 N/A 47 43 98 77 86235 1000672 63 Smith Ena Antibody 302 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 43 N/A 47 43 60 48 86235 1000673 103 Scl70 Ena Antibody 302 OP N/A N/A 98 93 93 N/A 98 82 98 N/A N/A 98 88 88 N/A 98 93 N/A 43 N/A 47 43 98 77 86235 1000675 103 Jo-1 Ena Antibody 302 OP N/A N/A 98 93 93 N/A 98 82 98 N/A N/A 98 88 88 N/A 98 93 N/A 43 N/A 47 43 98 77 86235 1000677 63 Centromere Antibody 302 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 43 N/A 47 43 60 48 86255 1000679 96 Pla2R Elisa 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86036 1000684 96 ANCA 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1000685 63 Striational Antibody 302 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 43 N/A 47 43 60 48 86300 1000695 225 CA 15-3 302 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 43 N/A 47 43 213 168 86300 1000696 225 CA 27-29 302 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 43 N/A 47 43 213 168 86301 1000697 225 CA 19-9 302 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 43 N/A 47 43 213 168 86304 1000698 225 CA 125 302 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 43 N/A 47 43 213 168 86308 1000700 69 Infectious Mono Test 302 OP N/A N/A 65 62 62 N/A 65 55 65 N/A N/A 65 58 58 N/A 65 62 N/A 43 N/A 47 43 65 52 86316 1000701 186 Chromogranin A 302 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 43 N/A 47 43 176 139 86331 1000709 104 Farmer Lung Immunodiff 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86334 1000713 83 Immunofix Electroph Serum 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86335 1000714 198 Immunofix Electroph Fluid Ref 302 OP N/A N/A 188 178 178 N/A 188 159 188 N/A N/A 188 168 168 N/A 188 178 N/A 60 N/A 66 60 188 149 86335 1000715 198 Immunofix Electroph Fluid 302 OP N/A N/A 188 178 178 N/A 188 159 188 N/A N/A 188 168 168 N/A 188 178 N/A 60 N/A 66 60 188 149 86337 1000717 92 Insulin Antibodies 302 OP N/A N/A 87 83 83 N/A 87 74 87 N/A N/A 87 78 78 N/A 87 83 N/A 43 N/A 47 43 87 69 86341 1000720 83 Islet Cell Antibody Ica 512 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86341 1000721 83 Islet Cell Antibody 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86355 1000723 131 B Cells Total Ss5 302 OP N/A N/A 125 118 118 N/A 125 105 125 N/A N/A 125 112 112 N/A 125 118 N/A 60 N/A 66 60 125 99 86357 1000727 169 Nk Cells Total Ss5 302 OP N/A N/A 160 152 152 N/A 160 135 160 N/A N/A 160 143 143 N/A 160 152 N/A 60 N/A 66 60 160 127 86359 1000729 124 T Cells Total Ss5 302 OP N/A N/A 118 112 112 N/A 118 99 118 N/A N/A 118 105 105 N/A 118 112 N/A 60 N/A 66 60 118 93 86360 1000731 124 Cd4 And Cd8 Abs Cnt Ss5 302 OP N/A N/A 118 112 112 N/A 118 99 118 N/A N/A 118 105 105 N/A 118 112 N/A 60 N/A 66 60 118 93 86361 1000733 108 Cd4 Absolute Count 302 OP N/A N/A 103 97 97 N/A 103 87 103 N/A N/A 103 92 92 N/A 103 97 N/A 60 N/A 66 60 103 81 86376 1000735 82 Microsome Liver/Kidney Aby 302 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 43 N/A 47 43 78 61 86376 1000736 82 Thyroid Peroxidase Antibody 302 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 43 N/A 47 43 78 61 86430 1000740 68 Rheumatoid Factor Screen 300 OP N/A N/A 65 61 61 N/A 65 55 65 N/A N/A 65 58 58 N/A 65 61 N/A 43 N/A 47 43 65 51 86431 1000742 69 Rheumatoid Factor Quant 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86481 1000743 206 Tbint Quantiferon 302 OP N/A N/A 196 185 185 N/A 196 165 196 N/A N/A 196 175 175 N/A 196 185 N/A 60 N/A 66 60 196 155 86592 1000744 69 Vdrl Csf 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86592 1000745 69 Vdrl Serum 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86592 1000746 69 RPR 300 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86606 1000748 104 Farmer Lung Aspergillus Ab 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86606 1000749 104 Asergillus Fumigatus Ab 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86606 1000750 104 Aspergillus Aby 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86612 1000752 104 Fungal Serol Blastomyces 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86617 1000754 121 Lyme Disease Anti Western Blot 302 OP N/A N/A 115 109 109 N/A 115 97 115 N/A N/A 115 103 103 N/A 115 109 N/A 43 N/A 47 43 115 91 86618 1000755 153 Lyme Disease Antibody 302 OP N/A N/A 145 137 137 N/A 145 122 145 N/A N/A 145 130 130 N/A 145 137 N/A 43 N/A 47 43 145 115 86622 1000756 103 Brucella Antibody 302 OP N/A N/A 98 93 93 N/A 98 82 98 N/A N/A 98 88 88 N/A 98 93 N/A 43 N/A 47 43 98 77 86635 1000762 104 Fungal Serol Coccidiodes 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86635 1000763 104 Coccidioides Antibody 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86638 1000764 104 Q Fever IgG Ph 1 Or 2 Titer 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86638 1000766 104 Q Fever Antibody 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86644 1000770 83 Cmv Antibody IgG 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86645 1000772 83 Cmv Antibody IgM 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86663 1000783 83 Epstein Barr Early Antigen 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86664 1000784 24 Lab-Epstein Barr Nuclear Antig 302 OP N/A N/A 23 22 22 N/A 23 19 23 N/A N/A 23 20 20 N/A 23 22 N/A 43 N/A 47 19 47 18 86665 1000786 83 Epstein Barr Capsid IgM 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86665 1000787 83 Epstein Barr Capsid IgG 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86666 1000789 63 Ehrlichia Antibody 302 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 43 N/A 47 43 60 48 86682 1000795 81 Helminth Antibody NOS 302 OP N/A N/A 77 73 73 N/A 77 65 77 N/A N/A 77 69 69 N/A 77 73 N/A 43 N/A 47 43 77 61 86694 1000798 103 Herpes Simplex I/II IgM 302 OP N/A N/A 98 93 93 N/A 98 82 98 N/A N/A 98 88 88 N/A 98 93 N/A 43 N/A 47 43 98 77 86694 1000799 103 Herpes Non Type Specific 302 OP N/A N/A 98 93 93 N/A 98 82 98 N/A N/A 98 88 88 N/A 98 93 N/A 43 N/A 47 43 98 77 86695 1000800 104 Herpes Simplex I IgG 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86696 1000801 69 Herpes Simplex II IgG 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86698 1000802 104 Fungal Serol Histoplasma 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86704 1000808 104 Hep B Core Antibody Total 302 OP N/A N/A 98 93 93 N/A 98 83 98 N/A N/A 98 88 88 N/A 98 93 N/A 43 N/A 47 43 98 78 86705 1000809 69 Hep B Core Antibody IgM 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86317 1000810 69 Hep B Surface Antibody 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86708 1000812 100 Hep A Antibody Total 302 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A 43 N/A 47 43 95 75 86709 1000813 60 Hep A Antibody IgM 302 OP N/A N/A 57 54 54 N/A 57 48 57 N/A N/A 57 51 51 N/A 57 54 N/A 43 N/A 47 43 57 45 86747 1000822 132 Parvovirus Antibody 302 OP N/A N/A 125 119 119 N/A 125 105 125 N/A N/A 125 112 112 N/A 125 119 N/A 43 N/A 47 43 125 99 86753 1000823 63 Babesia Abs IgG/M By Ifa 302 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 43 N/A 47 43 60 48 86757 1000826 63 Rickettsia Antibody IgM 302 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 43 N/A 47 43 60 48 86757 1000827 63 Rickettsia Antibody IgG 302 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 43 N/A 47 43 60 48 86762 1000830 63 Rubella IgG 300 OP N/A N/A 60 57 57 N/A 60 50 60 N/A N/A 60 53 53 N/A 60 57 N/A 43 N/A 47 43 60 47 86765 1000831 111 Rubeola Antibody 302 OP N/A N/A 105 100 100 N/A 105 89 105 N/A N/A 105 94 94 N/A 105 100 N/A 43 N/A 47 43 105 83 86780 1000836 83 Treponema Pallidum Fta Abs 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86787 1000837 69 Varicella Zoster IgG Ref 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86787 1000838 69 Varicella Zoster IgM 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86787 1000839 69 Varicella Zoster IgG 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 86788 1000840 104 West Nile Virus IgM 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86789 1000841 104 West Nile Virus IgG 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 86800 1000852 92 Thyroglobulin Antibody 302 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A 43 N/A 47 43 87 69 G0472 1000854 97 HCV Antibody Screen 300 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 60 N/A 66 60 93 73 86803 1000855 123 HCV Antibody 302 OP N/A N/A 117 111 111 N/A 117 98 117 N/A N/A 117 104 104 N/A 117 111 N/A 43 N/A 47 43 117 92 86812 1000856 237 HLA B27 302 OP N/A N/A 225 213 213 N/A 225 190 225 N/A N/A 225 202 202 N/A 225 213 N/A 36 N/A 39 36 225 178 86832 1000859 220 HLA Post Hd Abid Pnl Class I 309 OP N/A N/A 209 198 198 N/A 209 176 209 N/A N/A 209 187 187 N/A 209 198 N/A N/A N/A N/A 176 209 165 86833 1000863 220 HLA Post Hd Abid Pnl Class II 309 OP N/A N/A 209 198 198 N/A 209 176 209 N/A N/A 209 187 187 N/A 209 198 N/A N/A N/A N/A 176 209 165 86850 1000867 69 Antibody Screen 300 OP 49 44 66 62 62 44 66 55 66 44 49 66 59 59 49 66 62 44 36 44 39 36 66 52 86870 1000869 283 Rbc Antibody Identif Panel 302 OP 316 282 269 254 254 282 269 226 269 285 316 269 240 240 316 269 254 282 N/A 285 N/A 226 316 212 86880 1000870 56 Coombs IgG 302 OP 56 50 53 50 50 50 53 45 53 51 56 53 48 48 56 53 50 50 36 51 39 36 56 42 86880 1000872 69 Coombs Test DireCT 302 OP 56 50 66 62 62 50 66 55 66 51 56 66 59 59 56 66 62 50 36 51 39 36 66 52 86900 1000875 138 Blood Typing Abo 300 OP 113 101 131 124 124 101 131 110 131 102 113 131 117 117 113 131 124 101 36 102 39 36 131 103 86901 1000877 127 Blood Typing Rh D 300 OP 33 30 121 114 114 30 121 102 121 30 33 121 108 108 33 121 114 30 36 30 39 30 121 95 86902 1000878 283 Blood Typing Rbc Ag Unit 302 OP 316 282 269 254 254 282 269 226 269 285 316 269 240 240 316 269 254 282 36 285 39 36 316 212 86905 1000879 283 Blood Typing Rbc Ag Ea 302 OP 316 282 269 254 254 282 269 226 269 285 316 269 240 240 316 269 254 282 36 285 39 36 316 212 86920 1000880 170 Crossmatch Immed Spin 302 OP 153 137 161 153 153 137 161 136 161 138 153 161 144 144 153 161 153 137 N/A 138 N/A 136 161 127 86922 1000882 294 Crossmatch Ahg 302 OP 153 137 279 264 264 137 279 235 279 138 153 279 250 250 153 279 264 137 N/A 138 N/A 137 279 220 87015 1000887 39 Concentrat Infect Agent Ref 306 OP N/A N/A 37 35 35 N/A 37 32 37 N/A N/A 37 33 33 N/A 37 35 N/A 33 N/A 36 32 37 30 87015 1000888 39 Shiga Toxin Broth Enrichment 306 OP N/A N/A 37 35 35 N/A 37 32 37 N/A N/A 37 33 33 N/A 37 35 N/A 33 N/A 36 32 37 30 87015 1000889 39 Concentration For Infect Agent 306 OP N/A N/A 37 35 35 N/A 37 32 37 N/A N/A 37 33 33 N/A 37 35 N/A 33 N/A 36 32 37 30 87040 1000890 225 Culture Blood 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 33 N/A 36 33 213 168 87045 1000891 93 Culture Stool 306 OP N/A N/A 89 84 84 N/A 89 75 89 N/A N/A 89 79 79 N/A 89 84 N/A 33 N/A 36 33 89 70 87046 1000892 82 Culture Stool Campy Addl 306 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 33 N/A 36 33 78 62 87046 1000893 82 Culture Stool Ecoli Addl 306 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 33 N/A 36 33 78 62 87070 1000894 47 Culture Bacteria Oth 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 33 N/A 36 33 45 35 87075 1000896 43 Culture Anaerobe Exept Bld 306 OP N/A N/A 41 39 39 N/A 41 35 41 N/A N/A 41 37 37 N/A 41 39 N/A 33 N/A 36 33 41 32 87076 1000897 82 Bacterial Id Anaerob Moldi-Tof 306 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 33 N/A 36 33 78 62 87076 1000898 82 Bacterial Id Anaerobic 306 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 33 N/A 36 33 78 62 87077 1000899 82 Bacterial Id Moldi-Tof 306 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 33 N/A 36 33 78 62 87077 1000901 47 H Pylori Gastric 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 33 N/A 36 33 45 35 87077 1000902 82 Bacterial Id 306 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A 33 N/A 36 33 78 62 87081 1000907 47 Culture Group A Screen 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 33 N/A 36 33 45 35 87081 1000908 47 Culture Group B Screen 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 33 N/A 36 33 45 35 87081 1000910 47 Culture Mrsa Screen 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 33 N/A 36 33 45 35 87086 1000911 76 Culture Urine W Col Count 306 OP N/A N/A 72 68 68 N/A 72 61 72 N/A N/A 72 64 64 N/A 72 68 N/A 33 N/A 36 33 72 57 87101 1000912 97 Culture Fungal Hair Skin Nail 306 OP N/A N/A 92 87 87 N/A 92 77 92 N/A N/A 92 82 82 N/A 92 87 N/A 33 N/A 36 33 92 73 87102 1000913 47 Culture Fungus Oth Than Bld 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 33 N/A 36 33 45 35 87106 1000915 90 Fungla Id Yeast Moldi-Tof 306 OP N/A N/A 85 81 81 N/A 85 72 85 N/A N/A 85 76 76 N/A 85 81 N/A 33 N/A 36 33 85 67 87106 1000916 90 Fungal Id Biochemical Ea Yeast 306 OP N/A N/A 85 81 81 N/A 85 72 85 N/A N/A 85 76 76 N/A 85 81 N/A 33 N/A 36 33 85 67 87107 1000917 13 Fungal Id Ea Mold Ref 306 OP N/A N/A 12 12 12 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 12 N/A 33 N/A 36 10 36 10 87107 1000918 206 Fungal Id Ea Organism Mold 306 OP N/A N/A 196 186 186 N/A 196 165 196 N/A N/A 196 175 175 N/A 196 186 N/A 33 N/A 36 33 196 155 87109 1000919 225 Mycoplasma Ureaplculture 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 33 N/A 36 33 213 168 87116 1000922 225 Culture Afb 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 33 N/A 36 33 213 168 87147 1000929 67 Culture Serol Type Agn 2 Strep 306 OP N/A N/A 64 61 61 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 61 N/A 33 N/A 36 33 64 51 87147 1000930 67 Culture Serol Type Agn 1 Strep 306 OP N/A N/A 64 61 61 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 61 N/A 33 N/A 36 33 64 51 87149 1000931 41 Afb Id By Na Probe 306 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 33 N/A 36 33 39 31 87176 1000936 47 Homogenization Tissue 306 OP N/A N/A 44 42 42 N/A 44 37 44 N/A N/A 44 40 40 N/A 44 42 N/A 33 N/A 36 33 44 35 87177 1000937 90 Ova And Parasites Smears 306 OP N/A N/A 85 81 81 N/A 85 72 85 N/A N/A 85 76 76 N/A 85 81 N/A 33 N/A 36 33 85 67 87181 1000938 47 Sens Agar Diffusion 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 33 N/A 36 33 45 35 87184 1000939 45 Microbe Susceptible Disk 306 OP N/A N/A 43 41 41 N/A 43 36 43 N/A N/A 43 39 39 N/A 43 41 N/A 33 N/A 36 33 43 34 87186 1000940 41 Minimum Inhibit Conc Ref Mtm 306 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 33 N/A 36 33 39 31 87186 1000942 93 Minimum Inhibitory Conc 306 OP N/A N/A 89 84 84 N/A 89 75 89 N/A N/A 89 79 79 N/A 89 84 N/A 33 N/A 36 33 89 70 87205 1000945 47 Smear Gram Stain 306 OP N/A N/A 44 42 42 N/A 44 37 44 N/A N/A 44 40 40 N/A 44 42 N/A 33 N/A 36 33 44 35 87206 1000947 57 AFB Smear 306 OP N/A N/A 55 52 52 N/A 55 46 55 N/A N/A 55 49 49 N/A 55 52 N/A 33 N/A 36 33 55 43 87207 1000949 200 Smear Inclusion Bodies 306 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A 33 N/A 36 33 190 150 87209 1000950 180 Trichrome Stain Ova Parasite 300 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A 33 N/A 36 33 171 135 87210 1000952 43 Wet Mount For Infectious Agent 306 OP N/A N/A 41 39 39 N/A 41 35 41 N/A N/A 41 37 37 N/A 41 39 N/A 33 N/A 36 33 41 32 87220 1000953 47 KOH Skin Hair Nails 306 OP N/A N/A 45 43 43 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 43 N/A 33 N/A 36 33 45 35 87252 1000954 225 Culture Herpes Virus 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 33 N/A 36 33 213 168 87252 1000955 225 Culture Viral 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 33 N/A 36 33 213 168 87253 1000957 225 Herpes Typing Monoclonal Aby 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 33 N/A 36 33 213 168 87260 1000959 71 Adenovirus DFA 306 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 61 61 N/A 68 64 N/A 33 N/A 36 33 68 53 87275 1000961 69 Influenza B DFA 306 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 33 N/A 36 33 66 52 87276 1000962 75 Influenza A DFA 306 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 33 N/A 36 33 71 56 87279 1000964 71 Parainfluenza 3 DFA 306 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 61 61 N/A 68 64 N/A 33 N/A 36 33 68 53 87279 1000965 71 Parainfluenza 2 DFA 306 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 61 61 N/A 68 64 N/A 33 N/A 36 33 68 53 87279 1000966 71 Parainfluenza 1 DFA 306 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 61 61 N/A 68 64 N/A 33 N/A 36 33 68 53 87280 1000967 71 RSV DFA 306 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 61 61 N/A 68 64 N/A 33 N/A 36 33 68 53 87299 1000968 69 Human Metapneumavirus DFA 306 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 33 N/A 36 33 66 52 87281 1000969 38 Pneumocystis DFA 306 OP N/A N/A 36 34 34 N/A 36 30 36 N/A N/A 36 32 32 N/A 36 34 N/A 33 N/A 36 30 36 28 87305 1000971 90 Aspergillus Galact Antigen 306 OP N/A N/A 85 81 81 N/A 85 72 85 N/A N/A 85 76 76 N/A 85 81 N/A 33 N/A 36 33 85 67 87324 1000972 137 Clostridium Difficile Toxin 306 OP N/A N/A 131 124 124 N/A 131 110 131 N/A N/A 131 117 117 N/A 131 124 N/A 33 N/A 36 33 131 103 87327 1000973 75 Cryptococcus NeBlood Agn 306 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 33 N/A 36 33 71 56 87328 1000975 104 Cryptosporidium Antigen 306 OP N/A N/A 98 93 93 N/A 98 83 98 N/A N/A 98 88 88 N/A 98 93 N/A 33 N/A 36 33 98 78 87329 1000976 104 Giardia Antigen 306 OP N/A N/A 98 93 93 N/A 98 83 98 N/A N/A 98 88 88 N/A 98 93 N/A 33 N/A 36 33 98 78 87338 1000977 137 H Pylori Antigen Stool 306 OP N/A N/A 131 124 124 N/A 131 110 131 N/A N/A 131 117 117 N/A 131 124 N/A 33 N/A 36 33 131 103 87340 1000979 90 Hep B Surface Agn 300 OP N/A N/A 86 81 81 N/A 86 72 86 N/A N/A 86 77 77 N/A 86 81 N/A 33 N/A 36 33 86 68 87385 1000983 132 Histoplasma Antigen 306 OP N/A N/A 125 119 119 N/A 125 106 125 N/A N/A 125 112 112 N/A 125 119 N/A 33 N/A 36 33 125 99 87389 1000984 75 HIV1Ag/HIV12Ab Sng Result 300 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 33 N/A 36 33 71 56 1000985 75 HIV1Ag/HIV12Ab Sng Result Scn G0475 306 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 43 N/A 47 43 71 56 87425 1000986 132 Rotavirus 306 OP N/A N/A 125 119 119 N/A 125 106 125 N/A N/A 125 112 112 N/A 125 119 N/A 33 N/A 36 33 125 99 87449 1000987 69 Beta D Glucan 306 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 33 N/A 36 33 66 52 87449 1000988 69 Clostridium Difficile Antigen 306 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 33 N/A 36 33 66 52 87899 1000990 69 Legionella Antigen Urine 306 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 33 N/A 36 33 66 52 87899 1000991 47 Strep Pneum Urine Antigen 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 33 N/A 36 33 45 35 87476 1000993 339 Lyme Disease DNA Amp Probe 306 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A 63 N/A 69 63 322 254 87480 1000994 72 Candida Species DNA Probe 306 OP N/A N/A 68 65 65 N/A 68 58 68 N/A N/A 68 61 61 N/A 68 65 N/A 33 N/A 36 33 68 54 87486 1000995 217 Chlamydia Pneumoniae Amp Probe 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 87491 1000996 75 Chlamydia DNA Amp Probe 306 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 63 N/A 69 60 71 56 87493 1000997 84 C Diff By PCR 306 OP N/A N/A 80 76 76 N/A 80 67 80 N/A N/A 80 72 72 N/A 80 76 N/A 63 N/A 69 63 80 63 87496 1000998 69 CMV DNA Amp Probe 306 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 63 N/A 69 55 69 52 87497 1001000 360 CMV Quant By PCR 306 OP N/A N/A 342 324 324 N/A 342 288 342 N/A N/A 342 306 306 N/A 342 324 N/A 63 N/A 69 63 342 270 87502 1001003 100 Influenza A&B By PCR 306 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A 81 N/A 89 80 95 75 87507 1001004 385 GI Path Panel 12-25 306 OP N/A N/A 365 346 346 N/A 365 308 365 N/A N/A 365 327 327 N/A 365 346 N/A 81 N/A 89 81 365 289 87510 1001005 225 Gardnerella Vaginalis DNA Prb 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 33 N/A 36 33 213 168 87517 1001007 225 Hep B Na Quan 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 63 N/A 69 63 213 168 87522 1001009 428 Hep C Rna Pcr Quant 306 OP N/A N/A 406 385 385 N/A 406 342 406 N/A N/A 406 364 364 N/A 406 385 N/A 63 N/A 69 63 406 321 87529 1001012 225 Hsv DNA Amp Probe 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 63 N/A 69 63 213 168 87533 1001014 88 Hhv 6 By Pcr 306 OP N/A N/A 83 79 79 N/A 83 70 83 N/A N/A 83 74 74 N/A 83 79 N/A 63 N/A 69 63 83 66 87536 1001017 288 HIV 1 Na Quan 306 OP N/A N/A 274 260 260 N/A 274 231 274 N/A N/A 274 245 245 N/A 274 260 N/A 63 N/A 69 63 274 216 87581 1001021 89 Mycoplasma Pneum Pcr 306 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 63 N/A 69 63 85 67 87581 1001022 242 Myco Pneumo Amp Probe 306 OP N/A N/A 230 218 218 N/A 230 194 230 N/A N/A 230 206 206 N/A 230 218 N/A 63 N/A 69 63 230 182 87591 1001023 225 N Gonorrhoeae DNA Amp Probe 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 63 N/A 69 63 213 168 87633 1001025 428 Respiratory Virus Pcr Multiplx 306 OP N/A N/A 406 385 385 N/A 406 342 406 N/A N/A 406 364 364 N/A 406 385 N/A 81 N/A 89 81 406 321 87660 1001027 225 Trichomonas Vaginalis DNA Prb 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 33 N/A 36 33 213 168 87798 1001031 89 Bord Pertusis Amp Probe Ref 306 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 63 N/A 69 63 85 67 87798 1001034 217 Norovirus Pcr 1 Or 2 Each 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 87798 1001036 217 Adenovirus Pcr 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 87798 1001038 217 Parvovirus Pcr 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 87798 1001039 217 Toxoplasma Pcr 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 87798 1001040 217 Varicella Zoster Pcr 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 87798 1001049 217 Ebv By Pcr Qual 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 87798 1001050 217 Bord Pertusis Amp Probe 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 87799 1001051 225 Bk Virus Quant Pcr 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 63 N/A 69 63 213 168 87799 1001052 225 Ebv By Pcr Quant 309 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 63 N/A 69 63 213 168 87804 1001055 93 Influenza A Antigen 300 OP N/A N/A 89 84 84 N/A 89 75 89 N/A N/A 89 79 79 N/A 89 84 N/A 33 N/A 36 33 89 70 87804 1001056 93 Influenza B Antigen 300 OP N/A N/A 89 84 84 N/A 89 75 89 N/A N/A 89 79 79 N/A 89 84 N/A 33 N/A 36 33 89 70 87899 1001063 26 Shiga Toxin 2 306 OP N/A N/A 25 23 23 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 23 N/A 33 N/A 36 21 36 20 87899 1001064 26 Shiga Toxin 1 306 OP N/A N/A 25 23 23 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 23 N/A 33 N/A 36 21 36 20 87902 1001067 428 Hep C DNA Genotype 306 OP N/A N/A 406 385 385 N/A 406 342 406 N/A N/A 406 364 364 N/A 406 385 N/A 272 N/A 298 272 406 321 88184 1001071 269 Flow Cytometry First Mark 310 OP 316 282 256 242 242 282 256 215 256 285 316 256 229 229 316 256 242 282 332 285 364 215 364 202 88185 1001074 230 Flow Cytometry Ea Addit Marker 310 OP N/A N/A 219 207 207 N/A 219 184 219 N/A N/A 219 196 196 N/A 219 207 N/A 64 N/A 70 64 219 173 88230 1001075 415 Tissue Culture Non Neoplastic 310 OP N/A N/A 394 374 374 N/A 394 332 394 N/A N/A 394 353 353 N/A 394 374 N/A 332 N/A 364 332 394 311 88262 1001080 866 Chromosome Analysis 15-20 Cell 310 OP N/A N/A 823 780 780 N/A 823 693 823 N/A N/A 823 736 736 N/A 823 780 N/A 115 N/A 126 115 823 650 89051 1001096 165 Cell Count W Diff Body Fld 300 OP N/A N/A 157 148 148 N/A 157 132 157 N/A N/A 157 140 140 N/A 157 148 N/A 49 N/A 54 49 157 124 89055 1001097 59 WBC Fecal 305 OP N/A N/A 56 53 53 N/A 56 48 56 N/A N/A 56 50 50 N/A 56 53 N/A 49 N/A 54 48 56 45 89060 1001098 154 Crystals Synovial Fuid Exam 309 OP N/A N/A 146 139 139 N/A 146 123 146 N/A N/A 146 131 131 N/A 146 139 N/A 49 N/A 54 49 146 115 89322 1001101 161 Semen Analysis Complete 300 OP N/A N/A 153 145 145 N/A 153 129 153 N/A N/A 153 137 137 N/A 153 145 N/A 49 N/A 54 49 153 121 89321 1001102 165 Semen Analysis And/Or Motility 300 OP N/A N/A 157 148 148 N/A 157 132 157 N/A N/A 157 140 140 N/A 157 148 N/A 49 N/A 54 49 157 124 99001 1001110 56 DOT Collection Charge 300 OP N/A N/A 53 50 50 N/A 53 45 53 N/A N/A 53 47 47 N/A 53 50 N/A 15 N/A 16 15 53 42 99001 1001112 41 Hair Collection Only 300 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 15 N/A 16 15 39 31 99195 1001113 513 Phlebotomy Therapeutic 940 OP 113 101 488 462 462 101 488 411 488 102 113 488 436 436 113 488 462 101 387 102 424 101 488 385 1001119 179 PSA Screen G0103 301 OP N/A N/A 170 161 161 N/A 170 143 170 N/A N/A 170 152 152 N/A 170 161 N/A 43 N/A 47 43 170 134 80305 1001120 97 Drug Screen Urine Direct Obv 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A N/A N/A N/A 78 93 73 82077 1001124 200 Alcohol/Ethanol Auto Analyzer 301 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 80307 1001125 200 Drug Screen Multichan Urine 301 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 1001126 200 Drug Screen Multichan Meconium G0481 301 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 80143 1001131 200 Acetaminophen 301 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A 50 N/A 55 50 190 150 80179 1001132 200 Salicylate 301 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A 50 N/A 55 50 190 150 1001141 133 Amphetamine Urine Conf/Qnt G0480 301 OP N/A N/A 127 120 120 N/A 127 107 127 N/A N/A 127 113 113 N/A 127 120 N/A N/A N/A N/A 107 127 100 G0480 1001149 167 Nicotine Cotinine G0480 301 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 142 142 N/A 158 150 N/A N/A N/A N/A 133 158 125 1001153 97 Thc Quant G0480 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A N/A N/A N/A 78 93 73 1001157 " 1,554 " Red Blood Cells Lekoreduced P9016 390 OP 184 165 " 1,476 " " 1,398 " " 1,398 " 165 " 1,476 " " 1,243 " " 1,476 " 166 184 " 1,476 " " 1,321 " " 1,321 " 184 " 1,476 " " 1,398 " 165 355 166 389 165 " 1,476 " " 1,165 " 1001158 " 1,554 " Plasma Fresh Frozen P9017 390 OP 83 74 " 1,476 " " 1,398 " " 1,398 " 74 " 1,476 " " 1,243 " " 1,476 " 75 83 " 1,476 " " 1,321 " " 1,321 " 83 " 1,476 " " 1,398 " 74 355 75 389 74 " 1,476 " " 1,165 " 1001166 " 1,554 " Platelet Pheresis Leuk Red Irr P9037 390 OP 622 556 " 1,476 " " 1,398 " " 1,398 " 556 " 1,476 " " 1,243 " " 1,476 " 561 622 " 1,476 " " 1,321 " " 1,321 " 622 " 1,476 " " 1,398 " 556 817 561 897 556 " 1,476 " " 1,165 " 1001168 " 1,554 " RBC Packed Leuko-Reduc Irrad P9040 390 OP 253 226 " 1,476 " " 1,398 " " 1,398 " 226 " 1,476 " " 1,243 " " 1,476 " 228 253 " 1,476 " " 1,321 " " 1,321 " 253 " 1,476 " " 1,398 " 226 355 228 389 226 " 1,476 " " 1,165 " 1001174 40 Breath Alcohol Testing 300 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1001176 40 Health Screen PSA Only 300 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1001177 214 Health Screen Panel 300 OP N/A N/A 204 193 193 N/A 204 171 204 N/A N/A 204 182 182 N/A 204 193 N/A N/A N/A N/A 171 204 161 1001179 30 Health Screen TSH 300 OP N/A N/A 29 27 27 N/A 29 24 29 N/A N/A 29 26 26 N/A 29 27 N/A N/A N/A N/A 24 29 23 1001181 50 Healthscreen HgbA1C 300 OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A N/A N/A N/A 40 48 38 1001182 25 Healthscreen Lipid Panel 300 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 23 N/A N/A N/A N/A 20 24 19 1001185 40 Urine Collection Only 300 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1001202 133 Clomipramine Metabolite G0480 301 OP N/A N/A 127 120 120 N/A 127 107 127 N/A N/A 127 113 113 N/A 127 120 N/A N/A N/A N/A 107 127 100 87483 1001204 217 CSF Meningitis Pcr 306 OP N/A N/A 206 195 195 N/A 206 173 206 N/A N/A 206 184 184 N/A 206 195 N/A 81 N/A 89 81 206 163 82274 1001205 97 IFOB Screen G0328 300 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 55 N/A 60 55 93 73 87653 1001208 47 Genital Beta Strep DNA Probe 306 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A 63 N/A 69 38 69 35 87641 1001210 206 MRSA By Pcr 306 OP N/A N/A 196 186 186 N/A 196 165 196 N/A N/A 196 175 175 N/A 196 186 N/A 63 N/A 69 63 196 155 81479 1001223 455 Pharmacogenomic Geno 309 OP N/A N/A 432 410 410 N/A 432 364 432 N/A N/A 432 387 387 N/A 432 410 N/A 115 N/A 126 115 432 341 1001226 200 Drug Screen Umbilical Cord G0481 301 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 86256 1001229 104 Pla2R Titer 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 1001238 15 Healthscreen CMP 300 OP N/A N/A 14 14 14 N/A 14 12 14 N/A N/A 14 13 13 N/A 14 14 N/A N/A N/A N/A 12 14 11 1001239 10 Healthscreen CBC 300 OP N/A N/A 10 9 9 N/A 10 8 10 N/A N/A 10 9 9 N/A 10 9 N/A N/A N/A N/A 8 10 8 87651 1001240 206 Streptococcus A Amp Probe 306 OP N/A N/A 196 186 186 N/A 196 165 196 N/A N/A 196 175 175 N/A 196 186 N/A 63 N/A 69 63 196 155 87634 1001242 206 Rsv Pcr 306 OP N/A N/A 196 186 186 N/A 196 165 196 N/A N/A 196 175 175 N/A 196 186 N/A 63 N/A 69 63 196 155 86780 1001243 83 Treponema Pallidum EIA 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 1001244 50 Healthscreen Vitdhyd 300 OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A N/A N/A N/A 40 48 38 83921 1001249 186 Organic Acid Orotic Acid 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 84403 1001252 182 Testosterone By Lc/Ms 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 82175 1001258 52 Arsenic Fractionated 301 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 35 N/A 39 35 50 39 80307 1001271 200 Drug Screen Multichan Plasma 301 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 83013 1001272 167 H Pylori Breath 301 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 142 142 N/A 158 150 N/A 263 N/A 288 133 288 125 1001273 133 Risperidone G0480 301 OP N/A N/A 127 120 120 N/A 127 107 127 N/A N/A 127 113 113 N/A 127 120 N/A N/A N/A N/A 107 127 100 82670 1001274 182 Estradiol Ref Total 301 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A 50 N/A 54 50 172 136 82150 1001277 97 Amylase Body Fluid 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 29 N/A 32 29 93 73 87205 1001279 41 Urine Eosinophils 306 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 33 N/A 36 33 39 31 82542 1001282 186 Coenzyme Q10 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 83516 1001283 63 Rheumatoid Factor AB 301 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 55 N/A 60 51 60 48 86580 1001290 69 TB Skin Test 302 OP 24 22 66 62 62 22 66 55 66 22 24 66 59 59 24 66 62 22 43 22 47 22 66 52 87449 1001297 69 Blastomyces Ag Qnt 87449 300 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 33 N/A 36 33 66 52 1001299 39 Urine Dip Stick OB 301 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 1001302 35 Healthscreen Bt 300 OP N/A N/A 33 32 32 N/A 33 28 33 N/A N/A 33 30 30 N/A 33 32 N/A N/A N/A N/A 28 33 26 1001309 266 Genetic Misc Test Group 4 309 OP N/A N/A 253 240 240 N/A 253 213 253 N/A N/A 253 226 226 N/A 253 240 N/A N/A N/A N/A 213 253 200 1001311 791 Genetic Misc Test Group 6 309 OP N/A N/A 752 712 712 N/A 752 633 752 N/A N/A 752 673 673 N/A 752 712 N/A N/A N/A N/A 633 752 594 G0480 1001329 133 THC Umbilical Cord 301 OP N/A N/A 127 120 120 N/A 127 107 127 N/A N/A 127 113 113 N/A 127 120 N/A N/A N/A N/A 107 127 100 87798 1001335 217 Bord Parapert Amp Probe 306 OP N/A N/A 206 196 196 N/A 206 174 206 N/A N/A 206 185 185 N/A 206 196 N/A 63 N/A 69 63 206 163 80230 1001339 66 Infliximab 301 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A 50 N/A 55 50 63 50 87631 1001343 206 Influ and RSV Amp Probe 306 OP N/A N/A 196 186 186 N/A 196 165 196 N/A N/A 196 175 175 N/A 196 186 N/A 81 N/A 89 81 196 155 86255 1001361 96 LGI1 IgG CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001362 96 CASPR2 IgG CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001364 96 Anti Neuronal Nuc ABY CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001365 96 Purkinje Cell Antibody CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001366 96 Amphiphysin AB CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001367 96 CRMP 5 IgG CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001368 96 AMPA-R AB CBA CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001369 96 GABA-B-R ABCBA CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86341 1001370 83 GAD65 AB CSF 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86255 1001371 96 NMDA AB CSF 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001374 96 NMDA AB 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86341 1001375 83 GAD 65 Antibody 302 OP N/A N/A 79 74 74 N/A 79 66 79 N/A N/A 79 70 70 N/A 79 74 N/A 43 N/A 47 43 79 62 86255 1001376 96 GABA-B-R ARCBA Serum 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001377 96 AMPA-R AB CBA Serum 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001378 96 Anti Neuronal ABY Serum 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001379 96 Purkinje Cell AB 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001380 96 Amphiphysin AB 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001382 96 CRMP 5 AB 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 85025 1001384 10 OB CBC W/Auto Diff 300 OP N/A N/A 10 9 9 N/A 10 8 10 N/A N/A 10 9 9 N/A 10 9 N/A 27 N/A 30 8 30 8 87340 1001385 13 OB Hep B Surface Agn 300 OP N/A N/A 12 12 12 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 12 N/A 33 N/A 36 10 36 10 86762 1001386 19 OB Rubella IgG 300 OP N/A N/A 18 17 17 N/A 18 15 18 N/A N/A 18 16 16 N/A 18 17 N/A 43 N/A 47 15 47 14 86780 1001387 18 OB Trep Pallidum Tp-Pa Eia 300 OP N/A N/A 17 16 16 N/A 17 14 17 N/A N/A 17 15 15 N/A 17 16 N/A 43 N/A 47 14 47 13 86901 1001388 127 OB Blood Typing Rh D 300 OP 33 30 121 114 114 30 121 102 121 30 33 121 108 108 33 121 114 30 36 30 39 30 121 95 86900 1001389 138 OB Blood Typing Abo 300 OP 113 101 131 124 124 101 131 110 131 102 113 131 117 117 113 131 124 101 36 102 39 36 131 103 86850 1001390 69 OB Antibody Screen 300 OP 49 44 66 62 62 44 66 55 66 44 49 66 59 59 49 66 62 44 36 44 39 36 66 52 87389 1001391 31 OB HIV1Ag/HIV12Ab Sng Rslt 300 OP N/A N/A 30 28 28 N/A 30 25 30 N/A N/A 30 27 27 N/A 30 28 N/A 33 N/A 36 25 36 23 84425 1001395 193 Vitamin B1 Plasma 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 82164 1001419 193 ACE CSF 301 OP N/A N/A 183 174 174 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 174 N/A 55 N/A 60 55 183 145 86788 1001424 104 WNV IgM CSF 302 OP N/A N/A 99 94 94 N/A 99 83 99 N/A N/A 99 88 88 N/A 99 94 N/A 43 N/A 47 43 99 78 87449 1001431 69 "Blastomyces AG, Urine" 300 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 33 N/A 36 33 66 52 86255 1001448 96 Neuronal Ab Ifa Scr Ref 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 86255 1001449 96 Neuronal Ab Ifa Csf Ref 302 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A 43 N/A 47 43 91 72 82397 1001453 102 Infliximab Antibody Ref 301 OP N/A N/A 97 92 92 N/A 97 82 97 N/A N/A 97 87 87 N/A 97 92 N/A 55 N/A 60 55 97 77 81306 1001461 266 NUDT15 Ref 309 OP N/A N/A 253 240 240 N/A 253 213 253 N/A N/A 253 226 226 N/A 253 240 N/A 272 N/A 298 213 298 200 82397 1001464 102 Chemiluminescent Assay 301 OP N/A N/A 97 92 92 N/A 97 82 97 N/A N/A 97 87 87 N/A 97 92 N/A 55 N/A 60 55 97 77 86235 1001465 63 Chromatin ENA Antibody 302 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A 43 N/A 47 43 60 48 87147 1001472 67 Penicillin Binding Protein 2a 306 OP N/A N/A 64 61 61 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 61 N/A 33 N/A 36 33 64 51 86593 1001501 58 Syphilis Titer 302 OP N/A N/A 55 52 52 N/A 55 46 55 N/A N/A 55 49 49 N/A 55 52 N/A 43 N/A 47 43 55 43 84156 1001502 53 Protein Urine UPEP 301 OP N/A N/A 50 48 48 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 48 N/A 29 N/A 32 29 50 40 84155 1001503 44 Protein Blood SPEP 301 OP N/A N/A 42 40 40 N/A 42 35 42 N/A N/A 42 37 37 N/A 42 40 N/A 29 N/A 32 29 42 33 84157 1001504 53 Protein CSF 301 OP N/A N/A 50 48 48 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 48 N/A 29 N/A 32 29 50 40 82945 1001505 89 Glucose CSF 301 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 29 N/A 32 29 85 67 80280 1001506 75 Vedolizumab 301 OP N/A N/A 71 68 68 N/A 71 60 71 N/A N/A 71 64 64 N/A 71 68 N/A 50 N/A 55 50 71 56 87529 1001507 225 HSV DNA AMP Probe Ref 306 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A 63 N/A 69 63 213 168 U0003 1001512 140 SARS-CoV-2 U0003 309 OP N/A N/A 133 126 126 N/A 133 112 133 N/A N/A 133 119 119 N/A 133 126 N/A 63 N/A 69 63 133 105 87635 1001513 96 SARS-CoV-2 Amp Probe 309 OP N/A N/A 91 86 86 N/A 91 77 91 N/A N/A 91 82 82 N/A 91 86 N/A 63 N/A 69 63 91 72 86769 1001523 111 SARS CoV-2 IgG Aby 302 OP N/A N/A 105 100 100 N/A 105 89 105 N/A N/A 105 94 94 N/A 105 100 N/A 43 N/A 47 43 105 83 0202U 1001526 384 Respir Path 22 Targets Biofire 300 OP N/A N/A 365 346 346 N/A 365 307 365 N/A N/A 365 326 326 N/A 365 346 N/A 562 N/A 617 307 617 288 87661 1001534 89 Trichomonas Vag Amp Probe Cyto 306 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 63 N/A 69 63 85 67 85520 1001536 70 Apixaban 305 OP N/A N/A 66 63 63 N/A 66 56 66 N/A N/A 66 59 59 N/A 66 63 N/A 25 N/A 28 25 66 52 81329 1001548 220 SMN1 Gene Analysis Newborn 301 OP N/A N/A 209 198 198 N/A 209 176 209 N/A N/A 209 187 187 N/A 209 198 N/A 272 N/A 298 176 298 165 87426 1001550 37 SARS CoV Ag by IA 302 OP N/A N/A 35 33 33 N/A 35 30 35 N/A N/A 35 31 31 N/A 35 33 N/A 33 N/A 36 30 36 28 0241U 1001552 297 Influ/RSV/CoV2 PCR Ceph 300 OP N/A N/A 283 268 268 N/A 283 238 283 N/A N/A 283 253 253 N/A 283 268 N/A 81 N/A 89 81 283 223 0240U 1001553 297 Influ & CoV2 PCR Ceph 300 OP N/A N/A 283 268 268 N/A 283 238 283 N/A N/A 283 253 253 N/A 283 268 N/A 81 N/A 89 81 283 223 86923 1001558 231 Crossmatch Electronic 300 OP 153 137 219 208 208 137 219 185 219 138 153 219 196 196 153 219 208 137 N/A 138 N/A 137 219 173 1001560 97 Health Screen Alcohol 301 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A N/A N/A N/A 78 93 73 1001562 50 "Health Screen Drug Scrn, Urine" 301 OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A N/A N/A N/A 40 48 38 1001570 92 Urine Collection by MRO 300 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A N/A N/A N/A 73 87 69 36416 1001574 30 Capillary Stick 300 OP N/A N/A 29 27 27 N/A 29 24 29 N/A N/A 29 26 26 N/A 29 27 N/A 15 N/A 16 15 29 23 82272 1001646 42 Occult Blood Peroxidase Waive 301 OP N/A N/A 40 38 38 N/A 40 34 40 N/A N/A 40 36 36 N/A 40 38 N/A 29 N/A 32 29 40 32 82610 1001658 186 Cystatin C 301 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 158 158 N/A 176 167 N/A 55 N/A 60 55 176 139 86765 1001659 111 Rubeola IgG Antibody 302 OP N/A N/A 105 100 100 N/A 105 89 105 N/A N/A 105 94 94 N/A 105 100 N/A 43 N/A 47 43 105 83 86735 1001663 69 Mumps IgG Antibody 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 U0003 1001670 54 SARS-CoV-2 Amp Prb Hi Thrp 309 OP N/A N/A 51 49 49 N/A 51 43 51 N/A N/A 51 46 46 N/A 51 49 N/A 63 N/A 69 43 69 41 86015 1001683 69 Smooth Muscle Antibody Titer 302 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A 43 N/A 47 43 66 52 1001734 33 Drug Test Def 8-14 Classes 307 OP N/A N/A 32 30 30 N/A 32 27 32 N/A N/A 32 28 28 N/A 32 30 N/A N/A N/A N/A 27 32 25 86359 1001739 124 T Cell Total Ss3 302 OP N/A N/A 118 112 112 N/A 118 99 118 N/A N/A 118 105 105 N/A 118 112 N/A 60 N/A 66 60 118 93 86360 1001740 124 Cd4 And Cd8 Abs Cnt Ss3 302 OP N/A N/A 118 112 112 N/A 118 99 118 N/A N/A 118 105 105 N/A 118 112 N/A 60 N/A 66 60 118 93 87798 1001746 438 Kingella Kingae PCR 306 OP N/A N/A 416 394 394 N/A 416 350 416 N/A N/A 416 372 372 N/A 416 394 N/A 63 N/A 69 63 416 328 87624 1200019 89 HPV DNA Probe 306 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A 63 N/A 69 63 85 67 88112 1200022 218 Cytopath Con Tech Thin Prep 311 OP 49 44 207 196 196 44 207 174 207 44 49 207 185 185 49 207 196 44 64 44 70 44 207 163 88173 1200023 161 FNA Report Interpretation 310 OP 49 44 153 145 145 44 153 129 153 44 49 153 137 137 49 153 145 44 101 44 111 44 153 121 88300 1200031 161 Surg Path Gross Exam Only 312 OP 24 22 153 145 145 22 153 129 153 22 24 153 137 137 24 153 145 22 84 22 92 22 153 121 88302 1200032 161 Surg Path L2 312 OP 24 22 153 145 145 22 153 129 153 22 24 153 137 137 24 153 145 22 84 22 92 22 153 121 88304 1200033 161 Surg Path L3 312 OP 49 44 153 145 145 44 153 129 153 44 49 153 137 137 49 153 145 44 84 44 92 44 153 121 88305 1200034 161 Surg Path L4 312 OP 49 44 153 145 145 44 153 129 153 44 49 153 137 137 49 153 145 44 84 44 92 44 153 121 88307 1200035 395 Surg Path L5 312 OP 316 282 376 356 356 282 376 316 376 285 316 376 336 336 316 376 356 282 125 285 138 125 376 296 88309 1200036 573 Surg Path L6 312 OP 757 676 545 516 516 676 545 459 545 683 757 545 487 487 757 545 516 676 125 683 138 125 757 430 88311 1200037 161 Decalcify Tissue 312 OP N/A N/A 153 145 145 N/A 153 129 153 N/A N/A 153 137 137 N/A 153 145 N/A 84 N/A 92 84 153 121 88312 1200038 170 Special Stains 312 OP 49 44 161 153 153 44 161 136 161 44 49 161 144 144 49 161 153 44 84 44 92 44 161 127 88313 1200046 161 Special Stain Elastic 312 OP 33 30 153 145 145 30 153 129 153 30 33 153 137 137 33 153 145 30 84 30 92 30 153 121 88313 1200050 80 Special Stain Mucicarmine 312 OP 33 30 76 72 72 30 76 64 76 30 33 76 68 68 33 76 72 30 84 30 92 30 92 60 88313 1200053 161 Special Stains Group 2 312 OP 33 30 153 145 145 30 153 129 153 30 33 153 137 137 33 153 145 30 84 30 92 30 153 121 88341 1200065 161 Immunohisto Stain Add Per Spc 312 OP N/A N/A 153 145 145 N/A 153 129 153 N/A N/A 153 137 137 N/A 153 145 N/A 125 N/A 138 125 153 121 88342 1200069 170 Immunohisto Stain Init Pr Spec 312 OP 153 137 161 153 153 137 161 136 161 138 153 161 144 144 153 161 153 137 125 138 138 125 161 127 88344 1200070 161 Immunohisto Stain Pin Cocktail 312 OP 316 282 153 145 145 282 153 129 153 285 316 153 137 137 316 153 145 282 125 285 138 125 316 121 88360 1200076 218 Immunohisto Stain Era 312 OP 153 137 207 196 196 137 207 174 207 138 153 207 185 185 153 207 196 137 125 138 138 125 207 163 88360 1200077 218 Immunohisto Stain Her-2 Neu 312 OP 153 137 207 196 196 137 207 174 207 138 153 207 185 185 153 207 196 137 125 138 138 125 207 163 88360 1200078 218 Immunohisto Stain Pra 312 OP 153 137 207 196 196 137 207 174 207 138 153 207 185 185 153 207 196 137 125 138 138 125 207 163 88360 1200079 218 Immunohisto Stain Qnt Man 312 OP 153 137 207 196 196 137 207 174 207 138 153 207 185 185 153 207 196 137 125 138 138 125 207 163 88381 1200083 218 Microdissection 312 OP N/A N/A 207 196 196 N/A 207 174 207 N/A N/A 207 185 185 N/A 207 196 N/A 84 N/A 92 84 207 163 G0416 1200098 531 Prostate Sat Biopsy 312 OP 316 282 505 478 478 282 505 425 505 285 316 505 452 452 316 505 478 282 125 285 138 125 505 398 88361 1200099 210 Immunohisto Stain Qnt Man Ca 312 OP 316 282 200 189 189 282 200 168 200 285 316 200 179 179 316 200 189 282 125 285 138 125 316 158 88312 1200113 170 Special Stain PAS Fungus 312 OP 49 44 161 153 153 44 161 136 161 44 49 161 144 144 49 161 153 44 84 44 92 44 161 127 1701030 4 Atenolol 50 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1701080 7 Atomoxetine 10 MG Capsule 637 OP N/A N/A 7 6 6 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 6 N/A N/A N/A N/A 6 7 5 1701120 9 Atomoxetine 60 MG Capsule 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 7 1701130 4 Atorvastatin 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1701140 4 Atorvastatin 20 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1701150 4 Atorvastatin 80 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1701220 98 Atropine 1% Oph Soln 2 ML Bot 250 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A N/A N/A N/A 78 93 73 J0461 1701230 37 Atropine Sulfate 1 MG/ML Vial J0461 636 OP N/A N/A 36 34 34 N/A 36 30 36 N/A N/A 36 32 32 N/A 36 34 N/A N/A N/A N/A 30 36 28 J0461 1701300 29 Atropine Sulfate 1MG/10ML Syr J0461 636 OP N/A N/A 28 26 26 N/A 28 23 28 N/A N/A 28 25 25 N/A 28 26 N/A N/A N/A N/A 23 28 22 J9025 1701330 300 Azacitidine 100 MG Vial J9025 636 OP N/A N/A 285 270 270 N/A 285 240 285 N/A N/A 285 255 255 N/A 285 270 N/A N/A N/A N/A 240 285 225 J7500 1701340 5 Azathioprine 50 MG Tablet J7500 636 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1701380 35 Azelastine 0.1% Nasal Spr 30ML 637 OP N/A N/A 33 31 31 N/A 33 28 33 N/A N/A 33 30 30 N/A 33 31 N/A N/A N/A N/A 28 33 26 1701430 5 Azithromycin 250 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1701440 36 Azithromyc 100MG/5ML 15ML Bot 637 OP N/A N/A 34 32 32 N/A 34 29 34 N/A N/A 34 30 30 N/A 34 32 N/A N/A N/A N/A 29 34 27 J0456 1701490 132 Azithromycin 500 MG Vial J0456 636 OP N/A N/A 125 119 119 N/A 125 106 125 N/A N/A 125 112 112 N/A 125 119 N/A N/A N/A N/A 106 125 99 1701500 189 Aztreonam 1000 MG Vial 250 OP N/A N/A 180 170 170 N/A 180 151 180 N/A N/A 180 161 161 N/A 180 170 N/A N/A N/A N/A 151 180 142 1701510 251 Aztreonam 2000 MG Vial 250 OP N/A N/A 239 226 226 N/A 239 201 239 N/A N/A 239 213 213 N/A 239 226 N/A N/A N/A N/A 201 239 188 1701540 4 Bacitracin Ointment 0.9 GR Pac 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1701560 25 Bacitracin Oint 28.4 GR Tube 637 OP N/A N/A 23 22 22 N/A 23 20 23 N/A N/A 23 21 21 N/A 23 22 N/A N/A N/A N/A 20 23 19 1701630 4 Baclofen 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1701680 29 Balance Salt Oph Irr 500ML Bot 250 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 25 25 N/A 27 26 N/A N/A N/A N/A 23 27 22 1701880 92 Opium/Bellad 60/16.2 Rect Supp 637 OP N/A N/A 88 83 83 N/A 88 74 88 N/A N/A 88 78 78 N/A 88 83 N/A N/A N/A N/A 74 88 69 J9033 1701980 " 1,944 " Bendamustine 25 MG Vial J9033 636 OP N/A 13 " 1,847 " " 1,750 " " 1,750 " 13 " 1,847 " " 1,555 " " 1,847 " 13 N/A " 1,847 " " 1,653 " " 1,653 " N/A " 1,847 " " 1,750 " 13 N/A 13 N/A 13 " 1,847 " " 1,458 " J9033 1701990 " 5,999 " Bendamustine 100 MG Vial J9033 636 OP N/A 13 " 5,699 " " 5,399 " " 5,399 " 13 " 5,699 " " 4,799 " " 5,699 " 13 N/A " 5,699 " " 5,099 " " 5,099 " N/A " 5,699 " " 5,399 " 13 N/A 13 N/A 13 " 5,699 " " 4,499 " 1702110 28 Benzocaine 20% Spray 0.5ML 250 OP N/A N/A 26 25 25 N/A 26 22 26 N/A N/A 26 24 24 N/A 26 25 N/A N/A N/A N/A 22 26 21 1702140 9 Benzocaine/Menthol 1 Loz Box 637 OP N/A N/A 9 8 8 N/A 9 8 9 N/A N/A 9 8 8 N/A 9 8 N/A N/A N/A N/A 8 9 7 1702150 33 Benzocaine/Menthol 56 GR Can 637 OP N/A N/A 31 30 30 N/A 31 26 31 N/A N/A 31 28 28 N/A 31 30 N/A N/A N/A N/A 26 31 25 1702200 4 Benzonatate 100 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1702300 4 Benztropine 1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J0515 1702320 90 Benztropine 2 MG/2 ML Vial J0515 636 OP N/A N/A 86 81 81 N/A 86 72 86 N/A N/A 86 77 77 N/A 86 81 N/A N/A N/A N/A 72 86 68 1702530 44 Clotrim/Betameth Cream 15 GR 637 OP N/A N/A 42 39 39 N/A 42 35 42 N/A N/A 42 37 37 N/A 42 39 N/A N/A N/A N/A 35 42 33 J0702 1702540 28 Betameth Sod Ph/Ac 6MG/ML 5ML J0702 636 OP N/A N/A 26 25 25 N/A 26 22 26 N/A N/A 26 23 23 N/A 26 25 N/A N/A N/A N/A 22 26 21 1702570 79 Betaxolol 0.5% Ophth Soln 5ML 637 OP N/A N/A 75 71 71 N/A 75 63 75 N/A N/A 75 67 67 N/A 75 71 N/A N/A N/A N/A 63 75 59 J9035 1702630 " 2,100 " Bevacizumab 100 MG/4 ML Vial J9035 636 OP N/A 62 " 1,995 " " 1,890 " " 1,890 " 62 " 1,995 " " 1,680 " " 1,995 " 62 N/A " 1,995 " " 1,785 " " 1,785 " N/A " 1,995 " " 1,890 " 62 N/A 62 N/A 62 " 1,995 " " 1,575 " J9035 1702640 " 8,164 " Bevacizumab 400 MG/16 ML Vial J9035 636 OP N/A 62 " 7,755 " " 7,347 " " 7,347 " 62 " 7,755 " " 6,531 " " 7,755 " 62 N/A " 7,755 " " 6,939 " " 6,939 " N/A " 7,755 " " 7,347 " 62 N/A 62 N/A 62 " 7,755 " " 6,123 " 1702660 4 Bicalutamide 50 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1702710 20 Saliva Subst (Biotene) 237 ML 637 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 1702740 3 Bisacodyl Ec 5 MG Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1702750 6 Bisacodyl 10 MG Rectal Supp 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 1702770 13 Bismuth Subsa 262MG/15ML 240ML 637 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 11 N/A N/A N/A N/A 10 12 9 1702810 5 Bisoprolol 5 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 4 J9041 1702890 " 4,069 " Bortezomib 3.5 MG Vial J9041 636 OP N/A 8 " 3,866 " " 3,662 " " 3,662 " 8 " 3,866 " " 3,255 " " 3,866 " 8 N/A " 3,866 " " 3,459 " " 3,459 " N/A " 3,866 " " 3,662 " 8 N/A 8 N/A 8 " 3,866 " " 3,052 " J0585 1702920 " 2,880 " Botul Tox Type A 100 Unit Vial J0585 636 OP N/A 6 " 2,736 " " 2,592 " " 2,592 " 6 " 2,736 " " 2,304 " " 2,736 " 6 N/A " 2,736 " " 2,448 " " 2,448 " N/A " 2,736 " " 2,592 " 6 N/A 6 N/A 6 " 2,736 " " 2,160 " 1702990 32 Brimonidine 0.2% Oph Soln 5ML 250 OP N/A N/A 30 28 28 N/A 30 25 30 N/A N/A 30 27 27 N/A 30 28 N/A N/A N/A N/A 25 30 24 1703170 8 Budesonide Neb 0.5 MG/2 ML 250 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 6 1703230 4 Bumetanide 1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1703270 19 Bumetanide 1 MG/4 ML Vial 250 OP N/A N/A 18 17 17 N/A 18 15 18 N/A N/A 18 16 16 N/A 18 17 N/A N/A N/A N/A 15 18 15 1703350 20 Bupivacaine 0.25% Pf 10 ML Vl 250 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 1703370 27 Bupivacaine 0.75% Pf 10 ML Vl 250 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 23 23 N/A 25 24 N/A N/A N/A N/A 21 25 20 1703410 42 Bupiv 0.25%/Epi 1:200000 Pf 50 250 OP N/A N/A 40 38 38 N/A 40 33 40 N/A N/A 40 35 35 N/A 40 38 N/A N/A N/A N/A 33 40 31 C9290 1703440 893 Bupivac Liposome 1.3% Pf 20 ML C9290 636 OP N/A N/A 848 804 804 N/A 848 714 848 N/A N/A 848 759 759 N/A 848 804 N/A N/A N/A N/A 714 848 670 1703480 23 Bupivacaine 0.5% Pf 30 ML Vial 250 OP N/A N/A 22 21 21 N/A 22 19 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 19 22 18 1703490 28 Bupiv 0.75%/Dext Spinal 2ML 250 OP N/A N/A 26 25 25 N/A 26 22 26 N/A N/A 26 23 23 N/A 26 25 N/A N/A N/A N/A 22 26 21 J0571 1703530 8 Buprenorphine Sl 2 MG Tablet J0571 636 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 7 7 N/A 7 7 N/A N/A N/A N/A 6 7 6 1703580 5 Bupropion 75 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1703590 6 Bupropion 100 MG Tablet 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 1703600 4 Bupropion Sr 150 MG Tab 12 Hr 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1703610 5 Bupropion Sr 100 MG Tab 12 Hr 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 4 1703630 4 Bupropion Xl 150 MG Tab 24 Hr 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1703650 4 Buspirone 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J0595 1703740 33 Butorphanol 2 MG/ML Vial J0595 636 OP N/A N/A 31 30 30 N/A 31 26 31 N/A N/A 31 28 28 N/A 31 30 N/A N/A N/A N/A 26 31 25 J9043 1703780 " 30,138 " Cabazitaxel 60 MG/1.5 ML Vial J9043 636 OP N/A 173 " 28,631 " " 27,124 " " 27,124 " 173 " 28,631 " " 24,110 " " 28,631 " 175 N/A " 28,631 " " 25,617 " " 25,617 " N/A " 28,631 " " 27,124 " 173 N/A 175 N/A 173 " 28,631 " " 22,603 " 1703950 49 Calcitonin Salmon 200Unit/Spr 637 OP N/A N/A 46 44 44 N/A 46 39 46 N/A N/A 46 42 42 N/A 46 44 N/A N/A N/A N/A 39 46 37 1703960 " 5,384 " Calcitonin Salmon 400Unit/2ML 637 OP N/A N/A " 5,115 " " 4,846 " " 4,846 " N/A " 5,115 " " 4,307 " " 5,115 " N/A N/A " 5,115 " " 4,576 " " 4,576 " N/A " 5,115 " " 4,846 " N/A N/A N/A N/A " 4,307 " " 5,115 " " 4,038 " 1703970 4 Calcitriol 0.25 MCG Capsule 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1704020 5 Calcium Acetate 667 MG Capsule 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1704100 3 Calcium Carbonate 500 MG Chew 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J3480 1704130 133 Potassium Chl 20Meq/100ML Bag J3480 636 OP N/A N/A 126 120 120 N/A 126 106 126 N/A N/A 126 113 113 N/A 126 120 N/A N/A N/A N/A 106 126 100 1704170 4 Calcium Citrate 200 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J0610 1704200 82 Ca Gluconate 1000MG/10ML Vial J0610 636 OP N/A N/A 78 74 74 N/A 78 65 78 N/A N/A 78 70 70 N/A 78 74 N/A N/A N/A N/A 65 78 61 1704250 4 Ca Polycarbophil 625 MG Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1704320 4 Calcium Carb/Vit D3 500/200 Tb 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1704530 6 Captopril 25 MG Tablet 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 6 N/A N/A N/A N/A 5 6 5 1704650 5 Carbamazepine 200 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1704690 25 Carbam Perox 6.5% Ot Sol 15ML 637 OP N/A N/A 24 22 22 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 22 N/A N/A N/A N/A 20 24 19 1704790 5 Carbidop/Levodop Cr 50/200 Tab 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 4 1704840 508 Carboprost 250 MCG/ML Ampule 250 OP N/A N/A 483 458 458 N/A 483 407 483 N/A N/A 483 432 432 N/A 483 458 N/A N/A N/A N/A 407 483 381 1704890 5 Carboxymethyl 1% Oph Sol 0.4ML 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 J9047 1704980 " 6,760 " Carfilzomib 60 MG Vial J9047 636 OP N/A 39 " 6,422 " " 6,084 " " 6,084 " 39 " 6,422 " " 5,408 " " 6,422 " 40 N/A " 6,422 " " 5,746 " " 5,746 " N/A " 6,422 " " 6,084 " 39 N/A 40 N/A 39 " 6,422 " " 5,070 " 1705040 4 Carvedilol 3.125 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1705060 4 Carvedilol 12.5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1705210 10 Cefadroxil 500 MG Capsule 637 OP N/A N/A 9 9 9 N/A 9 8 9 N/A N/A 9 8 8 N/A 9 9 N/A N/A N/A N/A 8 9 7 J0690 1705290 13 Cefazolin 1000 MG Vial J0690 636 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 11 N/A N/A N/A N/A 10 12 10 J0690 1705310 65 Cefazolin 500 MG Vial J0690 636 OP N/A N/A 62 59 59 N/A 62 52 62 N/A N/A 62 55 55 N/A 62 59 N/A N/A N/A N/A 52 62 49 1705320 5 Cefdinir 300 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1705330 59 Cefdinir 125 MG/5 ML 60 ML Bot 637 OP N/A N/A 56 53 53 N/A 56 47 56 N/A N/A 56 50 50 N/A 56 53 N/A N/A N/A N/A 47 56 45 J0692 1705410 128 Cefepime 1000 MG Vial J0692 636 OP N/A N/A 121 115 115 N/A 121 102 121 N/A N/A 121 109 109 N/A 121 115 N/A N/A N/A N/A 102 121 96 J0692 1705420 138 Cefepime 2000 MG Vial J0692 636 OP N/A N/A 131 124 124 N/A 131 111 131 N/A N/A 131 118 118 N/A 131 124 N/A N/A N/A N/A 111 131 104 1705530 39 Cefotetan 1000 MG Vial 250 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 1705540 65 Cefotetan 2000 MG Vial 250 OP N/A N/A 61 58 58 N/A 61 52 61 N/A N/A 61 55 55 N/A 61 58 N/A N/A N/A N/A 52 61 48 J0694 1705570 32 Cefoxitin 1000 MG Vial J0694 636 OP N/A N/A 31 29 29 N/A 31 26 31 N/A N/A 31 27 27 N/A 31 29 N/A N/A N/A N/A 26 31 24 J0694 1705580 54 Cefoxitin 2000 MG Vial J0694 636 OP N/A N/A 51 48 48 N/A 51 43 51 N/A N/A 51 45 45 N/A 51 48 N/A N/A N/A N/A 43 51 40 J0713 1705790 147 Ceftazidime 2000 MG Vial J0713 636 OP N/A N/A 139 132 132 N/A 139 117 139 N/A N/A 139 125 125 N/A 139 132 N/A N/A N/A N/A 117 139 110 J0696 1705870 130 Ceftriaxone 2000 MG Vial J0696 636 OP N/A N/A 123 117 117 N/A 123 104 123 N/A N/A 123 110 110 N/A 123 117 N/A N/A N/A N/A 104 123 97 J0696 1705890 20 Ceftriaxone 500 MG Vial J0696 636 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 J0696 1705900 111 Ceftriaxone 1000 MG Vial J0696 636 OP N/A N/A 105 99 99 N/A 105 88 105 N/A N/A 105 94 94 N/A 105 99 N/A N/A N/A N/A 88 105 83 1706020 6 Celecoxib 200 MG Capsule 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 6 N/A N/A N/A N/A 5 6 5 1706070 4 Cephalexin 250 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1706080 4 Cephalexin 500 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1706180 4 Cetirizine 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1706320 79 Charcoal/Water 50 GR/240 ML 250 OP N/A N/A 75 71 71 N/A 75 63 75 N/A N/A 75 67 67 N/A 75 71 N/A N/A N/A N/A 63 75 59 1706400 4 Chlordiazepoxide 10 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1706410 4 Chlordiazepoxide 25 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1706450 13 Chlorhexidine 0.12% 473ML Bot 637 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 11 N/A N/A N/A N/A 10 12 9 J2400 1706530 66 Chloroprocaine 2% Pf 20ML Vial J2400 636 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A N/A N/A N/A 53 63 50 1706690 7 Chlorpromazine 25 MG Tablet 637 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 7 N/A N/A N/A N/A 6 7 6 J3230 1706700 89 Chlorpromazine 50 MG/2 ML Amp J3230 636 OP N/A N/A 85 80 80 N/A 85 71 85 N/A N/A 85 76 76 N/A 85 80 N/A N/A N/A N/A 71 85 67 1706740 5 Chlorthalidone 50 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1706790 3 Cholecalciferol 1000 Unit Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1706810 4 Cholecalciferol 50000 Unit Cap 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1706830 8 Cholecalcif Dr 400Unit/ML 50ML 637 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 7 7 N/A 7 7 N/A N/A N/A N/A 6 7 6 1706860 6 Cholestyram/Aspart Sf 4 GR Pkt 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 6 N/A N/A N/A N/A 5 6 5 1707020 4 Cilostazol 100 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1707120 290 Ciprofl/Dexameth Ot Susp 7.5ML 637 OP N/A N/A 276 261 261 N/A 276 232 276 N/A N/A 276 247 247 N/A 276 261 N/A N/A N/A N/A 232 276 218 1707140 4 Ciprofloxacin 500 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1707150 4 Ciprofloxacin 250 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1707180 74 Ciprofloxacin 0.3% Oph Sol 5ML 637 OP N/A N/A 70 66 66 N/A 70 59 70 N/A N/A 70 63 63 N/A 70 66 N/A N/A N/A N/A 59 70 55 J0744 1707220 131 Ciproflox/D5W 200 MG/100ML Bag J0744 636 OP N/A N/A 125 118 118 N/A 125 105 125 N/A N/A 125 112 112 N/A 125 118 N/A N/A N/A N/A 105 125 98 J0744 1707230 132 Ciprofloxac/D5 400MG/200ML Bag J0744 636 OP N/A N/A 126 119 119 N/A 126 106 126 N/A N/A 126 112 112 N/A 126 119 N/A N/A N/A N/A 106 126 99 1707290 38 Cisatracurium 20 MG/10 ML Vial 250 OP N/A N/A 36 34 34 N/A 36 31 36 N/A N/A 36 32 32 N/A 36 34 N/A N/A N/A N/A 31 36 29 J9060 1707310 202 Cisplatin 100 MG/100 ML Vial J9060 636 OP N/A N/A 192 182 182 N/A 192 162 192 N/A N/A 192 172 172 N/A 192 182 N/A N/A N/A N/A 162 192 152 1707430 13 Citric Acid/Sod Citrate 30 ML 637 OP N/A N/A 12 12 12 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 12 N/A N/A N/A N/A 10 12 10 1707570 4 Clindamycin 150 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1707630 141 Clindamycin/D5W 300MG/50ML Bag 250 OP N/A N/A 134 127 127 N/A 134 113 134 N/A N/A 134 120 120 N/A 134 127 N/A N/A N/A N/A 113 134 106 1707640 147 Clindamycin/D5W 600MG/50ML Bag 250 OP N/A N/A 140 133 133 N/A 140 118 140 N/A N/A 140 125 125 N/A 140 133 N/A N/A N/A N/A 118 140 110 1707660 150 Clindamycin/D5W 900MG/50ML Bag 250 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A N/A N/A N/A 120 143 113 1707690 55 Clindamycin 300 MG/2 ML Vial 250 OP N/A N/A 52 49 49 N/A 52 44 52 N/A N/A 52 46 46 N/A 52 49 N/A N/A N/A N/A 44 52 41 1707790 54 Clobetasol Prop 0.05% Crm 30GR 637 OP N/A N/A 52 49 49 N/A 52 44 52 N/A N/A 52 46 46 N/A 52 49 N/A N/A N/A N/A 44 52 41 1707990 5 Clonazepam 1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1708060 54 Clonidine 0.3 MG/24 Hr Patch 637 OP N/A N/A 51 48 48 N/A 51 43 51 N/A N/A 51 46 46 N/A 51 48 N/A N/A N/A N/A 43 51 40 1708080 4 Clonidine 0.1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1708110 4 Clopidogrel 75 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1708160 24 Clotrimazole 1% Cream 15 GR 637 OP N/A N/A 23 22 22 N/A 23 19 23 N/A N/A 23 21 21 N/A 23 22 N/A N/A N/A N/A 19 23 18 1708220 6 Clotrimazole 10 MG Troche 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 5 1708230 6 Clozapine 100 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1708240 4 Clozapine 25 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 C9046 1708390 355 Cocaine 4% Solution 4 ML Bot C9046 636 OP N/A N/A 337 319 319 N/A 337 284 337 N/A N/A 337 301 301 N/A 337 319 N/A N/A N/A N/A 284 337 266 1708490 11 Colchicine 0.6 MG Tablet 637 OP N/A N/A 10 10 10 N/A 10 9 10 N/A N/A 10 9 9 N/A 10 10 N/A N/A N/A N/A 9 10 8 1708530 5 Colestipol 1 GR Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 J0834 1708680 63 Cosyntropin 0.25 MG Vial J0834 636 OP N/A N/A 60 57 57 N/A 60 50 60 N/A N/A 60 54 54 N/A 60 57 N/A N/A N/A N/A 50 60 47 1708830 4 Cyanocobalamin 500 MCG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J3420 1708860 26 Cyanocobalamin 1000 MCG/ML Vl J3420 636 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 24 N/A N/A N/A N/A 21 25 20 1708930 42 Cyclopentolate 1% Oph Soln 2ML 250 OP N/A N/A 40 38 38 N/A 40 34 40 N/A N/A 40 36 36 N/A 40 38 N/A N/A N/A N/A 34 40 32 J9070 1709010 862 Cyclophosphamide 1 GR Vial J9070 636 OP N/A 19 819 776 776 19 819 689 819 19 N/A 819 733 733 N/A 819 776 19 N/A 19 N/A 19 819 646 J9070 1709030 520 Cyclophosphamide 500 MG Vial J9070 636 OP N/A 19 494 468 468 19 494 416 494 19 N/A 494 442 442 N/A 494 468 19 N/A 19 N/A 19 494 390 1709220 134 D5/Ns Kcl 20 Meq 1000 ML Bag 258 OP N/A N/A 127 120 120 N/A 127 107 127 N/A N/A 127 114 114 N/A 127 120 N/A N/A N/A N/A 107 127 100 1709410 5 Dapsone 25 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 J0878 1709440 101 Daptomycin 500 MG Vial J0878 636 OP N/A N/A 96 91 91 N/A 96 81 96 N/A N/A 96 86 86 N/A 96 91 N/A N/A N/A N/A 81 96 76 J0881 1709500 " 1,616 " Darbepoe Alfa 200MCG/0.4ML Syr J0881 636 OP N/A 3 " 1,535 " " 1,455 " " 1,455 " 3 " 1,535 " " 1,293 " " 1,535 " 3 N/A " 1,535 " " 1,374 " " 1,374 " N/A " 1,535 " " 1,455 " 3 N/A 3 N/A 3 " 1,535 " " 1,212 " J0881 1709530 " 2,518 " Darbepoe Alfa 300MCG/0.6ML Syr J0881 636 OP N/A 3 " 2,392 " " 2,266 " " 2,266 " 3 " 2,392 " " 2,015 " " 2,392 " 3 N/A " 2,392 " " 2,140 " " 2,140 " N/A " 2,392 " " 2,266 " 3 N/A 3 N/A 3 " 2,392 " " 1,889 " J0881 1709550 548 Darbepoetin Alfa 60 MCG/ML Vl J0881 636 OP N/A 3 520 493 493 3 520 438 520 3 N/A 520 466 466 N/A 520 493 3 N/A 3 N/A 3 520 411 J0881 1709560 940 Darbepoetin Alfa 100 MCG/ML Vl J0881 636 OP N/A 3 893 846 846 3 893 752 893 3 N/A 893 799 799 N/A 893 846 3 N/A 3 N/A 3 893 705 J0894 1709680 449 Decitabine 50 MG Vial J0894 636 OP N/A N/A 427 404 404 N/A 427 359 427 N/A N/A 427 382 382 N/A 427 404 N/A N/A N/A N/A 359 427 337 J9155 1709720 901 Degarelix 80 MG Vial J9155 636 OP N/A 4 855 810 810 4 855 720 855 4 N/A 855 765 765 N/A 855 810 4 N/A 4 N/A 4 855 675 J0897 1709780 " 3,217 " Denosumab 60 MG/ML Syringe J0897 636 OP N/A 20 " 3,056 " " 2,895 " " 2,895 " 20 " 3,056 " " 2,574 " " 3,056 " 20 N/A " 3,056 " " 2,735 " " 2,735 " N/A " 3,056 " " 2,895 " 20 N/A 20 N/A 20 " 3,056 " " 2,413 " J0897 1709790 " 5,940 " Denosumab 120 MG/1.7 ML Vial J0897 636 OP N/A 20 " 5,643 " " 5,346 " " 5,346 " 20 " 5,643 " " 4,752 " " 5,643 " 20 N/A " 5,643 " " 5,049 " " 5,049 " N/A " 5,643 " " 5,346 " 20 N/A 20 N/A 20 " 5,643 " " 4,455 " J2597 1709900 101 Desmopressin 4 MCG/ML Vial J2597 636 OP N/A 6 96 91 91 6 96 81 96 6 N/A 96 86 86 N/A 96 91 6 N/A 6 N/A 6 96 76 1709920 55 Desonide 0.05% Crm 15 GR Tube 637 OP N/A N/A 52 50 50 N/A 52 44 52 N/A N/A 52 47 47 N/A 52 50 N/A N/A N/A N/A 44 52 41 1710040 5 Desvenlafaxine Er 50 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 J8540 1710080 6 Dexamethasone 4 MG Tablet J8540 636 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 J8540 1710090 5 Dexamethasone 2 MG Tablet J8540 636 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 4 J8540 1710100 4 Dexamethasone 0.5 MG Tablet J8540 636 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J1100 1710170 27 Dexamethasone 10 MG/ML Vial J1100 636 OP N/A N/A 26 24 24 N/A 26 22 26 N/A N/A 26 23 23 N/A 26 24 N/A N/A N/A N/A 22 26 20 J1100 1710190 19 Dexamethasone 4 MG/ML Vial J1100 636 OP N/A N/A 18 17 17 N/A 18 15 18 N/A N/A 18 16 16 N/A 18 17 N/A N/A N/A N/A 15 18 14 1710200 128 Dexamethasone 4MG/ML 30ML Vial 250 OP N/A N/A 121 115 115 N/A 121 102 121 N/A N/A 121 109 109 N/A 121 115 N/A N/A N/A N/A 102 121 96 1710240 28 Dexmedetomidine 200MCG/2ML Vl 250 OP N/A N/A 27 25 25 N/A 27 22 27 N/A N/A 27 24 24 N/A 27 25 N/A N/A N/A N/A 22 27 21 1710250 163 Dexmedetomidin/Ns 400MCG/100ML 250 OP N/A N/A 155 147 147 N/A 155 130 155 N/A N/A 155 138 138 N/A 155 147 N/A N/A N/A N/A 130 155 122 1710480 102 Dextrose 10% 1000 ML Bag 258 OP N/A N/A 97 91 91 N/A 97 81 97 N/A N/A 97 86 86 N/A 97 91 N/A N/A N/A N/A 81 97 76 1710540 22 Dextrose 5% 1000 ML Bag 258 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 16 1710570 2 Dextrose 5% 500 ML Bag 258 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 1710640 101 D5%/0.2% Sodium Chl 1000ML Bag 258 OP N/A N/A 96 91 91 N/A 96 81 96 N/A N/A 96 86 86 N/A 96 91 N/A N/A N/A N/A 81 96 76 1710670 100 D5%/0.45%Sodium Chl 1000ML Bag 258 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A N/A N/A N/A 80 95 75 1710690 53 D5%/0.9% Sodium Chl 1000ML Bag 258 OP N/A N/A 51 48 48 N/A 51 43 51 N/A N/A 51 45 45 N/A 51 48 N/A N/A N/A N/A 43 51 40 1710700 97 D5%/Lactated Ringers 500ML Bag 258 OP N/A N/A 92 87 87 N/A 92 77 92 N/A N/A 92 82 82 N/A 92 87 N/A N/A N/A N/A 77 92 73 1710710 99 D5%/Lactated Ringer 1000ML Bag 258 OP N/A N/A 94 89 89 N/A 94 79 94 N/A N/A 94 84 84 N/A 94 89 N/A N/A N/A N/A 79 94 74 1710730 51 Dextrose 50% 50 ML Syringe 250 OP N/A N/A 48 46 46 N/A 48 41 48 N/A N/A 48 43 43 N/A 48 46 N/A N/A N/A N/A 41 48 38 1710820 4 Diazepam 5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1710830 3 Diazepam 2 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J3360 1710880 78 Diazepam 10 MG/2 ML Syringe J3360 636 OP N/A N/A 74 70 70 N/A 74 62 74 N/A N/A 74 66 66 N/A 74 70 N/A N/A N/A N/A 62 74 58 1710930 29 Dibucaine 1% Oint 28.35GR Tube 637 OP N/A N/A 28 26 26 N/A 28 23 28 N/A N/A 28 25 25 N/A 28 26 N/A N/A N/A N/A 23 28 22 1711070 4 Dicyclomine 20 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1711160 4 Digoxin 0.125 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1711170 4 Digoxin 0.25 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J1160 1711210 29 Digoxin 0.5 MG/2 ML Ampul J1160 636 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 26 N/A N/A N/A N/A 23 27 22 J1110 1711220 224 Dihydroergotamine 1 MG/ML Vial J1110 636 OP N/A N/A 213 201 201 N/A 213 179 213 N/A N/A 213 190 190 N/A 213 201 N/A N/A N/A N/A 179 213 168 1711370 27 Diltiazem 25 MG/5 ML Vial 250 OP N/A N/A 26 25 25 N/A 26 22 26 N/A N/A 26 23 23 N/A 26 25 N/A N/A N/A N/A 22 26 21 1711380 143 Diltiazem 125 MG/25 ML Vial 250 OP N/A N/A 136 129 129 N/A 136 114 136 N/A N/A 136 121 121 N/A 136 129 N/A N/A N/A N/A 114 136 107 1711400 4 Diltiazem 60 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J1212 1711610 " 1,660 " Dimethyl Sulfox 50% Soln 50ML J1212 636 OP N/A 555 " 1,577 " " 1,494 " " 1,494 " 555 " 1,577 " " 1,328 " " 1,577 " 561 N/A " 1,577 " " 1,411 " " 1,411 " N/A " 1,577 " " 1,494 " 555 N/A 561 N/A 555 " 1,577 " " 1,245 " 1711630 " 1,047 " Dinoprostone 10 MG Insert 637 OP N/A N/A 994 942 942 N/A 994 837 994 N/A N/A 994 890 890 N/A 994 942 N/A N/A N/A N/A 837 994 785 1711670 11 Diphenhydramine 12.5MG/5ML 637 OP N/A N/A 11 10 10 N/A 11 9 11 N/A N/A 11 9 9 N/A 11 10 N/A N/A N/A N/A 9 11 8 1711710 4 Diphenhydramine 25 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J1200 1711750 23 Diphenhydramine 50 MG/ML Vial J1200 636 OP N/A N/A 22 21 21 N/A 22 19 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 19 22 18 1711800 4 Diphenox/Atropin 2.5/0.025 Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 90715 1711840 98 Dip/Tet/Acel Pertus 0.5ML NULL 636 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A 76 N/A 83 76 93 73 1711900 6 Dipyridamole/Asp Cr 200/25 Cap 637 OP N/A N/A 5 5 5 N/A 5 5 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 5 5 4 1711990 4 Divalproex Ec 500 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1712000 5 Divalproex Er 250 MG Tab 24 Hr 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1712010 7 Divalproex Er 500 MG Tab24 Hr 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 6 6 N/A 6 6 N/A N/A N/A N/A 5 6 5 1712030 5 Divalproex Sprinkle 125 MG Cap 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 J9171 1712090 212 Docetaxel 20 MG/ML Vial J9171 636 OP N/A N/A 201 191 191 N/A 201 169 201 N/A N/A 201 180 180 N/A 201 191 N/A N/A N/A N/A 169 201 159 J9171 1712100 " 1,753 " Docetaxel 80 MG/4 ML Vial J9171 636 OP N/A N/A " 1,666 " " 1,578 " " 1,578 " N/A " 1,666 " " 1,403 " " 1,666 " N/A N/A " 1,666 " " 1,490 " " 1,490 " N/A " 1,666 " " 1,578 " N/A N/A N/A N/A " 1,403 " " 1,666 " " 1,315 " 1712140 61 Docosanol 10% Cream 2 GR Tube 637 OP N/A N/A 58 55 55 N/A 58 49 58 N/A N/A 58 52 52 N/A 58 55 N/A N/A N/A N/A 49 58 46 1712220 4 Duloxetine 20 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1712230 4 Duloxetine 30 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1712260 58 Dorzolamide 2% Ophsoln 10ML 637 OP N/A N/A 55 52 52 N/A 55 46 55 N/A N/A 55 49 49 N/A 55 52 N/A N/A N/A N/A 46 55 43 1712270 53 Dorzolamide/Timolol Opth 10ml 637 OP N/A N/A 50 48 48 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 48 N/A N/A N/A N/A 42 50 40 J1335 1712280 223 Ertapenem 1000 MG Vial J1335 636 OP N/A N/A 212 201 201 N/A 212 178 212 N/A N/A 212 190 190 N/A 212 201 N/A N/A N/A N/A 178 212 167 1712400 17 Estrogens Conj 0.625 MG Tab 637 OP N/A N/A 16 15 15 N/A 16 14 16 N/A N/A 16 14 14 N/A 16 15 N/A N/A N/A N/A 14 16 13 1712450 4 Doxazosin 2 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1712500 5 Dofetilide 125 MCG Capsule 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 J1650 1712550 32 Enoxaparin 60 MG/0.6 ML Syr J1650 636 OP N/A N/A 31 29 29 N/A 31 26 31 N/A N/A 31 28 28 N/A 31 29 N/A N/A N/A N/A 26 31 24 J1650 1712560 40 Enoxaparin 100 MG/ML Syringe J1650 636 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 J1650 1712570 26 Enoxaparin 30 MG/0.3 ML Syr J1650 636 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 24 N/A N/A N/A N/A 21 25 20 J1650 1712580 45 Enoxaparin 120 MG/0.8 ML Syr J1650 636 OP N/A N/A 43 41 41 N/A 43 36 43 N/A N/A 43 38 38 N/A 43 41 N/A N/A N/A N/A 36 43 34 J1650 1712590 51 Enoxaparin 150 MG/ML Syringe J1650 636 OP N/A N/A 48 46 46 N/A 48 41 48 N/A N/A 48 43 43 N/A 48 46 N/A N/A N/A N/A 41 48 38 1712770 4 Dutasteride 0.5 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J1265 1712870 148 Dopamine/D5W 400 MG/250 ML Bag J1265 636 OP N/A N/A 141 134 134 N/A 141 119 141 N/A N/A 141 126 126 N/A 141 134 N/A N/A N/A N/A 119 141 111 1712970 25 Epinephrine 1 MG/10 ML Syringe 250 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 22 22 N/A 24 23 N/A N/A N/A N/A 20 24 19 1712980 35 Na/K/Mag/Ca/Cl/Acet 20ML Vial 250 OP N/A N/A 33 31 31 N/A 33 28 33 N/A N/A 33 30 30 N/A 33 31 N/A N/A N/A N/A 28 33 26 1713030 57 Epinephrine 1 MG/ML Ampule 250 OP N/A N/A 54 51 51 N/A 54 45 54 N/A N/A 54 48 48 N/A 54 51 N/A N/A N/A N/A 45 54 43 1713060 215 Estradiol 0.01% Vag Crm 42.5GR 637 OP N/A N/A 205 194 194 N/A 205 172 205 N/A N/A 205 183 183 N/A 205 194 N/A N/A N/A N/A 172 205 162 1713080 4 Escitalopram 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1713150 4 Estradiol 1 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1713470 33 Fentanyl 12 MCG/Hr Patch 637 OP N/A N/A 31 30 30 N/A 31 26 31 N/A N/A 31 28 28 N/A 31 30 N/A N/A N/A N/A 26 31 25 1713480 18 Fentanyl 25 MCG/Hr Patch 637 OP N/A N/A 17 16 16 N/A 17 14 17 N/A N/A 17 15 15 N/A 17 16 N/A N/A N/A N/A 14 17 13 1713490 39 Fentanyl 50 MCG/Hr Patch 637 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 1713520 4 Doxepin 10 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1713670 23 Famotidine 20 MG/2 ML Vial 250 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 17 1713680 35 Etomidate 40 MG/20 ML Vial 250 OP N/A N/A 33 31 31 N/A 33 28 33 N/A N/A 33 29 29 N/A 33 31 N/A N/A N/A N/A 28 33 26 Q2050 1713860 666 Doxorub Peg-Lip 20MG/10ML Vial Q2050 636 OP N/A 89 633 600 600 89 633 533 633 90 N/A 633 566 566 N/A 633 600 89 N/A 90 N/A 89 633 500 Q2050 1713870 " 1,757 " Doxorubicin Peg-Liposom 2MG/ML Q2050 636 OP N/A 89 " 1,669 " " 1,581 " " 1,581 " 89 " 1,669 " " 1,405 " " 1,669 " 90 N/A " 1,669 " " 1,493 " " 1,493 " N/A " 1,669 " " 1,581 " 89 N/A 90 N/A 89 " 1,669 " " 1,317 " 1713930 134 Emtricitab/Tenofov 200/300 Tab 637 OP N/A N/A 127 121 121 N/A 127 107 127 N/A N/A 127 114 114 N/A 127 121 N/A N/A N/A N/A 107 127 101 1714170 11 Dronabinol 2.5 MG Capsule 637 OP N/A N/A 11 10 10 N/A 11 9 11 N/A N/A 11 10 10 N/A 11 10 N/A N/A N/A N/A 9 11 9 1714270 8 Fenofibrate Nanocry 145MG Tab 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 6 J1650 1714280 29 Enoxaparin 40 MG/0.4 ML Syr J1650 636 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 26 N/A N/A N/A N/A 23 27 21 J1650 1714290 36 Enoxaparin 80 MG/0.8 ML Syr J1650 636 OP N/A N/A 34 33 33 N/A 34 29 34 N/A N/A 34 31 31 N/A 34 33 N/A N/A N/A N/A 29 34 27 1714460 5 Doxepin 25 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 4 1714670 19 Erythromycin 0.5% Oph Oint 1GR 637 OP N/A N/A 18 17 17 N/A 18 15 18 N/A N/A 18 16 16 N/A 18 17 N/A N/A N/A N/A 15 18 14 J9000 1714710 290 Doxorubicin 2 MG/ML 100ML Vial J9000 636 OP N/A N/A 276 261 261 N/A 276 232 276 N/A N/A 276 247 247 N/A 276 261 N/A N/A N/A N/A 232 276 218 1714740 27 Esmolol 100 MG/10 ML Vial 250 OP N/A N/A 26 24 24 N/A 26 22 26 N/A N/A 26 23 23 N/A 26 24 N/A N/A N/A N/A 22 26 20 1714750 25 Fentanyl 50 MCG/ML Ampule 250 OP N/A N/A 24 22 22 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 22 N/A N/A N/A N/A 20 24 19 1714780 47 Ephedrine 50 MG/ML Ampule 250 OP N/A N/A 44 42 42 N/A 44 37 44 N/A N/A 44 40 40 N/A 44 42 N/A N/A N/A N/A 37 44 35 1714950 4 Famotidine 20 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1715240 4 Donepezil 5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J9181 1715410 218 Etoposide 20 MG/ML 25 ML Vial J9181 636 OP N/A N/A 207 196 196 N/A 207 175 207 N/A N/A 207 186 186 N/A 207 196 N/A N/A N/A N/A 175 207 164 1715420 164 Doxycycline 100 MG Vial 250 OP N/A N/A 156 148 148 N/A 156 132 156 N/A N/A 156 140 140 N/A 156 148 N/A N/A N/A N/A 132 156 123 1715500 4 Ezetimibe 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1715570 8 Fenofibrate 160 MG Tablet 637 OP N/A N/A 8 7 7 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 7 N/A N/A N/A N/A 7 8 6 J0129 1715710 " 3,084 " Abatacept 250 MG Vial J0129 636 OP N/A 38 " 2,929 " " 2,775 " " 2,775 " 38 " 2,929 " " 2,467 " " 2,929 " 38 N/A " 2,929 " " 2,621 " " 2,621 " N/A " 2,929 " " 2,775 " 38 N/A 38 N/A 38 " 2,929 " " 2,313 " 1715730 5 Acamprosate 333 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 4 1715800 6 Acetamin/Butalb/Caff 300/50/40 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 5 1715820 0.39 Acetaminophen 325 MG Tablet 637 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1715830 0.42 Acetaminophen 500 MG Tablet 637 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1715860 1 Acetaminophen 325MG/10.15ML 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 J0131 1715910 142 Acetaminophen 1000MG/100ML Via J0131 636 OP N/A N/A 135 128 128 N/A 135 114 135 N/A N/A 135 121 121 N/A 135 128 N/A N/A N/A N/A 114 135 106 1715920 1 Acetaminophen 120MG Rec Suppos 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 0 1715930 1 Acetaminophen 325MG Rec Suppos 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 1715940 1 Acetaminophen 650MG Rec Suppos 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 1716050 6 Acetamin/Cod 120-12MG/5ML 5ML 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 6 N/A N/A N/A N/A 5 6 5 J1120 1716100 45 Acetazolamide Sod 500 MG Vial J1120 636 OP N/A N/A 42 40 40 N/A 42 36 42 N/A N/A 42 38 38 N/A 42 40 N/A N/A N/A N/A 36 42 33 1716110 6 Acetazolamide 250 MG Tablet 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 6 N/A N/A N/A N/A 5 6 5 1716190 153 Acetylcholine 1% 2 ML Bottle 250 OP N/A N/A 145 138 138 N/A 145 122 145 N/A N/A 145 130 130 N/A 145 138 N/A N/A N/A N/A 122 145 115 J0132 1716260 147 Acetylcyst IV 6000MG/30ML Vial J0132 636 OP N/A N/A 140 132 132 N/A 140 118 140 N/A N/A 140 125 125 N/A 140 132 N/A N/A N/A N/A 118 140 110 1716300 4 Acyclovir 200 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J0133 1716370 78 Acyclovir 500 MG/10 ML Vial J0133 636 OP N/A N/A 74 70 70 N/A 74 62 74 N/A N/A 74 66 66 N/A 74 70 N/A N/A N/A N/A 62 74 58 J0153 1716420 31 Adenosine 12 MG/4 ML Vial J0153 636 OP N/A N/A 30 28 28 N/A 30 25 30 N/A N/A 30 26 26 N/A 30 28 N/A N/A N/A N/A 25 30 23 J0153 1716430 24 Adenosine 6 MG/2 ML Vial J0153 636 OP N/A N/A 23 22 22 N/A 23 20 23 N/A N/A 23 21 21 N/A 23 22 N/A N/A N/A N/A 20 23 18 J9354 1716460 " 8,338 " Ado-Trastuzum Emtan 100MG Vial J9354 636 OP N/A 32 " 7,921 " " 7,504 " " 7,504 " 32 " 7,921 " " 6,671 " " 7,921 " 32 N/A " 7,921 " " 7,087 " " 7,087 " N/A " 7,921 " " 7,504 " 32 N/A 32 N/A 32 " 7,921 " " 6,254 " 1716540 16 Alum/Mg/Simeth 400/400/40 30ML 637 OP N/A N/A 15 15 15 N/A 15 13 15 N/A N/A 15 14 14 N/A 15 15 N/A N/A N/A N/A 13 15 12 P9047 1716580 323 Albumin Human 25% 25GR/100ML P9047 636 OP N/A 46 306 290 290 46 306 258 306 46 N/A 306 274 274 N/A 306 290 46 355 46 389 46 389 242 P9045 1716600 182 Albumin Human 5% 12.5 GR/250ML P9045 636 OP N/A 46 173 164 164 46 173 146 173 46 N/A 173 155 155 N/A 173 164 46 817 46 897 46 897 137 1716650 59 Albuterol Hfa 90MCG 60Puff Inh 637 OP N/A N/A 56 53 53 N/A 56 48 56 N/A N/A 56 50 50 N/A 56 53 N/A N/A N/A N/A 48 56 45 1716700 3 Albuterol 0.083% Neb 2.5MG/3ML 250 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1716750 4 Albuterol/Ipratropium 3 ML Neb 250 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1716840 4 Alendronate 70 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1716930 4 Allopurinol 100 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1716940 4 Allopurinol 300 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1717060 3 Alprazolam 0.25 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1717070 4 Alprazolam 0.5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1717200 6 Amantadine 100 MG Capsule 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 1717360 30 Scopolamine 1 MG/3 Days Patch 637 OP N/A N/A 28 27 27 N/A 28 24 28 N/A N/A 28 25 25 N/A 28 27 N/A N/A N/A N/A 24 28 22 Q9968 1717440 519 Methylene Blue 0.5% Inj 10 Ml Q9968 636 OP N/A 7 493 467 467 7 493 415 493 7 N/A 493 441 441 N/A 493 467 7 N/A 7 N/A 7 493 389 1717470 8 Budesonide Ec 3 MG Capsule 637 OP N/A N/A 8 7 7 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 7 N/A N/A N/A N/A 7 8 6 1717490 78 Aminocap Acid 5000MG/20ML Vial 250 OP N/A N/A 74 70 70 N/A 74 62 74 N/A N/A 74 66 66 N/A 74 70 N/A N/A N/A N/A 62 74 58 1717530 4 Amiodarone 200 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J2400 1717570 68 Chloroprocaine 3% Pf 20ML Vial J2400 636 OP N/A N/A 65 61 61 N/A 65 55 65 N/A N/A 65 58 58 N/A 65 61 N/A N/A N/A N/A 55 65 51 J0282 1717580 16 Amiodarone 150 MG/3 ML Vial J0282 636 OP N/A N/A 15 14 14 N/A 15 13 15 N/A N/A 15 14 14 N/A 15 14 N/A N/A N/A N/A 13 15 12 1717600 4 Amitriptyline 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1717620 4 Amitriptyline 25 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1717670 4 Amlodipine 5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1717880 4 Amoxicillin 500 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1717980 12 Amoxicillin 250 MG/5 ML 80 ML 637 OP N/A N/A 11 11 11 N/A 11 9 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 9 11 9 1717990 6 Carbamazepine Xr 100 MG Tablet 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 6 N/A N/A N/A N/A 5 6 5 1718000 11 Amoxicillin 400 MG/5 ML 50 ML 637 OP N/A N/A 10 10 10 N/A 10 9 10 N/A N/A 10 9 9 N/A 10 10 N/A N/A N/A N/A 9 10 8 1718120 19 Amoxicill/Clav 400MG/5ML 50ML 637 OP N/A N/A 18 17 17 N/A 18 15 18 N/A N/A 18 16 16 N/A 18 17 N/A N/A N/A N/A 15 18 14 1718160 4 Amoxicill/Clav 500MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1718200 4 Amoxicill/Clav 875MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1718220 5 Amphet/Dextroamphet 10MG Tab 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1718240 12 Amphet/Dextroamphe Xr 10MG Cap 637 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 10 10 N/A 12 11 N/A N/A N/A N/A 10 12 9 J0290 1718380 129 Ampicillin 1000 MG Vial J0290 636 OP N/A N/A 123 116 116 N/A 123 104 123 N/A N/A 123 110 110 N/A 123 116 N/A N/A N/A N/A 104 123 97 J0290 1718400 132 Ampicillin 2000 MG Vial J0290 636 OP N/A N/A 126 119 119 N/A 126 106 126 N/A N/A 126 112 112 N/A 126 119 N/A N/A N/A N/A 106 126 99 J0290 1718410 23 Ampicillin 500 MG Vial J0290 636 OP N/A N/A 22 20 20 N/A 22 18 22 N/A N/A 22 19 19 N/A 22 20 N/A N/A N/A N/A 18 22 17 J0295 1718420 127 Ampicillin/Sulbact 1.5 GR Vial J0295 636 OP N/A N/A 120 114 114 N/A 120 101 120 N/A N/A 120 108 108 N/A 120 114 N/A N/A N/A N/A 101 120 95 J0295 1718430 133 Ampicillin/Sulbactam 3 GR Vial J0295 636 OP N/A N/A 126 120 120 N/A 126 106 126 N/A N/A 126 113 113 N/A 126 120 N/A N/A N/A N/A 106 126 100 1718480 5 Anastrozole 1 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1718530 5 Fludrocortisone 0.1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1718640 15 Apixaban 2.5 MG Tablet 637 OP N/A N/A 14 13 13 N/A 14 12 14 N/A N/A 14 13 13 N/A 14 13 N/A N/A N/A N/A 12 14 11 1718650 16 Apixaban 5 MG Tablet 637 OP N/A N/A 15 14 14 N/A 15 13 15 N/A N/A 15 14 14 N/A 15 14 N/A N/A N/A N/A 13 15 12 1718760 4 Aripiprazole 10 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1718770 5 Aripiprazole 15 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1718780 4 Aripiprazole 20 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1718790 4 Aripiprazole 2 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1718810 6 Aripiprazole 5 MG Tablet 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 6 N/A N/A N/A N/A 5 6 5 1718890 33 Artificial Tears Op Oint 3.5GR 637 OP N/A N/A 32 30 30 N/A 32 27 32 N/A N/A 32 28 28 N/A 32 30 N/A N/A N/A N/A 27 32 25 1718930 3 Ascorbic Acid 500 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1718970 25 Potassium Ch Sol 20Meq/15ML Ud 637 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 23 N/A N/A N/A N/A 20 24 19 1718980 1 Aspirin 325 MG Tablet 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 1719010 0.39 Aspirin 81 MG Chew 637 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1719030 1 Aspirin Ec 81 MG Tablet 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 1719100 4 Hydrocortisone 10 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1719170 4 Psyllium 520 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1719230 24 Hydrocortisone 1% Crm 28.35 GR 637 OP N/A N/A 23 22 22 N/A 23 20 23 N/A N/A 23 21 21 N/A 23 22 N/A N/A N/A N/A 20 23 18 1719250 38 Hydrocort 2.5% Rect Crm 30 GR 637 OP N/A N/A 36 34 34 N/A 36 30 36 N/A N/A 36 32 32 N/A 36 34 N/A N/A N/A N/A 30 36 28 J2248 1719260 235 Micafungin 100 MG Vial J2248 636 OP N/A N/A 223 212 212 N/A 223 188 223 N/A N/A 223 200 200 N/A 223 212 N/A N/A N/A N/A 188 223 176 J1720 1719280 131 Hydrocort Sod Succ 250 MG/2ML J1720 636 OP N/A N/A 124 118 118 N/A 124 105 124 N/A N/A 124 111 111 N/A 124 118 N/A N/A N/A N/A 105 124 98 J1720 1719300 56 Hydrocort Sod Succ 100 MG/2ML J1720 636 OP N/A N/A 53 51 51 N/A 53 45 53 N/A N/A 53 48 48 N/A 53 51 N/A N/A N/A N/A 45 53 42 1719450 4 Hydromorphone 2 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J1170 1719480 26 Hydromorphone 0.5MG/0.5ML Syr J1170 636 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 22 22 N/A 24 23 N/A N/A N/A N/A 20 24 19 J1170 1719490 25 Hydromorphone 1 MG/ML Syringe J1170 636 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 22 22 N/A 24 23 N/A N/A N/A N/A 20 24 19 J1170 1719510 23 Hydromorphone 1 Each Syringe J1170 636 OP N/A N/A 22 21 21 N/A 22 18 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 18 22 17 J2310 1719620 76 Naloxone 1 MG/ML Syringe J2310 636 OP N/A N/A 72 68 68 N/A 72 60 72 N/A N/A 72 64 64 N/A 72 68 N/A N/A N/A N/A 60 72 57 1719680 136 Sod Chl 0.9%Kcl 20Meq 1000ML 258 OP N/A N/A 129 122 122 N/A 129 109 129 N/A N/A 129 115 115 N/A 129 122 N/A N/A N/A N/A 109 129 102 1719690 4 Hydroxyurea 500 MG Capsule 250 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1719700 4 Hydroxyzine Hcl 25 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1719720 4 Hydroxyzine Hcl 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J3410 1719740 58 Hydroxyzine Hcl 50 MG/ML Vial J3410 636 OP N/A N/A 55 52 52 N/A 55 46 55 N/A N/A 55 49 49 N/A 55 52 N/A N/A N/A N/A 46 55 44 1719780 4 Hydroxyzine Pamoate 25 MG Cap 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1719790 4 Hydroxyzine Pamoate 50 MG Cap 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1719940 4 Ibuprofen 600 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1719950 4 Ibuprofen 800 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1719960 1 Ibuprofen 200 MG Tablet 637 OP N/A N/A 1 0 0 N/A 1 0 1 N/A N/A 1 0 0 N/A 1 0 N/A N/A N/A N/A 0 1 0 1719990 0.31 Ibuprofen Oral 100MG/5ML Udc 637 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1720090 144 Sod Chl 0.9%Kcl 40Meq 1000ML 258 OP N/A N/A 137 130 130 N/A 137 115 137 N/A N/A 137 123 123 N/A 137 130 N/A N/A N/A N/A 115 137 108 J9267 1720190 243 Paclitaxel IV 300MG/50ML Vl J9267 636 OP N/A N/A 231 219 219 N/A 231 194 231 N/A N/A 231 207 207 N/A 231 219 N/A N/A N/A N/A 194 231 182 1720230 4 Imipramine 25 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1720590 233 Indocyanine Green 25 MG Vial 250 OP N/A N/A 221 210 210 N/A 221 186 221 N/A N/A 221 198 198 N/A 221 210 N/A N/A N/A N/A 186 221 175 1720620 4 Indomethacin 25 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1720710 59 Sodium Bic 8.4% 50Meq/50ML Vl 250 OP N/A N/A 56 53 53 N/A 56 47 56 N/A N/A 56 50 50 N/A 56 53 N/A N/A N/A N/A 47 56 44 1720790 57 Insulin Nph/Reg 70/30 3 ML Via 637 OP N/A N/A 54 51 51 N/A 54 46 54 N/A N/A 54 49 49 N/A 54 51 N/A N/A N/A N/A 46 54 43 1720830 706 Insulin Asp Prot/Asp 70/30 Via 637 OP N/A N/A 670 635 635 N/A 670 564 670 N/A N/A 670 600 600 N/A 670 635 N/A N/A N/A N/A 564 670 529 1720850 577 Insulin Det 100Unit/ML 10ML 637 OP N/A N/A 548 519 519 N/A 548 462 548 N/A N/A 548 491 491 N/A 548 519 N/A N/A N/A N/A 462 548 433 1720870 210 Insulin Glar 100Unit/ML 10ML 637 OP N/A N/A 200 189 189 N/A 200 168 200 N/A N/A 200 179 179 N/A 200 189 N/A N/A N/A N/A 168 200 158 1720930 67 Insulin Lispro 100Unit/ML 3ML 637 OP N/A N/A 64 60 60 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 60 N/A N/A N/A N/A 54 64 50 1720950 119 Insulin Nph 100Unit/ML 3ML 637 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A N/A N/A N/A 95 113 89 1720980 27 Insulin Reg 100Unit/ML 3ML Via 637 OP N/A N/A 26 25 25 N/A 26 22 26 N/A N/A 26 23 23 N/A 26 25 N/A N/A N/A N/A 22 26 20 J3301 1721210 27 Triamcinolone Inj 40MG/1ML Vl J3301 636 OP N/A N/A 26 24 24 N/A 26 22 26 N/A N/A 26 23 23 N/A 26 24 N/A N/A N/A N/A 22 26 20 Q9967 1721220 41 Iopamidol-370 100 ML Vial Q9967 636 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 Q9966 1721230 19 Iopamidol 250 50 Ml Vial Q9966 636 OP N/A N/A 18 17 17 N/A 18 15 18 N/A N/A 18 16 16 N/A 18 17 N/A N/A N/A N/A 15 18 14 Q9966 1721240 52 Iopamidol-M 200 10 ML Vial Q9966 636 OP N/A N/A 49 46 46 N/A 49 41 49 N/A N/A 49 44 44 N/A 49 46 N/A N/A N/A N/A 41 49 39 Q9961 1721250 33 Iothalam Meglum 60% 50 ML Vial Q9961 636 OP N/A N/A 31 29 29 N/A 31 26 31 N/A N/A 31 28 28 N/A 31 29 N/A N/A N/A N/A 26 31 24 Q9967 1721290 41 Ioversol 320 MG/ML 50 ML Vial Q9967 636 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 J9228 1721300 " 19,132 " Ipilimumab 5 MG/ML 10 ML Vial J9228 636 OP N/A 144 " 18,175 " " 17,219 " " 17,219 " 144 " 18,175 " " 15,306 " " 18,175 " 146 N/A " 18,175 " " 16,262 " " 16,262 " N/A " 18,175 " " 17,219 " 144 N/A 146 N/A 144 " 18,175 " " 14,349 " 1721320 72 Ipratrop 0.03% Nasal 30 ML Bot 637 OP N/A N/A 68 65 65 N/A 68 58 68 N/A N/A 68 61 61 N/A 68 65 N/A N/A N/A N/A 58 68 54 1721350 3 Ipratropium Neb 0.5 MG/2.5 ML 250 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 2 J9206 1721410 130 Irinotecan 100 MG/5 ML Vial J9206 636 OP N/A N/A 123 117 117 N/A 123 104 123 N/A N/A 123 110 110 N/A 123 117 N/A N/A N/A N/A 104 123 97 J9206 1721420 138 Irinotecan 40 MG/2 ML Vial J9206 636 OP N/A N/A 131 124 124 N/A 131 110 131 N/A N/A 131 117 117 N/A 131 124 N/A N/A N/A N/A 110 131 103 J9206 1721430 443 Irinotecan 300 MG/15 ML Vial J9206 636 OP N/A N/A 421 399 399 N/A 421 355 421 N/A N/A 421 377 377 N/A 421 399 N/A N/A N/A N/A 355 421 332 J1756 1721450 134 Iron Sucr Compl 100MG/5ML Vial J1756 636 OP N/A N/A 127 121 121 N/A 127 107 127 N/A N/A 127 114 114 N/A 127 121 N/A N/A N/A N/A 107 127 101 1721500 106 Umeclidinium Br 62.5MCG 7 Puff 637 OP N/A N/A 100 95 95 N/A 100 84 100 N/A N/A 100 90 90 N/A 100 95 N/A N/A N/A N/A 84 100 79 1721640 5 Isosorbide Dinitrate 10 MG Tab 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1721650 5 Isosorbide Dinitrate 20 MG Tab 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1721700 4 Isosorbide Mono Cr 30 MG Tab 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1721790 10 Itraconazole 100 MG Capsule 637 OP N/A N/A 10 9 9 N/A 10 8 10 N/A N/A 10 9 9 N/A 10 9 N/A N/A N/A N/A 8 10 8 1721810 15 Ivermectin 3 MG Tablet 637 OP N/A N/A 14 13 13 N/A 14 12 14 N/A N/A 14 12 12 N/A 14 13 N/A N/A N/A N/A 12 14 11 1721870 135 Sod Chl 0.45%Kcl 20Meq 1000ML 258 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 1721910 25 Ketamine 50 MG/ML 10 ML Vial 250 OP N/A N/A 24 22 22 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 22 N/A N/A N/A N/A 20 24 19 1721920 37 Ketamine 100 MG/ML 5 ML Vial 250 OP N/A N/A 35 33 33 N/A 35 29 35 N/A N/A 35 31 31 N/A 35 33 N/A N/A N/A N/A 29 35 27 J3489 1721930 277 Zoledron Ac/Man/H2O 5MG/100ML J3489 636 OP N/A N/A 263 249 249 N/A 263 221 263 N/A N/A 263 235 235 N/A 263 249 N/A N/A N/A N/A 221 263 207 1721950 56 Ketoconazole 2% Crm 15 GR Tube 637 OP N/A N/A 53 50 50 N/A 53 45 53 N/A N/A 53 48 48 N/A 53 50 N/A N/A N/A N/A 45 53 42 J3489 1722060 144 Zoledronic Acid 4 MG/5 ML Vial J3489 636 OP N/A N/A 137 130 130 N/A 137 115 137 N/A N/A 137 123 123 N/A 137 130 N/A N/A N/A N/A 115 137 108 J1885 1722070 22 Ketorolac 15 MG/ML Vial J1885 636 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 17 J1885 1722080 24 Ketorolac 30 MG/ML Vial J1885 636 OP N/A N/A 22 21 21 N/A 22 19 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 19 22 18 J1885 1722090 27 Ketorolac 60 MG/2 ML Vial J1885 636 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 23 23 N/A 25 24 N/A N/A N/A N/A 21 25 20 1722100 29 Talc Powder 71 GR Bottle 637 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 26 N/A N/A N/A N/A 23 27 21 1722110 5 Ketorolac 10 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1722150 4 Labetalol 100 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1722180 28 Labetalol 5 MG/ML 20 ML Vial 250 OP N/A N/A 27 25 25 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 25 N/A N/A N/A N/A 23 27 21 1722200 7 Guaifenesin Soln 200MG/10ML Ud 637 OP N/A N/A 7 6 6 N/A 7 5 7 N/A N/A 7 6 6 N/A 7 6 N/A N/A N/A N/A 5 7 5 1722290 97 Lactated Ringers 500 ML Bag 258 OP N/A N/A 92 87 87 N/A 92 77 92 N/A N/A 92 82 82 N/A 92 87 N/A N/A N/A N/A 77 92 72 1722300 99 Lactated Ringers 1000 ML Bag 258 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A N/A N/A N/A 80 95 75 1722390 5 Lactobacill Rhamnosus (Gg) Cap 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1722420 148 Umeclid/Vilant 62.5/25MCG 7-Pf 637 OP N/A N/A 140 133 133 N/A 140 118 140 N/A N/A 140 125 125 N/A 140 133 N/A N/A N/A N/A 118 140 111 1722450 7 Lactulose Oral 20GR/30ML Udc 637 OP N/A N/A 7 6 6 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 6 N/A N/A N/A N/A 6 7 5 1722500 4 Lamotrigine 25 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1722510 4 Lamotrigine 100 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1722690 27 Latanoprost 0.005% Ophth 2.5ML 637 OP N/A N/A 26 24 24 N/A 26 22 26 N/A N/A 26 23 23 N/A 26 24 N/A N/A N/A N/A 22 26 20 1722740 4 Letrozole 2.5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J0640 1722780 68 Leucovorin Calcium 350 MG Vial J0640 636 OP N/A N/A 65 61 61 N/A 65 55 65 N/A N/A 65 58 58 N/A 65 61 N/A N/A N/A N/A 55 65 51 1722950 4 Levetiracetam 500 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1722980 2 Levetiracetam 100MG/ML Sol 637 OP N/A N/A 2 1 1 N/A 2 1 2 N/A N/A 2 1 1 N/A 2 1 N/A N/A N/A N/A 1 2 1 J1953 1722990 67 Levetiracetam 500 MG/5 ML Vial J1953 636 OP N/A N/A 64 60 60 N/A 64 53 64 N/A N/A 64 57 57 N/A 64 60 N/A N/A N/A N/A 53 64 50 1723030 22 Levobunolol 0.5% Oph Soln 5 ML 637 OP N/A N/A 21 19 19 N/A 21 17 21 N/A N/A 21 18 18 N/A 21 19 N/A N/A N/A N/A 17 21 16 1723090 4 Levofloxacin 500 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1723100 4 Levofloxacin 250 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J1956 1723130 131 Levofloxaci/D5W 250MG/50ML Bag J1956 636 OP N/A N/A 124 118 118 N/A 124 105 124 N/A N/A 124 111 111 N/A 124 118 N/A N/A N/A N/A 105 124 98 J1956 1723150 129 Levofloxac/D5W 500MG/100ML Bag J1956 636 OP N/A N/A 123 116 116 N/A 123 103 123 N/A N/A 123 110 110 N/A 123 116 N/A N/A N/A N/A 103 123 97 J1956 1723160 131 Levofloxac/D5W 750MG/150ML Bag J1956 636 OP N/A N/A 125 118 118 N/A 125 105 125 N/A N/A 125 112 112 N/A 125 118 N/A N/A N/A N/A 105 125 99 J7298 1723220 " 2,519 " Levonorgestrel 20 MCG/24Hr Iud J7298 636 OP N/A N/A " 2,393 " " 2,267 " " 2,267 " N/A " 2,393 " " 2,015 " " 2,393 " N/A N/A " 2,393 " " 2,141 " " 2,141 " N/A " 2,393 " " 2,267 " N/A N/A N/A N/A " 2,015 " " 2,393 " " 1,889 " 1723230 18 Levonorgestrel 1.5 MG Tablet 637 OP N/A N/A 17 16 16 N/A 17 15 17 N/A N/A 17 15 15 N/A 17 16 N/A N/A N/A N/A 15 17 14 1723250 4 Levothyroxine 137 MCG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1723260 4 Levothyroxine 25 MCG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1723270 4 Levothyroxine 50 MCG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1723280 4 Levothyroxine 75 MCG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1723290 4 Levothyroxine 88 MCG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1723300 4 Levothyroxine 100 MCG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1723360 4 Levothyroxine 112 MCG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1723390 214 Levothyroxine 100 MCG Vial 250 OP N/A N/A 203 192 192 N/A 203 171 203 N/A N/A 203 182 182 N/A 203 192 N/A N/A N/A N/A 171 203 160 1723500 37 Lidocaine 2% Jelly 5 ML Tube 250 OP N/A N/A 35 33 33 N/A 35 30 35 N/A N/A 35 32 32 N/A 35 33 N/A N/A N/A N/A 30 35 28 1723540 33 Lidocaine 2% Jelly Ur 10ML Syr 250 OP N/A N/A 32 30 30 N/A 32 27 32 N/A N/A 32 28 28 N/A 32 30 N/A N/A N/A N/A 27 32 25 1723580 72 Lidocaine 4% Top Sol 50ML Bot 250 OP N/A N/A 69 65 65 N/A 69 58 69 N/A N/A 69 61 61 N/A 69 65 N/A N/A N/A N/A 58 69 54 1723590 40 Lidocaine 5% Oint 35.44 GR 250 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1723600 12 Lidocaine 5% Patch 637 OP N/A N/A 11 10 10 N/A 11 9 11 N/A N/A 11 10 10 N/A 11 10 N/A N/A N/A N/A 9 11 9 1723640 29 Lidocaine 2% 100 MG/5 ML Syr 250 OP N/A N/A 28 26 26 N/A 28 23 28 N/A N/A 28 25 25 N/A 28 26 N/A N/A N/A N/A 23 28 22 1723660 166 Lidocaine 0.5% 50 ML Vial 250 OP N/A N/A 158 149 149 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 149 N/A N/A N/A N/A 133 158 124 1723710 2 Lidocaine 1%/Pf 5 ML Vial 250 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 1723720 1 Lidocaine 1%/Pf 2 ML Vial 250 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 J9250 1723730 103 Methotrexate 25Mg/Ml 2Ml Mdv J9250 636 OP N/A N/A 98 93 93 N/A 98 83 98 N/A N/A 98 88 88 N/A 98 93 N/A N/A N/A N/A 83 98 78 1723800 0.13 Lidocaine 2%/Pf 5 ML Vial 250 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1723850 0.09 Lidocaine 1%/Pf 30 ML Vial 250 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1723990 34 Lido/Priloc 2.5/2.5% 5GR Tube 637 OP N/A N/A 32 30 30 N/A 32 27 32 N/A N/A 32 29 29 N/A 32 30 N/A N/A N/A N/A 27 32 25 1724050 8 Lorazepam Orl Cnc 1Mg/0.5Ml Ud 637 OP N/A N/A 8 7 7 N/A 8 6 8 N/A N/A 8 7 7 N/A 8 7 N/A N/A N/A N/A 6 8 6 1724070 8 Linezolid 600 MG Tablet 637 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 7 7 N/A 7 7 N/A N/A N/A N/A 6 7 6 1724110 5 Liothyronine 5 MCG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1724120 5 Liothyronine 25 MCG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1724280 19 Lisdexamfetamine 30 MG Capsule 637 OP N/A N/A 18 17 17 N/A 18 15 18 N/A N/A 18 16 16 N/A 18 17 N/A N/A N/A N/A 15 18 14 1724330 4 Lisinopril 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1724340 4 Lisinopril 20 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1724360 4 Lisinopril 5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1724410 4 Lithium Carbonate 150 MG Cap 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1724420 4 Lithium Carbonate 300 MG Cap 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1724440 4 Lithium Carbonate Cr 450MG Tab 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1724450 4 Lithium Carbonate Cr 300MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1724530 5 Loperamide 2 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1724560 0.31 Loperamide Oral Soln 1MG/7.5ML 637 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1724620 4 Loratadine 10 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1724680 4 Lorazepam 0.5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J2060 1724720 21 Lorazepam 2 MG/ML Vial J2060 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 J2060 1724740 22 Lorazepam 2 MG/ML 10 ML Vial J2060 636 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 17 1724760 4 Losartan 25 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1724770 4 Losartan 50 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1725010 84 Lurasidone 40 MG Tablet 637 OP N/A N/A 80 76 76 N/A 80 67 80 N/A N/A 80 71 71 N/A 80 76 N/A N/A N/A N/A 67 80 63 1725030 40 Lurasidone 80 MG Tablet 637 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1725070 154 Fluticasone Fur 100 MCG 14Puff 637 OP N/A N/A 146 138 138 N/A 146 123 146 N/A N/A 146 131 131 N/A 146 138 N/A N/A N/A N/A 123 146 115 1725140 12 Magnesium Citrate 296 ML Bot 637 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 10 10 N/A 12 11 N/A N/A N/A N/A 10 12 9 1725160 204 Fluticasone Fur 200 MCG 14Puff 637 OP N/A N/A 194 183 183 N/A 194 163 194 N/A N/A 194 173 173 N/A 194 183 N/A N/A N/A N/A 163 194 153 J2182 1725170 " 7,284 " Mepolizumab 100 MG Vial J2182 636 OP N/A 26 " 6,919 " " 6,555 " " 6,555 " 26 " 6,919 " " 5,827 " " 6,919 " 26 N/A " 6,919 " " 6,191 " " 6,191 " N/A " 6,919 " " 6,555 " 26 N/A 26 N/A 26 " 6,919 " " 5,463 " 1725180 12 Mag Hydrox Susp 30 ML Udc 637 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 11 N/A N/A N/A N/A 10 12 9 1725220 3 Magnesium Oxide 400 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J3475 1725240 138 Mag Sulf/D5W 1 GR/100 ML Bag J3475 636 OP N/A N/A 131 124 124 N/A 131 110 131 N/A N/A 131 117 117 N/A 131 124 N/A N/A N/A N/A 110 131 103 J3475 1725250 131 Mag Sulf/Water 4 GR/100 ML Bag J3475 636 OP N/A N/A 124 118 118 N/A 124 105 124 N/A N/A 124 111 111 N/A 124 118 N/A N/A N/A N/A 105 124 98 J3475 1725270 144 Mag Sulf/Water 40GR/1000ML Bag J3475 636 OP N/A N/A 137 130 130 N/A 137 115 137 N/A N/A 137 123 123 N/A 137 130 N/A N/A N/A N/A 115 137 108 J2150 1725400 153 Mannitol 25% 12.5 GR/50ML Vial J2150 636 OP N/A N/A 145 138 138 N/A 145 122 145 N/A N/A 145 130 130 N/A 145 138 N/A N/A N/A N/A 122 145 115 90707 1725450 209 Meas/Mump/Rubel Vac 0.5ML Vial NULL 636 OP N/A N/A 198 188 188 N/A 198 167 198 N/A N/A 198 177 177 N/A 198 188 N/A 76 N/A 83 76 198 156 1725480 4 Meclizine 12.5 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1725530 4 Medroxyprogest Acet 10 MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1725540 4 Medroxyprogest Acet 2.5 MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J1050 1725570 60 Medroxyprogest Acet 150MG/ML J1050 636 OP N/A N/A 57 54 54 N/A 57 48 57 N/A N/A 57 51 51 N/A 57 54 N/A N/A N/A N/A 48 57 45 1725610 4 Melatonin 3 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1725630 3 Melatonin 1 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1725640 4 Meloxicam 7.5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1725870 28 Menthol/Methyl Salicy Crm 85GR 637 OP N/A N/A 27 25 25 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 25 N/A N/A N/A N/A 23 27 21 J2175 1725960 34 Meperidine 25 MG/ML Syringe J2175 636 OP N/A N/A 32 31 31 N/A 32 27 32 N/A N/A 32 29 29 N/A 32 31 N/A N/A N/A N/A 27 32 26 J0670 1726060 37 Mepivacaine 2%/Pf 20 ML Vial J0670 636 OP N/A N/A 35 33 33 N/A 35 29 35 N/A N/A 35 31 31 N/A 35 33 N/A N/A N/A N/A 29 35 28 1726110 7 Mercaptopurine 50 MG Tablet 637 OP N/A N/A 7 6 6 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 6 N/A N/A N/A N/A 6 7 5 J2185 1726120 121 Meropenem 1000 MG Vial J2185 636 OP N/A N/A 115 109 109 N/A 115 97 115 N/A N/A 115 103 103 N/A 115 109 N/A N/A N/A N/A 97 115 91 J2185 1726130 133 Meropenem 500 MG Vial J2185 636 OP N/A N/A 126 119 119 N/A 126 106 126 N/A N/A 126 113 113 N/A 126 119 N/A N/A N/A N/A 106 126 99 J3010 1726340 23 Fentanyl 100 MCG/2 ML Vial J3010 636 OP N/A N/A 22 21 21 N/A 22 18 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 18 22 17 J3010 1726360 28 Fentanyl 250 MCG/5 ML Ampule J3010 636 OP N/A N/A 27 25 25 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 25 N/A N/A N/A N/A 23 27 21 1726390 2 Ferrous Sulfate Soln 220mg/5ml 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 J1439 1726410 " 2,261 " Ferric Carboxymalt 750MG/15ML J1439 636 OP N/A 1 " 2,148 " " 2,035 " " 2,035 " 1 " 2,148 " " 1,809 " " 2,148 " 1 N/A " 2,148 " " 1,922 " " 1,922 " N/A " 2,148 " " 2,035 " 1 N/A 1 N/A 1 " 2,148 " " 1,696 " 1726440 5 Olanzapine 20 Mg Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1726470 4 Ferrous Sulfate Ec 325 MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1726560 501 Fidaxomicin 200 MG Tablet 637 OP N/A N/A 476 451 451 N/A 476 401 476 N/A N/A 476 426 426 N/A 476 451 N/A N/A N/A N/A 401 476 376 1726610 4 Finasteride 5 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1726620 4 Flavoxate 100 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1726690 5 Fluconazole 100 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1726700 6 Fluconazole 150 MG Tablet 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 5 J1450 1726760 138 Fluconazole/Ns 200MG/100ML Bot J1450 636 OP N/A N/A 131 124 124 N/A 131 110 131 N/A N/A 131 117 117 N/A 131 124 N/A N/A N/A N/A 110 131 103 1726830 29 Flumazenil 0.1 MG/ML 5 ML Vial 250 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 26 N/A N/A N/A N/A 23 27 21 1726900 41 Fluocinonide 0.05% Crm 15 GR 637 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 1727000 135 Fluorescein 10% 500MG/5ML Vial 250 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 J9190 1727080 160 Fluorouracil 2500MG/50ML Vial J9190 636 OP N/A N/A 152 144 144 N/A 152 128 152 N/A N/A 152 136 136 N/A 152 144 N/A N/A N/A N/A 128 152 120 J9190 1727090 90 Fluorouracil 500 MG/10 ML Vial J9190 636 OP N/A N/A 85 81 81 N/A 85 72 85 N/A N/A 85 76 76 N/A 85 81 N/A N/A N/A N/A 72 85 67 1727130 4 Fluoxetine 20 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1727150 4 Fluoxetine 10 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1727200 4 Fluphenazine 10 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1727210 4 Fluphenazine 1 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J2680 1727240 124 Fluphenazine Decan 25MG/ML 5ML J2680 636 OP N/A N/A 117 111 111 N/A 117 99 117 N/A N/A 117 105 105 N/A 117 111 N/A N/A N/A N/A 99 117 93 1727430 18 Fluticasone 50 MCG/Nasl 15.8ML 637 OP N/A N/A 17 16 16 N/A 17 15 17 N/A N/A 17 16 16 N/A 17 16 N/A N/A N/A N/A 15 17 14 1727490 219 Flutic/Vilant 100/25 14Puf Inh 637 OP N/A N/A 208 197 197 N/A 208 176 208 N/A N/A 208 186 186 N/A 208 197 N/A N/A N/A N/A 176 208 165 1727530 5 Fluvoxamine 100 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1727560 4 Folic Acid 1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1727590 181 Folic Acid 5 MG/ML 10 ML Vial 250 OP N/A N/A 172 163 163 N/A 172 145 172 N/A N/A 172 154 154 N/A 172 163 N/A N/A N/A N/A 145 172 136 J1451 1727610 " 1,428 " Fomepizole 1500 MG/1.5ML Vial J1451 636 OP N/A 6 " 1,356 " " 1,285 " " 1,285 " 6 " 1,356 " " 1,142 " " 1,356 " 6 N/A " 1,356 " " 1,213 " " 1,213 " N/A " 1,356 " " 1,285 " 6 N/A 6 N/A 6 " 1,356 " " 1,071 " 1727670 14 Formoterol Neb 20 MCG/2 ML 250 OP N/A N/A 14 13 13 N/A 14 11 14 N/A N/A 14 12 12 N/A 14 13 N/A N/A N/A N/A 11 14 11 J1453 1727690 269 Fosaprepitant 150 MG Vial J1453 636 OP N/A N/A 256 242 242 N/A 256 216 256 N/A N/A 256 229 229 N/A 256 242 N/A N/A N/A N/A 216 256 202 1727720 177 Fosfomycin 3 GR Packet 637 OP N/A N/A 168 159 159 N/A 168 141 168 N/A N/A 168 150 150 N/A 168 159 N/A N/A N/A N/A 141 168 132 Q2009 1727770 169 Fosphenytoin 500MGPe/10ML Vial Q2009 636 OP N/A N/A 160 152 152 N/A 160 135 160 N/A N/A 160 144 144 N/A 160 152 N/A N/A N/A N/A 135 160 127 J9395 1727790 991 Fulvestrant 500 MG/10 ML Kit J9395 636 OP N/A 11 942 892 892 11 942 793 942 11 N/A 942 842 842 N/A 942 892 11 N/A 11 N/A 11 942 743 1727800 4 Furosemide 20 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1727810 4 Furosemide 40 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1727820 5 Furosemide 80 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1727840 2 Furosemide Oral Soln 10 MG/ML 637 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 J1940 1727870 34 Furosemide 100 MG/10 ML Vial J1940 636 OP N/A N/A 32 30 30 N/A 32 27 32 N/A N/A 32 29 29 N/A 32 30 N/A N/A N/A N/A 27 32 25 J1940 1727880 22 Furosemide 20 MG/2 ML Vial J1940 636 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 17 J1940 1727890 22 Furosemide 40 MG/4 ML Vial J1940 636 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 16 1727900 4 Gabapentin 100 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1727910 4 Gabapentin 300 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J9201 1728160 145 Gemcitabine 1 GR/26.3 ML Vial J9201 636 OP N/A N/A 138 131 131 N/A 138 116 138 N/A N/A 138 123 123 N/A 138 131 N/A N/A N/A N/A 116 138 109 J9201 1728170 92 Gemcitabine 200 MG/5.26ML Vial J9201 636 OP N/A N/A 87 83 83 N/A 87 74 87 N/A N/A 87 78 78 N/A 87 83 N/A N/A N/A N/A 74 87 69 1728190 4 Gemfibrozil 600 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1728260 26 Gentamicin 0.3% Oph Soln 5 ML 637 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 22 22 N/A 24 23 N/A N/A N/A N/A 20 24 19 J1580 1728290 132 Gentamicin/Ns 80 MG/100 ML Bag J1580 636 OP N/A N/A 125 119 119 N/A 125 105 125 N/A N/A 125 112 112 N/A 125 119 N/A N/A N/A N/A 105 125 99 J1580 1728300 67 Gentamicin Pf 20 MG/2 ML Vial J1580 636 OP N/A N/A 64 60 60 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 60 N/A N/A N/A N/A 54 64 50 J1580 1728320 148 Gentamicin 40 MG/ML 20 ML Vial J1580 636 OP N/A N/A 141 134 134 N/A 141 119 141 N/A N/A 141 126 126 N/A 141 134 N/A N/A N/A N/A 119 141 111 J1580 1728360 126 Gentamicin/Ns 120 MG/100ML Bag J1580 636 OP N/A N/A 120 113 113 N/A 120 101 120 N/A N/A 120 107 107 N/A 120 113 N/A N/A N/A N/A 101 120 95 1728410 4 Glimepiride 2 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1728430 5 Glipizide 10 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1728460 6 Glipizide Xl 2.5 MG Tablet 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 1728470 4 Glipizide Xl 5 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J1610 1728500 288 Glucagon 1 MG/ML Vial J1610 636 OP N/A 151 273 259 259 151 273 230 273 153 N/A 273 244 244 N/A 273 259 151 N/A 153 N/A 151 273 216 1728510 4 Glucosamine 500 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1728550 16 Dextrose 40% Gel 37.5 GR Tube 637 OP N/A N/A 15 14 14 N/A 15 13 15 N/A N/A 15 14 14 N/A 15 14 N/A N/A N/A N/A 13 15 12 1728590 4 Glyburide 5 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1728650 6 Glycerin Adult-Size Rec Suppos 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 1728660 6 Glycerin Ped-Size Rect Suppos 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 J9202 1728850 " 1,940 " Goserelin 3.6 MG Implant J9202 636 OP N/A 494 " 1,843 " " 1,746 " " 1,746 " 494 " 1,843 " " 1,552 " " 1,843 " 499 N/A " 1,843 " " 1,649 " " 1,649 " N/A " 1,843 " " 1,746 " 494 N/A 499 N/A 494 " 1,843 " " 1,455 " Q0166 1728860 7 Granisetron 1 MG Tablet Q0166 636 OP N/A N/A 7 6 6 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 6 N/A N/A N/A N/A 6 7 5 J1626 1728880 27 Granisetron 1 MG/ML Vial J1626 636 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 23 23 N/A 25 24 N/A N/A N/A N/A 21 25 20 1728960 5 Guaifenesin Er 600 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1729050 12 Guaifen/Dm 200-20 MG/10 ML Udc 637 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 10 10 N/A 12 11 N/A N/A N/A N/A 10 12 9 1729080 5 Guaifenesin/Dm Er 600/30 Tab 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1729140 5 Guanfacine 1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 4 1729240 4 Haloperidol 1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1729280 5 Haloperidol 5 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 J1631 1729310 98 Haloperidol Decan 100MG/ML Amp J1631 636 OP N/A N/A 93 88 88 N/A 93 78 93 N/A N/A 93 83 83 N/A 93 88 N/A N/A N/A N/A 78 93 73 J1630 1729330 23 Haloperidol LaCT 5 MG/ML Vial J1630 636 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 17 J1644 1729630 13 Heparin 1000 Unit/ML Vial J1644 636 OP N/A N/A 12 12 12 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 12 N/A N/A N/A N/A 10 12 10 J1644 1729720 23 Heparin 5000 Unit/ML Vial J1644 636 OP N/A N/A 22 21 21 N/A 22 18 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 18 22 17 J1644 1729740 139 Heparin/.45 Ns 25000Unit/250ML J1644 636 OP N/A N/A 132 125 125 N/A 132 111 132 N/A N/A 132 118 118 N/A 132 125 N/A N/A N/A N/A 111 132 104 90744 1729840 51 Hep B Vax Ped 10MCG/0.5ML Vial NULL 636 OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A 76 N/A 83 40 83 38 J7168 1729950 5 Hum Prothrom Cmplx 4 Fac 1Unit J7168 636 OP N/A 2 5 4 4 2 5 4 5 2 N/A 5 4 4 N/A 5 4 2 N/A 2 N/A 2 5 4 1730050 4 Hydralazine 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1730060 4 Hydralazine 25 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J0360 1730080 29 Hydralazine 20 MG/ML Vial J0360 636 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 25 25 N/A 27 26 N/A N/A N/A N/A 23 27 22 1730100 4 Hydrochlorothiazide 12.5 MG Tb 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1730110 4 Hydrochlorothiazide 25 MG Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1730130 5 Hydrocodone/Apap 10-325 MG Tab 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1730210 4 Hydrocodone/Apap 7.5/325 Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1730250 101 Nicardipine 25 MG/10 ML Vial 250 OP N/A N/A 96 91 91 N/A 96 81 96 N/A N/A 96 86 86 N/A 96 91 N/A N/A N/A N/A 81 96 76 1730330 12 Nicotine 14 MG/24 Hr Patch 637 OP N/A N/A 11 11 11 N/A 11 9 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 9 11 9 1730340 11 Nicotine 21 MG/24 Hr Patch 637 OP N/A N/A 11 10 10 N/A 11 9 11 N/A N/A 11 9 9 N/A 11 10 N/A N/A N/A N/A 9 11 8 1730350 11 Nicotine 7 MG/24 Hr Patch 637 OP N/A N/A 11 10 10 N/A 11 9 11 N/A N/A 11 9 9 N/A 11 10 N/A N/A N/A N/A 9 11 8 1730370 4 Nicotine Polacrilex 2 MG Gum 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1730410 4 Nifedipine 10 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1730460 4 Nifedipine Xl 30 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1730470 4 Nifedipine Xl 60 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1730640 5 Nitrofurantoin Mono Mac 100 MG 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1730650 9 Nitroglycerin 2% Oint 1 GR Pkt 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 6 1730690 9 Nitroglycerin 0.2 MG/Hr Patch 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 7 1730710 9 Nitroglycerin 0.4 MG/Hr Patch 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 6 1730760 163 Nitroglycer/D5W 50MG/250ML Bot 250 OP N/A N/A 155 147 147 N/A 155 130 155 N/A N/A 155 139 139 N/A 155 147 N/A N/A N/A N/A 130 155 122 J9299 1730840 " 2,825 " Nivolumab 40 MG/4 ML Vial J9299 636 OP N/A 26 " 2,684 " " 2,543 " " 2,543 " 26 " 2,684 " " 2,260 " " 2,684 " 26 N/A " 2,684 " " 2,402 " " 2,402 " N/A " 2,684 " " 2,543 " 26 N/A 26 N/A 26 " 2,684 " " 2,119 " J9299 1730850 " 7,055 " Nivolumab 100 MG/10 ML Vial J9299 636 OP N/A 26 " 6,702 " " 6,349 " " 6,349 " 26 " 6,702 " " 5,644 " " 6,702 " 26 N/A " 6,702 " " 5,996 " " 5,996 " N/A " 6,702 " " 6,349 " 26 N/A 26 N/A 26 " 6,702 " " 5,291 " 1730880 87 Norepinephrine 4 MG/4 ML Vial 250 OP N/A N/A 83 78 78 N/A 83 70 83 N/A N/A 83 74 74 N/A 83 78 N/A N/A N/A N/A 70 83 65 1730920 4 Nortriptyline 25 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J9173 1731020 " 2,289 " Durvalumab 120 Mg/2.4 Ml Vial J9173 636 OP N/A 69 " 2,174 " " 2,060 " " 2,060 " 69 " 2,174 " " 1,831 " " 2,174 " 69 N/A " 2,174 " " 1,945 " " 1,945 " N/A " 2,174 " " 2,060 " 69 N/A 69 N/A 69 " 2,174 " " 1,717 " J9173 1731030 " 9,519 " Durvalumab 500 Mg/10 Ml Vial J9173 636 OP N/A 69 " 9,043 " " 8,567 " " 8,567 " 69 " 9,043 " " 7,616 " " 9,043 " 69 N/A " 9,043 " " 8,092 " " 8,092 " N/A " 9,043 " " 8,567 " 69 N/A 69 N/A 69 " 9,043 " " 7,140 " 1731090 10 Nystatin 100000Un/ML Susp 5 ML 637 OP N/A N/A 10 9 9 N/A 10 8 10 N/A N/A 10 9 9 N/A 10 9 N/A N/A N/A N/A 8 10 8 1731100 40 Nystatin Cream 15 GR Tube 637 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1731140 31 Nystatin Powder 15 GR Bottle 637 OP N/A N/A 29 28 28 N/A 29 25 29 N/A N/A 29 26 26 N/A 29 28 N/A N/A N/A N/A 25 29 23 J9301 1731200 " 17,657 " Obinutuzumab 1000 MG/40ML Vial J9301 636 OP N/A 58 " 16,774 " " 15,891 " " 15,891 " 58 " 16,774 " " 14,125 " " 16,774 " 59 N/A " 16,774 " " 15,008 " " 15,008 " N/A " 16,774 " " 15,891 " 58 N/A 59 N/A 58 " 16,774 " " 13,242 " J2353 1731230 " 14,653 " Octreotide (Depot) 30 MG Syr J2353 636 OP N/A 179 " 13,920 " " 13,188 " " 13,188 " 179 " 13,920 " " 11,722 " " 13,920 " 181 N/A " 13,920 " " 12,455 " " 12,455 " N/A " 13,920 " " 13,188 " 179 N/A 181 N/A 179 " 13,920 " " 10,990 " 1731250 21 Octreotide Acet 100 Mcg/Ml Amp 637 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 15 J2358 1731370 76 Olanzapine 10 MG Vial J2358 636 OP N/A N/A 73 69 69 N/A 73 61 73 N/A N/A 73 65 65 N/A 73 69 N/A N/A N/A N/A 61 73 57 1731380 4 Olanzapine 5 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1731400 4 Olanzapine 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1731430 5 Olanzapine Odt 10 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1731530 42 Olopatadine 0.1% Oph Soln 5 ML 637 OP N/A N/A 40 38 38 N/A 40 34 40 N/A N/A 40 36 36 N/A 40 38 N/A N/A N/A N/A 34 40 32 1731590 4 Omega3 Acid Eth Est 1000MG Cap 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1731610 3 Omeprazole Dr 20 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J2405 1731690 22 Ondansetron 4 MG/2 ML Vial J2405 636 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 17 1731720 5 Ondansetron Odt 4 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 J2360 1731790 29 Orphenadrine 60 MG/2 ML Vial J2360 636 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 26 N/A N/A N/A N/A 23 27 22 1731830 10 Oseltamivir 75 MG Capsule 637 OP N/A N/A 10 9 9 N/A 10 8 10 N/A N/A 10 9 9 N/A 10 9 N/A N/A N/A N/A 8 10 8 1731850 9 Oseltamivir 30 MG Capsule 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 7 J9263 1731880 209 Oxaliplatin 50 MG/10 ML Vial J9263 636 OP N/A N/A 198 188 188 N/A 198 167 198 N/A N/A 198 178 178 N/A 198 188 N/A N/A N/A N/A 167 198 157 J9263 1731890 203 Oxaliplatin 100 MG/20 ML Vial J9263 636 OP N/A N/A 193 183 183 N/A 193 162 193 N/A N/A 193 172 172 N/A 193 183 N/A N/A N/A N/A 162 193 152 1731950 4 Oxcarbazepine 150 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1731970 4 Oxcarbazepine 300 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1732020 4 Oxybutynin 5 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1732030 4 Oxybutynin Xl 5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1732100 12 Oxycodone Cr 10 MG Tablet 637 OP N/A N/A 11 11 11 N/A 11 9 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 9 11 9 1732120 14 Oxycodone Cr 20 MG Tablet 637 OP N/A N/A 14 13 13 N/A 14 12 14 N/A N/A 14 12 12 N/A 14 13 N/A N/A N/A N/A 12 14 11 1732140 7 Oxycodone Cr 40 MG Tablet 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 6 6 N/A 6 6 N/A N/A N/A N/A 5 6 5 1732280 12 Oxymetazol 0.05% 12Hr Nsl 30ML 637 OP N/A N/A 11 11 11 N/A 11 10 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 10 11 9 1732290 22 Oxymetazol 0.05% 12Hr Nsl 15ML 637 OP N/A N/A 21 19 19 N/A 21 17 21 N/A N/A 21 18 18 N/A 21 19 N/A N/A N/A N/A 17 21 16 J2590 1732400 20 Oxytocin 10 Unit/ML Vial J2590 636 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 1732470 20 Paliperidone Cr 3 MG Tablet 637 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 J2426 1732510 " 2,211 " Paliperidone Palmit 156 MG/ML J2426 636 OP N/A 12 " 2,101 " " 1,990 " " 1,990 " 12 " 2,101 " " 1,769 " " 2,101 " 12 N/A " 2,101 " " 1,879 " " 1,879 " N/A " 2,101 " " 1,990 " 12 N/A 12 N/A 12 " 2,101 " " 1,658 " J2426 1732540 " 4,020 " Paliperidone Palm 234MG/1.5ML J2426 636 OP N/A 12 " 3,819 " " 3,618 " " 3,618 " 12 " 3,819 " " 3,216 " " 3,819 " 12 N/A " 3,819 " " 3,417 " " 3,417 " N/A " 3,819 " " 3,618 " 12 N/A 12 N/A 12 " 3,819 " " 3,015 " J2469 1732570 39 Palonosetron 0.25 MG/5 ML Vial J2469 636 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 J9303 1732630 " 13,441 " Panitumumab 400 MG/20 ML Vial J9303 636 OP N/A 125 " 12,769 " " 12,097 " " 12,097 " 125 " 12,769 " " 10,753 " " 12,769 " 126 N/A " 12,769 " " 11,425 " " 11,425 " N/A " 12,769 " " 12,097 " 125 N/A 126 N/A 125 " 12,769 " " 10,081 " 1732640 4 Pantoprazole Ec 40 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 C9113 1732660 29 Pantoprazole 40 MG Vial C9113 636 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 25 25 N/A 27 26 N/A N/A N/A N/A 23 27 22 1732770 4 Paroxetine 20 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J9271 1732970 " 12,495 " Pembrolizumab 100 MG/4 ML Vial J9271 636 OP N/A 47 " 11,870 " " 11,246 " " 11,246 " 47 " 11,870 " " 9,996 " " 11,870 " 47 N/A " 11,870 " " 10,621 " " 10,621 " N/A " 11,870 " " 11,246 " 47 N/A 47 N/A 47 " 11,870 " " 9,371 " J9305 1732990 " 9,593 " Pemetrexed 500 MG Vial J9305 636 OP N/A 24 " 9,113 " " 8,633 " " 8,633 " 24 " 9,113 " " 7,674 " " 9,113 " 24 N/A " 9,113 " " 8,154 " " 8,154 " N/A " 9,113 " " 8,633 " 24 N/A 24 N/A 24 " 9,113 " " 7,194 " J9305 1733000 " 1,959 " Pemetrexed 100 MG Vial J9305 636 OP N/A 24 " 1,861 " " 1,763 " " 1,763 " 24 " 1,861 " " 1,567 " " 1,861 " 24 N/A " 1,861 " " 1,665 " " 1,665 " N/A " 1,861 " " 1,763 " 24 N/A 24 N/A 24 " 1,861 " " 1,469 " J0561 1733040 447 Pen G Benzathine 1200000Un/2ML J0561 636 OP N/A 16 425 403 403 16 425 358 425 16 N/A 425 380 380 N/A 425 403 16 N/A 16 N/A 16 425 336 1733120 4 Pen V Potassium 500 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1733170 136 Pen G Pot 5000000 Unit Vial 250 OP N/A N/A 129 122 122 N/A 129 109 129 N/A N/A 129 115 115 N/A 129 122 N/A N/A N/A N/A 109 129 102 1733200 244 Pentamidine Neb 300 MG 250 OP N/A N/A 232 220 220 N/A 232 196 232 N/A N/A 232 208 208 N/A 232 220 N/A N/A N/A N/A 196 232 183 1733340 41 Permethrin 1% Rinse 60 ML Bot 637 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 1733360 5 Perphenazine 2 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 J9306 1733430 " 14,004 " Pertuzumab 420 MG/14 ML Vial J9306 636 OP N/A 13 " 13,304 " " 12,604 " " 12,604 " 13 " 13,304 " " 11,203 " " 13,304 " 13 N/A " 13,304 " " 11,903 " " 11,903 " N/A " 13,304 " " 12,604 " 13 N/A 13 N/A 13 " 13,304 " " 10,503 " 1733730 26 Phenol 1.4% Oral Spray 20 ML 637 OP N/A N/A 24 23 23 N/A 24 21 24 N/A N/A 24 22 22 N/A 24 23 N/A N/A N/A N/A 21 24 19 1733790 26 Phenyl/Shrk Oil/Petrol Ot 57GR 637 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 24 N/A N/A N/A N/A 21 25 20 1733840 20 Phenylephrine 1% Nsl Spry 15ML 637 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 1733850 20 Phenylephrine 0.5% Nsl Sp 15ML 250 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 J2370 1733890 33 Phenylephr/Ns 1000MCG/10ML Syr J2370 636 OP N/A N/A 32 30 30 N/A 32 27 32 N/A N/A 32 28 28 N/A 32 30 N/A N/A N/A N/A 27 32 25 1733920 5 Phenytoin Er 100 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 J1165 1733950 67 Phenytoin 250 MG/5 ML Vial J1165 636 OP N/A N/A 63 60 60 N/A 63 53 63 N/A N/A 63 57 57 N/A 63 60 N/A N/A N/A N/A 53 63 50 1733970 4 Phosphorus 250 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J3430 1734000 30 Phytonadione 1 MG/0.5 ML Ampul J3430 636 OP N/A N/A 29 27 27 N/A 29 24 29 N/A N/A 29 26 26 N/A 29 27 N/A N/A N/A N/A 24 29 23 J3430 1734020 194 Phytonadione 10 MG/ML Ampule J3430 636 OP N/A N/A 184 175 175 N/A 184 155 184 N/A N/A 184 165 165 N/A 184 175 N/A N/A N/A N/A 155 184 146 1734060 158 Pilocarpine 2% Ophth Soln 15ML 637 OP N/A N/A 150 143 143 N/A 150 127 150 N/A N/A 150 135 135 N/A 150 143 N/A N/A N/A N/A 127 150 119 1734130 4 Pioglitazone 30 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1734150 4 Metformin 500 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1734160 4 Metformin 850 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1734170 4 Metformin Xr 500 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1734200 4 Methadone 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1734250 4 Methadone 5 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1734310 5 Methenamine Hippurate 1 GR Tab 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1734370 4 Methocarbamol 500 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J8610 1734460 8 Methotrexate 2.5 MG Tablet J8610 636 OP N/A N/A 8 7 7 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 7 N/A N/A N/A N/A 7 8 6 J2210 1734610 62 Methylergonovine 0.2MG/ML Amp J2210 636 OP N/A N/A 59 56 56 N/A 59 50 59 N/A N/A 59 53 53 N/A 59 56 N/A N/A N/A N/A 50 59 47 1734620 44 Methylergonovine 0.2 MG Tablet 637 OP N/A N/A 42 40 40 N/A 42 36 42 N/A N/A 42 38 38 N/A 42 40 N/A N/A N/A N/A 36 42 33 1734730 4 Methylphenidate 5 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 J7509 1734840 4 Methylprednisolone 4 MG Tablet J7509 636 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J7509 1734850 39 Methylprednisolone 4 MG Dspk J7509 636 OP N/A N/A 37 36 36 N/A 37 32 37 N/A N/A 37 34 34 N/A 37 36 N/A N/A N/A N/A 32 37 30 J1030 1734870 35 Methylprednisolone Ac 40MG/ML J1030 636 OP N/A N/A 33 31 31 N/A 33 28 33 N/A N/A 33 30 30 N/A 33 31 N/A N/A N/A N/A 28 33 26 J1040 1734900 39 Methylprednisolone Ac 80MG/ML J1040 636 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 J2930 1734920 40 Methylpredni Sod Suc 125MG/2ML J2930 636 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 J2930 1734930 239 Methylprednis Sod Succ 1000 MG J2930 636 OP N/A N/A 227 215 215 N/A 227 191 227 N/A N/A 227 203 203 N/A 227 215 N/A N/A N/A N/A 191 227 179 J2920 1734950 28 Methylprednis Sod Succ 40MG/ML J2920 636 OP N/A N/A 27 25 25 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 25 N/A N/A N/A N/A 23 27 21 J2930 1734960 182 Methylpredni Sod Suc 500MG/4ML J2930 636 OP N/A N/A 173 163 163 N/A 173 145 173 N/A N/A 173 154 154 N/A 173 163 N/A N/A N/A N/A 145 173 136 1735000 4 Metoclopramide 10 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J2765 1735030 24 Metoclopramide 10 MG/2 ML Vial J2765 636 OP N/A N/A 23 22 22 N/A 23 19 23 N/A N/A 23 21 21 N/A 23 22 N/A N/A N/A N/A 19 23 18 1735060 5 Metolazone 2.5 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1735080 22 Metoprolol 5 MG/5 ML Vial 250 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 17 1735090 5 Metoprolol Succ Xl 100 MG Tab 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1735140 4 Metoprolol Tartrate 25 MG Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1735150 4 Metoprolol Tartrate 50 MG Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1735180 4 Metronidazole 500 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1735210 57 Metronidazole 0.75% Gel 45 GR 637 OP N/A N/A 54 52 52 N/A 54 46 54 N/A N/A 54 49 49 N/A 54 52 N/A N/A N/A N/A 46 54 43 1735240 130 Metronidazole/Ns 500MG/100ML 258 OP N/A N/A 124 117 117 N/A 124 104 124 N/A N/A 124 111 111 N/A 124 117 N/A N/A N/A N/A 104 124 98 1735350 40 Miconazole 2% Powder 43 GR Bot 637 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1735360 30 Miconazole 2% Powder 85 GR Bot 637 OP N/A N/A 28 27 27 N/A 28 24 28 N/A N/A 28 25 25 N/A 28 27 N/A N/A N/A N/A 24 28 22 1735380 25 Miconazole 2% Cream 14 GR Tube 637 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 23 N/A N/A N/A N/A 20 24 19 1735430 29 Miconazole 2% Vaginal Cr 45 GR 637 OP N/A N/A 28 26 26 N/A 28 23 28 N/A N/A 28 25 25 N/A 28 26 N/A N/A N/A N/A 23 28 22 J2250 1735520 23 Midazolam/Pf 10 MG/2 ML Vial J2250 636 OP N/A N/A 22 21 21 N/A 22 19 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 19 22 17 J2250 1735530 20 Midazolam 1 MG/ML 10 ML Vial J2250 636 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 J2250 1735540 55 Midazolam 5 MG/ML 5 ML Vial J2250 636 OP N/A N/A 52 49 49 N/A 52 44 52 N/A N/A 52 47 47 N/A 52 49 N/A N/A N/A N/A 44 52 41 J2250 1735550 22 Midazolam/Pf 2 MG/2 ML Vial J2250 636 OP N/A N/A 21 20 20 N/A 21 17 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 17 21 16 J2250 1735570 22 Midazolam/Pf 5 MG/5 ML Vial J2250 636 OP N/A N/A 21 20 20 N/A 21 18 21 N/A N/A 21 19 19 N/A 21 20 N/A N/A N/A N/A 18 21 17 1735610 5 Midodrine 5 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1735740 41 Mineral Oil Sterile 10 ML Vial 637 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 1735780 6 Minocycline 100 MG Capsule 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1735830 35 Mirabegron Er 25 MG Tablet 637 OP N/A N/A 33 32 32 N/A 33 28 33 N/A N/A 33 30 30 N/A 33 32 N/A N/A N/A N/A 28 33 26 1735840 28 Mirabegron Er 50 MG Tablet 637 OP N/A N/A 27 26 26 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 26 N/A N/A N/A N/A 23 27 21 1735850 4 Mirtazapine 15 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1735860 4 Mirtazapine 30 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1735920 7 Misoprostol 100 MCG Tablet 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 6 6 N/A 6 6 N/A N/A N/A N/A 5 6 5 J9280 1735940 493 Mitomycin 20 MG Vial J9280 636 OP N/A 39 468 444 444 39 468 394 468 39 N/A 468 419 419 N/A 468 444 39 N/A 39 N/A 39 468 370 J9280 1735950 " 1,696 " Mitomycin 40 MG Vial J9280 636 OP N/A 39 " 1,611 " " 1,526 " " 1,526 " 39 " 1,611 " " 1,357 " " 1,611 " 39 N/A " 1,611 " " 1,442 " " 1,442 " N/A " 1,611 " " 1,526 " 39 N/A 39 N/A 39 " 1,611 " " 1,272 " J9293 1735990 306 Mitoxantrone 25 MG/12.5ML Vial J9293 636 OP N/A 48 290 275 275 48 290 245 290 48 N/A 290 260 260 N/A 290 275 48 N/A 48 N/A 48 290 229 1736000 7 Modafinil 100 MG Tablet 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 6 6 N/A 6 6 N/A N/A N/A N/A 5 6 5 1736150 4 Montelukast 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1736240 8 Morphine 20 MG/ML Oral Conc 637 OP N/A N/A 8 7 7 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 7 N/A N/A N/A N/A 7 8 6 J2270 1736250 25 Morphine 10 MG/ML Syringe J2270 636 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 23 N/A N/A N/A N/A 20 24 19 J2270 1736290 25 Morphine 2 MG/ML Syringe J2270 636 OP N/A N/A 23 22 22 N/A 23 20 23 N/A N/A 23 21 21 N/A 23 22 N/A N/A N/A N/A 20 23 18 J2270 1736300 25 Morphine 4 MG/ML Syringe J2270 636 OP N/A N/A 24 22 22 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 22 N/A N/A N/A N/A 20 24 19 1736380 4 Morphine Ir 15 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J2270 1736410 36 Morphine 30 MG/30 ML Pca Vial J2270 636 OP N/A N/A 35 33 33 N/A 35 29 35 N/A N/A 35 31 31 N/A 35 33 N/A N/A N/A N/A 29 35 27 1736440 5 Morphine Sr 15 MG Tablet 12 Hr 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1736460 6 Morphine Sr 30 MG Tablet 12 Hr 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 J2274 1736500 79 Morphine/Pf 5 MG/10 ML Ampul J2274 636 OP N/A N/A 75 71 71 N/A 75 63 75 N/A N/A 75 67 67 N/A 75 71 N/A N/A N/A N/A 63 75 59 Q9967 1736580 0.44 Iopamidol-370 (76%) 500 Ml Vl Q9967 636 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1736620 41 Moxifloxacin 0.5% Op Soln 3ML 637 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1736660 47 Chrom/Copp/Mang/Sele/Zinc 1ML 250 OP N/A N/A 45 42 42 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 42 N/A N/A N/A N/A 38 45 35 1736670 4 Prenatal Vitam/Folate/Iron Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1736690 3 Multivitamin (No Iron) Chew 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1736870 3 Mvit/Folate/Coq10/Lycop/Lutein 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1736920 109 Multivitam/Vit K Adult 10ML Vl 250 OP N/A N/A 103 98 98 N/A 103 87 103 N/A N/A 103 93 93 N/A 103 98 N/A N/A N/A N/A 87 103 82 1736980 30 Mupirocin 2% Ointment 22 GR 637 OP N/A N/A 28 27 27 N/A 28 24 28 N/A N/A 28 25 25 N/A 28 27 N/A N/A N/A N/A 24 28 22 J7517 1737030 4 Mycophenolate M250 MG Cap J7517 636 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1737050 4 Nabumetone 500 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1737140 142 Nafcillin 2000 MG Vial 250 OP N/A N/A 135 127 127 N/A 135 113 135 N/A N/A 135 120 120 N/A 135 127 N/A N/A N/A N/A 113 135 106 J2300 1737160 29 Nalbuphine 10 MG/ML Ampul J2300 636 OP N/A N/A 28 26 26 N/A 28 23 28 N/A N/A 28 25 25 N/A 28 26 N/A N/A N/A N/A 23 28 22 J2310 1737190 26 Naloxone 0.4 MG/ML 10 ML Vial J2310 636 OP N/A N/A 25 23 23 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 23 N/A N/A N/A N/A 21 25 19 J2310 1737210 31 Naloxone 0.4 MG/ML Vial J2310 636 OP N/A N/A 30 28 28 N/A 30 25 30 N/A N/A 30 27 27 N/A 30 28 N/A N/A N/A N/A 25 30 24 1737220 7 Naltrexone 50 MG Tablet 637 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 6 6 N/A 6 6 N/A N/A N/A N/A 5 6 5 1737290 4 Naproxen 250 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1737310 4 Naproxen 500 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1737450 9 Nebivolol 5 MG Tablet 637 OP N/A N/A 9 8 8 N/A 9 7 9 N/A N/A 9 8 8 N/A 9 8 N/A N/A N/A N/A 7 9 7 1737540 4 Neomy/Poly/Bacitrac 0.9GR Pkt 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1737580 95 Neomy/Poly/Bacit/Hc Ophth Oint 637 OP N/A N/A 90 85 85 N/A 90 76 90 N/A N/A 90 80 80 N/A 90 85 N/A N/A N/A N/A 76 90 71 1737650 27 Neomy/Poly/Bacitr Oint 28.35GR 637 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 23 23 N/A 25 24 N/A N/A N/A N/A 21 25 20 1737790 4 Niacin Cr 500 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1737830 3 Niacin 500 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J2543 1737890 133 Piperacillin/Tazob 2.25GR Vial J2543 636 OP N/A N/A 126 120 120 N/A 126 106 126 N/A N/A 126 113 113 N/A 126 120 N/A N/A N/A N/A 106 126 100 J2543 1737900 143 Piperacillin/Tazob 3.375GR Vl J2543 636 OP N/A N/A 136 129 129 N/A 136 115 136 N/A N/A 136 122 122 N/A 136 129 N/A N/A N/A N/A 115 136 108 J2543 1737910 140 Piperacillin/Tazobact 4.5GR Vl J2543 636 OP N/A N/A 133 126 126 N/A 133 112 133 N/A N/A 133 119 119 N/A 133 126 N/A N/A N/A N/A 112 133 105 90732 1738060 273 Pneumococcal 23 Vax 0.5 ML Syr NULL 636 OP N/A N/A 259 245 245 N/A 259 218 259 N/A N/A 259 232 232 N/A 259 245 N/A 76 N/A 83 76 259 205 1738160 26 Polyethylene Glycol 3350 238GR 637 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 24 N/A N/A N/A N/A 21 25 20 1738170 36 Polyeth/Polyprop Glycol Op Sol 637 OP N/A N/A 34 33 33 N/A 34 29 34 N/A N/A 34 31 31 N/A 34 33 N/A N/A N/A N/A 29 34 27 1738190 6 Polyethylene Glyc 3350 17GR Pk 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 4 1738240 6 Polyvin Alc/Povid Op Sol 0.3ML 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 J3480 1738400 134 Potassium Chl 10Meq/100ML Bag J3480 636 OP N/A N/A 127 121 121 N/A 127 107 127 N/A N/A 127 114 114 N/A 127 121 N/A N/A N/A N/A 107 127 100 J3480 1738450 129 Potassium Chl 40Meq/20ML Vial J3480 636 OP N/A N/A 123 116 116 N/A 123 103 123 N/A N/A 123 110 110 N/A 123 116 N/A N/A N/A N/A 103 123 97 1738500 4 Potassium Chlor Cr 20 Meq Tab 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1738530 6 Potassium Cit Er 1080 MG Tab 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1738600 112 Potassium Phos 45 Mmol/15ML Vl 250 OP N/A N/A 106 101 101 N/A 106 90 106 N/A N/A 106 95 95 N/A 106 101 N/A N/A N/A N/A 90 106 84 1738670 25 Povidone-Iodine 10% Soln 118ML 637 OP N/A N/A 24 22 22 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 22 N/A N/A N/A N/A 20 24 19 J9299 1738710 " 16,977 " Nivolumab 240 Mg/24 Ml Vial J9299 636 OP N/A 26 " 16,128 " " 15,279 " " 15,279 " 26 " 16,128 " " 13,582 " " 16,128 " 26 N/A " 16,128 " " 14,431 " " 14,431 " N/A " 16,128 " " 15,279 " 26 N/A 26 N/A 26 " 16,128 " " 12,733 " 1738770 4 Pramipexole 0.25 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1738790 4 Pramipexole 1 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1738930 4 Pravastatin 20 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1738960 6 Prazosin 1 MG Capsule 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 5 1738980 4 Prazosin 5 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1738990 1 Prednisolon Sod Ph 5MG/5ML Sol 637 OP N/A N/A 1 1 1 N/A 1 0 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 0 1 0 1739030 70 Prednisolone Ac 1% Op Susp 5ML 637 OP N/A N/A 67 63 63 N/A 67 56 67 N/A N/A 67 60 60 N/A 67 63 N/A N/A N/A N/A 56 67 53 J7512 1739120 4 Prednisone 10 MG Tablet J7512 636 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J7512 1739130 4 Prednisone 20 MG Tablet J7512 636 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J7512 1739150 4 Prednisone 5 MG Tablet J7512 636 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J7512 1739160 4 Prednisone 1 MG Tablet J7512 636 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1739210 13 Pregabalin 25 MG Capsule 637 OP N/A N/A 12 12 12 N/A 12 10 12 N/A N/A 12 11 11 N/A 12 12 N/A N/A N/A N/A 10 12 10 1739220 12 Pregabalin 50 MG Capsule 637 OP N/A N/A 11 10 10 N/A 11 9 11 N/A N/A 11 10 10 N/A 11 10 N/A N/A N/A N/A 9 11 9 1739240 9 Pregabalin 100 MG Capsule 637 OP N/A N/A 9 8 8 N/A 9 8 9 N/A N/A 9 8 8 N/A 9 8 N/A N/A N/A N/A 8 9 7 1739270 12 Pregabalin 300 MG Capsule 637 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 10 10 N/A 12 11 N/A N/A N/A N/A 10 12 9 1739300 4 Primidone 50 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 J0780 1739370 32 Prochlorperazine 10MG/2ML Vial J0780 636 OP N/A N/A 30 29 29 N/A 30 26 30 N/A N/A 30 27 27 N/A 30 29 N/A N/A N/A N/A 26 30 24 1739380 4 Prochlorperazine 5 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J2550 1739470 92 Promethazine 25 MG/ML Vial J2550 636 OP N/A N/A 87 82 82 N/A 87 73 87 N/A N/A 87 78 78 N/A 87 82 N/A N/A N/A N/A 73 87 69 1739490 14 Promethazine 25 MG Rect Supp 637 OP N/A N/A 13 12 12 N/A 13 11 13 N/A N/A 13 12 12 N/A 13 12 N/A N/A N/A N/A 11 13 10 1739510 15 Promethazine 12.5 MG Rect Supp 637 OP N/A N/A 14 13 13 N/A 14 12 14 N/A N/A 14 13 13 N/A 14 13 N/A N/A N/A N/A 12 14 11 1739550 4 Propafenone 150 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J2704 1739620 152 Propofol 1000 MG/100 ML Vial J2704 636 OP N/A N/A 145 137 137 N/A 145 122 145 N/A N/A 145 129 129 N/A 145 137 N/A N/A N/A N/A 122 145 114 J2704 1739630 138 Propofol 500 MG/50 ML Vial J2704 636 OP N/A N/A 131 124 124 N/A 131 110 131 N/A N/A 131 117 117 N/A 131 124 N/A N/A N/A N/A 110 131 103 J2704 1739640 127 Propofol 200 Mg/20 Ml Vial J2704 636 OP N/A N/A 120 114 114 N/A 120 101 120 N/A N/A 120 108 108 N/A 120 114 N/A N/A N/A N/A 101 120 95 1739680 4 Propranolol 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1739700 4 Propranolol 20 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1739720 4 Propranolol 80 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1739740 5 Propranolol La 80 MG Cap 24 Hr 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1739880 3 Pseudoephedrine 30 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1739960 4 Psyllium Fiber Sf 3.4 GR Pkt 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1739990 5 Pyridostigrine 60 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 J3415 1740060 41 Pyridoxine 100 MG/ML Vial J3415 636 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 1740080 4 Quetiapine 100 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1740110 4 Quetiapine 25 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1740120 4 Quetiapine 50 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1740140 20 Quetiapine Xr 50 MG Tablet 637 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 1740160 9 Quetiapine Xr 200 MG Tablet 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 6 1740170 23 Quetiapine Xr 300 MG Tablet 637 OP N/A N/A 22 21 21 N/A 22 18 22 N/A N/A 22 19 19 N/A 22 21 N/A N/A N/A N/A 18 22 17 90675 1740340 730 Rabies Vax Pcec/Pf 2.5Unit Vl NULL 636 OP N/A 309 694 657 657 309 694 584 694 312 N/A 694 621 621 N/A 694 657 309 234 312 257 234 694 548 1740360 7 Racepinephrine 2.25% Neb 0.5ML 250 OP N/A N/A 7 6 6 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 6 N/A N/A N/A N/A 6 7 5 1740370 9 Raloxifene 60 MG Tablet 637 OP N/A N/A 9 8 8 N/A 9 7 9 N/A N/A 9 8 8 N/A 9 8 N/A N/A N/A N/A 7 9 7 1740380 64 Raltegravir 400 MG Tablet 637 OP N/A N/A 61 58 58 N/A 61 51 61 N/A N/A 61 55 55 N/A 61 58 N/A N/A N/A N/A 51 61 48 J9308 1740440 " 3,180 " Ramucirumab 100 MG/10 ML Vial J9308 636 OP N/A 58 " 3,021 " " 2,862 " " 2,862 " 58 " 3,021 " " 2,544 " " 3,021 " 59 N/A " 3,021 " " 2,703 " " 2,703 " N/A " 3,021 " " 2,862 " 58 N/A 59 N/A 58 " 3,021 " " 2,385 " J9308 1740450 " 15,583 " Ramucirumab 500 MG/50 ML Vial J9308 636 OP N/A 58 " 14,804 " " 14,025 " " 14,025 " 58 " 14,804 " " 12,466 " " 14,804 " 59 N/A " 14,804 " " 13,246 " " 13,246 " N/A " 14,804 " " 14,025 " 58 N/A 59 N/A 58 " 14,804 " " 11,687 " J2785 1740590 561 Regadenoson 0.4 MG/5 ML Syr J2785 636 OP N/A N/A 533 505 505 N/A 533 449 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 449 533 421 J0565 1740670 " 9,626 " "Bezlotoxumab 1,000 Mg/40 Ml Vl" J0565 636 OP N/A 35 " 9,145 " " 8,663 " " 8,663 " 35 " 9,145 " " 7,701 " " 9,145 " 35 N/A " 9,145 " " 8,182 " " 8,182 " N/A " 9,145 " " 8,663 " 35 N/A 35 N/A 35 " 9,145 " " 7,220 " J2791 1740690 206 Rho (D) Imm Glob 300MCG/2ML Sy J2791 636 OP N/A N/A 196 185 185 N/A 196 165 196 N/A N/A 196 175 175 N/A 196 185 N/A N/A N/A N/A 165 196 155 1740780 109 Rifaximin 550 MG Tablet 637 OP N/A N/A 103 98 98 N/A 103 87 103 N/A N/A 103 92 92 N/A 103 98 N/A N/A N/A N/A 87 103 82 1740860 4 Risperidone 1 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1740870 3 Risperidone 0.25 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1740900 4 Risperidone 3 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1740970 5 Risperidone Odt 1 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1740980 4 Risperidone Odt 0.5 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 J9312 1741000 " 2,388 " Rituximab 100 MG/10 ML Vial J9312 636 OP N/A 71 " 2,268 " " 2,149 " " 2,149 " 71 " 2,268 " " 1,910 " " 2,268 " 72 N/A " 2,268 " " 2,030 " " 2,030 " N/A " 2,268 " " 2,149 " 71 N/A 72 N/A 71 " 2,268 " " 1,791 " J9312 1741010 " 11,850 " Rituximab 500 MG/50 ML Vial J9312 636 OP N/A 71 " 11,257 " " 10,665 " " 10,665 " 71 " 11,257 " " 9,480 " " 11,257 " 72 N/A " 11,257 " " 10,072 " " 10,072 " N/A " 11,257 " " 10,665 " 71 N/A 72 N/A 71 " 11,257 " " 8,887 " 1741020 36 Rivaroxaban 15 MG Tablet 637 OP N/A N/A 34 32 32 N/A 34 29 34 N/A N/A 34 30 30 N/A 34 32 N/A N/A N/A N/A 29 34 27 1741030 36 Rivaroxaban 20 MG Tablet 637 OP N/A N/A 34 32 32 N/A 34 29 34 N/A N/A 34 30 30 N/A 34 32 N/A N/A N/A N/A 29 34 27 1741040 36 Rivaroxaban 10 MG Tablet 637 OP N/A N/A 34 32 32 N/A 34 29 34 N/A N/A 34 30 30 N/A 34 32 N/A N/A N/A N/A 29 34 27 1741080 9 RivastIgMine 1.5 MG Capsule 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 7 1741140 21 Ketamine 100 Mg/Ml Vial 10 Ml 250 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1741150 28 Rocuronium 10 MG/ML 5 ML Vial 250 OP N/A N/A 27 25 25 N/A 27 22 27 N/A N/A 27 24 24 N/A 27 25 N/A N/A N/A N/A 22 27 21 1741220 4 Ropinirole 0.25 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1741240 4 Ropinirole 1 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J2795 1741380 32 Ropivacain 0.2%/Pf 2MG/ML 10ML J2795 636 OP N/A N/A 30 29 29 N/A 30 26 30 N/A N/A 30 27 27 N/A 30 29 N/A N/A N/A N/A 26 30 24 J2795 1741410 28 Ropivacain 0.5%/Pf 5MG/ML 30ML J2795 636 OP N/A N/A 27 25 25 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 25 N/A N/A N/A N/A 23 27 21 1741420 111 Moxifloxacin Intravit 1 Mg/Ml 250 OP N/A N/A 106 100 100 N/A 106 89 106 N/A N/A 106 95 95 N/A 106 100 N/A N/A N/A N/A 89 106 83 1741510 4 Rosuvastatin 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1741530 9 Rosuvastatin 40 MG Tablet 637 OP N/A N/A 8 8 8 N/A 8 7 8 N/A N/A 8 7 7 N/A 8 8 N/A N/A N/A N/A 7 8 7 1741650 5 Saccharomy BoulardII 250MG Cap 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1741940 5 Salsalate 500 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1742140 3 Senna 8.6 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1742160 4 Senna/Docusate Sod 8.6/50MG Tb 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1742200 4 Sertraline 50 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1742220 4 Sevelamer Carbonate 800 MG Tab 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J1170 1742330 40 Hydromorphone 10Mg/50Ml Pcasyr J1170 636 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1742380 5 Silver Nitrate 1 Stick 250 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1742390 32 Silver Sulfadiazine 1% Cr 20GR 637 OP N/A N/A 31 29 29 N/A 31 26 31 N/A N/A 31 27 27 N/A 31 29 N/A N/A N/A N/A 26 31 24 1742410 90 Silver Sulfadiazin 1% Cr 400GR 637 OP N/A N/A 85 81 81 N/A 85 72 85 N/A N/A 85 76 76 N/A 85 81 N/A N/A N/A N/A 72 85 67 1742450 305 Vancomycin Oral 50Mg/Ml 150Ml 637 OP N/A N/A 290 275 275 N/A 290 244 290 N/A N/A 290 259 259 N/A 290 275 N/A N/A N/A N/A 244 290 229 1742470 4 Simethicone 80 MG Chew 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1742510 4 Simvastatin 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1742530 4 Simvastatin 40 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J2805 1742550 272 Sincalide 5 MCG Vial J2805 636 OP N/A N/A 258 245 245 N/A 258 217 258 N/A N/A 258 231 231 N/A 258 245 N/A N/A N/A N/A 217 258 204 1742610 38 Sitagliptin 50 MG Tablet 637 OP N/A N/A 36 34 34 N/A 36 30 36 N/A N/A 36 32 32 N/A 36 34 N/A N/A N/A N/A 30 36 28 1742700 0.01 Sodium Chl 0.9%/Pf 10 ML Vial 250 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1742710 50 Sod Hypochlori 0.25% Sol 473ML 637 OP N/A N/A 47 45 45 N/A 47 40 47 N/A N/A 47 42 42 N/A 47 45 N/A N/A N/A N/A 40 47 37 1742810 4 Sodium Bicarbonate 650 MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1742820 4 Sodium Chloride 1 GR Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1742890 41 Sodium Chloride 0.45% 500ML Bg 258 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 1742900 90 Sodium Chloride 0.45% 1000 ML 258 OP N/A N/A 85 81 81 N/A 85 72 85 N/A N/A 85 76 76 N/A 85 81 N/A N/A N/A N/A 72 85 67 1742910 12 Sodium Chlor 0.65% Nasal 45ML 250 OP N/A N/A 11 11 11 N/A 11 10 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 10 11 9 1742950 71 Sodium Chloride 0.9% 500ML Bag 258 OP N/A N/A 67 64 64 N/A 67 57 67 N/A N/A 67 60 60 N/A 67 64 N/A N/A N/A N/A 57 67 53 1742990 0.12 Sodium Chloride 0.9% 250ML Bag 258 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1743000 97 Sodium Chloride 0.9% 1000 ML 258 OP N/A N/A 92 87 87 N/A 92 78 92 N/A N/A 92 83 83 N/A 92 87 N/A N/A N/A N/A 78 92 73 1743020 0.11 Sodium Chloride 0.9% 50 ML Bag 258 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1743160 3 Sodium Chloride 0.9% Neb 3 ML 250 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 2 1743180 53 Sodium Chl 2% Ophth Soln 15ML 637 OP N/A N/A 50 48 48 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 48 N/A N/A N/A N/A 42 50 40 1743190 93 Sodium Chloride 3% 500 ML Bag 250 OP N/A N/A 88 84 84 N/A 88 74 88 N/A N/A 88 79 79 N/A 88 84 N/A N/A N/A N/A 74 88 70 1743210 4 Sodium Chloride 3% Neb 4 ML 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1743220 24 Sodium Chl 5% Ophth Oint 3.5GR 637 OP N/A N/A 23 22 22 N/A 23 20 23 N/A N/A 23 21 21 N/A 23 22 N/A N/A N/A N/A 20 23 18 1743280 25 Sodium Chl 0.9%/Pf 50 ML Vial 250 OP N/A N/A 24 22 22 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 22 N/A N/A N/A N/A 20 24 19 1743490 128 Sodium Phosphate 45 Mmol/15 ML 250 OP N/A N/A 121 115 115 N/A 121 102 121 N/A N/A 121 109 109 N/A 121 115 N/A N/A N/A N/A 102 121 96 1743580 4 Solifenacin 5 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1743670 4 Sotalol 80 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1743730 4 Spironolactone 25 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J0330 1743840 38 Succinylcholine 20MG/ML 10ML J0330 636 OP N/A N/A 36 34 34 N/A 36 31 36 N/A N/A 36 32 32 N/A 36 34 N/A N/A N/A N/A 31 36 29 1743860 4 Sucralfate 1 GR Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1743880 25 Sucralfate 1000MG/10ML Susp Ud 637 OP N/A N/A 24 22 22 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 22 N/A N/A N/A N/A 20 24 19 1743960 68 Sulfacetamide 10% Oph Soln 5ML 637 OP N/A N/A 65 61 61 N/A 65 54 65 N/A N/A 65 58 58 N/A 65 61 N/A N/A N/A N/A 54 65 51 1743970 82 Sulfacetamide 10% Oph Sol 15ML 637 OP N/A N/A 78 73 73 N/A 78 65 78 N/A N/A 78 69 69 N/A 78 73 N/A N/A N/A N/A 65 78 61 1744000 4 Sulfasalazine 500 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1744050 37 Sumatriptan 6 MG/0.5 ML Vial 637 OP N/A N/A 36 34 34 N/A 36 30 36 N/A N/A 36 32 32 N/A 36 34 N/A N/A N/A N/A 30 36 28 1744090 4 Sumatriptan 50 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J7507 1744150 6 Tacrolimus 0.5 MG Capsule J7507 636 OP N/A N/A 6 6 6 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 6 N/A N/A N/A N/A 5 6 5 1744350 4 Tamoxifen 10 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1744360 4 Tamsulosin 0.4 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J1447 1744430 463 Tbo-Filgrastim 300MCG/0.5ML Sy J1447 636 OP N/A 0.35 440 417 417 0 440 371 440 0 N/A 440 394 394 N/A 440 417 0 N/A 0 N/A 0 440 347 1744520 4 Temazepam 15 MG Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J3101 1744610 " 15,344 " Tenecteplase 50 MG Kit J3101 636 OP N/A 125 " 14,577 " " 13,810 " " 13,810 " 125 " 14,577 " " 12,275 " " 14,577 " 126 N/A " 14,577 " " 13,043 " " 13,043 " N/A " 14,577 " " 13,810 " 125 N/A 126 N/A 125 " 14,577 " " 11,508 " 1744650 4 Terazosin 1 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1744660 4 Terazosin 5 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J3105 1744760 24 Terbutaline 1 MG/ML Vial J3105 636 OP N/A N/A 23 22 22 N/A 23 19 23 N/A N/A 23 20 20 N/A 23 22 N/A N/A N/A N/A 19 23 18 90714 1744950 79 Tetanus/Diphth Tox Ad 0.5ML Sy NULL 636 OP N/A N/A 75 71 71 N/A 75 63 75 N/A N/A 75 67 67 N/A 75 71 N/A 76 N/A 83 63 83 59 J1953 1745020 168 Levetiracetam 1000Mg/100Ml Bag J1953 636 OP N/A N/A 160 151 151 N/A 160 134 160 N/A N/A 160 143 143 N/A 160 151 N/A N/A N/A N/A 134 160 126 1745190 4 Thiamine 100 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J3411 1745210 60 Thiamine 100 MG/ML 2 ML Vial J3411 636 OP N/A N/A 57 54 54 N/A 57 48 57 N/A N/A 57 51 51 N/A 57 54 N/A N/A N/A N/A 48 57 45 1745330 152 Thrombin (Bovine) 5000 Un Kit 250 OP N/A N/A 144 137 137 N/A 144 122 144 N/A N/A 144 129 129 N/A 144 137 N/A N/A N/A N/A 122 144 114 J0517 1745390 " 12,504 " Benralizumab 30 mg/ml Syringe J0517 636 OP N/A 146 " 11,879 " " 11,254 " " 11,254 " 146 " 11,879 " " 10,003 " " 11,879 " 148 N/A " 11,879 " " 10,629 " " 10,629 " N/A " 11,879 " " 11,254 " 146 N/A 148 N/A 146 " 11,879 " " 9,378 " J3240 1745400 " 8,514 " Thyrotropin Alpha 1.1 MG Vial J3240 636 OP N/A " 1,676 " " 8,088 " " 7,663 " " 7,663 " " 1,676 " " 8,088 " " 6,811 " " 8,088 " " 1,693 " N/A " 8,088 " " 7,237 " " 7,237 " N/A " 8,088 " " 7,663 " " 1,676 " N/A " 1,693 " N/A " 1,676 " " 8,088 " " 6,385 " 1745430 17 Ticagrelor 90 MG Tablet 637 OP N/A N/A 16 15 15 N/A 16 14 16 N/A N/A 16 14 14 N/A 16 15 N/A N/A N/A N/A 14 16 13 1745490 20 Timolol Mal 0.25% Oph Soln 5ML 637 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 1745640 4 Tizanidine 4 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1745710 179 Tobramycin 1.2 GR Vial 250 OP N/A N/A 170 161 161 N/A 170 144 170 N/A N/A 170 152 152 N/A 170 161 N/A N/A N/A N/A 144 170 135 J3262 1745770 " 2,906 " Tocilizumab 200 MG/10 ML Vial J3262 636 OP N/A 5 " 2,761 " " 2,615 " " 2,615 " 5 " 2,761 " " 2,325 " " 2,761 " 5 N/A " 2,761 " " 2,470 " " 2,470 " N/A " 2,761 " " 2,615 " 5 N/A 5 N/A 5 " 2,761 " " 2,179 " J3262 1745790 " 1,182 " Tocilizumab 80 MG/4 ML Vial J3262 636 OP N/A 5 " 1,123 " " 1,064 " " 1,064 " 5 " 1,123 " 946 " 1,123 " 5 N/A " 1,123 " " 1,005 " " 1,005 " N/A " 1,123 " " 1,064 " 5 N/A 5 N/A 5 " 1,123 " 886 1745930 4 Topiramate 100 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1745950 4 Topiramate 25 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J9351 1745990 402 Topotecan 4 MG Vial J9351 636 OP N/A N/A 381 361 361 N/A 381 321 381 N/A N/A 381 341 341 N/A 381 361 N/A N/A N/A N/A 321 381 301 1746030 4 Torsemide 20 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1746130 4 Tramadol 50 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1746270 4 Trazodone 100 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1746290 4 Trazodone 50 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1746420 25 Triamcinolon Ac 0.025% Cr 15GR 637 OP N/A N/A 24 22 22 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 22 N/A N/A N/A N/A 20 24 19 1746450 23 Triamcinolone Ac 0.1% Cr 15GR 637 OP N/A N/A 22 21 21 N/A 22 18 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 18 22 17 J3300 1746580 368 Triamcinolone Ac/Pf 40MG/ML J3300 636 OP N/A N/A 350 331 331 N/A 350 294 350 N/A N/A 350 313 313 N/A 350 331 N/A N/A N/A N/A 294 350 276 1746630 4 Triamterene/HCTZ 37.5/25MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1746780 4 Trihexyphenidyl 2 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1746810 147 Trimethoprim/Sulfameth 10ML VL 250 OP N/A N/A 140 133 133 N/A 140 118 140 N/A N/A 140 125 125 N/A 140 133 N/A N/A N/A N/A 118 140 110 1746850 4 Trimeth/Sulfameth 160/800MG Tb 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1746880 1 Trimeth/Sulfameth Susp 473 ML 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 1747000 8 Trospium 20 MG Tablet 637 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 7 7 N/A 7 7 N/A N/A N/A N/A 6 7 6 1747020 196 Trypan Blue 0.06% Ophth 1 Syr 250 OP N/A N/A 186 176 176 N/A 186 156 186 N/A N/A 186 166 166 N/A 186 176 N/A N/A N/A N/A 156 186 147 1747040 41 Tuberculin Ppd 5Unit/0.1ML 1ML 250 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 1747170 11 Ursodiol 300 MG Capsule 637 OP N/A N/A 10 10 10 N/A 10 9 10 N/A N/A 10 9 9 N/A 10 10 N/A N/A N/A N/A 9 10 8 1747210 5 Valacyclovir 1000 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1747220 8 Valacyclovir 500 MG Tablet 637 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 7 N/A N/A N/A N/A 6 7 6 1747240 131 Valproate Sod 500 MG/5 ML Vial 250 OP N/A N/A 124 117 117 N/A 124 104 124 N/A N/A 124 111 111 N/A 124 117 N/A N/A N/A N/A 104 124 98 1747270 4 Valproic Acid Sol 250MG/5ML Ud 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1747280 4 Valsartan 160 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1747300 5 Valsartan 40 MG Tablet 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1747310 4 Valsartan 80 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1747320 68 Vancomycin 125 MG Capsule 637 OP N/A N/A 65 61 61 N/A 65 54 65 N/A N/A 65 58 58 N/A 65 61 N/A N/A N/A N/A 54 65 51 J3370 1747350 124 Vancomycin 500 MG Vial J3370 636 OP N/A N/A 118 112 112 N/A 118 99 118 N/A N/A 118 105 105 N/A 118 112 N/A N/A N/A N/A 99 118 93 J3370 1747360 149 Vancomycin 750 MG Vial J3370 636 OP N/A N/A 141 134 134 N/A 141 119 141 N/A N/A 141 126 126 N/A 141 134 N/A N/A N/A N/A 119 141 111 J3370 1747370 111 Vancomycin 1000 MG Vial J3370 636 OP N/A N/A 106 100 100 N/A 106 89 106 N/A N/A 106 95 95 N/A 106 100 N/A N/A N/A N/A 89 106 83 1747480 487 Vasopressin 20 Unit/ML Vial 250 OP N/A N/A 463 439 439 N/A 463 390 463 N/A N/A 463 414 414 N/A 463 439 N/A N/A N/A N/A 390 463 366 J3380 1747520 0.01 Vedolizumab 300 MG Vial J3380 636 OP N/A 19 0 0 0 19 0 0 0 19 N/A 0 0 0 N/A 0 0 19 N/A 19 N/A 0 19 0 1747600 4 Venlafaxine Xr 150 MG Capsule 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1747610 4 Venlafaxine Xr 37.5 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1747620 4 Venlafaxine Xr 75 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1747650 4 Verapamil 80 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1747700 4 Verapamil Sr 180 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1747710 4 Verapamil Sr 240 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1747730 21 Vilazodone 20 MG Tablet 637 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 J9370 1747760 204 Vincristine 1 MG/ML Vial J9370 636 OP N/A N/A 194 183 183 N/A 194 163 194 N/A N/A 194 173 173 N/A 194 183 N/A N/A N/A N/A 163 194 153 J9370 1747770 220 Vincristine 2 MG/2 ML Vial J9370 636 OP N/A N/A 209 198 198 N/A 209 176 209 N/A N/A 209 187 187 N/A 209 198 N/A N/A N/A N/A 176 209 165 J9390 1747780 88 Vinorelbine 10 MG/ML Vial J9390 636 OP N/A N/A 84 80 80 N/A 84 71 84 N/A N/A 84 75 75 N/A 84 80 N/A N/A N/A N/A 71 84 66 J9390 1747790 324 Vinorelbine 50 MG/5 ML Vial J9390 636 OP N/A N/A 308 292 292 N/A 308 260 308 N/A N/A 308 276 276 N/A 308 292 N/A N/A N/A N/A 260 308 243 1747920 4 Vit B Complex/Vit C/Folate Cap 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1747970 4 Vitamin E 400 Int Unit Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1748070 4 Warfarin 1 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1748080 4 Warfarin 2.5 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1748090 4 Warfarin 2 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1748100 4 Warfarin 3 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1748110 4 Warfarin 4 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1748120 4 Warfarin 5 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1748130 4 Warfarin 6 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1748140 4 Warfarin 7.5 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1748170 8 Water For Inj Sterile 10 ML 250 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 7 7 N/A 7 7 N/A N/A N/A N/A 6 7 6 1748180 10 Water For Inj Sterile 20 ML 250 OP N/A N/A 10 9 9 N/A 10 8 10 N/A N/A 10 9 9 N/A 10 9 N/A N/A N/A N/A 8 10 8 1748200 23 Water For Inj Sterile 50 ML 250 OP N/A N/A 22 21 21 N/A 22 19 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 19 22 17 1748460 4 Zinc Gluconate 50 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1748500 26 Zinc Oxide 20% Ointmt 28.35 GR 637 OP N/A N/A 25 23 23 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 23 N/A N/A N/A N/A 21 25 19 1748550 45 Zinc/Copp/Mang/Chrom/Sele 10ML 250 OP N/A N/A 43 41 41 N/A 43 36 43 N/A N/A 43 39 39 N/A 43 41 N/A N/A N/A N/A 36 43 34 1748570 8 Ziprasidone 20 MG Capsule 637 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 7 7 N/A 7 7 N/A N/A N/A N/A 6 7 6 J3486 1748600 134 Ziprasidone 20 MG/ML Vial J3486 636 OP N/A N/A 128 121 121 N/A 128 108 128 N/A N/A 128 114 114 N/A 128 121 N/A N/A N/A N/A 108 128 101 1748690 4 Zolpidem 5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1748710 11 Zolpidem Cr 6.25 MG Tablet 637 OP N/A N/A 10 10 10 N/A 10 9 10 N/A N/A 10 9 9 N/A 10 10 N/A N/A N/A N/A 9 10 8 1748800 4 Atenolol 25 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J7500 1748810 4 Azathioprine 25 MG Part Tab J7500 636 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1748960 4 Citalopram 20 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1748970 3 Clonazepam 0.5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1749010 4 Cyclobenzaprine 10 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1749050 5 Flecainide 50 MG Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1749160 5 Hydroxychloroquine 200 MG Tab 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 90375 1749210 " 1,717 " Rabies Imm Glob (Human) 300u/m NULL 636 OP N/A 242 " 1,632 " " 1,546 " " 1,546 " 242 " 1,632 " " 1,374 " " 1,632 " 245 N/A " 1,632 " " 1,460 " " 1,460 " N/A " 1,632 " " 1,546 " 242 N/A 245 N/A 242 " 1,632 " " 1,288 " 1749300 4 Oxycodone Ir 5 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1749360 42 Sitagliptin 100 MG Tablet 637 OP N/A N/A 40 38 38 N/A 40 34 40 N/A N/A 40 36 36 N/A 40 38 N/A N/A N/A N/A 34 40 32 1749600 4 Lorazepam 1 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1749690 4 Apap/Codeine 300/30 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1749810 4 Triamterene/HCTZ 75/50 MG Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J7517 1749930 4 Mycophenolate M500 MG Tab J7517 636 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1749950 4 Hydrocodone/Apap 5-325 MG Tab 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1749960 4 Estradiol 0.5 MG Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1750060 4 Lutein 20 MG Capsule 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1750150 4 Oxycodone/Apap 5/325 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J3475 1750180 140 Magnesium Sulf/H2O 2GR/50ML Bg J3475 636 OP N/A N/A 133 126 126 N/A 133 112 133 N/A N/A 133 119 119 N/A 133 126 N/A N/A N/A N/A 112 133 105 1750260 1 Aspirin Ec 325 MG Tabec 637 OP N/A N/A 1 1 1 N/A 1 1 1 N/A N/A 1 1 1 N/A 1 1 N/A N/A N/A N/A 1 1 1 1750280 4 Metoprolol Succ Xl 25MG Tabcr 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1750320 132 D5/0.45% Ns Kcl 20Meq/1000ML 258 OP N/A N/A 126 119 119 N/A 126 106 126 N/A N/A 126 112 112 N/A 126 119 N/A N/A N/A N/A 106 126 99 1750440 30 Erythromycin 0.5% Op Oin 3.5GR 637 OP N/A N/A 28 27 27 N/A 28 24 28 N/A N/A 28 25 25 N/A 28 27 N/A N/A N/A N/A 24 28 22 1750470 100 Dextrose 10% 250 ML Bag 258 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A N/A N/A N/A 80 95 75 1750500 6 Levalbuterol Neb 0.63 MG/3 ML 637 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 5 1750530 4 Diltiazem Cd 120 MG Cap 24 Hr 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1750550 4 Diltiazem Cd 180 MG Cap 24 Hr 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1750560 5 Diltiazem Cd 240 MG Cap 24 Hr 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1750590 10 Diltiazem Sr 60 MG Cap12 Hr 637 OP N/A N/A 9 9 9 N/A 9 8 9 N/A N/A 9 8 8 N/A 9 9 N/A N/A N/A N/A 8 9 7 1750780 4 Memantine 10 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 J0878 1750970 220 Daptomycin RF 500 mg Vial J0878 636 OP N/A N/A 209 198 198 N/A 209 176 209 N/A N/A 209 187 187 N/A 209 198 N/A N/A N/A N/A 176 209 165 1751010 4 Divalproex Ec 250 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1751050 49 Sodium Bic 8.4% 50Meq/50ML Syr 250 OP N/A N/A 46 44 44 N/A 46 39 46 N/A N/A 46 41 41 N/A 46 44 N/A N/A N/A N/A 39 46 36 1751070 4 Potassium Chlor Cr 10 Meq Tab 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1751110 33 Lansoprazole Odt 15 MG Tablet 637 OP N/A N/A 31 29 29 N/A 31 26 31 N/A N/A 31 28 28 N/A 31 29 N/A N/A N/A N/A 26 31 24 1751130 4 Guaifenesin Soln 100MG/5ML Udc 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 3 4 3 1751140 15 Hydrocod/Apap 7.5-325/15ML Udc 637 OP N/A N/A 14 13 13 N/A 14 12 14 N/A N/A 14 13 13 N/A 14 13 N/A N/A N/A N/A 12 14 11 1751150 41 Lidocaine/Epi/Tet 3Ml Gel Syr 637 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 A9579 1751260 74 Gadoteridol 15 ML Vial A9579 636 OP N/A N/A 70 66 66 N/A 70 59 70 N/A N/A 70 63 63 N/A 70 66 N/A N/A N/A N/A 59 70 55 1751300 36 Calcium Chlor 1000MG/10ML Syr 250 OP N/A N/A 34 32 32 N/A 34 29 34 N/A N/A 34 30 30 N/A 34 32 N/A N/A N/A N/A 29 34 27 J9264 1751400 " 3,156 " Paclitaxel Protein-Bd 100MG Vl J9264 636 OP N/A 10 " 2,998 " " 2,840 " " 2,840 " 10 " 2,998 " " 2,524 " " 2,998 " 11 N/A " 2,998 " " 2,682 " " 2,682 " N/A " 2,998 " " 2,840 " 10 N/A 11 N/A 10 " 2,998 " " 2,367 " 1751420 34 Timolol Mal 0.5% Oph Soln 5ML 637 OP N/A N/A 32 30 30 N/A 32 27 32 N/A N/A 32 29 29 N/A 32 30 N/A N/A N/A N/A 27 32 25 1751460 30 Tranexamic Ac 1000MG/10ML Amp 250 OP N/A N/A 28 27 27 N/A 28 24 28 N/A N/A 28 25 25 N/A 28 27 N/A N/A N/A N/A 24 28 22 J2795 1751500 39 Ropivacaine 0.75% 7.5MG/ML 20M J2795 636 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 1751520 39 Glycopyrrolate 0.4MG/2ML Vial 250 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 J3475 1751620 57 Magnesium Sulfate 1GR/2ML Vial J3475 636 OP N/A N/A 55 52 52 N/A 55 46 55 N/A N/A 55 49 49 N/A 55 52 N/A N/A N/A N/A 46 55 43 J3480 1751660 73 Potassium Chl 20 MEQ/10 ML VL J3480 636 OP N/A N/A 70 66 66 N/A 70 59 70 N/A N/A 70 62 62 N/A 70 66 N/A N/A N/A N/A 59 70 55 J2997 1751770 382 Alteplase 2 MG Vial J2997 636 OP N/A 77 363 344 344 77 363 305 363 77 N/A 363 324 324 N/A 363 344 77 N/A 77 N/A 77 363 286 J0282 1751820 205 Amiodarone/D5W 150MG/100ML Bag J0282 636 OP N/A N/A 195 185 185 N/A 195 164 195 N/A N/A 195 175 175 N/A 195 185 N/A N/A N/A N/A 164 195 154 J0282 1751830 234 Amiodarone/D5W 360 MG/200 ML J0282 636 OP N/A N/A 223 211 211 N/A 223 187 223 N/A N/A 223 199 199 N/A 223 211 N/A N/A N/A N/A 187 223 176 J9047 1751970 " 1,256 " Carfilzomib 10 Mg Inj Vial J9047 636 OP N/A 39 " 1,193 " " 1,131 " " 1,131 " 39 " 1,193 " " 1,005 " " 1,193 " 40 N/A " 1,193 " " 1,068 " " 1,068 " N/A " 1,193 " " 1,131 " 39 N/A 40 N/A 39 " 1,193 " 942 1751980 49 Asenapine 5 MG Tab.Subl 637 OP N/A N/A 47 44 44 N/A 47 40 47 N/A N/A 47 42 42 N/A 47 44 N/A N/A N/A N/A 40 47 37 1752020 124 Atropine 1% Oph 5 ML Bottle 637 OP N/A N/A 118 112 112 N/A 118 100 118 N/A N/A 118 106 106 N/A 118 112 N/A N/A N/A N/A 100 118 93 J9047 1752060 " 3,522 " Carfilzomib 30 Mg Inj Vial J9047 636 OP N/A 39 " 3,346 " " 3,170 " " 3,170 " 39 " 3,346 " " 2,818 " " 3,346 " 40 N/A " 3,346 " " 2,994 " " 2,994 " N/A " 3,346 " " 3,170 " 39 N/A 40 N/A 39 " 3,346 " " 2,642 " 1752290 73 Amino Acid 5 %/Dext 15% 1000ML 258 OP N/A N/A 69 65 65 N/A 69 58 69 N/A N/A 69 62 62 N/A 69 65 N/A N/A N/A N/A 58 69 54 1752480 25 Bupivacaine 0.25% Pf 30 ML 250 OP N/A N/A 23 22 22 N/A 23 20 23 N/A N/A 23 21 21 N/A 23 22 N/A N/A N/A N/A 20 23 18 J0171 1752490 18 Epinephrine 1 MG/ML Ampule J0171 636 OP N/A N/A 17 16 16 N/A 17 14 17 N/A N/A 17 15 15 N/A 17 16 N/A N/A N/A N/A 14 17 13 1752890 225 Flutic/Vilan 200/25MCG 14Pf In 637 OP N/A N/A 213 202 202 N/A 213 180 213 N/A N/A 213 191 191 N/A 213 202 N/A N/A N/A N/A 180 213 168 Q0138 1753100 941 Ferumoxy 510MG/17ML (Non-ESRD) Q0138 636 OP N/A 0.48 894 847 847 0 894 753 894 0 N/A 894 800 800 N/A 894 847 0 N/A 0 N/A 0 894 706 J3490 1753160 26 Enalaprilat 1.25 MG/ML Vial J3490 636 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 22 22 N/A 24 23 N/A N/A N/A N/A 20 24 19 1753250 8 Guaifen/Cod Sf 100-10MG/5ML Ud 637 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 7 N/A N/A N/A N/A 6 7 6 1753260 6 Guaifen/Cod 100-10MG/5ML Udc 637 OP N/A N/A 5 5 5 N/A 5 5 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 5 5 4 J1610 1753310 675 Glucagon 1 MG Emergency Kit J1610 636 OP N/A 151 641 608 608 151 641 540 641 153 N/A 641 574 574 N/A 641 608 151 N/A 153 N/A 151 641 506 1753680 18 Midazolam Oral Sol 10MG/5ML Ud 250 OP N/A N/A 17 16 16 N/A 17 14 17 N/A N/A 17 15 15 N/A 17 16 N/A N/A N/A N/A 14 17 13 1753830 10 Ziprasidone 40 MG Capsule 637 OP N/A N/A 9 9 9 N/A 9 8 9 N/A N/A 9 8 8 N/A 9 9 N/A N/A N/A N/A 8 9 7 1754570 4 Carbidopa/Levo 25/100MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1754590 4 Carbidopa/Levodop 25/250MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J1750 1754770 78 Iron Dextran 100 MG/2 ML Vial J1750 636 OP N/A 14 74 70 70 14 74 62 74 15 N/A 74 66 66 N/A 74 70 14 N/A 15 N/A 14 74 58 1754830 4 Isosorbide Mono Cr 60 MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1754900 129 D5/0.45% Ns Kcl 10Meq/1000ML 258 OP N/A N/A 123 116 116 N/A 123 103 123 N/A N/A 123 110 110 N/A 123 116 N/A N/A N/A N/A 103 123 97 1754940 138 D5/0.45% Ns Kcl 40Meq/1000ML 258 OP N/A N/A 131 124 124 N/A 131 110 131 N/A N/A 131 117 117 N/A 131 124 N/A N/A N/A N/A 110 131 103 J0881 1755110 " 4,017 " Darbepoetin Alfa 500MCG/ML Syr J0881 636 OP N/A 3 " 3,816 " " 3,615 " " 3,615 " 3 " 3,816 " " 3,213 " " 3,816 " 3 N/A " 3,816 " " 3,414 " " 3,414 " N/A " 3,816 " " 3,615 " 3 N/A 3 N/A 3 " 3,816 " " 3,012 " 1755210 33 Ketamine 50 MG/5 ML Syringe 250 OP N/A N/A 32 30 30 N/A 32 27 32 N/A N/A 32 28 28 N/A 32 30 N/A N/A N/A N/A 27 32 25 1755220 8 Dexamethasone 10MG/ML Oral Vl 637 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 7 7 N/A 7 7 N/A N/A N/A N/A 6 7 6 J9303 1755300 " 3,390 " Panitumumab 100 MG/5 ML Vial J9303 636 OP N/A 125 " 3,220 " " 3,051 " " 3,051 " 125 " 3,220 " " 2,712 " " 3,220 " 126 N/A " 3,220 " " 2,881 " " 2,881 " N/A " 3,220 " " 3,051 " 125 N/A 126 N/A 125 " 3,220 " " 2,542 " 1755480 104 Phytonadione 5 MG Tablet 637 OP N/A N/A 98 93 93 N/A 98 83 98 N/A N/A 98 88 88 N/A 98 93 N/A N/A N/A N/A 83 98 78 1755490 4 Pentoxifylline Er 400 MG Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1755520 10 Lidocaine 2% Visc Sol 15ML Udc 637 OP N/A N/A 10 9 9 N/A 10 8 10 N/A N/A 10 9 9 N/A 10 9 N/A N/A N/A N/A 8 10 8 J0885 1755540 569 Epoetin Alfa 20000 Unit/ML Vl J0885 636 OP N/A 7 541 512 512 7 541 455 541 7 N/A 541 484 484 N/A 541 512 7 N/A 7 N/A 7 541 427 J0885 1755550 " 1,117 " Epoetin Alfa 40000 Unit/ML Vl J0885 636 OP N/A 7 " 1,061 " " 1,005 " " 1,005 " 7 " 1,061 " 894 " 1,061 " 7 N/A " 1,061 " 950 950 N/A " 1,061 " " 1,005 " 7 N/A 7 N/A 7 " 1,061 " 838 1755870 4 Promethazine 25 MG Tablet 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 J1930 1755900 " 22,207 " Lanreotide Acet 120MG/0.5ML Sy J1930 636 OP N/A 54 " 21,097 " " 19,986 " " 19,986 " 54 " 21,097 " " 17,766 " " 21,097 " 54 N/A " 21,097 " " 18,876 " " 18,876 " N/A " 21,097 " " 19,986 " 54 N/A 54 N/A 54 " 21,097 " " 16,655 " 1755950 4 Pyridoxine 50 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 1756030 6 Levalbuterol Neb 1.25 MG/3 ML 250 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 5 J7301 1756040 " 2,101 " Levonorgestrel 14MCG/24Hr Iud J7301 636 OP N/A N/A " 1,996 " " 1,891 " " 1,891 " N/A " 1,996 " " 1,681 " " 1,996 " N/A N/A " 1,996 " " 1,786 " " 1,786 " N/A " 1,996 " " 1,891 " N/A N/A N/A N/A " 1,681 " " 1,996 " " 1,576 " 1756050 4 Olanzapine 5 MG Odt 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1756070 0.01 Patient's Own Med 1 Each 637 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1756410 10 Mineral oil 30 ML UDC 637 OP N/A N/A 9 9 9 N/A 9 8 9 N/A N/A 9 8 8 N/A 9 9 N/A N/A N/A N/A 8 9 7 1756530 9 Morphine 10 MG/0.5 ML Udc 637 OP N/A N/A 9 8 8 N/A 9 8 9 N/A N/A 9 8 8 N/A 9 8 N/A N/A N/A N/A 8 9 7 1756540 164 Norepinephrine/Ns 4MG/250ML Bg 250 OP N/A N/A 155 147 147 N/A 155 131 155 N/A N/A 155 139 139 N/A 155 147 N/A N/A N/A N/A 131 155 123 J3370 1757100 190 Vancomycin/Ns 1750 MG/500 ML J3370 636 OP N/A N/A 181 171 171 N/A 181 152 181 N/A N/A 181 162 162 N/A 181 171 N/A N/A N/A N/A 152 181 143 J3370 1757110 141 Vancomycin/Ns 2000 MG/500 ML J3370 636 OP N/A N/A 134 127 127 N/A 134 113 134 N/A N/A 134 120 120 N/A 134 127 N/A N/A N/A N/A 113 134 106 1757310 6 Hydrocodone/Apap 5/325MG #6 TH 253 OP N/A N/A 6 5 5 N/A 6 5 6 N/A N/A 6 5 5 N/A 6 5 N/A N/A N/A N/A 5 6 5 1757320 8 Apap/Codeine 300/30MG Tb #6 TH 253 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 7 N/A N/A N/A N/A 6 7 6 1757340 8 Tramadol 50 MG Tab #6 TH 253 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 7 7 N/A 7 7 N/A N/A N/A N/A 6 7 6 1757550 5 Take Home Medication 253 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1757670 150 Neo/Poly/Hc Otic Susp 10 ML 637 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A N/A N/A N/A 120 143 113 1757730 4 Venlafaxine 37.5 MG Tablet 250 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1757740 4 Cholecalciferol 5000 Unit Tab 637 OP N/A N/A 4 4 4 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 4 N/A N/A N/A N/A 3 4 3 J1447 1757770 560 Tbo-Filgrastim 480MCG/0.8ML J1447 636 OP N/A 0.35 532 504 504 0 532 448 532 0 N/A 532 476 476 N/A 532 504 0 N/A 0 N/A 0 532 420 1757790 4 SpironolaCT 12.5 MG Part Tab 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1757800 5 Prednisolon Phos Sol 5MG/ML 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 J2370 1757810 44 Phenyleph 10 MG/ML Vial J2370 636 OP N/A N/A 42 40 40 N/A 42 36 42 N/A N/A 42 38 38 N/A 42 40 N/A N/A N/A N/A 36 42 33 1758130 5 Misoprostol 50 MCG Part Tab 637 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 5 5 N/A 5 5 N/A N/A N/A N/A 4 5 4 1758140 4 Misoprostol 25 MCG Part Tab 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1758150 5 Phenazopyr 100 MG Tablet 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 4 Q9967 1758370 64 Iopamidol-M 300 15ML Vial Q9967 636 OP N/A N/A 60 57 57 N/A 60 51 60 N/A N/A 60 54 54 N/A 60 57 N/A N/A N/A N/A 51 60 48 1758490 5 Rifampin 300 MG Capsule 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 A9579 1758510 35 Gadoteridol 5 ML Vial A9579 636 OP N/A N/A 33 31 31 N/A 33 28 33 N/A N/A 33 30 30 N/A 33 31 N/A N/A N/A N/A 28 33 26 A9579 1758520 93 Gadoteridol 20 ML Vial A9579 636 OP N/A N/A 88 84 84 N/A 88 74 88 N/A N/A 88 79 79 N/A 88 84 N/A N/A N/A N/A 74 88 70 J2270 1758570 28 Morphine Sulf 1 Each Syringe J2270 636 OP N/A N/A 27 25 25 N/A 27 23 27 N/A N/A 27 24 24 N/A 27 25 N/A N/A N/A N/A 23 27 21 J3010 1758580 23 Fentanyl 1 Each Syringe J3010 636 OP N/A N/A 22 21 21 N/A 22 18 22 N/A N/A 22 20 20 N/A 22 21 N/A N/A N/A N/A 18 22 17 1758780 356 Ciproflox/Dexameth Otic (OR) 250 OP N/A N/A 338 321 321 N/A 338 285 338 N/A N/A 338 303 303 N/A 338 321 N/A N/A N/A N/A 285 338 267 1759000 119 Prednisolon Act 1% Op 5ML 250 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A N/A N/A N/A 95 113 89 1759280 12 Magic Mthwash /Nystatin 180ML 637 OP N/A N/A 11 11 11 N/A 11 10 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 10 11 9 Q9950 1759580 363 Sulf Hexaflr Microsphre 5ml Vl Q9950 636 OP N/A N/A 345 327 327 N/A 345 290 345 N/A N/A 345 309 309 N/A 345 327 N/A N/A N/A N/A 290 345 272 J0714 1759600 " 1,023 " Ceftazidime/Avibactam 2.5Gm Vl J0714 636 OP N/A 80 971 920 920 80 971 818 971 80 N/A 971 869 869 N/A 971 920 80 N/A 80 N/A 80 971 767 1759940 36 Tetracaine 0.5% Ophth Soln 4ML 637 OP N/A N/A 34 32 32 N/A 34 29 34 N/A N/A 34 30 30 N/A 34 32 N/A N/A N/A N/A 29 34 27 J1170 1759950 21 Hydromorphone 2 mg/ml Vial J1170 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1760310 97 "Sodium Chlor 0.9% 1,000Ml Bag" 258 OP N/A N/A 92 87 87 N/A 92 77 92 N/A N/A 92 82 82 N/A 92 87 N/A N/A N/A N/A 77 92 73 1760320 93 "Lactated Ringers 1,000 Ml Bag" 258 OP N/A N/A 88 84 84 N/A 88 74 88 N/A N/A 88 79 79 N/A 88 84 N/A N/A N/A N/A 74 88 70 1760430 45 Azelastine 0.15% Nasl Spr 30Ml 637 OP N/A N/A 42 40 40 N/A 42 36 42 N/A N/A 42 38 38 N/A 42 40 N/A N/A N/A N/A 36 42 34 1760690 3 Buspirone 7.5 Mg Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 C9290 1761160 494 Bupivacaine Liposome 1.3% Pf 1 C9290 636 OP N/A N/A 469 445 445 N/A 469 395 469 N/A N/A 469 420 420 N/A 469 445 N/A N/A N/A N/A 395 469 371 J1580 1762380 17 Gentamicin/Ns 2Mg/Ml Spcl Dilu J1580 636 OP N/A N/A 16 15 15 N/A 16 14 16 N/A N/A 16 15 15 N/A 16 15 N/A N/A N/A N/A 14 16 13 1762510 37 Tetracaine 0.5% Soln 4Ml(Surg) 250 OP N/A N/A 35 33 33 N/A 35 29 35 N/A N/A 35 31 31 N/A 35 33 N/A N/A N/A N/A 29 35 28 90686 1762690 53 Influenza Qv Pf Flulaval 0.5Ml NULL 636 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A 76 N/A 83 42 83 39 J2590 1762720 149 Oxytocin 30 U/Lr 500 Ml Bag J2590 636 OP N/A N/A 142 134 134 N/A 142 119 142 N/A N/A 142 127 127 N/A 142 134 N/A N/A N/A N/A 119 142 112 1762730 283 Sugammadex 200 Mg/2 Ml Vial 250 OP N/A N/A 269 255 255 N/A 269 226 269 N/A N/A 269 241 241 N/A 269 255 N/A N/A N/A N/A 226 269 212 90375 1762830 " 8,573 " Rabies Ig (Human) 300 U/Ml 5Ml 90375 636 OP N/A 242 " 8,145 " " 7,716 " " 7,716 " 242 " 8,145 " " 6,859 " " 8,145 " 245 N/A " 8,145 " " 7,287 " " 7,287 " N/A " 8,145 " " 7,716 " 242 N/A 245 N/A 242 " 8,145 " " 6,430 " Q5104 1762930 " 1,181 " Infliximab-Abda 100 Mg Vial Q5104 636 OP N/A 40 " 1,122 " " 1,062 " " 1,062 " 40 " 1,122 " 944 " 1,122 " 40 N/A " 1,122 " " 1,003 " " 1,003 " N/A " 1,122 " " 1,062 " 40 N/A 40 N/A 40 " 1,122 " 885 J9022 1763270 " 23,869 " Atezolizumab 1200 Mg/20 Ml Vl J9022 636 OP N/A 70 " 22,675 " " 21,482 " " 21,482 " 70 " 22,675 " " 19,095 " " 22,675 " 71 N/A " 22,675 " " 20,289 " " 20,289 " N/A " 22,675 " " 21,482 " 70 N/A 71 N/A 70 " 22,675 " " 17,902 " J9023 1763280 " 4,222 " Avelumab 200 Mg/10 Ml Vial J9023 636 OP N/A 78 " 4,010 " " 3,799 " " 3,799 " 78 " 4,010 " " 3,377 " " 4,010 " 79 N/A " 4,010 " " 3,588 " " 3,588 " N/A " 4,010 " " 3,799 " 78 N/A 79 N/A 78 " 4,010 " " 3,166 " Q5108 1763520 " 10,198 " Pegfilgrastim-Jmdb 6 Mg/0.6 Ml Q5108 636 OP N/A 119 " 9,688 " " 9,178 " " 9,178 " 119 " 9,688 " " 8,158 " " 9,688 " 120 N/A " 9,688 " " 8,668 " " 8,668 " N/A " 9,688 " " 9,178 " 119 N/A 120 N/A 119 " 9,688 " " 7,648 " Q5111 1763530 " 8,569 " Pegfilgrastim-Cbqv 6 Mg/0.6 Ml Q5111 636 OP N/A 120 " 8,141 " " 7,712 " " 7,712 " 120 " 8,141 " " 6,855 " " 8,141 " 121 N/A " 8,141 " " 7,284 " " 7,284 " N/A " 8,141 " " 7,712 " 120 N/A 121 N/A 120 " 8,141 " " 6,427 " 1763570 182 Fat Emulsion 20% 250 Ml Btl 250 OP N/A N/A 173 164 164 N/A 173 146 173 N/A N/A 173 155 155 N/A 173 164 N/A N/A N/A N/A 146 173 137 J9217 1763740 " 1,949 " Leuprolide Acetate SQ 45mg Syr J9217 636 OP N/A 164 " 1,852 " " 1,754 " " 1,754 " 164 " 1,852 " " 1,559 " " 1,852 " 166 N/A " 1,852 " " 1,657 " " 1,657 " N/A " 1,852 " " 1,754 " 164 N/A 166 N/A 164 " 1,852 " " 1,462 " J9045 1763760 201 Carboplatin 600 Mg/50 Ml Vial J9045 636 OP N/A N/A 191 181 181 N/A 191 160 191 N/A N/A 191 171 171 N/A 191 181 N/A N/A N/A N/A 160 191 150 J0290 1764160 12 Ampicillin 30 Mg/Ml Spec Dil J0290 636 OP N/A N/A 11 11 11 N/A 11 10 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 10 11 9 1764220 47 Sodium Zirconium 10 Gm Pkt 637 OP N/A N/A 45 43 43 N/A 45 38 45 N/A N/A 45 40 40 N/A 45 43 N/A N/A N/A N/A 38 45 35 J3370 1764260 171 Vancomycin Inj 1250 Mg Vial J3370 636 OP N/A N/A 163 154 154 N/A 163 137 163 N/A N/A 163 146 146 N/A 163 154 N/A N/A N/A N/A 137 163 129 1764300 4 Vitamin B Complex Capsule 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 J0717 1764540 " 5,052 " Certolizumab Pegol 400 Mg Kit J0717 636 OP N/A 4 " 4,799 " " 4,546 " " 4,546 " 4 " 4,799 " " 4,041 " " 4,799 " 4 N/A " 4,799 " " 4,294 " " 4,294 " N/A " 4,799 " " 4,546 " 4 N/A 4 N/A 4 " 4,799 " " 3,789 " 1765180 184 Insulin-R 100 Units/Ns 100 Ml 637 OP N/A N/A 175 165 165 N/A 175 147 175 N/A N/A 175 156 156 N/A 175 165 N/A N/A N/A N/A 147 175 138 J3370 1765190 171 Vancomycin Inj 1500 Mg Vial J3370 636 OP N/A N/A 162 154 154 N/A 162 137 162 N/A N/A 162 145 145 N/A 162 154 N/A N/A N/A N/A 137 162 128 1765340 5 Desvenlafaxine ER 25 Mg Tablet 637 OP N/A N/A 5 4 4 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 4 N/A N/A N/A N/A 4 5 4 1765380 262 Emtricitab/Tenofo 200/300Mg #3 253 OP N/A N/A 249 236 236 N/A 249 210 249 N/A N/A 249 223 223 N/A 249 236 N/A N/A N/A N/A 210 249 197 1765730 240 Raltegravir 400 Mg Tab #6 Home 253 OP N/A N/A 228 216 216 N/A 228 192 228 N/A N/A 228 204 204 N/A 228 216 N/A N/A N/A N/A 192 228 180 1765760 95 Cariprazine 1.5 Mg Capsule 637 OP N/A N/A 91 86 86 N/A 91 76 91 N/A N/A 91 81 81 N/A 91 86 N/A N/A N/A N/A 76 91 72 J0878 1765970 103 Daptomycin 350 Mg Vial J0878 636 OP N/A N/A 98 93 93 N/A 98 83 98 N/A N/A 98 88 88 N/A 98 93 N/A N/A N/A N/A 83 98 78 1766120 186 Estradiol 0.01% VagCrm 42.5gm 250 OP N/A N/A 176 167 167 N/A 176 149 176 N/A N/A 176 158 158 N/A 176 167 N/A N/A N/A N/A 149 176 139 J9358 1766200 " 5,875 " Fam-Trastuzumab-Derux 100 Mg V J9358 636 OP N/A N/A " 5,581 " " 5,287 " " 5,287 " N/A " 5,581 " " 4,700 " " 5,581 " N/A N/A " 5,581 " " 4,993 " " 4,993 " N/A " 5,581 " " 5,287 " N/A N/A N/A N/A " 4,700 " " 5,581 " " 4,406 " J9177 1766210 " 5,977 " Enfortumab Vodtin-EJFV 20Mg V J9177 636 OP N/A 28 " 5,678 " " 5,380 " " 5,380 " 28 " 5,678 " " 4,782 " " 5,678 " 29 N/A " 5,678 " " 5,081 " " 5,081 " N/A " 5,678 " " 5,380 " 28 N/A 29 N/A 28 " 5,678 " " 4,483 " J9177 1766220 " 8,869 " Enfortumab Vodtin-EJFV 30 Mg V J9177 636 OP N/A 28 " 8,425 " " 7,982 " " 7,982 " 28 " 8,425 " " 7,095 " " 8,425 " 29 N/A " 8,425 " " 7,539 " " 7,539 " N/A " 8,425 " " 7,982 " 28 N/A 29 N/A 28 " 8,425 " " 6,652 " J9217 1766360 " 2,292 " Leuprolide Acetate Sq 22.5Mg J9217 636 OP N/A 164 " 2,177 " " 2,063 " " 2,063 " 164 " 2,177 " " 1,834 " " 2,177 " 166 N/A " 2,177 " " 1,948 " " 1,948 " N/A " 2,177 " " 2,063 " 164 N/A 166 N/A 164 " 2,177 " " 1,719 " 1766480 4 Dexamethasone 2 Mg 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1766710 12 Nitroglycerin SL Powder 400Mcg 637 OP N/A N/A 12 11 11 N/A 12 10 12 N/A N/A 12 10 10 N/A 12 11 N/A N/A N/A N/A 10 12 9 A9589 1766800 " 2,929 " Hexaminolevulinate 100 Mg Vial A9589 636 OP N/A N/A " 2,782 " " 2,636 " " 2,636 " N/A " 2,782 " " 2,343 " " 2,782 " N/A N/A " 2,782 " " 2,489 " " 2,489 " N/A " 2,782 " " 2,636 " N/A N/A N/A N/A " 2,343 " " 2,782 " " 2,197 " J1953 1766810 155 Levetiracetam 500Mg/100Ml Bag J1953 636 OP N/A N/A 147 140 140 N/A 147 124 147 N/A N/A 147 132 132 N/A 147 140 N/A N/A N/A N/A 124 147 116 1766850 83 Lido 1%/Phenyl 1.5% Ophth 1 Ml 250 OP N/A N/A 79 75 75 N/A 79 66 79 N/A N/A 79 71 71 N/A 79 75 N/A N/A N/A N/A 66 79 62 J2710 1766860 44 Neostigmine 3 Mg/3 Ml Syringe J2710 636 OP N/A N/A 42 40 40 N/A 42 35 42 N/A N/A 42 38 38 N/A 42 40 N/A N/A N/A N/A 35 42 33 J0330 1766870 41 Succinylcholine 100 Mg/5Ml Syr J0330 636 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 Q5114 1766880 " 3,991 " Trastuzumab DKST 420 Mg Vial Q5114 636 OP N/A 37 " 3,791 " " 3,592 " " 3,592 " 37 " 3,791 " " 3,193 " " 3,791 " 37 N/A " 3,791 " " 3,392 " " 3,392 " N/A " 3,791 " " 3,592 " 37 N/A 37 N/A 37 " 3,791 " " 2,993 " 1766890 20 Lan/Min Oil/Pet/Cer 113 Gm Jar 637 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 90375 1766920 " 5,146 " Rabies Imm Glob 300 Un/Ml-3M V NULL 636 OP N/A 242 " 4,889 " " 4,631 " " 4,631 " 242 " 4,889 " " 4,117 " " 4,889 " 245 N/A " 4,889 " " 4,374 " " 4,374 " N/A " 4,889 " " 4,631 " 242 N/A 245 N/A 242 " 4,889 " " 3,860 " J0896 1766960 " 28,358 " Luspatercept-Aamt 75 Mg Vial J0896 636 OP N/A 33 " 26,940 " " 25,522 " " 25,522 " 33 " 26,940 " " 22,686 " " 26,940 " 34 N/A " 26,940 " " 24,104 " " 24,104 " N/A " 26,940 " " 25,522 " 33 N/A 34 N/A 33 " 26,940 " " 21,269 " J0248 1767050 " 1,409 " Remdesivir 100 Mg Vial J0248 636 OP N/A 5 " 1,339 " " 1,269 " " 1,269 " 5 " 1,339 " " 1,128 " " 1,339 " 5 N/A " 1,339 " " 1,198 " " 1,198 " N/A " 1,339 " " 1,269 " 5 N/A 5 N/A 5 " 1,339 " " 1,057 " J3010 1767110 68 Rivaroxaban 2.5 Mg Tablet NULL 636 OP N/A N/A 64 61 61 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 61 N/A N/A N/A N/A 54 64 51 J9144 1767130 " 20,372 " Daratumumab Hyaluronidase 10Mg J9144 636 OP N/A 41 " 19,354 " " 18,335 " " 18,335 " 41 " 19,354 " " 16,298 " " 19,354 " 41 N/A " 19,354 " " 17,317 " " 17,317 " N/A " 19,354 " " 18,335 " 41 N/A 41 N/A 41 " 19,354 " " 15,279 " Q9966 1767240 37 Iopamidol 250 100 Ml Vial Q9966 636 OP N/A N/A 35 33 33 N/A 35 30 35 N/A N/A 35 32 32 N/A 35 33 N/A N/A N/A N/A 30 35 28 1767310 69 Nitroglycerin SL 0.4Mg Tab-Bot 637 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A N/A N/A N/A 55 66 52 J9223 1767330 " 17,515 " Lurbinectedin 0.1 Mg J9223 636 OP N/A 162 " 16,639 " " 15,764 " " 15,764 " 162 " 16,639 " " 14,012 " " 16,639 " 164 N/A " 16,639 " " 14,888 " " 14,888 " N/A " 16,639 " " 15,764 " 162 N/A 164 N/A 162 " 16,639 " " 13,136 " Q5119 1767390 " 1,591 " Rituximab-PVVR 100Mg/10Ml Vial Q5119 636 OP N/A 28 " 1,511 " " 1,431 " " 1,431 " 28 " 1,511 " " 1,272 " " 1,511 " 29 N/A " 1,511 " " 1,352 " " 1,352 " N/A " 1,511 " " 1,431 " 28 N/A 29 N/A 28 " 1,511 " " 1,193 " Q5119 1767400 " 7,761 " Rituximab-PVVR 500Mg/50Ml Vial Q5119 636 OP N/A 28 " 7,373 " " 6,985 " " 6,985 " 28 " 7,373 " " 6,209 " " 7,373 " 29 N/A " 7,373 " " 6,597 " " 6,597 " N/A " 7,373 " " 6,985 " 28 N/A 29 N/A 28 " 7,373 " " 5,821 " 1767470 166 Ofloxacin 0.3% Otic Soln 5 Ml 250 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A N/A N/A N/A 133 158 125 J2997 1767600 " 12,174 " Alteplase 100 Mg/100 Ml Bag J2997 636 OP N/A 77 " 11,565 " " 10,957 " " 10,957 " 77 " 11,565 " " 9,739 " " 11,565 " 77 N/A " 11,565 " " 10,348 " " 10,348 " N/A " 11,565 " " 10,957 " 77 N/A 77 N/A 77 " 11,565 " " 9,130 " J2796 1767700 22 Romiplostim 1 Mcg Vial J2796 636 OP N/A 79 21 20 20 79 21 18 21 80 N/A 21 19 19 N/A 21 20 79 N/A 80 N/A 18 80 16 Q5120 1767820 " 6,494 " Pegfilgrastim-Bmez 6 Mg/0.6 Ml Q5120 636 OP N/A 78 " 6,169 " " 5,845 " " 5,845 " 78 " 6,169 " " 5,195 " " 6,169 " 79 N/A " 6,169 " " 5,520 " " 5,520 " N/A " 6,169 " " 5,845 " 78 N/A 79 N/A 78 " 6,169 " " 4,870 " 1767900 3 Cholecalciferol 400 Unit Cap 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1767910 4 Doxycycline Monohydrate 100Mg 637 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 Q9958 1768330 53 Iothalam Meglumine 17.2% 250Ml Q9958 636 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A N/A N/A N/A 42 50 39 Q9961 1768340 33 Iothalam Meglumine 60% 30Ml Q9961 636 OP N/A N/A 31 29 29 N/A 31 26 31 N/A N/A 31 28 28 N/A 31 29 N/A N/A N/A N/A 26 31 24 Q9967 1768360 84 Ioversol 350 - 100 Ml Syringe Q9967 636 OP N/A N/A 80 76 76 N/A 80 67 80 N/A N/A 80 71 71 N/A 80 76 N/A N/A N/A N/A 67 80 63 Q9967 1768370 105 Ioversol 350 - 125 Ml Syringe Q9967 636 OP N/A N/A 100 95 95 N/A 100 84 100 N/A N/A 100 89 89 N/A 100 95 N/A N/A N/A N/A 84 100 79 1768400 139 Lido/Diphen/Alum/Mg/Sim 119 Ml 637 OP N/A N/A 132 125 125 N/A 132 111 132 N/A N/A 132 118 118 N/A 132 125 N/A N/A N/A N/A 111 132 104 1768630 27 Trolamine Salic 10% Crm 35.4gm 637 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 23 23 N/A 25 24 N/A N/A N/A N/A 21 25 20 1768690 199 Baricitinib 2 Mg Tab 637 OP N/A N/A 189 179 179 N/A 189 159 189 N/A N/A 189 169 169 N/A 189 179 N/A N/A N/A N/A 159 189 149 Q9967 1769060 66 Ioversol 350 - 75 Ml Syringe Q9967 636 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A N/A N/A N/A 53 63 50 1769070 4 Vit A/C/E/Zinc/Sod Sel/Copper 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1769080 70 Lido 4%/Phenyl 1% Nasal 20Ml 250 OP N/A N/A 66 63 63 N/A 66 56 66 N/A N/A 66 59 59 N/A 66 63 N/A N/A N/A N/A 56 66 52 J2795 1769200 69 Ropiv 0.2%/Fent 2Mcg/Ml 50Ml J2795 636 OP N/A N/A 65 62 62 N/A 65 55 65 N/A N/A 65 58 58 N/A 65 62 N/A N/A N/A N/A 55 65 52 1769330 20 Atropine 1% Ophth Soln 2Ml Bot 250 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 1769340 131 Penicillin G Pot 3 MU/NS 50 Ml 250 OP N/A N/A 124 118 118 N/A 124 105 124 N/A N/A 124 111 111 N/A 124 118 N/A N/A N/A N/A 105 124 98 J2354 1769470 31 Octreotide Acet 100 Mcg/Ml Amp J2354 636 OP N/A N/A 30 28 28 N/A 30 25 30 N/A N/A 30 26 26 N/A 30 28 N/A N/A N/A N/A 25 30 23 Q5118 1769700 " 1,453 " Bevacizumab/BVZR 100Mg/4Ml Q5118 636 OP N/A 29 " 1,381 " " 1,308 " " 1,308 " 29 " 1,381 " " 1,163 " " 1,381 " 30 N/A " 1,381 " " 1,235 " " 1,235 " N/A " 1,381 " " 1,308 " 29 N/A 30 N/A 29 " 1,381 " " 1,090 " Q5118 1769710 " 5,511 " Bevacizumab-BVZR 400Mg/16Ml Q5118 636 OP N/A 29 " 5,235 " " 4,960 " " 4,960 " 29 " 5,235 " " 4,409 " " 5,235 " 30 N/A " 5,235 " " 4,684 " " 4,684 " N/A " 5,235 " " 4,960 " 29 N/A 30 N/A 29 " 5,235 " " 4,133 " J2930 1770180 174 Methylprednisolone Sod 500Mg J2930 636 OP N/A N/A 166 157 157 N/A 166 140 166 N/A N/A 166 148 148 N/A 166 157 N/A N/A N/A N/A 140 166 131 1770220 4 Glucosamn/Chondroitn 500/400Mg 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1770950 40 Tuberculin PPD 5 Unit/0.1Ml 1M 250 OP N/A N/A 38 36 36 N/A 38 32 38 N/A N/A 38 34 34 N/A 38 36 N/A N/A N/A N/A 32 38 30 1771410 36 Phenylephrine/Shark Oil/Petrol 637 OP N/A N/A 34 33 33 N/A 34 29 34 N/A N/A 34 31 31 N/A 34 33 N/A N/A N/A N/A 29 34 27 1771470 4 Benzocaine/Menthol Lozenge 637 OP N/A N/A 4 3 3 N/A 4 3 4 N/A N/A 4 3 3 N/A 4 3 N/A N/A N/A N/A 3 4 3 1771670 5 Lidocaine 2%/Epi Dental 1.7 Ml 250 OP N/A N/A 5 5 5 N/A 5 4 5 N/A N/A 5 4 4 N/A 5 5 N/A N/A N/A N/A 4 5 4 1772020 " 4,520 " Sarilumab 200Mg/1.14Ml syringe 637 OP N/A N/A " 4,294 " " 4,068 " " 4,068 " N/A " 4,294 " " 3,616 " " 4,294 " N/A N/A " 4,294 " " 3,842 " " 3,842 " N/A " 4,294 " " 4,068 " N/A N/A N/A N/A " 3,616 " " 4,294 " " 3,390 " 1772060 3 Tinidazole 500Mg Tablet 637 OP N/A N/A 3 3 3 N/A 3 3 3 N/A N/A 3 3 3 N/A 3 3 N/A N/A N/A N/A 3 3 3 1772610 27 Menthol Methyl Salic 10-15% Cr 637 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 23 23 N/A 25 24 N/A N/A N/A N/A 21 25 20 1773090 562 Valbenazine 40 Mg Capsule 637 OP N/A N/A 534 506 506 N/A 534 449 534 N/A N/A 534 477 477 N/A 534 506 N/A N/A N/A N/A 449 534 421 Q9966 1773250 158 Iodixanol 270 Mg/Ml 100Ml Vial Q9966 636 OP N/A N/A 150 142 142 N/A 150 126 150 N/A N/A 150 134 134 N/A 150 142 N/A N/A N/A N/A 126 150 118 C9046 1776240 491 Cocaine 4%/Ns Nasal Sol 8 Ml C9046 636 OP N/A N/A 466 442 442 N/A 466 393 466 N/A N/A 466 417 417 N/A 466 442 N/A N/A N/A N/A 393 466 368 1900025 31 Methylprednisolone 40 MG J1030 636 OP N/A N/A 30 28 28 N/A 30 25 30 N/A N/A 30 27 27 N/A 30 28 N/A N/A N/A N/A 25 30 23 1900090 21 Ceftriaxone Sodium 250 MG J0696 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900111 124 Collagenase Clost Hist 0.01 MG J0775 636 OP N/A 54 118 112 112 54 118 99 118 55 N/A 118 105 105 N/A 118 112 54 N/A 55 N/A 54 118 93 1900129 51 Denosumab 1 MG J0897 636 OP N/A 20 48 46 46 20 48 41 48 20 N/A 48 43 43 N/A 48 46 20 N/A 20 N/A 20 48 38 1900133 39 Methylprednisolone 80 MG J1040 636 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 1900134 0.36 Medroxyprogesterone Acetate J1050 636 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1900135 0.18 Testosterone Cypionate 1 MG J1071 636 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1900137 21 Dexamethasone Sodium Phos 1 MG J1100 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900143 21 Hydromorphone up to 4 MG J1170 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900146 21 Diphenhydramine Hcl 50 MG J1200 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900245 21 Ketorolac Tromethamine 15 MG J1885 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900264 21 Meperidine Hydrochl 100 MG J2175 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900291 21 Ondansetron Hcl 1 MG J2405 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900313 21 Promethazine Hcl 50 MG J2550 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900353 26 Methylprednisolone 40 MG J2920 636 OP N/A N/A 25 24 24 N/A 25 21 25 N/A N/A 25 22 22 N/A 25 24 N/A N/A N/A N/A 21 25 20 1900354 32 Methylprednisolone 125 MG J2930 636 OP N/A N/A 30 29 29 N/A 30 25 30 N/A N/A 30 27 27 N/A 30 29 N/A N/A N/A N/A 25 30 24 1900384 5 Triamcinolone Acet 10 MG J3301 636 OP N/A N/A 4 4 4 N/A 4 4 4 N/A N/A 4 4 4 N/A 4 4 N/A N/A N/A N/A 4 4 3 1900405 21 Vitamin B12 1000 MCG J3420 636 OP N/A N/A 20 19 19 N/A 20 17 20 N/A N/A 20 18 18 N/A 20 19 N/A N/A N/A N/A 17 20 16 1900406 12 Vitamin K Phytonadione 1 MG J3430 636 OP N/A N/A 11 11 11 N/A 11 10 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 10 11 9 1900458 " 2,394 " Levonorgestrel Iu 52 MG 5 Yr J7298 636 OP N/A N/A " 2,274 " " 2,154 " " 2,154 " N/A " 2,274 " " 1,915 " " 2,274 " N/A N/A " 2,274 " " 2,035 " " 2,035 " N/A " 2,274 " " 2,154 " N/A N/A N/A N/A " 1,915 " " 2,274 " " 1,795 " 1900460 " 1,102 " Female J7301 636 OP N/A N/A " 1,047 " 992 992 N/A " 1,047 " 882 " 1,047 " N/A N/A " 1,047 " 937 937 N/A " 1,047 " 992 N/A N/A N/A N/A 882 " 1,047 " 827 1900464 " 1,473 " Female J7307 636 OP N/A N/A " 1,399 " " 1,326 " " 1,326 " N/A " 1,399 " " 1,178 " " 1,399 " N/A N/A " 1,399 " " 1,252 " " 1,252 " N/A " 1,399 " " 1,326 " N/A N/A N/A N/A " 1,178 " " 1,399 " " 1,105 " 1900476 34 Synvisc J7325 636 OP N/A 9 32 30 30 9 32 27 32 9 N/A 32 29 29 N/A 32 30 9 N/A 9 N/A 9 32 25 1900477 " 1,290 " Gel-One J7326 636 OP N/A 450 " 1,226 " " 1,161 " " 1,161 " 450 " 1,226 " " 1,032 " " 1,226 " 455 N/A " 1,226 " " 1,097 " " 1,097 " N/A " 1,226 " " 1,161 " 450 N/A 455 N/A 450 " 1,226 " 968 1900511 2 Albuterol Non-Comp Con 250 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 1900512 2 Levalbuterol Non-Comp Con J7612 636 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 1900513 2 Albuterol Non-Comp Unit 250 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 1900514 2 Levalbuterol Non-Comp Unit J7614 636 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 1900516 0.15 Albuterol Ipratrop Non-Comp 250 OP N/A N/A 0 0 0 N/A 0 0 0 N/A N/A 0 0 0 N/A 0 0 N/A N/A N/A N/A 0 0 0 1900536 2 Ipratropium Bromide Non-Comp 250 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 90632 1900723 155 Hepatitis A Vaccine Adult IM 636 OP N/A N/A 147 140 140 N/A 147 124 147 N/A N/A 147 132 132 N/A 147 140 N/A 76 N/A 83 76 147 116 90633 1900724 76 Hep A Vaccine Ped/Adol 2 dose 636 OP N/A N/A 72 68 68 N/A 72 60 72 N/A N/A 72 64 64 N/A 72 68 N/A 76 N/A 83 60 83 57 90636 1900726 226 HepA-HepB Adult IM 636 OP N/A N/A 215 204 204 N/A 215 181 215 N/A N/A 215 192 192 N/A 215 204 N/A 234 N/A 257 181 257 170 90647 1900727 76 Hib PRP-OMP 3 dose 636 OP N/A N/A 72 68 68 N/A 72 61 72 N/A N/A 72 65 65 N/A 72 68 N/A 76 N/A 83 61 83 57 90651 1900731 518 9vHPV 3 dose 636 OP N/A N/A 492 466 466 N/A 492 415 492 N/A N/A 492 441 441 N/A 492 466 N/A 234 N/A 257 234 492 389 90662 1900744 48 Influenza (IIV) Split PF IM 636 OP N/A N/A 46 43 43 N/A 46 38 46 N/A N/A 46 41 41 N/A 46 43 N/A 76 N/A 83 38 83 36 90670 1900749 208 Pneumococcal (PCV13) 636 OP N/A N/A 197 187 187 N/A 197 166 197 N/A N/A 197 177 177 N/A 197 187 N/A 234 N/A 257 166 257 156 90686 1900756 30 Influenza (IIV4) Split PF 0.5 636 OP N/A N/A 29 27 27 N/A 29 24 29 N/A N/A 29 26 26 N/A 29 27 N/A 76 N/A 83 24 83 23 90688 1900758 25 Influenza (IIV4) Split 0.5 636 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 23 N/A 76 N/A 83 20 83 19 90691 1900760 261 Typhoid (VICPs) IM 636 OP N/A N/A 248 235 235 N/A 248 209 248 N/A N/A 248 222 222 N/A 248 235 N/A 76 N/A 83 76 248 195 90700 1900764 60 DTaP <7 years old IM 636 OP N/A N/A 57 54 54 N/A 57 48 57 N/A N/A 57 51 51 N/A 57 54 N/A 76 N/A 83 48 83 45 90707 1900766 198 MMR SubQ 636 OP N/A N/A 188 178 178 N/A 188 159 188 N/A N/A 188 169 169 N/A 188 178 N/A 76 N/A 83 76 188 149 90713 1900768 49 IPV SubQ or IM 636 OP N/A N/A 47 44 44 N/A 47 39 47 N/A N/A 47 42 42 N/A 47 44 N/A 76 N/A 83 39 83 37 90714 1900769 86 Td PF 7 years+ old IM 636 OP N/A N/A 82 78 78 N/A 82 69 82 N/A N/A 82 73 73 N/A 82 78 N/A 76 N/A 83 69 83 65 90715 1900770 96 Tdap >7 years old IM 636 OP N/A N/A 91 86 86 N/A 91 77 91 N/A N/A 91 82 82 N/A 91 86 N/A 76 N/A 83 76 91 72 90716 1900771 354 Varicella SubQ 636 OP N/A N/A 337 319 319 N/A 337 283 337 N/A N/A 337 301 301 N/A 337 319 N/A 234 N/A 257 234 337 266 90732 1900775 96 Pneumococcal (PPSV23) >2 636 OP N/A N/A 91 87 87 N/A 91 77 91 N/A N/A 91 82 82 N/A 91 87 N/A 76 N/A 83 76 91 72 90734 1900778 244 Mcv4 or MenACWY IM 636 OP N/A N/A 232 220 220 N/A 232 196 232 N/A N/A 232 208 208 N/A 232 220 N/A 234 N/A 257 196 257 183 90620 1900779 348 MenB 2 dose IM 636 OP N/A N/A 330 313 313 N/A 330 278 330 N/A N/A 330 296 296 N/A 330 313 N/A 234 N/A 257 234 330 261 90750 1900782 350 Zoster (HZV) IM 636 OP N/A N/A 333 315 315 N/A 333 280 333 N/A N/A 333 298 298 N/A 333 315 N/A 234 N/A 257 234 333 263 90744 1900787 66 HepB Ped/Adol 3 dose 636 OP N/A N/A 62 59 59 N/A 62 53 62 N/A N/A 62 56 56 N/A 62 59 N/A 76 N/A 83 53 83 49 90746 1900788 127 HepB Adult 3 dose IM 636 OP N/A N/A 121 115 115 N/A 121 102 121 N/A N/A 121 108 108 N/A 121 115 N/A 76 N/A 83 76 121 95 1900825 22 Evenity Injection J3111 636 OP N/A 9 21 20 20 9 21 17 21 9 N/A 21 19 19 N/A 21 20 9 N/A 9 N/A 9 21 16 90694 1900857 66 Influenza Quadrivalent 636 OP N/A N/A 63 60 60 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 60 N/A 76 N/A 83 53 83 50 1900883 284 Pneumo Conjugate Vaccine 20 Va 90677 636 OP N/A N/A 270 255 255 N/A 270 227 270 N/A N/A 270 241 241 N/A 270 255 N/A 234 N/A 257 227 270 213 77063 2102364 150 Breast Tomosynthesis BI 403 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A 202 N/A 222 120 222 113 77067 2102789 314 Mammo Screen Implant BI 403 OP N/A N/A 298 282 282 N/A 298 251 298 N/A N/A 298 267 267 N/A 298 282 N/A 202 N/A 222 202 298 235 77067 2102929 314 Mammography Screening Digital 403 OP N/A N/A 298 282 282 N/A 298 251 298 N/A N/A 298 267 267 N/A 298 282 N/A 202 N/A 222 202 298 235 77066 2102930 387 Mammography Diagnostic Digital 401 OP N/A N/A 367 348 348 N/A 367 309 367 N/A N/A 367 329 329 N/A 367 348 N/A 202 N/A 222 202 367 290 2102938 150 Tomosynthesis Mammo Bilat/Uni G0279 401 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A 202 N/A 222 120 222 113 77065 2170044 314 Mammo DX Digit Implant Uni LT 401 OP N/A N/A 298 282 282 N/A 298 251 298 N/A N/A 298 267 267 N/A 298 282 N/A 202 N/A 222 202 298 235 19081 2170233 " 6,789 " Biopsy Breast 1st Lesion LT 360 OP " 1,461 " " 1,305 " " 6,450 " " 6,110 " " 6,110 " " 1,305 " " 6,450 " " 5,431 " " 6,450 " " 1,319 " " 1,461 " " 6,450 " " 5,771 " " 5,771 " " 1,461 " " 6,450 " " 6,110 " " 1,305 " " 2,491 " " 1,319 " " 2,735 " " 1,305 " " 6,450 " " 5,092 " 19281 2170246 828 Place Breast Device 1st LT 360 OP " 1,461 " " 1,305 " 786 745 745 " 1,305 " 786 662 786 " 1,319 " " 1,461 " 786 703 703 " 1,461 " 786 745 " 1,305 " " 2,491 " " 1,319 " " 2,735 " 662 " 2,735 " 621 76098 2172288 511 X-Ray Breast Specimen LT 320 OP 490 438 485 460 460 438 485 409 485 442 490 485 434 434 490 485 460 438 296 442 325 296 490 383 77067 2172790 314 Mammo Screen Unilat LT 403 OP N/A N/A 298 282 282 N/A 298 251 298 N/A N/A 298 267 267 N/A 298 282 N/A 202 N/A 222 202 298 235 77065 2172931 314 Mammography DX Digital LT 401 OP N/A N/A 298 282 282 N/A 298 251 298 N/A N/A 298 267 267 N/A 298 282 N/A 202 N/A 222 202 298 235 19081 2180233 " 6,789 " Biopsy Breast 1st Lesion RT 360 OP " 1,461 " " 1,305 " " 6,450 " " 6,110 " " 6,110 " " 1,305 " " 6,450 " " 5,431 " " 6,450 " " 1,319 " " 1,461 " " 6,450 " " 5,771 " " 5,771 " " 1,461 " " 6,450 " " 6,110 " " 1,305 " " 2,491 " " 1,319 " " 2,735 " " 1,305 " " 6,450 " " 5,092 " 76098 2182288 511 X-Ray Breast Specimen RT 320 OP 490 438 485 460 460 438 485 409 485 442 490 485 434 434 490 485 460 438 296 442 325 296 490 383 77067 2182790 314 Mammo Screen Unilat RT 403 OP N/A N/A 298 282 282 N/A 298 251 298 N/A N/A 298 267 267 N/A 298 282 N/A 202 N/A 222 202 298 235 77065 2182931 314 Mammography DX Digital RT 401 OP N/A N/A 298 282 282 N/A 298 251 298 N/A N/A 298 267 267 N/A 298 282 N/A 202 N/A 222 202 298 235 51600 2501517 683 Injection For Bladder X-Ray 360 OP N/A N/A 649 615 615 N/A 649 547 649 N/A N/A 649 581 581 N/A 649 615 N/A " 1,250 " N/A " 1,373 " 547 " 1,373 " 512 62270 2501752 " 1,245 " Spinal Fluid Tap Diagnostic 360 OP 628 561 " 1,183 " " 1,120 " " 1,120 " 561 " 1,183 " 996 " 1,183 " 567 628 " 1,183 " " 1,058 " " 1,058 " 628 " 1,183 " " 1,120 " 561 " 1,462 " 567 " 1,605 " 561 " 1,605 " 934 70030 2501963 192 X-Ray Eye FB Detection 320 OP 85 76 182 173 173 76 182 153 182 76 85 182 163 163 85 182 173 76 73 76 80 73 182 144 70100 2501964 292 X-Ray Mandible < 4 Views 320 OP 85 76 278 263 263 76 278 234 278 76 85 278 248 248 85 278 263 76 73 76 80 73 278 219 70140 2501969 200 X-Ray Facial Bones < 3 Views 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 70150 2501970 432 X-Ray Facial Bones 3 Views 320 OP 104 93 410 389 389 93 410 346 410 94 104 410 367 367 104 410 389 93 73 94 80 73 410 324 70160 2501971 192 X-Ray Facial Bones 3 Views 320 OP 85 76 182 173 173 76 182 153 182 76 85 182 163 163 85 182 173 76 73 76 80 73 182 144 70200 2501973 298 X-Ray Orbits 4 Views 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 70210 2501974 230 X-Ray Sinus < 3 Views 320 OP 85 76 219 207 207 76 219 184 219 76 85 219 196 196 85 219 207 76 73 76 80 73 219 173 70220 2501975 362 X-Ray Sinuses 3 Views 320 OP 85 76 344 326 326 76 344 290 344 76 85 344 308 308 85 344 326 76 73 76 80 73 344 272 70250 2501977 286 X-Ray Skull < 4 Views 320 OP 104 93 272 258 258 93 272 229 272 94 104 272 243 243 104 272 258 93 73 94 80 73 272 215 70360 2501986 200 X-Ray Neck Soft Tissue 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 71045 2502018 200 X-Ray Chest 1 View 324 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 71046 2502020 200 X-Ray Chest 2V PA/Lateral 324 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 71110 2502028 428 X-Ray Ribs Bilateral 3 Views 320 OP 104 93 406 385 385 93 406 342 406 94 104 406 364 364 104 406 385 93 73 94 80 73 406 321 71111 2502029 192 X-Ray Ribs Bilateral 4 Views 320 OP 104 93 182 173 173 93 182 153 182 94 104 182 163 163 104 182 173 93 73 94 80 73 182 144 71120 2502030 192 X-Ray Sternum 2 Views 320 OP 85 76 182 173 173 76 182 153 182 76 85 182 163 163 85 182 173 76 73 76 80 73 182 144 72020 2502040 200 X-Ray Spine Single View 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 72040 2502041 478 X-Ray Spine Cervical 2-3 Views 320 OP 85 76 455 431 431 76 455 383 455 76 85 455 407 407 85 455 431 76 73 76 80 73 455 359 72050 2502042 298 X-Ray Spine Cervical 4-5 Views 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 72052 2502043 286 X-Ray Spine Cervical 6 Views 320 OP 104 93 272 258 258 93 272 229 272 94 104 272 243 243 104 272 258 93 73 94 80 73 272 215 72070 2502044 383 X-Ray Spine Thoracic 2 Views 320 OP 104 93 363 344 344 93 363 306 363 94 104 363 325 325 104 363 344 93 73 94 80 73 363 287 72072 2502045 298 X-Ray Spine Thoracic 3 Views 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 72081 2502047 192 X-Ray Spine Scoliosis 1 View 320 OP 85 76 182 172 172 76 182 153 182 76 85 182 163 163 85 182 172 76 73 76 80 73 182 144 72082 2502048 286 X-Ray Spine 2-3 View 320 OP 104 93 272 258 258 93 272 229 272 94 104 272 243 243 104 272 258 93 73 94 80 73 272 215 72100 2502051 298 X-Ray Lumbosacral 2-3 Views 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 72110 2502052 298 X-Ray Lumbosacral 4 Views 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 72114 2502053 298 X-Ray Lumbosacral 6 Views 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 72120 2502054 298 X-Ray LS Spine Bending 2-3 V 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 72170 2502073 298 X-Ray Pelvis 1-2 Views 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 72190 2502074 298 X-Ray Pelvis 3 Views 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 72202 2502084 286 X-Ray SI Joints 3 Views 320 OP 104 93 272 258 258 93 272 229 272 94 104 272 243 243 104 272 258 93 73 94 80 73 272 215 72220 2502085 200 X-Ray Sacrum Tailbone 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73521 2502134 313 X-Ray Hips 2 Views BI 320 OP 104 93 297 281 281 93 297 250 297 94 104 297 266 266 104 297 281 93 73 94 80 73 297 234 73522 2502135 298 X-Ray Hips 3-4 Views BI 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 73523 2502136 298 X-Ray Hips 5 Views BI 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 73565 2502143 200 X-Ray Knees BI 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 74018 2502165 200 X-Ray Abdomen 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 74019 2502167 298 X-Ray Abdomen 320 OP 104 93 283 268 268 93 283 238 283 94 104 283 253 253 104 283 268 93 73 94 80 73 283 223 74220 2502183 575 Contrast X-Ray Esophagus 320 OP 176 157 546 518 518 157 546 460 546 159 176 546 489 489 176 546 518 157 73 159 80 73 546 431 74230 2502184 684 Cine/Vid X-Ray Throat/Esoph 320 OP 176 157 650 616 616 157 650 547 650 159 176 650 582 582 176 650 616 157 296 159 325 157 650 513 74240 2502186 734 X-Ray Upper GI Delay w/o air 320 OP 176 157 697 661 661 157 697 587 697 159 176 697 624 624 176 697 661 157 296 159 325 157 697 551 74246 2502189 " 1,130 " Contrast X-Ray Upper GI w Air 320 OP 176 157 " 1,074 " " 1,017 " " 1,017 " 157 " 1,074 " 904 " 1,074 " 159 176 " 1,074 " 961 961 176 " 1,074 " " 1,017 " 157 296 159 325 157 " 1,074 " 848 74250 2502192 543 X-Ray Small Bowel 320 OP 176 157 516 489 489 157 516 435 516 159 176 516 462 462 176 516 489 157 296 159 325 157 516 407 74270 2502196 565 Contrast X-Ray Colon 320 OP 176 157 537 509 509 157 537 452 537 159 176 537 480 480 176 537 509 157 296 159 325 157 537 424 74280 2502197 683 Contrast X-Ray Colon 320 OP 176 157 649 615 615 157 649 546 649 159 176 649 580 580 176 649 615 157 296 159 325 157 649 512 74300 2502200 " 1,265 " X-Ray Bile Ducts/Pancreas 320 OP N/A N/A " 1,202 " " 1,139 " " 1,139 " N/A " 1,202 " " 1,012 " " 1,202 " N/A N/A " 1,202 " " 1,075 " " 1,075 " N/A " 1,202 " " 1,139 " N/A 662 N/A 727 662 " 1,202 " 949 74400 2502207 " 1,367 " Contrast X-Ray Urinary Tract 320 OP 176 157 " 1,298 " " 1,230 " " 1,230 " 157 " 1,298 " " 1,093 " " 1,298 " 159 176 " 1,298 " " 1,162 " " 1,162 " 176 " 1,298 " " 1,230 " 157 296 159 325 157 " 1,298 " " 1,025 " 74420 2502210 " 1,065 " Contrast X-Ray Urinary Tract 320 OP 359 321 " 1,012 " 959 959 321 " 1,012 " 852 " 1,012 " 324 359 " 1,012 " 905 905 359 " 1,012 " 959 321 296 324 325 296 " 1,012 " 799 74425 2502211 " 1,082 " Contrast X-Ray Urinary Tract 320 OP 359 321 " 1,028 " 974 974 321 " 1,028 " 866 " 1,028 " 324 359 " 1,028 " 920 920 359 " 1,028 " 974 321 296 324 325 296 " 1,028 " 811 74430 2502212 " 1,082 " Contrast X-Ray Bladder 320 OP 359 321 " 1,028 " 974 974 321 " 1,028 " 866 " 1,028 " 324 359 " 1,028 " 920 920 359 " 1,028 " 974 321 296 324 325 296 " 1,028 " 811 74455 2502214 " 1,082 " X-Ray Urethra/Bladder 320 OP 228 203 " 1,028 " 974 974 203 " 1,028 " 866 " 1,028 " 205 228 " 1,028 " 920 920 228 " 1,028 " 974 203 296 205 325 203 " 1,028 " 811 76000 2502284 604 Fluoroscope Examination 320 OP 228 203 574 544 544 203 574 483 574 205 228 574 513 513 228 574 544 203 296 205 325 203 574 453 76010 2502286 73 X-Ray Nose To Rectum 320 OP 85 76 69 66 66 76 69 58 69 76 85 69 62 62 85 69 66 76 73 76 80 58 85 55 77001 2502347 " 1,082 " Fluoroguide for Vein Device 320 OP N/A N/A " 1,028 " 974 974 N/A " 1,028 " 866 " 1,028 " N/A N/A " 1,028 " 920 920 N/A " 1,028 " 974 N/A 662 N/A 727 662 " 1,028 " 811 77002 2502348 " 1,082 " Needle Localization By X-Ray 320 OP N/A N/A " 1,028 " 974 974 N/A " 1,028 " 866 " 1,028 " N/A N/A " 1,028 " 920 920 N/A " 1,028 " 974 N/A 662 N/A 727 662 " 1,028 " 811 77072 2502366 235 X-Rays For Bone Age 320 OP 104 93 224 212 212 93 224 188 224 94 104 224 200 200 104 224 212 93 73 94 80 73 224 177 77073 2502367 286 X-Rays Bone Length Studies 320 OP 104 93 272 258 258 93 272 229 272 94 104 272 243 243 104 272 258 93 73 94 80 73 272 215 77075 2502369 286 X-Rays Bone Survey Complete 320 OP 104 93 272 258 258 93 272 229 272 94 104 272 243 243 104 272 258 93 296 94 325 93 325 215 77080 2502373 522 DEXA Scan 320 OP 104 93 496 470 470 93 496 418 496 94 104 496 444 444 104 496 470 93 229 94 251 93 496 391 72080 2502492 200 X-Ray Thoracolumbar Junc 2V 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 74021 2503229 143 Xray Abd/Decub/Erect 320 OP 104 93 136 129 129 93 136 114 136 94 104 136 122 122 104 136 129 93 73 94 80 73 136 107 62328 2504633 " 1,947 " "Spinal Puncture, Diagnostic" 360 OP 628 561 " 1,850 " " 1,752 " " 1,752 " 561 " 1,850 " " 1,558 " " 1,850 " 567 628 " 1,850 " " 1,655 " " 1,655 " 628 " 1,850 " " 1,752 " 561 " 1,462 " 567 " 1,605 " 561 " 1,850 " " 1,460 " 62329 2504634 " 1,947 " "Spinal Puncture,Lumbar" 360 OP 628 561 " 1,850 " " 1,752 " " 1,752 " 561 " 1,850 " " 1,558 " " 1,850 " 567 628 " 1,850 " " 1,655 " " 1,655 " 628 " 1,850 " " 1,752 " 561 " 1,462 " 567 " 1,605 " 561 " 1,850 " " 1,460 " 74248 2504648 " 1,087 " X-Ray Small Intestine Study 320 OP N/A N/A " 1,032 " 978 978 N/A " 1,032 " 869 " 1,032 " N/A N/A " 1,032 " 924 924 N/A " 1,032 " 978 N/A 296 N/A 325 296 " 1,032 " 815 74221 2504680 575 Double Contrast Esophagus 320 OP 176 157 546 518 518 157 546 460 546 159 176 546 489 489 176 546 518 157 296 159 325 157 546 431 74250 2504749 543 Gastrografin Challenge 320 OP 176 157 516 489 489 157 516 435 516 159 176 516 462 462 176 516 489 157 296 159 325 157 516 407 2522147 299 X-Ray Ankle 2 Views BI 320 OP N/A N/A 284 269 269 N/A 284 239 284 N/A N/A 284 254 254 N/A 284 269 N/A N/A N/A N/A 239 284 224 2522148 419 X-Ray Ankle 3 Views BI 320 OP N/A N/A 398 377 377 N/A 398 335 398 N/A N/A 398 356 356 N/A 398 377 N/A N/A N/A N/A 335 398 314 2522150 299 X-Ray Foot 2 Views BI 320 OP N/A N/A 284 269 269 N/A 284 239 284 N/A N/A 284 254 254 N/A 284 269 N/A N/A N/A N/A 239 284 224 2522151 370 X-Ray Foot 3 Views BI 320 OP N/A N/A 352 333 333 N/A 352 296 352 N/A N/A 352 315 315 N/A 352 333 N/A N/A N/A N/A 296 352 278 71100 2572026 400 X-Ray Ribs 2 Views LT 320 OP 85 76 380 360 360 76 380 320 380 76 85 380 340 340 85 380 360 76 73 76 80 73 380 300 71101 2572027 200 X-Ray Ribs Uni W Chest LT 320 OP 104 93 190 180 180 93 190 160 190 94 104 190 170 170 104 190 180 93 73 94 80 73 190 150 73000 2572092 200 X-Ray Collar Bone LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73010 2572093 192 X-Ray Shoulder Blade LT 320 OP 104 93 182 173 173 93 182 153 182 94 104 182 163 163 104 182 173 93 73 94 80 73 182 144 73020 2572094 200 X-Ray Shoulder LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73030 2572095 200 X-Ray Shoulder LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73060 2572098 200 X-Ray Humerus LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73070 2572099 200 X-Ray Elbow LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73080 2572100 282 X-Ray Elbow LT 320 OP 85 76 268 254 254 76 268 226 268 76 85 268 240 240 85 268 254 76 73 76 80 73 268 212 73090 2572102 200 X-Ray Forearm 2 Views LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73100 2572104 200 X-Ray Wrist 2 Views LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73110 2572105 230 X-Ray Wrist 3 Views LT 320 OP 85 76 219 207 207 76 219 184 219 76 85 219 196 196 85 219 207 76 73 76 80 73 219 173 73120 2572107 200 X-Ray Hand LT 320 OP 104 93 190 180 180 93 190 160 190 94 104 190 170 170 104 190 180 93 73 94 80 73 190 150 73130 2572108 200 X-Ray Hand LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73140 2572109 200 X-Ray Finger(s) LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73501 2572131 200 X-Ray Hip Uni 1 View LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73502 2572132 200 X-Ray Hip Uni 2-3 Views LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73551 2572138 192 X-Ray Femur 1 View LT 320 OP 85 76 182 173 173 76 182 153 182 76 85 182 163 163 85 182 173 76 73 76 80 73 182 144 73552 2572139 200 X-Ray Femur 2 views LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73560 2572140 200 X-Ray Knee 1-2 Views LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73562 2572141 200 X-Ray Knee 3 Views LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73564 2572142 362 X-Ray Knee 4 LT 320 OP 104 93 344 326 326 93 344 290 344 94 104 344 308 308 104 344 326 93 73 94 80 73 344 272 73590 2572145 200 X-Ray Lower Leg LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73600 2572147 200 X-Ray Ankle 2 Views LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73610 2572148 279 X-Ray Ankle 3 Views LT 320 OP 85 76 265 251 251 76 265 223 265 76 85 265 237 237 85 265 251 76 73 76 80 73 265 209 73620 2572150 200 X-Ray Foot 2 Views LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73630 2572151 247 X-Ray Foot 3 Views LT 320 OP 85 76 234 222 222 76 234 197 234 76 85 234 210 210 85 234 222 76 73 76 80 73 234 185 73650 2572152 230 X-Ray Heel 2 Views LT 320 OP 85 76 219 207 207 76 219 184 219 76 85 219 196 196 85 219 207 76 73 76 80 73 219 173 73660 2572153 190 X-Ray Toe(s) 2 Views LT 320 OP 85 76 180 171 171 76 180 152 180 76 85 180 161 161 85 180 171 76 73 76 80 73 180 142 73502 2573018 200 Hip Unilat W Pelvis 2 View LT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 71100 2582026 400 X-Ray Ribs 2 Views RT 320 OP 85 76 380 360 360 76 380 320 380 76 85 380 340 340 85 380 360 76 73 76 80 73 380 300 71101 2582027 200 X-Ray Ribs Uni W Chest RT 320 OP 104 93 190 180 180 93 190 160 190 94 104 190 170 170 104 190 180 93 73 94 80 73 190 150 73000 2582092 200 X-Ray Collar Bone RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73010 2582093 192 X-Ray Shoulder Blade RT 320 OP 104 93 182 173 173 93 182 153 182 94 104 182 163 163 104 182 173 93 73 94 80 73 182 144 73020 2582094 200 X-Ray Shoulder RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73030 2582095 200 X-Ray Shoulder RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73060 2582098 200 X-Ray Humerus RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73070 2582099 200 X-Ray Elbow RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73080 2582100 282 X-Ray Elbow RT 320 OP 85 76 268 254 254 76 268 226 268 76 85 268 240 240 85 268 254 76 73 76 80 73 268 212 73090 2582102 200 X-Ray Forearm 2 Views RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73100 2582104 200 X-Ray Wrist 2 Views RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73110 2582105 230 X-Ray Wrist 3 Views RT 320 OP 85 76 219 207 207 76 219 184 219 76 85 219 196 196 85 219 207 76 73 76 80 73 219 173 73120 2582107 200 X-Ray Hand RT 320 OP 104 93 190 180 180 93 190 160 190 94 104 190 170 170 104 190 180 93 73 94 80 73 190 150 73130 2582108 200 X-Ray Hand RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73140 2582109 200 X-Ray Finger(s) RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73501 2582131 200 X-Ray Hip Uni 1 View RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73502 2582132 200 X-Ray Hip Uni 2-3 Views RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73551 2582138 192 X-Ray Femur 1 View RT 320 OP 85 76 182 173 173 76 182 153 182 76 85 182 163 163 85 182 173 76 73 76 80 73 182 144 73552 2582139 200 X-Ray Femur 2 views RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73560 2582140 200 X-Ray Knee 1-2 Views RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73562 2582141 200 X-Ray Knee 3 Views RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73564 2582142 362 X-Ray Knee 4 RT 320 OP 104 93 344 326 326 93 344 290 344 94 104 344 308 308 104 344 326 93 73 94 80 73 344 272 73590 2582145 200 X-Ray Lower Leg RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73600 2582147 200 X-Ray Ankle 2 Views RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73610 2582148 279 X-Ray Ankle 3 Views RT 320 OP 85 76 265 251 251 76 265 223 265 76 85 265 237 237 85 265 251 76 73 76 80 73 265 209 73620 2582150 200 X-Ray Foot 2 Views RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73630 2582151 247 X-Ray Foot 3 Views RT 320 OP 85 76 234 222 222 76 234 197 234 76 85 234 210 210 85 234 222 76 73 76 80 73 234 185 73650 2582152 230 X-Ray Heel 2 Views RT 320 OP 85 76 219 207 207 76 219 184 219 76 85 219 196 196 85 219 207 76 73 76 80 73 219 173 73660 2582153 190 X-Ray Toe(s) 2 Views RT 320 OP 85 76 180 171 171 76 180 152 180 76 85 180 161 161 85 180 171 76 73 76 80 73 180 142 73502 2583018 200 Hip Unilat W Pelvis 2 View RT 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 70540 2702005 " 2,966 " MRI Orbit Face Neck WO Cont 610 OP 228 203 " 2,818 " " 2,670 " " 2,670 " 203 " 2,818 " " 2,373 " " 2,818 " 205 228 " 2,818 " " 2,521 " " 2,521 " 228 " 2,818 " " 2,670 " 203 806 205 885 203 " 2,818 " " 2,225 " 70543 2702007 " 2,003 " MRI Orbit Face Neck WWO Cont 611 OP 359 321 " 1,903 " " 1,803 " " 1,803 " 321 " 1,903 " " 1,603 " " 1,903 " 324 359 " 1,903 " " 1,703 " " 1,703 " 359 " 1,903 " " 1,803 " 321 " 1,114 " 324 " 1,223 " 321 " 1,903 " " 1,503 " 70544 2702008 " 2,003 " MRA Head WO Contrast 615 OP 228 203 " 1,903 " " 1,803 " " 1,803 " 203 " 1,903 " " 1,603 " " 1,903 " 205 228 " 1,903 " " 1,703 " " 1,703 " 228 " 1,903 " " 1,803 " 203 726 205 797 203 " 1,903 " " 1,503 " 70549 2702013 " 2,003 " MRA Neck WWO Contrast 615 OP 359 321 " 1,903 " " 1,803 " " 1,803 " 321 " 1,903 " " 1,603 " " 1,903 " 324 359 " 1,903 " " 1,703 " " 1,703 " 359 " 1,903 " " 1,803 " 321 726 324 797 321 " 1,903 " " 1,503 " 70551 2702014 " 2,270 " MRI Brain WO Contrast 611 OP 228 203 " 2,156 " " 2,043 " " 2,043 " 203 " 2,156 " " 1,816 " " 2,156 " 205 228 " 2,156 " " 1,929 " " 1,929 " 228 " 2,156 " " 2,043 " 203 806 205 885 203 " 2,156 " " 1,702 " 70553 2702016 " 2,270 " MRI Brain WWO Contrast 611 OP 359 321 " 2,156 " " 2,043 " " 2,043 " 321 " 2,156 " " 1,816 " " 2,156 " 324 359 " 2,156 " " 1,929 " " 1,929 " 359 " 2,156 " " 2,043 " 321 " 1,114 " 324 " 1,223 " 321 " 2,156 " " 1,702 " 72141 2702064 " 1,647 " MRI Neck Spine WO Dye 612 OP 228 203 " 1,564 " " 1,482 " " 1,482 " 203 " 1,564 " " 1,317 " " 1,564 " 205 228 " 1,564 " " 1,400 " " 1,400 " 228 " 1,564 " " 1,482 " 203 806 205 885 203 " 1,564 " " 1,235 " 72146 2702066 " 1,647 " MRI Chest Spine WO Dye 612 OP 228 203 " 1,564 " " 1,482 " " 1,482 " 203 " 1,564 " " 1,317 " " 1,564 " 205 228 " 1,564 " " 1,400 " " 1,400 " 228 " 1,564 " " 1,482 " 203 806 205 885 203 " 1,564 " " 1,235 " 72148 2702068 " 1,647 " MRI Lumbar Spine WO Dye 612 OP 228 203 " 1,564 " " 1,482 " " 1,482 " 203 " 1,564 " " 1,317 " " 1,564 " 205 228 " 1,564 " " 1,400 " " 1,400 " 228 " 1,564 " " 1,482 " 203 806 205 885 203 " 1,564 " " 1,235 " 72156 2702070 " 1,584 " MRI Neck Spine WWO Dye 612 OP 359 321 " 1,504 " " 1,425 " " 1,425 " 321 " 1,504 " " 1,267 " " 1,504 " 324 359 " 1,504 " " 1,346 " " 1,346 " 359 " 1,504 " " 1,425 " 321 " 1,114 " 324 " 1,223 " 321 " 1,504 " " 1,188 " 72157 2702071 " 1,647 " MRI Chest Spine WWO Dye 612 OP 359 321 " 1,564 " " 1,482 " " 1,482 " 321 " 1,564 " " 1,317 " " 1,564 " 324 359 " 1,564 " " 1,400 " " 1,400 " 359 " 1,564 " " 1,482 " 321 " 1,114 " 324 " 1,223 " 321 " 1,564 " " 1,235 " 72158 2702072 " 1,647 " MRI Lumbar Spine WWO Dye 612 OP 359 321 " 1,564 " " 1,482 " " 1,482 " 321 " 1,564 " " 1,317 " " 1,564 " 324 359 " 1,564 " " 1,400 " " 1,400 " 359 " 1,564 " " 1,482 " 321 " 1,114 " 324 " 1,223 " 321 " 1,564 " " 1,235 " 72195 2702079 " 2,345 " MRI Pelvis WO Dye 610 OP 228 203 " 2,228 " " 2,110 " " 2,110 " 203 " 2,228 " " 1,876 " " 2,228 " 205 228 " 2,228 " " 1,993 " " 1,993 " 228 " 2,228 " " 2,110 " 203 806 205 885 203 " 2,228 " " 1,759 " 72197 2702081 " 3,418 " MRI Pelvis WWO Dye 610 OP 359 321 " 3,247 " " 3,076 " " 3,076 " 321 " 3,247 " " 2,734 " " 3,247 " 324 359 " 3,247 " " 2,905 " " 2,905 " 359 " 3,247 " " 3,076 " 321 " 1,114 " 324 " 1,223 " 321 " 3,247 " " 2,563 " 74181 2702177 " 2,345 " MRI Abdomen WO Dye 610 OP 228 203 " 2,228 " " 2,110 " " 2,110 " 203 " 2,228 " " 1,876 " " 2,228 " 205 228 " 2,228 " " 1,993 " " 1,993 " 228 " 2,228 " " 2,110 " 203 806 205 885 203 " 2,228 " " 1,759 " 74183 2702179 " 3,706 " MRI Abdomen WWO Dye 610 OP 359 321 " 3,521 " " 3,335 " " 3,335 " 321 " 3,521 " " 2,965 " " 3,521 " 324 359 " 3,521 " " 3,150 " " 3,150 " 359 " 3,521 " " 3,335 " 321 " 1,114 " 324 " 1,223 " 321 " 3,521 " " 2,779 " 70553 2702784 " 2,270 " MRI Brain Pituitary WWO Cont 611 OP 359 321 " 2,156 " " 2,043 " " 2,043 " 321 " 2,156 " " 1,816 " " 2,156 " 324 359 " 2,156 " " 1,929 " " 1,929 " 359 " 2,156 " " 2,043 " 321 " 1,114 " 324 " 1,223 " 321 " 2,156 " " 1,702 " 73218 2772124 " 2,345 " MRI UE WO Dye LT 610 OP 228 203 " 2,228 " " 2,110 " " 2,110 " 203 " 2,228 " " 1,876 " " 2,228 " 205 228 " 2,228 " " 1,993 " " 1,993 " 228 " 2,228 " " 2,110 " 203 806 205 885 203 " 2,228 " " 1,759 " 73220 2772126 " 3,287 " MRI UE WWO Dye LT 610 OP 359 321 " 3,122 " " 2,958 " " 2,958 " 321 " 3,122 " " 2,629 " " 3,122 " 324 359 " 3,122 " " 2,794 " " 2,794 " 359 " 3,122 " " 2,958 " 321 " 1,114 " 324 " 1,223 " 321 " 3,122 " " 2,465 " 73221 2772127 " 1,848 " MRI Joint UE WO Dye LT 610 OP 228 203 " 1,756 " " 1,663 " " 1,663 " 203 " 1,756 " " 1,478 " " 1,756 " 205 228 " 1,756 " " 1,571 " " 1,571 " 228 " 1,756 " " 1,663 " 203 806 205 885 203 " 1,756 " " 1,386 " 73222 2772128 " 1,848 " MRI Joint UE W Dye LT 610 OP 722 645 " 1,756 " " 1,663 " " 1,663 " 645 " 1,756 " " 1,478 " " 1,756 " 651 722 " 1,756 " " 1,571 " " 1,571 " 722 " 1,756 " " 1,663 " 645 " 1,114 " 651 " 1,223 " 645 " 1,756 " " 1,386 " 73223 2772129 " 1,777 " MRI Joint UE WWO Dye LT 610 OP 359 321 " 1,688 " " 1,599 " " 1,599 " 321 " 1,688 " " 1,422 " " 1,688 " 324 359 " 1,688 " " 1,510 " " 1,510 " 359 " 1,688 " " 1,599 " 321 " 1,114 " 324 " 1,223 " 321 " 1,688 " " 1,333 " 73718 2772158 " 2,345 " MRI LE WO Dye LT 610 OP 228 203 " 2,228 " " 2,110 " " 2,110 " 203 " 2,228 " " 1,876 " " 2,228 " 205 228 " 2,228 " " 1,993 " " 1,993 " 228 " 2,228 " " 2,110 " 203 806 205 885 203 " 2,228 " " 1,759 " 73720 2772160 " 3,287 " MRI LE WWO Dye LT 610 OP 359 321 " 3,122 " " 2,958 " " 2,958 " 321 " 3,122 " " 2,629 " " 3,122 " 324 359 " 3,122 " " 2,794 " " 2,794 " 359 " 3,122 " " 2,958 " 321 " 1,114 " 324 " 1,223 " 321 " 3,122 " " 2,465 " 73721 2772161 " 1,848 " MRI Joint LE WO Dye LT 610 OP 228 203 " 1,756 " " 1,663 " " 1,663 " 203 " 1,756 " " 1,478 " " 1,756 " 205 228 " 1,756 " " 1,571 " " 1,571 " 228 " 1,756 " " 1,663 " 203 806 205 885 203 " 1,756 " " 1,386 " 73722 2772162 " 1,848 " MRI Joint LE W Dye LT 610 OP 722 645 " 1,756 " " 1,663 " " 1,663 " 645 " 1,756 " " 1,478 " " 1,756 " 651 722 " 1,756 " " 1,571 " " 1,571 " 722 " 1,756 " " 1,663 " 645 " 1,114 " 651 " 1,223 " 645 " 1,756 " " 1,386 " 73723 2772163 " 1,848 " MRI Joint LE WWO Dye LT 610 OP 359 321 " 1,756 " " 1,663 " " 1,663 " 321 " 1,756 " " 1,478 " " 1,756 " 324 359 " 1,756 " " 1,571 " " 1,571 " 359 " 1,756 " " 1,663 " 321 " 1,114 " 324 " 1,223 " 321 " 1,756 " " 1,386 " 73218 2782124 " 2,345 " MRI UE WO Dye RT 610 OP 228 203 " 2,228 " " 2,110 " " 2,110 " 203 " 2,228 " " 1,876 " " 2,228 " 205 228 " 2,228 " " 1,993 " " 1,993 " 228 " 2,228 " " 2,110 " 203 806 205 885 203 " 2,228 " " 1,759 " 73220 2782126 " 3,287 " MRI UE WWO Dye RT 610 OP 359 321 " 3,122 " " 2,958 " " 2,958 " 321 " 3,122 " " 2,629 " " 3,122 " 324 359 " 3,122 " " 2,794 " " 2,794 " 359 " 3,122 " " 2,958 " 321 " 1,114 " 324 " 1,223 " 321 " 3,122 " " 2,465 " 73221 2782127 " 1,848 " MRI Joint UE WO Dye RT 610 OP 228 203 " 1,756 " " 1,663 " " 1,663 " 203 " 1,756 " " 1,478 " " 1,756 " 205 228 " 1,756 " " 1,571 " " 1,571 " 228 " 1,756 " " 1,663 " 203 806 205 885 203 " 1,756 " " 1,386 " 73222 2782128 " 1,848 " MRI Joint UE W Dye RT 610 OP 722 645 " 1,756 " " 1,663 " " 1,663 " 645 " 1,756 " " 1,478 " " 1,756 " 651 722 " 1,756 " " 1,571 " " 1,571 " 722 " 1,756 " " 1,663 " 645 " 1,114 " 651 " 1,223 " 645 " 1,756 " " 1,386 " 73223 2782129 " 1,777 " MRI Joint UE WWO Dye RT 610 OP 359 321 " 1,688 " " 1,599 " " 1,599 " 321 " 1,688 " " 1,422 " " 1,688 " 324 359 " 1,688 " " 1,510 " " 1,510 " 359 " 1,688 " " 1,599 " 321 " 1,114 " 324 " 1,223 " 321 " 1,688 " " 1,333 " 73718 2782158 " 2,345 " MRI LE WO Dye RT 610 OP 228 203 " 2,228 " " 2,110 " " 2,110 " 203 " 2,228 " " 1,876 " " 2,228 " 205 228 " 2,228 " " 1,993 " " 1,993 " 228 " 2,228 " " 2,110 " 203 806 205 885 203 " 2,228 " " 1,759 " 73720 2782160 " 1,848 " MRI LE WWO Dye RT 610 OP 359 321 " 1,756 " " 1,663 " " 1,663 " 321 " 1,756 " " 1,478 " " 1,756 " 324 359 " 1,756 " " 1,571 " " 1,571 " 359 " 1,756 " " 1,663 " 321 " 1,114 " 324 " 1,223 " 321 " 1,756 " " 1,386 " 73721 2782161 " 1,848 " MRI Joint LE WO Dye RT 610 OP 228 203 " 1,756 " " 1,663 " " 1,663 " 203 " 1,756 " " 1,478 " " 1,756 " 205 228 " 1,756 " " 1,571 " " 1,571 " 228 " 1,756 " " 1,663 " 203 806 205 885 203 " 1,756 " " 1,386 " 73722 2782162 " 1,848 " MRI Joint LE W Dye RT 610 OP 722 645 " 1,756 " " 1,663 " " 1,663 " 645 " 1,756 " " 1,478 " " 1,756 " 651 722 " 1,756 " " 1,571 " " 1,571 " 722 " 1,756 " " 1,663 " 645 " 1,114 " 651 " 1,223 " 645 " 1,756 " " 1,386 " 73723 2782163 " 1,848 " MRI Joint LE WWO Dye RT 610 OP 359 321 " 1,756 " " 1,663 " " 1,663 " 321 " 1,756 " " 1,478 " " 1,756 " 324 359 " 1,756 " " 1,571 " " 1,571 " 359 " 1,756 " " 1,663 " 321 " 1,114 " 324 " 1,223 " 321 " 1,756 " " 1,386 " 10160 2900015 " 1,933 " Punc Asp Abscess Hematoma Cyst 360 OP 364 325 " 1,836 " " 1,739 " " 1,739 " 325 " 1,836 " " 1,546 " " 1,836 " 328 364 " 1,836 " " 1,643 " " 1,643 " 364 " 1,836 " " 1,739 " 325 316 328 347 316 " 1,836 " " 1,449 " 47000 2901382 " 1,943 " Needle Biopsy Liver 360 OP " 1,461 " " 1,305 " " 1,846 " " 1,749 " " 1,749 " " 1,305 " " 1,846 " " 1,554 " " 1,846 " " 1,319 " " 1,461 " " 1,846 " " 1,651 " " 1,651 " " 1,461 " " 1,846 " " 1,749 " " 1,305 " " 1,395 " " 1,319 " " 1,532 " " 1,305 " " 1,846 " " 1,457 " 49424 2901445 " 1,471 " Assess Cyst Contrast Inject 360 OP N/A N/A " 1,398 " " 1,324 " " 1,324 " N/A " 1,398 " " 1,177 " " 1,398 " N/A N/A " 1,398 " " 1,251 " " 1,251 " N/A " 1,398 " " 1,324 " N/A " 1,250 " N/A " 1,373 " " 1,177 " " 1,398 " " 1,103 " 70450 2901991 837 CT Head/Brain WO Contrast 351 OP 104 93 795 753 753 93 795 670 795 94 104 795 711 711 104 795 753 93 910 94 999 93 999 628 70460 2901992 " 1,241 " CT Head/Brain W Contrast 351 OP 176 157 " 1,179 " " 1,117 " " 1,117 " 157 " 1,179 " 993 " 1,179 " 159 176 " 1,179 " " 1,055 " " 1,055 " 176 " 1,179 " " 1,117 " 157 910 159 999 157 " 1,179 " 931 70470 2901993 939 CT Head/Brain WWO Contrast 351 OP 176 157 892 845 845 157 892 751 892 159 176 892 798 798 176 892 845 157 910 159 999 157 999 704 70480 2901994 " 1,170 " CT Orbit WO Contrast 351 OP 104 93 " 1,111 " " 1,053 " " 1,053 " 93 " 1,111 " 936 " 1,111 " 94 104 " 1,111 " 994 994 104 " 1,111 " " 1,053 " 93 383 94 421 93 " 1,111 " 877 70481 2901995 " 1,170 " CT Orbit W Contrast 351 OP 176 157 " 1,111 " " 1,053 " " 1,053 " 157 " 1,111 " 936 " 1,111 " 159 176 " 1,111 " 994 994 176 " 1,111 " " 1,053 " 157 910 159 999 157 " 1,111 " 877 70482 2901996 " 1,170 " CT Orbit WWO Contrast 351 OP 176 157 " 1,111 " " 1,053 " " 1,053 " 157 " 1,111 " 936 " 1,111 " 159 176 " 1,111 " 994 994 176 " 1,111 " " 1,053 " 157 910 159 999 157 " 1,111 " 877 70486 2901997 " 1,217 " CT Maxillofacial WO Contrast 350 OP 104 93 " 1,156 " " 1,095 " " 1,095 " 93 " 1,156 " 973 " 1,156 " 94 104 " 1,156 " " 1,034 " " 1,034 " 104 " 1,156 " " 1,095 " 93 383 94 421 93 " 1,156 " 913 70487 2901998 " 1,217 " CT Maxillofacial W Contrast 351 OP 176 157 " 1,156 " " 1,095 " " 1,095 " 157 " 1,156 " 973 " 1,156 " 159 176 " 1,156 " " 1,034 " " 1,034 " 176 " 1,156 " " 1,095 " 157 910 159 999 157 " 1,156 " 913 70490 2902000 " 1,170 " CT Soft Tissue Neck WO Cont 350 OP 104 93 " 1,111 " " 1,053 " " 1,053 " 93 " 1,111 " 936 " 1,111 " 94 104 " 1,111 " 994 994 104 " 1,111 " " 1,053 " 93 383 94 421 93 " 1,111 " 877 70491 2902001 " 1,217 " CT Soft Tissue Neck W Cont 351 OP 176 157 " 1,156 " " 1,095 " " 1,095 " 157 " 1,156 " 973 " 1,156 " 159 176 " 1,156 " " 1,034 " " 1,034 " 176 " 1,156 " " 1,095 " 157 910 159 999 157 " 1,156 " 913 70492 2902002 " 1,217 " CT Soft Tissue Neck WWO Cont 351 OP 176 157 " 1,156 " " 1,095 " " 1,095 " 157 " 1,156 " 973 " 1,156 " 159 176 " 1,156 " " 1,034 " " 1,034 " 176 " 1,156 " " 1,095 " 157 910 159 999 157 " 1,156 " 913 70496 2902003 " 1,618 " CT Angiography Head W Cont 351 OP 176 157 " 1,537 " " 1,456 " " 1,456 " 157 " 1,537 " " 1,294 " " 1,537 " 159 176 " 1,537 " " 1,375 " " 1,375 " 176 " 1,537 " " 1,456 " 157 759 159 833 157 " 1,537 " " 1,214 " 70498 2902004 " 1,170 " CT Angiography Neck W Cont 351 OP 176 157 " 1,111 " " 1,053 " " 1,053 " 157 " 1,111 " 936 " 1,111 " 159 176 " 1,111 " 994 994 176 " 1,111 " " 1,053 " 157 759 159 833 157 " 1,111 " 877 71250 2902032 " 1,217 " CT Thorax WO Contrast 352 OP 104 93 " 1,156 " " 1,095 " " 1,095 " 93 " 1,156 " 973 " 1,156 " 94 104 " 1,156 " " 1,034 " " 1,034 " 104 " 1,156 " " 1,095 " 93 383 94 421 93 " 1,156 " 913 71260 2902033 " 1,217 " CT Thorax W Contrast 352 OP 176 157 " 1,156 " " 1,095 " " 1,095 " 157 " 1,156 " 973 " 1,156 " 159 176 " 1,156 " " 1,034 " " 1,034 " 176 " 1,156 " " 1,095 " 157 910 159 999 157 " 1,156 " 913 71270 2902034 " 1,217 " CT Thorax WWO Contrast 352 OP 176 157 " 1,156 " " 1,095 " " 1,095 " 157 " 1,156 " 973 " 1,156 " 159 176 " 1,156 " " 1,034 " " 1,034 " 176 " 1,156 " " 1,095 " 157 910 159 999 157 " 1,156 " 913 71275 2902035 " 2,200 " CTA Chest WWO Contrast 352 OP 176 157 " 2,090 " " 1,980 " " 1,980 " 157 " 2,090 " " 1,760 " " 2,090 " 159 176 " 2,090 " " 1,870 " " 1,870 " 176 " 2,090 " " 1,980 " 157 759 159 833 157 " 2,090 " " 1,650 " 72125 2902055 " 1,125 " CT Cervical Spine WO Contrast 350 OP 104 93 " 1,069 " " 1,013 " " 1,013 " 93 " 1,069 " 900 " 1,069 " 94 104 " 1,069 " 956 956 104 " 1,069 " " 1,013 " 93 383 94 421 93 " 1,069 " 844 72128 2902058 " 1,125 " CT Thoracic Spine WO Contrast 352 OP 104 93 " 1,069 " " 1,013 " " 1,013 " 93 " 1,069 " 900 " 1,069 " 94 104 " 1,069 " 956 956 104 " 1,069 " " 1,013 " 93 383 94 421 93 " 1,069 " 844 72129 2902059 " 1,082 " CT Thoracic Spine W Contrast 352 OP 176 157 " 1,028 " 974 974 157 " 1,028 " 866 " 1,028 " 159 176 " 1,028 " 920 920 176 " 1,028 " 974 157 910 159 999 157 " 1,028 " 811 72131 2902061 " 1,125 " CT Lumbar Spine WO Contrast 350 OP 104 93 " 1,069 " " 1,013 " " 1,013 " 93 " 1,069 " 900 " 1,069 " 94 104 " 1,069 " 956 956 104 " 1,069 " " 1,013 " 93 383 94 421 93 " 1,069 " 844 72132 2902062 " 1,141 " CT Lumbar Spine W Contrast 350 OP 359 321 " 1,084 " " 1,027 " " 1,027 " 321 " 1,084 " 913 " 1,084 " 324 359 " 1,084 " 970 970 359 " 1,084 " " 1,027 " 321 910 324 999 321 " 1,084 " 856 72192 2902076 " 1,403 " CT Pelvis WO Dye 350 OP 104 93 " 1,332 " " 1,262 " " 1,262 " 93 " 1,332 " " 1,122 " " 1,332 " 94 104 " 1,332 " " 1,192 " " 1,192 " 104 " 1,332 " " 1,262 " 93 383 94 421 93 " 1,332 " " 1,052 " 72193 2902077 " 1,651 " CT Pelvis W Dye 350 OP 176 157 " 1,569 " " 1,486 " " 1,486 " 157 " 1,569 " " 1,321 " " 1,569 " 159 176 " 1,569 " " 1,403 " " 1,403 " 176 " 1,569 " " 1,486 " 157 910 159 999 157 " 1,569 " " 1,238 " 74150 2902169 " 1,403 " CT Abdomen WO Dye 350 OP 104 93 " 1,332 " " 1,262 " " 1,262 " 93 " 1,332 " " 1,122 " " 1,332 " 94 104 " 1,332 " " 1,192 " " 1,192 " 104 " 1,332 " " 1,262 " 93 383 94 421 93 " 1,332 " " 1,052 " 74160 2902170 " 1,717 " CT Abdomen W Dye 350 OP 176 157 " 1,631 " " 1,545 " " 1,545 " 157 " 1,631 " " 1,374 " " 1,631 " 159 176 " 1,631 " " 1,460 " " 1,460 " 176 " 1,631 " " 1,545 " 157 910 159 999 157 " 1,631 " " 1,288 " 74170 2902171 " 1,982 " CT Abdomen WWO Dye 350 OP 176 157 " 1,883 " " 1,784 " " 1,784 " 157 " 1,883 " " 1,586 " " 1,883 " 159 176 " 1,883 " " 1,685 " " 1,685 " 176 " 1,883 " " 1,784 " 157 910 159 999 157 " 1,883 " " 1,487 " 74174 2902172 " 1,982 " CTA Abd&Pelv WWO Dye 350 OP 359 321 " 1,883 " " 1,784 " " 1,784 " 321 " 1,883 " " 1,586 " " 1,883 " 324 359 " 1,883 " " 1,685 " " 1,685 " 359 " 1,883 " " 1,784 " 321 759 324 833 321 " 1,883 " " 1,487 " 74175 2902173 " 2,442 " CTA Abdom WWO Dye 352 OP 176 157 " 2,320 " " 2,198 " " 2,198 " 157 " 2,320 " " 1,954 " " 2,320 " 159 176 " 2,320 " " 2,076 " " 2,076 " 176 " 2,320 " " 2,198 " 157 759 159 833 157 " 2,320 " " 1,832 " 74176 2902174 " 2,180 " CT Abd & Pelvis WO Contrast 350 OP 228 203 " 2,071 " " 1,962 " " 1,962 " 203 " 2,071 " " 1,744 " " 2,071 " 205 228 " 2,071 " " 1,853 " " 1,853 " 228 " 2,071 " " 1,962 " 203 910 205 999 203 " 2,071 " " 1,635 " 74177 2902175 " 1,982 " CT Abd & Pelv W Contrast 350 OP 359 321 " 1,883 " " 1,784 " " 1,784 " 321 " 1,883 " " 1,586 " " 1,883 " 324 359 " 1,883 " " 1,685 " " 1,685 " 359 " 1,883 " " 1,784 " 321 910 324 999 321 " 1,883 " " 1,487 " 74178 2902176 " 2,966 " CT Abd & Pelv WWO Contrast 350 OP 359 321 " 2,818 " " 2,669 " " 2,669 " 321 " 2,818 " " 2,373 " " 2,818 " 324 359 " 2,818 " " 2,521 " " 2,521 " 359 " 2,818 " " 2,669 " 321 910 324 999 321 " 2,818 " " 2,225 " 75635 2902235 " 2,115 " CTA Abdominal Arteries 350 OP 176 157 " 2,009 " " 1,904 " " 1,904 " 157 " 2,009 " " 1,692 " " 2,009 " 159 176 " 2,009 " " 1,798 " " 1,798 " 176 " 2,009 " " 1,904 " 157 759 159 833 157 " 2,009 " " 1,586 " 76080 2902287 203 Assess Cyst Contrast Inject 350 OP 490 438 192 182 182 438 192 162 192 442 490 192 172 172 490 192 182 438 296 442 325 162 490 152 76376 2902290 676 3D Render W Intrp Postproc CT 350 OP N/A N/A 642 608 608 N/A 642 541 642 N/A N/A 642 575 575 N/A 642 608 N/A N/A N/A N/A 541 642 507 77012 2902351 " 1,200 " CT Scan For Needle Biopsy 350 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A 235 N/A 258 235 " 1,140 " 900 71271 2902941 722 LDCT For Lung Cancer Screen 350 OP 104 93 686 650 650 93 686 578 686 94 104 686 614 614 104 686 650 93 383 94 421 93 686 542 2902993 50 CT Heart Calcium Score 350 OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A N/A N/A N/A 40 48 38 2902994 100 CT Heart Vascular Score 350 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A N/A N/A N/A 80 95 75 27096 2920570 " 2,092 " Inject Sacroiliac Joint BI G0260 360 OP 628 N/A " 1,987 " " 1,882 " " 1,882 " N/A " 1,987 " " 1,673 " " 1,987 " N/A 628 " 1,987 " " 1,778 " " 1,778 " 628 " 1,987 " " 1,882 " N/A " 1,092 " N/A " 1,199 " 628 " 1,987 " " 1,569 " 64483 2921782 " 2,092 " Inj Foramen Epidural L/S BI 360 OP 830 742 " 1,987 " " 1,882 " " 1,882 " 742 " 1,987 " " 1,673 " " 1,987 " 749 830 " 1,987 " " 1,778 " " 1,778 " 830 " 1,987 " " 1,882 " 742 " 1,462 " 749 " 1,605 " 742 " 1,987 " " 1,569 " 64493 2921787 " 2,092 " Inj Paravert F Jnt L/S 1 Lv BI 360 OP 830 742 " 1,987 " " 1,882 " " 1,882 " 742 " 1,987 " " 1,673 " " 1,987 " 749 830 " 1,987 " " 1,778 " " 1,778 " 830 " 1,987 " " 1,882 " 742 " 1,462 " 749 " 1,605 " 742 " 1,987 " " 1,569 " 64494 2921788 " 1,045 " Inj Paravert F Jnt L/S 2 Lev B 360 OP N/A N/A 993 941 941 N/A 993 836 993 N/A N/A 993 888 888 N/A 993 941 N/A " 1,462 " N/A " 1,605 " 836 " 1,605 " 784 64495 2921789 " 1,045 " Inj Paravert F Jnt L/S 3rd LT 360 OP N/A N/A 993 941 941 N/A 993 836 993 N/A N/A 993 888 888 N/A 993 941 N/A " 1,462 " N/A " 1,605 " 836 " 1,605 " 784 27096 2970570 " 1,394 " Inject Sacroiliac Joint LT G0260 360 OP 628 N/A " 1,325 " " 1,255 " " 1,255 " N/A " 1,325 " " 1,115 " " 1,325 " N/A 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " N/A " 1,092 " N/A " 1,199 " 628 " 1,325 " " 1,046 " 64483 2971782 " 1,394 " Inj Foramen Epidural L/S LT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 1,462 " 749 " 1,605 " 742 " 1,605 " " 1,046 " 64493 2971787 " 1,394 " Inj Paravert F Jnt L/S 1 Lev L 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 1,462 " 749 " 1,605 " 742 " 1,605 " " 1,046 " 64494 2971788 827 Inj Paravert F Jnt L/S 2 Lev L 360 OP N/A N/A 786 745 745 N/A 786 662 786 N/A N/A 786 703 703 N/A 786 745 N/A " 1,462 " N/A " 1,605 " 662 " 1,605 " 621 64495 2971789 827 Inj Paravert F Jnt L/S 3rd LT 360 OP N/A N/A 786 745 745 N/A 786 662 786 N/A N/A 786 703 703 N/A 786 745 N/A " 1,462 " N/A " 1,605 " 662 " 1,605 " 621 73200 2972120 " 1,217 " CT UE WO Dye LT 350 OP 104 93 " 1,156 " " 1,095 " " 1,095 " 93 " 1,156 " 973 " 1,156 " 94 104 " 1,156 " " 1,034 " " 1,034 " 104 " 1,156 " " 1,095 " 93 383 94 421 93 " 1,156 " 913 73201 2972121 " 1,170 " CT UE W Dye LT 352 OP 359 321 " 1,111 " " 1,053 " " 1,053 " 321 " 1,111 " 936 " 1,111 " 324 359 " 1,111 " 994 994 359 " 1,111 " " 1,053 " 321 910 324 999 321 " 1,111 " 877 73202 2972122 " 1,170 " CT UE WWO Dye LT 352 OP 176 157 " 1,111 " " 1,053 " " 1,053 " 157 " 1,111 " 936 " 1,111 " 159 176 " 1,111 " 994 994 176 " 1,111 " " 1,053 " 157 910 159 999 157 " 1,111 " 877 73700 2972154 " 1,217 " CT LE WO Dye LT 350 OP 104 93 " 1,156 " " 1,095 " " 1,095 " 93 " 1,156 " 973 " 1,156 " 94 104 " 1,156 " " 1,034 " " 1,034 " 104 " 1,156 " " 1,095 " 93 383 94 421 93 " 1,156 " 913 73701 2972155 " 1,170 " CT LE W Dye LT 352 OP 176 157 " 1,111 " " 1,053 " " 1,053 " 157 " 1,111 " 936 " 1,111 " 159 176 " 1,111 " 994 994 176 " 1,111 " " 1,053 " 157 910 159 999 157 " 1,111 " 877 73702 2972156 " 1,170 " CT LE WWO Dye LT 352 OP 176 157 " 1,111 " " 1,053 " " 1,053 " 157 " 1,111 " 936 " 1,111 " 159 176 " 1,111 " 994 994 176 " 1,111 " " 1,053 " 157 910 159 999 157 " 1,111 " 877 27096 2980570 " 1,394 " Inject Sacroiliac Joint RT G0260 360 OP 628 N/A " 1,325 " " 1,255 " " 1,255 " N/A " 1,325 " " 1,115 " " 1,325 " N/A 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " N/A " 1,092 " N/A " 1,199 " 628 " 1,325 " " 1,046 " 64483 2981782 " 1,394 " Inj Foramen Epidural L/S RT 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 1,462 " 749 " 1,605 " 742 " 1,605 " " 1,046 " 64493 2981787 " 1,394 " Inj Paravert F Jnt L/S 1 Lev R 360 OP 830 742 " 1,325 " " 1,255 " " 1,255 " 742 " 1,325 " " 1,115 " " 1,325 " 749 830 " 1,325 " " 1,185 " " 1,185 " 830 " 1,325 " " 1,255 " 742 " 1,462 " 749 " 1,605 " 742 " 1,605 " " 1,046 " 64494 2981788 827 Inj Paravert F Jnt L/S 2 Lev R 360 OP N/A N/A 786 745 745 N/A 786 662 786 N/A N/A 786 703 703 N/A 786 745 N/A " 1,462 " N/A " 1,605 " 662 " 1,605 " 621 64495 2981789 827 Inj Paravert F Jnt L/S 3rd RT 360 OP N/A N/A 786 745 745 N/A 786 662 786 N/A N/A 786 703 703 N/A 786 745 N/A " 1,462 " N/A " 1,605 " 662 " 1,605 " 621 73200 2982120 " 1,217 " CT UE WO Dye RT 350 OP 104 93 " 1,156 " " 1,095 " " 1,095 " 93 " 1,156 " 973 " 1,156 " 94 104 " 1,156 " " 1,034 " " 1,034 " 104 " 1,156 " " 1,095 " 93 383 94 421 93 " 1,156 " 913 73201 2982121 " 1,170 " CT UE W Dye RT 352 OP 359 321 " 1,111 " " 1,053 " " 1,053 " 321 " 1,111 " 936 " 1,111 " 324 359 " 1,111 " 994 994 359 " 1,111 " " 1,053 " 321 910 324 999 321 " 1,111 " 877 73700 2982154 " 1,217 " CT LE WO Dye RT 350 OP 104 93 " 1,156 " " 1,095 " " 1,095 " 93 " 1,156 " 973 " 1,156 " 94 104 " 1,156 " " 1,034 " " 1,034 " 104 " 1,156 " " 1,095 " 93 383 94 421 93 " 1,156 " 913 73701 2982155 " 1,170 " CT LE W Dye RT 352 OP 176 157 " 1,111 " " 1,053 " " 1,053 " 157 " 1,111 " 936 " 1,111 " 159 176 " 1,111 " 994 994 176 " 1,111 " " 1,053 " 157 910 159 999 157 " 1,111 " 877 73702 2982156 " 1,170 " CT LE WWO Dye RT 352 OP 176 157 " 1,111 " " 1,053 " " 1,053 " 157 " 1,111 " 936 " 1,111 " 159 176 " 1,111 " 994 994 176 " 1,111 " " 1,053 " 157 910 159 999 157 " 1,111 " 877 20552 3000284 785 Inject Trigger Points 1-2 Mus 360 OP 265 237 746 707 707 237 746 628 746 239 265 746 668 668 265 746 707 237 670 239 736 237 746 589 47531 3001390 920 Injection For Cholangiogram 360 OP " 3,452 " " 3,084 " 874 828 828 " 3,084 " 874 736 874 " 3,114 " " 3,452 " 874 782 782 " 3,452 " 874 828 " 3,084 " " 2,785 " " 3,114 " " 3,058 " 736 " 3,452 " 690 49452 3001452 " 1,510 " Replace G-J Tube Perc 360 OP 804 719 " 1,434 " " 1,359 " " 1,359 " 719 " 1,434 " " 1,208 " " 1,434 " 726 804 " 1,434 " " 1,283 " " 1,283 " 804 " 1,434 " " 1,359 " 719 " 1,277 " 726 " 1,402 " 719 " 1,434 " " 1,132 " 49465 3001454 659 Fluoro Exam G/Colon Tube 360 OP 228 203 626 593 593 203 626 527 626 205 228 626 560 560 228 626 593 203 296 205 325 203 626 495 58340 3001670 683 Catheter For Hysterography 360 OP N/A N/A 649 615 615 N/A 649 547 649 N/A N/A 649 581 581 N/A 649 615 N/A " 1,250 " N/A " 1,373 " 547 " 1,373 " 512 62304 3001762 " 2,550 " Myelography Lumbar Injection 360 OP 722 645 " 2,422 " " 2,295 " " 2,295 " 645 " 2,422 " " 2,040 " " 2,422 " 651 722 " 2,422 " " 2,167 " " 2,167 " 722 " 2,422 " " 2,295 " 645 " 1,403 " 651 " 1,541 " 645 " 2,422 " " 1,912 " 74740 3002220 " 1,190 " X-Ray Female Genital Tract 320 OP 228 203 " 1,131 " " 1,071 " " 1,071 " 203 " 1,131 " 952 " 1,131 " 205 228 " 1,131 " " 1,012 " " 1,012 " 228 " 1,131 " " 1,071 " 203 296 205 325 203 " 1,131 " 893 76080 3002287 " 1,082 " X-Ray Fistula 320 OP 490 438 " 1,028 " 974 974 438 " 1,028 " 866 " 1,028 " 442 490 " 1,028 " 920 920 490 " 1,028 " 974 438 296 442 325 296 " 1,028 " 811 77002 3002348 " 1,082 " Needle Localization By X-Ray 320 OP N/A N/A " 1,028 " 974 974 N/A " 1,028 " 866 " 1,028 " N/A N/A " 1,028 " 920 920 N/A " 1,028 " 974 N/A 662 N/A 727 662 " 1,028 " 811 62321 3002979 " 1,394 " Inj Epidural C/T W Guide 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 " 1,462 " 567 " 1,605 " 561 " 1,605 " " 1,046 " 62323 3004242 " 1,394 " Inj Epidural L/S W Guide 360 OP 628 561 " 1,325 " " 1,255 " " 1,255 " 561 " 1,325 " " 1,115 " " 1,325 " 567 628 " 1,325 " " 1,185 " " 1,185 " 628 " 1,325 " " 1,255 " 561 " 1,462 " 567 " 1,605 " 561 " 1,605 " " 1,046 " 20610 3070291 892 Asp/Inj Major Joint LT 360 OP 265 237 848 803 803 237 848 714 848 239 265 848 759 759 265 848 803 237 670 239 736 237 848 669 23350 3070351 382 Arthrogram Shoulder LT 360 OP N/A N/A 363 344 344 N/A 363 306 363 N/A N/A 363 325 325 N/A 363 344 N/A " 1,250 " N/A " 1,373 " 306 " 1,373 " 287 24220 3070404 263 Arthrogram Elbow LT 360 OP N/A N/A 250 237 237 N/A 250 210 250 N/A N/A 250 224 224 N/A 250 237 N/A " 1,250 " N/A " 1,373 " 210 " 1,373 " 197 25246 3070449 683 Injection Wrist Arthrogram LT 360 OP N/A N/A 649 615 615 N/A 649 547 649 N/A N/A 649 581 581 N/A 649 615 N/A " 1,250 " N/A " 1,373 " 547 " 1,373 " 512 27093 3070568 683 Arthrogram Hip LT 360 OP N/A N/A 649 615 615 N/A 649 547 649 N/A N/A 649 581 581 N/A 649 615 N/A " 1,250 " N/A " 1,373 " 547 " 1,373 " 512 27369 3070616 683 Injection Knee Arthrography LT 360 OP N/A N/A 649 615 615 N/A 649 547 649 N/A N/A 649 581 581 N/A 649 615 N/A " 1,250 " N/A " 1,373 " 547 " 1,373 " 512 36598 3071081 " 1,828 " Inj W Fluor Eval CV Device LT 360 OP 201 180 " 1,736 " " 1,645 " " 1,645 " 180 " 1,736 " " 1,462 " " 1,736 " 182 201 " 1,736 " " 1,554 " " 1,554 " 201 " 1,736 " " 1,645 " 180 " 1,250 " 182 " 1,373 " 180 " 1,736 " " 1,371 " 50435 3071501 " 2,544 " Exchange Nephrostomy Cath LT 360 OP " 1,808 " " 1,615 " " 2,417 " " 2,290 " " 2,290 " " 1,615 " " 2,417 " " 2,035 " " 2,417 " " 1,631 " " 1,808 " " 2,417 " " 2,163 " " 2,163 " " 1,808 " " 2,417 " " 2,290 " " 1,615 " " 2,288 " " 1,631 " " 2,512 " " 1,615 " " 2,512 " " 1,908 " 20610 3080291 892 Asp/Inj Major Joint RT 360 OP 265 237 848 803 803 237 848 714 848 239 265 848 759 759 265 848 803 237 670 239 736 237 848 669 23350 3080351 382 Arthrogram Shoulder RT 360 OP N/A N/A 363 344 344 N/A 363 306 363 N/A N/A 363 325 325 N/A 363 344 N/A " 1,250 " N/A " 1,373 " 306 " 1,373 " 287 24220 3080404 263 Arthrogram Elbow RT 360 OP N/A N/A 250 237 237 N/A 250 210 250 N/A N/A 250 224 224 N/A 250 237 N/A " 1,250 " N/A " 1,373 " 210 " 1,373 " 197 25246 3080449 683 Injection Wrist Arthrogram RT 360 OP N/A N/A 649 615 615 N/A 649 547 649 N/A N/A 649 581 581 N/A 649 615 N/A " 1,250 " N/A " 1,373 " 547 " 1,373 " 512 27093 3080568 683 Arthrogram Hip RT 360 OP N/A N/A 649 615 615 N/A 649 547 649 N/A N/A 649 581 581 N/A 649 615 N/A " 1,250 " N/A " 1,373 " 547 " 1,373 " 512 36598 3081081 " 1,828 " Inj W Fluor Eval CV Device RT 360 OP 201 180 " 1,736 " " 1,645 " " 1,645 " 180 " 1,736 " " 1,462 " " 1,736 " 182 201 " 1,736 " " 1,554 " " 1,554 " 201 " 1,736 " " 1,645 " 180 " 1,250 " 182 " 1,373 " 180 " 1,736 " " 1,371 " 73040 3082096 " 1,082 " Contrast X-Ray Shoulder RT 320 OP 359 321 " 1,028 " 974 974 321 " 1,028 " 866 " 1,028 " 324 359 " 1,028 " 920 920 359 " 1,028 " 974 321 296 324 325 296 " 1,028 " 811 73085 3082101 " 1,082 " Arthrogram Elbow RT 320 OP 359 321 " 1,028 " 974 974 321 " 1,028 " 866 " 1,028 " 324 359 " 1,028 " 920 920 359 " 1,028 " 974 321 296 324 325 296 " 1,028 " 811 73115 3082106 " 1,082 " Arthrogram Wrist RT 320 OP 359 321 " 1,028 " 974 974 321 " 1,028 " 866 " 1,028 " 324 359 " 1,028 " 920 920 359 " 1,028 " 974 321 296 324 325 296 " 1,028 " 811 10160 3100015 " 1,933 " Punc Asp Abscess Hematoma Cyst 360 OP 364 325 " 1,836 " " 1,739 " " 1,739 " 325 " 1,836 " " 1,546 " " 1,836 " 328 364 " 1,836 " " 1,643 " " 1,643 " 364 " 1,836 " " 1,739 " 325 316 328 347 316 " 1,836 " " 1,449 " 49083 3101422 " 1,662 " Abd Paracentesis W Imaging 360 OP 804 719 " 1,579 " " 1,496 " " 1,496 " 719 " 1,579 " " 1,330 " " 1,579 " 726 804 " 1,579 " " 1,413 " " 1,413 " 804 " 1,579 " " 1,496 " 719 " 1,395 " 726 " 1,532 " 719 " 1,579 " " 1,247 " 76536 3102300 557 Ultrasound Head And Neck 402 OP 104 93 529 502 502 93 529 446 529 94 104 529 474 474 104 529 502 93 248 94 272 93 529 418 76604 3102301 412 Ultrasound Chest 402 OP 104 93 391 371 371 93 391 330 391 94 104 391 350 350 104 391 371 93 248 94 272 93 391 309 76700 3102304 816 Ultrasound Abdomen Complete 402 OP 104 93 775 734 734 93 775 653 775 94 104 775 694 694 104 775 734 93 383 94 420 93 775 612 76705 3102305 519 Ultrasound Abdomen Limited 402 OP 104 93 493 467 467 93 493 415 493 94 104 493 441 441 104 493 467 93 248 94 272 93 493 389 76770 3102306 816 Ultrasound Abdo Back Wall Comp 402 OP 104 93 775 734 734 93 775 653 775 94 104 775 694 694 104 775 734 93 383 94 420 93 775 612 76800 3102309 392 Ultrasound Spinal Canal 402 OP 104 93 373 353 353 93 373 314 373 94 104 373 333 333 104 373 353 93 248 94 272 93 373 294 76801 3102310 713 OB US < 14 Wks Single Fetus 402 OP 104 93 677 642 642 93 677 570 677 94 104 677 606 606 104 677 642 93 209 94 229 93 677 535 76802 3102311 564 OB US < 14 Wks Addl Fetus 402 OP N/A N/A 535 507 507 N/A 535 451 535 N/A N/A 535 479 479 N/A 535 507 N/A 209 N/A 229 209 535 423 76805 3102312 713 OB US >14 Wk TVTA Single Fetus 402 OP 104 93 677 642 642 93 677 570 677 94 104 677 606 606 104 677 642 93 209 94 229 93 677 535 76815 3102318 428 OB US Limited Fetus(s) 402 OP 104 93 407 385 385 93 407 343 407 94 104 407 364 364 104 407 385 93 209 94 229 93 407 321 76816 3102319 524 OB US Follow-Up Per Fetus 402 OP 104 93 498 472 472 93 498 420 498 94 104 498 446 446 104 498 472 93 209 94 229 93 498 393 76817 3102320 442 Transvaginal US Obstetrical 402 OP 104 93 420 398 398 93 420 354 420 94 104 420 376 376 104 420 398 93 209 94 229 93 420 332 76819 3102322 713 Fetal Biophys Profil WO NST 402 OP 104 93 677 642 642 93 677 570 677 94 104 677 606 606 104 677 642 93 209 94 229 93 677 535 76830 3102326 537 Ultrasound Transvaginal 402 OP 104 93 510 483 483 93 510 429 510 94 104 510 456 456 104 510 483 93 248 94 272 93 510 402 76856 3102328 657 Ultrasound Pelvic Complete 402 OP 104 93 625 592 592 93 625 526 625 94 104 625 559 559 104 625 592 93 383 94 420 93 625 493 76857 3102329 392 Ultrasound Pelvic Limited 402 OP 104 93 373 353 353 93 373 314 373 94 104 373 333 333 104 373 353 93 248 94 272 93 373 294 76870 3102330 482 Ultrasound Scrotum 402 OP 104 93 458 434 434 93 458 386 458 94 104 458 410 410 104 458 434 93 248 94 272 93 458 362 76942 3102340 701 US Guide for Needle Placement 402 OP N/A N/A 666 631 631 N/A 666 561 666 N/A N/A 666 596 596 N/A 666 631 N/A 304 N/A 334 304 666 526 76965 3102342 459 Echo Guidance Radiotherapy 402 OP N/A N/A 436 413 413 N/A 436 367 436 N/A N/A 436 390 390 N/A 436 413 N/A 304 N/A 334 304 436 344 93925 3102562 " 1,151 " Arterial Duplex LE BI 921 OP 228 203 " 1,094 " " 1,036 " " 1,036 " 203 " 1,094 " 921 " 1,094 " 205 228 " 1,094 " 978 978 228 " 1,094 " " 1,036 " 203 383 205 420 203 " 1,094 " 863 93975 3102568 785 Vascular Study 921 OP 228 203 745 706 706 203 745 628 745 205 228 745 667 667 228 745 706 203 383 205 420 203 745 589 93976 3102569 652 Vascular Study 921 OP 104 93 619 587 587 93 619 522 619 94 104 619 554 554 104 619 587 93 383 94 420 93 619 489 93005 3102613 276 EKG Tracing 730 OP 56 50 262 248 248 50 262 221 262 51 56 262 234 234 56 262 248 50 74 51 81 50 262 207 93041 3102620 180 Rhythm ECG Tracing 730 OP 56 50 171 162 162 50 171 144 171 51 56 171 153 153 56 171 162 50 74 51 81 50 171 135 93226 3102623 337 ECG Monit/Report Up to 48 Hour 731 OP 113 101 320 303 303 101 320 269 320 102 113 320 286 286 113 320 303 101 212 102 233 101 320 252 93306 3102640 " 2,432 " TTE W Doppler Complete 483 OP 490 438 " 2,310 " " 2,188 " " 2,188 " 438 " 2,310 " " 1,945 " " 2,310 " 442 490 " 2,310 " " 2,067 " " 2,067 " 490 " 2,310 " " 2,188 " 438 590 442 648 438 " 2,310 " " 1,824 " 93308 3102642 " 1,041 " Echo Limited 483 OP 228 203 989 937 937 203 989 833 989 205 228 989 885 885 228 989 937 203 590 205 648 203 989 781 93320 3102643 " 1,046 " Cardiac Doppler 483 OP N/A N/A 994 942 942 N/A 994 837 994 N/A N/A 994 889 889 N/A 994 942 N/A 590 N/A 648 590 994 785 93017 3102647 " 1,115 " Cardiovascular Stress Test 483 OP 273 244 " 1,059 " " 1,003 " " 1,003 " 244 " 1,059 " 892 " 1,059 " 246 273 " 1,059 " 948 948 273 " 1,059 " " 1,003 " 244 347 246 381 244 " 1,059 " 836 93303 3102747 " 1,427 " Echo Congenital Abn Complete 483 OP 490 438 " 1,356 " " 1,284 " " 1,284 " 438 " 1,356 " " 1,142 " " 1,356 " 442 490 " 1,356 " " 1,213 " " 1,213 " 490 " 1,356 " " 1,284 " 438 590 442 648 438 " 1,356 " " 1,070 " 3102759 " 2,712 " Echo M Mode 2D W Contrast C8929 483 OP 722 645 " 2,577 " " 2,441 " " 2,441 " 645 " 2,577 " " 2,170 " " 2,577 " 651 722 " 2,577 " " 2,306 " " 2,306 " 722 " 2,577 " " 2,441 " 645 590 651 648 590 " 2,577 " " 2,034 " 76820 3102764 379 Doppler Fetal Umbilical Artery 402 OP 104 93 360 341 341 93 360 303 360 94 104 360 322 322 104 360 341 93 209 94 229 93 360 284 76706 3102945 495 AAA Screening Medicare 402 OP 104 93 470 445 445 93 470 396 470 94 104 470 420 420 104 470 445 93 248 94 272 93 470 371 3102996 50 US Cardiac Vascular Screening 402 OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A N/A N/A N/A 40 48 38 93922 3103085 616 Ankle Arm Screen 921 OP 113 101 585 554 554 101 585 493 585 102 113 585 523 523 113 585 554 101 248 102 272 101 585 462 76775 3103086 618 Ultrasound Aorta 402 OP 104 93 588 557 557 93 588 495 588 94 104 588 526 526 104 588 557 93 248 94 272 93 588 464 76775 3103087 618 Ultrasound Renal Bilateral 402 OP 104 93 588 557 557 93 588 495 588 94 104 588 526 526 104 588 557 93 248 94 272 93 588 464 76705 3103092 519 Ultrasound Gallbladder 402 OP 104 93 493 467 467 93 493 415 493 94 104 493 441 441 104 493 467 93 248 94 272 93 493 389 76705 3103093 519 Ultrasound Liver 402 OP 104 93 493 467 467 93 493 415 493 94 104 493 441 441 104 493 467 93 248 94 272 93 493 389 76775 3103207 619 Ultrasound Limited 402 OP 104 93 588 557 557 93 588 495 588 94 104 588 526 526 104 588 557 93 248 94 272 93 588 464 93880 3103308 816 Extracranial Bilat Study 921 OP 228 203 775 734 734 203 775 653 775 205 228 775 694 694 228 775 734 203 383 205 420 203 775 612 93923 3103310 521 UE/LE Artery 3 Levels 921 OP 142 127 495 469 469 127 495 417 495 128 142 495 443 443 142 495 469 127 347 128 381 127 495 391 93970 3103311 " 1,197 " Venous Duplex 921 OP 228 203 " 1,137 " " 1,077 " " 1,077 " 203 " 1,137 " 958 " 1,137 " 205 228 " 1,137 " " 1,018 " " 1,018 " 228 " 1,137 " " 1,077 " 203 383 205 420 203 " 1,137 " 898 93325 3103369 " 1,046 " Echo Color Doppler 483 OP N/A N/A 994 942 942 N/A 994 837 994 N/A N/A 994 889 889 N/A 994 942 N/A 248 N/A 272 248 994 785 93225 3103665 509 Holter Monitor Hook Up <48 Hrs 731 OP 113 101 484 458 458 101 484 407 484 102 113 484 433 433 113 484 458 101 212 102 233 101 484 382 10005 3104364 " 1,943 " FNA Biopsy W US 1st Lesion 360 OP 632 565 " 1,846 " " 1,749 " " 1,749 " 565 " 1,846 " " 1,554 " " 1,846 " 571 632 " 1,846 " " 1,651 " " 1,651 " 632 " 1,846 " " 1,749 " 565 959 571 " 1,053 " 565 " 1,846 " " 1,457 " 10006 3104365 628 FNA Biopsy W US Ea Addl 360 OP N/A N/A 597 565 565 N/A 597 503 597 N/A N/A 597 534 534 N/A 597 565 N/A 959 N/A " 1,053 " 503 " 1,053 " 471 3104424 " 1,317 " TTE 2D W Contrast Limited C8924 483 OP 359 321 " 1,251 " " 1,185 " " 1,185 " 321 " 1,251 " " 1,054 " " 1,251 " 324 359 " 1,251 " " 1,120 " " 1,120 " 359 " 1,251 " " 1,185 " 321 590 324 648 321 " 1,251 " 988 93242 3104863 344 Ext ECG 48 Hrs -7Days Hook Up 731 OP 33 30 327 310 310 30 327 276 327 30 33 327 293 293 33 327 310 30 212 30 233 30 327 258 93246 3104867 344 Ext ECG >7 Days Hook Up 731 OP 56 50 327 310 310 50 327 276 327 51 56 327 293 293 56 327 310 50 212 51 233 50 327 258 76641 3122302 392 Ultrasound Breast Complete BI 402 OP 104 93 373 353 353 93 373 314 373 94 104 373 333 333 104 373 353 93 248 94 272 93 373 294 76642 3122303 785 Ultrasound Breast Limited BI 402 OP 85 76 745 706 706 76 745 628 745 76 85 745 667 667 85 745 706 76 248 76 272 76 745 589 19083 3170235 " 6,114 " Biopsy Breast 1st Lesion LT 360 OP " 1,461 " " 1,305 " " 5,809 " " 5,503 " " 5,503 " " 1,305 " " 5,809 " " 4,892 " " 5,809 " " 1,319 " " 1,461 " " 5,809 " " 5,197 " " 5,197 " " 1,461 " " 5,809 " " 5,503 " " 1,305 " " 2,491 " " 1,319 " " 2,735 " " 1,305 " " 5,809 " " 4,586 " 19084 3170236 " 6,114 " Biopsy Breast Addl Lesion LT 360 OP N/A N/A " 5,809 " " 5,503 " " 5,503 " N/A " 5,809 " " 4,892 " " 5,809 " N/A N/A " 5,809 " " 5,197 " " 5,197 " N/A " 5,809 " " 5,503 " N/A " 2,491 " N/A " 2,735 " " 2,491 " " 5,809 " " 4,586 " 19285 3170250 796 Place Breast Device 1st LT 360 OP 632 565 756 716 716 565 756 637 756 571 632 756 676 676 632 756 716 565 " 2,491 " 571 " 2,735 " 565 " 2,735 " 597 32555 3170942 " 1,598 " Aspirate Pleura W Imaging LT 360 OP 564 504 " 1,519 " " 1,439 " " 1,439 " 504 " 1,519 " " 1,279 " " 1,519 " 509 564 " 1,519 " " 1,359 " " 1,359 " 564 " 1,519 " " 1,439 " 504 " 1,706 " 509 " 1,874 " 504 " 1,874 " " 1,199 " 76641 3172302 392 Ultrasound Breast Complete LT 402 OP 104 93 373 353 353 93 373 314 373 94 104 373 333 333 104 373 353 93 248 94 272 93 373 294 76642 3172303 392 Ultrasound Breast Limited LT 402 OP 85 76 373 353 353 76 373 314 373 76 85 373 333 333 85 373 353 76 248 76 272 76 373 294 76882 3172334 410 US Extremity Nonvasc Limit LT 402 OP 104 93 390 369 369 93 390 328 390 94 104 390 349 349 104 390 369 93 248 94 272 93 390 308 93926 3172563 630 Arterial Duplex LE LT 921 OP 104 93 598 567 567 93 598 504 598 94 104 598 535 535 104 598 567 93 248 94 272 93 598 472 93931 3172564 630 Arterial Duplex UE LT 921 OP 104 93 598 567 567 93 598 504 598 94 104 598 535 535 104 598 567 93 248 94 272 93 598 472 93971 3172567 827 Extremity Study LT 921 OP 104 93 785 744 744 93 785 661 785 94 104 785 703 703 104 785 744 93 248 94 272 93 785 620 76882 3173081 410 Ultrasound Axilla LT 402 OP 104 93 390 369 369 93 390 328 390 94 104 390 349 349 104 390 369 93 248 94 272 93 390 308 19000 3180229 " 1,947 " Puncture Aspir Breast Cyst RT 360 OP 632 565 " 1,850 " " 1,753 " " 1,753 " 565 " 1,850 " " 1,558 " " 1,850 " 571 632 " 1,850 " " 1,655 " " 1,655 " 632 " 1,850 " " 1,753 " 565 959 571 " 1,053 " 565 " 1,850 " " 1,461 " 19083 3180235 " 6,114 " Biopsy Breast 1st Lesion RT 360 OP " 1,461 " " 1,305 " " 5,809 " " 5,503 " " 5,503 " " 1,305 " " 5,809 " " 4,892 " " 5,809 " " 1,319 " " 1,461 " " 5,809 " " 5,197 " " 5,197 " " 1,461 " " 5,809 " " 5,503 " " 1,305 " " 2,491 " " 1,319 " " 2,735 " " 1,305 " " 5,809 " " 4,586 " 19285 3180250 796 Place Breast Device 1st RT 360 OP 632 565 756 716 716 565 756 637 756 571 632 756 676 676 632 756 716 565 " 2,491 " 571 " 2,735 " 565 " 2,735 " 597 32555 3180942 " 1,598 " Aspirate Pleura W Imaging RT 360 OP 564 504 " 1,519 " " 1,439 " " 1,439 " 504 " 1,519 " " 1,279 " " 1,519 " 509 564 " 1,519 " " 1,359 " " 1,359 " 564 " 1,519 " " 1,439 " 504 " 1,706 " 509 " 1,874 " 504 " 1,874 " " 1,199 " 38505 3181143 " 1,685 " Needle Biopsy Lymph Nodes RT 360 OP " 1,461 " " 1,305 " " 1,601 " " 1,517 " " 1,517 " " 1,305 " " 1,601 " " 1,348 " " 1,601 " " 1,319 " " 1,461 " " 1,601 " " 1,432 " " 1,432 " " 1,461 " " 1,601 " " 1,517 " " 1,305 " " 2,788 " " 1,319 " " 3,062 " " 1,305 " " 3,062 " " 1,264 " 76641 3182302 392 Ultrasound Breast Complete RT 402 OP 104 93 373 353 353 93 373 314 373 94 104 373 333 333 104 373 353 93 248 94 272 93 373 294 76642 3182303 392 Ultrasound Breast Limited RT 402 OP 85 76 373 353 353 76 373 314 373 76 85 373 333 333 85 373 353 76 248 76 272 76 373 294 76882 3182334 410 US Extremity Nonvasc Limit RT 402 OP 104 93 390 369 369 93 390 328 390 94 104 390 349 349 104 390 369 93 248 94 272 93 390 308 93931 3182564 630 Arterial Duplex UE RT 921 OP 104 93 598 567 567 93 598 504 598 94 104 598 535 535 104 598 567 93 248 94 272 93 598 472 93971 3182567 827 Extremity Study RT 921 OP 104 93 785 744 744 93 785 661 785 94 104 785 703 703 104 785 744 93 248 94 272 93 785 620 76882 3183081 410 Ultrasound Axilla RT 402 OP 104 93 390 369 369 93 390 328 390 94 104 390 349 349 104 390 369 93 248 94 272 93 390 308 3300042 239 Radiophar Tc99M Pertechnetate A9512 343 OP N/A N/A 227 215 215 N/A 227 191 227 N/A N/A 227 203 203 N/A 227 215 N/A N/A N/A N/A 191 227 179 3300046 208 Radiophar Tc99M Labeled Rbcs A9560 343 OP N/A N/A 198 187 187 N/A 198 166 198 N/A N/A 198 177 177 N/A 198 187 N/A N/A N/A N/A 166 198 156 3300048 464 Radiophar Tc99M Sestamibi Dose A9500 343 OP N/A N/A 441 418 418 N/A 441 371 441 N/A N/A 441 395 395 N/A 441 418 N/A N/A N/A N/A 371 441 348 3300049 294 Radiophar Tc99M Mebrofenin A9537 343 OP N/A N/A 279 265 265 N/A 279 235 279 N/A N/A 279 250 250 N/A 279 265 N/A N/A N/A N/A 235 279 221 3300051 118 Radiophar Tc99M Albumin (Maa) A9540 343 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A N/A N/A N/A 95 113 89 3300053 500 Radiophar Tc99M Sulfur Colloid A9541 343 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 3300054 684 Radiophar Tc99M Mertiatide A9562 343 OP N/A N/A 650 616 616 N/A 650 547 650 N/A N/A 650 581 581 N/A 650 616 N/A N/A N/A N/A 547 650 513 3300059 146 Radiophar I 123 (100) A9516 343 OP N/A N/A 139 131 131 N/A 139 117 139 N/A N/A 139 124 124 N/A 139 131 N/A N/A N/A N/A 117 139 109 3300060 437 Radiophar I 123 (300) A9516 343 OP N/A N/A 416 394 394 N/A 416 350 416 N/A N/A 416 372 372 N/A 416 394 N/A N/A N/A N/A 350 416 328 3300067 497 Radiophar Fdg A9552 343 OP N/A N/A 472 447 447 N/A 472 398 472 N/A N/A 472 422 422 N/A 472 447 N/A N/A N/A N/A 398 472 373 3300071 269 Radiophar Tc99M Medronate Mdp A9503 343 OP N/A N/A 256 242 242 N/A 256 215 256 N/A N/A 256 229 229 N/A 256 242 N/A N/A N/A N/A 215 256 202 3300074 579 Radiophar Tc99M Pentetate-Aero A9567 343 OP N/A N/A 550 521 521 N/A 550 463 550 N/A N/A 550 492 492 N/A 550 521 N/A N/A N/A N/A 463 550 434 3300091 859 Radiopharm ISOTCLSEEK A9520 343 OP N/A N/A 816 773 773 N/A 816 687 816 N/A N/A 816 730 730 N/A 816 773 N/A N/A N/A N/A 687 816 644 78012 3300973 " 1,297 " Thyroid Uptake Single Or Mult 341 OP 379 338 " 1,232 " " 1,167 " " 1,167 " 338 " 1,232 " " 1,037 " " 1,232 " 342 379 " 1,232 " " 1,102 " " 1,102 " 379 " 1,232 " " 1,167 " 338 " 1,152 " 342 " 1,265 " 338 " 1,265 " 972 78018 3300980 " 1,199 " Thyroid Imaging Body 341 OP 492 439 " 1,139 " " 1,079 " " 1,079 " 439 " 1,139 " 959 " 1,139 " 444 492 " 1,139 " " 1,019 " " 1,019 " 492 " 1,139 " " 1,079 " 439 " 1,152 " 444 " 1,265 " 439 " 1,265 " 899 78072 3300984 " 1,293 " Parathyroid Planar W CT Spect 341 OP 492 439 " 1,229 " " 1,164 " " 1,164 " 439 " 1,229 " " 1,035 " " 1,229 " 444 492 " 1,229 " " 1,099 " " 1,099 " 492 " 1,229 " " 1,164 " 439 " 1,152 " 444 " 1,265 " 439 " 1,265 " 970 78195 3301815 " 1,753 " Lymphoscintogram 341 OP 492 439 " 1,666 " " 1,578 " " 1,578 " 439 " 1,666 " " 1,403 " " 1,666 " 444 492 " 1,666 " " 1,490 " " 1,490 " 492 " 1,666 " " 1,578 " 439 " 2,773 " 444 " 3,044 " 439 " 3,044 " " 1,315 " 78226 3302110 " 1,564 " Hepatobiliary Scan w/o EF 341 OP 379 338 " 1,486 " " 1,407 " " 1,407 " 338 " 1,486 " " 1,251 " " 1,486 " 342 379 " 1,486 " " 1,329 " " 1,329 " 379 " 1,486 " " 1,407 " 338 " 1,152 " 342 " 1,265 " 338 " 1,486 " " 1,173 " 78227 3302111 " 1,967 " HIDA w/ EF w/Pharm 341 OP 492 439 " 1,869 " " 1,771 " " 1,771 " 439 " 1,869 " " 1,574 " " 1,869 " 444 492 " 1,869 " " 1,672 " " 1,672 " 492 " 1,869 " " 1,771 " 439 " 1,152 " 444 " 1,265 " 439 " 1,869 " " 1,475 " 78264 3302112 " 1,691 " Gastric Emptying 341 OP 379 338 " 1,606 " " 1,522 " " 1,522 " 338 " 1,606 " " 1,353 " " 1,606 " 342 379 " 1,606 " " 1,437 " " 1,437 " 379 " 1,606 " " 1,522 " 338 " 1,152 " 342 " 1,265 " 338 " 1,606 " " 1,268 " 78278 3302113 " 1,297 " GI Bleed 341 OP 379 338 " 1,232 " " 1,167 " " 1,167 " 338 " 1,232 " " 1,037 " " 1,232 " 342 379 " 1,232 " " 1,102 " " 1,102 " 379 " 1,232 " " 1,167 " 338 " 2,773 " 342 " 3,044 " 338 " 3,044 " 972 78290 3302114 " 1,293 " Meckels Scan 341 OP 379 338 " 1,229 " " 1,164 " " 1,164 " 338 " 1,229 " " 1,035 " " 1,229 " 342 379 " 1,229 " " 1,099 " " 1,099 " 379 " 1,229 " " 1,164 " 338 " 1,152 " 342 " 1,265 " 338 " 1,265 " 970 78306 3302116 " 3,684 " Bone Scan Whole Body 341 OP 379 338 " 3,499 " " 3,315 " " 3,315 " 338 " 3,499 " " 2,947 " " 3,499 " 342 379 " 3,499 " " 3,131 " " 3,131 " 379 " 3,499 " " 3,315 " 338 " 1,152 " 342 " 1,265 " 338 " 3,499 " " 2,763 " 78315 3302117 " 2,068 " Bone Scan 3 Phase 341 OP 379 338 " 1,965 " " 1,861 " " 1,861 " 338 " 1,965 " " 1,654 " " 1,965 " 342 379 " 1,965 " " 1,758 " " 1,758 " 379 " 1,965 " " 1,861 " 338 " 1,152 " 342 " 1,265 " 338 " 1,965 " " 1,551 " 78803 3302118 " 2,324 " Bone Scan SPECT 341 OP " 1,293 " " 1,155 " " 2,208 " " 2,092 " " 2,092 " " 1,155 " " 2,208 " " 1,859 " " 2,208 " " 1,167 " " 1,293 " " 2,208 " " 1,975 " " 1,975 " " 1,293 " " 2,208 " " 2,092 " " 1,155 " " 2,773 " " 1,167 " " 3,044 " " 1,155 " " 3,044 " " 1,743 " 78451 3302119 " 3,226 " Myocard Perf Spect Rest Or Str 341 OP " 1,293 " " 1,155 " " 3,065 " " 2,903 " " 2,903 " " 1,155 " " 3,065 " " 2,581 " " 3,065 " " 1,167 " " 1,293 " " 3,065 " " 2,742 " " 2,742 " " 1,293 " " 3,065 " " 2,903 " " 1,155 " " 2,773 " " 1,167 " " 3,044 " " 1,155 " " 3,065 " " 2,420 " 78452 3302231 " 3,096 " Myocard Perf Spect Rest Stress 341 OP " 1,293 " " 1,155 " " 2,941 " " 2,787 " " 2,787 " " 1,155 " " 2,941 " " 2,477 " " 2,941 " " 1,167 " " 1,293 " " 2,941 " " 2,632 " " 2,632 " " 1,293 " " 2,941 " " 2,787 " " 1,155 " " 2,773 " " 1,167 " " 3,044 " " 1,155 " " 3,044 " " 2,322 " 78472 3302424 " 1,458 " Cardiac Gated Rest Single 341 OP 379 338 " 1,385 " " 1,312 " " 1,312 " 338 " 1,385 " " 1,166 " " 1,385 " 342 379 " 1,385 " " 1,239 " " 1,239 " 379 " 1,385 " " 1,312 " 338 " 1,152 " 342 " 1,265 " 338 " 1,385 " " 1,094 " 78580 3302506 " 1,297 " Lung Perfusion Imaging 341 OP 379 338 " 1,232 " " 1,167 " " 1,167 " 338 " 1,232 " " 1,037 " " 1,232 " 342 379 " 1,232 " " 1,102 " " 1,102 " 379 " 1,232 " " 1,167 " 338 " 2,773 " 342 " 3,044 " 338 " 3,044 " 972 78582 3302507 " 1,444 " Lung Perfusion & Ventilation 341 OP 492 439 " 1,372 " " 1,300 " " 1,300 " 439 " 1,372 " " 1,155 " " 1,372 " 444 492 " 1,372 " " 1,227 " " 1,227 " 492 " 1,372 " " 1,300 " 439 " 2,773 " 444 " 3,044 " 439 " 3,044 " " 1,083 " 78708 3302518 " 1,737 " Renal Imaging Func Pharm Inter 341 OP 492 439 " 1,650 " " 1,563 " " 1,563 " 439 " 1,650 " " 1,390 " " 1,650 " 444 492 " 1,650 " " 1,476 " " 1,476 " 492 " 1,650 " " 1,563 " 439 " 1,152 " 444 " 1,265 " 439 " 1,650 " " 1,303 " 78608 3302715 " 3,327 " PET Brain Imaging Initial 404 OP " 1,451 " " 1,297 " " 3,161 " " 2,994 " " 2,994 " " 1,297 " " 3,161 " " 2,662 " " 3,161 " " 1,310 " " 1,451 " " 3,161 " " 2,828 " " 2,828 " " 1,451 " " 3,161 " " 2,994 " " 1,297 " " 3,488 " " 1,310 " " 3,829 " " 1,297 " " 3,829 " " 2,495 " 78815 3302719 " 4,730 " PET CT Skull To Mid Thigh Init 404 OP " 1,451 " " 1,297 " " 4,494 " " 4,257 " " 4,257 " " 1,297 " " 4,494 " " 3,784 " " 4,494 " " 1,310 " " 1,451 " " 4,494 " " 4,021 " " 4,021 " " 1,451 " " 4,494 " " 4,257 " " 1,297 " " 3,488 " " 1,310 " " 3,829 " " 1,297 " " 4,494 " " 3,548 " 78815 3302720 " 4,730 " PET CT Skull To Mid Thigh Sub 404 OP " 1,451 " " 1,297 " " 4,494 " " 4,257 " " 4,257 " " 1,297 " " 4,494 " " 3,784 " " 4,494 " " 1,310 " " 1,451 " " 4,494 " " 4,021 " " 4,021 " " 1,451 " " 4,494 " " 4,257 " " 1,297 " " 3,488 " " 1,310 " " 3,829 " " 1,297 " " 4,494 " " 3,548 " 78816 3302722 " 4,730 " PET CT Whole Body Initial 404 OP " 1,451 " " 1,297 " " 4,494 " " 4,257 " " 4,257 " " 1,297 " " 4,494 " " 3,784 " " 4,494 " " 1,310 " " 1,451 " " 4,494 " " 4,021 " " 4,021 " " 1,451 " " 4,494 " " 4,257 " " 1,297 " " 3,488 " " 1,310 " " 3,829 " " 1,297 " " 4,494 " " 3,548 " 78816 3302723 " 4,730 " PET CT Whole Body Subsequent 404 OP " 1,451 " " 1,297 " " 4,494 " " 4,257 " " 4,257 " " 1,297 " " 4,494 " " 3,784 " " 4,494 " " 1,310 " " 1,451 " " 4,494 " " 4,021 " " 4,021 " " 1,451 " " 4,494 " " 4,257 " " 1,297 " " 3,488 " " 1,310 " " 3,829 " " 1,297 " " 4,494 " " 3,548 " 78830 3304709 " 2,201 " Tumor Loc Sgl Area SPECT CT 1 341 OP " 1,293 " " 1,155 " " 2,091 " " 1,981 " " 1,981 " " 1,155 " " 2,091 " " 1,761 " " 2,091 " " 1,167 " " 1,293 " " 2,091 " " 1,871 " " 1,871 " " 1,293 " " 2,091 " " 1,981 " " 1,155 " " 2,773 " " 1,167 " " 3,044 " " 1,155 " " 3,044 " " 1,651 " 38792 3371149 697 Ra Tracer Id Sentinal Node LT 360 OP 379 338 662 627 627 338 662 557 662 342 379 662 592 592 379 662 627 338 " 1,152 " 342 " 1,265 " 338 " 1,265 " 523 38792 3381149 697 Ra Tracer Id Sentinal Node RT 360 OP 379 338 662 627 627 338 662 557 662 342 379 662 592 592 379 662 627 338 " 1,152 " 342 " 1,265 " 338 " 1,265 " 523 77014 3502353 510 CT Guide Place Rad Ther Field 350 OP N/A N/A 485 459 459 N/A 485 408 485 N/A N/A 485 434 434 N/A 485 459 N/A 235 N/A 258 235 485 383 77280 3502381 721 Rad Ther Simulation Simple 333 OP 130 116 685 649 649 116 685 577 685 117 130 685 613 613 130 685 649 116 283 117 311 116 685 541 77290 3502383 " 1,380 " Rad Ther Simulation Complex 333 OP 350 312 " 1,311 " " 1,242 " " 1,242 " 312 " 1,311 " " 1,104 " " 1,311 " 315 350 " 1,311 " " 1,173 " " 1,173 " 350 " 1,311 " " 1,242 " 312 661 315 726 312 " 1,311 " " 1,035 " 77293 3502384 924 Respiratory Motion Mgmt Simul 333 OP N/A N/A 878 831 831 N/A 878 739 878 N/A N/A 878 785 785 N/A 878 831 N/A 283 N/A 311 283 878 693 77295 3502385 " 4,015 " Rad Ther Simulation 3D 333 OP " 1,306 " " 1,167 " " 3,814 " " 3,614 " " 3,614 " " 1,167 " " 3,814 " " 3,212 " " 3,814 " " 1,179 " " 1,306 " " 3,814 " " 3,413 " " 3,413 " " 1,306 " " 3,814 " " 3,614 " " 1,167 " " 2,531 " " 1,179 " " 2,779 " " 1,167 " " 3,814 " " 3,011 " 77300 3502387 192 Dosimetry Calculations 333 OP 130 116 183 173 173 116 183 154 183 117 130 183 163 163 130 183 173 116 661 117 726 116 726 144 77301 3502388 " 5,875 " IMRT Planning 333 OP " 1,306 " " 1,167 " " 5,581 " " 5,287 " " 5,287 " " 1,167 " " 5,581 " " 4,700 " " 5,581 " " 1,179 " " 1,306 " " 5,581 " " 4,994 " " 4,994 " " 1,306 " " 5,581 " " 5,287 " " 1,167 " " 2,531 " " 1,179 " " 2,779 " " 1,167 " " 5,581 " " 4,406 " 77307 3502390 721 Med Physic Isodose W/Dos Comp 333 OP 350 312 685 649 649 312 685 577 685 315 350 685 613 613 350 685 649 312 661 315 726 312 726 541 77318 3502393 758 Brachytx Isodose Complex 333 OP 350 312 720 682 682 312 720 606 720 315 350 720 644 644 350 720 682 312 661 315 726 312 726 568 77321 3502394 721 Special Teletherapy Port Plan 333 OP 350 312 685 649 649 312 685 577 685 315 350 685 613 613 350 685 649 312 661 315 726 312 726 541 77331 3502395 180 Special Dosimetry 333 OP 130 116 171 162 162 116 171 144 171 117 130 171 153 153 130 171 162 116 283 117 311 116 311 135 77332 3502396 553 Treatment Devices Simple 333 OP 130 116 526 498 498 116 526 443 526 117 130 526 470 470 130 526 498 116 283 117 311 116 526 415 77334 3502398 713 Treatment Devices Complex 333 OP 350 312 678 642 642 312 678 571 678 315 350 678 606 606 350 678 642 312 661 315 726 312 726 535 77338 3502399 921 Multileaf Collimator For IMRT 333 OP 350 312 875 829 829 312 875 737 875 315 350 875 783 783 350 875 829 312 661 315 726 312 875 691 77385 3502400 " 1,144 " IMRT w Guide Simple 333 OP 558 498 " 1,087 " " 1,030 " " 1,030 " 498 " 1,087 " 915 " 1,087 " 503 558 " 1,087 " 973 973 558 " 1,087 " " 1,030 " 498 " 1,176 " 503 " 1,291 " 498 " 1,291 " 858 77386 3502401 " 1,430 " IMRT w Guide Complex 333 OP 558 498 " 1,359 " " 1,287 " " 1,287 " 498 " 1,359 " " 1,144 " " 1,359 " 503 558 " 1,359 " " 1,216 " " 1,216 " 558 " 1,359 " " 1,287 " 498 " 1,176 " 503 " 1,291 " 498 " 1,359 " " 1,073 " 77387 3502402 510 Img Guide Localiz Rad Ther 333 OP N/A N/A 485 459 459 N/A 485 408 485 N/A N/A 485 434 434 N/A 485 459 N/A 283 N/A 311 283 485 383 77399 3502403 416 Fusion CT & Oth Data Sets 333 OP 130 116 395 375 375 116 395 333 395 117 130 395 354 354 130 395 375 116 283 117 311 116 395 312 77470 3502409 " 1,603 " Special Treatment Procedures 333 OP 558 498 " 1,523 " " 1,443 " " 1,443 " 498 " 1,523 " " 1,283 " " 1,523 " 503 558 " 1,523 " " 1,363 " " 1,363 " 558 " 1,523 " " 1,443 " 498 " 1,176 " 503 " 1,291 " 498 " 1,523 " " 1,203 " 77417 3502984 86 Radiation Therapy Port Film 333 OP N/A N/A 82 77 77 N/A 82 69 82 N/A N/A 82 73 73 N/A 82 77 N/A 73 N/A 80 69 82 65 77336 3502985 428 Medical Physics Consultation 333 OP 130 116 407 386 386 116 407 343 407 117 130 407 364 364 130 407 386 116 283 117 311 116 407 321 77370 3502986 476 Special Med Physics Consult 333 OP 130 116 452 428 428 116 452 381 452 117 130 452 404 404 130 452 428 116 283 117 311 116 452 357 77412 3502995 965 Linear Accel Complex 333 OP 256 229 917 869 869 229 917 772 917 231 256 917 821 821 256 917 869 229 360 231 396 229 917 724 94002 4000002 " 1,179 " Vent Assist & Mgmt First Day 410 OP 543 485 " 1,120 " " 1,061 " " 1,061 " 485 " 1,120 " 943 " 1,120 " 490 543 " 1,120 " " 1,002 " " 1,002 " 543 " 1,120 " " 1,061 " 485 " 1,371 " 490 " 1,505 " 485 " 1,505 " 884 94003 4000003 " 1,179 " Vent Subsequent Day 410 OP 543 485 " 1,120 " " 1,061 " " 1,061 " 485 " 1,120 " 943 " 1,120 " 490 543 " 1,120 " " 1,002 " " 1,002 " 543 " 1,120 " " 1,061 " 485 " 1,371 " 490 " 1,505 " 485 " 1,505 " 884 94640 4000004 396 Inhalation Treat Acute Initial 410 OP 187 167 376 356 356 167 376 316 376 168 187 376 336 336 187 376 356 167 186 168 204 167 376 297 94640 4000005 396 Inhalation Treat Acute Subseq 410 OP 187 167 376 356 356 167 376 316 376 168 187 376 336 336 187 376 356 167 186 168 204 167 376 297 36600 4000009 131 Arterial Puncture 410 OP 113 101 125 118 118 101 125 105 125 102 113 125 112 112 113 125 118 101 387 102 424 101 424 98 94010 4000010 277 PFT Screen Spirometry 460 OP 142 127 263 249 249 127 263 221 263 128 142 263 235 235 142 263 249 127 186 128 204 127 263 208 94060 4000011 483 PFT Pre & Post Screen Spirome 460 OP 273 244 459 434 434 244 459 386 459 246 273 459 410 410 273 459 434 244 410 246 450 244 459 362 94618 4000017 391 Six Minute Walk 460 OP 113 101 371 351 351 101 371 312 371 102 113 371 332 332 113 371 351 101 186 102 204 101 371 293 94642 4000019 396 Pentamidine Aerosol Admin 410 OP 187 167 376 356 356 167 376 316 376 168 187 376 336 336 187 376 356 167 186 168 204 167 376 297 94644 4000020 276 Nebulizer Continuous 1st Hr 410 OP 113 101 262 248 248 101 262 221 262 102 113 262 235 235 113 262 248 101 186 102 204 101 262 207 94660 4000022 " 1,179 " CPap/BiPap First Day 410 OP 187 167 " 1,120 " " 1,061 " " 1,061 " 167 " 1,120 " 943 " 1,120 " 168 187 " 1,120 " " 1,002 " " 1,002 " 187 " 1,120 " " 1,061 " 167 304 168 333 167 " 1,120 " 884 94660 4000023 " 1,179 " CPap/BiPap Subsequent Day 410 OP 187 167 " 1,120 " " 1,061 " " 1,061 " 167 " 1,120 " 943 " 1,120 " 168 187 " 1,120 " " 1,002 " " 1,002 " 187 " 1,120 " " 1,061 " 167 304 168 333 167 " 1,120 " 884 94667 4000024 427 Chest Physio & Pd Initial 410 OP 113 101 405 384 384 101 405 341 405 102 113 405 363 363 113 405 384 101 186 102 204 101 405 320 94668 4000025 396 Chest Physio & Pd Subsequent 410 OP 113 101 376 356 356 101 376 316 376 102 113 376 336 336 113 376 356 101 186 102 204 101 376 297 94726 4000027 483 PFT Plethysmography 460 OP 273 244 459 434 434 244 459 386 459 246 273 459 410 410 273 459 434 244 410 246 450 244 459 362 94729 4000028 277 PFT CO Diffusion 460 OP N/A N/A 263 249 249 N/A 263 221 263 N/A N/A 263 235 235 N/A 263 249 N/A 186 N/A 204 186 263 208 94761 4000030 391 Pulse Oximetry Multiple 460 OP N/A N/A 371 351 351 N/A 371 312 371 N/A N/A 371 332 332 N/A 371 351 N/A N/A N/A N/A 312 371 293 94762 4000031 361 Desaturation And HR Study 460 OP 142 127 343 325 325 127 343 289 343 128 142 343 307 307 142 343 325 127 186 128 204 127 343 271 4000046 290 Pulmonary Rehab COPD 60 Min 948 OP N/A N/A 276 261 261 N/A 276 232 276 N/A N/A 276 247 247 N/A 276 261 N/A N/A N/A N/A 232 276 218 4000059 290 Pulmonary Rehab COPD 60 Min>36 948 OP N/A N/A 276 261 261 N/A 276 232 276 N/A N/A 276 247 247 N/A 276 261 N/A N/A N/A N/A 232 276 218 95801 4000061 " 1,845 " Sleep Study Unattended 920 OP 113 101 " 1,753 " " 1,661 " " 1,661 " 101 " 1,753 " " 1,476 " " 1,753 " 102 113 " 1,753 " " 1,569 " " 1,569 " 113 " 1,753 " " 1,661 " 101 486 102 534 101 " 1,753 " " 1,384 " 94625 4000065 232 Pulmonary Rehab w/o Monitoring 948 OP 56 50 220 208 208 50 220 185 220 51 56 220 197 197 56 220 208 50 171 51 188 50 220 174 94625 4000067 232 Pulmonary Rebh w/o Mon >36 948 OP 56 50 220 208 208 50 220 185 220 51 56 220 197 197 56 220 208 50 171 51 188 50 220 174 93797 4100001 284 Cardiac Rehab II Unmonitored 943 OP 117 105 270 255 255 105 270 227 270 106 117 270 241 241 117 270 255 105 183 106 201 105 270 213 93798 4100002 280 Cardiac Rehab II Monitored 943 OP 117 105 266 252 252 105 266 224 266 106 117 266 238 238 117 266 252 105 183 106 201 105 266 210 93798 4100005 280 Cardiac Rehab II Monitored>36 943 OP 117 105 266 252 252 105 266 224 266 106 117 266 238 238 117 266 252 105 183 106 201 105 266 210 93797 4100006 284 Cardiac Rehab II Unmnitored>36 943 OP 117 105 270 255 255 105 270 227 270 106 117 270 241 241 117 270 255 105 183 106 201 105 270 213 93668 4100007 427 PAD Rehab Per Session 943 OP 56 50 406 385 385 50 406 342 406 51 56 406 363 363 56 406 385 50 347 51 381 50 406 320 95816 4303052 909 EEG Routine 740 OP 273 244 864 818 818 244 864 727 864 246 273 864 773 773 273 864 818 244 438 246 481 244 864 682 95812 4303056 " 1,167 " EEG 41-60 Min 740 OP 273 244 " 1,109 " " 1,050 " " 1,050 " 244 " 1,109 " 934 " 1,109 " 246 273 " 1,109 " 992 992 273 " 1,109 " " 1,050 " 244 651 246 715 244 " 1,109 " 875 95819 4303058 909 EEG Wake And Sleep 740 OP 273 244 864 818 818 244 864 727 864 246 273 864 773 773 273 864 818 244 438 246 481 244 864 682 95813 4303059 " 1,167 " EEG 60-240 Min 740 OP 273 244 " 1,109 " " 1,050 " " 1,050 " 244 " 1,109 " 934 " 1,109 " 246 273 " 1,109 " 992 992 273 " 1,109 " " 1,050 " 244 651 246 715 244 " 1,109 " 875 95810 4400002 " 2,953 " Polysomnogram 920 OP 911 813 " 2,805 " " 2,657 " " 2,657 " 813 " 2,805 " " 2,362 " " 2,805 " 822 911 " 2,805 " " 2,510 " " 2,510 " 911 " 2,805 " " 2,657 " 813 " 2,597 " 822 " 2,852 " 813 " 2,852 " " 2,214 " 95811 4400003 " 2,953 " Polysomnogram W CPap 920 OP 911 813 " 2,805 " " 2,657 " " 2,657 " 813 " 2,805 " " 2,362 " " 2,805 " 822 911 " 2,805 " " 2,510 " " 2,510 " 911 " 2,805 " " 2,657 " 813 " 2,597 " 822 " 2,852 " 813 " 2,852 " " 2,214 " 4400013 " 1,845 " Sleep Study Type III Portable G0399 920 OP 142 127 " 1,753 " " 1,661 " " 1,661 " 127 " 1,753 " " 1,476 " " 1,753 " 128 142 " 1,753 " " 1,569 " " 1,569 " 142 " 1,753 " " 1,661 " 127 486 128 534 127 " 1,753 " " 1,384 " 95851 4600030 49 ROM Measurement Excluding Hand 420 OP N/A N/A 46 44 44 N/A 46 39 46 N/A N/A 46 41 41 N/A 46 44 N/A N/A N/A N/A 39 46 36 95992 4600032 166 Canalith Repositioning Proc 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97164 4600034 166 Re Evaluation PT 424 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 189 N/A 208 133 208 125 97014 4600036 146 Electrical Stim Unattended G0283 420 OP N/A N/A 138 131 131 N/A 138 117 138 N/A N/A 138 124 124 N/A 138 131 N/A 59 N/A 65 59 138 109 97032 4600043 166 Electrical Stimulat PT 15 Min 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 59 N/A 65 59 158 125 97033 4600044 166 Iontophoresis PT 15 Min 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 59 N/A 65 59 158 125 97035 4600046 166 Ultrasound PT 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 59 N/A 65 59 158 125 97035 4600047 109 Phonophoresis PT 420 OP N/A N/A 104 98 98 N/A 104 87 104 N/A N/A 104 93 93 N/A 104 98 N/A 59 N/A 65 59 104 82 97110 4600049 166 Therapeutic Exer PT 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97112 4600050 166 Neuromuscular Re-Educ PT 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97113 4600051 166 Therapeutic Exer PT Aquatic 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97116 4600052 166 Gait Training 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 59 N/A 65 59 158 125 97140 4600054 166 Manual Therapy PT Each 15 Min 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97530 4600057 166 Therapeutic Activity PT 420 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97545 4600062 271 Work Hardening PT Initial 420 OP N/A N/A 257 244 244 N/A 257 217 257 N/A N/A 257 230 230 N/A 257 244 N/A 59 N/A 65 59 257 203 97161 4600098 261 PT Eval Low Complexity 424 OP N/A N/A 247 234 234 N/A 247 208 247 N/A N/A 247 221 221 N/A 247 234 N/A 189 N/A 208 189 247 195 97162 4600099 261 PT Eval Mod Complexity 424 OP N/A N/A 247 234 234 N/A 247 208 247 N/A N/A 247 221 221 N/A 247 234 N/A 189 N/A 208 189 247 195 97163 4600100 261 PT Eval High Complexity 424 OP N/A N/A 247 234 234 N/A 247 208 247 N/A N/A 247 221 221 N/A 247 234 N/A 189 N/A 208 189 247 195 20560 4600113 40 Dry Needling 20560 420 OP 24 22 38 36 36 22 38 32 38 22 24 38 34 34 24 38 36 22 59 22 65 22 65 30 96112 4600115 130 Devel Tst Phys/Qhp 1st Hr 420 OP 273 244 124 117 117 244 124 104 124 246 273 124 111 111 273 124 117 244 831 246 912 104 912 98 20561 4600117 60 Dry Needling 3 or More Muscles 20561 420 OP 24 22 57 54 54 22 57 48 57 22 24 57 51 51 24 57 54 22 59 22 65 22 65 45 29584 4700017 202 Appl Mult Lyr Compr UE To Fing 430 OP 142 127 192 182 182 127 192 161 192 128 142 192 172 172 142 192 182 127 142 128 156 127 192 151 96125 4700026 " 1,509 " Cognitive Performance Test OT 430 OP N/A N/A " 1,433 " " 1,358 " " 1,358 " N/A " 1,433 " " 1,207 " " 1,433 " N/A N/A " 1,433 " " 1,282 " " 1,282 " N/A " 1,433 " " 1,358 " N/A 831 N/A 912 831 " 1,433 " " 1,131 " 97168 4700028 178 Re Evaluation OT 434 OP N/A N/A 169 160 160 N/A 169 143 169 N/A N/A 169 152 152 N/A 169 160 N/A 160 N/A 176 143 176 134 97022 4700032 252 Fluidotherapy OT 430 OP N/A N/A 240 227 227 N/A 240 202 240 N/A N/A 240 215 215 N/A 240 227 N/A 59 N/A 65 59 240 189 97022 4700033 252 Whirlpool OT 430 OP N/A N/A 240 227 227 N/A 240 202 240 N/A N/A 240 215 215 N/A 240 227 N/A 59 N/A 65 59 240 189 97032 4700036 124 Electrical Stimulat OT 15 Min 430 OP N/A N/A 118 112 112 N/A 118 99 118 N/A N/A 118 105 105 N/A 118 112 N/A 59 N/A 65 59 118 93 97033 4700037 166 Iontophoresis OT 15 Min 430 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 59 N/A 65 59 158 125 97035 4700039 166 Ultrasound OT 15 Min 430 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 59 N/A 65 59 158 125 97110 4700041 166 Therapeutic Exer OT 430 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97112 4700042 166 Neuromuscular Re-Educ OT 430 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97113 4700043 166 Therapeutic Exer OT Aquatic 430 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97140 4700045 166 Manual Therapy OT Each 15 Min 430 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97140 4700046 164 Manual Therpay Lymphedema OT 430 OP N/A N/A 156 148 148 N/A 156 132 156 N/A N/A 156 140 140 N/A 156 148 N/A 121 N/A 133 121 156 123 97530 4700048 166 Therapeutic Activity OT 430 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97129 4700049 187 Cognitive Skills Development 430 OP N/A N/A 178 169 169 N/A 178 150 178 N/A N/A 178 159 159 N/A 178 169 N/A 121 N/A 133 121 178 140 97535 4700051 178 ADL Training OT 15 Min 430 OP N/A N/A 169 160 160 N/A 169 143 169 N/A N/A 169 152 152 N/A 169 160 N/A 59 N/A 65 59 169 134 97542 4700052 178 W/C Seating Fit & Train Q15 OT 430 OP N/A N/A 169 160 160 N/A 169 143 169 N/A N/A 169 152 152 N/A 169 160 N/A 121 N/A 133 121 169 134 97597 4700055 341 Debride Selective 20 Sq CM 430 OP 176 157 324 307 307 157 324 273 324 159 176 324 290 290 176 324 307 157 594 159 652 157 652 256 97165 4700092 285 OT Eval Low Complexity 434 OP N/A N/A 270 256 256 N/A 270 228 270 N/A N/A 270 242 242 N/A 270 256 N/A 160 N/A 176 160 270 213 97166 4700093 285 OT Eval Mod Complexity 434 OP N/A N/A 270 256 256 N/A 270 228 270 N/A N/A 270 242 242 N/A 270 256 N/A 160 N/A 176 160 270 213 97167 4700094 285 OT Eval High Complexity 434 OP N/A N/A 270 256 256 N/A 270 228 270 N/A N/A 270 242 242 N/A 270 256 N/A 160 N/A 176 160 270 213 97763 4700110 166 Orthc/Prostc Mgmt Sbsq Enc 430 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A 121 N/A 133 121 158 125 97130 4700114 187 Cognitive Skills Dev Ea Add 15 430 OP N/A N/A 178 169 169 N/A 178 150 178 N/A N/A 178 159 159 N/A 178 169 N/A 121 N/A 133 121 178 140 92522 4800004 366 Eval ST Speech Production 444 OP N/A N/A 347 329 329 N/A 347 293 347 N/A N/A 347 311 311 N/A 347 329 N/A 171 N/A 188 171 347 274 92523 4800005 366 Speech Sound Lang Comprehen 444 OP N/A N/A 347 329 329 N/A 347 293 347 N/A N/A 347 311 311 N/A 347 329 N/A 171 N/A 188 171 347 274 92524 4800006 341 Behavral Qualit Analys Voice 444 OP N/A N/A 324 307 307 N/A 324 273 324 N/A N/A 324 290 290 N/A 324 307 N/A 171 N/A 188 171 324 256 92526 4800007 262 Dysphagia Treatment 440 OP N/A N/A 249 236 236 N/A 249 210 249 N/A N/A 249 223 223 N/A 249 236 N/A 121 N/A 133 121 249 197 92610 4800017 366 Swallow Eval Non Radiol 444 OP N/A N/A 347 329 329 N/A 347 293 347 N/A N/A 347 311 311 N/A 347 329 N/A 171 N/A 188 171 347 274 92611 4800018 444 Swallow Evaluation Video 444 OP N/A N/A 422 399 399 N/A 422 355 422 N/A N/A 422 377 377 N/A 422 399 N/A 296 N/A 325 296 422 333 96105 4800021 " 1,787 " Aphasia Evaluation Per Hour 444 OP N/A N/A " 1,698 " " 1,608 " " 1,608 " N/A " 1,698 " " 1,430 " " 1,698 " N/A N/A " 1,698 " " 1,519 " " 1,519 " N/A " 1,698 " " 1,608 " N/A 831 N/A 912 831 " 1,698 " " 1,340 " 96125 4800024 " 1,509 " Cognitive Performance Test ST 440 OP N/A N/A " 1,433 " " 1,358 " " 1,358 " N/A " 1,433 " " 1,207 " " 1,433 " N/A N/A " 1,433 " " 1,282 " " 1,282 " N/A " 1,433 " " 1,358 " N/A 831 N/A 912 831 " 1,433 " " 1,131 " 97129 4800025 178 Cognitive Skills Development 440 OP N/A N/A 169 160 160 N/A 169 143 169 N/A N/A 169 152 152 N/A 169 160 N/A 121 N/A 133 121 169 134 92507 4800052 262 Speech Therapy Trmt 440 OP N/A N/A 249 236 236 N/A 249 210 249 N/A N/A 249 223 223 N/A 249 236 N/A 171 N/A 188 171 249 197 92523 4800053 366 Speech Sound Lang Comp or Expr 440 OP N/A N/A 347 329 329 N/A 347 293 347 N/A N/A 347 311 311 N/A 347 329 N/A 171 N/A 188 171 347 274 97130 4800059 178 Cognitive Skills Dev Ea Add 15 440 OP N/A N/A 169 160 160 N/A 169 143 169 N/A N/A 169 152 152 N/A 169 160 N/A 121 N/A 133 121 169 134 4900086 65 Fit Testing 223 OP N/A N/A 62 59 59 N/A 62 52 62 N/A N/A 62 55 55 N/A 62 59 N/A N/A N/A N/A 52 62 49 31500 5500002 " 2,435 " Intubation 450 OP 203 181 " 2,314 " " 2,192 " " 2,192 " 181 " 2,314 " " 1,948 " " 2,314 " 183 203 " 2,314 " " 2,070 " " 2,070 " 203 " 2,314 " " 2,192 " 181 " 1,821 " 183 " 2,000 " 181 " 2,314 " " 1,827 " 36415 5500003 41 Venipuncture 300 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A 15 N/A 16 15 39 31 36430 5500004 425 Blood Administration 391 OP 397 355 404 383 383 355 404 340 404 359 397 404 361 361 397 404 383 355 451 359 495 340 495 319 36592 5500006 110 Blood Draw Cent Or Periph Cath 450 OP 113 101 105 99 99 101 105 88 105 102 113 105 94 94 113 105 99 101 387 102 424 88 424 83 36680 5500007 " 1,134 " Insertion Needle Intraosseous 450 OP 368 329 " 1,077 " " 1,020 " " 1,020 " 329 " 1,077 " 907 " 1,077 " 332 368 " 1,077 " 964 964 368 " 1,077 " " 1,020 " 329 670 332 736 329 " 1,077 " 850 51700 5500008 671 Irrigation Bladder 450 OP 209 187 638 604 604 187 638 537 638 189 209 638 571 571 209 638 604 187 321 189 353 187 638 504 51701 5500009 372 Cath Insert Straight Non-Indwe 450 OP 113 101 353 335 335 101 353 297 353 102 113 353 316 316 113 353 335 101 321 102 353 101 353 279 51702 5500010 372 Cath Insert Simple Indwelling 450 OP 113 101 353 335 335 101 353 297 353 102 113 353 316 316 113 353 335 101 321 102 353 101 353 279 51703 5500011 558 Cath Insert Comp Indwelling 450 OP 142 127 530 502 502 127 530 446 530 128 142 530 474 474 142 530 502 127 321 128 353 127 530 418 5500012 372 Cath Insert Bladder Spec P9612 300 OP N/A N/A 353 335 335 N/A 353 297 353 N/A N/A 353 316 316 N/A 353 335 N/A 15 N/A 16 15 353 279 51705 5500013 " 5,916 " Suprapubic Cath Change 450 OP 209 187 " 5,620 " " 5,324 " " 5,324 " 187 " 5,620 " " 4,733 " " 5,620 " 189 209 " 5,620 " " 5,029 " " 5,029 " 209 " 5,620 " " 5,324 " 187 321 189 353 187 " 5,620 " " 4,437 " 51798 5500014 401 Bladder Scan 450 OP 56 50 381 361 361 50 381 321 381 51 56 381 341 341 56 381 361 50 321 51 353 50 381 301 59025 5500015 632 Fetal Non Stress 450 OP 174 155 600 568 568 155 600 505 600 157 174 600 537 537 174 600 568 155 446 157 490 155 600 474 86580 5500016 58 TB Skin Test 300 OP 24 22 55 52 52 22 55 46 55 22 24 55 49 49 24 55 52 22 43 22 47 22 55 43 90471 5500017 143 Immunization Administration 771 OP 66 59 136 129 129 59 136 115 136 59 66 136 122 122 66 136 129 59 32 59 35 32 136 108 92950 5500019 " 2,896 " Heart/Lung Resuscitation CPR 450 OP 273 244 " 2,751 " " 2,607 " " 2,607 " 244 " 2,751 " " 2,317 " " 2,751 " 246 273 " 2,751 " " 2,462 " " 2,462 " 273 " 2,751 " " 2,607 " 244 " 1,821 " 246 " 2,000 " 244 " 2,751 " " 2,172 " 92960 5500020 " 1,676 " Cardioversion 450 OP 573 512 " 1,592 " " 1,508 " " 1,508 " 512 " 1,592 " " 1,341 " " 1,592 " 517 573 " 1,592 " " 1,425 " " 1,425 " 573 " 1,592 " " 1,508 " 512 " 1,378 " 517 " 1,514 " 512 " 1,592 " " 1,257 " 94640 5500021 396 Nebulizer Treatment 450 OP 187 167 376 356 356 167 376 316 376 168 187 376 336 336 187 376 356 167 186 168 204 167 376 297 94640 5500022 396 Nebulizer Treatment Subsequent 450 OP 187 167 376 356 356 167 376 316 376 168 187 376 336 336 187 376 356 167 186 168 204 167 376 297 96360 5500025 570 Inf Therapy Hydration Initial 450 OP 201 180 542 513 513 180 542 456 542 182 201 542 485 485 201 542 513 180 539 182 592 180 592 428 96361 5500026 584 Inf Therapy Hydration Addl Hr 450 OP 41 37 555 525 525 37 555 467 555 37 41 555 496 496 41 555 525 37 618 37 678 37 678 438 96365 5500027 570 Inf Therapy Med Initial 450 OP 201 180 542 513 513 180 542 456 542 182 201 542 485 485 201 542 513 180 539 182 592 180 592 428 96366 5500028 584 Inf Therapy Med Addl Hr 450 OP 41 37 555 525 525 37 555 467 555 37 41 555 496 496 41 555 525 37 618 37 678 37 678 438 96367 5500029 536 Inf Therapy Med Sequential 450 OP 66 59 509 483 483 59 509 429 509 59 66 509 456 456 66 509 483 59 539 59 592 59 592 402 96368 5500030 536 Inf Therapy Med Concurrent 450 OP N/A N/A 509 483 483 N/A 509 429 509 N/A N/A 509 456 456 N/A 509 483 N/A 539 N/A 592 429 592 402 96372 5500031 143 Subq IM Injection 450 OP 66 59 136 129 129 59 136 115 136 59 66 136 122 122 66 136 129 59 32 59 35 32 136 108 96372 5500032 143 Subq IM Injection Non-Covered 450 OP 66 59 136 129 129 59 136 115 136 59 66 136 122 122 66 136 129 59 32 59 35 32 136 108 96374 5500033 201 IV Injection Initial 450 OP 201 180 191 181 181 180 191 161 191 182 201 191 171 171 201 191 181 180 32 182 35 32 201 150 96375 5500034 143 IV Injection Subsequent 450 OP 41 37 136 129 129 37 136 115 136 37 41 136 122 122 41 136 129 37 32 37 35 32 136 108 96376 5500035 143 IV Injection Ea Addl Same Drug 450 OP N/A N/A 136 129 129 N/A 136 115 136 N/A N/A 136 122 122 N/A 136 129 N/A 32 N/A 35 32 136 108 99281 5500037 305 Sane Exam G0463 450 OP 118 65 290 275 275 65 290 244 290 66 118 290 259 259 118 290 275 65 N/A 66 N/A 65 290 229 99281 5500038 228 Level I Low Severity 450 OP 73 65 216 205 205 65 216 182 216 66 73 216 193 193 73 216 205 65 N/A 66 N/A 65 216 171 99282 5500039 344 Level II Low Mod Severity 450 OP 136 122 326 309 309 122 326 275 326 123 136 326 292 292 136 326 309 122 N/A 123 N/A 122 326 258 99283 5500040 539 Level III Mod Severity 450 OP 239 213 512 485 485 213 512 431 512 215 239 512 458 458 239 512 485 213 N/A 215 N/A 213 512 404 99284 5500041 812 Level IV Mod High Severity 450 OP 372 332 771 731 731 332 771 650 771 336 372 771 690 690 372 771 731 332 N/A 336 N/A 332 771 609 99285 5500042 " 1,217 " Level V High Severity 450 OP 534 477 " 1,156 " " 1,095 " " 1,095 " 477 " 1,156 " 973 " 1,156 " 482 534 " 1,156 " " 1,034 " " 1,034 " 534 " 1,156 " " 1,095 " 477 N/A 482 N/A 477 " 1,156 " 912 99291 5500043 " 1,949 " Critical Care 1st 30-74 Min 450 OP 748 668 " 1,851 " " 1,754 " " 1,754 " 668 " 1,851 " " 1,559 " " 1,851 " 675 748 " 1,851 " " 1,656 " " 1,656 " 748 " 1,851 " " 1,754 " 668 N/A 675 N/A 668 " 1,851 " " 1,462 " 5500045 737 Repair Laceration Simple 450 OP N/A N/A 700 663 663 N/A 700 589 700 N/A N/A 700 626 626 N/A 700 663 N/A N/A N/A N/A 589 700 552 5500046 " 1,333 " Repair Laceration Intermediate 450 OP N/A N/A " 1,266 " " 1,199 " " 1,199 " N/A " 1,266 " " 1,066 " " 1,266 " N/A N/A " 1,266 " " 1,133 " " 1,133 " N/A " 1,266 " " 1,199 " N/A N/A N/A N/A " 1,066 " " 1,266 " " 1,000 " 5500047 " 3,879 " Repair Laceration Complex 450 OP N/A N/A " 3,685 " " 3,491 " " 3,491 " N/A " 3,685 " " 3,103 " " 3,685 " N/A N/A " 3,685 " " 3,297 " " 3,297 " N/A " 3,685 " " 3,491 " N/A N/A N/A N/A " 3,103 " " 3,685 " " 2,909 " 5500049 " 3,831 " Dislocation Reduction Tmt 450 OP N/A N/A " 3,640 " " 3,448 " " 3,448 " N/A " 3,640 " " 3,065 " " 3,640 " N/A N/A " 3,640 " " 3,257 " " 3,257 " N/A " 3,640 " " 3,448 " N/A N/A N/A N/A " 3,065 " " 3,640 " " 2,873 " 5500050 " 4,764 " Fracture Reduction Treatment 450 OP N/A N/A " 4,526 " " 4,288 " " 4,288 " N/A " 4,526 " " 3,812 " " 4,526 " N/A N/A " 4,526 " " 4,050 " " 4,050 " N/A " 4,526 " " 4,288 " N/A N/A N/A N/A " 3,812 " " 4,526 " " 3,573 " 5500051 517 Application Splint Or Cast 450 OP N/A N/A 491 465 465 N/A 491 413 491 N/A N/A 491 439 439 N/A 491 465 N/A N/A N/A N/A 413 491 387 5500053 347 Treatment Nosebleed 450 OP N/A N/A 330 313 313 N/A 330 278 330 N/A N/A 330 295 295 N/A 330 313 N/A N/A N/A N/A 278 330 261 5500054 " 1,865 " I&D Abscess Hematoma 450 OP N/A N/A " 1,772 " " 1,679 " " 1,679 " N/A " 1,772 " " 1,492 " " 1,772 " N/A N/A " 1,772 " " 1,586 " " 1,586 " N/A " 1,772 " " 1,679 " N/A N/A N/A N/A " 1,492 " " 1,772 " " 1,399 " 5500055 746 Repair Nail Bed 450 OP N/A N/A 708 671 671 N/A 708 596 708 N/A N/A 708 634 634 N/A 708 671 N/A N/A N/A N/A 596 708 559 5500056 " 2,226 " Insertion Chest Tube 450 OP N/A N/A " 2,115 " " 2,004 " " 2,004 " N/A " 2,115 " " 1,781 " " 2,115 " N/A N/A " 2,115 " " 1,892 " " 1,892 " N/A " 2,115 " " 2,004 " N/A N/A N/A N/A " 1,781 " " 2,115 " " 1,670 " 5500059 " 4,603 " Central Line Placmnt/Removal 450 OP N/A N/A " 4,373 " " 4,142 " " 4,142 " N/A " 4,373 " " 3,682 " " 4,373 " N/A N/A " 4,373 " " 3,912 " " 3,912 " N/A " 4,373 " " 4,142 " N/A N/A N/A N/A " 3,682 " " 4,373 " " 3,452 " 5500060 " 1,245 " Lumbar Puncture 450 OP N/A N/A " 1,183 " " 1,120 " " 1,120 " N/A " 1,183 " 996 " 1,183 " N/A N/A " 1,183 " " 1,058 " " 1,058 " N/A " 1,183 " " 1,120 " N/A N/A N/A N/A 996 " 1,183 " 934 5500063 785 Joint Inj/Aspir or Trigger Pnt 450 OP N/A N/A 746 707 707 N/A 746 628 746 N/A N/A 746 668 668 N/A 746 707 N/A N/A N/A N/A 628 746 589 5500064 " 1,650 " Biopsy Procedure 450 OP N/A N/A " 1,568 " " 1,485 " " 1,485 " N/A " 1,568 " " 1,320 " " 1,568 " N/A N/A " 1,568 " " 1,403 " " 1,403 " N/A " 1,568 " " 1,485 " N/A N/A N/A N/A " 1,320 " " 1,568 " " 1,238 " 5500065 " 1,277 " Gastric Tube Procedure 450 OP N/A N/A " 1,214 " " 1,150 " " 1,150 " N/A " 1,214 " " 1,022 " " 1,214 " N/A N/A " 1,214 " " 1,086 " " 1,086 " N/A " 1,214 " " 1,150 " N/A N/A N/A N/A " 1,022 " " 1,214 " 958 5500067 " 3,191 " Arterial Line Placement 450 OP N/A N/A " 3,031 " " 2,872 " " 2,872 " N/A " 3,031 " " 2,553 " " 3,031 " N/A N/A " 3,031 " " 2,712 " " 2,712 " N/A " 3,031 " " 2,872 " N/A N/A N/A N/A " 2,553 " " 3,031 " " 2,393 " 5500068 361 FB Removal Intranasal 450 OP N/A N/A 343 325 325 N/A 343 289 343 N/A N/A 343 307 307 N/A 343 325 N/A N/A N/A N/A 289 343 271 5500069 " 1,865 " I&D Pilonidal Cyst Simple 450 OP N/A N/A " 1,772 " " 1,679 " " 1,679 " N/A " 1,772 " " 1,492 " " 1,772 " N/A N/A " 1,772 " " 1,586 " " 1,586 " N/A " 1,772 " " 1,679 " N/A N/A N/A N/A " 1,492 " " 1,772 " " 1,399 " 5500073 470 Burn Care Procedure Simple 450 OP N/A N/A 447 423 423 N/A 447 376 447 N/A N/A 447 400 400 N/A 447 423 N/A N/A N/A N/A 376 447 353 5500076 " 7,052 " Tracheostomy ER 450 OP N/A N/A " 6,699 " " 6,347 " " 6,347 " N/A " 6,699 " " 5,641 " " 6,699 " N/A N/A " 6,699 " " 5,994 " " 5,994 " N/A " 6,699 " " 6,347 " N/A N/A N/A N/A " 5,641 " " 6,699 " " 5,289 " 5500078 361 Remove Foreign Body Eye 450 OP N/A N/A 343 325 325 N/A 343 289 343 N/A N/A 343 307 307 N/A 343 325 N/A N/A N/A N/A 289 343 271 5500079 " 1,768 " Incision/Removal FB Simple 450 OP N/A N/A " 1,679 " " 1,591 " " 1,591 " N/A " 1,679 " " 1,414 " " 1,679 " N/A N/A " 1,679 " " 1,503 " " 1,503 " N/A " 1,679 " " 1,591 " N/A N/A N/A N/A " 1,414 " " 1,679 " " 1,326 " 5500080 361 Remove Foreign Body Ear 450 OP N/A N/A 343 325 325 N/A 343 289 343 N/A N/A 343 307 307 N/A 343 325 N/A N/A N/A N/A 289 343 271 5500081 593 Debridement Wound 450 OP N/A N/A 563 534 534 N/A 563 474 563 N/A N/A 563 504 504 N/A 563 534 N/A N/A N/A N/A 474 563 445 5500082 " 1,933 " Evacuation Subungual Hematoma 450 OP N/A N/A " 1,836 " " 1,739 " " 1,739 " N/A " 1,836 " " 1,546 " " 1,836 " N/A N/A " 1,836 " " 1,643 " " 1,643 " N/A " 1,836 " " 1,739 " N/A N/A N/A N/A " 1,546 " " 1,836 " " 1,449 " 5500083 " 3,249 " Vaginal Delivery 450 OP N/A N/A " 3,087 " " 2,924 " " 2,924 " N/A " 3,087 " " 2,599 " " 3,087 " N/A N/A " 3,087 " " 2,762 " " 2,762 " N/A " 3,087 " " 2,924 " N/A N/A N/A N/A " 2,599 " " 3,087 " " 2,437 " 5500084 782 Dental Nerve Block 450 OP N/A N/A 743 704 704 N/A 743 626 743 N/A N/A 743 665 665 N/A 743 704 N/A N/A N/A N/A 626 743 587 5500085 " 1,562 " Nerve Block 450 OP N/A N/A " 1,483 " " 1,405 " " 1,405 " N/A " 1,483 " " 1,249 " " 1,483 " N/A N/A " 1,483 " " 1,327 " " 1,327 " N/A " 1,483 " " 1,405 " N/A N/A N/A N/A " 1,249 " " 1,483 " " 1,171 " 99152 5500087 310 Mod Sedation Same MD >5 YRS 450 OP N/A N/A 295 279 279 N/A 295 248 295 N/A N/A 295 264 264 N/A 295 279 N/A 51 N/A 56 51 295 233 99156 5500090 310 Med Sedation Oth MD > 5 yrs 450 OP N/A N/A 295 279 279 N/A 295 248 295 N/A N/A 295 264 264 N/A 295 279 N/A 51 N/A 56 51 295 233 5500092 " 1,128 " Perineal Abscess 450 OP N/A N/A " 1,072 " " 1,015 " " 1,015 " N/A " 1,072 " 903 " 1,072 " N/A N/A " 1,072 " 959 959 N/A " 1,072 " " 1,015 " N/A N/A N/A N/A 903 " 1,072 " 846 5500097 " 2,392 " Cystoscopy 450 OP N/A N/A " 2,272 " " 2,153 " " 2,153 " N/A " 2,272 " " 1,914 " " 2,272 " N/A N/A " 2,272 " " 2,033 " " 2,033 " N/A " 2,272 " " 2,153 " N/A N/A N/A N/A " 1,914 " " 2,272 " " 1,794 " 5500098 624 Cauterize Tissue 450 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 5500099 " 1,933 " Puncture Aspiration 450 OP N/A N/A " 1,836 " " 1,739 " " 1,739 " N/A " 1,836 " " 1,546 " " 1,836 " N/A N/A " 1,836 " " 1,643 " " 1,643 " N/A " 1,836 " " 1,739 " N/A N/A N/A N/A " 1,546 " " 1,836 " " 1,449 " 5500100 671 Bladder Irrigation 450 OP N/A N/A 638 604 604 N/A 638 537 638 N/A N/A 638 571 571 N/A 638 604 N/A N/A N/A N/A 537 638 504 5500101 720 Nerve Block 450 OP N/A N/A 684 648 648 N/A 684 576 684 N/A N/A 684 612 612 N/A 684 648 N/A N/A N/A N/A 576 684 540 5500103 569 Nasopharyngoscopy 450 OP N/A N/A 540 512 512 N/A 540 455 540 N/A N/A 540 484 484 N/A 540 512 N/A N/A N/A N/A 455 540 427 5500106 " 5,750 " Amputation 450 OP N/A N/A " 5,462 " " 5,175 " " 5,175 " N/A " 5,462 " " 4,600 " " 5,462 " N/A N/A " 5,462 " " 4,887 " " 4,887 " N/A " 5,462 " " 5,175 " N/A N/A N/A N/A " 4,600 " " 5,462 " " 4,312 " 92953 5500111 " 2,072 " Temporary External Pacing 450 OP 573 512 " 1,969 " " 1,865 " " 1,865 " 512 " 1,969 " " 1,658 " " 1,969 " 517 573 " 1,969 " " 1,761 " " 1,761 " 573 " 1,969 " " 1,865 " 512 " 1,378 " 517 " 1,514 " 512 " 1,969 " " 1,554 " 5500112 448 Laryngoscopy 450 OP N/A N/A 425 403 403 N/A 425 358 425 N/A N/A 425 380 380 N/A 425 403 N/A N/A N/A N/A 358 425 336 82272 5500113 42 Occult Blood Diagnostic 301 OP N/A N/A 40 38 38 N/A 40 34 40 N/A N/A 40 36 36 N/A 40 38 N/A 29 N/A 32 29 40 32 5500115 " 1,482 " Oral or Dental Procedure 450 OP N/A N/A " 1,408 " " 1,334 " " 1,334 " N/A " 1,408 " " 1,185 " " 1,408 " N/A N/A " 1,408 " " 1,260 " " 1,260 " N/A " 1,408 " " 1,334 " N/A N/A N/A N/A " 1,185 " " 1,408 " " 1,111 " 37195 5500117 679 Thrombolytic Therapy Stroke 450 OP 324 290 645 611 611 290 645 543 645 292 324 645 577 577 324 645 611 290 539 292 592 290 645 509 92977 5500118 678 Dissolve Clot Heart Vessel 450 OP 324 290 644 610 610 290 644 542 644 292 324 644 576 576 324 644 610 290 618 292 678 290 678 508 5500124 41 SARS-COV-2 Collection C9803 450 OP 24 22 39 37 37 22 39 33 39 22 24 39 35 35 24 39 37 22 15 22 16 15 39 31 20690 5500139 " 6,296 " Apply Uniplane Unilateral 450 OP " 6,446 " " 5,759 " " 5,981 " " 5,666 " " 5,666 " " 5,759 " " 5,981 " " 5,037 " " 5,981 " " 5,816 " " 6,446 " " 5,981 " " 5,352 " " 5,352 " " 6,446 " " 5,981 " " 5,666 " " 5,759 " " 4,734 " " 5,816 " " 5,198 " " 4,734 " " 6,446 " " 4,722 " 5500145 475 Remove Skin Tags 450 OP N/A N/A 451 428 428 N/A 451 380 451 N/A N/A 451 404 404 N/A 451 428 N/A N/A N/A N/A 380 451 356 5502965 142 Telehealth Facility Fee Q3014 450 OP N/A N/A 135 128 128 N/A 135 114 135 N/A N/A 135 121 121 N/A 135 128 N/A 72 N/A 79 72 135 107 97802 5600002 79 MNT Indiv Initial Ea 15 Min 942 OP N/A N/A 75 71 71 N/A 75 63 75 N/A N/A 75 67 67 N/A 75 71 N/A 121 N/A 133 63 133 59 97803 5600003 79 MNT Indiv Subsequent Ea 15 min 942 OP N/A N/A 75 71 71 N/A 75 63 75 N/A N/A 75 67 67 N/A 75 71 N/A 121 N/A 133 63 133 59 5600005 139 Diabetes DSMT RD Ind Ea30 G0108 942 OP N/A N/A 132 125 125 N/A 132 111 132 N/A N/A 132 118 118 N/A 132 125 N/A 192 N/A 211 111 211 105 95250 5600012 144 Glucose Monitoring 72 Hrs 920 OP 118 105 136 129 129 105 136 115 136 106 118 136 122 122 118 136 129 105 212 106 233 105 233 108 5600018 179 Behavior Counsel Obesity 15 M G0447 770 OP 74 66 170 161 161 66 170 143 170 67 74 170 152 152 74 170 161 66 117 67 128 66 170 134 95249 5600020 144 Gluc Mon Cont Ptnt Prvdd Equip 920 OP 56 50 136 129 129 50 136 115 136 51 56 136 122 122 56 136 129 50 212 51 233 50 233 108 5600024 139 Diabetes DSMT RN Ind Ea30 G0108 942 OP N/A N/A 132 125 125 N/A 132 111 132 N/A N/A 132 118 118 N/A 132 125 N/A 192 N/A 211 111 211 105 5800011 845 Amb Bls Non Emerg Hosp/Hosp A0428 540 OP N/A N/A 803 761 761 N/A 803 676 803 N/A N/A 803 719 719 N/A 803 761 N/A N/A N/A N/A 676 803 634 5800012 145 Amb Extra Attendant A0424 540 OP N/A N/A 138 131 131 N/A 138 116 138 N/A N/A 138 123 123 N/A 138 131 N/A N/A N/A N/A 116 138 109 5800015 " 1,353 " Amb Bls Emergent Scene/Hosp A0429 540 OP N/A N/A " 1,285 " " 1,218 " " 1,218 " N/A " 1,285 " " 1,082 " " 1,285 " N/A N/A " 1,285 " " 1,150 " " 1,150 " N/A " 1,285 " " 1,218 " N/A N/A N/A N/A " 1,082 " " 1,285 " " 1,015 " 5800016 " 1,607 " Amb Als Emergent Scene/Hosp A0427 540 OP N/A N/A " 1,527 " " 1,446 " " 1,446 " N/A " 1,527 " " 1,286 " " 1,527 " N/A N/A " 1,527 " " 1,366 " " 1,366 " N/A " 1,527 " " 1,446 " N/A N/A N/A N/A " 1,286 " " 1,527 " " 1,205 " 5800017 " 2,325 " Amb Als 2 Scene/Hosp A0433 540 OP N/A N/A " 2,209 " " 2,093 " " 2,093 " N/A " 2,209 " " 1,860 " " 2,209 " N/A N/A " 2,209 " " 1,976 " " 1,976 " N/A " 2,209 " " 2,093 " N/A N/A N/A N/A " 1,860 " " 2,209 " " 1,744 " 5800018 " 1,015 " Amb Als Nonemerg Hosp/Hosp A0426 540 OP N/A N/A 964 913 913 N/A 964 812 964 N/A N/A 964 863 863 N/A 964 913 N/A N/A N/A N/A 812 964 761 5800019 " 1,607 " Amb Als Emergent Hosp/Hosp A0427 540 OP N/A N/A " 1,527 " " 1,446 " " 1,446 " N/A " 1,527 " " 1,286 " " 1,527 " N/A N/A " 1,527 " " 1,366 " " 1,366 " N/A " 1,527 " " 1,446 " N/A N/A N/A N/A " 1,286 " " 1,527 " " 1,205 " 5800020 " 2,325 " Amb Als 2 Hosp/Hosp A0433 540 OP N/A N/A " 2,209 " " 2,093 " " 2,093 " N/A " 2,209 " " 1,860 " " 2,209 " N/A N/A " 2,209 " " 1,976 " " 1,976 " N/A " 2,209 " " 2,093 " N/A N/A N/A N/A " 1,860 " " 2,209 " " 1,744 " 5800021 " 2,748 " Amb Special Care Hosp/Hosp A0434 540 OP N/A N/A " 2,611 " " 2,473 " " 2,473 " N/A " 2,611 " " 2,199 " " 2,611 " N/A N/A " 2,611 " " 2,336 " " 2,336 " N/A " 2,611 " " 2,473 " N/A N/A N/A N/A " 2,199 " " 2,611 " " 2,061 " 5800024 845 Amb Bls Nonemergent Hosp/Home A0428 540 OP N/A N/A 803 761 761 N/A 803 676 803 N/A N/A 803 719 719 N/A 803 761 N/A N/A N/A N/A 676 803 634 5800025 2 Amb Miles Hosp/Home A0425 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800026 2 Amb Noncov Mlg Hosp/Home A0888 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800027 845 Amb Bls Pt Expired Scene/Hosp A0428 540 OP N/A N/A 803 761 761 N/A 803 676 803 N/A N/A 803 719 719 N/A 803 761 N/A N/A N/A N/A 676 803 634 5800034 2 Amb Ground Mileage Hos/Airport A0425 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800035 2 Amb Ground Mileage Home/Hosp A0425 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800036 2 Amb Ground Mileage Hosp/Hosp A0425 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800037 2 Amb Ground Mlg Scene/Hosp A0425 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800039 " 1,607 " Amb Als Emergent Home/Hosp A0427 540 OP N/A N/A " 1,527 " " 1,446 " " 1,446 " N/A " 1,527 " " 1,286 " " 1,527 " N/A N/A " 1,527 " " 1,366 " " 1,366 " N/A " 1,527 " " 1,446 " N/A N/A N/A N/A " 1,286 " " 1,527 " " 1,205 " 5800041 845 Amb Bls Non Emerg Home/Hosp A0428 540 OP N/A N/A 803 761 761 N/A 803 676 803 N/A N/A 803 719 719 N/A 803 761 N/A N/A N/A N/A 676 803 634 5800042 " 1,353 " Amb Bls Emergent Hosp/Hosp A0429 540 OP N/A N/A " 1,285 " " 1,218 " " 1,218 " N/A " 1,285 " " 1,082 " " 1,285 " N/A N/A " 1,285 " " 1,150 " " 1,150 " N/A " 1,285 " " 1,218 " N/A N/A N/A N/A " 1,082 " " 1,285 " " 1,015 " 5800043 " 1,353 " Amb Bls Emergent Home/Hosp A0429 540 OP N/A N/A " 1,285 " " 1,218 " " 1,218 " N/A " 1,285 " " 1,082 " " 1,285 " N/A N/A " 1,285 " " 1,150 " " 1,150 " N/A " 1,285 " " 1,218 " N/A N/A N/A N/A " 1,082 " " 1,285 " " 1,015 " 5800046 " 2,325 " Amb Als 2 Home/Hosp A0433 540 OP N/A N/A " 2,209 " " 2,093 " " 2,093 " N/A " 2,209 " " 1,860 " " 2,209 " N/A N/A " 2,209 " " 1,976 " " 1,976 " N/A " 2,209 " " 2,093 " N/A N/A N/A N/A " 1,860 " " 2,209 " " 1,744 " 5800047 " 1,353 " Amb Bls Emergent Hosp/Airport A0429 540 OP N/A N/A " 1,285 " " 1,218 " " 1,218 " N/A " 1,285 " " 1,082 " " 1,285 " N/A N/A " 1,285 " " 1,150 " " 1,150 " N/A " 1,285 " " 1,218 " N/A N/A N/A N/A " 1,082 " " 1,285 " " 1,015 " 5800049 2 Amb Grnd Mileage NonSNF/Hosp A0425 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800051 2 Amb Grnd Mileage SNF/Hospital A0425 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800052 2 Amb Ground MileageHospital/SNF A0425 540 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A N/A N/A N/A 2 2 2 5800056 " 1,607 " Amb Als Emerg Non SNF/Hosp A0427 540 OP N/A N/A " 1,527 " " 1,446 " " 1,446 " N/A " 1,527 " " 1,286 " " 1,527 " N/A N/A " 1,527 " " 1,366 " " 1,366 " N/A " 1,527 " " 1,446 " N/A N/A N/A N/A " 1,286 " " 1,527 " " 1,205 " 5800058 " 1,607 " Amb Als Emerg SNF/Hosp A0427 540 OP N/A N/A " 1,527 " " 1,446 " " 1,446 " N/A " 1,527 " " 1,286 " " 1,527 " N/A N/A " 1,527 " " 1,366 " " 1,366 " N/A " 1,527 " " 1,446 " N/A N/A N/A N/A " 1,286 " " 1,527 " " 1,205 " 5800061 845 Amb Bls Non Emerg SNF/Hosp A0428 540 OP N/A N/A 803 761 761 N/A 803 676 803 N/A N/A 803 719 719 N/A 803 761 N/A N/A N/A N/A 676 803 634 5800062 845 Amb Bls Non Emerg Hosp/SNF A0428 540 OP N/A N/A 803 761 761 N/A 803 676 803 N/A N/A 803 719 719 N/A 803 761 N/A N/A N/A N/A 676 803 634 5800064 " 1,353 " Amb Bls Emerg Non SNF/Hosp A0429 540 OP N/A N/A " 1,285 " " 1,218 " " 1,218 " N/A " 1,285 " " 1,082 " " 1,285 " N/A N/A " 1,285 " " 1,150 " " 1,150 " N/A " 1,285 " " 1,218 " N/A N/A N/A N/A " 1,082 " " 1,285 " " 1,015 " 5800066 " 1,353 " Amb Bls Emerg SNF/Hosp A0429 540 OP N/A N/A " 1,285 " " 1,218 " " 1,218 " N/A " 1,285 " " 1,082 " " 1,285 " N/A N/A " 1,285 " " 1,150 " " 1,150 " N/A " 1,285 " " 1,218 " N/A N/A N/A N/A " 1,082 " " 1,285 " " 1,015 " 5800076 969 GEMT Cost Supplemental Charge A0999 540 OP N/A N/A 920 872 872 N/A 920 775 920 N/A N/A 920 823 823 N/A 920 872 N/A N/A N/A N/A 775 920 727 5800077 395 Amb ALS Non Transport A0998 540 OP N/A N/A 376 356 356 N/A 376 316 376 N/A N/A 376 336 336 N/A 376 356 N/A N/A N/A N/A 316 376 297 5900006 518 Trauma Team Level 4 G0390 684 OP " 1,122 " " 1,003 " 492 466 466 " 1,003 " 492 415 492 " 1,013 " " 1,122 " 492 440 440 " 1,122 " 492 466 " 1,003 " N/A " 1,013 " N/A 415 " 1,122 " 389 7015564 150 Plug Bn Cmnt Artsn Sm 9-12Mm 272 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A N/A N/A N/A 120 143 113 7015565 150 Plug Bone Howmedica Med 1Pk 272 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A N/A N/A N/A 120 143 113 7015574 286 Cement Bn Smpx P Radopq Strl 272 OP N/A N/A 271 257 257 N/A 271 229 271 N/A N/A 271 243 243 N/A 271 257 N/A N/A N/A N/A 229 271 214 7015576 286 Cement Bn Smpx P Rdpq Speedset 272 OP N/A N/A 271 257 257 N/A 271 229 271 N/A N/A 271 243 243 N/A 271 257 N/A N/A N/A N/A 229 271 214 7015593 " 1,158 " Cement Bn Smpx P Rdpq Tbr Fd 272 OP N/A N/A " 1,100 " " 1,042 " " 1,042 " N/A " 1,100 " 926 " 1,100 " N/A N/A " 1,100 " 984 984 N/A " 1,100 " " 1,042 " N/A N/A N/A N/A 926 " 1,100 " 868 7015603 " 3,000 " Ins Actb 38D Hip Antm Dl Mbl C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7015604 " 3,000 " Ins Actb 38D Hip Antm Dl Mbl C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7015606 " 3,000 " Ins Actb 48Mm 28Mm Hip Antm Dl C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7015608 " 3,000 " Ins Actb 58Mm 28Mm 0D Hip Antm C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7015609 " 3,000 " Ins Actb 54Mm 28Mm 0D Hip Antm C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7015773 " 3,000 " Liner Actb 36MM 0D E Hip X3 C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7015775 " 3,000 " Liner Actb 36MM 0D G Hip X3 C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7015776 " 3,000 " Liner Actb 36MM 0D H Hip X3 C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7015835 " 2,250 " Liner Actb C 36MM Hip Mdlr 2 C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7015836 " 2,250 " Liner Actb D 38MM Hip Mdlr 2 C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7015837 " 2,250 " Liner Actb E 42MM Hip Mdlr 2 C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7015838 " 2,250 " Liner Actb F 46MM Cocr Hip C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7015839 " 2,250 " Liner Actb Mdm G 48MM Cocr Hip C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7016082 318 Spacer Fem Od8 Unv Cmnt Hip 272 OP N/A N/A 302 286 286 N/A 302 254 302 N/A N/A 302 270 270 N/A 302 286 N/A N/A N/A N/A 254 302 239 7016083 318 Spacer Fem Od9 Unv Cmnt Hip 272 OP N/A N/A 302 286 286 N/A 302 254 302 N/A N/A 302 270 270 N/A 302 286 N/A N/A N/A N/A 254 302 239 7016084 318 Plug Bn Spcr Cmnt Dist 0010 272 OP N/A N/A 302 286 286 N/A 302 254 302 N/A N/A 302 270 270 N/A 302 286 N/A N/A N/A N/A 254 302 239 7016085 318 Plug Bn Spcr Cmnt Dist 0011 272 OP N/A N/A 302 286 286 N/A 302 254 302 N/A N/A 302 270 270 N/A 302 286 N/A N/A N/A N/A 254 302 239 7016086 318 Plug Bn Spcr Cmnt Dist 0012 272 OP N/A N/A 302 286 286 N/A 302 254 302 N/A N/A 302 270 270 N/A 302 286 N/A N/A N/A N/A 254 302 239 7016087 318 Spacer Fem Od13 Cmnt Dist Hip 272 OP N/A N/A 302 286 286 N/A 302 254 302 N/A N/A 302 270 270 N/A 302 286 N/A N/A N/A N/A 254 302 239 7016162 " 1,500 " Joint Dvc Head Fem -4MM 28MM C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016167 " 1,500 " Head Fem 0 22.2MM Hip Tpr C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016168 " 1,500 " Head Fem ) 26MM Hip Tpr C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016169 " 1,500 " Head Fem 0 28MM Hip Tpr C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016171 " 1,500 " Head Fem 0 36MM Hip Tpr C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016174 " 1,500 " Head Fem 22MM Hip Tpr C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016176 " 1,500 " Head Fem 4 28MM Hip Tpr C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016181 " 1,500 " Head Fem +8MM 22MM Hip Tpr C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016183 " 1,500 " Head Fem 8 28MM Hip Tpr C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016208 " 3,000 " Head Fem -4 28MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016210 " 3,000 " Head Fem -5 36MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016211 " 3,000 " Head Fem 0 28MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016213 " 3,000 " Head Fem 0 36MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016214 " 3,000 " Head Fem 4 28MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016216 " 3,000 " Head Fem 5 36MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016217 " 3,000 " Head Fem -2.7 28MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016218 " 3,000 " Head Fem -2.5 36MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016219 " 3,000 " Head Fem 2.5 36MM Hip Blx C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016220 " 3,000 " Head Fem 7.5 36MM Hip Blx D C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7016524 " 5,100 " Stem Fem L124 127D CMnt Acld 3 C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7016525 " 5,100 " Stem Fem L124 127D CMnt Acld 4 C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7016526 " 5,100 " Stem Fem L124 127D CMnt Acld 5 C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7016531 " 5,100 " Stem Fem L124 127D CMnt Acld 4 C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7016532 " 5,100 " Stem Fem L124 127D CMnt Acld 5 C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7016533 " 5,100 " Stem Fem L124 127D CMnt Acld 6 C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7016647 " 4,350 " Stem Fem L115 127D CMntls Hip C1776 278 OP N/A N/A " 4,133 " " 3,915 " " 3,915 " N/A " 4,133 " " 3,480 " " 4,133 " N/A N/A " 4,133 " " 3,698 " " 3,698 " N/A " 4,133 " " 3,915 " N/A N/A N/A N/A " 3,480 " " 4,133 " " 3,263 " 7016648 " 4,350 " Stem Fem L120 127D CMntls Hip C1776 278 OP N/A N/A " 4,133 " " 3,915 " " 3,915 " N/A " 4,133 " " 3,480 " " 4,133 " N/A N/A " 4,133 " " 3,698 " " 3,698 " N/A " 4,133 " " 3,915 " N/A N/A N/A N/A " 3,480 " " 4,133 " " 3,263 " 7016649 " 4,350 " Stem Fem L125 127D CMntls Hip C1776 278 OP N/A N/A " 4,133 " " 3,915 " " 3,915 " N/A " 4,133 " " 3,480 " " 4,133 " N/A N/A " 4,133 " " 3,698 " " 3,698 " N/A " 4,133 " " 3,915 " N/A N/A N/A N/A " 3,480 " " 4,133 " " 3,263 " 7016696 " 6,900 " Stem Fem L99 132D Acld 2 2 Hip C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016697 " 6,900 " Stem Fem 132D Acld 2 3 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016698 " 6,900 " Stem Fem 132D Acld 2 4 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016699 " 6,900 " Stem Fem 132D Acld 2 5 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016700 " 6,900 " Stem Fem 132D Acld 2 6 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016701 " 6,900 " Stem Fem 132D Acld 2 7 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016702 " 6,900 " Stem Fem 132D Acld 2 8 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016705 " 6,900 " Stem Fem 132D Acld 2 11 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016708 " 6,900 " Stem Fem L99 127D Acld 2 2 Hip C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016709 " 6,900 " Stem Fem 127D Acld 2 3 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016710 " 6,900 " Stem Fem 127D Acld 2 4 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016711 " 6,900 " Stem Fem 127D Acld 2 5 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016712 " 6,900 " Stem Fem 127D Acld 2 6 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016713 " 6,900 " Stem Fem 127D Acld 2 7 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016714 " 6,900 " Stem Fem 127D Acld 2 8 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016715 " 6,900 " Stem Fem L120 Od11 127D Acld 2 C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7016759 " 1,500 " Head Unplr 43MM Untrx Hip Fem C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016761 " 1,500 " Head Unplr 45MM Untrx Hip Fem C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016762 " 1,500 " Head Unplr 46MM Untrx Hip Fem C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016763 " 1,500 " Head Unplr 47MM Untrx Hip Fem C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016764 " 1,500 " Head Unplr 48MM Untrx Hip Fem C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016765 " 1,500 " Head Unplr 49MM Untrx Hip Fem C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016766 " 1,500 " Head Unplr 50MM Untrx Hip Fem C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016768 " 1,500 " Head Unplr 52MM Untrx Hip Fem C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7016789 " 2,400 " Head Bp 41MM 26MM Uhr Unv Hip C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016797 " 2,400 " Head Bp 44MM 28MM Uhr Unv Hip C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016800 " 2,400 " Head Bp 45MM 28MM Uhr Unv Hip C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016803 " 2,400 " Joint Dvc Head Fem 46MM 28MM C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016806 " 2,400 " Joint Dvc Head Bp 47MM 28MM C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016809 " 2,400 " Joint Dvc Head Bp 48MM 28MM C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016813 " 2,400 " Head Bp 49MM 28MM Uhr Unv Hip C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016817 " 2,400 " Head Bp 50MM 28MM Uhr Unv Hip C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016821 " 2,400 " Joint Dvc Head Bp 51MM 28MM C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016825 " 2,400 " Joint Dvc Head Bp 52MM 28MM C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016833 " 2,400 " Joint Dvc Head Bp 54MM 28MM C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7016864 428 Sleeve Cntrg U V40 -4MM Hip C1776 278 OP N/A N/A 406 385 385 N/A 406 342 406 N/A N/A 406 363 363 N/A 406 385 N/A N/A N/A N/A 342 406 321 7016865 428 Sleeve Cntrg U V40 0MM Tpr H C1776 278 OP N/A N/A 406 385 385 N/A 406 342 406 N/A N/A 406 363 363 N/A 406 385 N/A N/A N/A N/A 342 406 321 7016866 428 Sleeve Cntrg U V40 4MM Tpr H C1776 278 OP N/A N/A 406 385 385 N/A 406 342 406 N/A N/A 406 363 363 N/A 406 385 N/A N/A N/A N/A 342 406 321 7016867 428 Sleeve Cntrg U V40 8MM Tpr H C1776 278 OP N/A N/A 406 385 385 N/A 406 342 406 N/A N/A 406 363 363 N/A 406 385 N/A N/A N/A N/A 342 406 321 7016874 " 1,137 " Joint Dvc Kn Peg Fx Fem C1776 278 OP N/A N/A " 1,080 " " 1,023 " " 1,023 " N/A " 1,080 " 910 " 1,080 " N/A N/A " 1,080 " 966 966 N/A " 1,080 " " 1,023 " N/A N/A N/A N/A 910 " 1,080 " 853 7016972 " 3,150 " Ins Tib 2 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7016973 " 3,150 " Ins Tib 2 11MM Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7016981 " 3,150 " Ins Tib 3 13MM Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7016993 " 3,150 " Ins Tib 5 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7017010 " 3,150 " Ins Tib 7 16MM Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7017035 " 2,250 " Ins Tib 3 8-9MM TRThln C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7017042 " 2,250 " Ins Tib 4 9MM Kn Cndyl Stab C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7017043 " 2,250 " Ins Tib 4 11MM Cs TRThln C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7017049 " 2,250 " Ins Tib 5 9MM Kn Cndyl Stab C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7017056 " 2,250 " Ins Tib 6 9MM Kn Cndyl Stab C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7017064 " 2,250 " Ins Tib 7 11MM Kn Cndyl Stab C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7017106 " 3,150 " Joint Dvc Ins Tib 5 11MM X3 C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7017645 " 4,950 " Comp Fem 2 Kn LT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017646 " 4,950 " Comp Fem 2 Kn RT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017647 " 4,950 " Joint Dvc Triathlon Kn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017648 " 4,950 " Comp Fem 3 Kn RT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017649 " 4,950 " Comp Fem 4 Kn LT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017650 " 4,950 " Comp Fem 4 Kn RT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017651 " 4,950 " Comp Fem 5 Kn LT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017652 " 4,950 " Comp Fem 5 Kn RT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017653 " 4,950 " Comp Fem 6 Kn LT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017654 " 4,950 " Comp Fem 6 Kn RT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017655 " 4,950 " Comp Fem 7 Kn LT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017656 " 4,950 " Comp Fem 7 Kn RT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017657 " 4,950 " Comp Fem 8 Kn LT Crcte RTn C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017665 " 4,950 " Joint Dvc CMpnt Kn 4 Lt C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017666 " 4,950 " Joint Dvc CMpnt Kn 4 Rt C1776 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7017835 " 6,300 " Comp Fem 1 Kn LT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017836 " 6,300 " Comp Fem 1 Kn RT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017837 " 6,300 " Comp Fem 2 Kn LT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017838 " 6,300 " Comp Fem 2 Kn RT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017839 " 6,300 " Comp Fem 3 Kn LT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017840 " 6,300 " Comp Fem 3 Kn RT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017841 " 6,300 " Comp Fem 4 Kn LT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017842 " 6,300 " Comp Fem 4 Kn RT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017843 " 6,300 " Comp Fem 5 Kn LT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017844 " 6,300 " Comp Fem 5 Kn RT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017845 " 6,300 " Comp Fem 6 Kn LT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017846 " 6,300 " Comp Fem 6 Kn RT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017847 " 6,300 " Comp Fem 7 Kn LT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017848 " 6,300 " Comp Fem 7 Kn RT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017849 " 6,300 " Comp Fem 8 Kn LT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017850 " 6,300 " Comp Fem 8 Kn RT Crcte RTn C1776 278 OP N/A N/A " 5,985 " " 5,670 " " 5,670 " N/A " 5,985 " " 5,040 " " 5,985 " N/A N/A " 5,985 " " 5,355 " " 5,355 " N/A " 5,985 " " 5,670 " N/A N/A N/A N/A " 5,040 " " 5,985 " " 4,725 " 7017950 " 1,200 " Comp Patellar Smtr 9MM 33MM C1776 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7017954 900 Comp Patellar 8MM 29MM Smtr C1776 278 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7017955 900 Comp Patellar 9MM 31MM Smtr C1776 278 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7017962 " 1,200 " Joint Dvc Ptlr 11X38MM Asym C1776 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7017964 900 Comp Patellar 9MM 29MM Asym C1776 278 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7018024 " 2,700 " Joint Dvc Tib Trthln 2 Cmnt C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7018025 " 2,700 " Bsplt Tib Trthln 3 Kn Prm Cmnt C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7018026 " 2,700 " Bsplt Tib Trthln 4 Kn Prm Cmnt C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7018027 " 2,700 " Bsplt Tib Trthln 5 Kn Prm Cmnt C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7018028 " 2,700 " Bsplt Tib Trthln 6 Kn Prm Cmnt C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7018029 " 2,700 " Bsplt Tib Trthln 7 Kn Prm Cmnt C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7018030 " 2,700 " Bsplt Tib Trthln 8 Kn Prm Cmnt C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7018860 " 22,285 " Cmpnt Fem 3 Rt Kn Tl Stab C1776 278 OP N/A N/A " 21,170 " " 20,056 " " 20,056 " N/A " 21,170 " " 17,828 " " 21,170 " N/A N/A " 21,170 " " 18,942 " " 18,942 " N/A " 21,170 " " 20,056 " N/A N/A N/A N/A " 17,828 " " 21,170 " " 16,713 " 7018862 " 22,285 " Joint Dvc Femoral C1776 278 OP N/A N/A " 21,170 " " 20,056 " " 20,056 " N/A " 21,170 " " 17,828 " " 21,170 " N/A N/A " 21,170 " " 18,942 " " 18,942 " N/A " 21,170 " " 20,056 " N/A N/A N/A N/A " 17,828 " " 21,170 " " 16,713 " 7018873 " 3,600 " Joint Dvc Tib Trthln 3 Unv Tl C1776 278 OP N/A N/A " 3,420 " " 3,240 " " 3,240 " N/A " 3,420 " " 2,880 " " 3,420 " N/A N/A " 3,420 " " 3,060 " " 3,060 " N/A " 3,420 " " 3,240 " N/A N/A N/A N/A " 2,880 " " 3,420 " " 2,700 " 7018874 " 3,600 " Joint Dvc Tib Trthln 4 Unv Tl C1776 278 OP N/A N/A " 3,420 " " 3,240 " " 3,240 " N/A " 3,420 " " 2,880 " " 3,420 " N/A N/A " 3,420 " " 3,060 " " 3,060 " N/A " 3,420 " " 3,240 " N/A N/A N/A N/A " 2,880 " " 3,420 " " 2,700 " 7018875 " 3,600 " Joint Dvc Tib Trthln 5 Unv Tl C1776 278 OP N/A N/A " 3,420 " " 3,240 " " 3,240 " N/A " 3,420 " " 2,880 " " 3,420 " N/A N/A " 3,420 " " 3,060 " " 3,060 " N/A " 3,420 " " 3,240 " N/A N/A N/A N/A " 2,880 " " 3,420 " " 2,700 " 7018876 " 3,600 " Joint Dvc Tib Trthln 6 Unv C1776 278 OP N/A N/A " 3,420 " " 3,240 " " 3,240 " N/A " 3,420 " " 2,880 " " 3,420 " N/A N/A " 3,420 " " 3,060 " " 3,060 " N/A " 3,420 " " 3,240 " N/A N/A N/A N/A " 2,880 " " 3,420 " " 2,700 " 7018907 " 8,149 " Joint Dvc Ins Tib 4 11MM C1776 278 OP N/A N/A " 7,742 " " 7,334 " " 7,334 " N/A " 7,742 " " 6,519 " " 7,742 " N/A N/A " 7,742 " " 6,927 " " 6,927 " N/A " 7,742 " " 7,334 " N/A N/A N/A N/A " 6,519 " " 7,742 " " 6,112 " 7018909 " 8,149 " Ins Tib 4 16Mm Kn X3 Tl Stab C1776 278 OP N/A N/A " 7,742 " " 7,334 " " 7,334 " N/A " 7,742 " " 6,519 " " 7,742 " N/A N/A " 7,742 " " 6,927 " " 6,927 " N/A " 7,742 " " 7,334 " N/A N/A N/A N/A " 6,519 " " 7,742 " " 6,112 " 7018956 " 3,832 " Aug Fem 5MM Trthln 3 RT Dist C1776 278 OP N/A N/A " 3,640 " " 3,449 " " 3,449 " N/A " 3,640 " " 3,065 " " 3,640 " N/A N/A " 3,640 " " 3,257 " " 3,257 " N/A " 3,640 " " 3,449 " N/A N/A N/A N/A " 3,065 " " 3,640 " " 2,874 " 7018958 " 3,832 " Aug Fem 5MM TRThln 4 RT Dist C1776 278 OP N/A N/A " 3,640 " " 3,449 " " 3,449 " N/A " 3,640 " " 3,065 " " 3,640 " N/A N/A " 3,640 " " 3,257 " " 3,257 " N/A " 3,640 " " 3,449 " N/A N/A N/A N/A " 3,065 " " 3,640 " " 2,874 " 7018974 " 4,025 " Joint Dvc Fem 10MM 4 Rt Dist C1776 278 OP N/A N/A " 3,824 " " 3,622 " " 3,622 " N/A " 3,824 " " 3,220 " " 3,824 " N/A N/A " 3,824 " " 3,421 " " 3,421 " N/A " 3,824 " " 3,622 " N/A N/A N/A N/A " 3,220 " " 3,824 " " 3,019 " 7019002 " 4,025 " Aug Fem 5MM TRThln 4 Post Kn C1776 278 OP N/A N/A " 3,824 " " 3,622 " " 3,622 " N/A " 3,824 " " 3,220 " " 3,824 " N/A N/A " 3,824 " " 3,421 " " 3,421 " N/A " 3,824 " " 3,622 " N/A N/A N/A N/A " 3,220 " " 3,824 " " 3,019 " 7019019 " 3,674 " Aug Tib 5MM TRThln 3 Rl/Lm Tl C1776 278 OP N/A N/A " 3,490 " " 3,306 " " 3,306 " N/A " 3,490 " " 2,939 " " 3,490 " N/A N/A " 3,490 " " 3,123 " " 3,123 " N/A " 3,490 " " 3,306 " N/A N/A N/A N/A " 2,939 " " 3,490 " " 2,755 " 7019021 " 3,674 " Aug Tib 5Mm Trthln 4 Rl/Lm Tl C1776 278 OP N/A N/A " 3,490 " " 3,306 " " 3,306 " N/A " 3,490 " " 2,939 " " 3,490 " N/A N/A " 3,490 " " 3,123 " " 3,123 " N/A " 3,490 " " 3,306 " N/A N/A N/A N/A " 2,939 " " 3,490 " " 2,755 " 7019022 " 3,674 " Aug Tib 5Mm Trthln 4 Rmll C1776 278 OP N/A N/A " 3,490 " " 3,306 " " 3,306 " N/A " 3,490 " " 2,939 " " 3,490 " N/A N/A " 3,490 " " 3,123 " " 3,123 " N/A " 3,490 " " 3,306 " N/A N/A N/A N/A " 2,939 " " 3,490 " " 2,755 " 7019025 " 3,674 " Aug Tib 5MM TRThln 6 Rl/Lm C1776 278 OP N/A N/A " 3,490 " " 3,306 " " 3,306 " N/A " 3,490 " " 2,939 " " 3,490 " N/A N/A " 3,490 " " 3,123 " " 3,123 " N/A " 3,490 " " 3,306 " N/A N/A N/A N/A " 2,939 " " 3,490 " " 2,755 " 7019037 " 3,588 " Joint Dvc Tib 10MM Trthln 4 C1776 278 OP N/A N/A " 3,409 " " 3,229 " " 3,229 " N/A " 3,409 " " 2,870 " " 3,409 " N/A N/A " 3,409 " " 3,050 " " 3,050 " N/A " 3,409 " " 3,229 " N/A N/A N/A N/A " 2,870 " " 3,409 " " 2,691 " 7019038 " 3,588 " Joint Dvc Tib 10MM 4 Rmll C1776 278 OP N/A N/A " 3,409 " " 3,229 " " 3,229 " N/A " 3,409 " " 2,870 " " 3,409 " N/A N/A " 3,409 " " 3,050 " " 3,050 " N/A " 3,409 " " 3,229 " N/A N/A N/A N/A " 2,870 " " 3,409 " " 2,691 " 7019105 900 Joint Dvc Stem Fem 50X12MM C1776 278 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7019106 900 Stem Fem L50 Od15 CMnt TRThln C1776 278 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7019107 " 2,100 " Joint Dvc Stem Fem 100X9MM C1776 278 OP N/A N/A " 1,995 " " 1,890 " " 1,890 " N/A " 1,995 " " 1,680 " " 1,995 " N/A N/A " 1,995 " " 1,785 " " 1,785 " N/A " 1,995 " " 1,890 " N/A N/A N/A N/A " 1,680 " " 1,995 " " 1,575 " 7019119 " 4,267 " Stem Fem L105 Cmnt Trthln C1776 278 OP N/A N/A " 4,053 " " 3,840 " " 3,840 " N/A " 4,053 " " 3,413 " " 4,053 " N/A N/A " 4,053 " " 3,627 " " 3,627 " N/A " 4,053 " " 3,840 " N/A N/A N/A N/A " 3,413 " " 4,053 " " 3,200 " 7019120 " 4,267 " Joint Dvc Stem Fem 100X17MM C1776 278 OP N/A N/A " 4,053 " " 3,840 " " 3,840 " N/A " 4,053 " " 3,413 " " 4,053 " N/A N/A " 4,053 " " 3,627 " " 3,627 " N/A " 4,053 " " 3,840 " N/A N/A N/A N/A " 3,413 " " 4,053 " " 3,200 " 7019369 " 12,165 " Body Cone Rstr 0MM Od23 C1776 278 OP N/A N/A " 11,556 " " 10,948 " " 10,948 " N/A " 11,556 " " 9,732 " " 11,556 " N/A N/A " 11,556 " " 10,340 " " 10,340 " N/A " 11,556 " " 10,948 " N/A N/A N/A N/A " 9,732 " " 11,556 " " 9,123 " 7019374 " 14,643 " Cone Body Rstr 10MM Od19 C1776 278 OP N/A N/A " 13,910 " " 13,178 " " 13,178 " N/A " 13,910 " " 11,714 " " 13,910 " N/A N/A " 13,910 " " 12,446 " " 12,446 " N/A " 13,910 " " 13,178 " N/A N/A N/A N/A " 11,714 " " 13,910 " " 10,982 " 7019383 " 14,643 " Joint Dvc Cone 23MM @0MM C1776 278 OP N/A N/A " 13,910 " " 13,178 " " 13,178 " N/A " 13,910 " " 11,714 " " 13,910 " N/A N/A " 13,910 " " 12,446 " " 12,446 " N/A " 13,910 " " 13,178 " N/A N/A N/A N/A " 11,714 " " 13,910 " " 10,982 " 7019634 " 10,491 " Stem Fem L155 Od15 Strg Mdlr C1776 278 OP N/A N/A " 9,966 " " 9,442 " " 9,442 " N/A " 9,966 " " 8,393 " " 9,966 " N/A N/A " 9,966 " " 8,917 " " 8,917 " N/A " 9,966 " " 9,442 " N/A N/A N/A N/A " 8,393 " " 9,966 " " 7,868 " 7019636 " 8,716 " Stem Fem L155 Od17 Strg Mdlr C1776 278 OP N/A N/A " 8,280 " " 7,844 " " 7,844 " N/A " 8,280 " " 6,972 " " 8,280 " N/A N/A " 8,280 " " 7,408 " " 7,408 " N/A " 8,280 " " 7,844 " N/A N/A N/A N/A " 6,972 " " 8,280 " " 6,537 " 7019639 " 10,491 " Stem Fem L155 Od20 Strg Mdlr C1776 278 OP N/A N/A " 9,966 " " 9,442 " " 9,442 " N/A " 9,966 " " 8,393 " " 9,966 " N/A N/A " 9,966 " " 8,917 " " 8,917 " N/A " 9,966 " " 9,442 " N/A N/A N/A N/A " 8,393 " " 9,966 " " 7,868 " 7052727 292 Cmnt Bn Kph Hvr 30Pmma 272 OP N/A N/A 277 263 263 N/A 277 233 277 N/A N/A 277 248 248 N/A 277 263 N/A N/A N/A N/A 233 277 219 7052728 452 Cmnt Bn Hv-R Kphx Mxr Grad 272 OP N/A N/A 429 407 407 N/A 429 361 429 N/A N/A 429 384 384 N/A 429 407 N/A N/A N/A N/A 361 429 339 7053459 " 3,403 " Graft Bn Grftn Dbm 10Ml Lg 272 OP N/A N/A " 3,233 " " 3,063 " " 3,063 " N/A " 3,233 " " 2,723 " " 3,233 " N/A N/A " 3,233 " " 2,893 " " 2,893 " N/A " 3,233 " " 3,063 " N/A N/A N/A N/A " 2,723 " " 3,233 " " 2,552 " 7054559 " 1,140 " Screw Bn 3.5-3.6mm 20mm Actrk2 C1713 278 OP N/A N/A " 1,083 " " 1,026 " " 1,026 " N/A " 1,083 " 912 " 1,083 " N/A N/A " 1,083 " 969 969 N/A " 1,083 " " 1,026 " N/A N/A N/A N/A 912 " 1,083 " 855 7054565 " 1,140 " Screw Bn 3.5-3.6mm 26mm Actrk2 C1713 278 OP N/A N/A " 1,083 " " 1,026 " " 1,026 " N/A " 1,083 " 912 " 1,083 " N/A N/A " 1,083 " 969 969 N/A " 1,083 " " 1,026 " N/A N/A N/A N/A 912 " 1,083 " 855 7055732 720 Screw Bn Quickfix Ti 2X12Mm C1713 278 OP N/A N/A 684 648 648 N/A 684 576 684 N/A N/A 684 612 612 N/A 684 648 N/A N/A N/A N/A 576 684 540 7055738 330 Screw Bn 3X16MM Ti Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7088074 559 Screw Bone Asnis Ss 4X1.4X36MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088076 559 Screw Bone Asns Cann 4X38MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088078 559 Screw Bone Asns Cann 4X40MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088147 559 Screw Bone Asns Iii Tit 4X36MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088149 559 Screw Bone Asns Iii Tit 4X38MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088151 559 Screw Bone Asns Iii Tit 4X40MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088153 559 Screw Bone Asns Iii Tit 4X42MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088155 559 Screw Bone Asns Iii Tit 4X44MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088157 559 Screw Bone Asns Iii Tit 4X46MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088161 559 Screw Bone Asns Iii Tit 4X50MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088163 559 Screw Bone Asns Iii Tit 4X55MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088165 559 Screw Bn 4X60Mm Asns Iii Ti C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088169 559 Screw Bone Asns Iii Tit 4X70MM C1713 278 OP N/A N/A 531 504 504 N/A 531 448 531 N/A N/A 531 476 476 N/A 531 504 N/A N/A N/A N/A 448 531 420 7088339 936 Screw Bone 6.5X70MM Asnis Iii C1713 278 OP N/A N/A 889 842 842 N/A 889 749 889 N/A N/A 889 796 796 N/A 889 842 N/A N/A N/A N/A 749 889 702 7088341 936 Screw Bone 6.5X75MM 20MM Asns C1713 278 OP N/A N/A 889 842 842 N/A 889 749 889 N/A N/A 889 796 796 N/A 889 842 N/A N/A N/A N/A 749 889 702 7088343 936 Screw Bone 6.5X80X20MM Asnis C1713 278 OP N/A N/A 889 842 842 N/A 889 749 889 N/A N/A 889 796 796 N/A 889 842 N/A N/A N/A N/A 749 889 702 7088347 936 Screw Bn Asnis 3 Ss Cnn 6.5X90 C1713 278 OP N/A N/A 889 842 842 N/A 889 749 889 N/A N/A 889 796 796 N/A 889 842 N/A N/A N/A N/A 749 889 702 7088351 936 Screw Bone Asns Cann 6.5X100MM C1713 278 OP N/A N/A 889 842 842 N/A 889 749 889 N/A N/A 889 796 796 N/A 889 842 N/A N/A N/A N/A 749 889 702 7088672 624 Screw Bone Asnis Tit 2X10X5MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088680 624 Screw Bone Asnis Tit 2X16X7MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088688 624 Screw Bone Asnis Tit 2X20X5MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088690 624 Screw Bone Asnis Tit 2X22X5MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088692 624 Screw Bone Asnis Tit 2X24X6MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088722 624 Screw Bone Asnis Ti 3X10X4MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088726 624 Screw Bone Asnis Ti 3X12MM 4MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088728 624 Screw Bone Asnis Ti 3X13MM 4MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088730 624 Screw Bn Asnis Ti 3X14Mm 4Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088732 624 Screw Bone Asnis Tit 4X15X4MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088734 624 Screw Bn Asnis Ti 3X16Mm 4Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088736 624 Screw Bn Asnis Ti 3X17Mm 4Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088738 624 Screw Bn Asnis Ti 3X18Mm 5Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088742 624 Screw Bn Asnis Ti 3X20Mm 5Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088746 624 Screw Bn Asnis Ti 3X22Mm 5Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088762 624 Screw Bone Asnis Ti 3X30Mm 6Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088772 624 Screw Bone Asnis Ti 3X40MM 8MM C1713 278 OP N/A N/A 593 562 562 N/A 593 499 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 499 593 468 7088905 130 Screw Bone Ss Hex 4.5X3.5X42MM C1713 278 OP N/A N/A 124 117 117 N/A 124 104 124 N/A N/A 124 111 111 N/A 124 117 N/A N/A N/A N/A 104 124 98 7088906 130 Screw Bone Axsos Ss 4.5X42MM C1713 278 OP N/A N/A 124 117 117 N/A 124 104 124 N/A N/A 124 111 111 N/A 124 117 N/A N/A N/A N/A 104 124 98 7088910 130 Screw Bone Axsos Ss 4.5X50MM C1713 278 OP N/A N/A 124 117 117 N/A 124 104 124 N/A N/A 124 111 111 N/A 124 117 N/A N/A N/A N/A 104 124 98 7088913 130 Screw Bone Axsos Ss 4.5X55MM C1713 278 OP N/A N/A 124 117 117 N/A 124 104 124 N/A N/A 124 111 111 N/A 124 117 N/A N/A N/A N/A 104 124 98 7089205 565 Screw Bone 5X70MM Axsos Ss T20 C1713 278 OP N/A N/A 537 508 508 N/A 537 452 537 N/A N/A 537 480 480 N/A 537 508 N/A N/A N/A N/A 452 537 424 7089206 565 Screw Bone 5X75MM Axsos Ss T20 C1713 278 OP N/A N/A 537 508 508 N/A 537 452 537 N/A N/A 537 480 480 N/A 537 508 N/A N/A N/A N/A 452 537 424 7089208 565 Screw Bone 5X85MM Axsos Ss T20 C1713 278 OP N/A N/A 537 508 508 N/A 537 452 537 N/A N/A 537 480 480 N/A 537 508 N/A N/A N/A N/A 452 537 424 7089723 " 6,067 " Plate Bn L343Mm Lt Fem Lat Scr C1713 278 OP N/A N/A " 5,764 " " 5,460 " " 5,460 " N/A " 5,764 " " 4,854 " " 5,764 " N/A N/A " 5,764 " " 5,157 " " 5,157 " N/A " 5,764 " " 5,460 " N/A N/A N/A N/A " 4,854 " " 5,764 " " 4,550 " 7090382 431 Pin Half Apex 150MM 40MM C1713 278 OP N/A N/A 409 388 388 N/A 409 345 409 N/A N/A 409 366 366 N/A 409 388 N/A N/A N/A N/A 345 409 323 7090514 401 Pin Half Apex 250MM 50MM Odsc4 C1713 278 OP N/A N/A 381 361 361 N/A 381 321 381 N/A N/A 381 341 341 N/A 381 361 N/A N/A N/A N/A 321 381 301 7090609 " 5,811 " Set Xtrnl Fxn Triax Wrist T 272 OP N/A N/A " 5,520 " " 5,230 " " 5,230 " N/A " 5,520 " " 4,649 " " 5,520 " N/A N/A " 5,520 " " 4,939 " " 4,939 " N/A " 5,520 " " 5,230 " N/A N/A N/A N/A " 4,649 " " 5,520 " " 4,358 " 7090666 " 1,233 " Screw Bone Fixos Ti 2X.87X12MM C1713 278 OP N/A N/A " 1,171 " " 1,109 " " 1,109 " N/A " 1,171 " 986 " 1,171 " N/A N/A " 1,171 " " 1,048 " " 1,048 " N/A " 1,171 " " 1,109 " N/A N/A N/A N/A 986 " 1,171 " 925 7090667 " 1,233 " Screw Bone Fixos 2.2X2X13MM C1713 278 OP N/A N/A " 1,171 " " 1,109 " " 1,109 " N/A " 1,171 " 986 " 1,171 " N/A N/A " 1,171 " " 1,048 " " 1,048 " N/A " 1,171 " " 1,109 " N/A N/A N/A N/A 986 " 1,171 " 925 7090845 " 1,905 " Screw Bone 10.5X80MM GaMMa3 Ti C1713 278 OP N/A N/A " 1,810 " " 1,715 " " 1,715 " N/A " 1,810 " " 1,524 " " 1,810 " N/A N/A " 1,810 " " 1,619 " " 1,619 " N/A " 1,810 " " 1,715 " N/A N/A N/A N/A " 1,524 " " 1,810 " " 1,429 " 7090846 " 1,905 " Screw Bone 10.5X85MM GaMMa3 Ti C1713 278 OP N/A N/A " 1,810 " " 1,715 " " 1,715 " N/A " 1,810 " " 1,524 " " 1,810 " N/A N/A " 1,810 " " 1,619 " " 1,619 " N/A " 1,810 " " 1,715 " N/A N/A N/A N/A " 1,524 " " 1,810 " " 1,429 " 7090847 " 1,905 " Screw Bone 10.5X90MM GaMMa3 Ti C1713 278 OP N/A N/A " 1,810 " " 1,715 " " 1,715 " N/A " 1,810 " " 1,524 " " 1,810 " N/A N/A " 1,810 " " 1,619 " " 1,619 " N/A " 1,810 " " 1,715 " N/A N/A N/A N/A " 1,524 " " 1,810 " " 1,429 " 7090848 " 1,905 " Screw Bone 10.5X95MM GaMMa3 Ti C1713 278 OP N/A N/A " 1,810 " " 1,715 " " 1,715 " N/A " 1,810 " " 1,524 " " 1,810 " N/A N/A " 1,810 " " 1,619 " " 1,619 " N/A " 1,810 " " 1,715 " N/A N/A N/A N/A " 1,524 " " 1,810 " " 1,429 " 7090849 " 1,905 " Screw Bone 10.5X100MM C1713 278 OP N/A N/A " 1,810 " " 1,715 " " 1,715 " N/A " 1,810 " " 1,524 " " 1,810 " N/A N/A " 1,810 " " 1,619 " " 1,619 " N/A " 1,810 " " 1,715 " N/A N/A N/A N/A " 1,524 " " 1,810 " " 1,429 " 7090850 " 1,905 " Screw Bone 10.5X105MM C1713 278 OP N/A N/A " 1,810 " " 1,715 " " 1,715 " N/A " 1,810 " " 1,524 " " 1,810 " N/A N/A " 1,810 " " 1,619 " " 1,619 " N/A " 1,810 " " 1,715 " N/A N/A N/A N/A " 1,524 " " 1,810 " " 1,429 " 7090851 " 1,905 " Screw Bone 10.5X110MM C1713 278 OP N/A N/A " 1,810 " " 1,715 " " 1,715 " N/A " 1,810 " " 1,524 " " 1,810 " N/A N/A " 1,810 " " 1,619 " " 1,619 " N/A " 1,810 " " 1,715 " N/A N/A N/A N/A " 1,524 " " 1,810 " " 1,429 " 7090852 " 1,905 " Screw Bone 10.5X115MM C1713 278 OP N/A N/A " 1,810 " " 1,715 " " 1,715 " N/A " 1,810 " " 1,524 " " 1,810 " N/A N/A " 1,810 " " 1,619 " " 1,619 " N/A " 1,810 " " 1,715 " N/A N/A N/A N/A " 1,524 " " 1,810 " " 1,429 " 7090886 " 4,668 " Nail 11X180MM Troch Hip C1713 278 OP N/A N/A " 4,435 " " 4,201 " " 4,201 " N/A " 4,435 " " 3,735 " " 4,435 " N/A N/A " 4,435 " " 3,968 " " 3,968 " N/A " 4,435 " " 4,201 " N/A N/A N/A N/A " 3,735 " " 4,435 " " 3,501 " 7090888 " 4,668 " Nail 11X180MM Troch Hip C1713 278 OP N/A N/A " 4,435 " " 4,201 " " 4,201 " N/A " 4,435 " " 3,735 " " 4,435 " N/A N/A " 4,435 " " 3,968 " " 3,968 " N/A " 4,435 " " 4,201 " N/A N/A N/A N/A " 3,735 " " 4,435 " " 3,501 " 7091126 " 8,015 " Kit Long Nail R1/5 Ti RT 11X C1713 278 OP N/A N/A " 7,614 " " 7,213 " " 7,213 " N/A " 7,614 " " 6,412 " " 7,614 " N/A N/A " 7,614 " " 6,812 " " 6,812 " N/A " 7,614 " " 7,213 " N/A N/A N/A N/A " 6,412 " " 7,614 " " 6,011 " 7091127 " 8,015 " Kit Long Nail R1/5 Ti RT 11X C1713 278 OP N/A N/A " 7,614 " " 7,213 " " 7,213 " N/A " 7,614 " " 6,412 " " 7,614 " N/A N/A " 7,614 " " 6,812 " " 6,812 " N/A " 7,614 " " 7,213 " N/A N/A N/A N/A " 6,412 " " 7,614 " " 6,011 " 7091129 " 8,015 " Nail Long Ti Rt 11X4MM C1713 278 OP N/A N/A " 7,614 " " 7,213 " " 7,213 " N/A " 7,614 " " 6,412 " " 7,614 " N/A N/A " 7,614 " " 6,812 " " 6,812 " N/A " 7,614 " " 7,213 " N/A N/A N/A N/A " 6,412 " " 7,614 " " 6,011 " 7091130 " 8,015 " Nail Long Ti Rt 11X4MM C1713 278 OP N/A N/A " 7,614 " " 7,213 " " 7,213 " N/A " 7,614 " " 6,412 " " 7,614 " N/A N/A " 7,614 " " 6,812 " " 6,812 " N/A " 7,614 " " 7,213 " N/A N/A N/A N/A " 6,412 " " 7,614 " " 6,011 " 7091281 " 8,015 " Nail Kit R1/5 Lt 11X3 C1713 278 OP N/A N/A " 7,614 " " 7,213 " " 7,213 " N/A " 7,614 " " 6,412 " " 7,614 " N/A N/A " 7,614 " " 6,812 " " 6,812 " N/A " 7,614 " " 7,213 " N/A N/A N/A N/A " 6,412 " " 7,614 " " 6,011 " 7091283 " 8,015 " Kit Lng Nl R1/5 Ti LT 11X400MM C1713 278 OP N/A N/A " 7,614 " " 7,213 " " 7,213 " N/A " 7,614 " " 6,412 " " 7,614 " N/A N/A " 7,614 " " 6,812 " " 6,812 " N/A " 7,614 " " 7,213 " N/A N/A N/A N/A " 6,412 " " 7,614 " " 6,011 " 7091882 645 Screw Bone 8X14.5MM T2 Ti Ankl C1713 278 OP N/A N/A 613 581 581 N/A 613 516 613 N/A N/A 613 549 549 N/A 613 581 N/A N/A N/A N/A 516 613 484 7091883 723 Cap End T2 5MM Ank Lck Tit 272 OP N/A N/A 687 651 651 N/A 687 579 687 N/A N/A 687 615 615 N/A 687 651 N/A N/A N/A N/A 579 687 543 7092489 844 Nail 1.75MM 300MM Hum T2 IM C1713 278 OP N/A N/A 802 760 760 N/A 802 675 802 N/A N/A 802 718 718 N/A 802 760 N/A N/A N/A N/A 675 802 633 7092811 684 Screw Bone Tit Pt 45X5MM Lock C1713 278 OP N/A N/A 650 616 616 N/A 650 548 650 N/A N/A 650 582 582 N/A 650 616 N/A N/A N/A N/A 548 650 513 7092863 632 Screw Bone 5X30MM Tit Ft Lock C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092864 632 Screw Bone 5X32.5MM T2 Tit Hum C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092865 632 Screw Bone 5X35MM T2 Ti Ft C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092866 632 Screw Bone 5X37.5MM T2 Tit Ft C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092867 632 Screw Bone 40X5MM T2 Hum Tib C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092868 632 Screw Bone 5X42.5MM T2 Tit Fem C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092869 632 Screw Bone 45X5MM T2 Hum Tib C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092871 632 Screw Bone 5X50MM T2 Tit Fem C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092872 632 Screw Bone 5X52.5MM T2 Tit Ft C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092873 632 Screw Bone 55X5MM T2 Hum Tib C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092875 632 Screw Bone 5X60MM 10D Ft C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092876 632 Screw Bone 5X65MM T2 Tit Ft C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092877 632 Screw Bn 5X70Mm T2 Ti Ft Fem C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092878 632 Screw Bone 5X75MM T2 Tit Fem C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092879 632 Screw Bone 5X80MM T2 Tit Fem C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092880 632 Screw Bone 5X85MM T2 Tit Fem C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7092881 632 Screw Bone 5X90MM T2 Tit Fem C1713 278 OP N/A N/A 600 569 569 N/A 600 505 600 N/A N/A 600 537 537 N/A 600 569 N/A N/A N/A N/A 505 600 474 7093147 " 3,581 " Plate Bn 7 Hl Dcrs Crvtr Sup C1713 278 OP N/A N/A " 3,401 " " 3,222 " " 3,222 " N/A " 3,401 " " 2,864 " " 3,401 " N/A N/A " 3,401 " " 3,043 " " 3,043 " N/A " 3,401 " " 3,222 " N/A N/A N/A N/A " 2,864 " " 3,401 " " 2,685 " 7093167 " 4,372 " Plate Rt Bridge 8H Decrsd C1713 278 OP N/A N/A " 4,154 " " 3,935 " " 3,935 " N/A " 4,154 " " 3,498 " " 4,154 " N/A N/A " 4,154 " " 3,716 " " 3,716 " N/A " 4,154 " " 3,935 " N/A N/A N/A N/A " 3,498 " " 4,154 " " 3,279 " 7093179 " 4,372 " Plate Incr Sup 8H Bridge Lt C1713 278 OP N/A N/A " 4,154 " " 3,935 " " 3,935 " N/A " 4,154 " " 3,498 " " 4,154 " N/A N/A " 4,154 " " 3,716 " " 3,716 " N/A " 4,154 " " 3,935 " N/A N/A N/A N/A " 3,498 " " 4,154 " " 3,279 " 7093183 " 4,372 " Plate Incr Sup 8H Bridge Rt C1713 278 OP N/A N/A " 4,154 " " 3,935 " " 3,935 " N/A " 4,154 " " 3,498 " " 4,154 " N/A N/A " 4,154 " " 3,716 " " 3,716 " N/A " 4,154 " " 3,935 " N/A N/A N/A N/A " 3,498 " " 4,154 " " 3,279 " 7093414 " 3,251 " Plate Bn L60Xh1.5 Rt Wide Rad C1713 278 OP N/A N/A " 3,088 " " 2,926 " " 2,926 " N/A " 3,088 " " 2,601 " " 3,088 " N/A N/A " 3,088 " " 2,763 " " 2,763 " N/A " 3,088 " " 2,926 " N/A N/A N/A N/A " 2,601 " " 3,088 " " 2,438 " 7093427 " 3,683 " Plate Bn Rt Rad Dist Volar Std C1713 278 OP N/A N/A " 3,499 " " 3,315 " " 3,315 " N/A " 3,499 " " 2,947 " " 3,499 " N/A N/A " 3,499 " " 3,131 " " 3,131 " N/A " 3,499 " " 3,315 " N/A N/A N/A N/A " 2,947 " " 3,499 " " 2,763 " 7093625 " 3,702 " Plate Bn L89MM 4 Hl Lt Elb Ti C1713 278 OP N/A N/A " 3,517 " " 3,332 " " 3,332 " N/A " 3,517 " " 2,962 " " 3,517 " N/A N/A " 3,517 " " 3,147 " " 3,147 " N/A " 3,517 " " 3,332 " N/A N/A N/A N/A " 2,962 " " 3,517 " " 2,777 " 7093663 " 2,173 " Plate Bone Fib Lat L77XH23 C1713 278 OP N/A N/A " 2,064 " " 1,955 " " 1,955 " N/A " 2,064 " " 1,738 " " 2,064 " N/A N/A " 2,064 " " 1,847 " " 1,847 " N/A " 2,064 " " 1,955 " N/A N/A N/A N/A " 1,738 " " 2,064 " " 1,629 " 7093664 " 2,173 " Plate Bone 89MM Loprfl C1713 278 OP N/A N/A " 2,064 " " 1,955 " " 1,955 " N/A " 2,064 " " 1,738 " " 2,064 " N/A N/A " 2,064 " " 1,847 " " 1,847 " N/A " 2,064 " " 1,955 " N/A N/A N/A N/A " 1,738 " " 2,064 " " 1,629 " 7093665 " 2,173 " Plate Bone Fib Lock 5HL C1713 278 OP N/A N/A " 2,064 " " 1,955 " " 1,955 " N/A " 2,064 " " 1,738 " " 2,064 " N/A N/A " 2,064 " " 1,847 " " 1,847 " N/A " 2,064 " " 1,955 " N/A N/A N/A N/A " 1,738 " " 2,064 " " 1,629 " 7093666 " 2,254 " Plate Bn L113Xh2 6 Hl Fib Lck C1713 278 OP N/A N/A " 2,142 " " 2,029 " " 2,029 " N/A " 2,142 " " 1,803 " " 2,142 " N/A N/A " 2,142 " " 1,916 " " 1,916 " N/A " 2,142 " " 2,029 " N/A N/A N/A N/A " 1,803 " " 2,142 " " 1,691 " 7093667 " 2,448 " Plate Bone Fib L125XH2 7HL C1713 278 OP N/A N/A " 2,325 " " 2,203 " " 2,203 " N/A " 2,325 " " 1,958 " " 2,325 " N/A N/A " 2,325 " " 2,081 " " 2,081 " N/A " 2,325 " " 2,203 " N/A N/A N/A N/A " 1,958 " " 2,325 " " 1,836 " 7093668 " 2,448 " Plate Bone Fib L137XH2 8HL C1713 278 OP N/A N/A " 2,325 " " 2,203 " " 2,203 " N/A " 2,325 " " 1,958 " " 2,325 " N/A N/A " 2,325 " " 2,081 " " 2,081 " N/A " 2,325 " " 2,203 " N/A N/A N/A N/A " 1,958 " " 2,325 " " 1,836 " 7093810 384 Screw Bone 1.7X6MM Variax Ti C1713 278 OP N/A N/A 365 346 346 N/A 365 307 365 N/A N/A 365 327 327 N/A 365 346 N/A N/A N/A N/A 307 365 288 7093812 384 Screw Bone 1.7X7MM Variax Ti C1713 278 OP N/A N/A 365 346 346 N/A 365 307 365 N/A N/A 365 327 327 N/A 365 346 N/A N/A N/A N/A 307 365 288 7093814 384 Screw Bone 1.7X8MM Variax Ti C1713 278 OP N/A N/A 365 346 346 N/A 365 307 365 N/A N/A 365 327 327 N/A 365 346 N/A N/A N/A N/A 307 365 288 7093840 386 Screw Bone Variax Tit 2.3X6MM C1713 278 OP N/A N/A 367 348 348 N/A 367 309 367 N/A N/A 367 328 328 N/A 367 348 N/A N/A N/A N/A 309 367 290 7093844 386 Screw Bone Variax Blnt 2.3X9MM C1713 278 OP N/A N/A 367 348 348 N/A 367 309 367 N/A N/A 367 328 328 N/A 367 348 N/A N/A N/A N/A 309 367 290 7093984 " 1,886 " Plate 1.7 Sm Hnd Lck 3-D 2x2+2 C1713 278 OP N/A N/A " 1,792 " " 1,697 " " 1,697 " N/A " 1,792 " " 1,509 " " 1,792 " N/A N/A " 1,792 " " 1,603 " " 1,603 " N/A " 1,792 " " 1,697 " N/A N/A N/A N/A " 1,509 " " 1,792 " " 1,414 " 7094095 319 Screw Bone Variax Blnt 2.3X8MM C1713 278 OP N/A N/A 303 287 287 N/A 303 255 303 N/A N/A 303 271 271 N/A 303 287 N/A N/A N/A N/A 255 303 239 7094097 319 Screw Bone Hand Nolock 2.3X9MM C1713 278 OP N/A N/A 303 287 287 N/A 303 255 303 N/A N/A 303 271 271 N/A 303 287 N/A N/A N/A N/A 255 303 239 7094101 319 Screw Bone Variax 2.3X11MM C1713 278 OP N/A N/A 303 287 287 N/A 303 255 303 N/A N/A 303 271 271 N/A 303 287 N/A N/A N/A N/A 255 303 239 7103780 140 Washer 6.6MM Cnn 6.5/8MM Scrw 272 OP N/A N/A 133 126 126 N/A 133 112 133 N/A N/A 133 119 119 N/A 133 126 N/A N/A N/A N/A 112 133 105 7103787 99 Washer 4MM Screw 272 OP N/A N/A 94 90 90 N/A 94 80 94 N/A N/A 94 85 85 N/A 94 90 N/A N/A N/A N/A 80 94 75 7107308 " 2,387 " Sub Bn Graft Vts Btcp Fm 2.5ML C1713 278 OP N/A N/A " 2,268 " " 2,149 " " 2,149 " N/A " 2,268 " " 1,910 " " 2,268 " N/A N/A " 2,268 " " 2,029 " " 2,029 " N/A " 2,268 " " 2,149 " N/A N/A N/A N/A " 1,910 " " 2,268 " " 1,790 " 7107309 " 4,479 " Sub Bn Graft Vts 2X5CC Bioact C1713 278 OP N/A N/A " 4,255 " " 4,031 " " 4,031 " N/A " 4,255 " " 3,583 " " 4,255 " N/A N/A " 4,255 " " 3,807 " " 3,807 " N/A " 4,255 " " 4,031 " N/A N/A N/A N/A " 3,583 " " 4,255 " " 3,359 " 7107395 " 2,714 " Joint Toe Smrt 10D 19X1.2Mm C1776 278 OP N/A N/A " 2,578 " " 2,443 " " 2,443 " N/A " 2,578 " " 2,171 " " 2,578 " N/A N/A " 2,578 " " 2,307 " " 2,307 " N/A " 2,578 " " 2,443 " N/A N/A N/A N/A " 2,171 " " 2,578 " " 2,035 " 7107396 " 2,714 " Joint Toe Smrt Ii X Fus 10D 20 C1713 278 OP N/A N/A " 2,578 " " 2,443 " " 2,443 " N/A " 2,578 " " 2,171 " " 2,578 " N/A N/A " 2,578 " " 2,307 " " 2,307 " N/A " 2,578 " " 2,443 " N/A N/A N/A N/A " 2,171 " " 2,578 " " 2,035 " 7111981 " 4,062 " Implant Sil 22 Std Radl Hd C1776 278 OP N/A N/A " 3,859 " " 3,656 " " 3,656 " N/A " 3,859 " " 3,250 " " 3,859 " N/A N/A " 3,859 " " 3,453 " " 3,453 " N/A " 3,859 " " 3,656 " N/A N/A N/A N/A " 3,250 " " 3,859 " " 3,047 " 7112078 " 2,250 " Extension Stem 16MM Tib Top C1776 278 OP N/A N/A " 2,138 " " 2,025 " " 2,025 " N/A " 2,138 " " 1,800 " " 2,138 " N/A N/A " 2,138 " " 1,913 " " 1,913 " N/A " 2,138 " " 2,025 " N/A N/A N/A N/A " 1,800 " " 2,138 " " 1,688 " 7112081 " 2,400 " Stem Tibia Kn Mid C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7112085 " 2,400 " Stem Tibia Kn Bs C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7112118 " 7,500 " Tray Tibia Inbone 4 Lng Kn Lt C1776 278 OP N/A N/A " 7,125 " " 6,750 " " 6,750 " N/A " 7,125 " " 6,000 " " 7,125 " N/A N/A " 7,125 " " 6,375 " " 6,375 " N/A " 7,125 " " 6,750 " N/A N/A N/A N/A " 6,000 " " 7,125 " " 5,625 " 7115255 " 12,415 " Spacer Hum 125x22mm 46mm 11mm C1776 278 OP N/A N/A " 11,795 " " 11,174 " " 11,174 " N/A " 11,795 " " 9,932 " " 11,795 " N/A N/A " 11,795 " " 10,553 " " 10,553 " N/A " 11,795 " " 11,174 " N/A N/A N/A N/A " 9,932 " " 11,795 " " 9,311 " 7115260 705 Screw Intfr 23X7MM Acl Pcl C1713 278 OP N/A N/A 670 635 635 N/A 670 564 670 N/A N/A 670 599 599 N/A 670 635 N/A N/A N/A N/A 564 670 529 7116145 582 Anchor Sut Abs Open C1713 278 OP N/A N/A 553 524 524 N/A 553 466 553 N/A N/A 553 495 495 N/A 553 524 N/A N/A N/A N/A 466 553 437 7116146 " 3,285 " Set Inst Scorpion Dx Mini Ndl C1713 278 OP N/A N/A " 3,121 " " 2,957 " " 2,957 " N/A " 3,121 " " 2,628 " " 3,121 " N/A N/A " 3,121 " " 2,792 " " 2,792 " N/A " 3,121 " " 2,957 " N/A N/A N/A N/A " 2,628 " " 3,121 " " 2,464 " 7120086 642 Anchor Sut Btn 14MM C1713 278 OP N/A N/A 610 578 578 N/A 610 514 610 N/A N/A 610 546 546 N/A 610 578 N/A N/A N/A N/A 514 610 482 7120672 105 Screw Bone Lopro Ss 3.5X14MM C1713 278 OP N/A N/A 100 95 95 N/A 100 84 100 N/A N/A 100 89 89 N/A 100 95 N/A N/A N/A N/A 84 100 79 7120675 345 Screw Bone Lopro Ss 3.5X14MM C1713 278 OP N/A N/A 328 311 311 N/A 328 276 328 N/A N/A 328 293 293 N/A 328 311 N/A N/A N/A N/A 276 328 259 7123644 " 4,275 " Bone Graft Sub Stimulan Rpd C1713 278 OP N/A N/A " 4,061 " " 3,848 " " 3,848 " N/A " 4,061 " " 3,420 " " 4,061 " N/A N/A " 4,061 " " 3,634 " " 3,634 " N/A " 4,061 " " 3,848 " N/A N/A N/A N/A " 3,420 " " 4,061 " " 3,206 " 7123665 " 2,714 " Joint Toe C1776 278 OP N/A N/A " 2,578 " " 2,443 " " 2,443 " N/A " 2,578 " " 2,171 " " 2,578 " N/A N/A " 2,578 " " 2,307 " " 2,307 " N/A " 2,578 " " 2,443 " N/A N/A N/A N/A " 2,171 " " 2,578 " " 2,035 " 7123675 " 1,270 " Mesh Srg Progrip Pet 15X10 Rt C1781 278 OP N/A N/A " 1,206 " " 1,143 " " 1,143 " N/A " 1,206 " " 1,016 " " 1,206 " N/A N/A " 1,206 " " 1,079 " " 1,079 " N/A " 1,206 " " 1,143 " N/A N/A N/A N/A " 1,016 " " 1,206 " 952 7123676 " 1,373 " Mesh Srg Progrip Pet 15X10 Lt C1781 278 OP N/A N/A " 1,304 " " 1,236 " " 1,236 " N/A " 1,304 " " 1,098 " " 1,304 " N/A N/A " 1,304 " " 1,167 " " 1,167 " N/A " 1,304 " " 1,236 " N/A N/A N/A N/A " 1,098 " " 1,304 " " 1,030 " 7123678 " 1,027 " Mesh Srg Symbotex Od9 C1781 278 OP N/A N/A 975 924 924 N/A 975 821 975 N/A N/A 975 873 873 N/A 975 924 N/A N/A N/A N/A 821 975 770 7123695 " 1,308 " Post Tpr Hemicap 15X9.5Mm Toe C1776 278 OP N/A N/A " 1,243 " " 1,177 " " 1,177 " N/A " 1,243 " " 1,046 " " 1,243 " N/A N/A " 1,243 " " 1,112 " " 1,112 " N/A " 1,243 " " 1,177 " N/A N/A N/A N/A " 1,046 " " 1,243 " 981 7123721 " 1,050 " Anchor Sut Acl Rt C1713 278 OP N/A N/A 998 945 945 N/A 998 840 998 N/A N/A 998 893 893 N/A 998 945 N/A N/A N/A N/A 840 998 788 7123784 345 Screw Bone Lopro Ss 3.5X16MM C1713 278 OP N/A N/A 328 311 311 N/A 328 276 328 N/A N/A 328 293 293 N/A 328 311 N/A N/A N/A N/A 276 328 259 7123901 495 Screw Bone Lopro Ss 4X45MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7123902 495 Screw Bone Loprfl Ss 4X50MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7124186 525 Screw Bone Lopro Tit 4.5X50MM C1713 278 OP N/A N/A 499 473 473 N/A 499 420 499 N/A N/A 499 446 446 N/A 499 473 N/A N/A N/A N/A 420 499 394 7124360 720 Screw Bone 2X11MM C1713 278 OP N/A N/A 684 648 648 N/A 684 576 684 N/A N/A 684 612 612 N/A 684 648 N/A N/A N/A N/A 576 684 540 7124361 720 Screw Bone 2X13MM C1713 278 OP N/A N/A 684 648 648 N/A 684 576 684 N/A N/A 684 612 612 N/A 684 648 N/A N/A N/A N/A 576 684 540 7124403 " 1,180 " Cable Sleeve ORTho Vit 2MM Hip C1713 278 OP N/A N/A " 1,121 " " 1,062 " " 1,062 " N/A " 1,121 " 944 " 1,121 " N/A N/A " 1,121 " " 1,003 " " 1,003 " N/A " 1,121 " " 1,062 " N/A N/A N/A N/A 944 " 1,121 " 885 7124430 " 7,350 " Filler Bone Void 20CC 50CC C1713 278 OP N/A N/A " 6,983 " " 6,615 " " 6,615 " N/A " 6,983 " " 5,880 " " 6,983 " N/A N/A " 6,983 " " 6,248 " " 6,248 " N/A " 6,983 " " 6,615 " N/A N/A N/A N/A " 5,880 " " 6,983 " " 5,513 " 7124693 330 Screw Bone Quicfx Tit 2.4X10MM C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7128053 " 5,220 " Anchor Sut Speedbridge C1713 278 OP N/A N/A " 4,959 " " 4,698 " " 4,698 " N/A " 4,959 " " 4,176 " " 4,959 " N/A N/A " 4,959 " " 4,437 " " 4,437 " N/A " 4,959 " " 4,698 " N/A N/A N/A N/A " 4,176 " " 4,959 " " 3,915 " 7128371 " 6,653 " Graft Bn 60-80MM 7.5-8.5MM 272 OP N/A N/A " 6,320 " " 5,988 " " 5,988 " N/A " 6,320 " " 5,322 " " 6,320 " N/A N/A " 6,320 " " 5,655 " " 5,655 " N/A " 6,320 " " 5,988 " N/A N/A N/A N/A " 5,322 " " 6,320 " " 4,990 " 7128398 " 2,107 " Mesh Srg Symbotex Pet 15X10 C1781 278 OP N/A N/A " 2,002 " " 1,897 " " 1,897 " N/A " 2,002 " " 1,686 " " 2,002 " N/A N/A " 2,002 " " 1,791 " " 1,791 " N/A " 2,002 " " 1,897 " N/A N/A N/A N/A " 1,686 " " 2,002 " " 1,581 " 7128404 " 1,700 " Mesh Srg Ventralight Od4.5 C1781 278 OP N/A N/A " 1,615 " " 1,530 " " 1,530 " N/A " 1,615 " " 1,360 " " 1,615 " N/A N/A " 1,615 " " 1,445 " " 1,445 " N/A " 1,615 " " 1,530 " N/A N/A N/A N/A " 1,360 " " 1,615 " " 1,275 " 7129134 " 1,065 " Mesh Hernia Umb Spr Sm Crc 1.7 C1781 278 OP N/A N/A " 1,012 " 959 959 N/A " 1,012 " 852 " 1,012 " N/A N/A " 1,012 " 905 905 N/A " 1,012 " 959 N/A N/A N/A N/A 852 " 1,012 " 799 7129456 19 Immobilizer Shld Lg Elastic L3670 274 OP N/A N/A 18 17 17 N/A 18 15 18 N/A N/A 18 16 16 N/A 18 17 N/A N/A N/A N/A 15 18 14 7129888 225 Set Dilator Ptfe Tpr 8F C1894 272 OP N/A N/A 214 203 203 N/A 214 180 214 N/A N/A 214 191 191 N/A 214 203 N/A N/A N/A N/A 180 214 169 7130705 " 1,627 " Mesh Srg Symbotex Od15 C1781 278 OP N/A N/A " 1,546 " " 1,464 " " 1,464 " N/A " 1,546 " " 1,302 " " 1,546 " N/A N/A " 1,546 " " 1,383 " " 1,383 " N/A " 1,546 " " 1,464 " N/A N/A N/A N/A " 1,302 " " 1,546 " " 1,220 " 7133904 115 Cath Uret Chlgm 18In 4.5Fr 272 OP N/A N/A 109 103 103 N/A 109 92 109 N/A N/A 109 97 97 N/A 109 103 N/A N/A N/A N/A 92 109 86 7134305 25 Immob Shldr Men Lg 36-42in L3670 274 OP N/A N/A 24 23 23 N/A 24 20 24 N/A N/A 24 21 21 N/A 24 23 N/A N/A N/A N/A 20 24 19 7135205 228 Marker 13Cm 2Shp Eviva Brstbio A4648 278 OP N/A N/A 217 205 205 N/A 217 182 217 N/A N/A 217 194 194 N/A 217 205 N/A N/A N/A N/A 182 217 171 7136876 " 3,900 " BspLT Tib Triath TRTn 3 C1776 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7136877 " 3,900 " BspLT Tib Triath TRTn 4 C1776 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7136878 " 3,900 " Baseplate Tib Triath Trit Sz 5 C1776 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7136879 " 3,900 " BspLT Tib Triath TRTn 6 C1776 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7136880 " 3,900 " Baseplate Tib Triath Trit Sz 7 C1776 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7136881 " 3,900 " Baseplate Tib Triath Trit 8 C1776 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7136900 " 1,500 " Patella Tri Trit Mtlbck A32 C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7136901 " 1,500 " Patella Tri Trit Mtlbck A35 C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7136902 " 1,500 " Patella Tri Trit Mtlbck A38 C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7137843 " 11,756 " Algrft Acell Derm 3.0MM 28SqCM Q4125 278 OP N/A N/A " 11,168 " " 10,580 " " 10,580 " N/A " 11,168 " " 9,405 " " 11,168 " N/A N/A " 11,168 " " 9,993 " " 9,993 " N/A " 11,168 " " 10,580 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 11,168 " " 8,817 " 7138869 " 3,285 " Novasure Rf Endometrium Abltn C1886 272 OP N/A N/A " 3,121 " " 2,957 " " 2,957 " N/A " 3,121 " " 2,628 " " 3,121 " N/A N/A " 3,121 " " 2,792 " " 2,792 " N/A " 3,121 " " 2,957 " N/A N/A N/A N/A " 2,628 " " 3,121 " " 2,464 " 7139444 261 Marker Breast 14G Gel Mark Ti A4648 278 OP N/A N/A 248 235 235 N/A 248 209 248 N/A N/A 248 222 222 N/A 248 235 N/A N/A N/A N/A 209 248 196 7139674 450 Screw Bone Tit CoRT 3.5X16MM C1713 278 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7140047 261 Marker Breast 14G Gel Omega A4648 278 OP N/A N/A 248 235 235 N/A 248 209 248 N/A N/A 248 222 222 N/A 248 235 N/A N/A N/A N/A 209 248 196 7140052 731 Mesh Srg Progrip 4.7X3 RT C1781 278 OP N/A N/A 695 658 658 N/A 695 585 695 N/A N/A 695 621 621 N/A 695 658 N/A N/A N/A N/A 585 695 548 7140053 682 Mesh Srg Progrip 4.7X3 LT C1781 278 OP N/A N/A 648 614 614 N/A 648 546 648 N/A N/A 648 580 580 N/A 648 614 N/A N/A N/A N/A 546 648 512 7140528 597 Ring Tnsn Eyejet 14C Right Mor 272 OP N/A N/A 567 537 537 N/A 567 478 567 N/A N/A 567 507 507 N/A 567 537 N/A N/A N/A N/A 478 567 448 7140541 552 Dil Pebax 180Cm Od18-20 C1726 272 OP N/A N/A 524 497 497 N/A 524 442 524 N/A N/A 524 469 469 N/A 524 497 N/A N/A N/A N/A 442 524 414 7140659 " 2,940 " Bio Cartilage 1Cc Xcllr Matrix C1762 278 OP N/A N/A " 2,793 " " 2,646 " " 2,646 " N/A " 2,793 " " 2,352 " " 2,793 " N/A N/A " 2,793 " " 2,499 " " 2,499 " N/A " 2,793 " " 2,646 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 2,793 " " 2,205 " 7141114 780 Cement Bone GEntamycin Simp 272 OP N/A N/A 741 702 702 N/A 741 624 741 N/A N/A 741 663 663 N/A 741 702 N/A N/A N/A N/A 624 741 585 7141123 " 3,585 " Kit Ascp Internalbrace Fbrtape C1713 278 OP N/A N/A " 3,406 " " 3,227 " " 3,227 " N/A " 3,406 " " 2,868 " " 3,406 " N/A N/A " 3,406 " " 3,047 " " 3,047 " N/A " 3,406 " " 3,227 " N/A N/A N/A N/A " 2,868 " " 3,406 " " 2,689 " 7141882 " 1,305 " Anchor Sut 7MM Swivelock C1713 278 OP N/A N/A " 1,240 " " 1,175 " " 1,175 " N/A " 1,240 " " 1,044 " " 1,240 " N/A N/A " 1,240 " " 1,109 " " 1,109 " N/A " 1,240 " " 1,175 " N/A N/A N/A N/A " 1,044 " " 1,240 " 979 7141885 " 1,410 " Anchor Bio Swivlck 4.75MM C1713 278 OP N/A N/A " 1,340 " " 1,269 " " 1,269 " N/A " 1,340 " " 1,128 " " 1,340 " N/A N/A " 1,340 " " 1,199 " " 1,199 " N/A " 1,340 " " 1,269 " N/A N/A N/A N/A " 1,128 " " 1,340 " " 1,058 " 7142064 180 Gw Uro 150CM .035IN 2 Flxb C1769 272 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7142358 " 3,540 " Insert Rsp Std Hum Socket 32MM C1776 278 OP N/A N/A " 3,363 " " 3,186 " " 3,186 " N/A " 3,363 " " 2,832 " " 3,363 " N/A N/A " 3,363 " " 3,009 " " 3,009 " N/A " 3,363 " " 3,186 " N/A N/A N/A N/A " 2,832 " " 3,363 " " 2,655 " 7142789 " 5,589 " Baseplate Rsp Glenoid 30MM P2 C1776 278 OP N/A N/A " 5,310 " " 5,030 " " 5,030 " N/A " 5,310 " " 4,471 " " 5,310 " N/A N/A " 5,310 " " 4,751 " " 4,751 " N/A " 5,310 " " 5,030 " N/A N/A N/A N/A " 4,471 " " 5,310 " " 4,192 " 7142829 205 Marker Breast 17G Ice Blue A4648 278 OP N/A N/A 195 185 185 N/A 195 164 195 N/A N/A 195 174 174 N/A 195 185 N/A N/A N/A N/A 164 195 154 7142830 171 Marker Breast 17G Biodur Pnk A4648 278 OP N/A N/A 162 154 154 N/A 162 137 162 N/A N/A 162 145 145 N/A 162 154 N/A N/A N/A N/A 137 162 128 7142883 450 Screw Bone Tit T15 Ft 3.5X28MM C1713 278 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7143008 " 1,110 " Tightrope Acl Dbl Load PaSSng C1713 278 OP N/A N/A " 1,055 " 999 999 N/A " 1,055 " 888 " 1,055 " N/A N/A " 1,055 " 944 944 N/A " 1,055 " 999 N/A N/A N/A N/A 888 " 1,055 " 833 7143025 " 2,925 " Anchor Sut Biocomp Achilles C1713 278 OP N/A N/A " 2,779 " " 2,633 " " 2,633 " N/A " 2,779 " " 2,340 " " 2,779 " N/A N/A " 2,779 " " 2,486 " " 2,486 " N/A " 2,779 " " 2,633 " N/A N/A N/A N/A " 2,340 " " 2,779 " " 2,194 " 7143265 " 1,050 " Screw Bone Mini CMp Ft 22MM C1713 278 OP N/A N/A 998 945 945 N/A 998 840 998 N/A N/A 998 893 893 N/A 998 945 N/A N/A N/A N/A 840 998 788 7143638 286 Cement Bone Simplex HV US 272 OP N/A N/A 271 257 257 N/A 271 229 271 N/A N/A 271 243 243 N/A 271 257 N/A N/A N/A N/A 229 271 214 7143832 " 1,102 " Cable Sleeve ORTho Vit 2MM Hip C1713 278 OP N/A N/A " 1,047 " 992 992 N/A " 1,047 " 881 " 1,047 " N/A N/A " 1,047 " 936 936 N/A " 1,047 " 992 N/A N/A N/A N/A 881 " 1,047 " 826 7143934 " 1,050 " Screw Bone Quickfix 2.5X22MM C1713 278 OP N/A N/A 998 945 945 N/A 998 840 998 N/A N/A 998 893 893 N/A 998 945 N/A N/A N/A N/A 840 998 788 7144144 " 2,685 " Kit Ascp Tightrp Kirs 1.1MM C1713 278 OP N/A N/A " 2,551 " " 2,417 " " 2,417 " N/A " 2,551 " " 2,148 " " 2,551 " N/A N/A " 2,551 " " 2,282 " " 2,282 " N/A " 2,551 " " 2,417 " N/A N/A N/A N/A " 2,148 " " 2,551 " " 2,014 " 7144398 343 Cement Bone Simplex HV 272 OP N/A N/A 326 309 309 N/A 326 275 326 N/A N/A 326 292 292 N/A 326 309 N/A N/A N/A N/A 275 326 257 7144409 794 Cement Bone SMPX GEnt HI VS 272 OP N/A N/A 754 714 714 N/A 754 635 754 N/A N/A 754 675 675 N/A 754 714 N/A N/A N/A N/A 635 754 595 7144412 600 Screw Locking L10MM Od 3.5MM C1713 278 OP N/A N/A 570 540 540 N/A 570 480 570 N/A N/A 570 510 510 N/A 570 540 N/A N/A N/A N/A 480 570 450 7144413 600 Screw Locking L12MM Od 3.5MM C1713 278 OP N/A N/A 570 540 540 N/A 570 480 570 N/A N/A 570 510 510 N/A 570 540 N/A N/A N/A N/A 480 570 450 7144968 " 1,050 " Screw Bone Quickfix 2.5X18mm C1713 278 OP N/A N/A 998 945 945 N/A 998 840 998 N/A N/A 998 893 893 N/A 998 945 N/A N/A N/A N/A 840 998 788 7146121 " 12,264 " Graft Bn Mtrx Viable Bio4 5CC 272 OP N/A N/A " 11,651 " " 11,038 " " 11,038 " N/A " 11,651 " " 9,811 " " 11,651 " N/A N/A " 11,651 " " 10,424 " " 10,424 " N/A " 11,651 " " 11,038 " N/A N/A N/A N/A " 9,811 " " 11,651 " " 9,198 " 7146616 128 Orthosis Wrist Cockup Prefab L3908 274 OP N/A N/A 121 115 115 N/A 121 102 121 N/A N/A 121 109 109 N/A 121 115 N/A N/A N/A N/A 102 121 96 7147097 95 Brace Active Ankle Small L1906 274 OP N/A N/A 90 86 86 N/A 90 76 90 N/A N/A 90 81 81 N/A 90 86 N/A N/A N/A N/A 76 90 71 7147216 " 1,275 " Sut Anchor Biocmp Ar1938Bc C1713 278 OP N/A N/A " 1,211 " " 1,148 " " 1,148 " N/A " 1,211 " " 1,020 " " 1,211 " N/A N/A " 1,211 " " 1,084 " " 1,084 " N/A " 1,211 " " 1,148 " N/A N/A N/A N/A " 1,020 " " 1,211 " 956 7147443 " 4,220 " Graft Sft Tis Semitendnss Tend 272 OP N/A N/A " 4,009 " " 3,798 " " 3,798 " N/A " 4,009 " " 3,376 " " 4,009 " N/A N/A " 4,009 " " 3,587 " " 3,587 " N/A " 4,009 " " 3,798 " N/A N/A N/A N/A " 3,376 " " 4,009 " " 3,165 " 7147512 " 3,300 " System Impl Dlv Distal Biceps C1713 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7147566 " 13,143 " Graft Porcn 200SqCm Derm Cllgn C9364 278 OP N/A N/A " 12,486 " " 11,829 " " 11,829 " N/A " 12,486 " " 10,515 " " 12,486 " N/A N/A " 12,486 " " 11,172 " " 11,172 " N/A " 12,486 " " 11,829 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 12,486 " " 9,858 " 7147567 99 Tray Thorcnts/Prcnts 5Fr C1729 272 OP N/A N/A 94 89 89 N/A 94 79 94 N/A N/A 94 84 84 N/A 94 89 N/A N/A N/A N/A 79 94 74 7147695 356 Kit Cath Cv Mult Lum Press Inj C1751 272 OP N/A N/A 338 320 320 N/A 338 285 338 N/A N/A 338 302 302 N/A 338 320 N/A N/A N/A N/A 285 338 267 7148018 150 Ortho Kn W Condyl Pad/Jnt Pre L1820 274 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A N/A N/A N/A 120 143 113 7148020 100 Ortho Lo Rgd Pos Panel Pre L0641 274 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A N/A N/A N/A 80 95 75 7149033 " 18,309 " Stem Hum Altivate Rvrs Prm C1776 278 OP N/A N/A " 17,394 " " 16,478 " " 16,478 " N/A " 17,394 " " 14,647 " " 17,394 " N/A N/A " 17,394 " " 15,563 " " 15,563 " N/A " 17,394 " " 16,478 " N/A N/A N/A N/A " 14,647 " " 17,394 " " 13,732 " 7149069 218 Pin Bone 4X140MM Strl 278 OP N/A N/A 207 197 197 N/A 207 175 207 N/A N/A 207 186 186 N/A 207 197 N/A N/A N/A N/A 175 207 164 7149070 218 Pin Bone 4X170MM Strl 278 OP N/A N/A 207 197 197 N/A 207 175 207 N/A N/A 207 186 186 N/A 207 197 N/A N/A N/A N/A 175 207 164 7149111 624 Screw Bn Lck T10 3.5Mm/L16Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7149112 624 Screw Bn Lck T10 3.5Mm/L22Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7149113 624 Screw Bn Lck T10 3.5Mm/L24Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7149115 624 Screw Bn Lck T10 3.5Mm/L30Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7149120 624 Screw Lck T10 3.5Mm/L20Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7149124 " 5,550 " Femoral-Rm-Ll-Sz5 C1776 278 OP N/A N/A " 5,273 " " 4,995 " " 4,995 " N/A " 5,273 " " 4,440 " " 5,273 " N/A N/A " 5,273 " " 4,718 " " 4,718 " N/A " 5,273 " " 4,995 " N/A N/A N/A N/A " 4,440 " " 5,273 " " 4,163 " 7149125 " 3,675 " Baseplate Tibial Rm Ll-Sz5 C1776 278 OP N/A N/A " 3,491 " " 3,308 " " 3,308 " N/A " 3,491 " " 2,940 " " 3,491 " N/A N/A " 3,491 " " 3,124 " " 3,124 " N/A " 3,491 " " 3,308 " N/A N/A N/A N/A " 2,940 " " 3,491 " " 2,756 " 7149126 " 3,600 " InseRT Tib 5 Mako X3 Uni Onlay C1776 278 OP N/A N/A " 3,420 " " 3,240 " " 3,240 " N/A " 3,420 " " 2,880 " " 3,420 " N/A N/A " 3,420 " " 3,060 " " 3,060 " N/A " 3,420 " " 3,240 " N/A N/A N/A N/A " 2,880 " " 3,420 " " 2,700 " 7149129 " 5,100 " Femoral-Lm-Rl-Sz6 C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7149130 " 3,300 " Baseplate Tibial Lm/Rl-Sz6 C1776 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7149259 " 5,550 " Comp Fem Restoris C1776 278 OP N/A N/A " 5,273 " " 4,995 " " 4,995 " N/A " 5,273 " " 4,440 " " 5,273 " N/A N/A " 5,273 " " 4,718 " " 4,718 " N/A " 5,273 " " 4,995 " N/A N/A N/A N/A " 4,440 " " 5,273 " " 4,163 " 7149260 " 3,675 " Baseplate Tib Restoris C1776 278 OP N/A N/A " 3,491 " " 3,308 " " 3,308 " N/A " 3,491 " " 2,940 " " 3,491 " N/A N/A " 3,491 " " 3,124 " " 3,124 " N/A " 3,491 " " 3,308 " N/A N/A N/A N/A " 2,940 " " 3,491 " " 2,756 " 7149261 " 3,600 " Insert Tib Mako Uni Onlay C1776 278 OP N/A N/A " 3,420 " " 3,240 " " 3,240 " N/A " 3,420 " " 2,880 " " 3,420 " N/A N/A " 3,420 " " 3,060 " " 3,060 " N/A " 3,420 " " 3,240 " N/A N/A N/A N/A " 2,880 " " 3,420 " " 2,700 " 7149291 " 1,275 " Kit Disp Dx Swivelock Sl 3.5 C1713 278 OP N/A N/A " 1,211 " " 1,148 " " 1,148 " N/A " 1,211 " " 1,020 " " 1,211 " N/A N/A " 1,211 " " 1,084 " " 1,084 " N/A " 1,211 " " 1,148 " N/A N/A N/A N/A " 1,020 " " 1,211 " 956 7149303 " 3,300 " Baseplate Tibial Restoris C1776 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7149409 " 1,229 " Screw Bn 5X50MM Hdls Cmpr C1713 278 OP N/A N/A " 1,167 " " 1,106 " " 1,106 " N/A " 1,167 " 983 " 1,167 " N/A N/A " 1,167 " " 1,045 " " 1,045 " N/A " 1,167 " " 1,106 " N/A N/A N/A N/A 983 " 1,167 " 922 7149546 " 5,100 " Comp Fem Restoris C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7149586 " 5,550 " Comp Fem Restoris C1776 278 OP N/A N/A " 5,273 " " 4,995 " " 4,995 " N/A " 5,273 " " 4,440 " " 5,273 " N/A N/A " 5,273 " " 4,718 " " 4,718 " N/A " 5,273 " " 4,995 " N/A N/A N/A N/A " 4,440 " " 5,273 " " 4,163 " 7149587 " 3,675 " Baseplate Tib Restoris Onlay C1776 278 OP N/A N/A " 3,491 " " 3,308 " " 3,308 " N/A " 3,491 " " 2,940 " " 3,491 " N/A N/A " 3,491 " " 3,124 " " 3,124 " N/A " 3,491 " " 3,308 " N/A N/A N/A N/A " 2,940 " " 3,491 " " 2,756 " 7149628 " 1,294 " Screw Bn 60MM 5MM Comp Hdls Ti C1713 278 OP N/A N/A " 1,229 " " 1,164 " " 1,164 " N/A " 1,229 " " 1,035 " " 1,229 " N/A N/A " 1,229 " " 1,100 " " 1,100 " N/A " 1,229 " " 1,164 " N/A N/A N/A N/A " 1,035 " " 1,229 " 970 7149749 " 1,294 " Screw Headls Comp 5.0MM/70MM C1713 278 OP N/A N/A " 1,229 " " 1,164 " " 1,164 " N/A " 1,229 " " 1,035 " " 1,229 " N/A N/A " 1,229 " " 1,100 " " 1,100 " N/A " 1,229 " " 1,164 " N/A N/A N/A N/A " 1,035 " " 1,229 " 970 7150658 495 Screw Bone Lopro Ss T15 45X4MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7151391 24 Cath Drn 20Fr 20In Arg Sntnl C1729 272 OP N/A N/A 23 21 21 N/A 23 19 23 N/A N/A 23 20 20 N/A 23 21 N/A N/A N/A N/A 19 23 18 7153862 90 Intro Cath 7.5Fr 3.5In Chlgm C1894 272 OP N/A N/A 85 81 81 N/A 85 72 85 N/A N/A 85 76 76 N/A 85 81 N/A N/A N/A N/A 72 85 67 7154122 " 3,750 " Mesh Inguinal 4.5X10 C1781 278 OP N/A N/A " 3,563 " " 3,375 " " 3,375 " N/A " 3,563 " " 3,000 " " 3,563 " N/A N/A " 3,563 " " 3,188 " " 3,188 " N/A " 3,563 " " 3,375 " N/A N/A N/A N/A " 3,000 " " 3,563 " " 2,813 " 7155866 74 Tube Vnt Shrt T 4.8X1.32MM 272 OP N/A N/A 70 66 66 N/A 70 59 70 N/A N/A 70 63 63 N/A 70 66 N/A N/A N/A N/A 59 70 55 7156602 42 Tube Vnt Bvl 1.14MM Amstr 272 OP N/A N/A 40 38 38 N/A 40 33 40 N/A N/A 40 35 35 N/A 40 38 N/A N/A N/A N/A 33 40 31 7156975 " 3,094 " Sling Uretheral Lynx Repr C1771 278 OP N/A N/A " 2,939 " " 2,784 " " 2,784 " N/A " 2,939 " " 2,475 " " 2,939 " N/A N/A " 2,939 " " 2,630 " " 2,630 " N/A " 2,939 " " 2,784 " N/A N/A N/A N/A " 2,475 " " 2,939 " " 2,320 " 7157003 " 1,097 " Implant Uro 1Ml Coaptite Syr L8606 278 OP N/A N/A " 1,042 " 987 987 N/A " 1,042 " 878 " 1,042 " N/A N/A " 1,042 " 932 932 N/A " 1,042 " 987 N/A N/A N/A N/A 878 " 1,042 " 823 7160344 420 Screw Bone Rsp Lock 5X14MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7160345 420 Screw Bone Rsp Lock 5X18MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7160347 420 Screw Bone Rsp Glenoid 5X26MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7160349 " 4,053 " Joint Dvc Sph Glnd 32MM Rsp C1776 278 OP N/A N/A " 3,850 " " 3,648 " " 3,648 " N/A " 3,850 " " 3,242 " " 3,850 " N/A N/A " 3,850 " " 3,445 " " 3,445 " N/A " 3,850 " " 3,648 " N/A N/A N/A N/A " 3,242 " " 3,850 " " 3,040 " 7163457 " 1,290 " Mesh Hernia Umb Spr Md Crc 2.5 C1781 278 OP N/A N/A " 1,226 " " 1,161 " " 1,161 " N/A " 1,226 " " 1,032 " " 1,226 " N/A N/A " 1,226 " " 1,097 " " 1,097 " N/A " 1,226 " " 1,161 " N/A N/A N/A N/A " 1,032 " " 1,226 " 968 7163458 " 1,647 " Mesh Hernia Umb Spr Lg Crc 3.2 C1781 278 OP N/A N/A " 1,565 " " 1,482 " " 1,482 " N/A " 1,565 " " 1,318 " " 1,565 " N/A N/A " 1,565 " " 1,400 " " 1,400 " N/A " 1,565 " " 1,482 " N/A N/A N/A N/A " 1,318 " " 1,565 " " 1,235 " 7174357 " 1,293 " Boot Walker XL Adlt Blk L4360 274 OP N/A N/A " 1,228 " " 1,164 " " 1,164 " N/A " 1,228 " " 1,034 " " 1,228 " N/A N/A " 1,228 " " 1,099 " " 1,099 " N/A " 1,228 " " 1,164 " N/A N/A N/A N/A " 1,034 " " 1,228 " 970 7174381 128 Cath Uret 8F 70CM Cone C1758 272 OP N/A N/A 122 115 115 N/A 122 102 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 102 122 96 7174590 " 1,260 " Anchor Bio Swivlck Peek 4.75MM C1713 278 OP N/A N/A " 1,197 " " 1,134 " " 1,134 " N/A " 1,197 " " 1,008 " " 1,197 " N/A N/A " 1,197 " " 1,071 " " 1,071 " N/A " 1,197 " " 1,134 " N/A N/A N/A N/A " 1,008 " " 1,197 " 945 7174601 " 1,662 " Cath Cntrl Ven Groshong 8F C1751 272 OP N/A N/A " 1,578 " " 1,495 " " 1,495 " N/A " 1,578 " " 1,329 " " 1,578 " N/A N/A " 1,578 " " 1,412 " " 1,412 " N/A " 1,578 " " 1,495 " N/A N/A N/A N/A " 1,329 " " 1,578 " " 1,246 " 7174602 " 1,340 " Port Impl Pp 96F 1 Lmn C1788 278 OP N/A N/A " 1,273 " " 1,206 " " 1,206 " N/A " 1,273 " " 1,072 " " 1,273 " N/A N/A " 1,273 " " 1,139 " " 1,139 " N/A " 1,273 " " 1,206 " N/A N/A N/A N/A " 1,072 " " 1,273 " " 1,005 " 7174963 450 Screw Bone Tiger Cann 2.4X12MM C1713 278 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7174965 450 Screw Bone Tiger Cann 2.4X16MM C1713 278 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7174995 450 Screw Bone Tiger Cann 4X36MM C1713 278 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7175009 " 2,700 " Implant Toe 2 Step Hmr Toe C1713 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7175010 " 4,500 " Implant Toe 2 Step Hmr Toe C1713 278 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 7175399 2 Tube Ng 5Fr 36In Kngr Pvc Pur B4082 294 OP N/A N/A 2 2 2 N/A 2 2 2 N/A N/A 2 2 2 N/A 2 2 N/A 22 N/A 24 2 24 1 7175567 67 Cath Irr 80CM 4Fr Fgrty Art 272 OP N/A N/A 64 61 61 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 61 N/A N/A N/A N/A 54 64 51 7175581 105 Screw Bone Lopro CoRT 3.5X12MM C1713 278 OP N/A N/A 100 95 95 N/A 100 84 100 N/A N/A 100 89 89 N/A 100 95 N/A N/A N/A N/A 84 100 79 7175587 420 Screw Bone Rsp Glenoid 5X22MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7175588 " 4,053 " Head Glnd -4 32MM Retain Screw C1776 278 OP N/A N/A " 3,850 " " 3,648 " " 3,648 " N/A " 3,850 " " 3,242 " " 3,850 " N/A N/A " 3,850 " " 3,445 " " 3,445 " N/A " 3,850 " " 3,648 " N/A N/A N/A N/A " 3,242 " " 3,850 " " 3,040 " 7175913 752 Stent Polaris 192 121 C2617 278 OP N/A N/A 715 677 677 N/A 715 602 715 N/A N/A 715 640 640 N/A 715 677 N/A N/A N/A N/A 602 715 564 7175914 418 Stent Polaris 192 122 C2617 278 OP N/A N/A 397 376 376 N/A 397 334 397 N/A N/A 397 355 355 N/A 397 376 N/A N/A N/A N/A 334 397 313 7175916 681 Stent Polaris Uret 6Fr 22Cm C2617 278 OP N/A N/A 647 613 613 N/A 647 545 647 N/A N/A 647 579 579 N/A 647 613 N/A N/A N/A N/A 545 647 510 7175917 507 Stent Polaris Uret 6Fr 24Cm C2617 278 OP N/A N/A 482 456 456 N/A 482 406 482 N/A N/A 482 431 431 N/A 482 456 N/A N/A N/A N/A 406 482 380 7175918 446 Stent Polaris Ultra 192 133 C2617 278 OP N/A N/A 424 402 402 N/A 424 357 424 N/A N/A 424 379 379 N/A 424 402 N/A N/A N/A N/A 357 424 335 7175919 418 Stent Polaris Ultra 192 134 C2617 278 OP N/A N/A 397 376 376 N/A 397 334 397 N/A N/A 397 355 355 N/A 397 376 N/A N/A N/A N/A 334 397 313 7175920 418 Stent Polaris 190 135 C2617 278 OP N/A N/A 397 376 376 N/A 397 334 397 N/A N/A 397 355 355 N/A 397 376 N/A N/A N/A N/A 334 397 313 7175924 160 Cath Uret 4.8F Opn End 400 150 C1758 272 OP N/A N/A 152 144 144 N/A 152 128 152 N/A N/A 152 136 136 N/A 152 144 N/A N/A N/A N/A 128 152 120 7175925 115 Cath Uret 6F Opn End Set 400 C1758 272 OP N/A N/A 109 103 103 N/A 109 92 109 N/A N/A 109 97 97 N/A 109 103 N/A N/A N/A N/A 92 109 86 7175926 295 Cath Double Lumen Ureth 10Fr C1758 272 OP N/A N/A 280 265 265 N/A 280 236 280 N/A N/A 280 251 251 N/A 280 265 N/A N/A N/A N/A 236 280 221 7175930 752 Stent Polaris Ultra 5/26 C2617 278 OP N/A N/A 715 677 677 N/A 715 602 715 N/A N/A 715 640 640 N/A 715 677 N/A N/A N/A N/A 602 715 564 7176079 49 Imb Knee Unv 20IN Cntr Post St L1830 274 OP N/A N/A 46 44 44 N/A 46 39 46 N/A N/A 46 41 41 N/A 46 44 N/A N/A N/A N/A 39 46 36 7176288 18 Brace Cockup Adlt Lt Perf L3908 274 OP N/A N/A 17 16 16 N/A 17 14 17 N/A N/A 17 15 15 N/A 17 16 N/A N/A N/A N/A 14 17 13 7180674 " 6,163 " Plate Prox Lat Lt Tib 2H 95MM C1713 278 OP N/A N/A " 5,855 " " 5,546 " " 5,546 " N/A " 5,855 " " 4,930 " " 5,855 " N/A N/A " 5,855 " " 5,238 " " 5,238 " N/A " 5,855 " " 5,546 " N/A N/A N/A N/A " 4,930 " " 5,855 " " 4,622 " 7180675 " 6,293 " Plate Bn L121Mm Lt Tib 4 Hl C1713 278 OP N/A N/A " 5,979 " " 5,664 " " 5,664 " N/A " 5,979 " " 5,035 " " 5,979 " N/A N/A " 5,979 " " 5,349 " " 5,349 " N/A " 5,979 " " 5,664 " N/A N/A N/A N/A " 5,035 " " 5,979 " " 4,720 " 7180685 " 6,163 " Plate Prox Lat Rt Tib 2H 95MM C1713 278 OP N/A N/A " 5,855 " " 5,546 " " 5,546 " N/A " 5,855 " " 4,930 " " 5,855 " N/A N/A " 5,855 " " 5,238 " " 5,238 " N/A " 5,855 " " 5,546 " N/A N/A N/A N/A " 4,930 " " 5,855 " " 4,622 " 7180749 " 8,501 " Plate Bn L343MM Rt Fem 16 Hl C1713 278 OP N/A N/A " 8,075 " " 7,650 " " 7,650 " N/A " 8,075 " " 6,800 " " 8,075 " N/A N/A " 8,075 " " 7,225 " " 7,225 " N/A " 8,075 " " 7,650 " N/A N/A N/A N/A " 6,800 " " 8,075 " " 6,375 " 7180846 162 Screw Bone Axsos Canc 70X6MM C1713 278 OP N/A N/A 154 146 146 N/A 154 130 154 N/A N/A 154 138 138 N/A 154 146 N/A N/A N/A N/A 130 154 122 7180847 162 Screw Bone Axsos Canc 6X75MM C1713 278 OP N/A N/A 154 146 146 N/A 154 130 154 N/A N/A 154 138 138 N/A 154 146 N/A N/A N/A N/A 130 154 122 7180848 162 Screw Bone Canc Tit 6X80MM Ft C1713 278 OP N/A N/A 154 146 146 N/A 154 130 154 N/A N/A 154 138 138 N/A 154 146 N/A N/A N/A N/A 130 154 122 7180906 612 Screw Bone Axsos Lock4X28MM Ns C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180907 612 Screw Bn 4MM Lck 4.0/L30MM C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180910 612 Screw Bone Axsos Lock4X36MM Ns C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180912 612 Screw Bone Axsos Lock 4X40MM C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180913 612 Screw Bn Lck 4MM 4X42MM C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180914 612 Screw Bone Axsos Lock 4X44MM C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180915 612 Screw Bn Ti Lck 4X46MM Axsos 3 C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180921 612 Screw Bone Axsos Lock4X70MM Ns C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180922 612 Screw Bone Axsos Lock4X75MM Ns C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180923 612 Screw Bone Axsos Lock4X80MM Ns C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180925 612 Screw Bone Axsos Lock4X90MM Ns C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7180929 648 Screw Bone 5MM Lock 5X18MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180935 648 Screw Bone Locking 5X30MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180937 648 Screw Bn Lck 5X34MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180939 648 Screw Bone Locking 5X38MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180940 648 Screw Bone Axsos Lck 5X5X40MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180946 648 Screw Bone Axsos Lock 5X55MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180948 648 Screw Bn Lck 5X65MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180949 648 Screw Bone Locking 5X70MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180950 648 Screw Bone Locking 5X75MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180951 648 Screw Bone 5MM Lock 5X80MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180952 648 Screw Bn Lck 5X85MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180953 648 Screw Bn Lck 5X90MM C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7180959 747 Screw Bone Axsos Lock 5X16MM C1713 278 OP N/A N/A 710 672 672 N/A 710 598 710 N/A N/A 710 635 635 N/A 710 672 N/A N/A N/A N/A 598 710 560 7180967 128 Screw Bone Axsos3 Tit 3.5X24MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180968 128 Screw Bn CoRTex Ti 3.5X26MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180969 128 Screw Bone CoRTical 3.5X28MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180970 128 Screw Bn 3.5 CoRT Ti 3.5/30MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180971 128 Screw Bone CoRTical 3.5X32MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180972 128 Screw Bone CoRTical 3.5X34MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180973 128 Screw Bone Axsos3 Tit 3.5X36MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180974 128 Screw Bn CoRT Ti 3.5X38MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180980 128 Screw Bone Axsos CoRT 3.5X50MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7180986 128 Screw Bone CoRTical 3.5X80MM C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7181014 146 Screw Bn CoRT Ti 4.5X32MM C1713 278 OP N/A N/A 139 132 132 N/A 139 117 139 N/A N/A 139 124 124 N/A 139 132 N/A N/A N/A N/A 117 139 110 7181016 146 Screw Bone 4.5X4.5X36MM CoRT C1713 278 OP N/A N/A 139 132 132 N/A 139 117 139 N/A N/A 139 124 124 N/A 139 132 N/A N/A N/A N/A 117 139 110 7181017 146 Screw Cortex 4.5MM Ti 4.5X38MM C1713 278 OP N/A N/A 139 132 132 N/A 139 117 139 N/A N/A 139 124 124 N/A 139 132 N/A N/A N/A N/A 117 139 110 7181091 " 3,406 " Plate Bn Volar Dr Intmd Lt 11H C1713 278 OP N/A N/A " 3,236 " " 3,066 " " 3,066 " N/A " 3,236 " " 2,725 " " 3,236 " N/A N/A " 3,236 " " 2,895 " " 2,895 " N/A " 3,236 " " 3,066 " N/A N/A N/A N/A " 2,725 " " 3,236 " " 2,555 " 7181151 " 1,533 " Plate L90MM 7H Cmpr Variax Hl C1713 278 OP N/A N/A " 1,456 " " 1,380 " " 1,380 " N/A " 1,456 " " 1,226 " " 1,456 " N/A N/A " 1,456 " " 1,303 " " 1,303 " N/A " 1,456 " " 1,380 " N/A N/A N/A N/A " 1,226 " " 1,456 " " 1,150 " 7181266 561 Screw Bn Lck T8 Ft 2.7/10MM C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181267 561 Screw Bn Lck T8 Ft 2.7/12MM C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181268 561 Screw Lck T8 Fl Thr 2.7MM/L14 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181269 561 Screw Bn Lck T8 Ft 2.7/16MM C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181270 561 Screw Bn Lck T8 Fl Thrd 2.7/18 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181271 561 Screw Lck T8 Fl Thr 2.7MM/L20 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181272 561 Screw Lck T8 Fl Th 2.7MM/L22MM C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181273 561 Screw Bn Lck T8 Fl Thr 2.7/24 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181274 561 Screw Bn Lck T8 Fl Thrd 2.7/26 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7181286 327 Screw Bn T8 Fl Thrd 2.7X12MM C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7181287 327 Screw Bn T8 Full Thread 2.7/14 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7181288 327 Screw Bne T8 Fl Th 2.7MM/L16MM C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7181291 327 Screw Bn T8 Fl Th 2.7MM/L22MM C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7181335 339 Bone Scr T10 Fl Th 2.7MM/L20MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181344 624 Screw Bn Lck T10 Fl Th 3.5/L12 C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7181345 624 Screw Bn Variax Lck 3.5X14Mm C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7181347 624 Screw T10 Fu Thr 3.5MM/L18MM C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7181369 339 Screw Bn T10 Fl Thrd 3.5X10MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181370 339 Screw Bn 657412 C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181371 339 Screw Bone Variax 3.5X14MM Ns C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181372 339 Screw Bone Variax 3.5X16MM Ns C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181373 339 Screw Bone Variax 3.5X18MM Ns C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181374 339 Screw Bn 657420 C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181375 339 Screw Bone Variax 3.5X22MM Ns C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181376 339 Bone Scr T10 Fl Th 3.5MM/L24MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181377 339 Screw Bone Variax 3.5X26MM Ns C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181378 339 Screw Bone Variax 3.5X28MM Ns C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7181381 130 Washer Orth Variax 2.4X2.7X3.5 272 OP N/A N/A 123 117 117 N/A 123 104 123 N/A N/A 123 110 110 N/A 123 117 N/A N/A N/A N/A 104 123 97 7188983 420 Screw Bone Titanium 2.4X10MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7188990 420 Screw Bone Titanium 2.4X18MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7188992 420 Screw Bone Titanium 2.4X20MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7189057 525 Screw Bn 3.0X12MM Ti C1713 278 OP N/A N/A 499 473 473 N/A 499 420 499 N/A N/A 499 446 446 N/A 499 473 N/A N/A N/A N/A 420 499 394 7189058 525 Screw Bn 3.0X14MM C1713 278 OP N/A N/A 499 473 473 N/A 499 420 499 N/A N/A 499 446 446 N/A 499 473 N/A N/A N/A N/A 420 499 394 7189059 525 Screw Bn 3.0X16MM C1713 278 OP N/A N/A 499 473 473 N/A 499 420 499 N/A N/A 499 446 446 N/A 499 473 N/A N/A N/A N/A 420 499 394 7189695 " 1,050 " Screw Bone Quickfix 3.6X18MM C1713 278 OP N/A N/A 998 945 945 N/A 998 840 998 N/A N/A 998 893 893 N/A 998 945 N/A N/A N/A N/A 840 998 788 7189697 " 1,050 " Screw Bone Quickfix 3.6X24MM C1713 278 OP N/A N/A 998 945 945 N/A 998 840 998 N/A N/A 998 893 893 N/A 998 945 N/A N/A N/A N/A 840 998 788 7190718 " 2,314 " Insert Humeral C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7190737 " 2,314 " Insert Humeral C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7190738 " 2,314 " Insert Humeral C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7190739 " 2,314 " Insert Humeral C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7190740 " 2,314 " Insert Humeral C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7190741 " 2,314 " Insert Hum S 36 # To Fit C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7190742 " 2,314 " Insert Humeral C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7191720 " 1,920 " Anchor Sut Swivel Bio 4.75MM C1713 278 OP N/A N/A " 1,824 " " 1,728 " " 1,728 " N/A " 1,824 " " 1,536 " " 1,824 " N/A N/A " 1,824 " " 1,632 " " 1,632 " N/A " 1,824 " " 1,728 " N/A N/A N/A N/A " 1,536 " " 1,824 " " 1,440 " 7191739 " 3,225 " Internalbrace Ligament Repair C1713 278 OP N/A N/A " 3,064 " " 2,903 " " 2,903 " N/A " 3,064 " " 2,580 " " 3,064 " N/A N/A " 3,064 " " 2,741 " " 2,741 " N/A " 3,064 " " 2,903 " N/A N/A N/A N/A " 2,580 " " 3,064 " " 2,419 " 7191816 " 2,400 " Plate Bn H1.4MM Rt Sm Lisfranc C1713 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7191834 450 Screw Bone Tit Lock 3.5X14MM C1713 278 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7191835 450 Screw Bone Tit Lock 3.5X22MM C1713 278 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7191836 450 Screw Bone Tit Lock 3.5X24MM C1713 278 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7191851 840 Plate Bn L123MM 10 Hl Ankl SS C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7191906 " 2,685 " Plate Bn Rt Foreft Fsn Mod Std C1713 278 OP N/A N/A " 2,551 " " 2,417 " " 2,417 " N/A " 2,551 " " 2,148 " " 2,551 " N/A N/A " 2,551 " " 2,282 " " 2,282 " N/A " 2,551 " " 2,417 " N/A N/A N/A N/A " 2,148 " " 2,551 " " 2,014 " 7191913 135 Screw Bone Lopro Cort 2.7X12mm C1713 278 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 7191915 135 Screw Bone Lopro CoRT 2.7X16MM C1713 278 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 7191916 135 Screw Bone Lopro CoRT 2.7X18MM C1713 278 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 7191917 135 Screw Bone Lopro CoRT 2.7X20MM C1713 278 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 7191918 135 Screw Bone Lopro CoRT 2.7X22MM C1713 278 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 7192055 180 Screw Bone Lopro Cort 3.5X14MM C1713 278 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7192057 180 Screw Bone Lopro CoRT 3.5X22MM C1713 278 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7192079 360 Screw Bone Lopro Cann 3X36MM C1713 278 OP N/A N/A 342 324 324 N/A 342 288 342 N/A N/A 342 306 306 N/A 342 324 N/A N/A N/A N/A 288 342 270 7192095 180 Screw Bone Lopro Cann 4X34MM C1713 278 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7192145 525 Screw Bone Lopro Cann 4.5X40MM C1713 278 OP N/A N/A 499 473 473 N/A 499 420 499 N/A N/A 499 446 446 N/A 499 473 N/A N/A N/A N/A 420 499 394 7192184 495 Screw Bone Lopro Cann 4X30MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7192189 495 Screw Bone Lopro Cann 4X35MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7192195 495 Screw Bone Lopro Cann 4X40MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7192198 495 Screw Bone Lopro Cann 4X44MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7192204 495 Screw Bone Lopro Cann 4X55MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7192207 495 Screw Bone Lopro Cann 4X60MM C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7192232 330 Screw Bone Lopro CoRT 2.4X12MM C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7192233 330 Screw Bone Lopro Cort 2.4X14MM C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7192246 330 Screw Bone Lopro 2.4X10MM Cann C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7194022 " 1,470 " Spacer Hum Od36 Unv 6 Arthpl 272 OP N/A N/A " 1,397 " " 1,323 " " 1,323 " N/A " 1,397 " " 1,176 " " 1,397 " N/A N/A " 1,397 " " 1,250 " " 1,250 " N/A " 1,397 " " 1,323 " N/A N/A N/A N/A " 1,176 " " 1,397 " " 1,103 " 7194027 " 1,470 " Spacer Hum Od36 Unv 9 Arthpl 272 OP N/A N/A " 1,397 " " 1,323 " " 1,323 " N/A " 1,397 " " 1,176 " " 1,397 " N/A N/A " 1,397 " " 1,250 " " 1,250 " N/A " 1,397 " " 1,323 " N/A N/A N/A N/A " 1,176 " " 1,397 " " 1,103 " 7194211 " 2,385 " Plate Bn 3 Hl Rt Wrst Rad Nar C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7194215 " 2,385 " Plate Bn 3 Hl Lt Wrst Rad Std C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7194219 " 2,385 " Plate Bone 3 Hl Rt Wrst Rad St C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7194231 240 Washer 10MM Cnn 272 OP N/A N/A 228 216 216 N/A 228 192 228 N/A N/A 228 204 204 N/A 228 216 N/A N/A N/A N/A 192 228 180 7194235 96 Washer Orthopedic 7MM 272 OP N/A N/A 91 87 87 N/A 91 77 91 N/A N/A 91 82 82 N/A 91 87 N/A N/A N/A N/A 77 91 72 7194501 " 1,200 " Anchor Sut Anchbio 2.9X12 C1713 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7195926 30 Cup Hl I Sm Ft Cntr Clr Strk L3480 274 OP N/A N/A 28 27 27 N/A 28 24 28 N/A N/A 28 25 25 N/A 28 27 N/A N/A N/A N/A 24 28 22 7196781 814 Set Dilator Strt 8 24F Uret C1894 272 OP N/A N/A 773 732 732 N/A 773 651 773 N/A N/A 773 692 692 N/A 773 732 N/A N/A N/A N/A 651 773 610 7204582 171 Orthosis Shoulder Acr/Clav Pre L3670 274 OP N/A N/A 163 154 154 N/A 163 137 163 N/A N/A 163 146 146 N/A 163 154 N/A N/A N/A N/A 137 163 128 7206681 " 1,071 " Anchor Sonic 2.5X10MM C1713 278 OP N/A N/A " 1,017 " 964 964 N/A " 1,017 " 857 " 1,017 " N/A N/A " 1,017 " 910 910 N/A " 1,017 " 964 N/A N/A N/A N/A 857 " 1,017 " 803 7206682 " 1,229 " Screw HeadleSS Com 5.0MM/L55MM C1713 278 OP N/A N/A " 1,167 " " 1,106 " " 1,106 " N/A " 1,167 " 983 " 1,167 " N/A N/A " 1,167 " " 1,045 " " 1,045 " N/A " 1,167 " " 1,106 " N/A N/A N/A N/A 983 " 1,167 " 922 7206685 " 5,550 " Mck Femoral L-M-Rl Sz3 C1776 278 OP N/A N/A " 5,273 " " 4,995 " " 4,995 " N/A " 5,273 " " 4,440 " " 5,273 " N/A N/A " 5,273 " " 4,718 " " 4,718 " N/A " 5,273 " " 4,995 " N/A N/A N/A N/A " 4,440 " " 5,273 " " 4,163 " 7206832 150 Ortho Kn Elastic W/Joints Pre L1812 274 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A N/A N/A N/A 120 143 113 7207586 " 3,675 " Baseplate Tib Restor Onlay Sz4 C1776 278 OP N/A N/A " 3,491 " " 3,308 " " 3,308 " N/A " 3,491 " " 2,940 " " 3,491 " N/A N/A " 3,491 " " 3,124 " " 3,124 " N/A " 3,491 " " 3,308 " N/A N/A N/A N/A " 2,940 " " 3,491 " " 2,756 " 7207711 100 Ortho Ankle Gauntlet Pre Ots L1902 274 OP N/A N/A 95 90 90 N/A 95 80 95 N/A N/A 95 85 85 N/A 95 90 N/A N/A N/A N/A 80 95 75 7207746 " 3,702 " Plate Olecranon 6 Hole/Left C1713 278 OP N/A N/A " 3,517 " " 3,332 " " 3,332 " N/A " 3,517 " " 2,962 " " 3,517 " N/A N/A " 3,517 " " 3,147 " " 3,147 " N/A " 3,517 " " 3,332 " N/A N/A N/A N/A " 2,962 " " 3,517 " " 2,777 " 7208172 339 Screw Bn Variax 44X3.5MM Nlckg C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7210112 281 Orthosis Wrist Hand Wo Joint L3807 274 OP N/A N/A 267 253 253 N/A 267 225 267 N/A N/A 267 239 239 N/A 267 253 N/A N/A N/A N/A 225 267 211 7213068 " 2,835 " Insert Articular C1776 278 OP N/A N/A " 2,693 " " 2,552 " " 2,552 " N/A " 2,693 " " 2,268 " " 2,693 " N/A N/A " 2,693 " " 2,410 " " 2,410 " N/A " 2,693 " " 2,552 " N/A N/A N/A N/A " 2,268 " " 2,693 " " 2,126 " 7217052 " 4,070 " Cup Hum Unv Rev +2mm Shld Rt C1776 278 OP N/A N/A " 3,866 " " 3,663 " " 3,663 " N/A " 3,866 " " 3,256 " " 3,866 " N/A N/A " 3,866 " " 3,459 " " 3,459 " N/A " 3,866 " " 3,663 " N/A N/A N/A N/A " 3,256 " " 3,866 " " 3,052 " 7218867 " 6,900 " Stem Fem 6 Ntrl Hip RT C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7218880 " 6,900 " Stem Fem 4 Ntrl Hip Lt C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7218881 " 6,900 " Stem Fem 5 Ntrl Hip LT C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7219445 " 14,643 " Body Cone 27MM Rstr +0MM Std C1776 278 OP N/A N/A " 13,910 " " 13,178 " " 13,178 " N/A " 13,910 " " 11,714 " " 13,910 " N/A N/A " 13,910 " " 12,446 " " 12,446 " N/A " 13,910 " " 13,178 " N/A N/A N/A N/A " 11,714 " " 13,910 " " 10,982 " 7219701 " 10,491 " Stem Fem 155MM 22MM Mdlr Rstr C1776 278 OP N/A N/A " 9,966 " " 9,442 " " 9,442 " N/A " 9,966 " " 8,393 " " 9,966 " N/A N/A " 9,966 " " 8,917 " " 8,917 " N/A " 9,966 " " 9,442 " N/A N/A N/A N/A " 8,393 " " 9,966 " " 7,868 " 7220027 " 4,064 " Plate 2MM Med 100MM Vit 2 Cbl C1713 278 OP N/A N/A " 3,861 " " 3,657 " " 3,657 " N/A " 3,861 " " 3,251 " " 3,861 " N/A N/A " 3,861 " " 3,454 " " 3,454 " N/A " 3,861 " " 3,657 " N/A N/A N/A N/A " 3,251 " " 3,861 " " 3,048 " 7220139 " 1,500 " Comp Patellar 9MM 29MM Asym C1776 278 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7220153 900 Comp Patellar 10MM 32MM Asym C1776 278 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7220187 " 3,900 " BspLT Tib Triathalon 1 67MM C1776 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7220188 " 3,900 " BspLT Tib Triathalon 2 67MM C1776 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7221520 " 8,100 " Comp Fem 5 Kn Ptlfem Lt Mck C1776 278 OP N/A N/A " 7,695 " " 7,290 " " 7,290 " N/A " 7,695 " " 6,480 " " 7,695 " N/A N/A " 7,695 " " 6,885 " " 6,885 " N/A " 7,695 " " 7,290 " N/A N/A N/A N/A " 6,480 " " 7,695 " " 6,075 " 7221525 " 8,100 " Comp Fem 5 Kn Ptlfem Rt Mck C1776 278 OP N/A N/A " 7,695 " " 7,290 " " 7,290 " N/A " 7,695 " " 6,480 " " 7,695 " N/A N/A " 7,695 " " 6,885 " " 6,885 " N/A " 7,695 " " 7,290 " N/A N/A N/A N/A " 6,480 " " 7,695 " " 6,075 " 7221530 " 5,100 " Comp Fem 2 Kn Rmll Mck Sys C1776 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7221753 " 3,300 " Ins Tib 2 8MM Uni Onlay C1776 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7221774 " 3,300 " BspLT Tib 2 Kn LT Mdl Rl Mck C1776 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7222044 900 Comp Patellar 8MM 27MM Smtr C1776 278 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7227995 " 3,192 " System Anch Sut Jugger 2.9MM C1713 278 OP N/A N/A " 3,032 " " 2,873 " " 2,873 " N/A " 3,032 " " 2,554 " " 3,032 " N/A N/A " 3,032 " " 2,713 " " 2,713 " N/A " 3,032 " " 2,873 " N/A N/A N/A N/A " 2,554 " " 3,032 " " 2,394 " 7233704 " 7,838 " Kit Bn Cmnt Scp Ft/Ankl 120 11 C1713 278 OP N/A N/A " 7,446 " " 7,054 " " 7,054 " N/A " 7,446 " " 6,270 " " 7,446 " N/A N/A " 7,446 " " 6,662 " " 6,662 " N/A " 7,446 " " 7,054 " N/A N/A N/A N/A " 6,270 " " 7,446 " " 5,878 " 7233736 " 2,550 " Stent Propel Cntr Sinus Spcr C2625 278 OP N/A N/A " 2,423 " " 2,295 " " 2,295 " N/A " 2,423 " " 2,040 " " 2,423 " N/A N/A " 2,423 " " 2,168 " " 2,168 " N/A " 2,423 " " 2,295 " N/A N/A N/A N/A " 2,040 " " 2,423 " " 1,913 " 7233948 " 5,700 " Graft Bone Arthrocell 2.5 cc 272 OP N/A N/A " 5,415 " " 5,130 " " 5,130 " N/A " 5,415 " " 4,560 " " 5,415 " N/A N/A " 5,415 " " 4,845 " " 4,845 " N/A " 5,415 " " 5,130 " N/A N/A N/A N/A " 4,560 " " 5,415 " " 4,275 " 7234061 " 2,910 " Mesh Vntrlt St 20CM 8IN Crc C1781 278 OP N/A N/A " 2,765 " " 2,619 " " 2,619 " N/A " 2,765 " " 2,328 " " 2,765 " N/A N/A " 2,765 " " 2,474 " " 2,474 " N/A " 2,765 " " 2,619 " N/A N/A N/A N/A " 2,328 " " 2,765 " " 2,183 " 7234128 672 Button Fx Tgtrp Obl 12X8MM Acl C1713 278 OP N/A N/A 638 605 605 N/A 638 538 638 N/A N/A 638 571 571 N/A 638 605 N/A N/A N/A N/A 538 638 504 7234151 " 4,485 " Plate Bn Lapidus Plantar Lt C1776 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7234205 " 5,985 " System Anch Sut Speedbridge C1713 278 OP N/A N/A " 5,686 " " 5,387 " " 5,387 " N/A " 5,686 " " 4,788 " " 5,686 " N/A N/A " 5,686 " " 5,087 " " 5,087 " N/A " 5,686 " " 5,387 " N/A N/A N/A N/A " 4,788 " " 5,686 " " 4,489 " 7234217 339 Screw Bn T10 Ft 3.5X65MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7234317 " 7,468 " Plate Bn Pa Lck Lapidus Lt C1713 278 OP N/A N/A " 7,094 " " 6,721 " " 6,721 " N/A " 7,094 " " 5,974 " " 7,094 " N/A N/A " 7,094 " " 6,347 " " 6,347 " N/A " 7,094 " " 6,721 " N/A N/A N/A N/A " 5,974 " " 7,094 " " 5,601 " 7234323 339 Screw Bn Variax T10 Ft 3.5X60 C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7234326 " 3,465 " Sling Pubovag Obtryx Ii Halo S C1771 278 OP N/A N/A " 3,292 " " 3,119 " " 3,119 " N/A " 3,292 " " 2,772 " " 3,292 " N/A N/A " 3,292 " " 2,945 " " 2,945 " N/A " 3,292 " " 3,119 " N/A N/A N/A N/A " 2,772 " " 3,292 " " 2,599 " 7244009 " 7,838 " Kit Bn Cmnt 60MM Scp Accuport C1713 278 OP N/A N/A " 7,446 " " 7,054 " " 7,054 " N/A " 7,446 " " 6,270 " " 7,446 " N/A N/A " 7,446 " " 6,662 " " 6,662 " N/A " 7,446 " " 7,054 " N/A N/A N/A N/A " 6,270 " " 7,446 " " 5,878 " 7246337 " 1,872 " Mesh Srg Dulex 7.5INx5.9INx1MM C1781 278 OP N/A N/A " 1,778 " " 1,685 " " 1,685 " N/A " 1,778 " " 1,498 " " 1,778 " N/A N/A " 1,778 " " 1,591 " " 1,591 " N/A " 1,778 " " 1,685 " N/A N/A N/A N/A " 1,498 " " 1,778 " " 1,404 " 7246537 249 Guidewire Hybrid 150Cm 3Cm Fle C1769 272 OP N/A N/A 236 224 224 N/A 236 199 236 N/A N/A 236 211 211 N/A 236 224 N/A N/A N/A N/A 199 236 186 7247244 317 Bone Screw 1.7X7MM Cross C1713 278 OP N/A N/A 301 285 285 N/A 301 254 301 N/A N/A 301 270 270 N/A 301 285 N/A N/A N/A N/A 254 301 238 7247245 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247247 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247249 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247251 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247252 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247253 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247254 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247255 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247256 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247261 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247263 339 Bone Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7247271 339 Bone Screw T10 Full Thrd 3.5MM C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7249089 624 Lck Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7249090 624 Lck Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7249091 624 Lck Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7249092 624 Lck Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7249093 624 Lck Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7249094 624 Lck Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7249105 624 Lck Screw T10 Full Thrd 2.7MM C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7249283 " 8,015 " Long Nail Kit R15 Ti Rt11X260X C1713 278 OP N/A N/A " 7,614 " " 7,213 " " 7,213 " N/A " 7,614 " " 6,412 " " 7,614 " N/A N/A " 7,614 " " 6,812 " " 6,812 " N/A " 7,614 " " 7,213 " N/A N/A N/A N/A " 6,412 " " 7,614 " " 6,011 " 7249562 817 Nail 1.5MM 300MM Hum T2 IM C1713 278 OP N/A N/A 776 735 735 N/A 776 654 776 N/A N/A 776 694 694 N/A 776 735 N/A N/A N/A N/A 654 776 613 7249662 " 6,765 " Nail 10MM 34CM Sp Cndl T2 IM C1713 278 OP N/A N/A " 6,426 " " 6,088 " " 6,088 " N/A " 6,426 " " 5,412 " " 6,426 " N/A N/A " 6,426 " " 5,750 " " 5,750 " N/A " 6,426 " " 6,088 " N/A N/A N/A N/A " 5,412 " " 6,426 " " 5,073 " 7249789 " 8,028 " Nail 11MM 15CM Ankl RT T2 IM C1713 278 OP N/A N/A " 7,627 " " 7,225 " " 7,225 " N/A " 7,627 " " 6,423 " " 7,627 " N/A N/A " 7,627 " " 6,824 " " 6,824 " N/A " 7,627 " " 7,225 " N/A N/A N/A N/A " 6,423 " " 7,627 " " 6,021 " 7249796 " 6,765 " Nail 11MM 20CM Sp Cndl T2 IM C1713 278 OP N/A N/A " 6,426 " " 6,088 " " 6,088 " N/A " 6,426 " " 5,412 " " 6,426 " N/A N/A " 6,426 " " 5,750 " " 5,750 " N/A " 6,426 " " 6,088 " N/A N/A N/A N/A " 5,412 " " 6,426 " " 5,073 " 7249867 " 6,765 " Nail 11MM 30CM Sp Cndl T2 IM C1713 278 OP N/A N/A " 6,426 " " 6,088 " " 6,088 " N/A " 6,426 " " 5,412 " " 6,426 " N/A N/A " 6,426 " " 5,750 " " 5,750 " N/A " 6,426 " " 6,088 " N/A N/A N/A N/A " 5,412 " " 6,426 " " 5,073 " 7250463 " 6,765 " Nail 14MM 38CM Sp Cndl T2 IM C1713 278 OP N/A N/A " 6,426 " " 6,088 " " 6,088 " N/A " 6,426 " " 5,412 " " 6,426 " N/A N/A " 6,426 " " 5,750 " " 5,750 " N/A " 6,426 " " 6,088 " N/A N/A N/A N/A " 5,412 " " 6,426 " " 5,073 " 7250476 " 6,765 " Nail 14MM 40CM Sp Cndl T2 IM C1713 278 OP N/A N/A " 6,426 " " 6,088 " " 6,088 " N/A " 6,426 " " 5,412 " " 6,426 " N/A N/A " 6,426 " " 5,750 " " 5,750 " N/A " 6,426 " " 6,088 " N/A N/A N/A N/A " 5,412 " " 6,426 " " 5,073 " 7251697 " 6,307 " Plate 149MM Ti 8 Hl Axsos 3 Bn C1713 278 OP N/A N/A " 5,991 " " 5,676 " " 5,676 " N/A " 5,991 " " 5,045 " " 5,991 " N/A N/A " 5,991 " " 5,361 " " 5,361 " N/A " 5,991 " " 5,676 " N/A N/A N/A N/A " 5,045 " " 5,991 " " 4,730 " 7251782 " 4,723 " Plate 173MM Ti 10 Shft Hl Lck C1713 278 OP N/A N/A " 4,487 " " 4,251 " " 4,251 " N/A " 4,487 " " 3,778 " " 4,487 " N/A N/A " 4,487 " " 4,014 " " 4,014 " N/A " 4,487 " " 4,251 " N/A N/A N/A N/A " 3,778 " " 4,487 " " 3,542 " 7251798 " 7,385 " Plate 176MM Ti 10 Hl Axsos 3 C1713 278 OP N/A N/A " 7,015 " " 6,646 " " 6,646 " N/A " 7,015 " " 5,908 " " 7,015 " N/A N/A " 7,015 " " 6,277 " " 6,277 " N/A " 7,015 " " 6,646 " N/A N/A N/A N/A " 5,908 " " 7,015 " " 5,538 " 7251851 " 6,658 " Plate 201MM Ti 12 Hl Axsos 3 C1713 278 OP N/A N/A " 6,325 " " 5,992 " " 5,992 " N/A " 6,325 " " 5,326 " " 6,325 " N/A N/A " 6,325 " " 5,659 " " 5,659 " N/A " 6,325 " " 5,992 " N/A N/A N/A N/A " 5,326 " " 6,325 " " 4,993 " 7251941 " 8,154 " Plate 274MM Ti 12 Hl Axsos 3 C1713 278 OP N/A N/A " 7,746 " " 7,339 " " 7,339 " N/A " 7,746 " " 6,523 " " 7,746 " N/A N/A " 7,746 " " 6,931 " " 6,931 " N/A " 7,746 " " 7,339 " N/A N/A N/A N/A " 6,523 " " 7,746 " " 6,116 " 7251942 " 8,154 " Plate 274MM Ti 12 Hl Axsos 3 C1713 278 OP N/A N/A " 7,746 " " 7,339 " " 7,339 " N/A " 7,746 " " 6,523 " " 7,746 " N/A N/A " 7,746 " " 6,931 " " 6,931 " N/A " 7,746 " " 7,339 " N/A N/A N/A N/A " 6,523 " " 7,746 " " 6,116 " 7252026 " 1,886 " Plate 3D Med Nar 1.5MM 2.3MM C1713 278 OP N/A N/A " 1,792 " " 1,697 " " 1,697 " N/A " 1,792 " " 1,509 " " 1,792 " N/A N/A " 1,792 " " 1,603 " " 1,603 " N/A " 1,792 " " 1,697 " N/A N/A N/A N/A " 1,509 " " 1,792 " " 1,414 " 7252043 " 8,172 " Plate 414MM Ti 20 Hl Axsos 3 C1713 278 OP N/A N/A " 7,764 " " 7,355 " " 7,355 " N/A " 7,764 " " 6,538 " " 7,764 " N/A N/A " 7,764 " " 6,946 " " 6,946 " N/A " 7,764 " " 7,355 " N/A N/A N/A N/A " 6,538 " " 7,764 " " 6,129 " 7252142 " 6,399 " Plate 86MM Ti 3 Hl Axsos 3 Bn C1713 278 OP N/A N/A " 6,079 " " 5,759 " " 5,759 " N/A " 6,079 " " 5,119 " " 6,079 " N/A N/A " 6,079 " " 5,439 " " 5,439 " N/A " 6,079 " " 5,759 " N/A N/A N/A N/A " 5,119 " " 6,079 " " 4,799 " 7252430 " 3,763 " Plate Shrt 27MM 3.5MM Scr 6 Hl C1713 278 OP N/A N/A " 3,574 " " 3,386 " " 3,386 " N/A " 3,574 " " 3,010 " " 3,574 " N/A N/A " 3,574 " " 3,198 " " 3,198 " N/A " 3,574 " " 3,386 " N/A N/A N/A N/A " 3,010 " " 3,574 " " 2,822 " 7252593 " 3,406 " Plate Xsh 10 Hl Intmd Variax C1713 278 OP N/A N/A " 3,236 " " 3,066 " " 3,066 " N/A " 3,236 " " 2,725 " " 3,236 " N/A N/A " 3,236 " " 2,895 " " 2,895 " N/A " 3,236 " " 3,066 " N/A N/A N/A N/A " 2,725 " " 3,236 " " 2,555 " 7252594 " 3,406 " Plate Xsh 49MM 10 Hl Intmd C1713 278 OP N/A N/A " 3,236 " " 3,066 " " 3,066 " N/A " 3,236 " " 2,725 " " 3,236 " N/A N/A " 3,236 " " 2,895 " " 2,895 " N/A " 3,236 " " 3,066 " N/A N/A N/A N/A " 2,725 " " 3,236 " " 2,555 " 7252595 " 3,406 " Plate Xsh Nar 49MM 8 Hl Variax C1713 278 OP N/A N/A " 3,236 " " 3,066 " " 3,066 " N/A " 3,236 " " 2,725 " " 3,236 " N/A N/A " 3,236 " " 2,895 " " 2,895 " N/A " 3,236 " " 3,066 " N/A N/A N/A N/A " 2,725 " " 3,236 " " 2,555 " 7252596 " 3,406 " Plate Xsh Nar 49MM 8 Hl Variax C1713 278 OP N/A N/A " 3,236 " " 3,066 " " 3,066 " N/A " 3,236 " " 2,725 " " 3,236 " N/A N/A " 3,236 " " 2,895 " " 2,895 " N/A " 3,236 " " 3,066 " N/A N/A N/A N/A " 2,725 " " 3,236 " " 2,555 " 7252704 " 6,399 " Proximal Lateral Rt Hum 4 Hole C1713 278 OP N/A N/A " 6,079 " " 5,759 " " 5,759 " N/A " 6,079 " " 5,119 " " 6,079 " N/A N/A " 6,079 " " 5,439 " " 5,439 " N/A " 6,079 " " 5,759 " N/A N/A N/A N/A " 5,119 " " 6,079 " " 4,799 " 7253449 317 Screw Bn 1.7MM 8MM Rnd Loprfl C1713 278 OP N/A N/A 301 285 285 N/A 301 254 301 N/A N/A 301 270 270 N/A 301 285 N/A N/A N/A N/A 254 301 238 7253544 386 Screw Bn 2.3MM 8MM Variax Ti C1713 278 OP N/A N/A 367 348 348 N/A 367 309 367 N/A N/A 367 328 328 N/A 367 348 N/A N/A N/A N/A 309 367 290 7253550 327 Screw Bn 2.4MM 10MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253553 561 Screw Bn 2.4MM 12MM Variax T8 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7253554 327 Screw Bn 2.4MM 12MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253557 561 Screw Bn 2.4MM 14MM Variax T8 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7253558 327 Screw Bn 2.4MM 14MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253561 561 Screw Bn 2.4MM 16MM Variax T8 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7253562 327 Screw Bn 2.4MM 16MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253565 561 Screw Bn 2.4MM 18MM Variax T8 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7253566 327 Screw Bn 2.4MM 18MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253569 561 Screw Bn 2.4MM 20MM Variax T8 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7253570 327 Screw Bn 2.4MM 20MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253573 561 Screw Bn 2.4MM 22MM Variax T8 C1713 278 OP N/A N/A 533 505 505 N/A 533 448 533 N/A N/A 533 477 477 N/A 533 505 N/A N/A N/A N/A 448 533 420 7253718 327 Screw Bn 2.7MM 18MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253734 327 Screw Bn 2.7MM 20MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253766 339 Screw Bn 2.7MM 24MM Variax Ft C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7253767 327 Screw Bn 2.7MM 24MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253783 327 Screw Bn 2.7MM 26MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253798 327 Screw Bn 2.7MM 28MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253815 327 Screw Bn 2.7MM 30MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253843 327 Screw Bn 2.7MM 34MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253859 327 Screw Bn 2.7MM 36MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253876 327 Screw Bn 2.7MM 38MM Variax T8 C1713 278 OP N/A N/A 311 294 294 N/A 311 262 311 N/A N/A 311 278 278 N/A 311 294 N/A N/A N/A N/A 262 311 245 7253897 339 Screw Bn 2.7MM 44MM T10 Ft C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7254148 624 Screw Bn 3.5MM 28MM Variax Lck C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7254182 339 Screw Bn 3.5MM 38MM Variax Ns C1713 278 OP N/A N/A 322 305 305 N/A 322 271 322 N/A N/A 322 288 288 N/A 322 305 N/A N/A N/A N/A 271 322 254 7254188 128 Screw Bn 3.5MM 40MM Axsos 3 Ti C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7254196 128 Screw Bn 3.5MM 42MM Axsos Ti C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7254202 128 Screw Bn 3.5MM 44MM Axsos Ti C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7254204 624 Screw Bn 3.5MM 44MM Variax Lck C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7254209 128 Screw Bn 3.5MM 46MM Axsos 3 Ti C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7254211 624 Screw Bn 3.5MM 46MM Variax Lck C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7254216 128 Screw Bn 3.5MM 48MM Axsos CoRT C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7254218 624 Screw Bn 3.5MM 48MM Variax Lck C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7254226 128 Screw Bn 3.5MM 55MM Axsos 3 Ti C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7254231 128 Screw Bn 3.5MM 60MM Axsos 3 Ti C1713 278 OP N/A N/A 122 115 115 N/A 122 103 122 N/A N/A 122 109 109 N/A 122 115 N/A N/A N/A N/A 103 122 96 7254245 624 Screw Bn 3.5MM 70MM Variax Lck C1713 278 OP N/A N/A 593 562 562 N/A 593 500 593 N/A N/A 593 531 531 N/A 593 562 N/A N/A N/A N/A 500 593 468 7254403 888 Screw Bn 4.1MM 34MM T10 Lg Cx C1713 278 OP N/A N/A 844 799 799 N/A 844 711 844 N/A N/A 844 755 755 N/A 844 799 N/A N/A N/A N/A 711 844 666 7254457 146 Screw Bn 4.5MM 24MM Axsos 3 Ti C1713 278 OP N/A N/A 139 132 132 N/A 139 117 139 N/A N/A 139 124 124 N/A 139 132 N/A N/A N/A N/A 117 139 110 7254462 146 Screw Bn 4.5MM 26MM Axsos 3 Ti C1713 278 OP N/A N/A 139 132 132 N/A 139 117 139 N/A N/A 139 124 124 N/A 139 132 N/A N/A N/A N/A 117 139 110 7254472 146 Screw Bn 4.5MM 30MM Axsos 3 Ti C1713 278 OP N/A N/A 139 132 132 N/A 139 117 139 N/A N/A 139 124 124 N/A 139 132 N/A N/A N/A N/A 117 139 110 7254552 146 Screw Bn 4.5MM 85MM Axsos 3 Ti C1713 278 OP N/A N/A 139 132 132 N/A 139 117 139 N/A N/A 139 124 124 N/A 139 132 N/A N/A N/A N/A 117 139 110 7254577 612 Screw Bn 4MM 14MM Axsos 3 Ti C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7254588 612 Screw Bn 4MM 16MM Axsos 3 Ti C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7254598 612 Screw Bn 4MM 18MM Axsos 3 Ti C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7254635 612 Screw Bn 4MM 24MM Axsos 3 Ti C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7254711 612 Screw Bn 4MM 38MM Axsos 3 Ti C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7254763 612 Screw Bn 4MM 48MM Axsos 3 Ti C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7254769 612 Screw Bn 4MM 50MM Axsos 3 Ti C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7254817 612 Screw Bn 4MM 85MM Axsos 3 Ti C1713 278 OP N/A N/A 581 551 551 N/A 581 490 581 N/A N/A 581 520 520 N/A 581 551 N/A N/A N/A N/A 490 581 459 7254837 747 Screw Bn 5MM 10MM Axsos 3 Ti C1713 278 OP N/A N/A 710 672 672 N/A 710 598 710 N/A N/A 710 635 635 N/A 710 672 N/A N/A N/A N/A 598 710 560 7254855 747 Screw Bn 5MM 12MM Axsos 3 Ti C1713 278 OP N/A N/A 710 672 672 N/A 710 598 710 N/A N/A 710 635 635 N/A 710 672 N/A N/A N/A N/A 598 710 560 7254870 648 Screw Bn 5MM 20MM Axsos 3 Ti C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7254891 648 Screw Bn 5MM 24MM Axsos 3 Ti C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7254935 648 Screw Bn 5MM 32MM Axsos 3 Ti C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7254979 " 1,294 " Screw Bn 5MM 40MM Fixos Ti C1713 278 OP N/A N/A " 1,229 " " 1,164 " " 1,164 " N/A " 1,229 " " 1,035 " " 1,229 " N/A N/A " 1,229 " " 1,100 " " 1,100 " N/A " 1,229 " " 1,164 " N/A N/A N/A N/A " 1,035 " " 1,229 " 970 7255016 648 Screw Bn 5MM 46MM Axsos 3 Ti C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7255128 " 1,294 " Screw Bn 5MM 75MM Fixos Ti C1713 278 OP N/A N/A " 1,229 " " 1,164 " " 1,164 " N/A " 1,229 " " 1,035 " " 1,229 " N/A N/A " 1,229 " " 1,100 " " 1,100 " N/A " 1,229 " " 1,164 " N/A N/A N/A N/A " 1,035 " " 1,229 " 970 7255161 648 Screw Bn 5MM 95MM Axsos 3 Ti C1713 278 OP N/A N/A 616 583 583 N/A 616 518 616 N/A N/A 616 551 551 N/A 616 583 N/A N/A N/A N/A 518 616 486 7255199 936 Screw Bn 6.5MM 110MM 20MM Asns C1713 278 OP N/A N/A 889 842 842 N/A 889 749 889 N/A N/A 889 796 796 N/A 889 842 N/A N/A N/A N/A 749 889 702 7255265 936 Screw Bn 6.5MM 3.2MM 95MM 20MM C1713 278 OP N/A N/A 889 842 842 N/A 889 749 889 N/A N/A 889 796 796 N/A 889 842 N/A N/A N/A N/A 749 889 702 7256391 " 3,977 " Superior Lateral Plate4 Hole C1713 278 OP N/A N/A " 3,779 " " 3,580 " " 3,580 " N/A " 3,779 " " 3,182 " " 3,779 " N/A N/A " 3,779 " " 3,381 " " 3,381 " N/A " 3,779 " " 3,580 " N/A N/A N/A N/A " 3,182 " " 3,779 " " 2,983 " 7256400 " 3,977 " Superior Plate Dcrs 10 Hole R C1713 278 OP N/A N/A " 3,779 " " 3,580 " " 3,580 " N/A " 3,779 " " 3,182 " " 3,779 " N/A N/A " 3,779 " " 3,381 " " 3,381 " N/A " 3,779 " " 3,580 " N/A N/A N/A N/A " 3,182 " " 3,779 " " 2,983 " 7257001 " 1,363 " Tubular Plate 10 Hole L119MM C1713 278 OP N/A N/A " 1,294 " " 1,226 " " 1,226 " N/A " 1,294 " " 1,090 " " 1,294 " N/A N/A " 1,294 " " 1,158 " " 1,158 " N/A " 1,294 " " 1,226 " N/A N/A N/A N/A " 1,090 " " 1,294 " " 1,022 " 7257003 " 1,363 " Tubular Plate 12 Hole L143MM C1713 278 OP N/A N/A " 1,294 " " 1,226 " " 1,226 " N/A " 1,294 " " 1,090 " " 1,294 " N/A N/A " 1,294 " " 1,158 " " 1,158 " N/A " 1,294 " " 1,226 " N/A N/A N/A N/A " 1,090 " " 1,294 " " 1,022 " 7257010 " 1,015 " Tubular Plate 6 Hole L71MM C1713 278 OP N/A N/A 965 914 914 N/A 965 812 965 N/A N/A 965 863 863 N/A 965 914 N/A N/A N/A N/A 812 965 762 7257011 " 1,015 " Tubular Plate 7 Hole L83MM C1713 278 OP N/A N/A 965 914 914 N/A 965 812 965 N/A N/A 965 863 863 N/A 965 914 N/A N/A N/A N/A 812 965 762 7257013 " 1,015 " Tubular Plate 8 Hole L95MM C1713 278 OP N/A N/A 965 914 914 N/A 965 812 965 N/A N/A 965 863 863 N/A 965 914 N/A N/A N/A N/A 812 965 762 7257015 " 1,363 " Tubular Plate 9 Hole L107MM C1713 278 OP N/A N/A " 1,294 " " 1,226 " " 1,226 " N/A " 1,294 " " 1,090 " " 1,294 " N/A N/A " 1,294 " " 1,158 " " 1,158 " N/A " 1,294 " " 1,226 " N/A N/A N/A N/A " 1,090 " " 1,294 " " 1,022 " 7257072 " 1,155 " Variax Comp Plate Straight 4 C1713 278 OP N/A N/A " 1,097 " " 1,040 " " 1,040 " N/A " 1,097 " 924 " 1,097 " N/A N/A " 1,097 " 982 982 N/A " 1,097 " " 1,040 " N/A N/A N/A N/A 924 " 1,097 " 866 7257075 " 2,249 " Variax Comp Plate Straight 9 C1713 278 OP N/A N/A " 2,137 " " 2,024 " " 2,024 " N/A " 2,137 " " 1,799 " " 2,137 " N/A N/A " 2,137 " " 1,912 " " 1,912 " N/A " 2,137 " " 2,024 " N/A N/A N/A N/A " 1,799 " " 2,137 " " 1,687 " 7257103 " 1,533 " Variax Comp Plate Broad Straig C1713 278 OP N/A N/A " 1,456 " " 1,380 " " 1,380 " N/A " 1,456 " " 1,226 " " 1,456 " N/A N/A " 1,456 " " 1,303 " " 1,303 " N/A " 1,456 " " 1,380 " N/A N/A N/A N/A " 1,226 " " 1,456 " " 1,150 " 7257105 " 1,533 " Variax Compplate Straight 6 H C1713 278 OP N/A N/A " 1,456 " " 1,380 " " 1,380 " N/A " 1,456 " " 1,226 " " 1,456 " N/A N/A " 1,456 " " 1,303 " " 1,303 " N/A " 1,456 " " 1,380 " N/A N/A N/A N/A " 1,226 " " 1,456 " " 1,150 " 7257238 " 4,703 " Plate Wrist Fusion Std Bend 12 C1713 278 OP N/A N/A " 4,468 " " 4,233 " " 4,233 " N/A " 4,468 " " 3,763 " " 4,468 " N/A N/A " 4,468 " " 3,998 " " 3,998 " N/A " 4,468 " " 4,233 " N/A N/A N/A N/A " 3,763 " " 4,468 " " 3,528 " 7257419 " 3,977 " Plate Dcrs Bn Sup Clvcl C1713 278 OP N/A N/A " 3,779 " " 3,580 " " 3,580 " N/A " 3,779 " " 3,182 " " 3,779 " N/A N/A " 3,779 " " 3,381 " " 3,381 " N/A " 3,779 " " 3,580 " N/A N/A N/A N/A " 3,182 " " 3,779 " " 2,983 " 7258385 " 1,680 " Screw Bn 5.5MM 50MM St Tiger C1713 278 OP N/A N/A " 1,596 " " 1,512 " " 1,512 " N/A " 1,596 " " 1,344 " " 1,596 " N/A N/A " 1,596 " " 1,428 " " 1,428 " N/A " 1,596 " " 1,512 " N/A N/A N/A N/A " 1,344 " " 1,596 " " 1,260 " 7258389 " 1,680 " Screw Bn 5.5MM 70MM St Tiger C1713 278 OP N/A N/A " 1,596 " " 1,512 " " 1,512 " N/A " 1,596 " " 1,344 " " 1,596 " N/A N/A " 1,596 " " 1,428 " " 1,428 " N/A " 1,596 " " 1,512 " N/A N/A N/A N/A " 1,344 " " 1,596 " " 1,260 " 7258390 " 1,680 " Screw Bn 5.5MM 75MM St Tiger C1713 278 OP N/A N/A " 1,596 " " 1,512 " " 1,512 " N/A " 1,596 " " 1,344 " " 1,596 " N/A N/A " 1,596 " " 1,428 " " 1,428 " N/A " 1,596 " " 1,512 " N/A N/A N/A N/A " 1,344 " " 1,596 " " 1,260 " 7258530 " 4,500 " Plate Gridlock Vl 7H C1713 278 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 7258532 " 4,500 " Plate Gridlock Vl 11H C1713 278 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 7258618 360 Screw Bn Ankle 3.5X12MM C1713 278 OP N/A N/A 342 324 324 N/A 342 288 342 N/A N/A 342 306 306 N/A 342 324 N/A N/A N/A N/A 288 342 270 7258620 360 Screw Bn Ankle 3.5X16MM C1713 278 OP N/A N/A 342 324 324 N/A 342 288 342 N/A N/A 342 306 306 N/A 342 324 N/A N/A N/A N/A 288 342 270 7258622 360 Screw Bn Ankle 3.5X20MM C1713 278 OP N/A N/A 342 324 324 N/A 342 288 342 N/A N/A 342 306 306 N/A 342 324 N/A N/A N/A N/A 288 342 270 7258661 600 Screw Bn Ankle 2.7X10MM Lck C1713 278 OP N/A N/A 570 540 540 N/A 570 480 570 N/A N/A 570 510 510 N/A 570 540 N/A N/A N/A N/A 480 570 450 7258667 600 Screw Bn Ankle 3.5X14MM Lck C1713 278 OP N/A N/A 570 540 540 N/A 570 480 570 N/A N/A 570 510 510 N/A 570 540 N/A N/A N/A N/A 480 570 450 7258668 600 Screw Bn Ankle 3.5X16MM Lck C1713 278 OP N/A N/A 570 540 540 N/A 570 480 570 N/A N/A 570 510 510 N/A 570 540 N/A N/A N/A N/A 480 570 450 7258756 " 3,255 " Concelltrate 100 2.5CC C1713 278 OP N/A N/A " 3,092 " " 2,930 " " 2,930 " N/A " 3,092 " " 2,604 " " 3,092 " N/A N/A " 3,092 " " 2,767 " " 2,767 " N/A " 3,092 " " 2,930 " N/A N/A N/A N/A " 2,604 " " 3,092 " " 2,441 " 7258757 " 5,115 " Concelltrate 100 5CC C1713 278 OP N/A N/A " 4,859 " " 4,604 " " 4,604 " N/A " 4,859 " " 4,092 " " 4,859 " N/A N/A " 4,859 " " 4,348 " " 4,348 " N/A " 4,859 " " 4,604 " N/A N/A N/A N/A " 4,092 " " 4,859 " " 3,836 " 7258763 " 7,560 " Patch Dual Layer 4X4CM 272 OP N/A N/A " 7,182 " " 6,804 " " 6,804 " N/A " 7,182 " " 6,048 " " 7,182 " N/A N/A " 7,182 " " 6,426 " " 6,426 " N/A " 7,182 " " 6,804 " N/A N/A N/A N/A " 6,048 " " 7,182 " " 5,670 " 7259147 " 5,100 " Screw Bone CMprh Tit 4.75X25MM C1713 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7259466 281 Ortho Whf W/O Joints Pre Ots L3809 274 OP N/A N/A 267 253 253 N/A 267 225 267 N/A N/A 267 239 239 N/A 267 253 N/A N/A N/A N/A 225 267 211 7259631 822 Kit Cath Uromax Ult 4Cm 18F C1726 272 OP N/A N/A 781 740 740 N/A 781 658 781 N/A N/A 781 699 699 N/A 781 740 N/A N/A N/A N/A 658 781 616 7259739 " 1,785 " Kit Pip Dart Peek 10D 2.5X30mm C1713 278 OP N/A N/A " 1,696 " " 1,607 " " 1,607 " N/A " 1,696 " " 1,428 " " 1,696 " N/A N/A " 1,696 " " 1,517 " " 1,517 " N/A " 1,696 " " 1,607 " N/A N/A N/A N/A " 1,428 " " 1,696 " " 1,339 " 7259798 511 Ortho Wrist Hand Fngr Flex Ext L3806 274 OP N/A N/A 485 460 460 N/A 485 408 485 N/A N/A 485 434 434 N/A 485 460 N/A N/A N/A N/A 408 485 383 7259799 386 Ortho Wrist Hand Fngr Static L3808 274 OP N/A N/A 367 348 348 N/A 367 309 367 N/A N/A 367 328 328 N/A 367 348 N/A N/A N/A N/A 309 367 290 7259800 " 1,838 " Ortho Wrst Hnd Fngr Tenodesis L3900 274 OP N/A N/A " 1,746 " " 1,654 " " 1,654 " N/A " 1,746 " " 1,471 " " 1,746 " N/A N/A " 1,746 " " 1,562 " " 1,562 " N/A " 1,746 " " 1,654 " N/A N/A N/A N/A " 1,471 " " 1,746 " " 1,379 " 7259802 454 Orthosis Wrist Hand Wo Joints L3906 274 OP N/A N/A 431 409 409 N/A 431 363 431 N/A N/A 431 386 386 N/A 431 409 N/A N/A N/A N/A 363 431 340 7259803 304 Orthosis Hand Finger Wo Joints L3913 274 OP N/A N/A 289 274 274 N/A 289 244 289 N/A N/A 289 259 259 N/A 289 274 N/A N/A N/A N/A 244 289 228 7259805 240 Orthosis Finger Wo Joints L3933 274 OP N/A N/A 228 216 216 N/A 228 192 228 N/A N/A 228 204 204 N/A 228 216 N/A N/A N/A N/A 192 228 180 7259985 495 Screw Bn 4Mm 50Mm Cnn Loprfl C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7260015 885 Screw Bn 3Mm 20Mm Arthx Cmpr C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7260061 " 4,070 " Cup Hum 42Mm Univers Revers +2 C1776 278 OP N/A N/A " 3,866 " " 3,663 " " 3,663 " N/A " 3,866 " " 3,256 " " 3,866 " N/A N/A " 3,866 " " 3,459 " " 3,459 " N/A " 3,866 " " 3,663 " N/A N/A N/A N/A " 3,256 " " 3,866 " " 3,052 " 7260130 " 4,070 " Cup Hum 42Mm Univers Revers C1776 278 OP N/A N/A " 3,866 " " 3,663 " " 3,663 " N/A " 3,866 " " 3,256 " " 3,866 " N/A N/A " 3,866 " " 3,459 " " 3,459 " N/A " 3,866 " " 3,663 " N/A N/A N/A N/A " 3,256 " " 3,866 " " 3,052 " 7260205 " 4,070 " Cup Hum 36Mm Univers Revers C1776 278 OP N/A N/A " 3,866 " " 3,663 " " 3,663 " N/A " 3,866 " " 3,256 " " 3,866 " N/A N/A " 3,866 " " 3,459 " " 3,459 " N/A " 3,866 " " 3,663 " N/A N/A N/A N/A " 3,256 " " 3,866 " " 3,052 " 7260206 " 4,070 " Cup Hum 36Mm Univers Revers +2 C1776 278 OP N/A N/A " 3,866 " " 3,663 " " 3,663 " N/A " 3,866 " " 3,256 " " 3,866 " N/A N/A " 3,866 " " 3,459 " " 3,459 " N/A " 3,866 " " 3,663 " N/A N/A N/A N/A " 3,256 " " 3,866 " " 3,052 " 7260340 " 4,070 " Cup Hum 39mm Univers Revers +2 C1776 278 OP N/A N/A " 3,866 " " 3,663 " " 3,663 " N/A " 3,866 " " 3,256 " " 3,866 " N/A N/A " 3,866 " " 3,459 " " 3,459 " N/A " 3,866 " " 3,663 " N/A N/A N/A N/A " 3,256 " " 3,866 " " 3,052 " 7260388 " 4,070 " Cup Hum 39mm Univers Revers C1776 278 OP N/A N/A " 3,866 " " 3,663 " " 3,663 " N/A " 3,866 " " 3,256 " " 3,866 " N/A N/A " 3,866 " " 3,459 " " 3,459 " N/A " 3,866 " " 3,663 " N/A N/A N/A N/A " 3,256 " " 3,866 " " 3,052 " 7260524 " 5,666 " Stem Hum 5mm Univers Revers C1776 278 OP N/A N/A " 5,383 " " 5,099 " " 5,099 " N/A " 5,383 " " 4,533 " " 5,383 " N/A N/A " 5,383 " " 4,816 " " 4,816 " N/A " 5,383 " " 5,099 " N/A N/A N/A N/A " 4,533 " " 5,383 " " 4,249 " 7260625 " 4,253 " Cmpnt Glnd Sm Univers C1776 278 OP N/A N/A " 4,040 " " 3,827 " " 3,827 " N/A " 4,040 " " 3,402 " " 4,040 " N/A N/A " 4,040 " " 3,615 " " 3,615 " N/A " 4,040 " " 3,827 " N/A N/A N/A N/A " 3,402 " " 4,040 " " 3,189 " 7260785 180 Screw Bn 3.5MM 12MM Loprfl Scr C1713 278 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7260909 " 25,500 " Graft Bn Cartiform 20mm 272 OP N/A N/A " 24,225 " " 22,950 " " 22,950 " N/A " 24,225 " " 20,400 " " 24,225 " N/A N/A " 24,225 " " 21,675 " " 21,675 " N/A " 24,225 " " 22,950 " N/A N/A N/A N/A " 20,400 " " 24,225 " " 19,125 " 7260918 " 4,185 " Sys Impl Internalbrace C1713 278 OP N/A N/A " 3,976 " " 3,767 " " 3,767 " N/A " 3,976 " " 3,348 " " 3,976 " N/A N/A " 3,976 " " 3,557 " " 3,557 " N/A " 3,976 " " 3,767 " N/A N/A N/A N/A " 3,348 " " 3,976 " " 3,139 " 7260926 " 3,537 " Sys Fx Internalbrace Uln C1776 278 OP N/A N/A " 3,360 " " 3,183 " " 3,183 " N/A " 3,360 " " 2,830 " " 3,360 " N/A N/A " 3,360 " " 3,006 " " 3,006 " N/A " 3,360 " " 3,183 " N/A N/A N/A N/A " 2,830 " " 3,360 " " 2,653 " 7260939 " 5,666 " Stem Humeral Univers Revers 1 C1776 278 OP N/A N/A " 5,383 " " 5,099 " " 5,099 " N/A " 5,383 " " 4,533 " " 5,383 " N/A N/A " 5,383 " " 4,816 " " 4,816 " N/A " 5,383 " " 5,099 " N/A N/A N/A N/A " 4,533 " " 5,383 " " 4,249 " 7260940 " 5,666 " Stem Humeral Univers Revers 1 C1776 278 OP N/A N/A " 5,383 " " 5,099 " " 5,099 " N/A " 5,383 " " 4,533 " " 5,383 " N/A N/A " 5,383 " " 4,816 " " 4,816 " N/A " 5,383 " " 5,099 " N/A N/A N/A N/A " 4,533 " " 5,383 " " 4,249 " 7261090 " 6,450 " Adpr Hd Arthx Rvrs Strl 39mm C1776 278 OP N/A N/A " 6,128 " " 5,805 " " 5,805 " N/A " 6,128 " " 5,160 " " 6,128 " N/A N/A " 6,128 " " 5,483 " " 5,483 " N/A " 6,128 " " 5,805 " N/A N/A N/A N/A " 5,160 " " 6,128 " " 4,838 " 7261245 " 3,450 " Matrix Tiss 3X2cm Arthx Amnion 272 OP N/A N/A " 3,278 " " 3,105 " " 3,105 " N/A " 3,278 " " 2,760 " " 3,278 " N/A N/A " 3,278 " " 2,933 " " 2,933 " N/A " 3,278 " " 3,105 " N/A N/A N/A N/A " 2,760 " " 3,278 " " 2,588 " 7261248 " 11,100 " Matrix Tiss 3X6cm Thk Amnion 272 OP N/A N/A " 10,545 " " 9,990 " " 9,990 " N/A " 10,545 " " 8,880 " " 10,545 " N/A N/A " 10,545 " " 9,435 " " 9,435 " N/A " 10,545 " " 9,990 " N/A N/A N/A N/A " 8,880 " " 10,545 " " 8,325 " 7261324 " 5,385 " Plate Ti 9 Hl Span Bn Wrst C1776 278 OP N/A N/A " 5,116 " " 4,847 " " 4,847 " N/A " 5,116 " " 4,308 " " 5,116 " N/A N/A " 5,116 " " 4,577 " " 4,577 " N/A " 5,116 " " 4,847 " N/A N/A N/A N/A " 4,308 " " 5,116 " " 4,039 " 7261420 495 Screw Bn 4mm 48mm Cnn Blnt Tip C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7261499 " 5,666 " Stem Humeral Univers Revers 1 C1776 278 OP N/A N/A " 5,383 " " 5,099 " " 5,099 " N/A " 5,383 " " 4,533 " " 5,383 " N/A N/A " 5,383 " " 4,816 " " 4,816 " N/A " 5,383 " " 5,099 " N/A N/A N/A N/A " 4,533 " " 5,383 " " 4,249 " 7261502 " 5,666 " Stem Humeral Univers Revers 6 C1776 278 OP N/A N/A " 5,383 " " 5,099 " " 5,099 " N/A " 5,383 " " 4,533 " " 5,383 " N/A N/A " 5,383 " " 4,816 " " 4,816 " N/A " 5,383 " " 5,099 " N/A N/A N/A N/A " 4,533 " " 5,383 " " 4,249 " 7261503 " 5,666 " Stem Humeral Univers Revers 7 C1776 278 OP N/A N/A " 5,383 " " 5,099 " " 5,099 " N/A " 5,383 " " 4,533 " " 5,383 " N/A N/A " 5,383 " " 4,816 " " 4,816 " N/A " 5,383 " " 5,099 " N/A N/A N/A N/A " 4,533 " " 5,383 " " 4,249 " 7261504 " 5,666 " Stem Humeral Univers Revers 8 C1776 278 OP N/A N/A " 5,383 " " 5,099 " " 5,099 " N/A " 5,383 " " 4,533 " " 5,383 " N/A N/A " 5,383 " " 4,816 " " 4,816 " N/A " 5,383 " " 5,099 " N/A N/A N/A N/A " 4,533 " " 5,383 " " 4,249 " 7261505 " 5,666 " Stem Humeral Univers Revers 9 C1776 278 OP N/A N/A " 5,383 " " 5,099 " " 5,099 " N/A " 5,383 " " 4,533 " " 5,383 " N/A N/A " 5,383 " " 4,816 " " 4,816 " N/A " 5,383 " " 5,099 " N/A N/A N/A N/A " 4,533 " " 5,383 " " 4,249 " 7261593 " 1,260 " Anchor Ligament Fibertak C1713 278 OP N/A N/A " 1,197 " " 1,134 " " 1,134 " N/A " 1,197 " " 1,008 " " 1,197 " N/A N/A " 1,197 " " 1,071 " " 1,071 " N/A " 1,197 " " 1,134 " N/A N/A N/A N/A " 1,008 " " 1,197 " 945 7261616 " 1,275 " Anchor Sut 4.75mm 2 Swivelck C C1713 278 OP N/A N/A " 1,211 " " 1,148 " " 1,148 " N/A " 1,211 " " 1,020 " " 1,211 " N/A N/A " 1,211 " " 1,084 " " 1,084 " N/A " 1,211 " " 1,148 " N/A N/A N/A N/A " 1,020 " " 1,211 " 956 7261835 " 1,515 " Screw Bsplt Cntr Aeq 30X6.5mm C1713 278 OP N/A N/A " 1,439 " " 1,364 " " 1,364 " N/A " 1,439 " " 1,212 " " 1,439 " N/A N/A " 1,439 " " 1,288 " " 1,288 " N/A " 1,439 " " 1,364 " N/A N/A N/A N/A " 1,212 " " 1,439 " " 1,136 " 7261837 420 Screw Bsplt Peri Aeq 26X5mm Rv C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7261840 " 4,425 " Baseplate Glnd Aeq Std 25mm C1776 278 OP N/A N/A " 4,204 " " 3,983 " " 3,983 " N/A " 4,204 " " 3,540 " " 4,204 " N/A N/A " 4,204 " " 3,761 " " 3,761 " N/A " 4,204 " " 3,983 " N/A N/A N/A N/A " 3,540 " " 4,204 " " 3,319 " 7261841 " 5,940 " Glenosphere Ecntrc Aeq 2X36mm C1776 278 OP N/A N/A " 5,643 " " 5,346 " " 5,346 " N/A " 5,643 " " 4,752 " " 5,643 " N/A N/A " 5,643 " " 5,049 " " 5,049 " N/A " 5,643 " " 5,346 " N/A N/A N/A N/A " 4,752 " " 5,643 " " 4,455 " 7261844 " 4,500 " Tray Hum Aeq 0mm Ofst Shld Rev C1776 278 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 7262529 " 2,400 " Insert Hum H+6mm 36mm Aqs Asnd C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7262536 " 2,400 " Insert Hum H+9mm 36mm Aqs Asnd C1776 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7262551 " 4,500 " Tray Hum Aqls Ascnd Flx +6mm 0 C1776 278 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 7262553 " 3,300 " Tray Hum Aqls Ascnd Flx +0mm C1776 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7262566 " 8,700 " Stem Hum 78mm Prft Aqls Ascnd C1776 278 OP N/A N/A " 8,265 " " 7,830 " " 7,830 " N/A " 8,265 " " 6,960 " " 8,265 " N/A N/A " 8,265 " " 7,395 " " 7,395 " N/A " 8,265 " " 7,830 " N/A N/A N/A N/A " 6,960 " " 8,265 " " 6,525 " 7262568 " 10,890 " Stem Hum 82mm Prft Aqls Ascnd C1776 278 OP N/A N/A " 10,346 " " 9,801 " " 9,801 " N/A " 10,346 " " 8,712 " " 10,346 " N/A N/A " 10,346 " " 9,257 " " 9,257 " N/A " 10,346 " " 9,801 " N/A N/A N/A N/A " 8,712 " " 10,346 " " 8,168 " 7262570 " 10,890 " Stem Hum 86mm Prft Aqls Ascnd C1776 278 OP N/A N/A " 10,346 " " 9,801 " " 9,801 " N/A " 10,346 " " 8,712 " " 10,346 " N/A N/A " 10,346 " " 9,257 " " 9,257 " N/A " 10,346 " " 9,801 " N/A N/A N/A N/A " 8,712 " " 10,346 " " 8,168 " 7262674 " 6,600 " Sphr Glnd 36mm Tornier Aqls C1776 278 OP N/A N/A " 6,270 " " 5,940 " " 5,940 " N/A " 6,270 " " 5,280 " " 6,270 " N/A N/A " 6,270 " " 5,610 " " 5,610 " N/A " 6,270 " " 5,940 " N/A N/A N/A N/A " 5,280 " " 6,270 " " 4,950 " 7262675 " 6,600 " Sphr Glnd 39mm Tornier Aqls C1776 278 OP N/A N/A " 6,270 " " 5,940 " " 5,940 " N/A " 6,270 " " 5,280 " " 6,270 " N/A N/A " 6,270 " " 5,610 " " 5,610 " N/A " 6,270 " " 5,940 " N/A N/A N/A N/A " 5,280 " " 6,270 " " 4,950 " 7262678 " 6,600 " Sphr Glnd 36mm Tornier Aqls C1776 278 OP N/A N/A " 6,270 " " 5,940 " " 5,940 " N/A " 6,270 " " 5,280 " " 6,270 " N/A N/A " 6,270 " " 5,610 " " 5,610 " N/A " 6,270 " " 5,940 " N/A N/A N/A N/A " 5,280 " " 6,270 " " 4,950 " 7262682 " 5,940 " Sphr Glnd 39mm Tornier Aqls C1776 278 OP N/A N/A " 5,643 " " 5,346 " " 5,346 " N/A " 5,643 " " 4,752 " " 5,643 " N/A N/A " 5,643 " " 5,049 " " 5,049 " N/A " 5,643 " " 5,346 " N/A N/A N/A N/A " 4,752 " " 5,643 " " 4,455 " 7262694 " 3,003 " Insert Hum 6+ mm 39mm Flx 7.5C C1776 278 OP N/A N/A " 2,853 " " 2,703 " " 2,703 " N/A " 2,853 " " 2,402 " " 2,853 " N/A N/A " 2,853 " " 2,553 " " 2,553 " N/A " 2,853 " " 2,703 " N/A N/A N/A N/A " 2,402 " " 2,853 " " 2,252 " 7262717 " 6,600 " Baseplate Glnd 29mm 15D Shdr F C1776 278 OP N/A N/A " 6,270 " " 5,940 " " 5,940 " N/A " 6,270 " " 5,280 " " 6,270 " N/A N/A " 6,270 " " 5,610 " " 5,610 " N/A " 6,270 " " 5,940 " N/A N/A N/A N/A " 5,280 " " 6,270 " " 4,950 " 7262718 " 8,250 " Baseplate Glnd 25mm 15D Shdr F C1776 278 OP N/A N/A " 7,838 " " 7,425 " " 7,425 " N/A " 7,838 " " 6,600 " " 7,838 " N/A N/A " 7,838 " " 7,013 " " 7,013 " N/A " 7,838 " " 7,425 " N/A N/A N/A N/A " 6,600 " " 7,838 " " 6,188 " 7262721 " 1,515 " Screw Bsplt 35mm 6.5mm Aqls C1713 278 OP N/A N/A " 1,439 " " 1,364 " " 1,364 " N/A " 1,439 " " 1,212 " " 1,439 " N/A N/A " 1,439 " " 1,288 " " 1,288 " N/A " 1,439 " " 1,364 " N/A N/A N/A N/A " 1,212 " " 1,439 " " 1,136 " 7262722 " 1,650 " Screw Bsplt 40mm 6.5mm Aqls C1713 278 OP N/A N/A " 1,568 " " 1,485 " " 1,485 " N/A " 1,568 " " 1,320 " " 1,568 " N/A N/A " 1,568 " " 1,403 " " 1,403 " N/A " 1,568 " " 1,485 " N/A N/A N/A N/A " 1,320 " " 1,568 " " 1,238 " 7262731 420 Screw Bsplt 14mm 5mm Aqls C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7262732 462 Screw Bsplt 18mm 5mm Aqls C1713 278 OP N/A N/A 439 416 416 N/A 439 370 439 N/A N/A 439 393 393 N/A 439 416 N/A N/A N/A N/A 370 439 347 7262733 420 Screw Bsplt 22mm 5mm Aqls C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7262735 420 Screw Bsplt 30mm 5mm Aqls C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7262736 420 Screw Bsplt 34mm 5mm Aqls C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7262737 462 Screw Bsplt 38mm 5mm Aqls C1713 278 OP N/A N/A 439 416 416 N/A 439 370 439 N/A N/A 439 393 393 N/A 439 416 N/A N/A N/A N/A 370 439 347 7262738 462 Screw Bsplt 42mm 5mm Aqls C1713 278 OP N/A N/A 439 416 416 N/A 439 370 439 N/A N/A 439 393 393 N/A 439 416 N/A N/A N/A N/A 370 439 347 7262739 420 Screw Bsplt 46mm 5mm Aqls C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7264035 137 Gw Uro Gldwr Hdrph Str 150X3CM C1769 272 OP N/A N/A 130 123 123 N/A 130 109 130 N/A N/A 130 116 116 N/A 130 123 N/A N/A N/A N/A 109 130 103 7264718 " 7,605 " Impl Toe 15mm Hemicap Df 2.5mm C1776 278 OP N/A N/A " 7,225 " " 6,845 " " 6,845 " N/A " 7,225 " " 6,084 " " 7,225 " N/A N/A " 7,225 " " 6,464 " " 6,464 " N/A " 7,225 " " 6,845 " N/A N/A N/A N/A " 6,084 " " 7,225 " " 5,704 " 7264727 " 6,499 " Insert Artc 4.6mm Hemicapdf-P C1776 278 OP N/A N/A " 6,174 " " 5,849 " " 5,849 " N/A " 6,174 " " 5,199 " " 6,174 " N/A N/A " 6,174 " " 5,524 " " 5,524 " N/A " 6,174 " " 5,849 " N/A N/A N/A N/A " 5,199 " " 6,174 " " 4,874 " 7264729 " 2,694 " Cmpnt Toe Hemicapdf-P Toe Mtn C1776 278 OP N/A N/A " 2,559 " " 2,424 " " 2,424 " N/A " 2,559 " " 2,155 " " 2,559 " N/A N/A " 2,559 " " 2,289 " " 2,289 " N/A " 2,559 " " 2,424 " N/A N/A N/A N/A " 2,155 " " 2,559 " " 2,020 " 7265018 868 Implant Kit 2M11mm Snap Off C1713 278 OP N/A N/A 824 781 781 N/A 824 694 824 N/A N/A 824 738 738 N/A 824 781 N/A N/A N/A N/A 694 824 651 7265273 274 Brace Medial Lg Lt Frstyle OA L1832 274 OP N/A N/A 260 247 247 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 247 N/A N/A N/A N/A 219 260 205 7266989 " 1,144 " Anchor Sut 1.4MM Icnx 1 1 Strn C1713 278 OP N/A N/A " 1,087 " " 1,030 " " 1,030 " N/A " 1,087 " 915 " 1,087 " N/A N/A " 1,087 " 972 972 N/A " 1,087 " " 1,030 " N/A N/A N/A N/A 915 " 1,087 " 858 7266990 " 1,185 " Anchor Sut 2.3MM Icnx Xbraid 2 C1713 278 OP N/A N/A " 1,126 " " 1,067 " " 1,067 " N/A " 1,126 " 948 " 1,126 " N/A N/A " 1,126 " " 1,007 " " 1,007 " N/A " 1,126 " " 1,067 " N/A N/A N/A N/A 948 " 1,126 " 889 7267515 200 IOL Acrysof IQ 16.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7267523 200 IOL Acrysof IQ 20.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7267526 200 IOL Acrysof IQ 22.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7270192 200 IOL Tecns Acrylic Za9003 16.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7270193 200 IOL Tecns Acrylic Za9003 16.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7270197 200 IOL Tecns Acrylic Za9003 18.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7270199 200 IOL Tecns Acrylic Za9003 19.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7270204 200 IOL Tecns Acrylic Za9003 22.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7270206 200 IOL Tecns Acrylic Za9003 23.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7270207 200 IOL Tecns Acrylic Za9003 23.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7270286 " 3,317 " Graft Skn Affinity 2.25 Sq CM Q4159 278 OP N/A N/A " 3,151 " " 2,985 " " 2,985 " N/A " 3,151 " " 2,654 " " 3,151 " N/A N/A " 3,151 " " 2,820 " " 2,820 " N/A " 3,151 " " 2,985 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 3,151 " " 2,488 " 7270291 " 2,385 " Graft Skn Nushield 6 Sq CM Q4160 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A " 2,310 " N/A " 2,536 " " 1,908 " " 2,536 " " 1,789 " 7270292 " 4,200 " Graft Skn Nushield 12 Sq CM Q4160 278 OP N/A N/A " 3,990 " " 3,780 " " 3,780 " N/A " 3,990 " " 3,360 " " 3,990 " N/A N/A " 3,990 " " 3,570 " " 3,570 " N/A " 3,990 " " 3,780 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 3,990 " " 3,150 " 7270294 " 2,850 " Drsg Wnd Clgn Puraply Am 8SqCM Q4196 278 OP N/A N/A " 2,708 " " 2,565 " " 2,565 " N/A " 2,708 " " 2,280 " " 2,708 " N/A N/A " 2,708 " " 2,423 " " 2,423 " N/A " 2,708 " " 2,565 " N/A " 2,310 " N/A " 2,536 " " 2,280 " " 2,708 " " 2,138 " 7270337 " 4,485 " System Imp K-less T-Rope Synds C1713 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7270510 " 4,485 " Staple Bn Dynanite Ntnl 9X10L C1713 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7270658 690 Graft Biodesign Oto 2.5X2.5cm C1763 278 OP N/A N/A 656 621 621 N/A 656 552 656 N/A N/A 656 587 587 N/A 656 621 N/A " 2,310 " N/A " 2,536 " 552 " 2,536 " 518 7271039 " 2,057 " Graft Sft Tis Epifix 2.5 Sq CM Q4186 278 OP N/A N/A " 1,954 " " 1,851 " " 1,851 " N/A " 1,954 " " 1,645 " " 1,954 " N/A N/A " 1,954 " " 1,748 " " 1,748 " N/A " 1,954 " " 1,851 " N/A " 2,310 " N/A " 2,536 " " 1,645 " " 2,536 " " 1,542 " 7271191 " 3,628 " Hydroset XT 5CC C1713 278 OP N/A N/A " 3,447 " " 3,265 " " 3,265 " N/A " 3,447 " " 2,902 " " 3,447 " N/A N/A " 3,447 " " 3,084 " " 3,084 " N/A " 3,447 " " 3,265 " N/A N/A N/A N/A " 2,902 " " 3,447 " " 2,721 " 7271192 " 6,906 " Hydroset XT 10CC C1713 278 OP N/A N/A " 6,561 " " 6,215 " " 6,215 " N/A " 6,561 " " 5,525 " " 6,561 " N/A N/A " 6,561 " " 5,870 " " 5,870 " N/A " 6,561 " " 6,215 " N/A N/A N/A N/A " 5,525 " " 6,561 " " 5,180 " 7276444 " 8,081 " Clustrhole Trdnt II Tritnm 58F C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7276529 " 4,485 " Internalbrace Lisfranc Rpr Kit C1713 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7277590 " 4,827 " Stem Radl 7.6MM Evol Std Elb C1776 278 OP N/A N/A " 4,586 " " 4,344 " " 4,344 " N/A " 4,586 " " 3,862 " " 4,586 " N/A N/A " 4,586 " " 4,103 " " 4,103 " N/A " 4,586 " " 4,344 " N/A N/A N/A N/A " 3,862 " " 4,586 " " 3,620 " 7277614 " 8,081 " Clustrhole Trdnt II Tritnm 52E C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7277722 " 8,081 " Clustrhole Trdnt II Tritnm 54E C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7277740 " 4,485 " Staple Bn Dynanite Ntnl 9X7L C1713 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7277804 " 4,485 " System Impl TRop Drv Sn Rpr SS C1713 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7278001 255 Screw Lck Lo Pro Drp 3.5X12MM C1713 278 OP N/A N/A 242 230 230 N/A 242 204 242 N/A N/A 242 217 217 N/A 242 230 N/A N/A N/A N/A 204 242 191 7278028 180 Screw Cort Lopro 3.5X14MM C1713 278 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7278200 200 IOL Pc 1Pc Aspheric UV 18.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7278221 " 8,175 " Dev Fx Acomioclavicular 10Cm C1713 278 OP N/A N/A " 7,766 " " 7,358 " " 7,358 " N/A " 7,766 " " 6,540 " " 7,766 " N/A N/A " 7,766 " " 6,949 " " 6,949 " N/A " 7,766 " " 7,358 " N/A N/A N/A N/A " 6,540 " " 7,766 " " 6,131 " 7278581 " 8,081 " Clustrhole Trdnt II Tritnm 46C C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7278582 " 8,081 " Clustrhole Trdnt II Tritnm 48D C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7278583 " 8,081 " Clustrhole Trdnt II Tritnm 50D C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7278586 " 8,081 " Clustrhole Trdnt II Tritnm 56F C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7278588 " 8,081 " Clustrhole Trdnt II Tritnm 60G C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7278589 " 8,081 " Clustrhole Trdnt II Tritnm 62G C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7278590 " 8,081 " Clustrhole Trdnt II Tritnm 64H C1776 278 OP N/A N/A " 7,677 " " 7,273 " " 7,273 " N/A " 7,677 " " 6,465 " " 7,677 " N/A N/A " 7,677 " " 6,869 " " 6,869 " N/A " 7,677 " " 7,273 " N/A N/A N/A N/A " 6,465 " " 7,677 " " 6,061 " 7278593 413 Screw Hex Lw Profil 6.5MM 20MM C1713 278 OP N/A N/A 393 372 372 N/A 393 331 393 N/A N/A 393 351 351 N/A 393 372 N/A N/A N/A N/A 331 393 310 7278594 413 Screw Hex Lw Profil 6.5MM 25MM C1713 278 OP N/A N/A 393 372 372 N/A 393 331 393 N/A N/A 393 351 351 N/A 393 372 N/A N/A N/A N/A 331 393 310 7278595 413 Screw Hex Lw Profil 6.5MM 30MM C1713 278 OP N/A N/A 393 372 372 N/A 393 331 393 N/A N/A 393 351 351 N/A 393 372 N/A N/A N/A N/A 331 393 310 7278596 413 Screw Hex Lw Profil 6.5MM 35MM C1713 278 OP N/A N/A 393 372 372 N/A 393 331 393 N/A N/A 393 351 351 N/A 393 372 N/A N/A N/A N/A 331 393 310 7278820 " 2,985 " Allosync Cb Dbm Paste 8CC 272 OP N/A N/A " 2,836 " " 2,687 " " 2,687 " N/A " 2,836 " " 2,388 " " 2,836 " N/A N/A " 2,836 " " 2,537 " " 2,537 " N/A " 2,836 " " 2,687 " N/A N/A N/A N/A " 2,388 " " 2,836 " " 2,239 " 7278916 " 4,485 " Kit H/W Intnlbrc Lgmt Agmt Rep C1713 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7278956 " 4,500 " Mesh Srg Ventralight St 20Cm C1781 278 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 7278958 200 IOL Ao Envista Mx60E 18.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7278959 200 IOL Ao Envista Mx60E 21.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7278996 " 4,485 " Kit Ascp Suturetape Impl Perc C1713 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7279131 180 Screw Bn Lopro Cort 35X12MM C1713 278 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7279132 180 Screw Bn Lopro Cort 35X16MM C1713 278 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7279227 229 Gw Uro Ptfe .035 10X150X3 Ang C1769 272 OP N/A N/A 218 206 206 N/A 218 183 218 N/A N/A 218 195 195 N/A 218 206 N/A N/A N/A N/A 183 218 172 7279337 200 IOL Acrysof IQ 26.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7282394 416 Brace Knee Playmaker Lg L1833 274 OP N/A N/A 395 375 375 N/A 395 333 395 N/A N/A 395 354 354 N/A 395 375 N/A N/A N/A N/A 333 395 312 7282421 184 Brace Exos Lng Thb Spca Lt 2XS L3984 274 OP N/A N/A 175 166 166 N/A 175 147 175 N/A N/A 175 156 156 N/A 175 166 N/A N/A N/A N/A 147 175 138 7284835 63 GW Vasc .35IN 145CM Ss Ptfe C1769 272 OP N/A N/A 60 57 57 N/A 60 50 60 N/A N/A 60 54 54 N/A 60 57 N/A N/A N/A N/A 50 60 47 7290230 " 3,000 " Allograft Allosync Pure 5cc 272 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7292121 " 6,035 " Implnt Kit Dyna Stp Stpl 8MM C1713 278 OP N/A N/A " 5,733 " " 5,432 " " 5,432 " N/A " 5,733 " " 4,828 " " 5,733 " N/A N/A " 5,733 " " 5,130 " " 5,130 " N/A " 5,733 " " 5,432 " N/A N/A N/A N/A " 4,828 " " 5,733 " " 4,526 " 7292122 " 6,035 " Implnt Kit Dyna Stp Stpl 10MM C1713 278 OP N/A N/A " 5,733 " " 5,432 " " 5,432 " N/A " 5,733 " " 4,828 " " 5,733 " N/A N/A " 5,733 " " 5,130 " " 5,130 " N/A " 5,733 " " 5,432 " N/A N/A N/A N/A " 4,828 " " 5,733 " " 4,526 " 7292140 " 3,500 " Kit STRoPP 3 C1776 278 OP N/A N/A " 3,325 " " 3,150 " " 3,150 " N/A " 3,325 " " 2,800 " " 3,325 " N/A N/A " 3,325 " " 2,975 " " 2,975 " N/A " 3,325 " " 3,150 " N/A N/A N/A N/A " 2,800 " " 3,325 " " 2,625 " 7292204 " 1,500 " Allosync Cb Dbm Paste 3Cc 272 OP N/A N/A " 1,425 " " 1,350 " " 1,350 " N/A " 1,425 " " 1,200 " " 1,425 " N/A N/A " 1,425 " " 1,275 " " 1,275 " N/A " 1,425 " " 1,350 " N/A N/A N/A N/A " 1,200 " " 1,425 " " 1,125 " 7293295 " 1,395 " Anchor Sut DX Fibertak St Ndls C1713 278 OP N/A N/A " 1,325 " " 1,256 " " 1,256 " N/A " 1,325 " " 1,116 " " 1,325 " N/A N/A " 1,325 " " 1,186 " " 1,186 " N/A " 1,325 " " 1,256 " N/A N/A N/A N/A " 1,116 " " 1,325 " " 1,046 " 7294497 " 3,597 " Splint Dental Ocl Cstm Sgl Jaw 272 OP N/A N/A " 3,417 " " 3,237 " " 3,237 " N/A " 3,417 " " 2,878 " " 3,417 " N/A N/A " 3,417 " " 3,057 " " 3,057 " N/A " 3,417 " " 3,237 " N/A N/A N/A N/A " 2,878 " " 3,417 " " 2,698 " 7294542 900 Allograft Allosync Pure 1CC 272 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7295161 " 1,350 " Anchor Fibertak 2.6MM Kntls C1713 278 OP N/A N/A " 1,283 " " 1,215 " " 1,215 " N/A " 1,283 " " 1,080 " " 1,283 " N/A N/A " 1,283 " " 1,148 " " 1,148 " N/A " 1,283 " " 1,215 " N/A N/A N/A N/A " 1,080 " " 1,283 " " 1,013 " 7295378 " 1,350 " Suture Fiber Tape Cerclage C1713 278 OP N/A N/A " 1,283 " " 1,215 " " 1,215 " N/A " 1,283 " " 1,080 " " 1,283 " N/A N/A " 1,283 " " 1,148 " " 1,148 " N/A " 1,283 " " 1,215 " N/A N/A N/A N/A " 1,080 " " 1,283 " " 1,013 " 7295380 " 1,350 " Suture Fiber Tape Cerclage C1713 278 OP N/A N/A " 1,283 " " 1,215 " " 1,215 " N/A " 1,283 " " 1,080 " " 1,283 " N/A N/A " 1,283 " " 1,148 " " 1,148 " N/A " 1,283 " " 1,215 " N/A N/A N/A N/A " 1,080 " " 1,283 " " 1,013 " 7295520 180 Screw Lopro Cort 3.5x13MM Drp C1713 278 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 7295578 " 1,275 " Anchor Sut Sngl Mini Bc Puchlk C1713 278 OP N/A N/A " 1,211 " " 1,148 " " 1,148 " N/A " 1,211 " " 1,020 " " 1,211 " N/A N/A " 1,211 " " 1,084 " " 1,084 " N/A " 1,211 " " 1,148 " N/A N/A N/A N/A " 1,020 " " 1,211 " 956 7295838 " 8,985 " Nail Fibula 3.0x130MMLeft C1713 278 OP N/A N/A " 8,536 " " 8,087 " " 8,087 " N/A " 8,536 " " 7,188 " " 8,536 " N/A N/A " 8,536 " " 7,637 " " 7,637 " N/A " 8,536 " " 8,087 " N/A N/A N/A N/A " 7,188 " " 8,536 " " 6,739 " 7295842 " 8,985 " Nail Fibula 3.0x130MM Right C1713 278 OP N/A N/A " 8,536 " " 8,087 " " 8,087 " N/A " 8,536 " " 7,188 " " 8,536 " N/A N/A " 8,536 " " 7,637 " " 7,637 " N/A " 8,536 " " 8,087 " N/A N/A N/A N/A " 7,188 " " 8,536 " " 6,739 " 7299137 " 15,465 " Body Proximal 11Mm C1776 278 OP N/A N/A " 14,692 " " 13,919 " " 13,919 " N/A " 14,692 " " 12,372 " " 14,692 " N/A N/A " 14,692 " " 13,145 " " 13,145 " N/A " 14,692 " " 13,919 " N/A N/A N/A N/A " 12,372 " " 14,692 " " 11,599 " 7299157 " 9,279 " Spacer 11x30 272 OP N/A N/A " 8,815 " " 8,351 " " 8,351 " N/A " 8,815 " " 7,423 " " 8,815 " N/A N/A " 8,815 " " 7,887 " " 7,887 " N/A " 8,815 " " 8,351 " N/A N/A N/A N/A " 7,423 " " 8,815 " " 6,959 " 7299168 " 3,093 " Screw Assembly 30Mm C1713 278 OP N/A N/A " 2,938 " " 2,784 " " 2,784 " N/A " 2,938 " " 2,474 " " 2,938 " N/A N/A " 2,938 " " 2,629 " " 2,629 " N/A " 2,938 " " 2,784 " N/A N/A N/A N/A " 2,474 " " 2,938 " " 2,320 " 7299233 70 Boot Walker Ped Lg L4387 274 OP N/A N/A 67 63 63 N/A 67 56 67 N/A N/A 67 60 60 N/A 67 63 N/A N/A N/A N/A 56 67 53 7299346 " 2,700 " Implnt HMmrTo 2St 2.6x2.4x10Mm C1713 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7299348 " 4,500 " Implnt HMmrTo 2St 2.6x2.4x14Mm C1713 278 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 7299355 " 3,600 " Staple 10x10x10Mm C1713 278 OP N/A N/A " 3,420 " " 3,240 " " 3,240 " N/A " 3,420 " " 2,880 " " 3,420 " N/A N/A " 3,420 " " 3,060 " " 3,060 " N/A " 3,420 " " 3,240 " N/A N/A N/A N/A " 2,880 " " 3,420 " " 2,700 " 7299361 " 4,140 " Staple High Strngth 20x20x20Mm C1713 278 OP N/A N/A " 3,933 " " 3,726 " " 3,726 " N/A " 3,933 " " 3,312 " " 3,933 " N/A N/A " 3,933 " " 3,519 " " 3,519 " N/A " 3,933 " " 3,726 " N/A N/A N/A N/A " 3,312 " " 3,933 " " 3,105 " 7299746 " 3,540 " Ins Sm Sckt Ar 32Mm Semi Eplus C1776 278 OP N/A N/A " 3,363 " " 3,186 " " 3,186 " N/A " 3,363 " " 2,832 " " 3,363 " N/A N/A " 3,363 " " 3,009 " " 3,009 " N/A " 3,363 " " 3,186 " N/A N/A N/A N/A " 2,832 " " 3,363 " " 2,655 " 7299926 " 3,300 " Insert Tib Mako Uni Onlay C1776 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7299930 " 3,255 " Insert Tib 4 Mako X3 Onlay C1776 278 OP N/A N/A " 3,092 " " 2,929 " " 2,929 " N/A " 3,092 " " 2,604 " " 3,092 " N/A N/A " 3,092 " " 2,766 " " 2,766 " N/A " 3,092 " " 2,929 " N/A N/A N/A N/A " 2,604 " " 3,092 " " 2,441 " 7299935 " 3,255 " Ins Tib 5 9Mm Uni Onlay C1776 278 OP N/A N/A " 3,092 " " 2,929 " " 2,929 " N/A " 3,092 " " 2,604 " " 3,092 " N/A N/A " 3,092 " " 2,766 " " 2,766 " N/A " 3,092 " " 2,929 " N/A N/A N/A N/A " 2,604 " " 3,092 " " 2,441 " 7299938 " 3,255 " Tib Ins 6-8 Mako X3 Uni Onlay C1776 278 OP N/A N/A " 3,092 " " 2,929 " " 2,929 " N/A " 3,092 " " 2,604 " " 3,092 " N/A N/A " 3,092 " " 2,766 " " 2,766 " N/A " 3,092 " " 2,929 " N/A N/A N/A N/A " 2,604 " " 3,092 " " 2,441 " 7300014 " 3,150 " Ins Tib 1 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300023 " 3,150 " Ins Tib 2 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300024 " 3,150 " Ins Tib 2 10Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300032 " 3,150 " Ins Tib 3 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300033 " 3,150 " Ins Tib 3 10Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300034 " 3,150 " Ins Tib 3 11Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300035 " 3,150 " Ins Tib 3 12Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300041 " 3,150 " Ins Tib 4 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300042 " 3,150 " Ins Tib 3 10Mm Kn X3 Cndrl Sta C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300043 " 3,150 " Ins Tib 4 11Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300044 " 3,150 " Ins Tib 4 12Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300045 " 3,150 " Ins Tib 4 13Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300046 " 3,150 " Ins Tib 4 14Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300050 " 3,150 " Ins Tib 5 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300051 " 3,150 " Ins Tib 5 10Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300052 " 3,150 " Ins Tib 5 11Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300053 " 3,150 " Ins Tib 5 12Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300059 " 3,150 " Ins Tib 6 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300060 " 3,150 " Ins Tib 6 10Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300061 " 3,150 " Ins Tib 6 11Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300062 " 3,150 " Ins Tib 6 12Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300063 " 3,150 " Ins Tib 6 13Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300064 " 3,150 " Ins Tib 6 14Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300065 " 3,150 " Ins Tib 6 16Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300068 " 3,150 " Ins Tib 7 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300069 " 3,150 " Ins Tib 7 10Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300070 " 3,150 " Ins Tib 7 11Mm Kn X3 Cndrl C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300072 " 3,150 " Ins Tib 7 13Mm Kn X3 Cs TRThln C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300073 " 3,150 " Ins Tib 7 14Mm Kn X3 Cs TRThln C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300077 " 3,150 " Ins Tib 8 9Mm Kn X3 Cndrl Stab C1776 278 OP N/A N/A " 2,993 " " 2,835 " " 2,835 " N/A " 2,993 " " 2,520 " " 2,993 " N/A N/A " 2,993 " " 2,678 " " 2,678 " N/A " 2,993 " " 2,835 " N/A N/A N/A N/A " 2,520 " " 2,993 " " 2,363 " 7300113 " 7,133 " Ins Tib 4 9Mm Kn X3 Ps Brng C1776 278 OP N/A N/A " 6,776 " " 6,420 " " 6,420 " N/A " 6,776 " " 5,706 " " 6,776 " N/A N/A " 6,776 " " 6,063 " " 6,063 " N/A " 6,776 " " 6,420 " N/A N/A N/A N/A " 5,706 " " 6,776 " " 5,350 " 7300187 " 8,644 " Joint Dvc Ins Tib 13Mm Stab C1776 278 OP N/A N/A " 8,212 " " 7,780 " " 7,780 " N/A " 8,212 " " 6,915 " " 8,212 " N/A N/A " 8,212 " " 7,348 " " 7,348 " N/A " 8,212 " " 7,780 " N/A N/A N/A N/A " 6,915 " " 8,212 " " 6,483 " 7300230 " 3,537 " Comp Patellar 8Mm 27Mm Smtr C1776 278 OP N/A N/A " 3,360 " " 3,184 " " 3,184 " N/A " 3,360 " " 2,830 " " 3,360 " N/A N/A " 3,360 " " 3,007 " " 3,007 " N/A " 3,360 " " 3,184 " N/A N/A N/A N/A " 2,830 " " 3,360 " " 2,653 " 7300231 " 3,537 " Joint Dvc Ptlr Trthln Sym X3 C1776 278 OP N/A N/A " 3,360 " " 3,184 " " 3,184 " N/A " 3,360 " " 2,830 " " 3,360 " N/A N/A " 3,360 " " 3,007 " " 3,007 " N/A " 3,360 " " 3,184 " N/A N/A N/A N/A " 2,830 " " 3,360 " " 2,653 " 7300232 " 3,537 " Joint Dvc Ptlr Trthln Sym X3 C1776 278 OP N/A N/A " 3,360 " " 3,184 " " 3,184 " N/A " 3,360 " " 2,830 " " 3,360 " N/A N/A " 3,360 " " 3,007 " " 3,007 " N/A " 3,360 " " 3,184 " N/A N/A N/A N/A " 2,830 " " 3,360 " " 2,653 " 7300236 " 3,537 " Joint Dvc Ptlr 9x29Mm Asym C1776 278 OP N/A N/A " 3,360 " " 3,184 " " 3,184 " N/A " 3,360 " " 2,830 " " 3,360 " N/A N/A " 3,360 " " 3,007 " " 3,007 " N/A " 3,360 " " 3,184 " N/A N/A N/A N/A " 2,830 " " 3,360 " " 2,653 " 7300237 " 3,537 " Joint Dvc Ptlr 10x32Mm Asym C1776 278 OP N/A N/A " 3,360 " " 3,184 " " 3,184 " N/A " 3,360 " " 2,830 " " 3,360 " N/A N/A " 3,360 " " 3,007 " " 3,007 " N/A " 3,360 " " 3,184 " N/A N/A N/A N/A " 2,830 " " 3,360 " " 2,653 " 7300238 " 3,537 " Joint Dvc Ptlr 10x35Mm Asym C1776 278 OP N/A N/A " 3,360 " " 3,184 " " 3,184 " N/A " 3,360 " " 2,830 " " 3,360 " N/A N/A " 3,360 " " 3,007 " " 3,007 " N/A " 3,360 " " 3,184 " N/A N/A N/A N/A " 2,830 " " 3,360 " " 2,653 " V2632 7303159 200 IOL AO Envista MX60E 21.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 V2632 7304799 200 IOL Ao Envista MX60E 20.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 V2632 7305800 200 IOL AO Envista MX60 12.5x19.0 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 V2632 7305801 200 IOL AO Envista MX60 12.5x19.5 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7306942 " 6,525 " Sys Blndil 6x16Mm Trudi Snplst C1726 272 OP N/A N/A " 6,199 " " 5,873 " " 5,873 " N/A " 6,199 " " 5,220 " " 6,199 " N/A N/A " 6,199 " " 5,546 " " 5,546 " N/A " 6,199 " " 5,873 " N/A N/A N/A N/A " 5,220 " " 6,199 " " 4,894 " V2632 7307139 200 IOL AO Envista MX60E 22.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7307251 220 Brace Elb Lng Rt T-Scope Lopro L3761 274 OP N/A N/A 209 198 198 N/A 209 176 209 N/A N/A 209 187 187 N/A 209 198 N/A N/A N/A N/A 176 209 165 7307557 200 IOL AO Envista MX60E 22.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7310126 " 2,748 " Joint Swnsn 3S Flexbl Hng Grmt C1776 278 OP N/A N/A " 2,611 " " 2,473 " " 2,473 " N/A " 2,611 " " 2,198 " " 2,611 " N/A N/A " 2,611 " " 2,336 " " 2,336 " N/A " 2,611 " " 2,473 " N/A N/A N/A N/A " 2,198 " " 2,611 " " 2,061 " 7310253 " 2,085 " Sys Blndil Rlv Tract 16x40Mm C1726 272 OP N/A N/A " 1,981 " " 1,877 " " 1,877 " N/A " 1,981 " " 1,668 " " 1,981 " N/A N/A " 1,981 " " 1,772 " " 1,772 " N/A " 1,981 " " 1,877 " N/A N/A N/A N/A " 1,668 " " 1,981 " " 1,564 " 7310536 229 Marker Brstbio 13Cm Eviva A4648 278 OP N/A N/A 217 206 206 N/A 217 183 217 N/A N/A 217 194 194 N/A 217 206 N/A N/A N/A N/A 183 217 172 7310587 710 Screw Bn 5x45Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7310589 710 Screw Bn 5x37.5Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7310904 " 1,200 " Screw Bone Drl Cnn 4.5x50Mm C1713 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7311232 " 1,575 " Kit Ascp Fx Thgtrp Fbrtag Acl C1713 278 OP N/A N/A " 1,496 " " 1,418 " " 1,418 " N/A " 1,496 " " 1,260 " " 1,496 " N/A N/A " 1,496 " " 1,339 " " 1,339 " N/A " 1,496 " " 1,418 " N/A N/A N/A N/A " 1,260 " " 1,496 " " 1,181 " 7311233 " 1,005 " Device Thgtrp Acl Fbrtag Abs C1713 278 OP N/A N/A 955 905 905 N/A 955 804 955 N/A N/A 955 854 854 N/A 955 905 N/A N/A N/A N/A 804 955 754 7311379 710 Screw Bone 5x40Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7311380 710 Screw Bone 5x50Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7311381 710 Screw Bn 5x42.5Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7312072 " 5,625 " Plate Bone Lapidus Rt Lg C1713 278 OP N/A N/A " 5,344 " " 5,063 " " 5,063 " N/A " 5,344 " " 4,500 " " 5,344 " N/A N/A " 5,344 " " 4,781 " " 4,781 " N/A " 5,344 " " 5,063 " N/A N/A N/A N/A " 4,500 " " 5,344 " " 4,219 " 7312073 495 Screw Bone Nlckg 3.5x16Mm C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7312074 945 Screw Bone Lck 3.5x16Mm C1713 278 OP N/A N/A 898 851 851 N/A 898 756 898 N/A N/A 898 803 803 N/A 898 851 N/A N/A N/A N/A 756 898 709 7312323 " 4,950 " Cement Bn Bonesync Ca Phos 5Cc C1713 278 OP N/A N/A " 4,703 " " 4,455 " " 4,455 " N/A " 4,703 " " 3,960 " " 4,703 " N/A N/A " 4,703 " " 4,208 " " 4,208 " N/A " 4,703 " " 4,455 " N/A N/A N/A N/A " 3,960 " " 4,703 " " 3,713 " 7312436 840 Screw Bone Lock 3.5x12Mm C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7312437 945 Screw Bone Lock 3.5x18Mm C1713 278 OP N/A N/A 898 851 851 N/A 898 756 898 N/A N/A 898 803 803 N/A 898 851 N/A N/A N/A N/A 756 898 709 7312438 945 Screw Bn Lck 3.5x20Mm C1713 278 OP N/A N/A 898 851 851 N/A 898 756 898 N/A N/A 898 803 803 N/A 898 851 N/A N/A N/A N/A 756 898 709 7312442 200 IOL Ao Envista MX60E 24.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312652 " 1,200 " Screw Bone 4.5x45Mm Hd St C1713 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7312692 " 4,485 " Brace Intrnl Ligamnt Aug Bcmps C1713 278 OP N/A N/A " 4,261 " " 4,037 " " 4,037 " N/A " 4,261 " " 3,588 " " 4,261 " N/A N/A " 4,261 " " 3,812 " " 3,812 " N/A " 4,261 " " 4,037 " N/A N/A N/A N/A " 3,588 " " 4,261 " " 3,364 " 7312730 570 Screw Bn Nlckg 3.5x20Mm C1713 278 OP N/A N/A 542 513 513 N/A 542 456 542 N/A N/A 542 485 485 N/A 542 513 N/A N/A N/A N/A 456 542 428 7312748 200 IOL Ao Envista MX60E 13.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312749 200 IOL Ao Envista MX60E 14.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312750 200 IOL Ao Envista MX60E 14.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312751 200 IOL Ao Envista MX60E 15.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312752 200 IOL Ao Envista MX60E 15.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312753 200 IOL Ao Envista MX60E 16.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312754 200 IOL Ao Envista MX60E 16.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312755 200 IOL Ao Envista MX60E 17.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312756 200 IOL Ao Envista MX60E 17.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312757 200 IOL Ao Envista MX60E 20.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312758 200 IOL Ao Envista MX60E 23.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312759 200 IOL Ao Envista MX60E 23.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7312760 200 IOL Ao Envista MX60E 24.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7313109 495 Screw Bn Nlckg 3.5x18Mm C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7313688 " 2,175 " Implant Fx Swvlck Bkup Acl/Pcl C1713 278 OP N/A N/A " 2,066 " " 1,958 " " 1,958 " N/A " 2,066 " " 1,740 " " 2,066 " N/A N/A " 2,066 " " 1,849 " " 1,849 " N/A " 2,066 " " 1,958 " N/A N/A N/A N/A " 1,740 " " 2,066 " " 1,631 " 7314034 900 Lens IOL Acrsf Panoptic 12.5D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7314285 " 1,485 " Anchor Sut 2-0 Fbrwr Crv C1713 278 OP N/A N/A " 1,411 " " 1,337 " " 1,337 " N/A " 1,411 " " 1,188 " " 1,411 " N/A N/A " 1,411 " " 1,262 " " 1,262 " N/A " 1,411 " " 1,337 " N/A N/A N/A N/A " 1,188 " " 1,411 " " 1,114 " 7315127 420 Screw Bone Ti 1.6x7Mm C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7315203 " 4,200 " Plate Bone Arsn 4 Hl Vlc C1713 278 OP N/A N/A " 3,990 " " 3,780 " " 3,780 " N/A " 3,990 " " 3,360 " " 3,990 " N/A N/A " 3,990 " " 3,570 " " 3,570 " N/A " 3,990 " " 3,780 " N/A N/A N/A N/A " 3,360 " " 3,990 " " 3,150 " 7315775 330 Screw Bone 1.6x6Mm Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7315874 710 Screw Bn 5x52Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7316072 " 5,400 " Algrf 4SqCM Xcellerate Lyoph Q4234 278 OP N/A N/A " 5,130 " " 4,860 " " 4,860 " N/A " 5,130 " " 4,320 " " 5,130 " N/A N/A " 5,130 " " 4,590 " " 4,590 " N/A " 5,130 " " 4,860 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 5,130 " " 4,050 " 7316073 " 6,000 " Algrf 8SqCM Xcellerate Lyoph Q4234 278 OP N/A N/A " 5,700 " " 5,400 " " 5,400 " N/A " 5,700 " " 4,800 " " 5,700 " N/A N/A " 5,700 " " 5,100 " " 5,100 " N/A " 5,700 " " 5,400 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 5,700 " " 4,500 " 7316074 " 7,500 " Algrf 16SqCM Xcellerate Lyoph Q4234 278 OP N/A N/A " 7,125 " " 6,750 " " 6,750 " N/A " 7,125 " " 6,000 " " 7,125 " N/A N/A " 7,125 " " 6,375 " " 6,375 " N/A " 7,125 " " 6,750 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 7,125 " " 5,625 " 7316271 710 Screw Bn 5x35Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7316272 838 Screw Bn 5x47.5Mm Adv Lck Alp C1713 278 OP N/A N/A 796 754 754 N/A 796 671 796 N/A N/A 796 712 712 N/A 796 754 N/A N/A N/A N/A 671 796 629 7316383 838 Screw Bn 5x42Mm Adv Lck T2 Alp C1713 278 OP N/A N/A 796 754 754 N/A 796 671 796 N/A N/A 796 712 712 N/A 796 754 N/A N/A N/A N/A 671 796 629 7316534 " 1,349 " Anchor Omega Peek Od4.75 Mm 1 C1713 278 OP N/A N/A " 1,281 " " 1,214 " " 1,214 " N/A " 1,281 " " 1,079 " " 1,281 " N/A N/A " 1,281 " " 1,146 " " 1,146 " N/A " 1,281 " " 1,214 " N/A N/A N/A N/A " 1,079 " " 1,281 " " 1,011 " 7316541 200 IOLAO Envista MX60E 12.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7316542 200 IOL AO Envista MX60E 25.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7316838 " 5,796 " Implnt Nasal Latera Absrb 24Mm 272 OP N/A N/A " 5,506 " " 5,216 " " 5,216 " N/A " 5,506 " " 4,637 " " 5,506 " N/A N/A " 5,506 " " 4,927 " " 4,927 " N/A " 5,506 " " 5,216 " N/A N/A N/A N/A " 4,637 " " 5,506 " " 4,347 " 7316980 " 5,685 " Joint Toe Dynanite Implant Bnt C1713 278 OP N/A N/A " 5,401 " " 5,117 " " 5,117 " N/A " 5,401 " " 4,548 " " 5,401 " N/A N/A " 5,401 " " 4,832 " " 4,832 " N/A " 5,401 " " 5,117 " N/A N/A N/A N/A " 4,548 " " 5,401 " " 4,264 " 7317089 " 1,050 " Screw Bn Cmpr Ft 3.5x40Mm C1713 278 OP N/A N/A 998 945 945 N/A 998 840 998 N/A N/A 998 893 893 N/A 998 945 N/A N/A N/A N/A 840 998 788 7317177 710 Screw Bn 5x75Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7317331 710 Screw Bn 5x47.5Mm Lck T2 Alpha C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7317731 840 Screw Bn Lck 3.5x22Mm C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7317732 840 Screw Bn Lck 3.5x28Mm C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7317733 840 Screw Bn Lck 3.5x30Mm C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7317734 840 Screw Bn Lck 3.5x32Mm C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7317738 840 Screw Bn Lck 3.5x40Mm C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7317853 330 Screw Bn 1.4x9Mm Cortical Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7317854 330 Screw Bn 1.4x12Mm Cortical Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7317859 840 Screw Bn 12Mm x 2.7Mm Lock C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7317905 " 5,250 " Graft Biosrg Allosync Pure 5Cc 272 OP N/A N/A " 4,988 " " 4,725 " " 4,725 " N/A " 4,988 " " 4,200 " " 4,988 " N/A N/A " 4,988 " " 4,463 " " 4,463 " N/A " 4,988 " " 4,725 " N/A N/A N/A N/A " 4,200 " " 4,988 " " 3,938 " 7318095 " 5,685 " Staple Bn Dynanite Bent 14Mm C1713 278 OP N/A N/A " 5,401 " " 5,117 " " 5,117 " N/A " 5,401 " " 4,548 " " 5,401 " N/A N/A " 5,401 " " 4,832 " " 4,832 " N/A " 5,401 " " 5,117 " N/A N/A N/A N/A " 4,548 " " 5,401 " " 4,264 " 7318147 " 2,934 " Graft Restrata 6.25SqCm Mtrx C1849 278 OP N/A N/A " 2,787 " " 2,641 " " 2,641 " N/A " 2,787 " " 2,347 " " 2,787 " N/A N/A " 2,787 " " 2,494 " " 2,494 " N/A " 2,787 " " 2,641 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 2,787 " " 2,201 " 7318476 " 5,100 " Implant Fx Mnscl Root Repr C1713 278 OP N/A N/A " 4,845 " " 4,590 " " 4,590 " N/A " 4,845 " " 4,080 " " 4,845 " N/A N/A " 4,845 " " 4,335 " " 4,335 " N/A " 4,845 " " 4,590 " N/A N/A N/A N/A " 4,080 " " 4,845 " " 3,825 " 7318998 570 Screw Bn Arsn 3.5x24Mm C1713 278 OP N/A N/A 542 513 513 N/A 542 456 542 N/A N/A 542 485 485 N/A 542 513 N/A N/A N/A N/A 456 542 428 7319059 375 Screw Bn 32Mm 3.5Mm Ft Ankle C1713 278 OP N/A N/A 356 338 338 N/A 356 300 356 N/A N/A 356 319 319 N/A 356 338 N/A N/A N/A N/A 300 356 281 7319087 " 18,309 " Stem Hum Alt Rev 8x108 Sm Shl C1726 272 OP N/A N/A " 17,394 " " 16,478 " " 16,478 " N/A " 17,394 " " 14,647 " " 17,394 " N/A N/A " 17,394 " " 15,563 " " 15,563 " N/A " 17,394 " " 16,478 " N/A N/A N/A N/A " 14,647 " " 17,394 " " 13,732 " 7319154 435 Screw Bn Locking 3.5x16Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7319157 435 Screw Bn Locking 3.5x18Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7319328 " 6,090 " Plate Bn Lisfranc C1713 278 OP N/A N/A " 5,786 " " 5,481 " " 5,481 " N/A " 5,786 " " 4,872 " " 5,786 " N/A N/A " 5,786 " " 5,177 " " 5,177 " N/A " 5,786 " " 5,481 " N/A N/A N/A N/A " 4,872 " " 5,786 " " 4,568 " 7319734 495 Screw Bn Arsn 2.2x20Mm C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7319826 570 Screw Bn 2.7x16Mm C1713 278 OP N/A N/A 542 513 513 N/A 542 456 542 N/A N/A 542 485 485 N/A 542 513 N/A N/A N/A N/A 456 542 428 7319827 840 Screw Bn 2.7x10Mm Lck C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7319933 945 Screw Bn Lck 3.5x10Mm C1713 278 OP N/A N/A 898 851 851 N/A 898 756 898 N/A N/A 898 803 803 N/A 898 851 N/A N/A N/A N/A 756 898 709 7319936 375 Screw Bn 3.5Mmx18Mm Nonlock C1713 278 OP N/A N/A 356 338 338 N/A 356 300 356 N/A N/A 356 319 319 N/A 356 338 N/A N/A N/A N/A 300 356 281 7320186 " 1,200 " Screw Bn Drl Cnn 4.5x55Mm C1713 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7320512 235 Cath Uret 6Fr-Whistle Tip C1758 272 OP N/A N/A 223 211 211 N/A 223 188 223 N/A N/A 223 199 199 N/A 223 211 N/A N/A N/A N/A 188 223 176 7320523 716 Cath Blndil NephromaX Kit 30Fr C1726 272 OP N/A N/A 680 644 644 N/A 680 573 680 N/A N/A 680 608 608 N/A 680 644 N/A N/A N/A N/A 573 680 537 7320526 391 Sheath ACCess Nav 11F/13FX28 C1894 272 OP N/A N/A 372 352 352 N/A 372 313 372 N/A N/A 372 333 333 N/A 372 352 N/A N/A N/A N/A 313 372 294 7320527 378 Sheath ACCess Nav 11F/13FX36 C1894 272 OP N/A N/A 359 340 340 N/A 359 302 359 N/A N/A 359 321 321 N/A 359 340 N/A N/A N/A N/A 302 359 283 7320528 172 Sheath ACC Clr Rnl 34FrX17Cm C1894 272 OP N/A N/A 163 155 155 N/A 163 137 163 N/A N/A 163 146 146 N/A 163 155 N/A N/A N/A N/A 137 163 129 7320534 52 Cath Uret Imager 0.38x40Cm C1758 272 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 45 45 N/A 50 47 N/A N/A N/A N/A 42 50 39 7320539 165 Gw Uro Zebra Nitinol 0.35Cm C1769 272 OP N/A N/A 156 148 148 N/A 156 132 156 N/A N/A 156 140 140 N/A 156 148 N/A N/A N/A N/A 132 156 123 7320659 115 Cath Uret 8Fr Opn End C-FlX C1758 272 OP N/A N/A 109 103 103 N/A 109 92 109 N/A N/A 109 97 97 N/A 109 103 N/A N/A N/A N/A 92 109 86 7320693 " 3,003 " Sling Urth Transobturator Aris C1771 278 OP N/A N/A " 2,853 " " 2,703 " " 2,703 " N/A " 2,853 " " 2,402 " " 2,853 " N/A N/A " 2,853 " " 2,553 " " 2,553 " N/A " 2,853 " " 2,703 " N/A N/A N/A N/A " 2,402 " " 2,853 " " 2,252 " 7320723 824 Readigraft Bn 15Cc Cnn Crushed 272 OP N/A N/A 783 742 742 N/A 783 659 783 N/A N/A 783 700 700 N/A 783 742 N/A N/A N/A N/A 659 783 618 7320724 721 Readigraft Bn 15Cc Cnn Chips 272 OP N/A N/A 685 649 649 N/A 685 577 685 N/A N/A 685 613 613 N/A 685 649 N/A N/A N/A N/A 577 685 541 7320726 " 1,289 " Readigraft Bn 30Cc Cnn Chips 272 OP N/A N/A " 1,224 " " 1,160 " " 1,160 " N/A " 1,224 " " 1,031 " " 1,224 " N/A N/A " 1,224 " " 1,095 " " 1,095 " N/A " 1,224 " " 1,160 " N/A N/A N/A N/A " 1,031 " " 1,224 " 966 7320746 " 5,922 " Graft Achilles Tendon W Bn Blk 272 OP N/A N/A " 5,625 " " 5,329 " " 5,329 " N/A " 5,625 " " 4,737 " " 5,625 " N/A N/A " 5,625 " " 5,033 " " 5,033 " N/A " 5,625 " " 5,329 " N/A N/A N/A N/A " 4,737 " " 5,625 " " 4,441 " 7320747 " 1,573 " Graft Long Femoral Strut 272 OP N/A N/A " 1,494 " " 1,415 " " 1,415 " N/A " 1,494 " " 1,258 " " 1,494 " N/A N/A " 1,494 " " 1,337 " " 1,337 " N/A " 1,494 " " 1,415 " N/A N/A N/A N/A " 1,258 " " 1,494 " " 1,179 " 7320749 " 4,220 " Graft Gracilis Tendon 272 OP N/A N/A " 4,009 " " 3,798 " " 3,798 " N/A " 4,009 " " 3,376 " " 4,009 " N/A N/A " 4,009 " " 3,587 " " 3,587 " N/A " 4,009 " " 3,798 " N/A N/A N/A N/A " 3,376 " " 4,009 " " 3,165 " 7320753 " 2,748 " Implant Toe Size 4 C1776 278 OP N/A N/A " 2,611 " " 2,473 " " 2,473 " N/A " 2,611 " " 2,198 " " 2,611 " N/A N/A " 2,611 " " 2,336 " " 2,336 " N/A " 2,611 " " 2,473 " N/A N/A N/A N/A " 2,198 " " 2,611 " " 2,061 " 7320754 " 2,748 " Implant Toe Size 5 C1776 278 OP N/A N/A " 2,611 " " 2,473 " " 2,473 " N/A " 2,611 " " 2,198 " " 2,611 " N/A N/A " 2,611 " " 2,336 " " 2,336 " N/A " 2,611 " " 2,473 " N/A N/A N/A N/A " 2,198 " " 2,611 " " 2,061 " 7320806 " 2,002 " Graft Bn Optium Dbm Putty 5Cc 272 OP N/A N/A " 1,902 " " 1,802 " " 1,802 " N/A " 1,902 " " 1,602 " " 1,902 " N/A N/A " 1,902 " " 1,702 " " 1,702 " N/A " 1,902 " " 1,802 " N/A N/A N/A N/A " 1,602 " " 1,902 " " 1,502 " 7320807 " 3,104 " Graft Bn Optium Dbm Putty 10Cc 272 OP N/A N/A " 2,949 " " 2,794 " " 2,794 " N/A " 2,949 " " 2,483 " " 2,949 " N/A N/A " 2,949 " " 2,639 " " 2,639 " N/A " 2,949 " " 2,794 " N/A N/A N/A N/A " 2,483 " " 2,949 " " 2,328 " 7320849 840 Screw Bn 10x2.2Mm Lck C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7320850 840 Screw Bn 12x2.2Mm Lck C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7320851 840 Screw Bn 14x2.2Mm Lck C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7320855 945 Screw Bn 14x2.7Mm Lck C1713 278 OP N/A N/A 898 851 851 N/A 898 756 898 N/A N/A 898 803 803 N/A 898 851 N/A N/A N/A N/A 756 898 709 7320857 " 5,724 " Nail Im Tib 9x315Mm C1713 278 OP N/A N/A " 5,438 " " 5,151 " " 5,151 " N/A " 5,438 " " 4,579 " " 5,438 " N/A N/A " 5,438 " " 4,865 " " 4,865 " N/A " 5,438 " " 5,151 " N/A N/A N/A N/A " 4,579 " " 5,438 " " 4,293 " 7320898 " 2,367 " System Impl Fibertak Btn C1713 278 OP N/A N/A " 2,249 " " 2,130 " " 2,130 " N/A " 2,249 " " 1,894 " " 2,249 " N/A N/A " 2,249 " " 2,012 " " 2,012 " N/A " 2,249 " " 2,130 " N/A N/A N/A N/A " 1,894 " " 2,249 " " 1,775 " 7320916 111 Boot Jwlkr+ Mid Calf Wide Lg L4361 274 OP N/A N/A 106 100 100 N/A 106 89 106 N/A N/A 106 95 95 N/A 106 100 N/A N/A N/A N/A 89 106 84 7320970 " 2,160 " Plate Bn 7Hl T Ft C1713 278 OP N/A N/A " 2,052 " " 1,944 " " 1,944 " N/A " 2,052 " " 1,728 " " 2,052 " N/A N/A " 2,052 " " 1,836 " " 1,836 " N/A " 2,052 " " 1,944 " N/A N/A N/A N/A " 1,728 " " 2,052 " " 1,620 " 7320978 435 Screw Bn 2.0Mmx12Mm Cnn C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7321117 282 Pin Fx 10Mm 1.1Mm C1713 278 OP N/A N/A 268 254 254 N/A 268 226 268 N/A N/A 268 240 240 N/A 268 254 N/A N/A N/A N/A 226 268 212 7321124 " 11,985 " Plate Bn Btrs Syndesmosis C1713 278 OP N/A N/A " 11,386 " " 10,787 " " 10,787 " N/A " 11,386 " " 9,588 " " 11,386 " N/A N/A " 11,386 " " 10,187 " " 10,187 " N/A " 11,386 " " 10,787 " N/A N/A N/A N/A " 9,588 " " 11,386 " " 8,989 " 7321332 375 Screw Bn 20Mm 3.5Mm Ft Nlckg C1713 278 OP N/A N/A 356 338 338 N/A 356 300 356 N/A N/A 356 319 319 N/A 356 338 N/A N/A N/A N/A 300 356 281 7321661 " 4,058 " Sling Urth Solyx Mid 1Incs Blu C1771 278 OP N/A N/A " 3,855 " " 3,652 " " 3,652 " N/A " 3,855 " " 3,246 " " 3,855 " N/A N/A " 3,855 " " 3,449 " " 3,449 " N/A " 3,855 " " 3,652 " N/A N/A N/A N/A " 3,246 " " 3,855 " " 3,043 " 7321812 " 5,250 " Plate Bn Arsn C1713 278 OP N/A N/A " 4,988 " " 4,725 " " 4,725 " N/A " 4,988 " " 4,200 " " 4,988 " N/A N/A " 4,988 " " 4,463 " " 4,463 " N/A " 4,988 " " 4,725 " N/A N/A N/A N/A " 4,200 " " 4,988 " " 3,938 " 7321906 " 1,485 " Anchor Sut Fbrsttch 24D Crv C1713 278 OP N/A N/A " 1,411 " " 1,337 " " 1,337 " N/A " 1,411 " " 1,188 " " 1,411 " N/A N/A " 1,411 " " 1,262 " " 1,262 " N/A " 1,411 " " 1,337 " N/A N/A N/A N/A " 1,188 " " 1,411 " " 1,114 " 7322188 840 Screw Bn 16X2.7Mm Lck C1713 278 OP N/A N/A 798 756 756 N/A 798 672 798 N/A N/A 798 714 714 N/A 798 756 N/A N/A N/A N/A 672 798 630 7322245 900 IOL Acrsf IQ Vivity Blu 20.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322246 900 IOL Acrsf IQ Vivity Blu 20.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322247 900 IOL Acrsf IQ Vivity Blu 21.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322248 900 IOL Acrsf IQ Vivity Blu 21.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322253 900 IOL Acrsf IQ Vivity Blu 24.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322254 900 IOL Acrsf IQ Vivity Blu 24.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322255 900 IOL Acrsf IQ Vivity Blu 25.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322266 200 IOL Ao Envista MX60E 6.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322267 200 IOL Ao Envista MX60E 7.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322268 200 IOL Ao Envista MX60E 8.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322269 200 IOL Ao Envista MX60E 9.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322270 200 IOL Ao Envista MX60E 10.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322271 200 IOL Ao Envista MX60E 10.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322273 200 IOL Ao Envista MX60E 11.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322274 200 IOL Ao Envista MX60E 12.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322275 200 IOL Ao Envista MX60E 13.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322276 200 IOL Ao Envista MX60E 25.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322277 200 IOL AO Envista MX60E 22.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322281 200 IOL Ao Envista MX60E 24.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322282 200 IOL Ao Envista MX60E 24.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7322293 400 IOL Envista MX60ET 12.5 10.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322294 400 IOL Envista MX60ET 12.5 11.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322296 400 IOL Envista MX60ET 12.5 12.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322297 400 IOL Envista MX60ET 12.5 12.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322300 400 IOL Envista MX60ET 12.5 14.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322301 400 IOL Envista MX60ET 12.5 14.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322302 400 IOL Envista MX60ET 12.5 15.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322303 400 IOL Envista MX60ET 12.5 15.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322304 400 IOL Envista MX60ET 12.5 16.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322306 400 IOL Envista MX60ET 12.5 17.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322307 400 IOL Envista MX60ET 12.5 17.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322308 400 IOL Envista MX60ET 12.5 18.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322309 400 IOL Envista MX60ET 12.5 18.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322310 400 IOL Envista MX60ET 12.5 19.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322311 400 IOL Envista MX60ET 12.5 19.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322312 400 IOL Envista MX60ET 12.5 20.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322314 400 IOL Envista MX60ET 12.5 21.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322315 400 IOL Envista MX60ET 12.5 21.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322316 400 IOL Envista MX60ET 12.5 22.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322317 400 IOL Envista MX60ET 12.5 22.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322318 400 IOL Envista MX60ET 12.5 23.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322319 400 IOL Envista MX60ET 12.5 23.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322320 400 IOL Envista MX60ET 12.5 24.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322321 400 IOL Envista MX60ET 12.5 24.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322322 400 IOL Envista MX60ET 12.5 25.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322343 400 IOL Envista MX60ET 12.5 11.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322352 400 IOL Envista MX60ET 12.5 15.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322353 400 IOL Envista MX60ET 12.5 16.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322357 400 IOL Envista MX60ET 12.5 18.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322359 400 IOL Envista MX60ET 12.5 19.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322360 400 IOL Envista MX60ET 12.5 19.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322361 400 IOL Envista MX60ET 12.5 20.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322362 400 IOL Envista MX60ET 12.5 20.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322365 400 IOL Envista MX60ET 12.5 22.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322366 400 IOL Envista MX60ET 12.5 22.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322371 400 IOL Envista MX60ET 12.5 25.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322398 400 IOL Envista MX60ET 12.5 14.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322402 400 IOL Envista MX60ET 12.5 16.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322403 400 IOL Envista MX60ET 12.5 16.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322405 400 IOL Envista MX60ET 12.5 17.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322406 400 IOL Envista MX60ET 12.5 18.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322408 400 IOL Envista MX60ET 12.5 19.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322414 400 IOL Envista MX60ET 12.5 22.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322452 400 IOL Envista MX60ET 12.5 16.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322455 400 IOL Envista MX60ET 12.5 18.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322503 400 IOL Envista MX60ET 12.5 17.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322504 400 IOL Envista MX60ET 12.5 18.0D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322507 400 IOL Envista MX60ET 12.5 19.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322560 400 IOL Envista MX60ET 12.5 21.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322605 400 IOL Envista MX60ET 12.5 19.5D V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322608 400 Toric IOL Lens V2787 276 OP N/A N/A 380 360 360 N/A 380 320 380 N/A N/A 380 340 340 N/A 380 360 N/A N/A N/A N/A 320 380 300 7322651 900 IOL Acrsf IQ Panoptix 3 18.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322652 900 IOL Acrsf IQ Panoptix 3 19.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322655 900 IOL Acrsf IQ Panoptix 3 20.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322656 900 IOL Acrsf IQ Panoptix 3 21.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322658 900 IOL Acrsf IQ Panoptix 3 22.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7322717 " 13,275 " Screw Bn Cage Eclps Sm 30Mm C1713 278 OP N/A N/A " 12,611 " " 11,948 " " 11,948 " N/A " 12,611 " " 10,620 " " 12,611 " N/A N/A " 12,611 " " 11,284 " " 11,284 " N/A " 12,611 " " 11,948 " N/A N/A N/A N/A " 10,620 " " 12,611 " " 9,956 " 7322718 " 13,275 " Screw Bn Cage Eclps Md 35Mm C1713 278 OP N/A N/A " 12,611 " " 11,948 " " 11,948 " N/A " 12,611 " " 10,620 " " 12,611 " N/A N/A " 12,611 " " 11,284 " " 11,284 " N/A " 12,611 " " 11,948 " N/A N/A N/A N/A " 10,620 " " 12,611 " " 9,956 " 7322724 " 13,500 " Trunnion Eclps 43 Slot Tps Cap C1776 278 OP N/A N/A " 12,825 " " 12,150 " " 12,150 " N/A " 12,825 " " 10,800 " " 12,825 " N/A N/A " 12,825 " " 11,475 " " 11,475 " N/A " 12,825 " " 12,150 " N/A N/A N/A N/A " 10,800 " " 12,825 " " 10,125 " 7322725 " 13,500 " Trunnion Eclps 45 Slot Tps Cap C1776 278 OP N/A N/A " 12,825 " " 12,150 " " 12,150 " N/A " 12,825 " " 10,800 " " 12,825 " N/A N/A " 12,825 " " 11,475 " " 11,475 " N/A " 12,825 " " 12,150 " N/A N/A N/A N/A " 10,800 " " 12,825 " " 10,125 " 7322743 " 6,000 " Head Hum Eclps Sz 43/18 C1776 278 OP N/A N/A " 5,700 " " 5,400 " " 5,400 " N/A " 5,700 " " 4,800 " " 5,700 " N/A N/A " 5,700 " " 5,100 " " 5,100 " N/A " 5,700 " " 5,400 " N/A N/A N/A N/A " 4,800 " " 5,700 " " 4,500 " 7322747 " 6,000 " Head Hum Eclps Sz 45/19 C1776 278 OP N/A N/A " 5,700 " " 5,400 " " 5,400 " N/A " 5,700 " " 4,800 " " 5,700 " N/A N/A " 5,700 " " 5,100 " " 5,100 " N/A " 5,700 " " 5,400 " N/A N/A N/A N/A " 4,800 " " 5,700 " " 4,500 " 7322767 " 6,806 " Stem Hum Univers Revers 6 C1776 278 OP N/A N/A " 6,466 " " 6,125 " " 6,125 " N/A " 6,466 " " 5,445 " " 6,466 " N/A N/A " 6,466 " " 5,785 " " 5,785 " N/A " 6,466 " " 6,125 " N/A N/A N/A N/A " 5,445 " " 6,466 " " 5,104 " 7322768 " 6,806 " Stem Hum Univers Revers 7 C1776 278 OP N/A N/A " 6,466 " " 6,125 " " 6,125 " N/A " 6,466 " " 5,445 " " 6,466 " N/A N/A " 6,466 " " 5,785 " " 5,785 " N/A " 6,466 " " 6,125 " N/A N/A N/A N/A " 5,445 " " 6,466 " " 5,104 " 7322769 " 6,806 " Stem Hum Univers Revers 8 C1776 278 OP N/A N/A " 6,466 " " 6,125 " " 6,125 " N/A " 6,466 " " 5,445 " " 6,466 " N/A N/A " 6,466 " " 5,785 " " 5,785 " N/A " 6,466 " " 6,125 " N/A N/A N/A N/A " 5,445 " " 6,466 " " 5,104 " 7322770 " 6,806 " Stem Hum Univers Revers 9 C1776 278 OP N/A N/A " 6,466 " " 6,125 " " 6,125 " N/A " 6,466 " " 5,445 " " 6,466 " N/A N/A " 6,466 " " 5,785 " " 5,785 " N/A " 6,466 " " 6,125 " N/A N/A N/A N/A " 5,445 " " 6,466 " " 5,104 " 7322771 " 6,806 " Stem Hum Univers Revers 10 C1776 278 OP N/A N/A " 6,466 " " 6,125 " " 6,125 " N/A " 6,466 " " 5,445 " " 6,466 " N/A N/A " 6,466 " " 5,785 " " 5,785 " N/A " 6,466 " " 6,125 " N/A N/A N/A N/A " 5,445 " " 6,466 " " 5,104 " 7322772 " 6,806 " Stem Hum Univers Revers 11 C1776 278 OP N/A N/A " 6,466 " " 6,125 " " 6,125 " N/A " 6,466 " " 5,445 " " 6,466 " N/A N/A " 6,466 " " 5,785 " " 5,785 " N/A " 6,466 " " 6,125 " N/A N/A N/A N/A " 5,445 " " 6,466 " " 5,104 " 7322773 " 6,806 " Stem Hum Univers Revers 12 C1776 278 OP N/A N/A " 6,466 " " 6,125 " " 6,125 " N/A " 6,466 " " 5,445 " " 6,466 " N/A N/A " 6,466 " " 5,785 " " 5,785 " N/A " 6,466 " " 6,125 " N/A N/A N/A N/A " 5,445 " " 6,466 " " 5,104 " 7322777 " 2,314 " Ins Hum 36+3 / 33 Cmbn C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7322778 " 2,314 " Ins Hum 36+3 / 33 Cnstrn Cmbn C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7322779 " 2,314 " Ins Hum 36+6 / 33 Cmbn C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7322785 " 2,314 " Ins Hum 39+3 / 42 Cmbn C1776 278 OP N/A N/A " 2,198 " " 2,083 " " 2,083 " N/A " 2,198 " " 1,851 " " 2,198 " N/A N/A " 2,198 " " 1,967 " " 1,967 " N/A " 2,198 " " 2,083 " N/A N/A N/A N/A " 1,851 " " 2,198 " " 1,736 " 7322794 " 5,016 " Cmpnt Glenosphere 33 +4 Lat/24 C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7322797 " 7,296 " Bsplt 24Mm 20D Full Aug C1776 278 OP N/A N/A " 6,931 " " 6,566 " " 6,566 " N/A " 6,931 " " 5,837 " " 6,931 " N/A N/A " 6,931 " " 6,202 " " 6,202 " N/A " 6,931 " " 6,566 " N/A N/A N/A N/A " 5,837 " " 6,931 " " 5,472 " 7322798 " 7,296 " Bsplt 24Mm 20D Full Aug +2 Lat C1776 278 OP N/A N/A " 6,931 " " 6,566 " " 6,566 " N/A " 6,931 " " 5,837 " " 6,931 " N/A N/A " 6,931 " " 6,202 " " 6,202 " N/A " 6,931 " " 6,566 " N/A N/A N/A N/A " 5,837 " " 6,931 " " 5,472 " 7322803 " 3,306 " Cmpnt Glnd Mdlr Post 20Mm C1776 278 OP N/A N/A " 3,141 " " 2,975 " " 2,975 " N/A " 3,141 " " 2,645 " " 3,141 " N/A N/A " 3,141 " " 2,810 " " 2,810 " N/A " 3,141 " " 2,975 " N/A N/A N/A N/A " 2,645 " " 3,141 " " 2,480 " 7322804 " 3,306 " "Modular Post, 25Mm" C1713 278 OP N/A N/A " 3,141 " " 2,975 " " 2,975 " N/A " 3,141 " " 2,645 " " 3,141 " N/A N/A " 3,141 " " 2,810 " " 2,810 " N/A " 3,141 " " 2,975 " N/A N/A N/A N/A " 2,645 " " 3,141 " " 2,480 " 7322805 " 3,306 " Cmpnt Glnd Mdlr Post 35Mm C1776 278 OP N/A N/A " 3,141 " " 2,975 " " 2,975 " N/A " 3,141 " " 2,645 " " 3,141 " N/A N/A " 3,141 " " 2,810 " " 2,810 " N/A " 3,141 " " 2,975 " N/A N/A N/A N/A " 2,645 " " 3,141 " " 2,480 " 7323475 " 2,385 " Plate Bone Tplate 1.6Mm 8Hl C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7323476 330 Screw Bone 1.6x12Mm Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7323477 420 Screw Bone Ti 1.6x10Mm C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7323478 420 Screw Bone Ti 1.6x12Mm C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7323484 375 Screw Bone 16x2.7Mm Ft Ankl C1713 278 OP N/A N/A 356 338 338 N/A 356 300 356 N/A N/A 356 319 319 N/A 356 338 N/A N/A N/A N/A 300 356 281 7323485 375 Screw Bone 12x2.7Mm Ft Ankl C1713 278 OP N/A N/A 356 338 338 N/A 356 300 356 N/A N/A 356 319 319 N/A 356 338 N/A N/A N/A N/A 300 356 281 7323497 506 Screw Bone T6 2.0Mm L8Mm C1713 278 OP N/A N/A 481 455 455 N/A 481 405 481 N/A N/A 481 430 430 N/A 481 455 N/A N/A N/A N/A 405 481 379 7323499 295 Screw Bone T6 10Mm L2Mm C1713 278 OP N/A N/A 280 266 266 N/A 280 236 280 N/A N/A 280 251 251 N/A 280 266 N/A N/A N/A N/A 236 280 221 7323556 435 Screw Bn Pa Lck Mini 2.4x10Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7323557 435 Screw Bn Pa Lck Mini 2.4x12Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7323558 435 Screw Bn Pa Lck Mini 2.4x14Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7323559 435 Screw Bn Pa Lck Mini 2.4x16Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7323569 435 Screw Bn Pa Lck Mini 2.7x12Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7323570 435 Screw Bn Pa Lck Mini 2.7x14Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7323571 435 Screw Bn Pa Lck Mini 2.7x18Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7323592 375 Screw Bn Nlckg Mini 2.4x14Mm C1713 278 OP N/A N/A 356 338 338 N/A 356 300 356 N/A N/A 356 319 319 N/A 356 338 N/A N/A N/A N/A 300 356 281 7323717 " 2,160 " Plate Bn Metatarsal T 4 Hl C1713 278 OP N/A N/A " 2,052 " " 1,944 " " 1,944 " N/A " 2,052 " " 1,728 " " 2,052 " N/A N/A " 2,052 " " 1,836 " " 1,836 " N/A " 2,052 " " 1,944 " N/A N/A N/A N/A " 1,728 " " 2,052 " " 1,620 " 7323743 375 Screw Bn Nlckg 3.5x36Mm C1713 278 OP N/A N/A 356 338 338 N/A 356 300 356 N/A N/A 356 319 319 N/A 356 338 N/A N/A N/A N/A 300 356 281 7323744 375 Screw Bn Nlckg 3.5x38Mm C1713 278 OP N/A N/A 356 338 338 N/A 356 300 356 N/A N/A 356 319 319 N/A 356 338 N/A N/A N/A N/A 300 356 281 7323787 435 Screw Bn Cnn Head 3.0x16Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7323788 435 Screw Bn Cnn Head 3.0x18Mm C1713 278 OP N/A N/A 413 392 392 N/A 413 348 413 N/A N/A 413 370 370 N/A 413 392 N/A N/A N/A N/A 348 413 326 7324151 " 2,160 " Plate Bn Mtrsl L 5 Hl C1713 278 OP N/A N/A " 2,052 " " 1,944 " " 1,944 " N/A " 2,052 " " 1,728 " " 2,052 " N/A N/A " 2,052 " " 1,836 " " 1,836 " N/A " 2,052 " " 1,944 " N/A N/A N/A N/A " 1,728 " " 2,052 " " 1,620 " 7324208 " 5,016 " Baseplate Glnd Mdlr 28 +4 Lat C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7324209 " 2,166 " Screw Bn 30Mm Cntr Mdlr C1713 278 OP N/A N/A " 2,058 " " 1,949 " " 1,949 " N/A " 2,058 " " 1,733 " " 2,058 " N/A N/A " 2,058 " " 1,841 " " 1,841 " N/A " 2,058 " " 1,949 " N/A N/A N/A N/A " 1,733 " " 2,058 " " 1,625 " 7324210 274 Screw Bn Peri Lck 5.5x16 C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7324211 274 Screw Bn Peri Lck 5.5x32 C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7324212 274 Screw Bn Peri Lck 5.5x28 C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7324213 " 5,016 " Cmpnt Glenosphere 39 +4 Lat/28 C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7324222 " 5,016 " Bsplt Glnd 39+4 Lat 24Mm C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7324223 274 "5.5x20Mm Peri Screw, Locking" C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7324224 274 Screw Bn Lck 5.5x24Mm Peri C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7324225 " 5,016 " Cmpnt Glnd 39+4 Lat 24Mm C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7324229 900 IOL IQ Vivity Toric 11.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324230 900 IOL IQ Vivity Toric 11.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324245 900 IOL IQ Vivity Toric 19.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324247 900 IOL IQ Vivity Toric 20.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324248 900 IOL IQ Vivity Toric 20.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324250 900 IOL IQ Vivity Toric 21.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324251 900 IOL IQ Vivity Toric 22.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324252 900 IOL IQ Vivity Toric 22.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324254 900 IOL IQ Vivity Toric 23.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324255 900 IOL IQ Vivity Toric 24.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324256 900 IOL IQ Vivity Toric 24.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324359 " 6,074 " Plate Bn Lck Cmpr Nar 10 187x5 C1713 278 OP N/A N/A " 5,771 " " 5,467 " " 5,467 " N/A " 5,771 " " 4,860 " " 5,771 " N/A N/A " 5,771 " " 5,163 " " 5,163 " N/A " 5,771 " " 5,467 " N/A N/A N/A N/A " 4,860 " " 5,771 " " 4,556 " 7324371 700 Cap End Tib T2 11.5 +5Mm 272 OP N/A N/A 665 630 630 N/A 665 560 665 N/A N/A 665 595 595 N/A 665 630 N/A N/A N/A N/A 560 665 525 7324372 700 Cap End Tib T2 11.5 +10Mm 272 OP N/A N/A 665 630 630 N/A 665 560 665 N/A N/A 665 595 595 N/A 665 630 N/A N/A N/A N/A 560 665 525 7324396 " 5,724 " Nail Im Tib T2 Alpha 11x345Mm C1713 278 OP N/A N/A " 5,438 " " 5,151 " " 5,151 " N/A " 5,438 " " 4,579 " " 5,438 " N/A N/A " 5,438 " " 4,865 " " 4,865 " N/A " 5,438 " " 5,151 " N/A N/A N/A N/A " 4,579 " " 5,438 " " 4,293 " 7324403 " 5,724 " Nail Im Tib T2 Alpha 12x315Mm C1713 278 OP N/A N/A " 5,438 " " 5,151 " " 5,151 " N/A " 5,438 " " 4,579 " " 5,438 " N/A N/A " 5,438 " " 4,865 " " 4,865 " N/A " 5,438 " " 5,151 " N/A N/A N/A N/A " 4,579 " " 5,438 " " 4,293 " 7324410 645 Cap End Lwr Xtrmt 8 +0Mm 272 OP N/A N/A 613 581 581 N/A 613 516 613 N/A N/A 613 548 548 N/A 613 581 N/A N/A N/A N/A 516 613 484 7324444 " 7,494 " Nail Im Fem T2 Gt Lt 12x360Mm C1713 278 OP N/A N/A " 7,120 " " 6,745 " " 6,745 " N/A " 7,120 " " 5,995 " " 7,120 " N/A N/A " 7,120 " " 6,370 " " 6,370 " N/A " 7,120 " " 6,745 " N/A N/A N/A N/A " 5,995 " " 7,120 " " 5,621 " 7324497 710 Screw Bn Lck T2 Alpha 57.5x5Mm C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7324500 710 Screw Bn Lck T2 Alpha 95x5Mm C1713 278 OP N/A N/A 674 639 639 N/A 674 568 674 N/A N/A 674 603 603 N/A 674 639 N/A N/A N/A N/A 568 674 532 7324510 838 Screw Bn Lck Adv 5x40Mm C1713 278 OP N/A N/A 796 754 754 N/A 796 671 796 N/A N/A 796 712 712 N/A 796 754 N/A N/A N/A N/A 671 796 629 7324511 838 Screw Bn Lck Adv 5x52.5Mm C1713 278 OP N/A N/A 796 754 754 N/A 796 671 796 N/A N/A 796 712 712 N/A 796 754 N/A N/A N/A N/A 671 796 629 7324513 838 Screw Bn Lck Adv 5x65Mm C1713 278 OP N/A N/A 796 754 754 N/A 796 671 796 N/A N/A 796 712 712 N/A 796 754 N/A N/A N/A N/A 671 796 629 7324556 900 IOL IQ Vivity Toric 21.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324574 " 2,166 " Screw Bsplt Mdlr Cntr 25Mm C1713 278 OP N/A N/A " 2,058 " " 1,949 " " 1,949 " N/A " 2,058 " " 1,733 " " 2,058 " N/A N/A " 2,058 " " 1,841 " " 1,841 " N/A " 2,058 " " 1,949 " N/A N/A N/A N/A " 1,733 " " 2,058 " " 1,625 " 7324575 " 5,016 " Glenosphere 36x24Mm +4 Lat C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7324639 " 7,485 " Rod Ti Perc Lrdtic 5.5x40Mm C1713 278 OP N/A N/A " 7,111 " " 6,737 " " 6,737 " N/A " 7,111 " " 5,988 " " 7,111 " N/A N/A " 7,111 " " 6,362 " " 6,362 " N/A " 7,111 " " 6,737 " N/A N/A N/A N/A " 5,988 " " 7,111 " " 5,614 " 7324659 " 1,200 " Screw Bn 4.5x34Mm Hd St C1713 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7324689 900 IOL Panoptix Toric 3Focl 17.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7324694 500 IOL Panoptix Toric 3Focl 20.0D V2788 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7324760 " 3,960 " Drsg Wnd Clgn Prply Am 12SqCm Q4196 278 OP N/A N/A " 3,762 " " 3,564 " " 3,564 " N/A " 3,762 " " 3,168 " " 3,762 " N/A N/A " 3,762 " " 3,366 " " 3,366 " N/A " 3,762 " " 3,564 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 3,762 " " 2,970 " 7324804 " 1,414 " Liner Actb 36MM 0D E Hip X3 C1776 278 OP N/A N/A " 1,344 " " 1,273 " " 1,273 " N/A " 1,344 " " 1,131 " " 1,344 " N/A N/A " 1,344 " " 1,202 " " 1,202 " N/A " 1,344 " " 1,273 " N/A N/A N/A N/A " 1,131 " " 1,344 " " 1,061 " 7324805 " 3,300 " Liner Actb 36Mm 0D F Hip X3 C1776 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7324806 " 3,300 " Liner Actb 36MM 0D G Hip X3 C1776 278 OP N/A N/A " 3,135 " " 2,970 " " 2,970 " N/A " 3,135 " " 2,640 " " 3,135 " N/A N/A " 3,135 " " 2,805 " " 2,805 " N/A " 3,135 " " 2,970 " N/A N/A N/A N/A " 2,640 " " 3,135 " " 2,475 " 7324861 " 2,700 " Ins Actb 38D Hip Antm Dl Mbl C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7324863 " 2,700 " Ins Actb 48Mm 28Mm Hip Antm Dl C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7324865 " 2,700 " Ins Actb 58Mm 28Mm 0D Hip Antm C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7324866 " 2,700 " Ins Actb 54Mm 28Mm 0D Hip Antm C1776 278 OP N/A N/A " 2,565 " " 2,430 " " 2,430 " N/A " 2,565 " " 2,160 " " 2,565 " N/A N/A " 2,565 " " 2,295 " " 2,295 " N/A " 2,565 " " 2,430 " N/A N/A N/A N/A " 2,160 " " 2,565 " " 2,025 " 7324944 " 5,016 " Bsplt Glnd 24Mm +2 Shldr Lat C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7324969 " 22,680 " Dome Tlr Infnt3 Ankl Flt Cut C1776 278 OP N/A N/A " 21,546 " " 20,412 " " 20,412 " N/A " 21,546 " " 18,144 " " 21,546 " N/A N/A " 21,546 " " 19,278 " " 19,278 " N/A " 21,546 " " 20,412 " N/A N/A N/A N/A " 18,144 " " 21,546 " " 17,010 " 7324978 " 5,985 " System Fx Tghtrp Mpfl Recon C1713 278 OP N/A N/A " 5,686 " " 5,387 " " 5,387 " N/A " 5,686 " " 4,788 " " 5,686 " N/A N/A " 5,686 " " 5,087 " " 5,087 " N/A " 5,686 " " 5,387 " N/A N/A N/A N/A " 4,788 " " 5,686 " " 4,489 " 7325065 " 1,200 " Screw Bn 4.5x26Mm Hd St C1713 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7325077 900 IOL Acrsf Panoptix Toric 12.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7325106 " 5,250 " IStent Opth Inject Mic Bypass C1783 278 OP N/A N/A " 4,988 " " 4,725 " " 4,725 " N/A " 4,988 " " 4,200 " " 4,988 " N/A N/A " 4,988 " " 4,463 " " 4,463 " N/A " 4,988 " " 4,725 " N/A N/A N/A N/A " 4,200 " " 4,988 " " 3,938 " 7325151 274 Screw Bn 4.5x32Mm Peri Nlckg C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7325206 " 4,350 " Cmpnt Glnd Mdlr Post 30Mm C1776 278 OP N/A N/A " 4,133 " " 3,915 " " 3,915 " N/A " 4,133 " " 3,480 " " 4,133 " N/A N/A " 4,133 " " 3,698 " " 3,698 " N/A " 4,133 " " 3,915 " N/A N/A N/A N/A " 3,480 " " 4,133 " " 3,263 " 7325209 330 Screw Bone 1.6x10Mm Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7325210 330 Screw Bone 1.6x11Mm Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7325266 100 Seed Brchtx I-125 Loose C2639 278 OP 34 31 95 90 90 31 95 80 95 31 34 95 85 85 34 95 90 31 893 31 980 31 980 75 7325267 67 Seed Brchtx I-125 Preload Ndl C2639 278 OP 34 31 63 60 60 31 63 53 63 31 34 63 57 57 34 63 60 31 893 31 980 31 980 50 7325345 " 2,403 " Plate Bn Variax Nar 87Mm 10Hl C1713 278 OP N/A N/A " 2,283 " " 2,163 " " 2,163 " N/A " 2,283 " " 1,923 " " 2,283 " N/A N/A " 2,283 " " 2,043 " " 2,043 " N/A " 2,283 " " 2,163 " N/A N/A N/A N/A " 1,923 " " 2,283 " " 1,802 " 7325360 " 5,016 " Glenosphere Mdlr 42 +4 Lat/28 C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7325481 510 Screw Bn Cnn Hd T15 4x50Mm C1713 278 OP N/A N/A 485 459 459 N/A 485 408 485 N/A N/A 485 434 434 N/A 485 459 N/A N/A N/A N/A 408 485 383 7325566 500 IOL Eyhnc Tor II 1.5 20.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7325571 200 IOL Eyhnc Tecns Smp 18.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325572 200 IOL Eyhnc Tecns Smp 19.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325573 200 IOL Eyhnc Tecns Smp 15.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325606 900 IOL Acrsf Panoptix Toric 13.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7325608 900 IOL Acrsf Panoptix Toric 14.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7325613 900 IOL Acrsf Panoptix Toric 17.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7325615 450 IOL Acrsf Panoptix Toric 18.0D V2788 276 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 7325618 900 IOL Acrsf Panoptix Toric 19.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7325619 900 IOL Acrsf Panoptix Toric 20.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7325623 900 IOL Acrsf Panoptix Toric 22.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7325624 900 IOL Acrsf Panoptix Toric 22.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7325680 200 IOL Eyhnc Tecns Smp 20.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325687 200 IOL Eyhnc Tecns Smp 16.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325693 274 "5.5x36Mm Peri Screw, Locking" C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7325764 200 IOL AO Envista MX60E 34.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325840 200 IOL Eyhnc Tecns Smp 11.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325855 200 IOL Eyhnc Tecns Smp 22.5 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325922 510 Screw Bn Cnn Head 4x42Mm C1713 278 OP N/A N/A 485 459 459 N/A 485 408 485 N/A N/A 485 434 434 N/A 485 459 N/A N/A N/A N/A 408 485 383 7325923 510 Screw Bn Cnn Head 4x38Mm C1713 278 OP N/A N/A 485 459 459 N/A 485 408 485 N/A N/A 485 434 434 N/A 485 459 N/A N/A N/A N/A 408 485 383 7325972 " 17,999 " Tray Tib Infnt Adaptis 4 Lng C1776 278 OP N/A N/A " 17,099 " " 16,199 " " 16,199 " N/A " 17,099 " " 14,399 " " 17,099 " N/A N/A " 17,099 " " 15,299 " " 15,299 " N/A " 17,099 " " 16,199 " N/A N/A N/A N/A " 14,399 " " 17,099 " " 13,499 " 7325973 " 8,265 " Ins Infnt Everlast Sz 3+ 7Mm C1776 278 OP N/A N/A " 7,852 " " 7,439 " " 7,439 " N/A " 7,852 " " 6,612 " " 7,852 " N/A N/A " 7,852 " " 7,025 " " 7,025 " N/A " 7,852 " " 7,439 " N/A N/A N/A N/A " 6,612 " " 7,852 " " 6,199 " 7325974 274 Screw Bn Ncklg 4.5x24Mm C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7325975 274 Screw Bn Nlckg 4.5x28Mm C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7325980 200 Iol Eyhnc Tecns Smp 20.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325981 200 Iol Eyhnc Tecns Smp 21.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7325982 200 Iol Eyhnc Tecns Smp 21.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326060 " 5,172 " Wedge Aug Biofoam Cttn 6.5x20 272 OP N/A N/A " 4,913 " " 4,655 " " 4,655 " N/A " 4,913 " " 4,138 " " 4,913 " N/A N/A " 4,913 " " 4,396 " " 4,396 " N/A " 4,913 " " 4,655 " N/A N/A N/A N/A " 4,138 " " 4,913 " " 3,879 " 7326065 " 1,643 " Plate Bn T6 2.0Mm L34Mm C1713 278 OP N/A N/A " 1,561 " " 1,478 " " 1,478 " N/A " 1,561 " " 1,314 " " 1,561 " N/A N/A " 1,561 " " 1,396 " " 1,396 " N/A " 1,561 " " 1,478 " N/A N/A N/A N/A " 1,314 " " 1,561 " " 1,232 " 7326075 210 Screw Bn Cort W/Washer 24Mm C1713 278 OP N/A N/A 200 189 189 N/A 200 168 200 N/A N/A 200 179 179 N/A 200 189 N/A N/A N/A N/A 168 200 158 7326182 805 Brace Knee Fsn M Lg Lt L1852 274 OP N/A N/A 765 725 725 N/A 765 644 765 N/A N/A 765 685 685 N/A 765 725 N/A N/A N/A N/A 644 765 604 7326321 " 6,468 " Vector Hammertoe 13Mm Lg Ncnn C1713 278 OP N/A N/A " 6,145 " " 5,821 " " 5,821 " N/A " 6,145 " " 5,174 " " 6,145 " N/A N/A " 6,145 " " 5,498 " " 5,498 " N/A " 6,145 " " 5,821 " N/A N/A N/A N/A " 5,174 " " 6,145 " " 4,851 " 7326331 200 IOL Tec Eyhnc Tor II 1.5 20.5D V2787 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326433 274 Screw Bn 4.5x20Mm Peri C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7326434 274 Screw Bn 5.5x40Mm Peri C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7326435 " 5,016 " Component 42x24Mm Glenosphere C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7326470 200 IOL Eyhnc Tecns Smp 19.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326498 462 Set Stnt Vnyl 2 Pgtl 145Cm 6Fr C2617 278 OP N/A N/A 439 416 416 N/A 439 370 439 N/A N/A 439 393 393 N/A 439 416 N/A N/A N/A N/A 370 439 347 7326506 200 IOL Eyhnc Tecns Smp 23.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326619 462 Set Stnt Uret 6Fr 26x145 2 Pgt C2617 278 OP N/A N/A 439 416 416 N/A 439 370 439 N/A N/A 439 393 393 N/A 439 416 N/A N/A N/A N/A 370 439 347 7326631 495 Screw Bone Nlckg 3.5x34Mm C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 V2787 7326677 500 IOL Tor II Eyhance 5.25 15.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326790 900 IOL Acrsf Toric Vivity 20.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7326792 200 IOL Eyhnc Tecns Smp 18.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326794 200 IOL Eyhnc Tecns Smp 24.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326796 200 IOL Eyhnc Tecns Smp 25.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326797 200 IOL Eyhnc Tecns Smp 25.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326798 200 IOL Eyhnc Tecns Smp 26.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326800 200 IOL Eyhnc Tecns Smp 27.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326805 200 IOL Eyhnc Tecns Smp 29.5D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7326807 500 IOL Tec Eyhnc Tor II 1.5 17.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326810 500 IOL Tec Eyhnc Tor II 1.5 19.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326813 500 IOL Tec Eyhnc Tor II 1.5 21.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326814 500 IOL Tec Eyhnc Tor II 1.5 22.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326815 500 IOL Tecnis Eyhance 16.5D 2.25 V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326819 500 IOL Tecnis Eyhance 18.5D 2.25 V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326820 500 IOL Tecnis Eyhance 21.5D 2.25 V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326821 500 IOL Tecnis Eyhance 22.0D 2.25 V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7326823 900 IOL Panoptix Toric 3Focl 11.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7327027 900 IOL Tecns Syn Simplicity 21.0D V2632 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7327192 500 IOL Tec Eyhnc Tor II 3.0 15.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7327340 500 IOL Tec Eyhnc Tor II 3.75 17.5 V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7327409 900 IOL Panoptix Toric 3Focl 13.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 V2787 7327464 500 IOL Tecnis Eyhance 15.0D 2.25 V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7327495 " 2,400 " Anchor Bcmps 4.75Mm Tenodesis C1713 278 OP N/A N/A " 2,280 " " 2,160 " " 2,160 " N/A " 2,280 " " 1,920 " " 2,280 " N/A N/A " 2,280 " " 2,040 " " 2,040 " N/A " 2,280 " " 2,160 " N/A N/A N/A N/A " 1,920 " " 2,280 " " 1,800 " 7327520 " 1,884 " Anchor Sut Morphix XT C1713 278 OP N/A N/A " 1,790 " " 1,696 " " 1,696 " N/A " 1,790 " " 1,507 " " 1,790 " N/A N/A " 1,790 " " 1,601 " " 1,601 " N/A " 1,790 " " 1,696 " N/A N/A N/A N/A " 1,507 " " 1,790 " " 1,413 " 7327522 885 Screw Bn Kreulock Ti 3.5x14Mm C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7327523 885 Screw Bn Kreulock Ti 3.5x16Mm C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7327526 200 IOL Ao Envista MX60E 4.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7327536 462 Stent Uret 6x22 2 Pgtl Blk Sil C2617 278 OP N/A N/A 439 416 416 N/A 439 370 439 N/A N/A 439 393 393 N/A 439 416 N/A N/A N/A N/A 370 439 347 7327537 462 Stent Uret 6x28 2 Pgtl Blk Sil C2617 278 OP N/A N/A 439 416 416 N/A 439 370 439 N/A N/A 439 393 393 N/A 439 416 N/A N/A N/A N/A 370 439 347 V2787 7327594 500 IOL Tec Eyhnc Tor II 3.0 23.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7327595 " 39,324 " Nail Im Dynanail Ttc Fsn 10Mm C1713 278 OP N/A N/A " 37,358 " " 35,392 " " 35,392 " N/A " 37,358 " " 31,459 " " 37,358 " N/A N/A " 37,358 " " 33,425 " " 33,425 " N/A " 37,358 " " 35,392 " N/A N/A N/A N/A " 31,459 " " 37,358 " " 29,493 " 7327596 " 1,314 " Screw Bn Dynanail Cort 5x25Mm C1713 278 OP N/A N/A " 1,248 " " 1,183 " " 1,183 " N/A " 1,248 " " 1,051 " " 1,248 " N/A N/A " 1,248 " " 1,117 " " 1,117 " N/A " 1,248 " " 1,183 " N/A N/A N/A N/A " 1,051 " " 1,248 " 986 7327597 " 1,314 " Screw Bn Dynanail Cort 5x30Mm C1713 278 OP N/A N/A " 1,248 " " 1,183 " " 1,183 " N/A " 1,248 " " 1,051 " " 1,248 " N/A N/A " 1,248 " " 1,117 " " 1,117 " N/A " 1,248 " " 1,183 " N/A N/A N/A N/A " 1,051 " " 1,248 " 986 7327598 " 1,314 " Screw Bn Dynanail Cort 4x45Mm C1713 278 OP N/A N/A " 1,248 " " 1,183 " " 1,183 " N/A " 1,248 " " 1,051 " " 1,248 " N/A N/A " 1,248 " " 1,117 " " 1,117 " N/A " 1,248 " " 1,183 " N/A N/A N/A N/A " 1,051 " " 1,248 " 986 7327599 " 1,524 " Screw Bn Dynanail Pa 5x85Mm C1713 278 OP N/A N/A " 1,448 " " 1,372 " " 1,372 " N/A " 1,448 " " 1,219 " " 1,448 " N/A N/A " 1,448 " " 1,295 " " 1,295 " N/A " 1,448 " " 1,372 " N/A N/A N/A N/A " 1,219 " " 1,448 " " 1,143 " 7327619 495 Screw Bn Arsn 2.2x14Mm C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7327626 " 4,920 " T-Plate Bn Nar 5H 47Mm Lck C1713 278 OP N/A N/A " 4,674 " " 4,428 " " 4,428 " N/A " 4,674 " " 3,936 " " 4,674 " N/A N/A " 4,674 " " 4,182 " " 4,182 " N/A " 4,674 " " 4,428 " N/A N/A N/A N/A " 3,936 " " 4,674 " " 3,690 " V2787 7327733 500 IOL Toric Eyhance 22.0D 4.50 V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7327734 500 IOL Tec Eyhnc Tor II 3.0 22.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7327735 500 IOL Tec Eyhnc Tor II 6.0 24.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7327792 " 2,697 " Anchor Peek Kntls Omega 3.9Mm C1713 278 OP N/A N/A " 2,562 " " 2,427 " " 2,427 " N/A " 2,562 " " 2,158 " " 2,562 " N/A N/A " 2,562 " " 2,292 " " 2,292 " N/A " 2,562 " " 2,427 " N/A N/A N/A N/A " 2,158 " " 2,562 " " 2,023 " 7327793 " 1,315 " Anchor Sut Reelx Tt 4.5Mm C1713 278 OP N/A N/A " 1,249 " " 1,183 " " 1,183 " N/A " 1,249 " " 1,052 " " 1,249 " N/A N/A " 1,249 " " 1,117 " " 1,117 " N/A " 1,249 " " 1,183 " N/A N/A N/A N/A " 1,052 " " 1,249 " 986 7327796 " 13,200 " Wedge Srg Sm Cttn 6Mm C1713 278 OP N/A N/A " 12,540 " " 11,880 " " 11,880 " N/A " 12,540 " " 10,560 " " 12,540 " N/A N/A " 12,540 " " 11,220 " " 11,220 " N/A " 12,540 " " 11,880 " N/A N/A N/A N/A " 10,560 " " 12,540 " " 9,900 " 7327868 500 IOL Tec Eyhnc Tor II 1.5 12.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7328015 " 2,166 " Screw Bn 20Mm Cntr Mdlr C1713 278 OP N/A N/A " 2,058 " " 1,949 " " 1,949 " N/A " 2,058 " " 1,733 " " 2,058 " N/A N/A " 2,058 " " 1,841 " " 1,841 " N/A " 2,058 " " 1,949 " N/A N/A N/A N/A " 1,733 " " 2,058 " " 1,625 " 7328124 " 2,166 " Screw Bsplt Mdlr Cntr 35Mm C1713 278 OP N/A N/A " 2,058 " " 1,949 " " 1,949 " N/A " 2,058 " " 1,733 " " 2,058 " N/A N/A " 2,058 " " 1,841 " " 1,841 " N/A " 2,058 " " 1,949 " N/A N/A N/A N/A " 1,733 " " 2,058 " " 1,625 " 7328175 " 3,159 " Graft Bn Pip 2.7x18Mm Algrf 272 OP N/A N/A " 3,001 " " 2,843 " " 2,843 " N/A " 3,001 " " 2,527 " " 3,001 " N/A N/A " 3,001 " " 2,685 " " 2,685 " N/A " 3,001 " " 2,843 " N/A N/A N/A N/A " 2,527 " " 3,001 " " 2,369 " V2787 7328194 500 IOL Tec Eyhnc Tor II 1.5 8.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328205 500 IOL Tec Eyhnc Tor II 1.5 15.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328207 500 IOL Tec Eyhnc Tor II 1.5 16.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328208 500 IOL Tec Eyhnc Tor II 1.5 17.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328209 500 IOL Tec Eyhnc Tor II 1.5 22.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328210 500 IOL Tec Eyhnc Tor II 1.5 23.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328237 500 IOL Tec Eyhn Tor II 2.25 8.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328252 500 IOL Tec Eyhn Tor II 2.25 19.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328298 500 IOL Tec Eyhnc Tor II 3.0 16.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328300 500 IOL Tec Eyhnc Tor II 3.0 17.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328307 500 IOL Tec Eyhnc Tor II 3.0 21.0D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328354 500 IOL Tec Eyhn Tor II 3.75 16.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 V2787 7328407 500 IOL Tec Eyhnc Tor II 4.5 14.5D V2787 276 OP N/A N/A 475 450 450 N/A 475 400 475 N/A N/A 475 425 425 N/A 475 450 N/A N/A N/A N/A 400 475 375 7328547 " 13,920 " Stem Hum Aequalis 90x11Mm Dist C1776 278 OP N/A N/A " 13,224 " " 12,528 " " 12,528 " N/A " 13,224 " " 11,136 " " 13,224 " N/A N/A " 13,224 " " 11,832 " " 11,832 " N/A " 13,224 " " 12,528 " N/A N/A N/A N/A " 11,136 " " 13,224 " " 10,440 " 7328550 " 7,500 " Implant Fx Eclps Speedscap C1713 278 OP N/A N/A " 7,125 " " 6,750 " " 6,750 " N/A " 7,125 " " 6,000 " " 7,125 " N/A N/A " 7,125 " " 6,375 " " 6,375 " N/A " 7,125 " " 6,750 " N/A N/A N/A N/A " 6,000 " " 7,125 " " 5,625 " 7328551 " 2,160 " Plate Bn Strg Mn Ft Mtrsl 7Hl C1713 278 OP N/A N/A " 2,052 " " 1,944 " " 1,944 " N/A " 2,052 " " 1,728 " " 2,052 " N/A N/A " 2,052 " " 1,836 " " 1,836 " N/A " 2,052 " " 1,944 " N/A N/A N/A N/A " 1,728 " " 2,052 " " 1,620 " 7328682 " 19,500 " Sys Tis Spacer Inspace Us Sm C1889 278 OP N/A N/A " 18,525 " " 17,550 " " 17,550 " N/A " 18,525 " " 15,600 " " 18,525 " N/A N/A " 18,525 " " 16,575 " " 16,575 " N/A " 18,525 " " 17,550 " N/A N/A N/A N/A " 15,600 " " 18,525 " " 14,625 " 7328756 " 7,050 " Head Hum 17MM 44MM Rvrs Cf C1776 278 OP N/A N/A " 6,698 " " 6,345 " " 6,345 " N/A " 6,698 " " 5,640 " " 6,698 " N/A N/A " 6,698 " " 5,993 " " 5,993 " N/A " 6,698 " " 6,345 " N/A N/A N/A N/A " 5,640 " " 6,698 " " 5,288 " 7328857 " 13,200 " Plate Bn 30MM C1713 278 OP N/A N/A " 12,540 " " 11,880 " " 11,880 " N/A " 12,540 " " 10,560 " " 12,540 " N/A N/A " 12,540 " " 11,220 " " 11,220 " N/A " 12,540 " " 11,880 " N/A N/A N/A N/A " 10,560 " " 12,540 " " 9,900 " 7328859 " 1,668 " Screw Bn Nlckg 2.4X8MM C1713 278 OP N/A N/A " 1,585 " " 1,501 " " 1,501 " N/A " 1,585 " " 1,334 " " 1,585 " N/A N/A " 1,585 " " 1,418 " " 1,418 " N/A " 1,585 " " 1,501 " N/A N/A N/A N/A " 1,334 " " 1,585 " " 1,251 " 7328875 885 Screw Bn Kreulock 3.0x16Mm C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7329032 295 Screw Bn Variax T6 2.0Mm L12Mm C1713 278 OP N/A N/A 280 266 266 N/A 280 236 280 N/A N/A 280 251 251 N/A 280 266 N/A N/A N/A N/A 236 280 221 7329037 " 15,600 " Graft Skn 16SqCM Aclr Drml Mtx Q4234 278 OP N/A N/A " 14,820 " " 14,040 " " 14,040 " N/A " 14,820 " " 12,480 " " 14,820 " N/A N/A " 14,820 " " 13,260 " " 13,260 " N/A " 14,820 " " 14,040 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 14,820 " " 11,700 " 7329124 " 12,736 " Substitute Bngf Tactoset C1713 278 OP N/A N/A " 12,099 " " 11,462 " " 11,462 " N/A " 12,099 " " 10,189 " " 12,099 " N/A N/A " 12,099 " " 10,825 " " 10,825 " N/A " 12,099 " " 11,462 " N/A N/A N/A N/A " 10,189 " " 12,099 " " 9,552 " 7329126 " 1,650 " Anchor Sut 1.8Mm Drwtght C1713 278 OP N/A N/A " 1,568 " " 1,485 " " 1,485 " N/A " 1,568 " " 1,320 " " 1,568 " N/A N/A " 1,568 " " 1,403 " " 1,403 " N/A " 1,568 " " 1,485 " N/A N/A N/A N/A " 1,320 " " 1,568 " " 1,238 " 7329127 " 1,575 " Anchor Sut 4.5Mm Twst Peek Sst C1713 278 OP N/A N/A " 1,496 " " 1,418 " " 1,418 " N/A " 1,496 " " 1,260 " " 1,496 " N/A N/A " 1,496 " " 1,339 " " 1,339 " N/A " 1,496 " " 1,418 " N/A N/A N/A N/A " 1,260 " " 1,496 " " 1,181 " 7329128 " 1,485 " Anchor Sut 4.75Mm Twst Kntls C1713 278 OP N/A N/A " 1,411 " " 1,337 " " 1,337 " N/A " 1,411 " " 1,188 " " 1,411 " N/A N/A " 1,411 " " 1,262 " " 1,262 " N/A " 1,411 " " 1,337 " N/A N/A N/A N/A " 1,188 " " 1,411 " " 1,114 " 7329192 " 5,976 " Graft Amniorepair Sht 16SqCm Q4235 278 OP N/A N/A " 5,677 " " 5,378 " " 5,378 " N/A " 5,677 " " 4,781 " " 5,677 " N/A N/A " 5,677 " " 5,080 " " 5,080 " N/A " 5,677 " " 5,378 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 5,677 " " 4,482 " 7329200 " 8,265 " Insert Tib Everlast Sz8 9MM C1776 278 OP N/A N/A " 7,852 " " 7,439 " " 7,439 " N/A " 7,852 " " 6,612 " " 7,852 " N/A N/A " 7,852 " " 7,025 " " 7,025 " N/A " 7,852 " " 7,439 " N/A N/A N/A N/A " 6,612 " " 7,852 " " 6,199 " 7329201 " 7,500 " Tray Tib Inbone 5 Lng Kn Lt C1776 278 OP N/A N/A " 7,125 " " 6,750 " " 6,750 " N/A " 7,125 " " 6,000 " " 7,125 " N/A N/A " 7,125 " " 6,375 " " 6,375 " N/A " 7,125 " " 6,750 " N/A N/A N/A N/A " 6,000 " " 7,125 " " 5,625 " 7329202 " 22,680 " Dome Tlr Infnt5 Ankl Flt Cut C1776 278 OP N/A N/A " 21,546 " " 20,412 " " 20,412 " N/A " 21,546 " " 18,144 " " 21,546 " N/A N/A " 21,546 " " 19,278 " " 19,278 " N/A " 21,546 " " 20,412 " N/A N/A N/A N/A " 18,144 " " 21,546 " " 17,010 " 7329203 " 2,427 " Staple Bn Fuseforce 10Wx10L C1713 278 OP N/A N/A " 2,306 " " 2,184 " " 2,184 " N/A " 2,306 " " 1,942 " " 2,306 " N/A N/A " 2,306 " " 2,063 " " 2,063 " N/A " 2,306 " " 2,184 " N/A N/A N/A N/A " 1,942 " " 2,306 " " 1,820 " 7329287 " 5,016 " Component Glnd 42X24MM Lat C1776 278 OP N/A N/A " 4,765 " " 4,514 " " 4,514 " N/A " 4,765 " " 4,013 " " 4,765 " N/A N/A " 4,765 " " 4,264 " " 4,264 " N/A " 4,765 " " 4,514 " N/A N/A N/A N/A " 4,013 " " 4,765 " " 3,762 " 7329319 900 IOL Tecns Syn Smp 9.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329321 900 IOL Tecns Syn Smp 10.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329323 900 IOL Tecns Syn Smp 11.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329334 900 IOL Tecns Syn Smp 16.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329341 900 IOL Tecns Syn Smp 20.0D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329342 900 IOL Tecns Syn Smp 20.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329344 900 IOL Tecns Syn Smp 22.5D V2788 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329375 900 IOL Tecns Syn TorII 150 8.5D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329379 900 IOL Tecns Syn TorII 150 10.5D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329394 900 IOL Tecns Syn TorII 150 18.0D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329405 900 IOL Tecns Syn TorII 150 23.5D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329406 900 IOL Tecns Syn TorII 150 24.0D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7329613 " 19,500 " Spacer Shldr Inspace Tiss Sys C1889 278 OP N/A N/A " 18,525 " " 17,550 " " 17,550 " N/A " 18,525 " " 15,600 " " 18,525 " N/A N/A " 18,525 " " 16,575 " " 16,575 " N/A " 18,525 " " 17,550 " N/A N/A N/A N/A " 15,600 " " 18,525 " " 14,625 " 7329616 " 5,268 " Staple Bridge 10X10 C1713 278 OP N/A N/A " 5,005 " " 4,741 " " 4,741 " N/A " 5,005 " " 4,214 " " 5,005 " N/A N/A " 5,005 " " 4,478 " " 4,478 " N/A " 5,005 " " 4,741 " N/A N/A N/A N/A " 4,214 " " 5,005 " " 3,951 " 7329619 " 2,616 " Screw Bn Cnn Head 3.0X20MM C1713 278 OP N/A N/A " 2,485 " " 2,354 " " 2,354 " N/A " 2,485 " " 2,093 " " 2,485 " N/A N/A " 2,485 " " 2,224 " " 2,224 " N/A " 2,485 " " 2,354 " N/A N/A N/A N/A " 2,093 " " 2,485 " " 1,962 " 7329622 " 6,468 " Vector Hammer Toe 14MM Lg C1713 278 OP N/A N/A " 6,145 " " 5,821 " " 5,821 " N/A " 6,145 " " 5,174 " " 6,145 " N/A N/A " 6,145 " " 5,498 " " 5,498 " N/A " 6,145 " " 5,821 " N/A N/A N/A N/A " 5,174 " " 6,145 " " 4,851 " 7329624 " 3,900 " Ring Xtrnfx Oval 160MM 272 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7329625 " 2,850 " Ring Xtrnfx Half 160MM 272 OP N/A N/A " 2,708 " " 2,565 " " 2,565 " N/A " 2,708 " " 2,280 " " 2,708 " N/A N/A " 2,708 " " 2,423 " " 2,423 " N/A " 2,708 " " 2,565 " N/A N/A N/A N/A " 2,280 " " 2,708 " " 2,138 " 7329677 " 8,265 " Sys Ankle Inbone Evlst 3+10MM C1776 278 OP N/A N/A " 7,852 " " 7,439 " " 7,439 " N/A " 7,852 " " 6,612 " " 7,852 " N/A N/A " 7,852 " " 7,025 " " 7,025 " N/A " 7,852 " " 7,439 " N/A N/A N/A N/A " 6,612 " " 7,852 " " 6,199 " 7329679 885 Blade Fx Step Akin C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7329680 915 Screw Bn Ft Ank 7.0X85M C1713 278 OP N/A N/A 869 824 824 N/A 869 732 869 N/A N/A 869 778 778 N/A 869 824 N/A N/A N/A N/A 732 869 686 7329681 915 Screw Bn Ft Ank 7.0X90MM C1713 278 OP N/A N/A 869 824 824 N/A 869 732 869 N/A N/A 869 778 778 N/A 869 824 N/A N/A N/A N/A 732 869 686 7329682 " 3,915 " Staple Bn Rflx Ult 25X20MM C1713 278 OP N/A N/A " 3,719 " " 3,524 " " 3,524 " N/A " 3,719 " " 3,132 " " 3,719 " N/A N/A " 3,719 " " 3,328 " " 3,328 " N/A " 3,719 " " 3,524 " N/A N/A N/A N/A " 3,132 " " 3,719 " " 2,936 " 7329775 330 Screw Bn 1.4X8MM Cort Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7329776 330 Screw Bn 1.4X10MM Cort Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7329777 330 Screw Bn 1.4X13MM Cort Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7329801 " 19,500 " Spacer Shldr Inspace Tiss Sys C1889 278 OP N/A N/A " 18,525 " " 17,550 " " 17,550 " N/A " 18,525 " " 15,600 " " 18,525 " N/A N/A " 18,525 " " 16,575 " " 16,575 " N/A " 18,525 " " 17,550 " N/A N/A N/A N/A " 15,600 " " 18,525 " " 14,625 " 7329803 330 Screw Bn 1.6X14MM Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7329837 " 7,761 " Implant Dynaclip Forte Bn Fx C1713 278 OP N/A N/A " 7,373 " " 6,985 " " 6,985 " N/A " 7,373 " " 6,209 " " 7,373 " N/A N/A " 7,373 " " 6,597 " " 6,597 " N/A " 7,373 " " 6,985 " N/A N/A N/A N/A " 6,209 " " 7,373 " " 5,821 " 7329933 " 2,385 " Plate Bn Tplate 8 Hl C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7329934 330 Screw Bn 1.4X11MM Cort Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7329935 330 Screw Bn 1.4X14MM Cort Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7329936 330 Screw Bn 1.4X16MM Cort Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7329937 420 Screw Bn Va Lck 1.4X7MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7329938 420 Screw Bn Va Lck 1.4X8MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7329939 420 Screw Bn Va Lck 1.4X10MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7329941 " 3,047 " Graft Sft Tis Tndn Pre-Sut 272 OP N/A N/A " 2,895 " " 2,743 " " 2,743 " N/A " 2,895 " " 2,438 " " 2,895 " N/A N/A " 2,895 " " 2,590 " " 2,590 " N/A " 2,895 " " 2,743 " N/A N/A N/A N/A " 2,438 " " 2,895 " " 2,285 " 7330164 20 Tube Vnt 1.27MM Clr Btn 272 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 7330395 " 13,200 " Plate Bunion Correction 5MM C1713 278 OP N/A N/A " 12,540 " " 11,880 " " 11,880 " N/A " 12,540 " " 10,560 " " 12,540 " N/A N/A " 12,540 " " 11,220 " " 11,220 " N/A " 12,540 " " 11,880 " N/A N/A N/A N/A " 10,560 " " 12,540 " " 9,900 " 7330396 " 1,668 " Screw Bn 3.0X16MM C1713 278 OP N/A N/A " 1,585 " " 1,501 " " 1,501 " N/A " 1,585 " " 1,334 " " 1,585 " N/A N/A " 1,585 " " 1,418 " " 1,418 " N/A " 1,585 " " 1,501 " N/A N/A N/A N/A " 1,334 " " 1,585 " " 1,251 " 7330397 " 1,668 " Screw Bn 3.0X26MM C1713 278 OP N/A N/A " 1,585 " " 1,501 " " 1,501 " N/A " 1,585 " " 1,334 " " 1,585 " N/A N/A " 1,585 " " 1,418 " " 1,418 " N/A " 1,585 " " 1,501 " N/A N/A N/A N/A " 1,334 " " 1,585 " " 1,251 " 7330398 " 1,668 " Screw Bn 3.0X30MM C1713 278 OP N/A N/A " 1,585 " " 1,501 " " 1,501 " N/A " 1,585 " " 1,334 " " 1,585 " N/A N/A " 1,585 " " 1,418 " " 1,418 " N/A " 1,585 " " 1,501 " N/A N/A N/A N/A " 1,334 " " 1,585 " " 1,251 " 7330401 225 Kit Staple 10X10MM Rflx Mn C1713 278 OP N/A N/A 214 203 203 N/A 214 180 214 N/A N/A 214 191 191 N/A 214 203 N/A N/A N/A N/A 180 214 169 7330405 " 9,750 " Implant 2.2X18MM Hammerfuze C1713 278 OP N/A N/A " 9,263 " " 8,775 " " 8,775 " N/A " 9,263 " " 7,800 " " 9,263 " N/A N/A " 9,263 " " 8,288 " " 8,288 " N/A " 9,263 " " 8,775 " N/A N/A N/A N/A " 7,800 " " 9,263 " " 7,313 " 7330406 " 2,099 " Plate Lck Broad 2.4X65MM 8Hl C1713 278 OP N/A N/A " 1,994 " " 1,889 " " 1,889 " N/A " 1,994 " " 1,679 " " 1,994 " N/A N/A " 1,994 " " 1,784 " " 1,784 " N/A " 1,994 " " 1,889 " N/A N/A N/A N/A " 1,679 " " 1,994 " " 1,574 " 7330408 " 2,427 " Staple Bn Fuseforce Ntnl 8X8MM C1713 278 OP N/A N/A " 2,306 " " 2,184 " " 2,184 " N/A " 2,306 " " 1,942 " " 2,306 " N/A N/A " 2,306 " " 2,063 " " 2,063 " N/A " 2,306 " " 2,184 " N/A N/A N/A N/A " 1,942 " " 2,306 " " 1,820 " 7330436 " 2,090 " Anchor Sut Eclipse 5.0X12MM C1713 278 OP N/A N/A " 1,985 " " 1,881 " " 1,881 " N/A " 1,985 " " 1,672 " " 1,985 " N/A N/A " 1,985 " " 1,776 " " 1,776 " N/A " 1,985 " " 1,881 " N/A N/A N/A N/A " 1,672 " " 1,985 " " 1,567 " 7330544 " 1,668 " Screw Bn Lck 3.0X18MM C1713 278 OP N/A N/A " 1,585 " " 1,501 " " 1,501 " N/A " 1,585 " " 1,334 " " 1,585 " N/A N/A " 1,585 " " 1,418 " " 1,418 " N/A " 1,585 " " 1,501 " N/A N/A N/A N/A " 1,334 " " 1,585 " " 1,251 " 7330545 " 1,668 " Screw Bn Lck 3.0X28MM C1713 278 OP N/A N/A " 1,585 " " 1,501 " " 1,501 " N/A " 1,585 " " 1,334 " " 1,585 " N/A N/A " 1,585 " " 1,418 " " 1,418 " N/A " 1,585 " " 1,501 " N/A N/A N/A N/A " 1,334 " " 1,585 " " 1,251 " 7330579 " 1,650 " Graft Amnion Excellerate 12MM 272 OP N/A N/A " 1,568 " " 1,485 " " 1,485 " N/A " 1,568 " " 1,320 " " 1,568 " N/A N/A " 1,568 " " 1,403 " " 1,403 " N/A " 1,568 " " 1,485 " N/A N/A N/A N/A " 1,320 " " 1,568 " " 1,238 " 7330580 " 1,170 " Screw Intfr Peek 4.5X15MM C1713 278 OP N/A N/A " 1,112 " " 1,053 " " 1,053 " N/A " 1,112 " 936 " 1,112 " N/A N/A " 1,112 " 995 995 N/A " 1,112 " " 1,053 " N/A N/A N/A N/A 936 " 1,112 " 878 V2787 7330693 900 IOL Tecns Syn Torii 300 14.5D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7330694 " 4,620 " Plate Bn Arsn 4Hl Cstm C1713 278 OP N/A N/A " 4,389 " " 4,158 " " 4,158 " N/A " 4,389 " " 3,696 " " 4,389 " N/A N/A " 4,389 " " 3,927 " " 3,927 " N/A " 4,389 " " 4,158 " N/A N/A N/A N/A " 3,696 " " 4,389 " " 3,465 " 7330709 274 Screw Bn 4.5X36MM Peri Nlckg C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7330714 330 Screw Bn 1.6X9MM Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7330813 " 1,785 " Anchor Sut Dx Fibertak 1 W Ndl C1713 278 OP N/A N/A " 1,696 " " 1,607 " " 1,607 " N/A " 1,696 " " 1,428 " " 1,696 " N/A N/A " 1,696 " " 1,517 " " 1,517 " N/A " 1,696 " " 1,607 " N/A N/A N/A N/A " 1,428 " " 1,696 " " 1,339 " 7330913 420 Screw Bn Va Lck 1.4X9MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 V2787 7330935 900 IOL Tecns Syn TorII 300 15.0D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7330995 " 33,120 " Graft Sft Tis Lt Lat Fem Frz 272 OP N/A N/A " 31,464 " " 29,808 " " 29,808 " N/A " 31,464 " " 26,496 " " 31,464 " N/A N/A " 31,464 " " 28,152 " " 28,152 " N/A " 31,464 " " 29,808 " N/A N/A N/A N/A " 26,496 " " 31,464 " " 24,840 " 7331003 " 1,650 " Anchor Sut 1.8MM Drw Tight C1713 278 OP N/A N/A " 1,568 " " 1,485 " " 1,485 " N/A " 1,568 " " 1,320 " " 1,568 " N/A N/A " 1,568 " " 1,403 " " 1,403 " N/A " 1,568 " " 1,485 " N/A N/A N/A N/A " 1,320 " " 1,568 " " 1,238 " 7331104 978 Anchor Sut Morphix XT C1713 278 OP N/A N/A 929 880 880 N/A 929 782 929 N/A N/A 929 831 831 N/A 929 880 N/A N/A N/A N/A 782 929 734 7331105 885 Screw Bn Ti 2.4X14MM Kreulock C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7331106 885 Screw Bn Ti 2.4X18MM Kreulock C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7331107 885 Screw Bn Ti 2.4X20MM Kreulock C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7331193 " 1,170 " Anchor Sut Pk Kntls 4.5X20MM C1713 278 OP N/A N/A " 1,112 " " 1,053 " " 1,053 " N/A " 1,112 " 936 " 1,112 " N/A N/A " 1,112 " 995 995 N/A " 1,112 " " 1,053 " N/A N/A N/A N/A 936 " 1,112 " 878 7331195 " 3,000 " Component Fem Rmd Knee 100MM C1776 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7331197 " 2,616 " Screw Bn Cnn Hd 3.0X18MM C1713 278 OP N/A N/A " 2,485 " " 2,354 " " 2,354 " N/A " 2,485 " " 2,093 " " 2,485 " N/A N/A " 2,485 " " 2,224 " " 2,224 " N/A " 2,485 " " 2,354 " N/A N/A N/A N/A " 2,093 " " 2,485 " " 1,962 " 7331376 330 Screw Bn 1.6X13MM Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7331377 330 Screw Bn 1.6X15MM Cort C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7331456 " 2,385 " Plate Bn Tplate 1.4MM 10Hl C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7331457 " 2,385 " Plate Bn Yplate 1.4MM 6Hl C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7331458 420 Screw Bn Va Lck 1.4X11MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7331459 420 Screw Bn Va Lck 1.4X12MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7331460 420 Screw Bn Va Lck 1.4X13MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7331463 420 Screw Bn Va Lck 1.4X16MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7331484 " 2,385 " Plate Bn Tplate 1.6MM 10Hl C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7331641 885 Screw Bn Ti 2.4X16MM Kreulock C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7331728 " 5,184 " Drsg Prply AM 16SqCM Xtr Fn Gf Q4196 278 OP N/A N/A " 4,925 " " 4,666 " " 4,666 " N/A " 4,925 " " 4,147 " " 4,925 " N/A N/A " 4,925 " " 4,406 " " 4,406 " N/A " 4,925 " " 4,666 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 4,925 " " 3,888 " 7331771 155 Screw Bn 2X13 Maxdrive Nlckg C1713 278 OP N/A N/A 147 140 140 N/A 147 124 147 N/A N/A 147 132 132 N/A 147 140 N/A N/A N/A N/A 124 147 116 7331967 885 Screw Bn Ti 2.4X10MM Kreulock C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7332027 " 3,885 " Graft Sk Apligraf Lg Ft 44SqCM Q4101 278 OP N/A N/A " 3,691 " " 3,497 " " 3,497 " N/A " 3,691 " " 3,108 " " 3,691 " N/A N/A " 3,691 " " 3,302 " " 3,302 " N/A " 3,691 " " 3,497 " N/A " 2,310 " N/A " 2,536 " " 2,310 " " 3,691 " " 2,914 " 7332239 420 Screw Bn Va Lck 1.4X6MM C1713 278 OP N/A N/A 399 378 378 N/A 399 336 399 N/A N/A 399 357 357 N/A 399 378 N/A N/A N/A N/A 336 399 315 7332240 " 2,385 " Plate Bn Yplate 1.4MM 8Hl C1713 278 OP N/A N/A " 2,266 " " 2,147 " " 2,147 " N/A " 2,266 " " 1,908 " " 2,266 " N/A N/A " 2,266 " " 2,027 " " 2,027 " N/A " 2,266 " " 2,147 " N/A N/A N/A N/A " 1,908 " " 2,266 " " 1,789 " 7332241 " 4,050 " Plate Bn Lisfranc Tmt Rt C1713 278 OP N/A N/A " 3,848 " " 3,645 " " 3,645 " N/A " 3,848 " " 3,240 " " 3,848 " N/A N/A " 3,848 " " 3,443 " " 3,443 " N/A " 3,848 " " 3,645 " N/A N/A N/A N/A " 3,240 " " 3,848 " " 3,038 " V2787 7332273 900 IOL Tecns Syn TorII 300 17.5D V2787 276 OP N/A N/A 855 810 810 N/A 855 720 855 N/A N/A 855 765 765 N/A 855 810 N/A N/A N/A N/A 720 855 675 7332304 " 3,375 " Staple Bn Rflx Max 18X20MM C1713 278 OP N/A N/A " 3,206 " " 3,038 " " 3,038 " N/A " 3,206 " " 2,700 " " 3,206 " N/A N/A " 3,206 " " 2,869 " " 2,869 " N/A " 3,206 " " 3,038 " N/A N/A N/A N/A " 2,700 " " 3,206 " " 2,531 " 7332305 " 4,185 " Plate Bn Std Ft Mdl Clmn C1713 278 OP N/A N/A " 3,976 " " 3,767 " " 3,767 " N/A " 3,976 " " 3,348 " " 3,976 " N/A N/A " 3,976 " " 3,557 " " 3,557 " N/A " 3,976 " " 3,767 " N/A N/A N/A N/A " 3,348 " " 3,976 " " 3,139 " 7332342 " 2,099 " Plate Lck Broad 2.4X135MM 20Hl C1713 278 OP N/A N/A " 1,994 " " 1,889 " " 1,889 " N/A " 1,994 " " 1,679 " " 1,994 " N/A N/A " 1,994 " " 1,784 " " 1,784 " N/A " 1,994 " " 1,889 " N/A N/A N/A N/A " 1,679 " " 1,994 " " 1,574 " 7332345 " 1,350 " Screw Bn Lck 2.4X12MM C1713 278 OP N/A N/A " 1,283 " " 1,215 " " 1,215 " N/A " 1,283 " " 1,080 " " 1,283 " N/A N/A " 1,283 " " 1,148 " " 1,148 " N/A " 1,283 " " 1,215 " N/A N/A N/A N/A " 1,080 " " 1,283 " " 1,013 " 7332349 " 3,000 " Sys Fxbridge Tuberosity Repr C1713 278 OP N/A N/A " 2,850 " " 2,700 " " 2,700 " N/A " 2,850 " " 2,400 " " 2,850 " N/A N/A " 2,850 " " 2,550 " " 2,550 " N/A " 2,850 " " 2,700 " N/A N/A N/A N/A " 2,400 " " 2,850 " " 2,250 " 7332721 " 4,500 " Device Fx Anch Sund-Ez Tit C1713 278 OP N/A N/A " 4,275 " " 4,050 " " 4,050 " N/A " 4,275 " " 3,600 " " 4,275 " N/A N/A " 4,275 " " 3,825 " " 3,825 " N/A " 4,275 " " 4,050 " N/A N/A N/A N/A " 3,600 " " 4,275 " " 3,375 " 7332759 " 10,910 " Nail Vilex Tit Rt 140MM C1713 278 OP N/A N/A " 10,365 " " 9,819 " " 9,819 " N/A " 10,365 " " 8,728 " " 10,365 " N/A N/A " 10,365 " " 9,274 " " 9,274 " N/A " 10,365 " " 9,819 " N/A N/A N/A N/A " 8,728 " " 10,365 " " 8,183 " 7332760 683 Screw Bn Vilex 2.7X18MM C1713 278 OP N/A N/A 648 614 614 N/A 648 546 648 N/A N/A 648 580 580 N/A 648 614 N/A N/A N/A N/A 546 648 512 7332763 770 Nail Vilex End Cap C1713 278 OP N/A N/A 732 693 693 N/A 732 616 732 N/A N/A 732 655 655 N/A 732 693 N/A N/A N/A N/A 616 732 578 7332951 200 IOL Acrsf Mnflx 1.0D V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7333008 " 12,000 " Mesh Srg X-Rpr Tghtrp 6X160 272 OP N/A N/A " 11,400 " " 10,800 " " 10,800 " N/A " 11,400 " " 9,600 " " 11,400 " N/A N/A " 11,400 " " 10,200 " " 10,200 " N/A " 11,400 " " 10,800 " N/A N/A N/A N/A " 9,600 " " 11,400 " " 9,000 " 7333030 " 1,200 " Screw Bn St Od4.5Xl32MM Cnn Ns C1713 278 OP N/A N/A " 1,140 " " 1,080 " " 1,080 " N/A " 1,140 " 960 " 1,140 " N/A N/A " 1,140 " " 1,020 " " 1,020 " N/A " 1,140 " " 1,080 " N/A N/A N/A N/A 960 " 1,140 " 900 7333051 " 13,221 " Nail Im Hbrd 7x80Mm C1713 278 OP N/A N/A " 12,560 " " 11,899 " " 11,899 " N/A " 12,560 " " 10,577 " " 12,560 " N/A N/A " 12,560 " " 11,238 " " 11,238 " N/A " 12,560 " " 11,899 " N/A N/A N/A N/A " 10,577 " " 12,560 " " 9,916 " 7333052 " 1,314 " Screw Bn Mn Hdls 4.0x38Mm C1713 278 OP N/A N/A " 1,248 " " 1,183 " " 1,183 " N/A " 1,248 " " 1,051 " " 1,248 " N/A N/A " 1,248 " " 1,117 " " 1,117 " N/A " 1,248 " " 1,183 " N/A N/A N/A N/A " 1,051 " " 1,248 " 986 7333171 " 1,795 " Plate Nar Lck 2.0 62MM 3X10 Hl C1713 278 OP N/A N/A " 1,705 " " 1,615 " " 1,615 " N/A " 1,705 " " 1,436 " " 1,705 " N/A N/A " 1,705 " " 1,526 " " 1,526 " N/A " 1,705 " " 1,615 " N/A N/A N/A N/A " 1,436 " " 1,705 " " 1,346 " 7333255 " 3,570 " Plate Bn Arsn Va Met Z-Plate C1713 278 OP N/A N/A " 3,392 " " 3,213 " " 3,213 " N/A " 3,392 " " 2,856 " " 3,392 " N/A N/A " 3,392 " " 3,035 " " 3,035 " N/A " 3,392 " " 3,213 " N/A N/A N/A N/A " 2,856 " " 3,392 " " 2,678 " 7333256 495 Screw Bn Nlckg 2.2X12MM Dl Ld C1713 278 OP N/A N/A 470 446 446 N/A 470 396 470 N/A N/A 470 421 421 N/A 470 446 N/A N/A N/A N/A 396 470 371 7333406 " 6,375 " Component Fem Rmd Knee Lg C1776 278 OP N/A N/A " 6,056 " " 5,738 " " 5,738 " N/A " 6,056 " " 5,100 " " 6,056 " N/A N/A " 6,056 " " 5,419 " " 5,419 " N/A " 6,056 " " 5,738 " N/A N/A N/A N/A " 5,100 " " 6,056 " " 4,781 " 7333407 " 6,375 " Component Tib Rmd Knee Lg C1776 278 OP N/A N/A " 6,056 " " 5,738 " " 5,738 " N/A " 6,056 " " 5,100 " " 6,056 " N/A N/A " 6,056 " " 5,419 " " 5,419 " N/A " 6,056 " " 5,738 " N/A N/A N/A N/A " 5,100 " " 6,056 " " 4,781 " 7333428 295 Screw Bn 2.4 15MM Variax T8 C1713 278 OP N/A N/A 280 266 266 N/A 280 236 280 N/A N/A 280 251 251 N/A 280 266 N/A N/A N/A N/A 236 280 221 7333506 " 5,250 " Plate Bn Ankl Md 7Hl C1713 278 OP N/A N/A " 4,988 " " 4,725 " " 4,725 " N/A " 4,988 " " 4,200 " " 4,988 " N/A N/A " 4,988 " " 4,463 " " 4,463 " N/A " 4,988 " " 4,725 " N/A N/A N/A N/A " 4,200 " " 4,988 " " 3,938 " 7333536 " 6,900 " Implant Hip Sz 2 Hi Stm Ofst C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7333537 200 IOL Clareon Uv 12.0 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7333538 200 IOL Clareon Uv 18.0 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7333539 200 IOL Clareon Uv 19.5 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7333540 200 IOL Clareon Uv 20.5 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7333552 " 2,970 " Plate Bn 5Th Mtrsl Rt Hk Std C1713 278 OP N/A N/A " 2,822 " " 2,673 " " 2,673 " N/A " 2,822 " " 2,376 " " 2,822 " N/A N/A " 2,822 " " 2,525 " " 2,525 " N/A " 2,822 " " 2,673 " N/A N/A N/A N/A " 2,376 " " 2,822 " " 2,228 " 7333556 780 Screw Bn 4X22MM Ankl Hk Plt C1713 278 OP N/A N/A 741 702 702 N/A 741 624 741 N/A N/A 741 663 663 N/A 741 702 N/A N/A N/A N/A 624 741 585 7333560 " 6,900 " Stem Fem Sz 7 Colr Hi Offset C1776 278 OP N/A N/A " 6,555 " " 6,210 " " 6,210 " N/A " 6,555 " " 5,520 " " 6,555 " N/A N/A " 6,555 " " 5,865 " " 5,865 " N/A " 6,555 " " 6,210 " N/A N/A N/A N/A " 5,520 " " 6,555 " " 5,175 " 7333639 200 IOL Clareon Uv 12.5 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7333640 200 IOL Clareon Uv 17.5 V2632 276 OP N/A N/A 190 180 180 N/A 190 160 190 N/A N/A 190 170 170 N/A 190 180 N/A N/A N/A N/A 160 190 150 7333692 " 1,318 " Anchor Sut Alphavent 4.75MM C1713 278 OP N/A N/A " 1,252 " " 1,186 " " 1,186 " N/A " 1,252 " " 1,054 " " 1,252 " N/A N/A " 1,252 " " 1,120 " " 1,120 " N/A " 1,252 " " 1,186 " N/A N/A N/A N/A " 1,054 " " 1,252 " 988 7333700 330 Screw Bn 1.4X7MM Cort Ti C1713 278 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 7333701 885 Screw Bn Ti 2.4X22MM Kreulock C1713 278 OP N/A N/A 841 797 797 N/A 841 708 841 N/A N/A 841 752 752 N/A 841 797 N/A N/A N/A N/A 708 841 664 7333813 " 3,900 " Plate Bn P/L Ti Dist Fix 10Hl C1713 278 OP N/A N/A " 3,705 " " 3,510 " " 3,510 " N/A " 3,705 " " 3,120 " " 3,705 " N/A N/A " 3,705 " " 3,315 " " 3,315 " N/A " 3,705 " " 3,510 " N/A N/A N/A N/A " 3,120 " " 3,705 " " 2,925 " 7333814 " 2,403 " Plate Bn Variax Brd 90MM 10Hl C1713 278 OP N/A N/A " 2,283 " " 2,163 " " 2,163 " N/A " 2,283 " " 1,923 " " 2,283 " N/A N/A " 2,283 " " 2,043 " " 2,043 " N/A " 2,283 " " 2,163 " N/A N/A N/A N/A " 1,923 " " 2,283 " " 1,802 " 7333815 295 Screw Bn 2.7MM 15MM Variax C1713 278 OP N/A N/A 280 266 266 N/A 280 236 280 N/A N/A 280 251 251 N/A 280 266 N/A N/A N/A N/A 236 280 221 7333816 295 Screw Bn 2.7MM 48MM Variax C1713 278 OP N/A N/A 280 266 266 N/A 280 236 280 N/A N/A 280 251 251 N/A 280 266 N/A N/A N/A N/A 236 280 221 7333835 274 Screw Bn 44X5.5MM Peri Lck Mod C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 7333888 346 Screw Bn T6 28X2.0MM Variax C1713 278 OP N/A N/A 328 311 311 N/A 328 276 328 N/A N/A 328 294 294 N/A 328 311 N/A N/A N/A N/A 276 328 259 7333889 346 Screw Bn T6 30X2.0MM Variax C1713 278 OP N/A N/A 328 311 311 N/A 328 276 328 N/A N/A 328 294 294 N/A 328 311 N/A N/A N/A N/A 276 328 259 7333898 155 Screw Bn 2X15 Maxdrive Nlckg C1713 278 OP N/A N/A 147 140 140 N/A 147 124 147 N/A N/A 147 132 132 N/A 147 140 N/A N/A N/A N/A 124 147 116 7333960 274 Screw Bn 48X5.5MM Por Lck Glnd C1713 278 OP N/A N/A 260 246 246 N/A 260 219 260 N/A N/A 260 233 233 N/A 260 246 N/A N/A N/A N/A 219 260 205 8000007 155 I&D Abscess Simple/Single 510 OP N/A N/A 147 140 140 N/A 147 124 147 N/A N/A 147 132 132 N/A 147 140 N/A N/A N/A N/A 124 147 116 8000008 237 I&D Abscess Comp/Multiple 510 OP N/A N/A 225 214 214 N/A 225 190 225 N/A N/A 225 202 202 N/A 225 214 N/A N/A N/A N/A 190 225 178 8000011 177 I&R Foreign Body Simple 510 OP N/A N/A 168 159 159 N/A 168 141 168 N/A N/A 168 150 150 N/A 168 159 N/A N/A N/A N/A 141 168 133 8000013 589 I&R Foreign Body Comp 510 OP N/A N/A 560 530 530 N/A 560 471 560 N/A N/A 560 501 501 N/A 560 530 N/A N/A N/A N/A 471 560 442 8000014 377 I&D Hematoma Seroma 510 OP N/A N/A 358 339 339 N/A 358 302 358 N/A N/A 358 320 320 N/A 358 339 N/A N/A N/A N/A 302 358 283 8000015 284 Punc Asp Abscess Hematoma Cyst 510 OP N/A N/A 270 256 256 N/A 270 227 270 N/A N/A 270 241 241 N/A 270 256 N/A N/A N/A N/A 227 270 213 8000030 59 Pare 1 Benign Lesion 510 OP N/A N/A 56 53 53 N/A 56 47 56 N/A N/A 56 50 50 N/A 56 53 N/A N/A N/A N/A 47 56 44 8000035 120 Remove Skin Tags Up To 15 510 OP N/A N/A 114 108 108 N/A 114 96 114 N/A N/A 114 102 102 N/A 114 108 N/A N/A N/A N/A 96 114 90 8000053 143 Exc Ben Lesion <0.5 Trunk Limb 510 OP N/A N/A 135 128 128 N/A 135 114 135 N/A N/A 135 121 121 N/A 135 128 N/A N/A N/A N/A 114 135 107 8000054 82 Exc Ben Lesion 0.6-1.0 Trunk 510 OP N/A N/A 78 74 74 N/A 78 66 78 N/A N/A 78 70 70 N/A 78 74 N/A N/A N/A N/A 66 78 62 8000055 185 Exc Ben Lesion 1.1-2.0 Trunk 510 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 157 157 N/A 176 167 N/A N/A N/A N/A 148 176 139 8000056 285 Exc Ben Lesion 2.1-3.0 Trunk 510 OP N/A N/A 271 257 257 N/A 271 228 271 N/A N/A 271 242 242 N/A 271 257 N/A N/A N/A N/A 228 271 214 8000057 244 Exc Ben Lesion 3.1-4.0 Trunk 510 OP N/A N/A 232 219 219 N/A 232 195 232 N/A N/A 232 207 207 N/A 232 219 N/A N/A N/A N/A 195 232 183 8000061 97 Exc Ben Lesion 1.1-2.0 Neck 510 OP N/A N/A 92 87 87 N/A 92 78 92 N/A N/A 92 83 83 N/A 92 87 N/A N/A N/A N/A 78 92 73 8000066 187 Exc Ben Lesion 0.6-1.0 Face 510 OP N/A N/A 178 169 169 N/A 178 150 178 N/A N/A 178 159 159 N/A 178 169 N/A N/A N/A N/A 150 178 140 8000073 214 Exc Mal Lesion <0.5 Trunk Limb 510 OP N/A N/A 203 192 192 N/A 203 171 203 N/A N/A 203 181 181 N/A 203 192 N/A N/A N/A N/A 171 203 160 8000074 254 Exc Mal Lesion 0.6-1.0 Trunk 510 OP N/A N/A 241 229 229 N/A 241 203 241 N/A N/A 241 216 216 N/A 241 229 N/A N/A N/A N/A 203 241 191 8000075 276 Exc Mal Lesion 1.1-2.0 Trunk 510 OP N/A N/A 262 249 249 N/A 262 221 262 N/A N/A 262 235 235 N/A 262 249 N/A N/A N/A N/A 221 262 207 8000076 317 Exc Mal Lesion 2.1-3.0 Trunk 510 OP N/A N/A 301 285 285 N/A 301 254 301 N/A N/A 301 269 269 N/A 301 285 N/A N/A N/A N/A 254 301 238 8000081 466 Exc Mal Lesion 1.1-2.0 Neck 510 OP N/A N/A 442 419 419 N/A 442 373 442 N/A N/A 442 396 396 N/A 442 419 N/A N/A N/A N/A 373 442 349 8000082 568 Exc Mal Lesion 2.1-3.0 Neck 510 OP N/A N/A 540 511 511 N/A 540 455 540 N/A N/A 540 483 483 N/A 540 511 N/A N/A N/A N/A 455 540 426 8000083 681 Exc Mal Lesion 3.1-4.0 Neck 510 OP N/A N/A 647 613 613 N/A 647 544 647 N/A N/A 647 579 579 N/A 647 613 N/A N/A N/A N/A 544 647 510 8000085 389 Exc Mal Lesion <0.5 Face Ears 510 OP N/A N/A 370 350 350 N/A 370 311 370 N/A N/A 370 331 331 N/A 370 350 N/A N/A N/A N/A 311 370 292 8000087 694 Exc Mal Lesion 1.1-2.0 Face 510 OP N/A N/A 659 624 624 N/A 659 555 659 N/A N/A 659 590 590 N/A 659 624 N/A N/A N/A N/A 555 659 520 8000093 52 Debride Nails 6-10 510 OP N/A N/A 50 47 47 N/A 50 42 50 N/A N/A 50 44 44 N/A 50 47 N/A N/A N/A N/A 42 50 39 8000094 175 Avulsion Nail Plate Simp Singl 510 OP N/A N/A 166 158 158 N/A 166 140 166 N/A N/A 166 149 149 N/A 166 158 N/A N/A N/A N/A 140 166 131 8000095 72 Avulsion Nail Plate Ea Addl 510 OP N/A N/A 68 65 65 N/A 68 58 68 N/A N/A 68 61 61 N/A 68 65 N/A N/A N/A N/A 58 68 54 8000097 446 Exc Nail Matrix Part/Complete 510 OP N/A N/A 424 402 402 N/A 424 357 424 N/A N/A 424 379 379 N/A 424 402 N/A N/A N/A N/A 357 424 335 8000100 477 Repair Nailbed 510 OP N/A N/A 453 429 429 N/A 453 382 453 N/A N/A 453 405 405 N/A 453 429 N/A N/A N/A N/A 382 453 358 8000105 78 Inject Lesion Up To 7 510 OP N/A N/A 74 71 71 N/A 74 63 74 N/A N/A 74 67 67 N/A 74 71 N/A N/A N/A N/A 63 74 59 8000109 463 Insert Drug Delivery Implant 510 OP N/A N/A 440 417 417 N/A 440 370 440 N/A N/A 440 393 393 N/A 440 417 N/A N/A N/A N/A 370 440 347 8000111 439 Remove/Reinsert Drug Del Imp 510 OP N/A N/A 417 395 395 N/A 417 351 417 N/A N/A 417 373 373 N/A 417 395 N/A N/A N/A N/A 351 417 329 8000112 202 Repair Lac Simple <2.5 CM 510 OP N/A N/A 192 182 182 N/A 192 161 192 N/A N/A 192 172 172 N/A 192 182 N/A N/A N/A N/A 161 192 151 8000113 230 Repair Lac Simple 2.6-7.5 CM 510 OP N/A N/A 219 207 207 N/A 219 184 219 N/A N/A 219 196 196 N/A 219 207 N/A N/A N/A N/A 184 219 173 8000125 699 Treat Wound Dehiscence Simple 510 OP N/A N/A 664 629 629 N/A 664 559 664 N/A N/A 664 594 594 N/A 664 629 N/A N/A N/A N/A 559 664 524 8000128 356 Repair Lac Interm 2.6-7.5 CM 510 OP N/A N/A 338 320 320 N/A 338 284 338 N/A N/A 338 302 302 N/A 338 320 N/A N/A N/A N/A 284 338 267 8000197 101 Destroy Premal Lesion 1st 510 OP N/A N/A 96 91 91 N/A 96 81 96 N/A N/A 96 86 86 N/A 96 91 N/A N/A N/A N/A 81 96 76 8000198 32 Destroy Premal Lesion 2-14 510 OP N/A N/A 31 29 29 N/A 31 26 31 N/A N/A 31 27 27 N/A 31 29 N/A N/A N/A N/A 26 31 24 8000203 126 Destroy Benign Lesions 1-14 510 OP N/A N/A 119 113 113 N/A 119 101 119 N/A N/A 119 107 107 N/A 119 113 N/A N/A N/A N/A 101 119 94 8000283 125 Inject Single Tendon Origin 510 OP N/A N/A 119 113 113 N/A 119 100 119 N/A N/A 119 106 106 N/A 119 113 N/A N/A N/A N/A 100 119 94 8000284 122 Inject Trigger Points 1-2 Mus 510 OP N/A N/A 116 110 110 N/A 116 98 116 N/A N/A 116 104 104 N/A 116 110 N/A N/A N/A N/A 98 116 92 8000293 141 Asp/Inj Ganglion Cyst 510 OP N/A N/A 134 127 127 N/A 134 113 134 N/A N/A 134 120 120 N/A 134 127 N/A N/A N/A N/A 113 134 106 8000532 563 Dislocation CPC W Man W Anes 510 OP N/A N/A 534 506 506 N/A 534 450 534 N/A N/A 534 478 478 N/A 534 506 N/A N/A N/A N/A 450 534 422 30901 8000909 154 Control Anterior Hemorrhage 510 OP 113 101 146 138 138 101 146 123 146 102 113 146 131 131 113 146 138 101 247 102 271 101 271 115 46250 8001357 879 Remove Ext Hem Groups 2 510 OP " 2,504 " " 2,237 " 835 791 791 " 2,237 " 835 703 835 " 2,259 " " 2,504 " 835 747 747 " 2,504 " 835 791 " 2,237 " " 4,580 " " 2,259 " " 5,029 " 703 " 5,029 " 659 8001366 105 Anoscopy Diagnostic 510 OP N/A N/A 100 94 94 N/A 100 84 100 N/A N/A 100 89 89 N/A 100 94 N/A N/A N/A N/A 84 100 79 51701 8001520 71 Insert Bladder Catheter 510 OP 113 101 68 64 64 101 68 57 68 102 113 68 61 61 113 68 64 101 321 102 353 57 353 53 8001530 365 Cystometrogram W Vp & Up 510 OP N/A N/A 347 329 329 N/A 347 292 347 N/A N/A 347 310 310 N/A 347 329 N/A N/A N/A N/A 292 347 274 8001532 11 Electro-Uroflowmetry 1st 510 OP N/A N/A 10 10 10 N/A 10 9 10 N/A N/A 10 9 9 N/A 10 10 N/A N/A N/A N/A 9 10 8 8001533 24 Anal/Urinary Muscle Study 510 OP N/A N/A 23 22 22 N/A 23 19 23 N/A N/A 23 20 20 N/A 23 22 N/A N/A N/A N/A 19 23 18 8001536 52 Intraabdominal Pressure Test 510 OP N/A N/A 49 46 46 N/A 49 41 49 N/A N/A 49 44 44 N/A 49 46 N/A N/A N/A N/A 41 49 39 8001537 46 Urine Capacity Measure 510 OP N/A N/A 43 41 41 N/A 43 37 43 N/A N/A 43 39 39 N/A 43 41 N/A N/A N/A N/A 37 43 34 8001606 120 I & D Vulva/Perineum 510 OP N/A N/A 114 108 108 N/A 114 96 114 N/A N/A 114 102 102 N/A 114 108 N/A N/A N/A N/A 96 114 90 8001607 160 Drainage Gland Abscess 510 OP N/A N/A 152 144 144 N/A 152 128 152 N/A N/A 152 136 136 N/A 152 144 N/A N/A N/A N/A 128 152 120 8001610 236 Biopsy Vulva/Perineum 510 OP N/A N/A 224 212 212 N/A 224 189 224 N/A N/A 224 201 201 N/A 224 212 N/A N/A N/A N/A 189 224 177 8001611 44 Biopsy Vulva/Perineum Ea Add 510 OP N/A N/A 41 39 39 N/A 41 35 41 N/A N/A 41 37 37 N/A 41 39 N/A N/A N/A N/A 35 41 33 56820 8001613 116 Exam Vulva W Scope 510 OP 174 155 111 105 105 155 111 93 111 157 174 111 99 99 174 111 105 155 255 157 280 93 280 87 8001623 123 Insert Pessary/Other Device 510 OP N/A N/A 117 110 110 N/A 117 98 117 N/A N/A 117 104 104 N/A 117 110 N/A N/A N/A N/A 98 117 92 8001641 166 Colposcopy Vagina 510 OP N/A N/A 158 150 150 N/A 158 133 158 N/A N/A 158 141 141 N/A 158 150 N/A N/A N/A N/A 133 158 125 8001644 275 Bx/Curette Cervix W Scope 510 OP N/A N/A 261 247 247 N/A 261 220 261 N/A N/A 261 234 234 N/A 261 247 N/A N/A N/A N/A 220 261 206 8001648 450 Conz Cervix W Scope LEEP 510 OP N/A N/A 428 405 405 N/A 428 360 428 N/A N/A 428 383 383 N/A 428 405 N/A N/A N/A N/A 360 428 338 8001656 158 Endometrial Biopsy 510 OP N/A N/A 150 142 142 N/A 150 127 150 N/A N/A 150 135 135 N/A 150 142 N/A N/A N/A N/A 127 150 119 8001668 282 Female 510 OP N/A N/A 268 254 254 N/A 268 226 268 N/A N/A 268 240 240 N/A 268 254 N/A N/A N/A N/A 226 268 212 8001669 242 Female 510 OP N/A N/A 230 218 218 N/A 230 194 230 N/A N/A 230 206 206 N/A 230 218 N/A N/A N/A N/A 194 230 182 8001680 " 1,900 " Hysteroscopy Biopsy 510 OP N/A N/A " 1,805 " " 1,710 " " 1,710 " N/A " 1,805 " " 1,520 " " 1,805 " N/A N/A " 1,805 " " 1,615 " " 1,615 " N/A " 1,805 " " 1,710 " N/A N/A N/A N/A " 1,520 " " 1,805 " " 1,425 " 8002455 69 TB Intradermal Test 510 OP N/A N/A 66 62 62 N/A 66 55 66 N/A N/A 66 59 59 N/A 66 62 N/A N/A N/A N/A 55 66 52 8002488 37 Immunization Admin 1st 771 OP N/A N/A 35 33 33 N/A 35 29 35 N/A N/A 35 31 31 N/A 35 33 N/A N/A N/A N/A 29 35 27 8002489 16 Immunization Admin Each Addl 771 OP N/A N/A 15 14 14 N/A 15 13 15 N/A N/A 15 14 14 N/A 15 14 N/A N/A N/A N/A 13 15 12 8002579 39 Inhalation Treatment 510 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 8002613 57 EKG Tracing 730 OP N/A N/A 54 52 52 N/A 54 46 54 N/A N/A 54 49 49 N/A 54 52 N/A N/A N/A N/A 46 54 43 8002646 85 IV Infusion 31-60 Min 510 OP N/A N/A 81 77 77 N/A 81 68 81 N/A N/A 81 73 73 N/A 81 77 N/A N/A N/A N/A 68 81 64 8002647 20 IV Infusion Each Addl Hour 510 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 8002652 41 Subq IM Injection 510 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 30 8002654 119 IV Push Initial Or Single Drug 510 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A N/A N/A N/A 95 113 89 98925 8002686 50 Osteopath Man 1-2 Regions 510 OP 24 22 48 45 45 22 48 40 48 22 24 48 43 43 24 48 45 22 59 22 65 22 65 38 8002687 39 Osteopath Man 3-4 Regions 510 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A N/A N/A N/A 31 37 29 8002688 49 Osteopath Man 5-6 Regions 510 OP N/A N/A 46 44 44 N/A 46 39 46 N/A N/A 46 42 42 N/A 46 44 N/A N/A N/A N/A 39 46 37 8002704 119 Phlebotomy 510 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A N/A N/A N/A 95 113 89 8002802 119 New Patient Level 2 SF Comp 510 OP N/A N/A 113 107 107 N/A 113 95 113 N/A N/A 113 101 101 N/A 113 107 N/A N/A N/A N/A 95 113 89 8002803 157 New Patient Level 3 Low Comp 510 OP N/A N/A 149 141 141 N/A 149 126 149 N/A N/A 149 133 133 N/A 149 141 N/A N/A N/A N/A 126 149 118 8002804 185 New Patient Level 4 Mod Comp 510 OP N/A N/A 175 166 166 N/A 175 148 175 N/A N/A 175 157 157 N/A 175 166 N/A N/A N/A N/A 148 175 138 8002805 190 New Patient Level 5 High Comp 510 OP N/A N/A 181 171 171 N/A 181 152 181 N/A N/A 181 162 162 N/A 181 171 N/A N/A N/A N/A 152 181 143 8002806 35 Est Patient Level 1 510 OP N/A N/A 34 32 32 N/A 34 28 34 N/A N/A 34 30 30 N/A 34 32 N/A N/A N/A N/A 28 34 27 8002807 46 Est Patient Level 2 SF Comp 510 OP N/A N/A 43 41 41 N/A 43 36 43 N/A N/A 43 39 39 N/A 43 41 N/A N/A N/A N/A 36 43 34 8002808 57 Office Visit Level 3 510 OP N/A N/A 54 51 51 N/A 54 46 54 N/A N/A 54 48 48 N/A 54 51 N/A N/A N/A N/A 46 54 43 8002809 71 Est Patient Level 4 Mod Comp 510 OP N/A N/A 67 63 63 N/A 67 56 67 N/A N/A 67 60 60 N/A 67 63 N/A N/A N/A N/A 56 67 53 8002810 95 Est Patient Level 5 High Comp 510 OP N/A N/A 90 85 85 N/A 90 76 90 N/A N/A 90 81 81 N/A 90 85 N/A N/A N/A N/A 76 90 71 8002883 120 Preventive Exam 5-11 Year New 510 OP N/A N/A 114 108 108 N/A 114 96 114 N/A N/A 114 102 102 N/A 114 108 N/A N/A N/A N/A 96 114 90 8002884 132 Preventive Exam 12-17 Year New 510 OP N/A N/A 125 119 119 N/A 125 105 125 N/A N/A 125 112 112 N/A 125 119 N/A N/A N/A N/A 105 125 99 8002885 135 Preventive Exam 18-39 Year New 510 OP N/A N/A 128 121 121 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 121 N/A N/A N/A N/A 108 128 101 8002887 164 Preventive Exam 65 Year New 510 OP N/A N/A 156 148 148 N/A 156 131 156 N/A N/A 156 139 139 N/A 156 148 N/A N/A N/A N/A 131 156 123 8002888 66 Preventive Exam <1 Year Est 510 OP N/A N/A 62 59 59 N/A 62 52 62 N/A N/A 62 56 56 N/A 62 59 N/A N/A N/A N/A 52 62 49 8002889 67 Preventive Exam 1-4 Year Est 510 OP N/A N/A 64 60 60 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 60 N/A N/A N/A N/A 54 64 50 8002890 67 Preventive Exam 5-11 Year Est 510 OP N/A N/A 64 61 61 N/A 64 54 64 N/A N/A 64 57 57 N/A 64 61 N/A N/A N/A N/A 54 64 51 8002891 71 Preventive Exam 12-17 Year Est 510 OP N/A N/A 67 64 64 N/A 67 57 67 N/A N/A 67 60 60 N/A 67 64 N/A N/A N/A N/A 57 67 53 8002892 79 Preventive Exam 18-39 Year Est 510 OP N/A N/A 75 71 71 N/A 75 63 75 N/A N/A 75 67 67 N/A 75 71 N/A N/A N/A N/A 63 75 59 8002893 81 Preventive Exam 40-64 Year Est 510 OP N/A N/A 77 73 73 N/A 77 65 77 N/A N/A 77 69 69 N/A 77 73 N/A N/A N/A N/A 65 77 61 8002894 84 Preventive Exam 65 Year Est 510 OP N/A N/A 79 75 75 N/A 79 67 79 N/A N/A 79 71 71 N/A 79 75 N/A N/A N/A N/A 67 79 63 8002896 8 Smoking Cessation 3-10 Min 510 OP N/A N/A 7 7 7 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 7 N/A N/A N/A N/A 6 7 6 8002902 162 Transitional Care Management 510 OP N/A N/A 154 146 146 N/A 154 129 154 N/A N/A 154 138 138 N/A 154 146 N/A N/A N/A N/A 129 154 121 8002903 227 Transitional Care Management 510 OP N/A N/A 216 204 204 N/A 216 182 216 N/A N/A 216 193 193 N/A 216 204 N/A N/A N/A N/A 182 216 170 8002910 50 Admin Pneumococcal Vaccine 771 OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A N/A N/A N/A 40 48 38 8002911 50 Admin Hepatitis B Vaccine 771 OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A N/A N/A N/A 40 48 38 8002912 20 Pelvic & Breast Exam 770 OP N/A N/A 19 18 18 N/A 19 16 19 N/A N/A 19 17 17 N/A 19 18 N/A N/A N/A N/A 16 19 15 8002946 85 Welcome To Medicare Visit 770 OP N/A N/A 80 76 76 N/A 80 68 80 N/A N/A 80 72 72 N/A 80 76 N/A N/A N/A N/A 68 80 63 8002964 12 Screening Pap Collection 510 OP N/A N/A 11 11 11 N/A 11 10 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 10 11 9 8003031 36 Admin Influenza Vaccine 771 OP N/A N/A 34 32 32 N/A 34 29 34 N/A N/A 34 31 31 N/A 34 32 N/A N/A N/A N/A 29 34 27 8003033 7 Antigens Allergen Immun GL/MUL 510 OP N/A N/A 7 6 6 N/A 7 6 7 N/A N/A 7 6 6 N/A 7 6 N/A N/A N/A N/A 6 7 5 8003313 66 Evaluation Wheezing 510 OP N/A N/A 63 59 59 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 59 N/A N/A N/A N/A 53 63 50 8003322 41 Measure Blood Oxygen Level 510 OP N/A N/A 39 37 37 N/A 39 33 39 N/A N/A 39 35 35 N/A 39 37 N/A N/A N/A N/A 33 39 31 8003324 12 Percut Allergy Skin Tests 510 OP N/A N/A 11 11 11 N/A 11 10 11 N/A N/A 11 10 10 N/A 11 11 N/A N/A N/A N/A 10 11 9 8003360 30 Injection Allergy 2 510 OP N/A N/A 29 27 27 N/A 29 24 29 N/A N/A 29 26 26 N/A 29 27 N/A N/A N/A N/A 24 29 23 8004269 78 Pulse Oximetry Multiple 510 OP N/A N/A 74 70 70 N/A 74 62 74 N/A N/A 74 66 66 N/A 74 70 N/A N/A N/A N/A 62 74 58 8004371 113 Tangential Biopsy 1st Lesion 510 OP N/A N/A 107 101 101 N/A 107 90 107 N/A N/A 107 96 96 N/A 107 101 N/A N/A N/A N/A 90 107 84 8004372 62 Tangential Biopsy Ea Addl 510 OP N/A N/A 59 56 56 N/A 59 50 59 N/A N/A 59 53 53 N/A 59 56 N/A N/A N/A N/A 50 59 47 8004373 143 Punch Biopsy 1st Lesion 510 OP N/A N/A 136 129 129 N/A 136 115 136 N/A N/A 136 122 122 N/A 136 129 N/A N/A N/A N/A 115 136 108 8004374 71 Punch Biopsy Ea Addl Lesion 510 OP N/A N/A 68 64 64 N/A 68 57 68 N/A N/A 68 61 61 N/A 68 64 N/A N/A N/A N/A 57 68 53 0001A 8004810 36 Immunization Admin first dose 771 OP 40 36 34 32 32 36 34 29 34 37 40 34 31 31 40 34 32 36 32 37 35 29 40 27 0002A 8004811 36 Immnzatn Admin 2nd dose 30 mcg 771 OP 40 36 34 32 32 36 34 29 34 37 40 34 31 31 40 34 32 36 32 37 35 29 40 27 0011A 8004812 36 Immnztn Admin 1st dose 100 mcg 771 OP 40 36 34 32 32 36 34 29 34 37 40 34 31 31 40 34 32 36 32 37 35 29 40 27 0012A 8004813 36 Immnztn Admin 2nd dose 100 mcg 771 OP 40 36 34 32 32 36 34 29 34 37 40 34 31 31 40 34 32 36 32 37 35 29 40 27 8004867 178 Ext ECG >7 Days Hook Up 731 OP N/A N/A 170 161 161 N/A 170 143 170 N/A N/A 170 152 152 N/A 170 161 N/A N/A N/A N/A 143 170 134 0003A 8005182 74 Immnzatn Admin 3rd dose 30 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 0013A 8005184 34 Immnzatn Admin 3rd dose 30 mcg 771 OP 40 36 32 31 31 36 32 27 32 37 40 32 29 29 40 32 31 36 32 37 35 27 40 26 0004A 8005204 74 Immnzatn Admin Booster 30 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 0052A 8005206 74 Immnzatn Admin 2nd dose 30 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 0053A 8005207 74 Immnzatn Admin 3rd dose 30 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 0054A 8005208 74 Immnzatn Admin Booster 30 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 0064A 8005209 74 Immnzatn Admin Booster 50 mcg 771 OP 40 36 70 67 67 36 70 59 70 37 40 70 63 63 40 70 67 36 32 37 35 32 70 56 8005988 36 Imm Admin Booster 50 mcg/.5ml 771 OP N/A N/A 34 32 32 N/A 34 29 34 N/A N/A 34 31 31 N/A 34 32 N/A N/A N/A N/A 29 34 27 8020280 338 Inject Carpal Tunnel BI 510 OP N/A N/A 321 304 304 N/A 321 270 321 N/A N/A 321 287 287 N/A 321 304 N/A N/A N/A N/A 270 321 254 8020282 232 Inject Single Tendon Sheath BI 510 OP N/A N/A 220 209 209 N/A 220 186 220 N/A N/A 220 197 197 N/A 220 209 N/A N/A N/A N/A 186 220 174 8020287 203 Asp/Inj Small Joint BI 510 OP N/A N/A 193 182 182 N/A 193 162 193 N/A N/A 193 172 172 N/A 193 182 N/A N/A N/A N/A 162 193 152 8020289 260 Asp/Inj Intermediate Joint BI 510 OP N/A N/A 247 234 234 N/A 247 208 247 N/A N/A 247 221 221 N/A 247 234 N/A N/A N/A N/A 208 247 195 8020291 255 Asp/Inj Large Joint BI 510 OP N/A N/A 242 230 230 N/A 242 204 242 N/A N/A 242 217 217 N/A 242 230 N/A N/A N/A N/A 204 242 191 8021778 330 Inj Oth Peripheral N Block BI 510 OP N/A N/A 314 297 297 N/A 314 264 314 N/A N/A 314 281 281 N/A 314 297 N/A N/A N/A N/A 264 314 248 8030060 176 Exc Ben Lesion 0.6-1.0 Neck 510 OP N/A N/A 167 159 159 N/A 167 141 167 N/A N/A 167 150 150 N/A 167 159 N/A N/A N/A N/A 141 167 132 51741 8031532 16 Electro-Uroflowmetry 1st 510 OP 142 127 15 14 14 127 15 12 15 128 142 15 13 13 142 15 14 127 489 128 537 12 537 12 51784 8031533 83 Anal/Urinary Muscle Study 510 OP 142 127 78 74 74 127 78 66 78 128 142 78 70 70 142 78 74 127 549 128 603 66 603 62 8070280 179 Inject Carpal Tunnel LT 510 OP N/A N/A 170 161 161 N/A 170 143 170 N/A N/A 170 152 152 N/A 170 161 N/A N/A N/A N/A 143 170 134 8070281 192 Inject Palmar Fascial Cord LT 510 OP N/A N/A 182 173 173 N/A 182 153 182 N/A N/A 182 163 163 N/A 182 173 N/A N/A N/A N/A 153 182 144 8070282 122 Inject Single Tendon Sheath LT 510 OP N/A N/A 116 110 110 N/A 116 98 116 N/A N/A 116 104 104 N/A 116 110 N/A N/A N/A N/A 98 116 92 8070287 113 Asp/Inj Small Joint LT 510 OP N/A N/A 108 102 102 N/A 108 91 108 N/A N/A 108 96 96 N/A 108 102 N/A N/A N/A N/A 91 108 85 8070289 129 Asp/Inj Intermediate Joint LT 510 OP N/A N/A 123 117 117 N/A 123 104 123 N/A N/A 123 110 110 N/A 123 117 N/A N/A N/A N/A 104 123 97 8070291 140 Asp/Inj Large Joint LT 510 OP N/A N/A 133 126 126 N/A 133 112 133 N/A N/A 133 119 119 N/A 133 126 N/A N/A N/A N/A 112 133 105 8070296 " 1,329 " Remove Implant Deep LT 510 OP N/A N/A " 1,263 " " 1,196 " " 1,196 " N/A " 1,263 " " 1,063 " " 1,263 " N/A N/A " 1,263 " " 1,130 " " 1,130 " N/A " 1,263 " " 1,196 " N/A N/A N/A N/A " 1,063 " " 1,263 " 997 8070389 720 I&D Upper Arm Bursa LT 510 OP N/A N/A 684 648 648 N/A 684 576 684 N/A N/A 684 612 612 N/A 684 648 N/A N/A N/A N/A 576 684 540 8070462 322 Fx Radius LT 510 OP N/A N/A 306 290 290 N/A 306 258 306 N/A N/A 306 274 274 N/A 306 290 N/A N/A N/A N/A 258 306 241 8070472 722 Fx Distal Radius LT 510 OP N/A N/A 686 650 650 N/A 686 577 686 N/A N/A 686 613 613 N/A 686 650 N/A N/A N/A N/A 577 686 541 8070473 " 1,190 " Fx Distal Radius W Man LT 510 OP N/A N/A " 1,131 " " 1,071 " " 1,071 " N/A " 1,131 " 952 " 1,131 " N/A N/A " 1,131 " " 1,012 " " 1,012 " N/A " 1,131 " " 1,071 " N/A N/A N/A N/A 952 " 1,131 " 893 8070508 239 Manipul Palm Cord Post Inj LT 510 OP N/A N/A 227 215 215 N/A 227 191 227 N/A N/A 227 203 203 N/A 227 215 N/A N/A N/A N/A 191 227 179 8070826 217 Apply Long Arm Cast LT 510 OP N/A N/A 206 195 195 N/A 206 173 206 N/A N/A 206 184 184 N/A 206 195 N/A N/A N/A N/A 173 206 162 8070827 195 Apply Short Arm Cast LT 510 OP N/A N/A 185 176 176 N/A 185 156 185 N/A N/A 185 166 166 N/A 185 176 N/A N/A N/A N/A 156 185 146 8070839 180 Apply Short Leg Cast LT 510 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 8080280 169 Inject Carpal Tunnel RT 510 OP N/A N/A 161 152 152 N/A 161 135 161 N/A N/A 161 144 144 N/A 161 152 N/A N/A N/A N/A 135 161 127 8080281 185 Inject Palmar Fascial Cord RT 510 OP N/A N/A 176 167 167 N/A 176 148 176 N/A N/A 176 157 157 N/A 176 167 N/A N/A N/A N/A 148 176 139 8080282 116 Inject Single Tendon Sheath RT 510 OP N/A N/A 110 104 104 N/A 110 93 110 N/A N/A 110 99 99 N/A 110 104 N/A N/A N/A N/A 93 110 87 8080287 104 Asp/Inj Small Joint RT 510 OP N/A N/A 98 93 93 N/A 98 83 98 N/A N/A 98 88 88 N/A 98 93 N/A N/A N/A N/A 83 98 78 8080288 157 Asp/Inj Small Joint US RT 510 OP N/A N/A 149 141 141 N/A 149 126 149 N/A N/A 149 133 133 N/A 149 141 N/A N/A N/A N/A 126 149 118 8080289 129 Asp/Inj Intermediate Joint RT 510 OP N/A N/A 122 116 116 N/A 122 103 122 N/A N/A 122 110 110 N/A 122 116 N/A N/A N/A N/A 103 122 97 8080291 132 Asp/Inj Large Joint RT 510 OP N/A N/A 125 118 118 N/A 125 105 125 N/A N/A 125 112 112 N/A 125 118 N/A N/A N/A N/A 105 125 99 8080292 89 Asp/Inj Large Joint US RT 510 OP N/A N/A 84 80 80 N/A 84 71 84 N/A N/A 84 75 75 N/A 84 80 N/A N/A N/A N/A 71 84 66 8080296 " 1,329 " Remove Implant Deep RT 510 OP N/A N/A " 1,263 " " 1,196 " " 1,196 " N/A " 1,263 " " 1,063 " " 1,263 " N/A N/A " 1,263 " " 1,130 " " 1,130 " N/A " 1,263 " " 1,196 " N/A N/A N/A N/A " 1,063 " " 1,263 " 997 8080466 613 Fx Ulnar Shaft WO Man RT 510 OP N/A N/A 582 552 552 N/A 582 490 582 N/A N/A 582 521 521 N/A 582 552 N/A N/A N/A N/A 490 582 460 8080472 722 Fx Distal Radius RT 510 OP N/A N/A 686 650 650 N/A 686 577 686 N/A N/A 686 613 613 N/A 686 650 N/A N/A N/A N/A 577 686 541 8080508 218 Manipul Palm Cord Post Inj RT 510 OP N/A N/A 207 196 196 N/A 207 174 207 N/A N/A 207 185 185 N/A 207 196 N/A N/A N/A N/A 174 207 164 8080758 562 Remove Foreign Body Foot RT 510 OP N/A N/A 534 506 506 N/A 534 450 534 N/A N/A 534 478 478 N/A 534 506 N/A N/A N/A N/A 450 534 422 8080826 211 Apply Long Arm Cast RT 510 OP N/A N/A 200 190 190 N/A 200 169 200 N/A N/A 200 179 179 N/A 200 190 N/A N/A N/A N/A 169 200 158 8080827 191 Apply Short Arm Cast RT 510 OP N/A N/A 181 172 172 N/A 181 153 181 N/A N/A 181 162 162 N/A 181 172 N/A N/A N/A N/A 153 181 143 8080839 179 Apply Short Leg Cast RT 510 OP N/A N/A 170 161 161 N/A 170 143 170 N/A N/A 170 152 152 N/A 170 161 N/A N/A N/A N/A 143 170 134 8081952 170 Remove Ear Foreign Body RT 510 OP N/A N/A 162 153 153 N/A 162 136 162 N/A N/A 162 145 145 N/A 162 153 N/A N/A N/A N/A 136 162 128 69209 8081954 44 Remove Impacted Cerumen RT 510 OP 56 50 42 39 39 50 42 35 42 51 56 42 37 37 56 42 39 50 N/A 51 N/A 35 56 33 10060 9200007 260 I&D Abscess Simple/Single 982 OP 176 157 247 234 234 157 247 208 247 159 176 247 221 221 176 247 234 157 316 159 347 157 347 195 11042 9200024 163 Debride Skin Subq 20 CM 982 OP 364 325 154 146 146 325 154 130 154 328 364 154 138 138 364 154 146 325 " 1,132 " 328 " 1,243 " 130 " 1,243 " 122 11045 9200027 70 Debride Skin Subq Addl 20 CM 982 OP N/A N/A 67 63 63 N/A 67 56 67 N/A N/A 67 60 60 N/A 67 63 N/A " 3,528 " N/A " 3,874 " 56 " 3,874 " 53 11055 9200030 44 Pare 1 Benign Lesion 982 OP 176 157 42 39 39 157 42 35 42 159 176 42 37 37 176 42 39 157 316 159 347 35 347 33 11056 9200031 61 Pare 2-4 Benign Lesions 982 OP 176 157 58 55 55 157 58 49 58 159 176 58 52 52 176 58 55 157 316 159 347 49 347 46 15271 9200176 226 Skin Substitute Graft 25 Sq CM 982 OP " 1,682 " " 1,502 " 215 204 204 " 1,502 " 215 181 215 " 1,518 " " 1,682 " 215 192 192 " 1,682 " 215 204 " 1,502 " " 2,928 " " 1,518 " " 3,215 " 181 " 3,215 " 170 15275 9200180 253 Skin Substitute Graft 25 Sq CM 982 OP " 1,682 " " 1,502 " 240 227 227 " 1,502 " 240 202 240 " 1,518 " " 1,682 " 240 215 215 " 1,682 " 240 227 " 1,502 " " 2,928 " " 1,518 " " 3,215 " 202 " 3,215 " 189 16020 9200194 144 Dress/Debride Small Burn 982 OP 176 157 137 129 129 157 137 115 137 159 176 137 122 122 176 137 129 157 594 159 652 115 652 108 16025 9200195 306 Dress/Debride Medium Burn 982 OP 176 157 291 276 276 157 291 245 291 159 176 291 260 260 176 291 276 157 594 159 652 157 652 230 17250 9200205 95 Chemical Cauterization Tissue 982 OP 176 157 90 86 86 157 90 76 90 159 176 90 81 81 176 90 86 157 316 159 347 76 347 71 90791 9202552 256 Psych Diagnostic Evaluation 982 OP 142 127 243 231 231 127 243 205 243 128 142 243 218 218 142 243 231 127 117 128 128 117 243 192 97597 9202678 34 Debride Wound 1st 20 CM 982 OP 176 157 32 30 30 157 32 27 32 159 176 32 29 29 176 32 30 157 594 159 652 27 652 25 97598 9202679 16 Rmvl Devital Tis Addl 20CM/< 982 OP N/A N/A 15 15 15 N/A 15 13 15 N/A N/A 15 14 14 N/A 15 15 N/A " 3,528 " N/A " 3,874 " 13 " 3,874 " 12 97605 9202681 38 Neg Pressure Wound <50 Sq CM 982 OP 176 157 36 34 34 157 36 30 36 159 176 36 32 32 176 36 34 157 594 159 652 30 652 28 99202 9202802 110 New Patient Level 2 SF Comp 982 OP N/A N/A 105 99 99 N/A 105 88 105 N/A N/A 105 94 94 N/A 105 99 N/A N/A N/A N/A 88 105 83 99203 9202803 180 New Patient Level 3 Low Comp 982 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 99204 9202804 273 New Patient Level 4 Mod Comp 982 OP N/A N/A 259 245 245 N/A 259 218 259 N/A N/A 259 232 232 N/A 259 245 N/A N/A N/A N/A 218 259 204 99205 9202805 330 New Patient Level 5 High Comp 982 OP N/A N/A 313 297 297 N/A 313 264 313 N/A N/A 313 280 280 N/A 313 297 N/A N/A N/A N/A 264 313 247 99212 9202807 85 Est Patient Level 2 SF Comp 982 OP N/A N/A 81 77 77 N/A 81 68 81 N/A N/A 81 72 72 N/A 81 77 N/A N/A N/A N/A 68 81 64 99213 9202808 135 Est Patient Level 3 Low Comp 982 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 99214 9202809 210 Est Patient Level 4 Mod Comp 982 OP N/A N/A 200 189 189 N/A 200 168 200 N/A N/A 200 179 179 N/A 200 189 N/A N/A N/A N/A 168 200 158 99215 9202810 250 Est Patient Level 5 High Comp 982 OP N/A N/A 237 225 225 N/A 237 200 237 N/A N/A 237 212 212 N/A 237 225 N/A N/A N/A N/A 200 237 187 99217 9202811 223 Observation Discharge 982 OP N/A N/A 212 201 201 N/A 212 179 212 N/A N/A 212 190 190 N/A 212 201 N/A N/A N/A N/A 179 212 168 99218 9202812 220 Observation Admit Low Comp 982 OP N/A N/A 209 198 198 N/A 209 176 209 N/A N/A 209 187 187 N/A 209 198 N/A N/A N/A N/A 176 209 165 99219 9202813 284 Observation Admit Mod Comp 982 OP N/A N/A 270 256 256 N/A 270 228 270 N/A N/A 270 242 242 N/A 270 256 N/A N/A N/A N/A 228 270 213 99220 9202814 388 Observation Admit High Comp 982 OP N/A N/A 369 349 349 N/A 369 311 369 N/A N/A 369 330 330 N/A 369 349 N/A N/A N/A N/A 311 369 291 99221 9202815 284 Inpatient Initial Low Comp 982 OP N/A N/A 269 255 255 N/A 269 227 269 N/A N/A 269 241 241 N/A 269 255 N/A N/A N/A N/A 227 269 213 99222 9202816 308 Inpatient Initial Mod Comp 982 OP N/A N/A 292 277 277 N/A 292 246 292 N/A N/A 292 262 262 N/A 292 277 N/A N/A N/A N/A 246 292 231 99223 9202817 455 Inpatient Initial High Comp 982 OP N/A N/A 432 409 409 N/A 432 364 432 N/A N/A 432 386 386 N/A 432 409 N/A N/A N/A N/A 364 432 341 99224 9202818 110 Observation Subsequent Low 982 OP N/A N/A 104 99 99 N/A 104 88 104 N/A N/A 104 93 93 N/A 104 99 N/A N/A N/A N/A 88 104 82 99225 9202819 177 Observation Subsequent Mod 982 OP N/A N/A 168 160 160 N/A 168 142 168 N/A N/A 168 151 151 N/A 168 160 N/A N/A N/A N/A 142 168 133 99226 9202820 256 Observation Subsequent High 982 OP N/A N/A 243 230 230 N/A 243 205 243 N/A N/A 243 217 217 N/A 243 230 N/A N/A N/A N/A 205 243 192 99231 9202821 103 Inpatient Subsequent Low 982 OP N/A N/A 97 92 92 N/A 97 82 97 N/A N/A 97 87 87 N/A 97 92 N/A N/A N/A N/A 82 97 77 99232 9202822 177 Inpatient Subsequent Mod 982 OP N/A N/A 168 160 160 N/A 168 142 168 N/A N/A 168 151 151 N/A 168 160 N/A N/A N/A N/A 142 168 133 99233 9202823 256 Inpatient Subsequent High 982 OP N/A N/A 243 230 230 N/A 243 205 243 N/A N/A 243 217 217 N/A 243 230 N/A N/A N/A N/A 205 243 192 99234 9202824 281 Admit/Discharge Same Day Low 982 OP N/A N/A 267 253 253 N/A 267 225 267 N/A N/A 267 239 239 N/A 267 253 N/A N/A N/A N/A 225 267 211 99235 9202825 373 Admit/Discharge Same Day Mod 982 OP N/A N/A 354 336 336 N/A 354 298 354 N/A N/A 354 317 317 N/A 354 336 N/A N/A N/A N/A 298 354 280 99236 9202826 497 Admit/Discharge Same Day High 982 OP N/A N/A 472 447 447 N/A 472 398 472 N/A N/A 472 423 423 N/A 472 447 N/A N/A N/A N/A 398 472 373 99238 9202827 194 Inpatient Discharge < 30 Min 982 OP N/A N/A 184 175 175 N/A 184 155 184 N/A N/A 184 165 165 N/A 184 175 N/A 213 N/A 234 155 234 146 99239 9202828 235 Inpatient Discharge 30 Min 982 OP N/A N/A 223 212 212 N/A 223 188 223 N/A N/A 223 200 200 N/A 223 212 N/A 213 N/A 234 188 234 176 99291 9202845 998 Critical Care 1st 30-74 Min 982 OP 748 668 948 898 898 668 948 798 948 675 748 948 848 848 748 948 898 668 N/A 675 N/A 668 948 748 99304 9202847 193 NF Initial Visit Low 982 OP N/A N/A 183 173 173 N/A 183 154 183 N/A N/A 183 164 164 N/A 183 173 N/A N/A N/A N/A 154 183 144 99305 9202848 275 NF Initial Visit Mod 982 OP N/A N/A 261 247 247 N/A 261 220 261 N/A N/A 261 234 234 N/A 261 247 N/A N/A N/A N/A 220 261 206 99306 9202849 350 NF Initial Visit High 982 OP N/A N/A 332 315 315 N/A 332 280 332 N/A N/A 332 297 297 N/A 332 315 N/A N/A N/A N/A 280 332 262 99307 9202850 99 NF Visit Subs Sf 982 OP N/A N/A 94 89 89 N/A 94 79 94 N/A N/A 94 84 84 N/A 94 89 N/A N/A N/A N/A 79 94 74 99308 9202851 99 NF Visit Low 982 OP N/A N/A 94 89 89 N/A 94 79 94 N/A N/A 94 84 84 N/A 94 89 N/A N/A N/A N/A 79 94 74 99309 9202852 147 NF Visit Mod 982 OP N/A N/A 140 132 132 N/A 140 118 140 N/A N/A 140 125 125 N/A 140 132 N/A N/A N/A N/A 118 140 110 99310 9202853 214 NF Visit High 982 OP N/A N/A 204 193 193 N/A 204 172 204 N/A N/A 204 182 182 N/A 204 193 N/A N/A N/A N/A 172 204 161 99315 9202854 139 NF Discharge < 30 Min 982 OP N/A N/A 132 125 125 N/A 132 111 132 N/A N/A 132 118 118 N/A 132 125 N/A N/A N/A N/A 111 132 105 99316 9202855 206 NF Discharge 30 Min 982 OP N/A N/A 196 185 185 N/A 196 165 196 N/A N/A 196 175 175 N/A 196 185 N/A N/A N/A N/A 165 196 154 99183 9204241 289 Hyperbaric Oxygen Therapy 982 OP N/A N/A 274 260 260 N/A 274 231 274 N/A N/A 274 245 245 N/A 274 260 N/A N/A N/A N/A 231 274 217 11104 9204373 129 Punch Biopsy 1st Lesion 982 OP 364 325 122 116 116 325 122 103 122 328 364 122 109 109 364 122 116 325 729 328 801 103 801 97 97610 9204473 28 Low Frequency Non-Thermal US 982 OP 176 157 26 25 25 157 26 22 26 159 176 26 23 23 176 26 25 157 594 159 652 22 652 21 99417 9204814 66 Prolonged Service 982 OP N/A N/A 63 60 60 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 60 N/A N/A N/A N/A 53 63 50 9204882 66 Prolonged Service G2212 982 OP N/A N/A 63 60 60 N/A 63 53 63 N/A N/A 63 56 56 N/A 63 60 N/A N/A N/A N/A 53 63 50 29580 9220849 113 Apply Unna Boot BI 982 OP 142 127 107 101 101 127 107 90 107 128 142 107 96 96 142 107 101 127 372 128 409 90 409 84 64450 9221778 114 Inject Anes Agent Oth Nerve BI 982 OP 628 561 108 102 102 561 108 91 108 567 628 108 97 97 628 108 102 561 658 567 722 91 722 85 29445 9270842 271 Rigid Total Contact Leg CastLT 982 OP 234 209 258 244 244 209 258 217 258 211 234 258 231 231 234 258 244 209 372 211 409 209 409 203 29580 9270849 75 Apply Unna Boot LT 982 OP 142 127 71 68 68 127 71 60 71 128 142 71 64 64 142 71 68 127 372 128 409 60 409 56 32551 9270939 458 Insertion Chest Tube LT 982 OP " 1,450 " " 1,295 " 435 412 412 " 1,295 " 435 366 435 " 1,308 " " 1,450 " 435 389 389 " 1,450 " 435 412 " 1,295 " " 1,706 " " 1,308 " " 1,874 " 366 " 1,874 " 343 29580 9280849 75 Apply Unna Boot RT 982 OP 142 127 71 68 68 127 71 60 71 128 142 71 64 64 142 71 68 127 372 128 409 60 409 56 29581 9280850 76 Apply Multilay Comprs LE RT 982 OP 142 127 72 69 69 127 72 61 72 128 142 72 65 65 142 72 69 127 372 128 409 61 409 57 93010 9302613 61 EKG Interp And Report Only 985 OP N/A N/A 58 55 55 N/A 58 49 58 N/A N/A 58 52 52 N/A 58 55 N/A 74 N/A 81 49 81 46 90791 9502552 200 Psych Diagnostic Evaluation 961 OP 142 127 190 180 180 127 190 160 190 128 142 190 170 170 142 190 180 127 117 128 128 117 190 150 10060 9600007 316 I&D Abscess Simple/Single 981 OP 176 157 300 285 285 157 300 253 300 159 176 300 269 269 176 300 285 157 316 159 347 157 347 237 10061 9600008 667 I&D Abscess Comp/Multiple 981 OP 364 325 634 601 601 325 634 534 634 328 364 634 567 567 364 634 601 325 316 328 347 316 634 501 10080 9600009 308 I&D Pilonidal Cyst Simple 981 OP 632 565 292 277 277 565 292 246 292 571 632 292 262 262 632 292 277 565 316 571 347 246 632 231 10120 9600011 275 I&R Foreign Body Simple 981 OP 364 325 261 247 247 325 261 220 261 328 364 261 233 233 364 261 247 325 316 328 347 220 364 206 10140 9600014 415 I&D Hematoma Seroma 981 OP " 1,461 " " 1,305 " 394 374 374 " 1,305 " 394 332 394 " 1,319 " " 1,461 " 394 353 353 " 1,461 " 394 374 " 1,305 " " 2,092 " " 1,319 " " 2,297 " 332 " 2,297 " 311 11200 9600035 203 Remove Skin Tags Up To 15 981 OP 176 157 192 182 182 157 192 162 192 159 176 192 172 172 176 192 182 157 316 159 347 157 347 152 11740 9600096 88 Evacuate Subungual Hematoma 981 OP 113 101 83 79 79 101 83 70 83 102 113 83 75 75 113 83 79 101 366 102 402 70 402 66 12001 9600112 377 Repair Lac Simple <2.5 CM 981 OP 176 157 358 340 340 157 358 302 358 159 176 358 321 321 176 358 340 157 594 159 652 157 652 283 12002 9600113 488 Repair Lac Simple 2.6-7.5 CM 981 OP 176 157 463 439 439 157 463 390 463 159 176 463 415 415 176 463 439 157 594 159 652 157 652 366 12004 9600114 575 Repair Lac Simple 7.6-12.5 CM 981 OP 176 157 546 517 517 157 546 460 546 159 176 546 489 489 176 546 517 157 594 159 652 157 652 431 12005 9600115 669 Repair Lac Simple 12.6-20.0 CM 981 OP 364 325 635 602 602 325 635 535 635 328 364 635 569 569 364 635 602 325 594 328 652 325 652 502 12011 9600118 391 Repair Lac Simple <2.5 CM 981 OP 176 157 371 352 352 157 371 312 371 159 176 371 332 332 176 371 352 157 594 159 652 157 652 293 12013 9600119 484 Repair Lac Simple 2.6-5.0 CM 981 OP 176 157 459 435 435 157 459 387 459 159 176 459 411 411 176 459 435 157 594 159 652 157 652 363 12014 9600120 579 Repair Lac Simple 5.1-7.5 CM 981 OP 176 157 550 521 521 157 550 463 550 159 176 550 492 492 176 550 521 157 594 159 652 157 652 434 12015 9600121 732 Repair Lac Simple 7.6-12.5 CM 981 OP 176 157 695 659 659 157 695 586 695 159 176 695 622 622 176 695 659 157 594 159 652 157 695 549 12031 9600127 481 Repair Lac Intermed <2.5 CM 981 OP 364 325 457 433 433 325 457 385 457 328 364 457 409 409 364 457 433 325 " 1,132 " 328 " 1,243 " 325 " 1,243 " 361 12032 9600128 658 Repair Lac Interm 2.6-7.5 CM 981 OP 364 325 625 592 592 325 625 526 625 328 364 625 559 559 364 625 592 325 " 1,132 " 328 " 1,243 " 325 " 1,243 " 494 12034 9600129 753 Repair Lac Interm 7.6-12.5 CM 981 OP 364 325 715 678 678 325 715 602 715 328 364 715 640 640 364 715 678 325 " 1,132 " 328 " 1,243 " 325 " 1,243 " 565 12041 9600133 529 Repair Lac Interm <2.5 CM 981 OP 364 325 502 476 476 325 502 423 502 328 364 502 449 449 364 502 476 325 " 1,132 " 328 " 1,243 " 325 " 1,243 " 397 12044 9600135 818 Repair Lac Interm 7.6-12.5 CM 981 OP 566 506 777 736 736 506 777 654 777 511 566 777 695 695 566 777 736 506 " 1,132 " 511 " 1,243 " 506 " 1,243 " 613 12051 9600139 668 Repair Lac Interm <2.5 CM 981 OP 364 325 635 601 601 325 635 535 635 328 364 635 568 568 364 635 601 325 " 1,132 " 328 " 1,243 " 325 " 1,243 " 501 12052 9600140 730 Repair Lac Interm 2.6-5.0 CM 981 OP 364 325 693 657 657 325 693 584 693 328 364 693 620 620 364 693 657 325 " 1,132 " 328 " 1,243 " 325 " 1,243 " 547 13152 9600156 " 1,672 " Repair Lac Comp 2.6-7.5 CM 981 OP 566 506 " 1,588 " " 1,505 " " 1,505 " 506 " 1,588 " " 1,338 " " 1,588 " 511 566 " 1,588 " " 1,421 " " 1,421 " 566 " 1,588 " " 1,505 " 506 729 511 801 506 " 1,588 " " 1,254 " 16020 9600194 184 Dress/Debride Small Burn 981 OP 176 157 175 166 166 157 175 147 175 159 176 175 157 157 176 175 166 157 594 159 652 147 652 138 16030 9600196 497 Dress/Debride Large Burn 981 OP 364 325 472 447 447 325 472 397 472 328 364 472 422 422 364 472 447 325 " 1,132 " 328 " 1,243 " 325 " 1,243 " 373 20552 9600284 126 Inject Trigger Points 1-2 Mus 981 OP 265 237 119 113 113 237 119 100 119 239 265 119 107 107 265 119 113 237 670 239 736 100 736 94 20553 9600285 126 Inject Trigger Points 3 Mus 981 OP 265 237 119 113 113 237 119 100 119 239 265 119 107 107 265 119 113 237 670 239 736 100 736 94 26010 9600491 844 Drain Finger Abscess Simple 981 OP 176 157 802 760 760 157 802 675 802 159 176 802 718 718 176 802 760 157 316 159 347 157 802 633 29130 9600833 119 Apply Finger Splint 981 OP 113 101 113 107 107 101 113 95 113 102 113 113 101 101 113 113 107 101 142 102 156 95 156 89 30300 9600906 258 Remove Foreign Body Nose 981 OP 113 101 245 232 232 101 245 206 245 102 113 245 219 219 113 245 232 101 247 102 271 101 271 194 31500 9600922 570 Insert Emergency Airway 981 OP 203 181 541 513 513 181 541 456 541 183 203 541 484 484 203 541 513 181 " 1,821 " 183 " 2,000 " 181 " 2,000 " 427 41800 9601175 431 Drainage Gum Lesion 981 OP 113 101 409 388 388 101 409 345 409 102 113 409 366 366 113 409 388 101 247 102 271 101 409 323 43762 9601251 484 Change Gastrostomy Tube 981 OP 209 187 460 436 436 187 460 387 460 189 209 460 412 412 209 460 436 187 " 1,277 " 189 " 1,402 " 187 " 1,402 " 363 56405 9601606 262 I & D Vulva/Perineum 981 OP 285 254 249 235 235 254 249 209 249 257 285 249 222 222 285 249 235 254 255 257 280 209 285 196 62270 9601752 479 Spinal Fluid Tap Diagnostic 981 OP 628 561 455 431 431 561 455 383 455 567 628 455 407 407 628 455 431 561 " 1,462 " 567 " 1,605 " 383 " 1,605 " 359 97597 9602678 183 Debride Wound 1st 20 CM 981 OP 176 157 173 164 164 157 173 146 173 159 176 173 155 155 176 173 164 157 594 159 652 146 652 137 99281 9602839 140 Emergency Room Visit Level 1 981 OP 73 65 133 126 126 65 133 112 133 66 73 133 119 119 73 133 126 65 N/A 66 N/A 65 133 105 99282 9602840 220 Emergency Room Visit Level 2 981 OP 136 122 209 198 198 122 209 176 209 123 136 209 187 187 136 209 198 122 N/A 123 N/A 122 209 165 99283 9602841 326 Emergency Room Visit Level 3 981 OP 239 213 309 293 293 213 309 261 309 215 239 309 277 277 239 309 293 213 N/A 215 N/A 213 309 244 99284 9602842 483 Emergency Room Visit Level 4 981 OP 372 332 459 435 435 332 459 386 459 336 372 459 411 411 372 459 435 332 N/A 336 N/A 332 459 362 99285 9602843 729 Emergency Room Visit Level 5 981 OP 534 477 693 656 656 477 693 583 693 482 534 693 620 620 534 693 656 477 N/A 482 N/A 477 693 547 99291 9602845 998 Critical Care 1st 30-74 Min 981 OP 748 668 948 898 898 668 948 798 948 675 748 948 848 848 748 948 898 668 N/A 675 N/A 668 948 748 99292 9602846 499 Critical Care Ea Addl 30 Min 981 OP N/A N/A 474 449 449 N/A 474 399 474 N/A N/A 474 424 424 N/A 474 449 N/A N/A N/A N/A 399 474 374 11104 9604373 116 Punch Biopsy 1st Lesion 981 OP 364 325 110 105 105 325 110 93 110 328 364 110 99 99 364 110 105 325 729 328 801 93 801 87 11105 9604374 64 Punch Biopsy Ea Addl Lesion 981 OP N/A N/A 61 57 57 N/A 61 51 61 N/A N/A 61 54 54 N/A 61 57 N/A 729 N/A 801 51 801 48 30901 9620909 510 Control Anterior Hemorrhage BI 981 OP 113 101 484 459 459 101 484 408 484 102 113 484 433 433 113 484 459 101 247 102 271 101 484 382 64405 9621768 309 In Occipital N Block BI 981 OP 265 237 294 278 278 237 294 247 294 239 265 294 263 263 265 294 278 237 658 239 722 237 722 232 25605 9640473 " 2,057 " Fx Distal Radius W Man 981 OP " 1,398 " " 1,249 " " 1,954 " " 1,852 " " 1,852 " " 1,249 " " 1,954 " " 1,646 " " 1,954 " " 1,261 " " 1,398 " " 1,954 " " 1,749 " " 1,749 " " 1,398 " " 1,954 " " 1,852 " " 1,249 " " 2,821 " " 1,261 " " 3,097 " " 1,249 " " 3,097 " " 1,543 " 28515 9640801 624 Treatment Toe Fracture 981 OP 202 180 592 561 561 180 592 499 592 182 202 592 530 530 202 592 561 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 468 20605 9670289 171 Asp/Inj Intermediate Joint LT 981 OP 265 237 163 154 154 237 163 137 163 239 265 163 146 146 265 163 154 237 670 239 736 137 736 128 20606 9670290 141 Asp/Inj Intermed Joint W US LT 981 OP 628 561 134 127 127 561 134 113 134 567 628 134 120 120 628 134 127 561 " 1,092 " 567 " 1,199 " 113 " 1,199 " 106 20610 9670291 211 Asp/Inj Large Joint LT 981 OP 265 237 200 190 190 237 200 169 200 239 265 200 179 179 265 200 190 237 670 239 736 169 736 158 23650 9670381 " 1,120 " Dislocation Shoulder WO AnesLT 981 OP 202 180 " 1,064 " " 1,008 " " 1,008 " 180 " 1,064 " 896 " 1,064 " 182 202 " 1,064 " 952 952 202 " 1,064 " " 1,008 " 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 840 23655 9670382 974 Dislocation Shoulder W Anes LT 981 OP " 1,398 " " 1,249 " 926 877 877 " 1,249 " 926 779 926 " 1,261 " " 1,398 " 926 828 828 " 1,398 " 926 877 " 1,249 " " 2,450 " " 1,261 " " 2,690 " 779 " 2,690 " 731 24640 9670428 482 Dislocation Nursemaid Elbow LT 981 OP 202 180 458 434 434 180 458 386 458 182 202 458 410 410 202 458 434 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 362 26770 9670547 928 Dislocate Finger WO Anes LT 981 OP 202 180 881 835 835 180 881 742 881 182 202 881 789 789 202 881 835 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 696 27560 9670657 " 1,253 " Treat Kneecap Dislocation LT 981 OP 202 180 " 1,190 " " 1,128 " " 1,128 " 180 " 1,190 " " 1,002 " " 1,190 " 182 202 " 1,190 " " 1,065 " " 1,065 " 202 " 1,190 " " 1,128 " 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 940 29105 9670830 245 Apply Long Arm Splint LT 981 OP 142 127 232 220 220 127 232 196 232 128 142 232 208 208 142 232 220 127 142 128 156 127 232 183 29125 9670831 170 Apply Short Arm Splint LT 981 OP 113 101 162 153 153 101 162 136 162 102 113 162 145 145 113 162 153 101 142 102 156 101 162 128 29505 9670844 198 Apply Long Leg Splint LT 981 OP 142 127 188 178 178 127 188 158 188 128 142 188 168 168 142 188 178 127 142 128 156 127 188 149 29515 9670845 135 Apply Short Leg Splint LT 981 OP 142 127 128 122 122 127 128 108 128 128 142 128 115 115 142 128 122 127 142 128 156 108 156 101 30901 9670909 155 Control Anterior Hemorrhage LT 981 OP 113 101 147 140 140 101 147 124 147 102 113 147 132 132 113 147 140 101 247 102 271 101 271 116 65205 9671832 155 Remove Foreign Body Eye LT 981 OP 113 101 147 140 140 101 147 124 147 102 113 147 132 132 113 147 140 101 160 102 176 101 176 116 65220 9671834 156 Remove Foreign Body Eye LT 981 OP 368 329 148 140 140 329 148 125 148 332 368 148 132 132 368 148 140 329 160 332 176 125 368 117 65235 9671836 " 1,990 " Remove Foreign Body Eye LT 981 OP " 2,104 " " 1,880 " " 1,891 " " 1,791 " " 1,791 " " 1,880 " " 1,891 " " 1,592 " " 1,891 " " 1,899 " " 2,104 " " 1,891 " " 1,692 " " 1,692 " " 2,104 " " 1,891 " " 1,791 " " 1,880 " " 1,962 " " 1,899 " " 2,154 " " 1,592 " " 2,154 " " 1,493 " 67938 9671925 300 Remove Eyelid Foreign Body LT 981 OP 258 230 285 270 270 230 285 240 285 233 258 285 255 255 258 285 270 230 522 233 573 230 573 225 69200 9671952 243 Remove Ear Foreign Body LT 981 OP 113 101 231 219 219 101 231 194 231 102 113 231 206 206 113 231 219 101 N/A 102 N/A 101 231 182 20600 9680287 176 Asp/Inj Small Joint RT 981 OP 265 237 167 158 158 237 167 141 167 239 265 167 150 150 265 167 158 237 670 239 736 141 736 132 20605 9680289 171 Asp/Inj Intermediate Joint RT 981 OP 265 237 163 154 154 237 163 137 163 239 265 163 146 146 265 163 154 237 670 239 736 137 736 128 20610 9680291 211 Asp/Inj Large Joint RT 981 OP 265 237 200 190 190 237 200 169 200 239 265 200 179 179 265 200 190 237 670 239 736 169 736 158 23650 9680381 " 1,120 " Dislocation Shoulder WO AnesRT 981 OP 202 180 " 1,064 " " 1,008 " " 1,008 " 180 " 1,064 " 896 " 1,064 " 182 202 " 1,064 " 952 952 202 " 1,064 " " 1,008 " 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 840 24640 9680428 482 Dislocation Nursemaid Elbow RT 981 OP 202 180 458 434 434 180 458 386 458 182 202 458 410 410 202 458 434 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 362 26770 9680547 928 Dislocate Finger WO Anes RT 981 OP 202 180 881 835 835 180 881 742 881 182 202 881 789 789 202 881 835 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 696 27265 9680597 " 1,104 " Dislocation Hip Post Arthro RT 981 OP 202 180 " 1,049 " 993 993 180 " 1,049 " 883 " 1,049 " 182 202 " 1,049 " 938 938 202 " 1,049 " 993 180 " 2,821 " 182 " 3,097 " 180 " 3,097 " 828 28190 9680758 898 Remove Foreign Body Foot RT 981 OP 632 565 853 809 809 565 853 719 853 571 632 853 764 764 632 853 809 565 729 571 801 565 853 674 29105 9680830 245 Apply Long Arm Splint RT 981 OP 142 127 232 220 220 127 232 196 232 128 142 232 208 208 142 232 220 127 142 128 156 127 232 183 29125 9680831 170 Apply Short Arm Splint RT 981 OP 113 101 162 153 153 101 162 136 162 102 113 162 145 145 113 162 153 101 142 102 156 101 162 128 29505 9680844 198 Apply Long Leg Splint RT 981 OP 142 127 188 178 178 127 188 158 188 128 142 188 168 168 142 188 178 127 142 128 156 127 188 149 29515 9680845 135 Apply Short Leg Splint RT 981 OP 142 127 128 122 122 127 128 108 128 128 142 128 115 115 142 128 122 127 142 128 156 108 156 101 30901 9680909 155 Control Anterior Hemorrhage RT 981 OP 113 101 147 140 140 101 147 124 147 102 113 147 132 132 113 147 140 101 247 102 271 101 271 116 30903 9680910 216 Control Anterior Hemorrhage RT 981 OP 113 101 205 195 195 101 205 173 205 102 113 205 184 184 113 205 195 101 247 102 271 101 271 162 64400 9681767 937 Inj Trigeminal N Block RT 981 OP 265 237 891 844 844 237 891 750 891 239 265 891 797 797 265 891 844 237 658 239 722 237 891 703 64450 9681778 119 Inject Anes Agent Oth Nerve RT 981 OP 628 561 113 107 107 561 113 95 113 567 628 113 101 101 628 113 107 561 658 567 722 95 722 89 65205 9681832 155 Remove Foreign Body Eye RT 981 OP 113 101 147 140 140 101 147 124 147 102 113 147 132 132 113 147 140 101 160 102 176 101 176 116 65220 9681834 156 Remove Foreign Body Eye RT 981 OP 368 329 148 140 140 329 148 125 148 332 368 148 132 132 368 148 140 329 160 332 176 125 368 117 69200 9681952 243 Remove Ear Foreign Body RT 981 OP 113 101 231 219 219 101 231 194 231 102 113 231 206 206 113 231 219 101 N/A 102 N/A 101 231 182 27510 9683755 " 1,864 " Clsd Txt Fem Fx Dist w/man RT 981 OP " 1,398 " " 1,249 " " 1,771 " " 1,677 " " 1,677 " " 1,249 " " 1,771 " " 1,491 " " 1,771 " " 1,261 " " 1,398 " " 1,771 " " 1,584 " " 1,584 " " 1,398 " " 1,771 " " 1,677 " " 1,249 " " 2,821 " " 1,261 " " 3,097 " " 1,249 " " 3,097 " " 1,398 " 77014 9702353 169 CT Scan For Therapy Guide 973 OP N/A N/A 161 152 152 N/A 161 135 161 N/A N/A 161 144 144 N/A 161 152 N/A 235 N/A 258 135 258 127 77263 9702380 635 Radiation Therapy Planning 973 OP N/A N/A 604 572 572 N/A 604 508 604 N/A N/A 604 540 540 N/A 604 572 N/A 283 N/A 311 283 604 477 77280 9702381 134 Set Radiation Therapy Field 973 OP 130 116 128 121 121 116 128 108 128 117 130 128 114 114 130 128 121 116 283 117 311 108 311 101 77290 9702383 295 Set Radiation Therapy Field 973 OP 350 312 280 266 266 312 280 236 280 315 350 280 251 251 350 280 266 312 661 315 726 236 726 221 77293 9702384 " 1,184 " Respirator Motion Mgmt Simul 973 OP N/A N/A " 1,125 " " 1,065 " " 1,065 " N/A " 1,125 " 947 " 1,125 " N/A N/A " 1,125 " " 1,006 " " 1,006 " N/A " 1,125 " " 1,065 " N/A 283 N/A 311 283 " 1,125 " 888 77295 9702385 951 3-D Radiotherapy Plan 973 OP " 1,306 " " 1,167 " 904 856 856 " 1,167 " 904 761 904 " 1,179 " " 1,306 " 904 809 809 " 1,306 " 904 856 " 1,167 " " 2,531 " " 1,179 " " 2,779 " 761 " 2,779 " 713 77300 9702387 129 Radiation Therapy Dose Plan 973 OP 130 116 123 116 116 116 123 103 123 117 130 123 110 110 130 123 116 116 661 117 726 103 726 97 77301 9702388 " 1,518 " Radiotherapy Dose Plan IMRT 973 OP " 1,306 " " 1,167 " " 1,442 " " 1,366 " " 1,366 " " 1,167 " " 1,442 " " 1,215 " " 1,442 " " 1,179 " " 1,306 " " 1,442 " " 1,291 " " 1,291 " " 1,306 " " 1,442 " " 1,366 " " 1,167 " " 2,531 " " 1,179 " " 2,779 " " 1,167 " " 2,779 " " 1,139 " 77307 9702390 570 Telethx Isodose Plan Cplx 973 OP 350 312 541 513 513 312 541 456 541 315 350 541 484 484 350 541 513 312 661 315 726 312 726 427 77318 9702393 598 Brachytx Isodose Complex 973 OP 350 312 568 538 538 312 568 478 568 315 350 568 508 508 350 568 538 312 661 315 726 312 726 448 77321 9702394 188 Special Teletherapy Port Plan 973 OP 350 312 178 169 169 312 178 150 178 315 350 178 159 159 350 178 169 312 661 315 726 150 726 141 77331 9702395 172 Special Radiation Dosimetry 973 OP 130 116 163 154 154 116 163 137 163 117 130 163 146 146 130 163 154 116 283 117 311 116 311 129 77332 9702396 112 Radiation Treatment Aid(s) 973 OP 130 116 107 101 101 116 107 90 107 117 130 107 95 95 130 107 101 116 283 117 311 90 311 84 77334 9702398 258 Radiation Treatment Aid(s) 973 OP 350 312 245 232 232 312 245 207 245 315 350 245 220 220 350 245 232 312 661 315 726 207 726 194 77338 9702399 833 Design Mlc Device For IMRT 973 OP 350 312 791 750 750 312 791 666 791 315 350 791 708 708 350 791 750 312 661 315 726 312 791 625 77387 9702402 169 Guidance For Radiaj Tx Dlvr 973 OP N/A N/A 161 152 152 N/A 161 135 161 N/A N/A 161 144 144 N/A 161 152 N/A 283 N/A 311 135 311 127 77399 9702403 " 1,280 " External Radiation Dosimetry 973 OP 130 116 " 1,216 " " 1,152 " " 1,152 " 116 " 1,216 " " 1,024 " " 1,216 " 117 130 " 1,216 " " 1,088 " " 1,088 " 130 " 1,216 " " 1,152 " 116 283 117 311 116 " 1,216 " 960 77427 9702404 669 Radiation Tx Management X5 973 OP N/A N/A 636 602 602 N/A 636 535 636 N/A N/A 636 569 569 N/A 636 602 N/A 673 N/A 739 535 739 502 77470 9702409 436 Special Radiation Treatment 973 OP 558 498 414 392 392 498 414 349 414 503 558 414 370 370 558 414 392 498 " 1,176 " 503 " 1,291 " 349 " 1,291 " 327 77778 9702419 " 2,327 " Apply Interstit Radiat Compl 973 OP 703 628 " 2,210 " " 2,094 " " 2,094 " 628 " 2,210 " " 1,861 " " 2,210 " 635 703 " 2,210 " " 1,978 " " 1,978 " 703 " 2,210 " " 2,094 " 628 " 2,478 " 635 " 2,721 " 628 " 2,721 " " 1,745 " 9900123 50 Trim Nails 999G OP N/A N/A 48 45 45 N/A 48 40 48 N/A N/A 48 43 43 N/A 48 45 N/A N/A N/A N/A 40 48 38 9970041 199 Cataract Len Standard V2632 276 OP N/A N/A 189 179 179 N/A 189 159 189 N/A N/A 189 169 169 N/A 189 179 N/A N/A N/A N/A 159 189 149 29445 9980038 271 Rigid Total Contact Leg CastLT 982 OP 234 209 258 244 244 209 258 217 258 211 234 258 231 231 234 258 244 209 372 211 409 209 409 203 29580 9980039 75 Apply Unna Boot LT 982 OP 142 127 71 68 68 127 71 60 71 128 142 71 64 64 142 71 68 127 372 128 409 60 409 56 29580 9980040 75 Apply Unna Boot RT 982 OP 142 127 71 68 68 127 71 60 71 128 142 71 64 64 142 71 68 127 372 128 409 60 409 56 97597 9980043 34 Debride Wound 1st 20 CM 982 OP 176 157 32 30 30 157 32 27 32 159 176 32 29 29 176 32 30 157 594 159 652 27 652 25 97598 9980044 16 Rmvl Devital Tis Addl 20CM/< 982 OP N/A N/A 15 15 15 N/A 15 13 15 N/A N/A 15 14 14 N/A 15 15 N/A " 3,528 " N/A " 3,874 " 13 " 3,874 " 12 97605 9980045 38 Neg Pressure Wound <50 Sq CM 982 OP 176 157 36 34 34 157 36 30 36 159 176 36 32 32 176 36 34 157 594 159 652 30 652 28 99183 9980047 289 Hyperbaric Oxygen Therapy 982 OP N/A N/A 274 260 260 N/A 274 231 274 N/A N/A 274 245 245 N/A 274 260 N/A N/A N/A N/A 231 274 217 99202 9980048 110 New Patient Level 2 SF Comp 982 OP N/A N/A 105 99 99 N/A 105 88 105 N/A N/A 105 94 94 N/A 105 99 N/A N/A N/A N/A 88 105 83 99203 9980049 180 New Patient Level 3 Low Comp 982 OP N/A N/A 171 162 162 N/A 171 144 171 N/A N/A 171 153 153 N/A 171 162 N/A N/A N/A N/A 144 171 135 99204 9980050 273 New Patient Level 4 Mod Comp 982 OP N/A N/A 259 245 245 N/A 259 218 259 N/A N/A 259 232 232 N/A 259 245 N/A N/A N/A N/A 218 259 204 99212 9980053 85 Est Patient Level 2 SF Comp 982 OP N/A N/A 81 77 77 N/A 81 68 81 N/A N/A 81 72 72 N/A 81 77 N/A N/A N/A N/A 68 81 64 99213 9980054 135 Est Patient Level 3 Low Comp 982 OP N/A N/A 128 122 122 N/A 128 108 128 N/A N/A 128 115 115 N/A 128 122 N/A N/A N/A N/A 108 128 101 99214 9980055 210 Est Patient Level 4 Mod Comp 982 OP N/A N/A 200 189 189 N/A 200 168 200 N/A N/A 200 179 179 N/A 200 189 N/A N/A N/A N/A 168 200 158 99215 9980056 250 Est Patient Level 5 High Comp 982 OP N/A N/A 237 225 225 N/A 237 200 237 N/A N/A 237 212 212 N/A 237 225 N/A N/A N/A N/A 200 237 187 15271 9980076 226 Skin Substitute Graft 25 Sq CM 982 OP " 1,682 " " 1,502 " 215 204 204 " 1,502 " 215 181 215 " 1,518 " " 1,682 " 215 192 192 " 1,682 " 215 204 " 1,502 " " 2,928 " " 1,518 " " 3,215 " 181 " 3,215 " 170 97610 9980078 28 Low Frequency Non-Thermal US 982 OP 176 157 26 25 25 157 26 22 26 159 176 26 23 23 176 26 25 157 594 159 652 22 652 21 81003 10Z0089 39 Lab-Urin Auto W/O Scope OB 301 OP N/A N/A 37 35 35 N/A 37 31 37 N/A N/A 37 33 33 N/A 37 35 N/A 22 N/A 24 22 37 29 90662 19R0744 61 Vaccine- Influenza 636 OP N/A N/A 58 55 55 N/A 58 49 58 N/A N/A 58 52 52 N/A 58 55 N/A 76 N/A 83 49 83 46 77063 21L2364 150 Breast Tomosynthesis BI 403 OP N/A N/A 143 135 135 N/A 143 120 143 N/A N/A 143 128 128 N/A 143 135 N/A 202 N/A 222 120 222 113 72220 25L2085 200 Sacrum or Coccyx Min 2 View 320 OP 85 76 190 180 180 76 190 160 190 76 85 190 170 170 85 190 180 76 73 76 80 73 190 150 73620 25L21507 100 X-Ray Foot 1 View LT 320 OP 85 76 95 90 90 76 95 80 95 76 85 95 85 85 85 95 90 76 73 76 80 73 95 75 73620 25L21508 100 X-Ray Foot 1 View RT 320 OP 85 76 95 90 90 76 95 80 95 76 85 95 85 85 85 95 90 76 73 76 80 73 95 75 93923 31L3310 507 UE/LE Artery 3 Levels Unilat 921 OP 142 127 482 456 456 127 482 406 482 128 142 482 431 431 142 482 456 127 347 128 381 127 482 380 N/A - No standard payer/plan specific negotiated rate exists for this item/service. The item/service may be considered bundled/packaged with other items/services or it may be considered not separately reimbursable or non-covered.